Question: Wei Xiaodi 12 years old, muscle weakness and atrophy gradually over the years, to proximal limb muscles of the worst, he could not stand up from a squatting position. Muscles are shrinking, but there gastrocnemius hypertrophy phenomenon. Wei Xiaodi 16-year-old brother has been confined to a wheelchair, but the 18-year-old sister and parents are normal in appearance. Heard an aunt's son get the same disease, and another one uncle died due to respiratory failure at the age of 19. Wei Xiaodi that are most likely to suffer from a disease of the following?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)

Choices:
A. The first hereditary motor and sensory neuropathy (hereditary motor and sensory neuropathy, type I)
B. Huntington's disease (Huntington's disease)
C. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
D. Myotonic muscular dystrophy (myotonic dystrophy)

years old
muscle weakness
atrophy
years
proximal limb muscles of
worst
not stand up
squatting position
Muscles
shrinking
gastrocnemius hypertrophy
year old
wheelchair
year old
normal
appearance
Heard
same disease
one
died due to respiratory failure
age
to suffer
disease


Question: A 36-year-old male patient was sent to the emergency room for medical treatment, blood pressure was 182/126 mmHg, heart rate 112 beats per minute, a fever, runny nose, abdominal pain, dilated pupils, muscle aches. This patient most likely clinical diagnosis of why?

Answer: Heroin withdrawal (heroin withdrawal)

Choices:
A. Heroin poisoning (heroin intoxication)
B. K he ordered the poisoning (ketamine intoxication)
C. Amphetamine withdrawal (amphetamine withdrawal)
D. Heroin withdrawal (heroin withdrawal)

36 year old male patient
sent
emergency room
medical treatment
blood pressure
mmHg
heart rate
beats per minute
fever
runny nose
abdominal pain
dilated pupils
muscle aches
patient
likely clinical diagnosis


Question: Nerve block can Use to ⿇ drunk and for still pain for Use, the following statements about nerve block, and what's wrong?

Answer: Using local ⿇ drunk the whole drug does not cause toxicity chest upwards

Choices:
A. Using the determined neural position may exceed Rec wave, or sensory nerve stimulator by sick Face
B. Patients do not agree with an absolute taboo for the ⼀
C. Using local ⿇ drunk the whole drug does not cause toxicity chest upwards
D. Using needles possible injury to nerves

Nerve block
Use to
drunk
pain
Use
following
nerve block
wrong


Question: 4438-year-old woman, complained of infertility for six years, FSH: 45 mIU / mL, normal hysterosalpingography photography, six months without menstruation, Mr. semen examination was normal, For pregnant women accepted this following what treatment?

Answer: Acceptance of egg donation

Choices:
A. 注射 human chorionic gonadotropin
B. Artificial insemination
C. Acceptance of egg donation
D. Taking ovulation drugs

year old woman
infertility
six years
mIU
mL
normal hysterosalpingography
six months
menstruation
Mr
semen examination
normal
accepted
following
treatment


Question: The trigeminal neuralgia microvascular decompression (microvascular decompression, MVD) mainly to vascular decompression Which of the following?

Answer: Before cerebellar artery (anterior inferior cerebellar artery)

Choices:
A. Superior cerebellar artery (superior cerebellar artery)
B. After inferior cerebellar artery (posterior inferior cerebellar artery)
C. Before cerebellar artery (anterior inferior cerebellar artery)
D. Basilar artery (basilar artery)


Question: A 1-year-old children for six months, a nose around erosion occurs erythema and exudate weeks ago, three days before the start of the body skin redness and peeling (as shown), physical examination found that body temperature 38.9 ℃, swollen lymph nodes did not show , oral mucosa and tongue intact without exception, according to the above, the most likely diagnosis why?

Answer: Staphylococcal scalded skin syndrome

Choices:
A. Toxic epidermal necrolysis
B. Staphylococcal scalded skin syndrome
C. Kawasaki syndrome
D. Scarlet fever

year old
six months
nose
erosion occurs erythema
exudate weeks
three days
start of
body
peeling
found
body temperature
swollen lymph nodes
not
oral mucosa
tongue intact
above
diagnosis


Question: A 3-year-old girl, skin lesions appear as shown in the right lower extremity, to describe the distribution of the rash patients Which statement is correct?

Answer: Along Blaschko's line distribution, epidermal dysplasia

Choices:
A. Distributed along the direction of scratching, isomorphic phenomenon positive
B. Along the blood vessels, as mesoderm caused by abnormal
C. Along innervation ectodermal dysplasia is caused by
D. Along Blaschko's line distribution, epidermal dysplasia

3 year old girl
skin lesions appear
right lower extremity
to
distribution
rash patients
correct


Question: Levator ani muscles (Levator ani muscle) that includes the following muscles?

Answer: Pubococcygeus

Choices:
A. Piriformis
B. Gluteus major
C. Anal sphincter
D. Pubococcygeus

Levator ani muscles
Levator ani muscle
includes
following muscles


Question: Which of the following cancer gene "Aggressive" bladder cancer compared with not connected?

Answer: p16

Choices:
A. p16
B. p21
C. p53
D. Rb gene

of the following cancer gene
Aggressive
bladder
not


Question: That the following is NOT a role of Dihydrotestosterone?

Answer: Manufacture of sperm

Choices:
A. The growth of external genitalia
B. The growth of the prostate
C. Growth of hair
D. Manufacture of sperm


Question: The following narrative about the vagus nerve (vagus nerve) of, what's wrong?

Answer: Its branches forming the neck loop (ansa cervicalis) under the root (inferior root)

Choices:
A. Laryngeal nerve outside (external laryngeal nerve) muscle control caused by the vocal folds (vocal folds) tight
B. Its branches forming the neck loop (ansa cervicalis) under the root (inferior root)
C. Its branches recurrent laryngeal nerve (recurrent laryngeal nerve) control within the throat muscles
D. Vagus nerve in the subclavian artery (subclavian artery) across the front


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

Answer: Levator ani

Choices:
A. Piriformis
B. Levator ani
C. Obturator muscle
D. Superficial transverse perineal muscle


Question: A condition that occurs following and amniotic fluid embolism syndrome (amniotic fluid embolism) are the least relevant?

Answer: Preterm birth (preterm delivery)

Choices:
A. Radical production (rapid labor)
B. Meconium staining of the amniotic fluid (meconium-stained amniotic fluid)
C. Uterine vein laceration (tears into uterine veins)
D. Preterm birth (preterm delivery)

condition
occurs following
amniotic fluid embolism syndrome
amniotic fluid embolism
least relevant


Question: A 20-year-old male patient due to acute asthma after the onset of chest pain situation under continuous sternum, physical examination revealed a breath of song when both sides have a breathing lung auscultation, palpation can be found in the chest of a mild subcutaneous emphysema situation. Patients most likely to have the following scenarios?

Answer: Mediastinal emphysema (pneumomediastinum)

Choices:
A. Left pneumothorax
B. Mediastinal emphysema (pneumomediastinum)
C. Angina
D. Pleural cavity water

20 year old male patient due to acute asthma


Question: Which of the following is endothelin-1 to the main mechanism of action of uterine muscle cells (myometrial cells) turn?

Answer: Increase in intracellular potassium ion concentration

Choices:
A. Reduced intracellular potassium ion concentration
B. Reduce intracellular calcium ion concentration
C. Increase in intracellular potassium ion concentration
D. Increase in intracellular calcium ion concentration

following
endothelin-1
main mechanism of action
uterine cells
myometrial cells
turn


Question: Rash shown in the figure, which of the following is the correct diagnosis?

Answer: Seborrheic dermatitis (seborrheic dermatitis)

Choices:
A. Systemic lupus erythematosus (systemic lupus erythematosus)
B. Plaque psoriasis (psoriasis vulgaris)
C. Seborrheic dermatitis (seborrheic dermatitis)
D. Atopic dermatitis light (photosensitive dermatitis)


Question: What machine Drug miscarriage turn Atosiban belong?

Answer: Oxytocin analogs (oxytocin analog)

Choices:
A. Inhibitors of prostaglandin (prostaglandin inhibitor)
B. Calcium channel blockers (calcium-channel blocker)
C. Oxytocin analogs (oxytocin analog)
D. Adrenergic receptor agonists (β-adrenergic receptor agonist)


Question: Trigeminal nerve (trigeminal nerve) of the branch accepted:

Answer: Parasympathetic nerve fibers accompanying the glossopharyngeal nerve (glossopharyngeal nerve) emitted by the control parotid (parotid gland)

Choices:
A. Parasympathetic fibers accompanied issued by the seventh cranial nerve, control the pupil sphincter (sphincter pupillae)
B. Parasympathetic nerve fibers accompanying the glossopharyngeal nerve (glossopharyngeal nerve) emitted by the control parotid (parotid gland)
C. Parasympathetic nerve fibers emitted by a third accompanying cranial nerve, lacrimal gland control (lacrimal gland)
D. Parasympathetic nerve fibers accompanied hypoglossal nerve (hypoglossal nerve) emitted by the control sublingual gland (sublingual gland)

Trigeminal nerve
trigeminal nerve
branch accepted


Question: 29-year-old pregnant woman, G3P2, 18 weeks of pregnancy, ultrasound check acceptance, as shown in the results shown in the figure arrows indicate abnormal fetal organ names and characteristics (sign) Why?

Answer: cerebellum，banana sign

Choices:
A. cerebrum，frog sign
B. cerebellum，banana sign
C. skull，lemon sign
D. ventricle，keyhole sign

29 year old
weeks
pregnancy
ultrasound check
results
arrows
abnormal fetal organ names
characteristics
sign


Question: The following account of Propionibacterium acnes (Propionibacterium) of, what's wrong?

Answer: Or resistance to oxygen anaerobic bacillus

Choices:
A. Or resistance to oxygen anaerobic bacillus
B. Etc. can be found in the skin, conjunctiva, the outer ear, female reproductive tract and oropharynx
C. No motility and is catalase-negative
D. Will produce fermentable carbohydrates by acid 48 named copy of the viral DNA in the cytoplasm is:


Question: A 55 year old female patient hospitalized due to intracranial tumors, eye view of the tumor as shown arrow, the following narrative about the tumor, whichever is the most correct?

Answer: Will lead to unilateral hearing loss

Choices:
A. Is a low-grade glioma
B. Is the most malignant brain tumors in adults
C. Will lead to unilateral hearing loss
D. Will lead to bilateral half-blind


Question: For acute asthma attack, which of the following drugs is not a first-line treatment option?

Answer: Theophylline

Choices:
A. β-2 Adrenergic agents
B. Anticholinergics
C. Corticosteroids
D. Theophylline

acute
following drugs
not
first-line treatment option


Question: About the narrative of chronic ulcerative colitis and what is non?

