Question: A 50-year-old middle-aged obese women have significant acid reflux and heartburn phenomenon, the following statements is wrong?

Answer: Proton pump inhibitor is best taken after a meal 30 minutes

Choices:
A. Weight loss benefit symptom control
B. The best reduce drinking coffee and wine
C. Taking the calcium channel blocker make symptoms worse
D. Proton pump inhibitor is best taken after a meal 30 minutes

50 year old middle-aged obese women
significant acid reflux
heartburn
following
wrong


Question: Which of the following does not belong to the virus enterovirus genus (Genus enterovirus)?

Answer: Rotavirus (Rotavirus)

Choices:
A. Poliomyelitis virus (Poliovirus)
B. Rotavirus (Rotavirus)
C. Coxsackievirus (Coxsackie virus)
D. ECHO virus (Echovirus)


Question: The following description of malignant mesothelioma (malignant mesothelioma), and what's wrong?

Answer: Five-year survival rate is about 70%

Choices:
A. Patients usually have a history of asbestos (asbestos) exposure
B. Parietal pleura and the tumor would violate the visceral pleura
C. Patients will have clinical manifestations of dyspnea and pleural effusion phenomenon
D. Five-year survival rate is about 70%

following
malignant mesothelioma
malignant mesothelioma
wrong


Question: Which of the following can cause headaches occipital part?

Answer: After the group of acute sinus inflammation

Choices:
A. Acute maxillary sinusitis
B. Acute frontal sinusitis
C. Acute anterior group ethmoiditis
D. After the group of acute sinus inflammation

following
cause headaches occipital part


Question: Viagra (Viagra) is a cGMP phosphodiesterase inhibitor, whose role is to maintain:

Answer: High concentrations of cGMP

Choices:
A. High activity of G protein
B. High concentrations of cGMP
C. Low activity of the G protein
D. Low concentrations of cGMP

Viagra
Viagra
cGMP phosphodiesterase inhibitor
role
to


Question: Account of Europe's Disease (Osgood-Schlatter disease), and Which statement is correct?

Answer: There may be bone lesions of fragmentation (fragmentation) phenomenon

Choices:
A. There may be bone lesions of fragmentation (fragmentation) phenomenon
B. Lesions often located in the patella and patellar tendon junction
C. Do not use nonsteroidal antiinflammatory analgesic
D. Usually require surgical treatment

Account
Europe's Disease
Osgood-Schlatter disease
correct


Question: The following account of vesicoureteral reflux (Vesicoureteral reflux), and what's wrong?

Answer: The adult countercurrent most of the available medical treatment to get good results

Choices:
A. Pyelonephritis often to renew VUR
B. Primary countercurrent because ureterovesical Triangle congenital weak muscles
C. Children more than half of the available counter-current non-surgical methods to control
D. The adult countercurrent most of the available medical treatment to get good results

following account
vesicoureteral reflux
Vesicoureteral reflux
wrong


Question: Statements about hypochondriasis (hypochondriasis), and what's right?

Answer: Often accompanied by depression or anxiety-related disorders

Choices:
A. Patients with low socioeconomic strata of better prognosis
B. Excellent improvement rate after treatment cases, 90% or more to heal
C. Often accompanied by depression or anxiety-related disorders
D. Duration of less than 6 months


Question: Sudden severe cough when a 2-year-old children running play in the restaurant before sitting on the ground in pain, breathing panting, but sane, color is still red, his speech can sound, this time how to deal with?

Answer: Appease children, and taken to hospital as soon as possible

Choices:
A. Immediately so as not to completely block later administered first aid Heimlich
B. Immediately find ambu-bag to be artificial ventilation
C. Appease children, and taken to hospital as soon as possible
D. Quickly find thick needle is inserted into the throat ventilation

Sudden severe cough
2 year
play
restaurant
sitting
pain
breathing panting
color
red
speech
sound
time
to


Question: Pronator syndrome (Pronator syndrome) Which of the following is not because of pressure to the nerve structure?

Answer: Deep flexor (flexor digitorum profundus)

Choices:
A. Deep flexor (flexor digitorum profundus)
B. Ligament of Struthers
C. Lacertus fibrosus of biceps
D. Pronator teres (Pronator teres)

Pronator syndrome
Pronator syndrome
following
not
pressure
nerve structure


Question: A 26-year-old woman two years of multiple joint pain history. Patients also have skin rash on the cheeks. Although patients with systemic lymph nodes, but no joint swelling or distortion of the situation. Test showed anemia, leukopenia, strains of globulin and increased proteinuria. Serological examination immunofluorescence antinuclear antibody (Antinuclear antibody, ANA) test for 1: 1024 fold positive edge type. Based on these results, physicians should tell patients what kind of message the following?

Answer: Complications of chronic renal failure may occur

Choices:
A. Avoid exposure to the cold environment
B. There will be joint deformity occurs
C. Complications of chronic renal failure may occur
D. Final to be done in the future replacement of heart valve surgery

year old woman two years
multiple joint pain history
Patients
skin rash
cheeks
patients
systemic lymph nodes
joint swelling
distortion
Test
anemia
leukopenia
strains
globulin
increased proteinuria
Serological
immunofluorescence antinuclear antibody
Antinuclear antibody
test
fold positive edge type
Based
results
physicians
patients
kind
following


Question: Which of the following does not belong to adrenergic neuron blockers?

Answer: trimethaphan

Choices:
A. guanethidine
B. trimethaphan
C. debrisoquin
D. reserpine

following
not
adrenergic neuron blockers


Question: Located in the psoas muscle (psoas major muscle) inside the lumbar plexus branches are:

Answer: Obturator nerve (obturator nerve)

Choices:
A. Femoral nerve (femoral nerve)
B. Reproductive femoral nerve (genitofemoral nerve)
C. Ilioinguinal nerve (iliohypogastric nerve)
D. Obturator nerve (obturator nerve)

psoas muscle
psoas major muscle
lumbar plexus branches


Question: Thyroxine is changed from that kind of amino acid formed?

Answer: Tyrosine (tyrosine)

Choices:
A. Leucine (Leucine)
B. Tyrosine (tyrosine)
C. Glycine (glycine)
D. Serine (serine)

Thyroxine
changed
kind
amino acid formed


Question: Scleroderma (systemic sclerosis) based on the scope of influence of the skin, can be divided into localized (limited) and diffuse (diffuse), patients often appear localized of antinuclear antibodies (ANA) are compared:

Answer: anticentromere

Choices:
A. Anti-Jo the (anti-histidyl t-RNA synthetase)
B. I antitopoisomerase
C. nucleolar ANA
D. anticentromere

Scleroderma
systemic sclerosis
based
skin
divided
localized
limited
diffuse
diffuse
patients often appear localized
antinuclear antibodies


Question: A 42-year-old woman, paroxysmal hypertension, headaches and sweating. 24 hours urine was measured found VMA (vanillylmandelic acid) high, but computer tomography adrenal tumors can not see. What to do next inspection is the most appropriate?

Answer: 131I- metaiodobenzylguanidine (MIBG) scan Nuclear Medicine

Choices:
A. 131I- metaiodobenzylguanidine (MIBG) scan Nuclear Medicine
B. Chest computed tomography
C. Chest photography magnetic resonance (MRI)
D. 99mTc-Sestamibi nuclear medicine scan

year old woman
paroxysmal hypertension
headaches
sweating
24 hours urine
measured found VMA
vanillylmandelic acid
high
computer tomography adrenal tumors
not see
to
next inspection
most appropriate


Question: Due to the long-term with headphones to listen to loud rock bass, resulting in hearing loss. It is most likely damaged cochlear nerve is located where?

Answer: Close to the basilar membrane of the cochlea at the end of

Choices:
A. Close to the oval window of the basilar membrane
B. Close to the oval window of the tectorial membrane
C. Close to the basilar membrane of the cochlea at the end of
D. Near tectorial membrane at the end of the cochlea

Due to
long-term
headphones
loud
resulting in hearing loss
most likely damaged cochlear nerve


Question: The following statements about Rose rosea (pityriasis rosea), and what's right?

Answer: Etiology may type 7 infection with human herpes virus

Choices:
A. Occur in the face and extremities
B. Etiology may type 7 infection with human herpes virus
C. Easy to repeated attacks
D. Skin biopsy showed chronic inflammation of the skin mainly


Question: It does not belong to one of the following symptoms of opiate withdrawal phenomenon of long-term drugs?

Answer: Heart rate and blood pressure

Choices:
A. Tears (lacrimation)
B. Heart rate and blood pressure
C. The spirit of excitement (agitation)
D. Insomnia (insomnia)

not
one
following symptoms
opiate
long-term drugs


Question: A baby wards of four hospital respiratory syncytial virus cells (respiratory syncytial virus) infection cases, that one of the following is the most effective infection control measures?

Answer: Strengthening the hand-washing

Choices:
A. Ward one hour per day is irradiated with ultraviolet rays
B. Strengthening the hand-washing
C. All hospitalized infants intravenous immunoglobulin
D. The baby's respiratory secretions with bleach water disinfection

baby
four
cells
infection cases
one
following
most effective
measures


Question: A gestational age 39 weeks, birth weight 3200 gm of natural births, after 24 hours of birth cyanosis (cyanosis), respiratory distress (respiratory distress) and abdomen depressed (scaphoid abdomen) phenomenon. Which of the following is the most likely diagnosis?

Answer: Congenital diaphragmatic hernia

Choices:
A. After nostril atresia
B. Congenital diaphragmatic hernia
C. Neonatal transient tachypnea
D. Neonatal respiratory distress syndrome

gestational age
weeks
birth weight
gm
natural
24 hours
birth cyanosis
cyanosis
respiratory distress
respiratory distress
abdomen depressed
scaphoid abdomen
following
diagnosis


Question: From the previous question, this was a knife piercing the patient is in the front leg, possibly before the segment (anterior compartment) hurt, but it does not cover what muscle?

Answer: Posterior tibial muscle (tibialis posterior)

Choices:
A. Tibialis anterior muscle (tibialis anterior)
B. Extensor longus  (extensor hallucis longus)
C. Extensor digitorum longus (extensor digitorum longus)
D. Posterior tibial muscle (tibialis posterior)

previous
knife piercing
patient
front leg
possibly
segment
anterior compartment
not cover
muscle


Question: From the previous question, examined the patient urine, chloride ion concentration was found that 10 mmol / L. Whichever is most consistent with this result?

Answer: Propionic patient

Choices:
A. A patient
B. B Patients
C. Propionic patient
D. Ding patient

previous
examined
patient urine
concentration
found
10 mmol
L
most
result


Question: Caused by an external force greater trochanter of the femur (greater trochanter) damage, Which of the following most affected?

Answer: Gluteus maximus

Choices:
A. Gluteus maximus
B. Gluteal muscle
C. Gluteus minimus
D. Piriformis

Caused
external
greater trochanter of
femur
greater trochanter
damage
following most affected


Question: The following description of the first type and type IV allergy-related immune response, whichever is correct?

Answer: IFN-γ is involved in one of the fourth-type allergic immune cytokine important

Choices:
A. The first type hypersensitivity pathogenesis immunized, no T cells are involved
B. The first type hypersensitivity immune responses, the longer the contact time of onset of the antigen
C. The fourth type allergic immune response, the antibody IgE is primarily involved in
D. IFN-γ is involved in one of the fourth-type allergic immune cytokine important

following description
first type
type IV allergy related immune response
correct


Question: Rapid, shallow breathing index short (rapid-shallow-breathing index) Why, the patient's respirator from a higher chance of success?

Answer: ＜105

Choices:
A. ＜105
B. ＜140
C. ＜210
D. ＜250

Rapid
shallow breathing index short
rapid-shallow-breathing index
patient's respirator
higher chance


Question: Thyroid surgery hoarseness (hoarseness), Which of the following is most likely to be injured?

