Question: A 79-year-old male, following its left side cervical spine X-rays, the right is the image of its surface recombination of cervical sagittal computer tomography, which first and second cervical lesions of the narrative to what is most correct?

Answer: odontoid fracture with non-united gap

Choices:
A. C1-C2 subluxation
B. odontoid fracture with non-united gap
C. infection of odontoid process
D. metastatic bone lesion of C2

year old male
following
left side cervical spine X-rays
right
surface
cervical sagittal computer tomography
first
second cervical lesions
most correct


Question: Statements about the spermatic cord (spermatic cord), and which of the following error?

Answer: No inner lymphatic (lymphatic vessels)

Choices:
A. Outsourcing three fascia (fascia)
B. There are testicular artery (testicular artery) and vas deferens (ductus deferens)
C. There are plexiform venous plexus (pampiniform venous plexus)
D. No inner lymphatic (lymphatic vessels)

spermatic cord
spermatic cord
following error


Question: The most common bacterial pathogens vertebral osteomyelitis species:

Answer: Staphylococcus aureus

Choices:
A. Staphylococcus aureus
B. Salmonella enteritidis
C. Escherichia coli
D. Viridans group Streptococcus


Question: About brain death determination (brain death), Which is not clinical requirements (clinical criteria)?

Answer: Patients with spontaneous breathing (spontaneous respiration)

Choices:
A. Patients need a deep coma (deep coma), and no response to language (verbal stimulation) and pain (pain stimulation) stimulation
B. Patients with spontaneous breathing (spontaneous respiration)
C. Patients lose brainstem reflector (brain stem reflex)
D. Patients without spontaneous sexual activity (spontaneous movement) or autonomous gestures (spontaneous posturing)

brain
brain death
not clinical requirements
clinical


Question: Which of the following is the light-sensitive photoreceptor pigment composition?

Answer: retinal

Choices:
A. retinal
B. transducin
C. phosphodiesterase
D. opsin

following
light sensitive
pigment composition


Question: The following account of generalized tonic-clonic seizures (generalized tonic-clonic seizures), and what's wrong?

Answer: When the attack due to strengthening of parasympathetic effects can lead to increased blood pressure, rapid heart rate and dilated pupils

Choices:
A. Will cause loss of consciousness on
B. There are not usually a precursor (aura)
C. ictal cry (or piercing cry) is conductive due to respiratory muscle rigidity and throat muscle contracture
D. When the attack due to strengthening of parasympathetic effects can lead to increased blood pressure, rapid heart rate and dilated pupils

following account
generalized tonic-clonic seizures
generalized tonic-clonic seizures
wrong


Question: Related acute stress disorder (acute stress disorder) and PTSD (posttraumatic stress disorder) of the narrative, which of the following error?

Answer: Symptoms of acute stress disorder symptoms do not appear dissociated

Choices:
A. The acute stress disorder symptoms more than a month if you need to consider the diagnosis of post-traumatic stress syndrome may
B. PTSD therapy combined with drug therapy and psychotherapy are helpful
C. Symptoms of acute stress disorder symptoms do not appear dissociated
D. Post-traumatic stress disorder in the etiology comprising hypothalamic-pituitary-adrenal (HPA) axis of dysfunctional

Related acute stress disorder
acute stress disorder
PTSD
posttraumatic stress disorder
following error


Question: For a comparison of the mucosal immune system and by the spleen / lymph node posed systemic immune system, the following statements is wrong?

Answer: The former antigen into the path similar to the latter, mainly into the bloodstream through the skin or

Choices:
A. Even in the case of the absence of infection, the former mainly by activated T cells or memory T cells constitute
B. The former antigen into the path similar to the latter, mainly into the bloodstream through the skin or
C. The former immune cells and epithelial cells in close contact
D. The former often exposed regulatory mechanism under the innocuous antigens, so the development of a good immunosuppression

mucosal immune system
spleen
lymph node
systemic immune system
following
wrong


Question: Possible reasons for ECG mandrel left (left axis deviation), and what's wrong?

Answer: Left and right lead inverted (reversal of the left and right arm electrodes)

Choices:
A. Left and right lead inverted (reversal of the left and right arm electrodes)
B. Found in healthy subjects (normal variant)
C. Left ventricular hypertrophy (left ventricular hypertrophy)
D. Inferior Myocardial Infarction (inferior myocardial infarction)

Possible
ECG mandrel left
left axis deviation
wrong


Question: Which of the following is the small intestinal mucosa area (mucosa) of the main functions of M cells?

Answer: The gut (lumen) of the antigen into the tissue

Choices:
A. Secretory IgA
B. Mucus secretion (mucus)
C. The gut (lumen) of the antigen into the tissue
D. The organization of the antigen into the gut

following
small intestinal mucosa area
mucosa
main functions


Question: Current treatment for hepatitis C standard therapy Why?

Answer: Interferon and Leibaweilin (ribavirin) in combination

Choices:
A. Interferon alone
B. Leibaweilin (ribavirin) alone
C. Interferon and Leibaweilin (ribavirin) in combination
D. An energy dry interferon (lamivudine) in combination

Current
Current treatment
hepatitis C
therapy


Question: Female granulosa cell tumor tumor markers (tumor marker) Why?

Answer: inhibin

Choices:
A. inhibin
B. CA-19-9
C. LDH
D. CA-125

Female granulosa cell tumor
markers
tumor marker


Question: 4 large month-old baby, because nod formula spasm (infantile spasms) treatment. Physical examination found that bleaching white leaflets (ash-leaf hypomelanosis), brain waves check disorder FIG spikes (hypsarrhythmia) on the skin. Why is the most likely diagnosis?

Answer: Tuberous sclerosis (tuberous sclerosis)

Choices:
A. Neurofibromatosis (neurofibromatosis)
B. Tuberous sclerosis (tuberous sclerosis)
C. Sturge-Weber syndrome
D. Pigment disorder (incontinentia pigmenti)

4 large month old baby
nod formula spasm
infantile spasms
treatment
found
white leaflets
ash
hypomelanosis
brain waves check disorder
hypsarrhythmia
skin
diagnosis


Question: About obesity (obesity) of the narrative, which of the following error?

Answer: In Taiwan, the definition of obesity is the body mass index (BMI) greater than or equal 30 Kg / m2

Choices:
A. In Taiwan, the definition of obesity is the body mass index (BMI) greater than or equal 30 Kg / m2
B. In Taiwan, the definition of abdominal obesity is female waist circumference greater than 80 cm, men greater than 90 cm
C. Obesity is very common in Cushing's syndrome
D. craniopharyngioma cause polyphagia caused by obesity


Question: Statements about infectious egg white matter (Prion), and Which statement is correct?

Answer: Can not effectively stimulate the host, dry yield ⽣ interferon (interferon)

Choices:
A. Antigenic
B. Four activity can be removed and UV forest ⾺
C. Can not effectively stimulate the host, dry yield ⽣ interferon (interferon)
D. Cause alveolar cells of solid lesions

infectious egg white matter
Prion
correct


Question: In the following antiarrhythmic drugs, whichever is the shortest half-life?

Answer: adenosine

Choices:
A. quinidine
B. lidocaine
C. bretylium
D. adenosine

following antiarrhythmic drugs
shortest half-life


Question: About incarcerated (Incarcerated) inguinal hernia of the narrative, which of the following error?

Answer: If purple skin site hernia change occurs, should be administered as soon as possible hernia reset (Reduction)

Choices:
A. Usually associated with intestinal obstruction
B. If purple skin site hernia change occurs, should be administered as soon as possible hernia reset (Reduction)
C. There will be local pain and tenderness
D. If the hernia surgery found the bag associated with avascular necrosis of the small intestine, small intestine resection and anastomosis, hernia repair surgery can be performed simultaneously

incarcerated
Incarcerated
inguinal hernia
following error


Question: Statements about simple febrile seizure type (simple febrile seizure) is, which of the following error?

Answer: Repeated episodes of sick children should be long-term use of epilepsy drugs

Choices:
A. May occur in the normal development of children
B. The chances of the family has a history of febrile seizure is higher than the average person
C. Repeated episodes of sick children should be long-term use of epilepsy drugs
D. Seizure less than 15 minutes

simple febrile seizure type
simple febrile seizure
following error


Question: Factors affecting the inhalation anesthetic gas absorption (uptake), and which of the following error?

Answer: The patient's lung function margin (functional residual capacity)

Choices:
A. The patient's lung function margin (functional residual capacity)
B. Anesthetic gas solubility in blood (Solubility)
C. Flowing through the blood flow alveoli
D. Alveolar anesthetic gas partial pressure and venous blood

Factors affecting
inhalation anesthetic absorption
uptake
following error


Question: A 63-year-old man accepted transurethral resection of the prostate (transurethral resection of prostate, TURP) surgical treatment of their prostate hypertrophy (BPH), the phenomenon of visual hallucinations and incoherent patients surgery. In the postoperative recovery chamber shortness of breath (shortness of breath) phenomenon, blood test showed that the sodium ions in the blood of 120 meq / L, creatinine was 2.7 mg / dL, urine becomes less visible bilateral pleural chest X-ray water. Will the most likely diagnosis is:

Answer: Concurrent TURP syndrome

Choices:
A. Concurrent TURP syndrome
B. Acute myocardial infarction
C. Pulmonary embolism
D. After the catheter is blocked by a blood clot TURP

63 year old man accepted transurethral resection


Question: A 55 year old male suffering from lung cancer and systemic bone metastasis, has been using a high amount of morphine, patients still feel unbearable discomfort, requires the physician to let him sleep just fine, that is one of the following improper narrative?

Answer: After administration of the drug if the patient may die, tantamount to euthanasia, then it should not be administered

Choices:
A. Use higher amounts of morphine analgesia
B. Given enough sedative to help patients sleep
C. Given sedatives or analgesics may affect the patient's breathing
D. After administration of the drug if the patient may die, tantamount to euthanasia, then it should not be administered

year old male suffering
lung cancer
systemic bone metastasis
using
high amount
morphine
patients
discomfort
physician
let
sleep
fine
one
following


Question: Chlamydophila pneumoniae (Chlamydia pneumoniae) Which of the following is closely related to disease?

Answer: Atherosclerosis (Atherosclerosis)

Choices:
A. Cervical cancer (cervical cancer)
B. Duodenal ulcer (duodenal ulcer)
C. Chancroid (chancre)
D. Atherosclerosis (Atherosclerosis)


Question: 79. The following infectious diseases, pathological changes typical of whichever occurs vasculitis? ① First, two, three syphilis ② typhus (typhus) ③ ecthyma gangrenosum (ecthyma gangrenosum)

Answer: ①②③

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

following infectious diseases
pathological changes typical
occurs vasculitis
First
two
three syphilis
typhus
typhus
ecthyma gangrenosum
ecthyma gangrenosum


Question: Which of the following projects in basic self-care Richangshenghuo (activity of daily living, ADL) is not included?

Answer: Cooking

Choices:
A. Toileting
B. Cooking
C. Wearing clothes
D. Bathe

following
basic self-care
ADL
not included


Question: From the previous question, the treatment most likely to choose Chen's why?

Answer: Oral terbinafine

Choices:
A. Oral flucytosine
B. Intravenous ketoconazole
C. Oral terbinafine
D. Oral potassium iodide (potassium iodide, KI) solution of saturated


Question: Which of the following ways after administration of nitroglycerin (nitroglycerin) can not reach the effective blood concentration?

Answer: oral

Choices:
A. Sublingual
B. oral
C. Intravenous
D. Skin patch

following
administration
nitroglycerin
nitroglycerin
not reach
effective blood concentration


Question: Which of the following vasodilators via inhibition of phosphodiesterase 5 for treating impotence and?

Answer: vardenafil

Choices:
A. enalapril
B. vardenafil
C. minoxidil
D. nitroglycerin

following vasodilators
inhibition
phosphodiesterase 5
treating impotence


Question: Which of the following prosthetic feet belong to the energy storage type prosthetic feet (energy storage foot)?

