Question: On typical clinical manifestations of acute myocardial infarction, which of the following error?

Answer: Similar angina, chest pain usually stops with the activity and remission

Choices:
A. Usually accompanied by weakness, sweating, nausea, vomiting
B. Similar angina, chest pain usually stops with the activity and remission
C. Site of pain may occur in the upper abdomen below the sternum and xiphoid, it may be misdiagnosed as indigestion
D. In elderly patients, ST segment rose myocardial infarction may appear to be sudden difficulty in breathing, and may further lead to pulmonary edema


Question: A 68-year-old woman was found to have proteinuria, blood examination showed hemoglobin 8.7 gm / dL, normal white blood cells and platelets, albumin, 3.3 gm / dL, globulin 1.8 gm / dL, Cr 1.7 mg / dL, urine Bence -Jones protein positive, X- ray head shown in FIG. This patient most likely diagnosis is?

Answer: multiple myleoma

Choices:
A. multiple myleoma
B. carcinoma with bone metastasis
C. anemia secondary to chronic kidney disease
D. Paget's disease

year old woman
found to
proteinuria
blood examination
hemoglobin
gm
dL
normal white blood cells
platelets
albumin
3.3 gm
dL
globulin
gm
dL
Cr
7 mg
dL
urine Bence
Jones protein positive
X
ray head
patient
likely diagnosis


Question: About serious diabetic gastroparesis surgical treatment, which of the following most inappropriate?

Answer: Gastrectomy

Choices:
A. Gastrectomy
B. Gastrostomy
C. Jejunostomy
D. Pancreas transplant


Question: 40 year old man, grew up torso was found with multiple pigmented spots and skin cancer, as shown, the most likely diagnosis is:

Answer: neurofibromatosis

Choices:
A. tuberous sclerosis
B. neurofibromatosis
C. neurocutaneous melanosis
D. xeroderma pigmentosum

40 year old man
torso
found
multiple pigmented
skin cancer
diagnosis


Question: Related fracture healing (Fracture healing) description of what's wrong?

Answer: Inflammatory phase (Inflammation), osteoclasts (osteoclasts) and fibroblast cells (fibroblasts) significantly hyperplasia

Choices:
A. Inflammatory phase (Inflammation), osteoclasts (osteoclasts) and fibroblast cells (fibroblasts) significantly hyperplasia
B. Patch period (Repair), Soft Callus fracture begins to form within two weeks, and later replaced Hard Callus
C. After modification period (Remodeling) in the mid-repair period began, the clinical fracture healing can last for years
D. Fracture healing and nutritional status of patients and stable fracture fixation or not, there is a significant relationship

Related fracture healing
Fracture healing
wrong


Question: Which of the following ⾎ pressure lowering drugs at the time of ⻑ of clothing made with high-dose treatment, if the immediate withdrawal because of the strong increase in sympathetic activity, may lead to fatal ADVANCED ⾎ pressure?

Answer: clonidine

Choices:
A. clonidine
B. nifedipine
C. hydralazine
D. captopril

following
pressure lowering drugs
time
clothing made
high-dose treatment
immediate withdrawal
strong increase
activity
lead
fatal ADVANCED
pressure


Question: 77 Mr. Zhang two weeks ago, went to mainland China in Hunan Dongting lake activities, hands and feet had to extend into the water during swimming, and in the evening back to the hotel found swimming in the hands and feet itching rash occurs at rest, return general malaise, fever and cough and other symptoms after Taiwan, the hospital found to have mild liver and spleen enlargement (hepatosplenomegaly) and acute hepatitis (acute hepatitis) phenomenon. Based on the above results, Mr. Zhang parasite which most likely to be infected?

Answer: Schistosoma japonicum (Schistosoma japonicum)

Choices:
A. Chinese liver fluke (Clonorchis sinensis)
B. 橫川 吸蟲 (Metagonimus yokogawai)
C. Shaped flukes (Heterophyes heterophyes)
D. Schistosoma japonicum (Schistosoma japonicum)

Mr
two weeks
to mainland China
lake
hands
feet
to extend
water
evening back
hotel found
hands
feet itching rash occurs
return general malaise
fever
cough
symptoms
Taiwan
hospital found to
mild liver
spleen enlargement
hepatosplenomegaly
acute hepatitis
acute hepatitis
Based
results
Mr
parasite
to
infected


Question: Which of the following does not belong to the risk factors for ovarian cancer?

Answer: Long-term use of contraceptive drugs

Choices:
A. Nulliparous
B. Long-term use of contraceptive drugs
C. First-degree relatives with a history of ovarian cancer
D. Itself has a history of breast cancer

following
not
risk factors
ovarian cancer


Question: 7 A 40-year-old man in the rear upper arm has a deep cut wounds, came to the emergency wrist unable to stretch (extension), the fingers can not be straightened, this situation may be that a nerve injury?

Answer: Radial nerve (radial nerve)

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

40 year old man
rear upper arm
deep cut wounds
emergency wrist unable to stretch
extension
fingers
not
nerve injury


Question: According to most studies data showed, elderly abdominal aortic aneurysm (abdominal aortic aneurysm) Which of the following most commonly misdiagnosed as a disease?

Answer: Kidney stones (renal colic)

Choices:
A. Peptic ulcer (peptic ulcer disease)
B. Kidney stones (renal colic)
C. Cholecystitis (cholecystitis)
D. Appendicitis (appendicitis)

most studies data
abdominal aortic aneurysm
abdominal aortic aneurysm
following most
misdiagnosed
disease


Question: The following is the place where most babies of brain cell puncture (cisternal puncture) to obtain cerebrospinal fluid (CSF) of?

Answer: After the cisterna magna (posterior cerebellomedullary cistern)

Choices:
A. Between the cerebral peduncle pool (interpeduncular cistern)
B. After the cisterna magna (posterior cerebellomedullary cistern)
C. Four cistern (quadrigeminal cistern)
D. Pool pons (pontine cistern)

following
place
babies
puncture
cisternal puncture
to obtain cerebrospinal fluid


Question: Which of the following small saphenous vein (small saphenous vein) with the line?

Answer: Sural nerve (sural nerve)

Choices:
A. The saphenous nerve (saphenous nerve)
B. Sural nerve (sural nerve)
C. Deep peroneal nerve (deep peroneal nerve)
D. Superficial peroneal nerve (superficial peroneal nerve)

following small saphenous vein
small saphenous vein
line


Question: The following related urinary diversion (urinary diversion) described the surgery, what's wrong?

Answer: When bladder cancer prostate urethra violations, Urinary diversion operation mode is preferably used neobladder

Choices:
A. Heart and lung function was assessed before surgery is important
B. Intestinal cleansing preparation must be done before surgery
C. When bladder cancer prostate urethra violations, Urinary diversion operation mode is preferably used neobladder
D. Because the longest length of the ileum, most often cited in the urinary shunt

following related urinary diversion
urinary diversion
surgery
wrong


Question: A 38-year-old obese women, abnormal vaginal spotting for up to six months. 10 years ago because of irregular menstruation for medical treatment, was diagnosed with polycystic ovary syndrome, have not been taking medication. Pregnancy test was negative reaction. Ultrasound examination revealed thickening of the endometrium. Which of the following check most appropriate?

Answer: Endometrial sampling

Choices:
A. 2-hour glucose tolerance test
B. glucose/insulin ratio
C. LH / FSH ratio
D. Endometrial sampling


Question: The following account of the esophagus, whichever is correct?

Answer: With submucosal glands (submucosal gland)

Choices:
A. Outside the esophagus muscularis (muscularis externa) comprises only smooth muscle
B. Mucosa (mucosa layer) having a number of goblet cells (goblet cells)
C. With submucosal glands (submucosal gland)
D. There are serous thoracic segment (serosa) covered


Question: The main difficulties in the development of gonorrhea (gonorrhea) vaccine Why?

Answer: Gonorrhea meningitidis surface antigen of 43 easily change due to cirrhosis or liver cancer patients with eating raw seafood, especially oysters, which led to the rapid progress of sepsis (septicemia), often due to infection following kind of bacteria?

Choices:
A. Gonorrhea cocci can not be cultured in vitro
B. Gonorrhea meningitidis surface antigen component of non-sexual
C. Gonorrhea meningitidis unable to produce protective antibodies in humans
D. Gonorrhea meningitidis surface antigen of 43 easily change due to cirrhosis or liver cancer patients with eating raw seafood, especially oysters, which led to the rapid progress of sepsis (septicemia), often due to infection following kind of bacteria?

main difficulties
development
gonorrhea
gonorrhea
vaccine


Question: Ames assays (Ames test) can be used to assess:

Answer: The ability of compounds mutagenicity

Choices:
A. The pathogenic bacteria
B. DNA replication rate
C. The efficacy of antibiotics
D. The ability of compounds mutagenicity


Question: Men suffering from high blood pressure and a 52-year-old medication, and India plans to travel to the countryside for seven days if you are to give him suggestions, which of the following inappropriate?

Answer: Hypertension drug can not bring, because the travel time of only seven days

Choices:
A. Hypertension drug can not bring, because the travel time of only seven days
B. Owned ciprofloxacin to treat traveler's diarrhea may occur journey or urinary tract infections
C. Carry some anti-inflammatory painkillers and antihistamines for a rainy day
D. Required cooked food, boiled, skinned, or do not want to eat

suffering
high blood pressure
year old medication
India plans to
countryside
to give
following inappropriate


Question: The blood will enter the antigen presenting cells where the antigen (antigen-presenting cell, APC) was presented to the T cell recognition, activation of specific immune response of the host (specific immunity)?

Answer: Spleen (spleen)

Choices:
A. Bone marrow (Bone marrow)
B. Mucosal lymphoid tissue (Mucosa-associated lymphoid tissue; MALT)
C. Cardiac (heart)
D. Spleen (spleen)

blood
enter
APC
activation of specific immune response
specific immunity


Question: The following description of the relevant parasympathetic regulation of the cardiovascular system, what's right?

Answer: Increasing sinus (SA node) on potassium ion permeability of the membrane hyperpolarization

Choices:
A. Stimulate the sinus node (SA node) on the F-type sodium channel (F-type Na + channels), so that membrane depolarization
B. Direct inhibition of cAMP action, slow ventricular contraction and relaxation rate
C. Activating beta] 2 adrenergic receptor (β2 adrenergic receptors), resulting in vasodilation
D. Increasing sinus (SA node) on potassium ion permeability of the membrane hyperpolarization

following
relevant
cardiovascular system
right


Question: 1 a 18 year-old boy due to the recent frequent bruising to treatment, inspection reports for Sick Children as WBC: 8,700 / mm3, Hgb: 12 gm / dL, 7 / 10.8 (patient / control) sec, activated partial thromboplastin time (aPTT) : 89.3 / 29.6 (patient / control) sec, bleeding time (Ivy's method): 1.5 min, von Willebrand factor (vWF) antigen 72%, most likely this Sick Children:

Answer: Hemophilia B (hemophilia B)

Choices:
A. Coagulation factor VII deficiency
B. Hemophilia B (hemophilia B)
C. von Willebrand 病
D. Uremia (uremia)

1
year old boy due to
recent frequent bruising
treatment
inspection reports
Sick Children
WBC
700
mm3
Hgb
gm
dL
10.8
patient
control
sec
activated partial thromboplastin time
29
patient
control
sec
bleeding time
Ivy's method
1.5 min
von Willebrand factor
antigen 72
Sick Children


Question: 47 A 45 year old female patient in a closed winter and take a bath with a water heater, due to confusion suspected CO poisoning is sent to the emergency, blood gas analysis results are displayed in the arteries when the indoor air is sucked pH 7.32, PaCO2 38 mmHg , PaO2 86 mmHg, HCO3- 20 mEq / L, BEECF- 4 mEq / L, SaO2 98%. Will following the treatment, whichever is most correct?

