Question:
40. The study would explore a relationship between smoking and lung function values, subjects were divided into five groups according to smoking status: ① this Face nonsmoking Operating environment nor ② The Face Face smoking do not smoke but ⼯ Face-smoking environment for a lot of this Face ③ ④ slight degree smoking smoking extent moderate this Face Face smoking ⑤ serious this extent. Face 100 to find each measuring a pulmonary function of each of the Face. If we want to test lung function under the average of the five different smoking status if, following that
 The most appropriate ⼀ kinds of statistical analysis Remedies?

Answer: Analysis of variance due to single submenus

Choices:
A. Independent t-test
B. Paired t-test
C. ⽪ Mickelson ⽒ card ⽅ test
D. Analysis of variance due to single submenus

40
study
relationship
smoking
lung function values
subjects
divided
five groups
smoking status
Face
Operating environment
Face
smoking
not smoke
Face smoking environment
lot
slight degree
extent moderate
Face
smoking
serious
extent
Face 100 to find
measuring
pulmonary function
Face
to test lung function
average
five different smoking status
following
most appropriate
kinds


Question: No definition of secondary amenorrhea (secondary amenorrhea) is not to menstruation how long?

Answer: ≧ 6 months

Choices:
A. ≧ 3 months
B. ≧ 6 months
C. ≧ 9 months
D. ≧ more than 1 year

secondary amenorrhea
secondary amenorrhea
not
menstruation
long


Question: Statements about pemphigus (pemphigus), and which of the following error?

Answer: Drug-induced pemphigus general prognosis of patients with pemphigus tantamount

Choices:
A. Pemphigus patients often in the winter or because of work pressure, taking drugs or viral infection, among other factors worsen
B. Containing sulfhydryl groups (-S-H) binds to the pharmaceutical cystein keratinocytes, keratinocytes change bonding strength, pemphigus formed
C. Thiols drugs can induce anti-desmoglein 1 antibodies and anti-desmoglein 3, is formed pemphigus
D. Drug-induced pemphigus general prognosis of patients with pemphigus tantamount


Question: In Taiwan, fetal edema (hydrops fetalis) is the most common cause of influenza-thalassemia (alpha-thalassemia). Will its virulence genes in the first few pairs of chromosomes?

Answer: 16

Choices:
A. 8
B. 11
C. 13
D. 16

Taiwan
fetal edema
hydrops fetalis
most common cause
influenza thalassemia
alpha-thalassemia
virulence genes
first


Question: The following information about renal cell cancer (renal cell carcinoma) to accept the narrative of radical surgery, what's right?

Answer: Whether lymph tissue near the renal hilum shall be accompanied by clear, is not yet conclusive

Choices:
A. Regardless of the kidney tumor grows anywhere, the ipsilateral adrenal gland resection must
B. Whether lymph tissue near the renal hilum shall be accompanied by clear, is not yet conclusive
C. If no kidney tumor excision, surgery plus local radiation therapy, can effectively prolong the survival of patients
D. Preoperative per person should have to accept the renal artery embolization, because it can effectively reduce blood loss

following
renal cell cancer
renal cell carcinoma
to accept
radical surgery
right


Question: When a physician determines the patient's poor prognosis and death can not be avoided after all, following what most incorrect disposal?

Answer: The physician should immediately inform all the relevant disease patients to avoid future lead to medical disputes

Choices:
A. Before explain to patients that physicians should tell patients and their families to think what
B. The physician should immediately inform all the relevant disease patients to avoid future lead to medical disputes
C. Physicians should consider the method used to maintain the continuation of the patient's life and quality of life
D. After explain to patients that doctors should allow patients to have enough time to talk to a physician and ask questions

physician
patient's poor prognosis
death
not
following
most incorrect


Question: When to help quadriceps weakness (quadriceps weakness) associated with knee osteoarthritis (knee OA) of the patient standing fully extended by a stand (orthosis), Which of the following most inappropriate?

Answer: Hip knee ankle foot harness (HKAFO)

Choices:
A. Harness knee (knee orthosis)
B. Knee-ankle-foot harness (KAFO)
C. Siqi knee-ankle-foot harness (Scott-Craig KAFO)
D. Hip knee ankle foot harness (HKAFO)

to help quadriceps weakness
quadriceps weakness
associated with knee osteoarthritis
of
patient standing
extended
stand
orthosis
following
inappropriate


Question: 25 Ms. Qian 65 years, because of chest pain to hospital for examination and treatment, three days ago to ward left hip injury caused by a fall, due to a left hip pain and unable to move, the left lower limb pain and swelling yesterday, Homan's sign (+) . The following items where appropriate treatment? ① concomitant intravenous heparin (unfractionated heparin) intravenous and oral warfarin ② 80 U / kg heparin, and 15-18U / kg / hour continuous infusion ③ low molecular weight heparin (low-molecular weight heparin) before the operation 12 shall 24 hours disable ④ intravenous heparin once 5000U

Answer: ①②③

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④

Ms
65 years
of chest pain
hospital
treatment
three days
ward left hip injury caused
fall
left
unable to move
left lower limb pain
swelling
Homan's sign
following
appropriate treatment
concomitant intravenous heparin
unfractionated heparin
intravenous
oral warfarin
80 U
kg heparin
kg
hour continuous infusion
low molecular weight heparin
low-molecular weight heparin
operation
24 hours
intravenous heparin


Question: Which of the following is acute lymphoblastic leukemia (ALL) worst prognostic factor?

Answer: There Philadelphia chromosome (Philadelphia chromosome)

Choices:
A. Excessive number of chromosomes (hyperdiploidy)
B. When the disease is between the age 9 years to 2 years
C. There Philadelphia chromosome (Philadelphia chromosome)
D. minimal residual disease (MRD) has ceased to exist after the induction

following
acute lymphoblastic leukemia
worst prognostic factor


Question: Correctly distinguish Calot's triangle is an important key to your watch laparoscopic surgery reduces complications, which constitutes the border without what the following items?

Answer: Cystic artery (cystic artery)

Choices:
A. Hepatic duct (common hepatic duct)
B. Cystic duct (cystic duct)
C. Cystic artery (cystic artery)
D. Edge of the liver (liver edge)

Calot's triangle
important
laparoscopic surgery
complications
border
following


Question: Which of the following action with the contraction of the most mouth-free relationship?

Answer: Pterygoid muscle (medial pterygoid muscle)

Choices:
A. Pterygoid muscle (medial pterygoid muscle)
B. Outer wing muscle (lateral pterygoid muscle)
C. Mylohyoid muscles (mylohyoid muscle)
D. 頦舌 skin (geniohyoid muscle)

following action
contraction
mouth free relationship


Question: About the cause of the occurrence of febrile seizure and disposal, what items the following statements is less suitable?

Answer: EEG examination was simple febrile convulsion routine examination of

Choices:
A. Often associated with baby roseola (sixth human herpes virus infection)
B. If patients with poor spirit of vitality, must exclude CNS infection
C. EEG examination was simple febrile convulsion routine examination of
D. If not recovered consciousness continued, must check blood sugar low blood sugar coma to identify the

cause
occurrence
febrile seizure
following
less suitable


Question: 20 year old man hospitalized lower extremity edema, serum albumin is 2.3 g / dL, blood urea nitrogen and serum creatinine are each 27 / 1.2 mg / dL, 24-hour urine protein loss measured 18 g. A kidney biopsy pathological examination, found that the normal structure of the glomeruli under an optical microscope. The following statements is true?

Answer: Is generally normal serum complement

Choices:
A. It should be seen under an electron microscope electron dense deposition
B. Is generally normal serum complement
C. If the treatment is effective, are usually not sent
D. The effect of steroid treatment is usually poor, have the effect of only about 30%


Question: Which of the following can not extend the duration of action of drugs?

Answer: Induce cytochrome P450 enzymes

Choices:
A. High lipid solubility
B. Protein binding to tissue
C. Kidney failure
D. Induce cytochrome P450 enzymes

following
not extend
duration
action
drugs


Question: To find out whether there are clinically outside secreted by the pancreas (exocrine) dysfunction, Which of the following is the most common and the most credibility of the method?

Answer: Collecting fecal fat content of 72 hours the contents of the accounting for the percentage of total fat intake

Choices:
A. When stool routine examination with microscopic observation of the presence or absence of fat globules
B. Collecting fecal fat content of 72 hours the contents of the accounting for the percentage of total fat intake
C. The duodenum to collect pancreatic juice, trypsin and chymotrypsin and its concentration quantified
D. Measuring the amount of feces of chymotrypsin

To find out
outside secreted
pancreas
dysfunction
following
most common
most credibility
method


Question: Statements about tinea versicolor (pityriasis versicolor), the error which of the following?

Answer: Microscopic diagnosis can not be made directly by the specimen

Choices:
A. The most common in young people
B. Causative agent is integrated chaff Malassezia fungus (Malassezia furfur complex)
C. Causative agent is not classified nature saprophyte
D. Microscopic diagnosis can not be made directly by the specimen

tinea versicolor
pityriasis versicolor
error
following


Question: You collect death certificates due to the application of the death benefit to study the case of the death of a company; Research (Proportional mortality study) found that increasing use of the death fraction of this fraction companies in most cancer deaths, while reducing the fraction of cardiovascular disease. Research points to this death rate, which statement most likely correct:

Answer: Increase for some reason can lead to a reduction of other causes

Choices:
A. Death fraction for some reason and other reasons are independent (Independent)
B. A more complete and find out all deaths will not affect the results
C. Increase for some reason can lead to a reduction of other causes
D. Overestimated the number of potential hazards will result in death fraction less than that of

due to
application
benefit to study
case
death
company
Proportional mortality study
found
increasing use
death fraction
companies
cancer deaths
reducing
fraction of cardiovascular disease
points
death rate
likely correct


Question: What kind of thyroid cancer, the prognosis is extremely poor and most patients die within one year?

Answer: Undifferentiated carcinoma

Choices:
A. Papillary carcinoma
B. Follicular carcinoma
C. Medullary carcinoma
D. Undifferentiated carcinoma

kind of thyroid cancer
prognosis
extremely poor
patients die
one year


Question: Following a systemic anesthetic that will inhibit the respiratory center and reduced sensitivity to carbon dioxide?

Answer: Thiopental

Choices:
A. Thiopental
B. Halothane
C. Ketamine
D. Nitrous oxide

Following
systemic anesthetic
inhibit
respiratory center
reduced sensitivity to carbon dioxide


Question: A 25-year-old male clerk, three months ago when out with family picnics, sudden emergence of extreme feeling of fear, restlessness, rapid heartbeat, shortness of breath, chest pain, foreign body sensation in the throat, intense fear of death and out of control, more than after 15 minutes of discomfort disappears, like this episode one week later about 2-3 times, both outdoors or at home have occurred, causing great impact on his life and work. The following description of this patient, what's wrong?

Answer: Episodes of paroxysmal cases appear, is a typical Fear (phobia)

Choices:
A. Excessive drinking coffee or inhaled nicotine (nicotine) will make the symptoms worse
B. Episodes of paroxysmal cases appear, is a typical Fear (phobia)
C. Must assess whether there are cases of thyroid dysfunction and spiritual substance-related disorders (substance-related disorder)
D. For chest pain cases, be careful to assess their risk factors for heart disease

year old male clerk
three months
out
sudden
extreme
restlessness
rapid heartbeat
shortness of breath
chest pain
foreign body sensation in
throat
intense fear of death
out
control
more
15 minutes
discomfort
episode one week later
2
times
outdoors
at home
causing great impact
following
patient
wrong


Question: Treatment of liver cancer can cause embolism to break into a drug to kill tumor cells through a blood vessel, most clinically appropriate drugs into the path is:

Answer: Hepatic artery

Choices:
A. Hepatic vein
B. Aortic
C. Portal
D. Hepatic artery

Treatment of liver cancer
cause embolism to break
drug to kill tumor cells
blood vessel
most
appropriate drugs
path


Question: From the previous question, Figure B is particularly characterized by symptoms of what?

