Question: Bearing on the problem, not long after the interrogation, the patient tells you to stand fast stomach pain, his face paler. At this time, breathing 26 times / min, heart rate 142 beats / min, temperature 37.2 ℃, blood pressure 80/50 mmHg, marked abdominal bloating than 30 minutes before. He disposed of the following items best?

Answer: Abdominal ultrasound (abdominal ultrasound) examination

Choices:
A. Avoid bulging belly more, should reduce the amount of intravenous fluids
B. Epinephrine administered drugs
C. Abdominal X-rays
D. Abdominal ultrasound (abdominal ultrasound) examination

Bearing
problem
not long
patient
to stand fast stomach pain
face paler
time
breathing
times
min
heart rate
beats
min
temperature
blood pressure 80 50 mmHg
marked abdominal bloating
30 minutes
following
best


Question: Which of the following does not belong to tick media zoonotic infectious diseases (tick-borne zoonoses)?

Answer: West Nile virus disease (West Nile)

Choices:
A. Lyme disease (Lyme disease)
B. West Nile virus disease (West Nile)
C. Barbados's protozoan disease (babesiosis)
D. Rocky Mountain spotted fever (Rocky Mountain spotted fever)

following
not
to
media zoonotic infectious diseases
zoonoses


Question: Related symptoms of lead (lead) poisoning and disease, which of the following less common?

Answer: Dilated cardiomyopathy (dilated cardiomyopathy)

Choices:
A. Hemolytic anemia (hemolytic anemia)
B. Dilated cardiomyopathy (dilated cardiomyopathy)
C. Demyelinating lesions of the peripheral nerves (peripheral demyelinating neuropathy)
D. Gout (gout)

Related symptoms
lead
lead
poisoning
disease
following less common


Question: For the class of benzodiazepines (benzodiazepines.) Of withdrawal symptoms described sedative hypnotics, which of the following correct?

Answer: The combined treatment of insomnia may be necessary to have a calming effect of antidepressants to treat

Choices:
A. Withdrawal produce the illusion of choice for the treatment of antipsychotic drugs (antipsychotics)
B. The combined treatment of insomnia may be necessary to have a calming effect of antidepressants to treat
C. Avoid withdrawal seizures to be switched to short-acting drugs such as lorazepam
D. If hospitalization can be stopped immediately sedative hypnotics

benzodiazepines
benzodiazepines
withdrawal symptoms
sedative hypnotics
following correct


Question: Masticatory muscle proprioception (proprioception) following primary afferent nucleus?

Answer: Trigeminal nucleus in the midbrain (mesencephalic trigeminal nucleus)

Choices:
A. Spinal trigeminal nucleus (spinal trigeminal nucleus)
B. Motor nucleus of the facial nerve (facial motor nucleus)
C. Trigeminal nucleus in the midbrain (mesencephalic trigeminal nucleus)
D. Isolated nucleus (solitary nucleus)

Masticatory muscle
following primary nucleus


Question: 20. mature lymphocytes during development will benefit uses various mechanisms to automatically reach my tolerance (self-tolerance), which of the following, and I reached the self-tolerance has a direct correlation? ①AIRE gene ②CTLA-4 gene ③Fas ④ Positive selection gene (positive selection) ⑤ formed ⑥regulatory T cells to negative selection (negative selection)

Answer: ①②③⑤⑥

Choices:
A. ①②③④⑥
B. ①②③⑤⑥
C. Only ②③⑤⑥
D. Only ①②③⑤

20
mature lymphocytes
development
benefit uses various mechanisms
automatically reach
tolerance
self-tolerance
following
I reached
self-tolerance
direct correlation
AIRE gene CTLA-4
Positive
positive selection
formed
T cells
negative selection
negative selection


Question: Why is most common in adults tricuspid regurgitation (tricuspid regurgitation) reason?

Answer: Pulmonary hypertension (pulmonary hypertension)

Choices:
A. Pulmonary hypertension (pulmonary hypertension)
B. Carcinoid (carcinoid)
C. Aibositan's abnormalities (Ebstein's anomaly)
D. Endocarditis (endocarditis)

most common
adults tricuspid regurgitation
tricuspid regurgitation


Question: Description of strength training, which of the following error?

Answer: Isotonic sports (isotonic exercise) is the angular velocity movement (isokinetic exercise)

Choices:
A. Resistance training exercise is to draw on the high resistance, generally a resistance of isometric muscle contraction (isometric contraction)
B. Isometric resistance training to maintain muscle against resistance in isometric contraction training for the state, it does not produce joint action
C. Isotonic sports (isotonic exercise) is the angular velocity movement (isokinetic exercise)
D. Resistance training load on the heart of a large, heart patients are generally not recommended for the elderly or the more


Question: 32 a two year old boy, walking instability due to diagnosis; it is also a brother to start at about the same age, ataxia, and at the age of five when diagnosed with non-Hodgkin's lymphoma (non-Hodgkin lymphoma), in the age of eight due to repeated lung infection, died of pulmonary fibrosis. This two year old boy and his brother serum alpha-fetoprotein (α-fetoprotein) are high (the boy was 129.43 ng / mL), and alpha-immunoglobulin (immunoglobulin A) are low (<6.67 mg / dL), Which of the following is most likely diagnosis for this purpose boy?

Answer: Ataxia vasodilator syndrome (ataxia-telangiectasia)

Choices:
A. Ataxia vasodilator syndrome (ataxia-telangiectasia)
B. Fanconi's anemia (Fanconi's anemia)
C. Tuberous sclerosis (tuberous sclerosis)
D. Li-Fraumeni syndrome

two year old boy
instability due to diagnosis
to start
same age
ataxia
age
five
diagnosed
non-Hodgkin's lymphoma
non-Hodgkin lymphoma
age
eight
repeated lung infection
died
pulmonary fibrosis
two year old boy
serum alpha-fetoprotein
fetoprotein
high
boy
ng
mL
alpha immunoglobulin
immunoglobulin A
low
6.67 mg
dL
following
diagnosis
purpose boy


Question: Which of the following enzymes Alkaptonuria with defects?

Answer: Homogentisic acid dioxygenase

Choices:
A. Branched-chain α-keto acid dehydrogenase complex
B. Homogentisic acid dioxygenase
C. Alanine transaminase
D. Glutamine amidotransferase


Question: Which of the following is myasthenia gravis (myasthenia gravis) the most common symptoms?

Answer: ocular muscle weakness

Choices:
A. diaphragmatic weakness
B. ocular muscle weakness
C. dysphagia
D. wrist drop

following
myasthenia gravis
myasthenia gravis
most common symptoms


Question: Which of the following is the total peroneal nerve (common peroneal nerve) will appear when the phenomenon injured?

Answer: Pedal (footdrop)

Choices:
A. Foot eversion
B. Dorsal bending (dorsiflex)
C. Hook valgus (calcaneovalgus)
D. Pedal (footdrop)

following
total peroneal nerve
common peroneal nerve
appear
injured


Question: There are patients infected with Mycobacterium leprae (M. Leprae) come to visit, after the blood sample was found against a high antibody titer M. leprae, parasitic macrophages in many M. leprae, revealed severe clinical symptoms tissue destruction, following the activation of the cells that are most likely to patients with clinical symptoms?

Answer: The second type of T helper cells (TH2)

Choices:
A. The first type T helper (TH1)
B. The second type of T helper cells (TH2)
C. The third type of helper T cells (TH3)
D. Regulatory T cells (regulatory T cell)


Question: A 14-year-old boy in the school urine screening found a week ago proteinuria. Protein found in the urine of the hospital routine examination:> 300 mg / dL; WBC 0 ~ 2 / HPF; RBC 0 ~ 2 / HPF. 24 hours 3 days before analysis of urine protein: 0.85 g / 24 hr. However, according to the boy's mother described the boy after getting past the first 3 days to soak the urine dipstick urine test were negative. Excluded urine dipstick false negative reaction. Which of the following is the most likely diagnosis?

Answer: Attitude proteinuria (postural proteinuria)

Choices:
A. Attitude proteinuria (postural proteinuria)
B. Glomerular proteinuria (glomerular proteinuria)
C. Tubular proteinuria (tubular proteinuria)
D. Nephrotic syndrome (nephrotic syndrome)


Question: 1665-year-old female patients with long-term diabetes, gastroenterology consultation by the liver and gallbladder, complained of blurred vision have been left for three days. Patients with fever, headache, general malaise to hospital, internal medicine found that the liver has a 3.5 cm large abscess, after extracting found to be Gram (-) bacilli liver abscess, ophthalmic examination showed visual acuity was 0.4 left only identified hand, a small amount of anterior chamber eye pyometra (hypopyon), around the pupil white pus-like exudate, found ophthalmoscopy eye intravitreally full white turbidity, the fundus is not visible, there is a yellow-white downward right nasal retina (subretinal) subretinal bump. Account of the patient's eye, which of the following error?

Answer: This relatively low incidence of disease Taiwanese Westerners

Choices:
A. Patients are likely to suffer in the endogenous endophthalmitis (endogenous endophthalmitis)
B. Patients most likely causative agent was Klebsiella (Klebsiella pneumoniae)
C. This relatively low incidence of disease Taiwanese Westerners
D. Very poor prognosis of patients with eye diseases

yellow white downward right nasal retina


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

Answer: Cyanotic heart failure caused by severe, often accompanied by dilation of small blood vessels

Choices:
A. Large patent ductus arteriosus (PDA) cyanosis difference (differential cyanosis) caused, often lower body cyanosis
B. Cyanosis caused by peripheral vascular disease site, often in a downstream artery stenosis at
C. The representative of the physiological significance for the blood oxygen content decreased, or lack of blood flow to tissue perfusion
D. Cyanotic heart failure caused by severe, often accompanied by dilation of small blood vessels


Question: The first type and second type diabetes and micro-albuminuria (microalbuminuria) and high blood pressure, following a drug that can slow the deterioration of kidney disease?

Answer: ACE inhibitors (angiotensin converting enzyme inhibitor)

Choices:
A. Calcium channel blockers (calcium channel blocker)
B. ACE inhibitors (angiotensin converting enzyme inhibitor)
C. α- sympathetic blockers (α-blocker)
D. sympathetic [beta] blockers (β- blocker)

first type
second type diabetes
micro albuminuria
microalbuminuria
high blood pressure
following
drug
slow
of kidney disease


Question: Intravenous injection of ketamine agent type ⿇ drunk mainly for Using the machine turn why?

Answer: NMDA receptor inhibition

Choices:
A. GABAA receptor activation
B. GABAA receptor inhibition
C. Activation of NMDA receptors
D. NMDA receptor inhibition

Intravenous injection
ketamine agent type
drunk
Using
machine turn


Question: Abnormal metabolism of purines can cause human disease, following on adenosine deaminase (ADA) deficiency of the statements is wrong?

Answer: Will promote the synthesis of dATP when ADA deficiency

Choices:
A. Can cause severe immune deficiency when ADA deficiency, so that T lymphocytes can not play normal defense
B. Will promote the synthesis of dATP when ADA deficiency
C. Will lead to more than 100 times dATP cells accumulate when ADA deficiency
D. Excessive cell dATP will inhibit nuclear  acid reduction  role can not create other dNTP

Abnormal metabolism
purines
cause human disease
following
adenosine deaminase
deficiency of
wrong


Question: One child under 8 years of age have completed all the provisions of the vaccination, at home and when the hand was cut kitchen knife, tetanus disposal should be given to what?

Answer: T.T. and do not need all T.I.G.

Choices:
A. T.T.（Tetanus toxoid）
B. T.I.G.（Tetanus immune globulin）
C. T.T. and T.I.G. are required
D. T.T. and do not need all T.I.G.

One child
years
age
completed
vaccination
at home
hand
cut kitchen knife
tetanus
given


Question: In the production process, from mothers to their babies of hepatitis virus, which of the following most common?

