Question: 39. Ms. Wang, 48 years old, in addition to natural production over the past two outer no special history of the disease, a large number of vaginal bleeding due to emergency attendances, was found in the examination of the cervix with a 7 centimeter tumor, sliced confirmed cervical squamous cell carcinoma, tumor range to 1/3 vaginal wall, signs of uterine tissue soft non-intrusive, chest X-ray is normal, renal pelvis renal pelvis or ureter photography no indication edema, CT no lymph nodes, according to the current International Federation of Gynecology and Obstetrics ( International Federation of Gynecology and Obstetrics, FIGO) staging, Ms. Wang cervical cancer clinical stage why?

Answer: IIIa

Choices:
A. Ib3
B. IIa2
C. IIb
D. IIIa

signs of uterine tissue soft non intrusive


Question: 13-year-old girl after being scolded sudden convulsions, were able to determine what belongs to the following pseudo-twitch (pseudoseizure)?

Answer: No abnormal EEG changes convulsions

Choices:
A. MRI (magnetic resonance, MR) examination was normal
B. Cerebrospinal fluid (cerebrospinal fluiod, CSF) no abnormal
C. No abnormal EEG changes convulsions
D. After intravenous injection of diazepam convulsions stopped

year old girl
sudden convulsions
able to
following pseudo twitch
pseudoseizure


Question: What bile duct cysts are most likely to need a liver transplant?

Answer: Type V（Dilatation of intrahepatic duct）

Choices:
A. TypeⅠ（Cystic dilatation of common bile duct）
B. TypeⅡ（Diverticulum from common bile duct）
C. TypeⅢ（Choledochocele）
D. Type V（Dilatation of intrahepatic duct）

bile duct cysts
to need
liver transplant


Question: A 70-year-old female patient with hypertension, history of diabetes for many years, are normal 23:00 to sleep, get up at 6 am, only to find that talk is not clear, the left limb weakness, 6:30, to be sent to the family emergency room, 7:20, blood pressure: 160/88 mmHg, all blood tests, ECG were normal, no brain tomography brain hemorrhage or other abnormalities, then the most appropriate treatment why not?

Answer: Intravenous thrombolytic agents (rt-PA) therapy

Choices:
A. Intravenous thrombolytic agents (rt-PA) therapy
B. Oral administration of anti-platelet agents (Aspirin) Treatment
C. Stroke admitted to the intensive care unit treatment
D. Strict control of blood glucose

70 year old female patient
hypertension
history
diabetes
years
normal 23
to sleep
get
only to find
talk
not clear
left limb weakness
30
to
sent
emergency room
20
blood pressure
88 mmHg
blood tests
ECG
normal
brain
hemorrhage
abnormalities
then
most appropriate treatment
not


Question: Loss of androgen deprivation therapy (castration-resistant) prostate cancer (prostate cancer), which does not include medications which of the following?

Answer: flutamide

Choices:
A. flutamide
B. ENZALUTAMIDE
C. abiraterone acetate
D. docetaxel

Loss
androgen deprivation therapy
castration-resistant
prostate cancer
prostate cancer
not include medications
following


Question: The most likely diagnosis is:

Answer: Pyloric stenosis

Choices:
A. Pyloric stenosis
B. Duodenal atresia
C. Jejunal atresia
D. Gastric vulvulus


Question: When a 26-year-old woman appeared on both sides of the inter-core when the optic nerve palsy (bilateral internuclear ophthalmoplegia), the most likely diagnosis is:

Answer: Multiple sclerosis

Choices:
A. Multiple sclerosis
B. Brainstem ischemic stroke
C. Brainstem arteriovenous malformation
D. Brain stem tumor

year old woman appeared
sides
inter core
optic
bilateral internuclear ophthalmoplegia
diagnosis


Question: Which of the following is toxic T cells (cytotoxic T cell) co-receptor (co-receptor)?

Answer: CD8

Choices:
A. CD2
B. CD3
C. CD4
D. CD8


Question: Treatment of non-allergic rhinitis, of the following is least effective?

Answer: The second generation antihistamines oral

Choices:
A. Steroid nasal sprays
B. The first generation of oral antihistamine
C. The second generation antihistamines oral
D. Antihistamine nasal spray

Treatment
non-allergic rhinitis
following
least effective


Question: A 40-year-old woman, examination showed a tumor on the posterior wall of the uterus, and has invaded the myometrium. Is visible under the microscope by a single type of tumor cells, there are no villi (chorionic villus) a. These tumor cells with a single nucleus and abundant cytoplasm. Immunohistochemical staining found that these cells have a human placental lactogen (human placental lactogen) performance. The most likely diagnosis is:

Answer: At trophoblastic tumor implantation (Placental site trophoblastic tumor)

Choices:
A. Endometrial stromal sarcoma (Endometrial stromal sarcoma)
B. Choriocarcinoma (Choriocarcinoma)
C. At trophoblastic tumor implantation (Placental site trophoblastic tumor)
D. Invasive moles (Invasive mole)

40 year old woman
tumor
the posterior wall of
uterus
invaded
myometrium
visible
microscope
single
tumor
villi
chorionic villus
single nucleus
abundant cytoplasm
staining found
cells
human placental lactogen
human placental lactogen
diagnosis


Question: Which of the following drugs, the least likely to shrink fibroids?

Answer: Progesterone (progesterone)

Choices:
A. RU486
B. Progesterone (progesterone)
C. GnRH
D. GnRH antagonist

following drugs
least likely to shrink fibroids


Question: A stroke patient, understanding completely normal, difficulty in starting his speech, and the need to strain to toad, speech language Chang ring true (dysprosody), the same word articulation errors are inconsistent (articulatory inconsistency), but will be self-correcting. This bit patients most likely to be following what language barriers?

Answer: Language apraxia (apraxia of speech)

Choices:
A. Wo Nike aphasia (Wernicke's aphasia)
B. Bullock aphasia (Broca's aphasia)
C. Dysarthria (articulation disorder)
D. Language apraxia (apraxia of speech)

stroke patient
completely normal
difficulty
starting
speech
need to strain
speech language
ring true
dysprosody
same
articulation errors
inconsistent
inconsistency
correcting
bit patients
to
following
language barriers


Question: Pain and temperature sensory receptors of the message can be transmitted to the somatosensory cortex that by following a nerve path?

Answer: anterolateral system

Choices:
A. dorsal column system
B. anterolateral system
C. corticospinal system
D. corticobulbar system

Pain
temperature sensory
transmitted
somatosensory cortex
following
nerve path


Question: In general, patients with vascular dementia (vascular dementia), and has a multi Which of the following characteristics?

Answer: Multiple vascular risk factors

Choices:
A. Multiple vascular risk factors
B. Slow movement, stiff limbs, especially in the upper limbs for the most
C. Rarely depressive symptoms
D. Much later appear incontinence

general
patients
vascular dementia
vascular dementia
multi
following characteristics


Question: Which of the following is not a cure asthma medication?

Answer: propranolol

Choices:
A. cromolyn
B. propranolol
C. zileuton
D. beclomethasone


Question: Following the infiltration (osmosis) related to the description of what's right?

Answer: osmolarity susceptible to variation solute concentration in solution (solutes) and affect

Choices:
A. refers to the amount per liter osmolarity (liter) solvent (Solvent) the permeability (osmoles) of
B. osmolality refers to the amount per liter of solution (Solution) degrees in the permeate
C. refers to the amount of osmolarity per kilogram (of kilogram.) of the permeate solution
D. osmolarity susceptible to variation solute concentration in solution (solutes) and affect


Question: The most common cause of chronic pancreatitis Why?

Answer: Long-term wine

Choices:
A. Gallstones
B. Long-term wine
C. Chronic hepatitis
D. CFTR gene mutation


Question: There is a pregnancy of preterm children born 28 weeks after discharge to assess the baby's development track In following a discovery that need referral joint assessment of child development center for further disposal?

Answer: 13 months after the birth of the lower limbs to support the body still can not stand up in aid

Choices:
A. 2 months after birth, still no meaningful smile (smile)
B. 5 months after birth will still not turn over (roll over)
C. 2 months neck is still not stable hold up the head after birth
D. 13 months after the birth of the lower limbs to support the body still can not stand up in aid

pregnancy
preterm children born
weeks
discharge to
baby's development track
following
need
joint
development center
further


Question: The following options that can increase the statistical test force (statistical power)?

Answer: Increase the number of (sample size) samples

Choices:
A. Double-blind (double-blind)
B. Randomized (randomization)
C. Increase the number of (sample size) samples
D. Using a control group (Control)


Question: The following diseases often complicated by the hearing impaired?

Answer: Alport's syndrome

Choices:
A. Adult-type polycystic kidney disease
B. Alport's syndrome
C. Henoch-Scholein purpura
D. Goodpasture's syndrome

following diseases often complicated
hearing impaired


Question: Pathogenic bacteria Pathology of the following machine turn mainly through outside bacteria produce toxins, except for whichever?

Answer: Mycobacterium tuberculosis

Choices:
A. Vibrio cholerae
B. Diphtheria
C. Botox
D. Mycobacterium tuberculosis

Pathogenic bacteria Pathology
following machine turn
outside bacteria
toxins


Question: Pulmonary venous return a complete failure patients (total anomalous pulmonary venous return), and although there are different degrees of hypoxia (desaturated), may be employed are generally selective (Elective) to surgical treatment, but with the following circumstances, it is necessary to urgency (emergent) surgical treatment?

Answer: Regardless of that type, as long as the return path has blocked (obstructed) by

Choices:
A. There were mixed return path
B. Supracardiac (supracardiac type) completely abnormal pulmonary venous return
C. Regardless of that type, as long as the return path has blocked (obstructed) by
D. Cardiac type (intracardiac type) completely abnormal pulmonary venous return, but not into the coronary sinus (coronary sinus) but were directly injected into the right atrium

Pulmonary venous return
complete failure patients
total anomalous pulmonary venous return
different degrees
hypoxia
desaturated
employed
Elective
surgical treatment
following
urgency
surgical treatment


Question: Former hip-bit dislocation, hip limb deformities produce what?

Answer: Abduction (Abduction) and the external rotation (external rotation)

Choices:
A. Abduction (Abduction) and the external rotation (external rotation)
B. Abduction and internal rotation (internal rotation)
C. Adduction (adduction) and the rotary
D. Adduction and external rotation

Former hip bit dislocation
hip limb deformities


Question: 6220-year-old male college student, complained of persistent fever for 10 days, the merger headache, muscle aches and sore throat. Family, classmates or friends no similar symptoms. Physical checkups have swollen lymph glands of the neck and groin and torso skin rash. Peripheral blood leukocytes 4,200 / μL, leukocyte: the multi-core sphere 35% 45% lymphocytes, 15% monocytes and 5% atypical lymphocytes. GOT: 56 U / L, GPT: 60U / L, total bilirubin (total bilirubin): 1.0 mg / dL. Will most do not need to choose which of the following tests?

Answer: measles IgM

Choices:
A. HIV test（human immunodeficiency virus I & II）
B. CMV IgM（cytomegalovirus IgM）
C. EB VCA IgM（Epstein-Barr viral capsid antigen IgM）
D. measles IgM

year old male
persistent fever
10 days
headache
muscle aches
sore throat
similar symptoms
Physical
swollen lymph glands
neck
groin
torso
200
multi core sphere 35
lymphocytes
5
atypical lymphocytes
U
L
GPT
total bilirubin
total bilirubin
1 0 mg
dL
most
not need to
following tests


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

Answer: Acute attack, the use of non-steroidal anti-inflammatory drugs (NSAIDs) or colchicine (colchicine) treatment

Choices:
A. In the acute attack, serum uric acid (uric acid) higher constant value
B. Acute attack, the use of non-steroidal anti-inflammatory drugs (NSAIDs) or colchicine (colchicine) treatment
C. Hyperuricemia in patients with long-term, you can often see a meniscal cartilage (meniscus) cartilage occurs calcareous Shen disease (chondrocalcinosis)
D. A polarization microscope (polarized light microscope) examination of joint fluid, needle-like crystals can be seen positive birefringence (positively birefringent) properties


Question: 32 year old pregnant woman, G5P4, at 41 weeks, to be produced in the fetal monitor checks accepted, results as shown below: which interpretation that?

