【rockshiuan863】點評問題和點評內容

【評論主題】18.有關齒源性感染的supportive treatment，下列何者錯誤？ (A)給與抗生素 (B)給與足夠水分 (C)改善營養 (D)控制體溫 (E)一律給分

【評論內容】

Systemic support is an indispensable component of management of odontogenic infections, because, as mentioned previously, it is ultimately the patient’s host defenses that eventually combat the infection. Once the source of the infection is eliminated and the infection drained, the bacterial load is decreased. The clinician’s role is to optimize the patient’s ability to eliminate residual infection by supportive means. These supportive measures include hydration, improved nutrition, pain control, adjunctive antibiotic therapy, and blood glucose control.References--p.329, Contemporary Oral and Maxillofacial Surgery (7th edition)

【評論主題】18.有關齒源性感染的supportive treatment，下列何者錯誤？ (A)給與抗生素 (B)給與足夠水分 (C)改善營養 (D)控制體溫 (E)一律給分

【評論內容】

Systemic support is an indispensable component of management of odontogenic infections, because, as mentioned previously, it is ultimately the patient’s host defenses that eventually combat the infection. Once the source of the infection is eliminated and the infection drained, the bacterial load is decreased. The clinician’s role is to optimize the patient’s ability to eliminate residual infection by supportive means. These supportive measures include hydration, improved nutrition, pain control, adjunctive antibiotic therapy, and blood glucose control.References--p.329, Contemporary Oral and Maxillofacial Surgery (7th edition)

【評論主題】18.有關齒源性感染的supportive treatment，下列何者錯誤？ (A)給與抗生素 (B)給與足夠水分 (C)改善營養 (D)控制體溫 (E)一律給分

【評論內容】

Systemic support is an indispensable component of management of odontogenic infections, because, as mentioned previously, it is ultimately the patient’s host defenses that eventually combat the infection. Once the source of the infection is eliminated and the infection drained, the bacterial load is decreased. The clinician’s role is to optimize the patient’s ability to eliminate residual infection by supportive means. These supportive measures include hydration, improved nutrition, pain control, adjunctive antibiotic therapy, and blood glucose control.References--p.329, Contemporary Oral and Maxillofacial Surgery (7th edition)

【評論主題】18.有關齒源性感染的supportive treatment，下列何者錯誤？ (A)給與抗生素 (B)給與足夠水分 (C)改善營養 (D)控制體溫 (E)一律給分

【評論內容】

Systemic support is an indispensable component of management of odontogenic infections, because, as mentioned previously, it is ultimately the patient’s host defenses that eventually combat the infection. Once the source of the infection is eliminated and the infection drained, the bacterial load is decreased. The clinician’s role is to optimize the patient’s ability to eliminate residual infection by supportive means. These supportive measures include hydration, improved nutrition, pain control, adjunctive antibiotic therapy, and blood glucose control.References--p.329, Contemporary Oral and Maxillofacial Surgery (7th edition)

【評論主題】18.有關齒源性感染的supportive treatment，下列何者錯誤？ (A)給與抗生素 (B)給與足夠水分 (C)改善營養 (D)控制體溫 (E)一律給分

【評論內容】

Systemic support is an indispensable component of management of odontogenic infections, because, as mentioned previously, it is ultimately the patient’s host defenses that eventually combat the infection. Once the source of the infection is eliminated and the infection drained, the bacterial load is decreased. The clinician’s role is to optimize the patient’s ability to eliminate residual infection by supportive means. These supportive measures include hydration, improved nutrition, pain control, adjunctive antibiotic therapy, and blood glucose control.References--p.329, Contemporary Oral and Maxillofacial Surgery (7th edition)

【評論主題】18.有關齒源性感染的supportive treatment，下列何者錯誤？ (A)給與抗生素 (B)給與足夠水分 (C)改善營養 (D)控制體溫 (E)一律給分

【評論內容】

Systemic support is an indispensable component of management of odontogenic infections, because, as mentioned previously, it is ultimately the patient’s host defenses that eventually combat the infection. Once the source of the infection is eliminated and the infection drained, the bacterial load is decreased. The clinician’s role is to optimize the patient’s ability to eliminate residual infection by supportive means. These supportive measures include hydration, improved nutrition, pain control, adjunctive antibiotic therapy, and blood glucose control.References--p.329, Contemporary Oral and Maxillofacial Surgery (7th edition)

