Question: Stapedius (stapedius muscle) and how these same muscles innervated by cranial?

Answer: After the belly of the digastric (posterior belly of digastric muscle)

Choices:
A. After the belly of the digastric (posterior belly of digastric muscle)
B. Wing muscle (medial pterygoid muscle)
C. Superior rectus (superior rectus muscle)
D. Stylopharyngeus (stylopharyngeal muscle)

Stapedius
stapedius muscle
same muscles
cranial


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

Answer: Most of the child's lymphoma lymphoblastic lymphoma (lymphoblastic lymphoma) and follicular lymphoma (follicular lymphoma)

Choices:
A. Nasal NK / T cell lymphoma and EB virus has a very strong association
B. Broadly speaking, T cell lymphoma, B-cell lymphoma course more serious, poor prognosis
C. CD20-positive B cells, and CD3 positive T cells
D. Most of the child's lymphoma lymphoblastic lymphoma (lymphoblastic lymphoma) and follicular lymphoma (follicular lymphoma)


Question: mRNA precursor must be spliced out what its intron via the following items?

Answer: Performed by the spliceosome

Choices:
A. They do not rely on their own splicing other factors
B. Performed by the spliceosome
C. Controlled by RNA polymerase
D. Controlled by the RNA helicase


Question: The following account of clavicle fracture (midshaft clavicular fracture) and distal clavicle fracture (distal clavicular fracture) of, what's wrong?

Answer: Distal clavicle fracture (distal clavicular fracture) common than mid-clavicular fracture (midshaft clavicular fracture)

Choices:
A. Distal clavicle fracture (distal clavicular fracture) common than mid-clavicular fracture (midshaft clavicular fracture)
B. Distal clavicle fractures (distal clavicular fracture) treated conservatively nonunion rate (nonunion rate) than the clavicle fracture (midshaft clavicular fracture) High
C. Most of the clavicle fracture (midshaft clavicular fracture) use conservative treatment, obtain a good healing rate (union rate)
D. The Neer's classification, the second distal clavicle fractures (type II distal clavicular fracture), the coracoclavicular ligament (coracoclavicular ligament) may be peeled from the proximal end of the bone segment

following account of clavicle fracture
clavicular fracture
distal clavicle fracture
distal clavicular fracture
wrong


Question: When infants and young children because trauma was brought to the emergency, caregivers following statements is most reasonable?

Answer: 1 year and 2 months of age caught tablecloth dining table, hot soup on the table so that the next turn burns of the face

Choices:
A. 2 month-old baby stand up fell into bed himself hit head
B. Big four month old baby foot card to the bed rails, so that the thigh fracture during the break of their own
C. Iron own hit 5-month baby crawling and hot hand
D. 1 year and 2 months of age caught tablecloth dining table, hot soup on the table so that the next turn burns of the face

infants
young children
trauma
brought
emergency
caregivers following
most


Question: A 3-year-old girl from infancy start how symptoms drink urine. Urine detection permeability found in the urine (urinary osmolality) values below 150 mOsm / kg, the sodium ion concentration in urine of Diyuzhengchang urine permeability of the child can not be administered to restrict water or vasopressin increase the value of the mode, the following whichever is the most likely diagnosis?

Answer: Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)

Choices:
A. Central diabetes insipidus (central diabetes insipidus)
B. Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)
C. Chronic pyelonephritis (chronic pyelonephritis)
D. Psychogenic diabetes insipidus (psychogenic diabetes insipidus)

3 year old girl
infancy start
symptoms
urine
detection
found
urine
urinary osmolality
values
mOsm
kg
sodium ion concentration in urine
child
not
administered to restrict water
vasopressin increase
value
mode
following
diagnosis


Question: Which of the following β-adrenoceptor antagonists of the elimination half-life (elimination half-life) Minimum?

Answer: esmolol

Choices:
A. bisoprolol
B. esmolol
C. nadolol
D. propranolol

following
adrenoceptor antagonists
elimination half-life
elimination half-life
Minimum


Question: 94.45-year-old woman, thyroid nodular, symmetry zoomed swollen, no adhesions with the surrounding tissue. Laboratory examination revealed ⾎ have anti-microsomal antibodies (antimicrosomal antibody). Pathological changes in the microstructure shown in the monitor, Which of the following is the most likely diagnosis?

Answer: ⽒ Hashimoto's thyroiditis (Hashimoto thyroiditis)

Choices:
A. ⽒ Hashimoto's thyroiditis (Hashimoto thyroiditis)
B. Subacute thyroiditis (subacute thyroiditis)
C. Fred ⽒ thyroiditis (Riedel thyroiditis)
D. Chronic fibrous thyroiditis (chronic fibrosing thyroiditis)

year old woman
thyroid nodular
symmetry
swollen
adhesions
surrounding tissue
Laboratory examination revealed
anti-microsomal antibodies
antimicrosomal antibody
Pathological changes
monitor
following
diagnosis


Question: 72-year-old Chen old woman, suffering from diabetes has been 10 years, long-term rules taking hypoglycemic drugs, blood sugar before meals about controlled at about 180 mg / dL. Nearly three months, the gradual emergence of palm weakness and inflexible, often at night because burning sensation of the extremities and can not sleep. The following clinical symptoms, it is one of the most unlikely Chen old lady who appeared?

Answer: Babinski sign showing big toe dorsiflexion reaction (dorsiflexion response)

Choices:
A. Tendon hyporeflexia
B. Postural hypotension (orthostatic hypotension)
C. Palm muscular atrophy
D. Babinski sign showing big toe dorsiflexion reaction (dorsiflexion response)

72 year old
woman
suffering
diabetes
long-term
hypoglycemic drugs
blood sugar
meals
controlled
mg
dL
Nearly three months
gradual
palm weakness
often
night
burning sensation
extremities
not sleep
following clinical symptoms
one
unlikely
old
appeared


Question: 28 a 14-year-old girl, two weeks ago was found on both sides of the shoulder is not as high, compared with the right shoulder blade raised. She was taken to hospital, is to determine the right thoracic scoliosis primary of adolescence (adolescent idiopathic scoliosis), Cobb's angle 25 °, Risser sign 4. Which of the following is the most appropriate of the treatment?

Answer: Observed

Choices:
A. Observed
B. Wearing a back frame
C. Electrical stimulation
D. Surgical treatment

year old girl
two weeks
found
sides
shoulder
not
high
right shoulder blade raised
hospital
to
right thoracic scoliosis primary
adolescence
adolescent idiopathic scoliosis
Cobb's angle
sign
following
most appropriate
treatment


Question: Which of the following separate sciatic notch (greater sciatic notch) and lesser sciatic notch (lesser sciatic notch)?

Answer: Ischial spine (ischial spine)

Choices:
A. Posterior superior iliac spine (posterior inferior iliac spine)
B. Ischial spine (ischial spine)
C. Ischial tuberosity (ischial tuberosity)
D. Pubic tubercle (pubic tubercle)

following separate sciatic notch
greater sciatic notch
lesser sciatic notch
lesser sciatic notch


Question: Tuberous sclerosis clinical characterization does not include:

Answer: Optic nerve glioma

Choices:
A. Optic nerve glioma
B. Heart rhabdomyoma
C. Retinal hamartoma
D. Brain cortical tuber


Question: The most effective treatment of paralytic intestinal obstruction why?

Answer: Give a lot of hydration, nasogastric drainage, improve sepsis and metabolic or electrolyte abnormalities

Choices:
A. Use Cisapride
B. Use Neostigmine
C. Use Erythromycin
D. Give a lot of hydration, nasogastric drainage, improve sepsis and metabolic or electrolyte abnormalities

most effective treatment of
intestinal obstruction


Question: When the kidneys blunt trauma, associated with renal vascular damage (Vascular injury) who accounted for what percentage?

Answer: 1%

Choices:
A. 50%
B. 35%
C. 15%
D. 1%

kidneys blunt trauma
associated with renal vascular damage
Vascular injury
accounted
percentage


Question: BRIEF is a flow of lipid metabolism, wherein the product which A, B and C each represent?

Answer: 甲：very-low-density lipoprotein、乙：low-density lipoprotein、丙：chylomicron

Choices:
A. 甲：low-density lipoprotein、乙：very-low-density lipoprotein、丙：chylomicron
B. 甲：high-density lipoprotein、乙： low-density lipoprotein、丙：chylomicron
C. 甲：very-low-density lipoprotein、乙：low-density lipoprotein、丙：chylomicron
D. 甲：low-density lipoprotein、乙： high-density lipoprotein、丙：chylomicron


Question: 76. The nomenclature in accordance with the recommendations of the Enzyme Commission (EC) enzyme, catalyzes the reaction "glucose + ATP → glucose-6-phosphate + ADP" Which of the following enzymes should be attributed to the enzyme category?

Answer: transferase

Choices:
A. hydrolase
B. ligase
C. oxidoreductase
D. transferase

76
reaction
glucose
ATP
6-phosphate
ADP
following enzymes
attributed
enzyme


Question: The following about the varicella zoster virus (VZV) narrative, what's wrong?

Answer: Belonging to the pox virus family

Choices:
A. Belonging to the pox virus family
B. Can cause recurrent herpes zoster
C. In the children's cause systemic skin blisters
D. Is a DNA virus


Question: Young male anatomy normal upright position, paired surface marker (landmark) and the structure of the body, Which statement is correct?

Answer: Sword chest joint (xiphisternal joint) level: T9 vertebra

Choices:
A. Jugular notch (jugular notch) plane: C7 vertebrae
B. Sternal angle (sternal angle) to the horizontal plane: T2 vertebral
C. Sword chest joint (xiphisternal joint) level: T9 vertebra
D. Male nipples: front 6th intercostal


Question: Statements about bile and gallstones, which of the following error?

Answer: Gallstone pain caused mainly by stones gallbladder wall friction caused by

Choices:
A. Liver bile per day normally from about 500 to 1,000 ml
B. The incidence of gallstones increases with age
C. Gallstone pain caused mainly by stones gallbladder wall friction caused by
D. In general, better gallstones in women


Question: Features About scrapie infectious protein (scrapie-like prion protein, PrPSC) is, which of the following error?

Answer: Is generated by gene mutation

Choices:
A. Is generated by gene mutation
B. Resistant to formalin
C. Resistant to high temperature 80oC
D. UV resistant


Question: Which of the following is not a ligament connection between different bones?

Answer: Coracoacromial ligament (coracoacromial ligament)

Choices:
A. Sternoclavicular ligament (sternoclavicular ligament)
B. Coracoacromial ligament (coracoacromial ligament)
C. Coracoclavicular ligament (coracoclavicular ligament)
D. Coracobrachialis ligament (coracohumeral ligament)

following
not
ligament connection
different bones


Question: Which of the following forms the outer side wall of the anal ischial fossa (ischioanal fossae) of?

Answer: Obturator muscle

Choices:
A. Levator ani
B. Piriformis
C. Coccygeus
D. Obturator muscle

following forms
outer side wall
anal ischial fossa
ischioanal fossae


Question: The following information about frozen shoulder (frozen shoulder) of rehabilitation treatment, whichever is the most correct description?

Answer: Physical therapy and joint activities with hyperthermia therapy

Choices:
A. Physical therapy and joint activities with hyperthermia therapy
B. Treatment of joint activities to be done under anesthesia
C. Rehabilitation treatment to rely on hospital equipment, components before implementation
D. Rehabilitation therapy can achieve one hundred percent cure effect, it does not send

following
frozen shoulder
frozen shoulder
rehabilitation treatment
most correct


Question: Which of the following is the most common side effects of sulfonamides?

Answer: Allergic skin reaction

Choices:
A. Neurological symptoms such as headache and lethargy
B. Neonatal jaundice
C. Allergic skin reaction
D. hepatitis

following
most common side effects
sulfonamides


Question: Which of the following most will not affect the hemoglobin (hemoglobin) of oxygen saturation?