Answer: variable decelerations

Choices:
A. early deceleration
B. late deceleration
C. variable decelerations
D. sinusoid pattern

year old
weeks
to
fetal monitor checks accepted
results
interpretation


Question: Palate tongue (palatoglossus muscle) is governed by what nerve?

Answer: Accessory nerve (accessory nerve) of the cranial root (cranial root), turning the vagus nerve (vagus nerve)

Choices:
A. Glossopharyngeal nerve (glossopharyngeal nerve)
B. Accessory nerve (accessory nerve) of the cranial root (cranial root), turning the vagus nerve (vagus nerve)
C. Twelfth cranial nerve
D. The fifth cranial nerve third branch

Palate tongue
palatoglossus muscle
nerve


Question: Respiratory failure showed low oxygen, and no carbon dioxide retention, and chest X-ray no obvious lung infiltration, then what is to be considered clinically disease?

Answer: Pulmonary vascular disease

Choices:
A. Respiratory center lesions
B. Respiratory pump lesions
C. Severe chronic obstructive pulmonary disease
D. Pulmonary vascular disease

Respiratory failure
low oxygen
carbon dioxide retention
chest X-ray
lung infiltration
then
to
disease


Question: Features about vernal keratoconjunctivitis (Vernal keratoconjunctivitis), the following statements is true?

Answer: Itching, discharge and more

Choices:
A. And about wearing contact lenses
B. Occurs in middle-aged women
C. Conjunctiva smear seen basophilic leukocytes to inflammatory cells (basophil) based
D. Itching, discharge and more

Features
vernal keratoconjunctivitis
Vernal keratoconjunctivitis
following
true


Question: About suture techniques and how to reduce facial scarring of the narrative, which of the following error?

Answer: The facial skin incision with cut shall be as perpendicular to the direction of wrinkles

Choices:
A. The facial skin incision (incision) and subject to the detailed design plans, the wound can not be cut
B. The facial skin and the skin incision to be as parallel as possible slack line (relax skin tension line)
C. The facial skin incision with cut shall be as perpendicular to the direction of wrinkles
D. The need to eliminate wound suture facial subcutaneous dead space (dead space), the use of smaller sutures wound

suture techniques
to
facial scarring
following error


Question: Which of the following situations will not increase the strength of the carotid pulse (carotid pulse) of (intensity)?

Answer: Left atrial myxoma (myxoma)

Choices:
A. Aortic insufficiency
B. Left atrial myxoma (myxoma)
C. fever
D. anemia

following
not increase
strength
carotid pulse
carotid pulse
intensity


Question: The following description of the relevant medical price elasticity of demand, whichever is correct?

Answer: Dental services price elasticity is high compared with Western medicine

Choices:
A. Outpatient hospital services than the price elasticity is high
B. Dental services price elasticity is high compared with Western medicine
C. Nursing home price elasticity than the acute inpatient services for low
D. Health care services than the average price elasticity is high

following
of
relevant medical price elasticity
demand
correct


Question: The first type of human T-lymphotropic virus (Human T-lymphotropic virus type 1, HTLV-1) is related cancers:

Answer: Adult T-cell leukemia (Adult T-cell leukemia)

Choices:
A. Chronic myelogenous leukemia (Chronic myelogenous leukemia)
B. Adult T-cell leukemia (Adult T-cell leukemia)
C. Kaposi's sarcoma (Kaposi's sarcoma)
D. HTLV-1 associated myelopathy (HTLV-1 associated myelopathy)


Question: A 4-year-old boy fell from the bike and the right arm to the ground, due to pain and swelling of the right arm, the parents took him to the emergency attendances and receive X-rays from the image display this boy what happened fracture?

Answer: Mengtejiya's fracture (Monteggia's fracture)

Choices:
A. Kelai Stormer fracture (Colles' fracture)
B. Padang's fracture (Barton's fracture)
C. Rail Lai Aji's fracture (Galeazzi's fracture)
D. Mengtejiya's fracture (Monteggia's fracture)

4 year old boy fell
bike
right arm
pain
swelling of
right arm
emergency
receive X-rays
image display
boy
fracture


Question: The interaction of genetic code (codon) and the anticodon (anticodon) through a combination of what kind of chemical bond?

Answer: Hydrogen bond (hydrogen bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Ionic bonds (ionic bond)
C. A peptide bond (peptide bond)
D. Acetal bond (acetal bond)

interaction anticodon anticodon combination kind


Question: 46. ⽣ about mixed ovarian malignant germ cell tumors (mixed germ cell malignancies of the ovary), is a mixture of two or more ⽣ germ cell tumors (germ cell tumor), the most commonly ⾒ combination of those two patterns?

Answer: Asexual embryo tumor (dysgerminoma) and ovarian endodermal sinus tumor (endodermal sinus tumor)

Choices:
A. Asexual embryo tumor (dysgerminoma) and ovarian endodermal sinus tumor (endodermal sinus tumor)
B. Asexual embryonic tumors (dysgerminoma) and ovarian tumor polyembryony (polyembryoma)
C. Ovarian tumor polyembryonic (polyembryoma) and immature teratoma (immature teratoma)
D. Ovarian endodermal sinus tumor (endodermal sinus tumor) and immature teratoma (immature teratoma)


Question: 4 Which of the following congenital metabolic disease can produce lactic acidosis (lactic acidosis)?  galactosemia  pyruvate dehydrogenase deficiency  Leigh's encephalopathy  organic acidurias

4
following congenital metabolic disease
lactic acidosis
lactic acidosis
galactosemia
pyruvate dehydrogenase deficiency
encephalopathy
organic acidurias


Question: The following account of the pentose phosphate pathway (pentose phosphate pathway), and what's wrong?

Answer: The restriction enzyme reaction rate (rate limiting enzyme) of 6-phospho-gluco-lactonase

Choices:
A. Generating NADPH for reduction reactions using
B. The product can be converted into ribose-5-phosphate for use of nucleotide synthesis
C. Reaction glucose-6-phosphate dehydrogenase deficiency can lead to broad bean disease
D. The restriction enzyme reaction rate (rate limiting enzyme) of 6-phospho-gluco-lactonase


Question: The following statements about autism and what was right?

Answer: In order to effectively enhance the ability Richangshenghuo must assess the level of language skills, movement, social relations, to develop treatment and education direction

Choices:
A. It spoken often obstacles, so often body language to communicate with the outside world
B. Most have special memories, painting, sound sense genius ability, so that the focus of treatment is to find a particular patient's ability to host
C. In order to effectively enhance the ability Richangshenghuo must assess the level of language skills, movement, social relations, to develop treatment and education direction
D. Autistic children have three core features of social interaction, language development and motor development delay thickness


Question: Which of the following drug treatment of asthma and its role longest?

Answer: Formoterol

Choices:
A. Salbutamol
B. Terbutaline
C. Adrenaline
D. Formoterol

following drug treatment
asthma
role longest


Question: Which of the following diseases is not suitable for use arginine vasopressin (AVP) antagonist (vaptans)?

Answer: Diabetes insipidus (diabetes insipidus)

Choices:
A. Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
B. High fluid hyponatremia (hypervolemic hyponatremia)
C. Merge small cell lung cancer hyponatremia
D. Diabetes insipidus (diabetes insipidus)

following diseases
not suitable
use arginine
antagonist


Question: Spinal cord injury patients 5 years, can not be bent knees, X-rays below the knees, which is most likely diagnosis:

Answer: Ectopic calcification

Choices:
A. Bone cancer
B. Osteoporosis
C. Ectopic calcification
D. Degenerative arthritis of the knee

Spinal cord injury patients 5 years
not
bent knees
X-rays
knees
diagnosis


Question: A 37-year-old woman factory worker, because the last two weeks after the gradual weakness for treatment. Six months ago the patients have eyelid (eyelid) and dry eye swelling phenomenon, two months ago, erythema on the eyelids and fingers side, unable to move his hands high and that an inspection can not stand up from the seat, the following month ago is the most important of the check?

Answer: Creatine phosphokinase

Choices:
A. The number of white blood cells
B. Lower extremity X-ray
C. Creatine phosphokinase
D. Immunoglobulin

year old woman factory worker
last two weeks
gradual weakness
treatment
Six months
patients
eyelid
eyelid
dry eye swelling
two months
erythema
eyelids
fingers side
unable to move
hands high
inspection
not stand up
following month
most important
check


Question: The following is a case-control study, prospective cohort comparison study with retrospective cohort study of what's wrong?

Answer: Most likely to establish the timing relationship is retrospective cohort study

Choices:
A. 成本：prospective cohort study＞retrospective cohort study＞case-control study
B. Most likely to establish the timing relationship is retrospective cohort study
C. Only case-control study can not be calculated relative risk and absolute risk
D. The number of samples used in case-control study is relatively small


Question: Ecological Research (ecological studies) of the following environmental epidemiology studies are commonly used statements is wrong?

Answer: Very easy to control interference factor

Choices:
A. Unable to obtain personal information exposed
B. Very easy to control interference factor
C. The relationship between population level can not be inferred to the individual level
D. New areas for research, want to quickly and low cost way to seek possible hypotheses


Question: Glucose is the most important amino acid produced indirectly via Which of the following metabolic pathways (glucose)?

Answer: citric acid cycle

Choices:
A. pentose phosphate pathway
B. urea cycle
C. oxidative phosphorylation
D. citric acid cycle

Glucose
most important amino acid
following metabolic pathways
glucose


Question: A 40-year-old man due to fatigue and asthma outpatient treatment. Vital signs Blood pressure 125/80 mmHg, and the Law of 85 beats per minute. Pulse oximetry room air (room air SpO2) 98%. Physical examination has jacked up right ventricle (right ventricle heave), and the left second intercostal palpable systolic trembling (systolic thrill), and the left second intercostal systolic heart murmur can be heard. In addition, it can be heard clearly and with respiration split second heart sound (wide split second heart sound). The most likely diagnosis of why?

Answer: Pulmonary valve stenosis (pulmonary stenosis)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Aortic stenosis (aortic stenosis)
C. Patent ductus arteriosus (patent ductus arteriosus)
D. Pulmonary valve stenosis (pulmonary stenosis)

40 year old man due to fatigue
asthma
Vital signs Blood pressure
mmHg
Law
85
minute
Pulse oximetry room air
room air
98
jacked up right ventricle
right ventricle heave
left second
palpable systolic trembling
systolic thrill
left second
systolic heart murmur
heard
addition
heard
respiration split second heart sound
wide split second heart sound
diagnosis


Question: The following description of pathological changes related to idiopathic pulmonary fibrosis (idiopathic pulmonary fibrosis), and what's wrong?

Answer: Non-specific interstitial pneumonia (non-specific interstitial pneumonia)

Choices:
A. Non-specific interstitial pneumonia (non-specific interstitial pneumonia)
B. Intergenic block fibrosis (patchy interstitial fibrosis)
C. Fibroblast proliferation foci (fibroblastic focus)
D. Fibrotic honeycomb (honeycomb fibrosis)

following
pathological changes related
idiopathic pulmonary fibrosis
idiopathic pulmonary fibrosis
wrong


Question: Right brachiocephalic vein (brachiocephalic vein) to import the superior vena cava (superior vena cava) position, corresponding to the most likely surface:

Answer: Sternum (manubrium) right edge

Choices:
A. Sternum (manubrium) right edge
B. Sternum (manubrium) left edge
C. Sternal body (body) just below
D. The third intercostal space on the right

Right brachiocephalic vein
brachiocephalic vein
to
superior vena cava
superior vena cava
position
likely surface


Question: 46. Miss Lee, 55 years old, due to sudden headache and seizures, unconsciousness was sent to the emergency room colleagues, checking its computer tomography (CT) as shown below. The following statements is wrong?

