Question: Reaction force of antibody and antigen molecules that do not contain one of the following?

Answer: Covalent bonding (covalent bond)

Choices:
A. Covalent bonding (covalent bond)
B. Hydrogen bonding (hydrogen bond)
C. Hydrophobic reactive force (hydrophobic force)
D. Van der Waals force (van der Waals force)


Question: Which of the following is located in the seminal vesicles inside?

Answer: Vas deferens

Choices:
A. bladder
B. rectum
C. prostate
D. Vas deferens


Question: A mother with his 8-year-old boy six months for treatment, measuring its height was 130 cm (first 50-75 percentile), weighing 43 kg (> 95th percentile), this boy's body mass index (body mass index, BMI) is:

Answer: 25.4

Choices:
A. 23.7
B. 25.4
C. 26.6
D. 34.6

year old boy six months
treatment
measuring
height
first 50 75 percentile
kg
95th percentile
boy's body mass index
body mass index
BMI


Question: The following patients after taking the kind of chlorpromazine, will aggravate their condition?

Answer: Parkinson's disease

Choices:
A. anxiety
B. Schizophrenia
C. Insomnia
D. Parkinson's disease

following patients
kind
chlorpromazine
aggravate
condition


Question: For patients with ventricular fibrillation (ventricular fibrillation), the American Heart Association guidelines (American Heart Association guidelines) proposed chain of so-called adult life (adult chain of survival), the following statements is wrong?

Answer: Early administration

Choices:
A. Early start emergency medical care system
B. Early to do CPR
C. Early administration
D. Early do ACLS

patients
ventricular fibrillation
ventricular fibrillation
proposed chain
called adult
adult chain
survival
following
wrong


Question: Which of the following vitamins lack of breast milk?

Answer: Vit.K

Choices:
A. Debate
B. Vit.D
C. year.
D. Vit.K


Question: Which of the following does not include the features of the transverse colon?

Answer: Intestinal villi (villi)

Choices:
A. The tubular intestinal gland (tubular intestinal glands)
B. Muscularis mucosa (muscularis mucosae)
C. Colon with (taeniae coli)
D. Intestinal villi (villi)

following
not include
features
transverse colon


Question: About empyema (empyema) of the narrative, which of the following error?

Answer: Cancer is the most common cause of pleural exudate (exudative pleural effusion) of

Choices:
A. Based on clinical and pathological manifestations can be divided into acute, fibropurulent, organizing three
B. Cancer is the most common cause of pleural exudate (exudative pleural effusion) of
C. Antibiotic therapy must be used more than 6 weeks
D. About 50 to 60 percent of empyema from a lung infection


Question: From the previous question, the patient most likely diagnosis is:

Answer: Pancreatic pseudocyst

Choices:
A. Stomach cancer
B. Pancreas tumor or tail body portion
C. Left of colorectal tumors
D. Pancreatic pseudocyst


Question: That one of the following checks do not apply to most patients with acute inflammation of the pancreas?

Answer: Endoscopic retrograde biliary duct photography (ERCP)

Choices:
A. Ultrasound scan (sonography)
B. Computer tomography (CT scan)
C. Endoscopic retrograde biliary duct photography (ERCP)
D. Angiography (angiography)

one
following checks
not apply
patients
acute inflammation
pancreas


Question: Mrs. Huang, 41, father of a 15-year-old boy, there is no significant medical history and family history, nor a regular medical check-ups. She came to your clinic for preventive medicine services, in addition to blood pressure, general biochemical tests, urine examination and Pap smear, according to the US Preventive Services Task Team (US Preventive Service Task Force) recommendations, should no longer prevent those arrangements health services?

Answer: Arrangements breast X-ray photography (mammography)

Choices:
A. Currently no need to arrange other check
B. Arrange BRCA genetic screening and breast ultrasound
C. How do breast self-examination every month education
D. Arrangements breast X-ray photography (mammography)

Mrs
year old boy
significant medical history
family history
regular medical check-ups
clinic
preventive medicine
blood pressure
general biochemical
urine examination
Pap smear
Preventive Service
longer prevent
arrangements


Question: A 56-year-old male patient, because the left upper lobe tumors receiving lobectomy. 12 hours after surgery, the patient gradually began to feel shortness of breath, heart rate 100 beats / min, body temperature of 38.9 ℃, blood pressure 130/80 mmHg, urine output per hour, 90 mL, local reduction of breath sounds, it's most likely diagnosis Why?

Answer: Atelectasis (atelectasis)

Choices:
A. Low blood shock (hypovolemic shock)
B. Ischemic heart disease (ischemic heart disease)
C. Bacterial pneumonia (bacterial pneumonia)
D. Atelectasis (atelectasis)


Question: In general, Fluconazole for which of the following fungal therapeutic value?

Answer: Candida krusei

Choices:
A. Candida albicans
B. Candida krusei
C. Candida tropicalis
D. Candida parapsilosis

general
Fluconazole
following fungal therapeutic value


Question: Concept of congenital immunity (innate immunity), the error which of the following?

Answer: Microorganisms do not have the ability to identify

Choices:
A. To start the reaction within a few minutes microbial invasion
B. Microbial phagocytosis
C. Microorganisms do not have the ability to identify
D. By extracellular pathogens (extracellular pathogens) and pathogenic (intracellular pathogens) intracellular primer

congenital immunity
innate immunity
error
following


Question: A 22-year-old woman who left parietal bleeding, as shown undergoing brain angiography examination, diagnosis is?

Answer: Arteriovenous malformations (arteriovenous malformation)

Choices:
A. Arteriovenous malformations (arteriovenous malformation)
B. Arteriovenous malformations (venous malformation)
C. Venous sinus thrombosis (sinus thrombosis)
D. Cavernous hemangioma (cavernous hemangioma)

year old woman
left parietal bleeding
brain angiography examination
diagnosis


Question: Account of epithelial ovarian cancer (epithelial ovarian cancer), and Which of the following most inappropriate?

Answer: Serous (serous) ovarian cancer, seen as a large number of sand-like tumor (psammoma body), representative of poor prognosis

Choices:
A. When also the pathological diagnosis of ovarian endometriosis (superficial evils), also if the diagnosis of epithelial ovarian cancer, typically as a clear common cell type (clear cell) or class endometrial subtype (endometrioid subtype)
B. Endometrioid type (endometrioid type) ovarian epithelial cancer, compared with other forms of epithelial ovarian cancer, there is more opportunity concomitant incidence of endometrial cancer
C. All clear cell ovarian cancer (clear cell) cell differentiation, are categorized as the worst differentiation (grade 3)
D. Serous (serous) ovarian cancer, seen as a large number of sand-like tumor (psammoma body), representative of poor prognosis

Account of epithelial ovarian cancer
epithelial ovarian cancer
following
inappropriate


Question: Which of the following diseases often require surgery?

Answer: Constrictive pericarditis (constrictive pericarditis)

Choices:
A. Dilated cardiomyopathy (dilated cardiomyopathy)
B. Narrowing type cardiomyopathy (restrictive cardiomyopathy)
C. Acute myocarditis (acute myocarditis)
D. Constrictive pericarditis (constrictive pericarditis)


Question: 9021-year-old female patient began two days ago, right rear back pain and urinary discomfort and pain. At the same time there is a fever, chills, nausea and vomiting. Urine analysis showed that a small number of large amounts of bacteria and epithelial cells. Laboratory data show elevated white blood cells in the blood. Escherichia coli is also a urine culture (E. coli). The following description whichever is most likely to represent the pathological changes of substance between her kidneys?

Answer: Neutrophil infiltration and accumulation in the renal tubules

Choices:
A. Leukocyte infiltration and containing numerous eosinophils
B. Chronic granulomatous inflammation
C. Containing large amounts of inflammatory cell infiltration and foamy macrophages
D. Neutrophil infiltration and accumulation in the renal tubules

year old female patient began two days
right rear back pain
urinary discomfort
pain
same time
fever
chills
nausea
vomiting
Urine analysis
small number
large
bacteria
epithelial cells
Laboratory data
elevated white blood cells
urine culture
following
to
pathological changes
kidneys


Question: The following statements about atopic dermatitis (atopic dermatitis), the what's right?

Answer: Prone irritant contact dermatitis (irritant contact dermatitis)

Choices:
A. Regardless of family history
B. Opportunity infants with atopic dermatitis future up to 90% suffer from asthma
C. Prone irritant contact dermatitis (irritant contact dermatitis)
D. Prone to allergic contact dermatitis (allergic contact dermatitis)

following
atopic dermatitis
atopic dermatitis
right


Question: The following narrative about pancreatic neuroendocrine tumors of, what's wrong?

Answer: Most of insulinoma is hypovascularity. In contrast enhanced CT, easy to form lumps complete image developed low

Choices:
A. Functional pancreatic neuroendocrine tumors with a maximum of insulinoma (insulinoma)
B. Whipple's triad diagnosis of insulinoma include: low blood sugar, the symptoms of low blood sugar problems and give immediate remission of symptoms after three glucose
C. Most of insulinoma is hypovascularity. In contrast enhanced CT, easy to form lumps complete image developed low
D. The incidence of male and female almost

The following
pancreatic neuroendocrine tumors of
wrong


Question: The researchers would like to explore a relationship with drunk driving death in a car accident, so in a car accident six months of statistical data in a county, into the car accident death within 24 hours if there are people, and to investigate whether each drove in a car accident drunk driving behavior, the following statistics what analytical methods are most appropriate?

Answer: Chi-square test (Chi-square test)

Choices:
A. Linear Regression (Linear regression)
B. Independent samples t-test (Independent sample t-test)
C. Paired t-test (Paired t-test)
D. Chi-square test (Chi-square test)

researchers
to
relationship
drunk driving death
car accident
so
car accident six months
statistical data
county
car accident death
24 hours
to investigate
drove
car accident drunk behavior
following
most appropriate


Question: DeQuervain's disease is that two tendon is grab hold of (entrapment)?

Answer: Extensor digitorum longus muscle 和

Choices:
A. Extensor digitorum longus muscle 和
B. Abductor short 和 extensor
C. Extensor digitorum longus muscle 和
D. Abductor short 和 extensor


Question: From the previous question, what if stool culture bacteria to grow, it will be considered as antibiotic-associated colitis?

Answer: Clostridium difficile

Choices:
A. Clostridium difficile
B. Staphylococcus aureus
C. E. coli
D. Streptococcus bovis

previous
stool to
antibiotic-associated colitis


Question: About ketamine statements is true?

Answer: Ketamine may induce psychotic symptoms, the symptoms of the disease show similar psychosis (schizophrenia)

Choices:
A. Most abusers use intravascular injection
B. Ketamine long half-life, receptor on the γ-aminobutyric acid (GABA)
C. Ketamine may induce psychotic symptoms, the symptoms of the disease show similar psychosis (schizophrenia)
D. Ketamine intoxication presenting with hypertension palpitations, respiratory depression and death


Question: Occasionally bilateral ovarian cancer clinical metastasis (Krukenberg tumor), the most likely to metastasize by the digestive system of primary cancer cells which patterns?

Answer: Secretion of mucus adenocarcinoma

Choices:
A. Squamous cell carcinoma
B. Adenocarcinoma is not secreted mucus of
C. Secretion of mucus adenocarcinoma
D. Hepatocellular carcinoma

Occasionally bilateral ovarian clinical metastasis


Question: Which of the following best to check the identification of cysts resolution (Cystic) breast lumps or substantial (Solid)?

Answer: Breast ultrasound (Ultrasound)

Choices:
A. Breast X-ray photography (Mammography)
B. Breast temperature photography (Thermography)
C. Breast ultrasound (Ultrasound)
D. Breast palpation (Palpation)

following best to check
identification
cysts resolution
Cystic
breast lumps
Solid


Question: The eyelids can not fully open, it is impossible Which of the following diseases?

