Question: 65 years of smoking patients, due to chronic productive cough and shortness of breath for three years and come for treatment, I ask which of the following examination in the diagnosis of patients with this chronic obstructive pulmonary most valuable?

Answer: Pulmonary function tests

Choices:
A. Chest X-ray
B. Pulmonary function tests
C. Arterial blood gas analysis
D. ECG

65 years
smoking patients
chronic productive cough
shortness of breath
three years
treatment
I
following
diagnosis
patients
chronic obstructive pulmonary


Question: Which of the following kidney stone pain via conduction?

Answer: The smallest splanchnic nerve (least splanchnic nerve)

Choices:
A. Splanchnic nerve (greater splanchnic nerve)
B. Small splanchnic nerve (lesser splanchnic nerve)
C. The smallest splanchnic nerve (least splanchnic nerve)
D. Vagus nerve (vagus nerve)


Question: Suffering from attention deficit / hyperactivity disorder in children and adolescents enter adulthood of change, which of the following error?

Answer: Hyperactivity often the situation becomes more serious

Choices:
A. About half of the children above symptoms continue into adulthood
B. Causing symptoms persist have a family history of risk factors, psychosocial stress, merge codes of conduct disorder or anxiety disorder
C. Hyperactivity often the situation becomes more serious
D. Deviant behavior or social difficulties may arise

Suffering
attention deficit
hyperactivity disorder
children
adolescents enter adulthood
change
following error


Question: Account of habenula (habenular nucleus) is, which of the following error?

Answer: Closely associated with the formation of short-term memory (short term memory)

Choices:
A. Located in an upper portion of the thalamus (epithalamus)
B. Brain is connected to the Venturi groove (stria medullaris thalami)
C. Via the inter-habenula nucleus foot path (habenular-interpeduncular tract) the incoming messages in the brain (midbrain)
D. Closely associated with the formation of short-term memory (short term memory)

Account
habenula
habenular nucleus
following error


Question:
40 a 25-year-old patient, trunk and limbs, there are many red-brown skin tumors, the pathological diagnosis of the skin is sliced neurofibroma (neurofibroma). Further checkups are also found in the trunk of a number greater than 1.5 cm cafe au lait spots (café-au-lait spots), armpit freckles, rainbow
 Film (IRIS) several Lisch nodules. Father patients have the same symptoms. Statements about the disease, which of the following error?

Answer: Lisch nodules will affect vision

Choices:
A. This is the first type of neurofibromatosis (neurofibromatosis type 1)
B. Lisch nodules will affect vision
C. Café au lait spot is often the first occurrence of skin characterization
D. Neurofibromatosis usually after puberty began to emerge

40
year old patient
trunk
limbs
red brown skin
pathological diagnosis
skin
neurofibroma
neurofibroma
Further
found
trunk
number greater
cafe au lait spots
caf au
spots
armpit freckles
Film
IRIS
several
nodules
patients
same symptoms
disease
following error


Question: For invasive bladder cancer the most effective single chemical drugs:

Answer: Cisplatin

Choices:
A. Methotrexate
B. Vinblastine
C. Doxorubicin
D. Cisplatin

invasive bladder cancer
most effective single
drugs


Question: A 22-year-old woman, the first child, 24 weeks of pregnancy, and usually no discomfort at the clinic found the right side of the fetal brain edema slightly, turn to the medical center outpatient visits, may I ask what arrangements following examination is the best?

Answer: High-level ultrasound

Choices:
A. Whole blood examination
B. High-level ultrasound
C. Maternal Down syndrome screening
D. Maternal diabetes screening

year old woman
first child
weeks
pregnancy
usually
discomfort
clinic found
right side
fetal slightly
turn
medical center
I
arrangements following
best


Question: Li has ⽣ his breathing ⽽ to the hospital, attending physician in the room ask them medical history, examination on the body as the chest upwards, including abdominojugular reflex, and found a strange jugular vein had no obvious ⿎ up, ⾄ less clavicle on more than 5 cm. The following statements is most appropriate:

Answer: 有volume overload

Choices:
A. ⾎ pipe end has zoomed arterial pressure overload
B. 有volume overload
C. Center Weighted failure functional classification for the New York Center Weighted dirty Association (NYHA functional classification) of the fourth stage
D. There on the left Center Weighted failure

Li
breathing
hospital
attending physician
room
medical history
body
chest
including
reflex
found
jugular vein
less clavicle
5
following
most appropriate


Question: 96 A certain groups of scholars to explore the environment caused by exposure to harmful cancer deaths than if the general population is not exposed to high, calculated standardized mortality ratio (Standardized mortality ratio, SMR) 4. Another similar study done by a scholar of the B groups is calculated for the SMR

Answer: A population of cancer death risk of exposure to the environment is twice the population of B

Choices:
A. A cancer death risk populations exposed to the environment than the general population is not exposed to high
B. The risk of cancer death acetate groups exposed to the environment than the general population is not exposed to high
C. A population of cancer death risk of exposure to the environment is twice the population of B
D. SMR propoxy groups may be used as a third reference group

96
certain
scholars to
environment caused
exposure
cancer deaths
not exposed
high
calculated standardized mortality ratio
Standardized mortality ratio
SMR
4
similar study done
scholar
calculated
SMR


Question: Unilateral spinal dorsal nerve root intake area (dorsal entry root lesion) surgery pain control, clinical application of common complication (complication) is:

Answer: Ipsilateral movement weakened

Choices:
A. Ipsilateral movement weakened
B. Contralateral motor function decline
C. Ipsilateral sensory function disappears
D. Contralateral sensorimotor function disappears

Unilateral spinal nerve root intake area


Question: 37.35-year-old pregnant woman was referred to a clinic, G2P0AA1, no family history, current pregnancy 22 weeks. When the pregnant prenatal ultrasound examination, the results were shown that the anomaly (Sign) that?

Answer: banana sign

Choices:
A. double bubble sign
B. banana sign
C. keyhole sign
D. lemon sign

35 year old
referred
clinic
family history
current pregnancy
weeks
pregnant prenatal
results
anomaly
Sign


Question: Pathological changes associated with hypertrophic cardiomyopathy (hypertrophic cardiomyopathy) is, which of the following error?

Answer: Ventricle usually significantly expanded

Choices:
A. Subaortic (subaortic region) showed a ventricular septal hypertrophy
B. Ventricle usually significantly expanded
C. Myocardial cells were arranged disorderly
D. Myocardial interstitial fibrosis presented


Question: From the previous question, the following statements is true?

Answer: Diagnosis of hypersensitivity vasculitis

Choices:
A. Diagnosis of hypersensitivity vasculitis
B. Skin pathology biopsy does not contribute to diagnosis
C. Not infringe kidney
D. Pathogenic machine turn may be related to the fourth type of immune response (type IV hypersensitivity reaction) and


Question: The following narrative about the vertebral basilar artery system, what's wrong?

Answer: Vertebral artery originated from the aortic arch

Choices:
A. Vertebral artery originated from the aortic arch
B. Part of the posterior cerebral artery ischemic stroke can cause visual field defects
C. The main parts of the brain blood supply from the basilar artery
D. After the main traffic artery connecting the internal carotid artery and cerebral artery

following
vertebral basilar artery system
wrong


Question: 34 a 62-year-old woman five years ago found the right middle finger distal interphalangeal joint swelling began to occur. Then gradually spread to other bilateral distal interphalangeal joint (FIG. 1), X-ray photography (Figure 2). The results showed that the blood test ESR 24 mm / 1h, CRP 0.86 mg / L, Figures 1 and 2

Answer: Osteoarthritis

Choices:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Infectious arthritis
D. Chronic gouty arthritis

right middle finger distal began to occur


Question: A 25-year-old female calf appeared seven years ago many red nodules pain, but two years ago began to appear in the labia area ulcer pain, patients often oral ulcers, but had iritis (uveitis) the ophthalmology treatment. The patients most likely diagnosis of why?

Answer: Bassett's disease (Behçet's disease)

Choices:
A. Cicatricial pemphigoid (cicatricial pemphigoid)
B. Crohn's disease (Crohn's disease)
C. Bassett's disease (Behçet's disease)
D. Erythema multiforme (erythema multiforme)

year old female calf appeared seven years


Question: The following statements about Huntington disease, and what's wrong?

Answer: Familial cases is a recessive genetic disease

Choices:
A. In addition to chorea, the patient often accompanied by psychiatric symptoms
B. Patients with dementia often phenomenon
C. Familial cases is a recessive genetic disease
D. Position of the gene on the fourth chromosome pair


Question: Hospital management often use the balanced scorecard (balanced scorecard) to improve the overall performance of the hospital, for a description of the Balanced Scorecard, which of the following error?

Answer: Objective To investigate the organizational framework at this stage is complete

Choices:
A. Converting the organization's vision into goals and metrics
B. The transformation policy into concrete action
C. Consists of four facets: financial, customer, internal processes, learning and growth
D. Objective To investigate the organizational framework at this stage is complete

often use
balanced
balanced
to
overall
hospital
Balanced
following error


Question: Which of the following is not a characteristic change in ischemic cell damage (Ischemic injury) of?

Answer: Lipid reduction

Choices:
A. decrease in pH
B. Reducing sugars
C. Protein reduction
D. Lipid reduction

following
not
characteristic change
ischemic cell damage
Ischemic injury


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

Answer: Requiring special medium, the bacterial culture is better at low temperatures (cold enrichment)

Choices:
A. Requiring special medium, the bacterial culture is better at low temperatures (cold enrichment)
B. With a heat-stable proteolysis-resistant enterotoxin can cause vomiting
C. With a heat-labile enterotoxin cause diarrhea
D. Formed capsule in the host strain can cause pneumonia in vivo


Question: Blunt abdominal trauma, organ damage most often occurs as follows:

Answer: spleen

Choices:
A. liver
B. spleen
C. Pancreas
D. kidney

Blunt abdominal trauma
organ damage
often occurs
follows


Question: 56 year old woman, because lung cancer receiving chemotherapy. Epigastric dull pain to come for medical treatment. Endoscopy duodenum has a diameter of about 0.5 cm irregular ulcer, biopsy shown in FIG. The most likely diagnosis is:

Answer: CMV (cytomegalovirus) infection

Choices:
A. CMV (cytomegalovirus) infection
B. Metastatic adenocarcinoma
C. Duodenal adenocarcinoma
D. Herpes simplex virus (herpes simplex virus) infection

year old woman
lung receiving chemotherapy
Epigastric dull to
medical treatment
Endoscopy duodenum
diameter
0.5
irregular ulcer
biopsy
diagnosis


Question: Statements about glucocorticoids (glucocorticoids) role, which of the following error?

Answer: The number of administration Xunhuanjitong neutrophils (neutrophils) of short-acting glucocorticoids decrease, whereas the number of lymphocytes (lymphocytes) will increase

Choices:
A. Glucocorticoid action have increased blood glucose with a fatty acid of
B. Glucocorticoid action promoting gluconeogenesis (gluconeogenesis) in the fasting state
C. The number of administration Xunhuanjitong neutrophils (neutrophils) of short-acting glucocorticoids decrease, whereas the number of lymphocytes (lymphocytes) will increase
D. Glucocorticoid action directly put on the skin surface to cause local vasoconstriction

glucocorticoids
glucocorticoids
role
following error


Question: There is a autosomal recessive (autosomal recessive) genetic disease called familial chylomicronemia, a patient's blood triglyceride following gene mutation due to what, thus causing hyperlipidemia?

Answer: Lipoprotein lipase

Choices:
A. Pancreatic lipase
B. Endothelial lipase
C. Lipoprotein lipase
D. HMG-CoA reductase


Question: Narrative urinary tract symptoms (lower urinary tract symptoms), the cause to which of the following errors related to drug therapy under the enlarged prostate?

