Question: A 60-year-old male patient than a week ago degenerative hip arthritis underwent left total hip replacement surgery treatment of the whole (Total Hip Replacement), five days after injection of analgesics and Cephalosporin therapy, 7 patients after surgery day began persistent diarrhea, abdominal pain, and with a little bloody stools, fever and leukocytosis, but no peritonitis phenomenon, this time in addition to stool culture, how to deal with this before?

Answer: As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy

Choices:
A. Given Buscopan, treatment and re-use Cephalosporin
B. As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy
C. Barium enema examination arrangements
D. Emergency arranged the whole colon resection


Question: 6. A 36-weeks premature child birth by caesarean section, respiratory distress symptoms, breathing rales (RALES), 25% oxygen was administered) and continuous positive airway pressure (CPAP) after respiratory symptoms gradually improved, the next day that is asymptomatic. That one of the following is the most likely diagnosis?

Answer: Transient tachypnea (transient tachypnea of newborn)

Choices:
A. Respiratory distress syndrome (respiratory distress syndrome)
B. Transient tachypnea (transient tachypnea of newborn)
C. Bacterial pneumonia (bacterial pneumonia)
D. Spontaneous pneumothorax (spontaneous pneumothorax)

36 weeks premature child birth
caesarean section
respiratory symptoms
breathing rales
RALES
oxygen
administered
continuous positive airway pressure
respiratory symptoms
improved
next day
asymptomatic
one
following
diagnosis


Question: A 49-year-old male tongue cancer patients undergoing surgery. Pathologic stage of T4N2 squamous cell carcinoma. After receiving synchronous chemoradiation therapy. Six months later of the left common carotid mass biopsy confirmed tumor recurrence. The left carotid mass rapid increases, ulcers pus. After using anti-inflammatory painkillers for three days, found that family members of the patient is very weak, almost all half asleep; so she took the patient to the emergency room, no other abnormal physical examination. Which of the following is the most relevant and necessary to check?

Answer: Calcium blood test

Choices:
A. Brain computer tomography
B. Blood test iPTH
C. Albumin blood test
D. Calcium blood test


Question: Note that care has been taken regarding the defect / hyperactivity disorder (attention-deficit / hyperactivity disorder) What's wrong?

Answer: Note that care has defects / hyperactivity disorder the treatment of integration results is displayed, the non-drug treatment efficacy is far superior drug therapy

Choices:
A. Hyperactive symptoms earlier than pay attention to care has been taken to improve the problem
B. Face still have time to become part of a patient care has been taken note defect issues
C. Note that care has defects / hyperactivity disorder the treatment of integration results is displayed, the non-drug treatment efficacy is far superior drug therapy
D. Use easily comorbid substance-related disorders

Note
defect
hyperactivity disorder
attention-deficit
hyperactivity disorder
wrong


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

Answer: Most likely caused by pneumoconiosis particle size of 5 to 10 microns

Choices:
A. Inhalation mineral dust, organic dust, fumes or vapors cause chemical
B. Most likely caused by pneumoconiosis particle size of 5 to 10 microns
C. The smaller volume of the particles are prone to causing acute lung injury
D. Smoking can increase the damage caused by inhalation of mineral dust

following pneumoconiosis pneumoconioses wrong


Question: A 52-year-old woman, BUN 60 mg / dL, creatinine 1.8 mg / dL, looks dry skin, feet edema, patients with dry mouth phenomenon, a situation that should be suspected?

Answer: Prerenal azotemia (Pre-renal azotemia)

Choices:
A. Prerenal azotemia (Pre-renal azotemia)
B. Post-renal azotemia (Post-renal azotemia)
C. Renal azotemia (Renal azotemia)
D. Can not judge

year old woman
60 mg
dL
creatinine
mg
dL
looks dry skin
feet edema
patients
dry mouth
suspected


Question: If the stroke patients had cognitive (cognition) dysfunction, behavioral changes, the disease occurs most often in the position where these parts?

Answer: Amount (frontal) lobe

Choices:
A. Amount (frontal) lobe
B. Top (parietal) leaf
C. Temporal (temporal) leaves
D. Occipital (occipital) lobe

stroke patients
cognitive
dysfunction
behavioral changes
disease occurs most often
position
parts


Question: About bipolar disorder (bipolar disorder) narrative with severe depression (major depressive disorder), and Which statement is correct?

Answer: Family history of major depression associated with bipolar disorder is below, and more female patients

Choices:
A. The final major depression ⽣ Sheng ⾏ rate (lifetime prevalence) lower
B. Bipolar disorder is defined to be of major depression include (major depressive episode) and mania (manic episode) are subjected to
C. Family history of major depression associated with bipolar disorder is below, and more female patients
D. In case two kinds of disorders of depression begin receiving drug treatment is therefore especially selected from the group of antidepressants

About bipolar disorder
bipolar disorder
severe depression
major depressive disorder
correct


Question: Strengths and weaknesses related to peritoneal dialysis and hemodialysis, which of the following error?

Answer: Hemodialysis often compare the loss of albumin

Choices:
A. For hemodialysis ultrafiltration (ultrafiltration) control more accurate
B. Comparative Rongyifasheng peritoneal dialysis elevated blood fat
C. Hemodialysis often compare the loss of albumin
D. Peritoneal dialysis more likely to have low blood potassium cases

weaknesses related
peritoneal dialysis
hemodialysis
following error


Question: Certain human leukocyte antigen (Human Leukocyte Antigens, HLA) genes in patients with certain autoimmune diseases have increased the phenomenon is more, there is high "compared to the risk of value" (relative risk) cause autoimmune pathogenicity. On these correlations that one of the following statements is correct?

Answer: For ankylosing spondylitis B27 (Ankylosing spondylitis)

Choices:
A. B27 for type 1 diabetes (type 1 diabetes mellitus)
B. For Ge Ruifu B27's disease (Graves' disease)
C. B27 for pemphigus vulgaris (pemphigus vulgaris)
D. For ankylosing spondylitis B27 (Ankylosing spondylitis)

Certain human leukocyte antigen
Human Leukocyte Antigens
HLA
genes
patients
certain autoimmune diseases
increased
more
high
value
relative risk
cause autoimmune pathogenicity
correlations
one
following
correct


Question: The main function of liver mitochondria in vivo synthesis of HMG-CoA synthase enzyme is Which of the following?

Answer: Promote the synthesis of ketones (Ketone body biosynthesis)

Choices:
A. Promote the synthesis of cholesterol (Cholesterol biosynthesis)
B. Inhibition of fatty acid synthesis (Fatty acid biosynthesis)
C. Promote the synthesis of ketones (Ketone body biosynthesis)
D. Promote gluconeogenesis (Gluconeogenesis)

main function
liver in vivo
HMG-CoA synthase
following


Question: Narrative about human suffering from river blindness (river blindness), and what's wrong?

Answer: Adult parasites in the patient's eye that has caused blindness

Choices:
A. Blackflies fly genus (genus Simulium) are insects, diseases caused by this media
B. Adult parasites in the patient's eye that has caused blindness
C. Sclerosing keratitis is caused by the main cause of blindness
D. Prompted by Pan tail volvulus (Onchocerca volvulus) infection

human suffering
river blindness
river blindness
wrong


Question: When normal breathing, which of the following measured pressure in the inspiratory and expiratory phase is most likely a negative pressure (negative pressure)?

Answer: Pleura internal pressure (intrapleural pressure)

Choices:
A. Pleura internal pressure (intrapleural pressure)
B. Alveolar pressure (alveolar pressure)
C. Alveolar pressure - pressure pleura (transpulmonary pressure)
D. Airway pressure (airway pressure)

normal breathing
following measured pressure
inspiratory
expiratory phase
negative pressure
negative pressure


Question: The absorbent hypercalciuria (absorptive hypercalciuria) when the independent Type I and food, which treatment is:

Answer: Administration cellulose phosphate

Choices:
A. Administration cellulose phosphate
B. Administration of allopurinol
C. Administration of orthophosphate
D. Administration of Vit. D

absorbent hypercalciuria
absorptive hypercalciuria
independent
food
treatment


Question: Which of the following drugs have a role in melatonin (MT1) and MT2 receptors, but not addictive, can be used to treat patients with insomnia?

Answer: ramelteon

Choices:
A. ketanserin
B. lorcaserin
C. ramelteon
D. repinotan

following drugs
role
melatonin
MT1
MT2 receptors
not addictive
used to treat patients
insomnia


Question: The condyle (medial epicondyle) humerus fracture Which of the following is most likely to hurt?

Answer: Ulnar nerve

Choices:
A. Musculocutaneous nerve
B. Median nerve
C. Radial nerve
D. Ulnar nerve

condyle
medial epicondyle
humerus fracture
following
to


Question: 75 A 60-year-old male patient was found to have cardiac arrhythmia at the clinic were referred to the regional hospital emergency room, examination showed that the patient's potassium is 0 mEq / L, whichever is the first priority of the following drugs is not treated?

Answer: Atropine

Choices:
A. Calcium chloride
B. Insulin plus glucose
C. Sodium bicarbonate
D. Atropine

75
60 year old male patient
found to
cardiac arrhythmia
clinic
regional
emergency room
patient's potassium
0 mEq
L
first priority
following drugs
not treated


Question: Which of the following is the cause of mitral valve stenosis (mitral stenosis) of the most common?

Answer: Rheumatic heart disease

Choices:
A. Infective endocarditis
B. Congenital anomalies
C. Rheumatic heart disease
D. Rheumatoid heart disease

following
cause
mitral valve stenosis
mitral stenosis
most common


Question: Prolonged bed rest can cause various organs of the body produce lost motion syndrome (immobilization syndrome). Which of the following does not belong among the symptoms?

Answer: Resting heart rate reduction

Choices:
A. Resting heart rate reduction
B. Disuse muscle atrophy
C. Decreased bone density
D. Deposition pneumonia (hypostatic pneumonia)

Prolonged bed rest
cause various organs of
body
lost
syndrome
immobilization syndrome
following
not
symptoms


Question: Some patients complained recently often feel thirsty, physical examination found that breathing acetone fruit flavor, fasting blood glucose levels up to 380 mg / dL. Relative to normal, the patient urine Which of the following will not change?

Answer: HCO3- excretion of urine than normal and more

Choices:
A. urine pH lower than normal
B. NH4 + excretion of urine than normal and more
C. Urine than normal amount of more than 24 hours
D. HCO3- excretion of urine than normal and more

patients
recently often
thirsty
found
breathing acetone
fasting blood glucose levels
mg
dL
normal
patient urine
following
not change


Question: The following treatment of dyslipidemia (dyslipidemia) of the drug, whichever is through inhibition of intestinal NPC1L1 sterol transporter, reduce cholesterol (cholesterol) absorption?

Answer: ezetimibe

Choices:
A. cholestyramine
B. gemfibrozil
C. ezetimibe
D. simvastatin

following treatment
dyslipidemia
dyslipidemia
drug
inhibition
intestinal NPC1L1 sterol transporter
cholesterol
cholesterol
absorption


Question: Blood postpartum hemorrhage (postpartum hemorrhage) occurred a 25-year-old woman after vaginal delivery, postpartum non-lactating, six months later and had no normal menstrual, Which of the following is the most likely of the hormonal changes?