Answer: Adverse insulin resistance

Choices:
A. Adverse insulin resistance
B. Galactose bad patience
C. Estrogen deficiency
D. Progesterone deficiency


Question: 60 year old woman to the clinic due to high blood pressure track, no other abnormalities. Weekdays do not smoke, drink red wine before going to bed daily 30 mL. His father died of stroke, the mother has diabetes. Blood pressure 170/100 mmHg, body mass index (BMI) 27.1 kg / m2. How she should be advised to make lifestyle change?

Answer: Should lose weight

Choices:
A. Should lose weight
B. Daily sodium intake should be less than 6 gm
C. Daily alcohol intake should be reduced
D. Impact of lifestyle on blood pressure, there is no empirical support

60 year old woman
clinic
high blood pressure track
abnormalities
Weekdays
not smoke
bed daily 30 mL
died
stroke
diabetes
Blood pressure
100 mmHg
body mass index
27
kg
m2
to make


Question: Which of the following is not a direct loop of the basal ganglia structure?

Answer: Hypothalamic nucleus (subthalamic nucleus)

Choices:
A. Striatum (striatum)
B. Globus pallidus (inner globus pallidus)
C. Thalamus (thalamus)
D. Hypothalamic nucleus (subthalamic nucleus)

following
not
direct loop
basal ganglia structure


Question: Clinically, the use of these instruments which examine the patient, the more the refractive state of the eye does not know the subject?

Answer: Exophthalmos meter (exophthalmometer)

Choices:
A. Auto refractometer (automated refractometer)
B. Retina 檢影 mirror (retinoscope or skiascope)
C. Direct ophthalmoscope (direct ophthalmoscope)
D. Exophthalmos meter (exophthalmometer)

use of
instruments
patient
more
refractive state of
eye
not
subject


Question:
68 a 58-year-old man, 30-year history of drinking, a day after the 40-year-old unemployed drink at least a bottle of sorghum and associated with alcoholic hepatitis, the gradual emergence of memory degradation since the age of 55, after doctors diagnosed the cause of alcohol dementia disease (alcohol-induced persisting dementia),
 Then the following statements is true?

Answer: Cases may occur and vain babblings (confabulation) phenomenon

Choices:
A. Cases may occur and vain babblings (confabulation) phenomenon
B. Do not need to consider the cause of malnutrition, memory loss
C. Mainly to long-range memory impairment
D. Treated properly typically 80% of cases can restore memory

58 year old man
30 year history
drinking
day
40 year old unemployed
bottle
sorghum
associated with alcoholic hepatitis
gradual
memory degradation
age
doctors diagnosed
cause
alcohol dementia disease
alcohol-induced persisting dementia
Then
following
true


Question: A 2-day-old newborn's obvious abdominal distension and vomiting, caregivers also stated two days babies are not discharged meconium; you do to help your baby anal rectal examination is through, but the finger into the tight, when the finger out of the anus when there is a lot of manure with the spray. That one of the following checks can be used to help confirm the diagnosis of this patient do?

Answer: Rectal biopsy suction biopsy

Choices:
A. Abdominal CT
B. Rectal biopsy suction biopsy
C. Abdominal ultrasound
D. Sweat test (sweat test) and cystic fibrosis (cystic fibrosis) Detection of gene

2-day old newborn's
abdominal distension
vomiting
caregivers
stated two days babies
not
meconium
to help
baby anal
finger
tight
finger out
anus
lot
spray
one
following checks
used to help confirm
diagnosis
patient


Question: Which of the following is not a face lift made "improper conduct of research" should be taken as?

Answer: Researchers obligation to face the dialectical and denounced those under the auspices of a third impartial person

Choices:
A. Researchers must be responsible for their actions, to address the seriousness of the misconduct, but also for other obvious improper conduct research researchers must have the courage to report
B. Allegations of improper conduct research shall not be made public before a full investigation and has not yet been confirmed
C. Research institutions and researchers must not act in good faith based on research made improper behavior of the people, to take any retaliation or punishment
D. Researchers obligation to face the dialectical and denounced those under the auspices of a third impartial person


Question: For the description of the treatment of asthma, which of the following error?

Answer: Bronchodilator effect of theophylline (theophylline), the ratio of bronchodilator effect stronger sympathetic stimulation

Choices:
A. Bronchodilator, fewer side effects than oral medication
B. Bronchodilator effect of theophylline (theophylline), the ratio of bronchodilator effect stronger sympathetic stimulation
C. Steroids are the most effective and the strongest anti-inflammatory drugs
D. Inhaled bronchodilator anti-parasympathetic, side effects are minimal, but the effect of bronchodilator drugs slow


Question:
38. One 52 year old man lower limb paralysis occurs repeatedly hospitalized, blood pressure 168/98 mmHg, blood examination revealed: sodium 146 mmol / L, potassium 2.0 mmol / L, chloride 100 mmol / L, pH 7.56, bicarbonate 38 mmol / L, renin (renin)
 1 ng / mL / hr (normal 0.3 ~ 3 ng / mL / hr), serum aldosterone (aldosterone) 8 ng / dL (normal 2 ~ 9 ng / dL); the error of the following statements?

Answer: Because normal serum aldosterone, can be ruled out primary hyperaldosteronism

Choices:
A. Disease state is left salt hyperandrogenism (mineralocorticoid excess state)
B. Should drink plenty of potassium ions until the patients recover muscle strength
C. Due to low serum renin, renin secreting tumors may be excluded (renin-secreting tumor) and renewal of hyperaldosteronism
D. Because normal serum aldosterone, can be ruled out primary hyperaldosteronism

year old man lower occurs repeatedly hospitalized


Question: Principles for screening of the disease or condition, which of the following is not one of the principles?

Answer: During the disease or condition must have had symptoms have enough time to check

Choices:
A. The disease or condition must have a higher morbidity or mortality
B. The disease or condition or need to have a higher prevalence of high incidence
C. During the disease or condition must have had symptoms have enough time to check
D. The disease or condition must be widely accepted treatment, and can improve the prognosis of the disease

screening
disease
condition
following
not one


Question: Which of the following drug treatment of asthma, only suitable for prophylactic administration, if the asthma attack has been, given the drug had no effect?

Answer: nedocromil

Choices:
A. albuterol
B. theophylline
C. salmeterol
D. nedocromil

following drug treatment
asthma
only suitable
prophylactic administration
asthma attack
given
drug
no effect


Question: 40-year-old Li female ⼠ about three years ago, a diagnosis of the whole chest upwards lupus erythematosus (systemic lupus erythematosus), in addition to the relevant section of the onset of pain and swelling and had erythema your skin, nearly 2 years and still relatively stable condition. Li female ⼠ past experience ⾎ know ⾎ in anti Center Weighted lipid antibodies (anticardiolipin antibodies) A HIGH, 3 times the upper limit of normal, but in the past had not been made ⽣ ⾎ tube embolism. The left leg due to acute swelling and pain ⾄ emergency room for treatment, imaging studies ⾒ left leg deep vein thrombosis (deep vein thrombosis). The following disposal whichever is most appropriate?

Answer: Plus-connector serving warfarin, desired destination time standard international normalized ratio (INR) 2.0 ~ 2.5

Choices:
A. Plus aspirin, 100 mg per date
B. Plus-connector serving warfarin, desired destination time standard international normalized ratio (INR) 2.0 ~ 2.5
C. To apply it immediately ADVANCED dose steroid therapy
D. ⾎ plus new anticoagulant drugs (new oral anticoagulants, NOAC)

40 year old Li female
three years
diagnosis
whole chest
lupus erythematosus
systemic lupus erythematosus
in addition to
relevant section
onset
pain
swelling
erythema
skin
nearly
years
stable condition
Li female
past
anti Center Weighted lipid antibodies
anticardiolipin antibodies
HIGH
times
upper limit of normal
past
not
made
tube embolism
left leg due to acute swelling
pain
emergency room
treatment
imaging studies
left leg deep vein thrombosis
deep vein thrombosis
following
most appropriate


Question: 25. The following narrative about the beating heart coronary artery bypass surgery (off-pump coronary artery bypass grafting), and what's right? ① need to use heparin ② artificial heart-lung machine without standby ③ ④ not have to lower the body temperature will not lead to stroke

Answer: Only ①③

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④


Question: A 4-year-old children, usually refuse to eat meat, eat meat barely vomiting, pediatric outpatient psychological treatment in track. Since the child varicella (a Varicella), fever and confusion is to an emergency, blood examination revealed blood ammonia (Ammonia) high concentrations, further examination showed the enzyme arginine (Arginase) gene abnormality. The following related statements is true?

Answer: The action of the enzyme arginine urea can be produced directly

Choices:
A. Meat food will improve his symptoms
B. Because the human body has cerebral vascular barrier (Blood-brain barrier), so that ammonia does not enter the brain, and therefore should not be confusion caused by ammonia
C. The action of the enzyme arginine urea can be produced directly
D. Krebs cycle enzymes arginine is an important enzyme (Tricarboxylic cycle) of


Question: Following that patients are less likely to have amblyopia (amblyopia)?

Answer: Exotropia (intermittent exotropia)

Choices:
A. Right eye strabismus (esotropia)
B. Hyperopic two unequal visual (anisometropia)
C. Monocular congenital cataract (congenital cataract)
D. Exotropia (intermittent exotropia)

Following
patients
less likely to
amblyopia
amblyopia


Question: Preterm children with respiratory distress syndrome, mainly due to the abnormal cell function Which of the following?

Answer: Type II alveolar cells (typeⅡpneumocytes)

Choices:
A. Type I alveolar cells (typeⅠpneumocytes)
B. Type II alveolar cells (typeⅡpneumocytes)
C. Cells brush (brush cells)
D. Clara cells

Preterm children
respiratory distress syndrome
due to
abnormal cell function
following


Question: Studies on nude mice (nude mice) in tumor immunity, the following statements is wrong?

Answer: Nude mice normal T cells and B cells; activated but not normal machine transfer, the poor immunity

Choices:
A. Human tumors in nude mice commonly used in laboratories; because of its rejection of tumor cell growth is poor
B. Nude mice normal T cells and B cells; activated but not normal machine transfer, the poor immunity
C. Natural killer cells in nude mice still has a role in tumor rejection
D. Tumor growth in nude mice immunized monitoring faster and less


Question: Patient complained of left upper quadrant pain and fever, increase the number of blood leukocytes. Computer tomography presented figures. That one of the following early diagnosis most correct?

Answer: spleen abscess

Choices:
A. spleen abscess
B. left psoas muscle abscess
C. colon diverticulitis
D. peripancreatic abscess

Patient
left upper quadrant pain
fever
increase
number
blood leukocytes
Computer tomography
one
following early diagnosis most correct


Question: 60-year-old epilepsy patients taking antiepileptic drugs following a certain kind, at the beginning of taking the first two weeks of its good results, but began occasional episodes of epilepsy after taking four weeks after the drug concentration in blood during the detection, found that the drug the concentration of the medication with the extension of the period of gradually decreasing, it may take one of the following antiepileptic drugs?

Answer: carbamazepine

Choices:
A. gabapentin
B. ethosuximide
C. carbamazepine
D. primidone

60 year old epilepsy patients
antiepileptic drugs following
certain kind
beginning
first two weeks
good results
began occasional episodes of epilepsy
four weeks
drug concentration
blood
detection
found
drug
concentration
medication
extension
period
decreasing
one
following antiepileptic drugs


Question: Following that kind of pathogen most vertical infection between mother and son infrequently?

