Question: A male chef began two years ago, over and over again to check taps and toilets for leaks, and often stared at the fingers, to see if there is that dirt, for which consumes a lot of time every day. Six months later appeared at the repeated use of the idea of fried hands, so afraid of meeting the pan. Family to persuade them to seek medical treatment, it would not listen. Nearly a month has claimed to hear the opposite building represents a woman love him, but after a few days, also known as the woman scolded him rogue, to call someone to teach him a lesson, for which insecure, sometimes mumbling, so be accompanied by family members treatment. The patients most likely diagnosis is:

Answer: Schizophrenia (schizophrenic disorder)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Bipolar disorders (bipolar disorder)
C. Social anxiety disorder (social anxiety disorder)
D. Schizophrenia (schizophrenic disorder)

male chef began two years
over
over
to check
toilets
leaks
often stared
fingers
to see
dirt
lot
time
day
Six months later appeared
repeated use of
idea
fried hands
pan
to
to
medical treatment
not
Nearly
month
to hear
opposite building
woman
few days
known
woman
to call
to
sometimes
treatment
patients
likely diagnosis


Question: Generation of C3 convertase (complement) the complement activation process can be decomposed C3, C3a and producing a large number of C3b. In which the function of C3b Why?

Answer: Form a covalent bond connected to the surface of the pathogen, the pathogen C3b expression are likely to be of phagocytic cells (phagocytes) phagocytosis

Choices:
A. Cause local inflammation and attract macrophages (macrophage), neutrophils (neutrophil) to the site
B. Form a covalent bond connected to the surface of the pathogen, the pathogen C3b expression are likely to be of phagocytic cells (phagocytes) phagocytosis
C. Directly attack the cell membrane of the pathogen
D. C4 C4a and C4b become decomposition


Question: The following figure shows the ultrasound scan of the liver, the most unlikely as indicated at arrow lesions:

Answer: Simple cyst

Choices:
A. Liver abscess
B. HCC
C. Simple cyst
D. Metastatic cancer

following
ultrasound scan
liver
most unlikely
indicated
arrow lesions


Question: 78 The following account of David's lung fluke (Paragonimus westermani), and those right? ① can be found in sputum of patients with non-small eggs eggs ② cover, the patients ciliated larvae (miracidium) ③ long-term infection, tuberculosis clinical symptoms similar to human ④ second intermediate host is

Answer: ①③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④


Question: Conduct pain signals of the nervous system (nociceptive pathways) Which of the following is based on fiber conduction?

Answer: C-fiber + A-delta fiber

Choices:
A. C-fiber + A-beta fiber
B. C-fiber + A-delta fiber
C. C-fiber + A-gamma fiber
D. A-beta fiber + A-delta fiber

pain
nervous system
following
based on fiber conduction


Question: Which of the following conditions can cause insulin (insulin) / glucagon (glucagon) in the molar ratio of less than 0.5?

Answer: hunger

Choices:
A. Eating large amounts of carbohydrates
B. Intravenous injection of glucose
C. Eating small amounts of crackers
D. hunger

following conditions
cause insulin
insulin
glucagon
glucagon
molar ratio
0.5


Question: Feeling the upper eyelid (superior palpebra) passed by the skin of what nerve?

Answer: Ophthalmic (ophthalmic nerve)

Choices:
A. Ophthalmic (ophthalmic nerve)
B. The optic nerve (optic nerve)
C. Oculomotor nerve (oculomotor nerve)
D. The facial nerve (facial nerve)

upper eyelid
superior palpebra
passed
skin
nerve


Question: The following statements is about the medical / hospital classification error?

Answer: Divided into open and lockout hospital hospital physician hired two categories depending on the way

Choices:
A. In accordance with ownership divided into public medical institutions, private medical institutions, medical corporation and corporation attached to medical institutions into four categories
B. Divided into open and lockout hospital hospital physician hired two categories depending on the way
C. Divided according to the services hospitals, clinics and other medical institutions in three categories
D. Depending on whether the function is divided into teaching hospital with teaching and non-teaching hospitals categories

following
medical
hospital classification error


Question: Which of the following is not cyclosporine (cyclosporine) efficacy?

Answer: Inhibition of interstitial fibrosis (interstitial fibrosis)

Choices:
A. Inhibition of interleukin -2 (interleukin-2)
B. Inhibition of interstitial fibrosis (interstitial fibrosis)
C. Inhibition of T cell proliferation (Proliferation)
D. Immune cells within the binding immunophilins

following
not cyclosporine
cyclosporine
efficacy


Question: 50 year old woman reports of abnormal cervical smear results, for further cervical biopsies, found gluconeogenesis cell substitutes for whole layer of the original uterine epithelial cells, in situ hybridization (in situ hybridization) found in these different students cells have HPV (human papillomavirus) 16 type of DNA, the Which of the following is the most likely diagnosis?

Answer: Neoplastic third stage (cervical intraepithelial neoplasia III) Cervical intraepithelial

Choices:
A. Pointed warts (condyloma acuminatum)
B. Chronic cervicitis cell metaplasia and the like (chronic cervicitis with squamous metaplasia)
C. Neoplastic third stage (cervical intraepithelial neoplasia III) Cervical intraepithelial
D. Cervical polyps (cervical polyp)

50 year old woman reports
abnormal
further cervical biopsies
found
layer
original
found
different
cells
HPV
human papillomavirus
16 type
DNA
following
diagnosis


Question: If intracranial ruptured cerebral aneurysm, the following treatment what should be avoided?

Answer: Height sedation

Choices:
A. Strict bed rest
B. Calcium blockers: Nimodipine
C. Blood pressure control
D. Height sedation

intracranial ruptured cerebral aneurysm
following treatment


Question: Urine protein is one of the major clinical manifestations Which of the following blood cancer?

Answer: Multiple myeloma (multiple myeloma)

Choices:
A. Mantle cell lymphoma (mantle cell lymphoma)
B. Follicular lymphoma (follicular lymphoma)
C. Multiple myeloma (multiple myeloma)
D. Nodular sclerosis Hodgkin's lymphoma (nodular sclerosis Hodgkin lymphoma)

Urine protein
one of
major clinical manifestations
following blood cancer


Question: A woman tired because the clinics open, physical examination show his face yellow, whites jaundice, blood tests show full of bilirubin (total bilirubin) was 4.2 mg / dL, direct bilirubin 0.8 mg / dL, AST (GOT) 105 U / L (normal <31), ALT (GPT) 30 U / L (normal <31), urine examination showed a yellow color, bilirubin negative. What the following items for further examination diagnosis Least Helpful?

Answer: Hepatitis B antigen (HBsAg)

Choices:
A. Hepatitis B antigen (HBsAg)
B. Lactic acid dehydroepiandrosterone  (LDH)
C. Complete blood count (CBC)
D. Reticulocytes (reticulocyte)

woman tired
clinics open
face yellow
jaundice
blood tests
full
bilirubin
total bilirubin
4.2 mg
dL
direct bilirubin 0.8 mg
dL
AST
U
L
normal
31
ALT
GPT
30 U
L
normal
31
urine examination
yellow color
bilirubin negative
following
further
diagnosis Least Helpful


Question: Echinocandins (echinocandins) is a relatively new class of antifungal (Antifungal) drugs, one of caspofungin (Caspofungin) has passed the test for human clinical use. Which inhibit fungal turn the machine Why?

Answer: Inhibit the synthesis of fungal glucan 1,3-β- (1,3-β-glucans) of

Choices:
A. Inhibit the synthesis of fungal DNA
B. Inhibiting the synthesis of fungal ergosterol (ergosterol) of
C. Inhibit the synthesis of fungal glucan 1,3-β- (1,3-β-glucans) of
D. Inhibition of fungal chitin (chitin) Synthesis of

Echinocandins
echinocandins
new
antifungal
Antifungal
drugs
one
caspofungin
Caspofungin
passed
test
human clinical use
inhibit fungal turn
machine


Question: There is a long history of smoking and 60-year-old patient suffering from COPD, the admission of pneumonia a month ago, the diagnosis and treatment of chest physicians, is now in stable condition improved, consultation rehabilitation department, the speculum, the patient has a barrel chest, mouth suction gas and abdominal muscles at the same time force, there productive cough and have dyspnea. The following breathing patterns that can best improve the situation of patients with emphysema?

Answer: Circular lip breathing (pursed-lip expiration)

Choices:
A. Circular lip breathing (pursed-lip expiration)
B. Glossopharyngeal breathing (glossopharyngeal breathing)
C. Xiongshihuxi
D. The shallow and rapid breathing

long history of smoking
60 year old patient suffering
COPD
pneumonia
month
diagnosis
treatment
chest physicians
now
stable condition improved
speculum
patient
barrel chest
mouth suction gas
abdominal muscles
same time
productive cough
dyspnea
following breathing patterns
best
patients
emphysema


Question: That an antibody concentration in the human body increases, prone to Type 1 hypersensitivity reactions?

Answer: IgE

Choices:
A. Age
B. IgE
C. IgG
D. IgM

antibody concentration
human increases
prone


Question: About Ringer's lactate solution (lactated Ringer's solution) components, Which statement is correct?

Answer: Sodium 130 mEq / L

Choices:
A. Sodium 130 mEq / L
B. Potassium 3 mEq / L
C. Calcium 4 mEq / L
D. Lactate 24 mEq / L

Ringer's solution
lactated Ringer's solution
components
correct


Question: A 50-year-old man had a history of chronic renal failure, two days complained of breathing difficulties, physical examination found: heart rate of 120 beats per minute, blood pressure 80/52 mmHg, jugular vein engorgement, heart sounds weak, both sides are not breathing lung Hello sound, electrocardiogram showed sinus tachycardia, can not feel the pulse of deep breathing, will most likely diagnosis is:

Answer: Pericardial tamponade (pericardial tamponade)

Choices:
A. Pericardial tamponade (pericardial tamponade)
B. Acute coronary syndrome (acute coronary syndrome)
C. Pulmonary hypertension (pulmonary hypertesion)
D. Congestive heart failure (congestive heart failure)

50 year old man
history of chronic renal failure
two days
breathing difficulties
found
heart rate
minute
blood pressure 80
mmHg
jugular vein engorgement
heart sounds weak
sides
not breathing lung
sound
electrocardiogram
sinus tachycardia
not
pulse
deep breathing
diagnosis


Question: Concerning the classification and diagnosis of diabetes and the cause, the following statements is most accurate?

Answer: Type 2 diabetes and obesity and family heredity, is the most common clinical diabetes type ⾒

Choices:
A. Type 1 diabetes occurs in more than 30 years of age, and Auto-immune related
B. Fasting ⾎ sugar exceeds 100 mg / dL or HbA1c i.e. more than 6% of diagnostic criteria for diabetes
C. Type 2 diabetes and obesity and family heredity, is the most common clinical diabetes type ⾒
D. Gestational diabetes occurs in pregnant women before 3 Month, and related insulin resistance

classification
diagnosis
diabetes
cause
following
most accurate


Question: The following narrative about mitral valve prolapse, what's wrong?

Answer: Occurs in 15 to 30 year-old male

Choices:
A. Common pathological changes of the valve showing myxomatous change, occur in the posterior lobe of the valve
B. Occur in patients with Marfan syndrome
C. Occurs in 15 to 30 year-old male
D. No clinical symptoms of most patients, no special treatment


Question: The following common malignant disease that is not a teenager?

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Osteosarcoma (osteosarcoma)
B. ASAT's sarcoma (Ewing sarcoma)
C. Acute leukemia (acute leukemia)
D. Neuroblastoma (neuroblastoma)

following common malignant disease
not
teenager


Question: About the narrative T lymphocytes (T lymphocytes), and Which statement is correct?

