Question: 60 year-old male patient receiving the upper edge of the mass of the needle on the right side of the neck extracted cytology showed metastatic squamous cell carcinoma-like (metastatic squamous cell carcinoma). The next priority for the examination of patients is most appropriate:

Answer: Local examination ENT

Choices:
A. Local examination ENT
B. Gastroscopy
C. Chest CT examination
D. Abdominal sonography

60 year old male patient receiving
upper edge
mass
needle
right side of
neck extracted cytology
metastatic squamous cell carcinoma
metastatic squamous cell carcinoma
next priority
most appropriate


Question: 6610-year-old boy four days from start to sleep at night often cough woke up. These days it is a little hard to breathe and cough non-stop, breathing fine when there is no song asthma rales, body temperature normal. Which of the following is the X-ray of his chest expected to be found?

Answer: Emphysema change

Choices:
A. Lobar pneumonia
B. Ground glass lung parenchyma changes
C. Emphysema change
D. Hilar lymphadenopathy

year old boy four days
start to sleep
night often cough woke up
days
little hard to
cough non stop
breathing fine
asthma rales
body temperature normal
following
X-ray of
chest
to
found


Question: Statements about the drug-resistant bacteria, which of the following error?

Answer: Typically drugs with anaerobic susceptibility to aminoglycoside class (aminoglycosides)

Choices:
A. Extensively drug-resistant tuberculosis (XDR-TB) than the multi-drug resistant tuberculosis (MDR-TB) drugs more anti
B. Typically drugs with anaerobic susceptibility to aminoglycoside class (aminoglycosides)
C. With New Delhi ⾥ ⾦ genus β- lactamase (the NDM) of bacteria resistant to the amide (β-lactams) the zoomed plurality β-
D. Penicillin-binding proteins of bacterial white substance (penicillin-binding protein) can cause changes of penicillin (PENICILLIN) resistance yield ⽣


Question: Apgar score of about narrative, Which statement is correct?

Answer: Breathing is an important indicator of infant Apgar score

Choices:
A. Apgar score, the lower the score the more healthy babies representation
B. Breathing is an important indicator of infant Apgar score
C. When the babies were born one minute Apgar score and prognosis more than 5 minutes Apgar score
D. Mother and baby magnesium not affect Apgar score


Question: About ulcerative colitis (ulcerative colitis) disease and Crohn's disease (Crohn's disease) Comparison narrative, which of the following error?

Answer: Crohn's disease symptoms did not show pseudo polyps

Choices:
A. Inflammation of ulcerative colitis is limited to the intestinal mucosa and submucosa
B. Crohn's disease inflammatory disease of the reaction, affect the full thickness of the intestinal wall
C. Ulcerative colitis can have a pseudo-polyps (pseudopolyp) of performance
D. Crohn's disease symptoms did not show pseudo polyps

About ulcerative colitis
ulcerative colitis
disease
Crohn's disease
Crohn's disease
following error


Question: Whichever of the following is not a feature of Gitelman's syndrome is?

Answer: Hypercalciuria

Choices:
A. Hypokalemia
B. Metabolic alkalosis
C. Hypomagnesemia
D. Hypercalciuria

following
not
feature
Gitelman's syndrome


Question: To identify feces tapeworm hook and no hook tapeworm the exact method is:

Answer: Film festival unilateral uterus number of branches over 15 who are no hook tapeworm

Choices:
A. Film festival unilateral uterus number of branches over 15 who are no hook tapeworm
B. Film festival unilateral uterus number of branches over 15 who are hooked tapeworm
C. Eggs using the method set, identify the characteristics of the eggs in the feces
D. The use of staining, to identify the characteristics of the eggs in the feces

To
feces tapeworm hook
hook tapeworm
exact method


Question: Unmyelinated C fibers with the following main feeling about what?

Answer: temperature

Choices:
A. pressure
B. smell
C. touch
D. temperature


Question: After the diagnosis of school-age children attention deficit hyperactivity disorder, in the use of methylphenidate treatment, the most should pay attention to the side effects?

Answer: Loss of appetite

Choices:
A. Loss of appetite
B. Particle-free ball hyperlipidemia (agranulocytosis)
C. The outer diameter of the cone syndrome (extrapyramidal tract syndrome)
D. Convulsions (seizures)

school age children attention deficit hyperactivity disorder


Question: The following statements about the rash of chickenpox and ribbon  Healing, what's wrong?

Answer: Children chickenpox can be administered aspirin to alleviate discomfort

Choices:
A. Children chickenpox can be administered aspirin to alleviate discomfort
B. Immunodeficiency patients must use acyclovir treatment of chicken pox
C. Immunodeficiency patients ribbon  rash must use acyclovir treatment
D. Neuralgia strip  rash caused, and in the case of antiviral drugs with steroids may be considered to relieve

following rash chickenpox ribbon Healing wrong


Question: Thiazolidinediones class of hypoglycemic agents main mechanism of action Why?

Answer: Reducing insulin resistance (insulin resistance) of

Choices:
A. Reducing insulin resistance (insulin resistance) of
B. Promote secretion of insulin
C. Inhibition of insulin metabolism in the liver is broken
D. Inhibition (PPAR-γ) receptor activity of peroxisome proliferator-activated receptor-gamma

Thiazolidinediones
of hypoglycemic agents main mechanism
action


Question: Endometrial adenocarcinoma patients seeking treatment, height 160 cm, weight 82 kg, after detailed track their medical history and found that early age was 10 years old, the age of menopause is 55 years, but had not want to get married early childbearing, who have taken oral contraceptives 3 to 5 years after smear abnormality was diagnosed as cervical intraepithelial neoplasia 2 (CIN 2), who received topical treatment. High risk factors of endometrial cancer in patients, which of the following is not included?

Answer: Use of oral contraceptives

Choices:
A. obesity
B. Early menarche
C. Late menopause
D. Use of oral contraceptives

Endometrial adenocarcinoma patients
treatment
height
weight
kg
detailed track
medical history
found
early age
old
age
menopause
years
not
to
married early
oral contraceptives
years
smear abnormality
diagnosed
cervical intraepithelial neoplasia 2
received topical treatment
High risk factors of endometrial cancer
patients
following
not included


Question: When there is suspicion of meningitis, which of the following inspection methods are most important to establish the diagnosis?

Answer: Cerebrospinal fluid examination

Choices:
A. Brain magnetic resonance imaging
B. Cerebrospinal fluid examination
C. EEG examination
D. Computer tomography

meningitis
following inspection methods
most important to establish
diagnosis


Question: Delirium (delirium) but a kind of syndrome, rather than one kind of disease. The main symptoms of which belong to the following disorders?

Answer: Disturbance of consciousness

Choices:
A. Disturbance of consciousness
B. Perceived barriers
C. Behavioral disorders
D. The Obstacles

Delirium
delirium
kind
syndrome
one kind
disease
main symptoms
following disorders


Question: A 32-year-old woman, married for many years not pregnant, no complaints of any systemic disease, uterine tubal photography in the following figure. Bilateral tubal edema greater than 4 cm, following the disposal, whichever is higher chance of pregnancy?

Answer: After accepting Salpingectomy do IVF (in vitro fertilization)

Choices:
A. Accept the fallopian tube repair surgery
B. After accepting Salpingectomy do IVF (in vitro fertilization)
C. Direct the implementation of IVF (in vitro fertilization)
D. Immediate execution IUI (intrauterine insemination)

year old woman
married
years not pregnant
complaints
systemic disease
uterine tubal
following
Bilateral
edema greater than
following
higher chance
pregnancy


Question: Long-term high blood pressure, diabetes, smoking etc. will damage the vessel wall, thereby causing vascular atherosclerosis (atherosclerosis). This process, vascular smooth muscle cells (smooth muscle cells) play an important role. The following related statements is wrong?

Answer: Chemotactic substance by smooth muscle cells (chemotactic factors) and promoting cell division stimulating substance (to mitogens) generated structural changes, more rich in type and amount of crude protein in muscle fibers of fine (thick and thin filaments)

Choices:
A. Mononuclear cells (Monocytes) and platelets (Platelets) like blood cells will be damaged intima of cell aggregation
B. Chemotactic substance by smooth muscle cells (chemotactic factors) and promoting cell division stimulating substance (to mitogens) generated structural changes, more rich in type and amount of crude protein in muscle fibers of fine (thick and thin filaments)
C. Abnormal smooth muscle cells will migrate into the intimal layer (Intima) and proliferation
D. Of the normal vessel wall smooth muscle arranged in a ring (arranged circumferentially)

Long-term high blood pressure
diabetes
smoking
damage
vessel wall
causing vascular atherosclerosis
atherosclerosis
process
play
important role
following related
wrong


Question: Narrative about influenza (influenza) is, Which of the following most inappropriate?

Answer: Influenza pathogen is a DNA virus

Choices:
A. Influenza pathogen is a DNA virus
B. Causing global panic H5N1 avian influenza virus type one of A
C. oseltamivir can be used to treat type A and type B influenza virus
D. After the possible renewal of influenza bacterial pneumonia, which is pathogenic bacteria Streptococcus pneumoniae, Staphylococcus aureus and Haemophilus influenzae is the most common

influenza influenza following inappropriate


Question: Bearing the title, the name of the patient admitted to the hospital emergency room, which of the following drugs should not be used in this patient?

Answer: Antidepressant

Choices:
A. Lithium salt (Lithium)
B. Valproate
C. Antidepressant
D. Antipsychotics

Bearing
title
name
patient
hospital emergency room
following drugs
not
used
patient


Question: A 65-year-old male patient with acute esophageal variceal bleeding (variceal bleeding), following which treatment is not considered?

Answer: Cross esophagus resection

Choices:
A. Drug somatostatin or octreotide therapy
B. Endoscopic ligation
C. Endoscopic sclerotherapy
D. Cross esophagus resection

65-year-old male patient
acute esophageal variceal bleeding
variceal bleeding
following
treatment
not


Question: For the main blood supply of the esophagus, which of the following error?

Answer: Superior thyroid artery

Choices:
A. Superior thyroid artery
B. Inferior thyroid artery
C. Thoracic aorta
D. Left gastric artery

main blood supply
esophagus
following error


Question: Related to wound healing narrative, which of the following error?

Answer: Wound healing three steps in sequence of: inflammatory, maturational, proliferative

Choices:
A. secondary healing scars evident than primary healing
B. Wound healing three steps in sequence of: inflammatory, maturational, proliferative
C. Neovascularization (angiogenesis) is a step belonging to the proliferative phase
D. macrophages and neutrophils in the inflammatory phase plays a very important role

Related to wound healing
following error


Question: Which of the following having a 5 'end to the 3' end of the exonuclease (Exonuclease) activity?

Answer: Ⅰ type DNA polymerase (DNA polymeraseⅠ)

Choices:
A. primase
B. Ⅰ type DNA polymerase (DNA polymeraseⅠ)
C. Ⅲ type DNA polymerase (DNA polymeraseⅢ)
D. DNA gyrase (DNA Gyrase)

following 5 end 3 exonuclease Exonuclease activity


Question: 28 year old woman and neck tumors as shown, you best describe this tumor characteristics?

Answer: The main lymphatic metastasis

Choices:
A. Thyroid follicular carcinoma
B. Short survival and poor prognosis
C. Hypercalcemia
D. The main lymphatic metastasis

year old woman
neck tumors
best
tumor characteristics


Question: Related to intracranial venous sinus (venous sinuses) of the narrative, what's wrong?

