Question: From the previous questions, physical examination, the patient no spider spot (spider angioma), liver spots palms (palmar erythema), hepatosplenomegaly (hepato-splenomegaly) and the phenomenon of ascites, abdominal ultrasound in hepatobiliary and pancreatic spleen no abnormal findings, this patient most the diagnosis may be as follows:

Answer: Mallory-Weiss syndrome

Choices:
A. Bleeding esophageal varices
B. Gastric bleeding
C. Mallory-Weiss syndrome
D. Duodenal ulcer bleeding

previous
patient
spot
spider angioma
liver palms
palmar erythema
hepatosplenomegaly
splenomegaly
ascites
abdominal
hepatobiliary
pancreatic spleen
abnormal findings
patient
diagnosis
follows


Question: Human consumption of pork undercooked or raw parasite, the least likely to suffer from parasitic diseases which of the following?

Answer: Lung fluke disease (paragonimiasis)

Choices:
A. Trichinella disease (trichinellosis)
B. Cysticercosis disease (cysticercosis)
C. Lung fluke disease (paragonimiasis)
D. Hydatid disease (hydatid disease)

Human consumption
raw parasite
least likely to suffer
parasitic diseases
following


Question: Statements about interstitial cystitis (interstitial cystitis), the error which of the following?

Answer: Usually the patient's urine routine examination appears hematuria and pyuria

Choices:
A. Usually occurs in women over 40 years old
B. Usually the patient's urine routine examination appears hematuria and pyuria
C. Common symptoms of urinary frequency, nocturia, urinary urgency, and suprapubic pain
D. Symptoms usually caused when the urine bladder inflation, thus diminishing the volume of the bladder, the patient becomes considerably pollakiuria

interstitial cystitis
interstitial cystitis
error
following


Question: 4 year-old girl, because the emergence of dozens of oral ulcers and medical treatment, if the girls have one of the following features that you may not enterovirus infection?

Answer: Swollen gums bleeding

Choices:
A. After half ulcers in the mouth more
B. Fever more than 3 days
C. Palms and soles of the feet blisters
D. Swollen gums bleeding

4 year old girl
oral ulcers
medical treatment
girls
one
following features
not enterovirus infection


Question: From the previous question, concerning the following description of this bacteria and what was right?

Answer: This bacteria are widely present in the environment

Choices:
A. This anaerobic bacteria as a (anaerobe)
B. This bacteria are widely present in the environment
C. This rare fungus infection by the human body wound
D. Vaccination can be administered to prevent infection of the bacteria


Question: A 25-year-old, sexually active women come to the clinic for treatment, complained of vaginal discharge, Pap found that there are many cervical squamous cells, inclusion bodies (intranuclear inclusions) in the nucleus of these cells. Why is the most likely diagnosis?

Answer: Single pure herpes virus infections (Herpes simplex virus infection)

Choices:
A. Candidiasis (Candida infection)
B. Single pure herpes virus infections (Herpes simplex virus infection)
C. Trichomonas infection (Trichomonas infection)
D. Gonococcal infections (Gonococcal infection)

year old
sexually active
clinic
treatment
vaginal discharge
Pap found
cervical squamous
inclusion bodies
intranuclear inclusions
nucleus of
cells
diagnosis


Question: Which of the following antipsychotics, overweight and less likely to cause hyperglycemia or hyperlipidemia?

Answer: ziprasidone

Choices:
A. quetiapine
B. olanzapine
C. clozapine
D. ziprasidone

following antipsychotics
overweight
less likely to cause hyperglycemia
hyperlipidemia


Question: The therapeutic index (therapeutic index) assessment methods, following that kind of sedative - hypnotic (sedative-hypnotic) drugs with the highest security?

Answer: Diazepam

Choices:
A. Morphine
B. Chloropromazine
C. Phenobarbital
D. Diazepam

therapeutic index
therapeutic index
following
kind
sedative
hypnotic
sedative-hypnotic
drugs
highest


Question: 17 baby boy born with skin lesions in the figure below, the following statements is true? ①80% are single lesions, multiple lesions is 20% ② usually born into the proliferative phase (proliferating phase) ③ about 50% of the patients into the recovery period after 5 years of age (involuted phase) ④ systemic corticosteroid therapy 2 months later may be able to prevent ⑤ larger lesion diagnosis of the disease is vascular malformation

Answer: ①①①①

Choices:
A. ①①①①
B. ①①①②
C. ①①②
D. Only ①①①

baby boy born
skin lesions
following
true
80
single lesions
multiple lesions
20
usually born
proliferative phase
proliferating phase
50
patients
recovery period
years
age
involuted phase
systemic corticosteroid therapy
months later
able to prevent
larger lesion diagnosis
disease
vascular malformation


Question: From the previous question, you estimated the amount of blood loss account for how much his body's blood?

Answer: 10-20%

Choices:
A. <5%
B. 5-10%
C. 10-20%
D. >40%

previous
estimated
amount of blood loss account
body's blood


Question: According to the US Centers for Disease Control and Classification Department of the human immunodeficiency virus (HIV) infection-related opportunistic infections and tumors, which of the following is not a cancer-related disease acquired immune deficiency syndrome (AIDS-defining conditions)?

Answer: Hodgkin's lymphoma

Choices:
A. Hodgkin's lymphoma
B. Kaposi's sarcoma
C. Burkitt's lymphoma
D. invasive cervical carcinoma

infection related opportunistic infections


Question: Account of Corynebacterium diphtheria (Corynebacterium diphtheriae), the Which statement is correct?

Answer: The main virulence factors as a toxin A-B

Choices:
A. Gram-negative bacilli
B. The main virulence factors as a toxin A-B
C. Cats, dogs and other animals as the main source of infection
D. The main food-borne


Question: A 15-year-old girl because of obesity and short stature to the hospital. Physical checkups found that patients with limbs are small, tapering fingers. According to family members said, the patient is difficult to control the desire to eat, often find their own food to eat, poor school performance, but the jigsaw puzzle are strong. Mild mental retardation, was not at the beginning. The patient is most likely to be following what disease?

Answer: Prader - Willi syndrome (Prader-Willi syndrome)

Choices:
A. Toruosame Mr. diseases (Turner syndrome)
B. Chromosome fragile X syndrome (fragile X syndrome)
C. Prader - Willi syndrome (Prader-Willi syndrome)
D. Williams Syndrome (Williams syndrome)

year old girl
obesity
short stature
hospital
Physical
found
patients
limbs
small
fingers
patient
difficult
control
eat
often find
food
eat
poor school performance
strong
Mild mental retardation
not
beginning
patient
to
following
disease


Question: A 65-year-old woman 10 years ago to get the first phase of menopause after breast cancer, only to surgical treatment. Recently discovered bones with osteolytic lesions, confirmed metastatic breast cancer ER +, HER2-negative, in addition no other organ metastasis, Which of the following is the most appropriate treatment?

Answer: Aromatic ring-converting enzyme inhibitors bisphosphonate +

Choices:
A. Aromatic ring-converting enzyme inhibitors bisphosphonate +
B. More chemotherapeutic agents bisphosphonate +
C. capecitabine + bisphosphonate
D. Single-agent chemotherapy + strontium-89

65 year old woman 10 years
to
menopause
breast cancer
only
surgical treatment
Recently
bones
osteolytic lesions
confirmed metastatic breast cancer ER
HER2-negative
addition
organ metastasis
following
most appropriate treatment


Question: Patients with a blood test for hepatitis B virus (hepatitis B virus) infection index, which when antibodies are present, on behalf of the subjects who already have immunity against this virus?

Answer: IgG anti-HBs antibody

Choices:
A. IgG anti-HBs antibody
B. IgG anti-HBe antibody
C. IgM anti-HBc antibody
D. IgG anti-HBc antibody

Patients
blood test
hepatitis B virus
infection index
antibodies
present
subjects
immunity


Question: From the previous question, the patient underwent surgery the next day morning the fever to 38.2 ℃, Which of the following is the most likely reason?

Answer: Pulmonary atelectasis (Atelectasis)

Choices:
A. Wound infection (Wound infection)
B. Intraperitoneal abscess (Intrabdominal abscess)
C. Pulmonary atelectasis (Atelectasis)
D. Suture leakage (Anastomotic leakage)

previous
patient
surgery
next day morning
fever
following


Question: The following figure shows a 37-year-old woman auscultation of the PCG, which may be diagnosed as:

Answer: Mitral valve prolapse

Choices:
A. Patent ductus arteriosus
B. Mitral valve stenosis
C. Pulmonary stenosis
D. Mitral valve prolapse

following
year old woman auscultation
PCG
diagnosed


Question: About modifying ADP- ribosylation (ADP-ribosylation) to adjust the narrative of their messaging, Which statement is correct?

Answer: The Gs alpha subunit (α subunit), modified by the cholera toxin (cholera toxin) of

Choices:
A. The Gs alpha subunit (α subunit), modified by the cholera toxin (cholera toxin) of
B. The Gs alpha subunit (α subunit), pertussin toxin is modified by
C. Cell membrane receptors, pertussin toxin is modified by
D. Phospholipase (phospholipase) modified by cholera toxin (cholera toxin) of


Question: 58 The results of brain fluid examination of the spinal cord, and that a combination of the following diagnosis of multiple sclerosis (multiple sclerosis) most helpful? ① oligonucleotides strains with protein electrophoresis (oligoclonal bands) ② ③ protein decreased glucose level to decrease the number of white blood lymphocyte composite index based ④ increase in ⑤IgG (IgG synthesis index) appears to increase

Answer: ①⑤

Choices:
A. ①②
B. ②④
C. ①⑤
D. ③⑤


Question: A 15-year-old woman in the last two months, often with multiple joint pain and muscle aches, and  on oral and buccal mucosa ulceration repeatability. In addition the patient's family also noticed facial erythema. In the suspected "lupus" at risk, following which serology most helpful in the diagnosis of this disease?

Answer: anti-dsDNA antibodies

Choices:
A. serum electrophoresis
B. serum complement C3 and C4
C. anti-dsDNA antibodies
D. Coombs' test

year old woman
two months
often
multiple joint pain
muscle aches
oral
buccal mucosa ulceration
addition
patient
acial erythema.
uspected
upus"
ollowing
erology  ost  elpful
iagnosis
isease?


Question: A 75-year-old male patient. The past six months the right of nasal congestion, runny nose occasionally, two months before the start of persistent pain in the right cheek, nose and occasionally bloodshot recently, the right upper molars also feel loose and pain, blurred vision also slightly now, occasional diplopia. The most likely diagnosis of why?

Answer: Right maxillary sinus tumor

Choices:
A. Right ethmoid sinus mucous cyst
B. Right palate cancer
C. Right ethmoid sinus tumor
D. Right maxillary sinus tumor

75 year old male patient
past six months
right
nasal congestion
runny nose occasionally
two months
start
persistent pain
right cheek
nose
occasionally
recently
right
loose
pain
blurred vision
slightly now
occasional diplopia
diagnosis


Question: Gonorrhea (Gonorrhea) can repeatedly infect the same host of reasons why?

Answer: Stimulate the immune force (immunogenicity) Low

Choices:
A. Stimulate the immune force (immunogenicity) Low
B. High immunity energizing force
C. Toxicity (virulence) Low
D. Highly toxic

Gonorrhea
Gonorrhea
repeatedly infect
same


Question: When severe trauma patients in emergency treatment, the most common fatal died because of severe traumatic brain injury and hemorrhagic shock. Body, following the body cavity (body cavity) easy to plot blood and cause early death, with the exception of whichever?

