Question: Chymotrypsinogen (chymotrypsinogen) How to convert form chymotrypsin (chymotrypsin)?

Answer: Chymotrypsinogen via proteolysis (proteolysis), chymotrypsin generated

Choices:
A. By a protein kinase (protein kinase) The original chymotrypsin phosphorylation (phosphorylation), chymotrypsin generated
B. Chymotrypsinogen binding cAMP, chymotrypsin form
C. Chymotrypsinogen binding with calcium ions to form chymotrypsin
D. Chymotrypsinogen via proteolysis (proteolysis), chymotrypsin generated

Chymotrypsinogen
chymotrypsinogen
to
form chymotrypsin
chymotrypsin


Question: From the previous title, girls most likely diagnosis is:

Answer: The first renal tubular acidosis (renal tubular acidosis, type I)

Choices:
A. The first renal tubular acidosis (renal tubular acidosis, type I)
B. The fourth type of renal tubular acidosis (renal tubular acidosis, type IV)
C. Bartter's syndrome (Bartter syndrome)
D. Fanconi syndrome (Fanconi syndrome)


Question: Statements about postpartum depression (postpartum depression), and what's right?

Answer: Higher lifetime risk of major depression

Choices:
A. Most postpartum onset at 3 to 5 days
B. Few ideas have hurt the newborn
C. Higher lifetime risk of major depression
D. Without treatment, usually within a month to relieve itself

postpartum depression
postpartum depression
right


Question: A 58-year-old female patient was the last month of lower extremity edema with increasing severity hospitalized. Patient's medical history, including hypertension, hyperlipidemia, diabetic patients with peripheral arterial disease caused by resection of the toes feet, and old myocardial infarction. Recent evening lie flat dyspnea, nocturia. Physical examination audible S3, S4, both apparent lung auscultation, jugular venous distention. The admission examination BUN 60 mg / dL, creatinine 2.5 mg / dL, a month ago, BUN 34 mg / dL, creatinine 1.2 mg / dL. Of the following is most incorrect?

Answer: Deterioration of renal function after kidney patients may lead to (post-renal) factors, should be placed catheter may relieve urinary tract obstruction

Choices:
A. Fluid overload the patient must use diuretics to increase urine output
B. Deterioration of renal function after kidney patients may lead to (post-renal) factors, should be placed catheter may relieve urinary tract obstruction
C. Patients with worsening renal function may lead to heart failure, cardiac function should be carefully evaluated
D. Patient's renal function deterioration may be caused by improper use of drugs, medication should ask detailed record

58 year old female patient
last month of lower extremity edema
increasing severity hospitalized
Patient's medical history
including hypertension
hyperlipidemia
diabetic patients
peripheral arterial disease caused
resection
toes feet
old myocardial infarction
Recent evening
flat dyspnea
nocturia
S3
S4
lung auscultation
jugular venous distention
60 mg
dL
creatinine
mg
dL
month
mg
dL
creatinine
mg
dL
following
most incorrect


Question: Central foot dorsal column system (dorsal column-medial lemniscal system) the message via the first-order neuron, second-order neuron, and third-order neuron is transmitted by the peripheral to central, for these three types of neurons may be located in the position of the cell body of the narrative Which of the following correctly?

Answer: second-order neuron is located in brain stem

Choices:
A. first-order neuron位於dorsal horn of the spinal cord
B. second-order neuron is located in brain stem
C. third-order neuron is located hypothalamus
D. third-order neuron is located in substantial nigra

Central foot dorsal column system
dorsal column medial lemniscal system
first-order
second order
third order
transmitted by
peripheral
central
three
position
cell
following


Question: Symptoms large kidney cancer palliative blood clots that occur include low back pain, fever and increased white blood cells usually lasts a few days?

Answer: 3 days

Choices:
A. 1 day
B. 3 days
C. 7 days
D. 10 days


Question: Which of the following is the most common cause of acute facial palsy?

Answer: Bell's palsy (Bell palsy)

Choices:
A. Ramsay Hunt syndrome
B. Bell's palsy (Bell palsy)
C. Skull base osteomyelitis (skull base osteomyelitis)
D. Temporal bone fracture (temporal bone fracture)

following
most common cause
acute facial palsy


Question: From the previous question, describes the interaction of physicians and their families at the beginning of the following information about the interview, what's wrong?

Answer: Description and make recommendations to the families against the disease

Choices:
A. Accompanied by family members to each patient's call to pay tribute
B. Description and make recommendations to the families against the disease
C. Encourage every family member reported the observation of the patient's condition
D. Note emotional performance of each family

previous interaction physicians beginning following wrong


Question: Bearing on the question, which of the following disposal the most appropriate treatment of the patient?

Answer: Transcatheter embolization embodiment (transcatheter arterial embolization)

Choices:
A. Full nephrectomy (total nephrectomy)
B. Subtotal nephrectomy (subtotal nephrectomy)
C. Transcatheter embolization embodiment (transcatheter arterial embolization)
D. Conservative therapy (blood transfusion and only)

Bearing
following
most appropriate
patient


Question: A 3-year-old boy, born with cerebral anoxia due to dystocia phenomenon and there is a baby suffering from nodding spasms (infantile spasm) diagnosis 3 months old, with the exception spasms persist, but also often general weakness suddenly fell to the ground , somehow daze clonic convulsions and generalized stiffness and loss of sanity and so on. The following statements is wrong?

Answer: 80% of patients after puberty will automatically heal gradually recovered

Choices:
A. The most likely diagnosis of Lennox-Gastaut syndrome
B. valproic acid is a drug commonly used to treat this disease
C. Intelligent developmental delay (mental retardation) as one of its diagnostic condition
D. 80% of patients after puberty will automatically heal gradually recovered

3 year old boy
born
cerebral anoxia
dystocia
baby suffering
nodding spasms
infantile spasm
diagnosis
months old
spasms
often general weakness
fell
daze clonic convulsions
generalized stiffness
loss
so
following
wrong


Question: Which of the following participate defecation reflex?

Answer: Anal sphincter by stimulating the parasympathetic release of acetylcholine

Choices:
A. Rectum feeling pressure to nerve receptors convey submucosal plexus
B. Rectal smooth muscle by lumbar nerve stimulation release of epinephrine
C. Outside the anus and anal sphincter together by the enteric nervous stimulate the release of nitric oxide
D. Anal sphincter by stimulating the parasympathetic release of acetylcholine


Question: Which of the following is not included in the spermatic cord?

Answer: Ilioinguinal nerve

Choices:
A. Vas deferens
B. Testicular artery
C. Sympathetic nerve fibers
D. Ilioinguinal nerve


Question: The following about the great arteries (transposition of great vessels) described congenital heart disease, whichever is most inappropriate?

Answer: Ascending aorta is located behind the left pulmonary trunk

Choices:
A. Connected to the right ventricle aorta
B. Connected to the left ventricle of pulmonary
C. Ascending aorta is located behind the left pulmonary trunk
D. Left ventricular wall becomes thinner

following
great arteries
transposition of great vessels
congenital heart disease
most inappropriate


Question: The following statements about pertussis toxin (pertussis toxin), and what's wrong?

Answer: Through holes in the cell membrane of the host cell kill

Choices:
A. Is an exotoxin (exotoxin)
B. Through holes in the cell membrane of the host cell kill
C. Increases the secretion of the respiratory tract mucus
D. Is composed of a component pertussis vaccine

following
pertussis toxin
pertussis toxin
wrong


Question: The main disadvantage that one of the following controlled study of patients?

Answer: Recall bias

Choices:
A. Ecological fallacy
B. Recall bias
C. Diagnostic criteria change
D. Not suitable for the study of rare diseases


Question: Risk factors for aneurysm formation does not include which of the following?

Answer: diabetes

Choices:
A. ADVANCED Age
B. male
C. ADVANCED ⾎ fat
D. diabetes

Risk factors
aneurysm formation
not include
following


Question: The following narrative about the Leishmania in and what was right?

Answer: Leishmania donovani (Leishmania donovani) is leishmaniasis (kala-azar) pathogen

Choices:
A. Patients with chronic infection 巴西利什曼 parasite (Leishmania braziliensis), its ear cartilage is often caused by erosion chiclero's ulcer
B. Baby Leishmania (Leishmania infantum) can invade the human body all nucleated cells proliferation
C. Leishmania donovani (Leishmania donovani) is leishmaniasis (kala-azar) pathogen
D. Tropical Leishmania (Leishmania tropica) have never been reported to result in human cases of visceral leishmaniasis (visceral leishmaniasis) of


Question: Statements about obstructive sleep apnea (obstructive sleep apnea, OSA) is, which of the following error?

Answer: Mainly by spirometer (spirometry) and EEG to diagnose

Choices:
A. Mainly by spirometer (spirometry) and EEG to diagnose
B. Closely related to the occurrence of obesity and OSA
C. Easy to snoring, daytime sleepiness and nocturnal sleep apnea symptoms
D. Treatment of sleep wearing the CPAP (continuous positive airway pressure) based

obstructive sleep apnea
obstructive sleep apnea
OSA
following error


Question: Which of the following does not include the quality of medical care in the six goals set by the United States Institute of Medicine in?

Answer: Convenience (Convenience)

Choices:
A. Patient Safety (Patient safety)
B. Effective (Effectiveness)
C. Convenience (Convenience)
D. Equality (Equity)

following
not include
medical
six
set
United States


Question: That one of the following oral opioid has the longest half-life (half life)?

Answer: methadone

Choices:
A. codeine
B. morphine
C. oxycodone
D. methadone

one
following oral opioid
longest half-life
half life


Question: Description of the relevant primary cardiac tumors following, what's wrong?

Answer: The primary cardiac tumors are benign about 25%, about 75% of malignant

Choices:
A. The primary cardiac tumors are benign about 25%, about 75% of malignant
B. The most common adult primary tumor is benign cardiac myxoma
C. Children under the age of 15 in the most common primary cardiac tumors are benign rhabdomyoma
D. Even within the primary benign cardiac tumors, once determined to failure, embolism, and symptoms of infection endocarditis, we have to consider surgery

relevant primary cardiac following
wrong


Question: Which of the following occurs most obstruction without affecting the blood supply to the hip?

Answer: Internal pudendal artery

Choices:
A. Superior gluteal artery
B. Gluteal artery
C. Internal pudendal artery
D. Medial femoral artery

following occurs
obstruction
affecting
blood supply
hip


Question: Patients with acquired immune deficiency syndrome (AIDS), the eye of the most common opportunistic infections (opportunistic infection) Why?

Answer: Cytomegalovirus retinitis (cytomegalovirus retinitis)

Choices:
A. Kaposi's sarcoma (Kaposi's sarcoma)
B. Cytomegalovirus retinitis (cytomegalovirus retinitis)
C. Cryptococcus choroiditis (cryptococcal choroiditis)
D. Choroiditis Pneumocystis carinii (pneumocystis choroiditis)

Patients
acquired immune deficiency syndrome
eye
common
infections
opportunistic infection


Question: The following types of diuretics that ⼀ merger ⽣ physiological salt water resistant injection administration, ⾎ Use to treat the symptoms of calcium through the results ADVANCED best?

Answer: furosemide

Choices:
A. furosemide
B. hydrochlorothiazide
C. amiloride
D. conivaptan

following types
diuretics
physiological
resistant injection administration
Use to treat
symptoms
calcium
results ADVANCED best


Question: 11 If the tidal volume of 450 ml, 150 ml dead space, respiratory rate per minute is 12, the minute ventilation of the alveoli (alveolar ventilation) how many milliliters?