Answer: Epstein-Barr virus

Choices:
A. Cytomegalovirus
B. Syphilis
C. Rubella
D. Epstein-Barr virus

Following
kind
vertical infection
infrequently


Question: Related to salivary gland tumors (tumors of salivary gland), the following statements is wrong?

Answer: About 80% of salivary gland tumors are malignant

Choices:
A. Salivary gland tumors usually occur in three major salivary glands (major salivary glands)
B. Only a small portion of the salivary gland tumors occur in the oral mucosa minor salivary glands (minor salivary glands)
C. About 80% of salivary gland tumors are malignant
D. Minor salivary gland tumors (minor salivary gland tumors) most likely to occur in the palate (Palate)

Related
salivary gland tumors
tumors of salivary gland
following
wrong


Question: 88 year old woman living in a nursing home, not very good physical condition, urine and defecation disorders solvability recently, within the entire clinic found that uterine prolapse to the genital area, following what treatment more appropriate?

Answer: Try a pessary (trial of pessary)

Choices:
A. Transabdominal uterine suspension surgery (transabdominal uterine suspension)
B. Try a pessary (trial of pessary)
C. Vaginal surgery will close (colpocleisis)
D. Transvaginal uterine suspension surgery (transvaginal uterine suspension)


Question: Sympathetic norepinephrine released after 74 acting β1 receptor, leading to increased cAMP, protein kinase A activation, which will phosphorylated protein following myocardial contractility?

Answer: L-type Ca2+ channel

Choices:
A. L-type Ca2+ channel
B. lipase
C. glycogen phosphorylase
D. guanylate cyclase


Question: Following that kind of treatment of Parkinson's disease drugs, Rongyifasheng prostate enlargement and gastrointestinal side effects such as occlusion?

Answer: benztropine

Choices:
A. deprenyl
B. levodopa
C. bromocriptine
D. benztropine

Following
kind
treatment
Parkinson's disease drugs
prostate enlargement
gastrointestinal side effects
occlusion


Question: IL-2 receptor (receptor) is composed of three chains, when T cells are activated, it showed a large chain constructed of high affinity IL-2 receptor?

Answer: α chain

Choices:
A. α chain
B. β chain
C. γ chain
D. δ chain

IL-2 receptor
receptor
three chains
large chain
high
IL-2 receptor


Question: 1728-year-old male, no past medical history, his right leg fracture, internal fixation accepted. Lumbar epidural anesthesia to block the implementation of surgery. Before anesthesia blood pressure of 120/80 mmHg, at 70 beats per minute; push Ends containing 17 mL 1: 2% lidocaine solution after three minutes 200,000 epinephrine, the patient complained of dizziness, hemp mouth, tinnitus, blood pressure at this time was 140 / 92 mmHg, at 110 beats per minute, followed by systemic patients cramps. What Will most likely diagnosis in this case?

Answer: Unexpected lidocaine intravenously (inadvertent lidocaine intravascular injection)

Choices:
A. Seizures (epilepsy attack)
B. Stroke (stroke)
C. Unexpected lidocaine intravenously (inadvertent lidocaine intravascular injection)
D. Electrolyte imbalance (electrolytes imbalance)

year old male
past medical history
right
internal fixation accepted
Lumbar epidural anesthesia to block
surgery
anesthesia blood pressure
80 mmHg
70 beats per minute
push Ends containing
mL 1
2
lidocaine solution
three minutes 200
epinephrine
patient
dizziness
hemp mouth
tinnitus
blood pressure
time
mmHg
beats per minute
followed by systemic patients cramps
most likely diagnosis
case


Question: A 40-year-old woman, hospitalized with sepsis due to pneumonia receive antibiotics. The first 20 days of hospitalization, the occurrence of a swollen abdomen and bowel sounds disappear. Imaging studies have found that the expansion of the small intestine intestinal obstruction phenomenon. Clostridium difficile stool toxin test positive. Colonoscopy found on inflamed mucous membrane, there are many yellow plaque. Observed under the microscope, its most colorectal lesions Which of the following possible changes?

Answer: Fibrin, mucus and inflammatory debris

Choices:
A. Granulomatous inflammation
B. Large full thickness of the intestinal wall coagulation necrosis
C. Clear strip subepithelial collagen deposition
D. Fibrin, mucus and inflammatory debris


Question: A 42-year-old woman because of congestive heart failure underwent cardiac catheterization examination, left ventricular pressure and pulmonary capillary pressure resulting in the following figure, the following statements is true?


Question: Which of the following emphysema (emphysema) and α1-antitrypsin deficiency is most relevant?

Answer: Pan-acinar emphysema (panacinar emphysema)

Choices:
A. Central acinar emphysema (centriacinar emphysema)
B. Pan-acinar emphysema (panacinar emphysema)
C. Next septum emphysema (paraseptal emphysema)
D. Irregular emphysema (irregular emphysema)

following emphysema
emphysema
1 antitrypsin deficiency
most relevant


Question: Miss Zhang, 32 years old, has not previously been pregnant or history of a particular disease, due to serous ovarian cancer undergoing total hysterectomy and bilateral salpingo resection, next to the pelvic and para-aortic lymph nodes removed, retinal surgery, postoperative pathology report found the right ovary, pelvic lymph nodes, para-aortic lymph node invasion, omentum greater than two centimeters of tumor metastasis, but the left side of the uterus and ovaries are no tumor invasion, lung CT showed no tumor, which of the following statements is correct?

Answer: Patients should receive postoperative chemotherapy drugs paclitaxel and platinum-containing chemotherapeutic drug of choice

Choices:
A. Patients were stage IV ovarian cancer patients
B. IIc patients for the first phase
C. Patients should receive postoperative chemotherapy drugs paclitaxel and platinum-containing chemotherapeutic drug of choice
D. Patients should receive postoperative chemotherapy, radiation therapy plus abdomen

Miss
years old
not
pregnant
history of
disease
serous ovarian cancer
total hysterectomy
bilateral salpingo resection
next to
pelvic
para-aortic lymph nodes removed
retinal surgery
postoperative
found
right ovary
pelvic lymph nodes
para-aortic lymph node invasion
omentum greater than two centimeters
tumor metastasis
left side
uterus
ovaries
tumor invasion
lung CT
tumor
following
correct


Question: From the previous question, cardiac ultrasound examination, confirm the diagnosis. It also found that pulmonary hypertension, a diagnosis that the following is most likely?

Answer: Ventricular septal defect

Choices:
A. Law Rockwell Snap disease
B. Pulmonary stenosis
C. Ventricular septal defect
D. Pulmonary valve atrophy merge patent ductus arteriosus

previous
cardiac
confirm
diagnosis
found
pulmonary hypertension
diagnosis
following


Question: Which is not an early symptom of hepatic coma?

Answer: diarrhea

Choices:
A. Personality changes
B. Sleep patterns change
C. Inattention
D. diarrhea


Question: Marathon runner collapsed after just finish the course, the reason to Which of the following most common?

Answer: Lower blood pressure

Choices:
A. Arrhythmia
B. Lower blood pressure
C. The blood concentration of sodium ions is too low
D. Blood sugar is too low

Marathon collapsed finish course following common


Question: To diagnose the symptoms as much as polycystic kidney disease (polycystic kidney disease) and screening (screen) whether the family has the disease, the most convenient way to that kind?

Answer: Ultrasound (sonography)

Choices:
A. Nuclear Magnetic Resonance (MRI)
B. Computed tomography (CT scan)
C. Ultrasound (sonography)
D. Genetic analysis (gene linkage analysis)

To diagnose
symptoms
much
polycystic kidney disease
polycystic kidney disease
screening
disease
most convenient
kind


Question: 21 a newborn baby, physical examination revealed a large abdominal bladder, and get in front of the abdomen can touch both kidneys. Nursery nurse observed the baby's urine seeps drop by drop from the urethra to the diaper. Cystourethrography check (voiding cystourethrogram) as shown in the accompanying drawings. Which of the following is the most likely diagnosis?

Answer: Posterior urethral valve (posterior urethral valves)

Choices:
A. Ureteropelvic junction obstruction (ureteropelvic junction obstruction)
B. Ureteral junction obstruction (ureterovesicle junction obstruction)
C. Posterior urethral valve (posterior urethral valves)
D. Prune-belly syndrome (Prune-belly syndrome)

newborn baby
revealed
large abdominal bladder
get
front of
abdomen
touch
kidneys
Nursery nurse observed
baby's urine
drop
urethra
diaper
check
voiding cystourethrogram
following
diagnosis


Question: malignant lesions Duodenum, the Which of the following most common?

Answer: Adenocarcinoma

Choices:
A. Adenocarcinoma
B. Lymphoma
C. Leiomyosarcoma
D. Metastasis

malignant lesions Duodenum
following
common


Question: A male college students are in love, suddenly fell ill of severe weakness, fatigue, fever, sore throat and swollen glands and other symptoms, the physician after the diagnosis given ampicillin (Ampicillin) rash, blood smears after treatment atypical lymphocytes is observed, and measured in serum heterophile antibodies (heterophile antibody). The following describes the diseases related to what's right?

Answer: Increased by the EB virus (Epstein-Barr virus) infection caused by infectious mononucleosis ball syndrome (infectious mononucleosis)

Choices:
A. Increased by the EB virus (Epstein-Barr virus) infection caused by infectious mononucleosis ball syndrome (infectious mononucleosis)
B. Immunity by the HIV virus (Human immunodeficiency virus) infection caused by the Deficit Disorder
C. Cytomegalovirus (Cytomegalovirus) infection caused by such an increase in disease monocytogenes (mononucleosis-like)
D. By the herpes simplex virus (Herpes simplex virus) caused by infection of the throat

male
fell ill
severe weakness
fatigue
fever
sore throat
swollen glands
symptoms
physician
diagnosis
ampicillin
Ampicillin
rash
blood smears
atypical lymphocytes
observed
measured
serum heterophile antibodies
heterophile antibody
following
diseases related
right


Question: 13 in the large arteries transposition disease congenital corrective of (congenitally corrected transposition of great arteries), the more commonly seen in SLL (Situs solitus, L-loop, L-Transposition) if combined with ventricular septal defect, it conducting tissue where is?

Answer: Ventricular septal defect is located above the edge

Choices:
A. Ventricular septal defect is located above the edge
B. Ventricular septal defect is located below the edge
C. Usually ventricular septal defect and the lower edge in the same
D. Ventricular septal defect edges and far apart conductive tissue


Question: For patients without adherence (non-compliance), the physician shall scrutinize and actively reasons to be eliminated. But the cause of the poor following the doctor's advice, whichever physician must respect the patient's wishes can only do not have to actively exclude it?

Answer: Differences in physician and patient Values

Choices:
A. Poor doctor-patient communication
B. Patients of physicians lack a sense of trust
C. Psychological or mental factors
D. Differences in physician and patient Values

non-compliance
physician
to
eliminated
cause
poor following
doctor's
physician
patient's wishes
only
not
to
exclude


Question: Related classes ⽒ filarial (Wuchereria bancrofti) infection, the following statements is wrong?

Answer: Direct micro filarial (microfilaria) when injected into the body of the vector mosquito suck Face ⾎

Choices:
A. Direct micro filarial (microfilaria) when injected into the body of the vector mosquito suck Face ⾎
B. In lymphatic parasites develop into adults
C. Only at night will amount zoomed micro filarial (microfilaria) liquid appears at the tip ⾎
D. In chyluria (chyluria) may also be found in micro filarial (microfilaria)


Question: Primer (primer) is required when the material DNA replication, which of the following as the main function of the primer?

