推 NeLi:請問 學習護照有重要性嗎？ 記了一個以後就都沒再寫過了 08/28 02:53
推 sabina9:學姊之前是跟我說有要收回去啦 08/28 17:28
再次提醒
1.個人資料ppt
內容要包括照片 姓名 學校 run過的course
現在只有三個人交
記得有空趕快弄一弄寄給我喔
b89401087@ntu.edu.tw
2.考試
考試時間：9/1(五) 14:00
考試地點：3F臨床技能中心
考試內容：分筆試和slide兩部分
筆試共有33題選擇 (包括intern seminar同學出的題目學姊有挑幾題)
一大題問答
考試時間50分鐘
Slide題三題
每題五分鐘 一次三個人進去考
會有slide(比如說skin lesion或是x-ray)提示
再從假父母問病史
提問可以三個人一起合作
最後答案卷則是各自分開寫
要寫出診斷及治療
評分重點跟婦產科不太一樣
請大家多注意
3.聚餐
8/30 (三) 晚上六點半
欣葉日本料理 館前店(燦坤樓上）
地址：台北市館前路12號(Future Center 6樓)
電話：(02)2371-3311
Intern seminar題目整理
Atopic dermatitis
1. Which one of the following is the most important Ab in the pathogenesis of
atopic dermatitis?
1. IgE 2.IgG 3.IgM 4.IgA ans1
2. What is the immune cell that plays the most important role in acute phase
of atopic dermatitis?
1. Th2 2.Th1 3.macrophage 4.eosinophil ans1
3. which one of the following diseases is associated with atopic dermatitis?
1. asthma 2. allergic rhinitis 3.both 4. none ans3
4. What are the immune cells that play important roles in chronic phase of
atopic dermatitis?
1. macrophage 2. eosinophil 3.both 1+2 4.mast cell ans3
C 1. 下列敘述皆有助於Atopic dermatitis 的診斷，何者除外？ a) itchy skin.
b)family history of asthma. c) Skin biopsy d) Onset age <2y/o.
D 2. Atopic dermatitis的治療何者有誤？a)首選藥物是topical steroid. b) topical
steroid無效時可以試用tacrolimus類藥物. c)antihistamine可以減少癢感以及幫助
入睡. d)UV light可以長期照射，不必擔心副作用.
A 3. Tacrolimus的作用機制是？ a)calcineurin inhibitor. b) anti-oxidant.
c)anti-coagulant. d)leukotriene inhibitor.
A 4. 關於Atopic dermatitis何者正確？ a)皮膚表現和irritant dermatitis很相似，
宜從history上加以區別. b)常併發S. aeurus感染宜長期使用預防性抗生素. c)high
social classes的盛行率較低. d)有food allergy的小小孩不需要避免食用奶蛋.
Aplastic anemia
(E) 1. Which of the following is the possible cause of aplastic anemia?
(A) quantitative and qualitative defects in stem cells
(B) blocks in differentiation
(C) inadequate cytokine production
(D) the effects of a chemical poison
(E) all of the above
(E) 2. About aplastic anemia, which of the following is true?
(A) Incidence is higher in Asia than in the West
(B) Associated with genetic mutation
(C) immune-mediated disease
(D) the drug chloramphenicol may cause aplastic anemia
(E) All of the above
(E) 3. Aplastic anemia responds to
(A) antithymocyte globulin(ATG)
(B) Steroid
(C) Cyclosporin
(D) Cyclophosphamide
(E) All of the above
(C) 4. In aplastic anemia, which cytokine do activated cytotoxic T cells
especially expressed?
(A) IFN-α
(B) IFN-β
(C) IFN-γ
(E) 5. Which of the following is the possible cause of T cell activation in
aplastic anemia?
(A) HLA-DR2 over-expression
(B) Polymorphisms in cytokine genes
(C) Constitutive expression of Tbet
(D) SAP protein level decreased
(E) All of the above
D 1. What is not the treatment of aplastic anemia?