【評論主題】18.有關齒源性感染的supportive treatment，下列何者錯誤？ (A)給與抗生素 (B)給與足夠水分 (C)改善營養 (D)控制體溫 (E)一律給分

【評論內容】

Systemic support is an indispensable component of management of odontogenic infections, because, as mentioned previously, it is ultimately the patient’s host defenses that eventually combat the infection. Once the source of the infection is eliminated and the infection drained, the bacterial load is decreased. The clinician’s role is to optimize the patient’s ability to eliminate residual infection by supportive means. These supportive measures include hydration, improved nutrition, pain control, adjunctive antibiotic therapy, and blood glucose control.References--p.329, Contemporary Oral and Maxillofacial Surgery (7th edition)

【評論主題】45.有關上顎犬齒3/4金屬牙冠（three quarter metal crown）修磨的敘述，下列何者正確？①理想的舌側軸壁需與牙齒頰側面近齒頸1/3處平行 ②切緣斜面（incisal bevel

【評論內容】①理想的舌側軸壁需與牙齒頰側面的中間1/3...

【評論主題】25.對於可撤式局部義齒環周牙鈎（circumferential clasp）的敘述，下列何者正確？①鄰接小連接體（proximalminor connector）提供穩定（stabilization

【評論內容】Stabilization: Proxi☆☆☆ ☆☆☆☆☆, ...

【評論主題】8.關於全口義齒須重置位（remount）的時機，下列何者錯誤？(A)排牙後試戴，發現垂直高度太高(B)義齒煮聚完成後(C)戴入患者口內，發現咬合錯誤(D)試戴時基底不穩

【評論內容】Remount purpose:For ☆☆☆☆☆☆☆☆☆☆...

【評論主題】47.較大之第五類型（Class V）汞齊填補，下列何者可增加窩洞固位性（retention）？(A)製備四個小凹（retention coves）(B)打固位釘（retention pin）(C)製

【評論內容】Reference-- p.382, C☆10, ☆☆☆ ☆☆☆ ...

【評論主題】44.關於金屬冠蓋體（onlay）復形之裙狀製備（skirt preparation）的敘述，何者錯誤？(A)可用於增加固位性（retention）與抗力性（resistance）(B)增加包覆範圍可

【評論內容】Skirt preparation is ...

【評論主題】43.關於微粒型複合樹脂（microfill composites）與混雜型複合樹脂（hybrid composite）的敘述，下列何者錯誤？(A)微粒型複合樹脂的填料含量比混雜型複合樹脂少(B)微粒

【評論內容】(D) Increasing t☆☆ ...

【評論主題】42.關於前牙空隙關閉（diastema closure）的敘述，下列何者錯誤？(A)前牙空隙較寬時易呈現背景色（show-through effect）(B)主要靠的是牙釉質鍵結(C)當空隙超過 2

【評論內容】An accepted theo☆☆☆ ☆☆☆ ...

【評論主題】40.關於牙科複合樹脂材料中，所添加填料（filler）的敘述，下列何者錯誤？① 成分多為氧化鋯、玻璃、或是二氧化矽 ② 提高熱膨脹係數 ③ 填料顆粒越大，越具抗磨耗性（wear resistance

【評論內容】(2) Increasi☆☆ ☆☆☆ ...

【評論主題】25.關於根尖成形術（apexification）的敘述，下列何者正確？(A)根尖成形術為對牙髓發炎但根尖尚未發育完全的牙齒，在根尖處進行誘導以形成鈣化沉積(B)氫氧化鈣製劑在過去被廣泛使用，但長期使

【評論內容】(A) Apexification is ☆☆☆ ...

【評論主題】20.若將受感染的牙本質碎屑推出根尖孔時，常會造成根尖周圍組織感染，在感染區域中最常發現的是那二種菌？(A)Actinomyces israelii及Propionibacterium propion

【評論內容】Occasionally, ☆☆☆☆☆☆☆☆☆ ...