Answer: Determining a start point and direction of DNA biosynthesis, a hydroxyl group (-OH) as an extension of the DNA with

Choices:
A. A start point and a direction to induce biosynthesis of DNA, and the end decision biosynthesis
B. DNA helicase to help work the double helix, induced DNA synthesis raw
C. Determining a start point and direction of DNA biosynthesis, a hydroxyl group (-OH) as an extension of the DNA with
D. May decide to leading shares (leading strand), but can not decide to form slow shares (lagging strand) of

required
DNA replication
following
main function


Question: When the orbit (orbit) fractures, most likely due to muscle within the following fall into the orbit where the sinuses, and double vision (diplopia)?

Answer: Maxillary sinus (maxillary sinus)

Choices:
A. Maxillary sinus (maxillary sinus)
B. After the ethmoid sinus (posterior ethmoidal sinus)
C. Frontal sinus (frontal sinus)
D. Anterior ethmoid sinus (anterior ethmoidal sinus)

orbit
orbit
fractures
likely due to muscle
following fall
orbit
sinuses
double vision
diplopia


Question: From the previous question, which is often, repeated sexual ⿐ a ⾎ Face of the disease, the Ministry of ⿐ disposal, which of the following best?

Answer: ⽪ flap your watch surgery

Choices:
A. ⾎ duct ligation
B. ⾎ tube photography and embolism
C. A resection of the ⿐
D. ⽪ flap your watch surgery

previous
often
repeated
Face of
disease
following best


Question: The following account of the liver (liver) the development, whichever is correct?

Answer: The sixth week of embryonic development hematopoietic activity

Choices:
A. Central intestinal (midgut) derived from
B. Cable liver (hepatic cord) derived from the mesoderm
C. Freund library cells (Kupffer cell) derived from the endoderm
D. The sixth week of embryonic development hematopoietic activity

following account
liver
liver
development
correct


Question: Now known hepatitis viruses, the following description that a mistake?

Answer: D Type A hepatitis need help to infection and replication of

Choices:
A. A and E transmitted fecal-oral route of infection
B. A, C, D and E are Type nucleic acid RNA, type B is only partially double-stranded cyclic (partially double-stranded
C. B and C can lead to chronic hepatitis
D. D Type A hepatitis need help to infection and replication of


Question: Determining a diagnosis of toxoplasmosis (toxoplasmosis) of the patient, measured obtaining serum anti-Toxoplasma (Toxoplasma gondii) IgG antibodies were positive, while also having a high titer measured IgM positive, this patient may be deduced:

Answer: Toxoplasmosis infection in the recent 3-6 months

Choices:
A. Toxoplasmosis infection in the recent 3-6 months
B. In the past 1-2 years of infection Toxoplasmosis
C. 2 years ago Toxoplasma infection
D. Can not judge

diagnosis
toxoplasmosis
toxoplasmosis
patient
measured obtaining serum
IgG antibodies
positive
high titer measured IgM positive
patient


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

Answer: The spinous process ligament (Supraspinous ligament) spinous process of the second cervical vertebra to the sacrum

Choices:
A. The posterior longitudinal ligament (Posterior longitudinal ligament) positioned within the spinal (vertebral canal)
B. The spinous process ligament (Supraspinous ligament) spinous process of the second cervical vertebra to the sacrum
C. Ring shaft main action joint (Atlantoaxial joint) is rotation (rotation)
D. Spine may be bent (flexion), elongation (Extension) and the rotational motion


Question: 7-year-old boy, because of cold extremities, dizziness, and abdominal pain to hospital for treatment. According to family members described the boy has a cold (common cold) symptoms on 4 days ago. Blood pressure of 70/48 mmHg; liver was palpable 4 cm in the right rib. ECG FIG. Which of the following is the correct diagnosis?

Answer: Complete atrioventricular block (complete atrioventricular block)

Choices:
A. Ventricular tachycardia (ventricular tachycardia)
B. Complete atrioventricular block (complete atrioventricular block)
C. Atrial flutter (atrial flutter)
D. Ectopic atrioventricular tachycardia (junctional ectopic tachycardia)

year old boy
cold extremities
dizziness
abdominal pain
hospital
treatment
boy
cold
common cold
symptoms
4 days
Blood pressure
70 48 mmHg
liver
palpable 4 cm
right rib
ECG
following
correct diagnosis


Question: 29 six weeks after surgery, Mr. Cai and then to the clinic and complained to each meal two, thirty minutes have palpitations (palpitation), dizziness (dizziness), sweating (sweating), abdominal cramps (cramping abdominal pain ) and diarrhea (diarrhea) and so on. That one of the following disposal priority?

Answer: dietary advice and counseling that symptoms will probably abate

Choices:
A. antispasmodic medication
B. dietary advice and counseling that symptoms will probably abate
C. workup with neuroendocrine tumor
D. preparation for revision to Roux-en-Y anastomosis

29 six weeks
surgery
Mr
Cai
then
clinic
two
thirty minutes
palpitations
palpitation
dizziness
dizziness
sweating
sweating
abdominal cramps
cramping abdominal
diarrhea
diarrhea
so
one
following
priority


Question: Pregnant women given low doses of aspirin, which can cause the following physiological changes?

Answer: Reducing thromboxane

Choices:
A. Reducing thromboxane
B. Increase prostacyclin
C. Increase in prostaglandin E2
D. Increased prostaglandin F

given low doses
aspirin
cause
following physiological changes


Question: From the previous question, the most appropriate surgical approach are:

Answer: Ladd's procedure

Choices:
A. duodenoplasty
B. partial pancreatectomy
C. duodenojejunostomy
D. Ladd's procedure

previous
most appropriate surgical approach


Question: That one of the following diuretics nephrogenic diabetes insipidus (nephrogenic diabetes insipidus) can reduce the symptoms of polyuria and polydipsia it?

Answer: hydrochlorothiazide

Choices:
A. amiloride
B. torsemide
C. hydrochlorothiazide
D. brinzolamide


Question: Which of the following virus does not cause viral hemorrhagic fever (viral hemorrhagic fever)?

Answer: Norovirus (Norwalk virus)

Choices:
A. Lhasa viruses (Lassa virus)
B. Filamentous virus (Filoviruses)
C. Norovirus (Norwalk virus)
D. Yellow fever virus (Yellow fever virus)

following
not cause viral hemorrhagic fever
viral hemorrhagic fever


Question: Which of the following diseases are resulting in low thyroid function in adults with spontaneous (spontaneous hypothyroidism) the most common cause?

Answer: Hashimoto's thyroiditis (Hashimoto's thyroiditis)

Choices:
A. Plummer's disease
B. Graves 'hyperthyroidism (Graves' disease)
C. Thyroid cancer
D. Hashimoto's thyroiditis (Hashimoto's thyroiditis)

following diseases
resulting in low thyroid function
adults
spontaneous
spontaneous hypothyroidism
most common cause


Question: To the biologically active substance (biological response modifiers), for example, Bacille Calmette-Guerin (BCG) to enhance immune responses against tumors, belonging to:

Answer: Active immunization, non-antigen-specific

Choices:
A. Active immunization, non-antigen-specific
B. Active immunization with antigen-specific
C. Passive immunity, non-specific antigen
D. Passive immunization with antigen-specific

biologically active
biological response modifiers
to
immune responses
tumors


Question: A 81-year-old man, was sent to the emergency due to loss of consciousness, no signs of life when the hospital. You immediately perform CPR, findings show that on electrocardiogram cardiac arrest (asystole), ready to begin the administration and intubation. The following description of the disposal, whichever is most appropriate?

Answer: May be administered epinephrine 1 mg, administered 3-5 times per 1 minute

Choices:
A. May be administered epinephrine 1 mg, administered 3-5 times per 1 minute
B. Vasopressin 40 U may be used instead of epinephrine, you can use up to 3 times
C. Recommend the use of transdermal pacemaker (transcutaneous pacemaker)
D. Before the administration must first post-intubation success, otherwise ineffective

81 year old man
sent
emergency due to loss of consciousness
signs
hospital
immediately perform CPR
findings
electrocardiogram cardiac arrest
asystole
ready to begin
administration
intubation
following
most appropriate


Question: Pairing related eye structure and the source of the development of the following, whichever is wrong?

Answer: Interstitial tissue - diastolic pupil / sphincter (dilator / sphincter pupillae)

Choices:
A. Interstitial tissue (mesenchyme) - ciliary (ciliary muscle)
B. Interstitial tissue - diastolic pupil / sphincter (dilator / sphincter pupillae)
C. Neural crest (neural crest) - iris stroma (stroma of iris)
D. Surface ectoderm (surface ectoderm) - bubble lens (lens vesicle)

related eye structure
source
development
following
wrong


Question: About initiation phase of protein synthesis in prokaryotes (initiation stage), the following statements is true?

Answer: mRNA 5 'end of the Shine-Dalgarno sequence and 30S ribosomal will (ribosome 30S) of the 16S rRNA 3' end of the paired

Choices:
A. fMet-tRNAifMet can be used simultaneously in the initiation of protein synthesis (Initiation) and extension (elongation) Stage
B. fMet-tRNAifMet incorporated in the P position of the 80S initiation complex (P Site)
C. mRNA 5 'end of the Shine-Dalgarno sequence and 30S ribosomal will (ribosome 30S) of the 16S rRNA 3' end of the paired
D. Initiation factor (initiation factor) IF1 fMet-tRNAifMet promotes binding at A


Question: From the previous question, after the infusion of whole blood, platelets and fresh plasma, reduction of 3 hours the amount of bleeding to about 300 ml, but the reduction of 4 hours to about 50 ml, while the patient heart rate to about 120 beats per minute , systolic blood pressure to pressure of about 80 to 90 mmHg, central venous pressure of about 20 mm Hg, urine volume also decreased, patients have cold extremities and sweating phenomenon, what is this phenomenon?

Answer: The so-called low cardiac output state

Choices:
A. Hypoglycemia performance
B. A typical blood transfusion allergic reactions
C. Parasympathetic reflex phenomenon
D. The so-called low cardiac output state

previous
infusion
whole blood
platelets
fresh plasma
reduction
hours
amount
bleeding
about 300 ml
reduction
hours
about 50 ml
patient
minute
systolic blood pressure to pressure
80
90 mmHg
central venous pressure
20 mm Hg
urine volume
decreased
patients
cold extremities
sweating


Question: Which of the following test results on behalf of the patient may have renal azotemia (prerenal azotemia)?

Answer: urine creatinine/plasma creatinine（UCr/PCr）>40

Choices:
A. blood urea nitrogen /plasma creatinine（BUN/PCr）ratio< 10:1
B. urine sodium（UNa）>40 meq/L
C. urine osmolality <350 mOsmol/kg H2O
D. urine creatinine/plasma creatinine（UCr/PCr）>40

following test
renal azotemia
prerenal azotemia


Question: Which of the following neutral (Neutral) characteristic of promoting the diffusion of a substance across a membrane (facilitated diffusion) of?

Answer: When increasing the concentration of the metabolite, there conveying speed limit

Choices:
A. This reaction is a need to be able
B. Depends on the membrane potential (membrane potential)
C. When increasing the concentration of the metabolite, there conveying speed limit
D. Conveying speed and metabolite concentrations are plotted in FIG presenting linear

following neutral
Neutral
characteristic
diffusion
membrane


Question: As the energy storage of molecular biology, which of the following unit dry weight of the highest energy storage?

Answer: triacylglycerols

Choices:
A. carbohydrates
B. proteins
C. nucleic acids
D. triacylglycerols

energy storage
molecular biology
of
following unit dry weight
energy storage


Question: To select valproate to treat acute manic episodes (acute mania), effective blood concentration is much μg / mL?

Answer: 50～120

Choices:
A. 0.6～1.2
B. 4～10
C. 10～15
D. 50～120

To
valproate to treat acute manic episodes
acute mania
effective blood concentration
g
mL


Question: Streptococcus pyogenes (Streptococcus pyogenes) after infection, sometimes causing arthritis, myocarditis, heart valve damage, the reason why?