Answer: Complications, cerebral vascular spasm (vasospasm) is usually higher than bleeding (rebleeding) occurs early

Choices:
A. Possible diagnosis of subarachnoid hemorrhage (subarachnoid hemorrhage)
B. The most common disease because of cerebral aneurysms (aneurysm) rupture
C. Complications may occur hydrocephalus
D. Complications, cerebral vascular spasm (vasospasm) is usually higher than bleeding (rebleeding) occurs early

Miss
years old
sudden headache
seizures
unconsciousness
sent
emergency room
computer tomography
following
wrong


Question: 79 falciparum malaria symptoms are those of a more serious cause of malaria in the other three? Fever lasts longer when red blood cells can ① ② violations of various developmental stages more easily lead to relapse (relapse) ③ may be complicated by cerebral malaria (cerebral malaria) ④ attack (paroxysm)

Answer: ①③④

Choices:
A. ①②③
B. ①②④
C. ①③④
D. ②③④

falciparum malaria symptoms
more serious cause
malaria
three
Fever
longer
red blood cells
various developmental stages
easily lead to relapse
relapse
complicated
malaria
cerebral malaria
attack
paroxysm


Question: 60-year-old female patient complained of mild pain and swelling in the right knee has been two weeks. Extracting synovial fluid sample, the outer yellow transparent, viscosity (Viscosity) is very high, white blood cells at a concentration of 250 cells / mm3. The most appropriate diagnostic why?

Answer: Degenerative arthritis

Choices:
A. Gouty arthritis
B. Degenerative arthritis
C. Bacterial arthritis
D. Psoriatic arthritis

60 year old female patient
mild pain
swelling in the right knee
two weeks
synovial fluid sample
outer yellow transparent
viscosity
Viscosity
very high
white blood cells
concentration
mm3
most appropriate diagnostic


Question: Statements about congenital anomalies of the esophagus, which of the following error?

Answer: Esophageal atresia often grow up to be discovered

Choices:
A. Esophageal atresia (esophageal atresia) occurs most often in near the bifurcation of the trachea
B. Webbed esophagus (esophageal web) in addition to the causes of congenital abnormalities, can also occur in long-esophageal reflux patients
C. Esophageal atresia often grow up to be discovered
D.  esophageal tube, the most common form of the esophagus above the blind end, forming the bottom of the esophagus and trachea tube 

congenital anomalies of the esophagus
following error


Question: 60 year old male, back pain and hematuria recently, computer tomography found a 4 cm left kidney tumor size, tumor surgical specimens cut surface and yellow necrosis region, as shown microscopic changes. Which of the following most unlikely that such tumor gene abnormality?

Answer: Low methyl (hypomethylation) of the VHL gene

Choices:
A. The third deletion of the short arm of chromosome (3p-)
B. The third occurrence of the unbalanced translocation chromosome
C. Somatic mutations (somatic mutation) VHL gene
D. Low methyl (hypomethylation) of the VHL gene

60 year old male
back pain
hematuria recently
computer tomography found
4
left kidney
tumor surgical specimens cut surface
yellow necrosis region
microscopic changes
following most unlikely
tumor


Question: Before accepting patients undergoing heart surgery assessed as rheumatic valve disease, their preoperative blood pressure of 170/35 mmHg, valve disease is most likely to be what?

Answer: Aortic insufficiency

Choices:
A. Aortic stenosis
B. Aortic insufficiency
C. Mitral insufficiency
D. Mitral stenosis

accepting patients
heart surgery
rheumatic valve disease
preoperative blood pressure
35 mmHg
valve disease
to


Question: A 56-year-old housewife and has two men and a woman, no abortion history. Since the age of 40 uterine fibroids cause symptoms of anemia caused by excessive menstrual blood, after discussion with a gynecologist, hysterectomy surgery, but retain both ovaries. Began to face flushing, palpitations, insomnia and other symptoms about 52 years old, diagnosed with post-menopausal symptoms, women had used hormone therapy for two years. Aunt passed away due to breast cancer in the year before, because I heard there is a family history of breast cancer, about whether you will develop breast cancer, it came to the clinic for assessment. This case of breast cancer the most important risk factor why?

Answer: Over age 50

Choices:
A. Over age 50
B. Hormone therapy
C. Aunt get breast cancer
D. After hysterectomy

year old housewife
two
woman
abortion history
age
40 uterine fibroids cause symptoms
anemia caused
excessive menstrual blood
discussion
gynecologist
hysterectomy surgery
retain
ovaries
Began to face flushing
palpitations
insomnia
symptoms
years old
diagnosed
post-menopausal symptoms
used hormone therapy
two years
passed
due to breast cancer
year
I heard
family history of breast cancer
breast cancer
clinic
case of breast cancer
most important risk factor


Question: Allergens and antigen-specific IgE how the combined activation of mast cells (mast cells)?

Answer: Send messages to the recipient cell surface of mast cells by IgE

Choices:
A. Complement receptor is via swallowed into the mast cells
B. Produce more B cell surface IgE antibodies stimulate B cells via
C. Send messages to the recipient cell surface of mast cells by IgE
D. Adhesion to MHC molecules on dendritic cells to stimulate T cells to produce IL-4

Allergens
combined activation
mast cells
mast cells


Question: The deltoid tuberosity of the humerus (deltoid tuberosity of humerus) fracture location, most likely a direct vascular injuries that?

Answer: Deep brachial artery (profunda brachii artery)

Choices:
A. Humeral circumflex artery before (anterior circumflex humeral artery)
B. After humeral circumflex artery (posterior circumflex humeral artery)
C. Scapular circumflex artery (circumflex scapular artery)
D. Deep brachial artery (profunda brachii artery)

deltoid tuberosity of
humerus
deltoid tuberosity of humerus
fracture location
direct vascular


Question: Many large position in the section of the spinal micturition reflex center for adults?

Answer: The first lumbar vertebra

Choices:
A. Tenth thoracic
B. The first lumbar vertebra
C. The fifth lumbar vertebra
D. The second sacral

large position
section
spinal micturition reflex center
adults


Question: Features old-age diseases do not include which of the following?

Answer: Typical performance

Choices:
A. Merge multiple diseases
B. Typical performance
C. Latent disease
D. Easy iatrogenic problems

Features old-age diseases
not include
following


Question: See pseudokidney sign during abdominal ultrasound examination, the following may be what disease?

Answer: Intussusception (intussusception)

Choices:
A. Volvulus (volvulus)
B. Acute cholecystitis (acute cholecystitis)
C. Intussusception (intussusception)
D. Wilms mother sarcoma (Wilms' tumor)


Question: Statements about human kidney to regulate plasma osmolality (osmolar regulation) is, which of the following error?

Answer: Antidiuretic hormone distal renal tubular reabsorption of water molecules easily

Choices:
A. Penetration plasma (plasma osmolality) is greater than 280 mOsm / kg H2O will stimulate the antidiuretic hormone (antidiuretic hormone) secreted
B. Thirst plasma osmotic stimulation threshold (threshold) than stimulated secretion of antidiuretic hormone high threshold
C. Antidiuretic hormone distal renal tubular reabsorption of water molecules easily
D. Concentrated urine when urine osmolality value up to 1200 mOsm / kg H2O, while its dilute urine Urine permeability can be as low as to 50 mOsm / kg H2O

human kidney to
plasma osmolality
osmolar
following error


Question: Can be lost (disability) patients, in an interview with the focus of rehabilitation therapy should be noted, does not include which of the following?

Answer: Rehabilitation should be taken one way, and not to let too many patients with other patients have social interaction (social interaction)

Choices:
A. Loss of energy due to the extent of each patient is different, so the rehabilitation treatment must be tailored in accordance with each person's different arrangements (individualized)
B. It must be noted rehabilitation environment (environmental factors), such as barrier-free space
C. Must have a good education families (adequate family education)
D. Rehabilitation should be taken one way, and not to let too many patients with other patients have social interaction (social interaction)

lost
disability
patients
focus
rehabilitation therapy
noted
not include
following


Question: When you see this patient's ECG, you would think that detects blood of patients with electrolyte?

Answer: Potassium

Choices:
A. sodium
B. Potassium
C. calcium
D. phosphorus

see
patient's ECG
detects blood
patients
electrolyte


Question: Statements about the role of insulin following, whichever is correct?

Answer: Stimulated glucose transport protein (glucose transporter) from the vesicles (vesicle) to the cell membrane

Choices:
A. After the cell membrane receptor (receptor) binding, activation of the amino acid filament accepting excited  (serine kinase)
B. Activation stimulated glycogen synthesis   three (GSK-3)
C. Stimulated glucose transport protein (glucose transporter) from the vesicles (vesicle) to the cell membrane
D. Forming a complex across the cell membrane is transferred to mitochondria (Mitochondria)


Question: He who belong to the following drugs Alkylating agent?

Answer: Busulfan

Choices:
A. Thioguanine
B. Busulfan
C. Bleomycin
D. Vincristine


Question: Thoracic duct (lacteal) distributed in the layer of the small intestine?

Answer: Lamina propria (lamina propria)

Choices:
A. Lamina propria (lamina propria)
B. Submucosa (submucosa)
C. Muscularis mucosa (muscularis mucosae)
D. Serosa (serosa)

Thoracic duct
lacteal
distributed
layer
small intestine


Question: A 56-year-old postmenopausal women, and they have a man and a woman, long-term use hormone drugs improve the symptoms of menopause, because of television coverage of breast cancer incidence increased fear in the heart, to out-patient clinics. Breast examination symmetrical appearance, skin, no dents, palpation both breasts Jie smooth nodules. Arrange mammography (mammography), test results are reported as BI-RADS category: 0. Which of the following is the most appropriate patients for outpatient physician advice?

Answer: In the near future have to arrange further imaging studies

Choices:
A. Regular mammography track each year
B. Regular ultrasound examination every six months to track
C. In the near future have to arrange further imaging studies
D. Requiring immediate arrangements for outpatient core needle check (core needle biopsy)

year old postmenopausal
man
woman
long-term use hormone drugs
symptoms
menopause
of television coverage
breast cancer incidence increased
heart
to out-patient clinics
Breast symmetrical appearance
skin
dents
palpation
breasts
smooth nodules
mammography
mammography
test results
reported
BI-RADS
0
following
most appropriate
outpatient


Question: When full-term birth, fetal Which of the following is not a distress situation occur?

Answer: Fetal heart rate appears "early deceleration"

Choices:
A. Fetal heart a "late deceleration"
B. Umbilical artery blood flow velocity waveform appears countercurrent
C. Fetal heart rate appears "early deceleration"
D. Umbilical artery blood flow velocity waveform showing no diastolic blood

full-term birth
fetal
following
not
distress
occur


Question: A 50-year-old schizophrenic patients with persecutory delusions, auditory hallucinations, talking to himself, apathy and other symptoms. Which of the following belong to the negative symptoms of this disorder (negative symptom)?

Answer: Apathy

Choices:
A. Delusion
B. Auditory hallucinations
C. Soliloquize
D. Apathy

50 year old
patients
persecutory delusions
auditory hallucinations
talking
apathy
symptoms
following
negative symptoms
disorder
negative symptom


Question: A history of alcohol abuse has many years of 30-year-old man, after drinking three days ago due to the occurrence of the severe abdominal pain did not improve symptoms persist and to the emergency room for medical treatment, physical examination revealed abdominal tenderness and slight rebound in pain, patients have mild fever ( 38.1 deg.] C), the blood test leukocytes 16500 / μL, hemoglobin 10.5g / dL, abdominal computed tomography found inflamed pancreas, pancreas next liquid retention. Will the next most appropriate disposal decisions Why?

