Question: A 45 year old female patient, resulting in the palm and soles state clearly in Figure erythema, and have a strong sense of pain, the patient recalled the past month used drug minocycline, doxorubicin, amlodipine and diclofenac, the patient's rash if caused by a drug, the drug most likely to cause why?

Answer: doxorubicin

Choices:
A. minocycline
B. doxorubicin
C. amlodipine
D. diclofenac

year old female patient
resulting in
palm
soles state
erythema
strong sense of pain
patient
past month used drug minocycline
doxorubicin
amlodipine
diclofenac
patient's rash
caused
drug
drug
to cause


Question: Which of the following is a possible cause of hyperthyroidism is the most common disease?

Answer: Graves' disease

Choices:
A. Graves' disease
B. Hashimoto's disease
C. Inadequate intake of iodine
D. Traumatic brain injury

following
possible cause
hyperthyroidism
most common disease


Question: Following a pathogen that is not currently effective anti-microbial agents treatment, and must be special isolation to prevent spread to others?

Answer: Severe Acute Respiratory Syndrome (severe acute respiratory syndrome)

Choices:
A. Severe Acute Respiratory Syndrome (severe acute respiratory syndrome)
B. Inhaled anthrax (anthrax)
C. Han sick (Hansen's disease)
D. influenza


Question: What items following medications used to treat Paget's disease (Paget's disease)?

Answer: calcitonin

Choices:
A. thyroxine
B. exenatide
C. calcitonin
D. rosiglitazone


Question: The following types of pathogens, He's just neutralizing antibodies (neutralizing antibody) can neutralize toxins and not pathogenic?

Answer: Tetanus (Clostridium tetani)

Choices:
A. Staphylococcus aureus (Staphylococcus aureus)
B. Candida albicans (Candida albicans)
C. Leprosy bacillus (Mycobacterium leprae)
D. Tetanus (Clostridium tetani)

following types
neutralizing antibodies
neutralizing antibody
toxins
not pathogenic


Question: If you want to plan a Gonggongweisheng meet minimum "rational" standards, following a step that is indispensable?

Answer: Policy objectives to be measured (target)

Choices:
A. Policy objectives to be measured (target)
B. The value of the policy objectives listed
C. Assess the health needs of the people
D. The list of different policy alternatives

to plan
minimum
standards
following
step


Question: Which of the following drugs can be used to treat abnormal phenomenon pain of endometriosis (endometriosis) of?

Answer: leuprolide

Choices:
A. leuprolide
B. ganirelix
C. desmopressin
D. The following description conivaptan 61 about oxytocin (oxytocin), and what's wrong?

following drugs
used to treat abnormal
pain
endometriosis
endometriosis


Question: 80 year old man lesions appear as shown, Which of the following is the most likely diagnosis?

Answer: Basal cell carcinoma (Basal cell carcinoma)

Choices:
A. Cell carcinoma (Squamous cell carcinoma)
B. Cell carcinoma melanoma (Melanoma)
C. Basal cell carcinoma (Basal cell carcinoma)
D. Sebaceous carcinoma (Sebaceous carcinoma)

80 year old man lesions appear
following
diagnosis


Question: About the relationship between individual behavior and the allocation of medical resources, which of the following is not Taiwan's current regulations?

Answer: Because alcoholics have for their excessive drinking behavior causes liver failure is responsible for the end, when For liver transplant, their participation should be assigned overall pick last one

Choices:
A. Because alcoholics must be responsible for their excessive drinking, Taiwan's national health insurance does not pay the treatment of alcoholism rehab
B. Because alcoholics have for their excessive drinking behavior causes liver failure is responsible for the end, when For liver transplant, their participation should be assigned overall pick last one
C. Because the purpose of national health insurance is to restore or maintain health, not to assist people seeking to perfect, so do not pay National Health Insurance cosmetic surgery
D. Even swallowing pesticide suicide attempt suicide but their behavior, universal health insurance still pay medical costs incurred due to damage of suicidal behavior

relationship
behavior
allocation of medical resources
following
not Taiwan's current


Question: Which of the following cancer response to chemotherapy worst?

Answer: Renal cell carcinoma

Choices:
A. Acute myelogenous leukemia
B. Renal cell carcinoma
C. Breast cancer
D. Seminoma

following cancer response
chemotherapy worst


Question: If a cell can not synthesize or obtain folate (folic acid), then this cell will not be synthesized by following the kind of amino acids?

Answer: methionine

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

cell
not
obtain folate
folic acid
then
cell
not
following
kind
amino acids


Question: Combined use of female contraceptives, can not reduce the incidence of which of the following?

Answer: Breast cancer

Choices:
A. Ovarian cancer
B. Endometrial cancer
C. Breast cancer
D. Ectopic pregnancy

Combined use of female contraceptives
not
incidence


Question: The following statements about wine spots (port-wine stain), and what's wrong?

Answer: Located hemangioma of the skin

Choices:
A. Located hemangioma of the skin
B. Located vascular malformations of the skin
C. With the laser treatment
D. Available surgery


Question: Middle-aged patients with hepatitis B, right upper quadrant pain suddenly appear, run cold, blood pressure and hemoglobin decreased, the most likely diagnosis is?

Answer: Liver rupture

Choices:
A. Liver rupture
B. Inflammation of the pancreas
C. GERD
D. Gastric ulcer

Middle-aged patients
hepatitis B
right upper quadrant pain
appear
run cold
blood pressure
hemoglobin decreased
diagnosis


Question: The following statements about the small intestine and what was wrong?

Answer: Arcuate artery (arterial arcade) than on the ileal mesenteric multiple empty

Choices:
A. Empty wall thickness of the intestinal wall than the ileum
B. Arcuate artery (arterial arcade) than on the ileal mesenteric multiple empty
C. Jejunum annular folds (plicae circulares) than multi ileum
D. Back to the intestinal wall have gathered lymphoid tissue (Peyer's patch)


Question: tropomyosin hair ⽣ structural changes, which will lead to the following reaction skeletal muscle contraction?

Answer: exposing the myosin binding sites on actin, skeletal muscle contraction

Choices:
A. Ca2 + leave the troponin start skeletal muscle contraction
B. exposing the myosin binding sites on actin, skeletal muscle contraction
C. ATP yield ⽣ decomposition energy to bind to actin myosin, and slide yield ⽣
D. myosin and tropomyosin engagement, skeletal muscle contraction start


Question: Which of the following main functions lipoprotein (lipoprotein) is to transport cholesterol to peripheral tissues?

Answer: LDL

Choices:
A. chylomicron
B. VLDL
C. LDL
D. HDL

following main functions lipoprotein
lipoprotein
to transport cholesterol
peripheral tissues


Question: Mr. Chen is a 53-year-old of the farm workers, the hospital four hours ago was hundred-pace snake bites right foot back, gave emergency room with 12 anti-snake serum, outside the surgical intensive care unit found in the right leg into a dark purple skin, extreme swelling, right foot cold, weak dorsal artery, the pressure measuring chamber (compartment pressure) to about 70 mmHg, and urgently fascia incision debridement three weeks after the patient recovery from respiratory failure and renal failure, the right leg, have an outer about 30 cm long, 10 cm wide, open wounds covered with fresh granulation tissue of red. Which of the following is most appropriate wound management?

Answer: Split-thickness skin graft (split thickness skin graft)

Choices:
A. Direct suture
B. Split-thickness skin graft (split thickness skin graft)
C. Full-thickness skin grafts (full thickness skin graft)
D. Free flaps (free flap transplantation)

Mr
year old
farm workers
hospital four hours
bites right foot back
gave emergency room
serum
outside
surgical intensive care unit found
right leg
dark purple skin
extreme swelling
right foot cold
weak dorsal artery
pressure measuring chamber
compartment pressure
to
70 mmHg
fascia incision debridement three weeks
patient recovery
respiratory failure
renal failure
right leg
outer
30
long
10
wide
open wounds covered
fresh granulation tissue of red
following
most appropriate wound management


Question: 20-year-old boy in the last two weeks, often up to the toilet at night, reducing their body weight in the last two weeks kg. And treatment of patients due to the general weakness, no other abnormal physical examination except for mild dehydration. Laboratory tests show the blood glucose level 610 mg / dL, pH 7.17, paCO2 39.2 mmHg, paO2 mmHg, HCO3- 13.9 mEq / L, BE -14.2 mEq / L, Na + 131 mmol / L, K + 4.5 mmol / L, Cl- 98 mmol / L. That one of the following treatment for the patient this is not necessary disposal?

Answer: Administration of sodium bicarbonate (sodium bicarbonate)

Choices:
A. Add water (hydration)
B. Supplemental insulin (insulin)
C. Administration of potassium (potassium)
D. Administration of sodium bicarbonate (sodium bicarbonate)

20 year old boy
two
often
toilet
night
reducing
body weight
two weeks kg
general weakness
abnormal physical examination
mild dehydration
Laboratory tests
blood glucose level
mg
dL
pH 7
mmHg
paO2 mmHg
HCO3
mEq
L
mEq
L
mmol
L
mmol
L
98 mmol
L
one
following treatment
patient
not


Question: The following description of referred pain, and what are the most appropriate?

Answer: The phenomenon of pain cholecystitis patients often right shoulder, which is a referred pain

Choices:
A. referred pain occurs, the most common cause of nerve and visceral afferent nerve fibers of the brain due to meet at the extension
B. Stomach and pancreas inflammation caused by referred pain does not occur on the back
C. The phenomenon of pain cholecystitis patients often right shoulder, which is a referred pain
D. Right thumb injury often due to referred pain also feel pain in the left thumb

following
referred pain
most appropriate


Question: Statements about bone density, which of the following error?

Answer: Over 70 years, the rate of bone loss in women faster than men

Choices:
A. About 35 to 40 years old reached the strongest and most hard, after a gradual loss
B. 2 to 3 years after menopause, the loss of the fastest most
C. Over 70 years, the rate of bone loss in women faster than men
D. Movement of anti-gravity, can increase bone density


Question: The most common benign tumor of the liver are:

Answer: Angioma (hemangioma)

Choices:
A. Angioma (hemangioma)
B. Adenoma (adenoma)
C. Local nodular hyperplasia (focal nodular hyperplasia)
D. Lymphoma (lymphoma)


Question: About the narrative of lipid metabolism, which of the following error?

Answer: Decomposition of triglycerides in the blood of an enzyme, a hormone-sensitive lipase (hormone-sensitive lipase)

Choices:
A. The intestinal absorption of fat cells after intestinal chylomicron (chylomicron), a small tube into the chyle
B. Decomposition of triglycerides in the blood of an enzyme, a hormone-sensitive lipase (hormone-sensitive lipase)
C. Low density lipoprotein (LDL) in the blood is transformed from very low density lipoprotein (VLDL) from
D. High density lipoprotein (HDL) can be exchanged and blood lipids in lipoproteins other


Question: For γ-aminobutyric acid (GABA) receptor complex is described whichever error?

Answer: Buspirone may be bonded to the GABA receptor complex

Choices:
A. Zolpidem mechanism of action related to the GABA receptor complex
B. Related to the anxiolytic effects
C. Buspirone may be bonded to the GABA receptor complex
D. Related to the inhibitory effect

aminobutyric acid
GABA
receptor complex
error


Question: Which of the following treatment of breast cancer drugs, has a specific role in female breast cancer?

Answer: Trastuzumab

Choices:
A. Doxorubicin
B. Trastuzumab
C. Anastrozole
D. Fluoxymesterone

of the following treatment
breast cancer drugs
specific role
female breast cancer


Question: Which of the following does not belong to Berlin and Fowkes developed out of the LEARN mode?

Answer: Support (advocacy)

Choices:
A. Listen (listen)
B. Explain (explain)
C. Support (advocacy)
D. Recommended (recommend)


Question: The following statements about the antiepileptic drugs lamotrigine and what was wrong?

