Question: The following narrative about the drug's safety test, whichever is correct?

Answer: Mutagenic potential, mainly genetic testing drugs on bacteria and mammalian cells of stability

Choices:
A. Subacute toxicity, generally use two animals, two kinds of routes of administration. Mainly to test its no-effect dose and the maximum tolerate dose
B. Acute toxicity, the use of three doses, two kinds of animals. Mainly to test the biochemical and physiological effects
C. Mutagenic potential, mainly genetic testing drugs on bacteria and mammalian cells of stability
D. Carcinogenic potential only need to use one kind of animal


Question: A merger stroke patients with aphasia (aphasia), does not speak could not understand, but he's recapitulate spoken (repetition) capability is completely normal, and that the patient belongs to one of the following aphasia?

Answer: By cortical (transcortical) aphasia

Choices:
A. Broca (Broca) aphasia
B. Wo Nika (Wernicke) aphasia
C. Conduction (conduction) aphasia
D. By cortical (transcortical) aphasia

stroke patients
aphasia
aphasia
not speak
not
he
spoken
repetition
capability
completely normal
patient
one
following aphasia


Question: From the previous question, patients received a series of examination and treatment, it is important findings included head CT examination revealed right frontal, parietal lobe intracerebral hematoma, both sides of the carotid and vertebral artery angiography examination revealed bilateral carotid artery occlusion, and the emergence of many small vessels from the base of the skull, the patient most likely diagnosis is following what items?

Answer: Moyamoya disease

Choices:
A. Moyamoya disease
B. Basilar meningitis
C. Brain tumor with bleeding
D. Arteriovenous malformation

important findings included head examination revealed right


Question: An auxiliary negative pressure wound therapy (negative pressure-assisted wound therapy, NPWT) is one wound treatment method, the following statements is wrong?

Answer: NPWT treatment, does not change the area of the wound

Choices:
A. NPWT can improve wound microenvironment (microenvironment), can promote wound healing
B. NPWT repeated compression principle using a machine relaxation (compression and relaxation), the stimulation of wound tissue, increased growth factors
C. NPWT can be applied to a variety of open wounds
D. NPWT treatment, does not change the area of the wound

negative pressure assisted wound therapy


Question: The following related degenerative arthritis (osteoarthritis) of the narrative, whichever is the most correct?

Answer: Often occurs in weight-bearing joints such as the knee, hip, etc.

Choices:
A. Often occurs in weight-bearing joints such as the knee, hip, etc.
B. The purpose of rehabilitation therapy is to correct the deformation
C. The preferred treatment is artificial joint replacement surgery
D. Only jogging, can not swim


Question: Which of the following is caused by 1-year-old healthy children suffering from acute bronchitis fine ⽀ (Acute bronchiolitis) is the most common pathogen ⾒?

Answer: Respiratory syncytial virus (Respiratory syncytial virus)

Choices:
A. Among non- human metapneumovirus (Human metapneumovirus)
B. Respiratory syncytial virus (Respiratory syncytial virus)
C. Parainfluenza virus (Parainfluenza)
D. Chlamydophila pneumoniae (Chlamydia pneumoniae)

following
caused
year old healthy
suffering
acute bronchitis fine
Acute bronchiolitis
most common


Question: Which of the following is not a major source of intracellular acetyl-CoA?

Answer: pyrimidine

Choices:
A. fatty acids
B. ketogenic amino acids
C. pyrimidine
D. pyruvate

following
not
major source
intracellular acetyl-CoA


Question: A few hours after birth were found to spit out saliva and foam on the abdomen micro-swelling phenomenon, where the following items are most likely diagnosis?

Answer: Esophageal atresia with distal tracheoesophageal fistula (esophageal atresia with distal tracheoesophageal fistula)

Choices:
A. Duodenum closure (duodenal atresia)
B. Esophageal atresia with distal tracheoesophageal fistula (esophageal atresia with distal tracheoesophageal fistula)
C. In volvulus (midgut volvulus)
D. Diaphragmatic hernia (diaphragmatic hernia)

few hours after birth
found to spit out saliva
foam
abdomen micro swelling
following
diagnosis


Question: The following information about benign prostatic hypertrophy accepted transurethral prostatectomy surgery, resulting in TUR syndrome narrative, what's wrong?

Answer: TUR syndrome occurs when the patient is in a state hypervolemic and hypernatremic

Choices:
A. Patients have nausea, vomiting, confusion, hypertension, bradycardia, visual disturbance and other symptoms
B. Mainly due to surgery for too long, patients absorb too much of hypotonic irrigation solution due
C. Treatment is surgery should be stopped immediately, giving the patient a diuretic, normal saline or hypertonic saline
D. TUR syndrome occurs when the patient is in a state hypervolemic and hypernatremic


Question: 9 of a 57-year-old male patient because of general malaise, insomnia, loss of appetite and difficulty breathing while seeking treatment, he has high blood pressure, diabetes for many years, being treated with insulin, his blood pressure clinic is 212/95 mmHg, hemoglobin 9.7 g / dL, BUN 106 mg / dL, creatinine 6 mg / dL, albumin 3.2 g / dL, spot urine protein 923 mg / dL, chest X-ray presents bilateral pleural effusion. Most unlikely diagnosis Why?

Answer: Pulmonary embolism (pulmonary embolism)

Choices:
A. Hypertensive crisis (hypertensive crisis)
B. Stage diabetic nephropathy (end-stage diabetic nephropathy)
C. Acute heart failure (acute heart failure)
D. Pulmonary embolism (pulmonary embolism)


Question: In order to understand the patient's subjective narrative is true whether urinary frequency, which must be recorded using the following test as a tool or ⼯ assess whether there is evidence of frequent urination?

Answer: Bladder record / voiding date (bladder chart / voiding diary)

Choices:
A. Bladder record / voiding date (bladder chart / voiding diary)
B. ⼀ test pad (1-hour pad test) when ⼩
C. Filling measurement of intravesical pressure (filling phase cystometry)
D. Urinary care has no pressure measurements (free uroflowmetry)

order to
patient's subjective narrative
true
urinary frequency
recorded using
following test
tool
of frequent urination


Question: When cultured M. furfur rubrum (Malassezia furfur), to improve the training rate, adding Which of the following most frequently in the media?

Answer: Olive oil (Olive oil)

Choices:
A. Starch (Starch)
B. L- cysteine (L-cysteine)
C. Olive oil (Olive oil)
D. N- acetyl glucosamine sugar (N-acetylglucosamine)

M
to
training rate
adding
following most frequently
media


Question: Intestinal epithelial cells outside the high concentration of sodium ions can promote the absorption of glucose why?

Answer: Glucose and sodium ions common transport protein (SGLTl)

Choices:
A. Glucose transport protein (GLUT2) as a sodium channel
B. Glucose and sodium ions common transport protein (SGLTl)
C. Glucose is absorbed to facilitate the diffusion of sodium ions dependent (facilitated diffusion) mode
D. Glucose must first bind to sodium ion can be absorbed into the wrong compound

Intestinal epithelial cells outside
high concentration
sodium
absorption
glucose


Question: Characterized by the following symptoms of HE tumor lysis syndrome (tumor lysis syndrome) is not?

Answer: Hypercalcemia (hypercalcemia)

Choices:
A. Hyperkalemia (hyperkalemia)
B. Hyperphosphatemia (manage hyperphosphatemia)
C. Hypercalcemia (hypercalcemia)
D. Kidney failure (renal failure)

following symptoms
tumor lysis syndrome
tumor lysis syndrome
not


Question: Which of the following is not typical of hyperthyroidism (hyperthyroidism) symptoms?

Answer: Tichongzengjia

Choices:
A. Month by reducing the amount of female patients with irregular menstrual cycle and Month
B. Tichongzengjia
C. Center Weighted Center Weighted afraid or not the whole law
D. Heat intolerance

following
not typical
hyperthyroidism
hyperthyroidism
symptoms


Question: Imaging diagnostics related to child esophageal atresia (esophageal atresia), the most that one of the following is not correct?

Answer: Never showing signs of lung solid (consolidation) of

Choices:
A. Never showing signs of lung solid (consolidation) of
B. Nasogastric tube distal location of the lesion and sometimes the diagnosis of the type of helpful
C. The abdomen may show no intestinal gas (gasless abdomen)
D. The concurrency which may sometimes be tracheoesophageal fistula esophageal barium photographic detection

Imaging diagnostics related
child esophageal atresia
esophageal atresia
most
one
following
not correct


Question: Face Center Weighted do evil disease caused by chemotherapy (chemotherapy) or manual postoperative vomiting, which can advance use of the following drugs to alleviate Using the machine as it is transferred through a receptor antagonism neurokinin (NK1) of?

Answer: aprepitant

Choices:
A. riociguat
B. fasudil
C. bosentan
D. aprepitant

Face Center Weighted
disease caused
chemotherapy
chemotherapy
manual postoperative vomiting
advance use of
following drugs to
Using
machine
transferred
a receptor
neurokinin
NK1


Question: A 4 months old, weighing 4 kg baby boy, because repeated convulsions (seizure) and hypocalcemia, was admitted to the intensive care unit of the hospital. Since birth, he would often diarrhea, and there are repeated and difficult to cure candidiasis (Candida) infections. Physical examination found that the lower edge of the left sternal third degree heart murmur, do you think the most likely diagnosis Why?

Answer: DiGeorge syndrome

Choices:
A. DiGeorge syndrome
B. Wiskott-Aldrich syndrome
C. X-linked agammaglobulinemia
D. common variable immunodeficiency

4 months old
4 kg baby boy
repeated convulsions
seizure
hypocalcemia
hospital
birth
often diarrhea
repeated
difficult to
candidiasis
infections
found
lower edge
left sternal third degree heart
diagnosis


Question: Before performing anesthesia must carefully assess the patient's airways (airway), Which is not to place the patient's endotracheal tube difficult?

Answer: You can see the first throat structure Mallampati classification level of the patient

Choices:
A. You can see the first throat structure Mallampati classification level of the patient
B. Obese patients
C. Cervical spine injured patients
D. Cervical activity limited ankylosing spondylitis (ankylosing spondylitis) patients

anesthesia
patient's airways
not to place
patient's endotracheal tube difficult


Question: The following placental membrane (placental membrane) structure, whichever is most of them will disappear after 20 weeks?

Answer: Fusion trophoblast (syncytiotrophoblast)

Choices:
A. Trophoblast cells (cytotrophoblast)
B. Fusion trophoblast (syncytiotrophoblast)
C. The core of connective tissue (connective tissue core)
D. Microvascular endothelial cells (endothelium of capillary)

following placental membrane
placental membrane
structure
most
20 weeks


Question: Which of the following features and mesolimbic dopamine pathway most relevant?

Answer: motivation and reward behaviors

Choices:
A. perception of fear
B. primary visual perception
C. body balance
D. motivation and reward behaviors

following features
dopamine
most relevant


Question: The clinical diagnosis of Gilles de la Tourette syndrome does not include:

Answer: mental retardation

Choices:
A. vocal tics
B. attention deficit and hyperactivity
C. mental retardation
D. obsessive-compulsive behavior

clinical diagnosis
Gilles de la Tourette syndrome
not include


Question: The following statements about seborrheic dermatitis (seborrheic dermatitis) of, what's the most inappropriate?

Answer: Does not occur in infants (infant)

Choices:
A. Often erythematous, scaling or greasy kind of clinic
B. Does not occur in infants (infant)
C. Dander and bacteria spores (Malassezia furfur) related
D. Often located in the sebaceous glands (sebaceous gland) developed at

following
seborrheic dermatitis
seborrheic dermatitis
most inappropriate


Question: Incisors at injection of anesthetic in the nest (incisive fossa), the main nerve block following what?

Answer: Palatal nasal nerve (nasopalatine n.)

