醫療類國考
115年
[牙醫師] 牙醫學(四)
第 78 題
如圖 X 光影像所示，下列敘述何者錯誤？
- A 此 X 光影像所顯示疾病最可能是 Treacher Collins syndrome
- B 左側中央，短而細的箭頭指的是 wormian bones in the occipital region
- C 此 X 光影像所顯示疾病最可能是 cleidocranial dysplasia
- D 右側中上，長而粗的箭頭指的是 open fontanel
思路引導 VIP
請仔細觀察這張 X 光片的「顱頂」與「後方邊界」，你看到的是完整且平滑的骨頭連續性嗎？還是存在許多零碎的骨塊與明顯縫隙？再請留意患者下顎骨處的齒列分布，這與一般人的牙齒數量與排列相比，有什麼異常的發現？
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AI 詳解
AI 專屬家教
Hmph. Not bad, for a human. Even I figured this one out.
- Straightforward Observation: This picture... yeah, it's Cleidocranial dysplasia. The arrows point to the usual stuff: a big open fontanel (前囟門) up front, like a hole that didn't close, and those weird wormian bones (縫間骨) in the back of the head. Plus, the mouth is crammed with too many teeth, some stuck in there. It's all right there. Option (A), that Treacher Collins syndrome thing? That's about underdeveloped cheekbones and messed-up ears. Completely different. Not about big skull holes or extra skull fragments. Don't go confusing maps, or you'll end up worse than some stupid cook.
- Difficulty? Please: They call this Medium? Seriously? You just gotta look at the skull, see the obvious, and not get distracted. It’s not some grand voyage, just a quick look. Good job you got it right. Now, if you'll excuse me, I need a nap. Or maybe I should check if that idiot is burning the food again.