婦產科現在考古題比率降低，多了很多新題目，
前次考題供同學做為參考。
感謝高偉舫同學整理，AB組十位同學合力提供。
題目有部分缺漏，並且沒有答案，還請見諒。
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一、選擇題：(80%)
1. 完全性葡萄胎最常見的染色體類型是？
(A) 46XX
(B) 46XY
(C) 46YY
(D) 46XO
(E) 46YO
3. 下列已血清為檢體的檢驗，何者是追蹤葡萄胎最適宜的？
(A) FSH
(B) LH
(C) hPL
(D) hCG
(E) E2
4. Early pregnancy的超音波finding何者為非？
(A) 5th gestational week時，vaginal sonar可以看到gestational sac
(B) 6th gestational week時，vaginal sonar可以看到fetal part
(C) 7th gestational week時，vaginal sonar可以看到fetal heart beat
(D) 腹部超音波比經陰道超音波靈敏，可以更早看到gestational sac
5. 下列何者非ectopic pregnancy之classic triad?
(A) lower abdominal pain
(B) nausea and vomiting
(C) adnexsal mass
(D) abnormal vaginal bleeding
6. severe OHSS診斷不包在Schenker's criteria(1978)中而是在後來加上的是?
(A) thromboembolism
(B) abnormal liver function
(C) renal failure
(D) electrolyte imbalance
8. 28 y/o female missed period for 2 weeks, she suffered from sudden
right lower abdominal pain. Which is the proper step?
1.urine pregnancy test；2.physical(pelvic) examination；3.history
taking；4.ultrasound；5.culdocentesis
(A) 1->3->2,5,4
(B) 2,5->4
(C) 1->4
(D) 3->2->1->4
10. Which drug below is NOT FDA-approved drug of osteoporosis?
(A) hormone therapy (estrogen+progesterone)
(B) Biphosphonates
(C) Mifepristone
(D) Roloxifen
(E) Calcitonin
11. Which of the following statements about the effect of estrogen and
progestin on plasma lipid parameters is wrong？
(A) Estrogen decrease total triglyceride
(B) Estrogen increase HDL-C
(C) Progestin increase LDL-C
(D) Progestin decrease HDL-C
(E) Estrogen induce no change of slight decrease of total cholesterol
12. In 2002 WHI study, which of the fellowwing statement is true about
hormone replacement therapy in postmenopausal women compaired with
placebo group.
(A) Estrogen + progestin decrease breast cancer
(B) Estrogen + progestin decrease colorectal cancer
(C) Estrogen + progestin increase endometrial cancer
(D) Estrogen + progestin reduce fracture
(E) Estrogen + progestin prevent cardiovascular disease
13. Which of the following condition is not contraindication of hormone
therapy?
(A) breast cancer
(B) active blood-clotting disorder(thrombophlebitis)
(C) known or suspected pregnancy
(D) endometrial cancer
(E) none of above
15. Which of following statements about ovarian cancer is wrong?
(A) Most women with ovarian cancer have no symptom for long periods of time.
(B) Approximately 90% of ovarian cancer are derived from epithelium or
mesothelium.
(C) We can diagnose ovarian cancer by CA125.
(D) A barium enema or colonscopy is indicated ofovarian cancer patient
to exclude a primary colonic lesion with ovarian metastasis.
16. Which of the following statements about hereditary ovarian cancer is
WRONG？
(A) BRCA 1 gene is located on chromosome 17
(B) BRCA 2 gene is located on chromosome 11
(C) The mutations of BRCA 1 and BRCA 2 gene are inherited in an
sutosomal dominant fashion
(D) Almost all families with breast and ovarian cancer, and about half
of those with only breast cancer, the disease is linked to the BRCA 1 gene
(E) Most epithelial ovarian cancer is sporatic, with familial or
hereditary pattern accounting for 5% to 10% of all malignancies
17. Which treatment for ovarian carcinoma is not indicated?
(A) Debulking surgery
(B) combination chemotherapy
(C) irradiation therapy
(D) homone therapy
18. the most important prognostic indicator of survival from ovarian
carcinoma is
(A) stage of disease
(B) grade of tumor differentiation
(C) body mass index
(D) nutrition status
(E) presence of sex steroid receptors
20. Immediate gonadectomy is not necessary for which disease until
adolescence?
(A) XY gonadal dysgenesis
(B) Gonadol dysgenesis with XY mosacism
(C) Testicular feminization
(D) Swyer’s syndrome
22. Mayer-Rokitansky syndrome 和 Turner's syndrome之共同臨床特徵為：
(A) 無子宮
(B) 智能不足
(C) primary amenorrhea
(D) 體型矮小
23. 典型Rokitansky-Kuster-Hauser Syndrome和Complete androgen
insensitivity可使用哪一種檢查來鑑別診斷：
(A) Progesterone withdrawal test
(B) Presence of a short blind vagina
(C) Karyotype
(D) All of the above
24. 睪固酮要變成更有作用的DHT時,需下列哪一種enzyme?
