CM106

1. ?
(A)
(B)
(C)
(D)
(E)
Ans: B
:
depression
idea of hopelessness
:
1970 1980

2.Confusion ?
(A)(Thought)
(B)(Emotion)
(C)(Memory)
(D)(Consciousness)
ANS:(D)

consciousness
state of awareness, alertness
quantitative lowering
qualitative change
organic mental disorder
(1) drowsy
(2) cloudingagitation
(3) stupor
(4) coma
(5) confusion

3. confabulation
(A)(Thought)
(B)(Emotion)
(C)(Memory)
(D)(Consciousness)
Ans: (C) word & (2011 20 )
memory
(11) confabulation

4.?
(A)abstract thinking
(B)calculation
(C)attention
(D)memory
(E)judgement
Ans : A

5.(hallucination)
(A)
(B)
(C)
(D)
(E)
ANS:D
:

6.?
1)()
2
3
4

(A) 1234
(B) 12
(C) 34
(D) 13
(E) 24
ANS:(A)
 1,4
2,3 A

7. ?
(1) 12 1 63 64 81
(2.1.4)
(2)
(3)

(4)
20120510-5493
(5)

(6)

(A) 13456
(B) 12356
(C) 23456
(D)
(E)
ANS:D
: PPT5961
9.

(1)()
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)

(A)1357(B)2468(C)1234(D)(E)
ANS: D
~

10.?
(A)
(B)
(C)
(D)
(E)
Ans: (E)

11.?
(A)
(B)
(C)
(D)
(E)
ANS:>>> D?
by thx!
A. Spine Trauma Protection
neck collar

Garden-well (Garden-wells Traction)

. Extremity Fracture Immobilization
1.

13.
(A)
(B)
(C)
(D)
(E)
Ans:(D)
: ': P
'':~~~

14.,?
(A)
(B)
(C)
(D)
(E)
Ans: (C)

15.
(A)
(B)
(C)
(D)
(E)
Ans:B
...XD

16. while examining ears in an ENT clinic, which one is wrong?

(A) We should pull an adults auricle posterior-superior to get the better view of whole external
auditory canal and the ear drum
(B) The ear speculum should be inserted as deep as possilbe to get full view of external
audiotry canal
(C) The pneumoatic otoscope can be used to check the movement of ear drum
(D) Light reflex of a normal ear drum is located over anterior-inferior quadrant
(E) if your view was blocked by ear was, you should clean it up before further exam
ANS:B!!!!

A ()
()
B
C P.3 pneumatic otoscopy()

D
http://www.entusa.com/eardrum_and_middle_ear.htm
E

17. While examining ears in an ENT clinic, which one is wrong?

(A) We should pull an adults auricle posterior-superiorly to get the better view of whole
external auditory canal and the ear drum
(B) The ear speculum should be inserted as deep as possible to see the whole external
auditory canal and ear drum
(C) The pneumoatic otoscope can be used to check the movement of ear drum
(D) Light reflex of a normal ear drum is located over anterior-inferior quadrant
(E) If your view was blocked by ear wax, you should clean it up before further exam
Ans: (B)
ANS:B

A ()
()
B !!

C P.3 pneumatic otoscopy()

D
http://www.entusa.com/eardrum_and_middle_ear.htm
E

18.Which of the following is wrong about nose examination in ENT clinic?

(A) The superior turbinate can not be seen by nasal speculum.
(B)We can not use the patients nostril as a pivot point of nasal speculum.
(C)Do not completely close the nasal speculum before taking it out of the patients nasal cavitiy.
(D)Vasoconstrictor and local anesthesia agents can be applied to the patient before
nasopharyngeal swab.
ANS:...

O(A) A
O(B)()
O(C)
O(D)

19.while examining the pharynx and larynx in an ENT clinic, which one is wrong
(A) the direct laryngoscope is inserted through the mouth
(B) when we use a mirror to check the nasopharynx, we should use tongue depressor to
depress the tongue and put the mirror behind the uvula, avoiding direct contact with posterior
pharyngeal wall
(C)when checking the larynx, we would let the patient pronounce /e/ or /i/ for a better view of
larygeal box, and the patient should not hold the his/her breath during the exam
(D) in the view of indirect laryngoscope, the direction of horizontal axis is opposite to the
direction of the examiner
(E) when we use a mirror to ckeck larynx, the epiglottis(anterior aspect of larynx) should be
located over the superior half of the mirror.
Ans :(D)
17 D ppt32 ppt33

ppt33

horizontal axis = =
A
A nasopharyngoscope , laryngoscope

20.While examining the neck area of in an ENT clinic, which one is wrong?
(A)Follow a fixed order to examine whole neck every time
(B)A neck lesion should be recorded with its location, size, and characteristics for better
differential diagnosis
(C)Neck lymph nodes are divided into six levels in one single side
(D)A level II neck mass could be considered as a parotid gland tumor
(E)We should not check the neck bilaterally simultaneously, but one side first then another side
later
ANS:(C)
lymph nodes N1 N2a N2b N2c N3
N1 <3cm N2a 3~6cm N2b <6cm
N2c <6cm N3 >6cm

