醫學三:80題 ( 包括內科,家庭醫學科等科目及其相關臨床實例與醫學倫理 )題庫下載題庫

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69.依據美國預防醫學工作小組(US Preventive Services Task Force)的建議,下列何者為實證A級的化學預防 (chemoprevention)措施?
(A)對於準備懷孕的女性每日攝取0.4~0.8 mg(400~800 µg)葉酸
(B)對於幼稚園孩童給與牙齒塗氟以預防蛀牙
(C)對於罹患乳癌高風險的婦女給與泰莫西芬(tamoxifen)以預防乳癌
(D)對於65歲以上老年人給與補充維他命D以預防骨折


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10
 【站僕】摩檸Morning:有沒有達人來解釋一下?
倒數 4天 ,已有 3 則答案
王惠民 國一下 (2024/05/29):

根據美國預防醫學工作小組(US Preventive Services Task Force,USPSTF)的建議,以下措施被認為是A級化學預防的有效措施:

1. **對於準備懷孕的女性每日攝取0.4至0.8毫克(400至800微克)的葉酸**,以預防神經管缺陷 [oai_citation:1,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations) [oai_citation:2,A and B Recommendations | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations)。
2. **對於幼稚園孩童塗氟以預防齲齒**,這也是被建議的預防措施,但在USPSTF的建議中屬於B級 [oai_citation:3,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations)。

其他選項如:
- 對於罹患乳癌高風險的婦女給與他莫昔芬(tamoxifen)以預防乳癌,這雖然是有效的措施,但並未在USPSTF的A級推薦列表中 [oai_citation:4,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations)。
- 對於65歲以上老人給與維他命D以預防骨折,USPSTF認為證據不足,未有明確推薦 [oai_citation:5,A and B Recommendations | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations)。

因此,正確的A級化學預防措施應該是選項 (A) 準備懷孕的女性每日攝取葉酸。

9個讚
檢舉
王惠民 國一下 (2024/05/29):

根據美國預防醫學工作小組(US Preventive Services Task Force,USPSTF)的建議,以下措施被認為是A級化學預防的有效措施:

1. **對於準備懷孕的女性每日攝取0.4至0.8毫克(400至800微克)的葉酸**,以預防神經管缺陷 [oai_citation:1,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations) [oai_citation:2,A and B Recommendations | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations)。
2. **對於幼稚園孩童塗氟以預防齲齒**,這也是被建議的預防措施,但在USPSTF的建議中屬於B級 [oai_citation:3,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations)。

其他選項如:
- 對於罹患乳癌高風險的婦女給與他莫昔芬(tamoxifen)以預防乳癌,這雖然是有效的措施,但並未在USPSTF的A級推薦列表中 [oai_citation:4,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations)。
- 對於65歲以上老人給與維他命D以預防骨折,USPSTF認為證據不足,未有明確推薦 [oai_citation:5,A and B Recommendations | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations)。

因此,正確的A級化學預防措施應該是選項 (A) 準備懷孕的女性每日攝取葉酸。

2個讚
檢舉
王惠民 國一下 (2024/05/30):

根據美國預防醫學工作小組(US Preventive Services Task Force,USPSTF)的建議,以下措施被認為是A級化學預防的有效措施:

1. **對於準備懷孕的女性每日攝取0.4至0.8毫克(400至800微克)的葉酸**,以預防神經管缺陷 [oai_citation:1,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations) [oai_citation:2,A and B Recommendations | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations)。
2. **對於幼稚園孩童塗氟以預防齲齒**,這也是被建議的預防措施,但在USPSTF的建議中屬於B級 [oai_citation:3,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations)。

其他選項如:
- 對於罹患乳癌高風險的婦女給與他莫昔芬(tamoxifen)以預防乳癌,這雖然是有效的措施,但並未在USPSTF的A級推薦列表中 [oai_citation:4,Recommendation Topics | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations)。
- 對於65歲以上老人給與維他命D以預防骨折,USPSTF認為證據不足,未有明確推薦 [oai_citation:5,A and B Recommendations | United States Preventive Services Taskforce](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations)。

因此,正確的A級化學預防措施應該是選項 (A) 準備懷孕的女性每日攝取葉酸。

2個讚
檢舉


69.依據美國預防醫學工作小組(US Preventive Services T..-阿摩線上測驗