Question: Ms. Wang, 47 years old, have a family history of breast cancer, recently underwent breast cancer screening clinic schedule. Received a letter informing the left breast abnormal result after checking, invited her to the hospital for further examination. Ms. Wang to surgical clinics, and physician she raised issues related to the discussion of the test results, the following statements is wrong?

Answer: Breast ultrasound examination can determine whether the lesion is substantial (solid) or cystic nature (cystic), can determine the lesion's appearance, therefore breast ultrasound imaging has become the first choice for breast cancer screening in asymptomatic women

Choices:
A. Mammography images typically comprise two views, one for the craniocaudal view, mediolateral oblique view of another
B. Bit digital mammography compared with traditional advantages, mainly dense breasts can enhance the interpretation of the younger
C. Breast ultrasound examination can determine whether the lesion is substantial (solid) or cystic nature (cystic), can determine the lesion's appearance, therefore breast ultrasound imaging has become the first choice for breast cancer screening in asymptomatic women
D. Movies as breast magnetic resonance check the dense breasts of young patients lesion assessment, the scope of invasive lobular carcinomas (invasive lobular carcinoma) is very helpful

Ms
years old
family history of breast cancer
recently
breast cancer screening clinic
Received
letter
left breast abnormal result
hospital
further
Ms
physician
raised issues related
discussion
test results
following
wrong


Question: About the narrative of urea recycling, which of the following error?

Answer: urea recycling phenomenon beneficial to the patient's liver failure

Choices:
A. urea recycling phenomenon beneficial to the patient's liver failure
B. Humanity itself can not produce urease
C. Long-term consumption of high-fiber foods low in protein, their urea recycling more
D. Large intestinal bacteria may play a role in the urea recycling


Question: A 38-year-old man riding a motorcycle with a friend after dinner and wine of driving cars collide, fall drains, causing systemic multiple injuries and fractures. Was rushed to the emergency room, a preliminary check vital signs stable, clear consciousness, and there is a fracture of the right leg 10 cm long wound, you can see the stump fracture. X-rays showed a right middle leg tibia and fibula open fracture, joint dislocation and the right side of the right femur fractures. Its disposal a variety of fractures and dislocations, Which of the following is the most correct description?

Answer: Surgery right upper limb fractures fixed if the mining open-reset (open reduction), often easily lead to wrist drop (drop wrist), mainly because of the radial nerve (radial nerve) damage caused

Choices:
A. For the right leg open fractures, fracture location in order to avoid excessive loss of blood, as soon as possible after cleaning the wound, the wound stitched closely, one can reduce the bleeding continues, on the one hand to avoid the chance of wound infection
B. For the right leg open fractures, soft tissue damage is to avoid repeated surgery, should be fixed to the rugged internal surgery, such as nail, fracture fixation plate
C. Previous mostly femoral dislocation dislocation (anterior dislocation), as soon as possible within 6-8 hours to reset it to reduce complications and sequelae
D. Surgery right upper limb fractures fixed if the mining open-reset (open reduction), often easily lead to wrist drop (drop wrist), mainly because of the radial nerve (radial nerve) damage caused

year old man
motorcycle
dinner
driving cars
fall drains
causing systemic multiple injuries
fractures
rushed
emergency room
preliminary check vital signs stable
clear consciousness
fracture
right leg 10 cm long wound
see
stump fracture
X-rays
right middle leg tibia
fibula open
joint dislocation
right side of
femur fractures
fractures
dislocations
following
most correct


Question: Which of the following benign tumor of the pancreas particularly in young women?

Answer: Solid-pseudopapillary tumor of the pancreas

Choices:
A. Serous cystadenoma
B. Mucinous cystadenoma
C. Intraductal papillary mucinous tumor（IPMT）
D. Solid-pseudopapillary tumor of the pancreas

of the following benign tumor
pancreas
young


Question: 4035-year-old woman last few days when the action suddenly had breathing difficulties and severe anemia, jaundice and dark urine phenomenon. Urine examination revealed: protein (2 +), glucose (-), occult blood (4 +), bilirubin (±), urobilinogen (3 +), sediment RBC 2-3 / HPF,

Answer: Hemoglobinuria

Choices:
A. Obstructive jaundice
B. Methemoglobinemia
C. Hemoglobinuria
D. Homocystinuria

year old woman last few days
action
breathing difficulties
severe anemia
jaundice
dark urine
Urine examination revealed
protein
2
glucose
occult blood
4
bilirubin
urobilinogen
3
RBC
HPF


Question: 6658-year-old Ho, adult health check found that high blood pressure clinics to track, no other abnormalities. He usually does not smoke, a small cup of wine before going to bed mL), no other medical history. His father died of stroke, the mother has diabetes. Blood pressure 172/102 mmHg, body mass index (BMI) 26.1 kg / m2. Ho mmHg blood pressure should be reduced to much less?

Answer: 140/90 mmHg

Choices:
A. 160/90 mmHg
B. 140/90 mmHg
C. 130/80 mmHg
D. 120/80 mmHg

year old Ho
adult
check found
high blood pressure clinics to track
abnormalities
usually
not smoke
small cup
bed mL
medical history
died
stroke
diabetes
Blood pressure
mmHg
body mass index
kg
m2
Ho mmHg blood pressure
reduced to


Question: 1 to n e u r i n i n h i b i t o r s in c a l c i classification described above, the column whichever correct?

Answer: FK-506 induced diabetes sometimes recover after discontinuation A 8

Choices:
A. tacrolimus (FK-506) and sirolimus belong calcineurin inhibitors, have FK binding protein effect on
B. cyclosporine have bald (alopecia) and gingival hyperplasia (gingival hypertrophy) side effects
C. FK-506 induced diabetes sometimes recover after discontinuation A 8
D. FK-506 and cyclosporine are all kidney transplant postoperative medication, no renal toxicity side effects


Question: Which of the following symptoms belonging to the positive symptoms of schizophrenia (positive symptoms)?

Answer: Hallucination

Choices:
A. 思維 poverty
B. Inattention
C. Hallucination
D. Apathy

following symptoms
positive symptoms
schizophrenia
positive symptoms


Question: The following is how the vaccine in mid-pregnancy can not be applied to play (contraindication)?

Answer: B hepatitis (Hepatitis B)

Choices:
A. Tetanus (tetanus)
B. Typhoid (thyphoid)
C. B hepatitis (Hepatitis B)
D. Mumps (mumps)

following
vaccine
pregnancy
not
applied to play
contraindication


Question: When 25 when the ligand-gated ion channel is opened, may allow sodium ions to potassium ions in 1: 1 ratio of flow. If this stop static membrane potential of neurons to -60mV, then this ion channel is opened when the membrane potential change?

Answer: constant

Choices:
A. Depolarization
B. Hyperpolarization
C. constant
D. Not necessarily

ligand-gated channel
opened
sodium ions
potassium
1
1 ratio
stop static membrane potential
then
ion channel
opened
membrane potential change


Question: Which of the following can inhibit the action of TNF-α for the treatment of rheumatoid arthritis?

Answer: Etanercept

Choices:
A. Etanercept
B. Allopurinol
C. Sulfinpyrazone
D. Methotrexate

following
inhibit
action
TNF
treatment
rheumatoid arthritis


Question: Rubber swelling (Gumma) is:

Answer: Syphilis lesions

Choices:
A. Benign neoplastic tumors
B. Malignancies
C. Human papilloma virus lesions
D. Syphilis lesions


Question: From the previous question, more than check the most appropriate interpretation of the results:

Answer: The reaction of (reactive)

Choices:
A. The reaction of (reactive)
B. Non-reactive (non-reactive)
C. Variability deceleration (variable deceleration)
D. Late decelerations (late deceleration)

previous
more
check
most appropriate interpretation
results


Question: Alcohol withdrawal epilepsy (alcohol withdrawal seizure) of the narrative, Which of the following is most appropriate?

Answer: Mostly in two days to stop drinking

Choices:
A. Stop drinking often occurs in five to six days
B. Single seizure occurs multiple generalized seizure ratio higher than
C. Mostly in two days to stop drinking
D. More than 70% of the produced alcohol withdrawal epilepsy patients will be associated with delirium tremens

Alcohol withdrawal epilepsy
alcohol withdrawal seizure
following
most appropriate


Question: 26 year old man weighing 120 kg to the weight loss center for treatment, his height 172 cm, the following description of what's wrong about weight loss surgery?

Answer: Body mass index values surgical indications restrictive surgical (restrictive procedures) than type surgical malabsorption (malabsorptive procedures) Low

Choices:
A. Restrictive surgical (restrictive procedures) weight loss than the absorption (malabsorptive procedures) type surgical poor low
B. Postoperative complications and mortality restrictive surgical procedures (restrictive procedures) compared with malabsorption type surgical (malabsorptive procedures) Low
C. After malabsorption type surgical procedures (malabsorptive procedures), the cure rate preoperative complications (a comorbidity) is higher than the limit type surgical (restrictive procedures)
D. Body mass index values surgical indications restrictive surgical (restrictive procedures) than type surgical malabsorption (malabsorptive procedures) Low

year old man
kg
weight loss center
treatment
height
following
wrong
weight loss surgery


Question: The following statements about the cough, what's wrong?

Answer: GERD can cause inflammation of the esophagus, but does not cause chronic cough

Choices:
A. Under normal circumstances, the cough can be used for clean-protection mechanism of the respiratory tract
B. Some drugs, such as ACEI (angiotensin-converting enzyme inhibitor) will cause cough
C. GERD can cause inflammation of the esophagus, but does not cause chronic cough
D. Cough can be due to external factors (such as smoke, dust) or internal factors (such as respiratory secretions) induced


Question: Pyloric complete obstruction can cause severe vomiting, if not properly treated easily lead Which of the following results?

Answer: Alkalosis

Choices:
A. Rapid increase in ascites
B. Acid poisoning
C. Alkalosis
D. Dehydration, but no acid-base balance

Pyloric complete
cause severe vomiting
not
treated easily lead
following results


Question: A 60-year-old woman, complained to the beginning of the Lunar New Year, on both sides of the lower leg itching, gradually extended to the thighs and buttocks, after washing hot bath itching is more severe, clinical skin as seen in FIG. The most likely diagnosis the patient:

Answer: asteatotic dermatitis

Choices:
A. contact dermatitis
B. seborrheic dermatitis
C. asteatotic dermatitis
D. stasis dermatitis

60 year old woman
beginning
Lunar New Year
sides
lower leg itching
extended
thighs
buttocks
hot bath itching
more severe
clinical skin
seen
diagnosis
patient


Question: If too little amniotic fluid (oligohydramnios), the fetus is most likely associated with how these defects?

Answer: Did not develop kidney (renal agenesis)

Choices:
A. Anencephaly (anencephaly)
B. Esophagus closed (esophageal atresia)
C. Lack of umbilical artery (umbilical artery)
D. Did not develop kidney (renal agenesis)

too little amniotic fluid
oligohydramnios
fetus
most likely associated with
defects


Question: Pain nerve conduction receptacle body (somatosensory receptor) is:

Answer: free nerve endings

Choices:
A. free nerve endings
B. Pacinian corpuscles
C. Merkel's disks
D. Ruffini's endings

Pain
Pain nerve receptacle body
somatosensory receptor


Question: Which of the following exposure to hazards most likely to cause nasal septum perforation?

Answer: Chromic acid

Choices:
A. Carbon tetrachloride
B. Amides dimethyl Mech
C. Chromic acid
D. Organophosphorus

following exposure
hazards
to cause nasal septum perforation


Question: Constitute the main component of the fungal cell wall Why?