21.(C-spine injury)?
(A)Remove crash helmet
(B)Head tilt
(C)Chin tilt
(D)Jaw thrust
(E)Remove Debris and Suction
Ans: B
ppt.8(Head tilt (NOT if c-spine injury))

22. About tracheal intubation:

B
C

D
(A) abcd
(B) acdb
(C) adcb
(D) bacd
(E) bdac
ANS:C
PPT15
24.?
(A)[Meter dose inhaler(MDI)]
(B)[Meter dose inhaler(MDI)]+
(C)[Dry powder inhaler(DPI)]
(D)(Nebulizer)
ans: (C)
25.
(A) 6:1
(B)
(C) CT
(D)
(E) 20%
Ans: (D)
[]

(A) 61(B)
(C)
(D)

[]
1.(E) 20%
2. X
3. 1~2

26. ?
(A) -
(B) -
(C)
(D)
Ans: (C)
28.?
(A)

(B)
(C)
(D)
Ans:(D)
^^

29.
(A)
(B)-
(C)

(D)
Ans:(D)

29. ?
(A)
(B) 3~5ml 2~5
(C ) 5 2-5

(D)

Ans:(C)

30.?
(A)
(B)
(C)
(D)
ppt2

Ans: (D)

31.?
(A)
(B)
(C)(blood brain barrier, BBB)
(D)
(E)(Albumin)
Ans.B p10.11

1.
2. (BSA), (enzyme activity, cytochrome P450), (Cr,GFR)
3. (albumin and binding protein etc)
4. Blood brain barrier
5.
6.
7.
8.
9.

32.(Newborn screening)
(A)
(B)
(C)
(D)
(E)
B
P.12 PPT, P.13 PPT
(B)X
(A)(C)(E)O
(D)O

33.
(A)Alertness, general appearance and consciousness
(B)Motor activity
(C)Coverage of insurance
(D)Speech and cry, eye contact
(E)Color of skin/ lip/ mucosa
ANS(C)
P.3
(C)

Appearance:
Alertness
Distractibility/ consolability (/)
Eye contact,
Speech or cry
Motor activity
Color

34. About growth curve chart, which is wrong?

(A)
(B)

(C)
(D) 25 95
(E)
(D)
(D)<10%10%-90%>90% 25%

35. About PE in pediatric patients, which of the following statement is correct?

(A) (icteric sclera)

(B) hydrocele may be a normal finding in a 6 m/o boy

(C) congenital hypothyroidism may be associated with microcephaly
(D) pupil light reflex could be negative in prematurity week
(E) inguinal hernia dont need surgical intervention in 2 y/o boy
ANS(D)
(A) X
2~3 4~6 7~10
24 source

(B) X p.32hydrocele

source:
(C) X p.22 Enlarged AF & Delayed closure macrocephaly congenital
hypothyroidism macroencephaly hypothyroidism ~~ (
><)
(D) O p.20Pupils: light reflex (gestational age)--> 36 light reflex 37
pupil -->
(E) X ~~~

36.?
(1)(2)(3)(4) 35 C(5)
(A)12
(B)123
(C)1234
(D)
(E)
ANS:B
: PPT P.3

39.brain death 1967
(1) (2)decorticatedecerebrate(3)
(4) (5)
(A)1+2
(B)1+2+3
(C)1+2+3+4
(D)
(E)
Ans:D
PPT

40. 94
(A)
(B)
(C)
(D)
(E)
Ans:E
72 1983
76 1987 9 17

93 2004 8 9

41. 2012 12 17
(1) ( 37 ) 3
(2) 3

(3) 3 4
1 3 12 1 24
(4) 3

(A) 12
(B) 123
(C) 1234
(D) 124
(E) 134
Ans:C
101 12 17
( 37 ) 3
3

3
4 1 3 12 1 24

42.
(1)
(2)

(3)
(4)
*
Ans:(1)(2)(3)
ppt. P11

43.
(A) ABD Rh B C
AIDSHTKV-I/II
(B)

