Question: Following on ACTH (adrenocorticotropic hormone, ACTH) secretion characteristic of narrative and cortisol (cortisol), and what's wrong?

Answer: Daily cortisol produce the most amount of time mainly in the night time sleep

Choices:
A. Both secreted will follow circadian clock (circadian rhythm) is changed
B. Daily cortisol produce the most amount of time mainly in the night time sleep
C. Regulation of secretion of ACTH diurnal variation of a principal part of the hypothalamus suprachiasmatic nuclei
D. Cortisol secretion mainly by the secretion of ACTH change the regulation

Following
ACTH
adrenocorticotropic hormone
ACTH
secretion characteristic
cortisol
cortisol
wrong


Question: A 20-year-old otherwise healthy male was found unconsciousness friends, when sent to the emergency room blood pressure 90/40 mmHg, two pupils and other large diameter of 1 mm, GCS (Glasgow Coma Scale, GCS) is E1V1M4, if done when diagnostic treatment, Which of the following most inappropriate?

Answer: Physostigmine

Choices:
A. Atropine
B. Naloxone
C. Flumazenil
D. Physostigmine

emergency room blood pressure 90 40 mmHg


Question: Clinically, we can be patient through DNA after bisulfite (sodium bisulfite) treatment, the unmethylated cell pyrimidine (cytosine) is converted into urea pyrimidine (Uracil), by PCR amplification of the sequence of a particular gene, then by Unit two different dissociation temperatures of determining the degree of methylation. Whichever is the higher degree of methylation in the figure below?

Answer: B shares

Choices:
A. A shares Melting Peaks
B. B shares
C. As a high degree of methylation of A and B shares
D. Not enough data to interpret


Question: 44. Lin Shi, 64 years old, in the past in addition to the natural production of Outer no special history of the disease, a large number of vaginal bleeding due to emergency attendances, after consultation within the cervix have found a 2 cm tumor, piece confirmed cervical intraepithelial carcinoma, tumor range 1/3 vaginal wall to the next, there are signs of tissue invasion near the left side of the uterus, a normal chest X-ray, pelvis and the left renal pelvis and ureter photography show edema, Which of the following is the most appropriate treatment?

Answer: The combined cisplatin chemotherapy radiation

Choices:
A. The combined cisplatin chemotherapy radiation
B. Radiation therapy
C. Use topotecan chemotherapy
D. Radical hysterectomy after radiotherapy were combined


Question: The most important prognostic factors of ovarian cancer are:

Answer: Stage of disease (stage)

Choices:
A. Stage of disease (stage)
B. Tumor differentiation (Grade)
C. Nutritional status of patients
D. Hormonal to accept the amount of body


Question: 6 months old boy combined hyperlipidemia due to urinary tract infections, arranged after VCUG (Voiding cystourethrogram) test results figures. The following statements is wrong?

Answer: To accept immediate surgical orthodontic treatment

Choices:
A. To further make technetium -99m-DMSA renal cortical scan
B. To consider a second-onset (Secondary) vesicoureteral reflux caused due to abnormal bladder
C. To accept immediate surgical orthodontic treatment
D. To rule out whether the patient has merged Sacral agenesis, occult spinal dysraphism


Question: A 24-year-old male patient with normal health, sudden high fever, cough three days, chest X-ray showing right upper lobe segmental consolidation, it is most likely the pathogen:

Answer: Streptococcus pneumoniae

Choices:
A. Hemophilus influenzae
B. Streptococcus pneumoniae
C. Pseudomonas aeruginosa
D. Chlamydia pneumoniae


Question: Following on the watch spleen surgery statements is wrong?

Answer: Since the reason for the spleen and making the system immune system ⾎ ⼀ ring, most commonly needed into ⾏ splenectomy because purpura (idiopathic

Choices:
A. Since the reason for the spleen and making the system immune system ⾎ ⼀ ring, most commonly needed into ⾏ splenectomy because purpura (idiopathic
B. Purpura on the watch after splenectomy excellent prognosis for patients ⽽ The language is ⼀ term treatment of the most time-efficient
C. ⼀ weeks before surgery should be the watch to accept the Streptococcus pneumoniae vaccine, because there are patients ⼩ will cut 5% of serious infection after surgery on your watch spleen
D. Spleen often ⾒ the watch after complications with lung collapse, the ⾎ and inflamed pancreas


Question: About screening describe what's wrong?

Answer: Be publicly funded screening to reduce cancer mortality, deal with various types of cancer

Choices:
A. Publicly funded screening policy implementation year, the incidence of cancer usually rises than in previous years
B. Implementation of Pap smear screening can reduce cervical cancer mortality
C. Will be higher than the incidence of cancer prevalence
D. Be publicly funded screening to reduce cancer mortality, deal with various types of cancer


Question: The following statements about medical advertising, what's wrong?

Answer: Medical advertising was to promote the use of grant medical journals

Choices:
A. Creative imply or insinuate medical business shall be deemed medical advertising
B. Medical advertising was to promote the use of grant medical journals
C. Medical Journal of New attract business are not covered, are not considered medical advertising
D. Medical advertising shall not disclose or traditional remedy to promote public Q & A


Question: The following narrative about the development of the ear (ear), what's wrong?

Answer: A first pair of pharyngeal pouches (pharyngeal pouch) and downwardly communicating second pharyngeal pouch formed Eustachian (auditory tube) and an opening in the nasopharynx

Choices:
A. The external auditory canal (external acoustic meatus) from a first pharyngeal grooves (pharyngeal groove)
B. Tympanic membrane mainly from the first pair of pharynx (pharyngeal membrane) and the pharyngeal pouches (pharyngeal pouch), and mesenchymal tissue
C. Tympanic (tympanic cavity) from a first pharyngeal pouch (pharyngeal pouch)
D. A first pair of pharyngeal pouches (pharyngeal pouch) and downwardly communicating second pharyngeal pouch formed Eustachian (auditory tube) and an opening in the nasopharynx


Question: Mr. Wong is a 41 patients with chronic hepatitis B, most recently the company's routine physical examination revealed only hemoglobin 10 g / dL, while Mr. Huang is no obvious discomfort. So then large hospital for further examination, found that the average red blood cell volume (MCV): 92 fL, total iron-binding capacity (TIBC): 210μg / dL (normal 250 ~ 450), ferritin: 300 ng / mL (normal value 20 ~ 250), serum iron μg / dL (normal 65 to 175). The most likely cause of anemia Wong occurs:

Answer: Anemia associated with chronic disease (anemia of chronic diseases)

Choices:
A. Iron deficiency anemia (iron deficiency anemia)
B. Mediterranean anemia (thalassemia)
C. Laboratory error (laboratory errors)
D. Anemia associated with chronic disease (anemia of chronic diseases)


Question: Physicians perform an operation related to the process of obtaining informed consent of the patients, the most commonly ignored causes of the dispute are:

Answer: Does not provide adequate patient counseling and disease description

Choices:
A. Did not sign the consent form
B. Has not been the patient's consent
C. Unspecified medical expenses
D. Does not provide adequate patient counseling and disease description

Physicians perform
operation related
process
informed
patients
most
causes


Question: Related to metabolic syndrome (metabolic syndrome), which of the following may increase insulin resistance (insulin resistance)?

Answer: Tumor necrosis factor-α and resistin

Choices:
A. Leptin (Leptin) and tumor necrosis factor α (TNF α)
B. Tumor necrosis factor-α and adiponectin
C. adiponectin and resistin
D. Tumor necrosis factor-α and resistin

Related
metabolic syndrome
metabolic syndrome
following
increase insulin resistance
insulin resistance


Question: The pregnant women and aortic stenosis (aortic stenosis) of the narrative, which of the following error?

Answer: For pregnant women have symptoms, it is recommended to balloon angioplasty (balloon valvotomy) treatment

Choices:
A. Since pregnancy preload Center Weighted ⾎ tube (PRELOAD) decreased symptoms become severe in pregnant women
B. For pregnant women with no symptoms, do not require any treatment
C. For pregnant women have symptoms, it is recommended to balloon angioplasty (balloon valvotomy) treatment
D. If the production time try vaginal ⽣, attention is recommended when the infusion volume is too small can not be produced, recommend using a forceps or vacuum assist ⽣ production yield when ⽣

aortic stenosis
aortic stenosis
following error


Question: Preventive medicine at an angle of view, greater than the normal 40-year-old female, how often should undergo a mammography (mammography)?

Answer: Every 1 to 2 years

Choices:
A. Every 3 to 6 months
B. Every 1 to 2 years
C. Every 3 to 5 years
D. Every 10 years

Preventive medicine
angle
view
greater than
normal 40 year old female
often
mammography
mammography


Question: Statements about the treatment of hyperlipidemia, which of the following error?

Answer: fibric acid derivatives in combination with non Statin

Choices:
A. fibric acid derivative is the treatment of blood triglyceride (triglyceride) a first line of treatment is too high
B. statin treatment blood cholesterol (Cholesterol) a first line of treatment is too high
C. fibric acid derivative Statin combined use may cause rhabdomyolysis (rhabdomyolysis)
D. fibric acid derivatives in combination with non Statin

treatment
hyperlipidemia
following error


Question: A 40 year old male patient, due to gallstones and cholecystitis underwent laparoscopic cholecystectomy. Patients had surgery right elbow tendinitis and antecedents taking aspirin. Considerable pain to the patient complained of four hours after the right shoulder and right upper quadrant, which is the heart rate 118 / min, blood pressure 75/50 mmHg, at this time the patient's problem:

Answer: By the intraperitoneal bleeding continues, therefore

Choices:
A. Completely excluded because of abdominal gas, therefore
B. Due to intra-abdominal infections caused by septic shock
C. The reaction caused by wound pain
D. By the intraperitoneal bleeding continues, therefore

40 year old male patient
gallstones
cholecystitis
laparoscopic cholecystectomy
Patients
surgery right
aspirin
pain
patient
four hours
right shoulder
right upper quadrant
heart rate
min
blood pressure 75 50 mmHg
time
patient's problem


Question: The following types of amino acids that ⼀ as adrenaline (epinephrine) ⽣ synthetic precursor?

Answer: tyrosine

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

following types
amino acids
adrenaline
epinephrine


Question: Which of the following is not a neonatal meconium inhalation common X-ray syndrome (meconium aspiration syndrome) the performance?

Answer: Pleural 腔積 solution

Choices:
A. Coarse particles or lungs patchy shadows
B. Front and rear thorax diameter increased
C. Diaphragm flattens
D. Pleural 腔積 solution


Question:
After fainting and spasms due to hospital treatment when the ambulance ⾞ 61. ⼀ bit about the age of 20 athletes to participate in Larsson. 2 hours ⾺ game. Upon arrival at the hospital, was unconscious conscious, Center Weighted jump 120 times per minute, ⾎ pressure of 98/52 mmHg (mmHg), the temperature perturbation ⽒ 40.8 degrees. Test ⾎ found: aspartate aminotransferase
 (AST) 110 U / L, alanine aminotransferase (ALT) 123 U / L, creatinine (creatinine) 2.2 mg / dL, 143 sodium
 mmol / L, potassium 4.7 mmol / L, calcium 2.4 mmol / L, glucose 75 mg / dL. Face disease in the past in good health, no symptoms before the game. The date when the game was taken ⽒ temperature 37 degrees. Please answer the following 3 questions according to the foregoing. Face the disease most likely diagnosis Why?

Answer: Heat stroke (heat stroke)

Choices:
A. Heat cramps (heat cramps)
B. Heat exhaustion (heat exhaustion)
C. Heat stroke (heat stroke)
D. Heat syncope (heat syncope)

fainting
spasms due to
ambulance
61
bit
age
20 athletes to
2 hours
arrival
hospital
unconscious
Center Weighted jump
times
minute
pressure
98
mmHg
mmHg
temperature perturbation
40
degrees
Test
found
aspartate aminotransferase
AST
U
L
alanine aminotransferase
ALT
U
L
creatinine
creatinine
2.2 mg
dL
sodium mmol
L
potassium
mmol
L
calcium 2
mmol
L
glucose 75 mg
dL
Face disease
past
symptoms
date
temperature
degrees
following
Face
disease
likely diagnosis


Question: About the narrative of human mitochondria, Which statement is correct?