Answer: 3600

Choices:
A. 1800
B. 3600
C. 5400
D. 7200

tidal volume
450 ml
ml dead space
respiratory rate
minute
minute ventilation
alveoli
alveolar ventilation
milliliters


Question: Identification of recurrent astrocytomas (recurrent astrocytoma) and cerebral necrosis after radiotherapy (radiation necrosis of brain), are the best examination:

Answer: Positron CT (positron emission tomography, PET)

Choices:
A. CT (computed tomography, CT)
B. MRI (magnetic resonance imaging, MRI)
C. Positron CT (positron emission tomography, PET)
D. Single photon computed tomography (single-photon emission computed tomography, SPECT)

Identification
recurrent astrocytomas
recurrent astrocytoma
cerebral necrosis
radiotherapy
radiation
brain
best


Question: About breast ultrasound examination of the narrative, which of the following error?

Answer: Breast ultrasound as a screening tool may be, the effect is good than breast X-ray photography, and may be more reduced mortality

Choices:
A. Breast simplicity hygroma (simple cyst) presented in sonography, smooth edges, no internal sound waves (echo-free)
B. Breast ultrasound as a screening tool may be, the effect is good than breast X-ray photography, and may be more reduced mortality
C. Breast ultrasound for less than 1 centimeter lesion is not easy to distinguish between benign and malignant
D. Breast cancer in breast ultrasound imaging often show irregular edges, but the appearance is neat Zheyi common


Question: Mama Lee kidney failure to the late, after receiving dialysis treatment for some time, received a kidney transplant. By a strange car accident brain dead donors receive a kidney. Lee's mother and the major donor tissue antigens (Major Histocompatibility Complex) test stereotypes are identical. But her mother Lee still appear rejection after a kidney transplant, the reason may be why?

Answer: At present, the accuracy of tissue antigens tested stereotypes still inadequate. Secondary and tissue antigens (Minor Histocompatibility

Choices:
A. At present, the accuracy of tissue antigens tested stereotypes still inadequate. Secondary and tissue antigens (Minor Histocompatibility
B. Mama Lee long-term dialysis treatment, causing excessive allogeneic immune response (alloreactivity)
C. When the implant kidney transplants, kidney implanted with the donor of the immune cells caused by the anti-host (graft versus host) immune response
D. Because donors with the original (HBsAg positive) as hepatitis B, implantation of the kidney caused by a series of HBsAg immune responses lead to rejection

kidney failure
late
receiving dialysis treatment
time
received
kidney transplant
car accident brain dead donors receive
kidney
major
Major Histocompatibility Complex
test stereotypes
identical
appear rejection
kidney transplant


Question: In animal cells, which of the following were net product of anaerobic glycolysis (anaerobic glycolysis) of glucose?

Answer: ATP and lactate

Choices:
A. ATP and pyruvate
B. ATP and lactate
C. NAD + and ethanol
D. ATP and acetyl-CoA


Question: The following description of primary aldosteronism about it, what's wrong?

Answer: renin activity in plasma significantly increased

Choices:
A. Hypokalemia is a significant change in the disease
B. Concentration in plasma aldosterone generally rises
C. renin activity in plasma significantly increased
D. The main source of the disease adrenal tumors or both sides of the adrenal hyperplasia


Question: When using digitalis (digoxin) drugs, which of the following will increase the toxicity of digitalis less of?

Answer: High potassium levels (hyperkalemia)

Choices:
A. High blood calcium (hypercalcemia)
B. High potassium levels (hyperkalemia)
C. Myocarditis
D. Poor renal function

using digitalis
digoxin
drugs
following
increase
toxicity
digitalis


Question: Which of the following ways amblyopia treatment less effective?

Answer: Botox (botulinum toxin) to prime amblyopia

Choices:
A. Shutter (occlusion) therapy (covering the good eye)
B. Prohibition (penalization) therapy (good eye point atropine eye drops)
C. Refractive glasses (optical devices)
D. Botox (botulinum toxin) to prime amblyopia

following
amblyopia treatment less effective


Question: For the acquired immunodeficiency syndrome (AIDS) narrative, what's wrong?

Answer: HIV infection is AIDS

Choices:
A. Pathogens are HIV (human immunodeficiency virus)
B. HIV infection is AIDS
C. AIDS patients often have tuberculosis infection
D. Kaposi's sarcoma can occur in AIDS patients

acquired immunodeficiency syndrome
wrong


Question: 65 a 21-year-old male patient, the last half year there will be occasional back pain occurs in the middle of the night or early morning. Recent months, almost every day early in the morning there will be sour waist, lower back stiffness and difficulty getting up. In addition, chest men Tong and the left thigh and left knee joints have exercise-induced pain. These symptoms will ease the work during the day. But to sit for too long will have back pain and restless. Blood tests found by ESR 43 mm / 1h, 88 mm / 2h, CRP 3.76 mg / dL, ANA 1: 160 (+) speckled, IgG 1650 mg / dL, mg / dL, IgM 124 mg / dL, RF <20 IU / mL. The patients most likely diagnosis is:

Answer: ankylosing spondylitis

Choices:
A. rheumatoid arthritis
B. systemic lupus erythematosus
C. left side sciatica
D. ankylosing spondylitis

65
21-year-old male patient
last half year
occasional back pain occurs
middle
night
early morning
Recent months
almost every day early
morning
sour waist
lower
difficulty getting
addition
chest
Tong
left thigh
left knee joints
exercise-induced pain
symptoms
day
to sit
too long
back pain
restless
Blood tests found
ESR
mm
1h
88 mm
2h
CRP
76 mg
dL
speckled
mg
dL
mg
dL
IgM
mg
dL
RF
20 IU
mL
patients
likely diagnosis


Question: Patients with stroke patients with unilateral weakness throat (pharyngeal weakness), the most commonly used following what posture swallowing?

Answer: Head toward the affected side

Choices:
A. Head toward the affected side
B. Head turned to the contralateral
C. His head and eating
D. Down to eat

Patients
stroke
unilateral weakness throat
pharyngeal weakness
most
used following
posture swallowing


Question: Can be spread by the Black Death plague bacillus (Yersinia pestis) caused by the different ways in which the main mode of transmission between people?

Answer: Droplet infection

Choices:
A. skin contact
B. Blood transfusions
C. Fecal contamination of water sources
D. Droplet infection

spread
Black Death
caused
different
main mode of transmission


Question: When illuminated with a flashlight in patients with left eye, the left pupil contraction, right pupil no response, it was possible reason?

Answer: Right oculomotor nerve damage

Choices:
A. Two patients with completely normal
B. Right optic nerve disability
C. The left optic nerve disability
D. Right oculomotor nerve damage

patients
left eye
left pupil contraction
right pupil
response
possible


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

Answer: atorvastatin belongs prodrug, must parenteral metabolized into the active metabolite

Choices:
A. Major role in the HMG-CoA reductase, inhibiting cholesterol biosynthesis
B. The high affinity LDL receptor lead to increased performance
C. atorvastatin belongs prodrug, must parenteral metabolized into the active metabolite
D. Can be combined with cholestyramine, reached the cholesterol-lowering additive effect


Question: The following statements is wrong?

Answer: Under agonist simultaneously with the competitive inhibitor is present, regardless of how much the dose, its effectiveness will be lower than the utility of the presence of agonist alone

Choices:
A. Under agonist and allosteric inhibitor exist, its effectiveness will be lower than the utility of the presence of agonist alone
B. When the antagonist and agonist acting at the same position, called competitive inhibitor
C. Under agonist simultaneously with the competitive inhibitor is present, regardless of how much the dose, its effectiveness will be lower than the utility of the presence of agonist alone
D. Under agonist and allosteric activator exist, its effectiveness will be higher than the utility of the presence of agonist alone


Question: A 50-year-old woman appeared in the neck and armpit rough skin and pigmentation in the following figure, which of the following has nothing to do with its genesis?

Answer: anemia

Choices:
A. insulin-resistant diabetes mellitus
B. obesity
C. nicotinic acid high dose ingestion
D. anemia

50 year old woman appeared
neck
armpit
skin
pigmentation
following
following
to
genesis


Question: Under normal circumstances, human beings every day about how much water is discharged via the stool?

Answer: 100-150 ml

Choices:
A. 50 ml or less
B. 100-150 ml
C. 200-250 ml
D. 300-350 ml


Question: A 65-year-old woman, because vaginal spotting to seek treatment, after a series of diagnosis of endometrial papillary serous carcinoma (papillary serous adenocarcinoma), at the time of surgical staging, no suspicious lesions in lymph naked eye, then further the approach why?

Answer: Need to perform pelvic lymph node removal

Choices:
A. Implemented without lymph node removal
B. Need to perform aortic lymph node sampling
C. Need to perform pelvic lymph node removal
D. Need to perform aortic and pelvic lymph node removal

65 year old woman
vaginal spotting to
treatment
series of diagnosis
endometrial papillary serous carcinoma
papillary serous adenocarcinoma
time
surgical staging
suspicious lesions
lymph naked eye
then further
approach


Question: The results of a particular disease screening method is as follows:

Answer: d /（c+d）

Choices:
A. a /（a+b）
B. b /（a+b）
C. d /（c+d）
D. c /（c+d）


Question: 45-year-old Mr. Zhang on the occasion of the middle-aged unemployed economic embarrassment, his wife to file for divorce so successful domestic violence, divorce is the most resentment Mr. Zhang's wife divide up his estate. That day, he because of insomnia medication to your clinic, in addition to express his anger, but added that going to burn his wife's house. Mr. Zhang to take the opportunity to hurt you judge the actions of his ex-wife is high, this time how to deal with?

Answer: To inform social workers and to take measures to protect the ex-wife

Choices:
A. Persuasion efforts, and clearly documented medical records
B. To inform social workers and to take measures to protect the ex-wife
C. Please Mr. Zhang signed affidavit statement would not be so action
D. Give hypnotic and antianxiety drugs

year old Mr
occasion
middle-aged unemployed economic
file
divorce
successful domestic violence
divorce
most
Mr
divide
day
of insomnia medication
clinic
added
burn
house
Mr
to
to
judge
actions
high
time
to


Question: G3P0 28-year-old woman who has a long menstrual pain, menorrhagia (heavy menstrual bleeding) and pain during intercourse plagued readme before pregnancy are three times on spontaneous abortion at 12 weeks, hysterosalpingography photography (hysterosalpingography) as shown in the image. Recommends acceptance of the uterus in the mirror (hysteroscope) diaphragm surgery, which of the following is the most likely situation improved after the surgery?

Answer: Habitual abortion

Choices:
A. 經痛
B. Menorrhagia
C. Habitual abortion
D. Pain during intercourse

year old woman
long menstrual pain
menorrhagia
heavy menstrual bleeding
pain
intercourse plagued
pregnancy
three times
spontaneous abortion
weeks
hysterosalpingography
hysterosalpingography
uterus
mirror
hysteroscope
diaphragm surgery
following
improved
surgery


Question: Which of the following non-risk factors of liver cancer?

Answer: Smoking (smoking)

Choices:
A. Cirrhosis (liver cirrhosis)
B. Alcoholism (alcoholism)
C. Smoking (smoking)
D. Delayed cutaneous porphyria (porphyria cutaneous tarda)

of the following non risk factors
liver cancer


Question: Superior gluteal nerve compression injury, Which of the following are the most affected?

Answer: Gluteus maximus

Choices:
A. Gluteus maximus
B. Gluteal muscle
C. Gluteus minimus
D. Tensor fascia lata


Question: From the previous question, send a bacterial culture room cerebrospinal fluid sample process, the following should be noted that thing?

Answer: Do not subject stored in the refrigerator

Choices:
A. Do not subject stored in the refrigerator
B. Subject to be dark
C. The specimen must be kept in an oxygen-free environment
D. Do specimen placed in a sealed container


Question: Based child health handbook, normal physiological phenomenon on breast-feeding of children, which of the following error?

