Question: The following clinical manifestations on serotonin syndrome (serotonin syndrome), and what's wrong?

Answer: constipation

Choices:
A. Body temperature
B. delirium
C. constipation
D. Night sweat

following clinical manifestations
serotonin
serotonin syndrome
wrong


Question: Best for the disposal of Mondor's disease of the breast Why?

Answer: Supportive therapy

Choices:
A. Surgery
B. Radiation therapy
C. Hormone therapy
D. Supportive therapy


Question: Ms. Chen is a 50-year-old breast cancer patients after surgery line modified radical mastectomy, which is staging T2N1M0, after six recommended for 5-FU, Adriamycin and cyclophosphamide. Such chemotherapy that belongs to one of the following?

Answer: Adjuvant chemotherapy (adjuvant C / T)

Choices:
A. Adjuvant chemotherapy (adjuvant C / T)
B. Chemotherapy treatment (therapeutic C / T)
C. Palliative chemotherapy (palliative C / T)
D. Primary chemotherapy (primary C / T)


Question: Those following patients should not use to treat migraine triptans?

Answer: Associated with cardiovascular disease

Choices:
A. Associated with cardiovascular disease
B. Typical visual sign of migraine
C. There are 10 minutes of feeling harbinger of migraine
D. Associated with depression patients

following patients
not use to treat migraine triptans


Question: Which of the following describes errors long plantar ligament (long plantar ligament) and short plantar ligaments (short plantar ligament) is?

Answer: Long plantar ligament belonging to the subtalar joint (subtalar joint) ligament

Choices:
A. Long plantar ligament in shallow, short plantar ligaments in the deep
B. Long plantar ligament belonging to the subtalar joint (subtalar joint) ligament
C. Both of which are attached to the back of the calcaneus (calcaneus)
D. Both, attached to the front of the cuboid (Cuboid)

following
errors long plantar ligament
long plantar ligament
short plantar ligaments
short plantar ligament


Question: He is 62 years old, in addition to suffering from diabetes for many years, the body has always been healthy. One day after lunch back to the office, I suddenly felt chest discomfort. Chen colleagues admitted to a hospital emergency room, a preliminary judge for acute coronary syndrome (acute coronary syndrome). After one week in hospital in stable condition, normal organ function. Transcatheter inspection, coronary occlusion was found as follows: left main coronary artery (left main coronary artery) 80% stenosis, the left anterior descending coronary artery stenosis and 76% of the proximal end of the middle 70% stenosis, left circumflex artery middle 65% narrow, middle 83% of the right coronary artery stenosis and the distal end 90% stenosis. After the heart surgery team after discussion, recommended follow-up care what Mr. Chen accept the following year survival rate is best?

Answer: Coronary artery bypass surgery (coronary artery bypass grafting)

Choices:
A. Diameter percutaneous coronary angioplasty (percutaneous transluminal coronary angioplasty)
B. Diameter percutaneous coronary angioplasty and coronary stenting (percutaneous transluminal coronary angioplasty
C. Coronary artery bypass surgery (coronary artery bypass grafting)
D. Drug treatment

62 years old
in addition to suffering
diabetes
years
body
always
healthy
One day
lunch back
office
I
chest discomfort
hospital emergency room
preliminary judge
acute coronary syndrome
acute coronary syndrome
one week
hospital
stable condition
normal organ function
Transcatheter inspection
coronary occlusion
found
follows
left main coronary artery
left main coronary artery
80
stenosis
left anterior descending artery
76
proximal end
middle 70
stenosis
left circumflex artery middle 65
narrow
83
coronary
stenosis
distal end 90
stenosis
heart surgery
discussion
Mr
accept
following year survival rate
best


Question: Which of the following is mentioned epididymis muscle (cremaster muscle) are the main innervating?

Answer: Reproductive femoral nerve

Choices:
A. Femoral nerve
B. Pudendal nerve
C. Reproductive femoral nerve
D. Ilioinguinal nerve

following
epididymis muscle
cremaster muscle
main


Question: Which of the following is the most common germ cell tumors (germ-cell tumor)?

Answer: Teratoma (mature teratoma)

Choices:
A. Embryonic malignant tumor (dysgerminoma)
B. Choriocarcinoma (choriocarcinoma)
C. Endodermal sinus tumor (endodermal sinus tumor)
D. Teratoma (mature teratoma)

following
most common germ cell tumors
germ-cell tumor


Question: Sjogren's syndrome common skin lesions, which of the following error?

Answer: acquired ichthyosis

Choices:
A. cutaneous vasculitis
B. acquired ichthyosis
C. Raynaud phenomenon
D. erythema multiforme

Sjogren's syndrome common skin lesions
following error


Question: About the narrative of von Willebrand factor, which of the following error?

Answer: The principal of vascular smooth muscle cells

Choices:
A. The principal of vascular smooth muscle cells
B. When a vessel wall is damaged, platelets, and can be combined
C. Yes directly inactivated platelet
D. Regulatable coagulation factor VIII (factor VIII)


Question: Which of the following is a psychosis disorder (schizophrenia) poor predictors of prognosis?

Answer: Negative symptoms (negative symptoms)

Choices:
A. Induced a significant factor (precipitating factors)
B. Acute attack
C. Emotional symptoms
D. Negative symptoms (negative symptoms)

following
psychosis disorder
schizophrenia
poor
prognosis


Question: In the immune disease of scleroderma, the following cytokines which can significantly affect fibroblast produce large amounts of collagen fibers within the organization?

Answer: transforming growth factor-β

Choices:
A. tumor necrosis factor-a
B. transforming growth factor-β
C. interleukin-4
D. interferon-a

immune
scleroderma
following cytokines
large amounts
collagen fibers
organization


Question: Uterine placental circulation (uteroplacental circulation) first appeared in the embryonic development when?

Answer: 11, 12 days

Choices:
A. 6, 7 days
B. 11, 12 days
C. 3rd weekend
D. 5 weekly

Uterine placental
uteroplacental circulation
first appeared
embryonic development


Question: 1 a 70-year-old in bed a long time, continuous discharge from the start yesterday, a lot of blood will be at the emergency room when blood pressure 80/40 mmHg, heart beats / min, consciousness is not clear, after first aid, signs of life is becoming normal, under what step should be disposed of?

Answer: Insert a nasogastric tube

Choices:
A. Angiography
B. Proctoscope
C. Anoscope
D. Insert a nasogastric tube

1
70 year old
bed
long time
discharge
start
lot
blood
emergency room
blood pressure 80 40 mmHg
heart
min
consciousness
not clear
first aid
signs
normal
step


Question: A 6-year-old girl, by the beginning of cramps, most likely why?

Answer: 11-β-Hydroxylase deficiency

Choices:
A. Turner's syndrome
B. Kallmann's syndrome
C. Isolated gonadotropin deficiency
D. 11-β-Hydroxylase deficiency


Question: Current drug treatment of mild to moderate endometriosis, and following that a mistake?

Answer: Dexamethasone

Choices:
A. Progestins
B. Dexamethasone
C. danazol
D. Gonadotropin-releasing hormone（GnRH）agonist

Current drug
mild to moderate endometriosis
following
mistake


Question: An unmarried 32-year-old male patient, as manager duties. 3 months ago in a statement the meeting, due to inadequate preparation strained, unnatural, blush. When, after speaking in public, there will be sweating, dizziness, palpitation, nausea and other physical discomfort, so the need to avoid any public occasion to speak of. The case most likely diagnosis is:

Answer: Social anxiety disorder (social anxiety disorder)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Panic disorder (panic disorder)
C. Social anxiety disorder (social anxiety disorder)
D. Agoraphobia (agoraphobia)

unmarried
year old male patient
manager
3 months
inadequate preparation strained
unnatural
blush
sweating
dizziness
palpitation
nausea
physical discomfort
need to
occasion
speak
case
likely diagnosis


Question: ⼀ bit 18-year-old girl will have abdominal pain when the Month by cramps symptoms, physicians detailed examination revealed pelvic peritoneal endometriosis lesions submenus. Which of the following is more suitable to be selectively used to treat the disease Face?

Answer: Skin ⾁ injection medroxyprogesterone

Choices:
A. ⼝服 flutamide
B. Skin ⾁ injection medroxyprogesterone
C. Intravenous oxandrolone
D. ⼝服raloxifene

bit
year old girl
abdominal pain
Month
cramps symptoms
physicians detailed
revealed pelvic endometriosis lesions
following
more suitable to
used to treat
disease Face


Question: Following that kind of diagnostic imaging technique most commonly used during pregnancy?

Answer: Abdominal ultrasound (abdominal ultrasonography)

Choices:
A. Abdominal ultrasound (abdominal ultrasonography)
B. CT scan (computed tomography)
C. The endoscope (Endoscopy)
D. Magnetic resonance imaging (magnetic resonance imaging)

Following
kind
diagnostic imaging technique
used
pregnancy


Question: Bladder cancer is the most common laboratory tests of abnormal items as:

Answer: hematuria

Choices:
A. anemia
B. Urinary tract infections
C. hematuria
D. Azotemia (azotemia)

Bladder cancer
most common laboratory tests
abnormal


Question: Which of the following does not cause pigeon-toed gait (in-toeing gait)?

Answer: planovalgus foot

Choices:
A. metatarsal induced
B. planovalgus foot
C. medial tibial torsion
D. hyperanteversion of hip

following
not cause pigeon-toed gait
in-toeing gait


Question: There are two categories of human dendritic cells (dendritic cell), one for conventional dendritic cell, and the other for plasmacytoid dendritic cell. The following statements about these two types of dendritic cells, what's wrong?

Answer: It features two types of different dendritic cells, and does not regulate each other's function

Choices:
A. Plasmacytoid dendritic cell will show a lot of TLR-7 and TLR-9
B. Encountered the virus, plasmacytoid dendritic cell can secrete large amounts of IFN-α and IFN-β
C. Conventional dendritic cell function is mainly to present antigen and activate T cells
D. It features two types of different dendritic cells, and does not regulate each other's function

two
human dendritic cells
one
following
two
dendritic
wrong


Question: Modified breast cancer patients receiving radical after breast surgery (modified radical mastectomy), scapular deformity occurs (winged scapula deformity), indicates which of the following nerve damage?

Answer: Long thoracic nerve (long thoracic nerve)

Choices:
A. Thoracodorsal nerves (thoracodorsal nerve)
B. Long thoracic nerve (long thoracic nerve)
C. Thoracic nerve (medial pectoral nerve)
D. ICBN (intercostal brachial nerve)


Question: Newborn infants were found to have abdominal distension, vomiting after feeding, abdominal X-ray in the following figure, the following is most likely what disease?

Answer: meconium peritonitis

Choices:
A. acute appendicitis
B. meconium peritonitis
C. pneumoperitonium
D. Meckel's diverticulum

Newborn infants
found to
abdominal distension
vomiting
abdominal X-ray
following
following
disease


Question: Parietal pleura (parietal pleura) epithelial belong to which of the following?

Answer: Simple squamous epithelium (simple squamous epithelium)

Choices:
A. Simple squamous epithelium (simple squamous epithelium)
B. Epithelium (simple columnar epithelium)
C. Simple cuboidal epithelium (simple cuboidal epithelium)
D. Transitional epithelium (transitional epithelium)

Parietal pleura
parietal pleura
epithelial


Question: 35 year old woman, menstruation irregular two years, eight months recently completely amenorrhea. Physical examination found that breast milk secretion. MRI pituitary gland, pituitary gland found in the anterior lobe has a 1.5 cm diameter tumors. Which of the following is wrong?

Answer: Can be used sulpiride treatment

Choices:
A. Without treatment, long-term can cause osteoporosis
B. Tumor up the oppression cause visual field defects
C. Can be used sulpiride treatment
D. Surgical success rate was negatively correlated with tumor size


Question: The following relevant outside the extraocular muscles (extraocular muscles) of the narrative, what's wrong?