Answer: To give oxygen of high concentration, and blood tests to send the carboxyhemoglobin

Choices:
A. PaO2 was 86 mmHg, and therefore does not require oxygen therapy
B. To give oxygen of high concentration, and blood tests to send the carboxyhemoglobin
C. SaO2 arterial blood gas analysis was 98%, the amount of carboxyhemoglobin so small, exclude the diagnosis of CO poisoning
D. Given sodium bicarbonate, for the treatment of metabolic acidosis

year old female patient
closed winter
bath
water heater
confusion suspected CO poisoning
sent
emergency
blood gas analysis results
displayed
arteries
air
sucked pH 7
mmHg
PaO2
mmHg
HCO3
20 mEq
L
mEq
L
98
following
treatment
most correct


Question: After bearing the title, that preliminary results of blood culture, use one of the following antibiotic that is most appropriate?

Answer: Cefotaxime

Choices:
A. Trimethoprim-sulfamethoxazole
B. Azithromycin
C. Cefotaxime
D. Penicillin

bearing
title
of blood culture
use one of
following
most appropriate


Question: After a 34-year-old expectant women currently pregnant with their second child, the first 35 weeks of pregnancy; the woman pregnant with their first child three years ago, in the 36th week of pregnancy, prenatal B streptococcus (GBS) screening, The results are presented B streptococcus colonies positive. She received prophylactic antibiotic injections to be produced when the first child, the fetus after birth newborns B streptococcal infection does not occur. The second child for the prevention of neonatal B streptococcus infection, the practice should be taken to:

Answer: Prenatal screening arrangements B streptococcus, Streptococcus B colonies appear if positive, is to take preventive measures when antibiotic injections to be produced

Choices:
A. B streptococcus does not have to arrange for prenatal screening, preventive antibiotic treatment direct injection time to be produced
B. Prenatal screening arrangements B streptococcus, Streptococcus B colonies appear if positive, is to take preventive measures when antibiotic injections to be produced
C. Arrange Caesarean section, to take preventive antibiotics before surgery injection treatment
D. Arrange Caesarean section, do not take prophylactic antibiotic injection treatment

year old
currently pregnant
second child
first 35 weeks
pregnancy
woman pregnant
first child three years
week
pregnancy
prenatal
GBS
screening
results
colonies positive
received prophylactic to
first child
fetus
birth newborns
streptococcal infection
not occur
second child
prevention of neonatal
infection


Question: Normal urine acid, excreted primarily in what form?

Answer: NH4 +

Choices:
A. H+
B. NH4 +
C. H3PO4
D. HPO42-


Question: 59-year-old female, lower abdominal magnetic resonance angiography (T2WI) figure, at about the meaning of the arrows, whichever is the most accurate description?

Answer: Cervical Neoplasia

Choices:
A. Uterine fibroids
B. Adenomyosis
C. Endometrial polyps
D. Cervical Neoplasia


Question: From the previous question, the results of blood tests [Na +] 136 mmol / L; [K +] 4.2 mmol / L, please baby next 24 hours was calculated optimum total water requirement?

Answer: Give two hours before 200 mL of physiological saline, 24 hours after infusion of 1600 mL to give

Choices:
A. Give two hours before 200 mL of physiological saline, 24 hours after infusion of 1600 mL to give
B. Give two hours before 200 mL of physiological saline, 24 hours after infusion of 1000 mL to give
C. Give 8 hours before 500 mL of physiological saline for 16 hours to give 500 mL infusion
D. Give 8 hours before 600 mL of physiological saline for 16 hours to give 1000 mL infusion


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

Answer: There is usually an increase of filaggrin and profilaggrin

Choices:
A. May be found in patients with atopic skin inflammation (atopic dermatitis) is
B. Patients palms and soles of palm obvious (hyperlinearity)
C. Often merge pore keratosis (keratosis pilaris)
D. There is usually an increase of filaggrin and profilaggrin

following account
ichthyosis vulgaris
ichthyosis vulgaris
wrong


Question: From the previous question, Mrs. Liu intends to accept the amniocentesis, but worry about the safety of amniocentesis, the following statements is wrong?

Answer: Chromosome analysis of amniotic fluid cells (G-banding) microdeletion syndrome can be detected, for example, like syndrome CATCH22

Choices:
A. Recommends acceptance of amniocentesis is the number of weeks of pregnancy at 14-20 weeks
B. Amniocentesis complications include 1-2% water and may be an early opportunity to break less than 0.1% chorioamnionitis
C. Chance of miscarriage after amniocentesis in the following five thousandths
D. Chromosome analysis of amniotic fluid cells (G-banding) microdeletion syndrome can be detected, for example, like syndrome CATCH22

previous
Mrs
to accept
amniocentesis
worry
amniocentesis
following
wrong


Question: When a mother at the clinic complaining about riding a motorcycle at a red light, due to the thumb, index finger, middle finger numbness and must walk away, will administer anesthesia to wake up massage bed at night, the following statements is true?

Answer: Severe cases can cause muscle thumb opposition (opponens pollicis) muscle atrophy

Choices:
A. Severe cases can cause muscle thumb opposition (opponens pollicis) muscle atrophy
B. Palm flexor carpi (volar flexion of the wrist) will often improve symptoms
C. Is the main cause of cervical disc herniation
D. Be sure to early surgical treatment

clinic
motorcycle
thumb
index finger
middle
administer anesthesia
wake up massage bed
night
following
true


Question: Statements about groin ligament (inguinal ligament) is, which of the following error?

Answer: Attached to the outer end of the anterior superior iliac spine (anterior inferior iliac spine)

Choices:
A. Attached to the outer end of the anterior superior iliac spine (anterior inferior iliac spine)
B. Inner end attached to the pubic tubercle (pubic tubercle)
C. Formed by the external oblique aponeurosis (external abdominal oblique muscle) of
D. Shallow groin ring (superficial inguinal ring) located above the

groin ligament
inguinal ligament
following error


Question: From the previous question, if medical treatment fails, what disposition should be used, a minimum of harm to the patient, the fastest recovery and effective?

Answer: Laparoscopic splenectomy (laparoscopic splenectomy)

Choices:
A. Traditional splenectomy (open splenectomy)
B. Laparoscopic splenectomy (laparoscopic splenectomy)
C. Splenic artery ligation (ligation of splenic artery)
D. Balloon splenic artery closure procedure (balloon occlusion of splenic artery)

previous
medical treatment fails
disposition
used
minimum
patient
fastest recovery
effective


Question: 28-year-old woman with severe depression due to the spur of the moment to drink 500 mL cleaners, when patients sent to the emergency room, following the recommendation disposal whichever is inappropriate?

Answer: Be emetic, to reduce the scope and extent of mucosal injury

Choices:
A. Please bring the families back home detergent bottles
B. Chest X-ray
C. Be emetic, to reduce the scope and extent of mucosal injury
D. Arrangements for gastroscopy

year old woman
severe depression due to
spur
to
500 mL cleaners
patients sent
emergency room
following
inappropriate


Question: For neonatal heart surgery, the waiting period can be used Which of the following drugs in advance to maintain the patency of the ductus arteriosus?

Answer: alprostadil

Choices:
A. misoprostol
B. epoprostenol
C. alprostadil
D. latanoprost

neonatal heart surgery
waiting period
used
following drugs
advance to
the patency of
ductus arteriosus


Question: Large baby girl 9 months, 2 days fever, cough, hoarseness appears, coughing sounds abnormal, respiratory effort, to the emergency medical treatment, doctors found a significant wheezing (Stridor), following what most inappropriate disposal?

Answer: Given antibiotic injections

Choices:
A. Give oxygen inhalation therapy
B. Inhaled epinephrine give
C. Given steroids
D. Given antibiotic injections

Large baby girl
months
2 days fever
cough
hoarseness appears
coughing sounds abnormal
respiratory effort
emergency medical
doctors found
significant wheezing
Stridor
following
most inappropriate


Question: Illustration of brain lesions that best meets one of the following conditions?

Answer: 36-year-old woman, there are a variety of neurological symptoms, repeated remission and relapse

Choices:
A. 36-year-old woman, there are a variety of neurological symptoms, repeated remission and relapse
B. 31 year old man, after human immunodeficiency virus infection dementia
C. Adult patients with headache, fever and frontal sinusitis
D. 60-year-old patient of high blood pressure, severe headache and hemorrhagic cerebral spinal fluid

of brain lesions
best
one
following conditions


Question: About pairing pathogens and diseases, which of the following error?

Answer: Yersinia pestis (Yersinia pestis) - Lyme disease (Lyme disease)

Choices:
A. Klebsiella pneumoniae (Klebsiella pneumoniae) - liver abscess (liver abscess)
B. Vibrio vulnificus (Vibrio vulnificus) - hyperlipidemia (septicemia)
C. Jejuni (Campylobacter jejuni) - gastroenteritis (gastroenteritis)
D. Yersinia pestis (Yersinia pestis) - Lyme disease (Lyme disease)


Question: Which of the following is the inferior mesenteric artery branch?

Answer: Anus artery

Choices:
A. Anus artery
B. Anus artery
C. Anal artery
D. Bladder artery

following
inferior mesenteric artery branch


Question: Bearing on the question, for this incomplete spinal cord injury, if the symptoms do not continue to deteriorate, then you can start with which of the following medications?

Answer: High-dose methylprednisolone

Choices:
A. High-dose methylprednisolone
B. Swelling agent
C. Analgesics
D. Muscle relaxants

Bearing
incomplete spinal cord injury
symptoms
not
to deteriorate
then
start
following medications


Question: After a myocardial infarction patients had left ventricular blood pressure to 70 mmHg, the following statements is wrong?

Answer: Pulmonary microvascular pressure drop

Choices:
A. Cardiac output will decline
B. Left atrial pressure rises
C. Pulmonary microvascular pressure drop
D. Left ventricular contractility decreases

myocardial infarction patients
left ventricular blood pressure
70 mmHg
following
wrong


Question: 56-year-old male smoker patient complained of chest pain and coughing, chest imaging, the most likely diagnosis as indicated by reference to which of the following?

Answer: Right upper lobe pneumonia (Lobar pneumonia)

Choices:
A. Youlei film effusion
B. Right lung atelectasis (Atelectasis)
C. Mediastinal tumors before (Anterior mediastinal tumor)
D. Right upper lobe pneumonia (Lobar pneumonia)

year old male smoker patient
of chest pain
coughing
chest imaging
diagnosis
indicated
following


Question: Which of the following most commonly reported occupational exposure caused necrosis of the femoral head?

Answer: Abnormal air pressure

Choices:
A. Lian 苯胺 work
B. Whole body vibration
C. Low temperature exposure
D. Abnormal air pressure


Question: 38 year old man, head trauma. This CT images according to Zhang, is your diagnosis:

Answer: Acute epidural hematoma

Choices:
A. Acute epidural hematoma
B. Acute subdural hematoma
C. Acute subarachnoid hemorrhage
D. Acute contusion hemorrhage


Question: Pediatric liver cancer is common hepatoblastoma (hepatoblastoma) and hepatoma (hepatocellular carcinoma), of the following statements is true?