Answer: Breastfed babies meconium its first, normally delayed until 24 to 48 hours before the discharge is normal

Choices:
A. Breastfed babies, jaundice may last until 2 to 3 months to completely subside, but in order to avoid other diseases, if there is still one month after the baby jaundice should consult a pediatrician
B. Breastfed babies stool is usually in the first few months of water of the venues, with a particle or sour, or even eat on the solution will be, in general is a normal phenomenon, if abnormal height and weight, you should consult a pediatrician
C. Some babies after a three-week-old, stool frequency may become less, become 3-4 genius solution once soft, even 10-14 genius solution will be 1 times
D. Breastfed babies meconium its first, normally delayed until 24 to 48 hours before the discharge is normal

Based
normal physiological phenomenon
breast-feeding
children
following error


Question: Advantages and disadvantages for various different drive ⽣ was ⼯ out skin substitutes (bioengineered skin substitutes), the following statements is wrong?

Answer: ⽣ was true ⽪ ⼯ process alternatives (bioengineered dermal replacement) is able to care has the advantage of having ⽪ (reepithelialization) guided on an excellent

Choices:
A. Corner of stromal cells cultured allogeneic (allogeneic keratinocyte graft) and cover-connector has the advantage of promoting wound healing
B. Corner of cultured allogeneic mesenchymal cells (allogeneic keratinocyte graft) disadvantage is fragile and can not avoid the injury-connector contracture
C. ⽣ was really ⽪ ⼯ process alternatives (bioengineered dermal replacement) zoomed section only as a temporary injury-connector cover
D. ⽣ was true ⽪ ⼯ process alternatives (bioengineered dermal replacement) is able to care has the advantage of having ⽪ (reepithelialization) guided on an excellent

various different
out skin substitutes
bioengineered skin substitutes
following
wrong


Question: Various cells following engagement (intercellular junction), whichever of the intermediate filaments (intermediate filaments) link?

Answer: Sticky spot (macula adherens)

Choices:
A. Lockout small band (zonula occludens)
B. Sticky small band (zonula adherens)
C. Sticky spot (macula adherens)
D. Sticky partial (focal adhesions)

Various cells following engagement
intercellular junction
intermediate filaments
intermediate filaments


Question: Nose cone worm (kissing bug) Which of the following transmissible parasitic disease?

Answer: Chagas disease (Chagas' disease)

Choices:
A. Chagas disease (Chagas' disease)
B. Gambian trypanosomiasis (Gambian trypanosomiasis)
C. Luodexiya trypanosomiasis (Rhodesian trypanosomiasis)
D. Leishmania sis (Leishmaniasis)


Question: MMR is a combined vaccine, the virus can not fight Which of the following?

Answer: Rotavirus (Rotavirus)

Choices:
A. Mumps virus (Mumps virus)
B. Measles virus (Measles virus)
C. Rotavirus (Rotavirus)
D. Rubella virus (Rubella virus)


Question: Which of the following does not cause disease than Hydrops of the gallbladder?

Answer: Cystic fibrosis (Cystic fibrosis)

Choices:
A. Kawasaki disease (Kawasaki disease)
B. Strep throat (Streptococcal pharyngitis)
C. Allergic purpura (Henoch-Schönlein purpura)
D. Cystic fibrosis (Cystic fibrosis)

following
not cause disease
Hydrops
gallbladder


Question: That has nothing to do following a laryngeal cartilage development and on the fourth and sixth pharyngeal arches (pharyngeal arch) cartilage?

Answer: Epiglottis (epiglottis)

Choices:
A. Thyroid cartilage (thyroid cartilage)
B. Epiglottis (epiglottis)
C. Arytenoid cartilage (arytenoid cartilage)
D. Cricoid cartilage (cricoid cartilage)

to
following
laryngeal
fourth
sixth pharyngeal arches
pharyngeal arch
cartilage


Question: Which of the following drugs of drug-resistant bacteria, which is resistant not use the machine turn Tet efflux pump action of bacteria outside the discharge for the severe abdominal infection?

Answer: Tigecycline 54 a feeding lactating women infected with genital herpes, following which drug the drug of choice for the treatment of this woman?

Choices:
A. Doxycycline
B. Tetracycline
C. Minocycline
D. Tigecycline 54 a feeding lactating women infected with genital herpes, following which drug the drug of choice for the treatment of this woman?

following drugs
drug
resistant not use
machine turn Tet
bacteria outside
discharge
severe abdominal infection


Question: The lower body portion pancreatic tumor compression mesenteric vein (inferior mesentery vein) close to the splenic vein (splenic vein), the following best swelling may be due to obstruction?

Answer: Left colic vein (left colic vein)

Choices:
A. Left gastric vein (left gastric vein)
B. Left colic vein (left colic vein)
C. Left gastric vein omentum (left gastroepiploic vein)
D. Left renal vein (left renal vein)

lower pancreatic tumor compression mesenteric vein


Question: Those cases will not affect the accuracy of Pulse oximeter?

Answer: Heart rate below 120 beats per minute

Choices:
A. Methemoglobinemia
B. Ambient light is too strong
C. Heart rate below 120 beats per minute
D. Low perfusion (Low perfusion)


Question: Immature teratoma and prognosis Which of the following related?

Answer: The amount of the amount of nerve tissue undifferentiated

Choices:
A. The presence of mature teratoma
B. The degree of glandular differentiation
C. The amount of the amount of nerve tissue undifferentiated
D. Tumors of the amount of fat

Immature teratoma
prognosis
following related


Question: Competitive inhibitors (competitive inhibitor) will kinetic parameters of enzyme catalyzed reactions, what effect?

Answer: Vmax / Km values decreased

Choices:
A. Vmax lower
B. Km values decrease
C. Vmax / Km values decreased
D. Km values unchanged


Question: Following an infectious disease that most likely to affect male testicles, leading to testicular atrophy and infertility?

Answer: Mumps (mumps)

Choices:
A. Varicella (chickenpox)
B. Chlamydia (Chlamydia) urethritis
C. Mumps (mumps)
D. Herpes (herpes)

Following
infectious disease
likely to
male testicles
leading
testicular atrophy
infertility


Question: The following narrative and what was wrong?

Answer: Proper use of prophylactic antibiotics will not have to pay attention to skin disinfection

Choices:
A. Stomach cancer is radical surgery indications for the use of prophylactic antibiotics
B. Cleaning contaminated wounds (clean-contaminated wound) means operative under the control of the case, the procedure into the respiratory tract, digestive tract, urinary tract or reproductive tract and all unusual contamination
C. Proper use of prophylactic antibiotics will not have to pay attention to skin disinfection
D. No significant bacterial contamination or low risk of cleaning the wound implant (clean wound) surgery, may not necessarily use of prophylactic antibiotics


Question: Poisoned patients may appear to those changes 16 carbon monoxide? ① systemic arterial oxygen saturation (arterial hemoglobin oxygen saturation) ② decreased blood lactic acid (lactic acid) ③ increase blood circulation total oxygen content (oxygen content of systemic arterial blood) and oxygen is decreased ④ hemoglobin dissociation curve (oxygen-hemoglobin dissociation curve) to right

Answer: ①②③

Choices:
A. ①③④
B. ①②③
C. Only ①③
D. Only ③④


Question: About diagnose delirium (delirium), and what's right?

Answer: About the natural course of several days to several weeks

Choices:
A. The main symptom is a core directional sense (orientation) disorders
B. About the natural course of several days to several weeks
C. And those related to substance abuse, will occur only when the substance withdrawal (substance withdrawal)
D. Usually occur slowly, not easy to notice


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

Answer: Adult obesity has nothing to do with childhood obesity

Choices:
A. Weight loss is one of non-pharmacological blood pressure lowering treatments
B. Adult obesity has nothing to do with childhood obesity
C. Obesity and dyslipidemia, type II diabetes, cancers
D. 500 to 1000 kcal per day to reduce, can be reduced to about one week of 0.5 to 1 kg


Question: He is not following construction of the mesoderm cells derived to?

Answer: Breast

Choices:
A. Cartilage
B. Breast
C. Adrenal cortex
D. spleen


Question: Which of the following parasites of infection often causes abdominal cramps, nausea, vomiting and acute watery diarrhea, and often accompanied by hypoproteinemia, hypocalcemia and hypokalemia severe electrolyte imbalance and other symptoms?

Answer: Philippines Trichinella (Capillaria philippinensis)

Choices:
A. Trichinella spiralis (Trichinella spiralis)
B. Anisakis (Anisakis spp.)
C. Philippines Trichinella (Capillaria philippinensis)
D. Gnathostoma nematode (Gnathostoma spinigerum)


Question: When a 41-year-old male construction workers on viaduct, slipped and fell off the viaduct. Physical examination findings clearly conscious patients, vital signs stable, but there is blood on the urethra, and scrotum hematoma, perineal have bruises. Then you should check what kind of arrangements?

Answer: retrograde urethrography

Choices:
A. intravenous pyelography
B. contrast-enhanced computed tomography
C. retrograde urethrography
D. cystography

year old male construction workers
fell
Physical examination findings
patients
vital signs stable
blood
urethra
scrotum hematoma
perineal
bruises
Then
check
kind
arrangements


Question: The most appropriate drug therapy in preterm children patent ductus arteriosus (patent ductus arteriosus) as follows:

Answer: indomethacin

Choices:
A. epinephrine
B. b-blocker
C. indomethacin
D. dopamine


Question: Professor Wang 72-year-old suffering from pancreatic cancer late, his thin, severe jaundice, unable to eat, unable to sleep more, day by severe abdominal pain and body aches tortured, he signed the DNR, waiting for relief, this week, Professor Wang more repeatedly begged you to let him leave early earth, which of the following disposal appropriate?

Answer: According to the needs of patients with pain, give the necessary dose of painkillers

Choices:
A. Can play a lethal dose of painkillers (morphine)
B. According to the needs of patients with pain, give the necessary dose of painkillers
C. Resulting in respiratory depression can not be afraid to fight painkiller
D. Court ruling sent the feasibility of euthanasia

Professor
72 year old suffering
pancreatic cancer late
thin
severe jaundice
unable to eat
unable to sleep more
day
severe abdominal
body aches
DNR
waiting
relief
week
Professor
repeatedly
to let
early earth
following
appropriate


Question: Metabolism of drugs narrative, which of the following error?

Answer: cimetidine inhibits metabolism propranolol in

Choices:
A. Grapefruit juice inhibits the metabolism triazolam
B. cimetidine inhibits metabolism propranolol in
C. nortriptyline inhibit the metabolism of antipyrine in vivo
D. spironolactone inhibits the metabolism of digoxin in vivo


Question: Patients with a cirrhosis, complained to the emergency after eight hours ago in the fishing, oyster shell was cut right foot, right leg to leg swelling and quickly spread, and there are blisters and tissue necrosis, in addition, along with the fever, chills phenomenon. About the disease in patients, the following statements is wrong?

Answer: If there is no history of exposure to sea water, you can exclude necrotizing fasciitis

Choices:
A. Asked in detail about the patient history of exposure to sea water contains exposure history
B. If there is no history of exposure to sea water, you can exclude necrotizing fasciitis
C. Eating undercooked seafood may lead to necrotizing fasciitis
D. If the patient is not obvious redness of the skin, but the patient expressed severe pain, still can not exclude necrotizing fasciitis

Patients
cirrhosis
emergency
eight hours
oyster shell
cut right foot
right
swelling
spread
blisters
tissue necrosis
addition
fever
chills
disease
patients
following
wrong


Question: The following items about anthrax (anthrax) of the narrative, whichever is most appropriate?