Answer: Oblique upper (superior oblique muscle) on the eye to see the swash inferior oblique (inferior oblique muscle) to the eye to see the swash

Choices:
A. Four rectus (rectus muscles) the starting point (Origins) were orbital tip (orbital 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. Oblique upper (superior oblique muscle) on the eye to see the swash inferior oblique (inferior oblique muscle) to the eye to see the swash

following relevant outside
extraocular muscles
extraocular muscles
wrong


Question: In patients with stable angina, coronary artery bypass surgery using (CABG) or percutaneous coronary balloon angioplasty (PTCA), the results are quite good, but that in the following groups of patients, CABG PTCA really long-term effect than to well?

Answer: Diabetic patients

Choices:
A. High cholesterol patients
B. Diabetic patients
C. Chronic renal failure patients
D. Patients with liver cirrhosis


Question: Which of the following is not a structure border triangle of Calot's?

Answer: Right portal vein (right portal vein)

Choices:
A. Right liver under 緣
B. Hepatic duct (common hepatic duct)
C. Cystic duct (cystic duct)
D. Right portal vein (right portal vein)

following
not
structure border triangle
Calot's


Question: When implemented due to obesity and laparoscopic gastric bypass, gastric pouch mL how much you want to keep?

Answer: 15~20

Choices:
A. 15~20
B. 25~30
C. 35~40
D. 45~50

implemented due to obesity
laparoscopic gastric bypass
gastric pouch mL
to keep


Question: Which of the following is a cause mutations in Ras proteins (Ras mutant) mainly due to persistent activation (constitutive activation) of?

Answer: Not GTPase-activating proteins (GAP) is adjusted

Choices:
A. Increase the binding affinity of the GDP
B. Not GTPase-activating proteins (GAP) is adjusted
C. Decreased cell membrane receptors and the hormone-binding capacity
D. Increase the binding ability of membrane receptors and G-protein

following
a cause mutations
Ras proteins
Ras mutant
due to persistent activation
activation


Question: Which of the following non-placement of a central venous catheter purpose of the surgery?

Answer: Left ventricular end-diastolic pressure

Choices:
A. Fluid resuscitation surgery
B. Monitor right atrial pressure
C. Extracting air embolism (air embolism)
D. Left ventricular end-diastolic pressure

following non placement
central venous catheter purpose
surgery


Question: Which of the following is an immunoglobulin (immunoglobulin) recombinant (gene rearrangement) of the initial step?

Answer: Heavy chain (heavy chain) of D, J splice

Choices:
A. Heavy chain (heavy chain) of the V, J splice
B. Heavy chain (heavy chain) of the V, D splice
C. Heavy chain (heavy chain) of D, J splice
D. Light chain (light chain) of the V, J splice

following
immunoglobulin
immunoglobulin
gene rearrangement
initial step


Question: Which of the following is most likely to increase contraction of care has been taken Center Weighted muscle cells (contractility)?

Answer: Inhibition of cell membrane sodium - potassium pump (Na + -K + ATPase) for Use of

Choices:
A. Promote sarcoplasmic reticulum calcium (sarcoplasmic reticulum) on the pump-ion (Ca2 + ATPase) activity
B. Using the inhibitory sarcoplasmic reticulum (sarcoplasmic reticulum) ryanodine receptors of
C. Inhibition of cell membrane sodium - potassium pump (Na + -K + ATPase) for Use of
D. Increased cell membrane sodium - calcium exchange activity of egg white (Na + -Ca2 + exchanger) of

following
to increase contraction
Center Weighted
contractility


Question: The following statements about Streptococcus pyogenes, and that a mistake?

Answer: Group-specific carbohydrate antigen is also known Lancefield group used to differentiate between toxic and non-toxic classification criteria Group A Streptococcus

Choices:
A. Group-specific carbohydrate antigen is also known Lancefield group used to differentiate between toxic and non-toxic classification criteria Group A Streptococcus
B. M protein antigen is used to distinguish between different kinds of one of Group A Streptococcus
C. M-like surface proteins of different species because of the inconsistent performance
D. Not every one of the different subtype will produce capsular Group A Streptococcus (Capsule)


Question: Male, 14 years old, trauma to the emergency room, head occipital hematoma, pain in the neck. Open-mouth view (Figure) show which of the following correctly?

Answer: Odontoid fracture

Choices:
A. Burst fracture
B. Odontoid fracture
C. Compressive fracture
D. Mandibular arch fracture

Male
years old
trauma
emergency room
head occipital hematoma
pain in
neck
Open mouth view
following


Question: Normal young men upright posture, Center Weighted tip (apex) of the surface projection of the location, most likely in:

Answer: Fifth intercostal space inside clavicular line

Choices:
A. The fourth intercostal clavicle midline
B. The left nipple
C. Sixth intercostal outer front axillary line
D. Fifth intercostal space inside clavicular line

Normal young
upright
Center Weighted tip
apex
surface projection
location
likely


Question: A 40 year old white American woman, the last good health, tourism to Thailand third day of diarrhea for two days and merger fever, then she is most likely the pathogen:

Answer: E. coli (Escherichia coli)

Choices:
A. Piroplasma (Giardia)
B. Amoeba (Ameba)
C. Salmonella (Salmonella)
D. E. coli (Escherichia coli)

40 year old
woman
last
Thailand third day
diarrhea
two days
fever
then


Question: A 54-year-old woman was found to have a 10 cm tumor in the uterus, then the patient underwent hysterectomy. The red-brown uterine cancer presented at the macroscopic, microscopic see high cell densities spindle tumor cells, nuclei stain is, each of the high power magnification view can be seen from about 10 to 20 mitosis. What is the most likely diagnosis is?

Answer: Leiomyosarcoma (leiomyosarcoma)

Choices:
A. Endometrial polyps (endometrial polyp)
B. Adenomyosis (adenomyosis)
C. Leiomyosarcoma (leiomyosarcoma)
D. Leiomyoma (leiomyoma)


Question: The following items where drugs can be used to treat infertility?

Answer: Clomiphene

Choices:
A. Mifepristone
B. danazol
C. Clomiphene
D. Flutamide

following
drugs
used to treat infertility


Question: About the seventh day of embryonic development, embryonic leaves (hypoblast) under the inner cell mass (inner cell mass) Which of the following will develop into?

Answer: Primitive endoderm (primary endoderm)

Choices:
A. Notochord (notochord)
B. Primitive endoderm (primary endoderm)
C. Ectoderm (ectoderm)
D. Mesoderm (mesoderm)

seventh day
embryonic development
embryonic
hypoblast
inner cell mass
inner cell mass
following


Question: Which of the following most common viral cause congenital diseases, and affect the newborn hearing and intellectual development?

Answer: Cytomegalovirus (Cytomegalovirus)

Choices:
A. Measles virus (Measles virus)
B. Herpes simplex virus (Herpes simplex virus)
C. Cytomegalovirus (Cytomegalovirus)
D. Parvovirus B19 (Parvovirus B19)

following
common viral cause congenital
newborn hearing


Question: Which of the following is the most common benign tumor of the lung?

Answer: hamartoma

Choices:
A. lipoma
B. leiomyoma
C. hamartoma
D. papilloma

following
the most common benign tumor of
lung


Question: A 13-year-old girl, because his face more pale to the clinic for treatment. Blood test WBC: 6,100 / mm3, Hb: 7.0 g / dL, MCV: 60 fL, platelets: 220,000 / mm3, ferritin 4 ng / mL, more physician inquiry that each girl menstrual blood, subsequent laboratory examination revealed prolonged bleeding time, activated partial thromboplastin time (aPTT): 72.3 / 29.6 (patient / control) second, that the girl most likely to have one of the following diseases?

Answer: von Willebrand 病

Choices:
A. Hemophilia (hemophilia)
B. Coagulation factor VII deficiency
C. von Willebrand 病
D. Protein C deficiency


Question: The following statements about benign prostatic hypertrophy (BPH), and what's wrong?

Answer: BPH is caused by lower urinary tract obstruction symptoms volume DRE positive correlation magnitude

Choices:
A. BPH is derived from the transition zone of the prostate (TZ)
B. BPH by a microscope system composed of stroma and epithelial cells, smooth muscle of the stroma and by the α-1 is dominated mainly sympathetic
C. BPH size of the volume and free testosterone and estrogen in the blood of a positive correlation
D. BPH is caused by lower urinary tract obstruction symptoms volume DRE positive correlation magnitude

following
benign prostatic hypertrophy
wrong


Question: From the previous question, the blood pressure of patients to 130/76 mmHg, no other discomfort in addition to palpitations, which treatment is most appropriate?

Answer: Intravenous adenosine

Choices:
A. Intravenous injection of digoxin
B. Intravenous lidocaine
C. Direct-current cardioversion
D. Intravenous adenosine

previous
blood pressure
patients
76 mmHg
discomfort in addition to palpitations
treatment
most appropriate


Question: Symptoms holes infarction (lacunar infarction) occurs most often of why?

Answer: Pure motor hemiplegia (pure motor hemiparesis)

Choices:
A. Pure motor hemiplegia (pure motor hemiparesis)
B. Sensorimotor syndrome (sensorimotor syndrome)
C. Dysfunctional hemiplegia (ataxic hemiparesis)
D. Pure sensory syndrome (pure sensory syndrome)

Symptoms holes infarction
lacunar infarction
occurs most often


Question: Emergency ⾯ ⼀ bit of a fever disease Face, ⾎ pressure 75/40 mmHg, Center Weighted jump 105 / min, Center Weighted function index (cardiac index) dropped, but the central venous pressure care has been taken (central venous pressure) rise, the most likely diagnosis Why?

Answer: Center Weighted due to shock

Choices:
A. Center Weighted due to shock
B. ⾎ shock defeat
C. Low volume shock ⾎
D. Neurogenic shock

Emergency
bit of
fever disease Face
pressure 75 40 mmHg
Center Weighted jump
min
Center Weighted function index
cardiac index
central venous pressure
central venous pressure
diagnosis


Question: Causes of infertility, which of the following occur on a relatively small rate of symptoms of infertility?

Answer: Uterine fibroids

Choices:
A. Ovulation disorders
B. Tubal
C. Uterine fibroids
D. Male factor

Causes
infertility
following occur
small rate
symptoms
infertility


Question: A three weeks old baby girl due to edema, decreased urine output and treatment. Experimental examination revealed proteinuria 4 +, 24-hour proteinuria was 10.5 g, serum albumin was 0.88 mg / dL, cholesterol: 498 mg / dL, triglycerides: 248 mg / dL, the following description of what's wrong?

Answer: Prognosis is good, with the steroid treatment, proteinuria and edema can quickly get remission

Choices:
A. Prognosis is good, with the steroid treatment, proteinuria and edema can quickly get remission
B. Diagnosed with congenital nephrotic syndrome
C. Congenital infections such as syphilis or HIV can cause this situation
D. Such patients may lead to bacteremia due to severe infection and death

three weeks old baby girl due to edema
decreased urine output
treatment
Experimental
revealed proteinuria
hour proteinuria
10.5 g
serum albumin
0.88 mg
dL
cholesterol
mg
dL
triglycerides
mg
dL
following
wrong


Question: The following description of Turner's syndrome (Turner syndrome), and what's not correct?

Answer: Growth hormone deficiency is the main reason for their short stature

Choices:
A. The most common chromosomal abnormalities 45, X
B. Short stature is a common clinical characterization
C. Growth hormone deficiency is the main reason for their short stature
D. Growth hormone therapy can improve their adult height


Question: Thymus, what kind of cells can be manifestations tissue antigens (MHC) in order to promote positive selection (positive selection)?