【評論主題】18.關於牙根尖手術中局部止血（hemostasis）的方式，下列敘述何者錯誤？(A)膠原蛋白類的材料是藉由引導血小板附著，產生聚集和釋放反應達到止血效果(B)骨蠟（bone wax）會刺激第十二凝血

【評論內容】Bone wax retards ☆☆☆☆ ...

【評論主題】15.根管治療時，下列何種情形最有可能使用抗生素？(A)持續腫脹(B)根管封填後(C)預防症狀突發（flare-up）(D)竇管（sinus tract）產生時

【評論內容】

An antibiotic regimen should be prescribed in conjunction with endodontic treatment when there are systemic signs and symptoms of infection or a progressive/ persistent spread of infection. The presence of a fever (>100oF), malaise, cellulitis, unexplained trismus, and progressive swelling are all signs and symptoms of systemic involvement and spread of infection.Reference-- p.694, CH21, Ingle's Endodontics 6th edition

【評論主題】14.有關次氯酸鈉（NaOCl）溶液在根管治療時的作用，下列敘述何者錯誤？(A)控制髓腔開擴時的出血(B)抗菌能力(C)具有溶解生物膜（biofilm）的能力(D)對NaOCl溶液過敏的患者可以改換c

【評論內容】The advantages o☆ ☆☆ ☆☆☆☆☆ ...

【評論主題】6.有關牙髓內膠原蛋白（collagen）的敘述，下列何者正確？(A)主要是由type I 及type II的膠原蛋白所組成(B)造牙本質細胞（odontoblasts）只有分泌type I膠原蛋白(

【評論內容】(A)&(B) The ...

【評論主題】3.手術性根管治療的骨質癒合過程，依序為何？ ①清除沒有活性碎屑（eradication of nonvital debris） ②形成骨痂（callus formation） ③肉芽組織增生（pro

【評論內容】The healing of an ...

【評論主題】63.美國醫學研究所（Institute of Medicine）指出，公共衛生的核心功能包含：評估（assessment）、發展政策（policy development）、確保（assurance

【評論內容】美國促口腔健康的10項基本公共衛生服務評★...

【評論主題】74.下列何種疾病，最不會出現廣泛性之齒槽骨板（lamina dura）喪失？(A)副甲狀腺機能過旺（hyperparathyroidism） (B)軟骨病（osteomalacia） (C)戈林症狀

【評論內容】會出現loss of lmina dura的疾病：HyperparathyroidismOsteomalaciaMcCune-Albright syndromeHypophosphatasia

【評論主題】79.下列關於下顎運動受限的敘述，何者正確？①閉口肌痙攣（muscle spasm），將造成張口運動受限 ②不可復性關節盤移位（disc displacement without reduction）

【評論內容】可復性關節盤移位，當關節盤回到正確位置，並不會造成下顎骨運動受限

【評論主題】60.關於卵圓形橋體（ovate pontic）的設計與操作，下列敘述何者錯誤？(A)拔牙時應做牙嵴保存補骨手續（site preservation grafting procedure） (B)拔牙

【評論內容】齒槽骨上的理想牙齦厚度至少要2mm

【評論主題】46.有關金屬嵌體（inlay）牙齒修磨的敘述，下列何者正確？①邊緣與鄰接牙最好有至少1.2 mm間隙以利取模②咬合面鴿尾形（occlusal dovetail）修磨有利嵌體抵抗往功能性咬頭方向的位移

【評論內容】①邊緣至少要有0.6 mm ②咬合面鴿尾形（occlusal dovetail）修磨提供resistance抵抗側方脫位

【評論主題】45.有關上顎小臼齒金屬3/4部分鑲面牙冠（three quarter partial veneer crown）支柱牙修磨的敘述，下列何者正確？①頰－咬合面線角（bucco-occlusal lin

【評論內容】②鄰接溝（proximal groove）的深度在齒頸部應小於1 mm ④鄰接溝理想的長度為4 mm

【評論主題】43.關於可撤式局部義齒鑄道（sprue）設計的敘述，下列何者錯誤？(A)鑄道要直接且愈短愈好 (B)所有輔助（auxillary）及次級（secondary）鑄道和主鑄道（main sprue）相接

