Question: A 30-year-old otherwise healthy male, 10 minutes ago very sober, poisoning less than 10 minutes into a deep coma, following what kind of poisoning, least likely to cause the patient in a coma in a short time?

Answer: Methanol (methanol)

Choices:
A. Cyanide (cyanide)
B. Hydrogen sulfide (hydrogen sulfide)
C. Organic phosphorus (organophosphate)
D. Methanol (methanol)

30 year old
healthy male
10 minutes
very
poisoning less than 10 minutes
deep coma
following
kind
poisoning
least likely to cause
patient
coma
short time


Question: A 60-year-old woman complained of a headache the past month, this is the MRI images after injection of the developer (Gd-DTPA), lesions of the arrow, the diagnosis is:

Answer: Meningioma (meningioma)

Choices:
A. Meningioma (meningioma)
B. Vasodilation of the superior sagittal sinus (aneurysmal dilatation of superior sagittal sinus)
C. Astrocytoma (astrocytoma)
D. Few dendritic glioblastoma (oligodendroglioma)

60 year old woman
headache
past month
MRI
injection
developer
Gd-DTPA
lesions
arrow
diagnosis


Question: A patient's tissue sample incubated at 25 ° C, the spores were observed having a joint barrel of about 3 ~ 6 μm of size (barrel-shaped arthroconidia). The following are most likely to suffer from that disease?

Answer: Ball fungal disease (Coccidioidomycosis)

Choices:
A. Memu germs disease (Blastomycosis)
B. Ball fungal disease (Coccidioidomycosis)
C. Histoplasma capsulatum disease (Histoplasmosis capsulati)
D. Vice ball fungal disease (Paracoccidioidomycosis)

patient's tissue sample incubated
observed
joint barrel
m
size
barrel-shaped
following
to suffer
disease


Question: Shaken baby syndrome causes about (Shaken baby syndrome), the Which of the following more correct?

Answer: Usually caused by shaking caused by malicious caregivers

Choices:
A. Usually caused by sitting in a rocking chair baby cause
B. Caregivers usually caused by shaking hold back to sleep cause
C. Usually caused by shaking caused by malicious caregivers
D. Usually caused by caregivers play with the baby cause

Shaken baby syndrome causes
Shaken baby syndrome
following more correct


Question: About Light manic episode (hypomanic episode) is described in the diagnostic criteria of DSM-IV-TR (criteria), the Which statement is correct?

Answer: Talkative than usual or not said restraint incessantly

Choices:
A. Increased sleep
B. focus
C. Talkative than usual or not said restraint incessantly
D. Reduced activity, social withdrawal

About Light manic episode
hypomanic episode
TR
correct


Question: 40-year-old man, known to be hepatitis B asymptomatic carrier for nearly 20 years, most recently due to the general malaise medical treatment. Last year he was convicted of upper gastrointestinal bleeding hospitalized. Physical examination revealed a small liver, laboratory tests found lower serum albumin and clotting time value longer. Which of the following physical findings are least likely to occur?

Answer: Lobes hemorrhages (splinter hemorrhage)

Choices:
A. Snake female head (caput medusae)
B. Man woman breast disease (gynecomastia)
C. Spider angioma (spider angioma)
D. Lobes hemorrhages (splinter hemorrhage)


Question: Account of the iris (iris), and what this bad?

Answer: Belonging to the eye of the iris fiber layer (tunica fibrosa)

Choices:
A. Belonging to the eye of the iris fiber layer (tunica fibrosa)
B. Prior to the posterior chamber of the eye and the room (anterior & posterior chamber) is the limit of the iris
C. Iris opening (i.e., the pupil pupil) controlled by smooth muscle
D. Iris stroma contains blood vessels and nerve fibers


Question: 77. a 4 year-old girl is 60 kilometers per hour impinging locomotive, fell from 5 meters away, to the emergency complained of abdominal pain, blood pressure 68/40 mmHg, heart rate per minute

Answer: 400 ml of physiological saline was repeated three times, with 200 ml of whole blood

Choices:
A. Physiological saline 800 ml adding 400 ml of whole blood
B. Physiological saline 800 ml adding 200 ml of whole blood
C. 200 ml of physiological saline was repeated three times, with 100 ml of whole blood
D. 400 ml of physiological saline was repeated three times, with 200 ml of whole blood

4 year old girl
60 kilometers per hour
fell
meters
emergency
abdominal pain
blood pressure
40 mmHg
heart rate
minute


Question: A 30-year-old woman to the emergency room for medical treatment, complained of sudden chest pain, long-term breathing difficulties, chest computed tomographic images such as drawings, the following statements is wrong?

Answer: The incidence of men and women fairly

Choices:
A. Imaging findings with tuberous sclerosis lesions in the lungs similar high
B. This patient spontaneous pneumothorax may occur
C. The incidence of men and women fairly
D. In addition to the lungs, may also occur at the site of abnormal kidneys, nervous system, etc.

30 year old woman
emergency room
medical treatment
of sudden chest pain
long-term breathing difficulties
chest computed tomographic
following
wrong


Question: 5-day-old baby boy was found to have respiratory distress, cyanosis, and cardiac murmur. 74 breaths per minute concave phenomenon combined powerful chest, the right liver at 5 cm palpable ribs, his right blood pressure 66/40 mmHg, and the left lower limb blood pressure was about 44/20 mmHg. Concomitant hypocalcemia. Which of the following is an inappropriate treatment?

Answer: Intravenous injection of indomethacin

Choices:
A. Endotracheal intubation (intubation) maintain respiration and give oxygen
B. Intravenous injection of dopamine, dobutamine
C. Intravenous injection of indomethacin
D. Blood tests merger of chromosome 22 q11 deficit disorder

5 day old baby boy
found to
respiratory distress
cyanosis
cardiac murmur
74 breaths per minute concave
combined powerful chest
right liver
palpable ribs
right blood pressure 66 40 mmHg
left lower limb blood pressure
about
20 mmHg
Concomitant hypocalcemia
following
inappropriate treatment


Answer: Congenital bonding radius and ulna (congenital radioulnar synostosis)

Choices:
A. Congenital radial head dislocation (congenital radial head dislocation)
B. Labor plexus injury (brachial plexus birth injury)
C. Congenital bonding radius and ulna (congenital radioulnar synostosis)
D. Mengtejiya's fracture (Monteggia's fracture)


Question: 50-year-old man complained of chest pain and coughing, chest imaging figure, the most likely diagnosis is which of the following?

Answer: Lung cancer

Choices:
A. Lung cancer
B. Limitations of pleural effusion
C. Mesenchymal effusion (interlobar effusion)
D. Pulmonary embolism (pulmonary embolism)

50 year old man
of chest pain
coughing
chest imaging
diagnosis
following


Question: It is one of the following to increase the anion gap metabolic acidosis (high anion gap metabolic acidosis)?

Answer: Starvation (starvation)

Choices:
A. Diarrhea (diarrhea)
B. Starvation (starvation)
C. Vomit (vomitting)
D. Ureteral - B-shaped colostomy surgery (ureterosigmoidostomy)

one
following to increase
anion gap metabolic acidosis
high acidosis


Question: Statements about the cervical disc herniation, Which statement is correct?

Answer: Intermediate (Central) of disc herniation of the spinal cord resulting in easier

Choices:
A. Pain cervical disc herniation that it does not spread to the chest
B. Intermediate (Central) of disc herniation of the spinal cord resulting in easier
C. Fifth, between the lateral cervical Six (lateral) disc herniation easier compression of the nerve roots C5
D. If the suspected nerve root compression as soon as possible (within one week) arranged EMG


Question: Which of the following is not responsible for ⾎ fluid supply of the breast?

Answer: Artery ribs (subcostal artery)

Choices:
A. Intercostal artery (intercostal artery)
B. Internal thoracic artery (internal thoracic artery)
C. Thoracic artery outer (lateral thoracic artery)
D. Artery ribs (subcostal artery)

following
not responsible
fluid supply
breast


Question: About thyroid (thyroid gland) and parathyroid (parathyroid gland), the following statements is this bad?

Answer: Aerobic cells (oxyphil cell) secretes parathyroid hormone (parathyroid hormone)

Choices:
A. Aerobic cells (oxyphil cell) secretes parathyroid hormone (parathyroid hormone)
B. Parathyroid hormone (parathyroid hormone) can promote intestinal absorption of calcium
C. Thyroglobulin (Thyroglobulin) synthesized in the follicle cells (follicle cells) roughness of the endoplasmic reticulum (rER,)
D. Thyroid follicular cells secrete next calcitonin (Calcitonin)

thyroid
thyroid gland
parathyroid
parathyroid gland
following
bad


Question: A 53-year-old man used to smoke every day 20 to 30, a 20-year history. Has been 2 years without a physical examination, examination requirements to the clinic, following an examination of the most desirable recommend that the US Preventive Health Working Group (USPSTF) preventive health care?

Answer: Measurement of blood pressure, in order to understand the risk of cardiovascular disease

Choices:
A. Pulmonary function tests at screening chronic lung disease
B. Chest X-ray screening to lung
C. Measurement of blood pressure, in order to understand the risk of cardiovascular disease
D. IOP in glaucoma screening

year old man used to smoke
day 20
30
20 year history
2 years
requirements
following


Question: Due to atherosclerosis caused by abdominal aortic aneurysm (abdominal aneurysm) Rongyifasheng reasons for rupture?

Answer: High stress vessel wall (wall stress)

Choices:
A. High stress vessel wall (wall stress)
B. High blood flow velocity
C. High vascular resistance
D. High vascular compliance (compliance)

atherosclerosis caused
abdominal aortic aneurysm
abdominal aneurysm
rupture


Question: Children account of persistent hyperinsulinism clinical characterization (hyperinsulinism) is, which of the following error?

Answer: Blood ketone (ketone body) high concentration

Choices:
A. Low blood serum insulin concentration greater than 10 μU / mL (normal 5-10 μU / mL)
B. Blood ketone (ketone body) high concentration
C. High serum C-peptide values
D. Implementation of glucagon stimulation test at the time of hypoglycemia (glucagon test), so that it can increase blood glucose levels 40 mg / dL over 17 girls under the age of 10 large low-energy thyroid disease, the most common reasons are:

Children account
persistent hyperinsulinism clinical
hyperinsulinism
following error


Question: Epiphyseal plate (epiphyseal plate), the chondrocyte Which of the following will undergo apoptosis (apoptosis)?

Answer: Calcified cartilage zone (zone of calcified cartilage)

Choices:
A. Calcified cartilage zone (zone of calcified cartilage)
B. Hypertrophic cartilage zone (zone of hypertrophy)
C. Hypertrophic cartilage zone (zone of proliferation)
D. Cartilage reserve zone (zone of reserve cartilage)

Epiphyseal plate
epiphyseal plate
following
apoptosis
apoptosis


Question: Which of the following does not belong to greenhouse gas (green house gases)?

Answer: NH3

Choices:
A. N2O
B. CO2
C. CH4
D. NH3


Question: What persistence of cytokines seventeenth type helper T cells (TH17) need to be able to maintain its function?

Answer: IL-23

Choices:
A. IL-12
B. IL-23
C. IL-10
D. IFNs-c


Question: Mitochondrial oxidative phosphorylation produced by the process · O2- radical, an enzyme that is removed by the following?

Answer: Superoxide dismutase 31 animals breathing oxygen (O2) into the cell oxidative phosphorylation, O2 will eventually be transformed into what substance?

Choices:
A. NADH dehydrogenase
B. Glutathione peroxidase
C. Glutathione reductase
D. Superoxide dismutase 31 animals breathing oxygen (O2) into the cell oxidative phosphorylation, O2 will eventually be transformed into what substance?

Mitochondrial process O2 radical enzyme removed


Question: There is a 6-week-old boy, have vomiting after feeding in recent days, no bloating, abdominal palpable but the olive-shaped lumps, what do you think he might be a disease?