(a) ATG
(b) Cyclosporine
(c) transplant
(d) iron
D 2. What is the source of hematopoietic Stem Cell Transplantation
for aplastic anemia?
(a) Allogeneic HLA-matched sibling donor transplant
(b) Matched unrelated donor transplant
(c) umbilical cord transplants
(d) all of the above
D 3. What does not the conditioning we currently use when allogeneic
HLA-matched sibling donor transplant is prepared to perform?
(a)irradiation
(b)cyclophosphamide
(c)cyclophosphamide plus ATG
(d)none of the above
D 4. What is the prognosis factor of aplastic anemia with matched
unrelated donor transplant?
(a) age
(b) the closeness of the class I HLA match
(c) the length of time from diagnosis
(d) all of the above
Kawasaki disease
1.下列哪個徵象不符合Kawasaki disease的Principle clinical criteria？
(a) Erythema of palms or soles
(b) Fever ≧ 5 days
(c) Strawberry tongue
(d) Cervical lymphadenopathy
(e) Arthritis
Ans: e
2.關於Kawasaki disease，下列何者為非？
(a) 男多於女
(b) Generalized systemic vasculitis
(c) Duration of fever是coronary arteries aneurysm良好的
risk predicting factor
(d) Coronary artery z scores是此病評估與治療的一項有用的指標
(e) Coronary aneurysms的位置以distal RCA最為常見
Ans: e
3.關於Kawasaki disease的cardiac catheterization和angiography，何者為非？
(a)可偵測coronary artery stenosis、thrombotic occlusion以及collateral
artery formation的範圍。
(b)對於有mild ectasia or small fusiform coronary artery aneurysms的病人，
angiography並不建議施行。
(c)對於接受過surgical revascularization 的病人，再次心導管可以評估
治療效果。
(d)對於初次開始評估coronary aneurysms的病人，abdominal aortography和
subclavian arteriography也被建議施行。
(e)以上皆正確。
Ans: e
4. Echocardiography在評估Kawasaki disease病人coronary artery aneurysms的角色，
何者為非？
(a) 診斷之初可提供coronary artery morphology, LV and left valvular function
的baseline.
(b) 可定量地量測血管內徑、測得aneurysms的位置和數量，以及thrombus的有無
(c) 根據AHA最新定義，內徑大於8mm的aneurysm為giant aneurysm
(d) 在處理病人的原則上，echocardiography的評估優先於任何治療上的處理。
(e) 隨著小病人的成長，體表面積的增加，會提高偵測aneurysm的困難，這是
echocardiography的limitation之一。
Ans: d
(a)
1. About long-term management of Kawasaki disease with transient coronary
artery dilatation (disappearing within the initial 6 to 8 weeks after
the onset of illness):
(a) No antiplatelet therapy is needed
(b) Long-term antiplatelet therapy solely is recommended
(c) Long-term antiplatelet therapy with warfarin is recommended
(d) Long-term thrombolytic therapy is recommeded
(c)
2. About long-term management of Kawasaki disease with persistent giant
aneurysms
(a) No antiplatelet therapy is needed
(b) Long-term antiplatelet therapy solely is recommended
(c) Long-term antiplatelet therapy with warfarin is recommended,
target INR 2.0:2.5
(d) Long-term thrombolytic therapy is recommeded
(d)
3. What is initial treatment of Kawasaki disease
(a) Steroid solely
(b) Steroid + high dose Aspirin
(c) Steroid + lose dose Aspirin
(d) IVIG + high dose Aspirin
(d)
4. About long-term management of Kawasaki disease with coronary artery
obstruction confirmed by angiography
(a) Monitoring for risk factors of atherosclerosis is unnecessary
(b) No antiplatelet therapy is needed
(c) Beta-adrenergic-blocking drugs should be avoided
(d) Cardiology evaluation with an echocardiogram and ECG should be
obtained at 6-month intervals
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