93. 關於胰臟癌篩檢的敘述，何者不恰當？

(A) 高危險族群，應每年監控血糖

(B) CA199 是最優的血液篩檢工具

(C) MRI/MCRCP 及 EUS 是最危險族群的影像篩檢工具

(D) 高危險族群建議 50 歲開始進行篩檢

(E) 對於年紀大、有許多共同不適合手術的危險族群則不需要篩檢

94. Which of following statements is incorrect？(A) The term hemorrhagic pancreatitis is a synonym for necrotizing pancreatitis(B) Acute pancreatitis is defined by 3 criteria - symptoms consistent withpancreatitis, a serum amylase or lipase level greater than 3 times the upperlimit, and radiologic imaging consistent with pancreatitis(C) Acceptable markers of severe pancreatitis include 3 or more of Ranson’s 11 criteria for nongallstone pancreatitis 13 and an Acute Physiology and Chronic Health Evaluation (APACHE-II) score above 8(D) After a period of approximately 4 weeks, if the acute peripancreatic fluidcollections persist and develop a wall, then they are called a “pseudocyst.”(E) Necrotic collections, which may also be peripancreatic, develop a wall after 4 weeks and are then referred to as WON

95. Which of following statements are incorrect about acute pancreatitis (AP)？(1) There is no specific drug therapy to treat AP(2) Long-term NPO is not suggested(3) Morphine has been shown to adversely affect outcome in acute pancreatitis(4) NG intubation is not used routinely(5) Routine use of PPIs or H2RAs have been shown to be beneficial for acute pancreatitis(A) (2)＋(4)(B) (3)＋(5)(C) (1)＋(5)(D) (2)＋(3)(E) (1)＋(5)

96. Which of following statements are correct？(1) The initial step in the pathogenesis of AP is conversion of trypsinogen to phospholipase A2 within acinar cells(2) Pancreatic secretory trypsin inhibitor (now called SPINK1) is a protective intrapancreatic mechanisms(3) The first phase of acute pancreatitis usually lasts a week and ischaracterized by systemic symptoms that may result in organ failure(4) Approximately 75% to 80%, of patients with AP have a resolution of the disease process(A) (1)＋(2)＋(4)(B) (2)＋(3)＋(4)(C) (1)＋(3)＋(4)(D) (1)＋(2)＋(3)(E) (1)＋(2)＋(3)＋(4)

97. Which statements about chronic pancreatitis is/are incorrect？(1) Tobacco use is one very important cofactor for the development of alcoholic chronic pancreatitis(2) Men are more likely than women to develop alcoholic chronic pancreatitis(3) some cases with pancreatitis attack due to hypertriglyceridemia willultimately develop chronic pancreatitis(4) The response to sphincter ablation in patients with chronic pancreatitis andpresumed sphincter of Oddi dysfunction is predictable(A) (1)＋(4)(B) (2)＋(3)(C) (3)＋(4)(D) (1)(E) (4)

98. Which statements about treatment of chronic pancreatitis is incorrect？(A) For pain relief, most of patients with chronic pancreatitis require more potent narcotic agents(B) Narcotics should not be withheld in patients with severe pain(C) High dosages of tramadol are equivalent to oral morphine in treating chronic pancreatitis, with fewer effects on gut motility(D) A trial of enzymes for pain is usually successful in those with advancedchronic pancreatitis with diffuse calcifications or a dilated pancreatic duct(E) The primary goal of endoscopic therapy is to improve drainage of the pancreatic duct by relieving ductal obstruction

99. Which statements about pancreatic cancer is incorrect？(A) It should raise clinical suspicion of pancreatic cancer in an older adult patient who presents with acute pancreatitis without another clear etiology(B) In the hands of experienced surgeons, tissue diagnosis is not a prerequisiteto proceeding with surgery in most patients(C) In centers where EUS is available, the main role for ERCP has becomepalliative, relieving biliary obstruction via stent placement(D) Published data demonstrate that approximately 25% of patients in whomlocalized disease is demonstrated by CT also have unsuspected metastaticimplant(E) 5-FU has been shown to be a more effective drug for treating PC than Gemcitabine

100. Endoscopic treatments of pancreatic diseases include:(1) Endoscopic transpapillary drainage of a pancreatic pseudocyst(2) EUS-guided transmural drainage of a WON(3) EUS-guided neurolysis for pain control(4) EUS-guided tumor ablation(A) (1)＋(2)(B) (2)＋(3)＋(4)(C) (1)＋(2)＋(3)＋(4)(D) (1)＋(2)＋(3)(E) (1)＋(2)＋(4)

1. 下列 TTL IC 何者不是開路集極(open-collector)閘？ (A)SN7403 (B)SN7405 (C)SN7401 (D)SN7400。

2. 下列何者「不是」目前台灣主要的發電方式？ (A)燃煤 (B)地熱 (C)燃氣 (D)水力。

3. 將 1MHz 方波訊號轉換成 125kHz 的方波，至少需要多少個 JK 正反器？ (A)4 (B)3 (C)1 (D)2。

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