Question: Psychosomatic Medicine (psychosomatic medicine) the theoretical pressure (stress theory), which of the following error?

Answer: Most people think of positive life events, such as promotion, winning, etc., as not to generate pressure

Choices:
A. Pressure may cause imbalance of neurotransmitters
B. Pressure may cause endocrine or immune system disorders
C. Because life events should be related to the adjustment pressure
D. Most people think of positive life events, such as promotion, winning, etc., as not to generate pressure

Psychosomatic Medicine
psychosomatic medicine
pressure
stress
following error


Question: About a 50-year-old man, his hands due to the ring finger, little finger flexion contracture affecting the function to seek treatment, palm palpable fibrous streaks (fibrous cord) and thickening of the skin, but no paralysis, Which statement is correct?

Answer: Surgery can not cure

Choices:
A. May be the median nerve palsy (median nerve palsy)
B. Surgery can not cure
C. Occurs in women
D. May be ulnar nerve palsy (ulnar nerve palsy)


Question: 53 year old man, because of the right popliteal artery embolization sudden medical attention, cardiac CT imaging in the drawings, the most likely diagnosis is which of the following?

Answer: Left atrial myxoma (left atrial myxoma)

Choices:
A. LAA thrombus (left atrial appendage thrombi)
B. Left atrial myxoma (left atrial myxoma)
C. Mitral stenosis and left atrial thrombi
D. Right atrial myxoma (right atrial myxoma)


Question: 5 45 year old female menstrual rule, which has a 3 cm of the right tumor, invasive breast cancer were fine needle aspiration (infiltrating duct carcinoma), ultrasound examination found to have violated the chest wall to ipsilateral axillary lymph nodes significantly, by clinical TNM staging system is the first of several issues?

Answer: stageⅢ

Choices:
A. stageⅠ
B. stageⅡ
C. stageⅢ
D. stageⅣ

5
year old female menstrual rule
3 cm
right tumor
invasive breast cancer
fine needle aspiration
infiltrating duct carcinoma
ultrasound examination found to
chest wall
ipsilateral axillary lymph nodes
clinical
first
issues


Question: Which of the following checks, can not be used to test binocular stereo vision?

Answer: worth 4-dot test with red-green glasses

Choices:
A. Titmus fly test with polaroid glasses
B. worth 4-dot test with red-green glasses
C. firsby test（without spectacles）
D. Large amblyoscope (major amblyoscope) example: synoptophore


Question: Which of the following does not appear in the film osteogenesis (intramembraneous bone formation) process?

Answer: Hyaline cartilage (hyaline cartilage)

Choices:
A. Osteoid (osteoid)
B. 骨針（bone spicules）
C. Hyaline cartilage (hyaline cartilage)
D. Primary bone marrow (primary bone marrow)

following
not appear
film osteogenesis
bone formation
process


Question: Thyroid hanging on the ligament attached to the trachea, this ligament also known as:

Answer: Berry's ligament

Choices:
A. coronary ligament
B. triangular ligament
C. Berry's ligament
D. belt ligament

Thyroid hanging
ligament
trachea
ligament
known


Question: Statements about L. pneumophila Legionella (Legionella pneumophila) is, which of the following error?

Answer: Pang to cause grams of hot (Pontiac fever) and two types of pneumonia, and in order to Pang grams of hot high mortality

Choices:
A. To be added L- cysteine (L-cysteine) in the culture medium
B. Can multiply in macrophages (macrophages)
C. Pang to cause grams of hot (Pontiac fever) and two types of pneumonia, and in order to Pang grams of hot high mortality
D. Often spread from the central air conditioning


Question: The following information about the ulnar nerve (Ulnar nerve) oppressed the narrative and what is non?

Answer: Ulnar nerve compression at the elbow neither required surgical treatment

Choices:
A. The most common location in the elbow
B. In the ulnar nerve compression at the elbow must be on the inside of the brachial epicondylitis (medial epicondylitis) differentiate
C. Ulnar nerve compression at the elbow neither required surgical treatment
D. Several ways ulnar nerve at the elbow surgery site of the oppressed in a way that is not good


Question: Account of bacterial pathogenicity island (pathogenicity island), the error which of the following?

Answer: Submenu in the translocation is not present (transposon) in

Choices:
A. Bacteria transfer color may be located in the body (chromosome) or plastid (Plasmid)
B. Submenu in the translocation is not present (transposon) in
C. Submenu be mono- ⼀ by activation, for example: changes in temperature or pH
D. Composed by a majority of genes, can be produced by a variety of pathogenic Submenu (virulence factors)

Account
bacterial pathogenicity island
pathogenicity island
error
following


Question: 32-year-old Wang had a history of depression, at one hour after ingestion of approximately 50 cc "through music" cleaner, the family was sent to the emergency room, blood pressure was 110/70 mmHg, breathing 22 times / min, heart rate 90 beats / min, body temperature 37 ℃, following the disposal of what the most appropriate?

Answer: Intravenous infusion, a physical examination

Choices:
A. Nasogastric tube plug extraction cleaner
B. Nasogastric tube inserted gastrointestinal lavage
C. Devour a lot of milk
D. Intravenous infusion, a physical examination

year old
history of depression
one hour
approximately 50 cc
cleaner
sent
emergency room
blood pressure
70 mmHg
breathing
times
min
heart rate 90 beats
min
body temperature
following
most appropriate


Question: Bearing on the question if they wish to be pregnant, then what is the first-line treatment?

Answer: clomiphene citrate

Choices:
A. Piercing laparoscopic ovarian surgery
B. Ovarian wedge resection
C. clomiphene citrate
D. gonadotropin

Bearing
wish to
pregnant
then
first-line treatment


Question: From the previous question, the most common treatment of such patients what way?

Answer: Laser iridotomy (laser iridotomy)

Choices:
A. Trabeculectomy (trabeculectomy)
B. Laser iridotomy (laser iridotomy)
C. Vitrectomy (vitrectomy)
D. Sclera withhold surgery (scleral buckling procedure)


Question: Which of the following constitute perineal membrane (perineal membrane)?

Answer: Lower perineal fascia (Inferior perineal deep fascia)

Choices:
A. Diaphragmatic pelvis (Pelvic diaphragm)
B. Perineum superficial fascia (Perineal superficial fascia)
C. Perineum deep fascia upper (Superior perineal deep fascia)
D. Lower perineal fascia (Inferior perineal deep fascia)

following
perineal membrane
perineal membrane


Question: About 6 years old hives (urticaria) Sick Children, the following statements is true?

Answer: Chronic urticaria patients to therapeutic agents based H1 antihistamines, such as patient response ineffective, can increase the dose of the drug in the allowable range

Choices:
A. Urticaria acute, steroid drug of choice
B. Repeated exposure repeated acute urticaria specific allergen (recurrent acute urticaria with repeated exposures to a specific
C. Most patients with chronic urticaria can be used to find the allergen blood
D. Chronic urticaria patients to therapeutic agents based H1 antihistamines, such as patient response ineffective, can increase the dose of the drug in the allowable range

About
years old hives
urticaria
Sick Children
following
true


Question: Which of the following belong to outside Sheng peptidase (exopeptidase)?

Answer: Peptide amine enzyme (Aminopeptidase)

Choices:
A. Peptide amine enzyme (Aminopeptidase)
B. Chymotrypsin (Chymotrypsin)
C. Elastase (Elastase)
D. Trypsin (Trypsin)

following
to outside
peptidase
exopeptidase


Question: An 8-year-old boy hospitalized one day fever, chest X-ray as shown in FIG time of hospitalization, white blood cell count 13,500 / mm3, leukocyte band 6%, segment 81%, monocyte 4%, lymphocyte 9%, C-reactive protein 1.1 mg / dL. That following an infection of the highest possibility?

Answer: Streptococcus pneumoniae

Choices:
A. Haemophilus influenzae type b
B. Streptococcus pneumoniae
C. Group A streptococcus
D. Staphylococcus aureus

year old boy hospitalized one day fever
chest X-ray
time
white blood cell count
500
mm3
leukocyte band 6
segment 81
C-reactive protein
mg
dL
following
infection
highest possibility


Question: 18-year-old men usually wear extended wear contact lenses. A holiday to go fishing pond, the water was spilled and splashed right eye, the king did not mind, there is no replacement contact lenses. Two days after the beginning of the right eye, foreign body sensation, to the pharmacy to buy eye drops with no improvement. The monarch then to a nearby clinic for medical treatment because of suspected infection, an ophthalmologist give norfloxacin (Norfloxacin) of antibiotic eye drops. However, the treatment effect is not significant, visual acuity began to decline, and the eyes are very painful. After several weeks to a patient in a hospital emergency department visits, bio thin slit lamp microscopic examination showed corneal infiltrates annular (ring infiltrates) below, most likely is the causative agent:

Answer: Echinostoma amoeba (of Acanthamoeba)

Choices:
A. Aspergillus (Aspergillus)
B. Candida albicans (Candida albicans)
C. Echinostoma amoeba (of Acanthamoeba)
D. Nosema (Microsporidia)

year old
usually
extended wear contact lenses
to go
pond
water
splashed right eye
not
replacement contact lenses
Two days
beginning
right eye
foreign body sensation
pharmacy
eye drops
monarch then
clinic
medical treatment
suspected infection
ophthalmologist give norfloxacin
Norfloxacin
eye drops
treatment effect
not significant
visual acuity began to
eyes
very painful
several weeks
patient
hospital emergency department
thin slit lamp microscopic examination
corneal infiltrates annular
ring infiltrates
likely
causative agent


Question: Statements about congenital muscular torticollis (congenital muscular torticollis), the error which of the following?

Answer: Chest due tongue side (sternohyoid muscle) contraction caused by

Choices:
A. Chest due tongue side (sternohyoid muscle) contraction caused by
B. Within two months baby often due to neck mass (palpable lump) was diagnosed
C. About 20% of the patients accompanied by a bad hip growth and sexual development (developmental dysplasia of hip)
D. Stretching exercises (stretching exercise) therapy usually have good results

congenital muscular torticollis
congenital muscular torticollis
error
following


Question: 73 A 48-year-old male lung cancer terminally ill, hospitalized because of breathing difficulties, physical examination of the patient body weight loss, the left lung breath sounds decreased. The following is not reasonable that kind of treatment?

Answer: Serum albumin 2.2 g / dL, albumin supplemented

Choices:
A. Serum albumin 2.2 g / dL, albumin supplemented
B. Chest X-ray examination revealed a large number of chest pleural effusion, pleural be pumped
C. Morphine to reduce dyspnea
D. Check the blood hemoglobin 8.2 g / dL, 2 units of red blood cells to be lost and concentrated

48 year old male lung cancer terminally ill


Question: It is one of the following amino acid adrenaline (epinephrine) and noradrenaline (norepinephrine) biosynthesis precursors?

Answer: tyrosine

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

one
following amino acid adrenaline
epinephrine
noradrenaline
norepinephrine
biosynthesis


Question: Epidermoid cysts (epidermoid tumor) Which of the following qualities will have a brain tumor?

Answer: Aseptic meningitis (aseptic meningitis)

Choices:
A. Bacterial meningitis (bacterial meningitis)
B. Associated with congenital anomalies (associated congenital malformations)
C. For effective radiation therapy (responsive to radiation therapy)
D. Aseptic meningitis (aseptic meningitis)

Epidermoid cysts
tumor
following qualities
brain tumor


Question: The following related ureteropelvic junction obstruction (ureteropelvic junction obstruction) narrative, what's wrong?