(C) ( 10 ) O Rh Packed RBC

O Rh Packed RBC
(D) Packed RBC leukocyte-poor blood cells
Ans:C
CPR PPT
(A)PPT p.38
(B)PPT p.41
(C)PPT p.39 O Rh Packed RBC O Rh Packed RBC
(5 )
(D)PPT p.42

44.
(A)(ABO ) hemolytic transfusion reaction

(B)febrile non-hemolytic transfusion headahe WBC cytokine

meperidine chill and rigor pack RBC
(C)GVHD T lymphocyte fever,
skin rash, vomting, diarrhea, pancytopenia >90%
(D) heart or renal failure fluid overload
(E)allergy reaction skin itching, erythema
ANS :b

(A)CPR PPT 49

(B) 49 (febrile non-hemolytic transfusion reaction) meperidine

(C) (Transfusion-associated graft-vs-host disease) :

: T

(D)Circulatory overload:
S/S:

(E),.

45. rectal examination?

A.
B.
c. left lateral position, flex hip, knee joint, buttock
D. finger 12 180 sacral curve
E.
ans:(D) 360

46. AHA(American Heart Association)CPR guideline 2005 2010

?
(A) ABC CAB
(B) 100
(C) AED guideline
(D) (ventricular tarchycardia) 100
ANS(B) 1000412 PPT
(A) O p.18
(B) X p.19 100 (100 /) (
)
(C) O p.24 AED
CPR AED
(D) O p.26 VT 100 ()

47. CPR ?
(A) BLS ABC CAB
(B) (Compression)(Breath) 30:2
(C) 2010 AHA Guideline AED

(D) CPR hemo or pneumothorax, hepatic or splenic injuries, vomiting gastric

perforation
(E) end-stage DNAR CPR
Ans: (C)
(A)(B)(D)(E)(C)

49. 30 ?
(A) 8~10
(B)
(C)
(D)
Ans(B)

50. Which of the following statements about SAAG (Serum-scites albumin gradient) is
INCORRECT?
(A) SAAG may be better than the older discriminant of classifying ascites fluid as transudate or
exudate
(B) SAAG>1.1 g/dl suggests congestive heart failure or portal hypertension
(C)Peritoneal carcinomatosis indicates that maybe SAAG > 1.1 g/dl
(D) All of the above are correct
Ans:(c)
SAAG>1.1 portal hypertention, liver cirrhosis, heart failure, mixed ascites,
fulminant liver failure
SAAG<1.1 Peritoneal carcinomatosis, TB peritonitis, pancreatic ascites,
nephrotic syndrome, and bile leak

51. which one is the most common complication after abdominal paracentesis ?
(A) Ascites leakage
(B) Hematoma
(C) Wound infection
(D) Hepatorenal syndrome

2014 0318 ppt.12

major complication of abdominal paracentesis
1)Circulatory dysfunction may occur after large-volume paracentesis and is associated with
hypotension, hyponatremia, and increased plasma catecholamine and renin levels.
2)Severe cases may lead to the hepatorenal syndrome and even death.

52.Which description of the landmark on helping localized the spinal puncture is INCORRECT?
(A) The ideal spinal puncture level is L4-L5 interspinal space
(B) For the most people, the PSIS is at about L3
(C) For most of the people, their spinal cord ends between L1 and L2
(D) All of above are correct
Ans: (B)
posterior superior iliac crest L4

53.Which statement regarding to the complication after spinal puncture is CORRECT?

(A) Numbness persisted over 6 hours often indicates irreversible damage.
(B) Most spinal headache will resolute spontaneously in hours.
(C) Even minor vascular puncture will need prompt surgeon consultation.
(D) All statements are correct.
ANS:B
: (A)PPT
(B) PPT
(C) PPT 4~6

..

CM105
1.Which statement is incorrect?
a. Fever and chills for 3 days
b. Fever and chills were noted for 3 days
c. vomitng and nausea for 5 days
d. soft stools and nausea for 10 days
Ans: a
sign symptomsign be notedsymptom

fever sign noted a

2. Liver abscess present illness ?

AThis patient is a case of hypertension and coronary artery disease...
BThis patient has diabetes mellitus...
CThis patient was diagnosed with HBV hepatitis two years ago....
DThis patient has well health condition until 12 days....
ANS: (A) PPT = =?!
***= =?
?!@@>> THIS IS A CASE OF HTN.....
(A)

XD:
A liver abscess is a pus-filled mass inside the liver.[1]Common causes are abdominal infections
such asappendicitis or diverticulitis due to haematogenous spread through the portal vein.

