Question: A 48 year-old male, sudden chest tightness, heart palpitations, difficulty breathing, blood pressure 80/40 mmHg, respiratory rate 26 / min, ECG heart rate monitor display as shown below, that one of the following disposal more appropriate?

Answer: Administered percutaneously cardiac pacemaker (Transcutaneous pacing)

Choices:
A. Administered percutaneously cardiac pacemaker (Transcutaneous pacing)
B. Lidocaine administered to prevent the occurrence of ventricular tachycardia (VT)
C. Given amiodarone ventricular tachycardia (VT) in order to avoid
D. Give dobutamine increased cardiac contractility

48 year old male
sudden chest tightness
heart palpitations
difficulty breathing
blood pressure 80 40 mmHg
respiratory rate
min
ECG
display
one
following
more appropriate


Question: Mr. A, 65-year-old male with a history of hypertension for many years, after eating breakfast in the morning, suddenly dizzy, unsteady gait, are sent to the emergency room, physical neurological examination, found that oral unclear speech, difficulty swallowing, the right side of gag reflex disappeared, the left side of pain sensation, its focus is most likely related to the following piece of blood vessel blockage?

Answer: After the right inferior cerebellar artery

Choices:
A. After the right inferior cerebellar artery
B. After left inferior cerebellar artery
C. Right front cerebellar artery
D. Front left cerebellar artery

Mr
65-year-old male
history of hypertension
years
morning
dizzy
unsteady gait
sent
emergency room
physical neurological
found
oral unclear speech
difficulty swallowing
right side
gag reflex
left side of pain sensation
focus
most likely related
following piece
blood vessel blockage


Question: Barrett esophagus is what change means the esophagus happen?

Answer: Columnar epithelial squamous metaplasia

Choices:
A. Columnar epithelial squamous metaplasia
B. Columnar metaplasia of transitional epithelium
C. Columnar epithelial squamous metaplasia
D. Squamous metaplasia of transitional epithelium


Question: 20-year-old woman, lesions appear as shown in the chest, following which it does not help check diagnosis?

Answer: Direct immunofluorescence examination appears lupus band

Choices:
A. Wood's light can help de-pigmentation of the show
B. KOH microscopy exclude discoloration rosea
C. Skin biopsies DOPA staining cells decreased
D. Direct immunofluorescence examination appears lupus band

20 year old woman
lesions appear
chest
following
not help check diagnosis


Question: A rare genetic disease medium-chain acyl-CoA dehydrogenase gene mutations can cause fatty liver, low blood sugar, octanoic acid accumulation in the blood, lethargy, vomiting and coma. The following functions are related to the enzyme of the narrative, what's right?

Answer: The role of the enzyme fatty acid is gradually converted to acetyl-CoA 43 following amino acids can not lead to that kind of methylmalonic acidemia (methylmalonic acidemia) metabolic?

Choices:
A. Action The enzyme of the fatty acid is transported into mitochondria
B. The enzyme acts on ω-oxidation
C. The role of the enzyme fatty acid is gradually converted into pyruvate
D. The role of the enzyme fatty acid is gradually converted to acetyl-CoA 43 following amino acids can not lead to that kind of methylmalonic acidemia (methylmalonic acidemia) metabolic?

rare genetic medium-chain acyl-CoA dehydrogenase


Question: The following statements about the muscarinic cholinergic receptors, whichever is correct?

Answer: Is a G-protein-coupled receptors

Choices:
A. Is a G-protein-coupled receptors
B. At a high density in the skeletal muscle end plate (end plate)
C. Upon binding acetylcholine can allow sodium and potassium ions
D. At a high density on the sympathetic and parasympathetic postganglionic nerve cell bodies (SOMA) dendritic (dendrites)

following
muscarinic cholinergic receptors
correct


Question: The following account of the diaphragm, whichever is correct?

Answer: Thoracic aorta and abdominal aortic artery branches have their own direct supply of diaphragmatic

Choices:
A. Is the main expiratory muscles
B. Thoracic aorta and abdominal aortic artery branches have their own direct supply of diaphragmatic
C. Phrenic nerve from cervical C2, C3 and C4
D. Phrenic nerve as the only sensory and motor nerve of the diaphragm


Question: Which of the following drugs for the central nervous system to reduce sympathetic activity, primarily for the treatment of high blood pressure during pregnancy?

Answer: methyldopa

Choices:
A. carbidopa
B. dobutamine
C. fenoldopam
D. methyldopa

following drugs
central nervous system to
activity
pregnancy


Question: Which of the following cell antigen receptor (antigen receptor) will conduct somatic hypermutation (somatic hypermutation)?

Answer: B cells

Choices:
A. T cells
B. B cells
C. Macrophages
D. Natural killer cells

following cell antigen receptor
antigen receptor
somatic
somatic


Question: If the vocal cord paralysis in patients with lung cancer, the most likely impact to that a nerve?

Answer: Recurrent laryngeal nerve (recurrent laryngeal nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Recurrent laryngeal nerve (recurrent laryngeal nerve)
C. Sympathetic trunk (sympathetic trunk)
D. Intercostal nerve (intercostal nerve)

vocal cord paralysis
patients
lung cancer
impact
nerve


Question: In human cells, every chromosome has several origin of replication (replication origin)?

Answer: >3

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


Question: Early births occurred arterial insufficiency, which can use these drugs to make it close?

Answer: ibuprofen

Choices:
A. diclofenac
B. ibuprofen
C. rofecoxib
D. sulindac

Early births
arterial insufficiency
use
drugs to make
close


Question: That layer of tissue in the uterus following will shed during menstruation?

Answer: Endometrial functional layer (stratum functionale)

Choices:
A. Myometrium (myometrium)
B. Endometrial base layer (stratum basale)
C. Endometrial functional layer (stratum functionale)
D. Perimetrium (perimetrium)

layer
tissue
uterus following
menstruation


Question: Because of the defect on chromosome 22 (22q11.2) caused by DiGeorge syndrome, which of the following does not belong to its common symptoms?

Answer: Thyroid hypoplasia

Choices:
A. Thyroid hypoplasia
B. Thymic hypoplasia
C. Congenital heart disease
D. Facial abnormalities

of
defect
chromosome 22
22q11.2
caused
DiGeorge syndrome
following
not
common symptoms


Question: The following fractures in adult patients, the most commonly used as a plaster bandage exact treatment is:

Answer: Distal radial fracture (fracture of Colles s)

Choices:
A. Distal radial fracture (fracture of Colles s)
B. Radius and ulna fractures forearm
C. Humeral head fractures
D. Olecranon fracture

following fractures
adult patients
most
used
plaster bandage exact treatment


Question: Bearing the title, following what most inappropriate disposal of items?

Answer: Given haloperidol

Choices:
A. Intravenous infusion (fluid hydration)
B. Given benzodiazepines
C. Lower the temperature
D. Given haloperidol

Bearing
title
following
most inappropriate


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

Answer: The end of the seventh cervical spinous process was a significant branch

Choices:
A. Vertebral artery (vertebral artery) does not pass through seventh cervical transverse foramen
B. The first cervical vertebrae with no spine
C. Dens second cervical vertebrae (DENS) from a first cervical vertebral
D. The end of the seventh cervical spinous process was a significant branch


Question: A 20-year-old man found to have testicular cancer, whichever of the following blood tests are not needed?

Answer: prostate specific antigen

Choices:
A. prostate specific antigen
B. a-fetoprotein
C. β-human chorionic gonadotropin
D. lactate dehydrogenase

20 year old man found to
testicular cancer
following blood tests
not needed


Question: The following information about breast reconstruction (breast reconstruction) of the narrative, what's wrong?

Answer: Deep abdominal artery branch through the flap need not intramuscular (deep inferior epigastric artery perforator flaps) release (intramuscular dissection)

Choices:
A. Transverse pedicle flap rectus formula (pedicled transverse rectus abdominis myocutaneous, TRAM flaps) than the free TRAM flap horizontal Formula (free TRAM flaps) more likely to have weak abdominal fat necrosis and
B. Superficial abdominal artery flap (superficial inferior epigastric artery flaps) can not sacrifice the rectus abdominis
C. Deep abdominal artery branch through the flap need not intramuscular (deep inferior epigastric artery perforator flaps) release (intramuscular dissection)
D. The free flap recipient vessels can be connected to the harness generally arteriovenous (thoracodorsal artery and vein) or internal mammary artery and vein (internal mammary artery and vein)

following
breast reconstruction
breast reconstruction
wrong


Question: 67 according to the American Psychiatric Association's "Diagnostic and Statistical Manual of mental disorders fourth edition of" antisocial personality disorder (antisocial personality disorder) belongs to a group of personality disorders which of the following?

Answer: Group B (Cluster B)

Choices:
A. A group (Cluster A)
B. Group B (Cluster B)
C. C group (cluster C)
D. D group (cluster D)

67
Psychiatric Association
ntisocial personality disorder
ntisocial personality disorder)
ersonality disorders
ollowing?


Question: Those 28. The following drugs may aggravate reflux esophagitis (reflux esophagitis)? ① hypolipidemic agent (HMG-CoA reductase inhibitor) ② hypertension drug (calcium channel blocker) ③ asthma drugs (theophylline) ④ allergy drug (antihistamine)

Answer: Only ②③

Choices:
A. ①②③
B. Only ②③
C. ③④
D. ①②④

following drugs
aggravate reflux esophagitis
reflux esophagitis
agent
HMG-CoA reductase inhibitor
hypertension drug
calcium channel blocker
asthma drugs
theophylline
allergy drug
antihistamine


Question: Sperm (spermatozoa) before ejaculation is not stored in the form:

Answer: 副睪（epididymis）

Choices:
A. Seminiferous tubules (seminiferous tubules)
B. Seminal vesicle (seminal vesicle)
C. 副睪（epididymis）
D. Cowper glands (bulbourethral gland)


Question: When an emergency situation, adrenaline (epinephrine) secretion, regulation of carbohydrate metabolism in the liver and skeletal muscle to improve blood glucose and muscle movement, related the following statements is wrong?

Answer: Increased hepatic glycolysis (Glycolysis)

Choices:
A. Increase in skeletal muscle glycogen decomposition (glycogenolysis)
B. Skeletal muscle increased glycolysis (Glycolysis)
C. Increased hepatic glycolysis (Glycolysis)
D. Increased hepatic gluconeogenesis action (gluconeogenesis)

adrenaline
epinephrine
secretion
regulation of carbohydrate metabolism
liver
skeletal muscle to
blood glucose
muscle movement
related
following
wrong


Question: Located in a birth mother 28 weeks of pregnancy, the phenomenon has obvious respiratory distress after birth, presented chest X-ray as shown, this baby the most appropriate treatment is:

Answer: The surface tension element (Surfactant)

Choices:
A. Inhaled nitric oxide therapy (nitric oxide inhalation)
B. The surface tension element (Surfactant)
C. Broad-spectrum antibiotics (broad spectrum antibiotics)
D. Steroids (steroids)

birth
weeks
pregnancy
respiratory distress
birth
chest X-ray
baby
most appropriate treatment


Question: On the role of the abuse of marijuana (cannabis), and Which statement is correct?

Answer: Poisoning their poor motor coordination (impaired motor coordination)

Choices:
A. It relies mainly physiological dependence (physical dependence) and less psychological dependence
B. Poisoning their poor motor coordination (impaired motor coordination)
C. Will produce drowsiness and increased appetite symptoms of withdrawal
D. Common physiological responses including significantly slow heartbeat (with bradycardia) and miosis


Question: When skeletal muscle fibers do isotonic contraction, the following statements, whichever is correct?

Answer: Sarcomere shortens and bright with shortening

Choices:
A. Sarcomere shortens and dark bands shorten
B. Sarcomere shortens and bright with shortening
C. Bright and dark bands shortened with shortening
D. Sarcomere shortening, shortening and bright with a dark band shortened


Question: In accordance with relevant laws and regulations of the following statements is wrong?

