第二梯Intern Seminar題目
1. Which of the following statements is NOT CORRECT based on the latest
epidemiologic and clinical evidence? B)
A) In atopic dermatitis a mild enzyme deficiency has been proposed,
resulting in altered PUFA metabolism that compromising epithelial
structure and fuction.
B) In asthma the hypothesis that increased omega-6 PUFA and reduced
omega-3 PUFA intakes increase proinflammatory eicosanoid metabolites
and PGE2-induced Th2 differentiation correlates well with the
results of intervention studies.
C) In atopic dermatitis the supplementation of evening primrose oil
rich in omega-6 PUFA results in significant clinical improvement
as well as decreases the dose of medication needed for disease
control.
D) In asthma omega-3 PUFA supplement may benefit some subgroup of patients,
among whom decreased secretion of leukotriene C4 is observed.
2. In epidemiologic studies of this paper, beneficial associations have not
been reported
between Vitamins C and E, selenium, carotenoids, fruit, and C)
A) asthma
B) adult-onset wheeze
C) coronary heart disease
D) ventilatory function
3. Which one is wrong? C)
A) Dietary antioxidant deficiency might influence disease pathogenesis
through both
immuno-modulatory and reduced antioxidant mechanism.
B) Dietary antioxidant intake might be particularly important during
pregnancy and
early childhood.
C) The results of supplementation studies have been quite satisfactory and
reporting
significant effects.
D) Vitamin E have been reported to promote Th1 differentiation by increasing
Th1
cytokine secretion and down-regulating IL-4 mRNA expression in Th cells.
4. Which of the followings about empyema is false ? D)
A) Pneumococcal infection remains the most common cause in the developing
world
B) Staphylococcus aureus is the most common organism in developing countries
C) CT scans should not be done routinely
D) The mortality of children is higher than adults
5. Which of the followings about treatment of empyema is false ? D)
A) Considerations should be given to treating anaerobic bacteria in children
at risk from
aspiration e.g. in cerebral palsy
B) Surgery would result in a shorter hospital stay than chest-tube drain
alone
C) When loculated pockets of pus are formed , adequate drainage with a
single chest drain is difficult
D) Instillation of single chain urokinase plasminogen activator would cause
adhesion formations
6. Which of the following is not one of the definition of ARDS? D)
A) Acute onset of bilateral infiltration
B) No left atrial hyptertension
C) PaO2/FiO2 < 200
D) Using mechanical ventilator
7. Which of the following is not a risk factor for the mortality of ARDS? D)
A) PaO2/FiO2 ratio
B) Non-pulmonary and non-CNS organ failure
C) CNS dysfunction
D) Infection
8. 下列何者不是minimal change nephotic syndrmoe的特徵? B)
A) proteinuria
B) hematuria
C) hypoalbuminemia
D) edema
9.下列哪個基因與podocyte slit diaphragm potein 無關? D)
(1) NPHS1 (2) NPHS2 (3) CD2AP (4) Ras
10. Which statement about MMf therapy is wrong? B)
A) MMF dosing is similar to that used for renal transplantation
B) MMF therapy should be maintained for 3 months
C) Disease duration and patient age at the start of the MMF protocol
are not factors influencing the response to MMF.
D) MMF has fewer undesirable effects and an efficacy at least equivalent
to CsA in cases of steroid dependence
11. To compare the relative risk of relapses, which C0-MPA level
do we use a cut-point? C)
A) 1.5
B) 2.0
C) 2.5
D) 3.0
共11題
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