Question: 4. Sonic in the order of conducting human ear, Which statement is correct? ①tympanic membrane ②middle-ear bones ③round window membrane ④basilar membrane ⑤oval window membrane

Answer: ①②⑤④③

Choices:
A. ①②③④⑤
B. ②①④③⑤
C. ①②③⑤④
D. ①②⑤④③

tympanic membrane middle ear bones round window


Question: The following related dysphagia (dysphagia) of the narrative, whichever is most incorrect?

Answer: Patients with unilateral stroke side of the oral cavity and pharynx normal, it will not happen dysphagia

Choices:
A. Aspiration pneumonia often occurs in patients with dysphagia
B. Dysphagia stroke patients, their general poor functional activities
C. Patients with unilateral stroke side of the oral cavity and pharynx normal, it will not happen dysphagia
D. Dysphagia patients often occurs in a brain stem stroke (brain-stem stroke) of

following related dysphagia
dysphagia
most incorrect


Question: 70 year-old male, three months in the trunk, limbs taut A of FIG blisters (tense bullae), combined erosion (erosion) and crust formation (Crust) a. Blisters do physician skin biopsy taken by B, while doing direct immunofluorescence examination (direct immunofluorescence test) was found in the dermal-epidermal junction (dermo-epidermal junction) has linear IgG and C3 deposition C. FIG. The most likely diagnosis is:

Answer: Pemphigoid (bullous pemphigoid)

Choices:
A. Pemphigus vulgaris (pemphigus vulgaris)
B. Herpes-like skin inflammation (dermatitis herpetiformis)
C. Pemphigoid (bullous pemphigoid)
D. Deciduous pemphigus (pemphigus foliaceus)

70 year old male
three months
trunk
limbs taut
blisters
tense bullae
combined erosion
erosion
crust formation
Crust
Blisters
physician skin biopsy
direct immunofluorescence
direct immunofluorescence test
found
dermal-epidermal junction
dermo-epidermal junction
linear
C3 deposition
diagnosis


Question: Using the upper respiratory tract tumors profit transfer color immunohistochemistry, tumor cells were found to exhibit synaptophysin and chromogranin antigen, Which of the following is the most likely diagnosis?

Answer: ⺟ germ cell cancer olfactory nerve (olfactory neuroblastoma)

Choices:
A. ⿐ pharyngeal carcinoma ⽪
B. ⺟ germ cell cancer olfactory nerve (olfactory neuroblastoma)
C. ⽪ the larynx carcinoma
D. NUT midline carcinoma (NUT midline carcinoma)

Using
upper
transfer color immunohistochemistry
found to
synaptophysin
chromogranin antigen
following
diagnosis


Question: Mesenteric lymph nodes (superior mesenteric lymph nodes), are least likely to be the self-draining lymph where the following?

Answer: Pancreas and lymph nodes (pancreaticosplenic lymph node)

Choices:
A. Pancreas and lymph nodes (pancreaticosplenic lymph node)
B. Mesenteric lymph nodes (mesenteric lymph node)
C. Colonic intestinal lymph node (middle colic lymph node)
D. Intestinal lymph nodes (juxta-intestinal lymph node)

Mesenteric lymph nodes
superior mesenteric lymph nodes
least likely to
draining lymph
following


Question: Which of the following does not belong to keratoconus (keratoconus) clinical signs?

Answer: Kayser-Fleischer ring

Choices:
A. Munson's sign
B. Highly irregular astigmatism
C. Kayser-Fleischer ring
D. Corneal acute hydrocephalus (acute hydrops)

following
not
keratoconus
keratoconus
clinical signs


Question: High mother took just over 11 months before the child's point of view cough and runny nose, asking vaccination for the high-brother of high mother, on the advice of the Ministry of Health and Welfare National Health Department, high-brother should have accepted those following vaccination? ① BCG ②B hepatitis ③ diphtheria tetanus pertussis vaccine polio oral vaccine ④ ⑤ ⑥ varicella vaccine measles mumps rubella combined vaccine ⑦ ⑧ Japanese encephalitis vaccine reduction diphtheria-tetanus combined vaccine?

Answer: ①②③④

Choices:
A. ③④⑤⑥⑦
B. ①②③④
C. ①③④⑤⑥
D. ①②⑤⑧


Question:
70
 Histamine H1- histamine receptor antagonist used to treat these diseases, except for whichever?

Answer: Gastric ulcer

Choices:
A. Motion sickness, seasickness
B. Allergic rhinitis
C. Urticaria
D. Gastric ulcer

70 Histamine H1
receptor antagonist used to treat
diseases


Question: No patient in Taiwan, liver and gallbladder diseases, such as suffering from primary liver abscess, the most likely pathogens are:

Answer: Klebsiella pneumoniae (Klebsiella pneumoniae)

Choices:
A. Staphylococcus aureus (staphylococcus aureus)
B. Group A streptococci (group A streptococcus)
C. Escherichia coli (E. coli)
D. Klebsiella pneumoniae (Klebsiella pneumoniae)

patient
Taiwan
liver
gallbladder diseases
as suffering
primary liver abscess


Question: 40-year-old adults in the following scenarios, do not need to select priority within the large intestine fiber endoscopy?

Answer: Long-term constipation

Choices:
A. Fecal occult blood positive reaction
B. Have a family history of colorectal cancer
C. Long-term constipation
D. There colorectal polyps (polyp) a history of

40 year old adults
following scenarios
not need to
priority
large fiber endoscopy


Question: The following statements about the amoeba, what's wrong?

Answer: Parasitic amoeba class will form the body of the bag body

Choices:
A. Body parasitic amoeba class, most of the non-pathogenic species
B. Parasitic amoeba class will form the body of the bag body
C. Intestinal parasitic amoeba can hematoxylin and trichrome stain to stain
D. Form the nucleus of the amoeba is classified according to one


Question: Occupational cause of Parkinson's disease (Parkinsonism) Which of the following substances with exposure to the most relevant?

Answer: Mn (Manganese)

Choices:
A. Mercury (Mercury)
B. Mn (Manganese)
C. Carbon tetrachloride (Carbon tetrachloride)
D. Organic phosphorus compounds (Organophosphate)

Occupational cause
Parkinson's disease
Parkinsonism
following
exposure to
relevant


Question: The following information about the throat (larynx) of the narrative, what's wrong?

Answer: Side cricoarytenoid muscle and posterior cricoarytenoid muscle (lateral and posterior cricoarytenoid muscles) antagonistic to each other, the control vestibular cracking (rima vestibuli) of the switch

Choices:
A. Throat chamber (ventricle) is located between the vestibular folds (vestibular fold) and the vocal folds (vocal fold)
B. Vocal muscle (vocalis muscle) is located within the vocal folds of
C. Side cricoarytenoid muscle and posterior cricoarytenoid muscle (lateral and posterior cricoarytenoid muscles) antagonistic to each other, the control vestibular cracking (rima vestibuli) of the switch
D. Dipper transverse muscle (transverse arytenoid muscle) collapsed about arytenoid cartilage (arytenoid cartilages)


Question: Peripheral noxious stimuli mainly through the A and C afferent nerve fibers in the spinal cord of zone?

Answer: 脊板 (lamina) I / II

Choices:
A. 脊板 (lamina) I / II
B. Rib plates III / IV
C. 脊板 VI
D. Spine board IX / X

Peripheral
C afferent nerve fibers
spinal cord
zone


Question: In the diagnosis of carpal tunnel syndrome (carpal tunnel syndrome), which of the following electrical diagnostic method most early diagnosis?

Answer: Nerve conduction (nerve conduction) Check

Choices:
A. Nerve conduction (nerve conduction) Check
B. EMG (electromyography) Check
C. Continuous electrical nerve stimulation (repetitive nerve stimulation) Check
D. Somatosensory evoked potentials (somatosensory evoked potential) Check

diagnosis
carpal tunnel syndrome
carpal tunnel syndrome
following electrical diagnostic method
early diagnosis


Question: The researchers wanted to test whether a new drug has the effect of lowering blood pressure, 20 rats were measured blood pressure before and after the feeding of new drugs, blood pressure measurement for comparing the two, the following statistical analysis whichever is most appropriate?

Answer: Paired t-test (Paired t-test)

Choices:
A. Linear Regression (Linear regression)
B. Independent samples t-test (Independent sample t-test)
C. Paired t-test (Paired t-test)
D. Table analysis (Contingency table)

researchers wanted to test
new drug
effect
lowering blood pressure
20
measured blood pressure
new drugs
two
following
most appropriate


Question: The following narrative and what was wrong?

Answer: Obesity and malnutrition does not increase the chances of wound dehiscence

Choices:
A. Most of pulmonary embolism (pulmonary embolism) originated in deep vein thrombosis (deep venous thrombosis)
B. The elderly often due to malnutrition have a relatively high incidence of complications after surgery
C. Obesity and malnutrition does not increase the chances of wound dehiscence
D. Too much pain, post-surgical infusion volume can lead to hypertension


Question: Among the early stages of pregnancy abortion of human beings, the most important reason is:

Answer: Poor embryo quality

Choices:
A. Environmental factors and drugs
B. Mother's womb factors
C. Mother endocrine factors
D. Poor embryo quality

early stages of pregnancy abortion
human
most important


Question: In accordance with the National Cholesterol Education Program (NCEP ATP III), Which of the following does not belong to one of the indicators of metabolic syndrome risk assessment?

Answer: High uric acid

Choices:
A. hypertension
B. High blood sugar
C. High uric acid
D. High cholesterol

Cholesterol
ATP III
following
not
one
indicators
metabolic syndrome risk


Question: 1-year-old boy, suddenly pale, run cold, the parents described in the past due to slow heartbeat, had to accept some kind of surgery shortly after birth, physical checkups found that only 56 heart beats / min, the following emergency CXR. This little boy is most likely in the past have received what surgery?

Answer: pacemaker implantation

Choices:
A. pacemaker implantation
B. lobectomy
C. peridectomy
D. tracheostomy

1-year-old boy
pale
run cold
past
slow heartbeat
to accept
kind
surgery
birth
physical
found
only
heart
min
following emergency CXR
little boy
past
received
surgery


Question: 3339-year-old woman because of hematuria from one day to the clinic for medical treatment. Patients with a history of high blood pressure for three years, taking atenolol 50 mg daily. The patient's father and aunt have high blood pressure and kidney disease, 62-year-old father in the long-term due to end stage renal failure receiving dialysis treatment; patients without hypertension or kidney disease brother. Two days after the patient feeling sore right flank, but no fever, was also normal urine. Skin normal physical examination, blood pressure 138/92 mmHg, no anemia, normal heart and chest, waist on both sides faint touch swollen kidney, lower extremity edema. Neurological examination was normal. Urinalysis tests: no proteinuria, red blood cells per high magnification greater than 100, leukocytes 3-5. That following diagnosis is most likely?

Answer: Adult polycystic kidney disease (adult polycystic kidney disease)

Choices:
A. Hypertensive nephropathy (hypertensive nephropathy)
B. Albert Syndrome (Alport's syndrome)
C. Specific hypercalciuria (idiopathic hypercalciuria)
D. Adult polycystic kidney disease (adult polycystic kidney disease)

year old woman
hematuria
one day
clinic
medical
history of high blood pressure
three years
daily
patient's
high blood pressure
kidney disease
62 year old
long-term
end stage renal failure
dialysis treatment
patients
hypertension
kidney
Two days
patient
sore right
fever
normal
Skin
physical examination
blood pressure
mmHg
anemia
normal heart
chest
waist
sides faint touch swollen kidney
lower extremity edema
Neurological examination
normal
Urinalysis tests
proteinuria
red blood cells
high magnification greater than 100
following diagnosis


Question: The following narrative about pain treatment drug, whichever is wrong?

