Question: A middle-aged male patient with multiple lips brown with black spots, and there are similarities pigment spots around the anus, whose father and daughter are also similarities lesions. The following statements is wrong?

Answer: If the merger gastrointestinal polyps, more than 80% will be transformed into malignant

Choices:
A. The gastrointestinal tract endoscopic examination is necessary
B. This disease is often associated with patients than gastrointestinal polyps (polyps)
C. If the merger gastrointestinal polyps, more than 80% will be transformed into malignant
D. Pigmented lesions of this disease not easily transformed into malignant tumors lip

middle-aged male patient
multiple lips brown
black spots
similarities pigment spots
anus
similarities lesions
following
wrong


Question: Statements about epilepsy (epilepsy), and which of the following non?

Answer: After the acute phase of head trauma seizure (convulsive seizure) can be defined as epilepsy

Choices:
A. After the acute phase of head trauma seizure (convulsive seizure) can be defined as epilepsy
B. In the chronic phase of head injury can be defined as epileptic seizure
C. Patients with epilepsy, the ratio of the partial type seizures (partial seizure) than systemic onset (generalized seizure) high
D. Epilepsy, from about 20 to 25% of adverse drug control (medical refractory), shall consider the implementation of epilepsy surgery


Question: The following relevant "from the relationship between the antibodies and rheumatic disease" combinations, whichever is the most specific?

Answer: anti-CCP antibodies - rheumatoid arthritis

Choices:
A. rheumatoid factors - Sjogren's syndrome
B. anti-Scl 70 antibodies - mixed connective tissue disease
C. anti-histone antibodies - systemic lupus erythematosus
D. anti-CCP antibodies - rheumatoid arthritis

following relevant
relationship
antibodies
combinations
most specific


Question: A 63-year-old patient due to the progressive and right abdominal pain, there are six hours long, there is a growing sense of swell, and cold sweats, they were sent to the emergency room. Blood pressure: 70/40 mmHg, the blood test Hgb: 7.0 g / dL, CT find the right retroperitoneal hematoma wide range of deformation of the right kidney is unclear. Emergency room physician diagnosed after abdominal hemorrhagic shock, an emergency blood transfusion to be in the left kidney in patients with CT can also be found to have more fat and soft tissue tumor-like lesions. Patient's nose, the face on both sides of the nose there are many small nodular lesions. Will the following What's the best diagnosis?

Answer: tuberous sclerosis

Choices:
A. syndrome of Hipple-Lindau
B. multiple sclerosis
C. tuberous sclerosis
D. disease Von Recklinghausen's


Question: Which of the following role in membrane-bound guanylate cyclase is?

Answer: atrial natriuretic peptide（ANP）

Choices:
A. atrial natriuretic peptide（ANP）
B. nitric oxide
C. insulin
D. norepinephrine

following role
membrane bound guanylate cyclase


Question: 34-year-old man, a car accident trauma, severe headache, confusion, CT images can be seen in Figure A swollen left cheek, according to Figure B arrow is:

Answer: traumatic subarachnoid hemorrhage（SAH）

Choices:
A. contusion parenchymal hemorrhage
B. traumatic subarachnoid hemorrhage（SAH）
C. thin layer acute subdural hematoma（SDH）
D. traumatic pneumoencephalus

year old man
car
severe headache
confusion
CT
seen
swollen left
arrow


Question: Which of the following is not an independent risk factor for atherosclerosis?

Answer: obesity

Choices:
A. Low-density lipoprotein (LDL cholesterol) is too high
B. Smoke
C. obesity
D. diabetes

following
not
independent risk factor
atherosclerosis


Question: Which of the following constitutes the inside edge of the femoral triangle (femoral triangle) of?

Answer: Adductor longus (adductor longus)

Choices:
A. Adductor longus (adductor longus)
B. Pubic muscle (pectineus)
C. NuiTakumihada (sartorius)
D. Gracilis muscle (gracilis)

following
edge
femoral triangle
femoral triangle


Question: Which of the following does not occur in normal cardiac cycle (cardiac cycle) ventricular diastolic (diastole)?

Answer: Semilunar valve (semilunar valves) open

Choices:
A. Semilunar valve (semilunar valves) open
B. Atrioventricular (atrioventricular valves) open
C. Congestive heart ventricle (ventricular filling)
D. Atrial contraction (atrial contraction)

following
not occur
normal cardiac cycle
cardiac cycle
ventricular diastolic
diastole


Question: CT images of the following description of the relevant renal cell carcinoma (renal cell carcinoma), what's wrong?

Answer: A very low density of fat within the tumor

Choices:
A. Mostly highly vascular tumor
B. Common tumor necrosis, renal hemorrhage lamp (calyces) damage
C. May be presented renal vein tumor thrombosis (thrombosis)
D. A very low density of fat within the tumor

CT
following
relevant renal cell carcinoma
renal cell carcinoma
wrong


Question: The following statements about the malaria parasite in and what was right?

Answer: In recent years, Taiwan has Jingwaiyiru P. knowlesi (Plasmodium knowlesi) infection cases

Choices:
A. Human infection of malaria, the geographical distribution of ovale malaria (ovale malaria) is the most widely
B. In recent years, Taiwan has Jingwaiyiru P. knowlesi (Plasmodium knowlesi) infection cases
C. Plasmodium vivax (Plasmodium vivax) hi invasion more mature red blood cells, and red blood cells infected will swell phenomenon
D. Falciparum malaria (malignant tertian malaria) recurrence (Relapse) derived from a dormant liver cells of patients with latent (hypnozoites)


Question: Which of the following is least likely to clinical manifestations of cervical spondylosis with myelopathy of?

Answer: Lower limb muscle atrophy (muscle atrophy)

Choices:
A. Neck pain and stiffness
B. Upper extremity pain
C. Lower extremity weakness stiff (spastic weakness)
D. Lower limb muscle atrophy (muscle atrophy)


Question: A 30-year-old man, almost a year because of the left scrotum and groin pain treatment. Physical examination found that the structure of some of the left scrotum bulging, like a bag of worms signs (a bag of worms); the patients lying down, this phenomenon can be slow, but also alleviate the symptoms, but again when standing. Of the following is the most likely diagnosis?

Answer: Varicocele (varicocele)

Choices:
A. Inguinal hernia (inguinal hernia)
B. Communicating hydrocele of (communicating hydrocele)
C. Spermatocele epididymis (epididymal spermatocele)
D. Varicocele (varicocele)

30 year old man
almost
year
left scrotum
groin
found
structure
left scrotum bulging
bag
worms signs
bag
worms
patients lying
slow
symptoms
standing
following
diagnosis


Question: 41 a 24-year-old woman slight jaundice, blood tests found that Hb 6.8 g / dL, MCV 110 fL, Platelet 54,000 / μL, reticulocyte 8%. Which of the following diseases are less likely?

Answer: B12B vitamin deficiency (vitamin B12 deficiency)

Choices:
A. Ivan's syndrome (Evan's syndrome)
B. B12B vitamin deficiency (vitamin B12 deficiency)
C. Thrombotic thrombocytopenic purpura (thrombotic thrombocytopenic purpura)
D. Systemic lupus erythematosus (systemic lupus erythematosus)

year old woman slight jaundice
blood tests found
Hb
g
dL
MCV
fL
Platelet 54
L
following diseases
less likely


Question: Children seven months that have one of the following clinical signs appear that need referral to early treatment and education center for further assessment?

Answer: Prone head could not lift

Choices:
A. To be leaning to sit steady
B. Not spoon feed themselves
C. There are two esotropia
D. Prone head could not lift

Children seven months
one
following clinical signs appear
need
early treatment
education center
further


Question: A 45 year old male patient due to psychiatric medical treatment and long-term insomnia, sleep through the inspection, the inspection results to the drawings, after which most likely interpretation of the clinical diagnosis Why?

Answer: Restless leg syndrome (restless leg syndrome)

Choices:
A. Sleep apnea syndrome (obstructive sleep apnea syndrome)
B. Restless leg syndrome (restless leg syndrome)
C. Kleine-Levin 症候群 (Kleine-Levin syndrome)
D. Night jump muscle disease (nocturnal myoclonus)

year old male due to psychiatric medical


Question: 54 year old man with severe hypertension and hypokalemia several times to deal with the emergency room, the initial diagnosis of suspected hyperaldosteronism, preoperative localization of lesions (sensitivity) with the highest sensitivity to what the person?

Answer: Computer tomography

Choices:
A. Ultrasound scan
B. Computer tomography
C. Thallium scan (thallium-201 scan)
D. Angiography

54 year old man
severe hypertension
hypokalemia
times to
emergency room
initial diagnosis
suspected hyperaldosteronism
preoperative localization
lesions
sensitivity
highest sensitivity


Question: Which of the following intravenous anesthetics (intravenous anesthetics) easy open vial stored at room temperature, easy to bacterial growth, and therefore should be used up within six hours after opening?

Answer: Propofol

Choices:
A. Thiopental
B. Pentobarbital
C. Propofol
D. Diazepam

following intravenous anesthetics
intravenous anesthetics
easy open vial stored
room temperature
easy
bacterial growth
used
six hours
opening


Question: Which of the following lung neuroendocrine cell tumors belong to?

Answer: Small cell carcinoma

Choices:
A. Adenocarcinoma
B. Squamous cell carcinoma
C. Small cell carcinoma
D. Large cell carcinoma


Question: Which of the following is used to determine whether the patient is suffering from the best indicator of thyroid dysfunction (hypothyroidism) of?

Answer: Reducing the concentration of free thyroxine in plasma

Choices:
A. Thyroxine binding globulin (thyroxine-binding globulin) lower plasma concentration
B. Plasma total thyroxine (total plasma T4, T3, RT3) decreased
C. Reducing the concentration of free thyroxine in plasma
D. Plasma thyroid stimulating hormone (thyroid stimulating hormone) to reduce the concentration

following
used to
patient
suffering
best indicator
thyroid dysfunction
hypothyroidism


Question: The human immune machine revolution, which of the following is a adaptive immunity?

Answer: Antigen-presenting cells

Choices:
A. Antigen-presenting cells
B. Complement system
C. Natural killer cells
D. Granulocyte oxidase activity

human immune machine revolution
following
adaptive immunity


Question: The following results in children suffering from portal hypertension (portal hypertension) disease, where the worst prognosis?

Answer: Sclerosing cholangitis (sclerosing cholangitis)

Choices:
A. Extrahepatic portal vein thrombosis (extrahepatic portal vein obstruction)
B. Tube was inserted into the umbilical vein of neonatal (catheterization of umbilical vein)
C. Sclerosing cholangitis (sclerosing cholangitis)
D. Arteriovenous fistula spleen (splenic arteriovenous fistula)

following results
children suffering
portal hypertension
portal hypertension
disease
worst prognosis


Question: Pain control is the primary terminal cancer patients deal with the symptoms, the following narrative about pain control, what's wrong?

Answer: Morphine-like analgesics for pain, neuropathic pain or visceral effective than if the body

Choices:
A. Poorly controlled pain from a lack of education and training of physicians due to pain control
B. Patients often endure because of fear of pain and morphine addiction, there is no real pain reaction
C. According to the World Health Organization analgesic ladder principle, pain, mild and moderate non-first use of morphine analgesic drugs
D. Morphine-like analgesics for pain, neuropathic pain or visceral effective than if the body

Pain control
primary terminal patients
symptoms
following
pain control
wrong


Question: The following narrative about laparoscopic colon rectal surgery, what's wrong?