Answer: Rectal not necessarily be a problem

Choices:
A. Usually does not infringe the small intestine
B. Few aspects of anal lesions
C. Rectal not necessarily be a problem
D. The situation would not have occurred skipped area


Question: 64. A 45 year old male cleaner, the last good health situation, without any history of hospitalization due to chest tightness, shortness of breath, chest X-ray found that lung fields on both sides of frosted glass with scattered lesions (ground-glass opacities), the first two patients complained of week to clean and remove debris abandoned factory, a week ago began to cough, fever, chest tightness phenomenon, hospitalized after bronchoscopic lavage (bronchoalveolar lavage) examination revealed lymphocytosis phenomenon, this patient most likely diagnosis is:

Answer: hypersensitivity pneumonitis

Choices:
A. allergic bronchopulmonary aspergillosis
B. eosinophilic pneumonia
C. tuberculosis
D. hypersensitivity pneumonitis

64
year old male cleaner
last
history of hospitalization
chest tightness
shortness of breath
chest X-ray found
lung fields
sides
glass
scattered lesions
ground-glass opacities
first two patients
week to
remove
abandoned factory
week
began to cough
fever
chest tightness
hospitalized
bronchoscopic lavage
bronchoalveolar lavage
revealed lymphocytosis
patient
likely diagnosis


Question: 49 patients with 32-year-old woman, the first type diabetes with uremia, to accept the pancreas and kidney transplant six months ago at the same time. Acute rejection two weeks ago, received 3-day high dose steroids (prednisolone 500 mg) intravenously, 39.5 deg.] C to recent fever, respiratory Jichuan, dry cough, chest X-ray presents pulmonary infiltrates (lower sides Bilateral symmetry symmetric lower pulmonary infiltration), blood leukocytes

Answer: CMV pneumonia (cytomegalovirus pneumonia)

Choices:
A. Bacterial pneumonia (bacterial pneumonia)
B. Fungal pneumonia (fungal pneumonia)
C. Heart failure with pleural effusion (pulmonary congestion)
D. CMV pneumonia (cytomegalovirus pneumonia)


Question: The following account of juvenile myoclonic epilepsy (juvenile myoclonic epilepsy), and what's wrong?

Answer: Correlation has been found between family history of epilepsy

Choices:
A. Full seizures are seizures (generalized seizures)
B. When the morning to wake up myoclonic seizures (myoclonic seizures) based
C. Most can not be cured
D. Correlation has been found between family history of epilepsy

following account
juvenile myoclonic epilepsy
juvenile myoclonic epilepsy
wrong


Question: About obstructive sleep apnea (obstructive sleep apnea syndrome) the examination and treatment, Which statement is correct?

Answer: Nasal continuous positive airway pressure breathing (nasal continuous positive airway pressure) as the standard treatment for most patients

Choices:
A. More sleep study (polysomnography) of abnormal criteria: appeared more than 10 times per hour, more than five seconds each time breathing is interrupted or weakened
B. Airway obstruction occurs most often in the position of the tongue
C. Nasal continuous positive airway pressure breathing (nasal continuous positive airway pressure) as the standard treatment for most patients
D. Removal of the tonsils and adenoids (adenotonsillectomy) is the treatment of choice for adult patients

About obstructive sleep apnea
obstructive sleep apnea syndrome
treatment
correct


Question: Currently surgery for chronic sinusitis most commonly used why?

Answer: The functional endoscopic sinus surgery

Choices:
A. Caldwell-Luc surgery
B. The functional endoscopic sinus surgery
C. Fenestration
D. Side nose incision

Currently surgery
chronic sinusitis
used


Question: A 32-year-old female patient with severe abdominal pain due to the emergency, β-hCG urine test showing a positive reaction (positive), the height of suspected ectopic pregnancy (ectopic pregnancy), which of the following is less likely to risk factors of the disease?

Answer: Had received laparoscopic appendectomy (laparoscopic appendectomy)

Choices:
A. Implanted with intrauterine device (intrauterine device)
B. With a history of tubal surgery (tubal surgery) of
C. A history of pelvic inflammatory disease (pelvic inflammatory disease) of
D. Had received laparoscopic appendectomy (laparoscopic appendectomy)

year old female patient
severe abdominal
emergency
hCG urine test
positive reaction
positive
height
suspected ectopic
ectopic pregnancy
following
less likely
risk factors of
disease


Question: Which of the following worst prognosis of cystic kidney disease?

Answer: Infantile polycystic kidney disease

Choices:
A. Adult polycystic kidney  disease
B. Infantile polycystic kidney disease
C. Medullary sponge kidney
D. Cystic renal dysplasia

of the following worst prognosis
cystic kidney disease


Question: Blood clots caused by brain blood clots (embolism), this most unlikely of blood clots from which of the following?

Answer: The superior vena cava (superior vena cava)

Choices:
A. The superior vena cava (superior vena cava)
B. Right pulmonary vein (right pulmonary vein)
C. LV (left ventricle)
D. The left atrium (left atrium) 17 omentum (greater omentum) of arterial blood from which of the following?

Blood clots caused
brain blood clots
embolism
most unlikely
blood clots
following


Question: That is one of the following T cell maturation and has an auxiliary (helper T cell) function?

Answer: TCRa b CD4 + CD8-

Choices:
A. TCRg: d CD4-CD8 +
B. TCRa b CD4 + CD8 +
C. TCRa b CD4 + CD8-
D. TCRa b CD4-CD8 +

one
following T cell maturation
function


Question: In the cardiac cycle (cardiac cycle), the blood flow into the coronary arteries is the most important:

Answer: When aortic

Choices:
A. Pulmonary valve open
B. When left ventricular systolic
C. When aortic
D. When the right atrium diastolic

cardiac cycle
cardiac cycle
blood flow
coronary arteries
most important


Question: Which of the following is not a human brain frontal lobe (frontal lobe) symptoms disease often occurs?

Answer: No sense of direction (right-left disorientation)

Choices:
A. Appears primitive reflexes (primitive reflex) of
B. Language disorders
C. No sense of direction (right-left disorientation)
D. The loss of starting action (initiation)

following
not
human brain frontal lobe
frontal lobe
symptoms disease often occurs


Question: One patient two weeks ago to accept vaginal hysterectomy, bladder repair and incontinence surgery (Burch), complained of persistent leak phenomenon back to the clinic, she did not voiding urgency or pain. She most likely to occur following that kind of situation?

Answer: Obstetric tube 

Choices:
A. Urinary tract infections
B. Obstetric tube 
C. Unstable bladder (detrusor instability)
D. Neurogenic bladder

One patient two weeks
to accept vaginal hysterectomy
bladder repair
incontinence surgery
persistent leak
back
clinic
not voiding urgency
pain
to occur following
kind


Question: Which of the following is a poor prognostic factor for schizophrenia?

Answer: Significant negative symptoms

Choices:
A. Acute attack
B. married
C. Significant negative symptoms
D. Family history of bipolar disorder


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

Answer: Tuberculoid leprosy (TT) is a common clinical manifestations of a single lesion, accompanied by a partial nerve paralysis, but still sometimes due to immune

Choices:
A. Parasitic intracellular pathogens is absolutely within the Mycobacterium leprae
B. Mycobacterium leprae bacteria is the only violation of the peripheral nerves
C. Tuberculoid leprosy (TT) is a common clinical manifestations of a single lesion, accompanied by a partial nerve paralysis, but still sometimes due to immune
D. Jopling's type I reaction is particularly common in borderline lepromatous leprosy, Jopling's type II reaction occurs mostly in lepromatous leprosy


Question: International Index of Erectile Function (international index of erectile function, IIEF), is a self-assessment questionnaire widely used, including sexual function blocks (domain), except:

Answer: Satisfaction with sexual partners

Choices:
A. Erectile function
B. Satisfaction with sexual partners
C. sexual desire
D. Climax function

used
including sexual function blocks
domain


Question: Hanta virus (Hanta virus) is an emerging virus, following a description that is right?

Answer: This virus can cause flu-like symptoms, followed by damage caused Huxiqiguan

Choices:
A. This virus belongs to the sand-like virus (Arenavirus)
B. This virus is spread by person to person
C. This virus antigenic variation characteristics
D. This virus can cause flu-like symptoms, followed by damage caused Huxiqiguan


Question: About EMPTY bottom fasciitis (plantar fasciitis) and narrative therapy, what's wrong?

Answer: Use underexposure at night when the ankle brace (AFO), must be fixed to the ankle plantar flexion is largest (plantar flexion) is at an angle

Choices:
A. Patients most often complain of pain in the morning the first frame stepping step down
B. Fascia calcaneal lesions often take place at the end of underexposure
C. Use underexposure at night when the ankle brace (AFO), must be fixed to the ankle plantar flexion is largest (plantar flexion) is at an angle
D. There is evidence displayed, extracorporeal shock wave therapy (extracorporeal shockwave therapy) may be effective for treating the bottom fasciitis underexposed

About EMPTY bottom fasciitis
plantar fasciitis
narrative therapy
wrong


Question: Skeletal muscle α dominated sport of neurons (motor neuron) located?

Answer: ventral horn of the spinal cord

Choices:
A. ventral horn of the spinal cord
B. primary motor cortex
C. basal ganglia
D. pyramidal tract


Question: Preganglionic fibers synapse (Synapse) ciliary ganglion (ciliary ganglion) in the derived:

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. The seventh cranial nerve
B. Trigeminal nerve (trigeminal nerve) in the Ophthalmic (ophthalmic nerve)
C. The optic nerve (optic nerve)
D. Oculomotor nerve (oculomotor nerve)

Preganglionic fibers synapse
Synapse
ciliary ganglion
ciliary ganglion
derived


Question: Pathogenic microbes infect the body's variety, but only a few are proven cancer-related pathogenic machine turn. The following microbial infection in cells that kind of strong evidence to cause cancer in humans?

Answer: EB virus (Epstein-Barr virus)

Choices:
A. Enterovirus type seventy-one
B. EB virus (Epstein-Barr virus)
C. Streptococcus
D. Mycobacterium tuberculosis


Question: Currently listed on the cervical cancer vaccine, a protein that is a major human papillomavirus (HPV) antigen as a basis for the prevention and treatment of immune?

Answer: L1

Choices:
A. E5
B. E6
C. E7
D. L1

Currently
cervical cancer vaccine
a protein
major
basis
prevention
treatment
immune


Question: The reason a small clinical trial to evaluate a new chemotherapy treatment of lymphoma effect, if in fact this new chemotherapy has a good effect, but this study did not find significant differences in the five-year survival rate, can not detect this new therapeutic effect Why?

Answer: Type titanium error (type II error)

Choices:
A. Inspection force (power) is too large
B. Sampling error
C. A type of error (type I error)
D. Type titanium error (type II error)

small
to
new chemotherapy
lymphoma effect
fact
new chemotherapy
good effect
study
not find significant differences
five-year survival rate
not detect
new therapeutic effect


Question: About the timing of surgical correction pectus excavatum (funnel chest), and Which of the following most correct?

Answer: 2 to 8 years old

Choices:
A. At birth
B. 2 to 8 years old
C. Adulthood
D. 12 to 18 years old


Question: Prader - Willi syndrome (Prader-Willi Syndrome) The following is a genetic disease caused by abnormal what?

Answer: Gene imprinting (genomic imprinting) abnormal

Choices:
A. Tissue structural proteins (structural proteins) abnormal
B. Cell receptors (receptor) Exception
C. Gene imprinting (genomic imprinting) abnormal
D. Chromosomal translocation (translocation)

Prader
Willi syndrome
Prader-Willi Syndrome
following
genetic disease caused
abnormal


Question: Related to the cardiovascular system, the following statements is wrong?

Answer: Atrial septal ventricular septum or the surface of endothelial cells are no

Choices:
A. Some particles containing atrial cardiomyocytes
B. A film ventricular septal region (membranous portion) is composed of connective tissue
C. Atrial septal ventricular septum or the surface of endothelial cells are no
D. Membranous ventricular septal region containing the A-V bundle (the bundle A-V)

Related
cardiovascular system
following
wrong


Question: Pancreatic cancer often familial and genetic disorders related to the following exceptions to what disease?

Answer: familial thyroid cancer

Choices:
A. hereditary nonpolyposis colon cancer
B. familial thyroid cancer
C. Peutz-Jeghers syndrome
D. ataxia-telangiectasia 40 in laparoscopic surgery, which of the following is not the main factor causing the large vessel injury?

Pancreatic cancer often familial
genetic disorders related
following
disease


Question: Inferior phrenic artery (inferior phrenic artery) from:

Answer: Abdominal aorta (abdominal aorta)

Choices:
A. Internal thoracic artery (internal thoracic artery)
B. Celiac artery (celiac trunk)
C. Abdominal aorta (abdominal aorta)
D. Renal artery (renal artery)

Inferior phrenic artery
inferior phrenic artery


Question: 7327-year-old woman, G2P2, 33 weeks gestation, preterm birth a baby girl, newborn breathing slow and irregular, according to A Page's scoring method (Apgar score), the score at sub-breathing Why?