Answer: Epidermal cell cortex (cortical epithelial cell)

Choices:
A. Epidermal cell cortex (cortical epithelial cell)
B. Medullary epithelial cells (medullary epithelial cell)
C. Macrophages (macrophage)
D. Dendritic cells (dendritic cell)

Thymus
kind
cells
manifestations tissue
MHC
order to
positive selection
positive selection


Question: A husband and wife both MCV and MCH values are significantly lower. Hemoglobin electrophoresis examination showed Mr. HbA2 was 5.1%, 4.2% HbA2 wife, because his wife was pregnant 27 weeks only to find that couples with marine anemia (thalassemia) with due who are husband and wife and the fetus a chance to undergo genetic testing. Wife at 37 weeks of pregnancy when the natural production of the next baby, when the baby was born normal appearance and motility, Apgar score 9 → 10, when three months old hemoglobin electrophoresis examination showed that HbF 82%, the newborns are most likely to suffer from:

Answer: b-thalassemia major

Choices:
A. a-thalassemia minor
B. a-thalassemia major
C. b-thalassemia minor
D. b-thalassemia major


Question: Following that a fungus (fungi) generally do not form hyphae (hyphae) structure?

Answer: Candida glabrata (Candida glabrata)

Choices:
A. Candida tropicalis (Candida tropicalis)
B. Candida albicans (Candida albicans)
C. Candida glabrata (Candida glabrata)
D. Candida parapsilosis (Candida parapsilosis)


Question: Which of the following is a coding sub (codon) coding and anti-sub (anticodon) when paired swing hypotheses (wobble hypothesis) best interpretation?

Answer: Refers to anti-encoded sub-base having a first relatively flexible pairing ability

Choices:
A. Refers to each tRNA can only identify a specific sub-coding
B. Refers to certain tRNA can recognize a variety of different amino acids encoded sub
C. Refers to anti-encoded sub-base having a first relatively flexible pairing ability
D. Refers to a base on the anti-third coding sub-Watson-Crick pairing can be of the formula

following
sub
sub
anticodon
paired
best interpretation


Question: Which of the following is not a psoriasis (psoriasis) common treatment?

Answer: Oral corticosteroids agents

Choices:
A. Topical vitamin D3 and derivatives thereof
B. Topical corticosteroids agents
C. UV light therapy
D. Oral corticosteroids agents

following
not
psoriasis
psoriasis
common treatment


Question: 69 this year, 55-year-old Lee 5 years ago, a diagnosis of hepatocellular carcinoma, unfortunately, local tumor recurrence after surgery and was transferred to the thoracic spinal cord resulting in paralysis of the lower limbs, severe back pain, to accept palliative care for nearly a year, has four times during the hospitalization, rest time at home recuperating from home care nurses regularly visit to take care of, I ask the following to take care of the disposal of Mr. Lee, whichever is most inappropriate?

Answer: Due to the larger terminal cancer condition changes, difficult to take care of their families, should be the most appropriate long-term hospitalization, so as not to nurse rushing toil

Choices:
A. The use of morphine to control severe pain
B. Respect for their religious beliefs, were arranged to assist teachers to enhance the spiritual realm
C. Even with severe cachexia (cachexia) phenomenon, nor to extend the life of a large number of intravenous nutrition infusion
D. Due to the larger terminal cancer condition changes, difficult to take care of their families, should be the most appropriate long-term hospitalization, so as not to nurse rushing toil


Question: Fat cells is inactive Which of the following enzymes?

Answer: glycerol kinase

Choices:
A. triose phosphate isomerase
B. glycerol phosphate dehydrogenase
C. hexokinase
D. glycerol kinase


Question: In addition to the urinary tract  rectal tube, anal also associated with other congenital urinary tract abnormalities. Which of the following circumstances most likely to merge urinary tract anomalies?

Answer: Cloacal anomalies (Cloacal malformation)

Choices:
A. Low anorectal disease (Low type imperforate anus)
B. Medium-free 肛症 (Intermediate type imperforate anus)
C. High anorectal disorders (High type imperforate anus)
D. Cloacal anomalies (Cloacal malformation)

urinary tract
rectal tube
anal
associated with
congenital urinary tract abnormalities
following
to
urinary tract anomalies


Question: Which of the following sports do not belong to the movement of open kinetic chain (open kinetic chain exercise)?

Answer: Squat action (minisquat)

Choices:
A. Squat action (minisquat)
B. When lying isometric exercise for quadriceps (quadriceps setting)
C. Straight leg lifting movement (straight leg raising)
D. The knee articulation vacated foot (knee ROM exercise)

following
not
movement
open
chain
open kinetic chain exercise


Question: After a man began to return home one day from East Asia vomiting, diarrhea, severe watery diarrhea for two days due to hospitalization. The patient was followed dehydration, acidosis and hypokalemia symptoms, stool specimen cultured comma-shaped bend, oxidases (oxidase) - positive bacteria. This patient is most likely to be infected with the bacteria which of the following?

Answer: Vibrio cholera (Vibrio cholerae)

Choices:
A. Vibrio cholera (Vibrio cholerae)
B. Shigella dysentery (Shigella dysenteriae)
C. Helicobacter pylori (Helicobacter pylori)
D. E. coli (Escherichia coli)

man began to return home one day
East Asia vomiting
diarrhea
severe watery
two days
patient
followed dehydration
acidosis
hypokalemia symptoms
stool specimen cultured
shaped bend
oxidases
oxidase
positive bacteria
patient
to
infected
bacteria
following


Question: Which of the following is not a determinant of muscle tone?

Answer: The shrinkage in each unit of a motion proportion of muscle fibers

Choices:
A. The number of muscle fiber contraction
B. The shrinkage in each unit of a motion proportion of muscle fibers
C. The number of motor units involved in contraction
D. Motor neuron stimulation frequency


Question: Which of the following is the most important mechanisms of self-purification of air pollutants?

Answer: diffusion

Choices:
A. diffusion
B. Gravity settling
C. absorb
D. Rain

following
most important mechanisms
purification
air pollutants


Question: The following diseases, whichever is rarely caused by the Chlamydia trachomatis (Chlamydia trachomatis)?

Answer: Meningitis (meningitis)

Choices:
A. Infant pneumonia (infant pneumonia)
B. Meningitis (meningitis)
C. Reproductive tract and urinary tract infections (urogenital infections)
D. Lymphogranuloma venereum (lymphogranuloma venereum)


Question: A 30-year-old man because of a right knee fracture dislocation merger popliteal artery (popliteal artery) fracture, vascular anastomosis and receiving emergency fasciotomy surgery the next day, patients experienced decreased urine output (oligouria), blood tests found GOT 200 mg / dL, myoglobin 5700 ug / L. May I ask what kind of condition the following best explains the current condition?

Answer: Ischemia-reperfusion injury (ischemia-reperfusion injury)

Choices:
A. Popliteal artery occlusion (delayed popliteal artery occlusion) again
B. Compartment syndrome (compartment syndrome)
C. Multiple organ failure (multiple organ failure)
D. Ischemia-reperfusion injury (ischemia-reperfusion injury)

30 year old man
of
right knee fracture dislocation
popliteal artery
popliteal artery
fracture
vascular anastomosis
receiving emergency fasciotomy surgery
next day
patients
decreased urine output
oligouria
blood tests found
200 mg
dL
myoglobin
ug
L
I
kind
condition
following best
current condition


Question: 25 year old woman, the upper outer left breast, the areola from 3 cm, about 1 cm × 1 cm tumor, the slice is a thick needle infiltrating duct carcinoma (infiltrating ductal carcinoma), estrogen receptor (estrogen receptor) positive, progesterone hormone receptor (progesterone receptor) positive, HER-2 / neu-positive, which of the following is the best advice?

Answer: Plus partial resection of the left lateral breast sentinel lymph node dissection

Choices:
A. The whole left breast surgery
B. The outer left breast resection
C. Plus partial resection of the left lateral breast sentinel lymph node dissection
D. Hormone therapy, do not need surgery


Question: Laboratory tests DIC (Disseminated intravascular coagulation) patients, which will not find the following blood test results?

Answer: Fibrin degradation products decrease

Choices:
A. Abnormal PT (Prothrombin time)
B. Abnormal aPTT (Activated partial thromboplastin time)
C. Fibrin degradation products decrease
D. D-dimer increase

Laboratory tests
Disseminated intravascular coagulation
patients
not find
following blood test results


Question: Polymyositis (polymyositis) that part of the muscle is usually not affected?

Answer: Eye

Choices:
A. neck
B. Upper arm
C. thigh
D. Eye

Polymyositis
polymyositis
part
muscle
usually not affected


Question: From the previous question, methods of surgical treatment of these diseases, which of the following error?

Answer: Ramstedt Mr. Law

Choices:
A. Soave's method
B. Ramstedt Mr. Law
C. Duhamel Mr. Law
D. Swenson's method


Question: From the previous question, after hospitalization, following the disposal, whichever is most inappropriate?

Answer: Chest CT scan examination

Choices:
A. Cardiac catheterization
B. Chest CT scan examination
C. Every 2-3 hours for ECG
D. Hourly cardiac enzyme blood test


Question: Which of the following is completely absorbed through the promotion of diffusion (facilitated diffusion)?

Answer: Fructose (fructose)

Choices:
A. Fructose (fructose)
B. Galactose (galactose)
C. Dextrose (glucose)
D. Lactose (lactose)


Question: Which of the following is not suitable for finger reconnection (replantation)?

Answer: multiple levels cut

Choices:
A. multiple levels cut
B. partial hand cut off
C. complete hand cut off
D. Multi-finger cut

following
not suitable
finger
replantation


Question: In accordance with the provisions of Article 48 of the National Health Insurance Law, Insurance subject of the following circumstances, the exemption in accordance with the provisions of the National Health Insurance Act own expense, which of the following is not within this range?

Answer: Low-income households

Choices:
A. Major injuries
B. childbirth
C. Low-income households
D. Mountainous areas of medical Islands

In accordance with
48
Law
subject
following
Act
expense
following
not
range


Question: One intermittent diarrhea (chronic intermittent diarrhea) patients, body size of about 2.3 mm was found in their faeces, in addition to the mouth, characterized in ventral sucker, sucker third gonopore near, the patient most likely to be infected following what parasites?

Answer: Shaped flukes (Heterophyes heterophyes)

Choices:
A. People dual-port trematode (Gastrodiscoides hominis)
B. Shaped flukes (Heterophyes heterophyes)
C. Gun-like liver fluke (Dicrocoelium dendriticum)
D. 橫川 吸蟲 (Metagonimus yokogawai)

One intermittent diarrhea
chronic intermittent
patients
body size
mm
found
faeces
mouth
ventral sucker
sucker third
patient
to
infected following
parasites


Question: The most common gene mutation in gastrointestinal stromal tumors (gastrointestinal stromal tumor, GIST) are:

Answer: c-KIT

Choices:
A. KRAS
B. c-KIT
C. nice
D. Her2 / Neu

most common gene mutation
gastrointestinal stromal tumors
gastrointestinal stromal tumor
GIST


Question: Can not be detected in the serum of hepatitis marked:

Answer: HBcAg

Choices:
A. HBeAg
B. Anti-HBc
C. Anti-HEV
D. HBcAg


Question: Which of the following is not an edge of malignant ovarian tumors (borderline tumors) in the diagnosis of conditions (criteria)?

Answer: Visible matrix infringement (stromal invasion)

Choices:
A. Epithelial cells showed papillary structure (papillary formation) and pseudo multi-layer (pseudostratification)
B. Nuclear abnormalities (atypia)
C. An increase in mitotic cells
D. Visible matrix infringement (stromal invasion)

following
not
edge of malignant ovarian tumors
borderline tumors
diagnosis
conditions


Question: Bearing the title, description about the treatment of the patient, which of the following error?

Answer: 1 month to prevent the onset of ergotamine

Choices:
A. Keyihuxi acute attack of 100% oxygen 15 minutes
B. From 10 to 14 days steroid therapy
C. 1 month to prevent the onset of ergotamine
D. The use of sumatriptan in acute onset for pain


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

Answer: Elderly woman's fertility is poor has nothing to do with abortion

Choices:
A. infertility refers to couples (or cohabiting men and women) in the absence of contraception and have normal sexual life situation after a year and still not pregnant
B. Women after 30 years of age, the greater the more difficult pregnancy
C. Factors elderly women less likely to become pregnant, the effects of egg quality is greater than the endometrium
D. Elderly woman's fertility is poor has nothing to do with abortion


Question:
50
 Stearic acid (stearic acid) completely oxidized to go through beta-oxidation pathway several times?