Answer: α-adrenergic blockers to the common side effects of posture hypotension and diarrhea

Choices:
A. Anti-acetylcholine (anticholinergics) may improve urinary tract disorders, primarily to alleviate irritation of the bladder (irritative) or storability
B. Alpha-adrenergic blocker commonly used (α-adrenergic blockers) comprising: terazosin, doxazosin, tamsulosin, and alfuzosin etc.
C. Causing urinary anticholinergics may be more difficult, because it will cause detrusor contraction force becomes poor
D. α-adrenergic blockers to the common side effects of posture hypotension and diarrhea

urinary tract symptoms
lower urinary tract symptoms
cause
following errors related
drug therapy
enlarged prostate


Question: Which of the following is not the negative symptoms of schizophrenia (negative symptoms)?

Answer: Delusion (delusion)

Choices:
A. Face apathy flat (affect blunting)
B. Word word poverty (alogia)
C. Lack of willpower (avolition)
D. Delusion (delusion)

following
not
negative symptoms
schizophrenia
negative symptoms


Question: 7435-year-old woman who menorrhagia (menorrhagia), to the hospital. Examination revealed mild anemia and uterus tumors. Pelvic (pelvis) MRI Sagittal T2-weighted image showing two uterine tumors, as illustrated. She most likely to suffer from:

Answer: Uterine fibroids (uterine myoma)

Choices:
A. Endometrial cancer (endometrial carcinoma)
B. Cervical cancer (carcinoma of uterine cervix)
C. Uterine fibroids (uterine myoma)
D. Endometriosis (superficial evils)

year old woman
menorrhagia
menorrhagia
hospital
revealed mild anemia
uterus tumors
Pelvic
pelvis
MRI Sagittal
weighted
two uterine tumors
to suffer


Question: When hemophilia (hemophilia A) untreated for Sick Children, which detect the following is true?

Answer: Activated thrombin time (partial thromboplastin time, PTT) extended

Choices:
A. Leukocyte chemotaxis (chemotaxis) abnormal
B. hypoxanthine guanine phosphoribosyltransferase 缺乏
C. Factor IX deficiency (factor IX deficiency)
D. Activated thrombin time (partial thromboplastin time, PTT) extended

hemophilia
hemophilia A
untreated
Sick Children
detect
following
true


Question: The following complete atrioventricular about the cushion defect (endocardial cushion defect), also known narrative of atrioventricular septal defect, what's wrong?

Answer: In addition to the ECG outer right ventricular hypertrophy, right axis deviation QRS often visible to + 120 ° ~ + 180 °

Choices:
A. In Down syndrome (Down syndrome) children common
B. Often associated with countercurrent atrioventricular valve (atrioventricular valve regurgitation)
C. In addition to the ECG outer right ventricular hypertrophy, right axis deviation QRS often visible to + 120 ° ~ + 180 °
D. Often resulting in infants with pulmonary hypertension and heart failure

following complete atrioventricular
cushion defect
endocardial cushion defect
known
atrioventricular septal defect
wrong


Question: Primaquine killing mainly targeted at those developmental stages of the parasite?

Answer: Liver schizont (liver schizonts), sleep body (hypnozoites) and gametocyte (gametocytes)

Choices:
A. Blood schizont (blood schizonts), liver schizont (liver schizonts) sleep and body (hypnozoites)
B. Liver schizont (liver schizonts), sleep body (hypnozoites) and gametocyte (gametocytes)
C. Sleep body (hypnozoites), gametocytes (gametocytes) and blood schizont (blood schizonts)
D. Gametocytes (gametocytes), blood schizont (blood schizonts) and sporophyte (sporozoites)

Primaquine
targeted
developmental stages
parasite


Question: The acetyl CoA carboxylase catalyzed reaction as the key step (committed step) fatty acid synthesis pathway, which of the following allosteric activators of the enzyme for this purpose (allosteric activator)?

Answer: citrate

Choices:
A. palmitoyl-CoA
B. AMP
C. NADPH
D. citrate

acetyl CoA carboxylase
reaction
step
committed step
fatty acid synthesis pathway
of
following
activators
enzyme
purpose


Question: Which of the following does not participate in DNA polymerase enzyme reaction (polymerase) proofreading (proofreading) function?

Answer: 5 '→ 3' exonuclease activity (Exonuclease) of

Choices:
A. 3 '→ 5' exonuclease (Exonuclease) activity
B. Phosphodiester bond hydrolysis (phosphodiester bond) of
C. Base pairing error (mismatched base pairs)
D. 5 '→ 3' exonuclease activity (Exonuclease) of

following
not
DNA polymerase
polymerase
function


Question: The following narrative about the "acute dacryocystitis (acute dacryocystitis)", and what's wrong?

Answer: Simply use topical antibiotic effect limited

Choices:
A. May be caused by nasolacrimal duct obstruction
B. Most pathogens are bacteria
C. Lavage should be implemented lacrimal sac and lacrimal sac surgery as soon as possible probe
D. Simply use topical antibiotic effect limited

following
acute dacryocystitis
acute dacryocystitis
what
rong?


Question: Because patients often lose red blood cells, resulting in allo-antibodies, in Taiwan, the most common cause is which of the following?

Answer: Anti-Rh E and Rh c

Choices:
A. Bombay blood group
B. Anti-Rh E and Rh c
C. Anti-Fya or Fyb
D. Anti-JKa or JKb

patients often
red blood cells
resulting in allo antibodies
Taiwan
most common cause
following


Question: The following statements about Substernal goiter, what is wrong?

Answer: Mostly in their 60s and 70s men

Choices:
A. Are benign tumors
B. Mostly in their 60s and 70s men
C. Mostly euthyroid state
D. Mostly cervical goiter with substernal extension, so the surgery only cervical approach


Question: Acute myelogenous leukemia, with which of the following chromosomal or genetic abnormalities, prognosis is not good?

Answer: FLT3-ITD

Choices:
A. NPM1 mutation
B. FLT3-ITD
C. CEBPA mutation
D. inv(16)

Acute myelogenous leukemia
following chromosomal
genetic abnormalities
prognosis
not good


Question: 20-year-old young women, outside of the left internal mammary touch to a 1 cm × 1 cm, smooth surface of the movable breast cancer, the most appropriate diagnostic tools Why?

Answer: Breast ultrasound

Choices:
A. Chest X-ray photography
B. Breast X-ray photography
C. Breast ultrasound
D. General anesthesia surgery


Question: A neurological examination were normal 8-year-old girl, often hundreds of times a day suddenly look dull, the action pauses, no response to the call of others, after about 10 seconds to restore sanity. Which of the following narrative is wrong?

Answer: The most likely diagnosis is benign childhood epilepsy rolandic (benign rolandic epilepsy)

Choices:
A. Photography brain magnetic resonance examination (MRI) is often the result of normal
B. The most likely diagnosis is benign childhood epilepsy rolandic (benign rolandic epilepsy)
C. Can be induced by hyperventilation (of hyperventilation on) Check
D. 3 times per second spike - slow wave complexes (3-Hz spike-and-wave complexes, 3-Hz spike-wave discharges) (EEG) of the performance of its characteristic EEG

neurological examination
normal
year old girl
often
times
day
look dull
action pauses
response
call
others
about 10 seconds to
following
wrong


Question: From the previous question, the most likely diagnosis is:

Answer: Bulbar urethral rupture (Bulbous urethra rupture)

Choices:
A. Membranous urethral rupture (Membraneous urethra rupture)
B. Bulbar urethral rupture (Bulbous urethra rupture)
C. Bladder rupture (Urinary bladder rupture)
D. Penis fracture (Corpus cavernosum rupture)


Question: Oil syndrome children events have occurred in central Taiwan, due to exposure to a substance that caused?

Answer: Polychlorinated biphenyls (PCB)

Choices:
A. Panacea (lindane)
B. Polychlorinated biphenyls (PCB)
C. Toluene (Toluene)
D. Organic mercury (organic mercury)

Oil syndrome children
central Taiwan
due
caused


Question: 63. Two days later, the above-mentioned disease Face complain legs pain, swelling, and found tea discolored urine, but urine did not change significantly less. Lower extremity examination revealed muscle tenderness ⾁ there. ⾎ creatine kinase (creatine kinase) 42,700 U / L, creatinine (creatinine) 2.8 mg / dL, potassium 5.0 mmol / L, calcium 2.07 mmol / L; urine latent ⾎ reaction-4+, but not see microscopic examination ⾎ the red ball. Following the disposal of what are most appropriate?

Answer: Upkeep urine 200 ~ 300 mL each ⼩

Choices:
A. Upkeep urine 200 ~ 300 mL each ⼩
B. Acidification of urine
C. Supplementary 2,500 mL ⽣ physiological salt water resistant everyday
D. Initiation of dialysis treatment

63
Two days later
disease Face
legs pain
swelling
found
discolored urine
urine
not change
Lower extremity
revealed muscle tenderness
creatine kinase
creatine kinase
700 U
L
creatinine
creatinine
2
mg
dL
potassium
0 mmol
L
calcium 2
mmol
L
urine latent
reaction
not see microscopic examination
red ball
Following
most appropriate


Question: 32-year-old male patient, due to repeated episodes of uveitis (uveitis) coming from ophthalmic referral; detailed history, a history of its discovery more than a year of often painful mouth ulcers, and two lower limbs also often have tenderness skin rash appears. But without a history of chronic back pain, that an examination of the following, with possible diagnostic value?

Answer: pathergy test

Choices:
A. pathergy test
B. Schober test
C. Schirmer's test
D. PPD skin test

year old male patient
due to repeated episodes of uveitis
uveitis
ophthalmic
detailed history
history
year of often painful mouth ulcers
two lower limbs
often
tenderness appears
history of chronic back pain
following
possible diagnostic value


Question: The following statements, whichever is correct?

Answer: UTI (urinary tract infection) is the most common post-operative non-surgical infection (nonsurgical infection)

Choices:
A. The implant (prosthesis) associated infection usually occurs in the lungs
B. Fever antibiotics to be given immediately after surgery
C. UTI (urinary tract infection) is the most common post-operative non-surgical infection (nonsurgical infection)
D. When selecting an antibiotic treatment was done (empirical treatment), while the use of antibiotics is preferably an anti-anaerobic bacteria


Question: For a description of testicular inflammation (orchitis) and vice orchitis (epididymitis) is, which of the following error?

Answer: Gonorrhea infection with TB often occurs first in the testicles, while syphilis is often start from deputy testicles

Choices:
A. Gonorrhea infection with TB often occurs first in the testicles, while syphilis is often start from deputy testicles
B. Mumps infections occur in children of school age, this age group very few complications orchitis
C. 35-year-old age group deputy testicular inflammation Escherichia coli and Pseudomonas aeruginosa infection was the main
D. Syphilis infection can be observed in a large number of lymphocytes and plasma cell infiltration under the microscope

of testicular inflammation
orchitis
orchitis
epididymitis
following error


Question: Which of the following error related to alcohol withdrawal?

Answer: Alcohol withdrawal can cause attacks, and therefore need to be patient restraint in bed as soon as possible

Choices:
A. Alcohol withdrawal can cause delirium (delirium), but if it has a physical illness itself is prone to causing delirium
B. Alcohol withdrawal can cause attacks, and therefore need to be patient restraint in bed as soon as possible
C. Often have to benzodiazepine drug therapy
D. Avoid antipsychotic (antipsychotics)

following error related
alcohol withdrawal


Question: Diagnostic phoria (heterophoria) generally have to rely on what items the following checks before they easy to determine?

Answer: cover-uncover test

Choices:
A. cover-uncover test
B. alternate cover test
C. prism cover test
D. prism reflex test of Krimsky

Diagnostic phoria
heterophoria
to
following checks
easy to determine


Question: The following cytoplasm kind of anti-aging enzymes to help?

Answer: Amine bran peroxide  (glutathione peroxidase)

Choices:
A. Phospholipids  (phospholipase)
B. Nucleic Acids 內切  (endonuclease)
C. Protein enzyme (protease)
D. Amine bran peroxide  (glutathione peroxidase)

following cytoplasm kind
aging enzymes to help


Question: Most closely polymorphism ε4 (Polymorphism) Which of the following relationships with the APOE gene?

