穿刺面試題目及答案英語姓名：____________________

一、多項選擇題（每題2分，共20題）

1.Apatientpresentswithahistoryofchestpain.Whichofthefollowingfindingsonatransthoracicechocardiogram(TTE)wouldbemostconcerningforacutecoronarysyndrome(ACS)?

A.Normalleftventricularfunction

B.Hypokinesisoftheanteriorwall

C.Ejectionfractionof50%

D.Normalmitralvalvefunction

2.Apatientisscheduledforapercutaneoustransluminalcoronaryangioplasty(PTCA)andstentplacement.Whichofthefollowingisapotentialcomplicationoftheprocedure?

A.Angioplastysyndrome

B.Acutemyocardialinfarction

C.Stentthrombosis

D.Restenosis

3.Apatientwithaknownhistoryofatrialfibrillation(AF)isbeingevaluatedforapossiblestroke.Whichofthefollowingisthemostappropriatenextstepinmanagement?

A.Startanticoagulationtherapy

B.Performatransthoracicechocardiogram

C.ObtainabrainMRI

D.OrderaCTscanofthehead

4.Apatientwithahistoryofdeepveinthrombosis(DVT)presentswithshortnessofbreathandaheartrateof120beatsperminute.Whichofthefollowingisthemostlikelydiagnosis?

A.Pulmonaryembolism

B.Pericarditis

C.Myocardialinfarction

D.Aorticdissection

5.Apatientwithahistoryofheartfailureisbeingevaluatedforapossiblearrhythmia.WhichofthefollowingECGfindingswouldsuggestatrialflutter?

A.Pwaveswitharateof300beatsperminute

B.Pwaveswitharateof150beatsperminute

C.Twavesinvertedintheinferiorleads

D.Qwavesinthelateralleads

6.Apatientwithahistoryofhypertensionisbeingevaluatedforapossiblestroke.Whichofthefollowingriskfactorsismoststronglyassociatedwiththedevelopmentofstroke?

A.Age

B.Hypertension

C.Diabetesmellitus

D.Smoking

7.Apatientwithahistoryofheartfailureisbeingevaluatedforapossiblearrhythmia.WhichofthefollowingECGfindingswouldsuggestatrialfibrillation?

A.Pwaveswitharateof300beatsperminute

B.Pwaveswitharateof150beatsperminute

C.Twavesinvertedintheinferiorleads

D.Qwavesinthelateralleads

8.Apatientwithahistoryofheartfailureisbeingevaluatedforapossiblearrhythmia.WhichofthefollowingECGfindingswouldsuggestventriculartachycardia?

A.Pwaveswitharateof300beatsperminute

B.Pwaveswitharateof150beatsperminute

C.Twavesinvertedintheinferiorleads

D.Qwavesinthelateralleads

9.Apatientwithahistoryofatrialfibrillationisbeingevaluatedforapossiblestroke.Whichofthefollowingriskfactorsismoststronglyassociatedwiththedevelopmentofstroke?

A.Age

B.Hypertension

C.Diabetesmellitus

D.Smoking

10.Apatientwithahistoryofatrialfibrillationisbeingevaluatedforapossiblestroke.Whichofthefollowingisthemostappropriatenextstepinmanagement?

A.Startanticoagulationtherapy

B.Performatransthoracicechocardiogram

C.ObtainabrainMRI

D.OrderaCTscanofthehead

11.Apatientwithahistoryofheartfailureisbeingevaluatedforapossiblearrhythmia.WhichofthefollowingECGfindingswouldsuggestatrialflutter?

A.Pwaveswitharateof300beatsperminute

B.Pwaveswitharateof150beatsperminute

C.Twavesinvertedintheinferiorleads

D.Qwavesinthelateralleads

12.Apatientwithahistoryofhypertensionisbeingevaluatedforapossiblestroke.Whichofthefollowingriskfactorsismoststronglyassociatedwiththedevelopmentofstroke?

A.Age

B.Hypertension

C.Diabetesmellitus

D.Smoking

13.Apatientwithahistoryofatrialfibrillationisbeingevaluatedforapossiblestroke.Whichofthefollowingriskfactorsismoststronglyassociatedwiththedevelopmentofstroke?

A.Age

B.Hypertension

C.Diabetesmellitus

D.Smoking

14.Apatientwithahistoryofheartfailureisbeingevaluatedforapossiblearrhythmia.WhichofthefollowingECGfindingswouldsuggestatrialfibrillation?

A.Pwaveswitharateof300beatsperminute

B.Pwaveswitharateof150beatsperminute

C.Twavesinvertedintheinferiorleads

D.Qwavesinthelateralleads

15.Apatientwithahistoryofatrialfibrillationisbeingevaluatedforapossiblestroke.Whichofthefollowingisthemostappropriatenextstepinmanagement?

A.Startanticoagulationtherapy

B.Performatransthoracicechocardiogram

C.ObtainabrainMRI

D.OrderaCTscanofthehead

16.Apatientwithahistoryofheartfailureisbeingevaluatedforapossiblearrhythmia.WhichofthefollowingECGfindingswouldsuggestatrialflutter?

