各位同学 真的非常抱歉~ 期待已久的考讯终於出来喽~以下结合各医师,总医师和学艺的整理~ 希望对大家的期末考有帮助喽^^ 小儿考讯 ======== @ 考试时间: 11/17(一) 15:20~16:30 @ 期末考占总分40%,平常分+PBL占60%(主任说成绩要很难看也太困难了吧~) @ 试卷共60题,12位医师每人5题 @ 特别演讲不考 ========================================================================== 许绩男主任 (5题) 9/16 <<小儿肾脏疾病>> 1.泌尿道感染的原因 (共笔P.5,7,25) 2.婴幼儿尿道感染时最常合并的泌尿道构造异常 (P.10) 9/25 <<急性肾衰竭与电解质异常>> 3. Intrinsic Renal Failure的特色? (P.7 prerenal和renal的比较) 4. 各项电解质异常的心电图变化 (P.10高血钾表格) 5. 夜尿症与遗传的关系 (P.14下 & P.18第44题考古) (考古题当然就不用讲了,一定要看的啊!) =========================================================================== 吕克桓副院长 (5题) 9/18 1.会考状况题,考immunodeficiency,有哪些疾病,疾病特色,症状 "A child with poor weight gain, recurrent pulmonary infection and 中耳炎.." 2. Chronic Granulomatous Disease (P.26~27) (抱歉,这个...就请同学斟酌念一下吧~) ============================================================================ 陈万得医师 (5题) 9/24 1. 血友病:A.B.C型分别缺乏何种凝血因子? (P.12~14) 2. 血友病:哪个是显性/隐性遗传? 男/女发生率如何? (P.12~14) 2. 凝血因子:和Vit.K有关的因子 ==> 2.7.9.10 (P.15) 3. 凝血因子缺乏症的诊断 (P.12~14) 4. von Willerband's Disease (P.16) 有关考古题最後一题问了一下老师 结论是"血尿"比较不能区分是血小板或是凝血因子的问题(所以血友病A型也会有)~ ============================================================================ 苏本华医师 (5题) 10/2 1. 下列何者是Major congenital malformation? (P.4~7) 2. major malform.最常见的原因? (P.2) 3. 下列何者是Minor congenital malformation (P.4) 4. phenylketonuria,BH4缺乏型 (P.11~12) 5. congenital hypothyroidism, newborn screening & treatment (P.15) 6. long term complication of Galactosemia不包括下列何者? (P.17~18) ============================================================================= 李英齐医师 (5题) 10/4 1. 早产儿的 HIE:分类和症状 (P.18上~19, 32下~33, 35表格) 2. seizures in newborn with HIE (P.33) 3. IVH分级 (P.22~24) (只拿到三个重点,其他部分斟酌看喽~~考古题甚有用~^^) ============================================================================= 徐山静医师 (5题) 10/20 1. 尿崩症 2. adrenal insufficiency 3. cushing syndrome 4. 甲状腺低能症 5. 副甲状腺低能症 疾病机制、病因、症状、诊断。 (同学可参考考古题,题型应该差不多~) 关於考古题,老师帮我们解答了一些有疑问的地方 P.35 第35题 答案确定是E,以下为老师详解 "By given to mother dexamethasone, virilization of the girl's genitalia will be prevented completely in 1/3, partially in 1/3 and non-effective in 1/3. (not through cord blood)" ==> 非直接经脐血(感觉题目好像在考文字游戏喔) P.30 第33题 答案确定是C,以下为老师详解 "Many controversial results about radio-iodine therapy were published. This is the situation in many medical issues. But overall message is that I131 is a quite safe, effective and definitely cost-effective therapy. Slightly increased incidence of other cancer, thyroid benign ademoa were reported, only one paper reported increased incidence of thyroid ca." ==>碘放射治疗几乎没有致癌风险 P.34 第33题 答案请改成(D),以下为老师详解 "Central DI can be caused by any destruction or congenital defect in the pathway of ADH. Craniopharyngioma is one of the more prevalent cause for CDI in pediatric population." ==>所以(A)是对的 (D) cerebral salt wasting应该不是idiopathic,主要成因是脑部伤害(共笔P.20补充~) ============================================================================= 曹登富医师 (5题) 10/21 1. 会考那些文字的投影片(part.1 introduction) ==> 从事小儿造影时的镇定剂使用, 造影时间长短,游离辐射等,老师说後面的举例可能不那麽重要 (同学就请把P.2的"注意项目"背熟吧~共笔其他部分就斟酌看看喽~) ============================================================================== 陈家玉校长 (5题) 10/30 <<The Neewborn part 3>> 1. 新生儿的congenital infection? (P.2~8部分看一看喽~) *特别注意* Periventricular calcification:是由CMV造成的 (P.3,P.41考古21题) Parenchymal calcification:由toxoplasma造成 (P.8) 11/4 <<Growth and Development>> 1. 足月新生儿的体重变化 (P.3~5,P.27表格) 2. Development Milestone (P.8~10表格 + 考古题) (校长的部份考古题似乎重复率很高~而且本章节上课内容就只能考那些... 考古题run一边大概就可以上路了~^^) ============================================================================== 顾明修医师 (5题) 10/22 1. 要记得哪些疫苗是活性,哪些是非活性? (P.4) 2. 活性和非活性疫苗的优缺点? (P.4) 3. 活性,非活性疫苗的禁忌? (P.7) 4. 疫苗的副作用和出现时间? (P.8,9) 5. 流感疫苗 (p.20) ============================================================================== 陈丰霖医师 (5题) 11/5 1. 心脏病的警讯? (P.3~4) 2. 心室中膈缺损(VSD)的类型,何种可癒合? (P.8) 3. 左至右分流型(L-to-R shunt)的先天性心脏病? (P.7~8) 4. Marfan syndrome (P.5~6) 5. 有关先天性心脏病的诊断 (P.17) 6. 治疗 (P.9,10,12,13,15,16 请看各别类型的治疗) ============================================================================== 陈伯彦主任 (5题) 11/6 (重点已经在共笔最後一页里了,这里不写了,不晓得医师会不会耍我们... 共笔做得那麽棒,多少念一下吧~^^ 话说蔡头花了15小时来做~) ============================================================================== 陈善铭医师 (5题) 11/8 1. 母乳和牛奶营养成分的差异 (P.25) 2. 世界卫生组织对婴儿营养及喂食的建议 (P.9) 3. 不宜哺喂母乳的情况 (P.24) 4. Protein-energy malnutrition(PEM) (P.25~26) 5. 儿童肥胖(obesity) (P.16~20) ============================================================================== 以上, 臭长一篇文终於结束了 希望对大家有帮助啦^^ 最後祝大家期末考 嗨嗨趴!! BY 小儿学艺s --

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