46. Which of the anticonvulsants has the highest quality of evidence supporting its tolerability and efficacy in reducing SCI neuropathic pain?
(A) Pregabalin
(B) Gabapnetin
(C) Lamotrigine
(D) Valproic acid
(E) Carbamazepine

42.有關 Post-stroke pain 之疼痛症狀類型中，下列描述何者最不適合？ (A) Central post-stroke pain 屬於 neuropathic type (B) Shoulder pain 不屬於 neuropathic type (C) Musculoskeletal pain 不屬於 neuropathic type (D) Headache 屬於 neuropathic pain (E) Spasticity 不屬於 neuropathic type

43.Neuropathic pain 有多種不同原因,治療藥物的選擇必須依照病因決定,請問下列敘述,何者錯誤? (A) Amitriptyline 對 Spinal cord injury 的 neuropathic pain 治療效果不佳 (B) Amitriptyline 對 phantom limb pain 的治療效果不佳 (C) Venlafaxine 對 postmastectomy syndrome 的治療效果不佳 (D) Selective Serotonin and Norepinephrine Reuptake Inhibitors 治療 painful diabetic neuropathic pain 的 NNT (number needed to treat) 比 TCA 小 (E) Selective Serotonin and Norepinephrine Reuptake Inhibitors(SNRI)一般比 Selective Serotonin Reuptake Inhibitors(SSRI)對 neuropathic pain 的治療效果好

44.對於催眠,雖然很多人只當它是類似一種魔術表演,但目前越來越多研究證實催眠確實有止痛效果,那麼以下所列疾病或狀況是目前有較多研究證實催眠有效的? (A) Burns (B) Pediatric Pain (C) Cancer (D) Osteoarthritis (E)以上皆是

45.以下那個選項不是發生 local anesthetics systemic toxicity (LAST)時的正確處理? (A) Suppress seizures: Benzodiazepines preferred (B)使用 amiodarone 做為第一線 antiarrhythmic (C)避免使用 calcium channel blockers, beta blockers (D)若使用 lipid emulsion 解毒,病人回復 hemodynamic stable 即立即停止繼續給予 lipid emulsion (E) Maximum dose lipid emulsion 大約 12 mL/kg IV

47. In addition to A tender spot is found with palpation, with or without referral of pain (“trigger point”). Which of the following symptoms by patient during palpation of tender spot is not commonly found? (A) Muscle stiffness or spasm (B) Limited range of motion of an associated joint (C) Pain worsens at rest (D) Palpation of taut band and/or nodule associated with tender spot (E) All of the above are common found

48. Which of the following syndromes associated with cancer therapy is seldom found? (A) Postsurgical Syndromes: Postamputation pain (B) Postchemotherapy Pain: Peripheral neuropathy (C) Postradiation Therapy Pain: Radiation fibrosis of brachial or lumbosacral plexus (D) Post Target Therapy Pain: Myofascial pain syndromes (E) All of the above are common found

49. Which of the following descriptions for Transdermal therapeutic system fentanyl (fentanyl-TTS) patches is not correct after application? (A) a lag time of approximately 2 hours before plasma levels of fentanyl are detected and detected therapeutic levels after 12 to 16 hours (B) After system removal, serum fentanyl concentrations decline gradually and has an apparent t1/2 of 17 hours (C) Prolonged exposure to heat or use in patients who are febrile can cause a toxic overdose (D) should not be used in patients who are not opioid-tolerant, for acute pain issues (E) All of the above are correct descriptions

50.有關局部麻醉藥，下列何處注射之後之系統性吸收最快？ (A) Tracheal (B) Caudal (C) Subcutaneous (D) Epidural (E) Brachial plexus

101. 左圖堆高機安全標貼警示 (A)連接插頭 (B)繫上安全帶 (C)從右至左對 接 (D)注意連接方向 。

102. 下圖堆高機安全標貼警示(A)禁止跳車 (B)防止翻車 (C)重心不穩 (D)注意人員 摔出 。