Choices:
A. Palatal nasal nerve (nasopalatine n.)
B. Palatine nerve (greater palatine n.)
C. Anterior alveolar nerve (anterior superior alveolar n.)
D. Palate small nerve (lesser palatine n.)

Incisors
injection
anesthetic
nest
incisive fossa
main nerve block following


Question: The following information about the urea cycle (urea cycle) narrative, what's wrong?

Answer: One product is a urea cycle oxaloacetic acid (oxaloacetate)

Choices:
A. Urea cycle mainly in the liver
B. One product is a urea cycle oxaloacetic acid (oxaloacetate)
C. Part of the urea cycle in the mitochondria in vivo reaction, the reaction is carried out in another part of the cytoplasm
D. In humans, the nitrogen-containing urea cycle metabolites can be converted to urea


Question: Which of the following is not one currently known method epilepsy surgery?

Answer: Vagus nerve transection (vagus nerve transection)

Choices:
A. Temporal lobe resection (temporal lobe resection)
B. The corpus callosum (corpus callosotomy)
C. Vagus nerve stimulation (vagus nerve stimulation)
D. Vagus nerve transection (vagus nerve transection)


Question: The regression coefficient of X and Y of a simple linear regression model to estimate the value of b and X and Y Pearson (Pearson) correlation coefficient r of the valuation of narrative, which of the following error?

Answer: X and Y if the roles are reversed and the reaction variables explain still variables have the same values of b and r

Choices:
A. A large | b | and | r | X value can not confirm a causal relationship between the Y
B. r a certain value between -1 and 1
C. Far some values of b and r or with a negative (not a positive and negative)
D. X and Y if the roles are reversed and the reaction variables explain still variables have the same values of b and r

regression coefficient
simple linear model to estimate
value
correlation coefficient r
following error


Question: When the same dose of local anesthetic lidocaine were injected into the intercostals, caudal, epidural, brachial plexus, any portion of the drug is preferably absorbed, prone to toxicity?

Answer: intercostals

Choices:
A. intercostals
B. flow
C. epidural
D. brachial plexus

same dose
local anesthetic lidocaine
injected
caudal
epidural
brachial plexus
portion
drug
prone
toxicity


Question: From the previous question, after debridement surgery, following which the most suitable cover flap here bedsore wound?

Answer: Gluteus maximus muscle flap (gluteus maximus myocutaneous flap)

Choices:
A. Gluteus maximus muscle flap (gluteus maximus myocutaneous flap)
B. Zhang fascia lata muscle flap (tensor fascia latae myocutaneous flap)
C. Wide dorsal muscle flap (latissimus dorsi myocutaneous flap)
D. Rectus abdominis muscle flap (rectus abdominis myocutaneous flap)

previous
debridement surgery
following
most suitable cover flap
bedsore wound


Question: The following statements about the prostate-specific antigen (PSA), and what's right?

Answer: Its function is related to semen liquefaction

Choices:
A. Prostate stromal cells are secreted glycoproteins
B. Its function is related to semen liquefaction
C. Its value will not be affected catheter insertion, inflammation and other factors
D. Values greater than 4 ng / mL i.e. cancer represents

following
prostate-specific antigen
right


Question: Mrs. Liu, now 45 years old. The last four years is very serious shaking hands, the right hand is almost impossible to scoop soup with a spoon or chopsticks and take their food, can not write, can not be left to take the bowl, but she can still put a bucket in the garden to water the flowers. By history, shaking hands for nearly 20 years, beginning from the right hand, then left hand trembling. Her father had a similar long-term phenomenon shaking hands, but relatively mild. And a brother is a head shaking phenomenon. In addition, no other abnormal body, there is no chronic diseases. The following clinical diagnosis whichever is most likely?

Answer: Essential tremor (essential tremor)

Choices:
A. Generalized dystonia (generalized dystonia)
B. Spinocerebellar ataxia (spinocerebellar ataxia)
C. Parkinson's disease (Parkinson disease)
D. Essential tremor (essential tremor)

Mrs
now
years old
last four years
very serious shaking hands
right hand
almost
to scoop
spoon
food
not write
not
left to
garden
water
flowers
history
shaking hands
nearly 20 years
beginning
right hand
then left hand trembling
similar long-term
shaking hands
mild
head shaking
addition
abnormal body
chronic diseases
following clinical diagnosis


Question: Which of the following is a non-membrane organelle?

Answer: Ribosomes (ribosome)

Choices:
A. Ribosomes (ribosome)
B. Golgi apparatus (Golgi apparatus)
C. Mitochondria (Mitochondrion)
D. Smoothness of the endoplasmic reticulum (smooth endoplasmic reticulum)


Question: The child DKA (diabetic ketoacidosis) of the narrative, which of the following error?

Answer: Most occur in obese children

Choices:
A. Most occur in obese children
B. Often nausea, vomiting and abdominal pain performance
C. Blood pH is less than 7.25 to 7.30
D. Fast performance with deep breathing

child DKA
diabetic ketoacidosis
following error


Question: Which of the following is a small labia (labia minora) of embryonic origin?

Answer: Tubules (mesonephric tubule)

Choices:
A. Urogenital sinus (urogenital sinus)
B. Tubules (mesonephric tubule)
C. Urogenital fold (urogenital fold)
D. Cyst lip portion (labioscrotal swelling) 32 epiphyseal plate (epiphyses) of secondary ossification centers were seen when?

following
small labia
labia minora
embryonic origin


Question: Hypertensive patients with a brain hemorrhage (hypertensive intracerebral hemorrhage), the clinical symptoms of severe loss of sensation on one side and a slight movement dysfunction, the most likely location of inference bleeding Where?

Answer: Thalamus (thalamus)

Choices:
A. Pons (pons)
B. Cerebellum (cerebellum)
C. Thalamus (thalamus)
D. 殼核（putamen）

Hypertensive patients
brain hemorrhage
hypertensive intracerebral hemorrhage
clinical symptoms of severe loss
sensation
one side
slight movement dysfunction
location
bleeding


Question: A 48-year-old woman suffering from mild lethargy and anorexia due to the general weakness is sent to the emergency room, physical examination found no abnormalities, the only laboratory tests found that serum sodium concentration of 114 meq / L. Administered by slow high of 3% NaCl saline (hypertonic saline) drip injection, serum sodium ion concentration increased after 2 days to 135 meq / L, the patient regaining consciousness, weakness symptoms improved. But again 3 days later the patient suddenly limb paralysis, dysarthria and swallowing, and semi-conscious state. According to the above description, which of the following complications after this treatment the patient is most likely to happen?

Answer: Central pontine myelinolysis (central pontine myelinolysis)

Choices:
A. Stroke pituitary gland (pituitary apoplexy)
B. Acute multiple neuritis
C. Central pontine myelinolysis (central pontine myelinolysis)
D. Multiple sclerosis (multiple sclerosis) acute relapses

48 year old woman suffering
mild lethargy
anorexia due to
general weakness
sent
emergency room
found
abnormalities
only laboratory tests found
serum concentration
meq
L
Administered
slow high
NaCl
hypertonic saline
drip injection
serum
concentration increased
2 days
meq
L
patient
consciousness
weakness symptoms improved
days later
patient
limb paralysis
dysarthria
swallowing
semi-conscious state
above
following complications
treatment
patient


Question: Andropause (Male Climacterics) what kind of values in the blood will rise?

Answer: Sex hormone binding globulin（SHBG）

Choices:
A. Free testosterone
B. Sex hormone binding globulin（SHBG）
C. Dehydroepiandrosterone (DHEA)
D. Total testosterone

Andropause
Male Climacterics
kind
values
blood


Question: Male baldness special agent finasteride hair growth primarily through what these machines turn to promote hair growth?

Answer: Having a reduced circulation and generating dihydro testosterone (dihydrotestosterone) in the prostate, thereby promoting hair growth

Choices:
A. Is a derivative of progesterone (progesterone), and through androgen suppression (antiandrogenic) and inhibition of gonadotropin
B. Having a reduced circulation and generating dihydro testosterone (dihydrotestosterone) in the prostate, thereby promoting hair growth
C. An aromatic ring having activity of inhibiting conversion  (aromatase), thereby promoting hair growth
D. Is a synthetic progestin, progesterone receptors through activation of hair growth promoting


Question: When total parenteral nutrition (total parenteral nutrition, TPN), and the following description of a central venous catheter-related complications, what's wrong?

Answer: UTI (urinary tract infection)

Choices:
A. Catheter thrombosis (thrombus)
B. Pneumothorax (pneumothorax)
C. Brachial plexus injury (brachial plexus injury)
D. UTI (urinary tract infection)

central venous catheter related complications


Question: Which of the following is not a medical judgment on whether the patient has "the ability to decide" project?

Answer: If a patient over 20 years old

Choices:
A. If a patient over 20 years old
B. The ability to understand medical problems
C. The ability to understand the physician's recommended therapy
D. When the refusal of the proposed therapy, can reasonably foresee the consequences of their ability

following
not
medical
patient
ability to


Question: Anxiety about the reaction of the narrative, whichever is most unwell cut?

Answer: Anxiety response associated with three main neurotransmitter serotonin, norepinephrine, acetylcholine

Choices:
A. Anxiety response associated with three main neurotransmitter serotonin, norepinephrine, acetylcholine
B. Appropriate anxiety reaction itself has a protective and adaptive
C. When the reaction is too strong anxiety-related symptoms will appear sympathetic excitement
D. When the cause of anxiety reaction Richangshenghuo function, occupational or social impairment, require medical attention


Question: Account of mild mental retardation (mild mental retardation), and which of the following error?

Answer: About 70 to 85 IQ, mental retardation is the most common, accounting for about 85% of the total number of mental retardation

Choices:
A. About 70 to 85 IQ, mental retardation is the most common, accounting for about 85% of the total number of mental retardation
B. Usually to a primary school, second grade was discovered to keep up with homework
C. To the country, high school age, their academic ability equivalent to about sixth grade students
D. Consolidation opportunities arise Conduct disorder (conduct disorder) is greater than the combined appearance of autism (autistic disorder)

Account
mild mental retardation
mild mental retardation
following error


Question: 34 year old woman, since winter began four years ago, will appear fingers turn white and then purple (as indicated by reference). Two years back, fingers and facial skin darkening gradually harden, most joints will ache. The past six months have breathing difficulty walking. Chest X- ray drawings results. I ask why the most likely diagnosis of this patient?

Answer: systemic sclerosis

Choices:
A. pulmonary tuberculosis
B. idiopathic Raynaud's disease
C. systemic sclerosis
D. systemic lupus erythematosus

year old woman
winter began four years
appear fingers turn white
then purple
indicated
Two years back
fingers
facial skin
harden
joints
ache
past six months
breathing
Chest X
ray
results
I
diagnosis
patient


Question: An unmarried menstruation rule 30, but more by blood and blood clots, by sex, obstetrics and gynecology outpatient doctor to find heme 8 g / dL, ultrasound scanning and hysteroscopy below, most likely the diagnosis whichever is lower?

Answer: Submucosal uterine fibroids (submucosal myoma)

Choices:
A. Endometrial polyps (endometrial polyp)
B. Endometrial cancer (endometrial cancer)
C. Serous uterine fibroids (subserosal myoma)
D. Submucosal uterine fibroids (submucosal myoma)


Question: The following statements about the newborn immune system, what's right?

Answer: The earliest itself is produced IgM

Choices:
A. Does not have immunity protection
B. Get the mother through the placenta IgM
C. The earliest itself is produced IgM
D. Adults have the amount of IgE


Question: Which is not the meaning of the central limit theorem (central limit theorem) of?

Answer: Random sample mean (sample mean) of the statistical distribution close Bua Song distribution (Poisson distribution)

Choices:
A. Random sample mean (sample mean) of the statistical distribution close to the normal distribution (normal distribution)
B. Random sample mean (sample mean) of the statistical distribution close Bua Song distribution (Poisson distribution)
C. The average of all possible random sample mean (sample mean) is equal to the parent population (original population) average
D. SE (standard error) size standard deviation of the sample depends on the parent population (original population) (size of sample)


Question: The following neck muscles and their nerves dominate the narrative, what's wrong?