Answer: Neuromuscular blocking agents also have an analgesic effect

Choices:
A. Opioid analgesics and non-analgesics may be used after surgery pain
B. Steroids can be used for the treatment of pain
C. Neuromuscular blocking agents also have an analgesic effect
D. Antiepileptic drugs are available for the treatment of pain


Question: Which of the following is not a cancerous tumor of the kidney accompanied syndrome (paraneoplastic syndromes)?

Answer: Hypocalcemia (hypocalcemia)

Choices:
A. Polycythemia (erythrocytosis)
B. Hypocalcemia (hypocalcemia)
C. hypertension
D. Non-metastatic liver dysfunction (Stauffer's syndrome)

following
not
cancerous tumor
syndrome
paraneoplastic syndromes


Question: That is a consequence of brain lesions following a hernia off, and often fatal?

Answer: Secondary (Duret) brainstem hemorrhage

Choices:
A. Periventricular leukomalacia (periventricular encephalomalacia)
B. Kernohan Mr. indentation marks (Kernohan's notch)
C. Secondary (Duret) brainstem hemorrhage
D. Diffuse axonal injury (diffuse axonal injury)

consequence of brain lesions following
hernia
often fatal


Question: Which of the following starting from the fifth cervical nerve root (C5 root), and through the middle scalene muscle in the neck often dominate levator scapula (levator scapulae muscle) (middle scalene muscle) after?

Answer: Dorsal scapular nerve (dorsal scapular nerve)

Choices:
A. Nerve (suprascapular nerve) on the scapula
B. Long thoracic nerve (long thoracic nerve)
C. Dorsal scapular nerve (dorsal scapular nerve)
D. Subclavian muscle nerve (nerve to subclavius)

following starting
fifth cervical nerve root
root
middle scalene muscle
neck often
scapula
levator scapulae muscle
middle scalene muscle


Question: When the patient normal intracranial pressure hydrocephalus (normal pressure hydrocephalus) to the emergency room for treatment, common clinical features, which of the following infrequently?

Answer: One-sided weakness

Choices:
A. cognitive dysfunction
B. Incontinence
C. One-sided weakness
D. Unsteady gait

patient normal pressure hydrocephalus
normal pressure hydrocephalus
emergency
treatment
common clinical features
following infrequently


Question: 3039-year-old housewife, two years before the hospital often abdominal discomfort or three days before the sudden onset of severe abdominal pain to hospital accompanied by vomiting, back pain outside the hospital injections, blood found Chaoguo ALT 300 U / L and referral hospital. Hepatic blood biochemical examination showed: AST: 1090 U / L, U / L, bilirubin: 3.2 / 1.8 mg / dL, ALP: 286 U / L, amylase, albumin, and PT normal. Blood phase display: WBC: 12500 / cmm, seg: 86%. I ask: Why is the most likely diagnosis?

Answer: Cholelithiasis, and cholangitis

Choices:
A. Acute pancreatitis
B. Acute viral hepatitis
C. Food poisoning
D. Cholelithiasis, and cholangitis

year old housewife
two years
hospital often abdominal discomfort
three days
sudden
severe abdominal
hospital
vomiting
back pain outside
hospital injections
blood found
ALT 300 U
L
hospital
Hepatic blood biochemical examination
AST
U
L
U
L
bilirubin
mg
dL
ALP
U
L
amylase
albumin
PT normal
Blood phase display
WBC
12500
I
diagnosis


Question: One child under 3 years old, after eating beans due to acute pallor, jaundice, to consultation, and hemoglobin found in urine, the following items at this time that test results can be speculated that this is because children dehydrogenation enzyme glucose-6-phosphate (G-6-PD) deficiency the cause of acute hemolysis?

Answer: See the broken blood smear (fragmented The) as biting of red blood cells (bite cells)

Choices:
A. Hemoglobin F (HbF) increased value
B. See the broken blood smear (fragmented The) as biting of red blood cells (bite cells)
C. Cold hemagglutination (cold hemagglutinin test) were positive
D. HbA1c (glycosylated hemoglobin) increased

One
years old
eating
due to acute pallor
jaundice
hemoglobin found
urine
following
time
test results
children
enzyme glucose-6-phosphate
deficiency
cause
acute hemolysis


Question: 51 year old female patient complained of pain in the right hip for about 3 weeks, the drawings pelvic X-rays, indicated at arrow most likely diagnosis is:

Answer: fibrous dysplasia

Choices:
A. fibrous dysplasia
B. bone metastasis
C. chondrosarcoma
D. osteosarcoma

year old female patient
pain
right hip
weeks
pelvic X-rays
indicated
arrow
likely diagnosis


Question: Bearing the title, following treatment for what works best?

Answer: Haloperidol

Choices:
A. Anticholinergics
B. Haloperidol
C. Levodopa
D. Clonazepam


Question: The following blood coagulation path (hemostatic pathway) factor in the composition, does not have any anticoagulant (of anticoagulation) action?

Answer: tissue factor（TF）

Choices:
A. tissue factor（TF）
B. protein C
C. protein S
D. antithrombin III 28 about the cause of Hodgkin lymphoma, the following are most of what the virus has nothing to do?

following blood coagulation path
hemostatic
factor
composition
not
anticoagulant
anticoagulation
action


Question: Ischemic colitis (ischemic colitis) occurs most often in those parts of the following?

Answer: The splenic flexure and sigmoid

Choices:
A. The splenic flexure and cecum
B. Hepatic flexure and sigmoid
C. The splenic flexure and sigmoid
D. Cecum and sigmoid colon

Ischemic colitis
ischemic colitis
occurs most often
parts of


Question: GOT and GPT general index is an indicator of liver function, these two enzymes have the kind of enzyme activity?

Answer: transaminase

Choices:
A. kinase
B. decarboxylase
C. transaminase
D. methyltransferase

GPT general index
indicator
liver
two enzymes
kind


Question: A 43-year-old woman, G2P2,2 times are all caesarean section, due to menstrual abnormalities, examination revealed huge uterine fibroids. Receiving hysterectomy, surgery is not successful, even when the adhesion section, above the trigone superficial peel damage to the uterus 3 cm, immediately repaired with absorbable catgut. Results After 8 weeks the most likely are:

Answer: Normal postoperative conditions

Choices:
A. Obstetric fistula
B. Ureteral obstruction
C. Normal postoperative conditions
D. Intraperitoneal urine accumulation

year old woman
2 times
caesarean section
menstrual abnormalities
revealed
uterine fibroids
Receiving hysterectomy
surgery
not successful
adhesion section
trigone superficial peel damage
uterus
immediately repaired
absorbable catgut
Results
weeks
most likely


Question: The following information about the cervical spinal cord lesions (cervical myelopathy) the description of the clinical symptoms, whichever is the most correct?

Answer: Spastic weakness (spastic weakness of lower limbs)

Choices:
A. Knee tendon reflex (knee jerk) disappear
B. Spastic weakness (spastic weakness of lower limbs)
C. Only unilateral neuropathic pain (unilateral neurogenic pain) appears
D. Proprioception and vibration sense (proprioceptive and vibration) is changed to the first clinical symptoms

following
cervical spinal cord lesions
cervical myelopathy
clinical symptoms
most correct


Question: Comparison of the Finnish type congenital nephrotic syndrome (congenital nephrotic syndrome of Finnish type) and diffuse renal cell diaphragm sclerosis (diffuse mesangial sclerosis), the following statements is wrong?

Answer: Both Mother blood alpha fetoprotein (α-fetoprotein) were increased, both large and placenta

Choices:
A. Both are mainly autosomal recessive (autosomal recessive) genetic
B. The former mutation in a chromosomal location 19, the latter is the WT1 gene mutations in chromosome 11
C. Both Mother blood alpha fetoprotein (α-fetoprotein) were increased, both large and placenta
D. Both often enter stage renal disease before the age of 2 to 5, kidney transplantation is the only treatment of


Question: The following is part of the alternative pathway of complement activation (alternative pathway) of complement C3 conversion  (C3 convertase)?

Answer: C3bBb

Choices:
A. C3a
B. C3b
C. C3bBb
D. C4b2a

following
part
complement C3 conversion
C3 convertase


Question: Li Jun was Kinmen military service, recently returned to Taiwan on leave due to fever and headache one week and seek medical attention. Physical examination found that the skin rash and about one centimeter large eschar in the left groin. History, Lee often stated nearly more than a month to service locations trim weeds. Its history and clinical signs, LI most likely suffering from what disease?

Answer: Scrub typhus (scrub typhus)

Choices:
A. Trench fever (trench fever)
B. Endemic typhus (endemic typhus)
C. Scrub typhus (scrub typhus)
D. Epidemic typhus (epidemic typhus)

Li Jun
military service
recently returned
Taiwan
due to fever
headache one week
found
skin rash
about one centimeter large eschar
left groin
History
often stated nearly
month
service locations trim
history
clinical signs
LI
likely suffering
disease


Question: Most food digestion and absorption occurs in the following Where?

Answer: Small intestine

Choices:
A. stomach
B. Small intestine
C. colon
D. rectum

food digestion
absorption occurs
following


Question: About the sound-conducting order in the ear, which of the following is most appropriate?

Answer: The eardrum (tympanic membrane) → the malleus (malleus) → incus (incus) → stapes (stapes) → the oval window (oval window) → round window (round window)

Choices:
A. The eardrum (tympanic membrane) → the malleus (malleus) → incus (incus) → stapes (stapes) → round window (round window) → the oval window (oval window)
B. The eardrum (tympanic membrane) → stapes (stapes) → incus (incus) → the malleus (malleus) → Eggs
C. The eardrum (tympanic membrane) → stapes (stapes) → incus (incus) → the malleus (malleus) → round window (round window) → the oval window (oval window)
D. The eardrum (tympanic membrane) → the malleus (malleus) → incus (incus) → stapes (stapes) → the oval window (oval window) → round window (round window)

sound
order
ear
following
most appropriate


Question: Statements about waist triangle, which of the following is not correct?

Answer: 髂棘 configuration triangle under 緣

Choices:
A. The latissimus dorsi constitute one of its borders
B. Abdominal oblique constituting the bottom thereof
C. Potential areas of abdominal hernia
D. 髂棘 configuration triangle under 緣


Question: 12-year-old female students often take place at night or unconsciously, a lot of nosebleeds, most should pay attention to that part of hemostasis in the emergency?

Answer: The front of the nasal septum

Choices:
A. The rear end of the inferior turbinate
B. The end of the nasal septum
C. Nasopharyngeal
D. The front of the nasal septum

year old female
often
place
night
lot
nosebleeds
most
pay
part of hemostasis
emergency


Question: About brain pressure monitor (ICP monitor) the placement, placed in that part following the most accurate and effective maximum?

Answer: Brain tissue area

Choices:
A. The upper part of the dura
B. The lower part of the dura
C. Brain tissue area
D. Intraventricular

brain pressure monitor
ICP monitor
placement
part following
most accurate
effective maximum


Question: About ovarian hyperstimulation syndrome narrative (ovarian hyperstimulation syndrome), the Which statement is correct?

Answer: To reduce the occurrence of ovarian hyperstimulation syndrome, embryo freezing may be considered

Choices:
A. Injection human chorionic gonadotropin, estrogen concentrations in the blood are higher, the more does not occur ovarian hyperstimulation syndrome
B. To reduce the occurrence of ovarian hyperstimulation syndrome, embryo freezing may be considered
C. Ovarian hyperstimulation syndrome have abdominal distension, dyspnea, ascites and other symptoms, not life-threatening
D. Polycystic ovary women less likely to produce ovarian hyperstimulation syndrome

About ovarian hyperstimulation syndrome
ovarian hyperstimulation syndrome
correct


Question: 22.1-year-old boy was six month on a continuous fever six days ⽽ to treatment, following clinical manifestations that characterize most unlike ⼀ clinical ⽒ Kawasaki disease (Kawasaki disease) is?

