Question: According to the 2008 edition of the Helsinki Declaration (Declaration of Helsinki), in the treatment of patients, the absence of effective treatment, the physician determine if there is hope to save lives and rebuild health or alleviate pain. After those procedures, it was unproven treatment?

Answer: Require consultation with experts and obtain consent of the patient or their legal representatives

Choices:
A. Simply consulted experts
B. Simply obtaining consent of the patient or their legal representatives
C. Require consultation with experts and obtain consent of the patient or their legal representatives
D. Require consultation with experts and obtain consent of the patient or their legal representatives, notified to and approved by the competent authority

absence
effective treatment
physician
to
lives
pain
procedures
unproven treatment


Question: The following statements about "shock" (shock), and what's wrong?

Answer: Neurogenic shock (neurogenic shock) is often associated with pulse pressure (pulse pressure) fall

Choices:
A. Systolic blood pressure begins to drop, the blood has reached 30% of the expressed amount of blood in vivo
B. Neurogenic shock (neurogenic shock) is often associated with pulse pressure (pulse pressure) fall
C. The degree of bleeding is calculated as a percentage of ideal body weight
D. Calculating the standard blood volume of the children is 80 mL to 90 mL per kg


Question: 38-year-old general manager 27. One electronics company in the past two months were 37.5 Zhi body temperature 38.0 ℃, when treatment complained of weakness, breathing difficulties when there is no movement symptoms, but palpitations phenomenon, physical examination anemia, blood pressure 120 / 70 mmHg, beat rule 94 / min, temperature 38.1 deg.] C, normal liver and kidney function, left ventricular heart palpation fluctuation (LV heave), auscultation grade III / VI systolic heart murmur full, maximum acoustic apex, no significant systemic or peripheral arterial embolism phenomenon. Mitral cardiac ultrasonography (the mitral valve) of approximately 15 mm with a flowing neoplasm, and the blood sample taken in the left and right hands culture were grown Streptococcus viridans. Which of the following is appropriate initial treatment plan?

Answer: Every 4 hours intravenously injection of penicillin G two million to three million units considered 4 weeks after surgery

Choices:
A. Intravenously every 8 hours penicillin G two million to three million units considered 4 weeks after surgery
B. Every 4 hours intravenously injection of penicillin G two million to three million units considered 4 weeks after surgery
C. Every 4 hours intravenously injection of penicillin G two million to three million units every 8 hours plus intravenous gentamicin 1 mg / kg, after two weeks if not made
D. After intravenous injection of ampicillin 2g every 4 hours intravenously every 8 hours plus gentamicin 1 mg / kg total of 4-6 weeks, considering valvular surgery


Question: Giant cell tumor of bone narrative about the (giant cell tumor of bone), and Which statement is correct?

Answer: To avoid local recurrence (local recurrence), surgery is often required to merge the auxiliary equipment such as burr-speed (high-speed burr) remove the tumor, or the like slip cement filling

Choices:
A. Long bone most often occurs in children under the age of 10, very few violations of the epiphysis (epiphysis)
B. The most common is X-ray found a osteoblastic (osteoblastic) of destructive lesions, often have significant and periosteal reaction (periosteal reaction)
C. The most common treatment is wide excision (wide excision) surgery
D. To avoid local recurrence (local recurrence), surgery is often required to merge the auxiliary equipment such as burr-speed (high-speed burr) remove the tumor, or the like slip cement filling

Giant cell tumor of bone
giant cell tumor of bone
correct


Question: What colony stimulating factor (colony-stimulating factor, CSF) currently applicable in the treatment of bone marrow suppression caused by cancer chemotherapy response (myelosuppressive reaction), its name, also known as Filgrastim?

Answer: G-CSF

Choices:
A. G-CSF
B. GM-CSF
C. Multi-CSF
D. M-CSF

colony stimulating factor
colony-stimulating factor
CSF
currently applicable
treatment
bone marrow suppression caused
cancer response
reaction
name
known
Filgrastim


Question: That these medicines may affect thyroid function tests, the T4 values increased?

Answer: amiodarone

Choices:
A. lithium
B. androgens
C. amiodarone
D. salicylates

medicines
thyroid function tests
values increased


Question: What better intussusception in children ages?

Answer: Eight to ten months

Choices:
A. Month-to-month
B. Eight to ten months
C. Two to three years old
D. More than four years old


Question: Inhaled anesthetics halothane merger muscle relaxant succinylcholine, may cause malignant hyperthermia (malignant hyperthermia), which of the following drugs can relieve?

Answer: dantrolene

Choices:
A. dantrolene
B. isoflurane
C. diazepam
D. theophylline

Inhaled anesthetics halothane
muscle relaxant succinylcholine
cause malignant hyperthermia
malignant hyperthermia
following drugs
relieve


Question: When the working environment may be hazardous factors exist, following what kind of exposure management should not be the most priority?

Answer: Wear personal protective equipment

Choices:
A. Alternatively hazardous substances at a lower hazardous substance higher
B. Use local exhaust
C. Rotation organization of work to reduce exposure time
D. Wear personal protective equipment

working environment
hazardous factors
following
kind
exposure
not
most priority


Question: Which of the following viruses having resistance to aliphatic solvents (e.g., diethyl ether)?

Answer: Adenovirus (Adenovirus)

Choices:
A. Pox virus (Poxvirus)
B. Herpes virus (Herpesvirus)
C. Adenovirus (Adenovirus)
D. Retroviral (Retrovirus)

following viruses
resistance to
diethyl ether


Question: Ms. Qiu, due to a large number of sputum and hemoptysis outpatient, chest X-ray as shown, the most accurate diagnosis:

Answer: Bronchiectasis (bronchiectasis)

Choices:
A. Pulmonary embolism (pulmonary embolism)
B. Bronchiectasis (bronchiectasis)
C. Lung cancer (lung cancer)
D. Pulmonary fibrosis (lung fibrosis)

Ms
due to
large number
sputum
hemoptysis outpatient
chest X-ray
most accurate diagnosis


Question: Hypoglycemia is a common clinical phenomenon, and that the following statement best describes how inappropriate?

Answer: Insulinoma (insulinoma) is typically expressed as Whipple's triad, is the most common cause of low blood sugar

Choices:
A. Insulinoma (insulinoma) is typically expressed as Whipple's triad, is the most common cause of low blood sugar
B. Low blood sugar can cause fatal consequences, the importance of timely treatment
C. Common symptoms of low blood sugar include tears, rapid heart beat, run cold and coma
D. Can cause hypoglycemia clinical drugs include insulin, sulfonylureas and glinides class

Hypoglycemia
common clinical
following
best
inappropriate


Question: Surgical treatment of chronic anal fissure, which of the following should be adopted?

Answer: partial lateral internal sphincterotomy

Choices:
A. anal stretch procedure
B. partial lateral external sphincterotomy
C. partial lateral internal sphincterotomy
D. excision of fissure with primary suture

Surgical treatment
chronic anal fissure
following
adopted


Question:
60
 It belongs to one of the following fungal endogenous fungal infection?

Answer: Candidiasis (Candida)

Choices:
A. Candidiasis (Candida)
B. Aspergillus (Aspergillus)
C. Epidermophyton (and Epidermophyton)
D. Cryptococcus neoformans (Cryptococcus neoformans)

60
one
following fungal endogenous
infection


Question: 71 a 78-year-old male patient was sent to the psychiatric clinic, his wife described it on: The patient began to have poor memories, nine years ago, can not remember the original do, symptoms persist for approximately two years, after the patient becomes progressively quiet, on the situation of people with a strong hostility, and have lost, lost it. Jianlang patient's body, never had any surgical history. This is most likely the patients clinically diagnosed as which of the following?

Answer: Ezihaimo disease (Alzheimer's disease)

Choices:
A. Vascular dementia (vascular dementia)
B. Dissociative amnesia (dissociative amnesia)
C. Ezihaimo disease (Alzheimer's disease)
D. Parkinson's disease (Parkinson's disease)

year old male patient
sent
psychiatric clinic
on
patient began to
poor memories
nine years
not
original
symptoms
approximately two years
patient
quiet
strong
lost
lost
patient's body
never
surgical history
patients
diagnosed


Question: The following account of free lung (sequestration), and what's wrong?

Answer: Usually communicates with normal lung bronchial

Choices:
A. Can be divided into (intralobar) free outer lung lobe (extralobar) with free lung lobes
B. Usually communicates with normal lung bronchial
C. Its main supply artery from the aorta
D. Treatment with surgical excision

following account
free lung
sequestration
wrong


Question: Cancer of the stomach in about 15% of malignant lymphoma, namely primary gastric lymphoma (primary gastric lymphoma). The following description related to validity?

Answer: If it is mucosa-associated lymphoid tissue (MALT) lymphoma, should consider the use of antibiotics to clear H. pylori

Choices:
A. Gastric malignant lymphoma and gastric adenocarcinoma endoscopy can clearly identify the pathological diagnosis without sections
B. The vast majority of primary gastric lymphomas T- cell lymphoma
C. If it is mucosa-associated lymphoid tissue (MALT) lymphoma, should consider the use of antibiotics to clear H. pylori
D. If it is high-grade, large-cell lymphoma, gastric cancer should be carried out and subtotal gastrectomy, consider chemotherapy to prevent cancer such as bleeding, obstruction or perforation of complications

Cancer of the stomach
about
malignant lymphoma
primary gastric lymphoma
primary gastric lymphoma
following
related
validity


Question: 7632 year old woman suffering from chronic otitis media, acute onset of severe headache and attendances, left for the T1 magnetic resonance angiogram after injection of contrast agent, the right is vascular magnetic resonance images, the most likely diagnosis Why?

Answer: Venous sinus thrombosis

Choices:
A. Cerebral infarction
B. Cerebral hemorrhage
C. Venous sinus thrombosis
D. Cerebellar artery embolization

year old woman suffering
chronic otitis media
acute onset
severe headache
left
T1 magnetic resonance angiogram
injection
right
vascular magnetic resonance
diagnosis


Question: Control ciliary muscle (ciliary muscle) parasympathetic preganglionic nerve fibers (parasympathetic preganglionic fibers), usually via Which of the following into the ciliary ganglion (ciliary ganglion)?

Answer: Oculomotor lower branch (inferior branch of oculomotor nerve)

Choices:
A. Oculomotor nerve branch (superior branch of oculomotor nerve)
B. Oculomotor lower branch (inferior branch of oculomotor nerve)
C. Nose and eyelashes nerve (nasociliary nerve)
D. External rotation nerve (abducent nerve)

Control ciliary muscle
ciliary muscle
preganglionic nerve fibers
preganglionic fibers
usually
following
ciliary ganglion
ciliary ganglion


Question: Patients with chronic heart failure does not occur because of acute exacerbations Which of the following factors?

Answer: smokes

Choices:
A. Myocardial infarction
B. pregnancy
C. drink
D. smokes

Patients
chronic heart failure
not occur
acute exacerbations
following factors


Question: Which of the following has the worst prognosis of chromosomal abnormalities in children with acute myeloid leukemia?

Answer: Seventh chromosome deletion; Del (7q), -7

Choices:
A. 8 and chromosome 21 translocation; t (8; 21)
B. 16 pairs of chromosomes inversions; inv (16)
C. 15 and 17 on chromosome translocation; t (15; 17)
D. Seventh chromosome deletion; Del (7q), -7

following
worst prognosis
chromosomal abnormalities in children
acute myeloid leukemia


Question: Which of the following enzymes are not involved in DNA replication (DNA replication)?

Answer: DNA-dependent RNA polymerase (DNA-dependent RNA polymerase)

Choices:
A. DNA topoisomerase (DNA topoisomerase)
B. Helicase (helicase)
C. Protein bonded single-stranded DNA (single-stranded DNA binding protein)
D. DNA-dependent RNA polymerase (DNA-dependent RNA polymerase)

following enzymes
not involved
DNA replication
DNA replication


Question: Bearing on the question, for the disposal of Mr. Zhang, Which of the following most inappropriate?