Answer: After hand-assisted technique of recovery is poor

Choices:
A. It indications for surgery and traditional open surgery as
B. Elderly underwent laparoscopic surgery may also benefit
C. After hand-assisted technique of recovery is poor
D. port site recurrence than open surgery and more in the recurrence incision site

following
laparoscopic colon rectal surgery
wrong


Question: Child Pugh score was used to assess liver cirrhosis serious way, the composition of Child Pugh score a total of five projects, five projects are:

Answer: Albumin, bilirubin, prothrombin time, ascites, encephalopathy

Choices:
A. Albumin, bilirubin, prothrombin time, ascites, encephalopathy
B. Albumin, bilirubin, ALT （Alanine Aminotransferase）, ascites, encephalopathy
C. Albumin, bilirubin, ALT （Alanine Aminotransferase）, prothrombin time, ascites
D. Albumin, bilirubin, prothrombin time, ALT （Alanine Aminotransferase）, encephalopathy

used to
liver cirrhosis serious
composition
score
total
five
five


Question: Which of the following is not a symptom of the third cranial nerve palsy may be caused?

Answer: Esotropia

Choices:
A. Esotropia
B. Exotropia
C. The pupil larger
D. Ptosis

following
not
symptom
third cranial nerve palsy
caused


Question: If you suspect patients with Hashimoto's disease (Hashimoto's thyroiditis) caused by hypothyroidism, check the following antibodies which best evidence?

Answer: anti-thyroglobulin antibody, anti-thyroid peroxidase antibody

Choices:
A. anti-dsDNA antibody
B. anti-IgG4 antibody
C. anti-TSH receptor antibody
D. anti-thyroglobulin antibody, anti-thyroid peroxidase antibody

patients
disease
Hashimoto's thyroiditis
caused
hypothyroidism
check
following antibodies
best


Question: Acute respiratory distress syndrome (acute respiratory distress syndrome; ARDS) with ventilator support into ⾏ breathing ⽀ treatment, ideal tidal volume (tidal volume) of advice to set how many ml / kg?

Answer: 6

Choices:
A. 6
B. 10
C. 12
D. 15

Acute respiratory distress syndrome
acute respiratory distress syndrome
ARDS
ventilator support
breathing
treatment
ideal tidal volume
tidal volume
to set
ml
kg


Question: Account of polio virus (poliovirus), and Which statement is correct?

Answer: Very stable virus particles, can cause infection through contaminated water sewer system

Choices:
A. Gene by double-stranded RNA body composed of
B. Glycoprotein (glycoprotein) is not easy on the viral membrane (Envelope) generating mutant
C. Very stable virus particles, can cause infection through contaminated water sewer system
D. Shaq (Salk) vaccine and attenuated Sabin (Sabin) vaccine poison death, it is often used to prevent diseases caused by


Question: Which of the following patient NA keypad (smaller keyboards)?

Answer: Upper limbs trembling (tremor) were

Choices:
A. Upper limb joint mobility by
B. Upper limbs trembling (tremor) were
C. In pen buccal (mouth stick) by key
D. With one hand key persons

following patient NA keypad
smaller keyboards


Question: Which is not an assessment of fetal lung maturity test?

Answer: K-B test（Kleihauer-Betke test）

Choices:
A. K-B test（Kleihauer-Betke test）
B. L/S Ratio（Lecithin/Sphingomyelin）
C. PG（Phosphatidylglycerol）
D. Shake test


Question: Arterial ligament (ligamentum arteriosum), located between those two vessels?

Answer: Aorta and pulmonary artery

Choices:
A. Aorta and pulmonary artery
B. Superior vena cava and the pulmonary artery
C. Aorta and vena cava
D. Aorta and the pulmonary vein

Arterial ligament
ligamentum arteriosum
two vessels


Question: Which of the following is most likely to take drugs cause patients have antinuclear antibodies (antinuclear antibody)?

Answer: hydralazine

Choices:
A. captopril
B. hydralazine
C. propranolol
D. prazosin

following
to
drugs cause patients
antinuclear antibodies
antinuclear antibody


Question: Bearing on the question, Which of the following error?

Answer: White spots on the trunk effective ruby laser (Ruby laser) treatment

Choices:
A. Tumor face dye laser (Dye laser) a therapeutically effective
B. Tend to have a family dominantly inherited (autosomal dominant) of
C. The need to do further neurological examination
D. White spots on the trunk effective ruby laser (Ruby laser) treatment


Question: The following relative proportions of bile composition of the kind most likely to lead to gallstones?

Answer: 60% of bile salts, lecithin 25%, 15% cholesterol

Choices:
A. 30% of bile salts, lecithin 60%, 10% cholesterol
B. 40% of bile salts, lecithin 55%, 5% cholesterol
C. 80% of bile salts, lecithin 10%, 10% cholesterol
D. 60% of bile salts, lecithin 25%, 15% cholesterol

following relative proportions
bile composition
kind
to lead
gallstones


Question: A 32-year-old truck driver, rear-ended the vehicle in front of the accident on the highway, suspected cardiac injury in the emergency, the following statements is wrong?

Answer: The diagnosis of myocardial contusion is completely determined by the value of electrocardiogram and serum muscle enzymes center

Choices:
A. The diagnosis of myocardial contusion is completely determined by the value of electrocardiogram and serum muscle enzymes center
B. Sustained tachycardia is often an early sign of myocardial contusion
C. Pericardial tamponade may occur on day 4 after car accident
D. Q-wave or continuous ECG changes may indicate transmural injury

year old truck driver
rear-ended
front
highway
suspected cardiac injury
emergency
following
wrong


Question: About Pneumocystis jirovecii (carinii) of the narrative, Which statement is correct?

Answer: Belong Archiascomycetes

Choices:
A. Currently classified as protozoa
B. Belong Archiascomycetes
C. Slow growth in artificial media
D. Often infected patients TB


Question: Achalasia (esophageal achalasia) of the standard diagnostic tools for esophageal tension tests, diagnostic tests esophageal achalasia on esophageal tension of discovery, which of the following error?

Answer: Esophageal peristaltic pressure is too high

Choices:
A. None of the normal esophageal motility (peristalsis)
B. Lower esophageal sphincter (lower esophageal sphinter, LES) to relax without the normal
C. Esophageal peristaltic pressure is too high
D. Lower esophageal sphincter (lower esophageal sphinter, LES) pressure is too high

Achalasia
esophageal achalasia
standard diagnostic tools
esophageal tension tests
diagnostic tests esophageal achalasia
tension
following error


Question: Patients with non-small cell lung cancer which is not an asymptomatic stage of the examination must be done?

Answer: CT scan of the brain

Choices:
A. CT scan of the chest and abdomen
B. Bone scintigraphy (bone scan)
C. CT scan of the brain
D. Bronchoscopy

Patients
non-small cell lung cancer
not
asymptomatic stage


Question: 6-year-old boy by a spasm and treatment, laboratory results showed that the serum calcium concentration of 6 mg / dL (1.5 mmol / L), inorganic phosphorus concentration of 10 mg / dL, a magnesium ion concentration of 2.4 mg / dL (1.0 mmol / L), complete parathyroid hormone (intact parathyroid hormone) concentration of 180 pg / mL, Children with this most likely diagnosis is:

Answer: Low-energy pseudo parathyroid disease (pseudohypoparathyroidism)

Choices:
A. Magnesium deficiency (magnesium deficiency)
B. High energy parathyroid disease (hyperparathyroidism)
C. Low energy parathyroid disease (hypoparathyroidism)
D. Low-energy pseudo parathyroid disease (pseudohypoparathyroidism)

year old boy
spasm
treatment
laboratory results
serum calcium concentration
mg
dL
1.5 mmol
L
concentration
10 mg
dL
magnesium concentration
2
mg
dL
1 0 mmol
L
complete parathyroid hormone
intact parathyroid hormone
concentration
pg
mL
Children
likely diagnosis


Question: In accordance with the provisions of the Olympic Movement Committee, which of the following for the doping of athletes, not athletes before exercise prescription to use?

Answer: anabolic steroid

Choices:
A. acetaminophen
B. caffeine
C. anabolic steroid
D. creatine

In accordance with
Movement
following
athletes
not athletes
exercise prescription to use


Question: Which of the following is the main Nitrofurantoin side effects?

Answer: nausea

Choices:
A. nausea
B. deaf
C. Renal insufficiency
D. 抽搐 (seizure)

following
main Nitrofurantoin side effects


Question: Which of the following is the common characteristic of intestinal bacillus families (Enterobacteriaceae) bacteria?

Answer: Can ferment glucose

Choices:
A. The human body are symbiotic bacteria (normal flora)
B. Each having oxidation  (oxidase)
C. Can ferment glucose
D. Have mobility

following
common characteristic
intestinal
bacteria


Question: Specific genetic disease often fetal ultrasound nuchal translucency (nuchal translucency) thickened with childhood webbed neck (web neck) is characterized by, among whichever is least likely?

Answer: Cornelia de Lange Syndrome

Choices:
A. Cornelia de Lange Syndrome
B. Down syndrome
C. Noonan syndrome
D. Turner syndrome

Specific genetic disease often fetal nuchal translucency


Question: 45-year-old Wang, because three months have dysphagia, esophageal photographic examination has found that one-third of the phenomenon on the narrow esophagus, followed by implementation of the following check what the most correct?

Answer: Esophagogastroduodenoscopy

Choices:
A. Esophageal motor function measured
B. Chest CT
C. Masako photography
D. Esophagogastroduodenoscopy

year old
three months
dysphagia
esophageal photographic
found
one third
narrow esophagus
followed by
check
most correct


Question: Which is not clinical manifestations of dengue hemorrhagic fever?

Answer: Hematocrit fell more than 20%

Choices:
A. fever
B. Spotting, purpura
C. Thrombocytopenia (thrombocytopenia)
D. Hematocrit fell more than 20%


Question: Following that kind of kidney disease and tuberous sclerosis and angiofibroma skin related?

Answer: Renal angiomyolipoma

Choices:
A. Renal oncocytoma
B. Renal angiomyolipoma
C. Renal fibroma
D. Renal cell carcinoma

Following
kind of kidney disease
tuberous sclerosis
angiofibroma skin related


Question: Which of the following is least likely to induce pulmonary embolism (pulmonary embolism)?

Answer: Hypercholesterolemia

Choices:
A. Patients undergoing knee replacement surgery
B. cancer
C. heart failure
D. Hypercholesterolemia


Question: 51-year-old middle-aged women, two years ago bloating, fatigue, loss of appetite, dark urine and jaundice appears after hospitalization, blood tests show:

Answer: Auto immune hepatitis

Choices:
A. Chronic hepatitis B
B. Chronic hepatitis C
C. Medicinal hepatitis
D. Auto immune hepatitis

year old middle-aged women
two years
bloating
fatigue
loss of appetite
dark urine
jaundice appears
blood tests


Question: 11 a 75-year-old male COPD patients, conscious, due to increased cough, increased sputum yellow fever and breathing difficulties and asthma song emergency room, emergency room examination showed WBC: 15,000 / μL, neutrophil / lymphocyte: 90/8%; arterial blood (room air) to check mmHg, PaCO2 = 60 mmHg, HCO3- = 30 mEq / L, pH = 7.22; vital signs: BP 160/100 mmHg, heart rate 120 / min (regular), respiratory rate 30 / min, temperature: 38 ° C; the following are the most appropriate disposition where?

Answer: Inhaled administration of vasodilators (bronchodilators), antibiotics, oral steroids, oxygen, and non-invasive administration of CPAP

Choices:
A. Inhaled administration of vasodilators (bronchodilators), antibiotics, and oral steroids
B. Inhaled administration of vasodilators (bronchodilators), antibiotics, and oral steroids oxygen
C. Inhaled administration of vasodilators (bronchodilators), antibiotics, oral steroids, oxygen, and non-invasive administration of CPAP
D. Inhaled administration of vasodilators (bronchodilators), antibiotics, oral steroids, sedatives and oxygen, and the interpolation endotracheal tube immediately using invasive respirator (invasive mechanical ventilator) assisted respiration

75 year old male COPD patients
increased cough
increased sputum
breathing difficulties
asthma
emergency room
emergency room
WBC
90
arterial blood
room air
to check mmHg
60 mmHg
HCO3
30 mEq
L
pH
7
vital signs
BP
100 mmHg
heart rate
min
regular
respiratory rate 30
min
temperature
following
most appropriate disposition


Question: Live births from about 1 to 2% of chromosomal abnormalities. The following clinical situations that most do not need to do a chromosome?

