Question: Hypothalamic disease can cause gonadotropin releasing hormone (GnRH) secretion disorders, leading to glandular luteinizing hormorne (LH) under the brain, folliclestimulating hormone (FSH) secretion disorders also may cause infertility in women. GnRH acting on the G protein coupled receptor, activation may be mainly phospholipase C, the following statements is wrong?

Answer: diacylglycerol (DAG) can directly activate protein kinase A

Choices:
A. phospholipase C可分解phosphatidylinositol 4,5-bisphosphate（PIP2）
B. phosphatidylinositol 4,5-bisphosphate (PIP2) is decomposed into inositol 1,4,5-trisphosphate (IP3) and diacylglycerol (DAG)
C. diacylglycerol (DAG) can directly activate protein kinase A
D. inositol 1,4,5-trisphosphate (IP3) can within the endoplasmic reticulum Ca2 + release

Hypothalamic disease
cause gonadotropin releasing hormone
secretion disorders
leading
glandular
brain
hormone
secretion disorders
cause infertility
women
GnRH acting
G protein coupled receptor
activation
phospholipase C
following
wrong


Question: After myocardial infarction patients received exercise training, the following values will be reduced?

Answer: During submaximal exercise heart rate (submaximal work heart rate)

Choices:
A. Maximal cardiac output (maximal cardiac output)
B. During submaximal exercise heart rate (submaximal work heart rate)
C. Maximal oxygen uptake (maximal oxygen uptake)
D. Per cardiac output (resting stroke volume) at rest

myocardial infarction patients received
following values
reduced


Question: This 30-year-old unmarried men nationality, there are a number of male and female sexual partners; recently taking no medication, travel abroad or pet situation. Five days after another body was found the hands of lesions rash and pain or itching in (Figure); no special genital lesions, nor fever situation. Which of the following do this patient most likely pathogen?

Answer: Treponema pallidium

Choices:
A. Streptococcus pyogenes
B. Treponema pallidium
C. Dengue virus
D. Measles virus

30 year old unmarried
number
male
female
recently
medication
travel abroad
body
found
hands
lesions rash
pain
itching
special genital lesions
fever
following
patient
likely pathogen


Question: Narrative about the first type of endometrial cancer (type I endometrial cancer), the following best inappropriate?

Answer: Prognosis is generally less than the second type of endometrial cancer

Choices:
A. Often related to estrogen hyperstimulation
B. Patients, mostly before and after menopause (perimenopausal) women
C. Pathological mostly low grade endometrioid type
D. Prognosis is generally less than the second type of endometrial cancer

the first type of endometrial cancer
endometrial cancer
following best inappropriate


Question: A 12-year-old boy suddenly fell to the ground unconscious in the movement, the limbs twitch, his teeth clenched and two hanged. Sent to the emergency immediately, this time in a coma and sustained systemic ankylosing convulsions forty minutes. What immediately dispose of the following error?

Answer: Give drip injection and immediately sent for the brain computed tomography

Choices:
A. Give drip injection and immediately sent for the brain computed tomography
B. Give all necessary drip injection of anti-epileptic drugs immediately and continued to observe stop seizures
C. The establishment of a stable blood pressure, respiration and physiological signs of immediate heartbeat
D. The need for endotracheal intubation and respirator immediately

year old boy
fell
ground unconscious
movement
limbs twitch
teeth
two hanged
Sent
emergency immediately
time
coma
sustained systemic
convulsions forty minutes
immediately
following error


Question: Our suicide rate in recent years is:

Answer: Per 100,000 population 12 to 14 people

Choices:
A. 12 to 14 people per thousand population
B. 12 to 14 million people per person
C. Per 100,000 population 12 to 14 people
D. Per million population 12 to 14 people


Question: The following information about chronic kidney disease (chronic kidney disease) caused by the onset of secondary hyperparathyroidism (secondary hyperparathyroidism) turn the machine described, what's wrong?

Answer: Hyperphosphatemia (manage hyperphosphatemia) promote the generation of active form of vitamin D

Choices:
A. Kidney failure caused by hyperphosphatemia (hyperphosphatemia)
B. Fibroblast growth factor 23 attenuates renal 1-alpha hydroxylase, decreased synthesis of active vitamin D
C. Hyperphosphatemia (manage hyperphosphatemia) promote the generation of active form of vitamin D
D. Hypocalcemia (hypocalcemia) to stimulate the production of parathyroid hormone

following
chronic kidney disease
chronic kidney disease
caused
onset
secondary hyperparathyroidism
secondary hyperparathyroidism
turn
machine
wrong


Question: A car accident injured patients the right side of the body below the waist and loss of pain sensation of hot and cold, but there is still touch and vibratory sensation (vibration), then this patient most likely location for the injury:

Answer: The left side of the lumbar spinal cord anterolateral part

Choices:
A. The left side of the lumbar spinal cord anterolateral part
B. On the right side of the lumbar spinal cord anterolateral part
C. The left side of the lumbar spinal cord dorsal part
D. On the right side of the lumbar spinal cord dorsal part

car accident injured patients
right side of
body
waist
loss sensation
hot
cold
touch
vibratory sensation
vibration
then
patient
likely location
injury


Question: About traveler's diarrhea (traveler's diarrhea) narrative, Which of the following most correct?

Answer: bismuth subsalicylate is selected preventable, but the child is not recommended

Choices:
A. The most common cause of traveler's diarrhea pathogens are Salmonella
B. When East Asian countries to diarrhea occur tourism, the drug of choice for the treatment of ciprofloxacin
C. One of azithromycin is the treatment of choice, but can not be used in pregnant women
D. bismuth subsalicylate is selected preventable, but the child is not recommended

About traveler's diarrhea
traveler's diarrhea
following
correct


Question: He who has the greatest ability to catalyze reactions?

Answer: 全酶（holoenzyme）

Choices:
A. Apoenzyme (apoenzyme)
B. Coenzyme (coenzyme)
C. 全酶（holoenzyme）
D. Proenzyme (zymogen)


Question: 14-year-old girl ⼀ Waze normal care has been taken with familial history of epilepsy, often after being found not automatically get home ⻑ main limbs twitch, sometimes to fail and even fell to the ground, the following information about the diagnosis and treatment of the statements is wrong?

Answer: Diagnosis of childhood absence epilepsy may be

Choices:
A. 4 ~ 6Hz electroencephalogram possible generalized spike (generalized spikes)
B. Detection of gene diagnosis of epilepsy family
C. Antiepileptics (valproate) is the drug of choice for treatment therefore especially
D. Diagnosis of childhood absence epilepsy may be

year old girl
normal
familial history of epilepsy
often
found not automatically
home
main limbs twitch
sometimes to fail
fell
following
diagnosis
treatment
wrong


Question: About the blacks appear pigmentation treatment, the following statements is wrong?

Answer: If the increase in true blacks appear granules ⽪ layer, Using the pulsed light (intense pulsed light, IPL) Jacob than neodymium (Nd: YAG) laser effect is more

Choices:
A. If the increase in the blacks appear in Table ⽪ layer granules, terephthalic ⼆ Using phenol (Hydroquinone) can effectively dilute cream
B. If the increase in true blacks appear granules ⽪ layer, Using the pulsed light (intense pulsed light, IPL) Jacob than neodymium (Nd: YAG) laser effect is more
C. If the laser-administration of the dose is too strong or too frequently administered to play, likely to cause iatrogenic discolored prime depigmentation
D. Using the outer A acid (retinoic acid) cream for freckles (freckles) dilute the effect

appear pigmentation treatment
following
wrong


Question: The following statements about kink colon (colonic volvulus), and what's wrong?

Answer: Cecum (cecum) kink colonoscopy should first try to restore again perform routine surgery

Choices:
A. Sigmoid colon is the most common site
B. Past history (cecum) kink risk factors include high intake, psychotropic substances and taking dietary fiber abdominal surgery cecum
C. Cecum (cecum) kink colonoscopy should first try to restore again perform routine surgery
D. Caecum (cecum) often associated with some or all of the kink ascending colon torsion

following
kink colon
colonic volvulus
wrong


Question: Patients Azihaimo disease (Alzheimer disease), its brain pathology and clinical symptoms of most relevance were:

Answer: neurofibrillary tangles

Choices:
A. Negri body
B. neurofibrillary tangles
C. Lewy body
D. Hirano body

Patients
disease
Alzheimer disease
brain pathology
clinical symptoms
relevance


Question: 23. One aged 7 year old little girl was pale and half month long limbs, often for no reason purpura or bleeding gums are sent to the hospital to check and found no hepatosplenomegaly. Hematology rendering hemoglobin (Hb) 9.2g / dL, white blood cell count 2500 / mm3, neutrophils 5%, platelet count of 25 × 103 / mm3, the corrected reticulocytes is 0.4%. Bone marrow nucleated cells are very rare, and each has a distinct lack of blood cell lines phenomenon. Which of the following is the most likely diagnosis?

Answer: Severe aplastic anemia

Choices:
A. Acute lymphoblastic leukemia
B. Specific thrombocytopenic purpura
C. Autoimmune hemolytic anemia
D. Severe aplastic anemia

23
One aged
year old little girl
pale
half month long limbs
often
purpura
bleeding gums
sent
hospital to check
found
hepatosplenomegaly
Hematology
hemoglobin
dL
white blood cell count 2500
mm3
platelet count
mm3
corrected
0.4
nucleated
very rare
lack
blood
lines
following
diagnosis


Question: Air Pollution Index (Pollutant standard index, PSI) how many more, have poor health and a more sensitive person, so health symptoms worse?

Answer: 100

Choices:
A. 50
B. 100
C. 150
D. 200

Index
Pollutant standard index
more
poor health
more sensitive
symptoms worse


Question: To diagnose Helicobacter pylori (Helicobacter pylori) non-invasive (non-invasive) method of infection, the detection of bacteria is what product?

Answer: Urease (Urease)

Choices:
A. 觸酶（catalase）
B. Mucinases (mucinase)
C. Oxidizing enzyme (oxidase)
D. Urease (Urease)

To diagnose
non-invasive
non-invasive
method
infection
detection of bacteria
product


Question: A 30-year-old female patient urine analysis found hematuria, the following test results support what items are glomerular (glomerular) hematuria?

Answer: Deformability of red blood cells found in urine sediment

Choices:
A. Particulate sediment saw cylinder
B. 24 hours proteinuria excretion> 2.5 g
C. Deformability of red blood cells found in urine sediment
D. Red blood cell count> 50 / hpf

30 year old female patient urine analysis found hematuria


Question: Risk assessment used the hazard quotient (hazard quotient), mainly for the following steps that assessment?

Answer: Risk characterization

Choices:
A. Hazard identification (hazard identification)
B. Dose-response assessment
C. Exposure assessment
D. Risk characterization

used
hazard quotient
hazard quotient
following steps


Question: Japanese encephalitis virus (Japanese encephalitis virus) by which of the following media communication?

Answer: Three-spot quinquefasciatus

Choices:
A. Three-spot quinquefasciatus
B. Tsetse
C. White 蛉子
D. mouse


Question: 24. Order of the problem, patients suffering from congenital deficiency of such hormones, clinical symptoms seen following those? ① ② smart growth retardation, impaired development of hypokalemia ③ ④ ⑤ hypothyroidism precocious puberty

Answer: Only ①②④

Choices:
A. Only ①②③
B. Only ①④⑤
C. Only ①②④
D. Only ②③⑤

Order
problem
patients suffering
congenital
hormones
clinical symptoms seen following
growth retardation
impaired development
hypokalemia
hypothyroidism precocious puberty


Question: Which of the following is not pyloric plane (transpyloric plane) on?

