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Transcription:

年 類 2101 6 1 不 80 1.25 2 不 1 列 不 hypokalemia 見 利尿 度 離 狀 2 列 X 離 free air 流 diagnostic peritoneal lavage 不 CT scanfalse negative ultrasound 3 離 Ca ++ 列 離 度 2.2 2.7 mg/dl 9 11 mmol/l 離 狀 離 狀 stupor 類 神 狀 離 crisis 度 17 mg/dl 離 律不 4 列 不 systemic inflammatory response syndrome 狀 tachycardia tachypnea 5 列 sepsis 力 降 數 力 6 不 易 obesity 3 塞 chronic obstructive pulmonary disease 7 列 不 刺 Deep brain stimulation 療 Cingulum Thalamus Brain stem Hippocampus 8 列 Transient ischemic attack 狀 24 復 神 reversible ischemic neurological deficit 狀 24 9 列 meningioma germinomapinealoma 神 Schwannoma 神 ependymona 10 神 不 Ophthalmic division Maxillary division Mandibular division 率 11 流 念 度 Cerebral perfusion pressure mmhg 50~150 60~150 50~90 70~90 12 列 -α Interferon-α 療 都不 切 流量 high-flow 塞 intra-arterial embolization 療 類 療

6 2 13 廉 Williams syndrome 列 異 14 列 groin flap lateral circumflex femoral a. & v. scapular flapthoracodorsal a. & v. fibular flap peroneal a. & v. 15 女 gynecomastia 列 狀 testicular tumor cimetidine, cannabis 量 heavy smoker 16 列 2 3 了 異 不 mg 17 降 posterior descending coronary artery 來 狀 Left main coronary artery 降 狀 Left anterior descending coronary artery 狀 Left circumflex coronary artery 狀 Right coronary artery 18 B 離 療 列 療 降 塞 19 arterial switch 來 1 2 度 20 狀 若 不 什 來 Thallium 21 降 Descending aortic aneurysm 不 Simple cross-clamping 切 量 離 弄 不 22 Pancoast syndrome 不 列 Horner s syndrome 神 異 23 連 flail chest 列 連 肋 兩 裂 廓 異 24 肋 pleural effusion 列 肋 0.5 exudate 肋 LDH LDH 0.6 exudate 肋 LDH 1.67 exudate 立 X 見肋 costophrenic angle 300 c.c. 25 T 率 computed tomography endoscopy Magnetic resonance imaging Positron emission tomography

6 3 26 列 立 solitary pulmonary nodule SPN 狀 5 若 50 50% 惡 SPN 不 27 Choledochal cyst 臨 Classic clinical triad Right upper quadrant pain, jaundice, an abdominal mass Right upper quadrant pain, jaundice, fever Fever, jaundice, an abdominal mass Fever, jaundice, pancreatitis 28 Diagnostic imaging 列 便 便 不 度 Computed tomography Magnetic resonance Ultrasonography Angiography 29 Hepatocellular carcinoma Risk factors 見 精 Alcoholic cirrhosis B HBV carrier Aflatoxins Contraceptives 30 Primary pancreatic cancerductal adenocarcinoma Pancreatic head Pancreatic body Pancreatic tail 31 葉 Right lobecouinaud and colleagues Segmental system 類 葉 Segment I II III IV III IV V VI V VI VII VIII VI VII VIII I 32 列 Lipomas Adenomas Fibromas 滑 Leiomyomas 33 Rovsing s sign, psoas sign, obturator sign 來 Acute diverticulitis Pancreatitis Acute cholecystitis Acute appendicitis 34 Borrmann 類 若 Diffusely infiltrating gastric carcinoma Borrmann Type I Borrmann Type II Borrmann Type III Borrmann Type IV 35 療 列 淋 36 留 若 復 列 不 療 復 淋 復 Disease free 37 列 90% 暈 不 不 1/4 1/4-1/5 泌 38 留 療 年 39 療 若 療 療 CMF cyclophosphamide, methotrexate, 5-FU FAC 5-FU, anthracycline, cyclophosphamide AC anthracycline, cyclophosphamide 若 CMF 療 disease-free interval 年 療 若 disease-free interval 年 CMF 療 若 量 Anthracycline-base 療 療 不論 disease-free interval Taxane