Answer: Fee formula prosthetic feet (Flex foot)

Choices:
A. Single-axis prosthetic feet (single axis foot)
B. Multi-axis prosthetic leg (multiple axis foot)
C. Fee formula prosthetic feet (Flex foot)
D. Sunakishiki prosthesis (SACH foot)

following
feet
energy storage type
feet
energy storage foot


Question: When pregnant women with high blood pressure, and that one of the following antihypertensive drugs are not suitable for use?

Answer: captopril

Choices:
A. a-methyldopa
B. labetalol
C. captopril
D. nifedipine

high blood pressure
one
following antihypertensive drugs
not suitable
use


Question: Reabsorption of sodium ions (reabsorption) in the following maximum Where?

Answer: Thick ascending branch of Henry's elbow (thick ascending limb)

Choices:
A. Henry's elbow thin descending limb (thin descending limb)
B. Fine ascending branch of Henle elbow (thin ascending limb)
C. Thick ascending branch of Henry's elbow (thick ascending limb)
D. Collecting duct (collecting duct) medulla portion (inner medullary portion)


Question: For B-type, T-cell antigen receptor (antigen receptor), following a narrative that correct?

Answer: Last encounter antigen stimulation, antigen receptors have been presented on the cell membrane

Choices:
A. Antigen receptor genes in the embryos prototype (germline), protein expression can be
B. Last encounter antigen stimulation, antigen receptors have been presented on the cell membrane
C. After receiving antigen receptor stimulation, can pass the message itself so that a separate cell activation
D. After cell activation, antigen receptor is secreted into the extracellular Jieke

type
T-cell antigen receptor
antigen receptor
following
correct


Question: Which of the following is a bilateral issue ⽣ probability ADVANCED most germ cell tumors of the ovary ⽣?

Answer: Dysgerminoma

Choices:
A. Dysgerminoma
B. Choriocarcinoma
C. Yolk sac tumor
D. Embryonal carcinoma

following
bilateral issue
probability ADVANCED
germ cell tumors of the ovary


Question: From the previous question, how to dispose of?

Answer: Arrange emergency Caesarean section

Choices:
A. Give immediate treatment miscarriage
B. Arrange emergency Caesarean section
C. Go with the flow, no treatment
D. Hospital to be produced, try the natural production


Question: A 55 year old male, often recurrent paranasal sinus infection, laboratory data showed increased erythrocyte sedimentation rate, anti-neutrophil cytoplasmic antibody (Anti-neutrophil cytoplasmic antibody; ANCA) showed positive cytoplasmic (Cytoplasmic) ANCA, but perinuclear (Perinuclear) ANCA were negative, the patient Tongshifasheng rapid deterioration of renal function and oliguria. The following pathological changes in whichever best represent their glomerular lesions?

Answer: Pauci-immune crescentic glomerulonephritis

Choices:
A. Crescentic membranous proliferative glomerulonephritis
B. IgA crescentic glomerulonephritis
C. Pauci-immune crescentic glomerulonephritis
D. Acute（postinfectious）proliferative glomerulonephritis


Question: If the position of the cervix forward (anterior), medium hardness (Medium), thinness (effacement) 40 ~ 50%, the opening 3 to 4 cm, fetal located -1 with Bishop score is the number?

Answer: 8

Choices:
A. 4
B. 6
C. 8
D. 10

position
cervix forward
anterior
medium hardness
Medium
thinness
effacement
40
50
opening
fetal
1
score
number


Question: The outside of the breast lymph return to which of the following?

Answer: Axillary lymph node

Choices:
A. Axillary lymph node
B. Parasternal lymph nodes
C. Diaphragmatic lymph nodes
D. Contralateral breast lymph nodes


Question: Account of pulse pressure (pulse pressure), and Which statement is correct?

Answer: Pulse pressure may be due to stroke volume (stroke volume) increased with

Choices:
A. Systolic blood pressure (systolic pressure) increased pulse pressure will increase
B. The size of the arterial pulse pressure and compliance (Compliance) independent
C. Pulse pressure may be due to stroke volume (stroke volume) increased with
D. Pulse pressure may be due to increased diastolic blood pressure (diastolic pressure) rises

Account
pulse pressure
pulse pressure
correct


Question: 31.33-year-old woman because of persistent fever more than one month to come for treatment. Patient age of 12 but had lower extremity purpura and bleeding gums diagnosis in other hospitals as "immune autologous platelet poor", after steroid treatment about six months stable disease diagnosis has not come back. Preliminary solid specimen chamber leukocytes (WBC), 5 g / dL, platelets 60,000 / μL, urine routine proteinuria protein 3+, hematuria RBC 10 ~ 20 / HPF. He checked the following items to establish the diagnosis of the most helpful?

Answer: Antinuclear antibodies (antinuclear antibodies)

Choices:
A. C- reactive protein (CRP)
B. Anti-neutrophil cytoplasmic antibody (antineutrophil cytoplasmic antibodies)
C. Antinuclear antibodies (antinuclear antibodies)
D. Indirect Qom's test (indirect Coombs' test)

31
year old woman
persistent fever
one month to
treatment
Patient age
lower
bleeding gums diagnosis
hospitals
immune autologous
poor
steroid treatment
six months stable disease diagnosis
not
back
Preliminary solid
chamber
WBC
5 g
dL
platelets 60
L
urine routine proteinuria protein
hematuria RBC 10
20
HPF
following
to establish
diagnosis
helpful


Question: For the following GM-CSF (sargramostim), and G-CSF (filgrastim) the growth factor is described, whichever error?

Answer: Adverse effects of GM-CSF produced is less than a G-CSF

Choices:
A. GM-CSF and G-CSF increases the number of neutrophil Jieke
B. Both increase the number of stem cells in peripheral blood
C. GM-CSF increased the number of eosinophil
D. Adverse effects of GM-CSF produced is less than a G-CSF

following GM-CSF
sargramostim
G-CSF
filgrastim
growth factor
error


Question: The chemical structure of these species that ⼀ dimension ⽣ pigment containing cobalt-ion (cobalt ion)?

Answer: vitamin B12

Choices:
A. vitamin K
B. vitamin E
C. vitamin B6
D. vitamin B12

dimension
pigment containing cobalt ion
cobalt ion


Question: For a description of croup (Croup), the following best right?

Answer: The clinical symptoms of respiratory tract below the glottis or vocal cord soft tissue edema at

Choices:
A. Croup is a bacterial infection mainly
B. Usually have breathing (Wheezing)
C. The clinical symptoms of respiratory tract below the glottis or vocal cord soft tissue edema at
D. Crying can help patients maintain adequate ventilation operation, so no need to appease


Question: Internal carotid artery aneurysm compression of the left edge of the optic chiasm, visual Which of the following is most likely to defect?

Answer: Right hand left eye vision

Choices:
A. Zhizuo right eye vision
B. Zhizuo left eye vision
C. Right hand left eye vision
D. The right hand of the right eye vision


Question: Thinking about sleep disorders (schizophrenia) the prognosis, which of the following is a good prognosis factor?

Answer: Depressive symptoms

Choices:
A. No pre-induced disease factor (precipitating factor)
B. Negative symptoms (negative symptoms)
C. Earlier onset
D. Depressive symptoms

sleep disorders
schizophrenia
prognosis
following
good prognosis factor


Question: Right eye left eye illumination caused miosis, which of the following is not in its conducting?

Answer: The longitudinal beam (medial longitudinal fasciculus)

Choices:
A. Depending diameter (optic tract)
B. Ciliary ganglion (ciliary ganglion)
C. The longitudinal beam (medial longitudinal fasciculus)
D. Oculomotor nerve (oculomotor nerve)


Question: A 52-year-old female patient, front and neck cancer, no heart palpitations and other symptoms, physical checkups found that 5 cm nodule in the left lobe of the thyroid gland position hard and difficult to move, normal thyroid function, ultrasound scans showed low echo and irregular margins and there are muscles around the windpipe and unclear boundaries of the phenomenon, cell biopsy is suspected papillary thyroid cancer (papillary carcinoma), no swollen lymph glands, bone scan and chest X-ray images of normal, which of the following is the best treatment?

Answer: Leading total thyroidectomy

Choices:
A. Iodine 131 first treatment
B. Continue to follow-up observation
C. Leading total thyroidectomy
D. First radiation irradiation treatment in vitro

year old female patient
front
neck cancer
heart palpitations
symptoms
physical
found
5
nodule
the left of
thyroid gland position hard
difficult to move
normal thyroid function
ultrasound scans
low echo
irregular margins
muscles
windpipe
cell biopsy
suspected papillary thyroid cancer
papillary carcinoma
swollen lymph glands
bone scan
chest X-ray
of normal
following
best treatment


Question: Mr. Zhang suffered chest impact, if after a sudden trauma complicated by acute respiratory insufficiency (pulmonary insufficiency) symptoms, which of the following is the most common cause?

Answer: pneumothorax

Choices:
A. Pulmonary contusion
B. pneumothorax
C. Rib fractures
D. Adult respiratory distress syndrome (ARDS)

Mr
suffered chest impact
sudden trauma complicated
acute respiratory insufficiency
pulmonary insufficiency
symptoms
following
most common cause


Question: Heart disease caused by cerebral embolism (cerebral embolism) disease is the most:

Answer: Atrial fibrillation (atrial fibrillation)

Choices:
A. Atrial fibrillation (atrial fibrillation)
B. Heart attack (myocardial infarction)
C. Myocarditis (myocarditis)
D. Heart failure (heart failure)

Heart disease caused
cerebral embolism
cerebral embolism
disease
most


Question: Which of the following is not a hypertrophic cardiomyopathy psychogenic major predictor of sudden death?

Answer: Young patients with the highest amount in the movement process, increased blood pressure

Choices:
A. Patients have a family history of sudden death
B. Patients with abnormal left ventricular hypertrophy ultrasonography revealed> 30 mm
C. Young patients with the highest amount in the movement process, increased blood pressure
D. Patients spontaneous ECG 24 hours, but the occurrence time <30 seconds ventricular tachycardia (spontaneous nonsustained ventricular tachycardia)


Question: The number of days patients can not eat by mouth, usually intravenously will provide about 100 grams of glucose per day, in order to avoid Which of the following phenomena, caused by loss of muscle (muscle wasting)?

Answer: Because protein degradation occurs in the muscles to synthesize glucose to provide energy

Choices:
A. Because of the lack of energy, muscle necrosis
B. Because intramuscular glycogenolysis (glycogenolysis) to provide a glucose occurs supplied energy
C. Since the occurrence of lipolysis (lipolysis) intramuscular, supplied energy to provide a fatty acid
D. Because protein degradation occurs in the muscles to synthesize glucose to provide energy

number of days patients
not eat
mouth
usually
100 grams
glucose
day
order to
following
caused
loss
muscle
muscle wasting


Question: Which of the following non-carbamazepine clinical indications?

Answer: Depression (depression)

Choices:
A. Epilepsy (epilepsy)
B. Trigeminal neuralgia (trigeminal neuralgia)
C. Depression (depression)
D. Mania (mania)


Question: About papillary thyroid cancer (papillary carcinoma), whichever is correct?

