100年10月內科部教學活動測驗.doc

100年10月內科部教學活動測驗 The following statements regarding acromegaly are correct, except? ()Mostly it is caused by over-secretion of growth hormone (GH) from pituitary adenoma. (B)Insulin-like growth factor-1 (IGF-1) is stimulated by excessive GH. (C)When diagnosed, two thirds of the adenomas are microadenomas (greatest diameter 1.0 cm). (D) When diagnosed, two thirds of the adenomas are macroadenomas (greatest diameter ≥ 1.0 cm). (E)The disease activity is insidious in progression. 2. The treatment strategies for acromegaly include: (A)Surgical removal of the adenoma. (B)Dopamine agonist (e.g. cabergoline). (C)Somatostatin analogue. (D)Growth hormone receptor antagonist. (E)All of the above. Patients with pulmonary hypertension resulting in marked limitation of physical activity. They are comfortable at rest. Less than ordinary activity causes undue dyspnea or fatigue, chest pain or near syncope. Which level is the patient in WHO functional Class? Class I. Class II. Class III Class IV About sarcoidosis, which is wrong? Serum angiotensin converting enzyme activity and gallium-67 scanning: high diagnostic value. Pathological hallmark -- noncaseating granuloma Lungs and thoracic lymph nodes almost always involved Self-limited or chronic, with episodic recrudescence and remissions 5. 一位十二指腸潰瘍的患者在接受根除幽門螺旋桿菌(Helicobacter pylori)的三合一療法之後，下列檢查適合用於確定殺菌是否成功，何者除外？ 快速尿素(rapid urease)測試 尿素呼吸檢查(urea breath test) (C) 血清學(serology)檢測 病理組織檢查(histology) 糞便抗原(stool antigen)檢查 下列有關幽門螺旋桿菌(Helicobacter pylori)的敘述，何者正確? 1.80%感染者會有消化性潰瘍，2.除菌後約60-75%的胃黏膜相關淋巴組織淋巴癌(mucosa-associated lymphoid tissue lymploma)可以得到緩解，3.與胃賁門癌發生有關，4.屬於具有尿素脢(urease)之革蘭氏陰性菌(Gram-negative bacteria) A). 1+3 (B). 2+4 (C). 1+4 (D). 3+4 (E). 1+2 下列哪一種處置不會改善急性心肌梗塞病患（NSTEMI）的短期或是長期的預後? (A) Aspirin, Plavix and Heparin(UFH), plus IV Isoket (B) Emergent revascularization within 90 minutes (C) beta-blocker as long as his condition stabilized after admission (D) chronic ACE inhibitor administration if not contrai