Question: The following abdominal compartment syndrome (abdominal compartment syndrome) related symptoms, what's wrong?

Answer: Normal blood pressure

Choices:
A. A sudden increase in intra-abdominal pressure
B. Reduce the amount of urine
C. Hypoxia (hypoxia)
D. Normal blood pressure


Question: Which of the following is not one of the causes of infant hydrocephalus (Infantile Hydrocephalus) of?

Answer: Congenital anencephaly

Choices:
A. Congenital cerebral aqueduct stenosis
B. Congenital anencephaly
C. Infancy intracerebral hemorrhage
D. Infant brain infection

following
not one
causes
infant hydrocephalus
Infantile Hydrocephalus


Question: After a fall left shoulder pain symptoms appeared a month ago 59 year old woman, affecting sleep, shoulder X-rayed in the drawings, the most likely diagnosis Why?

Answer: calcified tendinosis

Choices:
A. avulsion fracture of greater tuberosity
B. calcified tendinosis
C. bone metastasis
D. primary osteoblastic bone tumor


Question: Which of the following drugs cause liver damage hepatocyte necrosis?

Answer: acetaminophen

Choices:
A. amiodarone
B. acetaminophen
C. phenothiazine
D. methotrexate


Question: A 30-year-old man have long complained of chest pain, difficulty swallowing food and counter-current phenomenon, esophageal photographic examination figure, and on display in the digestive tract endoscopy normal esophageal mucosa, which is why the best treatment?

Answer: Laparoscopic myotomy

Choices:
A. Proton pump inhibitor
B. Calcium channel blocker
C. Laparoscopic fundoplication
D. Laparoscopic myotomy

30 year old man
long
of chest pain
difficulty swallowing food
counter current
esophageal photographic
display
normal esophageal mucosa
best treatment


Question: Narrative about human polyomavirus (Human polyomavirus), and which of the following error?

Answer: T antigen can activate p53, promote cell death

Choices:
A. Include BK virus and JC virus
B. Does not have an outer membrane (Envelope)
C. JC virus infection in patients with immune dysfunction, often caused to the myelin sheath (demyelination) lesions
D. T antigen can activate p53, promote cell death


Question: 6-year-old boy due to repeated hematuria clinic to seek treatment, each time after a cold two or three days the situation is more serious hematuria, which of the following is least likely diagnosis?

Answer: Focal sclerosing glomerulosclerosis

Choices:
A. IgA Nephropathy
B. Thin basement membrane disease
C. Alport syndrome
D. Focal sclerosing glomerulosclerosis

year old boy due to repeated hematuria clinic to


Question: From the previous question, the above patient after use morphine, morphine addiction probability of approximately:

Answer: Less than 0.1%

Choices:
A. 10%
B. 5%
C. 3%
D. Less than 0.1%

previous
above patient
morphine addiction probability
approximately


Question: 78 year old man, recently three weeks a number of large blisters on the trunk and upper and lower limbs. Skin pathology examination revealed cracking under the skin, and there eosinophilic infiltration in the upper dermis. The most likely diagnosis is:

Answer: Pemphigoid (pemphigoid)

Choices:
A. Shingles (herpes zoster)
B. Impetigo (impetigo)
C. Pemphigoid (pemphigoid)
D. Pemphigus (pemphigus)

year old man
recently three weeks
number
large blisters
trunk
upper
lower limbs
Skin pathology revealed cracking
skin
eosinophilic infiltration
upper dermis
diagnosis


Question: The following statements about lactose intolerance (lactose intolerance), and what's wrong?

Answer: Belonging secretory diarrhea (secretory) diarrhea, lactose deactivated article may be improved

Choices:
A. Clinically abdominal distension, diarrhea, abdominal pain, flatulence, flatulence and other symptoms
B. Asians have this obsession about 90%, while whites are less than 25%
C. Belonging secretory diarrhea (secretory) diarrhea, lactose deactivated article may be improved
D. Lactase supplement to patients can be improved. The yogurt containing live lactic acid bacteria (Yogurt) may be generated due to lactase, patient acceptable

following
lactose intolerance
lactose intolerance
wrong


Question: 2 Wang 78 years old, suffering from high blood pressure for many years, has been poor regulation of drugs, blood pressure clinic today is 170/70 mmHg, heart rate 80 / min, BUN 49.2 mg / dL, Creatinine 4.1 mg / dL, uric acid 7.2 mg / dL, K + 6.1 mEq / L, the following group of drugs that the most appropriate treatment Wang: ①loop diuretics ②angiotensin-converting enzyme inhibitor ③angiotensin receptor blocker ④dihydropyridine calcium channel blocker

Answer: ①④

Choices:
A. ①②
B. ②③
C. ③④
D. ①④

loop diuretics angiotensin-converting enzyme inhibitor


Question: The following local anesthetics (local anesthetics), the one that belongs to esters (esters)?

Answer: Tetracaine

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

following local anesthetics
local anesthetics
one
esters
esters


Question: Following which inhalation anesthetics, produced under fixed conditions and the same concentration of the anesthetic effect (potency) weakest?

Answer: desflurane

Choices:
A. isoflurane
B. desflurane
C. halothane
D. sevoflurane

Following
inhalation anesthetics
fixed conditions
same concentration
anesthetic
potency
weakest


Question: The following oxidant (Oxidant), the standard reduction potential of whichever (standard reduction potential) value of the minimum?

Answer: FAD

Choices:
A. cytochrome b (+3)
B. ubiquinone (oxidized)
C. FAD
D. Fe (+3)

following
standard reduction potential
standard reduction potential
value
minimum


Question: He is 40-year-old company's accounting, smoked about a pack a day, the last three days feel malaise, runny nose and cough, after work to find a nearby doctor familiar with the family physician, physician administered drugs to treat the symptoms after examination, and recommended outpatient smoking cessation. The above-mentioned case that did not involve a primary care characteristics?

Answer: Coordination (coordination)

Choices:
A. Can Proximity (accessibility)
B. Comprehensive sex (comprehensiveness)
C. Continuity (continuity)
D. Coordination (coordination)

40 year old company's
smoked
pack
day
last three days
malaise
runny nose
cough
to find
nearby doctor familiar
family physician
physician administered drugs to treat
symptoms
outpatient smoking cessation
case
not
characteristics


Question: Greenhouse gases allow short-wave radiation source by absorbing long-wave radiation, to save the earth's surface temperature, which of the following are greenhouse gases?

Answer: O3

Choices:
A. NO2
B. WHAT
C. O3
D. CFCl3

source
to
earth's surface temperature
following


Question: The host cell by chlamydia (Chlamydia) infections observed inclusions (inclusion body) structure, whose main component is:

Answer: After a large number of bacteria breeding

Choices:
A. After a large number of bacteria breeding
B. Phosphate (phosphate) polymer
C. Sterilizing particulate matter containing
D. The performance of a large number of heat shock (heat shock) proteins

host cell
Chlamydia
infections observed inclusions
inclusion body
structure
main component


Question: A 35-year-old woman complained of chills, edema, and when there is no menstruation milk secretion. Blood analysis revealed that thyroid hormone value is too low, then the patient of amenorrhea and lactation phenomenon is most likely due to the influence of hormones which of the following?

Answer: A secreted by the hypothalamus releasing hormone (TRH) stimulation of the secretion of pituitary prolactin (Prolactin)

Choices:
A. The secreted hypothalamic dopamine (dopamine) stimulate pituitary secretion of prolactin (Prolactin)
B. Secreted by the hypothalamus of releasing hormone (GnRH) secretion of luteinizing hormone stimulates the pituitary gland (LH)
C. A secreted by the hypothalamus releasing hormone (TRH) stimulation of the secretion of pituitary prolactin (Prolactin)
D. The secreted hypothalamic dopamine (dopamine) stimulate the secretion of pituitary luteinizing hormone (LH)

35 year old woman
chills
edema
menstruation milk secretion
Blood revealed
thyroid hormone value
too low
then
patient
amenorrhea
lactation
due to
hormones
following


Question: A 65-year-old female patient because blood will, to the gastroenterology clinic for treatment. After interrogation and physical examination, the doctor recommended a colonoscopy, also told the risks associated with colonoscopy, colonoscopy performed after the consent of the patient. Sigmoid colonoscopy found to have 1.5 cm in size at polyps, mucosa irregular shape, contact bleeding, suspected colorectal cancer. The physician spot large polyp removal, and removal of the metal clips, do prophylactic treatment of bleeding or perforation, the operation smoothly. After the patients go home the next day began to feel abdominal pain, loss of appetite, nausea. To emergency medical treatment, detection of colorectal perforation. The following narrative about the physician if there is relevant medical negligence, whichever is most correct?

Answer: Colonoscopy colorectal polyps resection merger, all the same risk of perforation of the large intestine, but the two are different level of risk, if before colonoscopy, can inform each different risk would be more appropriate, but if there is breach of this obligation, specific cases should review the relevant facts to be identified

Choices:
A. The physician told only the risks associated with colonoscopy, did not inform the risks associated with resection of colorectal polyps, has been in clear violation of the physician's duty of disclosure
B. Colonoscopy and colonoscopy polyp excision merger, there would have been associated risk of perforation of the colon, consistent with both the two types of risk, and therefore do not need to specifically told that the risk of perforation of the large intestine
C. Colonoscopy colorectal polyps resection merger, all the same risk of perforation of the large intestine, but the two are different level of risk, if before colonoscopy, can inform each different risk would be more appropriate, but if there is breach of this obligation, specific cases should review the relevant facts to be identified
D. The resection of colorectal polyps, the Department is conducive to the best interests of patients, can be removed directly, without patient consent

65 year old female patient
blood
gastroenterology clinic
treatment
doctor
colonoscopy
associated with colonoscopy
colonoscopy performed
consent
patient
Sigmoid colonoscopy found to
1.5
size
polyps
mucosa irregular shape
contact bleeding
suspected colorectal cancer
physician spot large polyp removal
removal
clips
prophylactic treatment
bleeding
perforation
operation
patients go home
next day began to
abdominal pain
loss of appetite
nausea
emergency medical
detection
colorectal perforation
following
physician
relevant medical negligence
most correct


Question: ⼀ bit 65 year old man, which ⾎ solution data is displayed, the white ⾎ ball ADVANCED up to 160,000 / μL, ⾎ red pigment 12.7 g / dL, ⾎ ⼩ plate is 165,000 / μL, white ⾎ ball classification displayed segmented neutrophil 14%, lymphocyte 80.3%, no immature ⾎ ball. ⾎ which was smear of cells is displayed as FIG. These lymphocytes expressing CD19, CD5, dim CD20, CD23, dim kappa light chain restriction. ⽽ CD10 and CD34 were negative. The Face on the disease most likely diagnosis and treatment of diseases, what's wrong?

Answer: Face zoomed majority of disease in need of ADVANCED-dose chemotherapy and allogeneic stem cell transplantation made ⾎ to obtain a survival period of ⻑

Choices:
A. Typical liquid ⾎ peripheral smear or basket cells often appear smudge cells
B. Face zoomed majority of disease in need of ADVANCED-dose chemotherapy and allogeneic stem cell transplantation made ⾎ to obtain a survival period of ⻑
C. Face will merge some patients have autoimmune thrombocytopenia or autoimmune hemolytic anemia
D. When such patients Face ⼀ start is usually no obvious symptoms associated with the disease, ⽽ chance ⾎ pumping test data ⾎ ball found the disease

bit 65 year old man
solution data
displayed
white
ball ADVANCED
red pigment
g
dL
plate
white
ball classification displayed
80
immature
ball
displayed
lymphocytes
CD19
CD5
dim CD20
dim kappa light chain restriction
CD10
CD34
negative
Face
disease
likely diagnosis
treatment
diseases
wrong


Question: What is the role of the following neuromuscular blocking agents of the shortest duration, because it is easily decomposed pseudocholinesterase?