Answer: The sagittal sinus (inferior sagittal sinus) within the blood flows directly petrosal sinus (superior petrosal sinus)

Choices:
A. Superior sagittal sinus (superior sagittal sinus) within the blood flow to the sinus sink (confluence of sinuses)
B. Sigmoid sinus (sigmoid sinus) directly receiving the transverse sinus (transverse sinus) over the blood stream
C. Blood within petrosal sinus (inferior petrosal sinus) flows directly retrosigmoid
D. The sagittal sinus (inferior sagittal sinus) within the blood flows directly petrosal sinus (superior petrosal sinus)

Related
intracranial venous sinus
venous sinuses
wrong


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

Answer: Paederus poisoning is caused by the parasite sting bite humans

Choices:
A. Taiwan is the most common poisonous brown paederus (Paederus fusca)
B. Paederus poisoning is caused by the parasite sting bite humans
C. Paederus hormone (pederin) produces erythema necrotizing slow healing skin after adhesion
D. After the lesions heal, if no further contact paederus hormone, generally do not have to worry about recurrence


Question: A full-term newborns were fed breast milk at 7-day-old back to the clinic, because of jaundice, examination of serum bilirubin 13 mg / dL, their birth weight of 3,200 grams, 3,250 grams now, good vitality. That one of the following to handle the most appropriate?

Answer: keep an eye on

Choices:
A. Illuminated treatment
B. Stop breastfeeding
C. keep an eye on
D. Hospital inspection

full-term newborns
fed breast milk
7-day old back
clinic
jaundice
serum bilirubin
mg
dL
birth weight
200 grams
3
grams now
good vitality
one
following to
most appropriate


Question: 1 A 50-year-old woman in the past been found to have gallstones. Suddenly last night on the abdomen (epigastric region) began to pain, accompanied by nausea, vomiting and abdominal distension and other symptoms; exacerbate her pain when lying down, bend knees when compared with abdominal pain will ease. When physical examination, can not hear bowel sounds, mild abdominal tenderness, but no rebound pain (rebound pain), found a green-brown skin area on the left side of the waist. The following narrative, what's wrong?

Answer: Surgical treatment of these patients with primary choice

Choices:
A. The patient's condition may be related to gallstones
B. Blood tests are likely to find amylase (amylase) markedly abnormal rise
C. This and other patients, it is noted that within 24 hours after admission Ranson's criteria and APACHE II score and the like, which determines the severity
D. Surgical treatment of these patients with primary choice

1
50 year old woman
past
found to
gallstones
last night
abdomen
epigastric region
began
pain
nausea
vomiting
abdominal distension
symptoms
exacerbate
pain
lying
bend knees
abdominal pain
not hear bowel sounds
mild abdominal tenderness
pain
pain
found
green brown skin area
left side of
waist
following
wrong


Question: 85-year-old female patient complained of left shoulder pain over six months, local tenderness, no muscle atrophy, Pictured left shoulder ultrasound examination, the picture shows the rotating ring with a long axis view, short axis view below shows, the most likely diagnostic why?

Answer: Spine tendon (supraspinatus tendon tear)

Choices:
A. Rheumatoid arthritis (rheumatoid arthritis)
B. Spine tendon (supraspinatus tendon tear)
C. Septic arthritis (pyogenic arthritis)
D. Torn deltoid shoulder (deltoid muscle tear)


Question: Vain babblings (confabulation) on behalf of the following might be what most cases of mental disorders?

Answer: Memory (memory) disorders

Choices:
A. Think (thought) disorders
B. Emotions (emotion) disorder
C. Memory (memory) disorders
D. Language (language) barriers

Vain
confabulation
following
cases of mental disorders


Question: He belongs to the following conditions were less stringent "futile medical care" defined?

Answer: Valuable therapeutic target can not be reached

Choices:
A. Pathophysiological basis of lack of treatment
B. Still under the maximum therapeutic cardiac arrest patients
C. In the patients who have failed treatment
D. Valuable therapeutic target can not be reached

following conditions
less
futile medical care


Question: Biologic treatment of rheumatoid arthritis such as anti-TNF [alpha] antibody (anti-TNF-α antibodies) and human tumor necrosis factor receptor protein molecule (recombinant human TNF receptor, etanercept), significant effect, but which suffer from the following increase the chances of the disease?

Answer: TB (tuberculosis)

Choices:
A. Human immunodeficiency virus infection (human immunodeficiency virus infection)
B. TB (tuberculosis)
C. Multiple sclerosis (multiple sclerosis)
D. The implant versus host disease (graft-versus-host disease)


Question: A 7-week-old baby's hemoglobin was 9.5 g / dL, the breast-feeding infant, in addition to no other health problems, and it is full-term children, no complications, its hemoglobin values and physical condition, this baby is most likely there was a situation?

Answer: Physiological anemia (physiologic anemia)

Choices:
A. Iron deficiency anemia (iron deficiency anemia)
B. Congenital hemoglobin disease (congenital hemoglobinopathy)
C. Lead poisoning (lead poisoning)
D. Physiological anemia (physiologic anemia)

week old baby's hemoglobin
9.5 g
dL
breast-feeding infant
full-term children
complications
hemoglobin values
physical condition
baby


Question: Which of the following is not a structure choroid plexus (choroid plexus) formations?

Answer: Smooth muscle layer (smooth muscle layer)

Choices:
A. Smooth muscle layer (smooth muscle layer)
B. Base film layer (basement membrane)
C. Intraventricular ependymal cell layer (ependymal cells of ventricle)
D. Microvascular endothelial cell layer (endothelium of capillary)

following
not
structure choroid plexus
choroid plexus
formations


Question: Advanced or metastatic renal cell carcinoma commonly used in monotherapy, may be proved valid, does not cover what kind of drugs?

Answer: steroids

Choices:
A. interferon-alpha
B. steroids
C. sunitinib
D. sorafenib

Advanced
metastatic renal cell carcinoma
used
valid
not cover
kind
drugs


Question: Which of the following injuries, most likely to affect muscle contraction?

Answer: The saphenous nerve (saphenous nerve)

Choices:
A. Deep peroneal nerve (deep peroneal nerve)
B. Superficial peroneal nerve (superficial peroneal nerve)
C. Obturator nerve (obturator nerve)
D. The saphenous nerve (saphenous nerve)

following injuries
likely to
muscle contraction


Question: 86 newborn's birth and severe cyanosis (cyanosis) and was found to have a ventricular septal defect (ventricular septal defect). The following congenital heart disease who do not comply with what is so clinical and pathological manifestations?

Answer: atrioventricular septal defect

Choices:
A. tetralogy of Fallot
B. tricuspid atresia with hypoplasia of right ventricle
C. atrioventricular septal defect
D. truncus arteriosus

newborn's birth
severe cyanosis
cyanosis
found to
ventricular septal defect
ventricular septal defect
following congenital heart disease
not comply
so clinical
pathological manifestations


Question: There was a slight year-old mentally retarded boy's, was diagnosed with autism tendencies, physical examination showed bilateral testicular age children are relatively large, but the appearance of normal ears than children the same age, language development is also impaired. This child is most likely to be following what disease?

Answer: Fragile X Chromosome Syndrome (Fragile X syndrome)

Choices:
A. Mr. Tang disease (Down syndrome)
B. Toruosame Mr. diseases (Turner syndrome)
C. Fragile X Chromosome Syndrome (Fragile X syndrome)
D. Benzene acid aciduria (phenylketonuria)

slight year old mentally retarded boy's
diagnosed
autism
bilateral testicular age children
large
appearance of normal ears
children
same age
impaired
child
to
following
disease


Question: 70 year old woman, vaginal bleeding after menopause due to out-patient clinics, the most common reason why?

Answer: Atrophic endometrium

Choices:
A. Endometrial cancer
B. Endometrial hyperplasia
C. Uterine fibroids
D. Atrophic endometrium

70 year old woman
vaginal bleeding after menopause
out-patient clinics
most common


Question: A 32-year-old woman sought medical treatment for three months since complained fatigue, fever, and night sweats. Patients and has no right carotid painful lumps. Physical examination: body temperature 37.5 ℃, a right cervical lymph nodes. BRIEF lymph node high magnification image slice. The diagnosis should be why?

Answer: Hodgkin's lymphoma (Hodgkin lymphoma)

Choices:
A. Infection of monocytes histiocytosis (infectious mononucleosis)
B. Sarcoidosis (sarcoidosis)
C. Hodgkin's lymphoma (Hodgkin lymphoma)
D. CMV (cytomegalovirus) infection

year old woman
medical treatment
three months
fatigue
fever
night sweats
Patients
right carotid painful lumps
body temperature
right cervical lymph nodes
BRIEF lymph node high magnification
diagnosis


Question: The following types of cancer formation related genes, what's not a transcription factor (transcription factor) gene?

Answer: bcl-2

Choices:
A. c-myc
B. p53
C. bcl-2
D. Above are all transcription factor gene

following
cancer formation related
not
transcription factor
transcription factor
gene


Question: When metabolic acidosis (metabolic acidosis), which of the following changes Huxijitong may occur?

Answer: Increased respiratory rate (enhanced respiratory frequency)

Choices:
A. Increased respiratory rate (enhanced respiratory frequency)
B. Respiratory syndrome termination (apnea syndrome)
C. Cheyne-Stokes respiration (Cheyne-Stokes respiration)
D. Reverse breathing (paradoxical respiration)

metabolic acidosis
metabolic acidosis
following changes
occur


Question: 4485-year-old man because his family noticed fatigue, without a word, memory loss about two weeks, this morning, fever, unconsciousness, shortness of breath to diagnosis, past history of chronic lung disease, prostate hypertrophy and urinary tract infection, the body examination revealed temperature 40 ℃, pulse 140 / min, cut off the feet regulation, blood pressure 138/56 mmHg, the right lung auscultation crackles, heart size, heart sounds were normal, no swelling leg, abdomen and is not particularly neurological examination found that blood check leukocyte 16290 / μL, Hb 10.6 g / dL, platelets 180,000 / μL, albumin 3.4 g / dL, BUN mg / dL, Cr 1.0 mg / dL, Na 141 meq / L, K 4.6 meq / L, Ca 2.1 meq / L, glucose 108 mg / dL, urinalysis glucose 0.25 g / dL, WBC 2 ~ 5 / HPF, RBC 60 ~ 80 / HPF, chest X- ray exhibit both increased slightly lower lung infiltration. The following measures what's inappropriate?

Answer: Give digitalis therapy

Choices:
A. Given appropriate infusion therapy
B. Given tentative antibiotics
C. Give digitalis therapy
D. Do brain MRI


Question: 72-year-old male, cognitive impairment and attention is not focused volatility (fluctuating cognitive and attention disturbances), and there are visual hallucinations (visual hallucination). The past six months, in addition to increasing the above mentioned conditions, the patient developed memory loss, limb rigidity, gait slow, and easy to fall. The most likely diagnosis Why?

Answer: Lewy body dementia (dementia with Lewy bodies)

Choices:
A. Ezihaimo disease (Alzheimer disease)
B. Lewy body dementia (dementia with Lewy bodies)
C. Parkinson's dementia (Parkinson disease dementia)
D. Progressive supranuclear palsy (progressive supranuclear palsy) supranuclear

72 year old male
cognitive impairment
not focused
fluctuating cognitive
attention disturbances
visual hallucinations
visual hallucination
past six months
increasing
conditions
patient
memory loss
limb rigidity
gait slow
easy to fall
diagnosis


Question: 15-year-old boy is a member of the school swim team, swimming training at least two hours a day, because of intolerable pain left ear and to the ENT doctor, physician examination revealed inflammation of the outer ear. Microbial culture was identified as β-hemolytic bacteria of glucose non fermentation. Most likely to be infected by bacteria Which of the following?

Answer: Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Choices:
A. Grass Green Group A Streptococcus (Viridans streptococci)
B. Staphylococcus epidermidis (Staphylococcus epidermidis)
C. Streptococcus pneumoniae (Streptococcus pneumoniae)
D. Pseudomonas aeruginosa (Pseudomonas aeruginosa)

year old boy
member
school
training
two hours
day
pain left
ENT doctor
physician
revealed inflammation of
outer ear
Microbial culture
identified
hemolytic bacteria
glucose non
likely to
infected
bacteria
following


Question: The following statements about chronic anal fissure, what is true?

