32 下列之皮膚表現那一項不是皮肌炎(dermatomyositis)之典型特徵?
Gottron’s sign Shawl sign Heliotrope rash Erythema marginatum
SHAWL SIGNS IS LIKE THE V SIGN
THE ANSWER IS D
NOTE: THIS QUESTION IS ASKING: 不是皮肌炎之典型特徵
33 下列何種抗體與風濕熱(rheumatic fever)的血清學診斷最不相關?
Anti-streptolysin O antibody Anti-aggregated IgG antibody
Anti-DNase B antibody Anti-hyaluronidase antibody
ANS ANTI AGGREGATED IgG ANTIBODY
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34 一位62歲的女性在5年前發現右手中指的遠端指間關節開始有腫脹發生。而後逐漸蔓延到雙側其他的遠端指間關節(如圖1),X光照相(如圖2)。抽血檢查結果發現ESR 24 mm/1h、CRP 0.86 mg/L、RF<20>
圖2
圖1
Osteoarthritis Rheumatoid arthritis
Infectious arthritis Chronic gouty arthritis
GRAPH IS SHOWING HEBERDEN'S NODE
NOTE that the heberden and the bouchard nodes are signs of OA
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35 有關乳癌荷爾蒙治療,下列敘述何者最不正確?
大約50-60% 的停經前乳癌和60-75% 的停經後乳癌有動情素接受體(ER)或黃體素接受體(PR)
抗荷爾蒙治療包括GnRH agonist、抗動情素、aromatase inhibitor和progestin類的megestrol acetate等
停經前的婦女轉移性乳癌之荷爾蒙治療,GnRH agonist合併tamoxifen理論上效果比單用GnRH agonist好
對於停經後的婦女,目前轉移性乳癌的抗荷爾蒙治療之第一線藥是tamoxifen
d
Hormone Blocking Therapy: Some breast cancers require estrogen to continue growing. They can be identified by the presence of estrogen receptors (ER+) and progesterone receptors (PR+) on their surface (sometimes referred to together as hormone receptors). These ER+ cancers can be treated with drugs that either block the receptors, e.g. tamoxifen, or alternatively block the production of estrogen with an aromatase inhibitor, e.g. anastrozole (Arimidex) or letrozole(Femara). Aromatase inhibitors, however, are only suitable for post-menopausal patients.
trozole for the post menopausal patients!!!!
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