by 周柏安 1. acute lobar nephronia最常見的致病菌(>90%)是什麼? (A) Proteus, (B) E. coli, (C) Nesseria, (D) Streptococcus 2. 以下關於acute lobar nephronia(ALN)與 acute pyelonephritis(APN)的敘述何者為 是? (1) ALN病人有VUR(vesicoureteral reflux)的比例較高, (2) ALN需治療的時間較長, (3) 實驗室檢查幾乎沒什麼不同, 除了CRP level一般來說ALN較高, (4) ALN發燒的 時間較久, (5) 最常見的致病菌不同 (A) 12345, (B) 1234, (C) 234, (D) 1345 3. 以下哪個virulence factor在ALN的病人比起APN的病人常出現? (A) Hemolysin A, (B) type 1 fimbriae, (C) P-fimbriae class I, (D) P-fimbriae class II 4. 關於acute lobar nephronia在CT下的敘述正確者有幾個? (1)不顯影時與正常組織難分, (2) wedge shape area, (3) low density compared with normal renal tissue(with contrast), (4) striated appearance in involved area, (5) well defined margin (A) 2個, (B) 3個, (C) 4個, (D) 5個 Ans:BCDC by 林文瑛: 1. Acute lobar nephronia 又稱為 A. Acute pyelonephritis B. Acute renal abcscess C. Acute focal bacterial nephritis D. Nephritic syndrome 2. Acute lobar nephronia 最常見的致病菌為 A. E. coli B. K. pneumonia C. P. aeruginosa D. S. aureus 3. Acute lobar nephronia 在超音波上有意義的表現為 a. nephromegaly ; b. focal renal mass ; c. hypoechogenecity; d. irregular margin A. a+b B. c+d C. a+c D. a+d 4. Acute lobar nephronia 確定診斷是靠 A. ultrasonography B. CT C. MRI D. clinical presentation 5. 目前建議Acute lobar nephronia 抗生素治療時間為幾個星期? A. 1 week B. 2 weeks C. 3 weeks D. 4 weeks Ans: C , A , A , B , C By 鄭偉伸 1.which is the possible cause of the increased prevalence of asthma and allergy in a westernized lifestyle? (A) increased exposure to the house dust mite (B) exposure to a wide range of microorganisms has changed (C) the Western diet has changed (D) all of above 2.which is incorrect about the asthma and allergy? (A) IL-4,IL-5,IL-9 and IL-13 are important mediators of asthma (B) The prevalence of asthma and allergy has markedly increased in westernized countries since about 1960 (C) TH1-cell phenotype considered to be crucial for the initiation and the maintenance of asthmatic and allergic inflammation (D) Chronic inflammation in the airways of asthma may lead to smooth-muscle hypertrophy and subepithelial fibrosis 3.which is incorrect about the relationship between the diet and allergic diseases? (A) maternal diet during pregnancy might have an important influence on the development of childhood asthma and allergy (B) the increase in the prevalence of asthma and allergy is the consequence of the environment becoming more toxic (C) children who have reduced lung function in early life and develop allergic sensitization are particularly likely to develop asthma (D) moderate (50%) increase in vitamin E intake by mothers during pregnancy could halve the risk of developing childhood asthma by 5 years of age Ans: DCB by 劉品宏 1. Atopy的臨床表現有 (1) Asthma, (2) Atopic dermatitis, (3) Food allergy, (4) Allergic rhinitis, 這四種臨床表現好發的年紀由小排到大為? (A) 1234, (B) 2431, (C) 3214, (D) 3124 2. 在八歲之前如果減少接觸過敏原可以減少過敏症的發生, 但下面哪一項的效果比較不 顯著? (A) 嚴格控制飲食中的過敏原 (B) 哺乳中的媽媽嚴格控制飲食 (C) 減少暴露House dust mite antigen (D) 使用 extensively hydrolyzed formula 3. 在 the isle of Wight prevention study 中必須嚴格控制哺乳中媽媽的飲食來減少 乳汁中的過敏原, 為了監測媽媽的compliance, 必須常常檢測乳汁中的何種過敏原? (A)牛奶蛋白, (B)豆類, (C)榖纇, (D) 肉類蛋白 Ans: C, C, A --

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