Question: 17 A 30-year-old obese men (170 cm, 100 kg) due to severe snoring, daytime sleepiness and to the hospital for treatment, physical examination found that when patients Zhang mouth, tongue base almost on both sides of the uvula and tonsils covered. May I ask which of the following examination in the diagnosis and treatment to help minimize?

Answer: Sleep examination (polysomnography)

Choices:
A. Bacterial culture surface tonsils
B. Sleep examination (polysomnography)
C. The nasopharynx and throat soft endoscopy
D. X-ray head profile (lateral cephalometry)

30 year old obese
100 kg
severe snoring
daytime sleepiness
hospital
treatment
found
patients
mouth
tongue base almost
sides of the uvula
tonsils covered
I
following
diagnosis
treatment to help


Question: The concurrency of about renal anemia in chronic kidney disease (renal anemia), the following statements is wrong?

Answer: Patients with chronic kidney disease is often associated with blood clotting dysfunction, it is the main cause of renal anemia as gastrointestinal bleeding

Choices:
A. Renal anemia erythrocytes patterns of normal blood cell size often (normocytic) and normochromic (normochromic)
B. Renal anemia often appear weak, poor exercise tolerance (exercise intolerance), heart failure and cognitive dysfunction and other symptoms
C. Patients with chronic kidney disease is often associated with blood clotting dysfunction, it is the main cause of renal anemia as gastrointestinal bleeding
D. The hemoglobin value of renal anemia in patients with normal corrected to the standard value (≥13 g / dL), not to improve the cardiovascular complications of disease

concurrency
renal anemia
chronic kidney disease
renal anemia
following
wrong


Question: Narrative about Hodgkin's lymphoma (Hodgkin lymphoma), and Which statement is correct?

Answer: Typically the tumor, tumor cells of all the cells only a small portion of the

Choices:
A. Overall, treatment and survival of non-Hodgkin's lymphoma is less than (non-Hodgkin lymphoma)
B. Most occur in organs other than the lymph nodes
C. Typically the tumor, tumor cells of all the cells only a small portion of the
D. Histological subtypes greater impact on survival than clinical stage

Hodgkin's lymphoma
Hodgkin lymphoma
correct


Question: A 25-year-old male motorcyclist, drunken accidentally hit refuges, when facial contusion to the emergency room, the patient complained of pain around the eyes, eyelid edema and bleeding. Blowout fracture of the following statements about, what's wrong?

Answer: frontal sinus easier than maxillary sinus blood clots

Choices:
A. Waters' view and Caldwell view fundus examination evaluation may assist fracture
B. frontal sinus easier than maxillary sinus blood clots
C. Blowout fracture mainly due to the orbital floor is too weak cause
D. Often accompanied by the phenomenon of double vision (diplopia)

year old male motorcyclist
drunken
hit
facial contusion
emergency room
patient
pain
eyes
eyelid edema
bleeding
Blowout fracture
following
wrong


Question: The 30-year-old asthma patients usually have regular use of low doses of inhaled steroids to control the disease, but the situation is still often acute asthma attack, the need to use every day are 3-4 times more than the short-acting bronchodilators to control the disease. Will this time be adding Which of the following drugs is most appropriate?

Answer: Long-acting inhaled daily rules of the ethylene type sympathetic stimulants

Choices:
A. Long-acting inhaled daily rules of the ethylene type sympathetic stimulants
B. Daily use of oral theophylline
C. Long-term oral steroids
D. Regular use of inhaled anticholinergic drugs

30 year old asthma patients usually
regular
low doses
inhaled
to control
disease
often acute
need to use
day
3-4 times
short acting bronchodilators to control
disease
time
adding
following drugs
most appropriate


Question: A hospital emergency room, suddenly came 20 injured by an unknown gas leaked from the train station harm. Most injuries Jie difficulty breathing phenomenon Tisi cross-flow and miosis. The following various kinds of treatment, whichever is most inappropriate?

Answer: Decontamination of high pressure, on one powerful water jets flushing patients

Choices:
A. Rinse decontamination area should be established outside the emergency department
B. Health care workers should have at least a C grade protective equipment
C. The antidote should be well prepared (such as: atropine, PAM)
D. Decontamination of high pressure, on one powerful water jets flushing patients

hospital emergency room
20 injured
unknown gas leaked
train station
injuries
difficulty breathing
miosis
following various kinds
treatment
most inappropriate


Question:
7. ⼀ bit 36-year-old woman with no past history of chest pain due date for three consecutive ⾄ emergency treatment. Chest pain in a particular posture may be more relieved. She denied recent date Using drugs or have a history of trauma, but have a sore throat and other flu-like symptoms before the destination time. Pumping ⾎ examination revealed that D-dimer and Center Weighted normal muscle enzymes, but the white ball with inflammation index ⾎
 (HsCRP) there was a slight increase during the phenomenon. Center Weighted electronystagmography below in the diagram below. Center Weighted super dirty Rec Center Weighted dirty wave examination displayed systolic function, and no regional wall motion abnormalities (regional wall motion abnormality), can be a small amount of ⾒ Center Weighted fluid envelope. The most likely diagnosis Why?