Answer: In inhalation anthrax, which is characterized by chest X-ray mediastinal (mediastinum) widening and pleural effusion

Choices:
A. Inhaled anthrax (inhalational anthrax) incubation period of 1-2 days
B. Easily lead to human to human transmission
C. In inhalation anthrax, which is characterized by chest X-ray mediastinal (mediastinum) widening and pleural effusion
D. After exposure, the use of prophylactic antibiotics (postexposure prophylaxis) recommended ciprofloxacin or doxycycline for 14 days

following
anthrax
anthrax
most appropriate


Question: When light enters the retina, following which the cells after the first?

Answer: ganglion cells

Choices:
A. rod or cone cells
B. bipolar cells
C. ganglion cells
D. horizontal cells


Question: Statements about the solitary rectal ulcer syndrome, which of the following error?

Answer: Anus must be considered anterior rectal wall ulcer 4-12 cm at the proximal end

Choices:
A. Anus must be considered anterior rectal wall ulcer 4-12 cm at the proximal end
B. Often occurs in chronic constipation, the solution will be required to force the young women
C. Imaging diagnosis often relies rectal prolapse defecography of, internal prolapse and paradoxical puborectalis syndrome, etc.
D. On histopathological differential diagnosis of colorectal cancer or Crohn's disease (Crohn's disease) is not difficult

solitary rectal ulcer syndrome
following error


Question: Appalling injuries related to elbow triple group (terrible triad injuries of the elbow), except which of the following?

Answer: Fractures (supracondylar fracture of humerus) supracondylar

Choices:
A. Beak-like bone fractures (coronoid fracture)
B. Radial head fracture (radial head fracture)
C. Fractures (supracondylar fracture of humerus) supracondylar
D. Dislocated elbow (elbow dislocation)

injuries related
elbow triple group
terrible triad injuries of
elbow
following


Question: The most common primary lung cancer are:

Answer: Bronchial carcinoma immunogenicity

Choices:
A. Bronchial carcinoma immunogenicity
B. Hamartoma
C. Carcinoid
D. sarcoma


Question: A small country grade girls from rural areas, home keeping animals chickens, ducks and pigs, at rainy August heat of sudden onset of fever, vomiting, headache, in addition to cramps, unconsciousness, hand tremors, opisthotonos Finally, the patient lockjaw, stiff limbs, coma and present phenomenon. The patient may be infected with the pathogen what?

Answer: Japanese encephalitis virus (Japanese encephalitis virus)

Choices:
A. Dengue virus (Dengue virus)
B. Avian Influenza virus (Influenza virus)
C. Japanese encephalitis virus (Japanese encephalitis virus)
D. Hepatitis C virus (HCV)

small country grade girls
rural areas
home keeping animals
August heat
sudden onset
fever
vomiting
headache
cramps
unconsciousness
hand tremors
opisthotonos
patient lockjaw
stiff limbs
coma
present
patient
infected


Question: A tongue 26. The patient, tumor size of 4.5 × 2.5 cm, the tongue normal activities and not to adjacent structure. Ipsilateral a 4 cm neck lymph nodes, but no significant extranodal violations (extranodal extension) case. Based on AJCC 7th edition (or version 8) cancer staging system, clinical stage should be:

Answer: T3N2a, stage IVA

Choices:
A. T2N1，stage III
B. T2N2a, stage IVA
C. T3N1，stage III
D. T3N2a, stage IVA

tongue
patient
tumor size of
tongue normal
not to adjacent structure
Ipsilateral
4
neck lymph nodes
significant extranodal
extranodal extension
case
Based
version
cancer system
clinical stage


Question: That one of the following physiological changes (emphysema) patients most likely to significantly increase in emphysema?

Answer: Airway resistance (resistance)

Choices:
A. Anatomic dead space (anatomic dead space)
B. Airway resistance (resistance)
C. Diffuse lung volume (diffusing capacity)
D. Lung elasticity (elasticity)

one
following physiological changes
emphysema
patients
likely
increase
emphysema


Question: Serotonin is synthesized from the one derived amino acids?

Answer: tryptophan

Choices:
A. tyrosine
B. tryptophan
C. arginine
D. lysine


Question: Which of the following is the medical phenomenon of excessive specialization of most likely?

Answer: Large teaching hospital specialists often have to engage in a general outpatient services

Choices:
A. Specialist training course will naturally consider all the problems of patients
B. Communication between the patient and the specialist will affect more smoothly
C. Large teaching hospital specialists often have to engage in a general outpatient services
D. Clinic practitioners must provide cutting-edge medical technology services


Question: When the body is exposed to respiratory allergen environment, will produce early bronchial contracture reaction (early bronchospastic response), resulting in acute asthma attacks, mainly due to:

Answer: Fat cells (mast cells) secrete histamine (Histamine) and leukotrienes (the leukotriene)

Choices:
A. Chemical hormone (chemokine) secretion induced chemotaxis of eosinophilic leukocyte (chemotaxis)
B. The first type helper (TH1 cells) media produced white matter -2 (interleukin-2) and gamma interferon (interferon-gamma)
C. Fat cells (mast cells) secrete histamine (Histamine) and leukotrienes (the leukotriene)
D. Airway goblet cell hyperplasia (goblet cell hyperplasia) and stagnant mucus (mucus plug)

body
exposed
respiratory allergen environment
early bronchial contracture reaction
early
response
resulting in acute asthma attacks
due to


Question: Which of the following for milk ⽣ into (milk synthesis) plays the most important corner of discolored?

Answer: prolactin

Choices:
A. oxytocin
B. prolactin
C. progesterone
D. prostaglandins

following
milk
milk
plays
most important corner
discolored


Question: Which is not the right main symptoms of heart failure?

Answer: Pulmonary congestion

Choices:
A. Jugular venous distension
B. Hepatomegaly
C. Lower extremity edema
D. Pulmonary congestion


Question: 44. Chen grandmother 75 years old this year, long after stomach surgery right upper quadrant pain, but do not complain Chen grandmother, one day suddenly bloating, nausea and vomiting to the emergency department, abdominal X-rays (shown below) inspection found the bottom right there is a radiopaque ( mass arrow), and what items that best meet the following diagnostic clinical manifestations Chen grandmother?

Answer: gallstone ileus

Choices:
A. bezoar formation of foreign body
B. gallstone ileus
C. Urinary tract stones
D. Pelvic tumor calcification


Question: Following that a treatment on slowing the rate of chronic renal failure, to no avail?

Answer: Taking Kayexalate

Choices:
A. Taking ACEI (Angiotensin converting enzyme inhibitors) or ARB (Angiotensin receptor blockers) to treat hypertension
B. Strict control of blood glucose in diabetic patients, maintain HbA1C <7%
C. Taking Kayexalate
D. Low-protein diet

Following
treatment
slowing
rate
chronic renal failure


Question: This year 50-year-old's long-term diabetic patients, after two complained of severe coughing in front of the "shadow" appears, it is most likely to happen is:

Answer: Retinal hemorrhage (Retinal hemorrhage)

Choices:
A. Vitreous (Vitreous liquification)
B. Lens opacity (Crystalline lens opacities)
C. Retinal detachment (Retinal detachment)
D. Retinal hemorrhage (Retinal hemorrhage)

year 50
old
ong-term  iabetic  atients,
wo
evere  oughing
hadow"
ppears,


Question: A 56-year-old male truck driver, a car accident directly hit in the chest on the steering wheel, complained of chest pain sweating (diaphoretic) when sent to the emergency room, his blood pressure was 60/40 mmHg, respiratory rate 40 beats / min. To distinguish it from low blood pressure in patients with pericardial tamponade (cardiac tamponade) or tension pneumothorax (tension pneumothorax), Which of the following is the best tool for the differential diagnosis?

Answer: Breath sounds (Breath sounds)

Choices:
A. Tachycardia (Tachycardia)
B. Pulse pressure (Pulse pressure)
C. Breath sounds (Breath sounds)
D. Jugular venous pressure (Jugular venous pressure)

year old male truck driver
car accident directly hit
chest
steering wheel
of chest pain sweating
diaphoretic
sent
emergency room
blood pressure
60 40 mmHg
respiratory rate 40 beats
min
To
low blood pressure
patients
pericardial tamponade
cardiac tamponade
tension pneumothorax
tension pneumothorax
following
best tool
differential diagnosis


Question: The following does not belong to that heart disease infective endocarditis moderate or high risk groups?

Answer: Atrial septal defect (secundum type atrial septal defect)

Choices:
A. Mechanical heart valve replacement surgery patients
B. Kept open arterial catheter (patent ductus arteriosus)
C. Mitral valve (mitral valve) prolapsed mitral valve regurgitation
D. Atrial septal defect (secundum type atrial septal defect)


Question: Beads accept the surgery process is going well, the baby immediately taken over by the pediatrician for further disposal, uterine surgery found a partial rendering blue-violet, because of poor contraction, bleeding up to 1500 mL, heart rate also increased to 133 per minute, in giving oxytocin, and the Prostaglandins Ergonovine drugs, the attending physician decided B-Lynch suture surgery and immediately administered an infusion and transfusion therapy, the situation was gradually stabilized. The following statements is true?

Answer: Cause of uterine bleeding accompanied by fatigue beads may arise with risk factors related to the emergence of placental separation

Choices:
A. Causes violet uterus (Couvelaire uterus) because uterine atony (Uterine atony) formed in poor contraction
B. Cause of uterine bleeding accompanied by fatigue beads may arise with risk factors related to the emergence of placental separation
C. B-Lynch suture major surgery is a method to slow the bleeding of the uterine artery blood flow
D. Late pregnancy an average increase of intravascular volume 1500 Zhi 2000 mL, it is easy to overestimate the real amount of postpartum hemorrhage

Beads accept
surgery process
well
baby immediately
over
pediatrician
further
uterine surgery found
partial
blue violet
poor contraction
bleeding
1500 mL
heart rate
increased
minute
giving oxytocin
Prostaglandins Ergonovine drugs
attending physician
suture surgery
immediately administered
infusion
transfusion therapy
stabilized
following
true


Question: The patient's chronic arterial occlusive disease, most likely in a narrow location where?

Answer: Aorta iliac artery

Choices:
A. Aorta iliac artery
B. Superficial femoral artery
C. Deep femoral artery
D. Knee artery


Question: Following the kind of fluent aphasia (fluency), understanding (comprehension), covered chant (repetition) capacity was normal?

Answer: Named aphasia (anomic aphasia)

Choices:
A. Named aphasia (anomic aphasia)
B. Aphasia conduction (conduction aphasia)
C. Wo Nike aphasia (Wernicke's aphasia)
D. Broca's aphasia (Broca's aphasia)

Following
kind
fluent aphasia
fluency
covered
repetition
capacity
normal


Question: The main physiological role of vitamin D3 why?

Answer: Promote gastrointestinal absorption of calcium ions

Choices:
A. Promote the proximal renal tubular calcium absorption
B. Henry's elbow crude promote the absorption of calcium ions upstream branch
C. Promote gastrointestinal absorption of calcium ions
D. Cortex collection tube promoting absorption of calcium ions


Question: A 30-year-old man because right tibia and fibula comminuted fracture after intramedullary nail fixation found, right ankle joint and toes can not dorsiflexion (dorsiflexion), Will most likely injured tissue structure is which of the following?

Answer: Deep peroneal nerve (deep peroneal nerve)

Choices:
A. Superficial peroneal nerve (superficial peroneal nerve)
B. Deep peroneal nerve (deep peroneal nerve)
C. Posterior tibial nerve (posterior tibial nerve)
D. Sciatic nerve (sciatic nerve)

30 year old man
right tibia
fibula comminuted fracture
intramedullary nail fixation found
right ankle joint
toes
not
injured tissue structure
following


Question: Lack of fat dermatitis (asteatotic eczema) occurs mainly at that age level?