Answer: Chitin, dextran and β-1-3- (β-1-3-glucan)

Choices:
A. Chitin (Chitin) and α-1-4- dextran (α-1-4-glucan)
B. Chitin, dextran and β-1-3- (β-1-3-glucan)
C. Peptide sugar (peptidoglycan) dextran and β-1-4-
D. Chitin, dextran, and α-1-6- (α-1-6-glucan)


Question:
10.2 40
 16.2 36.4 normal
 13.5-17 138-353
 9.4-12.5 26-38
 Unit
 g / dL
 10 ^ 3 / mL
 sec
 sec

Answer: PT abnormalities must be corrected coagulopathy

Choices:
A. Severe liver cancer, surgery should track line
B. Thrombocytopenia, the correction to be
C. Liver surgery easy bleeding, prepare in advance packed RBC
D. PT abnormalities must be corrected coagulopathy


Question: Which of the following is the structure of all these myocardial cells and smooth muscle cells?

Answer: Joining gap (gap junction) 37 of the following description relating to a large vein to validity?

Choices:
A. Triad (triad)
B. Dense bodies (dense body)
C. Close contact (tight junction)
D. Joining gap (gap junction) 37 of the following description relating to a large vein to validity?


Question: The following statements about the Helicobacter pylori, whichever is correct?

Answer: Of patients with gastric ulcer Helicobacter pylori prevalence of duodenal ulcer patients below

Choices:
A. Due to the low diagnosis rate urease test, bacterial culture therefore required in order to establish the diagnosis
B. None of the ulcer dyspepsia patients, suffer if there is this bacteria, the international consensus that require sterilization
C. The H. pylori cleared after sterilization, will increase the chance of gastroesophageal reflux disease
D. Of patients with gastric ulcer Helicobacter pylori prevalence of duodenal ulcer patients below


Question: Early peptic ulcer-related complications after surgery, the following statements is wrong?

Answer: Anastomosis function retardation (stomal delay)

Choices:
A. Postoperative bleeding
B. Seams leakage (sutureline leakage)
C. Pancreas damage
D. Anastomosis function retardation (stomal delay)

Early peptic ulcer related complications


Question: Statements about Long-term potentiation, He's wrong?

Answer: Will lead the action potential amplitude increases

Choices:
A. Is a kind of learning and memory related mechanisms
B. Will lead the action potential amplitude increases
C. Turn their machine may be associated with NMDA receptor
D. Will strengthen the synaptic transmission


Question: When patients with acute myocardial infarction thrombolytic agent therapy (thrombolytic therapy), the following statements is most incorrect?

Answer: After the infarct-related coronary artery (infarct related artery) after thrombolytic therapy of blood, if TIMI grade 1, their better prognosis than those TIMI grade 3

Choices:
A. Prime-time treatment is administered within 6 hours after the onset of acute myocardial infarction
B. The most common side effects of treatment are bleeding
C. After the infarct-related coronary artery (infarct related artery) after thrombolytic therapy of blood, if TIMI grade 1, their better prognosis than those TIMI grade 3
D. With severe hypertension (systolic blood pressure above 180 mmHg), was the implementation of a thrombolytic agent therapy contraindications

acute myocardial infarction thrombolytic therapy


Question: 80-year-old man living in nursing homes, there are some skin rash, as determined by dermatologists diagnose scabies, the following statements is true?

Answer: Under microscopic examination, if only to see and not see eggs or fecal parasites, scabies infection is also Keyiqueding

Choices:
A. There is a history of scabies without friends, the next day after visiting the old man felt itchy, which give a high chance of scabies
B. The head is made of scabies mites good location
C. When scabies mites leave the body within a few hours to death
D. Under microscopic examination, if only to see and not see eggs or fecal parasites, scabies infection is also Keyiqueding


Question: 3 after a 28-year-old girl with fever day, the chest and neck began to appear extremely itchy blisters, blisters gradually spread to the limbs, administration of anti-itch medicine physicians seeing patients with aspirin 30 mg / kg / day, qid treatment. One day after the fever persists, a large limbs rash and strawberry tongue phenomenon, then bring another physician for treatment. The physicians have found that patients strawberry tongue, significant swelling purulent blisters around, then administering acetaminophen 40 mg / kg / day, qid treatment with oral cephalexin. One day after the treatment of fever, rash slowly faded, but the next day the child began suffering severe vomiting, confusion, so the emergency was brought to the emergency at the preliminary examination showed white blood cells 9200 / mm3, blood sugar 12 mg / dL, bilirubin total /direct:0.4/0.1 mg / dL, alanine aminotransferase (ALT, GPT) 220 U / L, prothrombin time 40 seconds (control: 14 seconds), cerebrospinal fluid leukocyte 3 / mm3, are lymphocytes. Later sent to the intensive care unit patient has no fever, was supportive treatment seven days later were discharged, doctors found that patients discharged when the fingers and toes have peeling. According to the condition of the girls, the most likely diagnosis is:

Answer: Varicella Staphylococcus aureus or group A streptococcal infection, Reye syndrome (Reye syndrome) occurs later

Choices:
A. Varicella Staphylococcus aureus or group A streptococcal infection, Reye syndrome (Reye syndrome) occurs later
B. Varicella Kawasaki (Kawasaki disease) and central nervous system phenomena violations
C. Staphylococcus aureus or group A streptococcal septicemia complicated by meningitis
D. Then came Kawasaki acetaminophen poisoning


Question: Were positive (estrogen receptor-positive) in the estrogen receptor in breast cancer, estrogen (Estrogen) can promote the growth of cancer cells; often clinically used an estrogen antagonist (estrogen antagonist) Tamoxifen these patients as breast cancer adjuvant therapy. The figure is the structure of Estradiol and Tamoxifen. The following statements is wrong?

Answer: Estradiol and Tamoxifen upon binding to a cell surface receptor, can alter gene expression through regulation of transcription

Choices:
A. Estradiol and Tamoxifen may be incorporated by simple diffusion through the cell membrane to intracellular receptors
B. Estradiol and Tamoxifen upon binding to a cell surface receptor, can alter gene expression through regulation of transcription
C. Estradiol receptor binding the receptor conformational change (conformational changes) occurs
D. Transcription of Tamoxifen caused far less Estradiol

positive
estrogen receptor-positive
estrogen receptor
breast cancer
estrogen
Estrogen
growth of cancer cells
often
used
estrogen antagonist
estrogen antagonist
Tamoxifen
patients
breast cancer adjuvant therapy
structure
Estradiol
Tamoxifen
following
wrong


Question: Leuprolide Which of the following commonly used in the treatment of diseases?

Answer: prostate cancer

Choices:
A. Hodgkin's lymphoma
B. lung cancer
C. prostate cancer
D. pancreatic cancer

Leuprolide
following
used
treatment of diseases


Question: The most common metastatic colorectal path Why?

Answer: Transferred via the lymphatic system

Choices:
A. Transfer through the intestinal wall
B. By penetrating the peritoneal metastasis
C. Transferred via the lymphatic system
D. Through a blood vessel transfer


Question: Which of the following X-ray photography, part of the maxillary sinus may be petrous ridge (petrous ridge) easily blocked by the interpretation?

Answer: Caldwell view

Choices:
A. Waters view
B. Caldwell view
C. skull lateral view
D. submental view

following X-ray
part of
maxillary sinus
petrous ridge
petrous ridge
easily blocked
interpretation


Question: 9. One 32-year-old man presented with fever for a week-long inability to seek treatment, routine blood leukocyte count display up to 96,000 / μL, shoot the ball 0 gm / dL, platelet 15,000 / μL. Bone marrow examination is reported as acute lymphoblastic leukemia. Philadelphia chromosome-positive. After induction chemotherapy and tyrosine kinase inhibitor (TKI) achieved complete remission, Which of the following will have the highest chance of cure?

Answer: + Bone marrow destructive consolidation therapy and chemotherapeutic human leukocyte antigen (HLA) anastomosis of allogeneic hematopoietic stem cell transplantation

Choices:
A. Consolidation therapy + maintenance therapy
B. + Bone marrow destructive treatment consolidation chemotherapy and autologous stem cell transplantation
C. + Bone marrow destructive consolidation therapy and chemotherapeutic human leukocyte antigen (HLA) anastomosis of allogeneic hematopoietic stem cell transplantation
D. Consolidation therapy + anti-CD-5, CD-20, CD-22 cocktail immunotherapy

One
year old man
fever
week long
to
treatment
routine blood leukocyte count display
96
ball 0 gm
dL
Bone marrow examination
reported
acute lymphoblastic leukemia
Philadelphia chromosome-positive
induction chemotherapy
tyrosine kinase inhibitor
complete remission
following
highest chance


Question: Asherman's syndrome doubt, check the items that the most appropriate?

Answer: Stimulation test progestin (progesterone challenge test)

Choices:
A. The concentration of estrogen in the blood
B. Stimulation test progestin (progesterone challenge test)
C. Gn RH test
D. TSH test

Asherman's syndrome
check
most appropriate


Question: Primary auditory cortex of the brain (primary auditory cortex) of the incoming message, mainly come from?

Answer: Medial geniculate body (medial geniculate body)

Choices:
A. Medial geniculate body (medial geniculate body)
B. The superior colliculus (superior colliculus)
C. Orthorhombic (trapezoid body)
D. Occipital thalamus (pulvinar of thalamus)

Primary auditory cortex
brain
primary auditory cortex


Question: The very fact that 26-year-old, two days before the sudden lower extremity weakness and urinary incontinence. Two years ago she had a bust of numbness on the left side, back to normal after three months; six months ago and once the right eye blurred vision, vision gradually recover more than ten days. The figure below shows this time photography magnetic resonance (MRI) test results during hospitalization. Following a diagnosis that is most likely?

Answer: Multiple sclerosis (multiple sclerosis)

Choices:
A. Multiple sclerosis (multiple sclerosis)
B. Multiple stroke (multiple infarcts)
C. Encephalomyelitis virus (viral encephalomyelitis)
D. Mercury poisoning (mercury poisoning)

very fact
year old
two days
sudden lower extremity weakness
urinary incontinence
Two years
numbness
left side
back
normal
three months
six months
once
right eye blurred vision
vision
recover more
time
magnetic resonance
MRI
test results
Following
diagnosis


Question: One patient due to sore throat and fever came to emergency room. Asked the drug history, the patient began two months ago because of heart problems taking regular physician opened; 10 days ago because of flu symptoms, take yourself to a pharmacy to buy medicine. Pharmacological examination showed swollen throat and white point, the temperature 39 ℃. Blood examination revealed white blood cell count was 1,250 / mm3, where 10% neutrophil, monocyte 8%, lymphocyte 81%, eosinophil 1%, normal red blood cells and platelets. Which of the following error?

Answer: The number of lymphocytes increases patient, whether there should be further examination lymphoproliferative disease

Choices:
A. The number of lymphocytes increases patient, whether there should be further examination lymphoproliferative disease
B. Patients most likely to have a bacterial infection, microbial culture to be done immediately after the injection of antibiotics
C. Patients most likely because the drug caused by particles ball thrombocytopenia
D. The number of patients neutrophil count only 125 / mm3, resistance is very low, it is best to stay in hospital for observation


Question: After the above PPF (pterygopalatine fossa) where leading to?

Answer: Middle cranial fossa (middle cranial fossa)

Choices:
A. nasal cavity
B. Temporal fossa (infratemporal fossa)
C. Middle cranial fossa (middle cranial fossa)
D. Oral


Question: After screening patients normal urine, abdominal X-ray examination was normal, which of the following is the most appropriate examination rectal injury of inspection items?

Answer: Rigid sigmoidoscopy

Choices:
A. Dre
B. Rigid sigmoidoscopy
C. The fiber endoscopy, colonoscopy
D. E. barium X-ray photographic examination

screening patients normal
abdominal X-ray
normal
following
most appropriate
rectal injury of


Question: Compared to parenteral nutrition, enteral nutrition benefits of nutritional support of surgical patients, which of the following error?