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

year old woman
weeks gestation
preterm birth
baby girl
newborn breathing slow
irregular
scoring method
Apgar score
score
sub breathing


Question: Pregnant women about caesarean section of prophylactic antibiotics administered to pregnant women if the penicillin or cephalosporin severe allergies, Which of the following is the most appropriate prophylactic antibiotics?

Answer: clindamycin plus gentamicin

Choices:
A. clindamycin
B. levofloxacin
C. clindamycin plus gentamicin
D. clindamycin plus metronidazole


Question: The following account of Nocardia species, and what's wrong?

Answer: Gram staining Gram-positive cocci

Choices:
A. Gram staining Gram-positive cocci
B. In patients with cellular immune defects may cause systemic infections, including brain abscess
C. In healthy host disease may be due to contact with the soil or plants infected with lymphatic skin type
D. Sulfa drug of choice, such as trimethoprim-sulfamethoxazole


Question: In prostate hypertrophy and chronic urinary retention in older men, Which of the following is not a common bladder changes?

Answer: Bladder compliance (compliance) Good

Choices:
A. Bladder compliance (compliance) Good
B. Detrusor (detrusor) contractility
C. Detrusor instability (detrusor instability)
D. Detrusor hypertrophy

prostate hypertrophy
chronic urinary retention
older
following
not
common bladder changes


Question: Which of the following is not a blood vessel in the leg with the line?

Answer: Superficial peroneal nerve (superficial peroneal nerve)

Choices:
A. Sural nerve (sural nerve)
B. Deep peroneal nerve (deep peroneal nerve)
C. Superficial peroneal nerve (superficial peroneal nerve)
D. Tibial nerve (tibial nerve)


Question: Which of the following drugs inhibit xanthine oxidase, for the treatment of chronic gout?

Answer: Febuxostat

Choices:
A. Febuxostat
B. Probenecid
C. Sulfinpyrazone
D. Colchicine


Question: A 40-year-old plumber, often holding a hammer drill and iron work, and complained of numbness view diagnosed right palm surface, Thenar muscle atrophy, wrist flexion sustained 60 seconds after the symptoms get worse, he piece of nerve oppressed?

Answer: Median nerve

Choices:
A. Ulnar nerve
B. Median nerve
C. Radial nerve
D. Nerve


Question: Statements about metabolic syndrome (metabolic syndrome) is, which of the following error?

Answer: Diagnosis of the condition include high triglycerides and low-density lipoprotein cholesterol hyperlipidemia

Choices:
A. And age-related and obesity, insulin resistance as possible causes of pathology
B. May have elevated blood pressure or blood sugar of patients
C. The risk of metabolic syndrome in people suffering from cardiovascular diseases will rise
D. Diagnosis of the condition include high triglycerides and low-density lipoprotein cholesterol hyperlipidemia

metabolic syndrome
metabolic syndrome
following error


Question: A 50-year-old female patient complained of 2 months to 3 kg weight loss, physical examination found that thyroid nodular swelling, no tenderness. Laboratory results free T4 3.2 ng / dL (reference 0.6-1.75), TSH <0.001 μU / mL (reference value 0.1-4.5). The left lobe of the thyroid ultrasound was found to have a size of 1 cm nodule echo low degree of suspected malignant change. The most appropriate way to deal with that immediately following one?

Answer: Given anti-thyroid drugs

Choices:
A. Surgical removal of the thyroid gland
B. Given anti-thyroid drugs
C. Radioactive iodine treatment
D. Administration of the chemotherapeutic

50 year old female patient
months
3 kg weight loss
found
thyroid nodular swelling
tenderness
Laboratory results free
ng
dL
0
75
0.001 U
mL
reference value
left lobe
thyroid ultrasound
found to
size of
nodule echo low degree
suspected malignant change
most appropriate
to
immediately following one


Question: Patients with acute epidural hematoma (epidural hematoma), the following statements is wrong?

Answer: Poor prognosis than hematoma (acute subdural hematoma) acute subdural

Choices:
A. Often associated with skull fracture
B. Is often due to the meningeal artery (middle meningeal artery) caused by rupture
C. Poor prognosis than hematoma (acute subdural hematoma) acute subdural
D. About a third of the patients to the emergency room in a coma

Patients
acute epidural hematoma
epidural hematoma
following
wrong


Question: When checking patients, smell the smell inside the nasal cavity, which of the following is least likely?

Answer: Inferior turbinate hypertrophy

Choices:
A. Atrophic rhinitis
B. Nasal or sinus cancer
C. Inferior turbinate hypertrophy
D. Foreign body inside the nasal passage

patients
smell
smell
nasal cavity
following
least likely


Question: Guangdong has a live patient suspected of being infected blood nematode (Angiostrongylus cantonensis), now a way to do that confirm the diagnosis?

Answer: Cerebral spinal fluid taken to find and identify parasites

Choices:
A. Mining cerebrospinal fluid to check for eosinophilic leukocytes
B. Are there clinical symptoms of meningitis
C. Cerebral spinal fluid taken to find and identify parasites
D. By polymerase chain reaction test cerebrospinal fluid whether a parasite DNA fragment

live patient suspected
infected blood
now
confirm
diagnosis


Question: A 40-year-old male clerk medical treatment due to cough, he has the habit of smoking, smoked about 30 cigarettes a day. You discuss with him the benefits of the health hazards of smoking and smoking cessation, the patient is prepared to take action to quit, and carefully planned change in a month. At this point the patient belongs to the cessation of behavioral changes that stage?

Answer: Preparation period (preparation stage)

Choices:
A. Pre-contemplation (precontemplation stage)
B. Meditation period (contemplation stage)
C. Preparation period (preparation stage)
D. Action period (action stage)

40 year old male clerk medical treatment due to cough


Question: 1 a 6 weeks of full-term infants because of progressive cough, shortness of breath and slightly faster cyanosis and treatment, his temperature is normal, showed bilateral rales auscultation, X-ray showing hyperinflation (hyperinflation) and traces of interstitial infiltration, while the blood test, there are eosinophilic ball rise (eosinophilia) phenomenon; this baby's treatment should include which of the following?

Answer: erythromycin administered 14 days

Choices:
A. clindamycin administered 7 days
B. erythromycin administered 14 days
C. ampicillin administered 14 days
D. ampicillin and gentamicin administered 7 days

1
weeks
full-term infants
progressive cough
shortness of breath
slightly faster cyanosis
treatment
temperature
normal
bilateral rales auscultation
X-ray
hyperinflation
hyperinflation
traces
interstitial infiltration
blood test
eosinophilic ball
eosinophilia
baby's treatment
include
following


Question: When deciding which method to take corrective surgery ptosis, following a factor that is the most important consideration in clinical practice?

Answer: Upper eyelid levator (The levator) the function

Choices:
A. gender
B. age
C. Unilateral or bilateral ptosis
D. Upper eyelid levator (The levator) the function

method to
corrective surgery ptosis
following
factor
most important consideration
clinical


Question: Sulbactam which combined with the following antibiotic use, to avoid destruction of the structure of the antibiotic β-lactamases are enzymes produced by bacteria and failure, and thus both with a synergistic effect of antibacterial?

Answer: ampicillin

Choices:
A. ampicillin
B. chloramphenicol
C. sulfamethoxazole
D. tetracycline

Sulbactam
combined
following
use
to
destruction
structure
lactamases
enzymes
bacteria
failure
synergistic effect
antibacterial


Question: 13. Edema (systemic arterial blood) carbon dioxide partial pressure (P coi) stimulates ventilation (ventilation) increases when, following the main line through what mechanism?

Answer: After the blood-brain barrier penetration of carbon dioxide into the medulla oblongata, and then formed to produce a hydrogen carbonate ion, a hydrogen ion stimulation of the central chemoreceptors

Choices:
A. After the blood-brain barrier penetration of carbon dioxide into the medulla oblongata, direct stimulation of the central chemoreceptors (central chemoreceptor)
B. After the blood-brain barrier penetration of carbon dioxide into the medulla oblongata, and then formed to produce a hydrogen carbonate ion, a hydrogen ion stimulation of the central chemoreceptors
C. Arterial carbon dioxide forms carbonic acid in the body for reproducing the hydrogen ions, the hydrogen ions penetrate the blood-brain barrier into the medulla oblongata, stimulation of the central chemoreceptors (central chemoreceptor)
D. Arterial carbon dioxide forms carbonic acid in the body for reproducing the hydrogen ions, hydrogen ions stimulate peripheral chemoreceptors (peripheral chemoreceptor)

Edema
systemic arterial blood
carbon dioxide partial pressure
P coi
ventilation
ventilation
increases
following
main line
mechanism


Question: Which of the following is the most important source of catheter-related bacterial infection?

Answer: Flora contamination during operations and medical staff on the patient's skin

Choices:
A. Flora contamination during operations and medical staff on the patient's skin
B. Original catheter pollution
C. Original infusion pollution
D. Other transitional blood flow through the site of infection

most important source of catheter related bacterial infection


Question: Statements about taking of glue, Which statement is correct?

Answer: Taking glue is likely to cause resistance (tolerance), withdrawal symptoms occur infrequently but

Choices:
A. If the incoherent with hallucinations, can be administered benzodiazepines class (benzodiazepines.) Drug control symptoms
B. Taking glue is likely to cause resistance (tolerance), withdrawal symptoms occur infrequently but
C. Long-term use can damage the brain and motor function, but does not affect IQ
D. Extensive use yet they are not life-threatening


Question: The following describes what's right?

Answer: All health care personnel should be screened for hepatitis B virus surface antibody

Choices:
A. AIDS virus (HIV) is more easily transmitted from patient than a doctor hepatitis B virus
B. Patients should check hepatitis B virus antibody
C. All health care personnel should be screened for hepatitis B virus surface antigen
D. All health care personnel should be screened for hepatitis B virus surface antibody


Question: One 70-year-old woman complained she will have serious urinary incontinence in the last three months cough phenomenon. No abnormal physical examination, medical history began tracking found that long-term use of some aspects of cardiovascular drugs she was about 3-4 months ago, following a drug that is most likely to be the main factors contributing to the deterioration of urinary incontinence?

Answer: doxazosin

Choices:
A. captopril
B. doxazosin
C. felodipine
D. propranolol

One 70 year old woman
serious urinary incontinence
three months cough
abnormal
medical history began tracking found
long-term use of
aspects
cardiovascular drugs
about
months
following
drug
to
main factors
of urinary incontinence


Question: 60. A 55 year old female with a history of lung cancer. Two days ago a sudden back pain, but steady signs of life, limbs, bowel and bladder function and normal nerve function. Spinal X-ray and magnetic resonance angiography results second lumbar suspected metastatic tumor, but no significant nerve compression. The following statements is wrong?

Answer: If it is determined metastatic tumors, patients should be advised to immediately accept the spinal fixation, nerve decompression laminectomy surgery to treat back pain and preventing its damage to nerve compression

Choices:
A. Can arrange bone scintigraphy (bone scan) to check whether there are other skeletal sites help diagnosis of metastasis
B. Can be arranged guide biopsies Computer tomography (CT-guided biopsy), to help determine whether tumor metastasis
C. If it is determined metastatic tumors, patients should be advised to immediately accept the spinal fixation, nerve decompression laminectomy surgery to treat back pain and preventing its damage to nerve compression
D. Surgical purposes metastatic spinal tumors, mainly to improve pain and quality of life of patients, disease control and survival of their primary tumor and


Question: A 80-year-old Ms Wu 71, without formal education, most recently as easily forgets, was brought to the clinic to assess their families. Physicians make the following evaluation elderly mental status examination, mini-mental state examination (MMSE) score of 18 points (out of 30). A minute later covered chanting "red", "happy", "TV" (three-item recall), only three correct answers a clock drawing test (clock drawing test, CDT), Manos method score 6 points (out of 10 min), the following statements is true?