Answer: Old people

Choices:
A. Child
B. teens
C. Are men
D. Old people

Lack
fat dermatitis
asteatotic eczema
occurs
age level


Question: Which of the following diseases occur with asbestos pneumoconiosis (asbestosis) is not related to the more?

Answer: Pulmonary lymphoma

Choices:
A. Fibrous scar block (fibrous plaque)
B. Pulmonary lymphoma
C. Lung carcinoma
D. Mesothelioma (mesothelioma)

following diseases occur
asbestos pneumoconiosis
asbestosis
not related


Question: A discovery respiratory distress after birth, poor lung development. Track its mother during pregnancy, namely diagnostic oligohydramnios, neonatal ultrasound found on both sides of kidney enlargement, and echogenecity increase, the following statements is wrong?

Answer: Most likely autosomal dominant polycystic kidney disease

Choices:
A. The gene may be wrong arm of chromosome short 6
B. Most likely autosomal dominant polycystic kidney disease
C. Such newborns often associated with liver disease
D. Chang died of respiratory failure

respiratory distress
birth
poor lung development
Track
pregnancy
diagnostic oligohydramnios
neonatal ultrasound found
sides
kidney enlargement
increase
following
wrong


Question: One-stage renal failure patients want to know the difference portable hemodialysis and continuous peritoneal dialysis (CAPD), in order to consider her suitable for the kind of treatment. Statements about these two treatments, the following is the most that an incorrect?

Answer: CAPD chance occurrence of heart failure less

Choices:
A. For hemodialysis clearance of small molecules better
B. Hemodialysis have more blood infections
C. CAPD in comparison is performed not in immediate danger of
D. CAPD chance occurrence of heart failure less

One stage renal failure patients
to
difference portable hemodialysis
peritoneal dialysis
order to
suitable
kind
treatment
two treatments
following
most
incorrect


Question: The following matters relating to rehabilitation and treatment of human degenerative arthritis, whichever is the most correct description?

Answer: Degenerative arthritis often occurs in weight-bearing joints, patients should avoid heavy lifting

Choices:
A. Degenerative arthritis rehabilitation purpose of treatment is to correct modification
B. Degenerative arthritis often occurs in weight-bearing joints, patients should avoid heavy lifting
C. Degenerative arthritis treatment is the best choice arthroplasty
D. Degenerative arthritis patients should not engage in activities jogging

following
relating
rehabilitation
treatment
human degenerative arthritis
most correct


Question: Which of the following species of mosquito larvae, has been used as a vector mosquito of dengue prevention and control of natural enemies (predator)?

Answer: Airborne giant mosquito (Toxorhynchites amboinensis)

Choices:
A. Airborne giant mosquito (Toxorhynchites amboinensis)
B. Tropical house mosquito (Culex quinquefasciatus)
C. Rings house mosquito (Culex annulus)
D. Short Anopheles mosquitoes (Anopheles minimus)

following
used
of dengue prevention
control
natural


Question: Account of basal cell carcinoma, which of the following error?

Answer: Easy transfer

Choices:
A. The most common skin cancer
B. With local aggressive
C. Easy transfer
D. And sun exposure related

Account
basal cell carcinoma
following error


Question: 18-year-old man, when playing video games right chest pain, shortness of breath. Physical examination found: blood pressure 90/50 mmHg, respiratory rate 28 times per minute, trachea shifted to the left, right chest breathing weakened, no fluctuation breathing right chest palpation seen, the right chest percussion echo increase (hyperresonance). Related to the diagnosis and treatment of patients, Which statement is correct?

Answer: To the right chest pressure pneumothorax, chest tube placement should be considered immediately

Choices:
A. The right of a large number of pleural effusion, pleural drainage should be considered
B. The right side lung collapse, consider the posture drainage
C. To the right chest pressure pneumothorax, chest tube placement should be considered immediately
D. The right side pneumothorax, can first observe a period of time and then decide the next step of disposal


Question: Steroidogenic cortisol (Cortisol) in the rate limiting step of the adrenal cortex (rate-limiting step) is:

Answer: Cholesterol into the mitochondria membrane in vivo

Choices:
A. Cholesterol into the mitochondria membrane in vivo
B. Progesterone (progesterone) → cortisol (Cortisol)
C. Progesterone → androgen (androgen)
D. Testosterone (testosterone) → estrogen (Estrogen)

cortisol
Cortisol
rate limiting step
adrenal cortex
rate limiting step


Question: 57. After a 25-year-old nursing home to go to work, fever, headache, sore throat, runny nose, sneezing, dry cough without phlegm, muscle pain and other uncomfortable symptoms, the disease lasted four days not improved, but further extended for bacteria after pneumonia and myositis (myositis), the nurse was hospitalized two weeks healed, this nurse may be affected by how these pathogenic infections?

Answer: Influenza virus (Influenza virus)

Choices:
A. Measles virus (Measles virus)
B. Respiratory syncytial virus cells (Respiratory syncytial virus)
C. Influenza virus (Influenza virus)
D. Enterovirus type 71 (Enterovirus 71)

57
year old nursing home to go to
fever
headache
sore throat
runny nose
sneezing
dry cough
phlegm
muscle pain
symptoms
disease lasted four days not improved
further extended
bacteria
pneumonia
myositis
myositis
nurse
hospitalized two weeks healed
nurse
affected
pathogenic infections


Question:
29. A 42-year-old woman complained of progressive brown urine, darkening of the skin and itching, no history of drinking, no long-term history of taking in Western medicine, physical examination showed jaundice, no abdominal tenderness. Initial blood tests show: WBC: 3800 / mm3, Hb: 11.8 g / dL, platelets: 98000 / mm3, ALT
 (GPT): 48 U / L, AST (GOT): 62 U / L, bilirubin (total / direct): 5.8 / 3.9 mg / dL, alkaline phosphatase (alkaline phosphatase): 586 U / L (normal < 100 U / L), HBsAg: negative, anti-HCV: negative. Which of the following is not suitable for the examination:

Answer: serum ceruloplasmin

Choices:
A. Abdominal sonography
B. anti-mitochondrial antibody
C. serum ceruloplasmin
D. serum γ-GT

29
year old woman
progressive brown urine
darkening
skin
itching
history
drinking
long-term
Western medicine
jaundice
abdominal tenderness
Initial blood tests
WBC
mm3
Hb
g
dL
platelets
mm3
ALT
GPT
48 U
L
AST
62 U
L
bilirubin
total
direct
mg
dL
alkaline phosphatase
alkaline phosphatase
U
L
normal
100 U
L
HBsAg
negative
anti-HCV
negative
following
not suitable


Question:
39. myocardial infarction patients in a clinical trial to assess intensive exercise program designed to investigate the initial onset survived at least 30 days validity of myocardial infarction patients, the initial onset survived for at least 30 days were randomly assigned to intensive exercise program or usual care (usual care ). In the 100 patients in the usual care, 30 patients died during the three-year track; in 100 patients in the intensive exercise program, 50 patients died during the three years of tracking. Intensive movement
 Project group compared to the relative risk of death in the usual care group (relative risk of death) Why?

Answer: 1.67

Choices:
A. 0.6
B. 0.03
C. 0.5
D. 1.67

myocardial infarction patients
to
intensive exercise program
to investigate
initial onset survived
30 days validity
myocardial infarction patients
initial onset survived
30 days
assigned
intensive exercise program
usual
usual
100
usual
30 patients died
three year track
100 patients
intensive exercise program
50 patients died
three years
tracking
Intensive movement
group
relative
of death
usual
group
relative
of death


Question: Which of the following is the heart of patients participating in training contraindications?

Answer: Severe aortic stenosis

Choices:
A. Beta blockers taking of blood pressure lowering drugs
B. Severe aortic stenosis
C. The first stage AV conduction disorder
D. Had received a heart transplant patients

following
heart
patients participating
training contraindications


Question: 5'-ACCGTAAGGCTTTAG-3'DNA of complementary strands (complementary strand), its nucleotide sequence Why?

Answer: 5'-CTAAAGCCTTACGGT-3'

Choices:
A. ACCGUAAGGCUUUA 5'-3 '
B. CUAAAGCCUUACGG-5'-3 '
C. 5'-CTAAAGCCTTACGGT-3'
D. 5'-ACCGTAAGGCTTTAG-3 '


Question: The following statements about the scrotum (scrotum), and what's right?

Answer: Superficial fascia which is a film having a meat muscle of the fascia (dartos fascia)

Choices:
A. Which extends downwardly superficial fascia and deep fascia is connected to the perineum
B. Superficial fascia which is a film having a meat muscle of the fascia (dartos fascia)
C. Testicular lymphatic drainage which is the same, both directly into the superficial inguinal lymph nodes
D. The former is responsible for the vast majority of the scrotum scrotal nerve sensation of the skin


Question: 60 year old man with a sore throat ulcers were found in medical treatment increases blood leukocytes (50 × 103 / μL; reference interval 4.8-10.8 × 103 / μL), erythrocyte, platelet count. Bone marrow biopsy showed bone marrow cells accounted for 70-80%, mostly medium-sized blast cells (blast cells), the cytoplasm has a lot of red particles and needle-like bodies. Found chromosome t (15; 17) chromosomal translocation. Which of the following is the most likely diagnosis?

Answer: Acute myeloid leukemia (acute myeloid leukemia)

Choices:
A. Myeloid metaplasia bad syndrome (myelodysplastic syndrome)
B. Lange Han organizations ball hyperplasia (Langerhans cell histiocytosis)
C. Chronic myelogenous leukemia (chronic myeloid leukemia)
D. Acute myeloid leukemia (acute myeloid leukemia)

60 year old man
sore throat ulcers
found
medical treatment increases
50
reference interval
8 10 8
platelet count
Bone marrow biopsy
accounted
70 80
mostly medium sized
cytoplasm
lot
red
needle
bodies
Found chromosome
15
chromosomal translocation
following
diagnosis


Question: A 50-year-old patient, renal ultrasound examination showed two kidneys are about 15 centimeters, and a very multiple sizes vesicles (cysts), the family of some people with the disease, the following statements is wrong?

Answer: Most of the patients is autosomal recessive (autosomal recessive) genetic

Choices:
A. Most of the patients is autosomal recessive (autosomal recessive) genetic
B. Patients have a high chance of kidney stones than the average person
C. Some patients will appear intracranial aneurysms (aneurysm), but without all such patients are screened for intracranial aneurysms
D. If vacuoles bacterial infections, ciprofloxacin is to select one medication

50 year old patient
renal
two kidneys
about
centimeters
very multiple sizes vesicles
cysts
disease
following
wrong


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

Answer: Nodular hyperplasia (nodular hyperplasia) is a common precancerous lesions

Choices:
A. Nodular hyperplasia (nodular hyperplasia) is a common precancerous lesions
B. The majority of adenocarcinoma (adenocarcinoma)
C. Predilection position surrounding area (peripheral zone)
D. Bone metastases which often osteoblastic (osteoblastic)


Question: A 85-year-old man WeekLast have the right of new onset of migraine, and aggravation, his wife said the old man these days have a tendency to sleepiness, found the left arm strength slightly weak check, the most likely diagnosis Yes:

Answer: Subdural hemorrhage

Choices:
A. migraine
B. The right of sinusitis
C. Subdural hemorrhage
D. Elderly depression

85 year old man
right
new onset
migraine
old man
days
sleepiness
found
left arm strength slightly weak check
diagnosis Yes


Question: The following information about freckles (freckle, ephelides) of the narrative, what's wrong?

Answer: How many spots does not vary due to exposure of the sun

Choices:
A. That occurred since childhood childhood
B. In the face of small spots of light brown
C. How many spots does not vary due to exposure of the sun
D. Spots of melanin in the skin cells do not increase

following freckles freckle ephelides wrong


Question: A 45 year old female patient skin biopsy direct immunofluorescence examination showed that figure, the following description of the patient's skin diseases what this bad?