(A)
(B)http://cid.oxfordjournals.org/content/44/9/1194.full
DM
Conclusions>>Diabetes is a strong, potentially modifiable risk factor for PLA(
). PLA is associated with a similarly poor prognosis for patients with diabetes
and for other patients.
(C) Liver abscess and hepatitis B virus (HBV) infection are two significant tropical gastrointestinal
disorders. The concurrence between these two disorders yields poor prognosis, which then often leads to
the need for intensive care.
http://www.ncbi.nlm.nih.gov/pubmed/15208523
(D)....???? PLA(Pyogenic liver abscess)
PLA>>is most often polymicrobial, accounts for 80% of hepatic abscess cases in the United
States.Major bacterial causes of liver abscess include the following:[3]
Streptococcus species (including enterococcus)
Escherichia species
Staphylococcus species
Klebsiella species (Higher rates in the Far East)
Anaerobes (including Bacteroides species)
Pseudomonas species
Proteus species
However, as noted above, many cases are polymicrobial.

3. For the writing of Assessment in progress note, which is NOT appropriate?

A. Right leg cellulites, on aqueous penicillin treatment 3rd day, improving.
B. Right leg cellulites, on Cefazolin treatment 3rd day, poor response.
C. Right leg cellulites.
D. Right leg cellulites with abscess formation, s/p incision and drainage, on
cefazolin treatment 3rd day.
E. Right leg cellulites, on cefazolin treatment 5th day, poor response, R/O
pyomyositis.
Ans: C
?(C)

4. Which of the following is an appropriate record of family history?

 D. Draw a tree...
5. Which of the following is not an appropriate past-history writing?
(A)Hypertension diagnosed at NTU hospital since 1994 and under current
control with amdoline #1 QD
(B)Hypertension for 10 years. DM for 5 years.
(C)Liver cirrhosis, hepatitis C related, child C, diagnosed at CGMH 5 years
ago with regular follow-up at GI-OPD at CGMH.
(D)L3-L4 compression fracture known about 5~6 years ago without any regular
follow-up.
ANS: B
... XD

6. which of the following is not an appropriate writing in cheif complaint

(A)intermittent leg swelling for one month
(B)cough with purulent for 5 days
(C)evening fever with night sweat for one month
(D)low back pain with fever for 2 week
(E)nausea and vomiting since last Saturday

7. DM, liver abscess impression ?

(A) 1. liver mass r/o liver abscess
2. diabetes mellitus without control
(B) 1. liver abscess r/o liver abscess
2. diabetes mellitus
(C) 1. r/o liver abscess
2. diabetes mellitus without control
(D) 1. liver abscess
2. diabetes mellitus
(E) 1. liver mass, probably liver abscess
2. diabetes mellitus
sorry~
:
(Impression)


[3] [2] , [1]
[1] Symptomatic diagnosis
Abdominal pain, caused to be determined
[2] Anatomical diagnosis
Duodenal ulcer
[3] Etiological diagnosis
NSAID induced gastric ulcers
R/O


Fever, R/O pneumonia

1. RLQ pain, favor PID
R/O UTI
3. Dyspnea, probable pulmonary embolism
R/O Asthma
4. Right APN with sepsis
R/O acute appendicitis
http://www.disaster.org.tw/skh_meet/lecture100/10006/1000613SpecialLecture.pdf

9."past history"?
(A)1997 DMAC/sugar136
(B)1990 B &
(C)
(D)2001
(E)L4-L5 ,,
ans:D

10.
(1)
(2)
(3)
(4)
(A) 123
(B) 134
(C) 234
(D)
Ans: (D)

11. While checking a patient in an ENT clinic, which one is wrong?

(A) We should put the head mirror in front of left eye and have to use both
eyes to do the physical exam
(B) If the light reflection angle of head mirror is inappropriate, we should
adjust our head or neck position to get the best view
(C) When a pediatric patient sitting on the exam chair, we shouldn't elevate
the patient to high, preventing his /her falling
(D) A ten-month -old baby shouldn't sit on the patient chair alone without
any protection by an adult
(E) The light source is put behind or upon the patient, should be bright
enough, but cannot be reflected directly into patients' eyes
 Ans(B)
(A)
(B) ,
(C)
(D)
(E)

13. While examining ears in an ENT clinic, which one is wrong?

(A) We should pull an adults auricle posterior-inferiorly to get the better
view of whole external auditory canal and the ear drum
(B) The ear speculum should not be inserted too deep to prevent harming, even
we cannot see whole external auditory canal
(C) The pneumoatic otoscope can be used to check the movement of ear drum
(D) Light reflex of a normal ear drum is located over anterior-inferior quadrant
(E) If your view was blocked by ear was, you should clean it up before further exam
ans:A