Answer: According to Mini-Cog test (clock drawing test and three-item recall) interpretation, Ms Wu has dementia

Choices:
A. According to MMSE score interpretation, Ms Wu has dementia
B. Clinically also hard to decipher whether dementia, do need to add computer tomography brain
C. According to Mini-Cog test (clock drawing test and three-item recall) interpretation, Ms Wu has dementia
D. Ms Wu easily forgets, is clinically mild cognitive dysfunction

80 year old Ms Wu
most recently
easily forgets
brought
clinic to
Physicians make
following
mental status
mini-mental state examination
score
points
30
minute later covered
red
TV
three
only three correct
CDT
method score
points
10 min
following
true


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

Answer: With morphine and can be used to achieve maximum analgesic effect

Choices:
A. High doses of pentazocine can cause blood pressure to rise
B. With morphine and can be used to achieve maximum analgesic effect
C. Than morphine relatively easy to produce euphoria
D. Orally active


Question: About the staging and treatment of COPD in GOLD guideline, which of the following error?

Answer: For patients with stable COPD FEV1 <30% predicted values, long-term use of low-dose oral steroids to reduce the number of episodes of

Choices:
A. FEV1 / FVC <70% and 50% ≦ FEV1 <80% predicted value for stage II, moderate COPD
B. FEV1 / FVC <70% and 30% ≦ FEV1 <50% predicted value, to stage III, severe COPD
C. Long-term use of inhaled steroids in FEV1 <50% of patients and often acute, the rules may
D. For patients with stable COPD FEV1 <30% predicted values, long-term use of low-dose oral steroids to reduce the number of episodes of

staging
treatment
COPD
GOLD
following error


Question: Which of the following drugs commonly used to treat gout in addition to outside, the newborn arterial insufficiency also has the role of promoting it off?

Answer: indomethacin

Choices:
A. indomethacin
B. etodolac
C. ketoprofen
D. naproxen


Question: Which of the following molecule containing hemiketal (hemiketal)?

Answer: Ring D-fructose

Choices:
A. D-ribose ring
B. Ring D-fructose
C. Ring D-glucose
D. 6-phosphogluconolactone

following
containing hemiketal
hemiketal


Question: In the study of bacterial DNA replication, 5'-bromouracil used to replace thymidine drugs, the reason why?

Answer: May produce heavy DNA, and easy manner by centrifugation

Choices:
A. Lead to termination of DNA synthesis
B. Cutting position easily generated on the DNA
C. May produce heavy DNA, and easy manner by centrifugation
D. It can be used to stain DNA


Question: 25-year-old female patient due to breathing difficulties and palpitations treatment. Display physical examination blood pressure 110/64 mmHg, pulse 116 / min, the bottom sides of pulmonary moist rales audible. A first heart sound was found to increase cardiac auscultation, an audible edge left clear at the apex and the mitral valve opening snap sternum (opening snap, OS), and rumble noise diastole (diastolic rumbling murmur). The following statements is true?

Answer: When heart failure aggravated diastolic rumbling murmur occur in such patients, low cardiac output, heart murmur strength may weaken or even disappear

Choices:
A. The first heart sound increase, represents less severe mitral stenosis
B. Of the second heart sound to the opening between the valve sound (S2-OS interval) longer represents the more severe mitral stenosis
C. Compensatory machine turn fast heartbeat such as the patient's heart, this time to reduce the heartbeat of the disease is not good, but heavier
D. When heart failure aggravated diastolic rumbling murmur occur in such patients, low cardiac output, heart murmur strength may weaken or even disappear

year old female patient due to breathing difficulties


Question: Require special caution when pregnant women undergo surgery or long-term use of contraceptives, the use of neuromuscular blocking agents Which of the following?

Answer: Succinylcholine

Choices:
A. Relanium
B. Doxacurium
C. Pancuronium
D. Succinylcholine

special
surgery
long-term use of contraceptives
use of neuromuscular blocking agents
following


Question: Which of the following is the human bile produced by the liver, the source of bilirubin (bilirubin) in?

Answer: Hemoglobin (hemoglobin)

Choices:
A. Bile salts (bile salts)
B. Hemoglobin (hemoglobin)
C. Serotonin (serotonin)
D. Cholesterol (cholesterol)

following
human bile
liver
source
bilirubin
bilirubin


Question: DNA sequence, which of the following is easily methylated?

Answer: CpG site

Choices:
A. TATA box
B. CpG site
C. CAAT box
D. Telomere


Question: Following that kind of X-ray used to detect the optimum sphenoid Is there a problem?

Answer: Skull lateral view

Choices:
A. Waters view
B. Caldwell view
C. Skull lateral view
D. Submental vertical view

Following
kind
X-ray used to detect
optimum sphenoid
problem


Question: The following account of cell adhesion molecule (adhesion molecule), and what's wrong?

Answer: Adhesion molecules on endothelial cells include E-selectin, P-selectin and L-selectin, belongs to the immunoglobulin family

Choices:
A. Adhesion molecules on endothelial cells include E-selectin, P-selectin and L-selectin, belongs to the immunoglobulin family
B. Integration lectin (integrin-) belong adhesion molecules, composed of two non-covalently bound protein chains
C. Select lectin (selectin) bind to a carbohydrate molecule
D. Cytokine (Cytokine) induces expression of adhesion molecules on endothelial cells

following account
cell adhesion molecule
adhesion molecule
wrong


Question: Vertebrates, 5S rRNA and tRNA synthetase enzyme that consists of the following?

Answer: RNA polymerase III

Choices:
A. RNA polymerase I
B. RNA polymerase II
C. RNA polymerase III
D. ribosomal RNase


Question: Which of the following is responsible for control of the main motion paths finger muscles to perform fine motor?

Answer: Corticospinal path side (lateral corticospinal tract)

Choices:
A. Corticospinal path side (lateral corticospinal tract)
B. Ventral corticospinal Path (ventral corticospinal tract)
C. Reticulospinal path (reticulospinal tract)
D. RUBROSPINAL path (rubrospinal tract)


Question: When holding back urine, the body with the following main what mechanism?

Answer: Perineal nerve (pudendal nerve) to stimulate contraction of the external urethral sphincter

Choices:
A. Inhibition of renal nerve contraction of the bladder detrusor
B. Sympathetic stimulation of the external urethral sphincter
C. Parasympathetic inhibition of detrusor contraction
D. Perineal nerve (pudendal nerve) to stimulate contraction of the external urethral sphincter

holding back urine
body
following main
mechanism


Question: One chromosome 47, XY, +21's 18-year-old stocky youth, accompanied by his mother to the clinic, the youth want to marry and have children, the following circumstances are more in line with recommendations of medical knowledge and ethics?

Answer: But may not be married to have children

Choices:
A. Should not marry and have children based on eugenics care
B. Can marry and have children
C. But may not be married to have children
D. Not intercourse can not have children

One chromosome
XY
21's
year-old
youth
clinic
youth
marry
children
following
more
line
medical
ethics


Question: Niacin to statin treatment and service hyperlipidemia, Which of the following does not reduce blood fat ingredients?

Answer: HDL-C

Choices:
A. LDL-C
B. Triglyceride
C. Apo B
D. HDL-C

Niacin
statin treatment
service hyperlipidemia
following
not
blood fat


Question: 72 A 63-year-old male patient with lung cancer to short-acting oral morphine 10 mg q4h as a pain treatment medication, but the analgesic effect is still not ideal. Morphine dose adjustment principles on cancer patients, which of the following error?

Answer: Oral morphine dose of this breakthrough pain patient doses for 24 hours substantially 1/12

Choices:
A. The so-called proper dose of morphine means that can ease the pain of cancer patients dose, but no side effects can not be disposed of, so there is no set maximum dose
B. Oral morphine dose of this breakthrough pain patient doses for 24 hours substantially 1/12
C. When the breakthrough pain oral morphine time interval used is 60 to 90 minutes
D. If this burst morphine patient's pain more frequently used, the dose should substantially increase their time of administration

72
63 year old male patient
lung cancer
oral morphine
mg q4h
pain treatment medication
analgesic effect
not ideal
Morphine dose adjustment
cancer patients
following error


Question: About pregnant women with chronic hypertension complicated by pre-eclampsia (pre-eclampsia), the following statements is wrong?

Answer: Prior to pregnant women with chronic hypertension, blood pressure can be controlled at 130/85 mmHg, if the recent use of blood pressure drugs previously still Bunengkongzhi at 140/90 mmHg or less

Choices:
A. In pregnant women with chronic hypertension, about 20% to 30% of pregnant women, pre-eclampsia occurs
B. Weeks pregnant women with chronic hypertension complicated by preeclampsia, about 50% occurred before 37 weeks
C. Prior to pregnant women with chronic hypertension, blood pressure can be controlled at 130/85 mmHg, if the recent use of blood pressure drugs previously still Bunengkongzhi at 140/90 mmHg or less
D. If pregnant women with chronic hypertension before pregnancy no kidney disease, pregnancy creatinine (creatinine) if greater than 1.1 mg / dL can be diagnosed as preeclampsia

About
chronic hypertension complicated
pre-eclampsia
pre-eclampsia
following
wrong


Question: 24 so-called Norwood surgical procedures including the reconstruction of the aortic arch, blocking the blood flow outlet body, while taking advantage of improved Blalock-Taussig shunt to control pulmonary blood flow, this operative is best used for what disease?

Answer: Mitral valve disease (mitral atresia)

Choices:
A. Interrupted Aortic Arch combined ventricular septal defect
B. Coarctation of the aorta Ventricular septal defect herniation
C. Mitral valve disease (mitral atresia)
D. Tricuspid atresia (tricuspid atresia)


Question: About Atopic Dermatitis narrative (atopic dermatitis) transfer of pathogenic machine, which of the following error?

Answer: Pathology of Chronic turn mainly activation of Th2 cells is the primary role, the role of Th1 cells less

Choices:
A. Gene mutations filaggrin FLG reducing manufacturing
B. Physiological function of skin can be observed (including transdermal water loss and water content) Abnormal
C. Skin immune system deficiency patients, and therefore easy to bacterial infection
D. Pathology of Chronic turn mainly activation of Th2 cells is the primary role, the role of Th1 cells less

About Atopic Dermatitis
atopic dermatitis
transfer
pathogenic machine
following error


Question: Corynebacterium jeikeium about the narrative, which of the following error?

Answer: For most commonly used antibiotics with sensitivity

Choices:
A. Often patients are separated by the bacteremia
B. Failure of the immune function in patients susceptible to infection
C. For most commonly used antibiotics with sensitivity
D. Belonging to Corynebacterium between lipophilic (Lipophilic Corynebacteria)


Question: Screening for congenital hypothyroidism, for the consideration of its inspection tool accuracy (accuracy), the following statements is most accurate?

Answer: Considered more important than sensitivity and specificity of consideration

Choices:
A. Considered more important than sensitivity and specificity of consideration
B. Important considerations specificity than sensitivity considerations
C. As an important consideration in the sensitivity and specificity
D. Depending screening ethnic groups, vary

Screening
congenital hypothyroidism
consideration
inspection tool accuracy
accuracy
following
most accurate


Question: Pathological features of asthma related narrative, what's wrong?

Answer: α1 anti-trypsin (α1-antitrypsin) lack

Choices:
A. Bronchospasm
B. Mucus blockage
C. α1 anti-trypsin (α1-antitrypsin) lack
D. Sputum appears Xialai Barre crystals (Charcot-Leyden crystal)

Pathological features
asthma related
wrong


Question: That these two kinds of immune globulin (immunoglobulin), pathogenic bacteria may provide protection against neonatal force?