Answer: Type B

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


Question: From the previous question, after inspection found that patients with intestinal mucosal inflammation, erosion, bleeding from the rectum to infiltrate the transverse colon, blood examination was normal, no fever phenomenon, which of the following is not a treatment option at this stage it?

Answer: Antibiotics

Choices:
A. Fasting milk products
B. Antibiotics
C. Given steroids
D. Given sulfa drugs

previous
inspection found
patients
intestinal
erosion
bleeding
rectum to infiltrate
transverse colon
blood examination
normal
fever
following
not
treatment option
stage


Question: The ionophore (ionophore), such as valinomycin (Valinomycin), was added to a suspension of a prokaryotic cell, said cell membrane ionic gradient (transmembrane ion gradients) Which of the following changes have?

Answer: Ion gradient reduction

Choices:
A. Gradient of increasing ionic
B. Ion gradient reduction
C. Ion gradients no change
D. Ion gradient can not expect will change

ionophore
ionophore
valinomycin
Valinomycin
added
suspension
cell membrane ionic gradient
transmembrane ion gradients
following changes


Question: About familial hypercholesterolemia (familial hypercholesterolemia) of the narrative, Which statement is correct?

Answer: Most genetic diseases low-density lipoprotein receptors (receptor) gene mutation caused

Choices:
A. Major is a genetic disease caused by low-density lipoprotein structural abnormalities
B. Mostly low-density lipoprotein gene imprinting (genomic imprinting) abnormality
C. Most regulation of gene expression of LDL is methylated (methylation) due
D. Most genetic diseases low-density lipoprotein receptors (receptor) gene mutation caused

About familial hypercholesterolemia
familial hypercholesterolemia
correct


Question: Effective drugs Sildenafil erectile function (trade name Viagra) was the first of several major phosphodiesterase type blocker?

Answer: The fifth type

Choices:
A. The first type
B. The third type
C. The fifth type
D. The sixth type


Question: The following (ankylosing spondylitis) of statements about ankylosing spondylitis, what's wrong?

Answer: 80% of patients may be complicated by acute uveitis (uveitis)

Choices:
A. More than 90% of patients with HLA-B27 antigen
B. 80% of patients may be complicated by acute uveitis (uveitis)
C. The most commonly recommended violations of intestinal joint (sacroiliac joint)
D. Spine disease is the most serious complication of vertebral fractures (spinal fracture)

following
ankylosing spondylitis
ankylosing spondylitis
wrong


Question: The main subject of Amphotericin B cell-destroying fungi is that one of the following?

Answer: Cell membrane

Choices:
A. Cell wall
B. Cell membrane
C. Nucleic Acids
D. Energy transfer

main subject
Amphotericin cell
fungi
one


Question: Intracerebral arteries carbon dioxide (CO2) concentration rises, the brain blood vessels and blood flow changes Why?

Answer: Arterioles (arterioles) expansion, increase in blood flow

Choices:
A. Arterioles (arterioles) dilation, blood flow constant
B. Arterioles (arterioles) expansion, increase in blood flow
C. Arterioles (arterioles) shrinkage, decreased blood flow
D. Arterioles (arterioles) contraction, blood flow constant

Intracerebral arteries carbon dioxide
CO2
concentration
brain blood vessels
blood flow changes


Question: When the antigen through the skin into tissue, B cell and T cell immune response occurred?

Answer: Lymph node

Choices:
A. Subcutaneous
B. marrow
C. Lymph node
D. spleen


Question: 46-year-old Chen accepted by the abdominal endoscopy, found on the gastric antrum 4 cm tumor in a body portion intermediate the gastric surface mucosal integrity, endoscopic ultrasound examination confirmed submucosal tumor, following which the disposal of the most appropriate?

Answer: Laparoscopic tumor resection

Choices:
A. Laparoscopic tumor resection
B. Outpatient follow-up observation
C. After endoscopic resection
D. Radiation therapy

year old
accepted
abdominal endoscopy
found
gastric
tumor
body portion intermediate
gastric mucosal integrity
endoscopic confirmed submucosal tumor
following
appropriate


Question: Statements about the central nervous system stimulant cocaine, which of the following error?

Answer: And heroin (heroin) will have an effect dependent interaction (cross dependence) of

Choices:
A. With local anesthesia and vasoconstriction
B. And heroin (heroin) will have an effect dependent interaction (cross dependence) of
C. Has blocking dopamine (dopamine) recycling system effect, thus increasing the local concentration of dopamine in the brain
D. Effect with reduced appetite


Question: Primary subarachnoid hemorrhage (spontaneous subarachnoid hemorrhage) Which of the following as the most common disease?

Answer: Aneurysm (aneurysm)

Choices:
A. High blood pressure (hypertension)
B. Arteriovenous malformations (arteriovenous malformation)
C. Aneurysm (aneurysm)
D. Brain tumors (brain tumor)

Primary subarachnoid hemorrhage
spontaneous subarachnoid hemorrhage
following
common disease


Question: Children account of persistent hyperinsulinemic hypoglycemia (persistent hyperinsulinemic hypoglycemia of infancy), and which of the following error?

Answer: Genetic model for sex-linked genetic X- (X-linked inheritance)

Choices:
A. Genetic model for sex-linked genetic X- (X-linked inheritance)
B. KIR 6.2 channel gene mutation can cause disease
C. Sulfonylurea receptor gene mutation can cause disease
D. The need for timely treatment to prevent neurological sequelae


Question: The so-called Caroli's disease means:

Answer: choledochal cyst, typeⅤ

Choices:
A. choledochal cyst, typeⅠ
B. choledochal cyst, typeⅢ
C. choledochal cyst, type Ⅳ
D. choledochal cyst, typeⅤ


Question: Of the following statements about the trauma of pregnant women wrong?

Answer: Because the placenta is full of oxygenated blood, even if the pregnant woman has hemorrhagic shock, the fetus is still not easy to hypoxia immediately

Choices:
A. The first requirement is to save the baby's vital signs first aid and stabilized pregnant women
B. Because pregnancy increases the blood, pregnant women may have considerable amount of blood loss, but no obvious signs of shock
C. If the pregnant woman showing shock phenomenon may lie on the left to reduce the oppression of the inferior vena cava, increase Rhodobryum
D. Because the placenta is full of oxygenated blood, even if the pregnant woman has hemorrhagic shock, the fetus is still not easy to hypoxia immediately


Question: Account of the uterine wall (uterine wall), and Which statement is correct?

Answer: When pregnant myometrium (myometrium) of the smooth muscle cells will hypertrophy (hypertrophy) and hyperplasia (hyperplasia)

Choices:
A. Only the endometrium (endometrium) will change with the menstrual cycle (menstrual cycle)
B. Myometrium (myometrium) having a smooth floor, the outer layer (outer layer) is thickest
C. When pregnant myometrium (myometrium) of the smooth muscle cells will hypertrophy (hypertrophy) and hyperplasia (hyperplasia)
D. The content of the cervix (cervix) than uterine smooth muscle (uterine body)

Account of
uterine wall
uterine wall
correct


Question: Ipsilateral shoulder pain, stiffness and other problems stroke patients often occurs, the following statements is wrong?

Answer: Acute shoulder strap or sling can not be used to avoid the deterioration of stiffness

Choices:
A. About 70-80% of stroke patients have shoulder problems
B. Maintain the passive joint activities with the most important movement shoulder abduction
C. Acute shoulder strap or sling can not be used to avoid the deterioration of stiffness
D. Shoulder problems occur in patients with spasticity (spastic phase) than of weakness (flaccid phase)

Ipsilateral shoulder pain
stiffness
stroke patients often occurs
following
wrong


Question: Which of the following serum markers appear on behalf of the patient immune to hepatitis B virus?

Answer: anti-HBs

Choices:
A. IgM-anti-HBc
B. IgG-anti-HBc
C. anti-HBe
D. anti-HBs

following serum markers appear
patient immune


Question: The following related lung cancer Gefitinib (EGFR tyrosine kinase inhibitor) treatment of the subject, what's wrong?

Answer: Consolidation chemotherapy may improve the outcome

Choices:
A. Most effective for female lung cancer
B. There EGFR mutations, preferred treatment
C. Consolidation chemotherapy may improve the outcome
D. In the case of chemotherapy failure, remain efficacy

following related lung cancer Gefitinib
EGFR tyrosine kinase inhibitor
treatment
subject
wrong


Question: 47. thyroid cancer patients after surgical resection of acceptance and completion of high doses of radioactive iodine-131 isotope therapy, clinical, biochemical markers in the blood to track whether the thyroid cancer recurrence Which of the following is?

Answer: Thyroglobulin (thyroglobulin)

Choices:
A. Tetraiodo thyroxine (T4)
B. Triiodothyronine (T3)
C. Thyroglobulin (thyroglobulin)
D. TSH (TSH)

thyroid cancer patients
surgical of
completion
high doses
radioactive
isotope therapy
clinical
biochemical markers
blood to track
thyroid
following


Question: Which of the following is easier to produce on lung fibrosis, hilar lymph nodes eggshell calcification; and more susceptible to tuberculosis?

Answer: silicosis

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


Question: 6225-year-old Mr. Zhang 2nd episode of mania, there are significant sleep loss, delusions of grandeur and religious delusions. After the first episode of mania is 2 years, there is no past history of depression, this time with a lithium salt (lithium) and chlorpromazine (chlorpromazine) treatment, lithium salt of 2 mEq / L, 3 months of treatment, thought and emotional return to normal. Once a stable condition, following drug treatment whichever is most appropriate?

Answer: Lithium salt slightly reduced dose and disable wintermine

Choices:
A. Direct disable lithium salt, so as to avoid renal dysfunction
B. As long as disabled wintermine, tardive abnormalities (tardive dyskinesia) in order to avoid
C. Disable both lithium salt and wintermine
D. Lithium salt slightly reduced dose and disable wintermine

year old Mr
2nd episode of mania
significant sleep loss
delusions of grandeur
religious delusions
first episode of mania
2 years
past history of depression
time
lithium salt
lithium
chlorpromazine
chlorpromazine
treatment
lithium salt
2 mEq
L
3 months
treatment
emotional return
normal
stable condition
following drug treatment
most appropriate


Question: Unknown 10-year-old boy was bitten by snakes upper limb, the limb on the appearance of visible light little bite marks, no local swelling, following treatment whichever correct?

Answer: Whether there should be observed salivation, ptosis state

Choices:
A. Should be applied directly to the nerve to fight anti-bleeding and anti-venom serum
B. Arterial oxygen analysis should be carried out
C. Whether there should be observed salivation, ptosis state
D. Should be given antibiotic treatment

Unknown 10 year old boy
bitten
snakes upper limb
limb
appearance
little bite marks
local swelling
following treatment
correct


Question: Which of the following influenza virus egg white substance belongs to the quality submenus channel (proton channel), and the virus is released into the cytoplasm about?

Answer: Egg white film quality (membrane protein, M2)

Choices:
A. Egg white mass matrix (matrix protein, M1)
B. Egg white film quality (membrane protein, M2)
C. White mass nucleocapsid protein (nucleocapsid protein, NP)
D. RNA polymerase (polymerase, PA)

following
egg white substance
quality
channel
proton channel
released
cytoplasm


Question: 62 A 42-year-old female that recently two weeks to get up quite difficult, must be getting up both hands to support. Further, forehead, back of the hand and skin erythema occurs interphalangeal joints (such as photos). Right shoulder muscles weakness, not on the move. Sometimes a fever of about 38.5 ℃. Blood found ANA 1: 160x speckled pattern, AST U / L, ALT 86 U / L, CK 2,784 U / L. Which of the following is the most likely diagnosis?

Answer: dermatomyositis

Choices:
A. dermatomyositis
B. Guillain-Barre syndrome
C. rhabdomyolysis
D. hypokalemia


Question: Adjust the diet as an important means of treatment of gastrointestinal diseases, gastrointestinal diseases related to the following adjustments to the diet narrative, what's wrong?