Answer: Tumor markers are both fetoprotein (α-fetoprotein, AFP)

Choices:
A. Hepatoblastoma (hepatoblastoma) occurs in children greater than 5 years of age
B. Tumor markers are both fetoprotein (α-fetoprotein, AFP)
C. Overall, hepatoma (hepatocellular carcinoma) prognosis than hepatoblastoma (hepatoblastoma) Good
D. Hepatoma (hepatocellular carcinoma) is often associated with Beckwith-Wiedemann syndrome

Pediatric liver cancer
common hepatoblastoma
hepatoblastoma
hepatoma
hepatocellular carcinoma
following
true


Question: From the previous question, the diagnosis of the patient at this time is most likely:

Answer: Hyperosmolar coma non-keto acid (HHNK)

Choices:
A. Because too much fluid caused by congestive heart failure
B. High hyponatremia
C. Hyponatremia
D. Hyperosmolar coma non-keto acid (HHNK)


Question: A 53-year-old woman in the daytime there will be ups and downs in the day (Diurnal fluctuation) on both sides of the proximal limb weakness and drooping eyelids and double vision, is the most likely disease:

Answer: Neuromuscular junction disease (Neuromuscular junction disorders)

Choices:
A. Myopathy (Myopathy)
B. Neuromuscular junction disease (Neuromuscular junction disorders)
C. Neuropathy (Neuropathy)
D. Motor Neurone Disease (Motor neuron disease)

year old woman
daytime
ups
downs
day
Diurnal fluctuation
sides
proximal limb weakness
drooping eyelids
double vision
disease


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

Answer: Causative agent is Treponema pallidum

Choices:
A. Of zoonotic disease
B. Causative agent is Treponema pallidum
C. PCR can be used to detect the subject of the original DNA of pathogenic
D. Available means of serological detection of patient antibodies

following
Lyme disease
Lyme disease
wrong


Question: Which of the following nasal mucosa of sensory information is not passed?

Answer: Palate small nerve (lesser palatine nerve)

Choices:
A. Ethmoid nerve (anterior ethmoidal nerve)
B. Palate small nerve (lesser palatine nerve)
C. Palatal nasal nerve (nasopalatine nerve)
D. Palatine nerve (greater palatine nerve)

following nasal mucosa
sensory
not passed


Question: 25. If phagocytic leukocytes swallowed microorganisms can not timely and effectively to kill and decompose, the immune cells will gather together the formation of granulomas (granuloma). The center layer of granulomas often neatly surrounded by mononuclear leukocytes. This layer of cells is which of the following?

Answer: Epithelioid cells (epithelioid cells)

Choices:
A. Epithelium (epithelial cells)
B. Epithelioid cells (epithelioid cells)
C. Plasma cells (plasma cells)
D. Necrotic cells and neutrophils microorganisms

swallowed
not timely
to kill
together
granuloma
center layer
granulomas often
surrounded
layer
cells
following


Question: 38 A 60-year-old male patient with chronic emphysema, stomach subtotal after receiving surgery for 24 hours, the patient's respiratory rate of 20 / min, heart rate was 100 / min. In addition, the patient's arterial blood gas analysis: pH = 7.37, PO2 = 78 torr, PCO2 = 52 torr, BE = +6 meq. The disposition of the patient, which of the following most appropriate?

Answer: Continue to observe, 4-6 hours before tracking arterial blood gas analysis

Choices:
A. Continue to observe, 4-6 hours before tracking arterial blood gas analysis
B. Immediate intubation and respirator to assist breathing
C. And administering oxygen mask 10 liters / min of oxygen
D. Given intermittent positive pressure breathing apparatus and one hundred percent oxygen

60 year old male patient
chronic emphysema
stomach subtotal
receiving surgery
24 hours
patient's respiratory rate
20
min
heart rate
100
min
addition
patient's arterial blood gas analysis
pH
7
PO2
torr
PCO2
torr
6 meq
following
appropriate


Question: The following description of the relevant Salmonella, what's wrong?

Answer: Treating the first generation cephalosporin

Choices:
A. Humans are the only reservoir of Salmonella typhi
B. Many animals are nontyphoidal Salmonellosis host
C. Treating the first generation cephalosporin
D. Third-generation cephalosporin treatment


Question: Bearing on the question, for the small United States, which of the following is the best treatment?

Answer: Reduction and fixation surgical needle (open reduction and pinning)

Choices:
A. Ice and shoulder strap fixation (ice packing and shoulder sling immobilization)
B. Closed reduction and fixation bracket (closed reduction and bracing)
C. Closed reduction and fixation plaster (closed reduction and casting)
D. Reduction and fixation surgical needle (open reduction and pinning)

Bearing
small United States
following
best treatment


Question: After a 40-year-old woman breastfeeding a month, it found a mass in the right breast, mammography found to be 3 × 3 cm radiolucent and radiopaque combined oval lesion, then the following statements is wrong?

Answer: oval lesion is usually malignant lesion

Choices:
A. oval lesion is usually benign lesion
B. oval lesion is usually malignant lesion
C. Most likely galactocele
D. aspiration is seen thick yellow liquid

40 year old woman breastfeeding
month
found
mass in
right breast
mammography found to
3
3
radiolucent
radiopaque combined oval lesion
then
following
wrong


Question: The following is a kind of amino acids that ⼀ ⾎ serotonin (serotonin) ⽣ synthetic precursor?

Answer: tryptophan

Choices:
A. arginine
B. glutamic acid
C. tryptophan
D. tyrosine

following
kind
amino acids
serotonin
serotonin


Question: About glioblastoma multiforme following treatment, whichever is correct?

Answer: Surgical resection plus postoperative radiation therapy and chemotherapy is the best way of treatment

Choices:
A. No matter what treatment to accept, patients have a good prognosis
B. Surgical resection plus postoperative radiation therapy and chemotherapy is the best way of treatment
C. If surgical removal, radiation therapy and surgery can not do chemotherapy
D. Tumor clearly distinguished from the surrounding normal tissue, is easy to complete surgical resection


Question:
40
 Women are most likely to occur with fecal incontinence Which of the following related?

Answer: Pelvic floor and anal sphincter muscle nerve damage

Choices:
A. Pubococcygeus (pubococcygeus muscle) damaged
B. Pelvic floor and anal sphincter muscle nerve damage
C. Perineal nerve (pudendal nerve) damage
D. Obturator (obturator muscle) damaged

40
to occur
fecal incontinence
following related


Question: Statements about seborrheic dermatitis (seborrheic dermatitis), the non-Which of the following?

Answer: Caused by a high cholesterol

Choices:
A. Fall intensified
B. Plaque rash is red with a crust of oil
C. Rash distributed in the glabella, the nasolabial fold, forehead, eyebrows, cheeks, ears and chest
D. Caused by a high cholesterol

seborrheic dermatitis
seborrheic dermatitis
non
following


Question: Flea (flea) Which of the following pathogens can spread diseases?

Answer: Endemic typhus (endemic typhus)

Choices:
A. Endemic typhus (endemic typhus)
B. Epidemic typhus (epidemic typhus)
C. Scrub typhus (scrub typhus)
D. Rocky Mountain spotted fever (Rocky Mountain spotted fever)


Question: Narrative about women, the most Which of the following is not correct?

Answer: Women older than 85 years are most likely to die of breast cancer

Choices:
A. After menopause the incidence of many diseases increases
B. Resulting in the death of the most common diseases of women, including cancer, cardiovascular disease and cerebrovascular disease
C. Adult women are most worried about getting breast cancer
D. Women older than 85 years are most likely to die of breast cancer


Question: From the previous question, want to establish the diagnosis is the most appropriate examination:

Answer: Transbronchial biopsy (transbronchial biopsy)

Choices:
A. Transbronchial biopsy (transbronchial biopsy)
B. Computer tomography (CT scan)
C. Pleura endoscopy (thoracoscopy examination)
D. Bronchoscope swabbing (brushing) and acid-fast bacteria culture

previous
to establish
diagnosis
most appropriate


Question: Compared with milk, following the relevant human milk ingredients (except colostrum) description of what this bad?

Answer: High iron concentration

Choices:
A. The higher the concentration of lactose
B. High iron concentration
C. Higher IgA antibody concentrations
D. The higher the concentration of whey protein

milk
following
relevant human milk
colostrum
bad


Question: Through the power of the organized community, is committed to promoting and maintaining the mental health of individuals and society as a whole people, prevent abnormal psychological or mental illness, alleviate the disease adversely affects the individual and the community. Which of the following definitions belong to?

Answer: Public mental health

Choices:
A. Mental Health
B. Public mental health
C. Health Promotion
D. Mental Health

power
organized
committed
whole
prevent abnormal psychological
mental illness
disease
following
to


Question: Kidney renin (renin) which is secreted by cells?

Answer: Near glomerular cells (jextaglomerular cells)

Choices:
A. Near glomerular cells (jextaglomerular cells)
B. Macula densa (macula densa)
C. Kidney silk ball between stromal cells (mesangial cells)
D. Afferent arterial endothelial cells (endothelial cells of afferent arteriole)


Question: 16. The following relevant Mist (pterygium) of the narrative, what's right? ① invade the leading edge of the cornea of the eye shade, sometimes visible iron (stocker) after line ② recurrence of pterygium excision, sometimes causes of primary lesions than the more invasive Mist ③, high temperature and about overexposure to UV ④ Mist violations than nasal temporal corneal corneal

Answer: ①②③

Choices:
A. ①④
B. Only ①②
C. ①②③
D. Only ②③

following relevant Mist
pterygium
right
leading edge
cornea
eye
sometimes visible iron
line
recurrence of pterygium excision
sometimes causes
primary lesions
more invasive Mist
high temperature
about overexposure
UV
Mist
nasal temporal corneal


Question: Toxic effects of gingivitis and tooth loss occurs when chronic poisoning which of the following?

Answer: Mercury vapor

Choices:
A. Tetraethyl lead
B. Mercury vapor
C. Trivalent arsenic
D. Iron

Toxic effects
gingivitis
tooth loss occurs
chronic poisoning
following


Question: Following a muscle that does not belong to shoulder rotator cuff cuff group (rotator cuff)?

Answer: Teres major (teres major)

Choices:
A. Subscapularis muscle (subscapularis)
B. Okashita skin (infraspinatus)
C. Okagami skin (supraspinatus)
D. Teres major (teres major)

Following
muscle
not
shoulder rotator cuff
group
rotator cuff


Question: A normal ear, the left ear with chronic otitis media (air bone conduction difference is 30 dB) patients given tuning fork tests performed, the results can be seen:

Answer: Left Rinne test was negative, Weber test toward the left

Choices:
A. Rinne test positive for the left ear, Weber test toward the right
B. Rinne test positive for the left ear, Weber test toward the left
C. Left Rinne test was negative, Weber test toward the right
D. Left Rinne test was negative, Weber test toward the left


Question: Waist injured in a car accident caused by loss of sensation in the outside of the right leg, right side that is most likely a lumbar spinal nerve damage?

Answer: L5

Choices:
A. L2
B. L3
C. L4
D. L5

Waist injured
car accident caused
loss of sensation
outside
right leg
right side
lumbar spinal nerve damage


Question: 95.30-year-old female, found in recent days on the right nipple discharge blood and medical treatment. Physical examination found no nipple depression, breast skin nor abnormal, palpation failed to reveal the presence of tumor, axillary lymph node enlargement phenomenon. Her normal menstrual cycle and oral contraceptive pill. Her breast biopsy morphological changes which are most likely to occur?

Answer: Papillary structure

Choices:
A. Papillary structure
B. Neutrophil infiltration
C. Malignant epidermal cell infiltration nipple
D. Multiple cystic dilatation of the milk ducts and surrounding breast tissue fibrosis tube

95 30 year old female
found
recent days
right nipple discharge blood
medical treatment
found
nipple depression
breast skin
abnormal
palpation failed to reveal
presence
tumor
axillary lymph node enlargement
normal menstrual cycle
oral contraceptive pill
breast morphological changes
to occur


Question: A young man sprained his knee while playing, was told he could hurt the meniscus (meniscus), that one of the following test positive reaction most likely?

Answer: Maikemoli's check (McMurray's test)

Choices:
A. Signs of pulling forward (anterior drawer test)
B. Maikemoli's check (McMurray's test)
C. Test shift pivot (pivot-shift test)
D. Lachman's tactics (Lachman's maneuver)

young man sprained
knee
playing
meniscus
meniscus
one
following test positive reaction
likely


Question: When monitoring a patient in surgery late tidal volume of carbon dioxide (EtCO2), that will rise in one of the following situations?