Answer: Succinylcholine

Choices:
A. Relanium
B. Doxacurium
C. Pancuronium
D. Succinylcholine

role
following neuromuscular blocking agents
shortest duration
easily
pseudocholinesterase


Question: Cyclosporine suppress allogeneic organ rejection (graft rejection) of the mechanism of why?

Answer: Inhibition of T-helper lymphocyte activation

Choices:
A. T lymphocytes produce antibodies selectively promote
B. Inhibition of T-helper lymphocyte activation
C. Inhibition of cell proliferation transplant
D. Reduce the primary immune (innate immune) reactions


Question: Principles of myocardial infarction (myocardial infarction) patients with the acute phase (first phase) rehabilitation that does not contain one of the following?

Answer: The movement need to monitor blood pressure rise or fall not exceed 20mmHg

Choices:
A. Activities as early as possible (early mobilization)
B. Under the second floor stairs can
C. Engage in physical activity less than 2 ~ 3 METS movement
D. The movement need to monitor blood pressure rise or fall not exceed 20mmHg

myocardial infarction
myocardial infarction
patients
acute phase
rehabilitation
not contain one


Question:
70
 Non-smoker
 130,000
 26

Answer: 5

Choices:
A. 2.2
B. 2.7
C. 4.8
D. 5


Question: 68-year-old woman, hospitalized when serum sodium is 140 meq / L, because the next day ready to accept colonoscopy oral laxatives and enemas, in the early morning sudden unconsciousness and seizures, serological examination revealed serum sodium 117 meq / L, then the following statements is true?

Answer: Should be quickly given the high penetration of salt water (hypertonic saline), until neurologic symptoms improve

Choices:
A. Salt tablets should be given and limited water treatment
B. Should be closely monitored serum sodium ion concentration, concentration rises less than an hour 0.5 ~ 1.0 meq / L, to avoid osmotic demyelinating syndrome (osmotic demyelination syndrome)
C. Should be quickly given the high penetration of salt water (hypertonic saline), until neurologic symptoms improve
D. Water and salt intake should be limited


Question: When the candidates are focusing on national examination papers, the frontal lobe of the brain waves measured Which of the following is most likely?

Answer: beta rhythm

Choices:
A. alpha rhythm
B. beta rhythm
C. theta rhythm
D. delta rhythm

focusing
papers
frontal lobe
brain
measured
following


Question: Statements about submenus of endometriosis, which of the following error?

Answer: US ⽣ colonization Medical Association (ASRM) will submenus that endometriosis is divided into the first frame to the fourth according to the severity of pain

Choices:
A. May cause pelvic pain or infertility
B. The diagnosis by tissue slices, slice If you do not find submenus endometriosis tissue, can not be ruled submenus Endometriosis
C. US ⽣ colonization Medical Association (ASRM) will submenus that endometriosis is divided into the first frame to the fourth according to the severity of pain
D. Submenu endometriosis and ovarian cancer-related


Question: When a complete electron transport chain is blocked mitochondrial cyanide (cyanide), which of the following is true?

Answer: ATP synthesis of all the stops

Choices:
A. Electrons from NADH are transferred will be blocked, but the oxygen consumption may be continued
B. Electronic succinic acid (succinate) delivered will be blocked, but the oxygen consumption may be continued
C. ATP synthesis will continue, but the P / O values will decline
D. ATP synthesis of all the stops

complete
blocked mitochondrial cyanide
cyanide
following
true


Question: The following figure shows a full-term newborn baby girl, examination revealed that recommended coccyx has a huge tumor, the following statements is wrong?

Answer: To principle of surgery is complete resection of the tumor, process to avoid damage to the surrounding normal structures of the rectum and anus, and coccyx reserved

Choices:
A. The most likely diagnosis is recommended caudal teratoma (sacrococcygeal teratoma)
B. Regardless of the course of pregnancy or after the baby is born, should closely observe whether the baby steal phenomenon as this huge mass produced (tumor-
C. Still further arrangements required range imaging, such as CT or MRI and the like, except for the outside range seen, extends inwardly of the pelvic how
D. To principle of surgery is complete resection of the tumor, process to avoid damage to the surrounding normal structures of the rectum and anus, and coccyx reserved

following
full-term newborn baby girl
revealed
coccyx
tumor
following
wrong


Question: 67.78 year old man unable to move due to stroke, live in long term care facilities, has recently been discovered that a rear left heel erythema of about 1 cm and bruises. The following statements about dealing with this pressure sores (pressure ulcer) of what's most appropriate?

Answer: Foam-padded protection to the heel, to avoid further harm

Choices:
A. Full thickness skin graft (full-thickness skin graft)
B. For debridement (debridement) and washed in betadine
C. Foam-padded protection to the heel, to avoid further harm
D. The left foot elevated 30 degrees


Question: From the previous question, what kind of treatment she needs to accept the following?

Answer: The combined radiation and chemotherapy

Choices:
A. Radiation treatment
B. Radical surgery
C. Chemotherapy
D. The combined radiation and chemotherapy

previous
kind
treatment
needs to accept
following


Question: Just out of the kind occurred 34 weeks zoomed baby, mouth corner of ⼀ DC-connector water resistant and smoke bubble, the physician on duty will not be smooth tube into ⿐. After an hour display ⽣ 12 KUB found no intestinal gas, the following diagnosis is most likely?

Answer: Esophageal atresia with the upper esophageal tracheal fistula

Choices:
A. Esophageal tracheal fistula alone
B. Esophageal atresia with the upper esophageal tracheal fistula
C. Esophageal atresia with lower esophageal tracheal fistula
D. Esophageal atresia with upper and lower esophageal tracheal fistula

out
kind
weeks
baby
mouth corner of
connector water resistant
smoke
physician
not
smooth tube
hour display
KUB found
intestinal gas
following diagnosis


Question: A 45 year old male with type B hepatitis original person, day yesterday to the hospital for health checks, as shown in the liver ultrasound scan and CT scan images shown. Mr. Zhang is most likely to suffer from:

Answer: Cyst (hepatic cyst)

Choices:
A. Cyst (hepatic cyst)
B. Liver cirrhosis with necrosis (liver cirrhosis with necrosis)
C. Cavernous hemangioma (cavernous hemangioma)
D. HCC (hepatocellular carcinoma)

A
year old male
type B hepatitis original
day
hospital
checks
liver ultrasound scan
CT scan
Mr
to suffer


Question: From the previous question, found tuberculin test was negative, but anti-nuclear antibody to 1 the inspection: 2560 positive. From these preliminary findings, which also need to make checks to confirm the diagnosis?

Answer: Anti-double-stranded DNA antibodies

Choices:
A. Acid fast stain of sputum (acid-fast stain) Check
B. Lung slice
C. Fungal culture lungs
D. Anti-double-stranded DNA antibodies

previous
found tuberculin test
negative
anti-nuclear antibody
inspection
positive
preliminary findings
need to make checks to confirm
diagnosis


Question: A 67-year-old woman because of both lower extremities tingling sensation (tingling sensation) to diagnosis, physical examination: double toe sense of spatial location (positional sensation) and lower extremity vibration sensation (vibratory sensation) lower, she was most likely that the lack of these vitamins ?

Answer: B12

Choices:
A. A
B. B12
C. C
D. IS

67 year old woman
lower extremities tingling sensation
tingling sensation
diagnosis
double toe sense
spatial location
positional sensation
lower extremity vibration sensation
vibratory sensation
lower
lack of
vitamins


Question: About obese patients (BMI> 30) and physiological changes evaluated before surgery narrative, which of the following error?

Answer: Respiratory rate and minute ventilation obese patients unchanged

Choices:
A. Obese patients to increase blood circulation, increased cardiac output, oxygen consumption also increased, ischemic heart Yi
B. Respiratory rate and minute ventilation obese patients unchanged
C. In terms of the gastrointestinal tract, obese patients tend to have GERD
D. Higher chance of obese patients is usually difficult intubation

About obese patients
BMI
30
physiological changes
surgery
following error


Question: 75 a 43-year-old male clerk because of work pressure is too great, the solution these days are black, his black stools due in part because of what the substance hemoglobin (hemoglobin) is decomposed into hemoglobin (hematin)?

Answer: Gastric acid

Choices:
A. Small intestine
B. 胰腋
C. bile
D. Gastric acid

75
year old male clerk
pressure
great
solution
days
black
black stools due
part
hemoglobin
hemoglobin
hemoglobin
hematin


Question: Asthma is a chronic inflammatory reaction, the reaction is over-sensitive trachea. The following causes narrowing of the trachea diameter description of asthma, what's wrong?

Answer: Epidermal cell proliferation, increasing the wall thickness and airway obstruction

Choices:
A. Small wrap bronchial smooth muscle contraction, bronchoconstriction the
B. Eosinophilic cells (eosinophil), neutropenia (neutrophil) and other inflammatory cell aggregates stuffed trachea
C. Epidermal cell proliferation, increasing the wall thickness and airway obstruction
D. Increased mucus secretion and airway tissue edema and airway obstruction

Asthma
chronic inflammatory reaction
reaction
over sensitive trachea
following causes narrowing
trachea diameter
asthma
wrong


Question: The following narrative and what was wrong?

Answer: Most of septic shock (septic shock) patients with low blood pressure and vasoconstriction phenomenon (vasoconstriction), and a small part of the arterial vasodilation (arterial vasodilatation) phenomenon

Choices:
A. Most of septic shock (septic shock) patients with low blood pressure and vasoconstriction phenomenon (vasoconstriction), and a small part of the arterial vasodilation (arterial vasodilatation) phenomenon
B. When patients with septic shock relaxation of vascular phenomenon, cardiac output (cardiac output) higher than normal
C. When septic shock, capillary membrane permeability increases, needs to be equal weight of 10% crystalline infusion (crystalloid fluid) to recover the CVP (central venous pressure)
D. Septic shock patients after receiving adequate infusion, if still low blood pressure, dopamine or norepinephrine may be given


Question: Norwood surgical narrative and application of relevant, which of the following error?

Answer: The main pulmonary artery banding (Pulmonary artery banding), to reduce pulmonary artery

Choices:
A. The lower edge of the main pulmonary artery and the aortic arch anastomosis to the right ventricle for the systemic circulation support
B. The atrial septal defect expanded to facilitate the mixing of blood of two atrial
C. Use Modified Blalock-Taussig shunt, is connected to the right pulmonary artery innominate artery
D. The main pulmonary artery banding (Pulmonary artery banding), to reduce pulmonary artery

surgical
application
relevant
following error


Question: 48 A 28-year-old woman experienced the second consecutive early pregnancy (<12 weeks) of embryonic death, blood chromosome examination revealed herself with the Robertsons's translocation (Robertsonian translocation) between the thirteenth and 14th chromosome , karyotype was 45, XX, der (13; 14) weeks, following which the most appropriate treatment?

Answer: Fetal chromosomal abnormalities opportunity to inform higher, shall be subject to inspection amniocentesis

Choices:
A. Recommend termination of pregnancy
B. Fetal chromosomal abnormalities opportunity to inform higher, shall be subject to inspection amniocentesis
C. Recommended acceptance of a detailed ultrasound examination, ultrasound examination if there is a problem, accept amniocentesis to check
D. Recommends acceptance of the maternal blood screening to determine whether further inspection to accept the amniocentesis

48
year old woman
second consecutive early
weeks
embryonic death
blood chromosome examination revealed
translocation
Robertsonian translocation
chromosome
karyotype
XX
der
weeks
following
most appropriate treatment


Question: 12 Lee to the hospital for the measurement of lung volume, total lung capacity measurements showed (total lung capacity) was 5800 ml, the volume I (residual volume) to 1000 ml, more than pulmonary functional capacity (functional residual capacity) to 1800 ml , tidal volume (tidal volume) of 500 ml. Lee's reserve expiratory volume (expiratory reserve volume) is how many milliliters?