Answer: dumping syndrome patients must limit the amount of fat

Choices:
A. gastroparesis patients is best to use liquid meals
B. dumping syndrome patients must limit the amount of fat
C. irritable bowel syndrome patients may be considered high-fiber diet
D. short bowel syndrome patients can eat medium-chain triglyceride

diet
important
treatment
gastrointestinal diseases
gastrointestinal diseases related
following adjustments
diet
wrong


Question: By inhibiting the activation of osteoclasts (osteoclast cell) may improve bone loss drug Why?

Answer: Denosumab（anti-RANK-L）

Choices:
A. Infliximab (anti-TNF-α)
B. Denosumab（anti-RANK-L）
C. Daclizumab (anti-IL-2R)
D. Belimumab（anti-BLyS）


Question: No analysis of the number of female Which of the following description of the error?

Answer: The extreme value of the information is sensitive

Choices:
A. The extreme value of the information is sensitive
B. Without assuming that data were normally distributed
C. Statistical test force are more female low number analysis
D. Small samples for analysis


Question: After the babies begin standing and walking, which of the following is most evident?

Answer: Waist bent

Choices:
A. Curved neck
B. Chest bent
C. Waist bent
D. Recommended bending


Question: 55-year-old female patient, no injury history, the last 2 months the shoulder pain and often feel more and more difficult to wear off underwear, but no problems eating and writing, it is most likely to be which of the following diseases?

Answer: Frozen shoulder (frozen shoulder)

Choices:
A. Humeral epicondylitis (lateral epicondylitis)
B. Cervical nerve lesions (cervical radiculopathy)
C. Shoulder dislocation (shoulder dislocation)
D. Frozen shoulder (frozen shoulder)

year old female patient
injury history
last
months
shoulder pain
often
more
more difficult to
underwear
eating
to
following diseases


Question: Which of the following is not a form part of the Waldeyer's ring?

Answer: Virchow's node

Choices:
A. Eustachian tube opening surrounding lymphoid tissue (Gerlach's tonsil)
B. Adenoids (adenoid)
C. Tongue tonsil (lingual tonsil)
D. Virchow's node


Question: 34 year old man, discovered on a health check hypercalcemia, hypophosphatemia, further determination of intact parathyroid hormone (iPTH) found too high, as 750 pg / mL, but ultrasound examination did not find parathyroid adenoma, then do further He checked the most appropriate?

Answer: Parathyroid Tc99m-sestamibi scan + SPECT (single photon emission computed tomography)

Choices:
A. Parathyroid Tc99m-sestamibi scan + SPECT (single photon emission computed tomography)
B. I-131 thyroid uptake and scan
C. Neck MRI (magnetic resonance imaging)
D. Neck CT (computed tomography)

year old man
check hypercalcemia
hypophosphatemia
further determination
intact parathyroid hormone
found too high
750 pg
mL
ultrasound examination
not find parathyroid adenoma
then
further
most appropriate


Question: Following a viral infection that can cause fever occurred army often, cough, sore throat, pharyngitis and cervical adenitis (cervical adenitis) and other symptoms of the disease?

Answer: Adenovirus (Adenovirus)

Choices:
A. Parainfluenza virus (Parainfluenza virus)
B. Human papilloma virus (HPV)
C. Herpes simplex  (Herpes simplex virus)
D. Adenovirus (Adenovirus)

Following
viral infection
cause fever
often
cough
sore throat
pharyngitis
cervical adenitis
cervical adenitis
symptoms
disease


Question: From the previous questions, then what kind of examination should be re-scheduled, before the exact diagnosis?

Answer: Biopsy

Choices:
A. Isotope bone scan
B. Serum electrophoresis inspection
C. Biopsy
D. Chest CT scan

previous
then
kind
re scheduled
exact diagnosis


Question: 35-year-old male patient complained of hearing loss in the right ear in recent days, and there is swelling sense of closure, which of the following should immediately do first is check?

Answer: Otoscopy (otoscopic examination)

Choices:
A. Otoscopy (otoscopic examination)
B. Check the tuning fork (tuning fork evaluation)
C. Tympanogram Check (tympanometric examination)
D. Hearing tests (audiometry)

35 year old male patient
of hearing loss
right ear
recent days
swelling sense
closure
following
immediately
first
check


Question: Amyotrophic lateral sclerosis (Amyotrophic lateral sclerosis, ALS) will not have the following symptoms?

Answer: Sensory loss

Choices:
A. Sensory loss
B. Dysphagia
C. Fasciculation
D. Babinski sign

Amyotrophic lateral sclerosis
Amyotrophic lateral sclerosis
not
following symptoms


Question: The following statements about "congenital hypothyroidism screening" of what's wrong?

Answer: Specificity is more important than sensitivity

Choices:
A. Specificity is more important than sensitivity
B. No serious side effects
C. False negative results caused by the influence of early patient treatment
D. High chance of false positives

following
congenital hypothyroidism screening
of
rong?


Question: After the individual human being by human immunodeficiency virus (HIV) attacks will lead to decreased immune function, resulting in secondary generalization immune impairment (acquired immune deficiency syndrome, commonly known as AIDS). AIDS patients often find skin cancer Kaposi's sarcoma, which directly causes why?

Answer: Kaposi's sarcoma herpes virus

Choices:
A. Kaposi's sarcoma herpes virus
B. Human herpes virus type I (HHV-1)
C. Low blood levels of immunoglobulin
D. Skin hepatitis B virus protein accumulation


Question: Which of the following of knee pain, most likely Europe's Disease (Osgood-Schlatter disease) caused?

Answer: 15-year-old male volleyball players

Choices:
A. 15-year-old male volleyball players
B. 20-year-old female ballet dancer
C. 15 year-old female swimmer
D. 20 year old man free car player

following
knee pain
Europe's Disease
Osgood-Schlatter disease
caused


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

Answer: Within endoscopic injection of botulinum toxin (botulinum toxin) can be completely cured

Choices:
A. Characterized by a lack of esophageal peristalsis and lower esophageal sphincter can not relax completely, thus increasing the pressure of the lower esophageal sphincter
B. Clinical manifestations of vomiting, dysphagia, weight loss, chest pain, cough and counterflow
C. Esophageal pressure monitoring (manometry) can help diagnose
D. Within endoscopic injection of botulinum toxin (botulinum toxin) can be completely cured


Question: That one of the following strains of viridans streptococci has a high resistance to penicillin?

Answer: Streptococcus

Choices:
A. Streptococcus mutans
B. Streptococcus
C. Streptococcus salivarius
D. Streptococcus anginosus

one
following strains
high resistance to penicillin


Question: Narrative of alcoholic liver disease about, what's wrong?

Answer: Usually after drinking blush easily, palpitations, representing a strong ability to metabolize alcohol

Choices:
A. In general, drinking the same amount of alcohol, women worse than men of tolerance, prone to cause liver damage
B. Usually after drinking blush easily, palpitations, representing a strong ability to metabolize alcohol
C. Many individuals with alcohol metabolism enzyme gene polymorphism and susceptibility to alcoholic liver disease related to the
D. Alcoholic cirrhosis patients prone to spider veins (spider angioma) than in patients with viral cirrhosis


Question: 10-year-old Lee, ie chronic renal failure due to start dialysis. 5 years ago to accept the transplanted kidney transplant, and have a daughter three years ago. Recently, he found his daughter had intermittent red urine. In between attending doctors found Lee had mild mental retardation. The children presented a preliminary urine dipstick test 3 + blood. The children most likely diagnosis is:

Answer: Alport syndrome (Alport syndrome)

Choices:
A. Alport syndrome (Alport syndrome)
B. Hypercalciuria (hypercalciuria)
C. Membranous nephropathy (membranous glomerulopathy)
D. Goodpasture 症候群（Goodpasture syndrome）

10 year old
ie chronic renal due to start dialysis
to accept
transplanted kidney transplant
three years
Recently
found
intermittent red urine
In between attending doctors found
mild mental retardation
children
preliminary urine test
blood
children
likely diagnosis


Question: 65-year-old female, ten days occurs gradually left limb weakness, difficulty speaking. According to this injection of iodine developer CT imaging, the most likely diagnosis is:

Answer: Metastasis

Choices:
A. Acute infarction with hemorrhage（hemorrhagic infarction）
B. Acute infarction with gyral pattern enhancement
C. Metastasis
D. High grade astrocytoma

65 year old female
occurs
left limb weakness
difficulty speaking
injection
iodine developer CT imaging
diagnosis


Question: A 60 year old female, diagnosis to shortness of breath, chest auscultation in the left side of the intake of high-frequency noise sternal, chest X-ray and CT in FIG. 1, 2 and 3 shown in FIG. Will the following statement best describes what's right?

Answer: Benign tumors greater chance

Choices:
A. Patients may require chemotherapy
B. Disposal condition appropriate to place an endotracheal stent
C. In open heart surgery the patient is appropriate
D. Benign tumors greater chance

60 year old female
diagnosis
shortness of breath
chest auscultation
left side
high-frequency
sternal
X-ray
CT
1
2
3
following
best
right


Question: HLA typing coincide organ transplant rejection among strangers still occur because:

Answer: Both of histocompatibility minor antigens different

Choices:
A. Adverse HLA typing of interpretation
B. Both of histocompatibility minor antigens different
C. Clq caused by cellular immunity (Clq-mediated cellular immunity)
D. Chemokines induced tissue damage (chemokine-mediated tissue damage)

HLA typing
organ transplant rejection
occur


Question: A 35-year-old healthy woman, pm movement, sudden aphasia and right limb weakness, it is most unlikely diagnosis:

Answer: Cerebral amyloid angiopathy (cerebral amyloid angiopathy)

Choices:
A. Cerebral amyloid angiopathy (cerebral amyloid angiopathy)
B. Peeling the internal carotid artery
C. Takayasu's arteritis (Takayasu's arteritis)
D. Arteriovenous malformation

35 year old healthy woman
pm movement
sudden aphasia
right limb weakness
most unlikely diagnosis


Question: The following information about prostate cancer diagnosis (adenocarcinoma of prostate), and what's wrong?

Answer: Magnetic Resonance Imaging (MRI) is the most accurate method of diagnosis of prostate cancer

Choices:
A. Most have no symptoms early
B. Benign prostate hypertrophy (BPH) surgery, prostate cancer may still occur
C. Magnetic Resonance Imaging (MRI) is the most accurate method of diagnosis of prostate cancer
D. Men over 50 should be Dre regularly every year, pooled serum prostate specific antigen (PSA) to detect

following
prostate
adenocarcinoma of prostate
wrong


Question: The following statements about Ginny's Po fibers (Purkinje fiber), and what's right?

Answer: Is a specialized cardiac cells

Choices:
A. Nerve fibers
B. Is a specialized cardiac cells
C. There transverse tubule (transverse tubule)
D. There are cells in contact with intercalated discs (intercalated disc) 46 near skein cells (juxtaglomerular cell) Which of the following is a specialized come?

following
Po fibers
Purkinje fiber
right


Question: A 50 year old man, obviously feel chest pain. ECG display changes in acute myocardial infarction. Blood tests found that serum creatine kinase (CK) values are rising phenomenon. Which of the following best explains the situation changes in the blood?

Answer: Myocardial cell membrane defects

Choices:
A. CK synthesis
B. CK decomposition rate slowing
C. Myocardial cell membrane defects
D. Myocardial nuclear chromatin condensation

50 year old man
chest pain
ECG
changes acute
Blood tests found
serum creatine kinase
values
following best
changes
blood


Question: Central Use the following drugs of sedation can be flumazenil antagonism, what is wrong?