Answer: IgG gave IgA

Choices:
A. IgA gave IgD
B. IgD and IgE
C. IgE gave IgG
D. IgG gave IgA

two kinds
immune globulin
immunoglobulin
pathogenic bacteria
protection
neonatal


Question: The main reason why; polymerase chain reaction (PCR polymerase chain reaction) 100. E. coli DNA replication (DNA replication) of DNA polymerase can not be used?

Answer: Thermal stability (thermal stability) difference

Choices:
A. Thermal stability (thermal stability) difference
B. Selective DNA template (Template) difference
C. It does not have a 3 'exonuclease (3' Exonuclease) activity
D. Lack of accuracy of DNA synthesis

main
polymerase chain reaction
100
replication
DNA replication
DNA polymerase
not
used


Question: Homogeneous alienation genes (homeotic genes) what role is mainly played in Drosophila embryonic development (developmental stages)?

Answer: Performance late in embryonic development, decision detailed structure of each body section

Choices:
A. When the spawning period gene transcription start for the performance of its mRNA was dormant until after the egg is fertilized start
B. Performance late in embryonic development, decision detailed structure of each body section
C. General term for determining gene wings
D. Determine the general term for eye color gene

Homogeneous
genes
homeotic genes
role
played
embryonic development
developmental stages


Question: Mr. Lee, 53 years old, suffering from diabetes for four years; two weeks ago, his brother (aged 49), his brother with blood glucose meters measure fasting blood glucose was 112 mg / dL, fear of diabetes, so determined to come to the clinic hope Is there diabetes. That one of the following information to determine whether he has diabetes to determine the most helpful?

Answer: Oral glucose tolerance test

Choices:
A. Urinalysis
B. Glycated hemoglobin
C. Fasting plasma glucose
D. Oral glucose tolerance test


Question: 5 A 60-year-old male with acute myocardial infarction attack, after rescue by emergency personnel sent to the emergency room. Blood test showed: pH blood 7.12, 58 mmHg, blood HCO3- to 18 mEq / L, the following statements about his body acid-base balance, whichever is correct?

Answer: Respiratory acidosis with metabolic acidosis

Choices:
A. Respiratory acidosis (respiratory acidosis) merged portions renal decompensation
B. Metabolic acidosis (metabolic acidosis) merger partial respiratory compensation
C. Respiratory acidosis with metabolic acidosis
D. Respiratory alkalosis (respiratory alkalosis) with metabolic alkalosis (metabolic alkalosis)

5
60 year old male
acute attack
emergency personnel sent
emergency room
Blood test
pH blood
58 mmHg
blood HCO3
mEq
L
following
body acid-base balance
correct


Question: Account of the tracheal stenosis surgery anesthesia, which of the following error?

Answer: Anesthesia should first plug the endotracheal tube

Choices:
A. Must first dilation tube may be less than 5 mm
B. Anesthesia should first plug the endotracheal tube
C. If possible subglottic stenosis dilation must first, then plug the endotracheal tube
D. Bronchoscopy preferably before making the cut in the

Account of
tracheal stenosis surgery anesthesia
following error


Question: 9 g / dL, Ca ++: 13.5 mg / dL. Of the following is the more inappropriate?

Answer: Hypercalcemia other suitable rehydration contemplates the use of steroids or mithramycin

Choices:
A. Low serum albumin supplement should be actively corrected
B. Suspected morphine overdose leading to unconsciousness naloxone can be used to identify diagnostic
C. Hypercalcemia other suitable rehydration contemplates the use of steroids or mithramycin
D. Leading to the possibility of infection must be ruled out of consciousness

g
dL
Ca
mg
dL
following
more inappropriate


Question: Which is not an ankle and foot bracket (AFO) The most common indications for use?

Answer: Functional flatfoot

Choices:
A. Brain associated injuries calf muscle weakness
B. Functional flatfoot
C. Cerebral palsy with lower limb spasticity
D. Peroneal nerve injury cause the pedal


Question: Wang after breast cancer surgery, the final pathology report axillary lymph node metastasis (there is a removal of 10 lymph node metastasis), the tumor estrogen receptors (estrogen receptor, ER) and progesterone receptor (progesterone receptor, PR) negative and HER-2 immunostaining was negative. Select the meaning and subsequent adjuvant therapy (adjuvant therapy) Ms. Wang wants to understand the pathology report, the following statements is wrong?

Answer: Wang belonging triple negative cancer (triple negative), mostly in genetic testing classified as basal-like breast cancer, and multiple

Choices:
A. Hormone receptor expression in breast cancer cells and whether the performance of the HER-2 gene, is an important prognostic factor
B. Triple-negative breast cancer belongs (triple negative) is generally a poor prognosis
C. Wang belonging triple negative cancer (triple negative), mostly in genetic testing classified as basal-like breast cancer, and multiple
D. Ms. Wang is recommended to accept chemotherapy, hormone therapy without taking tamoxifen

breast
final pathology report axillary
removal
10 lymph node
tumor estrogen receptors
estrogen receptor
ER
progesterone receptor
progesterone receptor
PR
negative
HER-2
negative
subsequent adjuvant therapy
adjuvant therapy
Ms
to
following
wrong


Question: The figure below shows three kinds of waveform 40 weeks fetal umbilical artery blood flow velocity, may I ask the following statements is most appropriate?

Answer: A normal waveform, B, C abnormal waveform

Choices:
A. A normal waveform, B, C abnormal waveform
B. A, B normal waveforms, abnormal waveform propionate
C. A, B, C are normal waveform
D. A, B, C are abnormal waveform

40 weeks fetal umbilical blood flow velocity


Question: The assessment of the uterus caused by abnormal narrative habitual abortion, Which statement is correct?

Answer: Septum uterus (septate uterus) is the most common and habitual abortion-related congenital Mullerian duct abnormalities

Choices:
A. Septum uterus (septate uterus) is the most common and habitual abortion-related congenital Mullerian duct abnormalities
B. Mullerian duct abnormalities often associated with urinary tract abnormalities, especially women, abnormal uterine septum
C. (Subserous) subserosal uterine fibroids, often associated with recurrent miscarriage
D. Kallmann's syndrome caused by lesions in the uterus, and habitual miscarriage

uterus caused
abnormal
habitual abortion
correct


Question: The following disease or whichever is less common in premature children?

Answer: Congenital rubella (congenital rubella)

Choices:
A. Intracranial hemorrhage (intracranial hemorrhage)
B. Necrotizing enterocolitis (necrotizing enterocolitis)
C. Glass membrane disease (hyaline membrane disease)
D. Congenital rubella (congenital rubella)

following disease
less common
premature children


Question: The following coenzymes (Coenzyme) can assist transglutaminase (aminotransferase) for group (amino group) of the transport reactor?

Answer: Pyridoxal phosphate (pyridoxal phosphate)

Choices:
A. NAD +
B. FAD
C. Pyridoxal phosphate (pyridoxal phosphate)
D. Thiamine pyrophosphate (thiamine pyrophosphate)

following coenzymes
assist transglutaminase
aminotransferase
group
transport reactor


Question: After 131I treatment of hyperthyroidism, mostly long-term tracking results occur:

Answer: Thyroid cancer

Choices:
A. Hypothyroidism
B. Still hyperthyroidism
C. Thyroid lymphoma
D. Thyroid cancer

treatment
hyperthyroidism
mostly long-term tracking results occur


Question: From a sample of urinary tract infection in a patient, isolated antibody nalidixic acid-resistant bacteria (Nalidixic acid), the main reason for this resistant bacteria produce that?

Answer: Change the structure of DNA gyrase

Choices:
A. Changes in the composition of the cell wall structure
B. Change the structure of DNA gyrase
C. 50S ribosomal structure change
D. 30S ribosomal structure change

of urinary tract infection
patient
isolated antibody nalidixic acid
Nalidixic acid
main


Question: 16-year-old high school student in Grade 2 Xie students, all long lunch break to sleep lying on the table, nearly two weeks he felt left forearm and palm hemp, especially left little finger numbness more powerful, these days even have a pen to write that is not flexible, so he went to the clinic for help. Do you think the thank the students, what is the most likely diagnosis?

Answer: Ulnar nerve (ulnar nerve) disease

Choices:
A. Carpal tunnel syndrome (carpal tunnel syndrome)
B. Ulnar nerve (ulnar nerve) disease
C. Radial nerve (radial nerve) disease
D. Arm plexus (brachial plexus) lesions

year
long lunch break to sleep lying
table
nearly two weeks
left forearm
palm hemp
left little more powerful
days
pen to write
not flexible
clinic
help
thank
diagnosis


Question: 29.32-year-old unmarried young women, because ⼀ more than a year to urinary frequency, nocturia, urgency, and after the rise in urine lower abdominal pain plagued ⽽ medical treatment. Physical examination no submenus Palace, the phenomenon of bladder prolapse, sterile urine or urinalysis case of urinary tract infection. Voiding date found the number of white-day voiding more than ⼗ times, nocturia at night (nocturia) situation more than 3 ⾄ 5 times. Urinary bladder moving care has no case studies detrusor instability (detrusor overactivity), the first solution of urine but feel (first desire to void) volume of 86 c.c., is largest bladder volume (maximum bladder capacity) to 180 c.c .. Cystoscopy after receiving intravenous ⿇ drunk at bladder filling 400 cc of salt water resistant in 5 minutes, the salt begins bladder drainage water resistant, the variation of FIG cystoscope presentation (which changes the order of a → b → c → d ), the most suitable for this patient's diagnosis:

Answer: Interstitial cystitis (interstitial cystitis)

Choices:
A. Junction ⽯ bladder (bladder stone)
B. Bladder tumors (bladder tumor)
C. Interstitial cystitis (interstitial cystitis)
D. Bladder diverticulum (bladder diverticulum)


Question: Men in blood testosterone (testosterone) inadequate concentration, than what does not cause symptoms or disease?

Answer: Prostate cancer

Choices:
A. Decreased libido
B. Erectile dysfunction
C. Depression
D. Prostate cancer

in blood testosterone
testosterone
inadequate concentration
not cause symptoms
disease


Question: Which of the following is the immune response of the lymphatic system (lymphoid system) main functions?

Answer: Adaptive immune response (adaptive immunity)

Choices:
A. Innate immune response (innate immunity)
B. Adaptive immune response (adaptive immunity)
C. Inflammatory response (inflammation)
D. Phagocytosis (phagocytosis)

following
immune response
lymphatic system
lymphoid system
main functions


Question: 14 year-old pupils, obstetrics and gynecology for treatment due to menstrual abnormalities, abdominal ultrasound, see FIG ovarian cyst, a size of 4 × 3 × 3 cm, most appropriate for the disposal of:

Answer: Two months after the tracking ultrasound

Choices:
A. Laparoscopic surgery
B. Chromosome test test
C. Two months after the tracking ultrasound
D. Detection of tumor markers: α-fetoprotein, hCG

year old pupils
obstetrics
gynecology
treatment
menstrual abnormalities
abdominal ultrasound
see
ovarian cyst
size
appropriate


Question: Drug adalimumab (Humira) to the treatment of rheumatoid arthritis biologically effective. Its main mechanism of action of these inhibitory effect into that kind of cytokine?

Answer: tumor necrosis factor-a

Choices:
A. tumor necrosis factor-a
B. interferon-a
C. interleukin-2
D. interleukin-1


Question: Which of the following endocrine hormone receptor which is not a nuclear hormone receptor?

Answer: glucagon

Choices:
A. glucocorticoid
B. glucagon
C. thyroid hormone
D. progesterone

following endocrine hormone receptor
not
nuclear hormone receptor


Question: The following statements about the common anxiety disorders of the elderly, what is non?