Answer: Cytokines

Choices:
A. Partial pressure of oxygen
B. temperature
C. PH
D. Cytokines

following most
not
hemoglobin
hemoglobin
oxygen saturation


Question: The following diagnostic criteria for autism, what's wrong?

Answer: Symptoms usually appear after the age of 10

Choices:
A. Significantly delayed language development
B. There are significant social dysfunction
C. Repetitive or obvious fixing behavior
D. Symptoms usually appear after the age of 10


Question: A 70-year-old man smoked for fifty years, had one day smoke a pack and a half after bladder cancer surgery into about half a pack of cigarettes a day, coronary heart disease, hypertension, chronic obstructive pulmonary disease, doctors advised him to quit smoking. In general, the following statements about quitting, what's wrong?

Answer: Weight loss is a common phenomenon when using nicotine smoking cessation preparations

Choices:
A. Long-term smoker, quit smoking immediately available on the health helpful
B. Quitting smoking can reduce and get a chance to reduce mortality from cancer
C. Nicotine is an important factor in long-term smoking causes addiction
D. Weight loss is a common phenomenon when using nicotine smoking cessation preparations

70 year old man smoked
fifty years
one day smoke
pack
half
bladder
about half
pack
cigarettes
day
coronary heart disease
hypertension
chronic obstructive pulmonary disease
doctors
to
smoking
general
following
wrong


Question: One mother with her big baby boy six months to a pediatric emergency department, complained of the little baby since birth, has 10 episodes of otitis media and was hospitalized with pneumonia twice in the past medical history, found that babies when physical examination there are multiple bruising (bruises), there are many limbs eczema (eczema), do you think the little boy likely diagnosis is:

Answer: Wiskott-Aldrich syndrome

Choices:
A. Ataxia-telangiectasia
B. Wiskott-Aldrich syndrome
C. X-linked agammaglobulinemia
D. Combined variable immunodeficiency

One
big baby boy six months
pediatric emergency department
little baby
birth
10 episodes of otitis media
hospitalized
pneumonia twice
past medical history
found
babies
multiple bruising
bruises
limbs eczema
eczema
little boy likely diagnosis


Question: When forced expiratory (forced expiration), following what the most difficult phenomena occur?

Answer: Pleura internal pressure (intrapleural pressure, Pip) is not higher than atmospheric pressure (atmospheric pressure, Patm)

Choices:
A. Pleura internal pressure (intrapleural pressure, Pip) is not higher than atmospheric pressure (atmospheric pressure, Patm)
B. Intercostal nerve (internal intercostal nerve) excited
C. Inner medulla (medulla oblongata) Some ventral respiratory group of neurons (ventral respiratory group neuron) excited
D. In any case force the gas in the portion of the bronchioles (bronchiole) can not be exhaled

forced expiratory
forced expiration
following
most difficult
occur


Question: Human acquired immune deficiency occurs virus (HIV) infection the most important period for the mother and child:

Answer: childbirth

Choices:
A. The first and second pregnancy
B. Third pregnancy
C. childbirth
D. breast-feeding

Human acquired immune deficiency occurs
HIV
infection
most important period
child


Question: Postganglionic fibers 28 issued by the pterygopalatine ganglion (pterygopalatine ganglion) is not governed:

Answer: Pupillary sphincter (sphincter pupillae)

Choices:
A. Pupillary sphincter (sphincter pupillae)
B. Nasal mucous gland (mucous glands)
C. The soft palate palatine glands (palatine glands)
D. Lacrimal gland (lacrimal gland)

Postganglionic fibers
issued
pterygopalatine ganglion
pterygopalatine ganglion
not


Question: 41-year-old pregnant woman, G4P2AA1, for examination, the results shown below, the name being measured (between Double Ten) Why?

Answer: NT（nuchal translucency）

Choices:
A. BPD（biparietal diameter）
B. CRL（crown-rump length）
C. FL（femur length）
D. NT（nuchal translucency）

year old
results
name
measured
Double Ten


Question: Adrenocortical cells contain any of the following configuration items?

Answer: Secretory granules

Choices:
A. Fat drops
B. Secretory granules
C. Mitochondria
D. The smooth endoplasmic reticulum

Adrenocortical cells contain
following configuration


Question: 3-year-old boy, left pupil whitening (leukocoria), receiving computer tomography, Figure A is an injection developer image, Figure B, compared with images after injection of the developer, which of the following is the most likely diagnosis?

Answer: Retinoblastoma (retinoblastoma)

Choices:
A. Lymphoma (lymphoma)
B. Transfer (metastasis)
C. Angioma (hemangioma)
D. Retinoblastoma (retinoblastoma)

3 year old boy
left pupil
leukocoria
receiving computer tomography
injection developer
injection
developer
following
diagnosis


Question: Three meals a normal person before lunch without eating, following that one is the main source of blood sugar?

Answer: Liver glycogen (glycogen)

Choices:
A. protein
B. Liver glycogen (glycogen)
C. Muscle glycogen
D. Adipose tissue glucose (glucose)

Three meals
normal
lunch
eating
following
one
main source
blood sugar


Question: When checking in bone marrow and soft tissue mass, check what items the most appropriate?

Answer: Magnetic resonance angiography

Choices:
A. CT scan
B. Magnetic resonance angiography
C. General X-ray
D. Isotope bone scan

bone marrow
soft tissue mass
check
most appropriate


Question: He is listed under immune factors and habitual abortion is not really relevant?

Answer: antiovarian antibody

Choices:
A. lupus anticoagulant
B. anticardiolipin antibody
C. antinuclear antibody
D. antiovarian antibody


Question: A young woman's face with severe acne (acne, acne), if you want to prescription vitamin A acid (retinoic acid), the following related description and what was right?

Answer: Cause birth defects have to take the risk of pregnancy

Choices:
A. Vitamin A acid is a vitamin K (vitamin K), derivatives
B. Cause birth defects have to take the risk of pregnancy
C. After just stop taking vitamin A acid one to two weeks of pregnancy, there can be no risk of fetal malformations
D. No human nucleus of vitamin A receptor (receptor)

young woman's face
severe acne
acne
acne
vitamin A acid
retinoic acid
following related
right


Question: Which of the following unbranched supply adrenal gland?

Answer: Testicular artery

Choices:
A. Under phrenic artery
B. Abdominal aorta
C. Renal artery
D. Testicular artery


Question: If the fresh feces of patients with type containing infected (infective form), health care workers to take care of the patients are more susceptible to the parasite infection are:

Answer: Cryptosporidium (Cryptosporidium parvum)

Choices:
A. Cyclospora (Cyclospora cayetanensis)
B. People Sarcocystis (Sarcocystis hominis)
C. Such as Cryptosporidium (Isospora belli)
D. Cryptosporidium (Cryptosporidium parvum)

fresh feces
patients
type containing infected
form
health care workers to
more susceptible
parasite infection


Question: In the diagnosis of occupational diseases, often needs the support of epidemiological data, the following evidence of the epidemiological data, the necessity whichever is lower for diagnosis of occupational diseases?

Answer: Most of those who will be exposed to a similar disease onset

Choices:
A. There must be exposed among the population, a disease than the control groups is the fact that high
B. This work should exposure has been shown to cause the disease
C. The onset of the disease or significant deterioration was only occurs after entering the workplace
D. Most of those who will be exposed to a similar disease onset

diagnosis
occupational diseases
often needs
support
epidemiological data
following
epidemiological data
lower
diagnosis
occupational diseases


Question: The following are the main distribution place where post-synaptic dopamine type and a type II receptors (D1 / D2) of?

Answer: 殼核（putamen）

Choices:
A. 殼核（putamen）
B. Subthalamic nucleus (subthalamic nucleus)
C. Globus pallidus (globus pallidus)
D. 黑 質 (substantia nigra)

following
main distribution place
post
dopamine type
receptors
D1
D2


Question: Ubiquitination with the following statements about what items?

Answer: Protein degradation (degradation)

Choices:
A. Protein degradation (degradation)
B. Amino acid degradation
C. RNA degradation
D. Carbohydrate degradation


Question: Rapid eye movement sleep behavior disorder (REM sleep behavior disorder) that occurs most frequently in these patients?

Answer: Parkinson's disease (Parkinson's disease)

Choices:
A. Parkinson's disease (Parkinson's disease)
B. Ezihaimo disease (Alzheimer's disease)
C. Frontotemporal dementia (frontotemporal dementia)
D. Uremia (uremia)


Question: Which of the following is not a pancreatic cancer (carcinoma of the pancreas) risk factors?

Answer: Older than 70 years old

Choices:
A. Smoking, drinking
B. Older than 70 years old
C. Suffered more than 20 years of chronic pancreatitis
D. Lighter weight, body mass index (BMI) of less than 17

following
not
pancreatic cancer
carcinoma of the pancreas
risk factors


Question: According to "have the right mental health, mental health protection is the responsibility of" the meaning, which of the following error?

Answer: Suffering from mental illness is irresistible

Choices:
A. Suffering from mental illness is irresistible
B. No mental health can not be called healthy
C. We need to have national mental health policies
D. Social, political, economic, medical and other factors will affect the mental health


Question: Can be infected cell is a chromium salt solution:

Answer: Adrenal medulla cells (adrenomedullary cells)

Choices:
A. Adrenocortical cells (adrenocortical cells)
B. Adrenal medulla cells (adrenomedullary cells)
C. Parathyroid chief cells (chief cells of parathyroid gland)
D. Parathyroid eosinophils (oxyphil cells of parathyroid gland) 41 locking luteal (atretic corpus luteum) Which of the following is derived from?


Question: 26-year-old male, height 178 cm, weight 63 kg, good past health. Late one night suddenly right side of the chest pain and breathing difficulties when playing on the computer. Auscultation breath sounds on the left found many obvious than the right. Will Which of the following disposal of the more inappropriate?

Answer: Arrange bronchoscopy if there is to the right bronchus

Choices:
A. Arrange bronchoscopy if there is to the right bronchus
B. Arrangements for chest X-ray photography
C. Given oxygen treatment
D. Preparation of chest tube placement equipment and supplies

year old male
height
weight 63 kg
good
Late one night
right side of
chest pain
breathing difficulties
playing
computer
Auscultation breath sounds
left found
right
following
inappropriate


Question: Cytochromes that contain metal ions?

Answer: Fe2+

Choices:
A. Fe2+
B. Mg2+
C. Co2+
D. Ni2 +


Question: Which of the following viruses agglutination (hemagglutination) of blood cells?

Answer: Polio virus (Poliovirus)

Choices:
A. EB virus (Epstein-Barr virus)
B. Polio virus (Poliovirus)
C. Small DNA virus (Parvovirus) B19
D. Influenza virus (Influenza virus)

following viruses agglutination
hemagglutination


Question: For a description of the physiological functions of the large intestine, which of the following error?

Answer: The released body flatus, atmospheric air intake of the main

Choices:
A. The released body flatus, atmospheric air intake of the main
B. About colorectal cancer occur in the distal colon, there is a saying that because the distal colon than the lack of carbohydrates, the main line of the distal colon bacteria proteins putrefactive process, easy to accumulation of toxins caused by
C. short-chain fatty acids (comprising acetate, propionate and butyrate) for colorectal cell material is important to help the growth of normal cells and cancer cell growth inhibition function
D. Dietary fiber (dietary fiber) in, water-soluble may be decomposed intestinal bacteria produce short-chain fatty acid, water-insoluble can be used to treat constipation

physiological functions
large intestine
following error


Question:
74.
 51 year old male patient complains of pain in the right hip for several years, X-rays such as hip figures, the most likely diagnosis is:

Answer: avascular necrosis

Choices:
A. subchondral cyst
B. bone metastasis
C. osteomyelitis
D. avascular necrosis

74
year old male patient
pain
right hip
years
X-rays
hip
diagnosis


Question: Xiao Ming, 13 years old, tall and fat, after nearly two months long standing, dull pain in the left groin, today gym class, and the pain got worse suddenly unable to stand and walk, X-ray examination in the emergency room the display as shown below, most likely the diagnosis is:

Answer: Left femoral growth plate slippage

Choices:
A. Right hip bursa meningitis
B. Left femoral growth plate slippage
C. Between left intertrochanteric fractures
D. Left avascular necrosis

years old
tall
fat
nearly two months long standing
dull
left groin
today
pain
unable to stand
X-ray
emergency
display
diagnosis


Question: Account of the spine burst fractures (burst fracture), the Which statement is correct?