Answer: Under civil law, minors under 12 years of age incapacitated

Choices:
A. Child and Youth Welfare Act, children under 12 years of age
B. Child and Youth Welfare Act, more than 12 years younger than 18-year-old teenager who is
C. Under civil law, minors under 12 years of age incapacitated
D. Under civil law, at least 20 years old (and were not declared guardianship) who have full capacity


Question: A 49-year-old female patient in his right neck 5 × 4 cm lumps, undergoing total thyroidectomy. Pathological examination confirmed papillary thyroid cancer, and cervical lymph node metastasis after surgery, patients are most suitable for the disposal of why?

Answer: After taking radioactive iodine 131I after surgery, and then taking thyroxine

Choices:
A. As long as thyroxine
B. Chemotherapy and taking hormone
C. External beam radiation therapy and thyroxine
D. After taking radioactive iodine 131I after surgery, and then taking thyroxine


Question: Which of the following is formed by kidney mesoderm (metanephric mesoderm)?

Answer: 近曲小管（proximal convoluted tubule）

Choices:
A. Ureter (ureter)
B. Collecting duct (collecting duct)
C. 近曲小管（proximal convoluted tubule）
D. Small calyx (minor calyx)

following
formed
kidney mesoderm
metanephric mesoderm


Question: Which of the following drugs used to treat migraines, but has a role in uterine contractions, so pregnant women should not use, because easily lead to abortion?

Answer: Ergot alkaloids

Choices:
A. Indomethacin
B. Aspirin
C. Ergot alkaloids
D. Celecoxib

following drugs used to treat migraines
role
uterine contractions
not use
easily lead
abortion


Question: Skin diseases account of zinc deficiency (zinc deficiency) caused, which of the following error?

Answer: Rash symptoms to performance-based, usually do not have hair loss, diarrhea and lethargy and other symptoms

Choices:
A. Zinc deficiency can cause congenital or acquired reasons
B. Patients in the eyes, lips and around the anus visible acute eczema-like skin lesions
C. Rash symptoms to performance-based, usually do not have hair loss, diarrhea and lethargy and other symptoms
D. Zinc concentration of alkaline phosphatase in blood and help diagnose

Skin diseases account
zinc deficiency
zinc deficiency
caused
following error


Question: The following cephalosporins, He who can be used as a preventive drug of choice for pre-operative infections (such as head and neck, cardiovascular and thoracic, cranial surgery, etc.)?

Answer: cefazolin

Choices:
A. cefazolin
B. cefepime
C. ceftazidime
D. ceftriaxone

following cephalosporins
used
preventive drug of
pre-operative infections
head and neck
cardiovascular
thoracic
cranial


Question: 18 weeks pregnant patients 26 years, upper abdominal pain, vomiting, poor appetite, dry mouth about 3 days, the pregnancy of the first child, before regular check are all normal; 37.8 deg.] C ear thermometers, blood pressure 100/60 mmHg , pulse 130 / min, respiration 30 / min, normal lung sounds, slight abdominal tenderness but no rebound pain, body dry skin, then one of the following is most likely diagnosis?

Answer: Diabetic ketoacidosis

Choices:
A. Diabetic ketoacidosis
B. Hyperemesis gravidarum disease (Hyperemesis gravidarum)
C. Acute enteritis and dehydration
D. Acute pelvic inflammatory disease

weeks pregnant patients
years
upper abdominal pain
vomiting
poor appetite
dry mouth
3 days
pregnancy
first child
regular check
normal
deg
ear thermometers
blood pressure 100 60 mmHg
pulse
min
respiration 30
min
normal lung sounds
slight abdominal tenderness
pain
body dry skin
then one
following
diagnosis


Question: Esotropia (esotropia) often associated with abnormal refractive Which of the following?

Answer: long sighted

Choices:
A. Myopia
B. long sighted
C. Presbyopia (presbyopia)
D. Astigmatism (astigmatism)


Question: 50-year-old man complained of left ear repeatedly otorrhea and hearing loss of more than 10 years, after local inspection arrangements for the high-resolution computer tomography results are as follows: In the attic there is a soft tissue surrounding the ossicles (as shown below), most likely the diagnosis Why?

Answer: Cholesteatoma

Choices:
A. Otitis media with effusion
B. Mastoiditis
C. Acoustic neuroma
D. Cholesteatoma


Question: A newborn baby boy was found to have a similar umbilical intestinal contents to flow out, the most likely diagnosis is:

Answer: Open umbilical intestine (patent omphalomesenteric duct)

Choices:
A. Open urachal (patent urachus)
B. Umbilical hernia (umbilical hernia)
C. Open umbilical intestine (patent omphalomesenteric duct)
D. Omphalocele (omphalocele)

newborn baby boy
found to
similar umbilical intestinal contents
out
diagnosis


Question: Imaging on breast cancer include ultra Rec wave, mammography and MRI, the following statements is wrong?

Answer: BI-RADS 5 on behalf of lesions on it and has been confirmed as breast cancer

Choices:
A. breast imaging reporting and data system (BI-RADS) Use to evaluate malignancy, wherein the first frame type BI-RADS, no representative of the lesion
B. BI-RADS 3 lesions on behalf may be benign, the need to track the short-term
C. BI-RADS 5 on behalf of lesions on it and has been confirmed as breast cancer
D. Nuclear Magnetic Resonance (MRI) is useful when axillary lymph metastatic breast cancer, which is the primary lesion of unknown (unknown primary tumor), or Paget's disease ⽒

Imaging
breast cancer include ultra Rec wave
mammography
MRI
following
wrong


Question: 63-year-old male HBV asymptomatic carrier. 5 years ago Liangshou small joints, wrist, elbow, knee and ankle joint pain, blood examination revealed RF: 29.7 IU / mL (normal <10 IU / mL), ESR: 18 mm / 1h, CRP: 1.0 mg / dL (normal <0.8 mg / dL), ALT: 62 U / L. Which of the following positive test results for the differential diagnosis of patients with the most helpful?

Answer: anti-cyclic citrullinated peptide antibody

Choices:
A. anti-nuclear antibody
B. anti-SSA / anti-SSB antibody
C. anti-cyclic citrullinated peptide antibody
D. C3 and C4

63 year old male
asymptomatic carrier
small joints
wrist
elbow
knee
ankle joint pain
blood examination revealed RF
29
IU
mL
normal
10 IU
mL
ESR
mm
1h
CRP
1 0 mg
dL
normal
0.8 mg
dL
ALT
62 U
L
following positive test
differential diagnosis
most helpful


Question: Mr. Wong 32 years old, no high blood pressure, but often have exertional dyspnea. ECG left ventricular hypertrophy, cardiac ultrasound examination revealed no significant change valve, ventricular septal wall and left ventricular hypertrophy lower, left ventricular chamber (Chamber) but reduced systolic function, abnormal diastolic function, left ventricular ejection channel ( outflow tract) no pressure difference, its diagnosis is:

Answer: Hypertrophic cardiomyopathy (hypertrophic cardiomyopathy)

Choices:
A. Aortic stenosis
B. Aortic insufficiency
C. Hypertrophic cardiomyopathy (hypertrophic cardiomyopathy)
D. Left ventricular hypertrophy apex (apical hypertrophy)

Mr
years old
high blood pressure
often
exertional dyspnea
ECG left ventricular hypertrophy
cardiac revealed
significant change valve
ventricular septal wall
left ventricular hypertrophy lower
chamber
Chamber
reduced systolic function
abnormal diastolic function
left ventricular ejection channel
tract
diagnosis


Question: The main site of absorption following substances and what was not in the duodenum and proximal jejunum?

Answer: Bile acid (Bile acid)

Choices:
A. Ca (Calcium)
B. Iron (Iron)
C. Folate (Folic acid)
D. Bile acid (Bile acid)

main site of absorption following
not
duodenum
proximal jejunum


Question: Bearing on the question, given for this patient nutrition, the most Rongyifasheng of complications:

Answer: Phlebitis

Choices:
A. diarrhea
B. Phlebitis
C. High blood sugar
D. Liver dysfunction

Bearing
given
patient nutrition
most
complications


Question: Which of the following anticoagulant is a direct thrombin inhibitor acts on the?

Answer: argatroban

Choices:
A. heparin
B. enoxaparin
C. fondaparinux
D. argatroban

following anticoagulant
direct thrombin inhibitor acts


Question: A 10-year-old boy near upper respiratory tract infection and the emergence of Aschoff bodies in the myocardium. The following statements about the cardiac lesions, what's inappropriate?

Answer: Occurs only in the myocardium

Choices:
A. Fibrinoid necrosis and red expanded tropism of collagen Iraq
B. Appears Anitschkow cells (caterpillar-like cells)
C. Multinucleated giant cells formed giant cells Aschoff
D. Occurs only in the myocardium

A 10 year old boy
upper respiratory tract infection
Aschoff bodies
myocardium
following
cardiac lesions
inappropriate


Question: Hirschsprung's disease the highest reliability (gold standard) the diagnosis is based on what?

Answer: Rectal biopsy (rectal biopsy)

Choices:
A. More than 48 hours unsolved meconium
B. Check the pressure gauge anus (manometry study)
C. Rectal biopsy (rectal biopsy)
D. Lower gastrointestinal barium enema (lower GI barium enema)

Hirschsprung's disease
highest reliability
gold standard
diagnosis
based


Question: 40-year-old Schilling found months menstrual pain, irregular bleeding. The illustrated CT findings. Schilling most likely suffering from what disease?

Answer: Uterine fibroids class (uterine fibroid or leiomyoma)

Choices:
A. Pregnancy (pregnancy)
B. Ovarian dermoid cysts (dermoid cyst)
C. Cervical cancer (uterine cervical cancer)
D. Uterine fibroids class (uterine fibroid or leiomyoma)

40 year old
found months menstrual pain
irregular bleeding
CT findings
likely suffering
disease


Question: In all cases due to trauma and death, organ damage following which accounted for more than 50 percent?

Answer: Traumatic brain injury

Choices:
A. Traumatic pulmonary contusion
B. Traumatic liver lacerations
C. Traumatic brain injury
D. Traumatic cardiac contusion

cases due to trauma
death
organ damage following
accounted
50 percent


Question: Mao Bo because the calf injury at work lead to infection, to the nearby pharmacy to buy non-approval of the Department of Health of penicillin ointment for external use, two weeks after the wound did not improve hospitalization, treatment with antibiotics Shique no defensive serious allergic reaction . This drug allergies cause immune Which of the following turn the machine correctly?

Answer: Immune machine turn cause allergic reactions classified as the second type hypersensitivity

Choices:
A. Machine turn cause allergic reactions classified as immune complex of an antigen-antibody reaction
B. Immune machine turn cause allergic reactions classified as the second type hypersensitivity
C. Time of an allergic reaction takes about 48 hours after injection
D. This is because of allergic reactions caused by bacteria resistant to

Bo
calf injury at work lead
infection
nearby pharmacy
non approval
penicillin ointment
external use
two weeks
wound
not
treatment
antibiotics
serious allergic reaction
drug allergies cause immune
following turn
machine


Question: Pregnant women aged 39.29, 11 weeks of pregnancy, hepatitis B screening asymptomatic carrier results HBsAg (+), HBeAg (+); (HBV) DNA test results 24 weeks of gestation hepatitis B virus 108 copies / mL. 28 weeks gestation in pregnant women taking anti-HBV drugs Tenofovir-connector ⾄ treatment 38 weeks of pregnancy, vaginal delivery the natural coloring baby 3,480 grams. Prevention is the most appropriate disposal of infants infected with hepatitis B are:

Answer: After a new child ⽣ ⽣ immediately administered hepatitis B immune globulin therapy white, and arrange hepatitis B vaccination

Choices:
A. After a new child ⽣ ⽣ immediately administered hepatitis B immune globulin therapy white, and arrange hepatitis B vaccination
B. After the new ⽣ children out ⽣ immediately given hepatitis B immune globulin therapy white, do not have to arrange hepatitis B vaccination
C. New ⽣ children after a ⽣ do not have to give hepatitis B immune globulin therapy white, simply arrange hepatitis B vaccination
D. After the new child ⽣ ⽣ necessarily administered hepatitis B immunoglobulin white therapy, there is no need to arrange the hepatitis B vaccination


Question: On spermatogonial mother cell (spermatogonium) to sperm (sperm) process, in the following order that one of the best?

