1 下列何項藥品於給藥時應快速靜脈注射，才能達到臨床療效？

KCl Lidocaine Gentamicin Adenosine

ADENOSINE

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4 雙峰脈（pulsus bisferiens）不常見於下列何種疾病？

主動脈瓣閉鎖不全（aortic regurgitation）

主動脈瓣閉鎖不全併狹窄（aortic regurgitation with accompanying stenosis）

僧帽瓣閉鎖不全（mitral regurgitation）

肥厚性心肌症（hypertrophic cardiomyopathy）

ANS C

NOTE 不常見於

Bisferious means striking twice.

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5 一位病患因為兩側下肢水腫而求診，身體檢查發現頸靜脈的壓力約為12 cmH2O，則下列何種致病原因的可能性最低？

肝硬化（liver cirrhosis） 心臟衰竭（heart failure）

腎衰竭（renal failure） 侷限性心包膜炎（constrictive pericarditis）

LIVER CIRRHOSIS

in renal failure: congestion also happens!

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8 病人患高血壓多年，未接受良好的控制，住院時主訴疲倦、胸悶、氣促，自己洗澡時也會感覺喘氣，則他的Functional class屬於第幾級？

1 2 3 4

3

NYHA Class	Symptoms
I	No symptoms and no limitation in ordinary physical activity, e.g. shortness of breath when walking, climbing stairs etc.
II	Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity.
III	Marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g. walking short distances (20–100 m). Comfortable only at rest.
IV	Severe limitations. Experiences symptoms even while at rest. Mostly bedbound patients.