64.2 📚 國考版醫垫國考 / PGY OSCE

64.2.0.1 📌 Cram Sheet

64.2.0.1.1 🔥 高 yield 8
  1. UVA aging / UVB burning + cancer
  2. 5 類光反應: phototoxic / photoallergic / PMLE / solar urticaria / porphyria
  3. PMLE = 春季銖次曬倪陜 + 24-48 hr 玅疹
  4. PCT = HCV + 手背 blister + hypertrichosis
  5. EPP = 兒童 + burning pain on sun
  6. Drug-induced: doxy, FQ, HCTZ, NSAID, amiodarone, St. John’s wort
  7. SPF ≥ 30 党光譜
  8. Afamelanotide for EPP (22E new)
64.2.0.1.2 🔢 必背
波長 UVA UVB
nm 320-400 280-320
䞻芁 aging, drug sunburn, cancer

64.2.0.2 ⭐ 高 yield

64.2.0.2.1 Porphyria 對照
病 猺陷 衚珟
PCT UROD 手背 blister + hypertrichosis (HCV+)
EPP Ferrochelatase 兒童 burning pain
AIP PBGD 神經粟神 + 腹痛無皮膚
HCP CPO 神經 + 皮膚
VP PPOX 神經 + 皮膚 (南非)
64.2.0.2.2 Drug Photosensitivity
  • Doxycycline (most common)
  • Tetracycline
  • Fluoroquinolone
  • HCTZ, furosemide
  • NSAID (piroxicam, naproxen)
  • Amiodarone (blue-grey 色玠)
  • Sulfa
  • St. John’s wort
  • Voriconazole

64.2.0.3 🎯 自我檢枬

  1. UVA vs UVB? → UVA aging, UVB burning/cancer
  2. PMLE timing? → Spring 銖曬 24-48 hr
  3. PCT trigger? → HCV, 鐵負荷
  4. EPP symptom? → Burning pain on sun (兒童)
  5. AIP 皮膚衚珟? → 無
  6. SPF threshold? → ≥ 30 党光譜
  7. EPP treatment? → Afamelanotide (22E new)
  8. Most common drug photosensitivity? → Doxycycline

⚠ AI 草皿。