Answer: Cells High (tall), islet cells (insular), poor cylindrical cells (Columnar) type of prognosis

Choices:
A. High incidence of men than women
B. More lung metastasis, lymph node metastasis less
C. Multiple small
D. Cells High (tall), islet cells (insular), poor cylindrical cells (Columnar) type of prognosis

About papillary thyroid cancer
papillary carcinoma
correct


Question:
38. A 30-year-old female in good health in the past, there is no major diseases. She caesarean section to a healthy baby boy three months ago. Pregnancy and production process went very smoothly. But the production, she found even if no collision, but also large areas of skin often have bruises, sometimes there hematoma. Patients exposed denied taking any drugs or poisons. Data show blood, leukocytes 9,600 / μL, hemoglobin 10.7 g / dL, platelets 210,000 / μL, leukocyte no exception. PT 10.3 sec (INR 0.95), aPTT 98 sec, to normal plasma mixing test do not extend the full correction
 aPTT. factor VIIIc activity of less than 1%, while the factor VIII antibody is 28.41 BU / mL (reference value <0.6). The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: Such patients often have hemarthrosis

Choices:
A. Such patients often have hemarthrosis
B. In addition to the production of pregnancy, the disease may also be related to cancer and autoimmune diseases, but about half of the patients no obvious reason
C. Severe life-threatening bleeding can be infused PCC (prothrombin complex concentrate) or recombinant factor VIIa to stop the bleeding
D. Treatment responders, after the withdrawal, or there may be up to about 20% of patients relapse within six months

30 year old female
good health
past
major diseases
caesarean section
healthy baby boy three months
Pregnancy
process
very
found
collision
large areas
skin often
bruises
sometimes
hematoma
Patients exposed denied
drugs
poisons
Data
blood
leukocytes 9 600
hemoglobin 10
g
dL
platelets
L
PT 10.3 sec
INR 0 95
aPTT 98 sec
normal plasma mixing test
not extend
full correction aPTT
factor VIIIc activity
1
factor VIII antibody
BU
mL
reference value
0.6
following
patient
likely diagnosis
treatment
diseases
wrong


Question: An American white couple working in foreign companies large six month-old daughter to the emergency room, according to their description diarrhea, decreased activity of the phenomenon of child began two weeks ago after eating flour and other staple food, weight loss 0.5 kg. Duodenal biopsy found to have intestinal mucosa and villus atrophy obvious situations (villi) disappear, symptoms improved after stopping feeding staple food. Which of the following is the most likely diagnosis?

Answer: celiac sprue

Choices:
A. celiac sprue
B. Hirschsprung's disease
C. Whipple's disease
D. lactase deficiency

couple
foreign companies large six month old
emergency room
diarrhea
decreased activity
child began two weeks
eating
staple food
weight loss 0.5 kg
Duodenal biopsy found to
intestinal mucosa
villus atrophy
villi
symptoms improved
stopping
staple food
following
diagnosis


Question: From the previous question, if not rule out acute testicular torsion (testicular torsion), and has seizures about 4 hours, then the most appropriate disposal of why?

Answer: Immediate surgical exploration testicular fixation ipsilateral, contralateral testicular Qieyi Prophylactic fixation

Choices:
A. Groin incision surgery immediately affected by the removal of testicular
B. First intravenous antibiotics to be disposed of after fever
C. Immediate operation by the fixation scrotum ipsilateral testicular
D. Immediate surgical exploration testicular fixation ipsilateral, contralateral testicular Qieyi Prophylactic fixation

previous
not rule out acute testicular torsion
testicular torsion
seizures
hours
then
most appropriate


Question: The following narrative about the beating heart coronary artery bypass surgery (off-pump coronary artery bypass grafting) of, what's wrong?

Answer: Patients with hemodynamic instability of blood should give priority to pump Coronary Artery Bypass Surgery

Choices:
A. After the surgery may reduce atrial fibrillation
B. Can reduce intraoperative and postoperative blood transfusion
C. Patients with hemodynamic instability of blood should give priority to pump Coronary Artery Bypass Surgery
D. Associated with renal dysfunction and patients with emphysema should give priority to pump Coronary Artery Bypass Surgery


Question: 50 year old woman has multiple joint swelling, pain, mainly in the hands proximal interphalangeal joints (PIPs), wrist, knee, etc., check the results of rheumatoid arthritis (rheumatoid arthritis), its characteristics Why?

Answer: Articular tissues violated due to autoimmune reactions and autoimmune lymphocytes induced antibodies

Choices:
A. Articular tissues violated due to autoimmune reactions and autoimmune lymphocytes induced antibodies
B. Due to dysfunction of the macrophage induced arthropathy
C. As part of rheumatic fever (rheumatic fever) performance of
D. Direct sequelae of infection caused by systemic joint criminal

50 year old woman
multiple joint swelling
pain
hands proximal interphalangeal joints
wrist
knee
check
results
rheumatoid arthritis
rheumatoid arthritis
characteristics


Question: The so-called transparent mold (hyaline molds) refers to a group of lesions in the organization, presented the following common fungus that nature?

Answer: Produce hyphae of the partition

Choices:
A. Produce hyphae of the partition
B. No branch of hyphae
C. Morphology and Penicillium (Penicillium) Similarities
D. Hyphae with the pigment

so called transparent
hyaline
refers
lesions
organization
following common fungus
nature


Question: Which of the following natural disease remission (spontaneous regression) of the lowest probability?

Answer: Caudal (sacrococcygeal) portion of teratoma (teratoma)

Choices:
A. Down syndrome (Down syndrome) in neonates of myelodysplastic syndrome (myeloproliferative syndrome)
B. 4S stage (stage 4S) of the infant neuroblastoma (neuroblastoma)
C. Caudal (sacrococcygeal) portion of teratoma (teratoma)
D. Baby strawberry hemangioma (hemangioma)

following natural disease remission
spontaneous regression
lowest probability


Question: 23. A 55 year old male with a history of diabetes, chest symptoms occur about 5 hours to emergency, blood pressure 140/100 mmHg, heart rate 80 beats per minute, the blood and ECG diagnosis of rise of ST segment myocardial infarction (ST -segment elevation myocardial infarction), relating to the treatment of this patient, the following statements is wrong?

Answer: Calcium blockers may alleviate the symptoms of acute patients, especially short-acting dihydropyridines class calcium blocker

Choices:
A. Calcium blockers may alleviate the symptoms of acute patients, especially short-acting dihydropyridines class calcium blocker
B. If there is no absolute contraindications, should be given aspirin 160 ~ 325 mg
C. If there are no contraindications (such as low blood pressure or a history of taking phosphodiesterase-5 inhibitor), can try to use nitroglycerin sublingual tablets to relieve the patient's symptoms
D. If there are no contraindications, sympathetic beta blocker may be administered intravenously or orally (β-blockers)

23
year old male
history
diabetes
chest symptoms occur
hours
emergency
blood pressure
100 mmHg
heart rate 80 beats per minute
blood
ECG diagnosis
ST segment myocardial infarction
ST
segment elevation myocardial infarction
relating
following
wrong


Question: The following description of drug mechanism of action, whichever is correct?

Answer: Bisphosphonates inhibit bone activity of macrophage cells (osteoclast), can be used to treat osteoporosis (Osteoporosis)

Choices:
A. Fluoride can inhibit the activity of osteoblasts (osteoblast), inhibit bone formation
B. Bisphosphonates inhibit bone activity of macrophage cells (osteoclast), can be used to treat osteoporosis (Osteoporosis)
C. Calcitonin treatment for osteoporosis effects of bisphosphonates better than
D. Parathyroid hormone inhibits osteoblast release RANKL, promote bone osteoclasts role

following
of drug mechanism
action
correct


Question: Informed consent before surgery does not cover that one?

Answer: Surgical team glorious history

Choices:
A. Content step procedure and possible results
B. Surgical complications that may arise
C. Are there other treatments
D. Surgical team glorious history


Question: 56-year-old with hypertension trading company manager sudden left hand, left foot paralyzed, and unconscious immediately following that is most likely?

Answer: Right thalamic hemorrhage

Choices:
A. Right thalamic hemorrhage
B. Right middle cerebral artery occlusion
C. Right vertebral artery occlusion
D. Right internal capsule infarct

year old
hypertension
company manager sudden left
foot
unconscious immediately following


Question: The following treatment of pancreatic pseudocysts about, what's wrong?

Answer: If the test results show pancreatic duct downstream of the obstruction, priority should be given to make the outer drainage (external drainage) Surgery

Choices:
A. Therapeutic purposes in the alleviation of symptoms and prevent complications
B. Must bladder and pancreas tumor (cystic neoplasm) differential diagnosis
C. If the test results show pancreatic duct downstream of the obstruction, priority should be given to make the outer drainage (external drainage) Surgery
D. If no symptoms, a case where there is no increase can be considered the first observation


Question: The following about the rapid cycle (rapid cycling) of bipolar disorder (bipolar disorder) of the narrative, what's right?

Answer: Common in women

Choices:
A. According to the fourth edition of the Diagnostic and Statistical Manual (DSM IV) formulation of the American Psychiatric clubs be defined as within six months at least three episodes
B. Common in women
C. This disease has a tendency of significant family history
D. Taking benzodiazepines (benzodiazepines.) Can induce the production of this disease

following
rapid cycle
rapid cycling
bipolar disorder
bipolar disorder
right


Question: Thymus (thymus) mainly in:

Answer: Mediastinum (superior mediastinum)

Choices:
A. Mediastinum (superior mediastinum)
B. Under the anterior mediastinum (anterior inferior mediastinum)
C. The mediastinum (middle inferior mediastinum)
D. After the mediastinum (posterior inferior mediastinum)


Question: A 80-year-old male patient to the emergency department because of a fall, his family out in his usual medication, Which of the following is least likely led to his fall?

Answer: omeprazole

Choices:
A. alprazolam
B. zolpidem
C. omeprazole
D. chlorothiazide

80 year old male patient
emergency department
fall
out
usual medication
following
least likely led
fall


Question: World Medical Association (World Medical Association) established by the Declaration of Helsinki (Declaration of Helsinki), the risk of cognitive research, Which statement is correct?

Answer: Most of the prevention, diagnosis and treatment procedures involve some risk and medical liability

Choices:
A. The main danger with the medical liability occurred in the treatment program, prevention, diagnosis and less dangerous medical liability may occur
B. The main danger with the medical liability occurred in the treatment and prevention program, diagnosis and less dangerous medical liability may occur
C. Most of the prevention, diagnosis and treatment procedures involve some risk and medical liability
D. To treat high risk for the purpose of study, lower non-therapeutic purposes of Risk

Medical Association
Medical Association
established
cognitive
correct


Question: Mrs. Wang, 62 years old, due to difficulty in breathing was sent to the emergency room, after intubation supplemented Rengonghuxi Help, vital signs stable, conscious, blood oxygen levels were normal. Mrs. Wang began eating about two months ago is not normal, often to eat half of it could not swallow, so gradual weight. You can also walk on his own in the morning to go shopping, but one afternoon not open eyes, lethargy, did not walk a few minutes when they go out for a walk on the walk. Mrs. Wang was most likely to suffer from one of the following diseases?

Answer: Myasthenia gravis (myasthenia gravis)

Choices:
A. Heart failure (heart failure)
B. Myasthenia gravis (myasthenia gravis)
C. Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease)
D. Acute inflammatory demyelinating polyneuropathy (acute inflammatory demyelinating polyneuropathy)

Mrs
62 years old
due to difficulty
breathing
sent
emergency room
intubation supplemented
Help
vital signs stable
conscious
blood oxygen levels
normal
Mrs
began eating
two months
not normal
often to eat half
not swallow
gradual weight
morning to go shopping
one afternoon not open eyes
lethargy
not
few minutes
go out
Mrs
to suffer
one
following diseases


Question: Which of the following muscular dystrophy (muscular dystrophy) is a sex-linked recessive inheritance (X-linked recessive)?

Answer: Duchenne muscular dystrophy

Choices:
A. Duchenne muscular dystrophy
B. limb-girdle muscular dystrophy type 1A
C. facioscapulohumeral dystrophy
D. myotonic dystrophy

following muscular dystrophy
muscular dystrophy
X-linked recessive


Question: The following items are what type 2 diabetes nephropathy earliest clinical manifestations?

Answer: Glomerular filtration rate> 120 mL / min

Choices:
A. Urinary albumin excretion> 30 mg / day
B. Serum creatinine (creatinine)> 1.2 mg / dL
C. Glomerular filtration rate> 120 mL / min
D. Blood pressure> 130/80 mmHg


Question: A 70-year-old man presented to the emergency room nosebleeds, currently used oral hypoglycemic agents and aspirin (aspirin), the following statements is inappropriate?