Answer: Center Weighted package meningitis

Choices:
A. Crown Center Weighted acute disease
B. Center Weighted myositis
C. Center Weighted package meningitis
D. Pulmonary embolism

year old woman
past history of chest pain due date
three consecutive
emergency treatment
Chest pain in
posture
more relieved
denied recent date Using drugs
history
trauma
sore throat
flu-like symptoms
destination time
Pumping
revealed
D-dimer
Center Weighted normal muscle enzymes
white ball
inflammation index
slight increase
Center Weighted electronystagmography
diagram
Center Weighted
dirty Rec Center
wave
displayed systolic function
regional wall motion abnormalities
regional wall motion abnormality
small amount
Center Weighted fluid envelope
diagnosis


Question: 76. The following information about Trichinella spiralis (Trichinella spiralis) described infection, there are several correct? ① ingestion of undercooked pork ② worm parasite is common routes of infection in human skeletal muscle development and symptoms of bladder infection first appeared ③ ④ pig muscle pain is also the definitive host for the intermediate host

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


Question: That group following the contraction of muscles can cause the finger to the middle finger (middle finger) as the center of abduction (abduction) of the action?

Answer: Dorsal interosseous muscle (dorsal interossei)

Choices:
A. Palm brevis (palmaris brevis)
B. Dorsal interosseous muscle (dorsal interossei)
C. Volar interosseous muscle (palmar interossei)
D. Lumbrical (lumbricals)

group following
contraction
muscles
cause
finger
middle
middle finger
center
abduction
abduction
action


Question: A study comparing the mean blood pressure value of the four groups of patients with different statistical significant differences in ages, the method further multiple comparison test for all possible pairwise group comparison, a type made assuming error rate of 0.05 switchboard, using the Bonferroni correction method dominant level of each individual test is as follows:

Answer: 0.05/6

Choices:
A. 0.05
B. 0.05/4
C. 0.05/6
D. 0.05/12

study
mean value
four groups
patients
different statistical significant
ages
method further multiple
test
possible
group
type made
error rate
0.05
using
correction method dominant level
test
follows


Question: Differential diagnosis of chronic pelvic pain Mittelschmerz represents:

Answer: Ovulation pain

Choices:
A. Dysmenorrhea
B. Ovulation pain
C. Inflammation pain
D. Hemorrhoids pain

Differential diagnosis
chronic pelvic pain Mittelschmerz


Question: Which of the following is not a reference to check blood menopause hormones of women?

Answer: Androstenedione

Choices:
A. Estradiol (Estradiol)
B. Follicle stimulating hormone (FSH)
C. Luteinizing hormone (LH)
D. Androstenedione

following
not
to check blood menopause hormones


Question: Zenker diverticulum of esophagus often occurs in:

Answer: Killian's triangle of cricopharyngeus

Choices:
A. GE junction
B. Middle esophagus
C. Killian's triangle of cricopharyngeus
D. Thoracic inlet


Question: Airborne sound by the human body through the tympanic membrane, ossicles to the inner ear, according to the proportion of the eardrum and the stapes footplate area, the voice added a few decibels?

Answer: 15～18

Choices:
A. 3～5
B. 15～18
C. 10～13
D. 23～25

Airborne sound
human body
tympanic membrane
ossicles
inner
proportion
eardrum
stapes footplate area
voice added
few decibels


Question: From the previous question, the patient for sputum microscopy, if properly collected specimen, the following statements is wrong?

Answer: Gram staining can be seen in Gram-negative bacteria

Choices:
A. Sputum under a field of view greater than 25 visible leukocytes, epithelial cells less than 10
B. Gram staining can be seen in Gram-negative bacteria
C. Gram stain can not be effectively dyed pathogenic bacteria
D. Where appropriate dyeing, rod-shaped bacteria can be seen

previous
patient
sputum microscopy
following
wrong


Question: The following narrative about vitamin deficiency disease caused by the nervous system, what's wrong?