Answer: The low-gonad-stimulating hormone hypogonadal (hypogonadotropic hypogonadism)

Choices:
A. Gonad-stimulating hormone of high hypogonadal (hypergonadotropic hypogonadism)
B. The low-gonad-stimulating hormone hypogonadal (hypogonadotropic hypogonadism)
C. Normal (eugonadism)
D. Prolactin too high

Blood postpartum hemorrhage
postpartum hemorrhage
year old woman
vaginal delivery
postpartum non lactating
six months later
normal menstrual
following
hormonal changes


Question: A 25-year-old male performance nephrotic syndrome. Glomerular pathology to trap partial segment type curing collapse (collapsing focal segmental glomerulosclerosis) mainly visible glomerular endothelial cells in large amounts tubuloreticular inclusions, tubular bladder common local expansion (cystic dilation). This patient most likely to be infected:

Answer: human immunodeficiency virus（HIV）

Choices:
A. cytomegalovirus（CMV）
B. hepatitis B virus（HBV）
C. human immunodeficiency virus（HIV）
D. human papilloma virus（HPV）


Question: A 37-year-old male workers fell from the site, when the physical examination, the patient is conscious, but there are traces of blood found in the urethra, and scrotum hematoma, perineal bruises, then you should first check what arrangements?

Answer: Retrograde urethrogram

Choices:
A. Intravenous pyelogram
B. Cystography
C. Retrograde urethrogram
D. Contrast-enhanced computed tomography

year old male
fell
site
patient
traces
blood found
urethra
scrotum hematoma
perineal bruises
then
first check
arrangements


Question: The following branches of spinal nerve (spinal n.) In, whichever containing only sensory nerve fibers?

Answer: Dorsal filaments (dorsal rootlet)

Choices:
A. Dorsal branch (dorsal ramus)
B. Ventral branch (ventral ramus)
C. Dorsal filaments (dorsal rootlet)
D. Ventral filaments (ventral rootlet)

following branches of spinal nerve
spinal
containing only sensory nerve fibers


Question: Related to stereotactic surgery for Parkinson's disease described it, which of the following error?

Answer: Symptoms most therapeutic value to tremble

Choices:
A. The main goal to hypothalamic nucleus
B. Mainly with deep brain stimulation
C. Bilateral surgery can be done at the same time
D. Symptoms most therapeutic value to tremble

Related
stereotactic surgery
Parkinson's disease
following error


Question: Mr. Xie is a 42-year-old trading company grass-roots workers, were laid off because the company, self-immolation in a secluded mountain tunnel. Systemic smoked Wuhei Mr. Xie transported by ambulance to the hospital. Mr. Xie has been shouting "hurts! Thirsty! "Examination found under 162 beats per minute, respiratory rate 26 times per minute, blood pressure 70/35 mmHg, the body is a third-degree burns, completely, on the right wrist can not feel the pulse of the radial artery. Do you think for Mr. Xie, following the disposal of what should be the highest priority?

Answer: The establishment of the Pipe

Choices:
A. The establishment of the Pipe
B. Retained catheter placement style
C. Placing continuous electrocardiographic monitoring device
D. Placing continuous arterial pressure monitoring means

Mr
year old
company
company
immolation
mountain tunnel
Systemic smoked
Mr
transported
ambulance
hospital
Mr
shouting
Thirsty
found
minute
respiratory rate
times
minute
blood pressure 70 35 mmHg
body
third-degree burns
completely
right wrist
not
pulse
radial
Mr
following
highest priority


Question: 23 A 65-year-old patient with a history of diabetes, high blood pressure decades and seven years, six months ago because of coronary artery disease in hospital, do angiography and balloon dilatation. Blood pressure control in the discharge 130-150 / 75-85 mmHg, serum creatinine was 1.8 mg / dL. Nearly four months his blood pressure control is not satisfactory, approximately 165-180 / 95-110 mmHg; before meals glucose level of 140 mg / dL, serum creatinine increased to 3.5 mg / dL. For further diagnosis and treatment of this patient, which of the following more correct?

Answer: Arrange captopril kidney isotope photography, consider renal artery stenosis

Choices:
A. May be adrenal tumors, physical examination should pay special attention to touch the abdomen
B. The developer may be caused by renal function decline, and then observe the three months to see whether recovery of renal function
C. Arrange captopril kidney isotope photography, consider renal artery stenosis
D. This is the deterioration of diabetic nephropathy, and should again be strictly controlled blood sugar

23
65-year-old patient
history
diabetes
high blood pressure decades
seven years
six months
of coronary artery disease
hospital
angiography
balloon dilatation
Blood pressure control
discharge
75 85 mmHg
serum creatinine
1.8 mg
dL
Nearly four months
blood pressure control
not satisfactory
approximately
95
mmHg
meals glucose level
mg
dL
serum creatinine increased
mg
dL
further diagnosis
following more correct


Question: An eight large month-old baby fever two days for treatment, when normal fever vitality, physical examination found that the former fontanelle muster, the number of white blood cells in the blood is 4,300 / mm3, spinal fluid examination was normal, no abnormal head ultrasound image. Their brains are most likely the condition is:

Answer: Pseudo brain tumor (pseudotumor cerebri)

Choices:
A. Bacterial meningitis (bacterial meningitis)
B. Pseudo brain tumor (pseudotumor cerebri)
C. Brain tumors (brain tumor)
D. Water brain (hydrocephalus)

eight large month old baby fever two days


Question: Which of the following situations blood D-dimer concentration will not abnormally high?

Answer: Hemarthrosis

Choices:
A. Hemarthrosis
B. Five days after major operation
C. Brain sinus thrombosis
D. Inferior vena cava thrombosis

following
blood
concentration
not abnormally high


Question: Account of Angel Dust (phencyclidine), and which of the following error?

Answer: Similar effect transfer machine MDMA (3,4-methylene-dioxymethamphetamine, MDMA)

Choices:
A. Solvability from anesthesia role
B. Similar effect transfer machine MDMA (3,4-methylene-dioxymethamphetamine, MDMA)
C. Symptoms of poisoning may appear extreme anxiety
D. Angel Dust poisoning may consider gastric lavage with activated carbon, do not recommend urine acidification help rule

Account
Angel Dust
phencyclidine
following error


Question: 14-year-old girl, complained of headaches, blurred vision, according to the injection of Gd-DTPA this two MRI, T1WI, the most likely diagnosis is:

Answer: cerebellar vermis medulloblastoma

Choices:
A. cerebellar vermis hemorrhage due to AVM
B. cerebellar vermis medulloblastoma
C. cerebellar vermis hemangioblastoma
D. cerebellar tonsilar herniation

year old girl
headaches
blurred vision
injection
Gd-DTPA
two MRI
diagnosis


Question: Account of early-stage non-small cell lung cancer (non-small cell lung cancer) disposal, which of the following error?

Answer: Part IA of patients with postoperative adjuvant chemotherapy (adjuvant chemotherapy) have a survival advantage on 56 of the following statements about asthma (bronchial asthma) diseases, what's wrong?

Choices:
A. In Stage IA, lobectomy (lobectomy) than the wedge resection (wedge resection) has a relatively low rate of local recurrence
B. If co-morbidities (comorbidities), patients with poor lung function may be considered wedge resection (wedge resection) or pulmonary ganglionectomy
C. The first phase of patients with non-small cell lung cancer five-year survival rate of approximately 60-80%
D. Part IA of patients with postoperative adjuvant chemotherapy (adjuvant chemotherapy) have a survival advantage on 56 of the following statements about asthma (bronchial asthma) diseases, what's wrong?


Question: 3-day-old baby boy found that weight gradually increased, decreased urine output, edema of the limbs, laboratory examination revealed BUN / creatinine: 35 / 2.2 mg / dL, renal ultrasonography found both kidneys serious kidney water, while the bilateral ureteral expand, there are a lot of urine in the bladder reservoir, prenatal examination revealed little amniotic fluid, the following options than that inappropriate?

Answer: UVJ may be diagnosed as stenosis (ureterovesical junction stenosis)

Choices:
A. This situation should be carefully observed respiratory sick children, the result of such patients may be associated with lung hypoplasia
B. To arrange VCUG (voiding cystourethrography) inspection
C. UVJ may be diagnosed as stenosis (ureterovesical junction stenosis)
D. Growing up is likely to progress to kidney failure

3 day old baby boy found
weight
increased
decreased urine output
edema of
limbs
laboratory examination revealed
creatinine
35
mg
dL
renal ultrasonography found
kidneys serious
water
bilateral ureteral expand
lot
urine
bladder reservoir
revealed little amniotic fluid
following options
inappropriate


Question: Human tissue hypoxia tolerance of different, which of the following tolerance worst?

Answer: muscle

Choices:
A. skin
B. Subcutaneous
C. muscle
D. Peripheral nerve

Human tissue hypoxia tolerance
different
following tolerance worst


Question: From the previous question, if the drug spray of patients with acute asthma attack is not relieved, should immediately intravenous Which of the following drugs?

Answer: glucocorticoids

Choices:
A. zileuton
B. glucocorticoids
C. terbutaline
D. tiotropium

previous
drug spray
patients
acute
not relieved
immediately intravenous
following drugs


Question: The following description of acute aortic dissection (aortic dissection) of, what's right?

Answer: Acute aortic dissection is made associate the resulting zoomed mechanism intimal layer ⼀ a broken-connector (intimal tear), the outer layer is usually in the aortic wall

Choices:
A. Acute aortic dissection is preferred Diagnostic Tool Center Weighted super dirty Rec wave (cardiac echocardiography) or nuclear magnetic resonance photography (magnetic
B. Acute aortic dissection is made associate the resulting zoomed mechanism intimal layer ⼀ a broken-connector (intimal tear), the outer layer is usually in the aortic wall
C. Hair ⽣ most acute aortic dissection ⾒ symptoms of chest pain, pressure chest coronary artery disease very similar, are not readily distinguishable ⼆
D. Face disease hair ⽣ acute aortic dissection, and more are zoomed chest pain as the main symptom, and not cause ⾎ other organs flows EMPTY (malperfusion)

following
of acute aortic dissection
aortic dissection
right


Question: Endoscopic describe psoriasis (psoriasis) a so-called parakeratosis (parakeratosis), which refers to the change in terms of following what the stratum corneum?

Answer: Horny is not mature, there is still the nucleus

Choices:
A. Thickening
B. Forming a glassy-like substance
C. Horny is not mature, there is still the nucleus
D. Thinning

Endoscopic
psoriasis
psoriasis
so called parakeratosis
parakeratosis
refers
change
following
stratum corneum


Question: Expression of various genes in cells often differ depending on the different tissues. On promoters of some genes (promoter) often have some of the CpG island (CpG island). Expression of the same genes, often due to what CpG islands subject to the following modifications (modification) have different?

Answer: Methylated (by methylation)

Choices:
A. Of ethylene (Acetylation)
B. Methylated (by methylation)
C. Phosphorylation (phosphorylation were)
D. Carboxylated (carboxylation)

Expression
various genes
cells often
depending
different tissues
promoters
genes
promoter
often
CpG island
CpG island
Expression
same genes
often due to
CpG islands
following modifications
modification
different


Question: The 11 The 7th Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (The JNC 7 Report) define hypertension, statements about the adults over 18 years of blood pressure (blood pressure), and which of the following error ?

Answer: Prehypertension (prehypertension) is 135-139 / 86-89 mmHg

Choices:
A. Normal blood pressure is defined as <120/80 mmHg
B. Prehypertension (prehypertension) is 135-139 / 86-89 mmHg
C. The first hypertension (stage I hypertension) is 140-159 / 90-99 mmHg
D. Second hypertension (stage II hypertension) is ≥ 160/100 mmHg

Report
Joint
Prevention
Detection
Report
hypertension
adults
years
blood pressure
blood pressure
following error


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

Answer: Epidermal dendritic (dendritic) cells

Choices:
A. Endocrine cells
B. Epidermal dendritic (dendritic) cells
C. Appeared in the tubercle
D. Is the predecessor of melanocytes


Question: Following that a biological hazard of invasive manner, to the main route of ingestion?

Answer: Enterovirus (Enterovirus)

Choices:
A. Herpes virus (Herpes virus)
B. Influenza virus (Influenza virus)
C. Mycobacteria (Mycobacteria)
D. Enterovirus (Enterovirus)

Following
biological hazard
invasive
main route


Question: A 45 year old female readme from three years ago, face, limbs stretched side and suffered multiple asymptomatic white plaques, as shown. You suggested she received treatment programs, which of the following most inappropriate?