Answer: Vertebral body collapse unstable fracture of greater than 50%

Choices:
A. Dryer transfer occurs and Chance's spine fractures same
B. Rongyifasheng osteoporosis patients
C. Vertebral body collapse unstable fracture of greater than 50%
D. Compared with spinal compression fractures (compression fracture), nerve damage occurs less

Account of
spine burst fractures
burst fracture
correct


Question: Which of the following symptoms, not caused by H. pylori (Helicobacter pylori)?

Answer: Esophageal reflux (gastroesophageal reflux)

Choices:
A. Gastritis (gastritis)
B. Gastric lymphoma (MALT lymphoma)
C. Esophageal reflux (gastroesophageal reflux)
D. Stomach cancer (gastric cancer)


Question: 43-year-old woman recently often ill medical treatment, the main symptoms are rapid heartbeat, run, tremor. She felt as if unable to breathe, suffocating feeling, each episode is very short time, received a lot of checks but can not get a definite answer, and I feel a little scared and depressed. Which of the following is the most likely diagnosis?

Answer: Panic attacks (panic attacks)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Hyperventilation (hyperventilation)
C. Functional compulsive disorder (obsessive compulsive disorder)
D. Panic attacks (panic attacks)

year old woman recently often ill medical treatment


Question: From the previous question, about the narrative of this tumor, which of the following error?

Answer: Adult lesions will disappear naturally

Choices:
A. If no change in color and irregular shape, but gradually becomes large, which is not immediately observed to be cut
B. Although the tumor is benign, but still possible after basal cell carcinoma or other skin cancers thereon
C. Adult lesions will disappear naturally
D. In addition to surgery, carbon dioxide laser is also a choice of treatment


Question: Ezetimibe hypolipidemic agents inhibit the intestinal absorption of cholesterol (cholesterol), thereby reducing blood LDL levels. Which of the following subject of the role of drugs for this purpose?

Answer: transport protein NPC1L1

Choices:
A. HMG-CoA reductase
B. apoB-100
C. transport protein NPC1L1
D. microsomal triglyceride transfer protein（MTP）

Ezetimibe hypolipidemic agents inhibit
intestinal absorption
cholesterol
cholesterol
reducing blood
levels
following subject
role
drugs
purpose


Question: Following a situation that will reduce the theophylline (theophylline) of clearance (clearance), resulting in elevated blood concentration of theophylline drugs?

Answer: heart failure

Choices:
A. heart failure
B. smokes
C. Use rifampicin
D. The use of phenobarbital


Question: Statements about gestational trophoblastic disease (gestational trophoblastic disease), and Which statement is correct?

Answer: Complete mole (complete mole) was more than double set of chromosomes, all chromosomes are paternal

Choices:
A. Incidence rate per 10,000 in a normal pregnancy occurs
B. beta-hCG value of a patient is typically lower than expected
C. Partial mole (partial mole) mostly three chromosomes, often malignant changes after treatment
D. Complete mole (complete mole) was more than double set of chromosomes, all chromosomes are paternal

gestational trophoblastic disease
gestational trophoblastic disease
correct


Question: When the 30-year-old male patient, due to an unexpected left-sided chest pain, difficulty breathing and to the emergency room for medical treatment, found the lower left lung field tactile tremor (tactile fremitus) reduce palpation (palpation), when the knock diagnosed as hyper-resonant, auscultation reduce breath sounds, which of the following is the most likely diagnosis?

Answer: Left pneumothorax

Choices:
A. Left pleura 腔積 water
B. Left pneumothorax
C. Emphysema
D. The left lower lobe pneumonia

30 year old male patient
left-sided chest pain
difficulty breathing
emergency room
medical treatment
found
lower left tactile tremor
tactile fremitus
palpation
palpation
diagnosed
hyper-resonant
auscultation
breath sounds
following
diagnosis


Question: Breast cancer patients sometimes use of Tamoxifen (hormone antagonists) do for adjuvant therapy. The following description of the relevant agents of this, what is correct?

Answer: After entering the cell, binding hormone receptors, changes in gene expression

Choices:
A. Tamoxifen is a male hormone antagonist (antagonist)
B. Hormone receptor negative breast cancer patients better
C. Via specific receptors of the cell surface (receptor) into a cell
D. After entering the cell, binding hormone receptors, changes in gene expression


Question: 11-year-old Lin Xiaodi is the school track and field athlete of the school team. Recently, he found that the left knee at the upper end of the leg side, below the edge of the patella about 4 centimeters swelling up, looks like uplift of the hill; when pressed hard, painful. In particular pain during exercise in running or jumping them, but like the rest. But when the pain will turn into a break these days, especially one in particular, then by the time squatting, sitting to stand up. Lin Xiaodi most likely happened:

Answer: Osgood-Schlatter's disease

Choices:
A. Hopper knee (jumper's knee)
B. Osgood-Schlatter's disease
C. Baker's cyst (Baker's cyst)
D. Prepatellar bursitis (prepatellar bursitis)

year old Lin
school
athlete
Recently
found
left knee
upper end
leg side
edge
patella
4 centimeters swelling
looks
hill
hard
painful
pain
exercise
pain
turn
break
days
one
then
time squatting
sitting to stand up
Lin
likely


Question: He's following nerve branch, including its postganglionic fibers (postganglionic fibers), does not appear in the tympanic (tympanic cavity) in?

Answer: Eighth cranial nerve

Choices:
A. Eighth cranial nerve
B. The seventh cranial nerve
C. Ninth cranial nerve
D. Sympathetic

following nerve branch
including
postganglionic fibers
postganglionic fibers
not appear
tympanic
tympanic cavity


Question: For the following motor endplate membrane potential (end plate potential) of the description, what is correct?

Answer: Occurs in skeletal muscle cell membrane excitability belonging membrane potential (excitatory membrane potential)

Choices:
A. Occurs in skeletal muscle cell membrane excitability belonging membrane potential (excitatory membrane potential)
B. Occurs on neuronal membrane movement, excitatory belonging membrane potential (excitatory membrane potential)
C. Occurs in skeletal muscle membranes, membrane potential belonging inhibitory (inhibitory membrane potential)
D. Occurs on the movement of the membrane of neurons, are inhibitory membrane potential (inhibitory membrane potential)


Question: 75 she was a 21-year-old woman, with a history of past spina bifida (spina bifida), because the last four days of fever, chills and pain on both sides of the rib ridge angle and sent to the emergency room. She has placed catheter, readme past there have been similar symptoms dozen times. Grew up being told physicians' kidneys and bladder nerve allergies. " Because this problem taking a lot of medication. Physical examination found patient temperature 40 ℃, but some soft abdominal tenderness, on both sides of the rib ridge angle has a significant knock pain, hematuria urine collection bag can be found. Which of the following is the most likely diagnosis in this patient?

Answer: Acute pyelonephritis

Choices:
A. Acute hemorrhagic cystitis
B. Acute glomerulonephritis
C. Acute pyelonephritis
D. Berger's disease (IgA nephropathy)

75
21-year-old woman
history of past spina bifida
spina bifida
last four days
fever
chills
pain
sides of
rib ridge angle
sent
emergency room
catheter
past
similar symptoms
times
physicians
idneys
ladder  erve  llergies.
roblem
ot
edication.
ound  atient  emperature  0
oft  bdominal tenderness,
ides  f
ib  idge  ngle
ignificant
ain,
ematuria  rine collection bag
ound.
ollowing
iagnosis
atient?


Question: Paroxysmal joint pain began to appear about six months before the 32.38-year-old Xie. Include joint pain patients had a left knee, double wrist, left 2, 3,

Answer: Anti-cyclic citrullinated antibody (anti-cyclic citrullinated peptides antibodies)

Choices:
A. Serum uric acid (serum uric acid)
B. Hands X-ray photography (X-ray of both hands)
C. Anti-cyclic citrullinated antibody (anti-cyclic citrullinated peptides antibodies)
D. Wrist ultrasonography

Paroxysmal joint pain began to appear
six months
year old
Include joint pain patients
left knee
double wrist
left 2
3


Question: Placement of central venous catheters (central venous catheter), following the position that most anesthesiologists anesthesia is used during surgery?

Answer: right internal jugular vein

Choices:
A. subclavian vein
B. antecubital vein
C. femoral vein
D. right internal jugular vein

Placement of central venous catheters
central venous catheter
following
position
most anesthesiologists anesthesia
used
surgery


Question: And head and neck cancer narrative about human papilloma virus (human papilloma virus, HPV) correlation, which of the following error?

Answer: Poor response to chemotherapy and radiation therapy, and prognosis of HPV-positive oropharyngeal cancer

Choices:
A. In various parts of the head and neck views with the highest HPV-related oropharyngeal cancer (oropharyngeal cancer)
B. In all HPV subtypes, relationship type 16 with head and neck cancer is most closely
C. HPV E6 protein produced will inhibit function of p53, E7 and pRb proteins will inhibit the function
D. Poor response to chemotherapy and radiation therapy, and prognosis of HPV-positive oropharyngeal cancer

head and neck cancer
HPV
correlation
following error


Question: Judgment on lung cancer can not be removed (nonresectability) of the case, that does not include one of the following?

Answer: Pancoast syndrome infringe on the brachial plexus (brachial plexus) support

Choices:
A. Recurrent laryngeal nerve palsy (recurrent laryngeal nerve palsy)
B. Superior vena cava syndrome (superior vena cava syndrome)
C. Violation of the main pulmonary artery (involvement of main pulmonary artery)
D. Pancoast syndrome infringe on the brachial plexus (brachial plexus) support

lung cancer
not
removed
nonresectability
case
not include one


Question: 19-year-old male patient complained of lower back pain. The picture shows the lumbar spine X-ray photography and computer tomography of this treatment. The most likely lesion why?

Answer: some interarticularis

Choices:
A. Pedicle
B. some interarticularis
C. Facet joint
D. Lamina

year old male patient
lower back pain
picture
lumbar spine X-ray
computer tomography
treatment
lesion


Question: Statements about the acute prostatitis, which of the following error?

Answer: In order to obtain bacterial culture of the acute phase, to be prostate massage, then a solution of urine or prostatic fluid bacterial culture.

Choices:
A. Usually bacteria entering the urethra or because of a backflow of urine infection to the prostate tubules (prostatic ducts) caused
B. Adults are more common, but rarely seen in boys before puberty
C. In order to obtain bacterial culture of the acute phase, to be prostate massage, then a solution of urine or prostatic fluid bacterial culture.
D. When the acute phase of the urine and blood of white blood cells often rise


Question: Eating wax bacillus (Bacillus cereus) contaminated food, can cause gastroenteritis, mainly due to the two kinds of the bacteria secrete enterotoxin (enterotoxin) caused by one is not stable to heat, can cause diarrhea, the role of this toxin why turn the machine?