Answer: Intravenous physiological saline

Choices:
A. Administered with physiological monitor oxygen
B. Intravenous injection of morphine
C. Intravenous physiological saline
D. Intravenous diuretics


Question: Statements about white rosea (pityriasis alba) is, which of the following error?

Answer: Even after adult patients, the majority of lesions is still difficult to heal

Choices:
A. White spots appear desquamation
B. Common in the face
C. Occur in children
D. Even after adult patients, the majority of lesions is still difficult to heal


Question: The main section of the rectum lymph exchange inflow that the following lymph nodes?

Answer: Lymph nodes (inferior mesenteric lymph nodes) inferior mesenteric

Choices:
A. Iliac lymph nodes (internal iliac lymph nodes)
B. Lumbar lymph nodes (lumbar lymph nodes)
C. Superficial inguinal lymph nodes (superficial inguinal lymph nodes)
D. Lymph nodes (inferior mesenteric lymph nodes) inferior mesenteric

main section
rectum lymph exchange
following lymph nodes


Question: Most relevant mutations and the formation of medullary thyroid cancer (medullary carcinoma) that one of the following genes?

Answer: RIGHT

Choices:
A. RAS
B. RIGHT
C. nice
D. PTEN


Question: Which of the following raw materials can not be used as a synthetic glucose (gluconeogenesis) of precursor?

Answer: fatty acid

Choices:
A. fatty acid
B. Amino acids
C. Glycerin (glycerol)
D. Oxaloacetic acid (oxaloacetate)


Question: Total gastrectomy patients, which may produce the following diseases?

Answer: anemia

Choices:
A. night blindness
B. anemia
C. Osteomalacia
D. Osteoporosis

Total gastrectomy patients
following diseases


Question: 78-year-old Wang, the last three years to the gradual emergence of the chest dull pain, occasional cases of fainting, this year there will be even shortness of breath, a little activity that is dyspnea. Wang found that the physical checkups slowly continued to show a pulse, of small fine slow pulse, while a heart sound auscultation can be found in hearing apex S3, S4 heart sounds can be heard in the right second intercostal low, rough, grade III / VI of mid-systolic murmur heart, also at left sternal edge to hear weak (grade II / VI) of the systolic murmur at the apex. Will Wang most likely suffering from what disease?

Answer: Aortic stenosis and heart failure

Choices:
A. Ventricular septal defect with Heart Failure
B. Obstructive hypertrophic cardiomyopathy with cardiac failure
C. Mitral insufficiency with heart failure
D. Aortic stenosis and heart failure

year old
last three years
gradual
of
chest dull pain
occasional cases
fainting
year
shortness of breath
little activity
dyspnea
found
physical
slowly
to
pulse
small fine slow
heart auscultation
found
hearing apex S3
S4 heart sounds
right second
low
grade
VI
mid-systolic murmur heart
left sternal edge
hear weak
VI
systolic murmur
apex
likely suffering
disease


Question: 55-year-old male patient was found in the shadow of the liver ultrasound tracking, arrange a three-phase (pre-contrast, arterial phase, venous phase) CT scan as shown. According Couinaud liver leaf method, the lesion location why?

Answer: S5

Choices:
A. S5
B. S6
C. S7
D. S8

year old male patient
found
shadow
liver ultrasound tracking
three phase
pre-contrast
arterial phase
venous phase
CT scan
liver
method
lesion location


Question: Wallenberg's syndrome occurs most often in those following a clogged arteries?

Answer: Posterior inferior cerebellar artery

Choices:
A. Middle cerebral artery
B. Anterior inferior cerebellar artery
C. Posterior inferior cerebellar artery
D. Superior cerebellar artery

Wallenberg's syndrome occurs most often
following
clogged arteries


Question: 32 year old woman, complained of amenorrhea 3 months, blood tests, estradiol <20 pg / mL, follicle stimulating hormone (FSH) is 80 IU / L, which of the following is most correct?

Answer: For pregnant need egg donation

Choices:
A. Pregnancy induced amenorrhea
B. For pregnant need egg donation
C. Clomiphene may be used to stimulate ovulation
D. Due to pituitary dysfunction caused amenorrhea

year old woman
amenorrhea
months
blood tests
estradiol
20 pg
mL
follicle stimulating hormone
80 IU
L
following
most correct


Question: From the previous question, that one of the following is the cause of the disease caused by the split second heart sound?

Answer: Due to increased blood flow in the right way out of the heart, pulmonary valve off later

Choices:
A. Due to increased blood flow in the right way out of the heart, pulmonary valve off later
B. Due to reduced blood flow in the right way out of the heart, the pulmonary valve to close early
C. Due to increased left ventricular way blood flow, aortic valve off later
D. Because of the way out of left ventricular blood flow, aortic valve early close

previous
one
following
cause
disease caused
split second heart sound


Question: Alcohol dehydrogenase (EC 1.1.1.1) catalyze ethanol (alcohol) and aldehyde, the reaction patterns which belong to?

Answer: Oxidoreductase (oxidoreductase)

Choices:
A. Transferases (transferase in)
B. Oxidoreductase (oxidoreductase)
C. Hydrolase (hydrolase)
D. Ligase (Ligase)

Alcohol dehydrogenase
EC 1
ethanol
alcohol
aldehyde
reaction patterns
to


Question: Male hormone (androgen) can be generated in those two organs of the fetus?

Answer: Liver and adrenal gland

Choices:
A. Lung and liver
B. Liver and adrenal gland
C. Adrenal gland and stomach
D. Stomach and lung


Question: Which of the following effects of hepatitis C treatment the best?

Answer: With interferon and ribavirin

Choices:
A. Interferon alone
B. With interferon and ribavirin
C. Interferon and with entecavir
D. Interferon and with adefovir

following effects
hepatitis C treatment
best


Question: A 40-year-old woman because the ascending colon right colon accept the eradication of surgery, 48 hours after fever. So please answer the following three questions: Which of the following is the most likely cause?

Answer: Pulmonary atelectasis (lung atelectasis)

Choices:
A. Pneumonia (pneumonia)
B. Anastomotic leak (anastomotic site leakage)
C. Pulmonary atelectasis (lung atelectasis)
D. Wound infection (surgical wound infection)

40 year old woman
ascending colon right colon accept
surgery
48 hours
fever
following three
following
cause


Question: Prostate specific antigen (PSA) in different age groups, there is not the same as the normal range, the following statements is wrong?

Answer: 50 to 59 years, PSA normal range is 0.0 ~ 4.0 ng / mL

Choices:
A. 40 to 49 years, PSA normal range is 0.0 ~ 2.5 ng / mL
B. 50 to 59 years, PSA normal range is 0.0 ~ 4.0 ng / mL
C. 60 to 69 years, PSA normal range is 0.0 ~ 4.5 ng / mL
D. 70 to 79 years, PSA normal range is 0.0 ~ 6.5 ng / mL

Prostate specific antigen
different age groups
not
same
normal range
following
wrong


Question: Defense role of the skin and mucous membranes, the following statements is wrong?

Answer: Alkaline state of the surface of the skin, the skin can prevent propagation of microorganisms

Choices:
A. Outer layer of skin cells keratinocytes, can enhance the defense against pathogens
B. Strongly acidic gastric juice, can destroy most bacteria
C. Sebaceous glands secrete oil can prevent bacterial growth
D. Alkaline state of the surface of the skin, the skin can prevent propagation of microorganisms

role
skin
mucous membranes
following
wrong


Question: A 20-year-old college girls the past six months because of emotional problems and academic stress, often at night when a person can not control the appetite to eat twice as much food she had, until bulging belly to stand stopped, but she was very concerned about their size and weight, so they find a way to lose weight. Which of the following most likely to occur in the girls?

Answer: Use of laxatives or vomiting occurs after the potassium level too high

Choices:
A. Efforts to diet and exercise during the day
B. Eat when preferences sweets and high-calorie foods
C. After vomiting often feel depressed
D. Use of laxatives or vomiting occurs after the potassium level too high

20 year old college girls
past six months
emotional problems
stress
often
night
not control
appetite to eat twice
food
bulging belly to stand stopped
very
size
weight
find
to
weight
following
likely to occur
girls


Question: A 55 year old woman presented although irregular enlargement of the thyroid gland, but normal thyroid function. After surgery, the resected pathologically found thyroid nodules comprising a plurality of irregular brown gel-like substance. Interspersed within nodules or hemorrhage, cystic fibrosis and calcification or lesion. Which of the following best meet the clinical and pathological features of this patient?

Answer: multinodular goiter

Choices:
A. follicular adenoma
B. Hashimoto thyroiditis
C. multinodular goiter
D. follicular carcinoma

year old woman
irregular enlargement of
thyroid gland
normal thyroid function
surgery
resected
found thyroid nodules
plurality
irregular brown gel
nodules
hemorrhage
cystic fibrosis
calcification
lesion
following best
clinical
pathological features
patient


Question: Which of the following does not belong to the olfactory cortex?

Answer: Septal region (septal region)

Choices:
A. Piriform cortex (piriform cortex)
B. Almond nucleus (amygdaloid nucleus)
C. Olfactory tubercle (olfactory tubercle)
D. Septal region (septal region)


Question: South Korea, Seoul National University investigation committee announced the end of 2005: Huang Yuxi Pei Yu called embryonic stem cells special is false, than what he said somatic gene in patients with the same tailor-made embryonic stem cells, but the fertilized egg stem cells. Director of Studies at Seoul National University Lu Zhen Hui in a news release said: "The three external institutions 2,3 stem cells for analysis, the results confirm inconsistent with the DNA in patients with somatic cells." In response, Huang Yuxi Li engraved resigned from Seoul National University professorship , but insisted that has the technology to cultivate patient-matched stem cell type. Will Huang Yuxi Xuan said used to produce embryonic stem cell technology, which of the following is most likely?

Answer: somatic cell nuclear transfer

Choices:
A. genetic engineering
B. somatic cell nuclear transfer
C. chimeric hybridization
D. gonadal cell nuclear transfer

South Korea
Seoul
University
end
Pei
called
special
false
somatic gene
patients
same tailor made
fertilized egg
Director
Studies
Seoul
University Lu
release
three external
3
analysis
results confirm inconsistent
DNA
patients
response
Li engraved
Seoul
University
to
patient matched
used to
following


Question:
26. A 28-year-old woman, the past two years have symptoms of dizziness and fatigue easily, and increasingly severe and hospitalization. Eight months before admission, because the symptoms continued to increase, a particular Medical Center found that hemoglobin 9 g / dL, hematocrit 92.5 fL, normal white blood cell and platelet count, when creatinine was 1.3 mg / dL. After admission, blood pressure 140/90 mmHg, pulse 76 / min, no heart murmur, slightly lower extremity edema, a solid chamber examination revealed increased creatinine
 4 mg / dL, hemoglobin 8.5 g / dL, serum ferritin (ferritin) 591 ng / mL, iron 172 μg / dL, total iron binding capacity of 190 μg / dL, the reaction was negative fecal occult blood, no abnormal urinalysis Which of the following is most likely to do this deterioration of renal function in patients lesions?

Answer: chronic tubulointerstitial disorders

Choices:
A. rapidly progressive glomerulonephritis
B. thrombotic microaniopathy
C. chronic tubulointerstitial disorders
D. hypertensive nephrosclerosis

year old woman
past two years
symptoms
dizziness
fatigue easily
severe
Eight months
symptoms
to increase
Medical Center found
hemoglobin
g
dL
hematocrit
fL
normal
platelet count
creatinine
1
mg
dL
blood pressure
90 mmHg
pulse 76
min
heart murmur
slightly lower extremity edema
solid chamber
revealed increased creatinine
mg
dL
hemoglobin 8.5 g
dL
serum ferritin
ferritin
ng
mL
iron
g
dL
total iron binding capacity
g
dL
reaction
negative fecal occult blood
abnormal urinalysis
following
renal function
patients lesions


Question: Pig heart transplant in hyperacute rejection (hyperacute rejection) primates will occur, this phenomenon can be through transgenic following what human genes and slow down?

