Question: Mrs. Chen pregnant 31 weeks painless vaginal bleeding occurs suddenly, most likely that is the case?

Answer: Placenta previa

Choices:
A. Threatened abortion
B. Toxemia of pregnancy
C. Placenta previa
D. Placental abruption


Question: A 19-year-old male, morning weakness and is sent to the emergency room. Over the past history of the patient is not weak muscles, and also dancing in the night before the students birthday party, eat a lot of cake did not choke; despite the recent significant increase in food intake, body weight did not increase. Other people and their families to the party are also no symptoms of muscle weakness, the patient's tendon reflexes decreased sensory system is normal. That one of the following organ dysfunction most relevant to the patient's symptoms?

Answer: Thyroid

Choices:
A. Thyroid
B. Thymus
C. Adrenocortical
D. liver


Question: After 65 stroke, often antiplatelet therapy (antiplatelet therapy). The most common drug is a combination of aspirin plus dipyridamole. But with the use of two drugs, which of the following is the most common side effects and enables the physician must be deactivated or only open one?

Answer: Severe headache

Choices:
A. obesity
B. Menstrual abnormalities
C. Severe headache
D. Anorexia

65 stroke
often antiplatelet therapy
antiplatelet therapy
most common drug
combination
aspirin plus dipyridamole
use of two drugs
following
most common side effects
physician
only open one


Question: About the type spastic lower limbs (spastic diplegia) cerebral palsy (cerebral palsy) of the narrative, which of the following error?

Answer: Intelligent developmental delays often affect the ability to walk

Choices:
A. Most sick children can walk
B. Usually late began to walk
C. If the 7-year-old can not walk, you can walk in the future fewer opportunities
D. Intelligent developmental delays often affect the ability to walk

type spastic lower limbs
spastic diplegia
cerebral palsy
cerebral palsy
following error


Question: After the 52-year-old Chen Xian ⽣ due to lung cancer as a right lower lobectomy, should pay attention to postoperative care when complications are most often ⾒:

Answer: Phlegm accumulation leading to alveolar collapse (atelectasis)

Choices:
A. Phlegm accumulation leading to alveolar collapse (atelectasis)
B. ⽪ under emphysema (subcutaneous emphysema)
C. 膿胸（empyema）
D. ⽀ trachea pleural fistula (bronchopleural fistula)

year old
due to lung cancer
right lower lobectomy
pay
complications
most often


Question: About checking tubal factor infertility caused by narrative, what's wrong?

Answer: Tubal photographic examination usually performed between the first 16-21 days of the menstrual cycle

Choices:
A. Photography proximal tubal result of tubal obstruction, tubal photography would recommend to do it again
B. Tubal photographic examination usually performed between the first 16-21 days of the menstrual cycle
C. If bilateral salpingo severe edema, recommended cutting or blocking the fallopian tube first, do IVF
D. Tubal photographic examination, prophylactic antibiotics is recommended to eat


Question: The following local anesthetics, what does not belong to the ester type?

Answer: lidocaine

Choices:
A. lidocaine
B. cocaine
C. tetracaine
D. procaine

following local anesthetics
not
ester type


Question: Using total parenteral nutrition (TPN) after production ⽣ cholestasis (cholestasis), which of the following is the best treatment Remedies?

Answer: May restore intestinal nutrition

Choices:
A. Increased fat emulsion-administration
B. Increase the amount of fat-soluble supplement prime ⽣
C. Using the medium-chain oil with ⽅ tricarboxylic acid ester (medium-chain triglyceride) of
D. May restore intestinal nutrition

Using total parenteral nutrition
cholestasis
cholestasis
following
best treatment


Question: About the physiology of penile erection when the narrative Which statement is correct?

Answer: The penile nerve endings secrete nitric oxide (Nitric oxide)

Choices:
A. Is a sympathetic nerve caused
B. The penile nerve endings secrete nitric oxide (Nitric oxide)
C. Penis (Corpus cavernosa) of smooth muscle contraction in
D. Artery within the cavernous contraction in


Question: 36-year-old woman 20 years smoke every day a pack of cigarettes, found beside himself right breast areola swelling of the skin and heat pain, a lump under the areola, do biopsy found that milk tubule obviously like metaplasia, milk tubules are horny blockage expansion into the bag next to the shape, possession of small milk obvious granulomatous inflammation. Which of the following is the most likely diagnosis?

Answer: Surrounding mammary gland mastitis (periductal mastitis)

Choices:
A. Papilloma inner tube (intraductal papilloma)
B. Acute mastitis (acute mastitis)
C. Mycobacterial infection (mycobacterial infection)
D. Surrounding mammary gland mastitis (periductal mastitis)

36 year old woman 20 years smoke
day
pack
cigarettes
found
right areola swelling of
skin
pain
lump
areola
biopsy found
milk
metaplasia
milk
horny blockage
bag next to
shape
possession
small milk
granulomatous inflammation
following
diagnosis


Question: For a comparison of stability (stable) and vulnerability (vulnerable) atherosclerotic plaques (atherosclerotic plaque), the following statements is wrong?

Answer: Large lipid core plaque instability

Choices:
A. Large lipid core plaque instability
B. Inflammatory cell infiltration in less stable plaques
C. The vulnerability of the plaque containing large amounts of foam cells
D. The vulnerability of the plaque fibrous cap thinner

stability
atherosclerotic plaques
atherosclerotic plaque
following
wrong


Question: Following the relevant trace element (trace element) of the statements is wrong?

Answer: beriberi disease because of the lack of selenium (selemuim)

Choices:
A. beriberi disease because of the lack of selenium (selemuim)
B. Lack of zinc (zinc) can cause baldness (alopecia)
C. Received gastrectomy patients vulnerable to lack of iron (iron)
D. Lack of vitamin D can cause osteoporosis (osteoporosis)

Following
relevant trace element
trace element
wrong


Question: About the narrative rectocele, which of the following error?

Answer: Will have symptoms, so be sure to surgery

Choices:
A. Usually occurs between the distal rectum to the anal sphincter proximal tube
B. Often the cause is not only caused by a single
C. Will have symptoms, so be sure to surgery
D. In addition to surgical treatment rectally, vaginally may be


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

Answer: Muscle vibration required by needle EMG (needle EMG) examination for diagnosis

Choices:
A. Muscle fibers contract in the same by a movement unit (motor unit)
B. Physiological muscle tremor may occur due to stress or strenuous exercise
C. Pathological muscle fibrillation often occurs in motor neuron disease (motor neuron disorder)
D. Muscle vibration required by needle EMG (needle EMG) examination for diagnosis

following related muscle vibration
fasciculation
wrong


Question: The following related collagen (collagen) of the narrative, what's right?

Answer: Containing specific amino acid hydroxyproline (4-hydroxyproline)

Choices:
A. Right hand (right-handed) helical collagen (collagen helix) of the [alpha] chain (α chain) consists of three amino acid repeats consisting of a helical
B. Each of which rings (Turn) containing four amino acid residues (amino acid residues)
C. Their construction generally contain structural Glu-X-Y repeats of
D. Containing specific amino acid hydroxyproline (4-hydroxyproline)

following related collagen
collagen
right


Question: Compared to maintain the posture of the back muscles, the following statements about the operations of the fine motor muscles of the fingers, whichever is correct?

Answer: Higher ATP enzyme myosin (myosin ATPase) activity

Choices:
A. Oxidation (oxidative capacity) higher
B. Higher ATP enzyme myosin (myosin ATPase) activity
C. Type I muscle fibers (type I fibers) more
D. Red muscle (red muscles) more

to
posture of
back muscles
following
operations
fine motor muscles
fingers
correct


Question: Which of the following molecules are involved in the intracellular part of glycerophospholipid and messaging?

Answer: phosphatidylinositol

Choices:
A. arachidonic acid
B. vitamin C
C. phosphatidylinositol
D. phosphatidylethanolamine


Question: According to the first-order kinetics, how long drinking 200 ml of water, half of the water will drain the stomach to the duodenum?

Answer: 12 minutes

Choices:
A. 5 minutes
B. 12 minutes
C. 20 minutes
D. 35 minutes

first-order
long drinking 200 ml of water
half
water
drain
stomach
duodenum


Question: Which of the following vaccine for oral dosage form?

Answer: Rotavirus vaccine (Rotavirus vaccine)

Choices:
A. Hepatitis A Vaccine (Hepatitis A vaccine)
B. Rotavirus vaccine (Rotavirus vaccine)
C. Bacillus Calmette-Guerin (BCG vaccine)
D. Varicella vaccine (Varicella vaccine)


Question: The following statements about multiple sclerosis (multiple sclerosis), and what's right?

Answer: Some patients with multiple sclerosis can cause or aggravate seizures in the case of an elevated body temperature, a phenomenon known phenomenon Uhthoff

Choices:
A. A typical multiple sclerosis occur in young people aged 20 to 40, and men significantly more than women
B. Common symptoms include spinal cord demyelination, both sides of the auditory nerve palsy and a large area like symptoms of stroke
C. Patients often have multiple sclerosis phenomenon similar current flows in the back, this phenomenon is often due to cervical rearwardly extending obtained soothing, characterization This characterization is called Lhermitte
D. Some patients with multiple sclerosis can cause or aggravate seizures in the case of an elevated body temperature, a phenomenon known phenomenon Uhthoff

following
multiple sclerosis
multiple sclerosis
right


Question: Nasal and sinus disease so-called "Pott puffy tumor" means:

Answer: Frontal bone osteomyelitis (frontal bone osteomyelitis)

Choices:
A. Frontal bone osteomyelitis (frontal bone osteomyelitis)
B. Sinus tumor (ethmoid tumor)
C. Subperiosteal orbital abscess (orbital subperiosteal abscess)
D. Nasolabial cysts (nasolabial cyst)

Nasal
sinus disease
called
Pott puffy tumor


Question: Month-old baby hospitalized because white stool examination. Direct bilirubin in the blood is 5.0 mg / dL. Blood, urine, bacteria and virus check is negative. In the following examination, the diagnosis of biliary atresia what most reliable?

Answer: Percutaneous liver slices

Choices:
A. Nuclear Medicine DISIDA liver scan
B. Abdominal ultrasound
C. Percutaneous liver slices
D. Duodenal fluid analysis

Month old baby hospitalized
white stool
Direct bilirubin in
blood
5 0 mg
dL
Blood
urine
bacteria
check
negative
following
diagnosis
biliary atresia
most


Question: From the previous question, postoperative patients gradually progress to the legs can walk on their own. After aneurysmal bone cyst surgery, radiation therapy need it?

Answer: Depending on the situation to decide whether the lesion after radiotherapy

Choices:
A. Need radiation therapy
B. Requires stereotactic radiotherapy
C. Need Gamma (Gamma knife) radiation therapy
D. Depending on the situation to decide whether the lesion after radiotherapy

previous
postoperative patients
progress
legs
aneurysmal bone cyst surgery
radiation therapy need


Question: The most likely diagnosis is presented in the figure below:

Answer: Ovarian cancer

Choices:
A. Endometrial cancer
B. Colorectal cancer
C. Bladder Cancer
D. Ovarian cancer


Question: free ammonia in the cells by enzymatic action that one, which was converted to non-toxic L-glutamine?

Answer: glutamine synthetase

Choices:
A. glutaminase
B. glutamine synthetase
C. glutamate dehydrogenase
D. aspartate aminotransferase


Question: The following information about E. coli DNA copy of the narrative, what's right?

Answer: Need to start from the period of synthetic RNA primer (primer)

Choices:
A. Many of the GU-rich sequence near the origin of replication (replication origin)
B. By the DNA polymerase I in charge of leading shares (leading strand) of the synthesis
C. Need to start from the period of synthetic RNA primer (primer)
D. Single-stranded DNA binding protein (single-strand DNA-binding proteins) responsible for opening the double-stranded


Question: Endocrine glands (endocrine gland) mainly by the follicles (follicle) is composed of:

Answer: Thyroid (thyroid gland)

Choices:
A. Pancreas (pancreas)
B. Adrenal gland (adrenal gland)
C. Thyroid (thyroid gland)
D. Pineal gland (pineal gland)

Endocrine glands
endocrine gland
follicles
follicle


Question: About narrative osteomyelitis (osteomyelitis), He's the most correct?

