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(D) 1.¤U¦C²Õ¦X¬°¿ù»~ªºÅ¥¶E(1)¤G¦y䳬Âꤣ¥þ-«e¦¬ÁY´Á¼W±j©ÊÂø­µ(presystolic accentuation)(2)¤G¦yä¯U¯¶-²Ä¤@¤ß­µ¼W±j(3)¥D°Ê¯ß䳬Âꤣ¥þ-Graham-Steell murmur(4)¥D°Ê¯ß¯U¯¶-²Ä¤G¤ß­µ¥æ¤e©Ê¤Àµõ(paradoxical splitting of S2)(5)¤T¦y䳬Âꤣ¥þ-©I®ð®É¤ßÁYÂø­µ¼W±j
A.1+2+3
B.2+3+4
C.3+4+5
D.1+3+5
E.1+4+5
 
(B) 2.¤U¦C§Ü·L¥Íª«Ãľ¯»P°Æ§@¥Îªº²Õ¦X¡A¦óªÌ¬O¿ù»~¡H
A. Chloramphenicol----Aplastic anemia(¦A¥Í¤£¨}©Ê³h¦å¡^
B. Kanamycin----Hepatic failure¡]¨x°IºÜ¡^
C.Amphotericin B ----Hypokalemia ¡]§C¦å¹[¯g¡^
D.Isoniazide----Neuropathy¡]¯«¸gÅܩʯg¡^
E.Tetracycline----Photosensitivity¡]¥ú½u±Ó·P¯g¡^
 
(D) 3.¦³Ãö§¿²GªºÀËÅç¡A¤U¦C¦óªÌ¬°«D¡H
A.§¿¤¤³J¥Õ¶q > 150mg/¤é¡Aµø¬°¤£¥¿±`
B.§¿¤ñ­«< 1.015®É¡A¤@¯ëµø¬°§C±i©Ê§¿²G (Hypotonic)
C.§¿¤¤¦³¶Ý¬õ¦å²y¹L¦h®É (Eosinophiluria) ¡A¥i¯à¦³¹L±Ó©Ê¶¡½èª¢ (interstitial nephritis)
D.¦å§¿ (microscopic hematuria)ªº©w¸q¬O¦b°ª­¿µø³¥¤U¦h©ó10­Ó¬õ¦å²y
E.¦h§¿(polyuria)ªº©w¸q¬O¨C¤é§¿¶q¤j©ó3¤½¤É (3 liters)
 
(A) 4.¤U¦C¦³ÃöªÍ¤¤¸­¯g­Ô¸s(middle lobe syndrome)ªº±Ô­z¡A¦óªÌ¤£¥¿½T¡H
A.¥D­nÅܤƬ°ªÍ¤¤¸­¦]¤ä®ðºÞ¤ºªý¶ë (endobronchial obstruction)¦Óµo¥Í¤ÏÂЪºªÍ¶ò³´ (atelectasis)
B.·P¬V©ÊªÍª¢ (infectious pneumonitis)¬O³Ì±`¨£ªº¯f¦]
C.±`¨£¤§¯gª¬¦³«y¹Â¤Î·Lµo¿N
D.¤ä®ðºÞ¤º¸~½F (endobronchial tumor)¡B·ðªý¶ë¡B¥~³¡¨ÓªºÀ£­¢¡B¤Î²§ª«µ¥­ì¦]¬O±`¨£ªºÅ²§O¶EÂ_
E.¤ä®ðºÞÂX±i¯g¤ÎÅÖºû¤Æ¬O±`¨£ªº«á¿ò¯g
 
(B) 5.¤U¦C¦³Ãöµ²®Öµß¯À (PPD)¸ÕÅç¤ÏÀ³ªº°O­z,¦óªÌ¬O¥¿½T?(1)µ¹¤©§Üµ²®ÖµßªvÀø«á¤ÏÀ³·|´î®z(2)±µºØ¥d¤¶­]«á(BCG)«á¬ù4 ¶g·|§e¶§©Ê¤ÏÀ³(3)Ãþ¦×½F(Sarcoidosis)¯f¤H±`·|¥Ñ¶§©ÊÂର³±©Ê(4)¬õ¨ª(Erythema)¤§ª½®|¦b15mm¥H¤U§P¬°³±©Ê¤ÏÀ³(5)³±©Ê¤ÏÀ³¥i±Æ°£¯f¤H¿©±wµ²®Ö¯f
A.1+2
B.2+3
C.3+4
D.4+5
E.1+5
 