Answer: Article VII cranial nerve palsy

Choices:
A. Article VII cranial nerve palsy
B. Horner syndrome (Horner syndrome)
C. Third cranial nerve palsy
D. Myasthenia gravis (myasthenia gravis)


Question: Use during general anesthesia endotracheal tube (endotracheal tube), pressure gauge should measure the cuff pressure, and which of the following should be kept reasonable pressure to prevent inhalation of gastric patients with nearby tissue ischemia?

Answer: 28 cmH O

Choices:
A. 18 cmH2O
B. 28 cmH O
C. 38 cmH2O
D. 48 cmH2O

Use
general anesthesia endotracheal tube
endotracheal tube
pressure gauge
measure
cuff pressure
following
kept
pressure to prevent inhalation
gastric patients
nearby tissue ischemia


Question: Which of the following diseases is less likely to be complicated by peripheral ulcerative keratitis (peripheral ulcerative keratitis)?

Answer: Multiple sclerosis (multiple sclerosis)

Choices:
A. Rheumatoid arthritis (rheumatoid arthritis)
B. Systemic lupus erythematosus (systemic lupus erythematosus)
C. Wegener's granulomatosis (Wegener granulomatosis)
D. Multiple sclerosis (multiple sclerosis)

following diseases
less likely to
complicated
peripheral ulcerative keratitis
peripheral ulcerative keratitis


Question: Account of Shiga toxin-producing E. coli (Shiga toxin-producing Escherichia coli), and which of the following error?

Answer: Stx1 does not produce toxins or stx2

Choices:
A. Can cause food-spread (food-borne) diseases
B. Often cause severe human infection of serotype O157: H7
C. The disease can cause severe bloody diarrhea (bloody diarrhea)
D. Stx1 does not produce toxins or stx2

Account
Shiga toxin
E
coli
following error


Question: Which of the following immunosuppressant engagement with FKBP-12, IL-2 may reduce the?

Answer: tacrolimus

Choices:
A. cyclosporine
B. tacrolimus
C. mycophenolate mofetil
D. sirolimus


Question: 77.40-year-old male patient, due to lower acute binocular vision, abdominal pain, vomiting, diarrhea, headache, dizziness, general weakness, unsteady gait, etc., are sent to family emergency, there is confusion, shortness of breath, and reduced vision of the situation . Real physical examination and laboratory examination found that heart rate, enhanced deep tendon reflexes, and anion gap (anion gap) to increase penetration and clearance (osmolar gap) rising metabolic acidosis, hyperglycemia, leukocytosis, hypokalemia, blood magnesium, acute renal failure and other phenomena, optic disc hyperemia, edema, retinal fundus examination situation occurs. The following treatment whichever less suitable?

Answer: Steroids (steroid)

Choices:
A. Fomepizole drugs
B. Dialysis (dialysis)
C. Ethyl alcohol (ethanol)
D. Steroids (steroid)

40 year old male patient
lower acute
abdominal pain
vomiting
diarrhea
headache
dizziness
general weakness
unsteady gait
sent
emergency
confusion
shortness of breath
reduced vision
Real
laboratory examination found
heart rate
deep tendon reflexes
anion gap
anion gap
to increase penetration
clearance
osmolar gap
metabolic acidosis
hyperglycemia
leukocytosis
hypokalemia
blood magnesium
acute renal failure
optic disc hyperemia
edema
retinal examination
occurs
following treatment
less suitable


Question: Parallel chains (parallel β-stranded) protein structure as less stable than the antiparallel chain (antiparallel β-stranded), why not?

Answer: Hydrogen bonds formed between laterally adjacent parallel chains of the chain structure of the junction is weak

Choices:
A. Hydrogen bonds formed between laterally adjacent parallel chains of the chain structure of the junction is weak
B. Lack of parallel chain disulfide bonds (disulfide bond) bonded with adjacent chains
C. The chain structure can not parallel antiparallel strand stack (Stacking) into the folded layers β- (β-sheet)
D. Are proteins that lack parallel chain structure - as protein binding domains (protein-protein binding domain) to stabilize the structure of parallel chains

Parallel chains
parallel
stranded
protein structure
less stable than
chain
stranded
not


Question: 77 a 20-year-old male student dormitory, recently discovered that the fingers, armpits, abdomen, inner thighs and scrotum itching papules occurred, intensified late in the night when it is covered. His roommate had the same situation. The following is most likely that disease?

Answer: Scabies (scabies)

Choices:
A. Hives (urticaria)
B. Scabies (scabies)
C. Mosquito bites (insect bite)
D. Acne (acne)

20 year old male
dormitory
recently
fingers
armpits
abdomen
inner thighs
scrotum itching papules
late
night
covered
same
following
disease


Question: A 28-year-old male, fall from the fourth floor balcony, to the emergency room Glasgow Coma Scale (GCS) is 8 points. Heartbeat 110 bpm, blood pressure 150/90 mmHg (mean arterial pressure 110 mmHg) and respiratory 18 bpm. Serum alcohol concentration is 150 mg / dL. The patient is in the emergency room after receiving a cannula, to the head of the radiology department to do CT scan. Head CT scan showing the bottom left subdural hematoma and skull base fractures. Assume intracranial pressure was 25 mmHg, the cerebral perfusion pressure (cerebral perfusion pressure) is how much mmHg?

Answer: 85

Choices:
A. 85
B. 70
C. 50
D. 100

year old male
fall from
fourth floor balcony
emergency room Glasgow Coma Scale
points
Heartbeat
blood pressure
90 mmHg
mean arterial pressure
mmHg
respiratory
Serum alcohol concentration
mg
dL
patient
emergency room
receiving
cannula
head of
CT scan
bottom left subdural hematoma
skull base fractures
intracranial pressure
mmHg
cerebral perfusion pressure
cerebral perfusion pressure
mmHg


Question: According to the development of Freud's Mind (psychosexual development) theory, at 3 to 5 year-old children in that stage of development?

Answer: Of the bud stage (phallic stage)

Choices:
A. Oral stage (oral stage)
B. Anal (anal stage)
C. Of the bud stage (phallic stage)
D. The incubation period (latency stage)

psychosexual development
3
5 year
stage
development


Question: A 43-year-old male patient with a short time to eat each readme will feel cheek swelling and pain, symptoms will improve finished eating, this situation has been going on for several months. Open the patient's mouth found sublingual mucosa swelling, further deep palpation floor of the mouth has a lump, pus discharge accompanied by extrusion. About this patient's statements is wrong?

Answer: Fewer lesions appear in the mandibular gland (submandibular gland)

Choices:
A. May be Sialolithiasis (sialolithiasis)
B. The disease often need and mumps (parotitis) differential diagnosis
C. Fewer lesions appear in the mandibular gland (submandibular gland)
D. X-ray diagnosis can be used


Question: On the current Lee's blood sugar control, which of the following is the best approach?

Answer: The drug is not adjusted, ask the patient to use drugs

Choices:
A. Increased metformin (500mg) dose of 2 # BID, glipizide (5mg) 1 # BID dose unchanged, and the possibility of hypoglycemia inform
B. The drug is not adjusted, the feasibility of asking patients to quit smoking
C. The drug is not adjusted, ask the patient to use drugs
D. The drug is not adjusted, ask the patient to increase the feasibility of movement periods

current
blood sugar control
following
best approach


Question: A seizure of suspected patients receiving brain wave examination, the brain waves are normal, which means:

Answer: Can not rule out the possibility of seizures

Choices:
A. Can not rule out the possibility of seizures
B. Certainly no seizures
C. There must seizures
D. Do not need to track clinic


Question: A 60-year-old man hospitalized because of abdominal swelling, but do check for ascites drainage diagnostic results for the white blood cell count 300 / mm3, which accounted for 35% polymorphonuclear cells, the protein value of 2.0 g / dL, albumin value of 1.2 g / dL; serum albumin value of 2.6 g / dL, or less that of one of the most likely diagnosis?

Answer: heart failure

Choices:
A. heart failure
B. Tuberculous peritonitis
C. Peritoneal Cancer
D. Bacterial peritonitis

60 year old man hospitalized
abdominal swelling
check
ascites drainage diagnostic results
white blood cell count 300
mm3
accounted
35
protein value
2 0 g
dL
albumin value
g
serum albumin value
g
less
one
likely diagnosis


Question: Principles relating to human fracture (fracture) rehabilitation, which of the following error?

Answer: Local hyperthermia acute fracture can reduce pain, reduce muscle spasm (spasm)

Choices:
A. For fracture patients, not fixed plus joint motion should be as soon as possible
B. For the elderly, gait training when first using a walker (walker)
C. Local hyperthermia acute fracture can reduce pain, reduce muscle spasm (spasm)
D. For fracture patients, appropriate increase in weight (weight bearing) can promote healing

relating
human fracture
fracture
rehabilitation
following error


Question: Of antihypertensive drugs in glaucoma, pilocarpine (pilocarpine) that belongs to an agent?

Answer: Parasympathomimetic agents (parasympathomimetics)

Choices:
A. Parasympathomimetic agents (parasympathomimetics)
B. Parasympathetic suppression agent (parasympatholytics)
C. Sympathetic suppression agent (sympatholytics)
D. Carbonic anhydrase inhibitors (carbonic anhydrase inhibitor)

antihypertensive drugs
glaucoma
pilocarpine
pilocarpine
agent


Question: 53 Lee three years ago slowness, face stiff medication at a medical center, a meal, three times a day, have a good effect. But recently burst body stiff, unable to move for about a half hour. He again consult a physician, a physician becomes the dose every half stars, four times a day, this situation improved body stiffness. Please inference Lee's disease and medication, which of the following is most correct?

Answer: Parkinson's disease (Parkinson's disease) and L-dopa

Choices:
A. Parkinson's disease (Parkinson's disease) and L-dopa
B. Dike Shi present resistance syndrome (Benedikt's syndrome) and Aspirin
C. Jackson's seizures (Jacksonian seizure) and phenytoin
D. Ji Lambarene syndrome (Guillain-Barré syndrome) and Vitamin B1

three years
slowness
face stiff medication
medical center
three times
day
good effect
recently burst body stiff
unable to move
half hour
physician
physician
dose
half stars
four times
day
improved body stiffness
disease
medication
following
most correct


Question: The following items and what type of hepatitis B vaccine failure has nothing to do?

Answer: Neonatal

Choices:
A. Obesity
B. Neonatal
C. Old people
D. Immunocompromised

following
type
hepatitis B vaccine failure
to


Question: 39-year-old pregnant woman, G3P1, 38 weeks of pregnancy, expectant admission fetal monitor checks accepted, result in the following figure: its interpretation Why?

Answer: sinusoid pattern

Choices:
A. early deceleration
B. variable decelerations
C. late deceleration
D. sinusoid pattern

year old
weeks
pregnancy
fetal monitor checks accepted
result
following
interpretation


Question: Easy to damage the structure below the next to go when the removal of the submandibular duct submandibular gland (submandibular gland) are:

Answer: Lingual nerve (lingual nerve)

Choices:
A. Hypoglossal nerve (hypoglossal nerve)
B. Lingual nerve (lingual nerve)
C. Inferior alveolar nerve (inferior alveolar nerve)
D. Chorda tympani nerve (chorda tympani)

Easy to damage
structure
next to go
removal of
submandibular duct
gland
submandibular gland


Question: 48 a 80-year-old man, the last two weeks to appear dark urine (tea color urine), skin jaundice, weight loss, Bil (T / D) level 7 / 10.6 mg / dL, then the next picture shows what kind of inspection?

Answer: Percutaneous transhepatic photography (Percutaneous transhepatic cholangiography)

Choices:
A. Endoscopic retrograde biliary duct Photography (Endoscopic retrograde cholangiopancreatography)
B. Upper gastrointestinal (Upper GI series)
C. Percutaneous transhepatic photography (Percutaneous transhepatic cholangiography)
D. Urinary tract pelvis photography

48
80 year old man
last two weeks to appear dark urine
color urine
skin jaundice
weight loss
T
level
10.6
dL
then
next picture
kind
inspection


Question: Which of the following diseases, most often because of gene imprinting (genomic imprinting) of the mechanism and cause abnormal?