16. Which of the following is wrong about nose examination in ENT clinic?
(A) The superior turbinate can not be seen by nasal speculum.
(B) We can not use the patients nostril as a pivot point of nasal speculum.
(C) Do not completely close the nasal speculum before taking it out of the
patients nasal cavity.
(D) We can not use the same hand (left hand) to see both side of the nose.
(E) Vasoconstrictor and local anesthesia agents can be applied to the patient
before nasopharyngeal swab.
(D)

17. While examining the pharynx and larynx in an ENT clinic, which one is wrong?
(A) The direct nasopharyngoscope is inserted through the mouth
(B) When we use a mirror to check the nasopharynx, we should use tongue
depressor to depress the tongue and put the mirror behind the uvula,
avoiding direct contact with posterior pharyngeal wall
(C) When checking the larynx, we would let the patient pronounce /e/ or /i/
for a better view of laryngeal box, and the patient should not hold his /her breath
during the exam
(D) in the view of indirect laryngoscope, the direction of horizontal axis is
opposite to the direction of the examiner
(E) In the view of indirect laryngoscope, the epiglottis (anterior aspect of
larynx) should be located over the superior half of the mirror
(A)
A



http://www.youtube.com/watch?v=Jfarfc57dIM
(X)
B ppt26


(O)
C ppt31

e/i

(O)
D ppt32 ppt33

ppt33

(O)
E


(O)
ANS C
A ppt39

18. While examining the neck area in an ENT clinic, which one is wrong?
(A) Wed better follow a fixed order to exam whole neck every time
(B) A neck lesion should be recorded with its location, size, and characteristics for better differential
diagnosis
(C) Neck lymph nodes are divided into six levels in one single side.
(D) A level II neck mass could be considered as a parotid gland tumor.
(E) We should not check the neck bilaterally simultaneously, but one side first then another side later.
( E )

ANS E
O(A) ppt39

O(B) ppt39
(
)
O(C)ppt42
 The lymph nodes of the neck are described in six basic levels: level 1
(submandibular and submental), levels 2, 3, and 4 (high, mid, and low jugular chain),
level 5 (posterior triangle) and level 6 (central neck).
O(D) parotid gland tumor
(D) could possible parotid tumor ok

X(E) ppt39

19. ?
(A)
(B)
(C)
(D)
(E)
ANS: (A)

1.
2.
3.

20. ?
(A)
(B)
(C) fascia
(D)
(E)
ANS:(B)
A+
21.
1.
2. 3-5cm
3. 90
4. 30-45
5. 15-30
6.
A 1+2+3+6
B 1+2+4+6
C 1+2+5+6
D
(D?)
ppt.37
1.
2. 5~7cm()
3,4,5.<15
6., !
1,6 ...

22. ?
(A) deltoid
(B) Gluteus Maximus
(C) Rectus femolaris
(D) Biceps
(E) Vastus Lateralis
(D)
:
:
PPT35
() 1.
(1)( 1/4)
(2)()(A)
(3)()(E)
A+
(b)
(d)(d)
(d)

24.
(A)
(B)
(C)
(D)
 (E)
Ans: (D)
^_^

25.?
(A)
(B)
(C)
(D)
(E)
Ans: (E)
ppt p.92

() 1. 2.
3. 4.
5.

26. ?
(A)
(B)
(C)
(D)
(E)
ANS(E)

28. ?
(A)
(B)
(C)
(D)
(E)

29. ?
(A)
(B)
(C)
(D)
(E)
Ans: (D)
@@

30.
(A)
(B)
 (C)
(D)
(E)
Ans: B
...?

31.
(A) Remove crash helmet
(B) Head tilt
(C) Chin lift
(D) Jaw thrust
(E) Remove debris and suction
Ans.B p.8
Head tilt (NOT if c-spine injury)

32. ?
(A)
(B)
(C)
(D)
(E)
(C)

33. passive friendliless

(A)
(B)
(C)
(D)
(E)
Ans: B
Types of attitude therapy
Active friendliness withdrawn patient
Passive friendliness paranoid patient
indicated for paranoid patients with latent homosexual problems
Nurse must maintain distance because paranoid patient hates too much closeness but make the patient
feels that you are just around and willing anytime he needs you.
Kind-firmness depressed client
Matter-of-fact manipulative/ demanding client related
No demand furious in rage