Answer: Spermatogonium→primary spermatocyte→first meiosis→secondary spermatocyte→second meiosis→ spermatid→sperm

Choices:
A. Spermatogonium→primary spermatocyte→first meiosis→secondary spermatocyte→second meiosis→ spermatid→sperm
B. Spermatogonium→first meiosis→primary spermatocyte→second meiosis→secondary spermatocyte→ spermatid→sperm
C. Spermatogonium→primary spermatocyte→first meiosis→secondary spermatocyte→spermatid→second meiosis→sperm
D. Spermatogonium→primary spermatocyte→secondary spermatocyte→first meiosis→spermatid→second meiosis→sperm


Question: German measles (Rubella) limit collective immunity level is maintained, mainly to ensure that women of childbearing age to avoid rubella infection, and therefore the implementation of German measles vaccination effect is most unsatisfactory that in the following groups?

Answer: Youth man

Choices:
A. Youth man
B. Blue Girl
C. Preschool boys
D. Preschool girls

German measles
Rubella
limit
immunity level
maintained
to
women of childbearing age to
rubella infection
German measles vaccination effect
most unsatisfactory
following groups


Question: 3. Since human infection or trauma can lead to a systemic inflammatory response syndrome (systemic inflammatory response syndrome, SIRS), including clinical manifestations: ① temperature> 38 ° C, or ≤ 36 ° C ② heart rate ≥ 90 / min ③ respiratory rate ≥ 20 / min or PaCO2 ≤ 32 mm Hg, or need for mechanical ventilation (mechanical ventilation) ④ leukocytes ≥ 12,000 / microliter ([mu] l), or ≤ 4,000 / microliter ([mu] l), or band forms

Answer: Two kinds

Choices:
A. One kind
B. Two kinds
C. Three kinds
D. Four kinds

3
human infection
trauma
lead
systemic inflammatory response syndrome
systemic inflammatory response syndrome
SIRS
including clinical manifestations
temperature
36
heart rate
90
min
respiratory rate
20
mm Hg
need
mechanical ventilation
mechanical ventilation
leukocytes
12
microliter
mu
l
4
microliter
mu
l
band forms


Question: About the diagnosis and treatment of patients with severe brain trauma narrative, which of the following error?

Answer: Acute subdural hemorrhage (acute subdural hematoma) meningeal artery often result (middle meningeal artery) due to bleeding branch

Choices:
A. You must evaluate and treat shock injuries may occur, hypoxia, coagulopathy
B. Cerebral contusion bleeding may occur immediately after the impact, but there may become large clot, in particular 12 to 24 hours
C. If the clot or brain contusion greater than 30 c.c., is generally believed to cause a significant effect of the mass (mass effect), causing neurological deterioration of brain damage as well as
D. Acute subdural hemorrhage (acute subdural hematoma) meningeal artery often result (middle meningeal artery) due to bleeding branch

diagnosis
severe brain trauma
following error


Question: Wrist tunnel syndrome (carpal tunnel syndrome) patients, which of the following functions relatively unaffected?

Answer: Feeling palm thenar area (thenar eminence) of

Choices:
A. Feeling palm thenar area (thenar eminence) of
B. Hand on the palm action
C. Thumb feeling
D. The third refers to the feeling

Wrist tunnel syndrome
carpal tunnel syndrome
patients
following functions


Question: Which of the following after gynecological surgery, the most common pulmonary complications (pulmonary complications)?

Answer: atelectasis

Choices:
A. pneumothorax
B. atelectasis
C. pulmonary edema
D. bronchopneumonia

following
gynecological surgery
most common pulmonary complications
pulmonary complications


Question: 21 a 12-year-old boy because the treatment of short stature, when he was born weighing 3.5 kilograms, the most recent year increased by 4 cm height. His father height 160 cm, 14-year-old started secondary sexual characteristics; mother height 150 cm, menarche age was 13 years old. This boy body checkups display height 131 cm (below the third percentile) and weighing 27.5 kg (tenth percentile), testicles are about 4 ml, no pubic hair development, in addition to physical examination found no other abnormalities. 11 years of bone age test results 6 months, serum IGF-I is 200 ng / mL (normal 140-400 ng / mL). This boy most likely diagnosis is:

Answer: Familial short stature (familial short stature)

Choices:
A. Familial short stature (familial short stature)
B. Low energy pituitary disease (hypopituitarism)
C. Constitutional growth retardation (constitutional growth delay)
D. 22 Which of the following is not McCune-Albright syndrome is a disease characterized by malnutrition (malnutrition)?

year old boy
treatment
short stature
born
3.5 kilograms
most recent year increased
height
height
year old started secondary
characteristics
height
menarche age
years old
boy body
display height
third percentile
27
kg
tenth percentile
testicles
about
ml
pubic hair development
found
abnormalities
years
bone test results
months
serum IGF-I
200 ng
mL
normal
400 ng
mL
boy
likely diagnosis


Question: 57-year-old female patient had the habit of picky eaters, a few days without a bowel movement, abdominal distention uncomfortable to see a clinic, the doctor said she was acute constipation metabolism caused by the following case less likely to cause acute constipation?

Answer: Hypocalcemia

Choices:
A. Hypothyroidism
B. Hypoadrenalism
C. Hypokalemia
D. Hypocalcemia

57 year old female patient
picky eaters
few days
bowel movement
abdominal distention
to see
clinic
doctor
acute constipation metabolism caused
following case
likely to cause acute constipation


Question: The following pair of occupational cancer, what's wrong?

Answer: Dye plants - Thyroid Cancer

Choices:
A. Chimney sweeping - testicular cancer
B. Arsenic - Skin Cancer
C. Benzene - leukemia
D. Dye plants - Thyroid Cancer

following pair
occupational cancer
wrong


Question: From the previous question, cerebrospinal fluid cultures Preliminary results displayed have yeast, following the disposal of what's wrong?

Answer: To echinocandin drugs

Choices:
A. 給amphotericin B＋flucytosine
B. Check the HIV screening test
C. According chest X-ray, pumping ⾎ do fungal culture and antigen detection
D. To echinocandin drugs

previous
cerebrospinal fluid cultures
displayed
yeast
following
wrong


Question: The following statements about dietary fiber (dietary fiber) of, what is non?

Answer: Intestinal bacteria only partially fermented foods of leafy plant fiber (Cellulose)

Choices:
A. The water-soluble fiber (e.g. fruit pectins) is used to treat constipation
B. The soluble fiber can be easily intestinal fermentation to produce short chain fatty acids (short-chain fatty acid)
C. The soluble fiber can cause increased stool volume (bulky stool) effect of
D. Intestinal bacteria only partially fermented foods of leafy plant fiber (Cellulose)


Question: 70-year-old man, suffering from diabetes, due to the recent two days gradually unconsciousness and taken to hospital. In addition to physical examination revealed the patient unconsciousness, the inlet temperature of 39.6 deg.] C, blood pressure 90/50 mmHg, pulse 120 / min, respiratory rate 28 / min, sweating body, the bottom of the right lung significantly rales, gallop nor non-cardiac murmur, but no lower limb edema than the cold. Blood biochemical examination showed blood glucose 230 mg / dL, leukocytes 18,000 / μL. Then transferred to the intensive care unit, central venous pressure (CVP) is 11 cm, the cardiac index (cardiac index) of 4.8 L / min / m2. This patient most likely belong to the shock that one of the following?

Answer: Dispensing septic shock (distributive shock)

Choices:
A. Low capacitive shock (hypovolemic shock)
B. Cardiogenic shock (cardiogenic shock)
C. Dispensing septic shock (distributive shock)
D. Outside the heart obstructive shock (extracardiac obstructive shock)

70 year old man
suffering
diabetes
recent two days
unconsciousness
hospital
revealed
patient unconsciousness
inlet temperature
deg
blood pressure 90 50 mmHg
pulse
min
respiratory rate
min
sweating body
bottom
right
rales
non cardiac murmur
lower limb edema
cold
Blood biochemical examination
blood glucose
mg
dL
leukocytes 18
Then transferred
intensive care unit
central venous pressure
cardiac index
cardiac index
4.8
min
m2
patient
likely
shock
one


Question: A 26-year-old male, 10 days after head trauma, the gradual emergence of the right eye swelling, proptosis, diplopia. His two injection of iodine developer head CT scan figures. The most appropriate treatment for this patient is:

Answer: interventional radiology with balloon embolization

Choices:
A. interventional radiology with balloon embolization
B. surgery
C. gamma knife
D. radiation


Question: Terfenadine If the merger following which drug to use, easy to produce ventricular arrhythmias (ventricular arrhythmias)?

Answer: Erythromycin

Choices:
A. Carbachol
B. Erythromycin
C. Scopolamine
D. Loratadine

Terfenadine
following
drug to use
easy to
ventricular arrhythmias
ventricular arrhythmias


Question: Related to Parkinson's disease (Parkinson's disease) patient rehabilitation treatment in principle, the following statements is wrong?

Answer: Patients because of slow movement and coordination disorders, it is recommended to use walking machine (treadmill) for running training on rehabilitation

Choices:
A. Patients because of slow movement and coordination disorders, it is recommended to use walking machine (treadmill) for running training on rehabilitation
B. When patients have significant slow and coordination disorders, using a wheeled walker (rolling walker) can help maintain their functional activity
C. Patients undergoing resistance exercise (resistance exercise) movement and flexibility (flexibility exercise) may improve physical treatment
D. When patients receive rehabilitation treatment, often requires a variety of audio-visual and tactile and other sensory prompt (cues)

Related
Parkinson's disease
Parkinson's disease
patient rehabilitation
following
wrong


Question: After about narrative of postmenopausal women with osteoporosis (osteoporosis), and which of the following error?

Answer: Osteoporosis is defined as Bone mineral density (BMD) of the T-score between -1 and -2.5

Choices:
A. Moderate calcium and vitamin D supplements can help prevent osteoporosis
B. Quit smoking and drinking can reduce the chances of fractures
C. Osteoporosis is defined as Bone mineral density (BMD) of the T-score between -1 and -2.5
D. Selective estrogen receptor modulators (selective estrogen receptor modulator) such as Raloxifene has been shown to treat osteoporosis

about
postmenopausal
osteoporosis
osteoporosis
following error


Question: Which of the following products with a conditioning effect (opsonization), can enhance phagocytosis of macrophage, neutrophils are?

Answer: complement

Choices:
A. Interferon
B. IL-1
C. TNF-a
D. complement

following effect opsonization phagocytosis


Question: Which of the following drugs NSAIDs, most likely to cause side effects thrombosis?

Answer: rofecoxib

Choices:
A. diclofenac
B. ibuprofen
C. rofecoxib
D. sulindac

following drugs NSAIDs
likely to cause side effects thrombosis


Question: Fasciola hepatica is common parasites of herbivorous animals, I ask the following statements is true?

Answer: "Halzoun" because eating raw liver infection caused by adult sheep liver fluke

Choices:
A. "Halzoun" because eating raw liver infection caused by adult sheep liver fluke
B. Larvae through the bile duct into the common bile duct upstream parasitic, so it will not damage the liver tissue
C. Cattle and sheep liver fluke disease is the best treatment with oral praziquantel
D. Human bladder was due to ingestion of larvae infected animal livers

common parasites
animals
I
following
true


Question: The accumulation of plasma cells (plasma cell) large immunoglobulins, the cells formed pink substance called:

Answer: Russell body

Choices:
A. Russell body
B. amyloid
C. Think Mallory body
D. psammoma body

accumulation
large immunoglobulins
cells formed pink
called


Question: Slowing diabetic nephropathy (diabetic nephropathy) were renal failure, the best antihypertensive drugs is what kind?