Answer: Beckwith-Wiedemann syndrome

Choices:
A. Mr. Tang disease (Down syndrome)
B. Neurofibromatosis (neurofibromatosis)
C. Beckwith-Wiedemann syndrome
D. Fanconi's anemia (Fanconi anemia)

following diseases
most often
gene imprinting
mechanism
cause abnormal


Question: Which of the following drugs can be used to treat insomnia, but it is the role of melatonin in the receptor?

Answer: ramelteon

Choices:
A. diphenhydramine
B. promethazine
C. ramelteon
D. cyproheptadine

following drugs
used to treat insomnia
role
melatonin
receptor


Question: 7.68-year-old female patient with hypertension and diabetes for 10 years, two years ago, blood creatinine 2.0 mg / dL, five weeks ago, blood creatinine 7.5 mg / dL. Last one week more severe high blood pressure, delirium, oliguria, edema, difficulty breathing, vomiting. Blood creatinine 9.6

Answer: Dialysis treatment

Choices:
A. Kidney biopsy
B. Dialysis treatment
C. With angiotensin-converting enzyme inhibitor therapy
D. In steroid pulse (pulse methylprednisolone) Treatment

year old female patient
hypertension
diabetes
two years
blood creatinine
0 mg
dL
five weeks
blood creatinine
mg
one week
severe high blood pressure
delirium
oliguria
edema
difficulty breathing
vomiting
Blood


Question: Related to insulin (insulin) gene synthesized before prohormone (preprohormone) of the narrative, which of the following error?

Answer: A or B chain of insulin are translated from two gene transcription

Choices:
A. Before the hormone insulin must be original endoplasmic reticulum (endoplasmic reticulum) synthesis
B. A or B chain of insulin are translated from two gene transcription
C. Insulin is produced by a multi-peptide precursor by proteolytic cleavage (proteolytic cleavage)
D. Synthesized into the secretory granules

Related
insulin
insulin
gene
prohormone
preprohormone
following error


Question: Which of the following is a prokaryote "nucleotide removal repair (Nucleotide excision repair)" main component?

Answer: Uvr A, B, C, D

Choices:
A. Ruv A, B, C, D
B. Uvr A, B, C, D
C. Rec A, Lex A, Rec BCD
D. Polymerase a, b, c, d

following
Nucleotide excision repair
main component


Question: A 30-year-old otherwise healthy men, summer vacation with friends to tour the Coast Mountains near Taitung, emergency home two weeks later, complained of fever, headache has been five days, physical examination found that patients with abdominal pain is not as shown lesions the man most likely to get infected which of the following?

Answer: Mite (Tsutsugamushi, scrub typhus)

Choices:
A. Salmonella (Salmonella)
B. Mite (Tsutsugamushi, scrub typhus)
C. Leech (leech)
D. Plague (plague)

30 year old
healthy
summer
to
Mountains
emergency home two weeks later
fever
headache
found
patients
abdominal pain
not
lesions
man
to
infected
following


Question: 80-year-old Mr Chen's body has always been in good health, freedom of movement, their right mind, been recently diagnosed prostate cancer, and already have bone metastases, urologist recommended surgery and removal of the testicles, by explaining to Mr Chen, Chen Lao Mr. willing to undergo surgery but refused removal of testicles. Mr Chen's son with the requirements of the attending physician anesthesia after surgery together with removal of testicles, anyway, Mr Chen big old, keep the testicles of little use after the operation, he will naturally accept. The attending physician should follow suit it?

Answer: Should not, because Mr Chen autonomy should be respected

Choices:
A. It should, because the child can decide on his behalf
B. It should, because the disease control help
C. Should not, because Mr Chen autonomy should be respected
D. Should not, because Mr Chen's son did not sign the consent form

80 year old Mr
body
always
movement
right
recently diagnosed prostate cancer
bone metastases
urologist
surgery
removal
testicles
Mr
Lao Mr
willing to
surgery
removal
testicles
Mr
requirements
attending physician anesthesia
surgery together
removal
testicles
Mr
big old
keep
testicles of little use
operation
accept
attending physician
follow


Question: Synthetic adrenocortical hormone (Cortisol) required for 21-β hydroxylase deficiency, following which no change?

Answer: Compensatory increase in corticosterone (corticosterone) to secrete

Choices:
A. Adrenocorticotropic hormone (ACTH) secretion will increase compensatory
B. As for the female patients may result in adrenal sex characteristics unusual syndrome (adrenogenital syndrome)
C. Adrenal androgen secretion (androgen) will be increased
D. Compensatory increase in corticosterone (corticosterone) to secrete

Synthetic adrenocortical hormone
Cortisol
required
21
hydroxylase deficiency
following
change


Question: Early diagnosis of necrotizing enterocolitis in preterm children (necrotizing enterocolitis), and abdominal X-ray examination was found to be the most typical abnormal accumulation of gas in where?

Answer: Intestinal wall (intramural)

Choices:
A. Within the intestinal lumen (intraluminal)
B. Intestinal wall (intramural)
C. Extramural intraperitoneally (Intraperitoneal)
D. Abdominal wall (abdominal wall)

Early diagnosis
necrotizing enterocolitis
preterm children
necrotizing enterocolitis
abdominal X-ray
found to
most typical abnormal accumulation
gas


Question: Next to dispose of what's the most inappropriate?

Answer: Feeding halved, concentrations halved

Choices:
A. Feeding halved, concentrations halved
B. Put a gastric tube drainage
C. Intravenous antibiotics
D. Arrange abdominal X-ray photography


Question: Which of the following sedative hypnotics, can be used for preoperative induction via intravenous way?

Answer: thiopental

Choices:
A. thiopental
B. amobarbital
C. secobarbital
D. pentobarbital

following sedative hypnotics
used
preoperative induction
intravenous


Question: Infertile couples, in the first visit, the first step to do is:

Answer: #VALUE!

Choices:
A. #VALUE!
B. #VALUE!
C. Understand the couple's history include: marriage, sex life, menstrual history and check done before
D. Analysis of sex hormones in the blood couples


Question: A 60-year-old woman who is a high-risk group for osteoporosis, the acceptance of dual-energy X-ray absorptiometry (DEXA) bone density screening. Inspection reports showed T value (Tscore) and a Z value (Z-score), the following diagnostic criteria for what is the value of osteoporosis?

Answer: T value ≤-2.5

Choices:
A. T value ≤-1.0
B. T value ≤-2.5
C. Z value ≤-1.0
D. Z value ≤-2.5

60 year old woman
osteoporosis
dual-energy X-ray absorptiometry
bone density screening
Inspection
T value
Tscore
value
Z-score
following
value
osteoporosis


Question: Pharyngitis (pharyngitis) 10 year-old boy occurred three weeks ago, examination revealed serum anti-streptolysin O and DNAase B significantly increased, chest auscultation significant friction murmur pericardial sac (fraction rub), another rapid heartbeat and cardiac arrhythmias, the following pathological changes, whichever is most representative of this patient's heart disease?

Answer: Myocarditis and locally fibrinoid necrosis (Myocarditis with focal fibrinoid necrosis)

Choices:
A. Eosinophilic myocarditis (Eosinophilic myocarditis)
B. Infective Endocarditis (Infective endocarditis)
C. Granulomatous outside endocarditis (Granulomatous pericarditis)
D. Myocarditis and locally fibrinoid necrosis (Myocarditis with focal fibrinoid necrosis)

Pharyngitis
pharyngitis
10 year old boy
three weeks
revealed serum
streptolysin O
DNAase B
increased
chest auscultation significant
murmur pericardial sac
fraction rub
rapid heartbeat
cardiac arrhythmias
following pathological changes
most representative
patient's heart disease


Question: Child's migraine (Migraine) the most common kind of why?

Answer: The migraine without aura

Choices:
A. The migraine without aura
B. Hints about the migraine
C. Hemiplegic migraine
D. Ophthalmoplegia migraine

Child's migraine
Migraine
most common kind


Question: On the causes Acquired amputation (acquired amputation), and what's wrong?

Answer: Traumatic lower limb amputations (traumatic amputation) mostly in the age group 60 to 70 years old

Choices:
A. The most common cause of lower limb amputation is vascular disease (vascular disease)
B. Traumatic lower limb amputations (traumatic amputation) mostly in the age group 60 to 70 years old
C. Location traumatic limb amputations are mostly concentrated in the following wrist to finger amputation (digital amputation) for most
D. Whether the upper or lower extremity amputation, cancer (tumor) is the most common cause of children's groups

causes Acquired amputation
acquired amputation
wrong


Question: Account of involuntary weight loss (involuntary weight loss), and which of the following error?

Answer: Hyperthyroidism, loss of appetite and weight loss is the main cause of

Choices:
A. Within 6-12 months, weight loss more than 4.5 kg
B. Within 6 to 12 months, previous weight loss greater than 5% of body weight
C. Hyperthyroidism, loss of appetite and weight loss is the main cause of
D. COPD is one of the reasons

Account of
weight loss
involuntary weight loss
following error


Question: The following account of T cells, whichever is correct?

Answer: Help B cell antibody heavy-chain type conversion (isotype switching)

Choices:
A. In the growth center lymph nodes (germinal center) aggregated cells of most
B. Help B cell antibody heavy-chain type conversion (isotype switching)
C. Differentiation can be by action of IL-12 is in the form of Th2 cells
D. Directly involved in the first type hypersensitivity (type-1 hypersensitivity)


Question: The most appropriate medication vicious high temperature (malignant hyperthermia) Which of the following for the treatment of succinylcholine-induced?

Answer: dantrolene

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

most appropriate medication
high temperature
malignant hyperthermia
following
treatment
succinylcholine induced


Question: Under the direction of the eye to see who are heading, to rely on the following muscle groups at the same time contribute to that?

Answer: Medial rectus and superior oblique

Choices:
A. Rectus and inferior rectus
B. Medial rectus and inferior oblique
C. Medial rectus and superior oblique
D. Medial rectus and superior rectus

direction
eye to see
to
following muscle groups
same time


Question: After the radial artery anatomical snuffbox (anatomical snuff box) passes through which of the following into the palm of your hand?

Answer: First dorsal interosseous muscle (lst. Dorsal interosseous m.)

Choices:
A. Thumb muscle on the palm (opponens pollicis)
B. The first palmar interosseous muscle (lst. Palmar interosseous m.)
C. First dorsal interosseous muscle (lst. Dorsal interosseous m.)
D. Abductor hallucis brevis muscle (abductor pollicis brevis) 8 Which of the following does not supply the glenohumeral joint (glenohumeral joint) of blood?

radial artery anatomical snuffbox
anatomical snuff box
passes
following
palm of
hand


Question: 35. The 60-year-old Ms. Zhu, loss of appetite there is a month old, went to the gastroenterologist for treatment, because ultrasound examination revealed massive ascites, serum CA-125 up to U / mL, then go to gynecology. In addition to vaginal ultrasound examination revealed ascites, uterus and ovaries is normal, after a series of tests, the initial diagnosis of peritoneal cancer (peritoneal serous papillary carcinoma). The following statements is wrong?