Answer: Soft palate and tonsils appear water resistant blister ulcer

Choices:
A. Strawberry tongue and lips swollen split ⿔
B. Soft palate and tonsils appear water resistant blister ulcer
C. Swollen neck lymph nodes zoomed
D. Eyes conjunctival inflammation

year old boy
six
continuous fever
days
treatment
following clinical manifestations
most
clinical
Kawasaki disease
Kawasaki disease


Question: For the rupture of the esophagus (esophageal perforation) of the narrative, which of the following error?

Answer: Surgical treatment of esophageal rupture is non-essential

Choices:
A. Rupture of the esophagus are diagnosed more than a day, often more than 50% mortality
B. Often the patient's neck and chest case subcutaneous emphysema (subcutaneous emphysema) of
C. Surgical treatment of esophageal rupture is non-essential
D. Patients often empyema and acute inflammation mediastinum

rupture of
esophagus
esophageal perforation
following error


Question: Diabetes caused symptoms of peripheral neuropathy which can not appear?

Answer: Enhanced tendon reflexes

Choices:
A. Enhanced tendon reflexes
B. Vibration and joint position sense of the disappearance
C. Proximal muscle (proximal muscle) weakness and atrophy
D. Autonomic symptoms

Diabetes caused symptoms
peripheral neuropathy
not appear


Question: Testicular cancer metastasis, in addition to choriocarcinoma, mostly with fixed route lymphatic metastasis, the following statements is wrong?

Answer: Such as tumor invasion epididymis, spermatic cord, often transferred to the inguinal lymph nodes

Choices:
A. Testicular first proceeds to the right side of the inferior vena cava between the aorta (interaortocaval) lymph
B. The left is next door near the left renal aorta (para-aortic) lymph glands
C. Such as tumor invasion epididymis, spermatic cord, often transferred to the inguinal lymph nodes
D. After the traditional abdominal lymph Clear is the most common complication of surgery can not ejaculate

Testicular
Testicular cancer metastasis
choriocarcinoma
mostly
fixed route lymphatic metastasis
following
wrong


Question: Why is the patient most likely diagnosis?

Answer: Placenta previa

Choices:
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Premature labor signs


Question: A 58-year-old man appeared tumor of the skull and humerus, etc. as shown below, and abnormal serum protein electrophoresis, the following statements is true?

Answer: Pathological fractures often occur

Choices:
A. Few osteoclasts thoracic lesions merger
B. Pathological fractures often occur
C. Merge often appear hypocalcemia and abnormal liver function
D. The main treatment is surgery and radiation therapy

58 year old man appeared tumor of the skull


Question: 63 a 39-year-old female, 6 years ago, the finger will pale in the winter and purple (cyanosis) phenomenon. Almost a year there will be stiff hands, tingling and muscle pain. Nearly two months to have a dry cough occurs. Physical examination found that hardening of the skin and swelling on both sides of the fingers and the back of the hand. Blood examination revealed ANA 1: 640 nucleolar + centromere pattern, IgG 2185 mg / mL, IgA 375 mg / mL, IgM 134 mg / mL, CK 65 U / L, C3 94 mg / dL, C4 21.5 mg / dL, anti-dsDNA <12 IU / mL, anti-RNP <7.0 IU / mL. The patients most likely diagnosis is:

Answer: Systemic sclerosis

Choices:
A. Mixed connective tissue disease
B. Chronic eczema
C. Systemic lupus erythematosus
D. Systemic sclerosis

63
year old female
years
finger
pale
winter
purple
cyanosis
Almost
year
stiff hands
tingling
muscle pain
Nearly two months to
dry cough occurs
found
hardening
skin
swelling
sides of
fingers
back of
hand
Blood examination revealed
640 nucleolar
centromere pattern
mg
mL
IgA 375 mg
mL
IgM
mg
mL
CK 65 U
L
C3
mg
dL
C4
mg
dL
dsDNA
IU
mL
anti-RNP
0 IU
mL
patients
likely diagnosis


Question: A national population of 60 million people, the year of new pulmonary tuberculosis patients 5000, a total of 20,000 tuberculosis patients, when the death toll was 60 people, including those who have died because of tuberculosis 500 people. The cause of death in sub-tuberculosis rate is the number?

Answer: 500/60 Wan

Choices:
A. 500/2 Wan
B. 500/60 Wan
C. 500/6000 Wan
D. 500/5000


Question: The emergency by blood testing found that serum HBsAg showing negative reaction, anti-HCV positive presentation, the patient had received a health check last year report showing that anti-HCV negative reaction, the patient's history in terms of who a month ago to a private clinic receiving cartilage-stimulating hormone injections. The following information about the diagnosis and treatment planning further aspect, what item is unreasonable?

Answer: Drug selection, a single long-acting interferon (peginterferon) is useless

Choices:
A. Patients may get acute hepatitis C
B. Hepatitis C patients if jaundice appears, there is a higher chance to heal itself (spontaneous recovery)
C. Observation acute 3-4 months, if the persistence of HCV RNA, may be considered to give an anti-hepatitis C virus drug treatment
D. Drug selection, a single long-acting interferon (peginterferon) is useless

emergency
blood testing found
serum HBsAg
negative reaction
anti-HCV positive
patient
received
check last year report
anti-HCV negative reaction
patient's history
terms
month
private clinic receiving cartilage
hormone injections
following
diagnosis
treatment planning further aspect


Question: Which of the following is not located in the midgut gland (crypts of Lieberkühn)?

Answer: Parietal cells (parietal cells)

Choices:
A. Stem cell regeneration (regenerative stem cells)
B. Goblet cells (goblet cells)
C. Parietal cells (parietal cells)
D. Paneth cells (Paneth cells)


Question:
77. One 53 year old man, has a long history of hypertension, chest pain and sudden tear transferred to the back and abdomen, blood pressure 210/110 mmHg. He further complained of right lower extremity pain, physical examination found that the intangible right femoral artery pulse, pale and cold right leg, toes can not be active at this time that one of the following
 Set more appropriate?

Answer: Immediately arrange for computer tomography

Choices:
A. Maintain systolic blood pressure above 150 mmHg, the end of the limb to ensure proper circulation
B. Avoid using painkillers, so as not to affect the monitoring and observation of the disease of blood pressure
C. Use of heparin (heparin), in order to avoid more severe arterial occlusion
D. Immediately arrange for computer tomography

One
year old man
long history of hypertension
chest pain
sudden tear transferred
back
abdomen
blood pressure
mmHg
further
right
found
right femoral pulse
pale
cold right leg
toes
not
active
time
one
following Set more appropriate


Question: Which of the following most unlikely in the plush-like vascular disease (moyamoya disease)?

Answer: Intracranial hemangioblastoma (hemangioblastoma)

Choices:
A. Bilateral intracranial internal carotid artery stenosis
B. Smoke appeared like blood vessels of the brain
C. Intracranial hemangioblastoma (hemangioblastoma)
D. Intracranial aneurysms

following most unlikely
vascular disease
moyamoya disease


Question: Neonatal growth retardation (intrauterine growth retardation) in utero, ultrasound of the brain (brain ultrasonography) inspection found that calcification surrounding the ventricles (periventricular calcification) and ventricular enlargement (ventriculomegaly) abnormalities, hearing screening is also abnormal. This newborn most likely diagnosis is:

Answer: congenital cytomegalovirus infection

Choices:
A. congenital human parvovirus B19 infection
B. congenital rubella syndrome
C. congenital human herpes simplex virus infection
D. congenital cytomegalovirus infection

Neonatal growth retardation
intrauterine growth retardation
in utero
ultrasound
brain
brain ultrasonography
inspection found
calcification surrounding
ventricles
calcification
ventricular enlargement
ventriculomegaly
abnormalities
hearing screening
abnormal
newborn
likely diagnosis


Question: 73. On the immunotherapy for cancer treatment, the following drugs mainly whichever monoclonal antibody inhibits tumor cell surface PD-L1 and can interfere with T lymphocytes

Answer: atezolizumab

Choices:
A. atezolizumab
B. panitumumab
C. ramucirumab
D. rituximab


Question: Dogs in the non-anesthesia case, when a large amount of liquid by the rapid intravenous infusion Xunhuanjitong, which is the main reason why heart rate increase?

Answer: Bainbridge reflex reflex higher than the pressure sensitive

Choices:
A. Bainbridge reflex reflex higher than the pressure sensitive
B. Sensing pressure above the reflection reflection Bainbridge
C. Chemical central reflex reflex higher than the surrounding chemical
D. Chemical periphery than the central reflex reflection Chemistry

non anesthesia case
large amount
liquid
rapid intravenous infusion
main
heart rate increase


Question: 2-year-old boy in his right upper extremity activity limitation, the parents were brought for treatment, X-ray results right elbow of the drawing, the boy right upper extremity activity limitation Which of the following is the most serious action?

Answer: Forearm supination (forearm supination)

Choices:
A. Forearm supination (forearm supination)
B. External rotation arm (arm external rotation)
C. A curved elbow (elbow flexion)
D. Bending the wrist (wrist flexion)


Question: Community-related complications of bacterial pneumonia in children, Which of the following most infrequently ⾒?

Answer: Meningitis (Meningitis)

Choices:
A. Meningitis (Meningitis)
B. Center Weighted package meningitis (Pericarditis)
C. 膿胸（Empyema）
D. Water resistant product pleura (Pleural effusion)

related complications
bacterial pneumonia
children
following most infrequently


Question: Sputum from patients with pneumonia isolated Which of the following bacteria, the bacteria can be established for the bacteria?

Answer: Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Choices:
A. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
B. Mycobacterium tuberculosis (Mycobacterium tuberculosis)
C. Haemophilus influenza bacillus (Haemophilus influenzae)
D. Viridans (Viridans streptococci)

Sputum
patients
pneumonia isolated
following bacteria
bacteria
established
bacteria


Question: A 6-year-old girl sustained fever, cough for eight days because of a sudden unconsciousness and sustained 16-minute generalized convulsions hospitalized. Breath sounds have bilateral rales hospitalization fine (fine crackles), the neck and thigh unclear state as shown in FIG red papules a chest X-ray shown in figure II. Peripheral blood white blood cell count 12,100 / mm3 (segment 76%; lymphocyte 15%; monocyte 9%). Cerebral spinal fluid protein 145.2 mg / dL, glucose 82 mg / dL (blood sugar 102 mg / dL), leukocytes 14 / mm3 (mononuclear cell: polymorphonuclear cell = 12: 2), computer tomography brain showed no abnormalities, then the following one pathogenic highest possibility?

Answer: Mycoplasma pneumoniae

Choices:
A. Japanese encephalitis virus
B. Salmonella typhi
C. Streptococcus pneumoniae
D. Mycoplasma pneumoniae


Question: Dimercaprol (also known as the British anti-lewisite, BAL) can be used to treat acute organic or inorganic arsenic poisoning machine turn, not including which of the following:

Answer: Arsenic avoid inhibition sulfhydryl-containing enzymes

Choices:
A. sevoflurane
B. halothane
C. desflurane
D. Arsenic avoid inhibition sulfhydryl-containing enzymes


Question: The following bedridden lack of physiological phenomena related to movement possible, what is wrong?

Answer: Decreased serum calcium concentration

Choices:
A. Joint contractures
B. Decreased muscle strength
C. Decreased serum calcium concentration
D. Attitude hypotension

following bedridden lack
physiological phenomena related
movement possible
wrong


Question: Which of the following is not originated in the neural crest (neural crest)?

Answer: Oligodendrocytes (oligodendrocyte)

Choices:
A. Melanocytes (melanocyte)
B. Schwann cells (Schwann cell)
C. Oligodendrocytes (oligodendrocyte)
D. Chromaffin cells (chromaffin cell)


Question: Following what kind of mutation in renal cell carcinoma and von Hippel-Lindau gene or lower performance-related?