Answer: To tensions large blister-type blisters (large tense bullae) as the main rash

Choices:
A. Nikolsky sign positive for
B. To tensions large blister-type blisters (large tense bullae) as the main rash
C. Oral ulcers occur, many have desmoglein 3 antibody
D. Pathological presented above basal cell layer of epidermal cells release

year old female skin direct immunofluorescence examination


Question: Many new biological agents and anthropomorphic monoclonal antibodies have been developed to treat autoimmune disease, but that does not include one of the following?

Answer: Anti-DNA helicase antibody (anti-DNA helicase monoclonal antibody) treatment of lupus erythematosus

Choices:
A. Anti-CD20 antibody (CD20-specific monoclonal antibody) treatment of rheumatoid arthritis (rheumatoid arthritis), and lupus erythematosus (systemic lupus erythematosus)
B. Anti-CD3 antibody (CD3-specific monoclonal antibody) treatment of type 1 diabetes (type 1 diabetes mellitus)
C. Anti-tumor necrosis factor antibody (anti-TNF-α antibody) treatment of rheumatoid arthritis
D. Anti-DNA helicase antibody (anti-DNA helicase monoclonal antibody) treatment of lupus erythematosus

new biological
monoclonal antibodies
to treat autoimmune disease
not include one


Question: A 55 year old female, often muscle aches, difficulty combing their hair, to find out-patient clinics as illustrated in the accompanying drawings skin. The following statements is wrong?

Answer: This disease and cancer had no correlation

Choices:
A. This disease and cancer had no correlation
B. This patient's upper eyelid erythema called heliotrope erythema
C. Can be treated with steroids
D. Blood tests common creatine phosphokinase increased

year old female
often muscle aches
difficulty combing
hair
to find out-patient clinics
skin
following
wrong


Question: Which of the following tumor in less than 20-year-old ethnic population, the highest incidence?

Answer: leukemia

Choices:
A. Brain tumor
B. Bone and joint tumors
C. leukemia
D. Lymphoma

following tumor
less than 20 year old
highest incidence


Question: Statements about the physical properties of light waves following, whichever is wrong?

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

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


Question: Which of the following does not belong to the vast majority of B-cell lymphoma?

Answer: Degenerative differentiated large cell lymphoma (anaplastic large cell lymphoma)

Choices:
A. Mantle cell lymphoma (mantle cell lymphoma)
B. Degenerative differentiated large cell lymphoma (anaplastic large cell lymphoma)
C. Marginal zone lymphoma (marginal zone lymphoma)
D. Burkitt's lymphoma (Burkitt lymphoma)


Question: If we want to compare the number of hospital days whether two different hospitals, each hospital each smoked 15 patients, the number of hospitalizations known distribution is the right skew (right-skewed), then following that a statistical method best suited?

Answer: Wilcoxon sign rank test (Wilcoxon signed-rank test)

Choices:
A. Independent t-test (two-sample t test)
B. Paired t-test (paired t test)
C. Chi-square test (Pearson Chi-square test)
D. Wilcoxon sign rank test (Wilcoxon signed-rank test)


Question: A 56-year-old woman, eight pm to emergency, complained about ten o'clock in the morning from the beginning of the right lower quadrant pain. After the diagnosis of acute appendicitis, you suggested that she underwent laparoscopic appendectomy or traditional appendectomy. The following describes the most correct that a relevant?

Answer: Laparoscopy, intra-abdominal abscess prone to complications

Choices:
A. Laparoscopy, intra-abdominal abscess prone to complications
B. Laparoscopic surgery time is short, can be quickly restored after eating
C. Laparoscopic surgery, postoperative wound infection easier
D. Traditional appendectomy higher medical costs

year old woman
eight pm
emergency
ten
clock
morning
beginning
right lower quadrant pain
diagnosis
acute appendicitis
laparoscopic appendectomy
traditional appendectomy
following
most correct
relevant


Question: 1825-year-old man, while others hit the right ear Taoer Duo yesterday after mild tinnitus and hearing loss. Found when treatment otoscopy right ear eardrum

Answer: Immediately arrange tympanic membrane forming operation

Choices:
A. Immediately arranged a hearing test
B. Immediately arrange tympanic membrane forming operation
C. Keep the outer ear clean and dry to prevent middle ear infections
D. Regular Outpatient Observation

year old man
others hit
right ear
Duo
mild tinnitus
hearing loss
Found
treatment otoscopy right eardrum


Question: Mr. Jiang is a lung cancer patient, two years after surgery and chemotherapy, recurrence of the hospital, Jiang talked about "My disease is not not good? Any treatment should be to no avail, I do not want treated." You are Jiang physician, Which of the following belong to respond to "empathy" in?

Answer: "You are very worried about the disease, not cure very afraid, is not it?"

Choices:
A. "We are well-equipped hospital, I highly skilled."
B. "You are very worried about the disease, not cure very afraid, is not it?"
C. "Lung cancer is difficult to treat, easy to relapse."
D. "Our doctors will respect your decision."

Mr
lung
two years
surgery
chemotherapy
recurrence
hospital
talked about
disease
not not good
treatment
I
not
treated
physician
following
to


Question: Which of the following is not involved in forming a top nose?

Answer: Upper jaw (maxilla)

Choices:
A. Frontal (frontal)
B. Upper jaw (maxilla)
C. Ethmoid bone (ethmoid)
D. Sphenoid (sphenoid)


Question: Statements about the adenoviral conjunctivitis (adenoviral keratoconjunctivitis) is, which of the following error?

Answer: Point topical steroid drops to reduce the duration of keratitis

Choices:
A. Adenovirus can survive on dry surfaces, epidemic conjunctivitis caused by the
B. Lymph nodes may be accompanied by ear before (pre-auricular lymphadenopathy)
C. Point topical steroid drops to reduce the duration of keratitis
D. Usually incidence of two

adenoviral conjunctivitis
adenoviral keratoconjunctivitis
following error


Question: Narrative about colorectal cancer, whichever correct?

Answer: The routine use of aspirin may reduce the incidence of adenomas and adenocarcinomas

Choices:
A. Fecal occult blood reaction test sensitivity colonoscopy large difference, which is not suitable for colon cancer screening bigger
B. On the left side than the right side of colorectal cancer colorectal cancer likely to have anemia performance
C. The routine use of aspirin may reduce the incidence of adenomas and adenocarcinomas
D. Phase III colorectal cancer patients receiving chemotherapy after surgery can be


Question: Which of the following weight loss surgical procedures are not purely restrictive type surgery?

Answer: Biliopancreatic bypass and duodenal inversion (biliopancreatic diversion (BPD) with duodenal switch (DS))

Choices:
A. Adjustable gastric banding (adjustable gastric banding (AGB))
B. Compartment vertical gastric surgery (vertical banded gastroplasty (VBG))
C. Sleeve gastrectomy (sleeve gastrectomy (SG))
D. Biliopancreatic bypass and duodenal inversion (biliopancreatic diversion (BPD) with duodenal switch (DS))


Question: Hib (Haemophilus influenzae) the growth of Staphylococcus aureus (Staphylococcus aureus) has promoted on the phenomenon of blood culture plate around the colonies, this is because the latter can provide the kind of ingredients needed for its growth?

Answer: Nicotinamide adenine dinucleotide (nicotinamide adenine dinucleotide)

Choices:
A. Phosphorus hemoglobin (Hemin)
B. Chelating ferrite (siderophores)
C. Cysteine (L-cysteine)
D. Nicotinamide adenine dinucleotide (nicotinamide adenine dinucleotide)

Hib
Haemophilus influenzae
growth
Staphylococcus aureus
Staphylococcus aureus
of blood culture plate
colonies
kind
needed
growth


Question: Which is not to establish good communication skills of the doctor-patient relationship?

Answer: Compassion (sympathy)

Choices:
A. Active listening (active listening)
B. Empathy (empathy)
C. Compassion (sympathy)
D. Non-verbal communication (non-verbal communication)


Question: Which of the following can be grown interstitial 41 (interstitial growth)?  hyaline cartilage (hyalin cartilage)  elastic cartilage (elastic cartilage)  fibrous cartilage (fibrocartilage)

Answer:  can

Choices:
A. Only 
B. Only 
C. Only 
D.  can

following
interstitial
interstitial growth
hyaline cartilage
hyalin cartilage
elastic cartilage
elastic cartilage
fibrous cartilage
fibrocartilage


Question: Specific immune response and non-specific immune response in addition to specificity, the following items are also differences between how the two?

Answer: Memory

Choices:
A. Memory
B. In addition to the implementation of specific immune response cells, there are soluble proteins help
C. The difference between self and non-self antigens capacity
D. Pathogens can protect the host will not be violated


Question: Colon with (teniae coli) which is formed by the following structure?

Answer: The muscularis externa (muscularis externa) outer longitudinal smooth muscle

Choices:
A. Smooth muscle in the muscularis mucosa (muscularis mucosa)
B. Skeletal muscle in the muscularis mucosa (muscularis mucosa)
C. The muscularis externa (muscularis externa) an inner ring of smooth muscle
D. The muscularis externa (muscularis externa) outer longitudinal smooth muscle

Colon
teniae coli
formed
following structure


Question: Retinal ganglion cells project to the following where the function associated with the control eye movements?

Answer: The superior colliculus (superior colliculus)

Choices:
A. The superior colliculus (superior colliculus)
B. Quadrigeminal pronucleus (pretectal nucleus)
C. Suprachiasmatic nucleus (suprachiasmatic nucleus)
D. Occipital thalamus (pulvinar)

following
function associated with
control eye


Question: Action figure shows the following piece of muscle during strength training?

Answer: Thorn under the skin (infraspinatus)

Choices:
A. Biceps (biceps brachii)
B. Triceps (triceps brachii)
C. Thorn under the skin (infraspinatus)
D. Subscapularis muscle (subscapularis)

Action
following piece
muscle
strength training


Question: 60 species listed in the following two that option, most likely caused by Tinea unguium (onychomycosis, nail fungus) infections of the skin fungal pathogens (Dermatophytes)?

Answer: Trichophyton and Epidermophyton

Choices:
A. Sporothrix and Microsporum
B. Epidermophyton and Microsporum
C. Trichophyton and Epidermophyton
D. Trichophyton and Sporothrix

60
following two
option
most likely caused
Tinea unguium
onychomycosis
nail fungus
infections of
skin fungal


Question: Which of the following most suitable for the treatment of vaginal candidiasis oral infection?

Answer: Fluconazole

Choices:
A. Griseofulvin
B. Fluconazole
C. Flucytosine
D. Nystatin


Question: Vasa vasorum (Vasa vasorum) in:

Answer: The outer membrane (Tunica adventitia)

Choices:
A. Endometrium (Tunica intima)
B. Membrane (Tunica media)
C. The outer membrane (Tunica adventitia)
D. The elastic plate (Internal elastic lamina)


Question: For regulation of gastric acid secretion in gastric parietal cells (parietal cells), the following pairs to validity?

Answer: Acetylcholine (acetylcholine) - increase in intracellular calcium ion concentration in the wall

Choices:
A. Acetylcholine (acetylcholine) - increase in intracellular calcium ion concentration in the wall
B. Gastrin (gastrin) - increasing the cAMP concentration within the cell wall
C. Histamine (histamine) - increase in intracellular calcium ion concentration in the wall
D. Compstatin (somatostatin) - increasing the cAMP concentration within the cell wall


Question: Which of the following is from the stand, to walk, to sprint in the process of muscle fibers involved in order?

