Saturday, November 13, 2010

71 旅遊者的疫苗注射可分為例行性(routine)、必須性(required)及建議性(recommended)疫苗,下列何者是世界衛生組織唯一法定必須施打的疫苗(required immunization)?
小兒麻痺疫苗 黃熱病疫苗 霍亂疫苗 傷寒疫苗

it is the yellow fever
moratlity rate very high 50%

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74 一位58歲男性病患,近3個月出現易疲累及經常性肢體疼痛,接受影像檢查,如圖所示,左圖為顱骨(skull)側面X光攝影,右圖為MRI of lumbar spine(T1WI, sagittal view),請問最可能的診斷為何?
Hypercalcemia Multiple myeloma
Multiple bone infection Amyloidosis

MM: punched-out" lesions

Signs and symptoms

Because many organs can be affected by myeloma, the symptoms and signs vary greatly. A mnemonic sometimes used to remember the common tetrad of multiple myeloma is CRAB: C = Calcium (elevated), R = Renal failure, A = Anemia, B = Bone lesions.[2] Myeloma has many possible symptoms, and all symptoms may be due to other causes. They are presented here in decreasing order of incidence.


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http://wd.vghtpe.gov.tw/cstc/File/BLS/99%E5%B9%B4%E5%BA%A6bls%E4%B8%8B%E8%BC%89%E8%AC%9B%E7%BE%A9.pdf


75 對於民眾操作CPR之敘述,下列何者錯誤?

為好學、好記及願意做,不論是1人或2人操作,不論是執行大人或小孩的CPR,壓與吹的比均是30:2

只要看起來是瀕死的喘息(agonal gasps),就要做CPR

不須檢查脈搏,只要沒有呼吸,就直接給人工呼吸及胸外按壓

在5個循環的CPR後,先檢查脈搏,如無脈搏,則從壓胸開始


ans A!!!!! wrong answer key


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Theophylline toxicity seen on ECG: = ventricular arrhythmia

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