Answer: Severe hemodynamic instability (marked hemodynamic instability) for patients given enteral nutrition

Choices:
A. Eat polysaccharides (polysaccharides) are fermented in the large intestine bacteria (bacterial fermentation), in order to maintain normal intestinal colony
B. Severe hemodynamic instability (marked hemodynamic instability) for patients given enteral nutrition
C. Better gastrointestinal immune function (gastrointestinal immunity)
D. Can maintain gastrointestinal barrier function (gastrointestinal barrier function)

parenteral nutrition
enteral nutrition benefits
nutritional support
surgical patients
following error


Question: Which of the following does not affect the minimum alveolar concentration (minimum alveolar concentration) values?

Answer: hypertension

Choices:
A. hypertension
B. Antagonist muscle relaxation
C. Hypoxia (PaO2 <40 mmHg)
D. Use reserpine

following
not
minimum alveolar concentration
minimum alveolar concentration
values


Question: If a woman's physiological menstrual cycle is 28 days, bed window period (implantation window) is most likely in the first few days after menstruation?

Answer: 20 to 24 days

Choices:
A. 12 to 15 days
B. 16 to 19 days
C. 20 to 24 days
D. 25 to 27 days

woman's physiological menstrual cycle
days
bed window period
implantation window
first
days
menstruation


Question: Clinically, patients present features "Strawberry tongne" of what is likely to be infected with these diseases?

Answer: Scarlet fever

Choices:
A. Scarlet fever
B. Streptococcal toxin shock syndrome
C. Staphylococcal toxin shock syndrome
D. Rheumatic fever

patients present features
likely to
infected
diseases


Question: Following a fungus that belongs superficial fungal skin infections?

Answer: Ringworm fungus (Trichophyton tonsurans)

Choices:
A. Candida albicans (Candida albicans)
B. New forms of Cryptococcus (Cryptococcus neoformans)
C. Ringworm fungus (Trichophyton tonsurans)
D. SaruKatsu Mr. 孢絲 bacteria (Sporothrix schenckii)


Question: Thalamus medial geniculate body (medial geniculate body of thalamus), where the main projected to the following?

Answer: Temporal cross back (transverse temporal gyrus)

Choices:
A. Temporal cross back (transverse temporal gyrus)
B. Occipitotemporal back outside (lateral occiptotemporal gyrus)
C. 島 閾 (limen island)
D. Angular gyrus (angular gyrus)

Thalamus medial geniculate body
medial geniculate body
thalamus
main


Question: 22-year-old girl was sexually yet, because the last couple of years, while attendances increasing body weight. Height 150 cm, weight 80 kg at present, the past year have delayed menstruation quite a long time to come, the longest time up to 3 months. Abdominal ultrasound measuring chamber sinus number (antral follicle count) of 20 follicles, endometrial thickness of 15 mm, yet currently no contacts in fertility also considered. The following recommendations whichever is most inappropriate?

Answer: Given fertility drugs

Choices:
A. Given fertility drugs
B. Given progesterone
C. Recommend weight loss and actively adjust living and eating habits
D. Recommended screening for diabetes and insulin resistance

Abdominal measuring chamber sinus number


Question: Which of the following most likely primary excess aldosterone secretion (primary hyperaldosteronism) patients prone to symptoms?

Answer: Impaired glucose tolerance

Choices:
A. Impaired glucose tolerance
B. Sodium blood loss
C. Hypotension
D. Blood lipid levels decline


Question: From the previous question, the initial disposition of the baby, which of the following error?

Answer: Maintain a high Trendelenburg position, in order to avoid aspiration pneumonia

Choices:
A. A suction drainage tube proximal esophagus
B. With or without infection, intravenous antibiotics
C. Arrangements echocardiography
D. Maintain a high Trendelenburg position, in order to avoid aspiration pneumonia

previous
initial disposition
baby
following error


Question: 6. The patient has a year-long in-patient private prosecution difficulty swallowing, and often accompanied by the feeling of something in the middle behind the breastbone stuck. Difficulty swallowing only solid food, drink liquid stuff is not difficult. But not every meal will appear, good times and bad. Patient nor the phenomenon of weight loss. Physical examination found no abnormalities. About diagnose this patient, the following description and what was right?

Answer: Photography barium (barium meal study) is very effective for the diagnosis of the patient's

Choices:
A. Diagnosis of the patient, the most likely achalasia
B. The present patient may turn pathogenic machine wherein esophageal dysmotility
C. Photography barium (barium meal study) is very effective for the diagnosis of the patient's
D. These patients, though not esophageal cancer, the treatment is still surgery


Question: The following description of schizophrenia (schizophrenic disorder) epidemiology, what's wrong?

Answer: Male ratio 2: 1

Choices:
A. Taiwan epidemiological show its prevalence is about three thousandths about
B. More than age 15-45 years old
C. Male ratio 2: 1
D. And seasonal-related risk factors, such as viral infections, there may be cause schizophrenia

following
schizophrenia
schizophrenic disorder
epidemiology
wrong


Question: A gynecologist is recommended when patients see the doctor to do a Pap smear in the three sections of five levels of prevention (levels of prevention), which belongs to that next level?

Answer: The second paragraph of the third stage

Choices:
A. The first paragraph of the second stage
B. The second paragraph of the third stage
C. Third paragraph of the fourth stage
D. Third paragraph of the fifth grade

gynecologist
patients see
doctor
a Pap smear
three sections
five levels
prevention
levels
prevention
to
next level


Question: About weight loss surgery (bariatric surgery), the following statements is wrong?

Answer: Can not reduce the mortality rate of patients with severe obesity

Choices:
A. Benefits of metabolism, in part because of changes in the concentrations of the gut hormones caused
B. In addition to the limitation typically type (Restrictive) surgery, recombined malabsorption type (malabsorptive) surgery, increased weight loss
C. Be used to improve glycemic control in type II diabetes patients with severe obesity
D. Can not reduce the mortality rate of patients with severe obesity

weight loss surgery
bariatric surgery
following
wrong


Question: A 39-year-old woman complained of nearly a month more than four times ill, each episode are no warning, no fixed period of time, during the onset of symptoms was about 10 minutes to reach the peak, associated with palpitations, sweating, tremor , bloating, dizziness, feeling on the verge of collapse, death, and distraught. Which of the following is most likely for the clinical diagnosis?

Answer: Panic Disorder

Choices:
A. Generalized Anxiety Disorder
B. Panic Disorder
C. Post-traumatic stress disorder
D. Obsessive-compulsive disorder

year old woman
nearly
month
four times ill
episode
fixed period
time
onset
symptoms
about 10 minutes to reach
peak
associated with palpitations
sweating
tremor
bloating
dizziness
verge
collapse
death
following
clinical diagnosis


Question: For definitions of systemic inflammatory response syndrome SIRS (systemic inflammatory response syndrome), and which of the following error?

Answer: Systolic blood pressure less than 90 mmHg

Choices:
A. Heart rate greater than 90 beats per minute
B. Systolic blood pressure less than 90 mmHg
C. Under normal breathing respiratory rate greater than 20 per minute or lower blood carbon dioxide partial pressure (PaCO2) of less than 32 mmHg
D. Leukocytes greater than 12,000 cells / mm3 or less than 4000 cells / mm3 or greater than 10% immature (Band) cells in the peripheral blood smear


Question: The following amino acid that kind most likely to participate in cis peptide bond (cis peptide bond) in the protein structure formation?

Answer: Proline (proline)

Choices:
A. Histidine (histidine)
B. Alanine (alanine)
C. Proline (proline)
D. Glycine (glycine)

following amino acid
kind
to
cis
cis
protein structure formation


Question: The following statements about children megacolon (megacolon), and what's wrong?

Answer: Rectal biopsies in, see ganglion cells (aganglion), acetylcholine enzyme (acetylcholinesterase) also reduced staining

Choices:
A. 75% to 80% of the violations of the rectum - sigmoid colon (rectosigmoid colon)
B. The largest cause of death: enterocolitis (enterocolitis)
C. Rectal biopsies in, see ganglion cells (aganglion), acetylcholine enzyme (acetylcholinesterase) also reduced staining
D. Avoid detection errors, the front lower gastrointestinal barium enema examination should be avoided

following
children megacolon
megacolon
wrong


Question: Following what kind of an effect fastest insulin in the human body?

Answer: Lispro or aspart

Choices:
A. Regular insulin
B. NPH or lente
C. Lispro or aspart
D. Glargine 15 following that one has nothing to do with type II diabetes (type 2 diabetes mellitus)?

Following
kind
effect fastest insulin
human body


Question: Pulmonary ligament (pulmonary ligament) is located where the lungs?

Answer: The root (root)

Choices:
A. Tip (Apex)
B. Basal plane (base)
C. Rib surface (costal surface)
D. The root (root)

Pulmonary ligament
pulmonary ligament
lungs


Question: The following related pulmonary fibrosis (fibrosis) lung function changes the narrative, what's wrong?

Answer: Pulmonary function over capacity (functional residual capacity) increased

Choices:
A. Vital capacity (vital capacity) reduction
B. Pulmonary function over capacity (functional residual capacity) increased
C. Exercise, often show rapid shallow breathing pattern (rapid shallow breathing)
D. Forced expiratory volume in one second (FEV1) is usually reduced

following related pulmonary fibrosis
fibrosis
lung function changes
wrong


Question: 75-year-old Ms. Lee, her family found the past few months do not like to go out, no energy, feeling quite forgetfulness, sleep well, poor appetite, weight loss, often have difficulty breathing, chest tightness, general discomfort, family took her to the clinic assessment. The following statements is wrong?

Answer: Antidepressant drugs SSRI (selective serotonin reuptake inhibitor) class of drugs is more effective than TCA (tricyclic antidepressant) class

Choices:
A. Elderly depression is often associated with the symptoms of cognitive function, which is considered to be "pseudo-dementia"
B. Hypothyroidism or hyperthyroidism patients likely will be accompanied by symptoms of depression, so patients with suspected depression should be measured thyroid function
C. 6 to 8 weeks after drug treatment, about 60 to 70% of patients can be controlled
D. Antidepressant drugs SSRI (selective serotonin reuptake inhibitor) class of drugs is more effective than TCA (tricyclic antidepressant) class

75 year old Ms
found
past
months
not
to go out
energy
forgetfulness
sleep well
poor appetite
weight loss
often
difficulty breathing
chest tightness
general discomfort
following
wrong


Question: 27 A 35-year-old woman in the car when suddenly felt severe headache, after being taken to the emergency room parking, and soon fell into a coma, died a few days later. The naked eye can see the drawings of the brain, the most likely diagnosis is:

Answer: Berry-like aneurysm rupture

Choices:
A. Pleomorphic glial cell tumor buds
B. Embolism and cerebral infarction
C. Berry-like aneurysm rupture
D. Amyloid angiopathy cerebral hemorrhage

27
35 year old woman
car
severe headache
emergency room parking
fell
coma
died
few days later
naked eye
see
brain
diagnosis


Question: Monoclonal antibody adalimumab (Humira) as an anti-tumor necrosis factor (anti-TNF), the most Which of the following is not recommended for the treatment of diseases?

Answer: systemic lupus eryhematosus

Choices:
A. Crohn's disease
B. ankylosing spondylitis
C. rheumatoid arthritis
D. systemic lupus eryhematosus

Monoclonal antibody adalimumab
Humira
tumor necrosis factor
most
following
not
treatment
diseases


Question: 37. The researchers wanted to test a male college student from North Central of average height, like whether randomly selected each name, the following statistical analysis whichever is most appropriate from the North Central male college students in a university?