Answer: Since the above-described antigen of S. pyogenes antigenic tissue similar molecules (molecular mimicry), resulting in an autoimmune response

Choices:
A. Since the above-described antigen of S. pyogenes antigenic tissue similar molecules (molecular mimicry), resulting in an autoimmune response
B. Antibiotic treatment of Streptococcus pyogenes infections caused by drug harm
C. After infection of Streptococcus pyogenes, due to activation of FoxP3 gene, regulatory T cells (Treg cells) due to the increase
D. Excessive growth of Streptococcus pyogenes, due to direct damage to tissue

infection
sometimes causing arthritis
myocarditis
heart valve damage


Question: Implementation of prenatal diagnosis of genetic amniocentesis (amniocentesis) is common in the first few weeks time (gestational age) pregnancy?

Answer: 14 to 20 weeks

Choices:
A. 10 ~ 13 weeks
B. 14 to 20 weeks
C. 21 to 24 weeks
D. 25 to 30 weeks

prenatal
genetic amniocentesis
amniocentesis
common
first
weeks time
gestational age
pregnancy


Question: A 30-year-old woman for medical treatment due to vaginal bleeding. Her last period was three months ago, but did not receive any busy checking. The medical examination found that her uterus is larger, and the uterine cavity like snowflakes contents exist, but did not find the presence of the fetus. She received endometrial curettage. Illustrates changes under a microscope specimen scraper. She most likely diagnosis Why?

Answer: Hydatidiform mole (hydatidiform mole)

Choices:
A. Choriocarcinoma (choriocarcinoma)
B. Endometrial cancer (endometrial cancer)
C. Hydatidiform mole (hydatidiform mole)
D. Incomplete abortion (incomplete abortion)

30 year old woman
medical treatment
vaginal bleeding
last period
three months
not receive
found
uterus
larger
uterine cavity
not find
presence
fetus
received endometrial curettage
changes
microscope specimen
diagnosis


Question: 10-day-old baby was found tachycardia. ECG showed narrow QRS complex, heart rate 220 beats per minute, P-wave is not obvious. Which of the following most inappropriate disposal?

Answer: The preferred intravenous injection of verapamil

Choices:
A. May first try to stimulate the vagus nerve treatment
B. Be the first to give intravenous adenosine
C. The preferred intravenous injection of verapamil
D. Vital signs stable, given electric shocks synchronous (DC cardioversion)

10 day old baby
found tachycardia
ECG
narrow QRS complex
heart rate
beats per minute
P-wave
not
following
inappropriate


Question: 82 year old man, his family was sent to the emergency, complained of persistent diarrhea three days. A stroke patient to patient, with nasogastric tube feeding, prolonged bed rest, there is the problem of constipation, and the rules will be taking soft drugs, no antibiotics recently. FDH found that the three days and poor appetite, abdominal distension patients, a large number of mucus-like object on the diaper without forming stool. Physical examination found that body temperature is 36.6 ℃, accelerate bowel sounds, the whole abdominal swelling, a slight tenderness (tenderness), anal palpation touch a slightly harder stool in the rectum. So patient clinical manifestations, what do you think the disease is most likely?

Answer: Fecal obstruction (stool impaction)

Choices:
A. Fecal obstruction (stool impaction)
B. Diarrhea caused by stool softeners
C. Acute gastroenteritis (acute gastroenteritis)
D. Pseudomembranous colitis (pseudomembranous colitis)

year old man
sent
emergency
persistent diarrhea three days
stroke patient
nasogastric tube feeding
prolonged bed rest
problem
constipation
soft drugs
recently
FDH found
three days
poor appetite
abdominal distension patients
large number
mucus
diaper
forming stool
Physical examination found
body temperature
36
accelerate bowel sounds
whole abdominal swelling
slight tenderness
tenderness
anal palpation touch
slightly harder stool in
rectum
patient clinical manifestations
disease


Question: 84.30-year-old male patient due to cough and gradually intensified since a month for treatment. Several patients with axillary lymph node small section, spleen tip can touch. Hemoglobin 10.2 g / dl lower, very high white blood cells, platelets decreased. Blood smear figures. The most likely diagnosis is:

Answer: Acute myeloid leukemia (acute myelogenous leukemia)

Choices:
A. Acute myeloid leukemia (acute myelogenous leukemia)
B. Plasma cell leukemia (plasma cell leukemia)
C. Chronic lymphocytic leukemia (chronic lymphocytic leukemia)
D. Acute lymphoblastic leukemia (acute lymphoblastic leukemia)

84 30 year old male patient due to cough


Question: The cover is placed on the throat (laryngeal mask airway) Comparative endotracheal tube (endotracheal tube) is placed, the following statements is wrong?

Answer: Larynx mask is placed to avoid generating the risk of aspiration pneumonia

Choices:
A. Placing the cover throat less intrusive
B. Placing throat cover only a shallow depth of anesthesia
C. May not be placed to cover the throat muscle relaxant
D. Larynx mask is placed to avoid generating the risk of aspiration pneumonia

cover
throat
laryngeal mask airway
endotracheal tube
endotracheal tube
following
wrong


Question: Mr. Lin is a 60-year-old farmer, due to chronic left foot ulcers receiving skin grafts for 12 hours before, returned to postoperative recovery room care ward, left lower extremity to short leg cast immobilization (short leg splint). Lin complained left foot pain, difficulties in walking, requiring removal of plaster, following the disposal of what are the most appropriate?

Answer: After carefully open the plaster bandage, oppression view No traces of bone bump has increased pad spacing, and then at a moderate tightness package back to the original plaster

Choices:
A. Remove all plaster and dressing, skin graft to the wound directly view, do not need to use plaster
B. After carefully open the plaster bandage, oppression view No traces of bone bump has increased pad spacing, and then at a moderate tightness package back to the original plaster
C. Administration Pethidine (pethidine, meperidine, demerol) 50 mg, intramuscular injection, plaster advised Lin nonremovable
D. Anesthesiology note patient-controlled analgesia mounting means (patient-controlled analgesia, PCA), Lin advised gypsum nonremovable


Question: Statements about intracranial aneurysm (cerebral artery aneurysms), the error which of the following?

Answer: Intracranial aneurysms can occur anywhere in the circle of Willis, but more common is the posterior circulation (posterior circulation)

Choices:
A. Also known as berry or saccular aneurysms, vascular usually located at the bifurcation of the common media vascular defect
B. Intracranial aneurysms can occur anywhere in the circle of Willis, but more common is the posterior circulation (posterior circulation)
C. If intracranial aneurysms occur in the posterior circulation, terminal bifurcation of the basilar artery are the most commonly occurs at
D. Within 24 hours if the patient did not die immediately after bleeding, rebleeding is the reason most likely to cause death, and occur in the initial hemorrhage

intracranial aneurysm
cerebral artery aneurysms
error
following


Question: Thumb adduction movements (adduction), can be used as a check that nerve function is complete?

Answer: Ulnar nerve

Choices:
A. Radial nerve
B. Median nerve
C. Ulnar nerve
D. Forearm radial nerve

Thumb adduction movements
adduction
used
check
nerve function
complete


Question: From the previous title, this time most suitable for the treatment Why?

Answer: Respiratory Therapy

Choices:
A. Ringer's lactate supplement
B. Give the shot in the arm
C. Respiratory Therapy
D. Give antibiotics

previous title
time most suitable
treatment


Question: The following narrative about the pathophysiology of COPD, what's wrong?

Answer: COPD patients with abnormal lung function is the structural changes due to chronic inflammation caused by long-term use of anti-inflammatory drugs such as steroids, can be almost completely restored

Choices:
A. COPD inflammation often cause systemic comorbidity (co-morbidities)
B. COPD patients with abnormal lung function is the structural changes due to chronic inflammation caused by long-term use of anti-inflammatory drugs such as steroids, can be almost completely restored
C. COPD can also occur in non-smokers
D. Many involved in the inflammatory response in COPD inflammation media, including IL-8, TNF-α, IL-1β


Question: A 20-year-old female students due to acute abdominal pain and underwent surgery, remove ovarian tumors (shown below), the following are the most accurate diagnosis of what?

Answer: Ovarian teratoma

Choices:
A. Ovarian ectopic pregnancy
B. Ovarian teratoma
C. Simple ovarian cyst
D. Corpus luteum cyst

20 year old female
due to acute abdominal pain
surgery
remove ovarian tumors
following
most accurate diagnosis of


Question: Diabetic patients exhibited dawn phenomenon (dawn phenomenon), and may be related to the secretion of hormones which of the following?

Answer: Growth hormone (GH) 10 Which of the following serological test for syphilis (STS), as a follow-up examinations projects treatment of syphilis patients?

Choices:
A. Glucagon (glucagon of)
B. Insulin (insulin)
C. Pro epinephrine (ACTH)
D. Growth hormone (GH) 10 Which of the following serological test for syphilis (STS), as a follow-up examinations projects treatment of syphilis patients?

Diabetic patients
dawn phenomenon
dawn phenomenon
related
secretion
hormones
following


Question: After inferior cerebellar artery (posteroinferior cerebellar artery) often originate from:

Answer: Vertebral artery (vertebral artery)

Choices:
A. Basilar artery (basilar artery)
B. Anterior spinal artery (anterior spinal artery)
C. Vertebral artery (vertebral artery)
D. MCA (middle cerebral artery)

inferior cerebellar artery
posteroinferior cerebellar artery
often


Question: Statements about mesothelioma (mesothelioma), and Which statement is correct?

Answer: Mesothelioma (mesothelioma) benign small portion

Choices:
A. peritoneal mesothelioma is more common than pleural mesothelioma
B. The pleural fluid or ascites cytology, usually sufficient to diagnose
C. Good prognosis, with a median survival (median overall survival) for 3 years
D. Mesothelioma (mesothelioma) benign small portion


Question: A 65-year-old female, body fat, suffering from diabetes for 10 years, but irregular medical treatment medication, in the armpits, groin and under the breasts appear red itchy spot a week ago, accompanied by pustules around the distribution of satellite-like, Which of the following is the most likely diagnosis?

Answer: Candida infections of the skin (cutaneous candidiasis)

Choices:
A. Impetigo (impetigo)
B. Folliculitis (folliculitis)
C. Herpes simplex virus infections (Herpes simplex virus infection)
D. Candida infections of the skin (cutaneous candidiasis)

65 year old female
body fat
suffering
diabetes
irregular medical
armpits
groin
breasts appear red itchy spot
week
pustules
distribution
satellite
following
diagnosis


Question: Which of the following infections or abnormal immune response has nothing to do?

Answer: Adrenoleukodystrophy disease (adrenoleukodystrophy)

Choices:
A. Multiple sclerosis (multiple sclerosis)
B. Acute disseminated encephalomyelitis (acute disseminated encephalomyelitis)
C. Adrenoleukodystrophy disease (adrenoleukodystrophy)
D. Acute nerve root inflammation (Guillain-Barré syndrome)

following infections
abnormal immune response
to


Question: Vomiting phenomenon infants a few days after birth, was diagnosed as intestinal torsion insufficiency (Malrotation), the main reason why cause this symptom?

Answer: Duodenal obstruction or volvulus (Midgut volvulus)

Choices:
A. Malnutrition
B. Meconium difficult
C. The formation of lung failure
D. Duodenal obstruction or volvulus (Midgut volvulus)

Vomiting
infants
few days after birth
diagnosed
intestinal torsion insufficiency
Malrotation
main
cause
symptom


Question: Surgical treatment of the following indications narrative about inflammatory bowel disease (Inflammatory bowel disease), and what's wrong?