Answer: Host against TB infection, CD4 + T lymphocytes (CD4 + T lymphocytes) activation and proliferation are the most important

Choices:
A. Activated CD8 + T lymphocytes (CD8 + T lymphocytes) secreting cells can differentiate into TH1 or TH2 cell hormone (cytokine-
B. Host against TB infection, CD4 + T lymphocytes (CD4 + T lymphocytes) activation and proliferation are the most important
C. TH1 cells (TH1 cells) principal cytokine is an interferon (IFN-γ) and white matter dielectric 4 and 5 (interleukin-4 and interleukin-5)
D. TH2 cells (TH2 cells) The principal matter as interleukin 2, 10 and 13 (interleukin-2, interleukin-10 and interleukin-13)


Question: A 64-year-old woman, long-term loss of appetite, clear consciousness but general weakness, to the hospital biochemical tests found that [Na +] = 110 meq / L, give 3% NaCl intravenous continuous infusion of 12 hours, [Na +] = 132 meq / L, patients at this time what behavior may occur?

Answer: Coma and quadriplegia

Choices:
A. Acute pulmonary edema
B. Acute renal failure
C. Fatal arrhythmia
D. Coma and quadriplegia

64 year old woman
long-term loss of appetite
clear consciousness
general weakness
hospital biochemical tests found
meq
L
give 3
NaCl intravenous continuous infusion
12
meq
L
patients
time
behavior
occur


Question: A pregnant woman suffering from myasthenia gravis (myasthenia gravis), and just under 3100 grams of Ping An Property & baby girl, but then found a small girl shallow breathing, limb strength is also poor, so rapid is sent to the neonatal intensive care unit treatment . Cause baby girl why?

Answer: Her mother passed anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) pathogenic

Choices:
A. Her mother passed anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) pathogenic
B. Mother of TR1 cells (TR1 cells) caused by the immune response
C. Mother TH3 cell (TH3 cells) caused by the immune response
D. Her mother passed anti-Ro antibodies (anti-Ro antibody) and anti-La antibodies (anti-La antibody) are pathogenic

suffering
myasthenia gravis
myasthenia gravis
3100 grams
Property
baby girl
then found
small girl shallow breathing
limb strength
poor
rapid
sent
neonatal intensive care unit treatment
Cause baby girl


Question: Lee 78 years, due to aspiration pneumonia and acute respiratory distress syndrome, a respirator in the intensive care ward for treatment, using a pressure control mode, the third night in hospital, Mr. Li suddenly urgent breathing, and low tidal volume respirator sounded a warning, respiratory therapy Available division artificial airway and breathing apparatus functions properly, the Which of the following is the correct treatment?

Answer: Detailed chest auscultation

Choices:
A. Detailed chest auscultation
B. Emergency chest X-ray photography
C. Drawn arterial blood gas analysis
D. Perfusion lung scanning arrangement Nuclear Medicine


Question: Which of the following is not converted into the fetal circulation loop neonatal physiological processes occur?

Answer: Foramen ovale becomes a shunt from right to left

Choices:
A. From left to right shunt into the arterial catheter
B. Close venous catheter
C. Foramen ovale becomes a shunt from right to left
D. Umbilical artery atrophy closed


Question: Rectosigmoid junction (rectosigmoid junction) is located in the following segments?

Answer: Sacral third (S3)

Choices:
A. A first sacral (S1)
B. The second sacral (S2)
C. Sacral third (S3)
D. The fourth sacral (S4)

Rectosigmoid junction
rectosigmoid junction
following segments


Question: TCR T cells are primarily recognized as a foreign antigen molecule, the TCR but not sufficient in itself to perform messaging functions. TCR must CD3 complex is combined with the TCR complex to achieve specific antigen recognition and messaging role. What's wrong for the following reasons?

Answer: CD3 complex membrane protein molecule having immunoreceptor tyrosine-based inhibition motifs (ITIMs), it can promote the intracellular post

Choices:
A. The TCR α-chain and β-chain of the cytoplasmic domain is short, signal transduction can not be
B. TCR showed binding to CD3 complex on the cell surface
C. CD3 complex membrane protein molecule having immunoreceptor tyrosine-based activation motifs (ITAMs), it can promote intracellular News
D. CD3 complex membrane protein molecule having immunoreceptor tyrosine-based inhibition motifs (ITIMs), it can promote the intracellular post

foreign
TCR
not sufficient
to perform
functions
TCR
CD3 complex
combined
TCR complex to
specific antigen recognition
role
wrong
following


Question: 32-year-old male patient, do not take medicine in recent years, usually weighing 60 kg, blood pressure 120/80 mmHg, blood creatinine 1.0 mg / dL. Began edema, oliguria and coughing up blood three weeks ago. Current weight 65 kg, the blood pressure 140/100 mmHg, hemoglobin 8.0 g / dL, blood creatinine 2.0 mg / dL, in urine erythrocytes 20 ~ 30 / HPF, cylinder erythrocyte (RBC cast) +, protein trace, with a chest X-ray both alveolar infiltrates (alveolar infiltrates). Least likely diagnosis is:

Answer: Acute tubular necrosis

Choices:
A. Rapidly progressive glomerulonephritis
B. Goodpasture's syndrome
C. Acute tubular necrosis
D. Lupus nephritis

year old male patient
not
medicine
recent years
usually
60 kg
blood pressure
80 mmHg
blood creatinine
0 mg
dL
Began edema
oliguria
coughing up blood three weeks
Current weight 65 kg
blood pressure
100 mmHg
hemoglobin
0 g
dL
blood creatinine
0 mg
dL
urine erythrocytes 20
30
HPF
cylinder
cast
protein trace
chest X-ray
alveolar infiltrates
alveolar infiltrates
Least likely diagnosis


Question: 70-year-old man found the right areola what items lumps, pain, most do not need to check the following?

Answer: Chest X-ray

Choices:
A. Chest X-ray
B. Breast ultrasound
C. Male hormone seized
D. Needle extraction cytology

70 year old man found
right areola
lumps
pain
most
not need to check
following


Question: Human infection with scrub typhus (scrub typhus) Which of the following is mainly through the bite of infected?

Answer: Infective larval mites (mite)

Choices:
A. Infectious adult ticks (tick)
B. Infective larval ticks (tick)
C. Infectious mite (MITE)
D. Infective larval mites (mite)

Human infection
scrub typhus
scrub typhus
following
bite
infected


Question: Statements about a suspected lumbar disc herniation (disc herniation) of 40-year-old male patient, which of the following error?

Answer: Lumbar MRI is the best imaging examination items, plain radiographs no diagnostic value

Choices:
A. Be conservative medical treatment for 2 weeks, but it should be noted sphincter abnormalities and signs of limb weakness
B. Said main lower back pain may be combined hip, thigh and lower leg pain, physical examination showed obvious Lasègue's sign
C. Lumbar disc (disc herniation) 90% occurred in the L5-S1 or L4-5 level
D. Lumbar MRI is the best imaging examination items, plain radiographs no diagnostic value

suspected lumbar disc herniation
disc herniation
40 year old male patient
following error


Question: Hypothyroidism which does not occur?

Answer: Cholesterol (cholesterol) ↓

Choices:
A. T3↓
B. Cholesterol (cholesterol) ↓
C. TSH↑
D. Myxoedema (myxedema)


Question: The following description diseases related to blood flow in the lungs, whichever is correct?

Answer: Embolus (embolus) pulmonary embolism (embolism) are mainly from the veins of the legs

Choices:
A. Blood clots within the pulmonary trunk is mostly thrombosis (Thrombosis)
B. Embolus (embolus) pulmonary embolism (embolism) are mainly from the veins of the legs
C. Pulmonary embolism can cause acute left ventricular failure, lead to death
D. Most of pulmonary embolism can cause pulmonary infarction (infarct)

following
diseases related
blood flow
lungs
correct


Question: In contrast, the following factors that have a greater cardiac oxygen consumption?

Answer: Aortic stenosis

Choices:
A. Aortic stenosis
B. Aortic insufficiency
C. Left ventricular enlargement
D. Left ventricular failure

contrast
following factors
greater cardiac oxygen consumption


Question: The following information about spinal cord injury patients with autonomic dysreflexia (autonomic dysreflxia) narrative, whichever is the most correct?

Answer: When the onset of headache, sweating, elevated blood pressure

Choices:
A. In just the first three months of injury, the most prone to symptoms
B. Thoracic spinal cord injury patients with the highest probability
C. When the onset of headache, sweating, elevated blood pressure
D. The most common reason is evoked emotional, tense

following information
spinal cord injury patients
autonomic dysreflexia
autonomic
most correct


Question: Surgery, accidentally cut off the oculomotor nerve (oculomotor n.) Trunk, which of the following circumstances are least likely?

Answer: Decreased tear secretion

Choices:
A. Upper eyelid drooping
B. Dilated pupils
C. Decreased tear secretion
D. Ciliary muscle (ciliary m.) Paralysis

Surgery
cut off
oculomotor nerve
oculomotor n
Trunk
following
least likely


Question: That one of the following leukemia as the most effective treatment for Glivec stimulated tyrosine inhibitors (enzyme tyrosine kinase inhibitor)?

Answer: Chronic myeloid leukemia, Philadelphia chromosome positive

Choices:
A. Acute myelogenous leukemia, Type 3
B. Chronic myeloid leukemia, Philadelphia chromosome positive
C. Chronic lymphatic leukemia, ZAP-70 positive
D. \ Poor differentiation of bone marrow syndrome, chromosome 7 Defect

one
following leukemia
most effective treatment
Glivec
tyrosine
enzyme tyrosine kinase inhibitor


Question: 46-year-old female patient with chronic renal failure, hemodialysis six-year rule, a year ago began to feel itchy skin and bone pain, and upon inspection calcium 11.0 mg / dL (8.5-10.5), phosphorus 5.7 mg / dL (2.7- after 4.5), iPTH 1045 pg / mL (12-65), after administration of vitamin D3 treatment dephosphorization agents, calcium reduced to 9.0 mg / dL, phosphorus down to 4.2 mg / dL, iPTH 750 pg / mL, symptoms, However, after 2 months, bone pain and symptoms such as itchy skin onset again, after inspection iPTH 1650 pg / mL, calcium 11.5 mg / dL, and parathyroid nuclear medicine scan showed a large sub-vertical sides of goiter, which of the following is the best treatment?

Answer: Vice thyroidectomy

Choices:
A. Oral Vitamin D3 0.5 mg / QD
B. Oral steroids
C. oral capsule hydroxy aluminum 3 Ke / QD
D. Vice thyroidectomy

year old female patient
chronic renal failure
hemodialysis six year rule
year
began to
itchy skin
bone pain
inspection calcium 11.0 mg
dL
8.5 10
phosphorus
mg
dL
2.7
4.5
pg
mL
65
calcium reduced
9.0 mg
dL
phosphorus
4.2 mg
dL
750 pg
mL
symptoms
2 months
bone pain
symptoms
itchy skin onset
inspection
pg
mL
calcium
mg
dL
parathyroid nuclear medicine scan
large sub vertical sides
goiter
following
best treatment


Question: Patients suffering from high blood pressure is easier to postural hypotension (postural hypotension), which is the reason why?

Answer: Reduced sensitivity of the pressure sensitive reflection

Choices:
A. Sensing pressure reflectance (baroreflex) sensitivity (Sensitivity) increased
B. Reduced sensitivity of the pressure sensitive reflection
C. Atrial stretch reflex compensatory increase capacity
D. Atrial stretch reflex compensatory ability to reduce

Patients suffering
high blood pressure
easier
postural hypotension
postural hypotension


Question: Vagus nerve into the abdominal cavity by the following Where?

Answer: Esophageal hiatus (esophageal hiatus)

Choices:
A. Esophageal hiatus (esophageal hiatus)
B. Aortic hole (aortic hiatus)
C. Vena cava hole (caval opening)
D. Under the middle arcuate ligament (medial arcuate ligament)


Question: Which of the following can not delay microalbuminuria becomes evident nephropathy?