Answer: Anti-TB drugs INH (isoniazid) of associated neuropathy, a lack of vitamin B2B

Choices:
A. Subacute combined degeneration (subacute combine degeneration) is a lack of vitamin B12B
B. Kashagan Korsakov syndrome (Korsakoff syndrome) is a lack of vitamin B1B
C. Neuropathic beriberi (neuropathic beriberi) is a lack of vitamin B complex
D. Anti-TB drugs INH (isoniazid) of associated neuropathy, a lack of vitamin B2B

following
vitamin deficiency disease caused
nervous system
wrong


Question: About the molecular weight of unfractionated heparin (UFH) and low molecular weight LMW heparin narrative of, which of the following error?

Answer: UFH can effectively neutralize factor Xa and thrombin, but LMW heparin on thrombin and have a higher capacity in

Choices:
A. Both can prevention and treatment of pulmonary embolism
B. UFH can effectively neutralize factor Xa and thrombin, but LMW heparin on thrombin and have a higher capacity in
C. LMW heparin less phenomenon caused thrombocytopenia
D. Dose of LMW heparin clinically better control

molecular weight
unfractionated heparin
low molecular weight
heparin
following error


Question: A 48-year-old male patient complained of the slow pace and is very easy to faint, slow patients, the use of L-DOPA therapy for several years, but the effect is not obvious; discovered on physical examination: the right arm blood pressure (systolic / diastolic) in when lying 130 mmHg / 80 mmHg, sitting up when blood pressure was 90 mmHg / 50 mmHg, at this time extremely pale face; left arm of the blood pressure measurement, when lying down is 120 mmHg / 90 mmHg, sit up to 80 mmHg / 50 mmHg. The most likely diagnosis in this patient is:

Answer: Shy-Drager syndrome

Choices:
A. Wilson's disease
B. Huntington's disease
C. Shy-Drager syndrome
D. Guillain-Barre syndrome

48 year old male patient
slow pace
very easy
faint
slow patients
use of L-DOPA therapy
several years
effect
not
right arm blood pressure
systolic
diastolic
lying
mmHg
80
sitting up
blood pressure
90 mmHg
50
time extremely pale face
left arm
lying
mmHg
90
sit up
80 mmHg
50
diagnosis
patient


Question: The type of lung cancer that is most likely paraneoplastic syndrome (paraneoplastic syndrome) occurs, resulting in adrenal stimulating hormone (ACTH)?

Answer: Small cell carcinoma

Choices:
A. Adenocarcinoma
B. Squamous cell carcinoma
C. Small cell carcinoma
D. Malignant mesothelioma

The type of lung cancer
paraneoplastic syndrome
paraneoplastic syndrome
occurs
resulting in adrenal
hormone
ACTH


Question: Following on iron (iron) absorption of the narrative, what's right?

Answer: In carrier (Transporter) transport mode is absorbed

Choices:
A. Iron food hundred percent may be absorbed
B. In carrier (Transporter) transport mode is absorbed
C. Mainly absorbs in the form of Fe3 +
D. Inhibit the absorption of iron acidic environment


Question: 68 young Wang 8 years old, grew restless, and even sit still watching cartoons, the 5-year-old kindergarten, always make fun of students in class, after class students often down, the 7-year-old elementary school, classes are still unable to concentrate, talkative, and began to appear frequently blink of an eye, dry cough, throat clearing phenomenon, three months ago by a teacher suggested to seek treatment, prescription ritalin-SR, young Wang school rules significantly improved, homework progress, less conflict relationship between students, but recently a month, young Wang often appear involuntary grimace twitch phenomenon, but also angered the students laugh from time to time, it is often angry young Wang cried, what young Wang most likely diagnosis? ① Tourette's syndrome (Tourette's Disorder) ② chronic motor tics or language disorders (chronic motor or vocal tic disorder) ③ OCD (obsessive-compulsive disorder) ④ attention deficit disorder (attention-deficit disorder)

Answer: ①④

Choices:
A. ①③
B. ②④
C. ①④
D. ③④

young
years old
restless
sit
5 year old kindergarten
always make
often
year old elementary school
unable to concentrate
began to appear frequently blink
eye
dry cough
throat clearing
three months
teacher
to
treatment
ritalin-SR
young
school rules
improved
progress
less conflict relationship
recently
month
young
often appear
grimace twitch
time
time
often
young
young
likely diagnosis
syndrome
Tourette's Disorder
chronic motor tics
language disorders
chronic motor
vocal tic disorder
OCD
obsessive-compulsive disorder
attention deficit disorder
attention-deficit disorder


Question: Which of the following does not belong to Xu Qu joint (hinge joint)?