Answer: Extensive small bowel resection surgery should be, because the other jump lesions may cause the above complications

Choices:
A. Surgical complications include the following indications: intestinal blockage, perforation,  tube formation, bleeding, abscess formation
B. Extensive small bowel resection surgery should be, because the other jump lesions may cause the above complications
C. Therefore, children diseases caused growth retardation
D. Non-intestinal complications

Surgical treatment
following indications
inflammatory bowel disease
Inflammatory bowel disease
wrong


Question: Practice informed consent (informed consent), and that is the implementation of ethical principles in medicine?

Answer: Respect for the principle of autonomy (respect for autonomy)

Choices:
A. The principle of beneficence (beneficence)
B. Do no harm principle (non-maleficence)
C. The principles of justice (justice)
D. Respect for the principle of autonomy (respect for autonomy)


Question: Clinical use on Wood's light (Wood's lamp) is, which of the following error?

Answer: Skin pigment lesions such as freckles, Wood's light irradiation coloration fades

Choices:
A. The light source is an ultraviolet light, UVA wavelength range belonging to
B. Skin pigment lesions such as freckles, Wood's light irradiation coloration fades
C. Under Wood's light observation, the dermal layer of pigmented lesions compared with no change in contrast
D. Under observation, the lack of melanin cells in the lesions, the contrast will increase Wood's light

Clinical use
Wood's light
following error


Question: A 38-year-old woman, the last year a total of depressive episodes occur four times, but converted into irritable after changing several antidepressant treatment, thinking become Emmanuel, more than words, increased activity, and credit card chaos, resulting in family great distress. The following statements is wrong?

Answer: Rapid cycling (rapid cycling) due mainly genetic, drug and pressure are not associated

Choices:
A. Antidepressant treatment alone often can not improve bipolar disorders (bipolar disorder) of the depressive episodes, and need combined mood stabilizer
B. The new mood stabilizer lamotrigine prevention of depressive episodes of bipolar disorder than the prevention of manic episodes
C. Slowly increasing doses of lamotrigine less likely to cause Steven - Johnson syndrome (Stevens-Johnson Syndrome) and other side effects
D. Rapid cycling (rapid cycling) due mainly genetic, drug and pressure are not associated


Question: A 21-year-old male patient complained of recurrent swelling in the knee on both sides over the years. The picture shows the X-ray photography knee Zhizuo treatment. Why is the most likely diagnosis?

Answer: hemophilic arthropathy

Choices:
A. rheumatoid arthritis
B. gouty arthritis
C. septic arthritis
D. hemophilic arthropathy

21-year-old male patient
recurrent swelling
knee
sides
years
picture
X-ray
knee
treatment
diagnosis


Question: 77-year-old woman, a sudden abdominal pain after meals, two hours later because they can not alleviate the emergency room for help triage patients displayed 118 beats per minute, blood pressure of 113/75 mmHg, physical examination, a clear rebound abdominal pain, chest X light follows, the patient most likely disease why?

Answer: Peptic ulcer perforation

Choices:
A. Peptic ulcer perforation
B. Biliary obstruction
C. Acute pancreatitis
D. Volvulus

year old woman
sudden abdominal pain
meals
two hours later
not
emergency room
help triage patients displayed
beats per minute
blood pressure
75 mmHg
clear
abdominal pain
chest
light follows
patient
likely disease


Question: Which of the following cell medium and sepsis compared with non-related?

Answer: Angiogenic factor (Angiogenin)

Choices:
A. TNF (Tumor necrosis factor)
B. Nitric oxide (Nitric oxide)
C. Angiogenic factor (Angiogenin)
D. Myocardial depressant substance (Myocardial depressant substance)

following cell medium
sepsis
non related


Question: In the context of health promotion work in schools, teachers and students work together to create and provide a safe environment, and establish a friendly campus, that belongs to one of the following categories?

Answer: Strengthen school social environment

Choices:
A. Provide health services
B. Strengthen health education programs and activities
C. Improving the physical environment of schools
D. Strengthen school social environment

context
work
schools
teachers
together to create
safe environment
establish
friendly
one
following


Question: Under the eye are heading (nasal lower) the direction that the watching, following what must rely on external eye muscle group together for Use?

Answer: Medial rectus (medial rectus muscle) and oblique upper (superior obique muscle)

Choices:
A. Medial rectus (medial rectus muscle) and inferior rectus (inferior rectus muscle)
B. Medial rectus (meeial rectus muscle) and a lower oblique (inferior oblique muscle)
C. Medial rectus (medial rectus muscle) and oblique upper (superior obique muscle)
D. Medial rectus (medial rectus muscle) and superior rectus (superior rectus muscle)

eye
heading
nasal lower
direction
following
external eye muscle group together
Use


Question: The following pathological changes under conditions of high pressure ⾎ nephrosclerosis (hypertensive nephrosclerosis) lesions are least likely to associate the resulting hair:

Answer: Venous sclerosis (phlebosclerosis)

Choices:
A. ⼩ renal glomerulosclerosis (glomerulosclerosis)
B. ⼩ arteriosclerosis (arteriosclerosis)
C. Arteriolosclerosis (arteriolosclerosis)
D. Venous sclerosis (phlebosclerosis)

following pathological changes
conditions
high pressure
nephrosclerosis
hypertensive nephrosclerosis
lesions
least likely to associate
resulting hair


Question: What tapeworm larvae can develop in the villi of the small intestine?

Answer: Short envelope tapeworm (Hymenolepis nana)

Choices:
A. Multilocular Health package tapeworms (Echinococcus multilocularis)
B. Short envelope tapeworm (Hymenolepis nana)
C. Wide section of crack head tapeworm (Diphyllobothrium latum)
D. Dogs complex genital tapeworm (Dipylidium caninum)


Question: A 50-year-old woman, abnormal chest X-ray examination, hospital examination, chest X-ray and CT as shown below, of the most accurate diagnosis should be:

Answer: Nerve tumors (Neurogenic tumor)

Choices:
A. Extramedullary hematopoiesis (Extramedullary hematopoiesis)
B. Nerve tumors (Neurogenic tumor)
C. Lymphoma (Lymphoma)
D. Lung (Lung cancer)

50 year old woman
abnormal chest X-ray
hospital
chest X-ray
CT
of
accurate diagnosis


Question: A 74-year-old male, 10 years ago, began to feel more and more difficult urination, especially at the beginning and the end of urination. Recently even need to get up several times a night to urinate, the urine but not much. Physical examination found that his prostate is twice as large as normal, but the situation does not have tenderness. He had received last year and this year are the prostatic specific antigen testing, the results were slightly higher. His prostate most what changes might occur?

Answer: The glands and stromal cells hyperplastic nodules composed of

Choices:
A. Significant neutrophil infiltration
B. Poorly differentiated fibrous tissue glands irregularly arranged in the
C. The glands and stromal cells hyperplastic nodules composed of
D. Granulomatous inflammation with caseation reaction

74 year old male
began to
more
more difficult urination
beginning
end
urination
Recently
need to get
times
night to
urine
not
found
prostate
twice
large
normal
not
tenderness
received
year
year
prostatic specific antigen testing
results
slightly higher
prostate
changes
occur


Question: Similar measurements (similarity testing) for detecting the most commonly measured and idiom:

Answer: Abstract thinking (abstract thinking)

Choices:
A. Memory (memory)
B. Abstract thinking (abstract thinking)
C. Judgment (judgment)
D. Orientation (orientation)

Similar measurements
similarity testing
detecting
most
measured


Question: Complementarity determining region (complementarity-determining regions) of an antibody molecule can be:

Answer: Binding to the antigen

Choices:
A. Activation of complement (complement activation)
B. Binding to the antigen
C. Decided subtype antibodies (subclasses)
D. Decision-idiotype (allotypes)

Complementarity determining region
complementarity-determining regions
antibody


Question: 15 large month-old child, because to get Kawasaki disease (Kawasaki disease) was hospitalized two months ago, and accepting the immune globulin intravenous therapy. Has recovered, you want to make vaccination, Which of the following is the most appropriate vaccinations?

Answer: Streptococcus pneumoniae vaccine

Choices:
A. Measles, rubella, mumps combined vaccine
B. Streptococcus pneumoniae vaccine
C. Chickenpox Vaccine
D. Oral rotavirus vaccine

large month
to
Kawasaki disease
Kawasaki disease
hospitalized two months
accepting
immune globulin intravenous therapy
recovered
to make vaccination
following
most appropriate vaccinations


Question: When the placement of central venous catheters (central venous cannulation), those most likely to occur following complications?

Answer: When selecting antecubital vein, brachial plexus injuries occur

Choices:
A. The selection of right internal jugular vein, the occurrence of pneumothorax
B. The selection of left internal jugular vein, chylothorax occurs
C. The selection of left subclavian vein, the occurrence of pneumothorax
D. When selecting antecubital vein, brachial plexus injuries occur

placement
central venous catheters
central venous cannulation
to occur following complications


Question: Tsetse (tse-tse fly) What can the media following parasitic diseases?

Answer: Sleeping sickness (sleeping sickness)

Choices:
A. Leishmaniasis (kala azar)
B. Sleeping sickness (sleeping sickness)
C. Chagas disease (Chagas' disease)
D. Leishmaniasis disease (Leishmaniasis)


Question: Under normal circumstances, the end of muscular nerve (musculocutaneous nerve) that will form a nerve?

Answer: Forearm lateral cutaneous nerve (lateral cutaneous nerve of forearm)

Choices:
A. Medial arm cutaneous nerve (medial cutaneous nerve of arm)
B. Medial antebrachial nerve (medial cutaneous nerve of forearm)
C. Forearm lateral cutaneous nerve (lateral cutaneous nerve of forearm)
D. Cutaneous nerve forearm rear (posterior cutaneous nerve of forearm)

normal
end
muscular nerve
musculocutaneous nerve
form
nerve


Question: Statements about osteoclasts (osteoclast), and which of the following error?

Answer: Cytoplasm was basophilic

Choices:
A. Located lacunas (Howship's lacunae)
B. Multi-core
C. Cytoplasm has many lysosomes (lysosomes)
D. Cytoplasm was basophilic


Question: Stroke patients to the hospital while two look to the right, which of the following is most likely damaged?

Answer: The frontal right hemisphere (frontal lobe)

Choices:
A. 右側paramedian pontine reticular formation（PPRF）
B. The frontal right hemisphere (frontal lobe)
C. Right oculomotor nerve (oculomotor nerve)
D. Mound on the right side (superior colliculus)

Stroke patients
hospital
two look
right
following
most likely damaged


Question: A 52-year-old woman, suffering from psoriasis symptoms have eight years, the last three months there will be occasional lower back pain. But the most serious is the hands of the distal interphalangeal joint (distal interphalangeal joints) have inflammation, swelling, and deformation as shown in FIG. Which of the following drugs for the treatment of patients most helpful?

Answer: Oral methotrexate

Choices:
A. Topical NSAID ointment
B. Oral methotrexate
C. Hydroxychloroquine
D. Psoralens combined with UV-A irradiation（PUVA therapy）

year old woman
suffering
psoriasis symptoms
eight years
last three months
occasional lower back pain
most serious
the hands of
distal interphalangeal joint
distal interphalangeal joints
inflammation
swelling
deformation
following drugs
most helpful


Question: Which is not to reach the body immune system tolerance to self-machine body (self-tolerance) turn?

Answer: Strain colonies proliferation (clonal proliferation)

Choices:
A. The reaction is not outside (peripheral anergy)
B. Strain off the delete (clonal deletion)
C. Strain colonies proliferation (clonal proliferation)
D. Central tolerance (central tolerance)

not to reach
body immune tolerance
self machine
self-tolerance
turn


Question: After thigh muscle groups, dominated by which of the following?