Answer: When you merge its use, its in vivo half-life will be shortened to sodium valproate, thus doubling the dose needed

Choices:
A. Its major role in the potential-sensitive sodium channels, to stable nerve membrane excitability inhibition of neurotransmitter release action
B. Which has the effect of treatment for focal seizures, generalized tonic clonic
C. When you merge its use, its in vivo half-life will be shortened to sodium valproate, thus doubling the dose needed
D. Which may be used in bipolar disorders (bipolar disorder) Prevention of Depressive

following
antiepileptic drugs lamotrigine
wrong


Question: Smoking, high cholesterol, hypertension and other issues are relatively easy to suffer from coronary heart disease, but not necessarily will suffer without these factors were also likely to suffer, these factors of coronary heart disease:

Answer: Contributing cause of (contributing causes)

Choices:
A. Sufficient cause of (sufficient causes)
B. Need 致因 (necessary causes)
C. To cause of charge (sufficient and necessary causes)
D. Contributing cause of (contributing causes)

Smoking
high cholesterol
hypertension
issues
easy to suffer
coronary heart disease
not
suffer
factors
likely to suffer
factors
coronary heart disease


Question: The following is a characteristic paroxysmal nocturnal urinary hemoglobin (paroxysmal nocturnal hemoglobinuria), and what's wrong?

Answer: hemolysis due to deficiency of CD16 and CD66 on RBC

Choices:
A. PIG-A gene mutation
B. hemolysis due to deficiency of CD16 and CD66 on RBC
C. complication of thrombosis
D. iron deficiency


Question: Which of the following is radiolucent stones still in the non-contrast spiral CT?

Answer: Indinavir stone

Choices:
A. Uric acid stone
B. Xanthine stone
C. Struvite stone
D. Indinavir stone

following
radiolucent stones
non contrast spiral CT


Question: Sulfo ammonia (sulfonamides) drugs are anti-metabolic drugs, which will then compete in vivo bacterial compounds, while preventing bacteria growth and metabolism of folate synthesis must be?

Answer: p- aminobenzoic acid (p-aminobenzoic acid)

Choices:
A. p- aminobenzoic acid (p-aminobenzoic acid)
B. Methionine (methionine)
C. Four folic acid (tetrafolate)
D. Dihydrofolate reductase (dihydrofolate reductase) 48 following related mycobacteria (Mycobacterium) of the narrative, what's wrong?

ammonia
sulfonamides
drugs
metabolic drugs
then
in vivo bacterial compounds
preventing bacteria growth
metabolism


Question: For the treatment of TB, which of the following error?

Answer: Pregnant women should avoid the use of ethambutol have tuberculosis

Choices:
A. To isoniazid, rifampin, pyrazinamide and ethambutol for 2 months, then isoniazid plus rifampin for 4 months to
B. Can also be administered daily medication every other day dosing
C. Pregnant women should avoid the use of ethambutol have tuberculosis
D. It is possible complication Ethambutol Optic neuritis


Question: From the previous question, the most appropriate disposition of the patient does not cover what items?

Answer: Soaking solution diluted Betadine

Choices:
A. Vaseline
B. Applied urea-containing ointment
C. Apply steroid cream
D. Soaking solution diluted Betadine


Question: Which of the following does not promote gastric phase of (gastric phase) of gastric acid secretion?

Answer: Secretin (secretin) secretion

Choices:
A. The expansion of the stomach by food
B. After protein digestion product of
C. Secretin (secretin) secretion
D. Stimulation of the vagus nerve

following
not
gastric phase
gastric phase
gastric acid secretion


Question: Which of the following participate in the transfer of lower limb proprioception?

Answer: Thin core (gracile nucleus)

Choices:
A. Lateral cervical nucleus (lateral cervical nucleus)
B. Thin core (gracile nucleus)
C. Wedge-shaped nucleus (cuneate nucleus)
D. Arcuate nucleus (arcuate nucleus)


Question: The following hormone, the chemical structure and properties of what's different from the other three?

Answer: thyroxine

Choices:
A. aldosterone
B. 1,25-dihydroxycholecalciferol
C. thyroxine
D. testosterone

following hormone
properties
different
three


Question: A 7-year-old boy, because of cold extremities, dizziness and abdominal pain to hospital for treatment. According to family members described the boy has a cold (common cold) symptoms on 4 days ago. Blood pressure of 70/48 mmHg, resulting in liver under the right rib 4 cm touch, ECG FIG. Which of the following is the appropriate treatment?

Answer: Placing a temporary pacemaker (temporary pacemaker)

Choices:
A. Placing a temporary pacemaker (temporary pacemaker)
B. Given intravenous amiodarone
C. Intravenous administration of digitalis (digoxin) and diuretics
D. Shock shock (DC shock)

year old boy
cold extremities
dizziness
abdominal pain
hospital
treatment
boy
cold
common cold
symptoms
4 days
Blood pressure
70 48 mmHg
resulting in liver
right rib 4 cm touch
ECG
following
appropriate treatment


Question: For the "thymus (thymus)," the narrative, Which statement is correct?

Answer: Is T- lymphocytes (T-lymphocyte) positions mature

Choices:
A. Both input and output lymphatic
B. Is T- lymphocytes (T-lymphocyte) positions mature
C. The main function to filter the lymph
D. Older people with well-developed of the thymus


Question: 80-year-old Lin, recently feeling tired, dizzy. His family said he was thin, pale skin. Normal liver function blood tests, and thus do photography barium enema X-ray examination, such as the illustrated image of him. Lin most likely suffering from what disease?

Answer: Colon cancer (colon cancer)

Choices:
A. Ulcerative colitis (ulcerative colitis)
B. Junction intussusception (intussusception)
C. Disease Crohn's disease (Crohn's disease)
D. Colon cancer (colon cancer)

80 year old Lin
recently
tired
dizzy
thin
pale
Normal liver function blood tests
barium enema X-ray
as
Lin
likely suffering
disease


Question: A 3-year-old boy five days of fever, severe cough, red eyes, face and torso have a grain of rice to a pea-sized rash, no blisters, swollen lymph glands in the neck. The above description is that a feature of measles and less seen in Kawasaki disease (Kawasaki's disease)?

Answer: cough

Choices:
A. cough
B. Rash size and shape
C. Redness of the eye
D. Swollen lymph glands in the neck

3 year old boy five days
fever
severe cough
red eyes
face
torso
grain
rice
pea sized rash
blisters
swollen lymph glands in
neck
above
feature
measles
less seen
Kawasaki disease
Kawasaki's disease


Question: According to the attached diagram imaging, Which of the following is least likely diagnosis?

Answer: Right chest a large number of pleural effusion

Choices:
A. Right lung hypoplasia (right lung agenesis)
B. Right lung collapse
C. Right chest a large number of pleural effusion
D. Resulting in complete obstruction of the right bronchus

diagram imaging
following
least likely diagnosis


Question: A 80-year-old man, covered with bulging blisters in extremities, immunofluorescence examination revealed pathological IgG, C3 linear accumulation in the basement membrane (basement membrane zone). The disease is most likely to be following what vesicular disease?

Answer: bullous pemphigoid

Choices:
A. bullous pemphigoid
B. pemphigus vulgaris
C. Stevens-Johnson syndrome
D. bullous drug eruptions

80 year old man
covered
bulging blisters
extremities
immunofluorescence
revealed pathological
C3 linear accumulation
basement membrane
basement membrane zone
disease
to
following
vesicular disease


Question: "Plasma cells (plasma cell)" which has the following characteristics?

Answer: Cable distribution in the spleen spleen (splenic cord)

Choices:
A. Nucleus is the flat, often located in the cell center
B. Many intracellular smooth endoplasmic reticulum (smooth endoplasmic reticulum)
C. Differentiated by the T lymphocyte (T lymphocyte) from
D. Cable distribution in the spleen spleen (splenic cord)


Question: A 15-month girl, born a few weeks to 32 weeks, birth weight 2100 grams. After the birth hospital only to go home a week without the use of oxygen therapy during hospitalization. Her development process will turn over 9 months, 12 months, will sit tight, hold the station will be 15 months. For now her situation, which of the following is least likely?

Answer: Neonatal spinal muscular atrophy

Choices:
A. Cerebral palsy
B. Down syndrome
C. Neonatal spinal muscular atrophy
D. Hydrocephalus

month girl
born
few weeks
birth weight
grams
birth hospital only to go home
week
use of oxygen therapy
development process
turn
months
12 months
sit tight
hold
station
months
now
following
least likely


Question: Mucous layer of the stomach (mucosa) Which of the following is not cell?

Answer: Goblet cells (goblet cell)

Choices:
A. Surface mucous cells (surface mucous cell)
B. Goblet cells (goblet cell)
C. Cell wall (parietal cell)
D. Undifferentiated adult stem cells (undifferentiated adult stem cell)

Mucous layer
stomach
mucosa
following
not cell


Question: A 25 year old man found in a bean-shaped projection surface of the penis, urological surgery to remove attendance, pathology showed mainly papillary squamous epithelium covering the protruding structure is presented hyperkeratosis, and thickening of the epithelial cells of the sample cavity (koilocytosis ) circumstances (such as photos), Which statement is correct?

Answer: The lesions in the genital prone, especially in the inner surface of the foreskin Coronal

Choices:
A. The lesions diagnosed as Bowen's disease (Bowen disease)
B. The lesions in the genital prone, especially in the inner surface of the foreskin Coronal
C. Associated with human papilloma virus infection, especially 18 and 30 type
D. The disease is easy to relapse, and can lead to invasive cancer

year old man found
shaped projection surface of
penis
urological surgery to remove
pathology
papillary squamous epithelium covering
protruding structure
hyperkeratosis
thickening of
epithelial cells
cavity
koilocytosis
correct


Question: One patient was found down the road ambulance to the emergency room to have eyes only for pain reaction will be issued stammered moan, bent limbs appear abnormal (abnormal flexion), the patient's GCS (Glasgow coma scale) is a bit?

Answer: 7

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

One patient
found
road ambulance
emergency room to
eyes only
pain reaction
issued stammered moan
bent limbs appear abnormal
abnormal flexion
patient's GCS
Glasgow coma scale
bit


Question: A 30-year-old man seeking treatment because of infertility, semen analysis results are as follows: pH 8.5, total volume 5 cc, sperm count 0, then the physician to arrange for testicular sections (testis biopsy) examination, the pathology lab results can be seen fine cell (spermatid), but found no sperm (sperm). Following what the best diagnosis?

Answer: maturation arrest

Choices:
A. obstructive azoospermia
B. maturation arrest
C. hypospermatogenesis
D. Sertoli-cell-only syndrome

30 year old man
treatment
infertility
semen analysis results
follows
pH 8.5
total volume
cc
count 0
then
physician
testicular sections
testis biopsy
pathology lab results
seen fine cell
found
Following
best diagnosis


Question: One 45-year-old woman, in the case three years ago found himself shaking his right hand, but take their food at dinner time jitter will stop. 3 years, time jitter amplitude seems to have more powerful, but also confined to the right hand, walking speed and hand swing in the past without much difference, she did not have a history of hyperactivity of the thyroid gland. Two years before the onset of the left dopamine effects are pretty good, but recently has been unable to completely make her tremble. Will this trembling, the most likely are:

Answer: Parkinson tremor (parkinsonian tremor)

Choices:
A. Essential tremor (essential tremor)
B. Parkinson tremor (parkinsonian tremor)
C. Primary dystonia (primary dystonia)
D. Spinocerebellar ataxia (cerebellar degeneration)

One
year old woman
case three years
found
shaking
right hand
food
dinner time jitter
stop
3 years
time jitter amplitude
to
more powerful
right hand
speed
hand
past
difference
not
history
hyperactivity
thyroid gland
Two years
onset of
left dopamine effects
pretty good
recently
unable
completely make
tremble
trembling
most likely


Question: 6,7-year-old children have the following eye refractive errors, amblyopia will compare what's in danger?

