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憬褰岑
5 years ago
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1 96 年理療類療 1 ˍˍˍˍˍˍˍ 不不 1 異力量列異力 2 列量率量 PaCO 2 數量量量量量量 3 maximal inspiratory pressure, Pimax or MIP 力量 Pimax 異不 -50 cmh 2 O 力不 Pimax 若不 -20~30 cmh 2 O 不行離 Pimax 若識不 4 30 女肋肋 WBC = 2300/ cumm RBC = 57/cumm N/L/M = 8/90/2 Protein = 3500 mg/dl LDH = 220 U/L triglyceride = 160 mg/dl 肋 5 列不肋肋肋不肋 6 蘭不列 Virus Mycoplasma pneumoniae Legionella spp. Streptococcus pneumoniae 7 列 I/E ratio 列不肋 9 列刺 tachyphylaxis 刺降度 bronchial hyperactivity 刺惡 10 理列 centrilobular emphysema panacinar emphysema bulla

2 異列塞量 diffusion capacity for carbon monoxide 降不 cor pulmonale 12 刺塞療列 nebulized solution 量量量 inspiratory capacity 13 emphysema X 列度 overinflation bullae 14 葉 Pseudomonas aeruginosa Tuberculosis Haemophilus influenzae Staphylococcus aureus 15 塞刺 2 -agonist 列狀力 endurance 不 16 列不 nebulized solution 識不不量塞惡塞量不 17 度量 vital capacity residual volume 量 total lung capacity 量 carbon monoxide diffusing capacity 18 塞力 FEV 1 closing volume 量 total lung capacity residual volume 19 塞列 FEV 1 降量 diffusing capacity for carbon monoxide 55% 若降 55 mmhg 20 列不見 21 列 FEV 1 12% FEV 1 /FVC 75% PaCO 2 PaO 2 降

3 量 2 -agnoist 列離糖度 23 列狀 24 量 MDI 若量療降 100/ L 38 肋流流 X 洞 cavitation mycoplasma pneumonia Legionellosis 綠 pseudomonas pneumonia invasive aspergillosis 26 塞 COPD 惡見列不見 Streptococcus pneumoniae Haemophilus influenzae Moraxella catarrhalis Pseudomonas aeruginosa X 類療 3 量 X typical, acute community-acquired pneumonia atypical, acute community-acquired pneumonia aspiration pneumonia nosocomial pneumonia, hospital-acquired pneumonia X 葉 lung abscess Staphylococcus aureus Pseudomonas aeruginosa Streptococcus pneumoniae Anaerobes X 兩 pulmonary edema 降 thrombocytopenia 異 hemorrhagic fever 狀 coronavirus cytomegalovirus adenovirus hantavirus 30 咽 herpangina 年咽 soft palate vesicular lesion 流行 influenza virus adenovirus 狀 coronavirus coxsackie A virus 類不 HIV human immunodeficiency virus 38 X 兩 Pneumocystis carinii 來咽 throat swab blood culture sputum induction bronchoscopy 32 Legionella pneumophila acute community-acquired pneumonia 列來 Throat swab Sputum culture Blood culture Urine antigen assay

4 類 sarcoidosis 淋列淋行兩淋淋惡 34 列見雷 Klebsiella pneumonia 35 ARDS 列度 PaO 2 /FiO X 兩 PEEP 10 cmh 2 O 36 異 idiopathic pulmonary fibrosis 列度 X 見 traction bronchiectasis 37 列類療量利尿 38 異 idiopathic pulmonary fibrosis 列類不類療類類不 39 lung abscess 列刺異 cyst 不 40 clotted hemothorax 列不療 25% 41 lung abscess 療列異流 transbronchial drainage percussion 流 postual drainage 流若療 1 狀療療流葉切 42 cyst or pseudocyst 列裂不療行若 lung abscess 若 lung abscess

5 若刺林兩 44 刺塞 systemic arterial air embolism 列葉葉 45 刺列刺 25% 行 thoracotomy 70% 行 thoracotomy 刺 10~20% 行 thoracotomy 刺 46 列刺見刺若裂車度 acceleration injury 六肋若裂肋肋 47 congestive heart failure 力 48 列 nephrotic syndrome 肋尿流不 3 見量肋易塞 protein S 49 刺肋列不見肋裂 50 漏連漏復率零列 20% 肋 subpleural blebs 率女見 52 列力 tension pneumothorax 80% 臨狀率 30% 葉療 53 力行列 VC FEV 1 VC FEV 1 降 VC 降 FEV 1 VC 降 FEV 1 降