Answer: Both men and women, begin at 6 o'clock happen to those who most common

Choices:
A. Only male talent disease to 6 o'clock (right behind) who was the most common
B. Female patients to occur in the 12 o'clock (front) who was the most common
C. Both men and women, begin at 6 o'clock happen to those who most common
D. Opportunity occurred in 6 o'clock or 12 o'clock of the same


Question: 53 following about sand-like virus (Arenavirus) of the narrative, what's right?

Answer: Rodents mediated RNA viruses

Choices:
A. In the medium of propagation of arthropods
B. Gastrointestinal infections
C. Rodents mediated RNA viruses
D. Dogs as a medium to spread it -


Question: Following that one belongs to proliferative diabetic retinopathy?

Answer: vitreal hemorrhage

Choices:
A. cotton-wool spots
B. hard exudates
C. vitreal hemorrhage
D. microaneurysms

Following
one
proliferative diabetic retinopathy


Question: The best hair in the brain of the child which of the following?

Answer: Medulloblastoma (medulloblastoma)

Choices:
A. Medulloblastoma (medulloblastoma)
B. Ependymoma (ependymoma)
C. Astrocytoma (astrocytoma)
D. Meningioma (meningioma)


Question: A gestational age 40 weeks, birth weight of 3,500 grams of newborns, weight change after its birth, Which of the following most unusual?

Answer: 3 days full weight is 3,100 grams

Choices:
A. 24 hours full weight of 3,400 grams
B. 48 hours full weight is 3,400 grams
C. 3 days full weight is 3,100 grams
D. Full five days weight is 3,200 grams

gestational age 40 weeks
birth weight
500 grams
newborns
weight
birth
following
unusual


Question: The outside of the wrist flexor support band (flexor retinaculum) attached to where?

Answer: Navicular bones (scaphoid) and trapezium (TRAPEZIUM)

Choices:
A. Navicular bone (scaphoid) and lunate (lunate)
B. Trapezium bone (trapezium) and the trapezoid bone (trapezoid)
C. Navicular bones (scaphoid) and trapezium (TRAPEZIUM)
D. Radial 莖突 (radial styloid process)

outside
wrist flexor support band
flexor retinaculum


Question: A 78-year-old man to get up early in the morning one day Tujue right shoulder pain swelling, according to X-ray found that linear calcification in the cartilage part of the shoulder joint. Blood uric acid value 6.8 mg / dL, CRP 4.78 mg / L, most likely clinical diagnosis Why?

Answer: Pseudogout

Choices:
A. Acute gouty arthritis
B. Osteoarthritis
C. Adhesive capsulitis
D. Pseudogout

year old man to get
early
morning one day
right shoulder pain swelling
X-ray found
linear calcification
cartilage part
shoulder joint
Blood uric acid value
mg
dL
CRP
mg
L
likely clinical diagnosis


Question: The following immunosuppressive cytokine that?

Answer: TGF-b

Choices:
A. IL-2
B. TNF-a
C. TGF-b
D. MCP-1


Question: Following a diuretic that is most suitable for patients with acute pulmonary edema?

Answer: ethacrynic acid

Choices:
A. thiazide
B. ethacrynic acid
C. acetazolamide
D. spironolactone

Following
diuretic
most suitable
patients
acute pulmonary edema


Question: From the previous questions, then check one of the following best diagnosis?

Answer: Computer tomography

Choices:
A. Computer tomography
B. Bartonella henselae antibody test
C. IgG, IgA, IgM test
D. Pharyngeal bacterial culture

previous
then check one
following best diagnosis


Question: Those following can be used for the treatment of inflammatory bowel disease (IBD)?

Answer: Only  correct

Choices:
A. Only  correct
B. Only  correct
C. Only  correct
D.  are correct

following
used
treatment of inflammatory bowel disease


Question: When the sympathetic nerve 17, may result in:  increase in airway resistance (airway resistance)   reduce airway resistance increase anatomical dead space (anatomic dead space)  reduce anatomical dead space


Question: MRI diagram showing Wallenberg syndrome, is a common type of vascular lesions in the brain stem, which is mainly those vessels violated?

Answer: posterior inferior cerebellar artery, vertebral artery

Choices:
A. posterior inferior cerebellar artery, vertebral artery
B. anterior inferior cerebellar artery, superior cerebellar artery
C. superior cerebellar artery, posterior cerebral artery
D. posterior cerebral artery, anterior inferior cerebellar artery

MRI diagram
Wallenberg syndrome
common
vascular lesions
brain stem
vessels


Question: After the question bearing on the patients received modified radical mastectomy (MRM) surgery, pathology report follows: ductal carcinoma, lymph gland had positive rate of 2/20, hormone receptor ER (-), PR (-), Her -2 / neu-positive, the postoperative patients should accept what treatment?

Answer: Adjuvant chemotherapy

Choices:
A. Tamoxifen treatment
B. Adjuvant chemotherapy
C. J radiotherapy
D. Without considering adjuvant therapy


Question: Which of the following can atlas occipital joint (atlanto-occipital joint) bent?

Answer: 頭 長 肌 (long head)

Choices:
A. 頭 長 肌 (long head)
B. Rectus capitis posterior major muscle (rectus capitis posterior major)
C. Head oblique (obliquus capitis superior)
D. Capitis (splenius capitis)

following
atlas occipital joint
atlanto-occipital joint
bent


Question: 60 the case when patients have difficulty breathing motion years, pulmonary function tests show FVC: 3.0 L (70% predicted), FEV1: 1.3 L (40% predicted), FEV1 / FVC: 43%, TLC: 5.6 L (125% predicted), DLCO: 54% predicted. This patient most likely diagnosis of which of the following?

Answer: Emphysema

Choices:
A. Asthma symptoms
B. Emphysema
C. Diffuse pulmonary fibrosis
D. Congestive heart failure disease


Question: At present, Taiwan is a "aging, low birth rate" of society, this narrative reflects what the population following the gold tower?

Answer: Reducing type

Choices:
A. Urban
B. Rural type
C. Static
D. Reducing type

present
Taiwan
aging
low birth rate
population following
gold tower


Question: Diabetic glomerular disease (diabetic glomerulopathy) process, which of the following does not include a change of?

Answer: Enough to increase the number of cells

Choices:
A. Enough to increase the number of cells
B. Foot process effacement (foot process effacement)
C. Glomerular basement membrane (glomerular basement membrane) structural damage
D. Glomeruli interstitial cells (mesangial cells) morphological changes

Diabetic glomerular disease
diabetic glomerulopathy
process
following
not include
change


Question: The following pelvic floor muscles, the muscles that do not belong to the levator ani (levator ani muscle)?

Answer: coccygeus muscle

Choices:
A. pubococcygeus muscle
B. iliococcygeus muscle
C. coccygeus muscle
D. puborectalis muscle

following pelvic floor muscles
muscles
not
levator ani
levator ani muscle


Question: Abdominal aorta (abdominal aorta) branches around the total iliac artery (common iliac artery), the body that is equivalent to the following position?

Answer: Umbilicus

Choices:
A. The upper edge of the pubic symphysis
B. Suprapubic midpoint of the edge of the umbilical connection
C. Umbilicus
D. Pylori lateral surface (transpyloric plane)

Abdominal aorta
abdominal aorta
branches
total iliac artery
common iliac artery
body
equivalent
following position


Question: About Hepatitis A, which of the following error?

Answer: Genomics is a single-stranded RNA, classified as a small RNA virus family (Picornaviridae), and as Enterovirus 71

Choices:
A. Hepatitis A during World War II called "infectious hepatitis"
B. Genomics is a single-stranded RNA, classified as a small RNA virus family (Picornaviridae), and as Enterovirus 71
C. Hepatitis A virus is mainly through oral transmission, incubation period of 2-6 weeks. Adults are infected with the hepatitis A virus symptoms were significantly younger
D. A vaccination against hepatitis available


Question: Which of the following conditions have liver cancer patients not suitable for surgery?

Answer: Ascites can not control the use of diuretics

Choices:
A. Cirrhosis of the liver
B. Tumors greater than 10 cm
C. Ascites can not control the use of diuretics
D. There are peripheral portal vein thrombosis

following conditions
liver cancer patients not suitable
surgery


Question: 70 following an immunosuppressant that the mechanism of action is to inhibit inosine monophosphate dehydrogenase and further reduce the T and B lymphocyte proliferation?

Answer: Mycophenolate mofetil

Choices:
A. Azathioprine
B. Cyclosporine
C. Mycophenolate mofetil
D. Tacrolimus


Question: 8 year-old girl, with a cerebellar cystic tumors (cystic tumor), tumor cells (gliofibrillary acidic protein, GFAP) collagen hairy stellate cells, cells arranged in two-phase form of the positive type (biphasic pattern), the following statements is true?

Answer: Common to Rosen tournament fiber (Rosenthal fibers)

Choices:
A. Rapid tumor growth
B. Similar brain tumors also common in the elderly
C. Common to Rosen tournament fiber (Rosenthal fibers)
D. Extensive infiltration of tumor cells in the surrounding brain tissue

year old girl
cerebellar cystic
cystic tumor
protein
GFAP
collagen hairy stellate cells
cells
two phase
positive
biphasic pattern
following
true


Question: 60 stroke patients a cerebellar infarction occurs, there is movement disorders (ataxia) phenomenon, in its gait training, following what the most appropriate mobility aids?

Answer: Walkers (Walker)

Choices:
A. Cane (cane)
B. Axillary crutches (axillary crutch)
C. Tetrapod cane (quardricane)
D. Walkers (Walker)

60 stroke patients
cerebellar infarction occurs
movement disorders
ataxia
gait training
following
most appropriate mobility aids


Question: 30 a 16-year-old girl, a year to the gradual emergence of redness on both cheeks over and over again, the sun will worsen, swollen lymph glands, joint pain, dancing will suddenly fall, leg weakness, physical examination: blood pressure, heart rate, respiration, body temperature were normal, hands and skin bright and compact, Raynaud's phenomenon (Raynaud phenomenon), the blood phase check result is: WBC: 3000 / L, Hb: 11.0 g / dL, platelets 22,000 / L, serum chemistry tests were normal; C3: 56 mg / dL, C4: 9.6 mg / dL, antinuclear antibody: 1: 2560 (+), diffuse; 24-hour urine protein: 2.06 gm. Which of the following antinuclear antibodies for the diagnosis of your most helpful?

Answer: anti-nRNP antibody

Choices:
A. anti-nRNP antibody
B. anti-ENA antibody
C. \ Anti-Histon antibody
D. \ Anti-cardiolipin antibodies

30
year old girl
year
gradual
redness
cheeks
over
sun
worsen
swollen lymph glands
joint pain
fall
leg weakness
blood pressure
heart rate
respiration
body temperature
normal
hands
skin bright
compact
Raynaud's phenomenon
Raynaud phenomenon
blood phase check result
WBC
3000
Hb
0 g
dL
platelets
L
serum chemistry tests
normal
C3
mg
dL
C4
mg
dL
antinuclear antibody
1
diffuse
24-hour urine protein
2
gm
following antinuclear antibodies
diagnosis
helpful


Question: 76. A 28-year-old young man, suffered gunshot caused chest hemothorax (hemothorax) with shock after chest tube drainage of 800 ml of blood, blood pressure returned to mmHg, heartbeat 96 / min, blood pressure dropped to 86/68 after a few minutes mmHg, heart rate at 136 / min, following the disposal of what is preferred?

Answer: Re-evaluate the patient

Choices:
A. Intubated immediately
B. Emergency thoracotomy
C. Blood transfusion immediately
D. Re-evaluate the patient


Question: A 25-year-old man, two years ago, occurs once blurred vision and difficulty walking phenomenon, but a good recovery. Dysphagia occur this year, both sides of the lower extremity weakness and urinary incontinence phenomenon, which of the following is the most likely diagnosis?

Answer: Multiple sclerosis (multiple sclerosis)

Choices:
A. Neurosyphilis (neurosyphilis)
B. Multiple sclerosis (multiple sclerosis)
C. Syringomyelia (syringomyelia)
D. Myelitis (myelitis)

year old man
two years
occurs once blurred vision
difficulty walking
good recovery
Dysphagia occur
year
sides
lower extremity weakness
urinary incontinence
following
diagnosis


Question: Feature about Malta brucellosis (Brucella melitensis) is, which of the following error?