(A) Aromatase
(B) 21 hydroxylase
(C) 5 alpha reductase
(D) 17 alpha hydroxylase
25. 治療高泌乳素血症(hyperprolactinemia)最好的藥物為何？
(A) danazol
(B) premarin
(C) bromcriptine
(D) GnRh-agonist
27. 子宮內膜異位症的主要症狀？
(A) 不孕與經痛
(B) 經痛與月經不規則
(C) 經血過多與經痛
(D) 不孕與月經不規則
28. 子宮內膜異位症的內科治療方法不含下列哪一種？
(A) NSAID
(B) GnRHa
(C) Danazol
(D) Steroid
29. 非試管嬰兒的適應症?
(A) 第一期子宮內膜異位症
(B) 兩側輸卵管不通
(C) 精蟲小於300萬/ml
(D) 卵子捐贈
30. (Ultrasound diagnosis)if a baby manifested with microcephaly,
micrognathia,clenched hands and omphalocele, which chromosome aberration
is most likely?
(A) 9p deletion
(B) Down syndrome
(C) ring chromosome 22
(D) trisomy 18
31. (Ultrasound diagnosis) Choose the incorrect description for
gastroschisis(腹裂畸形)
(A) We can see free bowel loops in the amniotic cavity.
(B) Chromosome anomaly rarely occurs in gastroschisis.
(C) Gastroschisis rarely associates with anomaly of other organs.
(D) The bowel herniation is covered by a free-floating membrane.
32. US screening, lower spine mass( with cystic content), bilateral
clubfeet, dilatation of brain ventricles, banana sign of cerebellum,
diagnosis is likely
(A) diaphragmatic hernia
(B) sacrococcygeal teratoma
(C) Beckwith-Wiedermann syndrome
(D) meningomyelocele
33. Severe dysplasia of vulva is concordant with
(A) VIN I
(B) VIN II
(C) VIN III
(D) VIS
34. Choose the correct description for ACC ( agenesis of corpus callosum).
(A) fish bone appearance of brain hemisphere and tear-drop sign of
lateral ventricles
(B) the mental development may be completely normal
(C) ACC may associate with neonatal seizure and mental deficiency in
newborn girl (namely, Budd-Chiari syndrome)
(D) all the above.
35. Which of the following usually occurs first during pubertal
development：
(A) adrenal androgen production
(B) thelarche
(C) pubarche
(D) menarche
36. Which Tannar stage confirms most of the fellowing description of the
breast development during puberty,"secondary mound of areola and papilla
above the breast. Mean age 12.1 y/o."
(A) stage 2
(B) stage 3
(C) stage 4
(D) stage 5
37. Precicous puberty is usually defined as the onset of secondary sex
characteristic before the age of
(A) 6
(B) 7
(C) 8
(D) 9
(E) 10
38. 以下有關true labor pain，何者正確？(複選，答案三個(含)以內)
(A) 子宮宮縮，間隔十分鐘以上
(B) 走路會增加宮縮痛
(C) 落紅
(D) 收縮痛伴隨腰酸
(E) 有便意感
39. 有一位上午9點剛住院的38週孕婦，第一胎，規則宮縮，宮口開2指，母親身高
160cm，懷孕體重增加13公斤，胎兒預估3100公克。此婦人再3小時前來診，當時宮
口尚未開。現在每次宮縮時都需要藉助呼吸減痛。如果產成進展正常，則你(妳)被
叫來接生最可能的時段是：
(A) 10am - 1pm
(B) 2pm - 5pm
(C) 5pm - 8pm
(D) 8pm -11pm
40. 同上題，但是此婦人現在是第二胎，上一胎自然產出3400公克的小孩，其他情
況一樣，請問你（妳）被叫來接生最可能的時段是（選機率最高的）：
(A) 10 am-11 am
(B) 11 am-2 pm
(C) 3 pm-5 pm
(D) 5 pm-8 pm
二、問答題：(20%)
1. 影響人工授精成功率的兩大因素?(4%)
2. 試管嬰兒(IVF-ET)之indication？(5%)
3. 下列陰道生產步驟，正常的順序是？
A.flexion B.extension C.external rotation D.internal rotation
_____ --> ____- --> _____ --> _____ (請寫ABCD)(6%)
4. 試述 Diagnosis of pregnancy？(3%)
5. 婦產科見習之感想，心得及建議。(2%)
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※ 編輯: dint 來自: 220.229.25.230 (12/21 00:36)