Question: Systemic lupus erythematosus (systemic lupus erythematosus, SLE) occurs in childhood, adulthood with poor prognosis prognosis than before the onset of systemic lupus erythematosus, the major organ systems is that children are more susceptible?

Answer: kidney

Choices:
A. heart
B. Central Nervous System
C. kidney
D. blood

Systemic lupus erythematosus
systemic lupus erythematosus
SLE
occurs
childhood
adulthood
poor prognosis
onset
systemic lupus erythematosus
major organ systems
children
more susceptible


Question: Tearing knee injured tibial collateral ligament (tibial collateral ligament), which of the following is most likely damaged at the same time?

Answer: Medial plate (medial meniscus)

Choices:
A. Patella (patella)
B. Fibula (fibula)
C. Medial plate (medial meniscus)
D. Lateral articular disc (lateral meniscus)


Question: Statements about adult polycystic kidney disease (adult polycystic kidney), and which of the following error?

Answer: The majority of patients belong to degenerative diseases, has nothing to do with genetic

Choices:
A. Is one of the reasons-stage renal failure
B. Often associated with liver cyst (hepatic cysts)
C. Symptoms usually between 30-50 years of age do not become manifest
D. The majority of patients belong to degenerative diseases, has nothing to do with genetic

adult polycystic kidney disease
adult polycystic kidney
following error


Question: Which of the following is communicating hydrocephalus (communicating hydrocephalus) blocked the site?

Answer: Subarachnoid particles (arachnoid granulation)

Choices:
A. Hole between the ventricles (interventricular foramen)
B. Cerebral aqueduct (cerebral aqueduct)
C. Fourth ventricle side hole (lateral aperture)
D. Subarachnoid particles (arachnoid granulation)

following
communicating hydrocephalus
communicating hydrocephalus
blocked
site


Question: Irregular appearance of a multi-cystic kidney biopsy found that undifferentiated mesenchyme, cartilage, immature collecting duct, is this what kind of kidney disease?

Answer: Cystic renal dysplasia

Choices:
A. Cystic renal dysplasia
B. Autosomal-dominant polycystic kidney disease
C. Autosomal-recessive polycystic kidney disease
D. Medullary sponge kidney

Irregular appearance
multi cystic kidney found
undifferentiated mesenchyme
cartilage
immature collecting duct
kind of kidney disease


Question: Which of the following is not a tumor collapse syndrome (tumor lysis syndrome) The laboratory found?

Answer: Hypercalcemia

Choices:
A. Hypercalcemia
B. Hyperkalemia
C. High blood uric acid
D. High blood phosphate

following
not
tumor collapse syndrome
tumor lysis syndrome
laboratory found


Question: Which of the following is not a reason to E. coli as health indicators?

Answer: Strong resistance to chlorine

Choices:
A. Easy inspection
B. Strong resistance to chlorine
C. Viability stronger than general pathogens
D. General excrement must


Question: Related to bone formation (bone-forming) describes a tumor, Which of the following most correct?

Answer: When the diagnosis of osteosarcoma (osteosarcoma), while some patients will be diagnosed with lung metastases

Choices:
A. When the diagnosis of osteosarcoma (osteosarcoma), while some patients will be diagnosed with lung metastases
B. Osteochondroma (osteochondroma) may be due to malignant change, so sent for surgical resection
C. Pain Osteoblastoma (osteoblastoma) can be caused by drugs relieve, surgery is not required
D. Osteoid osteoma (osteoid osteoma) occur in the epiphyseal long bone and joint (epiphysis)

Related
bone formation
bone forming
tumor
following
correct


Question: Which of the following is the most common cause of human viral heart inflammation (carditis) pathogens?

Answer: Type B coxsackievirus (Coxsackie B virus)

Choices:
A. Influenza virus (Influenza virus)
B. Herpes simplex virus (Herpes simplex virus)
C. Type B coxsackievirus (Coxsackie B virus)
D. Enterovirus 71 (Enterovirus 71)

following
most common cause
human viral heart inflammation
carditis


Question: About stress urinary incontinence (stress incontinence), the following statements is true?

Answer: Urinary incontinence (urinary incontinence) is a normal aging (aging) of part

Choices:
A. 1
B. 2
C. 3
D. Urinary incontinence (urinary incontinence) is a normal aging (aging) of part

stress urinary incontinence
stress incontinence
following
true


Question: Women receiving hormone replacement therapy (HRT) treatment of coronary artery disease in which the incidence was 37 / 10,000, coronary artery disease in the control group was 30 / 10,000. Accepted NNH HRT treatment of coronary artery disease (number needed to harm) Why?

Answer: 1428

Choices:
A. 1292
B. 1428
C. 975
D. 2104

receiving hormone replacement therapy
treatment of coronary artery disease
incidence
10
coronary artery disease
30
10
Accepted NNH HRT treatment of
artery disease
number needed to


Question: 72-year-old male with chronic kidney disease Face, ⾎ creatinine (creatinine) 6.3 mg / dL, which of the following electrolyte acid-base status at least in hair ⽣ disease Face?

Answer: Sodium (Na +) 148 mEq / L

Choices:
A. Sodium (Na +) 148 mEq / L
B. Potassium (K +) 5.6 mEq / L
C. Phosphate (PO43-) 5.5 mg / dL
D. Calcium (Ca ++) 8.0 mg / dL

72 year old male
chronic kidney disease Face
creatinine
creatinine
6.3 mg
dL
following electrolyte acid-base status
hair
disease Face


Question: A 25-year-old young men, a few days ago because of breathing difficulties to the hospital, after examination revealed right upper lobe of the patient alveolar rupture, pleural cavity (pleural space) accumulate a lot of air, the diagnosis of spontaneous pneumothorax (pneumothorax), which of the following is not there will be this patient?

Answer: Pulmonary function over capacity (functional residual capacity) increased

Choices:
A. Pleura internal pressure (intrapleural pressure) is positive
B. Pulmonary function over capacity (functional residual capacity) increased
C. Vital capacity (vital capacity) decreased
D. Hypoxic hypoxia (hypoxic hypoxia)

year old young
few days
breathing difficulties
hospital
revealed right upper lobe
patient alveolar rupture
pleural cavity
pleural space
lot
air
diagnosis
spontaneous pneumothorax
pneumothorax
following
not
patient


Question: 18. In the complete correction of congenital heart disease, and sometimes need to use a valve with an allograft (homograft of pulmonary artery or aorta, valved) to join the right ventricle to the pulmonary artery, following those of congenital heart disease may be completely corrected You will need this transplant? ① dry artery disease (truncus arteriosus) ② ③ pulmonary venous return completely abnormal pulmonary atresia with ventricular septal defect ④ coarctation of the aorta disease

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②③
D. ①④


Question: Anesthesia in malignant hyperthermia (malignant hyperthermia) in the body is a very rare but very high mortality rate of genetic diseases, may I ask what kind of narcotic drugs currently considered the following will not trigger malignant hyperthermia in anesthesia?

Answer: Fentanyl

Choices:
A. Succinylcholine
B. Halothane
C. Thiopental
D. Fentanyl

Anesthesia
malignant
malignant hyperthermia
body
very rare
very high mortality rate
genetic diseases
I
kind
narcotic drugs currently
following
not trigger malignant
anesthesia


Question: Knee ligament injuries may be caused by whole leg pulled forward (anterior draw), Which of the following is most likely to break?

Answer: Anterior cruciate ligament (anterior cruciate ligament)

Choices:
A. Anterior cruciate ligament (anterior cruciate ligament)
B. Posterior cruciate ligament (posterior cruciate ligament)
C. Tibial collateral ligament (tibial collateral ligament)
D. Fibular collateral ligament (fibular collateral ligament)

Knee ligament injuries
caused
whole leg pulled forward
anterior
following
to break


Question: Which of the following diuretics for the treatment of acute pulmonary edema (acute pulmonary edema), but there is ototoxicity (ototoxicity) side effects?

Answer: furosemide

Choices:
A. spironolactone
B. acetazolamide
C. chlorothiazide
D. furosemide

following diuretics
treatment
acute pulmonary edema
acute pulmonary edema
ototoxicity
ototoxicity
side effects


Question: Patients with carotid-cavernous fistula (carotid cavernous fistula), the conjunctiva may occur following characterization of what?

Answer: Conjunctiva and the sclera varices (corkscrew-like vessels)

Choices:
A. Salmon stains (salmon patch)
B. Kaposi's sarcoma (Kaposi's sarcoma)
C. Conjunctiva and the sclera varices (corkscrew-like vessels)
D. Small aneurysms (microaneurysm)

Patients
carotid-cavernous fistula
carotid cavernous fistula
conjunctiva
occur following


Question: Helicobacter pylori infection has been confirmed as the main cause of peptic ulcer, about the characteristics of this bacteria, the following statements is true?

Answer: The strain Helicobacter pylori may be different with different virulence factors, such as the pathogenicity island (cag-PAI) would encode toxic

Choices:
A. Helicobacter pylori infection can cause 10 to 15% of those infected produce chronic gastritis, peptic ulcer or the small number of patients will gastric cancer
B. Helicobacter pylori secrete Catalase, NH3 is generated to neutralize gastric acid, and therefore the bacteria to survive in the acid
C. The strain Helicobacter pylori may be different with different virulence factors, such as the pathogenicity island (cag-PAI) would encode toxic
D. Helicobacter pylori infection of the outcome in addition to bacterial virulent factor, also related to the host factor, if they are caused by the interaction of antrum-predominant gastritis, gastric atrophy infection and gastric cancer risk associated with larger; if the resulting corpus-predominant gastritis, the risk of duodenal ulcer infection is large, with the risk of gastric cancer less relevance

Helicobacter pylori infection
confirmed
main cause
peptic ulcer
characteristics
bacteria
following
true


Question: A 75-year-old, due to the sudden cold and lower extremity pain to diagnosis, physical examination found the right lower limb cold cyanosis, right foot back not touch the arterial pulse, electrocardiogram showed atrial fibrillation, the patient used to have smoking, diabetes and hypertension. Which of the following is the most likely diagnosis?

Answer: Acute lower limb arterial obstruction

Choices:
A. Acute deep vein thrombosis
B. Buerger's 症
C. Acute lower limb arterial obstruction
D. Raynaud's disease

75 year old
sudden cold
lower extremity pain
diagnosis
found
right lower limb cold cyanosis
right foot back not touch
arterial pulse
electrocardiogram
atrial fibrillation
patient used to
smoking
diabetes
hypertension
following
diagnosis


Question: A 69-year-old patient hospitalized for cancer of the blood (leukemia) treatment of urinary tract infections occurred after the third day of hospitalization, physician immediately impose broad-acting antibiotic treatment week urine sample and in the treatment of previously acquired detection of E. coli (Escherichia coli). After two weeks in hospital, the patient sudden high fever and chills, a fall of blood pressure within 24 hours, and the emergence of necrotic abscess skin lesions. At this time, a Gram-negative detected by the patient's blood, no fermentable sugars, and the fluorescent dye-producing bacteria. Which of the following is most likely this pathogen?

Answer: Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Choices:
A. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
B. Salmonella typhi (Salmonella Typhi)
C. Vibrio vulnificus (Vibrio vulnificus)
D. Anthrax (Bacillus anthracis)

broad acting antibiotic treatment week urine sample


Question: A 15-year-old boy as myasthenia gravis (myasthenia gravis) lead to difficulty breathing and drooping eyelids. After a year and a half of steroid treatment, the symptoms gradually improved, but the boy began to feel blurred vision and continued deterioration in, what he is most likely to have the following kind of situation?