Answer: Digastric (Digastric muscle) before abdomen (anterior belly) by the facial nerve branches of the neck domination

Choices:
A. Twelfth cranial nerve accompanied the first cervical nerve abdominal collateral (ventral ramus) dominate geniohyoid (geniohyoid muscle)
B. Digastric (Digastric muscle) before abdomen (anterior belly) by the facial nerve branches of the neck domination
C. Mylohyoid muscle (Mylohyoid muscle) by the trigeminal nerve (trigeminal nerve) dominate
D. Supraomohyoid (Omohyoid muscle) by the neck loop (ansa cervicalis) dominate


Question: After the temporomandibular joint (temporomandibular joint) surgery, glands (parotid gland) secretion reduce the ear, Which of the following is most likely damaged?

Answer: Ear temporal nerve (auriculotemporal nerve)

Choices:
A. Facial nerve (facial nerve)
B. Ear temporal nerve (auriculotemporal nerve)
C. Lingual nerve (lingual nerve)
D. Inferior alveolar nerve (inferior alveolar nerve)

temporomandibular joint
temporomandibular joint
surgery
glands
parotid gland
secretion
ear
following
most likely damaged


Question: Measuring specific health and medical care after the implementation of the actual effect of community residents, to assess what effect it called?

Answer: effectiveness assessment

Choices:
A. efficacy assessment
B. efficiency assessment
C. effectiveness assessment
D. assess effect modification

Measuring specific
medical care
actual effect
residents
to
effect
called


Question: A 70-year-old man due to sudden high fever and confusion were sent to hospital, physical examination found to have significant jaundice, serum total bilirubin and direct bilirubin were 9.5 mg / dL and 4.2 mg / dL, abdominal ultra sonic found to have gallstones and significant expansion of the common bile duct and intrahepatic bile duct, gallbladder swell also, may I ask what kind should immediately arrange for disposal following the most appropriate for the patient?

Answer: Arrange endoscope emergency biliary drainage and treatment

Choices:
A. Blood tests for hepatitis type B and C
B. Arrange emergency surgery to remove the gallbladder
C. Arrange endoscope emergency biliary drainage and treatment
D. Liver slices

70 year old man due to sudden high
confusion
sent
hospital
found to
significant jaundice
serum total bilirubin
direct bilirubin
9.5 mg
dL
4.2 mg
dL
abdominal ultra sonic found to
gallstones
significant
common bile duct
intrahepatic bile duct
gallbladder swell
I
kind
immediately
following
most appropriate
patient


Question: Which of the following benign familial hematuria (benign familial hematuria) feature?

Answer: Glomerular basement membrane diffuse thinning

Choices:
A. Neural hearing-impaired
B. Eye lens dislocation, cataract
C. Glomerular basement membrane diffuse thinning
D. Have a family history of kidney failure

following benign familial hematuria
benign familial hematuria
feature


Question: Platysma (platysma muscle) and how these same muscles innervated by?

Answer: 莖突 hyoid bone skin (stylohyoid muscle)

Choices:
A. 莖突 hyoid bone skin (stylohyoid muscle)
B. Masseter muscle (masseter muscle)
C. Digastric muscle (anterior belly of digastric muscle)
D. Supraomohyoid (omohyoid muscle)


Question: Uremic patients with anemia may occur, which hematopoietic growth hormone treatment of such patients need to ask?

Answer: Erythropoietin

Choices:
A. Thrombopoietin
B. Erythropoietin
C. Stem cell factor
D. Granulocyte-colony stimulating factors

patients
anemia
occur
hematopoietic growth hormone treatment
patients need to


Question: A 58-year-old female patient, because two days before the start of urinary frequency, burning urination, abdominal feel a slight sense of pain, sometimes feel less out of the urine, hematuria start today, no blood clots, which of the following is wrong?

Answer: Should arrange cystoscopy

Choices:
A. The most likely diagnosis is acute bacterial cystitis
B. The vast majority community pathogen infection of E. coli (E. coli)
C. Should arrange cystoscopy
D. In the clinic is very common, typical cases does not necessarily need to do urine culture

58 year old female patient
two days
start
urinary frequency
burning urination
abdominal
slight sense of pain
sometimes
less out
urine
hematuria start today
blood clots
following
wrong


Question: Which of the following receptors than via messaging GTP-binding protein (G protein)?

Answer: NMDA receptor

Choices:
A. muscarinic receptor
B. glucagon receptor
C. histamine receptor
D. NMDA receptor

following receptors
GTP-binding protein
G protein


Question: If a patient suffered from diarrhea and kidney disease or loss of half-isotonic NaCl 3L, the effect on the intracellular fluid (ICF) and extracellular fluid (ECF) volume of Why?

Answer: ICF volume loss：1.0 L；ECF volume loss：2.0 L

Choices:
A. ICF volume loss：1.5 L；ECF volume loss：1.5 L
B. ICF volume loss：2.0 L；ECF volume loss：1.0 L
C. ICF volume loss：1.0 L；ECF volume loss：2.0 L
D. ICF volume loss：0.5 L；ECF volume loss：2.5 L

patient suffered
diarrhea
kidney disease
loss
half
NaCl
effect
intracellular fluid
extracellular fluid
volume


Question: ADVANCED 68.75 years old with the educational level of men Face disease, due to track treatment ADVANCED ⾎ pressure and diabetes come for treatment, while a series of statements recently ⼀ a month on hair fall ⽣ twice, as he entered the elderly ⾏ comprehensive assessment of each of the following class assessment statements is true?

Answer: Using the chi Mini Center Weighted required state examination (MMSE) valuated ⾏ Center Weighted Chi state, if the score 24 points belong to the following exception

Choices:
A. Using the chi Mini Center Weighted required state examination (MMSE) valuated ⾏ Center Weighted Chi state, if the score 24 points belong to the following exception
B. Using older required Depression Scale (GDS-15) to evaluate depression into ⾏, if the score was 4 points or less normal, even if there are more than 8 points depression
C. Use can Mini Nutritional Assessment Scale (MNAzyme) to feed ⾏ nutritional assessment, when operating above the score 10 points, the table may be displayed malnutrition, needs to provide further into ⼀
D. Using the scale bar can be ⽒ for daylight often live ⽣ function assessment, if the score 31 to 60 minutes are mild disability

ADVANCED
75 years old
Face disease
track treatment ADVANCED
pressure
diabetes
treatment
series
recently
month
hair fall
twice
entered
comprehensive
following
true


Question: Urine with vanilloid (homovalinic acid) and VMA (vanillylmandelic acid) increase the amount of these tumor markers is what children's cancer (tumor marker)?

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Renal Wilms 'tumor (Wilms' tumor)
B. Neuroblastoma (neuroblastoma)
C. Rhabdomyosarcoma (rhabdomyosarcoma)
D. Yolk sac tumor (yolk sac tumor)

Urine
vanilloid
acid
VMA
vanillylmandelic acid
increase
amount
tumor markers
children's cancer
tumor marker


Question: Which of the following belong ratio scale data (ratio scaling data)?

Answer: Height (such as 165 cm, 170 cm)

Choices:
A. Celsius temperature (e.g. 25 ℃, -5 ℃)
B. Religion (such as Catholicism and Taoism)
C. Height (such as 165 cm, 170 cm)
D. Education (such as elementary school, high school)

following
ratio scale data
ratio scaling data


Question: Congenital retinal detachment disease is usually caused due Which of the following does not heal?

Answer: Cup (optic cup) of the inner and outer layers

Choices:
A. Cup (optic cup) of the inner and outer layers
B. Between the retina and crystalline
C. Pigment layer and choroid layer / room sclera
D. Eyestalk (optic stalk) base

Congenital retinal detachment disease
usually caused due
following
not heal


Question: Giant cells vasculitis (giant cell arteritis), which often co-occur with these diseases?

Answer: polymyalgia rheumatica

Choices:
A. rheumatoid arthritis
B. Sjögren's syndrome
C. polymyalgia rheumatica
D. primary biliary cirrhosis

vasculitis
giant cell arteritis
often co occur
diseases


Question: A 1-year-old six large month-old child, 11 months old at the time because to get Kawasaki (Kawasaki disease) receiving high-dose intravenous immunoglobulin therapy. Currently the following that a vaccine should not be vaccinated, so as not to affect the effect of this vaccine?

Answer: Measles, mumps, rubella (MMR) triple vaccine

Choices:
A. Flu vaccine
B. Japanese encephalitis vaccine
C. Measles, mumps, rubella (MMR) triple vaccine
D. Diphtheria, pertussis, tetanus, b type Haemophilus Observing the polio vaccine


Question: Which of the following is not a recurrent laryngeal nerve (recurrent laryngeal nerve) common cause of injury?

Answer: Arterial catheter (ductus arteriosus) latch

Choices:
A. Hemangioma of the aorta (aneurysm of the aorta)
B. Arterial catheter (ductus arteriosus) latch
C. Mediastinal lymph nodes (enlargement of mediastinal lymph nodes)
D. Esophageal cancer (esophageal carcinoma)

following
not
recurrent laryngeal nerve
recurrent laryngeal nerve
common cause of injury


Question: A 3-year-old boy three weeks because of a persistent cough and fever one week treatment, sometimes because of severe coughing and vomiting caused by, physical examination revealed right side conjunctivitis and some secretions, lung auscultation bilaterally with fine rales (fine crackles) . That one of the following is the most likely pathogen?

Answer: Adenovirus

Choices:
A. influenza
B. pertussis
C. Mycoplasma
D. Adenovirus

3 year old boy three
persistent cough
fever one week treatment
sometimes
severe coughing
vomiting caused
revealed right side conjunctivitis
secretions
lung auscultation
fine
fine crackles
one
following


Question: Thinking about sleep disorders (schizophrenia) of the narrative, what's right?

Answer: Loose coupling (loosening of association) is a Reflection type (thought form) symptoms

Choices:
A. Little indifferent (blunted) cut or discomfort (inappropriate) emotions
B. For many years before symptoms began to appear negative (negative symptoms) in suffering from this disease
C. Loose coupling (loosening of association) is a Reflection type (thought form) symptoms
D. The most common of the two kinds of hallucinations auditory hallucinations and tactile hallucinations


Question: The most common type of stroke are:

Answer: Ischemic stroke (ischemic infarction)

Choices:
A. Ischemic stroke (ischemic infarction)
B. ICH (intracerebral hemorrhage)
C. Bleeding (subarachnoid hemorrhage) subarachnoid
D. Thrombotic cerebral infarction (embolic infarction)


Question: 50-year-old male patient, physical examination revealed scleral yellowing, but no abnormal urine color, following the diagnosis of what's least likely?

Answer: Common bile duct stones

Choices:
A. Hemolytic anemia
B. Gilbert syndrome
C. Common bile duct stones
D. Crigler-Najjar syndrome

50 year old male patient
revealed scleral yellowing
abnormal urine color
following
diagnosis
likely


Question: A 65-year-old woman, suffering from diabetes for many years, its dyslipidemia are as follows: triglycerides 220 mg / dL, cholesterol 240 mg / dL, HDL cholesterol 35 mg / dL, LDL cholesterol 161 mg / dL. In addition to recommending amendments lifestyle and glycemic control, and that one of the following drugs for the treatment best suited to their dyslipidemia?

Answer: fibrates

Choices:
A. statins
B. fibrates
C. niacin
D. vitamin B complex

65 year old woman
suffering
diabetes
years
dyslipidemia
follows
triglycerides
mg
dL
cholesterol
mg
dL
HDL cholesterol 35 mg
dL
LDL cholesterol
mg
dL
glycemic control
one
following drugs
treatment best
dyslipidemia


Question: 50-year-old Wang is hepatitis B asymptomatic carrier. One day a medical center to receive a liver ultrasound examination and found a small right hepatic liver cancer suspected the phenomenon. Blood test to detect why Mr. Wang is most needed?

