Question: Which of the following is a single-layer film organelle?

Answer: Solution  body (lysosome)

Choices:
A. Nucleolus (nucleolus)
B. Mitochondria (Mitochondria)
C. Nuclear membrane (nuclear envelope)
D. Solution  body (lysosome)


Question: 2 year-old child to walk shoulder hit, cry, purple lips and fell to the ground, unconscious reaction. The most likely diagnosis of why?

Answer: Breath attack (breath-holding spell)

Choices:
A. Traumatic epilepsy (traumatic epilepsy)
B. Absence seizures (absence attack)
C. The onset of cyanosis (blue spell)
D. Breath attack (breath-holding spell)

2 year
to
shoulder hit
purple lips
fell
unconscious reaction
diagnosis


Question: Since the growth of the liver, the ventral mesentery (ventral mesentery) derivatized:

Answer: Sickle ligament and small omentum

Choices:
A. Sickle ligament and small omentum
B. Sickle ligament and omentum
C. Small omentum and greater omentum
D. Falciform ligament and duodenum mesangial

growth
liver
ventral mesentery
ventral mesentery


Question: In the rapidly growing cancer in women, which is a cancer cell by the time two (doubling time) becomes the shortest and the most effect of chemotherapy is:

Answer: choriocarcinoma

Choices:
A. ovarian serous cystadenocarcinoma
B. choriocarcinoma
C. uterine sarcoma
D. squamous cell carcinoma of cervix

rapidly
cancer
time
doubling time
shortest
most effect
chemotherapy


Question: Which of the following would create non- human velvet ⽑ HCG (human chorionic gonadotrophin)?

Answer: Fusion trophoblast (syncytiotrophoblast)

Choices:
A. Brain gland (pituitary gland) under the anterior lobe
B. Fusion trophoblast (syncytiotrophoblast)
C. 黃 體 (yellow body)
D. Decidua (decidua)

following
create non
human
HCG
human chorionic gonadotrophin


Question: In the study of occupational skin disease, a cross - sectional study (cross-sectional study) and longitudinal type study (longitudinal study) The main difference is:

Answer: Cross-sectional study of Formula determines the order of exposure and less susceptible to the disease

Choices:
A. Cross - sectional study looked at a large study population
B. Cross-sectional study of Formula determines the order of exposure and less susceptible to the disease
C. Cross - sectional study can not also collect information on exposure and disease
D. Cross-sectional study of the formula may be calculated odds ratio (odds ratio)

study of occupational skin disease
type
main difference


Question: Account of serotonin (serotonin), and Which statement is correct?

Answer: Gastrointestinal secretion accounts for about 90% of the production of the body

Choices:
A. Brain and intestinal secretion mostly different subtype (subtype)
B. Gastrointestinal secretion accounts for about 90% of the production of the body
C. Synthesized by a cysteine (cystine)
D. Mainly secreted by the parietal cells of the stomach


Question: (Air conduction) average hearing threshold (pure tone average) why the following figure, the left air conduction?

Answer: 55 dB

Choices:
A. 2 pcs
B. 25 dB
C. 35 dB
D. 55 dB

Air conduction
average hearing threshold
tone average
following
left air conduction


Question: 2042-year-old female smoking and obesity, abdominal existing horizontal Caesarean scar, E cup breasts. Right now suffering from breast cancer, breast resection claim Modified breast reconstruction immediately after surgery (modified radical mastectomy). There are several options the following: ① stalk horizontal rectus abdominis myocutaneous flap (pedicled transverse rectus abdominis myocutaneous (TRAM) flaps) ② free rectus abdominis muscle retention flap (free muscle sparing TRAM flaps) ③ wide dorsal muscle flap (latissimus dorsi myocutaneous flaps) ④ deep abdominal artery through the free flap (free deep inferior epigastric artery perforator (DIEP) flaps); of the following is an error?

Answer: For patients with large and sagging breasts, alone broad back muscle flap (latissimus dorsi myocutaneous flaps) without adding reconstruction with breast implants are the right choice

Choices:
A. With stems horizontal rectus abdominis muscle flap (pedicled TRAM flaps) is a good choice, but there are fat necrosis and partial flap necrosis risk
B. Once patients receiving caesarean section, may choose to retain the rectus abdominis muscle flap free (free muscle sparing TRAM flaps) and deep abdominal artery through the free flap (free DIEP flaps) to do breast reconstruction, but pay special attention to blood circulation
C. For patients with large and sagging breasts, alone broad back muscle flap (latissimus dorsi myocutaneous flaps) without adding reconstruction with breast implants are the right choice
D. Deep abdominal artery through the free flap (free DIEP flaps) minimal complications of abdominal skin flap Supplies


Question: 77.33-year-old healthy woman, sudden severe headache and fainting (syncope), the patient regained consciousness, headache, vomiting and neck soreness, the highest priority at this time to check why?

Answer: Do not fight the developer of brain CT

Choices:
A. Do not fight the developer of brain CT
B. Developer brain CT fight
C. Developer brain magnetic resonance imaging fight
D. Angiography

year old healthy woman
sudden severe headache
fainting
syncope
patient
consciousness
headache
vomiting
neck soreness
highest priority
time to check


Question: The following account of epilepsy caused by alcohol withdrawal seizures (alcohol withdrawal seizures), and what's right?

Answer: 90% occurred within 48 hours after withdrawal

Choices:
A. 90% occurred within 48 hours after withdrawal
B. Usually attack (simple partial seizures) as part simplex
C. Will not lead to status epilepticus (status epilepticus)
D. Require long-term medication to control in order to avoid the recurrence

following account
epilepsy caused
alcohol withdrawal seizures
alcohol withdrawal seizures
right


Question: Uterus in childbirth preparation period (PhaseⅠ), whichever is correct?

Answer: Myometrial oxytocin receptor cell of a substantial increase

Choices:
A. Uterine remained fairly stable
B. Myometrial oxytocin receptor cell of a substantial increase
C. Gap junctions between cells of the uterine muscle reduction
D. Prostaglandin (Prostaglandins) no response

Uterus
childbirth preparation period
Phase
correct


Question: One patient wine neuropathy, muscle weakness, cardiac hypertrophy, edema, impose what most vitamin may be helpful for the disease?

Answer: thiamine

Choices:
A. thiamine
B. riboflavin
C. niacin
D. folate

One patient
neuropathy
muscle weakness
cardiac hypertrophy
edema
vitamin
helpful
disease


Question: In a cell, the type of the housekeeping gene (housekeeping genes) of the range, but different expression levels of individual genes. Which of the following is the most important mechanism for the regulation of gene expression of housekeeping?

Answer: Each gene promoter of RNA polymerase different affinity

Choices:
A. Each gene product is consistent synthesis rate, but the rate of degradation varies
B. Consistent with the amount of mRNA for each gene is transcribed, but their translation rates vary
C. Each gene promoter of RNA polymerase different affinity
D. Each level of gene expression by inducing or suppressing the different adjustment factor

cell
type
housekeeping gene
housekeeping genes
range
levels
following
most important mechanism


Question: 80 ICU patients when the disease acute exacerbations, will face a process of rebirth, physicians should help families face the current situation in order to accept death. Which of the following ways to make a case or their families get better care?

Answer: Emergency first aid so that families understand the probability of success is not, ask family members to accept the fact that their loved ones will soon be reborn, and to try to make the patient and family members say goodbye

Choices:
A. Please wait outside first to the families, emergency patients as much as possible
B. First aid process according to the requirements of the families, as much as possible to aid the required time to stop
C. Emergency first aid so that families understand the probability of success is not, ask family members to accept the fact that their loved ones will soon be reborn, and to try to make the patient and family members say goodbye
D. 30 minutes after first aid, please families come to announce the fact of death, to leave your family members to help care corpse, and then sent by the deceased patient room

80 ICU patients
disease acute exacerbations
face
process
rebirth
physicians
help
face
current
order to accept death
following
to make
case
better


Question: And intra-abdominal infections (intra-abdominal infections) related to the narrative, which of the following error?

Answer: All-abdominal infections have surgery

Choices:
A. Computer tomography (abdominal computed tomography) can help in the diagnosis of abdominal infections
B. If not properly handled, can lead to multiple organ dysfunction syndrome (multiple organ dysfunction syndrome)
C. All-abdominal infections have surgery
D. Intra-abdominal infection of the elderly and malnourished people are more at risk of complications

intra-abdominal infections
intra-abdominal infections
related
following error


Question: Account of atopic dermatitis (atopic dermatitis), and what's wrong?

Answer: Lesions in adult extending side extremities (extensor) site

Choices:
A. The barrier function of the skin (skin barrier function) decreases
B. Lesions in adult extending side extremities (extensor) site
C. Patients prone to skin infections associated with Staphylococcus aureus
D. Most patients with elevated serum IgE values

Account
atopic dermatitis
atopic dermatitis
wrong


Question: Which of the following proteins responsible for DNA binding motif is formed mainly dimers (protein dimers) of (Motif)?

Answer: leucine zipper

Choices:
A. b-barrel
B. homeodomain
C. leucine zipper
D. zinc finger

following proteins responsible
formed
protein


Question: Which of the following virus, usually without vertical infection to the fetus?

Answer: Reovirus (Reovirus)

Choices:
A. Rubella virus (Rubella virus)
B. Cytomegalovirus (Cytomegalovirus)
C. Reovirus (Reovirus)
D. Herpes simplex virus (Herpes simplex virus)

following
usually
vertical infection
fetus


Question: A 67-year-old female patient, smoking a pack a day for 30 years, quit smoking 10 years, have a history of allergic rhinitis 40 years. Complained of chronic cough, sputum less exertional dyspnea for 10 years. Pulmonary function tests: FVC = 70%, FEV1 = 42%, FEV1 / FVC = 47%, TLC = 109%, RV = 133%, RV / TLC = 61%, post-bronchodilator FEV1 improvement 9%, following a diagnosis that the most suitable for this patient?

Answer: Chronic obstructive pulmonary disease (COPD)

Choices:
A. Asthma symptoms (asthma)
B. Chronic obstructive pulmonary disease (COPD)
C. Heart failure (heart failure)
D. Bronchiectasis (bronchiectasis)

67 year old female patient
smoking
pack
day
30 years
smoking
history
allergic rhinitis 40 years
chronic cough
sputum
exertional dyspnea
Pulmonary function tests
FVC
70
FEV1
FEV1
FVC
RV
RV
61
post-bronchodilator FEV1
following
diagnosis
most suitable
patient


Question: 62. One 74-year-old man had a history of hypertension, because of asthma, lower limb edema hospital, hospital examination revealed normal left ventricular function, and no arrhythmia, diuretics and antihypertensive drug therapy, but a few days later appeared repeatedly unconscious , no pulse, no blood pressure, need shock therapy, electrocardiographic monitoring records as shown below, which most likely merger electrolyte abnormalities?

Answer: Hypokalemia (hypokalemia)

Choices:
A. Hyponatremia (hyponatremia)
B. High blood 鉀症 (hyperkalemia)
C. Hypercalcemia (hypercalcemia)
D. Hypokalemia (hypokalemia)


Question: 42.32 G1P0-year-old pregnant woman, pregnancy 29 weeks was diagnosed with pre-eclampsia (preeclampsia), now 35 weeks pregnant complained of the past three days and often a sense of dizziness come for treatment. Physical examination, blood pressure 172/116 mmHg, two weeks ago increased weight 3 kg, urine protein 3+; ultrasonography Estimated fetal weight 1,900 grams, irregular uterine contractions. At this point the best disposal are:

Answer: Recommended immediate hospitalization for treatment

Choices:
A. Aggressive treatment of high blood pressure and arrange for outpatient track
B. Positive fetal health assessment clinic and arrange track
C. At the same time the treatment of hypertension and fetal health assessment clinic and arrange track
D. Recommended immediate hospitalization for treatment

year old
pregnancy 29 weeks
diagnosed
pre-eclampsia
preeclampsia
now 35 weeks pregnant
past three days
often
sense
dizziness
treatment
blood pressure
mmHg
two weeks
increased weight
kg
urine protein
ultrasonography Estimated fetal
900 grams
irregular uterine contractions
point
best


Question: About the relationship between exercise and blood sugar, the following statements is wrong?