Answer: High-protein diet

Choices:
A. Close to the normal glycemic control
B. Strict control of blood pressure
C. Angiotensin converting enzyme (ACE) inhibitors
D. High-protein diet

following
not delay microalbuminuria
nephropathy


Question: Which of the following is the most commonly used clinical measure of lung gas diffusion rate (diffusion rate) of gas?

Answer: Carbon monoxide

Choices:
A. Carbon dioxide
B. Carbon monoxide
C. Helium
D. Nitrogen

following
most
used clinical measure
lung gas diffusion rate
diffusion rate
gas


Question: A 67-year-old woman, three months ago was found outside the upper left breast has a lump, no tenderness, but there is the phenomenon of growing up, she had no family history of breast cancer, no trauma in the past, the situation of breast pain and nipple discharge. Physical examination found above the outer left breast a significant irregular lumps, a diameter of about 1.5 cm, no skin depressions, in the case of edema or nipple contraction, lumps is movable and not fixed to the chest wall, while, axillary, supraclavicular vertical lymph nodes no enlargement situation. The current breast cancer screening with one of the following image-based check that?

Answer: Mammography

Choices:
A. Ultrasound
B. Mammography
C. CT scan
D. According Movies magnon

67 year old woman
three months
found outside
upper
lump
tenderness
family history of breast cancer
trauma
past
of breast pain
nipple discharge
found
outer left breast
significant irregular lumps
diameter
skin depressions
case
edema
nipple contraction
lumps
movable
not fixed
chest wall
axillary
supraclavicular vertical lymph nodes
enlargement
The current breast cancer screening
one of
following
check


Question: Statements about the muscular system and soft tissue tumors, Which of the following most correct?

Answer: Synovial sarcoma membrane (synovial sarcoma) can be found in the partially calcified X-ray photography

Choices:
A. Malignant Rhabdomyosarcoma (rhabdomyosarcoma) is generally a low degree of malignancy and tumor occurs in adults
B. Malignant liposarcoma (liposarcoma) is a highly malignant tumor and occur in young people
C. Synovial sarcoma membrane (synovial sarcoma) can be found in the partially calcified X-ray photography
D. Epithelioid sarcoma (epithelioid sarcoma) is common in the deep pelvic or thigh muscle tissue

muscular system
soft tissue tumors
following
correct


Question: 59 A 45 year old woman long-term medial ankle pain, walking painful toe pads, palmar flexion (plantar flexion) in the case of perishable feet turn (inversion) muscle testing will be pain. This display following a tendon that is most likely to have been injured?

Answer: Posterior tibial tendon (posterior tibialis tendon)

Choices:
A. Posterior tibial tendon (posterior tibialis tendon)
B. Flexor digitorum longus tendon (flexor digitorum longus tendon)
C. Flexor foot hallucis longus tendon (flexor hallucis longus tendon)
D. Peroneus longus tendon (peroneus longus tendon)


Question: Aortic insufficiency patients, although clinical symptoms and no heart failure, but if what these phenomena, represents the beginning of the deterioration of left ventricular function, as soon as possible surgery?

Answer: Width of left ventricular end systolic (LVESD) greater than 50 mm

Choices:
A. Width of left ventricular end systolic (LVESD) greater than 50 mm
B. Shu left ventricular end width (LVEDD) greater than 50 mm
C. Left atrial maximum width greater than 50 mm
D. Aortic ring portion is larger than a maximum width of 30 mm

Aortic insufficiency patients
clinical symptoms
heart failure
beginning
left ventricular function
possible surgery


Question: That one of the following urinary incontinence in women are most common?

Answer: Stress urinary incontinence (stress urinary incontinence)

Choices:
A. Urge incontinence (urge urinary incontinence)
B. Stress urinary incontinence (stress urinary incontinence)
C. Mixed urinary incontinence (mixed incontinence)
D. Overflow incontinence (overflow incontinence)

one of
following urinary incontinence
most common


Question: megaloblastic anemia of vitamin B12 deficiency in patients with prior untreated, the results of laboratory tests following the kind least likely?

Answer: Reticulocyte increase

Choices:
A. Reticulocyte increase
B. Lactate dehydrogenase (LDH) increased
C. Unconjugated bilirubin increase
D. Thrombocytopenia


Question: Muscles (infrahyoid muscles) infrahyoid 1 of 4 muscle composition, in addition to thyroid hyoid muscles (thyrohyoid muscle), the rest is governed by Article muscles which of the following?

Answer: The first three cervical nerves of the abdomen collateral (ventral rami)

Choices:
A. Accessory nerve (accessory nerve)
B. Hypoglossal nerve (hypoglossal nerve)
C. The first three cervical nerves of the abdomen collateral (ventral rami)
D. Saturday's belly fourth cervical nerve collateral

Muscles
infrahyoid muscles
infrahyoid
muscle composition
thyroid hyoid muscles
thyrohyoid muscle
muscles
following


Question: The following relevant inhibitory postsynaptic potentials (IPSPs) of the narrative, what's right?

Answer: Is graded hyperpolarization signal

Choices:
A. For the all-or-none signal
B. May be passed a long distance in the nerve cells, the size of the signal transfer process will not change
C. The main transmitter in the central nervous system caused by glutamate is IPSPs
D. Is graded hyperpolarization signal


Question: Which of the following is M. tuberculosis resistant to isoniazid main machine turn?

Answer: Reduce performance katG gene

Choices:
A. N-acetyltransferase activity is reduced
B. Reduce performance katG gene
C. Reducing the concentration of isoniazid cells
D. Inh A gene mutation causing


Question: Pseudo-muscle hypertrophy (pseudohypertrophy) Which of the following most common in the disease?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)

Choices:
A. Motor neuron disease (motor neuron disease)
B. After the polio syndrome (post-polio syndrome)
C. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
D. Congenital muscular rigidity disease (myotonia congenita)

Pseudo muscle
pseudohypertrophy
following
common
disease


Question: 40 year old man, with fever, sore throat, difficulty swallowing, shortness of breath and other symptoms to the emergency department, otolaryngology consultation carried out within the throat endoscopy below, the following statements is true?

Answer: The patient may occur in acute airway obstruction

Choices:
A. Arrows indicate the thyroid cartilage (thyroid cartilage) swelling and inflammation
B. The pathogen is a common viral infection
C. The patient may occur in acute airway obstruction
D. X-ray visible side of the neck minaret signs (steeple sign)

40 year old man
fever
sore throat
difficulty swallowing
shortness of breath
symptoms
emergency department
otolaryngology
carried out
throat endoscopy
following
true


Question: In the fetal period, the foramen ovale (oval foramen) can communicate Which of the following?

Answer: Right and left Center Weighted Center Weighted room room

Choices:
A. Aorta and pulmonary artery
B. Right and Right Center Weighted Center Weighted room room
C. Right and left Center Weighted Center Weighted room room
D. Right and left Center Weighted Center Weighted room room

fetal period
foramen ovale
oval foramen
communicate
following


Question: Severe drooping eyelids (ptosis) that should be taken following a surgical approach is more suitable?

Answer: Fascia suspension (fascial sling)

Choices:
A. Fascia suspension (fascial sling)
B. Mentioned eyelid muscle resection (levator resection)
C. Mention eyelid muscle suspension (levator plication)
D. Put forward eyelid muscle (levator advancement)

Severe drooping eyelids
ptosis
following
surgical approach
more suitable


Question: From the previous question, following the four most likely clinical significance of why?

Answer: cord compression

Choices:
A. cord compression
B. head compression
C. utero-placental insufficiency
D. respiration

previous
following
four
likely clinical significance


Question: Stroke is the most common type in what?

Answer: Ischemic Stroke

Choices:
A. Cerebral hemorrhage
B. Subarachnoid hemorrhage
C. Arteriovenous malformation rupture
D. Ischemic Stroke


Question: Ethanol (alcohol) and with which of the following would cause with acetaldehyde (acetaldehyde) accumulation, leading to discomfort reactions, nausea, vomiting and low blood pressure and so on?

Answer: disulfiram

Choices:
A. disulfiram
B. acamprosate
C. naltrexone
D. baclofen

Ethanol
alcohol
following
cause
acetaldehyde
acetaldehyde
accumulation
leading
discomfort reactions
nausea
vomiting
low blood pressure
so


Question: Mr. Chen, 65 years old, fell to the floor leading to the right femoral neck (femoral neck) fracture, rear accepted shares intervention (posterior approach) of the artificial hip joint replacement surgery, 6 weeks after hip anyway, which of the following should be avoided ?

Answer: In the exhibition (adduction)

Choices:
A. Abduction (Abduction)
B. 外旋（external rotation）
C. In the exhibition (adduction)
D. Extension (Extension)


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

Answer: Geniculate body outer (lateral geniculate body)

Choices:
A. pretectal area
B. Geniculate body outer (lateral geniculate body)
C. Ciliary ganglion (ciliary ganglion)
D. Short eyelashes nerve (short ciliary nerve)

following
not involved
pupillary light reflex


Question: Which of the following is endosomes (inclusion) instead of organelles (organelle)?

Answer: Phagosome (endosomes)

Choices:
A. Phagosome (endosomes)
B. Glycogen (glycogen)
C. Polysome (polyribosomes)
D. Microtubules (microtubule)

following endosomes inclusion organelles organelle


Question: 23 year old man, after oral administration of a drug for two weeks, causing toxic epidermal rhabdomyolysis (toxic epidermal necrolysis), which of the following drugs than those without relevant?

Answer: acetaminophen

Choices:
A. carbamazepine
B. allopurinol
C. acetaminophen
D. phenytoin

23 year old man
oral administration
drug
two weeks
causing toxic epidermal rhabdomyolysis
toxic epidermal necrolysis
following drugs
relevant


Question: 25. The present analysis of human gene (variant alleles) associated with the pathogenicity of autologous immune disease, the presence of this gene is found in a ratio of autoimmune diseases in patients, and then do the expectations of the general population in accordance with the comparison, and get this gene (variant alleles) in autoimmune pathogenicity of the "relative risk" (relative risk). Currently found to have a higher "relative risk" gene for that category of one of the following?

Answer: Human leukocyte antigens (human leukocyte antigens) gene

Choices:
A. Human leukocyte antigens (human leukocyte antigens) gene
B. GM-CSF gene
C. CD4 gene
D. Small GTP-binding protein cdc42 gene

present analysis
human gene
variant alleles
associated with
pathogenicity
autologous immune disease
presence
gene
found
ratio
autoimmune diseases
patients
then
gene
variant alleles
autoimmune pathogenicity
relative risk
relative risk
Currently found to
higher
relative risk
gene
one


Question: Open fractures of the lower limbs, blood vessel repair needs to be done if, when, belonging to several classes Gustilo classification?

Answer: type III C

Choices:
A. type I
B. type II
C. type III A
D. type III C

Open fractures of the lower limbs
blood vessel repair needs to
classification


Question: About increase in intracranial pressure signs (sign), which of the following error?

Answer: Accelerated heart rate

Choices:
A. Poor state of sanity
B. Pupil dilation response to light deterioration and
C. Accelerated heart rate
D. Increased blood pressure

increase in intracranial pressure signs
following error


Question: A baseball pitcher in the game, shoulder pain, was diagnosed as Rotator cuff injuries (rotator cuff injury), that one of the following Rotator cuff muscles are most likely to be injured?

Answer: Spinous process on the muscles (supraspinatus)

Choices:
A. The deltoid muscle (deltoid)
B. Arm triceps (triceps brachii)
C. Pectoralis major muscle (pectoralis major)
D. Spinous process on the muscles (supraspinatus)

shoulder pain
diagnosed
Rotator cuff injuries
rotator cuff injury
one of
following Rotator cuff muscles
to
injured


Question: Related to Parkinson's disease (Parkinson's disease) rehabilitation therapy, Which of the following is not the most often used?