Answer: CD（clusters of differentiation）59

Choices:
A. Immunoglobulin -G (immunoglobulin-G)
B. Complement (complement)
C. CD（clusters of differentiation）52
D. CD（clusters of differentiation）59

heart transplant
rejection
rejection
occur
following
human genes
slow down


Question: About urinary tract infections, which of the following is most correct?

Answer: 56 year-old woman, three occurred pyelonephritis, ultrasound examination revealed staghorn stones on both sides, the urine pH is

Choices:
A. 27 year old woman, cystitis occurs three times in the past year, an acute pyelonephritis. Usually this age infected with gram-positive bacteria dominated
B. 25 weeks pregnant 32-year-old woman, a routine check urine, high magnification 15 to 20 white blood cells, urine culture E. coli.
C. 68 year old woman due to spinal cord injury, neurological bladder, need long-term indwelling catheter. Urine high magnification 30 to 40 white blood cells, urine culture E. coli, antibiotics should be given
D. 56 year-old woman, three occurred pyelonephritis, ultrasound examination revealed staghorn stones on both sides, the urine pH is

About urinary tract infections
following
most correct


Question: Shoulder dislocation (dislocation) of the most vulnerable and which of the following?

Answer: Axillary nerve (axillary nerve)

Choices:
A. Musculocutaneous nerve (musculocutaneous nerve)
B. Radial nerve (radial nerve)
C. Axillary nerve (axillary nerve)
D. Ulnar nerve (ulnar nerve)

Shoulder dislocation
dislocation
most
following


Question: Which of the following to enter from the top of the hip piriformis (piriformis) of?

Answer: Superior gluteal artery (superior gluteal artery)

Choices:
A. Superior gluteal artery (superior gluteal artery)
B. Gluteal artery (inferior gluteal artery)
C. Sciatic nerve (sciatic nerve)
D. Pudendal nerve (pudendal nerve)

following to enter
top
hip piriformis
piriformis


Question: 76. The following parasite infection which, its larvae in the human body migration (migration) does not pass through the lungs? ① fecal nematode (Strongyloides stercoralis) ② pinworms (Enterobius vermicularis) ③ whipworms (Trichuris trichiura)

Answer: Only ②③

Choices:
A. Only ①②
B. Only ①③
C. Only ②③
D. ①②③

76
following parasite infection
human body migration
migration
not pass
lungs
fecal
pinworms
Enterobius vermicularis
whipworms


Question: Huxiqiguan primordia (respiratory primordium) Which of the following originated in the end of the (caudal end)?

Answer: The fourth pharyngeal pouches (pharyngeal pouch)

Choices:
A. The first pharyngeal pouches (pharyngeal pouch)
B. The second pharyngeal pouches (pharyngeal pouch)
C. The third pharyngeal pouches (pharyngeal pouch)
D. The fourth pharyngeal pouches (pharyngeal pouch)

primordia
respiratory primordium
following
end
caudal end


Question: Palliative care regulations, not related to the implementation of the provisions of CPR or medical life support, the following statements is wrong?

Answer: Shall be two licensed physician diagnosis of a license to practice indeed for the terminally ill

Choices:
A. Shall be two licensed physician diagnosis of a license to practice indeed for the terminally ill
B. Should the wishes of the Letter of Intent signed
C. When people are willing to sign the letter of intent minors, should be obtaining the consent of the legal representative
D. When people are willing to minors can not express the will should be signed by the legal representative letter of intent

Palliative care
not related
CPR
medical life support
following
wrong


Question: Statements about the female breast fiber adenoma (fibroadenoma), and which of the following error?

Answer: Since often leads to breast cancer, it must be cut

Choices:
A. Common tumor size which is 1 or 2 cm
B. Common in young women 15-25 years old
C. Multiple fibrous adenoma is not uncommon
D. Since often leads to breast cancer, it must be cut

female breast fiber adenoma
fibroadenoma
following error


Question: A patient in a car accident, face covered in blood sent to the emergency room physician on duty if you are, you have to prioritize:

Answer: Check whether there are other injuries

Choices:
A. ABC（airway, breathing, circulation）
B. Hemostasis
C. Wound closure
D. Check whether there are other injuries

patient
car accident
face covered
blood sent
emergency physician
to


Question: 10 bearing on the question, the general peripheral nerve sensory function engaged to be detected whether there is progress, can be tapped using a finger along the nerve to see if there is cause numbness situation. This phenomenon is known as:

Answer: \ Tinel sign

Choices:
A. Pinch's sign
B. String's sign
C. \ Tinel sign
D. \ Phalen's sign


Question: Which of the following is the most common eyelid cancers?

Answer: Basal cell carcinoma

Choices:
A. Sebaceous gland carcinoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Malignant melanoma


Question: Which of the following is the outside of the tendon can be measured pulsation of the radial artery (radial artery) of?

Answer: Radial wrist flexor muscle (Flexor carpi radialis)

Choices:
A. Extensor carpi radialis longus (Extensor carpi radialis longus)
B. Abductor pollicis longus (Abductor pollicis longus)
C. Elbow 橈肌 (Brachioradialis)
D. Radial wrist flexor muscle (Flexor carpi radialis)

following
outside
tendon
measured
radial artery
radial artery


Question: 30 A 28-year-old woman three times in a row experience mid-pregnancy (14 to 20 weeks) of spontaneous abortion, miscarriage three times in the emergency department have found the cervix is almost fully open, amniotic bags (water bag) to bulge into the vagina, but no uterine contractions obvious phenomenon. Now is the first week of her fourth pregnancy, Which of the following is the most appropriate disposal?

Answer: Loop turns embodiment cervical surgery (cervical cerclage)

Choices:
A. Estrogen replacement therapy
B. Progesterone supplements
C. Loop turns embodiment cervical surgery (cervical cerclage)
D. Prophylactic tocolytic agents (e.g., calcium channel blockers (calcium channel blocker))

30
year old woman three times
row
mid pregnancy
20 weeks
spontaneous abortion
miscarriage three times
emergency department
found
cervix
almost
open
amniotic bags
water bag
to bulge
vagina
uterine contractions
Now
first week
fourth
following
most appropriate


Question: A 30-year-old woman complained about pain in the left wrist three months, local swelling, tenderness to palpation when seeking treatment, while palpable soft tissue mass. X-ray of the left distal radius epiphysis (epiphysis) and epiphyses (metaphysis) has a map style (geographic pattern) destruction of lesions, no periosteal reaction (periosteal reaction). The most likely diagnosis is:

Answer: Bone giant cell tumor (giant cell tumor of bone)

Choices:
A. Bone cyst (simple bone cyst)
B. Cartilage synovial membrane hyperplasia (synovial chondromatosis)
C. Of fibrous dysplasia (fibrous dysplasia)
D. Bone giant cell tumor (giant cell tumor of bone)

30 year old woman
pain
left wrist three months
local swelling
tenderness
palpation
treatment
palpable soft tissue mass
X-ray of
left distal radius epiphysis
epiphysis
epiphyses
metaphysis
map style
geographic pattern
destruction of lesions
periosteal reaction
periosteal reaction
diagnosis


Question: Sciatic nerve (sciatic nerve) of the blood supply from which of the following?

Answer: Gluteal artery (inferior gluteal artery)

Choices:
A. Gluteal artery (inferior gluteal artery)
B. Superior gluteal artery (superior gluteal artery)
C. Obturator artery (obturator artery)
D. Femoral artery (femoral artery)

Sciatic nerve
sciatic nerve
blood supply


Question: The following statements about Hodgkin's disease (Hodgkin's disease), the what's wrong?

Answer: Occur more frequently than high non-Hodgkin's lymphoma

Choices:
A. Lesions mainly axial involvement
B. In adolescence (adolescence) have a peak appears
C. Occur more frequently than high non-Hodgkin's lymphoma
D. Most stageⅠ-Ⅱ, radiotherapy (R / T) is healed

following
Hodgkin's disease
Hodgkin's disease
wrong


Question: 55 yellow 62-year-old wife, suffering from Type 2 diabetes for 5 years. Height 163 cm, weight 64.5 kg. Normal diet, daily intake of 1,600 Kcal, about forty sports every day, taking Glibenclamide 10 mg BID and Metformin 1,000 mg BID. The last six months of glycated hemoglobin (HbA1C) was 7.8% and 8.2%, respectively, last month self-test fasting blood glucose is 98-120 mg / dL, blood sugar after a meal is 218-250 mg / dL. The following statements is wrong?

Answer: Elevated HbA1C values and basal insulin (basal insulin) inadequate secretion

Choices:
A. Most self-test fasting blood glucose values fall within the range of therapeutic targets
B. Elevated HbA1C values and basal insulin (basal insulin) inadequate secretion
C. And patients may be treated with the present or long-acting insulin
D. This patient treatment should focus on the regulation of blood sugar after a meal

yellow 62 year old
suffering
Type 2 diabetes
Height
weight 64
kg
daily intake
600 Kcal
about forty
day
Glibenclamide 10 mg
Metformin
mg
last six months
glycated hemoglobin
last month
test fasting blood glucose
98
mg
dL
blood sugar
mg
dL
following
wrong


Question: 64 year old man with diabetes and hypertension, there are five days of fever, chills, abdominal pain, without voiding difficult or painful situation; abdominal ultrasound found a 4.5-cm heterogeneous hepatic lesions, intrahepatic bile duct no expansion of the case . Aerobic and anaerobic blood culture bottles are grown gram-negative bacilli. So the condition most likely the pathogen why?

Answer: Klebsiella pneuomoniae

Choices:
A. Pseudomonas aeruginosa
B. Bacteroides fragilis
C. Enterobacter cloacae
D. Klebsiella pneuomoniae

64 year old man
diabetes
hypertension
five days
fever
chills
abdominal pain
voiding difficult
painful
abdominal ultrasound found
4.5
heterogeneous hepatic lesions
intrahepatic bile duct
case
Aerobic
anaerobic blood culture bottles
condition
likely


Question:
100 index is calculated according to the following table the following data, which of the following error? Availability of real disease
 No
 Have
 68
 6
 No
 12
 114
 Disease diagnosis 74 Total
 126
 Total
 80
 120 200

Answer: Positive predictive value of 85%

Choices:
A. A sensitivity of 85%
B. A specificity of 95%
C. Positive predictive value of 85%
D. Negative predictive value of 90.5%

100 index
calculated
following table
following data
of
following error
Availability
real disease
68 6
Disease diagnosis 74 Total
80
200


Question: A 3-month-old baby boy, my mother complained of poor feeding baby boy (poor feeding) and pale (pallor), night sweats (cold sweating), physical checkups found 260 heart beats / min, blood pressure 76/40 mmHg, the most likely diagnosis why ?

Answer: The ventricular tachycardia (supraventricular tachycardia)

Choices:
A. High fever (high fever)
B. Sepsis (sepsis)
C. The ventricular tachycardia (supraventricular tachycardia)
D. 竇性 tachycardia (sinus tachycardia)

3 month old baby boy
poor feeding baby boy
poor feeding
pale
pallor
night sweats
cold sweating
physical
found
heart
min
blood pressure 76 40 mmHg
diagnosis


Question: Which of the following has nothing to do with the hearing?

Answer: Inferior olivary nucleus (inferior olivary nucleus)

Choices:
A. Outside of the shoe department (lateral lemniscus)
B. Inferior olivary nucleus (inferior olivary nucleus)
C. Spiral ganglion (spiral ganglion)
D. Medial geniculate body (medial geniculate body)


Question: Fungal cell wall composition is unique:

Answer: Chitin

Choices:
A. Ergot alcohol
B. Chitin
C. Horny
D. Glycosides


Question: A 3-year-old child from infancy to suffer from atopic dermatitis (atopic dermatitis), recently found in some places the skin exudate (ooze) and scab (crust) phenomenon, he is most likely to merge what infection?