Answer: Hypertrophic pyloric obstruction (hypertrophic pyloric stenosis)

Choices:
A. Hypertrophic pyloric obstruction (hypertrophic pyloric stenosis)
B. Duodenum closure (duodenal atresia)
C. GERD (gastroesophageal reflux)
D. Intussusception (intussusception)

week old boy
vomiting
recent days
bloating
abdominal palpable
olive shaped lumps
disease


Question: Account of acute appendicitis (acute appendicitis) the clinical diagnosis and treatment, which of the following inappropriate?

Answer: CT has high sensitivity (sensitivity) (90%) and specificity (specificity) (85%), and because they can reduce the negative appendectomy rate (negative appendectomy), an essential tool for the diagnosis of appendicitis

Choices:
A. Abdominal ultrasound advantages of high sensitivity (sensitivity) and specificity (specificity), the disadvantage is its reliance on the correctness of the perpetrators of experience (operator-dependent)
B. CT has high sensitivity (sensitivity) (90%) and specificity (specificity) (85%), and because they can reduce the negative appendectomy rate (negative appendectomy), an essential tool for the diagnosis of appendicitis
C. The most frequently isolated bacteria Escherichia coli and Bacteroides
D. Laparoscopic appendectomy (laparoscopic appendectomy) may provide a shorter recovery time after surgery and wound appearance, and may break for the appendicitis, after careful assessment may try to use

Account
acute appendicitis
acute appendicitis
clinical diagnosis
treatment
following inappropriate


Question: For the following refeeding syndrome (refeeding syndrome) narrative, what's wrong?

Answer: refeeding syndrome, also known as magnesium steal syndrome

Choices:
A. refeeding syndrome, also known as magnesium steal syndrome
B. To avoid refeeding syndrome, macronutrients when administered to add Mg (magnesium), potassium
C. The best way to avoid refeeding syndrome is always adjust TPN (total parenteral nutrition) and the amount of electrolyte
D. When a large number of vomiting in patients to add potassium (potassium)

following refeeding syndrome
refeeding syndrome
wrong


Question: Which of the following payment system most likely to reduce patient medical Proximity may (accessibility)?

Answer: Capitation

Choices:
A. In case payment
B. On the amount of capitation
C. On the quality of capitation
D. Capitation

following payment system
to
patient medical Proximity
accessibility


Question: Which of the following is a form of the receptor tyrosine kinase?

Answer: Insulin

Choices:
A. Norepinephrine
B. NEXT
C. Dopamine
D. Insulin


Question: About the episode of mania (manic episode) narrative of drug treatment, which of the following error?

Answer: Treatment episode of mania may be used alone as antidepressants (of Sect.)

Choices:
A. Lithium salt (Lithium) to treat manic episodes
B. Can be combined using benzodiazepine
C. Antipsychotic portion (antipsychotics) olanzapine, such as manic therapeutic effect
D. Treatment episode of mania may be used alone as antidepressants (of Sect.)

episode of mania
manic episode
drug treatment
following error


Question: What is the origin of these structures in the neural crest (neural crest)?

Answer: Astrocytes cells (that astrocyte)

Choices:
A. Oligodendrocyte glia (oligodendrocyte)
B. Spinal motor neurons (spinal motor neuron)
C. Astrocytes cells (that astrocyte)
D. Dorsal root ganglion neurons (neurons of dorsal root ganglion)

origin
structures
neural crest
neural crest


Question: Lumbar to sacral (sacrum) spine bow not healed in developmental stages, which will cause the following defects?

Answer: Spina bifida (Spina bifida occulta)

Choices:
A. Spina bifida (Spina bifida occulta)
B. Hydrocephalus (Hydranencephaly)
C. Arnold-Chiari Mr. deformity (Arnold-Chiari malformation)
D. Cleft cranial deformities (Cranium bifidum)

Lumbar
sacral
sacrum
spine
not healed
developmental stages
cause
following defects


Question: A two-month-old baby to the clinic for vaccination, the baby's head was found in the physical examination, look to the right and Wang Zuoce tilt, left neck obviously palpable lump, further diagnosed with torticollis. This narrative about the baby, what's wrong?

Answer: May cause the left and the left occipital region of the flat face of the flat

Choices:
A. Tongshifasheng may be congenital dislocation of the hip (congenital dysplasia of the hip)
B. Often due to the left sternocleidomastoid (sternocleidomastoid muscle) of abnormality
C. May cause the left and the left occipital region of the flat face of the flat
D. Thorough treatment before the age of three, can improve facial deformity large

two month old baby
clinic
vaccination
baby's head
found
look
right
tilt
left neck
palpable lump
further diagnosed
torticollis
baby
wrong


Question: Medial arcuate ligament (medial arcuate ligament) is between the fiber structure following what?

Answer: Diaphragm and psoas muscle (psoas major)

Choices:
A. Left and right diaphragmatic foot (crura)
B. Diaphragm and psoas muscle (psoas major)
C. Diaphragm and back side muscle (quadratus lumborum)
D. Diaphragmatic and the iliac muscle (iliacus)

Medial arcuate ligament
medial arcuate ligament
fiber structure following


Question: In the human ovarian follicle (follicle) maturation, cumulus oophorus appeared in what stage?

Answer: mature follicle

Choices:
A. primary follicle
B. mature follicle
C. preantral follicle
D. early antral follicle

human ovarian follicle
follicle
maturation
cumulus oophorus appeared
stage


Question: Which of the following most drugs will not reduce the contraceptive effect of hormonal contraceptives?

Answer: Anti-clotting drugs

Choices:
A. Anti-TB drugs
B. Anti-clotting drugs
C. Antiepileptic drugs
D. Anti-fungal drugs

following
drugs
not
contraceptive effect
hormonal contraceptives


Question: Bearing on the question, the next most do not need to check what arrangements?

Answer: Magnetic resonance spectrum (MRS)

Choices:
A. Nerve conduction (NCV)
B. X light (X-ray)
C. Magnetic resonance angiography (MRI)
D. Magnetic resonance spectrum (MRS)

Bearing
next most
not need to check
arrangements


Question: A 33-year-old female G4P3, since bleeding to the emergency room for treatment, patients complain according to the menstrual cycle, the current 12 weeks of pregnancy, after checking the blood pressure 110/70 mmHg, the heart rate 88 / min, hemoglobin: 9.6 g / dL, β -hCG: 35,000 mIU / mL. Ultrasound found no fetus in utero but there vesicle-like, the best treatment is:

Answer: Expanding uterus curettage (dilation & curettage)

Choices:
A. Hysterectomy (hysterectomy)
B. Expanding uterus curettage (dilation & curettage)
C. Chemotherapy
D. Radiation therapy

year old female
bleeding
emergency room
treatment
patients
menstrual cycle
current
weeks
pregnancy
blood pressure
70 mmHg
heart rate 88
min
hemoglobin
g
dL
hCG
35
mIU
mL
Ultrasound found
fetus in utero
vesicle
best treatment


Question: There is a drowning child rescued from the water, not breathing, this time most of improper disposal are:

Answer: Press the abdomen to make water out of the stomach

Choices:
A. Immediately be Rengonghuxi
B. Press the abdomen to make water out of the stomach
C. Note that the maintenance of body temperature
D. Attention to the protection of the cervical spine


Question: The following related HCC (hepatocellular carcinoma) of the narrative, what's wrong?

Answer: About 10% of hepatocellular carcinoma with tumor syndrome occur (paraneoplastic syndrome), such as high blood calcium, low blood sugar and red blood cell hyperplasia

Choices:
A. Hepatocellular carcinoma is the most common primary malignant liver tumors, occur in East Asia and Africa
B. Hepatocellular carcinoma occurs in men, male to female ratio of about 2: 1 to 8: 1
C. About 10% of hepatocellular carcinoma with tumor syndrome occur (paraneoplastic syndrome), such as high blood calcium, low blood sugar and red blood cell hyperplasia
D. The currently known treatment include surgery at least, radiofrequency ablation (radiofrequency ablation), alcohol injection, embolization and treatment target

following related HCC
hepatocellular carcinoma
wrong


Question: A 69-year-old men with a history of myocardial infarction patients, general anesthesia do hypertrophy of the prostate transurethral resection of the prostate (TURP), surgery 90 minutes went smoothly. When the patients were sent to the recovery room, endotracheal tube has been removed, conscious. However, after 20 minutes the patient presented restless, shivering, blood pressure 80/50 mm Hg, respiration 40 / min, heart rate 140 beats / min, the concentration of oxygen saturation of 92%. Will the following diagnostic whichever is least likely?

Answer: Simple postoperative wound pain

Choices:
A. Persistent postoperative bleeding
B. TURP syndrome
C. Myocardial infarction or ischemia
D. Simple postoperative wound pain


Question: The following statements about the teeth, what's right?

Answer: Enamel (Enamel) are derived from ectoderm (ectoderm) from

Choices:
A. Star network (stellate reticulum) are mesenchymal (mesenchyme) derived from
B. Enamel (Enamel) are derived from ectoderm (ectoderm) from
C. The tooth (Dentine) is the hardest body configuration
D. After the formation of the first enamel, dentine is formed and then


Question: Statements about obese women following, whichever is correct?

Answer: Sex hormone binding globulin (sex hormone binding globulin) decreased

Choices:
A. Reduced risk of endometrial cancer
B. Sex hormone binding globulin (sex hormone binding globulin) decreased
C. Free androgen reduced
D. Estrone (estrone) decreased


Question: Due to the pressure caused by brain tumor can not see the inside of the left eye image and the outside of the right-eye view of the field of vision. The patient was brain tumor oppressed position Which of the following is most likely?

Answer: Path of the left optic nerve (optic tract)

Choices:
A. Right optic nerve (optic nerve)
B. Chiasm (optic chiasm)
C. Path of the left optic nerve (optic tract)
D. The right optic path (optic tract)

pressure caused
brain tumor
not see
inside
left eye
outside of
right-eye view
field
vision
patient
brain tumor
position
following


Question: On the use of echocardiography used to evaluate acute ST segment increased myocardial infarction (STEMI) patients, following statements is wrong?

Answer: Ventricular wall motion abnormalities (ventricular wall motion abnormality) can be used to distinguish acute STEMI myocardial scar and the old

Choices:
A. Ventricular wall motion abnormalities (ventricular wall motion abnormality) can be used to distinguish acute STEMI myocardial scar and the old
B. Left ventricular ejection fraction may be estimated as an evaluation of the prognosis
C. Help to find the right ventricular infarction
D. Du Bole echocardiography can be used to detect the ventricular septal defect and mitral regurgitation and other serious complications


Question: A 10-year-old girl, X-ray photography at 3 months after injury at right, the figure on the right humerus showing which of the following situation?

Answer: union fracture

Choices:
A. union fracture
B. fracture nonunion
C. osteomyelitis
D. none of above

A 10 year old girl
X-ray
months
injury
right
right humerus
following


Question: Which of the following most common sand-like tumor bodies (psammoma bodies) appear?

Answer: Papillary thyroid carcinoma

Choices:
A. Adrenocortical tumor
B. Parathyroid tumors
C. Papillary thyroid carcinoma
D. Pancreatic adenocarcinoma

following
common sand
tumor bodies
psammoma bodies
appear


Question: Lead particles in the air into the alveolar regions of the body, into the blood circulation, and finally most of the lead can accumulate in any organ or tissue?

Answer: skeleton

Choices:
A. liver
B. kidney
C. skeleton
D. fat

Lead
air
alveolar regions
body
blood circulation
lead
organ
tissue


Question: Past history of liver disease-free group of college students who wished to travel to undeveloped areas, parents are worried that they will be infected with hepatitis, asked for vaccination ahead. The following are the most incorrect vaccination are:

Answer: HBV DNA（hepatitis B virus DNA）

Choices:
A. Serum immunoglobulin (immune serum globulin)
B. Hepatitis A Vaccine
C. Hepatitis B vaccine
D. HBV DNA（hepatitis B virus DNA）

Past history of liver disease free group


Question: For chronic pancreatitis and malabsorption due to treatment of diarrhea, where the following items is wrong?

