¤K¤Q¤C¦~¤º¬ì±M¬ìÂå®v¦Ò¸Õµ§¸ÕÃD -- µÇŦ¬ì

(D) 1. ¨ººØ³J¥Õ·|³q¹LµÇ¤p²y¦Ó³QµÇ¤pºÞ§l¦¬¡A·íµÇ¤pºÞ¦³¨ü¶Ë®`®É³y¦¨³J¥Õ§¿¡H
A.·»úCÅé¡]lysozyme¡^¡C
B.¨©¥L-2-·L¤p²y³J¥Õ¡]£]2 microglobulin¡^¡C
C.»´Ãì¡]light chain¡^¡C
D.³£·|³q¹L¡C
E.¥þ³¡¤£·|³q¹L¡C
 
(C) 2. ¨x¯f¥½´Á©ö¨Öµo¨xµÇ¯g­Ô¸s¡]hepatorenal syndrome¡^¡A¦¹¯g¤§»F¦]»P¤U¦C¨ººØª¬ªpµLÃö¡H
A.¥X¦å¡C
B.¨Ï¥Î§Q§¿¾¯¡]diuretics¡^¡C
C.¨Ï¥Î¦åºÞ¦¬ÁY¾¯¡]systemic vasoconstrictors¡^¡C
D.¨Ï¥Î§í¨îcyclooxygenase¤§ßÓª«¡C
E.©â¸¡¤ô¡C
 
(E) 3. 45·³¤k©Ê¡A¦å¹[2.5 mEq/L¡A¦åÀ£120/80 mmHg¡A¨ä§¿¹[±Æªn¬°35 mmole/L¡A¦Ó¦å²M­«ºÒ»Ä®Ú¡]HCO3-¡^¬°18 mEq/L¡A¨ä³Ì¥i¯à¤§­ì¦]¬°¦ó¡H
A.¥Ö½èîÇତÀªc¹L¦h¯g¡]Hyperaldosteronism¡^¡C
B.¥Ì¯ó¡]Licorice¡^¨Ï¥ÎªÌ¡C
C.¤ÀªcµÇ¯À¤§¸~½F¡]Renin- secreting tumor¡^¡C
D.¤U®ø¤Æ¹D³à¥¢¹[¡C
E.µÇ¤pºÞ»Ä¤Æ¯g¡]Renal tubular acidosis¡^¡C
 
(B) 4. «æ©ÊµÇ°IºÜ¤§¥NÁ©ʻĤ¤¬r¡A¨äªvÀø¥Ø¼Ð¬°ºû«ù¦å²M­«ºÒ»Ä®ÚHCO3-©ó¦h¤Ö¥H¤W¡H¡]¾Ü¤@³Ì¾A·í¤§µª®×¡^
A.20 mmol/L¡C
B.15 mmol/L¡C
C.10 mmol/L¡C
D.5 mmol/L¡C
E.¤£¥²ºÞ¡A¦]¬°¤£¤Ó­«­n¡C
 
(C) 5. ¦]§¿¬r¯g±µ¨ü³zªR¯f¤Hµo¥Í°©¯fÅÜ¡A­n°Ï§OÅnª¬ÅÖºû¤Æ°©ª¢¡]osteitis fibrosa cystica¡^©Î¾T¡]aluminum¡^¤Þ°_¤§°©¯fÅÜ¡A¥i¥H§Q¥Î¤U¦C¨º¤@ºØ²üº¸»X¤§°ª§C§@¬°°Ñ¦Ò¡H
A.µÇ¯À¡]Renin¡^¡C
B.¥Òª¬¸¢²üº¸»X¡]Thyroid hormone¡AT3¡AT4¡^¡C
C.°Æ¥Òª¬¸¢²üº¸»X¡]PTH¡^¡C
D.¥Ö½è¿E¯À¡]ACTH¡^¡C
E.¥Ö½èîÇଡ]Aldosterone¡^¡C
 
(E) 6. ¨º¤@ºØ²Ó­M¨Ã¤£°Ñ»PµÇµ·²y¡]glomerulus¡^¤§§K¬Ì¶Ë®`¡H
A.¦h§Î®Ö¥Õ¦å²y¡]polymorphonuclear leukocyte¡^¡C
B.³æ®Ö¥Õ¦å²y (Monocytes , Macrophage¡^¡C
C.²O¤Ú²y¡]T²Ó­M¡^¡C
D.¦å¤pªO¡C
E.¬õ¦å²y¡C
 