Answer: Steroids cause glaucoma

Choices:
A. Myasthenia gravis affects the extraocular muscles, the eyes can not be adjusted depending on the focus
B. Myasthenia gravis optic nerve inflammation
C. Steroid treatment resulted in severe hyperopia, so see near or far are unclear
D. Steroids cause glaucoma

year old boy
myasthenia gravis
myasthenia gravis
lead
difficulty breathing
drooping eyelids
year
half
steroid treatment
symptoms
improved
boy began to
blurred vision
to
following kind


Question: The human body through intravenous injection of 4 mg / kg of thiopental, which can be observed the following phenomena?

Answer: Cerebral vasoconstriction and cerebral blood flow (cerebral blood flow) decrease

Choices:
A. Slow heart rate and blood pressure drop
B. Cerebral vasoconstriction and cerebral blood flow (cerebral blood flow) decrease
C. Tidal volume (tidal volume) increased, and respiratory rate speed up
D. Analgesic effect (analgesic effect)

human body
intravenous injection
mg
kg
thiopental
observed
following


Question: When carpal tunnel syndrome (carpal tunnel syndrome) occurs when a tendon palm thumb that are most likely to be affected?

Answer: Long flexor muscles of the thumb (flexor pollicis longus)

Choices:
A. Extensor longus thumb (extensor pollicis longus)
B. Long flexor muscles of the thumb (flexor pollicis longus)
C. Thumb abductor longus (abductor pollicis longus)
D. Thumb adductor muscle (adductor pollicis)

carpal tunnel syndrome
carpal tunnel syndrome
occurs
tendon palm thumb
to
affected


Question: In the acute phase of spinal cord injury, most Rongyifasheng pressure sores (pressure ulcer) of the site why?

Answer: Sacrum (sacrum)

Choices:
A. Sciatic (ischium)
B. Sacrum (sacrum)
C. The greater trochanter (greater trochanter)
D. Heel (heel)

acute phase
spinal cord injury
pressure sores
pressure ulcer
site


Question: Contribution of 47 normal upper limb abduction (abduction) 90 degrees, from the scapular humeral abduction and external rotation (rotation) of how many are?

Answer: 60 ° and 30 °

Choices:
A. 80 ° and 10 °
B. 70 ° and 20 °
C. 60 ° and 30 °
D. 50 ° and 40 °

of
normal upper limb abduction
abduction
90 degrees
scapular humeral abduction
external rotation
rotation


Question: About spiny amoeba keratitis (Acanthamoeba keratitis) narrative, what's wrong?

Answer: For most effective antibiotics

Choices:
A. Good hair in poor cleaning habits of contact lens wearers
B. Initial duration may be a dummy dendritic (pseudodendrite) lesions, easily confused with herpetic keratitis
C. Late course corneal infiltration can occur cyclic (ring infiltration)
D. For most effective antibiotics

spiny
keratitis
Acanthamoeba keratitis
wrong


Question: Classification of hospitals, if the hospital management point of view, the domestic major hospitals in what hospital system belong to?

Answer: Closed (close staff system)

Choices:
A. Open (open staff system)
B. Closed (close staff system)
C. Semi-open (semi-open staff system)
D. Semi-occlusive (semi-close staff system)

Classification
hospitals
point
view
domestic major hospitals
system
to


Question: 34. A second feature of the described type for endometrial cancer (type II endometrial cancer), the more appropriate Which of the following? ① often independent of estrogen hyperstimulation ② mostly low grade endometrioid type of pathological ③ mostly older women after menopause often generally ④ prognosis of endometrial hyperplasia (endometrial hyperplasia endometrial cancer than the first difference ⑤ )

Answer: ①③④

Choices:
A. ①②③⑤
B. ①③④
C. ②⑤
D. ②③⑤


Question: Some bacteria have become resistant to trimethoprim, which is the main reason why?

Answer: Trimethoprim dihydrofolate reductase and the binding force of the reduction of this strain

Choices:
A. This strain is reduced ribosome binding force of trimethoprim
B. Trimethoprim dihydrofolate reductase and the binding force of the reduction of this strain
C. rRNA of Trimethoprim with such bacteria of combining power down
D. transpeptidase of Trimethoprim with such bacteria of combining power down


Question: Taichung City, 38-year-old man, two weeks ago Taroko tourism, fever, headache, general malaise, and skin rash (Figure A) after the home. Physical examination found the right elbow fossa lesions (Figure B), the most likely diagnosis Why?

Answer: Scrub typhus (scrub typhus)

Choices:
A. Leptospira (leptospirosis)
B. Secondary syphilis (secondary syphilis)
C. Measles (measles)
D. Scrub typhus (scrub typhus)

City
year old man
two weeks
fever
headache
general malaise
skin rash
home
found
right elbow fossa lesions
diagnosis


Question: What these molecules do not cause macrophage activation?

Answer: IL-10 (interleukin-10)

Choices:
A. IFNs-c (interferon-c)
B. TNF-a (tumor necrosis factor-a)
C. IL-10 (interleukin-10)
D. LPS（lipopolysaccharide）


Question: Which of the following close to the top of the prostate (apex)?

Answer: Urogenital diaphragm

Choices:
A. rectum
B. bladder
C. Pelvic diaphragm
D. Urogenital diaphragm


Question: Statements about hormone therapy, which of the following error?

Answer: Use hormones can prevent osteoporosis, we recommend long-term use

Choices:
A. Use hormones can prevent osteoporosis, we recommend long-term use
B. Recommended that the lowest effective dose to avoid side effects
C. There uncertain diagnosis of vaginal bleeding, hormone use should be preceded by checking
D. Patients with gallbladder disease does not recommend the use of hormones


Question: Medical treatment of diseases related to pregnancy, the following statements is most appropriate?

Answer: The possibility of valvular heart patients during pregnancy, cardiac death in patients with mitral stenosis (mitral stenosis) is the highest

Choices:
A. Preeclampsia (preeclampsia) is characteristic of hypertension and proteinuria, such patients during pregnancy absolutely prohibited aspirin
B. Pregnant women in pregnancy, hypertension post, in order to reduce proteinuria in renal function and potassium ions are normal, should be selective angiotensin receptor blockers (angiotensin receptor blocker), as a first-line hypertension medication
C. The possibility of valvular heart patients during pregnancy, cardiac death in patients with mitral stenosis (mitral stenosis) is the highest
D. When gestational diabetes, in order to reduce the complications of pregnancy, pregnant women should actively controlling blood glucose in a pharmaceutical, wherein the DPP-IV inhibitor to

Medical treatment
diseases related
pregnancy
following
most appropriate


Question: For patients with low immunity, which of the following minimum infect their lungs?

Answer: Toxoplasma (Toxoplasma)

Choices:
A. Cytomegalovirus virus (Cytomegalovirus)
B. Pneumocystis carinii (Pneumocystis)
C. Aspergillus (Aspergillus)
D. Toxoplasma (Toxoplasma)

patients
low immunity
following minimum infect
lungs


Question: A 55 year old man, his wife often complained about 20-90 seconds, ranging from the waves legs shake when he awakened every night to sleep, the legs and feet to shake the great toe dorsiflexion based, each about 0.5 to shake five seconds, he argued that he did not know, but poor sleep quality conscious, often doze off during the day to work. About a patient's illness, the following statements is wrong?

Answer: The electroencephalogram (EEG) may be found in the frontal lobe contralateral leg jitter motion area, is accompanied by a 20 to 90 seconds of epileptic discharges (epileptic

Choices:
A. The most likely diagnosis is paroxysmal limb movement of sleep disorders (periodic limb movements in sleep)
B. The electroencephalogram (EEG) may be found in the frontal lobe contralateral leg jitter motion area, is accompanied by a 20 to 90 seconds of epileptic discharges (epileptic
C. Often accompanied by restless legs syndrome (restless legs syndrome)
D. dopamine agonist effective for some patients or anticonvulsants

year old man
often
20 90 seconds
ranging
legs shake
night to sleep
legs
feet to shake
great toe
based
0.5 to shake five seconds
not
poor
often
day to
patient's illness
following
wrong


Question: Medical research for the study to children, pregnant women, prisoners, mental patients as subjects Jie more stringent standard, the main consideration is based on what?

Answer: To protect vulnerable populations tested

Choices:
A. Such a limited number of subjects
B. Agent agreed to be strictly
C. To protect vulnerable populations tested
D. The risk of these people involved in the test too high

Medical
study
children
mental patients
subjects
standard
main consideration
based


Question: You are as an adult emergency patients, ECG as shown below. The following statements is wrong?

Answer: Carbon dioxide partial pressure is maintained if (PETCO2) <10 mmHg at the end of expiration, indicates acceptable quality CPR

Choices:
A. When the depth of chest compressions recommended greater than 5 cm
B. When chest compressions recommended rate greater than 100 beats per minute
C. When using advanced airway (advanced airway) means artificial ventilation (ventilation), blowing adult every six to eight seconds
D. Carbon dioxide partial pressure is maintained if (PETCO2) <10 mmHg at the end of expiration, indicates acceptable quality CPR

adult emergency patients
ECG
following
wrong


Question: Rubella infection early in pregnancy, except for the disease may be caused, which of the following?

Answer: Brain calcification

Choices:
A. Congenital deafness
B. heart disease
C. cataract
D. Brain calcification

Rubella infection early in pregnancy
disease
caused
following


Question: 43-year-old woman complained of pain around the navel began yesterday, today shifted to the right lower quadrant pain, the concomitant vomiting, nausea, she went to the emergency clinic of view, she is most likely what is the problem?

Answer: appendicitis

Choices:
A. Diverticulitis
B. appendicitis
C. Oophoritis
D. Gastroenteritis


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

Answer: Most malignant pancreatic endocrine tumors

Choices:
A. Is the most common pancreatic endocrine tumor
B. Most malignant pancreatic endocrine tumors
C. Diagnosis of insulinoma important clinical symptoms of Whipple's triad, including symptoms of low blood sugar, low blood glucose concentration was measured, and given intravenous glucose solution can alleviate the symptoms of low blood sugar
D. Positioning insulinoma imaging tools include abdominal computed tomography and magnetic resonance imaging

Account insulinoma insulinoma error following


Question: Related to estrogen (estrogen) replacement therapy for menopause narrative of women, Which statement is correct?

Answer: Will increase the probability of endometrial cancer (endometrial carcinoma) occurs

Choices:
A. Cause osteoporosis (osteoporosis) deterioration
B. Will increase the probability of endometrial cancer (endometrial carcinoma) occurs
C. Induce hot flushes (hot flushes) generating
D. Increases in plasma low-density lipoprotein cholesterol (low-density lipoprotein cholesterol; LDL) and decrease high-density lipoprotein cholesterol

Related
estrogen
estrogen
replacement therapy
menopause
correct


Question: 9465-year-old man due to the rapid deterioration of renal function and oliguria (oliguria) to seek medical treatment. Examination revealed hypercalcemia, osteolytic lesions localized skull (skull osteolytic lesion), and bone marrow plasma cells containing abnormal (abnormal plasma cells> 40%). Renal pathology examination found to be the most likely:

Answer: fragile tubular casts surrounded by giant cells

Choices:
A. glomerular crescent formation
B. segmental glomerular necrosis
C. diffuse tubular dilation and pigmented casts
D. fragile tubular casts surrounded by giant cells

year old man due to
rapid
renal function
oliguria
oliguria
to
medical treatment
revealed hypercalcemia
osteolytic lesions localized skull
skull osteolytic
bone
plasma
containing abnormal
abnormal plasma cells
40
Renal pathology examination found to


Question: When the left atrial myxoma occurs, the tumor often with a short stem (Stalk) adhered to that part of the left atrium?

Answer: Atrium next door

Choices:
A. The leaflets of the mitral valve
B. Atrium next door
C. Pulmonary vein opening
D. LAA Department

left atrial myxoma occurs
tumor often
short stem
Stalk
part of
left atrium


Question: Account of thoracic outlet syndrome (thoracic outlet syndrome), and which of the following error?