Answer: Low-carb diets

Choices:
A. Acid-inhibiting agents
B. Low-fat diet
C. Lipase oral formulation
D. Low-carb diets

chronic pancreatitis
malabsorption due to treatment
diarrhea
following
wrong


Question: Suddenly a female patient with fever, abdominal pain, rapid heartbeat, nausea and jaundice. Patients may be palpable spleen spleen tip. The number of normal peripheral blood leukocytes; but slightly anemic patients, and no red blood cells is small pale center area, and has significant reticulocyte proliferation (reticulocytosis). The reason for this crisis may trigger a condition as:

Answer: Parvovirus infection

Choices:
A. Quinacrine taking drugs
B. Parvovirus infection
C. Reduce blood oxygen
D. Exposure to a cold environment

female patient
fever
abdominal pain
rapid heartbeat
nausea
jaundice
Patients
palpable spleen
tip
number
normal
slightly anemic patients
red blood cells
small pale center area
significant
proliferation
reticulocytosis
crisis
trigger
condition


Question: The following statements about the gastric parietal cells (parietal cells), and what's wrong?

Answer: Hydrochloride can be synthesized in the cytoplasm (HCl)

Choices:
A. Have intracellular tubule system (intracellular canaliculi) and microvilli (microvilli)
B. Does not exist in the cardia (cardiac region)
C. Hydrochloride can be synthesized in the cytoplasm (HCl)
D. Can secrete hydrochloric acid (HCl) and intrinsic factors (intrinsic factor), to help absorb vitamin B12


Question: The following configurations are where the endodermal cells derived from?

Answer: Epithelial lining of the respiratory tract

Choices:
A. Dorsal root ganglion
B. Adrenal medulla
C. The tooth enamel
D. Epithelial lining of the respiratory tract


Question: About narrative of isoniazid, Which statement is correct?

Answer: Mainly by the liver N-acetyltransferase Metabolism

Choices:
A. Suppress the generation of the plasma membrane of M. tuberculosis
B. Can only intravenously to treat tuberculosis
C. Mainly by the liver N-acetyltransferase Metabolism
D. Easy to produce optic neuropathy side effects


Question: A 25-year-old young men, nearly two weeks complained of fever, sore throat, cough with yellow sputum, to medical diagnosis and treatment, including antibiotics, fever, analgesics and cough drugs, the above condition after treatment gradually better; unfortunately, recently 4 to 5 days in the diet will feel chest pain, difficulty swallowing and a little; I ask symptoms occurred last 4 to 5 days the most likely reasons?

Answer: Ulceration of the esophagus caused by drugs

Choices:
A. heart disease
B. Esophageal cancer
C. Reflux esophagitis
D. Ulceration of the esophagus caused by drugs

year old young
nearly two weeks
fever
sore throat
cough
yellow
medical diagnosis
treatment
including
fever
analgesics
cough drugs
above condition
better
recently 4
5 days
diet
chest pain
difficulty swallowing
little
I
symptoms
last 4
5 days


Question: If you are making for the chest surgeon lung surgery, the following observations whichever correct?

Answer: A length shorter than the right main bronchus of the left main bronchus

Choices:
A. A length shorter than the right main bronchus of the left main bronchus
B. There clover left lung, right lung has two leaves
C. Foreign body more easily into the left bronchus
D. Adult pipe length of about 25 cm

making
chest surgeon lung surgery
following observations
correct


Question: Type E. coli DNA polymerase I (DNA polymerase I) of enzyme activity which will be involved in the implementation nick translation?

Answer: Polymerase with 5 'exonuclease (polymerase and 5' → 3'exonuclease)

Choices:
A. Polymerase with 5 'exonuclease (polymerase and 5' → 3'exonuclease)
B. Polymerase with 3 'exonuclease (polymerase and 3' → 5'exonuclease)
C. 5 'and 3' exonuclease (5 '→ 3' and 3 '→ 5'exonuclease)
D. Polymerase 5 'to 3' exonuclease (polymerase, 5 '→ 3' and 3 '→ 5'exonuclease)

Type
DNA polymerase I
DNA polymerase I
involved


Question: On cardiac enzymes in the diagnosis of acute coronary syndrome, the following statements is wrong?

Answer: CK-MB in the clinical course of patients with acute coronary syndrome in, can not be used to detect reinfarction (reinfarction)

Choices:
A. Cardiac troponin for the diagnosis of myocardial infarction occurred recently
B. CK-MB peak value appears helps detect myocardial reperfusion time of occurrence
C. CK-MB in the clinical course of patients with acute coronary syndrome in, can not be used to detect reinfarction (reinfarction)
D. The risk of acute coronary syndrome may help the Cardiac troponin grade

cardiac enzymes
diagnosis
acute coronary syndrome
following
wrong


Question: In general, when taken laparoscopic choledochotomy to the removal of common bile duct stone, bile duct diameter is preferably not less than how many mm?

Answer: 6

Choices:
A. 4
B. 6
C. 8
D. 10

general
laparoscopic choledochotomy
removal
common
bile duct diameter
not
mm


Question: 94 about the narrative of the Chinese liver fluke, Which statement is correct? (1) mainly popular in Taiwan to Taiwan Dongshan area (2) Notwithstanding the sashimi of sea water or fresh water are likely to contain infectious agents (3) mild infection, liver function tests may be normal (4) The exact laboratory examination of a specimen duodenal fluid and fecal

Answer: (3)(4)

Choices:
A. (1)(2)
B. (1)(3)
C. (2)(3)
D. (3)(4)

correct
1
Taiwan
Taiwan
area
2
sea water
likely to contain
3
mild infection
liver function tests
normal
exact laboratory examination of
specimen duodenal fluid
fecal


Question: Vertebrates, responsible for the synthesis of 18S and 28S rRNA by the following kind of enzyme?

Answer: RNA polymerase I

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

responsible
18S
28S rRNA
following kind
enzyme


Question: Toll-like receptors (TLRs) to perform message passing, following that kind can be present in endosomes (endosome), the double-stranded RNA can identify viruses (dsRNA)?

Answer: TLR-3

Choices:
A. TLR-3
B. TLR-4
C. TLR-5
D. TLR-7

Toll-like receptors
to perform
following
kind
present
endosomes
endosome
double-stranded RNA
viruses
dsRNA


Question: Premenopausal women 38 years of age, which is invasive breast pathology of the breast duct carcinoma, tumor size was 3.5 cm, female hormone receptor (Estrogen Receptor) negative, progesterone receptor (Progesterone Receptor) negative, type II epithelial growth factor receptor (HER2 / NEU) is negative, then how to deal with it after the surgery?

Answer: Adjuvant chemotherapy (Chemotherapy)

Choices:
A. Without adjuvant therapy
B. Adjuvant chemotherapy (Chemotherapy)
C. Adjuvant treatment target (Target therapy)
D. Auxiliary anti-hormone therapy (Anti-estrogen therapy)

Premenopausal
years
age
invasive breast pathology of the
duct carcinoma
tumor size
3.5
female
Estrogen Receptor
negative
progesterone receptor
Progesterone Receptor
negative
epithelial growth factor
HER2
NEU
negative
then
to
surgery


Question: Which of the following is not a regulatory function of the cerebral cortex?

Answer: Respiration, circulation & digestion

Choices:
A. Language comprehension
B. Respiration, circulation & digestion
C. Final sensory perception
D. Voluntary movement


Question: The picture shows the cross section of the lower left of T2-weighted MRI, T1-weighted MRI lower right picture shows the cross section of the intravenous injection of Gd-DTPA, the arrow for this disease characteristics, the most probable diagnosis Which of the following?

Answer: Meningioma (Meningioma)

Choices:
A. Meningioma (Meningioma)
B. 骨瘤（Osteoma）
C. Non-ossifying fibroma (Non-ossifying fibroma)
D. Astrocytoma (Astrocytoma)

picture
cross section
lower left
weighted MRI
T1 weighted MRI lower right picture
cross section
intravenous injection
Gd-DTPA
arrow
disease characteristics
following


Question: Where third of vascular lesions of syphilis most commonly violated?

Answer: Ascending aorta

Choices:
A. Ascending aorta
B. Abdominal aorta
C. The superior vena cava
D. The inferior vena cava


Question: Which of the following children glomerulonephritis generally third serum complement (C3) does not decrease?

Answer: Allergic purpura nephritis (anaphylactoid purpura nephritis)

Choices:
A. Allergic purpura nephritis (anaphylactoid purpura nephritis)
B. Lupus nephritis (lupus nephritis)
C. Membranous proliferative glomerulonephritis (membranoproliferative glomerulonephritis)
D. Bacterial endocarditis (bacterial endocarditis) caused by glomerulonephritis

following children glomerulonephritis
third serum complement
C3
not decrease


Question: In any of the following drugs can be administered intravenously, but most often for the treatment of postoperative pain?

Answer: ketorolac

Choices:
A. ketorolac
B. meloxicam
C. sumatriptan
D. dextromethorphan

following drugs
administered
most often
treatment
postoperative pain


Question:
27
 Which of the following most diseases are not suitable for breastfeeding?

Answer: AIDS

Choices:
A. Hepatitis B
B. Cytomegalovirus infection
C. AIDS
D. Genital herpes

27
following
diseases
not suitable
breastfeeding


Question: In the ionizing radiation of different substances, ionizing radiation, there is a release of pollutants to indoor rock or soil. That type of cancer most associated with this substance?

Answer: Lung cancer

Choices:
A. Colorectal Cancer
B. Lung cancer
C. Breast cancer
D. Leukemia

different
release
pollutants
rock
type
cancer most associated
substance


Question: Patients 60 years of age, was a heavy smoker. To diagnose whether chronic obstructive pulmonary disease (chronic obstructive pulmonary disease), which of the following is the most important diagnosis?

Answer: FEV1 / FVC<0.7

Choices:
A. FEV1 / FVC<0.7
B. Chest X-ray pattern showed an increase in both the lung
C. Wheeze
D. PaO2 < 90 mmHg

Patients 60 years
age
heavy smoker
To diagnose
chronic obstructive pulmonary disease
chronic obstructive pulmonary disease
following
most important diagnosis


Question: baby K check-in time was diagnosed with anencephaly. The disease is still incurable, generally can survive for up to a week. Despite this situation, baby K's mother decided to give birth to baby K. When the baby K at birth, immediately intubation and connected to breathing apparatus. The attending physician deems further treatment is not beneficial, it is recommended removal of a respirator, but the baby K's mother opposed. Which of the following is not the correct ethical considerations?

Answer: Baby K refuse treatment will constitute discrimination against severe congenital defects in children, and in violation of the principle of respect for autonomy

Choices:
A. Continue to intubation treatment is cruel and unnecessary for baby K, and in violation of the principle of do no harm
B. Continue to actively treat baby K may not bring any medical benefit, and violates the principle of doing good
C. baby K a day spent in the neonatal intensive care unit is about $ 20,000, paid in full by the national health insurance, no good treatment will continue to violate the principles of justice
D. Baby K refuse treatment will constitute discrimination against severe congenital defects in children, and in violation of the principle of respect for autonomy

baby K check
time
diagnosed
anencephaly
disease
survive
week
baby K's
to give birth
baby K
baby K
birth
immediately intubation
breathing apparatus
attending physician
further treatment
not
removal
respirator
baby K's
following
not
correct
considerations


Question: Arcuate line between the rectus sheath and the pubic symphysis, which of the following at the rear side of the rectus?

Answer: Transverse fascia

Choices:
A. External oblique fascia
B. Abdominal oblique aponeurosis
C. Transverse abdominis aponeurosis
D. Transverse fascia

Arcuate line
rectus sheath
pubic symphysis
following
rear side


Question: Brown hyphae disease (phaeohyphomycosis) of emerging fungal infections, the common feature of this group of fungi why?