Answer: Staphylococcus aureus

Choices:
A. Candida albicans
B. Staphylococcus aureus
C. Haemophilus influenzae
D. Mycobacterium tuberculosis

3 year old
infancy to suffer
atopic dermatitis
atopic dermatitis
recently found
places
skin exudate
scab
crust
to
infection


Question: Pathological changes retrograde ejaculation (retrograde ejaculation) are:

Answer: Bladder neck can not shrink or close

Choices:
A. Unable to reach orgasm
B. Contraction force of ejaculation is not enough
C. Bladder neck can not shrink or close
D. Not enough to cause the amount of semen discharged from the urethra


Question: "Currant-jelly" stool relationship with most of that disease?

Answer: intussusception

Choices:
A. Intestinal polyps
B. Meck ear diverticulum (Meckel's diverticulum)
C. intussusception
D. Proctitis


Question: Which of the following main automatically activating neurotransmitter receptors for Use, normally inhibit the activity of adenylyl cyclase?

Answer: muscarinic M2 cholinoceptor

Choices:
A. muscarinic M2 cholinoceptor
B. muscarinic M3 cholinoceptor
C. β1 adrenoceptor
D. β3 adrenoceptor

following main automatically
neurotransmitter receptors
Use
inhibit


Question: A 18-year-old male, in recent years gradually limb tremors, ataxia, dysarthria, regress in school achievement, emotional instability. Physical examination found that corneas brown-green residue, upper wing beating tremor (wing beating tremor) associated with dystonia posture (dystonic posture). Which of the following is the most likely diagnosis?

Answer: Wilson's disease (Wilson disease)

Choices:
A. Dance spine red blood cell disorder (choreoacanthocytosis)
B. Xideng Han's disease (Sydenham chorea)
C. Multiple sclerosis (multiple sclerosis)
D. Wilson's disease (Wilson disease)

year old male
recent years
limb tremors
ataxia
dysarthria
school achievement
emotional instability
found
corneas brown green residue
upper wing
tremor
wing
tremor
associated with dystonia posture
dystonic posture
following
diagnosis


Question: Which of the following diseases of the nervous system, most are not suitable for plasmapheresis (plasma exchange) to treat?

Answer: Limbic encephalitis (limbic encephalitis)

Choices:
A. Critical myasthenia gravis (myasthenia crisis)
B. Chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyneuropathy)
C. Multiple nerve (root) inflammation (Guillain-Barré syndrome)
D. Limbic encephalitis (limbic encephalitis)

of the following diseases
nervous system
most
not suitable
plasmapheresis
plasma exchange
to treat


Question: Account of neuralgia (post-herpetic neuralgia) after herpes, what's wrong?

Answer: Administration of acyclovir (antiviral) therapy in the acute phase of herpes can reduce its incidence

Choices:
A. Occur in the elderly
B. Difficult to treat
C. Early doing sympathectomy may reduce its incidence
D. Administration of acyclovir (antiviral) therapy in the acute phase of herpes can reduce its incidence

Account
neuralgia
post-herpetic neuralgia
herpes
wrong


Question: A 12-year-old boy has repeatedly complained in the past six months have episodes of abdominal pain. His father, grandfather and grandfather were in the past history of peptic ulcer. Boy parents strongly urge you to check for boys for peptic ulcer. He checked the following items best able to determine whether the boy had Helicobacter pylori-induced peptic ulcer?

Answer: Endoscopy and make the stomach biopsy

Choices:
A. Check whether there are bacteria of fecal antigen
B. Endoscopy and make the stomach biopsy
C. Hydrogen breath test
D. Detecting antibodies in the serum of bacteria

year old boy
repeatedly
past six months
episodes of abdominal pain
past history of peptic ulcer
Boy
to check
boys
peptic ulcer
following
best able to
boy
induced peptic ulcer


Question: Papillary or follicular thyroid cancer, thyroid cancer undergoing total resection, where the following items can be used to detect recurrence or metastasis?

Answer: Thyroglobulin (thyroglobulin)

Choices:
A. THE
B. Hormone calcitonin (Calcitonin)
C. Thyroglobulin (thyroglobulin)
D. Tran-receptor Ab

Papillary
follicular thyroid cancer
thyroid cancer
total resection
following
used to detect recurrence
metastasis


Question: Atrial septal defect (atrial septal defect) occurs most often in the following Where?

Answer: Foramen ovale (oval foramen)

Choices:
A. Foramen ovale (oval foramen)
B. Coronary sinus (coronary sinus)
C. Right atrial appendage (right auricle)
D. 終 嵴 (crista terminalis)

Atrial septal defect
atrial septal defect
occurs most often
following


Question: When a patient is diagnosed with cancer, their families based on the requirements, the medical staff did not inform the patient diagnosis, that is a violation of the principles of bioethics?

Answer: Respect for the principle of autonomy (respect for autonomy)

Choices:
A. Respect for the principle of autonomy (respect for autonomy)
B. The principle of beneficence (beneficence)
C. The principles of justice (justice)
D. Do no harm principle (nonmaleficence)

patient
diagnosed
cancer
based
requirements
medical staff
not inform
patient diagnosis
bioethics


Question: Narrative hysteroscope surgery complications may arise, which of the following error?

Answer: And the difference was not poured into the above two liters of effluent, without giving diuretics

Choices:
A. Preoperative blood test to be established as the reference electrolyte
B. Preferably the difference is calculated every 5 minutes and the liquid effluent was poured into the
C. And the difference was not poured into the above two liters of effluent, without giving diuretics
D. Perfusion pressure of 70 ~ 80 mmHg is appropriate

hysteroscope surgery complications
following error


Question: Taiwan's rapid surge in HIV-infected patients in the last 2 to 3 years of cases related to the following description, what's wrong?

Answer: World Health Organization definition of AIDS (AIDS) is HIV-positive patients peripheral blood CD4 + T cell count <400 / mm3 or merge opportunistic infections

Choices:
A. World Health Organization definition of AIDS (AIDS) is HIV-positive patients peripheral blood CD4 + T cell count <400 / mm3 or merge opportunistic infections
B. HIV is a retrovirus RNA viruses (Retrovirus)
C. AIDS patients with cytomegalovirus (CMV) retinitis to the infection most often to show
D. Infected blood and body fluid-based approach to Taiwan recently is infected drug users sharing needles up to each other

Taiwan's rapid
HIV infected patients
last
years
cases related
following
wrong


Question: Bearing on the question, for the disposal of the above-mentioned patients, Which of the following is most likely helpful?

Answer: Use of alpha-adrenoceptor antagonists (alpha-adrenergic antagonist)

Choices:
A. Use of alpha-adrenoceptor antagonists (alpha-adrenergic antagonist)
B. Behavioral therapy (behavioral therapy), such as: pelvic floor muscle training
C. Anticholinergic agents (anticholinergic)
D. Acetic three adrenergic receptor agonists (beta 3-adrenergic agonist)


Question: A 35-year-old male patient was diagnosed with colon cancer, his mother was diagnosed with endometrial cancer at age 20, was diagnosed with colon cancer at age 48. His grandfather died of colon cancer at the age of 55, his 38-year-old sister recently received a colonoscopy examination, the first phase of colorectal cancer has been diagnosed, but found no polyps. Following that with his mutated colon cancer is most likely to have relevance?

Answer: germ-line mutant hMSH2 gene or underrepresented

Choices:
A. germ-line mutant hMSH2 gene or underrepresented
B. ATM gene heterozygous loss (loss of heterozygosity)
C. p53 unilateral allelic germ-line mutations (germ-line mutation of a single allele of p53 gene)
D. nucleotide excision repair gene mutations in somatic cells

35 year old male patient
diagnosed
colon cancer
diagnosed
endometrial cancer
age 20
diagnosed
colon cancer
age 48
died of colon cancer
age
year old
recently received
colonoscopy
colorectal cancer
diagnosed
found
polyps
Following
mutated colon cancer
to
relevance


Question: 59 most suitable for use in patients with bone marrow transplantation, also known as sargramostim of colony stimulating factor (colony-stimulating factor, CSF) is that one of the following?

Answer: GM-CSF

Choices:
A. G-CSF
B. GM-CSF
C. Multi-CSF
D. M-CSF

59
suitable
use
patients
bone marrow transplantation
known
sargramostim
colony stimulating factor
colony-stimulating factor
CSF
one


Question: Which of the following is a pure opioid antagonist class (opioids) drugs (pure antagonist)?

Answer: naloxone

Choices:
A. nalbuphine
B. butorphanol
C. naloxone
D. pentazocine

following
pure opioid antagonist
opioids
drugs
antagonist


Question: Statements about juvenile rheumatoid arthritis (JRA) is, which of the following error?

Answer: If the violation of the TMJ (temporomandibular joints), may lead to macrognathia

Choices:
A. Abnormal growth and development is a common complication of JRA
B. If the violation of the TMJ (temporomandibular joints), may lead to macrognathia
C. Asymmetric arthritis of the lower limbs, feet often leads to unequal
D. Leg length can also be caused due to the different pelvic rotation and scoliosis

juvenile rheumatoid arthritis
following error


Question: 20. A 55 year old female patient without diabetes or hypertension, after swimming suddenly felt a little stuffy nose, fatigue, headache, but no fever, normal number of white blood cells also through

Answer: Acute frontal sinusitis

Choices:
A. Acute frontal sinusitis
B. Acute sphenoid sinusitis
C. Cavernous sinus thrombosis
D. Acute maxillary sinusitis

20
year old female patient
diabetes
hypertension
little stuffy nose
fatigue
headache
fever
normal number
white blood cells


Question: A young woman showing magnetic resonance angiography figure, narrative arrows within the meaning of what's the most correct?

Answer: Double horn

Choices:
A. Double horn
B. Double uterus
C. Uterine blood retention
D. Single horn

young woman
magnetic resonance angiography
arrows
most correct


Question:
When gas exchange (gas exchange) between the blood 61. The following gases in the alveoli (alveolus) and alveolar capillary (alveolar capillary), whichever belongs to the diffusion limiting (diffusion-limited) process? ① nitrous oxide (N2O) in normal human ② dioxide (CO2) in the normal human ③ monoxide (CO) in the normal human ④ oxygen (O2) in the normal human ⑤ oxygen
 (O2) in pulmonary edema (pulmonary edema) in vivo

Answer: Only ③⑤

Choices:
A. Only ①②⑤
B. Only ①②④
C. Only ③④⑤
D. Only ③⑤

gas exchange
gas exchange
blood 61
following
alveoli
alveolus
alveolar capillary
alveolar capillary
diffusion limiting
diffusion limited
process
nitrous oxide
normal human
dioxide
CO2
normal human
CO
normal human
oxygen
O2
normal human
oxygen
O2
pulmonary edema
pulmonary edema
in vivo


Question: The following pneumoperitoneum (Pneumoperitoneum) the description of that one wrong?

Answer: Abdominal X-ray photography than supine chest X-ray photography stand (Chest PA) is more easily detected pneumoperitoneum

Choices:
A. The reason most gastric or duodenal ulcer for adults spontaneous pneumoperitoneum of
B. Abdominal X-ray photography than supine chest X-ray photography stand (Chest PA) is more easily detected pneumoperitoneum
C. Computer tomography can be used to detect pneumoperitoneum
D. Ultrasound scan can detect pneumoperitoneum

following pneumoperitoneum
Pneumoperitoneum
one wrong


Question: From the previous question, in the case of this patient, should be how to deal with?

Answer: Giving tonic

Choices:
A. Infusion of a large number of sodium ions to give
B. Giving tonic
C. Reduce or limit infusion administration
D. Administered sodium restriction


Question: This 3-year-old Xiaofang suddenly less willing to walk two days, and accompanied by a fever. Physical checkups showed right knee swelling, suspected septic arthritis, following a bacterium that is most common in this arthritis?

Answer: Staphylococcus aureus

Choices:
A. Haemophilus influenzae type b
B. Staphylococcus aureus
C. Salmonella
D. Streptococcus pneumoniae

3 year old
willing to
two days
fever
Physical
right
suspected septic arthritis
following
bacterium
most common
arthritis


Question: The following account of rhinovirus (Rhinoviruses) of, what is wrong?