Answer: For intravenous drug addicts infected with osteomyelitis, a priority species of bacteria were Staphylococcus aureus (Staphylococcus aureus), Pseudomonas aeruginosa

Choices:
A. The most common cause of osteomyelitis in adults is blood infection (hematogenous infection)
B. When the reproduction of bacteria form colonies will destroy the blood circulation of the bone tissue, necrotic, called cladding bone (involucrum) within the bone
C. Patients with chronic osteomyelitis, which would exceed most blood leukocytes 12000 / mm3
D. For intravenous drug addicts infected with osteomyelitis, a priority species of bacteria were Staphylococcus aureus (Staphylococcus aureus), Pseudomonas aeruginosa

About
osteomyelitis
osteomyelitis
most correct


Question: Where patients can cause damage to the following appears dynamic trembling (intention tremor), moving pieces disorder (dysmetria) and postural instability (unstable posture) and other movement disorders symptoms?

Answer: Cerebellum

Choices:
A. Cerebral motor cortex
B. Cerebellum
C. Basal ganglia
D. Midbrain

patients
cause damage
following appears dynamic trembling
intention tremor
moving pieces disorder
dysmetria
postural instability
unstable posture
movement disorders symptoms


Question: Sigmoid colon (sigmoid colon) Which of the following import veins?

Answer: Inferior mesenteric vein (inferior mesenteric vein)

Choices:
A. Inferior mesenteric vein (inferior mesenteric vein)
B. Superior mesenteric vein (superior mesenteric vein)
C. Portal vein (portal vein)
D. Splenic vein (splenic vein)

Sigmoid colon
sigmoid colon
following
veins


Question: In preterm children, the most common type of cerebral palsy:

Answer: Bilateral limb paralysis (diplegia), lower limb more serious

Choices:
A. Limb paralysis (hemiplegia), more severe upper limb
B. Limb paralysis (hemiplegia), lower limb more serious
C. Bilateral limb paralysis (diplegia), more severe upper limb
D. Bilateral limb paralysis (diplegia), lower limb more serious

preterm children
most common type
cerebral palsy


Question: The following is what structure is derived from the hindbrain (metencephalon)?

Answer: Cerebellum (cerebellum)

Choices:
A. 延腦（medulla oblongata）
B. Cerebellum (cerebellum)
C. Thalamus (thalamus)
D. Hypothalamus (hypothalamus)

following structure derived hindbrain metencephalon


Question: A 72-year-old healthy man two days before slipping in the bathroom, complained of right hip pain unable to walk, X-ray display femoral neck fracture (femoral neck fracture) consolidation shift, following the disposal, whichever is most appropriate?

Answer: Semi-artificial hip replacement (hemiarthroplasty)

Choices:
A. Plaster
B. Once reset, the right lower extremity skin traction two weeks
C. Once reset, the right lower limb bones traction four weeks
D. Semi-artificial hip replacement (hemiarthroplasty)

72 year old healthy man two days
bathroom
right hip pain unable to
X-ray display femoral neck fracture
femoral neck fracture
consolidation shift
following
most appropriate


Question: Which of the following characteristics of bacteria is initially determined to increase monocytogenes infection of an important basis for Listeria (Listeria monocytogenes)?

Answer: Sports

Choices:
A. Hemolytic
B. Sports
C. Staining
D. Serotype

following characteristics
bacteria
initially
to increase
infection
important basis


Question: Narrative about pelvic fractures, which of the following non?

Answer: The most common cause of death in patients with pelvic fractures because of abdominal injury at the same time (abdominal injury)

Choices:
A. The most dangerous complication of pelvic fracture bleeding (hemorrhage)
B. The most common cause of death in patients with pelvic fractures because of abdominal injury at the same time (abdominal injury)
C. About 15% of patients with pelvic fractures consolidation of the genitourinary system damage (urologic injuries)
D. When the male urethra pelvic fracture patients have bleeding (blood at urethral meatus), the implementation of retrograde cystourethrography


Question: Bearing on the question, which of the following most do not need for emergency treatment of the patient?

Answer: Give oral allopurinol

Choices:
A. Intravenous NaHCO3, the pH was basified blood
B. Give oral allopurinol
C. Intravenous injection of rasburicase
D. Intravenous calcium

Bearing
following most
not need for emergency treatment
patient


Question: For the treatment of immune related to biological agents (Biologicals, such as monoclonal antibodies) produced by the side effects, which of the following error?

Answer: Cushing's syndrome

Choices:
A. cytokine release syndrome
B. flu-like symptoms
C. vascular leak syndrome
D. Cushing's syndrome

treatment
immune related
biological agents
Biologicals
monoclonal antibodies
side effects
following error


Question: The following related drooping eyelids (ptosis) narrative, what's wrong?

Answer: Horner's syndrome (Horner's syndrome) belongs to the acquired ptosis, its transfer (myogenic mechanism) as a muscular machine

Choices:
A. Orbicularis muscle (orbicularis oculi muscle), Mullerian muscle (Müller's muscle) and lifting the eyelid muscle (levator palpebrae muscle)
B. Ptosis can be divided into innate and acquired, which in turn acquired in accordance with the transfer machine into nerve (neurogenic), muscular (myogenic) or traumatic (traumatic)
C. Horner's syndrome (Horner's syndrome) belongs to the acquired ptosis, its transfer (myogenic mechanism) as a muscular machine
D. Depending on the severity can be divided into mild, moderate and severe, and the amount of fascia sling (frontalis muscle fascial sling technique) is to use

following related drooping eyelids
ptosis
wrong


Question: Statements about human papillomavirus (HPV) is, which of the following error?

Answer: The first type 6 and 11 is a high-risk type

Choices:
A. The biopsy, koilocytosis HPV infection is characterized
B. The first type 6 and 11 is a high-risk type
C. 16 is a type of cervical cancer and the most common type of precancerous lesions do not
D. The HPV E6 and E7 oncoproteins genus


Question: The following information about Wilson's (hepatolenticular degeneration; Wilson disease) disease described and what was right?

Answer: Often appear in the patient's cornea Keith diagnostic value - the Buddha to Sri Lanka ring (Kayser-Fleischer ring)

Choices:
A. Patient serum copper content increases, but since the precipitate in the liver and brain, the total amount of copper in the 24-hour urine has decreased
B. The disease belongs to the dominant genetic disease autologous
C. Often appear in the patient's cornea Keith diagnostic value - the Buddha to Sri Lanka ring (Kayser-Fleischer ring)
D. All patients are the first to feature neurological abnormalities first appear, after only appeared abnormal liver function

following
hepatolenticular degeneration
Wilson disease
disease
right


Question: The following upper limb muscles, whichever stop (insertion) in the skin?

Answer: Palm brevis (palmaris brevis)

Choices:
A. Palm longus (palmaris longus)
B. Palm brevis (palmaris brevis)
C. Hypothenar muscle (hypothenar muscles)
D. Thenar muscles (thenar muscles)

following upper limb muscles
stop
insertion
skin


Question:
36.50-year-old Mr. Liu because of stomach cancer, a half months ago to accept the Radical subtotal gastrectomy surgery (radical subtotal gastrectomy & Billroth-II gastrojejunostomy, ante-colic, pathological examination T2b N1M0. Recovery went smoothly, was discharged after 10 days. Two days prior abdominal discomfort, abdominal pain and vomiting begin three hours before, when emergency vital signs stable, but take the cold. on physical examination abdominal tenderness, abdominal mass suspected to touch, increased bowel movements, in addition to serum amylase 867 U / L,
 / Mm3, the normal blood test. After only a few nasogastric tube into the stomach acid, then the most likely diagnosis Why?

Answer: afferent loop syndrome

Choices:
A. gastric cancer recurrence
B. anastomotic leakage
C. acute pancreatitis
D. afferent loop syndrome

36 50 year old Mr
of stomach cancer
half months
to accept
Radical subtotal surgery
radical subtotal
Billroth-II gastrojejunostomy
ante colic
pathological examination T2b
Recovery
10 days
Two
prior abdominal discomfort
abdominal pain
vomiting begin three hours
emergency vital signs stable
cold
abdominal tenderness
abdominal mass suspected to touch
increased bowel movements
serum amylase
U
L
Mm3
normal blood test
only
few nasogastric tube
stomach acid
then
diagnosis


Question: Using the Sanger method sequencing DNA, use of reagents dideoxy analog that has one of the following functions?

Answer: DNA synthesis may be aborted

Choices:
A. DNA synthesis may be aborted
B. Hydrolytic cleavage of the phosphoester bond of the DNA
C. Synthetic primer (Primer) component
D. No synthetic DNA 5 'end phosphate roots

Using
method sequencing DNA
use of
one
following functions


Question: Behavior change process can be divided into attempts (want to change), commitment (determined to change), action (exercise change) and sustained (strong change) four stages. If you can not establish new behaviors persist, resulting in the re-emergence of old behavior, what this phenomenon is commonly referred to?

Answer: Relapse

Choices:
A. change
B. Relapse
C. Modify
D. strengthen

process
divided
to change
to change
action
exercise change
sustained
strong change
four stages
not establish new behaviors
resulting in
re
old behavior
referred to


Question: Complement (Complement) is secreted by the liver cells and then released into the blood, which contains C1 ~ C9 nine small molecules, which when activated, where bacteria may cause collapse of holes in the surface of the bacteria?

Answer: C5b-9

Choices:
A. C3
B. C3a, C5a
C. C4b2a
D. C5b-9

Complement
Complement
secreted
then released
blood
contains C1
C9 nine small molecules
bacteria
cause collapse
holes
surface
bacteria


Question: About the normal human blastocyst (Blastocyst) of the narrative, what's wrong?

Answer: The narrow portion of the fallopian tube is started and a contact portion pot Development

Choices:
A. The narrow portion of the fallopian tube is started and a contact portion pot Development
B. About 72 hours and then staying at the implantation in the uterine cavity Endocrinology
C. Preimplantation be hatched by the zona pellucida (Zona pellucida)
D. Differentiation prior to implantation blastocyst inner cell mass (Inner cell mass) and an outer layer embryo Zi (Trophectoderm)

normal human blastocyst
Blastocyst
wrong


Question: The most common stroke patients voiding dysfunction Why?

Answer: Detrusor hyperreflexia

Choices:
A. No bladder contractility
B. Bladder neck obstruction function
C. External urethral sphincter ataxia
D. Detrusor hyperreflexia


Question: A disease screening method results in the following table, the following is that a false positive rate (false positivity)?

Answer: c/(c+d)

Choices:
A. a/(a+b)
B. a/(a+c)
C. d/(b+d)
D. c/(c+d)

disease method results
following table
following
false positive rate
false positivity


Question:
31. a 3-year-old boy, fever, cough three days, and have a sore throat and hoarseness. Check blood leukocytes 11000 / uL, wherein the segment accounts for 45%, lymphocyte accounted for 50%, monocyte accounting
 3%, eosinophil 2%. Physical examination of lung breath sounds coarse (coarse breathing
 sound), no crackles (rales) song or asthma (wheezing). So please answer the following three questions. X Check the following clinical diagnosis Which of the following is most likely?

Answer: Croup (croup)

Choices:
A. Croup (croup)
B. Softening throat (laryngomalacia)
C. Tonsillitis (tonsillitis)
D. Bacterial tracheitis (bacterial tracheitis)

31
3 year old boy
fever
cough three days
sore throat
hoarseness
Check
uL
segment accounts
accounted
50
3
lung breath sounds coarse
coarse breathing sound
crackles
rales
asthma
wheezing
following three
Check
following clinical diagnosis
following


Question: About 34 of the following infectious mononucleosis ball by the Epstein-Barr virus induced polycythemia (infectious mononucleosis) clinical manifestations, what's wrong?