(B) 7. 30·³¤k©Ê¡A¦]µo¿N¤Î¸¡µh¦Ó¤J°|¡A·NÃѤ£¬Æ²M·¡¡AÀˬdµo²{¦å¬õ¯À¡]Hb¡^8.0 g/dl¡A§¿¯À´á¡]BUN¡^42 mg/dl¡A¦Ù»ÄÓþ¡]creatinine¡^2.5 mg/dl¡A§¿³J¥Õ3+¡A¦å¤pªO70,000/£gl ¡A¦å²G©Ù¤ù¦³¯}¸H¤§¬õ¦å²y¡]fragmented RBC¡^¡A³Ì¦nªºªvÀø¦b¦¹¯f¤H¬°¨º¤@¶µ¡H
A.¿éª`¦å¤pªO¡C
B.¦å¼ß¤ÀÂ÷³N¡]plasmapheresis¡^¡C
C.¦å²G³zªR¡C
D.¿é¦å¡C
E.¦å²G¹LÂoªk¡]hemofiltration¡^¡C
 
(A) 8. 72·³¤k©Ê¡A©ü°g¦Ó³Q°e¤J°|¡A¨ä¦å²M¶u³Qµo²{¬°102 mEq/L¡A¯f¥v°Ý°_¨Ó¡A®a¤¤¨S¤H·ÓÅU¡A©ü°g¥i¯à¦³´X¤Ñ¤§¤[¤F¡A´£°ª¦å²M¶u®É»Ýª`·N²Ä¤@¤Ñ¤º¡]24¤p®É¤º¡^´£°ª¦å²M¶u¤£¥i¶W¹L¦h¤Ö¡H
A.12 mEq/L¡C
B.5 mEq/L¡C
C.24 mEq/L¡C
D.18 mEq/L¡C
E.¤£¥²¦Ò¼{¦h¤Ö¡AµLÃöºò­n¡C
 
(B) 9. 38·³¤k©Ê¡A¬õ´³©Ê¯T½H¤w¦³¤T¦~¡A§¿¤¤¬õ¦å²y30-50/HPF¡A¨C¤Ñ§¿±Æªn8-10§J³J¥Õ¡A¦å²M¥Õ³J¥Õ1.5 g/dl¡A¥þ¨­¤ô¸~¡A¦å²M¦Ù»ÄÓþ¦b¤@­Ó¤ë¤º¥Ñ1.3¤É°ª¨ì4.2 mg/dl¡ABUN¥Ñ25¤É°ª¨ì76 mg/dl¡A¦ý¯f¤H©Ú°µµÇ¬ï¨ë¡A§AÀ³¦Ò¼{¦óªÌ¡H¡]¾Ü¤@³Ì¦X¾Aªºµª®×¡^
A.¨C¤Ñ¤fªAprednisolone 10 mg¡C
B.MethylprednisoloneÀR¯ßª`®g1§J/ ¤Ñ¡Ñ3¦¸¡C
C.§Q§¿¾¯Lasix 40 mg/¤Ñ¡C
D.¤fªAprednisolone 40 mg/¤Ñ¡C
E.Hydroxychloroquine 400 mg/¤Ñ¡C
 
(C) 10. °ª¦å¶u¯g¡]hypernatremia¡^¤§­ì¦]¦³¨º¨Ç¡H 1.§Ü§Q§¿²üº¸»X¤Àªc¤£·í¯g¡]SIADH¡^¡C 2.¥Òª¬¸¢¾÷¯à§C¤U¡]Hypothyroidism¡^¡C 3.¥Ö½èîÇତÀªc¹L¦h¯g¡]Hyperaldosteronism¡^¡C 4.®wªY¤ó¯g¡]Cushing's Syndrome¡^¡C
A.1,2¡C
B.1,3¡C
C.3,4¡C
D.2,4¡C
E.1,2,3,4¡C
 
(C) 11. ¦hµo©Ê°©Åè½F¡]Multiple Myeloma¡^·|¨Öµo¤U¦C¨º¨Ç¡H 1.Fanconi syndrome¡C 2.¦å²M³±Â÷¤l»Ø¼W¥[¡]Increased anion gap¡^¡C 3.°ª¦å¶t¡]Hypercalcemia¡^¡C 4.§C¦å²M§¿»Ä¡]Hypouricemia¡^¡C 5.§C¦å¶u¡]Hyponatremia¡^¡C 6.µÇ¯f¯g­Ô¸s¡]Nephrotic syndrome¡^¡C
A.2,3,4,6¡C
B.1,2,3,4¡C
C.1,3,5,6¡C
D.2,3,5,6¡C
E.3,4,5,6¡C
 