Answer: Due to the slow movement and coordination disorders patients may be using the treadmill (treadmill) for physical training

Choices:
A. Due to the slow movement and coordination disorders patients may be using the treadmill (treadmill) for physical training
B. Use a walker with wheels (rolling walker) function to help maintain patient activity
C. By resistance exercise (resistance exercise) movement and flexibility (flexibility exercise) Physical therapy to improve patient
D. When patients receive rehabilitation treatment, often requires a variety of audio-visual and tactile and other sensory prompt (cues)

Related
Parkinson's disease
Parkinson's disease
rehabilitation therapy
following
not
most often used


Question: For narrative about kidney proximal tubular reabsorption of water, which of the following error?

Answer: Near the end of the proximal tubules in the liquid, rise to an osmotic pressure 2 times the glomerular filtrate

Choices:
A. Near the end of the proximal tubules in the liquid, rise to an osmotic pressure 2 times the glomerular filtrate
B. Apical membrane of proximal tubular epithelial basolateral a first-in-water channel (aquaporin-1) to assist the inner pipe water is rapidly reabsorbed
C. About proximal tubular resorbable glomerular filtration was 60 to 70% of water
D. Hyperglycemia (e.g., diabetes) is a major cause polyuria proximal tubular impact absorption moisture permeable

kidney proximal tubular reabsorption
water
following error


Question: A male AIDS patients in Guangdong since the country returned to Taiwan, presented with fever, cough, lung infiltration, lymph node swelling, mild anemia and other symptoms. Blood sample incubated at 25 deg.] C a similar common fungal hyphae with a partition (septate hyphae), conidiophores spores bottle top has a handle-like arrangement of the broom (phialides), pigment red colonies surrounded by diffusion, incubated at 37 [deg.] C in split-type yeast (fission yeast) is presented. The most likely suffering from these kind of disease?

Answer: Maernifei Penicillium disease (talaromycosis or penicilliosis marneffei)

Choices:
A. Candida bacteremia (candidemia)
B. Cryptococcal disease (cryptococcosis)
C. Maernifei Penicillium disease (talaromycosis or penicilliosis marneffei)
D. Pneumocystis carinii disease (pneumocystosis)

male AIDS
country returned
Taiwan
fever
cough
lung infiltration
lymph node swelling
mild anemia
symptoms
Blood sample incubated
deg
similar common
septate
bottle top
arrangement
broom
pigment red colonies surrounded
diffusion
incubated
deg
split type yeast
suffering
kind
disease


Question: Common cause of obstructive jaundice (obstructive jaundice) does not include which of the following?

Answer: Acute hepatitis A

Choices:
A. Biliary calculi
B. Ampulla cancer (ampulla of Vater cancer)
C. Pancreatic head tumor
D. Acute hepatitis A

Common cause
obstructive jaundice
obstructive jaundice
not include
following


Question: Following a nerve damage that can cause elbow flexion (flexion) weakness?

Answer: Musculocutaneous nerve (musculocutaneous nerve)

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

Following
nerve damage
cause elbow flexion
flexion
weakness


Question: As a patient in the early exercise dyspnea occurred, the reason is most unlikely:

Answer: Stable left to right shunt foramen ovale side (left to right shunt)

Choices:
A. Lung excessive dead space (dead space)
B. Premature accumulation of lactic acid (lactic acidosis)
C. Oxygen (oxygen saturation) decreased
D. Stable left to right shunt foramen ovale side (left to right shunt)

patient
early exercise dyspnea
most unlikely


Question: Which of the following inhaled anesthetics increase the metabolic rate of the brain?

Answer: nitrous oxide

Choices:
A. halothane
B. nitrous oxide
C. desflurane
D. sevoflurane

following inhaled anesthetics increase
metabolic rate
brain


Question: Due to acute appendicitis appendectomy surgery on a month ago, after the original surgery right lower abdominal incision touch a skin nodules, microscopic examination showed macrophages, lymphocytes, plasma cells and multinucleated giant cells, there has also polarized refraction material. Which of the following best suited to explain this situation nodules?

Answer: Suture granuloma caused

Choices:
A. TB skin infections
B. Wound infection, abscess caused
C. Suture granuloma caused
D. Crab foot swelling caused by surgery (Keloid)


Question: Statements about the method of treatment of cancer pain, which of the following error?

Answer: Patient-controlled analgesic drug is the most convenient and easiest method of

Choices:
A. According to the WHO analgesic ladder (analgesic ladder), analgesic drugs selected, the severity of the illness and solely used by the weak to strong
B. Patient-controlled analgesic drug is the most convenient and easiest method of
C. Auxiliary agents including sedatives, hypnotics, antiemetics, stool softeners, steroids, anti-anxiety and depression agents, antiepileptic agents
D. Nerve damage surgery (neurolytic block) may be effective in some cases of local relieve pain, reduce the dose of analgesics

method
treatment
cancer pain
following error


Question: Which of the following is a lawful medical advertising?

Answer: Specializes in the promotion of medical institutes, professional treatment divisions

Choices:
A. By excerpts from medical journals propaganda content
B. Use medical journals propaganda gift
C. Specializes in the promotion of medical institutes, professional treatment divisions
D. To publicize an open question and answer


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

Answer: Producing a fourth heart sounds usually associated with left heart blood flow related, such as mitral valve regurgitation

Choices:
A. The first heart sound is atrioventricular valve (mitral and tricuspid)
B. The second heart sound for the aortic and pulmonary valve
C. The second heart sound usually produce physiological cleavage (physiological splitting of S2) during normal intake
D. Producing a fourth heart sounds usually associated with left heart blood flow related, such as mitral valve regurgitation

following
heart sounds
heart sounds
wrong


Question: The following statements about stimulating hormone (cytokine), He's wrong?

Answer: Cytokines IL-4 B-lymphocytes is secreted, can stimulate a large number of antibody secreting plasma cells

Choices:
A. All cytokines are proteins, glycoproteins, compared with some
B. Communication between cells of the bridge, sometimes two or more cells in a cell hormone (cytokine) may act
C. Each cytokine (Cytokine) to act on the cell, the cell surface receptor shall
D. Cytokines IL-4 B-lymphocytes is secreted, can stimulate a large number of antibody secreting plasma cells


Question: 57. A 36-year-old man, cause neck pain and bilateral weakness, sensory abnormalities, axial CT image of the imaging (axial images) display appears dual-chamber images (double in the sixth and seventh cervical spine in a car accident -lumen sign). In accordance with the results of this check, which of the following is the most appropriate diagnosis sixth, seventh cervical vertebra?

Answer: Dislocation (dislocation)

Choices:
A. Compression fractures (compression fracture)
B. Burst fractures (burst fracture)
C. Fracture facet joints (facet fracture)
D. Dislocation (dislocation)

57
36 year old man
cause neck pain
bilateral weakness
sensory abnormalities
axial CT
imaging
axial
display appears dual-chamber
double
sixth
seventh cervical spine
car accident
lumen sign
In accordance with
results
check
following
most appropriate diagnosis sixth
seventh cervical vertebra


Question: Respiratory tract infections in infants often, lips cyanosis, can be heard on the left chest systolic heart murmur 3/6 degrees, and have heart failure, ECG showing QRS mandrel being 240 degrees, right ventricular hypertrophy; cardiac ultrasound diagram of another serious mitral valve regurgitation. At this point the most likely of congenital heart disease are:

Answer: Atrio-ventricular septal defect (atrioventricular septal defect)

Choices:
A. Large ventricular septal defect
B. Large patent ductus arteriosus
C. Atrio-ventricular septal defect (atrioventricular septal defect)
D. Full abnormal pulmonary venous return (total anomalous pulmonary venous return)

Respiratory tract infections
infants often
lips cyanosis
heard
left systolic heart murmur
degrees
heart failure
ECG
mandrel
degrees
right ventricular hypertrophy
cardiac ultrasound diagram
serious mitral valve regurgitation
point the
of congenital heart disease


Question: A 22-year-old woman, G0P0, complained married two years is not pregnant. Patients height 155 cm, weight 95 kg, without any surgery or medical history before history. Usual menstrual irregularities, a year only about 4 to 5 times menstruation. Based on the above description, the factors most likely to cause infertility why?

Answer: Ovarian factors

Choices:
A. Uterine factor
B. Ovarian factors
C. Tubal factor
D. Cervical factor

year old woman
married two years
not pregnant
Patients height
weight 95 kg
surgery
medical history
Usual menstrual irregularities
year only
times menstruation
Based
factors
to cause infertility


Question: One patient from treatment due to weight loss, the appropriate preliminary examination (initial testing) does not include which of the following?

Answer: Esophagogastroduodenoscopy

Choices:
A. Complete blood count (CBC) (complete blood count)
B. Check liver function
C. Esophagogastroduodenoscopy
D. Chest X-ray

One
weight loss
appropriate preliminary
initial testing
not include
following


Question: About right ventricular infarction, the following statements is wrong?

Answer: Because with right ventricular failure, must limit the use of diuretics and water intake

Choices:
A. Accounting for about one-third of patients with myocardial infarction of inferior wall
B. Often associated with low blood pressure
C. ST-segment changes occurred in the right chest lead section
D. Because with right ventricular failure, must limit the use of diuretics and water intake

About right ventricular infarction
following
wrong


Question: Which of the following is not a primary trauma assessment, there will be the risk of injury ⽣ life now?

Answer: Auto spontaneous pneumothorax (spontaneous pneumothorax)

Choices:
A. Center Weighted tamponade disease (cardiac tamponade)
B. Auto spontaneous pneumothorax (spontaneous pneumothorax)
C. Airway obstruction (airway obstruction)
D. Flail chest (flail chest) and pulmonary contusion (pulmonary contusion)


Question: Auditory receptors located in the following Where?

Answer: inner ear

Choices:
A. middle ear
B. external auditory canal
C. tympanic membrane
D. inner ear


Question: 40-year-old woman, moon face, acne, there are buffalo shoulder. Found eight in the morning blood ACTH <5.0 pg / mL, cortisol 22.6 μg / dL, four o'clock ACTH <5.0 pg / mL, cortisol 24.6 μg / dL, 23:00 oral administration of 1 mg dexamethasone, eight in the morning the next day cortisol 20.0 μg / dL. Which of the following is correct?

Answer: Further to do adrenal computed tomography

Choices:
A. Further to do adrenal computed tomography
B. This is a diagnosis of Cushing's disease patients
C. After the surgery without taking cortisone acetate
D. It is clear that long-term use of dexamethasone patients

40 year old woman
moon face
acne
shoulder
Found eight
morning blood ACTH
5 0 pg
mL
cortisol
g
dL
ACTH
5 0 pg
mL
cortisol
g
dL
23
oral administration
eight
morning
next day cortisol 20 0 g
dL
following
correct


Question: Which of the following is not a disease diagnosis related groups (DRGs) classification of patient variables?

Answer: Physiological traits

Choices:
A. Age, gender
B. Surgery category
C. Physiological traits
D. Disease diagnosis

following
not
disease diagnosis related
classification
patient variables


Question: Commonly used to treat the herpes virus acyclovir (Acyclovir) is phosphorylated enzyme which the virus, thereby inhibiting the replication of the virus?