Answer: Usually not fever

Choices:
A. Usually not fever
B. Most of the patients with cervical lymphadenopathy phenomenon
C. 50% of patients had an enlarged spleen
D. In between the hard and soft palate patients can be seen petechiae

following infectious mononucleosis ball
induced polycythemia
infectious mononucleosis
clinical manifestations
wrong


Question: A patient suffering from ankylosing spondylitis, one day Tujue left eye swelling, photophobia and blurred vision. Which of the following is the preferred therapy?

Answer: local glucocorticoid administration

Choices:
A. methotrexate
B. hydroxychloroquine
C. local glucocorticoid administration
D. azathioprine

patient suffering
ankylosing spondylitis
one day
left
photophobia
blurred vision
following
preferred therapy


Question: The following related proliferative diabetic retinopathy (proliferative diabetic retinopathy, PDR) of the narrative, what's wrong?

Answer: Can lead to traction retinal detachment (tractional retinal detachment)

Choices:
A. Proliferative retinopathy occurs mainly in the subretinal space (subretinal space)
B. Retinal angiogenesis (neovascularization) is a feature of this disease
C. Can cause vitreous hemorrhage (vitreous hemorrhage)
D. Can lead to traction retinal detachment (tractional retinal detachment)


Question: The process of gender development of the fetus, that event was the first to take place?

Answer: Mullerian (Müllerian duct) degradation

Choices:
A. Mullerian (Müllerian duct) degradation
B. V husband's ear canal (Wölffian duct) degradation
C. V differentiation husband's ear tube
D. Differentiation of Mullerian

process
gender development
fetus
event
first to
place


Question: And calcium concentration in blood cells are involved in the regulation:

Answer: Parathyroid chief cells (chief cells of parathyroid gland)

Choices:
A. Main pineal gland cells (pinealocytes)
B. Thyroid follicular cells (thyroid follicular cells)
C. Adrenal chromaffin cells (chromaffin cells)
D. Parathyroid chief cells (chief cells of parathyroid gland)

calcium concentration in blood cells
involved


Question: Which of the following is the use of beta-adrenergic agonist tocolysis possible complications?

Answer: pulmonary edema

Choices:
A. pulmonary edema
B. hypoglycemia
C. deep vein thrombosis
D. hypertension


Question: According Glasgow Coma Scale, if the hospitalization, all eyes without any irritation to the eyes, body showed opisthotonus, language and without any reaction, it is a bit Coma Scale?

Choices:
A. 2
B. 3
C. 4
D. 5

Glasgow Coma Scale
eyes
irritation
eyes
body
opisthotonus
reaction
bit Coma Scale


Question: A group, if half of the members have immunity and the other half no, if the pandemic, if every infected person will infect two people, and there will be no repeat infection occurs, the trends are:

Answer: 1－1－1－1⋯⋯

Choices:
A. 1－1－1－1⋯⋯
B. 1－2－4－8⋯⋯
C. 1－4－16－64⋯⋯
D. 1－8－64－512⋯⋯

group
half
immunity
half
infected
infect two
repeat infection occurs
trends


Question: The following activation of that protein can accelerate the relaxation of the myocardium, the congestion of the ventricles increase the proportion of time?

Answer: Online sarcoplasmic calcium pump (Ca2 + ATPase)

Choices:
A. Cell membrane L- type calcium channel (L-type Ca2 + channels)
B. Online sarcoplasmic Lei Ennuo RyR (ryanodine receptors)
C. Muscle-rotating element (troponin)
D. Online sarcoplasmic calcium pump (Ca2 + ATPase)

following activation
protein
accelerate
myocardium
congestion
ventricles increase
proportion
time


Question: If the patient's cardiac output is 4900 mL / min, heart rate of 70 beats / min, left ventricular end-systolic volume of 70 mL, the ejection ratio of the patient (ejection fraction) several?

Answer: 0.5

Choices:
A. 0.45
B. 0.5
C. 0.55
D. 0.6

patient's cardiac output
mL
min
heart rate
70 beats
min
left ventricular end-systolic volume
70 mL
ejection ratio
patient
ejection fraction
several


Question: A 66-year-old male hypertensive patients with a history of 30 years of smoking, a young man had a history of asthma, recently found to have diabetes, the doctor suggested adding "NHI common diabetes care network." The following management processes of diabetes care, that a mistake?

Answer: A year peripheral arteriosclerosis inspection

Choices:
A. Glycated hemoglobin check every three months
B. Fundus retinopathy year
C. A year peripheral arteriosclerosis inspection
D. Plantar neurological examination arrangements when needed

66 year old male hypertensive patients
history of 30 years
smoking
young man
history of asthma
recently found to
diabetes
doctor
adding
common
network
following
processes
mistake


Question: Statements about the fetal heart of the system, what's wrong?

Answer: Pulmonary venous blood from the lungs to the left atrium back to oxygenated

Choices:
A. About one-third of blood right atrium into the left atrium through the foramen ovale
B. Pulmonary venous blood from the lungs to the left atrium back to oxygenated
C. Duct communicates aorta and the pulmonary artery
D. Between the umbilical vein and the vena cava venous catheters next


Question: There will be many who autoantibodies in patients with systemic lupus erythematosus, which of the following non?

Answer: Anti-Sm (Smith) antibody having specificity in lupus erythematosus systemic, can also be used to as an indicator of disease severity

Choices:
A. Antinuclear antibodies (ANA) can be used as the initial antibody screening disease
B. Anti-Sm (Smith) antibody having specificity in lupus erythematosus systemic, can also be used to as an indicator of disease severity
C. Also in the case of blood immune globulin may occur
D. Anti-double-stranded DNA (dsDNA) antibodies are an important indicator of disease severity

autoantibodies
patients
systemic lupus erythematosus
following non


Question: The following is an amino acid that kind of energy source for intestinal mucosal cells (enterocytes) of?

Answer: glutamine

Choices:
A. histidine
B. glutamine
C. valine
D. alanine

following
amino acid
kind of energy source
intestinal mucosal cells


Question: Which of the following clinical manifestations of familial high cholesterol is not a disease it?

Answer: High triglycerides

Choices:
A. High cholesterol
B. High triglycerides
C. Severe arteriosclerosis
D. Yellow tumors (xanthomas)

of
following clinical manifestations
familial high cholesterol
not
disease


Question: After orthopedic surgery the most common bacterial infection of wounds, Which statement is correct?

Answer: Staphylococcus

Choices:
A. Candida
B. Enterococcus
C. Staphylococcus
D. Pseudomonas

orthopedic surgery
most common bacterial infection
wounds
correct


Question: 2. ⼀ bit 35 year old man, because unconsciousness is sent home Face ⾄ emergency medical treatment, examination revealed ⾎ pumping over sodium ⾎ ADVANCED (160 mEq / L, the reference value of 135 ~ mEq / L). ADVANCED about ⾎ sodium (hypernatremia) process, the following description of what's most appropriate?

Answer: ⾎ correction does not exceed the amount of sodium 10 mM / day, water resistant to prevent brain swelling (cerebral edema)

Choices:
A. Water resistant chest upwards estimate the full amount (total-body water): Women are 60% of body weight, ⽽ men 50% of body weight
B. This male patient weighing 70 ⽄ If calculating the amount of the lack of free water (free-water deficit) of about 5000 c.c.
C. Areas subject to less perceptible loss (insensible losses) from about 5 mL / kg / day
D. ⾎ correction does not exceed the amount of sodium 10 mM / day, water resistant to prevent brain swelling (cerebral edema)

2
bit 35 year old man
unconsciousness
sent home Face
emergency medical
revealed
pumping
sodium
ADVANCED
mEq
L
reference value
mEq
L
ADVANCED
sodium
hypernatremia
process
following
appropriate


Question: 50 year old woman, in an interview with routine breast photography found beneath the right breast side have microcalcifications (micro-calcification) characterization of clinical physical examination can not touch the tumor location, ask the patient most likely diagnosis is:

Answer: ductal carcinoma

Choices:
A. phyllodes tumor
B. medullary carcinoma
C. ductal carcinoma
D. lobular carcinoma

50 year old woman
routine breast photography found
right breast side
microcalcifications
micro calcification
clinical physical
not touch
tumor location
patient
likely diagnosis


Question: Use the following statements about the benefits of liver biopsy diagnosis of viral hepatitis-related liver diseases of various kinds, and what's wrong?

Answer: If the subject is too ⼩ liver biopsy will not provide an ample supply of information of the subject ⻑ should reach at least 0.5 cm ⾄

Choices:
A. If the subject is too ⼩ liver biopsy will not provide an ample supply of information of the subject ⻑ should reach at least 0.5 cm ⾄
B. Fibrosis caused by chronic hepatitis C, in an initial stage often occur ⽣ portal and periportal area (zone 1)
C. Fibrosis in non-alcoholic fatty liver disease caused by the initial stage occurs in the liver ⼩ Center Weighted vein (central perivenular) near (zone 3)
D. Liver biopsy is not supported while severe abdominal or pour water resistant ⾎ dysfunction delay ⻑

Use the following
benefits of liver biopsy diagnosis
viral hepatitis related
diseases
various kinds
wrong


Question: Ultrasound is used to diagnose which of the following best suited to musculoskeletal disorders?

Answer: tenosynovitis

Choices:
A. metastatic bone lesion
B. chronic bone infection
C. avascular bone necrosis
D. tenosynovitis

Ultrasound
used to diagnose
following best
musculoskeletal disorders


Question: General called chocolate cysts (chocolate cyst) is especially where it occurs in endometriosis?

Answer: Ovary

Choices:
A. bladder
B. Ovary
C. rectum
D. uterus

General called chocolate cysts
chocolate cyst
occurs
endometriosis


Question: Enterococcus faecalis (Enterococcus faecalis) are most likely to lead to these kind of disease?

Answer: Urinary tract infection (urinary tract infection)

Choices:
A. Pneumonia (pneumonia)
B. Meningitis (meningitis)
C. Food poisoning (food poisoning)
D. Urinary tract infection (urinary tract infection)


Question: Related to chronic kidney disease - mineral bone disease (chronic kidney disease-mineral bone disorder) abnormal calcium and phosphorus, the following statements is wrong?

Answer: Fibroblast growth factor 23 (FGF-23) stimulates parathyroid hormone generated

Choices:
A. Glomerular filtration rate will decline to reduce the urinary excretion of phosphorus, parathyroid hormone and thus promoting (PTH), and fibroblast growth factor 23 (fibroblast growth factor 23, FGF-23) to generate
B. Fibroblast growth factor 23 (FGF-23) increase, inhibit the activity of vitamin D3 generation, promotion of hypocalcemia
C. Fibroblast growth factor 23 (FGF-23) stimulates parathyroid hormone generated
D. Serum fibroblast growth factor 23 (FGF-23) is too high, patients with chronic kidney disease related mortality positive

chronic kidney disease mineral bone disorder


Question: Following on cerebral palsy (cerebral palsy; CP) described and what was right?

Answer: Epilepsy (seizure) is most common in hemiplegic (hemiplegia) and quadriplegia type CP

Choices:
A. Most often associated with mental retardation are on both sides of paralytic (diplegia) CP
B. Hyperbilirubinemia (hyperbilirubinemia) most often caused by Xu action type (athetoid) CP
C. Low birth weight of cerebral palsy, the most common type of paralysis of the limbs (quadriplegia) CP
D. Epilepsy (seizure) is most common in hemiplegic (hemiplegia) and quadriplegia type CP

Following
cerebral palsy
cerebral palsy
CP
right


Question: About bronchiectasis, following statements is true?

