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A.cell count ¤Îdifferential count
B.tumor markers ¦pCEA
C.¥Í¤ÆÀˬd¥]¬A LDH ,protein
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(D) 2. Ãö©ódysphagia¤§±Ô­z¡A¦óªÌ¿ù»~¡H
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(D) 3. ¦³¤@45·³¨k©Ê¦b°·±dÀˬd®Éµo²{¥kµÇ¤W¸¢¦³¤@¸~½F¡A¥H¤U±Ô­z¦óªÌ¤£¾A·í
A.¸~½F¤£½×¤j¤p¶·¥ýµû¦ô¬O§_¦³¥\¯à
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C.­Y¸~½F¤j©ó4¡ã6¤½¤À¡A´c©Ê¸~½F¥i¯à©Ê¥[¤j
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E.Åç24¤p®É§¿²G¤¤ªºVMA(vanillylmandelic acid)»Pcatecholamines
 
(B) 4. ¤@¦ì67·³¨k©Ê±wªÌ¡A¦b¨â­Ó¤ë«e¶}©l¥X²{»ó¶ë¡B¬y»ó¦å¡CÄ~¤§«y¦å¡B©I§l§xÃø¡BÅé­«´î»´¤Î¨â¸}³Â¤ì¡C¯Ý³¡X¥úÀˬdµo²{¦³¦h³Bµ²¸`¥X²{¡A¹êÅç«ÇÀˬdµo²{¡GESR 68 mm/lh¡B¡Ù120mm/2h¡BCRP 11.7 mg/dl¡BANA 1:80¡Bc-ANCA(+);urinalysis: protein 100 mg/dl¡BRBC 30-40 /HPF¡BWBC 20-30 /HPF¡A¸Õ°Ý³Ì¦³¥i¯àªº¶EÂ_¬°¡H
A.Goodpasture's syndrome
B.Wegener's granulomatosis
C.Anti-phospholipid syndrome
D.Systemic lupus erythematosus
E.Non-small cell lung cancer
 
(B) 5. ¤@¦ì65·³¨k©Ê¦³°ª¦åÀ£¯f¥v¡A¦]¬ðµM·Pı«e¯Ý«ùÄò©Ê¼@µh¡A¨ä«á¯kµh©ñ®g¨ì­I³¡¤Î¸¡³¡¦Ó¦Ü«æ¶E³¡¨D¶E¡A¨ä¦åÀ£180/110 mmHg¡A¤ß³t²v¨C¤ÀÄÁ90³W«h¡A¤ß¹q¹Ï°£¥ª¤ß«ÇªÎ¤j¥~µL«æ©ÊÅܤơA¯Ý³¡X¥ú¤ùÅã¥Ü¤ßŦ¤ÎÁa»JÂX¤j¡A³Ì¥i¯àªº¶EÂ_¬°¡H
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(C) 6. ¨Ï¥Î¦åºÞ±i¤O¯ÀÂà´«úC§í¨î¾¯¡}ACE inhibitor¡~®É¡A¥D­n¥i¯àµo¥Í­þ¤@ºØ¹q¸Ñ½è²§±`¡H
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C.°ª¦å¹[¡}Hyperkalemia¡~
D.°ª¦åÁC¡}Hyperphosphatemia¡~
E.§C¦å¹[¡}Hypokalemia¡~
 
(C) 7. ªÍ¥~µ²®Ö¡]Extra pulmonary tuberculosis¡^³Ì±`µo¥Íªº³¡¦ì¬°¡G
A.Pleura
B.Bones and joints
C.Lymph nodes
D.Meninges
E.Genitourinary tract
 
(B) 8. ¯f¤H48·³¡A¨k©Ê¡A®É¦³ÀY©üµÈ¯k¤§­W¡A¦bªÀ°Ï¶E©Ò¨ä¥ª¥kÂù¤â¦åÀ£¤À§O¬°124/68¤Î172/84 mmHg¡A¥ª¤W¤UªÏ¦åÀ£¬°120/70 ¤Î114/50 mmHg¡A ¯f¤H¥D°Ê¯ß§e²{Âù¸­ª¬(Bicuspid)¡A¤ßŦ²z¾ÇÀˬd¦³¥ª¤ß«ÇªÎ¤j¡AS1±j¤O¡A¨Ã¦b«á­I³¡¦³¤ßÁY±j¥Xª¬ (ejectile)¤ßÂø­µ¡C
A.¥D°Ê¯ßä¯U¯¶ (Aortic stenosis)
B.¤j°Ê¯ß¯¶ÁY (Coarctation of the aorta)
C.ªÍ°Ê¯ßä¯U¯¶ (Pulmonic stenosis)
D.¤ß«Ç¤¤¹j¯Ê·l (Ventricular septal defect)
E.¶}ºZ©Ê°Ê¯ßúPºÞ (Patent ductus arteriosus)
 
(C) 9. ¤U¦C¦³ÃöªÀ°ÏªÍª¢(community-acquired pneumonia)¦í°|ªº±ø¥ó¡A¦óªÌ¤£¥¿½T
A.©I§l¦¸¼Æ >28/min
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C.¤ßµÎÀ£<90 mmHg©Î§C©ó¥¿±`­È30 mmHg¥H¤W
D.§C¦å®ñ(hypoxemia): «Ç·Å¤UPaO2 < 60 mmHg¡A¦å®ñ¹¡©M«× < 90%
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(B) 10. Ãö©óIBS( Irritable Bowel Syndvome)¤§±Ô­z¡A¤U¦C¦óªÌ¬O¿ù»~ªº¡H
A.IBS¯f¤H«Ü¤Ö¦³ malnutritioin¤§±¡ªp
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(B) 11. ¦³¤@50·³¨k©Ê¡A¦bªù¶Eµo²{¦å¤¤¦Ù»ÄÓþ¡]creatinine¡^¬°1.4 mg/dl¡A¦å¹[¡]potassium¡^¬°6.2 mEq/L¡A¯f¤HµL¯gª¬¡A¥ç¥¼ªA¥ÎßÓª«¡A§AÀ³¦p¦ó³B²z¡H
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(B) 12. ¤@¦W60·³°±¸g°ü¤k¡A¹L¥h¥¼¦³¥þ¨­©Ê¯e¯f¡A¤]¥¼±µ¨ü¹L¤â³NªvÀø¡A¨â¦~«eÅéÀËCBC¥¿±`¡A³Ìªñ¥b¦~³vº¥¥X²{Áy¦â»a¥Õ¤Î¹B°Ê«á©I§l«æ«P²{¶H¡A¦ýµL¨ä¥L¤£¾A¡A¨äCBC¦p¤U¡GHb 7.2 gm/dL¡AMCV 70.Fl¡A¥Õ¦å²y3,950/uL¡A¤ÀÃþ¥¿±`¡A¦å¤pªO375,000 /uL¡A¤U¦C¦ó¶µÀˬd¹ï¶EÂ_³Ì¦³À°§U
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