Answer: Ultrasound examination can confirm the diagnosis and determine prognosis

Choices:
A. The left is more common
B. The reason may be joined at ectopic muscle or vascular abnormalities (aberrant vessel) compression
C. Can coexist in severe VUR (vesicoureteral reflux)
D. Ultrasound examination can confirm the diagnosis and determine prognosis


Question: The following statements about the Face infection anisakis (Anisakis spp.), And what's wrong?

Answer: Must be checked to confirm infection in the faecal egg

Choices:
A. Must be developed in the two kinds of intermediate hosts, it can only infectious Face care has
B. Must be checked to confirm infection in the faecal egg
C. Usually eat seawater, ⿂ ⽣ ⿂ piece ⽽ infection
D. After infection often causes acute abdominal pain

following
Face infection anisakis
spp
wrong


Question: Primary school children to eat nutritious lunch after school one to six hours, a number of children have been incidents of nausea, vomiting, diarrhea and food poisoning cluster of events. Differential diagnosis, in addition to considering as a possible pathogen Staphylococcus aureus, but also which of the following is the most likely pathogen?

Answer: Bacillus cereus

Choices:
A. Bacillus cereus
B. Campylobacter jejuni
C. Salmonella spp.
D. Vibrio parahemolyticus

Primary
Primary school to eat
lunch
school one
six hours
number
children
nausea
vomiting
diarrhea
food poisoning cluster
Differential diagnosis
in addition to
possible
Staphylococcus aureus
following


Question: Which of the following tapeworm segments of conception have oocysts (egg capsules)?

Answer: Dogs complex genital tapeworm (Dipylidium caninum)

Choices:
A. Dogs complex genital tapeworm (Dipylidium caninum)
B. Beef tapeworm (Taenia saginata)
C. Narrow envelope tapeworm (Hymenolepis diminuta)
D. Wide section of crack head tapeworm (Diphyllobothrium latum)

following tapeworm segments
conception
egg capsules


Question: The following related frontal lobe epilepsy (frontal lobe epilepsy) describe what's wrong?

Answer: phenytoin for the treatment drug of choice

Choices:
A. Seizures (seizure) short, may not have confusion (postictal confusion) after seizure
B. EEG (scalp EEG) abnormalities may see significant
C. Seizures tend to sleep at night
D. phenytoin for the treatment drug of choice

following related frontal lobe epilepsy
frontal lobe epilepsy
wrong


Question: A 1-year-old children to the clinic, the parents complained children still can not sit independently, unable to stand, when to take action to reach out strange objects, often appear strange facial expression; history was born full-term birth, for check without any exception, but after birth because of neonatal hyperbilirubinemia (hyperbilirubinemia) had received illumination treatment, neonatal screening addition to hearing loss (hearing loss), no other significant abnormality, the initial diagnosis of cerebral palsy. Which of the following is most likely he is cerebral palsy?

Answer: Xu action type (athetoid type)

Choices:
A. Low Tension (hypotonic type)
B. Xu action type (athetoid type)
C. Double spastic paralysis (spastic diplegia)
D. Spastic quadriplegia (spastic quadriplegia)

year old
clinic
children
not sit
unable to stand
to
action to reach out
often appear
facial expression
history
born full-term birth
check
after birth
neonatal hyperbilirubinemia
hyperbilirubinemia
received illumination treatment
neonatal screening addition
hearing loss
hearing loss
significant abnormality
initial diagnosis
cerebral palsy
following
cerebral palsy


Question: Two days ago a middle-aged woman complained of vertigo, continued for half an hour to an hour, with the left side of the hearing loss, tinnitus, ear swelling pressure. She no high blood pressure, such as coronary heart disease, hyperlipidemia or diabetes history. This is the third attack in two years, the duration of each episode are the same. Which of the following is the most likely diagnosis?

Answer: Meniere's disease (Meniere's disease)

Choices:
A. Meniere's disease (Meniere's disease)
B. Benign paroxysmal positional vertigo (benign paroxysmal positional vertigo)
C. Vestibular neuritis (vestibular neuritis)
D. Vertebral basilar artery circulation Imperfecta (vertebro-basilar artery insufficiency)

Two days
middle-aged woman
vertigo
half
hour
left side of
hearing loss
tinnitus
ear swelling pressure
high blood pressure
coronary heart disease
hyperlipidemia
diabetes history
third attack
two years
duration of
episode
same
following
diagnosis


Question: About the narrative before implantation genetic diagnosis (preimplantation genetic diagnosis) technology, which of the following error?

Answer: When the result is normal female (46, XX), the most likely time of cultivation treatment, the mother cells caused by pollution

Choices:
A. With the need to perform IVF treatment
B. When the result is normal female (46, XX), the most likely time of cultivation treatment, the mother cells caused by pollution
C. May exclude embryonic chromosome abnormalities
D. When women have a history of habitual abortion, can reduce the chance of miscarriage

implantation genetic diagnosis
preimplantation genetic diagnosis
following error


Question: A 17-year-old female patient, diagnosed with chin abscess (submandibular abscess), the need for emergency drainage surgery, physical examination found severe facial swelling, difficulty in opening mouth, which of the following is more likely is the correct approach to this patient's respiratory tract?

Answer: Be awake nasal intubation, and please accompany surgeons, tracheostomy supplies ready

Choices:
A. Be awake nasal intubation, and please accompany surgeons, tracheostomy supplies ready
B. Passing through the trachea and advanced laryngeal nerve block on both sides to facilitate awake intubation
C. Prone to be awake intubation laryngospasm, this time should be combined with minimal muscle relaxants
D. After may consider administering anesthetic or sedative, cricothyroid membrane (cricothyroid membrane) retrograde cannula

year old female patient
diagnosed
chin abscess
submandibular abscess
need
emergency drainage surgery
found severe facial
difficulty in opening mouth
following
more likely
correct approach
patient's respiratory tract


Question: A 60-year-old male was found in the healthy serum prostate specific antigen (PSA) concentration of 28.51 ng / mL, normal urine test, digital rectal examination found that prostate enlargement, surface irregularities, but no induration, nor tenderness. Which of the following is the better of disposal?

Answer: Accepted transrectal ultrasound examination and prostate biopsy slice

Choices:
A. Taking alpha-blockers (α-blocker)
B. Taking 5α- reductase inhibitors (5α-reductase inhibitor)
C. Use antibiotic-containing
D. Accepted transrectal ultrasound examination and prostate biopsy slice

60 year old male
found
healthy serum prostate specific antigen
concentration
ng
mL
normal urine test
digital rectal examination found
prostate enlargement
surface irregularities
induration
tenderness
following
better


Question: When brain tumors with intracranial pressure increased, the eye that one of the following changes occur?

Answer: Papilledema

Choices:
A. Lens opacity
B. IOP decreased
C. Papilledema
D. Optic atrophy

brain tumors
intracranial pressure increased
eye
one
following changes occur


Question: Laparoscopic procedures, the patient taken overpronation and hip flexion posture, easily lead to over-stretching and damage to the nerve:

Answer: Femoral nerve and sciatic nerve

Choices:
A. Trigeminal nerve and nerve
B. Ulnar nerve and radial nerve
C. Femoral nerve and sciatic nerve
D. Axillary nerve and nerve

Laparoscopic procedures
patient
hip flexion posture
easily lead to over stretching
damage
nerve


Question: The following description of the developer on the prevention of kidney disease, what is correct?

Answer: Pathogenic transfer machine including kidney outer medulla of oxygen, free radical damage and renal tubular cells temporary factors such as renal tubular obstruction

Choices:
A. Serum creatinine is typically 24 to 48 hours after the injection of the developer began to rise, there is more than 1% of patients receiving dialysis treatment for an
B. Prevention saline developer nephropathy, may be given after the start-administration of the developer, for 6 to 24 hours
C. Meta-analysis show the effect of preventing N-acetylcysteine developer Nephropathy good and low side effects, it is recommended routine clinical use
D. Pathogenic transfer machine including kidney outer medulla of oxygen, free radical damage and renal tubular cells temporary factors such as renal tubular obstruction

following
developer
prevention of kidney disease
correct


Question: The following information about the pathogenesis of asthma (pathogenesis), whichever is correct?

Answer: Allergens or viral infections can induce T helper 2 (TH2) lymphocytes secrete interleukin-5, eosinophils prompted to enter the respiratory tract

Choices:
A. Airway epithelial cells mainly for defense, not involved in the inflammatory response
B. Allergens or viral infections can induce T helper 2 (TH2) lymphocytes secrete interleukin-5, eosinophils prompted to enter the respiratory tract
C. Asthma can lead to inflammation of airway smooth muscle contraction of the media, but the smooth muscle itself does not release inflammatory media
D. Neutropenia is mainly against bacterial infections, is not involved in the inflammatory response

following pathogenesis asthma pathogenesis correct


Question: Which of the following is not a physiological anxiety symptoms?

Answer: Miosis

Choices:
A. Miosis
B. Shortness of breath
C. Chest tightness
D. diarrhea

following
not
physiological anxiety symptoms


Question: Healthy men hospitalized due to community-acquired pneumonia, and thick sputum microscopy examination showed a lot of multi-core white blood cells and a pair of intracellular gram-positive cocci, sputum culture results only normal flora (normal flora), the most likely cause that germs are the following:

Answer: Streptococcus pneumoniae

Choices:
A. Legionella pneumophila
B. Streptococcus pneumoniae
C. Staphylococcus aureus
D. Enterococcus faecalis


Question: 59 Now there are five known hepatitis viruses, such viruses is very special, there is nuclear DNA, the RNA core, more incomplete nuclear nucleic acids, that one of the following description is wrong?

Answer: Hepatitis D virus usually incomplete, and the need to help the A type of infection and replication

Choices:
A. Hepatitis virus A, C, D and E are Type nucleic acid RNA, only the B-type a DNA, and which single-stranded portion
B. Hepatitis D virus usually incomplete, and the need to help the A type of infection and replication
C. To current knowledge, five, type hepatitis virus, B type and C-type chronic hepatitis can cause
D. Hepatitis viruses A and E type of transmission commonplace as the anus (manure) to the mouth

59 Now
five known
viruses
very special
nuclear DNA
RNA core
more incomplete nuclear nucleic acids
one
following
wrong


Question: Which of the following drugs can be used as an early abortifacient (early abortion)?

Answer: mifepristone

Choices:
A. alprostadil
B. treprostinil
C. mifepristone
D. iloprost

following drugs
used
early abortifacient
early abortion


Question: 3-year-old girl hirsutism, breast enlargement, tall and looks like a skeleton-year-old child, the clinical diagnosis of precocious puberty disorders. Which of the following is more suitable for the treatment of such symptoms?

Answer: leuprolide

Choices:
A. pegvisomant
B. follitropin
C. octreotide
D. leuprolide


Question: A 14-year-old girls in the country have scoliosis disease, X-rays showed that the maximum bending point in the first lumbar vertebra and Kebo's angle (Cobb's angle) is 30 degrees. Which of the following is the most important way of treatment?

Answer: Correcting given back frame Molding

Choices:
A. Treatment of spinal movement to give back
B. Given spinal traction (traction) treatment
C. Correcting given back frame Molding
D. Spinal surgery orthodontic treatment

year old girls
country
scoliosis disease
X-rays
maximum bending point
first lumbar vertebra
angle
Cobb's angle
30 degrees
following
most important
treatment


Question: Hepatitis C patients have up to 30% will be accompanied by kidney disease, which changes following what most rare?

Answer: Acute renal interstitial nephritis (acute interstitial nephritis)

Choices:
A. Condensing globulin glomerulonephritis (cryoglobulinemic glomerulonephritis)
B. Membranous nephropathy (membranous glomerulonephritis)
C. Acute renal interstitial nephritis (acute interstitial nephritis)
D. The first film glomerulonephritis (type 1 membranoproliferative glomerulonephritis)

Hepatitis C patients
up to 30
kidney disease
changes following
most rare


Question: Narrative about thymoma, which of the following error?