Answer: alcohol

Choices:
A. zolpidem
B. lorazapam
C. alcohol
D. aplrazolam

Central Use
following drugs
sedation
flumazenil
wrong


Question: In the colon of marginal artery Lymph nodes in the vicinity of the call:

Answer: Paracolic nodes

Choices:
A. Epicolic nodes
B. Paracolic nodes
C. Intermediate nodes
D. Primary（main）nodes

colon of marginal artery Lymph nodes
call


Question: 71. One 35-year-old male patients with infertility, semen examination revealed no sperm, serum FSH, LH and low testosterone, and the patient smell abnormalities, the most likely diagnosis is:

Answer: Kallmann syndrome

Choices:
A. hyperprolactinemia
B. Kallmann syndrome
C. Klinefelter's syndrome
D. XYY syndrome

One 35 year old male
infertility
semen examination revealed
serum
LH
low testosterone
patient smell abnormalities
diagnosis


Question: 49 in a nursing home, a number of elderly people have symptoms of acute respiratory infections such as dry cough and chest pain, of which several more developed pneumonia and urgent hospital treatment. Need to add cysteine (L-cysteine) Gram-negative bacteria from the lung tissue of the hospital or other respiratory secretions, and cooling towers subject patients in nursing homes, the same culture isolated. The following statements about this infection, what's wrong?

Answer: Due to the highly contagious, patients will be isolated

Choices:
A. Patients get infections from the respiratory tract
B. Due to the highly contagious, patients will be isolated
C. There is still no vaccine can be used
D. Immune cells (cellular immunity) is the body's main defense mechanism

nursing home
number
symptoms
acute respiratory infections
dry cough
chest pain
several
pneumonia
urgent
Need to add cysteine
L-cysteine
lung tissue
hospital
respiratory secretions
towers subject patients
nursing homes
same culture isolated
following
infection
wrong


Question: A 3-year-old boy had run but will find it increasingly unable to walk nearly four months, was found a week ago after he squatted on his hands shore ground need to stand up, serum creatine kinase (creatine kinase) is normal 100 times. He Which of the following is most likely to get the disease?

Answer: Duchenne muscular dystrophy

Choices:
A. Duchenne muscular dystrophy
B. spinal muscular atrophy
C. congenital muscular dystrophy
D. myasthenia gravis

3 year old boy
run
find
unable to
nearly four months
found
week
squatted
hands
ground need
stand up
serum creatine kinase
creatine kinase
normal 100 times
following
to
disease


Question: Which of the following does not apply to most prognostic brain injury (traumatic brain injury) patients?

Answer: Blink reflex (blink reflex)

Choices:
A. Unconsciousness length of time when the disease
B. The length of amnesia after the injury (amnesia) time
C. Glass can (Glasgow) Index injured coma
D. Blink reflex (blink reflex)

following
not apply
brain injury
traumatic brain injury
patients


Question: The following relevant central serous retinopathy context (central serous chorioretinopathy, CSCR) of the narrative, what's wrong?

Answer: Symptoms include visual large (macropsia), visual color change (dyschromatopsia)

Choices:
A. Sensory layer of the retina (sensory retina) of serous release (serous detachment)
B. Symptoms include visual large (macropsia), visual color change (dyschromatopsia)
C. There may happen over and over again
D. Most patients will be better on its own


Question: If patients had reduced pupil (miosis), decreased sweating side of the face (anhydrosis), drooping of the upper eyelid (ptosis), etc. Horner syndrome, which are three typical clinical symptoms appear, is the least likely caused Which of the following diseases?

Answer: External carotid artery (external carotid artery) damage

Choices:
A. Peeling carotid artery (common carotid artery dissection)
B. External carotid artery (external carotid artery) damage
C. Embolic stroke brainstem (brainstem infarction)
D. Superior cervical ganglia (superior cervical ganglion) injury

patients
reduced pupil
miosis
decreased sweating side of
face
anhydrosis
drooping
upper eyelid
ptosis
Horner syndrome
three typical clinical symptoms appear
least likely caused
following diseases


Question: Which of the following long-term use side effects of glucocorticoid drugs is the most likely cause?

Answer: Osteoporosis

Choices:
A. Like lupus erythematosus
B. Osteoporosis
C. Liver poisoning
D. Adrenal tumors

of
following long-term use side effects
glucocorticoid drugs
cause


Question: The following related microvascular reaction caused extensive burns, whichever is correct?

Answer: Capillary wall permeability (capillary permeability) increased

Choices:
A. Hydrostatic pressure (hydrostatic pressure) fall
B. Capillary pressure (capillary pressure) rise
C. Blood osmotic pressure (oncotic pressure) rise
D. Capillary wall permeability (capillary permeability) increased


Question: Lee, a 40-year-old templates workers, due to oral cancer underwent wide excision performed by the ENT team and neck lymph nodes dissection surgery, tissue defects caused by the size of about 10 to immediately multiply by the plastic surgery team 6 cm radial artery forearm free flap microsurgical reconstructive surgery, before and takes about ten hours. As Zhuyuanyishi, after surgery care related matters should be noted that Mr. Lee, what's the most inappropriate?

Answer: Placing sand bags neck wound compression anastomosis imposed to avoid bleeding

Choices:
A. Observation flap blood flow per hour, such as color, temperature, capillary refill (capillary refilling)
B. Performed Doppler (Doppler) blood count checked every hour
C. Placing sand bags neck wound compression anastomosis imposed to avoid bleeding
D. Monitoring of urine output


Question: Ms. Wang is a market greengrocer, smoking habits (a pack a day), acid reflux is often the case in recent months, a deeper voice, but no breathing difficulties and no sore throat, Ms. Wang about the test results Which of the following is less likely to occur?

Answer: Laryngoscopy presented with bilateral vocal cord paralysis

Choices:
A. And may have hypothyroidism
B. Laryngoscopy presented bilateral vocal cord edema
C. Laryngoscopy presented with bilateral vocal cord paralysis
D. Laryngeal strobe mirror (videostroboscopy) check, the vocal cord mucosal increased volatility

Ms
market
smoking
pack
day
acid reflux
often
case
recent months
deeper voice
breathing difficulties
sore throat
Ms
test results
following
less likely to occur


Question: Frontal (frontal bone) and nasal (nasal bone) of the intersection known as:

Answer: Nasion (nasion)

Choices:
A. Eyebrows (glabella)
B. Star point (asterion)
C. Nasion (nasion)
D. Pterional (pterion)

Frontal
frontal bone
nasal
nasal bone
known


Question: The following related hepatocellular adenoma (liver cell adenoma) narrative and what is non?

Answer: No malignant transformation (malignant transformation) may

Choices:
A. Occurs most frequently in women aged 20 to 40 years old
B. Long-term use of oral contraceptives may increase their probability of occurrence
C. The main danger is that internal bleeding caused by rupture
D. No malignant transformation (malignant transformation) may


Question: Lower gastrointestinal bleeding related to the following description, what's wrong?

Answer: Nuclear medicine scans red blood cells (RBC scan), to detect bleeding compared with angiography technique sensitive, precise positioning, to help treat

Choices:
A. Bleeding source unknown (obscure) of gastrointestinal bleeding, lesions often in the small intestine, must first rule out the upper gastrointestinal tract and colorectal lesions. Therefore, upper gastrointestinal endoscopy and colonoscopy must be implemented, even more than once is sufficient checks
B. Cases of severe bleeding can arrange angiography examination (angiography), the injectable is found the source of bleeding
C. Nuclear medicine scans red blood cells (RBC scan), to detect bleeding compared with angiography technique sensitive, precise positioning, to help treat
D. If there is no active bleeding, unless it is rich in blood vessels (hypervascular) tumor or vascular dysplasia

Lower gastrointestinal bleeding related
following
wrong


Question: That following a viral infection, do not form tumors via inhibition of host tumor suppressor gene?

Answer: Human T-lymphotropic virus (HTLV-1)

Choices:
A. Adenovirus (Adenovirus)
B. Human T-lymphotropic virus (HTLV-1)
C. Human papillomavirus (HPV)
D. Polyomavirus (SV40)

following
viral infection
not form tumors
inhibition
tumor suppressor gene


Question: Peripheral blood bone marrow red blood cell series, white blood cells and platelets series series, each stage of the mature blood cells, and chronic myelogenous leukemia patients have the Philadelphia chromosome (Philadelphia chromosome), it can be inferred, the starting cell disease level of chromosomal abnormalities why earliest ?

Answer: Lymphocyte stem cells (lymphoid stem cell)

Choices:
A. Lymphocyte stem cells (lymphoid stem cell)
B. Bone marrow stem cells (myeloid stem cell)
C. Multi-derived hematopoietic stem cells (pluripotent hematopoietic stem cell)
D. Embryonic stem cells (embryonic stem cell)

Peripheral blood bone marrow
series
white blood cells
platelets series
stage
mature
chronic myelogenous leukemia patients
Philadelphia chromosome
Philadelphia chromosome
starting cell disease level
chromosomal
earliest


Question: , It will mainly be cleared by secreted by the sympathetic nerve endings Norepinephrine what mechanism from the synaptic cleft?

Answer: Recycling by the nerve endings (re-uptake)

Choices:
A. Recycling by the nerve endings (re-uptake)
B. After being included in the postsynaptic cell lysis enzymes
C. After clearance by the liver into the blood circulation
D. After being recycled postsynaptic cell


Question: About gestational trophoblastic disease (gestational trophoblastic disease-GTD; gestational trophoblastic tumor-GTT; gestational trophoblastic neoplasm-GTN), which of the following description of gynecologic cancer physicians are more consistent view?

Answer: Mole (complete hydatidiform mole) (partial hydatidiform mole) portion mole ratio of rare

Choices:
A. GTT or GTN after surgery according to the pathology of the other, began chemotherapy
B. Transfer to the lungs for the third period, the remission rate after treatment nearly 50%
C. Have responded to a single dose of medicament for the treatment of chemical
D. Mole (complete hydatidiform mole) (partial hydatidiform mole) portion mole ratio of rare

About gestational trophoblastic disease
gestational trophoblastic disease GTD
gestational trophoblastic tumor-GTT
gestational trophoblastic neoplasm GTN
following
gynecologic cancer physicians
more
view


Question: A 45 year old male ESRD patients choose peritoneal dialysis (peritoneal dialysis), the following statements is wrong?

Answer: Peritoneal dialysis is performed once every two days

Choices:
A. Peritoneal dialysis is performed once every two days
B. Peritoneal dialysis single intraperitoneal injection of 2 liters of dialysate are possible
C. Peritoneal dialysis dehydrated by osmotic pressure (osmolality), the most commonly used material provided osmotic pressure is high concentration of glucose
D. Creatinine clearance rate of 70 L per week is enough

year old male ESRD patients
peritoneal dialysis
peritoneal dialysis
following
wrong


Question: Symmetry limb peripheral nerve sensory loss is most likely to occur in patients following what disease?

Answer: diabetic polyneuropathy

Choices:
A. cerebellar lesions
B. cerebrovascular diseases
C. diabetic polyneuropathy
D. Parkinson's disease

Symmetry limb peripheral nerve sensory
to occur
patients following
disease


Question: About T helper cells in B cell activation in the process of providing assistance narrative, following that a mistake?

Answer: T helper cell surface expression B7, costimulatory factor is the main (co-stimulatory molecule)

Choices:
A. Must identify the same two cell antigen (linked recognition), in order to effectively stimulate antibody production
B. T helper cells secrete cytokines (cytokines) assist in replication and activation of B cells
C. T helper cell surface transfer performance CD40L molecules, B-cell help second signals
D. T helper cell surface expression B7, costimulatory factor is the main (co-stimulatory molecule)

B cell activation
process
assistance
following
mistake


Question: 67 a 70-year retired teacher, early without any history of mental illness, regularly treated for hypertension for 8 years, hospitalized due to a heart condition, hospital 2 days after the sudden appearance of many words, sleep loss, nocturnal frequency required to go out, and claims that there is sixth sense can predict the future, occasional visual hallucinations at night. Following the disposal of whichever wrong?

Answer: Evening administration of long-acting sleeping pills to improve sleep

Choices:
A. Should assess whether cognitive impairment
B. Physiological should exclude any disease associated
C. Evening administration of long-acting sleeping pills to improve sleep
D. With antipsychotic drugs as the main consideration of

67
70 year retired teacher
early
history
mental illness
treated
hypertension
years
hospitalized due to
heart condition
hospital 2 days
sudden appearance
sleep loss
nocturnal frequency required to go out
sixth sense
future
occasional visual hallucinations
night
Following
wrong


Question: The correct way myasthenia gravis Which of the following non-therapeutic?