Answer: Alpha fetoprotein (alpha fetoprotein)

Choices:
A. Cholesterol (cholesterol)
B. Transferrin (transferrin)
C. α1- antitrypsin (alpha 1-antitrypsin)
D. Alpha fetoprotein (alpha fetoprotein)

50 year old
hepatitis B asymptomatic carrier
One day
medical center to receive
liver
found
small right hepatic liver suspected
Blood test to detect
Mr
most needed


Question: 55-year-old male with lower back pain accompanied by morning stiffness (> 30 minutes) for two years, pelvic X-ray was normal, the patient had a history of left with the Arab Spring (Achilles tendon) inflammation, in order to determine the current condition and what the disease is most likely?

Answer: Spondyloarthritis axis (axial spondyloarthropathy)

Choices:
A. Ankylosing spondylitis (ankylosing spondylitis)
B. Spondyloarthritis axis (axial spondyloarthropathy)
C. Osteoarthritis (Osteoarthritis)
D. Psoriatic arthritis (psoriatic arthritis)

year old male
lower back pain
morning stiffness
30 minutes
two years
pelvic X-ray
normal
patient
history
left
Spring
Achilles tendon
inflammation
order to
current condition
disease


Question: When the body was found checkups orange peel changes (peau d'orange or orange peel appearance) breast, the following statements is wrong?

Answer: Antibiotics should be given

Choices:
A. This change was due to the cancer cells blocking lymph circulation caused by subcutaneous
B. Stage I breast cancer do not have this performance
C. There may be inflammatory breast cancer (inflammatory breast cancer)
D. Antibiotics should be given

body
found
orange peel changes
peau d'orange
orange peel appearance
breast
following
wrong


Question: The 54-year-old has given birth women because bleeding after menopause, if there is clinical suspicion of endometrial lesions may, following the disposal of what the most accurate diagnosis of lesions?

Answer: Cervical dilation and scraping scratch surgery or hysteroscopy (dilation and curettage or hysteroscopy)

Choices:
A. Vaginal and cervical smear (Pap smear)
B. Transvaginal ultrasound (transvaginal ultrasound)
C. Outpatient endometrial sampling to draw (office endometrial aspiration biopsy)
D. Cervical dilation and scraping scratch surgery or hysteroscopy (dilation and curettage or hysteroscopy)

54 year old
given birth
bleeding after menopause
clinical
of endometrial lesions
following
most accurate diagnosis of lesions


Question: Adult (adult) small bowel obstruction (small bowel obstruction) the most common reasons are:

Answer: Post-operative adhesions (adhesions)

Choices:
A. Post-operative adhesions (adhesions)
B. Hernia (hernia)
C. Intestinal tumors (tumor)
D. Intussusception (intussusception)

Adult
adult
small bowel obstruction
small bowel obstruction
most common


Question: ⼀ bit 10-year-old child with fever and rash two days submenus ⾄ emergency medical treatment, examination found rash submenus patterns have maculae, papulae and vesicles, etc. Which of the following best describes inappropriate?

Answer: Start contagious after the rash appears submenus

Choices:
A. Caused by the Herpes virus
B. Start contagious after the rash appears submenus
C. May associate the resulting complications include encephalitis, pneumonia
D. Refrain from using aspirin therapy

bit 10 year
fever
rash two days
emergency medical
found rash
patterns
maculae
papulae
vesicles
following best
inappropriate


Question: What kind of tumor in the spinal cord (intramedullary tumor) the most common?

Answer: Astrocytoma (astrocytoma) 15 meningioma tissue is grown from what?

Choices:
A. Meningioma (meningioma)
B. Metastases (metastatic tumor)
C. Melanoma (melanoma)
D. Astrocytoma (astrocytoma) 15 meningioma tissue is grown from what?

kind of tumor
spinal cord
intramedullary tumor
most common


Question: 73-year-old woman, in the past there is a history of hypertension and arrhythmia, sudden left lower limb weakness, low body movements and speak change, neurological examination showed normal consciousness, language comprehension is acceptable, the left lower limb muscle strength decreased, the other limb muscle strength yet normal, clinical diagnosis of acute cerebral infarction stroke. The most likely lesion why?

Answer: Right anterior cerebral artery (anterior cerebral artery)

Choices:
A. Right anterior cerebral artery (anterior cerebral artery)
B. Right middle cerebral artery (middle cerebral artery)
C. After the right middle cerebral artery (posterior cerebral artery)
D. Basilar artery (basilar artery)

clinical diagnosis of acute cerebral stroke


Question: 9.12 year-old girl, because short stature and treatment, the father height 165 cm, 154 cm tall and mother. The most recent year length of 3 cm. Physical checkups display body

Answer: Movement (exercise)

Choices:
A. Movement (exercise)
B. Insulin (insulin)
C. Arginine (arginine)
D. Glucagon (glucagon of)

year old girl
short stature
treatment
height
tall
most recent year length
Physical
display body


Question: Related cytokine function, the following statements is wrong?

Answer: The second type of T helper cells (TH2) is able to cause a first type hypersensitivity, because capable of secreting IFN-γ, IFN-γ and can live

Choices:
A. TNF-α, IL-1, IL-6 and acute phase proteins and fever (acute phase protein) in the elevated
B. The second type of T helper cells (TH2) is able to cause a first type hypersensitivity, because capable of secreting IFN-γ, IFN-γ and can live
C. IFN-α / β will increase the MHC class I and class II expression levels of cells that can help fight the virus
D. GM-CSF can help the growth and differentiation of dendritic cells

Related cytokine function
following
wrong


Question: Thickness skin graft according to take into full thickness skin graft with a (full-thickness skin graft) skin graft and the portion of the layer (split-thickness skin graft), belongs to which of the following characteristics of the full-thickness skin graft?

Answer: Better aesthetic results

Choices:
A. Primary less shrinkage (primary contraction)
B. Easier survival (graft survival)
C. More post-contraction (secondary contraction)
D. Better aesthetic results

Thickness
Thickness skin
full thickness skin graft
full-thickness skin graft
skin graft
portion
layer
split-thickness skin graft
following characteristics
full-thickness skin graft


Question: ⽒ statements about Paget Paget's disease (Paget's disease of bone), and Which statement is correct?

Answer: Patients not yet receiving treatment, ⾎ clear alkaline phosphatase (alkaline phosphatase) will significantly increase during

Choices:
A. Lesions of bone resorption (resorption) significantly increased bone ⽣ to ⽽ (formation) decreased
B. May be associated with bacterial infection (bacterial infection)
C. Patients not yet receiving treatment, ⾎ clear alkaline phosphatase (alkaline phosphatase) will significantly increase during
D. Patients not yet receiving treatment, urine hydroxy-proline (hydroxyproline) will significantly reduce

Paget
disease
Paget's disease of bone
correct


Question: Also NMDA receptor ion channel, which is turned on following ions through?

Answer: Sodium, potassium and calcium

Choices:
A. Only sodium
B. Sodium and potassium only
C. Only sodium and calcium
D. Sodium, potassium and calcium

NMDA receptor ion channel
turned
following


Question: 38 year old man, repeated on both sides of the palms and soles appear as shown itching of the skin lesions; microscopic examination found no mold, bacteria culture is sterile, pathological examination revealed inflammation of eczema; what patients are most likely diagnosis?

Answer: Khan herpes

Choices:
A. Athlete's foot
B. Khan herpes
C. Palmoplantar pustulosis
D. Secondary syphilis


Question: To prevent new mutant influenza virus infection, it is recommended for the elderly and children - administration of influenza vaccine each year. Construction mutation most vulnerable to influenza viruses is that one of the following?

Answer: Hemagglutinin (Hemagglutinin)

Choices:
A. Hemagglutinin (Hemagglutinin)
B. Reverse transcriptase (reverse transcriptase)
C. Transcriptase (Transcriptase)
D. Protein coat (capsid protein)


Question: A young man in a car accident, the radial groove of the humerus (radial groove) at the lateral impact and suffered fractures, nerve injuries through the meantime, the following functions which are most likely to be affected?

Answer: The knuckle extension (extension of fingers)

Choices:
A. Wrist flexion (flexion of wrist)
B. The knuckle extension (extension of fingers)
C. Pronation of the wrist function (pronation of wrist)
D. Outside the shoulder exhibition (abduction of shoulder) on 8 clinical bladders testicles (hydrocele of testis) is a liquid accumulation in where?

young man
car accident
radial groove
humerus
radial groove
lateral impact
suffered fractures
nerve injuries
following functions
to
affected


Question: The following figure shows a graph of pulmonary function examination single breath nitrogen washout, and where called closing volume?

Answer: III and IV junction

Choices:
A. II and III
B. Midpoint III
C. III and IV junction
D. IV end

following
pulmonary function
single breath nitrogen washout
called closing volume


Question: The following narrative about the rise of ST segment myocardial infarction (ST-elevation myocardial infarction, STEMI), and what's wrong?

Answer: Usually dead on arrival due to acute heart failure

Choices:
A. Pathological Physiology of atherosclerotic plaque rupture Rose intravascular, vascular thrombosis resulting in acute complete obstruction
B. Cardiac troponin (cardiac troponin) rises, usually persist for a week
C. Usually dead on arrival due to acute heart failure
D. Inferior wall myocardial infarction (inferior wall myocardial infarction) patients to do routine electrocardiogram right anterior chest wall

following
ST segment myocardial infarction
ST-elevation myocardial infarction
STEMI
wrong


Question: Middle-aged male patient with history of alcohol abuse for years, complained of diarrhea, weight loss, abdominal pain when eating satiety, abdominal pain sitting position and posture can be slightly bent over my eyes relieve abdominal pain. The clinical differential diagnosis of the disease is the primary consideration:

Answer: Chronic pancreatitis

Choices:
A. Intrahepatic stones
B. Chronic cholangitis
C. Chronic pancreatitis
D. Chronic duodenal ulcer

Middle-aged male patient
history of alcohol abuse
years
diarrhea
weight loss
abdominal pain
eating
abdominal pain sitting position
posture
slightly bent
eyes relieve abdominal pain
clinical differential
disease
primary consideration


Question: Statements about Neisseria meningitidis (Neisseria meningitidis), the error which of the following?

Answer: Often get infected by a contaminated animal

Choices:
A. Vaccinations ingredient is capsular polysaccharide (capsular polysaccharides)
B. Often get infected by a contaminated animal
C. Mainly through the respiratory tract infection
D. Can cause severe anemia, caused by damage to the adrenal gland (adrenal gland) of


Question: Which of the following disease psychosis (schizophrenia) therapeutic drugs, than those without extrapyramidal symptoms (extrapyramidal syndrome) side effects, but can cause particles of white blood cell deficiency (agranulocytosis)?

Answer: clozapine

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

following disease psychosis
schizophrenia
therapeutic drugs
extrapyramidal symptoms
extrapyramidal syndrome
side effects
cause
deficiency
agranulocytosis


Question: After HIV infection and organ transplants, patients receiving long-term immunosuppressive treatment following which will increase the prevalence of brain tumors?

Answer: Primary central nervous system lymphoma (primary CNS lymphoma)

Choices:
A. Primary central nervous system lymphoma (primary CNS lymphoma)
B. Meningioma (meningioma)
C. Ependymoma (ependymoma)
D. Craniopharyngioma (craniopharyngioma)

HIV infection
organ transplants
patients receiving
immunosuppressive
following
increase the prevalence of brain tumors


Question: MD, found that patients with asymptomatic carrier to AIDS, in accordance with the decree, which of the following should be notified?

