14、 For Glasgow coma score (GCS), which of the following statement is most appropriate?
(A) Score for inappropriate speech is 4
(B) Withdraws from painful stimuli is 4
(C) Eye-opening response to speech is 4
(D) Abnormal extension motor response is 3
(E) Most trauma patients with a diminished GCS score will have operative condition

10、 有關喉頭痙癵(laryngospasm)的描述，下列何者最不恰當？ (A) 好發於麻醉深度不足時 (B) Succinylcholine 可造成通氣困難(difficult ventilation)，不建議使用 (C) 好發於小孩，造成氣道阻塞 (D) 源於上喉神經(superior laryngeal nerve)的刺激 (E) Intravenous lidocaine 可抑制氣門關閉(glottic closure)

11、 有關肺臟移植，下列敘述何者最恰當？ (A) Donor 的 venous cuff 和 recipient 的 left atrium 接合時為手術最困難的步 驟，故通常是第一個需接合的部份 (B) 肺動脈剛接合後，最可能產生再灌流傷害（reperfusion injury） (C) 因肺部為含氣體的器官，故移植過程中不需排氣（de-airing maneuvers） (D) 技術上，氣管接合較血管接合困難，產生漏氣的可能性很高，宜在血管接 合後再進行氣管接合 (E) 相較於肺纖維化病人（pulmonary fibrosis），慢性阻塞性肺病（COPD）的 病人進行單肺移植時，不常出現非預期性的心肺體外循環（unplanned CPB） 的狀況

12、 有關肝硬化（liver cirrhosis）病人的描述，下列何者最不恰當？ (A) Vecuronium 和 rocuronium 因需要肝臟代謝，故會延長作用的時間 (B) Atracurium, cisatracurium 與 mivacurium 的作用時間不受肝硬化的影響 (C) Thiopental 雖涉及肝臟代謝，但臨床上卻不影響其排除半衰期（elimination half-life） (D) Morphine 的排除半衰期會延長 (E) 鎮靜藥物（sedative drugs）在重覆給予或連續注射時，需考慮藥物有累積 作用（drug accumulation）

13、 For resuscitation from hemorrhagic shock, which goal for early resuscitation is least recommended? (A) Maintain systolic blood pressure at 80-100 mmHg (B) Maintain hematocrit at 25%-30% (C) Maintain platelet count ＞100,000 (D) Maintain core temperature ＞35℃ (E) Prevent an increase in serum lactate

15、 Concerning anesthesia and intraocular pressure (IOP), which statement is least appropriate? (A) In general, narcotics, tranquilizers and anesthetics can reduce IOP (B) Ketamine can increase IOP (C) Insertion of a laryngeal mask airway after propofol induction has been shown to have minimal effect on IOP (D) Some attempts at preventing an increase in IOP after succinylcholine has been consistently successful (E) Antisialagogues such as atropine, scopolamine, and glycopyrrolate, given intramuscularly for premedication, have no significant effect on IOP

16、 Which of the following is most likely： (A) Use of laryngeal mask airway can avoid airway complication (B) Bilateral superficial cervical plexus blockade can not supplement local infiltration for tracheostomy with local anesthesia (C) A topical block of internal branch of superior laryngeal never can be performed by local anesthetic to the piriform fossa mucosa (D) The CO2 laser may not penetrate an endotracheal tube and ignite a fire (E) Commercially available laser-safe tubes are resistant to the CO2 and Nd:YAG laser

17、 Which statement is least likely： (A) Administering morphine at the end of surgery (1 to 3 mg ,i.v., every 5 ~ 10 min improves pain relief with less respiratory depression (B) The presnce of pain prevent respiratory depression (C) Patient-controlled analgesia minimizes patient anxiety (D) NSAID can be part of an effective multimodal analgesia protocol (E) In general, thoracotomy appears to be the most painful operation

18、 Which of the following statement is most likely? (A) Propofol-based anesthetic are not consistently associated with a low incidence of postoperative nausea and vomiting (B) Patients undergoing laparoscopic surgery are not at increased risk for nausea and vomiting (C) The FDA recommendation of EKG for droperidol usage is practical for anesthesiologists (D) The serotonin antagonist ondansetron is useful as first-line drug for nausea and vomiting (E) Shivering increases the metabolic rate and decrease minute ventilation

19、 Which of the following is least appropriate for postanesthesia recovery score (Modified Aldrete Score) and Postanesthesia Discharge Scoring System? (A) 0 = BP+50mm of preanesthetic level (B) 2 = Arousable on calling (C) 2 = SpO2 ＞ 92 % on room air (D) 1 = 20 %-50 % of preoperative baseline (BP and pulse) (E) 2 = Minimal : treat with PO medications (nausea and vomiting)

20、 Which of the following is least likely the symptom of shock? (A) Diaphoresis (B) Agitation or obtundation (C) Hypotension (D) Diminished urine output (E) Widened pulse pressure