(C) 12. Ãö©ó¬õ´³©Ê¯T½HµÇª¢¡]lupus nephritis¡^¡A¤U¦C½Ñ¶µ¦óªÌ¬°«D¡H
A.Äjº©¼W´Þ©ÊµÇª¢¡]Diffuse proliferative GN¡AClass IV¡^¬Olupus nephritisµÇ«I¥Ç³ÌÄY­«ªº¤@«¬¡C
B.¦å²M¾Ç¶EÂ_¥Hanti-ds DNAªº¯S²§©Ê³Ì°ª¡C
C.¦å²M¸ÉÅé­È¡]complement¡^¦bactive lupus nephritis¤@¯ë³£·|¼W°ª¡C
D.Lupus nephritisªº¯f²zÅܤƪº¤ÀÃþ¡]Class¡^¦b¯fµ{¤¤¦³¥i¯àÂà´«¡A¦pClass IV to IIµ¥±¡§Î¡C
E.¶i¤J³zªRªvÀø«á¡A¬õ´³©Ê¯T½H¤§¬¡©Ê³q±`·|­°§C¡C
 
(C) 13. ¤@­Ó45·³¨k©Ê¯f¤H¡Aserum creatinine­È¬°0.9 mg/dl¡ABUN¬°70 mg/dl¡A¨C¤é§¿¶q¬°1500 c.c.¡A³Ì¥i¯àªº±¡ªp¬O¥H¤U¨ººØ¡H
A.¨x°IºÜ¡]Liver failure¡^¡C
B.ºC©ÊµÇª¢¡]Chronic glomerulonephritis¡^¡C
C.¤Q¤G«ü¸z¼ìºÅ¥X¦å¡]Bleeding duodenal ulcer¡^¡C
D.«æ©ÊµÇ¤pºÞÃa¦º¡]Acute tubular necrosis¡^¡C
E.¿}§¿¯fµÇ¯fÅÜ¡]Diabetic nephropathy¡^¡C
 
(B) 14. ¦³Ãö§C¹[¦å¯g¡]hypokalemia¡^ªºÁ{§Éªí¼x¡A¤U¦C¦óªÌ¬°«D¡H
A.¨xµw¤Æ¯f¤H¦X¨Ö¦³§C¹[¦å¯g®É¡A©ö©ó¾É­P¨x©ü°g¡C
B.§C¹[¦å¯g¯f¤H¸û±`¦X¨Ö¦³¥NÁ©ʻĤ¤¬r¡]metabolic acidosis¡^¡C
C.·|¾É­P¸²µå¿}­@¨ü©Ê²§±`¡]glucose intolerance¡^¡C
D.©ö¥[­«¤ò¦a¶À¡]digitalis¡^¤¤¬r¡C
E.±`¨Öµo¦³µÇ©Ê§¿±Y¯g¡]nephrogenic diabetes insipidus¡^¡C
 
(B) 15. ¦³ÃöÅã¼v¾¯¡]contrast-medium¡^©Ò¾É­Pªº«æ©ÊµÇ°IºÜ¡]acute renal failure¡^¡A¤U¦C¦óªÌ¬°«D¡H
A.¸û©öµo¥Í¦bµÇ¥\¯à¤£¥þªº¯f¤H¡C
B.§¿²GÀˬd±`¦³¦å§¿¤Î©úÅ㪺¬õ¦å²y¶ê¬W¡]red blood cell cast¡^¡C
C.¨å«¬ªº¯fµ{¬Oµo²{serum creatinine«æÁؤW¤É¡]¦b24-48¤p®É¤º¡^¡A¬ù¤@¶g¤º«K«ì´_¡C
D.Åã¼v¾¯ªº¥Î¶q»PµÇ°IºÜªºµo¥Í¦³¬ÛÃö©Ê¡C
E.¥Ø«e¬ã¨s»{¬°¥i¯à»P¤º¥Ö¯À¡]endothelin¡^¦³Ãö¡C
 
(D) 16. ¦³Ãö§Q§¿¾¯furosemide¡]lasix¡^¡A¤U¦C¦óªÌ¬°«D¡H
A.¥¦¥D­n§@¥Î¦bµÇ¤pºÞªºthick ascending limb of Henle¡C
B.¥¦ªº°Æ§@¥Î¦³¥i¯à¾É­PÅ¥¤O»Ùê¡C
C.¥i¯à¤Þ°_§C¦å¹[©ÊÆP¤¤¬r¡]hypokalemic alkalosis¡^¡C
D.¥i¼W¥[§¿¤¤¶tªº±Æªn¡A±`¥Î©óµÇµ²¥ÛªºªvÀø¡C
E.¥Î¦bµÇ¥\¯à¤£¨}ªº¯f¤H¡A¤ñthiazide¸û¦³®Ä¡C
 
