52 下列有關胰島素的敘述，何者正確？

 含有澱粉的食物在經過胃壁時可誘發胰臟分泌胰島素

在肌肉細胞的細胞膜上有胰島素的受器，當胰島素與其受器接合後，可誘發葡萄糖經過細胞膜進入組織間液

胰臟的β細胞可將葡萄糖代謝後，引起胰島素分泌

胰島素受器有1個α-subunit及2個β-subunits

C

A: AMYLASE

B: INTRACELLULAR NOT INTERSTITIAL

D:Two alpha subunits and two beta subunits make up the insulin receptor.

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55 一位48歲女性有全身性紅斑性狼瘡（SLE）病史，因無月經、躁熱6個月來診，主訴背痛，骨密度檢查用DEXA測量T score -2.5。下列處置何者不適當？

補充足夠鈣質及維他命D 若無禁忌，給予雌性激素補充治療

使用tibolone治療 使用bisphosphonate治療

C

Tibolone is a synthetic steroid hormone drug, which is fairly non-selective in its binding profile, acting as anagonist at all five of the Type I steroid hormone receptors.^[1] It is used mainly for treatment of endometriosis,^[2]as well as hormone replacement therapy in post-menopausal women.

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58 一位20歲男性病人，因為第二性徵不明顯而來求診。他的身高178公分，體重70公斤，沒有鬍子、腋毛及陰毛稀少、睪丸小而硬。此病人經下列各項檢查，那一種結果最有可能？

FSH值偏低 Testosterone仍在正常範圍

染色體檢查不正常 嗅覺異常

C

NOTE:陰毛稀少、睪丸小而硬

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63 一位65歲男性，有糖尿病之病史，其右腳趾受傷後傷口流膿，傷口細菌培養為ORSA（oxacillin- resistant Staphylococcus aureus）。下列那一種抗生素不適合？

Vancomycin Meropenem Linezolid Daptomycin

MEROPENEM FOR ORSA

MRSA:

Several newly discovered strains of MRSA show antibiotic resistance even to vancomycin and teicoplanin. These new evolutions of the MRSA bacterium have been dubbed Vancomycin intermediate-resistant Staphylococcus aureus (VISA).^{[60] [61]} Linezolid, quinupristin/dalfopristin(synercid), daptomycin, andtigecycline are used to treat more severe infections that do not respond to glycopeptides such as vancomycin.^[62]