Answer: Angiotensin receptor blockers (angiotensin receptor blockers)

Choices:
A. Diuretics (diuretics)
B. α- sympathetic blockers (α-sympathetic blockers)
C. Angiotensin receptor blockers (angiotensin receptor blockers)
D. Calcium duct blocker (calcium channel blockers)

Slowing diabetic nephropathy
diabetic nephropathy
renal failure
best antihypertensive drugs
kind


Question: 1 by a 49 year old woman patient epigastric pain and left upper area of about two to three days and for treatment, test results show ER Hb 10.4 g / dL, WBC classification N / L 79.9% / 14.5%, glucose 115 mg / dL, BUN 13 mg / dL, creatinine 0.9 mg / dL, CRP 10.8 mg / L, lipase 173 U / L, amylase 67 U / L, triglyceride 1634 mg / dL. Why is the most likely diagnosis?

Answer: Acute pancreatitis (acute pancreatitis)

Choices:
A. Ectopic pregnancy (ectopic pregnancy)
B. Ovarian cancer (ovarian cancer)
C. Acute pancreatitis (acute pancreatitis)
D. Acute appendicitis (acute appendicitis)

1
year old woman patient epigastric pain
left upper area
two
three days
treatment
test results
ER Hb 10 g
dL
WBC classification
9
5
glucose
mg
dL
mg
dL
creatinine 0.9 mg
dL
CRP 10.8 mg
L
lipase
U
L
amylase 67 U
L
triglyceride
mg
dL
diagnosis


Question: 20 A 60-year-old male patient with chronic hepatitis C related cirrhosis of the liver, in the past there is no other specific diseases. Imaging examination revealed the left hepatic lobe has a 3 cm typical liver lesions, but there is no extrahepatic metastasis phenomenon. Fetal serum protein is 500 ng / mL, Child-Pugh classification is C, and patients with massive ascites case, what you most priority to the following treatment?

Answer: Liver transplant

Choices:
A. Hormone therapy
B. Surgical resection
C. Ethanol injection therapy
D. Liver transplant


Question: The following information about prostate specific antigen (PSA) of the narrative, what's wrong?

Answer: About 10% in combination with serum PSA α1-antichymotrypsin

Choices:
A. If the annual increase when PSA 0.75 ng / mL or more, there may be hidden prostate cancer
B. Benign prostatic hypertrophy per gram tissue concentration of PSA can increase 0.12 ng / mL
C. PSA density exceeds 0.15 ng / mL should sectioning
D. About 10% in combination with serum PSA α1-antichymotrypsin

following
prostate specific antigen
wrong


Question: In patients with acute manic lithium treatment, acute episodes (acute mania) lithium salt concentration in a patient's blood should be maintained within the following range where appropriate?

Answer: 1.0 ~ 1.5 meq/L

Choices:
A. 1.2 ~ 1.8 meq/L
B. 0.6 ~ 1.6 meq/L
C. 1.0 ~ 1.5 meq/L
D. 0.6 ~ 1.0 meq/L

acute manic lithium
acute episodes
acute mania
lithium salt concentration
patient's blood
maintained
following range
appropriate


Question: For a description of Tumor markers, Which of the following most unreasonable?

Answer: α-fetoprotein decline in the fetus after birth will gradually rise, fall during pregnancy

Choices:
A. Carbohydrate antigen 19-9 (CA19-9) commonly used when pancreatic cancer tumor marker
B. Used to monitor colorectal cancer, on Carcinoembryonic antigen (CEA) Clinical
C. α-fetoprotein decline in the fetus after birth will gradually rise, fall during pregnancy
D. CA-125 will be increased in patients with cirrhosis and endometriosis


Question: Statements about postcentral gyrus of the following, whichever is correct?

Answer: When damaged, the pain of which corresponds to the position of the body surface is not completely lost

Choices:
A. It is important motor cortex, responsible for issuing a command to start the movement of skeletal muscle contraction
B. And is closely related to personality traits
C. When damaged, the pain of which corresponds to the position of the body surface is not completely lost
D. Responsible for the formation of long-term memory


Question: Two while looking straight on Places where the nerve to do what Use?

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. Ophthalmic (ophthalmic nerve)
B. Slide ⾞ nerve (trochlear nerve)
C. Oculomotor nerve (oculomotor nerve)
D. Abducens (abducent nerve)


Question: Which of the following pregnant women infected with hepatitis virus most Rongyifasheng fulminant hepatitis (fulminant hepatitis)?

Answer: E-type

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

following
infected
hepatitis
fulminant
fulminant hepatitis


Question: 48 a 21-year-old student surnamed Zhang, general weakness can not get up, was sent to the emergency room for treatment. He also said yesterday to go hiking pace is brisk, when the students came back and went to a fancy meal also very good spirit. Two weeks ago he had a friend's birthday party the next day is also a general weakness. Physical examination found his body muscle weakness, tendon reflexes (tendon reflexes) disappear, but no case of muscle atrophy or paresthesia. Zhang state of students with the most blood following a relationship that electrolyte?

Answer: Potassium

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

48
21-year-old
general weakness
not get
sent
emergency room
treatment
to go
pace
brisk
back
very good spirit
Two weeks
next day
general weakness
found
body muscle weakness
tendon reflexes
tendon reflexes
case
muscle atrophy
paresthesia
state
most blood following
relationship
electrolyte


Question: Statements about shoulder dystocia (shoulder dystocia), and what's not correct?

Answer: Shoulder dystocia occur because medical advances reduced

Choices:
A. Shoulder dystocia giant baby may not occur
B. Shoulder dystocia maternal complications postpartum hemorrhage, birth canal laceration, and postpartum infection
C. Shoulder dystocia fetal complications of brachial plexus injuries, a broken collarbone, and cerebral hypoxia
D. Shoulder dystocia occur because medical advances reduced

shoulder dystocia
shoulder dystocia
not correct


Question: Which of the following is seen in normal retinal fundus features?

Answer: Partial optic disc central nose (nasal) side physiologic recess (physiologic cup)

Choices:
A. Optic disc (optic disc) positioned macula (Macula) above
B. Partial optic disc central nose (nasal) side physiologic recess (physiologic cup)
C. Optic disc (optic disc) positioned macula (Macula) below
D. Partial optic disc center ear (temporal) side physiologic recess (physiologic cup)

following
seen
normal retinal fundus features


Question: 37. A 46-year-old male, in the past no special medical history, shortness of breath, abdominal swelling and was sent to the emergency treatment. Physical examination presents conjunctival pallor, splenomegaly and ascites. Data show room solid: leukocyte 8450 / μL, classification blast 2.9%, myelocyte 1%, metamyelocyte 3.8%, band 6.7%, segmented neutrophil 37.1%, lymphocyte 31.4%. Hemoglobin 9.7 g / dL, platelets 55,000 / μL, uric acid 12.1 mg / dL (refer to section 2.6 ~ 7.5), lactate dehydrogenase (LDH) 2342 U / L (refer to sections 140 to 271). Bone marrow cells are shown below in FIG. Chromosome t (2; 8) (p12; q24) of the change. The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: In general, the poor treatment of the disease, the current treatment of long-term survival rate of less than 3 percent

Choices:
A. Disease turn the machine contains the deregulation c-myc
B. The disease course is quite fast, must be treated as soon as possible
C. Treatment of the disease must include examination of brain and spinal fluid of intrathecal chemotherapy
D. In general, the poor treatment of the disease, the current treatment of long-term survival rate of less than 3 percent

year old male
past
special medical history
shortness of breath
abdominal swelling
sent
emergency treatment
presents conjunctival pallor
splenomegaly
ascites
Data
room solid
classification blast 2
band
segmented
31
Hemoglobin
g
dL
platelets
L
uric acid
mg
dL
refer to section 2
5
lactate dehydrogenase
U
L
refer
sections
Chromosome
2
p12
change
following
patient
likely diagnosis
treatment
diseases
wrong


Question: Extensive destruction of the adrenal cortex, which of the following may occur?

Answer: Skin hyperpigmentation

Choices:
A. Moony
B. Skin hyperpigmentation
C. hypertension
D. Hairy

Extensive destruction
adrenal cortex
following
occur


Question: The following does not cause the disease most conjunctival fibrosis?

Answer: Straw hot conjunctivitis (hay fever conjunctivitis)

Choices:
A. Straw hot conjunctivitis (hay fever conjunctivitis)
B. Steve - Johnson syndrome (Stevens-Johnson syndrome)
C. Crusted blisters (cicatricial trachoma)
D. Pemphigoid (cicatricial pemphigoid)

following
not cause
disease
conjunctival fibrosis


Question: The following related omphalocele (omphalocele) compared with gastroschisis (gastroschisis), and what's right?

Answer: Omphalocele membrane-covered, and more opportunities associated with other abnormalities

Choices:
A. Omphalocele membrane-covered, and fewer opportunities associated with other abnormalities
B. Omphalocele membrane-covered, and more opportunities associated with other abnormalities
C. Omphalocele no film coverage, and fewer opportunities associated with other abnormalities
D. Omphalocele no film coverage, and more opportunities associated with other abnormalities

following related omphalocele
omphalocele
gastroschisis
gastroschisis
right


Question: Oculomotor nerve (oculomotor nerve) does not dominate the following piece of muscle?

Answer: Lateral rectus muscle (lateral rectus)

Choices:
A. Rectus muscle (medial rectus)
B. Lateral rectus muscle (lateral rectus)
C. Superior rectus (superior rectus)
D. Inferior rectus (inferior rectus)

Oculomotor nerve
oculomotor nerve
not
following piece
muscle


Question: Which of the following anti-IgE monoclonal antibody belongs (monoclonal antibody), may be used to treat allergic asthma?

Answer: Omalizumab

Choices:
A. Basiliximab
B. Omalizumab
C. Abatacept
D. Efalizumab

following anti-IgE monoclonal antibody
monoclonal antibody
used to treat allergic asthma


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

Answer: High-voltage electrical injury and burns very similar in general, less penetration into the deep tissue damage

Choices:
A. Current into the body, it will go in the body tissues of the lowest part of the resistance, usually the nerves, blood vessels and muscles
B. The skin is a relatively high resistance of the organ, usually less affected
C. High-voltage electrical injury and burns very similar in general, less penetration into the deep tissue damage
D. Muscle injury may cause rhabdomyolysis, resulting in the release of myoglobin obstructive nephropathy


Question: Wrist unable to stretch phenomenon, that following a nerve injury patients are most likely to occur after an upper arm fracture?

Answer: Radial nerve

Choices:
A. Median nerve
B. Axillary nerve
C. Ulnar nerve
D. Radial nerve

Wrist unable to stretch
following
nerve injury patients
to occur
upper arm fracture


Question: A 5-year-old boy, short stature, a long face, thick lips (as indicated by reference), and aortic stenosis. The most likely diagnosis is:

Answer: William's disease (Williams syndrome)

Choices:
A. William's disease (Williams syndrome)
B. Noonan's disease (Noonan syndrome)
C. Turner's syndrome (Turner syndrome)
D. Mr. Tang disease (Down syndrome)

5 year old boy
short stature
long face
thick lips
indicated
aortic stenosis
diagnosis


Question: The following relevant parameters (parameter) confidence interval estimate of statements is true?

Answer: 95% CI simple linear regression coefficients contains no explanation variables representing the 0 and the reaction variables have significant linear

Choices:
A. 95% confidence interval and a one-tailed two-tailed 95% confidence interval is substantially different from the level α
B. 95% CI simple linear regression coefficients contains no explanation variables representing the 0 and the reaction variables have significant linear
C. Odds ratio (Odds Ratio) 95% CI not including 0 variables representing the interpretation associated with the reaction variables
D. Students test whether the proportion of myopia with the same 10 years ago, for examination and test hypotheses with CI Law Z-test different conclusions

following relevant parameters
parameter
confidence interval estimate
true


Question: ADVANCED following statements about the cause of myopia retinopathy, what's wrong?

