→ Oppn:GOOD 麻煩你寄過去了 02/22 11:36
※ 引述《AbsolutePass (怎樣都要過)》之銘言：
: 醫學二 82題 答案:D 申覆:一率給分
: Robbins and Cotran Pathologic Basis of Disease 8th Edition
: 章節: Chapter 11 頁數:509
: http://ppt.cc/0h8u
: 圖片 11-20A
: Aortic dissection. A, An opened aorta with proximal dissection originating
: from a small, oblique intimal tear (identified by the probe), allowing blood
: to enter the media and creating an intramural hematoma (narrow arrows). Note
: that the intimal tear has occurred in a region largely free of
: atherosclerotic plaque and that propagation of the intramural hematoma is
: arrested at a site more distally where atherosclerosis begins (broad arrow).
: 這是教科書Aortic dissection給予學生學習的唯一實例圖片
: 依照此範例圖片的說明, Aortic dissection常伴隨atherosclerosis
: 因此(D)選項仍然適當
: 本題題旨為選何者不適當 如此一來變成此題應無正確答案
: 故建議答案應為一律給分
Kumar et al Robbins and Cotran Pathological Basis of Disease pg. 532
Aortic dissection is a catastrophic illness characterized by dissection
of blood between and along the laminar planes of the media…
In spontaneous dissection, an intimal tear that is presumably the origin
extends into but not through the media of the ascending aorta,
usually within 10 cm of the aortic valve
C也怪怪的，中到外層是指 media and adventitia, 但robbins說aortic dissection
不會超過media,所以C應該也對
醫學二 92 題 答案:D 申覆:CD
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※ 編輯: chromosome 來自: 203.68.96.60 (02/22 07:26)