46.2 📚 國考版醫垫國考 / PGY OSCE

46.2.0.1 📌 Cram Sheet

46.2.0.1.1 🔥 高 yield 6
  1. 5 䟆源cardiac / pulmonary / metabolic / MSK / neuro
  2. CPET = gold standard
  3. 6-min walk test = bedside
  4. Cardiac rehab post-MI/HF/CABG evidence
  5. Pulmonary rehab COPD evidence
  6. Deconditioning is common but reversible
46.2.0.1.2 🔢 必背
項目 æ•žå­—
6MWT borderline < 350 m
VO2 max prediction (220-age) × %
FEV1 mild > 80%
FEV1 moderate 50-80%
FEV1 severe 30-50%
FEV1 very severe < 30%

46.2.0.2 ⭐ 高 yield

46.2.0.2.1 CPET 解讀
  • VO2 max
  • VE/VCO2 (efficiency)
  • 看 cardiac vs pulmonary 限制
  • AT (anaerobic threshold)
46.2.0.2.2 Cardiac Rehab Components
  • Aerobic exercise
  • Strength training
  • Diet + smoking cessation
  • Lipid + BP control
  • Psychosocial support
46.2.0.2.3 Pulmonary Rehab Components
  • Aerobic + strength
  • Education + smoking cessation
  • Nutrition
  • Psychosocial
46.2.0.2.4 Anemia + Exercise
  • Hgb < 12 (女) / 13 (男) → ↓ exercise tolerance
  • Iron deficiency 最垞
  • 補 iron / treat cause

46.2.0.3 🎯 自我檢枬

  1. CPET = ? gold standard
  2. 6MWT borderline? → < 350 m
  3. Cardiac rehab indications? → MI, HF, CABG, PCI
  4. COPD severe FEV1? → 30-50%
  5. Most common cause deconditioning? → Sedentary lifestyle

⚠ AI 草皿。