Answer: 8

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

50 Stearic acid
stearic acid
completely
to go
beta
times


Question: Single side of the recurrent laryngeal nerve paralysis occur:

Answer: Hoarseness (Hoarseness)

Choices:
A. Hoarseness (Hoarseness)
B. Difficulty breathing (Dyspnea)
C. Difficulty swallowing (Dysphagia)
D. Salivation (Salivation)


Question: There are statements about JNA (angiofibroma), the Which statement is correct?

Answer: Is the most common benign tumors of the nasopharynx

Choices:
A. Is the most common benign tumors of the nasopharynx
B. The incidence of men and women almost
C. Mostly to middle-aged persons
D. Radiation therapy is the main treatment


Question: Which of the following antibiotics should be used and cilastatin, in order to avoid damage to the kidney dehydropeptidase hydrolysis is?

Answer: imipenem

Choices:
A. imipenem
B. minocycline
C. sulfamethoxazole
D. tobramycin

following
used
cilastatin
order to
damage
kidney


Question: 13 A 35-year-old man because his right hand numbness to go to a doctor, diagnosed as carpal tunnel syndrome (carpal tunnel syndrome) while physical examination found that the prominent chin and hypertension. Random blood measured hormone (growth hormone) is 10 ng / mL (normal range 0 ~ ng / mL). He should first dispose of?

Answer: Glucose suppression test (glucose suppression test)

Choices:
A. Glucose suppression test (glucose suppression test)
B. Pituitary magnetic resonance imaging (pituitary MRI examination)
C. Pituitary function tests (pituitary function tests including TSH, FSH, ACTH)
D. Insulin hypoglycaemia test (insulin hypoglycemic test)

35 year old man
right to go
doctor
diagnosed
carpal tunnel syndrome
carpal tunnel syndrome
found
prominent chin
hypertension
Random blood measured hormone
growth hormone
10 ng
mL
normal range 0
ng
mL
first


Question: The following statements about thymoma (thymoma) of Masaoka staging it, what's wrong?

Answer: Stage IVa: extrathoracic metastasis

Choices:
A. Stage IVa: extrathoracic metastasis
B. Stage I: The tumor capsule intact, no capsule invasion
C. Stage II為capsule invasion
D. Masaoka Stage III is macroscopic invasion to surrounding organs, such as the pericardium, lung, or great vessels


Question: 38 molecule acetyl CoA oxidation to carbon dioxide and water molecules is much ATP (GTP including inclusive) produced a total of? [Suppose that a electron into the respiratory chain NADH-Q reductase (Complex I), cytochrome reductase (Complex III), cytochrome oxidase (Complex IV), respectively, may produce a 1,0.5,1 ATP]

Answer: 10

Choices:
A. 8
B. 9
C. 10
D. 12

acetyl CoA
carbon dioxide
water
ATP
including inclusive
total
respiratory chain NADH
reductase
Complex I
cytochrome reductase
Complex III
cytochrome oxidase
Complex IV
0.5 1 ATP


Question: Holliday intermediate structure which will appear in the following reaction?

Answer: Homologous recombination (homologous genetic recombination)

Choices:
A. Transcription (transcription)
B. The role of translation (translation)
C. Effect transposition (transposition)
D. Homologous recombination (homologous genetic recombination)


Question: The 15-year-old HBeAg-positive hepatitis B with original boys, the last half year serum ALT values remained high, and there are more than 2 150 IU / L, are you going to give him as interferon (interferon) therapy. Before starting treatment, the following test results predict what items he may have a better response to treatment?

Answer: Low blood concentration of HBV DNA

Choices:
A. High concentrations of HBV DNA in blood
B. Low blood concentration of HBV DNA
C. Only a very slight liver hepatitis activity
D. Blood IgM anti-HBc negative

year old HBeAg-positive
original boys
last half year serum ALT values
high
more
IU
L
to give
interferon
interferon
therapy
starting treatment
following test results
better response to treatment


Question: 42. A 65-year-old male patient, due to anemia treatment, colonoscopy found to increase colon cancer, sliced pathology report adenocarcinoma, CT examination showed multiple liver metastases, the resection of the right colon, mesenteric lymph nodes found to have violated cancer , unresectable hepatic metastases present, staging T3N2M1, cancer genetic testing: K-ras gene mutation G12D, in addition to surgery plus chemotherapy will suggest what to expect targeted therapies become resectable liver metastases?

Answer: Angiogenesis inhibitors

Choices:
A. EGFR inhibitors
B. Angiogenesis inhibitors
C. Angiogenesis inhibitor, EGFR inhibitor +
D. EGFR inhibitor or angiogenesis inhibitor neither use, both because no effect


Question: Which of the following cytokines, CD8 T cells are not severe toxicity (cytotoxic CD8 T cells) secreted to kill cells Perform function?

Answer: TGF-b

Choices:
A. TNF-a
B. TGF-b
C. LT-α
D. IFNs-c

following cytokines
not severe toxicity
CD8
secreted to kill cells Perform function


Question: Unbearable pain when the Sun 65, the right shoulder of the outer turn (external rotation) and abduction (abduction). He can not raise his right arm to shoulder high, causing the roof unable to grip the grip when taking the bus. Doctors found that his pain about the site above the outer shoulder, but if you ask him to hold back the pain, the physician can put his right arm high to passively move forward shoulder to shoulder higher. Mr. Sun is most likely suffering from disease following what?

Answer: Impingement syndrome (impingement syndrome)

Choices:
A. Suprascapular nerve entrapment syndrome (suprascapular nerve entrapment)
B. Frozen shoulder (frozen shoulder)
C. Impingement syndrome (impingement syndrome)
D. Biceps tendon (biceps tendon) fracture

Unbearable pain
Sun 65
right shoulder
outer turn
external rotation
abduction
abduction
not
right
shoulder high
causing
roof unable to grip
grip
bus
Doctors found
pain
site
outer shoulder
to hold back
pain
physician
right arm high
move forward shoulder
higher
Mr
Sun
suffering
disease following


Question: 60 year old man was sent to the emergency room with chest pain cold sweats, the diagnosis of myocardial infarction in emergency room emergency given t-PA (tissue plasminogen activator) drugs, the following statements is wrong?

Answer: t-PA is mainly to inhibit platelet aggregation, hinder the formation of subsequent thrombosis, it is for the treatment of myocardial infarction

Choices:
A. Myocardial nutrients from the blood can not be obtained in the atrial or ventricular, coronary system must rely on extra
B. From cholesterol, abnormal smooth muscle cells and macrophages and other components of atherosclerosis (Atherosclerosis) is a main reason of infarction
C. Administered vasodilators, the peripheral resistance can be reduced due to reduced afterload, heart infarct can reduce the load
D. t-PA is mainly to inhibit platelet aggregation, hinder the formation of subsequent thrombosis, it is for the treatment of myocardial infarction

60 year old man
sent
emergency room
chest pain cold sweats
diagnosis
myocardial infarction
emergency room
PA
tissue plasminogen activator
drugs
following
wrong


Question: A 50-year-old female cleaners, long-term lower back pain, lower extremity tingling and intermittent claudication (intermittent claudication). Which of the following can help distinguish patients with neuropathic this (neurogenic) or vascular (vascular) intermittent claudication?

Answer: Cycling

Choices:
A. Fast walking
B. jogging
C. Cycling
D. Sit-ups

50 year old female cleaners
long-term lower back pain
lower extremity tingling
intermittent claudication
intermittent claudication
following
help
patients
neuropathic
neurogenic
vascular
vascular
intermittent claudication


Question: A 57-year-old woman because six months off after sex vaginal spotting phenomenon for treatment, production history as the age of menopause G3P2,51, in the past did not use hormones. The attendance two weeks ago at a local clinic Mei examination found abnormal report: atypical squamous cell, I ask doctors how to arrange the next step dispose of more appropriate?

Answer: Colposcopy

Choices:
A. Computer tomography
B. Gynecological ultrasound examination
C. Colposcopy
D. Do it again sweeping movements examination

57 year old woman
six months
sex vaginal
treatment
history
age
menopause
past
not use hormones
two weeks
local clinic
found abnormal report
I
doctors
to
next step
appropriate


Question: Botulinum toxin (botulinus toxin) to reduce muscle tension mechanism of why?

Answer: Direct role in the neuromuscular junction (neuromuscular junction)

Choices:
A. Direct role in the brain (brain)
B. Direct effect on motor neurons (motor neuron)
C. Direct role in the neuromuscular junction (neuromuscular junction)
D. Acts directly on the muscle calcium channel (calcium channel of muscle)

Botulinum toxin
botulinus toxin
to
muscle tension mechanism


Question: In order to avoid serious adverse reactions to vaccines, and children suffering from severe combined immunodeficiency should avoid following inoculation that a vaccine?

Answer: measles vaccine

Choices:
A. Injectable polio vaccine
B. measles vaccine
C. Japanese encephalitis vaccine
D. HPV vaccines

order to
serious adverse reactions to vaccines
children suffering
severe combined immunodeficiency
following inoculation
vaccine


Question: Which of the following is a weight loss drug for Use in the gastrointestinal tract, can reduce the absorption of fat?

Answer: orlistat

Choices:
A. phentermine
B. topiramate
C. orlistat
D. lorcaserin

following
weight loss drug
Use
gastrointestinal tract
absorption
fat


Question: The following account of ginger insects (Fasciolopsis buski), and what is correct?

Answer: Edema and ascites phenomenon may occur in severe infections

Choices:
A. As parasites in the human liver fluke huge
B. Ingestion of freshwater fish larvae cystic (metacercaria) infection
C. Edema and ascites phenomenon may occur in severe infections
D. You can use "immunodiagnostic" to confirm the diagnosis

following account
ginger insects
correct


Question: 79. In accordance with the provisions of Article 11 of the Law physicians, non-physician personally examination, shall administer treatment, open to the prescription, or delivery certificate. In accordance with this provision, that the following acts are illegal? ① in remote mountainous islands, for chronic diseases of old age inconvenient action, confirmed by telephone inquiry condition has not changed, prescribing to the patient's family to take home with ② for vegetative patients hospitalized in the nursing home, raised by a unified security hospital secretary to collect insurance card, be fixed once a month for patients and prescriptions, so that patients and forth ③ chronic patients travel abroad, on behalf of the family to see the doctor and prescriptions, in order to avoid an emergency medical situation of the patient off medication ④ aircraft, passengers the phone will use a screen pass on the ground, MD, judged by the physician ordered the flight attendant on board has a nursing background to perform first aid

Answer: Only ②③

Choices:
A. ①②④
B. ①②③
C. Only ②③
D. Only ①③

In accordance with
Law physicians
non physician
administer treatment
open
delivery certificate
following acts
remote mountainous islands
chronic diseases
old age
action
confirmed by telephone
condition
not changed
patient's
to
home
vegetative patients hospitalized
nursing home
raised
unified security hospital secretary to
card
fixed once
month
patients
prescriptions
so
patients
chronic patients
to see
doctor
prescriptions
order to
emergency medical situation
patient
medication
aircraft
phone
use
screen pass
judged
physician ordered
flight attendant
board
nursing
to perform first aid


Question: Statements about prostate cancer treatment, which of the following error?

