1. Which of the following statement concerning “postoperative pain” is least likely?
(A) Management of postoperative pain is challenging.
(B) Management of postoperative pain is based on current understanding of the peripheral and central mechanisms involved in nociceptive transmission.
(C) Chronic pain after surgery is an underdiagnosed condition
(D) Advances in understanding the genetic profile of patients should help improve treatment of postoperative pain.
(E) It is not essential that the neuronal response to surgery be blocked to achieve the task of optimal pain control.

27. 抽水機產生孔蝕現象之原因為何？ (A)抽水機轉速過大，吸水高度過低 (B)抽水機轉速過大，吸水高度過高 (C)抽水機轉速小，吸水高度過低 (D)抽水機轉速小，吸水高度過高

28. 電氣設備監控系統中之可程式控制器代號為何？ (A)NFB (B)SC (C)MC (D)PLC

29. 下列何者為防止抽水機發生水錘的方法？ (A)管線拉長 (B)降低吸水揚程 (C)緩慢開關制水閥 (D)選用靠近效率點的抽水機

30. 電力單線圖〝OV〞代表為何？ (A)電磁接觸器 (B)電壓電驛 (C)接地電驛 (D)漏電斷路器

2. 下列幾項關於疼痛名詞的定義或說明，依照 Bonica’s Management of Pain 5th ed 或疼痛學 理，哪一項是錯誤？ (A) Anesthesia dolorosa: Spontaneous pain in an area or region that is anesthetic (B) Catastrophizing: A cognitive and emotional process which can be an important predictor of negative response to both acute and chronic pain (C) Chronic widespread pain includes nonradicular back pain, fibromyalgia, irritable bowel syndrome, pelvic pain, tension-type headache, and temporomandibular disorders (TMD). (D) Conditioned pain modulation: a mechanism can be assessed by measuring tonic pain response after a conditioned phasic pain stimulus (E) Hyperpathia: A painful syndrome characterized by an abnormally painful reaction to a stimulus

3. Which of the following statement concerning “muscle pain” is least likely? (A) Muscle pain is distinct from cutaneous pain. (B) Muscle pain is one of the most common pain complaints. (C) Muscle nociceptors are free nerve endings that are connected to the central nervous system. (D) Most nociceptors cannot be excited by algesic agents, including bradykinin, serotonin. (E) In damaged muscle, the nociceptors have a lowered mechanical threshold.

4. Which of the following diagnostic tests that aid in the diagnosis of complex regional pain syndrome? (A) Bone scintigraphy (B) Plain radiography and X-ray bone densitometry (C) Quantitative sensory testing (D) Skin temperature measurement (E) All of above

5. Which of the following is the acceptable statement about pathogenesis of FMS? (A) There is evidence to suggest that FMS is a disorder of abnormal processing of sensory information within the central nervous system. (B) Several neurochemical mediators of pain, substance P, nerve growth factor, dynorphin A, glutamate, nitric oxide, serotonin and noradrenaline are viewed as pronociceptive because they carry or amplify afferent signals, leading to the brain perception of increased pain. (C) The elevation of cerebrospinal fluid substance P in FMS is due to lowered activity of cerebrospinal fluid substance P esterase because the rate of cleavage of libeled substance P by FMS cerebrospinal fluid was lower than normal. (D) In different subtypes of FMS, it is believed that nerve growth factor may be responsible for the elevated cerebrospinal fluid substance P through its effects on central sensitization and neuroplasticity. (E) A specific Gi-protein–coupled receptor in peripheral blood leukocytes was found to be dysfunctional in patients with FMS. This resulted in lower baseline, also depressed intracellular levels of cyclic AMP and proposed as a diagnostic test for FMS.

6. Which drug below is less likely an option for inhibiting central sensitization following acute postoperative pain: (A) NMDA antagonist (B) Opioid (C) COX2-inhibitor (D) Pre-emptive analgesia (E) Gabapentin

7. A 61-year-old woman presents to the pain clinic with a chief complaint of left shoulder and arm pain 3 years after undergoing radiation therapy for breast cancer. Physical examination reveals lymphedema of the left axilla with noticeable skin changes. Examination of the left supraclavicular area precipitates a sharp pain that radiates down her left arm. Which of the following is her likely diagnosis? (A) Tumor metastasis (B) Cervical radiculopathy (C) Reflex sympathetic dystrophy (D) Thrombangitis obliterans (E) Radiation-induced plexopathy