Answer: Chemotherapy cisplatin its poor treatment

Choices:
A. Before the most common mediastinal tumor mediastinal
B. The second phase of the surgery to remove thymoma, often combined with radiation therapy to be
C. Chemotherapy cisplatin its poor treatment
D. Most heavy gravis (myasthenia gravis) without thymoma


Question: 25-year-old woman, from adolescence locus coeruleus large area (Figure) appears in the right periorbital and conjunctival. Diagnostic why?

Answer: Ota Mr. nevus (nevus of Ota)

Choices:
A. Mr. Ito nevus (nevus of Ito)
B. Ota Mr. nevus (nevus of Ota)
C. Mongolian spot (Mongolian spot)
D. Flat nevus (nevus spilus)

year old woman
adolescence locus coeruleus large area
appears
right periorbital
conjunctival
Diagnostic


Question: Type a research method generations not to expose the group and the non-exposed group selected subjects, and to select a well-defined population for the study. This study sampling method biggest advantage Why?

Answer: Research can be simultaneously exposed to multiple factors

Choices:
A. Research can be simultaneously exposed to multiple factors
B. You can reduce research costs
C. Can quickly complete research work
D. The impact of confounding factors can be completely solved

generations not to
group
non
subjects
to
well-defined
study
biggest


Question: A 75-year-old male, red patches of eczema itching in the scrotum and penis appear at A, the skin pathology slice B, the following statements is true?

Answer: To mark apocrine (apocrine gland) immunostained epithelial cells do, often positive

Choices:
A. More than 80% of patients have tumors of the genitourinary system, skin lesions and more transferred from its
B. May have sexually transmitted
C. Carbon dioxide partial surgical resection or laser ablation, high cure rate
D. To mark apocrine (apocrine gland) immunostained epithelial cells do, often positive

75 year old male
red patches
eczema itching
scrotum
penis appear
skin pathology
following
true


Question: Which of the following occurs in the pelvis and lumbar plexus directly from (lumbar plexus)?

Answer: Obturator nerve (obturator nerve)

Choices:
A. Superior gluteal nerve (superior gluteal nerve)
B. To the obturator nerve (nerve to obturator internus)
C. Obturator nerve (obturator nerve)
D. Pelvic splanchnic nerve (pelvic splanchnic nerve)

following occurs
pelvis
lumbar plexus directly
lumbar plexus


Question: Which is not a combination of the β-subunit of α-subunit hormone?

Answer: GnRH（gonadotropin releasing hormone）

Choices:
A. GnRH（gonadotropin releasing hormone）
B. TSH（thyroid stimulating hormone）
C. FSH（follicle stimulating hormone）
D. LH（luteinizing hormone）


Question: Under the figure for the treatment of surgical Which of the following symptoms?

Answer: Spastic pad toe walk

Choices:
A. Tibial nerve palsy
B. Habitual ankle sprain
C. Heel tendon is not completely broken
D. Spastic pad toe walk


Question: Rongyifasheng twin transfusion syndrome (twin-twin-transfusion syndrome), it is one of the following features twin transfusion syndrome blood donors (donor) is?

Answer: Underweight

Choices:
A. Edema
B. Gender
C. Polyhydramnios
D. Underweight


Question: About bacterial DNA replication narrative, that a mistake?

Answer: May begin never specific DNA sequences

Choices:
A. May begin never specific DNA sequences
B. Can be started from multiple starting points
C. There are different machines and can turn in both directions
D. Is responsible for a variety of DNA polymerases


Question: On the left ventricle of the coronary blood supply, which of the following correct?

Answer: Mainly in diastole

Choices:
A. The average allocation for systolic and diastolic
B. Mainly in diastole
C. Mainly in systole
D. Often depending on the level of systolic blood pressure varies

left
coronary blood supply
following correct


Question: 11. ㄧ bit 70 year-old male patient complained of progressive dyspnea, cough, sputum but not much, chest X-ray display both lobes infiltration, HRCT (high-resolution CT) shows the major changes basilar and subpleural reticular opacities , traction bronchiectasis and honeycombing performance, the most likely diagnosis is:

Answer: usual interstitial pneumonia（UIP）

Choices:
A. usual interstitial pneumonia（UIP）
B. nonspecific interstitial pneumonia（NSIP）
C. cryptogenic organizing pneumonia
D. aspiration pneumonia

bit 70 year old male patient
progressive dyspnea
cough
sputum
not
chest X-ray display
lobes infiltration
high-resolution CT
major changes basilar
reticular opacities
traction bronchiectasis
honeycombing
diagnosis


Question: ⼩ not have lymph nodes (lymphatic nodules) within Which of the following organs?

Answer: Thymus (thymus)

Choices:
A. Thymus (thymus)
B. Spleen (spleen)
C. ⼩腸（small intestine）
D. Tonsil (tonsil)

not
lymph nodes
lymphatic nodules
following organs


Question: The following related incision hernia (incisional hernia) of the narrative, what's wrong?

Answer: Must use artificial membrane (mesh) to patch the gap

Choices:
A. From the past or too much tension abdominal surgical wound healing
B. Postoperative wound infection is one of the reasons
C. Surgery is the only effective treatment approach
D. Must use artificial membrane (mesh) to patch the gap

following related incision hernia
incisional hernia
wrong


Question: There are statements about the Panner disease, which of the following error?

Answer: The most common symptom is pain and limitation of elbow bend

Choices:
A. Occurred in the humeral head (capitellum) osteochondral lesions (osteochondrosis)
B. The probability of occurrence on the right side than the left elbow of the elbow
C. Occurs in children 5-11 years old
D. The most common symptom is pain and limitation of elbow bend


Question: Following surgery and hematoma (hematoma) related to the narrative, what's wrong?

Answer: Before surgery to correct coagulation disorders (coagulopathy) does not reduce the incidence of post-operative hematoma

Choices:
A. Hematoma may occur infection
B. Many of the hematoma is caused due to insufficient hemostasis
C. Hematoma of the neck is too large will affect the function of the respiratory tract
D. Before surgery to correct coagulation disorders (coagulopathy) does not reduce the incidence of post-operative hematoma

Following surgery
hematoma
hematoma
related
wrong


Question: In the most developed countries of endometrial cancer diagnosis, is the first of several?

Answer: The first phase

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


Question: There will be unsteady gait (ataxia) in patients with cerebellar damage when walking phenomenon, related to the statements is wrong?

Answer: Muscle weakness (weakness) is the main factor causing gait disorders

Choices:
A. Patients with open eyes walking helps to increase stability
B. Muscle weakness (weakness) is the main factor causing gait disorders
C. Receiving from the vestibular system cerebellum (vestibular system), skeletal muscle, skin and other sensory information
D. Patients may have difficulty merging perform meticulous action (fine movement) of

unsteady gait
ataxia
patients
cerebellar damage
related
wrong


Question: Congenital adrenal hyperplasia (congenital adrenal hyperplasia) of newborn screening in Taiwan is to determine the baby's blood spots:

Answer: 17-hydroxyprogesterone

Choices:
A. ACTH
B. cortisol
C. 17-hydroxyprogesterone
D. 21-hydroxylase enzyme activity 22 related velocardiofacial (DiGeorge) syndrome of the narrative, Which statement is correct?

Congenital adrenal hyperplasia
congenital adrenal hyperplasia
newborn screening
Taiwan
to
baby's blood spots


Question: A 1-day-old full-term baby boy was later found to have congenital birth deformities and heart murmur. Birth weight of 1.8 kg, 43 cm length, 31 cm in head circumference; Zhang Liqiang muscle (hypertonia); malformation of their hands as shown in FIG. Which of the following is the most likely diagnosis?

Answer: Trisomy 18 syndrome

Choices:
A. Holt-Oram syndrome
B. Trisomy 18 syndrome
C. Ellis-van Creveld syndrome
D. Alagille syndrome

day old full-term baby boy
later found to
congenital birth deformities
heart murmur
Birth weight
1.8 kg
length
31
head circumference
muscle
hypertonia
malformation
hands
following
diagnosis


Question: For the treatment of heart failure, which of the following drugs can not increase the survival rate?

Answer: Digitalis (digoxin)

Choices:
A. Angiotensin converting enzyme inhibitors (angiotensin-converting enzyme inhibitor, ACEI)
B. Digitalis (digoxin)
C. B sympathetic antagonist (β-blockers)
D. Aldosterone antagonist (spironolactone)

treatment
heart
following drugs
not increase
survival rate


Question: Glucocorticoids (glucocorticoids) mainly in the following ways into the cell, regulate the transcription of genes?

Answer: Directly through the cell membranes into the cell and receptor binding, and then bound to the DNA sequences

Choices:
A. Receptor binding and re-enter the cell membrane, directly bound to the DNA sequences
B. After binding to receptors on the cell membrane, via the message transmission path
C. Directly through the cell membranes into the cells are directly bound to the DNA sequence
D. Directly through the cell membranes into the cell and receptor binding, and then bound to the DNA sequences

Glucocorticoids glucocorticoids following cell


Question: The following statements about insulin, whichever is correct?

Answer: Pancreatic β cells after glucose metabolism and insulin secretion caused by

Choices:
A. Starch-containing food through the stomach wall can be induced when the pancreas to secrete insulin
B. Insulin receptors on the cell membrane of muscle cells, when engaged by its insulin, glucose can be induced through the cell membranes into the interstitial fluid
C. Pancreatic β cells after glucose metabolism and insulin secretion caused by
D. Has an insulin receptor α-subunit and β-subunits 2


Question: 46-year-old Mr. Lin because of hematuria and resolve to the hospital, he and no other uncomfortable symptoms. Physicians for him to do IVU examination revealed bladder abnormalities, further CT examination, the lesion as shown. Lin most likely suffering from what disease?

Answer: Bladder Cancer

Choices:
A. Bladder stones
B. Cystitis
C. Bladder Cancer
D. Prostate hypertrophy

year old Mr
Lin
hematuria
hospital
symptoms
Physicians
revealed bladder abnormalities
further CT
lesion
Lin
likely suffering
disease


Question: 46,XY karyotype

Answer: Generally divided into benign mole and invasive mole (hydatidiform mole and invasive mole) and malignant tumor cells and the placenta villous trophoblast cancer (placental-site trophoblastic tumor and choriocarcinoma)

Choices:
A. Generally divided into benign mole and invasive mole (hydatidiform mole and invasive mole) and malignant tumor cells and the placenta villous trophoblast cancer (placental-site trophoblastic tumor and choriocarcinoma)
B. Mole (complete hydatidiform mole) of the most common chromosomal patterns (karyotype) is 46, XX, but can also be seen a few
C. Some typical characteristics mole (partial hydatidiform mole), including significant stromal trophoblastic inclusions (stromal trophoblastic inclusions), obviously a fan-like fluff (villous scalloping), and fetal tissue Keyijiandao
D. For the first part of the placenta trophoblastic tumor (stage I placental-site trophoblastic tumor) treatment, hysterectomy should be done, is a suitable treatment


Question: When the infants were intubated, easily lead into the left or right of the bronchi, which is the main reason why?

Answer: Trachea relatively short

Choices:
A. Trachea relatively short
B. From the upper lip to a relatively short throat portion
C. Endotracheal tube does not have the balloon, poor anchoring effect, it is easy to slide
D. The angle between the main bronchus and trachea caused not big enough

infants
intubated
easily lead
left
right
bronchi
main


Question: 28 year old woman, G3P3, 30 weeks of pregnancy, childbirth preterm baby boy, newborn blue-violet color body and limbs, according to A Page's scoring method (Apgar score), under sub-item score of color Why?