Answer: Some mitochondrial protein synthesized from the gene nucleus

Choices:
A. Some mitochondrial protein synthesized from the gene nucleus
B. Vivo mitochondrial genome is a linear double-stranded DNA
C. Vivo mitochondrial tRNA and rRNA from cytoplasmic molecule total
D. Mitochondrial genome does not generate mutations in vivo


Question: Metachromatic mast cells (mast cells) of (metachromasia) that is a component mainly contained in secretory granules caused by?

Answer: Heparin (heparin)

Choices:
A. Heparin (heparin)
B. Lytic 酶 (lysozyme)
C. Zymogen (zymogen)
D. Sticky fibrinogen (mucinogen)

Metachromatic mast cells
mast cells
metachromasia
component
contained
secretory granules caused


Question: Statements about normal pregnancy and ectopic pregnancy, which of the following error?

Answer: Normal early pregnancy, β-hCG will be doubled every day, if the rise at a slower rate, must have suspected the possibility of ectopic pregnancy

Choices:
A. When normal pregnancy, β-hCG concentrations greater than 1500 mIU / mL, vaginal ultrasound can see the gestational sac in the uterine
B. Normal early pregnancy, β-hCG will be doubled every day, if the rise at a slower rate, must have suspected the possibility of ectopic pregnancy
C. Ectopic position is most commonly seen bilateral salpingo
D. When ectopic pregnancy if early detection, embryos are not yet broken, and heartbeat, may be considered chemotherapy, to Methotrexate

normal pregnancy
ectopic pregnancy
following error


Question: The following types of cells that vulvar cancer (Vulva cancer) most common?

Answer: Squamous cell (Squamous cell)

Choices:
A. Melanoma (Melanoma)
B. Basal cell (Basal cell)
C. Squamous cell (Squamous cell)
D. Sarcoma (Sarcoma)


Question: In the kidney, which of the following do not appear in medullary cone (medullary pyramid)?

Answer: Glomerular (renal corpuscle)

Choices:
A. Mastoid tube (papillary duct)
B. Glomerular (renal corpuscle)
C. Heinz loop descending limb (descending limb of Henle's loop)
D. Heinz loop L limb (ascending limb of Henle's loop)

kidney
following
not appear
medullary cone
medullary pyramid


Question: Related to the clinical definition of shock, which of the following most appropriate?

Answer: Poor tissue perfusion

Choices:
A. Low blood pressure
B. Poor tissue perfusion
C. As a fainting phenomenon
D. Excessive fluid loss

Related clinical shock following appropriate


Question: The following description related to hyponatremia (hyponatremia), and what's right?

Answer: Heart failure may result in the extracellular fluid (extracellular fluid) and hyponatremia increase

Choices:
A. If plasma osmolality (osmolality) is low, you should consider whether it is high blood sugar
B. Heart failure may result in the extracellular fluid (extracellular fluid) and hyponatremia increase
C. Hyponatremia and extracellular fluids of patients decrease, if the sodium ion concentration in the urine is less than 10 mmol / L, Na + wasting nephropathy representatives
D. Inappropriate secretion of antidiuretic hormone (SIADH) patients is generally normal plasma osmolality, but reduced the extracellular fluid

following related hyponatremia hyponatremia right


Question: The following related (nitric oxide) narrative of nitric oxide, whichever is correct?

Answer: Formed from L-arginine and molecular oxygen effect

Choices:
A. Is a chemical transmitter substance (chemical messenger) can activate adenylate cyclase
B. Formed from L-arginine and molecular oxygen effect
C. Can lead to shrinkage of the vessel wall (constriction of blood vessels)
D. The gas molecules are very stable

following related
nitric oxide
nitric oxide
correct


Question: Narrative of ischemic heart disease on women, which of the following error?

Answer: Women of statin and other drug treatment, prognosis improved income (benefits of improved outcome) than men poor

Choices:
A. The incidence of premenopausal women than in men of low
B. After menopause the incidence gradually increased, and the same men approaching
C. Fewer women than men underwent cardiac catheterization, also less undergoing coronary artery reconstruction (coronary revascularization) surgery
D. Women of statin and other drug treatment, prognosis improved income (benefits of improved outcome) than men poor


Question: A 30-year-old woman accepted because of abdominal pain lower abdominal CT examination abnormal ovarian presented below, the following statements is most accurate?

Answer: Teratoma

Choices:
A. Teratoma
B. Uterine fibroids
C. Chocolate cyst
D. Tubo-ovarian abscess

30 year old woman accepted
abdominal pain lower abdominal CT
abnormal ovarian
following
most accurate


Question: A patient suffering from chronic obstructive pulmonary disease (COPD), in order to ease his symptoms of respiratory distress, what items should like to suggest the following breathing exercise movement?

Answer: Diaphragm lip breathing respiratory motion and circle motion (pursed-lip breathing)

Choices:
A. Diaphragm respiratory movement (diaphragmatic breathing) + glossopharyngeal respiratory movement (glossopharyngeal breathing)
B. Diaphragm lip breathing respiratory motion and circle motion (pursed-lip breathing)
C. Breathing pattern (breathing patterns) to adjust the respiratory motion glossopharyngeal +
D. Circular lip breathing respiratory motion glossopharyngeal motion +

patient suffering
chronic obstructive pulmonary disease
order to
symptoms
respiratory
to
following breathing exercise movement


Question: 5-year-old boy due to severe brain trauma after one year treatment, pediatricians found severely stunted, and biochemical tests found significant growth hormone (growth hormone) secretion, and therefore administration of growth hormone therapy. Found that in the treatment of stage of growth hormone in their blood concentration has reached normal, but the situation has not improved growth retardation, which of the following may be used to explain the reasons for growth hormone replacement therapy ineffective?

Answer: It may be secondary to hypothyroidism (secondary hypothyroidism) occurs

Choices:
A. Which may be system prime (Somatostatin) excessive secretion
B. Insufficient amount of growth hormone receptor expression may
C. It may be secondary to hypothyroidism (secondary hypothyroidism) occurs
D. It may be excessive growth hormone in the body's metabolic rate


Question: Following that form of fetal position more suited to try vaginal delivery?

Answer: frank breech

Choices:
A. complete breech
B. frank breech
C. footling breech
D. transverse lie


Question: After the birth of a newborn found in many oral secretion, X-rays to see the stomach is up, but do not put a nasogastric tube into the stomach, the most likely diagnosis is:

Answer: Esophageal atresia tracheal esophageal fistula (esophageal atresia with tracheoesophageal fistula)

Choices:
A. Hypertrophic pyloric obstruction (hyertrophic pyloric stenosis)
B. Esophageal atresia tracheal esophageal fistula (esophageal atresia with tracheoesophageal fistula)
C. Choanal obstruction (choanal atresia)
D. Vocal cord paralysis (vocal cord paralysis)

birth
newborn found
oral secretion
X-rays to see
stomach
not
nasogastric
stomach
diagnosis


Question: The following conditions may result in higher milk promote hyperinsulinemia, except:

Answer: High-energy primary thyroid disease

Choices:
A. Use methyldopa
B. The use of metoclopramide
C. Empty sella syndrome (empty sella syndrome)
D. High-energy primary thyroid disease

following conditions
result
higher milk
hyperinsulinemia


Question: In the following three lymphoma, whichever is closely related to the Epstein-Barr virus?

Answer: Only ①③

Choices:
A. Only ①②
B. Only ②③
C. Only ①③
D. ①②③


Question: When the antibody fixing a film (membrane-bound) type into secretory (secreted) type, which works as follows:

Answer: RNA splicing (splicing)

Choices:
A. DNA recombination (recombination)
B. RNA splicing (splicing)
C. Protein cleavage (degradation)
D. The new gene expression (expression of a new gene)

antibody fixing
film
membrane bound
type
secretory
secreted
type
follows


Question: Abdominal oblique fascia (aponeurosis) wrapped in following the rectus abdominis where?

Answer: Foregut bone between the spine and the pubis

Choices:
A. Above the level of the edge ribs
B. Ribs between the front edge of the iliac spine
C. Foregut bone between the spine and the pubis
D. Pubic height

Abdominal oblique fascia
aponeurosis
following
rectus abdominis


Question: A 50-year-old woman, in the past had cervical cancer received pelvic radiation therapy, the last three years have urinary frequency, urinary urgency when the symptoms of pain and swelling urinary bladder, but can reduce painful urination. Urine leukocytes or red blood cells has not increased, and no patient urine leakage phenomenon, about 100 milliliters urine output, no residual urine. Will she most likely diagnosis is:

Answer: Radiation cystitis

Choices:
A. Interstitial cystitis
B. Radiation cystitis
C. Overactive bladder
D. Bacterial cystitis

50 year old woman
past
cervical cancer received pelvic
last three years
urinary frequency
urinary urgency
symptoms
pain
swelling urinary bladder
painful urination
Urine leukocytes
red blood cells
not increased
patient urine leakage
about 100 milliliters urine output
residual urine
diagnosis


Question: A newly born full-term newborns were found to have a number of systemic bleeding dots (petechiae) and purpura (purpura). Laboratory tests found that leukocytes 11,000 / uL, hemoglobin 14 gm / dL, platelets 8,000 / uL, sick children receiving unit 6 1 hour post platelet concentrate transfusion of platelets retest value remains low as 9,000 / uL, but in after infusion of washed platelet concentrate from the mother, platelet values increased to 90,000 / uL, bleeding conditions improved, Which of the following is the correct interpretation?

Answer: Sick children may often find blood platelet antibodies from the mother against the platelet PLA-1 antigen

Choices:
A. Sick children may often find blood platelet antibodies from the mother against the platelet PLA-1 antigen
B. Mother patient may be unknown reason thrombocytopenia purpura (idiopathic thrombocytopenic purpura) of
C. A mother may have platelet PLA-1 antigen
D. Patients should be combined low platelet mother of systemic lupus erythematosus


Question: Full-term pregnant women to be produced in the receiving pelvic examination, found that this shape of the pelvis of pregnant women oval, and the pelvic inlet (pelvic inlet) pelvic cavity longitudinal width at the radial diameter is more than about, while fetal cephalic presentation pillow after orientation (occipital posterior), which pregnant women pelvic might be that kind?

Answer: Gynecoid pelvis

Choices:
A. Gynecoid pelvis
B. Android pelvis
C. Platypelloid pelvis
D. Anthropoid pelvis

Full-term
to
receiving pelvic examination
found
shape
pelvis
oval
pelvic inlet
pelvic inlet
pelvic longitudinal width
diameter
more
fetal cephalic pillow
orientation
occipital posterior
pelvic
kind


Question: Fungus asexual spores (asexual spores) that can be divided into two categories?

Answer: Spores (conidia) and ascospores (sporangiospores)

Choices:
A. Spores (conidia) and ascospores (sporangiospores)
B. Bottle spores (phialides) and section spores (arthrospores)
C. Thick spores (chlamydospores) and section spores (arthrospores)
D. Arthrospores (arthrospores) and blastospores (blastospores)


Question: 5-year-old boy suffering from nephrotic syndrome (nephrotic syndrome), biopsy under an optical microscope can be seen a few glomerular sclerosis have a local silk ball, fluorescent staining seen precipitation IgM and C3 complement, an electron microscope to see the foot-like projections fusion (foot process fusion). For a description of the following clinical whichever correct?

Answer: Often associated with hematuria clinic

Choices:
A. Often associated with hematuria clinic
B. More than fifty percent effective steroid treatment
C. Clinical prognosis is good, most of them can achieve remission within a year
D. Laboratory tests often seen complement (C3, C4) decreased


Question: If the patient's Wo Ni's area (Wernicke's area) is damaged, what language barriers often appear?