Answer: Facultative anaerobes (facultative anaerobic)

Choices:
A. Facultative anaerobes (facultative anaerobic)
B. Is heat waves (undulant fever) pathogens
C. Gram-negative bacilli
D. Can grow in macrophages (macrophages)

Feature
Malta brucellosis
following error


Question: Using G-CSF treatment of multiple myeloma (multiple myeloma) on the clinical course may be hematopoietic stem cells and serving plerixafor stabilizing drugs, in order to achieve a better effect. How this stability mechanism of action of drugs Why?

Answer: Inhibition of CXC chemokine receptor 4 (CXCR4)

Choices:
A. Strengthen the JAK / STAT activation message
B. Promote the release of G-CSF
C. Inhibition of CXC chemokine receptor 4 (CXCR4)
D. Increase the binding of G-CSF receptor of efficiency

Using G-CSF treatment
multiple myeloma
multiple myeloma
clinical course
serving plerixafor stabilizing drugs
order to
better effect
stability mechanism of action
drugs


Question: Listening to patients three key skills are "the initiative to listen to," "reflective listening" and "listen to the same reason", the following are four patients and their physicians dialogue, what does not belong to the "reflective listening"?

Answer: Patient: "I have been smoking for nearly 30 years, recently often cough, the doctor advised me to have to quit smoking, but quit less than three days on the stand ⋯⋯."

Choices:
A. Patient: "I feel nausea are one hour after taking occurred, ⋯⋯." MD: "I understand, nausea occurred in about one hour after the medication."
B. Patient: "I have chest pain like a knife stab in the same, ⋯⋯." MD: "When most feel that knife in your chest?"
C. Patient: "My headaches occur at night, but ⋯⋯." MD: "nature of the pain is sharp or dull pain?"
D. Patient: "I have been smoking for nearly 30 years, recently often cough, the doctor advised me to have to quit smoking, but quit less than three days on the stand ⋯⋯."

Listening
patients three
to
to
listening
same
following
four patients
physicians
not
listening


Question: The following account of ulcerative colitis (ulcerative colitis), the what's wrong?

Answer: Good occurred in people

Choices:
A. Patients normal resolution bloody stools
B. Often violated the rectum
C. The main focus in the intestinal mucosa (mucosa)
D. Good occurred in people

following account
ulcerative colitis
ulcerative colitis
wrong


Question: About prescription limb harness (upper limb orthotics), Which of the following is not a common purpose?

Answer: Provide strength training caused muscle weakness due to illness (strengthen for weak or absent muscles)

Choices:
A. Provide strength training caused muscle weakness due to illness (strengthen for weak or absent muscles)
B. By limiting the activity or force to protect the injured segment (protect damaged or diseased segments by limiting load or motion)
C. Or avoid distortion correction contracture (prevention of deformity or correction of contracture)
D. Other aids may be connected to the auxiliary function Richangshenghuo

limb harness
upper limb orthotics
following
not
common purpose


Question: A 58-year-old woman, a touch on the right side of the neck gradually become larger lumps and treatment. Size 3 cm, CT examination revealed the carotid artery at the bifurcation of a well-defined solid tumors. Visible tumor cells pink granular cytoplasm under an optical microscope, lumps are arranged. Electron microscopy revealed the cytoplasm of tumor cells neurosecretory granules (neurosecretory granules) present. Which of the following is likely diagnosis?

Answer: Paraganglioma (paraganglioma)

Choices:
A. Metastatic squamous cell carcinoma (metastatic squamous cell carcinoma)
B. Metastatic thyroid follicular cancer (metastatic thyroid follicular carcinoma)
C. Paraganglioma (paraganglioma)
D. Warthin tumor

58 year old woman
touch
right side of
neck
larger lumps
treatment
Size
CT
revealed
carotid artery
bifurcation
well-defined solid tumors
Visible
pink granular cytoplasm
optical microscope
lumps
Electron microscopy revealed
cytoplasm
neurosecretory granules
neurosecretory granules
present
following
likely diagnosis


Question: Which of the following does not pass the message to the hypothalamus in the brain before the projection?

Answer: Nose

Choices:
A. Nose
B. Visual
C. Auditory sense
D. Sense of touch

following
not pass
hypothalamus
brain
projection


Question: For women with epilepsy patients receiving anti-epileptic medications, which may suggest the following vitamin supplement before and after the fertile (periconceptional period), to reduce fetal abnormalities (eg: cleft lip and palate, neural tube defects, congenital heart defects, etc. ) chance of happen?

Answer: Folate (folic acid)

Choices:
A. Vitamin B6
B. Vitamin C
C. Folate (folic acid)
D. Vitamin B1


Question: Which of the following does not include swallowing?

Answer: 喉期（laryngeal phase）

Choices:
A. Oral stage (oral phase)
B. 咽期（pharyngeal phase）
C. 喉期（laryngeal phase）
D. Of the esophagus (esophageal phase)


Question: The figure is a 19 bedridden patients, found a wound in the sacral and taste with effusion, some muscle necrosis rot but did not see the bone joints, the following statements is true? ① This is a sacral pressure ulcers stage II, every two hours, turning frequently, sleep air bed can prevent deterioration occurred ② good nutritional status, to take care of the wound beneficial ③ appropriate debridement and the use of VAC (vaccum assisted closure) equipment is to one method of granulation tissue growth ④ more than about 80 mmHg pressure to generate possible cause of bedsores

Answer: ②③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④

bedridden patients
found
wound
sacral
taste
effusion
muscle necrosis
not see
bone joints
following
true
sacral pressure ulcers stage
two hours
turning frequently
sleep air bed
prevent
good nutritional status
to
care
wound
appropriate debridement
use of VAC
assisted closure
equipment
one method of granulation tissue growth
80 mmHg pressure to
possible cause
bedsores


Question: Physical medicine, physiological effects Which is not cold therapy (cryotherapy) is?

Answer: Increase ligament strength

Choices:
A. Can reduce pain
B. Can induce vasoconstriction
C. Can slow down the speed of muscle contraction
D. Increase ligament strength

Physical medicine
physiological effects
not cold therapy
cryotherapy


Question: Which of the following is the most common fungal infection of the external auditory canal pathogenic species?

Answer: Blastomycosis

Choices:
A. Aspergillus 及 Candida
B. Mucormycosis
C. Actinomycosis
D. Blastomycosis

following
most common fungal infection of
external auditory canal pathogenic


Question: After bearing the title, accept this surgery, the most common complication why?

Answer: Delayed gastric emptying (delayed gastric emptying)

Choices:
A. Diabetes mellitus (DM)
B. Delayed gastric emptying (delayed gastric emptying)
C. Coherency marginal ulcer (marginal ulcer)
D. Wound infection (wound infection)

bearing
title
accept
surgery
most common complication


Question: Cerebellar hemangioblastoma (hemangioblastoma) is part of the following is most likely that a disease or syndrome?

Answer: von Hippel-Lindau 病

Choices:
A. The first type I neurofibromatosis (neurofibromatosis type 1)
B. Of neurofibromatosis type II (neurofibromatosis type 2)
C. von Hippel-Lindau 病
D. Tuberous sclerosis (tuberous sclerosis)

Cerebellar hemangioblastoma
hemangioblastoma
part of
following
disease
syndrome


Question: Days-14 year-olds, after last year puberty, body weight and obesity also increased sharply, the initial year, after gym class, are feeling sore left groin and inner thighs, but take a break, there will be a good two days later . In April this year to participate in physical education in the long jump test, days suddenly felt a strong pain in the left groin, and could not stand to walk, and was carried into the emergency room and receive X-rays. By the following image, day-most likely suffering from what disease?

Answer: Left femur epiphyseal plate spondylolisthesis (slipped capital femoral epiphysis)

Choices:
A. Left hip septic arthritis (septic arthritis)
B. Traumatic dislocation of the left hip joint (traumatic dislocation)
C. Left femur epiphyseal plate spondylolisthesis (slipped capital femoral epiphysis)
D. Left femoral head avascular necrosis (Legg-Calvĕ-Perthes disease)

Days
year olds
last year puberty
body weight
obesity
increased
initial year
sore left groin
inner thighs
break
good two days later
April
year to
long jump test
days
strong pain
left
not stand to
carried
emergency room
receive X-rays
following
day
likely suffering
disease


Question: Neostigmine which will enhance the role of the following neuromuscular blocking agent?

Answer: Succinylcholine

Choices:
A. Succinylcholine
B. Pancuronium
C. d-Tubocurarine
D. My prom

Neostigmine
role
following neuromuscular blocking agent


Question: A full-term baby born after crying loudly, good limbs motility, general ruddy complexion, heart rate about 140 / min, 40 breaths / min, suction will stimulate sneezing reaction, his Apgar Score is a bit?

Answer: 10

Choices:
A. 4
B. 6
C. 8
D. 10

full-term baby born
good limbs motility
general
complexion
heart rate
min
40 breaths
min
suction
sneezing reaction
Apgar Score
bit


Question: The use of erythropoietin (erythropoietin) treatment of renal anemia, it should be noted that the full complement of an element?

Answer: iron

Choices:
A. Potassium
B. magnesium
C. iron
D. copper

use of erythropoietin
erythropoietin
treatment
renal
noted
full complement


Question: One patient after heart valve surgery because long-term use of anticoagulant warfarin. Taking the following drugs that are most likely to lead to a reduction warfarin metabolism, and it increases the role, even toxic?

Answer: phenytoin

Choices:
A. cimetidine
B. phenytoin
C. rifampin
D. Salicylate (salicylates)

One patient
heart valve surgery
long-term use of anticoagulant warfarin
following drugs
to lead
reduction warfarin metabolism
increases
role
toxic


Question: A 34-year-old patients with systemic lupus erythematosus, one day suddenly abnormal behavior, nonsense, follow-up brain CT examination found no bleeding or cerebral vascular occlusion situation. The occurrence of such abnormalities may be associated with the following serum antibody what?

Answer: Anti-ribosomal P antibody

Choices:
A. Anti-phospholipid antibody
B. Anti-ribonucleoprotein antibody
C. Anti-Ro (SS-A) & anti-La (SS-B) antibody
D. Anti-ribosomal P antibody

year old patients
systemic lupus erythematosus
one day
abnormal behavior
nonsense
follow-up brain CT examination found
bleeding
vascular occlusion
occurrence
abnormalities
associated with
following serum antibody


Question: Functional health status assessment, the basic function of Richangshenghuo activities (activities of daily living, referred ADL) does not include what the following items?

Answer: Take medicine

Choices:
A. Eating
B. Toileting
C. dressing
D. Take medicine

Functional health status assessment
basic function
activities
referred ADL
not include
following


Question: Which of the following is a mechanical valve (mechanical prosthesis) and semi-biological valve (bioprosthesis) compared to the maximum advantage of the former?

Answer: High durability (durability)

Choices:
A. To be long-term use of anticoagulants
B. High durability (durability)
C. Strong resistance to bacterial infection
D. Less likely to produce hemolysis

following
mechanical valve
mechanical prosthesis
biological valve
bioprosthesis
maximum
former


Question: Principles of early childhood scrotal edema Why?

Answer: In one year old without surgery, observed after one year of age, it must not disappear surgery

Choices:
A. Surgery as soon as possible, in order to avoid adverse testicular development
B. Early surgery should be merged because the probability is high hernia
C. In one year old without surgery, observed after one year of age, it must not disappear surgery
D. A needle before the age of pumping pressure is released after the age will be required to surgery


Question: As an adult patient first aid, electrocardiogram as shown. When considering whether to use Sodium Bicarbonate treatment, following indications whichever is most inappropriate?