Answer: This disease is characterized by Wolffian carcinoma

Choices:
A. This disease is characterized by Wolffian carcinoma
B. This tissue diseases and immunochemical staining and ovarian cancer are very similar
C. This ovarian diseases should be no violation or infringement only without Scientology ovarian mass, or violation of the ovarian cortex stromal tumors smaller than 5 × 5 mm
D. Ovarian lesions must be greater than any of the side surface lesions of the ovary, omentum and in particular a broad lesions in the upper abdomen


Question: 79 World Medical Association Declaration of Helsinki established clubs (Declaration of Helsinki) in each study human studies must be told that the following? ① purpose, method ② source of funding research, any possible conflicts of interest ③ ④ researchers affiliation of the study foreseeable benefits, and the right to have its dangers and discomfort may accompany ⑤, including refuse to participate in research, or at any time withdrawal of consent from retaliation

Answer: ①②③④⑤

Choices:
A. Only ①③④⑤
B. Only ①④⑤
C. Only ①③④
D. ①②③④⑤

Medical Association
established clubs
study
studies
following
purpose
source
funding
possible
researchers affiliation
study
benefits
right to
discomfort
including
to
time withdrawal
consent


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

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy) was started by the lower extremities weakness of the muscle disease

Choices:
A. Blood creatine kinase (creatine kinase) values are useful for the diagnosis of muscle disease
B. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy) was started by the lower extremities weakness of the muscle disease
C. Muscle biopsy diagnosis of polymyositis
D. Myotonic dystrophy (myotonic dystrophy) is a common hereditary muscle disease of adults


Question: Proteins involved in the electron transport chain amino acid complex is formed using that kind of iron-sulfur center, the secondary electron transfer?

Answer: Half 胱胺 acid (cysteine)

Choices:
A. Alanine (alanine)
B. Methionine (methionine)
C. Tryptophan (tryptophan)
D. Half 胱胺 acid (cysteine)

Proteins involved
transport chain amino acid complex
formed using
kind
iron sulfur center
secondary


Question: The following description on the use of a wheelchair, whichever is the most correct?

Answer: Ramp for wheelchairs, the slope should be less 1/12

Choices:
A. Wheelchair seat height (seat height), the bottom surface of the heel to the tip of the patella plus 2 inches
B. Stroke patients with hemiplegia, the need to have to use a wheelchair detachable armrest
C. The height of the wheelchair seat back (back height), from the seat surface to the lower edge of the scapula plus 2 inches
D. Ramp for wheelchairs, the slope should be less 1/12

following
use of
wheelchair
most correct


Question: (Bearing the title) compared with patients in the future likely to develop lymphoma Which of the following?

Answer: Type peripheral area lymphoma (marginal zone lymphoma)

Choices:
A. T lymphocytes of diffuse lymphoma (diffuse T-cell lymphoma)
B. Type peripheral area lymphoma (marginal zone lymphoma)
C. By cell lymphoma (mantle cell lymphoma)
D. Hodgkin's lymphoma (Hodgkin lymphoma)

Bearing
title
patients
future likely to
lymphoma
following


Question: 35-year-old female patient kidney function within eight months from the normal progression to severe renal failure. Retroactive multiple drug used in the past found her component contains aristolochic acid (aristolochic acid). Which of the following is most likely to represent the pathological changes inside of her kidneys?

Answer: interstitial fibrosis with relative paucity of inflammation

Choices:
A. interstitial inflammation with predominant eosinophils
B. crescentic glomerulonephritis
C. acute tubular necrosis
D. interstitial fibrosis with relative paucity of inflammation

35 year old female patient kidney function


Question: Tay-Sachs disease is one (lysosomal storage disease) enzyme solution body storage disease, which is due to the lack of these enzymes caused what?

Answer: beta-N-acetylhexosaminidase

Choices:
A. beta-N-acetylhexosaminidase
B. HMG-CoA reductase
C. alpha-1,4-glucosidase
D. amylo-1,6-glucosidase

Tay-Sachs disease
one
lysosomal storage disease
enzyme solution body storage
due to
lack
enzymes caused


Question: An 80-year-old male kidney tissue of small blood vessels appear extensive thickening and hyaline degeneration (hyaline change) occurs under a microscope, the following diseases, whichever is the most common cause of this pathology?

Answer: Prolonged systemic hypertension

Choices:
A. Prolonged systemic hypertension
B. Membranous glomerulonephritis
C. Renal cell carcinoma
D. Acute pyelonephritis


Question: To assess whether patients without menstruation (amenorrhea), it is not necessary to check one of the following?

Answer: Diagnostic laparoscopy

Choices:
A. Urine pregnancy test
B. Diagnostic laparoscopy
C. Ultrasonography
D. Blood test related hormone (TSH, prolactin, FSH)

To
patients
menstruation
amenorrhea
not
to check one


Question: Those 77 following tapeworm in humans can cause auto-infection (autoinfection)? ① hook tapeworm (Taenia solium) ② wide section Diphyllobothrium tapeworm (Diphyllobothrium latum) ③ short envelope tapeworm (Hymenolepis nana) ④ particulate raw packet tapeworms (Echinococcus granulosus)

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②④
D. ③④

following tapeworm
humans
cause auto-infection
autoinfection
hook tapeworm
Taenia solium
wide section
tapeworm
short envelope tapeworm
raw packet
Echinococcus granulosus


Question: For diverticulum esophagus (esophageal diverticula) Which of the following is the best diagnostic tool?

Answer: Photography esophagus barium (barium esophagram)

Choices:
A. Chest computed tomography
B. Breast magnetic resonance imaging (MRI)
C. Photography esophagus barium (barium esophagram)
D. Gastroscopy

diverticulum esophagus
esophageal diverticula
following
best diagnostic tool


Question: 50-year-old woman six years ago due to uterine fibroids hysterectomy, complained of heart palpitations, hot flashes, insomnia, blood concentration of FSH 50 mIU / mL, the most appropriate drug treatment for:

Answer: Estrogen

Choices:
A. Estrogen
B. Lutein
C. The combined estrogen-progesterone
D. Male hormone

50 year old woman six years
due to uterine fibroids hysterectomy
heart palpitations
hot flashes
insomnia
blood concentration
50 mIU
mL
most appropriate drug


Question: Headache patients to sleep and wake up pain, the patient headache etiology, Which of the following is least likely to answer?

Answer: Tension headache (Tension headache)

Choices:
A. Increased intracranial pressure caused by brain tumors
B. Tension headache (Tension headache)
C. Migraine (migraine)
D. Trigeminal Neuralgia

Headache patients to sleep
wake up pain
patient headache etiology
following
least likely to


Question: A 6-week-old boy, had looks glowing, but in recent days the situation began to clear spits. According to his mother narrative, the children seem to want to breast pump, but soon suck light on the spit, spit after very want to suck. Vomit is white. What do you think of the following items checked top priority?

Answer: Careful palpation of the abdomen

Choices:
A. Careful palpation of the abdomen
B. Abdominal X-ray
C. Abdominal ultrasound
D. Upper gastrointestinal

week old boy
looks
recent days
began to clear spits
children
breast pump
suck light
spit
spit
very
to suck
Vomit
white
following
top priority


Question: When apoptosis (apoptosis), following what most might change?

Answer: DNA fragmentation (fragmentation)

Choices:
A. Activity of the various caspases was inhibited
B. DNA fragmentation (fragmentation)
C. After the cell volume increases bursting
D. Cause severe inflammatory response

apoptosis apoptosis following most change


Question: Pinching the glans induced contraction of the anal sphincter is reflected by the following nerve conduction via any?

Answer: Perineal nerve (pudendal nerve)

Choices:
A. Hypogastric nerve (hypogastric nerve)
B. The pelvic nerve (pelvic nerve)
C. Recommended visceral nerve (sacral splanchnic nerve)
D. Perineal nerve (pudendal nerve)

Pinching
glans induced contraction
anal sphincter
following nerve conduction


Question: Midbrain ventral tegmental area to the projected path of the nucleus accumbens plays an important role in the reward system, the path of this important nerve transmitter substance (neurotransmitter) Why?

Answer: dopamine

Choices:
A. NEXT
B. dopamine
C. glutamate
D. glycine

Midbrain ventral tegmental area
path of
nucleus
plays
important role
system
path
important nerve transmitter
neurotransmitter


Question: A 40 year old male patient, hospitalized due to ascites gradually worsened, its serum-ascites albumin gradient (SAAG) <1.1, following diagnosis, whichever is most likely?

Answer: Nephrotic syndrome

Choices:
A. Cirrhosis
B. heart failure
C. Budd-Chiari syndrome
D. Nephrotic syndrome

40 year old male patient
hospitalized due to ascites
worsened
serum-ascites albumin gradient
1.1
following diagnosis


Question: Which of the following calcium ions responsible for receiving the message, and then start the skeletal muscle cell contraction?

Answer: troponin

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

following calcium ions responsible
receiving
then start
skeletal muscle cell contraction


Question: The following account of the polio virus (poliovirus), the what's right?

Answer: Paralytic poliomyelitis (paralytic poliomyelitis) mainly because before this infection caused by spinal dorsal horn cells

Choices:
A. Are small RNA virus family (Picornaviridae) on the classification, only one serotype
B. Its vaccine to active (inactivated) Sabin vaccines, and attenuated activity (live attenuated) Salk vaccine
C. Most people showed symptoms of central nervous system infection, a small number of people with asymptomatic infection
D. Paralytic poliomyelitis (paralytic poliomyelitis) mainly because before this infection caused by spinal dorsal horn cells


Question: The pressure difference at both ends of two vessels, blood viscosity, line length conditions are the same conditions, flows through the inner diameter of the blood vessel per unit time was 4 cm 2 times the flow rate of blood flow in the blood vessels of cm?

Answer: 16 times

Choices:
A. 2 times
B. 4 times
C. 8 times
D. 16 times

ends
two vessels
blood viscosity
line length conditions
same conditions
flows
inner diameter
blood vessel
unit time
4
times
flow rate
blood
blood vessels


Question: Hypertensive patients with prostatic hypertrophy is difficult urination, which should be treated with the following antihypertensive drugs?

Answer: Terazosin

Choices:
A. Clonidine
B. Yohimbine
C. Terazosin
D. Ritodrine

Hypertensive patients
prostatic hypertrophy
difficult urination
treated with
following antihypertensive drugs


Question: Infectious droplet nuclei in the air will affect the size of the proportion of its storage in the alveoli, following which the diameter of the droplet nuclei more easily into the alveoli?

Answer: 2mm

Choices:
A. 2000mm
B. 200mm
C. 20 microns
D. 2mm

Infectious nuclei air size proportion storage alveoli following diameter nuclei easily alveoli


Question: Which of the following diseases will not have hypokalemia with metabolic alkalosis?

Answer: Gordon's syndrome

Choices:
A. Bartter's syndrome
B. Primary aldosteronism
C. Liddle's syndrome
D. Gordon's syndrome

following diseases
not
hypokalemia
metabolic alkalosis


Question: 7 a 62-year-old female patient suffering from diabetes ten years, the last month with angiotensin-converting enzyme inhibitor to control high blood pressure to 130/80 mmHg, two weeks ago, blood creatinine 1.0 mg / dL, recently two weeks blood pressure rose to 170 / 100 mmHg, oliguria, edema, orthopnea, loss of appetite, vomiting. Now blood BUN 60 mg / dL, creatinine 3.5 mg / dL, urine protein 4+. The following statements is most accurate?

Answer: Immediately stop using angiotensin-converting enzyme inhibitor

Choices:
A. Immediately stop using angiotensin-converting enzyme inhibitor
B. Renal biopsy done immediately
C. Do check immediately renal arteriography
D. Now treating a steroid pulse (pulse methylprednisolone)


Question: Childbirth, examination of the fetal head first exposed parts (presenting part), the Which of the following is most reasonable?

Answer: Vaginal examination

Choices:
A. Vaginal examination
B. Ultrasound
C. Colposcopy
D. CT

Childbirth
fetal
first exposed parts
part
following
most


Question: 69-year-old woman after taking cold medicine due to nausea, vomiting, headache, blurred vision and eye pain to the emergency room for treatment, physical examination revealed moderately dilated pupil, anterior chamber shallowing, corneal opacity is unclear, the patients most likely to the principal diagnosis:

Answer: Acute angle-closure glaucoma

Choices:
A. Acute conjunctivitis
B. Acute angle-closure glaucoma
C. Viral keratitis
D. Acute iritis

69 year old woman
cold medicine
nausea
vomiting
headache
blurred vision
eye pain
emergency room
treatment
revealed moderately dilated pupil
anterior chamber shallowing
corneal opacity
patients
likely
principal diagnosis


Question: Related to abdominal compartment syndrome (abdominal compartment syndrome) of the narrative, which of the following error?

