(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 |
|