Answer: Splenic (splenic hilum)

Choices:
A. Duodenojejunal song (duodenojejunal flexure)
B. Around the renal hilum (renal hilum) connection
C. L1 vertebrae (vertebral body of L1)
D. Splenic (splenic hilum)

following
not pyloric plane
transpyloric plane


Question: About the treatment of pain in cancer patients, which of the following correct?

Answer: Analgesics should be administered when (around the clock)

Choices:
A. Morphine dose should not exceed 200 mg per day in order to prevent respiratory depression
B. Analgesics is limited to severe pain of patients (severe pain)
C. Morphine most common side effect is diarrhea (diarrhea)
D. Analgesics should be administered when (around the clock)

treatment
pain
cancer patients
following correct


Question: Related lymphoma narrative Which statement is correct?

Answer: Whether it is T cell or B cell lymphoma, lymphoma antigen receptor will often (antigen receptor) gene recombination phenomenon

Choices:
A. Once lymphoma cells found in the blood, it should be classified as leukemia (leukemia) instead lymphoma
B. The outer lymph node cell lymphoma (mantle cell lymphoma) mainly Helicobacter pylori (Helicobacter pylori) For
C. Whether it is T cell or B cell lymphoma, lymphoma antigen receptor will often (antigen receptor) gene recombination phenomenon
D. In Taiwan Hodgkin lymphoma (Hodgkin lymphoma) compared with non-Hodgkin's lymphoma (non-Hodgkin lymphoma) common


Question: If adults due to illness or accident loses its ability to conduct independent, execute the surgical consent of the agent by whom, in accordance with the provisions of the Medical Act, Which of the following is the most priority order?

Answer: spouse

Choices:
A. spouse
B. parents
C. child
D. brothers and sisters

adults due to illness
ability to
independent
execute
surgical consent
agent
in accordance with
Medical Act
following
most priority order


Question: 50-year-old man, past history of duodenal ulcer and high blood pressure, because last month had been left ureter stones emergency, recently often feel tired, limbs, muscle weakness, following which the examination, diagnosis than those without value?

Answer: Blood triglyceride (triglyceride) concentration

Choices:
A. Calcium concentration
B. Blood alkaline phosphatase (alkaline phosphatase) concentration
C. Parathyroid hormone in the blood (of iPTH) concentration
D. Blood triglyceride (triglyceride) concentration

50 year old man
past history of duodenal ulcer
high blood pressure
last month
left ureter stones emergency
recently often
tired
limbs
muscle weakness
following
diagnosis
value


Question: Auto master narrative about dysreflexia (autonomic dysreflexia, AD) is, which of the following error?

Answer: Face disease have low pressure ⾎

Choices:
A. ⽣ often send to the injury site to the above ADVANCED T6 ~ T8 disease Face
B. Face disease have low pressure ⾎
C. Face disease have headache and flushing the affected area above
D. Face often male disease and urethral smooth muscle ataxia (dyssynergia)

Auto master
dysreflexia
autonomic dysreflexia
AD
following error


Question: A 6-year-old boy to out-patient clinics, complained last month that the stairs difficult and suppressed, physical examination found around the finger joints and eye rash. The following statements is wrong?

Answer: Nerve conduction visible slow conduction velocity

Choices:
A. Often elevated muscle enzymes
B. Nerve conduction visible slow conduction velocity
C. A folding microscopy (nailfold microscopy) and a common expansion of the curved microvessel
D. Treatment with steroids and other required immunosuppressants

year old boy
out-patient clinics
last month
difficult
suppressed
found
finger joints
eye rash
following
wrong


Question: The following mechanisms of action of pathogenic bacteria escape the immune system, does not include:

Answer: CD4 T cells directly attack

Choices:
A. Increasing the mutation rate of the surface antigen
B. CD4 T cells directly attack
C. Tumor necrosis factor synthesis initiator
D. Secretion of enzymes to break complement molecules

following mechanisms of action
pathogenic bacteria
immune system
not include


Question: Vaginal examination (colposcopy) In some cases there may be suspicion of invasive cancer, Which of the following is not included?

Answer: Cervical eversion

Choices:
A. Abnormal blood vessels branch
B. Cervical eversion
C. Color change
D. Irregular surface

Vaginal examination
colposcopy
cases
invasive cancer
following
not included


Question: From the previous question, the obstetrician discovered she was pregnant before, if you climb the stairs three layers will breathe, but shoots as usual ⽣ live and rest and will not cause problems. But after pregnancy, these conditions become more severe, sometimes ⾛ road will be long ⼀ points asthma, you need to stop and rest. Check the conjunctiva of Xiao Qing (conjunctiva) is pink discolored with no evidence of poor ⾎, auscultation found Rec Center Weighted miscellaneous, obstetricians suspect a problem with the screen for ⽅ Center Weighted dirty, so dirty super Rec Center Weighted arrangements waves have found Hiu Ching Center Weighted chamber ⼀ a septal defect level ⽅ about 1.6 cm. The following advice to Xiao Qing, what's wrong?

Answer: Center Weighted ⼀ chamber septal defect is a congenital heart disease Center Weighted, which is not abnormal genetic structure to the fetus

Choices:
A. According to the definition of the functions of the New York Center Weighted Center Weighted dirty dirty Association (NYHA), Hiu Ching before pregnancy belongs to second shot grade (functional class II), but pregnancy
B. Center Weighted ⼀ chamber septal defect is a congenital heart disease Center Weighted, which is not abnormal genetic structure to the fetus
C. The Center Weighted zoomed room septal defect may progress to pulmonary failure and left Center Weighted room ADVANCED pressure, pulmonary resistance when care has been taken (pulmonary vascular
D. Center Weighted room was not repaired septal defect there are risks meningitis (infective endocariditis) in infectious Center Weighted, in the suspected bacteria ⾎ disease, it is recommended


Question: A 45 year old male Golden Gate to travel back a few days later fever, headache and cough situation, and skin lesions appear as shown in the thigh, the following statements is wrong?

Answer: Skin lesions known as eschar (Eschar), is a feature of most patients by key will appear

Choices:
A. Highly suspected Scrub Typhus, but also called Tsutsugamushi disease
B. Must be notified of legal infectious diseases
C. Skin lesions known as eschar (Eschar), is a feature of most patients by key will appear
D. Via the media tsutsugamushi

year old male
Gate to
back
few days later fever
headache
cough
skin lesions appear
thigh
following
wrong


Question: 29 a normal full-term children, the third day of presenting vomiting repeatedly hospitalized at birth; physical examination found: patients with moderate dehydration, vomit bile. He disposed of the following items inappropriate?

Answer: Give 10% glucose intravenous infusion

Choices:
A. Fasting immediately
B. Nasogastric tube placement
C. Give 10% glucose intravenous infusion
D. Abdominal X-ray examination schedule J

29
normal full-term children
third day
vomiting repeatedly hospitalized
birth
found
patients
moderate dehydration
vomit bile
following
inappropriate


Question: A 60-year-old man in a coma after drinking one hour, the blood test methanol (methanol), where the substance of injuries like nerve cells?

Answer: Retina (retina)

Choices:
A. 黑 質 (substantia nigra)
B. Olive pits (olivary nucleus)
C. Retina (retina)
D. The optic nerve (optic nerve)

60 year old man
coma
drinking one hour
blood test methanol
methanol
injuries


Question: Appendix (appendix) is the most common tumor:

Answer: Carcinoid (carcinoid tumor)

Choices:
A. Mucinous adenocarcinoma (mucinous adenocarcinoma)
B. Serous adenocarcinoma (serous adenocarcinoma)
C. Tubular adenoma (tubular adenoma)
D. Carcinoid (carcinoid tumor)


Question: 27 to check the chemical immunohistochemical staining of cells found in certain metastatic cancers negative for the Cytokeratin 20, Cytokeratin 7 positive

Answer: Lung cancer

Choices:
A. Colorectal Cancer
B. Pancreatic cancer
C. Bladder epithelial cancer-shift
D. Lung cancer

27 to check
staining
cells found
certain metastatic cancers negative
Cytokeratin 20
Cytokeratin 7 positive


Question: Related to obstructive sleep apnea syndrome (obstructive sleep apnea syndrome; OSAS) of the narrative, which of the following error?

Answer: Waking up early in the morning tend to have headaches, lower blood was due to the carbon dioxide concentration due

Choices:
A. Most merger snoring (snoring)
B. Severe cases can lead to pulmonary hypertension
C. Waking up early in the morning tend to have headaches, lower blood was due to the carbon dioxide concentration due
D. Common main child as the oral adenoid and tonsil (adenoids) hypertrophy

Related
obstructive sleep apnea syndrome
obstructive sleep apnea syndrome
OSAS
following error


Question: About the pairing of mental illness and their drug of choice, which of the following correct?

Answer: Generalized anxiety disorder (generalized anxiety disorders) ─ selective serotonin reuptake inhibitors

Choices:
A. Psychosis disorder (schizophrenia) ─ serotonin and dopamine agonists
B. Generalized anxiety disorder (generalized anxiety disorders) ─ selective serotonin reuptake inhibitors
C. Bipolar affective disorder (bipolar disorders) ─ dopamine agonists
D. OCD (obsessive compulsive disorders) ─ lithium


Question: The following antihypertensive drug, whichever will reduce the damage of bradykinin and substance P, thus easily causing side effects of dry cough?

Answer: lisinopril

Choices:
A. lisinopril
B. amlodipine
C. diazoxide
D. clonidine

following antihypertensive drug
damage
bradykinin
substance P
easily causing side effects
dry cough


Question: Taiwan accordance with the provisions of the law, which under the following conditions, physicians did not have the duty to inform the competent authority?

Answer: When a physician in psychotherapy, psychiatric patients found that C threatened to kill his mother

Choices:
A. Physicians in emergency found to have suicidal tendencies of Ms. A long-term by their battering husband
B. Emergency physician to find B girl was abandoned by his father
C. When a physician in psychotherapy, psychiatric patients found that C threatened to kill his mother
D. Physicians at the clinic have found that the human immunodeficiency virus (Human Immunodeficiency Virus) infection of

Taiwan
law
following conditions
physicians
not
to inform
competent


Question: About the treatment of stroke, the following statements is wrong?

Answer: Lack ⾎ stroke, systolic blood pressure> 200 mmHg, diastolic blood pressure> or higher 100 mmHg, to emergency relief

Choices:
A. Face pressure ⾎ zoomed majority of stroke disease will pain, agitation, and then automatically controlled to reduce the intracranial pressure
B. Lack ⾎ stroke, systolic blood pressure> 200 mmHg, diastolic blood pressure> or higher 100 mmHg, to emergency relief
C. For lack of neurological outcome to 3 hours when the stroke ⾎ Face disease, r-tPA suitable for treatment, can be improved
D. R-tPA in the Treatment of Ischemic stroke of ⾎ dose, is largest does not exceed 90 mg


Question: That one of the following antiepileptic drugs to relieve severe epilepsy product (status epilepticus) works best?

Answer: diazepam

Choices:
A. ethosuximide
B. diazepam
C. topiramate
D. tiagabine


Question: 60 year old male was diagnosed with a tumor metastasis lumbar spine, the spine X-ray showed that the first, second and fourth lumbar vertebral collapse and osteogenic image (osteoblastic image). Spine X-ray results based on judgment, is most likely to be transferred to the lumbar spine from which of the following?

Answer: Prostate cancer (prostate cancer)

Choices:
A. Colorectal cancer (colon cancer)
B. Stomach cancer (gastric cancer)
C. Liver (hepatic cell carcinoma)
D. Prostate cancer (prostate cancer)

60 year old male
diagnosed
tumor metastasis lumbar spine
spine X-ray
first
second
fourth lumbar
osteogenic
Spine X-ray results based
to
transferred
lumbar spine
following


Question: A response when there is no enzyme catalysis and enzyme catalysis, following what term is correct?