Answer: CT extracted by the liquid guide pancreas do next examination, bacterial culture

Choices:
A. Direct laparotomy parallel pancreatic debridement
B. Immediately arrange retrograde biliary photography
C. CT extracted by the liquid guide pancreas do next examination, bacterial culture
D. Laparoscopic surgery and drainage of liquid


Question: From the previous question, this patient after undergoing surgery following treatment compared with that item can not reduce the probability of relapse?

Answer: acetaminophen

Choices:
A. pregnancy
B. danazol
C. gonadotropin-releasing hormone agonist
D. acetaminophen

previous
patient
surgery following treatment
not
probability
relapse


Question: Psoriatic arthritis (psoriatic arthritis) with which of the following related?

Answer: Often causes inflammation of the distal interphalangeal joint (distal interphalangeal joint) of

Choices:
A. Serum rheumatoid factor present in
B. Often causes inflammation of the distal interphalangeal joint (distal interphalangeal joint) of
C. Does not cause spondylitis
D. And HLA-DR2 have a strong correlation

Psoriatic arthritis
psoriatic arthritis
following related


Question: 10. Compare the probability of the emergence of Hirschsprung's disease (Hirschsprung disease, HD) and functional constipation (Functional constipation, FC) symptoms, the following statements is wrong?

Answer: Zoomed incontinence (Encopresis): HD> FC

Choices:
A. Zoomed incontinence (Encopresis): HD> FC
B. ⽣⻑遲緩（Failure to thrive）：HD＞FC
C. ⼩ enterocolitis (Enterocolitis): HD> FC
D. 腹漲（Abdominal distention）：HD＞FC

10
probability of
disease
Hirschsprung disease
functional constipation
Functional constipation
symptoms
following
wrong


Question: Cancer tumor cells tend to anaerobic respiration, anaerobic respiration following statements regarding glucose metabolism and what was wrong?

Answer: Produces more acetyl-CoA

Choices:
A. Produce less ATP
B. Produce more lactate
C. Produces more acetyl-CoA
D. Low level of participation of Krebs cycle


Question: Join gathered into perineal body muscle, it does not include one of the following?

Answer: internal sphincter

Choices:
A. internal sphincter
B. external sphincter
C. bulbospongiosus
D. transverse perineal muscle


Question: Which of the following will also appear clubbing (clubbing fingers) and cyanosis (cyanosis) phenomenon?

Answer: Pulmonary arteriovenous  tube (pulmonary arteriovenous fistula)

Choices:
A. Infective endocarditis (infective endocarditis)
B. Inflammatory bowel disease (inflammatory bowel disease)
C. Normal
D. Pulmonary arteriovenous  tube (pulmonary arteriovenous fistula)

following
appear clubbing
clubbing fingers
cyanosis
cyanosis


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

Answer: Use as a mucus layer is water resistant to prevent evapotranspiration min

Choices:
A. Tear layer by the outer (air) into the (ocular ⾯) can be divided into the layer of fat (lipid layer), liquid water resistant layer (aqueous layer), mucus layer
B. Oil layer mainly secreted by the meibomian gland plate eyelid (meibomian gland)
C. Use as a mucus layer is water resistant to prevent evapotranspiration min
D. The amount of liquid water resistant layer of basal secretion during sleep least


Question: He is not located in the following structure cerebellopontine angle (cerebellopontine angle)?

Answer: External rotation nerve (abducens nerve)

Choices:
A. Facial nerve (facial nerve)
B. External rotation nerve (abducens nerve)
C. Vestibular cochlear nerve (vestibulocochlear nerve)
D. The median nerve (nervus intermedius)


Question: Take care of the following statements about the below-knee amputation, whichever is correct?

Answer: Please post the best patient prone, one day several times, once 10-15 minutes

Choices:
A. To make the patient comfortable, anyway, when in bed, the pillow can be delegated in the knee, so keeping your knees bent
B. Postoperative residual limb will be swelling, so it is absolutely not massage
C. After stumps joint contractures could not be prevented
D. Please post the best patient prone, one day several times, once 10-15 minutes


Question: The following account of Zollinger-Ellison Syndrome, and what's right?

Answer: Secretin test is quite sensitive and specific

Choices:
A. About one-quarter MEN 2
B. Total gastrectomy is still the main treatment options
C. Few Malignant
D. Secretin test is quite sensitive and specific

following account
Zollinger-Ellison Syndrome
right


Question: The following have been identified related to the diagnosis described treatment of patients with chronic symptoms and possessed of heart failure, what's wrong?

Answer: beta-blocker may be slowing of heart failure

Choices:
A. Diuretics can maintain the retention volume (volume retention) does not occur, you should consider using
B. Angiotensin converting enzyme inhibitors (angiotensin-converting enzyme inhibitor) of heart failure may be slow
C. beta-blocker may be slowing of heart failure
D. digoxin treatment of heart failure only by inhibition of switch machines + -K + ATPase in the of Na effect

following
identified related
diagnosis
chronic symptoms
possessed
heart failure
wrong


Question: The following statements about stem cells (adult / somatic stem cells), and what's right?

Answer: Skin stem cells in the hair follicle bulge portion (hair follicle bulge), the epidermis (interfollicular areas of surface epidermis) between the hair follicles and sebaceous glands (sebaceous glands)

Choices:
A. Stem cells in the liver harveyi tube (canals of Havers)
B. Brain stem cells in the hippocampus (hippocampus) of CA1 and CA2 region
C. Skin stem cells in the hair follicle bulge portion (hair follicle bulge), the epidermis (interfollicular areas of surface epidermis) between the hair follicles and sebaceous glands (sebaceous glands)
D. Skeletal muscle stem cells is between epimysium (epimysium) stromal cells


Question: A 9-year-old girl sore left knee, femur X-ray examination and MRI examination As shown, serum alkaline phosphatase enzyme (alkaline phosphatase) increased tumor phenomenon at this time why?

Answer: They may cause pathological fractures

Choices:
A. Into the interior of the joint cavity
B. Wrap femoral artery
C. After the violations to the thigh muscle chamber
D. They may cause pathological fractures

year old girl sore left knee
femur X-ray
MRI
serum alkaline phosphatase enzyme
alkaline phosphatase
increased tumor
time


Question: One patient blood gas analysis showed pH 7.51, PaCO2 49 mmHg, HCO3- 38 mmol / L, Which statement is correct?

Answer: Metabolic alkalosis

Choices:
A. Metabolic acidosis (acidosis)
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis

One patient blood gas analysis
pH 7
mmHg
HCO3
mmol
L
correct


Question: Upper extremity lymphedema treatment of breast cancer lymph node swelling common to therapy (complex decongestive therapy), at least one of the following to use it?

Answer: Raise the affected area for drainage (elevation for drainage)

Choices:
A. Unarmed lymphatic drainage (manual lymphatic drainage)
B. Low tension bandage (short stretch bandaging)
C. Raise the affected area for drainage (elevation for drainage)
D. Swollen lymph retreat movement (decongestive exercise)


Question: 24 year-old woman was found in outpatient labia majora, but the projections of less than 1 centimeter small tumors, after biopsy, the most likely diagnosis is:

Answer: Package epithelial cysts (epidermal inclusion cyst)

Choices:
A. Carcinoma in situ (carcinoma in situ)
B. Melanoma (melanoma)
C. Package epithelial cysts (epidermal inclusion cyst)
D. Tube adenomas (hidradenoma)

year old woman
found
outpatient labia majora
projections
1 centimeter small tumors
biopsy
diagnosis


Question: From the previous question, there is a check as a sensitive indicator of radiation damage, the exposure associated with the prognosis of patients with radiation. Requires multiple daily within a few days after the detection of radiation exposure. This question on most patients need frequent inspection of the project Why?

Answer: Absolute lymphocyte count (absolute lymphocyte count)

Choices:
A. Absolute lymphocyte count (absolute lymphocyte count)
B. Absolute neutrophil count (absolute neutrophil count)
C. Lactate dehydrogenase enzyme (lactate dehydrogenase)
D. Chromosome analysis neutrophils (neutrophil chromosomal analysis)

previous
check
sensitive indicator
radiation damage
exposure associated with
prognosis
patients
radiation
multiple
days
detection
radiation exposure
question
patients need frequent inspection


Question: The following tumor suppressor genes, what does not directly regulate the cell cycle (G1 → S)?

Answer: E-cadherin

Choices:
A. RB
B. E-cadherin
C. p16 / INK4a
D. p53

following tumor suppressor genes
not directly
cell cycle
G1


Question: 46 a 60 year old male patient with anemia due to treatment, found that increased colonoscopy colon tumor, adenocarcinoma sections pathology report, computer tomography showed no distant metastasis, the tumor surrounding clothing, right colon to the colon was found right hemicolectomy adipose tissue, mesenteric lymph nodes, there are five teeth in violation of cancer cells, so the stage was T3N2M0. What measures will be taken after the recommendations?

Answer: Containing oxaliplatin / fluorouracil / leucovorin prescription for adjuvant chemotherapy

Choices:
A. Observed
B. Containing oxaliplatin / fluorouracil / leucovorin prescription for adjuvant chemotherapy
C. Containing irinotecan / fluorouracil / leucovorin prescription for adjuvant chemotherapy
D. With prescription fluorouracil / leucovorin as adjuvant chemotherapy of


Question: Narrative about the pharmacological effects of opioids, which of the following error?

Answer: Opioids can increase the motility of the gastrointestinal tract

Choices:
A. Opioids can affect the placenta transparent offspring
B. Opioid receptor having an activated chemical excitation zone (Chemoreceptor trigger zone) effect
C. Opioids could promote contraction of bladder smooth muscle
D. Opioids can increase the motility of the gastrointestinal tract

pharmacological effects
opioids
following error


Question: A 58-year-old male patient with a history of diabetes and high blood pressure, height 165 cm, weight 80 kg, blood tests results are as follows:

Answer: Given fibrate class of drugs

Choices:
A. Limit cholesterol intake of the patient
B. Given statin drugs therapy
C. Given fibrate class of drugs
D. Assess whether its cardiovascular abnormalities

58 year old male
history
diabetes
high blood pressure
height
weight 80 kg
blood tests results
follows


Question: 49 by 25-year-old pregnant woman, G1P0, 39 weeks of pregnancy, fetal movement slightly reduce private prosecution, come for treatment, then do the following checks, as shown, may I ask what is done to check? Please choose the most appropriate answer lies in the four following.

Answer: Test non-pressurized (non-stress test, NST)

Choices:
A. Umbilical artery blood flow velocity waveform (umbilical artery flow velocity waveform)
B. Umbilical vein blood flow velocity waveform (umbilical vein flow velocity waveform)
C. Test pressure (contraction stress test, CST)
D. Test non-pressurized (non-stress test, NST)

49
25 year old
weeks
pregnancy
fetal movement slightly
private prosecution
treatment
then
following checks
I
to check
most appropriate
four following


Question: 1250 grams of a born preterm children developed severe respiratory distress and non-traumatic brain hemorrhage and death, when dissecting the brain hemorrhage the most common:

Answer: Periventricular germplasm layer (germinal matrix)

Choices:
A. A surface layer of the cerebral cortex (cerebral cortex)
B. Cerebellum (cerebellum)
C. Periventricular germplasm layer (germinal matrix)
D. Brain stem (brain stem)

grams
born preterm children
severe respiratory distress
non traumatic brain hemorrhage
death
dissecting
brain hemorrhage
most common


Question: ⼀ period compared with other breast cancer, breast cancer following what type of organization the best prognosis?