Answer: Local competent authority

Choices:
A. Legal spouse of the patient
B. Local competent authority
C. Physician confidentiality obligations, unless patient consent shall not tell anyone
D. People may have sex occurred with patients

found
patients
asymptomatic carrier
AIDS
following


Question: A 54-year-old woman Phase IV lung adenocarcinoma patients received targeted drug gefitinib treatment, poor efficacy, conditions continued to deteriorate. Whichever is less likely for the following reasons?

Answer: Lung cancer cells with EML4-ALK fusion protein

Choices:
A. Patients with long-term smoking
B. Lung epithelial cell growth hormone receptors (epidermal growth factor receptor, EGFR) gene is not mutated
C. T790M mutation in the EGFR gene with
D. Lung cancer cells with EML4-ALK fusion protein


Question: The following does not belong to that kind of study design observational epidemiology?

Answer: Clinical trial

Choices:
A. A case-control study law
B. Generations follow-up study law
C. Ecological research method
D. Clinical trial


Question: Pair following their natural hosts of the virus, what's wrong?

Answer: Yellow fever virus (Yellow fever virus) and birds

Choices:
A. Yellow fever virus (Yellow fever virus) and birds
B. Dengue virus (Dengue virus) and humans, monkeys
C. Japanese encephalitis virus (Japanese encephalitis virus) and birds, pigs
D. St. Louis encephalitis virus (St. Louis encephalitis virus) and birds


Question: ⺟ the following statements about testicular sperm cell tumor (testicular seminoma), and whichever is less correct?

Answer: Often made ⽣ in infancy (infant)

Choices:
A. The variation of transfer color is often ⾒ ⼗ ⼆ article transfer color of the short arm body like an arm transfer color body (isochromosome 12p)
B. Tumor cells will show OCT3 / 4 and NANOG
C. Often made ⽣ in infancy (infant)
D. Some tumors have activating mutations in the KIT gene (activating mutations)

following
testicular
tumor
testicular seminoma
less correct


Question: Carboxylase  (Pyruvate carboxylase) its secondary  biotin (Biotin) primary function is to transfer:

Answer: Carbon dioxide (CO2)

Choices:
A. Amino group (amino group)
B. Electronics (electrons)
C. 醯基（acyl groups）
D. Carbon dioxide (CO2)

Carboxylase
Pyruvate carboxylase
secondary
biotin
Biotin
primary function
to transfer


Question: 45 year old woman, intermittent pain above the pubic bone, urinary frequency, hematuria and painful urination. Pathological microscopic changes seen bladder mucosa chronic ulcers, chronic inflammation of the bladder wall, fibrosis and cell infiltration. Which of the following is the most likely diagnosis?

Answer: Interstitial cystitis

Choices:
A. Polypoid cystitis
B. Cystitis follicular
C. Interstitial cystitis
D. Hemorrhagic cystitis


Question: Gonorrhea meningitidis (gonococci) infection in adult women, most often starting at the following locations?

Answer: Cervix

Choices:
A. Urethra
B. vaginal
C. Cervix
D. oviduct

Gonorrhea
infection
adult
most often starting
following locations


Question: The following account of Streptococcus pneumoniae infections (Streptococcus pneumoniae), whichever is correct?

Answer: Streptococcus pneumoniae bacteremia in infants and the elderly than the general adult common

Choices:
A. Streptococcus pneumoniae bacteremia in infants and the elderly than the general adult common
B. Immunodeficiency patients (such as: splenectomy patients) administered to fight pneumococcal vaccine is contraindicated
C. Streptococcus pneumoniae pharyngitis is Streptococcus pneumoniae meningitis the most common first event
D. Blood leukocytes was significantly higher (marked leukocytosis) with respect to a host of factors, the main factors predict poor prognosis of pneumococcal infection

following account
Streptococcus pneumoniae infections
correct


Question: The following account of the electric submenus transport chain, what's wrong?

Answer: Coenzyme Q (CoQ) can assist in transmitting electrical Submenu ⾄ complex II of complex I

Choices:
A. Submenus Oxygen (O2) for the electric final recipient submenus
B. NADH oxidation hair ⽣ to complex I
C. Coenzyme Q (CoQ) can assist in transmitting electrical Submenu ⾄ complex II of complex I
D. Cytochrome c (Cyt c) help transfer electrical Submenu ⾄ complex IV of complex III


Question: Hereditary angioneurotic edema causes are:

Answer: Due to lack of the inhibitor of complement C1, C2 kinin and bradykinin cause excessive generation

Choices:
A. Due to lack of the inhibitor of complement C1, C2 kinin and bradykinin cause excessive generation
B. Due to lack of purine nucleoside phosphorylase, thus increasing vascular leakage
C. Caused by excessive activation of IgG1 C2, C4 hyperactivity, increased vascular permeability
D. High properdin and factor D cause excessive vascular permeability


Question: About the type of tuberculosis type of leprosy (tuberculoid leprosy) and lepromatous leprosy leprosy narrative (lepromatous leprosy), and Which statement is correct?

Answer: Cellular type immune response resembling tuberculosis leprosy patients (cellular immune reaction) leprosy patients compared to lepromatous leprosy strong

Choices:
A. Tuberculosis Leprosy class type tissue lesions observed foamy macrophages (foamy macrophages), lepromatous leprosy, leprosy is no feature that
B. Cellular type immune response resembling tuberculosis leprosy patients (cellular immune reaction) leprosy patients compared to lepromatous leprosy strong
C. Contagious disease like tuberculosis, leprosy type of skin disease than lepromatous leprosy is high
D. Lepromatous leprosy skin lesions of leprosy tested positive for leprosy streptozotocin (lepromin) test

type
tuberculosis
leprosy
tuberculoid leprosy
lepromatous leprosy
lepromatous leprosy
correct


Question: The following statements about cell death (necrosis), and what's wrong?

Answer: Cytoplasm necrotic cells than in normal cells, basophilic H & E staining (basophilia)

Choices:
A. Cytoplasm necrotic cells than in normal cells, basophilic H & E staining (basophilia)
B. Vacuole appears in the cytoplasm of the cell cytoplasm because digestion is due
C. Condensation nuclei (pyknosis) found in apoptosis (apoptotic cell death)
D. Image forming myelin (myelin figures) from the cell membrane is broken


Question: Which is not the role of opioids (opioids) are?

Answer: Anticonvulsant

Choices:
A. Anticonvulsant
B. Cough suppression
C. constipation
D. Miosis


Question: A 73-year-old male patient due to diarrhea and weight loss in two months in hospital outpatient and 10 kg. Ultrasound examination showed multiple outpatient liver tumor. Colonoscopy found projection of the ascending colon tumor, pathological examination confirmed adenocarcinoma. The patient hepatitis B, C hepatitis markers negative, normal fetal protein, but carcinoembryonic antigen (CEA) was 1160 ng / mL. Patients with abdominal CT figures. Which of the following best suited for this purpose the patient's Dukes stage?

Answer: D

Choices:
A. B
B. C
C. D
D. IS


Question: 36 a 38-year-old woman complained two years often begin in the afternoon of high fever (up to 39.4 ℃), sometimes accompanied by sore throat, joint pain and salmon-colored rash, fever usually only experience a few hours and then automatically bring down a fever, which kind of attack will last two months and sometimes years, is different from ordinary people do not attack, this time in hospital physical examination found to have liver, splenomegaly, blood tests found that WBC 12800 / μL, ESR 42 mm / 1h, CRP 2.48 mg / L, AST 42 U / L, ALT 48 U / L, ferritin 11280 ng / mL, ANA and rheumatoid factor (rheumatoid factors) were negative, and three sets of blood culture comprising bacteria and mold urine no , and common viral antibodies were within the normal range, the most likely diagnosis why?

Answer: Adult-onset Still's disease

Choices:
A. Dengue fever
B. Adult-onset Still's disease
C. Plasmodium falciparum infestation
D. Cancer fever

36
year old woman
two years often begin
afternoon
high fever
sometimes
sore throat
joint pain
colored rash
fever usually only
few hours
then automatically
fever
kind
attack
last two months
sometimes years
different
not attack
time
hospital physical examination found to
liver
splenomegaly
blood tests found
WBC
ESR
mm
1h
CRP 2 48 mg
L
AST
U
L
ALT 48 U
L
ferritin
ng
mL
rheumatoid factor
rheumatoid factors
negative
three sets of blood culture
bacteria
urine
common viral antibodies
normal range
diagnosis


Question: Under normal circumstances, the decision glomerular filtration rate (GFR) of the Shi force (Starling forces), the largest absolute Why?

Answer: The pressure in the glomerular capillaries (PGC)

Choices:
A. In the glomerular capillary plasma colloid osmotic pressure (ΠGC)
B. The pressure in the glomerular capillaries (PGC)
C. Bowman's capsule in the pressure (PBS)
D. Bowman's capsule in glomerular filtration liquid glue osmotic pressure (ΠBS)

normal
glomerular filtration rate
largest absolute


Question: The following nerve damage that can cause a claw hand (claw hand) symptoms?

Answer: Ulnar nerve (ulnar nerve)

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

following nerve damage
cause
claw hand
claw hand
symptoms


Question: The parasite may occur extract the patient's sputum 93 are those? Wei's lung fluke eggs    fecal nematode larvae roundworm eggs  Wei's lung fluke larvae

parasite
occur
patient's sputum
lung
fecal
roundworm
lung


Question: Following that ⼀ neck fascia (fascia) is located under the hyoid muscles (infrahyoid muscles) ⾯, and cover the thyroid (thyroid gland) Table ⾯?

Answer: Pretracheal layer (pretracheal layer)

Choices:
A. Envelope layer (investing layer)
B. Carotid sheath (carotid sheath)
C. Pretracheal layer (pretracheal layer)
D. Prevertebral layer (prevertebral layer)

Following
neck fascia
fascia
hyoid muscles
infrahyoid muscles
cover
thyroid
thyroid gland
Table


Question: A 35-year-old female patient, two years to the most persistent low mood, dizziness, stretching, lack of concentration, memory loss, sleep difficulties and other symptoms, but patients are generally able to maintain the work and role function, in this case most likely the diagnosis why?

Answer: Low affective disorders (dysthymic disorder)

Choices:
A. Heavy depressive (major depression)
B. Adaptive disorders (adjustment disorder)
C. Low affective disorders (dysthymic disorder)
D. Anxiety (anxiety disorder)

35 year old female patient
two years
persistent low mood
dizziness
stretching
lack of concentration
memory loss
sleep difficulties
symptoms
patients
able to
role function
case
likely
diagnosis


Question: Because of that kind of amino acid 26 following its rigid structure (rigidity) large, and therefore rarely found in proteins flaps β- (β-sheet) structure?

Answer: Proline (proline)

Choices:
A. Glycine (glycine)
B. Serine (serine)
C. Half 胱胺 acid (cysteine)
D. Proline (proline)

kind
amino acid
following
rigid structure
rigidity
large
rarely found
proteins flaps
structure


Question: Which of the following is subject to hormone produced by the action of receptors to the cell membrane?

Answer: Insulin

Choices:
A. Glucocorticoid
B. Thyroid hormone
C. Insulin
D. Estrogen


Question: Which of the following indicators of the least frequently used to assess the prognosis of brain injury (traumatic brain injury) patients with clinically?

Answer: After brain injury epilepsy (seizure) of the frequency of occurrence

Choices:
A. After brain injury epilepsy (seizure) of the frequency of occurrence
B. Coma length (duration of coma) time
C. Glaston Coriolis GCS (Glasgow coma scale)
D. The length of the brain after injury, loss of memory (amnesia) time

following
frequently used to
prognosis
brain injury
traumatic brain injury
patients


Question: A 60-year-old woman five years ago due to cervical carcinoma in situ (carcinoma in situ) removal of the uterus, vagina six months ago at a seam (vaginal cuff) biopsy showed severe vaginal endothelial cell neoplasia (grade 3 vaginal intraepithelial neoplasia, VAIN 3) accept laser vaporization treatment; still persists after an abnormal pap smear, then how to do the most appropriate?

