31. 下列何者在 fibromyalgia syndrome 之臨床表現，出現頻率最低？
(A) Sleep disorder
(B) DepressionTramadol
(C) Irritable bowel syndrome
(D) Morning stiffness
(E) Dizziness and lightheadedness

27. Which of the following statement concerning painful polyneuropathies with prevalent loss of small fibres is most likely: (A) Chronic renal failure neuropathy. (B) Diabetes mellitus neuropathy. (C) Alcoholic neuropathy. (D) Myeloma neuropathy.. (E) soniazid neuropathy.

28. 關於疼痛臨床研究與止痛方式的統計，下列何者正確？ (A) 一般而言，某種止痛方式的 number need to treat 介於 8-12 之間，表示該方式是有效的 (B) 統計結果 Number need to treat 數值愈大，表示該止痛方式效果越好 (C) 統計結果 Number need to harm 不適合用以表達副作用或併發症的的發生率. (D) 比較不同止痛方式的效果時，病人自控式止痛的嗎啡用量是很好的指標，比 pain score 更為客觀. (E) 以上皆不正確.

29. Which of the following statements concerning the difference between phenol and alcohol when used in neurolytic blocks is/are FALSE?. (A) Phenol takes 15 minutes for neurolysis whereas alcohol’s neurolytic effect is immediate. (B) Phenol usually does not produce pain on injection. (C) Intrathecal alcohol is hypobaric, whereas phenol is hyperbaric. (D) Phenol is approximately twice as efficacious as alcohol..

30. 下列有關慢性下背痛之保守治療效果，針對短週期緩解疼痛效果而言，依系統性回顧，下 列何者最差？ (A) Acupuncture (B) NSAIDs analgesics (C) Opioids analgesics (D) Low-level Laser therapy (E) TENS (Transcutaneous Electrical Nerve Stimulation)

32.有關 myofascial pain 和 fibromyalgia syndrome 在臨床表現之差異比較，下列敘述何者較不正確？ (A) 依疼痛形式而言，fibromyalgia syndrome 通常全身廣泛分配  (B) 導致頭痛的原因，在 myofascial pain 中，通常源自 occipital region  (C) 兩者皆易有 sleep disturbance(D) Myofascial pain 易容易出現 taut band (E) Myofascial pain 通常不會有 irritable bowel syndrome

33. Which of the following is not true about the properties of visceral pain? (A) It is diffuse in character and poorly localized. (B) It is typically referred rather than being felt at the source. (C) It is produced by stimuli different from those adequate for activation of somatic nociceptors. (D) Distention of hollow organs may induce adequate stimuli for production of visceral pain. (E) It is associated with emotional and autonomic responses but much less than those associated with somatic pain.

34. Which of the following is not true about post-mastectomy pain? (A) Mastectomy may result in chronic pain in as many as half of those patients. (B) This pain often starts immediately or a few days postoperatively. (C) This pain is usually neuropathic in character. (D) It is suspected that the intercostobrachial nerve is often damaged during axillary node dissection (E) The incidence of phantom breast syndrome 1 year after surgery is less than 5%.

35. Which of the following is not true about chronic pelvic pain without pathology (CPP)? (A) CPP is defined as non-menstrual pelvic pain of 6 or more months’ duration that is severe enough to cause functional disability or to require medical or surgical treatment. (B) CPP is common and estimated to account for 40% of all gynecologic diagnostic laparoscopies. (C) A history of childhood physical and/or sexual abuse has been correlated with the development of CPP. (D) The best evidence-based management of patients with CPP is multidisciplinary care.. (E) All of the answers above are correct.

36. Which of the following painful disorder is more common in male patients than in female patients?(A) migraine (B) rheumatoid arthritis (C) irritable bowel syndrome (D) cornary artery disease ( older than 60 years old) (E) all of the above are more common than in female patients.

37. According to the long-form McGill Pain Questionnaire (MPQ) pain rating index scores, which of the following acute pain status is rated the highest pain score? (A) Amputation of digit (B) Labor pain (C) Abdominal gynecological surgery (D) Fracture. (E) Lower abdominal surgery (males)