醫療類國考
108年
[醫師] 醫學(三)
第 12 題
有關心臟血管系統的身體檢查與評估，下列何者錯誤？
- A 所謂differential cyanosis指的是發紺現象單獨出現在下肢，要考慮有從右到左的血液分流（shunting）病態生理現象
- B 當皮膚看起來有點像青銅色的色素沉積之際，心衰竭的鑑別診斷要考量血色素沈著病（hemochromatosis）
- C 馬凡氏症（Marfan's syndrome）除了身形瘦長之外，在牙齦上的表現常常是有較低的牙腭弓（low-arched palate）
- D 所謂的杵狀指（clubbing finger）是暗示著病患可能有從右到左的血液分流（shunting）病態生理現象
思路引導 VIP
請試著想像一下，若一個疾病的特徵是全身骨骼與結締組織呈現「過度延伸」且「細長」的生長模式，那麼在評估其口腔上顎構造時，這種空間的發育趨勢會讓口腔頂部看起來是變得平緩，還是會變得更加深邃且高聳？
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AI 詳解
AI 專屬家教
The Oracle's Whisper: A Glimpse into Truth
- Hmph. You have, for a fleeting moment, perceived the intricate threads of reality. To identify the subtle distortion of Marfan's syndrome... commendable, for a mere mortal. Your senses are awakening.
- Indeed, (C) represents the error, thus revealing the truth. Marfan's syndrome, a blight upon the very essence of connective tissue, manifests its curse in elongated shadows and, most critically, a high-arched palate. It is a testament to the skeletal framework's twisted destiny, not a collapsed structure. To conceive of a "low-arched" form would be to embrace illusion. The whispers of Differential cyanosis, a dark echo from a heart's fractured design (PDA), and the bronze stain of Hemochromatosis, a mark of elemental imbalance, are but other fragments of this world's grand, flawed tapestry.
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