Answer: The use of aminoglycoside drugs the patient is infected

Choices:
A. Lipid anticholinergic drugs (anticholinesterase drugs)
B. Steroids (corticosteroid)
C. Thymectomy (thymectomy)
D. The use of aminoglycoside drugs the patient is infected

correct
myasthenia gravis
following non therapeutic


Question: Which of the following most likely to progress to narrowing pericarditis pericarditis (constrictive pericarditis)?

Answer: Purulent pericarditis (suppurative pericarditis)

Choices:
A. Serous pericarditis (serous pericarditis)
B. Fibrinous pericarditis (fibrinous pericarditis)
C. Serofibrinous pericarditis protein (serofibrinous pericarditis)
D. Purulent pericarditis (suppurative pericarditis)

following
likely to progress
narrowing pericarditis
constrictive pericarditis


Question: The following account of malignant melanoma cell cancer (malignant melanoma), and what's right?

Answer: The most common type of malignant melanoma patients Orient cell carcinoma is a small mole extremities (acral lentiginous) type

Choices:
A. West gene mutation in patients with malignant melanoma cell carcinoma is the most NRAS mutation
B. The most common type of malignant melanoma patients Orient cell carcinoma is a small mole extremities (acral lentiginous) type
C. Primary prevention of malignant melanoma cell cancer education, screening, early detection
D. Malignant melanoma metastasis cancer cell targeted therapy drugs only effective

following account
cancer
malignant melanoma
right


Question: Which of the following is the excitement can cause Hering-Breuer reflex, thereby preventing lung over-expansion?

Answer: Of receptors involved pulmonary (lung stretch receptors)

Choices:
A. Of receptors involved pulmonary (lung stretch receptors)
B. Lung irritant receptors (lung irritant receptors)
C. Aorta (aortic bodies)
D. Carotid body (carotid bodies)

following
cause Hering-Breuer reflex
preventing lung


Question: Statements about blood lipid abnormalities associated with yellow lipoma (xanthoma) of, which of the following error?

Answer: Only the blood low-density lipoprotein cholesterol (LDL cholesterol) will occur when too high, irrespective of the concentration of blood triglyceride (triglyceride) of

Choices:
A. Only the blood low-density lipoprotein cholesterol (LDL cholesterol) will occur when too high, irrespective of the concentration of blood triglyceride (triglyceride) of
B. Often the distribution of subcutaneous (subcutaneous) at
C. Often distributed in the tendon sheath (tendon sheath) at
D. Often the distribution of the body surface of the limb extensor (extensor surface)


Question: Glenohumeral joint (glenohumeral joint) connection humerus, small nodules while fixing the biceps tendon of the long head of the ligament Why?

Answer: Humerus transverse ligament (transverse humeral ligament)

Choices:
A. The glenohumeral ligament (superior glenohumeral ligament)
B. Under glenohumeral ligament (inferior glenohumeral ligament)
C. Coracobrachialis ligament (coracohumeral ligament)
D. Humerus transverse ligament (transverse humeral ligament)

Glenohumeral joint
glenohumeral joint
connection humerus
small nodules
fixing
biceps tendon of
long head
ligament


Question: Liu, 57 years old, in addition to natural production twice in the past no special history of disease, abnormal vaginal bleeding due to out-patient clinics, the clinic found within a 5 cm cervical cancer, sliced confirmed cervical squamous cell carcinoma, tumor 1/3 range of first vaginal wall, right ureter and renal pelvis renal pelvis photography show edema, CT no lymph nodes, Sharon cervical cancer on why not at least?

Answer: The third (III b)

Choices:
A. The first phase (I b)
B. A second phase (II a)
C. The second phase (II b)
D. The third (III b)


Question: A 28-year-old young men, complained before the start of the day how the amount of yellow-green urethral discharge, or painful urination solution at the same time, a burning sensation. He admitted sexual contact with unclean week ago. Preliminary assumptions suspected gonococcal urethritis; the following check what is able to provide the most rapid diagnosis for symptomatic treatment?

Answer: Urethral secretions smear, after dyeing in the presence or absence of Neisseria gonorrhoeae 100x microscope leukocyte oil

Choices:
A. Urethral secretions smear, after dyeing in the presence or absence of Neisseria gonorrhoeae 100x microscope leukocyte oil
B. Bacterial culture of urethral discharge
C. Urine culture
D. Urine examination

year old young
start
day
amount
urethral
painful urination solution
same time
burning sensation
contact with
week
Preliminary
suspected gonococcal urethritis
following check
able to
most rapid diagnosis
symptomatic treatment


Question: From the previous question, vessels had to be given a large number of central venous catheter intravenous fluids, which of the following is not among the most commonly used first-aid course?

Answer: Cephalic vein (cephalic vein)

Choices:
A. Internal jugular vein (internal jugular vein)
B. Femoral vein (femoral vein)
C. Cephalic vein (cephalic vein)
D. Subclavian vein (subclavian vein)

previous
vessels
to
given
large number
central venous catheter
following
not
used first-aid course


Question: In laparoscopic surgery, the pressure should not exceed the number of Pneumoperitoneum mmHg?

Answer: 15

Choices:
A. 9
B. 11
C. 13
D. 15

laparoscopic surgery
pressure
not
number
Pneumoperitoneum mmHg


Question: Suppose we want to compare the two effects of antibiotic treatment of gonorrhea A and B, the patient must receive antibiotics A and B patients receiving antibiotics through age and gender matched, these patients must return to the clinic within a week, to check whether gonorrhea has been eliminated. Assumptions were as follows:

Answer: Mainei Ma test (McNemar's Test)

Choices:
A. Two-sample t-test
B. Chi-square test
C. Paired t-test
D. Mainei Ma test (McNemar's Test)

to
two effects
antibiotic treatment
gonorrhea
patient
receive
patients receiving
age
gender matched
patients
return
clinic
week
to check
gonorrhea
eliminated
follows


Question: A 68-year-old male patient was eight months ago after being diagnosed with non-small cell lung cancer, ongoing chemical treatment. This comes due to severe asthma emergency room, chest X-ray found to have left pneumothorax, there are a lot of right lung nodules, chest tube was placed on the left after lung still open. Will the next disposal, what's wrong?

Answer: Photodynamic therapy do to get through the trachea

Choices:
A. Do bronchoscope to see whether the tumor obstruction, causing the lungs to collapse
B. CT violations do see the situation of the tumor and whether the oppression of the respiratory tract
C. Photodynamic therapy do to get through the trachea
D. Put tracheal stent to prop the airway open

year old male patient
eight months
diagnosed
non-small cell lung cancer
treatment
due to severe asthma emergency room
chest X-ray found to
left pneumothorax
lot
right
chest tube
left
lung
open
next
wrong


Question: That one of the following diseases, are not suitable for treatment with cryosurgery (cryosurgery)?

Answer: Mycoides granuloma (mycosis fungoides)

Choices:
A. Mycoides granuloma (mycosis fungoides)
B. Seborrheic keratosis (seborrheic keratosis)
C. Molluscum contagiosum (molluscum contagiosum)
D. Wart virus (viral wart)

one
following diseases
not suitable
treatment
cryosurgery
cryosurgery


Question: Therapy on breast cancer, which of the following error?

Answer: Breast cancer patients should be given chemotherapy after surgery to prevent recurrence

Choices:
A. With or without axillary lymph cancer metastasis is one of the most important prognostic indicator of breast cancer
B. The presence of breast cancer estrogen receptor (positive), anti-hormone therapy should be given
C. Breast cancer patients should be given chemotherapy after surgery to prevent recurrence
D. Both the first and second parts of the survival rate of breast cancer, the absence of multiple lesions, with mastectomy breast-conserving considerable


Question: A 78-year-old prostate cancer patients hormone therapy has been ineffective and whole body bone metastases, often in pain index 7 or more points (0-10 points), after assessment of the patient has been unfit for chemotherapy and radiation therapy, the pain general has been unable to control pain medications, which of the following treatment more appropriate?

Answer: Short-acting oral morphine every 3 to 4 hours, to adjust the dose until the long-term stability of morphine

Choices:
A. Bisphosphonates zoledronate intravenously irregular and short-acting morphine week
B. Short-acting oral morphine every 3 to 4 hours, to adjust the dose until the long-term stability of morphine
C. Short-acting morphine administered amount occurs when the patient pain, long-acting morphine to be stabilized
D. Direct long-term administration of morphine, to avoid affecting patients sleep

year old prostate cancer patients hormone therapy


Question: About the relationship between ankylosing spondylitis and vertebral fractures, the following statements is true?

Answer: Ankylosing spondylitis patients with cervical spine fractures most common

Choices:
A. Ankylosing spondylitis spine stiffer, it is less prone to fracture than the average person
B. Ratio of ankylosing spondylitis patients with vertebral fractures if, making a spinal cord injury was lower than the average person
C. Ankylosing spondylitis patients with vertebral fractures, the most common causes for the accident
D. Ankylosing spondylitis patients with cervical spine fractures most common

relationship
ankylosing spondylitis
vertebral fractures
following
true


Question: Which is not ARDS (Acute respiratory distress syndrome) the characteristics?

Answer: PAWP（Pulmonary artery wedge pressure）＞18 mmHg

Choices:
A. Chest X-ray display both pulmonary infiltration
B. PaO2/FiO2＜200
C. PAWP（Pulmonary artery wedge pressure）＞18 mmHg
D. Acute attack (Acute onset)

not ARDS
Acute respiratory distress syndrome
characteristics


Question: Based on the special nature of illness and injury as well as their own specific health care needs of the population, making the health care market there are different from the general market. The following items are not characteristic of what health care market?

Answer: Consumer healthcare providers to provide diagnosis and treatment project of the type, quantity, price initiative

Choices:
A. Demand and uncertainty about the outcome
B. Information asymmetry
C. Consumer healthcare providers to provide diagnosis and treatment project of the type, quantity, price initiative
D. Medical providers will not necessarily pursue profit maximization, and may require the patient to the most important considerations

Based
special nature
illness
injury
specific
needs
making
health care market
different
general market
following
not characteristic
health care market


Question: A 40-year-old male patient, drink a day for two to three bottles of sorghum for about 20 years. The last five years he often nausea and vomiting phenomenon, mainly in the admission after intense vomiting vomiting blood phenomenon. He was sent to the emergency body temperature 36.8 ℃, blood pressure 80/40 mmHg, pulse 110 / min, respiration 22 / min. Physical examination did not hear the heart murmur, breath sounds are also normal on both sides of his abdomen did not swell also no tenderness. His electrocardiogram and chest X-ray were normal, and no occult blood stool examination. The next step following that examination?

Answer: Esophagogastroduodenoscopy examination

Choices:
A. Abdominal computed tomography
B. Abdominal angiography
C. Esophagogastroduodenoscopy examination
D. Abdominal sonography

40 year old male patient
day
two
three bottles
sorghum
about 20 years
last five years
often nausea
vomiting
intense vomiting
blood
sent
emergency body temperature 36
blood pressure 80 40 mmHg
pulse
min
respiration
min
not hear
heart murmur
breath sounds
normal
sides
abdomen
not swell
tenderness
electrocardiogram
chest X-ray
normal
occult blood stool
next step following


Question: Local complications of acute pancreatitis, the most unusual Which of the following?

Answer: renal artery thrombosis

Choices:
A. pancreatic phlegmon
B. pancreatic abscess
C. pancreatic pseudocyst
D. renal artery thrombosis

Local complications
acute
most unusual
following


Question: In considering the congenital metabolic diseases, these kind of diseases easier anion gap (anion gap) increases, pH, acidic and elevated blood ammonia?