Answer: Impaired auditory comprehension

Choices:
A. Impaired auditory comprehension
B. Fluency of language impairment
C. There will telegraphic language (telegraphic speech)
D. It repeats the other's words (echolalia)

patient's Wo Ni's area
Wernicke's area
damaged
language barriers often appear


Question: Which of the following is not a way to slow the progression of chronic kidney disease treatment?

Answer: Non-steroidal anti-inflammatory drugs

Choices:
A. Low-protein diet
B. Control blood pressure
C. Non-steroidal anti-inflammatory drugs
D. Angiotensin blockers (angiotensin receptor blocker)


Question: The following narrative about the urinary system trauma, whichever is correct?

Answer: The penile fracture repair need emergency surgery white membrane (tunica albuginea)

Choices:
A. Catheter placed as soon as possible urethral injury is suspected
B. The penile fracture repair need emergency surgery white membrane (tunica albuginea)
C. Once they have microscopic hematuria urgent need to do abdominal computed tomography (CT scan)
D. Hematuria renal trauma to the extent and degree of positive correlation


Question: Thirty months of the child can not speak, differential diagnosis does not include:

Answer: Selective mutism

Choices:
A. Selective mutism
B. Autism
C. Hearing Impaired
D. low intellegence

Thirty months
child
not speak
differential diagnosis
not include


Question: Skeletal muscle during the relaxation, mainly by calcium ions Which of the following will be sent back to the sarcoplasmic reticulum (Sarcoplasmic reticulum)?

Answer: Calcium ion-ATPase

Choices:
A. Calsequestrin
B. Triadin
C. Calcium ion-ATPase
D. Calcineurin

Skeletal
Skeletal muscle
relaxation
calcium ions
following
sent back
sarcoplasmic reticulum
Sarcoplasmic reticulum


Question: The following does not belong to that kind of fungus Basidiomycetes (Basidiomycetes)?

Answer: Aspergillus

Choices:
A. Cryptococcus
B. Trichosporon
C. Aspergillus
D. Malassezia


Question: A 54-year-old man was hospitalized because of pleural effusion examination. Check the blood of patients as a result LDH (lactate dehydrogenase) = 350 U / L, the content of protein = 7.1 g / dL, pleural effusion and display LDH = 190 U / L, the content of protein = 2.9 g / dL. The following related pleural effusion of the statements is wrong?

Answer: Exudate (exudate)

Choices:
A. Exudate (exudate)
B. Transudate (transudate)
C. Cytological test must be carried out
D. Must bacterial culture

54 year old man
hospitalized
pleural effusion
Check
blood
patients
result LDH
lactate dehydrogenase
350 U
L
protein
g
dL
pleural effusion
display LDH
U
L
protein
2.9 g
dL
following related pleural effusion
wrong


Question: Which of the following forms of hypoxia (hypoxia) that arterial oxygen pressure will drop?

Answer: Hypoxic hypoxia

Choices:
A. Hypoxic hypoxia
B. Anemic hypoxia
C. Stagnant or ischemic hypoxia
D. Histotoxic hypoxia

following forms
hypoxia
hypoxia
arterial oxygen pressure
drop


Question: Related to bisphosphonate treatment for osteoporosis of the narrative, which of the following error?

Answer: Do not need to merge the use of calcium and vitamin D

Choices:
A. The main bone in combination with hydroxyapatite (Hydroxyapatite)
B. Has been shown to be effective in increasing bone density
C. Do not need to merge the use of calcium and vitamin D
D. There again the effectiveness of the prevention of fractures


Question: Which of the following is not a right ventricular failure of the clinical manifestations?

Answer: Orthopnea (orthopnea)

Choices:
A. Orthopnea (orthopnea)
B. Anger jugular vein swelling (engorgement)
C. Lower extremity edema
D. Enlargement of the liver

following
not
right ventricular failure of
clinical manifestations


Question: Mr. Zhang was climbing snakebite, after injection of anti-venom serum to gain control of symptoms and recovery. If the next time he was bitten by a snake, the venom accepted antiserum treatment, the need to pay attention to serum sickness (serum sickness) adverse reactions. The following account of serum sickness, and what's right?

Answer: Because the antigen-antibody complex is produced by bulk

Choices:
A. Because serum serpent wound into the patient via a disease caused by
B. Because the antigen-antibody complex is produced by bulk
C. Is to produce tissue damage due to the venom with specific T cell accumulation in the serum
D. The virus weakens the immune serum ability to produce disease

Mr
climbing snakebite
injection
venom serum to gain control
symptoms
recovery
next time
bitten
snake
venom accepted antiserum treatment
need to pay
serum sickness
serum sickness
adverse reactions
following account
serum sickness
right


Question: About hirsutism (hirsutism) describes the treatment, which of the following error?

Answer: Use medroxyprogesterone acetate treatment

Choices:
A. Use medroxyprogesterone acetate treatment
B. Treatment using flutamide
C. The use of spironolactone therapy
D. The use of cyproterone acetate treatment

hirsutism
hirsutism
treatment
following error


Question: Which of the following is not accompanied by aging pathophysiological changes?

Answer: increased body water

Choices:
A. increased body fat
B. increased body water
C. lens opacification
D. impaired glucose homeostasis

following
not
aging pathophysiological changes


Question: When women in the follicular phase of the menstrual cycle (follicular phase), hormone X increase in the negative feedback inhibition of FSH secretion; sustained high concentrations of hormone Y can be induced LH surge; hormone Z cause primary oocyte into secondary oocyte. The following statements is true?

Answer: Hormone X that is hormone Y

Choices:
A. Hormone X that is hormone Y
B. Hormone Y that is hormone Z
C. Hormone X that is hormone Z
D. Hormone X is the inhibin-A

follicular phase
menstrual cycle
follicular phase
hormone
increase
negative
inhibition of
secretion
sustained high
hormone
induced LH
hormone
cause
following
true


Question: Which of the following drugs is not suitable for the treatment of patients with congestive heart failure is?

Answer: Aldosterone

Choices:
A. Losartan
B. Eplerenone
C. Milrinone
D. Aldosterone

following drugs
not suitable
congestive heart failure


Question: Glioblastoma multiforme (GBM) belongs to WHO classification system of glioma in:

Answer: Grade Ⅳ

Choices:
A. Grade Ⅰ
B. Grade Ⅱ
C. Grade Ⅲ
D. Grade Ⅳ


Question: Infection Candida albicans (Candida albicans) that can cause does not include one of the following?

Answer: Toxigenic infection

Choices:
A. Mucous membrane infections
B. Skin infections
C. Toxigenic infection
D. Organ infection


Question: The following statements about malaria and what was right?

Answer: West African blacks and their descendants, mostly Duffy-negative blood type, among not infected with vivax malaria

Choices:
A. West African blacks and their descendants, mostly Duffy-negative blood type, among not infected with vivax malaria
B. Plasmodium ovale trophozoites identifying characteristics on the blood smear, to see whether there is a strip-type trophozoites (band form trophozoites)
C. P. malariae than happy invasion network weaving red blood cells (reticulocytes) in proliferation
D. Falciparum malaria around the world have appeared chloroquine-resistance


Question: A 85-year-old Mr. Wang, 66, suffers from high blood pressure, diabetes for many years. 5 years ago had a stroke, but can walk gait disturbance. He did not know the current medication, often due to cold, dizziness and other uncomfortable symptoms to clinics, chronic diseases will disable itself had taken the drugs. One day get up at night to urinate, causing the right femur fracture due to a fall in hospital, the following statements is true?

Answer: This case older than 80 years old, can not be changed fall risk factors

Choices:
A. This case older than 80 years old, can not be changed fall risk factors
B. This case falls solely for gait disturbance caused
C. This case polypharmacy does not increase the risk of falls
D. This case does not need to consider other issues iatrogenic

85 year old Mr
66
suffers
high blood pressure
diabetes
years
stroke
gait disturbance
not
current medication
often due to cold
dizziness
symptoms
clinics
chronic diseases
drugs
One day get
night to
causing
right due to
fall
hospital
following
true


Question: Account of tubercle bacillus (Mycobacterium tuberculosis), the Which statement is correct?

Answer: This bacterium difficult to dye, but once the contracted, i.e., using an acid solution is not easily decolorized

Choices:
A. Rodents (rodents) disseminator of bacteria for this purpose
B. This bacterium difficult to dye, but once the contracted, i.e., using an acid solution is not easily decolorized
C. This bacterium has the mobility and the formation of spores (endospores)
D. This strain can produce exotoxin (exotoxin) to prevent ingestion of the phagocytic cells

Account
tubercle
Mycobacterium tuberculosis
correct


Question: 68. a thesis by searching Cochrane Library, MEDLINE, and achieved a number of similar studies, and combined analysis results are as follows: Long-term use of randomized trial of antiplatelet drugs than on placebo, there are 1965 patients, the use of a daily dose of 75 mg to 325 mg of aspirin, the average track

Answer: This type of analysis cohort studies, case-control study (case control study) than (cohort study)

Choices:
A. I) 0.51 to 0.97). Based on the principles of evidence-based medicine, Which statement is correct?
B. This is a study (prognostic study) is a prognostic
C. This type of analysis cohort studies, case-control study (case control study) than (cohort study)
D. Cipian research paper is a comprehensive analysis (meta-analysis) belong

Library
number
similar studies
analysis
follows
Long-term use of
antiplatelet drugs
placebo
patients
use of
daily
75 mg
average track


Question: One patient examination revealed blood platelet count was 520,000 / μL. Which of the following do not need to be included in the differential diagnosis?

Answer: Ascariasis

Choices:
A. Iron deficiency anemia
B. Massive hemorrhage
C. Postoperation of ruptured appendicitis
D. Ascariasis

One
revealed blood platelet count
520
following
not need to
included
differential diagnosis


Question: Of mothers who received surgery during pregnancy, the fetus is the biggest risk is:

Answer: Premature birth

Choices:
A. infection
B. Premature birth
C. Congenital malformations
D. Intrauterine death

received surgery
pregnancy
fetus
biggest


Question: Which of the following drugs is the best solution when agents of acetaminophen poisoning?

Answer: Acetylcysteine

Choices:
A. Atropine
B. Acetylcysteine
C. Physostigmine
D. Pralidoxime

following drugs
best solution
agents
acetaminophen poisoning


Question: Which of the following post-traumatic stress disorder is the most infrequently used psychological defense mechanisms turn?

Answer: Rationalization effect

Choices:
A. Rationalization effect
B. Denies role
C. Projection effect
D. Dissociation action


Question: The first feeding newborn baby boy that is vomiting, followed by several feeding and vomiting, and vomit bile. Abdominal examination revealed acceptable baby slightly concave, with no bowel sounds, abdominal X-ray radiographing the proximal end of the small intestine digestive intestinal gas but rarely the intestinal gas. Clinical manifestations caused by the baby vomiting, the most likely cause is:

Answer: Turn intestinal strangulation (volvulus)

Choices:
A. Diaphragm antrum (antral web)
B. Bile duct cyst
C. 巨腸 disease
D. Turn intestinal strangulation (volvulus)


Question: About the narrative of prostate cancer, which of the following error?

Answer: Common large number of tumor cells in mitosis

Choices:
A. Glandular structure formed by the tumor cells, is generally smaller than normal glands
B. Glandular tumor cells may be constructed of a single layer
C. Common large number of tumor cells in mitosis
D. Shift position often appear in the pelvic lymph nodes and spine


Question: Tetracycline (tetracyclines) inhibition mechanism bacteria are:

Answer: The 30S ribosome binding, inhibition of protein synthesis

Choices:
A. Inhibiting transpeptidase, can not synthesize cell walls
B. The 30S ribosome binding, inhibition of protein synthesis
C. The cell membrane permeability changes
D. Inhibition of RNA synthesis

Tetracycline
tetracyclines
inhibition mechanism bacteria


Question: Description of Neurogenic tumor, and what's wrong?

Answer: The majority of adults with cancer, the majority of children with benign tumors

Choices:
A. Children are the most common mediastinal tumor
B. Occur in the mediastinum
C. The majority of adults with cancer, the majority of children with benign tumors
D. The treatment of benign surgical excision


Question: The following statements about carbohydrate metabolism of red blood cells, whichever is correct?