Answer: Movement can not promote insulin sensitivity in diabetic patients of type II

Choices:
A. Exercise can help control blood sugar in patients with diabetes
B. Movement can not promote insulin sensitivity in diabetic patients of type II
C. Patients with Type I diabetes, in the exercise easy danger of hypoglycemia
D. Patients of poor glucose tolerance, control diet plus regular exercise, may reduce the risk of such patients become Type II Diabetes

relationship
exercise
blood sugar
following
wrong


Question: 3940-year-old male with a history of past long-term hypertension and hypokalemia, did not receive drug treatment. Last week, because of repeated headaches, heart palpitations, general weakness and admission examination. In addition to the physical examination blood pressure (190/100 mmHg), no other abnormal findings. Blood tests showed hypokalemia, increased serum aldosterone, renin activity decreased. 24 hours urine test, a significant increase in potassium discharge. Abdominal CT show a 1.3 cm right adrenal gland tumors, and nuclear medicine I131-NP59 scan shows bilateral symmetry increases adrenal development. For this patient, which of the following check better able to distinguish idiopathic hyperaldosteronism aldosterone-producing adenoma or bilateral adrenal hyperplasia caused?

Answer: bilateral adrenal vein sampling

Choices:
A. bilateral adrenal vein sampling
B. 24hr urine VMA, catecholamine
C. 24hr urine potassium
D. abdominal CT scan


Question: Lin several times in and out of the hospital for treatment of recurrent nasopharyngeal carcinoma him, but the situation has deteriorated, and he discussed many times told the attending physician Dr. Chen, the condition of his Last unable to sustain life on his own strength, and Dr. Chen of course, a wide variety of possible explanation with him, Mr. Lin to discuss with his family, decided at the last critical if he will not do any of intubation, hoping to peacefully leave this world, Dr. Chen also expressed his willingness to respect . At this point Chen Lin physicians should recommend what procedures?

Answer: Signed without performing CPR Letter of Intent

Choices:
A. Letter of Intent signed euthanasia
B. Signed without performing CPR Letter of Intent
C. Please sign the euthanasia families of Intent
D. Please sign the working families of suicide Letter of Intent

Lin
times
out of
hospital
treatment
recurrent nasopharyngeal carcinoma
deteriorated
times
attending physician Dr
condition
unable to sustain
strength
Dr
course
wide
possible
Mr
Lin to
critical
not
intubation
Dr
willingness to
point
Lin physicians
procedures


Question: 74. Anti shares Oligonucleotides (antisense oligonucleotide) which is mainly used for the treatment of drug mipomersen same type of familial hypercholesterolemia (homozygous familial hypercholesterolemia), by lowering blood low density lipoprotein (LDL) content of lipid-lowering effect, Which of the following as its main target of inhibition?

Answer: apoB-100

Choices:
A. PCSK9
B. Rev-3
C. apoB-100
D. apoA-I


Question: A study of cases recorded 700 non-lung cancer and 700 patients with lung cancer who were asked about their smoking habits, lung cancer patients have a 70-smoker, non-lung cancer who have a 26-smoker, which belong to the following that kind of research method?

Answer: A case-control study (case-control studies)

Choices:
A. Cohort studies (cohort studies)
B. A case-control study (case-control studies)
C. Ecological Research (ecological studies)
D. Cross - sectional study (cross-sectional studies)

recorded 700 non lung cancer
700 patients
lung cancer
lung cancer patients
70 smoker
non lung cancer
smoker
following
kind


Question: Mr. Wang because morbid obesity underwent gastric bypass surgery (Roux-en-Y Gastric Bypass), after surgery was found not long after the meal, there will be bloating, nausea and accompanied by dizziness, palpitations and shortness of breath. Treatment of symptoms related to Mr. Wang, the following statements is true?

Answer: Mr. Wang's physical symptoms related to the secretion of Serotonin, but taking Serotonin antagonists (Serotonin antagonists) only partially improve symptoms

Choices:
A. Mr. Wang's physical symptoms related to the secretion of Serotonin, but taking Serotonin antagonists (Serotonin antagonists) only partially improve symptoms
B. Wang eating habits should recommend smaller meals and avoid protein or fats and other difficult to digest food
C. Wang eating habits should recommend smaller meals, meal plus soup or drink in order to promote the digestion of food
D. Mr. Wang's symptoms, Sandostatin subcutaneous injection can be effective in improving the gastrointestinal symptoms, but for dizziness, palpitations and other symptoms invalid

Mr
morbid obesity
gastric bypass surgery
Roux-en-Y Gastric Bypass
surgery
found not long
bloating
nausea
dizziness
palpitations
shortness of breath
Treatment
symptoms related
Mr
following
true


Question: Which of the following does not involve membrane fusion (membrane fusion)?

Answer: Glucose enter cells

Choices:
A. Endocytosis (endocytosis)
B. Enveloped viruses (enveloped virus) into the cell
C. Glucose enter cells
D. Extracellular action release (exocytosis)


Question: Of 100 little sixth grade students weight measurement, the sample was found to average 35 kg, 95% confidence interval for the average of the parent population from 33 to 37 kg. The following statements is true?

Answer: The standard sample weight difference of about 10 kg schoolchildren

Choices:
A. Female population average of 35 kg
B. The study was 100 children in elementary school, the dielectric body 95 is between 33-37 kg
C. The standard sample weight difference of about 10 kg schoolchildren
D. If the calculated 90% confidence interval of the female population mean, range may be greater than 95% confidence interval

100 little sixth grade
weight measurement
found
average 35 kg
95
confidence interval
average
population
kg
following
true


Question: Rehabilitation on the total artificial hip replacement (total hip replacement) surgery, the following statements is true?

Answer: The use of bone cement (cement) fixed, postoperative day you can try to get out of bed to walk

Choices:
A. The use of bone cement (cement) fixed, postoperative day you can try to get out of bed to walk
B. Complications after surgery before the dislocation (anterior dislocation) is the most common
C. After surgery received care pillow (adduction pillow) within the best use to be protected
D. After surgical operation should avoid hip abduction (Abduction) and abduction (external rotation) of

Rehabilitation
total artificial hip replacement
total hip replacement
surgery
following
true


Question: From the previous questions, the scoring method in much less score, cervical maturity as "immature" (unfavorable cervix)?

Choices:
A. 4
B. 5
C. 6
D. 7

previous
less score
cervical maturity
immature
unfavorable cervix


Question: Gartner duct cyst is:

Answer: Mesonephric origin

Choices:
A. Skene duct origin
B. Müllerian duct origin
C. Mesonephric origin
D. Bartholin duct origin


Question: Related to alveolar tissue, the following statements is wrong?

Answer: Gas - a second barrier alveolar blood cells (type II pneumocytes) with microvascular endothelial cells and their base layer

Choices:
A. Necessary cell product gas or by diffusion (Diffusion) exchange between alveoli and capillaries
B. Gas - a second barrier alveolar blood cells (type II pneumocytes) with microvascular endothelial cells and their base layer
C. Some base layer between alveolar cells and microvascular endothelial cells (basement membrane) cells and connective tissue fibers
D. Cells dust (dust cell) having phagocytosis


Question: That following a bacterial disease caused by the formation of pseudomembranous (pseudomembrane) impede breathing?

Answer: Corynebacterium diphtheria (Corynebacterium diphtheriae)

Choices:
A. Corynebacterium diphtheria (Corynebacterium diphtheriae)
B. Bordetella pertussis (Bordetella pertusis)
C. Tetanus (Clostridium tetani)
D. Streptococcus pneumoniae (Streptococcus pneumoniae)

following
bacterial disease caused
formation
pseudomembranous
pseudomembrane
breathing


Question: Congenital heart disease accounts for 0.5-0.8% of live births, but in newborns following the merger situation, the incidence rate will increase more than 10 times. The foregoing is the most suitable examples:

Answer: Maternal smoking

Choices:
A. Trisomy 21
B. Maternal lupus
C. Persistent pulmonary hypertension
D. Maternal smoking

Congenital heart disease accounts
0 5
8
live births
newborns following
incidence rate
increase more than 10 times
most suitable


Question: That ⼀ kind of aphasia following its review chant (repetition) can best care has been taken?

Answer: anomic aphasia

Choices:
A. conduction aphasia
B. anomic aphasia
C. global aphasia
D. Wernicke aphasia


Question: 34 mothers compared with the general, the front tire and this tire caesarean section to try vaginal delivery (VBAC, vaginal birth after cesarean section) of the mothers, have a higher chance of following what circumstances happen?

Answer: Uterine rupture

Choices:
A. Uterine rupture
B. Neonatal death
C. Maternal deaths
D. Thrombus formation

general
front tire
tire caesarean section to
vaginal delivery
VBAC
vaginal birth after cesarean section
higher chance
following


Question: Nothing to do with the expansion of cardiomyopathy prognosis (prognosis) indicators are:

Answer: Reduced serum potassium concentration

Choices:
A. New York Heart Association functional assessment and treatment of patients with heart disease classification
B. Shu inner diameter of the left ventricle (diastolic dimension) increases
C. Reduced serum potassium concentration
D. Extreme sports oxygen consumption (peak O2 consumption)


Question: 23 year old woman, G1P0, 30 weeks of pregnancy, fetal abdominal ultrasound examination revealed its "double bubble sign" (double-bubble sign), I ask the following diagnosis whichever is most likely?

Answer: Duodenal closure

Choices:
A. Neural tube defects
B. Omphalocele
C. Duodenal closure
D. Down's syndrome


Question: Will children's tumors (Wilm's tumor) is the most Rongyifasheng transfer Which of the following organs?

Answer: lung

Choices:
A. The brain
B. lung
C. bladder
D. skeleton

children's tumors
Wilm's tumor
most
transfer
following organs


Question: 69-year-old Mr. Zhang, past medical history including acute pancreatitis and seven years ago received aortic valve replacement, 5 hours ago abdominal pain and was taken to hospital, physician examination revealed that he had abdominal tenderness, no rebound pain, atrial fibrillation (atrial fibrillation), finally made abdominal computed tomography (FIG), shows:

Answer: Air portal vein (portal vein gas) and pneumatosis intestinalis (pneumatosis intestinalis)

Choices:
A. Insufflation (pneumoperitoneum) and intussusception (intussusception)
B. Liver abscess (liver abscess) and pneumatosis intestinalis (pneumatosis intestinalis)
C. Inflatable bile duct syndrome (Pneumobilia) and intussusception (intussusception)
D. Air portal vein (portal vein gas) and pneumatosis intestinalis (pneumatosis intestinalis)


Question: By a 30-year-old mother, G1P1, postpartum figure below, what degree perineal laceration?

Answer: Fourth degree

Choices:
A. First degree
B. Second degree
C. Third degree
D. Fourth degree

30 year old
G1P1
postpartum
degree perineal laceration


Question: 24 year old man, his hands open length than height of more than two inches penis, no pubic hair, poor sense of smell. Which of the following is the result of this examination the patient?

Answer: Small testes and soft

Choices:
A. Small testes and soft
B. Sex chromosome 47XXY
C. Short stature, a triangular face
D. Severe obesity, mental retardation

year old man
hands open length
height
two inches penis
pubic hair
poor sense of smell
following
result
patient


Question: The following statements about the development of the duodenum (duodenum), whichever is correct?