Answer: Ions interfere with the host cell permeability, cell dehydration resulting

Choices:
A. Inhibition of host cell protein synthesis
B. Inhibiting the release of acetylcholine, cholinergic blocking neurotransmission peripheral neurites
C. Ions interfere with the host cell permeability, cell dehydration resulting
D. Decomposition host cell ribosomes, enzyme synthesis block

Eating wax
cause gastroenteritis
due to
two kinds
bacteria secrete enterotoxin
enterotoxin
caused
one
not stable
cause diarrhea
role
toxin
turn
machine


Question: 81 following tumor invasion (Invasion) of the four stages, and then discharged to the order request from:  tumor cell migration (Migration of tumor cells)  attached to a substrate (Attachment to matrix components)  tumor cells detached from each other (Dettachment of tumor cells from each other)  exploded extracellular parent material (Degradation of extracellular matrix)

81 following tumor invasion
Invasion
four stages
then
order
tumor cell migration
Migration
tumor cells
substrate
matrix
detached
extracellular
material
Degradation
extracellular matrix


Question: Which of the following and deputy thyroid (inferior parathyroid gland) have the same embryonic origin?

Answer: Thymus (thymus)

Choices:
A. Thyroid (thyroid gland)
B. Carotid sinus (cervical sinus)
C. Windpipe (trachea)
D. Thymus (thymus)

following
thyroid
inferior parathyroid gland
same embryonic origin


Question: The next step is to check what to do?

Answer: Colposcopy biopsy

Choices:
A. Colposcopy biopsy
B. Three months later to do a pap smear
C. Endometrial segmented CURETTAGE
D. Observed


Question: Which of the following is not a typical stress reaction response?

Answer: Miosis

Choices:
A. Rise in blood sugar
B. Increased blood pressure
C. Miosis
D. Sweat gland secretion


Question: The following related carpal tunnel syndrome (carpal tunnel syndrome) description of what's wrong?

Answer: Carpal tunnel through the nerves to the radial nerve (radial nerve)

Choices:
A. Carpal tunnel through the nerves to the radial nerve (radial nerve)
B. Tinel's sign positive
C. If the patient thenar (thenar muscle) on behalf of severe atrophy or weakness of the movement of nerve compression occurs
D. Diagnosis may be determined through the nerve conduction velocity (nerve conduction velocity) Check


Question: Serotonin reuptake inhibitor (SSRI) for the treatment of that disease rarely?

Answer: Schizophrenia

Choices:
A. Depression
B. Schizophrenia
C. Obsessive-compulsive disorder
D. Panic Disorder

Serotonin reuptake inhibitor
treatment
disease rarely


Question: Which of the following form associated with liver bare area (bare area) of?

Answer: Diaphragmatic close to here

Choices:
A. Lesions caused
B. Stomach close to here
C. Gallbladder close to here
D. Diaphragmatic close to here

following form associated with liver
area
area


Question: 48 a 21-year-old female patient was seeking treatment early because No, normal height, but breast hypoplasia and no armpit and pubic hair, visible within the clinic vagina and cervix fully developed. In addition, patients also complain abnormal sense of smell, on this patient, the following statements is wrong?

Answer: Blood FSH, LH and E2 are most likely to appear hypergonadotropic hypogonadism

Choices:
A. Blood FSH, LH and E2 are most likely to appear hypergonadotropic hypogonadism
B. May be associated with uterine hypoplasia
C. May be associated with cleft lip and palate and hearing impairment
D. If the patient is no fertility considerations, can supplement estrogen and progesterone

48
21-year-old female patient
treatment early
normal height
breast hypoplasia
armpit
pubic hair
visible
clinic vagina
cervix
addition
patients
abnormal sense of smell
patient
following
wrong


Question: 88 The following information is six long mouse cancer cells, after radiation treatment survival time (months): 1.4, 1.7, 2.3, 2.5, 3.2 and 3.8. 8 This information during recording, was incorrectly recorded as 38, following a narrative that affect the statistic is correct?

Answer: The average increase

Choices:
A. The median increase
B. Increase the number of public
C. The average increase
D. The median and average while increasing


Question: Most patients Azihaimo disease, early in the disease most affected cognitive functions:

Answer: Episodic memory (episodic memory)

Choices:
A. Episodic memory (episodic memory)
B. Recognize a human face (face recognition)
C. The ability to wear clothes (dressing)
D. Personality changes (personality change)


Question: Vulva (vulvar cancer) stage Ia, i.e. micro-invasive carcinoma (microinvasive carcinoma), of less than or equal to 2 cm tumor, depth of invasion of which:

Answer: Less than 1 mm

Choices:
A. Less than 1 mm
B. Less than 2 mm
C. Less than 5 mm
D. Less than 8 mm

Vulva
vulvar cancer
stage Ia
i.e
micro invasive carcinoma
microinvasive carcinoma
less than
equal to
tumor
depth
invasion


Question: A 60-year-old male suffering from lung cancer, must accept the right lung surgery. After the implementation of the single left lungs (one-lung ventilation) period of time during surgery, blood oxygen (PaO2) decreased, the error of the following statements?

Answer: Height ventilation should be used (Hyperventilation), so that the blood concentration of carbon dioxide (PaCO2) is less than 30 mmHg

Choices:
A. Can increase the respiratory rate, minute ventilation to increase lung
B. The oxygen concentration FiO2 may be inhaled into a 100%
C. 5-10 cm H2O using the end-expiratory pressure (PEEP) to the side of the lung ventilation
D. Height ventilation should be used (Hyperventilation), so that the blood concentration of carbon dioxide (PaCO2) is less than 30 mmHg

60 year old male suffering
lung cancer
accept
right
single
one-lung ventilation
period
time
surgery
blood oxygen
PaO2
decreased
error
following


Question: The following drugs may decrease the activity of renin Ho (renin), thereby reducing the formation of angiotensin II?

Answer: Aliskiren

Choices:
A. Aliskiren
B. Hydrochlorothiazide
C. Losartan
D. Ramipril

following drugs
decrease
activity
renin
reducing
formation
angiotensin II


Question: An anthropologist would like to investigate the effects of diet on the human body. Research data show before World War II: the average height of Japanese adult males is 64.0 inches, the standard deviation is 2.0 inches; the anthropologist in a recent study randomly selected 25 adult males in Japan, found that this sample the average height of 66.5 inches, a standard deviation of 3.0 inches. Adult males in Japan is assumed height of μ, and 95% confidence interval [mu] = (X, Y), where X = 66.5 - t × SE, Calculate SE =?

Answer: 3.0/5

Choices:
A. 2
B. 3
C. 2.0/5
D. 3.0/5

anthropologist
to investigate
effects
diet
human body
average height
adult males
64 0 inches
standard deviation
2 0 inches
anthropologist
recent study
adult males
Japan
found
average height
66
inches
standard deviation
3.0 inches
Adult males
Japan
height
95
confidence interval
mu
66
SE
SE


Question: 59 according to Anderson and D'Alonzo classification, that one of the following odontoid fractures (odontoid fracture) most Rongyifasheng engagement insufficiency (non-union)?

Answer: type II

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

59
one
following odontoid fractures
odontoid fracture
most
engagement insufficiency
non


Question: Early childhood meningitis caused by Haemophilus influenzae (Haemophilus influenzae) are mostly following the serotype (serotype)?

Answer: type b

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

Early childhood meningitis caused
Haemophilus influenzae
Haemophilus influenzae
mostly following


Question: Xanthomas (xanthoma) lesions, foamy substance cytoplasmic accumulation of cells, most likely:

Answer: cholesterol

Choices:
A. Calcium phosphate
B. cholesterol
C. Think Mallory body
D. Uric acid

Xanthomas
xanthoma
lesions
foamy
cytoplasmic accumulation
cells
likely


Question: Healthy women the most common vaginal normal flora why?

Answer: Lactobacilli

Choices:
A. Bacteroides
B. Staphylococcus aureus
C. Lactobacilli
D. After Garderella vaginalis 27 menopausal women are the most common pelvic tumors:

Healthy
most common vaginal normal flora


Question: 21. One has a 1 year-old boy weighing 7 kg, height 68 cm, the mother said, after the children finished their BCG injection site until now we can not heal. Since the big boys begin two months, there will be repeated diarrhea, pneumonia, general CBC / DC examination, has been lymphopenia 980 / mm3, lymphocyte subsets show CD3 + 2%, CD4 + 1%, CD8 + 1%,

Answer: Active use of therapeutic antibiotics and antibiotic prophylaxis, lifelong rule of IVIG, can have a high quality of life, no need to consider

Choices:
A. g) level displaying IgG 86 mg / dL,
B. Active use of therapeutic antibiotics and antibiotic prophylaxis, lifelong rule of IVIG, can have a high quality of life, no need to consider
C. After treatment control safe, active implementation of stem cell transplantation
D. After determining gene mutation, in order to develop specific treatment plans

One
year old boy
kg
height
children finished
injection site
now
not heal
big boys begin two months
repeated diarrhea
pneumonia
general CBC
lymphopenia
mm3
lymphocyte subsets
CD3
CD4
CD8


Question: The reaction by the enzyme at extremely low mass concentration, the initial reaction rate will be measured by the concentration is proportional to the mass, the reaction rate constant should Which of the following?

Answer: Vmax / Km

Choices:
A. k cat
B. the cat × Km
C. Vmax / Km
D. 1/Km

extremely low mass concentration
initial reaction rate
measured
concentration
proportional
mass
reaction
following


Question: 31 year old woman, suffering from long-term menstrual pain, suspected endometriosis (endometriosis), which of the following ways to determine the diagnosis?

Answer: Laparoscopic sliced

Choices:
A. The ultrasound image
B. Physical examination (Visits) determination
C. CA-125 in blood test values higher
D. Laparoscopic sliced

31 year old woman
suffering
long-term menstrual pain
suspected endometriosis
endometriosis
following
to
diagnosis


Question: Azoles antifungal agents, by the above structure can be divided into two categories Imidazoles and Triazoles. Which of the following belong Imidazoles?

Answer: Ketoconazole

Choices:
A. Fluconazole
B. Ketoconazole
C. Itraconazole
D. Voriconazole

Azoles antifungal agents
above structure
divided
two
Imidazoles
Triazoles
following
Imidazoles


Question: Bearing on the question, with regard to the disposal of the patient, the following statements is wrong?

Answer: If the patient eventually died, mainly due to bacteria violations of the organization, but not with toxin

Choices:
A. CT to determine the scope of the lesion arrangements
B. Sample specimens from the site of infection as quickly as possible, and give appropriate antibiotic
C. Contact surgical debridement
D. If the patient eventually died, mainly due to bacteria violations of the organization, but not with toxin


Question: Which of the following is not the supply of blood at the nasal septum?

Answer: Lower lip artery

Choices:
A. Former ethmoid artery
B. Facial artery branch
C. Sphenopalatine artery
D. Lower lip artery


Question: Essential tremor (essential tremor) to which of the following main goals of the surgery?

Answer: Thalamus (thalamus)

Choices:
A. Thalamus (thalamus)
B. Hypothalamus (subthalamus)
C. Globus pallidus (globus pallidus)
D. Cerebral cortex (cerebral cortex)

Essential tremor
essential tremor
following main
surgery


Question: Illustrated two different atherosclerotic lesions (arteriosclerosis), relating to the following description, what is correct?

Answer: Left atherosclerotic disease is more likely to lead to lesions at right blocked artery stenosis

Choices:
A. The left artery atherosclerotic lesions are starting from the middle (media layer)
B. The right arteriosclerotic lesion was started by the arterial intima (intima layer)
C. Left lesions occurred only in the medium-sized muscular artery (medium-sized muscular artery)
D. Left atherosclerotic disease is more likely to lead to lesions at right blocked artery stenosis

two different atherosclerotic lesions
arteriosclerosis
relating
following
correct


Question: Which of the following non-allergic rhinitis as long-term maintenance therapy?

Answer: Nasal congestion to sprays (decongestants)

Choices:
A. Intranasal steroid sprays (corticosteroids)
B. Nasal congestion to sprays (decongestants)
C. Cromolyn sodium nasal spray (cromolyn sodium)
D. Antihistamine nasal sprays (antihistamines)

following non-allergic rhinitis
long-term maintenance therapy


Question: Drinking water disinfection with chlorine, which can not effectively remove water vector-borne diseases following the original?