Answer: Early prostate cancer, when the disease Face more than 10 years of life expectancy, the watch can be used for surgical resection, radiation therapy or hormone therapy, treatment and prognosis of three fairly

Choices:
A. Early prostate cancer, when the disease Face more than 10 years of life expectancy, the watch can be used for surgical resection, radiation therapy or hormone therapy, treatment and prognosis of three fairly
B. Metastatic prostate cancer to hormone therapy, wherein the luteinizing hormone releasing hormone (LHRH) agonist in the treatment of
C. Newly diagnosed low-volume (low volume) metastatic prostate cancer Face, there will be no immediate mortal danger, there are still about 3 years average survival
D. The watch shutter mode operation of the prostate, transurethral root curettage (transurethral resection of the prostate) is not prostate cancer

prostate cancer treatment
following error


Question: For maternal uterine artery helical (spiral artery), due chorionic outer trophoblast cells (extravillous trophoblast) change violation, uterine and placental blood Xunhuanxitong successfully established, the establishment of this second wave is formed Xunhuanxitong pregnancy period:

Answer: 12 to 16 weeks

Choices:
A. Week 6
B. 7 to 11 weeks
C. 12 to 16 weeks
D. After the first 17 weeks

uterine artery helical
spiral artery
due chorionic outer
extravillous trophoblast
change
uterine
placental blood
established
second wave
formed
pregnancy period


Question: Often have "little white lies" on medical clinical, white lies violation of Bioethics four principles that principle?

Answer: Respect for the principle of autonomy

Choices:
A. Respect for the principle of autonomy
B. The principle of beneficence
C. Do no harm principle
D. The principles of justice

Often
medical clinical
white
Bioethics four


Question: Deposited on the micro-adrenal nodular hyperplasia (micronodular hyperplasia) is the most important pigment:

Answer: Lipofuscin

Choices:
A. melanin
B. Blood ferrite
C. Hemoglobin
D. Lipofuscin

Deposited
micro adrenal nodular hyperplasia
hyperplasia
most important pigment


Question: 25-year-old woman, there are two vaginal births after obstetric history of production, a second child because the giant baby and labor productivity delivered by hysteresis, there are four degrees of perineal laceration repair surgery done immediately but when production has undergone perineal wound infection after surgery Case. Perineal wound infection after improvement, patients often feel like yellow feces through the vagina secretions discharged, and can not control fart, often feel the case of gas discharge from the vagina. When physical examination purposes vaginal Dre, the situation shown in FIG found, the most suitable for this patient based on the illustrated diagnosis of:

Answer: Rectovaginal fistula (rectovaginal fistula)

Choices:
A. Vesico-vaginal fistula (vesicovaginal fistula)
B. Urethra vaginal fistula (urethrovaginal fistula)
C. Rectovaginal fistula (rectovaginal fistula)
D. Uterine bladder fistula (uterovesical fistula)

year old woman
two vaginal births
obstetric history
second child
giant baby
labor productivity delivered
four degrees
perineal laceration repair surgery
immediately
perineal wound infection
surgery Case
Perineal wound infection
patients often
yellow feces
vagina secretions
not control fart
often
case
gas discharge
vagina
purposes vaginal Dre
found
most suitable
patient based
diagnosis


Question: The following description of the emergency treatment for burns, whichever correct?

Answer: All small area burns can all tap water cooling

Choices:
A. All burns are possible cooling water
B. Chemical burns are all tap water can reduce the damage
C. All small area burns can all tap water cooling
D. All are small burn can be ice cool

following
emergency treatment
burns
correct


Question: Which of the following neurological disease is due to very long chain fatty acid metabolic problems caused?

Answer: adrenoleukodystrophy

Choices:
A. sphingolipidoses
B. metachromatic leukodystrophy
C. adrenoleukodystrophy
D. globoid cell leukodystrophy


Question: Legionnaires bacteria (Legionella) pneumonia if appropriate for sputum Gram stain, what is most difficult to find any of the following?

Answer: Gram-negative bacilli sputum easy to see the slender

Choices:
A. Each of the low magnification field of view of more than 25 WBC
B. Each of the low magnification field of view of less than 10 epithelial cells
C. Very few bacteria in sputum
D. Gram-negative bacilli sputum easy to see the slender

bacteria
pneumonia
appropriate
sputum Gram stain
most difficult to find
following


Question: A 30-year old man was found in the medical staff has a slight jaundice, he said that the past 10 years occasionally notice that whites own more yellow, but no discomfort and no dark urine and pale stools. Occasionally eat vitamins and herbs. Liver and spleen enlargement, and no Chronic liver disease. Normal laboratory not only total bilirubin 3 mg / dL (normal 0.3 to 1.0), the remaining items including direct bilirubin 0.2 mg / dL (normal 0.1 ~ 0.3); AST, ALT, alkaline phosphatase, lactate dehydrogenase, hematocrit and so normal following the diagnosis that one of the most likely?

Answer: Gilbert's syndrome

Choices:
A. Drug-induced hemolysis
B. Biliary calculi
C. Dubin-Johnson syndrome
D. Gilbert's syndrome


Question: Antipsychotic drugs, dopamine that one part of the following agents (dopamine partial agonist)?

Answer: Aripiprazole

Choices:
A. Amisulpride
B. Aripiprazole
C. Clozapine
D. Ziprasidone

Antipsychotic drugs
dopamine
one part of
following agents
dopamine partial agonist


Question: Which of the following is the most common children's urinary tract infection combined congenital urinary tract anomalies construction?

Answer: VUR (vesicoureteral reflux)

Choices:
A. Ureteric junction stenosis (UPJ stenosis)
B. Vesicoureteral narrow junction (VUJ stenosis)
C. VUR (vesicoureteral reflux)
D. Neurogenic bladder (neurogenic bladder)


Question: The following related intracranial arteriovenous malformations (arteriovenous malformation, AVM) narrative, what's wrong?

Answer: The AVM consists of the arterial perfusion, draining veins, arteriovenous traffic microvascular

Choices:
A. The AVM consists of the arterial perfusion, draining veins, arteriovenous traffic microvascular
B. AVM symptoms often occur include bleeding, epilepsy and ischemia
C. Although CT and MRI can diagnose, but the best diagnostic tool for intracranial four vessels angiography (four -vessels cerebral
D. Probability within the AVM 24 hours before bleeding is lower than aneurysm


Question: For the following pancreatic β-cell insulin secretion main switch machine description, what is correct?

Answer: Calcium ion concentration within the β cells with increased insulin release from the secretory vesicles the role of

Choices:
A. A fourth blood glucose via glucose transporters into the pancreatic β cells stimulated insulin secretion
B. ATP-sensitive potassium channels caused by the outflow opening of potassium ions is an important step to promote the insulin secretion
C. Amino acids via the blood will increase the cAMP concentration in β cells promote secretion of insulin
D. Calcium ion concentration within the β cells with increased insulin release from the secretory vesicles the role of

following pancreatic
cell insulin main switch machine
correct


Question: Urinary stones formed in the fixed particle theory of hypothesis, which is attached to the stone crystals where?

Answer: Tubular

Choices:
A. Glomerular
B. Tubular
C. Calyx
D. Pelvis

Urinary stones formed
fixed particle
stone crystals


Question: The following account of low intracranial pressure headache (low pressure headache) due to lumbar puncture (lumbar puncture) caused, and what's right?

Answer: Patient sitting than lying still pain

Choices:
A. There papilledema
B. Will not have a stiff neck (neck stiffness)
C. No nausea and vomiting phenomenon
D. Patient sitting than lying still pain

following account
low pressure headache
low pressure headache
lumbar puncture
lumbar puncture
caused
right


Question: Which of the following interleukin (interleukin; IL) can affect the performance of a variety of cells and most typical of endocrine role?

Answer: IL-1

Choices:
A. IL-1
B. IL-2
C. IL-7
D. IL-12

following interleukin
interleukin
IL
cells
typical
endocrine role


Question: Must not be used (major contraindication) when Beta-adrenergic blocking agents, such as eye drops, 0.5% Timolol maleate, inhibit the production of aqueous humor, the intraocular pressure lowering drug is, but to a disease patients with the following?

Answer: Asthma (asthma)

Choices:
A. Stroke (stroke)
B. Asthma (asthma)
C. High blood pressure (hypertension)
D. Diabetes (diabetes mellitus)

not
used
major contraindication
Beta-adrenergic blocking agents
eye drops
0.5
Timolol maleate
inhibit
aqueous humor
intraocular pressure lowering drug
disease patients
following


Question: Surgical options for thyroid toxic adenoma (toxic adenoma), and Which of the following best?

Answer: Single ipsilateral lobectomy

Choices:
A. Single ipsilateral lobectomy
B. Ipsilateral subtotal
C. Single ipsilateral and contralateral lobe resection subtotal
D. Bilateral total resection

Surgical options
thyroid toxic adenoma
toxic adenoma
following best


Question: Septic arthritis is one of acute pediatric patients require rapid diagnosis and treatment. That one of the following diagnosis of arthritis if not quickly treated with antibiotics and drainage, can lead to ischemic bone necrosis (Avascular necrosis)?

Answer: Hip

Choices:
A. Hip
B. Elbow
C. Knee
D. Ankle

Septic arthritis
one
acute pediatric patients
rapid diagnosis
treatment
one
following diagnosis
arthritis
not
treated with
drainage
lead
ischemic bone necrosis
Avascular necrosis


Question: That the following symptoms of a disease, most are not suitable for functional electrical stimulation therapy?

Answer: Treatment of Baker's muscular dystrophy (Becker muscular dystrophy) disease muscle atrophy

Choices:
A. Women stress urinary incontinence (stress urine incontinence)
B. Spinal cord injury patients bone loss (bone loss)
C. Of bedridden patients often prevent deep vein thrombosis (deep vein thrombosis)
D. Treatment of Baker's muscular dystrophy (Becker muscular dystrophy) disease muscle atrophy


Question: When measured by suddenly standing from the prone position, due to lower blood pressure and feel dizzy if a subject. At this time, the body will use the following reaction that helps stabilize arterial blood pressure?

Answer: Decreased arterial pressure by sensing reflected (arterial baroreceptors reflex) discharge frequency

Choices:
A. Decreased arterial pressure by sensing reflected (arterial baroreceptors reflex) discharge frequency
B. Slow the heart rate
C. Reducing venous return (venous return)
D. Promote small arteries (arterioles) diastolic

measured
standing
prone
lower blood pressure
dizzy
subject
time
body
use
following reaction
helps stabilize arterial blood pressure


Question: Infant muscular torticollis (torticollis) The most common reasons for the formation of the following piece of muscle fibrosis?

Answer: Sternocleidomastoid (sternocleidomastoid muscle)

Choices:
A. Wide neck muscle (platysma muscle)
B. Supraomohyoid (omohyoid muscle)
C. Sternohyoid (sternohyoid muscle)
D. Sternocleidomastoid (sternocleidomastoid muscle)

Infant muscular torticollis
torticollis
most common
formation
following piece
muscle fibrosis


Question: The following minimally invasive surgery on the implementation of the large intestine resection of narrative, what's wrong?

Answer: Assisted laparoscopic colectomy colon surgery purposes, must close the surgical defect mesentery (mesenteric defect)

Choices:
A. Laparoscopic-assisted colectomy surgery compared to open surgery, can reduce postoperative pain
B. Assisted laparoscopic surgery to produce a ratio of the large intestine mesentery hernia (mesenteric internal hernia) about only 1%
C. Assisted laparoscopic colectomy colon surgery purposes, must close the surgical defect mesentery (mesenteric defect)
D. The most common location of the hernia mesentery near the junction of the ileum (ileocolic junction)

following minimally invasive surgery
large intestine resection
wrong


Question: 54-year-old Chen, hands and feet due to end months of progressive weakness, muscle atrophy and stiff limbs sense, was diagnosed with motor neuron disease, and to the subsequent consultation of outpatient care issues. The following statements is wrong?

Answer: Highly genetic predisposition (> 50% likelihood)

Choices:
A. Highly genetic predisposition (> 50% likelihood)
B. Life of about 2 to 5 years
C. By the end of the breathing apparatus required to sustain life
D. There are drugs can slow the course of disease worsening


Question: A 45-year-old woman, in recent months often feel a burning sensation and gastric countercurrent. Acceptance of endoscopy. Illustrates changes of the lower esophageal tissue section microscope. Which of the following best process can explain such a change?