Answer: Abdominal pressure performance may be inferior vena cava pressure to represent the most accurate

Choices:
A. Abdominal pressure increases will lead to multiple organ function of the affected state, generally open abdominal surgery can ease
B. Bladder pressure is above 35 mmHg, the need for active decompression, or there will be functional impairment may
C. Late pressure, the mortality rate may be as high as Qi Cheng
D. Abdominal pressure performance may be inferior vena cava pressure to represent the most accurate

Related
abdominal compartment syndrome
abdominal compartment syndrome
following error


Question: 70.50-year-old male hypertensive patients tell doctors when this back to the clinic, there is a naturopathic friend told him, "eat corn every day can lower blood pressure," the community he lives in, there are many people use, he explained that hypertension is "hot" the disease, while corn is "cold" foods. Assuming that eat corn this patient's health is not harmful, physicians Which of the following is the most appropriate response?

Answer: "Drugs can effectively lower blood pressure, you can use along with corn."

Choices:
A. "Eat corn can not lower blood pressure, if you insist on eating corn, I can not continue to provide treatment."
B. "You have friends who received medical training?"
C. "It would first try to eat corn and suspended antihypertensive drugs, such as after a month, if blood pressure is still high, my blood pressure medicine to open to you."
D. "Drugs can effectively lower blood pressure, you can use along with corn."

70 50 year old male hypertensive patients


Question: Lower edge of the heart (inferior border) Which of the following is mainly formed?

Answer: Right ventricle

Choices:
A. The roots of large vessels
B. Right atrium
C. Left ventricular
D. Right ventricle

Lower edge
heart
inferior border
following
formed


Question: Dr. Chang in clinical care to a very interesting case of prostate cancer, he wanted to further prostate cancer case-control study to understand the relative performance of similar. Dr. Chang will be associated with the pathology Colin physician to discuss ideas and further written research project, has also been reviewed by the Research Ethics Committee. When Dr. Chang intends to undertake studies, pathology Colin physician Dr. Chang told politely, as long as the pathological specimen used in the Department of Pathology, regardless of the outcome of the study, Department of Pathology, Director Wang require future papers, corresponding author must hang name Director Wang, Director Wang did not even participate in the program throughout the study. Director Wang on such a request, the following statements is most appropriate?

Answer: Department of Pathology, Director Wang unreasonable demands. Because Director Wang did not participate in the program throughout the study

Choices:
A. Department of Pathology, Director Wang reasonable requirements. Because the relevant pathology specimen from the Department of Pathology, Director Wang Corresponding author nominal requirements in line with research ethics
B. Department of Pathology, Director Wang reasonable requirements. Because if it wants to cooperate with Zhang, MD, Department of Pathology, Department of Pathology, Director Wang Corresponding author nominal requirements in line with research ethics
C. Department of Pathology, Director Wang unreasonable demands. Because Director Wang did not participate in the program throughout the study
D. Department of Pathology, Director Wang unreasonable demands. Director Wang has for many years because there is no work published, nominal Corresponding author does not have any helpful for published papers

Dr
clinical
very
case of prostate cancer
wanted
further prostate cancer
to
relative
similar
Dr
associated with
pathology
physician to
further written
reviewed
Research Ethics Committee
Dr
to
studies
pathology
physician Dr
long
pathological specimen used
of Pathology
regardless
future papers
author
hang name
not
program
study
Director
following
most appropriate


Question: About eating organic phosphorus (organophosphate) poisoning, the cause of muscle paralysis, Which statement is correct?

Answer: acetylcholine release of motor neurons can not be hydrolyzed cleared

Choices:
A. Muscle acetylcholine receptors organophosphorus occupy the endplate
B. Motor neuron can not generate action potentials
C. Motor nerves can not release acetylcholine
D. acetylcholine release of motor neurons can not be hydrolyzed cleared

eating organic phosphorus
organophosphate
poisoning
cause
muscle paralysis
correct


Question: From the previous question, I do not know the condition of the original patient, the patient suddenly you Shunkou Wen, who in the end get what disease, then how should in principle be more appropriate answer?

Answer: It should be honest and inform, but to do emotional support after informing the preparation and inform

Choices:
A. Tell him it just chronic lung disease
B. Family members told to stop, so gloss over just fine
C. Will he say go with the patient's oncologist
D. It should be honest and inform, but to do emotional support after informing the preparation and inform

previous
I
not
condition
original patient
patient
Wen
end
disease
then
more appropriate


Question: Following that kind of mature blood cells did not show the first type major histocompatibility complex (MHC class I) molecule?

Answer: erythrocyte

Choices:
A. B cells
B. erythrocyte
C. T cells
D. Macrophages


Question: A 75-year-old man, do not have diabetes, but the lower limbs Jie varicose veins (varicose vein), lower limb edema situation for many years, to the emergency room complained of itching and swelling of both lower extremities, and wound healing situation, as shown in the following statements what's wrong?

Answer: This is peripheral arterial occlusive disease (peripheral arterial occlusion disease, PAOD) clinical signs

Choices:
A. Suspected stasis dermatitis
B. This is peripheral arterial occlusive disease (peripheral arterial occlusion disease, PAOD) clinical signs
C. If the infection, you need to use antibiotics
D. Patients usually need to use an elastic stockings, leg raise to reduce lower extremity venous hypertension (venous hypertension)

75 year old man
not
diabetes
lower limbs
varicose veins
varicose vein
lower limb edema
years
emergency room
itching
swelling
lower extremities
wound healing
following
wrong


Question: According to the provisions of palliative care regulations, without performing CPR applies only to the kind of patient?

Answer: Terminally ill patient

Choices:
A. Terminally ill patient
B. Surgery patients
C. Emergency case
D. Vegetable

palliative
CPR applies only
kind
patient


Question: About "⾎ clear CA19-9 value" to describe the treatment of pancreatic cancer (pancreatic ductal adenocarcinoma), whichever is correct?

Answer: "⾎ surgery before the watch in clear CA19-9 value" of pancreatic cancer patients and other (stage) with correlation

Choices:
A. "CA19-9 value ⾎ clear increase during" a necessary condition for the diagnosis of pancreatic cancer
B. "CA19-9 values increase during ⾎ clear" recommended that you use in pancreatic cancer screening (screening)
C. "⾎ surgery before the watch in clear CA19-9 value" of pancreatic cancer patients and other (stage) with correlation
D. Nothing to do "in the watch after ⾎ clear CA19-9 value" and the patient's prognosis

About
clear CA19-9 value
to
the treatment of pancreatic cancer
pancreatic ductal adenocarcinoma
correct


Question: Snowman heart (Snowman heart) is most common in:

Answer: Full abnormal pulmonary venous return (Total anomalous pulmonary venous return)

Choices:
A. Full abnormal pulmonary venous return (Total anomalous pulmonary venous return)
B. Most abnormal pulmonary venous return (Partial anomalous pulmonary venous return)
C. Great vessels diseases (Transposition of great arteries)
D. Method Rockwell quartet deformities (Tetralogy of Fallot)


Question: Miss Ho, 18 years old, dark urine and abdominal distension due to our clinic. Physical examination found jaundice, and liver enlargement, laboratory tests for the AST 1500 U / L, ALT 1600 U / L, bilirubin 5.2 mg / dL, ALP and γ-GT was normal, no abnormal abdominal ultrasound. The following statements is wrong?

Answer: Should be detected IgM anti-HCV

Choices:
A. IgM anti-HAV to be detected
B. Should be detected IgM anti-HBc
C. Should be detected IgM anti-HCV
D. Should detect ANA (Antinuclear antibody)

Miss Ho
years old
dark urine
abdominal distension due to
clinic
found jaundice
liver enlargement
laboratory tests
AST 1500 U
L
ALT 1600 U
L
bilirubin
mg
dL
ALP
GT
normal
abnormal abdominal
following
wrong


Question: 71. The rehabilitation assessment, it does not belong to one of the following ADL (activities of daily living) and IADL (Instrumental ADL) assessment content?

Answer: Grip strength large and small

Choices:
A. Grip strength large and small
B. Wheelchair shift
C. Cooking food
D. Wear Belt

rehabilitation assessment
not
one
following ADL
IADL


Question: About Wilson's disease (Wilson disease), the following statements is wrong?

Answer: Eye retina (Retina) appears Kayser-Fleischer ring

Choices:
A. Belonging to the body autosomal recessive (Autosomal recessive) genetic disorders
B. Not find the cause of hepatitis, Wilson's disease should be listed as a differential diagnosis
C. Eye retina (Retina) appears Kayser-Fleischer ring
D. Ceruloplasmin majority of patients the serum concentration will be reduced


Question: A 62-year-old female breast cancer patients, due to the generation neutropenia after chemotherapy low fever (neutropenic fever) hospitalization. Later, blood culture cultured Pseudomonas aeruginosa (Pseudomonas aeruginosa), choose whichever is most appropriate antibiotic treatment?

Answer: ceftazidime (third generation cephalosporins Cephalosporins)

Choices:
A. Cefazolin (genus first generation cephalosporins Cephalosporins)
B. Cefuroxime (case of a second-generation cephalosporin antibiotics Cephalosporins)
C. ceftazidime (third generation cephalosporins Cephalosporins)
D. that ceftriaxone (third generation cephalosporins Cephalosporins)

62 year old female breast cancer patients


Question: Which of the following is a genetic disease tissue structural proteins (structural proteins) defects caused?

Answer: Ehlers - Danlos syndrome (Ehlers-Danlos syndrome)

Choices:
A. Ehlers - Danlos syndrome (Ehlers-Danlos syndrome)
B. 黏多 醣貯 product disease (mucopolysaccharidoses)
C. High snow Mr. disease (Gaucher disease)
D. Dai - Sachs disease (Tay-Sachs disease)


Question: Medical personnel on emergency treatment of patients with airway obstruction, which of the following error?

Answer: When unconscious patient, the patient should immediately kneeling on both sides across the thighs, two hands overlap on the roots slightly above the navel, lower abdomen with a beat 5

Choices:
A. When unconscious patient, the patient should immediately kneeling on both sides across the thighs, two hands overlap on the roots slightly above the navel, lower abdomen with a beat 5
B. When unconscious patient, CPR should be performed in a similar operation, are identical with the parts of chest compression and the number ratio of the blow
C. After the pressure in the chest, the mouth should be checked without foreign body, if any of the excavation, without the blowing trial
D. For emergency airway obstruction conscious, in addition to pressure the abdomen, chest pressure and can Chuibei

Medical personnel
emergency treatment
patients
airway obstruction
following error


Question: Statements about erectile dysfunction, Which statement is correct?

Answer: High cholesterol, diabetes and high blood pressure can cause cavernous vascular endothelial cell dysfunction

Choices:
A. Each patient should receive nocturnal penile tumescence test (nocturnal penile tumescence test)
B. To supplement male hormone
C. A first line using the color Doppler ultrasound examination should
D. High cholesterol, diabetes and high blood pressure can cause cavernous vascular endothelial cell dysfunction


Question: Axillary crutches (axillary crutch) if used improperly, most likely to a nerve injury to that?

Answer: Radial nerve (radial nerve)

Choices:
A. Axillary nerve (axillary nerve)
B. Radial nerve (radial nerve)
C. The median nerve (median nerve)
D. Ulnar nerve (ulnar nerve)

Axillary crutches
axillary crutch
used
likely to
nerve injury


Question: 33-year-old man presented with paroxysmal abdominal pain and medical treatment, the patient's temperature is normal, stable vital signs, patients before contrast injection (pre-contrast) of the CT scan as shown in the following diagnostic whichever is most appropriate?