Answer: 800

Choices:
A. 800
B. 1300
C. 1500
D. 2300

hospital
measurement of lung volume
total lung capacity measurements
total lung capacity
ml
volume I
residual volume
ml
more
pulmonary functional capacity
functional residual capacity
ml
tidal volume
tidal volume
500 ml
reserve expiratory volume
expiratory reserve volume
milliliters


Question: The effectiveness of the role of antibody (effector functions) by a part of the molecule that decision?

Answer: Heavy chain constant region (constant region)

Choices:
A. Heavy chain (heavy chain) of the variable region (variable region)
B. Heavy chain constant region (constant region)
C. Light chain (light chain) variable region of
D. The light chain constant region

effectiveness
role
antibody
effector functions
part of


Question: Account of the anti-Parkinson's disease drugs (antiparkinson's drug), and Which statement is correct?

Answer: rasagiline is a monoamine oxidase type B (monoamine oxidase B) inhibitors

Choices:
A. carbidopa is a dopamine precursor drugs
B. rasagiline is a monoamine oxidase type B (monoamine oxidase B) inhibitors
C. pramipexole dopamine receptor inhibition
D. benztropine promote the release of dopamine nerve endings

Account
anti-Parkinson's disease drugs
antiparkinson's drug
correct


Question: Statements about grade IV astrocytoma (glioblastoma), and what's wrong?

Answer: O6-methylguanine-DNA methyltransferase (MGMT) expressive of cancer, for the treatment of temozolomide than curative

Choices:
A. This disease prognosis is poor, with an average survival period of 2 years ⼩
B. Therefore especially surgery treatments with the watch, follow and Using chemotherapy (temozolomide) and radiation therapy as the main treatment shutter mode
C. O6-methylguanine-DNA methyltransferase (MGMT) expressive of cancer, for the treatment of temozolomide than curative
D. Use to be Face bevacizumab after disease recurrence, the drug can reduce the swollen water resistant tumor periphery, may be extended ⻑ progression-free survival


Question: Want to become pregnant, which of the following is the best way to calculate the time intercourse?

Answer: Urine test LH (luteinizing hormone)

Choices:
A. BBT temperature change time
B. Urine test LH (luteinizing hormone)
C. Serum progesterone concentration
D. Cervical secretions increases, when thinning

to
pregnant
following
best
to
time intercourse


Question: Clinically, dental treatment when the next row of molars, local anesthesia inferior alveolar nerve (inferior alveolar nerve) where more by the injection of local anesthetic agents?

Answer: Mental foramen (mental foramen)

Choices:
A. Mental foramen (mental foramen)
B. Zygomatic arch (zygomatic arch) the lower edge
C. Condyle (condylar process) the leading edge
D. Mandible hole (mandibular foramen)


Question: Neck injuries in a car accident, resulting in loss of sensation in his right thumb, and the remaining four fingers normal, most likely on the right side of the neck that a spinal nerve damage?

Answer: C6

Choices:
A. C5
B. C6
C. C7
D. C8

Neck injuries
car accident
resulting in loss of sensation
right thumb
remaining four fingers normal
likely
right side of
neck
spinal


Question: Supply vessels in the nose, it is not caused by a blood vessel supplying the external carotid artery?

Answer: Former ethmoid artery (anterior ethmoidal artery)

Choices:
A. Former ethmoid artery (anterior ethmoidal artery)
B. Upper lip artery (superior labial artery)
C. Large palatal artery (greater palatine artery)
D. Sphenopalatine artery (sphenopalatine artery)

Supply vessels
nose
not caused
blood vessel supplying
external carotid artery


Answer: KOH microscopy (KOH examination)

Choices:
A. Bacterial culture (bacteria culture)
B. KOH microscopy (KOH examination)
C. Stickers skin test (patch test)
D. Skin biopsy (skin biopsy)


Question: Nest the following statements about brain infarction (lacunar infarcts), and what's wrong?

Answer: Department of disseminated intravascular coagulation (DIC) Results

Choices:
A. Occurs most frequently in hypertension
B. Most often in the basal ganglia
C. Not more than 15 mm
D. Department of disseminated intravascular coagulation (DIC) Results

Nest
following
brain infarction
lacunar infarcts
wrong


Question: The following related adenine nucleotide translocation enzyme (adenine nucleotide translocase) of the narrative, what is true?

Answer: ADP and ATP main medium through the mitochondrial membrane interchange reactions in vivo

Choices:
A. Located in the outer membrane of mitochondria
B. ADP and ATP main medium through the mitochondrial membrane interchange reactions in vivo
C. Between the main medium of the mitochondrial ATP sinotrans to the film mass (Matrix)
D. The main medium of stromal ADP through mitochondrial membrane transport in vivo to the inter-membrane gap (intermembrane space)


Question: The following account of steroid hormone response element (HRE), and what's right?

Answer: Is a length DNA sequence, can be combined with 50 NADH dehydrogenation  hormone-receptor complex (NADH dehydrogenase) as secondary :

Choices:
A. Is a plasma membrane protein, can be combined with hormone
B. Is a nuclear protein, can bind to hormone
C. Is a length intron sequence, may be combined with activated hormone receptor
D. Is a length DNA sequence, can be combined with 50 NADH dehydrogenation  hormone-receptor complex (NADH dehydrogenase) as secondary :


Question: A 81-year-old male, late lung cancer with multiple metastases patients, due to pain and breathing difficulties admitted to hospice, terminally ill patients of cancer-related pain control, the following statements is true?

Answer: For pain and burning sensation caused by nerve damage, the tricyclic antidepressants may be within or outside of antiepileptic drugs plus morphine analgesia (e.g.

Choices:
A. For patients with terminal cancer pain should only be administered in order to avoid drug addiction
B. For treatment of pain in terminal cancer patients given morphine to minimize the dose to avoid breathing rate slows
C. For pain and burning sensation caused by nerve damage, the tricyclic antidepressants may be within or outside of antiepileptic drugs plus morphine analgesia (e.g.
D. If the patient has shown a stupor (stupor) or coma, should immediately stop giving the drug to prevent all morphine morphine poisoning


Question: The following clinical significance nystagmus diagram represents, the most likely diagnosis is:

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

Choices:
A. Benign paroxysmal postural vertigo (benign paroxysmal positional vertigo)
B. Vestibular neuritis (vestibular neuritis)
C. Cerebellopontine angle tumors (cerebellopontine angle tumor)
D. US Niyi's disease (Meniere's disease)


Question: A 30-year-old man, because surgery pituitary tumor (Pituitary adenoma) results in a reduction of the anterior lobe function. The following narrative about hormone therapy, whichever is correct?

Answer: When in compression (Stress) situation, the need to add extra adrenocorticotropic hormone (Cortisol)

Choices:
A. Supplementary androgen (Androgen) restore fertility of patients
B. Do not need to add thyroxine
C. The need to add antidiuretic hormone (ADH) to prevent diabetes insipidus
D. When in compression (Stress) situation, the need to add extra adrenocorticotropic hormone (Cortisol)

30 year old man
surgery pituitary tumor
Pituitary adenoma
results
reduction
anterior lobe function
following narrative
hormone
correct


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

Answer: Currently surgery, cut-and-sew Cox-Maze III procedure after only about half of the patients may jump back to normal sinus rhythm

Choices:
A. In addition to drug therapy to control heart rate, shall include anticoagulant therapy to reduce thrombosis produce
B. Indications for surgery include medical therapy merger of atrial fibrillation caused by cardiomyopathy, can not accept antiarrhythmic drugs or anti-clotting drug therapy
C. Currently ablation procedures include cryotherapy (cryoablation), microwave ablation (microwave), laser ablation (laser), etc.
D. Currently surgery, cut-and-sew Cox-Maze III procedure after only about half of the patients may jump back to normal sinus rhythm

following
atrial fibrillation
atrial fibrillation
wrong


Question: A 30-year-old woman with a history of urinary tract inflammation of the past, and now complained of urinary frequency, voiding symptoms of pain and lower limb pain, which of the following pathogenic strains most likely to cause these symptoms?

Answer: Escherichia coli

Choices:
A. Staphylococcus saprophyticus
B. Escherichia coli
C. Klebsiella pneumoniae
D. Proteus mirabilis

30 year old woman
history of urinary inflammation
past
now
urinary frequency
voiding symptoms
pain
lower limb pain
following pathogenic strains
to cause
symptoms


Question: The use of aminoglycosides in patients with edema for infection treatment, you should not use diuretics to treat edema following what?

Answer: furosemide

Choices:
A. chlorothiazide
B. acetazolamide
C. furosemide
D. indapamide


Question: About narrative agonist (hormone) hormone (agonist) and an inhibitor (antagonist), the error which of the following?

Answer: Tamoxifen is an estrogen inhibitor (antagonist), inhibit the growth of the endometrium

Choices:
A. Agonists (agonist) with the inhibitor (antagonist) are must first bind to the receptor, to activate the subsequent action
B. After binding inhibitor receptor (antagonist), message transfer will block receptor
C. Clomiphene estrogen inhibitor (antagonist), inhibit the growth of the endometrium
D. Tamoxifen is an estrogen inhibitor (antagonist), inhibit the growth of the endometrium

About agonist hormone hormone agonist inhibitor antagonist error following


Question: Which is not an obesity (obesity) Rongyifasheng pregnant women during pregnancy maternal-fetal complications (complications)?

Answer: Early rupture of membranes (preterm rupture of membranes)

Choices:
A. Gestational diabetes mellitus (gestational diabetes mellitus)
B. Pre-eclampsia (preeclampsia)
C. Prolonged pregnancy (postterm pregnancy)
D. Early rupture of membranes (preterm rupture of membranes)

not
obesity
obesity
pregnancy maternal fetal complications
complications


Question: 5. One patient came for medical treatment due to diarrhea. He since three days before the start of diarrhea, mostly watery waste, at least ten times a day, occasionally accompanied by abdominal pain, and hair 6oC, acetaminophen can be a little fever, but will burn again. He did not nausea, vomiting, and diarrhea but fear not eating and drinking. The following narrative, what's wrong?

Answer: In addition to replenish moisture, should be immediately given strong antidiarrheal drugs to curb diarrhea

Choices:
A. He may have infectious diarrhea (infectious diarrhea), should quickly check their etiology
B. Their stool should be inspected, including pus cells and parasites ova, or even bacterial and viral culture
C. In addition to replenish moisture, should be immediately given strong antidiarrheal drugs to curb diarrhea
D. If the stool examination revealed pus cells, the pathogen has not been determined before the formal trial of antibiotics (such as quinolone or metronidazole) is comely

5
One patient
medical treatment
diarrhea
since three days
start
diarrhea
mostly watery
ten times
day
occasionally
abdominal pain
hair
acetaminophen
little fever
burn
not nausea
vomiting
diarrhea
not eating
drinking
following
wrong


Question: A 76-year-old man living alone with a history of cardiac arrhythmias, usually taking digoxin (Digoxin) control. This time because of dizziness, nausea, and chest tightness, and neighbors were found to bring the emergency room. By history taking, the patient will be in a bad mood because represent half of all copies of digitalis eat, when to the hospital conscious, normal body temperature, breathing 22 times / min, heart rate 42 beats / min, blood pressure 96 / 60mmHg, He disposed of the following items is not the most appropriate?