Answer: ATP generated by glycolysis (Glycolysis) is the main energy source of red blood cells

Choices:
A. ATP generated by glycolysis (Glycolysis) is the main energy source of red blood cells
B. Red blood cells glycolysis (Glycolysis) except for power generation there is no other function
C. Krebs cycle (TCA cycle) will consume a small portion of the red blood cells carry oxygen
D. Red blood cells pentose phosphate pathway (pentose phosphate pathway) based in the mitochondria


Question: Efficacy has nothing to do with whichever of the following pharmacological effects of misoprostol?

Answer: vasoconstriction

Choices:
A. Reduce gastric acid secretion
B. Promote the secretion of gastric mucus
C. To promote uterine contractions
D. vasoconstriction

Efficacy
to
following pharmacological effects
misoprostol


Question: The reason congenital nasolacrimal duct obstruction is a blockage occurs in that location?

Answer: Hasner's valve

Choices:
A. Canalicular
B. Lacrimal sac
C. Rosenmuller's valve
D. Hasner's valve


Question: About graft-versus-host disease (graft-versus-host disease, GVHD), which of the following error?

Answer: Because the recipient's T cells caused by excessive

Choices:
A. Antigen-presenting cells in the recipient's needs (antigen presenting cells) start
B. Application can be mixed lymphocyte reaction (mixed lymphocyte reaction) detection
C. Because the recipient's T cells caused by excessive
D. T cell transplant may be removed while slow reaction

About graft-versus-host disease
graft-versus-host disease
following error


Question: For the lipid rafts of the cell membrane (lipid raft), the following statements is true?

Answer: A higher amount of glycosylation acyl phosphatidyl inositol (glycosylated derivative of phosphatidylinositol; GPI) protein binding

Choices:
A. A lower amount of cholesterol (cholesterol)
B. A lower amount of sphingolipids (sphingolipid)
C. The beaker containing no membrane vesicle protein (of caveolin)
D. A higher amount of glycosylation acyl phosphatidyl inositol (glycosylated derivative of phosphatidylinositol; GPI) protein binding

lipid rafts
cell membrane
lipid raft
following
true


Question: The following narrative about Lyme disease ticks media zoonotic (Lyme disease), the what's wrong?

Answer: Early diagnosis of human infection with a blood smear microscopy-based

Choices:
A. Highly endemic areas often co-infection (co-infection) Barbados's protozoa (Babesia spp.)
B. Original pathogenic Borrelia burgdorferi (Borrelia burgdorferi)
C. Early infection with erythema migrans (erythema migrans) as the main condition
D. Early diagnosis of human infection with a blood smear microscopy-based

following
Lyme disease
media
Lyme disease
wrong


Question: A 16-year-old woman complained of chronic cough with sputum associated with body temperature micro-burning, weight loss over a month. Physical examination results were as follows: 38.7 ear thermometer deg.] C, the respiratory rate per minute 15, 80 beats per minute, the right lung field have found chest auscultation auscultation, chest X-rays, as shown below, is the patient most likely diagnosis for:

Answer: Tuberculosis (pulmonary tuberculosis)

Choices:
A. Pneumococcal pneumonia (pneumococcal pneumonia)
B. Cryptococcal pneumonia (cryptococcal pneumonia)
C. Tuberculosis (pulmonary tuberculosis)
D. Pneumonia Legionnaires' disease (Legionella pneumonia)

sputum associated with body micro burning


Question: Children with neural tube defects (neural tube defect), and that most often affect the spine following a site?

Answer: Lumbo-sacral (lumbar-sacral level)

Choices:
A. Cervical spine (cervical level)
B. Thoracic (thoracic level)
C. Thoracolumbar spine (thoracic-lumbar level)
D. Lumbo-sacral (lumbar-sacral level)

Children
neural tube defects
neural tube defect
most often
spine following
site


Question: Autoimmune Insulin - pathogenesis dependent diabetes (Autoimmune insulin-dependent diabetes mellitus) is:

Answer: Destruction of pancreatic beta-cells are T-cells (T cell-mediated damage of pancreatic beta cells)

Choices:
A. IgG immune complexes (to beta cells IgG immune complex deposition) deposition of beta-cells
B. Anti-snRNP, scRNP (ribosomal protein) autoantibodies (autoantibodies to snRNP, scRNP (ribonuclear proteins))
C. Pancreas stromal cell autoantibodies (autoantibodies to extracellar matrix in pancreas)
D. Destruction of pancreatic beta-cells are T-cells (T cell-mediated damage of pancreatic beta cells)


Question: Glomerular filtration rate can be controlled by independent (autoregulation) when changes in blood pressure, can maintain a stable of glomerular filtration rate, following the relevant glomerular filtration rate independent control of the narrative, what's right?

Answer: Inhibition of renal produce adenosine (adenosine), can cause afferent arterioles (afferent arteriole) of expansion

Choices:
A. (Myogenic) reflected efferent arterioles (efferent arteriole) from the autonomous control myogenic
B. Tubular glomerular feedback (tubuloglomerular feedback), will affect the shrinkage efferent arterioles (efferent arteriole) and the diastolic
C. Juxtaglomerular (juxtaglomerular apparatus) release of renin (renin), initiate afferent arterioles (afferent arteriole) of contraction
D. Inhibition of renal produce adenosine (adenosine), can cause afferent arterioles (afferent arteriole) of expansion


Question: Account of metabolic syndrome (metabolic syndrome), the error which of the following?

Answer: ⾎ smaller and middle ⽽ white dense low-density lipoproteins (small, dense LDL) concentration will be reduced

Choices:
A. Impedance (insulin resistance) and insulin for the Use of relevant
B. ⾎ smaller and middle ⽽ white dense low-density lipoproteins (small, dense LDL) concentration will be reduced
C. Center Weighted ⾎ increases the risk of vascular disease
D. ⾎ very low density lipoprotein white (VLDL) will increase the concentration of

Account
metabolic syndrome
metabolic syndrome
error
following


Question: Filter paper strips placed on the outer third of the conjunctival fornix, measuring the amount of tear secretion patient. What this check is called?

Answer: Schirmer test

Choices:
A. Lysis time tear layer (tear film break-up time)
B. Sjögren test
C. Schirmer test
D. Amsler grid

Filter paper strips
outer third
conjunctival fornix
measuring
amount
tear secretion patient
check
called


Question: A 43-year-old woman, but production had not been pregnant once, due to the height of the lesions found (high-grade lesion) in Pap in so colposcopy, see the full squamocolumnar junction (squamocolumnar Junction); histopathology, curettage (endocervical curettage) is normal endocervical, cervical biopsy however, shows violations of 1 mm, further processing whichever optimum?

Answer: Extrafascial hysterectomy

Choices:
A. Hysterectomy
B. Extrafascial hysterectomy
C. Cone resection
D. Radiation treatment

year old woman
not
pregnant
due to
height
lesions found
high-grade lesion
Pap
colposcopy
see
full squamocolumnar junction
squamocolumnar Junction
histopathology
curettage
endocervical curettage
normal endocervical
cervical
1 mm
further
optimum


Question: Trigger finger (trigger finger) is oppressive flexor tendon tenosynovitis, is the impact that a tendon sheath pulley (pulley)?

Answer: A2

Choices:
A. A1
B. A2
C. A3
D. A4

Trigger finger
trigger finger
oppressive flexor tenosynovitis
impact
tendon sheath pulley
pulley


Question: 43 A 60-year-old woman genital itching to treatment, diagnosis discover pelvic cavity genital skin atrophy, thinning, and white. Which of the following is the most likely diagnosis?

Answer: Lichen sclerosus (lichen sclerosis)

Choices:
A. Vulvar cancer (vulvar carcinoma)
B. Vulvar intraepithelial neoplasia (vulvar intraepithelial neoplasia, VIN)
C. Atrophic vulvitis
D. Lichen sclerosus (lichen sclerosis)

60 year old woman genital itching
treatment
diagnosis
pelvic genital skin
thinning
white
following
diagnosis


Question: The following statements about ESWL (extracorporeal shock wave lithotripsy), and what's right?

Answer: Processing both large urinary tract stones, the catheter should be actively positioned hook supplemented lithotripsy, to prevent both urinary obstruction Tongshifasheng

Choices:
A. Using ECG P-wave starting to reduce the incidence of cardiac arrhythmias
B. Stones shock wave can cause disintegration of the tissue damage is very small, so it is not necessarily limited number of seismic
C. The effect of the treatment can be accurately evaluated by X-ray
D. Processing both large urinary tract stones, the catheter should be actively positioned hook supplemented lithotripsy, to prevent both urinary obstruction Tongshifasheng

following
ESWL
extracorporeal shock wave lithotripsy
right


Question: A 24-year-old man emergency medical treatment, complained of chest pain and shortness of breath, chest X-rays, the most likely diagnosis such as drawings as follows:

Answer: Tension pneumothorax

Choices:
A. Lung resection
B. Tension pneumothorax
C. Right lung cancer
D. Mediastinal tumors

year old man emergency medical
of chest pain
shortness of breath
chest X-rays
diagnosis
follows


Question: surgical indications Peptic ulcers, the incidence was significantly lower what?

Answer: intractability

Choices:
A. intractability
B. hemorrhage
C. perforation
D. obstruction


Question: A young student injured in car accidents, resulting in fibular neck (neck of fibula) fracture, leading to nerve after injury here, following that features most likely to be affected?

Answer: Condyle dorsiflexion (dorsiflexion of ankle)

Choices:
A. Knee extension (extension of knee)
B. Knee flexion (flexion of knee)
C. Condyle flexion (plantarflexion of ankle)
D. Condyle dorsiflexion (dorsiflexion of ankle)

young
injured in car accidents
resulting in fibular neck
neck of fibula
fracture
leading
nerve
injury
following
features
to
affected


Question: The following diseases and what was not the cause of congestive heart failure (congestive heart failure) occurs in infants and young children?

Answer: Endocarditis (endocarditis)

Choices:
A. Left and right heart to heart shunt (left-to-right cardiac shunts)
B. Supraventricular tachycardia (supraventricular tachycardia)
C. Myocarditis (myocarditis)
D. Endocarditis (endocarditis)

following diseases
not
cause
congestive heart failure
congestive heart failure
occurs
infants
young children


Question: 53. ⼀ bit 52 year old man suddenly ⽣ the right of the watch dysmetria (dysmetria), head CT examination revealed the left side of the brain is in the red nucleus (red nucleus) ⼩ near the ⾎. Month few, this does not automatically patients throat of the main operation, examination revealed soft palate occurs rhythmic contraction of 2 ~ 5Hz upward movement. Head magnetic resonance angiography is most likely found:

Answer: The left olive (inferior olivary nucleus) fat zoomed

Choices:
A. Left dentate nuclei (dentate nucleus) fat zoomed
B. The right side of the dentate nuclei (dentate nucleus) zoomed fat
C. The left olive (inferior olivary nucleus) fat zoomed
D. Olive lower right (inferior olivary nucleus) fat zoomed


Question: The following information about typhoid fever (typhoid fever) and its narrative pathogens, what's wrong?

Answer: Patient stool sample often has positive culture results in the first week of bacterial pathogenesis

Choices:
A. Salmonella typhi (Salmonella typhi) and can multiply in the body's phagocytes memory alive
B. Patient stool sample often has positive culture results in the first week of bacterial pathogenesis
C. Asymptomatic carrier of typhoid fever, the bacteria lurking in the gallbladder and more
D. The Vi capsular cell body (Vi capsular polysaccharides) can be used as a vaccine

following
typhoid fever
typhoid fever
wrong


Question: The following method of treatment of hyperkalemia, whichever can increase the excretion of potassium ions?