Answer: Retinal pigment ⽪ discolored hypertrophy (hypertrophy of the retinal pigment epithelium)

Choices:
A. Retinal pole section cracks paint (lacquer cracks)
B. Staphylomas retinal pole portion (staphyloma)
C. Submenu peripheral retinal cell degeneration (lattice degeneration)
D. Retinal pigment ⽪ discolored hypertrophy (hypertrophy of the retinal pigment epithelium)

ADVANCED following
cause
myopia retinopathy
wrong


Question: A study was to investigate lead paint exposure and children's intellectual development retardation of the degree of correlation between the variables involved in this Institute include ethnicity (black or white), age (years old), as well as exposure of the paint (according to the level of concentration is divided into four) , that one of the following options in sequence variables as nominal, ordinal, and ratio scale?

Answer: Race, paint the exposed, age

Choices:
A. The degree of exposure of the paint, race, age
B. The degree of exposure of the age, race, paint
C. Race, paint the exposed, age
D. The degree of exposure of the paint, age, race

study
to investigate lead paint exposure
children's
retardation
degree
correlation
variables involved
include ethnicity
black
white
age
years old
exposure
paint
level
concentration
divided
four
one
following options
sequence variables
ordinal
ratio scale


Question: The following link those muscles and ribs and respiratory-related?

Answer: After serratus (serratus posterior superior), after sawing muscle (serratus posterior inferior)

Choices:
A. Hasukatahada (trapezius), 闊背 skin (latissimus dorsi)
B. Big rhomboid muscle (rhomboideus major), levator scapulae (levator scapulae)
C. After serratus (serratus posterior superior), after sawing muscle (serratus posterior inferior)
D. Capitis (splenius capitis), neck splenius (splenius cervicis)

following
muscles
ribs
respiratory related


Question: What is the situation within the duodenum following the easiest to suppress gastric emptying (gastric empty)?

Answer: Fat chyme

Choices:
A. Hypotonic (hypotonicity)
B. high pH
C. Fat chyme
D. Low protein chyme

duodenum following
easiest to suppress gastric emptying
gastric empty


Question: Before carrying out the following information about conventional (elective) colorectal surgery, preoperative preparation of new ideas and perspectives, what's wrong?

Answer: If considering mechanical bowel cleansing clinic for patients with poor kidney function, select the type of sodium phosphate enemas, relative polyethylene glycol solution, less severe electrolyte imbalance happens

Choices:
A. When bowel preparation, some patients will receive antibiotics to reduce the amount of intestinal bacteria; the most common bacteria in the large intestine is anaerobic
B. There is evidence that administration of preoperative antibiotics play, play must be applied in the first 30 minutes of the cutting; if the operation time is too long, it is necessary to fix every 4 hours antibiotic agent
C. If considering mechanical bowel cleansing clinic for patients with poor kidney function, select the type of sodium phosphate enemas, relative polyethylene glycol solution, less severe electrolyte imbalance happens
D. In recent years, research on the fast track surgery found that routine preoperative fasting for a long time so that patients, for patients with normal gastrointestinal emptying, intestinal mucosal atrophy but there will thus increasing the chance of infection

out
following
conventional
elective
colorectal surgery
preoperative preparation
new
wrong


Question: 44 A 60-year-old patient with abdominal pain, mild paralysis was sent to the emergency, urine examination showed red wine, genetic analysis found: missense mutation (missense mutation) enzymes involved in heme (heme) synthesis occurs. Which of the following is the most likely diagnosis?

Answer: MurasakiTadashisho (porphyria)

Choices:
A. PKU (phenylketonuria)
B. Maple syrup urine disease (maple syrup urine disease)
C. 黑尿 disease (alkaptonuria)
D. MurasakiTadashisho (porphyria)

60 year old patient
abdominal pain
mild paralysis
sent
emergency
urine examination
genetic analysis found
enzymes involved
heme
heme
occurs
following
diagnosis


Question: Organ transplantation is the Face class Surgeons ⼀ major breakthrough, the following statements is wrong?

Answer: Center Weighted dirty transplant a liver transplant earlier than complete

Choices:
A. The history of the earliest completion of organ transplants for kidney transplant
B. Center Weighted dirty transplant a liver transplant earlier than complete
C. Most zoomed pancreas transplant often merge into a kidney transplant from ⼀ ⾏
D. When hyperacute rejection of the transplanted hair ⽣ to work very well to count the number lower, and because ⾎ type Face-associated antigen or antibody attack on the body of the recipient organ donation

Organ transplantation
Face
Surgeons
major breakthrough
following
wrong


Question: Which of the following and promoting the cellular uptake of cholesterol in the blood related?

Answer: Apo B-100

Choices:
A. Apo B-100
B. Apo C-I
C. Apo C-II
D. lipoprotein lipase


Question: Normal newborns, TSH (thyroid-stimulating hormone, TSH) of the narrative, which of the following error?

Answer: Born full-term newborns within 30 minutes, TSH can reach up to 20 mIU / L

Choices:
A. Born full-term newborns within 30 minutes, TSH can reach up to 20 mIU / L
B. TSH rapid reduction in the 24 hours after birth
C. TSH presented five days after birth <10 mIU / L
D. After the neonatal period (neonatal period), TSH <6 mIU / L

Normal newborns
thyroid-stimulating hormone
following error


Question: Women appear male hormone hyperparathyroidism and multiple illnesses, the most common reasons are:

Answer: Polycystic ovary syndrome

Choices:
A. Polycystic ovary syndrome
B. Adrenal tumors
C. Ovarian Cancer
D. Taking male hormone

appear male hormone hyperparathyroidism
multiple illnesses
most common


Question: Which of the following drugs, primarily for the treatment of copper (copper) poisoning?

Answer: penicillamine

Choices:
A. dimercaprol
B. penicillamine
C. melarsoprol
D. deferoxamine

following drugs
treatment
copper
copper
poisoning


Question: 40-year-old female, found a left adrenal tumor. ACTH test data value is not abnormal serum, but serum renin (renin) and the potassium ion decreased. Pathological examination revealed the tumor was bright yellow, lipids containing a large quantity of tumor cells under a microscope. Adrenal cortex near the tumor and the contralateral adrenal cortical atrophy is not. The following adrenal tumors, whichever is most consistent with the clinical and pathological features of this patient?

Answer: aldosterone-producing adenoma

Choices:
A. metastatic renal cell carcinoma
B. aldosterone-producing adenoma
C. cortisol-producing adenoma
D. pheochromocytoma

40 year old female
found
left adrenal tumor
ACTH test
serum
serum renin
renin
potassium ion decreased
Pathological examination revealed
tumor
bright yellow
lipids containing
large quantity
tumor cells
microscope
Adrenal cortex
tumor
contralateral adrenal cortical atrophy
not
following adrenal tumors
most
clinical
pathological features
patient


Question: Which of the following best drugs for the Early scleroderma interstitial lung disease (interstitial lung disease)?

Answer: cyclophosphamide

Choices:
A. corticosteroid
B. hydroxychloroquine
C. D-penicillamine
D. cyclophosphamide

following best drugs
Early scleroderma interstitial
interstitial lung disease


Question: Breast cancer after surgical removal or radiation therapy, is the most likely sarcoma:

Answer: Angiosarcoma

Choices:
A. Angiosarcoma
B. Rhabdomyosarcoma
C. Liposarcoma
D. Leiomyosarcoma

Breast cancer
surgical removal
radiation therapy
sarcoma


Question: The following diseases, what's with the Epstein-Barr virus infection has nothing to do most?

Answer: Chronic myelogenous leukemia (chronic myelogenous leukemia)

Choices:
A. NPC (nasopharyngeal carcinoma)
B. Chronic myelogenous leukemia (chronic myelogenous leukemia)
C. Hodgkin's disease (Hodgkin's disease)
D. Butch's lymphoma (Burkitt's lymphoma)

following diseases
Epstein-Barr virus infection
to


Question: 29. Which of the following coenzymes (Coenzyme) does not participate in α-ketoglutarate is converted into succinyl-CoA oxidative decarboxylation reaction of (oxidative decarboxylation)?

Answer: Tetrahydrofolate

Choices:
A. Thiamine pyrophosphate
B. Tetrahydrofolate
C. FAD
D. Coenzyme A

29
following coenzymes
not
succinyl-CoA oxidative
reaction
oxidative


Question: A 20-year-old man in the face three days before the emergence of clusters of small water . The small water  Tzanck smear as shown in FIG. What is the most likely diagnosis?

Answer: Simple  rash (herpes simplex)

Choices:
A. Contact dermatitis (contact dermatitis)
B. Staphylinidae dermatitis (paederus dermatitis)
C. Delayed cutaneous porphyria (porphyria cutanea tarda)
D. Simple  rash (herpes simplex)

20 year old man
face three days
clusters
small water
small water
Tzanck smear
diagnosis


Question: 22. A mature CD4 T cells after activation, can differentiate into different effector T cells, CD4 T cells which secrete IL-17 main functions are:

Answer: Clear extracellular bacterial infection

Choices:
A. Clear intracellular pathogen infection
B. Clear extracellular bacterial infection
C. Kill extracellular parasites outside
D. Over-inhibition of T cell inflammatory response

mature CD4 T cells
activation
differentiate
different
secrete IL-17 main functions


Question: Patellar reflex (knee jerk reflex), mainly to test which of the following reaction?

Answer: Femoral nerve (femoral nerve)

Choices:
A. Femoral nerve (femoral nerve)
B. Obturator nerve (obturator nerve)
C. Sciatic nerve (sciatic nerve)
D. Tibial nerve (tibial nerve)

Patellar reflex
knee jerk reflex
to test
following reaction


Question: From the previous question, the person infected with pathogenic bacteria following that in most similar physiological characteristics and pathogenicity?

Answer: Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Choices:
A. Hib (Haemophilus influenzae)
B. 白喉桿菌（Corynebacterium diphtheriae）
C. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
D. L. pneumophila Legionella (Legionella pneumophila)

previous
infected
pathogenic bacteria following
similar physiological characteristics
pathogenicity


Question: Related acute inflammation following treatment in the earphones, what's wrong?

Answer: Treatment into the watch Face Acute inflammation often need earphones

Choices:
A. amoxicillin remains therefore especially selected from the group of anti-hormone ⽣
B. Use amoxicillin invalid if treatment 72 lower, and may be considered into the treatment cefuroxime or amoxicillin-clavulanate
C. If the product water resistant earphone may consider Using prednisolone
D. Treatment into the watch Face Acute inflammation often need earphones


Question: Spontaneous rupture of the esophagus about (Boerhaave's syndrome), Which statement is correct?

Answer: Vomiting often occurs after intense

Choices:
A. Often associated with trauma related
B. Vomiting often occurs after intense
C. Rupture often occurs in the neck of the esophagus
D. Usually given antibiotics can solve the problem of the patient, if the infection can not be controlled then consider surgery

Spontaneous rupture of
esophagus
Boerhaave's syndrome
correct


Question: Which of the following is not a characteristic of TB?

Answer: About 2 hours once split

Choices:
A. Acid-fast staining was positive
B. About 2 hours once split
C. Antituberculous drugs prone to intermittent resistance
D. May be more resistant to anti-TB drugs


Question: 75 Joe Smith, 74 years old, itchy skin, yellowing of the skin, loss of appetite for about 1 week or so, to the hospital, imaging as shown below. Zhang three most likely suffering from what disease?

Answer: Cholangiocarcinoma (Hilar type cholangiocarcinoma)

Choices:
A. Cholangiocarcinoma (Hilar type cholangiocarcinoma)
B. Acute suppurative cholangitis (Acute suppurative cholangitis)
C. Pancreatic adenocarcinoma head (Pancreatic head adenocarcinoma)
D. HCC (Hepatocellular carcinoma)

75
Smith
74 years old
itchy skin
yellowing of the skin
loss of appetite
about
week
so
hospital
imaging
three
likely suffering
disease


Question: A 35-year-old woman was diagnosed with kidney angiomyolipoma (AML), the following statements is wrong?