Choices:
A. 0
B. 1
C. 2
D. 3

year old woman
30 weeks
pregnancy
childbirth preterm baby boy
newborn blue violet color body
limbs
scoring method
Apgar score
sub item score
color


Question: 51 year old man, accidentally touched the right side of the neck tumors. The MRI T1WI after the injection of Gd-DTPA with fat-suppression image (Figure 1, Figure II), the most likely diagnosis is:

Answer: NPC with neck metastatic lymphadenopathies

Choices:
A. Tongue carcinoma with neck metastatic lymphadenopathies
B. Buccal mucosal carcinoma with neck metastatic lymphadenopathies
C. Minor salivary adenocarcinoma with neck metastatic lymphadenopathies
D. NPC with neck metastatic lymphadenopathies

year old man
touched the right side of
neck tumors
MRI
injection
Gd-DTPA
fat suppression
II
diagnosis


Question: Head right in front of the crash, Which of the following most susceptible to tearing caused Parasagittal subdural hemorrhage?

Answer: The cerebral veins

Choices:
A. Meningeal artery and vein
B. The cerebral veins
C. Superficial middle cerebral vein
D. ) Cerebellar artery


Question: Primidone is a derivative of following that one anti-epileptic drugs, antiepileptic efficacy which is similar thereto?

Answer: phenobarbital

Choices:
A. phenytoin
B. phenobarbital
C. felbamate
D. topiramate

Primidone
derivative
following
one anti-epileptic drugs
antiepileptic efficacy
similar


Question: When Which of the following is the main stratum corneum lipid composition, and the lack of, related to the occurrence of atopic skin inflammation?

Answer: ceramide

Choices:
A. cholesterol
B. ceramide
C. free fatty acid
D. triglyceride


Question: Muller ⽒ about anti-hormone (antimüllerian hormone, AMH) narrative, which of the following error?

Answer: Use AMH value can not be predicted ovarian response to FSH stimulation

Choices:
A. Using egg Submenu women evaluated ⼀ inventory and stimulation of the ovaries with detection ⼯
B. Is e.g. preantral follicles or antral follicles (preantral and small antral follicles) secreted by the smaller size of the follicle
C. AMH values are not affected by the gonadal hormones (gonadotropin-independent)
D. Use AMH value can not be predicted ovarian response to FSH stimulation


Question: One child under 3 years old one week diarrhea, respiratory rate 35 / min, no respiratory distress phenomenon, heart rate 150 / min, blood pressure 90/64 mmHg, capillary refill time is 5 seconds, the mother described only urinate once a day, following what's disposal immediately better?

Answer: Should be given 20 ml / kg of physiological saline infusion, within half an hour intravenous infusion is completed full

Choices:
A. There humoral defect case for Sick Children should be given hypotonic solution containing glucose, electrolytes of, but given the speed is not too fast to avoid heart failure
B. Sick Children have shock case, infusion alone can not improve blood circulation, should be given combined dopamine 2-5 μg / kg / min
C. Should be given 20 ml / kg of physiological saline infusion, within half an hour intravenous infusion is completed full
D. As good as oral and intravenous infusion infusion effect, oral administration of the electrolytic solution at 500 ml was observed in the emergency

One
years old
week diarrhea
respiratory rate 35
min
respiratory distress
heart rate
min
blood pressure 90 64 mmHg
capillary refill time
5 seconds
only
once
day
following
immediately better


Question: Purpose gel electrophoresis (gel electrophoresis) separation of proteins by adding SDS (sodium dodecyl sulfate) Why?

Answer: For determining the molecular weight of the protein

Choices:
A. For determining a protein's isoelectric point (isoelectric point)
B. For determining the specific activity of a protein (specific activity)
C. To protect the structure and biological activity of the protein
D. For determining the molecular weight of the protein

Purpose gel electrophoresis
gel electrophoresis
separation
proteins
adding
sodium dodecyl sulfate


Question: Which of the following drugs suitable for intravenous injection manner, for the treatment of patients with acute and severe asthma or chronic obstructive pulmonary (COPD) is?

Answer: methylprednisolone

Choices:
A. cromolyn
B. tiotropium
C. montelukast
D. methylprednisolone

following drugs suitable
intravenous injection
acute
severe asthma
chronic obstructive pulmonary


Question: Of drug-related disease or nephrotic syndrome, whichever the pathology often not membrane nephropathy (membranous glomerulopathy)?

Answer: Hodgkins lymphoma (Hodgkin lymphoma)

Choices:
A. Hepatitis B infection (primary tape)
B. Congenital syphilis (Syphilis)
C. Hodgkins lymphoma (Hodgkin lymphoma)
D. Drug use penicillamine


Question: 5-year-old mother took the boy to seek treatment, complained of pneumonia in hospital six months ago, accidentally discovered the boy had microscopic hematuria (urine analysis: occult blood 2+, RBC: 36-50 / HPF). After he had several of the urine test red blood cells are found in the urine, but she had never seen the boy with red urine or brown urine. Grandmother, uncle and grandmother have all been checked out with hematuria, but no one in the family kidney failure. Which of the following is the boy most likely diagnosis?

Answer: Familial thin glomerular basement membrane syndrome (thin glomerular basement membrane disease)

Choices:
A. The familial IgA nephritis (IgA called nephropathy,)
B. Familial of Alport syndrome (Alport syndrome)
C. Familial thin glomerular basement membrane syndrome (thin glomerular basement membrane disease)
D. The congenital nephrotic syndrome (congenital nephrotic syndrome)

5 year old
boy to
treatment
pneumonia
hospital six months
boy
microscopic hematuria
urine analysis
occult blood
36 50
HPF
several
urine test
found
urine
never seen
boy
red urine
brown urine
out
hematuria
no one
kidney failure
following
boy
likely diagnosis


Question: The following information about E. coli DNA replication narrative, what's wrong?

Answer: Mainly composed of DNA polymerase I to synthesize

Choices:
A. Need of RNA primer
B. Mainly composed of DNA polymerase I to synthesize
C. During replication fork replicated opened by Helicase
D. Direction is copied from the 5 '→ 3', and the error can be corrected


Question: Wang Xiaoming, 25 years old, the high school entrance examination found to have hepatitis B with the original, then there is regular follow. Currently liver AST 20 U / L, ALT 15 U / L, HBeAg positive, HBV DNA value of 2 × 107 IU / mL. Family history, his mother and brother also hepatitis B asymptomatic carrier, there is a 45-year-old uncle get in hepatocellular carcinoma. The following statements is wrong?

Answer: Wang Xiaoming should begin receiving antiretroviral therapy

Choices:
A. Xiaoming most likely route of infection of hepatitis B infection vertical (Vertical transmission)
B. Wang Xiaoming is currently in the natural history of hepatitis B in the "immune tolerant phase (Immune tolerance phase)."
C. Wang Xiaoming of the future incidence of liver cancer than the general asymptomatic carrier of hepatitis B is high
D. Wang Xiaoming should begin receiving antiretroviral therapy

years old
high school entrance
found to
hepatitis B
original
then
regular follow
Currently liver AST 20 U
L
ALT
U
L
HBeAg positive
DNA value
IU
mL
Family
hepatitis B asymptomatic carrier
year old
get
hepatocellular carcinoma
following
wrong


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

Answer: Lenticular (cylindric lens) of the shaft (axis), refers to a direction where the cylindrical power (Meridian)

Choices:
A. FIG sundial radial shape on the eye chart, is designed for the inspection of astigmatism with
B. Corneal curvature measured by the corneal astigmatism, the astigmatism of the eye can be used as a reference
C. Astigmatism may by cylinder (Cylinder) to correct the refractive error (refractive errors)
D. Lenticular (cylindric lens) of the shaft (axis), refers to a direction where the cylindrical power (Meridian)


Question: Which of the following ATPase responsible for maintaining the body's largest mammals ion concentration gradient (gradient)?

Answer: Hydrogen ions - potassium adenosine triphosphatase (H + -K + ATPase)

Choices:
A. Sodium - potassium adenosine triphosphatase (Na + -K + ATPase)
B. Erythrocyte anion transporter (anion transporter)
C. Hydrogen ions - potassium adenosine triphosphatase (H + -K + ATPase)
D. Calcium adenosine triphosphatase (Ca2 + ATPase)

following ATPase responsible
body's largest
ion concentration gradient
gradient


Question: A 50-year-old man to the emergency room for treatment, complained of swelling and pain in the jaw, tongue backward shift, the following statements is most inappropriate?

Answer: After oral antibiotics can be tracked to the clinic

Choices:
A. Ludwig's angina is possible differential diagnosis
B. Tooth decay or oral patients, because the cleaning is not held due to
C. After oral antibiotics can be tracked to the clinic
D. CT can be used to diagnose

50 year old man
emergency room
treatment
swelling
pain in
jaw
tongue backward shift
following
most inappropriate


Question: Physicians in patients with mitral valve auscultation a diastolic murmur (diastolic murmur), then it may be the reasons?

Answer: Mitral valve stenosis (stenosis)

Choices:
A. Left ventricular pressure is too high
B. Left ventricular pressure is too low
C. Mitral valve stenosis (stenosis)
D. Mitral regurgitation (insufficiency)

mitral valve auscultation
diastolic murmur
diastolic murmur
then


Question: Statements about temporomandibular joint (temporomandibular joint), the Which statement is correct?

Answer: Pterygoid muscle (lateral pterygoid muscle) contraction of the mandible op (Protrusion)

Choices:
A. Styloid mandibular ligament (stylomandibular ligament) attached to the mandible tongue (lingula of mandible)
B. Sphenoid mandibular ligament (sphenomandibular ligament) is attached in the mandibular angle (angle of mandible)
C. Pterygoid muscle (lateral pterygoid muscle) contraction of the mandible op (Protrusion)
D. Temporomandibular joint articular cartilage plate is made of elastic (elastic cartilage)

temporomandibular joint
temporomandibular joint
correct


Question: 40. With regard to children muscular torticollis (torticollis), the following statements is true? ① ② for the sternocleidomastoid fibrosis caused by the rotation of the affected side of the face to face the opposite side of restricted ③ ④ dysplasia are required surgery

Answer: Only ①②

Choices:
A. ②④
B. ①③④
C. Only ①②
D. ①②③

40
children muscular torticollis
torticollis
following
true
sternocleidomastoid fibrosis caused
rotation
affected side
face to face
opposite side
restricted
dysplasia
required surgery


Question: Which of the following is not involved in the formation of a cross anastomosis (cruciate anastomosis) of?

Answer: Superior gluteal artery (superior gluteal artery)

Choices:
A. The first perforating artery (the first perforating artery)
B. Superior gluteal artery (superior gluteal artery)
C. Medial femoral circumflex artery (medial femoral circumflex artery)
D. Lateral femoral circumflex artery (lateral femoral circumflex artery)

following
not involved
formation
anastomosis
cruciate anastomosis


Question: Mr. Wang because of persistent abdominal pain and visits to the hospital emergency room, according to his description, the beginning of abdominal pain around the navel, a few hours after the symptoms intensified and turned into the right lower quadrant abdominal pain, location, Wang underwent surgery after confirmed acute appendicitis. Then this type of pain should be which of the following?

Answer: Transition from organ pain (visceral pain) as abdominal pain (parietal pain)

Choices:
A. Projection pain (referred pain)
B. Transition from organ pain (visceral pain) as abdominal pain (parietal pain)
C. Transition from abdominal pain (parietal pain) to organ pain (visceral pain)
D. Chronic pain (chronic pain)

Mr
persistent abdominal pain
hospital
beginning
abdominal
navel
few hours
symptoms
turned
right lower quadrant abdominal pain
location
surgery
confirmed acute appendicitis
Then
type
pain
following


Question: About HLA-B27 associated with ankylosing spondylitis of the narrative, that one right?

