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(D) 1. ¤U¦C¦³Ãö2009¦~¶}©l¬y¦æ¤§novel H1N1¬y·Pªº±Ô­z¡A¦óªÌ¿ù»~¡H
A.¦¹¯f¬rªº°ò¦]¬O¥Ñ½Þ¡B¸V¡B¤H¤TºØ¯f¬rºØ·½²V¥æ¦Ó²Õ¦¨ªº¡C
B.¦¹·sºØ¯f¬r·P¬V¬O¥Ñ¾¥¦è­ô¶}©l¥X²{ªº¡C
C.¦¹·sºØ¯f¬r¹ïamantadine¤Îrimantadine§¡¨ã§ÜÃÄ©Ê¡C
D.¦¹·sºØ¯f¬r¹ïoseltamivir¨ã§ÜÃĩʮɡAzanamivir¤]¦P®É´N·|¥¢¥h®Ä¥Î¡]¤]¨ã¦³§ÜÃÄ©Ê¡^¡C
E.¦¹·sºØ¯f¬r¥D­n¬O¸g¥Ñ­¸ªj¶Ç¼½¤Î±µÄ²¶Ç¼½¦Ó´²¼½¥X¥h¡C
 
(E) 2. ¤U¦C¦³ÃöLeptospirosis¤§±Ô­z¡A¦óªÌ¿ù»~¡H
A.LeptospirosisÄÝ©ó¤@ºØ¤H¯b¦@³q¶Ç¬V¯e¯f¡]zoonosis¡^¡A¨ä­P¯f­ì³Ì­«­nªº¶J¦sºÛ¡]reservoir¡^¬O¹«Ãþ¡C
B.Leptospira·P¬V¤HÅé¥i¸g¥Ñ¦³¶Ë¤fªº¥Ö½§¤Î§¹¾ãªºÂH½¤¡C
C.Leptospira·P¬VªÌ¥i¥H¹³¬Oacute influenza-likeªºÁ{§Éªí²{¡A¥X²{µo¿N¡B¬È´H¡BÀYµh¡B¦Ù¦×»Äµhµ¥¡C
D.Weil's syndrome¯f¤H·|¦³¶À¯n¡BµÇ¥\¯à»Ùê¡B¥X¦å¶É¦V¤Î°ª¦º¤`²v¡C
E.»´¯gªÌ¥i¨Ï¥ÎpenicillinÃþ©ÎtetracyclineÃþÃĪ«ªvÀø¡A¹ï©ó­«¯gªÌÀ³¿ï¥Î²Ä¤T¥Ncephalosporin©ÎcarbapenemÃþÃĪ«ªvÀø¡C
 
(A) 3. ¤@¦ì56·³¨k©Ê¯f¤H¨Ó¦Û¥xÆW«n³¡²T¤ô¦a°Ï¡A¦]µo°ª¿N¦Ó´N¶E¡A¯Ý³¡X¥úÅã¥Ü¨â°¼¦hµo©ÊªÍª¢®û¼í¡Amelioidosis³Q¦C¤JŲ§O¶EÂ_¤§¤@¡A¤U¦C¦³Ãö¦¹¯f¤§±Ô­z¡A¦óªÌ¿ù»~¡H
A.¦¹¯f¬O¥ÑBurkholderia mallei©Ò¤Þ°_ªº¡C
B.¦¹¯f¥D­n¬y¦æ©óªF«n¨È¦a°Ï¡A¨ä­P¯f­ì³q±`¦s©ó¼éÀãªd¦aùØ¡C
C.¦¹¯f«æ©Ê·P¬V³Ì±`«I¥Çªº³¡¦ì¬OªÍ³¡¡C
D.½T©w¶EÂ_³q±`¬O¸g¥Ñ°ö¾iµý¹ê¡C
E.ªvÀøªº­º¿ïÃĪ«¬Oceftazidime¡C
 