Answer: Shoulder (Shoulder joint)

Choices:
A. Shoulder (Shoulder joint)
B. Ankle (Ankle joint)
C. Elbow (Elbow joint)
D. Interphalangeal joint (Interphalangeal joint)


Question: When the two on the right direction, the conjugate muscle (yoke muscles) to the following that group?

Answer: Upper right rectus (right superior rectus muscle) and lower left oblique (left inferior oblique muscle)

Choices:
A. Upper right rectus (right superior rectus muscle) and lower left oblique (left inferior oblique muscle)
B. Upper right oblique (right superior oblique muscle) and lower left oblique (left inferior oblique muscle)
C. Upper right oblique (right superior oblique muscle) and the upper left rectus (left superior rectus muscle)
D. Lower right oblique (right inferior oblique muscle) and the upper left rectus (left superior rectus muscle)

two
right direction
muscle
yoke muscles
following
group


Question: Following which the synthesis of estrogen, can be used as oral contraceptives (oral contraceptives)?

Answer: mestranol

Choices:
A. danazol
B. desogestrel
C. mestranol
D. letrozole

Following
used
oral contraceptives
oral contraceptives


Question: The following variation of the protein structure which is the cause of osteogenesis imperfecta (osteogenesis imperfecta) of?

Answer: Collagen (Collagen)

Choices:
A. Fiber mucin (fibronectin)
B. Osteopontin (osteopontin)
C. Keratin (keratin)
D. Collagen (Collagen)

following variation
protein structure
cause
osteogenesis imperfecta
osteogenesis imperfecta


Question: 27-year-old pregnant woman, G6P3A2, 24 weeks of gestation, for examination, the results in the following figure, the name of its examination of the fetal parts Why?

Answer: head

Choices:
A. head
B. chest
C. abdomen
D. heart

27 year old
weeks of gestation
results
following
name of
examination
fetal parts


Question: The following statements about VUR (vesicoureteral reflux), and what's wrong?

Answer: Primary vesicoureteral reflux and related neurogenic bladder

Choices:
A. Primary vesicoureteral reflux and related neurogenic bladder
B. Cystitis can also result in countercurrent
C. Pre-adolescent child if the first is the International Classification of counter-current to the third phase, the first antibiotic therapy can
D. If you still adolescent females reflux, surgery should be considered

following
VUR
vesicoureteral reflux
wrong


Question: The following drugs are suitable for treating any open-angle glaucoma (open-angle glaucoma)?

Answer: betaxolol

Choices:
A. atropine
B. betaxolol
C. phentolamine
D. tropicamide

following drugs
suitable
treating
open-angle glaucoma
open-angle glaucoma


Question: 92-year-old Mr. Zhang Sanlao, 10 years ago because of stomach cancer while accepting subtotal gastrectomy and gastrojejunostomy surgery. In good condition after surgery. A few days ago he felt abdominal pain and was taken to hospital family. Physician examination found abnormal abdomen, yellow eyes a little while for him to do CT. Image display abnormal intestine and bile duct, as shown. Will Joe Smith is most likely suffering from what disease?

Answer: Bowel syndrome in end rings (afferent loop syndrome)

Choices:
A. Inability to intestinal obstruction (adynamic ileus)
B. Bowel syndrome in end rings (afferent loop syndrome)
C. Superior mesenteric artery syndrome (superior mesenteric artery syndrome)
D. 環胰（annular pancreas）

year old Mr
of stomach cancer
accepting subtotal gastrectomy
gastrojejunostomy surgery
good condition
surgery
few days
abdominal pain
hospital family
Physician
found abnormal abdomen
yellow eyes
little
to
CT
display abnormal intestine
bile duct
Smith
suffering
disease


Question: In memory of tumor cells in the body and the ability to grow is amazing, it has many ways to avoid detection and elimination of the body's immune system, and to continue to grow, these methods do not include those of the following?

Answer: Cause Type IV hypersensitivity (late phase allergic reaction) to form a mass grew

Choices:
A. Cause an increase in regulated T (Treg) cells, thereby causing an immune response of the steering
B. Peptide tumor cells do not exhibit or only very low: human leukocyte antigen (peptide: MHC) performance
C. Cause Type IV hypersensitivity (late phase allergic reaction) to form a mass grew
D. Although the tumor antigen by antigen-presenting cells (APC) performance to T cells, T cell antigen but will not react to this

memory
tumor
body
ability to
amazing
to
detection
elimination
body's immune system
to
to
methods
not include
following


Question: Lax about following acute encephalomyelitis (acute disseminated encephalomyelitis, ADEM) of the narrative, what's wrong?

