| 題庫總數：15 | ||
| 是非題：0 | ||
| 選擇題：15 (A：2、B：5、C：1、D：7) | ||
| 多選題：0 | ||
| roddayeye整理 | ||
| Q | Staphylococcus Aureus(SA)的菌血症，在下列何種情形，最易有合併症(complicated Staphylococcus aureus bacteremia)發生? | |
| 1.Community-acquired infection | ||
| v | 2.A positive result of follow-up blood culture at 48-96 hours | |
| 3.Persistent fever at 72 hours | ||
| 4.skin findings suggestive of acute systemic infection || | ||
| Q | 關于fluoroquinolone與MRSA的關係，下列何者有誤? | |
| 1.Should not be used to treat invasive MRSA infection | ||
| v | 2.Fluoroquinolone是MRSA皮膚軟組織感染的首選用藥 | |
| 3.Fluoroquinolone的使用，會使病人帶有MRSA的機會增加 | ||
| 4.Fluoroquinolone的使用，會易selective出MRSA及其他Fluroquinolone抗藥性菌 || | ||
| Q | 關于MRSA的transmission方式，下列何者有誤? | |
| 1.inhalation of aerosolized droplets from chronic nasal carriers | ||
| 2.Contact with Contaminated inanimated objects | ||
| 3.contact with another individuals colonized intact skin | ||
| v | 4.以上皆錯 || | |
| Q | 下列那些patients較適合來執行MRSA的activesurveillance screening? | |
| 1.History of MRSA colonization | ||
| 2.In intensive care | ||
| 3.Extensive contact with health care system | ||
| v | 4.以上皆是 || | |
| Q | 關于MRSA在public health的重要性，下列何者正確？ | |
| 1.Increased morbidity and mortality | ||
| 2.prolong hospital stay | ||
| 3.Extra hospital costs | ||
| v | 4.以上皆是 || | |
| Q | 金黃色葡萄球菌容易造成下列何種感染? | |
| 1.皮膚、軟組織 | ||
| 2.骨及關節 | ||
| 3.人工管路 | ||
| v | 4.以上皆是 || | |
| Q | 關于MRSA decolonization，下列何者有誤? | |
| 1.Whole-body Chlorhexidine washing only can not eradicate MRSA colonization | ||
| 2.MRSA nasal colonization appears to precede infection | ||
| v | 3.No emergence of resistance to agents used for decolonization | |
| 4.mupirocin is drug of choice for eradication of nasal colonization || | ||
| Q | 台灣醫院醫學中心及區域醫院ICU MRSA百分比大約在 | |
| v | 1.60-80% | |
| 2.40-60% | ||
| 3.20-40% | ||
| 4.0-20% || | ||
| Q | 社區型的MRSA( CA-MRSA)與院內感染之MRSA ( HA-MRSA)，相異處何者有誤? | |
| v | 1.CA-MRSA常發生在免疫受損者 | |
| 2.HA-MRSA抗藥性程度比CA-MRSA約為高 | ||
| 3.CA-MRSA較發生在皮膚軟組織 | ||
| 4.HA-MRSA的發生率常與管路有關 || | ||
| Q | 關于MRSA的敘述，何者有誤? | |
| 1.其抗生素抗藥性主 要是因帶有mec A gene | ||
| v | 2.對B-lactam抗生素有high affinity | |
| 3.除了Methicillin，Oxacilin無效外，對cephalosporin也有抗藥性 | ||
| 4.使用非B-lactam類抗生素，可能有效 || | ||
| Q | 關于Vancomycin的使用，下列何種有誤? | |
| 1.Inferior to B-lactam for treatment of MRSA bacteremia and endocarditis | ||
| v | 2.For the treatment of infection due to MRSA isolates with vancomycin MIC>0.5, optimized pk/pd targets may not be achievable | |
| 3.antibiotic of choose of MRSA infection | ||
| 4.There are MRSA MIC creep in some regions of the world || | ||
| Q | 關于 MRSA的敘述，何者有誤? | |
| 1.Antibiotic use ( particularly cephalosporin & fluroquinolone use) correlates with the risk for MRSA colonization and infection | ||
| v | 2.The incidence of invasive MRSA infection was 10 times higher among dialysis patients than in general population | |
| 3.The risk of MRSA infection among MRSA colonization patients in ICUs around 10-25% | ||
| 4.MRSA- Colonized residents are frequently transferred between hospitals and long-term care facilities || | ||
| Q | 關于MRSA的active surveillance cultures，可選擇下列哪個部位? | |
| 1.Anterior nares | ||
| 2.Rectum | ||
| 3.Areas of skin breakdown | ||
| v | 4.以上皆是 || | |
| Q | 治療CA-MRSA(社區型MRSA)的建議用藥何者不是? | |
| 1.Clindamycin | ||
| 2.trimethoprim-sulfamethoxazole | ||
| 3.Tetracycline | ||
| v | 4.Levofloxacin | |
| Q | About Pathogenesis of SA infection，何者有誤? | |
| 1.Main ecological niche is anterior nares | ||
| 2.Most S. aureus disease caused by the patient `s own bacteria | ||
| 3.colonization increased risk of subsequent infection | ||
| v | 4.以上皆錯 || | |
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