Answer: Two two visual range Baidu hyperopia (e.g. a + 1.0D, the other eye + 3.0D)

Choices:
A. Two each of two Baidu myopia (i.e. -2.0D)
B. Two each of two Baidu hyperopia (i.e., + 2.0D)
C. Baidu two simple myopic astigmatism (horizontal axis two plain eye, the vertical axis -2.0D)
D. Two two visual range Baidu hyperopia (e.g. a + 1.0D, the other eye + 3.0D)

year
following eye refractive errors
amblyopia


Question: After hip replacement (total hip replacement) rehabilitation process, the following statements is wrong?

Answer: The lower the better seats

Choices:
A. Alice his legs to avoid
B. The lower the better seats
C. Toilet seat to be raised
D. Do not ride a bike after surgery within three months

hip replacement
total hip replacement
rehabilitation process
following
wrong


Question: 26 A 45 year old women, who have a history of cardiac arrhythmias, sudden chest tightness, heart palpitations, dizziness symptoms associated with, for emergency treatment, blood pressure mmHg, electrocardiogram below, the following statements is true?

Answer: Intravenous amiodarone can be considered

Choices:
A. Now consider intravenous digitalis (digoxin)
B. Intubation should immediately begin cardiopulmonary resuscitation
C. Intravenous amiodarone can be considered
D. Use of beta-blockers (beta-blockers) to control the rhythm

year old
history of cardiac arrhythmias
sudden chest tightness
heart palpitations
dizziness symptoms associated with
emergency treatment
blood pressure mmHg
electrocardiogram
following
true


Question: Which of the following is not in clinical use alpha-receptor-blocking drugs it?

Answer: Attention deficit hyperactivity disorder (attention deficit hyperactivity disorder)

Choices:
A. High blood pressure (hypertension)
B. Attention deficit hyperactivity disorder (attention deficit hyperactivity disorder)
C. Raynaud's Phenomenon (Raynaud's phenomenon)
D. Benign hypertrophy of prostate (benign prostatic hypertrophy)

following
not
clinical use alpha receptor blocking


Question: The following account of urgent percutaneous respiratory tract (percutaneous airway) disposal technologies, what's wrong?

Answer: In terms of technical choice, the emergency tracheotomy (tracheotomy) should take precedence emergency incision cricothyroid cartilage

Choices:
A. When the non-invasive respiratory tract (noninvasive airway) technology can not dispose of intubation, ventilation can not (can not intubate, can not ventilate), and severe hypoxia continues to worsen when to take immediate and urgent percutaneous respiratory disposal
B. In terms of technical choice, the emergency tracheotomy (tracheotomy) should take precedence emergency incision cricothyroid cartilage
C. Tracheotomy tube through the respiratory tract in the front wall portion, and the ring A cartilage site through the incision of the cricothyroid membrane
D. Unable to oxygen saturation concentration (oxygen saturation) to define the timing of start of emergency percutaneous airway disposal of clinical use because the timing and extent of hypoxia and the speed of the deterioration of the relevant

following account
urgent percutaneous respiratory tract
percutaneous airway
wrong


Question: Once born, B lymphocytes produced by following that organ?

Answer: marrow

Choices:
A. marrow
B. spleen
C. liver
D. Thymus


Question: 30-year-old female, regular menstrual cycles, menstruation is calculated based on the last time she currently 10 weeks of pregnancy, fetal growth and development on the narrative, Which of the following most do not meet?

Answer: Hip head diameter (crown-rump length) 7 cm

Choices:
A. Bendable elbow
B. Hip head diameter (crown-rump length) 7 cm
C. The diaphragm has been formed
D. Cardiac structure has been formed

30 year old female
regular menstrual cycles
menstruation
calculated based
time
currently 10 weeks
pregnancy
fetal growth
development
following most
not


Question: The following narrative about Turner's disease (Turner syndrome), the what's wrong?

Answer: Often resulting in early menstruation early or premature secondary sex characteristics

Choices:
A. Short stature and webbed neck
B. Hand, Foot and lymphedema occurs at birth
C. Genotype chromosome 45, X most common
D. Often resulting in early menstruation early or premature secondary sex characteristics


Question: The following statements about acute promyelocytic leukemia (acute promyelocytic leukemia), and what's wrong?

Answer: With chromosomal abnormalities t (5; 7)

Choices:
A. Rongyifasheng disseminated intravascular coagulation (DIC)
B. With chromosomal abnormalities t (5; 7)
C. There are anomalies PML / RARα fusion gene
D. To reverse the retinoic acid tretinoin therapy, can achieve complete remission

following
acute promyelocytic leukemia
acute promyelocytic leukemia
wrong


Question: Hematopoietic stem cells must first find human leukocyte antigen prior to transplantation (human leukocyte antigen, HLA) the same donor, I ask: with the same father with the mother's siblings HLA opportunity is how much?

Answer: 1/4

Choices:
A. 1/2
B. 1/3
C. 1/4
D. 1/8


Question: Polymerase chain reaction (PCR) in the clinical diagnosis is a very important tool, what does not need the following items in the general reaction?

Answer: A large amount of purified DNA

Choices:
A. A large amount of purified DNA
B. Temperature Cycler
C. Four kinds of deoxyribonucleic acid
D. Heat stable DNA polymerase

Polymerase chain reaction
clinical diagnosis
very important tool
not need
following
general reaction


Question: From the previous question, the patient is usually live at home, clad only in adult diapers. Urinary line (urine stream) with a thin and discontinuous phenomenon (intermittency). Will the status of its pelvis and bladder, of the following is most likely?

Choices:
B. #VALUE!
C. Water on both sides of the renal pelvis and ureter, the bladder muscle becomes thick, and there is significant of the trabecular (trabeculation)
D. Normal renal pelvis and ureter, and bladder nor abnormal

previous
patient
usually live at home
only
adult
Urinary line
urine stream
thin
discontinuous
intermittency
status
pelvis
bladder
following


Question: clomiphene usually that one of the following abnormal ovulation infertility, ovulation inducing effect of the poor?

Answer: Anorexia

Choices:
A. Anorexia
B. Polycystic ovary syndrome
C. Prolactin too high
D. Unexplained infertility


Question: 31.4-year-old boy, because walking is easy to fall and have difficulty climbing stairs and treatment, and can not very well stand up from a chair, his hands need help, blood found in blood CK (Creatine kinase) concentration of 18,000 IU / L, past history display before the age of 3 is normal developmental milestones, the most likely diagnosis in this case is:

Answer: Duchenne muscular dystrophy

Choices:
A. Charcot-Marie-Tooth disease
B. Duchenne muscular dystrophy
C. Myotonic dystrophy
D. Spinal muscular atrophy

31
year old boy
easy to fall
difficulty climbing stairs
treatment
not very stand up
chair
hands need help
blood found
blood CK
Creatine kinase
concentration
IU
L
past history display
age of
normal
most likely diagnosis
case


Question: Some students want to make decisions for him this semester elective physical education. Suppose a semester course optional two movements, but the number of elective once full amount can not be elected. If this raw chosen swimming lessons 0.6 probability, the probability class chosen rhythm of 0.5, while the probability of the selected prosodic swimming lessons and courses 0.3. The chances of this life chosen rhythm lessons or swimming lessons, or both courses is how much?

Answer: 0.8

Choices:
A. 0.3
B. 0.5
C. 0.6
D. 0.8

to make
semester elective
semester course optional two movements
number
elective
full amount
not
raw
0.6 probability
probability
rhythm
0
probability
prosodic
courses 0.3
chances
rhythm
courses


Question: Which of the following is not under the jurisdiction of the Ministry of Health and Welfare Foundation organization?

Answer: John Tung Foundation

Choices:
A. John Tung Foundation
B. Foundation for organ donation transplant center Login
C. Foundation injury Relief Foundation
D. Foundation-cum-hospital accreditation policy for the Advancement of Medical Quality


Question: 5-year-old boy three days because of fever, abdominal pain and vomiting come to treatment, doctor found a little red throat, shortness of breath, abdominal soft, but there is extensive slight tenderness. That the surgeon may EMERGENCY prepared abdominal surgery, pre-surgery routine chest and abdominal X-rays as shown in FIG. That one of the following is the most likely diagnosis for Sick Children?

Answer: Bronchial pneumonia

Choices:
A. Acute intestinal obstruction pulmonary edema
B. Bronchial pneumonia
C. Intestinal rupture complicated by systemic inflammatory response syndrome
D. Acute appendicitis complicated by pleural effusion

5 year old boy three days
fever
abdominal pain
vomiting
treatment
doctor found
little red throat
shortness of breath
abdominal soft
extensive slight tenderness
surgeon
EMERGENCY prepared abdominal surgery
pre-surgery routine chest
abdominal X-rays
one
following
diagnosis
Sick Children


Question: Hedge brain contusion (Contrecoup contusion) where the following most common bleeding?

Answer: The bottom of the frontal lobe hemorrhage

Choices:
A. The bottom of the frontal lobe hemorrhage
B. Pons, corpus callosum and the top spotting
C. Midbrain and pons central bleeding
D. Parietal spotting

brain contusion
Contrecoup contusion
following
common bleeding


Question: Which of the following is the hierarchical order of the DNA-coated:

Answer: DNA → nucleosome (nucleosome) → chromatin fibrils (chromatin fibril) → chromatin fibers snare (chromatin fiber looping) → chromosome (chromosome)

Choices:
A. DNA → nucleosome (nucleosome) → chromatin fibrils (chromatin fibril) → chromatin fibers snare (chromatin fiber looping) → chromosome (chromosome)
B. The DNA chromatin fibrils → → → nucleosome chromosomal chromatin fibers snare →
C. The DNA nucleosome → → → chromatin fibers snare chromosomal chromatin fibrils →
D. The DNA chromatin fibrils → → → chromatin fibers trap nucleosome chromosome →


Question: Which of the following is the major muscle responsible for the mouth?

Answer: Pterygoid muscle (lateral pterygoid)

Choices:
A. Pterygoid muscle (lateral pterygoid)
B. 顳 肌 (temporary)
C. Chewing muscles (masseter)
D. Zygomatic major muscle (zygomaticus major)

following
major muscle responsible
mouth


Question: The following family tree is what is most likely mode of inheritance?

Answer: Mitochondrial inheritance

Choices:
A. Mitochondrial inheritance
B. Autosomal recessive inheritance
C. X-linked recessive inheritance
D. Autosomal dominant inheritance


Question: Hyperacute rejection (hyperacute rejection) occurs when the kidney transplant, the reason is an antibody which attacks the kidney cells or tissues?

Answer: Vascular endothelial cells (vascular endothelium)

Choices:
A. Vascular endothelial cells (vascular endothelium)
B. Kidney diaphragm cells (mesangial cell)
C. Renal tubular epithelial cells (renal tubular epithelial cell)
D. Bowman's capsule (Bowman's capsule)

rejection
rejection
occurs
kidney transplant
antibody
attacks
tissues


Question: A 57 year old woman who insipidus cause hypernatremia which serum sodium concentration of 160 mEq / L (normal value 140 mEq / L), assuming the current total body water (total body water) is 24 liters and no net sodium loss, with an estimated loss of water is about how many liters?

Answer: 3.5

Choices:
A. 2.5
B. 3
C. 3.5
D. 4

57 year old woman
cause hypernatremia
serum concentration
mEq
L
normal value
mEq
L
current total body water
total body water
liters
net sodium loss
estimated loss
water
about
liters


Question: That one of the following pathogens proliferate in macrophages (macrophage), and sporadic form of small nodules in the liver necrosis?