Answer: Produce similar melanin (melanin-like) of filamentous fungi or yeasts

Choices:
A. Having two types of (dimorphism) of the yeast
B. Hi filamentous fungal growth of 37 [deg.] C
C. Produce similar melanin (melanin-like) of filamentous fungi or yeasts
D. Bacillus while producing large tip (macroconidia) and small tip spores (microconidia) of the filamentous fungus

Brown
disease
phaeohyphomycosis
fungal infections
common feature
group
fungi


Question: Which of the following is the larynx (laryngeal cancer) the most common symptoms?

Answer: Hoarseness (hoarseness)

Choices:
A. Pain on swallowing (odynophagia)
B. Hoarseness (hoarseness)
C. Wheezing (stridor)
D. Difficulty breathing (dyspnea)

following
larynx
laryngeal cancer
most common symptoms


Question: A 23-year-old patient alcohol addiction, drinking and stop for 24 hours, following which the situation is unlikely to occur?

Answer: Blood pressure suddenly dropped to 85/55 mmHg

Choices:
A. Respiratory rate increased to 25 beats per minute
B. Hands shaking (tremors)
C. Increased heart rate 90 beats per minute
D. Blood pressure suddenly dropped to 85/55 mmHg

23 year old patient alcohol addiction
drinking
stop
24 hours
following
unlikely to occur


Question: Which of the following does not belong to the so-called particulate pollutants air pollutants?

Answer: Volatile organic compounds (VOCs)

Choices:
A. Black smoke (soot)
B. Mist (acid mist)
C. Fumes (oil smoke)
D. Volatile organic compounds (VOCs)

following
not
called particulate pollutants air


Question: An acquired immune deficiency syndrome (AIDS) patients, hands and feet numbness weakness and other neurological disease years after the onset of symptoms appear, following which electrical diagnostic method most clinical diagnostic value?

Answer: Nerve conduction studies (nerve conduction study)

Choices:
A. Nerve conduction studies (nerve conduction study)
B. EMG needle (needle electromyography) Check
C. Continuous checking electrical nerve stimulation (repetitive nerve stimulation test)
D. Nerve evoked potential (evoked potential study)

acquired immune deficiency syndrome
patients
hands
feet numbness weakness
neurological disease years
onset of symptoms appear
following
electrical diagnostic method
clinical
value


Question: Which of the following can be used to differentiate Salmonella typhi (Salmonella typhi) and E. coli (Escherichia coli)?

Answer: The ability of lactose (lactose) fermentation

Choices:
A. The ability of lactose (lactose) fermentation
B. Mobility (motility)
C. Reducing ability nitrate (nitrate) of
D. Bacillus capacity (spores) generated 65 interferon (interferon) is one of the body's defense system viral infection of the ring, into its mechanism of action:


Question: People who quit smoking nicotine withdrawal symptoms, the following statements is true?

Answer: Slow heartbeat

Choices:
A. Slow heartbeat
B. Loss of appetite
C. Increased blood pressure
D. Withdrawal symptoms peaked within 4-6 hours after quitting

smoking nicotine withdrawal symptoms
following
true


Question: Bridge (bridge of nose) feel on the skin where the nerve conduction by the following?

Answer: Ophthalmic (ophthalmic nerve)

Choices:
A. Ophthalmic (ophthalmic nerve)
B. Maxillary nerve (maxillary nerve)
C. The facial nerve (facial nerve)
D. The optic nerve (optic nerve)

Bridge
bridge of nose
skin
nerve conduction


Question: From the point of view of prevention Gonggongweisheng, the government refused to promote smoking campaign is part of a job that stage?

Answer: Health Promotion

Choices:
A. Disabled control
B. Health Promotion
C. Health Maintenance
D. Diagnosis and treatment of disease

point
view
prevention
to
smoking
part of
stage


Question: Xiaoshan in vaginal delivery of a baby girl two days ago, went smoothly, vaginal laceration second degree, moderate amount of lochia, her freedom of movement and began to try breast-feeding; I did not expect to have to start today intermittent fever case (39 degrees Celsius), Please ward nurses assess your past her situation. The following statements is true?

Answer: In the past, because of prophylactic antibiotics and sterile technique is not generally difficult to maintain, due to puerperal fever reproductive tract infections (genital tract infection) caused by caesarean section in pregnant women is more common than natural birth

Choices:
A. Puerperal fever (puerperal fever) usually occurs within 24 hours of delivery, associated with bronchial collapse (atelectasia) maximum
B. In the past, because of prophylactic antibiotics and sterile technique is not generally difficult to maintain, due to puerperal fever reproductive tract infections (genital tract infection) caused by caesarean section in pregnant women is more common than natural birth
C. Puerperal fever occurrence and race with socio-economic status is not related
D. Puerperal fever endometritis (postpartum metritis) resulting in clinical diagnosis is mainly based on bacterial culture-based, fever only as a reference

vaginal delivery
baby girl two days
vaginal laceration second degree
moderate amount
lochia
movement
began to
breast-feeding
I
not
to
to start today intermittent fever case
degrees Celsius
ward nurses
past
following
true


Question: 51-year-old male patient, because the past six months, upper right back pain and right arm paralysis and inability to hospital for medical treatment. He accepted these conditions pain medications and surgical treatment of cervical disc surgery in his hospital, but the symptoms did not improve. To the hospital three months ago, he began to blurred vision and drooping right eyelid. He used to smoke a pack a day over three decades. Chest X-rays and to the hospital computer tomography FIG. Repeated sputum microscopy and microbial cultures were negative. Which of the following is the most likely diagnosis?

Answer: pancoast tumor

Choices:
A. pancoast tumor
B. Lung airway allergic aspergillus infection (allergic bronchopulmonary aspergillosis)
C. Lung abscess (lung abscess)
D. Pulmonary arterial venous malformation (arterio-venous malformation of the lung)

year old male patient
past six months
upper right back pain
right
hospital
medical treatment
accepted
conditions pain medications
surgical treatment
cervical disc surgery
hospital
symptoms
not
hospital three months
began to blurred vision
drooping right eyelid
used to smoke
pack
day
three decades
Chest X-rays
hospital computer tomography
Repeated sputum microscopy
microbial cultures
negative
following
diagnosis


Question: Following the digestive tract, mucous membrane portion that is non-keratinized stratified squamous epithelium (nonkeratinized stratified squamous epithelium)?

Answer: esophagus

Choices:
A. duodenum
B. Caecum
C. stomach
D. esophagus

non keratinized stratified squamous epithelium


Question: One patient caused by unilateral foot drop (drop foot) after the accident, the clinically most unlikely that caused by the following situation?

Answer: Shares (femoral) nerve injury

Choices:
A. Ischial (sciatic) nerve injury
B. Shares (femoral) nerve injury
C. Fibular (peroneal) nerve injury
D. Between the fourth and fifth lumbar plate projecting (disc herniation)

One patient caused
unilateral foot drop
drop foot
unlikely
caused
following


Question: Vitamin B12 is one of the important elements of hematopoiesis, the following statements is wrong for vitamin B12?

Answer: Fruits and vegetables, foods rich in vitamin B12

Choices:
A. The amount of human daily requirement of vitamin B12 is quite small (about 1 to 3 micrograms)
B. In the situation completely unable to absorb vitamin B12 through diet, if not otherwise supplement, usually takes 3 to 4 years to consume the storage capacity of the body
C. Lactating women if vitamin B12 deficiency is likely to cause infant growth retardation
D. Fruits and vegetables, foods rich in vitamin B12

Vitamin B12
one
important
hematopoiesis
following
wrong
vitamin B12


Question: Manufacturing of raw materials in the human body hormones Why?

Answer: Cholesterol

Choices:
A. Triglyceride
B. Cholesterol
C. Collagen
D. Glycoprotein


Question: Which of the following measuring virus antibody test is necessary when the blood donation project?

Answer: Hepatitis C virus

Choices:
A. Hepatitis A virus
B. Hepatitis C virus
C. Hepatitis E virus
D. Hepatitis D virus

following measuring
antibody test
blood donation


Question: When a 30-year-old man breathing indoor air in general, arterial blood gas analysis PaO2 60 mmHg, PaCO2 48 mmHg, it AaDO2 (alveolar-arterial blood oxygen partial pressure) is how much?

Answer: 30 mmHg

Choices:
A. 0 mmHg
B. 10 mmHg
C. 20 mmHg
D. 30 mmHg

alveolar arterial blood oxygen partial pressure


Question: Treatment and prognosis of clinical and pathological factors influence cervical cancer in the following, whichever is less important?

Answer: The extent of cell keratinocytes (keratinization) of

Choices:
A. The extent of cell keratinocytes (keratinization) of
B. Tumor size
C. Cervical adjacent tissues (paracervical tissue) violations
D. The depth of the cervix have been violated

Treatment
prognosis
clinical
pathological factors
cervical cancer
following
less important


Question: For the description of abdominal compartment syndrome (abdominal compartment syndrome), and which of the following error?

Answer: Placing nasogastric tube main method is an indirect measurement of intra-abdominal pressure

Choices:
A. Abdominal compartment syndrome usually occurs in multiple trauma patients and intensive care units
B. Placing nasogastric tube main method is an indirect measurement of intra-abdominal pressure
C. Normal intra-abdominal pressure of about 5 mmHg, pressure greater than 12 mmHg can cause breathing difficulty, can cause the pressure reaches 25 mmHg inferior vena cava
D. Determine whether factors other than the intra-abdominal surgery in high-pressure, high-pressure related and intra-abdominal organ failure are also important considerations

abdominal compartment syndrome
abdominal compartment syndrome
following error


Question: Which of the following is most likely to cause rupture of subarachnoid hemorrhage?

Answer: Cerebral artery (cerebral artery)

Choices:
A. Middle meningeal artery (middle meningeal artery)
B. Cerebral artery (cerebral artery)
C. Cerebral veins (cerebral vein)
D. Dural venous sinus (dural sinus)

following
to cause rupture
subarachnoid hemorrhage


Question: The purpose of rehabilitation of stroke patients to restore the patient's ability to live independently as much as possible themselves, the following statements is wrong?

Answer: Constraint therapy (restraint therapy) means a constraint stroke affected limb, the contralateral limb training to adapt to the general daily activities carried out as soon as possible

Choices:
A. Under the premise of stable disease, the sooner the rehabilitation of the long-term prognosis of the more help
B. Under the premise of stable disease, the use of aids allow patients to get out of bed (mobility training), in order to avoid pressure ulcers, deep vein thrombosis and other complications
C. Even under circumstances in bed, early range of motion exercise (range of motion training), to avoid muscle spasms, joint contractures
D. Constraint therapy (restraint therapy) means a constraint stroke affected limb, the contralateral limb training to adapt to the general daily activities carried out as soon as possible

purpose
rehabilitation
stroke patients to
patient's ability to live
much
possible
following
wrong


Question: Of a 58-year-old man suffered misfortune at 9:00 am engaged in electrification 1200 volts electrical burns, at 10:00 am transferred to the Regional Hospital Medical Center emergency room physician diagnosed the face, full circle on the right forearm, chest and on both sides of the thigh three deep second degree burns electrical degrees, together accounted for 45% of total body surface area, patient weight of 65 kg, while the cumulative amount of intravenous infusion of 0.9% physiological saline 500 ml; the use of a Parkland infusion formula (Parkland formula) to infusion therapy, then in theory, should be given to patients injured again how much fluid volume and which intravenous infusion within 24 hours?

Answer: 11200 ml; lactated Ringer

Choices:
A. 11700 ml; 0.9% physiological saline
B. 5850 ml; 5% dextrose in water
C. 11200 ml; lactated Ringer
D. 5800 ml; Ringer


Question: Patients headache intensified, meningitis symptoms, following the disposal of what is the first priority?