Answer: Retroperitoneal (retroperitoneal cavity)

Choices:
A. Chest (thoracic cavity)
B. Abdominal cavity (abdominal cavity)
C. Pelvic (pelvic cavity)
D. Retroperitoneal (retroperitoneal cavity)

severe trauma patients
emergency
most common fatal died
severe traumatic
hemorrhagic shock
Body
following
body cavity
body cavity
easy to
blood
cause early death


Question: ⼯ Face ⻑ of exposure to organic solvent environment, become extremely many hazards, ⻑ of exposure to benzene, most likely will send ⽣ kind of cancer?

Answer: ⾎ cancer

Choices:
A. ⾎ cancer
B. Hepatic carcinoma
C. Kidney cancer
D. Out skin cancer

Face
exposure
organic solvent environment
extremely
hazards
exposure
benzene
most likely
send
kind
cancer


Question: The following drugs that can cause blood vessels to dilate (vasodilation)?

Answer: endothelin antagonists

Choices:
A. endothelin antagonists
B. kinin antagonists
C. neurotensin antagonists
D. vasopressin agonists

following drugs
cause blood vessels to dilate
vasodilation


Question: Very rapid growth of malignant bone tumor, often:

Answer: Cause pathological fracture

Choices:
A. Lead to the formation of a large number of reactive periosteal bone
B. Bone marrow cavity of the bone hyperplasia
C. Cause pathological fracture
D. Shall give effect to amputation


Question: When 81 year old woman hospitalized patients with fever of abdominal computed tomography figures. She suffers from diabetes, hypertension and heart disease. Which of the following best diagnosis of the patient for this purpose?

Answer: Liver abscess

Choices:
A. Liver abscess
B. Acute cholecystitis
C. Acute pancreatitis
D. Hepatic carcinoma

81 year old woman hospitalized
fever
abdominal computed tomography
suffers
diabetes
hypertension
heart disease
following best diagnosis
patient
purpose


Question: A 5-year-old cerebral palsy patient, showing tiptoe feet (tip toes walking) and scissors footsteps state (scissor gait) when walking, which of the following items to help improve their treatment had no gait?

Answer: TENS (transcutaneous electrical nerve stimulation)

Choices:
A. Stretch (stretch exercise)
B. Vice wear ankle-foot wooden stand (ankle-foot orthoses)
C. Injecting a toxin (botox)
D. TENS (transcutaneous electrical nerve stimulation)

5 year old cerebral palsy patient
tiptoe feet
tip toes
scissors
state
scissor gait
following
to help
treatment
gait


Question: What these patients are not suitable for a heart transplant?

Answer: Complex congenital heart disease, who may be a conventional surgical correction

Choices:
A. Repeated and severe heart failure symptoms, and the emitted rate of the left ventricle (ejection fraction, LVEF) <20%
B. Severe myocardial ischemia unable to traditional coronary artery bypass surgery treatment
C. Heart failure has been the use of extracorporeal membrane (ECMO) and other heart assist devices, and can not break away from the person
D. Complex congenital heart disease, who may be a conventional surgical correction


Question: 76-year-old man complained of chest tightness, and shortness of breath, after injection of contrast agent imaging such as CT figures, the most likely diagnosis is which of the following?

Answer: Pulmonary embolism

Choices:
A. Pulmonary aortic aneurysm
B. Pulmonary embolism
C. Uplink aortic aneurysm
D. Vena cava stenosis

76 year old man
of chest tightness
shortness of breath
injection
imaging
CT
diagnosis
following


Question: 77.8-year-old boy presented with fever, sore throat symptoms, physical examination revealed bilateral cervical lymph nodes, tonsils and throat irritation. Blood routine examination revealed increased number of leukocytes, 70% lymphocytes, 30% of lymphocytes among the atypical lymphocytes. IgM serum heterophile antibodies (IgM heterophil antibody) and the anti-virus Epstein -Barr IgM antibody positive. This atypical lymphocytes Which of the following is most likely to be cell?

Answer: CD8-positive T lymphocytes

Choices:
A. CD4-positive T lymphocytes
B. CD8-positive T lymphocytes
C. NK-T cells
D. B lymphocytes


Question: About neck sympathetic trunk (sympathetic trunk) of the narrative, Which statement is correct?

Answer: The cervical ganglia and first thoracic ganglia (first thoracic ganglion) often merged stellate ganglion (stellate ganglion)

Choices:
A. Cervical sympathetic dry ash-free transportation branch (gray rami communicantes)
B. The cervical ganglia and first thoracic ganglia (first thoracic ganglion) often merged stellate ganglion (stellate ganglion)
C. Cervical ganglion will be issued on gray communicating branches (gray rami communicantes) to the fifth and sixth cervical spinal nerve (cervical spinal nerves)
D. In cervical ganglion nerve not to issue the heart (cardiac nerves)

neck sympathetic trunk
sympathetic trunk
correct


Question: Which of the following test commonly used to predict the hyperacute rejection (hyperacute graft rejection) it happen or not?

Answer: Existing antibody (preexisting antibody) detection test

Choices:
A. Mixed lymphocyte reaction (mixed lymphocyte reaction)
B. Immune globulin (immunoglobulin) Quantitative analysis
C. Lymphocyte surface markers (lymphocyte surface marker) Analysis
D. Existing antibody (preexisting antibody) detection test

following test
used to
rejection
hyperacute graft rejection
not


Question: One patient due to exercise-induced shortness of breath, fatigue and hospitalization, physical examination revealed jugular vein swelling, lung and heart examination was normal, liver enlargement three fingers width and lower extremity edema, pulse and strange veins (paradoxical pulse); chest X-ray examination revealed normal heart, lung fields clear, the most likely diagnosis is:

Answer: Narrowing pericardial capsulitis (constrictive pericarditis)

Choices:
A. Liver tumors
B. Kidney failure
C. Narrowing pericardial capsulitis (constrictive pericarditis)
D. Low serum albumin (hypoalbuminemia)


Question: One 40-year-old woman suffering from psychosis disorder, required to undergo appendectomy surgery, the surgeon explained the content of her surgery, psychiatrists assess the patient can fully understand, and therefore to sign the consent form, Which statement is correct?

Answer: This ability of patients to sign consent forms there, so the patient can sign their own

Choices:
A. This patient does not have the ability to sign consent, and therefore need to ask a friend to sign on behalf of
B. This patient does not have the ability to sign consent, and therefore need to ask family members to sign on behalf
C. This patient does not have the ability to sign consent, and therefore need to ask the psychiatrist sign on behalf of
D. This ability of patients to sign consent forms there, so the patient can sign their own

One 40 year old woman suffering
psychosis disorder
required to
appendectomy surgery
surgeon
surgery
psychiatrists
patient
to sign
correct


Question: Which is a cerebral venous sinus thrombosis (cerebral venous sinus thrombosis) is the most common clinical manifestations ⾒?

Answer: headache

Choices:
A. Diplopia
B. headache
C. No care has been taken unilateral limb
D. Disturbance of consciousness

cerebral venous sinus thrombosis
cerebral venous sinus thrombosis
most common clinical manifestations


Question: From the previous question, the second day of hospitalization, abdominal cramps slowed. On the third day, the patient is still no exhaust and stool, and spit out a lot of manure-like, and bowel sounds. Abdominal X-ray showed the small intestine more turbid. Why assume it?

Answer: The deterioration of intestinal obstruction, intestinal clamp it (downhill of ileus, strangulation of intestine highly suspected) may occur

Choices:
A. Intestinal obstruction significant improvement (improvement of ileus)
B. The deterioration of intestinal obstruction, intestinal clamp it (downhill of ileus, strangulation of intestine highly suspected) may occur
C. Pyloric stenosis (pyloric stenosis)
D. Intestinal obstruction maintain the status quo (stable condition)

previous
second day
abdominal cramps slowed
third day
patient
exhaust
stool
spit out
lot
bowel sounds
Abdominal X-ray
small intestine more turbid


Question: A wide range of new blood vessels (angiogenesis) does not occur:

Answer: Dermoid cysts (dermoid cyst)

Choices:
A. Luteinizing
B. Embryogenesis
C. Malignancies
D. Dermoid cysts (dermoid cyst)

wide range
new blood vessels
angiogenesis
not occur


Question: Statements about children cryptorchidism (cryptorchidism) is, which of the following error?

Answer: Cryptorchidism surgery is the best time is between 1 and 3 years old

Choices:
A. Hormonal treatment success rate of only 20%, but also about the location of cryptorchidism
B. Cryptorchidism surgery is the best time is between 1 and 3 years old
C. Children on both sides of the case cryptorchidism should further evaluate the chromosomal order to find abnormal sex
D. Radiological examination to determine the location of cryptorchidism is not absolutely necessary, and will not affect the operation of conduct

children cryptorchidism
cryptorchidism
following error


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

Answer: 46, XX and 47, XXY is female

Choices:
A. There are 22 pairs of chromosomes
B. There are two sex chromosomes, X and Y
C. 46, XX and 47, XXY is female
D. X and Y chromosome has a small part of the high similarity, is referred to as pseudo-autosomal region


Question: 38-year-old female patient after surgery because of four with stimulating monitoring (train of four) show muscle twitching are blocked (total twitch suppression), and shall live into the intensive care unit were respiratory care. Initially ruled out other postoperative complications, the patient gradually recover in the second day, and the weaning and extubation, the patient most likely diagnosis Why?

Answer: myasthenia gravis

Choices:
A. spinal cord injury
B. Guillain-Barre syndrome
C. myasthenia gravis
D. meningitis

year old female patient
surgery
of four
train
four
muscle twitching
blocked
total twitch suppression
live
intensive care unit
respiratory care
Initially ruled out
postoperative complications
patient
recover
second day
weaning
extubation
patient
likely diagnosis


Question: Patients with neurological examination, reflection triceps (triceps reflex) have weakened or disappeared, triceps weakness, then most likely the first of several cervical nerve lesions?

Answer: Seven

Choices:
A. Fives
B. six
C. Seven
D. Eight

Patients
neurological examination
triceps
triceps reflex
triceps weakness
then
likely
first
cervical nerve lesions


Question: Carpal tunnel syndrome (Carpal tunnel syndrome) of incidence, what is correct?

Answer: More women than men

Choices:
A. More women than men
B. More men than women
C. Almost sex ratio
D. Different studies report different results

Carpal tunnel syndrome
Carpal tunnel syndrome
incidence
correct


Question: Statements about Multiple endocrine neoplasia syndrome (multiple endocrine neoplasia, MEN), and which of the following error?

Answer: MEN 2C comprises pheochromocytoma (pheochromocytoma)

Choices:
A. MEN 1 comprising hyperparathyroidism (hyperparathyroidism)
B. MEN 2A comprising medullary thyroid cancer (medullary thyroid carcinoma)
C. MEN 2B comprises medullary thyroid carcinomas (medullary thyroid carcinoma)
D. MEN 2C comprises pheochromocytoma (pheochromocytoma)

Multiple endocrine neoplasia syndrome
multiple endocrine neoplasia
following error


Question: About weight loss, the following statements is wrong?