Answer: Salmonella typhi

Choices:
A. Campylobacter enterocolitis
B. Entamoeba histolytica
C. Salmonella typhi
D. Clonorchis sinensis

one
following
macrophages
sporadic form
small nodules
liver necrosis


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

Answer: Antiviral oseltamivir (Tamiflu) is currently the only effective influenza type A influenza type B invalid, the use of generally 5 days

Choices:
A. Symptoms often appear suddenly, including headache, fatigue, fever, cough, muscle aches, etc.
B. After the elderly suffering from influenza can cause pneumonia and lead to death
C. Antiviral oseltamivir (Tamiflu) is currently the only effective influenza type A influenza type B invalid, the use of generally 5 days
D. Prevention strategies recommended in high-risk groups - administration of influenza vaccine

following account
influenza
influenza
wrong


Question: 20-year-old, 60 kg body weight healthy college student, accidentally knocked over hot Detong when working in a restaurant. High temperature and poured hot tea on both sides of his lower limbs, caused these two limbs all burn blisters. According to "9 rules" (rule of nines) and "Parkland formula" (Parkland formula) estimates, following on "24 hours the amount of intravenous fluids after the injury," describes the student's "burn area" and, what's most appropriate?

Answer: 36% of body surface area, 8,640 milliliter (miniliters, mL.) Was crystalline (crystalloid)

Choices:
A. 36% of body surface area, 8,640 milliliter (miniliters, mL.) Was crystalline (crystalloid)
B. 36% of body surface area, 3,240 milliliter solution of crystalline (crystalloid) plus 1,080 milliliter colloidal solution (Colloid)
C. 45% of body surface area, 10,8000 milliliter solution of crystalline
D. 45% of body surface area, 4,050 plus 1,350 milliliter milliliter solution of crystalline colloidal solution

20 year old
60 kg body weight healthy
hot
restaurant
High temperature
hot
sides
lower limbs
caused
two limbs
burn blisters
rules
formula
formula
estimates
following
24 hours
amount
injury
urn  rea"
hat'
st a propriate?


Question: 20-year-old man neck lymph nodes have six weeks old, the teaching hospital for treatment of ENT, head and neck by fiberoscopy examination showed normal mucosa area, exclude the diagnosis of head and neck cancer. This patient no signs of infection, physical examination show firm, non-tender and rubber-like, long diameter of 3 cm large lymph nodes. Which of the following is the most appropriate disposal at this stage?

Answer: Removal of the biopsy (excisonal biopsy)

Choices:
A. Lymph node ultrasound (sonography)
B. Removal of the biopsy (excisonal biopsy)
C. Fine needle aspiration (fine needle aspiration)
D. Positron scanning (PET scan)


Question: Mood disorders cognitive theory to explain that the most important factor is?

Answer: idea

Choices:
A. idea
B. This event chest upwards
C. result
D. subconscious

Mood disorders cognitive
to
most important factor


Question: The use of rehabilitation medicine shortwave (shortwave) therapy There are many considerations to be, but which of the following are not contraindications?

Answer: Chronic degenerative joint hemophilia

Choices:
A. Cardiac pacemaker users
B. Artificial knee joint affected area
C. Back at osteoporosis treatment
D. Chronic degenerative joint hemophilia

use of rehabilitation medicine
shortwave
therapy
considerations to
following
not contraindications


Question: 25-year-old young man, because riding motorcycle accident, causing serious fractures of the pelvis (pelvic fracture). Rendering emergency shock upon arrival, after a lot of fluids and blood transfusions to fight the blaze, systolic blood pressure higher than 90 mmHg, and then accept the abdominal computed tomography examination. But found pelvic extravasation occurs developer (contrast extravasation). Which of the following treatment of hemorrhagic shock therapy works best?

Answer: Embolization (angio-embolization)

Choices:
A. Continue transfusion (transfusion)
B. Pelvic external fixator (external fixation)
C. Laparotomy external iliac artery ligation (external iliac artery ligation)
D. Embolization (angio-embolization)


Question: In the normal menstrual cycle after ovulation, if not become pregnant, the corpus luteum can survive about it a few days?

Answer: 14

Choices:
A. 1
B. 5
C. 14
D. 28

normal menstrual cycle
ovulation
not
pregnant
corpus luteum
survive
few days


Question: When oxygen molecules bind to hemoglobin (hemoglobin), and the two open coordination bond (open coordination bonds) heme (Heme) on Fe2 + in combination with any of the following substance group?

Answer: An oxygen molecule with an amino acid side chain

Choices:
A. A water molecule with an amino acid side chain
B. An oxygen molecule with an amino acid side chain
C. An oxygen molecule with a molecule of water
D. Two oxygen molecules

oxygen
hemoglobin
hemoglobin
two open coordination
open coordination
heme
Heme
combination
following
group


Question: Astigmatic lenses described + 2.0D sphere with cylinder -3.0D axis 90 ° is equivalent to which of the following?

Answer: -1.0D sphere with cylinder＋3.0D axis 180°

Choices:
A. -2.0D sphere with cylinder＋3.0D axis 180°
B. -2.0D sphere with cylinder -3.0D axis 90°
C. -1.0D sphere with cylinder＋3.0D axis 180°
D. -1.0D sphere with cylinder＋3.0D axis 90°

lenses
sphere
cylinder
axis 90
equivalent


Question: Which of the following diseases Nikolsky sign is a negative reaction?

Answer: bullous pemphigoid

Choices:
A. staphylococcal scalded skin syndrome
B. pemphigus vulgaris
C. Stevens-Johnson syndrome
D. bullous pemphigoid

following diseases Nikolsky sign
negative reaction


Question: A 27-year-old male teacher a small country, complained of feeling life is boring long, painful journey that life is a trip, there is no fun at all. Although the performance is excellent, good peer relations at school, but still think they have never succeeded, born destined to be a loser, never had a sense of accomplishment; emptiness, contradiction, no sense of direction, lack of enthusiasm is his life story. The patients most likely of clinical diagnosis of which of the following?

Answer: Depression disorders (dysthymic disorder)

Choices:
A. Major depressive episode of bipolar disorder (bipolar disorder, major depressive episode)
B. Heavy depressive (major depressive disorder)
C. Depression disorders (dysthymic disorder)
D. Cyclothymic disorder (cyclothymic disorder)

27 year old male teacher
small country
boring long
painful
trip
excellent
good
school
never
born
to
never
sense
emptiness
lack
patients
likely
clinical diagnosis


Question: Mr. Huang served as an administrator in a nursing home, often for elderly family members said that if they get dementia, dementia elderly nursing home he would not like to live in general, it is best to quickly die. Unfortunately, Mr. Wong retired shortly after the gradual emergence of dementia conditions, and often as a child-like jump, both naïve and happy. One day Mr. Huang at home in front of the chasing dogs, broke into the middle of the road was hit by a truck due to hemorrhage shock, have emergency surgery on arrival to the emergency room. Mr. Huang's daughter father explained to the physician when their right mind, would want to live with dementia had expressed the wish if it, so I do not know whether to sign the consent form. Select the disposal of the following statements for the physician how and why, where whichever is most appropriate?

Answer: Please daughters in writing explicitly stated wish of his father, instead of his father signed a consent form to give up aggressive treatment, not only active treatment

Choices:
A. I believe by his daughter quoted the father of wish, so no active treatment
B. Please daughters in writing explicitly stated wish of his father, instead of his father signed a consent form to give up aggressive treatment, not only active treatment
C. Because Mr. Huang is not explicitly stated in written documents, it is not to be disregarded his earlier wish
D. Mr. Wong is currently not recognized because it truly wishes, it should be actively rescue, etc. Mr. Huang survived say

Mr
administrator
nursing home
often
dementia
dementia elderly
not
live
general
best
die
Mr
retired
gradual
dementia conditions
often
child
jump
One day Mr
at home
front
middle
road
hit
truck
hemorrhage shock
emergency surgery
arrival
emergency room
Mr
physician
right
to live
dementia
wish
I
not
to sign
following
physician
most appropriate


Question: A 22-year-old woman complained of left knee pain for three months, found increased pain at night during interrogation. Physical examination revealed obvious local tenderness, lumps found Organized palpation. X-rays as the knee, the patient most likely diagnosis is:

Answer: Osteosarcoma (osteosarcoma)

Choices:
A. Simple bone cyst (simple bone cyst)
B. Osteosarcoma (osteosarcoma)
C. Fibrous dysplasia (fibrous dysplasia)
D. Osteochondroma (osteochondroma)

year old woman
left
three months
found increased pain
night
revealed
local tenderness
lumps found Organized palpation
X-rays
knee
patient
likely diagnosis


Question: A 50-year-old man hospitalized due to acute heart failure, systolic blood pressure was 200 mmHg on admission, examination revealed a 5 cm right adrenal tumor, clinicians suspected pheochromocytoma (pheochromocytoma), the following statements is true?

Answer: Urine sample was collected 24 hours catecholamines (catecholamines) and VMA (vanillylmandelic acid) to diagnose, with good specificity (specificity), but the sensitivity (Sensitivity) is not high

Choices:
A. Urine sample was collected 24 hours catecholamines (catecholamines) and VMA (vanillylmandelic acid) to diagnose, with good specificity (specificity), but the sensitivity (Sensitivity) is not high
B. When determined to be functional tumor imaging range to 131I cholesterol iodo (131I-iodocholesterol) NP-59 preferably scans
C. Ready-drug adrenal surgery to bisoprolol as the preferred long-acting
D. Formerly known as pheochromocytoma tumor 10%, but now about one third of the known pheochromocytoma hereditary mutations, for example, SDHB

50 year old man hospitalized due to acute heart failure


Question: Clinically, patients with asymptomatic primary for parathyroid function, which is not an indication for surgery is recommended?

Answer: Older than 60 years old

Choices:
A. Calcium greater than 10 mg / dL
B. Creatinine clearance (Ccr) decreased more than 30%
C. Older than 60 years old
D. Lumbar spine significantly reduced (t-score <-2.5)

patients
asymptomatic primary
parathyroid function
not
surgery


Question: The following items Ranson's prognostic sign what is not when non-gallstone pancreatitis patients hospitalized?

Answer: LDH> 150 Ewe / L

Choices:
A. Age> 55 years old
B. The number of> 16,000 / mm3 leukocyte
C. glucose > 200 mg/100 mL
D. LDH> 150 Ewe / L

non gallstone pancreatitis patients hospitalized


Question: After following which receptors are activated in the sympathetic nerve endings, will promote the release of norepinephrine?

Answer: B 2

Choices:
A. A'2
B. B 2
C. Dopamine D2
D. Muscarinic M2

following
receptors
nerve endings
release
norepinephrine


Question: About PMS (premenstrual syndrome) symptoms, which of the following is not common?

Answer: Hot flushes (hot flashes)

Choices:
A. Depression (depression)
B. Anxiety (anxiety)
C. Hot flushes (hot flashes)
D. Bloating (abdominal bloating)

PMS
premenstrual syndrome
symptoms
following
not common


Question: Once Which of the following viral infection, can take advantage of the way early vaccination to prevent the proliferation of the virus and disease in the body?

Answer: Rabies virus (Rabies virus)

Choices:
A. Bolivia is satisfied virus (Borna disease virus)
B. Rabies virus (Rabies virus)
C. Filamentous virus (Filovirus)
D. Marburg (Marburg virus)

following viral infection
early vaccination to prevent
proliferation
disease
body


Question: The following information about primary and secondary antibody response, whichever is correct?

Answer: In response to T- dependent antigen, antibody affinity (Affinity) higher in the secondary reaction

Choices:
A. IgG does not occur in the primary reaction
B. In response to T- dependent antigen, antibody affinity (Affinity) higher in the secondary reaction
C. Lag phase secondary reactions (lag phase) long plateau (plateau phase) and longer
D. Antibody titers (Titer) decreases in the secondary reaction


Question: 7-year-old girl, was found face multiple physical checkups pimples, her father said the baby's body as shown symptoms have occurred, the optimal diagnosis:

Answer: tuberous sclerosis

Choices:
A. tuberous sclerosis
B. neurofibromatosis
C. neurocutaneous melanosis
D. xeroderma pigmentosum

year old girl
found face multiple physical
pimples
baby's body
symptoms
optimal diagnosis


Question: Major depression (major depression) symptoms completely disappear (in full remission) refers to how long?