Answer: Azihaimo dementia (Alzheimer dementia)

Choices:
A. Parkinson dementia (Parkinson disease dementia)
B. Frontotemporal dementia (frontotemporal dementia)
C. Azihaimo dementia (Alzheimer dementia)
D. Vascular dementia (vascular dementia)

Most
polymorphism
Polymorphism
following relationships
APOE gene


Question: 30-year-old man like climbing a mountain, without any underlying disease, unexplained fever for 7 days in the clinic taking prescription Amoxicillin invalid. To the ER for treatment, administered blood tests found WBC: 11000 / mm3, Neutrophil / lymphocyte: 55% / 45%, AST: 178 U / L, ALT: 145 U / L, with a physical examination millet erythema and 0.5 cm circle shaped scar is located on the penis (as shown), the diagnosis is most likely why?

Answer: Scrub typhus

Choices:
A. Primary syphilis
B. Scrub typhus
C. Cutaneous anthrax
D. Staphylococcus aureus infection

30 year old man
climbing
mountain
underlying disease
unexplained fever
7 days
clinic
Amoxicillin invalid
ER
treatment
administered blood tests found WBC
mm3
AST
U
L
ALT
U
L
millet erythema
0.5
circle shaped scar
penis
diagnosis


Question: The following statements about sensory receptors (sensory receptor) adapt phenomenon (adaptation), and what's right?

Answer: Medium slow pain of slowly adapting receptors belong nociceptor

Choices:
A. Medium slow pain of slowly adapting receptors belong nociceptor
B. Pacinian corpuscle 屬於 slowly adapting receptors
C. Golgi tendon apparatuses 屬於 rapidly adapting receptors
D. muscle spindle 屬於 rapidly adapting receptors

following
sensory receptors
sensory receptor
adapt
adaptation
right


Question: Oral iron preparations for treatment of anemia, the most common side effects Why?

Answer: Gastrointestinal irritation (GI tract irritation)

Choices:
A. Gastrointestinal irritation (GI tract irritation)
B. Hypokalemia (Hypokalemia)
C. High blood pressure (Hypertension)
D. Headache (Headache)

Oral iron preparations
treatment
anemia
most common side effects


Question: Which of the following symptoms of dementia caused by the disease is reversible (reversible dementia)?

Answer: Thyroid dysfunction (hypothyroidism)

Choices:
A. AIDS (acquired immunodeficiency syndrome, AIDS)
B. Ezihaimo disease (Alzheimer's disease)
C. Thyroid dysfunction (hypothyroidism)
D. Creutzfeldt-Jakob disease (Creutzfeldt-Jakob disease)

following symptoms
dementia caused
disease
reversible
reversible dementia


Question: Ovarian cancer cure rate is low, the main reason why?

Answer: Because diagnosed cases, most of which are more advanced (such as stage III, IV)

Choices:
A. Currently chemotherapy drug reactions is still not good
B. Because the treatment of relapse after chemotherapy is only one way
C. Ovarian cancer more malignant tissue type
D. Because diagnosed cases, most of which are more advanced (such as stage III, IV)


Question: Principles certain congenital metabolic disorders treatment is diet, a special milk formula, the following what kind of disease is the most ineffective?

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

Choices:
A. Galactosemia (galactosemia)
B. Typical phenylketonuria (phenylketonuria)
C. Typical homocystinuria (homocystinuria)
D. Glucose-6-phosphate dehydrogenase (glucose-6-phosphate dehydrogenase) deficiency


Question: Statements about common harmless heart murmur (Innocent murmur), and which of the following error?

Answer: Sitting than lying down, the more obvious noise

Choices:
A. Heart murmur strength is usually lower than the third time
B. Sitting than lying down, the more obvious noise
C. Heart murmur intensity will change with respiration
D. Often in systolic murmur, and is resonant sound or tone (Vibratory or musical murmur)

common
heart murmur
Innocent murmur
following error


Question: When surgical repair of a hysteroscope, the following ways to reduce uterine inflation fluid (distension media) into the systemic circulation complications caused by it?

Answer: Regular and correct the calculated liquid input and output of the total amount of the uterine cavity

Choices:
A. Regular and correct the calculated liquid input and output of the total amount of the uterine cavity
B. Uterine cavity maintaining a pressure greater than the mean arterial pressure
C. Use pump pressurized liquid to help prop up the uterine cavity
D. Collected by the liquid suction tube outputted


Question: Central nervous system injury caused by upper limb muscle spasms (spasticity), following which treatment has the best effect?

Answer: medical treatement

Choices:
A. Physiotherapy
B. medical treatement
C. 輔具 correction
D. s

Central
Central nervous system caused
upper limb muscle spasms
spasticity
following
treatment
best effect


Question: Mechanisms leading to blood transfusion reactions due to discrepancies caused by (transfusion reaction) are:

Answer: Toxicity of medium antibodies (antibody-mediated cytotoxicity)

Choices:
A. Now allergic immune responses (immediate hypersensitivity)
B. T cell-mediated hypersensitive response (T cell-mediated hypersensitivity)
C. Immune complex media allergic reaction (immune complex-mediated hypersensitivity)
D. Toxicity of medium antibodies (antibody-mediated cytotoxicity)

Mechanisms leading
blood transfusion reactions
discrepancies caused
transfusion reaction


Question: Human pellagra (pellagra) is due to the lack of these vitamins that caused?

Answer: Nicotinic acid (niacin)

Choices:
A. Biotin (biotin)
B. Pantothenate (pantothenic acid)
C. Folate (folic acid)
D. Nicotinic acid (niacin)

Human pellagra
pellagra
due to
lack of
vitamins
caused


Question: Renal cell carcinoma (renal cell carcinoma) cell type, the most common are:

Answer: Cell translucent (clear cell) type

Choices:
A. Oncocytoma (oncocytomas)
B. Difficult transfected cells (chromophobe) type
C. Papillae (papillary) type
D. Cell translucent (clear cell) type

Renal cell carcinoma
renal
type
most common


Question: Statements about infection stones (infection stone), the error which of the following?

Answer: Mainly antibiotic therapy alone is invalid calculi bacteria resistant

Choices:
A. The most common bacterial infection stones is Proteus mirabilis
B. The best treatment is surgical removal of the stones
C. Mainly antibiotic therapy alone is invalid calculi bacteria resistant
D. Reduce the prophylactic antibiotics stones and recurrent infection

infection stones
infection stone
error
following


Question: The most sensitive cough reflex caused by respiratory mucosa is located:

Answer: Eminence (carina)

Choices:
A. Eminence (carina)
B. Windpipe (trachea)
C. Main bronchus (main bronchus)
D. Section bronchus (segmental bronchus)

most sensitive cough reflex caused
respiratory mucosa


Question: Engaged in water recreation activities in the pool or in freshwater lakes, usually less likely to get infected is thus following what disease?

Answer: Sarcocystis intestinal disease (intestinal sarcosporidiasis)

Choices:
A. Giardia lamblia disease (giardiasis)
B. Cryptosporidium disease (cryptosporidiosis)
C. Primary amoebic meningoencephalitis (primary amebic meningoencephalitis)
D. Sarcocystis intestinal disease (intestinal sarcosporidiasis)

Engaged
water
pool
lakes
usually
likely to
infected
following
disease


Question: The use of pedicle flap transverse rectus abdominis muscle (pedicled transverse rectus abdominis myocutaneous (TRAM) flap), the following statements is wrong?

Answer: Blood supply from deep abdominal artery (deep inferior epigastric artery)

Choices:
A. Blood supply from deep abdominal artery (deep inferior epigastric artery)
B. Any size and sagging breasts are suitable for this reconstruction
C. Smoking and obesity as a relative contraindication
D. When the flap blood flow only from a single vascular pedicle, zone IV of the worst blood circulation


Question: 42. The air pollutants that cause acid rain effects? Ozone ① ② ③ ⼀ carbon monoxide nitrogen oxides sulfur oxides ④

Answer: Only ③④

Choices:
A. Only ①②
B. ①②③
C. Only ③④
D. ②③④

air pollutants
cause acid rain effects
carbon monoxide


Question: The following description about the major histocompatibility complex molecules (MHC molecules) of that a mistake?

Answer: HLA-A, HLA-B, the mutual relationship between HLA-C, is called polymorphism (polymorphism)

Choices:
A. Highly polymorphic regions (highly polymorphic) of the peptide (Peptide) binding site
B. Highly polymorphic regions (highly polymorphic) of the T-cell receptors (T cell receptor) recognition site
C. HLA-A, HLA-B, the mutual relationship between HLA-C, is called polymorphism (polymorphism)
D. Capable of binding to a common receptor (co-receptor)

following
major histocompatibility complex
MHC
mistake


Question: 8. ⼀ bit 28 year-old woman exertional dyspnea that are approximately half a year ⾄ Center Weighted dirty Branch ⾨ clinic for treatment. Patients denied chest tightness, orthopnea or paroxysmal nocturnal dyspnea circumstances, that are approximately one week before the sudden Center Weighted throbbing discomfort situation. Found chest upwards examination body with respiration fixed Rec Center Weighted split second shot (fixed splitting S2) and the mild systolic Center Weighted heteroaryl Rec. Center Weighted Center Weighted electrical FIG displayed right axis deviation (right axis deviation) and V1 rSR '. Chest X-ray room and monitor the right pulmonary Center Weighted enlarged zoomed. The patients most likely diagnosis Why?

Answer: Center Weighted room septal defect (atrial septal defect)

Choices:
A. Center Weighted room septal defect (atrial septal defect)
B. Center Weighted chamber septal defect (ventricular septal defect)
C. Coarctation of the aorta (coarctation of the aorta)
D. Farlow ⽒ Snap disease (tetralogy of Fallot)


Question: Related pulmonary ventilation and blood perfusion ratio does not match (VA / Q mismatch) of the narrative, which of the following error?

Answer: Is not present in normal lungs

Choices:
A. Is not present in normal lungs
B. Forming alveolar dead space (alveolar dead space), the increase VA / Q mismatch
C. Compared to the pulmonary ventilation, too much or too little blood perfusion, can lead to VA / Q mismatch
D. Chronic bronchitis (chronic bronchitis) there is a greater probability of patients VA / Q mismatch of

Related pulmonary ventilation
blood perfusion ratio
not match
VA
Q mismatch
following error


Question: 4 carotid sinus (carotid sinus) and the carotid body (carotid body) is a pressure head (baroreceptor) with a chemical receptacle (chemoreceptor) bits in the common carotid artery bifurcation, which is a message that the incoming nerve head via ?

Answer: Glossopharyngeal nerve (Glossopharyngeal nerve)

Choices:
A. Glossopharyngeal nerve (Glossopharyngeal nerve)
B. Neck loop (Ansa cervicalis)
C. Accessory nerve (Accessory nerve)
D. Hypoglossal nerve (Hypoglossal nerve)

4 carotid sinus
carotid sinus
carotid body
carotid body
pressure head
baroreceptor
receptacle
bits
common carotid artery bifurcation
nerve head


Question: 92 patients have a chest X-ray examination revealed lung lesions appear coin-shaped (referred to as "coin-like lesions"), serum antibody antigen test was positive with canine heartworm (Dirofilaria immitis), the following statements is wrong?

Answer: In the evening the patient can check blood to the micro filarial (microfilariae)

Choices:
A. The patient may be diagnosed as infected with heartworms
B. In the evening the patient can check blood to the micro filarial (microfilariae)
C. Near the home of the patient may be infected with heartworms in dogs
D. The patient may have a cough, chest pain and coughing up blood but rarely

revealed lung lesions appear coin shaped


Question:
When the 63.45 year-old female patient to the clinic complaining of fatigue (malaise), yellowing of the sclera (icteric sclera), emergency inspection data show that serum albumin level: 3.6 g / dL (reference value> 3.5), total bilirubin level: 5.6 mg / dL (reference value <
 1.0), direct bilirubin level: 2.4 mg / dL (reference value <0.3), ALT level 1240 U / L (reference value <40), AST level 1380 U / L (reference value <40), ALP level 89 U / L (reference value <100), PT INR 6 (reference value 0.9 ~ 1.1), answer the following questions in accordance with the foregoing 3 cases. What items the following message did not help diagnose the disease?