Answer: In general, within six months, to reduce the 15% of the original weight, and is easily reached by a target

Choices:
A. Diet focus is to reduce total calorie intake
B. In general, within six months, to reduce the 15% of the original weight, and is easily reached by a target
C. Severe obese patients, in medical therapy invalid, weight loss surgery (bariatric surgery) is a reasonable choice
D. Lorcaserin is in the central nervous, appetite suppressing drugs for the


Question: Following the merger of a situation that diabetes is due to inadequate secretion of insulin cause?

Answer: mutation(s) in insulin promoter factor-1（IPF-1）

Choices:
A. type A insulin resistance
B. leprechaunism
C. Rabson-Mendenhall syndrome
D. mutation(s) in insulin promoter factor-1（IPF-1）

Following
diabetes
due to inadequate secretion
insulin cause


Question: Electrocardiogram following a 5-year-old boy. What is the most important change in this abnormal ECG?

Answer: By the pacemaker (Pacemaker) driving the heartbeat

Choices:
A. By the pacemaker (Pacemaker) driving the heartbeat
B. A first-degree atrioventricular block
C. Right branch block
D. Myocardial infarction

Electrocardiogram following
5 year old boy
most important change in
abnormal ECG


Question: Protective role of angiotensin-converting enzyme inhibitors of the kidney, which of the following error?

Answer: Can increase the glomerular filtration rate

Choices:
A. Can lower blood pressure
B. You can reduce proteinuria
C. Can increase the glomerular filtration rate
D. Can reduce the efferent artery pressure


Question: Palate sail tensor (tensor veli palatini) and how these same muscles innervated by cranial?

Answer: Temporalis muscle (temporal muscle)

Choices:
A. Temporalis muscle (temporal muscle)
B. Sternocleidomastoid (sternocleidomastoid muscle)
C. After the belly of the digastric (posterior belly of digastric muscle)
D. Inferior rectus (inferior rectus muscle)

Palate
tensor veli palatini
same muscles
cranial


Question: A 65-year-old male to the dermatology clinic complaining of starting from two months ago, the face of a rapidly proliferating tumor, then the lesions are most likely diagnosis is shown in Figure:

Answer: Keratoacanthoma (keratoacanthoma)

Choices:
A. Basal cell carcinomas (basal cell carcinoma)
B. Malignant melanoma (malignant melanoma)
C. Merkel's cell carcinoma (Merkel cell carcinoma)
D. Keratoacanthoma (keratoacanthoma)

65-year-old male
dermatology clinic
starting
two months
face
rapidly proliferating tumor
then
lesions
diagnosis


Question: From the previous question, the cause of arrhythmia, mainly due to the blockade following what channel?

Answer: K +

Choices:
A. na +
B. K +
C. Ca2+
D. Mg2+

previous
cause
arrhythmia
due to
blockade following
channel


Question: Medullary thyroid cancer (medullary carcinoma), what's wrong?

Answer: When accompanied chromaffin cell carcinoma (pheochromocytoma) patients with medullary thyroid cancer surgery first

Choices:
A. Should be combined total thyroidectomy lymphadenectomy central compartment (central compartment dissection)
B. Diagnostic tests with CEA, calcitonin and cytology
C. When accompanied chromaffin cell carcinoma (pheochromocytoma) patients with medullary thyroid cancer surgery first
D. Iodine 131 therapy

Medullary thyroid cancer
medullary carcinoma
wrong


Question: Tracheal bifurcation (carina) at the height of the chest X-ray is located approximately corresponding to a part of the spine that?

Answer: T4-5

Choices:
A. C6
B. T1-2
C. T4-5
D. L2-3

Tracheal bifurcation
carina
height of
chest X-ray
approximately
part of
spine


Question: 45. IARC (International Agency for Research on Cancer, referred to IARC) classified as ultraviolet what carcinogens?

Answer: Most likely (probable) human carcinogen

Choices:
A. Known (known) human carcinogen
B. Most likely (probable) human carcinogen
C. Suspected (possible) human carcinogen
D. Can not be classified (not classifiable) of a human carcinogen


Question: Which of the following can stimulate vasoconstriction?

Answer: Endothelin -1 (endothelin-1)

Choices:
A. Atrial natriuretic peptides (atrial natriuretic peptide)
B. Prostacyclin (prostacyclin)
C. Nitric oxide (nitric oxide)
D. Endothelin -1 (endothelin-1)


Question: Treatment of sickle cell anemia (sickle cell anemia) can use the following what kind of drugs?

Answer: Hydroxyurea

Choices:
A. Folate
B. Deferoxamine
C. Hydroxyurea
D. Pyridoxine

Treatment
sickle cell anemia
sickle cell anemia
use
following
kind
drugs


Question: Which of the following has diagnostic significance autoantibodies (systemic lupus erythematosus) in patients with systemic lupus erythematosus, and and disease activity (especially nephritis) about?

Answer: Anti-double stranded DNA antibody (anti-double-stranded DNA antibody)

Choices:
A. Anti-double stranded DNA antibody (anti-double-stranded DNA antibody)
B. Antinuclear antibodies (antinuclear antibody)
C. Anti-Sm antibodies (anti-Smith antibody)
D. Anti-tissue antibodies (antihistone antibody)

following
diagnostic significance autoantibodies
systemic lupus erythematosus
patients
systemic lupus erythematosus
disease activity
nephritis
about


Question: Mrs. Lin 58 years old, suffering from depression (depression), usually often feel cold hands and feet, his mother and sister have diabetes. Today Mrs. Lin was diagnosed with high blood pressure, serum creatinine 1.8 mg / dL. Which of the following is the most she should not use the medication?

Answer: beta-blocker

Choices:
A. alpha-blocker
B. beta-blocker
C. dihydropyridine calcium channel blocker
D. angiotensin-converting enzyme inhibitor

Mrs
Lin 58 years old
suffering
depression
depression
usually often
cold hands
feet
diabetes
Today Mrs
Lin
diagnosed
high blood pressure
serum creatinine
mg
dL
following
most
not use
medication


Question: Which of the following drugs, the most suitable for the diagnosis of myasthenia gravis (myasthenia gravis)?

Answer: edrophonium

Choices:
A. echothiophate
B. edrophonium
C. entacapone
D. estazolam

following drugs
most suitable
diagnosis
myasthenia gravis
myasthenia gravis


Question: Dialysis dementia and following the kind of metal poisoning?

Answer: aluminum

Choices:
A. aluminum
B. zinc
C. copper
D. iron

Dialysis dementia
following
kind
metal poisoning


Question: Pudendal nerve (pudendal nerve) impairment on the Which of the following is the smallest?

Answer: uterus

Choices:
A. Urethra
B. uterus
C. vaginal
D. Anal

Pudendal nerve
pudendal nerve
impairment
following
smallest


Question: From the previous question, the disorder, the most likely cause of that?

Answer: Prion protein (Prion protein)

Choices:
A. Number 蛋白 (Protein Tau)
B. Prion protein (Prion protein)
C. β- amyloid (β-amyloid protein)
D. α- synuclein (α-synuclein protein)


Question: 80-year-old diabetic female patients complained last six months often unconscious incontinence situation, describing each patient urine output not much, and might go to the bathroom every hour from 1 to 2 times, physical examination revealed abdominal micro-swelling, but no patients Urine swelling feeling. Will urinary incontinence Which of the following is most likely?

Answer: Full expansion incontinence (overflow incontinence)

Choices:
A. Full expansion incontinence (overflow incontinence)
B. Urgency urinary incontinence (urge incontinence)
C. Stress urinary incontinence (stress incontinence)
D. True incontinence (true incontinence)


Question: The following cancer whichever is appropriate and effective screening method?

Answer: Cervical Cancer

Choices:
A. Cervical Cancer
B. Ovarian cancer
C. Endometrial cancer
D. Lung cancer


Question: To a group of healthy 80-year-old man and 20-year-olds compared to the healthy group, Which of the following most will not decline in the elderly group?

Answer: Blood insulin (insulin) concentration

Choices:
A. Can achieve the fastest heart rate during exercise
B. PaO
C. Glomerular filtration rate (glomerular filtration rate)
D. Blood insulin (insulin) concentration

healthy 80 year old man
20 year olds
healthy group
following most
not
group


Question: Statements about repeated urinary tract infections, Which statement is correct?

Answer: Girl repeated urinary tract infections, often have to hold back, less drinking habits and constipation

Choices:
A. Girl repeated urinary tract infections, urinary tract abnormalities there will be a system anatomy
B. Girl repeated urinary tract infections, often have to hold back, less drinking habits and constipation
C. If there is no fever, urinary tract infections do not need treatment
D. Urine reason vesicoureteral reflux, not the cause of repeated urinary tract infections

repeated urinary tract infections
correct


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

Answer: Hepatitis E virus is mainly transmitted by the faecal-oral route, the incubation period of about 24 weeks

Choices:
A. Hepatitis E virus is mainly transmitted by the faecal-oral route, the incubation period of about 24 weeks
B. Hepatitis E infection in patients with acute type, most prognosis is good, very few patients after infection may be complicated by fulminant hepatic failure (fulminant hepatic failure)
C. Hepatitis E virus IgM antibodies (IgM anti-HEV) serum diagnostic marker of acute hepatitis E
D. Infection in patients with acute hepatitis E's completely healed, only a minority of patients with severely impaired immune function will evolve into chronic hepatitis E


Question: 63. The diagnosis of a disease psychosis (schizophrenia) of young male patients began receiving antipsychotics (antipsychotics) treatment, the treatment of the third day, the situation is hanging the eye suddenly appeared, this time of disposal does not include:

Answer: Administering muscle relaxant (muscle relaxant)

Choices:
A. Administration of anticholinergic drugs (anticholinergics)
B. Reduce or adjust the dose antipsychotic antipsychotic species of
C. Administering muscle relaxant (muscle relaxant)
D. Exclude other possible of neurological disorders, such as: epilepsy


Question: Acute lower extremity arterial occlusive disease completely, is a required emergency surgery of the object, in order to avoid causing irreversible harm to distant tissues, at the latest within a few hours after the occurrence of a complete obstruction to surgery?

Answer: 6～8

Choices:
A. 1～2
B. 3～5
C. 6～8
D. 9～12

Acute lower extremity arterial occlusive completely


Question: The following statements about pernicious anemia (pernicious anemia), and what's right?

Answer: Peripheral blood cells appear larger and nuclear super leafy neutropenia

Choices:
A. Autoantibodies attack the gland due to the duodenum
B. Peripheral blood cells appear larger and nuclear super leafy neutropenia
C. Gastrointestinal mucosa-associated lymphoma (mucosa-associated lymphoid tumor) is an important risk factor
D. Peripheral blood appear larger and oval lightly stained red blood cells

following
pernicious anemia
pernicious anemia
right


Question: The following description on Three subtypes of JRA (Juvenile rheumatoid arthritis), whichever is correct?

Answer: Pauciarticular onset merger uveitis occur more frequently in girls

Choices:
A. Pauciarticular onset merger uveitis occur more frequently in girls
B. Polyarticular onset is the most common type
C. The most common age of onset ranged between 4 to 6 years old
D. As much Polyarticular onset prevalence of boys and girls

following
Three
JRA
Juvenile rheumatoid arthritis
correct


Question: From the previous question, what's the most appropriate treatment?

Answer: Intravenous prostaphlin

Choices:
A. Body skin debridement (debridement), after supportive therapy
B. Intravenous prostaphlin
C. Intravenous immunoglobulin (IVIG)
D. Intravenous penicillin G


Question: As shown, this Zhang radiation image map for that diagnosis of a gas leak syndrome?