Answer: Analysis of variance (ANOVA)

Choices:
A. Z-test (Z test)
B. Analysis of variance (ANOVA)
C. Paired t-test (Paired t-test)
D. Table analysis (Contingency table)

researchers wanted to test
male
North Central
average height
name
following
most appropriate
North Central male
university


Question: Temperature sensation by mainly as transient receptor potential (Trp) cation channels. About the characteristics of the narrative, which of the following error?

Answer: Cold sensations is activated, which will cause membrane hyperpolarization

Choices:
A. Cation channel
B. capsaicin receptors subtype activatable TrpV1
C. TrpM8 is cold sensation receptors
D. Cold sensations is activated, which will cause membrane hyperpolarization

Temperature sensation
transient receptor potential
channels
characteristics
following error


Question: Phrenic nerve (phrenic nerve) starting from the spinal cord Dan?

Answer: C3 ~ 5

Choices:
A. C3 ~ 5
B. C7 ~ T2
C. T3 ~ 5
D. T6 ~ 10

Phrenic nerve
phrenic nerve
starting
spinal cord


Question: From the previous question, in this case, how to deal better?

Answer: Large intestine or stoma together as part of the large intestine resection

Choices:
A. Fasting, antibiotics and intravenous infusion therapy
B. Repair of gastric perforation
C. Appendectomy
D. Large intestine or stoma together as part of the large intestine resection


Question: The most common in the interior of the tertiary structure of the protein covalent interactions are:

Answer: Disulfide bond (disulfide bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Van de Waal forces (van der Waals interaction)
C. Ionic interactions (ionic interaction)
D. Disulfide bond (disulfide bond)


Question: A common structural unit in the molecule of the coenzyme NAD +, FAD, coenzyme A, etc. (structure module) to:

Answer: ADP

Choices:
A. ADP
B. CDP
C. GDP
D. UDP

A common structural unit
coenzyme NAD
FAD
coenzyme A
structure


Question: The main use of drugs seizures caused by alcoholism withdrawal as follows:

Answer: Diazepam

Choices:
A. Chlordiazepoxide
B. Lorazepam
C. Diazepam
D. Flurazepam

main use of drugs seizures caused
alcoholism withdrawal
follows


Question: 5.6 × 106 / mm3, Hb: 10.8 g / dL, MCV: 62 fL, MCH: 20.1 pg, MCHC: 31.4 g / dL, RDW (RBC distribution width) below the normal value, Hb Al: 97.1%, Hb A2 : 2.1%, Hb F: 0.8%. Show boys are most likely to be:

Answer: Iron deficiency anemia (iron deficiency anemia)

Choices:
A. [alpha] type light marine anemia (α-thalassemia minor)
B. Iron deficiency anemia (iron deficiency anemia)
C. Hereditary spherical Polycythemia (hereditary spherocytosis)
D. Marine beta] type light anemia (β-thalassemia minor)

5.6
mm3
Hb
10.8 g
dL
MCV
62 fL
MCH
20
pg
MCHC
31
g
dL
RDW
distribution width
normal value
Hb Al
97
Hb A2
2.1
Hb F
0.8
boys
to


Question: 3 A 50-year-old man, suffering from high blood pressure five years, never treated. Today in the morning to a spa, tears suddenly felt severe chest pain, cold sweat. Sent to the emergency room, brachial artery blood pressure 200/120 mmHg, left lower extremity arterial blood pressure 130/96 mmHg, right lower extremity arterial blood pressure 210/120 mmHg. ECG, troponin-I to normal. Patients with chest pain should be a top priority that kind?

Answer: Dissection of the aorta (aortic dissection)

Choices:
A. Non-ST elevation acute myocardial infarction of
B. Pulmonary embolism (pulmonary embolism)
C. Dissection of the aorta (aortic dissection)
D. Pneumothorax (pneumothorax)


Question: Description of dementia, whichever is correct?

Answer: The first is on the disposal of diagnosis, to determine whether the reversibility of dementia

Choices:
A. Will produce memory deficits, but will not appear personality changes
B. The most common is vascular dementia
C. Normal aging of cognitive decline will significantly affect social behavior
D. The first is on the disposal of diagnosis, to determine whether the reversibility of dementia


Question: A taxi driver's sleeping patterns as follows: after 23 o'clock bedtime can fall asleep within about 15 minutes, but more than they wake up around 3:00 flounder finds it difficult to fall asleep until about 6:00 in the morning can be back to sleep, but you must 7:00 get to work, so when driving lethargic. Ruoyu short-term investment to the drug to the case, which of the following drugs are more suitable for their sleep patterns?

Answer: The effect of benzodiazepines

Choices:
A. A sustained-release formulation of zolpidem
B. The short-acting benzodiazepines
C. The effect of benzodiazepines
D. Has a hypnotic effect of sedative antipsychotics

taxi driver's sleeping patterns
follows
23
clock bedtime
fall asleep
15 minutes
more
wake up
3
finds
difficult to fall asleep
about
morning
back to sleep
to
lethargic
short investment
drug
case
following drugs
more suitable
sleep patterns


Question: 4. 2-year-old mother suspected foreign body ingestion daughter and brought her to the emergency room, the mother complained girls in the past has been good, just playing in the game room with his brother, his brother found the girl child swallowed a suspected object, and began to cough and cry, check when the girl found no cyanosis, slightly faster breathing, breath sounds normal, which of the following items is the most appropriate disposal?

Answer: Neck and chest X-ray

Choices:
A. After returning home to observe health education
B. Neck and chest X-ray
C. Upper gastrointestinal barium examination
D. Computer tomography examination

4
2 year old
suspected foreign body ingestion
brought
emergency room
girls
past
good
playing
room
found
girl child swallowed
suspected
began to cough
check
girl found
cyanosis
slightly faster breathing
breath sounds normal
following
most appropriate


Question: That ⼀ following kinds of experimental techniques can not be directly ⽣ to apply it to the egg white chest upwards quality points identified?

Answer: Submenu points sieve column chromatography (size-exclusion chromatography)

Choices:
A. ⻄ ⽅ blot (Western blot analysis)
B. MS (mass spectrometry)
C. Submenu points sieve column chromatography (size-exclusion chromatography)
D. Analysis of amino terminal sequence (N-terminal sequencing)

following kinds
not
directly
to apply
chest
quality points identified


Question: A 40-year-old man had a history of urinary tract stones, to the emergency room because of abdominal pain, the following statements is wrong again?

Answer: If the produce nausea, vomiting and other symptoms, to rule out the possibility of renal colic

Choices:
A. Renal colic stones caused initially by the waist and abdomen began, rear diffuser to the groin and testicles
B. Middle ureteral stones renal colic pain often makes patients unable to rest
C. Ureteral stones near the bladder, often have urinary frequency and urinary urgency feeling
D. If the produce nausea, vomiting and other symptoms, to rule out the possibility of renal colic

40 year old man
history of urinary tract stones
emergency room
abdominal pain
following
wrong


Question: Concomitant cardiac chamber before the branches (anterior interventricular branch) walking in the front chamber of the heart ditch veins are:

Answer: Great cardiac vein (great cardiac vein)

Choices:
A. Former cardiac vein (anterior cardiac vein)
B. Great cardiac vein (great cardiac vein)
C. Cardiac vein (middle cardiac vein)
D. Heart venules (small cardiac vein)

Concomitant cardiac chamber
branches
anterior
branch
walking in
front chamber of
heart
veins


Question: The following account of surgical treatment cardia cancer of the, what's wrong?

Answer: Good prognosis than distal gastric cancer

Choices:
A. And comparing proximal gastrectomy, total gastrectomy procedure of choice for the
B. proximal gastrectomy have a higher morbidity and mortality than total gastrectomy
C. proximal gastrectomy had a higher incidence of heartburn than total gastrectomy
D. Good prognosis than distal gastric cancer


Question: Syphilis lesions, the most significant and a large amount of infiltrating cells are:

Answer: Plasma cell

Choices:
A. Plasma cell
B. Lymphocyte
C. Macrophages
D. Eosinophilic leukocytes

Syphilis lesions
most significant
large amount
infiltrating cells


Question: Those precautions when using the local transposition flap (local rotational flaps), whichever except:

Answer: Stitching color

Choices:
A. Transposition ratio of the length and width of the flap
B. Transposition flap around suture tension is subjected
C. Tightness of the wound dressing
D. Stitching color

using
local transposition flap
local rotational


Question: Is doing rehabilitation therapy of cerebral palsy 4-year-old child, whose MRI FLAIR image of figure, seen an increase in bilateral frontal and occipital brain tissue atrophy and the symmetry of the signal, which image is presumed cause of cerebral palsy The reason is:

Answer: sequela of perinat	a of a full term infant

Choices:
A. sequela of perinat	a of a full term infant
B. sequela of infantile head injury
C. sequela of previous herpes encephalitis
D. sequela of previous Japanese encephalitis

rehabilitation therapy
cerebral palsy
year old
MRI FLAIR
seen
increase
bilateral frontal
occipital brain atrophy
symmetry
cause
cerebral palsy


Question: Which of the following does not have a platelet?

Answer: Nucleus (nucleus)

Choices:
A. Nucleus (nucleus)
B. Microfilariae (microfilament)
C. Golgi apparatus (Golgi apparatus)
D. Mitochondria (Mitochondria)


Question: Infective endocarditis least Rongyifasheng which of the following heart disease?

Answer: Atrial septal defect

Choices:
A. Aortic stenosis
B. Mitral stenosis
C. Pulmonary stenosis
D. Atrial septal defect

Infective endocarditis
of the following heart disease


Question: 73-year-old Lin, fever, chills, right upper quadrant pain and his family were taken to hospital. Physicians for his percussion (percussion) have found at intercostal liver percussion pain. Before the injection of contrast agents, CT showed the right lobe lesions as illustrated. Lin most likely suffering from what disease?

Answer: Liver abscess (liver abscess)

Choices:
A. Hepatic cavernous hemangioma (cavernous hemangioma)
B. Liver abscess (liver abscess)
C. Locality fatty liver (focal fatty infiltration)
D. Metastases (liver metastasis)

year old Lin
fever
chills
right upper quadrant pain
hospital
Physicians
percussion
percussion
found
intercostal liver percussion pain
injection
CT
right lobe lesions
Lin
likely suffering
disease


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

Answer: Most of these lesions will not be transformed into melanoma (melanoma)

Choices:
A. Typically small, typically less than 5mm more general moles (nevi)
B. I saw on the skin from the sun
C. Morphology usually intradermal nevus (intradermal nevi)
D. Most of these lesions will not be transformed into melanoma (melanoma)


Question: Infantile hemangioma (hemangioma) the best hair in that one of the following organs?

Answer: liver

Choices:
A. The brain
B. Intestinal
C. kidney
D. liver

Infantile hemangioma
hemangioma
best hair
one
following organs


Question: Which of the following is a disorder neurofibromatosis (neurofibromatosis) the most typical characteristics of the skin?

Answer: cafe au lait spots

Choices:
A. linear hypopigmentation
B. cherry red spots
C. port-wine stain
D. cafe au lait spots

following
disorder neurofibromatosis
neurofibromatosis
most typical characteristics
skin


Question: When opening narcotic analgesics (narcotic analgesic) to a terminal cancer patient, Which of the following is most in need of the drug at the same time to open?

Answer: Prevention of drug constipation

Choices:
A. Prevention of drug constipation
B. Strengthen the role of sedative drugs (sedation)
C. Drug prevention of dizziness
D. Antidepressants

opening narcotic analgesics
narcotic analgesic
terminal
following
most
need
drug
same time to open


Question: Which of the following is the source of cell medullary thyroid cancer (medullary thyroid cancer) is?