Answer: History of smoking (smoking history)

Choices:
A. Drug history (drug history)
B. History of smoking (smoking history)
C. Past history of hepatitis (previous hepatitis history)
D. History of exposure to risk behaviors (exposure to risk behavior history)

63
year old female patient
clinic
fatigue
malaise
yellowing
sclera
icteric sclera
emergency inspection data
serum albumin level
3.6 g
dL
reference value
3.5
total bilirubin level
5.6 mg
dL
reference value
1 0
direct bilirubin level
2.4 mg
dL
reference value
0.3
ALT level
U
L
reference value
40
AST level
U
L
reference value
40
ALP level
U
L
reference value
100
PT INR
reference value
following
cases
following
not help diagnose
disease


Question: A 30-year-old good normal healthy men, complained of 2-3 weeks tired easily. Physical examination found no jaundice pale conjunctiva, on both sides of a plurality of less than one centimeter neck lymph node size, no hepatosplenomegaly, lower limb itchy red no thin spots; peripheral blood examination showed: WBC 1280 / μL, N / L / Mo = 5/94/1, Hb 7.5 gm / dL, MCV 86 fL, Platelet 8,000 / μL, ALT 42 U / L, T. Bil 0.6 mg / dL, Cr 1.1 mg / dL, Alb 3.7 g / dL. Which of the following most beneficial to check the correct diagnosis?

Answer: Bone marrow slices

Choices:
A. Lymph node sections (biopsy)
B. Masako imaging (positron emission tomography, PET)
C. Bone marrow slices
D. Blood culture (blood culture)

30 year old good normal healthy
2
weeks tired easily
found
jaundice pale conjunctiva
sides
plurality
one centimeter neck
hepatosplenomegaly
lower limb itchy red
thin spots
peripheral
WBC
N
Mo
5
Hb
5 gm
dL
MCV
fL
Platelet
L
ALT
U
L
T
0.6 mg
dL
Cr
mg
dL
g
dL
following
to check
correct diagnosis


Question: 10. ① need to repair nasal septal reconstruction (nasal septum) ② across those six subchondral ③ ④ ethmoid nasal bones structure ⑤ ⑥ plow frontal bone and the like?

Answer: ②④⑤

Choices:
A. ①③⑥
B. ②④⑤
C. ③④⑥
D. ①②⑤


Question: A 40 year old married housewife, nearly a month of persistent low mood, depression, loss of confidence in life, loss of appetite, decreased energy, difficulty falling asleep, waking, suicidal ideation, and therefore can not cooking family. Do you think the patient most likely diagnosis is:

Answer: Depression

Choices:
A. Depression
B. Adaptive disorders
C. Low affective disorders (dysthymic disorder)
D. anxiety

40 year old married housewife
nearly
month
persistent low mood
depression
loss of
appetite
decreased energy
difficulty falling asleep
waking
suicidal ideation
not
patient
likely diagnosis


Question: 76 Xiaoqing suffering from depression, bad mood lately dose of 50 Prozac (Prozac). Which of the following is not a Prozac overdose, typical symptoms of serotonin syndrome produced?

Answer: Slow heartbeat

Choices:
A. Restlessness (agitation)
B. Slow heartbeat
C. High blood pressure
D. Muscle stiffness (muscular rigidity)

76
suffering
depression
dose
50 Prozac
Prozac
following
not
Prozac overdose
typical symptoms
serotonin syndrome


Question: 6552-year-old male patient, suffering from chronic alcoholism and chronic hepatitis, long-term follow in hepatobiliary medicine. Abdominal ultrasound recently found hydronephrosis, so go to the urology clinic, urinalysis RBC: 5-10 / HPF, WBC: 25-50 / HPF, AC sugar: 147 mg / dL, BUN: 78 mg / dL , Cr: 2.3 mg / dL, SGOT: 56 U / L, SGPT: 37 U / L, and KUB by spiral CT without enhanced (computed tomography) (FIG.), the diagnosis may be:

Answer: Left ureter stones, kidney stones left

Choices:
A. Left ureter stones, kidney stones left
B. Only the left ureter stones
C. Ureteral stones on both sides, left kidney
D. Right ureter stones, right kidney


Question: Which of the following glomerular lesions and HIV (human immunodeficiency virus) infection most relevant?

Answer: Focal segmental glomerulosclerosis

Choices:
A. Crescentic glomerulonephritis
B. Focal segmental glomerulosclerosis
C. Glomerular nodular sclerosis
D. Thrombotic microangiopathy

following glomerular lesions
HIV
human immunodeficiency virus
infection most relevant


Question: 34 related protein purification steps following its priorities Why?  develop a chromatography assay    purity identification and quantitative extraction of the protein of the protein


Question: When vitamin deficiency can cause diseases Which of the following, but not directly in the catabolism of glucose to generate ATP served as co-enzyme?

Answer: Vitamin D

Choices:
A. Thiamine
B. Riboflavin
C. Niacin
D. Vitamin D

vitamin deficiency
cause diseases
following
not directly
to
co enzyme


Question: Related cancer metastasis to the bone (carcinoma metastasis to bone) narrative, Which of the following most correct?

Answer: Is transferred to the bone via the blood at the feasibility (hematogenous route) lesion formation

Choices:
A. Cancer metastatic bone lesions common in the distal extremities such as the hands or feet at
B. After causing pathologic fractures, amputation (amputation) surgery can increase the survival rate of patients
C. Is transferred to the bone via the blood at the feasibility (hematogenous route) lesion formation
D. When the destruction of the bone itself up to 10% X-ray photography can be found in anomaly

Related cancer metastasis to the bone
carcinoma metastasis to bone
following
correct


Question: Which of the following precancerous cells susceptible to red blood cells and cause anemia, or infection in pregnant women and cause stillbirth?

Answer: parvovirus B19

Choices:
A. parvovirus B19
B. JC virus
C. BK virus
D. cytomegalovirus 53 Which of the following is not suitable as a laboratory method to detect influenza virus (influenza viruses) of?

following
susceptible
red blood cells
cause anemia
infection
cause stillbirth


Question: A random flap (random flap) set off to the future, its blood supply from:

Answer: Subcutaneous vascular network (subdermal plexus)

Choices:
A. Subcutaneous vascular network (subdermal plexus)
B. Musculocutaneous branch penetration (musculocutaneous perforators)
C. Supplied directly by the main arteries (axial artery) blood circulation
D. Organizations rely on nutrient penetration of its required supply of liquid

random flap
random flap
set
future
blood supply


Question: A 27-year-old male asthmatic patients, often acute asthma attack, following which checks for the detection of changes in the patient's condition this most simple and effective?

Answer: Using their own peak expiratory flow rate (PEFR) of inspection

Choices:
A. Sputum eosinophilic white blood cell count
B. Immunoglobulin E (IgE) of inspection
C. FEV1/FVC
D. Using their own peak expiratory flow rate (PEFR) of inspection

27 year old male asthmatic patients
often acute
following
checks
detection
changes
patient's condition
most simple
effective


Question: The following article muscle fibrosis is what leads to muscle baby torticollis (muscular torticollis) the main reason?

Answer: Sternocleidomastoid

Choices:
A. Hasukatahada
B. Sternocleidomastoid
C. Supraomohyoid
D. Digastric

following
muscle fibrosis
leads
muscle baby torticollis
muscular torticollis
main


Question: A 85-year-old patients with hematuria was diagnosed with bladder carcinoma in situ (carcinoma in situ, CIS), if the patient refuses to radical cystectomy, which is within the following intravesical drug infusion therapy most effective in controlling this disease?

Answer: Bacillus Calmette-Guerin（BCG）

Choices:
A. Bacillus Calmette-Guerin（BCG）
B. mitomycin C
C. doxorubicin
D. gemcitabine


Question: A symmetric low birth weight (symmetric type small-for-gestational age) newborn physical examination found that Zhang Liqiang muscles (hypertonia), small chin (micrognathia), cleft palate (cleft palate), the fingers into a fist-like (clenched hand ), ankle and heel shaped like a rocking chair (rocker-bottom feet). Which of the following most commonly merger of its abnormal heart?

Answer: Ventricular septal defect (ventricular septal defect)

Choices:
A. Method Rockwell Snap disease (tetralogy of Fallot)
B. Pulmonary stenosis (pulmonary stenosis)
C. Ventricular septal defect (ventricular septal defect)
D. In-room cushion defect (endocardial cushion defect)


Question: Which of the following is not the main method of patient examination of the retina?

Answer: Indirect fine slit lamp examination (indirect slit-lamp biomicroscopy)

Choices:
A. Indirect fundus examination (indirect ophthalmoscopy)
B. Direct fundus examination (direct ophthalmoscopy)
C. Indirect fine slit lamp examination (indirect slit-lamp biomicroscopy)
D. Retinal examination (retinoscopy)

following
not
main method of patient examination
retina


Question: Lower lobe lesions and mediastinal diaphragmatic stimulation close to the center of the parietal pleura ⽽ cause neck pain, pain is most likely caused by the article ⼀ that following nerve?

Answer: Phrenic nerve

Choices:
A. Intercostal nerve
B. Fans ⾛ nerve
C. Phrenic nerve
D. Sympathetic trunk


Question: Train-of-four (TOF) is one test of the extent of neuromuscular blocking the way, the following statements is wrong?

Answer: When four consecutive stimuli fourth reaction (the fourth response) completely disappeared, represent more than 90% of neuromuscular blockade is

Choices:
A. TOF is administered in two seconds by four consecutive time 200μsec electrical stimulation, the observed strength decay (Fade) case, monitoring methods to determine the degree of neuromuscular blocking
B. When four consecutive stimuli fourth reaction (the fourth response) completely disappeared, represent more than 90% of neuromuscular blockade is
C. The degree of neuromuscular blockade required surgery in approximately 75% to 95% of neuromuscular blockade
D. The ratio of the first and the fourth level of response four consecutive stimulation is to assess the depolarizing muscle relaxant effect a good indicator of whether the

Train
four
one test
extent
neuromuscular blocking
following
wrong


Question: Xiaoyu often asthma attacks each year in late autumn, the doctor recommended blood to detect allergens, mainly to check how the serum antibodies specific for the allergen?

Answer: IgE

Choices:
A. IgM
B. IgG
C. IgE
D. Age

often asthma attacks
year
late autumn
doctor
blood to detect allergens
to check
serum antibodies specific
allergen


Question: Which of the following is not a common morbid obesity (morbid obesity) is defined?

Answer: Body surface area (body surface area) is greater than 2.0 m2

Choices:
A. Weighing over 100 pounds less than the ideal weight
B. Weight is twice the ideal weight
C. BMI (body mass index) of greater than 40 kg / m2
D. Body surface area (body surface area) is greater than 2.0 m2

following
not
common morbid obesity
morbid obesity


Question: A 62-year-old woman who exercise dyspnea and cough for several months and come to treatment, reduce the left lung field breathing auscultation, chest X-ray display as shown below, following the diagnosis on what's most likely?

Answer: Left lung collapse (atelectasis)

Choices:
A. Left pleura 腔積 water
B. Left lung collapse (atelectasis)
C. Large left lung pneumonia
D. Left lung abscess

62 year old woman
exercise dyspnea
cough
months
treatment
left lung field breathing auscultation
chest X-ray display
following
diagnosis
likely


Question: In general, if a distribution of data is skewed to the right (skew to right), then the following statements is true?

Answer: Average> median> a mode

Choices:
A. The mode> median> average
B. The mode> average> median
C. Average> the mode> median
D. Average> median> a mode


Question: Which of the following when blocked, most likely to cause the right side of limb weakness and motor aphasia (Broca's aphasia)?