Answer: The main cause is due to obstruction and infection

Choices:
A. Is one of the three symptoms of Goodpasture's syndrome
B. Most violations of the leaf
C. Most violations of the proximal bronchial
D. The main cause is due to obstruction and infection


Question: A 53-year-old male patient complained of abdominal pain. Their abdominal ultrasound and computed tomography scan showed a considerable expansion of the main pancreatic duct and pancreatic head are changes cystic lesions, and the patient serum amylase was 720 IU / L, lipase is 1,200 IU / L, while presenting its ERCP duct and ampulla of Vater and the mucous expandable material flows. This patient most likely diagnosis is:

Answer: intraductal mucin-producing tumor

Choices:
A. mucinous cystadenoma
B. serous cystadenoma
C. intraductal mucin-producing tumor
D. papillary and cystic tumor of the pancreas

year old male patient
abdominal pain
abdominal ultrasound
computed tomography scan
of
main pancreatic duct
pancreatic head
changes cystic lesions
patient serum amylase
720 IU
L
lipase
1 200 IU
L
ERCP duct
ampulla of Vater
mucous
patient
likely diagnosis


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

Answer: Mainly in the auditory cortex of the frontal lobe

Choices:
A. The audible message can be passed into the right ear sides cerebral cortex
B. Mainly in the auditory cortex of the frontal lobe
C. May issue a message brainstem inhibitory receptor inhibition inner ear hearing
D. Wernicke's area belonging to the auditory association cortex (auditory association cortex)


Question: No malignant cells avoid the immune cells to eliminate the role of the following ways?

Answer: Tumor cells can engulf and decompose T cells

Choices:
A. Tumor cells can engulf and decompose T cells
B. Lack of tumor cell surface adhesion molecules and peptide: MHCI molecules, etc.
C. Tumor cell surface antigen acts on T cells to become anergic (tolerize)
D. Tumor cells produce substances that inhibit the T cell


Question: About juvenile rheumatoid arthritis (Juvenile idiopathic arthritis, JIA), which of the following error?

Answer: Polyarticular (Polyarthritis) JIA patients with rheumatoid factor (Rheumatoid factor, RF) positive good prognosis than those with negative

Choices:
A. According to (ACR) diagnostic criteria of the American College of Rheumatology Medical Association, arthritis need to continue over 6 weeks
B. Polyarticular (Polyarthritis) JIA patients with rheumatoid factor (Rheumatoid factor, RF) positive good prognosis than those with negative
C. Systemic type (Systemic arthritis) in patients with JIA, sometimes complicated by macrophage activation syndrome (Macrophage activation syndrome), clinical manifestations of high fever, liver and spleen and lymph nodes, and other white blood cells to reduce
D. Oligoarticular (Oligoarthritis) JIA predispose patients with chronic uveitis (Chronic uveitis)

About juvenile rheumatoid arthritis
Juvenile idiopathic arthritis
JIA
following error


Question: Cancer cachexia (Cancer cachexia) Which of the following as the main causes?

Answer: A large number of cytokines (Cytokines) generation

Choices:
A. Most tumor uptake of nutrients
B. A large number of cytokines (Cytokines) generation
C. Loss of blood
D. Electrolyte imbalance

Cancer cachexia
Cancer cachexia
following
main causes


Question: Pigskin or orange peel-like lesions of breast cancer (peau d'orange) due to:

Answer: Subcutaneous lymphatic obstruction

Choices:
A. Subcutaneous lymphatic obstruction
B. Subcutaneous vascular occlusion
C. Skin ulcers
D. Milk duct obstruction

orange peel
lesions of breast cancer
peau d'orange


Question: Common NSAIDs of the following, whichever is selective COX-2 blockers?

Answer: celecoxib

Choices:
A. aspirin
B. celecoxib
C. ketorolac
D. indomethacin


Question: Right ear labyrinthectomy (labyrinthectomy) nystagmus seen what appear?

Answer: Horizontal nystagmus to the left

Choices:
A. Horizontal nystagmus to the right
B. Horizontal nystagmus to the left
C. Upward vertical nystagmus
D. Vertically downward nystagmus

Right ear labyrinthectomy
labyrinthectomy
nystagmus seen
appear


Question: Physician follow-up study of a long-term use of contraceptives side effects that may occur, observed deviation of the study (observation bias) that may occur in one of the following?

Answer: The occurrence of the situation to assess side effects

Choices:
A. Assessment of the situation taking birth control pills
B. Patients involved in the case of follow-up investigation
C. The occurrence of the situation to assess side effects
D. Statistical analysis of the results reported

Physician
of
long-term use
contraceptives side effects
occur
observed deviation
study
observation
occur
one


Question: Related to children and adolescents depressive disorder (depressive disorders), the following statements is wrong?

Answer: To diagnose low affective disorders (dysthymic disorder), the symptoms must be maintained for more than two years

Choices:
A. Possible to irritability (irritable) rather than to express the melancholy mood
B. Even if the weight is not decreased, or it might be less than the normal speed to show Tichongzengjia
C. To diagnose low affective disorders (dysthymic disorder), the symptoms must be maintained for more than two years
D. Prognosis will be the age of onset, severity, impact of comorbid psychiatric diseases

Related
children
adolescents depressive disorder
depressive disorders
following
wrong


Question: From the previous question, you want to determine the cause of the disease, which checks should be performed?

Answer: Throat viral culture

Choices:
A. Bronchoscopy
B. Throat culture
C. Throat viral culture
D. Do blood antibody test mycoplasma

previous to cause disease checks performed


Question: The following is a phenomenon that Jingshenfenlie patients often appear before the drugs?

Answer: Blink rate increases

Choices:
A. Increase agility behavior
B. Fine motor (fine motor) increases
C. Blink rate increases
D. Abnormal muscle tension reduction


Question: 30-year-old woman, 20 weeks pregnant, due to a suspected broken water was rushed to the delivery room, stable vital signs, no fever. Fetal ultrasonography at about 120 beats per minute, fetal position to the first position, the amniotic fluid index (AFI: amnionic fluid index) when 0, the clinic, found cervical dilation from 3 cm has been, and is significantly thinner, and continued outflow of amniotic fluid, but no bleeding situation. The most likely diagnosis is:

Answer: Cervical insufficiency

Choices:
A. Placenta previa
B. Placental abruption
C. Cervical insufficiency
D. Chorioamnionitis (chorioamnionitis)

30 year old woman
20 weeks pregnant
suspected
water
rushed
delivery room
stable vital signs
fever
Fetal ultrasonography
minute
fetal position
first
0
clinic
found cervical dilation
amniotic fluid
bleeding
diagnosis


Question: From the previous question, said disorders, the most widely used in first-line treatment is:

Answer: Corticosteroid treatment (corticosteroid therapy)

Choices:
A. Plasma exchange (plasmapheresis)
B. Corticosteroid treatment (corticosteroid therapy)
C. Immunoglobulin therapy (immunoglobulin therapy)
D. Administration of the drug acyclovir

previous
disorders
most
used
first-line treatment


Question: Emergency physician on duty received a referral of patients: a 60-year-old woman, in the clinic due to ovarian cyst surgery, intraoperative findings as the right of a high index of suspicion of ovarian cancer, and has spread to the abdominal cavity, omentum forming lumps ( omentum cake), but not the diaphragm or liver metastases. The clinic without making any surgery, the wound is closed and simply transfer the hospital immediately. When sent to hospital, sane, wound pain feeling, stable vital signs, blood pressure 138/86 mmHg, heart rate 86 bpm, only five wound suture needle, micro bleeding. The next disposal, whichever is most appropriate?

Answer: Immediately sent to the operating room laparotomy debulking surgery (debulking surgery)

Choices:
A. Immediately sent to the operating room laparotomy debulking surgery (debulking surgery)
B. Temporary administration of the chemotherapeutic 1, depending on the patient, the re debulking surgery
C. Emergency first computer tomography to assess intra-abdominal condition, re debulking surgery
D. Synchronizing a chemical and radiation therapy (concurrent chemoradiation), after the line to be reduced tumor debulking surgery

Emergency physician
received
60 year old woman
clinic due to ovarian cyst surgery
intraoperative findings
the right of
high index
ovarian cancer
spread
abdominal cavity
omentum forming lumps
omentum
not
diaphragm
liver metastases
clinic
making
surgery
wound
closed
transfer
hospital immediately
sent
hospital
wound pain
stable vital signs
blood pressure
mmHg
heart rate
only five wound suture needle
micro bleeding
next
most appropriate


Question: Immune response attacks autologous tissue cells produce immune diseases. Coombs and Gell classification in accordance with autoimmune diseases, immune response and that one of the following should be classified as the first type of allergic reaction (hypersensitivity)?

Answer: Stuffy nose and watery eyes happen immediately after inhalation of wind-borne pollen

Choices:
A. Systemic lupus erythematosus junior girls hemolytic anemia
B. Year-old boy was found bleeding gums caused by the tendency of anti-platelet antibodies
C. Three days after subcutaneous injection of allergens cause the skin to produce lumps and fever
D. Stuffy nose and watery eyes happen immediately after inhalation of wind-borne pollen


Question: Which of the following drugs do not have the effect of improving osteoporosis?

Answer: danazol

Choices:
A. vitamin D
B. alendronate
C. raloxifene
D. danazol

following drugs
not
effect
improving osteoporosis


Question: Which of the following human parasites appear parthenogenesis (parthenogenesis) phenomenon?

Answer: Fecal nematode (Strongyloides stercoralis)

Choices:
A. Trichinella spiralis (Trichinella spiralis)
B. Fecal nematode (Strongyloides stercoralis)
C. Philippines Trichinella (Capillaria philippinensis)
D. East Trichinella (Trichostrongylus orientalis)

following
appear parthenogenesis
parthenogenesis


Question: Pair about the virus to its cellular receptors (cell receptor) is, which of the following error?

Answer: Parvovirus B19 (B19 virus) - M antigen red blood cells (erythrocyte M antigen)

Choices:
A. EB virus (Epstein-Barr virus) - CD21
B. Influenza virus (Influenza virus) - SA (sialic acid)
C. Parvovirus B19 (B19 virus) - M antigen red blood cells (erythrocyte M antigen)
D. Rhinovirus (Rhinovirus) - ICAM-1

Pair
cellular receptors
cell receptor
following error


Question: A full-term child birth weight 4.8 kg, with the first bit of self-produced channel output, after the birth of this baby's physical examination found that startle reflex (Moro reflex) asymmetry, the right side did not respond. This baby while accompanied by cyanosis irregular respiratory effort, breathing action asymmetrical sides of the chest, there is no significant depression under the right costal margin, right lung sound auscultation of breath sounds is small; this clinical diagnosis of neonatal most likely Which of the following?

Answer: On the right upper arm plexus injury

Choices:
A. Right pneumothorax
B. The left lung collapse
C. On the right upper arm plexus injury
D. The right side of the lower arm plexus injury


Question: Eggs second meiotic division (second meiotic division) date of completion?

Answer: When the egg membrane of sperm penetration

Choices:
A. Before ovulation
B. When the follicle rupture ovulation
C. When the egg membrane of sperm penetration
D. After implantation

second meiotic division
second meiotic division
date
completion


Question: When the clinic and youth talks, Which of the following is the most appropriate way of talks?

Answer: Youth and teen parents separate talks with talks → → teenagers and parents together Talks

Choices:
A. Youth and teen parents separate talks with talks → → teenagers and parents together Talks
B. Teen individual meetings with parents and teens → Talks → Talks teenagers alone
C. Teen parents separate talks with parents → → teen talks with individual meetings
D. Teen individual meetings with parents and teens → Talks → Talks parents alone

clinic
youth talks
following
most appropriate
talks


Question: Which of the following is not a high-renin hypertension features?

Answer: The effect of diuretics

Choices:
A. Salt consumption does not affect the vasoconstriction
B. The effect of diuretics
C. B is curative sympathetic inhibitors
D. Efficacy of the angiotensin II antagonist

following
not
high-renin hypertension features


Question: 30-year-old pregnant woman, G2P1, production in the consultation results as shown below, will correct the fetal position notation Why?