Answer: Administration of nitroglycerin (nitroglycerin)

Choices:
A. Blood testing digoxin concentration (digoxin level)
B. Administration of nitroglycerin (nitroglycerin)
C. Give percutaneous cardiac pacemaker (transcutaneous pacemaker, TCP)
D. Intravenous injection of atropine 0.5mg

76 year old man living alone
history of cardiac arrhythmias
usually
digoxin
Digoxin
control
time
dizziness
nausea
chest tightness
found to
emergency room
patient
half
copies
digitalis eat
hospital
normal body temperature
breathing
times
min
heart rate
beats
min
blood pressure 96
following
not
most appropriate


Question: The following diseases and their pathogens combination, whichever correct?

Answer: Cat scratch fever (cat-scratch disease): Bartonella henselae

Choices:
A. Lyme disease (lyme disease): Leptospira interrogans
B. Whooping cough (pertussis): Borrelia burgdorferi
C. Cat scratch fever (cat-scratch disease): Bartonella henselae
D. Scrub typhus (scrub typhus): Coxiella burnetii


Question: Further testing, the detection and assumptions that direction is unreasonable?

Answer: Acute hepatitis B is one of the possible diagnosis, it is recommended to detect HBsAg and IgG anti-HBc

Choices:
A. Acute hepatitis B is one of the possible diagnosis, it is recommended to detect HBsAg and IgG anti-HBc
B. Taiwan is hepatitis B-endemic countries, acute exacerbation of chronic hepatitis B is quite common, to be included in the differential diagnosis, coming after PT INR returned to normal, liver biopsy can help determine
C. Acute hepatitis C is probably one of the diagnosis, it is recommended to detect anti-HCV, if presented positive reaction, can further detect HCV RNA
D. ALP values within the normal range in patients, the opportunity due to acute hepatitis caused by biliary obstruction is not large


Question: Ludwig's angina of infection and that a muscle than those without relationship?

Answer: digastric muscle

Choices:
A. genioglossus muscle
B. geniohyoid muscle
C. mylohyoid muscle
D. digastric muscle

Ludwig's angina
infection
muscle
relationship


Question: From the previous question, and the family in the case after an emotional state stability, but also accept the recommendations of the cases sent to community rehabilitation center for rehabilitation treatment; in the process of rehabilitation, the functions of the teachers found that Mr. Zhang had severe learning disabilities, learning a variety of skills the effect is far from ideal, while he neuropsychological examination arrangements. The following results for neuropsychological examination, what is the least likely to find?

Answer: Long-term memory impairment

Choices:
A. Short-term memory impairment
B. Attention disorders
C. Long-term memory impairment
D. Ability to execute and abstract thinking disorders

previous
case
emotional state stability
accept
cases sent
rehabilitation center
rehabilitation treatment
process
rehabilitation
functions
teachers found
Mr
severe learning disabilities
effect
far
ideal
arrangements
following results
least likely to find


Question: When patients come ⾨ clinic for treatment, the right found the watch fourth, fingers can not be fully extended, check your watch when open, ⼩ ⿂ muscle (hypothenar muscle) have atrophy, was diagnosed with talons your watch (claw hand), is that ⼀ bar following nerve damage?

Answer: Ulnar nerve (ulnar nerve)

Choices:
A. Ulnar nerve (ulnar nerve)
B. Radial nerve (radial nerve)
C. The median nerve (median nerve)
D. ⽪ muscle nerves (musculocutaneous nerve)

patients
clinic
treatment
right found
fourth
fingers
not
extended
check
open
muscle
hypothenar muscle
atrophy
diagnosed
talons
claw hand
bar following nerve damage


Question: A 24-year-old woman, palpable breast lumps are advised to check with the following what?

Answer: Breast ultrasound

Choices:
A. Excisional biopsy
B. Breast ultrasound
C. Breast thermography
D. Breast X-ray photography

year old woman
palpable breast lumps
to check
following


Question: Lee and no history of hypertension who normally measured blood pressure values of about 120/70 mmHg. The return to clinic blood pressure is 140/92 mmHg. American Diabetes Association recommendations for blood pressure control standard value of 130/80 mmHg or less, which of the following is the best way to deal with Mr. Li's blood pressure problems?

Answer: Please Mr. Lee several times a large number of blood pressure at home

Choices:
A. Please Mr. Lee several times a large number of blood pressure at home
B. Please Lee reduce salt intake
C. Please Mr. Lee first increase in exercise period
D. Lee administering angiotensin converting enzyme inhibitors (angiotensin-converting enzyme inhibitor) or angiotensin II receptor blockers (angiotensin II receptor blocker) Drug


Question: A 45 year old women receiving screening mammography (screening mammography), found that aggregate fine calcification (clustered microcalcification) is a BI-RADS Ⅳ, breast palpation found no lumps, following the disposal of what's not?

Answer: Three to six months after tracking mammography

Choices:
A. Arrangement slice positioning operation (wire-localized surgical excision)
B. Stereotactic core needle arrangement (stereotactic core needle biopsy)
C. Three to six months after tracking mammography
D. Arrangements breast ultrasound examination to confirm the presence or absence of breast cancer

year old
receiving screening mammography
screening mammography
found
aggregate fine calcification
clustered microcalcification
BI-RADS
breast palpation found
lumps
following
not


Question: The following account of intracapsular femoral neck fracture (intracapsular femoral neck fracture) of, what's the most correct?

Answer: Young people of femoral neck fracture is common in high-energy trauma (high-energy trauma)

Choices:
A. Garden type II metal displaced fracture of femoral neck fracture (displaced fracture)
B. Young people of femoral neck fracture is common in high-energy trauma (high-energy trauma)
C. Treatment principles of femoral neck fracture is displaced open reduction and internal fixation (open reduction and internal fixation)
D. Avascular necrosis (osteonecrosis) is the most common complication of

following account
intracapsular femoral neck fracture
intracapsular femoral neck fracture
most correct


Question: When a child suffers from asthma, when the attack, to use inhaled medications to relieve or control, which is not generally recommended to use these drugs, so as not to affect their growth?

Answer: corticosteroids

Choices:
A. β2-agonists
B. corticosteroids
C. leukotrienes antagonists
D. antimuscarinic agents

child suffers
asthma
attack
to use inhaled medications to relieve
control
not
to use
drugs
not to
growth


Question: Pterygoid canal nerve (nerve of pterygoid canal) does not comprise:

Answer: Nerve fibers from the nerve small rocks (lesser petrosal nerve) of

Choices:
A. The sympathetic postganglionic fibers
B. The parasympathetic preganglionic fibers
C. Nerve fibers from the nerve small rocks (lesser petrosal nerve) of
D. Nerve fibers from nerve deep in rock (deep petrosal nerve) of

Pterygoid canal nerve
nerve of pterygoid canal
not


Question: Aldosterone (aldosterone) mainly secreted from the adrenal where?

Answer: Skein with (zona glomerulosa)

Choices:
A. Skein with (zona glomerulosa)
B. Cystic band (zona fasciculata)
C. Reticularis (zona reticularis)
D. Medulla (medulla)


Question: About narrative plexus Myenteric plexus (Auerbach's plexus) of the digestive tract wall, Which statement is correct?

Answer: Vagus nerve (Vagus nerve) as the main irritant message provider

Choices:
A. Located in the submucosa of the digestive tract
B. Vagus nerve (Vagus nerve) as the main irritant message provider
C. In addition to accepting the sympathetic and parasympathetic innervation, the function itself can not operate on its own
D. The main function is the local secretion of the digestive tract, absorption and blood supply

About
plexus Myenteric plexus
Auerbach's plexus
digestive tract wall
correct


Question: Effectiveness of screening children with developmental delay screening tool, that has nothing to do with the following factors?

Answer: The incidence of delayed development of children (incidence)

Choices:
A. Screening tool sensitivity (sensitivity)
B. Specificity (specificity) screening tool
C. Regular screening frequency
D. The incidence of delayed development of children (incidence)

Effectiveness
screening children
developmental delay screening tool
to
following factors


Question: A 55 year old male in good health because of the supraclavicular fossa lymph nodes doctor, following inspection by what most do not need?

Answer: Head and neck magnetic resonance imaging

Choices:
A. Head and neck physical examination
B. Needle aspiration biopsy lymph glands
C. Head and neck magnetic resonance imaging
D. Chest computed tomography


Question: From the previous question, the infusion should be:

Answer: Lactate Ringer

Choices:
A. 5% Glucose water
B. Lactate Ringer
C. 3% Normal saline
D. plasma


Question: A 27-year-old woman was sent to the emergency room unconscious, perceived there was a strong smell of bitter almonds its breath, the differential diagnosis should consider is what most poisoning?

Answer: cyanide

Choices:
A. ethylene glycol
B. carbon monoxide
C. carbon tetrachloride
D. cyanide

27 year old woman
sent
emergency room unconscious
strong smell
bitter almonds
breath
differential diagnosis
most poisoning


Question: 68 Epstein-Barr virus (EBV) infection in the human body and the immune system interaction can cause a variety of diseases. Which of the following does not belong to the manifestation of the disease caused by EBV infection after?

Answer: B-cell acute lymphocytic leukemias

Choices:
A. Infection of monocytes histiocytosis
B. B-cell acute lymphocytic leukemias
C. Nasopharyngeal
D. Producing a plurality of autoantibody

Epstein-Barr virus
infection
human body
immune system interaction
cause
diseases
following
not
manifestation of
disease caused
EBV infection


Question: Which is not an internal iliac artery (internal iliac artery) branches?

Answer: Middle recommended artery (median sacral)

Choices:
A. Umbilical artery (umbilical artery)
B. Middle recommended artery (median sacral)
C. Superior gluteal artery (superior gluteal artery)
D. Pudendal artery (pudenal artery)

not
internal iliac artery
internal iliac artery
branches


Question: Heart disease blood cholesterol (cholesterol) is too high will accelerate atherosclerosis, and therefore should be taking cholesterol-lowering drugs statin. Which of the following is the most important mechanism of action of statin?

Answer: Statin inhibition of HMG-CoA reductase

Choices:
A. Statin inhibition of intestinal cholesterol transporter gene expression
B. Statin inhibition of HMG-CoA reductase
C. Statin inhibition of low-density lipoprotein receptor gene expression
D. Statin inhibits the synthesis of bile in liver

Heart disease blood cholesterol
cholesterol
too high
accelerate atherosclerosis
cholesterol-lowering drugs statin
following
most important mechanism of action
statin


Question: A 52 year-old man complained of nearly two months to gradually swallowing difficulties, the esophagogastroduodenoscopy examination revealed a tumor blocking the entire esophagus at 23 cm in diameter at its lower incisors distance. Pathological diagnosis was confirmed squamous cell carcinoma of the esophagus. This tumor is most likely to infringe out that organ?

Answer: trachea

Choices:
A. trachea
B. Diaphragm
C. Pericardium
D. Pulmonary vein


Question: Law Rockwell Snap disease (tetralogy of Fallot) abnormal heart murmur is caused by what?

Answer: Pulmonary stenosis funnel body (infundibular stenosis)

Choices:
A. Pulmonary stenosis funnel body (infundibular stenosis)
B. Ventricular septal defect (ventricular septal defect)
C. Right ventricular hypertrophy (hypertrophic right ventricle)
D. Cross-aortic (overriding of aorta)

Law
Snap disease
tetralogy of Fallot
abnormal heart murmur
caused


Question: About Angiostrongylus cantonensis (Angiostrongylus cantonensis) infection with the human narrative, what's wrong?

Answer: Adult parasites in the pulmonary artery between

Choices:
A. Adult parasites in the pulmonary artery between
B. Can be carried out by cerebrospinal fluid examination
C. Larvae develop in the brain parenchyma tissue
D. With raw food can become infected snail meat


Question: 67 A 35-year-old man because two weeks to have fatigue, dark urine, yellowing of the skin from the clinic to see the doctor, he had a month ago to travel to mainland China, in order to diagnose whether he was suffering from acute hepatitis A, it should do the following entry test?