Answer: The patient stops nosebleeds, can continue to use aspirin (aspirin)

Choices:
A. Nosebleeds often occurs in dry, cold weather
B. The most common bleeding at the tip of the nose to Little area
C. Non-invasive treatments include nasal packing, local electric burn
D. The patient stops nosebleeds, can continue to use aspirin (aspirin)

70 year old man
emergency room nosebleeds
currently used oral hypoglycemic agents
aspirin
aspirin
following
inappropriate


Question: Currently kidney transplant donor conditions have been more relaxed, but in general, of the following is still not recommended to become a donor?

Answer: 45 years old, breast cancer and lung metastases

Choices:
A. 62 years old, no special medical history
B. 56 years old, patients with hypertension
C. 45 years old, breast cancer and lung metastases
D. 50 years old, with diabetes

Currently
conditions
more relaxed
general
following
not
to
donor


Question: Patients with long-term oral morphine when prescribing shall also be given:

Answer: Stool softener

Choices:
A. sedative
B. Antipruritic
C. Antidiarrheal agents
D. Stool softener


Question: Chromosomes 45, X / 46, XY are, readily long gonadal tumors, except Which of the following?

Answer: Teratoma

Choices:
A. Gonadoblastoma
B. Teratoma
C. Dysgerminoma
D. Yolk sac tumor

Chromosomes
XY
long gonadal tumors
following


Question: And gastrointestinal carcinoid (carcinoid tumor) cause the carcinoid syndrome (carcinoid syndrome), which of the following symptoms unrelated?

Answer: constipation

Choices:
A. Facial flushing
B. Pellagra (pellagra)
C. Asthma-like symptoms
D. constipation

gastrointestinal carcinoid
carcinoid tumor
cause
carcinoid syndrome
carcinoid syndrome
following symptoms unrelated


Question: Dr. Lee is a small town in the number of practicing physicians decade, many residents he is attended by, from small to large to help residents deal with health problems. Lee physician services that meet the characteristics of a primary health care?

Answer: Continuity (continuity)

Choices:
A. Accountability (accountability)
B. Continuity (continuity)
C. Comprehensive sex (comprehensiveness)
D. Coordination (coordination)

Dr
small town
decade
residents
attended
small
large to help residents
physician
characteristics


Question: Patients had no family history of hypertension, blood pressure each time to the hospital at around 170/90 mmHg, but in their own home when measuring blood pressure is normal, is about 124/76 mmHg, the most likely scenario is:

Answer: White coat hypertension

Choices:
A. Home blood pressure monitor is not accurate
B. Adverse own blood pressure technology
C. White coat hypertension
D. diurnal blood pressure change on the physiology

Patients
family history of hypertension
blood pressure
time
hospital
90 mmHg
home
measuring blood pressure
normal
about
76 mmHg
scenario


Question: Patients after organ transplantation, complications of pneumonia, which of the following should be the first suspect virus infection is the cause of complications of pneumonia?

Answer: CMV (cytomegalovirus)

Choices:
A. Herpes simplex  (herpes simplex virus)
B. EB virus (Epstein-Barr virus)
C. Adenovirus (adenovirus)
D. CMV (cytomegalovirus)

Patients
organ transplantation
complications
pneumonia
following
first
virus infection
cause
complications
pneumonia


Question:
7. cardiac surgery, myocardial ischemia often bear - reperfusion (ischemia-reperfusion) injury, resulting in cardiac disorders in the energy supply situation, which of the following is correct? ① often show clinical low cardiac output syndrome (LCOS: low cardiac output syndrome), cardiac index less than 2.4L / min / m2 ② pulmonary artery catheter may be measured by the hemoglobin oxygen saturation (SvO2: mixed venous oxygen saturation), was
 Now cardiac output and systemic oxygen consumption balance ③ anesthesiologist foundation shall physiological changes, before and after adjustment multi ventricular afterload and ventricular contractility
 ④ to reduce systemic oxygen consumption, cardiac surgery postoperative care required after sedation and hypothermia

Answer: ①②③

Choices:
A. ①②③
B. ①②④
C. ①③④
D. ②③④

cardiac surgery
myocardial ischemia often
reperfusion
ischemia-reperfusion
injury
resulting in cardiac disorders
energy supply
following
correct
often
clinical low cardiac output syndrome
low cardiac output syndrome
cardiac index
min
m2
pulmonary artery catheter
measured
hemoglobin oxygen saturation
mixed venous oxygen saturation
Now cardiac output
systemic oxygen consumption balance
anesthesiologist
physiological changes
adjustment multi ventricular
ventricular contractility
to
systemic oxygen consumption
cardiac surgery
required
sedation
hypothermia


Question: 50-year-old man, from 1 years ago, when there will be left to do the movements involuntary twitching, six months after the left side of the body movements began to become inflexible, and the combined symptoms of mental decline and other neurological exam jump muscle disease and dystonia appears incomplete, his left hand is particularly sensitive to stimulation, but if let him touch coins or keys with his left hand, the patient does not recognize, and often complained about his left hand like aliens. Why is the most likely diagnosis?

Answer: Corticobasal degeneration (corticobasal ganglionic degeneration)

Choices:
A. Multiple system degeneration (multiple system atrophy)
B. Parkinson's disease (Parkinson disease)
C. Corticobasal degeneration (corticobasal ganglionic degeneration)
D. Progressive supranuclear palsy (progressive supranuclear palsy)

50 year old man
1 years
left to
movements involuntary twitching
six months
left side of
body movements began to
combined symptoms
mental
neurological exam jump muscle disease
dystonia appears incomplete
left hand
sensitive to stimulation
let
touch coins
left hand
patient
not
often
left hand
diagnosis


Question: 69. alcohol withdrawal symptoms may vary, can be divided into four categories include: ① perceived barriers (such as: hallucinations) ② tremor (tremulousness) ③ convulsion (seizure) ④ delirium (delirium tremens); although not everyone has the same after the onset of the order, but if it occurs in the most typical timing, interrupt drinking alcohol, according has sort why?

Answer: ②①③④

Choices:
A. ③①④②
B. ①③②④
C. ④②③①
D. ②①③④

69
alcohol
divided
four
include
barriers
hallucinations
tremor
tremulousness
convulsion
seizure
delirium
delirium tremens
not
same
onset
order
occurs
typical timing
interrupt drinking alcohol
sort


Question: Three patients with atrial disease (cor triatriatum), the left atrium of a film will be divided into upper and lower two chambers, the following statements is false?

Answer: LAA (left atrial appendage) communicates the upper chamber and an opening

Choices:
A. Connected to the upper chamber of pulmonary venous flow
B. A lower chamber and an opening communicating mitral
C. LAA (left atrial appendage) communicates the upper chamber and an opening
D. Usually associated with atrial septal defect

Three patients
atrial disease
cor triatriatum
left atrium
film
divided
upper
lower two chambers
following
false


Question: The following kind of treatment for muscle spasms in patients with cerebral palsy (spasticity) have no evidence to suggest determine the efficacy?

Answer: Hyperbaric oxygen therapy (hyperbaric oxygen therapy)

Choices:
A. Bracket (orthotics)
B. Spinal cavity injection Baclofen
C. Hyperbaric oxygen therapy (hyperbaric oxygen therapy)
D. Botox (botulinum toxin) injections

following kind
treatment
muscle spasms
patients
cerebral palsy
spasticity
to
efficacy


Question: Acid resistance (acid-fast) bacteria is the meaning of:

Answer: After the cells are stained easily decolorized by acid alcohol

Choices:
A. Cell growth is more rapid in acidic environments
B. Experience bacteria secrete acid substances
C. After the cells are stained easily decolorized by acid alcohol
D. Acid bacteria presents itself


Question: When voiding, detrusor (detrusor muscle) contraction mainly by following what nerve stimulation?

Answer: Parasympathetic nerve

Choices:
A. Renal nerves
B. Sympathetic
C. Parasympathetic nerve
D. Experience Yin nerve (pudendal nerve)

voiding
detrusor
detrusor muscle
contraction
following
nerve stimulation


Question: Hemosuccus pancreaticus exact meaning is:

Answer: Pseudoaneurysm due to pancreatitis caused by a tumor of the blood flow into the pancreatic duct

Choices:
A. Pancreas bleeding
B. Pancreatitis due to bleeding into the abdominal cavity and
C. Pseudoaneurysm due to pancreatitis caused by a tumor of the blood flow into the pancreatic duct
D. Bleeding ulcer caused by pancreatitis


Question: Fungal hyphae cell wall structure does not include:

Answer: Layer lipopolysaccharide (lipopolysaccharide layer)

Choices:
A. Dextran layer (polysaccharide layer)
B. Layer lipopolysaccharide (lipopolysaccharide layer)
C. Glycoprotein (glycoprotein)
D. Chitin layer (chitin layer)

Fungal hyphae cell wall structure
not include


Question: Sympathetic preganglionic neurons located?

Answer: Thoracic spinal cord 與 lumbar spinal cord

Choices:
A. Thoracic spinal cord 與 lumbar spinal cord
B. Brain stem 及 sacral spinal cord
C. Paravertebral sympathetic ganglia
D. Prevertebral ganglia


Question: From the previous question, the patient was confirmed completion tongue, tumor size of 3 × 3 × 1.5 cm after the inspection, the neck showed no abnormal mass or lymph nodes, chest, abdomen, bone, etc. have no distant metastasis sign. Which of the following is the best treatment?

Answer: After oral tumor resection with neck lymphadenectomy, radiation or chemotherapy depends on the outcome of the pathological examination

Choices:
A. Chemotherapy-induced (induction chemotherapy) and oral cancer radiation therapy (radiotherapy)
B. After oral tumor resection with neck lymphadenectomy, radiation or chemotherapy depends on the outcome of the pathological examination
C. Chemotherapy (chemotherapy)
D. Oral cancer and neck lymph combined radiation and chemical treatment (concurrent chemoradiotherapy)

previous
patient
confirmed completion tongue
tumor size of
inspection
neck
abnormal mass
lymph nodes
chest
abdomen
bone
sign
following
best treatment


Question: Antihypertensive drug captopril cause side effects mainly dry cough and following what autocrine hormone (autacoid) about?

Answer: Bradykinin

Choices:
A. Angiotensin
B. Bradykinin
C. Serotonin
D. Histamine


Question: A 58-year-old male, no underlying disease, physical condition are fairly good in the past, appeared on the recent week bloating, jaundice, dark urine to the hospital for treatment, abdominal ultrasound, endoscopic retrograde biliary duct Photography (ERCP) showed a Periampullary tumor, if required to surgical treatment, how preoperative assessment, that an inspection is not absolutely necessary?

Answer: Small intestine Photography (Small bowel series)

Choices:
A. Abdominal computed tomography (Abdominal CT scan)
B. Chest X-ray (Chest X-ray)
C. Abdominal magnetic resonance (MRI)
D. Small intestine Photography (Small bowel series)

58 year old male
underlying disease
physical condition
fairly good
past
appeared
recent week bloating
jaundice
dark urine
hospital
treatment
abdominal ultrasound
endoscopic retrograde biliary duct
ERCP
Periampullary tumor
required
surgical
preoperative
inspection
not


Question: There are a couple gave birth to a chromosomal structural anomalies (unbalanced translocation) of the child, doctors found that when asked about the history mother has been pregnant three times in early spontaneous abortion. So doctors decided to perform a couple chromosome analysis (they do not have mental retardation or a congenital deformity of the phenomenon). Do you think the couple physicians most likely suspect is which of the following?