Answer: Malignant Hyperthermia (Malignant hyperthermia)

Choices:
A. Air embolism occurs (Air embolism)
B. Malignant Hyperthermia (Malignant hyperthermia)
C. Decreased cardiac output
D. Lower blood pressure

patient
surgery late tidal volume
carbon dioxide
one
following


Question: Neuroendocrine tumors (neuroendocrine tumor) liver metastases often occur, sometimes after surgical removal of the primary site already, only to find metastatic lesions in the liver. The face of such patients, the following statements is wrong?

Answer: In the liver metastatic neuroendocrine tumors, carcinoid (carcinoid tumor) is the more common types of transfer

Choices:
A. In the liver metastatic neuroendocrine tumors, carcinoid (carcinoid tumor) is the more common types of transfer
B. Most of these liver tumors grow very slowly, often without treatment can survive for long periods
C. Such surgery for liver tumor, radio frequency ablation (RFA) or transcatheter arterial chemoembolization (TACE) are treatment options may be considered
D. Some patients will be hormone-related symptoms, long-acting somatostatin analogues would be helpful at this time

Neuroendocrine tumors
neuroendocrine tumor
liver metastases often occur
sometimes
surgical removal of
primary site
only to find metastatic
liver
face
patients
following
wrong


Question: Miss Zhang, 26 years old, had had myopia and astigmatism, had been wearing glasses for four years, most recently that see things vague, so to think Opticians heavy glasses. The boss told eye problems, so to eye examination, found Miss Zhang comparison of the original and the degree of glasses, eye myopia increased -2.0D, astigmatism increase 5.0D, corrected visual acuity was 6/20, the left eye astigmatism increase 2.0D, correction visual acuity of 6 / 6.7, slit lamp and retinal examination were normal. Miss Chang worked for interior design, where the treatment of the following items as the first choice?

Answer: Rigid gas permeable contact lenses to wear

Choices:
A. 戴針 hole glasses
B. Wear daily disposable soft contact lenses
C. Rigid gas permeable contact lenses to wear
D. Myopia and astigmatism laser surgery

Miss
years old
myopia
astigmatism
glasses
four years
most recently
see
vague
to
Opticians heavy glasses
boss
eye problems
so
eye examination
found Miss
original
degree
glasses
eye myopia increased
2
astigmatism increase
corrected visual acuity
20
left astigmatism increase
correction visual acuity
slit lamp
retinal examination
normal
Miss
treatment
following
first


Question: 49 by 34-year-old man, feel neck pain after a car accident, his right foot weakness. Found a sense of right foot to reduce vibration check, no left foot pain. The most appropriate diagnosis should be:

Answer: Brown-Séquard syndrome

Choices:
A. Central cord syndrome
B. Anterior spinal cord syndrome
C. Brainstem injury
D. Brown-Séquard syndrome

year old man
neck pain
car accident
right
Found
sense
right foot to
vibration check
left
most appropriate diagnosis


Question: 67. Lai students, male, 17 years old, attending High School, because of a drug overdose suicide was sent to the emergency room. The students clarify the history of the display depends mainly due to emotional problems, his girlfriend broke mention the emergence of depressive symptoms has reached more than two months, no depression or past psychiatric history. Family history display Lai classmates father fear for depressive disorder and a history of wine, divorced parents, brought up by his mother brought. Lai students about the cause of this depression analysis, the following statements is true?

Answer: Parents divorced factor is the front part of the social (socio-predisposing)

Choices:
A. Parents divorced factor is the front part of the social (socio-predisposing)
B. Break event is part of the pre-psychological factors (psycho-predisposing)
C. Belong to a family history of depression induced biological factor (bio-precipitating)
D. Family history of depression is part of a continuation of the social factors (socio-perpetuating)

67
male
years old
attending High School
drug overdose suicide
sent
emergency room
history
display depends
due to emotional problems
depressive symptoms
reached more
two months
depression
past psychiatric history
Family history display
depressive disorder
history
brought
brought
cause
depression analysis
following
true


Question: After the lower motor neuron injury, the disposal of which they are most likely to skeletal muscle symptoms occur?

Answer: Stretch reflex (stretch reflex) disappear

Choices:
A. Stretch reflex (stretch reflex) disappear
B. Retracted reflection (withdrawal reflex) enhanced
C. Muscle tension (muscle tone) increase
D. Spastic palsy (spastic paralysis)


Question: 58 year old woman had to remove the uterus and ovaries, and the other suffering from pelvic sarcoma, and underwent surgery and radiation therapy, recently complained of lower back pain, X-ray and nuclear medicine bone scan in the drawings, the most likely diagnosis Why?

Answer: insufficiency fracture

Choices:
A. bone metastasis
B. insufficiency fracture
C. local tumor recurrence
D. degenerative spine disease

58 year old woman
to remove
uterus
ovaries
suffering
pelvic sarcoma
surgery
radiation therapy
recently
lower back pain
X-ray
nuclear medicine bone scan
diagnosis


Question: Informed consent to set up the book, is to avoid the ethical principles of medicine that have been violated?

Answer: Respect for the principle of autonomy

Choices:
A. The principle of beneficence
B. Do no harm principle
C. The principles of justice
D. Respect for the principle of autonomy


Question: The following turbinate that is part of a separate bones instead of belonging to the ethmoid bone?

Answer: Inferior turbinate

Choices:
A. Inferior turbinate
B. Middle turbinate
C. Turbinate
D. Highest turbinate

following turbinate
part of
separate bones
of
ethmoid bone


Question: Carbamoyl acyl glutamic acid (carbamoyl glutamate) used in the treatment of vinegar acyl glutamate synthase (N-acetylglutamate synthetase) caused by the lack of urea cycle (urea cycle) disorders, its pharmacological effects are?

Answer: As acyl carbamoyl phosphate synthase (carbamoyl phosphate synthetase I) ectopic activator (allosteric activator), improve the efficiency of the urea cycle

Choices:
A. To provide the desired cyclic urea intermediate product, enhance the overall efficiency of the urea cycle
B. As acyl carbamoyl phosphate synthase (carbamoyl phosphate synthetase I) ectopic activator (allosteric activator), improve the efficiency of the urea cycle
C. Combined with glycine (Glycine) and bran amine Amides (Glutamine) into derivatives excreted, reducing the burden of the urea cycle
D. Promote the synthesis of arginine (arginine), to prevent a lack of arginine

glutamic acid
glutamate
used
treatment of vinegar
glutamate synthase
N-acetylglutamate synthetase
caused
lack
urea cycle
disorders
pharmacological effects


Question: About guanylyl cyclase narrative Which statement is correct?

Answer: Can be activated nitric oxide (nitric oxide)

Choices:
A. Can be produced cAMP (cyclic adenosine monophosphate)
B. Can be activated nitric oxide (nitric oxide)
C. Catalyzed reaction product it may directly activate protein kinase C
D. Promote vasoconstriction (vasoconstriction)


Question: Carbidopa and Levodopa reason why combination therapy?

Answer: Inhibition surrounding Dopa decarboxylase

Choices:
A. Inhibition surrounding Dopa decarboxylase
B. Increasing the amount of 3-O-Methyldopa
C. Tyrosine hydroxylase activity increase of
D. Inhibitory activity of peripheral COMT


Question: Which of the following occurs when blocked, most will not affect the blood supply to the vagina?

Answer: Ovarian artery

Choices:
A. Ovarian artery
B. Uterine artery
C. Rectal artery
D. Internal pudendal artery

following occurs
blocked
most
not
blood
vagina


Question: Which of the following most likely caused by the fracture of the femoral head necrosis?

Answer: Femoral neck fracture displaced (displaced femoral neck fracture)

Choices:
A. Femoral shaft fractures (femoral shaft comminuted fracture)
B. Intertrochanteric fractures (femoral intertrochanteric fracture)
C. Intertrochanteric fractures (femoral subtrochanteric fracture)
D. Femoral neck fracture displaced (displaced femoral neck fracture)

following most likely caused
fracture
femoral necrosis


Question: A 62-year-old male patient into the emergency room for treatment of liver cancer, complained to eight hours before the start of fever chills (fever and chills). Patients only done one day before tumor embolism (transcatheter arterial embolization) discharged. Body temperature is 38.9 ℃. Physical examination found that abdominal swelling, diffuse tenderness (diffuse tenderness), and is accompanied by a slight rebound pain (rebounding tenderness). For clinical manifestations of this patient, the following statements is most appropriate?

Answer: If examination revealed ascites polymorphonuclear neutrophil (polymorphic neutrophil) exceeds 250 / mL, can be diagnosed patients with spontaneous bacterial peritonitis

Choices:
A. Patients also complies with fever, abdominal tenderness and a sense of deterioration three kinds of symptoms to spontaneous bacterial peritonitis is suspected
B. If examination revealed ascites polymorphonuclear neutrophil (polymorphic neutrophil) exceeds 250 / mL, can be diagnosed patients with spontaneous bacterial peritonitis
C. This patient had just finished tumor embolization, inferred fever phenomenon will be caused by tumor necrosis (tumor necrosis)
D. If you suspect the patient has spontaneous bacterial peritonitis, the drug of choice for the first-generation cephalosporin antibiotics (cephalosporin) plus aminoglycoside

62 year old male patient
emergency room
treatment of liver cancer
eight hours
start
fever chills
fever
chills
Patients only
one day
tumor embolism
transcatheter arterial embolization
Body temperature
found
abdominal swelling
diffuse tenderness
diffuse tenderness
slight
pain
rebounding tenderness
clinical manifestations of
patient
following
most appropriate


Question: Which of the following is not the first gill arch 4 6 and cartilage healing product?

Answer: Epiglottis (epiglottis)

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

following
not
first gill arch
cartilage healing product


Question: A 28-year-old man because of the left upper ureteral calculi accepted ESWL (ESWL), postoperative KUB photo shows stones intact. This stone is most likely the ingredient Why?

Answer: Calcium oxalate monohydrate

Choices:
A. Double calcium oxalate monohydrate
B. Calcium oxalate monohydrate
C. apatite
D. Magnesium phosphate amine


Question:
28. ⼀ bit 18 year old man zoomed learn new ⽣, ⼀ weeks before the normal physical examination report. After three days ago to participate in a new Cup basketball game ⽣ joint pain, a self-made purchase for still pain drug (diclofenac) began to appear ⼩ will bubble and swollen feet after the service use, be it ⾄ ⾨ clinic for treatment. No vomiting, diarrhea, fever and symptoms of urinary frequency. Physical examination found: ⾎ pressure 160/90 mmHg, the respiration rate of 20 per minute, rash limbs, lower limbs 4+ swollen water resistant. ⾎ fluid examination: blood urea nitrogen (BUN) 52 mg / dL, Creatinine: 2.0 mg / dL, white egg white 1.8 g / dL, white ⾎ ball 7,000 / μL, ⾎ discolored prime 10.2 g / dL, cholesterol
 mg / dL, triacid fat (triglyceride) 260 mg / dL. Urine: red ball ⾎ 2 ~ 3 / HPF, white ⾎ ball 3 to 5 / HPF, total urine protein to creatinine ratio of white mass 12 g / g Cr. What items The following are the most likely diagnosis?

Answer: minimal change disease

Choices:
A. hemolytic uremic syndrome
B. minimal change disease
C. rapidly progressive glomerulonephritis
D. IgA Nephropathy

bit
year old man
new
weeks
normal
report
three days
to
new Cup basketball
joint pain
made
pain drug
diclofenac
began to appear
swollen feet
clinic
treatment
vomiting
diarrhea
fever
symptoms of urinary frequency
found
pressure
90 mmHg
respiration rate of 20
minute
rash limbs
lower limbs
swollen water resistant
fluid
blood urea nitrogen
mg
dL
Creatinine
2 0 mg
dL
white
g
dL
white
ball
discolored prime 10
g
dL
cholesterol mg
dL
fat
triglyceride
mg
dL
Urine
ball
HPF
white
ball
HPF
total urine protein
creatinine ratio
white mass
g
g Cr
following
diagnosis


Question: Lack of surface tension hormone (surfactant) that is most relevant to one of the following disease?