Answer: Kidney stones

Choices:
A. Acute appendicitis
B. Gastroenteritis
C. Kidney stones
D. cholecystitis

year old man
paroxysmal abdominal pain
medical treatment
patient's temperature
normal
stable vital signs
patients
contrast injection
pre-contrast
CT scan
following diagnostic
most appropriate


Question: Statements about anaphylactoid purpura (Henoch-Schönlein Purpura) is, which of the following most relevance?

Answer: Pay attention to whether the merger abdominal pain, joint pain, urinary ⾎

Choices:
A. ⼀ is an allergic reaction to IgE-based
B. Most of the sick need zoomed Face Using steroids
C. Because symptoms on your skin, the local treatment required
D. Pay attention to whether the merger abdominal pain, joint pain, urinary ⾎

anaphylactoid purpura
Henoch
Purpura
following
relevance


Question: About pneumothorax (pneumothorax) narrative, Which statement is correct?

Answer: Patients with primary spontaneous pneumothorax (primary spontaneous pneumothorax) after the occurrence of a pneumothorax, about 50% will relapse

Choices:
A. Patients with primary spontaneous pneumothorax (primary spontaneous pneumothorax) after the occurrence of a pneumothorax, about 50% will relapse
B. When a patient using a respirator, the sudden tension pneumothorax (tension pneumothorax) occurs, the physician can not be diagnosed by physical checkups
C. Patients with pleural effusion (pleural effusion), through the needle catheter drainage, pneumothorax (pneumothorax), the needle must cause visceral pleura (visceral pleura) hole
D. Patients with chronic obstructive pulmonary disease (chronic obstructive pulmonary disease) pneumothorax occurred, as long as the oxygen treatment and observation can be administered


Question: ⽣ zoomed learn to ride a machine ⾞ unfortunate hair ⽣ ⾞ disaster, resulting in the left leg ⼩ complex fractures, after opening ⼑ fixed in a stable condition. After a few date chest pain, difficulty breathing, into the intensive care unit, the diagnosis is most likely to:

Answer: Pulmonary embolism

Choices:
A. Defeated ⾎ disease
B. Pulmonary embolism
C. Intracranial out ⾎
D. Bacterial pneumonia

to
machine
hair
resulting in
left leg
complex fractures
opening
fixed
stable condition
few date chest pain
difficulty breathing
intensive care unit
diagnosis


Question: A 30-year-old young woman was diagnosed with streptococcus (Streptococcus) sore throat, a few days before the two lower leg, the number of stars appear red nodules tenderness, the following statements is wrong?

Answer: Infiltration of inflammatory cells occurs mainly in the subcutaneous adipose tissue, mainly in lobular panniculitis

Choices:
A. In accordance with the history, consider erythema nodosum (erythema nodosum)
B. Skin lesions usually do not produce ulcers
C. Infiltration of inflammatory cells occurs mainly in the subcutaneous adipose tissue, mainly in lobular panniculitis
D. In addition to the treatment of sore throat, but should stay in bed and consider using NSAIDs therapy

30 year old young woman
diagnosed
sore throat
few days
two lower leg
number
stars appear red nodules tenderness
following
wrong


Question: That would increase following a vitamin metabolism of levodopa to the surrounding tissue?

Answer: vitamin B6

Choices:
A. vitamin B6
B. vitamin B12
C. vitamin D
D. vitamin E

increase following
levodopa
surrounding tissue


Question: Intestinal bacillus Branch (Enterobacteriaceae) Which of the following bacterial fermentation of sugars ability, often used as a preliminary identification purposes?

Answer: Lactose (lactose)

Choices:
A. Dextrose (glucose)
B. Sugar (sucrose)
C. Lactose (lactose)
D. Arabinose (arabinose)

Intestinal
Branch
following bacterial
ability
often used
preliminary identification purposes


Question: A 25-year-old men in the construction of the viaduct, accidentally fall, rushed through the emergency room, physical examination showed signs of life stable, clear consciousness, but found two lower limb muscle strength 0 points, no feeling and no lower limb deep tendon reflection (deep tendon reflex), X-ray examination found the eighth thoracic vertebra fractures. For its lower extremity neurologic recovery on the prognosis, the most important is to check which of the following?

Answer: Penis ball cavernous muscle reflex (bulbocavernous reflex) inspection

Choices:
A. Penis ball cavernous muscle reflex (bulbocavernous reflex) inspection
B. EMG (electromyograms) and nerve conduction (nerve conduction studies)
C. Myelography (myelography) inspection
D. The whole front and side spine X-ray (whole spine X-ray) inspection


Question: Following a newborn male infant suffering from purely about the great arteries (TGA with intact ventricular septum) of the process, what is wrong?

Answer: After surgery to improve the success rate, it is recommended one month old, square implement great vessels surgery

Choices:
A. Given prostaglandin E1, to maintain the patent ductus arteriosus (PDA) clear
B. Give balloon atrial ostomy (balloon atrioseptostomy)
C. Maintain body temperature, correct acidosis or low blood sugar
D. After surgery to improve the success rate, it is recommended one month old, square implement great vessels surgery

Following
newborn male suffering
great arteries
TGA
intact ventricular septum
process
wrong


Question: About proximal tubular sodium reabsorption narrative, which of the following error?

Answer: Basolateral membrane (basolateral membrane) will use sodium - potassium - chloride cotransporter (Na-K-2Cl cotransporter) between the transport fluid to the tissue

Choices:
A. The top film (apical membrane) glucose and sodium ions, phosphorus ions are cotransport (cotransporter) absorption
B. Basolateral membrane (basolateral membrane) will use sodium - potassium - chloride cotransporter (Na-K-2Cl cotransporter) between the transport fluid to the tissue
C. Via passive transport (passive transport), a small portion of the sodium ions will be through intercellular tight junctions (tight junction) back tubular cavity
D. Filtering the sodium ions about 60% of tubules is reabsorbed in the proximal tubule circulation back


Question: A 70-year-old male patient was on the right pleural effusion (pleural effusion) hanging outpatient chest, chest ultrasound examination and pleural effusion aspiration to do inspection, found that white blood cells pleural effusion 1280 / mm3, neutrophil / lymphocyte ratio: 8/92, protein (protein) value of 3.8 g / dL, serum protein is 5.2 g / dL, cytology no malignant cells, adenosine deaminase (ADA) was 70 IU / L, in Taiwan most likely diagnosis is:

Answer: Tuberculous pleural effusion

Choices:
A. Malignant pleural effusion
B. Tuberculous pleural effusion
C. Pneumonia complicated by pleural effusion
D. Empyema

70 year old male patient
right pleural effusion
pleural effusion
hanging outpatient chest
chest
pleural effusion aspiration
inspection
found
white blood cells pleural effusion
mm3
ratio
protein
protein
value
dL
serum protein
5.2 g
dL
cytology
malignant cells
adenosine deaminase
70 IU
L
Taiwan
likely diagnosis


Question: 29 acute respiratory alkalosis often associated with which of the following electrolyte move into the cell? Calcium magnesium     potassium phosphate


Question: 24-year-old female patient, saw complained about the forefinger and middle finger with both hands of the proximal phalanx sore for about two weeks, physical examination oral ulcers and swollen lymph glands in the neck touched, index finger and middle finger proximal section swelling and, apart from no other abnormalities than a week after the anti-nuclear antibody (ANA) reported positive (1: 640, speckle), the following statements is true?

Answer: Patients may be (probable) systemic lupus erythematosus

Choices:
A. Patients must be systemic lupus erythematosus (systemic lupus erythematosus)
B. Patients may be (probable) systemic lupus erythematosus
C. Antinuclear antibodies to eliminate the possibility of rheumatoid arthritis
D. When coupled with the presence of autoimmune antibodies anti-SSA (Ro) can be determined to be a systemic lupus erythematosus

year old female patient
saw
forefinger
middle finger
hands of the proximal phalanx sore
about two weeks
oral ulcers
swollen lymph glands in
neck touched
index finger
middle proximal section swelling
abnormalities
week
anti-nuclear antibody
reported positive
1
640
speckle
following
true


Question: Which of the following is the correct description of Watson and gram Warren (Watson-Crick) DNA structural model?

Answer: Two adjacent nucleotide bases within the same distance of 3.4 Å shares

Choices:
A. Phosphate groups (phosphate groups) located inside the helical bifilar
B. DNA double helix in two parallel strands (Parallel) and the direction (5 '→ 3') the same
C. DNA in the distance between the two strands of double-stranded helix enough to accommodate two purine (Purines) pyrimidine or two (pyrimidines)
D. Two adjacent nucleotide bases within the same distance of 3.4 Å shares

following
correct
Watson
gram
Watson
DNA structural model


Question: High on the non-sperm cells of other embryonic cell carcinoma (nonseminoma germ cell carcinoma), which is not an index to predict the response of the chemical treatment?

Answer: Serum CEA

Choices:
A. Serum LDH
B. Serum β-hCG
C. Serum CEA
D. The total number of metastatic sites

High
non
other embryonic cell carcinoma
nonseminoma germ cell carcinoma
not
index to
response
treatment


Question: The biggest cause of collective food poisoning is that one of the following?

Answer: Bacterial contamination

Choices:
A. Excessive food additives
B. Pesticide residues
C. Bacterial contamination
D. Natural food toxicity


Question: From the previous question, causing his fingers deformed the most likely reasons are:

Answer: Extensor tendon rupture at PIP joint

Choices:
A. Extensor tendon rupture at DIP joint
B. Extensor tendon rupture at PIP joint
C. Flexor tendon rupture at no man's land
D. Flexor tendon rupture at A4 pulley


Question:
5. Blood pressure is an important indicator determine whether injury patients presenting shock, when a disaster accident, the scene if there is no blood pressure measurement tool by radial pulse (radial pulse), femoral pulse (femoral pulse) and carotid pulse (carotid pulse) of the detection, estimates the level of the blood pressure in patients with wounds. When the blood pressure is lower than the following
 When mmHg, the disappearance of three kinds of pulse priorities, whichever is correct?

Answer: Radial pulse → → carotid-femoral pulse pulse

Choices:
A. → → carotid-femoral pulse pulse pulse Radial
B. Carotid-femoral pulse pulse → → radial pulse
C. Radial pulse → → carotid-femoral pulse pulse
D. Carotid pulse Radial pulse → → femoral pulse

5
Blood pressure
important indicator
injury patients
shock
tool
radial pulse
radial pulse
femoral pulse
femoral pulse
carotid pulse
carotid pulse
detection
estimates
level
blood pressure
patients
wounds
blood pressure
lower
following
mmHg
three kinds
pulse priorities
correct


Question: The following pathogens diseases in its lead pair, whichever is correct?

Answer: E. ciliates (Balantidium coli) - dysentery (dysentery)

Choices:
A. Tiny amoeba (Endolimax nana) - diarrhea (diarrhea)
B. E. ciliates (Balantidium coli) - dysentery (dysentery)
C. Freund's Negri amoeba (Naegleria fowleri) - granulomatous amebic encephalitis (granulomatous amebic encephalitis)
D. Bo Lieji amoeba (Entamoeba polecki) - liver abscess (amebic liver abscess)


Question: Which of the following is not a characteristic of malignant breast tumors in breast ultrasound (ultrasound or sonography) is?

Answer: tumor size larger than 3 cm

Choices:
A. hypo-echoic
B. taller than wide shape
C. tumor size larger than 3 cm
D. posterior wall attenuation


Question: A 45 year old male patient with no history of drug allergy. Yesterday a fever, sore throat, after taking pain medication did not relieve itself. Today even swallowing and dyspnea thus to the emergency attendances, you look at this patient Chang mouth breathing wheezing (stridor), mouth with drooling, following the disposal of what are the most inappropriate?