Answer: Administration of doxycycline

Choices:
A. Administration of doxycycline
B. Administration of penicillin
C. Administration of glycerol
D. Administered steroid

Patients headache
meningitis symptoms
following
first priority


Question: Which of the following is headache likely autosomal dominant inherited (autosomal dominant)?

Answer: Hemiplegic migraine (hemiplegic migraine)

Choices:
A. No sign of migraine (migraine without aura)
B. Substrate migraine (basilar migraine)
C. Hemiplegic migraine (hemiplegic migraine)
D. Crunch-type headache (tension headache)


Question: 5 In a speech hospital hepatitis prevention and treatment, there is a common reference to the patient's family if the dishes contagious viral hepatitis, will be oral infection (fecal-oral transmission) is that there are several viral hepatitis?

Answer: Hepatitis A or hepatitis E

Choices:
A. Hepatitis A or hepatitis B
B. Hepatitis B or C hepatitis
C. Hepatitis C or hepatitis E
D. Hepatitis A or hepatitis E

5
a speech hospital hepatitis prevention
treatment
common
patient's
dishes
viral hepatitis
oral infection
fecal-oral transmission
several viral hepatitis


Question: A 50-year-old male, no special past history of the disease and work history. In 1995 began working in asbestos exposure in 1998 due to chest pain, hemoptysis was diagnosed with lung cancer. Do you think that the causal relationship between lung cancer and asbestos exposure?

Answer: No, not in line with the principle of timing

Choices:
A. Yes, because asbestos is a carcinogen
B. There, in line with the principle of timing
C. No, not in line with the principle of timing
D. No, not in line with the dose - response relationship

50 year old male
special past
disease
work history
began
asbestos exposure in
due to chest pain
hemoptysis
diagnosed
lung cancer
causal relationship
lung cancer
asbestos exposure


Question: 50-year-old Schilling, was this afternoon abdominal pain and was taken to hospital for treatment. Physician examination revealed abdominal rebound pain, abdominal wall was stiff like. Had an abdominal X-ray photography, the image as shown. Schilling most likely suffering from what disease?

Answer: Gastrointestinal perforation, pneumoperitoneum (pneumoperitoneum)

Choices:
A. Gastrointestinal perforation, pneumoperitoneum (pneumoperitoneum)
B. Gastrointestinal bleeding (gastrointestinal bleeding)
C. Inability to plug intestinal colic (adynamic ileus)
D. Clogging duodenum (duodenal obstruction)

50 year old
afternoon abdominal pain
hospital
treatment
Physician
revealed abdominal rebound pain
abdominal wall
stiff
abdominal X-ray
likely suffering
disease


Question: Statements about sleep apnea (sleep apnea), and which of the following error?

Answer: Continuous positive airway pressure device (CPAP) is used to treat central type apnea

Choices:
A. Apnea (apnea) can occur in non-rapid eye movement (NREM) or rapid eye movement (REM) sleep, usually non-rapid eye movement occurs relatively often apnea, occurs in rapid eye movement is more serious
B. Selective serotonin reuptake inhibitor (SSRI) treatment of apnea is reduced by rapid eye movement sleep induced
C. Early thought obstructive (obstructive) apnea more often complain of daytime sleepiness, central type (central) apnea more often complain of insomnia, recent research found that drowsiness or insomnia symptoms can occur in this type of apnea 2
D. Continuous positive airway pressure device (CPAP) is used to treat central type apnea


Question: Chest trauma is common in patients with trauma injuries, in the initial assessment (primary survey), pay attention to whether the immediately life-threatening chest wounds (immediately life-threatening chest injuries), following which there is not immediately life-threatening chest injury?

Answer: Diaphragmatic rupture

Choices:
A. Tension pneumothorax
B. Open pneumothorax
C. Diaphragmatic rupture
D. Hemothorax large (more than 1500 mL)


Question: Usually chromatin that if any DNase hypersensitive sites, represents what sense?

Answer: Transcription of the gene containing the

Choices:
A. Is part of heterochromatin
B. Transcription of the gene containing the
C. Containing DNase binding protein
D. And methylated genes involved

Usually chromatin
DNase hypersensitive sites
sense


Question: 2 Familial hypercholesterolemia is possible because the LDL receptor gene mutations caused. A couple have a 5-year-old child, who xanthomas (xanthoma) and treatment. After examination revealed a very high blood cholesterol concentrations, is greater than 1000 mg / dL. If the family physician analysis, it is likely that there will be following a discovery?

Answer: Parents are cholesterol concentration between 300 ~ 400 mg / dL between

Choices:
A. Father cholesterol concentrations greater than 1000 mg / dL, normal mother
B. Mother cholesterol concentrations greater than 1000 mg / dL, normal father
C. Parents are cholesterol concentration between 300 ~ 400 mg / dL between
D. Cholesterol levels are normal parents

2 Familial hypercholesterolemia
possible
LDL receptor gene
caused
couple
5 year
xanthomas
xanthoma
treatment
revealed
very high blood cholesterol
greater than
mg
dL
family physician analysis
likely
following


Question: Following on adult vaccination is recommended and what was wrong?

Answer: Influenza vaccine is a viable vaccine, pregnant women and elderly people with chronic heart and lung diseases should not receive injections

Choices:
A. There are elderly patients with chronic diseases should be vaccinated against influenza vaccine each year
B. Influenza vaccine is a viable vaccine, pregnant women and elderly people with chronic heart and lung diseases should not receive injections
C. Pregnant women and should not be injected immunodeficiency host viable vaccine (such as MMR)
D. Additional adults over 50 years of age every 10 years, a Td (tetanus and diphtheria tetanus diphtheria) adult dosage


Question: Which of the following drugs are not sedatives-hypnotics?

Answer: Morphine

Choices:
A. Diazepam
B. Lorazepam
C. Pentobarbital
D. Morphine


Question: The following account of antipsychotic drugs and what was wrong?

Answer: Sit difficulty (akathisia) caused by antipsychotic drugs, anti-Parkinson's drug treatment best

Choices:
A. Conventional antipsychotics are D2 receptor blockade-based; positive symptoms of schizophrenia are more control help, but the negative symptoms of poor efficacy
B. Traditional antipsychotics likely to cause Parkinson syndrome
C. Sit difficulty (akathisia) caused by antipsychotic drugs, anti-Parkinson's drug treatment best
D. Delayed involuntary movements (tardive dyskinesia) is caused by antipsychotic Parkinson syndrome

following account
antipsychotic drugs
wrong


Question: Fulminant hepatitis caused by common causes, does not include which of the following?

Answer: stay up late

Choices:
A. drug
B. Hepatitis A
C. Hepatitis B
D. stay up late

Fulminant hepatitis caused
common causes
not include
following


Question: Statements about Helicobacter pylori gastritis, which of the following most inappropriate?

Answer: Bacterial intestinal metaplasia in the site easier (intestinal metaplasia) appears

Choices:
A. In severe sinus (antrum) than the body portion (body)
B. Staph infection with CagA gene, more will have stomach cancer
C. Bacterial intestinal metaplasia in the site easier (intestinal metaplasia) appears
D. It is the main cause of gastric lymphoma

Helicobacter pylori gastritis
following
inappropriate


Question: After a 18-year-old male patient was unknown chemical liquid splash to the eye, rubbing his eyes and felt a sharp sting and visually impaired, Suizhi emergency treatment. Of the following is the more inappropriate?

Answer: In general, the damage caused by acidic chemicals is more serious than the alkali burns

Choices:
A. Basic principle whether or acidic chemicals, the process is similar to
B. In general, the damage caused by acidic chemicals is more serious than the alkali burns
C. After rinsing in saline 20 to 30 minutes, can be measured pH of eye drops, if pH> 7.4, still continue flushing
D. If superficial corneal injury, a local anesthetic may be used to reduce pain

year old male patient
unknown
liquid splash
eye
rubbing
eyes
sharp sting
impaired
emergency treatment
following
more inappropriate


Question: Related evoked potentials (evoked potentials, EP) is commonly used in surgery narrative of the way neurological monitoring, which of the following error?

Answer: Somatosensory evoked potentials (somatosensory evoked potentials, SSEPs) is not affected by the drug inhaled anesthetics or hypothermia

Choices:
A. EP commonly used in surgery include auditory (auditory), somatosensory (Use of somatosensory) and exercise (Motor), etc.
B. Somatosensory evoked potentials (somatosensory evoked potentials, SSEPs) spinal injury commonly used in surgery, as a way of monitoring nerve conduction
C. AEP (auditory evoked potentials, AEPs) is commonly used in surgery cerebellopontine angle tumors (cerebello-pontine angle tumor)
D. Somatosensory evoked potentials (somatosensory evoked potentials, SSEPs) is not affected by the drug inhaled anesthetics or hypothermia

Related evoked potentials
evoked potentials
EP
used
surgery
neurological
following error


Question: Photography hysterosalpingography (HSG) is best carried out in the first few days of the menstrual cycle?

Answer: 7 to 11 days

Choices:
A. Any day Jieke
B. 1 to 3 days
C. 7 to 11 days
D. 14 to 20 days

hysterosalpingography
best carried out
first
days
menstrual cycle


Question: Following on left ventricular diastolic narrative, what's right?

Answer: Before the start of left ventricular diastolic intraventricular pressure has dropped

Choices:
A. Early diastolic left ventricular (protodiastole) for about 0.4 seconds
B. Before the start of left ventricular diastolic intraventricular pressure has dropped
C. After the mitral valve opens, left ventricular diastolic volume and so began (iso-volumetric relaxation)
D. When diastolic intraventricular pressure in the left ventricle such as volume rises gradually

Following
left ventricular diastolic
right


Question: Which of the following is a laparoscopic cholecystectomy (laparoscopic cholecystectomy) of major contraindication?

Answer: Calot's triangle can not be clearly identified

Choices:
A. Pregnant women
B. Calot's triangle can not be clearly identified
C. Abdomen had opened knife
D. Patients with liver cirrhosis

following
laparoscopic cholecystectomy
laparoscopic cholecystectomy
major contraindication


Question: Related to opiate addiction narrative (opioid dependence) Healing and what was wrong?

Answer: Methadone (methadone) withdrawal symptoms are excessive and will not inhibit breathing

Choices:
A. Methadone (methadone) withdrawal symptoms are excessive and will not inhibit breathing
B. Buprenorphine (buprenorphine) can attenuate or block the effects of heroin and morphine, and the take-home self-administration
C. Clinically levomethadyl is no longer used because of the QT interval may cause prolonged and Torsades de pointes
D. Naltrexone can block the euphoria and reduce patients heroin-seeking behavior, but more so the lack of patient willing continuous use of mechanisms

Related
opiate addiction
opioid dependence
Healing
wrong


Question: 60.40 year-old man infected with human immunodeficiency virus (HIV), there is depression history, there have been suicidal intent, CD4 + T cell count 50 cells / μL, HIV viral load 10,000 copies / mL, following anti-retroviral drugs, whichever is the least suitable the long-term treatment of patients?

Answer: efavirenz

Choices:
A. raltegravir
B. rilpivirine
C. dolutegravir
D. efavirenz

60 40 year old man infected
human immunodeficiency virus
depression history
suicidal intent
CD4
T cell count 50 cells
L
HIV viral load 10
copies
mL
following
drugs
least suitable
patients


Question: Which of the following does not inhibit the synthesis of male hormones (testosterone) of (biosynthesis)?

Answer: Flutamide

Choices:
A. Ketoconazole
B. Flutamide
C. Estradiol
D. Leuprolide

following
not inhibit
male
testosterone
biosynthesis


Question: Cholesterol (cholesterol) is an important risk factor for cardiovascular disease, the following statements is wrong?