Answer: Middle cerebral artery

Choices:
A. Anterior cerebral artery
B. Middle cerebral artery
C. Posterior cerebral artery
D. Vertebral artery

following
blocked
likely to cause
right side of limb weakness
motor aphasia
Broca's aphasia


Question: The following statements about brain glioblastoma glioblastoma multiforme (GBM), He who is not correct?

Answer: The average survival time: 2 years

Choices:
A. The most common brain tumors are gliomas (glioma)
B. Fourth grade astrocytoma (Astrocytoma, grade 4)
C. Pathological seen mitosis, endothelial cell proliferation, necrosis (mitotic figure, endothelial proliferation, necrosis)
D. The average survival time: 2 years

following
brain glioblastoma
multiforme
not correct


Question: 23 a 37-year-old woman due to edema treatment. Patients general health check done six months ago, showed no abnormalities. A month before the start of intermittent micro-burning, ankle edema week ago, and a decrease in urine output. Physical examination, 38.2 deg.] C temperature, pulse rate 98 per minute, the blood pressure 164/96 mmHg, skin rash, there are two left neck lymph nodes, heart, chest and abdomen normal. Lower limb edema. Urinalysis: protein 300 mg / dL, each high magnification RBC 35-45, WBC 10-15, RBC casts 2-4. Complete blood check sum: Hb 10.6 g / dL, mg / dL, creatinine 1.8 mg / dL. That following the disposal is the most appropriate?

Answer: Check the serum ANA, C3 concentration and arrange kidney biopsy

Choices:
A. Check the serum ANA, C3 concentration and arrange kidney biopsy
B. Arrangements for gastroscopy
C. Give blood
D. Urine culture, and given antibiotics two weeks

23
year old woman due to edema treatment
Patients general
six months
abnormalities
month
start
intermittent micro burning
ankle edema week
decrease
urine output
deg
temperature
pulse rate 98
minute
blood pressure
96 mmHg
skin rash
two left neck lymph nodes
heart
chest
abdomen normal
Lower limb edema
Urinalysis
protein 300 mg
dL
high magnification
35
WBC 10
casts 2-4
Complete blood check sum
Hb 10.6
dL
mg
dL
creatinine
mg
dL
following
most appropriate


Question: 25-year-old male patient presented an early age progression of chronic kidney disease. Face and lower extremity edema patients appear more than once. The last two years macroscopic hematuria took place. Hearing examination revealed bilateral hearing is not normal. His only brother also died at the age of 17 with chronic kidney disease. Following a disease that best meets its clinical manifestations?

Answer: Alport syndrome

Choices:
A. Thin basement membrane disease
B. Alport syndrome
C. IgA Nephropathy
D. Focal segmental glomerulosclerosis


Question: According to the definition of the World Health Organization, neurological symptoms must last long before a diagnosis of stroke?

Answer: 24 hours

Choices:
A. 6 hours
B. 12 hours
C. 24 hours
D. 48 hours

neurological symptoms
last long
diagnosis
stroke


Question: If the hydrostatic pressure of the arterial end of the microcirculation is 35 mmHg, the venous hydrostatic pressure is 15 mmHg, capillary osmotic pressure of 22 mmHg, interstitial hydrostatic pressure of 1 mmHg, interstitial osmotic pressure of 0 mmHg, and then it pressure absorption (reabsorption pressure) is how much mmHg?

Answer: 8

Choices:
A. 8
B. 10
C. 14
D. 22

pressure
arterial end
microcirculation
35 mmHg
venous
pressure
mmHg
capillary
mmHg
interstitial
mmHg
interstitial
0 mmHg
then
pressure absorption
pressure
mmHg


Question: About head and neck reconstruction, following statements is wrong?

Answer: Shoulder chest flap (deltopectoral flap

Choices:
A. Pectoralis major myocutaneous flap (pectoralis major myocutaneous flap) by a thoracoacromial artery (thoracoacromial artery) blood supply, can be used to reconstruct the tissue defect nasopharynx
B. Shoulder chest flap (deltopectoral flap
C. akamjian flap)) from the internal mammary artery (internal mammary artery)
D. Radial forearm flap (radial forearm flaps) is currently an important source of soft tissue reconstruction of the head and neck

head and neck reconstruction
following
wrong


Question: Following that limit the effect of a harness for the head of the cervical spine worst?

Answer: Soft collar (soft collar)

Choices:
A. Philadelphia bracket (Philadelphia collar)
B. Soft collar (soft collar)
C. Four-column bracket (4-poster brace)
D. Wheel halo vest (halo vest)

Following
limit
effect
harness
head
cervical spine worst


Question: Postoperative pain in children two years of age way within the hernia repair is the most widely used:

Answer: Caudal block (caudal block)

Choices:
A. Caudal block (caudal block)
B. Epidural block (epidural block)
C. Patient controlled analgesia (patient-controlled analgesia)
D. Morphine-like analgesics (opioid analgesics)


Question: Which of the following intravenous anesthesia drugs category, with a bronchodilator effect?

Answer: ketamine

Choices:
A. thiopental
B. ketamine
C. propofol
D. midazolam

following intravenous anesthesia drugs
bronchodilator effect


Question: About the narrative of Paget's disease of the anus, what is non?

Answer: With anal eczema, hyperkeratosis and so it is easy to identify

Choices:
A. The elderly is a more common adenocarcinoma
B. More than half of the patients accompanied by other potential cancer
C. With anal eczema, hyperkeratosis and so it is easy to identify
D. Histologically, there must be a PAS (+) cells of Paget's diagnosis can only be established


Question:
46.
 A newborn infants with respiratory distress phenomenon, chest X-ray is shown below, which of the following error dispose of this patient?

Answer: Respiratory mask (mask)

Choices:
A. Endotracheal intubation (endotracheal tube)
B. Tube placement
C. Respiratory mask (mask)
D. Given arterial and venous catheters

newborn infants
respiratory distress
chest X-ray
following error
patient


Question: The following statements about breast cancer fine needle aspiration (fine needle aspiration) examination of, what's wrong?

Answer: With 16 or 18 gauge needle (16 or 18 gauge needle)

Choices:
A. With 16 or 18 gauge needle (16 or 18 gauge needle)
B. Without local anesthesia
C. Distinguishable solid tumors or cysts (solid tumor or cyst)
D. If there is cancer (carcinoma cell) still needs to undergo a biopsy (tumor biopsy)

following
breast cancer fine needle aspiration
fine needle aspiration
wrong


Question: Cray Ivanov fragment (Klenow fragment) refers to:

Answer: Remove the 5 '→ 3' exonuclease activity of DNA replication  nucleic  I

Choices:
A. Remove the 5 '→ 3' exonuclease activity of DNA replication  nucleic  I
B. Removing the 3 '→ 5' exonuclease  foreign DNA replication activity of  I
C. Remove the 5 '→ 3' exonuclease activity of DNA replication Ⅲ nucleic 
D. Remove DNA 3 '→ 5' exonuclease of activity outside  replication Ⅲ


Question: Human adenovirus (adenovirus) following which the virus uses the same cell receptors (receptor)?

Answer: Type B coxsackievirus (Coxsackie B virus)

Choices:
A. Type B coxsackievirus (Coxsackie B virus)
B. Norovirus (Norovirus)
C. Cytomegalovirus (Cytomegalovirus)
D. Influenza virus (Influenza virus)

adenovirus
following
uses
same cell receptors
receptor


Question: The following statements about chronic lymphocytic leukemia (CLL), and what's wrong?

Choices:
A. 0
B. The number of peripheral bud cells hemolymph exceeds 5 × 109 / L
C. Immunocyte staining on the leukemic cells exhibit T- and B- cell antigen CD5 positive cells were CD23 antigen
D. The most common leukemia in adults in Western countries

following
chronic lymphocytic leukemia
wrong


Question: Extraocular muscle, tendon attachment thereof to the outer upper rear by the eye as:

Answer: The oblique muscle (superior oblique)

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

Extraocular muscle
tendon attachment
outer upper rear
eye


Question: Under normal circumstances, astrocyte does not have Which of the following features?

Answer: The formation of myelin

Choices:
A. The blood-brain barrier is formed
B. The formation of myelin
C. Adjusting the ion concentration of extracellular fluid cells
D. Help provide glucose to neurons


Question: For the treatment of angina pectoris vasodilator Clinically, whichever of the mechanism of action via cGMP medium?

Answer: Nitroglycerin

Choices:
A. Nifedipine
B. Enalapril
C. Minoxidil
D. Nitroglycerin

treatment
angina pectoris vasodilator
of
mechanism
action
cGMP medium


Question: A 4-year-old boy recently with her mother back to the mainland to visit relatives, after returning home he and his mother are diarrhea and fever phenomenon, the doctors diagnosed as acute gastroenteritis. The past two days mother noticed the boy pale, tired and swollen eyes, significantly fewer urine. Blood test showed hemoglobin and platelet count of boys are reduced, urine routine examination can be seen hematuria, proteinuria. Which of the following is the most likely diagnosis?

Answer: Hemolytic uremic syndrome (hemolytic-uremic syndrome)

Choices:
A. Henoch-Schönlein purpura disease (Henoch-Schönlein purpura)
B. IgA nephritis (IgA called nephropathy,)
C. Streptococcal infection of acute nephritis (poststreptococcal glomerulonephritis)
D. Hemolytic uremic syndrome (hemolytic-uremic syndrome)

4 year old boy recently
back
to
returning home
diarrhea
fever
doctors diagnosed
acute gastroenteritis
past two days
boy pale
tired
swollen eyes
urine
Blood test
hemoglobin
platelet count
boys
reduced
urine routine examination
seen hematuria
proteinuria
following
diagnosis


Question: Confidentiality obligations regarding medical personnel, the following statements is wrong?

Answer: China's medical confidentiality law and criminal law clearly stipulates the obligation of the medical staff, does not allow exceptions

Choices:
A. Contribute to trust between doctors and patients, so as to achieve a good doctor-patient relationship
B. Patient privacy and respect for the principle of autonomy is closely related
C. In the Hippocratic Oath that emphasizes confidentiality obligations physician
D. China's medical confidentiality law and criminal law clearly stipulates the obligation of the medical staff, does not allow exceptions


Question: A 45 year old female executives to outpatient medical treatment, stomach pain often private prosecution over the past year, an average of twice a week, sometimes sudden onset, quickly go after a bowel movement symptoms. Her stool is not very smooth, sometimes two to three days once the solution, but occasionally diarrhea, stool appearance and almost the past, there is no bloody phenomenon, still appetite, weight is not reduced. She also acknowledged that the past year working pressure. On the patient's condition, the following statements is wrong?

Answer: Her symptoms is likely to be due to structural abnormalities of the anorectal area caused

Choices:
A. The patient may be suffering from irritable bowel syndrome (irritable bowel syndrome)
B. Her symptoms is likely to be due to structural abnormalities of the anorectal area caused
C. She may be related to stress-related illness
D. Because of her performance coupled with abdominal pain associated with defecation and abdominal pain, the performance was not like colorectal cancer

year old female executives
outpatient
stomach pain often private prosecution
past year
average
twice
week
sometimes sudden onset
go
bowel movement symptoms
stool
not very smooth
sometimes two
three days
solution
occasionally diarrhea
stool appearance
almost
past
bloody
appetite
weight
not reduced
past year
pressure
patient's condition
following
wrong


Question: A big month newborn, sleep normal heartbeat range:

Answer: 100 to 140 beats / min

Choices:
A. 100 to 140 beats / min
B. 160 to 180 beats / min
C. 80 to 100 beats / min
D. 180 to 220 beats / min

big month newborn
sleep normal heartbeat range


Question: 16-year-old girl with mental retardation and asexual experience, the long-term situation of chronic constipation, abdominal pain and recently because convex lower abdomen and to the hospital for examination. Abdominal ultrasound was found belly of a water balloon (* at below), in the uterine above. The size of the uterus body sagittal sections is 5 × 4 cm, endometrial thickness of 1.4 cm, which was further bladders differential diagnosis of the most suitable disposal that?