Answer: Clear cell renal cell carcinoma (clear cell renal cell carcinoma)

Choices:
A. Clear cell renal cell carcinoma (clear cell renal cell carcinoma)
B. Sarcoidosis, renal cell carcinoma (sarcomatoid renal cell carcinoma)
C. Difficult to dye renal cell carcinoma (chromophobe renal cell carcinoma)
D. Papillary renal cell carcinoma (papillary renal cell carcinoma)

Following
kind
mutation
renal cell carcinoma
gene
lower
related


Question: Ends 23 and ultrasound for cardiac catheterization, diagnostic determination, when the calculated pulmonary index (Nakada Index) of 70 U / M2, it is the best treatment:

Answer: Bypass surgery

Choices:
A. Full correction
B. Bypass surgery
C. Pulmonary artery banding procedure
D. Drug treatment can

Ends 23
ultrasound
cardiac catheterization
diagnostic determination
calculated pulmonary index
Index
70 U
M2
best treatment


Question: Which of the following design, the most suitable for the study of the causal relationship between asbestos exposure and lung cancer deaths?

Answer: Retrospective cohort study (retrospective cohort study)

Choices:
A. Retrospective cohort study (retrospective cohort study)
B. Clinical trials (clinical trial)
C. Cross - sectional study (cross-sectional study)
D. Community Intervention Research (community intervention)

following
most suitable
study
causal relationship
asbestos exposure
lung cancer deaths


Question: Statements about hepatic hydatid cyst (Hydatid cyst of liver) of the treatment, which of the following error?

Answer: Of asymptomatic cysts do not need treatment

Choices:
A. Surgical excision or main drainage
B. Albendazole medications such as up to 20-30% efficacy of
C. Some cases percutaneous drainage of the cyst can achieve the purpose of treatment
D. Of asymptomatic cysts do not need treatment

hepatic hydatid cyst
Hydatid cyst of liver
treatment
following error


Question: About open fractures (open fracture), the following statements is wrong?

Answer: When a classification based Gustilo-Anderson, greater than 10 cm fracture wounds, concomitant severe soft tissue and vascular damage, are type II, open fractures (type II open fracture)

Choices:
A. When a classification based Gustilo-Anderson, greater than 10 cm fracture wounds, concomitant severe soft tissue and vascular damage, are type II, open fractures (type II open fracture)
B. When open fractures (open fracture) delivered emergency room patients should be administered immediately appropriate antibiotic therapy
C. Cleaning wounds larger open fracture (open fracture) as soon as possible to an operating room and thorough debridement, wound not recommended exploration (exploration of the wounds) in the emergency room
D. The first type I open fractures (type I open fracture) may generally be a primary wound suture (primary closure); open fractures of type III (type III open fracture) should not be a primary wound suture (primary closure)

About open fractures
open fracture
following
wrong


Question: Related to renal cell carcinoma (renal cell carcinoma) are systemic symptoms, which of the following errors caused?

Answer: Clinical symptoms of paraneoplastic syndrome is most common in hypercalcemia, followed by high blood pressure

Choices:
A. paraneoplastic syndrome occurs in approximately 20% of patients with renal cell carcinoma of the
B. paraneoplastic syndrome the most common manifestation of systemic syndrome is erythrocyte sedimentation rate (ESR) increased
C. Clinical symptoms of paraneoplastic syndrome is most common in hypercalcemia, followed by high blood pressure
D. The incidence of hypercalcemia may be up to 13%, based reasons or paraneoplastic phenomena caused by osteolysis of bone metastases

Related to
carcinoma
renal cell carcinoma
systemic symptoms
following errors caused


Question: Statements about coronary heart disease, myocardial ischemia, the Which of the following error?

Answer: Patients with stable angina, chest pain that can last for hours

Choices:
A. Myocardial ischemia (myocardial ischemia) because the oxygen supply to the heart, is insufficient to meet metabolic demand
B. Patients with stable angina, chest pain that can last for hours
C. Unstable angina, which is chest pain episodes there may be at rest
D. Some patients with myocardial ischemia episodes, only the chin, neck, shoulder or arm discomfort, without chest pain

coronary heart disease
myocardial ischemia
following error


Question: Which of the following is not the lumbar plexus (lumbar plexus) damage influence?

Answer: ⾁ muscle membrane (dartos muscle)

Choices:
A. Transversus abdominis (transversus abdominis muscle)
B. Mention epididymis muscle (cremaster muscle)
C. ⾁ muscle membrane (dartos muscle)
D. Obturator muscle (obturator externus)

following
not
lumbar plexus
lumbar plexus
damage


Question: Statements about anti-⽣ prime ceftriaxone, the Which statement is correct?

Answer: Gonorrhea meningitidis (N. gonorrhoeae) infection drug therefore especially selected Use

Choices:
A. Gonorrhea meningitidis (N. gonorrhoeae) infection drug therefore especially selected Use
B. Belongs to the fourth generation cephalosporins
C. Use and clavulanate, and often to enhance its antibacterial effect
D. When the renal disease drug own personal use, the dose should be reduced therapeutic dose ⾄ original halfway


Question: About the diagnosis and treatment of neuroendocrine tumors (NETs) of the following statements is wrong?

Answer: Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant disease, a leading cause in the VHL gene defects

Choices:
A. Histopathology often use immunohistochemical staining of chromogranin A, to help diagnose NETs
B. The grading system according NETs proliferative indices (i.e., Ki-67 and mitotic count), is divided into Grade 1, Grade 2, and
C. Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant disease, a leading cause in the VHL gene defects
D. control gastrointestinal carcinoid syndrome resulting NET, can be used somatostatin analogues

diagnosis
treatment
neuroendocrine tumors
following
wrong


Question: 14 year-old girl with a growth retardation (growth failure), blood tests show the number of leukocytes in the blood is 9,600 / mm3, 45% neutrophils, 48% lymphocytes, monocytes 7%; hemoglobin (Hemoglobin) value of 11.6 g / dL; platelet count of 360,000 / mm3; potassium ion concentration in blood of 2.8 mmol / L, a sodium ion concentration of 133 mmol / L, chloride ion concentration in the blood of 104 mmol / L, the blood pH value of 7.2, bicarbonate (HCO3-) ion concentration of 18 mmol / L, pH 6.5 urine. Calculate the anion gap for girls in the blood (anion gap)?

Answer: 11 mmol/L

Choices:
A. 13.8 mmol/L
B. 8.2 mmol/L
C. 11 mmol/L
D. 18 mmol/L

year old girl
growth retardation
growth failure
blood tests
number
leukocytes
blood
600
mm3
48
lymphocytes
hemoglobin
Hemoglobin
value
g
dL
platelet count
360
mm3
potassium ion concentration in blood
mmol
L
concentration
mmol
L
concentration
blood
mmol
L
blood pH value of
bicarbonate
HCO3
ion concentration
mmol
L
pH
urine
anion gap
girls
blood
anion gap


Question: Which of the following drugs is through inhibition of phosphodiesterase III and improving congestive heart failure?

Answer: Milrinone

Choices:
A. Dobutamine
B. Captopril
C. Digoxin
D. Milrinone

following drugs
inhibition
phosphodiesterase III
improving congestive heart failure


Question: The following statements about the peripheral blood red blood cell lesions, what's wrong?

Answer: Having cleaved cell (schistocytes), the patient may have iron deficiency anemia

Choices:
A. Having a target-cell (target cells), the patient may have chronic alcoholism, splenectomy, or the like thalassemia
B. Will have a good red blood cells - long Li's body (Howell-Jolly bodies), the patient may have a history of splenectomy
C. Red blood cells have basophilic spot color (basophilic stippling), the patient's bone marrow may be drugs or toxins damage
D. Having cleaved cell (schistocytes), the patient may have iron deficiency anemia

following
peripheral blood
lesions
wrong


Question: Which of the following is an immunomodulator affect all activated lymphocytes, and act on all other dividing cells, but not limited to the adaptive immune response (adaptive immune responses) of the regulation and suppression?

Answer: mycophenolate

Choices:
A. mycophenolate
B. cyclosporine A
C. rapamycin（sirolimus）
D. tacrolimus（FK-506）

following
immunomodulator
act
dividing cells
not limited
adaptive immune response
adaptive immune responses
suppression


Question: Which of the following is not suitable analyzed by restriction fragment length polymorphism (RFLP)?

Answer: The establishment of cDNA library

Choices:
A. DNA fingerprinting (DNA fingerprinting)
B. Positioning disease gene
C. Possible genetic defects of prenatal screening
D. The establishment of cDNA library


Question: About Cluster headache (cluster headache), what is the following non?

Answer: Patients were mostly young women

Choices:
A. Patients were mostly young women
B. Occurs, the easy tears and runny nose
C. 100% oxygen can ease headaches
D. The lithium salt can be used to prevent attacks

About Cluster headache
cluster headache
following non


Question: A 66-year-old male faculty to retire a year later, that lack of exercise, he bought a bike ready to exercise. But for the first time due to travel on to dodge the car and hit a roadside hedges, branches puncture right elbow is about 2-3 cm deep wound, the hospital bandaged after the rest home, inflamed wounds, ulcers, pain and there is pus-like secretion was then given to the doctor for treatment after 7 days of oral Tetracycline but the situation did not improve, replaced after the oral Cephalexin no improvement. About 15 days, with a linear arrangement of multiple ulcer exudate (Oozing ulcers) and nodule (Nodules) occurs right elbow and arm. After culturing the specimen 25 ℃ grow filamentous fungi, hyphae separated (Septate hyphae), spores (conidia) to the top poly born conidiophores are arranged in the shape of a rosette (Rosette-), placed in 37 ℃ of culture is grown yeast colonies. The man infected with a kind of bacteria?

Answer: Sporothrix schenckii

Choices:
A. Conidiobolus crowbar
B. Sporothrix schenckii
C. Mycobacterium marinum
D. Staphylococcus aureus

66 year old male faculty to retire
year later
lack of exercise
bike ready to exercise
But
first time due to
car
hit
branches puncture right elbow
about
deep wound
hospital bandaged
rest home
inflamed wounds
ulcers
pain
pus
secretion
then given
doctor
treatment
7 days
oral Tetracycline
not
replaced
oral Cephalexin
days
linear arrangement
multiple ulcer exudate
ulcers
nodule
Nodules
occurs right elbow
arm
culturing
filamentous fungi
separated
Septate
top
born
shape
rosette
Rosette
culture
yeast colonies
man infected
kind
bacteria


Question: A 62 year-old male patient underwent cardiovascular bypass surgery 1 week ago, its cardiopulmonary rehabilitation prescription, Which of the following is not the most appropriate?

Answer: At this point can be upper body strength training to improve function Richangshenghuo

Choices:
A. Compared to myocardial infarction (myocardial infarction) patients, usually early cardiopulmonary rehabilitation
B. At this point can be upper body strength training to improve function Richangshenghuo
C. At this point can sit up, shift, walking and other activities
D. 2-3 weeks after surgery can be performed exercise testing

62 year old male patient
cardiovascular bypass surgery 1 week
cardiopulmonary rehabilitation
following
not
most appropriate


Question: The following statements about the vessel and what was wrong?

Answer: The main distribution of systemic blood volume in the microvascular bed

Choices:
A. Greater than arterial venous compliance (compliance)
B. Aorta and other large arteries of the tube wall can be extended by generating temporary pressure (pressure reservoir) effect
C. Arterioles (arteriole) in the blood flow resistance can be changed
D. The main distribution of systemic blood volume in the microvascular bed


Question: Bearing on the question, for the disposal of acute hyperkalemia, Which of the following effect slowest?

Answer: Gastrointestinal give potassium-binding resins

Choices:
A. D50W intravenous injection of 50 mL and 10 units of short-acting insulin (regular insulin), and close monitoring of blood glucose
B. Intravenous 10 mL 10% calcium chloride (calcium chloride), or 10% calcium gluconate 10 mL of (calcium gluconate)
C. Intravenous injection of 50 ~ 100 mEq of sodium hydrogen carbonate (sodium bicarbonate)
D. Gastrointestinal give potassium-binding resins

Bearing
acute hyperkalemia
following effect slowest


Question: The right hemiplegia and difficulty swallowing after a stroke the old man, he can drink water but have difficulty swallowing solid or semi-solid food. Which of the following best disposal to improve their swallowing function?