Answer: Pulsed light therapy (intense pulse light therapy)

Choices:
A. Short wavelength ultraviolet treatment narrow (narrow-band UVB phototherapy)
B. Long-wavelength ultraviolet photochemotherapy (PUVA phototherapy)
C. Topical steroid creams
D. Pulsed light therapy (intense pulse light therapy)


Question: The following route of administration, whichever is easier to produce the first transition effect (first-pass effect)?

Answer: Oral administration (Oral)

Choices:
A. Rectal (rectal)
B. Percutaneous absorption (transdermal patch)
C. Sublingual administration (sublingual)
D. Oral administration (Oral)

following route of administration
easier to
first transition effect
first-pass effect


Question: Which of the following drugs and viral envelope protein binding, so that the virus can not be integrated with the host cell membrane?

Answer: Enfuvirtide

Choices:
A. Ribavirin
B. Adefovir
C. Enfuvirtide
D. Abacavir

following drugs
viral envelope protein
so
not
host cell membrane


Question: Mr. Zhang, 62 years old, blood pressure medication for many years, this morning at work, because of chest pain and the tear extends to the back, the right upper limb blood pressure 128/76 mmHg, left 102/68 mmHg, there is a second degree of cardiac auscultation systolic murmur The following non-invasive examination in the diagnosis of what's most helpful?

Answer: Chest CT include neck

Choices:
A. Chest X-ray
B. ECG
C. Chest CT include neck
D. Du Bole (Doppler) cardiac ultrasound FIG.

Mr
62 years old
blood medication
years
morning
chest pain
tear extends
back
right upper limb blood pressure
76 mmHg
left
mmHg
second degree
cardiac auscultation systolic murmur
following non-invasive
diagnosis
helpful


Question: Fetal scalp mass (caput succedaneum) refers to what terms?

Answer: Edema between the scalp (scalp) and periosteum (periosteum)

Choices:
A. Edema between the scalp (scalp) and periosteum (periosteum)
B. A blood clot between the scalp and the periosteum
C. Edema between the periosteum and skull (Skull)
D. A blood clot between the skull and the periosteum

Fetal scalp mass
caput succedaneum
refers
terms


Question: 21-year-old woman seeking treatment because of lower left abdominal pain, swelling of the left ovary was found inside the clinic, ultrasound examination showed left ovarian solid tumors, and the contents seem to be bones and teeth. Approximately what percentage of these tumors are bilateral in nature?

Answer: 10%～15%

Choices:
A. less than 1%
B. 2%～3%
C. 10%～15%
D. 50%

21-year-old woman
treatment
lower left abdominal pain
swelling
left ovary
found
clinic
ultrasound examination
left ovarian solid tumors
to
bones
teeth
Approximately
percentage
tumors
bilateral
nature


Question: Following what kind of microbes mainly in the human cell reproduction, and can lead to disease transmission through sex?

Answer: Chlamydia trachomatis (Chlamydia trachomatis)

Choices:
A. Salmonella typhi (Salmonella Typhi)
B. Duke Haemophilus (Haemophilus ducreyi)
C. Platts Rickettsia (Rickettsia prowazekii)
D. Chlamydia trachomatis (Chlamydia trachomatis)

Following
kind
human cell reproduction
lead
disease transmission
sex


Question: Antiviral drugs oseltamivir (oseltamivir), mainly inhibition of an enzyme that the virus?

Answer: Neuraminidase (Neuraminidase)

Choices:
A. Protease (Protease)
B. Neuraminidase (Neuraminidase)
C. Thymidine kinase (thymidine kinase)
D. Reverse transcriptase (reverse transcriptase)

Antiviral drugs oseltamivir
oseltamivir
inhibition
enzyme


Question: After abdominal trauma, intra-abdominal pressure is too high will cause Abdominal compartment syndrome. If the patient presents no urine and respiratory failure, the intra-abdominal pressure should be up to how much cmH2O?

Answer: 25

Choices:
A. 10
B. 15
C. 20
D. 25

abdominal trauma
intra-abdominal pressure
too high
cause Abdominal compartment syndrome
patient presents
urine
respiratory failure
intra-abdominal pressure
up to
cmH2O


Question: A 40-year-old patient complained of coughing up blood, X-ray shows a portion of the lung parenchyma (consolidation) and crescent glomerulonephritis (crescentic glomerulonephritis). Most likely diagnosis is:

Answer: Goodpasture syndrome

Choices:
A. Goodpasture syndrome
B. idiopathic pulmonary hemosiderosis
C. Pulmonary hypertension
D. Pneumonia complicated by sepsis

40 year old patient
coughing
blood
X-ray
portion of
lung parenchyma
consolidation
crescent glomerulonephritis
crescentic glomerulonephritis
diagnosis


Question: Fourteen years old boy because of short stature and treatment, his father height 165 cm, secondary sexual characteristics started 14 years old, 152 cm tall and mother, by the early age of 13 years and 6 months. This past year the growth rate of a normal child, physical examination showed Height 141 cm (below the third percentile) and weighing 31 kilograms (third percentile), about 3 ml were testicles, no pubic hair development, nor other organs abnormal, bone age was 13 years. The most likely diagnosis in this case is:

Answer: Constitutional growth retardation (constitutional growth delay)

Choices:
A. Growth hormone deficiency (growth hormone deficiency)
B. Low energy thyroid disease (hypothyroidism)
C. Constitutional growth retardation (constitutional growth delay)
D. Hereditary short stature (genetic short stature)

Fourteen years old boy
short stature
treatment
height
secondary
characteristics started
years old
tall
early age
years
months
past year
growth rate
normal child
Height
third percentile
31 kilograms
third percentile
about
ml
testicles
pubic hair development
organs abnormal
bone age
years
most likely diagnosis
case


Question: Harness for prescription spine (spinal orthotics) common indications (indications), of the following is inappropriate?

Answer: Strengthening the core abdominal muscles and back muscles (strengthen the core muscle)

Choices:
A. Stable due to fractures or spinal instability (stabilize the spine after fracture and postsurgical stabilization) after surgery
B. To limit the activity of spinal pain relief (limit spinal motion in cases of pain or sprain)
C. Strengthening the core abdominal muscles and back muscles (strengthen the core muscle)
D. Support the patient's spine and avoid spinal deformities (support posture and prevent deformity)

Harness
spine
spinal orthotics
common
following
inappropriate


Question: Which of the following is not a major human papillomavirus (HPV) high risk virus?

Answer: HPV 11

Choices:
A. HPV 16
B. HPV 18
C. HPV 11
D. HPV 52


Question: 35-year-old woman complained of chest pain, chest X-ray and CT images, such as drawings, which of the following is the most likely diagnosis?

Answer: Thymoma

Choices:
A. Aortic aneurysm
B. Pulmonary aortic aneurysm
C. Lung cancer
D. Thymoma

35 year old woman
of chest pain
chest X-ray
CT
following
diagnosis


Question: 2 An 88-year-old man had a history of prostate hypertrophy, complained of the past six months a lot of physical decline, poor health, but had near-fainting (near syncope) sent to the emergency room three months ago, a slow heartbeat about 58 / min, the rules , blood was found Na + 124 mmol / L, Troponin I <0.012 ng / mL. Patients without hypertension, diabetes, smoking, history of angina and dyspnea, arrange nuclear medicine scans, echocardiography and 24-hour ECG were normal. A month before general weakness is more severe and there is severe constipation, but also to the emergency room, physical examination no breathing difficulties, no dehydration or limb edema. Blood Na + 104 mmol / L, other biochemical tests: Cr 1.0 mg / dL, BUN 15.3 mg / dL, K + 5.4 mmol / L, 07 mmol / L, albumin 4.7 g / dL, blood sugar 113 mg / dL. The following statements is wrong?

Answer: Patients hsTSH 66.7 μIU / mL, so as hyperthyroidism disease

Choices:
A. The patient hospitalization serum osmolality was 248 mOsmol / kg H2O, urine osmolality was 369 mOsmol / kg H2O, and therefore belong to low osmolality of hyponatremia
B. Patients without edema, as euvolemic status, and therefore will not be the cause of heart failure or kidney disease
C. Patients cortisol 23.3 μg / dL, ACTH 13.9 pg / mL, and therefore is not the cause of cortisol deficiency
D. Patients hsTSH 66.7 μIU / mL, so as hyperthyroidism disease

2
88 year old man
history of prostate hypertrophy
past six months
lot
physical
poor health
near fainting
near syncope
sent
emergency room three months
slow heartbeat
58
min
blood
found Na
mmol
L
Troponin I
0.012 ng
mL
Patients
hypertension
diabetes
smoking
history
angina
dyspnea
nuclear medicine scans
echocardiography
24-hour ECG
normal
month
general weakness
more severe
severe constipation
emergency room
breathing difficulties
dehydration
limb edema
Blood Na
mmol
L
biochemical tests
Cr
0 mg
dL
mg
dL
K
4 mmol
L
mmol
L
albumin
g
dL
blood sugar
mg
dL
following
wrong


Question: The following statements about child Grave's disease, and what's wrong?

Answer: The peak of incidence in children before puberty of

Choices:
A. The peak of incidence in children before puberty of
B. Occur in girls
C. Emotional instability
D. Pulse pressure (pulse pressure) will increase


Question: Surgical treatment indications regarding lung abscess (lung abscess) does not include which of the following?

Answer: Continued heavy purulent

Choices:
A. Concurrent pleura bronchial fistulas (broncho-pleural fistula)
B. Massive hemoptysis
C. Continued heavy purulent
D. Suspect complicated with lung cancer

Surgical treatment
lung abscess
lung abscess
not include
following


Question: When humans try, try to accept the consent of the former, the matter should be informed of the medical institutions, that do not include the following items?

Answer: When the subjects were to accept the withdrawal of consent, subject to the consent of the attending physician

Choices:
A. Purpose and method of test
B. And the risk of possible side effects
C. Expected test results
D. When the subjects were to accept the withdrawal of consent, subject to the consent of the attending physician

humans
to accept
consent
former
informed
medical
not include
following


Question: When plasma osmolality was 150 mOsm, which of the following is correct?

Answer: Will suppress vasopressin (antidiuretic hormone) is released

Choices:
A. For cell is hypertonic (hypertonic)
B. Will cause an increase in blood volume (blood volume) of
C. Will suppress vasopressin (antidiuretic hormone) is released
D. Thirst sensation will stimulate the central penetration susceptor (osmoreceptors) and drink plenty of water

plasma osmolality
mOsm
following
correct


Question: A 45 year old female patient with a known according to current medical knowledge BRCA gene mutation, mammography (mammography) also showed abnormalities after needle biopsy (core needle biopsy) and pathological examination confirmed the violation of a type of breast cancer,, BRCA mutations caused by the breast cancer, most likely have which of the following pathological features?

Answer: estrogen receptor (ER) (-)，progesterone receptor (PR) (-)，HER2/neu negative

Choices:
A. estrogen receptor (ER) (+)，progesterone receptor (PR) (+)，HER2/neu negative
B. estrogen receptor (ER) (+)，progesterone receptor (PR) (-)，HER2/neu positive
C. estrogen receptor (ER) (+)，progesterone receptor (PR) (-)，HER2/neu negative
D. estrogen receptor (ER) (-)，progesterone receptor (PR) (-)，HER2/neu negative

year old female patient
known
current medical
BRCA gene mutation
mammography
mammography
abnormalities
needle biopsy
core needle biopsy
pathological examination confirmed the
of
breast cancer
caused
breast cancer
most likely
following pathological features


Question: The following items unsuitable as what causality criterion?

Answer: From different studies or different ethnic groups, different results

Choices:
A. With the correct timing of
B. Have a higher relative risk (Relative risk)
C. From different studies or different ethnic groups, different results
D. A dose - response relationship


Question: From the previous question, Mrs. Liu found that the fetal amniotic report has Turner's syndrome (45, X), the following statements is wrong?