Answer: Often violated nerve cell (neuron)

Choices:
A. To a pulp de lesions (demyelinating illness)
B. Is an acute inflammatory response (acute inflammatory illness)
C. Meningeal infiltration may be generated (meningeal infiltration)
D. Often violated nerve cell (neuron)

Lax
following acute encephalomyelitis
acute disseminated encephalomyelitis
ADEM
wrong


Question: In DNA replication, following what enzyme function is mainly used to increase the accuracy of DNA replication?

Answer: Single-stranded DNA binding protein

Choices:
A. Single-stranded DNA binding protein
B. 3 '→ 5' exonuclease
C. DNA ligase
D. DNA helicase

DNA replication
following
enzyme function
used to increase
accuracy
DNA replication


Question: 1 A 35-year-old female patient was macroscopic hematuria treatment. She did not have a fever or other symptoms of bladder discomfort. Family history, the 65-year-old mother died of uremia. Physical examination found that the blood pressure of 150/100 mmHg, no anemia or jaundice; no abnormal skin, liver and spleen enlargement, but faintly touch both kidneys, lower extremity edema. Further about this patient's diagnosis or treatment, which of the following is most correct?

Answer: Should do the ultrasound examination, diagnosis may be adult polycystic kidney disease (polycystic kidney disease)

Choices:
A. Should do hearing tests, diagnosis may be quite A special syndrome (Alport syndrome)
B. Renal angiography should be done, the diagnosis may be renal arterial hypertension (renovascular hypertension)
C. Should do the ultrasound examination, diagnosis may be adult polycystic kidney disease (polycystic kidney disease)
D. Blood tests should complement and antinuclear antibodies, diagnosis may be systemic lupus erythematosus (systemic lupus erythematosus)

1
35 year old female patient
macroscopic hematuria treatment
not
fever
symptoms
bladder
Family history
65 year old
died
uremia
found
blood pressure
100 mmHg
anemia
jaundice
abnormal skin
liver
spleen enlargement
touch
kidneys
lower extremity edema
Further
patient's diagnosis
treatment
following
most correct


Question: When the suspected ruptured globe, following the disposal of what's wrong?

Answer: The amount of eye pressure (IOP)

Choices:
A. The amount of eye pressure (IOP)
B. Metal protective goggles
C. According to X-ray, for example, Water's view or eye CT
D. Intravenous cephalosporine

suspected ruptured globe
following
wrong


Question: For a description of cat scratch disease (Cat-scratch disease), and what's wrong?

Answer: Cat scratch disease is caused by the bacteria Pasteurella multocida

Choices:
A. Cat scratch disease is caused by the bacteria Pasteurella multocida
B. Clinical manifestations often local lymph nodes
C. Symptoms can last for weeks or even months
D. Most patients will not cause fever

cat scratch disease
Cat-scratch disease
wrong


Question: Sympathetic chain (sympathetic chain) into the abdominal cavity where the following diaphragmatic (diaphragm) of?

Answer: The medial arcuate ligament (medial arcuate ligament)

Choices:
A. The median arcuate ligament lower (median arcuate ligament)
B. The medial arcuate ligament (medial arcuate ligament)
C. The outer arcuate ligament (lateral arcuate ligament)
D. Aortic hole (aortic hiatus)

Sympathetic chain
sympathetic chain
abdominal cavity
following diaphragmatic
diaphragm


Question: The following color duplex ultrasonogram scan the description, that one is not correct?

Answer: The main reflectors (reflectors) in blood platelets

Choices:
A. The higher the frequency of the incident wave, the reflected wave changes frequency (Doppler shift) greater
B. The main reflectors (reflectors) in blood platelets
C. Meaning of colors including the availability of blood flow, blood flow direction and speed of blood flow
D. Size of the frequency change of a reflected wave associated with the incident angle and the direction of blood flow


Question: The following description of the relevant calcaneal, what's wrong?