Answer: Cricopharyngeus dilation (cricopharyngeal dilatation)

Choices:
A. The head to the side
B. First breath before swallowing
C. Cricopharyngeus dilation (cricopharyngeal dilatation)
D. Increased liquid smoothies (thicken liquids)

right hemiplegia
difficulty swallowing
stroke
old man
water
difficulty swallowing solid
following best
to
swallowing function


Question: A 54-year-old woman complained of lower limb weakness on both sides, can not stand up from the chair has two months; recently also find some difficulty combing their hair. Meanwhile, the water often choking cough incessantly. Physical examination found that both proximal limb muscles (proximal muscles) to force the third stage (grade Ⅲ), physical examination feeling (Sensation) normal, blood test showed a high value of muscle CK enzyme 5410 units / L, and that one of the following most laboratory tests not diagnostic value?

Answer: Limb nerve conduction velocity

Choices:
A. EMG
B. Measuring Anti-histidyl-transfer-RNA synthetase antibody
C. Muscle biopsy
D. Limb nerve conduction velocity

54 year old woman
of lower limb weakness
sides
not stand up
chair
two months
recently
find
difficulty combing
hair
water often choking cough
found
proximal limb muscles
proximal muscles
to
grade
Sensation
normal
blood test
high value
muscle CK enzyme
units
L
one
following
laboratory tests not diagnostic value


Question: About the intermediate filaments (intermediate filament) Which of the following narrative correct?

Answer: Is the main component of the cytoskeleton (Cytoskeleton) 40 in the presence of parasitic infections (parasite infection), the following will be a sudden increase whichever blood cell?

Choices:
A. Diameter of about 5nm
B. By the microfilaments (microfilament) formed aggregate
C. The tubulin (tubulin) Composition
D. Is the main component of the cytoskeleton (Cytoskeleton) 40 in the presence of parasitic infections (parasite infection), the following will be a sudden increase whichever blood cell?

intermediate filaments
intermediate filament
following
correct


Question: Wang was a hypochondriac, long-term use of medication. The recent quarrel with her boyfriend, depression and insomnia is more serious, several times to a friend pledged to commit suicide, and bought a bag of charcoal home. Which of the following is the most appropriate approach?

Answer: Referral mental health institutes hospitalization

Choices:
A. Adjust antidepressants
B. Please pay more attention to the behavior of the patient's family
C. Detailed assessment of the sources of stress
D. Referral mental health institutes hospitalization

long-term use of medication
recent
depression
insomnia
more serious
times
to commit suicide
bag
charcoal home
following
most appropriate approach


Question: Communication skills, the benefits of listening to the patient, except which of the following?

Answer: Compare do not have time to diagnosis

Choices:
A. Contact between the patient and the physician Closer
B. Medical caregiver satisfaction higher
C. May reduce the risk of medical negligence
D. Compare do not have time to diagnosis

Communication skills
benefits
listening
patient
following


Question: In glycolysis (glycolysis), the following enzyme catalyzed reactions that may be generated directly ATP?

Answer: Phosphoglycerate kinase (phosphoglycerate kinase)

Choices:
A. Phosphoglycerate mutase (phosphoglycerate mutase)
B. Phosphoglycerate kinase (phosphoglycerate kinase)
C. Enolase (enolase)
D. Phosphofructokinase (phosphofructokinase)


Question: Basal ganglia (basal ganglia) direct circuits (direct pathway) without following what structure?

Answer: Subthalamic nucleus (subthalamus)

Choices:
A. Thalamus (thalamus)
B. Subthalamic nucleus (subthalamus)
C. Motor cortex (motor cortex)
D. Globus pallidus (globus pallidus)

Basal ganglia
basal ganglia
direct
direct
following
structure


Question: 60 a 25 weeks pregnant women, over 100 grams oral glucose tolerance test, the glucose values obtained the following: fasting 90 mg / dL, 1 hours mg / dL, 2 hours 170 mg / dL, 3 hours 160 mg / dL, which of the following the correct diagnosis?

Answer: Gestational diabetes

Choices:
A. normal
B. Gestational diabetes
C. Unable to confirm the diagnosis, must repeat inspection
D. Impaired glucose tolerance


Question: 24-year-old pregnant woman, G3P0, 38 weeks of pregnancy, the fetus duplex ultrasonogram accepted, the results shown in Figure, check the name of what?

Answer: Umbilical artery blood flow velocity waveform

Choices:
A. Umbilical artery blood flow velocity waveform
B. Umbilical vein blood flow velocity waveform
C. Fetal middle cerebral artery blood flow velocity waveform
D. Fetal downlink aortic flow velocity waveform

year old
weeks
pregnancy
fetus duplex ultrasonogram accepted
results
check
name


Question: The following spinal nerves and muscles related to the disposal of pairing, what's wrong?

Answer: C6－triceps muscle

Choices:
A. C5－deltoid muscle
B. C6－triceps muscle
C. L3－quadriceps muscle
D. S1－gastronemius muscle

following spinal nerves
muscles related
wrong


Question: Known HCC (hepatocellular carcinoma, HCC) have different etiologic factors, and these factors contribute to the importance of development of liver cancer are not the same kind occurred in different regions and countries. The following about the "regions or countries: in the region or the country's most important etiologic factor of HCC" combinations, whichever is correct?

Answer: Africa：Aflatoxin B1 and hepatitis B chronic infection

Choices:
A. Europe & US：Hepatitis B chronic infection and Wilson's disease
B. China：Hepatitis C chronic infection and nonalcoholic steatohepatitis
C. Africa：Aflatoxin B1 and hepatitis B chronic infection
D. Taiwan：Ethanol chronic consumption and primary biliary cirrhosis

Known HCC
hepatocellular carcinoma
HCC
different etiologic factors
factors
the importance of development
liver cancer
not
same kind
different regions
countries
following
regions
countries
region
country
actor
CC"
ombinations,
orrect?


Question: 3-year-old girl because of abdominal pain to emergency treatment, such as raccoon eyes and bruises eyes (raccoon eyes), parents complained about the recent rapid decline in body weight but has swollen abdomen, computerized tomography As shown, this sick children are most likely to suffer from:

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Acute leukemia (acute leukemia)
B. Neuroblastoma (neuroblastoma)
C. Hepatoblastoma cell cancer (hepatoblastoma)
D. Wilms' tumor (Wilms tumor)

3 year old girl
abdominal pain
emergency treatment
raccoon eyes
bruises eyes
raccoon eyes
recent rapid
body weight
swollen abdomen
computerized tomography
sick children
to suffer


Question: A 28-year-old woman experienced two times in a row in early pregnancy (<12 weeks) of embryonic death, she had had venous thromboembolism (deep vein thrombosis) of history. Which of the following is necessary to assess the way?

Answer: Measuring the blood protein S, protein C, anti-thrombin III activity

Choices:
A. Measuring platelet function
B. Measuring the blood protein S, protein C, anti-thrombin III activity
C. The measurement value of the blood factor V
D. Measuring blood viscosity (Viscosity)

year old woman
two times
row
early pregnancy
weeks
embryonic death
venous thromboembolism
deep vein thrombosis
history
following
to


Question: Transition from vitamin D3 (vitamin D3) to become 25-hydroxy vitamin D3 (25-OH-vitamin D3), occurs mainly in:

Answer: liver

Choices:
A. liver
B. kidney
C. lung
D. Thyroid

Transition
vitamin D3
vitamin D3
to
vitamin D3
25-OH vitamin D3
occurs


Question: The following statements about the central nervous system (CNS) of glial cells (neuroglia), and what's right?

Answer: Oligodendrocyte glia (oligodendrocyte) similar to the peripheral nervous system (PNS) Schwann cells (Schwann cell), is responsible for myelinating

Choices:
A. Oligodendrocyte glia (oligodendrocyte) similar to the peripheral nervous system (PNS) Schwann cells (Schwann cell), is responsible for myelinating
B. Stellate glia (that astrocyte) is of cuboidal cells, located in the central canal of the spinal cord Laid epithelial (central canal) and the ventricle
C. Minute glia (microglia) are the largest number of cells in the gray matter, which may be in contact with the vessel branch
D. Ependymal cells (ependymal cell) there are many branches, and is responsible for phagocytosis involved in immune function


Question: 70. A 30-year-old woman finished production for two months, is currently breastfeeding. Complained of numbness hands, hands that physical examination found that the first finger to third finger fingertip feel more sluggish, Tinel's sign was positive in double wrist, Phalen's test is also positive, the clinical diagnosis of the patient's most likely why?

Answer: Median neuropathy

Choices:
A. Radial neuropathy
B. Ulnar neuropathy
C. Median neuropathy
D. Cervical radiculopathy

70
30 year old woman finished
two months
currently breastfeeding
of numbness hands
hands
found
first
third
fingertip
more sluggish
Tinel's sign
positive
double wrist
test
positive
clinical diagnosis
patient's
likely


Question: The following account of uric acid stones in the urinary tract, whichever is correct?

Answer: Alkaline urine can effectively dissolve stones

Choices:
A. About 30% of all urinary tract stones
B. Often occurs in the elderly, cancer patients and chronic ambulatory therapy
C. Urine pH (pH value) must be between 6.5 to 7.0
D. Alkaline urine can effectively dissolve stones

following account
uric acid stones
urinary tract
correct


Question: Utility function of antibody (effector functions) that a decision is composed of the following?

Answer: Heavy chain (heavy chain) constant region (constant region)

Choices:
A. Light chain (light chain) variable region of (variable region)
B. Light chain (light chian) constant region (constant region)
C. Heavy chain (heavy chain) variable region of (variable region)
D. Heavy chain (heavy chain) constant region (constant region)

Utility function
antibody
effector functions


Question: Domestic adult primary glomerular nephritis (Primary glomerulonephritis), the most common pathological changes in what?

Answer: Influenza nephropathy immunoglobulin (IgA nephropathy)

Choices:
A. Influenza nephropathy immunoglobulin (IgA nephropathy)
B. Minimal change disease (Minimal change disease)
C. Membranous glomerulonephritis (Membranous glomerulonephritis)
D. Membranous proliferative glomerulonephritis (Membranoproliferative glomerulonephritis)


Question: Statements about anthrax (Bacillus anthracis) is, which of the following error?

Answer: In culture dishes containing blood may form large colonies β- hemolytic

Choices:
A. By the capsular peptide (polypeptide) consisting of important virulence factors (virulence factor)
B. For the pathogen woolsorter disease (wool-sorter's disease) of
C. In culture dishes containing blood may form large colonies β- hemolytic
D. Anthrax toxin gene (anthrax toxin) located on the plasmid


Question: Mandibular branch of the trigeminal nerve (mandibular division of trigeminal nerve) damage, which of the following is most likely to affect the contraction of?

Answer: Palate sail tensor (tensor veli palatini)

Choices:
A. Palate sail tensor (tensor veli palatini)
B. Levator muscle (levator veli palatini)
C. 腭咽 skin (palatopharyngeus)
D. 腭舌 skin (palatoglossus)

Mandibular branch of
nerve
mandibular division of trigeminal nerve
damage
following
to
contraction


Question: 3-day-old baby girl, physical examination revealed a mass in the abdominal cavity. Computer tomography right kidney can be seen parts of a plurality of uneven size vesicles (cysts); no left kidney of abnormal (e.g., photos). Kidney nuclear according to shadow completely confirm the right kidney function. Which of the following is most likely to ask for the diagnosis?