Answer: Its protein shell (capsid) stable in an acidic environment

Choices:
A. Is an RNA virus
B. Its protein shell (capsid) stable in an acidic environment
C. Grows well at 33 ℃, about their preferences replication in nasal
D. In the majority of ICAM-1 (intracellular adhesion molecule-1) to enter the cell receptors (receptor)


Question: 70. ⼀ bit 50 year old woman Face disease, no heavy zoomed history, because in the past have made ADVANCED 12-hour burn, chills and low back pain, so to emergency treatment, kidney ultra Rec wave monitor kidney knot ⽯ no swelling or water resistant, white ⾎ ball urine was> 100 / HPF, but no red ⾎ ball (<2 / HPF), the white ⾎ ⾎ ball of 18,000 / mm3, Face disease had urinary frequency and burning urination in two weeks, but voiding symptoms have disappeared, which of the following error?

Answer: Usually need to do computerized tomography or intravenous pyelography, further confirm the diagnosis into ⼀

Choices:
A. Zoomed coli (E. coli) is the most common pathogen ⾒
B. Physical examination may find ribs spine to delta (costo-vertebral angle) have knocked pain (knocking pain)
C. Usually need to do computerized tomography or intravenous pyelography, further confirm the diagnosis into ⼀
D. If no failure ⾎ disease (septicemia) of symptoms, may be considered administered broad-spectrum anti-connector serving ⽣ hormone therapy 10 to 14 days

70
bit 50 year old woman Face disease
heavy
history
past
made ADVANCED 12-hour burn
chills
low back pain
so
emergency treatment
kidney ultra Rec wave monitor
knot
swelling
water resistant
white
ball urine
100
HPF
red
ball
2
HPF
white
ball
mm3
Face disease
urinary frequency
burning urination
two weeks
voiding symptoms
following error


Question: Which of the following Diarrhea (Diarrhea) mechanism is part of Secretory type diarrhea?

Answer: Congenital chloride diarrhea (Congenital chloride diarrhea)

Choices:
A. Congenital chloride diarrhea (Congenital chloride diarrhea)
B. Lactose intolerance diarrhea (Lactase deficiency)
C. Intestinal bowel syndrome (Irritable bowel syndrome)
D. Celiac (Celiac disease)

following Diarrhea
Diarrhea
mechanism
part of Secretory type diarrhea


Question: Middle-aged male patient complained of fatigue, upper abdominal pain, nausea, vomiting and fever two weeks of hospitalization, serum tests IHA (indirect hemagglutination) 1: 512. Differential diagnosis of the disease is the primary consideration:

Answer: Amebic liver abscess

Choices:
A. AIDS
B. Pancreatic cancer
C. Amebic liver abscess
D. Hepatic tuberculosis

Middle-aged male patient
fatigue
upper abdominal pain
nausea
vomiting
fever two weeks
serum tests
indirect hemagglutination
1
Differential diagnosis
disease
primary consideration


Question: A 28-year-old female, menstrual cycle 2-3 months, the appearance of hirsutism, acne, where the minimum term following checks to help with the diagnosis?

Answer: TSH（thyroid-stimulating hormone）

Choices:
A. FSH（follicle-stimulating hormone）
B. LH（luteinizing hormone）
C. testosterone
D. TSH（thyroid-stimulating hormone）

year old female
menstrual cycle
months
appearance
hirsutism
acne
minimum term following checks to help
diagnosis


Question: Differentiation of B cells that has nothing to do with one of the following in the bone marrow (bone marrow) in?

Answer: Type switch recombination (class switch recombination)

Choices:
A. RAG1 / RAG2 enzyme
B. Stromal cells (stromal cell)
C. Type switch recombination (class switch recombination)
D. IL-7

Differentiation
B cells
to
one
following
bone marrow
bone marrow


Question: Statements about the digestive tract of the venous return, which of the following error?

Answer: Head of the pancreas (head of pancreas) advanced into the spleen of blood vein (splenic vein) and then import the hepatic portal vein (hepatic portal vein)

Choices:
A. Intravenous lesser curvature of the stomach reflux direct hepatic portal vein (hepatic portal vein) in
B. Superior mesenteric vein (superior mesenteric vein) with splenic vein (splenic vein) meet hepatic portal vein (hepatic portal vein)
C. Blood inferior mesenteric vein (inferior mesenteric vein) import splenic vein (splenic vein)
D. Head of the pancreas (head of pancreas) advanced into the spleen of blood vein (splenic vein) and then import the hepatic portal vein (hepatic portal vein)

digestive tract
venous return
following error


Question: Following the same drugs that inhibit Carbonic anhydrase and reduce the formation of aqueous humor of the eye?

Answer: Dorzolamide

Choices:
A. Amiloride
B. Dorzolamide
C. Torsemide
D. Bumetanide

Following
same drugs
inhibit Carbonic anhydrase
formation
aqueous humor
eye


Question: A 40-year-old male patient, two months ago, has been suffering from acute pancreatitis. Recently complained of abdominal distention, manager examination found that patients with left upper quadrant tenderness, swelling, but no jaundice, blood in the stool or anemia phenomenon. Serum amylase patient is 180 IU / L, lipase value of 510 IU / L. Next check for this patient, what items have less diagnostic?

Answer: Abdominal angiography

Choices:
A. Abdominal X-ray photography
B. Abdominal ultrasound
C. Abdominal angiography
D. Abdominal computed tomography

40 year old male patient
two months
suffering
acute pancreatitis
Recently
abdominal distention
manager
found
patients
left upper quadrant tenderness
swelling
jaundice
blood in
stool
anemia
Serum amylase patient
IU
L
lipase value
510 IU
L
Next check
patient
less diagnostic


Question: From the previous questions, test results came out, Mr. Pepe's red blood cells is relatively small, so the couple do a genetic test results came out, the two are beta thalassemia belt due to the following statements is wrong?

Answer: Severe beta thalassemia fetus usually can not survive in the womb, to the end of pregnancy, fetal hydrops occurs (hydrops fetalis)

Choices:
A. Each of them has a probability of 1/4 of the tire gave birth to the fetus of severe beta thalassemia
B. Severe beta thalassemia fetus usually can not survive in the womb, to the end of pregnancy, fetal hydrops occurs (hydrops fetalis)
C. After beta thalassemia severe fetal birth, if not do stem cell transplantation therapy, often need to rely on blood transfusions for life
D. To know whether the fetus is a severe beta thalassemia, in 10 ~ 13 weeks gestation chorionic puncture made available genetic testing

previous
test results
out
Mr
Pepe's red blood cells
small
couple
genetic test results
out
two
beta thalassemia belt due to
following
wrong


Question: Which of the following structure of the inner ear degeneration and senile deafness (presbycusis) is not the most relevant?

Answer: Vestibular ganglion cells (vestibular ganglion cells)

Choices:
A. Vestibular ganglion cells (vestibular ganglion cells)
B. Stria vascularis (stria vascularis)
C. Inner hair cells (inner hair cells)
D. Outer hair cells (outer hair cells)

of
following structure
inner ear degeneration
senile deafness
presbycusis
not
most relevant


Question: Dog roundworm (Toxocara canis) most likely to cause visceral larva migrans (visceral larva migrans), whose larvae most likely to invade the body that site?

Answer: liver

Choices:
A. kidney
B. liver
C. The brain
D. Lung

to cause visceral larva migrans
visceral larva migrans
to
body
site


Question: In caring for terminally dying patients, the patient's family to see if the patient dry mucous membranes to worry about the patient died of thirst or dehydration, Which of the following is the most appropriate disposal?

Answer: Commentary late dying of dehydration and the patient's family will not cause the patient pain

Choices:
A. Accelerate intravenous injection
B. Force-fed by a nasogastric tube, add water
C. Placement of central venous catheters (CVP) to assess whether a lack of body fluid
D. Commentary late dying of dehydration and the patient's family will not cause the patient pain

dying
patient's
to see
patient dry mucous membranes
worry
patient died
thirst
dehydration
following
most appropriate


Question: Month 3 Month zoomed EMPTY births, three weeks after the home ⻑ ⽣ noted shortness of breath hetero Rec, earphones ⿐ throat after physician assessment arrangement laryngeal endoscopy, a result as shown below, the following statements is true?

Answer: When the baby to drink milk more severe symptoms

Choices:
A. Opportunities for women than for the baby's ADVANCED
B. Baby's symptoms may gradually improve within 6 Month
C. When the baby lying in relatively minor symptoms
D. When the baby to drink milk more severe symptoms

Month
EMPTY births
three weeks
home
noted shortness of breath
Rec
earphones
throat
physician
arrangement laryngeal endoscopy
result
following
true


Question: Health and Welfare Ministry of Food and Drug Administration to promote the "5 a day of fruits and vegetables, healthy and happy living" is part of that period Gonggongweisheng precautionary principle that primary prevention?

Answer: An early stage

Choices:
A. An early stage
B. The early part two
C. The next stage tertiary
D. Three sections of four

to
5
day
healthy
living
part of
period
primary prevention


Question: AZT (3'-azido-2 ', 3'-dideoxythymidine) used to treat human immunodeficiency virus (HIV) infection, its role is:

Answer: Synthesis of DNA strand reverse transcription enzyme (reverse transcriptase) Terminator

Choices:
A. Viral proteolytic enzymes (Protease) inhibitors
B. Competitive inhibitors of DNA polymerase
C. Synthesis of DNA strand reverse transcription enzyme (reverse transcriptase) Terminator
D. RNase H inhibitors


Question: A 32-year-old male, examination revealed the left testicle has a solid tumor about 4 cm in size. Further examination revealed several enlarged lymph nodes next to the abdominal aorta and lungs on both sides, there are many small nodules present. Blood examination revealed hCG (human chorionic gonadotropin; HCG) and alpha fetoprotein (alpha-fetoprotein) significantly increased concentration. Which of the following is the most likely diagnosis?

Answer: Mixed germ cell tumors (mixed germ cell tumor)

Choices:
A. Seminoma (seminoma)
B. Mixed germ cell tumors (mixed germ cell tumor)
C. Reddy's cell tumor (Leydig cell tumor)
D. Diffuse large cell lymphoma (diffuse large B cell lymphoma)


Question: Following that drug, clinically usually do not require regular blood monitoring of blood concentrations of the drug?

Answer: clozapine

Choices:
A. clozapine
B. lithium
C. valproic acid
D. carbamazepine

Following
drug
usually
not
regular blood
concentrations
drug


Question: The following narrative and what was wrong?

Answer: Gambia trypanosomiasis (Trypanosoma gambiense) distributed only in East Africa

Choices:
A. Gambia trypanosomiasis (Trypanosoma gambiense) distributed only in East Africa
B. Trypomastigote (trypomastigote) having undulating membrane (undulating membrane)
C. Gambia Trypanosoma no reservoir hosts
D. African trypanosomiasis disease examination material, including blood, lymph and cerebrospinal fluid


Question: 78 an 8-year-old boy in a car accident the bus was hit, was sent to the emergency room at the hospital when the boy conscious, face anxiety, rapid shallow breathing, chest bruises and India have large wheels, vital signs show respiratory rate 60 / min, heart rate 180 / min, systolic blood pressure 70 mmHg, clammy, oxygen 91%, prior to imaging, to prevent respiratory failure, prophylactic intubation (prophylactic intubation), wake after administration cannula ball CPAP , but found that 64% oxygen, 32 beats / min, blood pressure can not be measured, showing pulseless cardiac electrical activity (pulseless electrical activity), determined tube position is correct, but the right side breath sounds disappear, Which of the following immediate disposal the most appropriate ?

Answer: Administered from right intercostal chest needle bleed

Choices:
A. Arrangements for chest X-rays
B. And give a lot of fluids into the operating room
C. 100% oxygen ventilation of the machinery, and gives Atropine 0.2 mg / kg
D. Administered from right intercostal chest needle bleed

year old boy
car accident
bus
hit
sent
emergency room
hospital
boy
face anxiety
rapid shallow breathing
chest bruises
India
large wheels
vital signs
respiratory rate 60
min
heart rate
min
systolic blood pressure 70 mmHg
clammy
oxygen
imaging
to prevent respiratory failure
prophylactic intubation
prophylactic intubation
wake
administration cannula ball CPAP
found
64
oxygen
beats
min
blood pressure
not
measured
pulseless cardiac
pulseless electrical activity
determined tube position
correct
right side breath sounds
following immediate
most appropriate


Question: For patients with abnormal left ventricular systolic function heart failure, following which treatment can not prolong life?