Answer: There enzyme catalyzed reaction activation energy (activation energy) will decrease

Choices:
A. Equilibrium constant (equilibrium constant) change
B. There enzyme catalyzed reaction activation energy (activation energy) will decrease
C. There enzyme-catalyzed reactions the standard free energy change (standard free energy change) will change
D. There are enzymes which catalyze reactions initial velocity (initial velocity) decreases

response enzyme enzyme following term correct


Question: A Hodgkin's lymphoma (Hodgkin's lymphoma) male patients, found a large number of proteinuria (5.8 gm / day / 1.73 m2 body surface), blood cholesterol 328 mg / dL, serum albumin, 1.5 gm / dL, ready receiving a kidney biopsy, he most likely of renal pathological changes:

Answer: Small changes in kidney disease

Choices:
A. Membranous glomerulonephritis
B. Local glomerular sclerosis
C. Small changes in kidney disease
D. IgA nephropathy

Hodgkin's lymphoma
Hodgkin's lymphoma
male patients
found
large number
proteinuria
5.8 gm
day
1
m2 body surface
blood cholesterol
mg
dL
serum albumin
1.5 gm
dL
ready receiving
kidney biopsy
renal pathological changes


Question: Complex partial seizures (Complex partial seizure) seizures most often derived from what part?

Answer: Temporal lobe (Temporal lobe)

Choices:
A. The frontal lobes (Frontal lobe)
B. Temporal lobe (Temporal lobe)
C. Parietal lobe (Parietal lobe)
D. Occipital lobe (Occipital lobe)

Complex partial seizures
Complex partial seizure
seizures
often derived
part


Question: About people with dementia clinical use of nasogastric feeding narrative, which of the following error?

Answer: Nasogastric tube may reduce the incidence of aspiration pneumonia

Choices:
A. Families do not have the heart to starve or thin patients
B. Most people with dementia still retains the hunger and can eat by mouth
C. Nasogastric tube may reduce the incidence of aspiration pneumonia
D. People with dementia to the end can not eat because of nausea and respiratory failure should be treated condition, without the use of artificial feeding


Question: A 59-year-old left renal disease patients want to accept the surgery, the patient has a history of hypertension, the blood pressure before surgery was 180/110 mmHg, the following statements is wrong?

Answer: Preoperative ward nurses told to fast, so the patient is not the usual oral antihypertensive drugs, intraoperative blood pressure will not be affected

Choices:
A. This high blood pressure in patients, the drug should be to control blood pressure, in order to reduce intraoperative complications
B. This surgery patients blood pressure or hypertension may be difficult to control hypotension
C. Preoperative ward nurses told to fast, so the patient is not the usual oral antihypertensive drugs, intraoperative blood pressure will not be affected
D. Anesthesiologists should be actively surgery to drug treatment, to allow the patient's blood pressure try to keep the proper range

59 year old left renal disease patients
to accept
surgery
patient
history of hypertension
blood pressure
surgery
mmHg
following
wrong


Question: 62-year-old teacher in the class suddenly becomes weird, repeating the same question. He's conscious, hands and feet flexible, no recent head trauma. Was sent to the neighboring hospital, after six hours, gradually returning to normal, but for the past few hours no memory. He most likely scenario is:

Answer: Temporary amnesia (transient global amnesia)

Choices:
A. Temporary amnesia (transient global amnesia)
B. Ezihaimo disease (Alzheimer disease)
C. Frontotemporal dementia (frontotemporal dementia)
D. Occipital seizure (occipital seizure)

62 year old teacher
repeating
same
hands
feet flexible
recent head
sent
neighboring hospital
six hours
returning
normal
past
hours
memory
scenario


Question: About the basal body temperature (basal body temperature), the following statements is true?

Answer: After taking synthetic progestational agent, basal body temperature will rise

Choices:
A. Single phase (monophasic) temperature determined ovulation
B. Pregnancy, estrogen to maintain the body temperature high temperature
C. After taking synthetic progestational agent, basal body temperature will rise
D. According to basic thermometer, the probability of pregnancy is highest in the two days after the high temperature period

basal body temperature
basal body temperature
following
true


Question: Stroke patients easily with reflex sympathetic dystrophy (Reflex sympathetic dystrophy), which of the following is not a typical symptom?

Answer: Restricted elbow activity

Choices:
A. Shoulder pain
B. Restricted elbow activity
C. Wrist edema
D. Hand thinning of the skin

Stroke patients easily
reflex sympathetic dystrophy
Reflex sympathetic dystrophy
following
not
typical symptom


Question: The following ideas about gerontology (geriatric medicine) description of what's wrong?

Answer: For reasons of cost-effectiveness, the elderly may not have to pay attention to disease prevention

Choices:
A. The performance of older people than younger people with atypical disease
B. When the body is subject to the same minor injury, the elderly, the young may be more serious conditions occur
C. The clinical symptoms of the elderly often caused by a variety of causes of abnormal and multiple organ systems
D. For reasons of cost-effectiveness, the elderly may not have to pay attention to disease prevention

following
gerontology
geriatric medicine
wrong


Question: The degree of differentiation of cancer cells represents the Anaplasia why?

Answer: Undifferentiated

Choices:
A. good
B. Moderately
C. bad
D. Undifferentiated


Question: 11 a 68-year male patient suffering from diabetes for many years, is due to fever and general malaise was sent to the hospital, checking blood pressure 96/60 mmHg, body temperature 3 mg / dL, ALT (GPT) 95 U / L, sugar 200 mg / dL , leukocytes in urine was 0-2 / HPF, chest X-ray examination was normal. Then one of the following do first check that the most appropriate?

Answer: Abdominal ultrasound

Choices:
A. Sinus X-rays
B. Gallium scan
C. Abdominal ultrasound
D. Pulmonary high resolution computed tomography (HRCT)

year male patient suffering
diabetes
years
due to fever
general malaise
sent
hospital
blood pressure 96 60 mmHg
body temperature
mg
dL
ALT
GPT
95 U
L
sugar 200 mg
dL
leukocytes in urine
0-2
HPF
chest X-ray
normal
Then one
following
first check
most appropriate


Question: From the previous question, if the patient has no cirrhosis, general health is good, what is the best way to treat this patient was?

Answer: Left lateral segmentectomy of liver

Choices:
A. Left lateral segmentectomy of liver
B. Percutaneous ethanol injection therapy（PEIT）
C. Transarterial embolization（TAE）
D. Radiofrequency ablation（RFA）

previous
patient
cirrhosis
general health
good
best
to treat
patient


Question: A 42-year-old male patient, 10 years ago to work in chemical plants, industrial safety since the accident, inhalation of ammonia. It was not the acute inhalation lung injury caused by ARDS, hospitalization and use of a respirator tube into the trachea treatment, two weeks after weaning, to go home. However, patients suffering from chronic cough, yellow sputum and a large number of progressive dyspnea, repeated concurrent lung infection. The following statements is wrong?

Answer: Such patients appear yellow sputum volume increased, become darker in color, fever and other symptoms, suspected to be pulmonary infection, this time should be treated with antibiotics, in particular, to consider Staphylococcus aureus infection

Choices:
A. The patients may be diagnosed as the toxic gas inhalation causes of bronchiectasis (bronchiectasis)
B. Such patients appear yellow sputum volume increased, become darker in color, fever and other symptoms, suspected to be pulmonary infection, this time should be treated with antibiotics, in particular, to consider Staphylococcus aureus infection
C. Such patients can accept the respiratory therapy, such as shoot sputum, postural drainage, etc., but mucolytic agents are used or not is controversial
D. If a large number of the patients hemoptysis, embolization (embolization) than surgical resection may suitably

year old male patient
to
chemical plants
inhalation
ammonia
not
acute inhalation lung injury caused
ARDS
use of
respirator tube
trachea treatment
two weeks
weaning
to go home
patients suffering
chronic cough
yellow sputum
large number
progressive dyspnea
repeated concurrent lung infection
following
wrong


Question: The following judgment on the depth of burns (burn depths), the following statements is wrong?

Answer: Elderly burning hot water bath. Forgot to add hot water and cold water. Burns stepped into a bathtub of hot water. Pale skin lesion, blisters, discoloration oppression (do not blanch to touch), but will touch the tapered article pain (painful to pinprick). This is a shallow second degree burns

Choices:
A. Junior high school students to the beach to play, sunburn and redness caused by back pain. Redness of the skin are oppressed will be white (blanch to the touch), the pressure is released and then red. This is a once burns
B. Elderly burning hot water bath. Forgot to add hot water and cold water. Burns stepped into a bathtub of hot water. Pale skin lesion, blisters, discoloration oppression (do not blanch to touch), but will touch the tapered article pain (painful to pinprick). This is a shallow second degree burns
C. Motorcycle riders in a car accident. The distal end of the inner leg is pressed hot exhaust pipe cause burns. Not painful skin lesion formed leather-like eschar (leathery eschar), which is
D. The couple broke up, the woman inconsolable and commit suicide. After the woman was found unconscious, the hospital successfully save lives. However, patients in a coma in the process of charcoal, charcoal too close to the right foot, even the muscles have been scorched. These are the four degrees of burns

following
depth of burns
burn depths
following
wrong


Question: The following systemic vasculitis which have asthma attacks?

Answer: Churg-Strauss syndrome

Choices:
A. Churg-Strauss syndrome
B. Goodpasture's syndrome
C. essential mixed cryoglobulinemia
D. drug-induced vasculitis

following systemic vasculitis
asthma attacks


Question: Which of the following is the most common adult Face ⾒ malignant lymphoma?

Answer: Zoomed diffuse B-cell lymphoma (diffuse large B-cell lymphoma)

Choices:
A. Zoomed diffuse B-cell lymphoma (diffuse large B-cell lymphoma)
B. Peripheral T cell lymphoma, unspecified (peripheral T-cell lymphoma, unspecified)
C. Back ⾏ of zoomed-cell lymphoma (anaplastic large cell lymphoma)
D. Mantle cell lymphoma (mantle cell lymphoma)

following
most common adult Face
malignant lymphoma


Question: Most diabetics will not be complicated by the kind of eye diseases?

Answer: Goggle-eyed disease

Choices:
A. cataract
B. Retinopathy
C. Oculomotor nerve palsy
D. Goggle-eyed disease

diabetics
not
complicated
the kind of eye diseases


Question: Navel section of skin (dermatome) is:

Answer: T10

Choices:
A. L1
B. T12
C. T10
D. T8


Question: From the previous question, Ruoyu know patency Choledochoduodenostomy of (Patency), following an inspection that should be given priority?

Answer: HIDA scan

Choices:
A. Angiography
B. HIDA scan
C. Abdominal ultrasound
D. Percutaneous transhepatic photography (Percutaneous transhepatic cholangiogram)

previous
patency Choledochoduodenostomy
Patency
following
inspection
given priority


Question: 58 a 55-year-old man complained that two months to feel very tired, poor appetite, numbness in hands and feet more and more severe, and sometimes diarrhea. Physical examination show a slight scleral icterus, smooth tongue, taste buds atrophy; complete blood examination showed hemoglobin 5.2 g / dL, red blood cells 36 × 106 / mm3, MCV 115 fL, leukocytes 2,290 / mm3, normal classification, platelets 34,000 / mm3. This bit of men most likely have which of the following situation?

Answer: Vit.B12 deficiency

Choices:
A. Vit.B12 deficiency
B. Folic acid deficiency
C. Hemolytic anemia
D. Aplastic anemia

58
year old man
two months to
very tired
poor appetite
numbness
hands
feet
more severe
sometimes diarrhea
slight scleral icterus
smooth tongue
taste buds atrophy
complete blood examination
hemoglobin
g
dL
red blood cells 36
mm3
MCV
fL
mm3
normal classification
platelets
mm3
bit
likely
following


Question: Blue baby syndrome (blue baby) is a substance which contains excessive drinking water caused?