Answer: Due to the proliferation of epithelial cells, which were blocking (obliteration)

Choices:
A. All derived from foregut (foregut) from
B. Ring duodenum (duodenal loop) connected to the handle yolk (yolk stalk)
C. With the rotation of the stomach, duodenum ring (duodenal loop) will rotate to the left
D. Due to the proliferation of epithelial cells, which were blocking (obliteration)

following development duodenum duodenum correct


Question: Children in the humerus supracondylar fractures (supracondylar fracture), the most commonly merger is that a damaged nerve?

Answer: Before interosseous nerve (anterior interosseous nerve)

Choices:
A. Arm plexus (brachial plexus)
B. Before interosseous nerve (anterior interosseous nerve)
C. Inter spine nerve (dorsal interosseous nerve)
D. Ulnar nerve (ulnar nerve)

Children
humerus supracondylar fractures
fracture
most
damaged nerve


Question: Which of the following organs derived from the foregut (foregut)?

Answer: Gallbladder (gallbladder)

Choices:
A. Spleen (spleen)
B. Gallbladder (gallbladder)
C. Appendix (appendix)
D. Jejunum (jejunum)

following organs derived
foregut
foregut


Question: After analysis of the clinical use of drug survey found that children with a virus when using certain drugs as fever, easy Reye syndrome accompanied by side effects. Which of the following drugs produce the highest likelihood of this side effect?

Answer: aspirin

Choices:
A. acetaminophen
B. aspirin
C. sulindac
D. ibuprofen

analysis of
clinical use
drug survey found
children
using certain drugs
fever
easy Reye syndrome
side effects
following drugs
highest likelihood
side effect


Question: A 28-year-old male patient with acute abdominal pain, bloating and high fever to the emergency room, but no vomiting, abdominal swelling physical examination, with tenderness and mild rebound tenderness of the white blood cells to 19,800 / μL, abdominal X-ray showed the right side thereof and a proximal transverse colon swelling, intestinal gas filled, the maximum diameter of 9 cm intestine. In the last patient has not received any abdominal surgery, but recently more than two years since often diarrhea, sometimes with blood, a colonoscopy before the half was not found to have cancer. At this point the most likely diagnosis is:

Answer: Chronic ulcerative colitis, toxic megacolon combined

Choices:
A. Big left side blocking cancer
B. Ischemic colitis merger blocked
C. Chronic ulcerative colitis, toxic megacolon combined
D. Adhesions bowel obstruction

year old male patient
acute abdominal pain
bloating
high fever
emergency room
vomiting
abdominal swelling
tenderness
mild rebound tenderness
white blood cells
800
abdominal X-ray
right side
proximal transverse colon swelling
intestinal
maximum diameter
intestine
last patient
not received
abdominal surgery
recently
two years
often diarrhea
sometimes
blood
colonoscopy
half
not found to
cancer
point
diagnosis


Question: The following statements about the Neurogenic tumors of adults and what is non?

Answer: About 50% of patients have spinal extension, commonly known as dumbbell tumor

Choices:
A. Common with neurilemmoma and neurofibromas
B. Neurilemmoma may be accompanied by von Recklinghousen's disease, then you can find the Café au lait lesion on the skin
C. About 50% of patients have spinal extension, commonly known as dumbbell tumor
D. Treatment with surgical excision


Question: 68.55 years of age with diabetes to accept Ms. Xu to two weeks before a mammogram today look back to the clinic in addition to diabetes, and depends on a mammogram report, writing BIRADS category 0 (0 level) on the report, which followed her suggestions ?

Answer: 0 tells her that they can not rule out anything abnormal, she will arrange breast ultrasound examination to help further diagnose

Choices:
A. Suggested that she go to see breast surgery and breast surgery clinic to help make an appointment, so as not to drag too long illness
B. Tell her level 4 or above is more likely malignant lesions, temporary observation can then check the next year
C. Tell her 0 indicates no tumor can be checked once again for two years
D. 0 tells her that they can not rule out anything abnormal, she will arrange breast ultrasound examination to help further diagnose

years
age
diabetes to accept Ms
Xu
two weeks
mammogram today look back
clinic
diabetes
depends
mammogram report
BIRADS
0
0 level
report
followed


Question: Patients with cardiovascular disease using aspirin prevent thrombosis, reduce stroke and myocardial infarction, the following statements is wrong?

Answer: Can be reduced cholesterol biosynthesis

Choices:
A. aspirin inhibition of cyclooxygenase
B. May reduce the synthesis of thromboxanes
C. May reduce the synthesis of prostaglandins
D. Can be reduced cholesterol biosynthesis


Question: 2-year-old boy, was found on the right knee and buttocks flocks of blisters has been shown in Figure 2 days, when you see the doctor found the boy oral mucosa also have blisters the size of 0.2 cm, the mother complained boys appetite fever situation deteriorated there, that one of the following is the most likely diagnosis?

Answer: HFMD (hand foot mouth disease)

Choices:
A. Chickenpox (varicella)
B. HFMD (hand foot mouth disease)
C. Variola (smallpox)
D. Measles (measles)

2 year old boy
found
right knee
buttocks
blisters
2 days
see
doctor found
boy oral mucosa
blisters
size
0.2
mother
boys appetite fever
deteriorated
one
following
diagnosis


Question: Gland hormone that is responsible for one of the following under the brain caused by ovulation?

Answer: Luteinizing stimulating hormone (luteinizing hormone)

Choices:
A. Prolactin (prolactin)
B. Luteinizing stimulating hormone (luteinizing hormone)
C. Oxytocin (oxytocin)
D. TSH (thyrotropin)

Gland hormone
responsible
one
following
brain caused
ovulation


Question: A 7-year-old girls because they were diagnosed with throat inflammation, is treated with oral amoxicillin 40 mg / kg / day Q8H treatment. 3 days after treatment of girls sudden fever, and behind the left ear pain and swelling phenomena as shown, no significant local mass. That one of the following disposal the most likely to be effective?

Answer: amoxicillin-clavulanic intravenous injection containing amoxicillin 100mg / kg / day of acid Q8H

Choices:
A. Oral azithromycin 10 mg / kg / day QD
B. Intravenous oxacillin 100 mg / kg / day Q6H
C. ofloxacin ear drops
D. amoxicillin-clavulanic intravenous injection containing amoxicillin 100mg / kg / day of acid Q8H

year old girls
diagnosed
throat inflammation
treated with oral amoxicillin 40 mg
kg
day Q8H treatment
3 days
girls sudden fever
left
swelling
significant local mass
one
following
to
effective


Question: A blood type O of 27 women, infants A type of full-term fetal blood at first, the infant hematocrit (hematocrit) 55%, serum bile pigments (bilirubin) and a large hours when 12 mg / dL, the following experimental data item that does not meet the most ABO hemolytic disease?

Answer: Direct Coombs test (direct Coombs test) negative

Choices:
A. Blood smears ball-type red blood cells
B. Blood smears have nucleated red blood cells
C. Direct Coombs test (direct Coombs test) negative
D. Blood reticulocyte (reticulocyte) increased

blood type O
27
infants A type
full-term fetal blood
first
infant hematocrit
hematocrit
serum bile pigments
bilirubin
large hours
mg
dL
following experimental
not
most ABO hemolytic disease


Question: Opening the maxillary sinus is located:

Answer: Middle meatus

Choices:
A. Meatus
B. Middle meatus
C. Inferior meatus
D. nasal septum


Question: The following narrative about the Donnan effect, what's wrong?

Answer: Donnan effect can be caused by means of an ion permeable membrane ion redistribution effects on both sides of the membrane

Choices:
A. Donnan effect can be caused by means of an ion permeable membrane ion redistribution effects on both sides of the membrane
B. Donnan effect ion permeable membrane means can not be caused by the redistribution effect on both sides of the membrane ion
C. Donnan effect compliance with film on both sides are maintaining a minimum limit of the energy of the electrically neutral
D. Donnan effect related to the degree of penetration


Question: A 50-year-old male was found unconsciousness family to the emergency (awake one hour before), this time in patients with blood pressure 105/60 mmHg, heart rate 70 / min, respiration 36 / min, body temperature of 37.5 ℃, Coma GCS (Glasgow coma scale) = E1V2M4, two other large pupil 1 mm in diameter, there are photo-reactive, multi tears, mucus secretion and more. Following the disposal of whichever wrong?

Answer: The maximum dose of atropine injection should not exceed 3 mg

Choices:
A. May be given 100% oxygen and intubation
B. Injectable atropine
C. Injectable PAM (pralidoxime)
D. The maximum dose of atropine injection should not exceed 3 mg

50 year old male
found unconsciousness
emergency
awake one hour
time
patients
blood pressure
60 mmHg
heart rate 70
min
respiration 36
min
body temperature
Coma GCS
Glasgow coma scale
two
large 1 mm
diameter
reactive
multi tears
mucus secretion
more
Following
wrong


Question: 8-year-old boy in the pool, was found unconsciousness, shock, given first aid after their electrocardiogram (EKG) as shown. His 11-year-old brother, fainting (syncope) occurred when there was a history of the movement. Which of the following is the most likely diagnosis?

Answer: Long QT syndrome

Choices:
A. Wolff-Parkinson-White syndrome complicated with atrial fibrillation (atrial fibrillation)
B. Long QT syndrome
C. Lown-Ganong-Levine syndrome
D. Genetic atrial fibrillation (hereditary atrial fibrillation)

year old boy
pool
found unconsciousness
shock
given first aid
electrocardiogram
EKG
year old
fainting
syncope
history
movement
following
diagnosis


Question: 65-year-old Lin, in recent days, feeling tired, loss of appetite, yellowing of the skin. Abnormal liver function blood tests, CA-199 values increased. Physicians for him to do CT scan images as shown. Lin most likely suffering from what disease?

Answer: Head pancreatic cancer (pancreatic head cancer)

Choices:
A. Intrahepatic cholangiocarcinoma (intrahepatic cholangiocarcinoma)
B. HCC (hepatocellular carcinoma)
C. Stomach cancer (gastric cancer)
D. Head pancreatic cancer (pancreatic head cancer)

65 year old Lin
recent days
tired
loss of appetite
yellowing of the skin
Abnormal liver function blood tests
CA
values increased
Physicians
CT scan
Lin
likely suffering
disease


Question: Narrative about mitral valve replacement surgery (mitral valve replacement) of anesthesia, Which statement is correct?

Answer: After weaned from CPB, right ventricular failure For processing, should increase breathing oxygen concentration, and adjusting the arterial blood dioxo

Choices:
A. Surgery, extracorporeal membrane shall (ECMO: extracoporal membrane oxygenator) maintain cardiopulmonary bypass, open-heart surgery before
B. Anesthetic gas inhibits myocardial contractility, heart surgery without the use of anesthesia in clinical practice
C. After weaned from CPB, right ventricular failure For processing, should increase breathing oxygen concentration, and adjusting the arterial blood dioxo
D. Twice preoperative renal function has been abnormal cardiac surgery patients, the mortality rate of patients with normal renal function

mitral valve replacement surgery
mitral valve replacement
anesthesia
correct


Question: When 17-year-old left back wrist Chen Daxiong touched a protruding tumor, my mother took him to the orthopedic clinic for treatment, the doctor will tell him what Fengyun tumor most often?

Answer: Ganglion cyst (ganglion cyst)

Choices:
A. Ganglion cyst (ganglion cyst)
B. Giant cell tumor (giant cell tumor)
C. Lipoma (lipoma)
D. Enchondroma (enchondroma)

year old left back wrist
touched
protruding tumor
orthopedic clinic
treatment
doctor
tumor
often


Question: After seeing the fast-moving amoeba, dropped into distilled water for a few hours in the cerebrospinal fluid of a patient, you can see the change as having two flagella flagellate parasites who is most likely to be infected :

Answer: Freund's Negri amoeba (Naegleria fowleri)

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

seeing
fast moving
distilled water
few hours
cerebrospinal fluid
patient
see
change
two flagella
parasites
to
infected


Question: Following one of the factors that will not cause the incidence of certain chronic diseases fluctuates?

