Archive for 9月 2013

CXR 胸部x光判讀 ICU CXR

Low O2, Pneumothorax, or pulmonary embolism ?


Pneumothorax, not pulmonary embolism



 empyema or lung abscess?


empyema not lung abscess




 TB pneumonia


progress to TB ARDS
2013年9月25日 星期三
Posted by Chih-Hao Chang

102年度 胸專 答案

102年度「胸腔暨重症醫學」專科醫師考試筆試標準答案
1. (A)
2. (B)
3. (D)
4. (C)
5. (B)
6. (A)
7.(C)
8. (C)
9. (B)
10. (C)
11. (C)
12. (A)
13. (D)
14. (D)
15. (B)
16. (C)
17. (A)
18. (A)
19. (C)
20. (D)
21. (C)
22. (B)
23. (B)
24. (B)
25. (D)
26. (C)
27. (B)
28. (D)
29. (A)
30. (A)
31. (A)
32. (C)
33. (B)
34. (D)
35. (A)
36. (B)
37. (D)
38. (A)
39. (D)
40. (A)
41. (B)
42. (C)
43. (C)
44. (A)
45. (D)
46. (C)
47. (D)
48. (B)
49. (D)
50. (C)
51. (D)
52. (B)
53. (D)
54. (B)
55. (A)
56. (A)
57. (D)
58. (C)
59. (B)
60. (A)
61. (D)
62. (D)
63. (A)
64. (B)
65. (C)
66. (C)
67. (D)
68. (A)
69. (D)
70. (A)
71. (A)
72. (C)
73. (D)
74. (C)
75. (D)
76. (B)
77. (B)
78. (C)
79. (A)
80. (C)
81. (A)
82. (C)
83. (B)
84. (D)
85. (A)
86. (D)
87. (B)
88. (D)
89. (C)
90. (B)
91. (C)
92. (B)
93. (A)
94. (C)
95. (D)
96. (B)
97. (A)
98. (B)
99. (D)
100.(C)


台灣胸腔暨重症加護醫學會102年度「胸腔暨重症醫學」專科醫師考試
內科影像學標準答案
M01 Sequestration M19 Esophageal cancer, s/p reconstruction with gastric tube via posterior mediastinal route (答esophageal reconstruction 就給分)
M02 Microlithiasis M20 Pulmonary tuberculosis, active (mainly RUL)
M03 Lt side pneumothorax M21 Pulmonary cryptococcosis
M04 Lt side hemothorax, rib fracture, Lt side clavicular and scapular fracture M22 Pneumomediastinum, subcutaneous emphysema, destroyed right 2nd rib (metastatic lesion), pneumonia with parapneumonic effusion
M05 Scimitar syndrome M23 Lung cancer, RUL, with RUL collapse
M06 Tracheal tumor M24 Left lower lobe infection with consolidation (NTM infection)
M07 Hiatal hernia M25 Right subphrenic free air (hallow organ perforation)
M08 Thymic carcinoma M26 Primary pulmonary hypertension (with engorged pulmonary artery)
M09 Adenocarcinoma, LLL M27 Aortic aneurysm
M10 Submassive right segmental and left lobar pulmonary embolism with pulmonary infarction M28 Sclerosing hemangioma
M11 Diffuse panbronchiolitis (with bronchiectasis) M29 Idiopathic pulmonary fibrosis
M12 Pulmonary cryptococcosis M30 Aspergilloma
M13 髮辮(braided or plaited hair) M31 Silicosis
M14 Port-A dislocation M32 Sarcoidosis
M15 Lung cancer + neurofibromatosis M33 Pulmonary alveolar proteinosis
M16 Kartagener's syndrome with situs inversus (and bilateral lower lobe bronchiectasis)  
M17 Wegener's granulomatosis
M18 Prominent nipples


台灣胸腔暨重症加護醫學會102年度「胸腔暨重症醫學」專科醫師考試
外科影像學標準答案
S01 Sequestration S19 Esophageal cancer, s/p reconstruction with gastric tube via posterior mediastinal route (答esophageal reconstruction 就給分)
S02 Microlithiasis S20 Pulmonary tuberculosis, active (mainly RUL)
S03 Lt side pneumothorax S21 Pneumomediastinum, subcutaneous emphysema, destroyed right 2nd rib (metastatic lesion), pneumonia with parapneumonic effusion
S04 Lt side hemothorax, rib fracture, Lt side clavicular and scapular fracture S22 Right side pneumothorax
S05 Scimitar syndrome S23 Right subphrenic free air (hallow organ perforation)
S06 Tracheal tumor S24 Primary pulmonary hypertension (with engorged pulmonary artery)
S07 Hiatal hernia S25 Aortic aneurysm
S08 Thymic carcinoma S26 Bulla, right lower lobe
S09 Adenocarcinoma, LLL S27 Sclerosing hemangioma
S10 Submassive right segmental and left lobar pulmonary embolism with pulmonary infarction S28 Aspergilloma
S11 Diffuse panbronchiolitis (with bronchiectasis) S29 Staghorn renal stone, metabolic wire fixation of sterum
S12 Pulmonary cryptococcosis S30 Right side aorta
S13 髮辮(braided or plaited hair) S31 Lung cancer, RLL, s/p lobectomy with LU recurrence or another primary lesion
S14 Port-A dislocation S32 Lung cancer, RUL
S15 Lung cancer + neurofibromatosis S33 Lung cancer, RUL, with RUL collapse
S16 Kartagener’s syndrome with situs inversus (and bilateral lower lobe bronchiectasis)  
S17 Wegener’s granulomatosis
S18 Prominent nipples



Posted by Chih-Hao Chang

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