[小兒] intern seminar 考題

[antoinewizz (安東尼)]

1. According to the trial of TOBY study group for discussing the
   hypothermic therapy effect on neurodevelopmental outcomes in newborn
   infants with asphyxial encephalopathy, which of the following newborn baby
   could be most possibly enrolled to this trial of TOBY?
   (A) male, GA 37wks, 1 day of age, Apgar: 4 at 10mins after birth,
       seizure pattern on aEEG, hypotonia, abnormal reflexes

   (B) female, GA 38wks, 3 hours of age, Apgar: 9 at 10mins after birth,
       normal aEEG
   (c) male, GA 37wks, 4 hours of age, acidosis (arterial pH < 7.0)
       within 60 mins after birth, lethargy, absent sucking reflex,
       abnormal background activity on aEEG
   (d) male, 3 hours of age, Apgar: 5 at 10mins after birth,
       with high arched palate, epicanthic fold, muscle hypotonia,
       single palmar fold, abnormal background activity on aEEG
   (e) female, GA 34wks, 2 hours of age, Apgar: 4 at 10mins after birth,
       abnormal reflexes, clinical seizures

2. According to the result of TOBY trial of moderate hypothermia for 72 hrs in
   newborn infants with asphyxial encephalopathy, which outcome(s) of the
   following choices has(have) significant difference between cooled and
   uncooled group?

   (1) Primary outcome: Combined death & severe neurodevelopmental disability
   (2) Secondary outcome: survival without neurologic abnormalities
   (3) Secondary outcome: Hearing loss not corrected by aids
   (4) Secondary outcome: GMFCS score shows no abnormality
   (5) Secondary outcome: Cerebral palsy
   (6) Secondary outcome: Head circumference at follow0-up > 2SD below the mean

   (A) 1+2+3+4+5
   (B) 1 only
   (C) 3+5+6
   (D) 2+4+5
   (E) non of the above


如果出越多加越多的話...那來幾題送分題好了...答案就不用給了吧? 哈哈

3. According to the content of discussion during the intern seminar, about the
   topic of hypothermia to treat perinatal asphyxial encephalopathy,
   Which of the following is correct?

  (A) The paper presenters have mentioned the different cooling therapies of
      different trials, including cooling of the whole body, of the head, and
      also cooling of the buttocks
  (B) According to Dr. Chen, we are going to have a machine for hypothermia
      therapy too in NTUH, this machine which we're going to buy is invented
      and manufactored by Korean people
  (C) Ri Wang has presented the highest speed but also during the longest time
      among all 3 interns
  (D) For the paper published by the Chinese doctors, their machine for
      cooling the heads of newborn infants was manufactored by an
      professional American medical equipment company
  (E) Perinatal asphyxial encephalopathy is also known as HIE (hypoxemic
      ischemic encephalopathy)























Ans: 1. (C)
     2. (D)

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◆ From: 59.112.173.125
※ 編輯: antoinewizz     來自: 59.112.173.125       (11/23 23:34)
※ 編輯: antoinewizz     來自: 59.112.173.125       (11/23 23:49)
※ 編輯: antoinewizz     來自: 59.112.173.125       (11/23 23:51)
※ 編輯: antoinewizz     來自: 59.112.173.125       (11/24 00:07)
→ eternalsaga:題目太長...而且又是英文...
推 jeanyou:而且好複雜@@"  選123
推 wclaire:哈哈 Ri Ho好會出題耶~