Answer: The incubation period

Choices:
A. The incubation period
B. Disease diagnosis technology
C. envirnmental factor
D. living habit

Following one
factors
not cause
incidence
certain chronic diseases fluctuates


Question: The following narrative about descending necrotizing mediastinitis it, what's wrong?

Answer: Treatment usually does not require drainage

Choices:
A. Mostly because odontogenic infection caused
B. And the negative pressure due to gravity mediastinum, so that infectious agents into the mouth and neck mediastinal shift caused by
C. Treatment usually does not require drainage
D. Usually trained oral normal bacteria and bacteria-related

following
descending necrotizing mediastinitis
wrong


Question: 80 year old woman hospitalized due to lung cancer receiving chemotherapy. On the 20th day of hospitalization the patient breathe, chills, shock (blood pressure 80/60 mmHg), X ray showed right lower pneumonia (lobar pneumonia), dispose of what should be the most inappropriate?

Answer: The first generation cephalosporin given treatment

Choices:
A. Sputum microscopy and culture
B. Two blood culture
C. White blood cell count and classification
D. The first generation cephalosporin given treatment

80 year old woman hospitalized due to lung receiving chemotherapy


Question: The glycoprotein (glycoproteins), the following amino acids which group is directly involved in the formation sugar and protein covalent bond?

Answer: Amides aspartate, threonine and serine (Asn, Thr & Ser)

Choices:
A. Glycine, threonine and serine (Gly, Thr & Ser)
B. Amides aspartate, threonine and serine (Asn, Thr & Ser)
C. Amine Amides bran, serine and tyrosine (Gln, Ser & Tyr)
D. Lysine, alanine and glutamic tissue (Lys, His & Glu)

glycoprotein
glycoproteins
following amino acids
group
directly involved
protein


Question: Biofeedback self-relaxation training (relaxation therapy) treatment (bio-feedback) are compared with one of the following does not apply to that situation?

Answer: Attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder)

Choices:
A. sleep disorder
B. asthma
C. Attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder)
D. Tension headache

Biofeedback
relaxation training
relaxation therapy
treatment
bio-feedback
one
following
not apply


Question: 63-year-old woman in the face and chest as shown in the skin lesions and the number gradually increased with age, which of the following is the most likely diagnosis?

Answer: Seborrheic keratosis (seborrheic keratosis)

Choices:
A. Pigment cells acquired nevus (acquired melanocytic nevus)
B. Basal cell carcinomas (basal cell carcinoma)
C. Actinic keratosis (actinic keratosis)
D. Seborrheic keratosis (seborrheic keratosis)

63 year old woman
face
chest
skin lesions
number
increased
age
following
diagnosis


Question: The clinical examination showed the intercostal arteries (intercostal arteries) becomes large, even palpable pulse beat, and the X-ray shows a lower edge of the ribs is increased arterial notch, these phenomena may suffer most patients show:

Answer: Aortic stenosis (coarctation of aorta)

Choices:
A. Defect Congenital diaphragmatic
B. Aortic stenosis (coarctation of aorta)
C. Open foramen ovale (oval foramen)
D. Umbilical artery (umbilical artery) insufficiency

intercostal arteries
intercostal arteries
large
palpable pulse
X-ray
lower edge
ribs
increased arterial notch
suffer
patients


Question: Normal human blood divided into A, B two, poured simultaneously so that the carbon dioxide gas partial pressure of both are 46 mmHg, the oxygen partial pressure A tube 100 mmHg, the oxygen partial pressure tube B was 40 mmHg. The following statements is true?

Answer: A carbon inner tube acyl group hemoglobin (carbaminohemoglobin) of the total hemoglobin (Hemoglobin) ratio is lower than the tube B

Choices:
A. A, B within the same two total content of carbon dioxide
B. A carbon inner tube acyl group hemoglobin (carbaminohemoglobin) of the total hemoglobin (Hemoglobin) ratio is lower than the tube B
C. The composition of the gas tube B blood approximate Edema (systemic arterial blood)
D. Caused by the A, B two differences mainly hemoglobin (Hemoglobin) molecular characteristics Bohr effect (Bohr effect)

Normal human blood divided
two
simultaneously
carbon dioxide gas partial pressure
mmHg
tube 100 mmHg
tube
40 mmHg
following
true


Question: A 3-year-old boy, when a doctor found the right cheek and right foot there once every 1 second twitch phenomenon, theosophy still awake, but neurological examination revealed right foot has shown a paralysis, this situation has continued for a month the above. The following statements is wrong?

Answer: Pathology characterized by numerous voids of different sizes, i.e. spongiform encephalopathy (spongiform encephalopathy)

Choices:
A. The most likely diagnosis is Rasmussen encephalitis
B. Locality attack heavy volume status (epilepsia partialis continua) characteristic of its clinical manifestations
C. Brain magnetic resonance angiography (MRI) representing the left cerebral hemisphere atrophy
D. Pathology characterized by numerous voids of different sizes, i.e. spongiform encephalopathy (spongiform encephalopathy)


Question: Professor Wang is conducting studies of sperm, the need to seek voluntary subjects, provided good sperm motility, which of the following is the most appropriate subjects?

Answer: Adult men

Choices:
A. Professor Wang students
B. Psychiatric patients
C. 10-15-year-olds
D. Adult men

Professor
studies
need to
subjects
good sperm motility
following
most appropriate subjects


Question: The following lymphoid organs, whichever is free of lymphoid nodules (lymphatic nodules) or follicles (follicles)?

Answer: Thymus (thymus)

Choices:
A. Lymph nodes (lymph nodes)
B. Spleen (spleen)
C. Thymus (thymus)
D. Pei's patches (Peyer's patches)

following lymphoid organs
free
lymphoid nodules
lymphatic nodules
follicles
follicles


Question: Ludwig's angina and following Ho gap (space) than unrelated?

Answer: Masseter

Choices:
A. Masseter
B. Submandibular
C. Submental
D. Sublingual

Ludwig's angina
following Ho gap
space
unrelated


Question: This disease is most relevant to what kind of cell in the following histologically?

Answer: Type II alveolar cells

Choices:
A. Pulmonary vascular endothelial cells
B. Neutropenia
C. The first type alveolar cells
D. Type II alveolar cells

disease
most relevant
kind
cell
following histologically


Question: From the previous question, after examination revealed feces mixed with blood, rectal abnormalities, Which of the following is the most appropriate follow-up inspection of the project?

Answer: The fiber endoscopy, colonoscopy

Choices:
A. Computer tomography
B. E. barium X-ray photographic examination
C. The fiber endoscopy, colonoscopy
D. Abdominal sonography

previous
revealed feces mixed
blood
rectal abnormalities
following
most appropriate follow-up inspection


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

Answer: Tubular necrosis after ischemic renal failure caused by renal blood flow even in the administration of correction, renal function will not recover

Choices:
A. Prerenal kidney failure is the most common cause of urine sodium concentration typically <10 mmol / L
B. Tubular necrosis after ischemic renal failure caused by renal blood flow even in the administration of correction, renal function will not recover
C. Nephrotoxic drugs, such as antibiotics or anticancer drugs, acute renal failure is usually caused damage to the proximal tubules
D. If one day the patient urine output of less than 100 mL, should consider the possibility of obstructive renal failure


Question: A 18-year-old woman, complained of never had menstruation, breast hypoplasia, no pubic hair, He does not need to do the following checks?

Answer: HCG (Human chorionic gonadotropin)

Choices:
A. Chromosome karyotype (Karyotype)
B. Follicle stimulating hormone (Follicle-stimulating hormone)
C. HCG (Human chorionic gonadotropin)
D. Ultrasonography

year old woman
never
menstruation
breast hypoplasia
pubic hair
not need to
following checks


Question: The following methods can not control what kind of interference effects (confounding)?

Answer: When increasing the number of samples received comp

Choices:
A. Pairing (matching) when receiving the interference-like factor
B. Data correction (adjustment) interference factor analysis
C. Data analysis in order to make the interference factor stratification (stratification) analysis
D. When increasing the number of samples received comp

following methods
not control
kind
interference effects


Question: 45-year-old female complained of foot no care has been taken two days neurological examination revealed no care has been taken right leg, below the navel on the left side pain, temperature sensation loss, check the monitor for the inflammatory lesions of the spinal cord, for her narrative result of the inspection, which of the following error?

Answer: MRI lesions exhibit increased signal T1 (T1-weighted hyperintense), T2 signal constant (T2-weighted isointense), it may be as acute myelitis

Choices:
A. MRI lesions exhibit increased signal T1 (T1-weighted hyperintense), T2 signal constant (T2-weighted isointense), it may be as acute myelitis
B. Optic examination can help diagnose neuromyelitis
C. The results may be found lumbar puncture cells - isolated egg white (cytoalbuminologic dissociation)
D. ⾎ fluid check for possible anti-SSA antibody


Question: Health-related quality of the reporting system, divided into policy and promote policies to encourage the two categories, Which of the following does not belong to inform policies to promote the system?

Answer: Cancer screening system

Choices:
A. Cancer Registry System
B. Cancer screening system
C. Hospital Infection Surveillance Information System
D. National Adverse Drug Reaction Reporting System

related quality
divided
to
two
following
not
to inform
to
system


Question: Which of the following does not belong to amphetamine Forbidden phenomenon?

Answer: Insomnia (insomnia)

Choices:
A. Eager to get the drug (craving for drugs)
B. Fatigue (lassitude)
C. Bulimia (hyperphagia)
D. Insomnia (insomnia)


Question: 9 year-old boy stated during the day urinary frequency, urinary urgency, and even the phenomenon of wet pants, and wet the bed nightly, the best selection of treatment of bedwetting this case is:

Answer: Day and at bedtime anticholinergic, such as oxybutynin

Choices:
A. Bedtime desmopressin (DDAVP)
B. Day and at bedtime alpha adrenergic antagonist, such as doxazosin
C. Day and at bedtime anticholinergic, such as oxybutynin
D. Use only at bedtime imipramine

year old boy stated
day urinary frequency
urinary urgency
wet pants
wet
bed
best
bedwetting
case


Question: 28 weeks of gestational age preterm children, birth to five months of outpatient health examinations. Which of the following evaluation and recommendation of the most correct?

Answer: Assessment of development should be calculated to two months of age

Choices:
A. Assessment of development should be calculated to two months of age
B. If you do not grip things, representation of fine motor development delay
C. Suggested that parents should add non-staple food
D. Recommended to start using a walker to promote gross motor development


Question: As shown in retinal photographs, the patients most likely diagnosis of why?

Answer: Background diabetic retinopathy (background diabetic retinopathy; BDR)

Choices:
A. Acute central retinal artery occlusion
B. Retinopathy of premature children
C. Background diabetic retinopathy (background diabetic retinopathy; BDR)
D. Proliferative diabetic retinopathy (proliferative diabetic retinopathy; PDR)

retinal photographs
patients
likely diagnosis


Question: When the patient after abdominal surgery, the risk of abdominal compartment syndrome (abdominal compartment syndrome) if there happen after assessment, following what measures should be taken?

Answer: Avoid doing the initial wound stitched (primary closure)

Choices:
A. Supply of oxygen
B. Supplying a large number of infusion
C. Avoid doing the initial wound stitched (primary closure)
D. Placement of central venous catheters (central venous catheter)

patient
abdominal
abdominal compartment syndrome
abdominal compartment syndrome
following
measures


Question: Which of the following after the child was born with congenital heart disease, if the patent ductus arteriosus lockout, it could be fatal?

Answer: ①②③

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④

following
child
born
congenital heart disease
patent ductus arteriosus
fatal


Question: Which of the following cases occur in children at least Kawasaki disease (Kawasaki disease)?