Answer: Inlaid Turner's syndrome fetus if it is 45, X / 46, XX can survive, if it is 45, X / 46, XY can not survive

Choices:
A. Turner's syndrome is the only surviving single chromosomal disorders (monosomy)
B. Swelling in the neck and the combined chromosomal abnormalities in the fetus, the majority of Turner's disease
C. Turner fetus's disease is often associated with congenital heart disease, especially aortic stenosis
D. Inlaid Turner's syndrome fetus if it is 45, X / 46, XX can survive, if it is 45, X / 46, XY can not survive

previous
Mrs
found
fetal amniotic report
Turner's syndrome
following
wrong


Question: 95 a 73-year-old man several respiratory difficulties, and the emergence of the pericardial sac pleural cavity and water, imaging examination revealed hepatomegaly congestion, urinary mg / 24 hours (normal is 0.7-8.2 mg / 24 hours). Later, patients receiving pulmonary valve and tricuspid valve replacement surgery, the following statements best describes what this patient's pathological changes of right heart valve?

Answer: Plaque-like intimal thickening and smooth muscle cell proliferation

Choices:
A. Deposition of mucoid material in spongiosa
B. Calcification and fibrosis at the base of valves
C. Plaque-like intimal thickening and smooth muscle cell proliferation
D. Subendocardial accumulation of elastic fibers


Question: 10-year-old girl, diagnosed with acute leukemia was diagnosed at the same time have t (15,17) translocation of chromosomes. Which of the following is the most likely diagnosis?

Answer: AML M3 type

Choices:
A. AML M7 type
B. early pre-B ALL
C. AML M3 type
D. mature B-cell ALL

10 year old girl
diagnosed
acute leukemia
diagnosed
same time
t
translocation
chromosomes
following
diagnosis


Question: A 20-year-old woman to the emergency room because of stomach pain and abdominal ultrasound found that the pancreas has a diameter of about 8 cm tumor with cystic structures within the tumor. By surgical resection, the tumor histology filled with some bleeding, tumor cell growth mode is arranged into a piece or a projection of the inner bladder papillary structure. Which of the following is the likely diagnosis?

Answer: solid-pseudopapillary neoplasm

Choices:
A. congenital cyst of pancreas
B. divided by the pancreas
C. solid-pseudopapillary neoplasm
D. pancreatic pseudocyst

20 year old woman
emergency room
stomach pain
abdominal ultrasound found
pancreas
diameter
tumor
cystic structures
tumor
surgical resection
tumor histology
bleeding
tumor cell mode
piece
projection
inner bladder papillary structure
following
likely diagnosis


Question: 41 an 53 year-old woman was found at health check leukocytes was 23,500 / mm3, classified as follows: promyelocyte 0.5%, myelocyte 5%, metamyelocyte 5%, banded neutrophil 16.5%, segmented neutrophil 53.5%, lymphocyte 15%, monocyte 3% , eosinophil 2.5%, basophil 1.5%; normal hemoglobin and platelets. Bone marrow cells with a chromosome t (9; 22) (q34; q11). Which of the following most appropriate treatment modality for this purpose lady?

Answer: Imatinib

Choices:
A. Hydroxyurea
B. a-Interferon
C. Imatinib
D. hematopoietic stem cell transplantation

year old woman
found
check
23 500
mm3
follows
0.5
segmented
normal hemoglobin
platelets
chromosome
following
appropriate treatment modality
purpose


Question: 40-year-old heroin addiction patients because of asthma, fever and chest pain two days, come to emergency treatment. The intravenous drug addicts, if infective endocarditis, the most likely pathogens are:

Answer: Staphylococcus aureus

Choices:
A. Staphylococcus aureus
B. Staphylococcus epidermidis
C. Viridans streptococcus
D. Enterococcus faecalis

40 year old heroin addiction patients
asthma
fever
chest pain two days
emergency treatment
intravenous
infective endocarditis


Question: Which of the following is located in the perineum deep gap (deep perineal pouch)?

Answer: Dorsal penile nerve

Choices:
A. Superficial transverse perineal muscle
B. Bulbospongiosus
C. Dorsal penile nerve
D. Ischiocavernosus

following
perineum deep gap
deep perineal pouch


Question: Sickle cell anemia (sickle cell anemia) heme (Hemoglobin) mutation, which mutation occurs in the β- stranded nucleic acids:

Answer: Point mutations

Choices:
A. delete
B. insert
C. Methylation
D. Point mutations

Sickle cell anemia
sickle cell anemia
heme
Hemoglobin
mutation
mutation occurs


Question: 62. The narrative about the pharmacokinetics, Which statement is correct?

Answer: Basic drug more acidic drugs, easily discharged from the latex

Choices:
A. Basic drug more acidic drugs, easily absorbed by the stomach
B. Basic drug more acidic drugs, easily bound to albumin in the blood
C. Basic drug more acidic drugs, easily discharged from the latex
D. When excreted by the kidneys, basic drug than an acidic drug, the tubular reabsorption back easily in the blood


Question: The following account of guanylyl cyclase, and what's right?

Answer: guanylin can be attached to the small intestine guanylyl cyclase receptor, and thus the regulation of Cl- secretion of intestinal

Choices:
A. guanylyl cyclase main function is to make cyclic GMP (cGMP) into 5'-GMP
B. guanylyl cyclase receptor (receptor) on the cell membrane, protein permeability are all (integral protein)
C. guanylin can be attached to the small intestine guanylyl cyclase receptor, and thus the regulation of Cl- secretion of intestinal
D. Blue pills used to treat impotence drug Viagra which is to promote the production of primary cyclic GMP (cGMP) is

following account
guanylyl cyclase
right


Question: 78. A 50-year-old male, in the past there is no special medical history, grand mal seizures occur suddenly five minutes, to the emergency time and a bout of about 3 minutes, stop now, awareness is not clear at present, which of the following as improper disposal?

Answer: Given benzodiazepine treatment

Choices:
A. Maintain the airway patency
B. Arrangement head CT scan
C. Given phenytoin treatment
D. Given benzodiazepine treatment

50 year old male
past
special medical history
grand mal seizures occur
five minutes
emergency time
bout
minutes
stop now
not clear
present
following


Question: 51 excluded patients age factor, the current general consensus that adult allogeneic hematopoietic (allogeneic hematopoietic stem cell transplantation) most do not meet priority therapeutic indications (indication) Why are stem cells?

Answer: Newly diagnosed Philadelphia chromosome-positive chronic phase chronic myeloid leukemia (Ph-positive chronic myeloid leukemia in chronic phase)

Choices:
A. Severe aplastic anemia (severe aplastic anemia)
B. Acute myelogenous leukemia second remission (acute myeloid leukemia in 2nd remission)
C. Acute lymphocytic leukemia first remission (acute lymphoid leukemia in 1st remission)
D. Newly diagnosed Philadelphia chromosome-positive chronic phase chronic myeloid leukemia (Ph-positive chronic myeloid leukemia in chronic phase)


Question: Edible snail meat undercooked, the human parasite infects Which of the following?

Answer: Angiostrongylus cantonensis (Angiostrongylus cantonensis)

Choices:
A. Anisakis (Anisakis simplex)
B. Philippines Trichinella (Capillaria philippinensis)
C. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
D. Chinese liver fluke (Clonorchis sinensis)


Question: 33 cervical cerclage (eg: McDonald cerclage) is a method of treating one of the cervical insufficiency. When receiving cervical cerclage weeks pregnant women, the infection occurs: when (such as fever, abdominal pain, increased vaginal secretions), Which of the following is the most appropriate approach?

Answer: Cervical cerclage removed and oxytocin (cerclage removal and labor induction)

Choices:
A. Given intravenous antibiotics and bed rest (intravenous antimicrobial agents and bed rest)
B. Cervical cerclage removed and oxytocin (cerclage removal and labor induction)
C. Given intravenous antibiotics and tocolytic drugs (intravenous antimicrobial agents and tocolytic administration)
D. Oral medication miscarriage and accepted ultrasound examination (oral tocolytic drugs and serial ultrasonographic examinations)

cervical cerclage
eg
cerclage
method
treating one
cervical insufficiency
receiving cervical cerclage weeks
infection occurs
fever
abdominal pain
increased vaginal secretions
following
most appropriate approach


Question: Statements about social phobia (social phobia), and which of the following error?

Answer: The most common age of onset at 30

Choices:
A. Epidemiological studies show more women than men
B. The most common age of onset at 30
C. Psychotherapy efficacy of combined therapy is superior to either treatment used alone
D. Patients with generalized social phobia (generalized social phobia) often complicated by the recoil of personality disorder (avoidant personality

social phobia
social phobia
following error


Question: 46. In order to prevent a smoking theme of health education activities, teachers use value clarification, film appreciation, role-play different teaching methods to help students familiarize themselves with "refusal skills", such as future students encounter similar drinks upon others or solicitation when the drug situation, you can use refusal skills learned, what is the application of these techniques to change behavior?

Answer: Class of principle

Choices:
A. The principle of mutual boycott
B. The principle of gradual reduction sensitive
C. Class of principle
D. Enhancement principle

order to prevent
smoking
teachers use value
film
role play different
to help
future
similar
others
drug
use
application
techniques to change behavior


Question: In certain protein comprising the amino acid sequence -Ser-Gly-Pro-Gly- most likely secondary structures of proteins which of the following?

Answer: b-turn

Choices:
A. b-turn
B. a-helix
C. β-sheet
D. zinc finger

certain protein
Ser Gly
likely secondary structures
proteins
following


Question: 4.65-year-old male patient two weeks ago with acute myocardial infarction after coronary stent placement hospitalized and discharged today because of chest pain and a slight fever (37.8 degrees Celsius) and back to the clinic. No respiratory distress, lung auscultation rales no, no new heart murmur, gallop sound (gallop) or pericardial friction rub (friction rub). Preliminary examination ruled out infection, and electrocardiogram done before discharge relatively unchanged. That one of the following treatment more appropriate?

Answer: Given high-dose aspirin

Choices:
A. Given steroids
B. Given high-dose aspirin
C. Administration of anticoagulant (anticoagulant)
D. Aggravate angina drugs (antianginal drugs)

4 65-year-old male patient two
acute myocardial infarction
coronary hospitalized
today
of chest pain
slight fever
degrees Celsius
back
clinic
respiratory distress
lung auscultation rales
new heart murmur
sound
pericardial friction rub
friction rub
Preliminary
ruled out infection
electrocardiogram
before discharge
unchanged
one
following treatment more appropriate


Question: The so-called peripheral blood stem cells (peripheral blood stem cell) refers to a cell surface antigen with which the performance of the following persons?

Answer: CD 34

Choices:
A. CD 34
B. CD 30
C. CD 20
D. CD 4


Question: Newborn baby boy, showing lack of muscle tension (hypotonia), feeding difficulties, skin color than white and there are bilateral cryptorchidism, palms, soles of the feet are relatively small, causing him the most likely cause is an exception:

Answer: The chromosome microdeletions (microdeletion)

Choices:
A. The chromosome microdeletions (microdeletion)
B. Chromosomal translocation (translocation) when copying
C. Sex chromosome abnormalities
D. Birth injury

Newborn baby boy
lack
muscle tension
hypotonia
difficulties
skin
white
bilateral cryptorchidism
soles of
feet
small
causing
cause


Question: 70-year-old woman three weeks ago, found a tumor in the left breast, mammography examination revealed the left breast has 4.0 cm spiculated mass. Which of the following treatment plan is wrong?