Answer: Surgical resection

Choices:
A. Freezing treatment
B. Coffee
C. Surgical resection
D. 5-FU cream wiping


Question: Heat-shock proteins can be used to promote solid tumor vaccine (tumor vaccine), the machine turn why?

Answer: Help tumor antigen (major histocompatibility complex) class I molecules are presented in the MHC

Choices:
A. Help antigen presenting cell proliferation (antigen-presenting cell) of
B. Presents promote cell (antigen-presenting cell) of co-stimulating molecules of antigen expression
C. Help tumor antigen (major histocompatibility complex) class I molecules are presented in the MHC
D. Help antigen presenting cell tolerance (antigen-presenting cell) tumor cells

Heat-shock proteins
used to
solid
tumor vaccine
machine turn


Question: The following ketamine about the statements is wrong?

Answer: Reduce myocardial oxygen consumption, it is suitable for patients with coronary artery occlusion

Choices:
A. Increases intracranial pressure and improve brain oxygen consumption
B. Suitable for anesthesia in patients with asthma
C. It has analgesic effect
D. Reduce myocardial oxygen consumption, it is suitable for patients with coronary artery occlusion


Question: Myelomeningocele (myelomeningocele) predilection position:

Answer: Thoracolumbar junction

Choices:
A. Lumbar sacral junction
B. Thoracolumbar junction
C. Cervical vertebra
D. Lumbar


Question: About brain aneurysm subarachnoid hemorrhage (SAH), which of the following error?

Answer: Subarachnoid hemorrhage caused by cerebral vasoconstriction (vasospasm), usually the first three days of the most serious

Choices:
A. Subarachnoid hemorrhage often associated with a higher concentration at the location of the aneurysm
B. Subarachnoid hemorrhage caused by cerebral vasoconstriction (vasospasm), usually the first three days of the most serious
C. CT angiography (CTA) in the diagnosis of intracranial of 2 mm has a sensitivity of greater than than 90% of
D. Subarachnoid hemorrhage can cause communicating hydrocephalus (communicating hydrocephalus)

brain aneurysm subarachnoid hemorrhage
following error


Question: Mom did not rule the check-radical production, neonatal respiratory distress in hospital, bacterial blood culture long room to inform Gram-positive cocci, Which of the following is the most likely cause of this bacterial neonatal hyperlipidemia?

Answer: Streptococcus agalactiae

Choices:
A. Staphylococcus aureus
B. Streptococcus agalactiae
C. Escherichia coli
D. Listeria monocytogenes

Mom
not rule
check radical
neonatal respiratory distress
hospital
bacterial blood long room to inform
following
most likely cause
bacterial neonatal hyperlipidemia


Question: Which is not Krukenberg tumor common primary tumor site?

Answer: Pulmonary (lung)

Choices:
A. The large intestine (colon)
B. Pulmonary (lung)
C. 胃（stomach）
D. Breast (breast)


Question: Which is not to low tidal volume; aim high PEEP improve acute respiratory distress syndrome (ARDS) is?

Answer: Reduce infection caused by the respirator

Choices:
A. Reduce barotrauma
B. Reduce the toxicity of oxygen (oxygen toxicity)
C. Reduce mortality
D. Reduce infection caused by the respirator

not
low tidal volume
aim high PEEP
acute respiratory distress syndrome


Question: 62 year old man had a history of ADVANCED ⾎ pressure, irregular medication but, because of lower left abdominal pain two days came to the emergency, fever 38.5 ℃, ⾎ pressure 90/60 mmHg, Center Weighted jump 110 times per minute, physical examination left lower quadrant tenderness lumps, ⾨ rectal palpation will appear ⾎ mucus, white smoke ⾎ result ⾎ ball 22,000 / μL, ⾎ red pigment 9.7 g / dL. Based on the foregoing, it is most inappropriate examination:

Answer: Zoomed colonoscopy (colonoscopy)

Choices:
A. Zoomed colonoscopy (colonoscopy)
B. Computed tomography (CT)
C. Chest X-rays (the CXR)
D. Abdominal X-ray lie on the left side (left lateral decubitus)

62 year old man
history
ADVANCED
pressure
irregular medication
lower left abdominal pain two days
emergency
fever
pressure 90 60 mmHg
Center Weighted jump
times
minute
left lower quadrant tenderness lumps
rectal palpation
appear
mucus
white smoke
result
ball
red pigment
g
dL
Based
most inappropriate


Question: To perform this operation point in time, the best surgery within two weeks after birth and at the latest not more than six weeks, what are the reasons?

Answer: After more than six weeks, left ventricular function will be degraded, unable to bear the circulation work

Choices:
A. Atrial septal balloon ostomy effect can not be sustained
B. After more than six weeks, left ventricular function will be degraded, unable to bear the circulation work
C. After more than six weeks, the maternal antibodies disappear, infection-prone surgery
D. Within 2 weeks of surgery, coronary relatively easily separated (dissection)

To perform
operation point in time
best surgery
two weeks after birth
latest not
six weeks


Question: Medical accordance with the provisions of law, human trials of medical records should be kept a few years?

Answer: Permanent preservation

Choices:
A. 7 years
B. 10 years
C. 20 years
D. Permanent preservation


Question: The 14-year-old girl complained of jaundice deeper and deeper over the past two weeks, the physical examination no hepatosplenomegaly. The following test results what items you are most likely to make the diagnosis of her fulminant liver failure, and liver transplantation is recommended for immediately?

Answer: After administration of vitamin K, before prothrombin time (prothrombin time) continued to extend

Choices:
A. Elevated blood ammonia
B. After administration of vitamin K, before prothrombin time (prothrombin time) continued to extend
C. Serum direct bilirubin and ALT values increasing
D. Ascites

year old girl
jaundice deeper
deeper
past two weeks
hepatosplenomegaly
following test results
to make
diagnosis
fulminant liver failure
liver transplantation
immediately


Question: 30-year-old patients with no history of hypertension weekdays, for some reason today to be surgery, general anesthesia induction, blood pressure jumped to 220/150 mmHg, thus aborted anesthesia. When returned to the recovery room, high blood pressure and attack several times, the correct diagnosis, what do these checks?

Answer: For 24 hours and blood Metanephrine Vallinyl mandelic acid (VMA)

Choices:
A. Potassium and Aldosterone
B. Blood Cortisol
C. For 24 hours and blood Metanephrine Vallinyl mandelic acid (VMA)
D. Blood Renin

30 year old patients
history of hypertension weekdays
today to
surgery
general
blood pressure jumped
mmHg
aborted anesthesia
returned
recovery room
high blood pressure
attack several times
correct diagnosis
checks


Question: Head tumors cause eye, nose and mouth dry, I ask this of where the tumor is most likely to occur?

Answer: Pterygoid canal (pterygoid canal)

Choices:
A. Optic canal (optic canal)
B. Pterygoid canal (pterygoid canal)
C. Foramen ovale (foramen ovale)
D. Hole (foramen rotundum)

Head tumors cause eye
nose
mouth dry
I
tumor
to occur


Question: 25. One 69 year-old male patient was hospitalized with acute myocardial infarction. Five days later, the patient breathing more asthma, physical examination showed a new apical systolic murmur, blood pressure 80/50 mmHg, central venous pressure 30 mmHg, chest X-ray showed pulmonary edema. The following statements is wrong? ① diagnosis of ventricular septal rupture ② aortic balloon apparatus shall pump ③ ④ do not need emergency surgery mortality from about 10 to 20%

Answer: Only ①③

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④

One 69 year old male patient
hospitalized
acute myocardial infarction
later
patient breathing more asthma
new apical systolic murmur
blood pressure 80 50 mmHg
central venous pressure 30 mmHg
chest X-ray
pulmonary edema
following
wrong
diagnosis of ventricular septal rupture
aortic balloon apparatus
pump
not need emergency surgery mortality
10
20


Question: 33 a three-month baby girl big five days in hospital because of fever. Urine examination revealed: leukocyte 100-150 / HPF, erythrocyte 36-50 / HPF, urinary protein 30 mg / dL, nitrite (+), urine culture is reported as Escherichia coli> 100,000 colonies / mL. Kidney nuclear medical examination results are shown in the next inspection arrangements best suited to what?

Answer: Vesicoureteral photographic examination (voiding cystourethrogram)

Choices:
A. Photography IVP (intravenous pyelogram)
B. Vesicoureteral photographic examination (voiding cystourethrogram)
C. Computer tomography kidney (renal computed tomography)
D. Cystoscopy (Cystoscope)

three month baby girl big five days in hospital


Question: The following statements about the treatment of Type II diabetes, what's wrong?

Answer: Oral hypoglycemic drug acesulfame urea (a sulfonylurea) as a first line drug formulation

Choices:
A. Generally glycated hemoglobin (hemoglobin A1c) is less than 7% target
B. Oral hypoglycemic drug acesulfame urea (a sulfonylurea) as a first line drug formulation
C. DPP-4 inhibitor is to improve the function of the postprandial blood concentration of GLP-1
D. α-glucosidase inhibitor is mainly used for reducing postprandial blood glucose

following
treatment
Type II diabetes
wrong


Question: The following react with the vagus nerve has nothing to do?

Answer: Inhibition of alveolar type II alveolar epithelial secretory

Choices:
A. Cough reflex
B. Lung expansion reflector (Hering-Breuer inflation reflex)
C. Inhibition of alveolar type II alveolar epithelial secretory
D. Bronchial smooth muscle contraction


Question: The following account of the resistance of the fungus, what is wrong?

Answer: Heat, 60 ℃ not be killed one hour

Choices:
A. Drying, resistant to sunlight and ultraviolet
B. Generally more resistant to disinfectants
C. Heat, 60 ℃ not be killed one hour
D. Against bacterial antibiotic insensitive

following account
resistance
fungus
wrong


Question: Here it does not contain a virus reverse transcriptase (reverse transcriptase)?

Answer: Polio virus (Poliovirus)

Choices:
A. AIDS virus
B. Hepatitis B virus
C. Human T-lymphotropic virus (Human T-lymphotropic virus)
D. Polio virus (Poliovirus)

not contain
reverse transcriptase
reverse transcriptase


Question: Cholesterol is following what vitamins (vitamin) synthetic precursor?

Answer: D

Choices:
A. A
B. D
C. IS
D. TO


Question: 44.6-year-old boy, appeared at the right side of the baby when a flesh-colored patch of scalp uplift As shown, increases slowly over time, the most likely diagnosis Why?

Answer: nevus sebaceous

Choices:
A. seborrheic keratosis
B. sebaceous hyperplasia
C. nevus sebaceous
D. verruca

year old boy
appeared
right side
baby
colored patch
scalp
increases slowly
time
diagnosis


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

Answer: More than 90% of patients with high anti-nuclear antibodies (antinuclear antibody, ANA) performance

Choices:
A. Some patients other organ cancers merger
B. Myositis symptoms extremities proximal end (proximal) portion
C. More than 90% of patients with high anti-nuclear antibodies (antinuclear antibody, ANA) performance
D. Some patients show symptoms of myositis lack of

following account
dermatomyositis
dermatomyositis
wrong


Question: Major ions influence the duration of electrocardiogram ST section of the wave is:

Answer: Calcium

Choices:
A. Sodium
B. Calcium
C. Potassium
D. Phosphorus ions

Major
duration
electrocardiogram ST section
wave


Question: In suffering from precocious puberty in boys, and that one of the following pathogenic machine turn different from the other three?

Answer: The early appearance of early signs of adrenal (Premature adrenarche)

Choices:
A. 21 hydroxyalkyl congenital adrenal hyperplasia due to enzyme deficiency (congenital adrenal hyperplasia due to 21-hydroxylase deficiency)
B. Secretion of human chorionic intracranial tumors stimulating hormone (HCG-secreting intracranial tumor)
C. Adrenocortical tumors (Adrenocortical tumor)
D. The early appearance of early signs of adrenal (Premature adrenarche)


Question: There are statements about the NPC, Which statement is correct?