Answer: Atelectasis (atelectasis)

Choices:
A. Pneumonia (pneumonia)
B. Emphysema (emphysema)
C. Atelectasis (atelectasis)
D. Bronchiectasis (bronchiectasis)

Lack
hormone
surfactant
most relevant
one
following disease


Question: Kienböck Disease is the one of the following occurs carpal avascular necrosis?

Answer: Lunate

Choices:
A. Scaphoid
B. capitate
C. Lunate
D. Hamate


Question: Which of the following acute pancreatitis occur relatively unrelated?

Answer: hypertension

Choices:
A. Biliary calculi
B. High cholesterol
C. alcoholism
D. hypertension

following acute pancreatitis occur
unrelated


Question: About gastric surgery, which of the following error?

Answer: Surgical treatment of gastric cancer, splenectomy (splenectomy) is a conventional step

Choices:
A. Surgical resection margin (resection margin) is preferably from gastric cancer (cancer mass) of at least 5-6 cm
B. Subtotal gastrectomy and cancer free edge (subtotal gastrectomy with negative margin) is suitable for distal gastric cancer (distal gastric cancer)
C. For gastric dissection of lymph glands (lymphadenectomy), NCCN (National Comprehensive Cancer Network) recommendation removal D2 (D2 resection) (at least 15 nodes)
D. Surgical treatment of gastric cancer, splenectomy (splenectomy) is a conventional step


Question: Bearing on the question, which of the following would be positive for skin examination?

Answer: Nikolsky sign

Choices:
A. Auspitz sign
B. Darier sign
C. Nikolsky sign
D. Koebner phenomenon

Bearing
following
positive
skin examination


Question: Which of the following when the poisoning, which can be used in clinical antibody as an antidote?

Answer: digoxin

Choices:
A. cyanide
B. benzodiazepines
C. digoxin
D. isoniazid

following
poisoning
used
clinical antibody
antidote


Question: Most people after a period of time in a bright environment, eye sensitivity to light will be reduced, a phenomenon known as light-adapted (light adaptation), the main formation mechanism which changes with the light-sensitive cells (photoreceptor cells) of about?

Answer: reducing the intracellular content of rhodopsin

Choices:
A. reducing the intracellular content of cGMP
B. reducing the intracellular content of rhodopsin
C. Reducing the number of cells
D. Sodium ion channels (sodium channels) on the activation of cell membranes

period
time
bright environment
eye sensitivity to light
reduced
known
light-adapted
light adaptation
main formation mechanism
changes
sensitive
about


Question: A high blood pressure patient, often gout attacks, other tests, checks are normal. In the treatment of hypertension, most should avoid following what kind of drugs?

Answer: Diuretics

Choices:
A. Calcium channel blockers
B. Diuretics
C. Sympathetic beta blockers (β-adrenergic receptor blocker)
D. Angiotensin receptor blocker（ARB）

high blood pressure patient
often gout attacks
tests
checks
normal
most
following
kind
drugs


Question: 16-year-old girl was small, and no heart murmur menstruation and medical treatment. Its chromosome is 45XO. Which of the following is most likely for heart problems?

Answer: Aortic arch stenosis (coarctation of aorta)

Choices:
A. Atrial septal defect (ASD)
B. Ventricular septal defect (VSD)
C. Patent ductus arteriosus (PDA)
D. Aortic arch stenosis (coarctation of aorta)

year old girl
small
heart murmur menstruation
medical treatment
chromosome
following
heart problems


Question: The following information about the elderly and stairs (sit-to-stand) the time to stand up from the chair impact factor, what's most important?

Answer: Ankle dorsiflexion (ankle dorsiflexion)

Choices:
A. Hip extension (hip extension)
B. Foot ankle 蹠屈 (ankle plantaflexion)
C. Bone rotary disc (pelvic rotation)
D. Ankle dorsiflexion (ankle dorsiflexion)

following
sit-to-stand
time to stand up
chair impact factor
most important


Question: The reason hemobilia (hemobilia) occurs, dominated by past traumatic slowly into iatrogenic (iatrogenic), the following statements is most inappropriate?

Answer: Surgical treatment is the best way to stop bleeding, blood clots and conservative treatment only a supporting role

Choices:
A. Arterial bleeding as the main reason, and hepatic portal venous bleeding is rare and easy to automatically stop the bleeding
B. Surgical treatment is the best way to stop bleeding, blood clots and conservative treatment only a supporting role
C. There are three typical clinical symptoms: abdominal pain, upper gastrointestinal bleeding, jaundice
D. Diagnostic imaging tools endoscopy, computed tomography, angiography, etc.

hemobilia
hemobilia
occurs
past traumatic slowly
iatrogenic
iatrogenic
following
most inappropriate


Question: 62-year-old businessman traveling abroad, because diarrhea is very powerful acclimatized to the local hospital, doctors diagnosed him with infectious diarrhea and there is the phenomenon of hyperlipidemia, and that one of the following bacteria most likely cause of this condition?

Answer: Salmonella species

Choices:
A. Campylobacter species
B. Salmonella species
C. Yersinia enterocolitica
D. Aeromonas hydrophila

62 year old
traveling abroad
diarrhea
very powerful
local hospital
doctors diagnosed
infectious diarrhea
hyperlipidemia
one
following bacteria
likely cause
condition


Question: These kind of drugs used to prevent or treat uremic bleeding?

Answer: desmopressin（DDAVP）

Choices:
A. heparin
B. aspirin
C. desmopressin（DDAVP）
D. testosterone

kind
drugs used to prevent
treat
bleeding


Question: 1 A 60-year-old male patient hospitalized because of abdominal swelling, ultrasound examination revealed ascites and do diagnostic drainage, ascites white blood cell count analysis 0 g / dL, albumin value of 1.2 g / dL; serum albumin value of 2.6 g / dL, Which of the following is the most likely diagnosis?

Answer: Heart failure (Congestive heart failure)

Choices:
A. Heart failure (Congestive heart failure)
B. Tuberculous peritonitis (Tuberculous peritonitis)
C. Peritoneal cancer (Neoplasm)
D. Bacterial peritonitis (Pyogenic peritonitis)

1
60 year old male patient hospitalized
abdominal swelling
ultrasound examination revealed ascites
diagnostic drainage
ascites white blood cell count analysis
g
dL
albumin value
g
serum albumin value
g
following
diagnosis


Question: Weight received a cemented total hip arthroplasty in patients undergoing uncomplicated, after the first surgery when the affected limb can begin carrying training?

Answer: 1 day

Choices:
A. 1 day
B. 1 week
C. 1 month
D. 3 months

Weight received
cemented total hip arthroplasty
patients
uncomplicated
first surgery
affected limb
begin
training


Question: Typical Tetralogy of Fallot (Tetralogy of Fallot) patients before surgical correction, when the chest auscultation may hear a significant systolic heart murmur (Systolic murmur), the causes of why this noise?

Answer: Narrow outlet right ventricle (Right ventricular outflow tract obstruction) cause blood flow to accelerate

Choices:
A. Cross-aortic (Overriding aorta) caused by excessive blood flow through the aorta
B. Large ventricular septal defect (Ventricular septal defect) caused by excessive pulmonary blood flow
C. Aortic separation of collateral circulation (Collateral circulation) is too strong
D. Narrow outlet right ventricle (Right ventricular outflow tract obstruction) cause blood flow to accelerate

Typical Tetralogy
Fallot
patients
surgical correction
chest auscultation
hear
significant systolic heart murmur
Systolic murmur
causes


Question: About autoimmune gastritis (autoimmune gastritis) What's wrong?

Answer: Antrum (antrum) endocrine cells reduced

Choices:
A. Parietal cell autoantibody and intrinsic factors (antibodies to parietal cells & intrinsic factor) can be measured in serum and in gastric juice
B. Vitamin B12 deficiency (vitamin B12 deficiency)
C. Lack of gastric acid secretion, increased gastrin (gastrin) secretion
D. Antrum (antrum) endocrine cells reduced

About autoimmune gastritis
autoimmune gastritis
wrong


Question: Patients after heart transplantation, in a short time after strenuous exercise, one of the following parameters that change less obvious?

Answer: Heart rate (heart rate)

Choices:
A. Heart rate (heart rate)
B. Cardiac output (cardiac output)
C. Cardiac output (stroke volume)
D. Oxygen consumption (O2 consumption)

Patients
heart
short time
exercise
one
following parameters
change less


Question: Plymouth sub disease protein (Prion protein) infection in humans is caused by:

Answer: CJD (Creutzfeldt-Jakob disease)

Choices:
A. 狂牛症（Bovine spongiform encephalopathy）
B. Scratch disease of sheep (Scrapie)
C. CJD (Creutzfeldt-Jakob disease)
D. Ezihaimo disease (Alzheimer's disease)

sub disease protein
Prion protein
infection
humans
caused


Question: Mental State Examination related impulse (impulsivity) assessment, which of the following error?

Answer: Personality disorders do not have poor impulse control symptoms

Choices:
A. Impulse assessment included the sexual impulse, the impulse to attack, and other impulse control
B. Personality disorders do not have poor impulse control symptoms
C. Impulsive assessment must confirm that the patient has social relevance of behavior (socially approriate behavior) the ability to perceive
D. Impulse is to assess the potential danger to themselves and others assess the patient caused


Question: And testicles Seminoma same pathological forms of ovarian tumors known as:

Answer: Dysgerminoma

Choices:
A. Sertoli-Leydig cell tumor
B. Brenner tumor
C. Yolk sac tumor
D. Dysgerminoma


Question: The main cause of death in end stage renal disease receiving long-term dialysis treatment the patient is which of the following?

Answer: Cardiovascular diseases

Choices:
A. Malignancies
B. Cardiovascular diseases
C. Central nervous system diseases
D. infection

main cause of death
end stage renal disease receiving
dialysis
patient
following


Question: Account of physiological and psychological social model (biopsychosocial models), and Which statement is correct?

Answer: Physical level include environmental factors affect the physiological function of

Choices:
A. Physical level include environmental factors affect the physiological function of
B. Psychological contain genes and disease history
C. Emotional and social level will contain
D. The social dimension includes personality traits and coping styles (coping style)

Account
physiological
psychological social
correct


Question: Smooth muscle of the following statements about, what's wrong?

Answer: dense body present in the nucleus

Choices:
A. Has the ability to split the life
B. thin actin-containing filament participate systolic function
C. By sliding filament mechanism involved in systolic function
D. dense body present in the nucleus


Question: 41 treated patients with fever, should generally cause a fever (infection, immune diseases, etc.) remedy, should not only be given fever treatment. But in the following which patients with fever, fever disposal is helpful?

Answer: \ All of the above

Choices:
A. Children with a history of febrile seizure
B. Pregnant women pregnant within 3 months
C. Heart, lungs or central nervous system dysfunction
D. \ All of the above

treated patients with fever
cause
fever
infection
immune diseases
not only
given fever
following
patients
fever
fever
helpful


Question: Department of Health to strengthen chronic disease screening, to promote the "three high plan" does not include which of the following?

Answer: Uric acid

Choices:
A. blood pressure
B. blood sugar
C. cholesterol
D. Uric acid

to
chronic
to
three high plan
not include
following


Question: 50-year-old woman, two years ago, but had to accept the right of mastectomy for breast cancer, thoracic surgery scar on the right edge of the recently presented more than pieces of small tumors, following which deal with the most appropriate?

Answer: Tumor biopsy

Choices:
A. Radiotherapy
B. Chemotherapy
C. Tumor biopsy
D. Tumor ultrasonography

50 year old woman
two years
to accept
right
mastectomy
breast cancer
thoracic surgery scar
right edge
recently
more
pieces
small tumors
following
appropriate


Question: Mr. Wang, 62 years old, bloody stool and to the emergency room for treatment, the hospital when lying on the bed heartbeat is 110 beats per minute, blood pressure of 120/60 mmHg, DRE examination revealed a blood-like red. After initial assessment and disposal, Mr. Wang accepted nasogastric tube insertion, rinse, but no abnormalities were found. In this process, a large number of Wang and defecation of blood will, by infusion of 1500 ml of physiological saline intravenous infusion, but the heart rate is 130 per minute, the blood pressure of 90/60 mmHg. At this point Mr. Wang priority given to accepting Which of the following inspection or disposal?