Answer: Nitrate

Choices:
A. Nitrate
B. Fluoride
C. Sulfate
D. Carbonate

Blue baby syndrome
blue baby
contains excessive water caused


Question: The main pathological changes of chronic rejection of the transplanted lung Which of the following happen to?

Answer: Obstructive bronchitis

Choices:
A. Inflammatory cell infiltration
B. Diffuse alveolar damage
C. Obstructive bronchitis
D. Cytomegalovirus infection


Question: Toll-like receptors (TLRs) to perform message passing, following that kind of presence on the cell membrane, bacteria can accept the lipopolysaccharide (LPS) stimulation?

Answer: TLR-4

Choices:
A. TLR-3
B. TLR-4
C. TLR-5
D. TLR-7

Toll-like receptors
to perform
following
kind
presence
cell membrane
bacteria
accept
lipopolysaccharide
stimulation


Question: The following spinal epidural outer clinical examination of tumor (intra-spinal, extra-dural tumor) of the found, whichever relatively rare?

Answer: Reflexes (hypo-reflexia)

Choices:
A. Neuralgia
B. Sports fatigue (motor weakness)
C. Reflexes (hypo-reflexia)
D. Spasms (spasticity)

following spinal epidural outer
tumor
intra spinal
extra
tumor
found
rare


Question: GH (growth hormone) has the effect of promoting fat and carbohydrate metabolism, mainly indirectly through the following to what the role of hormones produced?

Answer: The first type of insulin growth factors (insulin-like growth factor; IGF-1)

Choices:
A. TSH (thyroid-stimulating hormone; TSH)
B. ACTH (adrenocorticotropic hormone; ACTH)
C. Corticotropin releasing hormone (corticotropin-releasing hormone; CRH)
D. The first type of insulin growth factors (insulin-like growth factor; IGF-1)

GH
growth hormone
effect
fat
following
role
hormones


Question: When some vascular endothelial damage, which of the following direct and smooth muscle cells in blood vessels, causing blood vessels?

Answer: Acetylcholine

Choices:
A. Adenosine
B. Acetylcholine
C. ANP
D. Carbon monoxide（CO）

vascular endothelial damage
following direct
causing blood vessels


Question: One patients with cirrhosis, hepatic coma often occurs each time blood tests have been advised of electrolyte imbalance, hepatic coma caused one of the main reasons, compared with electrolyte imbalance can induce hepatic coma is following what items?

Answer: Hyponatremia or hypokalemia

Choices:
A. Hyponatremia or hypokalemia
B. Hypernatremia or hypokalemia
C. Hyponatremia or hyperkalemia
D. Hypernatremia or hyperkalemia

One patients
cirrhosis
hepatic coma often occurs
time blood tests
electrolyte imbalance
hepatic coma caused one
main
electrolyte imbalance
induce hepatic coma
following


Question: The following time-related microvascular surgery anticoagulant use of narrative, what's wrong?

Answer: Use anticoagulant increases the success rate of free flap transfer of substantial improvements

Choices:
A. anti-platelet effects of low dose aspirin good
B. heparin can be administered systemically or locally using
C. There is help when fibrinolytic agent in microanastomosis thrombosis
D. Use anticoagulant increases the success rate of free flap transfer of substantial improvements

following time related microvascular surgery anticoagulant use of


Question: Patients complain of constipation and fecal incontinence, anal relaxation physical examination found no spontaneous contractility, anal reflex and bulbospongiosus reflex (bulbocavernosus reflex) are disappearing, Which of the following is the most likely cause?

Answer: Mawei tract lesions (cauda equina lesion)

Choices:
A. Intracranial hemorrhage (intracranial hemorrhage)
B. Brain stem stroke (brainstem stroke)
C. 頸髓 cavity disease (cervical syringomyelia)
D. Mawei tract lesions (cauda equina lesion)

Patients
constipation
fecal incontinence
anal
physical examination found
spontaneous contractility
anal reflex
bulbospongiosus reflex
bulbocavernosus reflex
following
cause


Question: The following features related to mycotoxicoses, He's wrong?

Answer: Contagious

Choices:
A. Toxins produced by fungi that cause
B. The onset of regional
C. The incidence of seasonal
D. Contagious

following features related
mycotoxicoses
wrong


Question: A three month-old baby because of large seizures, vomiting, unconsciousness sent emergency room, blood tests found high blood ammonia (hyperammonemia), blood citrulline (citrulline) is low, urine orotic acid also reduced. Whichever is most likely to lack the enzymes patient's body?

Answer: Carbamylphosphate synthetase（CPS）

Choices:
A. Carbamylphosphate synthetase（CPS）
B. Ornithine transcarbamylase（OTC）
C. Argininosuccinate synthetase
D. Argininosuccinate lyase

three month old baby
large seizures
vomiting
unconsciousness sent emergency room
blood tests found high
ammonia
hyperammonemia
blood citrulline
citrulline
low
urine orotic acid
reduced
to lack
enzymes patient's body


Question: A patient suspected of vitamin B12 deficiency phenomenon, which of the following changes in blood most do not support this diagnosis?

Answer: P-hydroxyphenyl pyruvate (para-hydroxyphenylpyruvate) too high

Choices:
A. Methyl malonate (methylmalonic acid) high
B. P-hydroxyphenyl pyruvate (para-hydroxyphenylpyruvate) too high
C. Too few red blood cells
D. Giant red blood cells mother too


Question: Cruciate ligament is supplied by a piece of blood vessel after knee?

Answer: The knee artery (Middle genicular artery)

Choices:
A. Outer knee artery (Superior lateral genicular artery)
B. The upper knee artery (Superior medial genicular artery)
C. The lower knee artery (Inferior medial genicular artery)
D. The knee artery (Middle genicular artery)

Cruciate ligament
supplied
piece
blood vessel
knee


Question: Viral hemorrhagic fever may spread with the international tourism, which of the following highest mortality rate?

Answer: The Ebola virus

Choices:
A. Hantavirus
B. The Ebola virus
C. Dengue virus
D. Yellow fever

Viral hemorrhagic fever
spread
following highest mortality rate


Question: From the previous question, if this tumor is follicular thyroid cancer, the following items describe what is wrong?

Answer: There are obvious envelope (capsule) and vascular (vessels) violations

Choices:
A. There are obvious envelope (capsule) and vascular (vessels) violations
B. According AGES score (age, grade, extension, size), should belong to the low risk (less than 4)
C. After receiving total thyroidectomy, thyroid usable protein (thyroglobulin) to track
D. If accepted subtotal thyroidectomy, 131I can be used to track

previous
tumor
follicular thyroid cancer
following
wrong


Question: Primary brain tumors, the most common tumor in what?

Answer: Astrocytoma (astrocytoma)

Choices:
A. Astrocytoma (astrocytoma)
B. Meningioma (meningioma)
C. Ependymoma (ependymoma)
D. Medulloblastoma (medulloblastoma)


Question: From the previous question, the following treatments what works best?

Answer: resists beta] (β-blocker)

Choices:
A. Anti-acetylcholine drugs (anticholinergics)
B. resists beta] (β-blocker)
C. Left-dopa (Levodopa)
D. Clonazepam


Question: Small bowel epithelial cells of striated border (striated border), which is constructed by the following composition?

Answer: Microvilli (microvilli)

Choices:
A. Flagellum (flagella)
B. Cilia (cilia)
C. Static cilia (stereocilia)
D. Microvilli (microvilli)

Small bowel epithelial cells
striated border
striated border
following composition


Question: Diabetes patients check in urodynamic testing (urodynamic study), most of that will not be following the results appear?

Answer: Reflecting detrusor overactivity (detrusor hyperreflexia)

Choices:
A. Bladder feel worse
B. Chronic bladder inflation (overdistension)
C. Reflecting detrusor overactivity (detrusor hyperreflexia)
D. Urination (postvoiding residuals) increased

Diabetes patients check
urodynamic testing
urodynamic study
most
not
following
results appear


Question: 62.65-year-old wife, Zhang suffering from degenerative arthritis in his right knee for five years, the day before yesterday a friend invited climb Qixingshan, feeling right knee pain, swelling home. Physician examination found the right knee swelling Mrs. Chang, is likely to have stagnant water; her right knee bend to 100 degrees can cause severe pain and tenderness in his right knee medial point, the following are most suitable for the disposal of what?

Answer: Immediately pulled her right knee to the normal angle

Choices:
A. Administration of non-steroidal anti-inflammatory drugs
B. Use of transcutaneous electrical nerve stimulation in the right knee
C. Immediately pulled her right knee to the normal angle
D. Do isometric exercise his right knee

62 65 year old
suffering
degenerative arthritis
right knee
five years
day
climb
right
swelling home
Physician
found
right Mrs
likely to
water
right knee bend
100 degrees
cause severe pain
tenderness
right medial point
following
most suitable


Question: The following statements about the amoeba in and what was wrong?

Answer: Parasitic parasitic amoeba of parts of the body are in the large intestine

Choices:
A. Can be identified by PCR Entamoeba histolytica (Entamoeba histolytica) and Disi Pa amoeba (Entamoeba dispar)
B. Metronidazole is the preferred amoebic dysentery's disease drugs
C. Entamoeba histolytica (Entamoeba histolytica) trophozoites (trophozoites) will swallow the red blood cells
D. Parasitic parasitic amoeba of parts of the body are in the large intestine


Question: Clinically, the most common of Cushing's syndrome (Cushing's syndrome) because:

Answer: Excessive use of steroids

Choices:
A. Adrenocortical tumors
B. Pituitary gland tumor
C. Excessive use of steroids
D. Thymic tumors


Question: A 30-year-old patient without sperm, testicles on both sides of the long diameter of about 1 cm, serum FSH, LH and testosterone were lower than normal, the most appropriate examination or treatment Why?

Answer: HCG + recombinant FSH injections

Choices:
A. Intracytoplasmic sperm injection mass (ICSI)
B. Testicular sperm do first to see whether the slice
C. HCG + recombinant FSH injections
D. testosterone replacement therapy

30 year old patient
testicles
sides of
long diameter
serum
LH
testosterone
lower
normal
most appropriate
treatment


Question: That is not one of the following mumps (mumps) complications?

Answer: Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)

Choices:
A. Orchitis (orchitis)
B. Inflammation of the pancreas (pancreatitis)
C. After infection encephalitis (postinfectious encephalitis)
D. Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)

not one
following mumps
mumps
complications


Question: When adhesions cause intestinal obstruction after abdominal surgery, the following statements is wrong?

Answer: Upper gastrointestinal barium photography is necessary to determine the blocking position

Choices:
A. Upper gastrointestinal barium photography is necessary to determine the blocking position
B. Nasogastric decompression and fasting is needed
C. Rehydration and electrolyte are in need
D. Abdominal X-ray photography, and sometimes have to repeatedly check

adhesions cause intestinal obstruction
abdominal surgery
following
wrong


Question: A 1-year-old sick child, there are long-term secretory diarrhea (secretory diarrhea), abdominal ultrasound found a lump, this time to be considered in particular the possibility of what disease?

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Adrenal hemorrhage (adrenal hemorrhage)
B. Adrenocortical carcinoma (adrenocortical carcinoma)
C. Neuroblastoma (neuroblastoma)
D. Wilms' tumor (Wilms tumor)

year old sick
long-term secretory diarrhea
secretory diarrhea
abdominal ultrasound found
lump
time to
possibility
disease


Question: When beginning a 30-year-old mother 35 weeks of pregnancy due to hypertension (170/120 mmHg) and proteinuria (3.1 g / 24 hours) hospitalization, hospitalization rational drug prescription should include:

Answer: Antihypertensive drugs administered MgSO4 and

Choices:
A. Give Aspirin
B. Antihypertensive drugs administered MgSO4 and
C. Administration MgSO4, antihypertensive drugs and antibiotics
D. Administration MgSO4, antihypertensive drugs and low doses of Aspirin

beginning
30 year old
35 weeks
pregnancy
hypertension
mmHg
proteinuria
3.1 g
24 hours
include


Question: A 28-year-old woman has experienced three consecutive early pregnancy (<12 weeks) of embryonic death, Which of the following does not belong to the women the necessary assessment project?