Answer: Conventional treatment for cardiac arrest patients

Choices:
A. Potassium ion concentration of 5.5 mEq / L
B. Patients with diabetes ketoacidosis
C. Patients with tricyclic antidepressant overdose
D. Conventional treatment for cardiac arrest patients

adult patient first aid
electrocardiogram
to use Sodium Bicarbonate treatment
following
most inappropriate


Question: A 55 year old patient due to tumor and scheduled to be injected with a contrast (contrast medium) Computer tomography (CT scan), the following statements is wrong?

Answer: The developer rarely nephropathy urine fractional excretion of sodium (FeNa) <1%

Choices:
A. The reason developer nephropathy produced include tubular obstruction or mechanical changes in renal blood action
B. The developer rarely nephropathy urine fractional excretion of sodium (FeNa) <1%
C. Diabetes is one of the developer to produce a risk factor for nephropathy
D. When the high-risk patient check-containing developer must be done, the liquid may be added to moderate (Hydration)

year old patient due to tumor
scheduled to
injected
contrast
Computer tomography
CT scan
following
wrong


Question: Which of the following is most likely to hurt the surgery cut ovarian artery?

Answer: Suspensory ligament (suspensory ligament)

Choices:
A. Suspensory ligament (suspensory ligament)
B. Recommended ligament (sacrospinous ligament)
C. Main ligaments (cardinal ligament)
D. Ovarian round ligament (ovarian ligament)


Question: The following information about hypothermia (hypothermia) will cause constant changes in the surgical patient's body dangerous narrative occurs, whichever is wrong?

Answer: Reducing hemoglobin affinity for oxygen

Choices:
A. Increased fibrinolytic activity
B. Thrombocytopenia
C. Reduce platelet aggregation function
D. Reducing hemoglobin affinity for oxygen

following
hypothermia
hypothermia
cause constant changes
surgical patient's body
occurs
wrong


Question: Vector mosquito can transmit many infectious diseases, some even fatal, may I ask which of the following is not an infectious disease spread by the vector mosquito?

Answer: Relapsing fever (relapsing fever)

Choices:
A. Yellow fever (yellow fever)
B. Relapsing fever (relapsing fever)
C. Dengue fever (dengue fever)
D. Japanese encephalitis (Japanese encephalitis)

Vector
transmit
infectious diseases
fatal
I
following
not
infectious disease spread


Question: Account of testicular torsion (Testicular torsion) is, which of the following error?

Answer: Mainly because of blocked arteries supplying the testicles

Choices:
A. Mainly because of blocked arteries supplying the testicles
B. Infantile no abnormalities related to anatomy
C. Adult-onset also to prevent the other side of testicular torsion, testicular surgery will be required to impose a fixed
D. Required emergency surgery, prime time within 6 hours after occurrence

Account of testicular torsion
Testicular torsion
following error


Question: Which of the following best not to reduce systemic administration errors (medication error)?

Answer: Enter a dedicated staff prescription

Choices:
A. Medical doctors make direct use of computers for input
B. Using an electronic bar code (bar-coding) for scanning input Drugs
C. Enter a dedicated staff prescription
D. With pharmacists in the ICU care team

following best not to
systemic administration errors
medication error


Question: Which of the following is not a human primary (primary) lymphoid organs?

Answer: Lymph nodes (lymph nodes)

Choices:
A. Thymus (thymus)
B. Bone marrow (bone marrow)
C. Fetal liver (fetal liver)
D. Lymph nodes (lymph nodes)

following
not
human primary
primary
lymphoid organs


Question: 40-year-old man appeared about a week ago to multiple lower limbs elevated purpura (palpable purpura), accompanied by pain and burning, following which check the diagnosis?

Answer: diascopy

Choices:
A. diascopy
B. Nikolsky sign
C. Tzanck smear
D. Darier's sign

40 year old man appeared
week
multiple lower limbs elevated purpura
palpable purpura
pain
burning
following
check
diagnosis


Question: Pap smear report describes have koilocytosis, represents what is most likely to infect?

Answer: Human papillomavirus (HPV)

Choices:
A. Chlamydia (Chlamydia)
B. Trichomonas vaginalis (Trichomonas)
C. Human papillomavirus (HPV)
D. Neisseria gonorrhoeae (gonococcus)


Question: Viagra (Viagra) message may be transmitted through the enhanced effect of nitric oxide (NO) downstream of cGMP, to achieve its pharmacological effect. NO is a metabolite of the amino acid that kind?

Answer: arginine

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

Viagra
Viagra
transmitted
effect
nitric oxide
cGMP
to
pharmacological effect
NO
metabolite
amino acid
kind


Question: Which of the following is a characteristic of the material transported through the cell membrane of the diffusion of the promotion (facilitated diffusion) of?

Answer: Driven by the concentration gradient of solute

Choices:
A. Driven by the concentration gradient of solute
B. The need to drive ATP
C. Usually a reaction energy absorption (endergonic)
D. Is generally an irreversible reaction

following
characteristic
transported
cell membrane
diffusion


Question: A 25-year-old male patient was recently the week beginning significant auditory hallucinations and paranoia and was sent to the emergency, doctors do to help their general physical examination and biochemical tests, as usual, he never had a history of drug and alcohol abuse, have never had significantly the history of brain injury. Its history began at 20 years of age of paroxysmal tonic - clonic seizures (tonic-clonic seizures), symptoms improved after taking the drug. Last week due to a cold without clothes antiepileptics, in the week were found to have times of tonic - clonic seizures. The following statements is true?

Answer: Position compared with other brain, causing lesions of the temporal lobe epilepsy, easier to produce psychotic symptoms

Choices:
A. Seizures cause of mental illness, most often occurs after each seizure (postictal psychosis)
B. Position compared with other brain, causing lesions of the temporal lobe epilepsy, easier to produce psychotic symptoms
C. Compared with women with epilepsy, male patients with epilepsy are more prone to mental illness
D. Psychosis seizures cause of schizophrenia and similar, also have obvious symptoms of loose association of


Question: Which of the following best suited to the human virus grows in 33-35 degrees Celsius, it usually affects the upper respiratory tract. However, the animal origin of such a virus was able to grow at 37 degrees Celsius, it can cause systemic infection?

Answer: Coronavirus (Coronavirus)

Choices:
A. Interstitial pneumonia virus (Metapneumovirus)
B. Adenovirus (Adenovirus)
C. Respiratory syncytial virus cells (Respiratory syncytial virus)
D. Coronavirus (Coronavirus)

following best
35 degrees Celsius
usually
upper respiratory tract
animal origin
able to
degrees Celsius
cause systemic infection


Question: Meningioma recurrence (Recurrence of meningiomas) The most important factor is that one?

Answer: Residual tumor (Postoperative tumor residual) after surgery

Choices:
A. Patients Age (Age of the patient)
B. Bone infringement (Bone invasion)
C. Benign meningioma histological classification (Histological type of benign meningioma)
D. Residual tumor (Postoperative tumor residual) after surgery

Meningioma recurrence
Recurrence
meningiomas
most important factor
one


Question: Which of the following drugs do not cause hirsutism (hirsutism)?

Answer: methimazole

Choices:
A. androgens
B. minoxidil
C. phenytoin
D. methimazole

following drugs
not cause hirsutism
hirsutism


Question: Feeding a newborn for the first time on choking and mouth secretions lot. Drawings for the baby of the X-rays, the most likely diagnosis Why?

Answer: esophageal atresia with tracheoesophageal fistula between distal segment of esophagus and trachea

Choices:
A. esophageal atresia without associated fistula
B. esophageal atresia with tracheoesophageal fistula between proximal segment of esophagus and trachea
C. esophageal atresia with tracheoesophageal fistula between distal segment of esophagus and trachea
D. esophageal atresia with tracheoesophageal fistula between both proximal and distal segment of esophagus and trachea

newborn
first time
choking
mouth secretions lot
baby
X-rays
diagnosis


Question: The following description of the related parasite, what's wrong?

Answer: Wild boar is Wei's lung fluke (Paragonimus westermani) reservoir host (reservoir host)

Choices:
A. In addition schistosomes (schistosomes), the other eggs of parasitic trematodes have human egg cover (operculum)
B. Wild boar is Wei's lung fluke (Paragonimus westermani) reservoir host (reservoir host)
C. US imports of fresh raw crayfish (crayfish) may be infected with Klinefelter lung fluke (Paragonimus kellicotti)
D. Egypt schistosome (Schistosoma haematobium) in patients with chronic infection, the higher the chances of suffering from bladder cancer


Question: The following narrative about the angiotensin converting enzyme inhibitors of what's right?

Answer: Can treat diabetic nephropathy (diabetic nephropathy)

Choices:
A. Can inhibit the production of bradykinin by substance P and the blood pressure fall from the sky
B. Cause reflex tachycardia, it does not apply for the treatment of heart failure
C. Can treat diabetic nephropathy (diabetic nephropathy)
D. And left and treated with potassium-sparing diuretics can prevent the occurrence of hyperkalemia


Question: Is generally believed that Alzheimer's disease is mainly due to what neurotransmitter (neurotransmitter) due to the reduction?

Answer: acetylcholine

Choices:
A. dopamine
B. serotonin
C. acetylcholine
D. norepinephrine

Alzheimer's disease
due to
neurotransmitter
neurotransmitter
reduction


Question: Treatment of chest rehabilitation, the main purpose Which of the following is not intended to exclude sputum?

Answer: Diaphragmatic breathing (diaphragmatic breathing)

Choices:
A. Back percussion (chest percussion)
B. Effective cough (effective cough)
C. Postural drainage (postural drainage)
D. Diaphragmatic breathing (diaphragmatic breathing)

Treatment
chest rehabilitation
main purpose
following
not intended to exclude sputum


Question: Assess the adequacy of hemodialysis dose, the most commonly used indicators are:

Answer: KT / V

Choices:
A. Recirculation rate (recirculation rate)
B. KT / V
C. Blood flow (blood flow rate)
D. Dialysate flow rate (dialysate flow rate) 26 narrative about peritoneal dialysis, which of the following error?


Question: Praia's patches (Peyer's patches) are mainly distributed in the following Where?

Answer: Ileum (ileum)

Choices:
A. Rectum (rectum)
B. Jejunum (jejunum)
C. Ileum (ileum)
D. Duodenum (duodenum)

patches
Peyer's patches
distributed
following


Question: Charcot ⾺ Lee disease (Charcot-Marie-Tooth disease) are ⽣ peripheral neuropathy production, likely to cause deformation of the lower extremities, where it ⼀ Neuro most likely to be violated?

Answer: Peroneal nerve (peroneal nerve)

Choices:
A. Peroneal nerve (peroneal nerve)
B. Tibial nerve (tibial nerve)
C. Femoral nerve (femoral nerve)
D. The saphenous nerve (saphenous nerve)

Charcot
disease
Charcot-Marie-Tooth disease
peripheral neuropathy
likely to cause deformation
lower extremities
Neuro
likely to


Question: A 1-year-old boy was found after birth ie determined after crying noise and lips cyanosis (cyanosis) phenomenon. In addition to the lips and extremities cyanosis phenomenon, but to the left of the chest can be heard 2-3 systolic heart murmur. Chest X-ray which is shown below. Which of the following is the most likely diagnosis?

Answer: Method Rockwell Snap disease (tetralogy of Fallot)

Choices:
A. Great vessels (transposition of great arteries)
B. Method Rockwell Snap disease (tetralogy of Fallot)
C. The total abnormal pulmonary venous return (total anomalous pulmonary venous return)
D. Remaining truncus arteriosus (persistent truncus arteriosus)

year old boy
found after birth ie determined
lips cyanosis
cyanosis
lips
extremities cyanosis
left
chest
heard
systolic heart murmur
Chest X-ray
following
diagnosis


Question: Spinal muscular atrophy nerve (spinal muscular atrophy) can cause muscle atrophy in patients with widespread, but what muscle groups will not be affected?

Answer: Outside eye movement muscles

Choices:
A. Outside eye movement muscles
B. Respiratory muscle movement
C. Facial muscles
D. Sucking swallowing muscles

Spinal muscular atrophy nerve
spinal muscular atrophy
cause muscle atrophy
patients
widespread
muscle groups
not
affected


Question: From the previous question, if you want to stereotactic brain surgery, then Which of the following is the best choice?