Answer: Sciatic nerve (sciatic nerve)

Choices:
A. Tibial nerve (tibial nerve)
B. Femoral nerve (femoral nerve)
C. Obturator nerve (obturator nerve)
D. Sciatic nerve (sciatic nerve)


Question: From the previous question, brain MRI (magnetic resonance imaging) is the most typical exception:

Answer: Caudate nucleus atrophy (caudate nucleus atrophy)

Choices:
A. Pons atrophy (pontine atrophy)
B. Teeth nuclear atrophy (dentate nucleus atrophy)
C. Caudate nucleus atrophy (caudate nucleus atrophy)
D. Thalamus atrophy (thalamus atrophy)

previous
brain MRI
magnetic resonance imaging
most typical


Question: Account of Huntington's disease (Huntington disease), the error which of the following?

Answer: With the course of conduct, the severity of chorea (chorea) will gradually increase the

Choices:
A. Possible action before the onset of symptoms for 15 years, will be able to see the caudate nucleus (caudate nucleus) atrophy
B. With the course of conduct, the severity of chorea (chorea) will gradually increase the
C. Degeneration of cognitive functions, mainly in executive function (executive function)
D. Young patients with Parkinson disease may syndrome (parkinsonism) performance

Account
Huntington's disease
Huntington disease
error
following


Question: The most common symptoms of patients with pyogenic liver abscess (pyogenic liver abscess) are chills, fever, following what items anatomy or less likely reason is the way the liver is exposed to the bacteria?

Answer: hepatic vein

Choices:
A. biliary tree
B. hepatic vein
C. portal vein
D. trauma 33.

most common symptoms
patients
pyogenic liver abscess
pyogenic liver abscess
chills
fever
following
anatomy
less likely
liver
exposed
bacteria


Question: Account of epithelioid cell carcinoma of the anus (anal epidermoid carcinoma), and which of the following error?

Answer: Abdominal perineal resection (abdominoperineal resection) is the treatment of choice when metastatic condition (metastatic disease)

Choices:
A. Which is different from the colorectal cancer cell types (rectal cancer)
B. The combined radiation therapy chemotherapy (chemoradiation) is the main treatment
C. Abdominal perineal resection (abdominoperineal resection) is the treatment of choice when metastatic condition (metastatic disease)
D. Groin lymph nodes is possible transfer position, and when the transfer occurred here, the prognosis is usually poor more

Account of
carcinoma
the anus
anal epidermoid carcinoma
following error


Question: A small country outbreak of diarrhea dozens of schoolchildren event has occurred within five days, the symptoms include diarrhea, fever, vomiting, tenesmus (tenesmus). Wherein the stool by the groundwater dozen patients and school teachers and students to wash their hands, a ferment lactose is not an isolated, non-motility of intestinal bacillus families (Enterobacteriaceae) bacteria. Health units to patients subjected to home quarantine, disinfection of groundwater, and the whole school after administration of antibiotics, fortunately further expansion of the epidemic. The following genus, whichever is most likely a result of this incident the culprit?

Answer: Shigella (Shigella)

Choices:
A. Escherichia (Escherichia)
B. Salmonella (Salmonella)
C. Shigella (Shigella)
D. Yersinia (Yersinia)

small country
diarrhea
event
symptoms include diarrhea
fever
vomiting
tenesmus
tenesmus
stool
groundwater
patients
school teachers
to
hands
ferment lactose
not
isolated
non motility
intestinal
families
bacteria
units
patients subjected
home quarantine
disinfection
groundwater
whole school
administration of antibiotics
further
following
result


Question: Relevance of hyperthyroidism and thyroid-related mental illness, Which statement is correct?

Answer: Hyperthyroidism and hypothyroidism are likely to cause cognitive impairment

Choices:
A. Hyperthyroidism can cause irritable mood, ideas and other manic symptoms leap, but as not to cause depressed mood
B. Hyperthyroidism as not appear psychotic symptoms or hallucinations victim of ideas
C. Hyperthyroidism and hypothyroidism are likely to cause cognitive impairment
D. Hyperthyroidism can cause rapid heart beat, but not included in the differential diagnosis of panic disorder

Relevance
hyperthyroidism
thyroid related mental illness
correct


Question: 69. The following drugs, whichever is part of serotonin (5-HT3) antagonist, for the prevention or post-operative nausea caused by chemotherapy when due (chemotherapy), vomiting?

Answer: ondensetron

Choices:
A. methysergide
B. ketanserin
C. cyproheptadine
D. ondensetron

69
following drugs
part of serotonin
5-HT3
antagonist
prevention
post-operative nausea caused
chemotherapy
due
chemotherapy
vomiting


Question: Bearing the title, 50-year-old male patient suffering from the disease in patients with the same problem the, but a wide range of violations by magnetic resonance imaging (Figure) judgment, the patient is less likely to clinical symptoms (Symptoms and signs) occurred's why ?

Answer: hard to swallow

Choices:
A. Right conductive hearing loss
B. Paralysis of the right side of the soft palate
C. Nasal secretions containing the bloodshot
D. hard to swallow

Bearing
title
50 year old male suffering
disease
patients
same problem
wide range
magnetic resonance imaging
patient
less likely
clinical symptoms
Symptoms
signs


Question: A 48-year-old vagrant, previously known to have tuberculosis, but did not take medication. This weeks because of a slight coughing up blood from the emergency room, computer tomography and found that only the right upper lung bronchiectasis, following the disposal of what this ideal patients?

Answer: After the first administration of an effective anti-TB drugs, surgery to remove lung problem

Choices:
A. After the first administration of an effective anti-TB drugs, surgery to remove lung problem
B. To hemostatic, and then continue to track
C. For bronchial angiography, for blood clots
D. Filling plastic surgery for chest wall

48 year old vagrant
known to
tuberculosis
not
medication
weeks
slight coughing
blood
emergency room
computer tomography
found
only
right lung bronchiectasis
following
ideal patients


Question: Which of the following epileptic drugs effect rotation of the machine, does not effect or increase the concentration of synapses (Synapse) of GABA (γ-aminobutyric acid)?

Answer: valproic acid

Choices:
A. valproic acid
B. vigabatrin
C. gabapentin
D. tiagabine


Question: A 83-year-old male with cognitive degradation, to live with her daughter. Daughter was sent to the emergency room, he looked poor nutritional status, body can smell of urine, two upper arm bruise phenomenon, left wrist abrasions. Looks scared eyes, but he denied that anyone hurt him. As an emergency room physician in the diagnosis and treatment of patients should first take, which of the following most appropriate?

Answer: Contact social workers to help deal with

Choices:
A. Told his daughter, the patient may be abused
B. His daughter will ask the patient to take home as soon as possible
C. Contact social workers to help deal with
D. Arrangements urine test

83 year old male
cognitive degradation
to live
sent
emergency room
looked poor nutritional status
body
smell
urine
two upper
left wrist abrasions
Looks
eyes
denied
emergency physician
diagnosis
first
following
appropriate


Question: 16 a 72 year old male suffering from chronic hepatitis C years, liver cirrhosis and ultrasound examination revealed a 3 cm diameter tumor in the right lobe, and 2.5 cm from the surface of the liver, fetal serum protein is 2,019 ng / mL (normal <20 ng / mL), the physical condition of the patient Cloudy, CT showed only a 3 cm tumor without vascular invasion. Further liver function tests (AST, ALT, etc.) value normal, Prothrombin time and platelet normal value, in this situation the initial treatment plan, which of the following should not be the most priority?

Answer: Anticancer drugs chemotherapy (systemic chemotherapy)

Choices:
A. Anticancer drugs chemotherapy (systemic chemotherapy)
B. Surgical resection (surgical resection)
C. Tumor ablation (radiofrequency ablation of the tumor)
D. Hepatic artery embolization (hepatic arterial chemoembolization)

a 72 year old male suffering
chronic hepatitis C years
liver cirrhosis
ultrasound examination revealed
3 cm diameter tumor
right lobe
2
surface of
liver
fetal serum
2
ng
mL
normal
20 ng
mL
physical
patient Cloudy
CT
only
3
tumor
vascular invasion
Further liver function tests
AST
ALT
value normal
Prothrombin time
normal value
initial
following
not
most priority


Question: The following drugs in the treatment of congestive heart failure, whichever is lower preload the most significant effect?

Answer: Furosemide

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

following drugs
treatment
congestive heart failure
lower
most significant effect


Question: Why plague bacillus (Yersinia pestis) is considered to be the more there are potential biological warfare agents?

Answer: Pneumonic plague is easy to infection, and high mortality

Choices:
A. This bacteria widespread in Eurasia, easy separation
B. Now no effective antibiotics can suppress it
C. Easily through mosquito bites, and spread to many people
D. Pneumonic plague is easy to infection, and high mortality

to
more
potential biological warfare agents


Question: 54 year old female patient, due to a fall and has knee pain, swelling receiving computer tomography, left to recombinant sagittal images, the right is a cross-section image density at the white arrow is referred to in the joint capsule HE ingredients?

Answer: fat

Choices:
A. Joint capsule fluid
B. Hemorrhage
C. fat
D. Calcify

54 year old female patient
fall
knee pain
swelling receiving computer tomography
left
sagittal
right
cross-section
density
white arrow
referred to
joint capsule


Question: Narrative medium-sized veins, which of the following error?

Answer: Valve consists of smooth muscle

Choices:
A. It is a crescent-shaped valve
B. Valve consists of smooth muscle
C. Connective tissue formed primarily by the valve axis, the outer cover endothelial cells
D. Medium leg veins often with a valve


Question: 38.32-year-old Mrs. Chen, complained of dysmenorrhea, dyspareunia and infertility has been four years, found that laparoscopic shown in the following figure, which of the following is correct?

Answer: Perform IVF bed rate is lower than other causes of infertility

Choices:
A. Benign tumors, postoperative recurrence
B. After a short course (short protocol) to stimulate ovulation, good long course of pregnancy rate than
C. Perform artificial insemination (IUI) pregnancy rate than IVF conception (IVF) rate good
D. Perform IVF bed rate is lower than other causes of infertility

year old Mrs
dysmenorrhea
dyspareunia
infertility
four years
found
laparoscopic
following
following
correct


Question: Who lives in a college dorm 25-year-old university student, began yesterday from their eyes red, sensitive to light and the right eye tears easily. Dormitory others had found no red eyes. A few days ago, he had suffered a mild sore throat and cough. Physical examination binocular vision is 20/50, and showed extensive redness and tearing, conjunctivitis is suspected. Differential diagnosis following related conjunctivitis, what's wrong?

Answer: Swollen lymph nodes appear in front of the ear section is allergic conjunctivitis symptoms

Choices:
A. Gonococcal conjunctivitis will show severe acute purulent secretions super
B. Adenovirus (adenovirus) conjunctivitis usually start with one eye start, and then spread to the other eye
C. Swollen lymph nodes appear in front of the ear section is allergic conjunctivitis symptoms
D. Topical antibiotics, antivirals, and antiseptics can cause conjunctivitis

Differential following related conjunctivitis


Question: There are narrative catheterization pressure measurements in a variety of care Which statement is correct?

Answer: To calculate systemic vascular resistance (systemic vascular resistence), required measured cardiac output, mean aortic pressure and mean right atrium

Choices:
A. Normal average (mean) pulmonary artery pressure is 30 ~ 40 mmHg
B. Tightening (constrictive) with an outer limiting pericarditis (Restrictive) different cardiomyopathy, right ventricular end diastolic pressure which is less than 1/3 of the right ventricular systolic pressure
C. Pulmonary capillary wedge pressure (wedge pressure) in patients with mitral stenosis, left ventricular end-diastolic indirectly representative of pressure
D. To calculate systemic vascular resistance (systemic vascular resistence), required measured cardiac output, mean aortic pressure and mean right atrium

catheterization pressure measurements
correct


Question: Which of the following and supinator (supinator) governed by the same nerve?

