新聞稿
臺北醫學大學 101 學年度碩士班甄試入學考試
應用營養學試題
本試題第 1 頁；共 2 頁
(如有缺頁或毀損，應立即請監試人員補發) 注 意 事 項 一、本試題共三大題，共計 100 分。 二、請將最適當的答案依題號作答於考試答案卡上。 三、試題答錯者不倒扣；題次號碼錯誤或不按順序或鉛筆作答，不予計分。 一、問答題(60%)1. Please describe the mechanisms of phylloquinone on bone restoration(10%) and blood coagulation( 10%). 2. A healthy 43-year-old man presented to the clinic wanting a blood pressure and cholesterol check. The patient
reported that his father had high blood pressure but there was no family history of coronary disease. The patient was a non-smoker and played tennis once each week. He had had a long-standing problem with his weight. His physical examination revealed a generally healthy man whose blood pressure was 134/107; his weight was 85kg. He is 173 cm tall. A lipoprotein panel revealed TG 153, TC 245, HDL-C 42, LDL-C 156, and VLDL-C 30 mg/dL. After 10 years, his weight is 96 kg but his BP is 128/78 on lisinopril and diltiazem (hypertension drug). The rechecked lipid profile panel was TG 325, TC 224, HDL-C 28, LDL-C 140, and VLDL-C 56 mg/dL. Please answer the following questions. a. Is this man at increased risk for cardiovascular disease？What additional diagnostic tests would you perform？
(10%)
b. What lifestyle advice would you give this man at this time？Refer the dietary and drug therapy in this case？(12%) c. How would your management change if this patient was a woman？(8%)
3. 說明細胞內調節鈣離子濃度的機制為何？(10%) 二、解釋名詞(20%) 1. Excipient 2. Adsorption 3. unbound fraction 4. surfactant
5. coefficient of fat absorption 三、選擇題(20%)
1. 以下敘述何者不至於發生在缺鐵性貧血？
血漿 ferritin 濃度降低 transferrin 飽和度降低 TIBC 降低 血紅素降低
2. 慢性阻塞性肺疾病(COPD)之飲食，以何者較適當？ 高醣類、高蛋白、低脂肪 低醣類、低蛋白、高脂肪 高醣類、低蛋白、低脂肪 低醣類、高蛋白、高脂肪 3. 有關呼吸衰竭的營養治療目標，下列何者錯誤？ 營養支持是達到營養需求最佳的方法 避免過度餵食，造成呼吸負擔 若為 COPD 所引起，可調整營養素比例，使蛋白質占熱量的 45%，以減少 CO2 的產生 若為肺實質病引起，可利用呼吸器清除過量的 CO2
4. 有些 COPD 病人若已有肺性心臟病(cor pulmonale)，則其飲食需作何種限制？
新聞稿
臺北醫學大學 101 學年度碩士班甄試入學考試
應用營養學試題
本試題第 2 頁；共 2 頁
(如有缺頁或毀損，應立即請監試人員補發)
5. 以下何者可做為體內鐵儲存量多少之指標？
ZPPH TIBC transferrin saturation 血漿 ferritin 濃度
6. 嬰兒食用脫脂牛奶，會造成下列何種症狀？
口角炎 舌炎 濕疹樣皮膚炎 呆小症
7. “visual cycle＂需要下列何者參與？
11-cis retinal 9-cis retinoic acid lycopene cryptoxanthinassium
8. 除了 Glucagon 之外，下列何者可增加 gluconeogenesis？
Insulin Gastrin Cholecystokinin Epinephrine
9. TEF 是指 thermic effect of food，以下何者為是？
carbohydrate 的 TEF 值最高 protein 的 TEF 值最高
fat 的 TEF 值最高 carbohydrate、protein、fat 的 TEF 值一樣高
10. 哺餵新鮮牛奶之嬰兒何種營養素較容易攝取不足？