Answer: Recurrent laryngeal nerve (recurrent laryngeal nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Recurrent laryngeal nerve (recurrent laryngeal nerve)
C. Lingual nerve (lingual nerve)
D. Hypoglossal nerve (hypoglossal nerve) 8 posterior fossa brain sickle (falx cerebri) sensory nerves from:

Thyroid surgery hoarseness
hoarseness
following
to
injured


Question: The following statements about Ezihaimo disease, what's wrong?

Answer: Neurofibrillary tangles (neurofibrillary tangles) for specific pathological findings, no neurofibrillary tangles in diseases other

Choices:
A. Its memory disorders usually start showing recent memory impairment (recent memory impairment)
B. Neurofibrillary tangles (neurofibrillary tangles) for specific pathological findings, no neurofibrillary tangles in diseases other
C. Is presently considered more associated neurotransmitter is acetylcholine (acetylcholine) and norepinephrine (norepinephrine)
D. At present findings may be related to the first, 14, 21 pairs of chromosomes


Question: Thyroid-related eye disease (thyroid eye disease, TED), the following statements is wrong?

Answer: TED and the severity of hyperthyroidism (hyperthyroidism) is proportional to

Choices:
A. TED and the severity of hyperthyroidism (hyperthyroidism) is proportional to
B. Prompted by humoral autoimmune response (humoral-mediated autoimmune reaction)
C. Smoking is one of the risk factors caused by TED
D. Rapid progress of convex eye disease, should be given high-dose steroids

Thyroid related eye disease
thyroid eye disease
TED
following
wrong


Question: Following on diabetic polyneuropathy (diabetic polyneuropathy), what's wrong?

Answer: Nerve conduction studies properly, you can rule out this diagnosis

Choices:
A. Often the first to feel symptoms
B. Often the first effect of small nerve fibers
C. Nerve conduction studies properly, you can rule out this diagnosis
D. Once there, even if strict control of diabetes, often irreversible changes

Following
diabetic polyneuropathy
diabetic polyneuropathy
wrong


Question: Statements about chronic myelogenous leukemia (chronic myelogenous leukemia), and Which statement is correct?

Answer: Tumor cells of nine pairs and 22 pairs of chromosomes translocation, resulting in BCR-ABL fusion gene

Choices:
A. Patients mostly children and young people
B. The amount of bone marrow cells was significantly reduced than normal (hypocellular marrow)
C. Patient's blood marrow blasts (myeloblasts) accounting for more than 20%
D. Tumor cells of nine pairs and 22 pairs of chromosomes translocation, resulting in BCR-ABL fusion gene

chronic myelogenous leukemia
chronic myelogenous leukemia
correct


Question: Which of the following conduct by the cornea pain?

Answer: Nose and eyelashes nerve (nasociliary nerve)

Choices:
A. Nerve (supratrochlear nerve) on the trolley
B. Infraorbital nerve (infraorbital nerve)
C. Nose and eyelashes nerve (nasociliary nerve)
D. The optic nerve (optic nerve)


Question:
44
 Drug treatment of endometriosis, Which of the following is not the most appropriate?

Answer: Prostaglandins

Choices:
A. Progesterone antagonist
B. Lutein
C. Selective estrogen receptor modulators
D. Prostaglandins

Drug treatment
endometriosis
following
not
most appropriate


Question: Various gastrointestinal smooth muscle contraction mode, that one is unique to the large intestine smooth muscle contraction?

Answer: mass action contraction

Choices:
A. peristaltic wave
B. segmentation contraction
C. tonic contraction
D. mass action contraction


Question: Intestinal mucosa described in the relevant components of the immune cells between the lamina propria and epithelial cells, which of the following correct?

Answer: Neutropenia occurs in less intestinal mucosa, but it will soon migrate to sites of inflammation at the face of infection

Choices:
A. lamina propria mainly CD8 + T cells-based
B. Immune cells between epithelial cells predominantly NK T cell may
C. Dendritic cells appear only in the lamina propria, and not in direct contact with the intestinal bacteria
D. Neutropenia occurs in less intestinal mucosa, but it will soon migrate to sites of inflammation at the face of infection

Intestinal mucosa
relevant components
immune cells
lamina propria
epithelial cells
following correct


Question: Narrative about the pharmacological effects of naloxone, Which statement is correct?

Answer: Antagonize respiratory depression caused by morphine

Choices:
A. Orally active
B. Having increased the pain threshold (threshold) effect
C. Antagonize respiratory depression caused by morphine
D. Drugs antagonize respiratory depression caused by barbiturates

pharmacological effects
naloxone
correct


Question: Fatty Acid Synthesis The rate determining step (rate-limiting step) is:

Answer: Reaction step the acetyl-CoA carboxylase catalytic synthesis of malonyl-CoA

Choices:
A. Synthesis of acetyl-CoA from acetate
B. condensation reaction with acetyl-CoA to malonyl-CoA (condensation)
C. Reaction step the acetyl-CoA carboxylase catalytic synthesis of malonyl-CoA
D. So malonate converted to malonyl-CoA reaction step

rate determining step
rate limiting step


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. Glycolysis muscle
C. Hepatic glucose newborn action (gluconeogenesis)
D. The decomposition of muscle glycogen (glycogenolysis)

Blood epinephrine
inhibits
metabolism
liver
muscle concentration


Question: Temporal arteritis (temporal arteritis) is a relatively often occurs in women of vasculitis, the following statements is most inappropriate?

Answer: Palpation can be found temporal arteritis (temporal arteritis) enhanced pulsation

Choices:
A. Predilection older than 50 years old
B. Usually unilateral
C. Palpation can be found temporal arteritis (temporal arteritis) enhanced pulsation
D. Often associated with muscle pain

Temporal arteritis
temporal arteritis
often occurs
vasculitis
following
most inappropriate


Question: A couple, Mr. 32-year-old, 30-year-old wife. First-born male child, born after 1 year of age have the phenomenon of slow development, genetic diagnosis appears as fragile X syndrome. The pregnant 20 weeks to come to treatment, following treatment whichever is most appropriate?

Answer: Inform the fetus better accept amniocentesis to test the fragile X syndrome gene

Choices:
A. Recommend termination of pregnancy
B. First with ultrasound to determine the sex of the fetus or amniotic fluid chromosome, if it is male, then test the fragile X syndrome gene
C. The opportunity to inform the fetal nervous system abnormalities walks very high, it is best to accept ultrasound examination
D. Inform the fetus better accept amniocentesis to test the fragile X syndrome gene

couple
Mr
year old
30 year old
First-born male child
born
year
age
slow development
genetic diagnosis appears
fragile X syndrome
pregnant 20 weeks to
treatment
following treatment
most appropriate


Question: 35 year-old man complained of spreading from the neck to the knee desquamation rash, as shown in FIG palms Paw normal physical examination, most likely diagnosis is:

Answer: Rose rosea (pityriasis rosea)

Choices:
A. Rose rosea (pityriasis rosea)
B. Rose rash (roseola)
C. Measles (measles)
D. Erythema multiforme (erythema multiforme)

35 year old man
spreading
neck
knee desquamation rash
palms Paw normal
likely diagnosis


Question: The figure is a liver cancer patient's computer tomography, according to the proposed Couinaud etc., in accordance with the hepatic portal branches leaf anatomy, the tumor is located in a leaflet that the liver?

Answer: The first leaf Ⅳ

Choices:
A. The first leaf Ⅱ
B. The first leaf Ⅳ
C. The first Ⅵ leaf
D. Ⅷ of leaf

liver computer tomography
proposed
hepatic portal branches
anatomy
tumor
leaflet
liver


Question: Which of the following can not direct the synthesis of ATP through phosphorylation by quality class (substrate-level phosphorylation) (or GTP)?

Answer: 2-phosphoglycerate

Choices:
A. 2-phosphoglycerate
B. phosphoenolpyruvate
C. succinyl-CoA
D. 1, 3-bisphosphoglycerate

following
not direct
synthesis
ATP
quality
substrate level


Question: The following pair of related immune diseases -HLA autologous, whichever is most relevant?

Answer: rheumatoid arthritis-HLA-DR4

Choices:
A. systemic lupus erythematosus-HLA-A8
B. rheumatoid arthritis-HLA-DR4
C. Behçet's disease-HLA-C51
D. chronic active hepatitis-HLA-B27

following pair
related immune diseases
HLA autologous
most relevant


Question: What parameters of central tendency of use, can be used to calculate the standard deviation?

Answer: Arithmetic mean

Choices:
A. Geometric mean
B. The mode
C. Median
D. Arithmetic mean

parameters of central
use
used to
standard deviation


Question: A 80-year-old male patient has been smoking for 50 years, when the movement of progressive dyspnea also about 10 years, its chest X-ray examination as shown below, following the diagnosis of what's the most correct?

Answer: Emphysema

Choices:
A. Asthma symptoms
B. tuberculosis
C. Emphysema
D. Bronchiectasis

80 year old male patient
smoking
50 years
movement
progressive dyspnea
chest X-ray
following
diagnosis
most correct


Question: A 60-year-old healthy male, periodic physical examination physical examination found the left lobe of the prostate have a 0.5 centimeter lump, serum prostate-specific antigen was 5 ng / mL. Slice confirmed adenocarcinoma, limited to the left lobe, Georgia Lisen total (Gleason score) 4 + 3; nuclear medicine bone scan and computed tomography showed no bones and lymph node metastasis. The most appropriate treatment is:

Answer: Nerve-sparing radical surgery of the prostate

Choices:
A. Nerve-sparing radical surgery of the prostate
B. Testicular surgery
C. Chemotherapy
D. Do not need treatment, can be observed

60 year old healthy male
periodic physical examination
found
left lobe of
prostate
0.5 centimeter lump
serum prostate-specific antigen
5 ng
mL
confirmed adenocarcinoma
limited
left lobe
Georgia
total
Gleason score
4
nuclear medicine bone scan
computed tomography
bones
lymph node metastasis
most appropriate treatment


Question: Account of adult seborrheic dermatitis (seborrheic dermatitis) is, which of the following error?

Answer: Extensor side extremities

Choices:
A. Extensor side extremities
B. Chip surface is often accompanied by lesions
C. Patients infected with human immunodeficiency virus (HIV), the chances of suffering from the disease and severity increases
D. Antifungal agents ketoconazole treatment for this disease of effective

Account
adult seborrheic dermatitis
seborrheic dermatitis
following error


Question: For a common complication of leprosy narrative, which of the following error?

Answer: Because the parasympathetic damage, and therefore often more than the phenomenon of the palms and soles

Choices:
A. Because the loss of nerve pain perception, and therefore often end knuckle joint injuries or amputation phenomenon
B. Because the parasympathetic damage, and therefore often more than the phenomenon of the palms and soles
C. keratitis can occur, and even blindness
D. Bridge collapse

common complication
leprosy
following error


Question: 13. A 50-year-old woman had a history of angina for several years, most recently as fatigue, weakness, decreased appetite, physical examination revealed white patches of skin (vitiligo); real room to check free T4 0.5 ng / dL (normal range 0.8 ~ 1.8 ng / dL), TSH 25 μIU / mL (normal range 0.1 ~ 2.0 μIU / mL), early morning cortisol 1.0 μg / dL (normal range 9.0 ~ 15 μg / dL). His mother had Graves' disease history, my sister has a history of Hashimoto's thyroiditis. The best way to treat Why?

Answer: One may be administered first member 25 mg per day, then 25 μg per day administered thyroxine

Choices:
A. Administered daily to 100 μg of thyroxine, and then may be administered one body (cortisone) 25 mg daily.
B. One may be administered first member 25 mg per day, and then administering thyroxine 100 μg per day
C. Thyroxine to give 25 μg per day, and then administered 25 mg per day may be one member
D. One may be administered first member 25 mg per day, then 25 μg per day administered thyroxine

50 year old woman
history
angina
several years
most recently
fatigue
weakness
decreased appetite
revealed white patches
skin
vitiligo
real room to check free T4 0.5 ng
dL
normal range 0
1
ng
dL
IU
mL
normal range 0.1
IU
mL
early morning cortisol
0 g
dL
normal range
0
15 g
dL
Graves
disease
history
Hashimoto's thyroiditis
best
to treat


Question: A 20-day-old baby girl, newborn screening because TSH is 30 μU / mL and treatment, following an examination confirmed that at least helpful?