Answer: Polycystic kidney agenesis (multicystic dysplastic kidney)

Choices:
A. Many dominant polycystic kidney disease (autosomal dominant polycystic kidney disease)
B. Many variations recessive polycystic kidney disease (autosomal recessive polycystic kidney disease)
C. Polycystic kidney agenesis (multicystic dysplastic kidney)
D. Ureteral junction obstruction (ureteropelvic junction stenosis)

3 day old baby girl
revealed
mass
abdominal
Computer tomography right
seen parts of
plurality
size vesicles
cysts
left
abnormal
Kidney nuclear
shadow completely confirm
right
following
to
diagnosis


Question: A 39-year-old woman, G1P1, routine ultrasound examination revealed a uterine fibroids 6 × 6 × 5 cm, normal ovary. She did not have any symptoms of urinary frequency, defecation difficulties. What's next most appropriate disposal of that?

Answer: Track six months check again

Choices:
A. Injection of gonadotropin-releasing hormone (GnRH) agonists Therapy
B. Surgical removal of fibroids laparotomy
C. Track six months check again
D. Laparoscopic myomectomy surgery

year old woman
G1P1
routine ultrasound examination revealed
uterine fibroids
normal ovary
not
symptoms of urinary frequency
defecation difficulties
next
appropriate


Question: A 14-year-old boy, more than two hours a day playing basketball, has the feeling of a sore right knee, in the examination room to find his right knee anterior tibial tuberosity have uplift and tenderness, which he most likely suffering from the disease?

Answer: Osgood-Schlatter disease

Choices:
A. Legg-Calve-Perthes disease
B. Osgood-Schlatter disease
C. Freiberg's disease
D. Panner's disease

year old boy
more
two hours
day playing basketball
sore right knee
to find
right knee anterior tibial tuberosity
tenderness
suffering
disease


Question: One immunodeficiency patients, he phagocytic cells of normal cell migration, phagocytosis of bacteria the ability to be good, but can not kill the bacteria and engulf often cause significant tissue inflammation. The following diseases whichever line with this statement?

Answer: Chronic granulomatous disease (chronic granulomatous disease)

Choices:
A. Leukocyte adhesion defect (leukocyte adhesion deficiency)
B. Chronic granulomatous disease (chronic granulomatous disease)
C. Wiskott-Aldrich syndrome
D. DiGeorge syndrome


Question: When the check-Molly 20 weeks, found twin A weighing 532 g and estimated Polyhydramnios, twin B 417 g and no amniotic fluid, twin B umbilical artery diastolic Dupu Le waveform measurements prior case countercurrent (reverse end-diastolic flow) , Molly and Mr. hoping to save two positive fetus, the severity of the current literature for early TTTS, following that kind of treatment better?

Answer: Laser treatment done using fetoscope (laser ablation of vascular anastomoses)

Choices:
A. Laser treatment done using fetoscope (laser ablation of vascular anastomoses)
B. The excess amniotic fluid drainage (amnioreduction of the recipient)
C. The amniotic membrane between the two fetuses get through (septostomy)
D. Irrigation to no fetal amniotic fluid (amnio infusion of the donor)

check
20 weeks
found twin
g
estimated Polyhydramnios
twin
g
amniotic fluid
twin
umbilical artery diastolic
Le
measurements prior case countercurrent
reverse end
Mr
two positive fetus
severity
current literature
early TTTS
following
kind
treatment better


Question: When patients have Which of the following clinical symptoms, induction of anesthesia given thiopental does not have to decrement?

Answer: Blood alkalosis (by alkalosis)

Choices:
A. Hypovolemic shock (hypovolemic shock)
B. Serum (serum albumin) albumin concentration decreased
C. Acidosis blood (acidosis)
D. Blood alkalosis (by alkalosis)

patients
following clinical symptoms
induction of anesthesia
thiopental
not


Question: 15 days old baby real value display Free T4 0.32 ng / dL (normal: 0.8 ~ 2 ng / dL), T4 2.2 μg / dL (normal: 4.5 ~ 12.5 μg / dL), TSH 102 mIU / L (normal value: 1.0 ~ 15.0 mIU / L), of the following is the most correct?

Answer: Possible adverse development related and congenital hypothyroidism

Choices:
A. Case of hyperthyroidism
B. These diseases cause more than autologous recessive inheritance
C. Possible adverse development related and congenital hypothyroidism
D. Physical examination can be found before the baby fontanelle has healed


Question: The following description of the Ras protein related to eukaryotic cells, what's wrong?

Answer: Ras protein with its binding to the N-terminal amino farnesyl (farnesyl) of the functional group

Choices:
A. After mutations are carcinogenic
B. After Ras protein binds to the cell membrane on the modified
C. Ras protein with its binding to the N-terminal amino farnesyl (farnesyl) of the functional group
D. Ras farnesyl cholesterol synthesis and modification of proteins (farnesyl) of the functional group (Cholesterol) using the same synthetic precursor


Question: 61 bearing on the question, the patient two weeks after appropriate antibiotic therapy, fever persisted, tricuspid heart ultrasonography revealed a 1.2 × 1.4 cm neoplasm (the vegetation), systolic blood pressure 100 mmHg, diastolic blood pressure 60 mmHg, inotropic agent required (dobutamine) to maintain blood pressure, when most needed and the most appropriate treatment is:

Answer: Note Consider cardiac surgery heart valve replacement surgery

Choices:
A. Continue to use the original antibiotic, and consider adding vancomycin combination therapy
B. Anticoagulants heparin and avoid the deterioration of pulmonary embolism, to improve cardiac thrombosis
C. Note Consider cardiac surgery heart valve replacement surgery
D. Together with the increase in cardiac digoxin intravenous infusion (saline) to increase cardiac output capability


Question: Which of the following secondary active transport mode to absorb into the intestinal epithelial cells?

Answer: Amino acids

Choices:
A. Amino acids
B. cholesterol
C. calcium
D. fructose

following secondary active
intestinal epithelial cells


Question: 3-year-old girl two days of fever, sore throat, drooling, loss of appetite, no abnormal oral front portion, the posterior pharyngeal wall ulcers, palms and soles associated with a rash. The most likely diagnosis is:

Answer: Hand, foot and mouth disease (Hand-foot-and-mouth disease)

Choices:
A. Herpetic gingival stomatitis (Herpetic gingivostomatitis)
B. Hand, foot and mouth disease (Hand-foot-and-mouth disease)
C. German measles (Rubella)
D. Varicella (Chickenpox)

3 year old girl two days
fever
sore throat
drooling
loss of appetite
abnormal oral front portion
posterior pharyngeal wall ulcers
soles associated with
rash
diagnosis


Question: About head and neck cancer following statements is wrong?

Answer: HPV head and neck cancer, head and neck cancer is not associated with human papilloma virus associated with relatively poor prognosis

Choices:
A. In Western countries, the incidence of HPV (human papilloma virus) and oropharynx (oropharynx) related to an increase in head and neck cancer
B. HPV head and neck cancer, head and neck cancer is not associated with human papilloma virus associated with relatively poor prognosis
C. Early head and neck cancer treatment, it is possible in other parts of the head and neck, lung, esophagus occurs second primary (second primary) cancer
D. With advanced head and neck cancer effective drug treatment, including chemotherapy, targeted therapy


Question: Which of the following is not a major symptom of Kasabach-Merritt Syndrome?

Answer: immune mediated hemolytic anemia

Choices:
A. Kaposiform hemangioendothelioma
B. thrombocytopenia
C. immune mediated hemolytic anemia
D. acute or chronic consumptional coagulopathy

following
not
major symptom
Kasabach-Merritt Syndrome


Question: Middle-aged women kidney disease for many years, after the death of anatomy, small kidneys, and there are numerous 1-3 mm of the surface of the depression, it is one of the following changes in its organization?

Answer: Scar scar fibrosis

Choices:
A. Edema
B. abscess
C. Scar scar fibrosis
D. Neutrophil infiltration

Middle-aged women kidney disease
years
death
anatomy
small kidneys
numerous 1
mm
surface
depression
one
following changes
organization


Question: The following narrative about cephalosporin used to treat bacterial infections, whichever is correct?

Answer: The third-generation cephalosporin to treat Klebsiella (Klebsiella) meningitis

Choices:
A. The first-generation cephalosporin to treat Salmonella (Salmonella) infections
B. The second generation cephalosporin to treat enterococci (Enterococcus) infection
C. The third-generation cephalosporin to treat Klebsiella (Klebsiella) meningitis
D. The third-generation cephalosporin to treat Li Side bacteria (Listeria) meningitis


Question: 65 year old man dysphagia and weight loss hospital examination, the patient weighing 40 kg, serum protein (serum albumin) value of 2.5 g / dL, an endoscopic examination showed lower esophageal tumors causing obstruction, sliced pathology report of the esophagus squamous cell carcinoma, chest CT examination results of mediastinal or no significant liver metastases, bone scan results not significantly distant metastasis. Thoracic surgeon can assess the surgery, which of the following do you think dispose of more appropriate?

Answer: Generally glucose infusion supplement 7 days after surgery

Choices:
A. Immediately arrange surgical removal of the esophagus and reconstruction in order to avoid the spread of cancer
B. Generally glucose infusion supplement 7 days after surgery
C. Total parenteral nutrition (total parenteral nutrition) to add one day, immediate surgery
D. Total parenteral nutrition supplements 7 days after surgery


Question: When a 20-year-old woman attempted suicide was sent to the emergency room, left wrist palm radial side about 3 cm transverse incision, neurological examination revealed the palm and fingers can be straightened and refers to, but can not make a fist bend, and fingers numb ventral sense, this patient most likely that impaired following a nerve?

Answer: The median nerve (median nerve)

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

20 year old woman
suicide
sent
emergency room
left wrist palm radial side
cm transverse incision
neurological examination revealed
palm
fingers
refers
not make
fist bend
fingers numb ventral sense
patient
likely
impaired following
nerve


Question: A worker thigh deep vein thrombosis are taking warfarin, before thrombin time (prothrombin time) INR (international normalization ratio) stability control around 2. Recent checks at the factory also identified the body had tuberculosis, has started taking rifampin. For good control and prevent venous thrombosis complicated by bleeding, the most appropriate way to deal with what?

Answer: Increasing the dose of warfarin

Choices:
A. Reduce the dose of warfarin
B. To maintain the original dose warfarin
C. Increasing the dose of warfarin
D. Stop warfarin, aspirin use

thigh deep vein thrombosis
warfarin
thrombin time
prothrombin time
INR
ratio
stability control
Recent checks
factory
identified
body
tuberculosis
started
rifampin
good control
prevent venous thrombosis complicated
bleeding
most appropriate
to


Question: 53.75-year-old Mr. Zhang as memory and deteriorating ability to find their way through physician-diagnosed neurology specialist, had Ezihaimo disease (Alzheimer disease), in accordance with the clinical severity scale (CDR) grading 1.0. These days, Mr. Zhang and his wife to see the newspaper delivery person talk for a few big temper, Mrs. Zhang was not allowed to answer the phone, this may be what the symptoms?

Answer: delusion of jealousy

Choices:
A. delusion of persecution
B. delusion of stealing（theft）
C. delusion of jealousy
D. delusion of not my home

physician diagnosed neurology specialist


Question: The following genetic or chromosomal disorders related to their predilection combination of congenital heart disease, whichever is least likely?

Answer: Williams syndrome - aortic root dilatation/regurgitation

Choices:
A. Down syndrome - endocardial cushion defect
B. Turner syndrome - bicuspid aortic valve
C. DiGeorge syndrome -interrupted aortic arch
D. Williams syndrome - aortic root dilatation/regurgitation

following genetic
chromosomal disorders related
combination of congenital heart disease
least likely


Question: About the narrative of Henoch-Schönlein purpura, Which statement is correct?

Answer: Normal or increased number of platelets

Choices:
A. Purpura prone in the trunk
B. IgM antibody is mainly caused by the deposition of vasculitis
C. Antinuclear antibodies (antinuclear antibody) positive
D. Normal or increased number of platelets


Question: And emotional memory brain areas most relevant to you is:

Answer: Amygdala (amygdaloid nucleus)

Choices:
A. Amygdala (amygdaloid nucleus)
B. Hippocampus (hippocampus)
C. Striatum (corpus striatum)
D. Cerebellum (cerebellum)


Question: The following statements about the human immunodeficiency virus (referred to as HIV) infection of diagnosis, whichever is correct?

