作者gfd (a little later on)
看板NTUH_INTERN
標題[小兒] Intern seminar 題目
時間Mon Feb 20 21:37:45 2012
《3-2梯Intern seminar 考題》
1. 下列關於壞死性腸炎(Necrotizing enterocolitis)的敘述，何者錯誤？
(A) 若早產兒在出生8~10天以後出現餵食困難、腹漲或血便等症狀，
需要考慮此診斷，並依症狀早期治療。
(B) 週數越小的早產兒，發生此症的時間點越晚。
(C) 在腹部X光上可能可以看到Pneumatosis intestinalis或Portal vein gas。
(D) 由於90%以上的壞死性腸炎都發生在餵食一次以上的早產兒身上，
故早產兒應延長禁食與靜脈點滴營養供應的時間。
2. About the outcome of extremely low birth weight (ELBW; <1000 g) infants
who received delivery room cardiopulmonary resuscitation (DR-CPR)，下列敘述何
者為是？
(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會有的症狀?
(A) Hyperkalemia
(B) Hyperphosphatemia
(C) Hypercalcemia
(D) Hyperuricemia
4. 下列何者非現今治療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. 以下何者與SLE病人tissue injury有關？
(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確?
(A) 補體系統C1q and C4的基因缺失
(B) 環境因子例如抽菸以及紫外線的暴露
(C) 與EBV的infection可能有關
(D) Hydralazine and procainamide可以在普通人身上引發lupus的表現，所以可能與
DNA methylation有關
(E) 以上皆是
ANS: (D)(E)(C)(B)(D)(E)
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