Answer: Normal calcaneus Böhler angle less than 20 degrees

Choices:
A. About 10% of patients with calcaneal fractures vertebral fractures consolidation
B. About 10% of patients with fractures of the heel compartment syndrome generation, resulting fixed clawing of the toes
C. According to Essex-Lopresti classification, can be divided into Tongue type calcaneal fractures and Joint depression type
D. Normal calcaneus Böhler angle less than 20 degrees


Question: 65 year old woman in the right upper quadrant pain, jaundice and two months, lost six kilograms from seeking treatment, the following diseases, the most unlikely:

Answer: Gallstones intestinal obstruction (gallstone ileus)

Choices:
A. Bile duct cancer (cholangiocarcinoma)
B. Gallstones intestinal obstruction (gallstone ileus)
C. Hepatoma cells (hepatocellular carcinoma)
D. Pancreatic cancer (pancreatic carcinoma)

65 year old woman
right upper quadrant pain
jaundice
two months
lost six kilograms
treatment
following diseases
most unlikely


Question: About sleep disorders, Which statement is correct?

Answer: Sleep panic disorder (sleep terror) ⽣ often occur in non-rapid eye movement of deep sleep (deep NREM sleep)

Choices:
A. Sleep panic disorder (sleep terror) often occur ⽣ to sleep late at night
B. Sleepwalking (sleepwalking) mainly made ⽣ in rapid eye movement (REM period)
C. Nightmare (nightmare, nightmare) mainly sent ⽣ in non-rapid eye movement (NREM)
D. Sleep panic disorder (sleep terror) ⽣ often occur in non-rapid eye movement of deep sleep (deep NREM sleep)


Question: From the previous question, this patient's treatment, what's the best?

Answer: Extensive tumor resection and eyelid reconstruction

Choices:
A. Implementation tumor cut again and curettage (incision and curettage)
B. Radiation treatment
C. Freezing treatment
D. Extensive tumor resection and eyelid reconstruction


Question: After a meal blood sugar into the liver cells and skeletal muscle cells converted into glycogen (glycogen), which of the following types of glucose to glycogen synthesis directly involved?

Answer: UDP-glucose

Choices:
A. glucose 1-phosphate
B. glucose 6-phosphate
C. CMP-glucose
D. UDP-glucose

blood sugar
glycogen
glycogen
following types
glucose
directly involved


Question: 20-year-old woman, after using hair dye causes a reaction as shown in the following statements is wrong?

Answer: Dermatitis caused by hair dye belongs to the second type hypersensitivity

Choices:
A. The most common allergic reactions caused by hair dye ingredient para-phenylenediamine
B. Dermatitis caused by hair dye belongs to the fourth type hypersensitivity
C. Dermatitis caused by hair dye belongs to the second type hypersensitivity
D. Stickers skin test helps confirm allergens

20 year old woman
using
causes
reaction
following
wrong


Question: Dry artery disease (Truncus arteriosus) shortly after birth have severe heart failure, by far the best surgical approach is:

Answer: In infancy as a fully surgery

Choices:
A. Pulmonary artery banding procedure
B. In infancy as a fully surgery
C. Aortic valve repair
D. Arterial to pulmonary artery shunt

Dry artery disease
Truncus arteriosus
birth
severe heart failure
far
best surgical approach


Question: From the previous question, this patient, which of the following best treatment should not be given priority?

Answer: Electroconvulsive therapy

Choices:
A. Drug treatment
B. Cognitive Therapy
C. Behavior Therapy
D. Electroconvulsive therapy

previous
patient
following best treatment
not
given priority


Question: 24-year-old male disease psychosis (schizophrenia) patients refuse medication because a year caused by worsening of symptoms, physician assessment after giving haloperidol intramuscular injection, 12 hours later, the case suddenly eyeball hanging, stiff neck and torso twist, the following statements, what's the most correct?

Answer: Zhang acute muscle loss (acute dystonia), should be immediately given anti-acetylcholine drugs intramuscular

Choices:
A. Seizures, shall be given anti-epileptic drugs
B. Zhang acute muscle loss (acute dystonia), should be immediately given anti-acetylcholine drugs intramuscular
C. As tardive movement disorders (tardive dyskinesia), should be replaced by the second generation antipsychotics
D. Anti-anxiety agents for drug contraindications

year old male disease psychosis
schizophrenia
patients
medication
year caused
worsening
symptoms
physician
giving haloperidol intramuscular
12 hours later
case
eyeball hanging
stiff neck
torso twist
following
most correct


Question: A 58 year old woman pelvic tumor laparotomy, intraoperative detection of malignant ovarian tumors, and therefore the line hysterectomy, tubal ND lose both ovaries removed, omentectomy, both pelvic lymph resection of all visible tumors are completely removed. Pathological examination revealed that both ovarian cancer cell infiltration Jie, other portions are not. Peritoneal cytology examination showed malignant cells. This staging of ovarian cancer patients (stage) is:

Answer: Ic

Choices:
A. a
B. Ic
C. IIb
D. IIc


Question: 72 A 35-year-old male patient, after a fall, leg pain and swelling, duration of symptoms; there is increasing trend in the last two months, and the affected area redness; patient underwent MRI examination calf; A picture shows T1WI, sagittal view; Photo B T2 WI, axial view. Why is the correct diagnosis?