Answer: Cholesterol-lowering drug of the statin cholesterol synthesis inhibitor of HMG-CoA synthase

Choices:
A. Cholesterol is a part of the body through the intestinal absorption
B. Also the synthesis of cholesterol in the body, to acetyl-CoA when raw materials
C. Cholesterol is synthesized in the liver bile acid starting material (bile acid) of
D. Cholesterol-lowering drug of the statin cholesterol synthesis inhibitor of HMG-CoA synthase

Cholesterol
cholesterol
important risk
cardiovascular
following
wrong


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

Answer: Free cell wall lipopolysaccharide, so there is no endotoxin activity

Choices:
A. Their cell walls contain peptidoglycan
B. Propagated via multi-like body lice, fleas or ticks rat infectious insects
C. Free cell wall lipopolysaccharide, so there is no endotoxin activity
D. Within absolute cell parasite


Question: Following a nerve that is affected primarily the main cause of carpal tunnel syndrome?

Answer: Median nerve

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

Following
nerve
affected
main cause
carpal tunnel syndrome


Question: Which of the following is most likely to close above the bladder after emptying?

Answer: uterus

Choices:
A. rectum
B. uterus
C. vaginal
D. oviduct


Question: Staphylococcus aureus (Staphylococcus aureus) are least likely to generate the kind of following enzymes?

Answer: Protease C5a (C5a peptidase)

Choices:
A. Hyaluronic acid enzyme (Hyaluronidase)
B. Plasmin (Fibrinolysin)
C. Coagulase (coagulase)
D. Protease C5a (C5a peptidase)

Staphylococcus aureus
Staphylococcus aureus
least likely to
kind
following enzymes


Question: 43 year old man in the head, elbows, knees, trunk and limbs appear as shown in the skin lesions, repeated 10 years. KOH microscopic examination did not find mold, and histopathology shown. In addition to the skin of the patient, the most likely what organs violated?

Answer: joint

Choices:
A. kidney
B. heart
C. joint
D. muscle

year old man
head
elbows
knees
trunk
limbs appear
skin lesions
repeated
KOH microscopic examination
not find
histopathology
In addition to
skin
patient
organs


Question: 30-year-old breast-feeding women, the right breast areola edge erythematous bump and tenderness, a history of four days, will not recommend which of the following disposal?

Answer: Mammography

Choices:
A. Mammography
B. Sonography
C. Ultrasound guiding aspiration
D. Antibiotic-containing

30 year old breast
women
right areola edge erythematous
tenderness
history
four days
not
following


Question: Number of breaths of normal newborns should be within the following range of what?

Answer: 40 to 60 beats / min

Choices:
A. 10 ~ 20 times / min
B. 20 ~ 30 times / min
C. 40 to 60 beats / min
D. 70 to 80 beats / min

Number of breaths
normal newborns
following range


Question: A primipara 35 weeks of pregnancy, lactation hormone found in the blood was 180 ng / mL, the following items that measures the most appropriate?

Answer: Clinical observation on track

Choices:
A. Thyroid releasing hormone (TRH) test
B. Chest X-ray
C. Check the estrogen in the blood
D. Clinical observation on track

primipara 35 weeks
pregnancy
lactation hormone found
blood
ng
mL
following
measures
most appropriate


Question: The following statements about organic nitrates, whichever is correct?

Answer: nitroglycerin by the intravenous injection may last a few hours of resistance (tolerance)

Choices:
A. After oral administration of nitroglycerin bio-availability (oral bioavailability) up to 70%
B. efficacy of sublingual nitroglycerin can be up to three hours
C. nitroglycerin by the intravenous injection may last a few hours of resistance (tolerance)
D. Effect the first time (hepatic first-pass effect) after administration of higher amyl nitrite inhalation


Question: Feature on the type of Cryptococcus neoformans (Cryptococcus neoformans) Why?

Answer: Spherical capsule with generous yeast

Choices:
A. No capsule (without capsule) of two types of (dimorphic) spherical yeast
B. Yeast cigar (cigar-shaped yeast), two types of non-
C. The split type (dimorphic) having a thin oval yeast two types of capsule
D. Spherical capsule with generous yeast

Cryptococcus neoformans
Cryptococcus neoformans


Question: Some can not get medical treatment under the sick into ⾏ Face consent, except for whichever?

Answer: Don ⽒ disease patients require hospitalization

Choices:
A. In urgent cases, the delay will result in the treatment of patients with death
B. Psychosis disease patients have a case of the self-injury or injury Face, require hospitalization
C. Suspected Ebola virus infection, the need for isolation and treatment
D. Don ⽒ disease patients require hospitalization


Question: ⼀ female thyroid patients the right side of the lower neck and the right painless swelling of the lymph glands submenus zoomed, its right thyroid grayscale and color discolored Le Du ⼘ ultra Rec wave inspection figure, the most likely diagnosis Why?

Answer: Papillary thyroid cancer (papillary carcinoma)

Choices:
A. Thyroiditis (thyroiditis)
B. Papillary thyroid cancer (papillary carcinoma)
C. Thyroid tumor (adenoma)
D. Benign multiple nodules (nodular goiter)

female thyroid patients
right side of
lower neck
right painless swelling
lymph glands
right thyroid
color discolored Le Du
ultra Rec wave inspection
diagnosis


Question: From the previous question, if the emergency room, which of the following items is the most do not need to check?

Answer: Emergency arrangements bone scan (bone scan)

Choices:
A. Lumbar puncture (lumbar puncture)
B. EMG and nerve conduction
C. Emergency arrangements bone scan (bone scan)
D. Monitoring the concentration of oxygen and vital capacity (vital capacity)

previous
emergency room
following
most
not need to check


Question: And some gynecological tumors would serum tumor markers and biochemical or immunostaining (tumor markers) has been associated with the following statements is true?

Answer: can adenocarcinoma marker CA-125 serum

Choices:
A. The tag identification of tissue sarcoma S-100
B. Representative vimentin is non-mesenchymal tissue
C. can adenocarcinoma marker CA-125 serum
D. LDH is stromal tumor marker of ovarian

gynecological tumors
serum tumor
biochemical
tumor markers
associated with
following
true


Question: 72-year-old man, coughing, chest tightness and fatigue last six months, chest X-ray and CT figure, the most correct diagnosis should be:

Answer: Lung (Lung cancer)

Choices:
A. Lung (Lung cancer)
B. Left chronic pulmonary embolism (Chronic Lt. pulmonary artery embolism)
C. Lobe atelectasis (Lt. upper lobe atelectasis) on the left lung
D. Mediastinal tumors (Mediastinal tumor)

72 year old man
coughing
chest tightness
fatigue last six months
chest X-ray
CT
most correct diagnosis


Question: The following related pinworm (Enterobius vermicularis) described infection, what's wrong?

Answer: The best way to check for the correct diagnosis of patients with fecal egg

Choices:
A. Human eggs can spread the infection by air
B. After the infection is easy to interfere with nighttime sleep
C. Women may cause pelvic peritonitis (chronic pelvic peritonitis) after infection
D. The best way to check for the correct diagnosis of patients with fecal egg

following related pinworm
Enterobius vermicularis
infection
wrong


Question: 52-year-old male patient with no previous heart disease or high blood pressure, breathing difficulties during the past six months the movement has gradually worsened and lower extremity edema. After examination of liver and kidney function was normal, given diuretic therapy, there are still significant expansion of the jugular vein. Outpatient chest X-ray showed the heart was not enlarged body examination careless murmur, slightly enlarged liver, ascites and bilateral lower extremity edema. Cardiac catheterization is the mean right atrial pressure 15mmHg (normal <8 mmHg), right atrial pressure curve Y showed significant decrease wave. Also in this patient following what kind of symptoms (sign) may occur?

Answer: When there will be a small number of cases of pericardial auscultation percussion sounds (pericardial knock), there will be some "odd pulse" (paradoxical pulse)

Choices:
A. Increased blood pressure and pulse pressure widened
B. During exhalation, the carotid distending shape may be more significant
C. When there will be a small number of cases of pericardial auscultation percussion sounds (pericardial knock), there will be some "odd pulse" (paradoxical pulse)
D. Chest X-ray presents pulmonary blood pooling (lung congestion) Phenomenon

year old male patient
previous heart disease
high blood pressure
breathing difficulties
past six months
movement
worsened
lower extremity edema
liver
kidney function
normal
diuretic therapy
significant expansion of
jugular vein
Outpatient chest X-ray
heart
not enlarged body
murmur
slightly enlarged liver
ascites
bilateral lower extremity edema
mean right atrial pressure
normal
mmHg
right atrial pressure curve
significant decrease wave
patient following
kind
symptoms
sign
occur


Question: A 60-year-old patient with chest pain occurs at rest for about 30 minutes, nitroglycerin sublingual tablets containing invalid, normal ECG, chest X-ray of the heart is normal, and cardiac enzymes did not rise, his diagnosis is most likely:

Answer: Unstable Angina

Choices:
A. Decubitus angina
B. Labor angina
C. Acute myocardial infarction
D. Unstable Angina

60 year old patient
chest pain occurs
about 30 minutes
containing invalid
normal ECG
chest
heart
normal
cardiac enzymes
not
diagnosis


Question: Which of the following contains the least amount of matrix (ground substance)?

Answer: Rules of dense connective tissue (dense regular connective tissue)

Choices:
A. Mesenchymal tissues (mesenchyme)
B. Mucous connective tissue (mucous connective tissue) -
C. Rules of dense connective tissue (dense regular connective tissue)
D. Irregular dense connective tissue (dense irregular connective tissue)

following contains
least amount
matrix
ground substance


Question: The following narrative about the regeneration of anemia bad sex, what's wrong?

Answer: Peripheral lymphocyte count reduction's sake, patients likely to have a bacterial infection

Choices:
A. Is a dry cell disease
B. The reaction may be lymphocytes and related T-
C. Peripheral lymphocyte count reduction's sake, patients likely to have a bacterial infection
D. Peripheral blood platelets, easy bleeding tendency

following
regeneration
anemia bad sex
wrong


Question: Among liver cancer, a tumor that occurs most often following hepatic veins (hepatic vein) or hepatic portal vein (portal vein) of tumor invasion or violation?

Answer: hepatocellular carcinoma

Choices:
A. hepatocellular carcinoma
B. hepatoblastoma
C. cholangiocarcinoma
D. metastasis from colon cancer


Question: And (hereditary nonpolyposis colorectal cancer) form of HNPCC syndrome is related to that of the following?

Answer: MMR（mismatch-repair）gene mutations

Choices:
A. APC gene
B. MMR（mismatch-repair）gene mutations
C. p53 mutation
D. RAS mutation


Question: The statements about IgA nephropathy, which of the following error?

Answer: Because it will relapse, after entering stage renal disease is not recommended for kidney transplant

Choices:
A. There may be a cluster of family (familial clustering)
B. Some sick children in the 15 to 20 years after onset may progress to chronic kidney disease or kidney failure
C. Because it will relapse, after entering stage renal disease is not recommended for kidney transplant
D. Blood IgA values and no diagnostic value, because only part of the increase will be for Sick Children


Question: A 55 year old male patient with chronic hepatitis B asymptomatic carrier, recent abdominal computed tomography and angiography find the right lobe has a 2 cm tumor size, highly suspected liver cancer, fetal serum protein is 420 ng / mL, Child-Pugh classified as A, other imaging did not have tumor metastasis situation, you do not consider which of the following best treatment?

Answer: Systemic chemotherapy

Choices:
A. Surgical resection
B. Ethanol injection therapy
C. Radiofrequency ablation
D. Systemic chemotherapy


Question: The following types of viral hepatitis, what can not be prevented through vaccination?

Answer: Type C

Choices:
A. A type
B. Type B
C. Type C
D. Type D

following types
viral hepatitis
not
prevented
vaccination


Question: When the male is ready to ejaculate, following what will not happen?