Answer: Breast-conserving surgery and postoperative radiotherapy

Choices:
A. Preoperative do first core biopsy, to determine the condition of its histology and estrogen receptor
B. After the surgery if ER (+), is given Tamoxifen therapy for five years
C. Breast-conserving surgery and postoperative radiotherapy
D. Modified extensive mastectomy

70 year old woman three weeks
found
tumor
left
mammography
revealed
left breast
4 0
spiculated mass
following
wrong


Question: Account of mycobacteria (Mycobacteria), the Which statement is correct?

Answer: Mycobacterium avium (Mycobacterium avium) is common in patients with HIV infection

Choices:
A. Kansas mycobacteria (Mycobacterium kansasii) of normal non-pathogenic flora
B. Mycobacterium avium (Mycobacterium avium) is common in patients with HIV infection
C. Ocean mycobacteria (Mycobacterium marinum) will not cause human infection
D. M. bovis (Mycobacterium bovis) non-human pathogens


Question: From the previous question, about the change in the number of eye diopter Miss Lee, due to what factors?

Answer: Subretinal water

Choices:
A. Cataract formation
B. Corneal edema
C. Axial length growth
D. Subretinal water

previous
change
number
eye diopter Miss
factors


Question: Mr. Wang due to change in bowel habits and to accept colonoscopy. Check the day, which happened to have three medical students to trainee endoscopy room, watching the whole process Wang inspected. Later Mr. Wang complained to the hospital were not respected in the inspection, hoping to improve the hospital as soon as possible and give an explanation. In order to avoid renewed the same situation, the hospital intends to take the following measures, whichever is most appropriate?

Answer: In addition to the provisions of inspection staff, and other personnel to enter the examination room, shall be subject Xianxiang reasons and with the consent

Choices:
A. Please notice of Medicine modify its trainee program, arranging for medical students to trainee endoscopy room
B. Design modifications examination room, allowing students to watch the trainee checked through one-way glass, to reduce interference to the subject
C. At the clinic or hospital posted on filling Know "the hospital is a teaching hospital please see the students agreed to practice" and other words
D. In addition to the provisions of inspection staff, and other personnel to enter the examination room, shall be subject Xianxiang reasons and with the consent

Mr
due to change
bowel habits
to accept colonoscopy
Check
day
to
three medical students
endoscopy room
whole process
Later Mr
hospital
not
inspection
to
hospital
possible
give
order to
same
hospital
to
following measures
most appropriate


Question: The combined chemotherapy side effects, which of the following relationship is less clear?

Answer: carboplatin and hemorrhagic cystitis

Choices:
A. and doxorubicin cardiotoxicity
B. bleomycin and pulmonary fibrosis
C. cisplatin and kidney toxicity
D. carboplatin and hemorrhagic cystitis

combined chemotherapy side
following relationship
less clear


Question: The following account of fatty acids, whichever is correct?

Answer: Biosynthesis of fatty acids in the process of cell requires NADPH as electron carriers (electron carrier)

Choices:
A. Hormone glucagon can promote blood cell fatty acid biosynthesis
B. Biosynthesis of fatty acids in the process of cell requires NADPH as electron carriers (electron carrier)
C. Cells fatty acid biosynthesis intermediate malonyl-CoA in vitro activates mitochondrial membrane enzyme (carnitine acyltransferase Ⅰ)
D. Insulin (insulin) can increase the concentration of fatty acids in the blood


Question: Acute inflammation, histamine (Histamine) will result in increased vascular permeability. Which of the following is most likely the cells release histamine?

Answer: Mast cell (Mast cell)

Choices:
A. Lymphocyte (Lymphocyte)
B. Macrophage (Macrophage)
C. Mast cell (Mast cell)
D. Neutrophils (Neutrophil)

Acute inflammation
histamine
Histamine
result
increased vascular permeability
following
cells release histamine


Question: The following relevant PPF (pterygopalatine fossa) of the narrative, what's wrong?

Answer: Inwardly by the pterygopalatine fossa via the nasal foramen (nasopalatine foramen) into the nasal cavity

Choices:
A. A third portion of the maxillary artery (maxillary artery) into the fossa of
B. Inwardly by the pterygopalatine fossa via the nasal foramen (nasopalatine foramen) into the nasal cavity
C. Maxillary nerve (maxillary nerve) through this nest
D. This nest of parasympathetic preganglionic fibers from the pterygoid canal (pterygoid canal) 28 following bone does not constitute any orbit (Orbit)?

following relevant
pterygopalatine fossa
wrong


Question: The following related neurons (neuron) description of the injury (injury) reaction and what was wrong?

Answer: In the central nervous system, nerve injury mainly by the few at the gum dendritic cells (oligodendrocyte) responsible for the myelin sheath (myelin) of decomposition Clear

Choices:
A. Axons in the distal nerve injury at (axon) will appear along ⾏ degeneration (anterograde degeneration)
B. Nerve damage leading to loss of neuronal cells in vivo nylon ⽒ ⼩ body (Nissl body) is referred to as mass transfer color dissolution (chromatolysis)
C. In the peripheral nervous system, nerve injury at the gathering will be a single bulge Yan ⽣ of phagocytic cells (monocyte-derived macrophage) of
D. In the central nervous system, nerve injury mainly by the few at the gum dendritic cells (oligodendrocyte) responsible for the myelin sheath (myelin) of decomposition Clear

following related
injury
injury
reaction
wrong


Question: A 62-year-old patient, past history of heart disease, being treated, examined the recent tendency for bleeding, peripheral blood hemoglobin, white blood cell and platelet count normal, prothrombin time (PT) INR 3.5, activated partial thromboplastin time 26 "(normal control 27 "). Which of the following is the most likely cause of this patient cause bleed easily?

Answer: coumadin treatment

Choices:
A. coumadin treatment
B. heparin treatment
C. liver disease
D. von Willebrand disease

62 year old patient
past history of heart disease
treated
examined
recent tendency
bleeding
peripheral blood hemoglobin
platelet count normal
prothrombin time
INR
activated partial thromboplastin time
normal control 27
following
most likely cause
patient
bleed easily


Question: Which of the following does not cause disease most delayed neonatal jaundice syndrome?

Answer: Wilson disease

Choices:
A. UTI（urinary tract infection）
B. CMV infection
C. hypothyroidism
D. Wilson disease

following
not cause disease
delayed neonatal jaundice syndrome


Question: 22. One boy was taken to the clinic two years old, my mother statement four days ago when a small boy playing with other children, suddenly short cyanosis situation but then resumed, it often four days of paroxysmal cough and wheezing, but no other nasal congestion, runny nose and other cold symptoms, a normal chest X-ray results, following that disposal must be a priority?

Answer: Bronchoscopy

Choices:
A. Without treatment, can be observed
B. Drip infusion
C. Bronchoscopy
D. Antibiotics

One boy
clinic two years old
four days
small boy
short cyanosis
then resumed
often four days
paroxysmal cough
wheezing
nasal congestion
runny nose
cold symptoms
normal chest X-ray results
following
priority


Question: In 1997 AJCC TNM staging system to the renal cell carcinoma, T1 was the size of the tumor and T2 of the boundary is:

Answer: 7 cm

Choices:
A. 2.5 centimeters
B. 5 cm
C. 7 cm
D. 10 cm

TNM staging system
renal cell carcinoma
T1
size of
tumor


Question: A 32-year-old man on his way to work, head on collision with another passenger cars, to the hospital found the right lower limb movement is very little pain, foot exhibit valgus posture, physical examination and found no signs of nerves, vascular injury, X-ray examination revealed no dislocated right hip, femoral neck fracture and displacement but, I ask Which of the following is the most appropriate disposal?

Answer: Immediately assess the risk of anesthesia, surgery will be scheduled as soon as possible fracture fixation

Choices:
A. First arrange the bones in hospital to give traction to further observe other potential complications
B. Immediately hit to ease the pain, and fractures in the emergency, in order to avoid the occurrence of osteonecrosis
C. Immediately assess the risk of anesthesia, surgery will be scheduled as soon as possible fracture fixation
D. Has been displaced fracture, explained in detail to the patient and make arrangements for artificial joint replacement

year old man
to
head
collision
hospital found
right lower limb movement
very little pain
foot
valgus posture
found
signs
nerves
vascular injury
X-ray
revealed
dislocated right
femoral neck fracture
displacement
I
following
most appropriate


Question: When a B cell antibodies produced by the transformed IgM to IgG, the mechanism is:

Answer: DNA recombination (recombination)

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

a B cell antibodies
transformed IgM
mechanism


Question: He does not belong to the following items cervical nerve plexus (cervical plexus)?

Answer: Occipital nerve

Choices:
A. Occipital nerve
B. Lesser occipital nerve
C. Great auricular nerve
D. Transverse cervical nerve

not
following
cervical nerve plexus
cervical plexus


Question: The composition of cartilage following each other structure whichever of the three different?

Answer: Epiglottis (epiglottis)

Choices:
A. Epiglottis (epiglottis)
B. Windpipe (trachea)
C. Thyroid cartilage (thyroid cartilage)
D. Cricoid cartilage (cricoid cartilage)

composition
cartilage following
structure
three different


Question: 46 A 40-year-old woman, sudden headache, dizziness to the emergency, the brain MRI showed the right side of the outer medullary infarction (right lateral medullary infarction), those patients have the following symptoms? ① ② decrease pain right limb pain decreased ③ right side face right limb disorders (dysmetria) ④ right limb weakness

Answer: ②③

Choices:
A. ①③
B. ②④
C. ①④
D. ②③

40 year old woman
sudden headache
dizziness
emergency
brain MRI
right
outer medullary infarction
right medullary infarction
patients
following symptoms
decrease pain right limb
decreased
right side face
limb disorders
dysmetria
right limb weakness


Question: The following is an immunomodulatory agent which affects the adaptive immune response (adaptive immune responses), which is different from the general main role cytotoxic drugs (cytotoxic agent) to all dividing cells?

Answer: Rapamycin

Choices:
A. Azathioprine
B. Cyclophosphamide
C. Mycophenolate
D. Rapamycin

following
immunomodulatory agent
adaptive immune response
adaptive immune responses
different
general main role cytotoxic
cytotoxic agent
dividing cells


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

Answer: Delirium is often a precursor to the onset of mental illness, physical illness unrelated to the

Choices:
A. Bad (fluctuating) good times are usually a sudden onset (acute onset) and the symptoms
B. Cases often have changes in cognitive function
C. State of consciousness often less clear cases
D. Delirium is often a precursor to the onset of mental illness, physical illness unrelated to the

following account
delirium
delirium
wrong


Question: Which is not an advantage of laparoscopic inguinal hernia repair surgery (laparoscopic inguinal hernia repair) it?

Answer: Compared to traditional repair surgery, there is a significantly lower recurrence rate

Choices:
A. Artificial omentum can be placed in large preperitoneal cavity (preperitoneal space)
B. Artificial retina easier to cover the pubic muscle hole (myopectineal orifice)
C. Compared to traditional repair surgery, there is a significantly lower recurrence rate
D. Suitable for the treatment of bilateral hernia or recurrent hernias


Question: Mr. Wong 32 years old, had just been diagnosed with myasthenia gravis. His chest X-ray and CT examination revealed before mediastinal lesions there is a clear demarcation. On this lesion, which of the following is the most likely diagnosis?

Answer: Thymoma

Choices:
A. Lymphoma
B. Thymoma
C. Thyroid nodules
D. Castleman's disease

Mr
years old
diagnosed
myasthenia gravis
chest X-ray
CT
revealed
mediastinal lesions
clear
lesion
following
diagnosis


Question: A 77-year-old female patient hospitalized due to colorectal cancer, liver metastases have been found in the scan. Ward nurses told her daughter and son's disease patients. Patients daughter immediately contact a physician, insisted not let her mother know the disease, in order to avoid emotional collapse. The physician how to deal with?

