一0六年度內科專科醫師考試筆試題 -- 血液科

(E) 1. 下列疾病與目前已知有效之治療藥物的配對,何者是錯誤的?
A.Multiple myeloma: Lenalidomide
B.Chronic myeloid leukemia: Dasatinib
C.Diffuse large B-cell lymphoma: Rituximab
D.Paroxysmal nocturnal hemoglobinuria: Eculizumab
E.Polycythemia vera: Prednisolone
 
(B) 2. 一位72歲病人因為出血傾向及疲倦應診,抽血檢查顯示血紅素為8.2 g/dL,白血球24000/uL,血小板12000/uL;血液抹片如圖所示。這位病人最可能得了何種病?
A.Chronic myeloid leukemia
B.Chronic myelomonocytic leukemia
C.Chronic lymphocytic leukemia
D.Acute myeloid leukemia
E.Acute lymphoblastic leukemia (ALL)
 
(D) 3. 一位23歲病人因呼吸急促應診,血液檢查顯示血紅素為6.3 g/dL,血小板、白血球及分類正常,網狀紅血球(reticulocyte) 3.5%,全膽紅素 (total bilirubin) 3.4 mg/dL,直接膽紅素 (direct bilirubim) 0.7 mg/dL;血液抹片如圖所示。此位病人最可能得了什麼病?
A.Iron deficiency anemia
B.Autoimmune hemolytic anemia
C.Vit B12 deficiency anemia
D.Thalassemia
E.G6PD deficiency
 
(A) 4. 標靶治療藥物Tyrosine kinase inhibitor, Imatinib, 對下列何種急性淋巴芽細胞白血病(ALL)有效?
A.B-lineage ALL with t(9;22)
B.B-lineage ALL with t(4;11)
C.CD19 positive B-lineage ALL
D.CD20 positive B-lineage ALL
E.CD3 positive T-lineage ALL
 
(D) 5. Eltrombopag目前為健保給付治療免疫性血小板低下性紫斑症(immune thrombocytopenic purpura)的第二線用藥,它的作用機轉為何?
A.Anabolic hormone
B.Corticosteroid
C.Immunosuppressive agent
D.Thrombopoietin receptor agonist
E.JAK inhibitor
 
(E) 6. 一位病人因血小板低下應診,下列各項檢驗中何者為鑑別血小板低下原因幫忙最小者?
A.H. pylori infection
B.Serology tests for SLE
C.Hepatitis C infection
D.HIV infection
E.Platelet antibodies
 
(D) 7. 對於多發性骨髓瘤(multipel myeloma)的診斷及分期,下列何項檢查是最不需要者?
A.Immunoelectrophoresis
B.Albumin level
C.Beta 2-microglobulin level
D.Bone scan
E.Plain bone radiography
 
(A) 8. 一位40歲病人抱怨胃痛,內視鏡檢查發現胃竇(gastric antrum)有一腫瘤,病理切片檢查顯示為mucosa-associated lymphoid tissue lymphoma,CD20陽性及H. pylori陽性,分期檢查未發現其他異常。下列何者為此病人最適當的第一線治療?
A.Eradication of H. pylori
B.Rituximab
C.Chemotherapy
D.Rituximab + Chemotherapy
E.Local irradiation
 
(D) 9. 下列何種狀況常會出現prothrombin time (PT)正常但activated partial thromoplostim time (aPTT)延常的現象?(1) Hepatic failure;(2) Antiphospholipid syndrome;(3) von Willebrand disease;(4) Disseminated intravascular coagulation
A.(1)+(4)
B.(2)+(4)
C.(1)+(2)
D.(2)+(3)
E.(1)+(2)+(4)
 
(B) 10. 下列何者是B細胞慢性淋巴性白血病(chronic lymphocytic leukemia)細胞的特徵,可與反應性淋巴細胞過多症做鑑別診斷?(1) Monoclonal light chain restriction;(2) CD5 expression;(3) CD10 expression
A.(1)
B.(1)+(2)
C.(1)+(3)
D.(2)+(3)
E.(1)+(2)+(3)
 


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