Answer: Parafollicular cells (calcitonin producing cells, C cells)

Choices:
A. Follicular cells (follicular epithelial cells)
B. Parafollicular cells (calcitonin producing cells, C cells)
C. Lymphocyte cells (lymphocytes)
D. ⺟ fiber cells (fibroblasts)


Question: Account of the treatment of polycystic ovary syndrome (polycystic ovary syndrome, PCOS) is, which of the following error?

Answer: Use may be used alone insulin sensitizers (such as: Metformin) to stimulate ovulation

Choices:
A. Using anti-androgen drugs to treat acne (acne, acne)
B. Use may be used alone insulin sensitizers (such as: Metformin) to stimulate ovulation
C. Clinical symptoms of therapeutic treatment to change ⽣ living patterns (weight loss weight loss) (= control diet + exercise) based supplement
D. With clomiphene citrate to treat anovulation

Account
treatment
polycystic ovary syndrome
polycystic ovary syndrome
PCOS
following error


Question: Which of the following medical disease onset times less likely to cause emotional disorders (secondary mood disorder)?

Answer: Vitamin C deficiency

Choices:
A. Stroke
B. Parkinson's disease
C. Multiple sclerosis (multiple sclerosis)
D. Vitamin C deficiency

of
following medical disease onset times
likely to cause emotional disorders
secondary mood disorder


Question: That happens when one of the following treatment of neck pain is an absolute contraindication to the use of traction therapy (cervical traction)?

Answer: Lhermitte positive signs

Choices:
A. Spurling test positive
B. Lhermitte positive signs
C. Cervical osteoarthritis (degenerative arthritis of cervical spine)
D. Cervical radiculopathy (cervical radiculopathy)

one of
following treatment
neck pain
absolute contraindication
use of traction therapy
cervical traction


Question: For the purposes of the written rules about the content of human trials of medical consent law, shall include the matters, which of the following is not correct?

Answer: Acceptance test plan without the consent of the presiding person shall not withdraw your consent at any time

Choices:
A. And the risk of possible side effects
B. Other possible ways of treatment and Description
C. Expected test results
D. Acceptance test plan without the consent of the presiding person shall not withdraw your consent at any time

purposes
written
human
consent
include
following
not correct


Question: Mr. Zhu Lao suffering from diabetes for many years, a year ago had a slight stroke. A cold morning when Mr. Zhu yard burst exercise chest pain, family members immediately rushed to the hospital emergency room physician diagnosed myocardial infarction in the intensive care unit, Mr. Zhu acute pulmonary edema, although intubation and respirator to maintain oxygen concentration, until the final night due to respiratory failure and death. Mr. Zhu of the death certificate How can I open?

Answer: Direct cause of death was pulmonary edema, before Hajime disease because of myocardial infarction, and death direct cause of death of the disease is diabetes

Choices:
A. Direct cause of death was respiratory failure, pulmonary edema because before Hajime disease, illness and death direct cause of death was diabetes
B. Direct cause of death was pulmonary edema, before Hajime disease because of myocardial infarction, and death direct cause of death of the disease is diabetes
C. Direct cause of death was myocardial infarction, before Hajime disease because of diabetes, disease and death direct cause of death was pulmonary edema
D. Direct cause of death was myocardial infarction, before Hajime disease because of diabetes, disease and death direct cause of death was stroke


Question: Statements about cleft lip and cleft palate (cleft lip and palate), and which of the following error?

Answer: Severe cleft lip and palate intact (complete cleft lip / palate) may lead to aspiration pneumonia, it should advance to the 3 to 6 weeks operation is performed manually

Choices:
A. Cleft lip and palate is the most common congenital anomalies ⾯ ⾒ Yen (Anomaly)
B. The reason there is a family history of hair associate the resulting tendency Use during pregnancy with drugs, infections or smoking is also related
C. Severe cleft lip and palate intact (complete cleft lip / palate) may lead to aspiration pneumonia, it should advance to the 3 to 6 weeks operation is performed manually
D. Cleft palate surgery complications most commonly ⾒ correction of the watch is fistula (fistula), followed by not fully corrected your language and send sound, and velopharyngeal insufficiency

cleft lip
cleft palate
cleft lip
palate
following error


Question: About cryptorchidism (undescended testis) of the narrative, which of the following error?

Answer: Timing of surgery should be in elementary school

Choices:
A. Will inguinal hernia (inguinal hernia)
B. Timing of surgery should be in elementary school
C. Cryptorchidism not have the opportunity to deal with malignant testicular tumors occurring
D. Cryptorchidism no treatment could easily lead to infertility

cryptorchidism
undescended testis
following error


Question: A 71-year-old man presented with progressive dyspnea, radiographic examination showed a left atrial thrombus or a suspected tumor-like lesions. Histologically this lesion contains abundant acidic mucopolysaccharide matrix, wherein a number of doped stellate cells. Which of the following is the most likely diagnosis of this disease?

Answer: cardiac myxoma

Choices:
A. cardiac myxoma
B. metastatic carcinoma
C. cardiac angiosarcoma
D. mural thrombus


Question: Statements about the elderly with isolated systolic hypertension (isolated systolic hypertension), and what is wrong?

Answer: The main defect of blood mobility (hemodynamic fault) is in the order of artery (median artery) of the expansion (distensibility) reduction

Choices:
A. The main defect of blood mobility (hemodynamic fault) is in the order of artery (median artery) of the expansion (distensibility) reduction
B. Other than age, arteriosclerosis and high blood pressure are the two major factors that accelerate
C. Mainly because of the aortic artery elastin (Elastin) is collagen (Collagen) and fibrous tissue (fibrous tissue) substituted
D. Cardiovascular damage from each pulse beat vessels bear (pulsatility) and a quick response from peripheral vascular arterial pulse systolic blood pressure to promote more

isolated systolic hypertension
isolated systolic hypertension
wrong


Question: Which of the following is not a Vibrio (Vibrio) of pathogenic bacteria feature?

Answer: With motility (motility)

Choices:
A. With motility (motility)
B. With acid properties (acid-tolerance)
C. With oxidase (oxidase)
D. With salt tolerance (halotolerance)

following
not
pathogenic bacteria feature


Question: Which of the following best is through the tibial knee (trans-tibial) amputation stump length as a percentage of the original length of the tibia?

Answer: 40%

Choices:
A. 80%
B. 60%
C. 40%
D. 20%

following best
tibial knee
trans tibial
amputation stump length
percentage of
original
tibia


Question: Of severe vomiting caused by chemotherapy, following what kind of drugs the most effective?

Answer: Ondansetron

Choices:
A. Bethanechol
B. Ondansetron
C. Scopolamine
D. Diphenhydramine

severe vomiting caused
chemotherapy
following
kind
drugs
most effective


Question: 67 Azidothymidine (AZT) is a nucleoside analog (nucleoside analogue), mainly in the inhibition of human immunodeficiency virus that step (HIV) replication process?

Answer: Reverse transcription (Reverse transcription)

Choices:
A. Intrusion (Entry)
B. Translation (Translation)
C. Reverse transcription (Reverse transcription)
D. Mature (Maturation)

67 Azidothymidine
nucleoside analog
nucleoside analogue
inhibition
human immunodeficiency virus
step
HIV


Question: Adult patients generally have inserted nasogastric tube and found how similar amount nasogastric secretions of bile, which of the following is most appropriate fluid replacement?

Answer: Ringer's lactate solution (lactated Ringer's solution)

Choices:
A. Saline (normal saline)
B. Dextrose in water (glucose water)
C. Ringer's lactate solution (lactated Ringer's solution)
D. Half-brine (half saline)

Adult patients
inserted nasogastric
found
similar amount nasogastric secretions
bile
following
most appropriate fluid replacement


Question: A 24-year-old male patient, three weeks ago appeared emotional excitement, gushing speech, energetic, morning to evening, squandered money, nosy, love to criticize others, and thus conflicts with others, was admitted to the hospital family. Past medical history and physical examination found no abnormalities. The patients most likely to develop the kind of mental illness?

Answer: Bipolar disorder, manic episodes (bipolar disorder, manic episode)

Choices:
A. Schizophrenia (schizophrenic disorder)
B. Bipolar disorder, manic episodes (bipolar disorder, manic episode)
C. Depression (depressive disorder)
D. Antisocial personality disorder (antisocial personality disorder)

year old male patient
three weeks
appeared emotional
speech
energetic
morning
evening
money
to
others
conflicts
others
family
Past
found
abnormalities
patients
to
kind
mental illness


Question: About carpal tunnel syndrome (carpal tunnel syrdrome) of the narrative, which of the following error?

Answer: Ulnar nerve decompression procedure for an effective treatment

Choices:
A. Is the most common nerve compression syndrome
B. Prone to women during pregnancy
C. Ulnar nerve decompression procedure for an effective treatment
D. Common reasons for the excessive use of the hand or hands due to occupational disease caused by trauma

About carpal tunnel syndrome
carpal tunnel
following error


Question: Child-Pugh classification cirrhosis of the liver function of patients divided into three levels, which of the following does not belong to its scoring project?

Answer: ICG test（Indocyanine Green test）

Choices:
A. Bilirubin
B. Albumin
C. Prothrombin time
D. ICG test（Indocyanine Green test）

cirrhosis of
liver function
patients divided
three levels
following
not
scoring


Question: 25 year old man sudden high fever (39.2 ℃), cough, dyspnea and medical treatment, no chest pain, nor smoking. Chest X-ray was right upper lobe pneumonia. The following statements is most inappropriate?

Answer: Shall immediately arrange chest CT scan and bronchoscopy

Choices:
A. The most common pathogen was Streptococcus pneumoniae
B. Should immediately check white blood cells and sputum staining (Gram's stain)
C. Should be based on clinical data and experience, the first vote and the appropriate antibiotics
D. Shall immediately arrange chest CT scan and bronchoscopy

year old man sudden high
cough
dyspnea
medical treatment
chest pain
smoking
Chest X-ray
right upper lobe pneumonia
following
most inappropriate


Question: There are about preschoolers narrative of dysarthria, which of the following error?

Answer: Lingual frenulum short children, about 15% will have dysarthria, early surgical

Choices:
A. Lingual frenulum short children, about 15% will have dysarthria, early surgical
B. Pure tone audiometry is important to check
C. Speech rehabilitation therapy to help correct dysarthria
D. Submucosal cleft palate is one of the possible reasons

about preschoolers
dysarthria
following error


Question: Respect for patient autonomy is an important principle of medical ethics. What is respect for patient autonomy?

Answer: Patient-understand language, the initiative to inform the patient of the disease-related information, to ensure that patients understand the associated risks and benefits of medical practices, medical help patients make a decision in their best interests, is to respect the autonomy

Choices:
A. Hospital to establish standard operating procedures to ensure patients before surgery must personally sign the consent form, is to respect patient autonomy
B. Head trauma patients to the emergency department, confusion, did not sign before the hospital, surgery should be done only in families, is to respect the autonomy
C. As long as patients sent to the intensive care unit, should be distributed to families in critical condition notice, so that the families of mentally prepared in advance and related life planning is to respect the autonomy
D. Patient-understand language, the initiative to inform the patient of the disease-related information, to ensure that patients understand the associated risks and benefits of medical practices, medical help patients make a decision in their best interests, is to respect the autonomy


Question: Which of the following inspection and delirium in patients with less severe depression of activity of most of distinction?

Answer: EEG examination

Choices:
A. Blood tests electrolyte
B. Brain computer tomography
C. EEG examination
D. Arterial blood oxygen concentration check of

following inspection
delirium
patients
less severe
activity


Question: The following cerebral palsy (cerebral palsy) type, the occurrence of scoliosis (scoliosis) is the lowest probability:

Answer: Double paralysis of the legs (diplegia)

Choices:
A. Limb paralysis (quadriplegia)
B. Hemiplegia (hemiplegia)
C. Double paralysis of the legs (diplegia)
D. Two plus one upper limb paralysis of the lower limbs (triplegia)

following cerebral palsy
cerebral palsy
type
occurrence
scoliosis
scoliosis
lowest probability


Question: Which of the following most anti-cancer drug will not cause leukopenia (neutropenia)?