Answer: Foxglove (digitalis)

Choices:
A. Angiotensin converting enzyme inhibitors (ACE inhibitors)
B. Sympathetic beta receptor blockers (beta-adrenergic receptor blockers)
C. Foxglove (digitalis)
D. Vasodilators composition (combination of vasodilators)


Question: The following distance effects related to cancer (remote effects of neoplasm), whichever is correct?

Answer: Lung cancer is one of the common causes of cancer effect

Choices:
A. Cancer metastasis (metastasis) to produce
B. Some because IgE antibodies cause autoimmune
C. Only produce central nervous system lesions
D. Lung cancer is one of the common causes of cancer effect


Question: Pharmacological effects of antidepressants venlafaxine noradrenaline (norepinephrine) and serotonin (serotonin) of why?

Answer: Greater than the effect of serotonin norepinephrine

Choices:
A. Greater than the effect of a serotonin norepinephrine
B. Greater than the effect of serotonin norepinephrine
C. Norepinephrine and serotonin effect equal
D. Not yet conclusive


Question: Description of phagocytic cells (phagocytes) is, which of the following error?

Answer: Macrophages (macrophage) by monocytes (monocyte) formed by cleavage after the bacterial challenge

Choices:
A. Macrophages (macrophage) may be cytokine T lymphocytes (lymphocytes) secreted (cytokines) are activated
B. Liver Kupffer cells is a specialized macrophages, phagocytosis of bacteria may be secreted cytokines (cytokines)
C. Neutrophils (neutrophil) after activation of intracellular NADPH oxidase complex will be synthesized superoxide (superoxidant)
D. Macrophages (macrophage) by monocytes (monocyte) formed by cleavage after the bacterial challenge


Question:
20520
 55
 40
 60
 Total
 25
 75
 100
 Which of the following statistics How assays can be used to test whether the pregnancy will change the smoking behavior of women?

Answer: McNemar's χ2 test

Choices:
A. Pearson's χ2 test
B. Test for the difference between two proportions
C. McNemar's χ2 test
D. Test for Goodness-of-fit

40 60 Total
75 100
following
assays
used to test
pregnancy
change


Question: Patients with psychosis disorder (schizophrenia) to track the approximate number of long-term death rate would commit suicide?

Answer: 10～13%

Choices:
A. 1～3%
B. 10～13%
C. 25～30%
D. 40～50%

Patients
psychosis disorder
schizophrenia
to track
approximate number
long-term death
commit suicide


Question: Which of the following is not the main reason for the pre-orders ethical stand?

Answer: Save medical staff time to make medical decisions

Choices:
A. Ensure respect for patient autonomy
B. When health care is no longer valid, enhance patient quality of life and human dignity
C. Save medical staff time to make medical decisions
D. Reduce anxiety that may arise when family members for the parties to make life and death decisions, conflicts and guilt


Question: The following narrative about the common antibiotic of adverse drug reactions, what items most inappropriate?

Answer: linezolid- rash

Choices:
A. clindamycin- diarrhea
B. gentamicin- nephrotoxicity
C. linezolid- rash
D. vancomycin- Reds syndrome (red man syndrome)

following
common antibiotic
adverse reactions
most inappropriate


Question: Which of the following symptoms or signs (symptoms and / or signs) is usually open only in the late chronic glaucoma corner?

Answer: Blurred vision

Choices:
A. Blurred vision
B. Visual field defects (visual field defect)
C. Recess optic disc (disc cupping) increases
D. Changes in retinal nerve fiber layer (retinal nerve fiber layer) of

following symptoms
signs
symptoms
signs
usually open only
late chronic glaucoma corner


Question: 40 a serious lack of platelets (platelet count 5,000 / mm3) in patients with transfusion of platelet concentrate was 24 blood bank units, about hours after a blood test again and found that the platelet count is 6,000 / mm3. Which of the following is least likely cause of this phenomenon?

Answer: blood type ABO incompatibility of donated platelets

Choices:
A. bacterial sepsis
B. Immune thrombocytopenic purpura
C. Splenomegaly
D. blood type ABO incompatibility of donated platelets

40
serious lack
platelets
platelet count
mm3
patients
transfusion of platelet concentrate
blood units
hours
blood test
found
platelet count
mm3
following
least likely cause


Question: At this point the best disposal are:

Answer: Surgical treatment as soon as possible

Choices:
A. Surgical treatment as soon as possible
B. Cherrie chemotherapy
C. Can be observed on a regular basis to see if it changes
D. Do not ignore it completely


Question: For muscle length or tension detection system (length- or tension-monitoring system), the following statements is true?

Answer: responsible for detecting the length of the muscle spindle through the Ia fiber

Choices:
A. muscle spindle is responsible for detecting tension through Ib fiber
B. responsible for detecting the length of the muscle spindle through the Ia fiber
C. Golgi tendon organ responsible for detecting through Ib fiber length
D. Golgi tendon organ responsible for detecting tension through Ia fiber

muscle length
tension detection system
length
tension monitoring system
following
true


Question: The following nonsteroidal anti-inflammatory drugs (NSAID), than those without any inhibition of platelet aggregation The pharmacological effect?

Answer: Celecoxib

Choices:
A. Naproxen
B. Piroxicam
C. Celecoxib
D. Nabumetone


Question: The following statements about the Bacteroides fragilis, what's wrong?

Answer: Inhibit the growth of 20% bile

Choices:
A. Inhibit the growth of 20% bile
B. Hydrolysis of esculin may be
C. Gram-negative bacteria
D. Some are resistant to clindamycin


Question: The following account of acute myocardial infarction (acute myocardial infarction, AMI), and what's wrong?

Answer: In the first hour after the onset of AMI most common cause of death was heart failure

Choices:
A. In the first hour after the onset of AMI most common cause of death was heart failure
B. Anterior, apical, septal infarction of left ventricle due to the left anterior descending artery thrombosis caused by
C. Treatment can be given morphine, oxygen, aspirin, nitroglycerine
D. Β blockers can not be used when the AMI patients with severe heart failure

following account
acute myocardial infarction
acute myocardial infarction
wrong


Question: A 72-year-old man with mild dementia, cognitive disorder is progressive and gradual deterioration occurs, slow easy to fall, occasional confusion consciousness and hallucinations, but no incontinence. Physical examination torso stiff, no shaking. CT scan showed generalized cerebral atrophy, show mild generalized EEG cortical dysfunction. Which of the following is most likely to patients suffering from the disease?

Answer: Lewy body dementia (dementia with Lewy body)

Choices:
A. Lewy body dementia (dementia with Lewy body)
B. Ezihaimo disease (Alzheimer's disease)
C. Normal pressure hydrocephalus (normal pressure hydrocephalus)
D. CJD (Creutzfeldt-Jakob disease)

72 year old man
mild dementia
cognitive disorder
progressive
gradual
occurs
slow easy to fall
occasional confusion consciousness
hallucinations
incontinence
torso stiff
shaking
CT scan
generalized cerebral atrophy
mild generalized EEG cortical
following
patients suffering
disease


Question: About diagnostic hysteroscopy, the following statements is true?

Answer: Hysteroscopic endometrial superior scratch scraping operation (D & C) in the diagnosis of lesions of the uterine cavity and photography hysterosalpingography (HSG)

Choices:
A. It's all part of the assessment of infertility
B. Because the patient discomfort, diagnostic hysteroscopy can not be performed on an outpatient basis
C. Hysteroscopic endometrial superior scratch scraping operation (D & C) in the diagnosis of lesions of the uterine cavity and photography hysterosalpingography (HSG)
D. There's too much blood, not suitable for hysteroscopy

About diagnostic hysteroscopy
following
true


Question: Account of fragile X chromosome folding disease (fragile X syndrome), and which of the following error?

Answer: CGG repeat (trinucleotide repeat) up to 44 times the number will appear clinical symptoms of mental retardation

Choices:
A. Etiology is mutated FMR1 (fragile-X mental retardation) gene, located in Xq27
B. Cause mutations in the gene appear three nucleotide CGG repeat (trinucleotide repeat) amplification of the number of abnormal phenomenon
C. CGG repeat (trinucleotide repeat) up to 44 times the number will appear clinical symptoms of mental retardation
D. Obstetrics and Gynecology, the American Medical Association in 2010 for unexplained mental retardation, growth retardation, autism, or who have a family history, as well as premature ovarian failure

Account
fragile X chromosome folding disease
fragile X syndrome
following error


Question: In considering the congenital metabolic diseases, these kind of diseases easier ammonia (ammonia) increased, whereas pH and HCO3- were normal?

Answer: Urea cycle defects

Choices:
A. Urea cycle defects
B. Phenylketonuria
C. Hawkinsinuria
D. methylmalonic acidemia

congenital metabolic diseases
kind
diseases easier ammonia
ammonia
increased
pH
HCO3
normal


Question: The second most common benign tumors of the hand are:

Answer: Giant cell tumor (giant cell tumor)

Choices:
A. Giant cell tumor (giant cell tumor)
B. Epidermal cysts (epidermal inclusion cyst)
C. Lipoma (lipoma)
D. Ganglion cyst (ganglion)


Question: Which of the following situations can inhaled anesthetic minimum alveolar concentration (minimum alveolar concentration, MAC) reduced?

Answer: Intravenous injection of local anesthetic

Choices:
A. fever
B. Chronic alcoholism
C. Intravenous injection of local anesthetic
D. Anesthesia time over four hours


Question: Interferon (interferon) is one of the body's defense system viral infection of the ring, into its mechanism of action:

Answer: Decoy cells synthesize various enzymes, viral RNA or decomposable blocking viral protein synthesis

Choices:
A. Direct binding of the virus, so the virus is not activated
B. Activation of complement factors (complements)
C. Cell surface binding, blocking viral entry
D. Decoy cells synthesize various enzymes, viral RNA or decomposable blocking viral protein synthesis

Interferon
interferon
one
body's
system viral infection
ring
mechanism of action


Question: As shown in a 21-year-old female patient doing pelvic imaging Figure that one of the following best describes not correct?

Answer: In order to achieve the correct diagnosis, the need to do further transvaginal ultrasound scan of

Choices:
A. In order to achieve the correct diagnosis, the need to do further transvaginal ultrasound scan of
B. Depends on the media check
C. The most likely diagnosis for the image from cystic teratoma of the ovary
D. Most sonic frequency which is between 2.5 MHz to 10 MHz

21-year-old female patient
pelvic imaging
one
following best
not correct


Question: About autoimmune hemolytic anemia (autoimmune hemolytic anemia), the following statements is wrong?

Answer: "Evans syndrome" autoimmune hemolytic anemia merger neutrophils low as autologous

Choices:
A. Antibodies can be divided into "cold type antibody (cold antibodies)" and "warm antibody (warm antibodies)."
B. In the warm antibody hemolysis, most cases are idiopathic
C. "Evans syndrome" autoimmune hemolytic anemia merger neutrophils low as autologous
D. Since the possibility of autoimmune hemolytic anemia have to be careful of SLE

About autoimmune hemolytic anemia
autoimmune hemolytic anemia
following
wrong


Question: A particular disease or condition, likely to cause children with obstructive sleep apnea (obstructive sleep apnea) or insufficient ventilation (hypoventilation), lead to sleep disorders, poor growth, and even cerebral hypoxia, Which of the following is least likely?

Answer: Cleft palate (cleft palate) has not been repaired by surgery

Choices:
A. achondroplasia合併midface hypoplasia
B. Cleft palate (cleft palate) has not been repaired by surgery
C. Pierre-Robin sequence合併 micrognathia
D. Prader-Willi syndrome complicated by obesity (obesity)

disease
condition
likely to cause children
obstructive sleep apnea
obstructive sleep apnea
insufficient ventilation
hypoventilation
lead to sleep disorders
poor growth
cerebral hypoxia
following
least likely


Question: The following statements about the retina fovea (fovea), and what's wrong?

