作者gfd (a little later on)
看板NTUH_INTERN
标题[小儿] Intern seminar 题目
时间Mon Feb 20 21:37:45 2012
《3-2梯Intern seminar 考题》
1. 下列关於坏死性肠炎(Necrotizing enterocolitis)的叙述，何者错误？
(A) 若早产儿在出生8~10天以後出现喂食困难、腹涨或血便等症状，
需要考虑此诊断，并依症状早期治疗。
(B) 周数越小的早产儿，发生此症的时间点越晚。
(C) 在腹部X光上可能可以看到Pneumatosis intestinalis或Portal vein gas。
(D) 由於90%以上的坏死性肠炎都发生在喂食一次以上的早产儿身上，
故早产儿应延长禁食与静脉点滴营养供应的时间。
2. About the outcome of extremely low birth weight (ELBW; <1000 g) infants
who received delivery room cardiopulmonary resuscitation (DR-CPR)，下列叙述何
者为是？
(A) The infants who received CPR had greater overall morbidity & mortality by
12 hours and by 120 days of life.
(B) Only 14% of ELBW infants who received DR-CPR and had a 5-minute Apgar
score <2 survived without neurocognitive impairment.
(C) Although DR-CPR is a prognostic marker for mortality in ELBW infants,
more than half of DR-CPR recipients survived (56%).
(D) DR-CPR survivors had worse short-term complications, and only 28% of
infants who received DR-CPR were alive and unimpaired at the 18- to 22-month
follow-up.
(E) All of above are true.
3. 下列何者非tumor lysis syndrome会有的症状?
(A) Hyperkalemia
(B) Hyperphosphatemia
(C) Hypercalcemia
(D) Hyperuricemia
4. 下列何者非现今治疗tumor lysis syndrome 之主要方式?
(A) Fluid hydration
(B) Urinary alkalinization
(C) Rasburicase or allopurinol use
(D) Control of electrolyte disturbances
5. 以下何者与SLE病人tissue injury有关？
(A) Autoantibodies
(B) Immune Complexes
(C) Keratinocytes in skin
(D) 以上皆是
6. SLE的可能成因以下何者正确?
(A) 补体系统C1q and C4的基因缺失
(B) 环境因子例如抽菸以及紫外线的暴露
(C) 与EBV的infection可能有关
(D) Hydralazine and procainamide可以在普通人身上引发lupus的表现，所以可能与
DNA methylation有关
(E) 以上皆是
ANS: (D)(E)(C)(B)(D)(E)
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