作者: Pautang (淡淡的) 標題: intern seminar 時間: 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.下列有關congenital heart disease敘述，何者錯誤？(D) (A)在成人當中有越來越多的趨勢 (B)之前有50%congenital heart disease的病人無法活到成人的年紀 (C)目前congenital heart disease的病人已經有超過80%可以活到成人的年紀 (D)通常開完刀的預後都很好，少見併發症 5.下列有關Ebstein's anomaly的敘述，何者錯誤？(A) (A)主要是mitral valve的問題 (B)常伴隨ectopic AF (C)ablation後recurrence rate約30% (D)開刀前需要謹慎的評估才可以進行 6.下列有關Heterotaxy syndromes的敘述，何者錯誤？(D) (A)Right atrial isomerism又稱為asplenia syndrome (B)承(A)常可見到兩個分開的sinus node (C)Left atrial isomerism又稱為polysplenia syndrome (D)承(C)常可見到兩個分開的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兒早期篩檢來診斷溶小體儲積症的好處? (A)早期施以如骨隨移植的治療對於免疫未成熟的小孩成功率較高 (B)能夠幫助父母進行 基因諮詢 (C)對於沒有家族史且無症狀的小朋友可以提早診斷 (D)以上皆對。 ( )2. 請問multiplexed suspension array technology的篩檢方法的採樣方式為 \ 何? (A) 玻片採血 (B)試管採血 (C)Guthrie card (D)以上皆可 ( )3. 請問multiplexed suspension array technology對於下列何種疾病的篩檢 \ 結果最差? (A)MPS II (B)Fabry disease (C)Pompe disease (D)Gaucher disease 答案：1.(D) 2.(C) 3.(D) (1) Tricuspid atresia的手術名? 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. 有關tracheostomy的indication何者為是? (D) (A) Subglottic stenosis (B) Burn with significant mucosal damage is seen by laryngoscope. (C) Bronchoplumonary dysplasia (D) 以上皆是 2. 有關tracheostomy的contraindication何者為是？ (D) (A) Local skin infections, (B) Refractory eczema, (C) Self-mutilation in mentally handicapped children (D) 以上皆是 3. 哪一項是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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