台湾临床肿瘤医学会九十八年度临床肿瘤专科医师测验试.doc

台灣臨床腫瘤醫學會九十八年度臨床腫瘤專科醫師測驗試題 ※注意： 本試題為單一選擇題，請選出一個正確或最適當的答案，複選作答者，該 題不予計分。 本試題共50題，請將答案清楚寫在答案卷上，於本試題上作答者，不予計 分。 考試時間為60分鐘。 C 1.下列哪種癌症是台灣女性的第一位癌症死因？ 乳癌 子宮頸癌 肺癌 結直腸癌 C2.下列哪種癌症是近二十年來台灣男生發生率增加最快的癌症？ 肺癌 膀胱癌 口腔癌 皮膚癌 C 3.依據衛生署國民健康局資料，比較1997-2001年的癌症年齡標準化發生率， 下降幅度最大者為子宮頸侵襲癌(121.30%)，而子宮體癌(P6.86%)、乳癌 (T23.97%)、則大幅提昇，此等變化可能是由於： 子宮頸侵襲癌顯示經由安全性行為的倡導，子宮頸感染人類乳突病毒的機 會下降，因而降低子宮頸癌的發生率 子宮體癌發生率的上升，與荷爾蒙的長期刺激有關。可能是由於避孕丸的 使用逐年流行，同時台灣婦女生產率下降，有以致之 乳癌發生率的上升，與雌激素對乳腺的過度刺激有關，而國人飲食的西化， 食物的脂肪含量以及30歲前的足月懷孕率的下降等現象，可能與此有關 以上皆是 A 4. Which of the following is not an advantage of ultrasound for oncology examination. Operator dependent (B ) Relatively low cost of equipment Multiple scanning plane Can be repeated frequently C 5. Imaging modalities for assessing hepatocellular carcinoma which of the following should be considered as the most non-operability? Size of tumors (B ) Locations of tumor Invasion of vascular and biliary systems Presence of renal cysts A 6. Which of the following imaging modality is the best for staging of cervical carcinoma ? Magnetic resonance imaging (B ) Plain films (images) Intravenous pyelography Computed tomography D 7. Which of the following imaging modalities is the most informative in examination for tumors of the skeletal system? Plain film (images) Ultrasound Computed tomography Magnetic resonance imaging C 8. Which of the following is not a good choice for diagnosing gastric carcinoma ? Barium meal study CT MRI Endoscopy B 9. Spinal cord compression is the second most common neurologic complication of cancer. Which is the study of choice for evaluating patients with suspected spinal cord compression after plain radiographs have been obtained? Computed Tomography(CT) (B ) Magnetic Resonance Image(MRI) Positron Emission Tomography(PET) Bone scan A 10. Which statement about Eastern Cooperative Oncology Group (ECOG) Performance Status Criteria is not correct? Grade 0 Dead (B ) Grade 1 Restricted in physically strenuous activity but ambulatory and able to carry out work of a