Answer: anti-HAV IgM

Choices:
A. anti-HAV IgM
B. anti-HAV IgG
C. IgA anti-HAV
D. IgE anti-HAV

67
35 year old man
two weeks to
fatigue
dark urine
yellowing of the skin
clinic to see
doctor
month
to
to mainland China
order to diagnose
suffering
acute hepatitis A
following
test


Question: At present, because of advances in immunosuppression, kidney transplant recipients in one year survival rate of more than 90% within five years also reached 70%, but did not have a significant breakthrough in the long-term survival. Long-term changes related to kidney transplantation following description that a mistake?

Answer: Since the antibodies in the recipient prior to transplantation already exists attack transplanted kidney endothelial cells, causing small vessel occlusion

Choices:
A. Display transplanted kidney arteriosclerosis, kidney glomerular and tubular atrophy and fibrosis
B. Macrophages and vascular invasion of transplanted kidney tissues, causing chronic inflammation
C. Long-term use of hormone cyclosporine (cyclosporin A), resulting in a change cyclosporine toxicity prime kidney tissues
D. Since the antibodies in the recipient prior to transplantation already exists attack transplanted kidney endothelial cells, causing small vessel occlusion

present
of advances
immunosuppression
kidney transplant
one year survival rate of
90
five years
reached 70
not
significant breakthrough
long-term survival
changes related
kidney transplantation following
mistake


Question: D-glucose is a sugar (reducing sugar), which anomeric carbon may be oxidized, the oxidation product for which of the following?

Answer: D-gluconic acid

Choices:
A. dextrose
B. D-sorbitol
C. D-gluconic acid
D. D-glucuronic acid

glucose
sugar
reducing sugar
carbon
product


Question: An important feature of AIDS (AIDS) of severe depressed state of immunity, mainly to reduce the performance of which of the following or loss?

Answer: CD4 + T lymphocytes

Choices:
A. CD4 + T lymphocytes
B. CD8 + T lymphocytes
C. Macrophages
D. B lymphocyte

important feature
AIDS
AIDS
severe depressed state
immunity
to
following
loss


Question: Renal failure (kidney failure) in patients whose kidney medulla cells produced what ingredients would be reduced, thereby reducing the number of red blood cells in circulation?

Answer: Erythropoietin

Choices:
A. Renin
B. GM-CSF
C. G-CSF
D. Erythropoietin

Renal failure
kidney failure
patients
kidney medulla cells
reduced
reducing
number
red blood cells
circulation


Question: The main basic amino acids the human body structure:

Answer: L-a form

Choices:
A. L-a form
B. L-form b
C. D-α form
D. D-β form

main basic amino acids
human body structure


Question: A 40 year old female breast cancer patients, side effects of chemotherapy after 6 include 5-fluorouracil, methotrexate and cyclophosphamide, this long-term patients are most likely to occur after surgery Why?

Answer: Early menopause

Choices:
A. Cardiotoxicity
B. leukemia
C. Early menopause
D. Neurotoxicity


Question: When the Government to promote a new vaccine, in the face of some people hold on vaccine safety concerns. That one does not meet the following requirements diffusion of innovation success?

Answer: Harmfulness

Choices:
A. compatibility
B. The relative benefits
C. Harmfulness
D. Cost-effectiveness

to
new vaccine
face
hold
vaccine
one
not
following requirements


Question: In the skin (epidermis), the most abundant cells are:

Answer: Skin cells (keratinocytes)

Choices:
A. Melanin cells (melanocytes)
B. Skin cells (keratinocytes)
C. Gram cells (Langerhans cells)
D. Mo's cells (Merkel cells)


Question: Following an oral hypoglycemic drugs that may cause congestive heart failure?

Answer: Rosiglitazone

Choices:
A. Metformin
B. Acarbose
C. Rosiglitazone
D. Glibenclamide

Following
oral hypoglycemic drugs
cause congestive heart failure


Question: Microbial pathogens (microorganisms) invade the lower respiratory tract caused by pneumonia, the most common approach is to invade the lower respiratory tract via:

Answer: Inhalation (aspiration)

Choices:
A. Inhalation (aspiration)
B. Hematogenous metastasis (hematogeneous spread)
C. Lymph node metastasis (lymphatic spread)
D. Pleura invasion (pleural extension)

lower respiratory tract caused
pneumonia
most common approach
to
lower respiratory tract


Question: Mrs. weeks 17 weeks pregnant at the time of acceptance of amniocentesis (amniocentesis), test results found that the fetus has Down syndrome (Down syndrome), when the family was still suffering wife Zhou decided to keep the fetus. To 23 weeks, ultrasound examination revealed too little amniotic fluid, the fetus has congenital heart disease "Tetralogy of Fallot (tetralogy of Fallot)", and both kidneys is small. After a family discussion two weeks, the woman asks for an abortion, late abortion because I am afraid that led to "child destruction" controversy, gynecologist refused to perform. The following commentary on this event off, whichever is most appropriate?

Answer: Medical experts agree that after discussion, may be imposed late abortions

Choices:
A. Medical experts agree that after discussion, may be imposed late abortions
B. Natural birth after birth can not give the baby milk while Ziransiwang
C. Without approval by the court "child destruction" medical act commits an offense
D. Taiwan, China and France has not yet specified the fetus was born, already have the right capacity


Question: The following tumor may still healing in the advanced stage, except for whichever?

Answer: Hepatic carcinoma

Choices:
A. Lymphoma
B. Germ cell tumors
C. Hepatic carcinoma
D. Neuroblastoma (neuroblastoma)


Question: Which of the following is the cause of the elderly cervical spinal cord lesions (cervical myelopathy) the most common?

Answer: Spinal degeneration (spondylosis)

Choices:
A. Spinal tumor (spinal tumor)
B. Myelitis (myelitis)
C. Spinal degeneration (spondylosis)
D. Multiple sclerosis (multiple sclerosis)

following
cause
cervical spinal cord lesions
cervical myelopathy
most common


Question: If eye movement (oculomotor) nerve, external rotation (abducent) nerve, trochlear (trochlear) nerve and the trigeminal nerve of the optic nerve (ophthalmic nerve) and the maxillary nerve (maxillary nerve) defect patients occur simultaneously, which the lesion site is most likely in the following where?

Answer: Cavernous (cavernous sinus)

Choices:
A. Eye socket (orbital fossa)
B. Split block (superior orbital fissure) on
C. Cavernous (cavernous sinus)
D. Pons (pons)

eye movement
oculomotor
nerve
external rotation
abducent
nerve
trochlear
nerve
nerve
optic
ophthalmic nerve
maxillary nerve
maxillary nerve
defect patients occur simultaneously
lesion site
following


Question:
45.51-year-old woman, because of sporadic and right back pain (colic pain), to the urology clinic for examination ⾨ renal pelvis and ureter found in the middle ureter ⼀ developer defect (filling defect), resulting in swelling of the right ureter water resistant and water resistant slight kidney swelling. At this hospital radio, ⿎ Li Wei four cancer screening
 Teach, so the woman also received submenus cervical smear tests. But ⼀ weeks later, smear report ⽪ cancer (squamous cell carcinoma) is the squamous. The woman next, priority should be given what steps?

Answer: Submenu cervical biopsy colposcopy to accept direct aid or submenus that cervical biopsies

Choices:
A. Smear may be false positive, you can not care, 3 Month ⼀ times before making a smear or non- human papilloma virus check
B. Cervical cancer early submenus, submenus Palace to accept the full eradication of the watch treatment
C. Submenu advanced cervical cancer, it is recommended to receive chemotherapy radiation oncology radiation therapy synchronized
D. Submenu cervical biopsy colposcopy to accept direct aid or submenus that cervical biopsies

year old woman
sporadic
right back pain
colic pain
urology clinic
renal pelvis
ureter found
middle ureter
developer defect
filling defect
resulting in swelling
right ureter water resistant
water resistant slight kidney swelling
hospital radio
Li
four cancer screening
woman
received
cervical smear tests
weeks later
smear report
cancer
squamous cell carcinoma
squamous
woman next
priority
given
steps


Question: 10-year-old girl brought her mother outpatient, her mother the little girl brought up this statement that is often wet my pants, and after birth from continuing package diapers, but this little girl is very healthy and happy, also performed well in school. This is most likely a little girl suffering from what disease?

Answer: Ectopic ureter (ectopic ureter)

Choices:
A. Stress urinary incontinence (stress incontinence)
B. Urethral diverticulum (urethral diverticula)
C. Vaginal fistula bladder (vesico vaginal fistula)
D. Ectopic ureter (ectopic ureter)

10 year old girl brought
outpatient
little girl brought
often wet
pants
after birth
package diapers
little girl
very healthy
performed well
school
little girl suffering
disease


Question: Colorectal cancer receiving total mesorectal excision of the treatment of the following will not have that result?

Answer: The incidence of impotence will increase

Choices:
A. The incidence of impotence will increase
B. Better long-term prognosis of patients
C. Will reduce the local recurrence rate
D. Abnormal bladder function will be reduced


Question: Which of the following is the remnants of the umbilical vein (umbilical vein) of?

Answer: Liver round ligament (ligamentum teres)

Choices:
A. Liver sickle ligament (falciform ligament)
B. Liver round ligament (ligamentum teres)
C. Coronary ligament (coronary ligament)
D. The median umbilical ligament (median umbilical ligament)

following
remnants
umbilical vein
umbilical vein


Question: Foxglove (digitalis) and thiazides and can not be used because of thiazide will:

Answer: Produce hypokalemia

Choices:
A. Produce hypokalemia
B. Hypoglycaemia
C. Increased accumulation of digitalis
D. Reduce the efficacy of digitalis

Foxglove
digitalis
thiazides
not
used
of thiazide


Question: Which of the following is part of atherosclerosis occurred first?

Answer: Intima (Intima)

Choices:
A. Intima (Intima)
B. Membrane (Media)
C. Outer membrane (Adventitia)
D. All three (all three layers)


Question: Normal full-term newborns pure breastfeeding, when 2 months old still found jaundice, blood tests bilirubin (direct / total) for the 2.5 / 5.2 mg / dL, Which of the following most correct?

Answer: Bile retention (cholestasis); arrangements should be further examination

Choices:
A. Jaundice is a delay, a breastfeeding baby often symptoms should pay attention to the baby stool color, if a little yellow, you can track
B. High indirect bilirubin hyperlipidemia (unconjugated hyperbilirubinemia)
C. Immediately stopped breast feeding, jaundice typically 3 to 5 days will be refunded, and then after breastfeeding
D. Bile retention (cholestasis); arrangements should be further examination

Normal full-term newborns
breastfeeding
2 months old
found jaundice
blood tests bilirubin
direct
total
2
2 mg
dL
following
correct


Question: Aspartate transaminase can be called Glutamate: Which of the following as a cofactor required when oxaloacetate transaminase role?

Answer: pyridoxal phosphate

Choices:
A. pyridoxal phosphate
B. thiamine
C. FAD
D. ATP

Aspartate transaminase
called Glutamate
following
cofactor required
oxaloacetate transaminase role


Question: A poor neonatal feeding, lethargy, shortness of breath symptoms, blood examination revealed mild respiratory alkalosis (respiratory alkalosis) and high blood ammonia (hyperammonemia). Analysis found to belong to a family history of sex-linked genetic diseases. The following urea cycle (urea cycle) in which the enzyme is most likely to occur dysfunction?

Answer: Ornithine methyl acyl group transfer enzyme (ornithine transcarbamoylase)

Choices:
A. Homogentisic acid oxidase (homogentisate oxygenase)
B. Ornithine methyl acyl group transfer enzyme (ornithine transcarbamoylase)
C. Cystathionine synthase (cystathionine β-synthase)
D. Amino acid enzyme fine (argininosuccinase)


Question: Which of the following is a gustatory cortex?