Answer: gefitinib

Choices:
A. sunitinib
B. paclitaxel
C. gefitinib
D. gemcitabine

following
cancer drug
not cause leukopenia
neutropenia


Question: After pituitary lobe structure following items free of what?

Answer: Which of the following myelinated nerve fibers 46 which epithelial cells lining the lumen of the other three different?

Choices:
A. Perforated fine blood vessels
B. Glia
C. Unmyelinated nerve fibers
D. Which of the following myelinated nerve fibers 46 which epithelial cells lining the lumen of the other three different?


Question: 53. One 68 year-old male patient smoking for 50 years, 10 years ago, and began to cough with yellow sputum, dyspnea movement began five years ago, six times the last three years because of severe breathing difficulties hospitalized, four of them was diagnosed with bacterial pneumonia. The presentation in the emergency hospital arterial PaO2 = 45 mmHg, PaCO2 = 70 mmHg, Resp. Rate = 30 / min, patients were placed in a respirator (Ventilator) after the inner tube to maintain respiration gas tube. One week after patients hospitalized with fever, yellow sputum increased, new infiltrate on chest X-rays appear right lower lobe, sputum culture as Pseudomonas aeruginosa, the following statements is wrong?

Answer: When using monotherapy aminoglycoside effective drug of choice

Choices:
A. Diagnostics as ventilator-associated pneumonia
B. It should be supplemented by bronchoalveolar larvage or protected brush specimen distal airways get done
C. When using monotherapy aminoglycoside effective drug of choice
D. tobramycin (300 mg) inhaled daily tracheobronchial mucosa may provide effective drug-level, is the recommended implementation of antibiotic drugs in inhalation therapy


Question: Statements about the Sturge-Weber syndrome, which of the following error?

Answer: Wine stain is a malignant tumor of blood vessels

Choices:
A. Facial trigeminal nerve area skin pigmentation wine (port-wine stain)
B. Wine stain is a malignant tumor of blood vessels
C. Patients may be complicated by epilepsy
D. Glaucoma may occur


Question: Forty-two female patients 49, complained of cough, blood stained sputum, chest X-ray film there is a large block of coins, as shown in FIG hospital examination, the following statements is incorrect?

Answer: This circular lesions other than surgical resection required as soon as possible

Choices:
A. This radiographs pulmonary vascular photography (pulmonary angiography)
B. Like lesions in the right lung field coins can be diagnosed as a hemangioma
C. This circular blood supply from pulmonary lesions
D. This circular lesions other than surgical resection required as soon as possible

Forty-two female patients
cough
blood stained sputum
chest X-ray film
large block
coins
hospital
following
incorrect


Question: Which of the following drug susceptibility test results strains, meets the definition of multi-drug resistant TB (multidrug-resistant tuberculosis) is?

Answer: isoniazid and rifampin resistant, but ethambutol and streptomycin sensitive

Choices:
A. isoniazid and streptomycin resistant, but sensitive to rifampin and ethambutol
B. isoniazid, ethambutol and streptomycin resistant, but sensitive to rifampin
C. isoniazid and rifampin resistant, but ethambutol and streptomycin sensitive
D. rifampin, ethambutol and streptomycin resistant, but sensitive to isoniazid


Question: Which of the following agents for the treatment of pheochromocytoma (pheochromocytoma), but side effects of symptom Cone outer path?

Answer: metyrosine

Choices:
A. labetalol
B. metyrosine
C. phenoxybenzamine
D. tamsulosin

following agents
treatment
pheochromocytoma
pheochromocytoma
side effects
symptom Cone outer path


Question: Which of the following cell distribution in the basal layer of the epidermis (stratum basale), will be associated with nerve endings, and is mechanically receptors (mechanoreceptor)?

Answer: Mo's cells (Merkel's cells)

Choices:
A. Prickle cells (prickle cells)
B. Melanocytes (melanocyte)
C. Gram cells (Langerhans' cells)
D. Mo's cells (Merkel's cells)

following cell distribution
basal layer
epidermis
stratum basale
associated with nerve endings
receptors


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

Answer: In certain pleomorphic type of individual N-RAMP1 gene, TB will naturally subside, or an effective immune response is obtained directly

Choices:
A. Tuberculosis of the spine commonly referred to Porter's disease (Pott disease)
B. In certain pleomorphic type of individual N-RAMP1 gene, TB will naturally subside, or an effective immune response is obtained directly
C. Pulmonary tuberculosis is the most common lymph node arthritis (Lymphadenitis)
D. Immune response to Mycobacterium tuberculosis (Mycobacterium tuberculosis) via principal Th1 cells stimulate macrophages to engulf bacteria


Question: Which of the following does not belong to the lipid membrane anchor protein (lipid anchor)?

Answer: acetyl anchor

Choices:
A. glycosyl phosphatidylinositol anchor
B. acetyl anchor
C. myristoyl anchor
D. thioether anchor


Question: 60. a 67-year-old woman, no particular history of fever or malnutrition. Month sustained complained of back pain, X-ray display in the seventh, tenth, eleventh thoracic compression fracture, vertebral stem (pedicle) and complete the disc. The blood sample display Albumin: 2.5 gm / dL; Total protein: 10.1 gm / dL; Ca (calcium): 11.0 mg / dL. For the blood test and X-ray results, the most likely diagnosis Why?

Answer: Multiple myeloma (multiple myeloma)

Choices:
A. Spine bacterial infection (infectious spondylitis)
B. Tumor metastasis (malignant tumor metastases)
C. Multiple myeloma (multiple myeloma)
D. Sarcoma spine (vertebral osteosarcoma)

60
67 year old woman
history
fever
malnutrition
Month sustained
back pain
X-ray display
seventh
tenth
eleventh
compression fracture
vertebral stem
pedicle
complete
disc
blood display Albumin
2.5 gm
dL
Total protein
10
gm
dL
Ca
calcium
0 mg
dL
blood test
X-ray results
diagnosis


Question: That one of the following antibiotics are less suitable for the treatment of Pseudomonas aeruginosa (Pseudomonas aeruginosa) infection?

Answer: ertapenem

Choices:
A. ceftazidime
B. aztreonam
C. ertapenem
D. ciprofloxacin

one
following
less suitable
treatment
infection


Question: The following statements about the motor cortex, what's wrong?

Answer: corticospinal tract emitted by corticobulbar tract or lower motor neuron (lower motor neuron) rests contralateral cerebral cortex dominated

Choices:
A. Moving the primary motor cortex may be issued under the dominant path corticospinal neurons (lower motor neuron)
B. premotor area and supplementary motor area involved in the planning and operation of complex sequential
C. corticospinal tract emitted by corticobulbar tract or lower motor neuron (lower motor neuron) rests contralateral cerebral cortex dominated
D. Motor cortex accept the message of the thalamus


Question: With Parkinson's disease with autonomic nervous syndrome as the main obstacle to:

Answer: Multiple system degeneration (multiple system atrophy)

Choices:
A. Muscle jump - dystonia syndrome (myoclonus-dystonia syndrome, MDS)
B. Multiple system degeneration (multiple system atrophy)
C. The wave of the palsy (progressive supranuclear palsy) on nuclear
D. Corticobasal degeneration (corticobasal degeneration)

Parkinson's disease
autonomic nervous syndrome
main


Question: Sea ⾺ (hippocampus) of the main afferent fibers (afferent fiber) to automatically Where?

Answer: ⿐ ⽪ the mass (entorhinal cortex)

Choices:
A. ⿐ ⽪ the mass (entorhinal cortex)
B. Cingulate cortex (cingulate gyrus)
C. Amygdala (amygdala)
D. 韁核（habenular nucleus）

Sea
hippocampus
main afferent fibers
afferent fiber
to automatically


Question: 65-year-old male patient, his breathing pulmonary function examination showed obstructive ventilation disorders, 56% of the normal value of the predicted value of the measurement of DLco. Which of the following do this patient most likely diagnosis?

Answer: Emphysema

Choices:
A. Asthma symptoms
B. Chronic bronchitis
C. Emphysema
D. heart failure

65 year old male patient
breathing pulmonary function
obstructive ventilation
normal value
predicted
measurement
DLco
following
patient
likely diagnosis


Question: Mr. Lee, 28 years old, was sent for official needs to Nepal for three months, due to the prevalence of Nepal A liver area, following what's wrong to recommend Mr. Lee?

Answer: A liver antigen blood test, if not with the original, the vaccine can be administered to play A liver

Choices:
A. Avoid raw food and drinking unboiled water
B. Maintain good hygiene, wash your hands really
C. A liver antigen blood test, if not with the original, the vaccine can be administered to play A liver
D. Injectable hepatitis A immunoglobulin for passive immunization

Mr
years old
sent
official needs
Nepal
three months
due to
prevalence
Nepal
liver area
following
wrong to
Mr


Question: Epilepsy patients who meet one of the following conditions that must be undergoing brain magnetic resonance imaging or computed tomography?

Answer: Epilepsy after onset before the age of 25

Choices:
A. Small absence seizures (absence petit mal) more than five times in a day
B. Epilepsy after onset before the age of 25
C. Rolandic benign epilepsy (benign Rolandic epilepsy) were
D. Children with fever convulsion (febrile seizure) by

Epilepsy patients
one
following conditions
brain magnetic resonance imaging
computed tomography


Question: The following account of malignant mesothelial cell carcinoma (malignant mesothelioma), and what's wrong?

Answer: Immunostaining in the organization, CEA and TTF-1 staining often show a positive reaction

Choices:
A. A clear causal relationship with exposure to asbestos (asbestos) of
B. Smoking does not increase the risk of developing malignant mesothelioma cell carcinoma
C. Immunostaining in the organization, CEA and TTF-1 staining often show a positive reaction
D. In Taiwan, the shipbreaking industry and cement industry workers belong to a high risk group

following account
carcinoma
malignant mesothelioma
wrong


Question: The following statements about the use of respirators, whichever is correct?

Answer: controlled mandatory ventilation, the same number of breaths per minute

Choices:
A. volume-cycled ventilation, every time the same airway pressure ventilation
B. pressure-cycled ventilation, every time the same tidal volume ventilation
C. pressure support ventilation, the same ventilation per minute
D. controlled mandatory ventilation, the same number of breaths per minute


Question: Which of the following is not a surface proteins (apoproteins) function?

Answer: Is a synthetic lipoprotein decomposition enzyme (lipoprotein lipase), the predecessor (precursor)

Choices:
A. Combined with lipoprotein receptor
B. Other auxiliary enzymes
C. Is a synthetic lipoprotein decomposition enzyme (lipoprotein lipase), the predecessor (precursor)
D. Stable structure of lipoprotein

following
not
surface proteins
apoproteins
function


Question: Trinucleotide repeat (trinucleotide repeat) is not excessive Which of the following diseases caused by gene?

Answer: DiGeorge syndrome

Choices:
A. DiGeorge syndrome
B. Friedreich ataxia
C. Huntington chorea
D. fragile X syndrome

Trinucleotide repeat
trinucleotide repeat
not excessive
following diseases caused
gene


Question: The following narrative and what was wrong?

Answer: Tumor lysis syndrome (tumor lysis syndrome) can cause hypercalcemia

Choices:
A. Hyperparathyroidism (hyperparathyroidism) is a hypercalcemia (hypercalcemia) is a common cause
B. Tumor lysis syndrome (tumor lysis syndrome) can cause hypercalcemia
C. The situation after shock treatment of patients with acute recovery will hypocalcemia (hypocalcemia) of
D. Intravenous calcium infusion therapy hypocalcemia, and patients taking digoxin, the infusion rate is not too fast so as not to cause arrhythmias


Question: Heart cells of excitation - contraction (excitation-contraction coupling) function and add the following concentrations of ions within the cell what about?