Answer: Thymidine kinase (thymidine kinase)

Choices:
A. Cytidine kinase (cytidine kinase)
B. Thymidine kinase (thymidine kinase)
C. Tyrosine kinases (tyrosine kinase)
D. Cyclin-dependent kinases (cyclin dependent kinase)

used to treat
acyclovir
Acyclovir
enzyme
replication
virus


Question: 4856-year-old male, sudden severe headache, has shown a coma was taken to the emergency room. The figures are anxious to do a CT image, cause this type of spontaneous intracranial bleeding, the most common reasons are:

Answer: The possibility of intracranial aneurysms original (aneurysm) rupture

Choices:
A. With bleeding tendency, such as leukemia, liver cirrhosis or taking anticoagulants
B. The possibility of intracranial arteriovenous malformations original (Arterio-venous malformation, AVM) rupture
C. The possibility of intracranial aneurysms original (aneurysm) rupture
D. The possibility of intracranial hemorrhage original high tendency of brain tumor (brain tumor) bleeding caused by a brain tumor (tumor bleeding)

year old male
sudden severe headache
coma
emergency room
anxious
CT
cause
type
spontaneous intracranial
most common


Question: Tensor fascia lata (tensor fasciae latae) atrophy, which of the following may be caused due to damage?

Answer: Superior gluteal nerve

Choices:
A. Superior gluteal nerve
B. Gluteal nerve
C. Obturator nerve
D. Sciatic nerve

Tensor fascia lata
tensor fasciae latae
atrophy
following
caused due to damage


Question: Belong to Type IV hypersensitivity granulomatous reaction (Type Ⅳ granulomatous hypersensitivity) usually How long will it produce?

Answer: 21-28 days

Choices:
A. 30 minutes
B. 6-12 hours
C. 48-72 hours
D. 21-28 days


Question: The following narrative about human degenerative arthritis (osteoarthritis), and what's wrong?

Answer: Does not appear inflammation (inflammation) phenomenon

Choices:
A. Good men and women of different hair joint position
B. Joint often occurs as hip and knee
C. Does not appear inflammation (inflammation) phenomenon
D. The most common risk factor (risk factor) were age

following
human degenerative arthritis
osteoarthritis
wrong


Question: 1 year 8 months large children, due to a large number of brick red blood will seek treatment, the patient no fever, no abdominal pain, Which of the following is the most likely diagnosis?

Answer: Meckel's diverticulum bleeding (Meckel's diverticulum)

Choices:
A. Intestinal stack
B. Salmonella enteritidis
C. Meckel's diverticulum bleeding (Meckel's diverticulum)
D. Anal fissure

1 year 8 months large children
due to
large number
red blood
treatment
patient
fever
abdominal pain
following
diagnosis


Question: Which of the following drugs can reduce levodopa decarboxylase be metabolized surrounding tissue, reduced dosage and side effects of levodopa?

Answer: carbidopa

Choices:
A. carbidopa
B. ropinirole
C. amantadine
D. benztropine

following drugs
levodopa decarboxylase
metabolized surrounding tissue
reduced dosage
side effects
levodopa


Question: Narrative about the genotype of the hepatitis B virus, which of the following error?

Answer: Basically after infection clinical course and severity of virus subtypes

Choices:
A. At least 8 isoforms (subtypes), and 10 genotypes (A-J)
B. Basically after infection clinical course and severity of virus subtypes
C. Genotype B compared to genotype C, D, there is a lower risk of cirrhosis and liver cancer
D. A genotype or without receiving antiviral therapy, compared to other genotypes, there is a high probability of surface antigen (HBsAg) or disappearance of e antigen (HBeAg) disappear


Question: When asthma sick children with acute asthma attack to the emergency room, following the disposal of what are the most inappropriate?

Answer: Given inhaled steroids (inhaled corticosteroid)

Choices:
A. Give oxygen (O2) inhalation
B. Administration of inhaled short-acting bronchodilators (short-acting β2 agonist)
C. Given inhaled steroids (inhaled corticosteroid)
D. Administration of inhaled anticholinergic drugs (inhaled anticholinergics)

asthma sick children
acute
attack
emergency room
following
most inappropriate


Question: 1-day-old full-term baby, birth were found to have congenital deformities and heart murmur. Birth weight of 1.8 kg, 43 cm length, 31 cm in head circumference; Zhang Liqiang muscle (hypertonia); deformity of its hands as shown in FIG. Which of the following for the most common with heart disease?

Answer: Ventricular septal defect (ventricular septal defect)

Choices:
A. Pulmonary stenosis (pulmonary stenosis)
B. Aortic arch constriction (aortic coarctation)
C. Method Rockwell Snap disease (tetralogy of Fallot)
D. Ventricular septal defect (ventricular septal defect)

1-day old full-term baby
birth
found to
congenital deformities
heart murmur
Birth weight
1.8 kg
length
31
head circumference
muscle
hypertonia
deformity of
hands
following
common
heart disease


Question: 1 25-year-old now appears a potential sexual organs of brain-dead donors, these patients require that a heart-lung transplant (heart-lung transplantation)?

Answer: The combined primary myocardial disease pulmonary hypertension secondary generalization

Choices:
A. Stage emphysema (end-stage emphysema)
B. Ischemic heart disease (ischemic heart disease)
C. Primary pulmonary hypertension (primary pulmonary hypertension)
D. The combined primary myocardial disease pulmonary hypertension secondary generalization

1
year-old now appears
potential
organs
brain-dead donors
patients
heart-lung transplant
heart-lung transplantation


Question: Human monocytic ehrlichiosis ball body's disease (human monocytotropic ehrlichiosis) have sustained fever, headache, general or local muscle pain, liver and spleen and lymph nodes and other symptoms usually appear less skin rash, infection by Ehrlichia canis due, is an emerging infectious disease. Account of this disease, which of the following error?

Answer: The original of the pathogenic cell wall composed mainly of peptidoglycan

Choices:
A. Doxycycline Tetracycline or the disease can be used for treatment
B. The causative agent of an intermediary to tick (Ixodes) based
C. The causative agent of parasites in the infected granulocytes, monocytes, platelets and red blood cells
D. The original of the pathogenic cell wall composed mainly of peptidoglycan

Human
ehrlichiosis ball body's disease
human
ehrlichiosis
sustained fever
headache
general
local muscle pain
liver
spleen
lymph nodes
symptoms usually appear less skin rash
infection
Ehrlichia
due
emerging infectious disease
Account
following error


Question: The following analgesics whichever does not have anti-inflammatory effect (anti-inflammatory effect)?

Answer: acetaminophen

Choices:
A. acetylsalicylic acid
B. acetaminophen
C. ibuprofen
D. celecoxib

following analgesics
not
anti-inflammatory effect
anti-inflammatory effect


Question:
Perinatal asphyxia 79.14-year-old bell at birth due to take place, resulting in a severe brain injury, the reaction of the outside world just a little twist of the body and throat blurry sound, ten years no significant changes in this situation. His parents can no longer care for him because of old age, three years ago he moved into institutional care severely disabled. Two days ago in a few hours after the nasogastric tube feeding shortness of breath phenomenon, doctors give special agency after the situation has not improved oral medication, emergency nurses agency sent him to the hospital, you do the relevant checks to him in the emergency room, he was found on both sides of severe pneumonia, blood gas analysis showed severe respiratory failure, requiring urgent intubation make use of a respirator. But unable to contact his parents, and the case of a small bell on the use of oxygen and nasal positive pressure device
 Has not improved, and hypotension phenomenon, this time that one of the following practices most appropriate?

Answer: According to your professional judgment to him endotracheal intubation and respirator use

Choices:
A. Continued to contact his parents and continue the current treatment, but not intubation
B. It invited to send a small bell to the nursing staff to make decisions
C. Call agency heads and asked him to make a decision
D. According to your professional judgment to him endotracheal intubation and respirator use


Question: 30-year-old male patient complained of acute vision loss, eye pain merger to emergency department visits. Which of the following is most likely diagnosis?

Answer: Optic neuritis (optic neuritis)

Choices:
A. Optic neuritis (optic neuritis)
B. Central retinal artery occlusion (central retinal artery occlusion)
C. Central retinal vein occlusion (central retinal vein occlusion)
D. Temporal arteritis (temporal arteritis)

30 year old male patient
acute vision loss
eye pain
emergency department
following
diagnosis


Question: The following fat-soluble antibiotics whichever of the largest, most easily through the blood brain barrier into the central nervous system (blood brain barrier) for the treatment of meningitis?

Answer: rifampin

Choices:
A. cefazolin
B. erythromycin
C. gentamicin
D. rifampin

following
largest
easily
blood brain barrier
central nervous system
blood brain barrier
treatment
meningitis


Question: After the amputation, Which of the following does not belong to the stump end (stump) common cause of pain?

Answer: Stump end blood clots

Choices:
A. Wound infection
B. Stump end periosteal bone spurs or
C. Nerve stump tip end of neoplasia or nerve stimulation
D. Stump end blood clots

amputation
following
not
stump end
stump
common cause
pain


Question: Herpes virus infections often caused by viruses establish latent infection in the host, which varicella - zoster virus (VZV) causes chicken pox and adult children banding of the herpes virus establishing latent infection in which of the following?

Answer: Nerve cell

Choices:
A. skin
B. liver
C. Nerve cell
D. spleen

Herpes virus infections often caused
viruses establish latent infection
causes chicken pox
banding
establishing latent infection


Question: Of Fentanyl patch (Fentanyl patch) is often used to control cancer pain, but the pain after the operation to control primarily because few:

Answer: And respiratory depression after 10-12 hours for an analgesic concentration in the blood to reach the post-operative pain control Nanyiyuce

Choices:
A. When you stop using the patch of Fentanyl analgesic efficacy abruptly disappear
B. Intestinal obstruction (ileus) and resistance (Tolerance) faster than Morphine
C. And respiratory depression after 10-12 hours for an analgesic concentration in the blood to reach the post-operative pain control Nanyiyuce
D. After the desired dose is too high to control the operation of Fentanyl clinical pain

Fentanyl patch
Fentanyl patch
often used to control cancer pain
pain
operation to control


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

Answer: During ⺟ breast-feeding, the need to avoid pro-⺟ food made with high food allergies

Choices:
A. ADVANCED recommended for pregnant women to avoid eating without food allergies (such as seafood, flowers ⽣, etc.)
B. Food is recommended to start adding 4 to 6 Month zoomed
C. Yet there are international guidelines recommend routine infant Using the beneficial bacteria to prevent allergies ⽣
D. During ⺟ breast-feeding, the need to avoid pro-⺟ food made with high food allergies

prevention
infant allergy
following
most inappropriate


Question: When the cause of the implementation of artificial reproductive technology (ART), the occurrence of luteal phase (Luteal phase defect) does not contain:

Answer: Treatment of vaginal progesterone substituted intramuscular

Choices:
A. Not produce enough gonadotropin and progesterone during ovulation
B. When the oocyte retrieval procedure, granulosa cells destroy
C. Treatment of vaginal progesterone substituted intramuscular
D. Drugs used to suppress endogenous luteinizing generating hormone (LH) of

cause
artificial reproductive technology
occurrence
luteal phase
Luteal phase defect
not contain


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

Answer: Bleuler 4 As Lenovo containing barriers (associational disturbances of thought)

Choices:
A. Kraepelin and Bleuler consistent view that the function of patients with schizophrenia will continue to deteriorate
B. Kraepelin was first named schizophrenia (schizophrenia) of scholars
C. Bleuler 4 As Lenovo containing barriers (associational disturbances of thought)
D. Kraepelin called three serious mental illness does not include paranoia (paranoia)


Question: Which of the following is not a diabetes clinical manifestations of the third nerve lesions?

Answer: Proptosis

Choices:
A. Ptosis
B. Eye muscle paralysis (ophthalmoplegia)
C. Pupillary reaction normal
D. Proptosis

following
not
diabetes clinical manifestations of
third nerve lesions


Question: Which of the following is not suitable for most drugs "(EIB) exercise-induced bronchospasm" for prevention?

Answer: Theophylline

Choices:
A. Cromolyn
B. Terbutaline
C. Salmeterol
D. Theophylline

following
not suitable
drugs
exercise-induced bronchospasm
prevention


Question: Parasympathetic release of ACh role in the muscarinic receptor, can cause smooth muscle contraction, mainly to increase Which of the following second messenger?