Answer: Columnar epithelial metaplasia

Choices:
A. Apoptosis of squamous epithelium
B. Atrophy of squamous epithelium
C. Columnar epithelial metaplasia
D. Hyperplasia of columnar epithelium

year old woman
recent months often
burning sensation
gastric countercurrent
endoscopy
changes
lower esophageal microscope
following best process
change


Question: The following related toxic T cells (cytotoxic T lymphocyte, CTL) and natural killer cells (natural killer cell, NK cell) of the comparison, what's wrong?

Answer: Both of these antigen-specific

Choices:
A. Both of these antigen-specific
B. Both of these will show FasL
C. Both are active with MHC class I-related
D. Do not show MHC class I molecules of tumor cells can escape CTL recognize, but can not escape the track of NK cell

following related toxic
natural killer cells
wrong


Question: A 52-year-old patient hospitalized with acute pneumonia, the occurrence of the right lower limb proximal deep vein thrombosis bed 7 days after giving heparin and warfarin slight improvement after treatment. The patient was discharged after oral anticoagulant warfarin should be given at least how long?

Answer: 3 months

Choices:
A. 4 weeks
B. 3 months
C. 6 months
D. 12 months


Question: 40-year-old female patient complained of neck pain before the patient two weeks ago have found that the patient's neck before normal skin color upper respiratory tract infection, physical examination, but there is enlargement of the thyroid, hard and tenderness, the patient's blood is not white blood cells increasing phenomenon, the most appropriate treatment for this patient is:

Answer: Steroid

Choices:
A. Antibiotic-containing
B. Surgical removal of the thyroid nodules
C. Antithyroid drugs
D. Steroid

normal color upper respiratory tract infection


Question: ASA class I to a 2-year-old boy 12 kg implementation of outpatient surgery (Outpatient) hernia repair, if the merger is expected to general anesthesia caudal block technique (Caudal block), which of the following is the best caudal block technique Shi fight drug combination, and the dose?

Answer: 0.25% Bupivacaine 10 ml

Choices:
A. 0.5% Bupivacaine 10 ml
B. 0.25% Bupivacaine 10 ml
C. 0.5% Bupivacaine 6 ml with morphine 2 mg
D. 0.2% Bupivacaine 6 ml with morphine 4 mg

ASA class I
2 year old boy
kg
outpatient
Outpatient
hernia repair
general block technique
Caudal block
following
best caudal block technique
drug combination
dose


Question: After about reconstruction following mastectomy (Postmastectomy breast reconstruction) of the narrative, what's wrong?

Answer: Will delay the detection of breast cancer recurrence

Choices:
A. Reduce the patient's sense of incomplete
B. Immediate reconstruction reduces the trauma
C. Will delay the detection of breast cancer recurrence
D. Immediate reconstruction will be delayed follow-up of chemotherapy for breast cancer patients later found not suitable


Question: 74. a wine man because of abdominal dull pain and poor appetite to seek treatment, computer tomography presented in Figure, arrows within the meaning of the anomaly is most likely that one of the following diagnosis?

Answer: chronic pancreatitis

Choices:
A. bowel perforation
B. chronic pancreatitis
C. common bile duct stones
D. splenic artery arteriosclerosis

74
man
abdominal dull
poor appetite to
treatment
computer tomography
arrows
anomaly
one
following diagnosis


Question: In innocuous (non-noxious) stimulation, will feel pain, known as:

Answer: allodynia

Choices:
A. neuralgia
B. allodynia
C. hyperalgesia
D. hyperesthesia


Question: About different aphasia (aphasia) the prognosis of the patient, what's the worst?

Answer: Speak fluent, but irrelevant answers, and have saved (preservation) phenomenon

Choices:
A. Speak fluent, but irrelevant answers, and have saved (preservation) phenomenon
B. Do not speak fluent, understandable instructions, subject to the effort (effort) to speak
C. Speak fluent understanding of normal, but the name (naming) difficulties
D. Do not speak fluent, comprehensible instructions, Qu has telegraphic language (telegraphic speech)

About different aphasia
aphasia
prognosis
patient
worst


Question: For patients with arthritic disease damage the watch Face portion often Use sub ⽊ (Splint) to reach the destination time below, but what's wrong?

Answer: Can delay the disease into ⾏

Choices:
A. Deformable portion of the watch can slow
B. Can enhance grip can care has been taken
C. Can help the watch function
D. Can delay the disease into ⾏

patients
disease damage
Face portion often Use sub
Splint
to reach
destination time
wrong


Question: AMP-activated protein kinase (AMPK) after activation, it will promote one of the following main reaction pathways?

Answer: glycolysis

Choices:
A. gluconeogenesis
B. lipid biosynthesis
C. glycolysis
D. cholesterol synthesis

AMP-activated protein kinase
activation
one
following main reaction


Question: 26 by 30-year-old pregnant woman, G1P0, regular period every 28 days, each period for five days, private prosecution: the first day of the final period (LMP) is on February 1, the expected date of childbirth (EDC) is when?

Answer: November 8, 2005

Choices:
A. September 8, 2005
B. October 8, 2005
C. November 8, 2005
D. December 8, 2005

26
30 year old
regular period
days
period
private prosecution
first day
final period
LMP
February
date
childbirth


Question: The following narrative about liver spots (chloasma, melasma), and what is non?

Answer: Common abnormal liver function

Choices:
A. Mainly in the facial symmetry of pigmentation spots
B. Common abnormal liver function
C. Oral contraceptives is probably one of the causes
D. Avoid sun exposure during the illness

following
liver spots
chloasma
melasma
non


Question: Xiao Ming is a 28 weeks premature children, birth weight 1200 grams, was born after suffering respiratory distress syndrome. For this disease is currently the most effective of the drugs:

Answer: Alveolar surface tension element

Choices:
A. Steroid
B. Aspirin
C. Alveolar surface tension element
D. Antibiotic-containing

weeks premature children
birth weight
grams
born
suffering respiratory distress syndrome
disease
currently
most effective
drugs


Question: Which of the following is located in the dorsal wrist extensor tendon sixth chamber (extensor compartment)?

Answer: Ulnar extensor carpi muscle (extensor carpi ulnaris)

Choices:
A. The index finger extensor muscles (extensor indicis proprius)
B. Extensor hallucis longus (extensor pollicis longus)
C. Ulnar extensor carpi muscle (extensor carpi ulnaris)
D. Little finger extensor muscles (extensor digiti minimi)


Question:
60. Morakot caused serious flooding low-lying areas in Pingtung, ten days later, in the region there was a 50-year-old male with acute fever 38.5 ° C, headache, muscle aches, peripheral blood leukocytes was 17,000 / μL, platelets 120,000 / μL, GOT: 150 U / L and GPT: 162 U / L, total bilirubin (total bilirubin): 4.1 mg / dL; serum creatinine
 (Serum creatinine): 3.2 mg / dL. Which of the following is the most appropriate antibiotic treatment of choice?

Answer: crystal penicillin G

Choices:
A. amikacin
B. ciprofloxacin
C. crystal penicillin G
D. vancomycin

60
caused serious flooding low lying areas
later
region
50 year old male
acute fever
headache
muscle aches
platelets
L
U
L
GPT
U
L
total bilirubin
total bilirubin
4.1 mg
dL
serum creatinine
Serum creatinine
3.2 mg
dL
following
most appropriate antibiotic treatment


Question: Intrahepatic cholestasis (intrahepatic cholestasis of pregnancy, ICP) leading to fetal adverse outcomes, the most important factors are:

Answer: Maternal serum bile acid (bile acids)

Choices:
A. Maternal serum bile acid (bile acids)
B. Maternal serum direct bilirubin (direct bilirubin)
C. Maternal serum cholesterol (cholesterol)
D. Maternal serum aspartate aminotransferase (AST)

Intrahepatic cholestasis
intrahepatic cholestasis of pregnancy
ICP
leading
fetal
outcomes
most important factors


Question: A 54-year-old male, chest tightness due to the emergency room, electrocardiogram, as shown below, Which of the following is the most appropriate approach?

Answer: Now do the right chest conduct electrocardiogram (right chest ECG)

Choices:
A. Before obtaining data cardiac enzymes, can not diagnose
B. Now do the right chest conduct electrocardiogram (right chest ECG)
C. ECG is normal, patients can leave hospital
D. ECG changes ambiguous, should wait two hours before making a

54 year old male
chest tightness due to
emergency room
electrocardiogram
following
most appropriate approach


Question: Which of the following is not an antibiotic by inhibiting bacterial transpeptidase and interference of the cell wall generation?

Answer: bacitracin

Choices:
A. aztreonam
B. imipenem
C. nafcillin
D. bacitracin

following
not
bacterial transpeptidase
interference
cell wall generation


Question: The following statements about tsutsugamushi (Scrub typhus), and what's wrong?

Answer: Pathogen Rickettsia rickettsii

Choices:
A. Pathogen Rickettsia rickettsii
B. The incubation period of about 6-21 days, to the east of Taiwan and the outlying islands of the more common
C. Clinical symptoms manifested as fever, headache, muscle pain, some patients have skin eschar lesion
D. Available drugs tetracycline class

following
tsutsugamushi
Scrub typhus
wrong


Question: Which of the following is most likely to cause transudative pleural effusion?

Answer: Pulmonary embolism (pulmonary embolism)

Choices:
A. TB (tuberculosis)
B. Sarcoidosis (sarcoidosis)
C. Uremia (uremia)
D. Pulmonary embolism (pulmonary embolism)

following
to cause transudative pleural effusion


Question: Steroid (corticosteroid) for immunosuppressive effect has the following effect, except for whichever?

Answer: Decrease endonucleolytic enzymes (endonucleases) generating etc.

Choices:
A. Reducing the generation of IL-1, TNF α, IL-4, IL-5, etc.
B. Reduce the formation of prostaglandins, leukotrienes etc.
C. Reducing the generation of sticky molecules (adhesion molecules), etc.
D. Decrease endonucleolytic enzymes (endonucleases) generating etc.

Steroid
corticosteroid
immunosuppressive effect
following effect


Question: 39.20-year-old man, nearly two months of joint swelling, intermittent fever of 39 ° C accompanied by muscle aches situation. Torso after the salmon-colored rash with fever, there is no obvious source of infection after medical check-up, blood tests found that ANA (-), rheumatoid factor (-), ferritin> 10000 ng / ml, Anti-

Answer: Adult Shi Dier's disease (adult onset Still's disease)

Choices:
A. Systemic lupus erythematosus (systemic lupus erythematosus)
B. Rheumatoid arthritis (rheumatoid arthritis)
C. Adult Shi Dier's disease (adult onset Still's disease)
D. Mixed connective tissue disease (mixed connective tissue disease)

20 year old man
nearly two months of joint swelling
intermittent fever
muscle aches
Torso
colored rash
fever
source of infection
medical check-up
blood tests found
rheumatoid factor
ferritin
10000 ng
ml


Question: A female patient vegetarian for many years, people with pernicious anemia (pernicious anemia), judge she has some kind of metal ion containing water-soluble vitamin deficiency. About characteristics of this vitamin, the following statements is true?

Answer: This vitamin contains cobalt ions

Choices:
A. This cyano group-containing vitamin required, before being directly involved in the enzyme reaction type
B. This shall contain a vitamin with active iron ions was
C. This vitamin contains cobalt ions
D. Small intestine cells secrete one binding proteins, to promote the absorption of this vitamin


Question: That ⼀ the following options, optimal Use to describe the risk assessment of non-carcinogens?

Answer: Dose response threshold is assumed to have the presence of

Choices:
A. Dose response threshold is assumed to have the presence of
B. Using the slope calculated risk because of submenus into ⾏
C. 10-6 shoots as usual and quantitative results are compared to determine whether the acceptable risk
D. Not fit into the ⾏ uncertainty analysis

following options
optimal Use to
non carcinogens


Question: The following narrative about Mallory-Weiss tears it, what's wrong?