34.
a.abstract thinking
b.calculation
 c.attention
d.memory
e.judgement
Ans: A

36.(hallucination)
(A)
(B)
(C)
(D)
(E)
ANS:D
:

39. ?
(A) Deressed mood
(B) Hopelessness
(C) Insomnia
(D) Loss of energy
(E) Thought blocking

40. Irritability ?
(A) (thought)
(B) (emotion)
(C) (memory)
(D) (conscious)
(E)
Ans: (B)
Irritability

41. confabuation
A:

42. Flight of idea ?

(A)
(B)
(C)
(D)
Ans: B) word P.4
(10) flight of idea
racing thought

43. ?
(A) postnasal drip
 (B)
(C) asthma
(D) tumor cancer
Ans:D
= =
ABC D

44. JOMAC ?
(A)
(B)
(C)
(D)
(E)
ANS:E
JOMAC
1. Judgment( )--
:,,?

2. Orientation ()-()
:--,...
--??.?
--?

3. Memory ()--..()
:--(..),, 3-5 ,
-- ??
--.

4. Attention ()*--.
---,,
--(.)?
?

5. Calculus ()
:100-7-7....,...
( 30 )

25 : 20

45.?
(A) Chin Lift method
(B) Jaw thrust method
(C) Nasopharyngeal airway
 (D) Oral pharyngeal airway
(E) Heimlich maneuver
(D)

46.?
(A)
(B) [Dry powder inhaler(DPI)]
(C) [Meter dose inhaler(MDI)]
(D) [Meter dose inhaler(MDI)]+
(E) (Small volume nebulizer)
(B) PPT p.45 lung deposition rateDPI (27%)

47. (Nebulizer)
?
(A) 15
(B) 8
(C) 8~15
(D) 5~8
(E) 5
Ans: (E)
A.Droplets larger than 8 micrometers in diameter - more likely to be deposited in the
oropharynx.
B.Droplets between 5 and 8 micrometers - mostly deposited in the large conducting airways.
C.Droplets smaller than 5 micrometers mainly in the small conducting airways and alveoli.

49.About tracheal intubation:

(A) acbd
(B) adcb
(C) abdc
(D) bacd
(E) bdac
 b a d c D

50. ?
(A) Gurgling
(B) Snoring
(C) Wheezing
(D) Silence
Ans: C
(A)Gurgling--due to obstruction of upper airway by liquids (blood, vomit)
(B)Snoring-due to obstruction of upper airway by the tongue
(C)Wheezing--due to narrowing of the lower airways
(D)Silence--Complete airway obstruction

51. 35 ?
(A)Finger sweep maneuver
(B)Chest thrust
(C)Crossed-finger technique
(D)Heimlich maneuver
ans:(B)
!

52.
(A)
(B) X
 (C)
(D)
(E)
ans:(B)
ppt
google : X

53.
(A)
(B) 20%
(C) 48
(D)
(E)
Ans(B)

1. Sudden Cardiac Arrest (SCA)?

(A)
(B) ventricular fibrillation (VF)
(C) 5
(D)
(E) Automated external defibrillators (AED) SCA
Ans: C
CPR, blood transfusion and rectal examination :
P.2
Sudden Cardiac Arrest(SCA):
1.A leading cause of death in USA & Canada A
P.3
1. Ventricular fibrillation (VF) at some point of arrest, resuscitation is most successful if
defibrillation is performed in the first 5 minutes after collapse. B C

2. Due to call time> 5 mins for emergency medical service (EMS), high survival rate depends on
public trained in CPR and well-organized public access defibrillation program (lay rescuer CPR
and automated external defibrillation AED).DE

2. asphyxia ?
(A) heart arrest
(B)
(C) AED SCA
(D)
(E) cycle
ANS: (D)
asphyxia()
 (A)= = ppt

Congenital heart disease. When sudden cardiac arrest occurs in children or adolescents, it
may be due to a heart condition that was present at birth (congenital heart disease). Even
adults who've had corrective surgery for a congenital heart defect still have a higher risk of
sudden cardiac arrest.(D)

(C) CPR AED AED

(D) _>
(E)
PPT:For unresponsive victims of all ages with likely asphyxial arrest (e.g. drowning), the lone
rescuer should deliver about 5 cycles (2 minutes) of CPR before to phone the emergency response
number and get the AED.

