TOF
The pathogenesis of TOF(tetralogy of Fallot)?
A. Anterior deviation of outlet septum B. Posterior deviation of mitral valve
C. Rupture of ventricular septum D. Thickening of aortic valve
E. Thrombosis of coronary artery
Which is not the manifestation of TOF(tetralogy of Fallot)?
A. Cyanosis B. Blue spells C. Development delayed D. Seizure
E. Clubbing of fingers
Which is not the way to treat blue spell?
A. Knee-chest position B. Oxygenation C. Morphine(Sedation)
D. β-blocker E. Calcium bicarbonate
Which is not included in CATCH 22 syndrome?
A. Cardiac defects B. abnormal facies C. Thymic hypoplasia
D. Cleft Palate E. Homosexuality
Which is not included in the four anomalies of TOF( tetralogy of Fallot)?
A.VSD B. Pulmonary stenosis C. Right ventricular hypertrophy D. ASD
ANS:ADEED
Febrile seizure
1. Which one is true for febrile seizure?
A. rare before 9 mo and after 5 yr of age
B. occur during the first day of a child's fever
C. excellent prognosis
D. must be carefully investigated for the cause of the fever
E. all of the above
2. Which one is not true for simple febrile seizure?
A. BT≧39℃ B. Focal C. tonic-clonic D. a few secs~10min E. postictal drowsiness
3. Which one is true for atypical febrile seizure?
A. higher BT B. <15min, C. repeated within the same day D. postictal generiled seizure activity E. all of the above
4. Which drug is effective and safe for the febrile seizure?
A.phenytoin B. Carbamazepine C. valproate D. aspirin E.diazepam
5. Which one is the most frequent cause of febrile seizure?
A. viral infection URI B. roseola C. AOM D. All of the above E. none of the above
Ans:EBAED
asthma&nephrotic syndrome
(A)1.小孩子nephrotic syndrome最常見的原因是？
(A)minimal change disease (B) mesangial proliferation
(C)focal segmental glomerulosclerosis
(D)membranoproliferative glomerulonephritis
(B)2.小孩子有nephrotic syndrome在下列哪個情況仍不需要做腎臟切片？
(A)年紀小於1歲 (B)使用steroid治療4個禮拜仍有proteinuria
(C)症狀伴隨有hypertension (D)有hematuria
(C)3.哪些情況可以確定診斷有Asthma？
(1)FEV1/FVC<0.8 (2)在吸入β2-agonist後，FEV1可以增加12%以上
(3)Exercise challenge會使FEV1惡化大於15%以上
(4)早晚PEF(peak expiratory flow)的變化大於20％ (A)123 (B)124 (C)234 (D)134
(D)4.下列哪一個不是Asthma長期的控制藥物？
(A)cromolyn (B)oral steroid (C)leukotriene modifier
(D)short-acting inhaled β-agonist
Hypertrophic pyloric stenosis(HPS)
1.HPS的好發年齡是下列何者
a.0~2 weeks
b.3~6weeks
c.6~12months
d.>1 year
2. HPS一開始最常表現的臨床症狀是下列何者
a.Nonbilious vomiting
b.lethargy
c.fever
d. Failure to thrive
3.下列哪一項和HPS的可能致病原因無關
a.infant hypergastrinemia
b. decreased nitric-oxide stimulation of muscle fibers
c .the use of erythromycin in neonates
d. infection of Helicobacter Pylori
4.下列哪一項檢查是現在最常用來確定HPS診斷的工具
a.physical examination
b.ultrasound
c.UGI series
d. CT
5.關於HPS的治療，下列敘述何者錯誤
a. surgical pyloromyotomy是最有效的治療方式
b.病人即使HPS造成電解質不平衡的問題還沒矯正回來仍可以接受開刀
c.開刀後大概有一半的病人會因為手術部位的edema而有短暫性的嘔吐現象
d.病人大概術後八小時後就可以開始喝一點少量的糖水
Ans:badbb
Intussusception
1.下列何者是Intussusception常見的臨床表徵
a. severe paroxysmal colicky pain
b. currant jelly stool
c. Lethargy
d. 以上皆是
2.下列何者是Intussusception的可能致病原因
a. swollen Peyer patches in the terminal ileum.
b. recognizable lead points such as lymphoma, neurofibroma
c. Receive of the tetravalent rhesus-human reassortant rotavirus vaccine
d. 以上皆是
3. 關於Intussusception的診斷，下列何者錯誤
a. 某些病人在作理學檢查時，可於右上腹摸到臘腸狀的mass
b. Intussusception厲害的話甚至可在肛門指檢時摸到Intussusception的脫出物
c. 不管病人情況如何，灌腸攝影(barium or air enema )都是必要的檢查
d. 超音波對Intussusception的診斷而言是一項非侵襲性且具高敏感度的工具
4. 關於各項Intussusception治療方法，在Recurrent rate的比較上下列何者正確
a. barium enema reduction > surgical reduction > surgical resection
b. surgical reduction > barium enema reduction > surgical resection
c. surgical resection > surgical reduction > barium enema reduction
d. barium enema reduction > surgical resection > surgical reduction
Ans:ddca
Viral meningoencephalitis:
1. The most common pathogen in viral meningoencephalitis is:
(1) Enterovirus
(2) Arbovirus
(3) CMV
(4) VZV
2. In most cases of meningoencephalitis, the infections are:
(1) associated with high morbidity and mortality
(2) self-limited
3. The characteristics of HSV encephalitis: HSV encephalitis
is usually
(1) severe; focal brain involvement
(2) mild; focal brain involvement
(3) severe; entire brain involvement
(4) mild; entire brain involvement
4. Which is "not" the CSF findings in viral meningoencephalitis?
(1) Pleocytosis with mononuclear cell predominance
(2) Protein: usually normal or slightly elevated
(3) Glucose: usually normal
(4) Pleocytosis with PMNs predominance through most of the course
ANS: (1) (2) (1) (4)
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◆ From: 140.112.212.223
※ 編輯: divine2 來自: 140.112.212.223 (05/29 00:05)
※ 編輯: divine2 來自: 140.112.212.223 (05/29 00:06)