Answer: Middle-aged male patients more

Choices:
A. Multi caused by the subclavian vessels in this area or the brachial plexus oppressed
B. Symptoms caused by nerve compression
C. Middle-aged male patients more
D. Conservative treatment can be the first non-surgical method adopted

Account
thoracic outlet syndrome
thoracic outlet syndrome
following error


Question: Bearing the title, following that one is caused by ascending cholangitis (Ascending cholangitis) the most common pathogens?

Answer: Escherichia coli

Choices:
A. Escherichia coli
B. Staphylococcus aureus
C. Salmonella
D. Clonorchis sinensis

Bearing
title
following
one
caused
ascending cholangitis
Ascending cholangitis
most common


Question: That one of the following pathogens capable of replication in the epithelial cells (epithelial cells), and is formed by the end of actin (actin tail) to move close to the cell?

Answer: Listeria monocytogenes (Listeria monocytogenes)

Choices:
A. Corynebacterium diphtheria (Corynebacterium diphtheriae)
B. Listeria monocytogenes (Listeria monocytogenes)
C. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
D. Klebsiella pneumoniae bacteria (Klebsiella pneumoniae)

one
following
capable
replication
epithelial cells
epithelial cells
formed
end
actin
actin tail
to move close
cell


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

Answer: The media is a bird

Choices:
A. Pathogens for Orientia tsutsugamushi
B. The media is a bird
C. The incubation period is 6 to 21 days
D. Tetracycline drugs are the best treatment drugs

following related scrub typhus
scrub typhus
wrong


Question: Which of the following drug clearance unit?

Answer: ml / min

Choices:
A. ml
B. ml / min
C. mg / min
D. mg / ml / min


Question: Which of the following heart disease, the most common merge Wolff-Parkinson-White syndrome?

Answer: Ebstein anomaly tricuspid pulse

Choices:
A. Ebstein anomaly tricuspid pulse
B. The great arteries (TGA)
C. Method Rockwell Snap disease (TOF)
D. Ventricular septal defect (VSD)

of the following heart disease
most common
Wolff-Parkinson-White syndrome


Question: After a stroke, patients can speak a sentence, smooth dialogue statements (fluent), but the content is empty, and there is often gibberish (paraphasia), not covered chant (repetition), can not be named (naming). Will most likely location of this lesion patients why?

Answer: Temporal lobe (temporal lobe)

Choices:
A. Frontal lobe (frontal lobe)
B. Temporal lobe (temporal lobe)
C. 頂枕葉（parieto-occipital lobe）
D. Angle meter loop (angular gyrus)

stroke
patients
speak
smooth
fluent
empty
often
paraphasia
not covered
repetition
not
location
lesion patients


Question: Account of the vestibular nuclei (vestibular nuclei), and which of the following error?

Answer: ⼩ brain mainly the dentate nucleus (dentate nucleus) is connected to line

Choices:
A. May issue vestibulospinal diameter (vestibulospinal tract)
B. Some nerve fibers incorporated into the medial longitudinal fasciculus (medial longitudinal fasciculus)
C. ⼩ brain mainly the dentate nucleus (dentate nucleus) is connected to line
D. Can participate vestibulo-ocular reflex (vestibulo-ocular reflex)

Account
vestibular nuclei
vestibular nuclei
following error


Question: For a description of hemorrhoids (internal hemorrhoids) inside the anus, which of the following error?

Answer: Depending on the severity of internal hemorrhoids grade, will hemorrhoids prolapse with spontaneous reduction is part of the third stage

Choices:
A. Depending on the severity of internal hemorrhoids grade, will hemorrhoids prolapse with spontaneous reduction is part of the third stage
B. Most hemorrhoids symptoms can be improved by adjusting the diet contains plenty of water, eating dietary fiber
C. For digital examination must be done when the possibility of patient treatment of hemorrhoids, anal cancer to rule out other
D. If patients older than 40 years old and have a family history of colorectal cancer, hemorrhoids are not serious but there will be blood, must consider arranging colonoscopy to exclude the possibility of colorectal cancer

hemorrhoids
internal hemorrhoids
anus
following error


Question: Cervical cancer mostly from that part?

Answer: Squamocolumnar junction (squamocolumnar junction)

Choices:
A. Cervicovaginal portion (portio vaginalis)
B. The uterus neck (internal os)
C. Uterine internal carotid (endocervix)
D. Squamocolumnar junction (squamocolumnar junction)


Question: Ladd procedure is a surgical method Which of the following diseases?

Answer: Volvulus abnormalities (anomalies of intestinal rotation)

Choices:
A. Small intestine closure (intestinal atresia)
B. Duodenum closure (duodenal atresia)
C. Huge megacolon (Hirschsprung's disease)
D. Volvulus abnormalities (anomalies of intestinal rotation)

Ladd procedure
surgical method
following diseases


Question: Performance of children intestinal stack (Intussusception) is, which of the following most typical?

Answer: In addition to abdominal pain, vomiting and strawberry jam-like stool (Currant jelly stool) outside, in the right upper quadrant Sick Children may palpable lump, and in the course of the disease may have abdominal pain, drowsiness between the phenomenon

Choices:
A. Usually 1 to 2 years for Sick Children stacked intestine, large to be asked before the onset of infection by a virus, so as to produce lymphoproliferative guidance point (Leading point)
B. Sick children and more acute persistent pain, in the middle do not stop, knees bent toward the abdomen, pale face pain
C. In addition to abdominal pain, vomiting and strawberry jam-like stool (Currant jelly stool) outside, in the right upper quadrant Sick Children may palpable lump, and in the course of the disease may have abdominal pain, drowsiness between the phenomenon
D. In the developer or physiological saline or air into the large intestine from the anus side recharge intestinal irrigation through the stack, the probability of relapse is 20% or more

children intestinal stack
Intussusception
following
typical


Question: Which of the following is NOT a loss of salt (salt-wasting type) typical 21-hydroxylase deficiency (classical 21-hydroxylase deficiency) clinical characterization of congenital adrenal hyperplasia (congenital adrenal hyperplasia) due to sick children of men?

Answer: Genital confusion (ambiguous genitalia)

Choices:
A. At about two weeks after the onset of birth
B. Genital confusion (ambiguous genitalia)
C. Low blood sodium (hyponatremia)
D. High potassium levels (hyperkalemia)

following
NOT
loss
salt
salt-wasting type
typical 21-hydroxylase deficiency
classical 21-hydroxylase deficiency
clinical
congenital adrenal hyperplasia
congenital adrenal hyperplasia
due to sick children


Question: Related kidney inflammation (Henoch-Schӧnlein purpura nephritis) children with allergic purpura caused by the following statements is true?

Answer: Patients have the opportunity complicated by acute nephritis, an adult suffering from chronic kidney disease (Chronic kidney disease) is large

Choices:
A. At the time of onset, will be simultaneously combined with respiratory infection (Upper respiratory tract infection) symptoms
B. Kidney aspects of hematuria (Hematuria) or proteinuria (proteinuria), such as performance, and the performance will be the skin (palpable purpura) at the same time
C. And differential diagnosis of IgA nephritis (IgA called nephropathy,), it is necessary for the determination by biopsy
D. Patients have the opportunity complicated by acute nephritis, an adult suffering from chronic kidney disease (Chronic kidney disease) is large

Related kidney inflammation
Henoch
purpura nephritis
children
allergic purpura caused
following
true


Question: For the following terms used in the definition of pain, what's wrong?

Answer: hypalgesia: increased sensitivity to pain of

Choices:
A. hyperalgesia: sensitive to excessive pain stimulation
B. dysesthesia: displeasure abnormal sensations
C. hypalgesia: increased sensitivity to pain of
D. allodynia: foreign non-painful stimuli to produce pain


Question: Which of the following is not a direct branch of the aorta?

Answer: Internal thoracic artery (internal thoracic artery)

Choices:
A. Esophagus artery (esophageal artery)
B. Intercostal artery (posterior intercostal artery)
C. Bronchial artery (bronchial artery)
D. Internal thoracic artery (internal thoracic artery)


Question: A 28-year-old man during a routine physical examination, was told there is a tumor in the liver. His liver function was normal, and also have no history of hepatitis virus infection. Abdominal computed tomography showed a well-defined tumor 3 cm thick coating at the right lobe of the liver, the presence of the tumor has a distinct central star-shaped areas of fibrosis. The other part of the normal liver cirrhosis did not have the phenomenon. Which of the following is the most likely diagnosis?

Answer: Local nodular hyperplasia (focal nodular hyperplasia)

Choices:
A. Hepatic adenoma (hepatic adenoma)
B. Local nodular hyperplasia (focal nodular hyperplasia)
C. HCC (hepatocellular carcinoma)
D. Hepatoblastoma (hepatoblastoma)

year old man
routine physical examination
tumor
liver
liver function
normal
history of hepatitis virus infection
Abdominal computed tomography
well-defined tumor
thick coating
the right lobe of
liver
presence
tumor
central star shaped areas
fibrosis
part of
normal liver cirrhosis
not
following
diagnosis


Question: About Taiwan now perform while the new ⽣ children metabolism screening, the following statements is wrong?

Answer: Newly hatched baby needs ⼀ kind occurred heel ⾎ mining days, drop in ⾎ piece, send new ⽣ children Center Weighted check screening

Choices:
A. Newly hatched baby needs ⼀ kind occurred heel ⾎ mining days, drop in ⾎ piece, send new ⽣ children Center Weighted check screening
B. Tandem mass spectrometry is the destination time before the main screening tool ⼯
C. Screening for diseases with amino acids, organic acids, fatty acid metabolism based
D. Low birth weight children, labor complications baby will compare the results of false positives (False positive) of

About Taiwan now perform
new
children metabolism screening
following
wrong


Question: One 52-year-old man due to the ascending colon, accept the right of the large intestine resection pathology report violations to adenocarcinoma is part of the muscle layer (muscularis propria), lymph node 17 has three metastasis, this patient Dukes' classification (Astler- coller modification) yes?

Answer: C1

Choices:
A. B1
B. B2
C. C1
D. C2

One
year old man due to
ascending colon
accept
right
large intestine resection
adenocarcinoma
part of
muscle layer
muscularis propria
lymph node
three metastasis
patient
modification
yes


Question: External anal sphincter directly dictated by which of the following?

Answer: Anus nerve

Choices:
A. Hypogastric nerve
B. Pudendal nerve
C. Anus nerve
D. Pelvic splanchnic nerve


Question:
77.
 When the general public to teach infant and child CPR (cardiopulmonary resuscitation), chest pressure and why the proportion of blowing?

Answer: Over 1 year old to 8 years old to 30: 2

Choices:
A. Over 1 year old to 8 years old to 30: 2
B. 1 to 15 years of age: 2
C. Over the age of 5 to 8 years old: 1
D. 1 to 5 years of age: 1

infant
child CPR
cardiopulmonary resuscitation
chest pressure
proportion
blowing


Question: Lovastatin and compactin is used to treat familial hypercholesterolemia (familial hypercholesterolemia) is commonly used drugs, both drugs that primarily by inhibiting an enzyme activity, thereby reducing the intracellular synthesis of cholesterol?

Answer: HMG-CoA reductase

Choices:
A. HMG-CoA synthase
B. HMG-CoA lyase
C. HMG-CoA reductase
D. HMG-CoA isomerase


Question: 23-year-old woman because of cough, chest tightness, and continued for a month for examination, chest X-ray and CT figure, the most correct diagnosis should be:

Answer: The left lower lobe collapse (left lower lobe atelectasis)

Choices:
A. Off the horizontal diaphragmatic hernia (diaphragmatic hernia)
B. Rib cage of the fluid film coated (encapsulated left pleural effusion)
C. The left lower lobe collapse (left lower lobe atelectasis)
D. Left pulmonary embolism (left pulmonary artery embolism)

23 year old woman
cough
chest tightness
month
chest X-ray
CT
most correct diagnosis


Question: About narrative of infectious food poisoning, that following one of the most inappropriate?