Answer: Vaginal and pelvic infections Chlamydia trachomatis

Choices:
A. Couples chromosome examination
B. Hysterosalpingography photography (stereo or uterine ultrasonography)
C. Thyroid function and blood sugar before meals
D. Vaginal and pelvic infections Chlamydia trachomatis

year old woman
three consecutive early pregnancy
weeks
embryonic death
following
not


Question: Add relevant principles of non-staple food, Which of the following most inappropriate?

Answer: When added with allergies infants should be delayed until 8 Month zoomed

Choices:
A. Must be added when ⺟ Rubu fed kids or zoomed to 6 Month
B. When added with allergies infants should be delayed until 8 Month zoomed
C. 1 year old baby to avoid feeding honey
D. Each time you add only ⼀ kinds of new foods, starting from a small, gradual increase observed 4 to 7 to Tian

Add relevant
non staple food
following
inappropriate


Question: AIP has nothing to do with that than one of the following?

Answer: Foreign body inhalation of stomach contents

Choices:
A. Inhalation of toxic gases
B. Anaphylaxis
C. Viral infection
D. Foreign body inhalation of stomach contents


Question: 18 a 2-year-old boy, after dinner, sudden severe coughing, shortness of breath, wheezing began to appear (stridor) case, and there is an instant cyanosis (cyanosis) phenomenon, should be scheduled before the preliminary emergency room consultation otolaryngology following those checks? Chest X-ray ② ① the neck in head and neck X-ray computed tomography ③ ④ Soft laryngotracheal endoscopy

Answer: ①②

Choices:
A. ②③
B. ①③
C. ①②
D. ③④

2 year old boy
dinner
sudden severe coughing
shortness of breath
wheezing began to appear
stridor
case
cyanosis
cyanosis
scheduled
preliminary emergency room
otolaryngology following
checks
Chest X-ray
neck
head and
X-ray computed tomography
Soft laryngotracheal endoscopy


Question: Intestinal bile salts are reabsorbed in that period, to enter the enterohepatic circulation (enterohepatic circulation)?

Answer: Ileum (ileum)

Choices:
A. Duodenum (duodenum)
B. Jejunum (jejunum)
C. Ileum (ileum)
D. Colon (colon)

Intestinal bile salts
period
to enter
enterohepatic circulation
enterohepatic circulation


Question: Which of the following mother's condition (maternal condition), and the fetus is most likely too much amniotic fluid (hydramnios) correlated?

Answer: Diabetes (diabetes)

Choices:
A. Listeriosis (Listeriosis)
B. Sickle-blood cell anemia (sickle-cell anemia)
C. Diabetes (diabetes)
D. Lupus (systemic lupus erythematosus)

following
condition
condition
fetus
amniotic fluid
hydramnios
correlated


Question: One of the following proteins that inhibit apoptosis (apoptosis) of function?

Answer: Bcl-2

Choices:
A. Behind
B. look
C. Bcl-2
D. FASL

One
following proteins
inhibit apoptosis
apoptosis
function


Question: A 55 year old male, long-term chewing betel nut, the last three weeks, mouth ulcers, pain. According to the MRI T1WI (panel A) and T2WI with fat-suppression (panel B) images, is your diagnosis:

Answer: buccal mucosal carcinoma

Choices:
A. tongue carcinoma
B. buccal mucosal carcinoma
C. minor salivary adenocarcinoma
D. lip carcinoma

year old male
long-term chewing betel nut
last three weeks
mouth ulcers
pain
MRI
panel
fat suppression
panel
diagnosis


Question: 44 bearing on the problem, when this patient demonstrated a left middle ureter found wide substrate of 2 cm (sessile) transitional cell carcinoma (Grade 2), while the contralateral normal urinary system, the priority at this time than the standard treatment option for Which of the following?

Answer: Left kidney ureter and bladder cuff excision (nephroureterectomy with bladder cuff removal)

Choices:
A. Left kidney and ureter resection (nephroureterectomy)
B. Left kidney ureter and bladder cuff excision (nephroureterectomy with bladder cuff removal)
C. Middle ureter resection (segmental resection) and the reclosing operation
D. Ureteroscopy laser surgery to remove the tumor (endoscopic laser resection)

bearing
problem
patient
left middle ureter found wide substrate
sessile
transitional cell carcinoma
contralateral normal urinary system
priority
time
standard treatment option


Question: The so-called appropriate ovarian cancer debulking surgery (optimal debulking), refers to the residual tumor size was:

Answer: < 1.5 cm

Choices:
A. < 4 cm
B. < 3.5 cm
C. < 3 cm
D. < 1.5 cm

so called appropriate ovarian cancer debulking surgery


Question: Insulin (insulin) is the body control blood sugar the most important hormones, insulin injections for diabetics how the main items of the following reactions occur?

Answer: Insulin receptor phosphorylation by its nature, such as IRS-1

Choices:
A. 使 insulin receptor dimerization
B. Insulin receptor phosphorylation by its nature, such as IRS-1
C. Inhibition of protein kinase C
D. Suppressing protein kinase G

Insulin
insulin
body control blood sugar
most important hormones
insulin
diabetics
main
following reactions occur


Question: A 65-year-old female patient, the left nostril bleeding, stop bleeding after partial obliteration, day 3 Remove the packing gauze and bleeding, and then by the nose, nasal cavity packing to stop bleeding, nosebleeds still a lot of 3 days, it was decided outside disposal of carotid artery ligation, but unfortunately, after ligation still nosebleeds, bleeding of the blood vessels is most likely why?

Answer: Former ethmoid artery (anterior ethmoid artery)

Choices:
A. Butterfly jaw artery (sphenopalatine artery) of the branch
B. Former ethmoid artery (anterior ethmoid artery)
C. Large jaw artery (greater palatine artery)
D. Upper lip artery (superior labial artery)

65 year old female patient
left nostril bleeding
stop bleeding
partial obliteration
day 3 Remove
packing gauze
bleeding
then
nose
nasal packing to stop bleeding
nosebleeds
lot
3 days
outside
of carotid artery ligation
ligation
nosebleeds
bleeding
blood vessels


Question: Uterine cancer is the most common:

Answer: Leiomyoma (leiomyoma) 35 mole most common symptoms why?

Choices:
A. Sarcoma (sarcoma)
B. Adenomyosis (adenomyosis)
C. Adenocarcinoma (adenocarcinoma)
D. Leiomyoma (leiomyoma) 35 mole most common symptoms why?


Question: The following description of the physical nature of the growth delay (constitutional growth delay), and what's not correct?

Answer: The adult height is often dwarfish

Choices:
A. Birth length and weight often normal
B. In 2 - 3 years old, the normal growth rate
C. Often accompanied by puberty delay (delayed puberty) phenomenon
D. The adult height is often dwarfish

following
physical nature
growth delay
constitutional growth delay
not correct


Question: Miss Lee last two months, often sudden palpitations, breath, feeling about to faint. After emergency physician examination, blood biochemistry and ECG were normal, arterial blood gas to check the phenomenon presents a slight respiratory alkalosis, was diagnosed with panic attacks, administration of paroxetine 20 mg / tablets, each night one, and alprazolam 0.5 mg / ingots, when taking the attack. Miss Lee to take home, nausea, sleepy during the day, sleep at night and, therefore, disabled paroxetine, in addition, it is feared alprazolam eating habits will be, and therefore did not dare to take. Following the disposal of whichever wrong?

Answer: Behavior Therapy: Xiongshihuxi teaches breathing and progressive relaxation training to reduce anxiety and avoid hyperventilation

Choices:
A. Cognitive therapy: Do not teach mild physical symptoms mistaken for fatal symptoms, physiological and pathological mechanisms inform panic disorder, the symptoms are short-lived phenomenon, usually not fatal
B. Behavior Therapy: Xiongshihuxi teaches breathing and progressive relaxation training to reduce anxiety and avoid hyperventilation
C. Selective serotonin reuptake inhibitors (SSRIs): encourage patients to continue using the selective serotonin reuptake inhibitor to a stable condition, to continue treatment for at least 8-12 months. Early paroxetine can first take half, or less likely to use sedation sertraline
D. And treated with benzodiazepine (benzodiazepine, BZDs): initial absorption and re-benzodiazepine with a selective serotonin inhibitors for about 4-12 weeks, and other selective serotonin reuptake inhibitors or effect occurs, then using 4-10 weeks slowly benzodiazepine stopped

Miss
two months
often sudden palpitations
breath
about
faint
emergency physician
blood
ECG
normal
arterial blood gas to check
presents
slight respiratory alkalosis
diagnosed
panic attacks
administration
20 mg
night one
attack
Miss
home
nausea
sleepy
day
sleep
night
disabled paroxetine
addition
alprazolam
not
to
Following
wrong


Question: The following related histamine (histamine) of the inflammatory response in the narrative, what's right?

Answer: Releasable via other trauma, cold or heat damage

Choices:
A. The main source of white blood cells (leukocytes) and endothelium (endothelium)
B. Releasable via other trauma, cold or heat damage
C. Cause microvascular (capillaries) to expand and increase its permeability
D. The H2 receptor and vascular endothelial (H2 receptors) binding leads to expansion of blood vessels

following related histamine
histamine
inflammatory response
right


Question: Reconstruction of the distal tibia can use that one flap?

Answer: Free tissue flap (free flap transfer)

Choices:
A. pedicled gastrocnemius flap
B. Free tissue flap (free flap transfer)
C. pedicled extensor digitorum longus
D. pedicled sartorius muscle flap

Reconstruction
distal tibia
use
one flap


Question: A 6-year-old boy, complained of fever, sore throat two days, no runny nose, body physical examination throat congestion, tonsils with white exudate, slightly swollen lymph nodes. Which of the following conditions need the full course of antibiotics?

Answer: Group A streptococcal infection (Group A streptococcal infection)

Choices:
A. Group A streptococcal infection (Group A streptococcal infection)
B. Hand, foot and mouth disease (Hand-Foot-Mouth disease)
C. Adenovirus infection (Adenoviral infection)
D. Kawasaki disease (Kawasaki disease)

year old boy
fever
sore throat two days
runny nose
body
throat congestion
tonsils
white exudate
slightly swollen lymph nodes
following conditions need
full course


Question: Following a disease that most commonly appear amyloid angiopathy (amyloid angiopathy)?

Answer: Alzheimer's disease

Choices:
A. Adrenal leukodystrophy (adrenoleukodystrophy)
B. Medulloblastoma (medulloblastoma)
C. Alzheimer's disease
D. Parkinson's disease

Following
disease
most
appear amyloid angiopathy
amyloid angiopathy


Question: Which of the following can not be used as indicators of exercise intensity during exercise in patients with heart disease prescription?

Answer: Oxygen concentration

Choices:
A. Oxygen concentration
B. The percentage of maximum heart rate
C. Movement consciously Scale
D. Metabolic Equivalent (MET)

following
not
used
of exercise intensity
exercise
patients
heart disease


Question: The following statements about basal cell carcinoma (basal cell carcinoma), and what's wrong?

Answer: Case transferred to other organs are common

Choices:
A. Case transferred to other organs are common
B. Clinically, most with cystic nodules (nodulocystic type)
C. Excessive UV exposure is the main cause of basal cell carcinoma
D. Treatment with excision

following
basal cell carcinoma
basal cell carcinoma
wrong


Question: E. coli DNA repair replication error arising with (mismatch), which shall be on the (parental strand) modified by recognition mother share?

