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加好嚕~
※ 編輯: WaffenSS 來自: 140.112.125.206 (07/14 18:28)
學姊會選六題~
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At birth, there is normally a physiological phimosis because of the natural
adhesions that exist between the prepuce and the glans. During the first 3~4
years of life, which of the following processes would NOT lead to separation
of the foreskin from the glans?
(A) penile growth
(B) smegma accumulating under the prepuce
(C) UTI
(D) Intermittent penile erection
Ans: (C)
Which of the following statements is WRONG?
(A) Nowadays, in Japan, the application of retraction therapy for pediatric
asymptomatic phimosis tends to be restricted based on evidence.
(B) Topical application of betamethasone is an effective nonsurgical
treatment reported to be successful in 84~94% cases of phimosis, and there
are no reports regarding any complications.
(C) Neonatal circumcision reduces the risk of penile cancer by at least 10
times. However, it has never been performed in Japan because penile cancer is
an extremely rare disease.
(D) Circumcision prophylactic for urinary tract infection has been commonly
performed in Japan.
Ans: (D)
1.C
強烈懷疑是嗜鉻細胞瘤，但是腎上腺電腦斷層及MIBG scan無異常時下一步應該如何？
A 作核磁共振攝影
B 作正子攝影
C 加作胸、腹及骨盆腔電腦斷層
D 藥物治療
E somatostatin receptor imaging
2.B
下列有關嗜鉻細胞瘤的敘述何者正確？
A 90％的嗜鉻細胞瘤位於腎上腺外
B 副神經節瘤也可以位於後腹腔
C 腎上腺內腫瘤惡性機會較高
D 只有少數的病人有症狀
E 會分泌catecholamines的副神經節瘤使得病人壽命較
1. 關於VCUG(voiding cystourethrography)的敘述, 以下哪一項是正確的? (B)
A. VCUG是一項非侵略性的檢查,且不具有放射線暴露的疑慮
B. 若想偵測VUR的存在,VCUG是一項可靠的檢查
C. 在做VCUG之前,我們需要先由周邊靜脈注射適量的顯影劑
D. VCUG是一項很安全的檢查,不會有特別的complication
2. 關於VUR的敘述,以下哪一項是目前普遍的共識? (D)
A. VUR是一種罕見的泌尿系統異常表現
B. VUR的患者特別容易發生UTI,故被診斷出患有UTI的人應建議例行性接受VCUG檢查
C. VUR會對腎臟造成嚴重的傷害,故一發現有VUR的存在應該立即接受手術治療
D. VUR在2歲以下的族群常見,但隨著年紀增長,泌尿系統成熟,VUR的現象通常會自行消失
Which risk factors provide opportunities for infection spread? -->(D)
(A) p't bodily secretions (B) toys (C) therapy animals (D) all above
Which is now considered as the gold standard for hand hygiene? -->(A)
(A) alcohol-based handrub solution (B) D50 water (C) normal saline (D) D5
water
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