Answer: Parents, one of whom may have balanced chromosomal translocation

Choices:
A. Perhaps one of the parents and children have the same karyotype (karyotype), so that you can explain to their children abortion and abnormal
B. Parents might each with half the chromosome abnormalities, genetic child if both the two kinds of abnormal incidence will
C. Parents, one of whom may have balanced chromosomal translocation
D. Parental chromosome irregularities

couple gave birth
chromosomal structural anomalies
unbalanced translocation
child
doctors found
history mother
pregnant three times
early spontaneous
doctors
to perform
couple chromosome analysis
not
mental retardation
congenital deformity
couple physicians
likely
following


Question: In the relaxed (relaxed) skeletal sarcomere, the area that is free of thick filaments (thick filaments)?

Answer: I girdle

Choices:
A. I girdle
B. A band
C. H band
D. M line

relaxed
relaxed
skeletal sarcomere
area
free
thick filaments
thick filaments


Question: There is a 40-year-old woman because of thyroid cancer undergoing total thyroidectomy, two days after the occurrence of the hands and feet cramps, which is a blood test that best meet the following condition of this patient?

Answer: free T4 0.8 ng/dL，TSH 2.0 µU/mL ，Na 135 mM，K 4.0 mM，Ca 1.7 mM，P 6.0 mM

Choices:
A. free T4 0.1 ng/dL，TSH 30 µU/mL ，Na 140 mM，K 4.0 mM，Ca 2.4 mM，P 3.5 mM
B. free T4 0.8 ng/dL，TSH 2.0 µU/mL ，Na 135 mM，K 4.0 mM，Ca 1.7 mM，P 6.0 mM
C. free T4 0.8 ng/dL，TSH 2.0 µU/mL ，Na 140 mM，K 2.0 mM，Ca 2.4 mM，P 3.5 mM
D. free T4 0.6 ng/dL，TSH 4.0 µU/mL ，Na 120 mM，K 4.0 mM，Ca 2.4 mM，P 6.0 mM

40 year old woman
of thyroid cancer
total thyroidectomy
two days
occurrence
hands
feet cramps
blood test
best
following condition
patient


Question: 42.38-year-old woman was diagnosed as cervical epithelium carcinoma, accept the Radical hysterectomy and pelvic lymph node dissection (radical hysterectomy and bilateral pelvic lymph node dissection), according to Berek & Novak's Gynecology edition 15 published in 2012 textbook risk factors Description Which of the following is a non-high-risk factors related to relapse?

Answer: Large tumors (large tumor size)

Choices:
A. Near the edge, or incisal edges tumor (positive or close margins)
B. Large tumors (large tumor size)
C. Lymph node metastasis (positive lymph nodes)
D. There are next to the uterus connective tissue under the microscope inspection violations (microscopic parametrial involvement)

non high-risk factors related to relapse


Question: Brain computed tomography in the drawing, where the display bleeding?

Answer: Right subdural

Choices:
A. Dura right upper chamber
B. The left chamber dura
C. Right subdural
D. Left subdural

Brain computed tomography
display bleeding


Question: Mitral valve (mitral valve) insufficiency and aortic valve stenosis heart murmur, that in general can not be distinguished by one of the following characteristics?

Answer: Is a systolic murmur, the other is diastolic murmur

Choices:
A. Is a systolic murmur, the other is diastolic murmur
B. And wherein the noise period, a full systolic than Soft; another type of crescendo decrescendo systolic murmur, more harsh
C. Different noise radiation, one to the left armpit, the other to the carotid artery
D. Heart murmur maximum intensity, one in the apical portion, a further second intercostal space at the right (heart site)

Mitral valve
mitral valve
insufficiency
aortic valve stenosis heart murmur
general
not
one
following characteristics


Question: A 50-year-old obese man, complained in recent months somewhat less memory, woke up this morning headaches, daytime sleepiness comparison. His wife noticed a big snore when he sleeps at night. The most likely diagnosis is:

Answer: Obstructive sleep apnea syndrome (obstructive sleep apnea syndrome)

Choices:
A. 猝睡 disease (narcolepsy)
B. Obstructive sleep apnea syndrome (obstructive sleep apnea syndrome)
C. Restless leg syndrome (restless leg syndrome)
D. REM sleep behavior disorder (REM sleep behavior disorder)

50 year old obese man
months somewhat
woke up
morning headaches
daytime sleepiness
big snore
sleeps
night
diagnosis


Question: After the nerve to dominate half of the scrotum Which of the following branches of?

Answer: Pudendal nerve

Choices:
A. Femoral nerve
B. Pudendal nerve
C. Reproductive femoral nerve
D. Ilioinguinal nerve

nerve to
half
scrotum
of
following branches


Question: A 50-year-old male patient complained of left wrist drooping, unable to straighten, as shown, both sides are normal strength elbows straight. The following description of the location of the lesion, that one of the most correct?

Answer: Radial nerve (radial nerve)

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

50 year old male patient
left wrist
unable to
sides
normal strength elbows straight
following
lesion
one
correct


Question: 59 relapsing - remitting form of multiple sclerosis (relapsing-remitting type of multiple sclerosis) patients in disease remission (remitting stage) must receive treatment to reduce the recurrence of the disease, and that one of the following is the most inappropriate choice of drugs?

Answer: nonsteroid anti-inflammatory drugs

Choices:
A. interferon-β1b
B. interferon-β1a
C. nonsteroid anti-inflammatory drugs
D. glatiramer acetate

59 relapsing
remitting form
multiple sclerosis
relapsing-remitting type
multiple sclerosis
patients in disease remission
remitting stage
receive treatment to
recurrence of
disease
one
following
most inappropriate
drugs


Question: A middle-aged man, chronic diarrhea and repeated back and limbs appear symmetry, nettle-like rash of small blisters and itching rash, oral mucosa normal, the most likely diagnosis is:

Answer: Dermatitis herpetiformis

Choices:
A. Pemphigus vulgaris
B. Pemphigus foliaceus
C. Bullous pemphigoid
D. Dermatitis herpetiformis

middle-aged man
chronic diarrhea
repeated back
limbs appear symmetry
nettle
rash
small blisters
itching rash
oral mucosa normal
diagnosis


Question: The following information about attention deficit / hyperactivity disorder (ADHD) children's statements is wrong?

Answer: Less than one tenth of children with ADHD into adulthood still meet the ADHD diagnosis

Choices:
A. Because of its low academic achievement, poor interpersonal relationships, often resulting in low self-esteem in adolescence may join the peer group deviance
B. When applied behavioral therapy, there must be a detailed observation of behavior, behavior contract details, give timely feedback was
C. Less than one tenth of children with ADHD into adulthood still meet the ADHD diagnosis
D. Taiwan's Department of Health is currently approved for the treatment of ADHD drugs include methylphenidate and atomoxetine

following
attention deficit
hyperactivity disorder
children's
wrong


Question: An accident patients were admitted to the emergency room complaining of chest pain, difficulty breathing, blood pressure 80/45 mmHg, heart rate 120 beats / min, X-ray found in the right lung field is not clear, mediastinum partial left, at this time the best why treatment?

Answer: After intravenous infusion, if placed in the chest hemothorax

Choices:
A. Now do CT
B. Immediately placed endotracheal intubation and to calm
C. After intravenous infusion, if placed in the chest hemothorax
D. Suspected pleural cavity hemorrhage (hemothorax), the most likely cause lacerations of the lung

patients
emergency room
of chest pain
difficulty breathing
blood pressure 80
mmHg
heart rate
beats
min
X-ray found
right lung field
not clear
mediastinum partial left
time
best
treatment


Question: Wu Xiaomei is a small country Grade 6 students, seven days ago, hand tamper with sudden involuntary happen, she could not take the chopsticks. When hands flat, non-stop dancing the whole arm has been unable to control, but without weakening the power of his right hand, feeling no abnormal physical examination of the body determined display noise. Erythrocyte sedimentation rate (ESR) increased. The most likely clinical diagnosis is:

Answer: Xideng Han's disease (Sydenham chorea)

Choices:
A. Huntington's disease (Huntington chorea)
B. Xideng Han's disease (Sydenham chorea)
C. Stroke of half chorea
D. High Hyperthyroidism chorea

Wu
small country
hand
sudden
not
hands flat
non stop
whole arm
unable to control
power
right hand
abnormal
body
display
Erythrocyte sedimentation rate
increased
clinical diagnosis


Question: Narrative about the child's back pain symptoms, which of the following error?

Answer: Very common in preschool children

Choices:
A. Virus infection is often accompanied by the occurrence of one of the factors
B. Very common in preschool children
C. When the merger occurs skin lesions, such as moles, long-haired or abnormal pigmentation, shall consider the possibility of spinal closure imperfecta (spinal dysraphism)
D. When the C-reactive protein (C-reactive protein) abnormal shall consider bacterial infections, tumors and rheumatoid diseases

child's back pain symptoms
following error


Question: Which of the following is not a cause of acute respiratory distress syndrome (acute respiratory distress syndrome) is?

Answer: Organophosphate poisoning (organophosphate intoxication)

Choices:
A. Drowning (near-drowning)
B. Stomach contents suction (aspiration of gastric contents)
C. Organophosphate poisoning (organophosphate intoxication)
D. Inhalation injury (inhalation injury)

following
not
cause
acute respiratory distress syndrome
acute respiratory distress syndrome


Question: Baby infusion build the pipeline are the following ways, whichever is most NA?

Answer: Umbilical artery (umbilical artery)

Choices:
A. Scalp vein (scalp vein)
B. Injection of bone (intraosseous infusion)
C. Umbilical artery (umbilical artery)
D. Phlebotomy (venous cutdown)


Question: Subacute merger degeneration (subacute combined degeneration) is not accompanied by the following circumstances?

Answer: Cerebrospinal fluid white blood cells increase (pleocytosis)

Choices:
A. Large red blood cell anemia (macrocytic anemia)
B. Slow vibration sense (impaired vibration sense)
C. Cerebrospinal fluid white blood cells increase (pleocytosis)
D. Multiple peripheral neuropathy (polyneuropathy)

Subacute
degeneration
subacute combined degeneration
not
following


Question: About characteristics of unstable angina, the following statements is wrong?

Answer: Associated with significantly elevated cardiac enzymes attack

Choices:
A. When the onset of mild exercise or at rest, or the severity of the attack intensified, or new onset
B. ECG ST segment decrease, transient ST segment rising and / or T wave inversion
C. Associated with significantly elevated cardiac enzymes attack
D. Atherosclerotic plaque rupture or thrombosis atherosclerotic plaque lesions exist, the most common machine transfer of pathology

characteristics
unstable angina
following
wrong


Question: Urea (Urea) cycle, a urea is formed by NH4 + and CO2. Ammonia (Ammonia) of large human toxicity, but no toxic urea, but soluble in water, can be excreted in urine. That one of the following error description of carbamoyl phosphate synthetase I in?

Answer: It is an enzyme in the cytoplasm

Choices:
A. It is an enzyme in the cytoplasm
B. It needs to catalyze the reaction of ATP
C. It is NH4 + and HCO3- by mass of the reaction
D. It catalyzed reaction of formation of carbamoyl phosphate 48 Phenylketonuria and what items following enzyme defects?

Urea
urea
formed
CO2
Ammonia
Ammonia
large human toxicity
toxic urea
soluble
water
excreted
urine
one
following error
carbamoyl phosphate synthetase I


Question: 50-year-old woman complained of left side of the head neck mass about six months (as indicated by reference), then the following statements is true?

