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50. A 40-year-old woman is found to have microcalcifications on screening mammography. Stereot biopsy shows malignant epithelial cells confined within ducts, forming cribriform and comedo patterns with central necrosis, rosis, but no invasion beyond the basement membrane. Which of the following is the most appropriate diagnosis? (A) Invasive lobular carcinoma (C) Lobular carcinoma in situ (LCIS) (B) Ductal carcinoma in situ (DCIS) (D) Fibrocystic changes with epithelial hyperplasia

49. A 63-year-old woman presents with a hard, irregular mass in her left breast. Core biopsy shows malignant ductal cells infiltrating a desmoplastic stroma. Immunohistochemical studies demonstrate tumor cells that are estrogen receptor (ER)-positive and HER2-negative. Which of the following is the most likely implication of this receptor profile? (A) Lack of any predictive value for systemic therapy choices (B) More aggressive behavior with poor response to hormone therapy (C) Requirement for anti-HER2 targeted therapy as the main treatment (D) Favorable prognosis with potential benefit from endocrine therapy

48. A 45-year-old woman discovers a painless, firm, mobile mass in the upper outer quadrant of her right breast. Mammography shows a well-circumscribed, radiodense lesion. Excisional biopsy reveals a well-demarcated, biphasic tumor composed of epithelial-lined glandular spaces and aproliferating cellular stroma. The lesion lacks significant cytologic atypia and mitotic activity. Which of the following is the most likely diagnosis? (A) Fibroadenoma (B) Invasive ductal carcinoma of no special type (C) Intraductal papilloma (D) Phyllodes tumor, high grade

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3. The judge decided to ________ out a severe punishment to the convicted criminal to serve as a deterrent to others. (A) encumber (B) mete (C) pique (D) addle

24. 下列化合物進行單一溴化反應的產物為何? (A)(B)(C)(D)

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13 明茲伯格(H. Mintzberg)將組織型態分為五種類型,某一公立大學擁有多個校區,各自依照自己的地域和 專業特性選擇不同的組織型態,但仍受校長的指揮監督,這所大學屬於明茲伯格所提出的那一種組織型態? (A)多角化形式 (B)臨時任務編組 (C)矩陣型結構 (D)機械式官僚制

33 依據弗洛姆(V. Vroom)的期望理論,下列何者不是該理論所發展出的激勵策略? (A)強化工作表現與獲得獎勵之間的連結性 (B)為員工設定具有挑戰性的目標,以強化其工作動機 (C)協助員工了解努力程度與預期績效之間的關聯性 (D)了解員工的心理需求,設法依此連結獎勵的內容

15 下列何者非屬行政契約? (A)國家賠償協議 (B)臺北市與基隆市簽訂的區域間都市垃圾緊急處理互助協議書 (C)新北市社會住宅之租約 (D)衛生福利部與公費醫學生所簽訂重點科別培育公費醫學生契約