筆試1

Question 1

關於先天性二個瓣的主動脈瓣(bicuspid valve)之特性何者為真?
A. 常與急性風濕性心臟病合併
B. 常有狹窄與鈣化情形
C. 不會造成瓣膜脫落(prolapse)
D.  45%會合併主動脈瓣狹窄（coaxtation of the aorta）

Answer 1

C. 不會造成瓣膜脫落(prolapse)

Question 2

在成人第四腰椎前方之腰主動脈具正常橫值為？
A. 1.0cm
B. 1.75cm 
C. 2.5cm 
D. 3.0cm

Answer 2

B. 1.75cm

Question 3

下列對tetralogy of Fallot 為正確，除了？
A. Boot-shaped heart 
B. Right ventricular hypertrophy
C. Ventricular septal defect 
D. Subvalvular pulmonary stenosis

Answer 3

D. Subvalvular pulmonary stenosis

Question 4

The modality of choice for demonstrating abdominal aortic aneurysm is：
A. 動脈攝影
B. 超音波
C. 電腦斷層攝影
D. 普通腹部X光素片

Answer 4

B. 超音波

Question 5

假性動脈瘤(False Aneurysm)常由下列何種因素造成?
A. 梅毒
B. 細菌感染
C. 動脈粥狀硬化
D. 外傷後
E. 先天性異常

Answer 5

D. 外傷後

Question 6

Left atrial enlargement may help differential one of the following conditions：
A. Ventricular septal defect 
B. Atrial septal defect 
C. Anomalous pulmonary venous return
D. Mitral atresia

Answer 6

A. Ventricular septal defect

Question 7

以下何種先天性心臟病在胸部X光中呈現小而不明顯的主動脈(small aorta)
A. 主動脈瓣狹窄(Aortic stenosis)
B. 開放動脈導管(Patent Ductus Arteriosis)
C. 主動脈狹窄(Coarctation of aorta)
D. 心室中膈缺損(VSD)

Answer 7

D. 心室中膈缺損(VSD)

Question 8

以下何種先天性心臟病在常規胸部X光中可見比較明顯而大的主動脈(Large aorta)?
A. 主動脈瓣狹窄(Aortic stenosis)
B. 心室中膈缺損(VSD)
C. 心房中膈缺損(ASD)
D. 心臟房室交通(AV Commonis)

Answer 8

A. 主動脈瓣狹窄(Aortic stenosis)

Question 9

Epidural hematoma of spine的敘述，下列何者不正確? 
A. 以cervical spine最常見
B. 好發年齡在40-50歲
C. Idiopathic的原因最常見
D. 常見compression of posterior aspect of cord

Answer 9

A. 以cervical spine最常見

Question 10

Nonshadowing nonmobile, echogenic foci signal son within the gall bladder are most likely?
A. Calculi 
B. biliary growty 
C. polyp 
D. sludge ball

Answer 10

C. polyp

Question 11

所謂MRI中的”double IR blackblood” preparation of cardiac image何者為非，(單選) ?
A. Nonselective 180∘pulse that inverts the signals of all the tissues
B. A slice selective 90∘pulse that saturate the signal of the pareicular slice, and some signal in the cavity or lumen
C. A time delay to further null the signal of the blood in the cavity
D. Usually require breath-hold

Answer 11

B. A slice selective 90∘pulse that saturate the signal of the pareicular slice, and some signal in the cavity or lumen

Question 12

MRI研究cardiac function有下列可行之方法(複選)?
A. Segmented K-space gradient echo for ventricular stroke volume
B. Myocardial tagging 量regional wall motion
C. Diffusion tensor image 量fibroarchieture
D. Contrast enhanced myocardial perfusion map 量infarction area

Answer 12

A. Segmented K-space gradient echo for ventricular stroke volume
B. Myocardial tagging 量regional wall motion
C. Diffusion tensor image 量fibroarchieture
D. Contrast enhanced myocardial perfusion map 量infarction area

