年月-台中荣民总医院.doc

台中榮民總醫院內科部20年0月學術演講測驗考卷1. 當ICU護士小姐跟你說病人發燒時，你應該優先做的事情是？ (A) 發燒在加護病房也算是常事，不打緊的！ (B) 先做好完美的處置：CxR + U/A + S/C + B/C * 2 (C) 考量多重抗藥性細菌，以視病猶親的態度開上最強效之抗生素。 (D) 到 Bedside 探視病患，瞭解病患病況並鑑別診斷發燒可能的原因。 2. 何種方法測得的體溫最接近 Core Temperature，但是卻也最為 invasive？ (A) Pulmonary artery thermistor (B) Rectal probe (C) Oral probe (D) Axillary thermometer 3. 下列何者為正確？ (A) Blood Cultures should be obtained in patients with a new fever when clinical evaluation does not strongly suggest non-infectious cause (B) Clinical judgment rather than any rigid criteria is needed to interpret the significance of discordant results of bllod cultures (C) 2% chlorhexidine gluconate in 70% isopropyl alcohol is the preferred skin anti-septic, but tincture of iodine is equally effective (D) All of above 4. Most common enteric cause of fever in ICU ? (A) Clostridium difficile (B) E.coli (C) Salmonella (D) Shigella 5. 鑑別菌血症由導管來源的方法？ (A) Quantitative blood culture system (B) Differential time to positivity for peripheral vs. catheter blood cultures drawn simultaneously (C) All of above 6. 下列何者不是美國麻醉醫師醫學會(American Society of Anesthesiologist, ASA)對困難呼吸道所下的定義？ (A) difficulty with mask ventilation (B) difficulty with tracheal intubation (C) a trained anesthetist using conventional laryngoscope take’s more than 3 attempts to complete tracheal intubation (D) a trained anesthetist using conventional laryngoscope take’s more than 8 minutes to complete tracheal intubation 7. 困難呼吸道的評估項目中，不包括下列何者？ (A) neck range of motion (B) visibility of uvula (C) lower incisor length (D) thyromental distance 8. 以下疾病可能與困難呼吸道有相關，但下列何者最不可能？ (A) obesity (B) scoliosis (C) akylosing spondylitis (D) epiglottitis 9. 下列何者不屬於supraglottic airways？ (A) Light wand (B) Laryngeal mask airway (C) Esophageal tracheal Combitube (D) Laryngeal tube 10. 氣管插管時，外部喉部輔助手法(external laryngeal manipulation)的使用技巧不包括下列何者？ (A) 往後施力 (B) 施予壓力 (C) 往左施力 (D) 往上施力 11. 下列抗體,何者與autoimmune hepatitis最無相關性? (A) Antinuclear antibody (ANA) (B) Anti mitochondril ant