Answer: slow-oxidative fibers → fast-oxidative-glycolytic fibers → fast-glycolytic fibers

Choices:
A. fast-oxidative-glycolytic fibers → fast-glycolytic fibers → slow-oxidative fibers
B. slow-oxidative fibers → fast-oxidative-glycolytic fibers → fast-glycolytic fibers
C. slow-oxidative fibers → fast-glycolytic fibers → fast-oxidative-glycolytic fibers
D. fast-oxidative-glycolytic fibers → slow-oxidative fibers → fast-glycolytic fibers

following stand to to process involved order


Question: 51-year-old female, a year ago was diagnosed with ovarian cancer and receiving chemotherapy, recently complained of weakness and easy to breathe. Examination revealed respiratory effort, about 28 times per minute, abdomen 8 × 5 cm of a mass, chest X-rays show a lot of water film left rib cage. Treatment of patients with breathing difficulties, which of the following more appropriate?

Answer: Conduct pleura puncture (thoracocentesis) drainage of pleural effusion

Choices:
A. Conduct pleura puncture (thoracocentesis) drainage of pleural effusion
B. Given meperidine
C. Reduce fluid intake
D. Administration of bronchodilators

year old female
year
diagnosed
ovarian cancer
receiving chemotherapy
recently
weakness
easy to
revealed respiratory effort
about
times
minute
abdomen 8
5
mass
chest X-rays
lot
film left rib cage
patients
breathing difficulties
following more appropriate


Question:
16
 Which of the following transfer perception pericardial membrane and mediastinum parietal pleura?

Answer: Phrenic nerve

Choices:
A. Vagus nerve
B. Splanchnic nerve
C. Phrenic nerve
D. Intercostal nerve

following transfer
pericardial membrane
mediastinum parietal pleura


Question: 46-year-old male patient because the left knee degenerative arthritis accepted tibial osteotomy surgery (High tibial Osteotomy), long leg cast after surgery to fix the knee, four hours after the patient complained toe paralysis, Zhuyuanyishi go to View found toes obvious cyanosis (cyanosis), very patient pain when moving the toes, almost unbearable, the disposal of those who ask what the next step should be to take the most appropriate?

Answer: Gypsum and gypsum lap completely cut and limb elevation

Choices:
A. Administering analgesics, and immediately limb elevation
B. Ice, and give anticoagulants to avoid vascular occlusion
C. Gypsum and gypsum lap completely cut and limb elevation
D. Emergency arrangements angiography, and reassure the patient mood


Question: Embedded membrane proteins (integral membrane protein) Which of the following can be extracted solution?

Answer: Solution of the active agent interface (Surfactant) containing

Choices:
A. Basic or acidic buffer solution
B. Removable cation chelators (chelating agent) solution of
C. Solution of the active agent interface (Surfactant) containing
D. High concentration salt solution

Embedded membrane proteins
integral membrane protein
following
extracted solution


Question: Resistant to penicillin antibiotics, the most common machine transfer is:

Answer: Bacteria produce β-lactamase, penicillin can be decomposed

Choices:
A. Proteins (PBPs) in conjunction with penicillin bacterial changes, making the role of penicillin can not
B. Bacteria produce β-lactamase, penicillin can be decomposed
C. Drugs can not penetrate the outer membrane of bacteria bore (porin), into bacterial action
D. Bacteria produce an effluent pump (efflux pump), a drug can play an extracellular

Resistant to penicillin antibiotics
most common machine transfer


Question: When placing Swan-Ganz catheter, when the pressure change in the arrow in FIG., The distal end of the catheter in the representative:

Answer: Pulmonary artery (pulmonary artery)

Choices:
A. The right atrium (right atrium)
B. Pulmonary artery (pulmonary artery)
C. pulmonary wedge
D. The right ventricle (right ventricle)

placing Swan-Ganz catheter
arrow
distal end
catheter


Question: Which of the following is not a cause of the elderly nocturia (nocturia) of?

Answer: Stress urinary incontinence (stress urinary incontinence)

Choices:
A. Sleep apnea syndrome (sleep apnea syndrome)
B. Detrusor activity is too strong
C. Benign prostatic hyperplasia and bladder outlet obstruction
D. Stress urinary incontinence (stress urinary incontinence)


Question: 35-year-old one pair of infertile couples seeking treatment, the test results, wife: day 3 FSH: 15 mIU / mL, E2: 50 pg / mL, the following statements is most appropriate?

Answer: 9th day of menstruation arrangements clomiphene citrate challenge test

Choices:
A. Early ovarian failure, the need egg donation
B. Polycystic ovarian cysts, need to stimulate ovulation
C. 9th day of menstruation arrangements clomiphene citrate challenge test
D. Need hormone therapy

35 year old one pair
infertile
treatment
test results
day 3
mIU
mL
E2
50 pg
mL
following
most appropriate


Question: Treatment of liver cirrhosis with ascites following principles, what's wrong?

Answer: Use of prophylactic antibiotics to prevent infection

Choices:
A. Bed rest
B. The use of aldosterone inhibitors
C. The use of loop diuretics
D. Use of prophylactic antibiotics to prevent infection

Treatment of liver cirrhosis
ascites following
wrong


Question: From the previous question, this illness is the most likely of pathogens:

Answer: Human parvovirus

Choices:
A. Human parvovirus
B. Human herpes virus
C. Human papillomavirus
D. Human immunodeficiency virus


Question: When the SARS outbreak, when people panic was mainly caused by the following phenomenon what?

Answer: Lack of cognitive, psychological sense of uncertainty

Choices:
A. mental illness
B. Social distance
C. Lack of cognitive, psychological sense of uncertainty
D. Government incompetence


Question: Pupils take another two hours under the pen gestures play, accidentally fall together, one pen poked another's eyes, piercing eyes causing a wound, but why the injured in hospital after swelling of both eyes, not even eye injuries have inflammation?

Answer: Eyes are the immune special parts, broken when tissue antigen release itself, elicit an immune response, another sabotage attack uninjured eye (sympathetic ophthalmia)

Choices:
A. After infection caused by medical errors
B. Eyes are the immune special parts (immunologically privileged sites), tissue rupture, releasing injury factor, thereby affecting the other uninjured eye
C. Eyes are the immune special parts, broken when tissue antigen release itself, elicit an immune response, another sabotage attack uninjured eye (sympathetic ophthalmia)
D. Generating regulatory T lymphocytes (Treg cells) within the eye injury, the immune response directed to another non-injured eye

Pupils
two hours
pen
play
fall together
one pen
eyes
piercing eyes causing
wound
injured
hospital
swelling of
eyes
not
eye injuries
inflammation


Question: Most likely to cause disease is bacterial endocarditis:

Answer: Atrial septal defect (atrial septal defect)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Ventricular septal defect (ventricular septal defect)
C. Patent ductus arteriosus (patent ductus arteriosus)
D. Mitral valve prolapse (mitral valve prolapse)


Question: A 55 year old male patient, due to sudden hearing loss (sudden hearing loss) and to the emergency room for treatment, the following statements is wrong?

Answer: Inflammation of the external ear canal without causing a sudden loss of hearing

Choices:
A. The incidence of sudden hearing loss increases with age, and no gender differences
B. Virus infection is a cause of sudden hearing loss
C. Inflammation of the external ear canal without causing a sudden loss of hearing
D. Eardrum rupture is a common cause of traumatic sudden hearing loss

year old male patient
sudden hearing loss
sudden hearing loss
emergency room
treatment
following
wrong


Question: When myocardial infarction long, on a microscopic change significantly large number of neutrophils?

Answer: 1-3 days

Choices:
A. 1-3 hours
B. 6-12 hours
C. 12-18 hours
D. 1-3 days

myocardial infarction long
microscopic change
large number


Question: Which of the following fibroblast cells (fibroblasts) can not be synthesized?

Answer: Muscle fibrils (myofibrils)

Choices:
A. Collagen fibers (collagen fibers)
B. Elastic fibers (elastic fibers)
C. Reticular fibers (reticular fibers)
D. Muscle fibrils (myofibrils)


Question: The diagnostic criteria for infective endocarditis, the following was one of the major criteria Duke criteria in line?

Answer: Two sets of blood cultures are all Streptococcus bovis 64 of the following statements about atypical pneumonia caused by Legionella pneumophila, whichever is correct?

Choices:
A. Two sets of blood culture are both E. coli
B. Two sets of blood cultures are all Acinetobacter spp.
C. Two sets of blood cultures are all Klebsiella pneumoniae
D. Two sets of blood cultures are all Streptococcus bovis 64 of the following statements about atypical pneumonia caused by Legionella pneumophila, whichever is correct?

infective endocarditis
following
one
major
Duke
in line


Question: For details about construction of the spermatic cord (spermatic cord), the following statements is true?

Answer: Vas deferens (ductus deferens) has three layers of smooth muscle

Choices:
A. Vas deferens (ductus deferens) has three layers of smooth muscle
B. Plexiform plexus (pampiniform plexus) vein typical medium (typical medium-sized vein)
C. Vas deferens (ductus deferens) belonging epithelial epithelium (simple columnar epithelium)
D. Reticular fibers mainly by the rich (reticular fiber) filled wherein

details
construction
spermatic cord
spermatic cord
following
true


Question: 95. The oxidation reaction of phosphorylation of human cells (oxidative phosphorylation), the participation of the electron transport chain (electron transport chain) and ATP synthesis enzyme located?

Answer: Are located in mitochondria membrane in vivo

Choices:
A. Located in the mitochondrial electron transport chain extracorporeal membrane; of ATP synthesis in vivo mitochondrial membrane enzyme located
B. Mitochondrial electron transport chain is located within the membrane; of ATP synthesis enzyme located mitochondria outer membrane
C. Are located in the mitochondrial outer membrane
D. Are located in mitochondria membrane in vivo

95
reaction
human cells
participation
ATP synthesis enzyme


Question: Liver, developed from the endoderm are:

Answer: Cells hepatic cords (cord of hepatic cell)

Choices:
A. Cells hepatic cords (cord of hepatic cell)
B. Fibrous tissue (fibrous tissue)
C. Hematopoietic tissue (hematopoietic tissue)
D. Freund library cells (Kupffer cell)


Question: Protein phosphatase may antagonize the reaction following the results of that class of enzymes?

Answer: kinases

Choices:
A. acetyltransferases
B. methyltransferases
C. ubiquitin E3 ligases
D. kinases

Protein phosphatase
reaction following
results
enzymes


Question: A 22-year-old unmarried woman had an abortion three times, but there are rules menstruation menstrual pain and menstrual blood clots, because lower abdominal pain and menstrual pain 1 week old to maternity clinics for medical treatment, according to the figures shown ultrasound scan, your diagnosis Which of the following?

Answer: Hydrosalpinx

Choices:
A. dermoid cyst
B. chocolate cyst
C. Hydrosalpinx
D. polycystic ovary

year old unmarried woman
abortion three times
rules menstruation menstrual
menstrual
lower abdominal pain
menstrual pain 1 week old
maternity clinics
medical treatment
ultrasound scan
diagnosis
following


Question: He appeared at least the following disease onset late in the fingers, toes peeling (desquamation) phenomenon?

Answer: roseola

Choices:
A. roseola
B. scarlet fever
C. Kawasaki disease
D. toxic shock syndrome

appeared
following disease onset late
fingers
toes peeling
desquamation


Question: A 32-year-old man left femoral shaft fracture (femoral shaft fracture), 2 and a half years, still often feel pain in the left thigh, not weight-bearing walking, its X-ray results as shown below after surgery. The following statements is wrong?