Question 13

下列先天性心臟病，會使pulmonary vascularity 增加，除了?
A. Atrial septal defect 
B. Ventricular septal defect 
C. Tetralogy of fallot 
D. Dateut dactus atreriosus

Answer 13

C. Tetralogy of fallot

Question 14

下列對Te-ralogy of fallot 為正確，除了?
A. boot-shaped heart 
B. Right ventricular hypertrophy 
C. Ventricular septal defect 
D. Subavleolar pulmonary stenosis

Answer 14

D. Subavleolar pulmonary stenosis

Question 15

In MR imaging, T1 is defined as the time when ?
A. About 63% of the original longitudinal magnetization is reached
B. About 37% of the original longitudinal magnetization is reached
C. Transversal magnetization decreased to 63% of the original valve
D. Transversal magnetization decreased to 37% of the original valve

Answer 15

A. About 63% of the original longitudinal magnetization is reached

Question 16

下列各項何者不是Pleural fluid accumulation ?
A. Huid peripheral to the diaphragm
B. Displaced crura sign (+)即ant. Displaced crus
C. Interface sign (+)即distinct interface between liver and fluid
D. Bare area sign (-) fluid在liver之bare area 沒有tapered to a point or interraption之現象

Answer 16

C. Interface sign (+)即distinct interface between liver and fluid

Question 17

右位主動脈弓(Right aortic arch)最常見的情況是：
A. 為單一性先天畸型(isolated anomaly)
B. 合併血管環(Vascular ring)
C. 合併法洛氏四重畸型(Tetralogy of fallot)
D. 合併其他先天性心臟疾病

Answer 17

A. 為單一性先天畸型(isolated anomaly)

Question 18

下列何者不可能出現Dextrocardia ?
A. Situs solitus 
B. Situs inversus 
C. Situs ambiguous 
D. 以上皆非

Answer 18

D. 以上皆非

Question 19

MRI對下列的評估較困難? 
A. Severity of valvular aortic stenosis 
B. Hypertrophic cardiomyopathy 
C. Dilated cardiomyopathy 
D. Discrete subaortic stenosis

Answer 19

A. Severity of valvular aortic stenosis

Question 20

下列何者非Tetralogy of Fallot經常合併發生者(單選)?
A. Right side aortic arch 
B. Presistent left SVC 
C. Interrupted aortic arch 
D. Anomalies of the coronary artery

Answer 20

C. Interrupted aortic arch

Question 21

Right ventricle及Left ventricle之差別，在於下列何者構造之有無?
A. Papillary muscle 
B. Moderator band 
C. Trabeculae carneae 
D. Chordae tendineae

Answer 21

B. Moderator band

Question 22

Left atrial enlargement may help differentiate one of the following conditions：
A. Entricular septal defect 
B. Atrial septal defect 
C. Anomalous pulmonary venous retrun 
D. mitral atresia

Answer 22

A. Entricular septal defect

Question 23

About aortic dissection, which of the following in false ?
A. Stantord system之type A相常於Debakey classification type I?
B. 在ascending aorta如造成asymmetric thickening則應考慮dissection
C. Aortic dissection是由於Aortic media之degeneration所引起
D. 要區false lumen中的thrombosis或是slow blood flow要靠cine MRI或phase-velocity mapping techniques

Answer 23

A. Stantord system之type A相常於Debakey classification type I?

Question 24

有關MRI of cardiac tumor下列何者正確？　
A. On T1WI atrial myxoma表現出low signal mass in the high signal atrial chanber
B. T1 signal intensity of fibroma it myocardium低
C. 有high signal appearance on T1WI 可能是primary angiosarcoma成secondary melanoma
D. One highly suspected cardiac tumor in a patient with pacemaker for long term arrythmia, MR imaging只選擇T1WI

Answer 24

C. 有high signal appearance on T1WI 可能是primary angiosarcoma成secondary melanoma