Answer: Deep brain stimulation surgery (Deep brain stimulation) have a curative effect, and there is evidence of treatment (Evidence) of the method

Choices:
A. Deep brain stimulation surgery (Deep brain stimulation) have a curative effect, and there is evidence of treatment (Evidence) of the method
B. When the drug is difficult to control the trembling affect Richangshenghuo quality, this time to treat with surgery, the effect is still not good
C. Deep brain stimulation surgery, most patients are no longer taking the drug after surgery
D. Deep brain stimulation treatment machine rotation is to enhance the stimulation sites neurological

previous
stereotactic brain surgery
then
following
best


Question: From the previous question, Xiu Xiu and later hospitalized miscarriage, miscarriage following description of the drug and what was wrong?

Answer: Ritodrine inhibit uterine contractions, but will make the heart beat faster when the mother is too high a dose, decreased blood sugar

Choices:
A. There are signs of pregnancy is recommended in preterm between 24-34 weeks, to betamethasone 12 mg q24h × 2 doses, to promote fetal lung maturation and reduce the complications of premature children
B. Ritodrine inhibit uterine contractions, but will make the heart beat faster when the mother is too high a dose, decreased blood sugar
C. Using MgSO4 antagonism of calcium ions and magnesium ions to inhibit uterine contraction, if too high a dose of magnesium ions easily lead poisoning, the optimum therapeutic range of 4 ~ 7 mEq / L
D. Nifedipine is a calcium channel blocker (calcium channel blockers), and MgSO4 and be careful with severe hypotension

previous
later hospitalized miscarriage
miscarriage following
drug
wrong


Question: Xiaojuan is 14-year-old high school students bit country, because this semester academic significantly regressed, become quiet, Tichongzengjia growing belly bulge and was found to have abnormal mother brought clinic. Physicians at the beginning to see the doctor, to be how to deal with the most appropriate?

Answer: The consent of the mother and Xiaojuan agree with part-time talks alone with Xiaojuan

Choices:
A. Must immediately undergo a physical checkups, and even explore the causes of pelvic examination
B. Girls often due to shy unwilling to cooperate with the inspection, and therefore can not agree with the consent of the girl, the first urine test for pregnancy
C. Only for clinical examinations for mothers concerns
D. The consent of the mother and Xiaojuan agree with part-time talks alone with Xiaojuan

year old
bit country
semester
regressed
quiet
belly bulge
found to
abnormal
brought
beginning to see
doctor
to
to
appropriate


Question: Back, right shoulder blade and the spine of the inner edge of the spinous processes (spinous process of vertebra) for traumatic hemorrhage, most likely a direct hurt branched Which of the following?

Answer: Carotid artery cross (transverse cervical artery)

Choices:
A. Scapular artery (suprascapular artery)
B. Subscapularis artery (subscapular artery)
C. Deep cervical artery (deep cervical artery)
D. Carotid artery cross (transverse cervical artery)

Back
right shoulder blade
spine
inner edge
spinous processes
spinous process of vertebra
traumatic hemorrhage
direct
branched
following


Question: Account of gestational diabetes (gestational diabetes), and which of the following error?

Answer: The impact on the fetus, including gestational diabetes than Rongyifasheng giant baby and neonatal hyperglycemia

Choices:
A. In addition to insulin (insulin), oral hypoglycemic drugs glyburide and metformin can also be used in pregnancy
B. The impact on the mother's gestational diabetes include hypertension and easier high caesarean section rate
C. The impact on the fetus, including gestational diabetes than Rongyifasheng giant baby and neonatal hyperglycemia
D. For gestational diabetes in high-risk groups (such as obesity, family history of diabetes, etc.), should first check-in will be screened for gestational diabetes

Account
gestational diabetes
gestational diabetes
following error


Question: Kidney volume increases mainly because of the increase due to the length of which of the following?

Answer: Bending the proximal tubule (proximal convoluted tubule)

Choices:
A. Curved distal tubule (distal convoluted tubule)
B. Collecting duct (collecting duct)
C. Bending the proximal tubule (proximal convoluted tubule)
D. Ureter (ureter)

Kidney volume increases
increase due to
length


Question: The following statements about true plethora (polycythemia vera), and what's right?

Answer: For most patients, bleeding was the most appropriate treatment

Choices:
A. Plasma erythropoietin (erythropoietin) increased
B. Rongyifasheng artery embolization patients, but there is little vein thrombosis
C. Platelet function were normal, so there is little bleeding symptoms
D. For most patients, bleeding was the most appropriate treatment

following
true plethora
polycythemia vera
right


Question: A Puna Teng (acetaminophen) poisoning patients appear yellowing of the skin on the third day, dark brown urine, which is most likely due to toxic effects?

Answer: Liver toxicity (hepatotoxicity)

Choices:
A. Liver toxicity (hepatotoxicity)
B. Cardiac toxicity (cardiotoxicity)
C. Nerve toxicity (neurotoxicity)
D. Kidney toxicity (nephrotoxicity)


Question: The drawing shows a partial testicular tumor of a 40-year-old patient, following the relevant narrative, whichever is most inappropriate?

Answer: This tumor epidermal cysts

Choices:
A. Clinical manifestations often vicious
B. Often associated with other malignant germ cell tumors
C. Tumor markers AFP and β-HCG in the blood may rise
D. This tumor epidermal cysts

partial testicular tumor of
40 year old patient
following
relevant
most inappropriate


Question: The following cases involving the relationship between drug companies and doctors, what can be accepted on ethics?

Answer: Certain drug manufacturers have a meeting at the foreign drug development, drug dealers funded by the hospital physician assigned to participate

Choices:
A. The director of a hospital grade family physician to travel abroad, drug dealers responsible for transfers to the airport and return home
B. A medical center Gastroenterologists have symptoms of acid reflux, provides free drugs inhibit gastric acid secretion by the long-term drug dealers
C. A specialist in a hospital in the morning meeting, a long-serving breakfast by the drug dealers
D. Certain drug manufacturers have a meeting at the foreign drug development, drug dealers funded by the hospital physician assigned to participate

following cases involving
relationship
doctors
accepted
ethics


Question: 85.10-year-old child has a jaw tumor. Figure biopsy, a small tumor cells, nuclear regardless of leaf, common cell division. Then the following statements is an error?

Answer: This belongs to the tumor cell-derived T-

Choices:
A. There EB virus infection
B. The disease occurs in African children
C. This belongs to the tumor cell-derived T-
D. Although the fast growth of the tumor, but rare leukemic transformation

85 10 year
jaw tumor
biopsy
small cells
nuclear regardless
common cell division
Then
following
error


Question: 47. Mr. Lee, 75 years old, has repeatedly stroke and high blood pressure, history of diabetes, when neurological examination, no significant muscle weakness, but presented slurred speech, swallowing disorders, emotional incontinence (emotional incontinence) and both sides of the deep tendon reflection enhancement (hyperreflexia), Which of the following most correct?

Answer: May be pseudo bulbar palsy (pseudobulbar palsy)

Choices:
A. May be pseudo bulbar palsy (pseudobulbar palsy)
B. May be diabetic neuropathy, regardless of stroke
C. May be acute left cerebral hemisphere infarction (left hemisphere infarction), regardless of the past history of stroke
D. In addition to stroke, no other diseases can cause this symptom

Mr
75 years old
repeatedly stroke
high blood pressure
history
diabetes
neurological examination
significant muscle weakness
slurred speech
swallowing disorders
emotional incontinence
emotional incontinence
sides
deep tendon reflection enhancement
hyperreflexia
following
correct


Question: Head trauma caused by diffuse axonal injury (DAI), the following statements is wrong?

Answer: If the patient died, anatomy of the brain has obviously not normal appearance

Choices:
A. Patients usually do not have the Ching Ming period (lucid interval)
B. May not be obvious lesions on computed tomography (brain CT), but actually was a coma patient
C. If the patient died, anatomy of the brain has obviously not normal appearance
D. Visible hemorrhagic necrosis lesions in the corpus callosum (corpus callosum)

Head trauma caused
diffuse axonal injury
following
wrong


Question: The following groups of amino acids that directly involved in biosynthesis of creatine (creatine) of?

Answer: glycine, arginine, methionine

Choices:
A. tyrosine, glycine, glutamine
B. glutamate, cysteine, glycine
C. glycine, arginine, methionine
D. aspartate, glycine, cysteine

following groups
amino acids
directly involved
creatine


Question: Right above the clinical significance nystagmus diagram represents, the most likely diagnosis is:

Answer: Left cerebellopontine angle tumors (cerebello-pontine angle tumor)

Choices:
A. Right Meniere's disease (Ménière's disease)
B. Left Meniere's disease (Ménière's disease)
C. Right cerebellopontine angle tumors (cerebello-pontine angle tumor)
D. Left cerebellopontine angle tumors (cerebello-pontine angle tumor)

Right
clinical significance nystagmus diagram
diagnosis


Question: After 72.71 year old man fell accidentally, abnormal neck pain, upper extremity tingling feeling associated with; T2-weighted magnetic resonance imaging scan lateral figures. The most likely diagnosis Why?

Answer: Ossification of the posterior longitudinal ligament row

Choices:
A. Ossification of the posterior longitudinal ligament row
B. Fascia and muscle pain
C. After generating spur
D. Disc


Question: The following statements about spinocerebellar ataxia (spinocerebellar ataxia), and what's right?

Answer: Some are autosomal dominant inheritance, and some are recessive inheritance, while others are sporadic

Choices:
A. Some are autosomal dominant inheritance, and some are recessive inheritance, while others are sporadic
B. Cause spinocerebellar ataxia (spinocerebellar ataxia) gene mutations in only three nucleotides repeats (trinucleotide repeat) extended type
C. Repeat three nucleotides (trinucleotide repeat) only in the extended position of the position encoder (coding region)
D. Parkinson's syndrome is mainly caused due to abnormal hypothalamus, will not have the phenomenon of cerebellar ataxia

following
spinocerebellar ataxia
spinocerebellar ataxia
right


Question: Using both screening tool to screen diseases (e.g.: X-ray photography using a breast and breast ultrasound examination for breast cancer screening), as long as any one of a positive reaction, it is necessary to arrange for further examination, known as a parallel assay (tests in parallel), which aims to increase:

Answer: The sensitivity (sensitivity)

Choices:
A. The sensitivity (sensitivity)
B. Specificity (specificity)
C. The incidence (incidence)
D. Prevalence (prevalence)

Using
screening tool to screen diseases
X-ray
using
breast
breast ultrasound examination for
cancer screening
long
one
positive reaction
further
known
parallel assay
tests in parallel
aims to increase


Question: Prenatal care should begin sooner the better know after pregnancy, at the first prenatal visit (about 8 to 12 weeks of pregnancy) project, that does not include one of the following?

Answer: Gestational diabetes screening

Choices:
A. Blood type, Rh factor and urine routine examination
B. Blood routine examination, including thalassemia screening (mean corpuscular volume MCV)
C. Gestational diabetes screening
D. Syphilis screening

begin
better
pregnancy
about 8
12 weeks
pregnancy
not include one


Question: For children under five, which is the narrowest part of the airway Why?

Answer: cricoid cartilage

Choices:
A. tongue base
B. vocal cords
C. cricoid cartilage
D. thyroid cartilage


Question: 50 Barrett's esophagus to esophageal resection shall be carried out when?  who have Barrett's esophagus are to be removed  Low grade dysplasia who  High grade dysplasia who  Cancer

50 Barrett's esophagus
resection
carried out
Barrett's esophagus
to
removed
Low grade dysplasia
High grade dysplasia
Cancer


Question: The following statements about the prognosis of schizophrenia, what's wrong?

Answer: Emotional symptoms and poor prognosis

Choices:
A. Young men, educated, good premorbid function who have more prone to suicide risk
B. The earlier the onset of recession and there are autistic behavior worse the prognosis
C. Emotional symptoms and poor prognosis
D. Negative symptoms than those who have a poor prognosis positive symptoms


Question: Can be used for differential diagnosis of lower activity levels delirium (delirium) and best checking why depression?

