Intern Seminar考題 sorry我忘了還有部分同學的(包括我的)沒有公布 :p 我考前會貼在教室裡的白板 屬於加分性質，請大家好好把握 林叡鴻 Which one is "incorrect"? (a) In adults, more recent trials showed relative low-dose hydrocortisone suggest improved outcomes in subsets of patient with septic shock. (b) In children, clinical trials had showed high-dose steroids contributed to lower mortality in patients with septic shock. (c) More studies are required to prove the role of steroids in pediatrics with severe septic shock. (d) The route and dose of steroids given in pediatrics with severe septic shock are still controversial. Ans. B In recent studies, which one may increase the risk of mortality associated with concurrent steroid use? (a) age (b) race (c) payor status (d) non of above Ans. D Ref Barry P. Markovitz et al "A retrospective cohort study of prognostic factors associated with outcome in pediatric severe sepsis: What is the role of steroids?" 余奇樺 1. 關於近年來在pediatric ARDS的進展, 下列何者為非? (A) Minimize ventilator-induced lung injury (B) Minimize oxygen toxicity (C) Prevent occurrence of ARDS (D) Control inflammation of lung ANS: C 2. 下列關於Airway pressure release ventilation的敘述, 何者為非? (A) Beginning at an elevated baseline pressure followed by deflation (B) Lower peak airway pressure for a given tidal volume compared with volume ventilation (C) A mode that facilitates and sustains alveolar recruitment (D) Spontaneous breathing can occur only during the deflation phase ANS: D 張盈仁 1.請問下列何者為已知對人具有感染力的avian influenza virus? a.H5N1 b.H9N2 c.H7N7 d.以上皆是 e.以上皆非 Ans:d 2.關於avian influenza virus的敘述,何者為非? a.avian influenza virus最主要的surface glycoprotein為hemagglutinin和 neuraminidase b.influenza virus為enveloped single-strand RNA virus c.antigenic drift需要兩種不同influenz virus同時感染同一細胞才會發生 d.antigenic shift會造成pandemic outbreak e.avian influenza virus infection不侷限於呼吸道感染 Ans:c 沈榮慶 1. Which of the following statements regarding "avian influenza" is NOT true? (A) The recent avian influenza H5N1 outbreaks mainly affect children and young adults (B) The recent avian influenza H5N1 outbreaks have a high mortality rate (C) There avian influenza H9N2 causes mild, self-limiting respiratory infection mainly in children (D) There has been well-documented evidence of human-to-human transmission of avian influenza Ans: (D) 2. Which of the following statements regarding "avian influenza" is NOT true? (A) Clinically it is hard to differentiate from any other causes of lower respiratory tract infection (B) The diagnosis of avian influenza can be made by HA-specific RT-PCR (C) It's feasible to use traditional methods to produce vaccines against highly pathogenic avian influenza viruses (D) The neuraminidase inhibitor oseltamivir seems to be beneficial for prophylaxis or early treatment of human influenza infection Ans: (C) 黃毓雅 1. 下列敘述何者為非? a. Unconjugated bilirubin is bound to serum albumin. b. Free bilirubin could cross BBB and cause kernicterus. c. 代謝性酸中毒,會影響blood brain barrier的排列完整性,以致更容易核黃疸. d. 血中albumin越高, 越容易產生核黃疸. Ans: d. 2. 以下幾種情況,哪種情況新生兒最容易出現blood incompability的黃疸? a. 母親血型為O , 父親血型為O b. 母親血型為O , 小朋友血型為O c. 母親血型為O , 小朋友血型為A或B或AB d. 母親血型為A , 小朋友血型為O Ans: c 李柏葒 下列何者不是kernicterus的risk factore ? d a. borderline prematurity b. jaundice manifesting within the first 24 post-natal hours c. direct Coombs' test positive d. feeding with infant formula 下列關於kernicterus的敘述,何者為非? b a. 初期症狀包括嗜睡,厭食,無力 b. 大部分的小孩之後會有mental retardation和cognitive disturbance的問題 c. 小孩將來會變成athetoid cerebral palsy和auditory neuropathy d. 早產兒在較低的膽紅素濃度時就有可能會發生核黃膽 -- "Co"是一起的意思，"ff"是兩個真正的朋友，"ee"是一起enjoy， 不論生活的歡喜或難過，在彼此一杯咖啡的天南地北中， 我們都能一起度過生命中的風風雨雨....這就是"Coffee"！ --

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