Answer: Please families family meeting to discuss how to inform physicians and patients of the disease details

Choices:
A. The disease inform patients as quickly as possible, please do not interfere with the patient's daughter
B. Tell the patient's children, which they can not decide, the whole thing is handled by a physician
C. The firm told the patient's daughter, the physician will look for every opportunity to inform the patient details
D. Please families family meeting to discuss how to inform physicians and patients of the disease details

year old female patient hospitalized due to colorectal cancer


Question: Using materials which can be used for the following (the transamination) direct synthesis via transamination glutamic acid?

Answer: a-ketoglutarate

Choices:
A. a-ketoglutarate
B. pyruvate
C. acetoacetate
D. oxaloacetate


Question: Forearm items that are most likely configuration while impaired?

Answer: Radial artery

Choices:
A. Radial artery
B. Ulnar artery
C. Brachial artery
D. Artery


Question: Lungs due to consumption of drugs of unknown cause chronic interstitial lung disease, lung than lung volume resulting in smaller volume, reduced gas exchange capability, chronic pulmonary fibrosis of the honeycomb. Follow its impact is most unlikely Which of the following?

Answer: Emphysema

Choices:
A. Right ventricular hypertrophy
B. Pulmonary hypertension
C. Reduced lung elasticity
D. Emphysema


Question: A 51-year-old female company employee, has been stopped two years, no past history of a particular disease, height 156 cm, weight 66.2 kg, usually no exercise habits, not smoking and not drinking. From the perspective of evidence-based medicine, the following items to check how cancer screening is not suitable for this purpose subject?

Answer: Abdominal sonography

Choices:
A. Mammography
B. Pap smear
C. Fecal occult blood reaction
D. Abdominal sonography

year old female company employee
stopped two years
past
disease
height
weight 66
kg
usually
exercise
not smoking
not drinking
evidence-based medicine
following
to check
cancer screening
not suitable
purpose subject


Question: Affective disorder manic episodes (manic episode): In accordance with the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition provides period (duration) between the onset of symptoms must be at least how many days?

Answer: Seven

Choices:
A. One
B. four
C. Seven
D. fourteen

Affective disorder manic episodes
manic episode
Psychiatric Association
period
duration
onset
symptoms
days


Question: 36. The diagnosis of Sjögren's syndrome, which of the following conditions can be diagnosed with primary Sjogren's syndrome (primary Sjögren's syndrome)? ① ② dry eyes and dry mouth ③Schirmer's test (+) ④ abnormal slice salivary glands (more than 1 focus lymphocyte aggregation) ⑤ ⑥ salivary gland function test abnormalities in blood SSB antibodies or anti SSA ⑦ joint pain

Answer: ①②③④

Choices:
A. ①②③④
B. ①②⑤⑦
C. ①②③⑤
D. ①②⑥⑦


Question: A 59-year-old housewife to the emergency room for treatment, complained that the urine has been widowed for one week. She underwent surgery eight months ago and colorectal cancer. Past history of kidney stones, emergency inspection found that serum creatinine 16.5 mg / dL, urine examination was normal. Emergency physician gave her to put a foley catheter, found that only 30 mL of urine. To exclude obstructive nephropathy is the cause of acute renal failure, the next step you will give priority to that item checked?

Answer: Renal ultrasonography

Choices:
A. IVP（Intravenous pyelography）
B. Antegrade pyelography
C. Renal ultrasonography
D. Voiding cystourethrography

59 year old housewife
emergency room
treatment
urine
widowed
one week
surgery eight months
colorectal cancer
Past history of kidney stones
emergency inspection found
serum creatinine
mg
dL
urine examination
normal
Emergency physician gave
to
foley catheter
found
only 30 mL
urine
To exclude obstructive nephropathy
cause
acute renal failure
next step
give priority to


Question: The following related trigeminal neuralgia (Trigeminal Neuralgia) of treatment, whichever relatively low success rate?

Answer: Subcutaneous nerve cystectomy (percutaneous nerve ablation)

Choices:
A. Drugs: Tegretol and Neurontin
B. Microvascular decompression (microvascular decompression)
C. Subcutaneous nerve cystectomy (percutaneous nerve ablation)
D. Gamma Knife radiosurgery (Gamma knife surgery)

following related trigeminal neuralgia
Trigeminal Neuralgia
treatment
low
rate


Question: 33 a 58-year-old male patient, a car accident resulting in peritonitis by laparotomy and found that there were several small bowel and mesenteric hematoma, finally accepted the small intestine 25 cm length of small bowel resection and anastomosis, 10 days found that the drainage tube intestinal contents ingredients, daily outflow ml, soft flat belly without abdominal pain, body temperature 37.4 ℃, why is your diagnosis?

Answer: Incomplete healing of the skin may be formed  intestinal tube (enterocutaneous fistula)

Choices:
A. Short bowel syndrome (short bowel syndrome)
B. Ischemic bowel disease (ischemic bowel disease)
C. Sticking intestinal obstruction (adhesion ileus)
D. Incomplete healing of the skin may be formed  intestinal tube (enterocutaneous fistula)

58 year old male patient
car accident resulting in peritonitis
laparotomy
found
several small bowel
mesenteric hematoma
accepted
small intestine
length of
bowel resection
anastomosis
10 days found
drainage tube intestinal contents
daily
ml
soft flat belly
abdominal pain
body temperature
diagnosis


Question: After receiving a large number of stored blood transfusion, Which of the following does not cause adverse reactions?

Answer: 2,3-diphosphoglycerate elevated blood

Choices:
A. Blood pH changes
B. Hyperkalemia phenomenon
C. Hypocalcemia phenomenon
D. 2,3-diphosphoglycerate elevated blood

receiving
large number
stored blood transfusion
following
not cause adverse reactions


Question: The following cases can not consider any place IVC filter (vena cava filter)?

Answer: Therefore especially times of acute pulmonary embolism

Choices:
A. Therefore especially times of acute pulmonary embolism
B. Deep vein thrombosis, not suitable Use anticoagulant agent ⾎
C. Deep vein thrombosis, and chronic pulmonary embolism, and has caused lung ADVANCED pressure
D. In ⾎ anticoagulant agent for the treatment of the amount of underexposure, still repeated venous thrombosis

following cases
not
place IVC filter
vena cava filter


Question: Which of the following most ADVANCED partial pressure of oxygen?

Answer: Expired gas (expired air)

Choices:
A. Alveoli (alveolus)
B. ⾎ alveolar micro tube (alveolar capillary) was ⾎
C. Arterial ⾎ (systemic arterial blood)
D. Expired gas (expired air)

following
ADVANCED partial pressure of oxygen


Question: 30 year old man, carrying sandbags finish after 50 km ⽄ 100 meters, found that severe back pain, with right rear side of the lower limb of ⿇ pass ⾄ foot pain, the most likely diagnosis Why?

Answer: Lumbar disc herniation (herniation of intervertebral disc)

Choices:
A. Neuritis shingles (herpes zoster neuritis)
B. Guillain-Barre 症候群 (Guillain-Barré syndrome)
C. Polymyositis (Polymyositis)
D. Lumbar disc herniation (herniation of intervertebral disc)

30 year old man
finish
50
100 meters
found
severe back pain
right side
lower
pass
foot pain
diagnosis


Question: 1.2 years for boys midnight by fever and respiratory distress is brought ⾄ emergency diagnosis seek diagnosis, Q examination showed that H o a r s e n e s s and B a r k i n g c o symptoms u g h, the stethoscope has S t r i d o r, X ray examination, such as drawings, the column wrong classification of said whichever error?

Answer: This disease is the most common pathogen ⾒ Enterovirus (Enterovirus)

Choices:
A. That a white arrow mark displayed minaret called signs (Steeple sign)
B. Diagnosis of the disease is most likely croup (Croup)
C. The acute phase is mixed with oxygen and give Epinephrine ⽣ physiological salt water resistant shutter mode inhalation therapy
D. This disease is the most common pathogen ⾒ Enterovirus (Enterovirus)

1.2 years
boys midnight
fever
respiratory distress
brought
emergency diagnosis
diagnosis
symptoms
stethoscope
t r i d
X ray
column wrong classification
error


Question: 45-year-old male patient complain of tinnitus and the left neck mass for four months, nasopharyngoscopy in the drawings, the most likely diagnosis Why? From what part?

Answer: Nasopharyngeal cancer, pharyngeal recess

Choices:
A. Sinus cancer, nasal wall
B. Nasopharyngeal cancer, pharyngeal recess
C. JNA, Eustachian tube eminence
D. Nasopharyngeal lymphoma, nasopharyngeal top wall

year old male patient
tinnitus
left neck mass
four months
nasopharyngoscopy
diagnosis
part


Question: 7,456 year-old male, no history of trauma, complained of three days, the right thigh persistent swelling, pain, and emergency medical treatment, CT and circumflex femoral arteriography, as illustrated, is the most appropriate disposition:

Answer: Transcatheter arterial embolization (Transcatheter arterial embolization)

Choices:
A. Transcatheter arterial embolization (Transcatheter arterial embolization)
B. Emergency surgery to stop bleeding
C. Conservative transfusion therapy
D. Shi hemostatic drugs fight

year old male
history
trauma
three days
right persistent swelling
pain
emergency medical
CT
circumflex femoral arteriography
most appropriate disposition


Question: 25 A 20-year-old man after exercise thigh inability to emergency medical treatment. Physical examination blood pressure 128/88 mmHg, heart rate 80 / min, breath mg / dL, AST 42 U / L, creatine kinase 410 U / L (normal 60-400); electrolyte (Unit mmol / L): Na 140, K 2.3, Cl 112, Ca 2.25. For further diagnose the patient, following the disposal of the most appropriate?

Answer: Arterial blood gas analysis

Choices:
A. Arterial blood gas analysis
B. ECG
C. Chest X-ray
D. EMG

20 year old man
exercise thigh
emergency medical
blood pressure
88 mmHg
heart rate 80
min
breath mg
dL
AST
U
L
creatine kinase
U
L
normal 60 400
electrolyte
Unit mmol
L
K
Ca 2
further diagnose
patient
following
appropriate


Question: 75 year old man hospitalized due to lung cancer, CT detection of cancer metastasis to both sides of the adrenal gland, general malaise, increased serum potassium, body skin and oral mucosa, many black palm print at the following statements is true?

Answer: There can not be a normal response to corticotropin stimulation test, high blood ACTH concentration

Choices:
A. There can not be a normal response to corticotropin stimulation test, high blood ACTH concentration
B. niacin deficiency
C. Cause skin cancer metastasis
D. Patients taking epidermal growth factor receptor (EGFR) inhibitor caused


Question: 18 A 55 year old man because the merger fever, chills, abdominal pain to the emergency, preliminary tests showed WBC: 13600 / mm3, seg: 89%, bilirubin (total): 6.0 mg / dL, abdominal ultrasound examination showed bile duct stones, then the following statements is wrong?

Answer: Patients blood AST / ALT may rise, but never more than five times

Choices:
A. Physical examination may touch the gallbladder
B. Patients blood AST / ALT may rise, but never more than five times
C. Blood cultures may have Gram-negative bacteria
D. Endoscopic treatment of choice of stone

year old man
fever
chills
abdominal pain
emergency
preliminary tests
WBC
mm3
bilirubin
total
0 mg
dL
abdominal
bile duct stones
then
following
wrong


Question: After dinner abdominal pain after a 60-year-old man with peptic ulcer bleeding received partial gastrectomy surgery (Billroth II procedure), adverse circumstances absorb flatulence, diarrhea merger fat and vitamin B12, what item on the treatment of the following drugs most appropriate?

Answer: Antibiotic-containing (antibiotics)

Choices:
A. Proton pump inhibitors (proton pump inhibitor)
B. Antibiotic-containing (antibiotics)
C. Gastrointestinal motility accelerators (prokinetics)
D. Antacids (antacid)


Question: Adrenal medulla (adrenal medulla) cells, by accepting that following nerve stimulation and release of adrenaline?

