※ 引述《whatgoast (结束导演生涯~)》之铭言： 本次考试共有九本共笔 九本讲义 分别是洪维德，刘哲铭，陈在昕，柯玟如，廖信明，徐士哲，刘汉杰，蔡玉娟，唐高骏 (再说一次 唐高骏医师不考 所以共考8本) 以下是从各医师所获取得到的资讯 ===================================== 1.洪维德 主任 本来学期初，他上课说要考麻醉的定义。结果今天说他没考@@，三题应该都是 类似讲义後面的状况题，主任说不用担心啦。[是说一定不会写吗?>"<] ===================================== 2.陈在昕 那个 老师本来要了讲义要帮我们复习 结果最後开了题目 让两个学艺抄五分钟题目 老师就去倒水喝 我跟亮辰抄了一题，发现苗头不对，会抄不完，就拿出了霹雳无敌---随身碟>"< 结果左眼喵到老师回来了，连移除都没移除就拔掉随身碟了 老师回来说 你们抄得好辛苦 不如我每题删掉最後一个选项 让你们copy走吧 但是随身碟里面有一样的档名的档案=.= 我跟亮辰还演戏 A:ㄟ 你有带随身碟吗? B:没ㄟ@@ 总之，就是下面这些了 请勿流出 否则後果自负!! 1. Which statements are true about the noninvasive ABP monitoring (A) Palpation method does not require a cuff for measuring systolic pressure. (B) Auscultation with a cuff used can get an accurate value of mean blood pressure, (C) Arterial tonometry can measure the pressure of axillary artery (D) The adequate size of a cuff is: The cuff’s length should exceed at least half the extremity, and the width should be 20~50% greater than the diameter of the extremity. (1) ABC (2) ABD (3) AC (4) BD (5) D only 2. Which statements are true about the invasive ABP monitoring (A) A-line monitoring is considered the gold stand, (B) Overdamped system will underestimate the systolic pressure, (C) Adding tube and stopcocks will decrease the frequency of the system, (D) exaggerated variations in A-line blood pressure during the respiratory cycle suggest high peripheral vascular resistance (1) ABC (2) ABD (3) AC (4) BD (5) D only 3. Which statements are true about the ECG monitoring (A) The axis of lead I parallels the atria, enhancing the diagnosis of dysrhythmias (B) A flat or downsloping ST-segment depression exceeding 1mm, 60 or 80 milliseconds after J point indicates myocardial ischemia (C) Lead V5 is sensitive for inferior wall ischemia. (D) Simultaneously lead II and V5 are suggested for open heart surgery (1) ABC (2) ABD (3) AC (4) BD (5) D only 4. Which statements are true about the Central venous catheterization (A) Venous pressure should be measured during end-inspiration. , (B) RA pressure reflects the RV end-diastolic volume, so it can be viewed as the preload status of LV (C) Air embolism seldem occurs during central catheter insertion, (D) a wave will absent in atrial fibrillation patients (1) ABC (2) ABD (3) AC (4) BD (5) D only 5. Which statements are true about the Pulmonary artery catheterization (A) In adequate place, Pulmonary artery catheter can monitor both the PA pressure and the CVP, (B) To get complete index of circulatory system, Pulmonary artery catheterization and A-line are both needed, (C) Pulmonary artery rupture can occur because of balloon overinflation. (D) Thermodilution is the usual method for CO when there is a central venous catheter in place. 6. Which statements are true about the Pulse oximetry (A) It combines the principles of oximetry and plethysmography , (B) Patient with high carboxyhemoglobin will get a high value of SpO2, meaning that his PaO2 is also high. (C) a 90% saturation indicate a PaO2 of less than 65mmHg (D) Pulse oximetry will show both the saturation of arterial and venous blood 7. Which statements are true about the End-tidal carbon dioxide analysis (A) Capnographs reliably detect endobronchial intubation, (B) The ETCO2 measurement is usually higher than PaCO2, (C) Sidestream system has shorter lag time than mainstream system, (D) Sudden cessation of CO2 may indicate a circuit disconnection. 