Answer: Insular cortex (insula)

Choices:
A. Insular cortex (insula)
B. Occipital (occipital lobe)
C. Medial prefrontal cortex (medial frontal lobe)
D. Dorsolateral prefrontal (dorsal lateral frontal lobe)


Question: Following on the first type of human immunodeficiency virus (HIV-1) describes the medications, what's wrong?

Answer: Step  non-nucleoside reverse transcriptase inhibitors (non-nucleoside reverse transcriptase inhibitor) does not inhibit reverse transcription

Choices:
A. One of the main reasons is the failure of monotherapy HIV-1 have a high mutation rate can quickly become resistant
B. Step  non-nucleoside reverse transcriptase inhibitors (non-nucleoside reverse transcriptase inhibitor) does not inhibit reverse transcription
C.  protein inhibitors (protease inhibitor) mainly inhibit formation of virions (morphogenesis)
D. The so-called cocktail therapy is a combination therapy

Following
first type
human immunodeficiency virus
medications
wrong


Question: Which of the following will increase the liver glycogen decomposition (glycogenolysis)?

Answer: 活化phosphorylase b kinase

Choices:
A. 抑制glycogen phosphorylase
B. 活化phosphorylase b kinase
C. 活化phosphorylase a phosphatase
D. 抑制glycogen synthase kinase 3（GSK3）


Question: Navicular head (scaphocephaly) that is due to a congenital premature suture healing resulting?

Answer: sagittal suture

Choices:
A. sagittal suture
B. lambdoid suture
C. coronal suture
D. metopic suture


Question: The following related testosterone DHEA (dehydroepiandrosterone, DHEA) narrative, what's wrong?

Answer: Luteinizing stimulating hormone (luteinizing hormone) is a major adrenal hormonal regulation of manufacturing DHEA

Choices:
A. Manufacturing adrenal androgen (androgen) pioneer species
B. Luteinizing stimulating hormone (luteinizing hormone) is a major adrenal hormonal regulation of manufacturing DHEA
C. Whether men or women will gradually reach its secretion peak of around 20 years old
D. In women, DHEA and excessive secretion of adrenal sex characteristics related to abnormal syndrome (adrenogenital syndrome)

following related testosterone DHEA
dehydroepiandrosterone
DHEA
wrong


Question: Which of the following anticancer drugs whose main role is to position M phase of the cell cycle?

Answer: Paclitaxel

Choices:
A. Paclitaxel
B. Etoposide
C. Methotrexate
D. Cisplatin

following
main role
position M phase
cell cycle


Question: A 35-year-old man accidentally fell from the third floor on the first floor, causing severe bleeding left ear, while facial palsy, the most likely diagnosis for the following items what?

Answer: Temporal bone fracture (petrosal bone fracture)

Choices:
A. Temporal bone fracture (petrosal bone fracture)
B. Temporomandibular joint replacements (T-M joint dislocation)
C. Lymphatic drain (endolymphatic leakage)
D. Cellulitis external auditory meatus (external ear canal cellulitis)

35 year old man
fell
third floor
first floor
causing severe bleeding left
facial palsy
diagnosis
following


Question: Betz cells (Betz cell) is located in the layer of the cerebral cortex?

Answer: Tapered inner (internal pyramidal layer)

Choices:
A. A tapered outer (external pyramidal layer)
B. An inner layer of particles (internal granular layer)
C. Tapered inner (internal pyramidal layer)
D. Molecular layer (molecular layer)


Question: Dorsal artery pulsation can be measured (dorsalis pedis artery) following that group between tendon?

Answer: Extensor longus  (extensor hallucis longus) and tibialis anterior (tibialis anterior)

Choices:
A. Flexor digitorum longus (flexor digitorum longus) muscle and the long flexor  (flexor hallucis longus)
B. Extensor digitorum longus (extensor digitorum longus) and the extensor digitorum brevis muscle (extensor digitorum brevis)
C. Extensor longus  (extensor hallucis longus) and tibialis anterior (tibialis anterior)
D. Extensor digitorum longus and extensor longus 

Dorsal artery
measured
dorsalis pedis artery
following
group
tendon


Question: Which of the following accelerators and stomach with Cisapride and could easily lead to arrhythmias?

Answer: Ketoconazole

Choices:
A. Ketoconazole
B. Amphotericin B
C. Griseofulvin
D. Nystatin

following accelerators
stomach
Cisapride
easily lead
arrhythmias


Question: 33. A 58 year old male of five chronic kidney disease, chest pain one hour to the hospital for treatment, physical examination blood pressure 150/94 mmHg, pulse 80 beats per minute, breathing 18 times per minute, cardiac auscultation significant pericardial fricative, lower extremity slightly swollen, solid sodium inspection chamber 135 mmol / L, potassium 5.3 mmol / L, hemoglobin 8.0 g / dL, extensive ECG ST-segment was increased. The following items are what most basic treatment?

Answer: Dialysis (dialysis)

Choices:
A. Give kayexalate (sodium polystyrene sulfonate) reduces blood potassium
B. Dialysis (dialysis)
C. Blood transfusion (blood transfusion)
D. Percutaneous coronary intervention (percutaneous coronary intervention)


Question: 60 a 70-year male stomach cancer because of the sudden paralysis of the lower body (paraplegia) to emergency medical treatment. Began one month before the onset of lower back pain. X-ray examination revealed lumbar generating a first pathologic fracture (pathological fracture), and generates a spinal cord compression (spinal cord compression). Check the blood alkaline phosphatase 780 U / L, calcium 3.8 mmol / L. The following statements is wrong?

Answer: Hypercalcemia (hypercalcemia) of treatment, comprising limiting moisture uptake, and use of diuretics bisphosphonate drugs

Choices:
A. The spinal cord compression caused by metastatic cancer, use of high-dose steroids and radiation therapy
B. The opportunity to start treatment sooner, the future of neurological symptoms in patients can also improve the greater
C. Hypercalcemia (hypercalcemia) of treatment, comprising limiting moisture uptake, and use of diuretics bisphosphonate drugs
D. Tumor markers such as CEA (carcinoembryonic antigen), PSA (prostate specific antigen) can help the differential diagnosis

60
year male stomach cancer
of the
of the lower body
paraplegia
emergency medical
Began one month
onset of lower back pain
X-ray
revealed lumbar
first pathologic fracture
pathological fracture
spinal cord compression
spinal cord compression
Check
blood alkaline phosphatase
U
L
calcium
mmol
L
following
wrong


Question: Which of the following does not belong to indications of diagnostic hysteroscopy?

Answer: Serous uterine fibroids

Choices:
A. Infertility
B. Habitual abortion
C. Submucosal uterine fibroids
D. Serous uterine fibroids


Question: 53 a 30 year old man, has become the past six months back, it was often said that following him, laid wait for him, suspicious, as if talking to himself and sometimes do not talk to people. The following statements about men, that most items correct?

Answer: His chances of first-degree relatives with similar symptoms about 10%

Choices:
A. The first choice is psychoanalytic psychotherapy
B. A first medication therapy is selected tricyclic antidepressants
C. His chances of first-degree relatives with similar symptoms about 10%
D. \ Magnetic resonance scanning (MRI) is a diagnostic examination necessary

30 year old man
past six months back
often
following
wait
suspicious
talking
sometimes
not talk
following
correct


Question: 26-year-old Ms. Chen served in a chemical plant in the accounting work, one to three months will go right eyelid droop dusk, watching TV at night, the image becomes obscure, short break will be improved; these two days to drink water often choked, because the situation continued, and to the clinic for help. Why is the most likely diagnosis?

Answer: Myasthenia gravis (myasthenia gravis)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Polymyositis (Polymyositis)
C. Multiple cranial neuropathy
D. Metabolic myopathy

year old Ms
chemical plant
one
three months
go right eyelid droop dusk
TV
night
short break
improved
two days to
water often choked
clinic
help
diagnosis


Question: 24 A 30-year-old healthy male scrotum serious car accident trauma, and removal of both sides of the testicles. After removal of testicles on both sides, not being complemented testosterone (testosterone). The occurrence of physiological changes in the patient, which of the following correct?

Answer: Pussy hair will gradually become sparse

Choices:
A. Height becomes higher
B. The sound will be like before puberty children sound like
C. Pussy hair will gradually become sparse
D. Erectile function disappears

30 year old healthy male scrotum serious car accident trauma


Question: A 72-year-old male patient with chest pain symptoms began recently when active, he has high blood pressure and diabetes, long-term drug treatment; physical examination can be heard a second time systolic murmur at the apex, where the following items should not be included diagnostic tools preliminary inspection items?

Answer: 24-hour ECG (Holter monitoring)

Choices:
A. Chest X- ray
B. 24-hour ECG (Holter monitoring)
C. Standard 12- lead ECG
D. Echocardiography


Question:
36. The relevant acute cholecystitis and Murphy sign, the following statements is true? ① acute cholecystitis is often associated with jaundice phenomenon ② acute cholecystitis pathognomonic sign
 ③ When pressing on the abdomen in the right chest deep, deep breathing will suddenly stop in the upper abdomen ④ depth to a still pressing the right chest, will suddenly stop the deep breath
 ⑤ acute cholecystitis zoomed section can be obtained by conservative non-surgical therapy to ease your watch

Answer: ②③⑤

Choices:
A. ①②③
B. ①②④
C. ②③⑤
D. ②④⑤

36
relevant acute cholecystitis
Murphy sign
following
true
acute cholecystitis
often associated with jaundice
acute cholecystitis pathognomonic sign
abdomen
right chest deep
breathing
stop
upper abdomen
depth
right chest
stop
deep breath
acute cholecystitis
section
obtained
conservative non-surgical therapy to


Question: There are a alcoholic liver disease in adult males, leaving Kara OK store shortly, was found lying in the street, hospital where he died the death, dissection seen as shown. This disease should be:

Answer: Contralateral cerebral contusion

Choices:
A. Contralateral cerebral contusion
B. Hypertensive intracerebral hemorrhage
C. Subdural hemorrhage
D. Cerebral infarction

alcoholic liver disease
adult males
store
found lying
street
hospital
died
death
dissection seen
disease


Question: Attention Deficit Hyperactivity Disorder (attention-deficit / hyperactivity disorder) epidemiological statistics, the sex ratio Why?

Answer: More men than women

Choices:
A. More men than women
B. Women than men
C. Men and women fairly
D. Currently no consistent conclusion


Question: For glucocorticoid - receptor complex (glucocorticoid-receptor complex) describe the influence transcription, which of the following error?

Answer: Mainly in combination with other transcription factors (transcription factor), thereby inhibiting gene expression

Choices:
A. Mainly in combination with other transcription factors (transcription factor), thereby inhibiting gene expression
B. Hormone - receptor complex is formed intracellularly
C. Binding up hormone responsive genes (hormone responsive gene) in the DNA sequence which may be recognized transcription
D. A typical receptor DNA binding domain (DNA-binding domain), in combination with the hormone regions (hormone binding domain) different

glucocorticoid
receptor
glucocorticoid
following error


Question: Cause facial muscles with your fingers twitching (twitching) when the knock front of the ear, is most likely that an unusual?

Answer: Low blood calcium

Choices:
A. Hyperkalemia
B. Hyponatremia
C. Low blood calcium
D. Low phosphorus

Cause facial muscles
fingers twitching
twitching
front
ear
unusual


Question: 10-year-old girl because of a high fever fever, severe back pain on the right side hospitalized, computerized tomography imaging after contrast injection as shown in the following were the most likely cause of what?

Answer: Renal artery embolization

Choices:
A. Pyelonephritis
B. Glomerular inflammation
C. Water kidney
D. Renal artery embolization

10 year old girl
high fever
severe back pain
right side hospitalized
computerized tomography imaging
contrast injection
following
most likely cause


Question: H. pylori infection does not increase the risk of what items of the following diseases?