Answer: Only the bottom of the outer nuclear layer (outer nuclear layer) and outer segments of photoreceptor cells (outer segment) present

Choices:
A. In the eyeball posterior pole (posterior pole)
B. Only the bottom of the outer nuclear layer (outer nuclear layer) and outer segments of photoreceptor cells (outer segment) present
C. Cone cells (cones) here (Rods) than rod cells
D. The most visually clear


Question: The following patients with heart disease should not be involved in what heart rehabilitation training?

Answer: Acute unstable angina

Choices:
A. Orthotopic heart transplantation
B. Acute unstable angina
C. Installation cardiac pacemaker
D. Has been undergoing heart valve replacement surgery of rheumatic heart disease

following patients
heart
not
involved in
heart rehabilitation training


Question: Which of the following is not a risk factor for neonatal respiratory distress (neonatal respiratory distress syndrome) is?

Answer: There are mothers in prenatal use of steroids (glucocorticoids)

Choices:
A. Newborn male gender (male gender)
B. There are mothers in prenatal use of steroids (glucocorticoids)
C. Premature birth
D. Neonatal race for the White (white race)

following
not a
factor
neonatal respiratory distress
neonatal respiratory distress syndrome


Question: The following statements about the male reproductive, what's wrong?

Answer: gonadotropin-releasing hormone secreted by the anterior pituitary

Choices:
A. testosterone secreted by the Leydig cell
B. follicle-stimulating hormone secreted by the anterior pituitary
C. follicle-stimulating hormone may promote the maturation of sperm cells (spermatid maturation)
D. gonadotropin-releasing hormone secreted by the anterior pituitary


Question: Phosphorus glycogen hydrolase (glycogen phosphorylase) activity is regulated by phosphorylase kinase and phosphorylase phosphatase is, which of the following is the main way to play a regulatory role?

Answer: Phosphorylation - dephosphorylation (phosphorylation-dephosphorylation)

Choices:
A. Effects of enzyme protein breakdown (protein degradation)
B. Phosphorylation - dephosphorylation (phosphorylation-dephosphorylation)
C. Ectopic regulation (allosteric regulation)
D. Effect of enzymes and regulatory proteins Glycogen Metabolism (regulatory protein) the binding

Phosphorus glycogen hydrolase
glycogen phosphorylase
activity
phosphorylase kinase
phosphorylase phosphatase
following
main
to play
role


Question: About Pseudomonas aeruginosa (Pseudomonas) infection of the nails, the following statements is true?

Answer: Strain due to the generation pyocyanin and pyoverdin, the green fingernails

Choices:
A. Strain due to the generation pyocyanin and pyoverdin, the green fingernails
B. With high contagious, quickly passed around the nail
C. Removal of infected nails, is the treatment of choice
D. Often accompanied by systemic Pseudomonas aeruginosa infection


Question: 35. pancreatic surgery (Whipple operation) Which of the following resection portion comprises? ① head of the pancreas (pancreatic head) ② spleen

Answer: ①③④

Choices:
A. ①②③
B. ①③⑤
C. ②④⑤
D. ①③④

35
pancreatic surgery
Whipple operation
following resection portion
head of the pancreas
pancreatic head
spleen


Question: Metastatic ovarian cancer in the Krukenberg tumor, its most common primary site why?

Answer: stomach

Choices:
A. liver
B. lung
C. breast
D. stomach

Metastatic ovarian cancer
Krukenberg tumor
most common primary site


Question: Which of the following situations does not comply immediately inform the child protection team less of conditions?

Answer: Single hand of the children over 2 years old fracture

Choices:
A. There are more than three times the emergency trauma medical records and test results inconsistent with the mechanism of injury
B. Before and after a history of inconsistent and delayed medical treatment
C. At low (less than 150 cm) drop that fracture
D. Single hand of the children over 2 years old fracture

following
not comply immediately inform
child protection
conditions


Question: Right picture T2-weighted magnetic resonance imaging, visible on the left occipital There are a lot of worm-like lesions of no signal, Which of the following is the most likely diagnosis?

Answer: Arteriovenous malformations (arteriovenous malformation)

Choices:
A. Meningitis (meningitis)
B. Arteriovenous malformations (arteriovenous malformation)
C. Meningioma (meningioma)
D. Bleeding in the brain (intracerebral hemorrhage)

Right picture
weighted magnetic resonance imaging
visible
left occipital
lot
worm
lesions
following
diagnosis


Question: Which of the following may be notched by DNA DNA ligase (Ligase) engaged?

Answer: 5'-O-P+3'-OH

Choices:
A. 5'-O-P+3'-OH
B. 5'-OH+3'-O-P
C. 5'-OH+3'-OH
D. 5'-O-P+3'-O-P

following notched DNA ligase Ligase engaged


Question: That one of the following antiepileptic drugs can not be used in the treatment of absence seizures (petit mal) is?

Answer: phenytoin

Choices:
A. ethosuximide
B. valproate
C. phenytoin
D. lamotrigine

one
following antiepileptic drugs
not
used
treatment of absence seizures
petit mal


Question: Narrative obstructive sleep disorders (obstructive sleep apnea / hypopnea syndrome, OSAHS), and Which statement is correct?

Answer: Increase in myocardial infarction (myocardial infarction) risk by about 20%

Choices:
A. Apnea (apnea) is defined as adult respiratory arrest (breathing pause) ≧ 15 Miao
B. The incidence occurs in people BMI (body mass ratio) of 19 to 25
C. Increase in myocardial infarction (myocardial infarction) risk by about 20%
D. Medications (such as diuretics) is the first priority of treatment

obstructive sleep
obstructive
hypopnea
OSAHS
correct


Question: 23.2 ⼩-year-old friend, when suddenly a persistent cough after a meal last night running play to the emergency room today, found that breathing sound to become apparent, auscultation unilateral wheezing Rec (Wheezing), ⽀ given short-acting bronchodilator ( after Bronchodilator), wheezing Rec has not changed, Which of the following is the most likely diagnosis?

Answer: Foreign body airway obstruction (Airway foreign body obstruction)

Choices:
A. Upper respiratory tract infection (Upper respiratory tract infection)
B. Fine ⽀ bronchitis (bronchiolitis)
C. Asthma (Asthma)
D. Foreign body airway obstruction (Airway foreign body obstruction)

23
year old
persistent cough
night
play
emergency room today
found
breathing sound to
auscultation unilateral wheezing Rec
given short acting bronchodilator
Bronchodilator
wheezing Rec
not changed
following
diagnosis


Question: Bearing on the question, which of the following check most of the differential diagnosis?

Answer: Nose supernatant biochemical tests

Choices:
A. Ocular inspection
B. Ophthalmoscopy
C. Spinal tap
D. Nose supernatant biochemical tests

Bearing
following check most
differential diagnosis


Question: Principles relating to the treatment of acute ankle sprain following, which one was wrong?

Answer: At this point the damaged joint activities, can help patients stretch ankle

Choices:
A. Avoid causing movement of pain
B. Ice may one day 4 times, each for about 20 minutes
C. At this point the damaged joint activities, can help patients stretch ankle
D. Can tie an elastic bandage to the affected area


Question: Vector ticks (tick) is still the vector of many infectious diseases, following which the infection is not spread via the vector tick?

Answer: Trench fever (trench fever)

Choices:
A. Barbados's protozoan disease (babesiosis)
B. Eric times body disease (ehrlichiosis)
C. Lyme disease (Lyme disease)
D. Trench fever (trench fever)

Vector
following
infection
not spread
vector


Question: 32 31-year-old pregnant woman, G3P2, 40 weeks of pregnancy, fetal monitor checks accepted, the results shown below. The following are the four most likely to check the name of the phenomenon arrow Why? (Tip: F.M to fetal movement.)

Answer: nonstress test ; acceleration

Choices:
A. nonstress test ; acceleration
B. nipple stimulation test ; early deceleration
C. contraction stress test ; late deceleration
D. acoustic stimulation test ; early deceleration

31 year old
40 weeks
pregnancy
fetal monitor checks accepted
results
following
four
likely to check
name
arrow
Tip
F.M to fetal movement


Question: Under any kind of cell in the column secretory granules containing lysozyme (Lysozyme)?

Answer: Paneth cells (Paneth cells)

Choices:
A. Paneth cells (Paneth cells)
B. Goblet cells (goblet cells)
C. Enteroendocrine cells (enteroendocrine cells)
D. Mucus secreting cells (mucus-secreting cells)


Question: Which of the following is amputation Syme's amputation (Symes amputation) of?

Answer: Amputation ankle (ankle disarticulation)

Choices:
A. Thumb amputation (big toe disarticulation)
B. By metatarsal amputation (trans-metatarsal amputation)
C. Amputation ankle (ankle disarticulation)
D. Transtibial amputations bone (trans-tibial amputation)


Question: The following four diagnosis, when the first cases of what kind of attack, most often on their own to the emergency medical treatment?

Answer: Panic Disorder

Choices:
A. Acute Schizophrenia
B. Panic Disorder
C. Body image phobia (body dysmorphic disorder)
D. Hypochondriasis (hypochondriasis)

following four diagnosis
first cases
kind
attack
most often
emergency medical


Question: Urodynamic testing inspection, the items that can be measured most bladder outlet obstruction caused by an enlarged prostate?

Answer: Urine flow check pressure (pressure-flow study)

Choices:
A. Determination of urinary flow (uroflowmetry)
B. FIG bladder pressure (cystometry)
C. Urine flow check pressure (pressure-flow study)
D. Urethral pressure (urethral pressure profile)

Urodynamic testing inspection
measured
bladder outlet obstruction caused
enlarged prostate


Question: 61. One 75-year-old male patient, when voiding usually takes a little harder to come out solution, and urine flow is fine, urologist was diagnosed with an enlarged prostate (benign prostatic hyperplasia or hypertrophy). One day he was cold and vomiting medication, the result of the case can not urinate suddenly, it's clear that the bladder is swelling, but that solution does not come out. Please answer the following 3 questions according to the foregoing. The following drugs whichever is least likely to cause this situation?

Answer: metoclopramide (one kind of gastrointestinal motility enhancer [prokinetic])

Choices:
A. codeine (one kind opiate, for cough)
B. diphenhydramine (an antihistamine [anti-histamine])
C. metoclopramide (one kind of gastrointestinal motility enhancer [prokinetic])
D. pseudoephedrine (one kind of alpha-adrenergic receptor agonists [alpha-adrenergic agonist])

61
One 75 year old male patient
voiding usually
little harder to
out solution
urine flow
fine
urologist
diagnosed
enlarged prostate
benign prostatic hyperplasia
hypertrophy
One day
cold
vomiting medication
result
case
not
clear
bladder
swelling
solution
not
out
following
following drugs
least likely to cause


Question: Rb and p53 gene in cancer-causing machine where in turn play a key role in cell reproduction cycle (cell cycle)?

Answer: G1 to S Room

Choices:
A. G0 to G1 room
B. G2 to between M
C. G1 to S Room
D. S to G2 between

Rb
p53 gene
cancer-causing machine
turn play
role
cell reproduction cycle
cell cycle


Question: When do you find both sides of the kidney kidney ultrasound are all 12.5 cm long, and the blood of patients with creatinine (creatinine) was 7.5 mg / dL, you should suspect that a disease?

Answer: Diabetic nephropathy (DM nephropathy)

Choices:
A. Chronic glomerulonephritis (chronic glomerulonephritis)
B. Chronic interstitial nephritis (chronic interstitial nephritis)
C. Diabetic nephropathy (DM nephropathy)
D. Hypertensive nephropathy (hypertensive nephropathy)

find
sides of
kidney
ultrasound
12.5
long
blood
patients
creatinine
creatinine
7.5 mg
dL
disease


Question: Which is not characteristic of non-inflammatory synovial fluid (non-inflammatory synovial fluid) of?