Answer: Perinatal asphyxia leading to cerebral palsy (Cerebral palsy, perinatal asphyxia induced)

Choices:
A. Perinatal asphyxia leading to cerebral palsy (Cerebral palsy, perinatal asphyxia induced)
B. Multiple malformations (Multiple congenital anomalies)
C. Mental disorders (Intellectual disability)
D. Growth distortion (Growth aberration)

Live births
2
chromosomal abnormalities
following clinical
most
not need to
chromosome


Question: A 45 year old female, as the trunk and limbs appear bull's-eye-like lesion (target lesions), oral erosion, conjunctival redness, perineum erosion. The most likely diagnosis of why?

Answer: Steven - Johnson & Johnson's syndrome (Stevens-Johnson syndrome)

Choices:
A. Pemphigus vulgaris (pemphigus vulgaris)
B. Steven - Johnson & Johnson's syndrome (Stevens-Johnson syndrome)
C. Bassett's disease (Behçet's disease)
D. Herpetic skin inflammation (dermatitis herpetiformis)

year old female
trunk
limbs appear
lesion
target lesions
oral erosion
conjunctival redness
perineum erosion
diagnosis


Question: Cause of chronic pulmonary hypertension, the most unlikely to be which of the following?

Answer: Tricuspid stenosis

Choices:
A. Pulmonary embolism
B. Chronic obstructive pulmonary disease
C. Left ventricular failure
D. Tricuspid stenosis

Cause
chronic pulmonary
most unlikely to
following


Question: 68-year-old male, long-term use of a variety of drugs, recently found a blue-gray pigmentation in the nose, cheek and ear, Which of the following drugs, the symptoms may be related to their skin?

Answer: amiodarone

Choices:
A. amiodarone
B. aspirin
C. omeprazole
D. magnesium oxide

year old male
long-term use of
drugs
recently found
blue gray pigmentation
nose
cheek
ear
following drugs
symptoms
related
skin


Question: A 25-year-old woman, was found in the right ovary had a tumor the presence of about 10 cm. She received tumor resection surgery. Illustrates changes its ovarian tumors microscope. Which of the following is the most likely diagnosis?

Answer: Mature cystic teratoma

Choices:
A. Dysgerminoma
B. Mature cystic teratoma
C. Mucinous cystadenoma
D. Serous cystadenoma

year old woman
found
right ovary
tumor
presence
10
received tumor surgery
changes
ovarian tumors microscope
following
diagnosis


Question: Statements about bipolar disorder (bipolar disorders), and which of the following error?

Answer: Men get sick ratio of major depression (major depressive disorder) identical

Choices:
A. A first bipolar disorders might also delusions
B. Men get sick ratio of major depression (major depressive disorder) identical
C. A second bipolar disorder shall have at least one hypomanic episode with a major depression episode
D. Possible attack in adolescence

bipolar disorder
bipolar disorders
following error


Question: Alanine and 2-oxoglutarate in alanine aminotransferase role in the formation of glutamate and whichever?

Answer: pyruvate

Choices:
A. aspartate
B. oxaloacetate
C. ketobutyrate
D. pyruvate

Alanine
2-oxoglutarate
alanine aminotransferase role


Question: G3P1 pregnant woman 28 years old, had been diagnosed with a first fetal gestational diabetes (gestational diabetes mellitus, GDM), birth weight of 4,280 grams; 12 weeks gestation when seeking treatment, weight 50 kg, height 163 cm. The most appropriate for pregnant pregnancy blood sugar assessments for the disposal of:

Answer: Immediately arrange for gestational diabetes screening

Choices:
A. Equivalent to gestational diabetes, take immediate treatment programs
B. Immediately arrange for gestational diabetes screening
C. Arrangement 24 to 28 weeks of pregnancy routine screening gestational diabetes
D. Immediately arrange for fetal health assessment

years old
diagnosed
first fetal gestational diabetes
gestational diabetes mellitus
GDM
birth weight
grams
weeks gestation
treatment
weight 50 kg
height
most appropriate
pregnant pregnancy blood assessments


Question: From the previous question, Mr. Xie physician judgment with right upper extremity compartment syndrome (compartment syndrome), should be eschar incision surgery (fasciotomy) to save the right upper limb blood flow, but suddenly, Mr. Xie without the presence of family members sign a consent form , as the New physician, how to help deal with follow-up treatment?

Answer: Patients state of consciousness is still clear in their agreement, and quickly make the necessary disposal of invasive

Choices:
A. Reminded the attending physician should not violate the principle of informed consent, the treatment should be suspended
B. Patients state of consciousness is still clear in their agreement, and quickly make the necessary disposal of invasive
C. Contact number, and other family members rushed to the hospital after treatment, first-served other patients
D. Please sign on behalf of the hospital social worker consent


Question: The following statements about febrile non-hemolytic transfusion reaction, what's wrong?

Answer: When blood transfusion, the blood cell component of blood through the leukocyte filter (filter), this can be completely avoided transfusion reactions

Choices:
A. Common blood cell component of blood transfusion is the reaction
B. Often prompted by the recipient (RECIPIENT) antibodies against the body's blood to (Donor) leukocytes
C. When blood transfusion, the blood cell component of blood through the leukocyte filter (filter), this can be completely avoided transfusion reactions
D. Available fever antipyretics, such as acetaminophen treatment or prevention of


Question: 23 year old man with epilepsy taking carbamazepine, after two weeks, the body produces a large area of skin and mucous membrane blisters and broken skin by dermatologists diagnosed with toxic epidermal rhabdomyolysis (toxic epidermal necrolysis), HLA-B genotype of this patient, Which of the following is most likely?

Answer: HLA-B * 1502

Choices:
A. HLA-B * 1502
B. HLA-B * 1301
C. HLA-B * 5802
D. HLA-B * 5801

23 year old man
epilepsy
carbamazepine
two weeks
body
large area
skin
mucous membrane blisters
broken skin
dermatologists diagnosed
toxic epidermal rhabdomyolysis
toxic epidermal necrolysis
HLA-B genotype
patient
following


Question: Drawing back frame, which is best suited for these patients?

Answer: Twelfth thoracic compression fractures

Choices:
A. Scoliosis
B. 10, 11 thoracic fracture and dislocation
C. Twelfth thoracic compression fractures
D. The fourth and fifth lumbar spondylolisthesis


Question: Escherichia coli (E. coli) in DNA replication, (lagging strand) of synthetic shares of delay, the following statements is true?

Answer: Synthesis must first Okazaki fragments (Okazaki fragment)

Choices:
A. By a DNA polymerase is mainly responsible for the catalytic reaction type Ⅰ
B. Is a continuous synthesis reaction
C. Synthesis reaction 'end to the 5' end direction by the 3
D. Synthesis must first Okazaki fragments (Okazaki fragment)

replication
lagging strand
delay
following
true


Question: 33. Mr. Chen countryside backpacking to India a few months, came back diarrhea, fever, anemia and other symptoms, and after the liver and spleen enlargement (hepatosplenomegaly) phenomenon, in which the bone marrow puncture macrophages found amastin (amastigotes) , blood and stool examination found no other, he is most likely infected with parasitic diseases are:

Answer: Kala-azar (black fever)

Choices:
A. Blackwater hot (blackwater fever)
B. Kala-azar (black fever)
C. Heartworm disease (filariasis)
D. Chagas disease (Chagas'disease)

Mr
countryside
India
few months
back diarrhea
fever
anemia
symptoms
liver
spleen enlargement
hepatosplenomegaly
bone marrow puncture macrophages found
blood
stool examination found
most likely infected
parasitic diseases


Question: A 32-year-old man complained of chest pain last for a week, the increase in chest pain when inhaling, the patient can still be normal activity, blood pressure 130/80 mmHg, heart rate 90 beats per minute, extra heart sounds of systolic and diastolic (extra heart on auscultation sounds), but no significant noise, are presented electrocardiogram ST wave rising in the limb leads and chest guide, normal cardiac enzymes. The most likely diagnosis Why?

Answer: Pericarditis (pericarditis)

Choices:
A. Heart attack (myocardial infarction)
B. Unstable angina (unstable angina)
C. Dissection of the aorta (aortic dissection)
D. Pericarditis (pericarditis)

year old man
of chest pain last
week
the increase in chest pain
inhaling
patient
normal activity
blood pressure
80 mmHg
heart rate 90 beats per minute
extra heart sounds
systolic
diastolic
extra heart
auscultation sounds
significant
electrocardiogram ST wave
limb leads
chest guide
normal
diagnosis


Question: Organ of Cortis place on the following what kind of structure?

Answer: 蝸孔（helicotrema）

Choices:
A. 蝸孔（helicotrema）
B. Basement membrane (basilar membrane)
C. Vestibular membrane (Reissner's membrane)
D. Film (tectorial membrane) 41 asthma (asthma) the patient's airway wall of the main change which of the following?

Organ
Cortis place
following
kind
structure


Question: The following statements about malignant tumors of the small intestine, what is wrong?

Answer: Adenocarcinoma up to about 50%, higher rates occurred in the jejunum, and occurs more often in young patients

Choices:
A. Adenocarcinoma up to about 50%, higher rates occurred in the jejunum, and occurs more often in young patients
B. Malignant gastrointestinal stromal tumor interstitial (GIST) about 20%, most of greater than five centimeters and has a higher coefficient of cell division, and violations of the lamina propria (Lamina propria)
C. Gastrointestinal malignant lymphoma occurred in one-third of the small intestine, small intestine cancer is common in children, and a higher incidence in the ileum
D. Carcinoid (carcinoid) and more prone to a final appendix ileum

The following
malignant tumors of
small intestine
wrong


Question: 30-year-old young woman, married 6 years, no birth control program, but never pregnant, sometimes no menstruation, sudden headache, blurred vision let me see a shadow of things, physical examination revealed normal eye movements, but there are two temporal horizons half blind, according to the above found that the most likely diagnosis why?

Answer: Pituitary brain tumor hemorrhage (pituitary apoplexy)

Choices:
A. Craniopharyngioma tumor (craniopharyngioma)
B. Pituitary brain tumor hemorrhage (pituitary apoplexy)
C. Parasagittal meningioma (parasagittal meningioma)
D. Acoustic neuroma (acoustic neuroma)

30 year old young woman
married
years
birth control program
never pregnant
sometimes
menstruation
sudden headache
blurred vision let
see
shadow
revealed normal eye movements
two temporal
half blind
above found
diagnosis


Question: From the previous title, this time the best way to deal with temporary Why?

Answer: After the diagnosis confirmed by anal and vaginal means to carry out the large intestine stoma

Choices:
A. Can be cured with oral antibiotics
B. After the diagnosis confirmed by anal and vaginal refer directly transvaginal repair
C. Stop using other antibiotics, use of vancomycin treatment
D. After the diagnosis confirmed by anal and vaginal means to carry out the large intestine stoma


Question: The use of fluorine-18 deoxyglucose (18F-2-deoxyglucose) made positron angiography can effectively find the right location in the body of cancer cells, cancer cells based on the characteristics of what this principle-based approach?

Answer: Synthesis of glycogen (glycogen biosynthesis) higher rate than normal cells

Choices:
A. DNA replication rate faster than normal cells
B. Krebs cycle (TCA cycle) higher rate than normal cells
C. Glycolysis (Glycolysis) higher rate than normal cells
D. Synthesis of glycogen (glycogen biosynthesis) higher rate than normal cells

use of
deoxyglucose
deoxyglucose
made positron angiography
find
right location
body of
based
characteristics
based approach


Question: Statements about congenital biliary atresia (biliary atresia), and which of the following error?

Answer: Most patients after receiving Kasai's surgery (Kasai's operation) good prognosis, without liver transplant

Choices:
A. Patients with persistent jaundice
B. Bowel movements are pale (clay color)
C. Most patients after receiving Kasai's surgery (Kasai's operation) good prognosis, without liver transplant
D. You must first rule out the possibility of neonatal hepatitis (neonatal hepatis) at diagnosis

congenital biliary atresia
biliary atresia
following error


Question: 55 year old male was diagnosed with prostate enlargement and the blood prostate-specific antigen (prostate specific antigen) rises, the lower abdominal MRI showed many enlarged lymph nodes, X-ray irradiation of the pelvis found two osteolytic lesions. Which of the following is more suitable to be used to treat prostate cancer?