Answer: chronic osteomyelitis with sinus tract of tibia

Choices:
A. post-traumatic fracture of tibia
B. primary bone tumor, complicated with fracture
C. chronic osteomyelitis with sinus tract of tibia
D. chronic osteomyelitis with sinus tract of fibula

72
35 year old male patient
fall
leg pain
swelling
duration of symptoms
increasing trend
two months
affected area redness
patient
MRI
calf
picture
sagittal view
WI
axial view
correct diagnosis


Question: A 68-year old man was sent to the emergency room of consciousness, neurological examination revealed: both sides of the pupil light reflex narrow but normal, appears doll's eye phenomenon when turned around, while Cheyne-Stokes respiration, both sides of the motor system function symmetry, no local phenomenon of paralysis. Create awareness of the barriers most likely cause of this patient or lesion is:

Answer: Diffuse brain lesions (diffuse encephalopathy)

Choices:
A. Diffuse brain lesions (diffuse encephalopathy)
B. Midbrain (midbrain) lesions
C. Pons (pons) lesions
D. Medulla (medulla) lesions

year old man
sent
emergency room
consciousness
neurological examination revealed
sides
pupil light reflex narrow
normal
appears
eye
turned
Cheyne-Stokes respiration
sides
system
symmetry
local
paralysis
Create
barriers
likely cause
patient
lesion


Question: About measurement scale (measurement scale) narrative Which statement is correct?

Answer: Cholesterol (mg / 100 ml) for the geometric dimensions (ratio scale)

Choices:
A. ⾎ type of order bit scale (ordinal scale)
B. Cholesterol (mg / 100 ml) for the geometric dimensions (ratio scale)
C. Body temperature (taken ⽒ degrees C) is a geometric scale (ratio scale)
D. Cancer staging is an isometric scale (interval scale)


Question: The following information about lactose (lactose) of the digestion and absorption and metabolism of the narrative, what's right?

Answer: Lactose intolerance can cause osmotic diarrhea (osmotic diarrhea)

Choices:
A. Pancreas to secrete lactase (Lactase) digest lactose
B. The adult lactase (lactase) will rise and race-related
C. Lactose intolerance can cause osmotic diarrhea (osmotic diarrhea)
D. Galactosemia (galactosemia) is caused by hyperphagia lactose

following lactose lactose digestion absorption metabolism right


Question: There is a two year old child was hospitalized because of abdominal pain. Ultrasonic reported as "Cystic dilatation of the common bile duct, intrahepatic ducts are normal", your diagnosis:

Answer: Choledochal cyst typeⅠ

Choices:
A. Choledochal cyst typeⅠ
B. Choledochal cyst typeⅡ
C. Choledochal cyst type Ⅲ
D. Choledochal cyst type Ⅳ

two year
hospitalized
abdominal pain
Ultrasonic reported
Cystic dilatation of
common bile duct
intrahepatic ducts
normal
diagnosis


Question: 60-year-old Lee, smoking for decades, due to nasopharyngeal cancer eight years ago while undergoing radiation therapy, regular follow-up no recurrence, the past year has dizziness, three days before the sudden emergence of the left hand and left leg weakness, continued 30 minutes before resuming, following the disposal of what is the highest priority?

Answer: Neck auscultation and duplex ultrasonogram

Choices:
A. Neck auscultation and duplex ultrasonogram
B. Whether there is oppression cervical CT examination
C. Clinical check nasopharyngeal local recurrence
D. Systemic nuclear medicine examination and rule out whether there are other transfers

60 year old
smoking
decades
nasopharyngeal cancer eight years
radiation therapy
regular follow-up
recurrence
past year
dizziness
three days
sudden
left hand
left
30 minutes
resuming
following
highest priority


Question: Early pregnant women smear malignant cells, if colposcopy and biopsy could not determine the presence of invasive cervical cancer, and to perform diagnostic conical sections (conization), the best and when?

Answer: Ⅱ of pregnancy (second trimester)

Choices:
A. The first stage of pregnancy Ⅰ (first trimester)
B. Ⅱ of pregnancy (second trimester)
C. Ⅲ of pregnancy (third trimester)
D. postnatal

Early
smear malignant cells
colposcopy
biopsy
not
presence
invasive cervical cancer
to perform diagnostic conical sections
conization
best


Question: Which of the following drugs can clear the infection African sleeping disease patient's blood and lymph nodes of trypanosomiasis?

