繼續教育考題
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1.
(C) |
Which of the following
conditions is less likely for a patient who recovered rapidly from a
respiratory failure with bilateral dense alveolar infiltrates ? |
A | Cardiogenic lung edema |
B | Neurogenic pulmonary
edema |
C | Pneumonia with ARDS |
D | Pulmonary hemorrhage |
2.
(D) |
Neurogenic pulmonary
edema can occur after which of the following conditions ? |
A | Head injury |
B | Subarachnoid hemorrhage |
C | Seizure |
D | All of the above |
3.
(C) |
Which description
below is WRONG for postictal pulmonary edema ? |
A | May develop immediately after
a seizure or may be delayed for several hours |
B | It occurs most frequently in
young patients with idiopathic seizure and in those associated with
expanding CNS lesions |
C | Is the most common form of
neurogenic pulmonary edema |
D | May resolve within several
days after surgical relieve of IICP |
4.
(D) |
Which
description below is true for the theories about the pathogenesis of
neurogenic pulmonary edema ? |
A | May be related to the
transient release of large amount of catecholamines |
B | May be associated with
hydrostatic as well as permeability changes in the pulmonary
circulation |
C | Elevation of the levels of
some neuropeptides have been found in the bronchoalveolar lavage in
neurogenic pulmonary edema |
D | All of the above |
5.
(D) |
Which statements below
is WRONG for the typical CxR finding of neurogenic pulmonary edema
? |
A | Usually there is no
cardiomegaly or Kerly's B lines |
B | May manifests as bilateral,
homogeneous airspace consolidations |
C | Commonly involves the upper
and apical portions of bilateral lungs |
D | Only involves bilateral lower
lung fields |
6.
(D) |
Which statement about
the management of neurogenic pulmonary edema is true? |
A | Mechanical ventilatory support
may be used for severe cases |
B | High levels of PEEP may be
used to improve arterial oxygenation, but special concern should be
paid to its effects on IICP |
C | Diuretics and osmotic agents
may be used to control IICP and blood volume |
D | All of the above |
7.
(C) |
Which of the following
description about HSV encephalitis is WRONG ? |
A | Is the most common cause of
sporadic focal encephalitis |
B | Inferior frontal and anterior
temporal lobes are the most common sites of involvement |
C | There is low risk of severe
residual neurologic deficit |
D | The mortality rate is about
10-30% |
8.
(B) |
Which of the following
description about the diagnosis of HSV encephalitis is WRONG ? |
A | PCR analysis of CSF may
provide rapid diagnosis of this disease |
B | CSF culture is useful in the
diagnosis |
C | EEG may reveal periodic sharp
wave activity temporally or with background of focal or diffuse
slowing |
D | Brain biopsy is the gold
standard for diagnosis |
9.
(A) |
Which of the following
description about the management of HSV encephalitis is WRONG
? |
A | Acyclovir should be given at
10-12.5 mg/kg IV push every 8 hours |
B | Acyclovie should be start
early to maximize best possible outcome |
C | The duration of acyclovir
therapy is 10-14 days |
D | None of the above |
10.
(D) |
Which of the following
findings is compatible with the suspicion of systemic lupus
erythematosus (SLE) in this case ? |
A | Systemic lymphadenopathy |
B | ANA titer strongly
positive |
C | Pancytopenia and hemolytic
anemia |
D | All of the
above |