Answer: Taiwan bacterial food poisoning is the most common E. coli

Choices:
A. Taiwan bacterial food poisoning is the most common E. coli
B. In recent years, enterohemorrhagic E. coli infection has caused massive food due to infections in the United States and Japan, which is serotype O157: H7
C. Treatment of bacterial food poisoning, mainly for intravenous infusion for the prevention and correction fluid, electrolyte imbalance, when patients have impaired consciousness or vomit blocking the respiratory tract doubt, will have to keep the airway clear and give oxygen
D. Common symptoms such as acute abdominal pain, nausea, vomiting, diarrhea, dizziness, etc.

About
infectious food poisoning
following one
inappropriate


Question: 33 year old woman, G1P0, now 30 weeks pregnant, due to sudden massive vaginal watery fluid flows out to the delivery room and abdominal pain inspection. Conscious pregnant women, blood pressure 130/80 mmHg, the ear thermometer 37 ℃, the fetal heart sound 130 per minute, ultrasound examination revealed amniotic fluid index (AFI: amnionic fluid index) is 2, no placenta previa, most likely diagnosis is:

Answer: Early preterm rupture of membranes

Choices:
A. Urinary tract infection associated with urinary incontinence
B. Early preterm rupture of membranes
C. Placental abruption
D. Vaginal infections

year old woman
now 30 weeks pregnant
sudden massive vaginal watery fluid
out
delivery room
abdominal pain inspection
blood pressure
80 mmHg
ear thermometer
fetal heart sound
minute
ultrasound examination revealed
2
placenta previa
likely diagnosis


Question: Four kinds of allergic immune reactions (hypersensitivity), after the reaction caused by contact with the antigen, the type that requires the longest time to onset of symptoms?

Answer: The fourth type

Choices:
A. The first type
B. The second type
C. The third type
D. The fourth type

Four kinds
allergic immune reactions
hypersensitivity
reaction caused
contact
type
longest time
onset of symptoms


Question: A newborn blood screening found that leucine (leucine), isoleucine (isoleucine) and valine (valine) accumulation, maple syrup urine disease in patients with suspected (maple syrup urine disease), it is necessary life as a strict diet control. Dysfunction that these enzymes, the most likely cause of this disease?

Answer: Branched chain ketoacid dehydro enzyme (branched-chain α-keto acid dehydrogenase)

Choices:
A. Carbamoyl phosphate acyl Synthesis  (carbamoyl phosphate synthetase)
B. Black uricase  (homogentisic acid oxidase)
C. Branched chain ketoacid dehydro enzyme (branched-chain α-keto acid dehydrogenase)
D. Phenylalanine hydroxylation  (phenylalanine hydroxylase)

newborn blood found
leucine
leucine
isoleucine
isoleucine
valine
valine
accumulation
maple syrup urine disease
patients
suspected
maple syrup urine disease
diet control
Dysfunction
enzymes
most likely cause
disease


Question: The following back muscles, whichever is located in the deepest?

Answer: Large behind rectus (rectus capitis posterior major)

Choices:
A. Capitis (splenius capitis)
B. Head dorsi muscle (longissimus capitis)
C. Semispinalis capitis (semispinalis capitis)
D. Large behind rectus (rectus capitis posterior major)


Question: Cerebellum compromised patients, the following learning what can seem low and weak?

Answer: Learning to play a musical instrument

Choices:
A. Remember the name of the person you just met
B. Learning to play a musical instrument
C. Kee Road, it is more easy to get lost
D. Learning mental arithmetic


Question: Natural killer cells (Natural killer cell) and T lymphocyte together with the following cell surface markers what?

Answer: CD2

Choices:
A. CD2
B. CD3
C. CD4
D. CD8

Natural killer cells
T lymphocyte together
following cell surface markers


Question: The following account of adolescent idiopathic scoliosis (adolescent idiopathic scoliosis), and what's wrong?

Answer: Generally convex thoracic curve on the left side (convex to the left)

Choices:
A. Prevalence of about 2 to 3%
B. A slight scoliosis (about 10 degrees), about the same incidence for men and women
C. More substantial scoliosis (greater than 30 degrees), boys and girls is about ten times more than
D. Generally convex thoracic curve on the left side (convex to the left)

following account
adolescent idiopathic scoliosis
adolescent idiopathic scoliosis
wrong


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

Answer: Filaggrin gene defect can be found in all body atopic dermatitis Sick Children

Choices:
A. Infants and young children the most common of chronic recurrent skin disease (chronic relapsing disease), about half of the patients in the first year of the onset of
B. Filaggrin gene defect can be found in all body atopic dermatitis Sick Children
C. Atopic dermatitis is the second type and T helper cell (T-helper type 2 cells) associated inflammatory disease and thus the majority of IgE in the blood of patients will
D. Severe atopic dermatitis may consider the use of oral steroids, such as long-term use, when the withdrawal should be gradual reduction, in order to avoid rebound (rebound effect)

Account
atopic dermatitis
atopic dermatitis
following error


Question: Which of the following chromosomal changes are more common in follicular lymphoma (follicular lymphoma)?

Answer: t (14; 18), comprising changes BCL2 gene

Choices:
A. t (1; 14), comprising changes in gene BCL10
B. t (11; 14), comprising changes BCL1 (cyclin D1) gene
C. t (14; 18), comprising changes BCL2 gene
D. t (11; 18), comprising changes BCL1 (cyclin D1) or a BCL2 gene

following chromosomal changes
more common
follicular lymphoma
follicular lymphoma


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

Answer: Threatened abortion (threatened abortion), usually resulting in abortion

Choices:
A. Threatened abortion (threatened abortion), usually resulting in abortion
B. Cervix has been opened, the pregnancy tissue has not been falling out, said the inevitable abortion (inevitable abortion)
C. Pregnant discharge has been part of the organization, said the incomplete abortion (incomplete abortion)
D. If complete abortion patients have a fever, should be given antibiotics


Question: The following description of the child "non-organic enuresis" (nonorganic enuresis) of, whichever is incorrect?

Answer: Family clear tendency for girls than boys, and there happened

Choices:
A. No organic cause, there will still wet the bed or wet his pants conditions
B. Usually occurs in sleep
C. Family clear tendency for girls than boys, and there happened
D. Patients associated with emotional, psychological, pressure and other factors

following
child
non-organic enuresis
nonorganic enuresis
incorrect


Question: Causes Graft-versus-host disease (GVHD) Why?

Answer: bone marrow transplantation mature T cells attack the host

Choices:
A. Transplanted pancreas to release digestive enzymes to cause tissue damage
B. Liver transplant inflammatory reaction induced endothelial damage occurs
C. The kidney transplant release waste toxins cause endothelial injury
D. bone marrow transplantation mature T cells attack the host


Question: The following statements about urinary tract stones, what's wrong?

Answer: Theoretical explanation of the causes of today the stones are complete; i.e. crystallization required (Crystal) and matrix (Matrix) to form stones

Choices:
A. If you do not actively prevent, the 5-year recurrence rate of up to 50%
B. Various naming sources of different stones, stones of e.g. magnesium ammonium phosphate that is a common name struvite stone ore scientist named Russia
C. Theoretical explanation of the causes of today the stones are complete; i.e. crystallization required (Crystal) and matrix (Matrix) to form stones
D. In addition to ion saturation growth stones, there are also factors to suppress the growth of, for example: Mg (Magnesium), citrate (citrate) and the like


Question: Which of the following does not appear in the urine of patients with phenylketonuria?

Answer: Para-hydroxyphenylpyruvate

Choices:
A. Phenylalanine
B. Phenylpyruvate
C. Para-hydroxyphenylpyruvate
D. Phenylacetate

following
not appear
urine
patients
phenylketonuria


Question: The following statements about Wilson's disease (Wilson's disease) treatment, whichever is correct?

Answer: When D-penicillamine to treat patients with early drug allergy, may be re-used or combined reduction of prednisolone

Choices:
A. All patients will worsen after starting treatment
B. Throughout the course of treatment, the diet does not have to be taboo food copper
C. When D-penicillamine to treat patients with early drug allergy, may be re-used or combined reduction of prednisolone
D. All patients may be used to give improved treatment of D-penicillamine

following
Wilson's disease
Wilson's disease
treatment
correct


Question: Which of the following hypolipidemic agents main mechanism of action is to inhibit intestinal cholesterol absorption cell, and thus reduce blood cholesterol levels?

Answer: Ezetimibe

Choices:
A. Cholestyramine
B. Ezetimibe
C. Simvastatin
D. Niacin


Question: Operating formulas CPR is "Jiao Jiao CAB" related to B, and that one of the following statements is correct?

Answer: If you blow the first breath, the chest did not rise, then the respiratory tract play a bit more open

Choices:
A. If you blow the first breath, the chest did not rise, then the respiratory tract play a bit more open
B. If you blow the first breath, no chest up, representation airway obstruction, will have to remove the obstruction of the respiratory tract
C. In order to give the patient enough ventilation to take a deep breath, then vigorously blown into the patient's lungs
D. For sufficient ventilation to a patient, two seconds per breath to blow

Operating formulas CPR
CAB
related
one
following
correct


Question: Carrying calcitonin (Calmodulin) that does not have these characteristics?

Answer: beta] layer (β-sheet) containing an amphoteric ⼀ (Amphipathic) can be white and egg quality target (target protein) Using interaction

Choices:
A. Ion binding calcium changes its configuration
B. beta] layer (β-sheet) containing an amphoteric ⼀ (Amphipathic) can be white and egg quality target (target protein) Using interaction
C. Modulating the activity of many protein kinases white (protein kinase) of
D. In helix - loop - helix structure (helix-loop-helix motif) calcium-ion binding

calcitonin Calmodulin not characteristics


Question: The following cutaneous manifestations of dermatomyositis that is NOT (dermatomyositis) the typical characteristics?

Answer: Erythema marginatum 33 Which of the following antibodies and rheumatic fever (rheumatic fever) serological diagnosis of the most irrelevant?

Choices:
A. Gottron's sign
B. Shawl sign
C. Heliotrope rash
D. Erythema marginatum 33 Which of the following antibodies and rheumatic fever (rheumatic fever) serological diagnosis of the most irrelevant?


Question: Which of the following is not rheumatoid arthritis (rheumatoid arthritis) is a good site?

Answer: Lumbar joints

Choices:
A. LOL
B. Shoulder
C. Lumbar joints
D. ankle joint

following
not rheumatoid arthritis
rheumatoid arthritis
good site


Question: A 64-year-old man, endoscopy found antrum tumor under a 5 cm thick mucous membrane, mucosal tumors above the center of the phenomenon of ulcers. To remove the tumor, the tumor can be seen under the microscope consists spindle cell, immunohistochemical staining virtually all tumor cells significantly c-KIT expression. Which of the following is the most likely diagnosis?