Answer: Often need surgery to stop bleeding

Choices:
A. Often need surgery to stop bleeding
B. Can be diagnosed by endoscope
C. Most of the patients were male
D. Typical located lesser curvature (lesser curvature) near the esophagus and the gastroesophageal junction (esophagogastric junction)


Question: That is one of the following differential diagnosis of foot and mouth disease and other rash diseases?

Answer: Foot and mouth disease often appear on the buttocks rash

Choices:
A. Foot and mouth disease rash usually more than 1 cm in diameter
B. Most gums hand, foot and mouth disease are swelling inflammation
C. Foot and mouth disease often appear on the buttocks rash
D. Foot and mouth disease is often associated with conjunctivitis

one
following differential diagnosis
foot and mouth disease
rash diseases


Question: Which of the following situations may not need immediately inform children less protection team?

Answer: When climbing equipment fall game 4 year-old boy, hands and feet multiple contusions bruises

Choices:
A. 4-year-old boy can not walk, three days later examination revealed right femur fracture, is the 3rd year medical trauma
B. 2 months baby girl scalp hematoma combined with subdural hemorrhage
C. When climbing equipment fall game 4 year-old boy, hands and feet multiple contusions bruises
D. 4 year-old girl, according to their families describe walk after falling unable to walk, go to a doctor now found in the left femur fracture

following
not need immediately inform children
protection


Question: The following statements about the chronic obstructive pulmonary disease, what's wrong?

Answer: Airway inflammation predominantly involved in the inflammatory cells were mainly lymphocytes and eosinophils

Choices:
A. Basically belongs obstructive airway disease irreversible, incurable
B. Airway inflammation predominantly involved in the inflammatory cells were mainly lymphocytes and eosinophils
C. The main disease because of smoking, 90% of the diseased person smoking or former smokers
D. The main decisions that affect patient prognosis factor for the patient's lung function (FEV1)

following
chronic obstructive pulmonary disease
wrong


Question: The following account of delusional disorder (delusional disorder), and what is non?

Answer: Treatment is mainly psychological treatment paranoia

Choices:
A. With delusions terms, for a minimum of one month to three months or more, their presence is very personal and not part of the sub-culture of belonging
B. The more common type of paranoia and jealousy for the victim type
C. Delusional patient may merge depression
D. Treatment is mainly psychological treatment paranoia

following account
delusional disorder
delusional disorder
non


Question: That one of the following viral infection, there is no effective vaccine developed prevention?

Answer: Human immunodeficiency virus (Human immunodeficiency virus, HIV)

Choices:
A. Hepatitis A virus (Hepatitis A virus, HAV)
B. Human immunodeficiency virus (Human immunodeficiency virus, HIV)
C. Influenza virus (Influenza virus)
D. Polio virus (Poliovirus)

one
following viral infection
effective vaccine
prevention


Question: That the drug inhibits IKr channel the action potential duration of cardiac tissue extended?

Answer: Sotalol

Choices:
A. Atenolol
B. Esmolol
C. Sotalol
D. Carvedilol

drug inhibits
channel
action potential duration
cardiac tissue extended


Question: A 52-year-old male patient because of abdominal pain, night sweats to emergency treatment, examination revealed acceptable blood pressure 88/58 mmHg, heart rate 112 / min, no sides pulmonary rales, unintentional noise. Which of the following most inappropriate disposal?

Answer: Given intravenously immediately Butylscopolamine (Buscopan)

Choices:
A. Immediately perform chest and abdominal X-rays
B. ECG implemented immediately
C. Intravenous infusion of normal saline solution immediately
D. Given intravenously immediately Butylscopolamine (Buscopan)

revealed acceptable blood pressure 88 58 mmHg


Question: Statements about hypophosphatemia rickets (hypophosphatemic rickets), the Which of the following rare?

Answer: Serum parathyroid hormone (parathyroid hormone) concentration above normal

Choices:
A. Normal serum calcium
B. Serum alkaline phosphatase (alkaline phosphatase) higher than normal
C. Serum parathyroid hormone (parathyroid hormone) concentration above normal
D. Serum 1,25-dihydroxyvitamin D (1,25-dihydroxyvitamin D) Normal values

hypophosphatemia rickets
hypophosphatemic rickets
following rare


Question: Which of the following adult parasites and eggs can be reached patients brain, causing lesions?

Answer: Schistosoma japonicum (Schistosoma japonicum)

Choices:
A. Alien Alien flukes (Heterophyes heterophyes)
B. Schistosoma japonicum (Schistosoma japonicum)
C. Chinese liver fluke (Clonorchis sinensis)
D. Cattle and sheep liver fluke (Fasciola hepatica)

following adult parasites
reached patients brain
causing lesions


Question: Thyroid cancer develops slowly, relatively easy to transfer from the lymph, the prognosis is good, occur in the lower age groups is that one of the following cancer?

Answer: Papillary carcinoma (Papillary carcinoma)

Choices:
A. Follicular cancer (Follicular carcinoma)
B. Papillary carcinoma (Papillary carcinoma)
C. Medullary carcinoma (Medullary carcinoma)
D. Undifferentiated carcinoma (Anaplastic carcinoma)

Thyroid cancer
slowly
easy to transfer
lymph
prognosis
good
occur
lower age groups
one
following cancer


Question: The following assessment of a project that is not the Apgar score?

Answer: Cries size

Choices:
A. The number of heartbeats
B. Muscle tone
C. Breathe
D. Cries size


Question: The following kind of local anesthetic (Local anesthetics) does not belong to Amides class?

Answer: Tetracaine

Choices:
A. Bupivacaine
B. Tetracaine
C. Lidocaine
D. Prilocaine

following kind
local anesthetic
Local anesthetics
not
Amides


Question: The following related head injuries (head trauma) cause psychiatric symptoms described, what's wrong?

Answer: Slow reaction to the drug, requiring a higher initial dose and adjust speed to quickly achieve a therapeutic effect

Choices:
A. Head injuries after 6-12 months if the symptoms are not improving, it may be chronic
B. Inability to concentrate, poor memory and have difficulty learning new information is a common cognitive dysfunction
C. Behavioral problems including: depression, impulsiveness, aggression and personality changes increase
D. Slow reaction to the drug, requiring a higher initial dose and adjust speed to quickly achieve a therapeutic effect

following related head injuries
head trauma
cause psychiatric symptoms
wrong


Question: If acute heart failure patients also have symptoms of hyponatremia, the following which drug is the best choice?

Answer: conivaptan

Choices:
A. spironolactone
B. losartan
C. conivaptan
D. eplerenone

acute heart failure patients
symptoms
hyponatremia
following
drug
best


Question: A middle-aged women without hypertension, coronary heart disease, hyperlipidemia or diabetes and other medical history, complained of vertigo attack two days ago. In particular, and get up, lie down and left lying posture and other related actions, repeated a dozen times, each about continued for a few seconds, no hearing impairment and tinnitus. Which of the following is the most likely diagnosis?

Answer: Benign paroxysmal positional vertigo (benign paroxysmal positional vertigo)

Choices:
A. Meniere's disease (Meniere's disease)
B. Benign paroxysmal positional vertigo (benign paroxysmal positional vertigo)
C. Vestibular neuritis (vestibular neuritis)
D. Vertebral artery circulation imperfecta (vertebro-basilar artery insufficiency)

middle-aged women
hypertension
coronary heart disease
hyperlipidemia
diabetes
medical history
vertigo attack two days
get
left lying posture
related actions
repeated
times
seconds
hearing impairment
tinnitus
following
diagnosis


Question: One patient asthma, cough and chest tightness Jie during the day and every day, and lung function display FEV1 was 76% of the expected value, the less Which of the following is the correct drug treatment?

Answer: Long theophylline (theophylline), plus oral long-acting β2-agonist

Choices:
A. Low-dose inhaled steroid plus inhaled long-acting β2-agonist
B. Dose inhaled steroids, plus long-acting theophylline (theophylline)
C. Dose inhaled steroids, coupled with long-acting oral β2-agonist
D. Long theophylline (theophylline), plus oral long-acting β2-agonist

One patient asthma
cough
chest tightness
day
day
lung function display FEV1
76
value
less
following
correct drug treatment


Question: Farrar Fallot (tetralogy of Fallot) in the straddle aorta (overriding aorta) disease, its causes should be:

Answer: Ventricular septum (interventricular septum) of the defect

Choices:
A. Ball  (bulbar ridge) and truncus arteriosus  (truncal ridge) has not been separated from truncus arteriosus
B. Ventricular septum (interventricular septum) of the defect
C. Abnormal arterial catheter locking
D. A first septum (septum primum) not fused with the endocardial cushion

Fallot
tetralogy of
aorta
overriding aorta
disease
causes


Question: Statements about trigeminal neuralgia, which of the following error?

Answer: The watch will open brain surgery ⾎ pad neural tube opening is the first frame line treatment shutter mode

Choices:
A. Source may be automatically multiple sclerosis (multiple sclerosis)
B. May result due to benign or malignant tumors
C. Is the most frequent reason ⽣ superior cerebellar artery pressure of the trigeminal nerve to the brain stem end
D. The watch will open brain surgery ⾎ pad neural tube opening is the first frame line treatment shutter mode


Question: Medulla (medulla oblongata) mound on the back of the facial nerve (facial colliculus), which is directly below that is the position of the nucleus of the brain?

Answer: External rotation of the nucleus (abducens nucleus)

Choices:
A. Motor nucleus of the trigeminal nerve (trigeminal motor nucleus)
B. Motor nucleus of the facial nerve (facial motor nucleus)
C. External rotation of the nucleus (abducens nucleus)
D. Trochlear nucleus (trochlear nucleus)

Medulla
medulla oblongata
back of
facial nerve
facial colliculus
directly
position of
nucleus
brain


Question: Free nerve fiber endings (free nerve ending) furthest terminate in the skin epidermis (epidermis) of where?

Answer: Granular layer (stratum granulosum)

Choices:
A. Basal layer (stratum basale)
B. Spinous layer (stratum spinosum)
C. Granular layer (stratum granulosum)
D. Horny layer (stratum corneum)

Free nerve fiber endings
free nerve ending
furthest terminate
skin epidermis
epidermis


Question: From the previous question, the treatment of the lesion, Which of the following most correct?

Answer: Surgery

Choices:
A. Surgery
B. Radiation treatment
C. Chemotherapy
D. Not need treatment

previous treatment lesion following correct


Question: 60-year-old male patient, fever, chest pain on the right side hospitalized. Chest X-rays showed moderate right pleural cavity water, which is pumped examination showed exudate, WBC 10,800 / mm3, and the cells were mainly polynuclear neutrophils (90%), pH value 6.9, Sugar was 30 mg / dL, Which of the following is the most appropriate treatment?

Answer: Given antibiotics, drainage and give chest tube insertion

Choices:
A. Given antibiotic treatment, and chest X-ray track
B. Given antibiotics, drainage and give chest tube insertion
C. Given antibiotic treatment, pumping and check again in 24 hours
D. Antituberculosis drugs administered

60 year old male patient
fever
chest pain
right side hospitalized
Chest X-rays
moderate right pleural cavity water
pumped
exudate
WBC 10 800
mm3
cells
90
pH value
Sugar
30 mg
dL
following
most appropriate treatment


Question: Cell bodies of parasympathetic nerve fibers located in the nose of that site?

Answer: Mandibular ganglion

Choices:
A. Ear ganglion
B. Sphenopalatine ganglion
C. Mandibular ganglion
D. Geniculate ganglion

Cell bodies
parasympathetic nerve fibers
nose
site


Question: Little America is currently 22 weeks pregnant, because there are situations early contractions of the uterus, doctors do to help her test fetal fibronectin, the following narrative about the fetal fibronectin protein (fetal fibronectin) of, what's wrong?