Answer: RMA

Choices:
A. ROA
B. SPEAK
C. RMA
D. LMA

30 year old
results
correct
fetal position


Question: 34. Which of the following has periodic acid - Schiff properties (periodic acid-Schiff, PAS) positive reaction?

Answer: Reticular fibers (reticular fiber)

Choices:
A. Nerve fibers (nerve fiber)
B. Collagen fibers (collagen fiber)
C. Elastic fiber (elastic fiber)
D. Reticular fibers (reticular fiber)

following
periodic acid
Schiff properties
periodic acid-Schiff
PAS
positive reaction


Question: The central nervous system, cells having phagocytic ability is:

Answer: Microgel cells (microglia)

Choices:
A. Protoplasts stellate glia (protoplasmic astrocyte)
B. Stellate glia fibrous (fibrous astrocyte)
C. Oligodendrocyte glia (oligodendrocyte)
D. Microgel cells (microglia)


Question: When dealing with contaminated wounds (contaminated wound), which of the following is considered the most important method?

Answer: Debridement of necrotic tissue

Choices:
A. Bacterial culture and antibiotic use
B. Debridement of necrotic tissue
C. Replace every four hours of physiological saline gauze (wet dressing)
D. Close the wound as soon as possible, if necessary, skin grafting

contaminated wounds
contaminated wound
following
most important method


Question: 27 weeks a pregnant woman, G2P2, a baby girl birth, when the baby was born weak irregular breathing, no heartbeat, body and limbs blue-violet color. According to Apgar score, this baby should get a bit of color to the breakdown?

Choices:
A. 0
B. 1
C. 2
D. 3

27 weeks
baby girl birth
baby
born weak irregular
heartbeat
body
limbs blue violet
Apgar score
baby
bit
color
breakdown


Question: The following description of the characteristics of what's not Darier disease?

Answer: And endocrine abnormalities (such as diabetes) related

Choices:
A. Occur in seborrheic area, such as the scalp, face, upper body, etc.
B. One kind of autosomal dominant genetic
C. Brown plaque lesions or pimples
D. And endocrine abnormalities (such as diabetes) related

following
characteristics
not Darier disease


Question: 9. After a vacuum suction device to assist newborn delivered, temporal lobe and occipital head found a lump, it feels like there are fluctuations in sample bag, and across the suture. Physical examination found no prominent former fontanelle, blood pressure 40/25 mmHg, heart rate 190 times per minute, no neurological abnormalities, Which of the following is the most likely diagnosis?

Answer: Hematoma subgaleal (Subgaleal hemorrhage)

Choices:
A. Hematoma subgaleal (Subgaleal hemorrhage)
B. Bleeding (Epidural hemorrhage) epidural
C. Cephalic hematoma (Cephalohematoma)
D. Fetal tumor production (Caput succedaneum)


Question: Gluteal tuberosity (gluteal tuberosity) is located where?

Answer: Femur (femur)

Choices:
A. Iliac bone (ilium)
B. Sciatic (ischium)
C. Pubis (pubis)
D. Femur (femur)


Answer: May be considered a class IC antiarrhythmic drugs (antiarrhythmic agent), such as: flecainide or propafenone therapy

Choices:
A. If the patient's blood is unstable mechanical action could be considered a direct electric shock to correct such arrhythmias
B. If the blood pressure stable, consider using β-blocker or a calcium channel blocker (eg of diltiazem) for rate
C. Patients absence of contraindication, this arrhythmia for more than 12 hours should be considered for anticoagulant (anticoagulant) in order to reduce the risk of stroke
D. May be considered a class IC antiarrhythmic drugs (antiarrhythmic agent), such as: flecainide or propafenone therapy


Question: Regulatory T cells (Treg cells) in the pathogenesis of autoimmune diseases machine turn the human body and self-regulation of, what role?

Answer: In multiple sclerosis (multiple sclerosis) disorders, presenting the phenomenon of loss of function

Choices:
A. In lupus erythematosus disease (systemic lupus erythematosus, SLE), the initial inhibition lymphocytes (naïve lymphocytes) of the return (Homing)
B. In multiple sclerosis (multiple sclerosis) disorders, presenting the phenomenon of loss of function
C. In rheumatoid arthritis (rheumatoid arthritis) disease, showing an excessively high level function
D. In the pathogenesis of autoimmune diseases machine turn autologous human aspects, there is no role

pathogenesis
autoimmune diseases machine turn
human body
role


Question: When the third phase of pregnancy the cause of painless vaginal bleeding is most likely?

Answer: Placenta previa

Choices:
A. Placental abruption
B. Placenta previa
C. Premature birth
D. abortion

third phase
pregnancy
cause
painless vaginal bleeding


Question: Which of the following is not a full-term newborns have normal posture?

Answer: Pelvis flat against the bed prone position

Choices:
A. Limb flexion posture when lying down
B. Pelvis flat against the bed prone position
C. Hands to stretch out when the shock, then make hugging shape
D. Head to the side, presenting ipsilateral limbs stretch gesture

following
not
full-term newborns
normal posture


Question: That work does not belong to one of the following groups pneumoconiosis danger of?

Answer: Newspaper printing workers exposed scraps of paper fiber

Choices:
A. Newspaper printing workers exposed scraps of paper fiber
B. Silicon dioxide blasting dust exposure of workers
C. Refractory brick manufacturing workers exposed to asbestos
D. Shipbuilding workers exposed to asbestos


Question: Figure 1 is a serious brain hematoma mass effect (mass effect), this would make a brain cell mass effect disappears (Fig. 2 arrows); this is clinically very serious and critical situation, so did emergency surgery . After surgery, this configuration intracisternal restore visibility (arrow in FIG. 3), then the pool is the brain:

Answer: suprasellar cistern

Choices:
A. quadrigeminal cistern
B. prepontine cistern
C. suprasellar cistern
D. CP angle cistern

serious brain hematoma mass effect
mass effect
make
mass effect
arrows
very serious
critical
emergency surgery
surgery
configuration
visibility
arrow
then
pool
brain


Question: The following anti-TB drugs, only bacteriostatic (bacteriostatic), without sterilizing (bactericidal) effect whichever of Mycobacterium tuberculosis?

Answer: Ethambutol

Choices:
A. Isoniazid
B. Rifampin
C. Ethambutol
D. Pyrazinamide

following
drugs
only
sterilizing
effect
Mycobacterium tuberculosis


Question: 3-day-old Chen Xiaodi because of a rare congenital disease (Pierre-Robin Syndrome) live in the baby room, you have to use the camera in the discussion for him, but Chen is in the birth of deformed children in pain, which of the following is the best approach?

Answer: Must obtain consent of their families to the camera

Choices:
A. The camera will not harm the patient, without consent of their families
B. Must obtain consent of their families to the camera
C. Cover when discussing patient cases when displaying photos of its eyes, so that others can not be identified, without consent of their families
D. Apply to the Commission photographic Human Body

3-day old
rare congenital
Pierre-Robin Syndrome
live
baby room
to use
camera
discussion
birth of deformed children
pain
following
best approach


Question: The growth of a normal 6-year-old boy, after a fever (temperature over 39 ℃) there is loss of consciousness, twitching limbs, eyes hanging, black lips of the attack, about 3 minutes after regaining consciousness, and without any abnormal nerve activity . For this first episode of this child, that one of the following is wrong for parents to explain?

Answer: It is necessary to conduct brain imaging immediately

Choices:
A. EEG needs to be checked
B. There may not be a simple febrile convulsion
C. It is necessary to conduct brain imaging immediately
D. The future may not be re-occurrence of similar attack warning

growth
normal
year old boy
fever
temperature
loss of consciousness
twitching limbs
eyes hanging
black lips
attack
about
minutes
consciousness
abnormal nerve activity
first episode
child
one
following
wrong
to


Question: About narrative hyperlipidemia, Which of the following most inappropriate?

Answer: Blood triglyceride levels high, irrespective of heart disease

Choices:
A. Blood triglyceride levels high, irrespective of heart disease
B. Blood triglyceride levels high, the drug of choice for the treatment of fibric acid derivatives (fibric acid derivatives)
C. Blood low-density lipoprotein cholesterol (LDL-C) concentration is high, and heart disease
D. Treatment of hypercholesterolemia, the drug of choice is to make up spindles (statin)

About hyperlipidemia following inappropriate


Question: A 5-year-old child suffering from severe type β thalassemia disease (β-thalassemia major), and that following the disposal of a longer-inappropriate?

Answer: Immediate removal of the spleen

Choices:
A. Use of concentrated red blood cells white blood transfusion Save
B. When hemoglobin is preferably 9.5-10.5 g / dL, blood administration
C. Immediate removal of the spleen
D. Discharge to be given iron therapy

5 year old
suffering
severe
thalassemia disease
thalassemia major
following
longer inappropriate


Question: Related eye ciliary body (ciliary body), the following statements is this bad?

Answer: Ciliary muscle (ciliary muscle) is constituted by skeletal muscle

Choices:
A. Located in the iris ciliary body (IRIS) and the choroid (choroids) between
B. Ciliary muscle (ciliary muscle) is constituted by skeletal muscle
C. Ciliary epithelium (ciliary epithelium) may be secreted aqueous fluid (aqueous humor)
D. Slime aqueous humor from the venturi tube (canal of Schlemm) recovered

Related eye ciliary body
ciliary body
following
bad


Question: Acute myocardial infarction, if concurrent accelerated idioventricular rhythm, the most appropriate approach is:

Answer: Can be closely monitored

Choices:
A. Shock the heart so as to restore sinus rhythm
B. xylocaine intravenous injection
C. Intravenous amiodarone
D. Can be closely monitored


Question: Tuberculosis surgery indications does not cover what items?

Answer: Multiple bilateral pulmonary tuberculosis lesions

Choices:
A. After 6 months of drug treatment, TB is still cultivated and X-rays are still openings
B. Lower lobe tuberculosis bronchiectasis
C. When the possibility of cancer can not be excluded
D. Multiple bilateral pulmonary tuberculosis lesions


Question: At 19. After 45-year-old male with acute coronary occlusion guide Zhixin due to shock, an emergency coronary artery bypass surgery done, poor cardiac contractility, and therefore put the aortic balloon pump and extracorporeal membrane oxygenator after observing sent to the intensive care unit, left six hours found the situation bulging of the following statements is wrong? ① ② pulse extremity confirm possible blood creatine kinase (CK) ③ can increase the pressure of the measurement chamber, if greater than 20 mmHg fascia incision may be made ④ calf five chambers: anterior, deep posterior, superficial posterior, lateral and medial

Answer: ③④

Choices:
A. Only ①②
B. ②③
C. ③④
D. ①②④


Question: Hepatitis B infection on the way, which of the following error?

Answer: The prevalence of infection levels in the more important area

Choices:
A. Hepatitis B virus primarily via bodily fluids (including blood and reproductive fluid) infection
B. The prevalence of infection levels in the more important area
C. Vertical infection as the main mode of transmission in Taiwan
D. Is also a common route of infection of the toothbrush, razor, injection needles, blood transfusion, hemodialysis, sex, piercing, tattoos, etc.


Question: 91 statements about acute pancreatitis, which of the following error?

Answer: Prone to hypercalcemia (hypercalcemia)

Choices:
A. Histological examination of common fat necrosis (fat necrosis)
B. Gallstones are a common cause of acute pancreatitis
C. Prone to hypercalcemia (hypercalcemia)
D. PRSS1 gene mutations are the most common cause of hereditary pancreatitis


Question: The following statements about necrotizing vasculitis (necrotizing vasculitis) of what's wrong?