Answer: Pericardium product gas (pneumopericardium)

Choices:
A. Tension pneumothorax (tension pneumothorax)
B. Pericardium product gas (pneumopericardium)
C. In pneumomediastinum (pneumomediastinum)
D. Peritoneal product gas (pneumoperitonium)

radiation
map
diagnosis
gas leak syndrome


Question: According to AHA / ACC guidelines for coronary artery bypass grafting (CABG), which of the following is not a coronary artery bypass surgery class I indications?

Answer: The middle of the right coronary artery blockage with acute myocardial infarction

Choices:
A. Only a single proximal left anterior descending artery 80% stenosis
B. The middle of the right coronary artery blockage with acute myocardial infarction
C. The combined infarction after acute myocardial infarction ventricular septal rupture
D. The combined three coronary blockage adverse ventricular systolic function

coronary artery bypass grafting
following
not
coronary artery bypass surgery class I


Question: About ankylosing spondylitis of the narrative, which of the following error?

Answer: In the general population, 20% of HLA-B27 positive, there may ankylosing spondylitis

Choices:
A. HLA-B27 B27 positive than negative, prone to uveitis (uveitis)
B. HLA-B27 positive than negative, higher familial predisposition
C. In the general population, 20% of HLA-B27 positive, there may ankylosing spondylitis
D. HLA-B27 in the North American Indians (Indians) its prevalence is much higher than Taiwan aborigines

About ankylosing spondylitis
following error


Question: A 30-year-old woman, complained over the past decade, the mind will appear hesitant repeated the idea, fearing bad faucet off, worried that gas does not close tightly, not worry about the doors and windows closed, this idea over and over again to make her feel anxious. She complained that every time out and before going to bed, will be repeated in off the tap, gas, doors and windows, spend at least 40 minutes each time, these issues cause she quit her job, interpersonal retreat and feelings of depression. The following description of this patient, what's the most correct?

Answer: For some induced events which led to the development of such a condition better prognosis

Choices:
A. The main reason this disease is caused by stress, psychodynamic psychotherapy (psychodynamic psychotherapy) clinical outcome for most of these patients
B. The main cause of this disease is biologically caused by excessive secretion of adrenaline
C. Such patients must have compulsive personality disorders (obsessive-compulsive personality disorder)
D. For some induced events which led to the development of such a condition better prognosis

30 year old woman
past decade
appear hesitant repeated
idea
bad
worried
gas
not close
not worry
doors
windows closed
idea
over
to make
anxious
before
bed
repeated
gas
doors
windows
spend
40 minutes
time
issues cause
interpersonal
feelings
depression
following
patient
most correct


Question: Traumatic brain injury patient's muscle tone (muscle tone) increases, which is not an active treatment of indications?

Answer: Limb numbness

Choices:
A. Influence active action
B. Produce joint contractures
C. Affect caregivers to patient setup and cleaning
D. Limb numbness


Question: Related liver transplant indications, which of the following error?

Answer: Colon cancer with liver metastases

Choices:
A. Primary sclerosing cholangitis
B. Failure of a previous liver graft
C. Alagille's syndrome
D. Colon cancer with liver metastases

Related liver transplant
following error


Question: 97 A 30-year-old woman to the emergency due to lower abdominal pain, physical examination found that patients with low blood pressure, emergency surgery right fallopian tube was found with blood clots. Pathological examination revealed the structure shown below, diagnosis is possible:

Answer: Ectopic pregnancy (ectopic pregnancy)

Choices:
A. Choriocarcinoma (choriocarcinoma)
B. Ectopic pregnancy (ectopic pregnancy)
C. Hydatidiform mole (hydatidiform mole)
D. Serous carcinoma (serous carcinoma)

97
30 year old woman
emergency
lower abdominal pain
found
patients
low blood pressure
emergency surgery right fallopian tube
found
blood clots
Pathological examination revealed
structure
diagnosis
possible


Question: Related liver disease, the following statements is wrong?

Answer: Nodular regenerative hyperplasia (nodular regenerative hyperplasia) has a central star-shaped areas of fibrosis

Choices:
A. Aflatoxin (aflatoxin) is a risk factor for hepatocellular carcinoma
B. Nodular regenerative hyperplasia (nodular regenerative hyperplasia) has a central star-shaped areas of fibrosis
C. Hepatic adenoma (hepatic adenoma) may rupture, causing abdominal bleeding
D. Hepatoblastoma (hepatoblastoma) may occur between differentiation interstitial (mesenchymal differentiation), osteoid e.g., striated muscle, cartilage, and other ingredients


Question: Suffering from Turner's syndrome (Turner syndrome) 5-year-old girl, that one of the following characteristics rarely appear?

Answer: Obviously inadequate growth hormone secretion

Choices:
A. short and small
B. Coarctation of the aorta
C. Kidney malformations (renal malformation)
D. Obviously inadequate growth hormone secretion

Suffering
Turner's syndrome
year old girl
one
following characteristics rarely appear


Question: Most of the tooth and its surrounding structures are mesoderm (mesodermal) or neural crest (neural crest) of derivatives, but which of the following exceptions?

Answer: Enamel (enamel)

Choices:
A. The tooth (Dentin)
B. Chalky mass teeth (cementum)
C. Enamel (enamel)
D. Medullary cavity (pulp)

Most
tooth
surrounding structures
mesoderm
mesodermal
neural crest
neural crest
following


Question: Immune globulin (immunoglobulin, Ig) and T cell receptor variable region (T-cell receptor, TCR) molecules (variable domain), the gene required for V (D) J recombination fragments (recombination), but that the following one is relatively small phenomenon occurs when the TCR gene recombination?

Answer: Palindrome may have added (palindromic-addition) phenomenon

Choices:
A. J fragment recombination (recombination), but it is one of the following phenomena occur when relatively small TCR gene recombination?
B. A plurality of V-gene segments inherited genes
C. Start RAG (recombination-activating gene) activity
D. Palindrome may have added (palindromic-addition) phenomenon

Immune globulin
immunoglobulin
Ig
T cell receptor variable region
T-cell receptor
TCR
variable domain
gene required
fragments
following one
small
occurs
TCR


Question: 78-year-old Lin the last 10 years due to acute exacerbation of chronic obstructive pulmonary disease hospitalized several times. Last 3 days due to respiratory distress gradually be sent to the families of emergency medical treatment. Physical examination and slight drowsiness, lung auscultation with diffuse wheezing, sputum volume small, arterial blood gas analysis pH = 7.33, PCO2 = 72 mmHg, PO2 = 47 mmHg, families advocate aggressive treatment, Which of the following is the top priority of solving method?

Answer: Non-invasive treatment using a respirator (Bi-PAP)

Choices:
A. Oxygen administration by the nasal tube, a flow rate of 1-2 liters / min
B. Use Venturi mask, FIO2 = 28%
C. Non-invasive treatment using a respirator (Bi-PAP)
D. Immediately tracheostomy tube, use a respirator therapy


Question: Hu, 80 years old, living with his wife, three men and a woman. Lower back pain occurred five months ago, Jiangan lower limb weakness, difficulty walking, emergency found the fourth thoracic pathologic fracture, spinal cord compression resulting in admission examination to stomach cancer and liver, lungs and spine metastasis after surgery and received chemotherapy radiation therapy. Due to the continued deterioration of symptoms, his family and go to the next note hospices requirements. Aspects of the disease, patients only knew nerve compression caused by lower limb discomfort, I do not know terminal cancer, his family after the patient accept the illness but worried that will not bear. Informed about the disease following narrative, what's wrong?

Answer: In accordance with the views of family members, worried that patients can not afford not to inform

Choices:
A. Only when the patient said they did not want to know if there is no illness or ready to inform temporarily
B. In accordance with the views of family members, worried that patients can not afford not to inform
C. So that families understand in the case to conceal the truth to each other, the patient will gradually be isolated and loss of autonomy
D. So that families understand anyway to conceal the disease, the patient will eventually know

80 years old
living
three
woman
Lower back pain
five months
lower limb weakness
difficulty walking
emergency found
fourth
pathologic fracture
spinal cord compression resulting in
stomach cancer
liver
lungs
spine
surgery
received chemotherapy radiation therapy
Due to
symptoms
go to
next note hospices requirements
Aspects
disease
patients only
nerve compression caused
lower limb discomfort
I
not
terminal cancer
patient accept
illness
worried
not
Informed
disease following
wrong


Question: Account of the nasal angiofibroma (angiofibroma), and Which statement is correct?

Answer: It is believed from the nasal side wall-rich fibrovascular stroma grow out

Choices:
A. Occurs most often in middle-aged men
B. It is believed from the nasal side wall-rich fibrovascular stroma grow out
C. Is the cause of the nasal septum necrotic ulceration of the most common
D. Is a benign tumor, the patient will not cause recurrence or death

Account
nasal angiofibroma
angiofibroma
correct


Question: 16.65-year-old male patient with respiratory failure due to severe pneumonia, ICU stay, after administration of broad-spectrum antibiotics three days of fever; but in the fifth day of abdominal pain, bloating and water will be (at least five times a day), the following statements most appropriate?

Answer: Available oral metronidazole therapy

Choices:
A. Clostridium difficile toxin in stool toxin test negative, can exclude the diagnosis of Clostridium difficile-associated diarrhea
B. Stool cultures yielded Clostridium difficile, the diagnosis can be confirmed Clostridium difficile associated diarrhea,
C. Symptoms such as diarrhea, can first use loperamide to ease symptoms
D. Available oral metronidazole therapy

administration of broad spectrum antibiotics three days


Question: The following clinical signs related to congestive heart failure (congestive heart failure), and what is non?

Answer: Appear paradoxical pulse

Choices:
A. Auscultation appear gallop rhythm
B. Appear paradoxical pulse
C. Appear pulse alternans
D. Lungs moist rales

following clinical signs related
congestive heart failure
congestive heart failure
non


Question: 4-year-old boy, preterm birth hypoxia, 2-year-old began to learn to walk, pad toe when walking, giving the bracket shown in the figure, its main purpose is to improve which of the following?

Answer: Gastrocnemius muscle spasm

Choices:
A. Tibialis anterior muscle weakness
B. Tibialis anterior muscle spasm
C. Gastrocnemius muscle weakness
D. Gastrocnemius muscle spasm

4 year old boy
preterm birth hypoxia
2 year old began to
to
pad toe
giving
bracket
main purpose
to
following


Question: A 7-year-old boy, woke up to find right leg is very painful, walking limp morning. In the afternoon left foot also have similar symptoms occur, immediate hospitalization. Neurological examination revealed: feet Achilles tendon and knee reflexes were normal and normal tension leg and thigh muscles, the blood of abnormal CPK increased ten times the upper limit of normal. Sick children have symptoms of high fever and upper respiratory tract infection two days. Disorders that are most likely to occur:

Answer: acute myositis

Choices:
A. acute myositis
B. Guillain-Barre syndrome
C. acute myelitis
D. acute rheumatoid arthritis


Question: The following description related to insulin, what's wrong?

Answer: Brain cells to absorb glucose-dependent insulin needs

Choices:
A. Brain cells to absorb glucose-dependent insulin needs
B. Insulin-sensitive cells containing more than fourth-type glucose transporter (GLUT4)
C. Insulin can increase the absorption of glucose in fat cells
D. Insulin can increase the synthesis of skeletal muscle glycogen


Question: General lymphoma staging examination, that does not include one of the following?