Answer: External urethral sphincter (external urethral sphincter) shrink

Choices:
A. External urethral sphincter (external urethral sphincter) shrink
B. Prostate (prostate gland) shrink
C. Vas deferens (ductus deferens) shrink
D. Ball urethral glands (bulbourethral gland) shrink


Question: Which of the following is located outside of the fallopian tubes?

Answer: Suspensory ligament

Choices:
A. Suspensory ligament
B. Hub ligament
C. Ovarian ligament
D. Round ligament of the uterus


Question: Account of light α-thalassemia (α-thalssemia minor or trait) of, which of the following error?

Answer: Do routine blood examination (CBC), the vast majority of patients with red blood cell volume (MCV) and hemoglobin content

Choices:
A. Patients do not need treatment, probably never question the emergence of cardiac decompensation
B. Report hemoglobin electrophoresis (hemoglobin electropheresis) in the normal range
C. There will be serious without extramedullary hematopoiesis patient care
D. Do routine blood examination (CBC), the vast majority of patients with red blood cell volume (MCV) and hemoglobin content

Account
light
thalassemia
minor
trait
following error


Question: Related biliary cyst, the following statements is wrong?

Answer: Depending on the patient whether or not surgery end symptomatic, asymptomatic without surgery

Choices:
A. Todani classified according to type altogether divided into five large cyst
B. The typical patient three symptoms are abdominal pain, jaundice and right upper quadrant palpable mass
C. Depending on the patient whether or not surgery end symptomatic, asymptomatic without surgery
D. If the surgery is done cyst excision with Roux-en-Y hepatic duct jejunostomy


Question: Which of the following is not a World Health Organization (WHO) classification type of stomach cancer (adenocarcinoma) of?

Answer: Follicular type

Choices:
A. Signet ring
B. Tubular type
C. Follicular type
D. Mucinous type

following
not
classification
of stomach cancer
adenocarcinoma


Question: 10. With regard to the type of patient the figure below, the following statements is correct that? ① about 5000 live births may occur ② a possible 14% of the patients accompanied by other congenital malformations ③ patients need follow-up care multidisciplinary professional cooperation including orthopedics, otolaryngology, pediatrics, dentistry, oral surgery, language, dieticians, psychiatrists, social workers, etc. ④ generally recommended three months to repair the lips, palate repair ⑤ 12 months if accompanied by microtia or missing ears around the age of seven recommendations reconstruction

Answer: ②③④⑤

Choices:
A. ①②③④
B. ②③④⑤
C. ①③⑤
D. ①④⑤

10
following
correct
5000 live births
occur
possible
patients
congenital malformations
patients need
professional
including orthopedics
otolaryngology
pediatrics
dentistry
oral surgery
dieticians
psychiatrists
social workers
three months to repair
lips
palate repair
12 months
microtia
missing ears
age of seven
reconstruction


Question: The total national health insurance payments related to the following description of the system, whichever is most incorrect?

Answer: All hospitals will push each patient

Choices:
A. Medical pie continues to increase
B. All hospitals will push each patient
C. Branch has a total budget
D. Can improve the professional autonomy

total
payments related
following
system
most incorrect


Question: The following statements about the physical properties of light waves, what's wrong?

Answer: + 1D (diopters, diopter) of the lens focal length (focal length) is set at a meter, the + 2D focal length of the lens is two meters

Choices:
A. The light waves of different wavelengths of each color in vacuo velocity is the same
B. The speed of the color light of different wavelengths in the medium are typically not the same
C. The relative refractive index of light in a general medium (refractive index) greater than 1
D. + 1D (diopters, diopter) of the lens focal length (focal length) is set at a meter, the + 2D focal length of the lens is two meters


Question: Plagued by a 18-year-old female student, as long as a stage or contact with strangers immediately obvious anxiety, sweating, rapid heartbeat, and worried about their embarrassing that she deliberately avoid contact with the crowd and came to power, like this is a more than a year, but also for interpersonal relationships and school performance cases cause significant obstacles. Clinical questions about this case, which of the following error?

Answer: Lifetime prevalence of these diseases at 25%

Choices:
A. Such diseases, more women than men
B. Such diseases occur in late childhood and early adolescence
C. Lifetime prevalence of these diseases at 25%
D. Psychotherapy efficacy of combined therapy is superior to either treatment used alone


Question: 40.66-year-old male, Auto v. Good past health. 2 Month found front sides of the neck, axillary and inguinal lymph nodes swelling zoomed, lymph node biopsy was diagnosed as left angioimmunoblastic T cell lymphoma (AITL), undergoing total chemotherapeutic chest upwards, at the dose of ⽅ standard CHOP (cyclophosphamide , adriamycin, vincristine and prednisolone). Face Back ⾨ disease diagnosed in 2 weeks after chemotherapy, complained of abdominal distention, constipation, and the watch fingertips ⿇ ⽊, the physician may have occurred suspected ileus. Using this side effect is most likely caused by following what kind of drugs?

Answer: vincristine

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

40 66 year old male
Auto
past
2 Month found front sides
neck
axillary
inguinal lymph nodes swelling
lymph node biopsy
diagnosed
left angioimmunoblastic T cell lymphoma
total chemotherapeutic chest
dose
standard
cyclophosphamide
adriamycin
vincristine
prednisolone
Face Back
disease diagnosed
2 weeks
chemotherapy
abdominal distention
constipation
fingertips
physician
suspected ileus
Using
side effect
most likely caused
following
kind
drugs


Question: The maternal mortality rate is about how many people?

Answer: 7/100,000

Choices:
A. 7/1,000
B. 7/10,000
C. 7/100,000
D. 7/1,000,000


Question: Which of the following is not a cause of preterm labor?

Answer: Children without brain (anencephaly)

Choices:
A. Placenta (placenta previa) or placentae (abruption)
B. Amniotic fluid infection
C. Uterine malformations
D. Children without brain (anencephaly)


Question: Surgical excision (surgical resection) is currently the best treatment for liver cancer, which of the following was found after the surgery and long-term prognosis is poor (poor prognosis) than a relationship?

Answer: multifocal tumors

Choices:
A. large tumor size
B. liver cirrhosis
C. age
D. multifocal tumors

Surgical excision
surgical resection
currently
best treatment
liver
following
found
surgery
long-term prognosis
poor
poor prognosis
relationship


Question: According to the definition of World Health Organization (WHO), diagnosis on tuberculosis (pulmonary tuberculosis) cases, the following statements is wrong?

Answer: Failure then rule (treatment after failure) refers to four months after treatment has been, acid sputum (acid-fast) smear remains positive

Choices:
A. Had not received a complete anti-TB treatment, and acid-resistant clinical specimen (acid-fast) smear-positive persons belonging to the two new cases (new case)
B. TB treatment but had received less than two weeks, and the definition of clinical specimen positive TB culture is still new cases (new case) of
C. Failure then rule (treatment after failure) refers to four months after treatment has been, acid sputum (acid-fast) smear remains positive
D. Lost re-treatment (treatment after default) refers to treatment interruption of more than two months Case

diagnosis
tuberculosis
pulmonary tuberculosis
cases
following
wrong


Question: Which of the following heart murmur (cardiac murmur) will not increase strength and inspiration?

Answer: Aortic insufficiency (aortic regurgitation)

Choices:
A. Aortic insufficiency (aortic regurgitation)
B. Pulmonary insufficiency (pulmonic regurgitation)
C. Tricuspid stenosis (tricuspid stenosis)
D. Tricuspid regurgitation (tricuspid regurgitation)

following heart murmur
cardiac murmur
not increase strength
inspiration


Question: After the 25-year-old male patient with head trauma, to the emergency room when GCS (Glasgow Coma Scale, GCS) 3 points, CPR and placed endotracheal tube, this time using end-tidal carbon dioxide detector (End-tidal CO2 detector) The following statements is most inappropriate?

Answer: End-tidal carbon dioxide value of 12.5 mmHg representative of low blood flow into the esophagus and endotracheal tube was placed

Choices:
A. End-tidal carbon dioxide detector can be used to monitor the quality of CPR
B. End-tidal carbon dioxide detector can be used to confirm the position of the endotracheal tube
C. End-tidal carbon dioxide value of 12.5 mmHg representative of low blood flow into the esophagus and endotracheal tube was placed
D. When the projecting end-tidal carbon dioxide value increased to 40 mmHg, on behalf of the patient easier spontaneous recovery cycle (return of

year old male patient
head
emergency room
GCS
Glasgow Coma Scale
GCS
3 points
CPR
endotracheal tube
time using end
carbon dioxide detector
End
CO2 detector
following
most inappropriate


Question: A 45 year old female patient at medical examination found that abdominal CT with a diameter of 3 cm right adrenal tumor, how to deal with the most appropriate?

Answer: Test adrenal cortex, medulla functions

Choices:
A. Referral patients receiving surgery
B. Test adrenal cortex, medulla functions
C. For fine needle aspiration cytology
D. Do a second CT to six months after

year old female patient
found
abdominal CT
diameter
cm right adrenal tumor
to
appropriate


Question: Statements about pituitary tumors (pituitary adenoma), and which of the following error?

Answer: Pituitary tumor patients often have diabetes insipidus (diabetes insipidus) symptoms

Choices:
A. When pituitary tumors greater than 1 cm, although often jugular venous sinus invasion (cavernous sinus invasion), but rarely see the third to sixth cranial nerve defects
B. Pituitary tumor patients often have diabetes insipidus (diabetes insipidus) symptoms
C. Lactation hormone (prolactin) slight rise, not necessarily prolactin tumor (prolactinoma) caused, and may be due to pituitary stalk is caused by large adenomas oppression
D. Oral dopamine agonist such as bromocriptine, prolactin can 80% tumor (prolactinoma) reduction

pituitary tumors
pituitary adenoma
following error


Question: 55-year-old male patient due to liver cancer were upper abdominal laparotomy, the following statements relating to such acute pain of surgery, what's wrong?

Answer: Acute surgical pain itself does not cause gastrointestinal stress response

Choices:
A. Acute surgical pain itself does not cause gastrointestinal stress response
B. Abdominal laparotomy belongs to moderately severe pain
C. Acute surgical pain can cause heart and lung dysfunction
D. Acute surgical pain can cause white blood cells to rise

year old male patient due to liver cancer


Question: Which of the following is not a skeletal muscle?

Answer: Dartos (dartos muscle)

Choices:
A. Dartos (dartos muscle)
B. Piriformis (piriformis)
C. Mention epididymis muscle (cremasteric muscle)
D. The external urethral sphincter (external urethral sphincter)


Question: Thoracic scoliosis in Section VI above, use the following correction back frame what?

Answer: Chinese rice backing frame (Milwaukee brace)

Choices:
A. Boston back frame (Boston brace)
B. Chinese rice backing frame (Milwaukee brace)
C. Taylor back frame (Taylor brace)
D. Knight back frame (Knight brace)

Thoracic scoliosis
Section VI above
use
following correction back frame


Question: G0P0 19-year-old woman, underwent laparoscopic surgery for acute appendicitis, surgery accidentally discovered abnormal uterine (as shown below). The following statements is true?

Answer: Guide due to müllerian ducts caused by dysplasia

Choices:
A. Guide due to müllerian ducts caused by dysplasia
B. At the same time need surgery to repair abnormal uterine
C. Easy fetal abnormalities during pregnancy
D. Pain likely to have intercourse

year old woman
laparoscopic surgery
acute appendicitis
surgery
abnormal uterine
following
true


Question: There are a diabetic patient of hypertension for two years, mostly in between 160-170 / 90-100 mmHg, find your treatment now, your treatment goals should be in that range?

Answer: ≤ 130/80 mmHg

Choices:
A. ≤ 160/95 mmHg
B. ≤ 140/90 mmHg
C. ≤ 130/80 mmHg
D. ≤ 110/70 mmHg

diabetic patient
hypertension
two years
mostly
90-100 mmHg
find
treatment now
range


Question: Laryngomalacia (laryngomalacia) of symptoms usually occurs when?