Answer: Gastrointestinal stromal aneurysm (gastrointestinal stromal tumor)

Choices:
A. Gastrointestinal stromal aneurysm (gastrointestinal stromal tumor)
B. Leiomyoma (leiomyoma)
C. Mucosa-associated lymphoid tissue lymphoma (mucosa-associated lymphoid tissue lymphoma; MALToma)
D. Signet-ring cell carcinoma (Signet-ring cell carcinoma)

64 year old man
endoscopy found antrum tumor
thick mucous membrane
mucosal tumors
center
ulcers
To remove
tumor
tumor
seen
microscope consists
staining
KIT expression
following
diagnosis


Question:
58.20-year-old classmate Zhang riding a motorcycle, the positive impact of the car parked on the roadside, the result of the right knee hit the front bezel of the locomotive. The day did not significantly knee joint swelling, emergency room shot X-rays also revealed no fractures; although some knee pain, but also substantially travel. A month later, his right knee has been almost no pain, but he found that his right knee can not support the weight of the moment sometimes when walking, suddenly feeling weak; in particular, went downstairs
 The most disturbing when the ladder he was afraid of tumbling down stairs. Zhang students most likely happened:

Answer: Thirteen ligament (posterior cruciate ligament) rupture

Choices:
A. The top ten ligament (anterior cruciate ligament) rupture
B. Thirteen ligament (posterior cruciate ligament) rupture
C. Patellar subluxation (patellar subluxation)
D. MCL (medial collateral ligament) Fracture

58 20 year old
motorcycle
positive impact
car parked
result
right knee hit
front
day
not
knee
emergency room shot X-rays
revealed
fractures
knee pain
month later
right knee
almost
pain
found
right knee
not support
weight
sometimes
weak
downstairs
most
ladder
likely


Question: The following changes in the brain related to carbon monoxide poisoning, what's wrong?

Answer: The most common are Bilateral shell (putamen) necrosis

Choices:
A. CORTEX second five of the most serious damage to the third layer yuan
B. The most serious damage to the cerebellar cells Pu Jin Qishi cells (Purkinje cells)
C. The most common are Bilateral shell (putamen) necrosis
D. Long-term survival of patients, there may be white matter demyelination (demyelination)

following changes
brain related
carbon monoxide poisoning
wrong


Question: 36. One 51-year-old male, 30 years ago was diagnosed with hepatitis B asymptomatic carrier. Patients with previous body no other discomfort, drinking (sorghum liquor of about 100 ~ 150 c.c.) per day. Last month after another abdominal pain, vomiting and diarrhea. To the hospital clinic, signs of normal life, but some eye mask jaundice (jaundice), the next step is what most do not need to check?

Answer: Syphilis examination

Choices:
A. Serum fetoprotein index (α-fetoprotein)
B. Syphilis examination
C. Clotting time checked
D. liver function

36
One
year old male
30 years
diagnosed
hepatitis B asymptomatic carrier
Patients
previous body
discomfort
drinking
sorghum liquor
100
day
Last month
abdominal pain
vomiting
diarrhea
hospital clinic
signs
normal
eye mask jaundice
jaundice
next step
most
not need to check


Question: A 65-year-old male, 5 years ago, received cholecystectomy and common bile duct anastomosis (Cholecystectomy and choledochoduodenostomy), appears on the last three days of abdominal pain, fever, chills (Chills) and dark urine (Dark urine), by the the symptoms physicians suspected ascending cholangitis (Ascending cholangitis), where the following items are the most likely result?

Answer: Alkaline phosphatase increase, Bilirubin level but normal or increased

Choices:
A. Amylase level rise, other normal
B. Alkaline phosphatase increase, Bilirubin level but normal or increased
C. Serum BUN abnormal rise
D. Urobilin in urine


Question: A 43-year-old pregnant woman, G1P0, prenatal ultrasound examination at 20 weeks of pregnancy, fetal head has a "lemon symptoms" (lemon sign), there will have to be highly suspected fetal Which of the following diseases?

Answer: Spina bifida (spina bifida)

Choices:
A. Spina bifida (spina bifida)
B. Children without brain (anencephaly)
C. 水腦（hydrocephaly）
D. Omphalocele (omphalocele) where 29 The following factors will not increase the risk of ovarian cancer?

year old
prenatal
20 weeks
pregnancy
fetal head
lemon symptoms
lemon sign
to
highly suspected fetal
following diseases


Question: Emergency advised of a 36-year-old woman, G1P0, currently 34 weeks pregnant, due to sudden abdominal pain and vaginal bleeding a lot is sent to the emergency room. Conscious pregnant women, blood pressure 190/100 mmHg, abdomen showing ankylosing sustained contraction, fetal heart tones down to 60 per minute. The most likely diagnosis is:

Answer: Placental abruption

Choices:
A. Placenta previa
B. Vaginal laceration
C. Placental abruption
D. Eclampsia (eclampsia)

Emergency
36 year old woman
currently
weeks pregnant
sudden abdominal pain
vaginal bleeding
lot
sent
emergency room
blood pressure
100 mmHg
abdomen
sustained contraction
fetal heart tones
60
minute
diagnosis


Question: The following account of Staphylococcus aureus toxins, that a mistake?

Answer: beta toxin is the main reason causing staphylococcal scalded skin syndrome (SSSS) of

Choices:
A. Alpha toxin may be embedded in the cell membrane of cells resulting in a variety of cell changes due to osmotic pressure was dissolved
B. beta toxin is the main reason causing staphylococcal scalded skin syndrome (SSSS) of
C. delta toxin also found in other staphylococci such as Staphylococcus epidermidis in
D. leukocidin may lead to the destruction of neutrophils

following account
Staphylococcus aureus toxins
mistake


Question: Before considering further surgical treatment, and then carefully for ultrasound examination, he found the right ventricular dysplasia, without ventricular septal defect, right ventricular sinus (sinusoid for the) communicates with the left coronary artery, for cardiac catheterization, the right ventricle photography when the developer systole, may enter the left coronary artery, and the left main coronary artery see exports stenosis. The combination of these findings, that the best way to surgery?

Answer: Blalock-Taussig shunt

Choices:
A. Pulmonary valve incision
B. Blalock-Taussig shunt
C. CPB using help, for ring portion across the pulmonary panels (transannular patch) to expand the diameter of the right ventricle
D. Pulmonary valve incision plus Blalock-Taussig shunt

further surgical treatment
then
ultrasound examination
found
right ventricular dysplasia
ventricular septal defect
right sinus
sinusoid
communicates
left coronary artery
right ventricle
developer systole
enter
left coronary artery
left main coronary artery see
stenosis
combination
findings
best
surgery


Question: Predilection position following neurological diseases, what's wrong?

Answer: dissecting aneurysm好發於anterior communicating artery and basilar tip

Choices:
A. Langerhans cell histiocytosis好發於suprasellar region and skull bones
B. germ cell tumor occur in the suprasellar and pineal regions
C. mycotic aneurysm好發於branches of middle and posterior cerebral arteries
D. dissecting aneurysm好發於anterior communicating artery and basilar tip


Question: About biological warfare in botulinum toxin poisoning (botulism) characterization of the following statements is true?

Answer: Descending limb paralysis (descending paralysis)

Choices:
A. The normal reflex pupillary light (normal light reflex)
B. Distal limb weakness (distal limb weakness)
C. Descending limb paralysis (descending paralysis)
D. Central facial palsy (central facial palsy)

About
botulinum toxin poisoning
botulism
following
true


Question: Which of the following is the lab to Use the plastid (plasmid) Direct Transformation (transformation) into the bacteria most commonly Use of Remedies?

Answer: CaCl2 bacteria after heat shock treatment (heat shock) the plasmid into the bacteria

Choices:
A. Electrophoresis low voltage (low-voltage electrophoresis) will be pulled into the bacterial plasmid in
B. Phage with plasmid transfection method (Transfection)
C. Micro-injection (micro-injection) will be injected into the plastid bacteria
D. CaCl2 bacteria after heat shock treatment (heat shock) the plasmid into the bacteria

following
lab to Use
plastid
plasmid
Direct Transformation
transformation
bacteria
Use of


Question: Following on panic disorder (panic disorder) treatment, whichever is correct?

Answer: Selective serotonin reuptake inhibitors (SSRI) have a good effect on panic disorder

Choices:
A. Cognitive behavioral therapy (cognitive behavioral therapy) ineffective
B. Good drug treatment benzodiazepines class (benzodiazepines.), So after 4-12 weeks of therapy may be to increase the dose
C. Selective serotonin reuptake inhibitors (SSRI) have a good effect on panic disorder
D. The use of alprazolam treatment, the addiction is low

Following
panic disorder
panic disorder
treatment
correct


Question: Account of human chorionic gonad stimulating hormone (human chorionic gonadotropin, hCG), the error which of the following?

Answer: In short half-life than LH metabolism

Choices:
A. Acting on LH receptor luteal cells
B. Have been produced and secreted by the fetal trophoblast cells bed (trophoblasts)
C. In short half-life than LH metabolism
D. Rescue corpus luteum (luteal rescue) main hormone

Account
human chorionic gonad
hormone
human chorionic gonadotropin
hCG
error
following


Question: 93 in a case-control study in a study of the relationship between genotype and breast cancer, genotype and divided into two TT GG + GT, GG + GT group that calculates odds ratio TT group ratio (Odds Ratio) of 2.4,95% confidence interval (95% Confidence interval) to (1.4, 4.3). Which statement is correct?

Answer: GG + GT genotype with breast cancer-prone than the TT genotype, meaning there is a statistically significant

Choices:
A. GG + GT genotype with breast cancer-prone than the TT genotype, meaning there is a statistically significant
B. GG + GT genotype with less prone to breast cancer than the TT genotype, meaning there is a statistically significant
C. GG + GT genotype with breast cancer-prone than the TT genotype, meaning there is no statistically significant
D. GG + GT genotype with less prone to breast cancer than the TT genotype, meaning there is no statistically significant

study
relationship
genotype
breast cancer
genotype
divided
two TT GG
GT
GG
GT group
odds ratio TT group
Odds Ratio
2.4 95
confidence interval
95
Confidence interval
1.4
4
correct


Question: Factors that affect gastric emptying (gastric empty) rate, which of the following error?

Answer: Salt content

Choices:
A. Heat content
B. nutrient content
C. Salt content
D. Solid or liquid food

Factors
gastric emptying
gastric empty
rate
following error


Question: Which of the following is not a malaria preventive medicine?

Answer: quinine

Choices:
A. chloroquine
B. doxycycline
C. Malarone（atovaquone/proguanil）
D. quinine

following
not
malaria preventive medicine


Question: 75-year-old Mrs. Lee hospitalized due to stroke, chief medical examination after Mrs. Lee suspected a brain stem stroke (brainstem stroke), the optimal imaging Why?

Answer: NMR photography (MRI)

Choices:
A. Angiography (Angiogram)
B. Photography single photon (SPECT)
C. Computer tomography (CT)
D. NMR photography (MRI)

75 year old Mrs
hospitalized due to stroke
Mrs
suspected
brain stem stroke
brainstem stroke
optimal imaging


Question: About hyperopia (hyperopia) narrative, which of the following is a more correct?

Answer: Hyperopia elderly available for optical correction lens

Choices:
A. Can see clearly from afar who said hyperopia
B. Hyperopia see near without glasses is to look unclear
C. Seeing the distance does not have to wear glasses hyperopia
D. Hyperopia elderly available for optical correction lens

hyperopia
hyperopia
following
more correct


Question: Yellow body (corpus luteum) which is mainly composed of cells?

Answer: Granulosa cells (granulosa cells)

Choices:
A. Granulosa cells (granulosa cells)
B. Ligament cells (theca cells)
C. Fibroblast cells (fibroblasts)
D. Muscle cells (muscle cells)


Question: Dr. Wang has been working quite busy, so his physician referred to in Chapter duty nurse practitioners to help write medical records, opening a routine doctor's advice. In accordance with current regulations and the letter of explanation Welfare Ministry of Health, the following statements is true?

Answer: Although these medical practices can aid the physician to whom the nurse practitioner, but not on behalf of the nurse practitioner

Choices:
A. These medical practices belong to a medical aid behavior, not inappropriate to carry out by the nurse practitioner
B. As long as nurse practitioners performing medical records and open orders, indeed cover physician in charge of the post chapter, that is in line with relevant laws and regulations
C. Although these medical practices can aid the physician to whom the nurse practitioner, but not on behalf of the nurse practitioner
D. These medical practices used to belong to the norm of the medical line, there is no inappropriate


Question: Two groups were compared survival time (survival time) Which of the following statistical methods can be used?