Answer: Brainwave

Choices:
A. Spinal tap spinal fluid examination
B. Brainwave
C. Brain tomography
D. Biochemical tests


Question: Lysosomal storage disease is due to a particular lysosomal enzyme hydrolysis of the resulting lack, such as Gaucher's disease, Pompe disease, mucopolysaccharidosis, and psychosis. Currently there is a new treatment, the use of the plant cells to produce lysosomal enzymes, a method of playing back and then intravenous injection the patient. On this enzyme replacement therapy, a narrative that error?

Answer: These protein molecules easily enter the brain, relieve symptoms of nerve

Choices:
A. Enzymes into the patient, after being taken up by cells to the lysosomal fulfill its function in
B. These protein molecules injected into the patient, it may be recognized as foreign by the body to produce antibodies
C. These protein molecules easily enter the brain, relieve symptoms of nerve
D. Mucopolysaccharidosis caused bone lesions, treatment often is not easy to recover

Lysosomal storage disease
due to
lysosomal enzyme
resulting lack
Gaucher's disease
Pompe disease
mucopolysaccharidosis
psychosis
Currently
new treatment
use of
to
lysosomal enzymes
method
playing back
then intravenous injection
patient
enzyme replacement therapy
error


Question: Which of the following is not a disease hyperemesis gravidarum (hyperemesis gravidarum) is a typical example?

Answer: stomach ache

Choices:
A. stomach ache
B. Weight loss
C. 酮血 disease (ketonemia)
D. Hypokalemia

following
not
disease hyperemesis gravidarum
hyperemesis gravidarum
typical


Question: On clinical symptoms and diagnosis of mediastinal tumors, the following statements is wrong?

Answer: More than two thirds of patients have symptoms found

Choices:
A. Clinical symptoms depends on the tumor location, size and degree of malignancy
B. There may be Horner's syndrome (Horner syndrome) occurs
C. Thymoma may have symptoms of myasthenia gravis
D. More than two thirds of patients have symptoms found

clinical symptoms
diagnosis of mediastinal tumors
following
wrong


Question: Which of the following do not bronchiectasis simple lobectomy indications?

Answer: Bilateral severe bronchiectasis

Choices:
A. The combined loss of patient medical treatment repeated pneumonia
B. Repeated coughing up blood affect the normal life
C. Bilateral severe bronchiectasis
D. Localized single lobe bronchiectasis

following
not bronchiectasis simple lobectomy


Question: Lin young girl suffering from leukemia, because after a long time with traditional cancer treatment drugs, reduced immunity, in order to avoid oral candidiasis of opportunistic infections, commonly Which of the following drugs to prevent?

Answer: Nystatin

Choices:
A. Griseofulvin
B. Miconazole
C. Terbinafine
D. Nystatin

Lin young girl suffering
leukemia
long time
traditional cancer treatment drugs
reduced immunity
order to
oral candidiasis
opportunistic infections
following drugs to prevent


Question: The role of antibiotics machine turn and side effects, the following statements is true?

Answer: Rapid injection of vancomycin (vancomycin), the most common side effects Reds syndrome (red man syndrome), mainly caused by the release of histamine into the machine (histamine) of

Choices:
A. Rapid injection of vancomycin (vancomycin), the most common side effects Reds syndrome (red man syndrome), mainly caused by the release of histamine into the machine (histamine) of
B. Head cyclosporine (cephalosporin) of inhibitory effect, a major role in inhibition of protein synthesis
C. Quinolones machine into a major role in the inhibition of cell wall synthesis
D. The main mechanism of action of erythromycin Switch inhibition of DNA synthesis

role
machine turn
side effects
following
true


Question: What kind of sprays following drugs are the first line treatment of acute asthma emergency room?

Answer: β2-agonists

Choices:
A. chromones
B. glucocorticoids
C. β2-agonists
D. leukotriene modulators

kind
sprays following drugs
first line treatment
acute asthma emergency room


Question: The following related liver fatty infiltration locality (fatty infiltration) description of the image, what's wrong?

Answer: CT showed liver damage or passage of vessels

Choices:
A. Liver CT showed low density (low density) region
B. CT showed liver damage or passage of vessels
C. MRI images of T1 spin echo difficult to clearly show localized lesions
D. Ultrasound scans can exhibit high echo region


Question: The following information about REM sleep disorder is discolored special ⾏ (REM sleep behavior disorder), and what's right?

Answer: Usually appears in late at night

Choices:
A. Usually appears in late at night
B. Each hair ⽣ usually fixed mode operation
C. After the date is likely to become Azihaimo ⽒ disease
D. Most dreams are pleasant

following
REM sleep disorder
discolored special
REM sleep behavior disorder
right


Question: Lee received 30 years ago because of gastric ulcer surgery to remove part of the stomach, since the recent month, began to appear on a pre-dinner abdomen dull pain, reduced food intake and meal belch gas and so on, while the weight is also reduced from sixty kilograms fifty-two kg. Lee most likely diagnosis Why?

Answer: Stomach cancer

Choices:
A. Recurrent ulcer
B. Duodenal ulcer and gastric outlet stenosis
C. Stomach cancer
D. Gastric disorders

received 30 years
gastric ulcer surgery to remove part
stomach
recent month
began to appear
pre dinner abdomen dull
reduced food intake
belch gas
so
weight
reduced
sixty kilograms fifty kg
likely diagnosis


Question: A 55 year old female patient, no past history of kidney, urine output due to decreasing Tichongzengjia last week and was hospitalized. Physical examination: blood pressure 180/110 mmHg, pulse 72 / min, respiratory rate 16 / min, breath sounds normal rhythm rules no noise, no flat abdominal tenderness, lower extremity edema significant sag. Blood tests: hemoglobin 10 gm / dL, leukocyte 10500 / μL, albumin 2.5 g / dL, BUN 35 mg / dL, creatinine 3.0 mg / dL; Urine: protein (3+), red blood cells 20 to 25 particles / high power field, and can see the red blood cells cylinder. After this patient underwent kidney biopsy, the most appropriate approach for treatment?

Answer: Immunosuppressants (immunosuppressive therapy)

Choices:
A. Broad-spectrum antibiotics (broad-spectrum antibiotics)
B. Immunosuppressants (immunosuppressive therapy)
C. Emergency hemodialysis (emergent hemodialysis)
D. Added albumin (albumin infusion)

year old female patient
past history of kidney
urine output due to decreasing
week
hospitalized
blood pressure
mmHg
pulse 72
min
respiratory rate
min
breath sounds normal rhythm rules
flat abdominal tenderness
lower extremity edema significant sag
Blood tests
hemoglobin 10 gm
dL
albumin
g
dL
35 mg
dL
creatinine
0 mg
dL
Urine
protein
3
red cells 20
25
high power field
see
red blood cells cylinder
patient
kidney biopsy
most appropriate approach
treatment


Question: An older woman fall, resulting in femoral neck fracture (fracture of femoral neck) and when hurt neighboring structure, Which of the following most likely to occur?

Answer: Femoral nerve (femoral nerve) fracture

Choices:
A. Thigh extreme abduction (abduction)
B. Femoral nerve (femoral nerve) fracture
C. The femoral artery (medial circumflex femoral artery) Fracture
D. Femoral ligament (ligament of head of femur) Fracture

older woman fall
resulting in femoral neck fracture
fracture of femoral neck
neighboring structure
following
likely to occur


Question: Description degenerative dementia (Alzheimer's disease) is about, what's wrong?

Answer: You can use acetylcholinesterase (Acetylcholinesterase) inhibitor clinically to relieve abnormal cognitive symptoms, but often there will be side effects of high blood pressure patients

Choices:
A. Cholinergic degenerative dementia patients before their brain (basal forebrain) of (cholinergic) neurons degradation
B. Degenerative cerebral cortex of patients with Alzheimer's disease (cerebral cortex) and hippocampus (Hippocampus) regions often found to occur amyloid plaques (amyloid plaques) of
C. You can use acetylcholinesterase (Acetylcholinesterase) inhibitor clinically to relieve abnormal cognitive symptoms, but often there will be side effects of high blood pressure patients
D. Memantine as a N-methyl-D-aspartate receptor antagonist, for patients with degenerative dementia also has the effect of treatment

degenerative dementia
Alzheimer's disease
about
wrong


Question: 52.25 Miss Ho-year-old to the hospital diagnosed, height 156 cm, weight 75 Kg, BMI = 30.8, a lot of acne on his face, before too long and 2 times more than the amount of bleeding had occurred, the last period was three months ago, this 3 months, both before and after the 15th of each month, a 1-day micro-bleeding, which of the following non-necessary checks?

Answer: Chromosome

Choices:
A. Determination of blood concentration of estradiol (E2), FSH and LH of
B. Urine pregnancy test
C. Chromosome
D. Obstetrics and gynecology ultrasound examination

Miss Ho year old
hospital diagnosed
height
weight 75 Kg
BMI
30
lot
acne
face
too long
2
amount
bleeding
last period
three months
3 months
before
month
day micro bleeding
following non
checks


Question: The following nutrients whichever is unable to provide energy directly?

Answer: Vitamins

Choices:
A. Carbohydrate
B. protein
C. Vitamins
D. fat


Question: Related to chronic obstructive pulmonary disease (COPD) patients, the results of lung function tests, which of the following is most correct?

Answer: Lung volume (total lung capacity) increased

Choices:
A. Vital capacity (vital capacity) increase
B. Lung volume (total lung capacity) increased
C. Lung margin (residual volume) decreased
D. Maximum autonomy ventilation (maximal voluntary ventilation) increase

Related
chronic obstructive pulmonary disease
patients
results
lung function tests
following
most correct


Question: 75 a 37-year-old male patient with back pain for many years, its pelvic X-rays as shown, the most likely diagnosis is:

Answer: ankylosing spondylitis

Choices:
A. rheumatoid arthritis
B. osteoarthritis
C. gouty arthritis
D. ankylosing spondylitis

75
year old male patient
back pain
years
pelvic X-rays
diagnosis


Question: Statements about typical angina (angina pectoris), the following best inappropriate?

Answer: Angina often projected trapezius (trapezius muscle)

Choices:
A. Typically chest pain lasting for about 2-5 minutes, which can be projected discomfort to the shoulder or upper
B. Chest pain may also be projected to the back, the lower jaw (Jaw) and neck
C. Angina often projected trapezius (trapezius muscle)
D. Angina rarely occurs in the lower region of the navel

typical angina
angina pectoris
following best inappropriate


Question: 25.15-year-old female patient with familial and easy bleeding, she is easy to nosebleeds, menstrual volume, anemia. The results showed that the blood sample: bleeding time more than 30 minutes, PT 10 seconds (control 11 seconds), aPTT 48 seconds (control 30 seconds), Hb 5.0g / dL, platelet count 480 × 103 / mm3. The most likely diagnosis is:

Answer: von Willebrand disease

Choices:
A. hemophilia A
B. hemophilia B
C. von Willebrand disease
D. Bernard-Soulier syndrome

year old female patient
familial
easy bleeding
easy
nosebleeds
menstrual volume
anemia
results
blood sample
bleeding time
30 minutes
PT 10 seconds
control
seconds
aPTT 48 seconds
control 30 seconds
Hb 5
dL
platelet count 480
mm3
diagnosis


Question: Heroin addiction cases usually easy to incorporate that kind of diagnosis compared with the second shaft?