Answer: After catheterization ultrasound scan again

Choices:
A. Computed tomography or magnetic resonance angiography
B. Endoscopy uterus and uterine contents scraping operation
C. Abdominal bladders and puncture the balloon fluid feeding cytology
D. After catheterization ultrasound scan again

year old girl
mental retardation
asexual
long-term
chronic constipation
abdominal pain
recently
convex lower abdomen
hospital
Abdominal ultrasound
found belly
water balloon
uterine
The size of
uterus body sagittal sections
5
4
endometrial thickness of
further bladders differential diagnosis
suitable


Question: The following description of systemic lupus erythematosus (SLE) patients with a variety of serum autoantibodies, whichever is most correct?

Answer: anti-phospholipid and habitual fetal loss are most relevant

Choices:
A. anti-RNP highest specificity for the diagnosis of SLE
B. anti-histone antibodies to SLE nephritis most relevant
C. anti-Sm and the most relevant of SLE psychosis
D. anti-phospholipid and habitual fetal loss are most relevant

following
systemic lupus erythematosus
patients
serum autoantibodies
most correct


Question: Which of the following most commonly inherited blood disorders caused by fetal edema (hydrops fetalis)?

Answer: Alpha thalassemia (α-thalassemia)

Choices:
A. Alpha thalassemia (α-thalassemia)
B. Beta thalassemia (β-thalassemia)
C. Six dehydrogenation phosphate glucose enzyme deficiency (G6PD deficiency)
D. Hereditary spherocytosis red blood cell disease (hereditary spherocytosis)

following most
inherited blood caused
fetal edema
hydrops fetalis


Question: Which of the following most common congenital heart disease, heart murmur is heard continuity (continuous) noise?

Answer: Patent ductus arteriosus

Choices:
A. Ventricular septal defect
B. Atrial septal defect
C. Patent ductus arteriosus
D. Pulmonary stenosis

following
common congenital heart disease
heart murmur
heard continuity


Question: Following drug treatment of rheumatoid arthritis, the main effect that one is to inhibit pyrimidine (pyrimidine) Synthesis of?

Answer: Leflunomide

Choices:
A. Leflunomide
B. Cyclosporine
C. Hydroxychloroquine
D. Sulfasalazine

Following drug treatment
arthritis
main effect
one
to inhibit pyrimidine
pyrimidine


Question: A 50-year-old male truck driver dozing off linked to the vehicle rear-ended in front of the highway, stuck in the front seat up to 20 minutes to reach the emergency room, blood pressure 80/40 mmHg, but a clear sense of restlessness, swollen abdomen, left leg deformation, what items the following statements is most inappropriate?

Answer: Brain CT examination should be carried out immediately

Choices:
A. Brain CT examination should be carried out immediately
B. Decided bedside abdominal ultrasound can be used to accelerate surgery
C. Centering should not delay the operating room time venous catheter
D. Oxygen saturation of 92% may be due to low blood pressure, so for reference

50 year old male truck driver
vehicle rear-ended
front
highway
front
20 minutes to reach
emergency room
blood pressure 80 40 mmHg
clear sense
restlessness
swollen abdomen
left leg deformation
following
most inappropriate


Question: From the previous question, Mr. Wang accept direct laryngoscopy and biopsy established the risk of hypopharyngeal cancer, physicians arrangements magnetic resonance imaging, bone scan, abdominal ultrasound, chest tomography after, there was a need to check the priority?

Answer: Esophagoscopy

Choices:
A. Thyroid function test and a scan
B. Positron (PET) scan
C. Pulmonary function tests
D. Esophagoscopy


Question: 32 year old man, left front leg with a knife pierced by others, he felt a tingling feeling between the dorsal left foot first toe and second toe, it may be that a nerve is damaged?

Answer: Deep peroneal nerve (deep fibular nerve)

Choices:
A. Deep peroneal nerve (deep fibular nerve)
B. Superficial peroneal nerve (superficial fibular nerve)
C. Tibial nerve (tibial nerve)
D. The saphenous nerve (saphenous nerve)

year old man
left front leg
knife pierced
others
tingling
dorsal left foot first toe
second toe
nerve
damaged


Question: Following that kind of hormone glands (secretion) in the brain is synthesized in the hypothalamus (Synthesis)?

Answer: Oxytocin (oxytocin)

Choices:
A. Prolactin (prolactin)
B. Follicle stimulating hormone (FSH)
C. Auxin (growth hormone)
D. Oxytocin (oxytocin)

Following
kind
hormone glands
secretion
brain
hypothalamus


Question: After a major earthquake, many people acute renal failure (Acute renal failure, ARF), the most common reasons are:

Answer: Myoglobinuria acute renal failure (Myoglobinuric ARF)

Choices:
A. Heme urinary acute renal failure (Hemoglobinuric ARF)
B. Myoglobinuria acute renal failure (Myoglobinuric ARF)
C. Acute interstitial nephritis (Acute interstitial nephritis)
D. Acute glomerulonephritis (Acute glomerulonephritis)

major earthquake
acute renal failure
Acute renal failure
ARF
most common


Question: Deficiency in pregnant women receiving primidone and other anti-epileptic drugs in pregnancy, usually that their newborns will be one of the following coagulation factors occur?

Answer: Vitamin K- dependent clotting factors

Choices:
A. Vitamin K- dependent clotting factors
B. Thrombin
C. Fibrin
D. Fibrinogen

Deficiency
receiving primidone
anti-epileptic drugs
pregnancy
usually
newborns
one
following coagulation factors occur


Question: 29. suffering from diffuse fecal nematode disease (disseminated strongyloidiasis stercoralis) patients, who often have the following symptoms? ① intestinal parasites and lung infringement only ② Rongyifasheng in immunocompromised patients ③ no significant increase of eosinophils

Answer: Only ②③

Choices:
A. Only ①②
B. Only ①③
C. Only ②③
D. ①②③


Question: How to avoid surgery residual neuromuscular blockade (neuromuscular blockade)?

Answer: Inversion (REVERSAL) after the blocking action to be performed captures antagonist (Antagonists), but captures the antagonist is administered, there must be at least two muscle twitch after administration before stimulation tetranectin

Choices:
A. Make use of long-acting muscle relaxant (muscle relaxants), in order to avoid adding duplicate surgery muscle relaxants, leading to a cumulative dose of neuromuscular blocking residual effect after
B. All four companies try to stimulate the (train of four, TOF) caused by muscle twitching are blocked (total twitch during anesthesia
C. Inversion (REVERSAL) after the blocking action to be performed captures antagonist (Antagonists), but captures the antagonist is administered, there must be at least two muscle twitch after administration before stimulation tetranectin
D. Clinical staff must remember that only four companies to stimulate the results of monitoring, no significant regressive effect (fade), in order to ensure the operation does not occur after a significant residual neuromuscular blockade effect

to
surgery residual neuromuscular blockade
neuromuscular blockade


Question: Luo physician to conduct gastric surgery was 58-year-old Lee, before the anesthesia anesthesiology physician Zhang suddenly found beneath the chest X-ray of the left lung has two vague about 0.5 cm lesions, unable to confirm whether the lung metastasis. Dr. Chang could not help muttering: "! Oh existing lung metastasis, but also to open it?" Still lying on the side of the sober Lee immediately responded:? What, "said Luo, MD, surgery may be, you are saying that he misdiagnosed it? "Dr. Chang this scenario appears to be some negligence on the speech, Dr. Chang admitted indiscretions and in addition to an apology, but which of the following is Dr. Chang for their indiscretions to explain the most expedient Lee?

Answer: This abnormal findings will be discussed and confirmed surgery immediately and the appropriateness of physician Luo

Choices:
A. This abnormal findings will be discussed and confirmed surgery immediately and the appropriateness of physician Luo
B. He often outspoken say should not say
C. Romania has confirmed that physicians should not lung metastasis
D. Anesthesiologist did not stand to express their views

physician to
gastric surgery
58 year old
anesthesia anesthesiology physician
found
chest X-ray of
left lung
two vague
0.5
lesions
unable to confirm
lung metastasis
Dr
not help
lung metastasis
to open
lying
side
immediately
surgery
Dr
scenario appears to
negligence
speech
Dr
in addition to
following
Dr
to
most


Question: 58. With regard to the first type of complex regional pain syndrome arising after stroke (complex regional pain syndrome, Type 1) is relatively small, the following body parts, where the influence degree?

Answer: Elbow

Choices:
A. shoulder
B. Elbow
C. Wrist
D. finger

58
first type
complex regional pain syndrome arising
stroke
complex regional pain syndrome
Type 1
small
following body parts
degree


Question: The following account of the zinc ion (zinc ion), and what's wrong?

Answer: Zinc ions may be formed after leucine leucine Zipper bound, mainly for the RNA polymerase cofactor

Choices:
A. Zinc ions may be formed after leucine leucine Zipper bound, mainly for the RNA polymerase cofactor
B. Taste hormone (gustin) saliva protein zinc ions, can inhibit the development of taste buds and taste acuity absence
C. Zinc ions involved in the process of T cell and monocytes secrete cytokines (cytokines), the animal's immune system will be lowered in the absence of
D. In the poisoning, lead zinc ions will replace the δ-aminolevulinate dehydratase, will inhibit the synthesis of heme (Heme) of

following account
zinc ion
zinc ion
wrong


Question: Deep peroneal nerve (deep fibular nerve) damage, which of the following is most likely to lead to weakness?

Answer: Tibialis anterior muscle (tibialis anterior)

Choices:
A. Peroneal longus (fibularis longus)
B. Peroneal brevis (fibularis brevis)
C. Tibialis anterior muscle (tibialis anterior)
D. Posterior tibial muscle (tibialis posterior)

Deep peroneal nerve
deep fibular nerve
damage
following
to lead
weakness


Question: Mammary lymph inside the main import:

Answer: Next to the chest lymph nodes (Para sternal nodes)

Choices:
A. Subscapular lymph nodes (Subscapular lymph nodes)
B. Chest lymph nodes (Anterior pectoral nodes)
C. Supraclavicular lymph nodes under (Subclavicular nodes)
D. Next to the chest lymph nodes (Para sternal nodes)


Question: 42 A 40-year-old male patient with skin lesions above the main body slight itch for about five years, the deterioration in the winter, physical examination (physical examination) found papules, plaques accompanied by thick scales mainly in the scalp, trunk and limbs stretched side, there will be spotting removing scales, reasonable diagnosis:

Answer: Plaque psoriasis (psoriasis vulgaris)

Choices:
A. Seborrheic dermatitis (seborrheic dermatitis)
B. Chronic lichenoid dermatitis (lichen simplex chronicus)
C. Plaque psoriasis (psoriasis vulgaris)
D. 體 癬 (the worm body)

40 year old male patient
skin lesions
main body slight itch
five years
winter
found papules
plaques
thick scales
scalp
trunk
limbs stretched side
spotting removing scales
diagnosis


Question: Eplerenone pharmacological effects of narrative, what's wrong?

Answer: Cause gynecomastia

Choices:
A. Will promote the exclusion of salt
B. Cause gynecomastia
C. Will increase serum potassium
D. Inhibits the action of aldosterone

Eplerenone pharmacological effects
wrong


Question: Our national health insurance plan as a social insurance, whichever is less in line with "social insurance" principle?

Answer: Those with higher incomes pay higher premiums

Choices:
A. Allowed sick insurance
B. Free to join
C. Those with higher incomes pay higher premiums
D. Those with poor health pay more premiums


Question: 17. A 40-year-old woman complained of urinary symptoms and how to drink, and not detected in urine glucose. She received urine test to check water restrictions overnight. After overnight water restrictions, obstacles and mentally weak patients presenting condition. The blood concentration of sodium ions was 156 mEq / L, high concentration of ADH plasma, urine osmolality value of the 90 mOsm / L. Which of the following for the most likely diagnosis?

Answer: Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)

Choices:
A. Diabetes (diabetes mellitus)
B. Central diabetes insipidus (central diabetes insipidus)
C. Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)
D. Primary aldosteronism (primary aldosteronism)


Question: Through repeated training and learning, can shoot every shot, following what is most relevant brain regions?

