32.2 📚 國考版醫垫國考 / PGY OSCE

32.2.0.1 📌 Cram Sheet

32.2.0.1.1 🔥 高 yield 8 條
  1. Aphasia ≠ Dysarthria
  2. 4 evaluations: fluency / comprehension / repetition / naming
  3. 8 types by patterns
  4. Broca = non-fluent, comp OK, repetition out → frontal
  5. Wernicke = fluent, comp out → temporal
  6. Conduction = repetition only out → arcuate fasciculus
  7. Transcortical = repetition preserved → watershed
  8. Anomic = naming only → angular gyrus
32.2.0.1.2 🔢 必背
郚䜍 Aphasia
Frontal (inferior frontal gyrus) Broca
Superior temporal gyrus Wernicke
Arcuate fasciculus Conduction
Watershed (anterior) Transcortical motor
Watershed (posterior) Transcortical sensory
Angular gyrus Anomic
Whole MCA Global

32.2.0.2 ⭐ 高 yield

32.2.0.2.1 8 Aphasia è¡š
Type Fl Comp Rep Loc
Broca ❌ ✅ ❌ Left frontal
Wernicke ✅ ❌ ❌ Left temporal
Global ❌ ❌ ❌ MCA
Conduction ✅ ✅ ❌ Arcuate
Transcortical motor ❌ ✅ ✅ Ant Broca
Transcortical sensory ✅ ❌ ✅ Post Wernicke
Mixed transcortical ❌ ❌ ✅ Watershed
Anomic ✅ ✅ ✅ Angular
32.2.0.2.2 Memory Anatomy
  • Hippocampus → encoding
  • Papez circuit: hippocampus → fornix → mammillary → thalamus → cingulate → hippocampus
  • Wernicke-Korsakoff: thalamus + mammillary
  • HSV encephalitis: bilateral medial temporal (hippocampus)
32.2.0.2.3 Korsakoff vs Wernicke
  • Wernicke: ophthalmoplegia + ataxia + confusion (acute)
  • Korsakoff: amnesia + confabulation (chronic)
32.2.0.2.4 Aphasia + Hemiparesis Localization
  • Broca + R hemiparesis (face/arm > leg) → left M1/M2 MCA
  • Wernicke 通垞無 motor (more posterior)
  • Global = large MCA

32.2.0.3 🎯 自我檢枬

  1. Broca’s pattern? → Non-fluent + comp OK + repetition out
  2. Conduction lesion? → Arcuate fasciculus
  3. Transcortical 共同特埵? → Repetition preserved
  4. Anomic 猺哪項? → Naming
  5. Korsakoff 成因? → Thiamine deficiency
  6. HSV encephalitis 郚䜍? → Bilateral medial temporal
  7. Memory encoding 重芁結構? → Hippocampus

⚠ AI 草皿。