Answer: Surgical treatment of fractures, soft tissue should fracture fragments detached from the bone (excessive soft tissue stripping from bone), and the fracture site to view the full alignment fixture may be reduced nonunion (nonunion) occurs

Choices:
A. May result in fracture healing (nonunion) factors include severe soft tissue injury when the merger injury, infection, fracture fixation is not stable enough, poor nutrition, smoking, long-term use of steroids and other
B. Surgical treatment of fractures, soft tissue should fracture fragments detached from the bone (excessive soft tissue stripping from bone), and the fracture site to view the full alignment fixture may be reduced nonunion (nonunion) occurs
C. This case was the diagnosis of hypertrophic nonunion (hypertrophic nonunion), often because of lack of stability of the fracture fixation caused
D. This case can be used to replace a larger intramedullary nail (intramedullary nail) and bone graft (bone grafting) treatment

year old man left femoral shaft fracture


Question: In the process of smooth muscle contraction, Ca2 + binding post with which of the following in order to promote cross-bridge cycling carried out, and start shrinking?

Answer: calmodulin

Choices:
A. actin
B. myosin
C. troponin
D. calmodulin

process
smooth muscle contraction
Ca2
post
following
order to
cross-bridge cycling carried out
start shrinking


Question: An 8-month-old baby girl will not stand still, physical examination revealed skin drier, and there umbilical hernia. In this case words, one of the following to check that the most appropriate?

Answer: TSH values measured by the blood heel pieces

Choices:
A. T3, T4
B. T3, oesn't
C. T4, oesn't
D. TSH values measured by the blood heel pieces

month old baby girl
not stand
revealed skin
umbilical hernia
case
one
following to check
most appropriate


Question: Mr. Wang, 35 years old, 10 days of diarrhea, stool frequency but less frequent and mucus, and fever and lower abdominal pain, occurs when white blood cells in stool, the most likely pathogens why?

Answer: Entamoeba histolytica

Choices:
A. Staphylococcus aureus
B. Enterobius vermicularis
C. Entamoeba histolytica
D. Clostridium perfringens

Mr
35 years old
10 days
diarrhea
stool frequency
less frequent
mucus
fever
lower abdominal pain
occurs
white blood cells
stool


Question: Wang is a high school varsity track and field athletes, unfortunately, because of a car accident caused by a right leg amputation, following what kind of prosthetic feet most suitable for him to continue movement?

Answer: Fee formula (Flex foot)

Choices:
A. Saatchi formula (SACH foot)
B. Uniaxial formula (Single-axis foot)
C. Multi-axis (Multiple-axis foot)
D. Fee formula (Flex foot)

high school
athletes
car accident caused
right leg amputation
following
kind
feet most suitable
to
movement


Question: The old lady after a fall due to severe pain was sent to the emergency, after examination revealed the painful area on both sides groin, but both sides of the thigh flexion angle normal, suspected vertebral compression fractures, following the section spinal compression fractures are most likely to have?

Answer: L1

Choices:
A. C7
B. T8
C. L1
D. L5


Question: Which of the following is not a necessary condition for the diagnosis of multiple myeloma bone marrow?

Answer: Hypergammaglobulinemia

Choices:
A. Hypergammaglobulinemia
B. Clonal plasma cells in bone marrow
C. M-protein in serum or urine
D. Bone destruction

following
not
condition
diagnosis
multiple myeloma bone marrow


Question: H (Hoffmann) reflex on neurophysiology, most commonly used to diagnose which of the following diseases?

Answer: The first sacral nerve root disease

Choices:
A. The first sacral nerve root disease
B. Inflammatory Neuropathy
C. Hereditary neuropathy
D. Diabetic neuropathy

H
Hoffmann
reflex
neurophysiology
most
used to diagnose
following diseases


Question: A three weeks old baby full-term birth, birth weight 3800 grams, because of persistent hypoglycemia and treatment, physical examination did not reveal any abnormalities, previously made of laboratory examination showed when their blood sugar is 25 mg / dL, plasma ketones (ketone bodies) undetectable concentrations had no acidosis (acidosis). It established a check following the diagnosis of this patient, most did not help?

Answer: L - dopa Test (L-Dopa test)

Choices:
A. Insulin (Insulin) concentration
B. Plasma ammonia (Ammonia) concentration
C. L - dopa Test (L-Dopa test)
D. Glucagon test (Glucagon test)

three weeks old baby full-term birth
birth weight
grams
persistent hypoglycemia
treatment
not reveal
abnormalities
made
laboratory examination
blood sugar
mg
dL
plasma ketones
ketone bodies
undetectable
acidosis
acidosis
established
check following
diagnosis
patient
most
not help


Question: Renal artery ligation side, the other side or not at nephrectomy, the blood renin (renin) concentration in the case of a change that?

Answer: The other side of the nephrectomy, renin concentration constant; the other side of the kidney retention, increased renin concentration

Choices:
A. Under nephrectomy, renin concentration increases on the other side; the side of the other reservation kidney, renin concentration constant
B. Under nephrectomy, renin concentration increases on the other side; the other side of the kidney retention, increased renin concentration
C. The other side of the nephrectomy, renin concentration constant; the other side of the kidney retention, increased renin concentration
D. The other side of the nephrectomy, renin concentration decreases; the other side of the kidney retention, increased renin concentration

Renal
Renal artery side
side
not
nephrectomy
blood renin
renin
concentration
case
change


Question: Mrs. Wang, 53, 17, right foot was stabbed by sharp objects in the pool, after two weeks of fever, chills, swelling and pain right foot, heel black skin necrosis, purulent exudate, such as carrion-like odor, blood tests found that white blood cell count increase blood glucose 400 mg / dL, glycated hemoglobin

Answer: Debridement

Choices:
A. Debridement
B. Angiography
C. Insulin injection
D. Wound bacterial culture

Mrs
right foot
stabbed
sharp
pool
two weeks
fever
chills
swelling
pain right
heel black skin
purulent exudate
blood tests found
white blood cell count increase
glucose
mg
dL
glycated hemoglobin


Question: A 25-year-old male, three months ago when out with family picnic, sudden feeling of intense fear of appearing, restlessness, rapid heartbeat and vigorously, shortness of breath, chest pain, foreign body sensation in the throat, intense fear of death and fear of feeling out of control, more than the discomfort disappears after 15 minutes, and then like this episode one week without expectations about 2-3 times outdoors or at home all had occurred, resulting in a great impact on the life and work of the case. Description of the processing of this case, what's wrong?

Answer: Paroxysmal outburst was a typical case of the emergence of fear (phobia) performance

Choices:
A. Excessive drinking coffee or worsen the symptoms of nicotine inhaled
B. Paroxysmal outburst was a typical case of the emergence of fear (phobia) performance
C. Diagnostic tests required to assess the associated cases of disease thyroid function and psychotropic substances
D. For cases of chest pain, but also careful evaluation of the risk factors for heart disease which is associated with a heart check

year old male
three months
out
sudden
appearing
restlessness
rapid heartbeat
vigorously
shortness of breath
chest pain
foreign body sensation in
throat
intense fear of death
control
more
discomfort
15 minutes
then
episode one week
2
times outdoors
at home
resulting in
great impact
case
wrong


Question: 71 Fourth Edition (DSM-IV) diagnostic criteria for mental disorders American Psychiatric Association's Diagnostic and Statistical Manual, the diagnosis of panic disorder panic attack, which must have the following characteristics?

Answer: Repeated, unpredictable seizures

Choices:
A. Triggered by a specific event of intense fear reaction
B. Repeated, unpredictable seizures
C. Symptoms usually occur slowly and will last for a long time
D. Kuang phenomenon will fear attack, fear of open areas will intensify

disorders
Psychiatric
diagnosis
panic
attack
following characteristics


Question: Yesterday, when Qiu physician on duty at night, due to the condition of two patients treated at the same time, the situation is urgent, so there is a patient using an oral prescription. Day 2 nursing station has been called to urge him to complete written record, Qiu doctors because still busy, replied: Do not reminders, unfinished medical discharge is completed within three days is not patient enough yet? And so too late to fix the hospital. In accordance with the provisions of health care law, a written record of verbal orders should be completed in a few hours?

Answer: 24 hours

Choices:
A. 1 hour
B. 12 hours
C. 24 hours
D. 48 hours

physician
night
due to
condition
two patients treated
same time
urgent
patient using
oral
Day 2 nursing station
called to
to complete written record
doctors
not
medical discharge
completed
three days
not patient
so too late to
hospital
In accordance with
law
written record
verbal
completed
hours


Question: BRIEF CT images after injection of contrast agent, the most correct diagnosis:

Answer: Dissection of the aorta (aortic dissection)

Choices:
A. Hematoma aortic wall (intramural hematoma)
B. Dissection of the aorta (aortic dissection)
C. Takayasu's main arteritis (Takayasu arteritis)
D. Atherosclerotic aorta (aortic atherosclerosis)

BRIEF CT
injection
most correct diagnosis


Question: This patient regardless of whether to undergo surgery in order to prevent another stroke, which drug treatment should be accepted?

Answer: Anticoagulants

Choices:
A. Antiplatelet agents
B. Lipid-lowering drugs
C. Anticoagulants
D. Thrombolytic agents

patient regardless
to
surgery
order to prevent
stroke
drug treatment
accepted


Question: A 70-year-old male patient lymphoma, Ann Arbor stage for the fourth, serum LDH value of 6,500 U / L (normal <200 U / L), patients with shortness of breath, widowed urine, cramps two days after receiving chemotherapy symptoms, blood tests at this time, the following results were what most unlikely?

Answer: Low phosphorus

Choices:
A. Hyperkalemia
B. Blood acidic pH value
C. Low phosphorus
D. Low blood calcium

70 year old male patient lymphoma
fourth
serum LDH value
500 U
L
normal
200 U
L
patients
shortness of breath
widowed urine
cramps two days
receiving chemotherapy symptoms
blood tests
time
following results
most unlikely


Question: A large 10-month baby girl had Kawasaki disease, while receiving high-dose intravenous immunoglobulin therapy. Vaccination about after her, which of the following error?

Answer: 1 year old when the varicella vaccine

Choices:
A. 1 year old when the varicella vaccine
B. 1 year 3 months Japanese encephalitis vaccination
C. 1 year, 6 months immunized against diphtheria, acellular pertussis, tetanus, polio, b type Haemophilus vaccine Observing
D. Flu season can be applied to fight flu vaccine


Question: The following health education related to disc herniation lead to low back pain patients, what's wrong?

Answer: A long time without driving may be 20 to 30 minutes of rest do stretching stretch

Choices:
A. Avoid too much bending over posture
B. Such as the need to maintain in a sitting position for a long time, it is recommended every 20 minutes up slightly Events
C. A long time without driving may be 20 to 30 minutes of rest do stretching stretch
D. Do back muscles stretch and strengthen muscle stretching exercises to improve back pain

following
related
disc herniation lead
low back pain patients
wrong


Question: Which of the following is not forming bacillus Gram-positive Bacillus it?

Answer: Erythema erysipelas bacillus (Erysipelothrix rhusiopathiae)

Choices:
A. Anthrax (Bacillus anthracis)
B. Tetanus (Clostridium tetani)
C. Erythema erysipelas bacillus (Erysipelothrix rhusiopathiae)
D. E. coli (Escherichia coli)


Question: Zhiling after each wearing a necklace containing nickel show a few days, will produce itchy rashes where the contact. Dermatologists believe is an allergic inflammation of the skin immune reaction. Zhiling textbook found after looking up the nickel atoms is too small, it should not be an antibody or T cell receptor recognition. Zhiling Prurigo produce a reasonable explanation of why it should?

Answer: Nickel binding protein and the carrier (Carrier) into a complete antigen

Choices:
A. Nickel can stimulate Toll-like receptor transmitting messages
B. Nickel itself can stimulate T cell mitosis
C. Nickel itself can stimulate dendritic cells, it is a good adjuvant (adjuvant)
D. Nickel binding protein and the carrier (Carrier) into a complete antigen