Answer: IP3

Choices:
A. cAMP
B. cGMP
C. IP3
D. PIP2

release
role
muscarinic receptor
cause smooth muscle contraction
to increase
following second messenger


Question: 52-year-old female, height 160 cm, weight 58 kg, complained of insomnia, anxiety and hot flashes, bone density scans presented osteopenia (osteopenia), a recent period was two years ago, no history of surgery or medical history before. This hormone therapy given to patients with the most suitable justification for which of the following?

Answer: Reduce the risk of osteoporosis

Choices:
A. Reduce the risk of disease Ezihaimo
B. Reduce the risk of venous thrombosis disease
C. Reduce the risk of osteoporosis
D. Reduce the risk of endometrial cancer

year old female
height
weight 58 kg
insomnia
anxiety
hot flashes
bone density scans
osteopenia
osteopenia
recent period
two years
history of surgery
medical history
hormone therapy given
patients
most suitable justification


Question: Dispose of the facial trauma and fractures (facial trauma & fracture), the following statements is wrong?

Answer: If there are serious eye screening nose (nasal-orbitoethmoid) or skull fracture should be given the nasal endotracheal intubation (nasotracheal intubation) to maintain

Choices:
A. Frontal bone fracture (forehead fracture) to consider whether the frontal sinus and skull base injury
B. If there are serious eye screening nose (nasal-orbitoethmoid) or skull fracture should be given the nasal endotracheal intubation (nasotracheal intubation) to maintain
C. The mandibular jaw bone fracture patients do not have to do tracheostomy (tracheostomy), tube (endotracheal tube) can be maintained with endotracheal airway
D. Processing mandibular fractures (mandibular fracture), emphasizing the stability of the fixation nip and stable

facial trauma
fractures
facial
fracture
following
wrong


Question: Which of the following is most likely to cause of placental abruption (placental abruption) of?

Answer: High blood pressure (hypertension)

Choices:
A. High blood pressure (hypertension)
B. Uterine fibroids (leiomyoma)
C. Thrombosis (thrombophilia)
D. Smoke (cigarette smoking) 26. Under abnormal placental FIG whichever belongs to?

following
to cause
placental abruption
placental abruption


Question: Mr. Liu, 17, 35 years old, diagnosed with HBe antigen-positive chronic hepatitis B of the current security can receive stem (Lamivudine) for 6 months. The following statements is wrong?

Answer: HBe antigen disappears, can be discontinued, but to track as closely to detect relapse (relapse)

Choices:
A. An acceptable to treat dry year HBe antigen disappearance rate of about 20%
B. Security can accept the dry year of treatment resistance (drug resistance) rate of about 20%
C. An energy resistance occurs when dry, can be combined dry fitness (Adefovir) for long-term treatment
D. HBe antigen disappears, can be discontinued, but to track as closely to detect relapse (relapse)

Mr
35 years old
diagnosed
HBe antigen positive chronic
current
receive stem
Lamivudine
months
following
wrong


Question: Tourette's syndrome (Tourette's disease) takes medication, which is the drug of choice is which of the following?

Answer: High titer (high-potency) antipsychotics

Choices:
A. Tricyclic antidepressants
B. High titer (high-potency) antipsychotics
C. Lithium salt
D. Mood stabilizers (mood stabilizers)

Tourette's syndrome
Tourette's disease
medication
drug
following


Question: Brain cistern (cisterna magna) level:

Answer: Extension of the junction with the rear of the brain cerebellum

Choices:
A. Between the cerebral peduncle fossa (interpeduncular fossa)
B. Quadrigeminal rearward
C. Bridge 腦前 how
D. Extension of the junction with the rear of the brain cerebellum


Question: When according to the formula 61, when a patient is total cholesterol 287 mg / dL, triglycerides of 175 mg / dL and high-density lipoprotein cholesterol (HDL-C) was 90 mg / dL, low-density lipoprotein calculated protein cholesterol (LDL-C) is how much?

Answer: 162 mg/dL

Choices:
A. 22 mg/dL
B. 85 mg/dL
C. 130 mg/dL
D. 162 mg/dL


Question: 41. The test pad (pad test) is often widely to apply it to the patient-led research to understand the effectiveness of the treatment of urinary incontinence, pad test at 24 smaller size

Choices:
A. 0
B. 1
C. 2
D. 4

test pad
pad test
often
to apply
patient led
to
effectiveness
treatment
urinary incontinence
pad test
smaller size


Question: Statements about thiazides diuretics, which of the following error?

Answer: Reduce sympathetic activity

Choices:
A. Generating natriuresis
B. Reduced peripheral vascular resistance
C. Reduce sympathetic activity
D. Increase in uric acid concentration in blood


Question: A car accident 24-year-old man suddenly appeared on the right lower extremity weakness and left lower extremity paresthesia, the hospital examination revealed right lower extremity muscle strength decline, the left lower limb pain sensation of hot and cold fall and extending to the same side of the navel, associated with double deep tendon reflexes and the emergence of abnormal enhancement of Babinski reflex, most likely the patient neuroanatomical lesions why?

Answer: The right side of thoracic spinal cord

Choices:
A. Extension of the right side of the brain
B. The left side of the brain
C. The right side of thoracic spinal cord
D. The left thoracic spinal cord


Question: When the patient upper body upright posture pleural puncture, following a position that is most likely to hurt the lungs?

Answer: Scapular line (scapular line) ninth intercostal

Choices:
A. Midclavicular line (midclavicular line) 8th intercostal
B. Scapular line (scapular line) ninth intercostal
C. Axillary line (midaxillary line) ninth intercostal
D. Next to the 10th thoracic intercostal


Question: Type B aortic dissection disease, surgery needed, is a way of treatment:

Answer: The intimal gap (Intimal tear) arterial resection, artificial blood vessels to a short adapter, so that pseudo cavity (False lumen) Close

Choices:
A. Must be cut to the diaphragm descending aorta to graft replacement
B. The intimal gap (Intimal tear) arterial resection, artificial blood vessels to a short adapter, so that pseudo cavity (False lumen) Close
C. The descending aorta with a graft from the outside package together, to avoid cracking
D. In the front and rear ends of the gap at the inner membrane, artificial vascular bypass

Type B aortic dissection disease
surgery needed
treatment


Question: A 12-year-old boy complained of sudden abdominal pain and slight fever, abdominal tenderness physical examination found significant (guarding). Biochemical tests showed that the serum amylase (amylase from) was 620 U / L. To confirm the diagnosis, your next step should be how to detect the following items?

Answer: Serum lipase (lipase)

Choices:
A. Serum amylase determination was
B. Fecal fat (fecal fat)
C. Glucose (blood sugar)
D. Serum lipase (lipase)

year old boy
sudden abdominal pain
slight fever
abdominal tenderness
found significant
guarding
Biochemical tests
serum amylase
amylase
620 U
L
To confirm
diagnosis
next step
to detect
following


Question: The following description of adolescent behavior problems and what was right?

Answer: Physical, psychological, social and environmental changes are not synchronized, associated with risk-taking behavior

Choices:
A. Risk-taking behavior of young people has nothing to do with the male hormone
B. Risky sexual behavior of young people do not belong
C. Physical, psychological, social and environmental changes are not synchronized, associated with risk-taking behavior
D. Substance abuse is usually used in combination stimulants, marijuana and cocaine

following
adolescent behavior problems
right


Question: Which of the following drugs in combination with the separation of the fastest rate of sodium channel?

Answer: lidocaine

Choices:
A. quinidine
B. amiodarone
C. flecainide
D. lidocaine

following drugs
combination
separation
fastest rate
sodium channel


Question: What headache particularly occurs in men?

Answer: Cluster headache (cluster headache)

Choices:
A. Harbinger of migraine (migraine with aura)
B. No sign of migraine (migraine without aura)
C. Crunch-type headache (tension-type headache)
D. Cluster headache (cluster headache)


Question: Smoking cessation clinic has a 40-year-old male patient wants to take action to quit smoking within a month, is part across the theoretical models that period (transtheoretical model) in it?

Answer: Consider phase (preparation)

Choices:
A. No consideration phase (precontemplation)
B. Consider phase (preparation)
C. Contemplation stage (contemplation)
D. Action stage (action)

Smoking cessation clinic
40 year old male patient
to
action to
smoking
month
part
period


Question: Patients do brain biopsy, microscopic observation that neurons bite phenomenon (neuronophagia), the most commonly occurring variations in how these conditions?

Answer: Viral encephalitis

Choices:
A. Ischemic necrosis liquefaction
B. Viral encephalitis
C. Neurodegenerative diseases
D. Highly malignant brain tumor

Patients
brain biopsy
microscopic observation
bite
neuronophagia
most
occurring variations
conditions


Question: 40-year-old pregnant woman suffering from excessive thyroid function, anti-thyroid stimulating hormone receptor antibody (anti-TSH receptor antibody) of Ge Ruifu's disease (Graves' disease) occurs. After the successful production, found a small baby 2000 grams heavy, easily frightened, very difficult to sleep, low milk volume, check the body also anti-thyroid stimulating hormone receptor antibody. The reason why?

Answer: Anti-immune diseases mother autologous thyroid stimulating hormone receptor antibody is IgG, through the placenta, causing temporary symptoms small baby

Choices:
A. In this example because due to genetic Ge Ruifu's disease
B. Anti-immune diseases mother autologous thyroid stimulating hormone receptor antibody is IgG, through the placenta, causing temporary symptoms small baby
C. Characteristics of Ge Ruifu's disease causes little baby vivo CD4 + CD25 + regulatory T cells (CD4 + CD25 + cells of Treg) increased
D. Characteristics of Ge Ruifu's disease causes little baby in vivo anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) increased


Question: The figure below displays the main reason girls have to walk within eight gait is:

Answer: Internal rotation of the femur (femoral medial torsion)

Choices:
A. Tibia 內旋 (tibial medial torsion)
B. Tibia lateral rotation (tibial lateral torsion)
C. Internal rotation of the femur (femoral medial torsion)
D. External rotation of the femur (femoral lateral torsion)


Question: Which of the following circumstances, the most unlikely there will be a wide pulse pressure (wide pulse pressure)?

Answer: Mitral stenosis

Choices:
A. Hyperthyroidism
B. anemia
C. Aortic valve regurgitant flow
D. Mitral stenosis

following
most unlikely
wide pulse pressure
wide pulse pressure


Question: Related to adrenaline (epinephrine) and norepinephrine (norepinephrine) liter of blood pressure, which of the following description of the error?

Answer: The main effect of adrenaline or blood pressure via alpha] l adrenergic receptors (α1-adrenergic receptors)

Choices:
A. The main effects of epinephrine or blood pressure increase heart rate and force of contraction of the heart
B. Administration of norepinephrine can cause reduced reflective heartbeat
C. The main effect of adrenaline or blood pressure via alpha] l adrenergic receptors (α1-adrenergic receptors)
D. L primarily norepinephrine blood pressure via increased peripheral vascular resistance

Related
adrenaline
epinephrine
norepinephrine
norepinephrine
liter
blood pressure
following
error


Question: Which of the following and neurosyphilis (neurosyphilis) are associated with each other?

Answer: Argyll-Robertson pupil

Choices:
A. Argyll-Robertson pupil
B. Marcus-Gunn pupil
C. Horner's pupil
D. Adie's pupil

following
neurosyphilis
neurosyphilis
associated with


Question: The reason directional neurotransmission is because:

Answer: Ion channels (ion channel) proteins play a role in desensitization (desensitization)

Choices:
A. Ion channels (ion channel) proteins play a role in desensitization (desensitization)
B. Having a specific ion channel protein (specificity)
C. With directional transfer of calcium ions in nerve cells
D. Calmodulin (Calmodulin) having a directional transmission of nerve cells


Question: Which of the following does not belong to the striatum (corpus striatum)?