Answer: mucinous carcinoma

Choices:
A. medullary carcinoma
B. mucinous carcinoma
C. metaplastic carcinoma
D. infiltrating ductal carcinoma

period
other breast cancer
breast cancer following
type
organization
best prognosis


Question: 75. One 32 year-old female weighing 60 kg, was riding a motorcycle accidentally hit causing intra-abdominal bleeding, a preliminary examination for the systolic pressure (systolic blood pressure) normal to an emergency truck, but the pulse pressure (pulse pressure) decreased significantly , and the lower heart rate 112 / min, urine 20-30 ml / hour. This patient about how much blood loss?

Answer: 700-1100 ml

Choices:
A. 500 ml
B. 700-1100 ml
C. 1300-1700 ml
D. 1900-2300 ml

75
One
year old female
60 kg
motorcycle
hit causing intra-abdominal bleeding
preliminary
systolic pressure
systolic blood pressure
normal
emergency truck
pulse pressure
pulse pressure
decreased
lower heart rate
min
urine 20-30 ml
hour
patient
blood loss


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

Answer: Most likely caused by prolonged esophageal adenocarcinoma

Choices:
A. The theory is now dominated by nerve damage caused by the lower esophageal sphincter
B. Most likely caused by prolonged esophageal adenocarcinoma
C. Typical symptoms of dysphagia, weight loss and food countercurrent
D. Its surgical treatment mainly esophagomyotomy


Question: Hand flexor principles concerning the treatment of fracture of the tendon, which of the following error?

Answer: If the merger refers to arterial injury, arterial anastomosis must do first, and then sutured tendon

Choices:
A. Try to be sutured tendon surgery within 7 days
B. After six weeks almost impossible to direct suture
C. If the merger refers to arterial injury, arterial anastomosis must do first, and then sutured tendon
D. Rehabilitation of patients after surgery is very important for functional recovery

Hand flexor
treatment
fracture
tendon
following error


Question: Which of the following connection vestibular nucleus (vestibular nucleus) and the nerves that control eye movement of the nucleus?

Answer: medial longitudinal fasciculus

Choices:
A. vestibulocerebellar fiber
B. central tegmental tract
C. medial longitudinal fasciculus
D. medial forebrain bundle

following connection vestibular nucleus
vestibular nucleus
nerves
control eye movement of
nucleus


Question: The patient checked that for the first three colorectal cancer, which of the following options for the treatment of stage?

Answer: Preoperative radiation consolidation chemotherapy

Choices:
A. Preoperative radiation therapy alone
B. Preoperative chemotherapy alone
C. Preoperative radiation consolidation chemotherapy
D. Direct surgical resection

patient
first three colorectal cancer
following options


Question: The therapeutic index of the drug treatment of asthma Which of the following (therapeutic index) narrow, need to be especially careful when using?

Answer: theophylline

Choices:
A. nedocromil
B. ipratropium
C. terbutaline
D. theophylline

therapeutic index
drug treatment
asthma
following
therapeutic index
narrow
need to
using


Question: 59-year-old woman, two days after the hair itchy rash appears as shown; there have been several similar past the hair. The most likely diagnosis and why?

Answer: Allergic contact dermatitis; for hair dye because of allergy to phenylenediamine (para-phenylenediamine)

Choices:
A. Irritant contact dermatitis; because by the interface of the active agent shampoo (Surfactant) stimulation
B. Allergic contact dermatitis; as shampoo for the active agent in the interface (Surfactant) Allergy
C. Irritant contact dermatitis; because by hair dye p-phenylenediamine (para-phenylenediamine) stimulation
D. Allergic contact dermatitis; for hair dye because of allergy to phenylenediamine (para-phenylenediamine)

59 year old woman
two days
hair itchy rash appears
several similar past
hair
diagnosis


Question: Cause high anion gap metabolic acidosis (High anion gap metabolic acidosis) disease, which of the following most rare?

Answer: Renal tubular acidosis (Renal tubular acidosis)

Choices:
A. Caused by diabetes ketoacidosis (Diabetic ketoacidosis, DKA)
B. Due to the shock caused by lactic acidosis (Sepsis induced lactic acidosis)
C. Renal tubular acidosis (Renal tubular acidosis)
D. Ethylene glycol poisoning (Ethylene glycol intoxication)

Cause high acidosis
High acidosis
disease
following
rare


Question: 49 following which the lumbar spine disease, is most suitable to the spine through the rear side of the bow screw fixation and spinal fusion (Transpedic screws and posteriolateral fusion) to treat?

Answer: Lumbar spine bone dislocation (Spondylolithiasis)

Choices:
A. Lumbar facet joint disease (Facet arthropathy)
B. Lumbar spine bone dislocation (Spondylolithiasis)
C. Lumbar spinal stenosis (Stenosis)
D. Lumbar Disc (Disc protruding)

following
lumbar spine disease
most suitable
spine
rear side
screw fixation
spinal fusion
screws
fusion
to treat


Question: Which of the following diseases belong to voice (voice disorder)?

Answer: Dysphonia (dysphonia)

Choices:
A. Dysphonia (dysphonia)
B. Loss for the disease (apraxia)
C. Dysarthria (dysarthria)
D. Aphasia (aphasia)

following diseases
to voice
voice disorder


Question: 52 year old man, left cheek paroxysmal complained repeatedly of severe pain occurs more than a year, at the onset of a few weeks or months later, can ease their own for several months. Most of the site of pain in the lower portion of the left cheek, without anesthesia. Which of the following is the most likely diagnosis?

Answer: Trigeminal neuralgia (trigeminal neuralgia)

Choices:
A. Midbrain (midbrain) stroke
B. Trigeminal neuralgia (trigeminal neuralgia)
C. Glossopharyngeal neuralgia (glossopharyngeal neuralgia)
D. Seizures (seizures)

year old man
left cheek paroxysmal
repeatedly
severe pain occurs more
year
onset
weeks
months later
months
site
pain
lower portion
left cheek
anesthesia
following
diagnosis


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

Answer: Hepatitis C virus (Hepatitis C virus)

Choices:
A. Rhinovirus (Rhinovirus)
B. Coronavirus (Coronavirus)
C. Varicella zoster virus (Varicella-zoster virus)
D. Hepatitis C virus (Hepatitis C virus)


Question: The following account of the eye socket, what's wrong?

Answer: Orbital bone located at the thinnest end of the orbit (orbital floor), it is likely to cause trauma orbital floor fractures

Choices:
A. Orbital volume about 30 cc
B. A total of seven orbital bone
C. Orbital bone located at the thinnest end of the orbit (orbital floor), it is likely to cause trauma orbital floor fractures
D. Orbital bone of the outer wall (lateral wall) of the greater wing of the sphenoid (greater wing of sphenoid bone) and cheekbone


Question: The following antiplatelet drugs, whichever is easier adverse effects Neutropenia it happen?

Answer: Ticlopidine

Choices:
A. Clopidogrel
B. Ticlopidine
C. Abciximab
D. Dipyridamole

following antiplatelet drugs
easier adverse effects Neutropenia


Question: A 70-year-old patient suffering from tuberculosis because of the use of anti-TB drugs, which of the following anti-TB drugs, without causing side effects of hepatitis?

Answer: Ethambutol

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

70 year old patient suffering
tuberculosis
use
drugs
following
drugs
causing side effects
hepatitis


Question: Cervical cancer prevention smear sampling is the most important position:

Answer: transformation zone

Choices:
A. squamous epithelium
B. columnar epithetlium
C. vaginal fornix
D. transformation zone


Question: A esophageal atresia (esophageal atresia) of newborns, abdominal X-ray showed no presence of intestinal gas, the higher the incidence of which of the following?

Answer: Esophageal atresia without tracheoesophageal fistula

Choices:
A. Esophageal atresia and distal tracheoesophageal fistula
B. Esophageal atresia and tracheoesophageal fistula proximal end
C. Esophageal atresia without tracheoesophageal fistula
D. Proximal and distal esophageal atresia tracheoesophageal fistula

esophageal atresia
esophageal atresia
newborns
abdominal X-ray
presence
intestinal gas
higher
incidence


Question: The following account of cytokines, whichever is correct?

Answer: Role in specific receptors (receptor) and activates message delivery path

Choices:
A. With specific antigen (antigen specificity)
B. In the interaction between immune cells, but does not act on other organs
C. Role in specific receptors (receptor) and activates message delivery path
D. Synergistic (synergistic) effect of each other, but the absence of the antagonist (antagonistic) effect


Question: Features small cell carcinoma of the lung, the most that has nothing to do with one of the following?

Answer: Forming a honeycomb lung

Choices:
A. May secrete ACTH
B. Forming a honeycomb lung
C. Often transferred to the adrenal gland
D. Coughing up blood, shortness of breath


Question: A 12-year-old girl complained of neck and armpit lymph nodes on both sides. Lymph node biopsy showed diffuse lymphocyte proliferation, and damage the structure of the original node. Lymphocytes CD3 performance and TdT, but not with CD20, CD56, or the CD30 marker. The patient's lymphoma (lymphoma) should belong to what type?

Answer: T lymphoblastic lymphoma (T lymphoblastic lymphoma)

Choices:
A. Small lymphocytic lymphoma (Small lymphocytic lymphoma)
B. T lymphoblastic lymphoma (T lymphoblastic lymphoma)
C. Mantle cell lymphoma (Mantle cell lymphoma)
D. Nasal type NK / T cell lymphoma (Nasal NK / T cell lymphoma)

year old girl
neck
armpit lymph nodes
sides
biopsy
diffuse lymphocyte proliferation
damage
structure
original node
Lymphocytes CD3
TdT
not
CD20
CD56
CD30 marker
patient's lymphoma
lymphoma
type


Question: Which of the following is not thyrocervical dry (thyrocervical trunk) branch?

Answer: Deep carotid artery (deep cervical artery)

Choices:
A. Deep carotid artery (deep cervical artery)
B. Scapular artery (suprascapular artery)
C. Carotid cross (transverse cervical artery)
D. Thyroid artery (inferior thyroid artery)

following
not
dry
thyrocervical trunk
branch


Question: The most common cause of why Hypoxic hypoxia clinic?

Answer: Ventilation-perfusion imbalance

Choices:
A. Ventilation-perfusion imbalance
B. Venous-arterial shunt
C. Central hypoventilation
D. Breathing less than 21% oxygen

most common cause
Hypoxic hypoxia clinic


Question: One adult death due to head trauma, imaging examination revealed hematoma between the dura and the skull, this situation occurs most often following what conditions?

Answer: Temporal bone fracture

Choices:
A. Temporal bone fracture
B. Superior sagittal sinus tear
C. Tear bridging veins
D. Aneurysm rupture

One adult death due to head trauma
imaging
revealed hematoma
dura
skull
occurs most often following
conditions


Question: When 23S rRNA and ribosomal proteins of bacteria (ribosomal proteins) mutation, can cause what bacteria resistant to these antibiotics?

Answer: Erythromycin (erythromycin)

Choices:
A. Ciprofloxacin (ciprofloxacin)
B. Lee Feining (rifampin)
C. Penicillin (penicillin)
D. Erythromycin (erythromycin)

23S rRNA
ribosomal proteins
bacteria
ribosomal proteins
mutation
cause
bacteria resistant to


Question: A 20-year-old male truck driver, generate significant because the last two weeks of auditory hallucinations and visual hallucinations and paranoia, and there is violence on the family, and rushed to the emergency room by ambulance. It has always been in good health, most often the past six months due to be driving while smoking several times a day amphetamines, doctors worry that mental illness may be related to taking amphetamines related. Cause of amphetamine psychosis and schizophrenia is not easy to distinguish, of the following is not a characteristic of amphetamine-induced psychosis?