Answer: Giardia lamblia

Choices:
A. Vibrio cholerae
B. Salmonella
C. Giardia lamblia
D. Hepatitis A virus


Question: If you Neike Jia in the intensive care unit on duty, 65-year-old heart attack patients a sudden loss of vital signs, ECG showed ventricular fibrillation (ventricular fibrillation). At this point you have at hand a monophasic defibrillator (monophasic defibrillator), how to do next?

Answer: The shock is tuned to 360 joules, after the first shock did CPR immediately

Choices:
A. The defibrillator adjusted to 200 Joules (Joules), no post-shock reaction is continued up as 300 joules or 360 joules adjusted again shock
B. Do CPR immediately after the shock is tuned to 200 joules, shock three times in a row
C. The shock is tuned to 360 joules, after the first shock did CPR immediately
D. The shock is tuned to 200 joules, after the first shock did CPR immediately

Jia
intensive care unit
65-year-old heart patients
sudden loss
vital signs
ECG
ventricular fibrillation
ventricular fibrillation
point
hand
monophasic defibrillator
monophasic defibrillator
next


Question: About Keshakefu's syndrome (Korsakoff's syndrome), symptoms occur is that at least one of the following?

Answer: Degenerative amnesia (retrograde amnesia)

Choices:
A. Recent memory disorders (recent memory impairment)
B. Forward amnesia (anterograde amnesia)
C. Degenerative amnesia (retrograde amnesia)
D. 虛 談 (confabulation)

syndrome
Korsakoff's syndrome
symptoms occur
one


Question: A 45 year old female, abnormal liver sonography, angiography images such as drawings, Which of the following is the most likely diagnosis?

Answer: Hepatic hemangioma (hepatic hemangioma)

Choices:
A. HCC (hepatocellular carcinoma)
B. Liver abscess (hepatic abscess)
C. Partial liver nodular hyperplasia (focal nodular hyperplasia; FNH)
D. Hepatic hemangioma (hepatic hemangioma)

year old female
abnormal liver sonography
angiography
following
diagnosis


Question: Which of the following conditions or medications, most unlikely ECG QT prolongation phenomenon?

Answer: Hyperthyroidism (hyperthyroidism)

Choices:
A. Bleeding (subarachnoid hemorrhage) under the arachnoid
B. Hypocalcemia (hypocalcemia)
C. Hyperthyroidism (hyperthyroidism)
D. amiodarone

following conditions
medications
most unlikely ECG QT prolongation


Question:
44 a 68-year-old man suffering from chronic obstructive pulmonary disease for many years, recently exacerbated by coughing and breathing difficulties go to emergency room for medical treatment. Physical checkups patients found clear consciousness, shortness of breath, wheezing and chest auscultation call song. Chest X-ray is not the phenomenon pneumonia, arterial blood gas analysis while breathing air which pH 7.274, PaCO2 78 mmHg, PaO2 40 mmHg, HCO3- 36 mEq / L, BE +9 mEq / L.
 After giving oxygen, Which of the following is the most appropriate priority and the disposal?

Answer: Bronchodilator inhalation administration, and consider the use of non-invasive treatment of a respirator

Choices:
A. The speedy granting of an endotracheal tube and a respirator to improve acute respiratory failure
B. Administering an infusion of sodium bicarbonate to improve acidemia
C. Bronchodilator inhalation administration, and consider the use of non-invasive treatment of a respirator
D. Given oral steroids

year old man suffering
chronic obstructive pulmonary disease
years
recently exacerbated
coughing
breathing difficulties go
emergency room
medical treatment
Physical
patients found clear consciousness
shortness of breath
wheezing
chest auscultation call
Chest X-ray
not
pneumonia
arterial blood gas analysis
breathing air
pH 7
mmHg
PaO2 40 mmHg
HCO3
36 mEq
L
mEq
L
giving oxygen
following
most appropriate priority


Question: Decided ovarian cancer do not rely mainly on:

Answer: Ultrasonography

Choices:
A. The value of the level of tumor marker CA125
B. Clinical symptoms
C. Ultrasonography
D. The results of pathology


Question: From the previous question, patients can achieve long-term stable condition drug of choice for treating Why?

Answer: Serotonin reuptake inhibitor (SSRI)

Choices:
A. Benzodiazepines class (benzodiazepines.)
B. Mood stabilizers (mood stabilizers)
C. Serotonin reuptake inhibitor (SSRI)
D. Antipsychotics (antipsychotics)

previous
patients
long stable condition drug
treating


Question: That one of the following check most sensitive in the detection of lung nodules (pulmonary nodule)?

Answer: Computer tomography

Choices:
A. Magnetic Resonance Imaging
B. Computer tomography
C. Ultrasound scan
D. Common X-ray Tablets

one
following check
sensitive
detection
lung nodules
pulmonary nodule


Question: Ms. Wang is a chronic type of residual schizophrenia (residual type), currently undergo regular drug treatment and mental rehabilitation in the psychiatric day ward, the patients than that following clinical signs can not appear?

Answer: Irritable and aggressive behavior

Choices:
A. Lack of social motivation
B. Few words
C. Indifferent mood
D. Irritable and aggressive behavior

Ms
chronic type
residual schizophrenia
residual type
currently
regular drug treatment
rehabilitation
psychiatric day ward
patients
following clinical signs
not appear


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

Answer: Multivalent vaccine (polyvalent vaccine) is a surface protein (surface proteins) from a common serotype strains produced prepared

Choices:
A. Capsule (Capsule) generated resistant to phagocytosis (phagocytosis)
B. This fungus in the alveolar space (alveolar spaces) a lot of growth, can cause pneumonia (pneumonia)
C. Through proscenium acid (teichoic acid) and peptide glycan (peptidoglycan) fragments, can induce complement activation of alternative paths (alternative complement pathway)
D. Multivalent vaccine (polyvalent vaccine) is a surface protein (surface proteins) from a common serotype strains produced prepared


Question: He does not include the following structure thigh adductor canal (adductor canal)?

Answer: Femoral artery (femoral artery)

Choices:
A. Femoral artery (femoral artery)
B. Femoral vein (femoral vein)
C. Femoral nerve (femoral nerve)
D. The saphenous nerve (saphenous nerve)


Question: Which of the following is a competitive antagonist of benzodiazepine?

Answer: flumazenil

Choices:
A. pralidoxime
B. guanethidine
C. flumazenil
D. paraldehyde


Question: Europe and America about breast cancer mortality attributed the reasons for the decline, which of the following error?

Answer: breast self examination

Choices:
A. breast self examination
B. mammography screening
C. adjuvant hormonal therapy
D. adjuvant chemotherapy

Europe
America
breast attributed
following error


Question: Which of the following is found that the most common cause of unilateral maxillary sinusitis clinically?

Answer: trauma

Choices:
A. infection
B. Nasal polyps
C. Tumor
D. trauma

following
found
most common cause
unilateral maxillary sinusitis


Question: A 6-year-old mother took the children to the clinic for treatment, complained of fatigue merger abdominal pain, lower extremity physical checkups found the purple rash, edema of the eyelids and scrotum. The following statements is wrong?

Answer: Common thrombocytopenia and elevated IgA

Choices:
A. The rash may last for several days to several weeks
B. Sick children will be part of the merger, joint pain, knee and ankle joint to the most common
C. About 25-50% of sick children have hematuria or proteinuria, need regular follow-up urine test
D. Common thrombocytopenia and elevated IgA

year old
children
clinic
treatment
fatigue
abdominal pain
lower extremity physical
found
purple rash
edema of the eyelids
scrotum
following
wrong


Question: When gastric vagal afferent fibers (vagal afferent fibers) block, the following statements is true?

Answer: Reducing gastric acid secretion due to expansion (distension) caused by

Choices:
A. Increased gastric acid secretion by histamine (Histamine) stimulated
B. Secretion compstatin (Somatostatin) is reduced
C. Reducing gastric acid secretion due to expansion (distension) caused by
D. Due to reduced stomach gastrin stimulation caused by food protein (Gastrin) secretion

gastric vagal afferent fibers
vagal afferent fibers
block
following
true


Question: About airway management, the following statements is wrong?

Answer: When using the laryngoscope (Laryngoscope), those for a left-handed, left-handed application of the endotracheal tube, the position spotted glottis (vocal cord) and put it into the endotracheal

Choices:
A. For patients with severe head and neck trauma and confusion, the push-pull technique should be used to maintain the airway of mandibular (jaw thrust
B. Patients with skull base fractures (Basal skull fracture) should not be used nasopharyngeal airway (Nasopharyngeal airway)
C. Adult female patients receiving endotracheal intubation, a rescuer can select an inner diameter of 7 mm endotracheal tube
D. When using the laryngoscope (Laryngoscope), those for a left-handed, left-handed application of the endotracheal tube, the position spotted glottis (vocal cord) and put it into the endotracheal


Question: Elderly patients receiving anesthesia following about comparing Rongyifasheng postoperative delirium (post-operative delirium) described phenomena, what's wrong?

Answer: A higher incidence of women

Choices:
A. Original visual or hearing impairment occurs higher proportion
B. Orthopedic or major surgery by accepting a higher incidence
C. With poor pain control higher incidence
D. A higher incidence of women


Question:
6.15-year-old boy due to acute renal failure and the need for emergency dialysis treatment. Urine examination revealed the boy had severe hematuria and proteinuria (24-hour urine protein value of 7.6 g / 24 hr). The blood serum albumin is 3.2 g / dL, serum complement C3, C4 were normal. Kidney sections found in Bowman's
 Has an inner capsule half cell hyperplasia (epithelial cell crescent formation), as shown in FIG, fluorescent staining of immune complex deposition. Which of the following most appropriate diagnosis?

Answer: IgA nephritis (IgA called nephropathy,) with acute renal failure

Choices:
A. After the acute streptococcal glomerulonephritis (poststreptococcal glomerulonephritis) with acute renal failure
B. IgA nephritis (IgA called nephropathy,) with acute renal failure
C. WHO classification of class IV lupus nephritis (WHO class IV lupus nephritis) with acute renal failure
D. ANCA-mediated glomerulonephritis (ANCA-mediated glomerulonephritis) with acute renal failure

year old boy due to acute renal failure
need for emergency dialysis treatment
Urine examination revealed
boy
severe hematuria
proteinuria
24-hour urine protein value
g
hr
blood serum albumin
3.2 g
dL
serum complement C3
C4
normal
Kidney sections found
inner capsule half cell hyperplasia
crescent formation
fluorescent staining
immune complex deposition
following
appropriate diagnosis


Question: 43-year-old female patient, when the health check found elevated CA-199, to accept the abdominal imaging, the picture shows the cross-section of the pelvis ultrasound, CT below shows the most likely diagnosis Why?

Answer: Ovarian teratoma (ovarian teratoma)

Choices:
A. Ovarian cancer (ovarian cancer)
B. Ovarian teratoma (ovarian teratoma)
C. Endometriosis (superficial evils)
D. Ovarian follicular cysts (ovarian follicular cyst)

year old female patient
check found elevated CA
to accept
abdominal imaging
picture
cross-section
pelvis ultrasound
CT
diagnosis


Question: Treatment on hyperkalemia (hyperkalemia) is, which of the following description of the error?

Answer: When intravenous injection of insulin improve hyperkalemia, can not simultaneously with glucose drip

Choices:
A. Supplementation all potassium ions
B. When the potassium concentration is higher than 6.5 mEq / L, the ECG may appear to peak T waves, further prolonged PR interval may occur
C. When intravenous injection of insulin improve hyperkalemia, can not simultaneously with glucose drip
D. If hyperkalemia bad reaction to medication, dialysis should be considered

Treatment hyperkalemia hyperkalemia following error


Question: Notch (suprascapular notch) on the scapular scapular nerve (suprascapular nerve) injured, two muscle ⾁ that will be directly affected?