(A) 17. ¦³ÃöºC©Ê¹]¤¤¬rµÇ¯fÅÜ¡]lead nephropathy¡^¤§Á{§É¯S¼x¡A¤U¦C¦óªÌ¬°«D¡H
A.¥D­n²£¥ÍµÇ¤pºÞ¶¡½èµÇ¯f¡]chronic tubulointerstitial renal disease¡^¡A¥½´Á®ÉµÇŦªº¤j¤p·|Åܤj¡C
B.±`¦X¨Ö¦³°ª§¿»Ä¯g¡]hyperuricemia¡^¤Îµh­·¡C
C.Á{§É¤W±`¦X¨Ö¦³°ª¦åÀ£¯g¡C
D.±`¦X¨Ö¦³Fanconi syndrome¡C
E.ÃĪ«ªvÀø¥D­n¾achelating agent¡A¦p calcium disodium edetate¡]EDTA¡^¡C
 
(B) 18. Ãö©óµÇµ²¥Û¡]nephrolithiasis¡^¡A¤U¦C¦óªÌ¬°«D¡H
A.¶tµ²¥Û¡]Calcium oxalate and calcium phosphate stones¡^¬O³Ì±`¨£ªºµ²¥Û¡C
B.¨C­Óµ²¥Û¯f¤H³£¦³°ª¶t¦å¯g¡]hypercalcemia¡^¡C
C.¨k©Ê¯f¤H¤ñ¤k©Ê¦h¡C
D.­º¦¸µo§@±`¨£©ó¦~ÄÖ¦b20¦Ü30·³¡C
E.¤º¬ì¹w¨¾¤ÎªvÀø¤è¦¡¬O¼W¥[¤ô¥÷ªºÄá¨ú¤Î¨Ï¥Îthiazide diuretics¡C
 
(E) 19. Ãö©ó¿}§¿¯fµÇ¯fÅÜ¡]DM nephropathy¡^¡A¤U¦C¦óªÌ¬°«D¡H
A.¯Ø®q¯À¨Ì¿à«¬¡]IDDM¡^¤Î«D¯Ø®q¯À¨Ì¿à«¬¡]NIDDM¡^¨äµÇ¯fÅܪºÁ{§Éªí¼x¬O¬Û¦üªº¡C
B.¥i¯à¨Öµo²Ä¥|«¬µÇ¤pºÞ»Ä¤¤¬r¡]Type IV RTA¡^¤Î°ª¹[¦å¯g¡C
C.·L¶q¥Õ³J¥Õ§¿¡]microalbuminuria¡^±`¬OµÇ¯fÅܪº¦­´Áªí¼x¡C
D.Angiotensin-converting enzyme (ACE) inhibitors¯à´î½wµÇ¯fÅܪº¶i¦æ³t«×¡C
E.¿}§¿¯fµÇ¯fÅܯf¤H¤@¯ë»{¬°¤£©y°µµÇ²¾´Ó¡]renal transplantation¡^¡C
 
(E) 20. Ãö©óA«¬§K¬Ì²y³J¥ÕµÇµ·²yµÇª¢¡]IgA nephropathy¡^¡A¤U¦C¦óªÌ¬°«D¡H
A.µÇŦ¯f²zÀˬdµo²{IgA¥D­n¨H¿n©óµÇµ·²y¶¡½è³¡¦ì¡]mesangial area¡^¡C
B.IgA nephropathyªºµo¯f¾÷Âà©|¥¼§¹¥þÁA¸Ñ¡C
C.IgA nephropathy±`µo²{¦X¨Ö¦³»øª½©Ê¯á´Õª¢¡]ankylosing spondylitis¡^¡C
D.¦¹¯g±`¦b²¾´ÓµÇ¤W´_µo¡C
E.IgA nephropathyªºµÇŦ¤Î§K¬Ì¾Çªºªí¼x»PHenoch-Schonlein purpura§¹¥þ¤£¦P¡C
 
(C) 21. ªvÀø§¿»Äµ²¥Û¡]uric acid stones¡^¡A³Ì¨Î¿ï¾Ü¬O 1. Low purine diet¡C 2. Hydration¡C 3.ÆP¤Æ§¿²G¨ìpH>6-7¡C 4. ¨Ï¥Î allopurinol¡C 5. ¨Ï¥Î§Q§¿¾¯¡C
A.1,2,5¡C
B.1,2,3¡C
C.1,2,3,4¡C
D.1,2,3,5¡C
E.1,3,5¡C
 
(E) 22. §¿¬r¯g±wªÌ¦b±µ¨ü¦å²G³zªRªvÀø«á¡A¤U¦C¨º¨Ç±¡ªp¤´µLªkÀò±oÅãµÛ§ïµ½¡H 1. µÃ·¾ÀG¹D¯g­Ô¸s¡]Carpal tunnel syndrome¡^¡C 2. Congestive heart failure¡C 3. Hepatitis¡C 4. Hyperkalemia¡C 5. Hypertriglyceridemia¡C
A.1,2¡C
B.3,4,5¡C
C.2,4¡C
D.3,5¡C
E.1,3,5¡C
 


< ¤K¤Q¤C¦~¸ÕÃD¥Ø¿ý >