Answer: Cut the emotional discomfort

Choices:
A. Cut the emotional discomfort
B. Visual hallucinations
C. Increased activity
D. Increased libido

20 year old male truck driver
significant
last two weeks
auditory hallucinations
visual hallucinations
paranoia
rushed
emergency room
ambulance
always
most often
past six months due to
smoking several times
day amphetamines
doctors worry
mental illness
related
amphetamines related
Cause
amphetamine psychosis
schizophrenia
not easy to
following
not
characteristic
amphetamine induced


Question: Long-term smoking can cause bladder cancer, which of the following substances has the closest relationship?

Answer: 4-aminobiphenyl

Choices:
A. polycyclic aromatic hydrocarbons
B. nitrosonornicotine
C. 4-aminobiphenyl
D. nicotine

Long-term smoking
cause bladder cancer
following
closest relationship


Question: A 75-year-old male, half an hour before a sudden weakness on the right side, was sent to the emergency room, following the disposal of a variety of conditions than what's inappropriate?

Answer: Measuring blood pressure 190/100 mmHg, labetalol 10 mg administered intravenously, in order to avoid deterioration of the stroke

Choices:
A. Now blood, glucose level of 30 mg / dL, to give a 50% glucose solution
B. Oxygen concentration of 85%, give oxygen
C. CT showed no cerebral hemorrhage, consider the use of thrombolytic agents
D. Measuring blood pressure 190/100 mmHg, labetalol 10 mg administered intravenously, in order to avoid deterioration of the stroke

75 year old male
half
hour
sudden weakness
right side
sent
emergency room
following
conditions
inappropriate


Question: After bearing the title patients by more than disposal, return of blood pressure to 80/60 mmHg, the ECG changes follow below. What's the deal with the following correct?

Answer: Patients were sent to the cath lab ready for disposal vascular reperfusion

Choices:
A. Waiting for the patient and blood biochemical test results to verify the diagnosis
B. Patients will go to the intensive care unit, three hours after the electrocardiogram tracing to monitor the evolution of ST segment and T wave of
C. Patients were sent to the cath lab ready for disposal vascular reperfusion
D. Administration of fast-acting metoprolol dose to prevent the recurrence of arrhythmia patients

bearing
title patients
return
blood pressure
80 60 mmHg
ECG changes follow
following correct


Question: Patients with unilateral hearing due to poor, ENT to see the doctor, otoscopy below, the most likely diagnosis:

Answer: Congenital cholesteatoma (congenital cholesteatoma)

Choices:
A. Congenital cholesteatoma (congenital cholesteatoma)
B. Primary acquired cholesteatoma (primary acquired cholesteatoma)
C. Secondary acquired cholesteatoma (secondary acquired cholesteatoma)
D. Cholesteatoma ear canal (ear canal cholesteatoma)

Patients
unilateral hearing
poor
ENT to see
doctor
otoscopy
diagnosis


Question: Microscopic structure and function related to the pairing of testicular tissue, which of the following is most appropriate?

Answer: Sertoli cell located within the seminiferous tubules (seminiferous tubule) of; sperm (Sperm) differentiation and maturation

Choices:
A. Leydig cell located in the seminiferous tubules (seminiferous tubule) within; secretion of testosterone (Testosterone)
B. Sertoli cell located in the seminiferous tubules (seminiferous tubule) outside; seminiferous tubule shrinkage
C. Sertoli cell located within the seminiferous tubules (seminiferous tubule) of; sperm (Sperm) differentiation and maturation
D. Leydig cell located within the seminiferous tubules (seminiferous tubule) of; sperm (Sperm) nutrient supply

Microscopic structure
function related
testicular tissue
following
most appropriate


Question: 21 year old man, complained of the past two months, headache, blurred vision, A diagram (CT with contrast) has seen a pineal region tumor and cause ventricular dilatation. This patient underwent stereotactic biopsy established the diagnosis, and then receive radiation therapy after the tumor disappeared, B figure is one year after the track of MRI, the diagnosis of this tumor are:

Answer: Germinoma

Choices:
A. Germinoma
B. Medulloblastoma
C. Glioblastoma multiforme (GBM)
D. Meningioma

21 year old man
past two months
headache
blurred vision
diagram
CT with contrast
seen
pineal region tumor
cause ventricular dilatation
patient
stereotactic biopsy established
diagnosis
then receive radiation therapy
tumor
one year
track
MRI
diagnosis
tumor


Question: The following statements about piles (hemorrhoids), and what's right?

Answer: Destination time before the function is to assist the anal hemorrhoids think ⾨-connector is closed and bowel control

Choices:
A. ⾎ tube submucosal tissue hemorrhoids increase ⽣ separate warranty may be called anal varicose veins ⾨
B. Destination time before the function is to assist the anal hemorrhoids think ⾨-connector is closed and bowel control
C. Because of hemorrhoids may develop into malignant tumors, ⼀ treatment of hemorrhoids once found to be positive on ⾺
D. As in the examination room found in patients with thrombotic external hemorrhoids ⾎, consider Using the ligation of hemorrhoids in the examination room


Question: Process nerve action potential (action potential) occurs, the membrane potential depolarization (depolarization) of the potential peak (Peak), the following statement is true where items?

Answer: Outer membrane is much larger than the sodium ion concentration in the sodium ion concentration within the membrane

Choices:
A. Inner membrane significant reduction in the potassium ion concentration
B. The sodium ion concentration in a significant reduction in membrane
C. Outer membrane is much larger than the sodium ion concentration in the sodium ion concentration within the membrane
D. The potassium ion concentration within the membrane is far less than the outer membrane of the potassium ion concentration

Process nerve action potential
action potential
occurs
membrane potential depolarization
potential peak
Peak
following
true


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

Answer: Tongue muscle is composed of smooth muscle fibers interlaced composite

Choices:
A. Is located in the taste buds of the tongue epithelium specialized in Ganjueqiguan
B. Filiform papillae (Filiform papillae) the largest number
C. Tongue surface is covered by stratified squamous epithelium
D. Tongue muscle is composed of smooth muscle fibers interlaced composite


Question: About melioidosis (melioidosis) disease, the following statements is true?

Answer: In patients with acute pneumonia, can be diagnosed by a blood or sputum culture disease

Choices:
A. Usually spread from person to person infection caused by the mutual
B. In patients with acute pneumonia, can be diagnosed by a blood or sputum culture disease
C. The preferred antibiotic is Cefazolin (first generation cephalosporin sub-pixel)
D. Use effective antibiotics two weeks cure

melioidosis melioidosis disease following true


Question: 30 year old woman, G1P0, 36 weeks of gestation, fetal breathing five times at 30 minutes ultrasound monitoring, each lasting 30 seconds or more, according to the fetus biophysical scoring method (biophysical profile), the score at sub FBM why?

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

30 year old woman
36 weeks of gestation
fetal breathing five times
30 minutes ultrasound monitoring
lasting 30 seconds
more
fetus biophysical
biophysical profile
score
sub


Question: Taiwan is the most common stroke that classification?

Answer: Cerebral infarction (cerebral infarction)

Choices:
A. Cerebral infarction (cerebral infarction)
B. Bleeding in the brain (intracerebral hemorrhage)
C. Bleeding (subarachnoid hemorrhage) under the arachnoid
D. Hypoxic encephalopathy (hypoxic encephalopathy)

Taiwan
most common stroke
classification


Question: Normal pressure hydrocephalus (normal pressure hydrocephalus, NPH) after ventricular drainage surgery, most likely to improve the symptoms of which of the following?

Answer: Incontinence

Choices:
A. Incontinence
B. dementia
C. Unsteady gait
D. Inability to bust

Normal pressure hydrocephalus
normal pressure hydrocephalus
NPH
ventricular surgery
likely to
symptoms


Question: A 5-year-old girl, ascites, 1 to 2 months, and finally diagnosed as Budd-Chiari syndrome, which is most likely due to the following piece of blood vessel blockage?

Answer: Hepatic vein

Choices:
A. Hepatic vein
B. Hepatic artery
C. Hepatic portal vein
D. The superior vena cava

5 year old girl
ascites
1 to 2 months
diagnosed
Budd-Chiari syndrome
due to
following piece
blood vessel blockage


Question: Which of the following mycobacteria (Mycobacteria) belonging to slow-growing type (slow-growing)?

Answer: Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Choices:
A. Mycobacterium chelonae (Mycobacterium chelonae)
B. Mycobacterium tuberculosis (Mycobacterium tuberculosis)
C. Mycobacterium fortuitum (Mycobacterium fortuitum)
D. Abscess Mycobacteria (Mycobacterium abscessus)

following
slow-growing type
slow-growing


Question: Adduction and abduction toes Which of the following actions to its axis?

Answer: The second toe

Choices:
A.  foot toe
B. The second toe
C. Third toe
D. The fourth toe

Adduction
abduction toes
following actions
axis


Question: 1. ⼀ bit 40-year-old woman who accepts evil ⾞ head computer tomography examination, found that parts of the pituitary gland empty sella (empty sella) phenomenon. Month after her destination time before normal meals ⾎ sugar 90 mg / dL, PR 80 / min, BP 130/80 mmHg, free T4 1.2 ng / dL (normal range 0.8 ~ 8 ng / dL), TSH 1.0μIU / mL ( normal range 0.1 ~ 2.0 μIU / mL), early morning cortisol 15 μg / dL (normal range 8 ~ 18 μg / dL). He's following the disposal of the most appropriate?

Answer: Description disease patients put the Center Weighted (reassurance)

Choices:
A. Sella your watch by the pituitary gland surgery (transsphenoid surgery)
B. Radiotherapy (radiation therapy)
C. Drugs (bromocriptine therapy)
D. Description disease patients put the Center Weighted (reassurance)

1
bit 40 year-old woman
accepts
head computer tomography examination
found
parts
pituitary gland empty sella
empty sella
Month
destination time
normal meals
sugar 90 mg
dL
PR 80
min
BP
80 mmHg
free
ng
dL
normal range 0 8
8 ng
dL
mL
normal range 0.1
IU
mL
early morning cortisol
g
dL
normal range
g
dL
following
appropriate


Question: 28 of a 56 year old man with hypertension, as shown in FIG ECG, biochemical examination values: CK 546 U / L, CK-MB 50 U / L, Troponin-I 9.5 ng / mL. May I ask what these drugs do not apply to this patient?

Answer: r-tPA

Choices:
A. aspirin
B. low-molecular-weight heparin
C. unfractionated heparin
D. r-tPA

year old man
hypertension
ECG
biochemical
values
CK
U
L
CK-MB 50 U
L
Troponin-I 9.5 ng
mL
I
drugs
not apply
patient


Question: Primarily via local anesthetic lidocaine ions which enter cells to inhibit blocking nerve conduction?

Answer: sodium

Choices:
A. sodium
B. calcium
C. Potassium
D. chlorine

local anesthetic lidocaine
enter cells to inhibit blocking


Question: Which of the following protozoan continuously changing machine having the variability due to rotation surface glycoprotein (variant surface glycoproteins, VSG), the attack action to evade the host's immune system?

Answer: Gambiense (Trypanosoma gambiense)

Choices:
A. Gambiense (Trypanosoma gambiense)
B. Dry West Trypanosoma cruzi (Trypanosoma cruzi)
C. 弓蟲（Toxoplasma gondii）
D. Leishmania parasite (Leishmania donovani)

following
changing machine
due to rotation surface glycoprotein
variant surface glycoproteins
attack action to
immune system


Question: The following anticancer drugs, what can and vascular endothelial growth factor A (vascular endothelial growth factor-A) binding, and inhibition of tumor angiogenesis (angiogenesis), to achieve the anticancer effects?

Answer: bevacizumab

Choices:
A. bevacizumab
B. cetuximab
C. panitumumab
D. trastuzumab

following
vascular endothelial growth factor A
vascular endothelial growth factor-A
inhibition of tumor angiogenesis
angiogenesis
to
effects


Question: The following hepatitis B virus infection of the mother and child associated narrative, what's right?