Answer: Spine muscles (supraspinatus) and the lower ratchet muscles (infraspinatus)

Choices:
A. The spine muscles (infraspinatus) and ⼩ teres (teres minor)
B. Three corner of muscle (deltoid muscle) and ⼩ teres (teres minor)
C. Spine muscles (supraspinatus) and the lower ratchet muscles (infraspinatus)
D. Spine muscles (supraspinatus) and subscapularis muscle (subscapularis)

Notch
suprascapular notch
scapular scapular nerve
suprascapular nerve
injured
two muscle
directly affected


Question: Account of deciduous pemphigus (pemphigus foliaceus), and which of the following error?

Answer: Histopathological examination of the lesion visible blisters epidermis

Choices:
A. Make good sites include the head, face and upper half of the torso
B. Often erythema, erosion and crusting lesions appear
C. Histopathological examination of the lesion visible blisters epidermis
D. Lesions direct immunofluorescence examination showed IgG deposited between epidermis keratinocytes

Account
pemphigus
pemphigus foliaceus
following error


Question: Which of the following is not a mitral stenosis physical examination findings:

Answer: systolic murmur

Choices:
A. S1 accentuation
B. pre-systolic murmur
C. systolic murmur
D. opening snap


Question: The following statements about the vestibular system (vestibular system), the what's wrong?

Answer: Three and a half feeling regulation of the inflated receptacle located ampulla (ampulla), the called spot (Macula); sensory utricle and the receptacle of the balloon ridges (Crista)

Choices:
A. Vestibular labyrinth membrane (membranous labyrinth) comprises three semicircular canals (semicircular ducts), utricle (utricle) and a balloon (saccule)
B. Three and a half feeling regulation of the inflated receptacle located ampulla (ampulla), the called spot (Macula); sensory utricle and the receptacle of the balloon ridges (Crista)
C. Crest responsible for sensing angular acceleration (angular acceleration), plaques responsible for sensing linear acceleration (linear acceleration)
D. Left and right half of the pair is formed on the regulatory function of, when one side of the head movement causes excitement receptacle, the receptacle will be inhibited contralateral

following
vestibular system
vestibular system
wrong


Question: Which of the following is not a surgical indications for coronary artery disease combined with left ventricular aneurysm?

Answer: Infective endocarditis

Choices:
A. Congestive heart failure
B. Infective endocarditis
C. Angina
D. Ventricular arrhythmias

following
not
surgical
coronary artery disease combined
left ventricular aneurysm


Question: Semen (Semen) contain secretory products of which of the following?

Answer: Penis (corpus cavernosum)

Choices:
A. Prostate (prostate gland)
B. Penis (corpus cavernosum)
C. Urethral glands (bulbourethral gland)
D. Seminal vesicle (seminal vesicle)


Question: Single thyroid nodule, diagnosis of benign or malignant, the most accurate method is:

Answer: Fine needle aspiration through cell

Choices:
A. Thyroid ultrasound
B. Nuclear medicine imaging scan
C. CT
D. Fine needle aspiration through cell

Single thyroid nodule
diagnosis
benign
malignant
most accurate method


Question: 71.35-year-old Wang, a restaurant waiter, had complained of sore knees for three months. Her body mass index (BMI) was 32 Kg / m2, and recently she knows knee pain related to body weight, think now is the time to lose weight, ready to take action within a month. According across the theoretical model (transtheoretical model), Wang is a change in behavior that stage?

Answer: Preparation phase (preparation)

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

35 year old
restaurant waiter
sore knees
three months
body mass index
Kg
m2
recently
knee pain related
body weight
now
time to
weight
ready to
action
month
stage


Question: The following mechanisms of action of bacterial toxins that inhibit protein synthesis?

Answer: Shiga toxin (shiga toxin)

Choices:
A. Shiga toxin (shiga toxin)
B. Cholera toxin (cholera toxin)
C. Tetanus toxin (tetanospasmin)
D. Botox (botulinum toxin) 47 features on Staphylococcus aureus, and which of the following error?

following mechanisms of action
bacterial toxins
inhibit


Question: Which of the following options relative to other than lung cancer often have mutated epidermal growth factor receptor (epidermal growth factor receptor) gene?

Answer: Adenocarcinoma

Choices:
A. Adenocarcinoma
B. Like squamous cell carcinoma
C. Small cell carcinoma
D. Large cell carcinoma


Question: 45-year-old female chef, a red swelling around the right nail three months ago, and later the nail root turbidity and color distortion. KOH microscopy method as shown, what is the most likely diagnosis?

Answer: Candidiasis (candidiasis)

Choices:
A. 手 癬 (tinea hands)
B. Candidiasis (candidiasis)
C. Versicolor (tinea versicolor)
D. Sporotrichosis (sporotrichosis)

year old female chef
red swelling
right nail three months
later
nail root turbidity
color distortion
KOH microscopy method
diagnosis


Question: Spleen, which of the following has a central artery (central artery)?

Answer: Periarterial lymphatic sheath (periarterial lymphatic sheath)

Choices:
A. Periarterial lymphatic sheath (periarterial lymphatic sheath)
B. Red pulp (red pulp)
C. Cortical
D. Cable spleen (splenic cord)

Spleen
following
central artery
central artery


Question:
74.
 Patient complained of fever and right lower back pain, computer tomography presented in Figure that one of the following diagnosis about the right kidney of the most correct?

Answer: acute pyelonephritis

Choices:
A. acute pyelonephritis
B. renal cell carcinoma
C. angiomyolipoma
D. hydronephrosis

74
Patient
fever
right lower back pain
computer tomography
one
following diagnosis
right kidney
correct


Question: The following is not the kind of immune cells most common in normal human blood?

Answer: Mast cells (mast cell)

Choices:
A. Eosinophil (eosinophil)
B. Lymphocyte (lymphocyte)
C. Monocytes (monocyte)
D. Mast cells (mast cell)

following
not
kind
most common
normal human blood


Question: For the treatment of male erectile penis (erection) obstacles Which of the following is least likely to adopt strategies or methods?

Answer: Promoting activity of phosphodiesterase

Choices:
A. Increase nitric oxide (NO) in the synthesis of
B. Activation of guanylyl cyclase activity
C. Promoting activity of phosphodiesterase
D. Prolonged presence of cyclic GMP (cGMP)

treatment
male erectile penis
erection
following
least likely to adopt
methods


Question: The cause is not easy to amphetamine psychosis and psychosis disorder (schizophrenia) distinction, which is not an amphetamine psychosis caused by the characteristics?

Answer: Cut the emotional discomfort

Choices:
A. Cut the emotional discomfort
B. Visual hallucinations
C. Increased activity
D. Increased libido

cause
not easy
amphetamine psychosis
psychosis disorder
schizophrenia
not
amphetamine psychosis caused
characteristics


Question: Found a 1-year-old boy for three months due to a high fever 3 days and the face of the rash for treatment, physical examination when his left index finger swelling blisters merge as shown, that one of the following is the most likely diagnosis?

Answer: Herpes simplex virus infection

Choices:
A. Hand, foot and mouth disease
B. chicken pox
C. Herpes simplex virus infection
D. Impetigo

Found
year old boy
three months
high fever
days
face
rash
treatment
left index finger swelling blisters
one
following
diagnosis


Question: Pituitary prolactin tumor (prolactinoma) 1.8 cm and visual field defects, the following statements is most accurate?

Answer: Postoperative to regularly track

Choices:
A. ⼀ given effective drug treatment
B. After excision does not send the watch
C. Postoperative to regularly track
D. The watch surgery sequelae diabetes mellitus

Pituitary prolactin tumor
prolactinoma
1.8
visual field defects
following
most accurate


Question: The following information about the recurrent laryngeal nerve (recurrent laryngeal nerve) injury can cause the symptoms, what's wrong?

Answer: The throat glottis (supraglottic larynx) sense of paralysis

Choices:
A. Hoarseness
B. Choke (choking)
C. Vocal cord paralysis, in the midline (paramedian) position or abduction (abducted) position
D. The throat glottis (supraglottic larynx) sense of paralysis

following
recurrent laryngeal nerve
recurrent laryngeal nerve
injury
cause
symptoms
wrong


Question: Neurotransmitter release process with the following ions about what?

Answer: calcium

Choices:
A. magnesium
B. calcium
C. sodium
D. Potassium

Neurotransmitter release process
following


Question: Which of the following best describes the definition of epidemiology (epidemiology) of?

Answer: Factors (determinants) of the population disease frequency distribution (distribution) and its decision

Choices:
A. Through the establishment of an animal model (animal model) to study the causes and treatment of diseases
B. Factors (determinants) of the population disease frequency distribution (distribution) and its decision
C. Theoretical statistical studies (variation random) to explore the characteristics of random variation
D. Study of the epidemic (epidemic), non-contagious disease that is not part of the object of epidemiological studies

following best
epidemiology
epidemiology


Question: Serum iron in a 58-year-old female patient of (iron) and full iron-binding capacity (total iron-binding capacity, TIBC) values of both are low, but the iron-containing protein (ferritin) high. Which of the following is a possible cause?

Answer: Cause of the anemia of chronic disease

Choices:
A. Cause of the anemia of chronic disease
B. Autoimmune hemolytic anemia
C. Vitamin B12 deficiency
D. Iron deficiency anemia

Serum
Serum iron
58 year old female patient
iron
full iron-binding capacity
total iron-binding capacity
TIBC
values
low
iron containing protein
ferritin
high
following
possible cause


Question: Narrative about peptic ulcers (peptic ulcer) secretion of, what's wrong?

Answer: Ulcer patients more common abnormal secretion (secretory abnormalities) have decreased secretion of bicarbonate (decreased bicarbonate secretion), nocturnal gastric acid secretion (increased nocturnal acid secretion) and day increased acid secretion (increased daytime acid secretion)

Choices:
A. Pathogenesis (pathogenesis) including H. pylori infection (Helicobacter pylori infection), non-steroidal anti-inflammatory drugs (nonsteroidal antiinflammatory drugs, NSAID) and acid (gastric acid)
B. 90% of duodenal ulcer (duodenal ulcer), and 75% of gastric ulcers (gastric ulcer) is and H. pylori infection (Helicobacter pylori infection) related
C. Ulcer patients more common abnormal secretion (secretory abnormalities) have decreased secretion of bicarbonate (decreased bicarbonate secretion), nocturnal gastric acid secretion (increased nocturnal acid secretion) and day increased acid secretion (increased daytime acid secretion)
D. In type II patients with gastric ulcer and gastric acid hypersecretion type III (gastric acid hypersecretion) is more common than gastric ulcer in patients of type I and type IV

peptic ulcers
peptic ulcer
secretion
wrong


Question: A 50-year-old housewife, accompanied by their daughter and son-treatment, complained of paroxysmal headache for ten years, the past year often complain of palpitations, insomnia, dizziness and general weakness, four medical treatment did not improve. The past week her husband drunk driving car accident hospitalized, and headache symptoms become more apparent. Treatment for headaches, and that most of the following information helpful?

Answer: Pedigree

Choices:
A. Head X-ray photography
B. Tonometry
C. EEG
D. Pedigree

50 year old housewife
treatment
paroxysmal headache
ten years
past year often
palpitations
insomnia
dizziness
general weakness
four medical treatment
not
past week
drunk
car accident hospitalized
headache symptoms
more
Treatment
headaches
most
following
helpful


Question: A patient has been diagnosed with neurofibromatosis type I (NF-1), one other pro-family members were diagnosed with the other elements of the same disease, does not include which of the following?