Answer: The elderly are most common anxiety disorders are generalized anxiety disorder

Choices:
A. Old man was suffering from panic disorder rare old
B. The elderly are most common anxiety disorders are generalized anxiety disorder
C. Symptoms of old phobia of light than younger people
D. Elderly people suffering from obsessive-compulsive disorder, often at a young age presents its requirements neat, perfect, punctual and thrifty


Question: Which of the following pulseless electrical activity (pulseless electric activity, PEA) patients receiving sodium bicarbonate (sodium bicarbonate) treatment most effective?

Answer: Hyperkalemia patient presenting ECG 45 per minute and wide QRS waveforms

Choices:
A. Respiratory acidosis of patients with high CO
B. ECG sinus rhythm and hemorrhagic shock patients narrow QRS wave of
C. Hyperkalemia patient presenting ECG 45 per minute and wide QRS waveforms
D. Metabolic acidosis patient's heartbeat stopped breathing

following pulseless electrical activity
pulseless
activity
PEA
patients receiving sodium bicarbonate
sodium bicarbonate
treatment most effective


Question: Which of the following is regarded as hematopoietic stem cells (hematopoietic stem cell) the most important feature?

Answer: Self-renewal (self-renewal)

Choices:
A. Self-renewal (self-renewal)
B. Proliferation (proliferation)
C. Differentiation (differentiation)
D. Project apoptosis (programmed death)


Question: A 40-year-old woman, in recent months often feel severe nausea, vomiting and appetite decreased, weight also dropped six kilograms. Upper digestive tract endoscopy found that almost all of the gastric mucosa are presented erythematous pebble-like change. Upper gastrointestinal radiographic examination also found that smaller stomach and shrinkage. If she underwent gastric resection, most Which of the following possible changes?

Answer: Signet-ring cell carcinoma (signet-ring cell adenocarcinoma)

Choices:
A. Along with early gastric ulcer (gastric ulcer with early gastric carcinoma)
B. Signet-ring cell carcinoma (signet-ring cell adenocarcinoma)
C. Diffuse large cell lymphoma (diffuse large B cell lymphoma)
D. Chronic atrophic gastritis (chronic atrophic gastritis)

40 year old woman
recent months often
severe nausea
vomiting
appetite decreased
weight
six kilograms
Upper digestive tract endoscopy found
almost
gastric mucosa
erythematous
change
Upper gastrointestinal
examination
found
smaller stomach
shrinkage
gastric resection
most
following possible changes


Question: 17 year-old male, head trauma, emergency do a CT imaging Basal skull fracture (as indicated at arrow A), in FIG. B, the arrow intracranial:

Answer: Traumatic pneumocephalus

Choices:
A. CSF leakage
B. Traumatic pneumocephalus
C. Fat embolism
D. Traumatic subarachnoid hemorrhage（SAH）

year old male
head trauma
emergency
CT imaging Basal skull fracture
indicated
arrow
arrow intracranial


Question: Fetal small for gestational age (SGA) of the definition of what?

Answer: Weight less than 10th percentile

Choices:
A. Weight less than 10th percentile
B. Weight less than 20th percentile
C. Weight less than 30th percentile
D. Weight less than 40th percentile


Question: The following description about the elderly incontinence, whichever is correct?

Answer: Over 80 years the most common types of urinary incontinence in women is a "hybrid" incontinence

Choices:
A. Over 80 years the most common types of urinary incontinence in women is a "hybrid" incontinence
B. Use of diuretics class of antihypertensive drugs do not increase the chance of urinary incontinence
C. The opportunity to use hypnotic sedative drug does not increase urinary incontinence
D. First line of treatment of urinary incontinence is the use of drugs


Question: Meningitis substrate (basilar meningitis) is formed in a thick layer of fibrous stick even in cerebral exudates, the differential diagnosis is the first to consider which of the following conditions?

Answer: Tuberculous meningitis

Choices:
A. Tuberculous meningitis
B. Meningeal vascular syphilis
C. Aseptic meningitis
D. Eosinophilic meningitis

Meningitis substrate
basilar meningitis
formed
thick layer
fibrous stick
exudates
differential diagnosis
first to
following conditions


Question: One 60-year-old male patient used to have 30 years of smoking history, chest X-ray examination revealed emphysema patients a walk that is a little shortness of breath phenomenon, despite bronchodilator therapy, but the condition is still deteriorating, transit lung volume reduction surgery for dielectric (lung volume reduction surgery), it is judged which of the following test results are not suitable for such surgery?

Answer: Analysis of arterial blood oxygen PaCO2 is 65 mmHg

Choices:
A. 30 mmHg mean pulmonary artery pressure
B. Chest CT examination revealed lesions in the lungs of emphysema leaves more serious
C. Respiratory function tests FEV1.0 was 30% of the predicted value
D. Analysis of arterial blood oxygen PaCO2 is 65 mmHg

One 60 year old male patient used to
30 years of smoking history
chest X-ray
revealed emphysema patients
little shortness of breath
bronchodilator therapy
condition
deteriorating
transit lung volume reduction surgery
lung volume reduction surgery
judged
following test results
not suitable
surgery


Question: Parinaud's syndrome patient with a brain tumor, its lesions often appear in where?

Answer: Pineal portion (pineal region)

Choices:
A. Butterfly unit (sellar region)
B. Cerebellum, thalamus angle (cerebellopontine angle)
C. Sagittal sinuses (parasagittal region)
D. Pineal portion (pineal region)

Parinaud's syndrome patient
brain tumor
lesions often appear


Question: 16-year-old Yanjun suffering from malignant lymphoma, accept the second chemotherapy, ineffective and too complicated by sepsis, a full head of hair left. Recent examination showed cancer recurrence required to undergo chemotherapy again, Yanjun to her parents' grave expressed his unwillingness to accept any treatment, and the parents insist on continuing the treatment. Yanjun physician the most appropriate approach to that of the following?

Answer: Provide advice to help parents and Yanjun views to reach consensus before the subsequent processing

Choices:
A. Parents are good for the children, should be done according to the views of parents Yanjun
B. According to the principle of respecting the autonomy request consent Yanjun, not giving any treatment
C. Provide advice to help parents and Yanjun views to reach consensus before the subsequent processing
D. Filed for court ruling

year old
suffering
malignant lymphoma
accept
second chemotherapy
complicated
sepsis
full head of hair left
Recent
cancer recurrence required to
chemotherapy
to accept
treatment
treatment
physician
most appropriate approach


Question: 44-year-old woman with liquor habit, sudden spoken unclear after staying up late to drink a day, difficulty swallowing, so it is sent to the emergency room for treatment; patients without contrast injection computer tomography figure, the most likely diagnosis Why?

Answer: Brainstem hemorrhage

Choices:
A. Cerebellar Infarction
B. Cerebellar hemorrhage
C. Brainstem infarction
D. Brainstem hemorrhage

year old woman
liquor
sudden spoken
late to
day
difficulty swallowing
sent
emergency room
treatment
patients
contrast injection computer tomography
diagnosis


Question: Following a drug that will reduce the levodopa decarboxylase is metabolized in the peripheral systems?

Answer: carbidopa

Choices:
A. amantadine
B. deprenyl
C. carbidopa
D. bromocriptine

Following
drug
levodopa decarboxylase
metabolized
peripheral systems


Question: 27 following four cancer in children under 4 years the incidence per million population (annual incidence rate per million children) order to validity by the high and low? ① leukemia (leukemia) ② lymphoma (lymphoma) ③ brain (brain tumor) ④ neuroblastoma (neuroblastoma)

Answer: ①③④②

Choices:
A. ①②③④
B. ①③②④
C. ①③④②
D. ①②④③

27 following four cancer in children
4 years
incidence
million population
annual incidence rate
million children
order
validity
high
low
leukemia
leukemia
lymphoma
lymphoma
brain
brain tumor
neuroblastoma
neuroblastoma


Question: Tuberous sclerosis (tuberous sclerosis) the diagnosis is based, does not include which of the following?

Answer: meningioma

Choices:
A. cardiac rhabdomyoma
B. renal angiomyolipomas
C. pulmonary lymphangioleiomyomatosis
D. meningioma

Tuberous sclerosis
tuberous sclerosis
diagnosis
based
not include
following


Question: Calcium ion (calcium ion) is an important intracellular delivery of messages by two, following which the substance may affect intracellular calcium ion concentration?

Answer: phosphatidylinositol+phospholipase C

Choices:
A. phosphatidylcholine+phospholipase A
B. phosphatidylcholine+phospholipase C
C. phosphatidylinositol+phospholipase A
D. phosphatidylinositol+phospholipase C

Calcium ion
calcium ion
important intracellular delivery
two
following
intracellular calcium ion concentration


Question: The following account of the appendix (appendix) of, what this bad?

Answer: Mucous layer lining (mucosa layer) of epithelium stratified squamous epithelium (stratified squamous epithelium)

Choices:
A. Starting from the cecum small blind end of the tubular diverticula (diverticulum)
B. Mucous layer lining (mucosa layer) of epithelium stratified squamous epithelium (stratified squamous epithelium)
C. There are a considerable number of lymph tissue in the submucosa (submucosa layer)
D. The muscularis externa (muscularis externa) has two rings to go away and the vertical


Question: Gastrointestinal secretions, containing bicarbonate ion (HCO3-) is the highest:

Answer: pancreatic juice

Choices:
A. Juice
B. Small intestine
C. pancreatic juice
D. bile

Gastrointestinal secretions
containing
HCO3
highest


Question: 35 a 51 year old man in the evening two days ago that the right big toe pain, to the site of the occurrence of pain (eg Figure 1) night, the family sent him to the emergency room to emergency treatment. Joint fluid extraction examination revealed crystalline (e.g. FIG. 2). Which of the following is most appropriate treatment for this patient? Figure 1 Figure 2

Answer: Administration of anti-inflammatory painkillers

Choices:
A. Administration of anti-inflammatory painkillers
B. Intravenous injection of a large amount of steroids
C. A lot of added water
D. Administration of uric acid lowering drugs


Question: The kind of following type of headache often with Horner's syndrome symptoms (such as red eyes, tearing, nasal congestion ⋯ etc.)?

Answer: migraine headache

Choices:
A. tension headache
B. migraine headache
C. cluster headache
D. temporal arteritis

kind
following type
headache often
Horner's syndrome symptoms
red eyes
tearing
nasal congestion


Question: Functionally independent assessment (Functional Independence Measure) comparison of the contents of both the Barthel Index (Barthel Index) with the following statements is wrong?

Answer: Barthel Index score is the highest individual score 7 points

Choices:
A. Both are with higher scores indicating greater functional independence
B. Functionally independent assessment includes communication skills and social cognitive assessment
C. Barthel Index score is the highest individual score 7 points
D. Functionally separate individual assessment in 5 minutes (inclusive) indicates that the function needs assistance

Functionally independent
following
wrong


Question: 53 Lee, 65, a year ago memory was impaired, ataxia, often at night fall. Lee found the body checkups feet weakness, lower limb tendon reflexes decrease, appear Babinski sign; feet proprioception and sense of tuning fork vibration disappeared, but tingling is normal. Lee's home and no other member has symptoms like him, have no contact with any chemical solvents, never taking medicine, years ago, had undergone total gastrectomy surgery. That one of the following in the diagnosis of the most helpful?

Answer: Vitamin B12 concentration in blood examination

Choices:
A. EEG (EEG)
B. Vitamin B12 concentration in blood examination
C. Brain angiography (CT or MRI)
D. Cerebrospinal fluid examination

65
year
memory
impaired
ataxia
often
night fall
found
body
feet weakness
lower limb tendon reflexes decrease
appear Babinski sign
feet
sense
tuning fork vibration
tingling
normal
home
member
symptoms
contact with
never
medicine
years
total gastrectomy surgery
one
following
diagnosis
helpful


Question: Under normal circumstances renal tubular secretion of hydrogen ions, most of its final approach Why?