Answer: methylmalonic acidemia

Choices:
A. phenylketonuria
B. methylmalonic acidemia
C. marple syrup urine disease
D. ornithine decarboxylase deficiency 71 following the relevant central cord syndrome (central cord syndrome) narrative, whichever is most incorrect?

congenital metabolic diseases
kind
diseases easier anion gap
anion gap
increases
pH
elevated blood ammonia


Question: Fontanelle (fontanelle) is too large of related diseases, which of the following error?

Answer: Hyperthyroidism

Choices:
A. Hyperthyroidism
B. Skeletal abnormalities
C. Chromosomal abnormalities
D. Hydrocephalus

Fontanelle
fontanelle
large
related diseases
following error


Question: A patient has lupus nephritis (lupus nephritis), proteinuria 2.0 gm / day, lack of renal function (creatinine 2.0 mg / dL), which of the following drugs, most do not apply to this patient?

Answer: cyclosporine

Choices:
A. cyclosporine
B. leflunomide
C. rituximab
D. mycofenolate mofetil

patient
lupus nephritis
lupus nephritis
proteinuria
0 gm
day
lack
renal function
creatinine
0 mg
dL
following drugs
most
not apply
patient


Question: A child will run correctly identified the body of each part, in accordance with the normal course of development, which is closest to the child's age Why?

Answer: 2 years old

Choices:
A. 2 years old
B. 1 year old
C. 1 year, 6 months
D. 9 months

child
run
identified
body
part
in accordance with
normal course
development
closest
child's age


Question: The following glomerular diseases, whichever is easy to produce crescent-shaped (crescent) glomerular cell proliferation?

Answer: Anti-basement membrane disease (anti-basement membrane disease)

Choices:
A. Thin basement membrane disease (thin basement membrane disease)
B. Anti-basement membrane disease (anti-basement membrane disease)
C. Diffuse membranous glomerulonephritis (diffuse membranous glomerulonephritis)
D. Diabetic glomerular disease (diabetic glomerular disease)

following glomerular diseases
easy to
crescent shaped
crescent
glomerular cell proliferation


Question: A pregnant woman at the time of pregnancy often have positive urine, fasting blood glucose value is 250 mg / dL pre-production, after her newborn birth weight 4400 grams, one of the following complications that may occur after the baby was born?

Answer: High hematocrit (polycythemia)

Choices:
A. High blood calcium (hypercalcemia)
B. High blood magnesium (hypermagnesemia)
C. High hematocrit (polycythemia)
D. High blood sugar (hyperglycemia)

pregnant woman
time
pregnancy often
positive urine
fasting blood glucose value
mg
dL pre
newborn birth weight 4400 grams
one
following complications
occur
baby
born


Question: The following describes the first stage of production-related, what's wrong?

Answer: When the cervix dilates to 2 cm into the pot life is necessarily

Choices:
A. The first stage of expansion of the case can be divided into two periods cervix: latency (latent phase) and the activation period (active phase)
B. The incubation period begins to feel pregnant uterus to contract and rules along with the cervix gradually expanded to between 3-5 cm
C. When the cervix dilates to 2 cm into the pot life is necessarily
D. A so-called delayed latency (prolonged latent phase) refers to women in the early latency exceeds over 20 hours or 14 hours in a multi-maternal


Question: The following information about the external eye muscle (extraocular muscles) of the narrative, what's wrong?

Answer: On the eye to see the inferior rectus straight down; upper, respectively lower oblique responsible see uphill, obliquely lower

Choices:
A. Four rectus (rectus muscles) the starting point (Origins) are in the top sockets (Apex) of Zinn's ring (Annulus)
B. Both before (Equator) the equatorial portion of the eyeball four rectus termination point (insertions)
C. After two oblique (oblique muscles) are the end point of the eye equator
D. On the eye to see the inferior rectus straight down; upper, respectively lower oblique responsible see uphill, obliquely lower

following
external eye muscle
extraocular muscles
wrong


Question: The practice of non-staple food of about adding Which of the following does not apply to most cut?

Answer: Honey water can give infants under 1 year of hydration and heat

Choices:
A. Honey water can give infants under 1 year of hydration and heat
B. Baby Food may be added during 4-6 months
C. A time to add only one principle of non-staple food
D. Rice flour or wheat flour may be water or infant formula milk into a paste with a teaspoon feeding

non staple food
adding
following
not apply
cut


Question: 33-year-old woman successfully produce a baby, but the baby was born that is severe cyanosis, giving pure oxygen will not be able to improve the symptoms of cyanosis. Imaging showed no ventricular septum defect, aorta and pulmonary trunk right hand front, right ventricular hypertrophy was shaped. The following congenital heart disease, whichever is most consistent with the clinical and pathological features of patients?

Answer: Transposition of great arteries

Choices:
A. Tetralogy of Fallot
B. Transposition of great arteries
C. Tricuspid atresia
D. truncus arteriosus

year old woman
baby
baby
born
severe cyanosis
giving pure oxygen
not
able to
symptoms
cyanosis
Imaging
ventricular septum defect
aorta
pulmonary right front
right ventricular hypertrophy
shaped
following congenital heart disease
most
clinical
pathological features
patients


Question: Soil polluted by heavy metals, and is not suitable for the remediation technology?

Answer: Vapor Extraction

Choices:
A. Vapor Extraction
B. Redox
C. Soil washing method
D. Biological treatment


Question: The following histological type, whichever is more than the other three difference?

Answer: Mediastinal tumors of the yolk sac (yolk sac tumor)

Choices:
A. Mediastinal tumors of the yolk sac (yolk sac tumor)
B. Testicular sperm cell tumor (seminoma)
C. dysgerminoma ovary
D. germinoma pineal gland area

following histological type
more
three difference


Question: Dominate the submandibular gland (submandibular gland) without passing through the parasympathetic fibers:

Answer: 莖 乳突 孔 (stylomastoid foramen)

Choices:
A. 莖 乳突 孔 (stylomastoid foramen)
B. Auditory canal (internal acoustic meatus)
C. Middle ear (middle ear cavity)
D. Lingual nerve (lingual nerve)

submandibular gland
submandibular gland
fibers


Question: The following description of the clinical symptoms of cerebral vascular disease related to, what is true?

Answer: Plus peripheral facial palsy of the contralateral limb weakness, suspected to be part of the brain stem stroke

Choices:
A. Aphasia can occur in patients with brain stem stroke of
B. Unilateral limb weakness can occur in patients with small stroke of
C. Plus peripheral facial palsy of the contralateral limb weakness, suspected to be part of the brain stem stroke
D. The anterior cerebral artery stroke often leads to coma and eyeballs quiver

following
clinical symptoms
cerebral vascular disease related
true


Question: 3. ⼀ bit 35 year old man with chronic diarrhea for medical treatment, the symptoms after eating Using flour products will intensify, eat would be more relieved. ⾎ examination was displayed ⾎ red pigment 11.5 gm / dL, and the white ball ⾎ ⾎ ⼩ plate normal, check ⽽ ⽣ chemical ⾎ displayed slightly lower calcium (2.15 mmol / L, normally 2.2 ~ 2.5 mmol / L), clear ⾎ creatinine (creatinine, 0.6 mg / dL), sodium (139 mEq / L), and potassium (3.8 mEq / L) is in the normal range, the ⾎ IgA tissue transglutaminase antibody positive. Face the disease most likely diagnosis Why?

Answer: celiac disease

Choices:
A. irritable bowel syndrome
B. celiac disease
C. eosinophilic gastroenteritis
D. Crohn's disease


Question: 40 weeks of pregnancy, fetal development of the femur, with ultrasonic measurements, what is within the normal range of values?

Answer: 70 mm

Choices:
A. 3.5 mm
B. 7.0 mm
C. 35 mm
D. 70 mm

40 weeks
pregnancy
fetal development
femur
ultrasonic measurements
normal
values


Question: Humeral epicondylitis (humeral lateral epicondylitis) with that of a muscle following the most irrelevant excessive?

Answer: Elbow 橈肌 (brachioradialis)

Choices:
A. Elbow 橈肌 (brachioradialis)
B. Radial wrist extensor muscles (extensor carpi radialis)
C. Ulnar extensor carpi muscle (extensor carpi ulnaris)
D. Extensor digitorum muscle (extensor digitorum)

Humeral epicondylitis
humeral lateral epicondylitis
muscle following
most
excessive


Question: What can make the adjacent bone cells (osteocytes) material exchange of construction is?

Answer: Joining gap (gap junction)

Choices:
A. Close contact (tight junction)
B. Sticky connected together (adhering junction)
C. Bridge cell bodies (desmosome)
D. Joining gap (gap junction)

make
adjacent
material exchange
construction


Question: Which of the following is not a characteristic of prion protein (scrapie-like prion protein, PrPSC) pathogenicity?

Answer: Caused a strong immune response

Choices:
A. Pathogenic incubation period is very long
B. Hollowing out caused by nerve tissue
C. May be present in the extracellular
D. Caused a strong immune response

following
not a characteristic
prion protein
scrapie
prion protein
pathogenicity


Question: 7. In the top of the heart, the aorta group includes arterial (ascending aorta) and pulmonary artery (pulmonary trunk), the group includes the pulmonary vein intravenous (pulmonary vein) and the superior vena cava (superior vena cava) are two separate:

Answer: Pericardium transverse sinus (transverse pericardial sinus)

Choices:
A. Pericardium transverse sinus (transverse pericardial sinus)
B. Pericardium oblique sinus (oblique pericardial sinus)
C. Coronary sinus (coronary sinus)
D. Pericardial cavity surface sternum (sternal surface of pericardial cavity)

top
heart
aorta group includes arterial
ascending aorta
pulmonary artery
pulmonary trunk
group includes
pulmonary vein intravenous
pulmonary vein
superior vena cava
superior vena cava
two separate


Question: Which of the following is not possible for Sick Children with chronic renal failure to determine the initial clinic before diagnosis, the common complaints of symptoms?

Answer: Vitamin K deficiency related bleeding tendency (bleeding tendency)

Choices:
A. Short, not grow (short stature)
B. Anemia (anemia), pale (pallor)
C. Vitamin K deficiency related bleeding tendency (bleeding tendency)
D. Proteinuria, hematuria or edema

following
not possible
Sick Children
chronic renal failure to
initial clinic
diagnosis
common complaints
symptoms


Question: About the narrative of gastroesophageal reflux, which of the following error?

Answer: There will never be a normal phenomenon of reverse flow of gastric juice

Choices:
A. Most of the Control and Prevention of the lower esophageal sphincter function
B. Gastric emptying time extension can cause the disease
C. There will never be a normal phenomenon of reverse flow of gastric juice
D. Lower esophageal sphincter pressure and length of gastric juice can decide countercurrent


Question: Radical neck dissection should be Xi sacrifice that a muscle?

Answer: sterno-cleido-mastoid muscle

Choices:
A. mylohyoid muscle
B. omohyoid muscle
C. sterno-cleido-mastoid muscle
D. digastric muscle


Question: After Taiwan's retrocession by the national government, with international assistance, after preparation, attack and eliminate three stages, in 1965 and was declared a World Health Organization to eradicate what area of infectious diseases?

Answer: malaria

Choices:
A. Cholera
B. malaria
C. Dysentery
D. Polio

Taiwan's retrocession
assistance
preparation
attack
three stages
area
infectious diseases


Question: Which of the following is not part of the vertical spinae (erector spinae) of?

Answer: Multifidus muscles (multifidus)

Choices:
A. Iliocostalis (iliocostalis)
B. Dorsi muscle (longissimus)
C. Multifidus muscles (multifidus)
D. Spine muscles (spinalis)

following
not part of
vertical
erector spinae


Question: Which of the following does not belong to arterial elasticity (elastic artery)?

Answer: Brachial artery (brachial artery)

Choices:
A. Aorta (aorta)
B. Brachiocephalic artery (brachiocephalic artery)
C. Pulmonary artery (pulmonary trunk)
D. Brachial artery (brachial artery)

following
not
arterial elasticity
elastic artery


Question: Ludwig's angina means where space (space) of the infection?