Answer: In general, fewer women suffering from ankylosing spondylitis; and the prognosis is better than male patients, less severe hunchback

Choices:
A. Diagnosis of ankylosing spondylitis, HLA-B27 do the examination is necessary
B. From about 7 to about ankylosing spondylitis patients which are positive for HLA-B27
C. HLA-B27 positive patients will suffer from about 4 days to ankylosing spondylitis
D. In general, fewer women suffering from ankylosing spondylitis; and the prognosis is better than male patients, less severe hunchback


Question: Low blood capacitive shock (hypovolemic shock) is that one of the following situations?

Answer: A

Choices:
A. A
B. B
C. C
D. D

Low blood
shock
hypovolemic shock
one
following


Question: 75. limb fractures often accompanied by other damage, following the merger injury that is correct? ① ② scapular fracture associated with pulmonary contusion lumbar fracture dislocation of the knee associated with intra-abdominal injury ③ ④ accompanied femoral artery injuries associated with fractures of vertebral fractures

Answer: ①②④

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④


Question: Principle of treatment following acute hypercalcemia that one of the most inappropriate?

Answer: The use of thiazide diuretics

Choices:
A. Immediately replenish physiological saline
B. The use of thiazide diuretics
C. Hypercalcemia of malignancy initiator may consider administering bisphosphonate (bisphosphonates)
D. Vitamin D can cause hypercalcemia consider using steroids

treatment following acute hypercalcemia
one
inappropriate


Question: Related to sex hormones secretion in cells of ovarian follicles, the following statements is true?

Answer: Oocysts granulosa cells and cell membrane

Choices:
A. Confined to granulosa cells (granulosa cells)
B. Granulosa cells and base cells (basal cells)
C. Oocysts ligament cells (theca cells) and basal cell
D. Oocysts granulosa cells and cell membrane

Related
sex hormones secretion
following
true


Question: Which of the following complications of lung cancer, NA chest radiation therapy to relieve symptoms?

Answer: A large number of pleural effusion

Choices:
A. Superior vena cava obstruction syndrome (superior vena cava syndrome)
B. Large airways oppressed
C. Chest pain caused by violations
D. A large number of pleural effusion


Question: In applying primary total knee arthroplasty, following what the organization must be removed during surgery?

Answer: The top ten ligament (anterior cruciate ligament)

Choices:
A. The top ten ligament (anterior cruciate ligament)
B. Patella tendon (patellar tendon)
C. MCL (medial collateral ligament)
D. Lateral collateral ligament (lateral collateral ligament)


Question: 25-year-old female patient, the last three years every morning is always confusion, it is difficult to get up. And they have a suspect but had amnesia to psychiatric attendances, while taking the medication. One morning, the family can not afford to find her sleeping, her emergency hospital. Examination revealed insulin and blood glucose ratio (I / G) exceeding 1; After fasting, abnormal mental condition of the patient becomes more apparent. MRI scan and stimulate hepatic vein arterial blood sampling technique (selective arterial calcium stimulation with hepatic venous sampling) found in pancreatic tumors of the tail, and pancreatic tumors located very close. Which of the following, as the most likely diagnosis?

Answer: Insulinoma (insulinoma)

Choices:
A. Gastrinoma (gastrinoma)
B. Insulinoma (insulinoma)
C. CHH tumor (glucagonoma)
D. Somatostatin tumor (somatostatinoma)

year old female patient
last three years
morning
always confusion
difficult to get
amnesia
psychiatric
medication
One morning
not
to find
sleeping
emergency hospital
revealed insulin
blood glucose ratio
I
G
1
fasting
abnormal mental
patient
more
MRI scan
hepatic vein
technique
arterial calcium stimulation
hepatic venous sampling
found
pancreatic tumors of the tail
pancreatic tumors
very close
following
diagnosis


Question: If long-term intake of large amounts of protein but contains a very small amount of starch foods, the body will appear Which of the following symptoms?

Answer: Blood levels of ketones (ketone bodies) will rise sharply

Choices:
A. Urea content in urine will significantly reduce
B. The body will accumulate a lot of fat
C. Blood levels of ketones (ketone bodies) will rise sharply
D. Is likely to lead to metabolic alkalosis (metabolic alkalosis)

long-term intake
large amounts
protein
contains
very
body
appear
following symptoms


Question: 35-year-old man was diagnosed with renal cell carcinoma, liver and pancreas surgery found that the presence of cysts in patients with a history of kidney cancer father, brain magnetic resonance according to the film found in the cerebellum part of a tumor, the patient is most likely that one of the following genes mutation?

Answer: VHL

Choices:
A. Rb
B. p53
C. VHL
D. WT-1

35 year old man
diagnosed
renal cell carcinoma
liver
pancreas surgery found
presence
cysts
of kidney cancer
brain magnetic resonance
film found
the cerebellum part of
tumor
patient
one
following


Question: A 70-year-old female patient with hypertension, history of diabetes for many years, are normal to get up at 6 am, but when the toilet suddenly spoke very clearly, the left limb weakness, early morning 6:50 to be sent to the emergency room, blood pressure and family: 180/98 mmHg, whichever is the least processed following suit?

Answer: Give prophylactic antihypertensive drugs, and arrange care center beds

Choices:
A. After history taking and physical simple neurological examination, should immediately arrange for the brain computer tomography
B. Immediately blood and blood-related biochemical examination, and electrocardiogram
C. Give prophylactic antihypertensive drugs, and arrange care center beds
D. If these were all normal, given rt-PA thrombolytic agent as soon as possible

70 year old female patient
hypertension
history
diabetes
years
normal to get
toilet
spoke very
left limb weakness
early morning
50 to
sent
emergency room
blood pressure
98 mmHg
least
following


Question: Central nervous system passed by the right ear auditory input, where the spread?

Answer: superior temporal gyrus sides of

Choices:
A. postcentral gyrus on the right side of
B. posterior sides of temporal gyrus
C. superior temporal gyrus sides of
D. the right side of the posterior temporal gyrus

Central nervous system passed
right
spread


Question: 50-year-old male liver transplant recipients seventh day, right upper abdominal pain and slight fever, γ-GT, Alk-P and Bilirubin slight increase, the most likely reason why?

Answer: Acute rejection (Acute rejection)

Choices:
A. Hepatic portal vein thrombosis (Portal vein thrombosis)
B. Cytomegalovirus infection
C. New reverse liver
D. Acute rejection (Acute rejection)

50 year old male liver transplant recipients seventh day


Question: Which of the following is often added to milk and calcium supplements, prevention of childhood rickets and osteomalacia in adults?

Answer: iodides

Choices:
A. levothyroxine
B. iodides
C. liothyroine
D. calcitriol

following
often added
milk
calcium supplements
prevention
childhood rickets
osteomalacia in adults


Question: From the previous question, the woman came for treatment date is May 1, 2005, what was the number of weeks of pregnancy Why? Please choose the most appropriate answer lies in the four following:

Answer: 12 weeks

Choices:
A. 8 weeks
B. 12 weeks
C. 16 weeks
D. 20 weeks

previous
woman
treatment date
May
number of weeks
pregnancy
most appropriate
four following


Question: A 30-year-old male complained of lower back pain with left lower limb sciatica, magnetic resonance imaging (MRI) examination showed a disc (extraforaminal disc herniation) outside the fourth and fifth lumbar vertebrae left side of the hole. Most likely to be pressure stimulation of the nerve root is which of the following?

Answer: The left side of the fourth lumbar nerve root

Choices:
A. Left second lumbar nerve root
B. The left side of the third lumbar nerve root
C. The left side of the fourth lumbar nerve root
D. The left side of the fifth lumbar nerve root

30 year old male
lower back pain
left lower limb sciatica
magnetic resonance imaging
disc
disc herniation
outside
fourth
fifth lumbar vertebrae left side
hole
likely to
pressure stimulation
nerve root
following


Question: Newborn loses heat more easily than adults, the reason is:

Answer: Body surface area to body weight ratio of the higher

Choices:
A. Heart rate, respiratory rate faster
B. Body surface area to body weight ratio of the higher
C. Brown fat faster metabolic rate
D. High blood thyroxine


Question: Which of the following is not attached to the perineal body (perineal body)?

Answer: Ischiocavernosus (ischiocavernosus)

Choices:
A. External anal sphincter (external anal sphincter)
B. Bulbospongiosus (bulbospongiosus)
C. Levator ani (levator ani)
D. Ischiocavernosus (ischiocavernosus)

following
not
perineal body
perineal body


Question: Which of the following is not suitable for the treatment of psoriasis vulgaris (psoriasis vulgaris)?

Answer: Oral steroids

Choices:
A. Narrow band ultraviolet B light
B. Topical vitamin D derivative
C. Oral steroids
D. Topical steroids

following
not suitable
treatment
psoriasis vulgaris
psoriasis vulgaris


Question: Anorectal bending (anorectal flexure) of the angle, which of the following is mainly formed by a traction?

Answer: Shame rectal muscle (puborectalis muscle)

Choices:
A. Shame rectal muscle (puborectalis muscle)
B. Hajiohada (pubococcygeal muscle)
C. Deep transverse perineal muscles (deep transverse perineal muscle)
D. External anal sphincter (external anal sphincter)

Anorectal bending
anorectal flexure
angle
following
formed
traction


Question: A 40-year-old woman, the most recent year uniform chunks of brown spots (brown patches) occur in the cheeks, this spot due to sun exposure and deterioration, the most likely diagnosis is:

Answer: Liver spots (chloasma)

Choices:
A. Freckles (freckles)
B. Sunshine of the small mole (solar lentigo)
C. Atopic dermatitis light (photosensitive dermatitis)
D. Liver spots (chloasma)

40 year old woman
most recent year uniform
brown spots
brown patches
occur
cheeks
spot due to sun exposure
diagnosis


Question: 48-year-old woman, do smear reported as high-grade squamous intraepithelial lesion (HSIL), whichever is the most appropriate next step disposal?

Answer: Biopsy under colposcopy is recommended

Choices:
A. Smear once half a year tracking
B. Consider HPV testing and HPV vaccines administered to play
C. Biopsy under colposcopy is recommended
D. Arrange fractional D & C inspection


Question: The following description of DNA replication, whichever is correct?

Answer: DNA replication will take some RNA primer

Choices:
A. DNA replication without having to energy
B. DNA replication is a part of the full retention mode (conservative model)
C. DNA replication will take some RNA primer
D. DNA replication starting point may be any DNA


Question: About narrative antibiotics, Which statement is correct?

Answer: Folic acid methoxy pyrimidine (Trimethoprim) generation inhibition of folic acid

Choices:
A. Clavulanic acid (Clavulanic acid) are generally used alone
B. Folic acid methoxy pyrimidine (Trimethoprim) generation inhibition of folic acid
C. Erythromycin (Erythromycin) inhibition of cell wall synthesis
D. Sulfonamides (Sulfonamide) inhibition of DNA gyrase (Gyrase)


Question: Mr. Wong, 60 years old, abdominal CT, abdominal angiography and diagnosed with liver cancer after liver biopsy, the following statements is wrong?

Answer: For multiple liver cancer, embolization (trans-arterial embolization therapy, TAE) will only increase patient mortality, should not be considered

Choices:
A. Surgical resection is less than 5 cm for the solitary liver, eradication of the method of treatment (Curative) of
B. For the treatment of liver tumors Coffee solitary liver of less than 3 cm, good results treatment
C. For multiple liver cancer, embolization (trans-arterial embolization therapy, TAE) will only increase patient mortality, should not be considered
D. Tracking postoperative liver include blood and abdominal ultrasound A fetoprotein (α-fetoprotein) Check

Mr
60 years old
abdominal CT
abdominal angiography
diagnosed
liver cancer
liver biopsy
following
wrong


Question: Weight <2000 g of preterm children, how much of the moisture requirements mL / Kg / day is about?