Answer: Bicarbonate reabsorption manner (HCO3-) recovered

Choices:
A. Bicarbonate reabsorption manner (HCO3-) recovered
B. Is discharged in the form of ammonium ions (NH4 +) in
C. Is discharged in the form of free hydrogen ions
D. Discharged as titratable acidity (titratable acid) of

normal
renal tubular secretion
most
final approach


Question: Which of the following drugs is not available for the treatment of infections vancomycin-resistant Enterococcus faecium it?

Answer: teicoplanin

Choices:
A. linezolid
B. tigecycline
C. quinupristin-dalfopristin
D. teicoplanin

following drugs
not available
treatment of infections


Question: Which of the following describes error on perception (perception) assessment?

Answer: Hallucinations situation is not important in the assessment of perception among

Choices:
A. The clinical manifestations of abnormal perception may be an illusion (hallucination) or illusion (illusion)
B. Perception often associated with abnormal sensory systems-related, such as vision, hearing, smell, touch, etc.
C. Hallucinations situation is not important in the assessment of perception among
D. The use of cocaine (cocaine) can cause worm or ant crawling under the skin hallucinations (formication)


Question: As the patient also complained of back pain, an X-ray according to the lumbar spine, osteoarthritis found degraded, there may be spinal stenosis (Spinal stenosis) phenomenon, since the symptoms of spinal stenosis can also cause lower limb pain, both of which how are?

Answer: Spinal stenosis caused by lower back pain and posture change, whereas the pain caused by clogged arteries of the No

Choices:
A. Artery occlusion causing pain of spinal stenosis greater than the pain intensity
B. Pain caused by spinal stenosis greater than the intensity of the pain caused by blocked arteries
C. The pain caused by spinal stenosis often occurs after a long walk, and arterial obstruction caused by the NO
D. Spinal stenosis caused by lower back pain and posture change, whereas the pain caused by clogged arteries of the No

patient
back pain
X-ray
lumbar spine
osteoarthritis found degraded
spinal stenosis
Spinal stenosis
symptoms
spinal stenosis
cause lower limb pain


Question: Whether the pregnancy will affect the mid-luteal critical points of disagreement endometrial changes (Critical branch point), and about which of the following?

Answer: Transformation growth factor β (TGF β)

Choices:
A. Tumor necrosis factor α (TNF α)
B. Transformation growth factor β (TGF β)
C. Room interleukin -1 (IL-1)
D. Prostaglandin E2 (PGE2)

pregnancy
mid luteal critical points
endometrial changes
Critical branch point
following


Question: After lung cancer, the most common cause of death is:

Answer: Pneumonia 併 hyperlipidemia (pneumonia with sepsis)

Choices:
A. Pneumonia 併 hyperlipidemia (pneumonia with sepsis)
B. Heart failure (heart failure)
C. Kidney failure (renal failure)
D. Liver failure (hepatic failure)


Question: The following Parkinson's disease (Parkinson's disease) clinical characterization, whichever is the least common?

Answer: l intellectual disability (mental disturbance)

Choices:
A. Trembling (tremor)
B. l stiffness (rigidity)
C. Slow movement (bradykinesia)
D. l intellectual disability (mental disturbance)

following Parkinson's disease
Parkinson's disease
clinical
least common


Question: About the narrative of pediatric anesthesia, whichever is the most correct?

Answer: Children must be four years old fasting eight hours after eating burgers in order to receive non-emergency surgical anesthesia

Choices:
A. After fasting drink milk as long as three hours to accept non-emergency surgical anesthesia
B. Allergic rhinitis runny nose merger control must be 4-6 weeks before receiving non-emergency surgical anesthesia
C. Children must be four years old fasting eight hours after eating burgers in order to receive non-emergency surgical anesthesia
D. A slight fever merger expectoration, still acceptable non-emergency surgical anesthesia


Question: 22-year-old college students to participate in college sports, evaluated before the game. In the lower left sternal edge of cardiac auscultation has a systolic cardiac murmur frequency (harsh systolic murmur). If you want to further analyze whether there is hypertrophic cardiomyopathy (hypertrophic cardiomyopathy), perform one of the following actions that will strengthen hear the systolic murmur?

Answer: Valsalva maneuver

Choices:
A. Sit and lean forward
B. Valsalva maneuver
C. squatting position
D. The left side lying

year old
to
lower left sternal edge
cardiac
systolic cardiac murmur frequency
harsh systolic murmur
to further
hypertrophic cardiomyopathy
hypertrophic cardiomyopathy
perform one
following actions
hear
systolic murmur


Question: Which of the following RNA viruses can cause congenital malformations and fetal infection serious?

Answer: German measles virus (rubella virus)

Choices:
A. Cytomegalovirus (CMV)
B. German measles virus (rubella virus)
C. Human parvovirus (parvovirus) B19
D. Varicella - zoster virus (VZV)

following
cause congenital malformations
fetal infection serious


Question: Relevance of hyperthyroidism and thyroid-related mental illness, which of the following error?

Answer: Hyperthyroidism does not cause cognitive impairment

Choices:
A. Hyperthyroidism may be endless talk
B. Hyperthyroidism does not cause cognitive impairment
C. Hyperthyroidism may have visual hallucinations, delirium and murdered ideas
D. Although hyperthyroidism and manic different causes, but it may be similar clinical manifestations

Relevance
hyperthyroidism
thyroid related mental illness
following error


Question: The following two figures is shown during that stretch a muscle movement?

Answer: Left iliac psoas muscle (iliopsoas muscle)

Choices:
A. Left iliac psoas muscle (iliopsoas muscle)
B. Right quadriceps muscle (quadriceps muscle)
C. After the right thigh muscle (hamstring muscle)
D. Both gastrocnemius muscle (gastrocnemius muscle)


Question: For a description of congenital glaucoma, the following statements is wrong?

Answer: Drug controlled easily with good results, it needs to trabeculotomy (trabeculotomy) surgical treatment

Choices:
A. Early symptoms of photophobia, lacrimation
B. Corneal edema is due to the Bowman's membrane rupture caused by
C. Disease, the cornea becomes large 2 years ago
D. Drug controlled easily with good results, it needs to trabeculotomy (trabeculotomy) surgical treatment


Question: Rehabilitation goals with a disability does not include which of the following?

Answer: Disabled cure

Choices:
A. The patients with functional training to a maximum limit
B. The use of aids to help solve difficult Richangshenghuo
C. Disabled cure
D. Help patients re-play its due role in society

Rehabilitation
disability
not include
following


Question: Have diabetes to insulin resistance due to a problem at the same time the need for improved treatment of edema, diuretics should not be used following what?

Answer: chlorothiazide

Choices:
A. chlorothiazide
B. acetazolamide
C. furosemide
D. spironolactone

diabetes
insulin resistance due to
problem
same time
need for improved treatment
edema
diuretics
not
used following


Question: Chen, 25, two years ago began to be involuntary swinging left hand, then the right hand, face, and feet occurs involuntary movements (such as a wink, shrug, grimace, fingertips or leg raise, etc.), and finally in various parts of the body have emerged, and more and more frequent. A year ago she felt reduce memory, often wrong. Her mother also appeared similar symptoms at the age of 48, committed suicide at the age of 55. Chen's body physical examination is normal, but its intelligence and reduce irritability. She most likely diagnosis is:

Answer: Huntington's disease (Huntington chorea)

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

two years
began to
left hand
then
right hand
face
feet occurs involuntary movements
wink
grimace
fingertips
leg
various parts
body
more
more frequent
year
memory
often wrong
appeared similar symptoms
age
48
committed suicide
age
body
normal
irritability
diagnosis


Question: Which of the following is not a risk factor for endometrial cancer?

Answer: Human papillomavirus infection (HPV infection)

Choices:
A. diabetes
B. Delayed menopause
C. obesity
D. Human papillomavirus infection (HPV infection)

following
not a
factor
endometrial cancer


Question: Which of the following major fungal infection route is not inhalation infection?

Answer: Candida glabrata

Choices:
A. Coccidioides immitis
B. Candida glabrata
C. Histoplasma capsulatum
D. Blastomyces dermatitidis

following major fungal infection route
not inhalation infection


Question: Mechanisms of action are useful for treating pulmonary hypertension (pulmonary hypertension) drug transfer, not including which of the following?

Answer: calcitonin gene-related peptide（CGRP）antagonist

Choices:
A. endothelin antagonist
B. phosphodiesterase E5 inhibitor
C. soluble guanylyl cyclase activator
D. calcitonin gene-related peptide（CGRP）antagonist

Mechanisms of action
useful
treating pulmonary hypertension
pulmonary hypertension
drug transfer
not including
following


Question: Cytological examination of a patient conjunctiva, found basophilic inclusion bodies (basophilic inclusion bodies) within the cytoplasm of cells scraped the conjunctiva, the patient most likely suffers from what disease?

Answer: Trachoma (Trachoma)

Choices:
A. Trachoma (Trachoma)
B. Gonococcal conjunctivitis (Gonococcal conjunctivitis)
C. Vernal keratoconjunctivitis (Vernal keratoconjunctivitis)
D. Huge papillary conjunctivitis (Giant papillary conjunctivitis)

Cytological
patient conjunctiva
found basophilic inclusion bodies
basophilic inclusion bodies
cytoplasm
cells scraped
conjunctiva
patient
suffers
disease


Question: 77 A 60-year-old woman with acute abdominal pain to the emergency medical treatment. Complained of intermittent abdominal pain since four days before the start, will increase after eating, there was a slight sense of nausea, no change in bowel habits. Abdominal pain intensified and sustained the day before, accompanied by a slight fever, body temperature of 37.9 ℃. Physical examination and found the right upper quadrant abdominal (epigastric) tenderness, no rebound pain (rebounding pain). Blood examination revealed leukocytes to 18000 / mm3, hemoglobin of 13.4 g / dL, AST to 55 U / L, ALT was 60 U / L, Total bilirubin of 6.5 mg / dL, Amylase was 256 U / L, C-reactive protein ( CRP) was 5.8 mg / dL. Which of the following do you think can best help further the differential diagnosis?

Answer: Ultrasound (sonography)

Choices:
A. Physical examination whether Murphy's sign
B. Direct bilirubin (Direct bilirubin)
C. Abdominal X-ray (KUB)
D. Ultrasound (sonography)

60 year old woman
acute abdominal pain
emergency medical
intermittent abdominal pain
four days
start
increase
eating
slight sense
nausea
change in bowel habits
Abdominal pain
sustained
day
slight fever
body temperature
found
right upper quadrant abdominal
epigastric
tenderness
pain
pain
Blood examination revealed
18000
mm3
hemoglobin
13.4 g
dL
AST
U
L
ALT
60 U
L
Total bilirubin
mg
dL
Amylase
U
L
C-reactive protein
5.8 mg
dL
following
best help further
differential diagnosis


Question: Ptosis patients (ptosis), which of the following is most likely due to the damage caused?

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. External rotation nerve (abducent nerve)
B. Trochlear nerve (trochlear nerve)
C. The optic nerve (optic nerve)
D. Oculomotor nerve (oculomotor nerve)

Ptosis patients
ptosis
following
due to
damage caused


Question: is an antibiotic puromycin (Antibiotics), the bacteria can inhibit protein synthesis, since it can:

Answer: Occupy the position of the start codon of the mRNA

Choices:
A. Inhibition of the bacterial ribosome binding to the mRNA
B. Occupy the position of the start codon of the mRNA
C. Promote the decomposition of the ribosome
D. A site binding of ribosome, peptide bond destruction of raw synthesis


Question: 9417-year-old male diagnosed with left ventricular myocardial thickening, abnormal diastolic filling (diastolic filling) and left ventricular outflow obstruction intermittent (intermittent outflow obstruction), this patient most likely heart disease are:

Answer: Hypertrophic cardiomyopathy (Hypertrophic cardiomyopathy)

Choices:
A. Amyloid disease (Amyloidosis)
B. Hypertrophic cardiomyopathy (Hypertrophic cardiomyopathy)
C. Dilated cardiomyopathy (Dilated cardiomyopathy)
D. Loeffler's heart panniculus cardiomyopathies (Loeffler's endomyocardial disease)


Question: Mainly vertical linear acceleration sensed by whichever?