Answer: cerebellum

Choices:
A. hippocampus
B. basal ganglia
C. substantia nigra
D. cerebellum

repeated training
shot
following
most relevant brain regions


Question: To prevent influenza virus infection, it is recommended for the elderly and children - administration of influenza vaccine each year. Shi need to play the right reason why every year?

Answer: Vaccines based on the previous year pandemic strain design, can not cover the mutant virus emerging

Choices:
A. Vaccines based on the previous year pandemic strain design, can not cover the mutant virus emerging
B. As a single vaccine virus strains, can not cover virus infection
C. Polysaccharide vaccine without the ability to cause long-term immune memory difference
D. Vaccine is a live virus, the body is short survival time

To prevent influenza virus infection
children
administration
influenza
year
need to play
right
year


Question: 63-year-old female patient, complained the night before began to eye pain, tearing, blurred vision and headaches. When the eye examination revealed eye doctor ring portion radially congestion (ciliary congestion), corneal opacity, pupil in a semi-expanded condition, form the peripheral ridge iris (iris bombe) state, the anterior chamber is shallow, the right-eye IOP 54 mmHg, Does this patient most likely diagnosis is which of the following?

Answer: Acute angle-closure glaucoma (acute angle closure glaucoma)

Choices:
A. Corner open glaucoma (open angle glaucoma)
B. Acute angle-closure glaucoma (acute angle closure glaucoma)
C. Central retinal vein occlusion (central retinal vein occlusion)
D. Rhegmatogenous retinal detachment (rhegmatogenous retinal detachment)


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

Answer: Course of about 4 weeks, recurrence rate

Choices:
A. Pathogen Burkholderia pseudomallei
B. The most common clinical manifestations of acute community-acquired pneumonia
C. The best treatment options for the line after the other antibiotic ceftazidime or carbapenems
D. Course of about 4 weeks, recurrence rate


Question: 32-year-old male patient, due to the recent week brushing easy and difficult to stop the bleeding, medical blood tests found that hemoglobin, white blood cells and platelets were serious shortage, slice through bone marrow hematopoietic cells found almost no presence. Will the patient is most likely to be taking medication following what caused?

Answer: Chloramphenicol

Choices:
A. Acetaminophen
B. Indomethacin
C. Chloramphenicol
D. Hydralazine

year old male patient
recent week brushing easy
difficult to stop
bleeding
medical blood tests found
hemoglobin
white blood cells
platelets
serious shortage
bone
hematopoietic
found almost
presence
patient
to
following
caused


Question: Where muscle tissue following are not derived from mesodermal (mesoderm)?

Answer: Iris (iris)

Choices:
A. Intercostal (intercostal region)
B. Iris (iris)
C. Cardiac (heart)
D. Gastrointestinal (digestive tract)

muscle tissue following
not derived
mesodermal
mesoderm


Question: 50-year-old male, weighing 70 kg, burns caused by hot water head and neck, chest and back about 40% of the area of two burns, was rushed to the emergency room for treatment, following the disposal of what's inappropriate?

Answer: Give heat lamp to avoid hypothermia

Choices:
A. 5.6 liters given by 8 hours before the lactic acid Ringer's solution Parkland formula
B. Give heat lamp to avoid hypothermia
C. May be given albumin (albumin) rule
D. Rinse in cold water for about 30 minutes

50 year old male
70 kg
burns caused
head
chest
back
40
of
area
two burns
rushed
emergency room
treatment
following
inappropriate


Question: The process of establishing knockout mice (knockout mouse), in general, to take out what real animal cells knockout?

Answer: Embryonic Stem Cells

Choices:
A. Egg
B. Sperm cells
C. Fertilized eggs
D. Embryonic Stem Cells

process
establishing
general
out
real
cells knockout


Question: A 36-year old man complained of lower back pain and extends to the outside of the right leg, the right foot dorsal numbness. Physical checkups found on the right side SLRT (straight leg raising test) at 60 degrees can cause severe pain, and the big toe dorsiflexion strength  4 points, preliminary clinical diagnosis of sciatica caused by disc herniation. The most likely site of the lesion why?

Answer: The fourth and fifth lumbar intervertebral disc

Choices:
A. The second and third lumbar intervertebral disc
B. The third and fourth lumbar intervertebral disc
C. The fourth and fifth lumbar intervertebral disc
D. The fifth lumbar first sacral disc

36 year old man
lower back pain
extends
outside
right leg
right dorsal numbness
Physical
found
right side
straight leg raising test
60 degrees
cause severe pain
big toe
strength
points
preliminary clinical
sciatica caused
disc herniation
site of
lesion


Question: When the mitral valve replacement in the ring portion of the rear leaf (annulus of posterior leaflet) under the needle when it can not be too deep to avoid harming a structure?

Answer: Left circumflex coronary artery

Choices:
A. Left circumflex coronary artery
B. Aortic valve leaflets
C. Atrioventricular node
D. bronchus

mitral valve replacement
ring portion of
rear
annulus
posterior leaflet
needle
not
deep to
structure


Question: There is a 67-year-old woman with a headache, vomiting, hospitalization, the past history of diabetes for more than 10 years, patients have three children, the first and second three times puerperal fever occurred after production, but no bleeding or lower the blood pressure situation, the first and a second child Jie breast-feeding, breast-feeding can not be the third child and thereafter amenorrhea (then 26 years old), the following blood test results that meet this case a situation?

Answer: FSH 2.0 mIU / mL, LH 1.0 mIU / mL, Prolactin 2 ng / mL

Choices:
A. FSH 50 mIU / mL, LH 50 mIU / mL, Prolactin 20 ng / mL
B. FSH 2.0 mIU / mL, LH 1.0 mIU / mL, Prolactin 100 ng / mL
C. FSH 2.0 mIU / mL, LH 1.0 mIU / mL, Prolactin 2 ng / mL
D. FSH 50 mIU / mL, LH 2.0 mIU / mL, Prolactin 15 ng / mL

67 year old woman
headache
vomiting
past history of diabetes
more
patients
three children
first
second three times puerperal fever
bleeding
lower
blood pressure
first
second child
breast-feeding
breast-feeding
not
third child
amenorrhea
then
years old
following blood test results
case


Question: 63 received a heart transplant patient to be moved, to determine the most appropriate indicator of why exercise training intensity?

Answer: Consciousness force coefficient (rating of perceived exertion)

Choices:
A. Consciousness force coefficient (rating of perceived exertion)
B. Heart rate (heart rate)
C. Blood pressure (blood pressure)
D. Surface oxyhemoglobin saturation (Sp02)

63 received
heart patient to
moved
to
most appropriate indicator
exercise training intensity


Question: From the previous question, which patients are most likely diagnosis is:

Answer: Mallory-Weiss syndrome

Choices:
A. Mallory-Weiss syndrome
B. esophageal varices
C. peptic ulcer
D. gastritis


Question: Since inhibition of Captopril converting enzyme in metabolic substance which blocked the following, the side effects cough or angioedema (angioedema) of?

Answer: bradykinin

Choices:
A. angiotensin II
B. adenosine
C. bradykinin
D. prostacyclin

inhibition
Captopril
enzyme
metabolic
blocked
following
side effects cough
angioedema
angioedema


Question: Containing neutrophils addicted exudate and necrotic tissue, the inflammation which belong to?

Answer: Purulent

Choices:
A. Serous
B. Hemorrhagic
C. Granulomatous
D. Purulent

Containing
addicted exudate
necrotic tissue
inflammation
to


Question: E. kink (volvulus) site of occurrence to that of the most rare?

Answer: Transverse colon

Choices:
A. Sigmoid
B. The right side of the large intestine and ileum
C. Caecum
D. Transverse colon

kink
volvulus
site of occurrence
most rare


Question: Patient-related intestinal atresia (intestinal atresia), for the symptoms that may occur, which of the following error?

Answer: Oligohydramnios

Choices:
A. Abdominal swelling
B. Oligohydramnios
C. Bile vomit
D. Sparse meconium

Patient related intestinal atresia
intestinal atresia
symptoms
occur
following error


Question: Social support has a positive impact on health behavior, if it plays to provide home billiard room so that neighbors play sports, it is one of the following to provide social support?

Answer: Tool support

Choices:
A. Tool support
B. Emotional Support
C. Information support
D. Evaluative support

positive impact
plays to
home
room so
play
one
following to


Question: The following related (Crohn's disease) Crohn's disease of the narrative, what's wrong?

Answer: Intestinal lesions is even adoptive (continuous lesion)

Choices:
A. Complicated  pipe (fistula) and intestinal obstruction
B. Intestinal lesions is even adoptive (continuous lesion)
C. Patients with peripheral leukocytosis and electrolyte imbalance
D. Clinical manifestations vary

following related
Crohn's disease
Crohn's disease
wrong


Question: What these viruses, it is a double-stranded nucleic acid strands negative RNA, transmitted through fecal-oral route, such as the early onset appear flu-like symptoms, fever, vomiting, cough, runny nose, can cause inflammation of the intestinal mucosa 1-2 days, villous atrophy this time there will be watery, like egg drop soup-like water it?

Answer: Rotavirus (Rotavirus)

Choices:
A. Rotavirus (Rotavirus)
B. Enterovirus type 71 (of EV71)
C. Rhinovirus (Rhinovirus)
D. Polio virus (Poliovirus)


Question: Which of the following is the main metabolic role of Cori cycle?

Answer: The lactic acid (lactate) transported to the liver by skeletal muscles

Choices:
A. The lactic acid (lactate) transported to the liver by skeletal muscles
B. The lactic acid (lactate) transported to the liver skeletal muscle
C. Glucose transported to the liver by skeletal muscles
D. Glucose and lactic acid (lactate) transported to the liver skeletal muscle


Question: 57-year-old male with hypertension, unexpected bath severe headache, vomiting, to emergency medical treatment. After 30 minutes, the emergency room physicians found that patients with consciousness, but to pain stimulation Zhang eyes and groan, also pointed to poke stinging pain points and was stiff neck. Blood pressure 180/110 mmHg; ear temperature 37.9 ° C; regular pulse 80 beats / min; respiratory rate 20 breaths / min. According to history, the most likely diagnosis is:

Answer: Subarachnoid hemorrhage (subarachnoid hemorrhage)

Choices:
A. Carbon monoxide poisoning (CO intoxication)
B. Subarachnoid hemorrhage (subarachnoid hemorrhage)
C. Acute meningoencephalitis (acute meningoencephalitis)
D. Seizures (epilepsy)

57 year old male
hypertension
bath severe headache
vomiting
emergency medical
30 minutes
emergency room physicians found
patients
consciousness
pain stimulation
eyes
pointed to
stinging pain points
stiff neck
Blood pressure
mmHg
ear temperature
regular pulse 80 beats
min
respiratory rate 20 breaths
min
history
diagnosis


Question: 24 year old woman, the evening after the wedding banquet, a few hours after midnight, the skin begins to itch rash, as shown, and intolerable itching, Dawn rushed to the hospital emergency room, the most likely diagnosis Why?

Answer: Acute urticaria

Choices:
A. Acute urticaria
B. Erythema multiforme
C. Cellulitis
D. Tinea

year old woman
evening
few hours
midnight
skin begins to itch rash
itching
rushed
hospital emergency room
diagnosis


Question: 74 Boston aphasia classification system (Boston classification system of aphasia), the following statements about Wernicke's aphasia (Wernicke's aphasia), and what's the most correct?

Answer: Language understanding (comprehension) damaged

Choices:
A. Language fluency (fluency) damaged
B. Language understanding (comprehension) damaged
C. The combined hearing disorders (hearing impairment)
D. Merger can not be named (anomia)

74 Boston aphasia
Boston
aphasia
following
Wernicke's aphasia
Wernicke's aphasia
most correct


Question: Normal sex life pregnancy of 36 weeks are:

Answer: There are no special restrictions

Choices:
A. First month of pregnancy abstinence
B. The last eight weeks of pregnancy do not have any sexual
C. Do not have any sexual activity after mid-pregnancy
D. There are no special restrictions


Question: For the following clinical side effects Glucocorticoid incurred, what's wrong?