Answer: flutamide

Choices:
A. oxandrolone
B. desogestrel
C. anastrozole
D. flutamide

year old male
diagnosed
prostate enlargement
blood prostate-specific antigen
prostate specific antigen
lower abdominal MRI
enlarged lymph nodes
X-ray irradiation
pelvis found two osteolytic lesions
following
more suitable to
used to treat prostate cancer


Question: After 58 year-old female patient, after a fall leading to the right distal radius fractures (distal radius fracture), closed-receiving reset (closed reduction) in the emergency room, in the case of X-ray reset. Which is not the distal radius fracture reduction pharmaceutically radiation parameters (radiographic parameters)?

Answer: Ipsilateral dorsal tilt (dorsal tilt) angle is 15 degrees

Choices:
A. Ipsilateral radial length (radial length) and contralateral compared, the difference in less than 2mm
B. Drop difference (intra-articular step-off) is less than 2mm joint ipsilateral
C. Ipsilateral dorsal tilt (dorsal tilt) angle is 15 degrees
D. , Within the ipsilateral radial angle (radial angle) compared with the contralateral and 5 degrees difference in

58 year old female patient
fall leading
right distal radius fractures
distal radius fracture
closed receiving
closed reduction
emergency room
case
X-ray
not
distal radius fracture reduction
radiation parameters
parameters


Question: 1. The following anesthesia-related equipment that can be safely used in general anesthesia photography MRI room? ①blood pressure cuff ②Macintosh laryngoscope ③cardiac defibrillator ④oximeter probe

Answer: Only ①④

Choices:
A. Only ①②③
B. ①②③④
C. Only ①④
D. Only ②③④

blood pressure cuff Macintosh laryngoscope cardiac defibrillator oximeter probe


Question: Which of the following physiological state, most likely the water clearance (CH2O) becomes negative?

Answer: Blood vasopressin (antidiuretic hormone) increasing the concentration of

Choices:
A. Body too much water
B. Solute clearance (COSM) reduction
C. Glomerular filtration rate (GFR) increase
D. Blood vasopressin (antidiuretic hormone) increasing the concentration of

following physiological state
water clearance
negative


Question: Normal term mothers during childbirth, diagnosis of prolonged latent period disorder (prolonged latent phase) of the highest priority disposal Why?

Answer: Observation rest

Choices:
A. Caesarean
B. Observation rest
C. Increased abdominal pressure, promote fetal descent
D. High production forceps

Normal term
childbirth
diagnosis
prolonged latent period disorder
prolonged latent phase
highest priority


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

Answer: Some patients have a family history

Choices:
A. Caucasians suffering from psoriasis than the proportion of Chinese low
B. Köebner phenomenon seen only in this disease
C. Some patients have a family history
D. Will not cause the nail and joint disease


Question: 4-year-old child asthma diagnosis, Which of the following is the most important diagnostic modality?

Answer: History taking

Choices:
A. History taking
B. Total IgE blood tests
C. Pulmonary function tests
D. Skin allergy test

4 year
asthma diagnosis
following
most important diagnostic modality


Question: Psychosis disorder (schizophrenia) in patients with symptoms can be divided into positive symptoms (positive symptoms) and negative symptoms (negative symptoms), which of the following is the negative symptoms?

Answer: Poor language (alogia)

Choices:
A. Delusions (delusions)
B. Hallucinations (hallucinations)
C. Poor language (alogia)
D. Confusing language (disorganized speech)

Psychosis disorder
schizophrenia
patients
symptoms
divided
positive symptoms
positive symptoms
negative symptoms
negative symptoms
following
negative symptoms


Question: Patients with right-handed right half of a sudden can not move the body (hemiplegia), and can not speak clearly, but it can respond to the issues raised left hand gesture of a doctor correct. Was diagnosed as brain vascular occlusive stroke. The following damage can reasonably explain where the patient's symptoms?

Answer: The left hemisphere with Broca's area

Choices:
A. The left hemisphere with Broca's area
B. The left hemisphere with Wernicke's area
C. With right hemisphere Broca's area
D. Right hemisphere with Wernicke's area

Patients
right-handed
half
sudden
not move
body
hemiplegia
not speak
issues raised left hand
doctor correct
diagnosed
brain vascular occlusive stroke
following damage
patient's symptoms


Question: A large one month newborn because the urine pink come to check, in addition to no other symptoms or abnormal signs. Its negative urine occult blood, red blood cell count microscopic examination of 2-4 / high power field (HPF), the number of leukocytes was 0-2 / HPF. That one of the following is the most common cause?

Answer: precipitated urates

Choices:
A. Myoglobulinemia
B. hemolytic anemia
C. urinary stone
D. precipitated urates


Question: The little boy to treatment, very low, head looks great, short limbs. Diagnostician is dwarfism (achondroplasia). Physician remember that this is an autosomal dominant genetic disease, but Children with parents height is normal. The most suitable to explain why?

Answer: The little boy's illness from novel mutations

Choices:
A. Physicians wrong, should be a recessive genetic dwarfism
B. In fact, the father is not very high, the father may also have dwarfism, but the performance is not entirely
C. Atavistic
D. The little boy's illness from novel mutations

little boy
treatment
very low
head looks great
short limbs
dwarfism
achondroplasia
Physician
autosomal dominant genetic disease
height
normal
most suitable to


Question: The following information about laparoscopic surgery, described physiological effects and potential clinical outcome due to pneumoperitoneum produced and what was right?

Answer: Decreases renal blood flow caused by the decrease of urine output

Choices:
A. Reduce intracranial pressure caused by the rise of central perfusion pressure
B. Decreases renal blood flow caused by the decrease of urine output
C. The situation will weaken sympathetic response and increase of ileus
D. Will reduce the CVP (central venous pressure) and lower CWP (capillary wedge pressure) and reduced cardiac work


Question: 33 Xiaofang was a large woman 34 weeks premature children, born after the second week produce apnea (apnea), feeding food intake began to deteriorate. Physicians suspected bacteremia (neonatal sepsis), for her to do a blood bacterial culture and antibiotic therapy. Check the blood electrolytes Na + value of 138 mEq / L, K + value of 5.8 mEq / L, glucose and blood pressure were normal. Newborn Screening Center xiaofang full notification made 48 hours after birth of newborn screening blood spots have a 17-OH progesterone is 17 ng / mL (normal neonates is <12 ng / mL). Xiaofang is the appearance of normal genitalia of girls. At this point the most appropriate examination as follows:

Answer: Heel blood collected for a second re-examination

Choices:
A. ACTH stimulation test performed
B. Referral to treatment centers do confirm the diagnosis
C. Heel blood collected for a second re-examination
D. 21-hydoxylase check whether or gene mutation

large woman
weeks premature children
born
second week
apnea
apnea
food intake began to deteriorate
Physicians suspected bacteremia
neonatal sepsis
to
blood bacterial
antibiotic therapy
Check
blood electrolytes Na
value
mEq
L
K
value
5.8 mEq
L
glucose
blood pressure
normal
Newborn Screening Center
full
made 48 hours after birth
17-OH progesterone
ng
mL
normal neonates
ng
mL
appearance
normal genitalia
girls
point
most appropriate
follows


Question: 3. pathogens tuberculosis patients, can be suppressed within the host cell early autologous antigen-1 (early endosomal autoantigen 1,

Answer: Lysosomal fusion (lysosome) and phagosomes (phagosome) of

Choices:
A. Lysosomal fusion (lysosome) and phagosomes (phagosome) of
B. 巨噬 cells (macrophage) secretion Kaishiroshitsu 11 (interleukin-11)
C. Cyclic adenosine monophosphate (cAMP) within macrophages (macrophage) concentration is increased
D. Hepatitis D leucine (gamma-aminobutyric acid, GABA) release

3
tuberculosis patients
suppressed
host cell early autologous
early endosomal


Question: Patients with long-term residence in noisy industrial area, high audio right ear hearing loss, it may be because the disease:

Answer: Located cochlea base (base) of the damaged organ of Corti

Choices:
A. Located cochlea base (base) of the damaged organ of Corti
B. At the top cochlea (apex) of the damaged organ of Corti
C. On the right primary auditory cortex impaired
D. Completely cut off the right side of the cochlear nerve

Patients
long-term residence
area
high audio right ear hearing loss
disease


Question: The reason the first 12 weeks of early pregnancy abortion, the most common why?

Answer: Chromosomal abnormalities

Choices:
A. Chromosomal abnormalities
B. infection
C. Cervical insufficiency
D. Progesterone deficiency


Question: 6 of a 57-year-old male patient because of general malaise, insomnia, loss of appetite and difficulty breathing while hospitalized, he suffers from high blood pressure, diabetes for many years, being treated with insulin. creatinine value in the past six months to check each month sequentially to 5.2 mg / dL, 6.7 mg / dL, 6.4 mg / dL, 7.0 mg / dL, 7.2 mg / dL. Hospital examination result of Hb 9.2 g / dL, BUN 106 mg / dL, creatinine 9.6 mg / dL, albumin 2 g / dL, spot urine protein 923 mg / dL, chest X-ray presents bilateral pleural effusion. The most preferred disposal Why?

Answer: Hemodialysis (hemodialysis)

Choices:
A. Hemodialysis (hemodialysis)
B. Blood transfusion (blood transfusion)
C. Lose albumin (Albumin)
D. Administration of angiotensin conversion enzyme inhibitors (angiotensin-converting enzyme inhibitors)


Question: Which of the following is not a common form of the Achilles tendon (calcaneal tendon)?

Answer: Popliteal muscle (popliteus)

Choices:
A. Gastrocnemius muscle (gastrocnemius)
B. Soleus muscle (soleus)
C. Popliteal muscle (popliteus)
D. 蹠肌（plantaris）

following
not
common form
Achilles
calcaneal tendon


Question: An inguinal hernia repair in patients receiving, after spinal anesthesia, need to be given sedative - hypnotic drugs to strengthen the role of anesthesia. After drug administration, patient loss of consciousness, opened his eyes, tremor of the eye symptoms, there is a good sedative analgesic effect. May I ask what kind of drugs are administered to a patient?

Answer: ketamine

Choices:
A. thiopental
B. ketamine
C. midazolam
D. flumazenil

inguinal hernia repair
patients receiving
spinal anesthesia
need to
given sedative
hypnotic drugs to
role
anesthesia
drug administration
patient loss of consciousness
opened
eyes
tremor
eye symptoms
good sedative analgesic
I
kind
drugs
administered
patient


Question: All work very well over the last body from chest upwards of 46-year-old healthy male patients Face as fever and cough three days to ⾨ medical clinic, chest X-ray examination of suspected lesions of pneumonia. Which of the following is least likely pathogens?

Answer: Bao ⽒ Acinetobacter (Acinetobacter baumannii)

Choices:
A. Streptococcus pneumoniae (Streptococcus pneumoniae)
B. Mycoplasma (Mycoplasma pneumoniae)
C. Bao ⽒ Acinetobacter (Acinetobacter baumannii)
D. Bacillus addicted ⾎ (Haemophilus influenzae)

very well
body
chest
year old healthy male patients Face
fever
cough three days
medical clinic
chest X-ray
of suspected lesions
pneumonia
following
least likely pathogens


Question: Send ⽣ narrative about the insect, what's wrong?