Answer: Bone Scan

Choices:
A. Bone marrow aspiration and biopsy
B. Bone Scan
C. Chest X-ray photography
D. Abdominal and pelvic computed tomography

General lymphoma staging
not include one


Question: Which of the following non-neonatal hypoglycemia of risk factors?

Answer: anemia

Choices:
A. Mother has diabetes
B. anemia
C. premature baby
D. septicemia

following non neonatal hypoglycemia
risk factors


Question: Dengue fever is still prevalent infectious diseases in Taiwan, about the narrative of the dengue vector mosquito, Which statement is correct?

Answer: Aegypti mosquito habitat preferences in the vicinity of the human home

Choices:
A. Male mosquitoes during the day vampire, the blood-sucking female mosquitoes in the evening
B. Like female mosquitoes lay their eggs in stagnant water turbidity of the
C. In Taiwan, the vector mosquito species is limited to the dissemination of Aedes aegypti (Aedes aegypti)
D. Aegypti mosquito habitat preferences in the vicinity of the human home

Dengue fever
still prevalent infectious diseases
Taiwan
dengue
correct


Question: From the previous questions, such as the patient's surgery within the cyst fluid inspection, you will be a special emphasis on the value of that check?

Answer: amylase

Choices:
A. WBC
B. bilirubin
C. amylase
D. protein

previous
as
patient's surgery
cyst fluid inspection
special
value
check


Question: Common physiological changes of pregnancy for women, the following statements is wrong?

Answer: White blood cells in the blood is reduced

Choices:
A. Hematocrit (Hct, hematocrit) drops
B. PaCO2 drops
C. White blood cells in the blood is reduced
D. The average heart rate will gradually increase

Common physiological changes
pregnancy
following
wrong


Question: A 50-year-old male patient with high blood pressure, creatinine is 3.0 mg / dL, aortic photography figure, most likely diagnosis is:

Answer: Atherosclerotic renal artery stenosis and occlusion (Atherosclerotic steno-occlusion)

Choices:
A. Atherosclerotic renal artery stenosis and occlusion (Atherosclerotic steno-occlusion)
B. Renal artery fibromuscular dysplasia (Fibromuscular dysplasia)
C. Renal artery embolization (Renal artery embolism)
D. Peeling renal artery (Renal artery dissection)

50 year old male patient
high blood pressure
creatinine
3 0 mg
dL
aortic
likely diagnosis


Question: A long-term hemodialysis uremic patients, receiving erythropoietin (erythropoietin) injections three times a week 2000 U, played three months, hemoglobin (hemoglobin) seen to rise. When looking for reasons, most do not need to consider which of the following?

Answer: Calcium deficiency

Choices:
A. Chronic gastrointestinal bleeding
B. Adverse dialysis efficiency
C. Iron deficiency
D. Calcium deficiency

long-term hemodialysis
patients
receiving erythropoietin
erythropoietin
injections three times
week 2000 U
played three months
hemoglobin
hemoglobin
seen to
looking
most
not need to
following


Question: 65-year-old woman, the only past medical history of diabetes, was first diagnosed with high blood pressure, because systolic blood pressure between 190 ~ 200 mmHg, go to the emergency clinic, no discomfort, the last patients do not know they have high blood pressure Which of the following deal with the poor?

Answer: Sublingual administration of short-acting nifedipine antihypertensive immediately

Choices:
A. Ask the patient to take a break, then the amount of a blood pressure
B. Asked past medical history and family history
C. Sublingual administration of short-acting nifedipine antihypertensive immediately
D. Watch for changes in neurological

65 year old woman
only past medical diabetes
first diagnosed
high blood pressure
systolic blood pressure
200 mmHg
go
emergency clinic
discomfort
last patients
not
high blood pressure
following
poor


Question: Which of the following substances, the lowest in the blood pH regulation of importance?

Answer: Hydrogen sulfate

Choices:
A. protein
B. Hydrogen sulfate
C. Bicarbonate
D. Heme


Question: What kind of following drugs, not by promoting the machine turn water from the room to reduce intraocular pressure?

Answer: beta- receptor blockers (β-blocker)

Choices:
A. Prostaglandin (prostaglandin)
B. Miotics (miotics)
C. alpha- receptor agonist (α-agonist)
D. beta- receptor blockers (β-blocker)

kind
following drugs
not
machine turn water
room to
intraocular pressure


Question: Crohn's disease (Crohn's disease) the most common symptoms why?

Answer: Diarrhea and abdominal pain

Choices:
A. Diarrhea and abdominal pain
B. Rectal bleeding
C. Anal abscess
D. Enterocutaneous fistula

Crohn's disease
Crohn's disease
most common symptoms


Question: 70. Mrs. Ho 40 years old and has a son, recently frequent chest pain, Pirates, trembling, and there will be difficulty in breathing, feeling suffocated. Symptoms peak within about ten minutes, and the time is uncertain occurrence, has also occurs during sleep in the hospital do a lot of checks, can not find organic causes. Finally slowly improved after the forest physician-patient medicine, Dr. Lin's prescription, it is most likely a drug?

Answer: sertraline

Choices:
A. isosorbide mononitrate
B. propylthiouracil
C. sertraline
D. digoxin

70
Mrs
Ho 40 years old
recently frequent chest pain
trembling
difficulty
breathing
suffocated
Symptoms peak
ten minutes
time
uncertain occurrence
occurs
sleep
hospital
lot
checks
not find organic causes
slowly improved
medicine
Dr
Lin's
drug


Question: 28 weeks a pregnant woman, due to loss of consciousness into the emergency room, no signs of life when the hospital. You immediately start doing CPR for her, when performing cardiopulmonary resuscitation, the patient's posture should be based on what are the most appropriate?

Answer: Elevate the right hip, lying

Choices:
A. Elevate left hip, Trendelenburg
B. Elevate the right hip, lying
C. Elevate the right hip, high-Trendelenburg
D. Elevate left hip, lying


Question: 59 A 45 year old male, a month ago because of right big toe joint swelling and pain, checks the blood test and found that the number of white blood cells is 28,500 / mm3. Physical examination found right big toe at the slight pain, but according to patients complain of swelling than a month ago has been reduced, no other special exception. Re blood test, the following values: Hb 15.0 g / dL, hematocrit 46.5%, leukocytes 35,450 / mm3, classification blast 0.25%, promyelocyte 4.25%, myelocyte 8.5%, metamyelocyte 5.75%, band 9.5%, segmented neutrophil 50.75 %, eosinophil 2.75%, basophil 4.5%, monocyte 1.5%, lymphocyte 12.25%, platelets 319,000 / mm3, leukocyte alkaline phosphatase  (LAP) activity 28, LDH 1,148 U / L, AST 50 U / L, ALT 23 U / L. He checked the following items to diagnose the cause of this man leukocytosis most helpful?

Answer: Bone marrow chromosome analysis

Choices:
A. Uric acid
B. Hepatitis B and C serology
C. X-ray of the right big toe
D. Bone marrow chromosome analysis

59
year old male
month
of right toe joint swelling
pain
checks
blood test
found
number
white blood cells
500
mm3
found right
slight pain
patients
swelling
month
reduced
special
Re blood test
following values
Hb
0 g
dL
hematocrit
35 450
mm3
classification blast 0.25
8.5
75
band 9.5
segmented
50 75
75
platelets
mm3
leukocyte alkaline phosphatase
activity
LDH 1
U
L
AST 50 U
L
ALT 23 U
L
following
to diagnose
cause
man leukocytosis most helpful


Question: Those following hormone decreases muscle protein synthesis?

Answer: Glucocorticoids

Choices:
A. Glucocorticoids
B. Insulin
C. Growth hormone
D. Thyroid hormone


Question: 39-year-old male patient complained of left hip pain, a few months ago, receiving a kidney transplant. The picture shows the treatment of the MRI. The most likely diagnosis is:

Answer: Avascular necrosis of left femoral head

Choices:
A. Avascular necrosis of left femoral head
B. Chondroblastoma of left femoral head
C. Bony metastasis of left femoral head
D. Amyloidosis of left femoral head

year old male patient
left
few months
receiving
kidney transplant
picture
treatment
MRI
diagnosis


Question: The minimum number of opportunities following what happens thrombocytosis (thrombocytosis) is?

Answer: hepatitis C virus infection

Choices:
A. iron deficiency anemia
B. polycythemia vera
C. splenectomy
D. hepatitis C virus infection

minimum number
following
thrombocytosis
thrombocytosis


Question: Narrative about the physiology of children, what's right?

Answer: Cardiac output is mainly dependent on the heart rate

Choices:
A. Neonatal weight ratio of the low surface area, it is easy to lose body heat
B. Neonatal heat mainly by trembling (shivering)
C. Cardiac output is mainly dependent on the heart rate
D. Fluid ratio is lower than the share of adults


Question: Changes in the surrounding nerve transection due to trauma occurred, the following statements is true?

Answer: The proximal end of the severed nerve degenerate, generally affects only the distance between the nodules 2-3

Choices:
A. Axon (axon) is destroyed, myelin generally remained intact
B. Transected proximal (close to the nerve cell bodies) of nerve fibers Wallerian degeneration (Wallerian degeneration)
C. Traumatic neuroma (traumatic neuroma) is formed due to nerve regeneration, axonal its composition, but no other supporting cells such as Schwann cells (Schwann cell), fibroblast cells (fibroblasts) like
D. The proximal end of the severed nerve degenerate, generally affects only the distance between the nodules 2-3

Changes
surrounding nerve transection
trauma
following
true


Question: Normal order in general, tertiary treatment of wastewater why?

Answer: Physical, biological, chemical

Choices:
A. Physics, Chemistry, Biology
B. Biological, chemical, physical
C. Chemistry, Biology, Physics
D. Physical, biological, chemical


Question: A newborn baby, born weighing 2950 grams, the amount of normal feeding in the nursery. A month later, the mother was found to reduce the amount of feeding, increased frequency of vomiting, upper abdominal mass palpable olive is possible diagnoses Why?

Answer: Children hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)

Choices:
A. Meckel's diverticulum (Meckel diverticulum)
B. Biliary atresia (biliary atresia)
C. Cardiac spasm (cardiospasm)
D. Children hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)

newborn baby
born
grams
amount
normal
nursery
month later
found to
amount
increased frequency of vomiting
upper abdominal mass palpable olive
possible diagnoses


Question: Cerebral Palsy is doing rehabilitation therapy of the 3-year-old child, whose MRI FLAIR images of the figure below, showing bilateral symmetry of the lateral ventricle white matter lesions of high signal, whereby images can be speculated that the cause of his cerebral palsy is:

Answer: sequela of perinatal asphyxia of a premature infant

Choices:
A. sequela of previous Japanese encephalitis
B. sequela of previous herpes encephalitis
C. sequela of infantile head injury
D. sequela of perinatal asphyxia of a premature infant

Cerebral Palsy
rehabilitation therapy
year old
MRI FLAIR
bilateral symmetry
lateral ventricle white matter lesions
high
cause
cerebral palsy


Question: Which of the following is NOT a risk factor for endometrial cancer?

Answer: Multifetal

Choices:
A. Multifetal
B. obesity
C. Taking Tamoxifen
D. Taking estrogen

following
NOT a
factor
endometrial cancer


Question: Adrenaline (epinephrine) is synthesized from amino acids that kind?