Answer: Patient bed rest

Choices:
A. Given oxygen
B. Intravenous infusion (fluid hydration)
C. Patient bed rest
D. Antibiotics (antibiotics)

male patient
history of drug allergy
fever
sore throat
pain
not relieve
Today
swallowing
dyspnea
emergency
look
patient
mouth breathing wheezing
stridor
mouth
drooling
following
most inappropriate


Question: Bearing the title, the following is then disposal, their proper order why?


Question: Results For adrenaline (epinephrine) bind to the beta-adrenergic receptor (β-adrenergic receptor) generated, the error of the following statements?

Answer: Promoting hormone - receptor complex (hormone-receptor complex) in macrophages (endocytosis)

Choices:
A. Gs stimulate GTP binding protein subunit
B. Increase in adenylate cyclase (adenylyl cyclase) activity
C. Increased enzyme activity of protein kinase A (protein kinase A) of
D. Promoting hormone - receptor complex (hormone-receptor complex) in macrophages (endocytosis)

Results
adrenaline
epinephrine
beta-adrenergic receptor
adrenergic receptor
error
following


Question: 29 year old man after ⾞ disaster found no care has been taken with ⿇ right arm paralysis, Photo Magnetic Resonance Imaging image of the cervical spine (T2WI), the following statements is wrong?

Answer: Root avulsion refers to a nerve root ganglion and spinal cord (spinal cord) separating (post-ganglionic separation)

Choices:
A. Clinical history and image in line with brachial plexus injury (brachial plexus injury)
B. This patient most likely diagnosis is pseudo-spinal bifida (pseudomeningocele)
C. MRI performance of brachial plexus injuries may be stretching injury, root avulsion, etc.
D. Root avulsion refers to a nerve root ganglion and spinal cord (spinal cord) separating (post-ganglionic separation)

29 year old man
found
right
Magnetic Resonance Imaging
of
cervical spine
following
wrong


Question: Disease screening to test for parallelism (Simultaneous Testing) whom does it affect the validity of screening?

Answer: Net sensitivity (Net sensitivity) increased

Choices:
A. Net sensitivity (Net sensitivity) increased
B. Specificity net (Net specificity) increased
C. Specificity net (Net specificity) reduction
D. The false positive rate (False positive rate) increases

Disease screening to test
parallelism
Simultaneous Testing
validity
screening


Question: A 65-year-old male tuberculosis patients, after taking the first line of four anti-tuberculosis drugs, blurred vision, caused by the side effects of a drug after one month following that appear?

Answer: ethambutol

Choices:
A. rifampin
B. isoniazid
C. ethambutol
D. pyrazinamide

65 year old male tuberculosis patients
first line
four
tuberculosis drugs
blurred vision
caused
side effects of
drug
one month following
appear


Question: The most important cause of death infective endocarditis are:

Answer: heart failure

Choices:
A. Brain abscess (brain abscess)
B. Sepsis (sepsis)
C. Kidney failure
D. heart failure


Question: When using the pharmaceutical treatment of depression, often because the drug has both blocking histamine (Histamine) H1 receptors, muscarinic type hormone (Muscarinic) and the acetylcholine receptor alpha - adrenergic receptor (α-adrenergic receptors ) produce some side effects, following a treatment for depression that most drugs do not inhibit these receptors?

Answer: Fluoxetine

Choices:
A. Mirtazapine
B. Fluoxetine
C. Amitriptyline
D. Nefazodone

using
pharmaceutical treatment
depression
often
drug
blocking histamine
Histamine
H1 receptors
muscarinic type hormone
Muscarinic
acetylcholine receptor alpha
adrenergic receptor
adrenergic receptors
side effects
following
treatment
depression
drugs
not inhibit
receptors


Question: Which of the following are less likely to form a continuous heart murmur (continuous murmur)?

Answer: Ebstein anomaly tricuspid

Choices:
A. Patent ductus arteriosus (patent ductus arteriosus)
B. Accept the Blalock-Taussing shunt surgery
C. Ebstein anomaly tricuspid
D. Coronary arteriovenous fistula (coronary AV fistula)

following
less likely to form
continuous heart murmur
continuous murmur


Question: A three year old child, found in the midline of the neck two centimeters in diameter of a tumor, the most likely diagnosis is:

Answer: Thyroid hyoid bone cyst (thyroglossal duct cyst)

Choices:
A. Thyroid hyoid bone cyst (thyroglossal duct cyst)
B. Branchial cleft cyst (branchial cleft cyst)
C. Cystic hygroma (cystic hygroma)
D. Torticollis (torticollis)

three year
found
midline
neck two centimeters
diameter
tumor
diagnosis


Question: That these medicines have the effect of slowing vomiting and motion sickness (motion sickness) caused?

Answer: Chlorpromazine

Choices:
A. Desipramine
B. Chlorpromazine
C. Imipramine
D. Fluoxetine

medicines
effect
slowing vomiting
motion sickness
motion sickness
caused


Question: 64. syphilis subject comprising nontreponemal tests (eg VDRL or RPR test), and treponemal tests (such as the FTA-ABS test, TP-PA test or TPHA). The following statements is wrong?

Answer: Assess response to therapy is recommended FTA-ABS test, TP-PA test or TPHA

Choices:
A. Large-scale screening is recommended VDRL or RPR test
B. Is recommended to confirm the diagnosis with FTA-ABS test, TP-PA test or TPHA
C. Assess response to therapy is recommended FTA-ABS test, TP-PA test or TPHA
D. Diagnosis of neurosyphilis, cerebrospinal fluid examination is recommended VDRL

64
syphilis subject
tests
eg VDRL
RPR test
treponemal tests
FTA-ABS test
TP-PA test
following
wrong


Question: Spastic cerebral palsy a four year old to the clinic examination revealed severe right side of the dislocated hip, the following statements is wrong?

Answer: Puberty and then surgery safer

Choices:
A. If ignored, it will slowly lead to scoliosis
B. Will lead to unequal feet long
C. There will be effects on gait
D. Puberty and then surgery safer

Spastic cerebral palsy
four year old
revealed severe right side
dislocated hip
following
wrong


Question: The following anti-cancer drugs in what were known as the mitotic spindle poisons (mitotic spindle poison), so that the spindle fibers tubulin polymerization stability is not easy to disperse, and thus undermine mitosis (mitosis) process?

Answer: paclitaxel

Choices:
A. busulfan
B. cisplatin
C. 6-mercaptopurine
D. paclitaxel

following
cancer drugs
known
mitotic spindle poisons
mitotic spindle poison
so
spindle fibers tubulin
stability
not easy to disperse
mitosis
mitosis
process


Question: Which of the following electrical diagnostic tests in resolving the acute and chronic neuropathy most useful?

Answer: 針肌電圖（needle electromyography）

Choices:
A. Nerve conduction (nerve conduction)
B. Electrical muscle stimulation excitation (muscle excitability)
C. 針肌電圖（needle electromyography）
D. Continuous electrical nerve stimulation (repetitive nerve stimulation)

following electrical diagnostic tests
resolving
acute
chronic neuropathy most useful


Question: From the previous title, this time more suitable for the patient's treatment Why?

Answer: Distal pancreatectomy

Choices:
A. Embolization
B. Ethanol injection therapy
C. Distal pancreatectomy
D. Whipple surgery (Whipple operation)


Question: Which of the following hormones can not be activated triacylglycerol lipase activity in adipose tissue?

Answer: insulin

Choices:
A. insulin
B. norepinephrine
C. adrenocorticotropic hormone
D. glucagon


Question: Atrial fibrillation (atrial fibrillation) may lead to embolic stroke, risk factors does not include which of the following?

Answer: Rapid ventricular rate (rapid ventricular rate)

Choices:
A. Rapid ventricular rate (rapid ventricular rate)
B. hypertension
C. diabetes
D. Older than 75 years old

Atrial fibrillation
atrial fibrillation
lead
embolic stroke
risk factors
not include
following


Question: A 74-year-old man, suddenly left hemiplegia, was immediately sent to the emergency room episodes of two hours, made by the brain computed tomography (did not play developer) did not show lesions, the most likely explanation is:

Answer: Brain CT within 2 hours after ischemic stroke (ischemic stroke) may not show the onset of disease

Choices:
A. Brain CT within 2 hours after ischemic stroke (ischemic stroke) may not show the onset of disease
B. Bleeding hemorrhagic stroke too little, CT does not show up
C. CT image quality is poor
D. The patient does not stroke

74 year old man
left hemiplegia
immediately sent
emergency room episodes of two hours
made
brain computed tomography
not play developer
not
lesions


Question: Mitochondrial oxidative phosphorylation produced by the process of H2O2, an enzyme that is removed by the following?

Answer: glutathione peroxidase

Choices:
A. glutathione reductase
B. glutathione peroxidase
C. superoxide dismutase
D. pyruvate dehydrogenase

Mitochondrial process H2O2 enzyme removed


Question: Which of the following is not homologous recombination (homologous recombination) biological function?

Answer: Promote transcription (transcription)

Choices:
A. Help separate chromosomes during meiosis (meiosis) of
B. Increase genetic diversity (genetic diversity)
C. Promote transcription (transcription)
D. DNA repair (DNA repair)

following
not homologous recombination
homologous recombination


Question: 29. rare single gene (monogenic) diabetes, which have more than six kinds of disease-causing genes, one of which is related to glucose metabolism enzyme hexokinase IV (glucokinase) mutation, the enzyme narrative about, which of the following error?

Answer: Enzyme mutation will directly increase the reaction rate of the TCA cycle

Choices:
A. Action of the enzyme involved in glucose decomposition reaction (Glycolysis)
B. Enzyme mutation will directly increase the reaction rate of the TCA cycle
C. Enzyme gene mutation leads to decreased production of ATP islet cells
D. This enzyme phosphorylates glucose

29
rare single gene
diabetes
more
six kinds
disease-causing genes
one
related
enzyme hexokinase IV
glucokinase
mutation
enzyme
following error


Question: About lung cancer diagnosis and staging, Which statement is correct?

Answer: Do not check the time (staging workup), if the patient has unexplained or inexplicable pain alkaline phosphatase (ALP) increased lung cancer stage, you can arrange the whole body bone scan (whole body bone scan) examination

Choices:
A. Computer positron tomography (PET-CT) of false positives is low, if found to have developed contralateral lymph nodes, it represents N3, unresectable cancer patients
B. Lung NMR (MRI of lung) lung cancer is the preferred imaging
C. Chest X-ray film in an emergency, all white found right chest, the chest CT should be arranged immediately
D. Do not check the time (staging workup), if the patient has unexplained or inexplicable pain alkaline phosphatase (ALP) increased lung cancer stage, you can arrange the whole body bone scan (whole body bone scan) examination


Question: When the kidneys vascular muscle lipoma (angiomyolipoma) less than a few centimeters can be taken on a regular basis to track, without surgery?

Answer: 4 cm

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

kidneys vascular muscle lipoma
angiomyolipoma
less than
centimeters
regular basis to track
surgery


Question: A 56-year-old men who have bleeding into the brain, CT image below, Which of the following is the most likely cause?

Answer: Hypertensive hemorrhagic stroke

Choices:
A. Tumor hemorrhage
B. Congenital vascular disease
C. Aneurysm (aneurysm) bleeding
D. Hypertensive hemorrhagic stroke

year old
bleeding
brain
CT
following
cause


Question: ⽪ account of visual quality (visual cortex), and which of the following error?

Answer: United ⽪ visual quality (visual association cortex) in the frontal lobe (frontal lobe)

Choices:
A. United ⽪ visual quality (visual association cortex) in the frontal lobe (frontal lobe)
B. ⽪ primary visual quality (primary visual cortex) located occipital (occipital lobe)
C. Joint ⽪ visual quality (visual association cortex) may participate in the determination and discrimination of colors in
D. ⽪ primary visual quality (primary visual cortex) receiving the lateral geniculate nucleus (lateral geniculate body) of the incoming message

account
visual quality
visual cortex
following error


Question: A 54-year-old man and 18-month weakness, muscle atrophy and spontaneous contraction of muscle fibers, hospitalized because of respiratory difficulties, diagnosis of amyotrophic lateral sclerosis (amyotrophic lateral sclerosis). The following information about this example statements is wrong?