Answer: calcium

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

Heart cells
contraction
excitation-contraction coupling
function
add
following
cell
about


Question: Effective risk communication of the team composition, composed of four experts recommended based on common, including:

Answer: Theme event specialists, behavioral science experts, professionals in the field of communication and decision-making and risk analysis expert

Choices:
A. Theme event specialists, return on investment analysis experts, professionals in the field of communication and decision-making and risk analysis expert
B. Theme event specialists, behavioral science experts, field communications professionals and experts in clinical psychology
C. Theme event specialists, return on investment analysis experts, technical professionals and experts in risk and decision analysis
D. Theme event specialists, behavioral science experts, professionals in the field of communication and decision-making and risk analysis expert

Effective communication composition four based common including


Question: A 40-year-old construction worker tiles, complained of dry cough and breathing difficulties, chest X-ray showed that honeycomb and calcification, the diagnosis is most likely what deposition disease is?

Answer: asbestosis

Choices:
A. berylliosis
B. anthracosis
C. silicosis
D. asbestosis

40 year old construction worker
dry cough
breathing difficulties
chest X-ray
honeycomb
calcification
diagnosis
deposition disease


Question: Often the presence of pigeon droppings, the bacteria can cause meningitis it is:

Answer: Cryptococcus neoformans (Cryptococcus neoformans)

Choices:
A. SaruKatsu Mr. 孢絲 bacteria (Sporothrix schenckii)
B. Yellow aspergillus (Aspergillus flavus)
C. Cryptococcus neoformans (Cryptococcus neoformans)
D. Candida albicans (Candida albicans)

Often
presence
pigeon droppings
bacteria
cause meningitis


Question: About gout (gout) and acute gouty arthritis (acute gouty arthritis) treatment of the following statements is wrong?

Answer: The treatment of acute gouty arthritis, such as the combined use of colchicine and allopurinol drug (e.g. allopurinol), have the best anti-inflammatory effect

Choices:
A. Acute gouty arthritis if not treated can also be a natural ease in 3-10 days
B. The treatment of acute gouty arthritis, such as the combined use of colchicine and allopurinol drug (e.g. allopurinol), have the best anti-inflammatory effect
C. When using allopurinol treatment of gout, if patients with HLA-B * 5801 gene, is a high probability of generating a lot of machine serious allergic skin reactions than one with the gene
D. Febuxostat is a xanthine oxidase inhibitor, in patients with renal insufficiency can also be used

gout
gout
acute gouty arthritis
acute gouty arthritis
treatment
following
wrong


Question:
32
 Which of the following in the early stages of pregnancy must not be used orally?

Answer: isotretinoin

Choices:
A. isotretinoin
B. fluconazole
C. metformin
D. phenytoin

following
early stages of pregnancy
not
used orally


Question: A 61-year-old male patient with chronic hepatitis B, the inspection found in the right lobe of the liver has two hepatocellular carcinoma, were 4 cm in diameter and 3.5 cm, left lobe also has a hepatocellular carcinoma, a diameter of 1.5 cm, the main liver portal vein flow, liver function Child-Pugh classification is A. In Taiwan the most appropriate initial treatment for this patient why?

Answer: Transcatheter arterial embolization therapy

Choices:
A. Liver tumor resection
B. Targeted drug therapy
C. Liver transplant
D. Transcatheter arterial embolization therapy

A 61 year old male patient
chronic hepatitis B
inspection found
the right lobe of
liver
two hepatocellular carcinoma
4
diameter
3.5
left lobe
hepatocellular carcinoma
diameter
main liver portal vein flow
liver function
Taiwan
most appropriate initial treatment
patient


Question: Which of the following is most important before lung resection examination?

Answer: forced expiratory volume in 1 second（FEV1）

Choices:
A. total lung capacity
B. vital capacity
C. forced expiratory volume in 1 second（FEV1）
D. expiratory reserve volume


Question: A 65-year-old male with a history of hypertension day smoke a pack, abdominal pain and a palpable pulse with the beat of mass acceptance abdominal tomography angiography (CT angiography) found abnormalities such as drawings, on this patient following statements is true?

Answer: If the mass is less than 5 cm in diameter, about the opportunity to rupture within five 1-2%

Choices:
A. Rate occurred among women is high
B. Location of most of these abdominal mass occur, are above the renal artery (renal arteries)
C. If the mass is less than 5 cm in diameter, about the opportunity to rupture within five 1-2%
D. Even thrombus (mural thrombi) in the tumor, it will not increase the risk of peripheral arterial embolism (peripheral embolization)

65-year-old male
history of hypertension day smoke
pack
abdominal pain
palpable pulse
mass
abdominal tomography angiography
CT angiography
found abnormalities
patient following
true


Question: A 45 year old female patient complained of difficulty swallowing, symptoms gradually deepened over the past year. Patients also have the case of malabsorption, `body weight within six months to reduce the 5 kg, and are beginning to have shortness of breath. Temperature 36.9 ℃, pulse 66 / min, respiration 18 / min, blood pressure 145/90 mmHg. Ultrasound examination showed pericardial lot of water, ANA testing is 1: 512x positive for nucleolar. What diseases may occur following serious complications such patients with autoimmune response?

Answer: Malignant hypertension

Choices:
A. Pyelonephritis
B. Duodenal ulcer perforation
C. Adrenal disability
D. Malignant hypertension

year old female patient
difficulty swallowing
symptoms
past year
Patients
case
malabsorption
body weight
six months to
5 kg
beginning to
shortness of breath
Temperature 36
pulse 66
min
respiration
min
blood pressure
90 mmHg
Ultrasound examination
pericardial lot
water
testing
1
positive
nucleolar
diseases
occur following serious complications
patients
autoimmune response


Question: Stop for a sudden heart patients, the use of therapeutic hypothermia therapy, which of the following is the best indication (indication)?

Answer: The initial rhythm was ventricular fibrillation (ventricular fibrillation), after first aid patient delirious

Choices:
A. The initial rhythm was ventricular fibrillation (ventricular fibrillation), after first aid patient recovery sanity
B. The initial cardiac rhythm was asystole (asystole), after first aid patient recovery sanity
C. The initial rhythm was ventricular fibrillation (ventricular fibrillation), after first aid patient delirious
D. The initial cardiac rhythm was pulseless electrical activity (pulseless electrical activity), after first aid patient delirious

Stop
sudden heart patients
use of therapeutic hypothermia therapy
following
best


Question: Which of the following is least likely cause hyperthyroidism?

Answer: Thyroid cancer

Choices:
A. Geruifuzi disease (Graves' disease)
B. Hashimoto's thyroiditis
C. Overdose of iodine-containing substances
D. Thyroid cancer

following
least likely cause hyperthyroidism


Question: Doublet pulse (pulsus bisferiens) Which of the following is not common in the disease?

Answer: Mitral regurgitation (mitral regurgitation)

Choices:
A. Aortic insufficiency (aortic regurgitation)
B. Aortic insufficiency and stenosis (aortic regurgitation with accompanying stenosis)
C. Mitral regurgitation (mitral regurgitation)
D. Hypertrophic cardiomyopathy (hypertrophic cardiomyopathy)

pulse
pulsus bisferiens
following
not common
disease


Question: Hydrocephalus (hydrocephalus) The most common reasons are:

Answer: Mother taking anti-epileptic drugs during pregnancy

Choices:
A. Congenital cerebral aqueduct stenosis
B. Alcoholism pregnant mothers
C. Cerebrospinal fluid hypersecretion
D. Mother taking anti-epileptic drugs during pregnancy


Question: Account of anal fistulas (anal fistula), and what's wrong?

Answer: All are anal fistula surgery can be safely

Choices:
A. Goodsall's rule helps positioning the mouth (internal orifice) position
B. All are anal fistula surgery can be safely
C. The incidence of different men and women
D. Anal glands are the main causes of inflammation

Account
anal fistulas
anal fistula
wrong


Question: "Impact Evaluation (impact evaluation)" refers to the following health education is an approach that?

Answer: View people's knowledge and attitude has changed

Choices:
A. View whether people attend health education activities
B. View instructor whether health education plan
C. View people's knowledge and attitude has changed
D. View disease mortality decline if people


Question: Mel married three years in a row pregnant three times, but each time at 8 weeks will not see the embryonic heartbeat, the following statements is wrong?

Answer: And Little America may cervix insufficiency (cervical incompetence) about

Choices:
A. Mel already meet the definition of recurrent miscarriages (habitual abortion) of
B. Would recommend both the fetus and the clinical husband and wife do a small US chromosome (chromosomal analysis)
C. Autoimmune disease (autoimmune disease, such as SLE) are likely to cause habitual abortion
D. And Little America may cervix insufficiency (cervical incompetence) about

Mel married three years
row pregnant
times
time
weeks
not see
embryonic heartbeat
following
wrong


Question: Someone strapped the seat belt (seat belt) to drive the car and to analyze the first lumbar vertebra hit occurs, the fracture is most likely belongs to:

Answer: Buckling - retractor fractures (flexion-distraction fracture)

Choices:
A. Compression fractures (compression fracture)
B. Explosive fractures (burst fracture)
C. Buckling - retractor fractures (flexion-distraction fracture)
D. Fracture dislocation (fracture-dislocation)

strapped
seat belt
seat belt
to
car
to
first lumbar vertebra hit occurs
fracture
most likely
to


Question: When the receptor is stimulated following those 8, can lead to pulmonary ventilation (ventilation) increase?  chemical receptacle surrounding the central   chemical Acceptor involve pulmonary resistance receptacle (pulmonary stretch receptors)

receptor
following
lead
pulmonary ventilation
ventilation
increase
receptacle surrounding
central
pulmonary resistance receptacle
pulmonary stretch receptors


Question: Oropharyngeal membrane (oropharyngeal membrane) about to be broken embryonic development to the first few weeks?

Choices:
A. 2
B. 3
C. 4
D. 5

Oropharyngeal membrane
oropharyngeal membrane
to
broken embryonic development
first
weeks


Question: A 20-year-old female students in recent months the situation in the morning lethargy, until after breakfast will return to normal. Her physician a series of checks, Minister found a tumor size of 1 cm of the tail of the pancreas, microscopic pattern as FIG. The following is a diagnosis that is possible?

Answer: Insulinoma (insulinoma)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Angioma (hemangioma)
C. Insulinoma (insulinoma)
D. Pseudo cysts (pseudocyst)

20 year old female
recent months
morning lethargy
breakfast
return
normal
physician
series
checks
Minister found
tumor size of
of
tail
pancreas
microscopic pattern
following
diagnosis
possible


Question: Defects that one of the following enzymes, the most likely cause abnormal purine nucleoside degradation (purine nucleoside degradation) and lead to immunodeficiency disease (immunodeficiency diseases) of?

Answer: Adenosine deaminase

Choices:
A. Adenosine deaminase
B. AMP aminohydrolase
C. Purine oxidase
D. Xanthine oxidoreductase

Defects
one
following enzymes
most likely cause abnormal
lead
immunodeficiency disease
immunodeficiency diseases


Question: Related to cell cycle (Cell cycle) of the statements is true?

Answer: Most human cell cycle of about 24 hours

Choices:
A. Most human cell cycle of about 24 hours
B. DNA replication in G1 phase were
C. For DNA repair in S phase
D. Growth factor in the G2 / M


Question: The following narrative between age-related bone tumor, whichever is correct?

