10. 自體免疫多發性內分泌症候群第一型(Autoimmune Polyendocrine Syndromes type 1, APS-1) 有下列特 徵，哪一項不正確?
(A) Candidiasis
(B) 牙釉質增生 (Hyperplasia of the dental enamel)
(C) Hypoparathyroidism
(D) Addison's disease
(E) 為AIRE gene 的體染色體隱性突變

6. 一位50歲男性病人，有肢端肥大、關節炎、睡眠呼 吸中止等症狀，他的生長激素（Growth hormone, GH）為10 ng/mL (參考值 ＜ 8 ng/mL)、insulin-like growth factor-1 (IGF-1) 為 300 ng/mL (參考值 48.1~209 ng/mL)，請問下列哪一項描述正確? (A) 青春期時IGF-1 的參考值通常較年紀大時為高 (B) 單次隨意(single random) 的血清GH值與肢端肥大 症疾病嚴重度有正相關 (C) 給予口服75公克葡萄糖後GH的最低值為4 ng/mL，可以排除肢端肥大症 (D) 生長激素瘤的首選治療為手術切除，術前禁忌給 予somatostatin analogues (E) 生長激素瘤的放射性治療(radiotherapy)，通常在 一年左右可以看到生化指標(biochemical parameter)正常化

7. 下列哪一項可能使副甲狀腺荷爾蒙濃度(parathyroid hormone, PTH)上升? (A) Calcium-sensing receptor (CaSR) agonists such as cinacalcet (B) Vitamin D (C) Fibroblast growth factor 23 (FGF23) (D) Phosphates (E) Severe intracellular magnesium deficiency

8. 一位25歲男性病人因為第二性徵不明顯來求診，經 病史詢問及身體診察後確認有性腺功能低下 (hypogonadism)、嗅覺異常、色盲、顎裂，請問以下 哪一項描述正確? (A) 此病人之睪丸小而硬 (B) 此病人之濾泡刺激素（follicle-stimulating hormone, FSH）及黃體化激素 (luteinizing hormone, LH) 較參考值高 (C) 此病人可能有X-linked KAL gene 突變 (D) 若此病人急於結婚生子，應該趕快給予 testosterone 治療 (E) 核磁共振檢查發現有腦下垂體微小腫瘤 (microadenoma)

9. 下列有關泌乳激素瘤(prolactinoma)的描述，哪一項 正確？ (A) 一公分以上的prolactinoma,男女比約為1:3 (B) 女性病人有prolactin microadenoma (＜ 1 cm) 但無 症狀，不須治療，追蹤即可 (C) 血液中泌乳激素(Prolactin)濃度與腫瘤大小無關 (D) Prolactinoma病人如果以dopamine agonists治療， 最好維持其prolactin 濃度於參考值之1至1.5倍 (E) 女性病人有小於1公分的prolactinoma，如果以 dopamine agonists治療後懷孕，不可以停藥，應 該持續使用dopamine agonists

1. Please use a coaster under your glass in order to avoid _______ the wood furniture. (A) disbanding (B) plagiarizing (C) marring (D) concocting

2. The Chinese government took a very _______ role in the talks with North Korea concerning the upcomig nuclear weapons tests. (A) low-cut (B) low-end (C) low-profile (D) low-gear

3. Many a time he commented upon the mental _______ he established with his only companion on the lifeboat. (A) raccoon (B) rabbi (C) rapacity (D) rapport

4. To______the continent of Africa is an act involving great danger and difficulty. (A) traverse (B) curb (C) jeopardize (D) oppress

5. It seems _________ that those people who claim to love animals still purchase fashion products made of animal fur. (A) ambiguous (B) paradoxical (C) approximate (D) latitudinal

6. Students are supposed to study ways to tackle academic _______ as they enter high school. (A) cache (B) brawn (C) alloy (D) rigor