Answer: Check the mouth, nasopharynx lateral pharyngeal wall and the diagnosis are also the focus of

Choices:
A. In terms of site considerations, most likely the tumor is adenocarcinoma (adenocarcinoma)
B. Because mass is too large, it is recommended in patients with direct incision made part of the tissue sent to pathology, then a follow-up treatment
C. Check the mouth, nasopharynx lateral pharyngeal wall and the diagnosis are also the focus of
D. For the possibility of surgery, postoperative patients most need to inform the trigeminal nerve palsy

50 year old woman
of left side
head neck mass
six months
indicated
then
following
true


Question: A 31-year-old male, no significant past medical history and medication history, due to vomit blood by a friend to the emergency room for treatment, the patient and the patient's friends told colleagues drunk, vomiting twice to spit out the food, and the third was found vomiting large amounts of blood doping a small amount of food. Gastrointestinal bleeding diseases, the differential diagnosis of primary consideration is the following:

Answer: Mallory-Weiss tear

Choices:
A. Rupture of esophageal varices
B. Gastric ulcer
C. Duodenal ulcer
D. Mallory-Weiss tear

31 year old male
significant past medical history
due to vomit blood
emergency
treatment
patient
patient's
drunk
vomiting twice to spit out
food
third
found vomiting large amounts
small amount
food
Gastrointestinal bleeding diseases
differential
primary consideration
following


Question: 6-year-old child five days to the gradual emergence of difficulty walking, numbness hands and feet end, Physical examination found normal cranial nerves, limbs, muscle strength is approximately three (out of five), decreased tendon reflexes. Recently played no shot, but one week ago, there was a slight cold symptoms, no medication. After hospitalized spinal fluid analysis cell count is 0, proteins 90 mg / dL, blood examination is normal muscle enzyme. The most likely diagnosis is:

Answer: Guillain-Barré syndrome

Choices:
A. encephalitis
B. Brain tumor
C. Guillain-Barré syndrome
D. Polymyositis


Question: Which of the following is not involved in molecular cell toxic effects?

Answer: Integration action lectin (integrin-) and webs protein (fibronectin) of

Choices:
A. Perforin (perforin) and related enzyme granules (granule-associated enzymes; granzymes)
B. The role of Fas and FasL
C. Oxygen reactive metabolites (reactive oxygen intermediates) and nitric oxide (NO)
D. Integration action lectin (integrin-) and webs protein (fibronectin) of

following
not involved
molecular cell toxic effects


Question: Anti-neutrophil cytoplasmic antibodies that disease occurs most frequently in?

Answer: Wegener's granulomatosis

Choices:
A. Wegener's granulomatosis
B. Behçet's disease
C. Rheumatoid arthritis
D. Sjögren's syndrome


Question: The following statements about the central nervous system stimulant methylphenidate, what's wrong?

Answer: With the promotion of appetite

Choices:
A. Can effectively improve attention deficit / hyperactivity syndrome (attention-deficit / hyperactivity syndrome)
B. Has blocking norepinephrine and dopamine resorbed into the presynaptic neuron action
C. With the promotion of appetite
D. Not suitable for use in patients with a history of cardiovascular disease


Question: Neonatal teratoma (teratoma) made the best site in the following Where?

Answer: Recommended caudal portion (sacrococcygeal region)

Choices:
A. Testicles (testis)
B. Ovary (ovary)
C. 縱隔 cavity (mediastinal region)
D. Recommended caudal portion (sacrococcygeal region)

Neonatal teratoma
teratoma
made
best site
following


Question: The following autoimmune diseases and self-antigens pair, whichever is most correct?

Answer: multiple sclerosis-myelin-basic protein

Choices:
A. multiple sclerosis-myelin-basic protein
B. rheumatoid arthritis-F-actin
C. autoimmune hepatitis-collagen type Ⅱ
D. Sjögren's syndrome-deoxyribonucleoprotein

following autoimmune diseases
pair
most correct


Question: Which of the following disease psychosis (schizophrenia) therapeutic agents, and serotonin (5-HT2) receptor affinity and care has been taken there ADVANCED, less likely to cause extrapyramidal symptoms (extrapyramidal symptoms), but there is delay ⻑ QT (QT prolongation) of risk?

Answer: ziprasidone

Choices:
A. ziprasidone
B. clozapine
C. chlorpromazine
D. haloperidol


Question: Which of the following due to inhibit calcineurin phosphatase, can reduce rejection after organ transplantation?

Answer: cyclosporine

Choices:
A. basilixmab
B. methylprednisolone
C. cyclosporine
D. orthoclone OKT3


Question: 20 weeks pregnant women, maternity clinics to antenatal fetal-D (two-dimentional) ultrasound examination revealed fetal abdomen abdominal wall defects, a preliminary judge for omphalocele. Whichever of the following processing error?

Answer: Recommend termination of pregnancy

Choices:
A. Recommend termination of pregnancy
B. Recommend the use of fetal three-dimensional (three-dimentional) ultrasound examination confirmed the diagnosis
C. MRI is recommended to confirm the diagnosis
D. Inform higher chance chromosomal fetal abnormalities, amniocentesis acceptable inspection


Question: Which of the following is not taking side effects caused by nitrovasodilators?

Answer: Lupus-like syndrome

Choices:
A. Hypotension
B. Lupus-like syndrome
C. Headache
D. Tolerance


Question: Account of adenomyosis (adenomyosis), the error which of the following?

Answer: When using ovulation drugs treatment, adenomyosis will shrink smaller

Choices:
A. Endometrial glandular tissue directly onto the myometrium
B. Adenomyosis symptoms of dysmenorrhea and menorrhagia mainly
C. When using ovulation drugs treatment, adenomyosis will shrink smaller
D. Treatment with aromatase inhibitors can make narrow

Account adenomyosis adenomyosis error following


Question: Squamous cell carcinoma of the lung-like characteristics most associated with not following that one?

Answer: Often produce neuroendocrine substance

Choices:
A. smokes
B. Often occurs in the bronchial
C. Often occurs in the hilar
D. Often produce neuroendocrine substance


Question: 9335-year-old female contraceptive pill has been five years since the right upper abdominal discomfort to the clinic, abdominal ultrasound examination revealed a large tumor at 8 cm below the left lobe of the liver capsule, but could not find the portal area within the tumor under the microscope significantly small arteries and small veins proliferation of tumor cells and normal liver cells have similar but translucent cytoplasm. The following statements about the clinical features of this disease, what's wrong?

Answer: Common portal hypertension patients

Choices:
A. Clinically easily distinguish malignant hepatocellular carcinoma
B. Common portal hypertension patients
C. Tumor break easily cause abdominal bleeding during pregnancy
D. A few cases may occur simultaneously with hepatocellular carcinoma

year old female contraceptive pill
five years
right upper abdominal discomfort
clinic
abdominal revealed
large tumor
the left lobe of
liver capsule
not find
portal area
tumor
microscope
small arteries
small veins proliferation
tumor cells
normal cells
similar
translucent cytoplasm
following
features
disease
wrong


Question: The following related hyperopia (hyperopia or hypermetropia) narrative, whichever is more correct?

Answer: Term (full term) neonates (new-born) of the eye, the vast majority are hyperopia

Choices:
A. Hyperopia seeing far away, it is not necessary to wear glasses to see clearly
B. Hyperopia seeing near objects without glasses is to look unclear
C. Hyperopia eye far point (far point) bit infinity (Infinity) at
D. Term (full term) neonates (new-born) of the eye, the vast majority are hyperopia

following related hyperopia
hyperopia
hypermetropia
more correct


Question:
A 40 to 25 year-old male out-patient clinics as chest tightness, chest X-rays show a mediastinal tumor, blood tests fetoprotein index (α-fetoprotein) is 500ng / mL (normal <20ng / mL), human chorionic gonadotrophin (β-hCG) is
 mIU / mL), patients who are most likely to be afflicted with what disease?

Answer: Germ cell cancer

Choices:
A. Lymphoma
B. Hepatocellular carcinoma with pulmonary metastasis
C. Germ cell cancer
D. Thyroid cancer

40
year old male out clinics
chest tightness
chest X-rays
mediastinal tumor
blood tests fetoprotein index
fetoprotein
mL
normal
mL
human chorionic gonadotrophin
hCG
mIU
mL
patients
to
disease


Question: Auditory conduction path (auditory pathway) of the narrative, which of the following error?

Answer: Left medial geniculate body (medial geniculate body) of the audible messages can be passed around two sides of a primary auditory cortex (primary

Choices:
A. Primary auditory cortex (primary auditory cortex) in the temporal lobe (temporal lobe)
B. Olivary nucleus (superior olivary nucleus) involved in the conduction hearing
C. The right inner ear of the hearing of the message can be passed into the left and right sides of medial geniculate body (medial geniculate body)
D. Left medial geniculate body (medial geniculate body) of the audible messages can be passed around two sides of a primary auditory cortex (primary

Auditory conduction path
auditory pathway
following error


Question: Hair-Acanthosis Nigricans syndrome does not include:

Answer: Gonadal hormone is too high

Choices:
A. Male hormone hyperparathyroidism (Hyperandrogenism)
B. Gonadal hormone is too high
C. Resistant against insulin (Insulin resistance)
D. Acanthosis nigricans

Hair Acanthosis Nigricans syndrome
not include


Question: Zhuyuanyishi first year, do an appendectomy, the appendix can not find where you are if his physician, please tell him which of the following methods most likely to find the appendix?

Answer: Go to the bottom of the body along the ascending colon (ascending colon) of the colon (teniae coli)

Choices:
A. To (cecum) along a direction parallel to the ileocecal valve to find the cecum (ileocecal valve)
B. Go to the bottom of the body along the ascending colon (ascending colon) colon bags (haustra)
C. Go to the bottom of the body along the ascending colon (ascending colon) of the colon (teniae coli)
D. First find the terminal ileum (terminal ileum) go down to look for the right side of the body

first year
appendectomy
appendix
not find
physician
following methods
to find
appendix


Question: The following narrative about sleep apnea syndrome (sleep apnea syndrome), and what's wrong?

Answer: Central type (central type apnea) sleep apnea syndrome, clinical more common and better prognosis

Choices:
A. Repeated pauses in breathing during sleep phenomenon, the probability of occurrence increases with patient age
B. Could endanger the state of consciousness during the day and cardiovascular function
C. Obstructive (obstructive type) sleep apnea syndrome, snoring at night often, hyperactivity, polyuria and daytime headache history
D. Central type (central type apnea) sleep apnea syndrome, clinical more common and better prognosis

following
sleep apnea syndrome
sleep apnea syndrome
wrong


Question: Description of the relevant parts of secretory glands (merocrine gland), the following statements is true?

Answer: Secreted embodiment of salivary glands

Choices:
A. Secreted products often released with whole cells
B. Secreted products often released together with the top part of the cell
C. Lipids secreted way of breast
D. Secreted embodiment of salivary glands

of
relevant parts
secretory glands
gland
following
true


Question: Mediastinum after surgery, hoarseness and vocal cords do not move, branch Which of the following is most likely to damage?

Answer: Vagus nerve

Choices:
A. Phrenic nerve
B. Accessory nerve
C. Vagus nerve
D. Sympathetic plexus

Mediastinum
surgery
hoarseness
vocal cords
not move
branch
following
to damage


Question: 50. The arrangement according to the order of the sperm maturation process of fertilization: ① the acrosome reaction (acrosomal reaction) ② skin reaction (cortical reaction) ③ capacitation (capacitation) ④ ejaculation (ejaculation)

Answer: ④③①②

Choices:
A. ①②③④
B. ④③②①
C. ④③①②
D. ①②④③

50
arrangement
order
sperm maturation
fertilization
acrosome reaction
reaction
skin reaction
cortical reaction
ejaculation
ejaculation


Question: Mr. Wang is a 55-year-old patient with a history of 30 years of smoking, a few days ago due to difficulty breathing patient examination, chest X-ray shows hyperinflation of the lungs, flat diaphragm, reducing suspected pulmonary microvascular and alveolar wall is undermine the formation of large alveolar sacs, and appears on exertion dyspnea, pulmonary function tests of FEV1 / FVC = 45%. Which of the following may occur in this patient?

Answer: Physiological dead space (physiological dead space) increased

Choices:
A. Restrictive lung disease (restrictive lung disease)
B. Lung compliance (lung compliance) decrease
C. Physiological dead space (physiological dead space) increased
D. Pulmonary function over capacity (functional residual capacity) reduction


Question: The following statements about sick infants, whichever is incorrect?

