[兒科] intern seminar考題

[Adagio (Over The Rainbow)]

以下是intern seminar考題及答案
剩下兩位還沒出，之後我還會再補上
也請鈞鎧跟芳瑩盡快出題喔，謝謝

還有，大家請寄基本資料powerpoint檔給我
內容包括 照片 姓名 學校 run過的station共四項
我的信箱是  [e-mail]
現在一封信都還沒收到耶，期待您的來信唷:P  

1.一般母親停止哺育母乳的原因下列何者最為常見
  (A)自覺母乳量不足   (B)美觀因素   (C)家人反對  (D)經濟因素
  Ans: (A)

2.母乳哺育幼兒的好處下列何者為非
  (A)可減少呼吸道感染的機會  (B)可減少腸胃道感染的機會
  (C)可由母乳獲得母親的免疫球蛋白  (D)可以增加呼吸道感染的機會
  Ans: (D)

3.有關母乳哺育的觀念何者為是
  (A)要定時定量，時間不到就算嬰兒哭泣也不必理會
  (B)B型肝炎帶原者不應該哺育母乳
  (C)母乳的營養成份與配方乳相同，因此哺育配方乳即可，不一定要哺育母乳
  (D)母乳的營養成份與配方乳不同，應鼓勵母乳哺育
  Ans: (D)

4.下列何者為非
  (A)母乳哺育應視為重要的公共衛生課題
  (B)應廣為設立哺育室並廣為宣導母乳哺育的優點
  (C)醫護人員應宣導並教育母親有關母乳哺育的觀念及知識
  (D)母乳哺育的行為極不雅觀應立法禁止
  Ans: (D)

5.根據最新WHO的建議,exclusive breastfeeding最好至少滿幾個月?
  (A)一個月  (B)三個月  (C)四個月  (D)六個月
  Ans: (D)

2.下列何者非母乳的好處?
  (A)減少腸胃道感染
  (B)減少otitis media的復發
  (C)減少Wheezing
  (D)減少pneumonia
  (E)以上皆是母乳的好處
  Ans: (E)

3.下列何者對呼吸道感染的影響最大?
  (A) smoke exposure
  (B) full breastfeeding stopped after 4 vs after 6 months
  (C) duration of day care
  Ans: (B)

4.下列何種母乳哺餵方式有最強的保護力?
  (A) full formula feeding for the first 6 months
  (B) partial breastfeeding for the first 6 months
  (C) exclusive breastfeeding for the first 6 months,
      then full solid foods
  (D) exclusive breastfeeding for the first 6 months,
      then addition of solid foods with continued breastfeeding
  Ans: (D)

9. All of following statements about ALL are right excepts:
   (A) CNS preventive therapy should start at the beginning of treatment
       course
   (B) Chemotherapy should persist for at least 2 years to lower relapse
       rate
   (C) Complete remission means <5% blast cell in bone marrow
   (D) Bone marrow transplantation is an ultimate form of treatment that
       benefits to all risk groups of patient now.
   Ans: (D)

10. About induction therapy of ALL, which one of following is false?
   (A) Vincristine and glucocorticoid are the basic regimen
   (B) A VHR ALL children patient should receive four or more drugs
       during induction therapy
   (C) Imatinib mesylate was proved to decrease morbidity and increase
       compliance in older patient.
   (D) Intensive induction therapy increases cure rate and benefits all
       risk groups of patients.
   Ans: (D)

11. All of the following are criteria of VHR in ALL, excepts:
    (A) Initial WBC >100000/ul
    (B) t(9;22)/BCR-ABL fusion
    (C) 2~9 year old
    (D) Hypodiploidy
    Ans: (C)

12. About factors associated to relapse in CNS, which one of following
    is false?
    (A) high risk genetic features
    (B) The presence of leukemia cells in CSF
    (C) A large leukemia-cell burden
    (D) All of the above are right
    Ans: (D)

13. 依照這篇研究結果顯示，下列何者“非” repeat exposure to antenatal
    corticosteroids的好處?
    (A) 減少respiratory distress syndrome
    (B) 減少Fewer severe lung disease
    (C) 減少Use of oxygen therapy
    (D) 增加Use of the mechanical ventilation
    ANS(D)

14. 依照這篇研究結果顯示，下列何者“非” repeat exposure to antenatal
    corticosteroids的好處?
    (A) Lower maximum appropriate FiO2 values
    (B) Fewer needed surfactant
    (C) Fewer patent ductus arteriosus
    (D) Fewer use of the inotropic support
    ANS(D)

15. 依照這篇研究結果顯示，下列何者“是” repeat exposure to antenatal
    corticosteroids的缺點?
    (A) 嬰兒出院時的身高、體重、頭圍有明顯的發展遲緩
    (B) 孕婦Postpartum pyrexia的比例較高
    (C) 孕婦因chorioamnioniti需要注射抗生素的比例較高
    (D) 孕婦因注射相關的副作用較為多
    ANS: (D)

16. 下列何者敘述“錯誤”?
    (A) Respiratory distress syndrome為早產兒主要的死亡原因
    (B)目前的概念是prenatal corticosteroids的效力大概可維持到注射後的七天內
    (C) repeat antenatal corticosteroids可降低RDS的發生率
    (D)目前十分肯定repeat antenatal corticosteroids完全沒有長期的副作用
    ANS: (D)

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