8. Which statements are true about the Evoked Potentials? (A) Evoked potential can reflect patient’s neural tract instantly, (B) For Motor EP, the stimulating electrodes are placed in the extremities, (C) Gas anesthetics have little effect on evoked potential, (D) SSEP is a good monitor for lumbar spine surgery (via posterior approach) 9. Which are true in the following statements (A) Shivering is associated with an increased risk of myocardial ischemia, (B) Intravenous meperidine effectively alleviate shivering, (C) Hypothermia is defined as body temperature <35C, (D) Oliguria is defined as urine output < 0.5 ml/kg/hr 10. Which statements are true about the Peripheral nerve stimulation (A) Train-of-four ratio is suitable during the recovery phase of muscle power, (B) TOF ratio 0.4 means a 60% neuromuscular blockade, (C) TOF monitoring will give four successive twitches in 2 seconds, (D) The disappearance of 4th twitches on TOF means adequate muscular relaxation during endotracheal intubation ====== 3.徐士哲医师 他说不会考太偏太刁钻题目 剂量不考 注意大重点 拿出讲义 P2右下,P3右下,P4左下,右下,P5左上,P8左上,右上,左下 P10左上,右下,P12左上,右下,P13左上,右上,左下 P15左上,左下,P19右上,左下,P20右上,P22左上, P24左下,右下,P25左上 ====== 4.刘哲铭医师 他连题号都标上去了 可信度百分百 拿出讲义 P2下,P4下,P6下,P7下,P11下,P13下,P17,P18 P44下 加上最後一题: 气管插管的适应症为何? ====== 5.蔡玉娟医师 E-mail给老师 隔天的回函@@ Dear 勇毅 题目很简单 四选一 不用太紧张 平常心 欢迎同学投入麻醉事业 (Orz 果然和洪主任是好朋友) 蔡医师 ====== 插播一下 本次考试考题 均为复选式单选题 只有蔡玉娟医师为单纯单选题 === 6.柯玟如 医师 科医师很阿莎力的勾投影片了 也帮我们写上上重点 有打勾地方(没有注明句子为全勾) p2右下 p3右下-> anatomic structure--->level of termination in adult Ex. spinal cord延伸至哪一处结束(感觉就是在漏题目) p4左下 p5右上第一句话cadiovsacular effects p5左下 p5右下 p6左上全 并且把high字圈起来 p12右下 p13左下 p15左下 p19右上 additives圈起来(也就是要注意additive) p21右下全 并把第二句话圈起来(to make...) p22左上 p23左下第一句话(CNS) p24左下 p24右下 p25左上 nerve block部份据老师的说法看来似乎是没考 不过不要铁齿看看吧 === 7. 廖信明医师 他说明的重点实在是有点多 也有勾投影片 但是极不精准 重点十分大且笼统 所以不能只看勾的地方 要找出勾的地方是指那里的重点XD 待我慢慢道来... 输液部分 p3 左上全 第一句话圈起来 p5右上 强调colloid和crytalloid的差别 hypertoin solutipn必考 p12左上 p12右下 给法要会计算!!老师会给伊个病人loss多少fluid p13右下 p14右上 可能出像上述的例子 要会算 p15(右上) p16(右上) 会出特殊利子一题(ex.脑水肿哪些是好的处理?a.灌流要够..etc) 所以p15 p16叙述都看一看 数字不会刁难(ex.cpp 30~40...当然是错) blood therapy部分 p17右下 indication p18右上重要!! factoII和factorIII分界重要 老师有说的分界为 blood loss% 30为II III分界 pulse pressureII开始下降 blood pressureIII开始下降 Urine output 5~10为III CNS confused为IV II只用crystalloid III要合并blood p19右下 p20左下(老师说考这有点笨..不过还是勾一下好了...Orz) p21右上 p21左下 p22全 表格不要记数字要记上升或下降的趋势 p24左上有勾(但老师说没办法考这...那是怎样?) 要记各种component的适应症 p25左下 相容性最好的是normal+dastroid p26右上 p26右下 p28左上重要 p29右下 p30左上 p32左上 p32左下 p34以後老师说他没有出(同样请勿铁齿) === 8. 刘汉杰医师 刘医师更妙 他还没出题,和我们借讲义去出 顺便画一画勾一勾 也不知道准确度有没有很高 他圈的地方零零散散 我会用投影片整理成档案上传ftp 用不同颜色标 大家在去下载回来划线@@ === 结论...中山麻醉科老师个个是好人 给考讯阿莎力 都拿讲义回去勾 只是有些老师勾太多 也问不出所以然 所以大家多担待>< 爆肝学艺 亮辰 勇毅 --

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