Answer: Log rank test

Choices:
A. Chi-square test
B. Student's t test
C. Mann-Whitney test
D. Log rank test

Two groups
survival time
survival time
following
used


Question: 59, a kidney patients undergoing peritoneal dialysis, the blood pressure of 125/80 mmHg, heart rate of 76 beats / min, 12 lead electrocardiogram found peaked T waves, potassium value of 7.0 mmol / L, no hemolysis. Which of the following disposal of the least priority?

Answer: After consultation Nephrology, waiting to do peritoneal dialysis

Choices:
A. After consultation Nephrology, waiting to do peritoneal dialysis
B. Use glucose (glucose) added to insulin (insulin) treatment
C. Can be treated with sodium bicarbonate (sodium bicarbonate)
D. Using spray bronchodilators (neubulized albuterol) Treatment


Question: A 34-year-old woman, because at home unconscious, was sent to the hospital emergency room, physical examination found to Glasgow Coma Scale: 1 minute eye response, motor response 4 minutes, 1 minute reaction languages, both sides of the pupils and other large diameter 3 mm, the reflected light is not obvious right, left Babinski sign was positive, head and limbs no significant trauma or bruising. Asked about the history that patients without hypertension or heart disease, no history of falls, emergency physician immediately for disposal, the most important of the first disposal Why?

Answer: Establish breathing passages and stable Xunhuanjitong

Choices:
A. Head CT examination
B. Head MRI
C. Consultation within the nerve, surgeons
D. Establish breathing passages and stable Xunhuanjitong

year old woman
at home unconscious
sent
hospital emergency room
found
Glasgow Coma Scale
1 minute eye response
motor response
minutes
1 minute reaction
sides
pupils
large diameter
mm
reflected light
not
right
left Babinski sign
positive
head
limbs
significant trauma
bruising
history
patients
hypertension
heart disease
history of falls
emergency physician immediately
most important
first


Question: A 35-year-old woman to a psychiatric clinic for medical treatment, mainly plagued her every recent months and meet the company's new customers, will feel the sudden tension, sweating, rapid heart beat, worry about the wrong thing, offend customers. This phenomenon is getting worse, and even make you want to quit. Which of the following is most likely for the clinical diagnosis of patients?

Answer: Social phobia (social phobia)

Choices:
A. OCD (obsessive compulsive disorder)
B. Social phobia (social phobia)
C. Generalized anxiety disorder (generalized anxiety disorder)
D. Panic disorder (panic disorder)

35 year old woman
psychiatric clinic
medical treatment
plagued
recent months
company's new
sudden tension
sweating
rapid heart beat
worry
wrong
getting worse
make
to
following
clinical diagnosis
patients


Question: If a large number of patients with chronic cough, mucus pus-like odor of the sputum, Which of the following is the most likely diagnosis?

Answer: Bronchiectasis (bronchiectasis)

Choices:
A. Allergic rhinitis (allergic rhinitis)
B. Pulmonary edema (pulmonary edema)
C. Pulmonary embolism (pulmonary embolism)
D. Bronchiectasis (bronchiectasis)

large number of patients
chronic cough
mucus pus
odor of
sputum
following
diagnosis


Question: Account of traumatic spinal injuries, which of the following error?

Answer: Can not shoulder abduction (shoulder abduction impairment) is generally C7 nerve root injury

Choices:
A. C3 or more injuries often lead to suffocation (apnea)
B. C3 ~ 5 injured in the beginning there will be good to breathe, but because of fatigue and exhaustion and can not clear secretions
C. Can not shoulder abduction (shoulder abduction impairment) is generally C7 nerve root injury
D. low spinal cord injury tests include anal sphincter tone, anal wink and bulbocavernosus reflex

Account
traumatic spinal injuries
following error


Question: Femoral triangle (femoral triangle) is often used to measure central venous pressure (CVP), the following statements about femoral triangle, what's wrong?

Answer: The relationship between the femoral vein, femoral artery, femoral nerve femoral vein in the outermost, innermost femoral nerve

Choices:
A. By the inguinal ligament, sartorius, adductor longus configuration
B. The relationship between the femoral vein, femoral artery, femoral nerve femoral vein in the outermost, innermost femoral nerve
C. Iliopsoas, pubic muscle to its bottom
D. Is rich in lymphoid tissue


Question: Mrs. Chen because of right thumb and index finger, middle finger often wake up at midnight hemp, to out-patient clinics, which of the following best offer checks confirm the diagnosis is "carpal tunnel syndrome (carpal tunnel syndrome)"?

Answer: Electrophysiological examination (Electrophysiology Study, EPS)

Choices:
A. Electrophysiological examination (Electrophysiology Study, EPS)
B. Nuclear magnetic resonance angiography (MRI)
C. Computed tomography (CT)
D. Hand ultrasonography (Sonography)

Mrs
right thumb
index finger
middle finger often wake up
midnight hemp
to out-patient clinics
following best
checks confirm
diagnosis
carpal tunnel syndrome
carpal tunnel syndrome


Question: Colorectal adenomatous polyp with focal invasive carcinoma is a cancer that already extend the layer through polyp?

Answer: muscularis mucosae

Choices:
A. mucosa
B. submucosa
C. muscularis mucosae
D. muscular own

Colorectal adenomatous polyp
focal invasive carcinoma
cancer
extend
layer
polyp


Question: Following a path that is a path excitatory transmitter substance glutamate is the?

Answer: subthalamic nucleus  →  globus pallidus internal segment

Choices:
A. subthalamic nucleus  →  globus pallidus internal segment
B. globus pallidus internal segment  →  thalamus
C. globus pallidus external segment  →  globus pallidus internal segment
D. putamen  →  globus pallidus external segment

Following path path transmitter glutamate


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

Answer: If shortness of breath (dyspnea in) and chest pain (chest pain) appears on the patient's clinical places diuretics (diuretics) and nitrate (nitrate) is the drug of choice

Choices:
A. Half of the patients may have a family history and genetic variation
B. Auscultation often occur fourth heart sound (S4)
C. The most common cause of death was sudden death (sudden cardiac death)
D. If shortness of breath (dyspnea in) and chest pain (chest pain) appears on the patient's clinical places diuretics (diuretics) and nitrate (nitrate) is the drug of choice

following
hypertrophic cardiomyopathy
hypertrophic cardiomyopathy
wrong


Question: The following parts of the crystal body is formed by the accumulation of older lens fibers (older lens fibers)?

Answer: Crystal nucleus (nucleus)

Choices:
A. Zonula fibers (zonular fiber)
B. Crystalline cortex (Cortex)
C. Crystal nucleus (nucleus)
D. Asplanchna (lens capsule)

following parts of
crystal body
formed
accumulation of older lens fibers
older lens fibers


Question: Dystocia (dystocia) occurs, regardless of what the following conditions?

Answer: Pitocin increase

Choices:
A. powers（uterine contractility and expulsive effort）
B. passenger（fetus）
C. passage（pelvis）
D. Pitocin increase

Dystocia
dystocia
occurs
following conditions


Question: Patients with active valve pulse counter flow (aortic regurgitation) can be slowed by following a compensatory role which the severity of the missing cycle (circulatory insufficiency) of?

Answer: Increase blood volume

Choices:
A. Right ventricular hypertrophy
B. Increase blood volume
C. Renal excretion and the amount of water increases the salt
D. Atrial natriuretic peptide (atrial natriuretic peptide) secretion

Patients
active valve pulse counter flow
aortic regurgitation
slowed
following
compensatory role
severity
missing cycle
circulatory insufficiency


Question: The following description, what's wrong?

Answer: Filtered and waterworks of general chloride sterilization methods, to remove water and kill cryptosporidiosis (Cryptosporidium spp.) Oocysts

Choices:
A. E. ciliates (Balantidium coli) and Giardia lamblia (Giardia lamblia) of trophozoites (trophozoites) has two nuclei
B. The current drug of choice for treatment of vaginal trichomoniasis disease (vaginal trichomoniasis) for metronidazole
C. Filtered and waterworks of general chloride sterilization methods, to remove water and kill cryptosporidiosis (Cryptosporidium spp.) Oocysts
D. Camping If you can not boil water, you can use iodine treatment to kill Giardia lamblia (Giardia lamblia) water balloon


Question: A 19-year-old girl complained recently have difficulty writing and dressing when treatment, physical examination found sclera have Kayser-Fleischer's ring and jaundice, blood tests found ALT and AST values increased slightly, while the value decreased ceruloplasmin, 24 hour urinary excretion of copper ions. What is the most appropriate term following the diagnosis?

Answer: Wilson's disease (Wilson's disease)

Choices:
A. Primary biliary cirrhosis (Primary biliary cirrhosis)
B. Wilson's disease (Wilson's disease)
C. Hemochromatosis (Hemochromatosis)
D. Granville's disease (Weil's disease)

year old girl
recently
difficulty writing
dressing
treatment
found sclera
Kayser-Fleischer's ring
jaundice
blood tests found ALT
AST values increased slightly
value decreased ceruloplasmin
hour urinary excretion
copper
most appropriate term following
diagnosis


Question: A primary intelligence test result IQ is between 58 to 62, poor schoolwork but can still interact with the students, trained also learn to swim, can still help sweep the floor at home and waste disposal. This life possible intellectual development disorder (mental retardation) rating:

Answer: Mild

Choices:
A. Mild
B. Moderate
C. severe
D. No mental retardation


Question: Bactericidal action of penicillin (penicillin) because it can inhibit the activity of these enzymes is what?

Answer: Peptidase enzyme group (transpeptidase)

Choices:
A. Lactam enzymes (β-lactamase)
B. Peptidase enzyme group (transpeptidase)
C. Ligase (ligase)
D. Aldolase (Aldolase)

Bactericidal action
penicillin
penicillin
inhibit


Question: A 7-year-old girl after school sports finished a few weeks, appears depigmentation spots on both sides of the cheeks, which with tiny scales. By KOH microscopic examination no abnormal findings, given weak effect after the diagnosis and treatment of steroid ointment, one week after the disabled, and asked to strengthen protective measures, two months after the return to normal skin lesions, the most likely diagnosis Why?

Answer: White rosea (pityriasis alba)

Choices:
A. Depigmenting nevus (nevus depigmentosus)
B. White spots (vitiligo vulgaris)
C. White rosea (pityriasis alba)
D. Color rosea (pityriasis versicolor) 46 cerebral infarction (cerebral infarction) lesions in the development process, which pathophysiological phenomenon occurs first?

year old girl
finished
few weeks
appears depigmentation spots
sides
cheeks
scales
KOH microscopic examination
abnormal findings
given weak effect
diagnosis
treatment
steroid ointment
one week
disabled
to
measures
two months
return
normal skin lesions
diagnosis


Question: A 45 year old woman, because of the large staghorn kidney stones (staghorn stone) (composed of magnesium ammonium phosphate) and acute pyelonephritis (pyelonephritis) hospitalization. The women Left untreated, the mortality rate how?