Answer: methylated adenine

Choices:
A. methylated adenine
B. methylated guanine
C. cytosine methylation
D. Methylation thymine

DNA repair replication error arising
mismatch
strand
modified by


Question: Large 2.9-month boy fever five days, is beginning to show lethargy state this morning, in the evening due to systemic stiff clonic seizures (Generalized tonic clonic seizure) 5 Fenzhong was sent to the emergency room. In the ICU made spinal biopsy, cerebral spinal fluid report display WBC 10000 / μL (90% PMNs and 10% Lymphocyte), Protein 380 mg / dL, Glucose 5 mg / dL. Which of the following is the most likely pathogens?

Answer: Streptococcus pneumoniae (Streptococcus pneumoniae)

Choices:
A. Herpes simplex virus type I (HSV type 1)
B. Streptococcus pneumoniae (Streptococcus pneumoniae)
C. Enterovirus (Enterovirus)
D. Cryptococcus neoformans (Cryptococcus neoformans)


Question: Which of the following features will appear in the patient's body hemolytic anemia?

Answer: hemosiderinuria

Choices:
A. Life expectancy of normal red blood cells
B. Increase blood haptoglobin
C. Reduced bone marrow function
D. hemosiderinuria

following features
appear
patient's body hemolytic anemia


Question: Injury or death from heart muscle cells to release some of the ingredients in the blood can be used to determine the occurrence of myocardial infarction, following what is protein specific for myocardial ischemia injury marked substance (biomarker)?

Answer: troponin T and troponin I

Choices:
A. C-reactive protein
B. creatine kinase muscle dimer
C. lactate dehydrogenase
D. troponin T and troponin I

Injury
death
to release
blood
used to
occurrence
myocardial infarction
following
protein specific
myocardial injury marked
biomarker


Question: On various antibiotic mechanism of action of the narrative, Which statement is correct?

Answer: cephalosporins inhibit bacterial cell wall synthesis and development

Choices:
A. cephalosporins inhibit bacterial cell wall synthesis and development
B. vancomycin is the bacterial protein synthesis inhibition
C. rifampin is the synthesis of bacterial deoxyribonucleic acid (DNA) to inhibit
D. quinolones inhibit bacterial ribonucleic acid (RNA) Synthesis of


Question: A middle-aged men, smoking 10 years, complained of chronic cough, bronchial epithelium show histopathological squamous epithelium, this variation is most likely:

Answer: Metaplasia (metaplasia)

Choices:
A. Shrink (atrophy)
B. Metaplasia (metaplasia)
C. 異生（dysplasia）
D. Cancer (cancer)

middle-aged men
smoking
chronic cough
bronchial epithelium
histopathological squamous epithelium
variation


Question: 52 A 20-year-old male military service examination found that weight 65 kg, height 165 cm, poor genital development, blood FSH 40 mIU / L (reference mIU / L), testosterone 100 μg / dL (reference value> 300 μg / dL), The most likely diagnosis is:

Answer: Klinefelter syndrome

Choices:
A. Klinefelter syndrome
B. Kallmann syndrome
C. Prader-Willi syndrome
D. Laurence-Moon syndrome

20 year old male military service
found
weight 65 kg
height
poor
blood
40 mIU
L
mIU
L
testosterone 100 g
dL
reference value
300 g
dL
diagnosis


Question: According to the norms of palliative care regulations, the public can sign the "pre-established selection palliative care letter of intent", "pre-established Non-imposition of cardiopulmonary resuscitation letter of intent", "pre-established medical appointment of agents" and other pre-established medical indication, which of the following items is not a necessary condition for the signing of those?

Answer: Terminal Illness

Choices:
A. Aged over 20 years old
B. With full legal capacity
C. Conscious
D. Terminal Illness

norms
palliative care
sign
pre established
palliative letter
intent
pre established Non
cardiopulmonary resuscitation letter
intent
pre established
agents
pre established medical indication
following
not
condition
signing


Question: After bearing the title, Barbara accepted the placenta no stress test (NST), at the doctor suggested, accompanied by their families deal with the hospital for observation, and given blood pressure lowering drugs and follow-up treatment, but, Barbara entered the room up to a minute of epilepsy will happen grand mal seizures (generalized tonic-clonic seizures), following the disposal of what are the most appropriate?

Answer: Barbara is currently 30 weeks pregnant, the fetus is still too small, it is recommended first to reduce blood pressure drugs and anti-epileptic drugs to control the situation, to be twelve weeks of treatment before making birth

Choices:
A. Barbara is currently 30 weeks pregnant, the fetus is still too small, it is recommended first to reduce blood pressure drugs and anti-epileptic drugs to control the situation, to be twelve weeks of treatment before making birth
B. Barbara definition of seizures have been met eclampsia (eclampsia), and seizures should be immediately given first aid procedures and general anti-epileptic drugs, MgSO4 metabolized by the liver, in the case of AST, ALT is not recommended to use a slightly higher
C. When Barbara attack should be observed on the NST to fetal bradycardia can not reply, you should immediately arrange an emergency Caesarean section, giving
D. MgSO4 has been demonstrated in preventing the onset and treatment of eclampsia is very effective, because the postpartum eclampsia still occurs, it is recommended to use 24 hours postpartum. Clinical monitoring yet effective concentration, such as excessive calcium gluconate situation occurs antagonist can be administered

bearing
title
accepted
placenta
stress test
NST
doctor
hospital
observation
given blood pressure lowering drugs
follow-up treatment
entered
room
minute
epilepsy
grand mal seizures
generalized tonic-clonic seizures
following
most appropriate


Question: For the following method ventricular Rockwell Snap disease (tetralogy of Fallot) of the septal defect described, whichever error?

Answer: Often crooked backward position (posterior malalignment)

Choices:
A. Its size defects, often equal to or even greater than the ring inner diameter of aortic it (nonrestrictive)
B. Often a film-type peripheral outlet (perimembranous outlet)
C. Its position and conducting tissue of the same general ventricular septal defect
D. Often crooked backward position (posterior malalignment)

following method ventricular
Snap disease
tetralogy of Fallot
septal defect
error


Question: At 49. The figure is a 80-year-old patient, weighing 60 kg, due to a fall burns hot water bath, next to the emergency conscious. So please answer the following three questions: the following statements is that correct? ① ② establish this infusion conduit 1 to 2 degrees burns ③2 ~ 3 ④18% body surface area burn of injured body surface area injured ⑤9%

Answer: ①③④

Choices:
A. ①②④
B. ①②⑤
C. ①③④
D. ②③⑤

80 year old patient
60 kg
fall burns
bath
next to
emergency
following three
following
correct
establish
infusion conduit
degrees burns 2
3
body surface area burn of injured
injured


Question: Go to community health care workers to provide medical services, the most resiliency that following a pattern?

Answer: Volunteer groups and community organizations are encouraged to take charge and plans to strengthen its ability to serve the community

Choices:
A. Please neighborhood with hospitals have long planned work
B. Excellent selection of hospital physicians to study abroad to create a community health technology
C. Fixed to the government to secure funding in order to create a healthy work community grants
D. Volunteer groups and community organizations are encouraged to take charge and plans to strengthen its ability to serve the community

Go
community health
workers to
most
following
pattern


Question: About spinal cord injury and paralysis of limbs, neurological recovery narrative, which of the following error?

Answer: The muscle care has been taken with the future of the injured early recovery has nothing to do

Choices:
A. The recovery of upper limb function in multiple ⽣ within 6 to 9 Month after injury
B. The fastest recovery of upper limb function within 3 Month after an injury-prone in ⽣
C. The muscle care has been taken with the future of the injured early recovery has nothing to do
D. The earlier recovery, the prognosis is good more

About spinal cord injury
paralysis
limbs
neurological recovery
following error


Question: A 60-year-old woman weighing 80 kg with a history of diabetes and high blood pressure, abnormal vaginal bleeding due to a gynecological clinic for treatment, examination revealed endometrial hyperplasia phenomenon of irregular thickness of 2 cm, and a violation of the uterine muscle layer. The following statements is wrong?

Answer: If it is papillary serous type, the prognosis is better

Choices:
A. The chances of long-term use of estrogen increases the risk of such tumors
B. And PTEN gene-related
C. If it is papillary serous type, the prognosis is better
D. Divided into three levels according to the degree of glandular differentiation and related to prognosis

60 year old woman
80 kg
history
diabetes
high blood pressure
abnormal vaginal bleeding due to
gynecological clinic
treatment
revealed endometrial
of irregular thickness
uterine
following
wrong


Question: A 30-year-old male athletes to participate in the regatta, sudden onset of severe lower back pain, feet pain, numbness and weakness, while unable to urinate. At this point the most likely diagnosis is:

Answer: Lumbar disc herniation with cauda equina syndrome

Choices:
A. Lumbar stenosis
B. Vertebral fractures
C. Lumbar disc herniation with cauda equina syndrome
D. Back muscle or ligament sprain

30 year old male athletes to
sudden onset of severe lower back pain
feet pain
numbness
weakness
unable to
point
diagnosis


Question: Plant hormone Indole-3-acetic acid is an amino acid which consists of the following metabolic come?

Answer: Tryptophan

Choices:
A. Arginine
B. Histidine
C. Tryptophan
D. Phenylalanine 32 for purine following the "salvage pathway" narrative, what is non?

Plant hormone Indole-3-acetic acid
amino acid
consists
following metabolic


Question: Which of the following is not a branch of the lumbar plexus?

Answer: After femoral cutaneous nerve (posterior femoral cutaneous nerve)

Choices:
A. Iliohypogastric nerve (iliohypogastric nerve)
B. Ilioinguinal nerve (ilioinguinal nerve)
C. After femoral cutaneous nerve (posterior femoral cutaneous nerve)
D. Obturator nerve (obturator nerve)


Question: The following parathyroid disease, whichever is most often caused by four parathyroid Tongshifasheng disease?

Answer: Hyperplasia (hyperplasia)

Choices:
A. Adenoma (adenoma)
B. Hyperplasia (hyperplasia)
C. Cancer (carcinoma)
D. Infection (infection)

following parathyroid disease
most often caused
four parathyroid
disease


Question: Variant Creutzfeldt-Jakob Disease (variant Creutzfeldt-Jakob disease, vCJD) differences and sporadic Creutzfeldt-Jakob disease (sporadic Creutzfeldt-Jakob disease, sCJD), the following statements is wrong?

Answer: Probability of vCJD patient to periodic sharp waves electroencephalogram (periodic synchronous bi- or triphasic sharp wave complexes) is much higher than the patient sCJD

Choices:
A. vCJD slower than the course of sCJD
B. Yue appeared less muscle disease (myoclonic jerk) of vCJD patients clinically
C. VCJD patients CSF 14-3-3 protein ratio increase is much lower than the patient sCJD
D. Probability of vCJD patient to periodic sharp waves electroencephalogram (periodic synchronous bi- or triphasic sharp wave complexes) is much higher than the patient sCJD

Variant Creutzfeldt-Jakob Disease
variant Creutzfeldt-Jakob disease
vCJD
differences
sporadic Creutzfeldt-Jakob disease
sporadic Creutzfeldt-Jakob disease
sCJD
following
wrong


Question: After 51 Which of the following hematopoietic stem cell transplantation (hematopoietic stem cell transplantation) transplantation complication rate of death within 100 days

Answer: Autologous stem cell transplantation (autologous hematopoietic stem cell transplantation)

Choices:
A. Autologous stem cell transplantation (autologous hematopoietic stem cell transplantation)
B. The human leukocyte antigen anastomosis hand, foot hematopoietic stem cell transplantation (HLA-matched sibling hematopoietic stem cell transplantation)
C. Human HLA match the non-blood hematopoietic stem cell transplantation (HLA-matched unrelated hematopoietic stem cell transplantation)
D. The human leukocyte antigen match cord blood transplantation (HLA-matched cord blood transplantation)


Question: 6-year-old girl, accidentally discovered an abnormal chest X-ray, chest imaging figure, which of the following is the most likely diagnosis?