Answer: Antisocial personality disorder (antisocial personality disorder)

Choices:
A. Paranoid personality disorder (paranoid personality disorder)
B. Antisocial personality disorder (antisocial personality disorder)
C. Narcissistic personality disorder (narcissistic personality disorder)
D. Dependent personality disorder (dependent personality disorder)

Heroin addiction cases usually easy to
kind
diagnosis
second shaft


Question: The large 30 20 month-old boy for three consecutive days due to diarrhea and vomiting hospitalized. Physical examination showed that the patient does not respond to stimuli, upper arms and legs occasionally twitching (twitching) phenomenon. Assess the degree of dehydration of 10%, serum electrolytes test results Na +: 114 mEq / L; Cl-: 82 mEq / L; HCO3-: 15 mEq / L, BUN 43 mg / dL. Urine examination showed randomly select a specific gravity of 1.021, Na +: 12 mEq / L. This patient the best immediate disposal should be:

Answer: Intravenous injection of 3% saline serum sodium concentration was increased 1-2 mEq / hour rate, 8 hours

Choices:
A. Diuretics furosemide 2 mg / kg to increase the extracellular osmotic pressure drain
B. Intravenous 0.45% saline in glucose 12 consecutive hours
C. Intravenous injection of 3% saline serum sodium concentration was increased 1-2 mEq / hour rate, 8 hours
D. Intravenous phenobarbital to control seizures, and then 0.6% NaCl intravenous

large 30 20 month old boy
three consecutive days
diarrhea
vomiting hospitalized
patient
not
upper arms
legs occasionally twitching
twitching
degree
dehydration
10
serum electrolytes test results Na
mEq
L
mEq
L
HCO3
mEq
L
mg
dL
Urine examination
specific gravity
mEq
L
patient
best immediate


Question: A 22-year-old women were infertile egg retrieval operation 6 days ago, 20 eggs were taken after 2 days implantation of three embryos. Today I come to the emergency, complained of breathing difficulties, abdominal distension, nausea, urine reduced. Ultrasound detection of ovarian swelling of about 6 cm sides, a large number of ascites. That one of the following is not suitable for disposal?

Answer: Playing diuretics Lasix

Choices:
A. Playing diuretics Lasix
B. Blood test CBC, electrolytes, GPT (ALT), BUN, creatinine
C. Pumping ascites
D. Give a lot of normal saline

year old
infertile egg retrieval operation
days
20
2 days implantation
three embryos
Today I
emergency
breathing difficulties
abdominal distension
nausea
urine reduced
Ultrasound detection
ovarian swelling
sides
large number
ascites
one
following
not suitable


Question: Gastric (gastric gland) in the ECL (enterochromaffin-like) cells to secrete:

Answer: histamine

Choices:
A. pepsin
B. somatostatin
C. gastrin
D. histamine


Question: When asthma patient using a spray formulation can be made bronchiectasis, and this effect is not inhibited by the β-blocker, in addition, this drug is generally not of the central nervous, Bioavailability less than 40% when administered orally, the drug product that?

Answer: Ipratropium 57 following which the drug is part of short-acting cholinesterase inhibitor, for diagnosing myasthenia gravis?

Choices:
A. Atropine
B. Scopolamine
C. Glucocorticoid
D. Ipratropium 57 following which the drug is part of short-acting cholinesterase inhibitor, for diagnosing myasthenia gravis?

asthma patient using
spray
made bronchiectasis
effect
not inhibited
addition
drug
not
central nervous
Bioavailability
40
administered orally
drug product


Question: The following kind of bacteria grown on a medium migration (Swarming) features, and generates and kidney stones (renal stones) most relevant?

Answer: Proteus mirabilis (Proteus mirabilis)

Choices:
A. Proteus mirabilis (Proteus mirabilis)
B. Clayey marcescens (Serratia marcescens)
C. Enterobacter aerogenes (Enterobacter aerogenes)
D. Klebsiella pneumoniae (Klebsiella pneumoniae)

following kind
bacteria
medium migration
features
kidney stones
renal stones
most relevant


Question: 38 year old woman uremia undergoing dialysis for eight years, after a kidney transplant in good condition for more than a year ago and found blood intact parathyroid hormone (iPTH) concentration of 205 pg / mL during routine examination, blood calcium was 12 mg / dL, this time can be diagnosed as:

Answer: Three rounds of hyperparathyroidism (tertiary hyperparathyroidism)

Choices:
A. Primary hyperparathyroidism (primary hyperparathyroidism)
B. Secondary hyperparathyroidism (secondary hyperparathyroidism)
C. Three rounds of hyperparathyroidism (tertiary hyperparathyroidism)
D. Recurrent hyperparathyroidism (recurrent hyperparathyroidism)

year old woman uremia
dialysis
eight years
kidney
good condition
more
year
found blood intact parathyroid hormone
concentration
pg
mL
routine
blood calcium
mg
dL
time
diagnosed


Question: When 70-year-old female patient received sub-total gastrectomy (subtotal gastrectomy), the following statements is wrong?

Answer: Does not require the use of prophylactic antibiotics

Choices:
A. Does not require the use of prophylactic antibiotics
B. Have a good hemostatic
C. Do not leave foreign objects in surgical site
D. Maintain normal body temperature of the patient

70 year old female patient received sub total gastrectomy


Question: 78-year-old people live in nursing homes long stroke, since the last three weeks in the body and limbs, multiple skin rash, KOH check as shown. The most likely diagnosis Why?

Answer: Scabies mites infection

Choices:
A. Fungal infections
B. Scabies mites infection
C. Molluscum
D. Body lice infection

year old
live
nursing homes long stroke
last three weeks
body
limbs
multiple skin rash
KOH check
diagnosis


Question: Car accident caused the middle ulna fracture and injuries to the ulnar artery (ulnar artery), the following is the most appropriate location where direct pressure to stop bleeding?

Answer: Cubital fossa (cubital fossa)

Choices:
A. Armpit (axilla)
B. Upper arm in the middle (mid arm)
C. Cubital fossa (cubital fossa)
D. Snuff area (snuff box)

Car accident caused
middle ulna fracture
injuries
ulnar
ulnar artery
following
most appropriate location
direct pressure to stop bleeding


Question:
12 five years old male patient, B hepatitis with the original three decades, was taken to the emergency, complained this morning began to vomit blood, cold sweats. Physical examination, blood pressure 92/54 mmHg, heart rate 131 times / min, pale, slightly yellow skin, abdominal swelling and there beat blunt tone shifting (shifting dullness) phenomenon, laboratory blood test Hb 7.5 gm / dL, platelet 80000 / 1, albumin 2.5 mg / dL, globulin
 6 mg / dL, total bilirubin 2.3 mg / dL, PT 16.3 / 11.8 sec, PTT 32.5 / 32.0 sec. This patient most likely diagnosis is:

Answer: Esophageal gastric varices hemorrhage (bleeding esophagogastric varices)

Choices:
A. Esophageal gastric varices hemorrhage (bleeding esophagogastric varices)
B. Peptic ulcer bleeding (bleeding peptic ulcer)
C. Acute gastric mucosal lesion (acute gastric mucosa lesion)
D. Mallory-Weiss syndrome (Mallory-Weiss syndrome)

five years old male patient
B hepatitis
original three decades
emergency
morning began to vomit blood
cold sweats
blood pressure
54 mmHg
heart rate
times
min
pale
slightly yellow skin
abdominal swelling
blunt tone shifting
shifting dullness
laboratory blood test Hb 7
gm
dL
albumin
mg
dL
globulin
mg
dL
total bilirubin
mg
dL
PT
sec
PTT 32.5
0 sec
patient
likely diagnosis


Question: 84 year old man massive bleeding ulcer, systolic blood pressure dropped to 60 mmHg, a history of failure determined that the blood pressure boosting agent barely maintained at about 90/65 mmHg, blood urea nitrogen (BUN) was raised to 145 mg / dL, muscle anhydride (creatinine) 11.5 mg / dL, the total amount of urine each day only 75 cc, heme is 7 g / dL, blood transfusion and infusion therapy a lot about 2,500-3,500 mL / day, following which dialysis therapy for him is most appropriate?

Answer: Continuous venovenous hemodialysis (continuous veno-venous hemodialysis; CVVH / D)

Choices:
A. Continuous venovenous hemodialysis (continuous veno-venous hemodialysis; CVVH / D)
B. Continuously movable peritoneal dialysis (continuous ambulatory peritoneal dialysis; CAPD)
C. Intermittent hemodialysis (intermittent hemodialysis; IH / D)
D. Blood perfusion (hemoperfusion; HP)

84 year old man massive
systolic blood pressure
60 mmHg
history
failure
blood pressure boosting agent
maintained
90 65 mmHg
blood urea nitrogen
raised
mg
dL
muscle anhydride
creatinine
mg
dL
total amount
urine
day only 75 cc
heme
g
dL
blood transfusion
infusion therapy
lot
2 500 3
mL
day
following
dialysis therapy
most appropriate


Question: The following aggregation of what drugs are not ⾎ ⼩ board antagonist?

Answer: heparin

Choices:
A. dipyridamole
B. aspirin
C. heparin
D. ticlopidine

following aggregation
drugs
not
board antagonist


Question: Gestational trophoblastic disease (Gestational trophoblastic disease) if no transfer, the most common treatment method:

Answer: methotrexate 或 actinomycin-D

Choices:
A. Hysterectomy
B. Pelvic radiation therapy
C. methotrexate 或 actinomycin-D
D. cisplatin or taxol

Gestational trophoblastic disease
Gestational trophoblastic disease
transfer
most common treatment method


Question: According to the US treatment guidelines for children with effusion earphones inflammation (otitis media with effusion), and in uncomplicated cases, effusion in the earphones Face inflammation disease should be closely observed how long after diagnosis, before doing step into ⼀ listen care has been taken to test or manual treatment?

Answer: 3 Month

Choices:
A. 1 Month
B. 2 Month
C. 3 Month
D. 6 Month

treatment guidelines
children
effusion earphones inflammation
otitis media with effusion
uncomplicated cases
effusion
earphones Face inflammation disease
observed
long
diagnosis
step
to test
manual treatment


Question: Statements about times-onset hypertension, whichever is correct?

Answer: Renal artery fibromuscular dysplasia (Fibromuscular dysplasia) or atherosclerotic plaque formation, causing vascular stenosis, resulting in high blood pressure

Choices:
A. Blood pressure and renal artery stenosis is the most common cause of high all times essential hypertension inside
B. Renal artery fibromuscular dysplasia (Fibromuscular dysplasia) or atherosclerotic plaque formation, causing vascular stenosis, resulting in high blood pressure
C. Aldosterone adrenal tumors producing too much time is the cause of essential hypertension, often performance: sodium accumulation, renin hypertension, hyperkalemia, low blood (Renin) activity
D. Pheochromocytoma (Pheochromocytoma) 80% chance of hereditary from belonging autosomal dominant (Autosomal dominant) Genetic


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

Answer: Use of 10% phenylephrine eye, the sclera congestion will not let white blood vessels, and thus can scleritis (scleritis) for identification

Choices:
A. Occur in the 20-50 year-old patient
B. Use of 10% phenylephrine eye, the sclera congestion will not let white blood vessels, and thus can scleritis (scleritis) for identification
C. Comparative scleritis, belong to the more benign, and most can be automatically relieve
D. May relapse


Question: For the description of neuroendocrine tumors (neuroendocrine tumor), the following best right?

Answer: May be associated with pituitary tumor or parathyroid tumors

Choices:
A. Benign tumors
B. Only occurs in the gastrointestinal tract and pancreas
C. Injection compstatin analogs (somatostatin analogue), the most effective treatment
D. May be associated with pituitary tumor or parathyroid tumors

neuroendocrine tumors
neuroendocrine tumor
following best right


Question: Which of the following drugs can enhance nerve GABA online worms and arthropods - The role of muscle at the junction?

Answer: Ivermectin

Choices:
A. Glutamic acid
B. Picrotoxin
C. Pyrimethamine
D. Ivermectin

following drugs
nerve GABA
worms
role
muscle
junction


Question: In the respiratory chain (respiratory chain), the following enzyme complex which contains copper ions in its electron transfer?

Answer: cytochrome c oxidase

Choices:
A. NADH-Q oxidoreductase
B. succinate-Q reductase
C. Q-cytochrome c oxidoreductase
D. cytochrome c oxidase

respiratory chain
respiratory chain
following enzyme complex
contains copper