Answer: Serum T3 value

Choices:
A. Value of serum T4
B. Serum free T4 values
C. Serum T3 value
D. Serum thyroglobulin value

20 day old baby girl
newborn screening
30 U
mL
treatment
following
confirmed
helpful


Question: Account of status epilepticus (status epilepticus), and which of the following error?

Answer: Is defined as a seizure lasting more than 60 minutes, or any episode recovery is not finished within clearly sanity 24 hours

Choices:
A. Is defined as a seizure lasting more than 60 minutes, or any episode recovery is not finished within clearly sanity 24 hours
B. In the adult type of status epilepticus convulsion (convulsive status epilepticus), the mortality rate of 7% to 10%
C. Infection with fever, stroke, drugs or change of poor medication compliance, consumption of alcohol or other drugs and the main reason for the occurrence of metabolic abnormalities
D. Non-convulsive status epilepticus type (nonconvulsive status epilepticus) occur more frequently in the elderly, and has had no history of epilepsy plurality

Account
status
status epilepticus
following error


Question: Bearing on the question, which of the following disposal the most appropriate?

Answer: Estrogen plus progesterone

Choices:
A. Estrogen plus progesterone
B. GnRH agonist
C. Abortion
D. Gonadotropin


Question: With respect to laparotomy performed advantages of laparoscopic appendectomy (laparoscopic appendectomy) does not include which of the following?

Answer: Shorten the operation time

Choices:
A. Reduce the number of days in hospital
B. Shorten the operation time
C. Other diseases may be easy to find intraperitoneal
D. Lower wound infection

laparotomy performed
laparoscopic appendectomy
laparoscopic appendectomy
not include
following


Question: Statements about manic episodes (manic episode) diagnostic criteria (criteria) of the DSM-IV-TR is, which of the following error?

Answer: Duration must be at least 3 days

Choices:
A. Expandable or self-esteem megalomaniac
B. Decreased need for sleep
C. Duration must be at least 3 days
D. More than usual or if talking is not restraint

manic episodes
manic episode
TR
following error


Question: About rapid intubation step (rapid sequence intubation), the following statements is true?

Answer: Before intubation, any patient who must be given a high concentration of oxygen

Choices:
A. To achieve rapid intubation, sedation before intubation should not be given any anesthetic
B. Adult before intubation, a nasogastric tube should be placed
C. Rapid intubation does not have to wait for personnel, drugs and equipment were in attendance and then, to save time
D. Before intubation, any patient who must be given a high concentration of oxygen

About rapid intubation step
rapid sequence intubation
following
true


Question: From the previous question, I ask Which of the following is the most likely source of the tumor?

Answer: neck

Choices:
A. Lung
B. bronchus
C. After the mediastinum
D. neck


Question: Skin rash (skin rash) due to taking anti-epileptic drugs (anticonvulsants) is caused by:

Answer: Is an idiosyncratic reaction (idiosyncratic reaction)

Choices:
A. Dose antiepileptic drug related (dose-related)
B. And taking those related to liver function
C. And those related to renal function taking
D. Is an idiosyncratic reaction (idiosyncratic reaction)

Skin rash
skin rash
anti-epileptic drugs
anticonvulsants
caused


Question: 21-hydroxy about newborn screening enzyme deficiency (21-hydroxylase deficiency) narrative, following that a mistake?

Answer: False positive rate is low false positive rate of preterm children than full-term newborns

Choices:
A. To prevent the risk of loss of salt-type infant (infants with salt-wasting disease) died from adrenal risk disease (adrenal crisis)
B. False positives (false-positive) rate is too high
C. False positive rate is low false positive rate of preterm children than full-term newborns
D. Detection of atypical congenital adrenal hyperplasia (nonclassical congenital adrenal hyperplasia) in children is still not satisfactory

newborn screening enzyme deficiency
21-hydroxylase deficiency
following
mistake


Question: The following forearm muscles, the location of what's deeper?

Answer: Leading 淺肌 (flexor digitorum superficialis)

Choices:
A. Leading 淺肌 (flexor digitorum superficialis)
B. Pronator teres (pronator teres)
C. Radial wrist flexor muscles (flexor carpi radialis)
D. Ulnar flexor carpi (flexor carpi ulnaris)

following forearm muscles
location
deeper


Question: Cause subcutaneous larva migrans (cutaneous larva migrans) is a pathogen:

Answer: Brazil hookworms (Ancylostoma braziliense)

Choices:
A. Pinworm (Enterobius vermicularis)
B. 鞭蟲（Trichuris trichiura）
C. Roundworm (Ascaris lumbricoides)
D. Brazil hookworms (Ancylostoma braziliense)

Cause subcutaneous larva migrans
cutaneous larva migrans


Question: Normal vaginal colonies (vaginal flora) in the following most common circumstances?

Answer: aerobic, pH values below 4.5

Choices:
A. aerobic, pH values below 4.5
B. anaerobic, pH values below 4.5
C. anaerobic, pH 4.5 is higher than the value
D. both aerobic and anaerobic, pH value above 4.5

Normal vaginal colonies
vaginal
following
common


Question: 970-year-old woman with fever and was admitted to the hospital with suspected peritonitis. Hospitalization blood tests: albumin 3.2 g / dL, GPT 80 U / L, BUN mg / dL, creatinine 1.2 mg / dL, amylase 280 U / L, glucose 125 mg / dL. Antibiotics Cefazolin 1 g q8h and Gentamicin 80 mg q12h injection, to fasted and parenteral nutrition. After three days the temperature drops to 37 ℃, pulse, blood pressure is normal, then weighing 45 kg. Start giving soft food after a week. Tenth day creatinine and BUN was measured each 40 and 3.5 mg / dL, serum electrolytes (mmol / L): Na 134, K 3.3, Cl 95; day patient urine was measured to be 2,000 mL, normal urinalysis. The following patient about this disposal whichever is most appropriate?

Answer: The need to re-evaluate the use of antibiotics

Choices:
A. Intravenous administration of albumin, nutritional supplements and increase renal blood perfusion
B. To give 0.9% NaCl 1,000 mL, and administered intravenously Furosemide 40 mg
C. Administered Dopamine, 5 μg / kg / min, and added potassium
D. The need to re-evaluate the use of antibiotics

year old woman
fever
suspected peritonitis
blood tests
albumin
g
dL
GPT 80 U
L
mg
dL
creatinine
mg
dL
amylase
U
L
glucose
mg
dL
Cefazolin
g q8h
80 mg q12h
fasted
parenteral nutrition
three days
temperature drops
pulse
blood pressure
normal
then
kg
Start giving
week
Tenth day creatinine
measured
40
3.5 mg
dL
serum electrolytes
mmol
L
K
95
day patient urine
measured to
2
mL
normal urinalysis
following patient
most appropriate


Question: The establishment of a human genomic library may not be necessary following that kind of material?

Answer: reverse transcriptase

Choices:
A. DNA ligase
B. bacteriophage lambda
C. reverse transcriptase
D. restriction enzymes


Question: Which of the following is the current Taiwan law does not allow medical practices?

Answer: Surrogate mother

Choices:
A. Egg donation
B. Sperm Donation
C. Surrogate mother
D. Frozen embryos

following
current Taiwan law
not
medical


Question: Which of the following is not liver cancer (hepatocellular carcinoma) surgical resection of poor prognostic factors (poor prognostic factor)?

Answer: With a capsule (capsule) of liver cancer

Choices:
A. Cirrhosis
B. More than 5 cm of liver cancer
C. Section of liver from a tumor less than 1 cm
D. With a capsule (capsule) of liver cancer

following
not liver cancer
hepatocellular carcinoma
surgical resection
poor prognostic factors
poor prognostic factor


Question: A physician because the relationship between politicians and private clinics of the politicians know some personal habits, such as after a meal to smoke, do not eat fruits and vegetables and often do not wash their hands after using the toilet and so on. The doctors want to write a memoir to the dignitaries, including politicians habits and personal preferences, in normative ethics and the law, he must comply with the following limit what items?

Answer: All published content must be agreed by the politicians themselves or legal persons having the right to consent

Choices:
A. If politicians without consent, you must wait until after the death of dignitaries to be made public
B. Only anecdotal narrative of life has nothing to do with the disease and medical
C. Politicians can only describe events will not harm himself or other persons concerned
D. All published content must be agreed by the politicians themselves or legal persons having the right to consent

physician
relationship
politicians
private clinics
politicians
personal
to smoke
not eat
often
not
hands
using
toilet
so
doctors
to write
including politicians
personal
law
comply
following limit


Question: The following account of dementia (dementia), and what's wrong?

Answer: Memory impairment is often an early manifestation, especially of old memories

Choices:
A. Clinically should delirium (delirium) for identification, and the reversibility of the reasons should be excluded
B. Memory impairment is often an early manifestation, especially of old memories
C. Azihaimo's disease (Alzheimer's disease) is the most common cause of
D. Dementia with Lewy bodies (DLB) may have muscle stiffness and other similar Parkinson's disease (Parkinson's disease) symptoms

following account
dementia
dementia
wrong


Question: A half-year-old boy, eating grandma akumaki the rest of the base oil (pH value of 12), vomiting, mouth ulcers phenomenon. Which of the following most correct?

Answer: Some patients esophageal stricture complications occur

Choices:
A. Consider corrosive esophagitis caused by a strong base, acidic aqueous solution should be administered as soon as possible, in order to neutralize acid
B. Oropharynx (oropharynx) lesions when no corrosion, no damage represents esophagus stomach
C. Erosive gastritis generally not Tongshifasheng
D. Some patients esophageal stricture complications occur

half year old boy
eating
base oil
pH value
vomiting
mouth ulcers
following
correct


Question: Following a transport system that belongs to the mechanism of action of P-type ATPase?

Answer: Calcium muscle endoplasmic reticulum of the pump (Ca2 + pump)

Choices:
A. Calcium muscle endoplasmic reticulum of the pump (Ca2 + pump)
B. Glucose transporter on the red blood cells (glucose transporter)
C. Sodium ions in the intestinal mucosal cells - glucose transporter (Na + -glucose transporter)
D. Chloride ions on the red blood cells - bicarbonate exchanger (chloride-bicarbonate exchanger)

Following
transport system
mechanism of action
type ATPase


Question: Statements about drug activity, Which statement is correct?

Answer: Effect due to different receptors have different tissue distribution and the efficacy and toxicity of the drug to the same receptor

Choices:
A. greater efficacy greater potency drugs which
B. If the 10 mg and 100 mg Drug A Drug B action levels are the same, therapeutic index A is greater than the drug Drug B
C. Effect due to different receptors have different tissue distribution and the efficacy and toxicity of the drug to the same receptor
D. spare receptor is the main cause of the toxicity of drug


Question: A 20-year-old male scrotum due to multiple ulcers in hospital for a month and, in the past two years, patients often mouth ulcers, scrotal ulcer, history of colorectal bleeding phenomenon; most helpful in the diagnosis of these checks is that one?

Answer: Pathological skin test reaction (pathergy test)

Choices:
A. Pathological skin test reaction (pathergy test)
B. Whole body computer tomography (CT scan)
C. Immunoglobulin electrophoresis analysis
D. Rheumatoid factor (RF)

20 year old male scrotum due to multiple ulcers


Question: A 65-year-old woman has three months bloating, abdominal palpation by a gynecologist ascites phenomenon, there is a diagnosis within about 8 cm fixed and difficult to move in the right ovary surface of tumor nodules, while the left ovary atrophy easy to touch, to accept a series of tests, such as urine, cervical smear, mammography, chest X-ray, the gastrointestinal tract and feces were normal inspection, but CA-125 tumor index was 950 U / mL, the above-described patients most likely that following a diagnosis?

Answer: Serous cystadenocarcinoma

Choices:
A. Gonadoblastoma
B. Meigs' syndrome
C. Krukenberg tumor
D. Serous cystadenocarcinoma


Question: Which of the following is not a characteristic low-renin hypertension?