Answer: 20 year old man suffering from cryptococcal meningitis (cryptococcal meningitis), HIV-1 ELISA positive, HIV-1 western blot was also positive, should be diagnosed AIDS, infectious diseases and inform the legal within 24 hours

Choices:
A. Intravenous drug addicts and AIDS patients co-needle accepted HIV-1 / HIV-2 ELISA screening, the result was negative, you can exclude the diagnosis of HIV infection
B. Otherwise healthy blood donors, screening for HIV-1 / HIV-2 ELISA result is positive, should diagnosis of HIV infection, and to inform legal infectious diseases in 7 days
C. Previously healthy homosexual acceptance of HIV-1 / HIV-2 ELISA screening result is positive and HIV-1 western blot (Western blot) was also positive, should diagnosis of HIV infection, and to inform the statutory infectious diseases within seven days
D. 20 year old man suffering from cryptococcal meningitis (cryptococcal meningitis), HIV-1 ELISA positive, HIV-1 western blot was also positive, should be diagnosed AIDS, infectious diseases and inform the legal within 24 hours

following
human immunodeficiency virus
referred to
HIV
infection
diagnosis
correct


Question: 5161-year-old male. The past two years to get up every morning headache, often sleepy during the day, at night snoring loudly. Recently, more high blood pressure and breathing difficulties and other symptoms. Three years to increase the weight of 10 kg. Number of sleep examination revealed that the patient 15 to 20 times per hour obstructive respiratory suspension, accompanied by decreased oxygen saturation, the minimum value of 72%. Which of the following is the most appropriate and effective disposal?

Answer: Formula positive pressure respirator nasal mask (nasal CPAP) is currently the most long-lasting effect of treatment

Choices:
A. Day given oxygen therapy by nasal cannula during sleep
B. Surgery (plastic surgery of the soft palate uvula) have long-term effects
C. Formula positive pressure respirator nasal mask (nasal CPAP) is currently the most long-lasting effect of treatment
D. Given sleeping pills

year old male
past two years to get
morning headache
often sleepy
day
night snoring
Recently
more high blood pressure
breathing difficulties
symptoms
Three years to increase
weight
10 kg
Number
sleep
revealed
patient 15
20 times
hour obstructive respiratory suspension
decreased oxygen saturation
minimum value
72
following
most appropriate
effective


Question: Of the following statements about omeprazole, what's wrong?

Answer: With H +, K + -ATPase which fall reversible binding

Choices:
A. proton pump inhibitors
B. Lasting inhibition of gastric acid secretion of the
C. Gastrin lead to the improvement of GERD (gastro-esophageal reflux)
D. With H +, K + -ATPase which fall reversible binding


Question: The following children's causes urinary tract infections (urinary tract infection) bacteria, whichever is the most rare?

Answer: Streptococcus spp.

Choices:
A. Streptococcus spp.
B. Escherichia coli
C. Klebsiella spp.
D. Proteus spp.


Question: A 36-year-old woman who recently often feel headache, measure their blood pressure was 180/110 mmHg, but the rest of the body found no obvious abnormalities, abdominal computed tomography scan revealed she had a 2 cm right adrenal gland tumors, and blood K + found abnormally low. Which of the following concentrations in their blood is most likely too high?

Answer: aldosterone

Choices:
A. ACTH
B. aldosterone
C. renin
D. catecholamine


Question: 45-year-old female patient undergoing peritoneal dialysis, abdominal pain three days before, the day before dialysis solution became cloudy today to the emergency room, dialysis fluid leukocyte 356 / μL, 3 days after treatment with antibiotics, dialysis fluid cultures yielded Candida ( candidiasis). Which of the following is most appropriate disposal?

Answer: Removal of peritoneal dialysis catheter

Choices:
A. Use of oral anti-fungal medication
B. The use of intravenous anti-fungal drugs
C. Use intraperitoneal anti-fungal drugs
D. Removal of peritoneal dialysis catheter

year old female patient
peritoneal dialysis
abdominal pain three days
day
dialysis solution
cloudy today
emergency room
dialysis fluid
3 days
dialysis fluid
candidiasis
following
most appropriate


Question: A disease that most often following the merger panic attack?

Answer: Cardiomyopathy (cardiomyopathy)

Choices:
A. Thyroid function is too high
B. Mitral valve prolapse
C. Cardiomyopathy (cardiomyopathy)
D. Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease)

disease
most often following
panic attack


Question: Mr. Wang, 68 years old, past smoking, B hepatitis, hypertension and diabetes mellitus, but there is no rule to track treatment, nearly a month complained of bilateral lower extremity symmetrical edema, abdominal distension and urine have shown a decrease. To give the patient an amount of blood pressure 148/92 mmHg, temperature 36 ° C, pulse rate 98 / min and irregular, respiratory rate 20 / min, by the above preliminary medical history, what is most unlikely diagnosis?

Answer: Deep vein thrombosis (deep vein thrombosis)

Choices:
A. Congestive heart failure (congestive heart failure)
B. Kidney failure (renal failure)
C. Cirrhosis (liver cirrhosis)
D. Deep vein thrombosis (deep vein thrombosis)


Question: "Core respiratory assessment (core of airway assessment)" before surgery, the most difficult to predict the potential of three respiratory physical examination items, not including which of the following?

Answer: Head size (circumference of the head)

Choices:
A. Degree (mouth opening) mouth open
B. Head size (circumference of the head)
C. Jaw before the very degree (jaw protrusion)
D. Degree of extension of the head (head extension)

Core respiratory assessment
core
airway
surgery
most difficult to
potential
three respiratory physical examination
not including
following


Question: A 46-year-old female, above the right breast, the nipple from 2 centimeters, found that about 2 cm size of a lump. Mammogram display irregularity of an edge of the tumor, combined microcalcifications extend below the nipple, Cuzhen (core needle) biopsy puncture confirmed invasive ductal carcinoma (infiltrating ductal carcinoma). Which of the following is the most inappropriate of surgical treatment?

Answer: Breast conserving surgery (breast conserving surgery)

Choices:
A. Modified radical surgery for breast cancer (modified radical mastectomy)
B. Breast resection surgery + axillary sentinel lymph node sections (total mastectomy + axillary sentinel lymph node biopsy)
C. The combined skin retention breast Breast reconstruction surgery eradication (skin sparing radical mastectomy + breast reconstruction surgery)
D. Breast conserving surgery (breast conserving surgery)


Question: The following statements about eye movement, what's wrong?

Answer: Adjustment of vergence convergence (accommodative convergence) belongs to a tension of vergence convergence (tonic convergence)

Choices:
A. Duction refers monocular movement, including eye pronation (intorsion) and external rotation (extorsion), etc.
B. Version refers to the movement, both eyes see the same including the upper right (dextro-elevation), or lower left (levo-depression), etc.
C. Vergence refers to the movement of different eyes, vergence comprising condensing (Convergence) or divergent (Divergence), etc.
D. Adjustment of vergence convergence (accommodative convergence) belongs to a tension of vergence convergence (tonic convergence)


Question: 71. The following statements that correct? ① fracture penis (penile fracture) occurs in the penis suspensory ligament (suspensory ligament) ② distal penile fracture when conservative treatment would happen if more than 10% of the bent penis erection (penile curvature) ③ penis penetrating trauma (penetrating injury) to when considering retrograde urethral Photography (retrograde urethrography) ④ emergency found injured in a car accident the male urethra bleeding, must be placed immediately catheter treatment

Answer: ①②③

Choices:
A. ①②③
B. ①②④
C. ①③④
D. ②③④

following
correct
fracture penis
penile fracture
occurs
penis suspensory ligament
suspensory ligament
distal penile fracture
conservative treatment
more
10
bent
penile
penis penetrating
penetrating injury
retrograde urethral
retrograde urethrography
emergency found injured
car accident
male
immediately catheter treatment


Question: About Gonggongweisheng, primary health care, cutting-edge medical technology of the three closely related, influence each other, from the viewpoint of ROI national health, the relationship between three of the following, whichever is the most correct?

Answer: Gonggongweisheng> Primary Care> cutting-edge medical technology

Choices:
A. Gonggongweisheng> Primary Care> cutting-edge medical technology
B. Primary Care> = Gonggongweisheng cutting-edge medical technology
C. Cutting-edge medical technology> Primary Care> Gonggongweisheng
D. Primary Care = = Gonggongweisheng cutting-edge medical technology

cutting edge medical technology
three
related
ROI
relationship
three
following
most correct


Question: A 50-year-old male with a history of long-term smoking and high blood pressure, chest tightness, sweating due to the emergency room, blood pressure 110/70 mmHg, breathing 26 times / min, body temperature of 37.2 ℃, pulse 84 beats / min, ECG lead ST-V1 ~ V6 rise band, and the lead II, III, and aVF ST-band decreased, the diagnosis should be:

Answer: Acute anterior myocardial infarction

Choices:
A. Acute anterior myocardial infarction
B. Acute posterior wall myocardial infarction
C. Acute inferior wall myocardial infarction
D. Myocarditis

50 year old male
history of long-term smoking
high blood pressure
chest tightness
sweating due to
emergency room
blood pressure
70 mmHg
breathing
times
min
body temperature
pulse 84 beats
min
ECG lead ST V1
V6
band
lead II
III
aVF ST band decreased
diagnosis


Question: The following statements is related to the salivary glands wrong?

Answer: Submandibular duct (submandibular duct) through the mylohyoid muscle (mylohyoid m.), Open to both sides of the substrate lingual frenulum

Choices:
A. Submandibular duct (submandibular duct) through the mylohyoid muscle (mylohyoid m.), Open to both sides of the substrate lingual frenulum
B. Submental artery (submental a.) Supplying the submandibular gland
C. Chorda tympani nerve (chorda tympani n.) Passed sublingual glands parasympathetic preganglionic
D. Sublingual gland pooled lymph to the lymph nodes under the jaw (submandibular lymph nodes)


Question: Of the following statements about warfarin, what's wrong?

Answer: Synthesis unaffected protein C

Choices:
A. For direct inhibition of vitamin K clotting factors II, VII, IX, X for γ-carboxylation modification
B. Direct inhibition of epoxide reductase, so that reproduction can not be reduced vitamin K
C. Synthesis unaffected protein C
D. The time of onset of action than heparin anticoagulant action (onset) Slow


Question: The following statements about PJ symptom clusters (Peutz-Jeghers syndrome), and what's wrong?

Answer: Polyp itself is a malignant lesions, so to all the polyp excision

Choices:
A. Emergence of multiple polyps, the most in the small intestine, is defective neoplastic (hamartomatous) polyp
B. The patient's lips, buccal or toes skin pigmentation
C. Bleeding or polyps may become large, causing intestinal obstruction or intussusception
D. Polyp itself is a malignant lesions, so to all the polyp excision

following
symptom clusters
Peutz-Jeghers syndrome
wrong


Question: Which of the following walking behind the medial epicondyle (medial epicondyle of humerus) of?

Answer: Ulnar nerve (ulnar nerve)

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

following
medial epicondyle
medial epicondyle of humerus


Question: A 12-year-old girl because of bad-tempered, easy to insomnia, weight loss and treatment, physical examination found that its 140 beats per minute, his eyes protruding, his hands trembling phenomenon there. Most do not match the following clinical signs that a patient's test results with this?

Answer: Serum TSH values 5.0 μIU / mL

Choices:
A. Serum T3 value of 350 ng / dL
B. Serum free T4 values 3.0 ng / dL
C. Serum T4 value 18.0 μg / dL
D. Serum TSH values 5.0 μIU / mL

year old girl
bad
easy
insomnia
weight loss
treatment
found
beats per minute
eyes protruding
hands trembling
Most
not match
following clinical signs
patient's test results


Question: Which of the following with the adductor longus muscle (adductor longus) is governed by the same nerve?

