推 tonyisa01047:這六題好像是去年給郭智老師上課的 應該可以略過 06/22 22:31
→ tonyisa01047:不負責建議~~~ 06/22 22:32
一共三份 心循期末92級考古解答 心循期末93級考古詳解 心循期末94級考古解答
已經放在FTP上 若考古有錯誤 煩請指正
另外94級有幾題似乎超出範圍 想PO版問問大家
1.An 85 year-old woman with long term history of DM as well as hypotension had an episode of stroke about half year ago and got paraplegia since then. She also got urine stasis and bilateral unsymmetrical lower leg edema especially of both feet but without complaint of pain or tenderness. What do you think about the problems with her both lower legs?
(A)Peripheral vessel disease (B)renal failure (C)liver insufficiency (D)heart insufficiency
2.A 75-year-old woman had several times of episodes of lower leg edema in recent years when she went abroad to Japan or U.S.A. for a journey.Similarly this time she just went back from Japan for a pleasure journey with a tour and got a severe cough without hemoptysis in addition to both leg edema. She was sent to the emergency room due to dyspnea and syncope the next midnight after the trip. X-film showed bilateral lung field white out. Temperature 42'C ; Blood pressure 210/140 mmHg ; Pulse rate 115/min
; Respiration rate 28/min, and weak. What do you think about the problem with the old woman?
(A)Legionella Pneumophila (B)ilateral acute heart failure
(C)right heart failure (D)left heart failure (E)ARDS
3. A 21-year-old female sustains multiple injuries, including fractures of the right femur, right tibia and right humerus. These fractures are stabilized at surgery soon after admission to the hospital. She is in stable condition. However, 2 days after admission, she suddenly becomes severely dyspneic. What most likely happened to produce her sudden respiratory difficulty?
(A)Right hemothorax (B)Pulmonary edema (C)Fat embolism
(D)Cardiac tamponde (E)Pulmonary infarction
4. A 55-year-old female has had discomfort with swelling of her left leg for the past week. The leg is slightly diffcult to move, but there is no pain on palpation. A venogram reveals thrombosis on deep left leg veins. Which of the following conditions is most likely to promote this event?
(A) Turbulent blood flow (B) Nitric oxide (C) Ingestion of aspirin
(D) Hypercalcemia (E) Immobilization
5. Within an hour after a gunshot wound to the abdomen, a 16-year-old male begins to exhibit tachycardia. His skin is cool and clammy to touch. His blood pressure is 80/30 mmHg. Which of the following organ-specific changes would you most expect to occur over the next 2 days after this injury?
(A) Acute hepatic infarction (B) Cerebral basal ganglia hemorrhage (C) Renal passive congestion
(D) Pulmonary infarction (E) Gangrenous necrosis of the lower legs
6. A 44-year-old male suffer an acute myocardial infarction. after this event, his ejection fraction is only 30%, with reduced cardiac output. he develops increasing pulmonary edema. how does this edema occur?
(A)lymphatic obstruction (B)decreased plasma osmotic pressure
(C)decreased central venous pressure (D)increasedhydrostatic pressure (E)acute inflammation
--
※ 發信站: 批踢踢實業坊(ptt.cc)
◆ From: 122.118.40.37