Answer: Complement C3, C4 decrease

Choices:
A. Coronary expand
B. Pyuria (pyuria)
C. Complement C3, C4 decrease
D. Elevated liver function index

following cases occur
children
Kawasaki disease
Kawasaki disease


Question: Auditory hair cells (auditory hair cells) depolarization, the initial ion flow phenomena Why?

Answer: influx of K+

Choices:
A. influx of K+
B. outflux of K+
C. Na + influx of
D. outflux of Ca2+


Question: Which of the following can help their peers have arterial blood supply to the hip?

Answer: Femoral ligament (ligament of head of femur)

Choices:
A. Femoral ligament (ligament of head of femur)
B. Transverse acetabular ligament (transverse acetabular ligament)
C. Iliofemoral ligament (iliofemoral ligament)
D. Shame shares ligament (pubofemoral ligament)

following
help
arterial blood supply
hip


Question: In patients with artificial heart valves, gastrointestinal bleeding, must first consider what reasons caused?

Answer: Use of anti-clotting drugs

Choices:
A. Use of anti-clotting drugs
B. Aplastic anemia
C. Autoimmune thrombocytopenia
D. Thrombocytopenic purpura

patients
artificial heart valves
gastrointestinal bleeding
first
caused


Question: Diagnostic phoria (heterophoria) generally must depend on which of the following checks to determine?

Answer: cover-uncover test

Choices:
A. cover-uncover test
B. alternate cover test
C. prism cover test
D. prism reflex test（krimsky）

Diagnostic phoria
heterophoria
depend
following checks to determine


Question: Overweight patients, to half a kilo of weight loss per week, the average number of calories per day about to be cut?

Answer: 500 kcal

Choices:
A. 100 kcal
B. 250 kcal
C. 500 kcal
D. 1000 kcal

Overweight patients
half
kilo of weight loss
week
average number
calories
day
to
cut


Question: 2 a 26-year-old woman occurred in highway crash accident, hospital emergency room served mainly physical examination conditions are as follows: blood pressure mmHg; heart rate 105 / min; GCS GCS 8 points (E1M5V2), there is the case of restlessness (agitation); the combined face fracture (facial bone fracture); a predetermined emergency brain surgery. According to the above description, Which of the following is the improper disposal?

Answer: Given saline infusion

Choices:
A. Given ketamine, to reduce intracranial pressure
B. The combined morphine-like drugs, as an adjuvant intubation
C. Using an osmotic diuretics
D. Given saline infusion

2
year old woman
highway
accident
hospital emergency room
physical
conditions
follows
blood pressure mmHg
heart rate
min
GCS
points
case
restlessness
agitation
combined face fracture
facial bone fracture
emergency brain
above
following


Question: In general, dominant limb stretch (extension of limb) of the spinal cord motor neurons in the anterior horn:

Answer: Ventrolateral (ventrolateral division)

Choices:
A. Ventromedial (ventromedial division)
B. Ventrolateral (ventrolateral division)
C. Dorsal medial area (dorsomedial division)
D. Dorsolateral region (dorsolateral division)

general
dominant limb stretch
extension
limb
spinal cord
anterior horn


Question: 7-year-old boy with fever, cough three days, with fine rales (fine crackles) on both sides of the lung auscultation, by the use of cefotaxime 150 mg / kg / day q6h after three days of treatment, the fever persisted, but the boy good vigor, no respiratory distress, chest X-ray was symmetrical interstitial infiltrates. That one of the following disposal the most appropriate?

Answer: Switch azithromycin 10 mg / kg / day qd

Choices:
A. Switch cefotaxime 300 mg / kg / day q6h
B. Switch azithromycin 10 mg / kg / day qd
C. Use vancomycin 40 mg / kg / day q8h
D. Switch penicillin 300,000 units / kg / day q6h

year old boy
fever
cough three days
fine rales
fine crackles
sides
lung auscultation
use of cefotaxime
mg
kg
day q6h
three days
treatment
fever
boy good
respiratory distress
chest X-ray
symmetrical interstitial infiltrates
one
following
most appropriate


Question: Congenital diaphragmatic hernia (congenital diaphragmatic hernia), the most serious problem may be complicated by Why?

Answer: Hypoplastic lungs (pulmonary hypoplasia)

Choices:
A. Hypoplastic lungs (pulmonary hypoplasia)
B. Congenital heart disease (congenital heart disease)
C. Esophageal atresia tracheoesophageal fistula (esophageal atresia with tracheoesophageal fistula)
D. After nostril atresia (choanal atresia)

Congenital diaphragmatic hernia
congenital diaphragmatic hernia
most serious problem
complicated


Question: The following narrative about the facilitated diffusion, what's wrong?

Answer: Need to consume energy

Choices:
A. It requires carrier media
B. Saturates
C. Certain compounds having selectivity for
D. Need to consume energy


Question: Bearing on the question, Which of the following most important for bacterial virulence factors (virulence factor)?

Answer: Bacterial surface polysaccharide capsule (polysaccharide capsule)

Choices:
A. Bacterial surface fimbriae (Pili)
B. Bacterial surface polysaccharide capsule (polysaccharide capsule)
C. Cell toxin (cytotoxin)
D. Wins cell wall peptidoglycan (peptidoglycan)

Bearing
following
important
bacterial virulence factors
virulence factor


Question: Traditional unit of radiation dose is rad, modern unit is Gray (Gy), that the following items are correct conversion method?

Answer: 1 Gy = 100 rad

Choices:
A. 1 rad = 10 Gy
B. 1 Gy = 100 rad
C. 1 Gy = 1000 rad
D. 1 Gy = 100 rad

Traditional unit of radiation dose
rad
unit
Gray
following
correct conversion method


Question: 70-year-old male patient with cerebral stroke pressure increases, the traditional pre-line decompression craniotomy, narrative therapy following brain pressure drop related to anesthesia, what's wrong?

Answer: The smaller the better to maintain arterial carbon dioxide

Choices:
A. Arterial carbon dioxide down to 30 ~ 33 mmHg
B. Mannitol (0.25 ~ 0.5 g / kg) reducing intracranial pressure because varying the osmotic pressure in the blood
C. Diuretics (furosemide) help is there because of the reduction in brain tissue and cerebrospinal fluid produced water
D. The smaller the better to maintain arterial carbon dioxide

traditional pre line decompression craniotomy


Question: RecA protein is the main regulator of the SOS response (SOS response), and its mechanism of action Why?

Answer: III-a, b-I, c-II

Choices:
A. a-II, III-b, c-I
B. a-II, b-I, c-III
C. III-a, b-I, c-II
D. Holoenzyme polymerization (polymerase holoenzyme) binding, can LexA repressor (repressor) gene from the manipulation (operator)

RecA protein
main regulator
mechanism of action


Question: An ion that can prevent fertilized egg cell repeatedly (polyspermy)?

Answer: calcium

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


Question: Related cervical disease rehabilitation treatment narrative principle, which of the following error?

Answer: Spinal cord lesion is cervical traction indications

Choices:
A. Spinal cord lesion is cervical traction indications
B. Available Transcutaneous electrical nerve stimulation (TENS) for pain
C. Coughing, sneezing may aggravate the symptoms of disease of the cervical nerve root
D. Raise the same side of the humerus may reduce symptoms of radiculopathy


Question: Following a DNA virus that has a different serotypes can cause upper respiratory tract, conjunctival infection and gastrointestinal tract?

Answer: Adenovirus (Adenovirus)

Choices:
A. Papilloma virus (Papillomavirus)
B. Adenovirus (Adenovirus)
C. Pox virus (Poxvirus)
D. Parvovirus B19 (Parvovirus B19)

Following a DNA
different
cause upper respiratory tract
conjunctival infection
gastrointestinal tract


Question: Which of the following anti-clotting drugs, primarily via hepatic metabolism?

Answer: Argatroban

Choices:
A. Argatroban
B. Enoxaparin
C. Fondaparinux
D. Lepirudin

following
clotting drugs
hepatic metabolism


Question: The following statements about monoclonal antibodies (monoclonal antibody), and what items most correct?

Answer: Obtained can be purified using affinity column staphylococcal Protein A

Choices:
A. They are IgM
B. Many may recognize antigenic determinants bit
C. Obtained can be purified using affinity column staphylococcal Protein A
D. The present study can only be used to reduce tissue transplant rejection therapy

following
monoclonal antibodies
monoclonal antibody
most correct


Question: β-lactamase inhibitor in clinical penicillin often associated with these drugs in combination with, and to expand its antibacterial spectrum activity, except where item?

Answer: nafcillin

Choices:
A. nafcillin
B. ampicillin
C. amoxicillin
D. ticarcillin


Question: Account of diabetes (diabetes mellitus) of acute complications (acute complication), the error which of the following?

Answer: When Kussmaul's breathing patterns are usually more common in hyperglycemic hyperosmolar state cum, less seen in diabetic ketoacidosis

Choices:
A. Diabetic ketoacidosis is usually (diabetic ketoacidosis) cum hypertonic glucose ratio state (hyperglycemic hyperosmolar state), lower arterial blood PH value, generally less than 7.3 and
B. When blood glucose concentration at a high osmotic pressure state cum hyperglycemia, diabetic ketoacidosis usually more is high, and often greater than 500 mg / dL
C. High blood sugar cum high osmotic pressure state is more common in the elderly sick, and diabetic ketoacidosis is more common in children
D. When Kussmaul's breathing patterns are usually more common in hyperglycemic hyperosmolar state cum, less seen in diabetic ketoacidosis

Account
diabetes
diabetes mellitus
acute complications
acute complication
error
following


Question: Related immunosuppressant sirolimus (rapamycin) of the narrative, which of the following error?

Answer: As the role of calcineurin can be inhibited tacrolimus

Choices:
A. May be coupled to the FK506-binding protein
B. As the role of calcineurin can be inhibited tacrolimus
C. Have less adverse effects than cyclosporine impairment of renal function
D. Inhibition of mTOR to inhibit protein synthesis

Related immunosuppressant sirolimus
rapamycin
following error


Question: To the eye when out above (temporal upper) look to be on the outer lateral rectus muscle (lateral rectus muscle) and following what the eye muscle strip joint action?

Answer: Superior rectus (superior rectus muscle)

Choices:
A. Superior rectus (superior rectus muscle)
B. The oblique muscle (superior oblique muscle)
C. Inferior rectus (inferior rectus muscle)
D. Under oblique muscle (inferior oblique muscle)

eye
out
temporal upper
look to
outer lateral rectus muscle
lateral rectus muscle
following
eye strip joint action


Question: 4235-year-old male, cough and hemoptysis, lower limb more purple tenderness nodules, check the following items where most helpful in the diagnosis of Wegener's granulomatosis?

Answer: antiproteinase-3 antineutrophil cytoplasmic antibodies（PR3-ANCA）

Choices:
A. antihistone antibodies
B. antiproteinase-3 antineutrophil cytoplasmic antibodies（PR3-ANCA）
C. anticardiolipin antibodies
D. antinuclear antibodies (ANA)

year old male
cough
hemoptysis
lower limb
purple tenderness nodules
check
following
helpful
diagnosis
Wegener's granulomatosis


Question: A 42-year-old female patient's blood report presents HBsAg: positive, anti-HBs antibody IgG: positive. Which of the following determine the most reasonable?

Answer: The patient remains asymptomatic carrier of hepatitis B

Choices:
A. The patient remains asymptomatic carrier of hepatitis B
B. This non-B hepatitis patient asymptomatic carrier, because of the existing anti-HBs positive
C. Reality check error, HBsAg and anti-HBs were positive impossible
D. It should be added for anti-HBc antibody (anti-HBc), as determined before

year old female blood report presents HBsAg


Question: Wang Daming accidentally while playing basketball ball, the ball should have been turned into the palm of his right middle finger catch, suddenly swollen fingers, a few days after the last one on swelling fingers hanging down, how hard can not do anything straight. The most appropriate diagnostic why?