Answer: Prognosis (prognosis) poor

Choices:
A. More common in non-white
B. Strong reaction to salt
C. Common increased fluid
D. Prognosis (prognosis) poor

following
not
characteristic low-renin hypertension


Question: Which of the following is most likely Face ⼯ valve within the watch after 2 Month caused meningitis (prosthetic valve endocarditis) within Center Weighted pathogens?

Answer: Table Staphylococcus ⽪ (Staphylococcus epidermidis)

Choices:
A. Addicted ⾎ influenza bacillus (Hemophilus influenzae)
B. Vancomycin-resistant Enterococcus (vancomycin-resistant Enterococcus species)
C. Streptococcus pneumoniae (Streptococcus pneumoniae)
D. Table Staphylococcus ⽪ (Staphylococcus epidermidis)

following
most likely Face
valve
2 Month caused meningitis
prosthetic valve endocarditis
Center Weighted


Question: A 10-year-old girls, because convulsions (Seizure) to the emergency, body temperature 38.5 ℃, convulsions stopped, clear consciousness, there is no past history of convulsions, following the disposal of what are the most inappropriate?

Answer: Immediately given Phenytoin

Choices:
A. Immediately given Phenytoin
B. Establish intravenous infusion path
C. If you suspect meningitis (meningitis), should arrange to do a spinal tap (lumbar puncture)
D. Keep the airway open, give oxygen

A 10 year old girls
convulsions
Seizure
emergency
body temperature
convulsions stopped
clear consciousness
past history of convulsions
following
most inappropriate


Question: Which of the following passes between the two heads of wrist ulnar flexor muscle (flexor carpi ulnaris) of?

Answer: Ulnar nerve (ulnar nerve)

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

following passes
two heads of wrist ulnar flexor muscle
flexor carpi ulnaris


Question: Stiffness (catatonia) are found in a variety of mental illnesses, Which of the following non-catatonia of the symptoms?

Answer: Akathisia (akathisia)

Choices:
A. Silence (mutism)
B. Wax music phenomenon (waxy flexibility)
C. Echolalia (echolalia)
D. Akathisia (akathisia)

Stiffness
catatonia
found
mental illnesses
following non catatonia
symptoms


Question:  most rare anal canal is that type?

Answer: Extrasphincteric type

Choices:
A. Intersphincteric type
B. Suprasphincteric type
C. Extrasphincteric type
D. Transsphincteric type


Question: 2360-year-old male patient because of lower extremity edema for two days, and decreased urine output treatment. Patients with high blood pressure for many years, nearly half of blood pressure lowering drugs, including trichlorothiazide, atenolol and losartan. His blood pressure control in the 125 ~ 140/75 ~ 85 mmHg. Three days ago because of a sprained lower back, served with naproxen. Disposal of the following is most appropriate?

Answer: Stop taking naproxen

Choices:
A. Stop taking atenolol
B. Stop taking naproxen
C. Arrangements kidney biopsy
D. Stop taking trichlorothiazide

year old male patient
of lower extremity edema
two days
decreased urine output treatment
Patients
high blood pressure
years
nearly half
blood pressure lowering drugs
including trichlorothiazide
atenolol
losartan
blood pressure control
75
85 mmHg
Three days
of
sprained lower back
naproxen
following
most appropriate


Question: Herpes simplex  (Herpes simplex virus) of Rovi hormone therapy (Acyclovir), which inhibit the replication of the virus turn machine Why?

Answer: Prevent replication of viral DNA

Choices:
A. Stop (thymidine kinase) effect of the virus thymus excited 
B. Prevent replication of viral DNA
C. Blocking viral attachment to the host cell
D. Prevent the disintegration of the viruses (uncoating)

Herpes simplex
hormone therapy
Acyclovir
inhibit
replication
virus turn machine


Question: Carcinogen following control (Carcinogen) What's wrong?

Answer: Tamoxifen- breast cancer (Breast cancer)

Choices:
A. Aflatoxin (Aflatoxins) - liver cancer (Hepatocellular carcinoma)
B. Helicobacter pylori (Helicobacter pylori) - gastric adenocarcinoma (Gastric adenocarcinoma)
C. Epstein-Barr virus- NPC (Nasopharyngeal carcinoma)
D. Tamoxifen- breast cancer (Breast cancer)

Carcinogen following control
Carcinogen
wrong


Question: 22-year-old male patient examined because of gastrointestinal polyps found in his lips there is a lot of black pigmentation, which is why the most likely diagnosis?

Answer: Peutz-Jeghers syndrome

Choices:
A. Osler-Weber-Rendu syndrome
B. Peutz-Jeghers syndrome
C. familial adenomatous polyposis
D. Turcot's syndrome

year old male patient examined
gastrointestinal polyps found
lips
lot
black pigmentation
diagnosis


Question: "You say you're not nervous, but you're sweating and your hands are shaking, it seems very agitated way", which is the use of these techniques that talks (interview skill) of?

Answer: Flour (Confrontation)

Choices:
A. Flour (Confrontation)
B. Promote (facilitation)
C. Reflection (Reflection)
D. Direct questions (direct question)

ot  ervous,
s eating a
nds a
aking,
ry a itated w
e of t
chniques t
lks (


Question: 12. A 40 year old Asian female patient, not smoked, was recently diagnosed with non-small cell lung cancer Phase IV, tumor EGFR (epidermal growth factor receptor) gene mutation (exon 19 deletion), following which treatment is most Suitable?

Answer: EGFR inhibitors

Choices:
A. EGFR inhibitors
B. EGFR inhibitor + chemotherapy
C. Angiogenesis inhibition antibody
D. EGFR inhibitors angiogenesis inhibitory antibodies +

40 year old
female patient
not smoked
recently diagnosed
non-small cell lung cancer
tumor EGFR
epidermal growth factor receptor
gene mutation
exon
deletion
following
treatment
most Suitable


Question: 60 A 33-year-old Mr. Zhang likes jogging, recently he got home every evening hill road race 1 to 2 hours nearby. He found the outside of the left knee, thigh bone at the lower end of the bulge, bend at the knee, straight action there will be a sharp pain; but the knee at full extension and bending more than 90 degrees, but do not feel pain. He converted to ride a bike to sports, the results a few days off, the problem is even worse. Mr. Zhang is most likely happening:

Answer: Iliotibial band friction syndrome (iliotibial band friction syndrome)

Choices:
A. Lateral collateral ligament (lateral collateral ligament) injury
B. Iliotibial band friction syndrome (iliotibial band friction syndrome)
C. Biceps femoris muscle (biceps femoris muscle) tendinitis
D. Lateral meniscus (lateral meniscus) Injury

60
year old Mr
recently
got home
evening hill road race
hours nearby
found
outside
left knee
thigh bone
lower end of
bulge
bend
knee
straight action
sharp pain
knee
full extension
bending
90 degrees
not
pain
to
bike
results
few days
problem
worse
Mr


Question: 64 According to the American Psychiatric Association's "Diagnostic and Statistical Manual of mental disorders fourth edition of" Which of the following does not belong to the group of B personality disorders (Cluster B personality disorders)?

Answer: Paranoid personality disorder

Choices:
A. Paranoid personality disorder
B. Antisocial personality disorder
C. Borderline personality disorder
D. Narcissistic personality disorder

64
Psychiatric Association
ollowing
ot
ersonality disorders
luster B personality disorders)


Question: When inhaled allergens, the allergen-presenting cells via the allergen (antigen presenting cell, APC) after processing, is presented to T cells caused a series of allergic reactions. Which of the following does not belong to the allergen-presenting cells (APC)?

Answer: Eosinophilic cells (eosinophil)

Choices:
A. Eosinophilic cells (eosinophil)
B. Dendritic cells (dendritic cell)
C. Monocytes (monocyte)
D. Macrophages (macrophage)

inhaled allergens
allergen presenting cells
APC
presented
cells caused
series
allergic reactions
following
not
allergen presenting cells
APC


Question: It ethnomedical cultural model, the physician to see the doctor can use LEARN mode to enhance communication and interaction with the patient's physician. Which of the following error for LEARN narrative?

Answer: assess: to assess and confirm the patient's diagnosis and treatment mode to be performed

Choices:
A. listen: listen to empathy for patients whose illness explanatory model
B. explain: Patient able to understand the language to identify and explain the contents of the patient's problems
C. assess: to assess and confirm the patient's diagnosis and treatment mode to be performed
D. negotiate: discussion of the treatment of common medical treatment in order to obtain acceptable to both parties with the patient

physician to see
doctor
use
mode to
following error


Question: The following account of gram-cycle (Krebs cycle, also known as the citric acid cycle or TCA cycle), and what's right?

Answer: In the formula g cycle, oxaloacetate net consumption (net consumption) is zero

Choices:
A. In the formula g cycle, oxaloacetate net consumption (net consumption) is zero
B. In the formula g cycle, not involving quality classes by phosphorylation (substrate-level phosphorylation)
C. G circulation time of a molecule of carbon dioxide generated
D. A gram-cycle will produce four molecules of FADH2

following account
gram cycle
known
right


Question: The following related acute abdomen (acute abdomen) of the narrative, what's wrong?

Answer: Physical examination revealed bruising around the navel (periumbilical bruising) called Courvoisier's sign

Choices:
A. Physical examination revealed bruising around the navel (periumbilical bruising) called Courvoisier's sign
B. Acute cholecystitis (acute cholecystitis) the transfer of pain (referred pain) will be transferred to the right chest
C. Peptic ulcer perforation (perforated peptic ulcer) of the transfer of pain (referred pain) will be transferred to the right waist
D. The mesenteric thrombosis or embolism causing acute abdomen require immediate surgical repair

following related acute abdomen
acute abdomen
wrong


Question: Acute bronchitis among diffuse pulmonary interstitial inflammation, most likely caused by following the kind of infection?

Answer: virus

Choices:
A. virus
B. Pneumococcal
C. staphylococcus
D. Mold


Question: Cortisol (cortisol) can:

Answer: Inhibit the production of tumor necrosis factor α (TNF-α) of

Choices:
A. Promote white matter media -1 (IL-1) is generated
B. Inhibit the production of tumor necrosis factor α (TNF-α) of
C. Media facilitate the generation of white matter -2 (IL-2) is
D. Promote the production of prostate prostaglandin (prostaglandin) of


Question: Cultural differences in treatment patterns developed by Berlin and Fowkes (LEARN), including the five steps?

Answer: Listen, explain, cognitive, suggested a compromise

Choices:
A. Listen, assessment, knowledge, advice, inclusive
B. Listen, assessment, vigilance, advice, inclusive
C. Listen, explain, alertness, recommendations, compromise
D. Listen, explain, cognitive, suggested a compromise

Cultural differences
treatment patterns
Berlin
including
five steps


Question: Gas gangrene related (gas gangrene) of the narrative, which of the following error?

Answer: The most common pathogen is Streptococcus pyogenes (Streptococcus pyogenes)

Choices:
A. The most common pathogen is Streptococcus pyogenes (Streptococcus pyogenes)
B. Via acute muscle disease necrotizing infection of the wound, the infection will rapidly expand to the surrounding diffuse the focus
C. Treatment includes debridement (debridement), antibiotics and wound hyperbaric oxygen therapy (hyperbaric oxygen therapy)
D. There is no effective vaccine (vaccine)

Gas gangrene related
gas gangrene
following error


Question: When patients taking warfarin, and then served following which drug will result in reducing its antithrombotic effect of?

Answer: Barbiturates

Choices:
A. Aspirin
B. Clopidogrel
C. Barbiturates
D. Heparin

patients warfarin then following drug result reducing effect


Question: The anesthetic was injected into the ischial spine (ischial spine) in the vicinity, mainly affects the following piece of nerve?

Answer: Pudendal nerve

Choices:
A. Pudendal nerve
B. After femoral cutaneous nerve
C. Reproductive femoral nerve
D. Ilioinguinal nerve

anesthetic
injected
ischial spine
ischial spine
following piece
nerve


Question: White's statements about mycosis fungal sinusitis, what's wrong?