Answer: Nerve root nerve roots than the front slender

Choices:
A. This is a motor neuron disease
B. The number of neurons on both sides of the spinal cord anterior horn reduced
C. Both cortical degeneration of spinal nerve bundles
D. Nerve root nerve roots than the front slender


Question: To understand whether the different materials contribute to the growth of epithelial cells to perform a solid. In epithelial cells the cell culture containing added epidermal growth factor (epidermal growth factor), it will bind to cell surface receptors (receptor), leading to the activation of RAS protein, resulting in the transcription factor (transcription factor) activation. Said real effect on epithelial cells, primarily via pathways within the cell following what?

Answer: Mitogen-activated protein kinase

Choices:
A. Cyclic AMP
B. Cyclin-dependent kinases
C. JAK / STAT System
D. Mitogen-activated protein kinase


Question: What is this complementary strands of DNA sequence: 5'-CGCGAATTCGCG-3 '?

Answer: 5'-CGCGAATTCGCG-3'

Choices:
A. GCGCTTAAGCGC-5'-3 '
B. 5'-CGCGAATTCGCG-3'
C. GCGCUUAAGCGC-5'-3 '
D. 5'-CGCGAAUUCGCG-3 '


Question: A high-tech industry due to the relationship of family education, clean little navel, belly day because of intolerable itching, and drilled like maggots found in the navel of the bug, what about the narrative of this case, which of the following error?

Answer: Maggot disease occurs, the female flies lay their eggs must be wound in a patient, the patient's belly button so this has lesions (lesion)

Choices:
A. The patient should be suffering from maggot disease (myiasis)
B. Maggot disease occurs, the female flies lay their eggs must be wound in a patient, the patient's belly button so this has lesions (lesion)
C. Maggot disease not only in skin lesions, intestinal or genitourinary tract may occur
D. This patient's treatment should debridement and removal of all maggots, and as the case may be given appropriate antibiotic treatment to prevent secondary infection (secondary infection)

high tech
due to
relationship
little navel
belly day
itching
drilled
found
navel
bug
about
case
following error


Question: Prostate artery (prostatic artery) is mainly derived from the following Where?

Answer: Bladder artery (inferior vesical artery)

Choices:
A. Bladder artery (inferior vesical artery)
B. Bladder artery (superior vesical artery)
C. Testicular artery (testicular artery)
D. Rectal artery (inferior rectal artery)

Prostate artery
prostatic artery
derived
following


Question: From the previous questions, the physician to simultaneously display the fundus ophthalmoscopy in the drawings, the following statements is true?

Answer: Should inform the Domestic Violence Prevention Center 113 suspected child abuse

Choices:
A. The baby fundus presents multiple hemangioma should be considered in the brain also hemangioma (Von-Hippel Lindau Disease) lead to intracranial hemorrhage
B. The baby presents retinal hemorrhage, coagulation disorders should be considered
C. Should inform the Domestic Violence Prevention Center 113 suspected child abuse
D. The infant presented fundus retinal vasculitis phenomenon, autoimmune diseases should consider merging the brain vasculitis

previous
physician
simultaneously display
fundus ophthalmoscopy
following
true


Question: A 15-year-old female, the center line side at the front of the neck there is a mass presence of tumor size did not change significantly. She underwent lumpectomy surgery. Under microscopic examination revealed that there is a cyst epithelial coverage. Which of the following is the most likely diagnosis?

Answer: Thyroglossal cyst (thyroglossal duct cyst)

Choices:
A. Branchial cleft cyst (branchial cyst)
B. Dermoid cysts (dermoid cyst)
C. Thyroglossal cyst (thyroglossal duct cyst)
D. Adenoid cystic carcinoma (adenoid cystic carcinoma)

year old female
center line side
front
neck
mass presence of size
not change
lumpectomy surgery
microscopic examination revealed
cyst epithelial coverage
following
diagnosis


Question: Chronic obstructive pulmonary disease (COPD) inspiratory muscle training done (inspiratory muscle training), the following description that a mistake?

Answer: Will reduce the acute exacerbation of COPD (acute exacerbation) of seizure frequency

Choices:
A. Reduces fatigue diaphragm (diaphragm) of
B. Will reduce the acute exacerbation of COPD (acute exacerbation) of seizure frequency
C. Will increase 12-minute walking distance (12-MD)
D. Mouth pressure (maximal inspiratory mouth pressure) will increase the maximum inspiratory time

Chronic obstructive pulmonary disease
inspiratory muscle training
inspiratory muscle training
following
mistake


Question: A 24 year old woman in the taxi suddenly felt heart beat, out of breath, trembling, vomiting, she was afraid he would die immediately, ask the driver to take her to the nearest emergency room. When about twenty minutes to reach the emergency room, she those symptoms are gone, but still a lingering fear. About this woman, that items following statements is wrong?

Answer: If there is no associated physical illness, she was the most appropriate medication is an atypical antipsychotic agent

Choices:
A. At least in the emergency room for a complete physical examination and ECG. Blood sugar, thyroid function, liver function, kidney function tests are also necessary
B. If there is no physical illness related to her diagnosis may be panic attacks
C. If there is no associated physical illness, she was the most appropriate medication is an atypical antipsychotic agent
D. If there is no associated physical illness, she was most likely to be effective psychotherapy is cognitive behavioral therapy

year old woman
taxi
heart beat
breath
trembling
vomiting
die immediately
driver to
to
nearest emergency room
about twenty minutes to reach
emergency room
symptoms
woman
following
wrong


Question: Reflex about the neurological examination, whichever part of monosynaptic reflex (monosynaptic reflex)?

Answer: Knee tendon reflexes (knee jerk)

Choices:
A. Pupillary reflex (pupillary light reflex)
B. Withdrawal reflex (withdrawal reflex)
C. Knee tendon reflexes (knee jerk)
D. CROSS extensor reflex (crossed-extensor reflex)

Reflex
neurological
part of monosynaptic reflex
monosynaptic reflex


Question: 232 days old baby gender difficile (ambiguous genitalia) and treatment, the appearance of the outer genital below, genital tubercle (phallus) 2.4 cm long, is not touched gonad (gonad). That one of the following examination to confirm the diagnosis, the most did not help?

Answer: Serum estradiol (estradiol) value

Choices:
A. Serum testosterone (Testosterone) value
B. Serum estradiol (estradiol) value
C. Chromosome
D. Pelvic ultrasonography

days old baby gender
ambiguous genitalia
treatment
appearance
outer genital
genital tubercle
phallus
2.4
long
not touched gonad
gonad
one
following
to confirm
diagnosis
most
not help


Question: 28 glucose glycolytic reactions (Glycolysis) of end product pyruvate, and when the patient with shock (Shock) hypoxia (hypoxia), the following blood tests which pyruvate downstream product concentration will rise?

Answer: lactate

Choices:
A. ethanol
B. acetyl-CoA
C. lactate
D. ATP


Question: Gastrointestinal barium examination on the 1-year-old boy in the following figure, the following statements is wrong?

Answer: Preoperative endoscopy to be done and to get really diagnose tissue sections

Choices:
A. Preoperative endoscopy to be done and to get really diagnose tissue sections
B. The figure presents export stomach (gastric outlet) may be blocked
C. Congenital hypertrophy pyloric stenosis (congenital hypertrophic pyloric stenosis)
D. Ultrasound scans help diagnose the lesions

Gastrointestinal
year old boy
following
following
wrong


Question: 6-year-old boy, from the age of 2 that is repeated as shown in the monitor of itching on your skin lesions appear; ⽗ ⺟ parent are often ⿐ plug, sneezing symptoms, diagnosis, why?

Answer: Atopic out skin inflammation

Choices:
A. Seborrheic out skin inflammation
B. Contact out skin inflammation
C. Atopic out skin inflammation
D. Yu out skin inflammation of ⾎

year old boy
age
repeated
monitor
itching
skin lesions appear
often
plug
sneezing symptoms
diagnosis


Question: Congenital malformations induced embryos are sensitive period after fertilization:

Answer: 3-8 weeks

Choices:
A. 1-2 weeks
B. 3-8 weeks
C. 9-12 weeks
D. Week 13-16


Question: Prognosis for children Rhabdomyosarcoma (rhabdomyosarcoma), regardless of which of the following?

Answer: gender

Choices:
A. age
B. gender
C. Tumor size
D. Tumor location

Prognosis
children Rhabdomyosarcoma
rhabdomyosarcoma
regardless


Question: 43 young men due to community-acquired lobar pneumonia (lobar pneumonia), sputum microscopy showed how leukocytes and intracellular gram-positive cocci, sputum culture results only normal oral flora, which of the following is most likely in this patient pathogens:

Answer: Pneumococcus (Streptococcus pneumoniae)

Choices:
A. Pneumococcus (Streptococcus pneumoniae)
B. Chlamydia (Chlamydia)
C. Mycoplasma (Mycoplasma)
D. \ Klebsiella pneumoniae (Klebsiella pneumoniae)


Question: The following inguinal hernia on direct (direct inguinal hernia) of the statements is wrong?

Answer: Prolapse often constructed by the intraperitoneal inguinal ring (deep inguinal ring)

Choices:
A. Occurs in the inner region of the inferior epigastric artery (inferior epigastric artery)
B. Occur in inguinal fossa inner (medial inguinal fossae)
C. Prolapse often constructed by the intraperitoneal inguinal ring (deep inguinal ring)
D. Hay occurred in the triangle (Hesselbach triangle)

following inguinal hernia
direct
direct inguinal hernia
wrong


Question: A 37-year-old male patient complained of left upper arm swollen for several months, the figures for the upper extremity Magnetic Resonance Imaging X-ray photography and coronal T2 images, the most likely diagnosis is:

Answer: chondrosarcoma

Choices:
A. plasmacytoma
B. chondrosarcoma
C. osteogenic sarcoma
D. lymphoma


Question: Incision appendectomy (appendix) surgery, whichever is easier to cause rectus abdominis (rectus abdominis) of the blood supply and nerve damage domination?

Answer: Next to the rectus sheath incision (pararectus incision (along the lateral border of rectus sheath))

Choices:
A. Incision (median or midline incision)
B. Paramedian incision (paramedian incision)
C. Meleumycinum Tierney cutout (McBurney incision)
D. Next to the rectus sheath incision (pararectus incision (along the lateral border of rectus sheath))

Incision appendectomy
appendix
surgery
easier to cause rectus abdominis
rectus abdominis
blood supply
nerve damage


Question: Clinical characterization of aortic stenosis does not include which of the following?

Answer: Systolic blood pressure

Choices:
A. Angina
B. Fainting (syncope)
C. Sports shortness of breath
D. Systolic blood pressure

Clinical
of aortic stenosis
not include
following


Question: Disposal of the following information about uterine fibroids, what's wrong?

Answer: Only a few can observe track

Choices:
A. Only a few can observe track
B. To treat the symptoms: painkillers for example, iron
C. Containing hysterectomy surgery or removal of uterine fibroids
D. Drug treatment: for example, gonadotrophin-releasing hormone agonist (GnRHa)


Question: Which of the following is a post-polio syndrome (post-polio syndrome) the most likely cause?

Answer: The use of excessive physical activity

Choices:
A. The use of excessive physical activity
B. Polio virus re-activated
C. Motor neuron disease (motor neuron disease) variants of
D. Nerve poisoning caused

following
post-polio syndrome
post-polio syndrome
cause


Question: When swallowing, the following actions where entry error?

Answer: Soft palate fall (depression of soft palate)

Choices:
A. Lifting the tongue (elevation of the tongue)
B. After the shift tongue (posterior movement of the tongue)
C. Soft palate fall (depression of soft palate)
D. Hyoid rise (elevation of the hyoid)