Answer: Mallet finger (mallet finger)

Choices:
A. Trigger finger (trigger finger)
B. De Quervain syndrome (de Quervain's tenosynovitis)
C. Mallet finger (mallet finger)
D. Hand buttons malformation (boutonniére deformity)

playing basketball ball
ball
turned
palm
right middle finger catch
swollen fingers
few days
one
swelling fingers hanging
hard
not
straight
most appropriate diagnostic


Question: A dysphagia patients, clinical complained of burning sensation in the chest (heart burn), and food and have jammed (food sticking) of feeling, according to stage of swallowing, following that period most likely damaged?

Answer: Of the esophagus (esophageal stage)

Choices:
A. Oral stage (oral stage)
B. Oral preparation phase (oral preparatory stage)
C. Period throat (pharyngeal stage)
D. Of the esophagus (esophageal stage)

dysphagia patients
clinical
burning sensation
chest
heart burn
food
food sticking
stage
swallowing
following
period
likely damaged


Question: The following drugs that are suitable for improving the symptoms of Crohn's disease, and the role of up to 12 weeks?

Answer: Infliximab

Choices:
A. Loperamide
B. Cholestyramine
C. Infliximab
D. Senna

following drugs
suitable
improving
symptoms
Crohn's disease
role
weeks


Question: The following about the hand metacarpal (metacarpal) fracture of the narrative, what's wrong?

Answer: The most common place is part of the metacarpal fracture in the metacarpal bone (metacarpal head) of

Choices:
A. Metacarpal fractures account hand (hand) and wrist fractures 1/3
B. The most common symptoms are swelling and pain metacarpal fracture
C. To be flushing if the patient is due to human or animal bites, causing a fracture, surgery and given powerful antibiotics
D. The most common place is part of the metacarpal fracture in the metacarpal bone (metacarpal head) of

following
hand metacarpal
metacarpal
fracture
wrong


Question: The following information about the role of growth hormone (growth hormone), and what's right?

Answer: Excessive concentrations of growth hormone in the blood can cause insulin resistance (insulin resistance) phenomenon

Choices:
A. Reduce glucose production by the liver
B. Reduce blood free fatty acid concentration
C. Increase in skeletal muscle glucose uptake (uptake)
D. Excessive concentrations of growth hormone in the blood can cause insulin resistance (insulin resistance) phenomenon

following
role
growth hormone
growth hormone
right


Question: Miss Rein ulcer perforation for emergency surgery, postoperative condition. When Miss Lai Zhuyuanyishi review medical records and found her abdominal pain on the year and a half ago and had undergone gastroscopy in our hospital, found to have been suffering from duodenal ulcers and H. pylori positive, but the doctors did not give outpatient antibiotic treatment. Which of the following is the name of this piece Zhuyuanyishi suspected medical negligence events next most appropriate disposal?

Answer: First understand why there is no documented record of the use of antibiotic treatment of Helicobacter pylori infection on medical records

Choices:
A. Not to pursue past and given medical treatment of Helicobacter pylori infection can directly when Miss Lai oral medication
B. First understand why there is no documented record of the use of antibiotic treatment of Helicobacter pylori infection on medical records
C. Miss Lai previously admitted to negligence and commitment of clinicians and hospital claims to the parties for her
D. Write a report to inform the head of the hospital medical errors and build this please punish relevant personnel and education


Question: Long plantar ligament (long plantar ligament) is attached to the front end of the bone where these?

Answer: Cuboid bone (cuboid)

Choices:
A. Cuneiform (Cuneiform)
B. Talus (talus)
C. Scaphoid (navicular)
D. Cuboid bone (cuboid)

Long plantar ligament
long plantar ligament
attached
front end
bone


Question: Patients due to blurred vision, eye doctor, eye doctors check for defective vision, and an MRI, according to this MRI (shown below), patients are most likely to produce that kind of vision defects?

Answer: Bitemporal hemianopia

Choices:
A. Bitemporal hemianopia
B. Right side homonymous hemianopia
C. Left side homonymous hemianopia
D. Central scotoma

Patients due to blurred vision
eye doctor
eye doctors check
defective vision
MRI
MRI
patients
to
kind
vision defects


Question: Which of the following is not a Phase I metabolic reactions of?

Answer: Conjugation

Choices:
A. Oxidation
B. Hydrolysis
C. Conjugation
D. Reduction


Question: A 30-year-old man for long-term intravenous drug addicts, because of fever, breathing difficulties to seek treatment; cardiac auscultation determined to murmur, and lung X-rays with multiple infiltration, most likely pathogens ask why?

Answer: Staphylococcus aureus

Choices:
A. Klebsiella pneumoniae
B. Proteus mirabilis
C. Staphylococcus aureus
D. Streptococcus pyogenes

30 year old man
long-term intravenous
fever
breathing difficulties to
treatment
cardiac auscultation
to murmur
lung X-rays
multiple infiltration
likely pathogens


Question: The following statements about testicular seminoma (seminoma), and what's the most correct?

Answer: It contains large amounts of placental alkaline phosphatase

Choices:
A. Occurs in infants and young children
B. It contains large amounts of placental alkaline phosphatase
C. Serum α-fetoprotein patients often significantly increase the value of
D. Poor response to chemotherapy, the prognosis is poor

following
testicular seminoma
seminoma
most correct


Question: For children with functional abdominal pain over and over again (functional recurrent abdominal pain), the following clinical manifestations what best suits this diagnosis?

Answer: Abdominal pain is located around the navel

Choices:
A. Vomit bile
B. There watery diarrhea phenomenon
C. Abdominal pain is located around the navel
D. Midnight pain woke easy

children
functional abdominal pain
over
functional recurrent abdominal pain
following clinical manifestations
best
diagnosis


Question: A 65-year-old woman because of a headache, eye pain and blurred vision suddenly hospitalized, diagnosed as acute glaucoma, must receive treatment to reduce intraocular pressure. Past medical history included hypertension and asthma, in addition to the heart, liver and kidney functions are normal, and no drug allergies of the patient's condition. When given antihypertensive therapy, Which of the following most should be avoided?

Answer: Beta-adrenergic antagonist eye drop

Choices:
A. Intravenous mannitol infusion
B. Oral acetazolamide
C. Pilocarpine eye drop
D. Beta-adrenergic antagonist eye drop


Question: The following is a drug that Benzodiazepines sedative - hypnotic (sedative-hypnotic) drug antagonist (antagonist), which can be used to treat or diagnose acute poisoning Benzodiazepines are?

Answer: Flumazenil

Choices:
A. Buspirone
B. Zolpidem
C. Flumazenil
D. Zaleplon


Question: No bilateral congenital vas deferens (congenital bilateral absence of vas deferens) and genetic diseases following the most relevant?

Answer: Cystic fibrosis

Choices:
A. Cryptorchidism
B. Ureter defect
C. Atopic dermatitis
D. Cystic fibrosis


Question: Which of the following drugs should not be used in acute gout attacks?

Answer: Uric acid lowering drugs (hypouricemic agents), such as allopurinol

Choices:
A. Nonsteroidal antiinflammatory drugs (non-steroid anti-inflammatory drugs, NSAID)
B. Colchicine (colchicine)
C. Steroids (steroids)
D. Uric acid lowering drugs (hypouricemic agents), such as allopurinol

following drugs
not
used
acute gout attacks


Question: Angle of view of preventive medicine, with a low risk factor and more than 35-year-old man, how often should undergo a cholesterol (cholesterol) blood tests?

Answer: Five years

Choices:
A. Three months
B. Six months
C. A year
D. Five years

Angle
view
preventive medicine
low
more
35 year old man
often
cholesterol
cholesterol
blood tests


Question: 3445-year-old woman receiving cadaveric renal transplantation, total ischemic time (Total ischemic time) for the twelve hours thirty-five, surgery went smoothly, after using an anti-lymphocyte immune globulin (antilymphocyte globulin) and steroids as anti-rejection drugs . Two days before the average urine volume per hour after 25 c.c .. The patient's vital signs stable, central venous pressure at 10-12 cmH2O, after ultrasound Color Doppler Ultrasound display vascularized normal flow, reduce postoperative voiding phenomenon is related to Which statement is correct?

Answer: May be acute tubular necrosis

Choices:
A. Must be acute exclusion
B. Should increase the dose of anti-rejection drugs
C. Impossible to restore kidney function, kidney transplant surgery immediately
D. May be acute tubular necrosis


Question: Statements about German measles (rubella virus), and which of the following error?

Answer: Conventional with throat swabs (throat swab) culturing the virus, according to the diagnosis of infection as

Choices:
A. The only human hosts
B. Only one serotype
C. MMR vaccine can be administered to prevent infection fight
D. Conventional with throat swabs (throat swab) culturing the virus, according to the diagnosis of infection as


Question: Which of the following diseases rare lung collapse (atelectasis) situation?

Answer: Peripheral lung cancer

Choices:
A. Pneumothorax (pneumothorax)
B. Chylothorax (chylothorax)
C. Neonatal respiratory distress syndrome (neonatal respiratory distress syndrome)
D. Peripheral lung cancer


Question: A 19-year-old woman, hospitalized three months ago in a car accident injuries to the abdomen, hematuria recently because of continued high readmissions, angiography images such as drawings, the patient most likely diagnosis is which of the following?

Answer: Kidney contusion concurrent pseudoaneurysm (pseudoaneurysms)

Choices:
A. Kidney contusion concurrent pseudoaneurysm (pseudoaneurysms)
B. Kidney contusion and arteriovenous fistula (arteriovenous fistulas)
C. Contusion complicated by kidney subcapsular hematoma (subcapsular hematoma)
D. Kidney contusion complicated by acute pyelonephritis (acute pyelonephritis)

year old woman
hospitalized three months
car accident injuries
abdomen
hematuria recently
high
angiography
patient
likely diagnosis
following


Question: A stroke patient ability to understand and speak the language fluency Jie defect, but for verbal instructions given by the medical staff, can complete all the spoken. The patients most likely to develop that type of aphasia?

Answer: Cortical aphasia (transcortical aphasia)

Choices:
A. Wernicke's aphasia
B. Conductive aphasia (conduction aphasia)
C. Broca's aphasia
D. Cortical aphasia (transcortical aphasia)

stroke patient ability to
speak
defect
verbal instructions given
medical staff
complete
spoken
patients
to
type
aphasia


Question: The following configuration is not any direct contact with the tooth (Dentin)?

Answer: Chalky (cementum)

Choices:
A. Periodontal ligament (periodontal membrane)
B. Enamel (enamel)
C. Chalky (cementum)
D. Pulp cavity (pulp cavity)

following configuration
not
direct contact with
tooth
Dentin


Question: 5-phosphoribosyl-1-pyrophosphate (PRPP) synthesis of inosine 5'-monophosphate (IMP) in the nucleotide biosynthetic pathway, PRPP amidotransferase that the reaction rate may be one of the following product negatively regulate?

Answer: AMP

Choices:
A. AMP
B. CMP
C. FAD
D. malonyl-CoA

5-phosphoribosyl-1-pyrophosphate
PRPP
reaction rate
one
following product


Question: A 45 year old male, was found to have colon cancer two years ago, for the Duke B1 period, to accept surgery, pathological diagnosis of cancer, found this year a routine check right upper lobe has a 2 × 2 cm metastases, biopsy also adenocarcinoma by positron scan did not find elsewhere transfer, disposal of the patient, which of the following is most appropriate?

Answer: Surgical treatment

Choices:
A. Chemotherapy
B. Radiation treatment
C. Surgical treatment
D. Chemotherapy combined with radiotherapy

year old male
found to
colon cancer two years
Duke B1 period
to accept surgery
pathological diagnosis
cancer
found
year
routine check right upper lobe
2
2
metastases
biopsy
adenocarcinoma
positron scan
not find
transfer
patient
following
most appropriate


Question: About syphilis (syphilis), the following statements is true?