Answer: Chang and facial palsy

Choices:
A. Prone to severe acidosis or immunosuppressed patients
B. Chang and facial palsy
C. The resulting vascular embolization comprising brownish black turbinate and effluent water samples
D. Common signs of orbital spread to the third, fourth and six pairs of cranial nerves


Question: 77. One 22 year-old male with a history of epilepsy, the night after a friend's birthday party, appears to take the same day, dizziness, nausea, palpitations and, therefore, to the emergency room for treatment. Upon inquiry, this symptom is unknown after he used the drug together with a friend, the patient in the emergency room waiting seemed quite excited, feel ill at ease. Physical examination: body temperature 38.2 ℃, respiration 26 / min, blood pressure 172/92 mmHg, 135 to listen to heart sounds fast irregular beats / min, bilateral dilated pupils. The patient is most likely what drug use?

Answer: Amphetamines (amphetamine)

Choices:
A. Amphetamines (amphetamine)
B. Sea fallen (heroin)
C. Morphine (morphine)
D. Cholinergic antidrug (anticholinergic agents)

One
year old male
history of epilepsy
night
appears to
same day
dizziness
nausea
palpitations
emergency
treatment
symptom
unknown
used
drug together
patient
emergency room waiting
excited
ill at ease
body temperature
respiration
min
blood pressure
mmHg
heart
fast irregular
min
bilateral dilated pupils
patient
drug use


Question: Which of the following is not related to changes in the optic disc glaucoma?

Answer: Optic disc edema (optic disc edema)

Choices:
A. Dent optic disc (focal notching of optic disc)
B. Cupped optic disc becomes deep (increase depth of optic cup)
C. Optic disc blood vessel displaced toward the nose (nasal displacement of retinal vessels on the optic disc)
D. Optic disc edema (optic disc edema)

following
not related
changes
optic disc glaucoma


Question: Although rare in the pediatric cardiac tumors Sick Children (cardiac tumors) occur, but if the event, often resulting in symptoms of arrhythmias and heart failure, which of the following most common cardiac tumors?

Answer: Rhabdomyomas (rhabdomyoma)

Choices:
A. Fibroma (fibroma)
B. Rhabdomyomas (rhabdomyoma)
C. Myxoma (myxoma)
D. Lymphoma (lymphoma)

rare in
pediatric cardiac tumors Sick Children
cardiac tumors
occur
event
often resulting in symptoms
arrhythmias
heart failure
following
common cardiac tumors


Question: An 8-year-old boy complained of fever have been 2-3 weeks. A second boy diagnosed with a childhood type ventricular septal defect, physical examination revealed acceptable heart rate 108 beats / min, temperature 38.5 ℃, there grade Ⅲ / Ⅵ systolic heart murmur on the left side of the sternum, the right under the ribs to the liver before touching edges, at the left rib to 2 cm before touching the spleen. Poor oral hygiene, tooth decay and more. Which of the following conditions is most needed included in the differential diagnosis?

Answer: Infective endocarditis (infective endocarditis)

Choices:
A. Pulpitis caused by tooth decay
B. Infective endocarditis (infective endocarditis)
C. Kawasaki disease (Kawasaki disease)
D. Lupus erythematosus (lupus erythematosus)

year old boy
fever
2
weeks
second boy diagnosed
childhood
ventricular septal defect
revealed acceptable heart rate
beats
min
temperature
grade
systolic heart murmur
left side of
sternum
right
ribs
liver
touching edges
left rib
2 cm
touching
spleen
Poor oral hygiene
tooth decay
more
following conditions
most needed included
differential diagnosis


Question: Liver function in patients with liver cancer if the issues can not be too poor surgical resection, liver transplant surgery may be considered, but should be consistent with the statute Milan (Milan criteria), excluding:

Answer: Main portal vessels have been violated

Choices:
A. And a maximum diameter of single tumor less than 5 cm
B. 2-3 tumor, and a maximum diameter of less than 3 cm
C. Main portal vessels have been violated
D. No significant extrahepatic metastasis

Liver function
patients
liver cancer
issues
not
poor surgical resection
liver
excluding


Question:
33 40 year old man hospitalized general malaise, which is a result of blood AST: 315 IU / L (normal 10 ~ 42); ALT: 398 IU / L (normal 10 ~ 40), anti-HAV IgM (+), HBsAg (+), anti-HBc IgG (+), anti-HBc IgM (-), anti-HBe
 Ag (+), anti-HCV (-), the diagnosis may be:

Answer: Hepatitis B combined with the original acute hepatitis A

Choices:
A. Chronic Hepatitis A
B. Hepatitis B combined with the original acute hepatitis A
C. Hepatitis B combined with the original acute hepatitis C
D. Acute hepatitis A with acute hepatitis B


Question: About trigeminal neuralgia narrative Which statement is correct?

Answer: You can find the region can induce the onset of a specific point on the face

Choices:
A. Most of the incidence in young age
B. The first branch of the trigeminal nerve to the most likely to be violated
C. You can find the region can induce the onset of a specific point on the face
D. Painful areas often exceeds the range of the trigeminal


Question: Statements about Fox's endothelial dystrophy (Fuchs endothelial dystrophy), and which of the following error?

Answer: Guttata abnormal corneal layer of Bowman sink material

Choices:
A. Is a common cause of corneal transplants
B. Corneal edema
C. Keratopathy shaped blisters (bullous keratopathy)
D. Guttata abnormal corneal layer of Bowman sink material

endothelial dystrophy
Fuchs endothelial dystrophy
following error


Question: 36 a 12-year-old male, three years every summer, white spot appears in Figure 1 asymptomatic scaling of the face and neck, to winter better. Take dander (Scraps) was dissolved in KOH examination, as shown in FIG 2. The most likely diagnosis is:

Answer: Sweat stain (tinea versicolor)

Choices:
A. White spots (vitiligo)
B. White rosea (pityriasis alba)
C. Sweat stain (tinea versicolor)
D. 體 癬 (the worm body)

36
year old male
three years
summer
white spot appears
1 asymptomatic scaling
face
neck
winter better
dander
Scraps
dissolved
KOH
diagnosis


Question: Which of the following is most likely to result in a condition of low blood calcium?

Answer: Acute pancreatitis

Choices:
A. Acute pancreatitis
B. Vitamin D intoxication
C. Hyperthyroidism
D. Bedridden

following
to result in
condition
low blood calcium


Question: A 35 year old male patient diagnosed as malignant lymphoma, diffuse large B-cell type, stage IIA, following the relevant statements is correct?

Answer: In general, the active chemical treatment can achieve remission rate of about 70% (remission rate)

Choices:
A. In general, the active chemical treatment can achieve remission rate of about 70% (remission rate)
B. Unless hematopoietic stem cell transplantation, otherwise no cure possible
C. Belong to aggressive malignancy, tumor growth speed, poor chemical drug treatment
D. Radiation therapy should be given as much as possible just like to avoid giving systemic chemotherapy, in order to avoid the occurrence of secondary leukemia after

35 year old male patient diagnosed
malignant lymphoma
diffuse large
following
relevant
correct


Question: Which of the following is not for autoimmune diseases single organ?

Answer: Systemic lupus erythematosus (systemic lupus erythematosus)

Choices:
A. Gray Takeshi's disease (Graves' disease)
B. Systemic lupus erythematosus (systemic lupus erythematosus)
C. Myasthenia gravis (myasthenia gravis)
D. Multiple sclerosis (multiple sclerosis)

following
not
autoimmune diseases single organ


Question: Women younger than 45 years of development of lung cancer is the best Which of the following?

Answer: Adenocarcinoma

Choices:
A. Small Cell Lung Cancer
B. Squamous cell carcinoma
C. Adenocarcinoma
D. Large cell lung cancer

younger
years of development
lung cancer
best
following


Question: 85-year-old man died anatomy of the heart was brown appearance, weighing about 180 gm, most likely organized as follows:

Answer: Fat 褐質 (lipofuscin) deposition

Choices:
A. Cardiac hypertrophy
B. Fat 褐質 (lipofuscin) deposition
C. Iron deposition
D. Steatosis

85 year old man died anatomy
heart
brown appearance
gm
most likely organized
follows


Question: Which of the following best suited to Aminoglycoside used in combination to treat staph infections?

Answer: Nafcillin

Choices:
A. Amoxicillin
B. Tetracycline
C. Nafcillin
D. Erythromycin

following best
Aminoglycoside used
combination to treat staph infections


Question: A stroke patient with lower limb caused by the abnormal facial sensation (dysesthesia) and in pain, but normal motor function, these lesions are most likely located where?

Answer: Thalamus (thalamus)

Choices:
A. Cerebellum (cerebellum)
B. Thalamus (thalamus)
C. Pons (pons)
D. Medulla (medulla)

stroke patient
lower limb caused
abnormal facial
dysesthesia
pain
normal motor function
lesions
most likely


Question: 14 a 3-year-old boy a week ago fever, diarrhea, had received medical treatment at the clinic. When attendance today found the body checkups boy dehydration, peripheral edema, liver and spleen enlargement, who purpura, and the boy seemed restless. Laboratory examination revealed blood leukocyte count was 22,000 / mm3 8 g / dL; platelet count of 55,000 / mm3, while cells Keyijiandao burr (burr cells) and fragmentation of red blood cells (fragmented RBC) in blood smears in which of the following it is most likely diagnosis?

Answer: Hemolytic uremic syndrome (hemolytic-uremic syndrome)

Choices:
A. Acute lymphatic leukemia (acute lymphoblastic leukemia)
B. Glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) with acute hemolysis
C. Infectious mononucleosis ball hyperplasia (infectious mononucleosis)
D. Hemolytic uremic syndrome (hemolytic-uremic syndrome)


Question: 78 The patient, a 37-year-old, 22 weeks pregnant of women (before caesarean section 2), due to the phenomenon of preterm birth was admitted to a major medical center miscarriage. Physician-diagnosed as a twin pregnancy and inter-twin transfusion syndrome, excessive amniotic fluid, uterine contractions early. During the amniotic fluid of pregnant women undergo a series of drainage of about 20 000 mL of amniotic fluid is drawn out of the hemoglobin in pregnant women between one month decreased from 10.2 g / dL 7.5 g / dL. Physicians determined that pregnant women should receive blood transfusions to the fetus inside the uterus to prevent hypoxia, improve the phenomenon of fetal heart failure, and after surgery complicated preparation of postpartum hemorrhage. However, the believer is the pregnant woman because of Jehovah's Witnesses, it refused to accept blood transfusions. Despite hospital doctors, hospital staff and social workers, animal husbandry duties based on the medical rescue, many times their communication, the pregnant woman still insists it will not accept transfusions position. In this case, the two ethical principles conflict with each other, the physician into a dilemma?

Answer: The principle of patient autonomy and the principle of do no harm

Choices:
A. Patient autonomy and the principle of fairness and justice
B. The principle of beneficence and the principle of do no harm
C. The principle of patient autonomy and the principle of do no harm
D. The principle of beneficence and the principle of fairness and justice

patient
year old
weeks
caesarean section
due to
preterm birth
major medical center miscarriage
Physician diagnosed
twin pregnancy
inter twin transfusion syndrome
excessive amniotic fluid
uterine contractions early
amniotic fluid
series
drainage
20
mL
amniotic
out
hemoglobin
one month decreased
10
g
5
Physicians
receive blood transfusions
fetus
uterus to prevent hypoxia
fetal heart failure
surgery complicated preparation
postpartum hemorrhage
to accept blood transfusions
hospital doctors
hospital staff
social workers
based
medical
times
not accept transfusions position
case
two
conflict
physician


Question: Before puberty, most of the thymus in the following position where?

Answer: The mediastinum

Choices:
A. The mediastinum
B. Former mediastinum
C. In the mediastinum
D. After the mediastinum


Question: Related spinal injuries, which of the following error?

