科科 因為老師叫我今天再去找他 所以讓大家久等囉！！ 不過久等是有代價的~~ 今天問考訊的結論就是~~ 大家可以把這兩本共筆先丟在一邊先唸別的囉！ 一、李宗賢 老師說會出考古題！ 去年內分泌考試老師也是出考古 真是個大好人！ 二、劉崇賢 去找老師的時候 雖然看起來有點不苟言笑 可是他居然叫我等一下然後印了一張他出的考題給我！ 哈哈哈哈哈 下面就是期中考的題目囉！ 老師說他是出六題唷！ 1. At 8 weeks gestation if vaginal bleeding occurs, what is the risk of spontaneous abortion? A. 10% B. 30% C. 50% D. 70% 答：C GA<20週發生陰部出血即先兆性流產(threatened abortion，孕婦發生率約 30-40%，若無適當處理有50%會spontaneous abortion！ 2. At 8 weeks'gestation a woman has vaginal bleeding of supracervical origin. Which of the following is helful in regard to prognosis? A. chorionic gonadotropin of 2400 miu/ml B. Plasma estriol C. serum protesterone of 18 ng/ml D. ultrasound with a fetus and fetal heart tones 答：D 對預後有幫助…不太懂題目的意思 A. 第八週時HCG應至少要大於一萬多，只有2400表示可能為子宮外孕或是 子宮內懷孕但發育不好 B. 老師上課說estriol對診斷比較沒幫助耶 C. 通常>20就不太可能是子宮外孕(☆UPTODATE) D. 超音波可以發現寶寶有心跳就可以排除子宮外孕 ☆ single serum progesterone measurement in the diagnosis of ectopic pregnancy found that a level less than 5 ng/mL (15.9 nmol/L) was highly unlikely to be associated with a viable pregnancy；On the other hand, a progesterone level greater than 20 ng/mL (63.6 mmol/L) reasonably excluded an ectopic pregnancy 3. In which of the following are tubal pregnancies not increased? A. History of salpingitis B. tubal anomalies C. previous ectopic pregnancy D. abnormal embryos 答：D 共筆P6表格 4. Sonographic evidence of an ectopic pregnancy includes which of the following? A. Adnexal mass B. fluid in the cul de sac C. Lack of intrauterine gestational sac D. all of the following 答：D 共筆P9+P10+UPTODATE ☆ A complex adnexal mass in the presence of a positive pregnancy test and empty uterus is highly suggestive of an extrauterine gestation and is the most common sonographic abnormality. ☆ Blood in the cul-de-sac may be from bleeding from an unruptured or ruptured tubal pregnancy 5. Which of the following would make methotrexate therapy for ectopic less likely to succeed? A. pregnancy of 5 week's duration B. tubal mass 3.5 cm C. fetal heart motion D. a premigravid patient 答：C 共筆P20考古題第49題的詳解補充 6. Which of the following has caused an increase in the incidence of cervical pregnancies? A. high ceasarean sestion rates B. in vitro fertilization C. advancing maternal age D. increased use of cervical loop excision 答：B 共筆P7中間的表格 如果答案怪怪的再一起討論喔~~！ --

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