Answer: With original mother breast-feeding does not increase infection rates of infant

Choices:
A. Most infected infants in the neonatal period were serum HBsAg positive
B. There will be no infection in utero
C. With original mother breast-feeding does not increase infection rates of infant
D. Only a few infections occur in the perinatal period

following hepatitis B virus infection
child associated
right


Question:
7. a 37-year-old man, was in a car accident resulting in massive blood loss shock, sent to the operating room to stop bleeding, when anesthesiologists dealing with patients, in addition to the depth of anesthesia, which of the following must be considered together? ① intestinal system is vulnerable to shock, resulting in "no-reflow" phenomenon, for the failure of multiple organ systems (MOSF: multiple organ system failure) is an important part ② kidney can maintain glomerular filtration rate (GFR in the early shock : glomerular filtration rate), but the distribution of blood flow would tend to cortical surface area (superficial cortical area) ③ lung
 Acute respiratory distress symptoms may occur (ARDS: acute respiratory distress syndrome), primarily derived from the inflammatory response rather than bleeding the reaction ④ given sufficient depth of anesthesia, systolic blood pressure is maintained as the target 70 ~ 100 mmHg to, infusion therapy

Answer: ①③④

Choices:
A. ①③④
B. ①②④
C. ②③④
D. ①②③


Question: Which of the following is most likely to cause cataracts (cataract), deafness, heart defects and other congenital anomalies?

Answer: German measles virus (rubella virus)

Choices:
A. German measles virus (rubella virus)
B. CMV (cytomegalovirus)
C. Toxoplasma (Taxoplasma gondii)
D. Treponema (Treponema phallidum)

following
to cause cataracts
cataract
deafness
heart defects
congenital anomalies


Question: Meiosis via recombinant DNA:

Answer: Double-strand break (double-strand break) recombinant

Choices:
A. Double-strand break (double-strand break) recombinant
B. Single strand breaks (single-strand break) recombinant
C. Telomere (telomere) restructuring
D. Centromere (centromere) recombinant


Question: The following narrative about the β-lactam antibiotics, whichever is correct?

Answer: Mycoplasma (Mycoplasma) for antibiotics with β-lactam resistant

Choices:
A. Binding penicillin binding proteins (PBPs), changes in membrane function
B. Penetration (permeability) difference is the most common cause of drug-resistant bacteria
C. vancomycin antibiotics belonging to β-lactam
D. Mycoplasma (Mycoplasma) for antibiotics with β-lactam resistant


Question: What kind of following hypertension drugs most likely to cause side effects of edema?

Answer: Calcium channel blockers (calcium channel blockers)

Choices:
A. Sympathetic beta blockers (β-blockers)
B. Calcium channel blockers (calcium channel blockers)
C. Angiotensin converting enzyme inhibitors (angiotensin converting enzyme
D. EC) inhibitors)

kind
following hypertension drugs
to cause side effects
edema


Question: 40-year-old woman, complained of vaginal odor amount of pus-like discharge, found that vaginal congestion check, cervix presented as shown in the following statements is wrong?

Answer: Most likely infected with chlamydia

Choices:
A. Most likely infected with chlamydia
B. Vaginal pH is usually greater than 5
C. Often accompanied by genital itching
D. Whiff test may become positive

40 year old woman
vaginal odor amount
pus
discharge
found
vaginal congestion check
cervix
following
wrong


Question: The following antiepileptic drug, whichever is most likely to cause fatal "Stevenson - Johnson syndrome (Stevens-Johnson syndrome)"?

Answer: lamotrigine

Choices:
A. topiramate
B. gabapentin
C. lamotrigine
D. valproate

following antiepileptic drug
to cause fatal
Johnson syndrome
Stevens-Johnson syndrome


Question: Which of the following is not the polycystic ovary syndrome (polycystic ovarian syndrome) blood performance?

Answer: SHBG (sex hormone binding globulin) increase

Choices:
A. SHBG (sex hormone binding globulin) increase
B. free estradiol increase
C. increase free testosterone
D. LH increase

following
not
polycystic ovary syndrome
polycystic ovarian syndrome
blood


Question: Wang due to a cold, nausea, eat, to the clinic for treatment, Li prescription cough syrup and antiemetic abdominal Ninglang (Primperan), about 1 hour after taking Wang, tongue involuntary spit it out, so , very scared to return to clinics for help, Dr. Lee handled immediately, the following methods are what most inappropriate?

Answer: Oral beta-adrenergic receptor blockers (β-adrenergic receptor blocker): propranolol

Choices:
A. Be comforted (reassurance), will not be affected much informed, comfort Wang relax, breathe slowly, giving hypnosis (hypnosis)
B. Intramuscular injection of anti-allergic drugs: diphenhydramine
C. Intravenous sedation: diazepam
D. Oral beta-adrenergic receptor blockers (β-adrenergic receptor blocker): propranolol

due to
cold
nausea
eat
clinic
treatment
Li
antiemetic abdominal
Primperan
about
hour
tongue
spit
out
so
very
to return
clinics
help
Dr
immediately
following methods
most inappropriate


Question: A 60-year-old woman complained of weight loss of 10 kg within two months, back pain, yellowing of the skin, the solution brown urine, pale stool, right upper quadrant palpable gallbladder, please answer the following two questions. The most likely diagnosis of this patient:

Answer: Pancreatic head cancer

Choices:
A. hepatitis
B. Cirrhosis
C. Pancreatic head cancer
D. Acute cholecystitis


Question: When ovulation temperature rise was mainly influenced by that kind of hormones?

Answer: Progesterone (progesterone)

Choices:
A. Progesterone (progesterone)
B. Testosterone (testosterone)
C. Estradiol (estradiol)
D. Cortisol (cortisol)


Question: 8. The following pathogens that primarily through the bite of arthropods (arthropods) while contagious, and can multiply in human cells? ① in the Song Shigella (Shigella sonnei) ② Malta brucellosis (Brucella melitensis) ③ Tula Fulangxisi bacteria (Francisella tularensis) ④ addicted to swallow anaplasmosis (Anaplasma phagocytophilum)

Answer: ③④

Choices:
A. ①②
B. ③④
C. ②④
D. ①③

following
bite
arthropods
multiply
human cells
Malta brucellosis
Tula
bacteria
addicted to swallow anaplasmosis


Question: Act in accordance with the physician, the physician should make the implementation of business records. Which of the following non-physician law expressly cited medical records should include the content?

Answer: Resulting in injuries due to outside

Choices:
A. Patient's Name
B. diagnosis
C. Resulting in injuries due to outside
D. test result

Act
physician
physician
make
business records
following non physician law
medical records
include


Question: Which of the following is not in clinical use of atropine?

Answer: Treatment of narrow-angle glaucoma

Choices:
A. Treatment of narrow-angle glaucoma
B. The eye ciliary muscle paralysis
C. Bronchial secretion reduction surgery
D. Acute rescue of organophosphate poisoning


Question: A 45 year old male patient with liver cirrhosis, a large number of ascites. Physician after salt restriction is not valid, consider giving diuretics. Consideration is caused by the cirrhosis hyperaldosteronism, Which of the following do you think is the best choice?

Answer: spironolactone

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

year old male patient
liver cirrhosis
large
ascites
salt restriction
not valid
giving diuretics
Consideration
caused
cirrhosis hyperaldosteronism
following
best


Question: 25 A 55 year old male, smoking a pack a day for 30 years, history of hypertension but irregular medication, when complained movement of the left chest men Tong, after minutes or containing nitroglycerin sublingual tablets can be improved. The following statements is wrong?

Answer: The use of long-acting nitrates nitroglycerin sublingual tablets more effective than immediate improvements in symptoms of chest pain

Choices:
A. When to nuclear medicine, cardiac perfusion scan (nuclear myocardial perfusion imaging) to examine, or injection of dipyridamole
B. When the patient does not have obvious symptoms, physical checkups are mostly normal
C. The use of long-acting nitrates nitroglycerin sublingual tablets more effective than immediate improvements in symptoms of chest pain
D. The use of HMG-CoA reductase inhibitors for the treatment of abnormal blood fat, can reduce low-density lipoprotein cholesterol (LDL-C) concentration and cardiovascular risk

year old male
smoking
pack
day
30 years
history of hypertension
irregular medication
movement
left chest
Tong
minutes
containing
improved
following
wrong


Question: For endometrial cancer FIGO stage to stage Ib G3 of patients, postoperative treatment plans Why use most often?

Answer: Radiation therapy

Choices:
A. Carefully follow-up examinations
B. Radiation therapy
C. Progesterone treatment
D. Chemotherapy


Question: Disease screening to test series (Sequential Testing) whom does it affect the validity of screening?

Answer: Specificity net (Net specificity) increased

Choices:
A. Net sensitivity (Net sensitivity) increased
B. Specificity net (Net specificity) increased
C. Specificity net (Net specificity) reduction
D. The false positive rate (False positive rate) increases

Disease screening to test series
Sequential Testing
validity
screening


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. Retinal and optic disc optic nerve (optic nerve) at the junction
D. Visual field (visual field) to check a blind spot (blind spot) is located in the optic disc


Question: He characterized the clinical diagnosis of skin following items are not in accordance with atopic dermatitis (atopic dermatitis) is?

Answer: Childhood, lichen skin lesions especially likely to occur in the elbow and knee extension side

Choices:
A. Chronic phase, there is pigmentation around the eyes (periorbital pigmentation)
B. Chronic phase, there is the phenomenon of Dennie-Morgan
C. Childhood, lichen skin lesions especially likely to occur in the elbow and knee extension side
D. In the affected areas of skin, skin painted with white lines disorder (white dermatographism)

clinical diagnosis
skin following
not
atopic dermatitis
atopic dermatitis


Question: Arrangements patient before surgery, patients need to explain with details of its benefit-risk surgery, after confirming that patients understand and agree, then ask patients to sign informed consent procedure (informed consent), this approach is to ensure that:

Answer: Respect for the principle of autonomy (respect for autonomy)

Choices:
A. Respect for the principle of autonomy (respect for autonomy)
B. The principle of beneficence (beneficence)
C. Do no harm principle (non-maleficence)
D. The principles of justice (justice)

Arrangements patient
surgery
patients need to
details
benefit-risk surgery
confirming
patients
agree
then
patients to sign
procedure
approach
to


Question: The following statements about skin graft, what's wrong?

Answer: graft dermis thicker the more you will contracture

Choices:
A. skin graft survival need to go through plasmatic circulation, organization and revascularization
B. The most common reason for surgery is the loss of hematoma or seroma accumulation, infection and movement
C. graft dermis thicker the more you will contracture
D. refers to a graft plasmatic circulation of nutrients directly absorbed within 48 hours after surgery


Question: About the network structure (reticular formation) nuclei, which of the following to norepinephrine (norepinephrine) is the main neurotransmitter?

Answer: The locus coeruleus (locus coeruleus)

Choices:
A. The locus coeruleus (locus coeruleus)
B. 縫核（raphe nucleus）
C. Ventral tegmental area (ventral tegmental area)
D. Foot bridge reticular nucleus (pedunculopontine reticular nucleus)

network structure
reticular formation
nuclei
following
norepinephrine
norepinephrine
main neurotransmitter


Question: Chen, 45 years old, has not previously been a particular disease or a history of pregnancy, due to abdominal pain clinic, ultrasound found a 7 cm complexity pelvic tumor, surgical pathology frozen sections confirmed as a bright cell ovarian cancer (clear cell adenocarcinoma of ovary ), and found that tumors and some have small intestine and the large intestine sticking violations, under surface of the liver and diaphragm and no tumor metastasis and treatment related to patients, Which statement is correct?

