牙四 外概考古題: →回返課程
( b ) Which part of left lung is corresponding to the
right middle lobe:
(a) basal segments (b) lingual lobe
(c) upper half of the lower lobe (d) apical-posterior
segment
(c) Post-traumatic unstable chest wall will be seen in:
(a) diaphrgmatic rupture (b) sternal fracture
(c) serial segmental fracture of the ribs (d) all of
the above
(c) Which one often gives the first indication of the pulmonary
neoplasm
(d) Which is the up-to-date method in the surgical treatment
of tuberculosis?
(a) decortication
(b) ploombage
(c) artificial pneumothorax
(d) wedge resection, segmentectomy or lobectomy
(b) The transbroncoschopic biopsy is not recommended when
the lung lesion presents sign of:
(a) cancer
(b) hemangioma
(c) adenoma
(d) sarcoma →回返課程
(d) Which of the following statements about lung cancer treatment
is right?
(a) Before surgical operation, the clinical staging is
usually necessary.
(b) Small cell lung cancer is less indicated to operation.
(c) Superior vena cava syndrome is caused by tumor or
nodes compression.
(d) All of the above is correct.
(c) Which one of the following lung cancers results with
poor prognosis?
(a) epidermoid carcinoma
(b) adenocarcinoma
(c) small cell lung cancer
(d) large cell lung cancer
(b) Peripheral lung cancer is usually diagnosed by
(a) bronchofiberscpic biopsy
(b) TBLB under fluoroscopy
(c) bronchial washing cytology
(d) all of the above
(b) FiO2 = 0.2 means
(a) frequency of inspiration is 20 times per minute
(b) room air inspiration
(c) pure O2 inspiration
(d) none of the above
(d) The reason for surgical treatment in pulmonary tuberculosis
is
(a) medical treatment failure
(b) destroyed lung
(c) TB with malignant suspicion
(d) all of the above
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(d) Congenital retraction of the lower sternum is named
(a) pigeon chest
(b) lordosis
(c) scoliosis
(d) pectus excavatum
(d) Surgical treatment of the bronchiectasis should be judged
by
(a) volume of purulent sputum or hemosputum
(b) bronchofiberscopic findings
(c) pulmonary fuction test
(d) bronchogram
(a) Traumatic hemothorax is usually handled by
(a) tube thoracostomy
(b) thoracotomy
(c) decortication
(d) thoracocentesis
(a) Pancoast tumor designates
(a) superior sulcus apical cancer
(b) hilar adenoma
(c) psuedotumor
(d) carcinoid tumor
(c) Posteriordiaphragmatic hernia is that one through
(a) foramen Mondo
(b) foramen Morgagni
(c) foramen Bochdalek
(d) foramen Ovale
(a) Which one is the most troublesome on the flail chest
patient:
(a) decreased effective ventilation
(b) chest pain induced by serial segmental fractures
(c) pain shock
(d) increased respiratory effort
(c) "3 T" of mediastinal tumor:
(a) thymoma, thymic cyst, malignant thymoma
(b) teratoma, teratocarcinoma, teratoblastoma
(c) thymic, teratogenic, intrathoracic thyroid tumor
(d) none of them
(d) 氣胸有時可併發休克，對於此種休克的處理應該是：
(a) 應給予止痛劑。因氣胸劇烈胸痛，引發
pain shock。
(b) 應按照心因性休克之治療原則處理。因氣胸時氧氣不足引起心絞痛。
(c) 應給輸血或輸液。因氣胸壓迫下腔血液回流困難而近似缺血性休克。
(d) 因氣胸壓迫下腔血液回流困難，應立刻插胸管改善。
(a) 胸部外傷的型態，以下列何者最多：
(a) 肋骨骨折
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(b) 血胸
(c) 氣胸
(d) 胸部挫傷
(c) 下列肺癌，以何者予後最差：
(a) 類皮癌
(b) 腺癌
(c) 小細胞癌
(d) 大細胞癌
(b) 胸管引流系統中，最重要的步驟是：
(a) 收集裝置
(b) 水封裝置
(c) 吸引裝置
(d) 持續吸引裝置
(d) 下列有關肺結核的描述,何者是錯誤的:
(a) 肺結核的初次感染,大多形成 Gohn‘s
focus 而穩定下來
(b) 肺結核可因糖尿病, 免疫系統不全或虛弱狀況而導致體內原有病巢發作
(c) 肺結核痊癒後殘留之空洞, 易有肺麴菌之隨後進駐感染
(d) 目前因醫藥發達及營養條件甚佳,
肺結核已相當少見
(c) 肺癌病人出現聲音沙啞時, 以下列何種原因最為常見:
(a) 腦內語言中樞有肺癌轉移病灶
(b) 聲帶受肺癌侵犯
(c) 左側喉返神經受胸腔中央位置腫瘤的影響
(d) 頸部脊柱旁有腫瘤壓迫咽喉而引起
(d) 肺癌分期的目的為:
(a) 便於決定治療方式 (b) 提供預後參考
(c) 比較治療的成效, 交換治療心得
(d) 以上皆是
(b) 小細胞肺癌的治療; 以下列何者為最佳治療方式:
(a) 外科切除手術 (b) 化學藥物治療
(c) 免疫治療 (d) 合併以上治療
(d) 食道癌最常出現的臨床症狀為：
(a) 體重減輕
(b) 吐血
(c) 胸骨下疼痛
(d) 吞嚥困難 →回返課程
還有！