【評論內容】蠟型較大的部份，應避免90度交接

【評論主題】65.對於牙菌斑形成過程的敘述，下列何者錯誤？(A)形成速率與食物攝取量無關 (B)刷牙後兩小時已開始形成 (C)初期以絲狀菌為最多數 (D)突變型鏈球菌（Streptococcus mutans）在

【評論內容】初期以鏈球菌為最多數

【評論主題】17.關於錯位（transposition）的敘述，下列何者錯誤？(A)錯位是指相鄰兩顆牙齒位置互換的現象 (B)在混合齒列前期，常見下顎側門牙往遠心側萌發，導致下顎乳犬齒提早喪失 (C)在混合齒列後

【評論內容】混合齒列後期，常見的錯位為上顎犬齒和第一小臼的錯位

【評論主題】4.關於顱顏生長發育的敘述，下列何者錯誤？(A)顱側板生長（cranial vault growth）主要是因應腦的生長合併骨縫合生長（suture growth） (B)顱底（cranial bas

【評論內容】下顎骨除了Condyle是軟骨內骨化外，其餘都是膜內骨化生成

【評論主題】50.輕度血友病患者口內最常出血之位置為下列何者？(A)上唇繫帶(B)舌頭(C)舌繫帶(D)嘴唇

【評論內容】血友病患者容易因撕裂傷而造成口內出血，口內出血位置比例，78%出血位於上唇繫帶，22%出血位於舌頭

【評論主題】47.下列那一種情況適用平躺姿勢及雙腳抬高？(A)哮喘（asthma）(B)換氣過度症候群（hyperventilation）(C)慢性阻塞性肺病（chronic obstructive pulmon

【評論內容】

(A)宜採坐姿呼吸(B)半坐臥，呼吸二氧化碳含量較高的空氣(C)避免平躺(D)平躺姿勢及雙腳抬高

【評論主題】46.病人若有心肌缺血或梗塞（myocardial ischemia or infarction）時，下列何者為可能呈現的症狀？(A)胸部有沈重擠壓感覺(B)不適感源自胸骨的表面(C)不適感輻射至右肩

【評論內容】心肌梗塞的症狀為不同程度的胸痛不是，也可能轉移為肩膀、手臂、頸部或是下巴的不是。胸痛一般會在中央或是左側，持續幾分鐘，不是的感覺類似胃灼熱。

【評論主題】14.上顎左側第一大臼齒（如圖），圖 A、B為正角度拍攝之X光片，則圖Ｃ之拍攝角度為何？根管由近心至遠心分別為何？ (A)近心偏移角度（mesisl shift）；腭根管（palatal canal

【評論內容】先判斷shift方向：圖C比圖A拍到更多前面的小臼齒，所以是Mesial shift。根據SLOB原則：跟著cone走的是lingual，反向是bucca，所以第1個是palatal canal。MB2會比MB1更往palatal，所以第2個是MB2 canal。故近心到遠心順序為 palatal->MB2->MB1->DB

【評論主題】59.下列何者為X光及珈碼射線的波長範圍？(A)10 nm～0.01 pm (B)400 nm～10 nm (C)700 nm～400 nm (D)100 μm～700 nm

【評論內容】(A) 10 nm～0.01 pm -> X-and gamma-rays(B) 400 nm～10 nm -> Ultra-violet(C) 700 nm～400 nm -> Visible light(D)1 00 μm～700 nm -> Infra-red

【評論主題】8. 關於下圖所示，下列敘述何者正確？(A) 1 為下顎舌骨肌附著之處(B) 2 為舌下腺所在之處(C) 3 處為下顎頸溝（groove of mandibular neck）(D) 4處為下顎頸骨嵴

【評論內容】

1為下顎舌骨溝

（下顎舌骨肌附著於下顎舌骨線）

2為顎下窩，顎下腺所在處

4為顳嵴

【評論主題】32.有關恆牙上顎犬齒的敘述，下列何者錯誤？(A)通常是由四個發育葉所形成(B)咬頭上的近心斜坡（mesial slope）較遠心斜坡為長(C)咬頭尖（cusp tip）通常位於牙根中線（root a

【評論內容】

(B)咬頭上的遠心斜坡較近心斜坡長

(C)咬頭尖通常位於牙根中線的唇側