Answer: Both sides of acoustic neuroma (acoustic neuroma)

Choices:
A. Adult skin more than 6 (greater than 15 mm each) of coffee spots (café-au-lait spots)
B. Both sides of acoustic neuroma (acoustic neuroma)
C. Who has more than 2 neurofibromatosis (neurofibroma)
D. Optic nerve glioma (optic glioma)

patient
diagnosed
neurofibromatosis type I
one
pro
diagnosed
same disease
not include
following


Question: About surgical treatment of coronary artery disease, which of the following effects of the worst?

Answer: By laser myocardial revascularization (transmyocardial laser revascularization)

Choices:
A. In the heart after cardioplegia static, then the coronary artery bypass surgery (cardioplegic arrest coronary artery bypass
B. Beating coronary artery bypass surgery (off pump coronary artery bypass grafting)
C. By laser myocardial revascularization (transmyocardial laser revascularization)
D. Minimally invasive direct coronary artery bypass surgery (minimally invasive direct coronary artery bypass grafting)


Question: 64-year-old Schilling, and hematuria due to the hospital. Physicians for her examination revealed the left flank seems to tenderness, the urine red blood cells. Further do her abdominal CT, nephropathy image display as illustrated. Schilling most likely suffering from what disease?

Answer: Renal cell carcinoma (renal cell carcinoma)

Choices:
A. Renal cell carcinoma (renal cell carcinoma)
B. Transitional cell carcinoma of the renal pelvis (transitional cell carcinoma of renal pelvis)
C. Renal abscess (renal abscess)
D. Clot filling the renal pelvis (blood clot in renal pelvis)

64 year old
hematuria due to
hospital
Physicians
revealed
left flank
tenderness
urine red blood cells
Further
abdominal CT
nephropathy
display
likely suffering
disease


Question: Changes such as drawings appear on a patient's arm, then whichever of the following is the most likely reason?

Answer: idiopathic thrombocytopenic purpura

Choices:
A. hemophilia A
B. anticardiolipin antibody syndrome
C. antithrombin III deficiency
D. idiopathic thrombocytopenic purpura

Changes
appear
patient's arm
then
following


Question: When analyzing a kidney cancer tumors and found that fumaric acid enzyme (fumarase) gene mutation, the following statements is true?

Answer: Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) stimulates more glycolytic enzymes (glycolytic enzymes) to produce

Choices:
A. Fumarate (fumarate) and thus will be substantially reduced in tumor tissue
B. Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) will decrease with
C. Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) stimulates more glycolytic enzymes (glycolytic enzymes) to produce
D. Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) inhibits angiogenesis (angiogenesis)

kidney tumors
found
fumaric acid enzyme
fumarase
gene mutation
following
true


Question: Which of the following is not a palliative care are commonly used sedative or analgesic drugs?

Answer: Demerol（pethidine, meperidine）

Choices:
A. Morphine
B. Demerol（pethidine, meperidine）
C. Dormicum（midazolam）
D. Valium（diazepam）

following
not
palliative care
used sedative
analgesic drugs


Question: Samsung of 23 large full-term baby girl this week began vomiting repeatedly to the emergency room for treatment. Birth weight 2400 gm, current weight down to 2100 gm, blood tests arterial blood gas: pH = 7.58, PaCO2 = 56 mmHg, HCO3- = 51.8 mmol / L, BE = 25.6 mmol / L, [Na +] = 114 mmol / L, [K +] = 1.7 mmol / L, [Cl-] = 68 mmol / L, blood pressure 68/40 mmHg, BUN / Creatinine = 5 mg / dL; whichever is least likely cause of these?

Answer: Congenital adrenal hyperplasia (congenital adrenal hyperplasia)

Choices:
A. Vomiting caused by intestinal barrier
B. Dehydration caused by acute renal failure
C. Pyloric stenosis (pyloric stenosis) and pseudo-Bartter's syndrome
D. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)

23 large full-term baby girl
week began vomiting repeatedly
emergency room
treatment
Birth weight 2400 gm
current weight
gm
blood tests arterial blood gas
pH
7 58
mmHg
HCO3
mmol
L
mmol
L
mmol
L
K
1.7 mmol
L
mmol
L
blood pressure
40 mmHg
Creatinine
5 mg
dL
least likely cause


Question: When embryonic age in the third week, the highest oxygen content of which of the following?

Answer: Umbilical vein (umbilical v.)

Choices:
A. Yolk vein (vitelline v.)
B. Total mainline (common cardinal v.)
C. Umbilical vein (umbilical v.)
D. Before the main vein (anterior cardinal v.)

embryonic age
third week
highest oxygen content


Question: 80-year-old women, who have a history of high blood pressure and atrial fibrillation, sudden left side of the face and left limb weakness, left upper limb muscle strength of 1 minute, 3 minutes left lower limb muscle strength, his eyes looking toward the right, and no significant visual field defect ignored . Where the lesion is most likely?

Answer: The right frontal lobe (frontal lobe)

Choices:
A. The right frontal lobe (frontal lobe)
B. Right parietal lobe (parietal lobe)
C. Right inner capsule with the shell (internal capsule and putamen)
D. Right pons (pons)


Question: Cases of lung cancer patients not suitable for surgery, which of the following error?

Answer: Local invasion diaphragm lung cancer

Choices:
A. Recurrent laryngeal nerve paralysis
B. Superior vena cava syndrome (superior vena cava syndrome) occurs
C. Local invasion diaphragm lung cancer
D. There liver metastases


Question: The following correct classification for the diagnosis of epilepsy whichever?

Answer: Muscle spasms seizures (myoclonic seizures) in a quick and brief muscle contraction and vibrant as the main performance

Choices:
A. Absence seizures (absence seizures) often have aura (aura), and the time is often more than 5 minutes
B. Muscle spasms seizures (myoclonic seizures) in a quick and brief muscle contraction and vibrant as the main performance
C. Muscle spasms seizures (myoclonic seizures) mainly affects the limbs (limbs), and does not affect the torso (trunk)
D. Atonic seizures (atonic seizures) often tonic - clonic seizure occurs (tonic-clonic seizure) after


Question: Which of the following cell reaction does not occur in the bone marrow (bone marrow) in?

Answer: Identify foreign antigens (recognition of foreign antigens)

Choices:
A. Cell division (cell proliferation)
B. Cell differentiation (cell differentiation)
C. Cells and cell interaction (cellular interaction)
D. Identify foreign antigens (recognition of foreign antigens)

following cell reaction
not occur
bone marrow
bone marrow


Question: Paroxysmal ventricular tachycardia in patients, such as hypotension and conditions associated with heart failure, the priority should be given to use what items the following disposal?

Answer: Rectification heart shock (electrical cardioversion)

Choices:
A. Intravenous injection of digoxin
B. Intravenous verapamil
C. Rectification heart shock (electrical cardioversion)
D. Exercise vagal maneuver


Question: Accidentally discovered when a 25-year-old man after a health check mediastinal tumor, CT scan showed that the tumor is a dumbbell-shaped, complete tumor edge, part of the tumor extending into the spine, and that a diagnosis of the following is most likely?

Answer: neurogenic tumor

Choices:
A. lymphoma
B. thymoma
C. neurogenic tumor
D. germ cell tumor

year old
check mediastinal tumor
CT scan
tumor
shaped
complete tumor edge
part of
tumor extending
spine
diagnosis
following


Question: E. coli DNA polymerase I zoomed in this does not have the chest upwards following what activity?

Answer: Containing DNA gyrase activity

Choices:
A. Containing (Exonuclease) activity of 3 '→ 5' exonuclease enzyme
B. Containing DNA gyrase activity
C. Containing 5 '→ 3'DNA polymerizing enzyme (Polymerase) activity
D. Having 5 '→ 3' exonuclease enzyme (Exonuclease) activity

DNA polymerase I
not
chest
following
activity


Question: Various cells and the body's immune response is related to the differentiation of cells from which of the following?

Answer: Stem cells (stem cells)

Choices:
A. Brain cells (brain cells)
B. Stem cells (stem cells)
C. Macrophages (macrophages)
D. T lymphocyte cells (lymphocytes) 79 has a pre-T cell receptor (pre-T cell receptor) that it will be one of the following work?

Various cells
body's immune response
related
differentiation
cells
following


Question: 1 by a 49 year old woman patient epigastric pain and left upper region and about 2-3 days for treatment, test results show ER Hb 10.4 g / dL, WBC classification N / L 79.9% / 14.5%, glucose 115 mg / dL, BUN 13 mg / dL, creatinine 0.9 mg / dL, CRP 8 mg / L, lipase 173 U / L, amylase 67 U / L, triglyceride 1634 mg / dL. He checked the following items to determine the most likely diagnosis?

Answer: Abdominal computed tomography (abdominal CT scan)

Choices:
A. Upper digestive tract endoscopy (UGI endoscopy)
B. Abdominal computed tomography (abdominal CT scan)
C. Colonoscopy (colonoscopy)
D. Check the tumor marker (tumor markers)

1
year old woman patient epigastric pain
left upper region
about 2 3 days
treatment
test results
ER Hb 10 g
dL
WBC classification
9
5
glucose
mg
dL
mg
dL
creatinine 0.9 mg
dL
CRP
mg
L
lipase
U
L
amylase 67 U
L
triglyceride
mg
dL
following
to
diagnosis


Question: 51.85 years old lady body has always been in good health, freedom of movement, his daughter came back from the United States, and the woman were sleeping. Middle of the night, the old lady woke up, the bed and asked people: who u are? Live family said the past few months, the old lady often can not find where to put items. To the jolly, often bought a refrigerator full stack has the same ingredients. The old lady had most likely what disease?

Answer: Alzheimer disease

Choices:
A. Alzheimer disease
B. dementia with Lewy bodies
C. Parkinson disease with dementia
D. vascular dementia

85 years old
body
always
movement
back
United States
woman
sleeping
Middle
night
old
woke up
bed
u
Live
past
months
old
often
not find
to
often
refrigerator full stack
same
old
likely
disease


Question: The following account of adipose tissue (adipose tissue), and what's right?

Answer: Discolored brown adipose tissue (brown adipose tissue) and more in the new ⽣ children content and widely distributed, as will gradually reduce to ⻑

Choices:
A. Between white adipose tissue (white adipose tissue) is mainly produced ⽣ heat, discolored brown adipose tissue (brown adipose tissue) is mainly stored energy
B. ⼩ adipocytes fat droplets (lipid droplet) is wrapped by a serous membrane (plasma membrane)
C. That a white fat cell (white adipocyte) ⼩ there are many pieces of fat droplets ⼩ (lipid droplet), ⼀ was discolored in brown adipocytes ⽽
D. Discolored brown adipose tissue (brown adipose tissue) and more in the new ⽣ children content and widely distributed, as will gradually reduce to ⻑

following account
adipose tissue
adipose tissue
right


Question: Laser peripheral iris and puncture (peripheral laser iridotomy) which is mainly used to treat glaucoma Use (glaucoma)?

Answer: Corner of corner closure glaucoma (angle closure glaucoma)

Choices:
A. Corner corner of openness glaucoma (open angle glaucoma)
B. Corner of corner closure glaucoma (angle closure glaucoma)
C. Normal-tension glaucoma (normal tension glaucoma)
D. ⾎ ⽣ tube by glaucoma (neovascular glaucoma)

Laser peripheral iris
puncture
peripheral laser iridotomy
used to treat glaucoma Use
glaucoma


Question: The following account of Toxoplasmosis (Toxoplasma gondii) in, what's wrong?

Answer: Who is the definitive host, while the cat is an intermediate host

Choices:
A. Who is the definitive host, while the cat is an intermediate host
B. In AIDS patients may lead to Toxoplasmosis encephalitis (Toxoplasma encephalitis)
C. Literature, spiramycin as one of the pregnant women get acute toxoplasmosis (toxoplasmosis), drug prevention within its womb fetal infection
D. Toxoplasmosis is a fourth category of notifiable infectious diseases in Taiwan


Question: The following nephrotic syndrome of childhood illnesses related to physiological narrative, what's wrong?

