33. 下列為西元十一世紀,甲、乙二國針對當前外交情勢的看法: 上述內容應與下列何者有關?
(A)宋遼締結澶淵之盟,此後以兄弟相稱
(B)唐朝因國力強盛,吸引各國遣使交流
(C)中日簽署《馬關條約》,中國割地賠款
(D)明朝派鄭和下西洋,促使外邦前來朝貢
12. Catherine is a 72-year-old female has a 20-mninute episode of difficulty expressing herselt, right arm and band weakness. You
have the following information:
(1) Past medical history: HTN, CAD, dyslipidemia.
(2) Medications: clopidogrel 75 mg qd, amlodipine 5 mg qd, irbesartan 150 mg/HCTZ 12.5 mg qd.
(3) BP: 132/82 mmHg, LDL 103 mg/dL
(4) MRI: small diffusion-weighted imaging lesion in the left frontal cortex, 3 small microbleeds in the basal ganglia, mild
periventricular hyperintensities
(5) MRA: 30% left internal carotid artery origin stenosis
if you are considering adjusting medications, which of the following is incorrect?
(A) Check for heart rhythm to ensure that there is no concomitant or paroxysmal AF.
(B) If no AF, patient should be treated with DAPT immediately. Clopidogrel plus aspirin is indicated.
(C) Clopidogrel has less eficacy in CYP3A4 loss-of-function carriers than non-carriers.
(D) In this patient with a 30% left internal carotid artery origin stenosis, ticagrelor-aspirin is also a good choice.