Answer: If patients suffering from AML tuberous sclerosis, which AML pathological tissue morphology, and non-tuberous sclerosis patients suffering from

Choices:
A. Using ultrasound or CT diagnosis of this disease by angiography accurate than the method
B. If as tuberous sclerosis patients suffering from AML, AML is often bilateral and multiple
C. After approximately 25% of AML may lead to spontaneous rupture of abdominal bleeding
D. If patients suffering from AML tuberous sclerosis, which AML pathological tissue morphology, and non-tuberous sclerosis patients suffering from

35 year old woman
diagnosed
kidney angiomyolipoma
following
wrong


Question: About the right-eye view right hand (that is, outside the field of view) the message of the narrative, what's right?

Answer: transmitted via the right optic nerve, optic chiasm the cross, and then transmitted to the left thalamus tract via the left optic

Choices:
A. transmitted via the right optic nerve, optic chiasm the cross, and then transmitted to the left thalamus tract via the left optic
B. transmitted via the right optic nerve, do not cross the optic chiasm, and then transmitted via the right optic tract right thalamus
C. right optic tract transmitted via the optic chiasm cross, and then transmitted via the left optic radiation left thalamus
D. transmitted via the right optic tract, do not cross the optic chiasm, and then transmitted via the right optic radiation right thalamus

right view
hand
outside
field of view
right


Question: For the following comparative serotonin reuptake inhibitor fluoxetine and the tricyclic antidepressant amitriptyline effect of the drug, whichever error?

Answer: The former is less suitable for patients with prostatic hypertrophy

Choices:
A. The former is less suitable for patients with prostatic hypertrophy
B. The former is less likely to produce sedation (sedative action)
C. The former is less likely to cause side effects of orthostatic hypotension (orthostatic hypotension) is
D. The former blurred vision and less likely to produce side effects such as dry mouth

following
serotonin reuptake inhibitor fluoxetine
tricyclic antidepressant effect
drug
error


Question: Which of the following is the correct description of the election colonization plastid (cloning plasmids) of?

Answer: Requires specific restriction site (unique restriction enzyme site) for cloning foreign DNA only

Choices:
A. When E. coli DNA replication (replication), an annular mass body (circular plasmids) does not require replication origin (origin of
B. Cloning can be used to base of about 50 Kb of foreign DNA (kilo-base pairs) of
C. Normally not antibiotic resistance gene (antibiotic resistant gene)
D. Requires specific restriction site (unique restriction enzyme site) for cloning foreign DNA only

following
correct
colonization plastid
plasmids


Question: Ms. Cheng is a 47-year-old career woman, accompanied by Mr. came to the clinic. In addition to complaints of insomnia also merge chest tightness, headache, loss of appetite, weight loss, reduced vitality, decreased memory and attention, and a lot of things to lose interest. Ms. Cheng repeatedly the past six months for treatment in different medical institutions, but did not significantly improve symptoms, but also several checks (blood, imaging) and can not clarify the cause, and therefore feel more depressed, and was diagnosed with depression. The following clinical treatment and what was wrong?

Answer: Short-term one to two weeks of antidepressants, ie there will be a substantial improvement in symptoms

Choices:
A. Treatment of insomnia problems
B. Adjustment for long-term pressure to provide behavioral therapy
C. Short-term one to two weeks of antidepressants, ie there will be a substantial improvement in symptoms
D. Psychiatric referral immediately when suicidal intent

Ms
year old
woman
Mr
clinic
In addition to complaints
insomnia
chest tightness
headache
loss of appetite
weight loss
reduced vitality
decreased memory
lot
to
Ms
repeatedly
past six months
treatment
different medical
not
symptoms
checks
blood
imaging
not
cause
more depressed
diagnosed
depression
following clinical treatment
wrong


Question: A 75-year-old female weighing 60 Kg, serum creatinine 3 mg / dL, her estimated GFR how many ml / min?

Answer: 15

Choices:
A. 45
B. 35
C. 25
D. 15

75 year old female
60 Kg
serum creatinine
mg
dL
estimated GFR
ml
min


Question: 6 that one of the following events occur, there is the highest probability representation flu mutation has occurred, there may be new drugs worldwide pandemic (pandemic virus)?

Answer: Admitted to a hospital in an influenza-like illnesses, the death of the patient, then there are 18 health care workers after another disease, influenza H2N3 virus were cultured virus type A subtype

Choices:
A. A chicken farm fowl plague appeared mortality rate of 80%, cultivate H5N2 subtype of avian influenza virus, farm five staff have a fever symptoms
B. Indonesia has two brothers were killed and two patients who its home raised chickens were cultured avian influenza virus subtype H5N1
C. A hospital informed the two no geopolitical relations of patients with severe influenza, encephalitis and two are both trained H1N1 subtype of influenza A virus
D. Admitted to a hospital in an influenza-like illnesses, the death of the patient, then there are 18 health care workers after another disease, influenza H2N3 virus were cultured virus type A subtype

one
following
occur
highest probability
flu mutation
new drugs


Question: Emergency treatment to a 35-year-old woman complained of sudden headache, blurred vision and seeing out of the shadows, tracing her medical history, patients without a history of major illness or major surgery, have been married for five years, no history of pregnancy, often due to the menstrual cycle irregular treatment, physical examination revealed normal eye movements, but there are two temporal horizons half-blind, found that the most likely diagnosis is based on the above:

Answer: Pituitary brain tumor hemorrhage (pituitary apoplexy)

Choices:
A. Hypertensive intracerebral hematoma (hypertensive intracranial hematoma)
B. Arteriovenous malformation bleeding (arteriovenous malformation rupture and bleeding)
C. Pineal tumor hemorrhage (pineal region tumor bleeding)
D. Pituitary brain tumor hemorrhage (pituitary apoplexy)

Emergency treatment
35 year old woman
sudden headache
blurred vision
seeing out
shadows
tracing
medical history
major illness
major surgery
married
five years
history of pregnancy
often due to
menstrual cycle irregular treatment
revealed normal eye movements
two temporal
half blind
found
diagnosis
based


Question: Boy, 5 years old, suffering from cranial nerve palsy, hip general X-ray photography figure, most likely diagnosis is:

Answer: Congenital dislocation of hips

Choices:
A. Congenital dislocation of hips
B. Perthes' disease
C. Pyogenic arthritis
D. Femoral neck fracture

Boy
old
suffering
cranial nerve palsy
hip general X-ray
likely diagnosis


Question: 6 months big baby teeth yet, since the birth of breastfeeding are in plain, normal weight, the best advice for the care of this baby, the mother should:

Answer: Continue breastfeeding, but should begin to add non-staple food

Choices:
A. Continue breastfeeding, but should begin to add non-staple food
B. Continue breastfeeding, but should add calcium to the baby
C. Start off breast milk to formula feeding change and add non-staple food
D. Try to change rice, mainly fed purée, milk supplement

months big
birth
breastfeeding
normal weight
best


Question: 33 year old female patient, hospitalized for many years due to hypertension, blood pressure during the hospital stay between 150 ~ 162/90 ~ 98 mmHg, electrolytes: Na + 145 mmol / L (normal 135 ~ 147), Cl- 107 mmol / L ( normal 98 ~ 107), K + 2.4 mmol / L (normal 3.4 to 4.7). Abdominal ultrasound examination revealed right adrenal gland tumor size of 1 cm. Do you think that one of the following in the diagnosis of the most helpful?

Answer: Blood aldosterone

Choices:
A. Blood cortisol
B. Blood aldosterone
C. Urinary catecholamine and VMA
D. Blood and androgen DHEA

Abdominal revealed right adrenal gland tumor size of


Question: After menopause, the reason why the most unlikely of osteoporosis?

Answer: Progesterone increase

Choices:
A. Reduce estrogen
B. Reduce calcium
C. Parathyroid hormone secretion is not normal
D. Progesterone increase


Question: Concerning unilateral or bilateral vocal cord paralysis (vocal fold paralysis) of the narrative, Which statement is correct?

Answer: Unilateral vocal cord paralysis is more common to the left

Choices:
A. Because the main cause of vocal cord paralysis laryngeal nerve (superior laryngeal nerve) damage
B. Difficulty in breathing are more common in unilateral vocal cord paralysis
C. Unilateral vocal cord paralysis is more common to the left
D. Dysphonia are more common in bilateral vocal cord paralysis

unilateral
bilateral vocal cord paralysis
vocal fold paralysis
correct


Question: Statements about prenatal health assessment of bio-physiological scoring method (biophysical profile) of, which of the following error?

Answer: Fetal biophysical indicators maximum score of 12 points

Choices:
A. Fetal biophysical indicators maximum score of 12 points
B. Fetal biophysical indicators if it is 0, representative of significant fetal acidemia (fetal acidosis)
C. If the score from the original 2 or 4 becomes 0, the result can be expressed more accurately predict abnormal
D. Score 10 points does not necessarily indicate a normal fetal blood pH

prenatal
physiological scoring
biophysical profile
following error


Question: The following statements about fraternal twins, what's right?

Answer: Regardless of whether same sex twins, the twins will double and double chorionic amnion (diamniotic) twins

Choices:
A. Only the same sex twins, the twins will double chorionic (dichorionic) and monoamniotic (monoamniotic) twins
B. Regardless of whether same sex twins, the twins will double and single chorionic amniotic twins
C. If twins conjoined twins, this is monochorionic twins (monochorionic) twins and monoamniotic
D. Regardless of whether same sex twins, the twins will double and double chorionic amnion (diamniotic) twins


Question: The following enzymes involved in the conversion of inorganic nitrogen (Inorganic nitrogen) is an organic molecule (Organic molecule), what is the non?

Answer: Arginase

Choices:
A. Arginase
B. Glutamate dehydrogenase
C. Glutamine synthetase
D. Nitrogenase

following enzymes involved
conversion
nitrogen
nitrogen
organic
Organic
non


Question: Which of the following is lowered, increase lymph flow rate?

Answer: Plasma colloid osmotic pressure (colloid osmotic pressure)

Choices:
A. Capillary hydrostatic pressure (hydrostatic pressure)
B. Microvascular permeability (permeability)
C. Plasma colloid osmotic pressure (colloid osmotic pressure)
D. Interstitial fluid colloid osmotic pressure (colloid osmotic pressure)

following
lowered
increase lymph flow rate


Question: 40 year old man, in the armpits, groin and sides of neck skin over and over again painful superficial ulcers, three generations of family members of people with the same symptoms, summer will worsen, as shown in skin pathology slice and lesions characteristic figure. Diagnostic why?

Answer: Benign familial chronic pemphigus (Hailey-Hailey disease)

Choices:
A. Pemphigus (pemphigus)
B. Pemphigoid (bullous pemphigoid)
C. Benign familial chronic pemphigus (Hailey-Hailey disease)
D. Intertrigo (intertrigo)

40 year old man
armpits
groin
sides
over
painful superficial ulcers
three generations
same symptoms
summer
worsen
skin pathology
lesions characteristic
Diagnostic


Question: Fetal head during labor pause, prone to that of one of the following situations?

Answer: Pelvis and fetal head asymmetry

Choices:
A. Toxemia
B. diabetes
C. Polyhydramnios
D. Pelvis and fetal head asymmetry

Fetal head
labor pause
prone
one
following


Question: The following bacteria, whichever is most often caused by burns caused by hyperlipidemia?

Answer: Pseudomonas aeruginosa

Choices:
A. Pseudomonas aeruginosa
B. E. coli
C. Proteus mirabilis
D. Klebsiella pneumoniae

following bacteria
most often caused
burns caused
hyperlipidemia


Question: After Mao Bo riding a motorcycle abrasions, wounds more than a year do not heal and evolve into osteomyelitis, bacterial cultures yielded atypical mycobacteria. Retroactive past medical history, he will start from the juvenile vulnerable to salmonella infection and other long-term, he is most likely to develop that type of primary immunodeficiency?