Answer: Sick Children will occur due to renal tubular reabsorption of sodium ions reduce hyponatremia (Hyponatremia)

Choices:
A. Sick children of intravascular volume (intravascular volume) decreases
B. Sick Children in blood hemoglobin (hemoglobin) value will rise
C. Antidiuretic hormone (antidiuretic hormone) secretion may increase for Sick Children
D. Sick Children will occur due to renal tubular reabsorption of sodium ions reduce hyponatremia (Hyponatremia)

following nephrotic syndrome
childhood illnesses related
physiological
wrong


Question: Which of the following virus, most will not contagious through sexual contact?

Answer: Hepatitis A virus (Hepatitis A virus, HAV)

Choices:
A. The first type Human T-lymphotropic virus (Human T-cell lymphotropic virus-1, HTLV-1)
B. Cytomegalovirus (Cytomegalovirus, CMV)
C. Hepatitis A virus (Hepatitis A virus, HAV)
D. Hepatitis C virus (Hepatitis C virus, HCV)


Question: Children with leukemia, if the number of white blood cells than thousands, the tumor is a medical emergency and can be complicated by a variety of problems, following what most items do not appear?

Answer: Diarrhea (Diarrhea)

Choices:
A. Hyperuricemia (Hyperuricemia)
B. Thrombosis (Thrombosis)
C. Diarrhea (Diarrhea)
D. Hypoxia (Hypoxia)

Children
leukemia
number
white blood cells
thousands
tumor
medical emergency
complicated
following
not appear


Question: Skeletal muscle contraction calcium ions play an important role. Patients suffering from malignant syndrome High body temperature (malignant hyperthermia) due to sustained excessive muscle cells release calcium ions, resulting in muscle stiffness (rigidity), accelerated heartbeat, high body temperature, hyperventilation and other symptoms. Related to the regulation of calcium, which of the following error?

Answer: Muscle action potential by passing muscle cell membrane, prompting the T-tubule release of calcium ions

Choices:
A. Muscle action potential by passing muscle cell membrane, prompting the T-tubule release of calcium ions
B. troponin calcium ions on the thin filament (thin filament) in combination
C. Calcium resorption is an important factor in muscle relaxation (muscle relaxation) of
D. ATP (adenosine triphosphate) is to make thick filaments (thick filament) and the bond between the thin filament junction releasably important factor


Question: From the previous question, what you will give priority to recommend Wang examination or treatment to accept?

Answer: Use antacid to avoid aggravating the symptoms

Choices:
A. Direct laryngoscopy and sliced possible to rule out malignancy
B. Microsurgical resection of the lesion, in order to avoid recurrence or worsening
C. Use antacid to avoid aggravating the symptoms
D. Giving of sound therapy, the effect is generally available in a few days

previous
give priority to
treatment to accept


Question: Assess whether vaginal natural production to be successful, the most appropriate method Why?

Answer: Assess the progress of labor, including the decline in cervical dilation and fetal head

Choices:
A. Pelvic X-ray photographic measurement of mother pelvic size
B. Ultrasonography estimated fetal weight
C. Mother's height
D. Assess the progress of labor, including the decline in cervical dilation and fetal head

vaginal natural
to
successful
most appropriate method


Question: 78-year-old female patients with pancreatic cancer, yesterday accepted pancreaticoduodenectomy surgery, fever to 38.4 ℃ afternoon, shallow breathing, abdominal drainage (drainage) is 80 c.c. blood (serosanguineous discharge), blood pressure of 130/86 mmHg. Will Which of the following is the priority disposal?

Answer: Please patients in sputum and deep breathing, pulmonary considered as X-ray

Choices:
A. Anxious to do abdominal computed tomography
B. Emergency Contact operating room to re-laparotomy to stop bleeding
C. Please patients in sputum and deep breathing, pulmonary considered as X-ray
D. Immediately given steroid fever, infection and consultation physician replace antibiotics


Question: 35-year-old healthy woman, get up in the morning, suddenly aphasia and right limb weakness, have a brain MRI scan results as shown below, the most likely diagnosis Why?

Answer: moyamoya disease

Choices:
A. Fabry disease
B. Reversible rear side leukoencephalopathy syndrome (reversible posterior leukoencephalopathy syndrome)
C. Mitochondrial disease
D. moyamoya disease

35 year old healthy woman
get
morning
aphasia
right limb weakness
brain scan results
diagnosis


Question: When a state of shock, one of the following physiological changes that minimize the impact of the deterioration of tissue hypoxia?

Answer: Arterial oxygen partial pressure of 100 mmHg reduced to 70 mmHg

Choices:
A. Arterial mean pressure drop of 70 mmHg 50 mmHg
B. Hemoglobin from the 15 g / dL down to 10 g / dL
C. Arterial oxygen partial pressure of 100 mmHg reduced to 70 mmHg
D. Arterial oxygen saturation from 100% to 70%

state
shock
one
following physiological changes
impact
tissue hypoxia


Question: Tuberculosis is a common disease in the world, for the side effects of anti-TB drugs, whichever is least likely?

Answer: Rifampin can cause auditory nerve disorder

Choices:
A. Rifampin can cause auditory nerve disorder
B. Isoniazid can cause liver toxicity or peripheral neuritis
C. Ethambutol causes optic neuritis
D. Pyrazinamide with liver toxicity

Tuberculosis
common disease
side effects of
drugs
least likely


Question: About narrative abscess (retropharyngeal abscess) of the pharynx, Which statement is correct?

Answer: Abscess spread more easily than children with mediastinal chest to the throat in adults

Choices:
A. Abscess spread more easily than children with mediastinal chest to the throat in adults
B. Clinical symptoms, adult wheezing (stridor) and neck edema prone than children
C. Standard diagnostic tool neck X-ray photography
D. Most patients, after treatment with antibiotics can cure

About
abscess
retropharyngeal abscess
pharynx
correct


Question: From the previous question, this patient in the emergency treatment of the signs of life stable, you must first check what arrangements?

Answer: Esophagogastroduodenoscopy (esophagogastroscopy) Check

Choices:
A. Abdominal ultrasound (abdominal ultrasonography) inspection
B. Abdominal computed tomography (abdominal CT) scan
C. Esophagogastroduodenoscopy (esophagogastroscopy) Check
D. Liver function tests (liver function test)

previous
patient
emergency
signs
stable
first check
arrangements


Question: Following on the first type of human immunodeficiency virus infection of the narrative (HIV-1), what is wrong?

Answer: Clinically asymptomatic period there is no blood in the HIV-1 virus

Choices:
A. HIV-1 co-receptor CCR5 gene defect who can resist HIV-1 infection
B. Clinically asymptomatic period there is no blood in the HIV-1 virus
C. Drug-free treatment under, most infections caught will produce the onset of AIDS (AIDS)
D. There are very few long-term infection without disease

Following
first type
human immunodeficiency virus infection
HIV-1
wrong


Question: One child under 13 years of severe edema, average daily urinary protein excretion was 5.6 grams, low serum albumin, blood cholesterol, kidney slices in its optical microscope, it seems the most common change why?

Answer: And almost the same as normal glomerular

Choices:
A. Glomerular stromal cell proliferation
B. And almost the same as normal glomerular
C. There are a lot of quality glomerular immune complex deposits
D. Glomerular basement membrane thickening

One child
years
severe edema
average daily urinary protein excretion
5.6 grams
low serum albumin
blood cholesterol
kidney
optical microscope
most common change


Question: Which is not an acute renal failure patients undergoing hemodialysis treatment indications emergency?

Answer: BUN 120 mg/dL，creatinine 2.5 mg/dL

Choices:
A. BUN 120 mg/dL，creatinine 2.5 mg/dL
B. Serum potassium greater than 7 mEq / L, and poor Kayexalate (sodium polystyrene sulfonate) treatment
C. Pericardium water
D. Pulmonary Edema

not
acute renal failure patients
hemodialysis treatment
emergency


Question: Normal bone marrow microenvironment (microenvironment) for hematopoietic stem cell transplantation into the crucial Which of the following is not listed?

Answer: mesenchymal stem cell

Choices:
A. endothelial cell
B. mesenchymal stem cell
C. fibroblast
D. adipose cell

Normal bone marrow
hematopoietic stem cell transplantation
following
not


Question: A 29-year-old female middle of the night to the emergency room with complaints of sudden abdominal pain began 20 minutes before, along with a small amount of vaginal bleeding (vaginal spotting). Usually patients complain of menstrual irregularities. Physical examination found that the blood pressure of 95/50 mmHg, heart rate was 110 / min, the temperature was 36.5 ℃, right lower abdominal tenderness (Tenderness) and rebound pain (rebounding pain). Do you think what is the best next step needs to be done to check?

Answer: Check urine β- hCG

Choices:
A. C-reactive protein（CRP）
B. Check urine β- hCG
C. Computer tomography
D. Abdominal X-ray (KUB)

29 year old female middle
night
emergency room
complaints
sudden abdominal pain began 20 minutes
small amount
vaginal bleeding
vaginal spotting
Usually patients
menstrual irregularities
found
blood pressure
95 50 mmHg
heart rate
min
temperature
36
right lower abdominal tenderness
Tenderness
pain
pain
best next step needs to
to check


Question: Wound healing on the part of the thickness of the (Partial thickness wounds), the following statements is wrong?

Answer: There are many collagen

Choices:
A. Healing by reepithelialization mainly
B. There are many collagen
C. In dermal appendages (e.g., hair follicles and sebaceous glands) epithelial cell replication to cover the exposed dermis
D. There wound contraction

Wound healing
part of
thickness
Partial thickness wounds
following
wrong


Question: Which of the following shipping methods require energy?

Answer: secondary active transport

Choices:
A. simple diffusion
B. facilitated diffusion
C. osmosis
D. secondary active transport


Question: In order to deal with the SARS epidemic, epidemic prevention unit for suspected cases and in contact with the case, to take centralized quarantine control measures, saying isolation was concentrated control will get sick does not mean that this is because the definition of suspected cases of the disease have Which of the following characteristics?

Answer: High sensitivity

Choices:
A. Low false positive
B. Low false negative
C. High sensitivity
D. High specificity

order to
SARS
prevention unit
suspected cases
in contact with
case
to
quarantine control measures
isolation
concentrated control
sick
not mean
suspected cases
following characteristics


Question: A 12-year-old woman, complained of right lower quadrant pain two days, accompanied by nausea and vomiting, physical checkups presented right lower quadrant pain and a rebound pain (rebounding pain), blood data: white blood cells (WBC) 16500 / μL, segment 88%, lymphocyte 6%, abdominal computed tomography in the following figure, then what to do next?

Answer: Appendectomy

Choices:
A. Extracorporeal shock wave lithotripsy
B. Ureteroscopy lithotripsy
C. Appendectomy
D. Drink plenty of water and antibiotics

year old woman
right lower quadrant pain two days
nausea
vomiting
physical
right lower quadrant pain
pain
pain
blood data
white blood cells
L
segment 88
abdominal computed tomography
following
then
to
next


Question: A 47-year-old man drove passing through downtown Taipei, coincides with rush hour commuter traffic, sudden chest tightness, wheezing, choking feeling, and the feeling on the verge of death. Their own car to the nearest hospital emergency department. Tests showed no abnormalities were found in the emergency room, science laboratory and this patient (including an electrocardiogram). The clinical diagnosis of patients most likely Which of the following?

Answer: Panic disorder (panic disorder)

Choices:
A. Hypochondriasis (hypochondriasis)
B. OCD (obsessive-compulsive disorder)
C. Depression (depressive disorder)
D. Panic disorder (panic disorder)

year old man
rush hour
traffic
sudden chest tightness
wheezing
choking
verge
death
car
nearest hospital emergency department
Tests
abnormalities
found
emergency room
laboratory
patient
including
electrocardiogram
clinical diagnosis
patients
likely
following