Answer: Cation exchange resin (cation-exchange resin)

Choices:
A. Calcium gluconate (calcium gluconate)
B. Cation exchange resin (cation-exchange resin)
C. Insulin (insulin)
D. Alkali treatment (alkali therapy)

following method
treatment
hyperkalemia
increase
excretion
potassium ions


Question: DNA virus proteins which can be adjusted with the p105 RB protein cell cycle effects:

Answer: Human papillomavirus type XVI (of HPV16) E7 protein of

Choices:
A. Human papillomavirus type XVI (of HPV16) E6 protein of
B. Human papillomavirus type XVI (of HPV16) E7 protein of
C. The adenovirus E1B protein
D. EB virus latent membrane protein of a first type (LMPl)


Question: 21 year old woman, menstruation after two weeks, a sudden abdominal pain, Which of the following is the most likely cause?

Answer: ovulation

Choices:
A. Endometriosis
B. Ectopic pregnancy
C. appendicitis
D. ovulation

21 year old woman
menstruation
two weeks
sudden abdominal pain
following
cause


Question: About Di Buka hydrochloride count (Dibucaine number) of the narrative, Which statement is correct?

Answer: Can be used to assess the length of the muscle relaxant depolarized (Depolarizing neuromuscular blocking agents) duration of action

Choices:
A. Di Buka hydrochloride (dibucaine) is a local anesthetic (Local anesthetics), inhibit cholinesterase normal
B. Is the ratio of cholinesterase (Cholinesterase) and false cholinesterase (Pseudocholinesterase) of
C. Can be used to assess the length of the muscle relaxant depolarized (Depolarizing neuromuscular blocking agents) duration of action
D. Count the number of dibucaine hydrochloride (Dibucaine number) and false cholinesterase (Pseudocholinesterase) is proportional to the 59 patients with a brain-dead organ donation, according to the American Society of Anesthesia specialist (ASA) physical status classification are:

Di
hydrochloride count
Dibucaine number
correct


Question: 64 an emergency room patients had jaundice (jaundice), fever, chills and hepatomegaly phenomenon. The patient was inoculated over a year ago, hepatitis B virus (HBV) vaccine, hepatitis A virus non-vaccinated (HAV) vaccine; by blood tests results are as follows: HAV IgM-negative, HAV IgG-positive; HBsAg-negative, HBsAb-positive, HBcAb-negative; HCV Ab-positive. What could the following correct?

Answer: Now infected with HCV, in the past have been infected with HAV, not infected with HBV

Choices:
A. Now infected with HAV, not infected with HBV, in the past have been infected with hepatitis C virus (HCV)
B. Now infected with HAV, HBV and HCV infection in the past
C. Now infected with HBV, and HCV in the past have been infected with HAV
D. Now infected with HCV, in the past have been infected with HAV, not infected with HBV

64
emergency room patients
jaundice
jaundice
fever
chills
hepatomegaly
patient
inoculated
year
hepatitis B virus
vaccine
hepatitis A virus non vaccinated
vaccine
blood tests results
follows
HAV IgM negative
HAV positive
HBsAg-negative
HBsAb-positive
HBcAb negative
HCV
positive
following correct


Question: Statements about severe mitral countercurrent (severe mitral regurgitation), the error which of the following?

Answer: Surgical treatment of chronic severe mitral primary counter-current (primary mitral regurgitation), the long-term prognosis, it is superior to valve replacement

Choices:
A. In severe acute mitral valve when countercurrent and heart failure, underwent surgery should be considered early
B. Primary symptoms of the chronic severe mitral countercurrent (primary mitral regurgitation) of the patient, drug therapy can improve symptoms,
C. Surgical treatment of chronic severe mitral primary counter-current (primary mitral regurgitation), the long-term prognosis, it is superior to valve replacement
D. For severe functional mitral countercurrent (functional mitral regurgitation), belonging to left ventricular function due to problems, even after receiving a surgical valve surgery, the prognosis is still worse than the mitral valve backflow of primary surgery results

severe mitral countercurrent
severe mitral regurgitation
error
following


Question: For the case-control study of secondhand smoke in emphysema, the main purpose of the control group is selected:

Answer: Estimate the proportion of ethnic background (source population) of exposure

Choices:
A. Estimate the proportion of ethnic background (source population) of exposure
B. An estimated incidence of ethnic background (source population) diseases
C. Removal of consolation (placebo effect)
D. Increase the efficiency of sampling


Question: A 70-year-old man complained of perineal itchiness, microscopic examination revealed the following figure, which is what kind of infection?

Answer: Scabies

Choices:
A. Pubic lice
B. Body lice
C. Scabies
D. dust mite

70 year old man
perineal itchiness
microscopic examination revealed
following
kind
infection


Question: A 38-year-old woman to do two years ago because colorectal cancer resection, after regular follow-up on an outpatient basis. Recently chest radiography FIG 1 and FIG 2, the patient without recurrence of the original site of surgery, in addition to other parts shown no abnormalities. Please choose the most appropriate action would most likely diagnosis:

Answer: Surgery to remove

Choices:
A. Chemotherapy
B. Radiation treatment
C. Surgery to remove
D. Photon knife treatment

year old woman
two years
colorectal
regular follow-up
outpatient basis
Recently chest radiography
patient
recurrence of
original site
surgery
parts
abnormalities
most appropriate action
diagnosis


Question: From the previous question, Mr. Lee yet to receive radiation after surgery, radiation therapy (radiotherapy), which of the following is most likely to encounter a problem Lee?

Answer: Oral mucositis (mucositis)

Choices:
A. Radiation osteonecrosis (osteoradionecrosis)
B. Deficiency of white blood cells (leucopenia)
C. Deep neck infections (deep neck infection)
D. Oral mucositis (mucositis)

previous
Mr
to receive radiation
surgery
radiation therapy
radiotherapy
following
to
problem


Question: Mr. Zhang, 65-year-old obese recent phenomenon often left chest pain. A particular Sunday morning, after Mr. Zhang woke up, all of a sudden there is intense left chest pain, and pain have transferred to the phenomenon of the left arm and shortness of breath, the breath situation. Blood test to detect why Mr. Chang most in need?

Answer: Muscle Protein Structure - I (troponin-I)

Choices:
A. LDH (lactate dehydrogenase)
B. Phosphorus creatine kinase - MM (creatine kinase-MM)
C. Muscle Protein Structure - I (troponin-I)
D. Myoglobin (myoglobin)

Mr
65 year old obese recent
often left chest pain
Sunday morning
Mr
woke up
sudden
intense left chest pain
pain
transferred
left arm
shortness of breath
breath
Blood to detect
Mr
need


Question: Generally do not have the signs of peritonitis in peritoneal dialysis patients developed?

Answer: Peritoneal dialysis dehydration increased

Choices:
A. Cloudy dialysate
B. stomach ache
C. White blood cell count peritoneal dialysis effluent of> 100 per microliter
D. Peritoneal dialysis dehydration increased

not
signs
peritonitis
peritoneal dialysis patients


Question: Which of the following is not recommended disposal to reduce intracranial pressure (intracranial pressure)?

Answer: Hyperventilation (of hyperventilation on) partial pressure of carbon dioxide (PaCO2) is reduced to 20 mmHg

Choices:
A. Head elevated 30 degrees
B. Hyperventilation (of hyperventilation on) partial pressure of carbon dioxide (PaCO2) is reduced to 20 mmHg
C. Low temperature (hypothermia) treatment
D. Drainage of cerebrospinal fluid ventricles (ventricular CSF drainage)

following
not
to
intracranial pressure
intracranial pressure


Question: 195-year-old boy with no history of diabetes, occurs repeatedly over the past year and sent a clear consciousness and convulsions emergency, each measured blood glucose levels are less than mg / dL. Inquiry found his father's friend had a history of giving oral hypoglycemic agents before each boy disease. The most appropriate diagnostic why?

Answer: Proxy Munchausen Syndrome (Munchausen syndrome by proxy)

Choices:
A. Physical abuse (physical abuse)
B. Sexual abuse (sexual abuse)
C. Proxy Munchausen Syndrome (Munchausen syndrome by proxy)
D. Psychological abuse (psychologic abuse)

year old boy
history
diabetes
occurs repeatedly
past year
sent
clear consciousness
convulsions emergency
measured blood glucose levels
less than mg
dL
found
history
giving oral hypoglycemic agents
boy disease
most appropriate diagnostic


Question: In mammals, the use of choline (choline) during the synthesis of phospholipids acyl serine (phosphatidylserine), the need for which of the following?

Answer: CTP

Choices:
A. GTP
B. CTP
C. AMP
D. UMP

use of choline
choline
phospholipids
serine
phosphatidylserine
need


Question: Statements about brain glioma (glioma), the error which of the following?

Answer: ⼩ brain ⽑ cell astrocytoma (pilocytic astrocytoma) Remedies for the treatment of major slice after radiation therapy

Choices:
A. ⼩ brain ⽑ cell astrocytoma (pilocytic astrocytoma) Remedies for the treatment of major slice after radiation therapy
B. The main treatment of dendritic oligonucleotides gliomas (oligodendroglioma) shutter mode chemotherapy after resection amount
C. ⺟ pleomorphic glial cell tumor (glioblastoma multiforme) is the most common glioma of ⾒
D. ⺟ multiforme glial cell tumors (glioblastoma multiforme) treatment Remedies for as complete excision and radiation therapy plus


Question: Which of the following drugs can be used in the treatment of male sexual desire is too strong?

Answer: cyproterone

Choices:
A. cyproterone
B. clomiphene
C. danazol
D. goserelin

following drugs
used
treatment of male sexual desire
strong


Question: For brain vesicle associated adult brain region embryonic period (brain vesicle) the origin of development, whichever error?

Answer: Cerebellum (cerebellum) - forebrain (prosencephalon)

Choices:
A. Pons (pons) - hindbrain (rhombencephalon)
B. Cerebellum (cerebellum) - forebrain (prosencephalon)
C. Thalamus (thalamus) - forebrain (prosencephalon)
D. Roof (tectum) - midbrain (mesencephalon)


Question: Which of the following drugs do not have a diuretic effect?

Answer: interleukin-11

Choices:
A. caffeine
B. captopril
C. interleukin-11
D. misoprostol


Question: Which of the following drugs may inhibit the function of the adrenal gland, adrenal dysfunction in the face of the patient, should be especially careful to use?

Answer: etomidate

Choices:
A. thiopental
B. etomidate
C. dexmedetomidine
D. ketamine

following drugs
inhibit
function
adrenal gland
adrenal dysfunction
face
patient
to use


Question: Began before the 69-year-old male patient complained of back teeth loose more than two months, after removal, the wound will not heal, the last two weeks have persistent pain on the right cheek, right eye and prominent diplopia phenomenon, and mouth open difficult, the patient's lesions most likely why?

Answer: Sinus cancer

Choices:
A. Nasopharyngeal
B. Sinus cancer
C. Hard palate cancer
D. Nasal cancer

Began
69 year old male patient
of back teeth loose
two months
removal
wound
not heal
last two weeks
persistent pain
right
right eye
prominent diplopia
mouth open difficult
patient's lesions


Question: 44.52-year-old male patient, while sitting up, there is a lower hypoxemia (orthodeoxia) and dyspnea (platypnea) than when lying down, this place sick people most likely to suffer Which of the following diseases?

Answer: Cirrhosis and portal hypertension

Choices:
A. Sleep apnea syndrome
B. heart failure
C. Cirrhosis and portal hypertension
D. asthma

year old male patient
sitting up
lower hypoxemia
orthodeoxia
dyspnea
platypnea
lying
place sick people
to suffer
following diseases


Question: Account of intra-aortic balloon pump (intra-aortic balloon pump), the error which of the following?

Answer: Increase in systolic blood pressure (systolic blood pressure)

Choices:
A. Increase in systolic blood pressure (systolic blood pressure)
B. Increase in diastolic blood pressure (diastolic blood pressure)
C. Increase coronary blood flow
D. Increased cardiac output

Account
intra-aortic balloon pump
intra-aortic balloon pump
error
following


Question: About restless legs syndrome (restless leg syndrome), which of the following error?

