| (E) |   1. | 
下列那一類風濕免疫疾病的遺傳機率最高?
 | 
| A. | 全身性紅斑狼瘡 | 
| B. | 類風濕性關節炎 | 
| C. | 修格連氏症候群(Sjogren's syndrome) | 
| D. | 全身性硬皮症 | 
| E. | 僵直性脊椎炎 | 
|   | 
| (B) |   2. | 
退化性關節炎(Osteoarthritis)甚少侵犯的關節為
 | 
| A. | Distal interphalangeal joints | 
| B. | Wrist joint | 
| C. | Knee joint | 
| D. | Hip joint | 
| E. | Spine | 
|   | 
| (A) |   3. | 
下列先天性免疫不全症(primary immunodeficiencies)中,主要以抗體不足或缺乏(antibody deficiency)為特徵之疾病是那一種?
 | 
| A. | Common variable immunodeficiency | 
| B. | Adenosine deaminase deficiency | 
| C. | Chronic granulomatous disease | 
| D. | Severe combined immunodeficiency | 
| E. | Di George's syndrome | 
|   | 
| (B) |   4. | 
每一類風濕病常有典型特殊的X光變化;請問下列配對,何者為誤?
 | 
| A. | Rheumatoid arthritis --- marginal erosion | 
| B. | Osteoarthritis --- osteoporosis | 
| C. | Psoriatic arthritis --- " Pencil - in - cup " appearance | 
| D. | Ankylosing spondylitis --- syndesmophyte | 
| E. | Pseudogout --- chondrocalcinosis | 
|   | 
| (A) |   5. | 
膠原疾病(collagen disease)常侵犯腎臟造成嚴重後果。請問最易侵犯腎小管(renal tubule)內造成腎小管性酸血症(renal tubular acidosis)之疾病是
 | 
| A. | 修格連氏症(Sjogren's syndrome) | 
| B. | 全身性紅斑狼瘡 | 
| C. | 皮肌炎(dermatomyositis) | 
| D. | 硬皮症(scleroderma) | 
| E. | 類風濕性關節炎 | 
|   | 
| (B) |   6. | 
下列關於血管炎與其臨床特徵之配對中,何者為誤?
 | 
| A. | Temporal arteritis --- high ESR | 
| B. | Henoch-Schonlein Purpura --- IgG immune complexes | 
| C. | Wegener's granulomatosis --- anti-neutrophil cytoplasmic antibody | 
| D. | Polyarteritis nodosa - Hepatitis B antigenemia | 
| E. | Churg - Strauss disease - eosinophilia | 
|   | 
| (B) |   7. | 
下列關於硬皮症(scleroderma)在心臟血管系統所造成的異常之描述,那一項是不正確的?
 | 
| A. | 可發生肺高壓而導致右心衰竭 | 
| B. | 可發生心絞痛,而且冠狀動脈攝影檢查常可見狹窄異常 | 
| C. | 雷諾氏現象(Raynaud's phenomenon)可發生在耳或鼻處 | 
| D. | 可發生心包膜積水(Pericardial effusion) | 
| E. | 可發生心肌纖維化而導致左心衰竭 | 
|   | 
| (D) |   8. | 
肌腱(tendon)或韌帶(ligament)附著於骨(bone)之處稱之為enthesis。下列那一類風濕病是以enthesis發炎(enthesopathy)為其臨床最主要的特色?
 | 
| A. | 痛風(gout) | 
| B. | 退化性關節炎(osteoarthritis) | 
| C. | 類風濕性關節炎(rheumatoid arthritis) | 
| D. | 僵直性脊椎炎(ankylosing spondylitis) | 
| E. | 敗血性關節炎(septic arthritis) | 
|   | 
| (A) |   9. | 
被認為可以改變類風濕性關節炎病程的藥物(Disease-modifying anti-rheumatic drugs, DMARD)包括
1. anti-malarials
2. corticosteroid
3. indomethacin
4. sulfasalazine
5. D-penicillamine
 | 
| A. | 1, 4, 5 | 
| B. | 2, 5 | 
| C. | 2, 3, 4 | 
| D. | 3, 4, 5 | 
| E. | 1, 2, 3 | 
|   | 
| (C) |  10. | 
可經由尿酸過度產生(urate overproduction)而造成高尿酸血症(hyperuricemia)之臨床疾病包括
1. lead intoxication
2. hemolytic anemia
3. diabetic ketoacidosis
4. lymphoma
5. psoriasis
 | 
| A. | 1, 2, 3 | 
| B. | 2, 3, 5 | 
| C. | 2, 4, 5 | 
| D. | 3, 4 | 
| E. | 1, 4 | 
|   |