Answer: 150

Choices:
A. 150
B. 100
C. 50
D. 20

Weight
2000 g
preterm children
requirements mL
Kg
day
about


Question: Which of the following peritoneal dialysis patients with the most common cause of peritonitis?

Answer: Gram-positive bacteria

Choices:
A. Viral
B. Mold
C. Gram-negative bacteria
D. Gram-positive bacteria

following peritoneal dialysis patients
most common cause
peritonitis


Question: The 45-year-old male patient after resection cholecystitis, back to the ward, the attending physician found that abdominal X-rays after the track, there are residual gauze. The following statements is wrong?

Answer: To enhance the quality of care, reduce medical errors occur, should be established punitive medical error reporting system

Choices:
A. To conceal the error occurred on the patient's health could undermine public trust for medicine
B. When a patient by a medical injury, they have the right to seek an appropriate correction or compensation
C. To enhance the quality of care, reduce medical errors occur, should be established punitive medical error reporting system
D. Way physicians should try not to self-defense or excuse to shirk its responsibility will be informed

year old male patient
resection cholecystitis
back
ward
attending physician found
abdominal X-rays
track
residual gauze
following
wrong


Question: 41 an 73 year-old male, a figure below the plaque (Plaque) left arm recently occurred two weeks, even itch; 1 week of treatment with the ointment-until no improvement. Inquiry found that patients with a recent three weeks due to urinary tract infections oral anti-inflammatory drugs; and about a year ago also similar lesions in the left arm with the Department appears. The most likely clinical diagnosis:

Answer: Drug rash fixed type (Fixed drug eruption)

Choices:
A. Psoriasis (Psoriasis)
B. Drug rash fixed type (Fixed drug eruption)
C. 體 癬 (tinea body)
D. Erythema multiforme (Erythema multiforme)


Question: In accordance with the provisions of the medical law, medical surgery, the patient should or their legal representatives, spouses, relatives or relations who explained the reasons surgery, the success rate of surgery or complications and the possible dangers of, and with its consent, signed with surgery consent and anesthesia consent form before they may engage. But what kind of situation unless?

Answer: Urgency of the situation by

Choices:
A. Urgency of the situation by
B. Private patient
C. Outpatient surgery
D. Endoscopic surgery

In accordance with
medical surgery
patient
legal
relations
surgery
rate
surgery
complications
possible
consent
signed
surgery consent
anesthesia form
kind


Question: Assessment of suicide risk factors, those are relatively low risk?

Answer: The impulsive suicidal behavior

Choices:
A. Widowed
B. The impulsive suicidal behavior
C. ERA (self blame)
D. Hanging or jumping


Question: The following pairwise combinations of that molecule (molecules on endothelial cells / molecules on leukocytes) occurs when cells migration of inflammatory response (cell migration)?

Answer: E-selectin/CD15s（sialyl-Lewis-X carbohydrate of CD15）

Choices:
A. MadCAM/α4β1
B. E-selectin/CD15s（sialyl-Lewis-X carbohydrate of CD15）
C. IL-8 / CCR2
D. VCAM-1/LFA-1

combinations
occurs
cells migration
inflammatory response
cell migration


Question: Abnormal construction phase of the common bile duct and pancreatic duct at (Anomalous junction of pancreatic duct and common bile duct) What may cause disease?

Answer: Bile duct cyst

Choices:
A. Biliary atresia
B. Bile duct cyst
C. Duct cyst
D. Duodenum 囊腫

Abnormal construction phase
common bile duct
pancreatic duct
Anomalous junction of pancreatic duct
common bile duct
cause disease


Question: Which of the following is not the core symptoms of autism?

Answer: Mental retardation

Choices:
A. Impairment of social interaction
B. Mental retardation
C. Abnormal communication skills
D. Limitations, repeatedly, solid behavioral / interest / activity


Question: Acute pancreatitis attack, the first to be activated enzyme why?

Answer: Trypsin (Trypsin)

Choices:
A. Pancreatic amylase (pancreatic amylase)
B. Trypsin (Trypsin)
C. Pancreatic chymotrypsin (chymotrypsin)
D. Pancrelipase (pancreatic lipase)

Acute pancreatitis attack
first to
enzyme


Question: The following statements about the emotional schizophrenia (schizoaffective disorder), and what's wrong?

Answer: The prognosis of this disease and schizophrenia same

Choices:
A. The prognosis of this disease and schizophrenia same
B. Family members of patients with this disease than the average person more likely to get schizophrenia
C. Compared to the main symptoms of schizophrenic symptoms, the main symptoms of affective symptoms in patients with better prognosis thereof
D. Diagnosis of this disease, there must be a period of time there is schizophrenic symptoms and affective symptoms at the same time

following
emotional schizophrenia
schizoaffective disorder
wrong


Question: 63-year-old Ms. Wang diabetic nephropathy, its pedigree (pedigree) and patient self-administered the Family Circle (family circle) as shown below. Ms. Wang recently due to acute renal failure and acute respiratory distress syndrome, was admitted to the intensive care unit and intubated, after nearly a week of treatment, no significant improvement in the condition, you must perform a tracheostomy (tracheostomy), medical staff told Ms. Wang and needs of the families of tracheostomy. Although Ms. Wang could not speak, but conscious, has been shaking his head refused tracheostomy, in addition to the efforts of the medical staff, you would think that a family member ask to convince the most appropriate?

Answer: Second son

Choices:
A. Mr
B. Eldest son
C. Second son
D. Second daughter

63 year old Ms
diabetic nephropathy
patient self-administered
Circle
circle
Ms
recently
acute renal failure
acute respiratory distress syndrome
intubated
nearly
week
treatment
significant
condition
perform
tracheostomy
tracheostomy
medical staff
Ms
needs
tracheostomy
Ms
not speak
shaking
head
tracheostomy
in addition to
efforts
medical staff
to
most appropriate


Question: About the narrative Sugiura procedure, which of the following error?

Answer: Belongs to a selective shunt

Choices:
A. Belongs to a selective shunt
B. Suitable for splenic vein thrombosis
C. Subject to esophageal transection
D. In patients with alcoholic liver cirrhosis have a higher rebleeding rate


Question: Pathological changes associated with diabetic retinopathy (diabetic retinopathy) of the organization, which of the following error?

Answer: Microvascular basement membrane thinning (thinning of the basement membrane)

Choices:
A. Microvascular basement membrane thinning (thinning of the basement membrane)
B. Blocking tiny blood vessels (microvascular occlusion)
C. Microvascular outer cells are lost (loss of pericyte)
D. Angiogenesis (neovascularization)


Question: Testicular teratoma (teratoma) Sick Children, if blood fetoprotein tumor marker (α-fetoprotein) increases, this kind of malignant tumor may contain components?

Answer: Yolk sac tumor (yolk sac tumor)

Choices:
A. Yolk sac tumor (yolk sac tumor)
B. HCC (hepatocellular carcinoma)
C. Gastrointestinal cancer (adenocarcinoma)
D. Neuroblastoma (neuroblastoma)

Testicular teratoma
teratoma
Sick Children
blood fetoprotein tumor
fetoprotein
increases
kind of malignant tumor
contain components


Question: That following a abdominal organs most commonly injured in blunt abdominal trauma in?

Answer: spleen

Choices:
A. liver
B. kidney
C. spleen
D. Pancreas

following
abdominal organs
injured
blunt abdominal trauma


Question: 14 patients with advanced lung  Vice half azygos vein (accessory hemiazygos vein)  IVC (inferior vena cava) tumors, and hoarseness of situation occurs, the tumor has violated Which of the following is most likely?

Answer: 14 patients with advanced lung inferior vena cava (inferior vena cava) tumors, and hoarseness of situation occurs, the tumor has violated Which of the following is most likely?

Choices:
A. Vice half azygos vein (accessory hemiazygos vein)
B. 14 patients with advanced lung inferior vena cava (inferior vena cava) tumors, and hoarseness of situation occurs, the tumor has violated Which of the following is most likely?
C. Phrenic nerve (phrenic nerve)
D. Vagus nerve (vagus nerve)

patients
advanced lung
half azygos vein
accessory hemiazygos vein
IVC
inferior vena cava
tumors
hoarseness
occurs
tumor
following


Question: The following statements about the regulation of the retinoblastoma protein (retinoblastoma protein), and what's right?

Answer: Can bind E2F transcription factor, influence gene transcription

Choices:
A. Can bind E2F transcription factor, influence gene transcription
B. Can promote the activation of Rhodopsin kinase
C. Its kinase (Kinase) activity, may be activated via phosphorylation after
D. As a cancer-causing gene

following
regulation of
retinoblastoma protein
retinoblastoma protein
right


Question: 65 If the two different inbred strain mice, A and B strains of mating produce progeny F1, F1 mouse is then mated with each other and then the obtained progeny F2. At this time, if the F2 F1 mice either a skin graft, the proportion of F1 mice skin was accepted F2 mice (%) Why?

Answer: 50

Choices:
A. 100
B. 75
C. 50
D. 25

65
two different
strains
mating
then mated
then
obtained
F2
time
F2
skin graft
proportion
mice skin
accepted F2


Question: Glutathione involved in the oxidation-reduction reaction in the cell, which is three peptides consisting of those three amino acids of (tripeptide)?

Answer: glutamate, cysteine, glycine

Choices:
A. methionine, glutamate, cysteine
B. glutamate, cysteine, glycine
C. alanine, methionine, glutamate
D. arginine, aspartic acid, methionine

Glutathione involved
cell
three peptides consisting
three amino acids


Question: Sinusitis cases of fungal infection caused by complications, Which of the following is the most typical signs?

Answer: Blood clots

Choices:
A. Rupture of blood vessels
B. Blood clots
C. Bone marrow involvement
D. Muscle dissolution

Sinusitis cases
fungal caused
complications
following
most typical signs


Question: A 35-year-old man two hours ago right ankle breakthrough pain into the room emergency room. Patients represents years ago had a similar situation occurred in the left knee by a physician after playing analgesics relieve, I do not know why. And colleagues to dinner tonight. Half an hour began to ache after eating seafood dinner and beer. Physical checkups with a body temperature is 37.3 ℃, right ankle joint swelling and marked tenderness. Blood leukocytes was 14,500 / mm3, Which of the following best help further the differential diagnosis?

Answer: Synovial fluid analysis

Choices:
A. Blood uric acid levels
B. Synovial fluid analysis
C. Ankle X-ray
D. CRP

35 year old man two hours
right ankle breakthrough pain
room emergency room
Patients
years
similar
left knee
physician
playing analgesics relieve
I
not
dinner
Half
hour began to ache
eating
dinner
Physical
body temperature
right ankle joint swelling
marked tenderness
500
mm3
following best help further
differential diagnosis


Question: Which of the following is not a serious type of pre-eclampsia (severe preeclampsia) of the index?

Answer: Polyuria

Choices:
A. headache
B. Abdominal pain
C. Blurred vision
D. Polyuria

following
not
serious
pre-eclampsia
severe preeclampsia
index


Question: 42-year-old Lee, suffering from uremia, hemodialysis therapy. Recently found to have superficial bladder cancer, just accepted transurethral resection of bladder tumor, a kidney transplant as soon as possible he wants to do, what the best time?

Answer: After 2 years

Choices:
A. After 3 months
B. After 6 months
C. 1 year after
D. After 2 years


Question: Emergency obstetric A 17-year-old girl, due to menstrual expired, spotty bleeding, left lower quadrant pain, complained of asexual experience, then what kind of check as the first priority?