(B) 4. ¤@¦ì46·³¤k©Ê¯f¤H¡A¦]µo¿N¡B¬È´H¡B¥k°¼¸y³¡¯kµh¦Ó¨Ó«æ¶E¡A°Ý¶E¥çµo²{ªñ¤é¦³ÀW§¿²{¶H¡A¸g§¿²GÀˬdµo²{¦³WBC>100/ HPF¡A§¿²G°ö¾i¤Î¦å²G°ö¾i§¡ªø¥XEnterococcus faecalis¡A¹ï©Ò´ú¸Õ¤§§Ü¥Í¯À§¡¨ã±Ó·P©Ê¡]susceptible¡^¡A½Ð°Ý¤U¦C¦óºØÃĪ«ªvÀø¤è¦¡¬O³Ì¦X¾A¤§¿ï¾Ü¡H
A.Cefazolin+gentamicin¡C
B.Ampicillin+gentamicin¡C
C.Trimethoprim¡þsulfamethoxazole¡C
D.Ceftriaxone alone¡C
E.Cefazolin alone¡C
 
(E) 5. ¤@¦ì52·³¨k©Ê¯f¤H¡A¦]µo¿N¡BÀYµh¤T¤Ñ¦Ó¦Ü«æ¶E³B´N¶E¡A²z¾ÇÀˬdµo²{¯f¤H·NÃѲM¿ô¡A¦ýÀV³¡©úÅã»øµw¡Alumbar puntureµo²{opening pressure 480 mmH2O¡ACSFÀˬdµo²{WBC 180/cmm¡AL:N=140:40¡Aprotein 120 mg/dL¡Aglucose 20 mg/dL¡AGram stain (¡Ð)¡Aacid-fast stain (¡Ð)¡AIndia ink stain¨£¨ìbudding yeast¡C½Ð°Ý¤U¦C¦³Ãö¦¹¯e¯f¤§±Ô­z¡A¦óªÌ¿ù»~¡H
A.¥HCSF¶i¦æ¦¹¯f­ì·L¥Íª«¤§antigen test¡A¨ä¶§©Ê²v¥i°ª¹F80%¥H¤W¡C
B.¦¹¯f­ì·L¥Íª«¶i¤J¤HÅé³q±`¬O¸g¥Ñ©I§l¹D¶i¤Jªº¡C
C.Fluconazole¬OªvÀø¦¹¯e¯fªº¤@ºØ¦³®ÄÃĪ«¡C
D.¦¹¯f¬OAIDS¯f¤H¤¤¼Ï¯«¸g·P¬V³Ì±`¨£ªº¤@ºØ¡C
E.¦¹¯f­ì·L¥Íª«¤À¬°A¡BB¡BC¡BD¥|ºØserotype¡A¦ÛµM¬É¤¤¥D­n³£¦s¦b©óÂFÁT¤¤¡A¦Ó³y¦¨¤HÃþ·P¬V¡C
 
(E) 6. ¤U¦C¹ï©óµ²®Ö¯f¤§±Ô­z¡A¦óªÌ¿ù»~¡H
A.¥Ø«e¼Ð·Ç¤§ªvÀø¬°«e¨â­Ó¤ëÀ³µ¹¤©isoniazid.+rifampin+ethambutol+pyrazinamide¥|ºØÃĪ«¡C
B.¥Ø«e¹ï©ó«D§ÜÃĩʤ§¶}©ñ©ÊªÍµ²®Öªº¼Ð·ÇªvÀøÀøµ{¬°¤»­Ó¤ë¡C
C.¶}©lµ¹¤©§Üµ²®ÖÃĪ«¤§ªvÀø«eÀ³¥ýÀËÅç¯f¤H¤§¨x¡BµÇ¥\¯à¡C
D.¤£½×¬OªÍµ²®Ö©ÎªÍ¥~µ²®Ö§¡»Ý©ó¤@¶g¤º³q³ø½Ã¥Í¥DºÞ¾÷Ãö¡C
E.³Ì±`¨£¤§ªÍ¥~µ²®Ö¬°µ²®Ö©Ê¸£½¤ª¢¡C
 
(C) 7. ¤U¦C¯e¯f»P¾A·í§Ü¥Í¯À¿ï¾Üªº²Õ¦X¤¤¡A¦óªÌ¿ù»~¡H
A.Methicillin-resistant Staphylococcus aureus (MRSA)¡VVancomycin¡C
B.Scrub typhus¡VDoxycycline¡C
C.Listeria monocytogenes¡VCeftriaxone¡C
D.Clostridium tetani¡VPenicillin G¡C
E.Legionella pneumophila¡VAzithromycin¡C
 