(E) 6.¨k©Ê¡A°·±dª¬ªp©|¥i¡A¤½°È­û¡AÅé­«65Kg¡C¦]­G¤§«Õªù³¡¯U¯¶¯g±µ¨ü¨È¥þ©Ê­G¤Á°£(subtotal gastrectomy)¡A³N¤¤¥X¦å¬ù500ml¡C½Ð°Ý»Ý¤£»Ý¿é¦å¡H­Y»Ý­n¡AÀ³¥Î¤U¦C¨º¤@¶µ¡H
A.¥þ¦å
B.¿@«p¬õ¦å²y
C.¬~º°¬õ¦å²y
D.·sÂA§N­á¦å¼ß
E.¤£»Ý­n¿é¦å²G
 
(A) 7.¦³Ãö¿}§¿¯fµÇ¯fÅܤ§±Ô­z¡A¦óªÌ¦³»~¡H
A.±±¨î¦å¿}¥i¦^´_ macroalbuminuria
B.±±¨î¦åÀ£¥i©µ½w¯fµ{
C. Angiotensin - converting enzyme (ACE)§í¨î¾¯¥i©µ½w¯fµ{
D.¦p¦³ azotemia,³J¥Õ­­¨î¥i©µ½w¯fµ{
E.©|¥i¨Ï¥Î¥Ñ¨xŦ¥NÁ±ƪnªºgliquidone ¨Ó±±¨î¦å¿}
 
(E) 8.­þ¤@¿E¯À«D§C¦å¿}ªº¹ï§Ü¿E¯À¡H
A.¥Íªø¿E¯À¡]growth hormone¡^
B.¤É¿}¯À¡]glucagon¡^
C.¥Ö¾J¡]cortisol¡^
D.¥¿µÇ¤W¸¢¯À¡]norepinephrine¡^
E.Åé§í¯À¡]somatostatin¡^
 
(D) 9.¦b¼ìºÅ©Êµ²¸zª¢»P§J¶©¤ó¯f (Crohn's Disease)§¡¥iµo²{¤§¯f²zÅܤƬO
A.«D³sÄò©Ê¼ìºÅ
B.úPºÞ§Î¦¨
C.²O¤Ú¾®¶°(lymphoid aggregates)
D.ÁôºÛÁwºÅ(crypt abscess)
E.¦×ªÞ¸~(granuloma)
 
(B) 10.¹ï¥xÆW¦a°Ï¤§65·³¥H¤Wªº¦Ñ¦~¤H¡AÀ³­nªº¹w¨¾±µºØ¬O(1)ªÍª¢²yµß²y­](2)¤é¥»¸£ª¢¬Ì­](3)¬y¦æ©Ê·P«_¬Ì­](4)¯}¶Ë­·¡B´î¶q¥Õ³ï²V¦X¬Ì­](Td)(5)B«¬¶Ý¦å±ìµß¬Ì­] (Hib vaccine)
A.1+2+3
B.1+3+4
C.2+3+5
D.2+4+5
E.3+4+5
 
(E) 11.°ª±Æ¦å¶q¤ß°IºÜ(high output failure)¤§¯f¦]¦³(1)ªÎ«p©Ê¤ß¦Ù¯f(2)¥Òª¬¸¢¾÷¯à¤®¶i(3)¹¬´Uä¯U¯¶(4)°ª¿N(5)Paget's disease
A.1+2+3
B.2+3+4
C.2+3+5
D.1+3+5
E.2+4+5
 
(D) 12.¤U¦C¨º¤@¶µÃĪ«µLªk¥Î©óªvÀø©Î¹w¨¾¤Æ¾ÇªvÀø©Ò¾É­P¤§¹Ã¦R¡H
A. Metoclopramide
B.Dexamethasone
C.Lorazepam
D.H2-blocker ¡A ¨Ò¦pfamotidine
E.Serotonin antagonist ¡A¨Ò¦pondansetron
 


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