Answer: Brown-Séquard syndrome refers to the contralateral contralateral motor function and sensation loss of function

Choices:
A. As long as there is still the feeling of belonging to the lower limb injury is incomplete
B. Central cord syndrome refers to the upper extremity than lower extremity weakness when the patient physical examination
C. Brown-Séquard syndrome refers to the contralateral contralateral motor function and sensation loss of function
D. Anterior cord syndrome refers to a lower limb weakness and sensory loss of pain and temperature


Question: A 65-year old man on both sides, many, symmetry metacarpo-phalangeal (MCP) joints red, swollen for about a week and treatment. Not taking any medication during. Examination showed anti-nuclear antibody (ANA) titer of 1: 640, proteinuria, loss of about 3 grams per day. What then check the following results in the diagnosis of the most helpful?

Answer: anti-double stranded DNA antibody titer 100 IU/mL（normal < 30）

Choices:
A. ESR 90 mm/hr
B. X-ray visible next to both sides, many, symmetry MCP joint and soft tissue swelling
C. rheumatoid factor 100 IU/mL（normal < 20）
D. anti-double stranded DNA antibody titer 100 IU/mL（normal < 30）

65-year old man
sides
symmetry
phalangeal
joints red
swollen
week
treatment
Not
medication
anti-nuclear antibody
titer
640
proteinuria
loss
grams
day
then check
following results
diagnosis
helpful


Question: The following account of Klippel-Feil syndrome, and what's wrong?

Answer: Long neck (Long neck)

Choices:
A. Two or multiple congenital cervical fusion (Congenital fusion)
B. Low hairline (Low posterior hairline)
C. Long neck (Long neck)
D. Cervical limited mobility

following account
Klippel-Feil syndrome
wrong


Question: Renal blood flow is not evenly distributed in the kidney, blood flow where most of it is located in one of the following sites?

Answer: Kidney cortex

Choices:
A. Kidney cortex
B. Outside the kidney medulla
C. Inside the kidney medulla
D. Kidney fat tissue

Renal blood flow
not
distributed
kidney
blood flow
one of
following sites


Question: In the central nervous system, myelin is composed of the kind of cells?

Answer: Few dendritic cells gum

Choices:
A. Tiny plastic cells
B. Few dendritic cells gum
C. Stellate glia
D. Ependymal cells

central nervous system
myelin
kind
cells


Question: Which is not clinical features of patients with thoracic spinal cord injury (thoracic spinal cord injury)?

Answer: hyperactive biceps reflex

Choices:
A. impaired pinprick sensation below T6
B. reduced abdominal reflex
C. presence of Babinski sign
D. hyperactive biceps reflex

not clinical features
patients
thoracic spinal cord injury
thoracic spinal cord injury


Question: The following related infectious mononucleosis ball polycythemia (Infectious mononucleosis) Epstein-Barr virus infection narrative, whichever is most correct?

Answer: If you use Ampicillin often cause skin rashes

Choices:
A. Patients under 3 years of often typical of fatigue, sore throat and swollen lymph nodes
B. More than 90% of patients have cramps or unsteady gait and other neurological symptoms, so treatment should take steroid-based
C. If you use Ampicillin often cause skin rashes
D. Lymphocyte T lymphocyte infection is mainly


Question: About the narrative of ureteral stones, which of the following error?

Answer: Sympathetic use of alpha blockers (alpha-adrenergic blocker), and does not increase the discharge rate of ureteral stones

Choices:
A. Low self-discharge is greater than the probability of 7 mm ureteral calculi, recommended or accepted ESWL ureteral endoscopic lithotripsy treatment
B. Sympathetic use of alpha blockers (alpha-adrenergic blocker), and does not increase the discharge rate of ureteral stones
C. Ureteral calculi with renal edema and renal pelvis empyema (pyonephrosis), when sepsis, gravel before surgery should first take percutaneous nephrostomy (percutaneous nephrostomy), internal drainage of infected urine pelvis
D. The self-discharge rate of ureteral calculi, stones have a great relationship with the position in the ureter


Question: 36 year-old man complained of nearly two years every winter for 2 months, severe pain in the eye socket, fixed night attack, and about 15 minutes to 3 hours, ranging up every pain there will be tears and eye unilateral red situation. This patient most likely diagnosis is:

Answer: Cluster headache (cluster headache)

Choices:
A. Migraine (migraine)
B. Cluster headache (cluster headache)
C. Tension headaches (tension-type headache)
D. Trigeminal neuralgia (trigeminal neuralgia)

36 year old man
nearly two years
winter
months
severe pain in
eye socket
fixed night attack
about 15 minutes
hours
ranging
pain
tears
eye unilateral red
patient
likely diagnosis


Question: A 70-year-old male patient with diabetes and hypertension, currently taking oral hypoglycemic medications, blood sugar before meals 156 mg / dL, moderate pleural effusion on the right side about 1000 cc, 3 months old, pleural plot fluid examination, protein 2.5 g / dL, LDH: 150 U / L; L: N = 60:40, serum protein is 6.0 g / dL, LDH was 350 U / L, BUN: 20 mg / dL, the patient no protein urine, liver function is normal, left ventricular ejection fraction (EF) of 45%, the patient pleural effusion can be the most reasons are:

Answer: Left ventricular failure

Choices:
A. Tuberculous pleurisy
B. Left ventricular failure
C. Right heart failure
D. Autoimmune pleurisy

70 year old male patient
diabetes
hypertension
currently
oral
blood sugar
meals
mg
dL
moderate pleural effusion
right side
cc
3 months old
pleural
fluid examination
protein
g
dL
LDH
U
L
L
N
60 40
serum protein
0 g
dL
LDH
350 U
L
20 mg
dL
patient
protein urine
liver function
normal
left
patient pleural effusion
most


Question: 25 year old man coughing up blood and have a rapid deterioration of renal function, pathological examination found that most of glomerular crescent-shaped cell proliferation (crescentic proliferation). Which of the following indicates that the patient suffering from Goodpasture syndrome?

Answer: There glomerular basement membrane IgG antibodies deposited on

Choices:
A. Glomerular immune complex deposition everywhere
B. No glomerular deposition of immune complexes or antibodies
C. There glomerular basement membrane IgG antibodies deposited on
D. There complement deposition in glomeruli

glomerular crescent shaped cell proliferation


Question: Which of the following is the definition of fever (febrile morbidity) after surgery?

Answer: 24 hours after the body temperature, there is any time interval of at least 2 for 4 hours is higher than 38 ℃

Choices:
A. 24 hours after the body temperature, there is any time interval of at least 2 for 4 hours is higher than 38 ℃
B. 24 hours after the body temperature, there is any time interval of at least 2 for 4 hours is higher than 39.5 ℃
C. After 24 hours, with a temperature higher than 38.3 ℃ 1
D. After 24 hours, with a temperature higher than 39.5 ℃ 1

following
fever
febrile morbidity
surgery


Question: On children with acute renal failure, which of the following is not a pre-renal renal insufficiency typical real data show?

Answer: Urine analysis shows that red blood cells and white blood cells

Choices:
A. Urinary sodium <20 mEq / L
B. Sodium ion exclusion fraction (FENa) <1%
C. Urine osmolality> 500 mOsm / kg
D. Urine analysis shows that red blood cells and white blood cells

children
acute renal failure
following
not
pre renal
insufficiency typical real data


Question: Childhood shall give effect to the most common indication for liver transplantation (indication) as follows:

Answer: Biliary atresia

Choices:
A. Biliary atresia
B. Metabolic liver disease
C. Fulminant hepatitis
D. Bile retention syndrome familial

Childhood
give effect
common
liver transplantation
follows


Question: To undertake the problem, and treatment of disease-causing machine turn on the disease, the following statements is true?

Answer: Is regulated by androgen in the dermal papilla, hair follicles from the terminal type into vellus type

Choices:
A. Is regulated by androgen in the dermal papilla, hair follicles from the terminal type into vellus type
B. Patients with excessive testosterone production in the testis
C. Sebaceous glands testosterone is metabolized type Ⅱ 5α-reductase to dihydrotestosterone excess of
D. Finasteride was due to effective treatment of type Ⅰ 5α-reductase inhibition

To
problem
treatment
disease-causing machine turn
disease
following
true


Question: Central retinal artery occlusion, retinal occur:

Answer: Macular was cherry red (cherry-red spot)

Choices:
A. Retinal neovascularization (neovascuarization)
B. Retinal hemorrhage (retinal hemorrhage)
C. Retinal exudates (retinal exudation)
D. Macular was cherry red (cherry-red spot)

Central retinal artery occlusion
retinal occur


Question: Sore throat, difficulty swallowing and other symptoms treatment after dinner, a middle-aged men, the neck below the X-ray, the following statements is true?

Answer: Esophagoscopy surgery as suspected rupture of the esophagus, a nasogastric tube should be placed immediately and asked the patient can not take food by mouth

Choices:
A. X-ray visible foreign matter neck epiglottis located at
B. The foreign matter can be removed under local anesthesia in a rigid esophagoscopy
C. Rigid esophagoscopy incidence of postoperative complications similar to the soft esophagoscopy
D. Esophagoscopy surgery as suspected rupture of the esophagus, a nasogastric tube should be placed immediately and asked the patient can not take food by mouth

Sore throat
difficulty swallowing
symptoms treatment
dinner
middle-aged men
neck
X-ray
following
true


Question: Antidiuretic hormone (ADH) secretion, can lead to diabetes insipidus (diabetes insipidus). Changes in the following narrative about the patient's body, what's wrong?

Answer: Plasma renin (renin) concentration decreases

Choices:
A. Plasma osmolality (plasma osmolarity) will rise
B. Sodium ions (plasma sodium) concentration rises in plasma
C. Plasma renin (renin) concentration decreases
D. Between the outer tissue interstitial fluid (interstitial fluid) purified water pressure (hydrostatic pressure) decreases

Antidiuretic hormone
secretion
lead
diabetes insipidus
diabetes insipidus
Changes
following
patient's body
wrong


Question: From the previous question, the most likely result of the check which of the following?

Answer: Reversed end-diastolic velocity

Choices:
A. Absence of end-diastolic velocity
B. Reversed end-diastolic velocity
C. Positive
D. Negative

previous
most likely result
check
following


Question: A 30-year-old male suffering from Hirschsprung disease (megacolon), the defecation ring true because every day in a variety of laxatives and enemas themselves. One day at the office due to brief syncope, was sent to the emergency room for treatment. ECG syncope recurrence following emergency room shown in FIG. He's following the disposal of the most inappropriate?

Answer: Now do cardiac catheterization and coronary photography

Choices:
A. Now do 360 Joules defibrillation (defibrillation)
B. Now do cardiac catheterization and coronary photography
C. Check for low blood magnesium (hypomagnesemia) or hypokalemia (hypokalemia)
D. Intravenous amiodarone 300 mg


Question: Katayama hot (Katayama fever) which is commonly known as a parasitic infection caused?

Answer: Schistosoma japonicum (Schistosoma japonicum)

Choices:
A. 橫川 吸蟲 (Metagonimus yokogawai)
B. Schistosoma japonicum (Schistosoma japonicum)
C. Chinese liver fluke (Clonorchis sinensis)
D. Wei's lung fluke (Paragonimus westermani)

hot
Katayama fever
known
parasitic infection caused


Question: Which of the following symptoms occur when the child is not required to consider the presence of kidney disease?

Answer: Urethra pain (pain of urethral orifice)

Choices:
A. There are long-term urinary bubble (foamy urine)
B. Polyuria (polyuria)
C. Failure to thrive (growth retardation)
D. Urethra pain (pain of urethral orifice)

following symptoms occur
child
not required to
presence of kidney disease


Question: The following statements about the stomach, whichever is correct?

Answer: Primary cells (chief cell) secrete pepsinogen

Choices:
A. Acid manufactured by the main cells (chief cell)
B. Primary cells (chief cell) secrete pepsinogen
C. With ability to differentiate stem cells in the bottom of the gastric
D. Gastrin (Gastrin) of intestinal endocrine cells concentrated in the cardia


Question: 33 A seven-year-old boy sudden unconsciousness and shock in the pool play and give first aid. His aunt and uncle, but also because of sudden death during exercise. Which of the following is the most likely diagnosis?