6 4 40 神 neuroblastoma neck, mediastinum, paraspinal, adrenal medulla neck, paraspinal, mediastinum, adrenal medulla mediastinum, adrenal medulla, paraspinal, neck adrenal medulla, paraspinal, mediastinum, neck 41 acute appendicitis 塞 42 切 splenectomyabsolute indication Hereditary spherocytosis idiopathic thrombocytopenia purpura thalassemia major traumatic splenic rupture 43 Ulcerative colitis 度 不 便 數 降 降 率 ESRHct 44 列 adenomatous polyp 理 狀 tubular adenomatous polyp 狀 狀 tubulovillous adenomatous polyp 狀 villous adenomatous polyp 狀 見 狀 狀 見 狀 惡 45 inflammatory bowel disease 不 列 T-cell derived cytokines Cytotoxic T lymphocytes Neutrophil products B-cell derived cytokines 46 列 diverticulosis of colon false diverticulum 數 sigmoid colon 若 barium enema 來 47 列 量 massive LGI bleeding 度 24 10 unit barium enemaangiography nuclear scan 來 度 2 ml/min 48 列 不 chronic ulcerative colitis 隆 Crohn s disease familial adenomatous polyposis tuberculous colitis 49 列 牢 來 external bridging callus 力 tension side 離 不 osteogenesis imperfecta 若 類 corticosteroid 50 列 X 10% 來 行 輻 療 51 療 列 不 見 不 malunion 不 nonunion subtalar joint 52 rotator cuff 不 列 supraspinatus infraspinatus subscapularis teres major

6 5 53 理 2 不 early spica cast 90/90 skeletal traction 復 度 狀 sagittal plane20-30 度 狀 Frontal plane 15-20 度 狀 hip spica cast 療 Abduction 度 度 External rotation 54 Herniated intervertebral disc 列 40 神 見 Vertebral apophysis 療 1 2 若 Cauda equina syndrome 55 列 神 palmaris longus 狀 pisiform 神 carpal tunnel 56 Thoracolumbar burst fracture 列 Axial compression 若 sacral sparing 若 度 50% 療 若 不 神 切 Laminectomydecompression 57 列 量 異 降 58 列 流 力參數 力 Systemic vascular resistance 力 Pulmonary artery pressure Pulmonary capillary wedge pressure Central venous pressure 59 laryngeal maskventilation 列 良 流 力 70 mmhg 良 seal pressure 不 20 mmhg 不 60 列 propofol 量 antiemetic tidal volume 連 continuous infusion 復 識 不 61 Morphine fentanyl morphine onset time morphine 理 離 率 度 度 volume of distribution 62 列 muscle relaxants 不 duration of action atracurium pancuronium rocuronium vecuronium 63 狀 dorsiflexion 力量 了 神 L3 L4 L5 S2 64 Epidural anesthesia 刺 列 Supraspinous ligament Posterior longitudinal ligament Intraspinous ligament Ligamentum flavum

6 6 65 Fuchs 狀 macular corneal dystrophy 66 Ultrasonic scanning 雷 量 Laser fusion Extracapsular lens extraction Intracapsular lens extraction 67 列 Entropion Involutional entropion Senile entropion Congenital entropion 不 TrachomaCicatricial entropion 68 列 糖尿 切 糖 HbA 1c 率 率 糖 69 astigmatism cylindrical 稜 prism multifocal afocal 70 列 extraocular muscle 六 orbital apex rectiequator 兩 oblique Y intortion 71 不 列 狀 力 halo vision 神 disc cupping 72 列 量 Goldmann applanation tonometry Schiötz indentation tonometry air-puff or pneumatic tonometry Tono-pen tonometry 73 了 便 淋 Strong Levels 不 I~V I~IV II~VI II~V 74 列 不 咽 易 年 efferentafferent 淋 75 咽 見 梨狀 咽 狀 76 列 易 77 78 力 pure-tone average 3 率 250 Hz, 500 Hz, 1000 Hz 500 Hz, 1000 Hz, 2000 Hz 1000 Hz, 2000 Hz, 3000 Hz 2000 Hz, 3000 Hz, 4000 Hz 79 列 見 見 力 神 80 X IgE 度