3. CPR cardiac compression rescue breath ?

(A) cardiac compression push hard and fast 100 /min
(B) cardiac compression 1/3~1/2
(C) rescue breath 1min
(D) rescue breath chin lift
(E) cardiac compresion 100/minrescue breath
8~10/min
Ans: (C)
(A)(B)Chest compression
(1)Depress the chest of the infant and child by 1/3-1/2 of the depth of chest. Rescuer should push hard,
push fast (rate 100 compressions/min) and allow completed chest recoil between compression and
minimize interruption in compression. (A)(B)
(2)30:2 compression-ventilation ratio for 1-rescuer and all adult CPR.
15:2 compression-ventilation ratio for infant and child 2-rescuer CPR.
(C)(E)Rescue Breaths:
(1)Each rescue breath should be delivered in 1 second and produce visible chest rise. (C)
(2)For victim with a pulse and no chest compression, rescue breath: 12-20 breaths/min for infant or child
& 10-12 breaths/min for adult.
(3)Once an advanced airway is in place,(endotracheal tube, laryngeal mask airway LMA) during 2-
rescuer CPR, the compressor should give 100 compressions/min and the rescuer delivering breath should
deliver 8-10breaths/min. (E)
(D): (chin lift )(jaw thrust )

4. (CPR) compression ventilation ratio ?

(A) 15:1
(B)20:1
 (C) 30:1
(D) 30:2
Ans: D

5.Which compression- ventilation ratio is for 2 rescuer and child and infant CPR?
ans:15:2
30:2 / 15:2

6.
(A) ABO Rh BC AIDSHTLV-I/II
(B) () O Rh Packed RBC
O Rh Packed RBC
(C) Packed RBC 140mL/unit 50-60kg 2
Hct3-4%HB1-1.2mg/dl
(D) Fresh Forzen Plasma(FFP) 8
(V&VIII)
(E) Leukocyte-poor blood cells WBC 5x106

ans:B O Rh Packed RBC O Rh Packed RBC

7.
(A)(ABO ) hemolytic transfusion reaction

(B)febrile non-hemolytic transfusion headahe WBC cytokine meperidine
chill and rigor pack RBC
(C)GVHD T lymphocyte fever, skin
rash, vomting, diarrhea, pancytopenia >90%
(D) heart or renal failure fluid overload
(E)allergy reaction skin itching, erythema
ANS:B
(A) , ,
ppt p49
(B) Leukocyte-poor Blood Cells
(C) ppt p51
(D) ppt p51
(E) ppt p50

9.
(A) ABD Rh B C
AIDSHTLV-I/II
(B)

(C)( 10 ) O Rh Packed RBC
O Rh Packed RBC
 (D) Packed RBC leukocyte-poor blood cells
ans:C 43
(C O Rh Packed RBC O Rh Packed RBC

10. Rectal Examination, ?(A)

(B)
(C) left lateral position, flex hip, knee joint, buttock

(D) finger 12 180 sacral curve
(E)
Ans:(D) 360

*

(A)
(B) supine position
(C)
(D) sacral curve rotate180 12
Ans:(B) left lateral position
11. 2010 AHA CPR ECC guideline?
(A) C--->A--->B
(B) 100 2 inch
(C) CPR
(D) AED cardiac arrest 3 min
(E) supraventricular tachycardia 120-200 ventricular
tachycardia 100
Ans: (E)
(A)(B)(C)
(D)2010 ( 2005 ) AED
( 3 )

(E)
2010 ( ) 120-200
200
50-100 ( )

2005 ( ) 100-200

*:
12. AHA (American Heart Association) CPR guideline, 2005 2010 guideline

(A) A-B-C C-A-B
(B) compression 2 2.5
(C) 100 100
 (D)(Ventricular tachycardia) VT
100

13. Cardiopulmonary resuscitation(CPR)?

(A) BLS A-B-C C-B-A.
(B) (compression)(breath) 30:2.
(C) 2010AHA guideline, AED , guideline ,
.
(D) CPR hemo or pneumo-thorax, hepatic or splenic injuries, vomiting gastric
perforation.
(E) end-stage , DNAR, CPR.
(C)
2010 ( 2005 ) ILCOR 2010 CPR ECC
VF 1
3
1 VF
CPR
3
1 CPR
CPR

16.
(A)

(B) chin lift jaw thrust
(C)
100 /
(D)
(C) ,, p.3~4 (A),
(B),(D) (C) 100 /(2010 )

17. CPR(
???)
(1) CPR
(2) VF SCA ventilation compression
(3)compression-ventilation ratio >15:1CPR
(4) CPR
(5) CPR 5 cycle

ANS: (3)
compression-ventilation ratio >30:2 15:1

18. ?
(A)
 (B)
(C)
(D)
D

19. ?
(A) -
(B) -
(C)
(D)
(C)

20.?
(A)

(B)
(C)
(D)
(D)
...