Answer: Mouth floor space

Choices:
A. Pharyngomaxillary space
B. Masseter space
C. Retropharyngeal space
D. Mouth floor space


Question: Following the kind of ultraviolet radiation on the human body harmful lowest?

Answer: UV-A

Choices:
A. UV-A
B. UV-B
C. UV-C
D. UV-D


Question: 38 A 42-year-old male athlete, eight months ago left leg toe edge appears irregular, varying shades of brown to black pigment patches, slowly expanding lesions (Figure), touch of easy bleeding lesions phenomenon. The most likely diagnosis of why?

Answer: Acral melanoma (acral lentiginous melanoma)

Choices:
A. Superficial spreading melanoma cell tumor (superficial spreading melanoma)
B. Acral melanoma (acral lentiginous melanoma)
C. Subcutaneous hematoma (hematoma)
D. Nevus malignant melanoma (lentigo maligna melanoma)

year old male athlete
eight months
left leg toe edge appears irregular
brown
black pigment patches
slowly expanding lesions
touch
easy bleeding lesions
diagnosis


Question: Which of the following description of the error on Pneumocystis pneumonia?

Answer: Pathogen Pneumocystis jirovecii is a protozoan

Choices:
A. Pathogen Pneumocystis jirovecii is a protozoan
B. AIDS patients often occurs in this case a patient's blood CD4 + lymphocytes number of usually less than 200 cells / mm3
C. Using bronchoscope for bronchoalveolar lavage (BAL), the BAL fluid using Wright-Giemsa stain can be found to pathogen
D. Trimethoprim-Sulfamethoxazole (TMP-SMX) is the standard treatment


Question: 33 following those with congenital metabolic disease, the patient's body and urine likely to have a special taste to produce? ①isovaleric acidemia ②galactosemia ③maple syrup urine disease ④methylmalonic acidemia

Answer: ①③

Choices:
A. ①②
B. ①③
C. ①④
D. ③④

isovaleric acidemia galactosemia maple syrup urine disease methylmalonic acidemia


Question: Human factors engineering proposals that require standing table height of the worker, according to the work of other points: ① precision work (Precision work) ② Light work (Light work) ③ heavier work (Heavier work), relatively low ordering (from high to low) why?

Answer: ①①①

Choices:
A. ①①①
B. ①①①
C. ①①①
D. ①①①

standing table height
points
precision
Precision
heavier
Heavier
low
high
low


Question: From the previous question, if the individual difference (wide pulse pressure) from the patient wide pulse pressure performance, the following should not be considered a patient suffering from what disease?

Answer: Aortic stenosis

Choices:
A. Severe anemia
B. Hyperthyroidism
C. Aortic stenosis
D. Pulmonary arteriovenous traffic

previous
wide pulse pressure
patient wide pulse pressure performance
following
not
patient suffering
disease


Question: Atopic dermatitis (atopic dermatitis) narrative, which of the following error?

Answer: Acute course, sudden

Choices:
A. Acute course, sudden
B. Itching
C. Dry skin
D. Infancy, predilection sites include the face

Atopic dermatitis
atopic dermatitis
following error


Question: From the previous question, the following statements, what's wrong?

Answer: States have the world to the United States the highest incidence

Choices:
A. States have the world to the United States the highest incidence
B. pathergy test positive
C. Small number of patients with central nervous system complications will
D. Asian and may be associated with HLA-B5 and HLA-B51


Question: Bearing on the question, Which of the following changes in their organizations least likely?

Answer: Alveolar wall thinning

Choices:
A. Alveolar hemorrhage
B. Macrophages appear
C. Alveolar wall thinning
D. Anti-basement membrane antibodies appear


Question: On the site of the occurrence of the diagnosis of human spinal radiculopathy (radiculopathy), the following electrical diagnostic method which most clinical diagnostic value?

Answer: EMG (electromyography) Check

Choices:
A. Nerve conduction (nerve conduction) Check
B. EMG (electromyography) Check
C. F-wave inspection
D. Hoffmann reflex

site of
occurrence
diagnosis
human spinal radiculopathy
radiculopathy
following electrical diagnostic method
most clinical diagnostic value


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

Answer: A melanocytes (melanocyte) did not decrease, but the melanin (the melanin) reduced disease

Choices:
A. A melanocytes (melanocyte) did not decrease, but the melanin (the melanin) reduced disease
B. Sometimes coexist with other autoimmune diseases
C. Consider narrowband UVB therapy
D. Lesion boundary (border) clear


Question: Which of the following does not produce a pseudo-cerebral tumor disease (pseudotumor cerebri)?

Answer: Pernicious anemia

Choices:
A. Obesity and irregular menstruation
B. Cerebral venous sinus obstruction side (lateral venous sinus thrombosis)
C. Taking a lot of vitamin A
D. Pernicious anemia

following
not
pseudo cerebral disease
pseudotumor cerebri


Question: A 23-year-old man, the last half year a total of six times repeated attacks of pancreatitis, magnetic resonance imaging (MRI) examination showed the main pancreatic duct stricture, suspected of pancreatic cancer and underwent surgery, the sample below, then he accepted what surgical?

Answer: Pyloric retention Pancreatoduodenectomy (pylorus-preserving pancreaticoduodenectomy)

Choices:
A. Pancreaticojejunostomy (Puestow's operation)
B. Pancreatoduodenectomy (Whipple procedure)
C. Pyloric retention Pancreatoduodenectomy (pylorus-preserving pancreaticoduodenectomy)
D. Duodenal resection of pancreatic head (duodenum-preserving proximal pancreatectomy)

23 year old man
last half year
total
six times repeated attacks
pancreatitis
magnetic resonance imaging
main pancreatic duct stricture
suspected of pancreatic cancer
surgery
then
accepted
surgical


Question: 30-year-old man complained of the middle finger to the clinic deformed as shown, what is this distortion?

Answer: Boutonniere deformity

Choices:
A. Mallet finger
B. Boutonniere deformity
C. Swan neck deformity
D. Camptodactyly

30 year old man
middle finger
clinic deformed
distortion


Question: The following organs, at least by the mumps virus attacks, so no significant pathological changes are:

Answer: liver

Choices:
A. liver
B. Central Nervous System
C. Testicular
D. Pancreas

following organs
attacks
significant pathological changes


Question: Suffering from a severe tetralogy received 7-year-olds fully corrected it, while playing in the school teacher witnessed cataplexy, ambulance technicians arrived at the scene eight minutes, arrived at the scene did not perform CPR before checking the patient has no pulse, automatic electric shock in vitro heart rate is displayed on the device as follows, the following priorities related to first aid statements is true?

Answer: Although no signs of life, but do not hurry to electric shocks, five-cycle should be given an electric shock after CPR

Choices:
A. The rhythm is ventricular tachycardia (ventricular tachycardia) should be given electric shocks
B. Use in vitro shock adult children with automatic defibrillator shock patch, to give 50 joules of energy shocks
C. Although no signs of life, but do not hurry to electric shocks, five-cycle should be given an electric shock after CPR
D. Reanalyze the rhythm after shock wait for the machine, and then decided to give after recovery or stabilization measures continue CPR


Question: Account of childhood malignant liver tumors (malignant hepatic tumor), and Which of the following most inappropriate?

Answer: Because Shi fight hepatitis B vaccine, which have allowed domestic hepatoblastoma cancer (hepatoblastoma) significantly decreased the incidence of, but hepatocellular

Choices:
A. Hepatoblastoma cell cancer (hepatoblastoma) occurs mainly in children under 3 years old, and HCC (hepatocellular carcinoma) onset older
B. Beckwith-Wiedemann syndrome patient, and easier hepatoblastoma cancer (hepatoblastoma)
C. Because Shi fight hepatitis B vaccine, which have allowed domestic hepatoblastoma cancer (hepatoblastoma) significantly decreased the incidence of, but hepatocellular
D. HCC (hepatocellular carcinoma) easily transferred to the lungs, the prognosis


Question: Air Pollution Index (PSI) and the concentration that the following five kinds of different pollutants relevant?

Answer: SO2, CO, O3, NO2, PM10

Choices:
A. SO3, CO, O3, NO2, PM10
B. SO2, CO2, O2, NO2, PM10
C. SO2, CO, O2, NO3, PM1.0
D. SO2, CO, O3, NO2, PM10

Index
concentration
following five kinds
different pollutants relevant


Question: The following side effects arising from mental illness related to drugs and their possible pairing mechanism of action, what's wrong?

Answer: Tizhongzengjia: blocking the cholinergic receptors induced

Choices:
A. Amenorrhea - milk leakage (Amenorrhea-galactorrhea): dopamine receptor blockade induced
B. Tizhongzengjia: blocking the cholinergic receptors induced
C. Orthostatic hypotension (orthostatic hypotension): Blocking alpha - adrenergic receptor induced
D. Dry mouth and urinary retention: mushroom toxin receptor blockade caused

following side effects arising
mental illness related
drugs
possible
mechanism of action
wrong


Question: 27 canopy near the cerebellum (cerebellar tentorium) of the desired blood cerebral cortex is mainly supplied by the artery what?

Answer: Posterior cerebral artery (posterior cerebral artery)

Choices:
A. Meningeal artery (middle meningeal artery)
B. Anterior cerebral artery (anterior cerebral artery)
C. Cerebellar artery (superior cerebellar artery)
D. Posterior cerebral artery (posterior cerebral artery)

27
cerebellum
cerebellar tentorium
blood cerebral cortex
artery


Question: The following statements about alcohol problems, what's right?

Answer: Women drinking more than the recommended amount, increases the risk of breast cancer

Choices:
A. Alcoholic liver disease serum liver enzyme values typically ALT (GPT) than AST (GOT)
B. Alcoholics which Complete Blood Count (CBC) often appear pellets erythrocytes (microcytosis)
C. CAGE questionnaire screening for alcohol problems in the practical value is not high
D. Women drinking more than the recommended amount, increases the risk of breast cancer


Question: About the narrative of heparin, which of the following correct?

Answer: May be bound to antithrombin III, to achieve anticoagulant activity

Choices:
A. Having thrombolytic activity
B. Inhibit platelet agglutination
C. May be bound to antithrombin III, to achieve anticoagulant activity
D. Inhibit liver regeneration of vitamin K


Question: Which of the following is an important vehicle of cardiac excitation-contraction coupling of?

Answer: Calcium

Choices:
A. Calcium
B. Sodium
C. Potassium
D. Chloride

following
important vehicle
cardiac excitation-contraction coupling


Question: Dr. Wang because you want to travel abroad, the patients account clinic If you want to medication, you can press the previous prescription, by nurses directly covered in Chapter king's physician, let them go medication, Dr. Wang practice right?

Answer: No, the breach of the obligation to personally clinic

Choices:
A. No, the breach of the obligation to personally clinic
B. In order to facilitate the patient does not matter
C. As long as you can release prescription
D. Dr. Wang if you can telephone inquiry

Dr
to
patients account clinic
medication
previous
nurses directly covered
physician
let
go medication
Dr
right


Question: Bearing on the question, why is the stapled tissue?

Answer: rectal mucosa

Choices:
A. vaginal mucosa
B. vaginal submucosa
C. anal sphincter
D. rectal mucosa


Question: 47-year-old woman, complained of the past five months, the right of tinnitus, hearing loss, according to the attached diagram MRI (T1WI with Gd-DTPA), the diagnosis is:

Answer: Acoustic neurinoma

Choices:
A. CP angle tentorial meningioma
B. CP angle aneurysm
C. Acoustic neurinoma
D. Pontine glioma

year old woman
past five months
right
tinnitus
hearing loss
diagram MRI
Gd-DTPA
diagnosis


Question: The following narrative about cerebral palsy, what's wrong?

Answer: For neuropathy

Choices:
A. Is a motor dysfunction
B. For neuropathy
C. Occurs in the brain is not mature period
D. May be associated with mental retardation, epilepsy and other issues


Question: Why Hyper-IgM syndrome immune missing?