Answer: So bronchoconstriction, causing the onset of asthma

Choices:
A. Lead to Cushing's syndrome (Cushing's syndrome)
B. Produce osteoporosis
C. Produce peptic ulcer
D. So bronchoconstriction, causing the onset of asthma


Question: A 35-year-old woman, no systemic disease, hemoglobin value of 13 g / dL four years ago physical examination, MCV as 90 fL. But this year's examination found that the peripheral blood hemoglobin was 11 g / dL, MCV as 65 fL, normal white blood cell and platelet count. This woman is most likely what disease?

Answer: Iron deficiency anemia

Choices:
A. Thalassemia
B. Aplastic anemia
C. Vit B12 deficiency anemia
D. Iron deficiency anemia

35 year old woman
systemic disease
hemoglobin value
g
dL four years
MCV
90 fL
year's
found
peripheral blood hemoglobin
g
dL
MCV
65 fL
normal
platelet count
woman
disease


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

Answer: The risk of suicide in patients with panic disorder is not high

Choices:
A. Although panic disorder is paroxysmal attacks, but as a chronic disease
B. Using too much coffee or nicotine, can worsen the symptoms of panic
C. May be complicated by depression, alcohol and substance abuse, obsessive-compulsive disorder
D. The risk of suicide in patients with panic disorder is not high

following
panic disorder
panic disorder
wrong


Question: For one kidney failure patients, to alleviate the acute pain that hip fracture generated, following which the drug is not suitable?

Answer: meperidine

Choices:
A. remifentanil
B. codeine
C. meperidine
D. fentanyl

one kidney failure patients
to
acute pain
hip fracture
following
drug
not suitable


Question: 63-year-old Yang after the accident to the emergency room, computer tomography is acute subdural hemorrhage, this time full bed intensive care unit, doctors review medical records for each bed, may turn out not find ICU patients, physicians consider Mr. Yang to remain in the persistence of the emergency area, but Yang is not know to take care of the persistence of human health care can load area, the nearby also find other agencies took the neurosurgical patients admitted for surgery of this kind may at any time; this time physician how to deal with the most appropriate?

Answer: Liaison officers on duty, dispatch additional staff associated with the ability to give Yang a temporary emergency care

Choices:
A. Yang district on the persistence, he can only take care of the existing health care manpower
B. Please homes direction the Government level resource allocation problem area
C. Liaison officers on duty, dispatch additional staff associated with the ability to give Yang a temporary emergency care
D. Each patient has an equal opportunity to compete for limited resources, so that Yang ballot and ICU patients are able to get a transfer out of ICU

63 year old
emergency room
computer tomography
acute subdural hemorrhage
time full bed intensive care unit
doctors
medical records
bed
turn out not find ICU patients
physicians
Mr
to
emergency area
not
to
human
load area
nearby
find
patients
surgery
kind
time
time physician
to
appropriate


Question: When a stillbirth pathological examination, found that a plurality of small tumor-like lesions in the myocardium of the heart on both sides thereof, the cells contain large amounts of glycogen lesions under the microscope, and as a spider-like cells (spider cells). Which of the following best meet these pathological changes?

Answer: Rhabdomyoma

Choices:
A. Fibroelastoma
B. Angiosarcoma
C. Myxoma
D. Rhabdomyoma

stillbirth pathological examination
found
plurality
small tumor-like lesions
myocardium
heart
sides
cells contain large amounts
glycogen lesions
microscope
following best
pathological changes


Question: That one of the following opioid morphine higher compared to the oral bio-availability (Bioavailability), and generates time-dependent process is slow, it can be used for replacement therapy addictive opiate?

Answer: methadone

Choices:
A. nalbuphine
B. fentanyl
C. methadone
D. hydromorphine

one
following opioid morphine higher
oral
Bioavailability
time dependent process
slow
used
replacement therapy addictive opiate


Question: In the forearm, Which of the following is most likely to close with a forearm lateral cutaneous nerve (lateral cutaneous nerve of forearm), or concomitant?

Answer: Cephalic vein (cephalic vein)

Choices:
A. Cephalic vein (cephalic vein)
B. Your vein (basilic vein)
C. Median cubital vein (median cubital vein)
D. Brachial vein (brachial vein)

forearm
following
to close
forearm lateral cutaneous nerve
lateral cutaneous nerve of forearm
concomitant


Question: Which of the following diseases can not be hematopoietic stem cell transplantation (hematopoietic stem cell transplantation) with allogeneic way to achieve long-term remission?

Answer: Hepatocellular carcinoma

Choices:
A. Mucopolysaccharidosis
B. Severe aplastic anemia
C. Severe marine anemia
D. Hepatocellular carcinoma

following diseases
not
hematopoietic stem cell transplantation
hematopoietic stem cell transplantation
allogeneic
to
long-term remission


Question: Patients occurs due to sudden headache, palpitations, cold sweats and hospitalization, examination revealed significant changes in blood pressure patients, but these symptoms were associated rapid increase in blood pressure, then he most likely diagnosis is:

Answer: pheochromocytoma

Choices:
A. renovascular hypertension
B. primary aldosteronism
C. pheochromocytoma
D. coarctation of aorta


Question: From the previous question, the severity of the symptoms of such cases can be quantified following what scale?

Answer: Parents with mobility scale

Choices:
A. Han's Depression Inventory
B. Jane's psychotic symptoms Scale
C. Parents with mobility scale
D. Young's mania scale

previous
severity of
symptoms
cases
quantified following
scale


Question: A 33-year-old woman after the menstrual cycle, all of a sudden on the outside of the right breast lumps found a moment of pain, because she has a family history of breast cancer (mother to breast cancer), to breast surgical treatment, after examination showed no fever, breast no abnormal skin. In addition to above the right breast (OUQ) has an approximately 3 cm, the surface tension smooth (Tense) lumps of tenderness. The following items were advised to check what the most appropriate?

Answer: Breast ultrasound examination (breast sonography)

Choices:
A. Mammography (mammography)
B. Breast ultrasound examination (breast sonography)
C. Magnetic Resonance Imaging (MRI)
D. The crude needle check (core needle biopsy)

year old woman
menstrual cycle
sudden
outside
right found
pain
family history of breast cancer
breast cancer
breast surgical treatment
fever
breast
abnormal skin
In addition to
right breast
approximately
smooth
lumps
tenderness
following
to check
most appropriate


Question: Occupational physicians would like to explore a factory worker betel nuts and mouth disease may relevance, he asked whether every worker has the habit of betel nuts, a dentist at the same time please check oral diseases, is this what kind of research in a factory ?

Answer: Cross-sectional study (cross-sectional study)

Choices:
A. Case-control study (case-control study)
B. Cross-sectional study (cross-sectional study)
C. Clinical trials (clinical trial)
D. Cohort study (cohort study)

Occupational physicians
to
factory worker betel nuts
mouth disease
relevance
betel nuts
dentist
same time
check oral diseases
kind
factory


Question: 6. Which of the following diseases are due to bile pigment binding enzyme (glucuronyl transferase) activity caused by adverse neonatal indirect hyperbilirubinemia pigment hyperlipidemia (indirect hyperbilirubinemia) The reason?

Answer: Gilbert disease

Choices:
A. Gilbert disease
B. Hereditary spherocytosis
C. G6PD deficiency
D. ABO incompatibility


Question: Kinetic parameters of the enzyme 26 by a substance A is: Km = 0.01 mM; Kcat = 5 S-1, while the kinetic parameters by mass B is: Km 1 mM; Kcat = 5 S-1, from the above data found:

Answer: High specificity for this enzyme by the substance A

Choices:
A. This enzyme reaction rate for the more readily saturated by mass B
B. When the catalytic rate at saturation, this enzyme reaction is faster by substance A
C. High specificity for this enzyme by the substance A
D. When the subject matter is extremely low concentrations, this enzyme reaction is faster by mass B

parameters
enzyme
0.01 mM
5 S
parameters
mass
mM
5 S
above data found


Question: Non-pharmacological methods of pain control, does not include which of the following?

Answer: celiac plexus block

Choices:
A. transcutaneous electrical nerve stimulation（TENS）
B. acupuncture
C. behavioral modification
D. celiac plexus block

Non pharmacological methods
pain control
not include
following


Question: Embryonic development, duodenum rotated to the right, resulting in the ventral pancreatic bud also formed gradually to any part of the backside of the mobile pancreas?

Answer: The hook portion and a head lower

Choices:
A. head
B. The hook portion and a head lower
C. Tail
D. The body

Embryonic development
duodenum rotated
right
resulting in
ventral pancreatic bud
formed
part
mobile pancreas


Question:
54
 Meningioma (Meningioma) the main treatment is to:

Answer: Surgical removal

Choices:
A. Surgical removal
B. Radiation therapy
C. Chemotherapy
D. Hormone therapy

54 Meningioma
Meningioma
main treatment
to


Question:
34 A 40-year-old male patient to out-patient medical treatment, there is one week since complained of persistent abdominal pain and cloudy urine and inclusion of air bubbles, and there's a slight difficulty urinating, but no symptoms of bloody stool. I saw the physical examination and the left lower quadrant abdominal tenderness, but no rebound tenderness. Mild fever (38 ℃), leukocytes 14,000 / mm3, and large amounts of impurities in the urine, but only a small amount WBC RBC. Patients who were asked in the past
 During the year that is often left lower abdominal pain and constipation phenomenon, but the situation there is no bloody stool or urine, the patient most likely diagnosis is:

Answer: Colon diverticulitis

Choices:
A. Bladder cancer
B. Bladder stones
C. Colon diverticulitis
D. For colorectal cancer


Question: Women with a 45, XX, der (14; 21) (q10; q10) of the karyotype. Then the following statements is true?

Answer: This is possible for the female daughter of 46, XX, der (14; 21) (q10; q10), + 21 karyotype of

Choices:
A. This is typical of trisomy 21 syndrome (Trisomy 21)
B. This is a female patient with Down's syndrome
C. This is possible for the female daughter of 46, XX, der (14; 21) (q10; q10), + 21 karyotype of
D. This female infertility

XX der q10 q10 karyotype Then following true


Question: In recent years has caused in Taiwan and mainland China meningococcal meningitis, caused by bacteria and more than deaths, following what belongs to the genus?

Answer: Neisseria (Neisseria)

Choices:
A. Klebsiella bacteria (Klebsiella)
B. Pseudomonas aeruginosa (Pseudomonas)
C. Neisseria (Neisseria)
D. Legionnaires bacteria (Legionella)

recent years
caused
Taiwan
mainland China meningococcal meningitis
caused
bacteria
more
deaths
following


Question:
13
 Which of the following is the main source of blood supply to the female pelvis ureter?

Answer: Uterine artery

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

following
main source
blood supply
female pelvis ureter


Question: What these drugs are not suitable for use in patients with mild persistent asthma as a long-term control medication?

Answer: Sympathetic inhaled long-acting beta 2 promoter (long acting beta 2 agonist)

Choices:
A. Low-dose inhaled steroid (corticosteroid)
B. Sympathetic inhaled long-acting beta 2 promoter (long acting beta 2 agonist)
C. Inhaled cromolyn sodium
D. Oral sustained-release theophylline (sustained release theophylline)

drugs
not suitable
use
patients
mild persistent asthma
long-term


Question: Serum D-arabinitol content is mainly used to detect the infection Which of the following pathogens?

Answer: Candida albicans

Choices:
A. Histoplasma capsulatum
B. Penicillium marneffei
C. Cryptococcus neoformans
D. Candida albicans

Serum
arabinitol
used to detect
infection
following


Question: The following statements about Guillain-Barré syndrome, and what's wrong?

Answer: CSF can be found in many of the number of mononuclear leukocytes

Choices:
A. Often can cause weakness
B. Must consider the use of an endotracheal tube and respirator when serious illness
C. CSF can be found in many of the number of mononuclear leukocytes
D. Consider using plasma exchange therapy