Answer: reflux esophagitis

Choices:
A. reflux esophagitis
B. non-cardiac gastric cancer
C. gastric mucosa-associated lymphoid tissue（MALT）lymphoma
D. gastric ulcer

H
pylori infection
not increase
risk
following diseases


Question: A 35-year-old woman in a car accident to the emergency room, non-open left thigh femoral fractures. Through emergency hospitalization, is expected to perform orthopedic surgery the next day. Morning very anxious patients, fever 38.7 deg.] C, about 110 beat / min, a neck thyroid enlargement about three degrees. At this point the best examination and treatment does not include which of the following?

Answer: Perform orthopedic surgery as soon as possible

Choices:
A. Perform orthopedic surgery as soon as possible
B. Blood tests T3, T4, TSH
C. Ice felt and antipyretics
D. beta blockers, corticosteroid intravenous injection

35 year old woman
car accident
emergency room
non open left thigh
fractures
emergency
to perform orthopedic surgery
next day
Morning very anxious patients
fever
deg
about
min
neck thyroid
three degrees
point
best
treatment
not include
following


Question: beta] chain T cell receptor (T cell receptor β-chain, TCRβ) prosequence embryo gene (germline sequence) that may be present in these cells?

Answer: B cells

Choices:
A. Cells CD4 + CD8 + T
B. T helper cell (helper T cell)
C. Toxic T cells (cytotoxic T cell)
D. B cells

beta
chain T cell receptor
T cell receptor
chain
TCR
embryo gene
germline sequence
present
cells


Question: The following statements about urothelial carcinoma (urothelial cancer), and what's right?

Answer: Urachal (urachus) grow mostly adenocarcinoma cancer

Choices:
A. Adenocarcinoma (adenocarcinoma) about 90%
B. Chronic inflammation are the most significant causes of cancer
C. Urachal (urachus) grow mostly adenocarcinoma cancer
D. Up to the probability of occurrence of kidney

following
urothelial carcinoma
urothelial cancer
right


Question: That is one of the following regulatory arginine vasopressin (AVP) increased secretion of the most important mechanisms?

Answer: Hypothalamus of osmoreceptors experience increased blood osmotic pressure

Choices:
A. Hypothalamus of osmoreceptors experience increased blood osmotic pressure
B. Cardiac baroreceptor (pressure receptors) experience decreased blood volume or blood pressure
C. Nausea or vomiting stimulate the brain marrow emetic center (emetic center in the medulla)
D. Vasopressin (angiotensin) increase

one
following
arginine vasopressin
increased secretion
important mechanisms


Question: One 6-year-old girl glassy eyes often happens in class, stare so on, by a neurologist to EEG examination revealed that the brain wave waveform spike-wave appears over and over again nature. Initial recognition which is a symptom of epilepsy, drug therapy should be used following what the most appropriate?

Answer: Valproic acid

Choices:
A. Carbamazepine
B. Valproic acid
C. Phenytoin
D. Diazepam

One
year old girl glassy eyes often
stare so
neurologist
EEG
revealed
brain wave
appears over
over
nature
Initial
symptom
epilepsy
drug therapy
used following
most appropriate


Question: 84 the following information about the health care market characteristics, whichever is most appropriate combination of relationship? ① different from the general market, with demand and supply ② non-market has its own characteristics, and ③ from trading commodities prices are generally determined by the relationship between the demand and supply of ④ medical needs who can not predict prices as the price of recipients ⑤ healthcare providers in the dominant seller of advantages situation

Answer: ①②④⑤

Choices:
A. ①②③④⑤
B. ②③④⑤
C. ①②③④
D. ①②④⑤

84
following
health care market
most appropriate combination
relationship
different
general market
demand
supply
non market
characteristics
prices
determined by
relationship
demand
supply
medical needs
not
prices
healthcare providers
dominant seller


Question: 35-year-old female patient is not breast-feeding, blood samples have recently discovered that the left nipple discharge (bloody discharge), palpation found at two o'clock lumps in the areola, the following statements is wrong?

Answer: Measuring blood CEA, CA 15-3 concentrations in order to exclude the possibility of breast cancer

Choices:
A. Should arrange for mammography, breast ultrasound examination
B. Photography can be arranged milk ducts (ductography) inspection
C. Measuring blood CEA, CA 15-3 concentrations in order to exclude the possibility of breast cancer
D. Surgery should be scheduled as soon as possible

35 year old female patient
not breast-feeding
blood samples
recently
left
bloody discharge
palpation found
two
clock lumps
areola
following
wrong


Question: Which of the following is the order of appearance of adolescent female representation (after the first →)?

Answer: Breast prominent pubic → → → rapid increase in height at menarche

Choices:
A. Breast prominent pubic → → → rapid increase in height at menarche
B. Rapid increase in breast prominent pubic hair → → → Height menarche
C. Rapid increase in breast prominent pubic hair → → → menarche height
D. Menarche → → rapid increase in breast prominent pubic hair → Height

following
order
appearance
adolescent female
first


Question: 17 A 50-year-old woman complained of years of cough, sputum and progressive difficulty in breathing, chest computed tomography following figure shows the change of medical treatment. If this disease is caused by infection, the following what kind of pathogen least likely to be the cause of this condition?

Answer: Mycoplasma pneumoniae

Choices:
A. Staphylococcus aureus
B. Klebsiella pneumoniae
C. Mycoplasma pneumoniae
D. Mycobacterium avium complex

50 year old woman
years
cough
sputum
progressive difficulty
breathing
chest computed tomography following
change
medical
disease
caused
infection
following
kind
pathogen
likely to
cause
condition


Question: IgD never activation of B cells (naïve B cell) appears on the cell membrane, the mechanism why?

Answer: RNA splicing, immunoglobulin heavy chain (Ig heavy chain RNA splicing)

Choices:
A. Immunoglobulin gene recombination (recombination of Ig variable gene segments)
B. Immunoglobulin gene hypermutation switch recombination (Ig gene hypermutation)
C. RNA splicing, immunoglobulin heavy chain (Ig heavy chain RNA splicing)
D. RNA splicing of immunoglobulin light chain (Ig light chain RNA splicing)

IgD never activation
B cells
appears
cell membrane
mechanism


Question: One player to accept long-distance marathon training for two weeks right leg pain occurs, the following statements is wrong?

Answer: Bone scintigraphy is often used to judgments prognosis and fracture healing

Choices:
A. X-rays may be no abnormal findings
B. Bone scintigraphy (bone scan) may have abnormal findings
C. Bone scintigraphy is lower than magnetic resonance imaging (MRI) specificity (specificity)
D. Bone scintigraphy is often used to judgments prognosis and fracture healing

to accept long distance marathon training


Question: There's a great 9-month child, brought to the clinic by her grandmother athletes to accept the 4th National Health Insurance examination preventive health care services for children, in addition to checking height, weight, head circumference, nutritional status and general medical examination outside inspection it also requires that children develop items checkups?

Answer: Can "¢ Gt ㄚ hair, mo ㄚ sound."

Choices:
A. If you can "get your fingers were"
B. Can "For people smile."
C. Can "¢ Gt ㄚ hair, mo ㄚ sound."
D. If you can "go help."


Question: Eardrum angioplasty (Myringoplasty), also known as the first of several type tympanoplasty (Tympanoplasty)?

Answer: Type 1

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

Eardrum angioplasty
Myringoplasty
known
first
type tympanoplasty
Tympanoplasty


Question: On the anatomical location, the narrow esophagus has three parts, which of the following error?

Answer: Esophagus and pulmonary vein intersection

Choices:
A. cricopharyngeus muscle at
B. Esophagus and the left main bronchus intersection
C. Esophagus and pulmonary vein intersection
D. Esophagus and diaphragm intersection

anatomical location
narrow esophagus
three parts
following error


Question: Early onset of a mother during childbirth broken water, and the labor up to 30 hours, birth one week found suffering from meningitis, cerebral spinal fluid specimen cultured Gram-positive cocci, catalase (Catalase) negative, the colonies on blood agar plates showing β hemolysis, and CAMP test is positive. This is most likely infected newborns that kind of pathogen?

Answer: Streptococcus agalactiae (Streptococcus agalactiae)

Choices:
A. Streptococcus pyogenes (Streptococcus pyogenes)
B. Staphylococcus aureus (Staphylococcus aureus)
C. Streptococcus agalactiae (Streptococcus agalactiae)
D. Enterococcus faecalis (Enterococcus faecalis)

Early onset
childbirth
water
labor
30 hours
birth one week found suffering
meningitis
cerebral spinal fluid
cultured
catalase
Catalase
negative
colonies
blood agar plates
hemolysis
CAMP test
positive
infected newborns
kind


Question: Patients suffering from major depressive disorder related may appear melancholic features, the following statements is true?

Answer: The main feature is the lack of interest (anhedonia), waking with weight loss, etc.

Choices:
A. In the evening present a more melancholy mood
B. Nothing to do with changes in the autonomic nervous system and the endocrine system
C. Prompted by external pressure event
D. The main feature is the lack of interest (anhedonia), waking with weight loss, etc.

Patients suffering
major depressive disorder related
appear melancholic features
following
true


Question: Which is not an American Medical Association recommend surgery anesthesia peripheral nerve damage prevention?

Answer: After picking gravel posture (lithotomy) pull over leg muscles (hamstring muscle group), increase the risk of femoral nerve damage

Choices:
A. Preoperative confirm whether the patient can tolerate the expected surgery anyway,
B. Patient lying on his side of the chest using a reel (chest rolls) can reduce the risk of nerve damage
C. After picking gravel posture (lithotomy) pull over leg muscles (hamstring muscle group), increase the risk of femoral nerve damage
D. Elbow flexion may increase the risk of damage to the ulnar nerve


Question: Guo, 56, six months before the start of progressive muscle weakness and atrophy, first start from the palm of your hand, and then gradually extended to the upper arm, then both legs have also been violated. Physical examination found that limb muscles atrophy; tendon reflexes but actually strengthened, reflecting the lower jaw (jaw jerk) also enhanced; In addition, muscle occasional small irregular beating, everywhere, even the tongue also. Speak a little nasal, drink occasionally choking. The sensory system is no exception. Guo that are most likely to suffer from one of the following diseases?

Answer: Amyotrophic lateral sclerosis spinal cord (amyotrophic lateral sclerosis)

Choices:
A. Amyotrophic lateral sclerosis spinal cord (amyotrophic lateral sclerosis)
B. Chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyneuropathy)
C. Multiple sclerosis (multiple sclerosis)
D. Syringomyelia (syringomyelia)

Guo
six months
start
progressive muscle weakness
atrophy
first start
palm of
hand
then
extended
upper arm
then
legs
found
limb muscles atrophy
tendon reflexes
lower jaw
jaw jerk
addition
muscle occasional small irregular
tongue
Speak
little nasal
occasionally choking
sensory system
Guo
to suffer
one
following diseases


Question: Statements about ovarian artery (ovarian artery), and Which statement is correct?

Answer: Ovarian enters via suspensory ligament (suspensory ligament of ovary)

Choices:
A. And the internal iliac artery (internal iliac artery) branches
B. Into the ovary via the ovarian ligament (ovarian ligament)
C. From the rear into the pelvic external iliac artery (external iliac artery) of
D. Ovarian enters via suspensory ligament (suspensory ligament of ovary)


Question: Which of the following maximum tolerated radiation exposure for acute systemic?

Answer: Central nervous system

Choices:
A. Thyroid
B. Hematopoietic system
C. Central nervous system
D. Gastrointestinal

following maximum
radiation exposure
acute systemic


Question: A 30-year-old man because in recent months that there is a sense of falling scrotum at the clinic. Physical examination found that the right side of the left testicle is hard and is three times larger. Ultrasound examination revealed a 5 cm thick solid tumor in the right testicle. Laboratory tests also showed that the serum alpha-fetoprotein (α-fetoprotein) value increases. The following lesions, whichever is most likely to occur in the right side of his testicles?