Answer: Plasmodium ovale (Plasmodium ovale) the identification, often depending on whether a smear ⾎ fluid of patients with type trophozoites strip (band form

Choices:
A. Malaria episodes (paroxysm) of the process in order, is: chill (chill), fever (fever), sweating (sweat)
B. Three date Plasmodium (Plasmodium malariae) hi invasive than mature red ⾎ ball proliferation
C. Plasmodium ovale (Plasmodium ovale) the identification, often depending on whether a smear ⾎ fluid of patients with type trophozoites strip (band form
D. In malaria flow ⾏ area, baby six month are less often because protection was made using the self ⺟ antibodies, and rarely suffer from malaria


Question: Narrative urinary tract symptoms caused by prostate enlargement under the relevant (lower urinary tract symptoms), the error which of the following?

Answer: Increased urinary frequency and nocturia, belongs obstructive symptoms

Choices:
A. Patients often complained middle of the night to urinate, urinary particular small and slow
B. Lower urinary tract symptoms, generally can be divided into obstructive (obstructive) type and stimulus (irritative) symptoms of two categories
C. Increased urinary frequency and nocturia, belongs obstructive symptoms
D. Urine is not clean, there are a large number of patients with residual urine, more frequent urination and nocturia will; but the patient urinary frequency and nocturia not necessarily have a lot of residual urine

urinary tract symptoms caused
prostate enlargement
relevant
lower urinary tract symptoms
error
following


Question: The following account of Bacillus anthracis infection and what was wrong?

Answer: Through the skin of human infection is the most common mode of transmission

Choices:
A. Through the skin of human infection is the most common mode of transmission
B. In the most common routes of infection herbivorous animals are ingested spores
C. Inhalation infection in animal husbandry practitioners common routes of infection
D. Chemical or biological weapons attack is the most common route of infection inhaled

following account
Bacillus anthracis infection
wrong


Question: Which of the following drugs in combination with warfarin, reduces the prothrombin time?

Answer: rifampin

Choices:
A. aspirin
B. cephalosporine
C. metronidazole
D. rifampin

following drugs
combination
warfarin
prothrombin time


Question: 75-year-old man has taken dihydrotestosterone (DHT) habit, six months have difficulty in urination, nocturia increases and other circumstances, due to cold take some cold medicine, urine solution does not come out the next day, emergency medical treatment by catheterization, patients undergoing prostate gland curettage, pathological examination as shown in FIG. The following diagnostic statements is most appropriate?

Answer: Benign prostate hyperplasia

Choices:
A. Well-differentiated prostate cancer
B. Benign prostate hyperplasia
C. Prostate inflammation and fibrosis
D. Nothing to do with taking cold medicine

75 year old man
dihydrotestosterone
six months
difficulty in urination
nocturia increases
cold
cold medicine
urine solution
not
out
next day
emergency medical treatment
catheterization
patients
prostate gland curettage
pathological examination
following diagnostic
most appropriate


Question: Cancer cells often over-breeding division of the phenomenon. Drug treatment of cancer often for this feature. Which of the following drugs can inhibit thymidylate synthase?

Answer: 5-FU (5-fluorouracil)

Choices:
A. methotrexate
B. 5-FU (5-fluorouracil)
C. cyclophosphamide
D. vinca alkaloids（vincristine）

Cancer cells often
breeding division
Drug
feature
following drugs
inhibit thymidylate synthase


Question: Which of the following does not belong to the hormone replacement therapy contraindications?

Answer: Diabetes (diabetes mellitus)

Choices:
A. Unexplained vaginal bleeding (undiagnosed abnormal vaginal bleeding)
B. Endometrial cancer (endometrial cancer)
C. Pulmonary embolism (pulmonary embolism)
D. Diabetes (diabetes mellitus)


Question: A 42-year-old female, sudden severe abdominal pain. Known to have gallstones for many years. Physical examination revealed abdominal tenderness, especially in the upper abdomen, but also reduce bowel sounds. Abdominal X-ray examination showed a significant tissue edema but no free air. Abdominal CT examination revealed swelling in parts of the pancreas, and there are many small calcification. Gradually recovered after treatment. Which of the following sequelae of the disease most likely to occur?

Answer: Pseudo cysts (pseudocyst)

Choices:
A. Pancreatic cancer (adenocarcinoma)
B. Gastric ulcer (gastric ulcer)
C. Pseudo cysts (pseudocyst)
D. Small intestine infarction (small intestine infarction)

year old female
sudden severe abdominal pain
Known to
gallstones
years
revealed abdominal tenderness
upper abdomen
bowel sounds
Abdominal X-ray
significant tissue edema
free air
Abdominal CT
revealed swelling
parts
pancreas
small calcification
recovered
following sequelae
disease
to occur


Question: Half of patients with stroke hemiplegia, the affected limb can make hand grip (palmar prehension) action palm, Brown's staging (Brunnstrom's stage) is determined in accordance with, should belong to the first of several period?

Answer: Stage V

Choices:
A. Stage II
B. Stage III
C. forcement IV
D. Stage V

Half
patients
stroke hemiplegia
affected limb
make hand grip
palmar
action palm
Brown's staging
stage
determined
first
period


Question: A male patient, from birth, palms and soles of the feet gradually comprehensive keratosis, red edge (as shown), non-itching. His father has the same skin lesions. Dander negative KOH microscopy, the most likely diagnosis is:

Answer: PPK (palmoplantar keratodermas)

Choices:
A. Athlete's foot (tinea pedis)
B. PPK (palmoplantar keratodermas)
C. Khan herpes (pompholyx)
D. Atopic dermatitis (atopic dermatitis)

male patient
birth
soles of
feet
comprehensive keratosis
red edge
non itching
same skin lesions
Dander negative KOH microscopy
diagnosis


Question: Obturator nerve (obturator nerve) of the anterior branch and posterior branch were passing through shallow and deep Which of the following is?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Short adductor muscles (adductor brevis)
B. Pubic muscle (pectineus)
C. Adductor longus (adductor longus)
D. Adductor muscle (adductor magnus)

Obturator nerve
obturator nerve
anterior branch
posterior branch
shallow
deep
following


Question:
22.1 years and a half children, last night fever, cough, today to the emergency. Found breathing sounds become apparent to the physician, wheezing sound auscultation bilateral (Wheezing), after the administration of short-acting bronchodilators (Ventolin or Proventil), breathing sound does not change, the following which may be the most diagnostic
 can?

Answer: Bronchiolitis (bronchiolitis)

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

years
half children
last night fever
cough
today
emergency
Found breathing sounds
physician
wheezing sound auscultation bilateral
Wheezing
administration
short acting bronchodilators
Ventolin
Proventil
breathing sound
not change
following
most diagnostic


Question: Which of the following does not belong to an abnormal trinucleotide repeats (trinucleotide-repeat disorder)?

Answer: Motor neuron disease (motor neuron disease)

Choices:
A. Huntington's disease (Huntington's chorea)
B. Spinocerebellar ataxia type III (spinocerebellar ataxia type 3)
C. Kennedy disease (Kennedy disease)
D. Motor neuron disease (motor neuron disease)

following
not
abnormal trinucleotide repeats
trinucleotide-repeat disorder


Question: Cerebral palsy is spastic limbs (spastic quadriparesis), due to considerations of care and motor ability and use of pump (intrathecal baclofen pump) treatment under the dura, on this treatment method, which of the following error?

Answer: Spastic only has a therapeutic effect on dystonia (dystonia) do not have the same effect

Choices:
A. Spastic only has a therapeutic effect on dystonia (dystonia) do not have the same effect
B. Posture can be improved, reducing pain spasm
C. Can effectively reduce energy consumption when walking
D. Caregivers can reduce the inconvenience and reduce the need for surgery

Cerebral palsy
spastic limbs
spastic quadriparesis
due to considerations
motor ability
use of pump
intrathecal baclofen pump
treatment
dura
treatment method
following error


Question: That an abnormal X-ray changes do not appear on this sheet X-rays (such as drawings)?

Answer: Osteophyte

Choices:
A. Osteophyte
B. Joint space narrowing
C. Marginal erosion
D. Near-articular osteoporosis

abnormal X-ray changes
not appear
X-rays


Question: NK cells are early defensive cells which the body against pathogens (pathogen) of?

Answer: Virus (viruses)

Choices:
A. Bacteria (bacteria)
B. Fungi (fungi)
C. Virus (viruses)
D. Protozoa (protozoa)


Question: The following statements about cardiac physiology after the transplant, whichever is the most correct?

Answer: Slower heart rate recovery after exercise before to sports

Choices:
A. Exercise maximum heart rate higher than before surgery
B. Slower heart rate recovery after exercise before to sports
C. Effects of parasympathetic than sympathetic large
D. Thy blood vein (venous return) does not affect the stroke volume (stroke volume)

following
cardiac physiology
transplant
most correct


Question: 35 year old male patient blood cultures for E. coli, blood pressure 82/45 mmHg, 38.8 deg.] C temperature, pulse rate 100 beats / min, decreased urine output. After intravenous infusion therapy, the symptoms improved. This diagnosis should be patient:

Answer: Severe sepsis (severe sepsis)

Choices:
A. Systemic inflammatory response syndrome (systemic inflammatory response syndrome, SIRS)
B. Sepsis (sepsis)
C. Severe sepsis (severe sepsis)
D. Septic shock (septic shock)


Question: Which of the following will show on the clinical condition of abnormal bleeding?

Answer: Factor VIII antibody

Choices:
A. The heparin-induced thrombocytopenia syndrome
B. Antiphospholipid syndrome
C. Protein C deficiency
D. Factor VIII antibody


Question: The advantages related to allergen skin test, it does not contain one of the following?

Answer: The subject used the drugs do not affect the test results

Choices:
A. High sensitivity
B. Can quickly get results
C. Low cost
D. The subject used the drugs do not affect the test results


Question: The following kind of disease is most unlikely odd pulse (pulsus paradoxus)?

Answer: Mitral regurgitation (mitral regurgitation)

Choices:
A. Hypovolemic shock (hypovolemic shock)
B. Mitral regurgitation (mitral regurgitation)
C. Pericardial tamponade (pericardial tamponade)
D. Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease)

following kind
disease
most unlikely odd pulse
pulsus paradoxus


Question: Carpal tunnel syndrome (carpal tunnel syndrome) severe cases, can lead to some muscle weakness, but which of the following will not be affected?

Answer: Thumb adductor (adductor pollicis)

Choices:
A. Thumb opposing muscle (opponens pollicis)
B. Short thumb flexion muscles (flexor pollicis brevis)
C. Thumb adductor (adductor pollicis)
D. Thumb abduction brevis muscle (abductor pollicis brevis)

Carpal tunnel syndrome
carpal tunnel syndrome
severe cases
lead
muscle weakness
following
not
affected


Question: The following related urticaria and matched pathological machine turn, whichever is correct?

Answer: Physical urticaria-IgE-mediated

Choices:
A. Physical urticaria-IgE-mediated
B. Blood product reaction-bradykinin-mediated
C. Food allergy-complement-mediated
D. Cholinergic urticaria-arachidonic acid-mediated

following related urticaria
matched pathological machine turn
correct


Question: The following defects will not affect how molecules of recombinant lymphocytes, but will mature lymphocytes hindered?

Answer: IL-2 receptor γc chain

Choices:
A. IL-2 receptor γc chain
B. RAG 1
C. RAG 2
D. DNA-dependent protein kinase


Question: Gallbladder (gallbladder) is lined with epithelium belong to which of the following?

Answer: Epithelium (simple columnar epithelium)

Choices:
A. Transitional epithelium (transitional epithelium)
B. Epithelium (simple columnar epithelium)
C. Columnar epithelium (stratified columnar epithelium)
D. Keratinized stratified squamous epithelium (keratinized stratified squamous epithelium)

Gallbladder gallbladder lined epithelium


Question: What common fungal culture medium?

Answer: Sand Paul's (Sabouraud's) medium

Choices:
A. Chocolate Medium
B. Sand Paul's (Sabouraud's) medium
C. Thioglycollate Medium
D. Serum-free medium


Question: Account of the treatment of heart failure, which of the following error?

