作者: Pautang (淡淡的) 标题: intern seminar 时间: Tue Nov 28 20:19:03 2006 <Topic: The assessment and management of Croup> 1. Which of the following is false for croup?(D) (A) it could also be meant as laryngotracheobronchitis (B) it is a clinical syndrome, consisting of hoarse voice, barking cough, and stridor (C) it occurred commonly in children between 3m/o ~ 3y/o (D) steroid is absolutely necessary for mild croup 2. Which is the most common pathogen of croup ?(A) (A) RSV & parainfluenza virus (B) EBV (C) hemophilus influenza (D) pneumococcus 3.As for croup, which of the following could be used as parameter of severity?(D) (A) vital signs (B) oxygen saturation (C) retraction of chest wall (D) all of the above <Congenital heart diseases> 4.下列有关congenital heart disease叙述，何者错误？(D) (A)在成人当中有越来越多的趋势 (B)之前有50%congenital heart disease的病人无法活到成人的年纪 (C)目前congenital heart disease的病人已经有超过80%可以活到成人的年纪 (D)通常开完刀的预後都很好，少见并发症 5.下列有关Ebstein's anomaly的叙述，何者错误？(A) (A)主要是mitral valve的问题 (B)常伴随ectopic AF (C)ablation後recurrence rate约30% (D)开刀前需要谨慎的评估才可以进行 6.下列有关Heterotaxy syndromes的叙述，何者错误？(D) (A)Right atrial isomerism又称为asplenia syndrome (B)承(A)常可见到两个分开的sinus node (C)Left atrial isomerism又称为polysplenia syndrome (D)承(C)常可见到两个分开的sinus node <The physiological basis of respiratory support> 7. To facilitate oxygen transport, mean air pressure can be increase. Which of the following ventilator settings can increase MAP? (E) (A) Increasing inspiratory flow (B) Increasing peak inspiratory pressure (C) Lengthening the inspiratory time if no air way obstruction is present (D) Increasing positive end-expiratory pressure (E) All of above 8. What’s the difference between infants and adults in the respiratory system ? (D) (A)Children's rib are more cartaliginous. (B)Infant's diaphragm has a lower relative muscle mass and a lower content of high-endurance muscle fibers so that the diaphragm will tire out during respiratory distress much earlier than in old patients. (C)The infants have lower FRC (D)All of above 9.Which of the following statement of mechanical ventilation is appropriate?(D) (A)Consider the cause for respiratory failure when setting ventilatory support; pump failure or altered lung properties (B)Always observe chest movement when setting ventilator (C)Check for sufficient expiratory time, and avoid auto-peep by setting a low frequency and long expiratory time. (D)All of above ( )1. 下列何者不是用新生儿早期筛检来诊断溶小体储积症的好处? (A)早期施以如骨随移植的治疗对於免疫未成熟的小孩成功率较高 (B)能够帮助父母进行 基因谘询 (C)对於没有家族史且无症状的小朋友可以提早诊断 (D)以上皆对。 ( )2. 请问multiplexed suspension array technology的筛检方法的采样方式为 \ 何? (A) 玻片采血 (B)试管采血 (C)Guthrie card (D)以上皆可 ( )3. 请问multiplexed suspension array technology对於下列何种疾病的筛检 \ 结果最差? (A)MPS II (B)Fabry disease (C)Pompe disease (D)Gaucher disease 答案：1.(D) 2.(C) 3.(D) (1) Tricuspid atresia的手术名? a.Fontan b. Senning c.Mustard d. Jatene (2) What is an aterial-switch operation? a.Fontan b. Senning c.Mustard d. Jatene (3) What is the most common congenital heart disease? a. ASD b. VSD c.ToF d.TGA (4) What is an atrial-switch operation? a. Senning b. Mustard c. Jatene d. a+b 1. 有关tracheostomy的indication何者为是? (D) (A) Subglottic stenosis (B) Burn with significant mucosal damage is seen by laryngoscope. (C) Bronchoplumonary dysplasia (D) 以上皆是 2. 有关tracheostomy的contraindication何者为是？ (D) (A) Local skin infections, (B) Refractory eczema, (C) Self-mutilation in mentally handicapped children (D) 以上皆是 3. 哪一项是long-term mask used的complication? (B) (A) Secondary lower-face hypoplasia (B) Effect on dentition and nasopharyngeal patency (C) Lower airway obstruction (D)以上皆是 --

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