Answer: Tyrosine (tyrosine)

Choices:
A. Tryptophan (tryptophan)
B. Tyrosine (tyrosine)
C. Half 胱胺 acid (cysteine)
D. Cystine (cystine)


Question: The following related unilateral vocal cord paralysis (unilateral vocal palsy) of the narrative, what's wrong?

Answer: The main nerve (superior laryngeal nerve) on the throat affected

Choices:
A. Adult trauma surgery unilateral vocal cord paralysis is the most common cause
B. The main nerve (superior laryngeal nerve) on the throat affected
C. The probability of occurrence of the left side than the right side common
D. Treatment can be the first observation of 6-12 months and then perform an operation


Question: Subjects were irradiated with a right eye, right eye pupil contraction, but not the left-eye pupil contraction. Whereby light reflected pupil (pupillary light reflex) can be ascertained:

Answer: His right eye optic nerve (optic nerve) light sensitivity and sound

Choices:
A. Its third cranial nerve conduction function of the left is not perfect
B. His right eye optic nerve (optic nerve) light sensitivity and sound
C. Wherein the brain (the midbrain) Zhizuo the Edinger-Westphal nucleus dysfunctional
D. Its left optic photosensitive sufficiency

Subjects
irradiated
right eye
right eye pupil contraction
not
left-eye pupil contraction
light reflected pupil
pupillary light reflex


Question: The following genus, whichever is the most alkaline environment of tolerance?

Answer: Vibrio (Vibrio)

Choices:
A. Helicobacter genus (of Helicobacter)
B. Vibrio (Vibrio)
C. Pseudomonas (of Pseudomonas)
D. Neisseria, (Neisseria)

following
most alkaline environment
tolerance


Question: After vitrectomy the eye (vitrectomy) usually enter the eye through where?

Answer: Flat portion (pars plana)

Choices:
A. Vitreous base (vitreous base)
B. Serrata (ora serrata)
C. Crease portion (pars plicata)
D. Flat portion (pars plana)

vitrectomy
eye
vitrectomy
usually enter
eye


Question: A 30-year-old hospital staff, because of confusion, abnormal behavior hospital, checked blood sugar is 42 mg / dL, no history of diabetes, but his brother is suffering from type 1 diabetes, but the number of patients in the early morning after soon a similar situation occurs. Blood test showed high insulin concentration in the blood of patients, and C- peptide (c-peptide) low concentrations, most likely diagnosis is:

Answer: Artificial hypoglycemia (factitious hypoglycemia)

Choices:
A. Reactive hypoglycemia (reactive hypoglycemia)
B. Early Diabetes
C. Artificial hypoglycemia (factitious hypoglycemia)
D. Insulinoma (insulinoma)

30 year old hospital staff
confusion
abnormal behavior hospital
blood sugar
mg
dL
history
diabetes
suffering
type 1 diabetes
number of patients
early morning
similar
occurs
Blood test
high insulin concentration in
blood
patients
C
peptide
c-peptide
low
likely diagnosis


Question: Which of the following methods to reduce spasms (spasticity), for the effect of the treatment of brain injuries who best?

Answer: Drug treatment

Choices:
A. Drug treatment
B. Cold therapy
C. Reflection suppressing method
D. Stretch exercise therapy

following methods to
spasms
spasticity
effect
treatment
brain injuries
best


Question: Mr. Wang, 60 years old, due to acute myocardial infarction admitted to the cardiac intensive care unit (CCU), upon inspection no arrhythmia, congestive heart failure or other complications. The first exercise tolerance test (exercise tolerance test) after myocardial infarction is usually carried out when?

Answer: Training period (training phase)

Choices:
A. Acute phase (acute phase)
B. Recovery (convalescent phase)
C. Training period (training phase)
D. The maintenance period (maintenance phase)

Mr
60 years old
acute myocardial infarction
cardiac
inspection
arrhythmia
congestive heart failure
complications
first exercise tolerance test
exercise tolerance test
myocardial infarction
usually carried out


Question: Following that kind of a general anesthetic (general anesthetics) most likely to cause cardiac output and blood pressure?

Answer: halothane

Choices:
A. ketamine
B. halothane
C. nitrous oxide
D. isoflurane 74 account of the caffeine, which of the following error?

Following
kind
general anesthetic
general anesthetics
to cause cardiac output
blood pressure


Question: 50 year old male patient complained of weakness has two weeks left limb, receiving magnetic resonance angiography, Figure A is a T1-weighted images after injection of the developer, panel B is a diffusion weighted image (diffusion-weighted image), which of the following is most likely the diagnosis?

Answer: Bacterial abscess (pyogenic abscess)

Choices:
A. Polymorphism neural glioblastoma (glioblastoma)
B. Bacterial abscess (pyogenic abscess)
C. Transfer (metastasis)
D. Multiple sclerosis (multiple sclerosis)


Question: Donabedian quality assessment model of medical quality evaluation method most commonly used, which is not an assessment of its main facets?

Answer: Performance (Performance)

Choices:
A. Process (Process)
B. Structure (Structure)
C. The results (Outcome)
D. Performance (Performance)

quality
medical
method
used
not
main facets


Question: In the blood pressure monitor blood pressure was 130/90 mm of mercury (mmHg). When measuring, following that situation can hear intermittent sound and percussion (tapping and intermittent sound)?

Answer: 130 mmHg> buckling pressure (cuff pressure)> 90 mmHg

Choices:
A. Buckling pressure (cuff pressure)> 130 mmHg
B. 130 mmHg> buckling pressure (cuff pressure)> 90 mmHg
C. 90 mmHg> buckling pressure (cuff pressure)
D. Measurements can be heard throughout, but different frequencies

blood pressure monitor
90 mm
mercury
mmHg
measuring
following
hear intermittent sound
percussion
intermittent sound


Question: 45-year-old male, five years ago to accept the right of the fourth and fifth lumbar disc surgery, the past month, the right side of sciatica recurrence. The initial diagnosis of recurrent disc herniation or epidural nerve sticky. He checked the following items, most of this difference both?

Answer: Plus developer MRI examination (magnetic resonance imaging with gadolinium)

Choices:
A. Developer plus CT examination (computed tomography with contrast enhancement)
B. CT angiography plus disc (computed tomographic discography)
C. Plus spinal CT angiography (computed tomographic myelography)
D. Plus developer MRI examination (magnetic resonance imaging with gadolinium)

year old male
five years
to accept
right
fourth
fifth lumbar disc surgery
past month
right side
sciatica recurrence
initial diagnosis
recurrent disc herniation
epidural nerve
following
most
difference


Question: Which of the following plans together with the brain's motor cortex and design operation will be a program (planning and programming movements)?

Answer: Cerebellar hemisphere side (lateral part)

Choices:
A. Internal cerebellar hemisphere (medial part)
B. Cerebellar hemisphere side (lateral part)
C. Cerebellar vermis (vermis)
D. Cerebellar lobule (flocculonodular lobe)

following plans
brain's motor cortex
operation
program
planning
movements


Question: When reconstructive surgery, the way of small blood vessels anastomosis (anastomosis) most commonly used are:

Answer: Terminus end anastomosis (end-to-end anastomosis)

Choices:
A. Terminus end anastomosis (end-to-end anastomosis)
B. End side of the anastomosis (end-to-side anastomosis)
C. Fit between the end of vein graft segments (vein graft)
D. End anastomosis between the graft and the artery segment (arterial graft)

reconstructive surgery
of small blood vessels anastomosis
anastomosis
most
used


Question: 9. A 55 year old man presented to the emergency department for treatment of chest tightness and low blood pressure. About half an hour ago, patients with chest discomfort due to sudden awakened in his sleep. In addition, several patients have dizziness, weakness and vomiting. Vital signs displaying the blood pressure 78/40 mmHg, heart rate 50 times per minute, respiratory rate 20 breaths per minute. Lung auscultation crackles (rales). ECG as shown in FIG. Chest X-rays no mediastinal FIG expand, no case of pulmonary edema. Echocardiography show left ventricular systolic function is normal, but right ventricular enlargement. Immediately dispose of the following is the best?

Answer: Now rapid infusion therapy given normal saline 500 mL

Choices:
A. Immediately placed aortic balloon pump (intra-aortic balloon pump)
B. Give immediate cardiac dobutamine
C. Give immediate intravenous nitroglycerin
D. Now rapid infusion therapy given normal saline 500 mL

year old man
emergency department
treatment of chest tightness
low blood pressure
half
hour
patients
chest discomfort due to sudden
sleep
addition
several patients
dizziness
weakness
vomiting
Vital signs displaying
blood pressure
40 mmHg
heart rate 50 times
minute
respiratory rate 20 breaths per minute
Lung auscultation crackles
rales
ECG
Chest X-rays
mediastinal
expand
case
pulmonary edema
Echocardiography
left ventricular systolic function
normal
right ventricular enlargement
Immediately
following
best


Question: In a free society will always be some people engage in risky sexual behavior or unhealthy lifestyle, how to face and take a practical approach to reduce the harm they cause, that harm reduction perspective, the prevention and control of substance abuse, the following was a domestic and foreign government agencies are not planning to implement a harm reduction measure?

Answer: The implementation of anti-drug education advocacy, urine screening and mandatory Drug Rehab

Choices:
A. The implementation of anti-drug education advocacy, urine screening and mandatory Drug Rehab
B. Providing methadone (a synthetic long-acting oral opioids) replacement therapy
C. Decriminalization of illicit drugs (especially marijuana), by a medical professional supervision of drug injection
D. Needle exchange program in order to improve drug users in contact with the pipe and clean needles and injection equipment

free
always
sexual behavior
to face
approach to
cause
harm reduction
prevention
control of substance abuse
following
domestic
foreign
not planning to
harm reduction measure


Question: Adult brain weight of about 2 to 3% of body weight, need never stop supply of nutrients (about 150 grams of glucose per day and 72 liters of oxygen). Brain oxygen consumption accounted for what percentage of body (%)?

Answer: 20

Choices:
A. 5
B. 10
C. 15
D. 20

Adult brain weight
3
body weight
need never stop supply
about
grams
glucose
day
72 liters
oxygen
Brain oxygen consumption accounted
percentage
body


Question: ⼀ bit 40 year old man suffering from symptoms of limb fat zoomed, radiological diagnosis found to have pituitary tumors, in addition to surgical removal of the tumor outside the watch surgery. Which of the following can be selectively used to treat such diseases?

Answer: octreotide

Choices:
A. desmopressin
B. octreotide
C. leuprolide
D. somatropin

bit 40 year old man suffering
symptoms
limb fat
radiological diagnosis found to
pituitary tumors
in addition to surgical removal
tumor outside
surgery
following
used to treat
diseases


Question: 40-year-old male patient was upper abdominal pain one day in hospital by the emergency. After the abdominal computed tomography hospital figures. He suffers from diabetes, hyperlipidemia. There are daily drinking habits. Which of the following best diagnosis of the patient for this purpose?

Answer: Acute pancreatitis

Choices:
A. Aortic dissection
B. Acute intestinal ischemia (ischemia)
C. Gastric ulcer perforation
D. Acute pancreatitis


Question: Bearing on the question, which of the following prognosis of the patients after surgery compared with nothing to do?

Answer: Jaundice index before surgery

Choices:
A. Age at surgery
B. Jaundice index before surgery
C. Postoperative jaundice index
D. Postoperative cholangitis (cholangitis)

Bearing
following prognosis
patients
surgery


Question: A head trauma patient's physical examination as follows: by the painful stimulus, the eyes will be opened. And the patient do not speak out loud. By painful stimuli, left arm will not move, stretch right arm will not normal (abnormal extension), it GCS (Glasgow coma scale, GCS) is how much?