Answer: Abdominal angiography examination

Choices:
A. gastroscopy
B. Abdominal computed tomography
C. Nuclear Medicine Technetium-99m RBC scan
D. Abdominal angiography examination

Mr
62 years old
bloody stool
emergency room
treatment
hospital
lying
bed heartbeat
beats per minute
blood pressure
60 mmHg
DRE
revealed
blood
red
initial assessment
Mr
accepted nasogastric tube insertion
rinse
abnormalities
found
process
large number
defecation
blood
infusion
1500 ml
physiological
intravenous
heart rate
minute
blood pressure
90 60 mmHg
point Mr
priority given
accepting
following inspection


Question: Which of the following physiological monitoring instruments can not measure cardiac output or ejection fraction?

Answer: ECG（electrocardiography）

Choices:
A. pulse-induced contour cardiac output（PiCCO）
B. transesophageal echocardiogram（TEE）
C. pulmonary artery catheter
D. ECG（electrocardiography）

following
instruments
not measure cardiac output
ejection fraction


Question: The following related thyroglossal duct cyst (thyroglossal duct cyst) of the narrative, what's wrong?

Answer: Papillary carcinoma does not occur

Choices:
A. In the central neck growth
B. Papillary carcinoma does not occur
C. Sometimes bacterial infection
D. To the central hyoid bone resection surgery


Question: Dysmenorrhea women's menstrual blood, which of the following more content?

Answer: Prostaglandin (prostaglandin)

Choices:
A. Prostaglandin (prostaglandin)
B. Progesterone (progesterone)
C. Vasopressin (vasopressin was)
D. Estrogen (estrogen)

Dysmenorrhea
menstrual blood
following more


Question: The inner edge of the shoulder blades back turned, not close to the chest wall, this phenomenon is most likely prompted by the damage which of the following?

Answer: Serratus anterior muscle (serratus anterior)

Choices:
A. Serratus anterior muscle (serratus anterior)
B. Hasukatahada (trapezius)
C. Big rhomboid muscle (rhomboid major)
D. Levator scapulae (levator scapulae)

inner edge of
shoulder blades back turned
not close
chest wall
most likely prompted
damage
following


Question: Vancomycin is a methicillin-resistant staphylococcal infection (MRSI) of the drug of choice, and bacteriostatic machine rotation about which of the following, thereby inhibiting the generation of the bacterial cell wall?

Answer: And bacterial cell wall components dextran peptide chain on a combination of (peptidoglycan) D-alanin-D-alanin (D-Ala-D-Ala)

Choices:
A. Inhibition of bacterial transpeptidase
B. And bacterial cell wall components dextran peptide chain on a combination of (peptidoglycan) D-alanin-D-alanin (D-Ala-D-Ala)
C. Generating material required to inhibit cell wall synthesis of D-Ala
D. Inhibition of dephosphorylation of the plasma membrane lipid soluble carrier bactoprenol

Vancomycin
infection
drug
machine rotation
following
generation
bacterial cell wall


Question: Which of the following is not a characteristic of botulism food poisoning it?

Answer: Is a Gram-negative

Choices:
A. There may be heat Bacillus
B. Invasion of the nervous system
C. Death rate of 55-75%
D. Is a Gram-negative

following
not
characteristic
botulism food poisoning


Question: A 70-year-old male patient, suffering from high blood pressure five years, and continued outpatient treatment. Physician administered drugs furosemide 20 mg per day, and enalapril 10 mg per day. Since the patient was feeling dizziness, weakness, palpitations, signed by outpatient hospital care of you. After seeing the electrocardiogram clinics (such as photos), the next step you most need to arrange inspection, examination or treatment is that one?

Answer: Check electrolytes including potassium and magnesium

Choices:
A. Check electrolytes including potassium and magnesium
B. Arrange Holter monitoring
C. I.V. furosemide
D. Arrange coronary angiogram

70 year old male patient
suffering
high blood pressure five years
outpatient treatment
Physician
drugs
day
enalapril 10 mg
day
patient
feeling dizziness
weakness
palpitations
signed by outpatient
seeing
electrocardiogram clinics
next step
most need
inspection
treatment
one


Question: A 26-year-old patient was diagnosed with acute lymphoblastic leukemia, which is the Philadelphia chromosome-positive. After induction (induction) chemotherapy to achieve complete remission. At this time, the best approach for treatment:

Answer: Looking for consistency of donor HLA, and ready to do allogeneic hematopoietic stem cell transplantation

Choices:
A. Looking for consistency of donor HLA, and ready to do allogeneic hematopoietic stem cell transplantation
B. Continue to consolidate and strengthen the chemical treatment, followed by further maintenance chemotherapy
C. Can switch to oral tyrosine kinase inhibitor imatinib do maintenance treatment
D. To stop treatment, but need to continue tracking

year old patient
diagnosed
acute lymphoblastic leukemia
Philadelphia chromosome-positive
induction
induction
chemotherapy to
complete remission
time
best approach
treatment


Question: Which is not an osteoporosis (osteoporosis) risk factors?

Answer: BMI (body mass index) is between 22 and 24 kg / m ^

Choices:
A. Excessive alcohol drinking
B. Smoke
C. BMI (body mass index) is between 22 and 24 kg / m ^
D. Parents have a history of hip fracture

not
osteoporosis
osteoporosis
risk factors


Question: A six-month boy with large by their parents to out-patient clinics have complained at birth from atopic dermatitis, easy nosebleeds, laboratory examination revealed a low platelet count, which of the following error?

Answer: Peripheral blood smear visible larger platelets

Choices:
A. Peripheral blood smear visible larger platelets
B. Is a sex-linked recessive inheritance (X-linked recessive)
C. Sick children often have repeated infections of the skin, the lungs or the middle ear
D. Humoral immune response of the patient (humoral immune response) is defective, and the common low IgM IgA, IgE increased

six-month boy
large
out-patient clinics
birth
atopic dermatitis
easy nosebleeds
laboratory examination revealed
low platelet count
following error


Question: Erb's palsy (Erb's palsy) in the newborn, upper limb posture which often presents?

Answer: Elbow straight (extension), forearm pronation (pronation), wrist flexion (flexion)

Choices:
A. Elbow straight (extension), forearm supination (supination), wrist flexion (flexion)
B. Elbow flexion (flexion), forearm supination (supination), wrist dorsiflexion (extension)
C. Elbow straight (extension), forearm pronation (pronation), wrist flexion (flexion)
D. Elbow flexion (flexion), forearm pronation (pronation), wrist dorsiflexion (extension)

Erb's palsy
Erb's palsy
newborn
upper limb posture
often presents


Question: Which of the following is located within skeletal muscle, the main function is to store calcium ions to control muscle contraction?

Answer: Sarcoplasmic reticulum (sarcoplasmic reticulum)

Choices:
A. Sarcoplasmic reticulum (sarcoplasmic reticulum)
B. Rough endoplasmic reticulum (rough endoplasmic reticulum) -
C. High substrate's body (Golgi apparatus)
D. Lysosomes (lysosome)


Question: Care long emergency room received a phone call orthopedic physician on duty, said that because no orthopedic inpatient beds, and this evening as long as the fracture patients do not want them to register, call themselves directly to another hospital for treatment, care long uncertain whether this is correct, it is critical to ask if patients do? The physician replied that it is for him to go quickly, so the argument, right?

Answer: Not, in accordance with Article 73 Medical Act, emergency patients be thoroughly appropriate first aid, before they can be referred

Choices:
A. Yes, in accordance with the provisions of health care law, patients have not registered will not be considered
B. Yes, because there is no way disposal after registration, can help patients save money
C. Not, in accordance with Article 73 Medical Act, emergency patients be thoroughly appropriate first aid, before they can be referred
D. No, according to the provisions of Article 73 medical law, can not be critical patient referral

long emergency room received
phone call orthopedic physician
orthopedic inpatient beds
evening
long
fracture patients
not
to
call
directly
hospital
treatment
long uncertain
correct
critical to
patients
physician
to go
right


Question: 35 young women, outside the left breast, the areola from 3 centimeters, tumor size 1 cm × 1 cm, preoperative Cuzhen sections (core biopsy) pathologically confirmed invasive duct adenocarcinomas, armpit lymph nodes of non-touch, then which of the following surgical method is the most appropriate?

Answer: Breast partial resection (partial mastectomy) + surgery sentinel lymph node (sentinel node biopsy)

Choices:
A. Eradication improved breast resection (modified radical mastectomy)
B. Breast-conserving surgery (breast conserving surgery)
C. Breast partial resection (partial mastectomy)
D. Breast partial resection (partial mastectomy) + surgery sentinel lymph node (sentinel node biopsy)

35 young
outside
left breast
areola
centimeters
tumor size
preoperative
sections
core biopsy
confirmed invasive duct adenocarcinomas
armpit lymph nodes
non touch
then
following surgical method
most appropriate


Question: The following viral DNA which may be present in Kaposi's sarcoma (Kaposi's sarcoma) in the tumor tissue, and displays the generated the related sarcoma?

Answer: human herpesvirus 8（Kaposi's sarcoma-associated herpesvirus）

Choices:
A. cytomegalovirus
B. human papilloma virus
C. human immunodeficiency virus
D. human herpesvirus 8（Kaposi's sarcoma-associated herpesvirus）

following
present
Kaposi's sarcoma
Kaposi's sarcoma
tumor tissue
displays
related sarcoma


Question: For screening measures common endocrine diseases, what's wrong?

Answer: Multivesicular ovary syndrome - measured estradiol, progesterone

Choices:
A. Low energy thyroid disease - measuring TSH
B. Multivesicular ovary syndrome - measured estradiol, progesterone
C. Erectile disability - measured promote milk hormone, testosterone
D. Geleiruifu's disease - test Free T4, TSH


Question: Between those two hormones secreted following are positive feedback regulation?

Answer: Preovulatory estrogen (Estrogen) and luteinizing hormone (LH)

Choices:
A. Parathyroid hormone and calcitonin
B. Preovulatory estrogen (Estrogen) and luteinizing hormone (LH)
C. Progesterone (progesterone) and follicle stimulating hormone (FSH)
D. Cortisol (Cortisol) and adrenocorticotropic hormone (ACTH)

two hormones secreted following
positive
regulation


Question: Childbirth, which of the following derived from umbilical cord blood outflow slit connecting an end of the placenta?

Answer: Fetal arterial and venous blood

Choices:
A. Fetal arterial and venous blood
B. Maternal and fetal arterial venous blood
C. Maternal fetal arterial and venous blood
D. Fetal and maternal arterial and venous blood

Childbirth
following derived
umbilical cord blood outflow slit
end
placenta


Question: Mr. Gao's wife observed Mr. Gao middle of the night out of the door, open the refrigerator and even access to food, family cries failed to wake the next morning Mr. Gao can not remember these things, this happens at that stage of sleep ?

Answer: Non rapid eye movement third, four (non-REM, stages III & IV)

Choices:
A. Non-rapid eye movement phase of the first (non-REM, stage I)
B. Non-rapid eye movement in a second phase (non-REM, stage II)
C. Non rapid eye movement third, four (non-REM, stages III & IV)
D. Rapid eye movement (REM)

Mr
observed
middle
night
door
open
refrigerator
access
food
failed to wake
next morning Mr
not
stage
sleep


Question: Which of the following has nothing to do with acute head trauma (traumatic brain injury) the prognosis?

Answer: BMI (body mass index, BMI)

Choices:
A. Age (age)
B. Duration of coma (duration of coma)
C. Amnesia the length of time (duration of posttraumatic amnesia)
D. BMI (body mass index, BMI)

following
to
acute head trauma
traumatic brain injury
prognosis


Question: Account of colorectal puncture wounds (penetrating colorectal injury) is, which of the following error?

