以下是intern seminar考题及答案 剩下一位还没出，之後我还会再补上 也请钧铠尽快出题喔，谢谢 还有，大家请寄基本资料powerpoint档给我 内容包括 照片 姓名 学校 run过的station共四项 我的信箱是 [email protected] 现在一封信都还没收到耶，期待您的来信唷:P 1.一般母亲停止哺育母乳的原因下列何者最为常见 (A)自觉母乳量不足 (B)美观因素 (C)家人反对 (D)经济因素 Ans: (A) 2.母乳哺育幼儿的好处下列何者为非 (A)可减少呼吸道感染的机会 (B)可减少肠胃道感染的机会 (C)可由母乳获得母亲的免疫球蛋白 (D)可以增加呼吸道感染的机会 Ans: (D) 3.有关母乳哺育的观念何者为是 (A)要定时定量，时间不到就算婴儿哭泣也不必理会 (B)B型肝炎带原者不应该哺育母乳 (C)母乳的营养成份与配方乳相同，因此哺育配方乳即可，不一定要哺育母乳 (D)母乳的营养成份与配方乳不同，应鼓励母乳哺育 Ans: (D) 4.下列何者为非 (A)母乳哺育应视为重要的公共卫生课题 (B)应广为设立哺育室并广为宣导母乳哺育的优点 (C)医护人员应宣导并教育母亲有关母乳哺育的观念及知识 (D)母乳哺育的行为极不雅观应立法禁止 Ans: (D) 5.根据最新WHO的建议,exclusive breastfeeding最好至少满几个月? (A)一个月 (B)三个月 (C)四个月 (D)六个月 Ans: (D) 2.下列何者非母乳的好处? (A)减少肠胃道感染 (B)减少otitis media的复发 (C)减少Wheezing (D)减少pneumonia (E)以上皆是母乳的好处 Ans: (E) 3.下列何者对呼吸道感染的影响最大? (A) smoke exposure (B) full breastfeeding stopped after 4 vs after 6 months (C) duration of day care Ans: (B) 4.下列何种母乳哺喂方式有最强的保护力? (A) full formula feeding for the first 6 months (B) partial breastfeeding for the first 6 months (C) exclusive breastfeeding for the first 6 months, then full solid foods (D) exclusive breastfeeding for the first 6 months, then addition of solid foods with continued breastfeeding Ans: (D) 9. All of following statements about ALL are right excepts: (A) CNS preventive therapy should start at the beginning of treatment course (B) Chemotherapy should persist for at least 2 years to lower relapse rate (C) Complete remission means <5% blast cell in bone marrow (D) Bone marrow transplantation is an ultimate form of treatment that benefits to all risk groups of patient now. Ans: (D) 10. About induction therapy of ALL, which one of following is false? (A) Vincristine and glucocorticoid are the basic regimen (B) A VHR ALL children patient should receive four or more drugs during induction therapy (C) Imatinib mesylate was proved to decrease morbidity and increase compliance in older patient. (D) Intensive induction therapy increases cure rate and benefits all risk groups of patients. Ans: (D) 11. All of the following are criteria of VHR in ALL, excepts: (A) Initial WBC >100000/ul (B) t(9;22)/BCR-ABL fusion (C) 2~9 year old (D) Hypodiploidy Ans: (C) 12. About factors associated to relapse in CNS, which one of following is false? (A) high risk genetic features (B) The presence of leukemia cells in CSF (C) A large leukemia-cell burden (D) All of the above are right Ans: (D) 13. 依照这篇研究结果显示，下列何者“非” repeat exposure to antenatal corticosteroids的好处? (A) 减少respiratory distress syndrome (B) 减少Fewer severe lung disease (C) 减少Use of oxygen therapy (D) 增加Use of the mechanical ventilation ANS(D) 14. 依照这篇研究结果显示，下列何者“非” repeat exposure to antenatal corticosteroids的好处? (A) Lower maximum appropriate FiO2 values (B) Fewer needed surfactant (C) Fewer patent ductus arteriosus (D) Fewer use of the inotropic support ANS(D) 15. 依照这篇研究结果显示，下列何者“是” repeat exposure to antenatal corticosteroids的缺点? (A) 婴儿出院时的身高、体重、头围有明显的发展迟缓 (B) 孕妇Postpartum pyrexia的比例较高 (C) 孕妇因chorioamnioniti需要注射抗生素的比例较高 (D) 孕妇因注射相关的副作用较为多 ANS: (D) 16. 下列何者叙述“错误”? (A) Respiratory distress syndrome为早产儿主要的死亡原因 (B)目前的概念是prenatal corticosteroids的效力大概可维持到注射後的七天内 (C) repeat antenatal corticosteroids可降低RDS的发生率 (D)目前十分肯定repeat antenatal corticosteroids完全没有长期的副作用 ANS: (D) 17. The following statements about ALL are correct except: (A) About 2/3 of ALL cases are in children and adolescents, making ALL the most common cancer in these age groups. (B) In the 1990s, the five-year event-free survival rates for childhood ALL generally ranged from 70 to 83 percent in developed countries (C) Emerging results suggest that a cure rate of nearly 90 percent will be attained in the near future. (D) Fortunately, the five-year event-free survival rate for adult ALL has been near childhood ALL’s recently. (E) Almost 4000 cases of acute lymphoblastic leukemia (ALL) are diagnosed annually in the United States. Ans: (D) 18. Improved ALL treatment has abolished the prognostic strength of many clinical and biologic variables that previously were related to outcome. In the following examples, which one is not wrong? (A) T-cell ALL or mature B-cell ALL in children has a cure rate of 75 to 80 percent with contemporary treatments. (B) Although black children still have poor outcomes in national studies, they have the same high cure rates as white children now. (C) The adverse prognostic effect of male sex has also been abolished in clinical trials involving children in which the overall five-year event-free survival rate was 80 percent or more (D) Retrospective studies have indicated that the event-free survival rates among adolescents 15 to 20 years of age who were treated according to pediatric protocols were significantly higher than those among the same age group who were treated according to adult protocols. (E ) All the above examples are correct. Ans: (E) 19. According to genetics of leukemia cells, in B-cell precursor ALL, which one shows favorable prognosis? (A) Hyperdiploidy (B) Rare low hypodiploidy (C) Near-haploidy (D) t(4;11) with the MLL-AF4 fusion gene (E) t(9;22) with BCR-ABL fusion Ans: (A) 20. Attempts to reduce treatment-related toxic effects, we may do the following adjustment except: (A) Use of the iron-chelating agent: dexrazoxane (B) Infants: Reduction of vincristine doses (C) Young children, girls, ataxia-telangiectasia: Add cranial irradiation to reduce chemotherapy dose. (D) Down’s syndrome: Reduction of methotrexate dose (E) thiopurine methyltransferase deficiency: lower the starting dose of Mercaptopurine Ans: (C) --

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