Answer: IL-12-IFNγ axial defects

Choices:
A. CD8 + cell function impairment
B. IL-12-IFNγ axial defects
C. NK cell function impairment
D. TH2-type immune response defect

Bo
motorcycle abrasions
wounds more
year
not heal
osteomyelitis
bacterial cultures
past medical history
start
juvenile
salmonella infection
long-term
to
type
primary immunodeficiency


Question: The following description of Chylothorax (chylothorax), and what's right?

Answer: The pleural lymph chylothorax, containing high concentrations of triglyceride (triglycerides)

Choices:
A. Chylothorax pleural cavity means or purulent inflammation, the color looks similar to milk
B. White blood cells within the chylous fluid to neutrophils (neutrophils) based
C. Chylothorax patients need to cure a chest tube ligation
D. The pleural lymph chylothorax, containing high concentrations of triglyceride (triglycerides)


Question: When the patient has suspected dry eye, that the following check to detect the most commonly used lower lacrimal secretory function?

Answer: Schirmer's test

Choices:
A. Rose Bengal score
B. slit lamp examination
C. Schirmer's test
D. lacrimal gland biopsy

patient
suspected dry eye
following check to detect
most
used lower lacrimal secretory function


Question: Nucleus in the midbrain containing dopaminergic (dopamine) neurons were as follows:

Answer: Substantia nigra pars compacta (substantia nigra, pars compacta)

Choices:
A. Red nucleus (red nucleus)
B. Substantia nigra pars compacta (substantia nigra, pars compacta)
C. After the raphe nuclei (posterior raphe nucleus)
D. The superior colliculus (superior colliculus)

Nucleus
midbrain containing dopaminergic
dopamine
follows


Question: Which of the following are common to occur late in AIDS patients, especially the patient's CD4 + T lymphocyte number less than 10 cells / mycobacteria (Mycobacterium) when mm3 infection?

Answer: M. avium complex

Choices:
A. M. leprae
B. M. avium complex
C. M. bovis
D. M. kansasii

following
common to occur late
AIDS patients
patient's
T lymphocyte number
10
mm3 infection


Question: Fluoxetine and MAOI and with no Which of the following side effects?

Answer: constipation

Choices:
A. tremor
B. sexual dysfunction
C. insomnia
D. constipation


Question: A newly diagnosed patients with Behçet's disease (Behçet's disease), and referrals to ophthalmology because of blurred vision, expected to be a common eye disease uveitis (uveitis), and which of the following?

Answer: Retinal vasculitis (retinal vasculitis)

Choices:
A. Cataract (cataract)
B. Retinal vasculitis (retinal vasculitis)
C. Corneal opacity (corneal opacity)
D. Ulcer eyelid (eyelid ulcer)

newly diagnosed patients
disease
disease
blurred vision
to
common eye disease uveitis
uveitis
following


Question: 64. a 50 year old man complained of lower back pain, X-ray examination showed L2-L4 compression fractures (compression fracture). Biochemical inspection results were as follows: albumin 3.0 g / dL (3.7 ~ 5.3); total protein 4.2 g / dL (6.4 ~ 8.4); calcium 10.4 mg / dL (8.4 ~ 10.6); creatinine 2.5 mg / dL (0.7 ~ 1.5) ; IgG 498 mg / dL (751 ~ 1560); IgA 55 mg / dL (82 ~ 453); IgM 27 mg / dL (46 ~ 304); bone marrow aspirate cytology show: normocellularity with fair maturation of erythroid and myeloid series , but 15% plasma cells, the following statements is wrong?

Answer: Urine dipstick test can detect proteinuria

Choices:
A. Peripheral blood smear may not rouleaux formation
B. Peripheral blood smear plasma cells are rare
C. Urine dipstick test can detect proteinuria
D. Urine specimen should be measured monoclonal light chain

64
50 year old man
lower back pain
X-ray
L2 L4 compression fractures
compression fracture
Biochemical inspection results
follows
albumin
0 g
dL
3
3
total protein
g
dL
6.4
calcium 10.4 mg
dL
8.4
10.6
creatinine
mg
dL
0
5
mg
dL
IgA
mg
dL
IgM 27 mg
dL
bone marrow aspirate cytology
normocellularity
fair maturation
erythroid
myeloid series
following
wrong


Question: The combined have attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder) of children grow up easily merge Which of the following diseases?

Answer: Antisocial personality disorder (antisocial personality disorder)

Choices:
A. Depression (depressive disorder)
B. Bipolar disorders (bipolar disorder)
C. Antisocial personality disorder (antisocial personality disorder)
D. Anxiety (anxiety disorder)


Question: When applied ⾏ Center Weighted capsule puncture (pericardiocentesis), made it ⼀ position under the needle, can reduce the chance of puncturing the pleural cavity (pleural cavity) it?

Answer: Sternal xiphoid (sternal xiphoid process) and the left costal margin at the intersection point

Choices:
A. The sixth intercostal space on the right side of the sternum
B. The left sternal third intercostal
C. Sternal xiphoid (sternal xiphoid process) and the left costal margin at the intersection point
D. The fourth intercostal space on the right sternal

applied
Center Weighted capsule puncture
pericardiocentesis
made
position
needle
chance
puncturing
pleural cavity
pleural cavity


Question: The following related head trauma emergency treatment of a patient, what's wrong?

Answer: Use of steroid drugs may reduce intracranial pressure and protect the brain tissue

Choices:
A. Do not use hypotonic solution
B. Patients Do not use barbiturates (barbiturates) of the drug if hypotension occurs
C. Use of steroid drugs may reduce intracranial pressure and protect the brain tissue
D. Mannitol is the dose of 1 g / Kg

following related head trauma emergency
patient
wrong


Question: 32-year-old male patient afflicted with active hepatitis C virus has been for several years. In recent weeks, two lower limbs skin tenderness of many small rash. Numbness and pain. Examination revealed mild proteinuria. Following an examination that the most positive diagnostic value?

Answer: Condensation globulin (cryoglobulin)

Choices:
A. Rheumatoid factor (RF)
B. Antinuclear antibody (ANA)
C. Condensation globulin (cryoglobulin)
D. The amount of Hepatitis C virus (viral load)

year old male patient
active
several years
recent weeks
two lower limbs skin tenderness of
small rash
Numbness
pain
revealed mild proteinuria
Following
most positive diagnostic value


Question: Following where the disease is not easy to detect because most sonography need to use magnetic resonance imaging (MRI) examination clinic?

Answer: Labrum of the shoulder (labrum)

Choices:
A. Ridge muscles (supraspinatus) tendon
B. Under spinal muscles (infraspinatus) tendon
C. The deltoid muscle decline sac (subdeltoid bursa)
D. Labrum of the shoulder (labrum)


Question: Helicobacter pylori (Helicobacter pylori) are known to be the causative agent of the disease in the digestive tract, which of the following exception?

Answer: GERD (reflux esophagitis)

Choices:
A. GERD (reflux esophagitis)
B. Atrophic gastritis (atrophic gastritis)
C. B-cell gastric lymphoma (B cell gastric lymphoma)
D. Duodenal ulcer (duodenal ulcer)

known to
causative agent
disease
digestive tract
following


Question: Statements about skin melanoma cell cancer (cutaneous melanoma), and Which statement is correct?

Answer: Superficial diffusion melanoma cell carcinoma (superficial spreading melanoma) occur in the upper back and lower extremity females'confusion

Choices:
A. In the most common subtype of Caucasians in Europe and America is nodular melanoma cell carcinoma (nodular melanoma)
B. Acral type mole melanoma cell carcinoma (acral lentiginous melanoma) does not occur in the fingernails
C. Malignant melanoma mole type cell carcinoma (lentigo maligna melanoma) is common in young people under the age of 40
D. Superficial diffusion melanoma cell carcinoma (superficial spreading melanoma) occur in the upper back and lower extremity females'confusion

skin melanoma cell cancer
cutaneous melanoma
correct


Question: Which of the following most common dwelling (colonize) before human nasopharynx (anterior nasopharynx)?

Answer: Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Tetanus (Clostridium tetani)
B. Crispy Bacteroides (Bacteroides fragilis)
C. Staphylococcus aureus (Staphylococcus aureus)
D. Helicobacter pylori (Helicobacter pylori)

following
common dwelling
human nasopharynx
anterior nasopharynx


Question: Which of the following does not cause respiratory virus infection?

Answer: Hepatitis D virus

Choices:
A. Hepatitis D virus
B. Influenza virus
C. Respiratory syncytial virus
D. Adenovirus

following
not cause respiratory virus infection


Question: Account of trachoma (trachoma) is, which of the following error?

Answer: There eosinophilic inclusion bodies (eosinophilic inclusion bodies) in the nucleus conjunctival cells

Choices:
A. Pathogens chlamydia (Chlamydia)
B. Trachoma scarring (cicatricial trachoma) visible Arlt line touched upon in the conjunctiva (superior palpebral conjunctiva)
C. There eosinophilic inclusion bodies (eosinophilic inclusion bodies) in the nucleus conjunctival cells
D. Drug therapy can be administered orally tetracycline and topical tetracycline treatment is one option to merge

Account
trachoma
trachoma
following error


Question: The following description for fear of social disorder (social phobia) of, what is non?

Answer: Men's high prevalence

Choices:
A. Occur in young people
B. Men's high prevalence
C. And individual low self-esteem, fear of being criticized about
D. In the differential diagnosis of obsessive-compulsive disorder may exclude the first and agoraphobia


Question: Related gastric Helicobacter pylori (Helicobacter pylori) the characteristics, which of the following error?

Answer: Produces oxidase (oxidase) to prevent cell damage by stomach acid

Choices:
A. Gram-negative bacteria
B. For the micro-aerobic (microaerophilic) bacteria
C. Produces oxidase (oxidase) to prevent cell damage by stomach acid
D. Available isotope identification breathing urea (urea breath test) differential diagnosis

Related gastric
characteristics
following error


Question: 56-year-old male with a history of hepatitis B for many years and cirrhosis, liver coma occurred two months ago, improved after treatment, his family found him a bit strange in recent days, there is a change in behavior, and speech becomes slower, there is also the phenomenon of sleepiness (drowsiness), this scenario is liver encephalopathy (hepatic encephalopathy) in the first few?

Answer: the second term

Choices:
A. The first phase
B. the second term
C. Phase III
D. Phase IV

year old male
a history of hepatitis
years
cirrhosis
liver coma
two months
improved
found
bit
recent days
speech
slower
sleepiness
drowsiness
scenario
liver encephalopathy
hepatic encephalopathy
first


Question: As shown, squeeze the glans can cause anal sphincter contraction, which is what reflection?

Answer: Bulbospongiosus (bulbocavernosus) reflection

Choices:
A. Anus (anal) reflection
B. Bulbospongiosus (bulbocavernosus) reflection
C. Mention epididymis muscle (cremasteric) reflection
D. Perineum (pudendal) reflection

squeeze
glans
cause anal sphincter contraction


Question: Which of the following as agonists (agonist) GABAB receptors, mainly on the central nervous system, for the treatment of muscle pain and cramps?

Answer: baclofen

Choices:
A. dantrolene
B. baclofen
C. rocuronium
D. tizanidine

following
agonists
agonist
receptors
central nervous system
treatment
muscle
cramps


Question:
16. One 58-year-old worker nose long-term work in the sun there was not a lump of pain, physical examination as a skin surface does not move 8mm projections mass, the surface is shiny, waxy, and see the table shallow peripheral vasodilator phenomenon, and a small lump at the projection ulcers, slice by
 Proved to skin cancer, which of the following is most likely?

Answer: Basal cell carcinomas (basal cell carcinoma)

Choices:
A. Basal cell carcinomas (basal cell carcinoma)
B. Cell carcinoma (squamous cell carcinoma)
C. Of melanoma (malignant melanoma)
D. Merkel cell carcinoma (Merkel cell carcinoma)

One 58 year old
nose
sun
not
lump
pain
skin surface
not move
projections mass
surface
shiny
waxy
see
table shallow peripheral vasodilator
small lump
projection ulcers
skin cancer
following


Question: Chen is pushed to the emergency room, eyes closed to the right lie down, push the bed pushed some distance, she began to vomit a while. Please She opened her eyes and saw eye kept right tremor, then she closed his eyes. Which of the following is the most correct answers Chen symptoms?