Answer: Extensor brevis thumb (extensor pollicis brevis)

Choices:
A. Pronator teres (pronator teres)
B. Pronator muscle (pronator quadratus)
C. Extensor brevis thumb (extensor pollicis brevis)
D. Brevis abductor of the thumb (abductor pollicis brevis)

following
supinator
supinator
same nerve


Question: The following narrative about women cervical spinal cord injury patients completely, whichever is wrong?

Answer: Uterine contraction weakness, need Caesarean section

Choices:
A. Ovulation and normal ability to conceive
B. Can be vaginal intercourse
C. Autonomic nervous system can occur when abnormal reflex production
D. Uterine contraction weakness, need Caesarean section


Question: When normal breathing, which of the following measured pressure in the inspiratory and expiratory phase is most likely a negative pressure (negative pressure)?

Answer: Pressure pleura (pleural pressure)

Choices:
A. Pressure pleura (pleural pressure)
B. Alveolar pressure (alveolar pressure)
C. Alveolar pressure - pressure pleura (transpulmonary pressure)
D. Airway pressure (airway pressure)

normal breathing
following measured pressure
inspiratory
expiratory phase
negative pressure
negative pressure


Question: L. pneumophila Legionella (Legionella pneumophila) is one of the emerging infectious agents, can cause a lot of epidemic and sporadic infections. This is mainly how bacteria spread?

Answer: Transmitted to humans by the air particles

Choices:
A. Transmitted to humans by a vector
B. By the people directly transmitted to humans
C. From animals to humans
D. Transmitted to humans by the air particles

L
one
cause
lot
sporadic infections
bacteria spread


Question: The following kind of patient is less likely to produce uric acid stones?

Answer: Neurogenic bladder patients often have urinary tract infections

Choices:
A. Gout (gout) patients
B. The patient myeloproliferative disorders
C. Cancer patients receiving anti-cancer drug treatment
D. Neurogenic bladder patients often have urinary tract infections

following kind
patient
less likely to
uric acid stones


Question: Which of the following symptoms of rickets (rickets) has nothing to do most?

Answer: Mental retardation

Choices:
A. Children appear growth retardation
B. Mental retardation
C. Reducing the calcium concentration in the blood
D. Tooth agenesis


Question: A 75-year-old Fang, diabetes, high cholesterol, prostate hypertrophy and depression. Which of the following antidepressants is the best choice?

Answer: venlafaxine

Choices:
A. imipramine
B. clonazepam
C. venlafaxine
D. trazodone

75 year old Fang
diabetes
high cholesterol
prostate hypertrophy
depression
following antidepressants
best


Question: The following description on the current system of national health insurance copayment, whichever is correct?

Answer: Support chronic continuous prescription-free medicines copayment

Choices:
A. Do not encourage referral
B. Support chronic continuous prescription-free medicines copayment
C. The fixed part of the burden of hospitalization mining
D. Outpatient adopt the fixed rate portion of the burden

following
current system
copayment
correct


Question: When adults with acute massive blood loss 2000 ml or more (ml), of which of the following is not a common clinical characterization?

Answer: Pulse pressure rise

Choices:
A. Sense of anxiety (anxious) and confusion (confused)
B. Pulse pressure rise
C. Blood pressure drops
D. Decreased urine output

adults
acute massive 2000 ml
more
ml
following
not
common clinical


Question: A large five-month boy, parents found him in waves just woke up often have systemic phenomenon twitch, twitch once every few seconds, a series of episodes or even up to 3-5 minutes. The following statements is wrong?

Answer: More than 90% of patients will recover gradually recovered after 1 year of age

Choices:
A. ACTH, corticosteroid or benzodiazepine drugs are commonly used drugs
B. The most likely diagnosis is West syndrome
C. More than 90% of patients will recover gradually recovered after 1 year of age
D. Hypsarrhythmia its characteristic of electroencephalogram (EEG) performance

large five month boy
found
woke up often
systemic
twitch
twitch
few seconds
series of episodes
5 minutes
following
wrong


Question: Staphylococcus aureus has the appearance of the structure binds to the Fc portion of the immunoglobulin to prevent phagocytosis of the host, then this matter why?

Answer: Protein A

Choices:
A. M protein
B. Protein A
C. LPS body
D. IgA protein 

Staphylococcus aureus
appearance
structure
Fc portion
immunoglobulin to prevent phagocytosis
then


Question: Which of the following is not when laparoscopic surgery, the physiological effects of carbon dioxide pneumoperitoneum may cause?

Answer: Vagus nerve stimulation causes rapid heartbeat

Choices:
A. Respiratory acidosis
B. Inferior vena cava reflux decline
C. Vagus nerve stimulation causes rapid heartbeat
D. Decreased urine output

following
not
laparoscopic surgery
physiological effects
carbon dioxide pneumoperitoneum
cause


Question: The following account of uterine sarcoma (uterine sarcoma), the what's right?

Answer: Stage (Stage) endometrial cancer cf.

Choices:
A. Accounting for about 40% of all malignant tumors of the uterus
B. Patients usually no obvious clinical symptoms
C. Stage (Stage) endometrial cancer cf.
D. Good therapeutic effect using chemical relapse


Question: The following account of the treatment of thyroid storm, what's wrong?

Answer: Lugol's iodine containing a zoomed amount of iodine should be avoided Use

Choices:
A. Lugol's iodine containing a zoomed amount of iodine should be avoided Use
B. ß-blockers reduce peripheral T4 to T3 conversion
C. propylthiouracil (PTU) reduces peripheral conversion of T4 to T3
D. Should be given supplemental oxygen and intravenous fluids

following account
treatment
thyroid
wrong


Question: 32 a 93-year-old living in the nursing home male patients, prolonged bed rest, the last three days found general weakness, poor appetite and hospital treatment in the emergency room to check the results for the WBC 9,800 / mm3, Hb 13.1 g / dL, BUN 30 mg / dL, creatinine 1.3 mg / dL, Na 116 mEq / L, 3 mEq / L, glucose 91 mg / dL, CRP 0.18 mg / dL. Why is the most likely diagnosis?

Answer: Low blood sodium (hyponatremia)

Choices:
A. Aspiration pneumonia (aspiration pneumonia)
B. Pulmonary embolism (pulmonary embolism)
C. Acute pancreatitis (acute pancreatitis)
D. Low blood sodium (hyponatremia)

a
year old living in
nursing home male patients
prolonged bed rest
last three days found general weakness
poor appetite
hospital treatment
emergency room to check
results
WBC
800
mm3
Hb
g
dL
30 mg
dL
creatinine
mg
dL
mEq
L
3 mEq
L
glucose
mg
dL
CRP 0.18 mg
dL
diagnosis


Question: Variation related to hepatitis B virus (variants), which of the following error?

Answer: Hepatitis B polymerase YMDD variation region, and the natural evolution of the relevant

Choices:
A. Nuclear former district G1896A mutation and related e antigen negative, were less likely to appear in the Hepatitis B virus genotype A,
B. Surface antigen amino acid 145 glycine to arginine mutation of the hepatitis B virus, will appear in the case of positive surface antibody (anti-HBs) in
C. Core-promoter mutation can lead to increased viral replication and rapid progression of liver cirrhosis
D. Hepatitis B polymerase YMDD variation region, and the natural evolution of the relevant

Variation related
variants
following error


Question: Which of the following is not a typical clinical symptoms of injury of the oculomotor nerve?

Answer: Miosis

Choices:
A. Ptosis
B. Damage to the eyes can not look inward side
C. Miosis
D. Diplopia

following
not
typical clinical symptoms of injury
oculomotor nerve


Question: Which of the following is not directly against the rear surface of the bladder?

Answer: rectum

Choices:
A. uterus
B. vaginal
C. rectum
D. Vas deferens

following
not directly
rear surface of
bladder


Question: Located greater wing of the sphenoid bone (greater wing) between the structure and the winglet (lesser wing) is:

Answer: Superior orbital fissure (superior orbital fissure)

Choices:
A. Optic foramen (optic foramen)
B. Superior orbital fissure (superior orbital fissure)
C. Hole (foramen rotundum)
D. Inferior orbital fissure (inferior orbital fissure)

greater wing of
sphenoid bone
greater wing
structure
lesser wing


Question: Scrub typhus (scrub typhus) being composed of a disease after infectious caused chigger bites, bites patient will form a unique type of pierced skin ulcer eschar formula (escar). The main reason for this eschar formation:

Answer: Rickettsial infections caused by vascular endothelial cells and vascular thrombosis vasculitis

Choices:
A. Rickettsial infections caused by vascular endothelial cells and vascular thrombosis vasculitis
B. Rickettsial infections of the skin epithelial cells, causing epithelial cell necrosis, formation of ulcers
C. Rickettsial infections of the skin epithelial cells, causing epithelial cell necrosis, caused by secondary bacterial infection
D. Rickettsial infections of the skin subcutaneous neuronal cells, causing analgesia, causing secondary bacterial infection

Scrub typhus
scrub typhus
disease
infectious caused chigger bites
bites patient
form
unique
of pierced skin ulcer eschar formula
main
eschar formation


Question: 30. Compared to diffuse scleroderma (diffuse systemic sclerosis), which of the following is localized scleroderma (limited systemic sclerosis) the characteristics?

Answer: If the concurrent progress interstitial pneumonia (interstitial lung disease) is relatively slow

Choices:
A. Hardening of the skin and rapid progress
B. If the concurrent progress interstitial pneumonia (interstitial lung disease) is relatively slow
C. More severe joint pain
D. Often appear anti-topoisomerase I (Scl-70) antibodies

30
to diffuse scleroderma
diffuse systemic sclerosis
following
localized scleroderma
limited systemic sclerosis
characteristics


Question: Hypertensive intracerebral hemorrhage, probably best position:

Answer: Lenticular nucleus (putamen)

Choices:
A. Lenticular nucleus (putamen)
B. Cerebellum (cerebellum)
C. Pons (pons)
D. Thalamus (thalamus)

Hypertensive intracerebral hemorrhage
best position


Question: 2. First Time caused by the Epstein-Barr virus infection infectious mononucleosis ball polycythemia (Infectious mononucleosis), in the acute phase ⾎ clear of EBV-specific antibody test results of the following is most likely?

Answer: anti-VCA IgM (+), anti-VCA IgG (+), anti-EBNA Ab NEA (-)

Choices:
A. anti-VCA IgM (-), anti-VCA IgG (+), anti-EBNA Ab NEA (+)
B. anti-VCA IgM (+), anti-VCA IgG (+), anti-EBNA Ab NEA (+)
C. anti-VCA IgM (+), anti-VCA IgG (+), anti-EBNA Ab NEA (-)
D. anti-VCA IgM (-), anti-VCA IgG (-), anti-EBNA Ab NEA (+)


Question: A 75-year-old male patient with pneumonia, hospitalization among fever, diarrhea more than, and white blood cells and red blood cells have a fecal examination, accept the colonoscopy results as shown below, the cause of diarrhea Which of the following is most likely?

Answer: Clostridium difficile

Choices:
A. Vibrio cholerae
B. Clostridium difficile
C. hemorrhagic E. coli
D. Salmonella

75 year old male patient
pneumonia
fever
diarrhea
white blood cells
red blood cells
fecal examination
accept
colonoscopy results
cause
diarrhea
following


Question: Duodenum near the pylorus cause bleeding ulcers, can be ligated to the following piece of blood vessels to stop bleeding?

Answer: Hepatic artery (common heaptic artery)

Choices:
A. Hepatic artery (common heaptic artery)
B. The pancreatic artery (inferior pancreaticoduodenal artery)
C. The left gastric artery (left gastric artery)
D. The left gastric retinal artery (left gastroomental artery)

Duodenum
pylorus cause bleeding ulcers
following piece
blood vessels to stop bleeding