46. 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)

42. 有關 antidepressant 與 anticonvulsant 止痛藥的敘述，下列何者為非? (A) antidepressant 對帶狀庖疹後疼痛，糖尿病神經病變與中樞疼痛有治療效果。 (B) 三環抗憂鬱劑的副作用有口乾，姿態性低血壓，嗜睡與椎體外症候群。 (C) 抗憂鬱劑是同時具有疼痛改善與抗憂鬱的效果，而不是只透過抗憂鬱的效果來止痛。 (D) anticonvulsant 的止痛是透過鈉離子通道與 GABA pathway 等多重作用完成。 (E) 三叉神經痛，糖尿病神經病變也可用 anticonvulsant

43. 有關脊椎神經刺激術(SCS)的止痛敘述，下列何者為非? (A) SCS 是植入電極的疼痛治療方式，是 gate control 理論的應用。 (B)缺血性疼痛、複雜區域疼痛與糖尿病神經病變以 SCS 治療，成功機會較高。 (C)會陰部疼痛與脊椎部份傷害的疼痛，無效機會高。 (D) 病人存活時間要大於 6 個月。 (E) 有裝心臟節器的病人也適合。

44. 有關 complementary and alternative medicine(CAM)在疼痛的敘述，下列何者為非? (A) 針灸用於各種的疼痛，治療的結果不一。 (B) Chiropractic treatment (整脊)可用於治療背部的疼痛，但其結果並不一致。 (C) Massage therapy 在背部疼痛可能有效，但缺少嚴格的臨床試驗。 (D) Herbal medicine (中草藥)種類繁多，但多天然物，毒性低，但效果不一。 (E) 太極拳用於關節炎的治療，証據不明顯。

45. 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%.

47. Which of the following symptom is not often seen in patients with physical dependence (abstinence syndrome -(withdrawal) ) ? (A) abdominal cramps (B) constipationn (C) vomiting (D) pupil dilatation (E) sweating

48. About chemical neurolytic nerve blocks, which one of following statements is wrong? (A) Phenol or ethanol is usually used for chemical denervation. (B) The duration of these blocks is often disappointingly brief. (C) They may induce deafferentation-neuropathic type pain. (D) They are often indicated for patients with chronic pain and a normal life expectancy. (E) They can be used in patients with advanced cancer disease.

49. Which of the following combination of lesion site with referral site describing pain referral is not common in cancer patients suffering from cancer pain? (A) (Diaphragmatic irritation) and (Shoulder) (B) (Urothelial tract) and (Inguinal region and genitalia) (C) (C7–T1 vertebrae) and (Interscapular) (D) (L1–2) and (Sacroiliac joint and hip) (E) all of the above are common found in patients with cancre pain

50. About image-guided lumbar sympathetic block, which the following indication is not proper? (A) Sympathetically maintained pain (B) Reflex sympathetic dystrophy (C) Phantom low limb pain (D) Raynaud’s disease (E) Chronic pancreatitis

1. The raters found grading the playlets more ______than usual this year as they all seemed very much the same level (A) difficult (B) incoherent (C) luminous (D) contagious

2. The participants in the pilot test were 13 upper-intermediate students ______ educational and language backgrounds. (A) in the magnitude of (B) from a variety of (C) with the exception of (D) in the shape of