Answer: Potassium-sparing diuretics (spironolactone) aldosterone (aldosterone) receptors antagonists, for NYHA Functional Class

Choices:
A. There are already a large clinical studies using beta-sympatholytic agents (β-blockers) for NYHA Functional
B. Most of the angiotensin converting enzyme inhibitor (angiotensin converting enzyme inhibitors), which after use can reduce the load (afterload), cardiac output (cardiac output). Help the long-term patient survival rates
C. Potassium-sparing diuretics (spironolactone) aldosterone (aldosterone) receptors antagonists, for NYHA Functional Class
D. Henle diuretics hoof pipe system (loop diuretics) has a direct vasodilating action, the former can reduce the load (preload). But for long-term survival of patients and can not be improved


Question: Which of the following relationships with Type 1 hypersensitivity reactions (Hypersensitivity reaction) is more closely?

Answer: IgE

Choices:
A. Age
B. IgE
C. IgG
D. IgM

following relationships
Hypersensitivity reaction
more


Question: Currently the best treatment for pregnancy when the cervix is not hemorrhage:

Answer: Chemotherapy drugs (methotrexate)

Choices:
A. Uterine incision (hysterotomy)
B. Vacuum suction scraping operation (suctional D & C)
C. Chemotherapy drugs (methotrexate)
D. Cervical resection (trachelectomy)

Currently
best treatment
pregnancy
cervix
not hemorrhage


Question: 18. A viscous that the following molecule (adhesion molecules) can be present in the white blood cells, the white cells can be adhered to the vascular endothelium (blood vessel endothelium) on?

Answer: Integrins

Choices:
A. E-selectins
B. iCams
C. Integrins
D. Fibronectin

viscous
following
adhesion molecules
present
white blood cells
vascular endothelium
blood vessel endothelium


Question: 38. The following cartilage tissue that may be additional growth (appositional growth)? ① hyaline cartilage (hyaline cartilage) ② Elastic cartilage (elastic cartilage) ③ fibrous cartilage (fibrocartilage)

Answer: ①②

Choices:
A. ①②
B. ①③
C. ②③
D. ①②③

following cartilage tissue
additional growth
growth
hyaline cartilage
hyaline cartilage
Elastic cartilage
elastic cartilage
fibrous cartilage
fibrocartilage


Question: Which of the following is closest to the actual age bone age (chronological age)?

Answer: Familial short stature (genetic short stature)

Choices:
A. Constitutional growth delay (constitutional growth delay)
B. Familial short stature (genetic short stature)
C. Growth hormone deficiency (growth hormone deficiency)
D. Low energy thyroid disease (hypothyroidism)

following
closest
actual age
chronological age


Question: 5 mg / dL, Amylase: 1,054 U / L, Lipase: 7,000 U / L, CT follows, the possible diagnoses Why?

Answer: Input terminal bowel syndrome (afferent loop syndrome)

Choices:
A. Inflammation of the pancreas (pancreatitis)
B. Ileus (intestinal obstruction)
C. Ischemic bowel necrosis (ischemic bowel)
D. Input terminal bowel syndrome (afferent loop syndrome)

5 mg
dL
Amylase
1
U
L
Lipase
U
L
CT follows
possible diagnoses


Question: As shown, a vacuum suction assisted vaginal delivery, the most suitable place of the vacuum suction device fetal head position. The following statements is not placed on the advantages of the premises?

Answer: Help head stretch (extension)

Choices:
A. Provided the biggest attraction Road
B. Help head stretch (extension)
C. Make the most of the fetal head through the pelvis trails export
D. When the vacuum suction to reduce auxiliary production, and the opportunity to disengage the fetal head


Question: A 68-year-old man with chest tightness phenomenon in motion, it will significantly improve after the break. Heart Thallium-201 nuclear medicine examination revealed left ventricular anterior wall ischemia (Ischemia). Which of the following blood indicators (Marker) can be used to predict the likelihood of heart attack he happen in the future?

Answer: C-reactive protein

Choices:
A. Troponin T or Troponin I
B. Circulating antibodies against chlamydia pneumoniae
C. MB isomer of creatine kinase（CK-MB）
D. C-reactive protein


Question: From the previous question, the aforementioned patient care, following the disposal of that inappropriate?

Answer: Admitted to the intensive care unit in general wards, the standard adopted protective measures and to contact isolation

Choices:
A. Admitted to the intensive care unit in general wards, the standard adopted protective measures and to contact isolation
B. At least the first day of hospitalization for respiratory isolation must be taken
C. The family live, as soon as possible administration of prophylactic antibiotics rifampin
D. Direct contact with nose and mouth secretions of medical personnel as soon as possible administration of prophylactic antibiotics ciprofloxacin


Question: In gynecological cancer chemotherapy drugs, chemical drugs Which of the following does not belong alkaloids (plant alkaloids)?

Answer: gemcitabine

Choices:
A. vincristine
B. gemcitabine
C. etoposide
D. paclitaxel

gynecological cancer chemotherapy drugs
drugs
following
not
alkaloids
plant alkaloids


Question: Related to cell cycle (cell cycle) of the narrative, Which statement is correct?

Answer: May be subjected to various MAP kinase (mitogen-activated protein kinase) Regulation

Choices:
A. In turn can be divided into M phase, Gl phase, G2 phase, S phase, and then back to the M phase
B. May be subjected to various MAP kinase (mitogen-activated protein kinase) Regulation
C. The growth was inhibited by an outer cytokines (growth factor)
D. As long as cell survival, cell cycle will continue to be


Question: Which of the following is part of the urogenital diaphragm?

Answer: Deep transverse perineal muscle

Choices:
A. Piriformis
B. Levator ani
C. Deep transverse perineal muscle
D. Urethra cavernous muscle


Question: 56 Currently pituitary tumor, that group of patients The most common drugs used to treat:  nonfunctioning tumor   prolactinoma auxin TSH melanoma tumor 

Currently pituitary tumor
group
patients
most common drugs used to treat
nonfunctioning tumor
prolactinoma auxin
melanoma


Question: Which of the following error description about social anxiety disorder (social anxiety disorder (social phobia)) of?

Answer: Typically early as in the initial hair ⽣ Face

Choices:
A. The main fear is the case from personal criticism or evaluation of vision
B. Often accompanied escape ⾏ Face group and social occasions for
C. Case for fear that such social excessive or unreasonable
D. Typically early as in the initial hair ⽣ Face

following error
social anxiety disorder
social anxiety disorder
social phobia


Question: Protein kinase A (Protein kinase A) which has the following characteristics?

Answer: Atopic and cyclic AMP binding enzymes (allosteric site) binding the activated enzyme

Choices:
A. Binding cyclic AMP activated covalent bond
B. And cyclic AMP inhibits covalent bonds
C. Atopic and cyclic AMP binding enzymes (allosteric site) binding the activated enzyme
D. By competitive inhibition of cyclic AMP

Protein kinase A
Protein kinase A
following characteristics


Question: Which of the following circumstances, not recurrent parathyroid gland surgery reason?

Answer: Blood aluminum than 2 mg / dL

Choices:
A. Blood aluminum than 2 mg / dL
B. Bone pain, pruritus
C. Calcium> 11 mg / dL, parathyroid hormone exceeds 1000 pg / mL
D. Osteoporosis density check T <-2.5

following
not recurrent parathyroid gland surgery


Question: Which of the following is the nerves that innervate the front side of the scrotum?

Answer: Ilioinguinal nerve

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


Question: One worker was sent to the emergency, suspected of accidentally exposed to cyanide poisoning cause (cyanide poisoning). Narrative about the cyanide poisoning of the following, whichever is correct?

Answer: The cyanide with cytochrome C oxidase (cytochrome c oxidase) in the heme a3 (heme a3) of Fe3 + tightly bound, can not cause electron transfer, mitochondrial respiration and thereby stopping power generation, resulting in cell death

Choices:
A. Inhaled cyanide gas poisoning is not easy, because there are a lot of lung detoxification system
B. The cyanide with cytochrome C oxidase (cytochrome c oxidase) in the heme a3 (heme a3) of Fe3 + tightly bound, can not cause electron transfer, mitochondrial respiration and thereby stopping power generation, resulting in cell death
C. Antidotes such as sodium nitrite (sodium nitrite) protein is denatured hemoglobin (methemoglobin) is converted to oxygenated hemoglobin protein (oxyhemoglobin)
D. The nervous system will not be affected

One
sent
emergency
suspected
exposed
cyanide poisoning cause
cyanide poisoning
cyanide poisoning
following
correct


Question: Of severe trauma patients, postoperative need enough nutritional supplements to maintain physiological function and tissue recovery. The adequacy of nutritional supplements, the following can be assessed by various biochemical assays, except for whichever?

Answer: Globulin (globulin)

Choices:
A. Albumin (albumin)
B. Globulin (globulin)
C. Prealbumin (prealbumin)
D. Transferrin (transferrin)

severe trauma patients
postoperative need
to
physiological function
tissue recovery
adequacy
following
various biochemical assays


Question: Stimulate the lacrimal gland (lacrimal gland) secreted by postganglionic parasympathetic nerve fibers (parasympathetic postganglionic fibers) to which of the following sources automatically?

Answer: Pterygopalatine ganglion (pterygopalatine ganglion)

Choices:
A. Ciliary ganglion (ciliary ganglion)
B. Knee ganglion (geniculate ganglion)
C. Pterygopalatine ganglion (pterygopalatine ganglion)
D. Earphones ganglion (otic ganglion)


Question: 36-year-old painter Lin, the body has always been healthy, 10 days ago suffering from a slight cold, and progressive weakness 5 days to appear, somewhat numb extremities, shortness of breath Shaojue, but sane, and no dysphagia or not articulate clear the situation, and therefore to the clinic for help. Lin Which of the following is most likely to suffer from the disease?

Answer: Acute inflammatory demyelinating polyneuropathy syndrome (Guillain-Barré syndrome)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Polymyositis (Polymyositis)
C. Acute inflammatory demyelinating polyneuropathy syndrome (Guillain-Barré syndrome)
D. Brainstem stroke

36 year old painter Lin
body
always
healthy
10 days
suffering
slight cold
progressive weakness
days to appear
somewhat numb extremities
shortness of breath
dysphagia
not
clear
clinic
help
Lin
following
to suffer
disease


Question: About narrative of stomach cancer, which of the following error?

Answer: Diffuse (diffuse-type) in a high gastric cancer incidence than the intestinal region (intestinal-type) multi gastric cancer, poor prognosis

Choices:
A. Borrmann type III gastric cancer (Borrmann type 3) means a gastric ulcer stomach merger violated (ulcerating lesions with
B. Intestinal (intestinal type) well differentiated gastric gastric cancer is more often (well differentiated), and transferred to the blood transfer mode more often
C. Diffuse (diffuse-type) in a high gastric cancer incidence than the intestinal region (intestinal-type) multi gastric cancer, poor prognosis
D. APC (adenomatous polyposis coli) gene mutation (mutations) occur more frequently in the intestinal type (intestinal type) Gastric


Question: Which of the following is the most common breast cancer (thymic carcinoma)?

Answer: Cell carcinoma (squamous cell carcinoma)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Lymphoid-like carcinoma (lymphoepithelioma-like carcinoma)
C. Neuroendocrine carcinoma (neuroendocrine carcinoma)
D. Cell carcinoma (squamous cell carcinoma)

following
most common breast cancer
thymic carcinoma


Question: 18 a 49-year-old male patient, last month to feel general malaise and fatigue, biochemical examination revealed: total protein 5.9 g / dL, albumin 8 g / dL, ALT 105 U / L, AST 350 U / L, alkaline phosphatase 250 U / L (normal value <100 U / L), γ-glutamyl transpeptidase 292 U / L (normal <60 U / L), total bilirubin 6.8 mg / dL, direct bilirubin 4.1 mg / dL. Which of the following is the most likely diagnosis?

Answer: Alcoholic hepatitis

Choices:
A. Viral Hepatitis
B. Hemolysis
C. Gilbert's syndrome
D. Alcoholic hepatitis

year old male patient
last month to
general malaise
fatigue
biochemical
revealed
total protein
g
dL
albumin
g
dL
ALT
U
L
AST 350 U
L
alkaline phosphatase
U
L
normal value
100 U
L
glutamyl transpeptidase
U
L
normal
60 U
L
total bilirubin
mg
dL
direct bilirubin
mg
dL
following
diagnosis


Question: Which of the following does not show white blood cells to MHC class I tumor cells with inhibition effect?