Answer: Alcohol before bed can help relieve the symptoms of restless legs syndrome of

Choices:
A. May occur during pregnancy
B. May be associated with iron deficiency anemia
C. Alcohol before bed can help relieve the symptoms of restless legs syndrome of
D. Ropinirole (Requip) is a dopamine agonist (dopamine agonist), can be used to treat this disease

About restless legs syndrome
restless leg syndrome
following error


Question: A 2-year-old girl, a fever two days after treatment and found that the right of acute otitis media, give amoxicillin 90 mg / kg / day after three days of treatment tid, still persistent fever, then a dose of 90 mg amoxicillin / kg / day tid of use amoxicillin-clavulanic acid, then return to normal body temperature. Among the following four bacteria, and that one of the most consistent with the treatment of otitis media reaction to the girls?

Answer: Haemophilus influenzae

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

2 year old girl
fever two days
found
right
acute otitis media
give amoxicillin 90 mg
kg
day
three days
treatment tid
persistent fever
then
dose of
mg amoxicillin
kg
day
use
clavulanic acid
then return
normal body temperature
following four bacteria
one
treatment
otitis media reaction
girls


Question: For gynecological patients undergoing major surgery, in order to prevent deep vein thrombosis (deep vein thrombosis), which of the following best disposal?

Answer: external pneumatic leg compression

Choices:
A. elastic stocking
B. low-dose heparin
C. standard-dose heparin
D. external pneumatic leg compression

gynecological patients
major surgery
order to prevent deep vein thrombosis
deep vein thrombosis
following best


Question: One patient receiving neck dissection surgery (neck dissection), the back to the ward found to have respiratory discomfort, suspected damage to the phrenic nerve. How do effective and quick diagnosis?

Answer: Stand according ray chest PA X

Choices:
A. Pulmonary function test.
B. For a lung ultrasound examination
C. Do lung CT examination
D. Stand according ray chest PA X

One patient receiving neck surgery
neck dissection
back
ward found to
respiratory discomfort
suspected damage
phrenic nerve
effective
quick diagnosis


Question: Mr. Lai is a 86-year-old retired civil servants, in the left lower extremity peripheral vascular occlusive disease three years ago, the implementation of below-knee amputation to his hospital, to use artificial limbs to walk. The right foot because of the cold, ulcer healing hospital intends to accept the femoral artery bypass surgery. Scheduled surgery date day around four o'clock, paramedics found a suicide note, bilateral wrist neat edges of the wound, heavy bleeding, unconsciousness, systolic blood pressure 40 mmHg, diastolic blood pressure undetectable by elastic bandage to stop bleeding, within the endotracheal tube, first aid infusion, transfer the intensive care unit, blood pressure stabilized, following the disposal of the order of what's most appropriate?

Answer: Bilateral surgical exploration wrist wound suture broken blood vessels, nerves, tendons, psychiatrists note, then the appropriate time assessment of vascular bypass surgery

Choices:
A. Bilateral surgical exploration wrist wound, suture repair broken blood vessels, nerves, tendon, regardless of bypass surgery must be scheduled
B. First note psychiatrists, suicide clarify its intent to cancel all surgery
C. Bilateral surgical exploration wrist wound suture broken blood vessels, nerves, tendons, psychiatrists note, then the appropriate time assessment of vascular bypass surgery
D. As originally planned after vascular bypass surgery right leg of the first, then suture the wound wrist surgery

left lower extremity peripheral disease three years


Question: Split the narrative and what was wrong about the following urethra?

Answer: Open end of the urethra near the bladder's ratio of nearly easily corrected urethra

Choices:
A. Open end of the urethra near the bladder's ratio of nearly easily corrected urethra
B. Administered to male hormone formulation before surgical correction, may help operation is
C. Brief given testosterone before puberty does not affect the future development of the penis
D. 7 to 9% will merge cryptorchidism, 9 to 16% will inguinal hernia or hydrocele


Question:
97.
 A child with a cold while taking aspirin (aspirin), liver and brain lesions ensued. Changes in the liver as shown, his brain lesions most likely to be:

Answer: Cerebral edema (brain edema)

Choices:
A. Kernicterus (kernicterus)
B. Petechial hemorrhages (petechial hemorrhage)
C. Cerebral edema (brain edema)
D. Wilson (lenticular degeneration)

97
child
cold
aspirin
aspirin
liver
brain lesions
Changes
liver
brain lesions
likely to


Question: Open fractures (open fracture) is one of orthopedic emergency, the following statements is true?

Answer: For the type I and type II open fractures, when the emergency room may be selected first-generation cephalosporins (first-generation cephalosporins) treatment; typeIII open fracture for inclusion of an additional amino glycoside antibiotics (aminoglycosides)

Choices:
A. According Gustilo-Anderson classification, open wounds less than 1 cm, and no serious injuries were soft tissue, for the type III injury
B. All open fracture patients to an emergency when, after the completion of the preliminary cleaning wounds, orthopedic surgeons should be doing for the first time in the emergency wound exploration, debridement and suturing; even 1
C. Wound irrigation, debridement and antibiotic treatment is prevention of the occurrence of infection of open fractures of the most important principles. If the wound debridement incomplete, rely on the use of antibiotics can completely avoid the occurrence of infections
D. For the type I and type II open fractures, when the emergency room may be selected first-generation cephalosporins (first-generation cephalosporins) treatment; typeIII open fracture for inclusion of an additional amino glycoside antibiotics (aminoglycosides)

Open fractures
open fracture
one
orthopedic emergency
following
true


Question: Statements about seborrheic dermatitis (Seborrheic dermatitis) is, which of the following error?

Answer: Good site for the extensor limbs and back

Choices:
A. Infant seborrheic dermatitis and atopic dermatitis require differential diagnosis
B. Pathogenic machine turn may be associated with Malassezia
C. Good site for the extensor limbs and back
D. HIV infection may be associated with seborrheic dermatitis

seborrheic dermatitis
Seborrheic dermatitis
following error


Question: The role of glucose production in human liver cells (gluconeogenesis) related to the following statements is true?

Answer: Some amino acids can be used to convert it to glucose

Choices:
A. Completely catalyzed by the glycolysis (Glycolysis) enzyme to perform the reverse reaction
B. Can help the blood sugar level after a high-sugar diet drop
C. For fatty acid transformed into glucose as needed
D. Some amino acids can be used to convert it to glucose

role
glucose
human liver cells
related
following
true


Question: 50 year old woman, suffering from cervical squamous cell carcinoma, tumors of the cervix to see about 5-6 cm, infringement on the right side with uterine tissue, but there were no clinical pelvic wall. I ask her staging:

Answer: stage IIB

Choices:
A. stage IB1
B. stage IB2
C. stage IIB
D. stage IIIA

50 year old woman
suffering
cervical squamous cell carcinoma
tumors of the cervix to see
right side
uterine tissue
clinical pelvic wall
I
staging


Question: Which of the following pancreatic endocrine tumors occur skin erythema (skin rash)?

Answer: glucagonoma

Choices:
A. insulinoma
B. glucagonoma
C. gastrinoma
D. islet cell tumor


Question: Bearing on the question, for the sick children, use one of the following antibiotic treatment that the most appropriate?

Answer: Erythromycin

Choices:
A. Erythromycin
B. Tetracycline
C. Penicillin
D. Trimethoprim-sulfamethoxazole

Bearing
sick children
use one of
following antibiotic treatment
most appropriate


Question: Lymphocytes (intraepithelial lymphocytes, IELs) epithelial mainly comprising two groups of CD8 + T cells, a group of CD8 α: α T cells, another group of CD8 α: β T cell, the following information about these two populations described cells of, what is correct?

Answer: Using perforin and granzyme two can kill infected epithelial cells

Choices:
A. Using perforin and granzyme two can kill infected epithelial cells
B. Both of these use the T cell receptor and antigen presented in conjunction with MHC class I molecules
C. Both of these primary cell type to naïve T between epithelial cells
D. Of both the T cell receptor variants (TCR diversity) are small

Lymphocytes
IELs
epithelial
two groups
CD8
cells
CD8
group
CD8
following
two populations
cells
correct


Question: 52-year-old Mr. Zhao no past history of civil servants, because deep neck infections caused by severe hemorrhagic shock, because his throat abscess oppression caused breathing difficulties and was taken to the emergency has been confusion, the physician's judgment and must be carried out immediately tracheotomy neck abscess drainage in order to save lives, following consideration of what's most appropriate?

Answer: Emergency rescue operation should track line

Choices:
A. Patients can not personally sign to arrange surgery, the patient can press the fingerprints alternative
B. Because the patients could not sign, you need to wait for family members to re-invite the families of agents signed
C. Emergency rescue operation should track line
D. To understand whether the patient has signed a DNR decision whether or not surgery again


Question: Lipofuscin pigment is derived from:

Answer: Lipid peroxidation (lipid peroxidation)

Choices:
A. Melanin (melanin)
B. Fe (iron)
C. Bilirubin (bilirubin)
D. Lipid peroxidation (lipid peroxidation)


Question: Bearing on the question, according to the medical history, your mind has been diagnosed Fuan, which of the following diagnostic tools or check is convenient and effective help direct diagnosis?

Answer: Abdominal sonography

Choices:
A. Gastroscopy
B. Abdominal sonography
C. Upper gastrointestinal
D. Positron scan

Bearing
medical history
diagnosed
following diagnostic tools
check
convenient
effective help direct diagnosis


Question: The following antihypertensive drug, whichever is the α1-receptor inhibition achieved through selective vasodilatory effect?

Answer: doxazosin

Choices:
A. clonidine
B. yohimbine
C. doxazosin
D. ritodrine

following antihypertensive drug
1 receptor inhibition
effect


Question: Which of the following most ⿇ not cause cerebral paralysis?

Answer: Fetal Center Weighted fast skip (fetal tachycardia)

Choices:
A. Fetal Center Weighted fast skip (fetal tachycardia)
B. New ⽣ children seizures (neonatal seizure)
C. The ⽣ 2,500 grams in weight ⼩
D. ⺟ pro mental retardation

following most
not cause cerebral paralysis


Question: The nucleus of the gene expression of the protein, which of the following do not have to targeting sequence (signal)?

Answer: Cytoplasmic protein

Choices:
A. Secreted proteins
B. Mitochondrial proteins
C. Membrane proteins
D. Cytoplasmic protein

nucleus of
gene
following
not
targeting sequence


Question: Infections of the following relationship on various vector (vector) and its spread, what's wrong?

Answer: White line aegypti (Aedes albopictus) propagation Japanese encephalitis (Japanese encephalitis)

Choices:
A. White line aegypti (Aedes albopictus) propagation Japanese encephalitis (Japanese encephalitis)
B. Aegypti mosquito (Aedes aegypti) the spread of yellow fever (yellow fever)
C. Tropical house mosquito (Culex quinquefasciatus) the spread of schistosomiasis disease (filariasis)
D. Simuliidae (black fly) propagation river blindness (river blindness)

Infections
following relationship
various vector
vector
spread
wrong


Question: Organ metastasis of breast cancer occurs as a minimum:

Answer: heart

Choices:
A. lung
B. skeleton
C. liver
D. heart


Question: 54-year-old patient, CT Figure A is the left putamen bleeding stroke two years ago, has been doing rehabilitation, CT Figure B is made recently found in brain asymmetry of bilateral cerebral peduncle, which was due to:

Answer: left cerebral peduncle atrophy due to Wallerian degeneration

Choices:
A. left cerebral peduncle atrophy due to Wallerian degeneration
B. left cerebral peduncle atrophy due to previous hematoma compression
C. right cerebral peduncle swelling
D. Brain asymmetry of bilateral cerebral peduncle, is a common normal variants (normal variation)

54 year old patient
CT
left putamen bleeding stroke two years
rehabilitation
CT
made recently found
brain asymmetry
bilateral cerebral peduncle
due to


Question: A 50-year-old male; the last two weeks, the urine becomes dark, gray stools, body itching, skin gradually turn yellow, therefore to the hospital to check. Physical examination found that yellow sclera, no lower extremity edema, visible on the CT images of the pancreas head has about 4 cm tumor with common bile duct and pancreatic duct expand, following the disposal arrangements for this patient whichever is most inappropriate?