(B) 8. ¤@¦ì36·³¨k©Ê¯f¤H¡A¦]µo¿N©ó¬YÂå°|¶EÂ_¬°Salmonellaµß¦å¯g¡A¦Û°Ê¥X°|¦ÓÂà¦Ü¥t¤@Âå°|¡A½Ð°Ý¦¹®É¤U¦C§PÂ_¦óªÌ¿ù»~¡H
A.­Y­P¯fµß¬°non-typhoid Salmonella¡A«hÀ³¥ý¿ï¥Î²Ä¤T¥Ncephalosporin©ÎfluoroquinoloneªvÀø¡C
B.­Y­P¯fµß¬°non-typhoid Salmonella¡A¥Bªþ±Ó·P©Ê´úÅç³ø§i¬°cefazolin¡Agentamicinµ¥ÃĪ«§¡¬°susceptible¡A«hÀ³¥ý¿ï¥Îcefazolin+gentamicinªvÀø¡C
C.­Y­P¯fµß¬°non-typhoid Salmonella¡A¥i»{©w¨ä­P¯fµß¨Ó¦Û¨ä¥L°Êª«¡C
D.­Y­P¯fµß¬°Salmonella typhi¡A¥i»{©w¨ä­P¯fµß¨Ó¦Û¨ä¥L¤H¤§±Æªnª«¦Ã¬V¡A¦Ó«D¨ä¥L°Êª«¨Ó·½¡C
E.­Y­P¯fµß¬°Salmonella typhi¡Aµo¯f²Ä¤@¶g¥i¯à¦b¨­¤W¥X²{rose spots¡C
 
(C) 9. ¤@¦ì58·³¤k©Ê¯f¤H¡A¦]«ùÄò¤@¶g¤§fever¦Ó¨Ó´N¶E¡A²z¾ÇÀˬdÅ¥¨ì¦³heart murmur¡A¸g¤U¦CÀˬd¶EÂ_¬°infective endocarditis¡A½Ð°Ý¤U¦C¦óªÌ²Å¦XDuke criteria¤¤¤§¥¿½Tmajor criteria¡H(À³¿ï¥X¥þ³¡µª®×) 1.¦å²G°ö¾iªø¥XHaemophilus parainfluenzae¡C 2.¤ßŦ¶W­µªiÀˬd¨£¨ìmitral valve¤W¦³¤@­Ó0.5¤½¤Àª½®|¤§oscillating mass¡C 3.²´©³Àˬd¨£¨ìRoth's spot¡C
A.1
B.2
C.1+2
D.1+2+3
E.2+3
 
(C) 10. ¤@¦ì20·³¤j¾Ç¥Í¦]«æ©Êµo¿N¡BÀYµh¡B¥þ¨­»Äµh¡B«y¹Â¦Ó©ó2009¦~8¤ë31¤é¦Ü¬Y¥xÆWÂå°|«æ¶E´N¶E¡A­Y§A¬O·í®É«æ¶E·í¯Z­t³dÂå®v¡A½Ð°Ý§A·|±Ä¨ú¤U¦C¨º¨Ç§@¬°³B²z¦¹¯f¤H¡H(À³¿ï¥X¥þ³¡µª®×) 1.À¹¥~¬ì¤f¸n¶i¦æ°Ý¶E¤Î²z¾ÇÀˬd¡C 2.½Ð¯f¤H¤]À¹¤W¥~¬ì¤f¸n©Î¨ä¥L¥­­±¤f¸n¡C 3.±Ä¨ú»ó«|«ø¤l©Î³ïÄV«ø¤l¶i¦æ¬y·P¯f¬rÀËÅç¡C 4.­YÁöµLªÍª¢¤Î¨ä¥L¨Öµo¯g¡A¦ý­Y¬y·P¯f¬r§Ö³t¿zÀ˶§©Ê¡A§YÀ³¥ß¨è³q³øµ¹½Ã¥Í¥DºÞ¾÷Ãö¡C 5.­YµLªÍª¢¤Î¨ä¥L¨Öµo¯g¡AÁö¬y·P¯f¬r§Ö³t¿zÀ˳±©Ê¡A¥çÀ³¾¨³tµ¹¤© oseltamivirªvÀø¡A¥HÁקKÂàÅܦ¨­«¯g¯f¨Ò¡C
A.1+2+3+4+5
B.1+2+3+4
C.1+2+3
D.2+3+4
E.2+3+4+5
 


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