Answer: 5

Choices:
A. 3
B. 4
C. 5
D. 6


Question: Movement sprained ankle, the first time how should I do?

Answer: Immediately ice to relieve pain and swelling

Choices:
A. Massage administration
B. Continue to move in order to maintain elastic ligament
C. Now heat to improve blood circulation
D. Immediately ice to relieve pain and swelling


Question: Which of the following through the chest tube through the diaphragm into the chest?

Answer: Aortic hiatus

Choices:
A. Esophageal hiatus
B. Aortic hiatus
C. Inferior vena cava hiatus
D. The outer arcuate ligament


Question: 12-year-old boy, birth weight, length, and the first year of growth and development are normal, physical examination found that the average height Diyuzhengchang, small bone age than the actual age, blood tests found that growth factor (IGF-1) is lower than the normal value of age However, consistent with the bone age, which of the following correct?

Answer: Physical retardation (constitutional growth delay)

Choices:
A. IGF-1 deficiency (IGF-1 deficiency)
B. Growth hormone deficiency (growth hormone deficiency)
C. Thyroid dysfunction (hypothyroidism)
D. Physical retardation (constitutional growth delay)

year old boy
birth weight
length
first year
growth
development
normal
found
average height
small bone age
actual
blood tests found
growth factor
IGF-1
lower
normal value
age
bone age
following correct


Question: About body tissue flap for reconstruction, which of the following error as breast cancer patients surgery?

Answer: Wide relationship back muscle flap (latissimus dorsi) as close to the anatomical location of the most commonly used

Choices:
A. Wide relationship back muscle flap (latissimus dorsi) as close to the anatomical location of the most commonly used
B. The latissimus dorsi flap may merge Breast reconstruction
C. Today's technology is mature surgery, most patients can remove the tumor in surgery, reconstruction surgery immediately
D. Autologous tissue flap because blood relations, may organized necrosis (necrosis) of problem

body tissue flap
reconstruction
following error
breast cancer patients surgery


Question: From the previous question, the most appropriate treatment for this disease Why?

Answer: glucocorticoids

Choices:
A. psychotherapy
B. glucocorticoids
C. local application of corticosteroid ointment
D. anxiolytics

previous
most appropriate treatment
disease


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

Answer: Deterioration of peripheral vascular perfusion

Choices:
A. Hypotension
B. Slow heartbeat
C. Deterioration of peripheral vascular perfusion
D. Α agonist treatment may be used

following related neurogenic shock
neurogenic shock
wrong


Question: The following description of the treatment of the drug Carbidopa Parkinson's disease, whichever is correct?

Answer: Reduces the metabolism of levodopa in peripheral systems

Choices:
A. Monoamine oxidase activity will inhibit  (monoamine oxidase) B, thereby reducing the metabolism of dopamine
B. Reduces the metabolism of levodopa in peripheral systems
C. Patients are often used alone to treat Parkinson's disease
D. Will BBB permeability (blood-brain barrier)

following
treatment
drug Carbidopa Parkinson's disease
correct


Question: Which of the following ⾛ on the inside of the lower extremities?

Answer: Zoomed saphenous vein (great saphenous vein)

Choices:
A. Zoomed saphenous vein (great saphenous vein)
B. ⼩ saphenous vein (small saphenous vein)
C. Popliteal vein (popliteal vein)
D. Femoral vein (femoral vein)


Question: There is a 40-year-old male patient complaining of left lower limb swelling for about 1 week, health checkups found the left foot and leg are than the right side is more swollen, and there is no redness or swelling, but the calf muscle tenderness, as a test, the left foot as bending backwards (dorsiflexion) the action will lead to the calf muscle pain, said he was likely to be the left lower limb DVT (deep vein thrombosis), the name of this test is:

Answer: Homans' test

Choices:
A. Kussmaul test
B. Homans' test
C. Allen's test
D. Babinski's test

a 40 year old male patient complaining of left lower limb swelling


Question: Which of the following no skin of the penis (penis) trunk now?

Answer: Fat cell (adipocyte)

Choices:
A. Gland (sweat gland)
B. Sebaceous glands (sebaceous gland)
C. Smooth muscle (smooth muscle)
D. Fat cell (adipocyte)


Question: What mechanisms of Clopidogrel antagonize platelet aggregation through?

Answer: The ADP receptor antagonism

Choices:
A. Enhance platelet c-AMP within the cell
B. The ADP receptor antagonism
C. Fibrinogen receptor (i.e., glycoprotein IIb / IIIa) antagonist of
D. Thromboxane receptor antagonism of

mechanisms
Clopidogrel
platelet aggregation


Question: The following description of the relevant heparin and warfarin, what's wrong?

Answer: heparin antagonist is an excess of Factor VIIa

Choices:
A. Using aPTT (activated partial thromboplastin time) to detect anticoagulant activity of heparin
B. To prothrombin time to detect anticoagulant activity of warfarin
C. heparin antagonist is an excess of Factor VIIa
D. The antagonist is an excess of warfarin frozen plasma and Vit. K1

following
relevant heparin
warfarin
wrong


Question: 52. One 52 year old man because of repeated asking the same question was sent to the emergency, the patient has a past history of migraine headaches, there is no recent history of trauma. This medical examination found that patients still have a sense of alertness and orientation of the people, attention, remote memory (remote memory) and language functions are also normal, routine laboratory examination of the real results are normal. After seven hours the patient, symptoms natural ease. The most likely diagnosis is:

Answer: Transient global amnesia brain (transient global amnesia)

Choices:
A. Transient global amnesia brain (transient global amnesia)
B. Substrate migraine (basilar migraine)
C. Dementia (dementia)
D. After the seizure confusion (postictal confusion)

One
year old man
repeated
same
sent
emergency
patient
past history of migraine headaches
recent history
trauma
found
patients
sense
orientation
functions
normal
routine laboratory examination
real results
normal
seven hours
patient
symptoms natural
diagnosis


Question: The following account of primary brain tumors (primary brain tumor), and what's wrong?

Answer: ependymoma occurs in the elderly

Choices:
A. glioma, the highest degree of malignancy of glioblastoma multiforme (GBM)
B. ependymoma occurs in the elderly
C. medulloblastoma is the most common type of primary brain tumor children
D. medulloblastoma CSF may be transferred to another position with the central nervous system


Question: The Watson-Crick model of DNA, there is an amount of force nucleotide chain binding off two streams, which of the following non?

Answer: Phosphate ions and the interaction between the bases (ionic interaction)

Choices:
A. Hydrogen bonds (hydrogen bonds between bases) is formed between each base
B. The accumulation of power between bases (Stacking of the bases)
C. Between the base generated by van der Waals interactions (Van der Waals interaction)
D. Phosphate ions and the interaction between the bases (ionic interaction)

Watson
DNA
amount
chain
two
following non


Question: Which of the following is the most common cause of fraternal twins (dizygotic twins) is?

Answer: Artificial reproductive technology (assisted reproductive technology)

Choices:
A. Older mothers (advanced maternal age)
B. Artificial reproductive technology (assisted reproductive technology)
C. Productive times for women (high parity)
D. Ethnic (racial predisposition)

following
most common cause
fraternal twins
dizygotic twins


Question: There are a variety of tumor cells to evade the immune system detect and destroy, but to continue to grow, but that does not include one of the following?

Answer: Increased anti-IgG antibody (anti-IgG antibody) of the rheumatoid factor (rheumatoid factor) to protect themselves

Choices:
A. Does not show sticky molecule (adhesion molecules) and costimulatory molecules (co-stimulatory molecules)
B. Increased anti-IgG antibody (anti-IgG antibody) of the rheumatoid factor (rheumatoid factor) to protect themselves
C. T cells secrete an inhibitory factor effect
D. Wrap themselves secrete substances formed immunodominant properties (tumor-induced privileged site)

to
immune system detect
to
to
not include one


Question: 46 Wang methane gas explosion in the unfortunate event of a bath house, an ambulance to an emergency room by emergency physicians and physical examination, burn range on both sides of the upper limbs, chest and abdomen deep second-degree burns, body weight was measured in the emergency department 60 kg; Will basis "rule of nines" and "Parkland formula" that burns why? How should be given 24 hours prior to infusion?

Answer: 36%; 8640 mL Lactated Ringer's solution (lactated Ringer's solution)

Choices:
A. 36%; 8640 mL Lactated Ringer's solution (lactated Ringer's solution)
B. 45%; 10800 mL lactate Ringer's solution (lactated Ringer's solution)
C. 36%; 8640 mL 5% dextrose solution (D5W)
D. 45%; 10800 mL 5% dextrose solution (D5W)

methane gas explosion
event of
bath house
ambulance
emergency room
emergency physicians
burn range
sides of
upper limbs
chest
abdomen deep second-degree burns
body weight
measured
emergency department 60 kg
basis
formula
burns
given 24 hours prior to infusion


Question: When a patient serological tests found hepatitis A virus (HAV) IgM antibodies were positive, which of the following is correct?

Answer: May get infected in the last few weeks

Choices:
A. Recent blood transfusion may get infected
B. May get chronic hepatitis (chronic hepatitis)
C. May get liver cancer
D. May get infected in the last few weeks


Question: After the 59-year-old female patient with accidental falls, complained of left shoulder pain, X-rays as shown, the most likely diagnosis Why?

Answer: calcified tendinosis

Choices:
A. calcified tendinosis
B. avulsion fracture of greater tuberosity
C. bone metastasis
D. primary osteoblastic bone tumor

59 year old female patient
accidental falls
left shoulder pain
X-rays
diagnosis


Question: Which of the following drugs compared with no therapeutic value in the treatment of children with acute promyelocytic leukemia (acute promyelocytic leukemia)?

Answer: Alpha interferon (interferon-α)

Choices:
A. All-trans-retinal acid (all-trans retinoic acid)
B. idarubicin
C. Alpha interferon (interferon-α)
D. Arsenic trioxide (arsenic trioxide)

following drugs
therapeutic value
treatment
children
acute promyelocytic leukemia
acute promyelocytic leukemia


Question: Pathology of non-epithelial ovarian cancer is described as follows: The large round, ovoid, or polygonal cell have abundant, clear, vary-palestaining cytoplasm, large and irregular nuclei, and prominent nucleoli, for that tumor diagnosis?

Answer: Asexual embryonic tumors (dysgerminoma)

Choices:
A. Ovarian Sertoli-Leydig Cell Tumor (Sertoli-Leydig cell tumor)
B. Asexual embryonic tumors (dysgerminoma)
C. Adult ovarian granulosa cell tumors (adult-type granulosa cell tumor)
D. Ovarian endodermal sinus tumor (endodermal sinus tumor)

Pathology of non epithelial ovarian cancer


Question: Which of the following is not a liver encephalopathy (hepatic encephalopathy) predisposing factors?

Answer: Intravenous branched chain amino acids (branch-chained amino acid) solution

Choices:
A. infection
B. High-protein diet
C. Hypokalemia
D. Intravenous branched chain amino acids (branch-chained amino acid) solution

following
not
liver encephalopathy
hepatic encephalopathy
predisposing factors


Question: The following statements about the treatment of thyroid storm (thyroid storm) in, what is appropriate?