Answer: Arrange angiography embolism

Choices:
A. Arrange angiography embolism
B. Measurements CEA, CA19-9
C. For ERCP (endoscopic retrograde cholangiopancreatography) or EUS (endoscopic ultrasonography) slice merge
D. Nuclear magnetic resonance biliopancreatic photography (MRCP)

50 year old male
last two weeks
urine
dark
gray stools
body itching
skin
turn yellow
hospital to check
found
yellow sclera
lower extremity edema
visible
the CT
of
pancreas head
about
tumor
common bile duct
pancreatic duct expand
following
arrangements
patient
most inappropriate


Question: Ulnar nerve (ulnar nerve) Which of the following is not to dominate?

Answer: Ulnar extensor carpi muscle (extensor carpi ulnaris)

Choices:
A. Ulnar flexor carpi (flexor carpi ulnaris)
B. In the adductor muscle (adductor pollicis)
C. Ulnar extensor carpi muscle (extensor carpi ulnaris)
D. Deep flexor muscle (flexor digitorum profundus)

Ulnar nerve
ulnar nerve
following
not to


Question: Indications following statements about the inferior vena cava filter (inferior vena cava filter) is placed, and what's wrong?

Answer: Femoral vein thrombosis could easily lead to pulmonary embolism, or without anticoagulant medications are to be placed

Choices:
A. Femoral vein thrombosis could easily lead to pulmonary embolism, or without anticoagulant medications are to be placed
B. Patients with lower extremity deep vein thrombosis, but not suitable for receiving anticoagulants treatment
C. Chronic pulmonary hypertension in patients with pulmonary embolism merger of
D. After using anticoagulant medication, continued to repeatedly lower extremity deep vein thrombosis

following
inferior vena cava filter
inferior vena cava filter
wrong


Question: According to the American Psychiatric Association published "Mental Disorders Diagnostic and Statistical Manual, Fourth Edition", the following statements about the second type of bipolar disorder (bipolar II disorder), the what's right?

Answer: A second bipolar disorders (bipolar II disorder) older than the first onset of bipolar disorders (bipolar I disorder) earlier, and have more marital problems

Choices:
A. Including hypomanic episode (hypomanic episode) and dysthymic episodes (minor depressive episode)
B. When depression patients taking antidepressants appear hypomania, diagnosis should be changed to a first bipolar disorder (bipolar I disorder)
C. A second bipolar disorders (bipolar II disorder) older than the first onset of bipolar disorders (bipolar I disorder) earlier, and have more marital problems
D. A second bipolar disorders (bipolar II disorder) attempted suicide and suicide rate than the first bipolar disorders (bipolar I disorder) low

Psychiatric Association
Mental Disorders
following
second
bipolar
bipolar II disorder
what
ight?


Question: Nasolacrimal duct opening to the nasal cavity located?

Answer: Under the nose (inferior meatus)

Choices:
A. Meatus (superior meatus)
B. Meatus (middle meatus)
C. Under the nose (inferior meatus)
D. Sphenoethmoidal recess (sphenoethmoidal recess)


Question: The most common primary brain tumors are:

Answer: Glioma

Choices:
A. Aneurysm
B. Pituitary gland tumor
C. Glioma
D. Acoustic neuroma


Question: A 25-year-old woman for medical treatment because of right upper quadrant pain. After a series of checks surgery. BRIEF her small bowel resection specimens acceptable appearance. Which of the following is the most important pathological changes shown in the picture?

Answer: Intussusception (intussusception)

Choices:
A. 黏連（adhesion）
B. Off hernia (hernia)
C. Intussusception (intussusception)
D. Volvulus (volvulus)


Question: Transfer causing pain (referred pain) turn the main machine Why?

Answer: Table body organs and lesions painful area with a ganglion of the same dominant

Choices:
A. Brain nerve reforming phenomenon (reorganization)
B. Innervating the damaged limb
C. From hallucinations rather than neuropathic pain
D. Table body organs and lesions painful area with a ganglion of the same dominant

Transfer causing pain
referred pain
turn
main machine


Question: Check the following related nerve conduction velocity humans (nerve conduction study) of the narrative, what's wrong?

Answer: Used to distinguish between acute and chronic neuropathy

Choices:
A. Commonly used to distinguish myopathy and neuropathy
B. Nerve conduction velocity is only half the babies born adults
C. Used to distinguish between acute and chronic neuropathy
D. Nerve conduction velocity was positively correlated with body temperature to


Question: 65 year-old man complained of right upper eyelid and cheek pain of blisters in groups, and that one of the following examination can help diagnose?

Answer: Tzanck smear (Tzanck smear)

Choices:
A. Tzanck smear (Tzanck smear)
B. Wood's light (Wood's light) examination
C. Stickers skin test (patch test)
D. KOH microscopy

65 year old man
right upper eyelid
cheek pain of blisters
groups
one
following
help diagnose


Question: 50 a 58-year-old man suddenly appeared vomiting, profuse watery diarrhea, acute renal failure and other symptoms, and subsequent isolation of Vibrio cholera (Vibrio cholerae) in their feces. Which of the following do most to determine a person suffering from cholera (cholera) basis?

Answer: The isolated bacteria can secrete cholera toxin

Choices:
A. Clinical symptoms
B. The isolated bacteria can secrete cholera toxin
C. The isolated bacterial genera serotype O1
D. Cholera toxin detected in the patient's serum

50
58 year old man
appeared vomiting
watery diarrhea
acute renal failure
symptoms
subsequent isolation
feces
following
most to
suffering
cholera
cholera
basis


Question: Cholecystectomy common clinical indications, which of the following error?

Answer: Single asymptomatic cholelithiasis> 2 cm

Choices:
A. Gallbladder polyps (polyp)> 10 mm
B. Single asymptomatic cholelithiasis> 2 cm
C. No acute gallstone cholecystitis (acute acalculous cholecystitis)
D. There are symptoms of gallstones (symptomatic cholelithiasis)

Cholecystectomy common clinical
following error


Question: Account of the first type of vitamin D-dependent rickets (Vitamin D-dependent rickets type 1), the error which of the following?

Answer: Low concentrations of serum 25-hydroxyvitamin D

Choices:
A. Kidney 1α- hydroxylase (1α-hydroxylase) mutation
B. Often onset before the age of two
C. Low concentrations of serum 25-hydroxyvitamin D
D. Calcitriol therapy may be given long-term

Account
first type
vitamin D-dependent rickets
Vitamin D-dependent rickets type 1
error
following


Question: The following symptoms that can not serve as the deterioration of the aortic insufficiency indicators?

Answer: A first sound (S1) Strengthening

Choices:
A. Emergence of Austin-Flint murmur
B. Full early diastole heart murmur (early diastolic blowing murmur) strength increase
C. A first sound (S1) Strengthening
D. Pulse> 1/2 systolic blood pressure

following symptoms
not
aortic insufficiency


Question: When the cerebral vascular occlusion occurs, brain cells ischemia chain reaction (ischemic cascade) occur; the following reaction sequence what is most correct?

Answer: ②→①→④→③

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

cerebral occurs
brain cells ischemia chain reaction
ischemic cascade
occur
following reaction sequence
most correct


Question: After presenting a birth time of 5 minutes, heart rate 75 beats per minute, irregular breathing slow, systemic cyanosis (Cyanosis), but on a limb bent slightly lower limb soft lie, just a frown on Choutan stimulus response. According to your assessment Apgar score is a bit?

Choices:
A. 2
B. 4
C. 6
D. 8

birth time of
minutes
heart rate 75 beats per minute
irregular breathing slow
systemic cyanosis
Cyanosis
limb bent slightly lower limb soft
stimulus response
Apgar score
bit


Question: Which of the following most likely to cause side effects of hearing loss and kidney toxicity?

Answer: Amikacin

Choices:
A. Ethambutol
B. Isoniazid
C. Rifabutin
D. Amikacin


Question: Ascending colon arterial blood mainly from:

Answer: Superior mesenteric artery (superior mesenteric artery)

Choices:
A. Celiac artery (celiac trunk)
B. Superior mesenteric artery (superior mesenteric artery)
C. Mesenteric artery (inferior mesenteric artery)
D. Iliac artery (internal iliac artery)


Question: Photochemical smog in the air region will react with any hydrocarbon-based materials are mainly the following?

Answer: Nitrogen oxides

Choices:
A. Sulfur oxides
B. Nitrogen oxides
C. Carbon monoxide
D. CFCs

air region
react
hydrocarbon based
following


Question: In the white blood cell generation process, the specific particles (specific granule) first appeared in which of the following?

Answer: Myeloid cells (myelocytes)

Choices:
A. Myeloid cells (myelocytes)
B. Myeloblasts (myeloblasts)
C. Promyelocytes (promyelocytes)
D. After the marrow cells (metamyelocytes)

generation process
specific
specific granule
first appeared


Question: 76-year-old Lee with chest pain to the emergency, the initial diagnosis of right ventricular myocardial infarction (right ventricular infarction), blood pressure was 76/44 mmHg, where most inappropriate disposal of these items?

Answer: Administration of nitroglycerin (nitroglycerin)

Choices:
A. Given oxygen
B. Antiplatelet drugs (antiplatelet agents)
C. Administration of thrombolytic drugs (fibrinolytic agents)
D. Administration of nitroglycerin (nitroglycerin)


Question: The following major geographic distribution on viral infectious diseases, what's wrong?

Answer: South America Ebola virus infection

Choices:
A. North America's west nile encephalitis
B. Japanese encephalitis in Southeast Asia
C. dengue fever in Southeast Asia
D. South America Ebola virus infection

following major geographic distribution
viral infectious diseases
wrong


Question: Statements about chronic obstructive pulmonary disease (chronic obstructive pulmonary disease), the error which of the following?

Answer: Inflammatory cells were mainly neutrophils (neutrophils) and macrophages (macrophages), no T lymphocytes or eosinophils

Choices:
A. The main factors causing smoke, air pollution caused by genetic defects or
B. Inflammatory cells were mainly neutrophils (neutrophils) and macrophages (macrophages), no T lymphocytes or eosinophils
C. The clinical symptoms of asthma and chronic lung function is sometimes difficult to distinguish
D. Clinical treatment with bronchodilators main part of the particular patient to be inhaled steroids

chronic obstructive pulmonary disease
chronic obstructive pulmonary disease
error
following


Question: Which of the following is not a parasite infection symptoms of intestinal malabsorption (malabsorption) of?

Answer: 弓蟲（Toxoplasma gondii）

Choices:
A. Bayesian and other carinii (Isospora belli)
B. Giardia lamblia (Giardia lamblia)
C. 弓蟲（Toxoplasma gondii）
D. ) Nosema (Microsporidia spp.)

following
not
parasite infection symptoms
intestinal malabsorption
malabsorption


Question: Which of the following drugs belong to long-acting inhaled muscarinic antagonist agent can be used for the treatment of chronic obstructive pulmonary (COPD) patients?

Answer: Ipratropium

Choices:
A. Pirenzepine
B. Oxybutynin
C. Ipratropium
D. Pilocarpine


Question: A 36-year-old male worker, unfortunately, is a falling rock hit below the sternum, one hour after being sent to the hospital, patients complain of chest pain, X-ray examination revealed the left eighth rib fractures, after the patient is still pain feel chest discomfort, most patients can not have any harm?

Answer: Large blood vessels rupture

Choices:
A. Lung rupture
B. Tracheal rupture
C. Large blood vessels rupture
D. Diaphragm rupture

36 year old male
falling rock hit
sternum
one hour
sent
hospital
patients
of chest pain
X-ray
revealed
left eighth rib fractures
patient
pain
chest discomfort
patients
not


Question: 52-year-old woman, a young man wearing high heels, six months ago found that the front side of the palm of the right foot, a painful keratosis appears as shown in Figure nodules, the most likely diagnosis Why?