Answer: 10-30%

Choices:
A. Less than 10%
B. 10-30%
C. 30-50%
D. 50-70%

year old woman
large staghorn kidney
staghorn stone
magnesium ammonium phosphate
acute pyelonephritis
pyelonephritis
Left untreated
mortality rate


Question: 75. After a birth of scalp blood has a great mass, the clinician arranged to determine its cause the computer tomographic examination revealed that the limited range of blood left parietal bone mass (parietal bone) (as), while after three months CT also re-tracking of tumor blood after seeing absorption calcification, which is the most likely diagnosis is:

Answer: Cephalohematoma

Choices:
A. Chapter succedaneous
B. subgaleal hematoma
C. Cephalohematoma
D. Subdural hematoma

75
birth
scalp blood
great mass
clinician
to
cause
computer tomographic
revealed
limited range
blood left parietal
parietal bone
three months CT
tracking
tumor blood
seeing absorption calcification
diagnosis


Question: A 56-year-old woman, with long-term history of hypertension but did not receive regular treatment, due to sudden tearing of severe chest pain, shortness of breath, sweating and fainting (syncope), is sent to family emergency, blood pressure 150/100 mmHg, heartbeat 110 / min, there are three degrees (grade III / VI) systolic and diastolic murmurs short. Chest X-rays show the left pleural effusion, mediastinal slightly larger. ECG lead II, III, aVF band display rising ST 2 mm and left ventricular hypertrophy. That one of the following disposal more appropriate?

Answer: Artery angiography should be performed or chest CT examination immediately

Choices:
A. Should immediately administer chest tube drainage
B. Fibrinolytic therapy should be started (fibrinolytic therapy) within a half hour
C. Artery angiography should be performed or chest CT examination immediately
D. Shall Pulmonary ventilation / perfusion nuclear medicine photography (ventilation / perfusion lung scan), to check whether there is a defect disproportionate


Question: A 70-year-old woman, according to Bruce protocol exercise time 5 minutes and 30 seconds, maximum heart rate 137 beats / min, exercise ECG in the following figure, what is your interpretation and diagnosis Why?

Answer: Enough exercise cried to display myocardial ischemia

Choices:
A. Enough exercise cried to, normal ECG
B. Cried to lack of movement, must redo
C. Enough exercise cried to display myocardial ischemia
D. Cried to enough exercise, but ambiguous ECG changes, be sure to check the other cried to

70 year old woman
Bruce protocol exercise time
minutes
30 seconds
maximum heart rate
min
exercise ECG
following
interpretation
diagnosis


Question: Lack of MHC class II molecules, which will produce the following phenomena?

Answer: CD4 T cells and antigen presenting cell dysfunction

Choices:
A. Due to defects of the TAP1 and TAP2 gene, MHC class II molecules can not be expressed on the cell surface
B. CD8 αβ T cell maturation is hindered, the number of rare
C. CD4 T cells and antigen presenting cell dysfunction
D. Patients mainly for skin ulcers, vasculitis and chronic respiratory infections


Question: Statements about benign bone lesions and associated treatments, which of the following error?

Answer: Addicted to violations of the vertebral body eosin ball of ⾁ granulomas (eosinophilic granuloma), need to scrape your watch Perform open surgery (open

Choices:
A. Treatment of simple bone cyst (simple bone cyst) include: follow-up observation, restricted activity, intralesional steroid injections, and intralesional curettage
B. Aneurysmal bone cyst (aneurysmal bone cyst) treatments include: biopsy (biopsy) to be diagnosed, scrape
C. Local pain osteoid osteoma (osteoid osteoma) can Using non-steroidal anti-inflammatory drugs (nonsteroidal anti-inflammatory drugs) to relieve
D. Addicted to violations of the vertebral body eosin ball of ⾁ granulomas (eosinophilic granuloma), need to scrape your watch Perform open surgery (open

benign bone lesions
associated treatments
following error


Question: 14-year-old girl, six months to come to the first period. For treatment of acute right lower abdominal pain, suspected: appendicitis, mittelschmerz (Mittelschmerz), torsion of ovarian cyst, pelvic bone or endometriosis. The following items that top priority check and helps differential diagnosis?

Answer: Pelvic ultrasonography (Sonography)

Choices:
A. Laparoscopic Surgery (Laparoscopy)
B. Abdominal computed tomography (CT)
C. Pelvic ultrasonography (Sonography)
D. MRI (MRI)

year old girl
six months to
first period
treatment
acute right lower abdominal pain
suspected
appendicitis
mittelschmerz
Mittelschmerz
torsion
pelvic bone
endometriosis
following
top priority check
helps differential diagnosis


Question: Scalp blood supply mainly from:

Answer: Superficial temporal artery (superficial temporal artery)

Choices:
A. Meningeal artery (middle meningeal artery)
B. Superficial temporal artery (superficial temporal artery)
C. Vertebral artery (vertebral artery)
D. Facial artery (facial artery)


Question: The following information about sexually transmitted diseases and genital ulcer narrative, what's wrong?

Answer: Syphilis patients after treatment, blood can be used as reference TPHA therapeutic response

Choices:
A. Drug of choice for syphilis (Syphilis) treatment is Penicillin
B. Haemophilus ducreyi bacteria Chancroid caused, pain, ulcer sites significantly
C. Herpes lesions often caused by multiple small blisters
D. Syphilis patients after treatment, blood can be used as reference TPHA therapeutic response

following
sexually transmitted diseases
genital ulcer
wrong


Question: Statements about the esophagus, which of the following error?

Answer: Can not slow the esophagus (achalasia) related to esophageal cancer, the most common cell type is adenocarcinoma (adenocarcinoma)

Choices:
A. At present the world of esophageal squamous cell carcinoma (squamous cell carcinoma) of the most common
B. In Western countries, increased use of antacids is one risk factor for esophageal cancer
C. Can not slow the esophagus (achalasia) related to esophageal cancer, the most common cell type is adenocarcinoma (adenocarcinoma)
D. Non-invasive tool for assessment before surgery lymph node metastasis (N status for TNM stage, AJCC) among positron CT photography correctness than good


Question: The following narrative about the structure of proteins, where entries are correct?

Answer: α helix secondary structure is common protein

Choices:
A. Disulfide bonds (Disulfide bond) constituting the secondary structure of the
B. Protein structure contains one to four
C. There are four levels of myoglobin structure
D. α helix secondary structure is common protein


Question: The following information about the innate immune response (innate immune responses) of the narrative, what's wrong?

Answer: Recognition of PAMPs receptors (receptors) and specificity of the antigen receptor (antigen receptor) Similarly, the need to go through in order to demonstrate its recombinant protein

Choices:
A. Inflammation caused by microorganisms belonging to innate immunity (innate immunity)
B. Type of molecular pathogens (pathogen-associated molecular patterns, PAMPs) trigger the innate immune response
C. Recognition of PAMPs receptors (receptors) and specificity of the antigen receptor (antigen receptor) Similarly, the need to go through in order to demonstrate its recombinant protein
D. Mainly carried out by phagocytic cells (phagocytes)

following
innate immune response
innate immune responses
wrong


Question: A unilateral cleft lip and palate patients born of the requirements of the relevant physician diagnosis and treatment of problems that will face immediately after birth is:

Answer: Feeding

Choices:
A. Language
B. Feeding
C. psychological
D. hearing

unilateral cleft lip
palate patients born
requirements
relevant physician diagnosis
treatment
face immediately
birth


Question: Which of the following situations may increase lung compliance (lung compliance)?

Answer: Emphysema (emphysema)

Choices:
A. HORMONE surface (Surfactant) reduced secretion
B. Pulmonary fibrosis (fibrosis)
C. Pulmonary edema (lung edema)
D. Emphysema (emphysema)

following
increase lung compliance
lung compliance


Question: Statements about bad hip growth and sexual development (developmental dysplasia of the hip), the error which of the following?

Answer: Ortolani test within Exhibition (adduction) to check out the operation of the hip joint can be dislocated out

Choices:
A. Although ultrasonography provides a more accurate diagnosis, but the physical examination is still the main method of diagnosis
B. Using Barlow test may check out the hip joint can be dislocated
C. Torticollis is a risk factor for neonatal torticollis should be screened
D. Ortolani test within Exhibition (adduction) to check out the operation of the hip joint can be dislocated out

bad hip growth
sexual development
developmental dysplasia of the hip
error
following


Question: The following account of dengue fever (dengue-fever), and what's wrong?

Answer: aegypti) distributed close to home, and bite humans during the day

Choices:
A. Dengue virus is the major media - Aedes aegypti (
B. aegypti) distributed close to home, and bite humans during the day
C. Divided into four dengue virus serotypes, a type of infection which may be life-long immunity against all four serotypes of virus
D. Have been infected with one serotype of dengue virus, if more infected with another serotype, dengue hemorrhagic may or dengue shock syndrome occurs

following account
dengue fever
dengue-fever
wrong


Question: NHI currently imposed in conformity medical institutions charging different level part of the burden, the burden on the part of those following outpatient costs are not worse?

Answer: Continuous chronic prescription of drugs

Choices:
A. Simple and rehabilitation of moderate treatment
B. Continuous chronic prescription of drugs
C. Chinese medicine traumatology treatment
D. Above certain amount of drug costs

currently
medical
charging different level part of
part of
following outpatient costs
not worse


Question: About the limbs interval syndrome (compartment syndrome), which of the following non?

Answer: When the pressure exceeds the interval 10 cmH2O, i.e. the interval subject to lysis

Choices:
A. After the trauma often occurs in the limbs, causing ischemia
B. Emergency facilities must make the interval lysis (compartment release)
C. If not handled properly, will result in amputation or consequences of Volkmann's ischemic contracture
D. When the pressure exceeds the interval 10 cmH2O, i.e. the interval subject to lysis

limbs interval syndrome
compartment syndrome
following non


Question: A 25-year-old man vacation travel to Southeast Asia, in order to save costs, room and board who are looking for the cheapest price, two weeks fever, nausea, abdominal pain after returning home, loss of appetite and fatigue and other symptoms, although went to the doctor and clothes medicine, four days after the jaundice phenomenon still occurs, this man probably got what disease?

Answer: hepatitis

Choices:
A. Yellow fever
B. hepatitis
C. dengue
D. Gastroenteritis

year old man
Southeast Asia
order
costs
room and board
looking
price
two weeks fever
nausea
abdominal pain
returning home
loss of appetite
fatigue
symptoms
doctor
clothes medicine
four days
jaundice
occurs
man
got
disease


Question: 65-year-old men, colorectal cancer patients undergoing chemotherapy, the fever, yellow sputum, breathlessness and breathing to the hospital. Physical examination show: consciousness is impaired, the blood pressure 80/60 mmHg, heart rate 150 beats / min, rapid shallow breathing 30 times / min, with a song with the suction asthma rales, lips cyanosis of the extremities. Arterial blood gas analysis data in the unused oxygen follows: pH 7.25, PaCO2 67 mmHg, PaO2 45 mmHg. Which of the following does not apply to the most appropriate treatment?

Answer: Given nasal oxygen tube

Choices:
A. Given nasal oxygen tube
B. Intravenous infusion
C. Endotracheal intubation
D. Broad-spectrum antimicrobial formulation

65 year old
colorectal cancer patients
chemotherapy
fever
yellow sputum
breathlessness
breathing
hospital
consciousness
impaired
blood pressure 80 60 mmHg
heart rate
beats
min
rapid shallow breathing 30 times
min
suction asthma rales
lips cyanosis
extremities
Arterial blood gas analysis data
unused oxygen follows
pH 7
67 mmHg
PaO2
mmHg
following
not apply
appropriate treatment


Question: 38 a 75-year-old woman, intermittent vaginal bleeding 2 years, most recently as the left pelvic pain for obstetrics and gynecology for treatment, after inspection vaginal cancer cm 3 1/2 located on the vagina, the slice of the cell type is squamous epithelium carcinoma (squamous cell carcinoma), found within the diagnosis of tumor invasion left pelvic wall (pelvic side wall), bladder and rectum is not violated, this is most likely the patient is not of:

Answer: stage III

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

75 year old woman
intermittent vaginal bleeding
years
most recently
left pelvic pain
obstetrics
gynecology
treatment
inspection vaginal cancer
vagina
squamous epithelium carcinoma
squamous cell carcinoma
found
diagnosis
tumor left pelvic wall
pelvic side wall
bladder
rectum
not
patient
not


Question: 4 a chronic hepatitis C patients with cirrhosis abdominal ultrasound examination revealed, blood test results are as follows: albumin = 2.7 g / dL (normal> 3.5), bilirubin (total) = 2.0 mg / dL (normal < 1.2), prothrombin time (PT) INR = 1.5, WBC = 3,000 / mm3 (normal> 4,000), platelet = 8 K / mm3 (normal> 15K). Most often constipation, but like meat, one day, he was found unconscious and was sent to the emergency room, the following statements, what's wrong?

