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(C) 1.Courvoisier's sign¡]palpable nontender gallbladder¡^³Ì¥i¯à¥X²{©ó¤U¦C¦óªÌ¡H
A.Hepatocellular carcinoma
B.Klatskin tumor
C.Pancreatic head cancer
D.Chronic cholecystitis
E.Acute cholecystitis
 
(C) 2.¤U¦CÃö©ó«æ©Ê¯ØŦª¢»P¦å²M¾ý¯»úC¡]amylase¡^¤§±Ô­z¡A¦óªÌ¿ù»~¡H
A.ªÍÀù¥i¯à»s³yamylase¡A¿×¤§¡§Tumor¡¨ hyperamylasemia
B.¯ØŦ»s³yªºP isoamylase¡A¦û¦å²MamylaseÁ`¶qªº35~45%
C.µÇ°IºÜ±wªÌ¡A±ý¶EÂ_«æ©Ê¯ØŦª¢¡A»Ý¨Ì¿àÀËÅç¦å²Mlipase¼Æ­È
D.«æ©Ê¯ØŦª¢µo§@«á3~5¤Ñ¡A¦å²Mamylase¼Æ­È³q±`¤w­°¦Ü¥¿±`½d³ò¤º
E.«æ©Ê¯ØŦª¢±wªÌ¡A¨ä¦å²Mamylase¼Æ­È¥i¯à¦]hypertriglyceridemia¦Ó§e²{¦b¥¿±`½d³ò¤º
 
(B) 3.¤U¦C¦U¶µÃö©óßÓª«©Ê¨x¶Ë®`¤§±Ô­z¡A¦óªÌ¿ù»~¡H
A.ºC©Ê³¤°sªÌ¡A2§Jacetaminophen¤]¥i¯à³y¦¨¨x¶Ë®`
B.Isoniazid¨Ï¥Î¼Æ©P«á¡AGOT/GPT¥i¯à·|¤É°ª¡A¦pªG¨S¦³°±ßÓ¡A¨ä¼Æ­È·|«ùÄò¤W¤É
C.Amiodarone¤§¥b°I´Á¬Û·íªø¡A¨x¥\¯à«ü¼Æ²§±`¦b°±ßÓ«á¥i¯àºû«ù¼Æ¤ë¤§¤[
D.Phenytoin³y¦¨ªº¨xª¢¡A»P¯f¬r©Ê¨xª¢¤£©ö°Ï¤À¡A±©¨x²Õ´¤º¥i¨£³\¦heosinophils
E.Oral contraceptive¡]estrogenic + progestational steroid¡^¥i¯à³y¦¨cholestasis
 
(C) 4.¤@¦ìChild's Bªº¨xµw¤Æ¯f¤H¡A¤U¦C±¡ªp¥i¯à¾É­Phepatic encephalopathy¡A°£¤F¡G
A.Gastrointestinal bleeding
B.Infection
C.Hyperkalemia
D.Alkalosis
E.Narcotics
 
(B) 5.ºC©ÊB«¬¨xª¢±wªÌ±µ¨ü¤zÂZ¯À¡]interferon £\¡^ªvÀø¡A¤U¦C±Ô­z¦óªÌ¿ù»~¡H
A.HBeAg(+)¡AGPT­È¦b¥¿±`½d³ò¤W­­2­¿¥H¤W¡A¨x¤Á¤ùµý¹ê¦³ºC©Ê¨xª¢¡A§Y¥i¦Ò¼{¤zÂZ¯ÀªvÀø
B.GPT­È¸û§C¡AHBV DNA¿@«×¸û°ª¡A¤zÂZ¯ÀªvÀø®ÄªG¸û¦n
C.¡§flulike¡¨symptoms¡Amarrow suppression¡Aautoimmune reactions¬Ò¬O¤zÂZ¯À¤§¥i¯à°Æ§@¥Î
D.¦¹µ¥ªvÀø¤§¥Ø¼Ð¬O¨Ï¦å¤¤HBeAg³±Âରanti-HBe¡AGPT­È«ì´_¥¿±`
E.ªvÀø¦¨¥\¤§ºC©ÊB«¬¨xª¢±wªÌ¡A¨ä«á¨Ó¤§¯f¥v¸û¨Î
 