Answer: preganglionic sympathetic neuron

Choices:
A. postganglionic sympathetic neuron
B. postganglionic parasympathetic neuron
C. preganglionic sympathetic neuron
D. preganglionic parasympathetic neuron

Adrenal medulla
adrenal medulla
cells
accepting
following nerve stimulation
release
adrenaline


Question: Which of the following is not a brain injury (traumatic brain injury) patients with common sequela?

Answer: Parkinson's disease (Parkinsonism)

Choices:
A. Muscle spasms (spasticity)
B. Parkinson's disease (Parkinsonism)
C. Epilepsy (epilepsy)
D. Headache (headache)

following
not
brain injury
traumatic brain injury
patients
common sequela


Question: 93 about the narrative of Schistosoma japonicum, which of the following correct? (1) there have been human cases reported Taiwan's Changhua Wang Gong region (2) occurs mainly in the Far East, mainland China many cases (3) mainly due to the end of the larvae move through the skin and infections (4) It has two intermediate hosts

Answer: (2)(3)

Choices:
A. (1)(2)
B. (2)(3)
C. (3)(4)
D. (1)(4)

following correct
1
human cases reported Taiwan's
region
2
occurs
Far East
mainland China
cases
3
due to
end
move
skin
infections
two


Question: Declaration stressed that the policy of the following is NOT a World Health Organization issued by the Ottawa Health Promotion?

Answer: Emphasis on medical skills

Choices:
A. A supportive environment
B. Promote community health action
C. The development of health policy
D. Emphasis on medical skills

stressed
following
NOT
issued
Health Promotion


Question: Ethical issues to consider when clinical research, which of the following error?

Answer: Can be derived from the principle of beneficence should be fair selection of subjects

Choices:
A. Ruoyi have an effective standard treatment, which is not used as a placebo control group
B. By the principles of respect for human dignity can be derived "should obtain informed consent" of the concept
C. Can be derived from the principle of beneficence should be fair selection of subjects
D. Without the subject's consent track line test is the violation of medical regulations


Question: Which of the following is a female sex hormone Kaohsiung (Hyperandrogenism) and hirsutism (Hirsutism) the most common cause?

Answer: Polycystic ovary syndrome (PCOS)

Choices:
A. Refrigerator 欣氏 disease (Cushing Syndrome)
B. Polycystic ovary syndrome (PCOS)
C. Ovarian androgen secretion tumors (Androgen-producing ovarian neoplasms)
D. Congenital adrenal hyperplasia (Congenital adrenal hyperplasia)

following
female sex hormone
Hyperandrogenism
hirsutism
Hirsutism
most common cause


Question: The following description when bandaged forearm fractures related gypsum treatment, whichever is correct?

Answer: After bandaged hand raised to maintain, and regularly photographed X-ray tracing

Choices:
A. Thumb fracture sustained oppression imposed maintain reduction when dressing
B. Elbows should be fixed in a straight posture
C. To enhance the effect of fixing, bandaging the thumb and fingers should limit their activities
D. After bandaged hand raised to maintain, and regularly photographed X-ray tracing

following
bandaged forearm fractures related
treatment
correct


Question: In accordance with the principles of diagnosis, a case in animal pathology lab work samples (formalin exposure, alcohol, xylene) has been 2 years, because in the past five years, frequent headaches and brain tumors diagnosed by CT, if it requests issued by the career-related disease and diagnostic proof of the following is the most correct?

Answer: Unreasonable, does not meet the timing of

Choices:
A. Reasonable, there are causally related
B. Reasonable, due to medical literature reports
C. Unreasonable, colleagues get the same job no one brain tumor
D. Unreasonable, does not meet the timing of

In accordance with
diagnosis
case
pathology lab
formalin exposure
alcohol
xylene
2 years
past five years
frequent headaches
brain tumors diagnosed
CT
issued
related disease
diagnostic proof
following
most correct


Question: Surrounding ⾎ duct obstruction treatment, which of the following is not appropriate?

Answer: Illuminated (phototherapy)

Choices:
A. Illuminated (phototherapy)
B. ADVANCED ⾎ control pressure, to give ⼄ type blocker
C. Control Diabetes
D. In shutter mode catheter tube open ⾎

Surrounding
duct obstruction treatment
following
not appropriate


Question: The following various tissues, whichever is not in a second type of collagen (type II collagen) as the main component of?

Answer: Meniscus (meniscus) in the knee joint

Choices:
A. Hyaline cartilage of the articular surface (hyaline cartilage)
B. Meniscus (meniscus) in the knee joint
C. Spinal disc nucleus (nucleus pulposus)
D. Spinal disc and adjacent vertebral end plates (endplate)

following various tissues
not
second type
collagen
II
main component


Question: Which of the following purulent joint drainage of infection must be urgent surgery to avoid complications of bone necrosis?

Answer: Hip

Choices:
A. Knee
B. Ankle
C. Hip
D. Wrist

following purulent joint drainage
infection
urgent surgery to
complications of bone necrosis


Question: The composition of cells related to neural tissue of the following is the correct term?

Answer: The central nervous system, having phagocytosis is minute glia (microglia)

Choices:
A. Pu Jinshi cells (Purkinje cell) located in the cerebral cortex, is responsible for coordinating muscle activity
B. Choroid plexus cells (cells of choroid plexus) ciliated (ciliated)
C. The central nervous system, having phagocytosis is minute glia (microglia)
D. A Schwann cells (Schwann cell) will cover a number of myelin axons (myelinated axons)

composition
cells related
neural tissue
following
correct term


Question: Wang alcoholism for many years, eat normal meals three meals a day, it is underweight, one day sudden confusion (confusion), unsteady gait ataxia (ataxia), his family brought to the emergency room, doctors found that Mr. Wang to the right eye examination presents horizontal tremor (horizontal nystagmus), and the eye can not see to the outside (lateral orbital palsy), slow pupillary light response, on both sides of the pupil sizes (anisocoria), Mr. Wang what the most likely clinical diagnosis?

Answer: Wei Niji's encephalopathy (Wernicke's encephalopathy)

Choices:
A. Brain stem stroke (brainstem infarct)
B. Alcohol withdrawal syndrome (alcohol withdrawal syndrome)
C. Wei Niji's encephalopathy (Wernicke's encephalopathy)
D. Keshakefu's syndrome (Korsakoff's syndrome)

alcoholism
years
eat normal meals three
day
underweight
one day sudden confusion
confusion
unsteady
ataxia
brought
emergency room
doctors found
Mr
right presents horizontal tremor
horizontal nystagmus
eye
not see
outside
lateral orbital palsy
slow pupillary light response
sides of
pupil sizes
anisocoria
Mr
clinical diagnosis


Question: Patients otoscopy seen below, the most likely diagnosis:

Answer: Primary acquired cholesteatoma (primary acquired cholesteatoma)

Choices:
A. Congenital cholesteatoma (congenital cholesteatoma)
B. Primary acquired cholesteatoma (primary acquired cholesteatoma)
C. Secondary acquired cholesteatoma (secondary acquired cholesteatoma)
D. Cholesteatoma ear canal (ear canal cholesteatoma)


Question: After seven years of renal failure patients on dialysis serum calcium checked about 10.2 mg / dL, parathyroid hormone 1300 pg / mL, the most likely diagnosis Why?

Answer: Times-onset (secondary) hyperparathyroidism

Choices:
A. Primary hyperparathyroidism, parathyroid tumor (adenoma)
B. Primary hyperparathyroidism, parathyroid hyperplasia (hyperplasia)
C. Times-onset (secondary) hyperparathyroidism
D. Three of the (tertiary) Parathyroid hyperplasia

seven years
renal failure patients
dialysis serum calcium
10 2 mg
dL
parathyroid hormone
pg
mL
diagnosis


Question: Erythropoietic process, which of the following will not have the ability to divide?

Answer: Erythrocytes positive busbar (normoblasts)

Choices:
A. Erythrocytes positive busbar (normoblasts)
B. Erythrocyte precursor parent (proerythroblasts)
C. Basophilic mother erythrocyte (basophilic erythroblasts)
D. Mother polychromatic erythrocytes (polychromatophilic erythroblasts)

Erythropoietic process
following
not
ability to divide


Question: Following the diagnosis of ankylosing spondylitis which found most helpful?

Answer: symmetric sacroiliitis in X-ray films

Choices:
A. positive HLA-B27
B. history of low back pain in old patients
C. pain on motion during chest expansion
D. symmetric sacroiliitis in X-ray films

Following
diagnosis
ankylosing spondylitis
found
helpful


Question: Commonly known as the "mother hand" of wrist tendonitis, called DeQuervain's disease, inflammation of the tendon is six wrist extensor tendon of the chamber (compartment) in the radial side closest to the first chamber. This includes that following a tendon?

Answer: Thumb abduction longus (abductor pollicis longus tendon)

Choices:
A. Short radial wrist extensor tendon (extensor carpi radialis brevis tendon)
B. Extensor carpi radialis longus tendon (extensor carpi radialis longus tendon)
C. Longus thumb extension (extensor pollicis longus tendon)
D. Thumb abduction longus (abductor pollicis longus tendon)

known
hand
of tendonitis
called
isease,
nflammation
endon
ix  rist extensor tendon of
hamber
ompartment)
ide  losest
irst  hamber.
ncludes
ollowing
endon?


Question: A myasthenia gravis (myasthenia gravis) female patients after surgery to remove the thymus. Which of the following is the most rare pathological changes in the thymus?

Answer: Thymic carcinoma (thymic carcinoma)

Choices:
A. Normal thymus
B. Thymoma (thymoma)
C. Thymic lymphoid hyperplasia (thymic lymphoid hyperplasia)
D. Thymic carcinoma (thymic carcinoma)

myasthenia gravis
myasthenia gravis
female patients
surgery to remove
thymus
following
most rare pathological changes
thymus


Question: With the increase in the elderly population, incontinence (urine incontinence) increasing incidence, especially in post-menopausal women. The following clinical assessment of urinary incontinence, what's wrong?

Answer: Residual urine volume (postvoid-residual volume) is greater than 100 mL, urinary flow rate greater than 15 mL / sec, represents emptying bladder dysfunction

Choices:
A. History taking should include whether there is diabetes, neurological disease or urinary tract problems
B. The physical examination should include cognitive function and the second and third sacral nerve examination
C. Residual urine volume (postvoid-residual volume) is greater than 100 mL, urinary flow rate greater than 15 mL / sec, represents emptying bladder dysfunction
D. Residual urine volume of less than 100 mL, urinary flow rate of less than 10 mL / sec, showing urethral obstruction

increase
population
incontinence
urine incontinence
increasing incidence
post-menopausal
following
of urinary incontinence
wrong


Question: The following statements about the petrous bone (petrous portion of temporal bone) of, what's wrong?

Answer: Small rock nerve (Lesser petrosal nerve) containing the postganglionic parasympathetic fibers derived from the ninth cranial nerve

Choices:
A. Petrosal nerve (Greater petrosal nerve) by the disposal of the geniculate ganglion (geniculate ganglion)
B. Small rock nerve (Lesser petrosal nerve) containing the postganglionic parasympathetic fibers derived from the ninth cranial nerve
C. Rock deep nerve (Deep petrosal nerve) containing sympathetic postganglionic fibers
D. And the deep petrosal nerve rock into the neural tube formation wing pterygoid canal nerve (nerve of pterygoid canal)

following
petrous bone
petrous portion
temporal
wrong


Question: Cerebellum (Cerebellum) development is derived from:

Answer: Hindbrain (Metencephalon) of the blade neuroblasts

Choices:
A. Brain marrow (Myelencephalon) of the blade neuroblasts (neuroblasts of alar plates)
B. The substrate marrow brain neuroblastoma (neuroblasts of basal plates)
C. Hindbrain (Metencephalon) of the blade neuroblasts
D. The substrate brain neuroblastoma

Cerebellum Cerebellum development derived


Question: Which of the following best childhood diseases do not meet the indications for bone marrow transplantation?

