一○八年度內科專科醫師考試筆試題 -- 免疫科

(A) 1. 下列有關 SLE自體抗體與臨床表現之間的相關性,何者最為正確?
A.Anti-dsDNA與disease activity有正相關
B.Anti-SSB與nephritis有正相關
C.Anti-cardiolipin與neonatal lupus的發生有關
D.Anti-ribosomal P與mononeuritis multiplex有正相關
E.Anti-histone與thrombocytopenia有正相關
 
(D) 2. 下列何種抗體在診斷rheumatoid arthritis最具特異性?
A.Anti-IgG
B.Anti-EB viral nuclear protein
C.Anti-collagen type II
D.Anti-CCP
E.Anti-proteoglycan
 
(C) 3. 下列有關systemic sclerosis的描述中,何者最為正確?
A.最常出現的抗體為anti-centromere antibodies
B.Anti-Jo-1與interstitial lung disease無關
C.Anti-topoisomerase 1 antibodies為其生物標誌
D.口服高量類固醇為治療皮膚硬化的首選藥物
E.Raynaud's phenomenon為在末期才會出現
 
(E) 4. 下列有關Sjogren's syndrome的extra-glandular manifestations的描述中,何者最為正確?
A.Erosive arthritis
B.Iritis/uveitis
C.Leukocytoclastic vasculitis
D.Oral cavity carcinoma
E.Primary biliary cholangitis
 
(B) 5. 下列有關風濕免疫疾病的病因與結果的勾配關係中,何者最為正確?
A.Anti-myeloperoxidase引起lupus nephritis
B.Anti-proteinase 3引起granulomatosis with polyangiitis
C.Viral infection引起Takayasu's arteritis
D.Immune complex引起giant cell arteritis
E.IgG4引起 microscopic polyangiitis
 
(C) 6. 下列何種檢查對診斷polyarteritis nodosa最有幫助?
A.Anti-elastase antibodies
B.Inflammatory parameters
C.Angiography
D.Anti-neutrophil cytoplasmic antibodies
E.Renal function test
 
(A) 7. 下列有關inflammatory muscle diseases的描述中,何者最為正確?
A.Inclusion body myositis會引起末端肌肉的無力
B.皮肌炎與腫瘤較無關聯性
C.多發性肌炎與B細胞產生抗體有很大的關係
D.本類疾病常常引起急性肌肉無力
E.胃腸道的蠕動常受到影響
 
(C) 8. 下列有關SLE的分類基準項目的組合中,何者最為正確? (1)chronic cutaneous vasculitis (2) RBC casts in urinalysis (3) anti-SSA/Ro (4) anti-phospholipid (5) positive direct Coomb's test (6) low serum complements (7) Raynaud's phenomenon (8) malar skin rash
A.(1)+(2)+(3)+(4)
B.(5)+(6)+(7)+(8)
C.(2)+(4)+(5)+(8)
D.(3)+(5)+(6)+(7)
E.(4)+(6)+(7)+(8)
 
(A) 9. 下列有關rheumatoid arthritis 的extra-articular manifestations中, 何者最為 正確? (1)Uveitis (2)cervical myelopathy (3)oral mucosa ulcer (4)Felty's syndrome (5)mechanical hand (6)rheumatoid nodule (7)inflammatory bowel diseases (8)episcleritis
A.(2)+(4)+(8)
B.(1)+(2)+(3)
C.(4)+(5)+(6)
D.(6)+(7)+(8)
E.(2)+(3)+(6)
 
(B) 10. 下列有關axial spondyloarthritis的發炎性下背痛分類基準的組合中,何者最為正確? (1) Age>40 year-old (2) HLA-B27 (+) (3) acute lumbago (4) relief after exercise (5)半夜或清晨的酸痛僵硬>30分 (6) 白天休息之後會和緩 (7) 腰部脊椎會變直 (8)照MRI幫助不大
A.(1)+(2)+(3)
B.(4)+(5)+(7)
C.(2)+(4)+(8)
D.(3)+(6)+(7)
E.(6)+(7)+(8)
 


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