Answer: Pregnancy tests

Choices:
A. Pregnancy tests
B. Vaginal ultrasound
C. Abdominal computed tomography
D. Smear

Emergency obstetric
year old girl
menstrual expired
spotty bleeding
left lower quadrant pain
asexual
then
kind
check
first priority


Question: When assessing a dementia (dementia) patients, for the purpose of brain computerized tomography (CT) or magnetic resonance imaging (MRI) examination in that:

Answer: Find out if there are other causes of dementia diseases such as tumor, subdural hemorrhage

Choices:
A. Determine whether there is brain atrophy
B. Determine the extent of brain atrophy
C. As the index tracking the extent of brain degeneration year
D. Find out if there are other causes of dementia diseases such as tumor, subdural hemorrhage

dementia
dementia
patients
purpose
brain computerized tomography
magnetic resonance imaging


Question: Curie (Curie) is following what kind of ionizing radiation per unit?

Answer: radioactivity

Choices:
A. absorbed dose
B. equivalent dose
C. radioactivity
D. collective dose


Question: Patients with trigeminal neuralgia therapy drugs (such as carbamazepine, gabapentin), following which method works the fastest?

Answer: Microvascular decompression (microvascular decompression)

Choices:
A. Microvascular decompression (microvascular decompression)
B. Trigeminal ganglia injection glycerin (glycerol injection)
C. Gamma Knife stereotactic surgery (gamma knife surgery)
D. Balloon oppression surgery (balloon compression)

Patients
trigeminal neuralgia therapy drugs
carbamazepine
gabapentin
following
method
fastest


Question: Which of the following is not a human parvovirus B19 (Human parvovirus B19) infection caused by the clinical manifestations?

Answer: Baby Rose rash (roseola infantum)

Choices:
A. Fifth Disease (erythema infectiosum)
B. Baby Rose rash (roseola infantum)
C. Hyperkinetic aplastic anemia (transient aplastic anemia)
D. Water fetus (hydrops fetalis)

following
not
infection caused
clinical manifestations


Question: A 34-year-old woman, G0 (gravida), has been trying to get pregnant for three years have failed to conceive. She has many years of severe pelvic pain and pain during intercourse (dyspareunia). Pelvic examination revealed nodular and tender uterosacral ligament, uterus backward (retroverted) but normal in size, mass and right appendages. Vaginal ultrasound right ovarian cancer found a 6 cm. Blood tests aspects, CA 125 index rose. The next most appropriate disposal is which of the following?

Answer: Laparoscopic ovarian cystectomy (laparoscopy with cystectomy)

Choices:
A. Gonadotropin-releasing hormone similar body (GnRH agonist)
B. Diagnostic laparoscopy (diagnostic laparoscopy)
C. Laparoscopic ovarian cystectomy (laparoscopy with cystectomy)
D. Laparoscopic right oophorectomy (laparoscopy and right oophorectomy)

year old woman
gravida
to
pregnant
three years
failed to
years
severe pelvic pain
pain
intercourse
dyspareunia
Pelvic examination revealed nodular
tender uterosacral ligament
uterus backward
normal
size
mass
right appendages
Vaginal ultrasound
ovarian found
Blood tests aspects
CA 125 index rose
next
appropriate
following


Question: Epididymis (epididymis) belongs to the epithelial lining:

Answer: Pseudo stratified columnar epithelium (pseudostratified columnar epithelium)

Choices:
A. Pseudo stratified columnar epithelium (pseudostratified columnar epithelium)
B. Stratified squamous epithelium (stratified squamous epithelium)
C. The multilayer columnar epithelium (stratified columnar epithelium)
D. Transitional epithelium (transitional epithelium)


Question: When the body is exposed to respiratory allergens, bronchial contracture early produce reaction (early bronchospastic response), can cause acute asthma attacks, mainly due to:

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

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

body
exposed
respiratory allergens
bronchial contracture early
reaction
early
response
cause acute asthma attacks
due to


Question: Thyroidectomy patients accidentally hurt your watch laryngeal nerve outside (external laryngeal nerve), following what most muscle function may be impaired?

Answer: Ring bones muscle (cricothyroid muscle)

Choices:
A. Ring bones muscle (cricothyroid muscle)
B. Thyroid scoop musculoskeletal (thyroarytenoid muscle)
C. Dipper muscle backing ring (posterior cricoarytenoid muscle)
D. Outer cricoarytenoid muscle (lateral cricoarytenoid muscle)

Thyroidectomy patients
laryngeal nerve outside
external laryngeal nerve
following
muscle function
impaired


Question: In elderly people aged 70 thigh and forearm flexor side, axillary, inguinal and lower abdominal skin of a plurality of blisters (bullae), under the skin tissue sections exhibit non acantholysis blisters (subepidermal nonacantholytic blisters), immunofluorescent Examination showed immunoglobulin and complement deposition in the basement membrane substantially linear parts, the diagnosis why?

Answer: Pemphigoid large blisters (bullous pemphigoid)

Choices:
A. Pemphigus vulgaris (pemphigus vulgaris)
B. Pemphigus erythematosus (pemphigus erythematosus)
C. Pemphigoid large blisters (bullous pemphigoid)
D. Dermatitis herpetiformis (dermatitis herpetiformis)

aged 70 thigh
forearm flexor side
axillary
inguinal
lower abdominal skin of
plurality
blisters
bullae
skin tissue sections
non acantholysis blisters
subepidermal
blisters
immunoglobulin
complement deposition
basement membrane
linear parts
diagnosis


Question: Which of the following may stimulate GnRH pulses?

Answer: Catecholamine

Choices:
A. Hyperprolactinemia
B. Cushing's disease
C. Catecholamine
D. Acromegaly


Question: When a patient in a wheelchair problematic hip internal rotation (internal rotation), the following statements is true?

Answer: Must check for hip dislocation (dislocation) of problem

Choices:
A. Must check for hip dislocation (dislocation) of problem
B. Wheelchair seat (seat) depth is too long
C. Probably because too hip flexion (flexion), this time can be adjusted more hip extension (Extension) posture
D. The question put on a limb ankle foot bracket (ankle-foot orthosis) can improve this problem

patient
wheelchair
hip internal rotation
internal rotation
following
true


Question: Which of the following is an important disease Zollinger-Ellison's syndrome?

Answer: Peptic ulcer

Choices:
A. hypertension
B. High blood sugar
C. Hepatic coma
D. Peptic ulcer


Question: Which of the following as a pre-palate cleft lip (cleft lip and palate) and cleft palate after the demarcation of the index?

Answer: Waterloo incisors (incisive fossa)

Choices:
A. A blind hole (foramen cecum)
B. Waterloo incisors (incisive fossa)
C. Large palatal canal (greater palatine canal)
D. Foramen ovale (foramen ovale)

following
pre palate cleft lip
cleft lip
palate
cleft palate
of
index


Question: Treatment of the following statements about bronchiectasis, what's wrong?

Answer: For patients with repeated infections should be long-term use of antibiotics to prevent further damage to the respiratory tract

Choices:
A. For patients with repeated infections should be long-term use of antibiotics to prevent further damage to the respiratory tract
B. The appropriate use of bronchodilators may improve the symptoms of patients
C. Pulmonary rehabilitation to improve the respiratory tract mucus accumulation, play an important role
D. aspergilloma caused repeatedly hemoptysis, surgical resection may be considered

Treatment following bronchiectasis wrong


Question: If children with disseminated intravascular coagulation (DIC) occurs when a blood test, which of the following does not appear?

Answer: Elevated blood fibrinogen

Choices:
A. Blood D-dimer appearance
B. Blood Factor V or Factor VIII to reduce
C. Platelets (Platelets) reduce the number of
D. Elevated blood fibrinogen

children
disseminated intravascular coagulation
occurs
blood test
following
not appear


Question: 67.63-year-old Ms. Zhang, three months ago adult health check report shows that total cholesterol 264 mg / dL, triglycerides 145 mg / dL, HDL cholesterol 59 mg / dL, other normal. The very fact that no smoke, no other medical history, father has diabetes. Review the results of LDL cholesterol 150 mg / dL, blood pressure 126/72 mmHg, body mass index (BMI) 30.1 kg / m2, the following statements is most appropriate?

Answer: At this point only continue to improve the way of life, not to be given statin drugs therapy

Choices:
A. The very fact belong to moderate risk of cardiovascular disease by (moderate risk)
B. The very fact that the low-density lipoprotein cholesterol above target
C. At this point only continue to improve the way of life, not to be given statin drugs therapy
D. Shall be according to Framingham Heart Study risk equation conjecture value within five years of suffering from coronary heart disease, in order to decide the very fact of cholesterol goals

67 63 year old Ms
three months
adult
check report
total cholesterol
mg
dL
triglycerides
mg
dL
HDL cholesterol 59 mg
dL
normal
very fact
smoke
medical history
diabetes
results
LDL cholesterol
mg
dL
blood pressure
72 mmHg
body mass index
30
kg
m2
following
most appropriate


Question: 19 A 20-year-old male recently lower limb edema, urine can not afford to have a red bubble. Blood test showed a low value of patient serum albumin (albumin 2.0 g / dL); and Urine examination showed proteinuria (urine protein> 300 mg / dL). Blood tests found elevated hemoglobin values phenomenon (hemoglobin 16.8 g / dL). About the patient's narrative, Which of the following is most likely to happen?

Answer: The blood of patients with renin (renin) concentration will increase

Choices:
A. The total discharge amount of sodium will increase kidney patients
B. The blood of patients with renin (renin) concentration will increase
C. Patients outer intercellular tissue interstitial fluid (interstitial fluid) purified water pressure (hydrostatic pressure) decreases
D. Lymph flow (thoracic duct lymph flow) within the patient's chest tube will be reduced

20 year old male recently lower limb edema


Question: Blood epinephrine (epineprine) which inhibits the metabolism of the liver or muscle concentration rises?

Answer: Liver glycolysis (Glycolysis)

Choices:
A. Liver glycolysis (Glycolysis)
B. Muscle glycolysis (glycolysis)
C. Hepatic glucose newborn action (gluconeogenesis)
D. The decomposition of muscle glycogen (glycogenolysis)

Blood epinephrine
inhibits
metabolism
liver
muscle concentration


Question: The following statements about acute sporadic encephalomyelitis (acute disseminated encephalomyelitis, ADEM), and what's wrong?

Answer: It is easy to relapse

Choices:
A. After prompted by viral infection or after vaccination vaccine-induced autoimmune disease
B. It is easy to relapse
C. If severe brain injuries, high mortality
D. Pathological changes to destroy myelin (myelin) mainly

following
acute sporadic encephalomyelitis
acute disseminated encephalomyelitis
ADEM
wrong


Question: Head and neck of all parasympathetic ganglia which final anatomical location (posterior) were as follows:

Answer: Ear ganglion (otic ganglion)

Choices:
A. Submandibular ganglion (submandibular ganglion)
B. Pterygopalatine ganglion (pterygopalatine ganglion)
C. Ear ganglion (otic ganglion)
D. Ciliary ganglion (ciliary ganglion)

Head and neck
parasympathetic ganglia
final anatomical location
posterior
follows


Question: The following cell fusion-related respiratory virus (Respiratory syncytial virus) of the narrative, what's right?

Answer: After causes bronchial epithelial cell necrosis into respiratory tract, mucus secretion, inflammatory cell infiltration, edema of the submucosa

Choices:
A. Mucus virus belongs to the positive (Orthomyxovirus)
B. After causes bronchial epithelial cell necrosis into respiratory tract, mucus secretion, inflammatory cell infiltration, edema of the submucosa
C. Life-long immunity after infection
D. Is a positive-stranded RNA nucleic acid


Question: Infant wheezing (stridor) What is the most common reason?

