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沒個版就用這裡好了 病理第3次考古勘誤



以下是勘誤

18.Which statements regarding pathogenesis of the leukemia and
      myelodysplastic syndrome are TRUE?
    1.In the most cases of CML, Philadelphia chromosome could be observed on
       erythroid, myeloid and megakaryocytic cells
    2.Acute leukemia results simply from clonal proliferation of stem cells.
    3.CML is a colonal proliferative disorder of myeloid stem cell.
    4.Myelodysplastic syndrome is always preleukemic.
     (A) 1,3
     (B) 2,4
     (C) 1,2,3
     (D) 4
     (E) 1,2,3,4

答案是A 班上選的是C

AL最大的問題是  過度增生加上無法成熟


    15. A 79-year old man with an osteolytic leision of the spine is unsual
        for
    (A) Metastatic prostate adenocarcinoma
    (B) Metastatic lung adenocarcinoma
    (C) Metastatic renal cell carcinoma
    (D) Metastatic gastric adenocarcinoma

 班上選A

答案沒錯
但是解釋錯誤
重點在於prostate的cancer是成骨性而不是溶骨性



4.The following diseases are often seen associated with abnormal gene
expression:
   O(1)p16 in CIN 
        CIN   HPV相關
        P16 pancreatic cancer
   X(2)Her2/Neu in vulvar carcinoma 錯
        Her2   breast cancer
        Vulvar carcinoma    HPV
   O(3)PTEN gene in endometrial carcinoma
        對
        大羅1087
   X(4)p57 in choriocarcinoma
        錯
        Choriocarcinoma 不知道跟什麼有關,子宮外孕有關
只能選1.3 這題複選(A)

05.以下何者與renal infract最相關?
   (A)HPV/HIV infection(抱歉這選項背不清楚)
   (B)pyelonephritis
   (C)atherosclerosis
   (D)aristochic nephropathy

Ans:(C)

要先知道心臟有1/4的輸出是到腎臟
而且腎臟沒有什麼側支循環
所以當供血不夠、或是栓塞了
有會造成infarct

renal infarct有三種成因

trauma--血管受傷,無法供血
emboli--塞住
artery 的thrombosis--供血降低

選C
 

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