(B) 6.Ãö©óºC©ÊC«¬¨xª¢¤§ªvÀø¡A¤U¦C±Ô­z¦óªÌ¿ù»~¡H
A.¦å¤¤HCV RNA(+)¡AGPT­È¦b¥¿±`½d³ò¤W­­2­¿¥H¤W¡A¨x¤Á¤ùµý¹ê¦³¤¤¦Ü­««×¨xª¢¡A§Y¥i¦Ò¼{¬I¥HªvÀø
B.¹ï©óHCV°ò¦]«¬2¤Î3¤§±wªÌ¡A¨ä¼Ð·ÇªvÀø¬°¤zÂZ¯À¦X¨ÖRibavirin¡AÀøµ{¬°48©P
C.¥Ø«eªº³ø§i¤wµý¹êPegylated interferon¤ñ¶Ç²ÎªºinterferonÀø®Ä¸û¨Î
D.Ribavirin¥i¯à¾É­Phemolysis¡A¦]¦¹À³ÁקK¨Ï¥Î©ó¦³³h¦åÅé½èªº±wªÌ
E.Ribavirin¤£À³¨Ï¥Î©óµÇ¥\¯à¥¢¥þ¤§±wªÌ
 
(B) 7.¯f¤H¦]¦R¦å³Q°e¦Ü«æ¶E«Ç¡Aªì¨B³B¸m«á±µ¨ü¤ºµøÃèÀˬd¡A³Qµo²{¦³­¹¹DÀR¯ß¦±±i¥X¦å¡C§A¬O³o¦ì¯f¤Hªº¥DªvÂå®v¡AÀ°¯f¤H¦w±Æ¸¡³¡¶W­µªiÀˬd¡A½Ð°Ý§A§Æ±æ°õ¦æ¸¡³¡¶W­µªiÀˬd¤§Âå®vÀ°§Aµý¹ê¤U¦C¦UºØ¥i¯àªº¯fªp¡A°£¤F¡G
A.¨xµw¤Æ
B.¤W¸zô½¤ÀR¯ß¡]superior mesenteric vein¡^¯U¯¶
C.¨xªùÀR¯ß®ê¶ë¡]portal vein thrombosis¡^
D.¨x°Ê¯ß»P¨xªùÀR¯ß²§±`¥æ¬y¡A¾É­P¨xªùÀR¯ß¦å¬y°f¬y
E.¨xÀR¯ß¡]hepatic vein¡^¤Î¤UµÄÀR¯ß¡]inferior vena cava¡^°ô¶ë©Î²§±`¡A§Y©Ò¿×Budd-Chiari syndrome
 
(E) 8.¤U¦CÃö©óchylous ascites¤§±Ô­z¡A¦óªÌ¿ù»~¡H
A.¦¹µ¥ascites¤¤¤§triglyceride¿@«×±`¤j©ó1000 mg/dL
B.¥D­n¥Ñ©ó²O¤ÚºÞ°ô¶ë¡A¨ä¯f¦]¥]¬A¡GÀù½F¡Aµ²®Ö¯g¡A³Ð¶Ëµ¥
C.¤]¥i¯à¥X²{©ónephrotic syndrome±wªÌ¤§ascites
D.¤]¥i¯à¥X²{©ópancreatic ascites
E.¬°¤FŲ©ó¶EÂ_¡A¥i¥Halkali¥h°£¨ä¤¤©Ò§tªºtriglyceride
 
(E) 9.¤@¦ì¯f¤H·P¨ì­Â«å¡A­G¤f¸û®t¡A©â¦åÀˬdµo²{¨äGOT=1000¡AGPT=800¡C±ý¶EÂ_¨ä¬°ºC©ÊB«¬¨xª¢¨Öµo«æ©ÊA«¬¨xª¢¡A¤U¦C¦å²M¨xª¢¯f¼Ð°O¤§²Õ¦X¡A¦óªÌ³Ì²Å¦X¡H
A.HBsAg(+)¡AIgGAnti-HBc(+)¡AIgGAnti-HAV(+)
B.HBsAg(+)¡AIgGAnti-HBc(+)¡AIgMAnti-HAV(-)
C.HBsAg(+)¡AIgMAnti-HBc(+)¡AIgGAnti-HAV(+)
D.HBsAg(+)¡AIgMAnti-HBc(+)¡AIgMAnti-HAV(-)
E.HBsAg(+)¡AIgMAnti-HBc(-)¡AIgMAnti-HAV(+)
 
(C) 10.°£¤F¨xµw¤Æ¦X¨Ö¨xªù¯ß°ªÀ£¡AµÊŦ¸~¤j¡]splenomegaly¡^¥ç¥i¥X²{©ó¤U¦C¦UºØ¯e¯f¡G(1) Felty's syndrome(2) Dengue fever(3) Splenic vein thrombosis(4) Myeloproliferative disorders(5) Chronic malaria¡]½Ð¿ï¥X©Ò¦³µª®×¡^
A.1+2+3+4
B.2+4+5
C.1+3+4+5
D.1+2+5
E.3+4
 