Answer: Blood tests ammonia (NH3) value = 32 μg / dL (normal <37)

Choices:
A. Physical examination is likely to be found flapping tremor shot (flapping tremor)
B. Blood tests ammonia (NH3) value = 32 μg / dL (normal <37)
C. As soon as possible laxative enema (enema)
D. Currently animal protein intake should be limited

4 a chronic hepatitis C
cirrhosis abdominal ultrasound
revealed
blood test results
follows
albumin
2.7 g
dL
normal
3.5
bilirubin
total
2 0 mg
dL
normal
1.2
prothrombin time
INR
1.5
WBC
3
mm3
normal
4
K
mm3
normal
Most often constipation
one day
found unconscious
sent
emergency room
following
wrong


Question: Congenital hypothyroidism low energy syndrome (congenital hypothyroidism) newborns, the most common items where the following symptoms?

Answer: Neonatal jaundice longer duration

Choices:
A. Height and weight at birth was significantly too small
B. Smaller head circumference at birth
C. Poor sleep often crying
D. Neonatal jaundice longer duration

Congenital hypothyroidism
syndrome
congenital hypothyroidism
newborns
most common
following symptoms


Question: Causing acute infectious diarrhea, watery stool and microscopic examination can not see the white blood cells, the most likely pathogens are:

Answer: Vibrio cholerae

Choices:
A. Vibrio cholerae
B. Salmonella species
C. Shigella species
D. Entamoeba histolytica

Causing acute infectious diarrhea
watery stool
microscopic examination
not see
white blood cells


Question: Vestibular glands (greater vestibular glands) in:

Answer: Superficial perineal gap (superficial perineal pouch)

Choices:
A. Pelvic
B. Diaphragmatic pelvis (pelvic diaphragm)
C. Deep perineal gap (deep perineal pouch)
D. Superficial perineal gap (superficial perineal pouch)

Vestibular glands
greater vestibular glands


Question: A full 1-year-old girl was brought to the clinic for health checks, grandmother worried about her develop more slowly. Which of the following conditions need referral for further development assessment?

Answer: Will not stand up leaning crib railing

Choices:
A. Will not stand up leaning crib railing
B. Do not stack four blocks
C. Asked her body parts, will not hand over
D. Will not say "no"

full
year old girl
brought
clinic
checks
worried
more slowly
following conditions need
further development


Question: Patients who figure on the right quadruped walking crutch, left foot in the left shoulder sagging turn, patients are most likely to suffer Which of the following diseases?

Answer: The right of cerebral infarction

Choices:
A. The right of cerebral infarction
B. Left cerebral hemorrhage
C. Right cerebellar hemorrhage
D. The left brain stem hemorrhage

Patients
right
crutch
left foot
shoulder sagging turn
patients
to suffer
following diseases


Question: When beginning a 30-year-old mother 30 weeks pregnant hospitalized because of abdominal pain, fetal heart tones fetal heart rate variability monitor display normal, normal heart rate, uterine contractions every 4-6 minutes. In recent years she had repeatedly asthma attack. After the marriage due to polycystic ovary 2 years of infertility, by medication (metformin), was able to become pregnant. Hospital blood examination revealed mild increase in the number of white blood cells, CRP values significantly increased, following what the most appropriate way to deal with?

Answer: Given atosiban (an oxytocin competitive antagonist) and antibiotics

Choices:
A. Administration of beta-adrenergic agonist
B. Administration of beta-adrenergic agonist and antibiotics
C. Given atosiban (an oxytocin competitive antagonist)
D. Given atosiban (an oxytocin competitive antagonist) and antibiotics


Question: Pregnant women about the narrative, which of the following error?

Answer: When pregnant women, the menstrual cycle is suppressed, mainly because of a significant increase in blood estrogen-induced

Choices:
A. After six weeks of pregnancy if the removal of the ovaries, and will not affect the pregnancy process
B. When pregnant women, the menstrual cycle is suppressed, mainly because of a significant increase in blood estrogen-induced
C. Human chorionic gonadotropin (human chorionic gonadotropin) is nourished by the villi of leaf cell layer fusion
D. Synthesis of pregnancy fetal adrenal cortical hormone (adrenal corticoid), it is necessary to assist synthetic placental intermediate product


Question: Proteins involved in eukaryotic cells of decomposition, the following statements is wrong?

Answer: Are not required to participate in the ATP

Choices:
A. Are not required to participate in the ATP
B. Trypsin may be hydrolyzed after lysine peptide bond
C. Ubiquitination (Ubiquitination) involved in protein degradation mechanism
D. Lysosome can be decomposed with proteases intracellular protein


Question: 53 About Cushing's disease (Cushing's disease) endocrine three test results: ①1 mg dexamethasone suppression test ②2 mg dexamethasone suppression test ③8 mg dexamethasone suppression test described that one of the following options correct?

Answer: ③ not inhibit suppression ①②

Choices:
A. ①②③ are inhibited
B. ③ not inhibit inhibition ①②
C. ③ not inhibit suppression ①②
D. ①②③ neither suppression

Cushing's disease
Cushing's disease
endocrine three test results
1 mg dexamethasone suppression test
8
one
following options correct


Question: The following narrative about skeletal muscle contraction, what's wrong?

Answer: Calcium ions are released into the cytoplasm of the muscle cell membrane via

Choices:
A. Action potential is transmitted via the T-tubules
B. Increase in the calcium ion concentration promotes the interaction of actin (actin) and myosin (Myosin) within myocytes
C. Ryanodine receptacle is a calcium release channel
D. Calcium ions are released into the cytoplasm of the muscle cell membrane via

following
skeletal muscle contraction
wrong


Question: A 51-year-old woman was handed the proximal interphalangeal joint swelling and pain many a year while seeking treatment, the patient feels most severe swelling and pain in the hands just woke up, sustainable three hours; joint pain sometimes appear in two side of the wrist and elbow, following examination of the most helpful in the diagnosis of the disease is that one?

Answer: Hands X-ray photography (X-ray)

Choices:
A. Immunoglobulin
B. Hands X-ray photography (X-ray)
C. In the blood complement 體濃 degree
D. Erythrocyte sedimentation rate (ESR)

year old woman
handed
proximal
pain
year
treatment
patient
most severe swelling
pain
hands
woke up
three hours
joint pain sometimes appear
two side
wrist
elbow
following
helpful
diagnosis
disease
one


Question: If the patient does not undergo surgery. Years later, the patient showed cyanosis, by ultrasound examination revealed a right-to-left shunt phenomenon will cause the main reason why this phenomenon?

Answer: Wall of pulmonary arteries harden and pulmonary vascular resistance

Choices:
A. Wall of pulmonary arteries harden and pulmonary vascular resistance
B. Reduced ventricular septal defect, reduce pulmonary artery
C. Pulmonary vein opening is narrowed, so that pulmonary vascular resistance
D. Tricuspid regurgitation, pulmonary artery blood flow

patient
not
surgery
Years later
patient
cyanosis
ultrasound examination revealed
right-to-left shunt
cause
main


Question: When separated by the dengue virus patients who desire to take a subject that most patients following suit?

Answer: blood

Choices:
A. Throat swabs (throat swab)
B. blood
C. skin
D. Anal swabs (anal swab)

separated
patients
to
subject
patients following


Question: Which of the following will be by the line between the piriformis muscle and coccyx?

Answer: Internal pudendal artery

Choices:
A. Superior gluteal artery
B. Obturator artery
C. Bladder artery
D. Internal pudendal artery


Question: A 7-year-old child, my mother noticed that he had last month phenomenon lame (limping), and are less walking, physical examination found that his right hip (hip) external rotation (external rotation) when the activity limitation, doctors suspect he suffered Legg-Calvé-Perthes disease, early diagnosis of the following items to check how the disease is most helpful?

Answer: magnetic resonance imaging（MRI）

Choices:
A. computed tomography scan（CT scan）
B. magnetic resonance imaging（MRI）
C. plain radiography
D. technetium-99 methylene diphosphate bone scan

year
last month
limping
less
found
right hip
hip
external rotation
external rotation
activity limitation
doctors
suffered Legg
Perthes disease
early diagnosis
following
to check
disease
most helpful


Question: Obesity is excess fat disease, on fat metabolism in adipose tissue, the following statements is wrong?

Answer: Fasting, released fatty acids to triglyceride synthesis in the liver, packed into chylomicrons (chylomicron) secreted into the blood

Choices:
A. Adipose tissue lipolysis, released fatty acids to produce energy may be supplied to other tissues
B. Adipose tissue lipolysis, the decomposition of the fatty acids, most of adipose tissue is still triglyceride synthesis
C. Adipose tissue lipolysis, released fatty acids to the liver triglyceride synthesis again, so easy to obese patients with fatty liver
D. Fasting, released fatty acids to triglyceride synthesis in the liver, packed into chylomicrons (chylomicron) secreted into the blood

Obesity
excess fat disease
adipose tissue
following
wrong


Question: For patients with diabetes, blood sugar control if positive, then the following statements is wrong?

Answer: Diabetic retinopathy (diabetic retinopathy, DR) certainly does not occur

Choices:
A. Diabetic retinopathy (diabetic retinopathy, DR) certainly does not occur
B. Can slow the progression of diabetic retinopathy back-yl (background diabetic retinopathy, BDR) of
C. Can be reduced proliferative diabetic retinopathy (proliferative diabetic retinopathy, PDR) is formed of
D. Retinal laser treatment can reduce the demand (laser photocoagulation) of

patients
diabetes
blood sugar control
positive
then
following
wrong


Question: The following statements about the following figure computed tomography of the chest, what's right?

Answer: Single arrow left ventricular

Choices:
A. Single arrow to the left atrium
B. The double arrow pulmonary artery
C. The double arrow inferior vena cava
D. Single arrow left ventricular

following
computed tomography of
chest
right


Question: The following statements about the differential diagnosis of peripheral vertigo (peripheral vertigo) and central vertigo (central vertigo), and what's right?

Answer: Patients whose central vertigo vertigo is usually more moderate, but the patient peripheral vertigo that usually more intense vertigo

Choices:
A. Patients whose central vertigo vertigo is usually more moderate, but the patient peripheral vertigo that usually more intense vertigo
B. Eye contact is not rotated (visual fixation) can be suppressed nystagmus and dizziness central vertigo patients, but can not suppress
C. Central vertigo patients often also have hearing loss or tinnitus, vertigo and few patients outside of tinnitus
D. Patients with central vertigo not vertical nystagmus (vertical nystagmus), and patients often have peripheral vertigo vertical nystagmus

following
differential diagnosis
peripheral vertigo
peripheral vertigo
central vertigo
central vertigo
right


Question: Anatomic dead space (anatomic dead space) within the composition of oxygen (O2) and carbon dioxide (CO2) Which of the following most similar proportion?

Answer: Atmosphere (atmospheric gas)

Choices:
A. Alveolar (alveolus) gas
B. Atmosphere (atmospheric gas)
C. Alveolar capillary (alveolar capillary) blood
D. Surrounding capillaries (peripheral capillary) blood

Anatomic dead space
anatomic dead space
composition
oxygen
O2
carbon dioxide
CO2
following
similar proportion