Answer: Two months no depressive symptoms

Choices:
A. Two weeks absolutely no depressive symptoms
B. Two months no depressive symptoms
C. Six months no depressive symptoms
D. Year no depressive symptoms

Major depression
major depression
symptoms completely
full remission
refers
long


Question: The following reasons for infertility, He does not need the use of artificial assisted reproduction treatment?

Answer: Uterine fibroids

Choices:
A. Tubal
B. Unexplained infertility
C. Severe male factor azoospermia
D. Uterine fibroids


Question: After massive transfusion (Massive transfusion), the pH of the blood can cause what changes?

Answer: Alkaline hyperlipidemia

Choices:
A. Acid hyperlipidemia
B. Alkaline hyperlipidemia
C. constant
D. Not necessarily

massive transfusion
Massive transfusion
pH of
blood
cause
changes


Question: Which of the following circumstances and potassium ion loss caused by low blood potassium (Hypokalemia) has nothing to do most?

Answer: Injection of insulin (Insulin)

Choices:
A. Injection of insulin (Insulin)
B. Long-term use of diuretics (Long-term usage of diuretics)
C. Gastroenteritis causes diarrhea (Gastroenteritis induced diarrhea)
D. Renal tubular acidosis (Renal tubular acidosis)

following
potassium ion loss caused
low blood potassium
Hypokalemia
to


Question: Bearing on the question, for this patient, dispose of, or the infusion of emergency at how to give in?

Answer: Should be given the right amount of glucose saline infusion

Choices:
A. Should immediately arrange dialysis
B. Should reduce the amount of infusion
C. Should be given a lot of glucose infusion
D. Should be given the right amount of glucose saline infusion

Bearing
patient
infusion
emergency
to give


Question: Which of the following is the lining of the organs' transitional epithelium (transitional epithelium) "?

Answer: Bladder (urinary bladder)

Choices:
A. Bladder (urinary bladder)
B. Windpipe (trachea)
C. Gullet (esophagus)
D. Gall bladder (gall bladder)

following
lining of
organs
ransitional  pithelium
ransitional epithelium)


Question: The following issues related to swallowing in patients with brain injury and what was wrong?

Answer: Swallowing reflex brain injury patients will not be compromised, so inhalation (aspiration) pneumonia less prone to problems

Choices:
A. Brain injuries occur in patients with swallowing problems are common
B. (Dysphagia) and cognitive (cognition) and motion control difficulties (motor control difficulties) in patients with brain injury has a lot to swallow bad
C. Problems occur in patients with brain injury drooling (drooling) to be available for medical or surgical treatment
D. Swallowing reflex brain injury patients will not be compromised, so inhalation (aspiration) pneumonia less prone to problems

following issues related
swallowing
patients
brain injury
wrong


Question: A 25-year-old female patient because of chest tightness occurred last week while seeking treatment, irrespective of the onset of chest tightness and activities; audible mid-systolic clicks (mid-systolic click) on the lower left edge of the sternum beside the body, and a second examination of the end-systolic murmur (late systolic murmur), following what item is the best diagnostic tool to confirm the diagnosis?

Answer: Echocardiography

Choices:
A. Standard 12- lead ECG
B. Chest X- ray
C. Computer tomography
D. Echocardiography

year old female patient
of chest tightness
last week
treatment
of
onset
chest tightness
systolic clicks
mid-systolic click
lower left edge
sternum
body
second
end
late systolic murmur
following
best diagnostic tool to confirm
diagnosis


Question: There are a newborn after birth, vomiting, abdominal X-ray in the drawings, the most likely diagnosis is:

Answer: Duodenal atresia

Choices:
A. Pyloric stenosis
B. Duodenal atresia
C. Jejunal atresia
D. Malrotation of midgut

newborn after birth
vomiting
abdominal X-ray
diagnosis


Question: The following diagnostic markers, whichever is the earliest possible detection of acute human immunodeficiency virus (HIV) infection?

Answer: HIV viral load

Choices:
A. p24 antigen
B. HIV viral load
C. HIV antibody
D. Western blot


Question: About preeclampsia (preeclampsia), the following statements is wrong?

Answer: Usually after production may be as conventionally used to promote uterine contraction methylergonovine

Choices:
A. Over the past normotensive women, systolic blood pressure after 20 weeks of pregnancy is higher than 140 mmHg or diastolic blood pressure higher than 90 mmHg and associated with proteinuria, can be diagnosed as preeclampsia
B. preeclampsia increases cerebral hemorrhage (cerebral hemorrhage), pulmonary edema (pulmonary edema) and coagulopathy
C. magnesium sulfate used to prevent the occurrence of seizure in general anesthesia using a non-depolarizing muscle relaxants (such as: rocuronium) should
D. Usually after production may be as conventionally used to promote uterine contraction methylergonovine

preeclampsia preeclampsia following wrong


Question: Cause of congenital polycystic kidney disease (Congenital polycystic kidney) might be:

Answer: Proximal tubular dysplasia

Choices:
A. Ureteric bud degradation
B. Collection tube lockout
C. Ureter oppression
D. Proximal tubular dysplasia


Question: 42-year-old female patient mitomycin-C chemotherapy due to gastric cancer surgery. Three months after the occurrence of acute renal failure, high blood pressure and edema, real room data show microangiopathic hemolytic anemia. The following description whichever is most likely to represent her glomerular pathological changes inside?

Answer: Vascular endothelial cell swelling and deposition of fibrin thrombi small

Choices:
A. Vascular endothelial cell swelling and deposition of fibrin thrombi small
B. A large number of immune complex deposition
C. Half-moon cell proliferation and necrosis
D. Cell proliferation and infiltration of neutrophils


Question: One pair of middle-aged couple had just returned to settle in the past six months the gradual emergence of skin pigmentation, gastrointestinal discomfort, liver and kidney dysfunction, systemic sensory and motor dysfunction, baldness, the taste of garlic breath, before they could be following what toxins Pollution?

Answer: Arsenic (arsenic)

Choices:
A. Hg (mercury)
B. Pb (lead)
C. Arsenic (arsenic)
D. Mn (manganese)

One pair
middle-aged couple
returned
settle
past six months
gradual
of skin pigmentation
gastrointestinal discomfort
liver
kidney dysfunction
systemic sensory
motor dysfunction
baldness
taste
garlic
following
toxins


Question: Which of the following clinical conditions and hereditary spherocytosis red blood cell disease (hereditary spherocytosis) most irrelevant?

Answer: Kidney failure (renal failure)

Choices:
A. Neonatal jaundice (neonatal hyperbilirubinemia)
B. Gallstones (gallstone)
C. Enlarged spleen (splenomegaly)
D. Kidney failure (renal failure)


Question: Physicians in the face of medical malpractice, which of the following best practices unsuitable?

Answer: Or seek assistance Medical Association Medical Association

Choices:
A. Collect relevant literature and jurisprudence in order to respond
B. Do not private settlement alone
C. Or seek assistance Medical Association Medical Association
D. Immediately held a press conference to refute patient complaints

Physicians
face
medical malpractice
following best


Question: Erythropoietin (erythropoietin; EPO) the mechanism involves the JAK-STAT (Janus kinase-signal transducers and activators of transcription) system. The following statements is true?

Answer: After the EPO receptor, the receptor proteins are phosphorylated JAK

Choices:
A. JAK protein is EPO receptor
B. After the EPO receptor, the receptor proteins are phosphorylated JAK
C. After the EPO receptor, the receptor proteins are phosphorylated STAT
D. will complex with the EPO receptor into the nucleus formation, regulation of expression of a particular gene

Erythropoietin
erythropoietin
EPO
mechanism
JAK STAT
Janus kinase
transducers
activators
transcription
system
following
true


Question: About laryngeal mask airway (Laryngeal mask airway), the following statements is wrong?

Answer: When the heart stops beating, intubation must never be used laryngeal mask airway

Choices:
A. When the heart stops beating, intubation must never be used laryngeal mask airway
B. Intubation (Endotracheal intubation) fails and using Bag-valve-mask device can not vent, may be used laryngeal mask airway
C. Use of the laryngeal mask airway tighter than reliable Face mask
D. Patients with laryngeal mask airway can be used in the C-spine injury

About laryngeal mask airway
Laryngeal mask airway
following
wrong


Question: 2865-year-old female patient hospitalized because of massive ascites, ascites examination results are as follows: color: white; albumin 3.0 g / dL; 5 g / dL. Which of the following is the most likely diagnosis?

Answer: neoplasm

Choices:
A. cirrhosis
B. neoplasm
C. pyogenic peritonitis
D. nephrosis

year old female patient hospitalized
massive ascites
ascites
results
follows
color
white
albumin
0 g
dL
5 g
dL
following
diagnosis


Question: For complete high cervical spinal cord injury patients, the disease progress in a few weeks with respiratory function Which of the following are most relevant?

Answer: Thoracic spasms (Spasticity)

Choices:
A. Thoracic spasms (Spasticity)
B. Cough reflex
C. Restoration of spinal cord function
D. Phrenic nerve (Phrenic nerve) re-domination


Question: Absolute indications for surgery of benign prostatic hypertrophy why?

Answer: Due to bladder outlet obstruction due to bilateral renal edema

Choices:
A. Night nocturia seven times, seriously affecting the quality of life
B. Acute urinary retention
C. Due to bladder outlet obstruction due to bilateral renal edema
D. Urinary tract infections

Absolute
surgery of benign prostatic hypertrophy


Question: 1952 year-old man complained of difficulty swallowing gradually the past two months, the esophagogastroduodenoscopy examination revealed a tumor blocking the entire esophagus at 23 cm in diameter at its lower incisors distance. Pathological diagnosis was confirmed squamous cell carcinoma of the esophagus. Computed tomography and endoscopic ultra-sonic examination, the tumor was found to have violated the surrounding organs, but found no local lymph nodes, its clinical stage Why?

Answer: Ⅲ

Choices:
A. Ⅰ
B. Ⅱa
C. Ⅱb
D. Ⅲ


Question: Which of the following non-patent ductus arteriosus (patent ductus arteriosus) diagnostic requirements?

Answer: Right ventricular hypertrophy

Choices:
A. Continuity heart murmur (continuous murmur)
B. Right ventricular hypertrophy
C. Chest X-ray shadow increased pulmonary
D. Chest X-ray showed increased pulmonary blood flow

following non-patent
diagnostic requirements


Question: Following an analytical method that can be used to study the interaction of the protein?

Answer: Two-hybrid analysis

Choices:
A. DNA microarray analysis
B. Northern blotting
C. Southern blotting
D. Two-hybrid analysis


Question: Bearing on the question, Which of the following is the most likely diagnosis?

Answer: ventriculomegaly

Choices:
A. acrania
B. ventriculomegaly
C. choroid plexus cyst
D. Down syndrome


Question: Bearing on the problem, the emergency by the emergency Children with oxygen administration, drip and appropriate examination, found that a more stable respiratory status, wheezing (stridor) is small, the right side than the left lung auscultation of breath sounds small, chest X-ray showed the right lower lung collapse, depending on your clinical judgment, what's the most likely diagnosis why?

Answer: Croup (croup)

Choices:
A. Croup (croup)
B. Bronchial pneumonia (right bronchopneumonia)
C. Right bronchus (right bronchus foreign body)
D. Spontaneous pneumothorax (spontaneous pneumothorax)

Bearing
problem
emergency
Children
oxygen administration
drip
appropriate
found
more stable respiratory
wheezing
stridor
small
right side
left lung
of breath sounds small
chest X-ray
right lower lung
depending
clinical
diagnosis


Question: Principles of coronary heart disease anesthesia treatment, which of the following error?