Answer: QT spacing extension (Long QT) syndrome

Choices:
A. Family atrial jitter (familial atrial fibrillation)
B. Tachycardia (paroxysmal supraventricular tachycardia) paroxysmal ventricular
C. Kearns-Sayre syndrome
D. QT spacing extension (Long QT) syndrome

seven year old boy sudden unconsciousness


Question: The following inter-related rotor or rotor narrative fracture zone (peritrochanteric or intertrochanteric fracture) of, what's the most correct?

Answer: form of reverse oblique fractures are unstable fractures

Choices:
A. Such fractures are fractures of the joint capsule (intracapsular fracture)
B. form of reverse oblique fractures are unstable fractures
C. Stabilize the fractures to the principle of non-surgical treatment
D. Unstable and displaced fractures of the semi-artificial hip replacement (hemiarthroplasty) principles for the treatment

following inter related
fracture zone
intertrochanteric fracture
most correct


Question: In men, which of the following is homologous structure female vestibule ball (bulb of the vestibule) of?

Answer: Penile urethra (corpus spongiosum)

Choices:
A. Urethral glands (bulbourethral gland)
B. Penis (copora cavernosa)
C. Penile urethra (corpus spongiosum)
D. Penis feet (crus of penis)


Question: A 31-year-old male patient was hospitalized with breathing difficulties since two days. Pharmacological examination showed diffuse pulmonary rales fine, chest radiographs, there are both interstitial infiltrates; Testing for HIV-positive patients, and HIV-1 RNA / mL plasma number 26,800 copy number. Transbronchial biopsy sections as shown. Patients infected with the pathogen why?

Answer: Cytomegalovirus (Cytomegalovirus)

Choices:
A. E-B virus (Epstein-Barr virus)
B. Cytomegalovirus (Cytomegalovirus)
C. Herpes virus (Herpes zoster virus)
D. Adenovirus (Adenovirus)

31 year old male patient
hospitalized
breathing difficulties
two days
Pharmacological
diffuse pulmonary rales fine
chest radiographs
interstitial infiltrates
Testing
HIV-positive patients
mL plasma number
800 copy number
Transbronchial biopsy sections
Patients infected


Question: One researcher wants to use several focus groups Development "Inter-girl relationship with their parents" questionnaire. The researchers plan should be considered a subject of interest in ethical issues does not include which of the following?

Answer: The sample size of the study

Choices:
A. Given the size of the amount of compensation is consistent with the principles of justice
B. The sample size of the study
C. Who participate in focus groups of security measures
D. Emotional talks sensitive topics may be caused by low

One researcher
to use several
Development
Inter girl
researchers plan
subject
not include
following


Question: FIG under X-rays showed that the main direction of scoliosis and Cobb's angle is:

Answer: Convex to the left about 40 degrees

Choices:
A. Projecting to the right, about 40 degrees
B. Convex to the left about 40 degrees
C. Projecting to the right, about 140 degrees
D. Projecting to the left, about 140 degrees

X-rays
main direction
scoliosis
Cobb's angle


Question: 23. The recent new listings an anti-asthma drugs, you find that asthma patients after several months of treatment, not only related to clinical symptoms, blood detection of antigen-specific IgE antibody titers are also reduced, but also can not detect antigen-specific CD4 + T cells secreted IL-4, IL-5 and IL-13, anti-asthmatic drugs that modulate the immune response might have function, that the cell following the most relevant to such a treatment is not possible?

Answer: A seventeenth type helper T cells (the TH17)

Choices:
A. The first type T helper (TH1)
B. TR1 cells
C. A seventeenth type helper T cells (the TH17)
D. Cells CD4 + CD25 + T

23
recent new
anti-asthma drugs
find
asthma patients
several months of treatment
not only related
clinical symptoms
blood detection of
antibody titers
reduced
not detect
CD4
secreted IL-4
IL-5
IL-13
anti-asthmatic drugs
modulate
immune response
function
cell following
most relevant
treatment
not possible


Question: The following pair about cancer and its tumor markers (tumor markers) of, what's wrong?

Answer: carbohydrate antigen 19-9（CA19-9）and ovarian cancer

Choices:
A. carbohydrate antigen 19-9（CA19-9）and ovarian cancer
B. alpha fetoprotein（AFP）and hepatocellular carcinoma
C. carcinoembryonic antigen（CEA）and colon cancer
D. human chorionic gonadotropin（HCG）and choriocarcinoma

following pair
cancer
tumor markers
tumor markers
wrong


Question: A 68-year-old farmer two years ago found a small tumor on the strong nose, he noticed the small tumor was growing up, now about 1 cm and a small central ulcer, tumor removal after receiving medical treatment, and do Bridge repair surgery. The following types of radiation to the tumor whichever is closest relationship with?

Answer: Ultraviolet rays

Choices:
A. X-rays
B. γ-ray
C. Ultraviolet rays
D. infrared

year old farmer two years
found
small
strong nose
small tumor
now
small central ulcer
tumor removal
receiving medical treatment
Bridge repair surgery
following types
radiation
tumor
closest relationship


Question: Which of the following connection cavernous (cavernous sinus) and the transverse sinus (transverse sinus)?

Answer: Sangam sinus (superior petrosal sinus)

Choices:
A. Sigmoid sinus (sigmoid sinus)
B. Sangam sinus (superior petrosal sinus)
C. Under Rock sinus (inferior petrosal sinus)
D. Straight sinus (straight sinus)

following connection cavernous
cavernous sinus
transverse sinus
transverse sinus


Question: Which of the following drugs can effectively treat hepatic cysts dog tapeworm (Echinococcus granulosus) caused?

Answer: Albendazole

Choices:
A. Albendazole
B. Ivermectin
C. Oxamniquine
D. Niclosamide

following drugs
treat hepatic cysts dog tapeworm
Echinococcus granulosus
caused


Question: The next column that a ligament sprain highest incidence in the ankle?

Answer: From the anterior fibular ligament (anterior talofibular ligament)

Choices:
A. The deltoid ligament (deltoid ligament)
B. Before the tibia and fibula ligament (anterior tibiofibular ligament)
C. After fibular ligament from the (posterior talofibular ligament)
D. From the anterior fibular ligament (anterior talofibular ligament)

next column
ligament highest incidence
ankle


Question: 6-year-old boy, was found abnormal liver function, suspected Wilson disease, which of the following error?

Answer: Wilson disease is a sex-linked recessive inheritance

Choices:
A. Wilson disease is a sex-linked recessive inheritance
B. serum copper and ceruloplasmin in early disease may not be lower Wilson
C. Abnormal liver function of patients over the age of 5 can not find a reasonable explanation, Wilson disease should be listed as one of the differential diagnosis
D. Ophthalmology consultation should see if there cornea Kayser-Fleischer (K-F) ring

year old boy
found abnormal liver function
suspected Wilson disease
following error


Question: The following statements about acute intermittent porphyria (acute intermittent porphyria), and what's wrong?

Answer: Since copper metabolism of recessive genetic diseases abnormalities

Choices:
A. Since copper metabolism of recessive genetic diseases abnormalities
B. Sulfonamide having induce onset of this genetic
C. Will appear when the disease is acute multiple neuritis
D. There will be unknown reason the onset of abdominal pain

following
acute intermittent porphyria
acute intermittent porphyria
wrong


Question: When axillary lymph node dissection, if was cut off, can cause nerve pain or numbness in the upper arm medial why?

Answer: intercostobrachial nerve

Choices:
A. long thoracic nerve
B. thoracodorsal nerve
C. intercostobrachial nerve
D. medial pectoral nerve

axillary lymph node dissection
cut off
cause nerve pain
numbness
upper arm medial


Question: A 70-year old man, sat chatting with friends, suddenly stopped talking, nor mouth to swallow autonomously, 1--2 minutes later, confusion, 3--5 minutes to wake up, but do not know what happened thing, the most likely diagnosis is:

Answer: Complex partial seizures (complex partial seizure)

Choices:
A. Absence epilepsy (petit mal epilepsy)
B. Syncope syndrome (syncope)
C. Overall temporary amnesia (transient global amnesia)
D. Complex partial seizures (complex partial seizure)

70 year old man
sat chatting
stopped talking
mouth to swallow
1
2 minutes later
confusion
3
5 minutes
wake up
not
diagnosis


Question: Primary lymphoma of the brain (primary central nervous system lymphoma) treatment modalities, the following best inappropriate?

Answer: Surgery

Choices:
A. Surgery
B. Steroid
C. Radiation treatment
D. Chemotherapy

Primary lymphoma of
brain
primary central nervous system lymphoma
treatment
following best inappropriate


Question: Which of the following direct branching from the superficial palmar arch (superficial palmar arch)?

Answer: Palmar digital artery (common palmar digital artery)

Choices:
A. Palmar digital artery (common palmar digital artery)
B. Palmar metacarpal artery (palmar metacarpal artery)
C. Finger palm side-specific artery (proper palmar digital artery)
D. Thumb main artery (princeps pollicis artery)

following direct branching
superficial palmar arch
superficial palmar arch


Question: The following pulmonary function test values that are most commonly used in the preoperative evaluation of surgical risk?

Answer: FEV1（forced expiratory volume in first second）

Choices:
A. TLC（total lung capacity）
B. FRC（functional residual capacity）
C. FEV1（forced expiratory volume in first second）
D. IC（inspiratory capacity）


Question: About personality disorder (personality disorder), the following statements is true?

Answer: Other personality disorder often co-morbid psychiatric disorders, such as substance abuse, depression, anxiety, psychosis

Choices:
A. Borderline personality disorder (borderline personality disorder) is twice that of male cases of female cases
B. Antisocial personality disorder (antisocial personality disorder) Compared with the general public and no alcohol or substance abuse higher ratio
C. Obsessive-compulsive personality disorder (obsessive-compulsive personality disorder) symptoms are the core of perfectionism and lack of flexibility, but they are still in good social skills, make friends and not be affected
D. Other personality disorder often co-morbid psychiatric disorders, such as substance abuse, depression, anxiety, psychosis

personality disorder
personality disorder
following
true


Question: About the relationship between microbes and cancer, which of the following associations lowest?

Answer: Human papilloma virus vs. uterine cancer (uterine cancer)

Choices:
A. Helicobacter pylori  vs.胃癌（gastric cancer）
B. Human papilloma virus vs. uterine cancer (uterine cancer)
C. Human herpesvirus type 8 vs. Kaposi's sarcoma (Kaposi's sarcoma)
D. Epstein-Barr virus vs. Hodgkin's lymphoma (Hodgkin's lymphoma)


Question: Asked 60-year-old menopausal women the benefits of hormone therapy (HT), in addition to ease hot flashes, vaginal atrophy and bone loss, but can reduce the incidence of the disease?

Answer: Colorectal Cancer

Choices:
A. Colorectal Cancer
B. Rheumatoid arthritis
C. migraine
D. Gallstones

60 year old menopausal
benefits
hormone therapy
hot flashes
vaginal atrophy
bone loss
incidence
disease


Question: 9 a 10-day-old baby boy to the hospital, my mother complained of a baby boy from 2 days ago continue to spit bile and crying, anxiety, digestive Photography (upper GI study) as shown on the barium, the most likely diagnosis is:

Answer: The combined rotation of intestinal volvulus (malrotation with midgut volvulus)

Choices:
A. Webbed duodenum (duodenal web)
B. Annular pancreas (annual pancreas)
C. Superior mesenteric artery syndrome (superior mesenteric artery syndrome)
D. The combined rotation of intestinal volvulus (malrotation with midgut volvulus)

10 day old baby boy
hospital
baby boy
2 days
to spit bile
anxiety
digestive
upper GI study
diagnosis


Question: About the following functional gastrointestinal disorders (functional gastrointestinal disorders) of the statements is wrong?