Answer: Baby no appetite

Choices:
A. Vomit without bile
B. Vomiting often into the spray
C. Baby no appetite
D. Often dehydration


Question: 6. Which of the following import celiac pool (cisterna chyli)? ① intestinal lymphatic trunk (intestinal lymphatic trunk) ② lymphatic left flank (left lumbar lymphatic trunk) ③ Youyao lymphoid stem (right lumbar lymphatic trunk)

Answer: ①②③

Choices:
A. Only ①
B. Only ①②
C. Only ①③
D. ①②③

following
pool
cisterna chyli
intestinal lymphatic trunk
intestinal lymphatic trunk
lymphatic left flank
left lumbar lymphatic trunk
lymphoid stem
right lumbar lymphatic trunk


Question: ⽣ dimensional element A (vitamin A) will be the following classes of cells that ⼀ egg white substance directly bonded to regulate gene expression?

Answer: nuclear retinoid receptors

Choices:
A. calcitriol receptor
B. receptor tyrosine kinases
C. nuclear retinoid receptors
D. G protein-coupled receptors

dimensional
vitamin A
following
cells
egg white substance directly
to
gene expression


Question:
59
 Cause systemic fungal infection most of what fungus?

Answer: Conditions for pathogenic fungi

Choices:
A. Toxigenic fungi
B. Conditions for pathogenic fungi
C. Have mutagenic fungus
D. Multicellular fungi


Question: 3.36-year-old man has smoke, came to the emergency with chest pain, chest pain has eight hours, will be transmitted to the bilateral upper arm, and chest pain due to aggravated inspiration, worse when lying down, sitting up in the upper body slightly forward pour will be better. Physical examination blood pressure 140/72 mm Hg, heart rate 96 beats per minute, oxygen saturation useless oxygen ninety-eight percent. No abnormal lung auscultation, only in the lower left edge of the sternum hear the sound of friction with three components (three component friction rub). ECG performed at this time are most likely to see:

Answer: Chest lead (V2 - V6) and a first lead, aVL lead, ST segment concavely curved (concave curvature) increased

Choices:
A. Chest lead inverted T-wave (inverted T wave)
B. PR section rises in the second, third, and lead aVF
C. Chest lead (V1 - V6), ST segment convexly curved (convex curvature) increased
D. Chest lead (V2 - V6) and a first lead, aVL lead, ST segment concavely curved (concave curvature) increased

3.36 year old man
smoke
emergency
chest pain
chest pain
eight hours
transmitted
bilateral upper arm
chest due to aggravated inspiration
worse
lying
sitting up
upper body slightly forward
better
blood pressure
72 mm Hg
heart rate 96 beats per minute
oxygen saturation
ninety-eight percent
abnormal lung auscultation
only
lower left edge
sternum hear
sound
three components
three component friction rub
ECG performed
time
to see


Question: Which of the following is a chest X-ray can be seen in the smallest unit of abnormal?

Answer: Acini (acinus)

Choices:
A. Primary leaflets (primary lobule)
B. \ Secondary lobule (secondary lobule)
C. Acini (acinus)
D. Bronchioles (bronchiole)

following
chest X-ray
seen
smallest unit
abnormal


Question: The following statements about cervical dislocation fracture treatment and what was wrong?

Answer: If there is no change in weight after adjustment neurological, will not need to track cervical spine X-ray

Choices:
A. Weight varies traction cervical have different
B. After pulling the patient should be closely observed neurological symptoms
C. After the traction required to track the patient's cervical spine X-ray
D. If there is no change in weight after adjustment neurological, will not need to track cervical spine X-ray


Question: The figure is a 57-year-old woman peripheral blood smear under the microscope observation. Which of the following is this patients most likely diagnosis?

Answer: Hemolytic anemia

Choices:
A. Aplastic anemia
B. Hemolytic anemia
C. Iron deficiency anemia
D. Megaloblastic anemia

57 year old woman peripheral blood smear


Question: Statements about the gallstones, what's wrong?

Answer: Gallstone acute cholecystitis taken to laparoscopic surgery is an absolute contraindication

Choices:
A. Fasting or long-term use of total parenteral nutritional therapy in patients with gallstone formation of correlated
B. Gallbladder stones and pigment stones can be divided into two major categories of cholesterol gallstones
C. Gallstone complications include acute cholecystitis, gallstone pancreatitis, ileus
D. Gallstone acute cholecystitis taken to laparoscopic surgery is an absolute contraindication


Question: Uncle Wang 40 years of smoking two packs a day, was told two years ago have a medical examination early emphysema, was determined to quit the habit of smoking. Uncle Wang recently hospitalized due to hernia, Zhuyuanyishi that Uncle Wang successfully quitting story, I hope he can stop smoking in a hospital advocacy film their own experiences, they informed teaching chambers Commissioner Zhang interview before Uncle Wang was discharged and solicitation film matters . When Zhang commissioner explained what he wanted, some unhappy Uncle Wang, Zhang asked the commissioner said: "How can you know that you smoke for many years I do?" The Prophet would not have had Zhuyuanyishi Uncle Wang Zhang would ask the Commissioner soon. Zhuyuanyishi of the following statements is the most important act of negligence?

Answer: Uncle Wang will neglect to inform other people's privacy

Choices:
A. Uncle Wang did not accurately assess the response to events
B. Uncle Wang will neglect to inform other people's privacy
C. Zhang does not take into account the Commissioner with medical personnel identity
D. Forget to ask the social worker prior to fully communicate

40 years
smoking two packs
day
two years
early emphysema
to
recently hospitalized due to hernia
story
I
stop smoking
hospital
film
informed
chambers
film
wanted
unhappy
smoke
years I
not
following
most important act
negligence


Question: The following molecular defects, whichever is most commonly associated with sporadic (sporadic) parathyroid adenoma about?

Answer: cyclin D1

Choices:
A. cyclin D1
B. calcium-sensing receptor
C. vitamin D receptor
D. parathyroid hormone

following molecular defects
most
associated with sporadic
sporadic
parathyroid adenoma


Question: Interferon -γ (IFN-γ) which is produced by cells?

Answer: T cells

Choices:
A. Vascular endothelial cells
B. Epithelial Cells
C. Fibroblasts
D. T cells


Question: Lipopolysaccharide (LPS) is a Gram-negative bacterial cell wall components, and will be combined with the molecules on white blood cells?

Answer: CD14

Choices:
A. CD1
B. CD5
C. CD14
D. CD25

Lipopolysaccharide
cell wall components
combined
white blood cells


Question: Suppose membrane allows only cations (cations which) transparent. After a period of time, will form an ion permeable relationship on both sides of a special distribution of the cell membrane, referred to herein as:

Answer: Nernst equilibrium

Choices:
A. Starling effect
B. Nernst equilibrium
C. Donnan effect
D. Bohr effect

membrane
only
transparent
period
time
form
ion permeable relationship
sides of
special distribution
cell membrane
referred to


Question: A 4-year-old girl who Cough, to hospital, physical examination revealed heart rate of about 96 beats / min, breathing a little faster, but also the liver palpable under the right rib 2 cm, cardiac auscultation is not clear, chest X rays figures. X-rays from these abnormal changes can be seen in the main what?

Answer: Enlarged heart

Choices:
A. Changes in lung cancer
B. Enlarged heart
C. pneumothorax
D. 橫膈 film improvement movement

4 year old girl
Cough
hospital
revealed heart rate
96 beats
min
breathing
little faster
liver palpable
right rib 2 cm
cardiac auscultation
not clear
chest X rays
X-rays
abnormal changes
seen
main


Question: In 595 received a transfusion with 712 people who had not received transfusions are suffering from hepatitis unmanned, track two years after discovery: There are 75 blood transfusion, blood transfusion did not have 16 suffering from hepatitis, is that what kinds of research methods?

Answer: Cohort study

Choices:
A. Cross - sectional study
B. Ecological Research
C. Cohort study
D. Case-control study

received
transfusion
not received transfusions
suffering
hepatitis
track two years
75 blood transfusion
blood transfusion
not
suffering
hepatitis
kinds


Question: 70-year-old male with hypertension, coronary heart disease, sudden one day left eye almost invisible at work, for about 20 minutes after the symptoms gradually restore vision, as if the disease is most likely lesion why?

Answer: Internal carotid artery (internal carotid artery)

Choices:
A. Anterior cerebral artery (anterior cerebral artery)
B. Middle cerebral artery (middle cerebral artery)
C. Posterior cerebral artery (posterior cerebral artery)
D. Internal carotid artery (internal carotid artery)


Question: Gastrointestinal tract contains a large number of IgA, an immune response in the mucosal pathogens can effectively block the invasion of the body, the relevant statements is most accurate?

Answer: Secreted fragment secretory IgA (secretory component) is synthesized by epithelial cells

Choices:
A. Gastrointestinal tract and in serum two kinds of subtypes IgA antibody ratio consistent
B. Cytokine IL-12 can promote B cell secretory IgA
C. Secreted fragment secretory IgA (secretory component) is synthesized by epithelial cells
D. Pathogen antigen-binding IgA, can effectively start the classical route of complement activation

Gastrointestinal tract contains
large number
IgA
immune response
mucosal
block
invasion
body
relevant
most accurate


Question: Metastatic spinal tumors most commonly violated that part of the spine?

Answer: thoracic

Choices:
A. Cervical vertebra
B. thoracic
C. Lumbar
D. Sacral


Question: Amantadine and Rimantadine drugs often used to treat influenza virus type A, which inhibits the virus from entering the machine turn why?

Answer: Prevent the virus invasion and disintegration (uncoating)

Choices:
A. Prevent the virus invasion and disintegration (uncoating)
B. Prevent viral DNA synthesis in the host
C. Prevent viral RNA synthesis in the host
D. Prevent viral protein synthesis in the host

Amantadine
Rimantadine drugs often used to treat
inhibits
entering
machine turn


Question: Of the following statements about lung cancer, what's right?

Answer: Lung adenocarcinoma (adenocarcinomas) more easily early squamous cell carcinoma of the lung metastasis

Choices:
A. Lung squamous cell carcinoma (squamous cell carcinoma) is most common in Taiwan
B. Lung adenocarcinoma (adenocarcinomas) more easily early squamous cell carcinoma of the lung metastasis
C. Lung adenocarcinoma grown in areas close to the door (hilar)
D. Small cell lung cancer (small cell carcinoma) therapy with surgery


Question: Sperm maturation and stored in the following that organ?

Answer: Epididymis tube (ductus epididymis)

Choices:
A. Seminal vesicle (seminal vesicle)
B. Epididymis tube (ductus epididymis)
C. Seminiferous tubule (seminiferous tubules)
D. Prostate (prostate gland)


Question: 75 the following statements about suicide, what's right? ① suicide death rate for women than men ② With increasing age, the suicide rate decreased ③ mood disorders, schizophrenia, alcoholism patients, the risk of suicide are higher ④ attempted suicides, about 45% to 80% have emotions ⑤ anxiety disorders and disorders of the problem of suicide and no association

Answer: ③④

Choices:
A. ①④⑤
B. ①③④
C. ②③⑤
D. ③④

75
following
suicide
suicide death rate
increasing age
suicide rate decreased
mood disorders
schizophrenia
alcoholism patients
risk
suicide
higher
attempted suicides
about
80
anxiety disorders
disorders
problem
suicide
association


Question: A 2-year-old child because of bloating, vomiting medical treatment, examination revealed duodenal obstruction, which he most likely suffering from the congenital disorders?

Answer: Annular pancreas (Annular pancreas)

Choices:
A. Pancreatic hypoplasia (Pancreatic agenesis)
B. Pancreas split (Bifid pancreas)
C. Annular pancreas (Annular pancreas)
D. Ectopic pancreas (Ectopic pancreas)

2 year old
bloating
vomiting medical treatment
revealed duodenal obstruction
suffering
congenital disorders


Question: 58-year-old male, in the forehead, nose and eyebrows appear as itchy skin lesions of the drawings. Most of the patients with similar skin lesions may occur in the following Where?