21.
(A) (handwashing)-
(B)(hand antisepsis)
(C)(surgical hand scrub)

(D)
(D)
ppt.7

22. ?
(A)
(B) 3~5ml 2~5
(C) 5 2-5

(D)

(C)
ANS: PPT8
(C)

24.?
(A)
(B)
 (C)(blood brain barrier, BBB)
(D)
(E)(Albumin)
Ans: (B)

1.
2. (BSA), (enzyme activity, cytochrome P450), (Cr,GFR)----(D)
3. (albumin and binding protein etc)----(E)
4. Blood brain barrier----(C)
5.
6.
7.
8. ----(A)
9.

25.(Newborn screening)
(A)
(B)
(C)
(D)
(E)
(B)
(B) Timing of the collection:
1.The specimen should be obtained from every newborn infant before nursery discharge or by the
3rd day of life.
~(D)

26. ?
(A) alertness, general appearance, and consioucness
(B) motor activity
(C) coverage of insurance
 (D) speech and cry, eye contact
(E)color of skin/lip/mucosa
(C)

28. About growth curve chart, which is wrong?

(A)
(B)

(C)
(D) 25 95
(E)
(D)

29. About PE in pediatric patients, which of the following statement is correct?

(A) (icteric sclera)

(B) hydrocele may be a normal finding in a 6 m/o boy
(C) congenital hypothyroidism may be associated with microcephaly
(D) pupil light reflex could be negative in prematurity week
(E) inguinal hernia dont need surgical intervention in 2 y/o boy
(B)
(A) 2 3 4 6 7
10
(B) 6%


(C) Maternal Hypothyroidism
(D) Positive
(E)

30. 30 (contraindication)?

(A)
(B)
(C)
(D)
(A)
*()
Which one is NOT the contra-indication of abdominal paracentesis?
(A) Pregnancy.
(B)Thrombocytopenia.
(C) Skin infection.
(D) All are not contra-indications.
ppt7-9
1. Patients with disseminated intravascular coagulation
2. coagulopathy
coagulopathy or thrombocytopenia as a result of underlying hepatic disease.
The routine use of fresh-frozen plasma or platelet concentrates is NOT recommended.
3.
who have organomegaly, bowel obstruction, intra-abdominal adhesions, or a distended
urinary bladder
cutaneous infection, prominent engorged vessels, surgical scars, or
abdominal-wall hematomas.

31. 78 119

(A)
(B)
(C)
(D)
Ans.A
(A)
(B)p.46 Contraindications
1.Maxillofacial Trauma
2.Esophageal Abnormalities
3.Altered Mental Status and Impaired Defenses
(C)p.48 Procedure
8~10

(D)p.52 Procedure

32. ?
(A)
(B)
(C)
(D)
*()
which one is the most common complication after abdominal paracentesis ?
(A) Ascites leakage
(B) Hematoma
(C) Wound infection
(D) Hepatorenal syndrome
51
2014 0318 ppt.12
major complication of abdominal paracentesis
 1)Circulatory dysfunction may occur after large-volume paracentesis and is associated with
hypotension, hyponatremia, and increased plasma catecholamine and renin levels.
2)Severe cases may lead to the hepatorenal syndrome and even death.
D ?!

33. Lumbar Puncture ?

(A) L4-L5 l
(B) L1-L2
(C) PSIC L3
(D)
*()
Which description of the landmark on helping localized the spinal
puncture is INCORRECT?
(A) The ideal spinal puncture level is at the L4-L5 interspinal space.
(B) For most of the people, the PSIS level is at L3.
(C) For most of the people, their spnal cord ends at L1 to L2.
(D) All of above.
(D)
(A)
(B)
(C) ppt 33 PSIS L3 L4

34. Which statement regarding to large volume paracentesis is INCORRECT?

(A)Hemodynamic decompensation often associated with activated rennin-angiotensin system.
(B)Circulatory collapde usually come with decrease in urine amount and hypernatremia.
(C) Plasma expander might help to prevent complications.
(D) All statements are correct.
(B) hyponatremia

36. which statement regarding to the complication after spinal puncture is correct
(A)Numbness persisted over 6 hours often indicates irreversible damage
(B)Most spinal headache will resolute spontaneously in hours
(C)Even minor vascular puncture will need prompt surgeon consultation
(D)All statements are correct
ANS:B
: (A)PPT
(B) PPT
(C) PPT 4~6