Answer: Anxiety and less likely to result in functional gastrointestinal disorders

Choices:
A. Many who suffer from psychosomatic symptoms often with gastrointestinal symptoms
B. Gastrointestinal diseases which have a high proportion of functional disorders
C. For functional gastrointestinal disorders, psychological factors often affect disease severity and prognosis
D. Anxiety and less likely to result in functional gastrointestinal disorders


Question: MRNA translated into protein in human cells, which of the following is the correct adjustment mechanism?

Answer: Two mRNA recombination (recombination) to generate a new protein

Choices:
A. Two mRNA recombination (recombination) to generate a new protein
B. The mRNA translates into the nucleus
C. DNA binding and about 300 to 500 nucleotides (Nucleotides) size increases the efficiency of producing protein
D. Less than 50 nucleotides and RNA binding (Nucleotides) protein size decreased manufacturing efficiency

MRNA
protein
human cells
following
correct adjustment mechanism


Question: About hepatocellular adenoma of the following statements is wrong?

Answer: beta-catenin activated adenoma hepatocellular adenoma typed in all, the malignancy risk (risk for malignant transformation) Minimum

Choices:
A. Benign liver cell proliferation
B. And maturity onset diabetes of the young type 3 (MODY-3) is associated HNF1-alpha inactivated hepatocellular adenoma
C. beta-catenin activated adenoma hepatocellular adenoma typed in all, the malignancy risk (risk for malignant transformation) Minimum
D. gp130 mutations appear in the inflammatory type adenoma

About hepatocellular adenoma
following
wrong


Question: The following figure have seen abnormal brain, the most in line with that kind of condition?

Answer: 76-year-old patient, there are seven memory loss, disorientation, and dementia history

Choices:
A. 48 year old woman, showing a variety of hair will ease again unrelated neurological defects have been six years
B. 78-year-old patient, muscle stiffness, slow movements and tremors
C. 76-year-old patient, there are seven memory loss, disorientation, and dementia history
D. 53 year old man, and soon the onset of memory loss, urinary incontinence and gait abnormalities

following
seen abnormal brain
most
line
kind
condition


Question: 52.60-year-old obese male patients, had undergone an appendectomy, physical examination that had gallstones, but no obvious symptoms, drinking habits. After five days ago dinner, the entire burst abdominal tenderness, fever (39 ° C), blood leukocytes 18,000 / mm3, N / L = 83% / 16%; jaundice value (total bilirubin 5.6 mg / dL), should be finishing that further disposal?

Answer: Abdominal ultrasound arrangements

Choices:
A. Preparation of blood transfusion
B. Arrange emergency abdominal laparotomy
C. Check the schedule angiography and embolization disposal
D. Abdominal ultrasound arrangements

60 year old obese male patients
appendectomy
gallstones
symptoms
drinking
dinner
entire burst abdominal tenderness
fever
mm3
N
83
jaundice value
total bilirubin
mg
dL
finishing
further


Question: Secreted by Gram-negative bacteria endotoxins (endotoxin) will be regulated intestinal Cl- secretion, the role of intestinal epithelial cells because of activation of that enzyme having the activity of receptors (receptor) induced?

Answer: Guanylyl cyclase

Choices:
A. Tyrosine kinase
B. Guanylyl cyclase
C. Tyrosine phosphatase
D. Serine kinase 47 G-protein coupled receptor (G-protein-coupled receptor) that belong to the following types of receptor?

Secreted
endotoxins
endotoxin
intestinal
secretion
role
intestinal epithelial cells
activation
enzyme
receptor
induced


Question: Resection of metastatic lung tumors, the following statements is this bad?

Answer: Endoscopic surgical resection of metastasis of lung cancer are the standard surgical procedure

Choices:
A. No recurrence of the primary tumor, the metastatic tumors will be excised lung
B. Endoscopic surgical resection of metastasis of lung cancer are the standard surgical procedure
C. Can reduce tumor burden (tumor burden)
D. Breast MRI before surgery do not necessarily need

Resection of metastatic lung tumors
following
bad


Question: Catalytic converters amine (transamination) enzyme, which requires the use of these vitamins as amine temporary carriers?

Answer: pyridoxal phosphate（vitamin B6）

Choices:
A. flavin adenine dinucleotide（vitamin B2）
B. pyridoxal phosphate（vitamin B6）
C. tetrahydrofolate（H4 folate）
D. thiamin pyrophosphate（vitamin B1）

converters amine
enzyme
use of
vitamins
amine temporary carriers


Question: The parasympathetic preganglionic fibers accompanied with which of the following?

Answer: Tympanic nerve (tympanic nerve)

Choices:
A.  nasal nerve (nasopalatine nerve)
B. Tears nerve (lacrimal nerve)
C. Tympanic nerve (tympanic nerve)
D. Ear temporal nerve (auriculotemporal nerve)


Question: Drawing female patients are most likely to develop a following that nerve palsy?

Answer: Right long thoracic nerve (long thoracic nerve)

Choices:
A. Nerve (suprascapular nerve) on the right side of the scapula
B. Right long thoracic nerve (long thoracic nerve)
C. On the left scapular nerve
D. The left side of the long thoracic nerve

female patients
to
following
nerve palsy


Question: The narrative about the early stages of pregnancy, which of the following error?

Answer: Tubal ectopic pregnancy patients receiving methotrexate (MTX) treatment than those receiving salpingostomy (salpingostomy) treated patients

Choices:
A. Pelvic inflammatory disease is a risk factor for ectopic pregnancy
B. Tubal ectopic pregnancy patients receiving methotrexate (MTX) treatment than those receiving salpingostomy (salpingostomy) treated patients
C. 6 weeks pregnant uterus normal, blood hCG 48 hours at least to increase more than 66%
D. When the opportunity of hCG in the blood than 2,000 mIU / mL, less than 50% increase in compartment 48 hours, viable embryos low

early stages of pregnancy
following error


Question: The following statements about benign liver tumors, and what's wrong?

Answer: Compared to adenoma, nodular hyperplasia easily localized bleeding

Choices:
A. Local nodular hyperplasia (focal nodular hyperplasia) is the second most common benign liver tumors
B. Adenoma (adenoma) associated with long-term oral contraceptives
C. Compared to adenoma, nodular hyperplasia easily localized bleeding
D. Most hemangiomas (hemangioma) are asymptomatic, but mostly women


Question: Implicated earache (Referred otalgia) often prompted by the tongue, floor of the mouth, tongue and throat portions of the focus, and it is not associated nerve:

Answer: Hypoglossal nerve

Choices:
A. Lingual nerve
B. Vagus nerve
C. Glossopharyngeal nerve
D. Hypoglossal nerve

earache
Referred otalgia
often prompted
tongue
floor of the mouth
tongue
throat portions
focus
not associated nerve


Question: From the previous question, what kind of following administration of antiepileptic drugs for Sick Children this time, but will increase its seizure?

Answer: Phenytoin

Choices:
A. Valproic acid
B. Lamotrigine
C. Phenytoin
D. Ethosuximide

previous
kind
following administration
antiepileptic drugs
Sick Children
time
increase
seizure


Question: Peripheral nerve injury based on the degree of nerve damage can be divided into three distinct nature, following that one is not included?

Answer: neuromyotonia

Choices:
A. neurapraxia
B. neuromyotonia
C. axonotmesis
D. neurotmesis

Peripheral nerve injury based
degree
nerve damage
divided
three
nature
following
one
not included


Question: A 20-year-old girl has been normal menstruation, two months ago after receiving abortion sudden reduction in menstrual flow, a total of only two days, and one day only with a sanitary napkin, the most appropriate disposal Why?

Answer: Hysteroscopy

Choices:
A. Hysteroscopy
B. Hormonal blood tests, including FSH, estradiol, prolactin
C. Given high doses of estrogen to help the growth of the endometrium
D. Uterine curettage spreading arrangement (D & C), and placed IUD

20 year old girl
normal menstruation
two months
receiving abortion sudden reduction
menstrual flow
total
only two days
one day only
napkin
most appropriate


Question: A 45 year old male patient, due to accept the first 10 days of the occurrence of anastomotic leakage after resection of the left colon, abdomen intestinal fluid outflow drainage tube. Patient presented abdominal distension, but no fever and symptoms of peritonitis. At this point the following information about how to dispose of the item less suitable?

Answer: Immediately arrange for re-laparotomy

Choices:
A. Continue to give antibiotic injections
B. Continue fasting and nasogastric decompression
C. Given total parenteral nutrition injection
D. Immediately arrange for re-laparotomy

year old male patient
accept
first 10 days
occurrence
anastomotic leakage
resection
left colon
intestinal
drainage tube
Patient
abdominal distension
fever
symptoms
peritonitis
point
following
to
less suitable


Question: Which of the following is not a shock treatment may have failed (refractory shock or irreversible shock) of?

Answer: The continuing shortage of blood volume (persistent reduction of blood volume)

Choices:
A. Severe brain ischemia (severe cerebral ischemia)
B. The continuing shortage of blood volume (persistent reduction of blood volume)
C. Myocardium is inhibited failure (myocardial depression / failure)
D. Acute respiratory distress syndrome (acute respiratory distress syndrome, ARDS)

following
not
shock treatment
failed
refractory shock
irreversible shock


Question: Which of the following is not a constituent element of informed consent (informed consent) of?

Answer: Privacy (privacy)

Choices:
A. Privacy (privacy)
B. Notify (disclosure)
C. Decision-making capacity (capacity)
D. Voluntary (voluntariness)


Question: The use of antipsychotic drugs (antipsychotics) cause extrapyramidal symptoms (extrapyramidal syndrome) symptoms, which of the following is most likely to cause difficulty in breathing?

Answer: Dystonia (dystonia)

Choices:
A. Dystonia (dystonia)
B. Akathisia (akathisia)
C. Parkinson's syndrome (parkinsonism)
D. Motion abnormalities (dyskinesia)

use of antipsychotic drugs
antipsychotics
cause extrapyramidal symptoms
extrapyramidal syndrome
symptoms
following
to cause difficulty
breathing


Question: Characterized by Cryptococcus neoformans (Cryptococcus neoformans), and that does not include one of the following?

Answer: Cause skin and mucous membrane infections

Choices:
A. Encapsulated
B. Can form chlamydospores
C. Cause skin and mucous membrane infections
D. Into the human body through the respiratory tract

Cryptococcus neoformans
Cryptococcus neoformans
not include one


Question: "Lymph nodes (lymph node)," which has the following characteristics?

Answer: Containing lymphatic sinuses (lymphatic sinus)

Choices:
A. Containing lymphatic sinuses (lymphatic sinus)
B. Output only lymphatic
C. White pulp (white pulp) and a red pulp (red pulp)
D. The main function is filtering the blood


Question: About Clara cells, the following items describe how wrong?

Answer: Having a gas exchange function

Choices:
A. A single-tier cuboidal cells (simple cuboidal epithelium) of non-ciliated
B. Similar effect may be secreted pulmonary surfactant agent (surfactant-like material)
C. Having a gas exchange function
D. Distributed (terminal bronchioles) in the terminal bronchioles


Question: Statements about the benign bone lesions found on imaging studies, Which statement is correct?

Answer: Violation of the spinal vertebrae ball eosinophilic granuloma (eosinophilic granuloma) X-ray film, can often see the flat deformable vertebral body (vertebra plana) of

Choices:
A. Violation of the spinal vertebrae ball eosinophilic granuloma (eosinophilic granuloma) X-ray film, can often see the flat deformable vertebral body (vertebra plana) of
B. Osteoid osteoma (osteoid osteoma) in a central computer tomography lesions, who mostly greater than 2 cm
C. Fibrous dysplasia (fibrous dysplasia) often occurs in the humerus (humerus) a proximal end, X-ray have similar shepherd cane (shepherd's crook) modified
D. Simple bone cyst (simple bone cyst) of Magnetic Resonance Imaging (MRI) examination, the video stream can be seen almost flat body fluids (fluid-fluid level) of

benign bone lesions found
imaging studies
correct