Answer: melarsoprol

Choices:
A. nifurtimox
B. melarsoprol
C. pentamidine
D. suramin

following drugs
clear
infection
sleeping blood
lymph nodes
trypanosomiasis


Question: Clinical diagnosis and treatment in general, which of the following is the most common cause of polyneuropathy it?

Answer: diabetes

Choices:
A. Chronic alcoholism
B. lead poisoning
C. diabetes
D. Uremia

Clinical diagnosis
following
most common cause
polyneuropathy


Question: Xiao Ming is a human immunodeficiency virus (human immunodeficiency virus) were infected with the disease, is currently receiving anti-retroviral drugs (antiretroviral therapy). The following related description, what's wrong?

Answer: Who receive treatment should be regular follow-CD3 lymphocyte count and viral load

Choices:
A. Pneumocystis pneumonia (Pneumocystis pneumonia) is the most common lung suffering from AIDS opportunistic infections
B. With the use of anti-retroviral drugs, opportunistic infection in AIDS patients has been drastically reduced
C. Taking anti-retroviral drugs can cause increased blood fat, blood sugar rises and other metabolic side effects
D. Who receive treatment should be regular follow-CD3 lymphocyte count and viral load

human immunodeficiency virus
human immunodeficiency virus
infected
disease
currently receiving
drugs
antiretroviral therapy
following related
wrong


Question: At present, China's mental health work main legal basis for why?

Answer: Mental Health Act

Choices:
A. Mental Health Act
B. Public Mental Health Act
C. Mental Health Act
D. Community Mental Health Care Act


Question: Which of the following is not a feature of apoptosis (apoptosis) of?

Answer: Cell swelling 40 passes sound waves that without following a structure?

Choices:
A. DNA fragmentation
B. Apoptotic body
C. Of blister-like membrane (blebbing)
D. Cell swelling 40 passes sound waves that without following a structure?

following not feature apoptosis apoptosis


Question: In patients undergoing surgery often have low body temperature (hypothermia) occurs, the following information about the operation described in hypothermia phenomenon, what's wrong?

Answer: Hypothermia surgery does not increase the complications and mortality after surgery

Choices:
A. When referred to hypothermia in patients in anesthesia body temperature below 36 ℃
B. Hypothermia can reduce the metabolic demand for oxygen, so hypothermia can provide a protective effect on the brain or cardiac ischemia
C. Hypothermia surgery does not increase the complications and mortality after surgery
D. Surgery hypothermia due to the phenomenon of the age of the patient, abdominal surgery, surgery and prolonged low temperature and more Rongyifasheng

patients
surgery often
low body temperature
hypothermia
occurs
following
operation
hypothermia
wrong


Question: One pregnancy 32 weeks pregnant women come for prenatal care physicians in addition to this interrogation fetal symptoms, past pregnancy history, family history of disease and physical examination, but also need to arrange a real laboratory examination. Check the following items that are necessary for the process to arrange the time this pregnancy?

Answer: Hepatitis B Surface Antigen Test

Choices:
A. Thyroid function
B. Glucose-6-phosphate dehydrogenase (dehydrogenase deficiency inspection)
C. Oral glucose tolerance test
D. Hepatitis B Surface Antigen Test

One pregnancy
weeks
physicians
fetal symptoms
past pregnancy
family history of disease
need to
real laboratory examination
Check
following
process to
time
pregnancy


Question: Pregnant 8 months pregnant unfortunate fall from 5 meters high, the following statements is wrong?

Answer: Aid pregnant women, without spinal cord injury, on the left, preventing uterine compression aorta lie

Choices:
A. The most effective first aid fetus, is to maintain stable vital signs for pregnant women
B. Aid pregnant women, without spinal cord injury, on the left, preventing uterine compression aorta lie
C. Also need to monitor fetal heartbeat
D. Even if the mother's life signs stable, but the fetus may be in shock

Pregnant 8 months
fall
5 meters high
following
wrong


Question: A 25-year-old young people suffering from psoriasis, after riding a bicycle fall there is a scratch on the right thigh, a psoriasis lesions grow in the future on the wound, this phenomenon is a feature that psoriasis?

Answer: Koebner phenomenon

Choices:
A. Darier sign
B. Auspitz's sign
C. Nikolsky sign
D. Koebner phenomenon

year old young
suffering
psoriasis
bicycle fall
scratch
right thigh
psoriasis lesions
future
wound
feature
psoriasis