Answer: The number of white blood cells is higher than 2000 / mm3

Choices:
A. Mucin coagulation (mucin clot) good
B. Ratio of polymorphonuclear leukocytes <25%
C. The number of white blood cells is higher than 2000 / mm3
D. Sticky silk degree (viscosity) High

not characteristic
non-inflammatory synovial fluid
non-inflammatory synovial fluid


Question: The following statements about the disease and its virus can cause it, and what's wrong?

Answer: Rhinovirus (Rhinovirus) herpes can cause inflammation of the pharynx sipping (herpangina)

Choices:
A. Respiratory syncytial virus (Respiratory syncytial virus) can cause pneumonia (pneumonia)
B. Parainfluenza virus (Parainfluenza virus) can cause asthma (croup)
C. Rhinovirus (Rhinovirus) herpes can cause inflammation of the pharynx sipping (herpangina)
D. Coronavirus (Human coronavirus) can cause a cold (common cold)


Question: 80. Otto was a 45-year-old grocer, 5 years ago because of cirrhosis of liver transplant, because intra-abdominal abscess after repeated bloody shock, a shock after five months ago, because Otto bloody thrombosis causing multiple brain embolic stroke in a vegetative state. This time because of fever, hemorrhagic shock, to the nursing home from the emergency room, you are to take care of his general surgeon, and the family want you to make every effort to save him, and emergency first aid when needed, into the intensive care unit treatment when necessary; you should how to deal with the most appropriate?

Answer: When judged as invalid medical doctors, family members should inform your professional decision, to try to reach a consensus with the family therapy

Choices:
A. Limited medical resources, should be avoided in a vegetative state who can ask the family to take him home
B. When judged as invalid medical doctors, family members should inform your professional decision, to try to reach a consensus with the family therapy
C. Always follow the views of family members, income ICU, given antibiotics and after line vasopressor therapy
D. When judged as invalid medical doctors, family members should inform your professional decision, do not need to discuss with their families


Question: Multifactorial genetic disease refers to several diseases of genetic factors and environmental factors are jointly determined. That one of the following diseases are usually not included in the multifactorial genetic diseases?

Answer: Neurofibromatosis disease

Choices:
A. Adult-onset diabetes
B. Schizophrenia
C. Neurofibromatosis disease
D. hypertension

Multifactorial genetic disease refers
diseases
genetic factors
environmental factors
one
following diseases
usually not included
multifactorial genetic diseases


Question: Which of the following is the most common term production of children with congenital heart disease?

Answer: Ventricular septal defect (ventricular septal defect)

Choices:
A. Ventricular septal defect (ventricular septal defect)
B. A second atrial septal defect (atrial septal defect secundum)
C. Tetralogy of Fallot (tetralogy of Fallot)
D. Patent ductus arteriosus (patant ductus arteriosus)

following
most common term
children
congenital heart disease


Question: 60-year-old male with hypertension, a history of diabetes, sudden limb weakness, difficulty speaking, standing instability, diplopia, dizziness and other symptoms, neurological examination revealed right limb muscle strength decline, the left limb disorders, two eye can not rotates outward. Where the lesion is most likely?

Answer: Pons (pons)

Choices:
A. Thalamus (thalamus)
B. Midbrain (midbrain)
C. Pons (pons)
D. Medulla (medulla)


Question: Syphilis (Syphilis) tested positive VDRL first use, then the measurement will also be positive TPHA use, it can be identified as positive, referred to as a test series (tests in series), it is an object to increase:

Answer: Specificity (specificity)

Choices:
A. Sensitivity (sensitivity)
B. Specificity (specificity)
C. The incidence (incidence)
D. Prevalence (prevalence)

Syphilis
Syphilis
positive VDRL first use
then
measurement
positive
use
identified
positive
referred to
test series
tests in series
to increase


Question: Account of thyroxine (Thyroid hormones), the error which of the following?

Answer: Episomal (Free-form) by binding to the major hormone receptor (Receptor) is located on the target cell membrane, physiological regulation

Choices:
A. Mainly by blood-binding protein (Binding protein) delivered to target cells (Target cell) action
B. Episomal (Free-form) by binding to the major hormone receptor (Receptor) is located on the target cell membrane, physiological regulation
C. Blood half-life is longer than a general class of peptide (Peptide) Hormones
D. Transcription of target gene can be regulated (Transcription)

Account
thyroxine
Thyroid hormones
error
following


Question: Outreach nucleus (abducens nucleus) the main functions:

Answer: Outgoing general body (general somatic efferent)

Choices:
A. Incoming general body (general somatic afferent)
B. Special visceral efferent (special visceral efferent)
C. General body outgoing and general visceral efferent (general somatic efferent and general visceral efferent)
D. Outgoing general body (general somatic efferent)


Question: Generalized brown hyperpigmentation of the skin characterized by that following an endocrine disease?

Answer: Addison's disease

Choices:
A. Cushing's syndrome
B. Addison's disease
C. Graves' disease
D. glucagonoma syndrome


Question: From the previous question, when the patient's condition is stable, then check one of the following help identify the most critical lesions caused by the rapid deterioration of the disease?

Answer: Brain magnetic resonance photography

Choices:
A. Bronchoscopy
B. Brain magnetic resonance photography
C. Myocardial biopsy
D. Lung biopsy

previous
patient's condition
stable
then check one
following help
most critical lesions caused
rapid
disease


Question: Crystal ectopic (ectopic lentis) is characterized by the following kind of diseases?

Answer: Marfan syndrome (Marfan syndrome)

Choices:
A. Marfan syndrome (Marfan syndrome)
B. Retinopathy of premature children (retinopathy of prematurity)
C. Wilson's disease (Wilson's disease)
D. Type 1 diabetes (juvenile diabetes)

Crystal ectopic
ectopic
following kind
diseases


Question: A 56 year old male patient blood pressure 80/40 mmHg (mean 54 mmHg), Swan-Ganz catheters cocurrent results show PAP: 32/21 mmHg (mean 26 mmHg), PAWP: 17 mmHg, CVP: 13 mmHg, cardiac output: 6.7 L / min, body surface area: 2 m2, the shock of this patient most likely reason why?

Answer: Septic shock

Choices:
A. Cardiogenic shock
B. Septic shock
C. hypovolemic shock
D. Neurogenic shock

year old male patient blood pressure 80 40 mmHg


Question: Ms. suffering from a degenerative osteoarthritis for several years, there is no joint swelling (swelling) or check local heating. Increase the degree of knee pain up and down stairs, walking endurance and decreased recently. Which of the following best suited to accept the rehabilitation treatment?

Answer: Electrotherapy + heat + bike training (hot packing + electrotherapy + cycling exercise)

Choices:
A. Cold + electrotherapy + climbing ladder training (cold packing + electrotherapy + climbing steps exercise)
B. Alternating hot and cold treatment (alternate cold and heat therapy)
C. + Electrotherapy + hot spa (hot packing + electrotherapy + hydrotherapy)
D. Electrotherapy + heat + bike training (hot packing + electrotherapy + cycling exercise)

Ms
suffering
degenerative osteoarthritis
several years
joint swelling
swelling
check local
Increase
degree
knee pain
down
endurance
decreased recently
following best
to accept
rehabilitation treatment


Question: Which of the following does not require the patient to obtain prior informed consent?

Answer: Surgery, let Zhuyuanyishi responsible under the knife and sutures

Choices:
A. 10cc drawn patient blood tested for HIV before surgery
B. NSC will study the surgical removal of waste used as human tissue
C. Surgery, let Zhuyuanyishi responsible under the knife and sutures
D. Injection developer


Question: Patients who have received post-abdominal surgery because of gastrointestinal discomfort, often long-term local heat alleviate the symptoms, skin pigmentation as shown in the following statements is true?

Answer: On the affected skin can be complicated by skin like squamous cell carcinoma

Choices:
A. Because melanoma cell proliferation caused by the ultraviolet
B. Because the affected area after the burn blisters inflamed left
C. On the affected skin can be complicated by skin like squamous cell carcinoma
D. Continue to promote local heat can dissipate pigment

Patients
received post abdominal surgery
gastrointestinal
often long-term local
symptoms
skin pigmentation
following
true


Question: Children with asthma caused by allergies, Taiwan is quite common on today's clinical condition, may I ask which of the following most common arthropod cause of pediatric asthma allergen is clinically?

Answer: House dust mites (house dust mite)

Choices:
A. Chiggers (Chigger)
B. House dust mites (house dust mite)
C. Tick (tick)
D. 體 蝨 (Pediculuc human)

Children
asthma caused
allergies
Taiwan
common
today's clinical condition
I
following
common
cause
pediatric asthma allergen


Question: Which of the following has nothing to do with the real role of nuclear transcription cells?

Answer: RNA primer (RNA primer)

Choices:
A. DNA template (DNA template)
B. RNA polymerase (RNA polymerase)
C. RNA primer (RNA primer)
D. Promoter (promoter)


Question: Pathological staging of colon cancer Dukes' stage C, cancer refers to:

Answer: Has violated the mesenteric lymph nodes

Choices:
A. Has violated the intestinal muscle layer (muscularis propria), without lymph node metastasis
B. Existing liver metastases
C. Has violated the mesenteric lymph nodes
D. Still confined to the intestinal mucosa

Pathological
of colon cancer Dukes
stage
cancer refers


Question: From the previous question, to determine the diagnosis and treatment decisions, following which a non-invasive examination of the most appropriate?

Answer: MRI scans (MRI)

Choices:
A. MRI scans (MRI)
B. Ultrasound scan (Ultrasonography)
C. Nuclear isotope scanning (Bone scan)
D. Joint photography (Arthrogram)

previous to diagnosis treatment following non-invasive appropriate


Question: About spondylolisthesis (spondylolisthesis) causing pain, deterioration and deformation of the body slipping risk factors, except which of the following?

Answer: Male patients

Choices:
A. Younger
B. Male patients
C. Repeated attacks
D. Back of the thigh muscles tight

spondylolisthesis
spondylolisthesis
causing pain
deformation
body
risk factors
following


Question: The following clinical manifestations of children with congenital heart disease, whichever is less likely to cyanosis (cyanosis) performance?

Answer: PDA（patent ductus arteriosus）

Choices:
A. PDA（patent ductus arteriosus）
B. TOF（tetralogy of Fallot）
C. TGV（transposition of the great vessels）
D. TA (truncus arteriosus)


Question: The same happens pregnancy after bearing the title, this tire later suffered a miscarriage Angel, Angel is very sad, very worried, following consultation What's wrong?

Answer: Recommends that the next start of pregnancy bed rest, and estrogen replacement therapy

Choices:
A. She may recommend the next child in the 12 to 16 weeks gestation intercropping prophylactic cervical cerclage
B. Next pregnancy, transvaginal ultrasound can be used to track the length of the cervix, the mouth of the cervix and whether there appears the funnel (funneling) signs
C. Vaginal cervical cerclage most commonly used are the two procedures McDonald and Shirodkar
D. Recommends that the next start of pregnancy bed rest, and estrogen replacement therapy

same
pregnancy
bearing
title
tire later suffered
miscarriage
very
very worried
following
wrong


Question: Albicans oral thrush (Candida albicans) caused in common:

Answer: Newborn baby

Choices:
A. Newborn baby
B. child
C. teens
D. Adults


Question: Currently advocated periodic health checks, the emphasis is on:

Answer: There is evidence on the medical show actual health benefits

Choices:
A. Inspection items and inspection interval
B. Payment methods
C. There is evidence on the medical show actual health benefits
D. Easy to implement, easy to forget


Question: Changes in depression patients about sleep, Which of the following most unusual?

Answer: The first time (REM latency) REM sleep appears to delay the occurrence of

Choices:
A. The total number of hours of sleep loss
B. The amount of rapid eye movement sleep (REM sleep) increased
C. The amount of slow-wave sleep (slow wave sleep) is reduced
D. The first time (REM latency) REM sleep appears to delay the occurrence of

Changes
depression patients
sleep
following
unusual