(D) 11.¤U¦C¦U¶µÃö©óºC©Ê¯ØŦª¢¤§±Ô­z¡A¦óªÌ¥¿½T¡H(1) ±wªÌ¤§¸¡µh³q±`«ùÄò¡A¬Û·í²`³¡¡A±`»Ý¨Ì¿ànarcotics¤îµh¡C(2) ¨ä¦å²Mamylase ³q±`¦b¥¿±`½d³ò¤º¡A¦ýlipase«h¤´©úÅã¤É°ª¡C(3) ¼sªx©Ê¯ØŦ¶t¤Æªí¥Ü¯ØŦ²Õ´¡A¤w¦³¬Û·íµ{«×ªº·l¶Ë¡A¥B¤£·|®ø¥¢¡C(4) ¥D¯ØºÞ³q±`·|ÂX¤j¡C(5) ¨Ï¥Î¯ØŦ»Ã¯ÀÁö¥i§ïµ½±wªÌexocrine insufficiency¤§¯gª¬¡A¦ýµLªk´î»´¯f¤H¤§¸¡µh¡C
A.1+2
B.2+3+4
C.4+5
D.1+4
E.2+3+5
 
(C) 12.¤W®ø¤Æ¹D¤ºµøÃèÀˬdµo²{­¹¹D¤W¦³¦h¼Æ¤p¶À¥Õ¦â¶©°_¯ZÂI¡A¨ä¶gÃ䦳¬õ¸~²{¶H¡A¨ä³Ì¥i¯àªº¶EÂ_¬O
A.¥¨²Ó­M¯f¬r­¹¹Dª¢
B.³æ¯Â¯p¯l­¹¹Dª¢
C.©À¯]µß­¹¹Dª¢
D.©ñ®g½u­¹¹Dª¢
E.»G»k©Ê­¹¹Dª¢
 
(B) 13.¤j¸z¤ºµøÃèÀˬdµo²{½uª¬¼ìºÅ¤Îª¦¦æ©Ê¼ìºÅ¡]serpigineous ulcer¡^¡A¨ä¶EÂ_À³¬°
A.Ulcerative colitis
B.Crohn's disease
C.Radiation colitis
D.Amoebic colitis
E.Collagenous colitis
 
(C) 14.¤U¦C¦³Ãö¦Ûµo©Ê²Óµß©Ê¸¡½¤ª¢¤§±Ô­z¡A¦óªÌ¬°»~¡H
A.±`µo¥Í©ó¨xµw¤Æ¦X¨Ö¸¡¤ô±wªÌ
B.¸¡¤ô¤º³J¥Õ§C¥B¦å²MÁx¬õ¯À°ªªÌ©ö±o
C.³q±`¬°¹½®ñµß·P¬V¡]anaerobic microorganism infection¡^
D.¥i¤ÞµoµÇ¥\¯à°I°h¤Î¨x¸£¯fÅÜ
E.¸¡¤ô¤º¦h§Î®Ö¥Õ¦å²y¡]PMN¡^°ª©ó250/cmm
 
(E) 15.ªvÀø¨x©Ê¸£¯fÅÜ¡A¤U¦CßÓª«¦óªÌ¤£¾A©y¡H
A.Lactulose
B.Neomycin
C.Branched-chain amino-acid
D.Flumazenil (Anexate)
E.Benzodiazepines
 
(D) 16.¤U¦C¦³Ãö¨x¸¢½F¡]hepatic adenoma)¤§±Ô­z¡A¦óªÌ¬°»~¡H
A.²Õ´¾Ç¤W«Y¥Ñ¥¿±`§ÎºA¤§¨x²Ó­M¼W¥Í¦Ó¦¨
B.»P¨Ï¥Î¤fªAÁ×¥¥ßÓ¦³±K¤ÁÃöÁp
C.³q±`¬°³æ¤@¡A¦ì¦b¥k¸­¤§¸~½F
D.¶EÂ_½T©w¡A¤fªAÁ×¥¥ßÓ¥i¥HÄ~Äò¨Ï¥Î
E.¸¢½F¦ì¸m¦b¥]½¤¤U¡]subcapsular¡^¡A¦p±ý¦A¥Í¨|¡A«h»Ý¦Ò¼{¥~¬ì¤Á°£
 
(D) 17.Áx¥ÄÆ{º¢¡]cholestasis¡^¥i¾É­P¤§²§±`¡A¦b¤U¦C±Ô­z¤¤¦óªÌ¬°»~¡H
A.Áx¬õ¯À¤ÎÁxÆQ¿n¦s©ó¦å¼ß¤¤
B.¦å²MÁx©T¾J¼W°ª
C.¯×ªÕ§l¦¬¤£¨}
D.ºû¥L©RA¡BD¡BE¤ÎB12¯Ê¥F
E.°©½è²¨ÃP
 