Answer: Nerve tumors (neurogenic tumor)

Choices:
A. Cardiac tumors
B. Nerve tumors (neurogenic tumor)
C. Off the horizontal diaphragmatic hernia (diaphragmatic hernia)
D. Right middle lobe pneumonia

year old girl
abnormal chest X-ray
chest imaging
following
diagnosis


Question: About narrative muscle lesions of, which of the following error?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy) is autosomal dominant genetic disease

Choices:
A. Hyperkalemic periodic paralysis (periodic paralysis) is a sodium ion channel disorders
B. Hypokalemic periodic paralysis (periodic paralysis) is calcium ion channel disorders
C. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy) is autosomal dominant genetic disease
D. Dermatomyositis (dermatomyositis) immune disorders


Question: About congenital anorectal anomaly (anorectal anomalies), patients Which of the following type of bowel function better prognosis?

Answer: Anorectal disease and rectal perineal fistula (imperforate anus with rectoperineal fistula)

Choices:
A. Anorectal disease and rectal urethral fistula (imperforate anus with rectourethral fistula)
B. Anorectal disorders and rectovaginal fistula (imperforate auns with rectovaginal fistula)
C. Anorectal disease and rectal perineal fistula (imperforate anus with rectoperineal fistula)
D. Cloacal malformation (cloacal malformation)

About congenital anorectal anomaly
anorectal anomalies
patients
following type
bowel function better prognosis


Question: In response to rising blood glucose concentration in the second stage (phase II) in key intracellular molecules of insulin release is slow Which of the following?

Answer: Glutamate (glutamate)

Choices:
A. Calcium ion (calcium ion)
B. Glutamate (glutamate)
C. Pyruvate (pyruvate)
D. Magnesium ion (magnesium ion)

response to
blood glucose concentration
intracellular
insulin release
slow
following


Question: The following related degenerative arthritis treatment, whichever is the most important method?

Answer: Reduce the burden of joint degeneration

Choices:
A. Taking glucosamine
B. Reduce the burden of joint degeneration
C. Continue taking anti-inflammatory painkillers
D. Spa or soak in warm water


Question: Which of the following is the cause of type A hemophilia (hemophilia A) of?

Answer: factor VIII gene defect

Choices:
A. excessive production of tissue factor pathway inhibitor
B. prothrombin (factor II) gene defects
C. factor X can not be activated calcium
D. factor VIII gene defect

following
cause
type A hemophilia
hemophilia A


Question: Which of the following associates cerebellum and without cerebellar peduncle next in line?

Answer: Red nucleus

Choices:
A. spinal cord
B. Inferior olivary nucleus
C. Red nucleus
D. Nuclear wedge

following associates cerebellum
cerebellar peduncle next
line


Question: Which of the following can effectively inhibit the synthesis of mRNA in vivo mouse?

Answer: Alpha-amanitin

Choices:
A. Erythromycin
B. Alpha-amanitin
C. Tetracycline
D. Rifampicin


Question: 7526-year-old male patient complained of left proptosis, there is a history of a car accident three months ago, to accept the CT examination, two figures respectively different section images after injection developer, Which of the following is the most likely diagnosis?

Answer: Carotid cavernous sinus fistula (carotid cavernous sinus fistula)

Choices:
A. Carotid cavernous sinus fistula (carotid cavernous sinus fistula)
B. Varicose veins (varix)
C. Angioma (hemangioma)
D. Lymphangioma (lymphangioma)

year old male patient
left proptosis
history of
car accident three months
to accept
CT
two
different section
injection developer
following
diagnosis


Question: Which of the following does not belong to hypertrophic stomach (hypertrophic gastropathy)?

Answer: Gastric hyperplastic polyps (gastric hyperplastic polyp)

Choices:
A. Ménétrier 氏病（Ménétrier disease）
B. Zollinger-Ellison syndrome
C. Gastric hyperplastic polyps (gastric hyperplastic polyp)
D. Hypertrophic hypersecretory gastropathy (hypertrophic-hypersecretory gastropathy)

following
not
hypertrophic stomach
hypertrophic gastropathy


Question: For bilateral renal artery stenosis due to lead to high blood pressure patients, following what kind of blood pressure lowering drugs should be avoided?

Answer: Beta-receptor blockers sympathetic

Choices:
A. Diuretics
B. Beta-receptor blockers sympathetic
C. Angiotensin converting enzyme inhibitors
D. ) Alpha receptor blockers sympathetic


Question: The following parasites, whichever does not lead to infection in patients with brain lesions?

Answer: Echinostoma (Echinostoma spp.)

Choices:
A. Schistosoma japonicum (Schistosoma japonicum)
B. Pork tapeworm (Taenia solium)
C. Aeromonas tapeworm (Echinococcus granulosus)
D. Echinostoma (Echinostoma spp.)

following parasites
not lead
infection
patients
brain lesions


Question: 1000 grams of preterm children, in a month neonatal intensive care unit, the occurrence of a variety of serious complications, including: respiratory distress syndrome, pneumothorax, pneumonia, necrotizing enterocolitis, sepsis and pneumonia, and now because of cerebral hemorrhage apnea and hypoxia, the baby will leave serious sequelae of brain, the parents second thoughts, requiring all physicians to stop life-sustaining treatment, Which of the following is the most correct disposal?

Answer: Please sign the families of DNR, when the situation worse, not administering first aid

Choices:
A. Students can immediately stop a Chevy treatment
B. Please remove the respirator own families
C. Boost agent can be stopped, but can not remove the respirator
D. Please sign the families of DNR, when the situation worse, not administering first aid


Question: At term, the incidence of breech births is about how much?

Answer: 4.00%

Choices:
A. 0.50%
B. 4.00%
C. 8.00%
D. 12.00%


Question: About bipolar disorder (bipolar disorder) treatment narrative of drugs, which of the following error?

Answer: Teratogenic valproate in pregnant women caused by the body, the most common biliary atresia (biliary atresia)

Choices:
A. lithium in pregnant women who caused teratogenicity, the most common Ebstein's tricuspid valve abnormalities (Ebstein's anomaly)
B. Teratogenic valproate in pregnant women caused by the body, the most common biliary atresia (biliary atresia)
C. lamotrigine may cause toxic epidermal necrolysis (toxic epidermal necrolysis)
D. carbamazepine may cause Stephen Johnson syndrome (Stevens-Johnson syndrome)

About bipolar disorder
bipolar disorder
treatment
drugs
following error


Question: A 25 to 16 weeks pregnant women of obstetrics and gynecology clinic for routine antenatal care, which mean corpuscular volume (mean corpuscular volume, MCV) is 72 fL, hemoglobin value of 12.3 g / dL, ferritin value of 102 ng / mL, hemoglobin electrophoresis HbA 98%, 2%. The next most appropriate way to deal with:

Answer: The woman's spouse is recommended to accept blood tests (complete blood count) and hemoglobin electrophoresis

Choices:
A. Recommended that women undergo genetic wafer inspection
B. Recommended that women receiving blood chromosome examination
C. The woman's spouse is recommended to accept blood tests (complete blood count) and hemoglobin electrophoresis
D. Recommended that the woman's parents and siblings to accept blood tests (complete blood count) and hemoglobin electrophoresis

weeks
obstetrics
gynecology clinic
routine antenatal care
mean corpuscular volume
mean corpuscular volume
MCV
72 fL
hemoglobin value
g
dL
ferritin value
ng
mL
hemoglobin electrophoresis HbA 98
2
next
appropriate
to


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

Answer: Infection have only respiratory symptoms, without causing systemic infection

Choices:
A. Is a contagious disease transmitted through respiratory epithelial cells
B. Infection have only respiratory symptoms, without causing systemic infection
C. Mumps virus can be present in urine
D. Attenuated mumps virus vaccine works well, is an ingredient used in the triple vaccine


Question: A 64-year-old man suffering from severe depression, is sent to the operating room a shock treatment, the following statements is wrong?

Answer: Intravenous anesthetics (e.g., barbiturates) as induction, surgery should generally the same patient dose

Choices:
A. When electric shock treatment, anesthesiologists need full treatment in patients with respiratory and cardiovascular problems
B. One of the last 3 months contraindications myocardial infarction as a shock therapy
C. Intravenous anesthetics (e.g., barbiturates) as induction, surgery should generally the same patient dose
D. Succinylcholine is the most commonly used muscle relaxants selected

64 year old man suffering
severe depression
sent
operating room
shock treatment
following
wrong


Question: If you plan to study the relationship between vitamin D intake and the occurrence of cancer, find a group of people according to their eating habits nearly a week to calculate the average daily intake of vitamin D, and the lowest for a quarter of a quarter of the maximum number of track in comparison of the incidence of cancer, the present study was designed epidemiological studies which of the following?

Answer: Cohort study (cohort study)

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

plan to study
relationship
vitamin D intake
occurrence
cancer
find
nearly
week to
average daily intake
vitamin D
lowest
quarter
maximum number
track
incidence
cancer
present study
following


Question: Which of the following drugs may bind to FK-binding protein, inhibition of calcineurin, thereby inhibiting T cell activation?

Answer: tacrolimus

Choices:
A. cyclosporine
B. sirolimus
C. tacrolimus
D. cyclophosphamide

following drugs
FK binding protein
inhibition
calcineurin
T cell activation


Question: Screening autoimmune disease is most useful laboratory tests for that of the following?

Answer: Antinuclear antibodies (anti-nuclear antibodies)

Choices:
A. C- reactive protein (C-reactive protein)
B. Urate (uric acid)
C. Immunoglobulin M (immunoglobulin M)
D. Antinuclear antibodies (anti-nuclear antibodies)

Screening autoimmune disease
most useful laboratory tests


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

Answer: Violation of the site is the seventh cranial nerve (facial nerve) dominated

Choices:
A. Ophthalmology consultation must, because of possible violations of the cornea (corneal infection)
B. Violation of the site is the seventh cranial nerve (facial nerve) dominated
C. Antiviral drugs acyclovir may be used
D. Possible sequelae neuralgia


Question: Chewing betel nut causes oral cancer, the most common type of organization is:

Answer: Squamous cell carcinoma

Choices:
A. Squamous cell carcinoma
B. Glaze bud cell tumor
C. Undifferentiated carcinoma
D. Adenocarcinoma

Chewing betel nut causes oral cancer
most common type
organization


Question: Tumor beside syndrome (paraneoplastic syndrome), resulting in parathyroid hormone related peptide (parathyroid hormonerelated peptide) which is most common in lung cancer histologic type?

Answer: Cell carcinoma (squamous cell carcinoma)

Choices:
A. Small cell lung cancer (small cell lung cancer)
B. Adenocarcinoma (adenocarcinoma)
C. Cell carcinoma (squamous cell carcinoma)
D. Large cell lung cancer (large cell carcinoma)


Question: A microorganism that causes diarrhea following the required number of pathogenic largest primary?

Answer: Vibrio cholerae

Choices:
A. Shigella
B. Entamoeba histolytica
C. Giardia lamblia
D. Vibrio cholerae

causes diarrhea following
required number
pathogenic largest primary


Question: Which is not an amphetamine withdrawal symptoms?

Answer: Auditory hallucinations

Choices:
A. Drowsiness
B. Auditory hallucinations
C. Depression
D. sense of hunger


Question: A 3-year-old children, because ataxia treatment, pelvis and hip X-ray photography in the following figure, the most likely diagnosis Why?

Answer: congenital dislocation of hip

Choices:
A. Legg-Calve-Perthes disease
B. slipped capital femoral epiphysis
C. congenital dislocation of hip
D. osteochondroses

3 year
ataxia treatment
pelvis
hip X-ray
following
diagnosis


Question: When school cohort study designed to investigate the etiology use, which of the following is the most important focus of research design?