A.Pwaveswitharateof300beatsperminute

B.Pwaveswitharateof150beatsperminute

C.Twavesinvertedintheinferiorleads

D.Qwavesinthelateralleads

17.Apatientwithahistoryofhypertensionisbeingevaluatedforapossiblestroke.Whichofthefollowingriskfactorsismoststronglyassociatedwiththedevelopmentofstroke?

A.Age

B.Hypertension

C.Diabetesmellitus

D.Smoking

18.Apatientwithahistoryofatrialfibrillationisbeingevaluatedforapossiblestroke.Whichofthefollowingriskfactorsismoststronglyassociatedwiththedevelopmentofstroke?

A.Age

B.Hypertension

C.Diabetesmellitus

D.Smoking

19.Apatientwithahistoryofheartfailureisbeingevaluatedforapossiblearrhythmia.WhichofthefollowingECGfindingswouldsuggestatrialfibrillation?

A.Pwaveswitharateof300beatsperminute

B.Pwaveswitharateof150beatsperminute

C.Twavesinvertedintheinferiorleads

D.Qwavesinthelateralleads

20.Apatientwithahistoryofatrialfibrillationisbeingevaluatedforapossiblestroke.Whichofthefollowingisthemostappropriatenextstepinmanagement?

A.Startanticoagulationtherapy

B.Performatransthoracicechocardiogram

C.ObtainabrainMRI

D.OrderaCTscanofthehead

二、判斷題（每題2分，共10題）

1.TrueorFalse:Transthoracicechocardiography(TTE)isanon-invasiveimagingtechniquethatusessoundwavestovisualizetheheart'sstructureandfunction.

2.TrueorFalse:Angioplastysyndromeisararecomplicationofpercutaneouscoronaryintervention(PCI)characterizedbyatransientincreaseinbloodpressureandheartrate.

3.TrueorFalse:Atrialflutterisatypeofatrialtachycardiawitharegularrhythm,typicallyassociatedwithaheartrateof300-350beatsperminute.

4.TrueorFalse:Deepveinthrombosis(DVT)canbeeffectivelytreatedwithanticoagulanttherapy,includingheparinandwarfarin.

5.TrueorFalse:Theriskofstrokeinpatientswithatrialfibrillationisdirectlyproportionaltothedurationofthearrhythmia.

6.TrueorFalse:Anormalejectionfraction(EF)onatransthoracicechocardiogram(TTE)isindicativeofnormalleftventricularfunction.

7.TrueorFalse:Ventriculartachycardiaisalife-threateningarrhythmiathatrequiresimmediatemedicalintervention.

8.TrueorFalse:Hypertensionisasignificantriskfactorforthedevelopmentofcoronaryarterydisease(CAD).

9.TrueorFalse:Smokingcessationcansignificantlyreducetheriskofstrokeinpatientswithatrialfibrillation.

10.TrueorFalse:Apatientwithahistoryofatrialfibrillationshouldbeevaluatedforthepresenceofleftatrialenlargementonatransthoracicechocardiogram(TTE).

三、簡答題（每題5分，共4題）

1.Brieflydescribetheindicationsforatransthoracicechocardiogram(TTE)inapatientwithchestpain.

2.Explainthemanagementofapatientwithadiagnosisofatrialflutterandtheroleofantiarrhythmictherapy.

3.DiscussthesignificanceoftheJ-pointelevationonanelectrocardiogram(ECG)anditspotentialimplicationsforcardiacpathologies.

4.Outlinethestepsinvolvedintheprocedureofpercutaneouscoronaryintervention(PCI),includingballoonangioplastyandstentplacement.

四、論述題（每題10分，共2題）

1.Discusstheimportanceofanticoagulationtherapyinpatientswithatrialfibrillationandthepotentialrisksandbenefitsassociatedwithdifferentanticoagulantagents.

2.Explaintheconceptofthe"heartteam"approachinthemanagementofcomplexcardiacconditionsandhowitcanimprovepatientoutcomes.

試卷答案如下：

一、多項選擇題（每題2分，共20題）

1.B.Hypokinesisoftheanteriorwall

解析思路：急性冠脈綜合征（ACS）常見于冠脈供血不足導致的室壁運動異常，前壁運動減弱是典型表現。

2.C.Stentthrombosis

解析思路：支架血栓形成是經皮冠狀動脈介入治療（PCI）后的嚴重并發癥。

3.A.Startanticoagulationtherapy

解析思路：抗凝治療是預防房顫患者發生卒中的關鍵。

4.A.Pulmonaryembolism

解析思路：DVT患者出現呼吸困難及心率增快，高度懷疑肺栓塞。

5.B.Pwaveswitharateof150beatsperminute

解析思路：心房撲動的心率通常在150-300次/分鐘之間。

6.B.Hypertension

解析思路：高血壓是導致卒中的重要獨立風險因素。

7.B.Pwaveswitharateof150beatsperminute

解析思路：心房顫動的心率通常在150-300次/分鐘之間。

8.D.Qwavesinthelateralleads

解析思路：室性心動過速的典型ECG表現包括心室波群的異常。

9.A.Age

解析思路：年齡是卒中的重要風險因素。

10.A.Startanticoagulationtherapy

解析思路：抗凝治療是預防房顫患者發生卒中的關鍵。

11.B.Pwaveswitharateof150beatspermi