Answer: NK cells

Choices:
A. CD4 T cells
B. NK cells
C. Plasma cells
D. CD8 T cells

following
not
white blood cells
MHC class I
inhibition effect


Question: 56 year old man, after long-term use of topical steroids, appeared realm distinct red shift to the left side of the face and neck skin lesion above can be seen scattered in small red papules, with slight itching (Figure). Why is the most likely diagnosis?

Answer: Rosacea-like dermatitis (rosacea-like dermatitis)

Choices:
A. Red wine nevus (port-wine stain)
B. Lavender erythema (heliotrope erythema)
C. Rosacea-like dermatitis (rosacea-like dermatitis)
D. Cellulitis (cellulitis)

year old man
long-term
topical
appeared
red shift to the left side of
face
neck
seen scattered
small red papules
slight itching
diagnosis


Question: When what headache, so that patients inhale 100% oxygen 15 minutes is an effective treatment?

Answer: Cluster headache (Cluster headache)

Choices:
A. Harbinger of migraine (Migraine with aura)
B. No sign of migraine (Migraine without aura)
C. Tension-type headache (Tension-type headache)
D. Cluster headache (Cluster headache)

headache
so
patients inhale 100
oxygen 15 minutes
effective treatment


Question: The assessment of nutritional status described below, whichever is wrong?

Answer: serum total iron binding capacity (TIBC)> 500 μg / dL underrepresented protein intake, might kwashiorkor (kwashiorkor)

Choices:
A. blood urea nitrogen (BUN) if less than 8 mg / dL, protein intake may be insufficient representatives
B. If serum creatinine less than 0.6 mg / dL, on behalf due to lack of long-term energy intake and loss of muscle (muscle wasting)
C. prothrombin time prolonged, may indicate vitamin K deficiency
D. serum total iron binding capacity (TIBC)> 500 μg / dL underrepresented protein intake, might kwashiorkor (kwashiorkor)


Question: After a 56-year-old truck driver accident, sometimes to the emergency room sweating phenomenon, private prosecution chest pain, blood pressure 64/40 mmHg, respiratory rate 40 beats / min, heart rate 110 beats / min. Following statements best distinguish cardiac tamponade (cardiac tamponade) tension pneumothorax (tension pneumothorax)?

Answer: Breath sounds (breath sounds)

Choices:
A. Tachycardia (tachycardia)
B. Pulse pressure (pulse pressure)
C. Jugular venous pressure (jugular venous pressure)
D. Breath sounds (breath sounds)

year old truck driver
sometimes
emergency room sweating
private prosecution chest pain
blood pressure 64 40 mmHg
respiratory rate 40 beats
min
heart rate
beats
min
Following
best
cardiac tamponade
cardiac tamponade
tension pneumothorax
tension pneumothorax


Question: After a baby was born seven days, after feeding the phenomenon of vomiting bile and vomit; upper gastrointestinal series as shown below, which of the following is the most likely diagnosis?

Answer: Abnormal intestinal torsion (abnormal intestinal rotation)

Choices:
A. Small intestine closure (intestinal atresia)
B. Duodenum closure (duodenal atresia)
C. Abnormal intestinal torsion (abnormal intestinal rotation)
D. Infantile hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)

baby
born
vomiting bile
vomit
upper gastrointestinal series
following
diagnosis


Question: Happened "shoulder dystocia" (shown below) when the child delivery, which should be used to lift method?

Answer: Woods method (Woods)

Choices:
A. 马克罗伯斯 method (Mc Roberts)
B. Woods method (Woods)
C. Sapporo Where Donnelly Act (Zavanelli)
D. Tone method (Ritgen)

shoulder dystocia
child delivery
used
lift method


Question: 35 year old woman, G2P2, 40 weeks of pregnancy production had heavy bleeding, postpartum six months found no milk, no menstruation, hair loss, what the most likely diagnosis is:

Answer: Sheehan syndrome (Sheehan's syndrome)

Choices:
A. Cushing syndrome (Cushing's syndrome)
B. Sheehan syndrome (Sheehan's syndrome)
C. Johnson syndrome (Johnson syndrome)
D. Tracy syndrome (Meige's syndrome)

35 year old woman
40 weeks
pregnancy
heavy bleeding
postpartum six months found
milk
menstruation
hair loss
diagnosis


Question: Which of the following participate in exogenous coagulation factor activation path?

Answer: Factor 7

Choices:
A. Factor 7
B. Factor 5
C. 12 factor
D. 11 factor


Question: Statements about muscle tissue, Which statement is correct?

Answer: Lack of smooth muscle T-tubule, but by a small recess (of caveolae) and vesicles (vesicle) Calcium Transport

Choices:
A. A filament (thin filaments) and intermediate filaments (intermediate filaments) in the myocardium would be attached to a dense body (dense body)
B. Lack of smooth muscle T-tubule, but by a small recess (of caveolae) and vesicles (vesicle) Calcium Transport
C. T-tubule is located in the skeletal muscle sarcomere (sarcomere) of M-line
D. Skeletal muscle cells will form the indirect bonding tray intercalated (intercalated discs)


Question: Maxillary sinus opening (opening of maxillary sinus) the nasal cavity where the side wall?

Answer: Half split (semilunar hiatus)

Choices:
A. Bulla (ethmoidal bulla)
B. Half split (semilunar hiatus)
C. Under the nose (inferior nasal meatus)
D. Meatus (superior nasal meatus)

Maxillary sinus opening
opening of maxillary sinus
nasal cavity
side wall


Question: 30. Which of the following congenital heart disease (congenital heart disease), at least seen in the birth week of severe cyanosis (severe cyanosis) phenomenon which happened?

Answer: Of simple aortic coarctation (simple coarctation of the aorta)

Choices:
A. Transposition of great arteries (transposition of the great arteries)
B. Of simple aortic coarctation (simple coarctation of the aorta)
C. Hypoplastic left heart syndrome (hypoplastic left heart syndrome)
D. Full consolidation abnormal pulmonary venous return backflow blocking (total anomalous pulmonary venous return with obstruction)


Question: That one of the following autoimmune disease is most common in type 1 diabetes (type 1 diabetes mellitus) sick children?

Answer: Chronic lymphocytic thyroiditis

Choices:
A. Chronic lymphocytic thyroiditis
B. Celiac disease
C. Atrophic gastritis
D. Addison disease

one
following autoimmune disease
most common
type 1 diabetes
type 1 diabetes mellitus
sick children


Question: The following is the kind of panic disorder common psychological defense mechanisms turn?

Answer: Substitution effect (Displacement)

Choices:
A. Rationalization effect (Rationalization)
B. Substitution effect (Displacement)
C. Dissociation action (Dissociation)
D. Repression (Suppression)

following
kind
panic disorder common
turn


Question: Adults of nephrotic syndrome (nephrotic syndrome), if the kidney pathological changes of minimal-change nephropathy (minimal change disease), the first-line drugs that special treatment should be that of one of the following?

Answer: prednisolone

Choices:
A. cyclophosphamide
B. cyclosporine
C. chlorambucil
D. prednisolone

Adults
syndrome
nephrotic syndrome
kidney pathological changes
minimal-change nephropathy
minimal change disease
first line drugs
special treatment
one


Question: A 35-year-old male truck driver, has always been in good health, which should be open in two years because of long-distance night train and taking amphetamines, the last two weeks of significant auditory hallucinations and paranoia, easy agitation (agitation) and irritability and wounded colleague, Which of the following error?

Answer: If depressive symptoms, mood stabilizers may be administered, such as carbamazepine

Choices:
A. Should stop using amphetamines
B. For short-term use of antipsychotics, such as haloperidol
C. If it is difficult to take care, physical restraint can be the first to reduce the risk of wounding self-injury, and then should be closely observed
D. If depressive symptoms, mood stabilizers may be administered, such as carbamazepine

35 year old male truck driver
always
open
two years
long distance night train
amphetamines
last two weeks
significant auditory hallucinations
paranoia
easy agitation
agitation
irritability
wounded
following error


Question: Mother and baby masculine cause during pregnancy, the most common reason why?

Answer: Luteoma

Choices:
A. Dermoid cyst
B. Luteoma
C. Brenner tumor
D. Yolk sac tumor

baby masculine cause
pregnancy
most common


Question: Leydig cell related (Leydig cell), the following statements is this bad?

Answer: Roughness having a large number of endoplasmic reticulum (the RER)

Choices:
A. Located in the seminiferous tubules (seminiferous tubule) between interstitial (interstitial tissue)
B. Roughness having a large number of endoplasmic reticulum (the RER)
C. Reinke's cytoplasm containing crystalline
D. The tubular  containing cytoplasmic mitochondria (tubular cristae mitochondria)


Question: Account of the distal humerus fractures (distal humeral fracture), the error which of the following?

Answer: If using a posterior approach (posterior approach) surgery without routinely identify and protect the ulnar nerve (ulnar nerve)

Choices:
A. Fractures (displaced distal humeral intra-articular fracture) displaced intraarticular distal humerus healthy adults conservative treatment, functional outcome (functional outcome) is poor, it is now recommended multi-surgery
B. If using a posterior approach (posterior approach) surgery without routinely identify and protect the ulnar nerve (ulnar nerve)
C. For more complex fractures, except that X-rays outside the three-dimensional reconstruction may be supplemented by computer tomography (computerized tomography with three-dimensional reconstruction) to assist the interpretation of the fracture type
D. For the poor health situation of the elderly, if the functional requirements for the elbow is not high, regardless of the type of fracture of the distal humerus why, can be treated conservatively

Account
distal humerus fractures
distal humeral fracture
error
following


Question: Of patients with bacterial meningitis obtain cerebrospinal fluid by lumbar puncture, and then observed a number of Gram-negative meningitis, the patient most likely been through what bacterial infections Gram stain examination under the microscope?

Answer: Neisseria meningitidis

Choices:
A. Neisseria meningitidis
B. Staphylococcus aureus
C. Pneumococcal
D. Enterococcus


Question: From the previous question, what is the most accurate diagnostic check this disease?

Answer: Traditional angiography (conventional angiography)

Choices:
A. CT angiography (computed tomography angiography)
B. Traditional angiography (conventional angiography)
C. Blood lactic acid (lactate)
D. Color Doppler ultrasound (color Doppler sonography)

previous
most accurate diagnostic check
disease


Question: Which of the following is the nerve fibers pass through the lingual nerve (lingual nerve) in its own right?

Answer: Tongue general feeling part of a two-thirds

Choices:
A. Tongue general feeling part of a two-thirds
B. The inner tongue muscle control
C. Taste Tongue part of the two-thirds
D. Sublingual gland secretion of

following
nerve fibers pass
lingual nerve
lingual nerve
right


Question: The following narrative about antibiotic-associated colitis (antibiotic-associated colitis), and what's wrong?

Answer: Just because the patient had received antibiotic treatment, white blood cells and therefore does not increase, it will not have a fever

Choices:
A. Pseudomembranous colitis (pseudomembranous colitis) is the most common, most in the distal colon, rectum appear
B. Mainly due to the proliferation of bacteria caused by Clostridium difficile
C. Metronidazole or vancomycin treatment available, but for oral administration as vancomycin
D. Just because the patient had received antibiotic treatment, white blood cells and therefore does not increase, it will not have a fever

following
antibiotic-associated colitis
antibiotic-associated colitis
wrong


Question: Described above relating to the diagnosis, Which of the following is not correct?

Answer: This disease occurs in yellow, white rare

Choices:
A. Occurs in men more
B. This disease occurs in yellow, white rare
C. Occurs in two to eight weeks old baby
D. As parents have this disease, their children also have a higher probability of the same disease

relating
diagnosis
following
not correct


Question: Which of the following features or symptoms associated with depression patients, most will not, after the course, changing a bipolar disorder (bipolar disorder)?