Answer: Inflammation in the large vessels

Choices:
A. The palpable purpura (palpable purpura) is a typical lesions
B. Is an immune complex diseases (immune complex disease)
C. Inflammation in the large vessels
D. Allergic purpura (Henoch-Schönlein purpura) but necrotizing vasculitis associated with the inflammation IgA

following
necrotizing vasculitis
necrotizing vasculitis
wrong


Question: A healthy person in a calm exhalation, which of the following will not happen?

Answer: Outer intercostal muscles (external intercostal muscles) shrinkage

Choices:
A. Alveolar pressure (alveolar pressure) is positive
B. Pleura internal pressure (intrapleural pressure) negative pressure
C. Outer intercostal muscles (external intercostal muscles) shrinkage
D. And about the same total amount of gas inhalation


Question: 60. A non- human immunodeficiency virus (HIV) infected CD4 + T cells, CD4 in combination with the first receptacle, and then combined with the sub-receptacle (co-receptor), but also the sub-acceptor species ⼀ chemokine receptor (chemokine receptor), which of the following sub-receiver If both alleles (allele) has a 32 bp (base pair) deletion in the open reading frame (ORF), the host will not be infected with HIV?

Answer: CCR5

Choices:
A. CCR2
B. CCR5
C. CXCR4
D. CXCR6

60
non
human immunodeficiency virus
infected
CD4
combination
first receptacle
then combined
sub receptacle
co receptor
sub
chemokine receptor
chemokine receptor
following sub receiver
alleles
bp
deletion
open reading frame
not
infected
HIV


Question: A 35-year-old woman, is the new residents from Indonesia, it was found to grow in Figure A in the face and upper limb asymptomatic ring red patches from the previous three months, whichever physician examination found no dander mycelium. Neurological examination revealed: skin lesions central tactile sensitivity is deteriorated; found in skin sections B, the epidermal cells found in the dermis appears (epithelioid cells) and giant cell infiltration in the formation of granulomas (granuloma); peripheral nerve tissue see also infiltration of inflammatory cells; chest X-ray, blood VDRL test results are normal. The most likely diagnosis is:

Answer: Han illness (leprosy; Hansen's disease)

Choices:
A. Han illness (leprosy; Hansen's disease)
B. Secondary syphilis (secondary syphilis)
C. Sarcoidosis (sarcoidosis)
D. Sporotrichosis (sporotrichosis)


Question: 17 following various causes peptic ulcer caused (peptic ulcer), the cause of what is important in the 1980s found? The discovery and won the 2005 Nobel Prize in Medicine.

Answer: Helicobacter pylori infection

Choices:
A. And excessive stomach acid protease
B. Insufficient blood supply mucosa
C. Insufficient mucus secretion mucosal
D. Helicobacter pylori infection


Question: About Lichen planus (lichen planus) narrative, which of the following error?

Answer: And more without clinical symptoms

Choices:
A. Purplish flat papules or plaques
B. And more without clinical symptoms
C. Lesions often has polygonal
D. Topical steroids can

Lichen planus
lichen planus
following error


Question: Which of the following is not a virus spread by respiratory tract?

Answer: Hepatitis C virus (HCV)

Choices:
A. Rhinovirus (rhinoviruses)
B. Coronavirus (coronaviruses)
C. Varicella-zoster virus (chicken pox viruses)
D. Hepatitis C virus (HCV)


Question: Account of the baby roseola (roseola), and which of the following error?

Answer: Infected children usually do not have a fever

Choices:
A. Face sixth class by herpes virus (human herpesvirus 6) infections caused by
B. Infected Face likely to produce ⽣ monocytes histiocytosis (mononucleosis)
C. Infected children usually do not have a fever
D. Face the body's disease virus can cause latent infection in T cells (latent infection)

Account
baby roseola
roseola
following error


Question: Liver bare area (bare area) which is located:

Answer: Diaphragmatic surface (diaphragmatic surface)

Choices:
A. Diaphragmatic surface (diaphragmatic surface)
B. Pressure trace spleen (splenic impression)
C. Pressure trace rib (costal impression)
D. Pressure trace kidney (renal impression) 14 Which of the following does not walk in the small omentum (lesser omentum) or form part of?


Question: 1 a 21-year-old man, a car accident caused extensive Subarachnoid hemorrhage (SAH) and renal side hematoma (perirenal hematoma) as shown below. Two days after judgment was the brain-dead state, while the shock, widowed urine, acute renal failure (BUN / Cre: 10 mg / dL / 1.1 mg / dL mg / dL / 2.7 mg / dL), the following statements is wrong?

Answer: The men must not become a kidney donor (cadaveric kidney donor)

Choices:
A. The men must not become a kidney donor (cadaveric kidney donor)
B. Acute renal failure there may be acute tubular necrosis (ATN) shock caused by the phenomenon
C. Ruoyu become kidney donors, best renal and ureteral no lacerations
D. When evaluating potential kidney donors (potential donor), renal ultrasonography is necessary


Question: There is a Japanese patients because of persistent severe muscle pain while hospitalized for treatment, interrogation know before the onset of raw bear meat after the start of gastrointestinal discomfort, followed by peripheral blood eosinophilic very significant increase in white blood cells, accompanied by fever, muscle pain and swelling of the face, according to the clinical symptoms, the patient should first consider which of the following parasitic diseases?

Answer: Trichinella disease (trichinosis)

Choices:
A. Angiostrongylus cantonensis disease (angiostrongyliasis)
B. Mukagi 囊蟲 disease (cysticercosis bovis)
C. Trichinella disease (trichinosis)
D. Bancroft schistosomiasis disease (wuchereriasis)


Question: Which of the following is not a side effect of adrenal cortical hormone?

Answer: Melanin deposition

Choices:
A. Osteoporosis
B. Immunosuppressive
C. Myopathy (myopathy)
D. Melanin deposition

following
not
side effect
adrenal cortical hormone


Question: Which of the following drugs is rapidly metabolized in the liver, where those with hepatic blood flow (blood flow-limited) has nothing to do?

Answer: Aspirin

Choices:
A. Alprenolol
B. Lidocaine
C. Isoniazid
D. Aspirin

following drugs
rapidly metabolized
liver
hepatic blood flow
blood flow limited
to


Question: From the previous question, if it is determined as the phrenic nerve damage, should be how to deal with?

Answer: If there is no difficulty breathing phenomenon, give oxygen to

Choices:
A. Repair quickly return to the operating room
B. If there is no difficulty breathing phenomenon, give oxygen to
C. Besides the first endotracheal tube inserted
D. In any case first sent to ICU

previous
determined
phrenic nerve damage
to


Question: On a drug that is most suitable for clinical treatment of atrial arrhythmias and the prevention of recurrence of myocardial infarction and sudden death?

Answer: propranolol

Choices:
A. verapamil
B. quinidine
C. propranolol
D. flecainide

drug
most suitable
clinical treatment
atrial arrhythmias
prevention of recurrence
myocardial infarction
sudden death


Question: The following kidneys and body organs related to the distribution of blood flow and oxygen consumption of the narrative, what's wrong?

Answer: Arteriovenous oxygen difference of body organs (arteriovenous oxygen difference) to the highest renal

Choices:
A. Unit kidney weight per minute blood flow (mL / g / min) to the maximum Renal Cortex
B. Arteriovenous oxygen difference of body organs (arteriovenous oxygen difference) to the highest renal
C. Renal medullary arterial oxygen partial pressure is lower than the cortex
D. Because the tubular renal medullary cells require a substantial amount of active uptake of sodium ions, extracted from blood required a considerable amount of oxygen

following kidneys
body organs related
distribution
blood flow
oxygen consumption
wrong


Question: 38 A 62 year old male suffering from asthma, the headache and dizziness due to out-patient clinics. History taking had told gout attacks, but the rules of the past history of hypertension treatment. Physical examination found that patients consciousness is still clear, blood pressure 178/98 mmHg, heart rate 72 / min and regular, jugular vein engorgement, there Gr 2/6 apical systolic heart murmur, no pulmonary rales, no hands and feet swollen. Electrocardiogram showed sinus rhythm (sinus rhythm) and left ventricular hypertrophy. The following combinations of drugs that patients taking the most suitable for this?  atenolol 100 mg QD  captopril 12.5 mg TID  furosemide 20 mg QD  amlodipine 5 mg QD

62 year old male suffering
asthma
headache
dizziness due to out-patient clinics
gout attacks
of
past history
found
patients consciousness
clear
blood pressure
98 mmHg
heart rate 72
min
regular
jugular vein engorgement
apical systolic heart murmur
pulmonary rales
hands
feet swollen
Electrocardiogram
sinus rhythm
sinus rhythm
left ventricular hypertrophy
combinations
drugs
patients
most suitable
atenolol 100 mg QD
captopril 12.5 mg TID
furosemide 20
amlodipine


Question: preformed antibody and immune or postoperative clinical immunology phenomenon Which of the following assessment of pre-clinical transplantation is most relevant?

Answer: hyperacute rejection

Choices:
A. hyperacute rejection
B. acute rejection
C. chronic rejection
D. acute tubular necrosis of kidney

antibody
immune
postoperative clinical immunology
following
pre
transplantation
most relevant


Question: Sinusitis infection caused by venous sinus thrombosis sponge, which of the following most frequently come through?

Answer: Intravenous angle (angular vein)

Choices:
A. Before facial vein (anterior facial vein)
B. After the facial vein (posterior facial vein)
C. Intravenous angle (angular vein)
D. Superficial temporal vein (superficial temporal vein)

Sinusitis infection caused
venous sinus thrombosis sponge
following most frequently


Question: The following statements about corner (anterior chamber angle), and what's wrong?

Answer: Myopic eye generally narrow corner

Choices:
A. Corner mirror (gonioscopy) may be used to observe corner
B. Trabecular meshwork (trabecular meshwork), sclera spine (scleral spur), projecting iris (iris process) can be seen when the corner is open (open)
C. Myopic eye generally narrow corner
D. Some angle-closure glaucoma is due to the crystalline lens during cataract lead to thickening

following
corner
anterior chamber angle
wrong


Question: Which of the following does not belong to neonatal complications of diabetes before pregnancy?

Answer: Hypercalcemia

Choices:
A. Respiratory distress
B. Hypoglycemia
C. Hypercalcemia
D. Hyperbilirubinemia

following
not
neonatal complications of diabetes
pregnancy


Question: A 38-year-old woman due to medical examination found that calcium was 11.2 mg / dL, the patient has no symptoms, the next step does not have to check include:

Answer: Blood cholesterol

Choices:
A. Blood parathyroid hormone
B. Blood alkaline phosphatase (alkaline phosphatase)
C. Blood cholesterol
D. Urinary calcium

year old woman due to
found
calcium
mg
dL
patient
symptoms
next step
not
to check include


Question: From the previous question, methods for the treatment of this patient, the following items where inappropriate?

Answer: Conservative therapy should be cured

Choices:
A. According to the general principle of treatment of pancreatitis
B. Recommended that patients receiving Whipple procedure
C. Conservative therapy should be cured
D. If necessary, shall make full pancreatectomy

previous methods treatment patient following inappropriate


Question: Sperm production (spermatogenesis) process, which of the following is generated in the first meiotic division (meiosis I) completed?

Answer: Secondary spermatocytes (secondary spermatocyte)

Choices:
A. Spermatogonia (spermatogonium)
B. Primary spermatocytes (primary spermatocyte)
C. Secondary spermatocytes (secondary spermatocyte)
D. Sperm cells (spermatid)

spermatogenesis
process
following
first meiotic division
meiosis I
completed


Question: The following statements about xeroderma pigmentosum (xeroderma pigmentosum) disease, what's wrong?

Answer: Lack of base excision repair (base excision-repair) function

Choices:
A. Is a hereditary disease
B. Patients to UV (Ultraviolet) sensitive, skin cancer prone
C. Part of the patients accompanied by neurological abnormalities (neurological abnormalities)
D. Lack of base excision repair (base excision-repair) function

following
xeroderma pigmentosum
xeroderma pigmentosum
disease
wrong


Question: About infant milk feeding of pure ⺟ of health education guidance, the following statements is most accurate?