Answer: Few weeks after birth

Choices:
A. Birth place immediately
B. Few weeks after birth
C. Six months after birth
D. Year after birth

Laryngomalacia
laryngomalacia
symptoms usually occurs


Question: The following class of molecules that bind to and activate through peroxisome proliferator-activated recepter alpha (PPARα), to regulate the production of ketone (ketogenesis) related gene expression?

Answer: fatty acids

Choices:
A. purine
B. fatty acids
C. glucose
D. pyrimidine

following
activate
peroxisome proliferator
alpha
to
ketone
related gene expression


Question: Mr. cop another CT scan in the drawing, in addition to fractures, as well as:

Answer: Left cerebellar hemorrhage

Choices:
A. Left cerebellar hemorrhage
B. Right cerebellar hemorrhage
C. Left cerebral fossa subdural hemorrhage on
D. Right cerebral fossa subdural hemorrhage


Question: The following statements about vascular malformations (Vascular malformation), and what's wrong?

Answer: Cause and similar hemangioma

Choices:
A. Abnormal embryonic vascular structures due to take place
B. Cause and similar hemangioma
C. Body organs can happen
D. High-flow vascular malformations sequelae more, are more difficult to treat

following
vascular malformations
Vascular malformation
wrong


Question: 72-year-old retired teacher Hung occurrence of sudden dizziness (vertigo), unsteady gait (ataxia), difficulty swallowing, loss of sensation in the right side of the limb, the left miosis ptosis merger but no facial palsy, to the emergency room for treatment, most possibly is:

Answer: Brainstem infarction (Brainstem infarct)

Choices:
A. Frontal lobe infarction (Frontal lobe infarct)
B. Temporal infarct (Temporal lobe infarct)
C. Parietal lobe infarction (Parietal lobe infarct)
D. Brainstem infarction (Brainstem infarct)

72 year old retired teacher Hung occurrence


Question: 66 a 26-year-old woman, the past six months my mind over and over again to repeat some of the ideas, fearing the house door and shut the gas switch is not checked it over and over again, over and over again so worried about their hands dirty hands, knowing that this is not required but still repeated do, each time consume her for an hour, thus seriously affect her work time and personal relationships. The women most likely to suffer psychiatric disease have Which of the following?

Answer: OCD (obsessive compulsive disorder)

Choices:
A. Depression disorders (dysthymic disorder)
B. OCD (obsessive compulsive disorder)
C. Bipolar disorders (bipolar disorder)
D. Post-traumatic stress disorder (posttraumatic stress disorder)

66
year old woman
past six months
over
to repeat
house door
gas switch
not
over
over
over
over
so worried
hands dirty
not required
repeated
time
hour
time
to suffer psychiatric disease
following


Question: Left and right iliac crest (iliac crest) the highest point of the spinous process by which of the following levels of connection (spinous process)?

Answer: L4

Choices:
A. L2
B. L3
C. L4
D. L5

Left
right iliac crest
iliac crest
highest point
spinous process
following levels
connection
spinous process


Question: About eukaryotic gene promoter (promoter) of the characteristics of the following statements is wrong?

Answer: Some promoters containing Pribnow box

Choices:
A. Some promoters in the vicinity of the start of transcription containing initiator element
B. Some promoters containing GC box
C. Some promoters containing Pribnow box
D. Some promoters containing TATA box

About
gene promoter
promoter
characteristics
following
wrong


Question: From the previous question, condition rapidly worsened after the previous patient medical treatment, emergency intubation emergency transfer the intensive care unit. Those following the disposal is necessary?

previous
condition rapidly worsened
previous patient
emergency intubation
transfer
intensive care unit
following


Question: A 22-year-old male patient complained of right knee swelling and pain has been more than a month. The past six months often sleep after midnight due to lower back pain and wake up. Last week, a sudden eye pain, blurred vision, eye doctor was diagnosed with uveitis (uveitis). Will that one of the following examination in the diagnosis of the most helpful?

Answer: Pelvic X-rays

Choices:
A. Pelvic X-rays
B. Right knee X-rays
C. Blood tests RF and ANA
D. Check the solution right knee

year old male patient
of right knee swelling
pain
more
month
past six months often sleep
midnight
lower back pain
wake up
week
sudden eye
blurred vision
eye doctor
diagnosed
uveitis
uveitis
one
following
diagnosis
helpful


Question: 77. One 25-year-old woman, began this morning, gradually increasing abdominal pain and vaginal bleeding situation there, when to emergency treatment, vital signs are as follows: blood pressure mmHg, pulse 130 beats / min, breathing 22 times / minute, temperature 36.5 ℃ . No special past history, the last normal menstrual about seven weeks ago, following the disposal of what are the more inappropriate?

Answer: ECG monitor display sinus tachycardia (sinus tachycardia), low blood pressure patients in shock phenomenon, may be considered for the synchronization shock 100 Joules

Choices:
A. Arrangements pregnancy tests
B. The patient can clearly express discomfort, in accordance with the principles of first aid, given O2, IV, Monitor
C. Low blood capacitive shock may be given a lot of fluids, and considered for transfusion
D. ECG monitor display sinus tachycardia (sinus tachycardia), low blood pressure patients in shock phenomenon, may be considered for the synchronization shock 100 Joules

One
year old woman
began
morning
increasing abdominal pain
vaginal bleeding
emergency treatment
vital signs
follows
blood pressure mmHg
pulse
beats
min
breathing
times
minute
temperature 36
special past history
last normal menstrual
seven weeks
following
more inappropriate


Question: The following narrative about the glucocorticoid affect the metabolism of fat, what's wrong?

Answer: Increased fat distribution to the limbs

Choices:
A. Β type promote fat decomposition of sympathomimetic agent
B. Promote redistribution of body fat
C. Increased fat distribution to the face
D. Increased fat distribution to the limbs


Question: 75 year old female patient, back pain for years, intensified the last 3 months, in addition to imaging by significant aortic calcification, the lumbar vertebrae, and also changed; FIG. A lumbar side X-ray photography, panel B is a cross-computerized tomography of section. The patients most likely diagnosis Why?

Answer: Compression fracture of osteoporosis

Choices:
A. Infectious spondylitis
B. Cancer of bone metastases and pathological compression fractures
C. Compression fracture of osteoporosis
D. Traumatic compression fractures

75 year old female patient
back pain
years
last
months
imaging
significant aortic calcification
lumbar vertebrae
changed
lumbar side X-ray
panel
cross computerized tomography
section
patients
likely diagnosis


Question: 54. Which of the following activation of the motor endplate is located (motor end plate) on the receiving device, may initiate action potentials in skeletal muscle cells (action potential)?

Answer: nicotinic receptor

Choices:
A. nicotinic receptor
B. muscarinic receptor
C. dihydropyridine receptor
D. ryanodine receptor

54
following activation
motor endplate
motor end plate
receiving device
initiate action potentials
skeletal muscle cells
action potential


Question: Carpal tunnel (Carpal tunnel), the structure does not include which of the following?

Answer: Radial wrist flexor muscles (flexor carpi radialis)

Choices:
A. Shallow index finger flexor muscle (2nd flexor digitorum superficialis)
B. Radial wrist flexor muscles (flexor carpi radialis)
C. The median nerve (median nerve)
D. Little finger deep flexor muscle (5th flexor digitorum profundus)

Carpal tunnel
Carpal tunnel
structure
not include
following


Question: After hip replacement surgery within 3 months should avoid actions do not include which of the following?

Answer: Abduction (Abduction)

Choices:
A. Buckling (Flexion) 90 degrees
B. Abduction (Abduction)
C. Adduction (adduction)
D. The inner rotor (internal rotation)

hip replacement surgery
3 months
actions
not include
following


Question: A 75-year-old man with mild dementia, a progressive occurred a year ago and the gradual deterioration of cognitive disorders, slow in the past six months is easy to fall, confusion and hallucinations often awareness of the phenomenon. Neurological examination stiff torso, limbs trembling slightly. CT scan showed generalized brain atrophy. Which of the following is most likely to patients suffering from the disease?

Answer: Lewy body dementia (dementia with Lewy bodies)

Choices:
A. Lewy body dementia (dementia with Lewy bodies)
B. Ezihaimo disease (Alzheimer disease)
C. Normal pressure hydrocephalus (normal-pressure hydrocephalus)
D. CJD (Creutzfeldt-Jakob disease)

75 year old man
mild dementia
progressive
year
gradual deterioration
cognitive
slow
past six months
easy to fall
confusion
hallucinations often
Neurological examination stiff torso
limbs trembling slightly
CT scan
generalized brain atrophy
following
patients suffering
disease


Question: Which of the following can be used as glucose newborn action (gluconeogenesis) precursor (precursor)?

Answer: glycerol

Choices:
A. glycerol
B. leucine
C. palmitic acid
D. glycine


Question: Stroke caused by upper limb flexion synergy (flexor synergy) Which of the following does not include the action?

Answer: Forearm pronation (forearm pronation)

Choices:
A. Shoulder abduction (shoulder abduction)
B. Elbow flexion (elbow flexion)
C. Forearm pronation (forearm pronation)
D. Arm bent (wrist flexion)

Stroke caused
upper limb flexion
flexor
following
not include
action


Question: Parietal pleura (costal parietal pleura) ribs at the disposal of which of the following?

Answer: Intercostal nerve (intercostal nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Intercostal nerve (intercostal nerve)
C. Vagus nerve (vagus nerve)
D. Sympathetic trunk (sympathetic trunk)


Question: A young women because of psychological reasons can not meet the requirements of termination of pregnancy, ultrasound display 10 weeks of pregnancy, fetal heartbeat is normal, and indicates that she may want to terminate the pregnancy by drugs, Which of the following is the most appropriate way to terminate her pregnancy?

Answer: dilatation and curettage

Choices:
A. mifepristone（RU 486）+ misoprostol
B. methotrexate + misoprostol
C. oxytocin + prostaglandin
D. dilatation and curettage

young
psychological
not
requirements of termination
pregnancy
ultrasound display 10 weeks
pregnancy
fetal heartbeat
normal
to terminate
pregnancy
drugs
following
most appropriate
to terminate
pregnancy


Question: About benign breast tumors, the following statements is true?

Answer: Bodkin section pathology atypical ductal hyperplasia (atypical ductal hyperplasia) should be removed

Choices:
A. Should be removed to avoid conversion into malignant
B. I.e., more than two centimeters tumors should be removed
C. A fiber core needle section pathology cystic changes (fibrocystic change) should be removed
D. Bodkin section pathology atypical ductal hyperplasia (atypical ductal hyperplasia) should be removed

About benign breast tumors
following
true


Question: Nerve conduction following message about the taste of the narrative, what's right?

Answer: Taste messages from the throat (pharynx) via the vagus nerve (vagus nerve) spread medulla

Choices:
A. Taste Tongue message from two-thirds through the glossopharyngeal nerve (glossopharyngeal nerve) spread medulla
B. One-third of the tongue from the palate message via hypoglossal nerve (hypoglossal nerve) spread medulla
C. Taste messages from the throat (pharynx) via the vagus nerve (vagus nerve) spread medulla
D. All messages taste neurons transmitted to the medulla, the signal coming directly projected to the cerebral cortex, the middle is no longer docked in any brain area


Question: Rib edge of normal adults (costal margin) is composed of the following first of several ribs (rib)?

Answer: 7～10

Choices:
A. 3～4
B. 5～6
C. 7～10
D. 11～12

Rib edge
normal adults
costal margin
following first
ribs


Question: The following statements about HIV (Human immunodeficiency virus), and what's wrong?

Answer: One of M-tropic viruses can use CXCR4 as its cell receptors

Choices:
A. One of M-tropic viruses can use CXCR4 as its cell receptors
B. T-tropic virus usually over the course of the patient's progress and to increase
C. Kaposi's sarcoma is a cancer common in AIDS patients
D. CD4 T cell numbers dropped to 200 / μL or less, prone to opportunistic infections