6 Duchenne muscular dystrophy 列力 P 0.1 airway occlusion pressure at 0.1 sec 不良 FVC 70% 55 列狀不參參廓列 compliance 廓廓廓廓 57 葉切 FEV 列暴露 59 X 離 carina 1 切鱗狀 5 淋臨 T2N1 T2N2 T3N1 T4N2 60 量 X 列量肋 61 惡塞 cardiac tamponade 列降利尿 62 列不 teratoma 狀 intrathoracic goiter thymoma neurogenic tumor 63 狀良療切療療力療 photodynamic therapy 64 鱗狀 65 列不錄 polysomnography 塞 55 mmhg 45 mmhg

7 代號 6115 頁次診斷上呼吸道阻力症候群 upper airway resistance syndrome 時下列敘述何者錯誤睡眠時呼吸有氣流限制 flow limitation 及上呼吸道阻力增加合併發生呼吸中止 apnea 和血氧飽和度降低 desaturation 診斷可能需要多頻道睡眠紀錄儀檢查 polysomnography 加上食道壓力監測睡眠時出現呼吸引發之驚覺 respiratory effort-related arousals 歲不肥胖的女性從小就有白天嗜睡且偶爾打鼾情緒激動時不會有突然肌肉無力 cataplexy 情形理學檢查顯示三角形的臉型下巴的角度較大小下巴及左側耳垂變形血液檢查動脈血氧分壓值及甲狀腺功能均正常此病人最像有何種睡眠問題 68 睡眠狀態錯置夜晚陣發性肌肉功能不良阻塞型睡眠呼吸中止中樞性肺泡呼吸低下症診斷阻塞型睡眠呼吸中止症候群 obstructive sleep apnea syndrome 時除了臨床症狀外尚需合併那種現象 69 夜間缺氧夜間動脈血中二氧化碳分壓升高肺功能異常 apnea and hypopnea index AHI 下列何者是治療嚴重阻塞型睡眠呼吸中止症候群 obstructive sleep apnea syndrome 的肥胖患者之首選建議懸壅軟顎咽喉整型術 uvulopalatopharyngoplasty, UPPP 口腔矯正器 oral appliance 陽壓呼吸器 CPAP 藥物治療如 theophylline 70 下列何者不是阻塞型睡眠呼吸中止症候群 obsturctive sleep apnea syndrome 之危險因子肥胖 71 鼻竇炎具家族史男性一位 55 歲身高 170 公分體重 85 公斤的男病患至門診求治告知醫師他晚上睡不好白天精神很差醫師安排睡眠多頻道生理監測儀檢查 polysomnography 結果如附圖發現此病人每一分鐘剛好都發生一次如圖中所顯示的現象本現象不會發生在以下何種狀況心臟衰竭 72 腦幹中風入睡早期剛入睡時上呼吸道阻塞承上題若你處理此病患你不會採用以下何種治療方式雙陽壓呼吸器 Bi-PAP 呼吸中樞刺激藥物 medroxyprogesterone 安眠藥氧氣

8 列不易 respiratory distress syndrome postmaturity 糖尿 prematurity asphyxia 74 apnea of prematurity 狀列不易 75 列率兩率 76 數列不率兩率不 sudden infant death syndrome, SIDS 糖尿 78 理列不參年 35 量 functional residual capacity 留力 closing pressure 易 wheezing 79 列 100% 20 PaO 2 PaO 2 20 mmhg 來度 PaCO mmhg PaO mmhg 見卵流 80 列療 apnea of prematurity caffeine 茶 theophylline 類 steroid doxapram

9 測驗題標準答案考試名稱 : 96 年第一次專技高普考試醫事人員中醫師心理師呼吸治療師營養師獸醫人員考試暨醫師考試分試考試 ( 第一試 ) 類科名稱 : 呼吸治療師科目名稱 : 呼吸疾病學 ( 試題代號 :6115) 題數 : 80 題標準答案 : 題序答案 D D D A D D B C B B D B D D D D D A A C 題序答案 D C D D D D D D D D C D B C A B D C C D 題序答案 C D B D A C D C D D D B D B A D B B C C 題序答案 A D A C B B C D C B D C A D A A C A A B 備註 : 無更正紀錄

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untitled 年類泌尿復臨例 ˍˍˍˍˍ 不 ~ 不老療來不塞狀狀便塞理來療來年類泌尿復臨例年女不女泌年精精惡療切療切療療切療療連切流流量塞不隆療療流立六不便來便兩理便年類泌尿復臨例療切切流切理度離年類泌尿復臨例列度裂列見年年老輪拉