12. Ramsay Hunt syndrome (herpes zoster oticus) occurs when herpes zoster involves the:
(A) gasserain ganglion
(B) geniculate ganglion
(C) ciliary ganglion
(D) sphenopalatine ganglion
(E) trigeminal nerve

13. A 52-year-old man complains of a sudden onset of severe, stabbing pain in the left jaw and cheek that subsides in less than a minute. He is pain-free during the intervals between attacks. Activities such as combing his hair and shaving can cause the onset of this facial pain. He is otherwise healthy. The most likely diagnosis is (A) trigeminal neuralgia (B) atypical facial pain (C) postherpetic neuralgia (D) vascular facial pain

14.疾病和傷害經常造成疼痛及痛覺過敏(hyperalgesia)其中有一部份起源於發炎介質(inflammatory mediators)在週邊神經末稍的作用下影響相關之敘述何者是錯誤的? (A)這些介質除了 arachidonic acid metabolites； bradykinin 還有如 ATP 及 NO 之小分子。 (B)如 TNF，IL1 和 NGF 也和疼痛有關。 (C)可以經由活化 Nociceptive terminals。 (D)可以經由 nociceptors 基因表現的調節。 (E) CNS 無此類發炎介質引起之疼痛作用。

15.下列何者對研究疼痛在腦部的研究所提供的訊息最有限? (A) EEG (B) EP (Evoked Potential) (C) PET (Positron emission tomography) (D) SPECT (Single photon emission computed tomography) (E) fMRI (functional magnetic resonance imaging)

16.在疼痛機轉下行性調控的控制中，下列何者沒有參與其中? (A) Enkephalinergic (B) Serotonergic (C) Cholinergic (D) Noradrenergic (E)以上皆有參與

17. Which of the following statement concerning “autonomic-endocrine-immune interaction in pain” is least likely? (A) Cytokines are involved in the sensitization of nociceptors during inflammation and may lead to hyperalgesia (B) Proinflammatory cytokines are synthesized and released by macrophages and other immune-related cells (C) IL-4 is categorized as an anti-inflammatory interleukin (D) IL-1, IL-10 and TNF-α are categorized as proinflammatory cytokines (E) TNF-α induces synthesis and release of IL-8, which activates sympathetic terminals that synthesize nociceptors via β2-adrenoceptors

18. The formal presentation of Myofascial Pain syndrome diagnostic criteria includes each of the following, EXCEPT (A) Resolution of the symptoms after Trigger Point Injection with local anesthetic (B) Referral pain is evident (C) Twitch response and Trigger Points are the common features (D) Limited ROM of the affected muscle or muscles (E) Widespread body pain

19. The current guidelines on the management of acute low back pain in primary care include the following, EXCEPT (A) Reassure patients because the prognosis is most favorable (B) Advise or encourage complete bed rest (C) Prescribe analgesics medication if necessary (D) Encourage to stay active (E) Consider spinal manipulation (chiropractic) for pain relief

20. Which of the following statement is wrong in Repetitive Strain Injury (RSI) ? (A) Blood flow and temperature of the affected limb will be reduced at rest (B) RSI is a normally preventable condition (C) There is multiple folds increase in blood flow with exercise in the painful limb (D) Peripheral nerve injury is a recognized cause of regional pain (E) Treatment with analgesics is seldom advocated for RSI except for short periods

21. Which statement about “chronic pain and emotion” is wrong? (A) The psychological impact and behavioural course of painful conditions varies among individuals. (B) Chronic pain is always associated with depression. (C) Depression makes social and occupational functioning more difficult and appears to intensify pain. (D) Sleep disturbance is one of the diagnosic criterial for depression.

22. Which statement about pain is wrong? (A) Pain is an objective, perceptual experience. (B) No iso-morphic relationship exits between tissue damage and pain report. (C) One characteristic differentiating pain from pure sensation is its affective and cognitive components. (D) Pain must be viewed as a complex phenomenon that incorporates physical, psychosocial and behavioral factor

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