Answer: scalp

Choices:
A. scalp
B. neck
C. palm
D. Plantar

58 year old male
forehead
nose
eyebrows appear
itchy skin lesions
patients
similar skin lesions
occur
following


Question: After the damaged structure after repair of patients with healed well, and after an appropriate rehabilitation, whose hand function may also have the kind of defects?

Answer: Ring finger can not be fully extended

Choices:
A. Thumb ventral paresthesia
B. Index proximal interphalangeal joint (proximal interphalangeal joint) can not be bent
C. Middle finger can not bend
D. Ring finger can not be fully extended

damaged structure
repair
patients
healed well
appropriate rehabilitation
hand function
kind
defects


Question: Which of the following drugs NSAIDs can be used in place of colchicine is, as a first-line treatment of gout?

Answer: Indomethacin

Choices:
A. Aspirin
B. Acetaminophen
C. Indomethacin
D. Ketorolac

following drugs NSAIDs
used
place of colchicine
first-line treatment
gout


Question: The following autoantibodies that one has systemic lupus erythematosus (systemic lupus erythematosus, SLE) diagnostic significance?

Answer: Anti-Sm antibodies (anti-Smith antibody)

Choices:
A. Anti-Sm antibodies (anti-Smith antibody)
B. Anti-Scl-70 antibody (anti-Scl-70 antibody)
C. Anti-Jo-1 antibody (anti-Jo-1 antibody)
D. Anti-centromere antibodies (anti-centromere antibody)

following autoantibodies
one
systemic lupus erythematosus
systemic lupus erythematosus
SLE
diagnostic significance


Question:
46
 From the previous question, in order to prove your assumptions, following what most do not need to check?

Answer: Hysteroscopy

Choices:
A. Ultrasonography
B. Check the blood hormone
C. Pregnancy tests
D. Hysteroscopy

previous
order to
following
most
not need to check


Question: Malignant black acanthosis (malignant acanthosis nigricans) most often combined with tumor that system?

Answer: Gastrointestinal system

Choices:
A. Huxijitong
B. Gastrointestinal system
C. Reproductive system
D. Urinary system

Malignant black acanthosis
malignant acanthosis nigricans
most often combined
tumor
system


Question: The following narrative and what was wrong?

Answer: Immediately after the wound was sutured wound contamination (contaminated wounds) the most appropriate treatment for debridement (debridement)

Choices:
A. Malnutrition may lead to delayed wound healing
B. Wound dressing purposes covered to protect the wound and prevent bacterial infection of the wound exudate absorbent
C. Immediately after the wound was sutured wound contamination (contaminated wounds) the most appropriate treatment for debridement (debridement)
D. Macrophages (macrophages) and neutrophils (neutrophils) is the major inflammatory cells in the wound healing


Question: 52. Shi ⾏ Face ⼯ assist ⽣ reproductive technology (ART) Using drugs after gonadotropin stimulation, how to avoid ovarian hyperstimulation syndrome (OHSS) hair ⽣, Which statement is correct?

Answer: Using Cabergoline after ovulation may be suppressed ⾎ inner tube ⽪ ⽣ ⻑ due Submenu (VEGF) production ⽣

Choices:
A. Use velvet ⽑ non- human gonadotropin (hCG) to luteinizing ⽣ substituted into hormone (LH) stimulate ovulation
B. When using the gonadotropin releasing hormone promoter (agonist) treatment, gonadotropin releasing hormone antagonist (antagonist) stimulate ovulation
C. When tracking measurement found that estrogen had ADVANCED value, without considering fully stop the drugs to stimulate gonadotropin
D. Using Cabergoline after ovulation may be suppressed ⾎ inner tube ⽪ ⽣ ⻑ due Submenu (VEGF) production ⽣

Face
assist
reproductive technology
Using drugs
gonadotropin stimulation
to
ovarian hyperstimulation syndrome
hair
correct


Question: That's one of the following is Streptococcus pyogenes superantigen?

Answer: heat-labile toxin（speA）

Choices:
A. M-protein
B. F-protein
C. heat-labile toxin（speA）
D. Streptolysin S


Question: Mr. Chen, now 38 years old, in good health, is married and has a 12-year-old boy. Two months ago, Mr. Chen's 42-year-old brother, was diagnosed with Huntington's disease (Huntington's disease). Chen's father, who has a severe neurological disease, has died five years ago, presumably this disease. Chen own request genetic testing, unfortunately, also confirmed that he has the gene for this disease. So Mr. Chen with his son to the hospital, requiring genetic testing of the disease. Now there is no treatment of the disease drugs, for how to deal with this requirement?

Answer: Do not agree to, because the boy was a minor, after such treatment can not detect major diseases, should be adult parties to decide whether to go for a check

Choices:
A. Agreed, according to the law because parents are guardians of their children, if unfortunate with this gene, young people can understand the words to explain to Mr. Chen's son know
B. Agreed, because the parents are the child's guardian in accordance with law, if unfortunate with this gene, you will not be told
C. Do not agree to, because this disease is no effective method of treatment, if unfortunate with this gene, the boy will live forever in the shadow of disease
D. Do not agree to, because the boy was a minor, after such treatment can not detect major diseases, should be adult parties to decide whether to go for a check

Mr
now
years old
married
12 year old boy
Two months
Mr
year old
diagnosed
Huntington's disease
Huntington's disease
severe neurological
died five years
disease
genetic testing
confirmed
gene
disease
Mr
hospital
genetic
disease
Now
treatment
disease drugs
to
requirement


Question: Human immunodeficiency virus (HIV) infected persons infected with syphilis (syphilis) other clinical characterization of sexually transmitted diseases or narrative, what's wrong?

Answer: Human immunodeficiency virus-infected persons infected with syphilis, and the severity of their disease progression compared with the average person is no different

Choices:
A. Human immunodeficiency virus-infected persons infected with syphilis, and the severity of their disease progression compared with the average person is no different
B. Most serological testing of human immunodeficiency virus-infected patients can be used to confirm the diagnosis of syphilis
C. Gonorrhea infection (gonorrhea) may increase the risk of human immunodeficiency virus infection and gonorrhea in men may not have obvious symptoms, but be careful diagnosis
D. Syphilis is a risk factor for human immunodeficiency virus infection

Human immunodeficiency virus
infected
infected
syphilis
syphilis
clinical
sexually transmitted diseases
wrong


Question: 30. Which of the following may be due to parasites invade human reproductive system into the abdominal cavity (peritoneal cavity) and lead to chronic pelvic peritonitis (chronic pelvic peritonitis)?

Answer: Pinworm (Enterobius vermicularis)

Choices:
A. Pinworm (Enterobius vermicularis)
B. 鞭蟲（Trichuris trichiura）
C. Trichinella spiralis (Trichinella spiralis)
D. Roundworm (Ascaris lumbricoides)

30
following
due to parasites
human reproductive system
abdominal cavity
peritoneal cavity
lead
chronic pelvic
chronic pelvic


Question: 14. One 57 year old man has done a health check at the age of 40, when blood is normal phase. 15 years ago due to gastric ulcer perforation underwent surgery to remove two-thirds of the stomach, no other special medical history. Recently because of easy fatigue, blood tests and found that hemoglobin was 8.7 gm / dL, MCV

Answer: iron deficiency anemia

Choices:
A. thalassemia
B. anemia of chronic disorder
C. iron deficiency anemia
D. vitamin B12 deficiency anemia

One 57 year old man
check
age
40
blood
normal phase
years
due to gastric ulcer perforation
surgery to remove two thirds
stomach
special medical history
Recently
of easy fatigue
blood tests
found
hemoglobin
gm
dL
MCV


Question: Mr. Li smoking nearly two decades, is expected to take action within a month to quit, Lee's behavior across that stage theory mode?

Answer: preparation stage

Choices:
A. Contemplation stage
B. preparation stage
C. Action phase
D. Maintenance phase

Mr
Li smoking nearly two decades
to
action
month
behavior
stage
mode


Question: Common eye diseases in clinical Which of the following does not occur in the absence of red eye complications?

Answer: cataract

Choices:
A. Acute conjunctivitis
B. Subconjunctival hemorrhage
C. Acute glaucoma
D. cataract

Common eye diseases
clinical
following
not occur
absence
red eye complications


Question: The following bacteria, whichever is the least cause bacteremia?

Answer: Vibrio cholera (Vibrio cholerae)

Choices:
A. E. coli (Escherichia coli)
B. Vibrio cholera (Vibrio cholerae)
C. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
D. Salmonella typhimurium (Salmonella typhi)

following bacteria
least cause bacteremia


Question: The following related endotoxin (endotoxin) of the narrative, what's wrong?

Answer: The main source for Gram-positive bacteria

Choices:
A. The main source for Gram-positive bacteria
B. By the cell wall lipopolysaccharide body (LPS) composition
C. Induced inflammatory response associated with
D. And sepsis-related

following related endotoxin
endotoxin
wrong


Question: 40 When the elderly prostatic hypertrophy of careless treatment, may cause acute urinary retention (urinary retention). Which of the following drugs is not the most likely cause of this adverse reaction?

Answer: captopril

Choices:
A. captopril
B. diphenhydramine
C. haloperidol
D. oxybutynin

40
prostatic hypertrophy of
treatment
cause acute urinary retention
urinary retention
following drugs
not
most likely cause
adverse reaction


Question: The following narrative about Listeria (Listeria monocytogenes), and what's wrong?

Answer: Gram-positive cocci, can grow in an environment of 20 ℃ to 25 ℃

Choices:
A. Gram-positive cocci, can grow in an environment of 20 ℃ to 25 ℃
B. Occur in pregnant women, the elderly and some immunocompromised patients
C. Clinical manifestations of infection bacteremia or central nervous system of majority
D. Preferred drug treatment is ampicillin or penicillin, aminoglycoside drugs often associated with co-therapy


Question: Use the following mode is best suited to explain "the possible cancer risk group in the ADVANCED why some will go to Use Face cancer screening services, but will not go ⽽ some PORTRAIT Use" ⾏ it is?

Answer: Health Belief Model (health belief model)

Choices:
A. Cross-theoretical model (the transtheoretical model)
B. Social ⾏ pin (social marketing)
C. Health Belief Model (health belief model)
D. Diffusion of Innovation (diffusion of innovations)

Use
following mode
best
to
possible cancer
ADVANCED
go to Use Face
not go
PORTRAIT Use


Question: Affective disorders in the so-called shield type depressive (masked depression), in which of the following occur up to?

Answer: Old people

Choices:
A. teens
B. Adults
C. Old people
D. child

Affective disorders
called shield type
masked depression
following occur


Question: For the following substances in hair ⽣ ⾎ solution concentration is increased and atherosclerosis (atherosclerosis), except whichever?

Answer: ADVANCED white-density lipoprotein (high-density lipoprotein)

Choices:
A. C-reactive protein
B. ADVANCED white-density lipoprotein (high-density lipoprotein)
C. Same half 胱胺 acid (homocysteine)
D. ⾎ sugar

following substances
hair
solution concentration
increased
atherosclerosis
atherosclerosis


Question: 3150 years middle-aged women, blood tests of liver biochemical indices as follows: A / G: 3.9 / 4.0 g / dL, Bil: 1.0 / 0.4 mg / dL, GOT: 120 U / L, GPT: 140 U / L, ALP: 840 U / L, r-GT: 500 U / L. The virus mark examination showed all negative, normal ultrasound examination results. I ask you: of the following is wrong?

Answer: Contribute to prednisolone therapy

Choices:
A. AMA test helps diagnose
B. Do help diagnose liver slices
C. Contribute to prednisolone therapy
D. Contribute to ursodeoxycholic acid treatment

years middle-aged women
blood tests
liver biochemical indices
follows
G
dL
mg
dL
U
L
GPT
U
L
ALP
840 U
L
r GT
500 U
L
mark
negative
normal ultrasound examination results
I
following
wrong