Answer: Dizziness (vertigo)

Choices:
A. Dizziness (dizziness)
B. Dizziness (vertigo)
C. Gastrointestinal disorders
D. Eye disease

pushed
emergency room
eyes closed
right
push
bed pushed
distance
began to vomit
opened
eyes
saw eye kept right tremor
then
closed
eyes
following
most correct
symptoms


Question: Which of the following when damaged, can affect the forward (protract) shoulder blade (scapula) function?

Answer: Serratus anterior muscle (serratus anterior)

Choices:
A. Pectoralis major muscle (pectoralis major)
B. Pectoralis minor muscle (pectoralis minor)
C. Subclavian muscle (subclavius)
D. Serratus anterior muscle (serratus anterior)

following
damaged
forward
shoulder blade
scapula
function


Question: Which of the following is malignant hyperthermia caused by anesthetic gases (malignant hyperthermia) leading drugs?

Answer: dantrolene

Choices:
A. propranolol
B. dantrolene
C. doxazosin
D. nifedipine

following
malignant hyperthermia caused
anesthetic gases
malignant hyperthermia
leading drugs


Question: Persistent gestational trophoblastic disease (persistent gestational trophoblastic disease) after chemotherapy, if pregnant, how often?

Answer: Normal reproductive function

Choices:
A. Fetal malformation rate increased
B. Increased incidence of miscarriage
C. Normal reproductive function
D. Premature birth increase


Question: The following nose and paranasal sinus cancer-related statements is true?

Answer: Hard wood (hardwood dust) and ethmoid adenocarcinoma occurrence of particular relevance

Choices:
A. The occurrence of male and female sex ratio of about 1: 1
B. Hard wood (hardwood dust) and ethmoid adenocarcinoma occurrence of particular relevance
C. The most common occurrence position in the ethmoid, maxillary sinus followed
D. Undifferentiated carcinoma majority

following nose
paranasal sinus cancer related
true


Question: 64. In the situation does not secrete saliva, those still following nutrients are digested in the body in the Face? Sugar ① ② ③ fat egg white quality

Answer: ①②③

Choices:
A. Only ①②
B. Only ②③
C. Only ①③
D. ①②③

64
not secrete saliva
following
digested
body
Face
Sugar
fat egg white quality


Question: About pancreaticoduodenectomy (pancreaticoduodenectomy) of the narrative, what's wrong?

Answer: PPPD usually cut off at the gastric antrum

Choices:
A. Commonly used to treat the patients with pancreatic cancer
B. Delayed gastric emptying Pylorus-preserving pancreaticoduodenectomy (PPPD) postoperative easily than standard Whipple operation (delayed gastric emptying)
C. PPPD usually cut off at the gastric antrum
D. Pancreatic neck (neck of the pancreas) needs to be cut


Question: Which of the following bladder blood supply?

Answer: Vaginal artery

Choices:
A. Ovarian artery
B. Vaginal artery
C. Rectal artery
D. Internal pudendal artery


Question: Which of the following cytokines (cytokine) not belong proinflammatory cytokine?

Answer: IL-10

Choices:
A. TNF-a
B. IL-1
C. IL-8
D. IL-10

following cytokines
cytokine
not
cytokine


Question: A 4-day-old baby boy found the body after birth have blueberry muffin spot, this is most unlikely for Sick Children:

Answer: Leukemia (acute leukemia)

Choices:
A. Leukemia (acute leukemia)
B. Idiopathic thrombocytopenia purpura (idiopathic thrombocytopenic purpura)
C. Langerhans' cell histiocytosis
D. Congenital infection (congenital infection)

4 day old baby boy found
body after birth
blueberry
spot
most unlikely
Sick Children


Question: On the road down about 60-year-old female patient, unconsciousness when taken to the emergency room, unable to ask to take a history, based on CT images (as shown), the most appropriate diagnosis is:

Answer: Hypertensive hemorrhage with extension into the ventricle

Choices:
A. Hypertensive hemorrhage with extension into the ventricle
B. Contusion hemorrhage and traumatic intraventricular hemorrhage（IVH）
C. Ruptured aneurysm with intracerebral hemorrhage and IVH
D. Ruptured AVM（arteriovenous malformation）with intracerebral hemorrhage and IVH

road
60 year old female patient
unconsciousness
emergency room
unable to
to
history
based
CT
most appropriate diagnosis


Question: Blackwater hot (blackwater fever) which is usually associated with infection of the parasite?

Answer: Plasmodium falciparum (Plasmodium falciparum)

Choices:
A. Schistosoma japonicum (Schistosoma japonicum)
B. Leishmania parasite (Leishmania donovani)
C. Bancrofti (Wuchereria bancrofti)
D. Plasmodium falciparum (Plasmodium falciparum)

hot
blackwater fever
usually associated with infection
parasite


Question: 79.78-year-old Mr. even when accepting colonoscopy, was diagnosed with colorectal cancer, should belong to a preliminary assessment earlier. When the attending physician Wu would like to inform the results of the pathological examination even the old man, even the families of Mr. Wu requires physicians to conceal the truth, and help even the old man decided to refuse further examination and treatment. How Wu physicians should deal with more appropriate?

Answer: First ask if the old man even want to know their condition, even if the old man wanted to know their status, even though doctors told his family against illness, should still inform the relevant illness to even the old man

Choices:
A. First ask if the old man even want to know their condition, even if the old man wanted to know their status, even though doctors told his family against illness, should still inform the relevant illness to even the old man
B. Do you want to ask the old man even know his condition, even if the old man does not want to understand their condition, would not have administered any examination or treatment
C. Even family members of the man's already clear that not to inform the relevant condition even the old man, and therefore do not have to even ask the old man's wishes, but should conceal the truth at the request of their families, but not to administer any examination or treatment
D. Even family members of the man's already clear that not even the old man would inform the relevant condition, and should therefore be at the request of their families and to conceal the truth. However, his family made medical decisions is not conducive to the best interests of even the old man, so physicians should follow conventional medical help even continue with the old man

year old Mr
accepting colonoscopy
diagnosed
colorectal cancer
preliminary
earlier
attending physician Wu
to inform
results
pathological examination
old man
Mr
Wu
physicians to conceal
help
old man
to
further
treatment
Wu physicians
appropriate


Question: Associate the resulting mucosal secretory IgA (secretary IgA) zoomed part:

Answer: ⼆ mer (dimer)

Choices:
A. Monomer (monomer)
B. ⼆ mer (dimer)
C. Trimers (trimer)
D. Pentamer (Pentamer)

Associate
resulting mucosal secretory IgA
secretary IgA
part


Question: Relatives of executives of a hospital suffering from breast cancer, was greeted personally surgical director of surgery, and the use of better equipment and medical material at the time of surgery. When postoperative rounds often take precedence and special care to deal with this patient. The chief physician of that to do so is contrary to the ethical principles of the following?

Answer: The principles of fairness and justice (Justice)

Choices:
A. The principles of fairness and justice (Justice)
B. The principle of beneficence (Beneficence)
C. Do no harm principle (Non-maleficence)
D. The principle of patient autonomy (Autonomy)

executives
hospital suffering
breast cancer
greeted
surgical
surgery
use of better equipment
medical material
time
surgery
postoperative
often
precedence
special care to
patient
physician
so


Question: Little new is a large 5-month-old boy, the natural production of 35 weeks, weighing 2500 grams, smooth production process, and the development of indicators of normal growth curve, but the last two months my mother found a small new milk will be crying and strange breathing, if prone to rest when the sound will disappear, to the outpatient medical examination found that an intake of breath song, what he is most likely to be following that diagnosis?

Answer: 軟喉 disease (laryngomalacia)

Choices:
A. Subglottic stenosis (subglottic stenosis)
B. 軟喉 disease (laryngomalacia)
C. Vocal cord paralysis on both sides (bilateral vocal palsy)
D. Tracheal osteomalacia (tracheomalacia)

Little new
large
month old boy
natural
35 weeks
2500 grams
smooth
process
development
normal growth curve
last two months
found
small new milk
breathing
prone to
sound
outpatient
found
intake
breath
to
following
diagnosis


Question: Pupillary light after irradiation, the reaction miosis (light reflex) generated, which path does not contain neurotransmission Which of the following?

Answer: The optic nerve (optic nerve)

Choices:
A. Quadrigeminal region (pretectal area)
B. EW 核 (Edinger-Westphal nucleus)
C. LGN (lateral geniculate body)
D. The optic nerve (optic nerve)

Pupillary light
irradiation
reaction miosis
light reflex
path
not contain neurotransmission
following


Question: Following that a disease caused by low-energy gonadal disorders (hypogonadism) pathogenic machine turn different from the other three?

Answer: Hypopituitarism

Choices:
A. Kallmann syndrome
B. Hypopituitarism
C. X-linked congenital adrenal hypoplasia
D. Klinefelter syndrome

Following
disease caused by
gonadal disorders
hypogonadism
pathogenic machine turn different
three


Question: Pairing each of the following chromosomal abnormalities associated with the disease, what's wrong?

Answer: t(8;21)：Burkitt's lymphoma

Choices:
A. t(8;21)：Burkitt's lymphoma
B. t(9;22)：chronic myeloid leukemia
C. t(15;17)：acute promyelocytic leukemia
D. t(4;11)：acute lymphoblastic leukemia


Question: The end of the adult spinal cord corresponding to the spine at what period?

Answer: Among the first to the second lumbar vertebra

Choices:
A. Ninth to tenth thoracic Room
B. Among the first to the second lumbar vertebra
C. The first recommendation to the fifth lumbar intervertebral
D. The second room to the second sacral caudal


Question: The following account of the non-competitive inhibitor (uncompetitive inhibitor), and what's right?

Answer: Non-competitive enzyme may alter the structure of the Huoxingzhongxin enzyme inhibitor binding, blocking the reaction proceeds

Choices:
A. Non-competitive inhibitors bind to the enzyme-based Huoxingzhongxin, so can not be combined by mass
B. Non-competitive enzyme may alter the structure of the Huoxingzhongxin enzyme inhibitor binding, blocking the reaction proceeds
C. Presence of non-competitive inhibitor of the enzyme will rise Km
D. Vmax of the enzyme reaction from the non-competitive inhibitor effect

following account
non
inhibitor
inhibitor
right


Question: A 56-year-old female patient, cerebral angiography found that there is a traffic artery aneurysms (posterior communicating artery aneurysm), which come into contact with brain aneurysm temporal lobe (temporal lobe), the patients most likely symptom is that kind of ?

Answer: The third cranial nerve palsy (3rd cranial nerve palsy)

Choices:
A. Loss of consciousness (loss of consciousness)
B. The third cranial nerve palsy (3rd cranial nerve palsy)
C. Cerebral angiography before and after images can be seen in the internal carotid artery aneurysm inner projection (projection of the aneurysm medial to the
D. Epilepsy (seizure)

year old female patient
cerebral angiography found
traffic artery aneurysms
posterior communicating artery aneurysm
contact
brain aneurysm temporal lobe
temporal lobe
patients
likely symptom
kind


Question: 33. Chen because of the beauty and wear contact lenses for many years, a few days ago due to eye irritation, redness and turn to an ophthalmologist, was diagnosed with severe keratitis (keratitis), and found that angle smear microscopy in corneal scrapings shaped double-walled balloon. Based on the above results, Chen most likely what parasite infection?

Answer: Acanthamoeba (Acanthamoeba spp.)

Choices:
A. Colon amoeba (Entamoeba coli)
B. Entamoeba histolytica (Entamoeba histolytica)
C. Freund's Negri amoeba (Naegleria fowleri)
D. Acanthamoeba (Acanthamoeba spp.)

corneal scrapings shaped double walled balloon