Answer: All subjects must be determined neither suffering Institute will explore the disease before the study began

Choices:
A. Number of samples of exposed and control groups should be equal to
B. Initial studies, subjects studied sick and not sick should seek potential interference factors such as the age distribution of the average
C. All subjects must be determined neither suffering Institute will explore the disease before the study began
D. All subjects must be from a representative sample of the population

school cohort study
to investigate
etiology use
following
most important focus


Question: Clinical disease characterized by low energy on congenital hypothyroidism (congenital hypothyroidism), then one of the following most rare?

Answer: Goiter

Choices:
A. short and small
B. Feeding problems
C. Goiter
D. Dry skin

Clinical disease
congenital hypothyroidism
congenital hypothyroidism
then one
following
rare


Question: Pituitary gland by radiation therapy, hormonal abnormalities are the most common of which of the following?

Answer: Growth hormone (GH)

Choices:
A. Growth hormone (GH)
B. Lactation hormone (Prolactin)
C. Promote thyroid hormone (TSH)
D. Promote adrenal hormone (ACTH)

Pituitary gland
radiation therapy
hormonal abnormalities
most common


Question: In addition to small ball hereditary disease (hereditary spherocytosis), microspherocyte most commonly observed in the blood smear Which of the following diseases?

Answer: Autoimmune hemolytic anemia

Choices:
A. After hemolytic transfusion reaction
B. Autoimmune hemolytic anemia
C. Severe burns
D. Hyperlipidemia

small ball hereditary disease
hereditary spherocytosis
observed
blood smear
following diseases


Question: Administration and governance measures for the removal of life support must be conditional execution, is consistent with the medicine, and that one of the following inappropriate?

Answer: Smart careless treatment of the patient refused

Choices:
A. Medical invalid
B. Too poor quality of life
C. Smart careless treatment of the patient refused
D. The effect of poor governance and great consumption of medical resources

Administration
measures
removal
life support
conditional
medicine
one
following inappropriate


Question: Statements about suicide, what's right?

Answer: More women than men attempt suicide, more men than women die by suicide

Choices:
A. Male and female suicide attempt (suicide attempt) and suicide (completed suicide) rates are about the same
B. Suicide attempts men than women, more women than men die by suicide
C. Men more than women suicide attempts, suicide is also more men
D. More women than men attempt suicide, more men than women die by suicide


Question: 23 year old woman, married but never pregnant, to ask you to open an outpatient contraceptive. She had no major medical illness, migraine is not, nor has had an STD. Physical checkups found her blood pressure was 160/100 mmHg, height is 162 cm, weight 82 kg. Next dispose of the following is most appropriate?

Answer: Should further history, and to assess blood pressure problems before deciding whether to give birth control pills

Choices:
A. Should further history, and to assess blood pressure problems before deciding whether to give birth control pills
B. Tell the patient she was too fat, should be open to diet pills, ask the patient to a month after the referral
C. Directly open to birth control pills, ask the patient to take to the timing
D. Tell the patient she was too fat, not suitable for use birth control pills

23 year old woman
married
never pregnant
to
to open
outpatient contraceptive
illness
migraine
not
Physical
found
blood pressure
100 mmHg
height
weight
kg
Next
following
most appropriate


Question: A 36 year old man after strenuous exercise, eating went extensive dinner and then, produce sudden weakness of the proximal limb muscles, to an emergency medical treatment, found that the potassium ion concentration in blood decreased to 1.8 mEq / L, which of the following for the disease the most likely suffering from the diagnosis?

Answer: Periodic paralysis (periodic paralysis)

Choices:
A. Periodic paralysis (periodic paralysis)
B. Muscular dystrophy (muscular dystrophy)
C. Myasthenia gravis (myasthenia gravis)
D. Inflammatory muscle disease (inflammatory myopathy)


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

Answer: Bladder to delta (trigone) renal origin tube (metanephric duct)

Choices:
A. ⽪ embryonic origin on the liner is endoderm (endoderm)
B. Bladder to delta (trigone) renal origin tube (metanephric duct)
C. The age of six zoomed into the pelvis (greater pelvis)
D. In the embryonic period and connected allantoic (allantois)


Question: 33 year old man, slight mental retardation, seizures (seizure), based on this two CT images, the most appropriate diagnosis is:

Answer: tuberous sclerosis（TS）

Choices:
A. gliomatosis
B. multiple sclerosis（MS）
C. tuberous sclerosis（TS）
D. heterotopia of gray matter

year old man
slight mental retardation
seizures
seizure
based
two CT
most appropriate diagnosis


Question: Following a narrative that tumor cells evade immune surveillance system has nothing to do?

Answer: Tumor cells activates antigen-presenting cells (antigen-presenting cell), and to promote the performance of its large number of co-stimulatory signals

Choices:
A. Antibodies resulting in endocytosis (endocytosis) tumor cell surface antigens action
B. Infiltrating tumor cells promote regulatory T cells (regulatory T cells) of
C. Tumor cells secrete TGF-β cytokines
D. Tumor cells activates antigen-presenting cells (antigen-presenting cell), and to promote the performance of its large number of co-stimulatory signals


Question: A 70-year lung cancer patients currently receiving chemotherapy, have found the right side of the torso as shown during the characterization of skin. The following statements is wrong?

Answer: If the next bed patients to have the same symptoms, this patient may have been obtained in patients with acute infectious next door

Choices:
A. Patient ever had varicella (chickenpox)
B. After the patient recovered, the feeling of pain may last for a while
C. If the next bed patients to have the same symptoms, this patient may have been obtained in patients with acute infectious next door
D. Use of antiviral drugs such as acyclovir, renal function should be noted

70 year lung cancer patients currently receiving chemotherapy


Question: The following statements about the third type hypersensitivity reactions (type Ⅲ hypersensitivity), and what's wrong?

Answer: Contact dermatitis is a disease where representative

Choices:
A. Since the reaction is caused by immune complexes
B. Will complement activation leading to tissue damage
C. Arthur's reaction (Arthus reaction) is a type III allergic reactions
D. Contact dermatitis is a disease where representative

following
third type hypersensitivity reactions
type
hypersensitivity
wrong


Question: About the rehabilitation treatment of rheumatoid arthritis (rheumatoid arthritis) patients, the following statements is wrong?

Answer: Physical therapy is most important, most disease zoomed Face without occupational therapy

Choices:
A. Destination time standard is to avoid joint deformity, maintaining functional activity
B. Use aids required to correct the deformation joint, if necessary
C. Physical therapy is most important, most disease zoomed Face without occupational therapy
D. Must be compatible with home and adapt Operating environment

rehabilitation treatment
rheumatoid arthritis
rheumatoid arthritis
patients
following
wrong


Question: 42. A 40 year old female patient was discovered by colonoscopy has a tumor in the ascending colon, and no other polyps or inflammatory bowel disease. Biopsy found cancer, poor differentiation (poorly differentiated adenocarcinoma), her mother died of endometrial cancer at 48 years old, her father is currently in good health, her 43-year-old sister in the early diagnosis of colon cancer two years ago, track without recurrence. In addition, patients had no other siblings, after a right colon resection, proved to be T3 N1 M0 adenocarcinoma, she worried that two children at risk of colon cancer, wanted to do genetic testing, this patient is most likely to be that kind of familial cancer syndrome?

Answer: Hereditary nonpolyposis colorectal cancer, (hereditary nonpolyposis colorectal cancer (HNPCC))

Choices:
A. BRCA2 mutations
B. Hereditary nonpolyposis colorectal cancer, (hereditary nonpolyposis colorectal cancer (HNPCC))
C. Familial adenomatous polyposis syndromes (familial adenomatous polyposis (FAP))
D. Li-Fraumeni syndrome (Li-Fraumeni syndrome)


Question: Which of the following is not a body louse (body louse) transmitted diseases?

Answer: Scrub typhus (scrub typhus)

Choices:
A. Scrub typhus (scrub typhus)
B. Epidemic typhus (epidemic typhus)
C. Relapsing fever (relapsing fever)
D. Trench fever (trench fever) 82 relating to the history of malaria control in Taiwan (1957 to 1965) of the narrative, which of the following is wrong?

following
not
body louse
body louse
transmitted diseases


Question: Bearing on the question, which of the following is the most likely diagnosis?

Answer: Posterior communicating artery aneurysm rupture

Choices:
A. Myasthenia gravis
B. Diabetic neuropathy
C. Posterior communicating artery aneurysm rupture
D. Anterior communicating artery aneurysm rupture


Question: A 12-year-old girl, has a history of sickle cell anemia, high fever on admission, septicemia, painful swelling of the right thigh, X-ray examination revealed significant proximal femoral osteomyelitis, the most likely pathogens why?

Answer: Salmonella enteritidis

Choices:
A. Enterobacter cloacae
B. Proteus mirabilis
C. Pseudomonas aeruginosa
D. Salmonella enteritidis


Question: Which is not an alcohol withdrawal (alcohol withdrawal) of the common symptoms?

Answer: auditory hallucination

Choices:
A. tremor
B. auditory hallucination
C. seizure
D. agitation

not
alcohol withdrawal
alcohol withdrawal
common symptoms


Question: From the previous question, the treatment of such patients should use what better way?

Answer: Removal of part of the large intestine and  tube, and for colorectal anastomosis, plus one week indwelling catheter or bladder repair

Choices:
A. Antibiotic-containing treatment
B. Removal of part of the large intestine can not be more than 3 days indwelling catheter
C. Removal of part of the large intestine and  tube, and for colorectal anastomosis, plus one week indwelling catheter or bladder repair
D. Removal of only part of the bladder or in addition to lithotomy


Question: Treatment of diabetic ketoacidosis, which of the following is not using sodium bicarbonate (bicarbonate) of the indications?

Answer: Hypokalemia

Choices:
A. Heart failure, respiratory failure, shock or coma
B. pH≤ 7.1
C. Sodium bicarbonate <5 mEq / L
D. Hypokalemia

Treatment
diabetic ketoacidosis
following
not using sodium bicarbonate
bicarbonate


Question: beta] amyloid peptides (β-amyloid) accumulation in the brain occurs, one of the pathological features Ezihaimo's disease (Alzheimer's disease) a. Account of the β-amyloid peptide, which of the following error?

Answer: RNA editing mechanism (RNA editing) to produce the β-amyloid peptide

Choices:
A. β-amyloid peptide originally part of a cell membrane protein of
B. RNA editing mechanism (RNA editing) to produce the β-amyloid peptide
C. Secondary structure of β-amyloid peptide is not the same as in the normal state
D. β-amyloid peptide bonding to each other may form a precipitate on the outer neurons

beta
amyloid peptides
amyloid
accumulation
brain occurs
one
pathological features
disease
Alzheimer's disease
Account
amyloid peptide
following error


Question: The following narrative about the blood supply of the internal carotid and external carotid artery (internal and external carotid arteries), what's wrong?

Answer: Internal carotid artery blood supply of the scalp is not

Choices:
A. The blood supply to the nasal mucosa from the external carotid artery and internal carotid
B. The supply of blood from the external carotid artery molars
C. Blood supply of the dura mater from the internal carotid and external carotid artery
D. Internal carotid artery blood supply of the scalp is not

following
blood supply
internal carotid
external carotid artery
internal
external carotid arteries
wrong


Question: Plantar (plantaris) that is located between the two tendons following muscle?

Answer: Gastrocnemius muscle (gastrocnemius) and soleus muscle (soleus)

Choices:
A. Gastrocnemius muscle (gastrocnemius) and soleus muscle (soleus)
B. Soleus and posterior tibial muscle (tibialis posterior)
C. Muscle and tibialis anterior muscle (tibialis anterior) posterior tibial
D. Peroneus longus (fibularis longus) and peroneus brevis (fibularis brevis)

Plantar
plantaris
two tendons following muscle