Answer: All patients accompanied in the mesenteric vascular injury repair can be carried out directly (primary repair)

Choices:
A. Mechanisms of injury treatment of colorectal puncture wounds must be considered, the time delay between surgery after the injury, the patient's peritoneal cavity of infected extent
B. Direct repair (primary repair) applies only puncture wounds and injuries and vital signs stable patients with a lesser degree of infection
C. All patients accompanied in the mesenteric vascular injury repair can be carried out directly (primary repair)
D. Rectal direct puncture wound repair (primary repair) than puncture wounds difficult to repair large intestine, rectum and most of puncture wounds are accompanied by a considerable degree of infection, and therefore often need artificial anus to help cure

Account
colorectal puncture wounds
penetrating colorectal injury
following error


Question: 8017-year-old Xiao Ru because of intermittent fever, cough a few weeks, weight loss, easy fatigue, and live to the hospital for a series of checks, and finally confirmed Xiao Ru suffering from malignant lymphoma. Xiao Ru's parents asked doctors not to let her know this diagnosis, telling her suffering from pneumonia. The following describes what the most appropriate?

Answer: Still need to ascertain the ability and willingness of the attending physician Xiao Ru, and carried out in conjunction with social workers association, family

Choices:
A. Xiao Ru physicians should understand their parents pains to help conceal Xiao Ru illness
B. Xiao Ru minor, it can not participate in the discussion of her treatment plan
C. Still need to ascertain the ability and willingness of the attending physician Xiao Ru, and carried out in conjunction with social workers association, family
D. Physicians should not deceive patients can ask her means of referral, the physician informed parental consent Xiao Ru Xiao Ru her condition

year old
Ru
intermittent fever
cough
few weeks
weight loss
easy fatigue
live
hospital
series
checks
confirmed
Ru suffering
malignant lymphoma
Ru's
doctors not to let
diagnosis
suffering
pneumonia
following
most appropriate


Question: For pancreatic cancer the following description, what's not appropriate?

Answer: Pancreas pancreatic cancer occurs in the body portion, followed by the head and back at the groove (uncinate process) or pancreatic tail; prognosis and tumor stage at diagnosis most relevant

Choices:
A. Pancreas pancreatic cancer occurs in the body portion, followed by the head and back at the groove (uncinate process) or pancreatic tail; prognosis and tumor stage at diagnosis most relevant
B. Multi-layered thin slice CT is a diagnostic tool best meets-effective, can help diagnose whether there is metastasis and whether surgery
C. And other malignant tumors compared to surrounding ampulla, pancreatic cancer prognosis is generally poor compared with the same period as other malignancies
D. Diagnostic laparoscopy can help determine whether a malignant ascites or peritoneal metastasis, can be removed for sure whether the patient is recommended

pancreatic cancer
following
not appropriate


Question: When the DNA of prokaryotes by a large number of DNA damage repair, production must repair (repair) related to the protein, this time following what proteins are broken down in order to start the repair protein gene transcription?

Answer: LexA

Choices:
A. RecA
B. LexA
C. Uwra
D. Lac repressor

DNA
large number
repair
repair
related
protein
time following
proteins
broken down
order to start
repair protein


Question: A 67-year-old retired farmer the past five years, gradually feel difficulty in breathing during exercise, the high-resolution computed tomography (HRCT) examination, diagnosis of interstitial pulmonary fibrosis (interstitial lung fibrosis). The following statements is wrong?

Answer: DLCO (CO diffusing capacity, DLCO) usually reduce, but DLCO / VA (alveolar ventilation) is normal

Choices:
A. Autoimmune disease probability or sarcoidosis (sarcoidosis) caused less
B. Lung function abnormalities include: FVC, FEV1 decreased, FEV1 / FVC near normal, and decreased TLC
C. Motion changes in lung function as prognostic
D. DLCO (CO diffusing capacity, DLCO) usually reduce, but DLCO / VA (alveolar ventilation) is normal

67 year old retired farmer
past five years
difficulty
breathing
exercise
high-resolution computed tomography
diagnosis
interstitial pulmonary fibrosis
interstitial lung fibrosis
following
wrong


Question: Pharmacological characteristics of the non-depolarized muscle relaxants (Non-depolarizing muscle relaxants), He erroneously?

Answer: Patients combined use of inhaled anesthetics will increase demand dose of the drug

Choices:
A. Low body temperature (Hypothermia) to extend its duration of action
B. Respiratory acidosis (Respiratory acidosis) which blocks the effect of strengthening
C. Hypocalcemia (hypocalcemia) which blocks the effect of strengthening
D. Patients combined use of inhaled anesthetics will increase demand dose of the drug

Pharmacological characteristics
non
muscle relaxants
Non-depolarizing muscle relaxants


Question: An obese 13-year-old boy, nearly two months to feel left lower limb weakness and limp after exercise, physical education after the long jump, left groin occurred this morning intense pain, unable to stand and walk, what kind of disease he is most likely to occur?

Answer: slipped capital femoral epiphysis

Choices:
A. femoral neck fracture
B. transient synovitis
C. septic hip
D. slipped capital femoral epiphysis

obese
year old boy
nearly two months to
left lower limb weakness
limp
exercise
long jump
left groin
morning intense pain
unable to stand
kind
disease
to occur


Question: A 48-year-old man, before there is no obvious high blood pressure, he has a long-term drinking habits, difficulty breathing recently sat his gradual emergence of symptoms and breathing, physical examination blood pressure 118/72 mmHg, regular heartbeat 114 / min, the jugular vein expanding the base of the lungs can hear rales, heart can be heard S3, chest X-ray showed a moderate expansion of the shadow of heart, lungs mild hydrocephalus, ECG low potential and left atrial enlargement, the most likely diagnosis is:

Answer: Dilated cardiomyopathy

Choices:
A. Coronary heart disease
B. Water pericardial sac disease
C. Dilated cardiomyopathy
D. Hypertrophic cardiomyopathy

48 year old man
high blood pressure
long-term drinking habits
difficulty breathing recently sat
gradual
symptoms
breathing
blood pressure
72 mmHg
regular heartbeat
min
jugular vein expanding the base of
lungs
hear rales
heart
heard S3
chest X-ray
moderate
shadow
heart
lungs mild hydrocephalus
ECG low potential
left atrial enlargement
diagnosis


Question: Which of the following elements nerve conduction disorders, generally considered to be Azihaimo disease (Alzheimer's disease) the main cause?

Answer: Acetylcholine (acetylcholine)

Choices:
A. Dopamine (dopamine)
B. Acetylcholine (acetylcholine)
C. Serotonin (serotonin)
D. Substance P (substance P)

following
nerve conduction disorders
to
disease
Alzheimer's disease
main cause


Question: A 30-year-old woman who two weeks with fever, lower abdominal pain and vaginal secretions and other medical symptoms, pelvic examination revealed the presence of a lump at the right ovary, laparoscopic examination revealed the right ovary and fallopian tube to form a 6 cm thick red inflammatory mass. Which of the following most associated with this disease?

Answer: Chlamydia trachomatis

Choices:
A. Candida albicans
B. Chlamydia trachomatis
C. Herpes simplex virus
D. Trichomonas vaginalis

30 year old woman
two weeks
fever
lower abdominal pain
vaginal secretions
medical symptoms
pelvic examination revealed
presence
lump
right ovary
laparoscopic
revealed
right ovary
fallopian tube to form
thick red inflammatory mass
following most associated
disease


Question: Main steroidogenic acute regulatory protein function (steroidogenic acute regulatory protein) to promote:

Answer: Cholesterol into the mitochondria membrane in vivo

Choices:
A. Cholesterol into the mitochondria membrane in vivo
B. Cholesterol into the adrenal medulla
C. Cholesterol and low-density lipoprotein (LDL) in conjunction with
D. Generation of cholesterol in the liver


Question: Which is not an anti-Clinical Use of metronidazole way ⽣ vegetarian?

Answer: Trichomonas vaginalis (T. vaginalis) cause of infection

Choices:
A. Intraperitoneal anaerobic infections, for example:
B. difficile infection
C. Trichomonas vaginalis (T. vaginalis) cause of infection
D. Gonorrhea meningitidis (N. gonorrhoeae) infections caused


Question: 32-year-old woman nearly two months menstrual cycle disorders, cramps twice a month but by the blood rarely, Tizhongzengjia 3 kg, an increase in the face of hair found under ultrasound ovarian cystic follicles there are many on both sides. About this disease, the following statements is wrong?

Answer: Histological examination of the main phenomenological stromal hyperthecosis

Choices:
A. History Leier Shi, also known as syndrome (Stein-Leventhal syndrome)
B. Histological examination of the main phenomenological stromal hyperthecosis
C. Secrete excess androgen
D. And as type II diabetes associated with insulin resistance

year old woman nearly two months menstrual cycle disorders


Question: Whichever of the following drugs at the same time inhibit Cholesterol side-chain-cleaving enzyme capacity and Aromatase of?

Answer: Aminoglutethimide

Choices:
A. Aminoglutethimide
B. Raloxifene
C. Clomiphene
D. Mifepristone 71 about the side effects of lipid-lowering drugs statins may be incurred in clinical use, which of the following error?

same time inhibit Cholesterol side chain


Question: The tap water disinfection by-product, together with the chlorine produced mainly with the following materials is what kind of action?

Answer: Organics

Choices:
A. Organics
B. arsenic
C. lead
D. Nitrate

tap water disinfection
product
chlorine
following
kind
action


Question: Heart disease and poor left ventricular function in patients with the movement of the train, which of the following most inappropriate?

Answer: Motion resistance (resistance exercise)

Choices:
A. Lower limb rhythmic movement
B. Motion resistance (resistance exercise)
C. Aerobic exercise
D. Movement of large muscle groups

Heart disease
poor left ventricular function
patients
movement
train
following
inappropriate


Question: A 20-year-old woman on the Internet to buy a bottle of exfoliating lotion, claiming that daily spread on the face can make skin smooth and whitening effect, the following description of the stratum corneum, what's wrong?

Answer: Cuticle has been non-functional, can beautify the skin, remove horny

Choices:
A. Located in the outermost layer of the stratum corneum of the skin, normal skin has a natural mechanism of shedding
B. Stratum corneum cells lack a nucleus
C. Cuticle has been non-functional, can beautify the skin, remove horny
D. The stratum corneum extracellular space containing moisturizing ingredients

20 year old woman
Internet to
bottle
exfoliating lotion
daily spread
face
make skin smooth
effect
following
stratum corneum
wrong


Question: If patients with overactive bladder (overactive bladder), following which treatment should be the first to be adopted?

Answer: Behavioral therapy (behavioral modification)

Choices:
A. Anticholinergic drugs (anticholinergic medications)
B. Behavioral therapy (behavioral modification)
C. a-agonist medications
D. Transvaginal electrical stimulation (electric stimulation)

patients
overactive bladder
overactive bladder
following
treatment
first to
adopted


Question: 6 A 50-year-old woman was found to have abnormal blood relative, which heme is 13 gm / dL, white blood cell count was 25,500 / μL, classified as follows: blast 5%, myelocyte 4%, metamyelocyte 7.5%, band 17%, segmented neutrophil 54.5%, monocyte 2.5%, lymphocyte 8%, basophil 2.5%, eosinophil 1.5%, platelet count of 445,000 / μL; points leukocyte alkaline phosphatase (LAP score) 12. This patient is most likely to get the disease are:

Answer: Chronic myeloid leukemia

Choices:
A. Metastatic carcinoma
B. Systemic infection
C. Chronic myeloid leukemia
D. Acute myeloid leukemia

50 year old woman
found to
abnormal
heme
gm
dL
white blood cell count
500
follows
blast
band
segmented
54
monocyte 2
platelet count
points leukocyte alkaline phosphatase
LAP score
patient
to
disease


Question: After piercing the skin lesions appear gradually grow up as shown in the earlobe, Which of the following is the most likely diagnosis?