Answer: The second stage of syphilis can affects the skin, kidneys, liver, spleen, skeletal muscle, etc.

Choices:
A. doxycycline treatment is currently considered the drug of choice
B. VDRL (Venereal disease research laboratory test) positive for the disease can be diagnosed
C. Usually the Gram's stain cells are clearly visible
D. The second stage of syphilis can affects the skin, kidneys, liver, spleen, skeletal muscle, etc.


Question: After years of research, and finally found that the drug X may promote the transcription factor FoxP3 expression, and the transcription factor FoxP3 mainly in CD4 + T cells, and the T cells to secrete IL-10 and TGF-β, and the performance of CTLA-4 molecule. Drug X is most unlikely to control that disease?

Answer: Tumor

Choices:
A. Transplant rejection
B. Lupus erythematosus
C. asthma
D. Tumor

years
found
drug
transcription factor FoxP3 expression
transcription factor FoxP3
CD4
T cells
to secrete IL-10
TGF
CTLA-4
Drug
most unlikely to control
disease


Question: Antibodies against the cell surface receptor (cell surface receptors), and can cause organ damage of autoimmune diseases, such as anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) that can cause one of the following diseases?

Answer: Myasthenia gravis (myasthenia gravis)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Pemphigus vulgaris (pemphigus vulgaris)
C. Multiple sclerosis (multiple sclerosis)
D. Lupus (systemic lupus erythematosus)

Antibodies
cell surface receptor
cell surface receptors
cause organ damage
autoimmune diseases
anti-acetylcholine receptor antibody
anti-acetylcholine receptor antibody
cause one
following diseases


Question: Which of the following factors can reduce the rate of induction of systemic inhalation anesthetic?

Answer: Drug solubility high blood anesthesia

Choices:
A. Increasing the ratio of drug concentration in the inhaled gas
B. Increased alveolar ventilation rate
C. Drug solubility high blood anesthesia
D. Reduced cardiac output

following factors
rate
induction
systemic inhalation anesthetic


Question: 56 year old man yellowing of the skin and sclera, and have dark urine and pale stools. The following statements is true?

Answer: If the touch swollen gallbladder, bile duct obstruction outside the patient's liver

Choices:
A. This patient had hemolytic jaundice
B. If the touch swollen gallbladder, bile duct obstruction outside the patient's liver
C. Elevated blood bilirubin mainly non-engagement bilirubin
D. Because liver cancer cells would create too much bilirubin is particularly prone to this type of jaundice

year old man yellowing of the skin
sclera
dark urine
pale stools
following
true


Question: If the spinal cord injury (spinal cord injury) in patients with major injury site in the spinal cord dorsal nerve bundle (dorsal column), Which of the following most likely to occur?

Answer: Not detect the correct temperature changes on the skin

Choices:
A. Unable to recognize objects in the palm of the right eyes closed
B. Vibration sensation (vibratory sense) poor
C. Not detect the correct temperature changes on the skin
D. Can not stand eyes closed

spinal cord injury
spinal cord injury
patients
major
spinal cord dorsal nerve bundle
dorsal column
following
likely to occur


Question: Patients with head trauma, emergency computer tomography images, such as drawings, are indicated by arrows:

Answer: Acute subdural hematoma upper chamber (acute epidural hematoma)

Choices:
A. Acute subdural hematoma upper chamber (acute epidural hematoma)
B. Acute subdural hematoma (acute subdural hematoma)
C. Chronic subdural hematoma (chronic subdural hematoma)
D. The brain contusion hemorrhage (contusion hemorrhage)

Patients
head trauma
emergency computer tomography
indicated
arrows


Question: Which of the following is a T helper cell (helper T cell) co-receptor (co-receptor)?

Answer: CD4

Choices:
A. CD2
B. CD3
C. CD4
D. CD8


Question: Dandy-Walker malformation is a kind of congenital hydrocephalus, which of the following first appeared expand phenomenon?

Answer: Fourth ventricle (4th ventricle)

Choices:
A. The third ventricle (3rd ventricle)
B. Fourth ventricle (4th ventricle)
C. Cerebral aqueduct (aqueduct)
D. Ventricle (lateral ventricle)

Dandy-Walker malformation
kind
congenital hydrocephalus
following first appeared expand


Question: The following have concerns murmur (heart murmur) of the narrative, what's wrong?

Answer: Normal healthy person should not be determined noise

Choices:
A. Normal healthy person should not be determined noise
B. Systolic murmur at the time of the first heart sound or later, and ended the next second heart sound or slightly before
C. When the carotid pulse (the upstroke), which is the systolic murmur heart murmur; in carotid sink, which is a diastolic murmur heart murmur
D. Diastolic murmur occurs when the second heart sound or later, and ended the next or slightly before the first heart sound


Question: For the following description Paramyxoviridae (Paramyxoviridae), the what's right?

Answer: A film having both (Envelope) and fusion (Fusion) Protein

Choices:
A. Positive stocks (positive sense) RNA virus
B. By nucleoprotein (Nucleoprotein) is divided into A, B and C III
C. Nucleoprotein clothing (nucleocapsid) icosahedral symmetry structure
D. A film having both (Envelope) and fusion (Fusion) Protein


Question: Which of the following bacteria and plants which synthesize aromatic amino acids (aromatic amino acids) process, an important intermediate product?

Answer: chorismate

Choices:
A. purine
B. chorismate
C. pyrimidine
D. p-aminobenzoic acid

following bacteria
aromatic amino acids
aromatic amino acids
process
important intermediate product


Question: Item 63 properties that severe depression (major depressive disorder) patients and progress in the future as the first course of bipolar disorder (bipolar I disorder) of less relevant?

Answer: Severe insomnia (insomnia)

Choices:
A. Severe insomnia (insomnia)
B. Psychotic symptoms
C. A family history of a first type of bipolar disorder (bipolar I disorder)
D. But had to take antidepressants appear hypomania

63 properties
severe depression
major depressive disorder
patients
progress
future
first course of bipolar disorder
bipolar I disorder
less relevant


Question: When there was a 50-year-old public acceptance health check, body mass index = 33 kg / m2, esophagogastroduodenoscopy found to have erosive esophagitis (erosive esophagitis), the genus LA classification grade A. After careful inquiry he had no obvious pit of the stomach burning sensation (heartburn), there is no feeling of acid reflux, swallowing food too normal. The following description and what was the most correct?

Answer: He should be advised to lose weight and drinking less alcohol, coffee and tea, eat less fats and oils and acidic foods

Choices:
A. Should be given immediately taking proton pump inhibitor (PPI) for at least 4 months
B. Next year should be a gastrointestinal endoscopic examination on
C. It is further checked the pH within the esophagus
D. He should be advised to lose weight and drinking less alcohol, coffee and tea, eat less fats and oils and acidic foods

50 year old public
health check
body mass index
kg
m2
esophagogastroduodenoscopy found to
erosive esophagitis
erosive esophagitis
grade
pit of
stomach burning sensation
heartburn
acid reflux
swallowing food
normal
following
most correct


Question: The following thyroid surgery on nerve injury may be caused, what's wrong?

Answer: If the injuries to cervical sympathetic trunk, will lead Wermer's syndrome

Choices:
A. If injuries recurrent laryngeal nerve, can cause vocal cord paralysis
B. If injuries external branch of superior laryngeal nerve, can cause difficulties made treble
C. Surgery is not easy to hurt the internal branch of superior laryngeal nerve
D. If the injuries to cervical sympathetic trunk, will lead Wermer's syndrome

following thyroid surgery
nerve injury
caused
wrong


Question: A middle-aged patients with sudden mediastinal emphysema (pneumomediastinum), following which the differential diagnosis of the most unlikely?

Answer: Mediastinal tumors

Choices:
A. Acute asthma attacks
B. Mediastinal tumors
C. Rupture of the esophagus
D. Neck deep tissue infections

middle-aged patients
sudden mediastinal emphysema
pneumomediastinum
following
differential
unlikely


Question: The following statements about community health assessment, what's wrong?

Answer: All community problems found, make every effort to achieve the goal to solve the problem

Choices:
A. To solve a particular ethnic health problems specific method
B. Found the problem through integration available resources to develop solutions
C. All community problems found, make every effort to achieve the goal to solve the problem
D. The purpose of the promotion of community health assessment of the health status of community residents


Question: A 65-year-old patient, has many years of drinking habits. Recently he felt fatigue, weakness, poor appetite and to the hospital. Physical examination revealed an enlarged spleen and a small amount of ascites. Blood test shows ALT 85 U / L, AST 60 U / L, albumin 3 g / dL, total bilirubin 0.9 mg / dL, glucose 106 mg / dL, HBsAg (+), AFP 950 ng / mL. Angiogram and a CT image as shown in FIG. Which of the following is the most likely diagnosis?

Answer: HCC (hepatocellular carcinoma)

Choices:
A. Metastatic liver cancer (Metastasis)
B. Bile duct cancer (cholangiocarcinoma)
C. Hepatic hemangioma (cavernous hemangioma)
D. HCC (hepatocellular carcinoma)

65 year old patient
years
drinking habits
Recently
fatigue
weakness
poor appetite
hospital
revealed
enlarged spleen
small amount
ascites
Blood test
ALT 85 U
L
AST 60 U
L
albumin
g
dL
total bilirubin 0.9 mg
dL
glucose
mg
dL
HBsAg
950 ng
mL
Angiogram
CT
following
diagnosis


Question: Which is not nigra pars reticulata (pars reticulata of the substantia nigra) direct projection area of GABAergic neurons?

Answer: Pale nucleus (globus pallidus)

Choices:
A. Pale nucleus (globus pallidus)
B. The superior colliculus (superior colliculus)
C. Pontine nuclei cerebral peduncle (pedunculopontine nucleus)
D. Thalamus (thalamus)

not nigra pars reticulata
pars reticulata of
substantia nigra
direct projection area


Question: About Lake Louise acute mountain sickness (Lake Louise Acute Mountain Sickness) to assess signs and symptoms of a table of contents, excluding the following items where?

Answer: diarrhea

Choices:
A. headache
B. feel sick and vomit
C. diarrhea
D. insomnia

About Lake
acute mountain sickness
Lake
Acute Mountain Sickness
to
signs
symptoms
table
excluding
following


Question: Which of the following is the DNA sequence 5'- ATTGCAG-3 'is complementary to a nucleic acid shares?

Answer: 5'- CUGCAAU- 3 '

Choices:
A. 5'- CUGCAAU- 3 '
B. 5'- TAACGTC- 3'
C. 5'- ATTCGTC- 3'
D. 5'- ATTGCAG- 3'


Question: Select the following information about breast cancer adjuvant treatment (Adjuvant therapy), and what's right?

Answer: Estrogen receptor (ER) negative for the women before the menopause, chemical therapy

Choices:
A. Premenopausal women, the main anti-hormone drugs
B. Postmenopausal women, chemical therapy
C. Estrogen receptor (ER) negative for the women before the menopause, chemical therapy
D. Estrogen accept the body of a female, positive and hormone therapy before menopause has nothing to do

following
breast cancer adjuvant treatment
Adjuvant therapy
right


Question: Mr Tsang is a 35-year history of drinking, there are two episodes of acute pancreatitis in the past three years, most recently three weeks, due to continued de-black, gastroduodenal artery photography Figure A and B, the most reasonable diagnosis of anterior superior pancreaticoduodenal artery of:

Answer: False aneurysm (pseudoaneurysm)

Choices:
A. Blockage (occlusion)
B. False aneurysm (pseudoaneurysm)
C. Arteriovenous fistula (arterio-venous fistula)
D. Arteriovenous malformations (arterio-venous malformation)


Question: 2 large month-old girl, i.e. shortly after birth shortness combined asthma found song (stridor), tracheal stenosis found bronchoscopy, esophageal photography as shown in FIG. Which of the following is the most likely diagnosis?