Answer: Increased heart rate increases cardiac oxygen consumption

Choices:
A. Increase in systolic blood pressure increases the cardiac oxygen consumption
B. Increased heart rate increases cardiac oxygen consumption
C. Coronary blood perfusion is the best time diastolic
D. Increased left ventricular end-diastolic wall stress, help to increase coronary blood flow


Question: Pelvic inlet (pelvic inlet) Which of the following fracture of the easiest to hurt?

Answer: Pubic hair (pecten pubis)

Choices:
A. Iliac crest (iliac crest)
B. Pubic hair (pecten pubis)
C. The anterior superior iliac spine (anterior inferior iliac spine)
D. Ischial spine (ischial spine)

Pelvic inlet
pelvic inlet
following fracture
easiest


Question: A 26-year-old female teacher the past two months to complain about general weakness, but they are nothing but regular hospital checks. She could not stay in bed all day in class or doing housework, and what things are uninterested. She became depressed mood, thinking also relatively slow, often hesitant, often wake up at night and can not get back to sleep. She felt hopeless life, it is better to die forget. The following information about this patient's statements is wrong?

Answer: When the weakness of the symptoms improved, it also will reduce the risk of suicide

Choices:
A. Patients with brain neurotransmitter abnormalities, primarily norepinephrine and serotonin
B. The earlier the age of onset of the disease and have a family history, the more likely a bipolar temperament emotional disorders later
C. When the weakness of the symptoms improved, it also will reduce the risk of suicide
D. Course of the disease is often chronic and tends to recur

year old female teacher
past two months
general weakness
regular hospital checks
not
bed all day
depressed mood
slow
often hesitant
wake up
night
not
back to sleep
hopeless
better to die forget
following information
patient's
wrong


Question: Therapeutic hypothermia therapy can improve the prognosis of patients with cardiac arrest, the currently recommended treatment at a low temperature range Why?

Answer: 32-34°C

Choices:
A. 35-36°C
B. 32-34°C
C. 26-28°C
D. 22-25°C

Therapeutic hypothermia therapy
prognosis
patients
cardiac arrest
currently
treatment
low temperature range


Question: Leukotriene receptor antagonists related (leukotriene receptor antagonist) of the narrative, Which statement is correct?

Answer: Oral medication, the usual dose once a day for the use

Choices:
A. In asthma control, the effect is better than inhaled steroids
B. In the control of asthma, inhaled long-acting effect than the ethylene type sympathetic stimulants (inhaled long-acting β2-agonist) preferably
C. Adult asthma control drugs of first choice
D. Oral medication, the usual dose once a day for the use


Question: Have liver disease caused by a variety of viruses, and that one of the following statements apply to these four characteristics common virus HAV, HCV, HDV and HEV's?

Answer: Containing a single strand (single-stranded) RNA genome

Choices:
A. Containing a single strand (single-stranded) RNA genome
B. Fecal - port (fecal-oral route) channel
C. Cause fulminant hepatitis
D. In chronic infection could easily lead to a host Gene Sequence

liver disease caused
viruses
one
following
apply
four characteristics common
HAV
HEV's


Question: Newborns at birth found no crying poor muscle tone, the insulation, dry, clear the nose and mouth secretions and re-placement, no spontaneous breathing and heart rate is still 40 times per minute. Then dispose of what the most appropriate?

Answer: To do positive pressure ventilation wake ball

Choices:
A. Give free flow of oxygen
B. To do positive pressure ventilation wake ball
C. Start chest compressions heart
D. First assess the Apgar score and then decide the next move

Newborns
birth found
poor muscle tone
insulation
dry
clear
nose
mouth secretions
re placement
spontaneous breathing
heart rate
40 times
minute
Then
most appropriate


Question: 18-year-old woman, left neck swelling and reddening of the skin, accompanied by fever, the most common diagnosis following what?

Answer: There congenital pyriform sinus fistula (pyriform sinus fistula)

Choices:
A. Subacute thyroiditis
B. There congenital pyriform sinus fistula (pyriform sinus fistula)
C. Congenital thyroid tongue cyst (thyroglossal duct cyst)
D. Anaplastic thyroid carcinoma

year old woman
left neck swelling
reddening
skin
fever
most common diagnosis following


Question: According to the classification by the US Food and Drug Administration (FDA), and drug use in pregnancy proved harmless to animals, but then there is no adequate studies of humans, these drugs should be classified as:

Answer: Category B

Choices:
A. Category A
B. Category B
C. Category C
D. Category D

classification
drug use
pregnancy
animals
then
adequate
drugs


Question: The following account of dengue fever (dengue fever), and what's wrong?

Answer: Four serotypes of the dengue virus, a type of infection which may be life-long immunity against all four serotypes of virus

Choices:
A. Dengue virus is the major media - the Aedes aegypti mosquito (Aedes aegypti) distributed close to home, and bite humans during the day
B. Four serotypes of the dengue virus, a type of infection which may be life-long immunity against all four serotypes of virus
C. If you have previously been infected with a dengue virus, and later re-infected with another dengue virus, the dengue hemorrhagic fever or dengue shock syndrome may occur
D. Typical symptoms of dengue fever include fever, headache, retro-orbital pain, back pain, severe muscle pain and rash

following account
dengue fever
dengue fever
wrong


Question: Among the currently known human genes, and autoimmune diseases have significant relevance, was the human leukocyte antigen (Human Leukocyte Antigen, HLA) genes. Certain human leukocyte antigen (HLA) genes in patients with certain autoimmune diseases have increased the phenomenon is more, there is high "compared to the risk of value" (relative risk) caused by pathogenic auto-immunity. The following description of the disease and that a genetic relationship is correct?

Answer: DR3 / DR4 for type 1 diabetes (type I diabetes mellitus)

Choices:
A. For DR3 ankylosing spondylitis (Ankylosing spondylitis)
B. For ankylosing spondylitis DR4
C. DR3 / DR4 for type 1 diabetes (type I diabetes mellitus)
D. For ankylosing spondylitis DR5

currently known human genes
autoimmune diseases
significant relevance
human leukocyte antigen
Human Leukocyte Antigen
HLA
genes
Certain human leukocyte antigen
genes
patients
certain autoimmune diseases
increased
more
high
value
relative risk
caused
pathogenic auto immunity
following
genetic relationship
correct


Question: Which of the following nutrients lacking is the most common cause of anemia in patients with wine?

Answer: folic acid

Choices:
A. folic acid
B. vitamin B12
C. iron
D. zinc

following
lacking
most common cause
anemia
patients


Question: Which of the following is not a diagnostic criterion of systemic inflammatory response syndrome (systemic inflammatory response syndrome) is?

Answer: Blood culture bacteria

Choices:
A. Fever (oral temperature exceeds 38 ℃) or hypothermia (less than 36 deg.] C)
B. Respiratory rate more than 24 times per minute
C. More than 90 times the number of heartbeats per minute
D. Blood culture bacteria

following
not
diagnostic
systemic inflammatory response syndrome
systemic inflammatory response syndrome


Question: From the previous question, the current clinical diagnosis, which of the following error?

Answer: The original central nervous system disorders is not a risk factor for the occurrence of this diagnostic

Choices:
A. Is one characterization of poor prognosis, the possibility could be to extend the number of days of hospitalization or increased mortality
B. Side effects caused must be taken into account
C. The original central nervous system disorders is not a risk factor for the occurrence of this diagnostic
D. The elderly are themselves risk factors for diagnosis

previous
current clinical diagnosis
following error


Question: 76 A 65-year-old woman because of fever and dry cough to emergency medical treatment. Since cough began five days ago, accompanied by a slight breathing difficulties. Fever, chills symptoms began to appear the day before, but there is no sense of nausea and abdominal pain. Patients with a history of hypertension, live with their families, not been abroad in the last three months. Physical checkups have found the right lower lung auscultation (rales) song with a slight wheeze (wheezing). Blood tests found that white blood cells to 3 mg / dL. Chest X-ray showed the right lower lobe infiltrates (infiltration), suspected pneumonia. Are you ready to receive hospital treatment this patient, which of the following is the most appropriate initial antibiotic selection?

Answer: Augmentin（amoxicillin with clavulanic acid）＋macrolide

Choices:
A. clindamycin＋metronidazole
B. cefazolin＋macrolide
C. ciprofloxacin＋aminoglycoside
D. Augmentin（amoxicillin with clavulanic acid）＋macrolide

76
65-year-old woman
fever
dry cough
emergency medical treatment
cough began
slight breathing difficulties
Fever
chills symptoms began to appear
day
sense
nausea
abdominal pain
Patients
history of hypertension
live with
families
not
three months
Physical
found
right lower lung auscultation
slight wheeze
wheezing
Blood tests found
white blood cells
mg
dL
Chest X-ray
right lower lobe infiltrates
infiltration
suspected pneumonia
ready to receive
patient
following
most appropriate initial


Question: Which of the following cell cycle G1 phase into the S phase of regulatory relations (modulation) minimum?

Answer: cyclin B/cdk 1

Choices:
A. cyclin D/cdk 4
B. cyclin E/cdk 2
C. RB phosphorylation
D. cyclin B/cdk 1

following cell cycle G1 phase into
phase
relations
modulation
minimum


Question: Which of the following is NOT a dry eye screening methods?

Answer: Light microscopic mirror (specular microscope)

Choices:
A. Schirmer test
B. Corneal, conjunctival fluorescent dye (fluorescein stain)
C. Light microscopic mirror (specular microscope)
D. Lysis time tear layer (tear film break-up time)


Question: A nine month-old boy, does not currently stand, not sit, people would laugh, no Moro reflex and grasp reflex, there are parachute reflex, the following statements is wrong?

Answer: This baby has not normal reflex action of performance

Choices:
A. If the number of weeks of birth was 28 weeks there may still be in the normal range of development
B. Physical examination found that the likelihood of spinal muscular atrophy of muscle tension that should be excluded low
C. This baby has not normal reflex action of performance
D. To make regular growth track

nine month old boy
not currently stand
not sit
Moro reflex
grasp reflex
parachute reflex
following
wrong


Question: 30-year-old Xiao Ming because of a bad mood, drank two paraquat (Paraquat) pesticides, the following statements is wrong?

Answer: Often unconscious within minutes

Choices:
A. Often unconscious within minutes
B. Pulmonary fibrosis (pulmonary fibrosis) is usually the main cause of death
C. Paraquat can be absorbed through the skin, it should remove contaminated clothing
D. Reusable activated carbon or clay (Fuller's earth), can reduce the absorption of Paraquat

30 year old
two paraquat
Paraquat
pesticides
following
wrong


Question: Combined with the following information about the drug to plasma proteins narrative, what's wrong?

Answer: Plasma protein bound drugs, pharmacodynamics time is reduced

Choices:
A. Most of the drugs in combination with albumin
B. Basic drug will bind to the alpha1-acid glycoprotein
C. Plasma protein bound drugs, pharmacodynamics time is reduced
D. Plasma protein binding of the drug temporarily lose pharmacological activity

Combined
following
drug
plasma proteins
wrong


Question: In the process of community-oriented primary health care implementation, which of the following is to Gonggongweisheng view the increase in the project?

Answer: Community members

Choices:
A. Confirm community health problems
B. Community members
C. Demand-driven community health care plan
D. Track and assess the effectiveness of the implementation of the plan

process
oriented primary
following
to
view
increase


Question: A full-term newborns, born two days before and no unusual form, has also started regular breast-feeding. But the phenomenon of adverse eating and lethargy in the first 3 days, after blood tests of suspected urea cycle disorders. You feel that the following set of diagnostic laboratory data, most allow you to make the above diagnosis?