Answer: Mucopolysaccharidosis (mucopolysaccharidoses) of Hunter syndrome

Choices:
A. Acute myeloid leukemia (acute myeloid leukemia) second remission (second complete remission)
B. Congenital severe immunodeficiency (severe combined immune deficiency)
C. Mucopolysaccharidosis (mucopolysaccharidoses) of Hunter syndrome
D. Severe aplastic anemia (severe aplastic anemia)

following best childhood diseases
not
bone marrow transplantation


Question: Born in Vancouver, the Canadian Chinese youth, David, for the first time this summer back to Taiwan to visit elderly grandparents, former fly twice received the hepatitis B vaccine, he most likely serum antibodies to hepatitis B surface antigen why is the situation?

Answer: Second day 5 after vaccination appear very high amount of IgG

Choices:
A. After the first vaccination on day 5 appeared extremely high amount of IgM
B. After the first vaccination on day 5 appeared extremely high amount of IgG
C. Second day 5 after vaccination appear very high amount of IgM
D. Second day 5 after vaccination appear very high amount of IgG


Question: About Renovascular hypertension, the following statements is wrong?

Answer: Occurs only in young patients

Choices:
A. Resulting in ischemic kidney renin secretion is too high
B. Occurs only in young patients
C. Some patients can be heard in the abdominal vascular murmur (bruit)
D. Both renal artery stenosis, disable angiotensin converting enzyme inhibitors (ACEI) control of blood pressure

About Renovascular hypertension
following
wrong


Question: The occurrence of lymph node center (germinal center) is the place B cell development, but it does not contain one of the following role?

Answer: Recombinant antigen receptors (antigen receptor gene rearrangement)

Choices:
A. Recombinant antigen receptors (antigen receptor gene rearrangement)
B. Antibody type transition (immunoglobulin class switching)
C. Somatic hypermutation (somatic hypermutation)
D. Forming memory cells (memory cells)

occurrence
lymph node center
germinal center
place B cell development
not contain one
following role


Question: A 25-year-old woman, complained of pain when there is recent sex happens. Examination revealed the right rear side has the labia minora local swelling phenomena, and in the case where there was tenderness upon palpation. Surgical resection of a 3 cm in size, internal pus-filled cysts. Which of the following is the most likely diagnosis?

Answer: Bartholin's gland cyst

Choices:
A. Bartholin's gland cyst
B. Gartner duct cyst
C. Papillary hidradenoma
D. Urachal cyst

year old woman
pain
recent sex
revealed
right rear side
labia minora local swelling
case
tenderness
palpation
Surgical resection
size
internal pus
cysts
following
diagnosis


Question: Which of the following people in the past five years the average annual maximum number of times for medical treatment?

Answer: Taiwan

Choices:
A. Taiwan
B. United States
C. United Kingdom
D. Turkey

following
past five years
average annual maximum number of times
medical treatment


Question: About bacterial gene operon of narrative form, what's wrong?

Answer: Genes can not be translated when transcribed

Choices:
A. Usually consists of several related genes
B. Promoter controls transcription of a
C. Genes can not be translated when transcribed
D. RNA transcribed genes generally contain several


Question: Uric acid crystals precipitated in the renal tubules (renal tubules) and collecting duct (collecting ducts) causes urinary obstruction known as:

Answer: Uric acid nephropathy (uric acid nephropathy)

Choices:
A. gout
B. Kidney stones
C. Urate nephropathy (urate nephropathy)
D. Uric acid nephropathy (uric acid nephropathy)

Uric acid crystals precipitated
renal tubules
renal tubules
collecting duct
collecting ducts
causes urinary obstruction known


Question: There are big time when children come for treatment has severe diarrhea an 8 months 5 days, physical examination found: This patient was pale, pulse 180 beats / min, breathing 45 times / min, blood pressure 50 / 30mmHg, capillary refilling time (capillary refill time ) is 5 seconds. The most appropriate at this time to dispose of immediately:

Answer: Marked drip, given 0.9% NaCl 20 mL / kg / 1hr

Choices:
A. As the electrolyte and blood gas analysis, oral administration of drinks
B. Marked drip, given 0.9% NaCl 20 mL / kg / 1hr
C. As an electrolyte and blood gas analysis, oxygen is administered
D. Marked drip, given 0.33% NaCl in 5% dextrose 80 mL / kg / 24hr

big time
children
treatment
severe diarrhea
8 months 5 days
found
patient
pale
pulse
beats
min
breathing
times
min
blood pressure 50
capillary refilling time
capillary refill time
5 seconds
most appropriate
time to
immediately


Question: Ureteral injury of the following statements about what's right?

Answer: Most occurred during surgery, was immediately found and repaired, its good surgical results

Choices:
A. The most common occurrence is in third place ureter
B. Most occurred during surgery, was immediately found and repaired, its good surgical results
C. Most often during colorectal surgery
D. Resulting in gynecological surgery ureteral injury often occurs in ovariectomy


Question: 50. The treatment of migraine triptans class of drugs that affect the 5HT receptors of? ①1A ②1B ③1C ④1D

Answer: ②④

Choices:
A. ①③
B. ②④
C. ①④
D. ②③


Question: Occur in the NPC and the Chinese people following a virus closely related to what?

Answer: EB virus (Epstein-Barr virus)

Choices:
A. Herpes simplex virus (Herpes simplex virus)
B. Hepatitis B virus (Hepatitis B virus)
C. EB virus (Epstein-Barr virus)
D. HPV (Human papillomavirus)


Question: Which of the following via inhibition of vitamin K epoxide reductase, reduced clotting factor manufacture?

Answer: warfarin

Choices:
A. heparin
B. warfarin
C. tPA（tissue plasminogen activator）
D. melagartran

following
inhibition
vitamin K epoxide reductase
reduced clotting factor


Question: When the egg to complete the first meiotic division (meiosis I)?

Answer: When tidal discharge luteinizing hormone (LH surge)

Choices:
A. Sexual maturity (puberty)
B. When tidal discharge luteinizing hormone (LH surge)
C. When the sperm enters the egg
D. After fertilization (fertilization)

egg to complete
first meiotic division
meiosis I


Question: 309 year-old girl often complained of palpitations; 2 years ago with venous sinuses (sinus venosus) Atrial septal defect type for surgery. ECG below. Which of the following is the most likely diagnosis?

Answer: Atrial flutter (atrial flutter)

Choices:
A. Atrial fibrillation (atrial fibrillation)
B. Atrial flutter (atrial flutter)
C. Atrioventricular cyclotron frequency pulse (AVRT)
D. Boshitsuyui 迴旋 tachycardia (AVNRT)

year old girl often
palpitations
2 years
venous sinuses
sinus venosus
Atrial septal defect type
surgery
ECG
following
diagnosis


Question: On the prevention of infant allergy concept, the following statements is most inappropriate?

Answer: In accordance with international guidelines recommend routine use of probiotics in infants to prevent allergies

Choices:
A. Pregnant women do not need to diet to avoid foods high allergy (eg seafood, peanuts, etc.)
B. Recommendations can start adding large grocery at 4 to 6 months
C. The effect of breast-feeding for the prevention of asthma uncertain
D. In accordance with international guidelines recommend routine use of probiotics in infants to prevent allergies

prevention
infant allergy
following
most inappropriate


Question: A natural birth after birth was found the next day the scalp parietal bone (parietal) regions lumps of a size of table tennis, clear edge, and not beyond the suture. Will most likely diagnosis is:

Answer: Cephalohematoma (cephalohematoma)

Choices:
A. Fetal head mass (caput succedaneum)
B. Cephalohematoma (cephalohematoma)
C. Hematoma subgaleal (subgaleal hematoma)
D. Cerebral spinal bifida (meningocele)

natural birth after birth
found
next day
scalp parietal bone
parietal
regions lumps of
size
table
clear edge
not
suture
diagnosis


Question: A 62-year-old woman was treated as a chronic cough, asthma treatment a month, until coughing up blood before switching to thoracic surgery, bronchoscopy section diagnosis was adenoid cystic carcinoma of the trachea, the next disposal, which of the following ideal?

Answer: After assessed directly tracheal reconstruction surgery

Choices:
A. Before chemotherapy and then surgery
B. For tracheostomy stoma not to be considered surgery
C. After assessed directly tracheal reconstruction surgery
D. Create radiation therapy immediately Allowed

62 year old woman
treated
chronic cough
asthma treatment
month
coughing up blood
switching
thoracic surgery
bronchoscopy section diagnosis
adenoid cystic carcinoma of the trachea
next
following ideal


Question: The following account of B cells, what's wrong?

Answer: The number of B cells in the blood than neutrophils (neutrophil)

Choices:
A. B cell development occurs mainly in the bone marrow
B. Most B cell apoptosis naturally during the maturation process
C. After binding the antigen, an Ig Ig can be transmitted by the message, that the cell activation
D. The number of B cells in the blood than neutrophils (neutrophil)


Question: - right heart syndrome (Dextrocardia) as a variation of the heart. Such symptoms apex (Apex) towards the right. The cause of such symptoms are:

Answer: Core tube (Heart tube) is folded at the folding time of rightward

Choices:
A. Diaphragm (Septum transversum) defects
B. Ectopic aorta (Transposition of great arteries)
C. Core tube (Heart tube) is folded at the folding time of rightward
D. The ventricular septal defect (Interventricular septum) is formed

right heart syndrome
Dextrocardia
variation
heart
symptoms apex
Apex
right
cause
symptoms


Question: pili or fimbriae surface of the bacteria usually cause the host machine turn virulence why?

Answer: Attached to a specific cell surface

Choices:
A. Attached to a specific cell surface
B. Enhance the mobile force bacteria
C. Resistance to phagocytosis
D. Enhance the role of endotoxin

pili
fimbriae surface
bacteria usually cause
machine turn virulence


Question: A 30-year-old female patient, falling on the ground from the third floor, the 119 ambulance service of a regional hospital emergency room. To the hospital very restless patient, blood pressure 80/50 mmHg, heart rate 130 / min, respiration 30 / min. Since there is no hospital treatment capacity of severe trauma, patients must be transferred to the trauma center. I ask before transfer, dispose of the following items that inappropriate?

Answer: Give a lot of fluids and blood transfusion, the patient must be maintained in order to transfer systolic blood pressure above 120 mmHg

Choices:
A. Should immediately confirm the airway open without worry
B. Given oxygen
C. Give a lot of fluids and blood transfusion, the patient must be maintained in order to transfer systolic blood pressure above 120 mmHg
D. Direct contact with the physician accepting referral

30 year old female patient
falling
third floor
ambulance service
regional hospital emergency
hospital very restless patient
blood pressure 80 50 mmHg
heart rate
min
respiration 30
min
hospital treatment capacity
severe trauma
patients
transferred
trauma center
I
transfer
following
inappropriate


Question: One 20-year-old university student from an overdose of drugs, causing seizures and was sent to the emergency department, her roommate describe the student had some oral drugs can cause insomnia. Which of the following is used to treat asthma patient's airway spasm, and easily lead to insomnia and epilepsy?

Answer: theophylline

Choices:
A. ipratropium
B. theophylline
C. cromolyn
D. metaproterenol


Question: A 25 year-old male patient complained of palpitations 2-hour, in an amount to give the emergency room of a pulse for approximately 140 times / min, and the electrocardiogram made below. The most correct diagnosis:

Answer: Paroxysmal supraventricular tachycardia (paroxysmal supraventricular tachycardia)

Choices:
A. 竇性 tachycardia (sinus tachycardia)
B. Atrial fibrillation (atrial fibrillation)
C. Paroxysmal supraventricular tachycardia (paroxysmal supraventricular tachycardia)
D. Ventricular tachycardia (ventricular tachycardia)

year old male patient
palpitations
hour
amount to give
emergency room
pulse
approximately
times
min
electrocardiogram made
most correct diagnosis