Answer: Plantar warts (plantar wart)

Choices:
A. Callus (callus)
B. Corn (corn)
C. Plantar warts (plantar wart)
D. Metaplasia osteophytes (exostosis)

year old woman
young man
high heels
six months
found
front side
palm
right
painful keratosis appears
nodules
diagnosis


Question: Odor receptors (odorant receptors) located mainly in the following Where?

Answer: Sensory nerves in the nose ⽪ (olfactory epithelium) on yuan

Choices:
A. The olfactory bulb (olfactory bulb) of ⽑ plexiform cells (tufted cells)
B. The olfactory bulb (olfactory bulb) of mitral cells (mitral cells)
C. Olfactory ⽪ quality (olfactory cortex) on sensory neurons
D. Sensory nerves in the nose ⽪ (olfactory epithelium) on yuan

Odor receptors
odorant receptors
following


Question: A 40-year-old middle-aged man, sudden local cerebral seizures, partial seizures spasm then transferred into large fainting from the start of unilateral lower limb, computerized tomography show a clear edge of a brain tumor, showing a clear and uniform of dyeing and after injection developer enhancement, and cerebral angiography of brain tumor vascular supply occurs from the dural arteries. The following four brain tumors, and that a best diagnosis?

Answer: Parasagittal meningioma (parasagittal meningioma)

Choices:
A. Craniopharyngioma tumor (craniopharyngioma)
B. Glioblastoma multiforme tumors (glioblastoma multiforme)
C. Parasagittal meningioma (parasagittal meningioma)
D. Acoustic neuroma (acoustic neuroma)


Question: Acute frontal sinusitis, headache common position on that site?

Answer: Eyeball deep

Choices:
A. Ministry of temporal bone
B. Eyeball deep
C. Above the eye
D. Occipital

Acute frontal sinusitis
headache common position
site


Question: 79. ⼀ bit 13-year-old female school ⽣ come to see the doctor of obstetrics and gynecology, requires the physician to open her birth control pills, the women learn ⽣ table has sexual ⾏ is displayed, and is willing to work out automatically, and requires the physician must not Face to tell their family or school, physicians should I do?

Answer: Report ⽗ ⺟ / or social care Face Bureau

Choices:
A. Donating to health education and counseling
B. Report ⽗ ⺟ / or social care Face Bureau
C. School authorities report
D. Respect the privacy disease PORTRAIT not expose

bit
year old female school
to see
doctor
obstetrics
gynecology
physician to open
birth control pills
table
displayed
willing to work out automatically
physician
not Face to
school
physicians
I


Question: The following items that are currently not considered a factor in female patients with stress urinary incontinence (stress urinary incontinence), and after receiving pubic urethropexy (retropubic urethropexy) loss surgery would be a risk factor?

Answer: High mobility urethra (urethral hypermobility)

Choices:
A. 低Valsalva leak-point pressure
B. 低maximal urethral closure pressure
C. Cystoscopy (cystoscopy) or under fluoroscopy found (fluoroscopy) check open bladder neck (open bladder neck)
D. High mobility urethra (urethral hypermobility)

following
currently not
a factor
female patients
stress urinary incontinence
stress urinary incontinence
receiving pubic urethropexy
retropubic urethropexy
loss surgery
risk factor


Question: A 70-year-old male from the age of 40 after a long easily dandruff, itchy scalp, while the last five years, more grown erythema scaling as shown around the scalp, eyebrows and nose. The most likely diagnosis is:

Answer: Seborrheic dermatitis (seborrheic dermatitis)

Choices:
A. Atopic dermatitis (atopic dermatitis)
B. Contact dermatitis (contact dermatitis)
C. Nummular eczema (nummular eczema)
D. Seborrheic dermatitis (seborrheic dermatitis)

70 year old male
age
40
long easily dandruff
itchy scalp
last five years
more
erythema scaling
scalp
eyebrows
nose
diagnosis


Question: Description of Absence seizure of what is right?

Answer: Ethosuximide or valproic acid using substantially the therapeutic agent

Choices:
A. Ethosuximide or valproic acid using substantially the therapeutic agent
B. Only occurs at a young age without the risk in adulthood
C. EEG has a focal spike
D. There will be a period of unconsciousness after the convulsions


Question: 45-year-old woman with diabetes, appeared like blisters cluster (grouped vesicles) merger erythema three days ago to the right side of the forehead, nose ipsilateral also appeared several blisters, Which of the following is most in need of examination?

Answer: Eye exam

Choices:
A. Skin reactions designated pattern (Dermatographism)
B. KOH microscopy
C. Eye exam
D. Wood's light examination (Wood's light examination)

year old woman
diabetes
appeared
blisters cluster
grouped vesicles
erythema three days
right side
forehead
nose ipsilateral
appeared several blisters
following
most
need


Question: Which of the following was not involved in the pupillary light reflex action of?

Answer: Medial geniculate body

Choices:
A. Iris
B. Parasympathetic nerve
C. Medial geniculate body
D. Ciliary ganglion 3 Unmyelinated C fibers with which of the following main feeling about?

following
not involved
pupillary light reflex action


Question: The following information about eye muscle control, what's wrong?

Answer: Tarsal muscle (superior tarsal muscle) is dominated by the oculomotor nerve (oculomotor nerve)

Choices:
A. Tarsal muscle (superior tarsal muscle) is dominated by the oculomotor nerve (oculomotor nerve)
B. The oblique muscle (superior oblique muscle) by the fourth cranial nerve
C. Open palpebral (palpebral fissure) of the main nerves that control the third cranial nerve
D. Bijin palpebral (palpebral fissure) of the main nerves that control for the seventh cranial nerve


Question: 26 A 48-year-old woman complained of chest tightness, dizziness and sometimes have difficulty breathing during exercise, physical examination pulse of 64 beats per minute, normal heart size, there S4 gallop, at the right sternal edge of the second intercostal grade III / VI systolic shot type heart murmur (systolic ejection murmur), diffuse to the neck. Mechanical action as checking the blood (unit of pressure, mmHg): mean right atrial pressure: 6; RV: 43/8; pulmonary: 43/18 (28 mean pressure); pulmonary artery wedge pressure: 22 mean pressure; left 227/33 ; aortic 139/72 (mean pressure 98), then why patients with the diagnosis of heart disease?

Answer: Aortic stenosis (aortic stenosis)

Choices:
A. Mitral valve stenosis (mitral stenosis)
B. Mitral regurgitation (mitral insufficiency or regurgitation)
C. Aortic stenosis (aortic stenosis)
D. Aortic insufficiency (aortic insufficiency or regurgitation)

48 year old woman
of chest tightness
dizziness
sometimes
difficulty
exercise
physical examination pulse of 64
minute
normal heart size
S4 gallop
sternal edge
second
grade III
shot
heart murmur
systolic ejection murmur
diffuse
neck
Mechanical
blood
unit of pressure
mmHg
mean right atrial pressure
RV
pulmonary
mean pressure
pulmonary artery wedge pressure
mean pressure
left
aortic
72
mean pressure 98
then
patients
the diagnosis of heart disease


Question: Which of the following is not a must-surgery monitoring of physiological functions of the project?

Answer: Brainwave

Choices:
A. Brainwave
B. ECG
C. blood pressure
D. Oxygen saturation


Question: Workers' white finger disease is due to these kind of work or exposure arising?

Answer: Vibration work

Choices:
A. Vibration work
B. Benzene
C. Toluene jobs
D. Microwave job

white finger disease
due to
kind
exposure arising


Question:
10.30-year-old women, prenatal seven days of normal blood pressure, blood creatinine 0.6 mg / dL. Day postpartum bleeding, high blood pressure, oliguria, edema. NATURAL check skin or no erythema purpura, blood Hb 8.0 g / dL, platelets 70,000 / mm3, blood smears have fragmented RBCs,
 haptoglobin decreased, BUN 100 mg / dL, creatinine 3.6 mg / dL, in urine osmolality 400 mOsmol / kg H2O, urine Na + 10
 mmol / L, urine erythrocytes 20 ~ 30 / HPF, urine protein trace. The most likely diagnosis is:

Answer: Hemolytic uremic syndrome (hemolytic uremic syndrome)

Choices:
A. Acute tubular necrosis (acute tubular necrosis)
B. Hemolytic uremic syndrome (hemolytic uremic syndrome)
C. Goodpasture's syndrome
D. Cryoglobulinemia (cryoglobulinemia)

10 30 year old
prenatal
normal blood pressure
blood creatinine 0.6 mg
dL
Day postpartum bleeding
high blood pressure
oliguria
edema
NATURAL check skin
erythema purpura
blood Hb
0 g
dL
platelets 70
mm3
blood smears
fragmented
haptoglobin decreased
100 mg
dL
creatinine
mg
dL
urine osmolality 400 mOsmol
kg H2O
urine Na
10 mmol
L
urine erythrocytes 20
30
HPF
urine protein trace
diagnosis


Question: Bearing the title, above the baby's physical checkups, the least likely symptoms are:

Answer: Dehydration and metabolic acidosis

Choices:
A. jaundice
B. Dehydration and metabolic acidosis
C. The abdominal mass
D. Abdominal wall peristaltic waves

Bearing
title
baby's physical
least likely symptoms


Question: The following amino acid metabolic abnormalities, the most common cause albinism (Albinism)?

Answer: Tyrosine (tyrosine)

Choices:
A. Lysine (lysine)
B. Arginine (Arginine)
C. Tryptophan (tryptophan)
D. Tyrosine (tyrosine)


Question: 58. Which of the following in atherosclerosis (atherosclerosis) in patients will increase the phenomenon? ① systolic blood pressure (systolic pressure) ② DBP (diastolic pressure) ③ pulse pressure (pulse pressure) ④ arterial compliance (Compliance)

Answer: Only ①③

Choices:
A. Only ①②③
B. Only ①③
C. Only ②③
D. ①②③④

58
following
atherosclerosis
atherosclerosis
patients
increase
systolic blood pressure
systolic pressure
DBP
diastolic pressure
pulse pressure
pulse pressure
arterial compliance
Compliance


Question: 63-year-old Wang had chest pain was diagnosed as acute myocardial infarction, a physician three weeks ago. A week ago Tujue right hand and right forearm burning sensation and gradually swelling (drawing). And where pain is easy to sweat, patients suffering from gout for 15 years. Why is the most likely diagnosis?

Answer: reflex sympathetic dystrophic syndrome

Choices:
A. necrotizing fasciitis
B. cervical radiculopathy
C. reflex sympathetic dystrophic syndrome
D. myofascial pain

63 year old
chest pain
diagnosed
acute myocardial infarction
physician three weeks
week
right hand
right forearm burning sensation
swelling
pain
easy to sweat
patients suffering
gout
years
diagnosis


Question: Epinephrine acts which receptor juxtaglomerular apparatus of the kidney and lead to an increase in the release of renin?

Answer: b1

Choices:
A. A'1
B. b1
C. A'2
D. B 2

Epinephrine acts
receptor juxtaglomerular apparatus
kidney
lead
increase
release
renin


Question: Which of the following used in combination with penicillin G, is the most effective therapy of enterococcal infections?

Answer: Streptomycin

Choices:
A. Tobramycin
B. Gentamicin
C. Netilmicin
D. Streptomycin

following used
combination
penicillin G
most effective therapy
enterococcal infections


Question: If the patient is female Giant erythrocyte anemia (megaloblastic anemia), and which non-neurological abnormalities (neurological abnormalities) symptoms, in what should be the following drug therapy?

Answer: Folate

Choices:
A. Iron
B. vitamin B12
C. Folate
D. Erythropoietin

patient
female Giant
anemia
megaloblastic anemia
non neurological abnormalities
neurological abnormalities
symptoms
following drug therapy


Question: What kind of arrhythmia caused due to genetic abnormalities in patients taking mexiletine easy to induce the production of arrhythmia?

Answer: Brugada Syndrome Patients

Choices:
A. LQT-3 病人
B. Brugada Syndrome Patients
C. Familial atrial fibrillation 病人
D. LQT-2 病人