Answer: Due to lack of T cell help B cell that lacks the antibody isotype switching

Choices:
A. Producing a primary immune response due to IgM that has excessive autoimmune reaction
B. IgM because of excessive activation of genetic
C. Due to lack of T cell help B cell that lacks the antibody isotype switching
D. Due to lack of NADPH oxidase


Question: Specific chronic childhood arthritis (juvenile idiopathic arthritis, JIA), is divided into seven subtypes and some subtypes Rongyifasheng chronic uveitis (chronic anterior uveitis), thus requiring ophthalmologist by slit-lamp examination to determine whether suffering from uveitis, achieve the purpose of early detection and early treatment, may I ask what the following subtypes of JIA likely to develop chronic uveitis?

Answer: Oligoarthritis-ANA-positive

Choices:
A. Polyarthritis-RF-negative
B. Polyarthritis-RF-positive
C. Systemic arthritis
D. Oligoarthritis-ANA-positive

Specific chronic childhood
juvenile idiopathic arthritis
JIA
divided
seven
chronic uveitis
chronic anterior uveitis
ophthalmologist
slit-lamp examination to
suffering
uveitis
purpose
early detection
early treatment
I
following
JIA likely to
chronic uveitis


Question: General pharmacology, following what kind of eye medication, not having the effect of lowering intraocular pressure?

Answer: atropine

Choices:
A. atropine
B. betaxolol
C. carteolol
D. dorzolamide

General pharmacology
following
kind
not
effect
lowering intraocular pressure


Question: If a species X may be filtered out, the product of its concentration in plasma glomerular filtration rate (glomerular filtration rate) is greater than the product of urine concentration of the urine volume per minute, which of the following is the role of this substance in the tubular ?

Answer: Reabsorption secretion greater than

Choices:
A. Reabsorption secretion greater than
B. Almost without reabsorption
C. Reabsorption equal secretion
D. Secretion greater than reabsorption

filtered out
product
concentration
plasma glomerular filtration rate
glomerular filtration rate
greater than
product of urine concentration
volume
minute
following
role
tubular


Question: A 88-year-old, poor health, living in a nursing home for single women, complained of voiding and the solution will be a function is not smooth, it was found that uterine prolapse full body checkups, the best treatment is recommended:

Answer: Use pessary or vaginal torr (pessary)

Choices:
A. Transabdominal uterine suspension surgery
B. Transvaginal uterine suspension surgery
C. Use pessary or vaginal torr (pessary)
D. Recommended that its package diapers and wearing ill-fitting underwear

88 year old
poor health
living in a nursing home
single
voiding
solution
function
not smooth
found
uterine full body
best treatment


Question: Which of the following nephritis, renal pathological changes its hardest and allergic purpura nephritis (anaphylactoid purpura nephritis) distinction?

Answer: Nephropathy, immunoglobulin A (IgA nephropathy)

Choices:
A. Nephropathy, immunoglobulin A (IgA nephropathy)
B. Lupus nephritis (lupus nephritis)
C. Acute post-streptococcal glomerulonephritis (acute poststreptococcal glomerulonephritis)
D. Membranous proliferative glomerulonephritis (membranoproliferative glomerulonephritis)

following nephritis
renal pathological changes
hardest
allergic purpura nephritis
anaphylactoid purpura nephritis


Question: Control interference factors in the study design phase, the following methods can be taken?

Answer: pair

Choices:
A. Meter loop regression analysis
B. pair
C. Stratified analysis
D. Random sampling

Control interference factors
phase
following methods


Question: On the fourth of lung cancer treatment, which of the following error?

Answer: Immune checkpoint (the checkpoint) inhibitor in the treatment of non-small cell lung cancer is the fourth unhelpful

Choices:
A. Phase IV NSCLC epidermal growth factor receptor (epidermal growth factor receptor) mutation treatment is erlotinib, afatinib targeted therapy, etc.
B. Phase IV NSCLC has reset the ALK gene (rearrangement) treatment is the treatment target, for example: crizotinib
C. Immune checkpoint (the checkpoint) inhibitor in the treatment of non-small cell lung cancer is the fourth unhelpful
D. Treatment of small cell lung cancer Phase IV is mainly chemical treatment

the fourth of lung cancer treatment
following error


Question: Osteoporosis fracture easily lead to long-term, long-term cause of the patient bed. Appropriate treatment outside of diet, exercise, eating enough calcium, the Which of the following is not the most appropriate treatment for male patients?

Answer: Testosterone

Choices:
A. Parathyroid hormone
B. Bisphosphonates
C. Calcitonin
D. Testosterone

Osteoporosis fracture easily lead
cause
patient bed
Appropriate
diet
exercise
eating
calcium
following
not
most appropriate treatment
male patients


Question: A 37-year-old woman, AIDS and cancer patients, with the exception of anti-AIDS drugs, still use sulfonamides, cimetidine, estrogen and tetracycline, due to acute abdominal pain was diagnosed with acute pancreatitis, which of the following drugs can not be the most acute pancreatitis dirty inflammation of the reasons?

Answer: cimetidine

Choices:
A. sulfonamides
B. cimetidine
C. estrogen
D. tetracycline


Question: A 38-year-old woman last week to fever, chills and right upper quadrant colic. Examination revealed she had jaundice phenomenon and high blood bound bilirubin concentration. Abdominal ultrasound examination revealed the phenomenon of gallstones and bile duct expansion. Further three can also be seen from about 1 to 2 cm lesions in the liver capsule. Which of the following is most likely to cause these changes?

Answer: Escherichia coli

Choices:
A. Clonorchis sinensis
B. Entamoeba histolytica
C. Escherichia coli
D. Salmonella typhi


Question: From the previous question, a similar situation may occur in the following kind of surgery?

Answer: Cholecystectomy (Cholecystectomy)

Choices:
A. Hip arthroplasty (Hip arthroplasty)
B. Tympanic membrane plastic surgery (Tympanoplasty)
C. Cholecystectomy (Cholecystectomy)
D. Nose shaping surgery (Rhinoplasty)

previous
similar
occur
following kind
surgery


Question: Ranolazine is a novel antianginal drugs, their mechanism of action Why?

Answer: 抑制late component of the Na+ current

Choices:
A. 抑制late component of the Na+ current
B. 活化rapid component of the delayed rectifier K+ current
C. nitric oxide donor
D. alpha-1 adrenergic receptor blocker

Ranolazine
novel antianginal drugs
mechanism of action


Question: Childhood sporadic goiter (sporadic goiter) The most common reasons are:

Answer: Lymphocytic thyroiditis (lymphocytic thyroiditis)

Choices:
A. Simple goiter (simple goiter)
B. Thyroid hormone synthesis disorders
C. Thyroid cancer (thyroid cancer)
D. Lymphocytic thyroiditis (lymphocytic thyroiditis)

Childhood sporadic goiter
sporadic goiter
most common


Question: 70-year-old man by endoscopy and tissue sections were found to have stomach cancer, may I ask which of the following occurs with the patient of gastric cancer than those without relevant?

Answer: Betel nuts

Choices:
A. Atrophic gastritis
B. Part of the stomach surgery
C. High-salt foods high pickled
D. Betel nuts

70 year old man
endoscopy
tissue sections
found to
stomach cancer
I
following occurs
patient
gastric
relevant


Question: 31 Mr. Wang returned to Taiwan from Southeast Asia trip the next day due to a sudden start of a large number of diarrhea were taken to hospital for treatment, cultivate Vibrio cholerae (Vibrio cholerae) from his excrement. This Gram-negative bacteria will be output cholera toxin (cholera toxin) protein, resulting in persistent activation of adenylyl cyclase in intestinal epithelial cells, and some of the moisture and ions are secreted into the intestinal lumen resulting in watery diarrhea painless. The following machine turn on cholera toxin causative of the statements is true?

Answer: Catalytic Gs proteins cholera toxin (stimulatory G protein) α subunit (aS) of the ADP-ribosylation

Choices:
A. Catalytic Gs proteins cholera toxin (stimulatory G protein) α subunit (aS) of the ADP-ribosylation
B. GTPase activity of causing cholera toxin subunit of Gs protein αs sustained activation
C. so that Gs protein αs cholera toxin subunit indistinguishable from the βγ subunit
D. Gs protein αs caused by cholera toxin subunit unsustainable in the cell membrane


Question: A 75-year-old man, accompanied by their families into the emergency room for medical treatment. Complained of abdominal pain began to burst and sweating (diaphoresis) 30 minutes ago, no vomiting and diarrhea. Patients with end stage renal disease, hemodialysis rules. 2 years ago, myocardial infarction, cardiac catheterization and stenting done. No history of abdominal surgery. Physical examination found that body temperature is 36.8 ℃, bowel sounds slower, no abdominal tenderness, anal examination was normal. ECG is atrial fibrillation, heart rate of about 80 ~ 120 / min, no ischemic change. Abdominal ultrasound and X-ray (KUB) are no obvious abnormality was found. Later, because of intolerable pain patients after repeated administration of analgesics, pain does not improve. In accordance with the above history and clinical manifestations, what do you think the disease is most likely?

Answer: Mesenteric ischemia (mesenteric ischemia)

Choices:
A. Mesenteric ischemia (mesenteric ischemia)
B. Ileus (intestinal obstruction)
C. Acute cholecystitis (acute cholecystitis)
D. Acute gastroenteritis (acute gastroenteritis)

75 year old man
emergency room
medical treatment
abdominal pain began to burst
sweating
diaphoresis
30 minutes
vomiting
diarrhea
Patients
end stage renal disease
hemodialysis
years
myocardial infarction
stenting
history of abdominal surgery
found
body temperature
36
bowel sounds slower
abdominal tenderness
anal examination
normal
ECG
atrial fibrillation
heart rate
80
min
ischemic change
Abdominal ultrasound
X-ray
KUB
abnormality
found
Later
of
pain patients
repeated administration
analgesics
pain
not
above history
clinical manifestations
disease


Question: 2 a 31-year-old man sustained two days of abdominal pain and seek treatment, he has a history of high blood pressure, diabetes and high cholesterol, six months ago, happened once acute pancreatitis, BUN 18 mg found in the examination of the results of the emergency room / dL , creatinine 1.1 mg / dL, glucose 323 mg / dL, CRP (c-reactive protein) 0.47 mg / L, amylase 84 U / L, lipase 390 U / L, the most likely diagnosis why?

Answer: Acute pancreatitis (acute pancreatitis)

Choices:
A. Acute pancreatitis (acute pancreatitis)
B. Ketoacidosis (ketoacidosis)
C. Acute myocardial infarction (acute myocardial infarction)
D. Duodenal ulcer (duodenal ulcer)

2
31 year old man sustained two days
abdominal pain
treatment
history
high blood pressure
diabetes
high cholesterol
six months
once acute pancreatitis
mg found
results
emergency
dL
creatinine
mg
dL
glucose
mg
dL
CRP
c-reactive protein
0
mg
L
amylase 84 U
L
lipase
U
L
diagnosis


Question: The four risk assessment, including: definition of harm, dose effect, the nature of the risk characterization and following that one?

Answer: Exposure assessment

Choices:
A. Economic Assessment
B. Technology Assessment
C. Exposure assessment
D. Communication assessment

four
including
dose effect
nature
following
one


Question: 6 across a cell membrane by the composition of a small pipe connexins allow only substance by 2 nm size, this engagement is called:

Answer: Joining gap (gap junction)

Choices:
A. Close contact (tight junction)
B. Joining gap (gap junction)
C. Sticky connected together (adhering junction)
D. A half-bridge cell bodies (hemidesmosome)

cell membrane
composition
small pipe connexins
only
nm size
engagement
called


Question: Huxixitong narrative about the fifth cervical spinal cord injury patients, whichever is the most correct?

Answer: Rongyifasheng pulmonary atelectasis (atelectasis)

Choices:
A. Increase lung capacity
B. Lung residual volume (residual volume) decreased
C. The ability to breath better than inspiratory capacity
D. Rongyifasheng pulmonary atelectasis (atelectasis)