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10. 關於嗎啡類藥物成癮的機轉敘述,下列何者錯誤: (A)大腦中 ventral tegmental area (VTA) 及 nucleus accumbens (NA)為最重要影響腦區 (B)此
問題詳情
10. 關於嗎啡類藥物成癮的機轉敘述,下列何者錯誤:
(A)大腦中 ventral tegmental area (VTA) 及 nucleus accumbens (NA)為最重要影響腦區
(B)此兩個腦區籍由系統中的 mesolimbic p 剖 hway 連接
(C)與神經傳遞物血清素 (serotonin) 的分泌有關
(D)此中樞神經網路代表了動物行為的「獎懲系統 J (reward system)
(E)與酒精成癮的機制是同一套神經興奮系統
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9. 有關癌症患者的疼痛治療,下列何者正確? (A)約有 6~7 成疼痛是來自腫瘤直接侵犯造成 (B)cancer therapy 造成的疼痛很少見 (C)NSAID 是屬於第二線用藥 (D)phys
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11. 類鴉片藥物目前仍是臨床上用於疼痛控制的最主要藥物,以下有關於類鴉片藥物使用之注 意事項何者為是? (A)類鴉片藥物是作用於類鴉片受體而產生止痛作用,各受體間有 Cross tolerance
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12. 目前對 Chronic tension-type headache (CTTH) 的認識,下列何者不正確? (A)發作時,在腦血流中有明顯的 CGRP 增加 (B)與 myofascial p
13. 周邊神經切除會形成 neuroma 引起疼痛,下列敘述何者不正確: (A)是因為 axon 不正常的 regenerative sprouting (B)疼痛發生大多與 C-fiber 出現不
14. 利用手術或介入性阻斷技術減少癌症疼痛的方式,下列敘述何者效果最差: (A)以 internal surgical fixation 減少脊椎病理性骨折的疼痛 (B)以 epidural st
15. 下列關於 opioid rotation 或 opioid switch,哪一種敘述較不正確: (A)opioid switch\/rotation 意思是指改變鴉片藥物的給藥途徑,可以提高
16. Which one of the following statement is most appropriate? (A) Morphine can act on µ1 and µ2 opio
17. 一位末期肝癌疼痛的病患,因口服嗎啡已經造成嚴重的嘔吐,考慮改由脊髓腔內(intrathecal) 持續給藥,因其每天劑量達 600 mg,經換算後脊髓給藥劑量應為每天約: (A) 1 mg (
18. Which of the following statement concerning “central pain” is LEAST likely: (A) Central pain is
19. Choose one wrong description about opioid use: (A) Acute opiate administration activated opiate
20. A patient is positioned prone in the fluoroscopic table, the T1-T4 spinous processes are identif
21. Which of the following activities will exacerbate pain the most in an elderly patient with sever
22. 抗憂鬱劑常被用在治療慢性神經病理性疼痛緩解,以下有關於此類藥物之敘述何者為非? (A)三環抗憂鬱劑是慢性疼痛治療的首選藥物。 (B) Amitriptyline 可同時抑制 Serotonin
23. Which of the following statement concerning “postoperative pain” is least likely? (A) Management
24. Which of the following statement concerning “muscle pain” is least likely? (A) Muscle pain is di
25. Which of the following diagnostic tests that aid in the diagnosis of complex regional pain syndr
26. 下列關於癌症病人的 breakthrough pain,下列敘述何者較 不正確 : (A)包括了 incident pain 及 spontaneous pain (B)一般不把\"
27. Which management for acute orofacial pain is not advisable? (A) NSAlDs exert their actions in da
28. 當病人一再來門診或急診要求注射成癮性止痛藥時,下列哪些現象暗示病患可能有「成癮」現象? (A) 病人抱怨最近的處方的止痛時間不夠久,藥效變差 (B) 病忠抱怨最近疼痛加重厲害,發作頻繁,他把三
29. Which of the following is the acceptable statement about pathogenesis of FMS? (A) There is evide
30. Which drug below is less likely an option for inhibiting central sensitization following acute p
31. A 61-year-old woman presents to the pain clinic with a chief complaint of left shoulder and arm
32. Which medication below is not suggested in fibromyalgia syndrome (FMS): (A) Non-steroidal anti-i
33. Choose one wrong description about pain assessment. (A) McGill Pain Questionnaire (MPQ) had been
34. Which is NOT true regarding cluster headache? (A) ipsilateral ptosis, miosis, or nasal congestio
35. Which of the following event is not related to Microglia to develop pain hypersensitivity follow
36. A rise in post-synaptic Ca2+ concentration is an essential central step for virtually all forms