Answer: Glucose 60 mg/dL, pH 7.45, NH3：800 μmol/L, Lactic acid 2.5 mmol/L

Choices:
A. Glucose 60 mg/dL, pH 7.45, NH3：800 μmol/L, Lactic acid 2.5 mmol/L
B. Glucose 50 mg/dL, pH 7.10, NH3：120 μmol/L, Lactic acid 4.0 mmol/L
C. Glucose 50 mg/dL, pH 7.40, NH3：50 μmol/L, Lactic acid 2.5 mmol/L
D. Glucose 10 mg/dL, pH 7.30, NH3：50 μmol/L, Lactic acid 12 mmol/L


Question: Fas gene knockout mice (gene knockout mice) which autoimmune disorders occur?

Answer: Lymphocyte proliferative disease (lymphoproliferative disease)

Choices:
A. Inflammatory bowel disease (inflammatory bowel disease)
B. Lymphocyte proliferative disease (lymphoproliferative disease)
C. Rheumatoid arthritis (rheumatoid arthritis)
D. Demyelinating lesions (demyelinating disease)


Question: Which of the following craniosynostosis (craniosynostosis) the most common?

Answer: Sagittal suture suture early closure (isolated sagittal synostosis)

Choices:
A. Human-like early-closure seam joints (lambdoid synostosis)
B. Early closure of the coronal suture sutures (coronal synostosis)
C. Sagittal suture suture early closure (isolated sagittal synostosis)
D. Frontal suture early closure (metopic synostosis)

following craniosynostosis
craniosynostosis
most common


Question: Which of the following is not a common kind of intradural extramedullary spinal tumor is?

Answer: anaplastic astrocytoma

Choices:
A. meningioma
B. schwannoma
C. neurofibroma
D. anaplastic astrocytoma


Question: Which of the following is least likely to flow through more than half secretions Month hiatus (hiatus semilunaris)?

Answer: Sphenoid (sphenoid sinus)

Choices:
A. Frontal sinus (frontal sinus)
B. Anterior ethmoid sinus (anterior ethmoidal sinus)
C. Maxillary sinus (maxillary sinus)
D. Sphenoid (sphenoid sinus)

following
least likely
half secretions Month
hiatus semilunaris


Question: The following statements about the optic disc (optic disc), and what's wrong?

Answer: Enriched optic disc photoreceptor (photoreceptor)

Choices:
A. Macula and optic disc (macula densa) are two different configuration on the retina (Retina)
B. Enriched optic disc photoreceptor (photoreceptor)
C. Optic disc optic nerve (optic nerve) gathered at
D. Results in a blind spot optic disc (blind spot) on the visual field (visual field)


Question: Scatchard analysis which can provide the following information?

Answer: Ligand receptor interaction (receptor-ligand interactions)

Choices:
A. Enzyme amplification function (enzyme cascades)
B. Enzyme catalyzed reaction (catalytic reaction) process
C. Phosphorylation of proteins (protein phosphorylation)
D. Ligand receptor interaction (receptor-ligand interactions)


Question: 18 A 45 year old woman with acute abdominal pain, was sent to the emergency room and found that pain will spread behind, laboratory examination revealed Amylase U / L; Lipase 4860 U / L, for dealing with this woman, the following statements The most appropriate?

Answer: Abdominal ultrasound can help diagnose

Choices:
A. Endoscopic diagnosis of abdominal pain on them is necessary
B. Abdominal ultrasound can help diagnose
C. Should be given morphine analgesia
D. To be immediately arrange ERCP diagnosis and treatment


Question: 50. With regard to lung cancer patients, which of the following have relatively high epidermal growth factor receptor gene mutation (epidermal growth factor receptor mutation)? ① woman ② adenocarcinoma (adenocarcinoma) ③ ④ smoke Asians ⑤ small cell carcinoma (small cell carcinoma)

Answer: ①②④

Choices:
A. ①②③
B. ③④⑤
C. ①②④
D. ①②⑤


Question: A 50-year-old male, when moving a weight of about 10 kilograms of goods, caused by sudden severe back pain, and the pain would make him unable to sleep. X-rays of the spine show highly reduced in the tenth thoracic vertebrae, left vertebral stem (pedicle) image blur, but endplate (endplate) and complete the disc. In accordance with the medical history and the results of X-rays to determine, which of the following is the most appropriate diagnosis?

Answer: Tumor metastasis

Choices:
A. Bacterial infections
B. Degenerative disease
C. Tumor metastasis
D. Osteoporotic compression fractures

50 year old male
moving
weight
10 kilograms
goods
caused
sudden severe back pain
pain
make
unable to sleep
X-rays of
spine
highly reduced
tenth thoracic vertebrae
left vertebral stem
pedicle
blur
complete
disc
medical history
results
X-rays to
following
most appropriate diagnosis


Question: Dermatitis caused by hair dyes (hair dye dermatitis) is the most common allergens:

Answer: Phenol views of diamine (para-phenylenediamine, PPD)

Choices:
A. Perfume (fragrance mix)
B. Ni (nickel)
C. Phenol views of diamine (para-phenylenediamine, PPD)
D. Chromate (chromate)

Dermatitis caused
dermatitis
most common allergens


Question: A 30-year-old man recently easy to breathe, and a history of hypertension, physical examination, can be heard in the left second intercostal systolic heart murmur, left ventricular hypertrophy ECG, chest X-ray showed a rib dent (rib notching). The most likely diagnosis Why?

Answer: Aortic stenosis (coarctation of the aorta)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Ventricular septal defect (ventricular septal defect)
C. Patent ductus arteriosus (patent ductus arteriosus)
D. Aortic stenosis (coarctation of the aorta)

30 year old man recently easy to
history of hypertension
heard
left second
systolic heart murmur
left ventricular hypertrophy ECG
chest X-ray
rib dent
rib notching
diagnosis


Question: A 48-man end of the year of kidney failure patients on dialysis (dialysis) treatment registration kidney transplant, patients have a problem with this aspect of the urinary system (kidney stones and hematuria), following which checks should be avoided?

Answer: Accept the use of gadolinium for magnetic resonance angiography

Choices:
A. Accept the use of gadolinium for magnetic resonance angiography
B. Receiving intravenous developer to do computer tomography
C. Arrangements for kidney and bladder ultrasonography
D. Arrangements or cystoscopy retrograde ureteral photography

48 man end
year
kidney failure patients
dialysis
dialysis
treatment
kidney transplant
patients
problem
aspect
urinary
kidney stones
hematuria
following
checks


Question: Which of the following is NOT a characteristic of patients with severe intestinal virus seventy-one type?

Answer: There are more than ninety percent of deaths viral myocarditis

Choices:
A. Easy to violations of the brain stem
B. There are more than ninety percent of deaths viral myocarditis
C. Most of the performance of foot and mouth disease
D. Often fatal cases pulmonary edema

following
NOT
characteristic
patients
severe intestinal virus
type


Question: With the increase of the elderly population, dementia (dementia) of patients has been increasing, describes the following information about prognosis and treatment of dementia of, what's right?

Answer: With dementia before the onset of higher education and intelligence, it is less able to compensate for mental defect caused the dementia

Choices:
A. Compared with earlier episodes of Azihaimo disease, late onset of the course of disease worsening faster Ezihaimo
B. Brain trauma and cardiac arrest caused by the dementia, its course is progressive deterioration
C. With dementia before the onset of higher education and intelligence, it is less able to compensate for mental defect caused the dementia
D. For vascular dementia blood pressure control, the control typically lower than the normal range, so as not cerebrovascular disease continues to deteriorate

increase population dementia dementia patients increasing following prognosis treatment dementia right


Question: Exploration for a pediatric psychiatrist children during hospitalization, whether in the hospital to take care of parents, children and the degree of correlation between psychological anxiety. This study used a standardized psychiatric assessment scales to assess the children's anxiety. This seminar researchers in a report on its findings as "not whether parents have to take care of children in hospital, their anxiety significant at the 5% level, did not reach statistically significant." Conclusions of this study are:

Answer: p value of this assay is greater than 0.05

Choices:
A. This test has enough force seized
B. This test p-value less than 0.05
C. The observed difference between the two groups of children can not because errors caused by random sampling
D. p value of this assay is greater than 0.05

Exploration
pediatric psychiatrist children
hospital to
children
degree
correlation
psychological anxiety
study used
psychiatric scales to
children
nxiety.
esearchers
eport
indings
ot
o
ospital,
nxiety
ot  each  tatistically significant.
tudy


Question: Narrative about scarlet fever, which of the following error?

Answer: Treatment drug of choice is erythromycin

Choices:
A. Cause for the pyrogenic exotoxins
B. The case will appear after infection peeling is caused by group A streptococcus
C. Treatment drug of choice is erythromycin
D. Will show strawberry tongue, red skin


Question: Help ⾏ device (ambulation aids) are often ⾒ the harness, which of the following description of an error relating to help ⾏'s?

Answer: ⾏ aid is only available care has ⽀ amount of support, unable to provide sensory feedback

Choices:
A. Using the filter aid ⾏ destination time include improving energy balance by Use care has redistributed lower limb weight bearing areas and reduce the pain of lower limbs
B. ⾏ aid is only available care has ⽀ amount of support, unable to provide sensory feedback
C. To select Using that kind of help ⼀ ⾏ is decided by those who need to Using balance can help load-bearing and care has been taken
D. Can help ⾏ as an upper extremity extending

Help
device
ambulation aids
often
harness
following
error relating to help 's


Question: The following description of what's wrong randomized (randomization) of?

Answer: The purpose is to make cohort study of subjects exposed group and non-exposed groups have the same background

Choices:
A. Subjects may be grouped through the random number table
B. The purpose is to make cohort study of subjects exposed group and non-exposed groups have the same background
C. To avoid interference, in principle, allow the study, data collection knows grouping situations
D. A case-control study method can not be randomly assigned


Question: A research and design department at the mother before pregnancy, smoking a year that is its collection work, and then until at birth, birth weight measurements to understand the correlation between maternal smoking and low birth weight babies, this study was designed to :

Answer: Prospective generations follow-up study (Prospective Cohort Study)

Choices:
A. Prospective generations follow-up study (Prospective Cohort Study)
B. Generation retrospective follow-up study (Retrospective Cohort Study)
C. A case-control study (Case-control Study)
D. Dating study (Cross-sectional Study)

pregnancy
smoking
year
then
birth
birth weight measurements to
correlation
smoking
low birth weight babies
study


Question: The following statements about sympathetic ophthalmia (sympathetic ophthalmia), and what's right?

Answer: Since rare eye disease caused by autoimmune reaction

Choices:
A. Because sympathetic neuritis (sympathetic neuritis) due to eye disease
B. Eyes loss of coordination
C. Since rare eye disease caused by autoimmune reaction
D. Inflammatory outer eyes supinator

following
sympathetic ophthalmia
sympathetic ophthalmia
right


Question:
14 A 60-year-old woman had a history of goiter several years, began to have heart palpitations the first three months, the right lobe of the thyroid gland has a 3 cm touch solid nodules, ECG showed atrial fibrillation, blood tests found free T4 1.9 ng / dL (normal range 0.8-1.8 ng / dL), T3 190 ng / dL
 (Normal range 80-180 ng / dL), TSH <0.2 μIU / mL (normal range 0.25-4.0 μIU / mL), TSH receptor antibody (TSH) negative. The next step should do tests to diagnose the cause of thyroid dysfunction?

Answer: I-131 thyroid scan

Choices:
A. Thyroid ultrasound
B. I-131 thyroid scan
C. A releasing hormone stimulation test (TRH stimulation test)
D. 18FDG positron tomography (18FDG-PET / CT)

60 year old woman
history
goiter
years
began to
heart palpitations
first three months
right lobe of
thyroid gland
3
touch solid nodules
ECG
atrial fibrillation
blood tests found free T4
ng
dL
normal range 0
ng
dL
ng
dL
Normal range 80
ng
dL
0.2 IU
mL
normal range 0.25
IU
mL
negative
next step
tests to diagnose
cause
thyroid dysfunction


Question: Account of chronic kidney disease (chronic kidney disease), the following best not correct?