(D) 18.¤U¦C¦³Ãö¯ØŦª¢¤§±Ô­z¡A¦óªÌ¦³»~¡H
A.Áx¹Dµ²¥Û¤Î°sºëÀݥά°³Ì±`¨£¯f¦]
B.¾ý¯»úC¤§¤É°ª«×¤£ªí¥Üµoª¢¤§ÄY­«µ{«×
C.°ª¦å²M¤T»Ä¥Ìªo¯×¥i¯à¨Ï¾ý¯»úC¤Î¯×ªÕúC§e²{¥¿±`­È
D.C-reactive protein°ª©ó120 mg/L¡AµL§U©ó¹w´ú¯ØŦÃa¦º
E.Amylase-creatinine clearance ratio¦³§U©ó¶EÂ_µL¯gª¬¤§¥¨¾ý¯»úC¦å¯g¡]macroamylasemia¡^
 
(C) 19.¨àµ£±w¯×ªÕ§l¦¬¤£¨}¤Îºû¥L©RE¯Ê¥F³y¦¨¤§µøºô½¤¯f¤Î¯áÅè¤p¸£°h¤Æ¡A¥Í¤ÆÀˬdÅã¥Ü¦å¼ß³J¥Õ¤¸B¡]apolipoprotein B¡^¡B¤T»Ä¥Ìªoà­¤ÎÁx©T¾J§C¨ä¥i¯à¤§¶EÂ_¬°
A.Lactase deficiency
B.Congenital enteropeptidase deticiency
C.Abetalipoproteinemia
D.Celiac disease
E.Tropical sprue
 
(D) 20.¦³Ãö¹p¤¨¤ó¼x­Ô¸s¡]Reye's Syndrome¡^¤§¤U¦C±Ô­z¡A¦óªÌ¬°»~¡H
A.µo¥Í©ó15·³¥H¤U¨àµ£
B.¯×ªÕªÅªw§Î¦¨¡]vacuolization¡^¦b¨x¤ÎµÇ¤pºÞ
C.¥ý¦³¤W©I§l¹D·P¬V¯gª¬¡A¦Ó«áµo¥Í¹Ã¦R¡BµjÅË¡B©ü°g²{¶H
D.¹q¤lÅã·LÃèÀˬd¦³¨x¡B¸£¡B¦Ù¦×¤º·»Åé¡]lysosome¡^ºc³y§ïÅÜ
E.¥Í¦sªÌ¤£·|§Î¦¨ºC©Ê¨x¯f
 
(B) 21.¤U¦C¦³Ãö­G¿E¯À¡]gastrin¡^¤§±Ô­z¥iªÌ¥¿½T¡H(1) Gastrinoma¤j¦hµo¥Í¦b¯ØŦ(2) Zollinger-Ellison Syndrome¦h¼Æµo¥Í­¹¹Dª¢(3) ªÅ¸¡®É°ª­G¿E¯À­È¡A³Ì±`¨£©ó§C­G»Ä©ÎµL­G»ÄªÌ(4) ªvÀø®ø¤Æ©Ê¼ìºÅ¡A¨Ï¥Î§Ü¤ÀªcßÓª«¡A¥i¾É­P­G¿E¯À­È¼W°ª(5) «ÕªùÁ³±Û±ìµß·P¬V¤£­P¤Þ°_°ª­G¿E¯À¦å¯g
A.1+2+3
B.2+3+4
C.3+4+5
D.1+2+5
E.1+5
 
(B) 22.¤U¦C¿ò¶Ç©Ê¦å¦â¨HµÛ¯g¡]Hereditary hemochromatosis¡^¤§±Ô­z¡A¦óªÌ¦³»~¡H(1) ¦b¨x¡B¤ß¡B¯Ø¡B°Æ¥Òª¬¸¢¤ÎÃö¸`µ¥ÅK½è¹L¦h(2) ³y¦¨¨x·l¶Ë¬O¥Ñ²§½èµ²¦X¤l¡]heterozygotes¡^(3) ¯gª¬¤§¶}©l³q±`¦b20·³¤§«e¡A¤k©Ê§ó¦­(4) ¦å²MÀxÅK³J¥Õ¡]ferritin¡^¿@«×¼W°ª(5) ªA¥Î§tÅKºû¥L©R©Î¤fªAÁ×¥¥ßÓ¥i¯à¨Ï¹BÅK³J¥Õ¡]transferrin) ¿@«×¼W°ª
A.1+2
B.2+3
C.3+4
D.4+5
E.2+3+5
 


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