Answer: Pulmonary artery sling (pulmonary sling)

Choices:
A. Double aortic arch (double aortic arch)
B. Right aortic arch and left patent ductus arteriosus (right aortic arch & left PDA)
C. Pulmonary artery sling (pulmonary sling)
D. For the fifth aortic arch (persistent fifth arch)

2 large month old girl
i.e
birth shortness combined asthma found
stridor
tracheal stenosis found bronchoscopy
esophageal
following
diagnosis


Question: 96 a 56-year-old woman, in recent months, abdominal circumference gradually increases. Physical checkups on both sides have found ovarian cystic tumors and ascites exist. Ascites cytology found in malignant cells. She underwent tumor resection, the tumor specimen is visible wall surface of many papillary protrusions. The following narrative about this disease and what was the most correct?

Answer: Ovarian tumors observed under a microscope, often visible sand bodies (psammoma bodies)

Choices:
A. Increased β-human chorionic gonadotropin concentration in the blood
B. It peritoneal pseudo myxoma (pseudomyxoma peritonei) may occur
C. Ovarian tumors most likely granular cell tumor (granulosa cell tumor)
D. Ovarian tumors observed under a microscope, often visible sand bodies (psammoma bodies)

96
year old woman
recent months
abdominal circumference
increases
Physical
sides
found ovarian cystic
ascites
Ascites cytology found
malignant
tumor resection
tumor specimen
visible wall surface
papillary protrusions
following
disease
most correct


Question: Premature children apnea (of apnea to) can be divided into central, obstructive, and mixed. For obstructive apnea, following what kind of treatment most appropriate?

Answer: Continuous positive airway pressure to give (continuous positive airway pressure)

Choices:
A. Give blood
B. Give oxygen
C. Give methylxanthines
D. Continuous positive airway pressure to give (continuous positive airway pressure)

Premature children apnea
apnea
divided
central
obstructive
mixed
obstructive apnea
following
kind
treatment most appropriate


Question: That one of the following instruments are checked within the corneal epithelium (corneal endothelium) lesions of the most important instruments?

Answer: Ophthalmoscope (ophthalmoscope)

Choices:
A. Light microscopic mirror (specular microscope)
B. Corneal curvature topography tester (computerized videokeratoscope)
C. Ophthalmoscope (ophthalmoscope)
D. Tonometer (tonometer)

one
following instruments
corneal epithelium
corneal endothelium
lesions
important instruments


Question: A 15-year-old boy, two years there have been repeated a lot of nosebleeds phenomenon, the left middle ear also water, no lumps found in the neck, the most likely disease Why?

Answer: JNA

Choices:
A. Nasopharyngeal
B. Nasal cancer
C. Little area before the bottom of the nasal septum bleeding
D. JNA

year old boy
two years
repeated
lot
nosebleeds
left middle ear
water
lumps found
neck
disease


Question: Adductor hiatus (adductor hiatus) Which of the following structure is located?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Adductor longus (adductor longus)
B. Short adductor muscles (adductor brevis)
C. Adductor muscle (adductor magnus)
D. Pubic muscle (pectineus)

Adductor hiatus
adductor hiatus
following structure


Question: Swimmer's itch (swimmer's itch) which is caused by a parasite?

Answer: Schistosoma birds (avian Schistosoma spp.)

Choices:
A. Schistosoma birds (avian Schistosoma spp.)
B. 犬鉤蟲（Ancylostoma caninum）
C. Manson crack head tapeworm (Spirometra mansonoides)
D. Pan tail volvulus (Onchocerca volvulus)

Swimmer's itch
swimmer's itch
caused
parasite


Question: The following statements about the severe acute respiratory syndrome (severe acute respiratory syndrome, SARS), and what's right?

Answer: Taken to "quarantine" measures, good effect

Choices:
A. Pathogenic virus is a DNA virus
B. Will produce coughing and breathing difficulties, but less likely to have a fever
C. Contagious skin
D. Taken to "quarantine" measures, good effect

following
severe acute respiratory syndrome
severe acute respiratory syndrome
SARS
right


Question: 72-year-old male with a history of hypertension for many years, complained of pain in the left lower extremity numbness up to 3 hours to consultation. Patients in the past day a pack of cigarettes lasts for more than 40 years, physical examination found that the left foot cold, pale, no swelling of the feet, but feet weak pulse. Patients with a history of many years of bilateral disease varicose veins, not taking medications to control. Patient's blood pressure 180/110 mmHg, heart rate 100 / min, the blood glucose level 220 mg / dL when the blood. This patient most likely diagnosis is:

Answer: Lower extremity arterial blockage (lower limb arterial occlusion)

Choices:
A. Lower extremity arterial blockage (lower limb arterial occlusion)
B. Venous congestion (lower limb venous occlusion)
C. Yu lower extremity phlebitis blood (stasis dermatitis)
D. Lower extremity arterial aneurysm (lower limb arterial aneurysm)

72 year old male
history of hypertension
years
pain
left
hours
Patients
past day
pack
cigarettes lasts
40 years
found
left foot cold
pale
swelling of
feet
feet weak pulse
Patients
history of
bilateral disease varicose veins
not
to control
Patient's blood pressure
mmHg
heart rate 100
min
blood glucose level
mg
dL
blood
patient
likely diagnosis


Question: Parasternal, fifth intercostal depth of about 1 centimeter puncture wounds, causing heavy bleeding, most likely injured arteries are:

Answer: Internal thoracic artery (internal thoracic artery)

Choices:
A. Top intercostal artery (supreme intercostal artery)
B. Internal thoracic artery (internal thoracic artery)
C. Muscle phrenic artery (musculophrenic artery)
D. Artery ribs (subcostal artery)

Parasternal
fifth
depth of
centimeter puncture wounds
causing heavy bleeding
likely injured arteries


Question: Early treatment following information about severe gallstone pancreatitis, whichever is most inappropriate?

Answer: Pancreatic debridement surgery performed immediately (debridement)

Choices:
A. Antibiotic-containing
B. Relieve pain
C. Fluid and electrolyte supplement
D. Pancreatic debridement surgery performed immediately (debridement)

Early treatment following
severe gallstone pancreatitis
most inappropriate


Question: 25-year-old woman, G3P2, 32 weeks of pregnancy, found that emergency Caesarean section "Ke's womb" (Couvelaire uterus), Will most likely diagnosis is:

Answer: Placental abruption

Choices:
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Placenta accreta

year old woman
weeks
pregnancy
found
emergency Caesarean section
Ke
omb"
ouvelaire uterus)
iagnosis


Question: The following information about the use of inhaled anesthetics, due to an increase in blood adrenaline caused by arrhythmias narrative, what's wrong?

Answer: Mechanism and adrenal AB type receptacle (α1Aand β adrenoreceptor) irrespective of the myocardium

Choices:
A. Currently halothane is still sensitive to adrenaline threshold value (threshold) the lowest drug
B. sevoflurane and desflurane needed to initiate blood arrhythmias lowest concentration of epinephrine is about the same
C. isoflurane more likely to develop this type of arrhythmia than sevoflurane
D. Mechanism and adrenal AB type receptacle (α1Aand β adrenoreceptor) irrespective of the myocardium

following
use of inhaled anesthetics
due to
increase
blood adrenaline caused
arrhythmias
wrong


Question: Parathyroid hormone can promote [(OH) 2-vitamin D3 1,25-] generating 1,25-dihydroxyvitamin D3, this function is primarily that occurring in an organ?

Answer: kidney

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

Parathyroid hormone
2 vitamin D3 1
1
dihydroxyvitamin D3
function
occurring
organ


Question: A basketball player during a layup foul, fell to the ground when, with his right hand stays, resulting in proximal ulna fracture associated with "radial head" fracture dislocation, after the emergency room after orthopedic surgeons perform a reset of the lockout, check found in the wrist there is also the phenomenon of dislocation of joints, the reason I ask for this so-called Essex-Lopresti lesions, most likely what structure is destroyed?

Answer: Interosseous membrane between the radius, ulna torn

Choices:
A. Annular ligament rupture
B. The wrist triangular ligament tear
C. Interosseous membrane between the radius, ulna torn
D. Scaphoid fractures of the wrist


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

Answer: Will not cause systemic infection

Choices:
A. The female reproductive tract normal flora
B. Will form pseudohypha
C. Cause opportunistic infections
D. Will not cause systemic infection


Question: Chest tube through the diaphragm into the chest (thoracic duct) and following that structure together?

Answer: Aortic

Choices:
A. The inferior vena cava
B. esophagus
C. Aortic
D. Vagus nerve

Chest tube
diaphragm
chest
thoracic duct
following
structure together


Question: Which of the following does not belong to the work of rehabilitation treatment of alcoholics?

Answer: Long-term use drugs and alcohol

Choices:
A. Do not drink to maintain motivation
B. Work to maintain the lifestyle change
C. Relapse prevention
D. Long-term use drugs and alcohol

following
not
rehabilitation treatment
alcoholics


Question: A 42-year-old Wang, the past six months has been that the coming end of the world, and decided to sell all the property, to follow the leader of his faith, but the family firm opposition forced him to hospital and hospital treatment, he still insisted he did not disease and the treatment of non-cooperation, the following statements is wrong?

Answer: Paranoia of drug efficacy is poor, difficult to heal

Choices:
A. If the same religious congregations Wang do not agree that the idea is more like religious delusions
B. The key to establish an effective doctor-patient relationship is a successful treatment
C. To reduce the influence of delusions treatment goals for patients and their families
D. Paranoia of drug efficacy is poor, difficult to heal

year old
past six months
end
to sell
property
to follow
family firm opposition forced
hospital
not disease
treatment
non
following
wrong


Question: Varicocele (varicocele) occurs at one side is:

Answer: Left testicular vein injected into the left renal vein

Choices:
A. Left testicular artery from aorta
B. Aortic artery from the right testicle
C. Left testicular vein injected into the left renal vein
D. Right testicular vein injection right renal vein


Question: Miss Po, 40 years old, diagnosed with HBe antigen-negative chronic hepatitis B of currently considering receiving antiretroviral treatment. The following statements is wrong?

Answer: Interferon antiviral drugs than oral have more side effects and drug resistance

Choices:
A. Oral antiviral interferon or the use of either
B. Interferon antiviral drugs than oral have more side effects and drug resistance
C. Interferon with 48 weeks, oral antiviral generally use more than 1 year
D. Department of Health's Central Health Insurance Bureau of interferon and oral antiviral drugs were payments

Miss Po
40 years old
diagnosed
HBe antigen negative chronic
currently
receiving antiretroviral treatment
following
wrong


Question: Stellate cell collagen related to the central nervous system (astrocyte) response to injury, the Which statement is correct?

Answer: Rosen Saybolt fiber (Rosenthal fibers) is common in hairy cell astrocytoma (pilocytic astrocytoma)

Choices:
A. Gum degeneration (gliosis) collagen only stellate cell proliferation (hyperplasia) without hypertrophy (hypertrophy)
B. Azihaimo second type (Alzheimer type Ⅱ) stellate cells mainly seen Ezihaimo collagen disease (Alzheimer disease)
C. Rosen Saybolt fiber (Rosenthal fibers) is common in hairy cell astrocytoma (pilocytic astrocytoma)
D. Starch bodies (corpora amylacea) at substantially the same probability of different ages of patients seen

collagen related
central nervous system
response
injury
correct


Question: 40 year old man with acute mental disorders, diagnosis is most unlikely:

Answer: Ezihaimo disease (Alzheimer disease)

Choices:
A. Ezihaimo disease (Alzheimer disease)
B. Subdural hematoma
C. Winnick's encephalopathy (Wernicke's encephalopathy)
D. Depression

40 year old man
acute mental disorders
diagnosis
most unlikely