Answer: 黑 質 (substantia nigra)

Choices:
A. Caudate nucleus (caudate nucleus)
B. 殼部（putamen）
C. 黑 質 (substantia nigra)
D. Globus pallidus (globus pallidus)


Question: Mr. Lin, a technology company executives depart for the United States New Jersey region in two weeks visit had been subjected to an unknown parasite bites have eight legs during travel, tourism, one week after returning fever, chills, headache and muscle pain and other symptoms, hospital detection result thrombocytopenia, hemolytic anemia and mild found in red blood cell nucleated bis (binucleateform) of the parasite. Based on the above results, Lin parasitic disease which most likely to be infected?

Answer: Barbados's protozoan disease (babesiosis)

Choices:
A. Lyme disease (Lyme disease)
B. Barbados's protozoan disease (babesiosis)
C. Scrub typhus (scrub typhus)
D. Ai rickettsial disease (ehrlichiosis)


Question: Which of the following aortic balloon pump (intra-aortic balloon pump) the best use of time?

Answer: Mitral chordae rupture countercurrent with acute severe mitral

Choices:
A. L acute aortic dissection with acute severe aortic countercurrent
B. Aortic aneurysm with chronic severe aortic countercurrent
C. Mitral chordae rupture countercurrent with acute severe mitral
D. Infectious abdominal aortic aneurysm merger hemorrhagic shock

following aortic balloon pump
intra-aortic balloon pump
best use of time


Question: 42 year-old man complained of recent days, severe headache, nausea, stiff neck, and to the emergency room, injection developer (Gd-DTPA) as shown in MRI imaging, diagnosis is:

Answer: Brain abscess (brain abscess)

Choices:
A. Brain abscess (brain abscess)
B. Acute cerebral infarction (acute infarction)
C. Absorption clot (resolving intracerebral hemorrhage)
D. Aneurysm (aneurysm)

year old man
recent days
severe headache
nausea
stiff neck
emergency room
injection developer
Gd-DTPA
MRI imaging
diagnosis


Question: 38 A 28-year-old man riding a motorcycle not wearing a helmet, a car accident caused by head trauma to the emergency room, the hospital when the CT display trace left temporal lobe brain contusion hemorrhage, coma index was 14 points, the hospital administration reducing intracranial pressure, etc. gradually regained consciousness after drug treatment, two weeks after discharge. Unfortunately, months later, the patient left prominence associated with conjunctival hyperemia, and intracranial hear abnormal sounds, then following that diagnosis correct?

Answer: Traumatic carotid cavernous tube (Traumatic Carotid-Cavernous fistula)

Choices:
A. Traumatic arteriovenous tube (Traumatic AV fistula at the transverse sinus)
B. Traumatic carotid cavernous tube (Traumatic Carotid-Cavernous fistula)
C. Arteriovenous cerebral cortex tube (Cortical artery and venous fistula)
D. Traumatic intracranial aneurysms (Traumatic intracranial aneurysm)

CT display trace left temporal lobe brain hemorrhage


Question: Observed when cystic hygroma (cystic hygroma) in the second or third trimester fetus should be suspected the most likely correlated with abnormal chromosome which of the following?

Answer: monosomy

Choices:
A. triploidy
B. trisomy 18
C. trisomy 21
D. monosomy

Observed
cystic hygroma
cystic hygroma
second
third trimester fetus
suspected
most likely correlated
abnormal chromosome
following


Question: 12. Under normal rest state, the surrounding tissue after gas exchange in the blood, leaving the tissue hemoglobin oxygen saturation therein (hemoglobin oxygen saturation) is approximately:

Answer: 75%

Choices:
A. 90%
B. 75%
C. 50%
D. 25%

normal
state
surrounding tissue
gas exchange
blood
tissue hemoglobin oxygen saturation
hemoglobin oxygen saturation
approximately


Question: Patients in the use of antibiotics for treating infectious diseases, diarrhea is often the case, the following statements is wrong?

Answer: If the diarrhea symptoms persist, you can use injection type of Metronidazole or Vancomycin to treat patients

Choices:
A. pseudomembranous colitis is mainly caused by the Clostridium difficile
B. Stool culture bacteria and germs toxin detection can be used to diagnose pseudomembranous colitis
C. Most of the patients after discontinuation of antibiotics, diarrhea symptoms will ease
D. If the diarrhea symptoms persist, you can use injection type of Metronidazole or Vancomycin to treat patients

Patients
use of
treating infectious diseases
diarrhea
often
case
following
wrong


Question: In bypassing the medial malleolus of the foot tarsal tunnel (tarsal tunnel), the pulse can touch Which of the following is?

Answer: Posterior tibial artery (posterior tibial artery)

Choices:
A. Anterior tibial artery (anterior tibial artery)
B. Posterior tibial artery (posterior tibial artery)
C. Medial plantar artery (medial plantar artery)
D. Lateral plantar artery (lateral plantar artery)

bypassing
medial malleolus
foot tarsal tunnel
tarsal tunnel
pulse
touch
following


Question: Which is not the first frame neurofibromatosis type (neurofibromatosis type 1) of the typical symptoms?

Answer: Bilateral acoustic neuroma (bilateral acoustic neuromas)

Choices:
A. Iris discolored melanoma (Lisch nodule)
B. ⽜ coffee milk spots (café au lait spots)
C. Bilateral acoustic neuroma (bilateral acoustic neuromas)
D. Out skin neurofibromatosis (multiple skin neurofibromas)

not
first frame neurofibromatosis type
neurofibromatosis type 1
typical symptoms


Question: Which of the following is not a risk factor for breast cancer?

Answer: Was suffering from breast fibroadenoma (fibroadenoma)

Choices:
A. 40-year-old pregnant first birth child
B. With a mutated BRCA1 gene
C. Was suffering from breast fibroadenoma (fibroadenoma)
D. Atypical hyperplasia of the breast ducts (atypical ductal hyperplasia)


Question: Obesity is excess fat disease. On fat metabolism of adipose tissue, following what's wrong?

Answer: Fasting, released fatty acids to triglyceride synthesis in the liver, packaged in low density lipoprotein (low-density lipoprotein) secretion into the blood

Choices:
A. Released fatty acid moiety may be supplied to other energy production
B. Released fatty acids to the liver triglyceride resynthesis, it is easy to obese patients fatty liver
C. Fasting, released fatty acids to triglyceride synthesis in the liver, packaged in low density lipoprotein (low-density lipoprotein) secretion into the blood
D. Released fatty acids, mostly in the liver and adipose tissue triglyceride resynthesis

Obesity
excess fat disease
adipose tissue
following
wrong


Question: The following constitute about table ⽪ (epidermis) cells narrative, what's wrong?

Answer: Merck earphone ⽒ cells (Merkel's cell) mainly in the table ⽪ spinous layer (stratum spinosum)

Choices:
A. Corner of stromal cells (keratinocyte) is the largest table cell content ⽪
B. Cells blacks appear voxel cell (melanocyte) mainly in Table ⽪ base layer (stratum basale)
C. Merck earphone ⽒ cells (Merkel's cell) mainly in the table ⽪ spinous layer (stratum spinosum)
D. Lange Han ⽒ cells (Langerhans' cell) with dendrites (dendritic process), is a kind of antigen presenting cells ⼀ (antigenpresenting cell)


Question: Trauma on the musculoskeletal system, the following statements is wrong?

Answer: If the shock phenomenon amputees will be carried out immediately engage surgery (replantation)

Choices:
A. If the shock phenomenon amputees will be carried out immediately engage surgery (replantation)
B. Fracture fixation can reduce pain and prevent further soft tissue injury
C. Suspected arterial vascular injury must consider arranging angiography examination
D. Wounds near joints do not try to check the physiological saline injected from the wound and the whether interlinked joint cavity


Question: Which of the following close contact with the bladder neck?

Answer: prostate

Choices:
A. uterus
B. vaginal
C. rectum
D. prostate


Question: The following related pulmonary embolism (pulmonary embolism) diagnostic narrative, what's wrong?

Answer: The diagnosis by pulmonary angiography (pulmonary angiography)

Choices:
A. Shortness of breath (dyspnea), chest pain, hemoptysis and other symptoms are not specific
B. The diagnosis by pulmonary angiography (pulmonary angiography)
C. D-dimer detected in serum with high sensitivity, low specificity characteristics
D. The use of nuclear medicine ventilation - perfusion lung scan, there will be - the image (ventilation-perfusion mismatch) the "ventilation perfusion does not match."

following related pulmonary embolism
pulmonary embolism
diagnostic
wrong


Question: Interferons (interferons, Type I and II) and having the antiviral action of inducing the immune response, wherein that human immune interferon for enhancing the most powerful?

Answer: c

Choices:
A. d
B. c
C. b
D. a

Interferons
interferons
antiviral action
inducing
immune response
human immune interferon
most powerful


Question: The following narrative about the scimitar syndrome, what is wrong?

Answer: Often associated with atrial septal defect (atrial septal defect)

Choices:
A. Often associated with atrial septal defect (atrial septal defect)
B. Lung hypoplasia and the combined visible right heart disease (dextroposition of heart)
C. Right pulmonary veins is not injected properly inferior vena cava (inferior vena cava)
D. Often associated with the free lung (pulmonary sequestration)


Question: The following ages, the one on the age, physical and social level, the largest inter-individual differences?

Answer: elderly

Choices:
A. Children
B. teens
C. middle aged
D. elderly

following ages
one
age
physical
social level
largest inter


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

Answer: Droplet psoriasis (guttate psoriasis), mostly caused by Staphylococcus aureus infection

Choices:
A. Auspitz's sign of its features
B. 有 Koebner phenomenon
C. Droplet psoriasis (guttate psoriasis), mostly caused by Staphylococcus aureus infection
D. Some drugs, such as β-blocker will aggravate the condition of psoriasis

Account
psoriasis
psoriasis
following error


Question: Statements about colon diverticulum, and what is non?

Answer: It does not occur between the lateral mesenteric taeniae and mesenteric taeniae

Choices:
A. It does not occur between the lateral mesenteric taeniae and mesenteric taeniae
B. It does not occur between the two lateral mesenteric taeniae of antimesenteric side
C. Usually only part of the herniation mucosa, it is a pseudodiverticulum
D. Perforating vessel usually occurs in the colon wall penetrations


Question: Prostatic hypertrophy patients received transurethral resection of prostate surgery, appeared confused consciousness, nausea, high blood pressure, slow heartbeat and other symptoms, it is most likely the reason is:

Answer: Transurethral resection syndrome (transurethral resection syndrome)

Choices:
A. Hyperlipidemia (sepsis)
B. Hemorrhagic shock (hemorrhagic shock)
C. Deep vein thrombosis (deep vein thrombosis)
D. Transurethral resection syndrome (transurethral resection syndrome)


Question: After about following stroke central pain (central pain) of the narrative, whichever is most correct?

Answer: Central pain occurs in the contralateral brain lesions of the central nervous system

Choices:
A. Central pain occurs in the contralateral brain lesions of the central nervous system
B. Small stroke lesion does not cause central pain
C. The ratio of central pain occurs within one year after the disease is very high
D. The majority of patients with central pain and temperature (temperature perception) is not affected

following stroke central pain
central pain
most correct


Question: The following account of influenza virus (Influenza virus) variation of, what is wrong?

Answer: Antigen big variation is the main cause annual epidemics of influenza virus

Choices:
A. Great variability called antigen (antigenic shift) means the variability exchange between the RNA genome segments of different strains caused by
B. Antigen big variation is the main cause annual epidemics of influenza virus
C. The so-called small variation antigen (antigenic drift) refers to a variant RNA genome itself which point mutation (point mutation) caused by
D. Antigen small variation is caused mainly due to different strains of influenza virus each year between


Question: Related to the liver tissue, which of the following error?