Answer: Gracilis muscle (gracilis)

Choices:
A. Gracilis muscle (gracilis)
B. Stock side muscle (quadratus femoris)
C. Pubic muscle (pectineus muscle)
D. Obturator muscle (obturator internus)

following
adductor longus muscle
adductor longus
same nerve


Question: Pathogens gastrointestinal tract after adsorption, antigen that can be ingested by an immune cell, and a top surface antigen from the cell mass (apical face) in the end side (basolateral face)?

Answer: M cells (microfold cells)

Choices:
A. B lymphocytes (B lymphocytes)
B. M cells (microfold cells)
C. Natural killer cells (natural killer cells)
D. T lymphocytes (T lymphocytes)

Pathogens gastrointestinal tract
adsorption
top
mass
apical face
end side
face


Question: Which of the following follicle (follicle) does not have the zona pellucida (zona pellucida)?

Answer: Primitive follicles (primordial follicle)

Choices:
A. Mature follicle (mature follicle)
B. Secondary follicles (secondary follicle)
C. Primary follicles (primary follicle)
D. Primitive follicles (primordial follicle)

following follicle
follicle
not
zona pellucida
zona pellucida


Question: That one of the following enzymes involved in circulation g (Krebs cycle, also known as the citric acid cycle or TCA cycle) reaction, is located within the membrane and mitochondrial electron transport chain involved in the direct?

Answer: succinate dehydrogenase

Choices:
A. succinate dehydrogenase
B. isocitrate dehydrogenase
C. alpha-ketoglutarate dehydrogenase complex
D. malate dehydrogenase


Question: Men commit suicide was found to hospital after first aid remained comatose state. Pathological changes in his brain that is causing the most?

Answer: Carbon monoxide and heme-binding affinity is much higher than oxygen

Choices:
A. Carbon monoxide and heme-binding affinity is much higher than oxygen
B. Reduce blood flow to the brain
C. Brain glial cells are the body most vulnerable to hypoxic cell injury
D. Organization of toxic carbon monoxide

commit suicide
found
hospital
first aid
comatose state
Pathological changes
brain
causing
most


Question: When the following scenarios, the shape of the crystal body becomes flatter?

Answer: focusing on distant objects

Choices:
A. contraction of ciliary muscle
B. accommodation for near vision
C. focusing on distant objects
D. firing of parasympathetic nerves

following scenarios
shape
crystal body
flatter


Question: 46.50-year-old man, after chiropractic does not apply to emergency brain magnetic resonance according to the film showed the right side of the bulbar medial infarction (infarction of right medial medulla), may have those symptoms: ① right side face Ma ② ③ left limb weakness right limb disorders (dysmetria) ④ right tongue weakness

Answer: ②④

Choices:
A. ①③
B. ②④
C. ①④
D. ②③

50 year old man
chiropractic
not apply
emergency brain magnetic resonance
film
right side of
bulbar medial infarction
infarction
right medial medulla
symptoms
right side face Ma
left limb weakness right
disorders
dysmetria
right tongue weakness


Question: 32. Li schoolchildren before and after swimming in a pond near the home return home, have fever, headache, nasal congestion, and olfactory disorders and other symptoms, the hospital examination found that white blood cells of up to 24,000 / cmm (> 90% as neutrophils), neck stiff and Koenig's sign (Kernig's sign), and was hospitalized five days after the death. Based on the above results, Li children parasites which most likely to be infected?

Answer: Freund's Negri amoeba (Naegleria fowleri)

Choices:
A. Freund's Negri amoeba (Naegleria fowleri)
B. Entamoeba histolytica (Entamoeba histolytica)
C. Acanthamoeba (Acanthamoeba spp.)
D. Colon amoeba (Entamoeba coli)

Li
pond
home return
fever
headache
nasal congestion
olfactory disorders
symptoms
hospital
found
white blood cells
90
neck stiff
sign
Kernig's sign
hospitalized
death
Based
results
Li children parasites
to
infected


Question: Which of the following is not penis deep fascia (deep fascia of the penis) inside?

Answer: Penis haptics ligament (fundiform ligament of penis)

Choices:
A. Penis haptics ligament (fundiform ligament of penis)
B. Deep dorsal penile vein (deep dorsal vein of penis)
C. Dorsal artery (dorsal artery of penis)
D. Penile urethra (corpus spongiosum)

following
not penis deep fascia
deep fascia of
penis


Question: 25-year-old woman to the emergency, private prosecution last night because they can not stand fall, causing body aches. She also mentioned that the last six months are often lower abdominal (pelvic) pain, back pain, fatigue and weakness symptoms. Her husband next to show impatience, that she exaggerated symptoms. Found physical checkups and left eyes and the limbs during various degrees of bruises, blood pressure 130/84 mmHg, pulse 108 / min, the deep abdominal tenderness, no other special. Based on these findings, taking into consideration the relative probability of the disease, Which of the following is most likely?

Answer: Spousal abuse (spouse abuse)

Choices:
A. Acute leukemia (acute leukemia)
B. Low thyroid function (hypothyroidism)
C. A bleeding disorder (bleeding disorder)
D. Spousal abuse (spouse abuse)

year old woman
emergency
private prosecution
night
not stand fall
causing body aches
last six months
often lower abdominal
pelvic
pain
back pain
fatigue
weakness symptoms
next to
impatience
exaggerated symptoms
Found physical
left eyes
limbs
various degrees
bruises
blood pressure
84 mmHg
pulse
min
deep abdominal tenderness
special
Based
findings
consideration
relative probability of
disease
following


Question: Which of the following allow access intercellular ion?

Answer: Joining gap (gap junctions)

Choices:
A. Close contact (tight junctions)
B. Joining gap (gap junctions)
C. Bridge cell bodies (desmosomes)
D. Small adhesive band (zonula adherens)


Question: Which of the following from the above, the inter-pharyngeal constrictor muscle through?

Answer: Glossopharyngeal nerve (glossopharyngeal nerve)

Choices:
A. Glossopharyngeal nerve (glossopharyngeal nerve)
B. Laryngeal nerve (internal laryngeal nerve)
C. Laryngeal artery (superior laryngeal artery)
D. Recurrent laryngeal nerve (recurrent laryngeal nerve)

following
inter pharyngeal constrictor muscle


Question: 73. The pre-treatment of attention deficit / hyperactivity disorder (attention-deficit / hyperactivity disorder) in children and adolescents patients using the nerve stimulator (stimulants), that is not generally recommended to first measure the project?

Answer: blood sugar

Choices:
A. blood pressure
B. Heartbeat
C. blood sugar
D. height

pre-treatment
attention deficit
hyperactivity disorder
attention-deficit
hyperactivity disorder
children
adolescents patients using
nerve stimulator
stimulants
not
to first measure


Question: Mr Chen suffering from hepatocellular carcinoma, to accept the hepatic arterial embolization after half an hour, the situation of consciousness by brain CT examination revealed the phenomenon of blood clots, when suspected hepatic arterial embolization scored the drugs, part of the stream due to the brain blood vessels. Because the range is quite extensive stroke, Mr Chen respiratory failure ensues, followed by the worsening condition, and finally death. Cerebral embolism cases of hepatic artery embolization therapy caused quite rare, for this is rare, but in the end fatal complication, in accordance with current views with relevant regulations or court, whether the scope should be informed?

Answer: It should be informed of the scope of the complications, the complications, although rare, but the consequences of its occurrence is very serious, should be informed

Choices:
A. Complications range should be informed of belonging, because this complication is rare, it should inform
B. It should be informed of the scope of the complications, the complications, although rare, but the consequences of its occurrence is very serious, should be informed
C. Complications do not belong to the scope should be informed of, because it is too rare
D. Complications range are not to be told, because if informed of the complications, the patient will decide not to accept the hepatic arterial embolization therapy

Cerebral cases of artery embolization therapy caused


Question: Lee, 55-year-old right movement disorders (ataxia) occurs on the right side face and left side of the body paresthesia, slurred speech, swallowing disorders, appears on the right Horner syndrome (Horner's syndrome), which imaging is most likely:

Answer: T2-weighted axial MRI

Choices:
A. T2-weighted axial MRI
B. CT
C. CT
D. diffusion-weighted axial MRI

year old right movement disorders
ataxia
occurs
right side face
left side of
body paresthesia
slurred speech
swallowing disorders
appears
right Horner syndrome
Horner's syndrome
imaging


Question: Due to hypertension (170/120 mm / Hg) and proteinuria (3.1 g / 24 hours) hospitalization, hospitalization have found patellar reflex increase in cases when the beginning of a 30-year-old mother 36 weeks of pregnancy, then the attending physician instructions given MgSO4 . Before giving MgSO4, following which test data is absolutely necessary?

Answer: Renal

Choices:
A. liver function
B. Renal
C. Coagulation
D. Platelet function


Question: 33 year old pregnant woman, G2P0SA1, 40 weeks of pregnancy, the fetus admitted to be produced in the monitor accepts examination results shown in Figure its interpretation that?

Answer: late deceleration

Choices:
A. early deceleration
B. late deceleration
C. variable decelerations
D. sinusoid pattern

year old
40 weeks
pregnancy
fetus
to
monitor accepts
results
interpretation


Question: When taking into account the sensitivity (sensitivity) and specificity (specificity), following what kind of tumor markers (tumor marker) is the most appropriate cancer screening?

Answer: Prostate specific antigen (prostate specific antigen, PSA) - prostate cancer

Choices:
A. Prostate specific antigen (prostate specific antigen, PSA) - prostate cancer
B. Cancer ovarian cancer antigen CA-125-
C. Oncofetal antigens (carcinoembryonic antigen, CEA) - colorectal cancer,
D. Breast cancer antigen CA-15-3-

account
sensitivity
sensitivity
and specificity
specificity
following
kind of tumor markers
tumor marker
most appropriate cancer screening


Question: Myasthenia gravis (myasthenia gravis) and that following a tissue or organ hyperplasia?

Answer: Thymus (thymus)

Choices:
A. Thymus (thymus)
B. Thyroid (thyroid gland)
C. Adrenal cortex (adrenal gland)
D. Plasma cells (plasma cell) within the bone marrow

Myasthenia gravis
myasthenia gravis
following
tissue
organ hyperplasia


Question: Patients usually a physician before proceeding with full capacity of medical practice, will be informed in advance in order to obtain consent, then the physician face "capacity incomplete (Incompetent)" adult patients when (if self-injurious behavior in patients with mental illness) The following ethical guidelines that inappropriate?

Answer: Physicians track line with the best interests of the patient to make a decision

Choices:
A. First the patient's family to seek "proxy consent" for the patient
B. When the meaning of inconsistency between family members, and other pro recently, as a priority
C. Acting in the best interests of the patient must agree not incompatible with the patient's decision would do if conscious
D. Physicians track line with the best interests of the patient to make a decision

Patients usually
physician
full capacity
medical
informed
advance
order to obtain consent
then
physician face
capacity incomplete
Incompetent
adult patients
self-injurious behavior
patients
mental illness
following
inappropriate


Question: The following statements about mandibular fracture (mandibular fractures), and what's wrong?

Answer: Surgical treatment of major fracture fixation and mandibular teeth reset, a fixed time as long as possible, there will be no problem temporomandibular joint stiffness

Choices:
A. Composition comprising a mandible mandibular joint (symphysis), mandibular body (body), mandibular angle (angle), mandibular branch (ramus), mandibular condyle
B. Mandibular fractures can be based on the relationship between mandibular dentition, Angle classification system is classified as Class I, Class II and Class III
C. Upper and lower case can be used to reset the fixed teeth no displacement, no misalignment of teeth and temporomandibular joint (temporo-mandibular joint) of the normal activity
D. Surgical treatment of major fracture fixation and mandibular teeth reset, a fixed time as long as possible, there will be no problem temporomandibular joint stiffness

following
mandibular fracture
mandibular fractures
wrong