Answer: Pure ⺟ breast feeding baby, after a ⽣ within 6 Month without added fluoride

Choices:
A. ⿎ Reed pure ⺟ breast-feeding a baby 12 Month zoomed ⾄
B. Pure ⺟ Rubu feed the baby-dimensional ⽣ vitamin K may be underexposed, an additional supplement after 6 Month
C. Pure ⺟ breast feeding baby, after a ⽣ within 6 Month without added fluoride
D. Premature children fed pure iron may ⺟ Rubu underexposed, an additional supplement; EMPTY Month child will be an ample supply, no additional supplement


Question: The following statements about basal ganglia function, whichever is correct?

Answer: For the system to perform a movement already complex movement patterns subconsciously Training (eg pitch into the basket) by, basal ganglia play an important regulatory role

Choices:
A. For the system to perform a movement already complex movement patterns subconsciously Training (eg pitch into the basket) by, basal ganglia play an important regulatory role
B. For fast movement of skeletal muscles (eg full-speed racing, fast typing, playing piano) of the quick start and quick stop in place, basal ganglia play an important regulatory role
C. If the basal ganglia damage, could easily lead to tendon reflex disappears
D. basal ganglia and the main motivation is related to the implementation of the free movement of skeletal muscle regulatory function

following
basal ganglia function
correct


Question: Psychiatric assessment and treatment on organ transplantation, which of the following error?

Answer: Organ recipient of the most common mental disorders is post-traumatic stress disorder

Choices:
A. Organ recipients often go through many difficulties and challenges to adapt to life
B. Wait, organ transplant assessment, adaptation process often produces postoperative stress reaction
C. Organ recipient of the most common mental disorders is post-traumatic stress disorder
D. Long-term steroid treatment after transplant surgery may lead to emotional disorders

Psychiatric assessment
treatment
organ transplantation
following error


Question: From the previous question, the answer to the drug problem is most likely to turn affect the role of warfarin through what machine?

Answer: Cytochrome (cytochrome) P450 effect

Choices:
A. Stomach pH change thereby affecting intestinal absorption
B. Cytochrome (cytochrome) P450 effect
C. Effect of P-glycoprotein (P glycoprotein) effect
D. Changing the rate of excretion of drug tubular

previous
drug problem
to turn
role
warfarin
machine


Question: From the previous question, which Mr. semen Report: sperm volume: 50,000 / mL, motility: 15% Which of the following is most appropriate?

Answer: Microscopic insemination (ICSI)

Choices:
A. Artificial insemination (IUI)
B. Baby gift (GIFT)
C. Testicular sperm sections (TESE)
D. Microscopic insemination (ICSI)

previous
Mr
semen Report
volume
50
mL
motility
following
most appropriate


Question: According to the 2015 American Heart Association Guidelines to Face Center Weighted Perform CPR, ventilation frequency and ventilation (tidal volume) to be provided, the following statements is less suitable?

Answer: When the inner plug endotracheal tube, into the chest compression and ventilation Face ratio of 30: 2

Choices:
A. When using the bag flap ⾯ cover (Bag-Valve-Mask), per minute ventilation to Face 10 to 12 times
B. When the inner plug endotracheal tube, into venting Face intervals of approximately every 6 seconds
C. When the inner plug endotracheal tube, into the chest compression and ventilation Face ratio of 30: 2
D. Maintaining every 6 ~ 7 mL / kg of ventilation

to Face Center Weighted Perform CPR
ventilation frequency
ventilation
tidal volume
to
following
less suitable


Question: Called scoop, that long jaw, bite caused by that kind of system?

Answer: Angle's class III

Choices:
A. Angle's class I
B. Angle's class II
C. Angle's class III
D. Overject

Called scoop
long jaw
bite caused
kind
system


Question: The following vasculitis, what's the relationship between smoking and the most closely in the early stages of the disease, quitting smoking can ease the worsening of the disease?

Answer: Thromboangiitis obliterans, vasculitis (thromboangiitis obliterans)

Choices:
A. Churg-Strauss syndrome
B. Polyarteritis nodosa (polyarteritis nodosa)
C. Thromboangiitis obliterans, vasculitis (thromboangiitis obliterans)
D. Henoch-Schönlein purpura

following vasculitis
relationship
smoking
most
early stages
disease
smoking
worsening
disease


Question: For these tubular sodium ion (Na +) reabsorption description, whichever error?

Answer: Twigs rising section of the loop of Henle (thin ascending limb of loop of Henle) responsible for the epithelial sodium channel (epithelial sodium channel)

Choices:
A. Mainly by proximal tubular sodium - glucose co-transporter (sodium-glucose cotransporter) responsible for
B. Asperata rising section of the loop of Henle (thick ascending limb of loop of Henle) of sodium - responsible chloride cotransporter (Na + -K + -2Clcotransporter) - potassium
C. Twigs rising section of the loop of Henle (thin ascending limb of loop of Henle) responsible for the epithelial sodium channel (epithelial sodium channel)
D. Distal tubule (distal convoluted tubule) of sodium - responsible chloride cotransporter (Na + -Cl- cotransporter)


Question: Statements about laryngeal angioedema (laryngeal angioedema), the error which of the following?

Answer: This disease is limited to the throat

Choices:
A. Tissue vasodilatation, increased vascular permeability edema, may be fatal
B. By injection of drugs, food or the like caused by insect bites
C. Treatment must quickly adrenaline (epinephrine), oxygen, antihistamine (antihistamine) and steroids (Steroid)
D. This disease is limited to the throat

laryngeal angioedema
laryngeal angioedema
error
following


Question: Which of the following classes belonging opioid formulation for diarrhea, the normal amount of non-addictive or respiratory depression?

Answer: loperamide

Choices:
A. codeine
B. meperidine
C. octreotide
D. loperamide

following
opioid
diarrhea
normal amount
non addictive
respiratory depression


Question: He is 75 years old, aboriginal, subdural hemorrhage and brain stem compression of the left occurs, to the intensive care unit observation after surgery to remove a blood clot successfully accepted. 3 days after waking up, after the first 5 days successfully extubated, he seemed anxious that do not understand the words, continue to want to get out of bed. How should dispose of the surgeon on duty?

Answer: First, please understand the words of fellow Aboriginal families or listen to the content speak, trying to understand his needs

Choices:
A. Patients after craniotomy would have been unconscious, give hands and feet bound, to maintain patient safety, lest Mr. Chen extubation road chaos
B. In order to better take care nurse, given sedatives so that Mr. Chen not to be so restless
C. First, please understand the words of fellow Aboriginal families or listen to the content speak, trying to understand his needs
D. He is at this time should be considered incapacitated, to do the necessary medical procedures such as the replacement does not need to communicate with him before central venous catheter

75 years old
subdural hemorrhage
brain stem compression of
left occurs
intensive care unit observation
surgery to remove
blood clot
accepted
3 days
waking
first
days
extubated
anxious
not
to get out
bed
surgeon


Question: Which of the following is not formed by the membrane ossification (intramembranous ossification) way?

Answer: Petrous bone (petrous part of temporal bone)

Choices:
A. Upper jaw (maxilla)
B. Mandible (mandible)
C. Petrous bone (petrous part of temporal bone)
D. Parietal (parietal bone)

following
not formed
membrane ossification
intramembranous ossification


Question: There is concern narrative envelope of the disease, which of the following error?

Answer: In acute inflammation of the pericardium, the patient may have a more low-frequency (low-pitch) of the friction rub heart sounds occur in patients forward in the breath

Choices:
A. The pericardium itself is a double bag comprising two visceral pericardium and parietal pericardium, between the pericardium to separate 15 to 50 ml of solution
B. In acute inflammation of the pericardium, the patient may have a more low-frequency (low-pitch) of the friction rub heart sounds occur in patients forward in the breath
C. Performance on the ECG, early more often seen extensive rise of ST section
D. There is a Beck's triad at the time of cardiac tamponade: low blood pressure, heart sounds sounds disappear, jugular vein engorgement significant X descent and Y descent disappear


Question: An old lady with osteoporosis because while the tenth thoracic vertebrae compression fracture (T10 compression fracture), then following that kind of back frame is most appropriate?

Answer: Knight - Taylor's (Knight-Taylor) back frame

Choices:
A. Knight - Taylor's (Knight-Taylor) back frame
B. William's (William) back frame
C. Knight's (Knight) back frame
D. Milwaukee (Milwaukee) backrest


Question: 73.33-year-old woman with abdominal pain in patients receiving CT examination and found that there is a lower abdominal lesions, calcification within the components shown. Why the diagnosis:

Answer: Teratoma (teratoma)

Choices:
A. Uterine fibroids (uterine myoma)
B. Ovarian cancer (ovarian cancer)
C. Tubo-ovarian abscess (tubo-ovarian abscess)
D. Teratoma (teratoma)

year old woman
abdominal pain
patients receiving CT
found
lower abdominal lesions
calcification
components
diagnosis


Question: That one of the following is the basic idea of health promotion?

Answer: Although different ethnic groups differ in nature, but should still equal treatment in health

Choices:
A. People should bear full responsibility for their own health
B. The government should bear full responsibility for the health of the people
C. Different ethnic groups appear inequality is a natural phenomenon in health
D. Although different ethnic groups differ in nature, but should still equal treatment in health


Question: 42 year old man that he touched the front of the left ear with a lump for three months, according to this developer injection of CT, the diagnosis is most appropriate:

Answer: parotid adenoma（Warthin's tumor）

Choices:
A. infectious lymphadenopathy
B. metastatic lymphadenopathy
C. parotid adenoma（Warthin's tumor）
D. submandibular adenoma（mixed tumor）

year old man
touched
front
left
lump
three months
developer injection
CT
diagnosis
most appropriate


Question: Account of the dorsal spinocerebellar diameter (dorsal spinocerebellar tract), the error which of the following?

Answer: Diameter of the spinal cord dorsal spinal cord cerebellum (spinal cord) of the back side beam (dorsal funiculus)

Choices:
A. Dorsal spinocerebellar path through the next major cerebellar peduncle (inferior cerebellar peduncle) into the cerebellum
B. Incoming messages can be spinocerebellar (spinocerebellum)
C. Diameter of the spinal cord dorsal spinal cord cerebellum (spinal cord) of the back side beam (dorsal funiculus)
D. The diameter of the main dorsal spinocerebellar incoming messages ipsilateral cerebellum

Account
dorsal
diameter
dorsal spinocerebellar tract
error
following


Question: Insomnia when a patient needs a prescription sleeping pills, health education or dispose of those following the most appropriate?

Answer: When prescription sleeping pills, should rule out sleep apnea syndrome is determined

Choices:
A. When prescription sleeping pills, should rule out sleep apnea syndrome is determined
B. Drink before bed can help improve the efficacy of sleeping pills
C. After dinner, you can still drink Coke, hot cocoa and chocolate
D. Because the day before sleep, noon Shique want to catch up on sleep can not sleep, can take short-acting sleeping pills

Insomnia
patient needs
following
most appropriate


Question: Which of the following is the squash with a thick body (spherules) and joint spores (arthroconidia) of the fungus?

Answer: Crude coccidioidomycosis (Coccidioides immitis)

Choices:
A. 鬚髮癬菌（Trichophyton mentagrophytes）
B. Schenck Sporothrix (Sporothrix schenckii)
C. Histoplasma capsulatum (Histoplasma capsulatum)
D. Crude coccidioidomycosis (Coccidioides immitis)


Question: Renal failure patients taking herbal produce kidney slices visible tubular and interstitial fibrosis but less cell infiltration, a substance that contains herbs are most likely to lead to these diseases?

Answer: Aristolochic acid (aristolochic acid)

Choices:
A. calcium
B. magnesium
C. Arachidonic acid
D. Aristolochic acid (aristolochic acid)

Renal failure patients
herbal
kidney
visible tubular
interstitial fibrosis
less cell infiltration
contains
to lead
diseases


Question: 76-year-old man complained of chest tightness and shortness of breath, CT imaging after injection of contrast agent in the drawings, the most likely diagnosis is which of the following?