Answer: Neck lymph nodes are the most common initial symptoms of

Choices:
A. Neck lymph nodes are the most common initial symptoms of
B. Neoplasms generally proportional to the size of the extent of lymph node metastasis
C. Distant metastases occur at followed by lung, brain, bone
D. Pathological classification Up to WHO type I


Question: When Parkinson syndrome (Parkinsonism) of patients, such as restlessness associated with the constant hyperactivity disorder (akathisia), the most likely diagnosis is:

Answer: Drug-induced (drug-induced) of Parkinson syndrome

Choices:
A. Primary Parkinson's disease (idiopathic Parkinson's disease)
B. Drug-induced (drug-induced) of Parkinson syndrome
C. The progressive nuclear palsy (progressive supranuclear palsy)
D. Striatonigral degeneration (striatonigral degeneration)

Parkinson syndrome
Parkinsonism
patients
restlessness associated with
constant hyperactivity disorder
akathisia
diagnosis


Question: When estrogen (estrogen) secretion highest in the menstrual cycle (menstrual cycle) in? Its main role Why?

Answer: Ovulation about 24 hours (Ovulation) supra; Chao facilitate release luteinizing stimulating hormone (LH surge)

Choices:
A. The follicular phase (follicular phase); promoting follicular growth
B. Ovulation about 24 hours (Ovulation) supra; Chao facilitate release luteinizing stimulating hormone (LH surge)
C. Luteal phase (luteal phase); promote endometrial thickening
D. Menstruation (menstruation); endometrial facilitate collapse

estrogen
estrogen
secretion highest
menstrual cycle
menstrual cycle
main role


Question: And human cervical cancer is related to the virus:

Answer: HPV (Human Papilloma virus) type XVIII

Choices:
A. HPV (Human Papilloma virus) type XVIII
B. EB virus (Epstein-Barr virus)
C. Adenovirus (Adenovirus) type VII
D. Retroviral (Retrovirus)


Question: An 8-year-old girl, complained of lower abdominal pain and was taken to the clinic, ultrasound examination revealed the right ovary has a 6 cm tumor, following diagnosis whichever is most likely?

Answer: Germ cell tumors (germ cell tumor)

Choices:
A. Benign epithelial tumors (benign epithelial neoplasm)
B. Malignant epithelial tumors (malignant epithelial neoplasm)
C. Follicular cysts (follicular cyst)
D. Germ cell tumors (germ cell tumor)

year old girl
lower abdominal pain
clinic
ultrasound examination revealed
right ovary
tumor
following diagnosis


Question: In laparoscopic surgery, Complication due Pneumoperitoneum generated, the following was one of the most serious?

Answer: Gas embolus

Choices:
A. Pneumothorax
B. Pneumomediastinum
C. Gas embolus
D. Subcutaneous emphysema

laparoscopic surgery
Complication due Pneumoperitoneum
following
one
serious


Question: Following on human immunodeficiency virus (HIV) laboratory diagnosis of narrative, what's right?

Answer: Reverse transcription polymerase chain reaction (RT-PCR) can detect the presence of HIV RNA in the blood

Choices:
A. The main serological diagnosis, namely to detect whether there is blood in the HIV virus antigen
B. Which is one of western blot serological diagnosis, mainly used for initial screening
C. Wherein the enzyme-linked immunosorbent assay (ELISA) is one of serological diagnosis, test for confirming the main
D. Reverse transcription polymerase chain reaction (RT-PCR) can detect the presence of HIV RNA in the blood

Following
human immunodeficiency virus
laboratory diagnosis
right


Question: Cyclosporine is a potent immunosuppressive agents, often used against the rejection of organ transplants, the reason why?

Answer: Interleukins inhibiting gene transcription

Choices:
A. Increased synthesis of IgG antibodies
B. Antibody binding interference checking
C. Interleukins inhibiting gene transcription
D. Activating Natural killer (NK) cells

Cyclosporine
potent immunosuppressive agents
often used
rejection
organ transplants


Question: Bearing on the question, What should I do?

Answer: Require immediate laparotomy (exploratory laparotomy immediately)

Choices:
A. Continue to observe (continue observation)
B. Require immediate laparotomy (exploratory laparotomy immediately)
C. Photography for the small intestine (small intestine series)
D. Total parenteral nutrition (give TPN)


Question: Account of eukaryotic DNA replication ⽣ matter, which of the following error?

Answer: Mainly composed of DNA polymerase I DNA replication into ⾏

Choices:
A. Mainly composed of DNA polymerase I DNA replication into ⾏
B. Replication initiating RNA primer need Submenu (Primer)
C. Helicase unwinds the double helix DNA may be
D. Replication protein A (RPA) may be combined with single-stranded DNA


Question: Recommended marrow damage (sacral spinal cord injury) urodynamic often occurs exceptions are:

Answer: No reflection detrusor (detrusor areflexia)

Choices:
A. Reflecting detrusor overactivity (detrusor hyperreflexia)
B. No reflection detrusor (detrusor areflexia)
C. Detrusor urethral sphincter ataxia (detrusor- external sphincter dyssynergia)
D. Low compliance (low compliance)

marrow damage
sacral
urodynamic often occurs


Question: Which of the following is the most important pathological features of acute respiratory distress syndrome caused by the diagnosis of acute lung injury?

Answer: The transparent film (hyaline membrane)

Choices:
A. The transparent film (hyaline membrane)
B. Proliferation of type II pneumocytes (type II pneumocyte proliferation)
C. Alveolar walls and alveolar cavity granulation tissue (granulation tissue in alveolar wall and spaces)
D. Alveolar septal thickening and fibrosis (fibrotic thickening of alveolar septa)


Question: Wang was a 30-year-old terminally ill breast cancer, because cancer multiple bone metastasis and lung metastasis causing pain and asthma hospitalization. Wang pain through a variety of medications are still unable to effectively control, then what is the most appropriate disposal method?

Answer: Assessment of psychological, social and spiritual needs

Choices:
A. Miss Wang skeptical whether the complaint should be true
B. A single prescription medication, should not merge multiple drugs
C. Assessment of psychological, social and spiritual needs
D. Consider using the chemotherapy drugs test

30 year old terminally ill breast cancer


Question: Which of the following most associated with emphysema?

Answer: Flexible proteolytic enzymes (Elastase)

Choices:
A. Flexible proteolytic enzymes (Elastase)
B. Xialai Barre crystals (Charcot-Leyden crystals)
C. Complement (complement)
D. Acute inflammatory chemical regulator (chemical mediators)


Question: The following description of the serratus anterior muscle (serratus anterior), and what's right?

Answer: Rotatable scapula forward

Choices:
A. In the front wall of thorax
B. Under pressure ribs
C. Dominated by the intercostal nerve
D. Rotatable scapula forward

following
serratus anterior muscle
serratus anterior
right


Question: About narrative related suicide attempt (suicide attempt), the Which statement is correct?

Answer: Borderline personality disease patients (borderline personality disorder) often occur with manipulation means suicide attempt

Choices:
A. Among those who attempt suicide, more men than women and more
B. When assessing suicide attempts in patients, promote patient to avoid repetition of suicidal behavior, questions to be bypassed, not directly questioning of its current suicidal ideation or related plans
C. Borderline personality disease patients (borderline personality disorder) often occur with manipulation means suicide attempt
D. Suicide attempts were, the vast majority is not related to psychiatric diagnosis

About
related suicide attempt
suicide attempt
correct


Question: Which of the following can inhibit the secretion of saliva?

Answer: atropine

Choices:
A. aspirin
B. atropine
C. cimetidine
D. vasoactive intestinal peptide


Question: A 50-year-old male with a history of duodenal ulcer, but medication is not normal, because of the recent busy, always feel upper abdominal pain. After this morning burst of pain, suddenly does not hurt, but abdominal swelling. Came to the emergency room, the most likely diagnosis addiction Why?

Answer: Duodenal ulcer perforation

Choices:
A. Acute cholecystitis
B. Acute hepatitis
C. Gallbladder rupture
D. Duodenal ulcer perforation

50 year old male
history of duodenal ulcer
medication
not normal
recent
always
upper abdominal pain
morning burst
pain
not
abdominal swelling
emergency room
diagnosis addiction


Question: Which of the following does not belong to five ingredients Smilkstein founded out of the family APGAR Questionnaire it?

Answer: Resources of (resource)

Choices:
A. Fitness (adaptation)
B. The degree of cooperation (partnership)
C. The growth of the (growth)
D. Resources of (resource)


Question: 28 year old man, appeared in the palms soles asymptomatic scaling rash, as shown, the most likely diagnosis is:

Answer: syphilis

Choices:
A. syphilis
B. Herpes simplex
C. Scabies
D. gonorrhea

year old man
appeared
soles asymptomatic scaling rash
diagnosis


Question: According to Catterall believes that signs of children femoral head avascular necrosis disease (Legg- Calvé -Perthes disease) in poor prognosis, except which of the following?

Answer: Younger (less than 5 years) at onset of

Choices:
A. On the outside of the femoral head passes through the X increased (radiolucency in lateral femoral head)
B. Growth of the horizontal plate portion of the femoral head (horizontal growth plate)
C. Younger (less than 5 years) at onset of
D. Necrosis of the femoral head portion of the range up to 80%


Question: A 80 year old man began to have symptoms of bloating and vomiting yesterday to emergency treatment, the patient expressed before and there have been several similar symptoms, physical checkups display body temperature 36 ℃, at 16 breaths per minute, 80 beats per minute , abdominal examination revealed a lower abdominal surgery scars, abdominal swelling (distended), no tenderness (tenderness) symptoms, after placing a nasogastric tube, patient symptoms improved tracking of imaging studies in the following figure, the following statements is wrong?

Answer: Supportive therapy (supportive care) does not apply to this patient

Choices:
A. The patient may have a lack of water (dehydration) status to be given fluid replacement (fluid resuscitation) and monitoring of urine output
B. Administering to the patient a large amount of water needs to be considered placed central venous catheter (central venous catheter) to monitor the condition of water to give
C. If abdominal pain or peritoneal sign appears, it means that there is the possibility of intestinal necrosis
D. Supportive therapy (supportive care) does not apply to this patient

80 year old man began to
symptoms
bloating
vomiting
emergency treatment
patient
before
several similar symptoms
physical
display body temperature 36
breaths per minute
80 beats per minute
abdominal
revealed
lower abdominal surgery scars
abdominal swelling
distended
tenderness
tenderness
symptoms
placing
nasogastric tube
patient symptoms improved tracking
imaging studies
following
following
wrong


Question: About human color vision, Which of the following is the most appropriate description?

Answer: Cone cells (Cone) discriminating red and green gene, located on chromosome X and simultaneously close position

Choices:
A. M cone cells (M cones) on normal human retina primarily absorb red
B. Human vision refers to the three primary colors red, green and yellow
C. The ratio of male and female human color blindness occurs is 1: 1
D. Cone cells (Cone) discriminating red and green gene, located on chromosome X and simultaneously close position

human color vision
following
most appropriate


Question: Specific particles (specific granule) What type of white blood cells with a crystalline (crystalloid body) is?

Answer: Eosinophil

Choices:
A. Monocytes
B. Eosinophil
C. Basophil granulocyte
D. Neutrophils

Specific
specific granule
crystalloid body


Question: The main feature of these diseases is the blood which bone marrow function exuberant, resulting in significant expansion of the bone marrow?