Answer: Patients should receive debulking surgery, may need to include a portion of the small intestine and large intestine removed, after receiving chemotherapy should

Choices:
A. Patients were stage IV ovarian cancer patients
B. Families should explain the tumor has spread out and can no longer surgery to remove, can only rely on chemotherapy after surgery
C. Patients should receive debulking surgery, may need to include a portion of the small intestine and large intestine removed, after receiving chemotherapy should
D. Patients receiving pelvic viscera required enucleation surgery (including bladder, uterus and rectum resection, bladder surgery and artificial artificial anus)


Question: From the previous question, the most valuable diagnostic examination is:

Answer: Anti-streptolysin O antibody (anti-streptolysine O, ASLO)

Choices:
A. Brain magnetic resonance imaging (magnetic resonance imaging)
B. EEG (electroencephalogram)
C. Anti-streptolysin O antibody (anti-streptolysine O, ASLO)
D. Cerebrospinal fluid (cerebrospinal fluid)


Question: 76.25-year-old male patients with head trauma, until emergency GCS (Glasgow Coma Scale, GCS) 7 points, the endotracheal tube placement after confirming endotracheal tube is placed in the trachea in the way, to follow the 2010 American Heart Assoication (AHA) publication of the Emergency Cardiovascular Care proposal, except:

Answer: According chest X-ray

Choices:
A. Five-point auscultation
B. According chest X-ray
C. End-tidal carbon dioxide partial pressure (End-Tidal CO2, ETCO2) monitoring carbon dioxide concentration do
D. Endotracheal tube through the direct visualization of the vocal cords

76
year old male patients
head
emergency GCS
Glasgow Coma Scale
GCS
points
endotracheal tube placement
confirming
trachea
to follow
Heart
AHA
publication
Emergency Cardiovascular Care


Question: 25-year-old woman, three days before embryo implantation, due to the emergency room for treatment of respiratory discomfort, visible under ultrasound ovaries are greater than 8 cm, massive ascites, the patient complained of decreased urine output. Of the following is most incorrect?

Answer: Diuretics should be given as soon as possible

Choices:
A. Diuretics should be given as soon as possible
B. Infusion selection, saline superior lactated Ringer's solution
C. Bed may reduce the risk of ovarian torsion
D. If patients become pregnant, the symptoms may worsen

year old woman
three days
embryo implantation
due to
emergency
treatment
respiratory discomfort
visible
ultrasound ovaries
greater than
massive ascites
patient
decreased urine output
following
most incorrect


Question: An unmarried 32-year-old mother of cleft lip and palate birth to a baby boy, the mother needs to learn a big hole in the teat feeding baby, the future must be surgically corrected several times, however, the medical staff found the drug mother was a patient, there is no occupation, baby father unknown, but the baby's grandparents also refused to assume parental responsibility, which of the following is the best disposal?

Answer: Social welfare organizations seeking assistance

Choices:
A. Return to the mother custody
B. Forced the baby's grandparents
C. Social welfare organizations seeking assistance
D. Determination by the court

year old
cleft lip
palate birth
baby boy
needs to
big hole
teat
baby
future
surgically corrected several times
medical staff found
drug
patient
baby
unknown
baby's
to
following
best


Question: Scrotum (scrotum) malignant skin melanoma (malignant melanoma) are most likely to be transferred to the following lymph nodes?

Answer: Superficial inguinal lymph nodes (superficial inguinal lymph nodes)

Choices:
A. Iliac lymph nodes (internal iliac lymph nodes)
B. External iliac lymph nodes (external iliac lymph nodes)
C. Superficial inguinal lymph nodes (superficial inguinal lymph nodes)
D. Aortic lymph nodes (aortic lymph nodes)

Scrotum
scrotum
malignant skin melanoma
malignant melanoma
to
transferred
following lymph nodes


Question: For children H. pylori infection, currently recommended triple therapy (triple therapy) must include the following what kind of drugs?

Answer: Proton pump inhibitors

Choices:
A. Aminoglycosides
B. Beta-lactams
C. Histamine blockers
D. Proton pump inhibitors

children H
pylori infection
currently
triple therapy
triple therapy
include
following
kind
drugs


Question: For patients with head injury, intracranial pressure Which of the following methods to reduce the effect of the worst?

Answer: hypoventilation

Choices:
A. Head elevated 30 degrees
B. Mannitol or glycerol using other drugs
C. hypoventilation
D. craniectomy

patients
head injury
intracranial pressure
following methods to
effect
worst


Question: Following treatment for gout, whichever is correct?

Answer: Colchicine is used to treat acute gout attacks

Choices:
A. Aspirin is a good treatment of gout anti-inflammatory drugs
B. Colchicine is used to treat acute gout attacks
C. Probenecid When used to treat chronic gout, the drug should be less water to increase the local concentration in the kidney, the reinforcing effect
D. Allopurinol reduces the formation of uric acid due to inhibition of the superoxide dismutase


Question: The following related rheumatic fever (rheumatic fever) of the narrative, what's wrong?

Answer: Polyarthritis (polyarthritis) is the most common clinical manifestations, mainly affects the small joints (small joints)

Choices:
A. group A β-hemolytic streptococcus infection pathogenesis
B. About 40 to 80% occur heart inflammation (carditis), if the violation of the valve to the mitral valve (mitral valve) most common
C. Polyarthritis (polyarthritis) is the most common clinical manifestations, mainly affects the small joints (small joints)
D. Which may involve transfer machine pathogenic autoimmune (autoimmune) mechanisms

following related rheumatic fever
rheumatic fever
wrong


Question: 28-year-old wife, Zhang married more than three months, has always been in good health. Sudden severe lower abdominal pain yesterday, vaginal bleeding (vaginal bleeding). On examination found her blood in the pelvic cavity, there is an emergency situation while doing her computer tomography, as seen in FIG. She most likely suffering from what disease?

Answer: Ectopic pregnancy (ectopic pregnancy)

Choices:
A. Ovarian cysts (ovarian cyst)
B. Ectopic pregnancy (ectopic pregnancy)
C. Endometriosis (endometriosis)
D. Ovarian cancer (ovarian cancer)

year old
married more
three months
always
Sudden severe lower abdominal pain
vaginal bleeding
vaginal bleeding
found
blood
pelvic cavity
computer tomography
seen
suffering
disease


Question:
A 65-month 26-year-old patient recently tiredness, shortness of breath walking. Ten years ago, the diagnosis of nephrotic syndrome, steroid treatment is not given Chang. Five years ago, his serum creatinine was 2.8 mg / dL, two years ago, rose to 5.2 mg / dL; the inspection was 9.5 mg / dL, BUN
 120 mg / dL, hemoglobin 8.5 g / dL, electrolytes: Na 139 mmol / L, K 5.8 mmol / L, Cl 103 mmol / L, Ca 7.8 mg / dL, 0 mg / dL. Which of the following patient about this disposal less suitable?

Answer: May be considered for a first angiotensin receptor inhibitors (angiotensin type I receptor blocker) to slow renal function decline

Choices:
A. Giving erythropoietin injections
B. Parathyroid hormone concentration in the patient usually rises, first with phosphorus ions CaCO3 control
C. May be considered for a first angiotensin receptor inhibitors (angiotensin type I receptor blocker) to slow renal function decline
D. May consider starting dialysis

65 month
year old patient recently tiredness
shortness of breath
Ten years
diagnosis
nephrotic syndrome
steroid treatment
not
Five years
serum creatinine
2
mg
dL
two years
rose
2 mg
dL
inspection
9.5 mg
dL
mg
dL
hemoglobin 8.5 g
dL
electrolytes
mmol
L
mmol
L
mmol
L
Ca
mg
dL
0 mg
dL
following patient
less suitable


Question: A male patient 58 years old with the original hepatitis B, year and a half ago in the ascending colon (Dukes' stage: B2) who underwent curative resection for colorectal right side, including chest X after periodic tracking outpatient light, abdominal ultrasound and a colonoscopy and other displays everything is normal. But abdominal ultrasound examination last week before they found isoechoic tumor shadow the size of a two centimeters in the center of the lateral segment of the left lobe of the liver, serum CEA value is still normal, asymptomatic patients. Abdominal CT scan also showed a lesion in the same location with the same size. Abdominal ultrasound and CT scan results of other parts of the computer are normal. PET (positron tomography) examination results, and also appeared in the first two consistent abnormalities developing in the left lobe of the liver, in addition to not have other abnormalities developing place. The patient is diagnosed what could be?

Answer: Metastatic colon cancer to liver or Hepatocellular carcinoma are likely to

Choices:
A. Liver abscess
B. Metastatic colon cancer to liver
C. Hepatocellular carcinoma
D. Metastatic colon cancer to liver or Hepatocellular carcinoma are likely to

A male patient 58 years old
original hepatitis B
year
half
ascending colon
Dukes
stage
B2
curative resection
colorectal right side
including chest
periodic tracking outpatient light
abdominal ultrasound
colonoscopy
displays
normal
abdominal
week
found
tumor shadow
size
two centimeters
center of
lateral segment of
left lobe
liver
serum
value
normal
asymptomatic patients
Abdominal CT
lesion
same location
same size
Abdominal ultrasound
CT scan results of
parts
computer
normal
positron tomography
results
appeared
first two
abnormalities
the left lobe of
liver
not
abnormalities
place
patient
diagnosed


Question: Large 10-month boy fever six days, trunk and limbs, hands and feet visible skin rashes and swelling, conjunctival redness, while strawberry tongue and lips chapped, palpable lymph nodes in the neck, which of the following error?

Answer: If this patient using IVIG 2g / kg treatment, in 1 years, 1 month varicella vaccine can be administered to play

Choices:
A. The most likely diagnosis is Kawasaki disease (Kawasaki disease)
B. Aspirin therapy can be used orally
C. If this patient using IVIG 2g / kg treatment, in 1 years, 1 month varicella vaccine can be administered to play
D. By arrangement cardiac ultrasound examination

Large 10 month boy fever six days
trunk
limbs
hands
feet visible skin rashes
swelling
conjunctival redness
strawberry tongue
lips chapped
palpable lymph nodes
neck
following error


Question: Which of the following drugs, primarily cholesterol uptake inhibiting effect on the intestinal cells, can be combined with statin drugs to reduce LDL efficacy of addition?

Answer: Ezetimibe

Choices:
A. Gemfibrozil
B. Niacin
C. Ezetimibe
D. Cholestyramine

following drugs
cholesterol uptake
effect
combined
statin drugs to
efficacy
addition


Question: Which of the following and niacin (pellagra) has nothing to do?

Answer: A lack of vitamin C (ascorbic acid)

Choices:
A. Lack of vitamin B6 (pyridoxine)
B. A lack of vitamin C (ascorbic acid)
C. A lack of vitamin B3 (niacin)
D. Long-term use of isoniazid patients


Question: Normal young men goes to the body upright posture, before the surface projection of the pulmonary valve position where the closest following?

Answer: The left third intercostal

Choices:
A. The left third intercostal
B. The left fifth intercostal
C. The fourth intercostal space on the right
D. The sixth intercostal space on the right

Normal young
body upright posture
surface projection
pulmonary position
closest following


Question: Cerebral infarction (cerebral infarction) classification of cause, a cause that most likely is not related to high blood pressure?

Answer: Vasculitis (vasculitis)

Choices:
A. Macrovascular atherosclerosis infarction (large-vessel atherosclerotic infarction)
B. Heart embolism (cardiac embolism)
C. Small holes vascular infarction (small-vessel lacunar infarction)
D. Vasculitis (vasculitis)

Cerebral infarction
cerebral infarction
classification
cause
cause
likely
not related
high blood pressure


Question: The following fungal diseases, those are two type of fungus (Dimorphic fungi)?

Answer: Sporothrix schenckii and Penicillium marneffei

Choices:
A. Aspergillus niger and Rhizopus stolonifer
B. Candida albicans and Rhizopus stolonifer
C. Sporothrix schenckii and Candida albicans
D. Sporothrix schenckii and Penicillium marneffei

following fungal diseases
two type
fungus