Answer: Symptoms of slow time produced and maintained for a long time

Choices:
A. Early onset
B. Symptoms of slow time produced and maintained for a long time
C. Before the age of 25 accompanied by delusions (delusions)
D. Accompanied by hallucinations (hallucinations) before the age of 25


Question: It is located in one of the following Enzyme Complex IV mitochondrial electron transport chain thereof?

Answer: Cytochrome oxidase

Choices:
A. NADH dehydrogenase
B. Cytochrome oxidase
C. Succinate dehydrogenase
D. Uniquinone:cytochrome c oxidoreductase


Question: 45 year old woman in the past no history of surgery, the recent month of repeated abdominal pain, upper abdominal pain occurs suddenly at midnight, and to the emergency room for treatment, physical examination, there are signs of peritonitis (peritoneal sign), WBC count was 12000 / mm3, chest X light in the drawings, the following statements is wrong?

Answer: If vital signs stable, conservative treatment can be, do not have surgery

Choices:
A. The initial diagnosis of hollow organ perforation
B. If vital signs stable, conservative treatment can be, do not have surgery
C. Nasogastric tube, drip fluids, antibiotics are to be given
D. Peptic ulcer (peptic ulcer disease) may be the cause

year old woman
past
history of surgery
recent month
repeated abdominal pain
upper abdominal pain occurs
midnight
emergency room
treatment
signs
peritonitis
peritoneal sign
WBC count
12000
mm3
chest
light
following
wrong


Question: 26 year old man suffering from AIDS found a nodular skin lesions. Wherein the sections showed a majority of neutrophil infiltration, angiogenesis, and many Gram-negative bacilli. The following lesions whichever best meets the above pathological changes?

Answer: Bacillary angiomatosis

Choices:
A. Kaposi sarcoma
B. Pyogenic granuloma
C. Bacillary angiomatosis
D. Mycobacterial granuloma

year old man suffering
AIDS found
nodular skin lesions
sections
neutrophil infiltration
angiogenesis
following lesions
best
above pathological changes


Question: testosterone in the metabolic process through the role of whichever converted to estradiol?

Answer: aromatase

Choices:
A. 5α-reductase
B. cytochrome P450s
C. 3β-hydroxy steroid dehydrogenase
D. aromatase

testosterone
metabolic process
role
estradiol


Question: 9 A 45 year old patient complained photophobia, red eye, vision loss, and in the fine gap lamp examination of the cornea, can be found fluorescent dye (fluorescein stain) showed dendritic corneal ulcer (dendritic ulcer). What he is most likely suffering from a disease?

Answer: Herpesvirus keratitis

Choices:
A. Bacterial keratitis
B. Fungal keratitis
C. Parasite keratitis
D. Herpesvirus keratitis

year old patient
photophobia
red eye
vision loss
fine gap lamp examination of
cornea
found
fluorescein stain
dendritic corneal
dendritic ulcer
suffering
disease


Question: A 5-year-old boy was found to have sustained two weeks of the right armpit swollen lymph glands, swollen lymph glands only slight tenderness, fever and no significant medical history. Patients have the right arm scratches on, or patients with no family history of exposure to TB, tuberculin skin test is negative. Lymph gland biopsy this child to that kind of staining method most likely to see the pathogen?

Answer: Warthin-Starry stain

Choices:
A. Acid-fast staining method (acid-fast stain)
B. Gram staining (Gram stain)
C. India ink staining (India ink)
D. Warthin-Starry stain


Question: The following account of tumor antigens, that a mistake?

Answer: Only in tumor growth stage performance

Choices:
A. The majority of self-antigens
B. It can be a tumor specific
C. Only in tumor growth stage performance
D. May be mutated self-antigens

following account
tumor antigens
mistake


Question: 37 define abortion (Abortion) refers to the termination of pregnancy before clinical pregnancy a few weeks? (Counting from the first day of last menstruation)

Answer: Before 20 weeks of pregnancy

Choices:
A. Before 8 weeks of pregnancy
B. Before 12 weeks of pregnancy
C. Before 16 weeks of pregnancy
D. Before 20 weeks of pregnancy

abortion
Abortion
refers
termination of pregnancy
clinical pregnancy
few weeks
Counting
first day
menstruation


Question: A 30-year-old man with acute cholecystitis underwent laparoscopic cholecystectomy in the treatment of a medical center, one week after discharge, abdominal discomfort, but no rebound pain, mild jaundice, was sent back to the original hospital emergency department, blood test results: white blood cells 15000 / mm3, normal serum pancreatic enzymes, AST and ALT were within normal times, total serum bile pigment 2.2 mg / dL, direct bile pigment 1.5 mg / dL, abdominal ultrasound examination revealed intrahepatic bile duct thickness normal, but in the liver edge with a diameter of 15 cm large echo-free zone, the first time should consider how to deal with the most appropriate?

Answer: This postoperative bile leakage, drainage tube placed under the first drainage can be the first CT image-guided

Choices:
A. This intestinal perforation due to surgery, need emergency laparotomy repair
B. This is the common bile duct cut, you need to arrange drainage PTCD
C. This postoperative bile leakage, drainage tube placed under the first drainage can be the first CT image-guided
D. This is the cystic duct stump leakage after surgery, surgery should be re-stump good clip

abdominal revealed intrahepatic bile duct thickness normal


Question: In mammalian cells, N5- methyltetrahydrofolic acid (N5-methyl tetrahydrofolate; N5-methyl H4 folate) directly involved in the biosynthesis of amino acids that one of the following?

Answer: methionine

Choices:
A. isoleucine
B. leucine
C. lysine
D. methionine

N5
methyltetrahydrofolic acid
N5-methyl tetrahydrofolate
N5 methyl
folate
directly involved
one


Question: According to the American Society of muscle electrical diagnostic nerve (AANEM, AMBEM) indications of the guidelines, EMG diagnostic tests (electrodiagnosis) for these patients than those without that kind of help in the diagnosis?

Answer: Dementia (dementia)

Choices:
A. Dementia (dementia)
B. Dermatomyositis (dermatomyositis)
C. Guillain-Barré syndrome
D. Cubital tunnel syndrome (cubital tunnel syndrome)

muscle electrical diagnostic nerve
diagnostic tests
electrodiagnosis
patients
kind
help
diagnosis


Question: Test temperature difference (caloric test) is used to check:

Answer: Horizontal semicircular canal

Choices:
A. Horizontal semicircular canal
B. Vertical semicircular canal
C. Utricle (utricle)
D. Balloon (saccule)

Test
Test temperature
caloric test
used to check


Question: Statements about DNA and RNA, which of the following error?

Answer: In acidic solution, RNA more stable DNA

Choices:
A. DNA composed of deoxyribonucleic acid, RNA consisting of RNA
B. In acidic solution, RNA more stable DNA
C. Most of B form double-stranded DNA secondary structure in the presence of
D. DNA and RNA polymers are formed by a phosphodiester linkage (phosphodiester bond)


Question: From the previous question, if the patient recent years has also been diagnosed with bronchial asthma (bronchial asthma), and difficult to get control, it is also diffuse bronchiectasis, up and down throughout the lung, then (including serology for that following inspection of a microorganism and microbial cultures) to determine the diagnosis?

Answer: Aspergillus

Choices:
A. Mycobacterium
B. Aspergillus
C. Cryptococcus
D. Candida

previous
patient recent years
diagnosed
bronchial asthma
bronchial asthma
difficult to
control
diffuse bronchiectasis
down
lung
then
including serology
following inspection
microbial cultures
to
diagnosis


Question: Which of the following mydriatic drug mechanism of action is via inhibition of muscarinic receptor, belonging to the short-acting and suitable for adults?

Answer: tropicamide

Choices:
A. scopolamine
B. pilocarpine
C. tropicamide
D. atropine

of
following mydriatic drug mechanism
action
inhibition
muscarinic
short acting
suitable
adults


Question: When abdominal parenchymal organs occur blunt contusion, non-surgical therapy (nonoperative management) has become the norm of the treatment. When motorcyclists injured, confirmed the diagnosis of liver laceration alone (isolated liver laceration), by using non-surgical therapy after Which of the following complications are less likely to occur?

Answer: Urine (hematuria)

Choices:
A. Intra-abdominal hemorrhage delayed (delayed hemorrhage)
B. Liver abscess (liver abscess)
C. Jaundice (jaundice)
D. Urine (hematuria)


Question: The following pair of skin and soft tissue infections and pathogens, what's wrong?

Answer: cat-scratch disease：Streptococcus pyogenes

Choices:
A. gas gangrene：Clostridium perfringenes
B. bullous impetigo：Staphylococcus aureus
C. cat-scratch disease：Streptococcus pyogenes
D. Fournier's gangrene：mixed aerobic and anaerobic infection

following pair
skin
soft tissue infections
wrong


Question: Those 23 following heart disease most often heard systolic murmur? Ventricular septal defect ① ② ③ patent ductus arteriosus mitral aortic countercurrent countercurrent ④

Answer: ①③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④


Question: It Renkoutongji terms of the world, it is considered to be one of the following diseases caused by the death of children under five single most important cause of death?

Answer: Acute respiratory infection

Choices:
A. Acute respiratory infection
B. Asthma
C. Ischemic heart disease
D. Tuberculosis

terms
to
one
following diseases caused
death of children
five single
important cause of death


Question: Mr. Zhu in recent years due to business relationships and frequent trips to mainland China, Thailand and Vietnam and other regions, himself addicted to eating raw fish and raw fish congee, a few days ago due to abdominal discomfort and jaundice disease (jaundice) appears and medical treatment, the hospital found to have bile duct blocked, and the number of parasites removed by surgery. Based on the above results, Mr. Zhu parasite which can not infect the most?

Answer: Gun-like liver fluke (Dicrocoelium dendriticum)

Choices:
A. Chinese liver fluke (Clonorchis sinensis)
B. Cat liver fluke (Opisthorchis felineus)
C. Thailand liver fluke (Opisthorchis viverrini)
D. Gun-like liver fluke (Dicrocoelium dendriticum)

Mr
recent years
business relationships
frequent
mainland China
Thailand
Vietnam
regions
addicted
eating raw
raw
few days
due to abdominal discomfort
jaundice disease
jaundice
appears
medical treatment
hospital found to
bile duct blocked
number
parasites removed
surgery
Based
results
Mr
parasite
not infect
most


Question: Which of the following drugs have the effect of blocking the muscarinic receptor, and used to treat Parkinson's disease?

Answer: Biperiden

Choices:
A. Oxybutynin
B. Ipratropium
C. Biperiden
D. Scopolamine

following drugs
effect
blocking
muscarinic receptor
used to treat Parkinson's disease


Question: Face cause vomiting disease for acute kidney injury, prerenal or intrinsic desire to distinguish the cause, what items the following indicators most appropriate?

Answer: fractional excretion of chloride

Choices:
A. fractional excretion of sodium
B. urine-to-plasma urea ratio
C. fractional excretion of chloride
D. urine osmolality

Face cause vomiting
acute kidney
prerenal
intrinsic
to
cause
following
most appropriate


Question: Which of the following does not occur in close-focusing effect of the (accommodation)?

Answer: Crystalline suspensory ligaments (suspensory ligaments of lens) is tightened

Choices:
A. The third cranial nerve parasympathetic preganglionic fibers excited
B. Ciliary muscle (ciliary muscle) contraction
C. Crystalline suspensory ligaments (suspensory ligaments of lens) is tightened
D. Thick crystal body become convex

following
not occur
close focusing effect
accommodation


Question: The following statements about solitary enchondroma (Single enchondroma), and what's right?

Answer: Malignant changes occur a few patients, formed chondrosarcoma

Choices:
A. The incidence of the most common sites of femur and humerus
B. Lesion sites will marrow cavity enlargement, thickening of cortical bone will
C. Rapid growth of tumor cell division
D. Malignant changes occur a few patients, formed chondrosarcoma

following
solitary enchondroma
Single enchondroma
right