Answer: Throat osteomalacia (laryngomalacia)

Choices:
A. Vocal cord paralysis (vocal fold paralysis)
B. Laryngeal cyst (laryngeal cyst)
C. Throat osteomalacia (laryngomalacia)
D. Subglottic obstruction (subglottic stenosis)


Question: Which of the following does not meet the infectious diseases department of the Executive Yuan of Health Guidelines for the notification?

Answer: Diagnosis of

Choices:
A. Diagnosis of
B. specialization
C. Information technology
D. globalization


Question: Congenital spinal bifida spinal cord disease (myelomeningocele) is often associated with abnormalities of the nervous system does not include which of the following?

Answer: Microcephaly

Choices:
A. The second type Arnold Chiari anomaly
B. Microcephaly
C. Spinal adhesions (tethered cord)
D. Spinal cord lipoma (lipoma) 24 The following narrative about child obesity, whichever is most incorrect?


Question: Narrative about breast MRI examination of the following, what's wrong?

Answer: For ductal carcinoma in situ (DCIS) of the sensitivity (sensitivity) up to 90%

Choices:
A. For ductal carcinoma in situ (DCIS) of the sensitivity (sensitivity) up to 90%
B. Specificity (specificity) is moderate (moderate) only
C. For patients with occult breast cancer it is very useful to check
D. For high-risk (high risk) patients can (screening) as a screening examination


Question: The following account of the ECG (electrocardiogram, ECG or EKG) monitoring what's wrong?

Answer: Since simplify conductance (ECG leads), most of arrhythmias and myocardial ischemia diagnosis can not be found by the ECG monitor

Choices:
A. ECG monitoring anesthesia in patients is necessary projects, but also in a standard monitoring
B. The main purpose of ECG monitoring is to detect cardiac electrical disorder will affect the mechanical function of (electrical
C. For arrhythmia and correct diagnosis of myocardial ischemia and help correct and effective formulation and implementation of clinical management
D. Since simplify conductance (ECG leads), most of arrhythmias and myocardial ischemia diagnosis can not be found by the ECG monitor

following account
ECG
electrocardiogram
ECG
EKG
wrong


Question: A 56-year-old man no special medical history, nor any discomfort, found that hemoglobin was 13.5 gm / dL, white blood cell 11500 / μL, platelets 875000 / μL during a health check; no special physical examination abnormalities. What items seized following the results of blood can confirm the diagnosis of this patient histiocytosis (essential thrombocythemia), rather than as a sub-onset idiopathic thrombocytopenic?

Answer: JAK2 mutation

Choices:
A. low thrombopoietin level
B. increased LAP score
C. JAK2 mutation
D. immature myeloid cells


Question: The following statements about MHC (major histocompatibility complex), and what's wrong?

Answer: MHC expression by different human leukocyte antigen (HLA) can be divided into two categories class I and class II, and belonging to class I HLA-DQ

Choices:
A. MHC is located on the sixth human chromosome (chromosome 6)
B. MHC expression by different human leukocyte antigen (HLA) can be divided into two categories class I and class II, and belonging to class I HLA-DQ
C. MHC class I expression to be cytotoxic CD8 T cell help
D. At the time of organ transplantation, MHC and T cell-mediated rejection of the relevant

following
MHC
major histocompatibility complex
wrong


Question: Statements about rabies (Rabies viruses), and which of the following error?

Answer: Can not be destroyed ether

Choices:
A. Generating Negri bodies (Negri body)
B. Can not be destroyed ether
C. It is an RNA virus
D. Mainly affects the nerve tissue


Question: Complex III mitochondrial electron transport chain is the main body to the electron transfer:

Answer: Cytochrome c

Choices:
A. Cytochrome c
B. Succinate
C. NADH
D. Ubiquinone


Question: The following description of pregnancy complicated with heart disease, what's wrong?

Answer: In order to avoid the deterioration of cardiac function, caesarean section should be performed

Choices:
A. Heart failure should be avoided during pregnancy
B. In order to avoid the deterioration of cardiac function, caesarean section should be performed
C. When the time of occurrence of heart failure is common in the production and post-natal
D. The probability of congenital heart disease in pregnant women gave birth to the fetus has a heart attack than the average high for pregnant women

following
pregnancy complicated
heart disease
wrong


Question: 28. One primiparas 39, now 39 weeks of pregnancy, blood pressure during pregnancy are between 100 ~ 120/60 ~ 70 mmHg. Found that blood pressure 150/100 mmHg today check-ups, but no merger headache, blurred vision, nausea, vomiting or abdominal pain situation. After the delivery room to the maternal blood is again measured 160/90 mmHg, hematocrit (hematocrit) is 0%, platelet count 160,000 / μL, indices of liver function GOT: 22, GPT: 15, urinalysis no proteinuria cases, fetal monitors found no cases of fetal distress. The women most likely to meet the following diagnosis?

Answer: Pregnancy-induced hypertension (gestational hypertension)

Choices:
A. Pre-eclampsia syndrome (preeclampsia)
B. Chronic hypertension (chronic hypertension)
C. Chronic hypertension and pre-eclampsia disease (chronic hypertension with superimposed)
D. Pregnancy-induced hypertension (gestational hypertension)

One primiparas
now
weeks
pregnancy
blood pressure
pregnancy
100
60
70 mmHg
Found
blood pressure
100 mmHg today check-ups
headache
blurred vision
nausea
vomiting
abdominal pain
delivery room
blood
measured
90 mmHg
hematocrit
hematocrit
0
platelet count
L
indices
liver function
GPT
urinalysis
proteinuria cases
fetal monitors found
cases
fetal distress
to
following diagnosis


Question: Which of the following is not a development about the age of 3 years old normal behavior?

Answer: Will rollerblading

Choices:
A. Riding a tricycle
B. Will draw circles
C. Will rollerblading
D. Ran very stable

following
not
development
age
years old normal behavior


Question: 35-year-old woman because of menstruation did not come come to seek treatment for 1 year, year and a half before the natural birth to a third child, postpartum not breastfeeding, so far still no menstrual cramps. After further inquiry, that when production due to heavy bleeding with shock had received an emergency blood transfusion. He seized the following items most projects do not help diagnose?

Answer: CBC

Choices:
A. LH
B. FSH
C. Prolactin
D. CBC

35 year old woman
menstruation
not
to
treatment
year
year
half
natural birth
third child
postpartum not breastfeeding
far
menstrual cramps
further
due to heavy bleeding
shock
received
emergency blood transfusion
following
not help diagnose


Question: Sinus node (SA Node) the correct anatomical position Why?

Answer: Right atrium and the superior vena cava junction

Choices:
A. Inferior vena cava and right atrium junction
B. Tricuspid annulus and the inferior vena cava at the corners
C. Pulmonary vein and left atrium junction
D. Right atrium and the superior vena cava junction


Question: Which of the following is mainly composed of cell membranes of skeletal muscle cells (plasma membrane)?

Answer: Sarcolemma (sarcolemma)

Choices:
A. Sarcolemma (sarcolemma)
B. Hadagaimaku (epimysium)
C. Endomysial (endomysium)
D. Perimysia (perimysium)

following
cell membranes
plasma membrane


Question: The following related acute inflammation (acute inflammation) of the vascular response to validity?

Answer: Vascular endothelial cell shrinkage results due to vascular leakage histamine (histamine), bradykinin caused retardation (Bradykinin) other substances

Choices:
A. Vascular leakage of liquid from the main transudate (transudate)
B. Vasodilation is due to histamine (Histamine) and nitric (nitric oxide, NO) and other effects on vascular endothelium (endothelium) due to
C. Vascular permeability (permeability) increased the most common machine transfer is endothelial damage, cell death and shedding caused
D. Vascular endothelial cell shrinkage results due to vascular leakage histamine (histamine), bradykinin caused retardation (Bradykinin) other substances

following related acute inflammation
acute inflammation
vascular response
validity


Question: Narrative about schizophrenia, which of the following error?

Answer: Hearing voices is a necessary condition diagnosis

Choices:
A. Lifetime prevalence of approximately one percent
B. Poor prognosis in childhood adolescence onset
C. May be associated with depression or obsessive-compulsive symptoms appear
D. Hearing voices is a necessary condition diagnosis


Question: Which of the following metals absorb excessive exposure can cause the body appear tremor (tremor) and incoordination (ataxia) and other symptoms of Minamata disease?

Answer: HG

Choices:
A. HG
B. thallium
C. cadmium
D. aluminum

following
excessive exposure
cause
body appear tremor
tremor
incoordination
ataxia
symptoms
disease


Question: For the treatment of burns of the watch section, the following statements is wrong?

Answer: Using the required sub ⽊ (splint), to maintain the extension metacarpophalangeal joint (MP joint extension) and extends interphalangeal joint (IP joint

Choices:
A. Early healing wound-connector, to avoid contractures best shutter mode
B. Using the required sub ⽊ (splint), to maintain the extension metacarpophalangeal joint (MP joint extension) and extends interphalangeal joint (IP joint
C. Maintaining the posture of the watch function portion (functional position), in order to avoid stretching the tendon contracture (extensor tendon contracture)
D. Should maintain the position of the thumb abduction (Abduction) of

treatment of burns
section
following
wrong


Question: 14-year-old boy, whose father suffers from high blood pressure; boys CT scan as shown, that the most likely diagnosis Why?

Answer: Polycystic kidney disease

Choices:
A. Glomerular inflammation
B. Pyelonephritis
C. Kidney stones
D. Polycystic kidney disease

year old boy
suffers
high blood pressure
boys CT scan
diagnosis


Question: A 4-year-old boy because of fever four days, come for treatment, as shown in Figure its tongue. Following a disease that at least this change occur?

Answer: Streptococcus pneumoniae pneumonia

Choices:
A. Kawasaki disease
B. s
C. Streptococcus pneumoniae pneumonia
D. Staphylococcus aureus infection

4 year old boy
fever four days
treatment
tongue
Following
disease
change occur


Question: Anesthesia narrative for various organ transplants, Which statement is correct?

Answer: And end stage renal disease often have severe arteriosclerosis, preoperative cardiovascular status should be a detailed assessment

Choices:
A. And end stage renal disease often have severe arteriosclerosis, preoperative cardiovascular status should be a detailed assessment
B. Liver transplant patients coagulopathy should be noted, brain dysfunction and renal dysfunction, not removal of the endotracheal tube in the operating room, and it is not used for postoperative pain narcotics
C. Pancreas transplant patients is often associated with liver transplantation should not reduce the amount of drug use and strict monitoring of blood glucose
D. Brainstem dead organ donors for organ donation procedures in the event of bradycardia, atropine is the drug of choice

Anesthesia
various organ transplants
correct


Question: The following information about the Central Limit Theorem (central limit theorem) content of the statements is wrong?

Answer: The average sample standard deviation of the sampling distribution, also known as standard error, which is equal to the sample standard deviation divided by the number of samples

Choices:
A. The average sample standard deviation of the sampling distribution, also known as standard error, which is equal to the sample standard deviation divided by the number of samples
B. The average value of the sampling distribution of the sample mean equal to the average female population
C. If the parent population is normally distributed, not even if the number of samples, the sampling distribution of the sample means will be close to normal distribution
D. If the sample size is large enough, the sample mean of the sampling distribution will certainly be close to normal distribution

following
Central Limit
central limit
wrong


Question: It is not one of the following amino acid absorption wavelength of 280 nm UV light?

Answer: Asparagine (Asparagine)

Choices:
A. Phenylalanine (Phenylalanine)
B. Asparagine (Asparagine)
C. Tyrosine (tyrosine)
D. Tryptophan (tryptophan)

not one
following amino acid
wavelength
nm