Answer: Yolk sac tumor (yolk sac tumor)

Choices:
A. Reddy's cell tumor (Leydig cell tumor)
B. Seminoma (seminoma)
C. Teratoma (teratoma)
D. Yolk sac tumor (yolk sac tumor)

30 year old man
recent months
sense
falling scrotum
clinic
found
right
left
hard
three times larger
Ultrasound examination revealed
5 cm thick solid tumor
right testicle
Laboratory tests
serum alpha-fetoprotein
fetoprotein
value increases
following lesions
to occur
right side
testicles


Question: When the narrative about the skeletal muscle contraction, Which statement is correct?

Answer: I with shorter, A band unchanged

Choices:
A. With constant I, A becomes shorter with
B. I with shorter, A band unchanged
C. I with shorter, A becomes longer with
D. I with longer, A becomes shorter with


Question: Which of the following diseases not associated with low blood magnesium?

Answer: Hypothyroidism (Hypothyroidism)

Choices:
A. Gitelman's syndrome (Gitelman's syndrome)
B. Claudin 16 or 19 突變（Claudin 16 or 19 mutations）
C. Refeeding syndrome (Refeeding syndrome)
D. Hypothyroidism (Hypothyroidism)


Question: ① frontal nerve (frontal nerve) ② nasal ciliary nerve (nasociliary nerve) ③ oculomotor nerve (oculomotor nerve) ④ nerve tears (lacrimal nerve) ⑤ trochlear nerve (trochlear nerve) ⑥ external rotation nerve (abducent nerve) and other six nerves, out of orbit within a tendon that do not always ring through the (common tendinous ring)?

Answer: ①④⑤

Choices:
A. ①③⑤
B. ②③⑥
C. ②④⑥
D. ①④⑤

frontal nerve
frontal nerve
nasal ciliary nerve
nasociliary nerve
oculomotor nerve
oculomotor nerve
nerve tears
lacrimal nerve
trochlear nerve
trochlear nerve
external rotation nerve
abducent nerve
six nerves
out
orbit
tendon
not always ring
common tendinous ring


Question: The following factors will not make any entries in arterial carbon dioxide (arterial carbon dioxide) and the partial pressure of carbon dioxide exhaled end (end-tidal carbon dioxide) partial pressure gradient of the difference (gradient difference) increases?

Answer: cardiac output increased from 4 L / min to 8 L / min

Choices:
A. fresh gas flow rates increased from 4 L / min to 8 L / min
B. air embolism
C. ventilation/perfusion mismatched
D. cardiac output increased from 4 L / min to 8 L / min

following factors
not make
arterial carbon dioxide
arterial carbon dioxide
partial pressure
carbon dioxide exhaled end
end-tidal carbon dioxide
partial pressure gradient
difference
gradient difference
increases


Question: 19. Wang female graduates planning a 23-year-old went to the University of the Philippines capital Manila trading company to work before leaving for two weeks, because there are usually allergic rhinitis and Mr Lee, first to their own house medical clinic near your home medication. When asked about a history of female physicians king mentioned in addition to nasal congestion, runny nose, but also said there will be occasional chest symptoms, but no other discomfort. The physicians in making physical checkups chest auscultation, found grade mid-systolic murmur 1-2, so the physician to the king's daughter referral to a nearby hospital area for further examination. The king's daughter to an area hospital cardiology clinic in the interrogation to determine the history and physical checkups found after referral as described, its disposal is the most appropriate:

Answer: ECG and CXR make arrangements for direct examination, without exception, can not do other tests

Choices:
A. Direct scheduled for cardiac ultrasound examination, and then decide what to do
B. Arrange to do an ECG directly, without exception, can not do other tests
C. Direct arrangements do CXR examination, without exception, do cardiac ultrasound examination before deciding what to do
D. ECG and CXR make arrangements for direct examination, without exception, can not do other tests

female
planning
23 year old went to
University
Philippines capital
company to
two weeks
usually allergic rhinitis
Mr
first
house medical clinic
home medication
history
female physicians
in addition to nasal congestion
runny nose
occasional chest symptoms
discomfort
physicians
making physical
chest auscultation
found grade mid-systolic murmur
nearby hospital area
further
area hospital cardiology
to
history
physical
found
most appropriate


Question: 50-year-old woman complained of constant headaches past six months, sometimes pain in the middle of the night awake. Neurological examination revealed patients sane, normal speech, smell obviously deteriorated, extremities normal gait is normal. Patient personality disorder described spouse become more lazy, not positive, but also less concerned about his family. The most likely diagnosis?

Answer: Anterior cranial fossa brain tumor

Choices:
A. Hydrocephalus
B. Anterior cranial fossa brain tumor
C. Stroke
D. Acoustic neuroma

50 year old woman
constant headaches past six months
pain
middle
night awake
Neurological
revealed
normal speech
smell
deteriorated
extremities normal gait
normal
Patient personality disorder
more lazy
not positive
less
diagnosis


Question: Superficial bladder cancer at diagnosis if the bladder at the same time there are many different sizes of tumors after transurethral resection (transurethral resection), without making intravesical instillation therapy to prevent recurrence, the recurrence rate is about how much?

Answer: 7-8 to

Choices:
A. 1 to 2
B. 3 to 4 to
C. 50 to 60
D. 7-8 to


Question: A 55 year old female patient with no history of hypertension, history of diabetes or cardiovascular disease, suddenly felt dizzy dizzy work half. Upon arrival at the emergency department are body temperature, heart rate, blood pressure, normal consciousness, persistent dizziness and vomiting phenomenon. Patients complain of no recent head trauma, feeling dizzy when the eyes are more open and rapid rotation of the head, but the head does not move toward the front if fixed feel more comfortable. There is also found that patients with tinnitus (tinnitus) and horizontal nystagmus (horizontal nystagmus). Preliminary physical examination, did not show limb weakness or mouth askew. This patient most likely diagnosis Why?

Answer: Benign paroxysmal vertigo (benign paroxysmal positional vertigo)

Choices:
A. Lost neuritis (labyrinthitis)
B. Benign paroxysmal vertigo (benign paroxysmal positional vertigo)
C. Acute stroke (acute stroke)
D. Migraine (migraine)

year old female patient
history of hypertension
history
diabetes
cardiovascular disease
dizzy
half
arrival
emergency department
body temperature
heart rate
blood pressure
normal consciousness
persistent dizziness
vomiting
Patients
recent head
dizzy
eyes
more open
rapid rotation
head
head
not move
front
fixed
more
found
patients
tinnitus
tinnitus
horizontal nystagmus
horizontal nystagmus
Preliminary
not
limb weakness
mouth
patient
likely diagnosis


Question: Statements about maggot disease (myiasis), the error which of the following?

Answer: Face bots (Dermatobia hominis) spread of the disease often send ⽣ fly larvae in Asia

Choices:
A. Face bots (Dermatobia hominis) ⾎ mosquitoes lay their eggs in the suction / abdominal ⽽ actuation of fly larvae bore into the host hatching out skin injury-connector
B. Hospital maggot disease (nosocomial myiasis) often occur ⽣ to ⻑ of bed and there is an open wound-connector patients
C. Maggot disease earphone unit (aural myiasis) larvae climb patients often dynamic, malodorous discharge and heteroaryl Rec
D. Face bots (Dermatobia hominis) spread of the disease often send ⽣ fly larvae in Asia


Question: Which of the following is not a diagnosis of growth hormone deficiency (growth hormone deficiency) of excitation test (provocative test)?

Answer: Oral glucose tolerance test

Choices:
A. Oral glucose tolerance test
B. Arginine test
C. Clondine test
D. Glucagon test

following
not
diagnosis
growth hormone deficiency
growth hormone deficiency
test
provocative test


Question: Candida albicans (Candida albicans) which can cause the following diseases?

Answer: thrush

Choices:
A. pneumonia
B. thrush
C. Rash
D. Sore throat


Question: 24 year old woman that three weeks off and diplopia symptoms after the meal for some time will feel unable to chew and swallowing difficulties, must rest for half an hour in order to continue meal today because of dyspnea to the emergency room, following the relevant narrative, whichever is more appropriate?

Answer: In patients treated with drugs, salivation occurs if, wheezing breath sounds (wheezing), available atropine bradycardia therapy (with bradycardia)

Choices:
A. The disease can be more severe in winter
B. Ruoyu rapid diagnosis, the use of pyridostigmine test is better than edrophonium test
C. If the patients suffer from acute pyelonephritis, gentamicin may be administered
D. In patients treated with drugs, salivation occurs if, wheezing breath sounds (wheezing), available atropine bradycardia therapy (with bradycardia)

year old woman
three weeks
diplopia symptoms
time
unable to chew
swallowing difficulties
half
hour
order to
today
dyspnea
emergency room
following
relevant
more appropriate


Question: 52-year-old female patient, six months intermittent Center Weighted palpitations, cold sweats, headache, sudden pressure increase during ⾎ to about 180/100 mmHg case, following what most endocrine disease diagnostic considerations need to be included?

Answer: Pheochromocytoma (pheochromocytoma)

Choices:
A. Pheochromocytoma (pheochromocytoma)
B. Overactive thyroid gland (hyperthyroidism)
C. ⽒ Cushing disease (Cushing's syndrome)
D. ADVANCED had primary aldosteronism disease (primary aldosteronism)


Question: Glycogen synthase (glycogen synthase) which can be activated following direct reaction?

Answer: Phosphoprotein phosphohydrolase first type (Phosphoprotein phosphatase 1) The glycogen synthase molecule to a plurality of positions for phosphating

Choices:
A. Glycogen synthase kinase-3 (Glycogen synthase kinase 3) on a particular amino acid in the glycogen synthase reaction phosphating
B. Casein kinase Ⅱ (Casein kinase Ⅱ) phosphating reaction on a particular amino acid of glycogen synthase
C. Phosphoprotein phosphohydrolase first type (Phosphoprotein phosphatase 1) The glycogen synthase molecule to a plurality of positions for phosphating
D. In the presence of glucagon (glucagon of)

Glycogen synthase
glycogen synthase
following direct reaction


Question: 24. A 40-year-old men with diabetes, regular hypoglycemic (metformin) and blood pressure medications (amlodipine) treatment, which is home to maintain blood pressure 138/86 mmHg, the recent HbA1c was 6.8%, hemoglobin 10.7 g / dL, urine protein 1.5 g / day, estimated GFR 59 mL / min per 1.73

Answer: Plus angiotensin receptors blockers

Choices:
A. Combined with low-dose long-acting insulin
B. The use of erythropoietin slow deterioration of renal function
C. Plus angiotensin receptors blockers
D. Low-protein diet merger amino acid supplements

40 year old
diabetes
regular hypoglycemic
metformin
blood medications
amlodipine
treatment
home to
blood pressure
mmHg
recent
hemoglobin 10
g
dL
urine protein
g
day
estimated GFR 59 mL
min per 1


Question: Which is not a miscarriage drug side effects "magnesium" it?

Answer: High blood sugar (Hyperglycemia)

Choices:
A. Pulmonary edema (Pulmonary edema)
B. Respiratory depression (Respiratory depression)
C. Low blood pressure (Hypotension)
D. High blood sugar (Hyperglycemia)

not
miscarriage drug side effects
magnesium


Question: The following gene transfer vectors related to herpes simplex virus-1 of the narrative, what's right?

Answer: Can carry 20-30 kb of DNA

Choices:
A. It is often integrated into the chromosomes of target cells
B. Can carry 20-30 kb of DNA
C. Can only be used in dividing cells
D. The pre-existence of the host immune response to vector

following gene transfer vectors related
right