Answer: Is supplied poor circulation of the liver, hepatic portal lobule cells a first zone (zone 1 of liver acinus) of the first and the last death of reproducing

Choices:
A. Hepatocytes body lipoprotein complex (lipoprotein complex) as a dense core vesicles (dense-cored vesicle) form electron microscope
B. Hepatocyte lipoprotein lipid moiety duplexes (lipoprotein complex) is produced by the smooth endoplasmic reticulum, the protein portion is produced by rough endoplasmic reticulum
C. Is supplied poor circulation of the liver, hepatic portal lobule cells a first zone (zone 1 of liver acinus) of the first and the last death of reproducing
D. Toxicant and cholestasis (bile stasis) the reaction is slowest cells in the hepatic lobule door third zone (zone 3 of liver acinus)


Question: A middle-aged tramp due to diarrhea, confusion was sent to the emergency room, examination revealed his face, chest, back of the hand has a rough skin dermatitis, inflammation of the tongue there, diagnostician is: suspected pellagra ( pellagra). Of the following statements about the disease, what is correct?

Answer: The disease is the lack of nicotinic acid (niacin) resulting from

Choices:
A. The disease is the lack of nicotinic acid (niacin) resulting from
B. Nicotinic acid is synthesized by the niacinamide adenine dinucleotide salt (nicotinamide adenine dinucleotide, i.e., NAD +)
C. Corn-based food will not readily get the disease
D. The nervous system will not be affected

middle-aged tramp due to diarrhea
confusion
sent
emergency room
revealed
face
chest
hand
rough skin dermatitis
inflammation of the tongue
suspected pellagra
pellagra
following
disease
correct


Question: China's current national health insurance, is what is the main source of revenue?

Answer: insurance

Choices:
A. General taxes
B. Lottery revenue
C. Foreign exchange reserves
D. insurance


Question: A 53-year-old man to hospital for medical examination, no significant past medical history, his father died of a heart attack at the age of 74, his mother, now 80-year-old history of hypertension, he does not smoke, does not drink nor exercise regularly. Blood pressure 128/84 mmHg, pulse 80 / min, 170 cm tall, weighing 82 kg, no special abnormal physical examination. The following would you recommend he do that kind of screening?

Answer: Colorectal Cancer

Choices:
A. Prostate Cancer
B. Lung cancer
C. Abdominal aortic aneurysm
D. Colorectal Cancer

year old man
hospital
significant past medical history
died
heart attack
age
74
now 80 year old history of hypertension
not smoke
not
exercise
Blood pressure
84 mmHg
pulse 80
min
tall
kg
special abnormal physical examination
following
kind
screening


Question: 55 year old man peripheral blood white blood cell count is checked 240,000 / μL, LAP score is 3, and there is the Philadelphia chromosome is present, following which treatment is most appropriate?

Answer: Imatinib

Choices:
A. Hydroxyurea
B. Interferon
C. Imatinib
D. Stem cell transplantation

year
man
LAP score
3
Philadelphia chromosome
present
following
treatment
most appropriate


Question: That one of the following neonatal highest rate of chromosomal abnormalities occur?

Answer: Trisomy 21

Choices:
A. Trisomy 21
B. Trisomy 18
C. Trisomy 13
D. 45,X

one
following neonatal highest rate
chromosomal occur


Question: Which of the following is not the nerve in the calf with the line?

Answer: Peroneal artery (peroneal artery)

Choices:
A. Posterior tibial artery (posterior tibial artery)
B. Anterior tibial artery (anterior tibial artery)
C. Peroneal artery (peroneal artery)
D. Small saphenous vein (small saphenous vein)


Question: After bearing the title, were treated in the emergency infusion still vasopressors to maintain systolic blood pressure greater than 90 mmHg, which of the following is wrong?

Answer: Before sputum specimen should not be made given antibiotics

Choices:
A. Blood cultures must be completed before antibiotics administered
B. Before sputum specimen should not be made given antibiotics
C. This combined patients should be administered intravenous broad-spectrum antibiotics
D. This patient should receive treatment in intensive care unit


Question: 88. The physician must check the specificity of known (specificity) when the interpretation of a result of the check. What is the specificity (specificity)?

Answer: The patient does not have the disease, the test results were negative probability

Choices:
A. Patient test results were positive, the probability that the disease does have
B. Patient test results were negative, the chances that the disease does not
C. Patients have the disease, the probability of positive test results for the
D. The patient does not have the disease, the test results were negative probability

88 physician check specificity known specificity interpretation result check specificity specificity


Question: A woman due to ovarian solid tumors ultrasound display appears hospitalized for further examination, following a series of inspections, found that patients with this merger appears ascites and hydrothorax, determined to Meigs' syndrome clinically. This ovarian tumors are most likely to be which of the following?

Answer: fibroma

Choices:
A. Thecoma
B. Cystic teratoma
C. Endometrioma
D. fibroma

woman due to ovarian solid ultrasound display appears hospitalized


Question: A 18-year-old high school graduate, from small children and a loner, homework ordinary schools can meet the requirements for very involved astronomy, astronomical knowledge beyond their peers, as long as the school can mention astronomy eloquent, but he because poor interpersonal relationships, that it is difficult jobs. The most likely diagnosis in this case is:

Answer: Yasiboge disorders (Asperger's disorder)

Choices:
A. Intelligent developmental disabilities (mental retardation)
B. Social phobia (social phobia)
C. Yasiboge disorders (Asperger's disorder)
D. Class Jingshenfenlie personality disorder (schizoid personality disorder)

year old
small children
schools
requirements
very involved
long
school
poor
difficult
most likely diagnosis
case


Question: Most people around the renal hilum connection by following what plane?

Answer: Between the iliac crest surfaces (intercristal plane)

Choices:
A. Pylori lateral surface (transpyloric plane)
B. Umbilical lateral surface (transumbilical plane)
C. Bone nodule surface cross-intestinal (transtubercular plane)
D. Between the iliac crest surfaces (intercristal plane)


Question: When the neuroendocrine tumor metastases hair ⽣ that ⼀ least one of the following cases for selection liver resection surgery your watch?

Answer: Face disease liver function Child-Pugh class B

Choices:
A. More than 95% of the resectable liver tumor volume
B. Use as ⻑ effect compstatin analog (long-acting somatostatin analogues) therapy
C. There are obvious symptoms of neuroendocrine
D. Face disease liver function Child-Pugh class B

neuroendocrine hair
least one
following cases
liver surgery


Question: About Benzodiazepines sedative - hypnotic (Sedative-hypnotic) drugs, affect the normal sleep cycle, which of the following error?

Answer: To shorten the second period of non-REM sleep (Non-rapid eye movement) of

Choices:
A. During shorter REM sleep (Rapid eye movement) of
B. To shorten the second period of non-REM sleep (Non-rapid eye movement) of
C. Shorten the time required to enter sleep
D. During the fourth non-REM shortened sleep (Non-rapid eye movement) of

Benzodiazepines sedative
hypnotic
Sedative-hypnotic
drugs
normal sleep cycle
following error


Question: 80-year-old man had left ventricular dilatation, often angina, cardiac catheterization is not severe coronary artery stenosis, mitral valve normal, but there are significant aortic stenosis, the person most likely to aortic valve disease are:

Answer: calcific aortic stenosis

Choices:
A. calcific aortic stenosis
B. rheumatic aortic stenosis
C. syphilitic aortitis
D. Marfan syndrome

80 year old man
left ventricular dilatation
often angina
not severe coronary artery stenosis
mitral valve normal
significant aortic stenosis
likely
aortic valve disease


Question: For long-term post-menopausal women taking hormone replacement therapy (hormone replacement therapy) effects on various organ systems of the body, to study the most appropriate in the following ways?

Answer: Generations follow-up study

Choices:
A. Real animal model
B. Randomized trial
C. Generations follow-up study
D. A case-control study

long-term post-menopausal
hormone replacement therapy
hormone replacement therapy
effects
various organ systems of
body
to study
most appropriate
following


Question: Hair cells have stereocilia (stereocilia) can be found in many ears, but which of the following do not have this configuration?

Answer: 聽管（auditory or Eustachian tube）

Choices:
A. Utricular spot (macula of utricle)
B. Cochlea of the organ of Corti
C. Vestibular ampulla (ampulla of vestibular apparatus)
D. 聽管（auditory or Eustachian tube）

stereocilia stereocilia found ears following not configuration


Question: About correlation between the narrative of the events of ECG and cardiac cycle, Which statement is correct?

Answer: Near the end-diastolic ventricular, P waves can be observed

Choices:
A. Near the end-diastolic ventricular, P waves can be observed
B. After the QRS complex appears, immediately enter the ventricular isovolumic ventricular diastolic (isovolumetric ventricular relaxation)
C. When the T-wave occurs, the volume of the ventricles (ventricular volume) is the largest cardiac cycle
D. Atrial repolarization, usually diastole (diastole) with T-wave


Question: Which of the following is the spread of zoonotic vectors of Lyme disease (Lyme disease) it?

Answer: Deer ticks (Ixodes dammini)

Choices:
A. Deer ticks (Ixodes dammini)
B. 鼠蚤（Xenopsylla cheopis）
C. Body louse (body louse)
D. Bug (bedbug)


Question: After breast cancer surgery, inner arm numbness following what was due to nerve damage?

Answer: Intercostal brachial nerve (intercostobrachial nerve)

Choices:
A. Thoracodorsal nerves (thoracodorsal nerve)
B. Intercostal brachial nerve (intercostobrachial nerve)
C. Long thoracic nerve (long thoracic nerve)
D. Intercostal nerve (intercostal nerve)

breast
inner arm numbness following
due to nerve damage


Question: The role of eicosanoids following the contraction of blood vessels, but what are exceptions?

Answer: Prostaglandin I2

Choices:
A. Thromboxane A2
B. Prostaglandin I2
C. Prostaglandin F2
D. Leukotriene D4

role
eicosanoids following
contraction
blood vessels


Question: That one of the following sign will not appear on the Plain abdominal X-ray film Sigmoid colon volvulus it?

Answer: "Bird's beak＂deformity

Choices:
A. "Bent inner tube＂sign
B. "Bird's beak＂deformity
C. Absent rectal gas
D. Air-fluid level in dilated colon loop

one
following sign
not appear
Plain film Sigmoid colon volvulus


Question: Patients known to suffer from severe hemophilia category (severe von Willebrand disease), no other medical conditions, the following laboratory test results belong to whichever unusual?

Answer: PFA-100（platelet function analyzer 100）test 正常

Choices:
A. normal prothrombin time
B. PFA-100（platelet function analyzer 100）test 正常
C. activated partial thromboplastin time prolonged slightly
D. von Willebrand factor ristocetin co-factor activity decreased

Patients known to suffer
severe hemophilia
severe von Willebrand disease
medical conditions
following laboratory test results
unusual


Question: Fifteen-day-old baby girl, newborn screening because TSH (TSH) is 60 μU / mL and treatment, and that one of the following check most unfit?

Answer: I-131 掃描（I-131 sodium iodide scintigraphy）

Choices:
A. Serum thyroxine (T4)
B. I-131 掃描（I-131 sodium iodide scintigraphy）
C. Technetium -99m Scan (Tc-99m sodium pertechnetate scintigraphy)
D. Thyroid ultrasonography (Ultrasonography of the thyroid)

old baby girl
newborn screening
60 U
mL
treatment
one
following check


Question:
72. Suppose you collect 100 lung cancer patients and 1000 similar age, sex and condition Shehuijingji non-lung cancer control group for the study, 100 patients with lung cancer 90 are regular smokers, 1000 and 270 control group bits are regular smokers, the smoke get lung cancer risk odds ratio
 (Odds ratio) is how much?

Answer: 24.33

Choices:
A. 4.1
B. 24.33
C. 300
D. 3.33

72
100 lung cancer patients
similar age
sex
condition
lung control
study
100 patients
lung cancer 90
regular smokers
bits
regular smokers
smoke
lung odds ratio
Odds ratio