Answer: Aortic dissection

Choices:
A. Aortic dissection
B. Esophageal cancer
C. Aortic stenosis
D. Left atrial myxoma (Left atrial myxoma)

76 year old man
of chest tightness
shortness of breath
CT imaging
injection
contrast
diagnosis
following


Question: 41 A 35-year-old woman unconscious to the emergency room. Blood examination revealed total bilirubin 3.5 mg / dL, serum creatinine 2.4 mg / dL, 5 g / dL, platelet 44,000 / mm3. Which of the following is least likely diagnosis?

Answer: Favism

Choices:
A. Favism
B. Thrombotic thrombocytopenic purpura
C. Systemic lupus erythematosus
D. Eclampsia


Question: The most frequent hallucinations of schizophrenia (hallucination) is that one of the following?

Answer: Auditory hallucinations

Choices:
A. Visual hallucinations
B. Olfactory hallucinations
C. Auditory hallucinations
D. Touch hallucinations

most frequent hallucinations
schizophrenia
hallucination
one


Question: The following related lipid-lowering drugs on blood HDL or LDL levels describe the impact of what's wrong?

Answer: Ezetimibe can increase HDL levels in blood

Choices:
A. Fibric acid can reduce LDL-C content in the blood
B. Statins can reduce LDL-C content in the blood
C. Nicotinic acid content increased blood HDL
D. Ezetimibe can increase HDL levels in blood

following related lipid-lowering drugs
blood HDL
levels
impact
wrong


Question: 29 Which of the following is not developed from a fertilized egg? -

Answer: Decidua (decidua)

Choices:
A. Umbilical cord (umbilical cord)
B. Amniotic membrane (amnion)
C. Decidua (decidua)
D. Chorion (chorion)


Question: About breast cancer occurs in the narrative during the pregnancy, whichever is correct?

Answer: The occurrence of breast cancer during pregnancy are generally less likely to be diagnosed early

Choices:
A. According to current statistics show that the occurrence of breast cancer during pregnancy than non-pregnant period of prognosis is poor
B. Mammogram (Mammography) prohibit the use of pregnant women with suspected breast cancer
C. Method fine needle aspiration (Fine-needle aspiration) does not apply to pregnant women
D. The occurrence of breast cancer during pregnancy are generally less likely to be diagnosed early


Question: 2 35 year-old man complained of pain after a meal sudden, direct back. Sustained and severe pain, with symptoms of vomiting. The patient can not spit alleviate the symptoms, but the symptoms can be improved slightly leaning forward. Physical examination found patient temperature 38 ℃, abdominal tenderness, decreased bowel sounds. X-ray examination showed increased intraduodenal gas and small amount of fluid left pleural cavity. What is the most appropriate next steps to check?

Answer: Serum amylase and lipolytic   check (serum amylase & lipase)

Choices:
A. Upper gastrointestinal (upper GI barium study)
B. Gastrointestinal endoscopy examination (upper GI endoscopy)
C. HIDA nuclear 醫檢 查 (HIDA radionuclide scan)
D. Serum amylase and lipolytic   check (serum amylase & lipase)

2 35 year old man
pain
sudden
direct back
Sustained
severe pain
symptoms
vomiting
patient
not spit
symptoms
symptoms
improved slightly
forward
found patient temperature
abdominal tenderness
decreased bowel sounds
X-ray
increased
gas
small amount
fluid left pleural cavity
most appropriate next steps to check


Question: A large number of pneumothorax occurs when a small passenger car driver was rear-ended a large truck, in first aid, must be given urgent chest tube drainage treatment. About the location of chest tube placement, the following statements is true?

Answer: The fourth or fifth intercostal space, mid-axillary line (4th or 5th intercostal space, mid-axillary line)

Choices:
A. The fourth or fifth intercostal space, mid-axillary line (4th or 5th intercostal space, mid-axillary line)
B. Second intercostal space, mid-clavicular line (2nd intercostal space, mid-clavicular line)
C. Sixth intercostal or seven-axillary line (6th or 7th intercostal space, mid-axillary line)
D. As the case may be, of the patient


Question: Account of Helicobacter pylori (Helicobacter pylori), and which of the following error?

Answer: Urea breath test (urea breath test) is a non-invasive method for the detection, but the sensitivity and specificity than the traditional bacterial culture difference

Choices:
A. Human host as its main storage (reservoir), faecal-oral route (fecal-oral route) as a possible mode of transmission
B. This bacteria can cause stomach ulcers (gastric ulcer) or duodenal ulcer (duodenal ulcer)
C. cagA (cytotoxin-associated gene A) is considered positive bacterial infections with a high risk of gastric cancer related cause
D. Urea breath test (urea breath test) is a non-invasive method for the detection, but the sensitivity and specificity than the traditional bacterial culture difference


Question: The following related sedative - hypnotic (sedative-hypnotic) describes the role of the drug, whichever is correct?

Answer: barbiturates drugs directly open GABAA receptor chloride pipe, but the drugs are benzodiazepines NO

Choices:
A. barbiturates benzodiazepines drugs more readily drugs cause side effects of respiratory depression
B. barbiturates drugs directly open GABAA receptor chloride pipe, but the drugs are benzodiazepines NO
C. Sedative - hypnotic drugs and alcohol will not produce dependent interaction (cross-dependence) between each other phenomenon
D. Phenomenon of withdrawal (withdrawal symptoms) long-acting drug withdrawal produced usually short-acting drugs seriously

following related sedative
hypnotic
sedative-hypnotic
role
drug
correct


Question: A 68-year-old male, a 10-year history of hypertension, daily medication, good blood pressure control, no other past medical history. Yesterday at home slipped and fell, resulting in leg femur fracture (femoral fracture), no other injuries. Diagnosis and treatment by orthopedic surgeons consider the need for internal fixation. According to the American Society of Anesthesiologists, MD (American Society of Anesthesiologists; ASA) risk classification system of anesthesia before surgery this patient's physiological condition of belonging that level?

Choices:
A. I
B. II
C. III
D. IV

year old male
a 10 year history of hypertension
daily medication
good blood pressure control
past medical history
at home
fell
resulting in leg femur
femoral fracture
injuries
Diagnosis
treatment
orthopedic surgeons
need
internal fixation
ASA
anesthesia
surgery
patient's physiological condition
level


Question: A 63-year-old retired male reporter was diagnosed with dementia, diabetes or high blood pressure in the past did not, nor did it happen stroke. He soon, often after the onset of visual hallucinations, especially to see the children playing in the living room, watching TV during the day, often fell asleep. The patient action two months after becoming slower, but should not be offended. At this point, the most likely diagnosis is?

Answer: dementia with Lewy bodies

Choices:
A. Alzheimer disease
B. dementia with Lewy bodies
C. Parkinson disease with dementia
D. vascular dementia

63 year old retired male reporter
diagnosed
dementia
diabetes
high blood pressure
past
not
stroke
often
onset
visual hallucinations
to see
children playing
living room
TV
day
often fell asleep
patient action two months
slower
not
point
diagnosis


Question: Which of the following heart failure and left ventricular remodeling of (remodeling) process has nothing to do?

Answer: Blood vessels to dilate (vasodilation)

Choices:
A. Cell growth (cell growth)
B. Blood vessels to dilate (vasodilation)
C. Fibrosis (fibrosis)
D. Apoptosis (apoptosis)

following heart failure
left ventricular remodeling
process
to


Question: A 34-year-old patient with rheumatoid arthritis in both hands PIP and MCP joints swollen, wrist swelling and limitation of activity, both elbow joint swelling and deformation. ESR: 83 mm / 1h, CRP: 5.36 mg / dL (normal <0.8 mg / dL), RF: 635 IU / mL (normal <10 IU / mL), was to methotrexate 15 mg / week + salfasalazine 500 mg QID and prednisolone 10 mg QD treatment about six months without significant effect, the next step should be to choose which therapy is most appropriate?

Answer: anti-TNF-a

Choices:
A. anti-TNF-a
B. IL-1 receptor antagonist
C. prednisolone 1000 mg/day pulse therapy for 3 days
D. anti-pyrimidine agent

year old patient
rheumatoid arthritis
hands PIP
MCP joints swollen
wrist swelling
limitation
activity
elbow joint swelling
deformation
ESR
83 mm
1h
CRP
5 36 mg
dL
normal
0.8 mg
dL
RF
IU
mL
normal
10 IU
mL
week
500
QID
QD treatment
six months
significant effect
next step
to
therapy
most appropriate


Question: Which is not mainly due to leakage of retinal detachment type (exudative retinal detachment) formed?

Answer: Background diabetic retinopathy (background diabetic retinopathy)

Choices:
A. Background diabetic retinopathy (background diabetic retinopathy)
B. Tumor choroid (choroidal tumor)
C. Posterior scleritis (posterior scleritis)
D. Harada disease (Harada's disease)

not
due to leakage
retinal detachment type
exudative retinal detachment
formed


Question: Which of the following receptors are activated in endothelial cells, endothelial cells causes release of endothelium-derived relaxing factor (of EDRF) to produce vasorelaxation?

Answer: Muscarinic M3

Choices:
A. Muscarinic M2
B. Muscarinic M3
C. muscarinic M4
D. Nicotinic

following receptors
causes release
endothelium-derived relaxing factor
EDRF
to
vasorelaxation


Question: 74 A 20-year-old female patient, a sprained left ankle a few months ago, complained of pain in the left ankle. Brief treatment of the present magnetic resonance imaging times. The most likely diagnosis: Coronal MRI of ankle

Answer: osteochondritis dissecans of left medial talar dome

Choices:
A. secondary osteoarthritis of left tibiotalar joint 	 	T1WI 	T2WI
B. gouty arthritis of left tibiotalar joint
C. osteochondritis dissecans of left medial talar dome
D. chondroblastoma of left medial talar dome


Question: The following account of Ezihaimo disease, what is correct?

Answer: Wherein the pathological senile plaques (senile plaques) and tangled nerve fibers (neurofibrillary tangles)

Choices:
A. Persistent, progressive, reversible course
B. Consciousness is the first symptom
C. Wherein the pathological senile plaques (senile plaques) and tangled nerve fibers (neurofibrillary tangles)
D. Early in the disease no personality changes


Question: 13 stimulated parietal pleura (parietal pleura) at the center of the diaphragm caused referred pain (referred pain), corresponding dermatome (dermatome) is:

Answer: C3-C5

Choices:
A. C3-C5
B. T1-T2
C. T4-T5
D. T7-T8

parietal pleura
parietal pleura
center
diaphragm caused referred pain
referred pain
dermatome
dermatome


Question: The number of 60-year-old man, smoking a decade, more than a pack a day on average. There are more than a year hoarseness history. The past 1-2 weeks have difficulty breathing symptoms. Physicians confirmed that no heart or lung disease, he is most likely to suffer from these kind of disease?

Answer: Laryngeal cancer

Choices:
A. Laryngeal cancer
B. Vocal cord polyp
C. Thyroid cancer
D. Airway foreign body

number
60 year old man
smoking
decade
more
pack
day
average
more
year hoarseness history
past
2 weeks
difficulty
Physicians confirmed
heart
lung disease
to suffer
kind
disease


Question: The following biochemical changes related to acute pancreatitis (acute pancreatitis) may occur, what's wrong?

Answer: Rise fall 2-3 days lipase, amylase increase decrease 14 days later

Choices:
A. Serum amylase (amylase from) and lipase (Lipase) increase three times greater than normal
B. Serum triglyceride (triglyceride) is greater than 1000 mg / dL
C. C- reactive protein (C-reactive protein) increased
D. Rise fall 2-3 days lipase, amylase increase decrease 14 days later

following biochemical changes related
acute pancreatitis
acute pancreatitis
occur
wrong