Answer: Keloid (keloid)

Choices:
A. Pyogenic granuloma (pyogenic granuloma)
B. Keloid (keloid)
C. Epithelial cysts (epidermal inclusion cyst)
D. Skin fibroma (dermatofibroma)

piercing
skin lesions appear
earlobe
following
diagnosis


Question: Estradiol adolescent girls (estradiol), mainly from:

Answer: Ovary

Choices:
A. Ovary
B. fat
C. liver
D. Adrenal


Question: About the description of the clinical application of echocardiography following, what's wrong?

Answer: Cardiac ultrasonography is not easy to detect pericardial water

Choices:
A. Cardiac ultrasonography is not easy to detect pericardial water
B. M-mode ultrasound is often used to measure the size of the left ventricle
C. Two-dimensional ultrasound used to examine the various facets of cardiac anomalies
D. Doppler ultrasound Commonly used to check blood flow changes

clinical application
echocardiography following
wrong


Question: He could not help ureter following arterial supply?

Answer: Celiac artery

Choices:
A. Renal artery
B. Testicular or ovarian artery
C. Celiac artery
D. External iliac artery


Question: 52. Which of the following immunosuppressive agents can be used for coating of coronary stents, by means of which to combat the effect of inhibiting cell proliferation of restenosis after coronary artery (restenosis)?

Answer: sirolimus（rapamycin）

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

following immunosuppressive agents
used
coating of coronary stents
to
effect
cell proliferation
restenosis
coronary artery
restenosis


Question: Of the following statements about breast-feeding, what's wrong?

Answer: Breast-feeding should be fed every four hours law

Choices:
A. Breast-feeding a baby's stool softer than the thin
B. Breast-feeding should be fed every four hours law
C. Hepatitis B still breast-feeding mothers with primary
D. Breast-feeding the baby after birth also need to be given a vitamin K1


Question: When we are faced with the pressure of the following is the most buffer pressure (stress-buffering) function?

Answer: social support

Choices:
A. Self-efficacy
B. Model model
C. social support
D. Self-energizing

faced
pressure
following
most buffer pressure
stress buffering
function


Question: Anti-epileptic drugs, which of the following mechanism of action and block sodium ions conduit connection having the least resistance?

Answer: levetiracetam

Choices:
A. phenytoin
B. carbamazepine
C. lamotrigine
D. levetiracetam

Anti-epileptic drugs
of
following mechanism
action
block
conduit connection
least resistance


Question: Most congenital metabolic disorders (inborn errors of metabolism) with autosomal recessive manner inherited (autosomal recessive inheritance), but there are a few exceptions to sex-linked recessive mode (X-linked recessive) genetic, for example?

Answer: Glucose-6-phosphate dehydrogenase (glucose-6-phosphate dehydrogenase) deficiency

Choices:
A. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
B. The first type glycogen storage disease (glycogen storage disease I, von Gierke disease)
C. Mucopolysaccharidosis type I (mucopolysaccharidosis I, Hurler syndrome)
D. Glucose-6-phosphate dehydrogenase (glucose-6-phosphate dehydrogenase) deficiency

Most congenital metabolic disorders
inborn errors of metabolism
inherited
few
sex
mode
X-linked recessive
genetic


Question: A 50-year-old male patient suffering from chronic kidney disease for eight years, one month before serum creatinine (creatinine) was 3.0 mg / dL is due to poor health and treatment, found that blood serum creatinine 6.0 mg / dL, potassium (K ) 7.2 mmol / L, ECG presentation (duration) extended periods of high and pointed T wave and QRS change, the following statements is wrong?

Answer: Oral administration of magnesium oxide

Choices:
A. Oral administration of the potassium ion-exchange resin (potassium exchange resin)
B. Intravenous administration of sodium bicarbonate
C. Oral administration of magnesium oxide
D. Emergency hemodialysis treatment

50 year old male patient suffering
chronic kidney disease
eight years
one month
serum creatinine
creatinine
3 0 mg
dL
due to poor health
treatment
found
blood serum creatinine
0 mg
dL
potassium
K
7.2 mmol
L
ECG
duration
extended periods
high
T wave
change
following
wrong


Question: The following is most likely that a disease?

Answer: Rheumatic heart disease, mitral stenosis

Choices:
A. Rheumatic heart disease, mitral stenosis
B. Rheumatic heart disease, aortic regurgitation
C. Right ventricular myxoma
D. Coronary artery disease, mitral valve regurgitation


Question: From the previous question, the most reasonable intravenous infusion disposal Why?

Answer: Administered intravenously in 0.9% physiological saline (N / S)

Choices:
A. Administered intravenously 0.45% physiological saline (1 / 2S)
B. Intravenously administered 5% dextrose water (5% glucose water)
C. Administered intravenously in 0.9% physiological saline (N / S)
D. Given intravenous physiological saline + 0.45% 5% dextrose in water (D5 1 / 2S)


Question: A large eight-month healthy baby boy, sudden intermittent crying, vomiting, and solving bloody mucus, the most likely diagnosis is:

Answer: Intussusception (intussusception)

Choices:
A. Acute gastroenteritis (acute gastroenteritis)
B. Intestinal torsion insufficiency (malrotation)
C. Intussusception (intussusception)
D. Inguinal hernia (inguinal hernia)

large eight month healthy baby boy
sudden intermittent
vomiting
bloody mucus
diagnosis


Question: The following drug administration that pregnant women may cause fetal ductus arteriosus (ductus arteriosus) of early atresia?

Answer: indomethacin

Choices:
A. chloramphenicol
B. cimetidine
C. indomethacin
D. ritodrine 52 most common type of ovarian cancer are:

following drug administration
cause fetal ductus arteriosus
ductus arteriosus
early atresia


Question: From the previous question, may I ask what's wrong disposal of the following?

Answer: Give more support to treat viral infections

Choices:
A. Possible obstruction of the upper respiratory tract, respiratory tract, such as the need to establish as soon as possible endotracheal intubation
B. This disease can first be given appropriate antibiotic
C. Give more support to treat viral infections
D. Try to make sick children to remain calm and avoid violent crying


Question: Chen ENT physician in a hospital when engaged in clinical research, for convenience, collected surgery the way a patient's blood sample and keep the patient as experimental analysis later use, his patients do not know this situation, when the study submission, journal editor requirements prove Chen, MD, informed consent of the patient, Dr. Chen proposed the delay, I ask Dr. Chen was a violation of the norms of international declarations?

Answer: Helsinki Declaration

Choices:
A. Geneva Declaration
B. Helsinki Declaration
C. Tokyo Declaration
D. Washington Declaration

ENT physician
hospital
engaged
convenience
collected surgery
patient's blood sample
keep
patient
experimental analysis later use
patients
not
study submission
journal
requirements
consent
patient
Dr
proposed
delay
I
Dr
norms


Question: A 40-year-old woman, complained of the phenomenon of hair loss, scalp examination revealed changes have Figure A, the skin biopsy pathology presented by B, the description of the patient's condition, Which statement is correct?

Answer: After controlling inflammation, hair can not grow back

Choices:
A. After controlling inflammation, hair can not grow back
B. The sun does not worsen the condition
C. Most final illness patients systemic lupus erythematosus
D. Often associated nephropathy

40 year old woman
of
hair loss
scalp
revealed changes
skin biopsy pathology
patient's condition
correct


Question: Which of the following minimum seen in Genesis gynecomastia (gynecomastia) it?

Answer: Trauma (trauma)

Choices:
A. Lack of male hormone (androgen deficiency)
B. Endocrine defects (endocrine defects)
C. Drugs (drugs)
D. Trauma (trauma)

following minimum seen
Genesis gynecomastia
gynecomastia


Question: Urinary bladder and urethra angiography (voiding cystourethrography) has found that patients backflow from the bladder to the side of the developer pelvis and ureter, renal pelvis and a slight expansion, such as vesicoureteral backflow of urine several times?

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

Urinary bladder
urethra angiography
voiding
found
patients backflow
bladder
side
developer pelvis
ureter
renal pelvis
slight
as vesicoureteral backflow
urine
times


Question: 65-year-old man, from six months ago in the head, torso, limbs many in Figure A, B, red patches, merge erosion (erosion), scab (crust), scaling, no lesions in the mouth, skin sections C, the direct immunofluorescence examination, found that IgG is deposited in the epidermis Figure D, the patient most likely diagnosis is:

Answer: Deciduous pemphigus (pemphigus foliaceus)

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

65 year old man
six months
head
torso
limbs
red patches
erosion
erosion
scab
crust
scaling
lesions
mouth
skin sections
direct immunofluorescence
found
deposited
epidermis
patient
likely diagnosis


Question: Central nervous system, the cerebrospinal fluid may be generated (cerebrospinal fluid) is:

Answer: Plexus membrane envelope (choroid plexus)

Choices:
A. Plexus membrane envelope (choroid plexus)
B. Stellate glia (astrocytes)
C. Arachnoid granules (arachnoid granulations)
D. Neuropilin (neuropils)

Central nervous system
cerebrospinal fluid
cerebrospinal fluid


Question: Genotype B lymphocyte antibody variable region (variable region) recombinant (recombination), the process that occurs in these organs?

Answer: marrow

Choices:
A. Thymus
B. marrow
C. spleen
D. Gut-associated lymphoid tissue

Genotype
antibody variable region
variable region
process
occurs
organs


Question: Parathyroid adenomas and hyperparathyroidism surgery, preoperative localization in what is the most effective option?

Answer: MIBI scan (sestamibi scan)

Choices:
A. Ultrasound (ultrasound)
B. MIBI scan (sestamibi scan)
C. Positron (PET) scan
D. Nuclear Magnetic Resonance (MRI)

Parathyroid adenomas
hyperparathyroidism surgery
preoperative localization
most effective option


Question: The following rotary cuff (rotator cuff) muscle, whichever is able to internal rotation arm?

Answer: Thorn under the skin (infraspinatus)

Choices:
A. Thorn under the skin (infraspinatus)
B. Thorn on the skin (supraspinatus)
C. Subscapularis muscle (subscapularis)
D. Teres minor (teres minor)

following
cuff
rotator cuff
muscle
able
internal rotation arm


Question: Currently exist to confirm the diagnosis with vigor, but very poor quality of life and prognosis of congenital anomalies of newborn babies, most of the medical community consensus can not agree to give first aid measures, which of the following is not included?

Answer: Trisomy 21

Choices:
A. Trisomy 13
B. Trisomy 18
C. Trisomy 21
D. Anencephaly

Currently
to confirm
diagnosis
very poor quality of life
prognosis
congenital anomalies
newborn babies
most
medical
not agree to give first aid measures
following
not included


Question: 49 year old man with liver cirrhosis large right pleural effusion, already present one week after 32Fr chest tube insertion, the release of 2,200 ml of straw-colored fluid. A few minutes later, the patient becomes dyspnea and anxiety. The most likely reason why?

Answer: Re-expansion pulmonary edema (re-expansion pulmonary edema)

Choices:
A. Pulmonary embolism (pulmonary embolism)
B. Re-expansion pulmonary edema (re-expansion pulmonary edema)
C. Severe wound pain
D. Chest tube inserted into the lung

year old man
liver large right pleural effusion
present one week
32Fr chest tube insertion
release of
200 ml
straw colored fluid
few minutes later
patient
dyspnea
anxiety
most likely


Question: The following statements about the lymph nodes (lymph node), and what's wrong?

Answer: Stent lymph nodes mainly composed of elastic fibers (elastic fiber)

Choices:
A. Lymph nodes with fibrous capsule is (Capsule)
B. Stent lymph nodes mainly composed of elastic fibers (elastic fiber)
C. Lymph node which convex surface (Convex) lymphatic input (afferent lymph vessels) into the
D. Lymph node parenchyma (parenchyma) is divided into cortex (cortex) and medulla (medulla)