Answer: Mediterranean anemia (thalassemia)

Choices:
A. Mediterranean anemia (thalassemia)
B. Aplastic anemia (aplastic anemia)
C. Lack of immune thrombocytopenic purpura (immune thrombocytopenic purpura)
D. Acute myeloid leukemia (acute myelogenous leukemia)

main feature
diseases
blood
bone function exuberant
resulting
significant
bone marrow


Question: Which of the following does not include the old principle of medication?

Answer: Symptomatic treatment should be given medication

Choices:
A. Collect detailed drug habit
B. Symptomatic treatment should be given medication
C. Simplify treatment
D. Starting a small amount of drugs


Question: Which of the following is most likely to be cured of malignant disease with a chemotherapeutic drug (chemotherapy)?

Answer: seminoma

Choices:
A. non-smal cell lung cancer
B. colorectal carcinoma
C. seminoma
D. chronic myeloid leukemia

following
to
cured of malignant disease
chemotherapeutic drug
chemotherapy


Question: Which of the following is not a type of abnormal trinucleotide repeats (trinucleotide-repeat disorder)?

Answer: Ezihaimo disease (Alzheimer's disease)

Choices:
A. Huntington's disease (Huntington's disease)
B. Machado - Joseph's disease (Machado-Joseph disease)
C. Kennedy disease (Kennedy's disease)
D. Ezihaimo disease (Alzheimer's disease)

following
not
abnormal trinucleotide repeats
trinucleotide-repeat disorder


Question: A 24-year-old male, in recent months, often intermittent abdominal pain, fever and mild diarrhea, pressure easier to attack. Physical examination revealed the presence of the tube next to the rectum. Colonoscopy visible mucosal some areas of edema, ulceration change, some are normal. Biopsy in the lesion area, seen under a microscope ulcer, acute and chronic inflammatory cell infiltration, and non-caseating granulomas change (noncaseating granulomas) a. Which of the following is the most likely diagnosis?

Answer: Crohn's disease (Crohn disease)

Choices:
A. Amoeba sis (Amebiasis)
B. Crohn's disease (Crohn disease)
C. Pseudomembranous colitis (Pseudomembranous colitis)
D. Ulcerative colitis (Ulcerative colitis)

year old male
recent months
often intermittent abdominal pain
fever
mild diarrhea
pressure easier to attack
revealed
presence
tube next to
rectum
Colonoscopy visible mucosal
areas
edema
ulceration change
normal
Biopsy
lesion area
seen
microscope ulcer
acute
chronic inflammatory cell infiltration
non-caseating granulomas change
noncaseating granulomas
following
diagnosis


Question: Which of the following lesions to the natural history of type I diabetes first appeared in person?

Answer: Retinal

Choices:
A. Retinal
B. nerve
C. kidney
D. Cardiovascular

following lesions
type I diabetes first appeared


Question: Which of the following does not dominate the anterior abdominal wall construction?

Answer: Obturator nerve (obturator nerve)

Choices:
A. Iliohypogastric nerve (iliohypogastric nerve)
B. Ilioinguinal nerve (ilioinguinal nerve)
C. Reproductive femoral nerve (genitofemoral nerve)
D. Obturator nerve (obturator nerve)

following
not
anterior abdominal wall construction


Question: Patients with the following diseases after using the Sabin oral polio virus vaccine live, where whichever is the risk of causing paralytic polio (poliomyelitis) is higher?

Answer: Bruton's disease (X-linked deficiency of immunoglobulin gamma hyperlipidemia) (X-linked agammaglobulinemia [Bruton disease])

Choices:
A. 狄喬 Mr. Osamu syndrome (DiGeorge syndrome)
B. Bruton's disease (X-linked deficiency of immunoglobulin gamma hyperlipidemia) (X-linked agammaglobulinemia [Bruton disease])
C. Chronic granulomatous disease (chronic granulomatous disease)
D. Weisikete - 奥尔德里奇 syndrome (Wiskott-Aldrich syndrome)

Patients
following diseases
using
oral polio virus vaccine live
causing paralytic polio
poliomyelitis
higher


Question: A 10-year-old boy in a coma due to be sent to the hospital emergency room school health nurses. To the hospital spontaneous breathing, the doctor told him did not respond, body checkup limbs soft weakness, pain stimulation hands eyes open, hands will retract, at this time of GE's GCS (Glasgow coma scale) is the number of points ?

Answer: 7

Choices:
A. 6
B. 7
C. 8
D. 9

10 year old boy
coma
sent
hospital emergency room school nurses
hospital spontaneous breathing
doctor
not
body checkup limbs soft weakness
pain stimulation hands eyes open
hands
retract
time
GE's GCS
Glasgow coma scale
number of points


Question: A middle-aged male patients with cirrhosis was admitted to hospital because of intoxication, physical examination revealed marked abdominal swelling and there is shifting dullness, palms flapping tremor, laboratory tests found elevated serum bilirubin and ammonia, but albumin reduced renal function, ascites examination revealed a neutral white blood cell count greater than 500 / mm3. The following items are what treatment errors?

Answer: ampicillin 加上 tobramycin

Choices:
A. cefotaxime
B. ampicillin 加上 tobramycin
C. lactulose
D. Intravenous albumin


Question: Bearing on the question, which of the following is the drug of choice?

Answer: Doxycycline

Choices:
A. Doxycycline
B. Augmentin
C. 2nd generation Cephalosporin
D. Supportive therapy (Supportive care), there is no cure


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

Answer: Facial nerve (facial nerve) can pass the masticatory muscle proprioception (proprioception)

Choices:
A. Facial nucleus (facial nucleus) is located in the pons (Pons)
B. Right side of the nucleus (facial nucleus) damage that can lead to paralysis of the whole right side of the facial expression muscles (right facial palsy)
C. Facial nucleus (facial nucleus) of the neurons belonging to the lower motor neurons (lower motor neuron)
D. Facial nerve (facial nerve) can pass the masticatory muscle proprioception (proprioception)

Account
facial nerve
facial nerve
error
following


Question: Which of the following end of the parasite's larvae in the human body filamentous will show bifurcated (notched tail)?

Answer: Fecal nematode (Strongyloides stercoralis)

Choices:
A. American hookworm (Necator americanus)
B. Duodenum 鉤蟲 (Ancylostoma duodenale)
C. Fecal nematode (Strongyloides stercoralis)
D. Pinworm (Enterobius vermicularis)

following end
human body filamentous
bifurcated
notched tail


Question: The following account of irritable bowel syndrome (irritable bowel syndrome), and what's right?

Answer: Certain antibiotics, such as rifaximin be effective for some patients with irritable bowel syndrome

Choices:
A. Severe irritable bowel syndrome, intestinal abnormalities and physiological relevance of the strong correlation, and spiritual aspects of small
B. Irritable bowel syndrome prevalence of 2 to 3 times for men and women
C. Certain antibiotics, such as rifaximin be effective for some patients with irritable bowel syndrome
D. Antidepressants (antidepressant drugs) for irritable bowel syndrome is of no help

following account
irritable bowel syndrome
irritable bowel syndrome
right


Question: Which of the following belong to the anti-androgen preparation of steroids (Steroid antiandrogen)?

Answer: Cyproterone acetate

Choices:
A. Cyproterone acetate
B. Flutamide
C. Bicalutamide
D. Ketoconazole

following
androgen preparation
steroids
Steroid antiandrogen


Question: The upper esophagus, mostly?

Answer: Cell carcinoma (squamous cell carcinoma)

Choices:
A. Cell carcinoma (squamous cell carcinoma)
B. Adenocarcinoma (adenocarcinoma)
C. sarcoma
D. adenosquamous cell carcinoma


Question: From the previous question, if the patient's general condition has not deteriorated, then the how to deal with more appropriate?

Answer: Fasting, intravenous infusion and injection of antibiotics, and observed

Choices:
A. Immediately laparotomy gastric perforation repair
B. Immediately for sigmoid colostomy
C. Fasting, intravenous infusion and injection of antibiotics, and observed
D. Immediately carried out to confirm the diagnosis barium

previous
patient's general condition
not deteriorated
then
to
appropriate


Question: Mediastinal tumors occur in at least the following Where?

Answer: In mediastinal (middle mediastinum)

Choices:
A. Mediastinal front (anterior mediastinum)
B. Mediastinal upper (superior mediastinum)
C. After mediastinal (posterior mediastinum)
D. In mediastinal (middle mediastinum)


Question: Republic of China in 1991 amended the law physician, updating Article 121, states: "When physicians treat patients, patients or their families should be informed of their condition, treatment guidelines, disposal, treatment and prognosis of the situation and possible adverse reactions . "Does this provision consistent with the principle that a code of ethics of physicians?

Answer: Respect for the principle of patient autonomy

Choices:
A. Respect for the principle of patient autonomy
B. Privacy Principles
C. Do no harm principle
D. The principles of justice

Republic of China
amended
law physician
updating
states
physicians treat patients
patients
informed
condition
treatment guidelines
treatment
prognosis
possible adverse reactions
physicians


Question: The following account of the ATP synthase, what's wrong?

Answer: ATP formed in the gap between the membrane and the outer membrane of mitochondria in vivo

Choices:
A. Mitochondrial membrane located vivo
B. Using mitochondria from hydrogen across the membrane in vivo concentration of ATP synthesis difference Submenu
C. ATP formed in the gap between the membrane and the outer membrane of mitochondria in vivo
D. ATP synthesis process involves four structural changes of ATP synthase


Question: The following account of neonatal herpes simplex virus (HSV) encephalitis, and what is non?

Answer: 85% post-partum infection

Choices:
A. Is mostly caused by type 2 HSV, but if the mother has genital herpes, C-section can reduce the risk of neonatal morbidity
B. The incubation period of about 1-2 weeks
C. 85% post-partum infection
D. CSF virus DNA by PCR may be used to detect the tracking effect of acyclovir treatment of patients

following account
neonatal
encephalitis
non


Question: Which of the following because of the duodenum by glucose stimulated secretion, thereby stimulating insulin (insulin) secretion?

Answer: GIP (gastric inhibitory polypeptide)

Choices:
A. GIP (gastric inhibitory polypeptide)
B. Gastrin (gastrin)
C. Sports hormone (motilin)
D. Incretin secretin (secretin)

following duodenum glucose secretion insulin insulin secretion


Question: The impact of energy-related cortisol following substances in vivo, whichever is correct?

Answer: Promote lipolysis

Choices:
A. Gluconeogenesis inhibiting action (gluconeogenesis)
B. Inhibition of lipolysis (lipolysis)
C. Inhibition of one generation (ketogenesis)
D. Promote lipolysis

impact
energy related cortisol following
in vivo
correct


Question: A 35-year-old male patient for medical treatment because of persistent abdominal pain on the right side, the lower gastrointestinal Photography ascending colon found a core of an apple (apple core) like lesions, which of the following is not required to check?

Answer: Alpha fetoprotein (AFP)

Choices:
A. Biopsy colonoscopy (colonoscopic biopsy)
B. Computed tomography (CT scan)
C. Carcinoembryonic antigen (CEA)
D. Alpha fetoprotein (AFP)

35 year old male patient
medical treatment
of persistent abdominal pain
right side
lower gastrointestinal
ascending colon found
core
apple
apple core
lesions
following
not required to check


Question: A 12-year-old female student to the orthopedic clinic required to check for scoliosis. Physical examination to determine whether the scoliosis, which of the following is most important?

Answer: Adam's spine forward bending test (Adams forward bend test)

Choices:
A. Adam's spine forward bending test (Adams forward bend test)
B. School Qu Keshi test (Patrick's test)
C. Shaw Platinum's spine forward bending test (Schober's test)
D. Sitting in front torso and limbs bend test (sit and reach test)

year old female
orthopedic clinic required to check
scoliosis
to
scoliosis
following
most important


Question: Cause pneumoconiosis risk factors that fall below what type?

Answer: Chemical hazards

Choices:
A. Physical hazards
B. Chemical hazards
C. Biological Hazards
D. Ergonomic hazards

Cause pneumoconiosis risk factors
fall
type