Answer: Ewing's sarcoma occurs most frequently in adolescents and young adults

Choices:
A. Osteosarcoma (Osteosarcoma) occurs most often in young and middle-aged people
B. Ewing's sarcoma occurs most frequently in adolescents and young adults
C. Giant cell tumor occurs most often in young and middle-aged people
D. Chondrosarcoma occurs most often in adolescents and young adults


Question: Which of the following when characterizing lung cancer patients appear, could be considered acceptable Radical surgery?

Answer: Hemoptysis

Choices:
A. Hemoptysis
B. Tumor invasion resulting in superior vena cava syndrome (superior vena cava syndrome)
C. Tumor or lymph nodes oppression caused by vocal cord paralysis, hoarseness
D. Malignant pleural effusion

following
lung cancer patients appear
acceptable Radical surgery


Question: 29 narrative about the extracorporeal life support (extracorporeal life support, but also referred to as ECMO), the Which statement is correct? ① for critical patients can provide long-term (several months to several years) use of cardiopulmonary support ② meconium aspiration syndrome in newborn survival rate of less than 50% ③ should be used to a depth of coma patients in critical ④ bleeding is a common complication

Choices:
A. ①②③
B. ①③
C. ②④
D. ④

29
extracorporeal life support
extracorporeal life support
referred to
ECMO
correct
critical patients
long-term
several months
years
use of cardiopulmonary support
meconium aspiration syndrome
newborn survival rate
50
used
depth of coma patients
critical
bleeding
common complication


Question: Which of the following is not acquired immune deficiency syndrome (AIDS) the characteristics?

Answer: By the Human T cell leukemia virus, type I violated the human immune system

Choices:
A. By the Human T cell leukemia virus, type I violated the human immune system
B. Easily lead to Pneumocystis carinii pneumonia (Pneumocystis carinii pneumonia)
C. In Rongyifasheng of intravenous drug addicts
D. Has been called "the twentieth century's Black Death."

following
not acquired immune deficiency syndrome
characteristics


Question: Imipenem of the following statements about, what's wrong?

Answer: Good efficacy, but when the first line drugs for the treatment of general infection

Choices:
A. Belonging to the β-lactamase are resistant antibacterial agent
B. Antibacterial spectrum including Gram positive and Gram negative bacteria and anaerobic (Anaerobic) Bacteria
C. Mainly excluded by the kidneys, usually in combination with Cilastatin
D. Good efficacy, but when the first line drugs for the treatment of general infection


Question: 14.32-year-old male patient, the last good health. The weakness because nearly a day to the emergency room for treatment. Found conscious patients in bed, normal breathing, heart rate of 124 beats per minute, rules speculum; blood pressure 120/78 mmHg; lift-off limbs not beds, the same touch and feel pain bilateral deep tendon reflexes (deep tendon reflex) decline. Solid specimen chamber of potassium found 1.5 meq / L; serum creatine kinase 671 IU / L (reference value, 38 ~ 174 IU / L); thyroid stimulating hormone (thyroid stimulating hormone) was 0.013 μIU / mL (reference value, 0.35 ~ 5.5 μIU / mL) T 4 and free thyroxine (free T4 thyroxine) to 4.51 ng / dL (reference value, 0.89 ~ 1.80 ng / dL). This diagnosis of patients most likely why?

Answer: Thyrotoxic periodic paralysis (thyrotoxic periodic paralysis)

Choices:
A. Aldehydes and ketones with primary cortical hyperaldosteronism (primary aldosteronism)
B. Thyrotoxic periodic paralysis (thyrotoxic periodic paralysis)
C. Excessive use of diuretics
D. The first type and second type of renal tubular acidosis (renal tubular acidosis)

year old male patient
last
weakness
nearly
day
emergency room
treatment
Found
patients
bed
normal breathing
heart rate
minute
rules speculum
blood pressure
mmHg
lift
limbs not beds
same touch
pain bilateral deep tendon reflexes
deep tendon reflex
Solid
chamber
potassium found 1.5 meq
L
serum creatine kinase
IU
L
reference value
IU
L
thyroid stimulating hormone
thyroid stimulating hormone
0
IU
mL
reference value
0.35
IU
mL
T 4
free thyroxine
free
thyroxine
4
ng
dL
reference value
0
1 80 ng
dL
diagnosis
patients
likely


Question: Which of the following diuretics, while having a strong diuretic effect, but the side effects can lead to deafness?

Answer: Furosemide

Choices:
A. Chlorothiazide
B. Acetazolamide
C. Furosemide
D. Indapamide

following diuretics
strong diuretic effect
side effects
lead
deafness


Question: Clinical characterization 11- hydroxyl enzyme deficiency (11-hydroxylase deficiency) due to congenital adrenal hyperplasia (congenital adrenal hyperplasia), the Which of the following most common?

Answer: High blood pressure (hypertension)

Choices:
A. High blood pressure (hypertension)
B. Low blood sugar (hypoglycemia)
C. Low blood sodium (hyponatremia)
D. High potassium levels (hyperkalemia)

Clinical
enzyme deficiency
hydroxylase deficiency
congenital adrenal hyperplasia
congenital adrenal hyperplasia
following
common


Question: 2. a falls injuries, upon arrival at the emergency room, examination revealed the following signs: ① trachea Wang Youce offset ② ③ left side of the chest breathing weak on the left side of the chest wall subcutaneous emphysema (subcutaneous emphysema) ④ systolic blood pressure below 90 mmHg ⑤ breathing the rate of 26 times per minute. What is the diagnosis of the following is most likely?

Answer: Left tension pneumothorax (left tension pneumothorax)

Choices:
A. Large right hemothorax (right massive hemothorax)
B. Right tension pneumothorax (right tension pneumothorax)
C. Left tension pneumothorax (left tension pneumothorax)
D. Pericardial tamponade (cardiac tamponade)

2
falls injuries
arrival
emergency room
revealed
following signs
trachea
offset
left side of
chest breathing weak
left side of
chest wall subcutaneous emphysema
subcutaneous emphysema
systolic blood pressure
90 mmHg
breathing
rate
times
minute
diagnosis
following


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

Answer: Benign pathology of the lesion, so there is no distant metastasis clinical phenomenon

Choices:
A. Surgery is the main treatment
B. Myasthenia gravis is most commonly associated paraneoplastic syndrome
C. Benign pathology of the lesion, so there is no distant metastasis clinical phenomenon
D. Complete surgical resection is an important factor affecting the prognosis after surgery


Question: The most common of muscular dystrophy (muscular dystrophy) as follows:

Answer: Duchenne muscular dystrophy

Choices:
A. Duchenne muscular dystrophy
B. fascioscapulohumeral dystrophy
C. limb girdle muscular dystrophy
D. myotonic muscular dystrophy

most common
muscular dystrophy
muscular dystrophy
follows


Question: Following a substance that can inhibit the secretion of prolactin (Prolactin) of?

Answer: Dopamine (dopamine)

Choices:
A. Dopamine (dopamine)
B. Thyrotropin-releasing hormone (thyrotropin-releasing hormone)
C. Thyroid hormone (thyroxine)
D. GH (growth hormone)

Following inhibit secretion prolactin Prolactin


Question: It vinyl chloride monomer will cause following an occupational cancer?

Answer: Hepatic angiosarcoma

Choices:
A. leukemia
B. Lung cancer
C. Hepatic angiosarcoma
D. Brain tumor

vinyl chloride
cause following
occupational cancer


Question: Psychosis disorder (schizophrenia) therapeutic drugs have many side effects, which of the following side effects associated with dopamine receptor blocking about?

Answer: Hyperprolactinemia

Choices:
A. Hyperprolactinemia
B. Dry mouth
C. Postural hypotension
D. Blurred vision


Question: 1. throat spasm (laryngospasm) is Xiangdangzhongyao clinical symptoms of acute need emergency treatment. The following account of laryngeal spasm, what's wrong?

Answer: Laryngeal spasm duration is usually very short, as long as the stimulus-induced remission, laryngeal spasm ⼀ given a self-made disappear quickly recovered

Choices:
A. Laryngeal spasm refers to the vocal cords (vocal cords) closed reflective, sometimes accompanied by false vocal cords (false cords) reflex of closing
B. Laryngeal spasm mostly reason is because in the case where the depth ⿇ drunk underexposed, the hair ⽣ overreact the watch neurological surgery or throat irritation caused by topical
C. Laryngeal spasm duration is usually very short, as long as the stimulus-induced remission, laryngeal spasm ⼀ given a self-made disappear quickly recovered
D. Water resistant lung edema negative (negative-pressure pulmonary edema) is a laryngeal spasm ⼀ serious complications of, in addition to interstitial lung

1
throat spasm
laryngospasm
clinical symptoms
acute need emergency
following account
laryngeal spasm
wrong


Question: The following antiplatelet drugs, mechanisms of action into whichever block glycoprotein IIb / IIIa?

Answer: abciximab

Choices:
A. clopidogrel
B. dipyridamole
C. abciximab
D. aspirin

following antiplatelet drugs
mechanisms of action
block glycoprotein IIb
IIIa


Question: Cause hives (urticaria) a lot, the following statements is most accurate?

Answer: Food allergies are IgE-dependent

Choices:
A. The developer is induced allergic bradykinin-mediated
B. Induced allergic inflammatory analgesic is complement-dependent
C. Food allergies are IgE-dependent
D. Allergy caused by antibiotics is immune complex-mediated

Cause hives
urticaria
lot
following
most accurate


Question: The following statements is related to regulatory T cells (regulatory T cells, Treg) correct?

Answer: Tumor microenvironment can regulate T cell differentiation into Treg cells to escape the immune system to kill

Choices:
A. Tumor microenvironment can regulate T cell differentiation into Treg cells to escape the immune system to kill
B. Excessive activation function of Treg cells, is an important factor in the pathogenesis of many autoimmune diseases of
C. Treg cell differentiation are formed in the peripheral lymphoid tissues
D. CD8 cell surface markers with Treg can help clear the infection of intracellular pathogens


Question: Superglue for containing a substance that often leads to taking abuse?

Answer: Toluene

Choices:
A. Toluene
B. Ether
C. Methanol
D. formaldehyde


Question: The mechanism of action of these drugs is the inhibition of bacterial cell wall biosynthesis, except whichever?

Answer: clindamycin

Choices:
A. cycloserine
B. cephalexin
C. clindamycin
D. bacitracin

mechanism of action
drugs
inhibition
bacterial cell wall biosynthesis


Question: A diabetic foot infection patients undergoing tibial amputation (trans-tibial amputation), and postoperative rehabilitation does not include:

Answer: Pillow pad when sitting or lying behind the knee to relieve the pain

Choices:
A. Elastic bandage to reduce edema stump
B. Pat stump whereby desensitization (desensitization)
C. Pillow pad when sitting or lying behind the knee to relieve the pain
D. Strength training as soon as possible to start to accept

diabetic foot infection patients
tibial amputation
trans tibial amputation
postoperative rehabilitation
not include


Question: A source close to stop complaining about through a woman's vagina abnormal bleeding, endometrial slice result is no endometrial hyperplasia complex shaped nuclei (complex hyperplasia without cytologic atypia). Which of the following is the most appropriate treatment?

Answer: Progesterone treatment

Choices:
A. Observed
B. Phytoestrogen therapy
C. Progesterone treatment
D. Hysterectomy


Question: The following blood pressure lowering drugs with its main transfer machine paired whichever correct?

Answer: minoxidil- metabolite thereof can open potassium channels in vascular smooth muscle

Choices:
A. fenoldopam- can release nitric oxide (nitric oxide)
B. hydralazine- inflow inhibiting vascular smooth muscle cells in calcium
C. minoxidil- metabolite thereof can open potassium channels in vascular smooth muscle
D. sodium nitroprusside- dopamine D1 receptor can be activated

following blood pressure lowering drugs
main transfer machine paired
correct