Answer: Balloon (saccule)

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


Question: Description of risk factors related to breast cancer, which of the following error?

Answer: Personal or family history of cervical disease Shi Youzai who suffer from a higher risk

Choices:
A. Mother or sister who suffered from breast cancer, the risk of suffering from high
B. Personal or family history of cervical disease Shi Youzai who suffer from a higher risk
C. Have a family history or personal history of ovarian cancer who suffer from a higher risk
D. Higher risk by the early morning or late menopause who suffer

risk factors related to breast cancer
following error


Question: Account of amyloid deposition disease (amyloidosis), and Which statement is correct?

Answer: Amyloid deposition medullary thyroid carcinomas (medullary thyroid cancer) caused mainly due to associate the resulting cancer calcitonin (Calcitonin) induced

Choices:
A. Azihaimo disease (Alzheimer disease) deposition of amyloid, mainly genus AA (amyloid-associated) type amyloid white
B. Amyloid deposition medullary thyroid carcinomas (medullary thyroid cancer) caused mainly due to associate the resulting cancer calcitonin (Calcitonin) induced
C. Congo Red (Congo red) Use only suitable transfer color to diagnose the associated light chain egg white amyloid deposition disease, can not detect amyloid deposition in a non-primary
D. [Alpha] CROSS fold (crossed α-pleated) structure is the reason for Congo red positive transfer color

Account
amyloid deposition disease
amyloidosis
correct


Question: Child with a virus causes fever reactions, fever drugs of choice should be which of the following?

Answer: acetaminophen

Choices:
A. aspirin
B. acetaminophen
C. etodolac
D. celecoxib

Child
causes fever reactions
fever drugs
following


Question: 40 year old female patient complained of gradually decreased visual acuity months, receiving magnetic resonance angiography, and after picture shows the injection of the developer fat suppressed T1-weighted image processing, indicated by arrows in FIG lesions are most likely to:

Answer: Optic nerve sheath (optic nerve sheath meningioma)

Choices:
A. Optic nerve glioma (optic nerve glioma)
B. Optic nerve sheath (optic nerve sheath meningioma)
C. Optic neuritis (optic neuritis)
D. Orbital pseudotumor (orbital pseudotumor)


Question: Which of the following line with international trends in health insurance?

Answer: Emphasis on primary care and health promotion

Choices:
A. Limited to avoid illness and poor
B. Toward commercialization and capitalization
C. Mitigate the rising cost of control
D. Emphasis on primary care and health promotion


Question: The following items can not know what a simple semen (semen analysis)?

Answer: Sperm penetration (sperm penetration)

Choices:
A. Sperm motility (sperm motility)
B. Sperm concentration (sperm concentration)
C. Normal appearance ratio sperm (sperm morphology)
D. Sperm penetration (sperm penetration)

following
not
simple semen
semen analysis


Question: That the following description does not apply to most of the carcinogen risk assessment?

Answer: Suppose there exists a threshold dose response

Choices:
A. Suppose there exists a threshold dose response
B. Uncertainty analysis conducted
C. Consider the status of long-term exposure
D. Using the slope factor calculated risk of cancer


Question: The following statements about Paget disease of the breast, what's wrong?

Answer: Original lesion in the areola

Choices:
A. The method of generating a breast cancer (intraductal carcinoma) within the breast duct
B. Original lesion in the areola
C. Areola and nipple skin was eczema (eczematous eruption) or bovine rash (psoriatic rash)
D. Require biopsies to identify the diagnosis of skin lesions

The following
Paget disease of
breast
wrong


Question: A hypochondriac M, due to recent investment losses, deterioration, resulting in psychotic symptoms, hospitalization. At discharge to improve the condition, M hopes to benefit by the disabled to improve their economic situation, thus requiring the attending physician for their conduct when P disability identification, write serious the situation a little. In this case, P is the two encounter a conflict of ethical principles?

Answer: The principles of justice and the principle of beneficence

Choices:
A. Respect for the principle of autonomy and the principle of do no harm
B. The principles of justice and the principle of do no harm
C. The principles of justice and the principle of beneficence
D. Respect for the principle of autonomy and the principle of beneficence

M
recent investment losses
resulting in psychotic symptoms
discharge to
condition
M
to benefit
disabled to
economic
attending physician
P disability identification
write serious
little
case
P
two
conflict


Question: The following account of the simple type heat cramps (simple febrile seizure) of, what's wrong?

Answer: Even normal neurological physical examination, normal still significantly increased mortality

Choices:
A. To the hair before the age of easy recurrence
B. Whether mental retardation nothing to do with the future
C. Whether there is abnormal behavior has nothing to do with the future
D. Even normal neurological physical examination, normal still significantly increased mortality

following account
heat cramps
simple febrile seizure
wrong


Question: The following pigmented lesions whichever occurs often in middle age?

Answer: nevus of Hori（bilateral nevus of Ota-like macules）

Choices:
A. nevus of Ota（nevus fuscocaeruleus ophthalmomaxillaris）
B. ephelides（freckle）
C. mongolian spot
D. nevus of Hori（bilateral nevus of Ota-like macules）

following pigmented lesions
occurs often
middle age


Question: When a child suffering from a headache, which of the following situations occur, need to do most neuroimaging?

Answer: There are local abnormal neurological signs (Focal neurological sign)

Choices:
A. Headache lasting more than one hour
B. Fever
C. There are local abnormal neurological signs (Focal neurological sign)
D. Migraine (Migraine) family history

child suffering
headache
following
occur
need to
neuroimaging


Question: On small hepatocellular carcinoma (small hepatocellular carcinoma) in patients with blood check, which of the following correct?

Answer: About one-third of patients AFP (alpha fetoprotein, alfa-fetoprotein) normal

Choices:
A. AFP (alpha fetal protein, alfa-fetoprotein) must be greater than 320 ng / mL
B. About one-third of patients AFP (alpha fetoprotein, alfa-fetoprotein) normal
C. Liver inflammation index (AST, ALT) certain normal
D. AFP (alpha fetoprotein, alfa-fetoprotein) certain normal

small hepatocellular carcinoma
small hepatocellular carcinoma
patients
blood check
following correct


Question: Vasodilation, edema, fibrin (fibrin) appears, is characterized by the following terms of what?

Answer: Acute inflammation

Choices:
A. Acute inflammation
B. Chronic inflammation
C. Dry gangrene
D. Granulomatous inflammation

Vasodilation
edema
fibrin
fibrin
appears
following terms


Question: 13. concerning the diagnosis and treatment of autoimmune hepatitis (autoimmune hepatitis, AIH), according to scores of recommendations International Autoimmune Hepatitis Group, Which of the following error?

Answer: Genetic background, the occurrence of AIH with HLA-A2 and related DR6

Choices:
A. Autologous need to exclude the diagnosis of common liver disease before autoimmune hepatitis, including viral hepatitis
B. The effect of immunosuppressive therapy in patients is one of scores of projects diagnosis of autoimmune hepatitis
C. antinuclear antibody (ANA) is the most important common immunological parameters
D. Genetic background, the occurrence of AIH with HLA-A2 and related DR6

diagnosis
treatment
autoimmune hepatitis
autoimmune hepatitis
AIH
scores
Autoimmune Hepatitis Group
following error


Question: 40.24 year-old female, blood examination data to the employees health check as follows (in parentheses are the normal reference values): RBC 4.08 M / μL (3.78 ~ 4.99), Hb 0 g / dL (10.8 ~ 14.9), Hct 37.2% (35.6 ~ 45.4), MCV 91.2 fL (80 ~ 100), MCH 29.4 pg (26 ~ 34), MCHC 32.3 g / dL (31 ~ 37), PLT 606 k / μL (150 ~ 361), WBC 171.25 k / μL (3.54 ~ 9.06), blood cell classification:

Answer: Peripheral blood cell immunophenotyping check (immunophenotyping)

Choices:
A. Chromosome analysis of bone marrow cells
B. Peripheral blood BCR / ABL1 gene qualitative assay
C. Leukocyte LAP score
D. Peripheral blood cell immunophenotyping check (immunophenotyping)

40
year old female
blood examination data
check
follows
M
99
Hb 0 g
dL
10.8
Hct
35
MCV
fL
80
100
MCH 29
pg
MCHC
g
dL
31
PLT
k
WBC
k
3 54
9
classification


Question: A 35-year-old woman, complained that long-term pelvic pain, infertility attendances three years of marriage, photography hysterosalpingography (HSG) see bilateral tubal obstruction. The following statements is most accurate?

Answer: Over the past number of pelvic inflammatory disease and may be related to the severity of bone

Choices:
A. Over the past number of pelvic inflammatory disease and may be related to the severity of bone
B. A more detailed examination of the uterus HSG
C. Chlamydia antibodies in the serum of patients will not increase
D. This patient should be considered within the uterine cavity insemination (IUI)

35 year old woman
long-term pelvic pain
infertility
three years
marriage
hysterosalpingography
see bilateral tubal obstruction
following
most accurate


Question: Statements about polymyositis (polymyositis), and Which statement is correct?

Answer: statin drugs cause similar performance polymyositis

Choices:
A. statin drugs cause similar performance polymyositis
B. In the zoomed to 50-year-old muscle ⾁ inflammatory lesions (inflammatory myopathies) patients, polymyositis are the most common diagnosis ⾒
C. Arthrogryposis (joint contractures) often occur in polymyositis ⽣
D. ⽪ the calcification (subcutaneous calcifications) often occur in polymyositis ⽣


Question: ⼀ 72-year-old male with a prolapsed hemorrhoids repeated nature of (hemorrhoid prolapse), but refused to accept the watch for the treatment, the surgeon then referral psychiatric Center Weighted Chilean state assessment to note psychiatry point of view, psychiatrists and talks focused on the patient, which of the following should not be included?

Answer: Inform your watch necessity and the success rate of surgery

Choices:
A. Postoperative evaluation of patients or their families can care has been taken care of
B. Chilean state for evaluation of patients with Center Weighted pros and cons of surgery and the watch to understand the extent of sequelae
C. Inform your watch necessity and the success rate of surgery
D. Case refused to understand the whole story of the watch surgery


Question: Sjögren's syndrome patients with a tumor that is most likely to occur?

Answer: non-Hodgkin's lymphoma

Choices:
A. thymoma
B. small cell carcinoma of lung
C. renal cell carcinoma
D. non-Hodgkin's lymphoma


Question: The following statements is true?

Answer: Absorption rate of the drug affected by the pH value and the pKa value of a drug absorption site

Choices:
A. Drugs need ionic dissociation patterns more easily absorbed through the cell membrane
B. Drug dissociated soluble in lipid and protein binding
C. The use of acidic drugs NaHCO3 alkaline urine, will promote the drug in the renal tubular re-absorption
D. Absorption rate of the drug affected by the pH value and the pKa value of a drug absorption site


Question: The following statements is about the enzyme receptor (receptor enzyme) is correct?

Answer: Having enzyme activity by mass (Substrate) cytoplasmic

Choices:
A. Usually not membrane protein
B. Having enzyme activity by mass (Substrate) cytoplasmic
C. Having enzyme activity of extracellular ligand (ligand)
D. By having a mass (Substrate) binding site in the extracellular

following
enzyme receptor
receptor enzyme
correct