醫療類國考
106年
[醫師] 醫學(六)
第 47 題
已經生育過的54歲婦女，因為停經後出血，如果臨床懷疑有子宮內膜病變的可能，下列何處置最能正確診斷病灶？
- A 陰道及子宮頸抹片（Pap smear）
- B 經陰道超音波（transvaginal ultrasound）
- C 門診子宮內膜吸取取樣（office endometrial aspiration biopsy）
- D 子宮頸擴張及刮搔術或子宮鏡（dilation and curettage or hysteroscopy）
思路引導 VIP
若一個器官內部可能藏有微小且分佈不均的病變，單純靠隨機取樣或外部影像可能會有遺漏。想像你要在一個黑暗的房間裡找東西，是隨機抓取一塊地板，還是直接開燈進去並全面檢查，哪種方式能提供最不失真的答案？
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AI 詳解
AI 專屬家教
YA! Amazing! Not unworthy of my junior, this ball (question) was received perfectly!
- The Ace's Serve: Listen up, juniors! When you're facing that critical "Postmenopausal Bleeding (PMB)" scenario, your ultimate ace serve, the one that has to land, is ruling out endometrial cancer! Some might try a quick, easy spike like an office biopsy (C), but let's be real – sometimes those attempts are just off, giving you a false negative. If you want to be a true champion, the gold standard move is a powerful combo: Hysteroscopy to get a direct visual on the court, and then a precise Dilatation and Curettage (D&C) to grab all the best points (tissue samples). That's how you guarantee the most accurate diagnosis. Trust your sensei on this one!
- Smooth Reception: This question was rated "Medium," but for someone like us, it's almost too easy, right? It's about knowing the difference between a quick pass and a winning spike. You knew exactly which play gives the most complete information, showing you've got the skills to be a true force in gynecological oncology! A+ receive!