Answer: Known fetal lung maturity (lung maturity)

Choices:
A. Can detect preterm labor
B. Known fetal lung maturity (lung maturity)
C. Normal pregnancy, should not appear in the mid-vagina
D. As a extracellular matrix

Little America
currently
weeks pregnant
early contractions
uterus
doctors
to help
test fetal fibronectin
following
fetal protein
fetal fibronectin
wrong


Question: Which of the following will not oppress the esophagus, stricture formation at physiological affect swallowing?

Answer: Pulmonary artery

Choices:
A. Aortic arch
B. bronchus
C. Pulmonary artery
D. Diaphragmatic

following
not
esophagus
stricture formation
physiological
swallowing


Question: Which of the following is an antimicrobial drugs inhibiting bacterial protein synthesis, has been used to treat abdominal abscess caused by Bacteroides fragilis infection, but it is prone to colitis?

Answer: Clindamycin

Choices:
A. Clarithromycin
B. Clindamycin
C. Minocycline
D. Ticarcillin


Question: The following related cognitive-behavioral therapy (cognitive-behavior therapy) narrative, what's wrong?

Answer: Cognitive behavioral therapy commonly used for acute pain (acute pain) treatment

Choices:
A. Personal emotional reaction often affected by the perception of an event
B. Cognitive behavioral therapy commonly used for acute pain (acute pain) treatment
C. Cognitive behavioral therapy commonly used for depression (depressive disorders) Treatment
D. Cognitive behavioral therapy can enhance the individual's adaptation (adjustment)


Question: These patients need mitral valve replacement surgery, what suggested the use of biological tissue valves (bioprosthetic tissue valve)?

Answer: 70-year-old patient with chronic emphysema

Choices:
A. 18-year-olds
B. 40-year-old dialysis patients combined long-term rules and hypercalcemia
C. 40-year-old patient with chronic atrial fibrillation and long-term rules taking anticoagulants
D. 70-year-old patient with chronic emphysema


Question: Which of the following is not injured brain injury (traumatic brain injury) common complication?

Answer: Low blood pressure (hypotension)

Choices:
A. Cognitive abilities (cognition) disorders
B. Epilepsy (seizure)
C. Hydrocephalus (hydrocephalus)
D. Low blood pressure (hypotension)

following
not injured brain injury
traumatic brain injury
common complication


Question: The following description of the central spinal cord syndrome (central cord syndrome), and what's wrong?

Answer: Abnormalities were seen in the shoulder (shoulder)

Choices:
A. Symptoms of weakness mainly in the distal upper limb muscle groups
B. Abnormalities were seen in the shoulder (shoulder)
C. The X-ray image often can not see the obvious vertebral fractures
D. Often appear excessive neck flexion (hyperflexion) or overreach (hyperextension) of 13 patients with spinal epidural abscess related to the following description, what's wrong?

following
central spinal cord syndrome
central cord syndrome
wrong


Question: "Dreaming (dreaming)" that was seen in one of the following sleep cycle?

Answer: Rapid eye movement sleep (REM sleep)

Choices:
A. stage I
B. stage II
C. stage III
D. Rapid eye movement sleep (REM sleep)


Question: For congenital nevus (congenital nevus) narrative, which of the following error?

Answer: Sebaceous nevus (nevus sebaceous) often associated with thickening of the skin and hairy phenomenon

Choices:
A. Tian too nevus (nevus of Ota) more unilateral, occur in the first or second branch of the trigeminal nerve
B. Mongolian spot (Mongolian spot) increase with age will gradually fade or disappear
C. Sebaceous nevus (nevus sebaceous) often associated with thickening of the skin and hairy phenomenon
D. Usually in the range of congenital melanocytic nevi (congenital melanocytic nevus) were converted into the larger the higher the probability of malignancy

congenital nevus
congenital nevus
following error


Question: Y chromosome gene defects that cause poor part of the male sperm motility?

Answer: q arm

Choices:
A. p arm
B. q arm
C. p arm and q arm
D. centromere

Y chromosome gene defects
cause poor part of
male sperm motility


Question: After a car accident caused by lacerations on the sternocleidomastoid 1/3, the mandibular angle (angle of mandible) of the skin at the loss of sensation, Which of the following is most likely to be injured?

Answer: Great auricular nerve (great auricular nerve)

Choices:
A. Mental nerve (mental nerve)
B. The facial nerve (facial nerve)
C. Lesser occipital nerve (lesser occipital nerve)
D. Great auricular nerve (great auricular nerve)

car accident caused
lacerations
sternocleidomastoid
mandibular angle
angle of mandible
of
skin
loss of sensation
following
to
injured


Question: A 70-year-old male patient, due to heavy bleeding duodenal surgery. The sodium ion concentration in serum after the third patient was 126 mEq / L, potassium ion concentration of L, chloride ion concentration of 4.7 mEq / was 85 mEq / L, the data reflecting the condition of the patient:

Answer: Congestive heart failure

Choices:
A. Congestive heart failure
B. A large number of nasogastric tube drainage
C. Inappropriate antidiuretic hormone secretion (SIADH)
D. Urine sodium loss

70 year old male patient
heavy bleeding duodenal surgery
concentration
serum
third patient
mEq
L
potassium ion concentration
concentration
mEq
85 mEq
L
data
condition
patient


Question: 16 A 45 year old woman complained of loss of appetite, abdominal discomfort, and yellowing of the skin, laboratory data was as follows: prothrombin time prolonged, alkaline phosphatase (ALP) 350 U / L, GGT 280 U / L, ALT 60 U / L, AST 50 U / L, total bilirubin 7.0 mg / dL, direct bilirubin 4.2 mg / dL. He described the following steps or items most inappropriate?

Answer: Patients should be percutaneous biliary drainage (PTCD) immediately

Choices:
A. Patients should supplement vitamin K
B. Patients should accept Abdominal sonography
C. Patients should be percutaneous biliary drainage (PTCD) immediately
D. The urine of patients with bilirubin (bilirubin) will increase, jaundice and stool chromogen (urobilinogen) will be reduced by 17 account of primary biliary cirrhosis disease (primary biliary cirrhosis), and which of the following error?

year old woman
of loss
appetite
abdominal discomfort
yellowing of the skin
laboratory data
follows
prothrombin time prolonged
alkaline phosphatase
350 U
L
GGT
U
L
ALT 60 U
L
AST 50 U
L
total bilirubin
0 mg
dL
direct bilirubin
mg
dL
following steps
most inappropriate


Question: Treatment of deep vein thrombosis (Deep vein thrombosis) and its complications, following which treatment is currently the least used?

Answer: Surgical removal of thrombus (Thrombectomy)

Choices:
A. Surgical removal of thrombus (Thrombectomy)
B. Thrombolytic therapy (Thrombolysis)
C. The vena cava filter (Vena cava filter)
D. Anti-clotting drug therapy (Anticoagulant therapy)

Treatment of deep vein thrombosis
Deep vein thrombosis
complications
following
treatment
currently
least used


Question: The following account of hazard assessment, what's wrong?

Answer: Hazard identification is defined as a substance will decide whether to increase the prevalence of certain health status process

Choices:
A. Hazard assessment includes qualitative research (Qualitative Study) and Hazard Identification (Hazard Identification) in two parts
B. Hazard identification information via a variety of toxicological database of research literature and international collection, queries get
C. Hazard identification is defined as a substance will decide whether to increase the prevalence of certain health status process
D. Hazard Identification focused on the inherent toxicity of toxic chemicals confirmation


Question: HCC (Hepatocellular carcinoma) regardless of which of the following in the Epidemiology?

Answer: HAV infection

Choices:
A. HBV infection
B. HAV infection
C. Cirrhosis
D. Aflatoxin

HCC
Hepatocellular carcinoma
regardless
following
Epidemiology


Question: The following tubule cells where intracellular (intracellular canaliculi)?

Answer: Cell wall (parietal cell)

Choices:
A. Enteroendocrine cells (enteroendocrine cell)
B. Cervical mucus cells (mucous neck cell)
C. Cell wall (parietal cell)
D. Primary cells (chief cell)

following
cells
intracellular
intracellular canaliculi


Question: 1-month-old boy was hospitalized due to repeated convulsions, laboratory tests found that calcium 1.2 mmol / L (normal 2-2.75 mmol / L), phosphorus 11 mg / dL (normal 5-7 mg / dL), serum parathyroid hormone (iPTH) <1 pg / mL (normal 17-76 pg / mL), and twelve weeks after the proper treatment, calcium 2.11 mmol / L, phosphorus 6 mg / dL, at this time iPTH to 59.7 pg / mL, then following that a diagnostic test value most in line with the above changes?

Answer: Hypomagnesemia

Choices:
A. Chronic renal failure (renal dysplasia sides)
B. CATCH 22 syndrome
C. Hypomagnesemia
D. Vitamin D deficiency in neonates (neonatal vitamin D deficiency)


Question: 70-year-old man, because coughing and weight loss 10 months for medical treatment, his chest X-ray to check the figures. For further inspection, Which of the following most inappropriate?

Answer: Blood test Hepatitis interferon (interferon γ release assay)

Choices:
A. Acid resistance tablets sputum staining (acid-fast stain)
B. Sputum mycobacterial culture (mycobacterial culture)
C. TB sputum nucleic acid amplification sample (nucleic acid amplification test)
D. Blood test Hepatitis interferon (interferon γ release assay)

70 year old man
coughing
weight loss 10 months
medical treatment
chest X-ray to check
further inspection
following
inappropriate


Question: Which is not a cause of the increase in lung eosinophils?

Answer: Viral infection

Choices:
A. Allergic aspergillus infection
B. Drug reactions
C. Parasitic infections
D. Viral infection


Question: Including, common surgical ward patients had delirium (delirium), following the relevant psychiatrist for consultation to assess PRECAUTIONS, what's wrong?

Answer: In any case all first given antipsychotic drugs

Choices:
A. Detailed history, including internal, surgical patients past medical history and medication history
B. Interpretation of laboratory test data related
C. Assessment of the patient's current disorientation, cognitive function and mental symptoms
D. In any case all first given antipsychotic drugs

Including
common surgical ward patients
delirium
delirium
following
relevant psychiatrist
to
wrong


Question: 45-year-old Lee complained last six months continued occlusion of the right ear and sense of hearing loss, but no dizziness or ear drain phenomenon. Physical examination found that the eardrum is intact but the color of amber, pure tone audiometry as conductive hearing loss, following what most likely diagnosis?

Answer: Middle ear effusion

Choices:
A. Meniere's disease (Meniere's disease)
B. Chronic otitis media
C. Middle ear effusion
D. Middle ear (cholesteatoma)

year old
last six months
occlusion
right
sense of hearing loss
dizziness
ear drain
Physical examination found
eardrum
intact
color
amber
pure tone audiometry
conductive hearing loss
following
diagnosis


Question: Esophageal squamous cell carcinoma of the esophagus occurs most often in what part?

Answer: Chest in the middle of the esophagus

Choices:
A. Neck esophagus
B. The upper thoracic esophagus
C. Chest in the middle of the esophagus
D. The lower thoracic esophagus


Question: A to D if the following quality egg white mixture, under appropriate conditions, discolored gel filtration layer analysis (gel filtration chromatography) separation, the red second shot pick proposed egg white mass that?

Answer: White immunoglobulin G (immunoglobulin G) Mr = 145,000

Choices:
A. Cells discolored Su c (cytochrome c) Mr = 13,000
B. White immunoglobulin G (immunoglobulin G) Mr = 145,000
C. RNase A (ribonuclease A) Mr = 13,700
D. RNA polymerase (RNA polymerase) Mr = 450,000


Question: Bearing on the question, for the patient, which of the following best treatment should not be given priority?

Answer: Electroconvulsive therapy

Choices:
A. Cognitive behavioral therapy
B. Supportive psychotherapy
C. Electroconvulsive therapy
D. Antidepressant medications

Bearing
patient
following best treatment
not
given priority