Answer: Use captopril delay speed chronic kidney failure, renal wires may be increased mainly ball internal pressure, increase the glomerular filtration rate

Choices:
A. According to the current stage of international-recognized, a 70-year-old 72 kg male patient, his serum creatinine was 2.5 mg / dL, should be the fourth
B. Use captopril delay speed chronic kidney failure, renal wires may be increased mainly ball internal pressure, increase the glomerular filtration rate
C. The most studied and kidney failure-related genes are angiotensin-converting enzyme. Were homozygous (DD) has a deletion (D), which is more likely to progress to kidney failure
D. Chronic kidney patients with proteinuria, blood pressure control target is 125/75 mmHg

Account of chronic kidney disease
chronic kidney disease
following best not correct


Question: In idiopathic membranous nephropathy (primary membranous nephropathy) is deposited in the glomeruli immunoglobulin is the most important:

Answer: IgG4

Choices:
A. IgG1
B. IgG2
C. IgG3
D. IgG4

idiopathic membranous nephropathy
primary membranous nephropathy
deposited
glomeruli immunoglobulin
most important


Question: After tongue cancer patients undergoing total resection of the tongue, when swallowing mouth likely to have insufficient food evacuation function, which of the following methods most appropriate for him?

Answer: His chin (chin-up) when eating

Choices:
A. When eating, swallowing technique performed Mengde Sen (Mendelsohn maneuver)
B. Usually performed Shaker movement (Shaker Exercise)
C. His chin (chin-up) when eating
D. Usually for movement Masako (Masako Exercise)

tongue cancer patients
total resection of
tongue
swallowing mouth likely to
insufficient food evacuation function
following methods most appropriate


Question: Legionnaires' disease (Legionnaire's disease) the most common infectious agent:

Answer: Contaminated aerosol

Choices:
A. Healthy carrier
B. The incidence of patient
C. Contaminated aerosol
D. Infected poultry

Legionnaires
disease
Legionnaire's disease
most common


Question: Galantamine belongs to the cholinesterase inhibitors (cholinesterase inhibitors), which is best suited for the treatment of these diseases?

Answer: Ezihaimo disease (Alzheimer's disease)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Parkinson's disease (Parkinson's disease)
C. Glaucoma (glaucoma)
D. Ezihaimo disease (Alzheimer's disease)

Galantamine
cholinesterase inhibitors
cholinesterase inhibitors
best
treatment
diseases


Question: Thyroid storm (thyroid storm) what treatment should not be given?

Answer: amiodarone

Choices:
A. inhibitor beta (beta blockers)
B. amiodarone
C. Cortisone (corticosteroids)
D. propylthiouracil

Thyroid storm
thyroid storm
treatment
not
given


Question: About the distal splenorenal shunt (distal splenorenal shunt) of the narrative, which of the following error?

Answer: Patients with liver cirrhosis with esophageal varices of receiving the distal splenorenal shunt, no longer suitable for receiving a liver transplant

Choices:
A. Distal splenorenal shunt is distal to the left renal vein and splenic vein anastomosis, and to maintain the blood flow of the portal, to selectively bypass one kind of surgery
B. Distal splenorenal shunt may increase the severity of ascites, it is not suitable for the treatment of patients with esophageal varices ascites
C. The portal caval shunt (portacaval shunt) and distal splenorenal shunt similar rate of rebleeding (rebleeding rate)
D. Patients with liver cirrhosis with esophageal varices of receiving the distal splenorenal shunt, no longer suitable for receiving a liver transplant

distal splenorenal shunt
distal splenorenal shunt
following error


Question: Purposes related to microsurgery, the following statements is wrong?

Answer: Microsurgery typically used to repair small areas of tissue defects

Choices:
A. To transfer distant tissue (distant tissue) to the site to do the reconstruction of tissue defects
B. To repair a blood vessel injury or defect (vascular injury or vascular defects)
C. Can be repaired peripheral nerves (peripheral nerves)
D. Microsurgery typically used to repair small areas of tissue defects

Purposes related
microsurgery
following
wrong


Question: Which of the following is aspergillus (Aspergillus spp.) Of the type feature?

Answer: With the bottle (flask-shaped) spores stems (phialides)

Choices:
A. With rhizoids (rhizoid)
B. With thick-walled spores (chlamydospores)
C. Mycelium (hyphae) without dividing
D. With the bottle (flask-shaped) spores stems (phialides)


Question: For a description of the local cell membrane potential (local potential), which of the following error?

Answer: Only nerve cell that has the potential partial

Choices:
A. Composition of the membrane potential and the local relevant
B. Only nerve cell that has the potential partial
C. Local potential action potential determined (action potential) occurs (Initiation) and the transmission (propagation) of properties
D. The reaction of all the local potential (refractory period)

local cell membrane potential
local potential
following error


Question: Under the following circumstances in which, antigen presenting cells can be activated CD8 + T cells directly?

Answer: When dendritic cells show high levels of B7 and when 4-1BBL

Choices:
A. When the antigen presenting cells showed high levels of MHC class I
B. When dendritic cells show high levels of B7 and when 4-1BBL
C. When the antigen presenting cells secrete high amounts of IFN-γ
D. When the virus can not infect antigen-presenting cells


Question: Which of the following drug treatment of rheumatoid arthritis, the more easily lead to TB infection or relapse?

Answer: tumor necrosis factor inhibitors

Choices:
A. tumor necrosis factor inhibitors
B. methotrexate
C. sulfasalazine
D. leflunomide

following drug treatment
rheumatoid arthritis
more easily lead
infection
relapse


Question: Compared to encephalitis caused by other causes, EV71 encephalitis particularly prone to following what kind of symptoms?

Answer: Myoclonus (myoclonus)

Choices:
A. Cerebral hemorrhage (brain hemorrhage)
B. Encephalitis temporal lobe (temporal lobe encephalitis)
C. Extrapyramidal symptoms (extrapyramidal syndrome)
D. Myoclonus (myoclonus)

encephalitis caused
causes
encephalitis
prone
following
kind
symptoms


Question: The following information about the facial nerve (facial nerve) responsible for passing narrative branch of two-thirds of the taste of the Tongue, whichever is correct?

Answer: The cell body is in geniculate ganglion (geniculate ganglion)

Choices:
A. 穿過 莖乳 foramen (stylomastoid foramen)
B. Through the tympanum for tympanic nerve (tympanic nerve)
C. Through the pterygoid canal (pterygoid canal)
D. The cell body is in geniculate ganglion (geniculate ganglion)

following
facial nerve
facial nerve
responsible
branch of two thirds
taste
Tongue
correct


Question: 42 year old man with bilateral pulmonary emphysema (emphysema) lead to respiratory distress and admission, chest computed tomography show that there is a huge right upper lobe of the bubble (bullae), and compression of the mediastinum mediastinal deviation of the emergence of the phenomenon. Ruoyu implementation of lung volume reduction surgery patients for this purpose, in order to avoid postoperative respiratory failure in patients following check what's not helpful?

Answer: ECG

Choices:
A. Arterial oxygen (ABG)
B. ventilation and perfusion scan of the lungs
C. Pulmonary function tests
D. ECG

year old man
bilateral pulmonary emphysema
emphysema
lead
respiratory distress
chest computed tomography
right upper lobe
bullae
compression
mediastinum
deviation
lung volume reduction surgery patients
purpose
order to
postoperative respiratory failure
patients following check
not helpful


Question: The combined epilepsy mental retardation is common in patients with neurological what muscle?

Answer: Fukuyama congenital muscular dystrophy (Fukuyama congenital muscular dystrophy)

Choices:
A. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
B. Spinal muscular atrophy (spinal muscular atrophy)
C. Fukuyama congenital muscular dystrophy (Fukuyama congenital muscular dystrophy)
D. Congenital myopathy (congenital myopathy)

combined epilepsy mental retardation
common
patients
neurological
muscle


Question: A finger numbness lymphoma patients after receiving chemotherapy CHOP (cyclophosphamide, adriamycin, vincristine and prednisolone), this symptom is most likely side effects of the medicine?

Answer: vincristine

Choices:
A. cyclophosphamide
B. adriamycin
C. vincristine
D. prednisolone

finger numbness lymphoma patients
receiving chemotherapy
cyclophosphamide
adriamycin
vincristine
prednisolone
symptom
side effects
medicine


Question: Pancreatic cancer is the most common:

Answer: Pancreatic cancer (ductal carcinoma)

Choices:
A. Acinar cell carcinoma (acinar cell carcinoma)
B. Pancreatic cancer (ductal carcinoma)
C. Solid and cystic tumor
D. Islet cell tumor


Question: 86. The bacterial DNA mismatch mismatch repair (mismatch repair) primarily benefit Use the following modification reaction to what the DNA to determine that ⼀ shares shares as a template (template strand)?

Answer: Methylated (by methylation)

Choices:
A. ⼄ acylation (acetylation)
B. Phosphorylation (phosphorylation were)
C. Methylated (by methylation)
D. Glycation (glycation)

bacterial
mismatch repair
benefit Use
following modification reaction
DNA to
template
template strand


Question: A 86-year-old man due to sudden abdominal pain 1 hour before the emergency. Patients with a history of peptic ulcer, rules on out-patient drug treatment. Physical examination found that bowel sounds slower, diffuse tenderness (diffuse tenderness) and rebound pain (rebound tenderness), anal examination slightly Melena (tarry stool). If you want to exclude the possibility of peptic ulcer perforation (perforated peptic ulcer), in addition to the standing of the chest X-ray (upright CXR), Which of the following is the most appropriate and quick check?

Answer: Abdominal X-ray lie on the left side (left decubitus, plain abdomen)

Choices:
A. Gastric lavage (gastric lavage)
B. Gastroscopy (upper gastrointestinal endoscopy)
C. Upper gastrointestinal (upper GI series)
D. Abdominal X-ray lie on the left side (left decubitus, plain abdomen)

year old man due to sudden abdominal pain 1 hour


Question: Of the following statements about metoclopramide, what's wrong?

Answer: Small intestine can reduce the release of ACh

Choices:
A. Small intestine can reduce the release of ACh
B. Belonging to the dopamine D2 receptor antagonists and 5-HT4 agonist
C. Can act on the central nervous system of the chemoreceptor trigger zone (CTZ)
D. There are side effects of dystonia


Question: A 50-year-old male patient came to the emergency room complaining of chest pain is a continuous two days, and when inspiratory increase in chest pain, chest pain, sit up and slowed down when leaning forward. You carefully ask patients learned that he had flu-like symptoms 10 days ago, the ECG as follows. Chest pain patients most likely cause is:

Answer: acute pericarditis

Choices:
A. GERD（gastroesophageal reflux disorder）
B. AMI（acute myocardial infarction）
C. aortic dissection
D. acute pericarditis

50 year old male patient
emergency room
of chest pain
two days
inspiratory increase in chest pain
chest pain
sit up
slowed
forward
patients
flu-like symptoms 10 days
ECG
follows
Chest pain patients
likely cause


Question: The deltoid tuberosity of the humerus (deltoid tuberosity of humerus) fracture site, most likely direct that hurt a nerve?

Answer: Radial nerve (radial nerve)

Choices:
A. Axillary nerve (axillary nerve)
B. Radial nerve (radial nerve)
C. Ulnar nerve (ulnar nerve)
D. Accessory nerve (accessory nerve)

deltoid tuberosity of
humerus
deltoid tuberosity of humerus
fracture site
most likely direct
nerve


Question: The following is part of that kind of neurotransmitter inhibitory (inhibitory) of?

Answer: γ-aminobutyric acid（GABA）

Choices:
A. glutamate
B. substance P
C. γ-aminobutyric acid（GABA）
D. aspartate