Answer: Join propranolol treatment

Choices:
A. Prior use of high doses of iodine was added antithyroid drugs
B. Antithyroid drugs of choice carbimazole
C. Avoid the use of glucocorticoids
D. Join propranolol treatment

following
treatment
thyroid storm
thyroid storm
appropriate


Question: Which of the following drugs methanol (methanol) the optimal solution when agents of poisoning?

Answer: fomepizole

Choices:
A. hydroxocobalamin
B. fomepizole
C. esmolol
D. pralidoxime

following drugs methanol
methanol
optimal solution
agents
poisoning


Question: Related eye pterygium (pterygium), the following statements is true?

Answer: Pathogenic machine transfer and long-term exposure to UV the environment

Choices:
A. Infectious
B. It is possible to change the height of malignant tumors
C. Recurrence after surgery
D. Pathogenic machine transfer and long-term exposure to UV the environment

Related eye pterygium
pterygium
following
true


Question: Resulting in Hong Kong in 1997 and bird flu in Southeast Asia in 2004, and there are cases of human death of bird flu virus (Avian flu virus), its antigenicity is:

Answer: H5N1

Choices:
A. H7N7
B. H5N2
C. H5N1
D. H9N2

Resulting in Hong Kong
bird flu
Southeast Asia
cases
human death
bird flu virus
Avian flu virus


Question: A 59-year-old men who have brain watershed infarction (watershed infarct), the best of this disease occur in:

Answer: Anterior cerebral artery and the middle cerebral artery junction

Choices:
A. Anterior cerebral artery and the middle cerebral artery junction
B. Cerebral artery junction of the middle cerebral artery
C. When the onset of hypertension
D. When seizures

59 year old
brain
infarction
watershed infarct
best
disease occur


Question: Male infertility The most common chromosomal genetic diseases Why?

Answer: 47XXY

Choices:
A. 45XO
B. 46XX/46XY
C. 47XXY
D. 47XYY

Male infertility
most common chromosomal genetic


Question: The following description of the operation of related emphysema, what's wrong?

Answer: Hemothorax (hemothorax) is the most common complication after surgery

Choices:
A. Because of the risk of surgery is not low, it has appeared only on the clinical symptoms of dyspnea in patients before recommending surgery
B. The main surgical resection is large bullae, try to preserve good lung tissue
C. Are closely related to the risk of age and the severity of the patient's disease surgery
D. Hemothorax (hemothorax) is the most common complication after surgery

following
operation
related emphysema
wrong


Question: Ovulation oral drug clomiphene citrate, for certain which of the following is not valid?

Answer: Hypothalamic-pituitary failure

Choices:
A. Hypothalamic-pituitary dysfunction
B. Hypothalamic-pituitary failure
C. Polycystic ovary syndrome
D. Endometriosis

Ovulation oral drug clomiphene citrate
certain
following
not valid


Question: Account of eyelid plasty (blepharoplasty), the error which of the following?

Answer: Caused by the side of the drum may be considered partially cut projection lacrimal

Choices:
A. Because the side lacrimal gland (lacrimal gland) causing the bulge (lateral fullness) accounts for 10-15%
B. Caused by the side of the drum may be considered partially cut projection lacrimal
C. capsulopalpebral fascia is in series with a high position and the septum
D. When removal of fat inside the eye (medial border fat), to be noted that the orbital nerve (superior orbital nerve)

Account
eyelid plasty
blepharoplasty
error
following


Question: The following pregnancy affect blood pressure and blood action mechanics of narrative, what's wrong?

Answer: During pregnancy, increased peripheral vascular resistance

Choices:
A. During pregnancy, cardiac output increased by about 40%
B. During pregnancy, increased peripheral vascular resistance
C. During pregnancy, rapid heartbeat
D. During pregnancy, the blood pressure measurement (two consecutive, spaced more than 6 hours) than 140/90 mmHg not normal

following pregnancy
blood pressure
blood action
wrong


Question: Which of the following cardiac cause of syncope most difficult?

Answer: sinus tachycardia

Choices:
A. sinus tachycardia
B. sinus bradycardia
C. atrioventricular block
D. ventricular tachycardia

following cardiac
syncope most difficult


Question: Using the principles of anti-epileptic drugs, which of the following error?

Answer: In principle, two drugs better than single drug, to avoid development of resistance

Choices:
A. Drug selection may be classified in accordance with epilepsy
B. Gradually increase rather than be given the highest dose immediately
C. In principle, two drugs better than single drug, to avoid development of resistance
D. Individual differences in drug metabolism in vivo rate of

Using
anti-epileptic drugs
following error


Question: The account of chlorpromazine, which of the following error?

Answer: Is highly addictive

Choices:
A. Class can be used to treat mental illness
B. As a dopamine receptor antagonist
C. Is highly addictive
D. Attitude hypotension may occur


Question: Which of the following β1-receptor selectivity high, commonly used in the treatment of patients with acute heart failure?

Answer: Dobutamine

Choices:
A. Dobutamine
B. Terbutaline
C. Epinephrine
D. Dopamine

following
receptor
high
used
treatment of patients
acute heart failure


Question: The following statements about oximetry monitor (pulse oximeter), and what's wrong?

Answer: Can tell the difference carboxyhemoglobin and normal hemoglobin, thus monitoring the patient's carbon monoxide poisoning, very valuable

Choices:
A. The main use of hemoglobin of 660 nm and 940 nm the absorption capacity of the spectrum, to distinguish blood oxygen saturation
B. Can tell the difference carboxyhemoglobin and normal hemoglobin, thus monitoring the patient's carbon monoxide poisoning, very valuable
C. Basic anesthesia patient monitoring equipment
D. In normal hemoglobin and normal atmospheric pressure, when the 90% saturation, arterial oxygen partial pressure of approximately 60 mmHg (PaO2)

following
oximetry monitor
pulse oximeter
wrong


Question:
66, a 34-year-old woman, complained of the hands of the proximal interphalangeal joint (proximal interphalangeal joints), metacarpal - phalangeal joint (metacarpophalangeal joints) and wrist joint swelling and pain have 3 years. Laboratory examination revealed ESR 52 mm / 1h, 96 mm / 2h;
 46 mg / dL. X-ray examination of hand as shown in FIG. Which of the following is the most likely diagnosis in this patient?

Answer: Rheumatoid arthritis

Choices:
A. Septic arthritis
B. Rheumatoid arthritis
C. Osteoarthritis
D. Gouty arthritis

66
year old woman
of the hands
proximal interphalangeal joint
proximal interphalangeal joints
metacarpal
phalangeal joint
metacarpophalangeal joints
wrist
pain
3 years
Laboratory examination revealed ESR
mm
1h
96 mm
2h
46 mg
dL
X-ray examination of hand
following
diagnosis
patient


Question: A 28-year-old female patient complained of fatigue and dark urine. Physical examination showed jaundice, abdominal tenderness not obvious. Blood tests show:

Answer: Primary biliary cirrhosis

Choices:
A. Acute hepatitis A
B. Acute hepatitis B
C. Primary biliary cirrhosis
D. Cause of hepatitis drugs

year old female patient
fatigue
dark urine
jaundice
abdominal tenderness not
Blood tests


Question: Recently midline cerebellar nuclei are:

Answer: 頂 核 (fastigial nucleus)

Choices:
A. Spherical nucleus (globose nucleus)
B. 頂 核 (fastigial nucleus)
C. Bolt-shaped nucleus (emboliform nucleus)
D. Dentate nuclei (dentate nucleus)


Question: When you want to check the role of trochlear nerve (trochlear nerve), usually to the eye of the subject in that direction to see?

Answer: Within the next

Choices:
A. Within the
B. Within the next
C. Outside at
D. On the outside

to check
role
trochlear nerve
trochlear nerve
usually
eye
subject
direction to see


Question: 65. A 60-year-old woman due to rapid heartbeat, shortness of breath and chest pain and was sent to the emergency department, the last two days have shortness of breath, diarrhea, and symptoms of anxiety out. Her doctor found two weeks before taking methimazole has no blood in thyroid stimulating hormone (TSH) concentration of less than 0.04 mIU / mL (normal value is 4 mIU / mL ~ 4.0 mIU / mL), thyroid storm confirmed. Which of the following is the best drug treatment of thyroid storm?

Answer: propranolol

Choices:
A. epinephrine
B. propranolol
C. radioactive iodine
D. amiodarone

60 year old woman due to rapid heartbeat


Question: Anti-hypertension or angina effect Nitroprusside and nitroglycerin were arrived at through Which of the following enzymes resulting in smooth muscle relaxation?

Answer: Cytosolic guanylate cyclase

Choices:
A. Membrane-bound guanylate cyclase
B. Cytosolic guanylate cyclase
C. Phosphodiesterase
D. Protein kinase A


Question: One a large month-old boy was brought in clinic, my mother complained that three days after breastfeeding the baby immediately vomit, vomit without bile, in the past except for the occasional slight thin paste it outside, had not been the case. Which of the following is the most appropriate diagnosis?

Answer: Hypertrophic pyloric stenosis (hypertrophic pyloric stenosis)

Choices:
A. Lactose intolerance (lactose intolerance)
B. Congenital huge colon disease (Hirschsprung disease)
C. Hypertrophic pyloric stenosis (hypertrophic pyloric stenosis)
D. Duodenal atresia (duodenal atresia)

One
large month old boy
brought in clinic
three days
breastfeeding
baby immediately vomit
vomit
bile
past
occasional slight thin paste
outside
not
case
following
most appropriate diagnosis


Question: 19 a 10-year-old boy two days ago which happened vomiting, weakness of systemic symptoms, physicians administered to treat the symptoms, but the patient's condition deteriorated, because unconscious and taken to the emergency room. Physical examination found that patients in a coma (Coma) state, body temperature 38.5 ℃, blood pressure 90/40 mmHg, heart rate 160 beats / min, in addition to other oral mucosal dryness not found abnormal, nor signs of neurological local lesions (focal sign). Laboratory tests show glucose level of 50 mg / dL, serum sodium ion concentration of 125 mmol / L, potassium ion concentration of 3.6 mmol / L, chloride ion concentration of mmol / L, the sodium ion concentration in urine 50 mmol / L. This sick children most likely diagnosis Why?

Answer: Adrenal insufficiency (adrenal insufficiency)

Choices:
A. Acute gastroenteritis (acute gastroenteritis)
B. Heart failure (heart failure)
C. Encephalitis (encephalitis)
D. Adrenal insufficiency (adrenal insufficiency)


Question: The following narrative about progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy), and what's right?

Answer: Often occurs in leukemia, malignant lymphoid disease and acquired immune deficiency syndrome patients

Choices:
A. Often occurs in leukemia, malignant lymphoid disease and acquired immune deficiency syndrome patients
B. Lesions more common in the brain stem and spinal cord
C. Star cells (astrocytes) within the lesions were highly contracted in
D. Lesions have significant inflammatory response


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

Answer: Retinal detachment hole type (rhegmatogenous retinal detachment)

Choices:
A. Retinal detachment hole type (rhegmatogenous retinal detachment)
B. Traction retinal detachment (tractional retinal detachment)
C. Hemorrhagic retinal detachment (hemorrhagic retinal detachment)
D. Retinal detachment leakage type (exudative retinal detachment)

retinal photographs
patients
likely diagnosis


Question: Trypsin (Trypsin) which cut in the carboxy-terminal amino acids of the protein?

Answer: Lysine (lysine)

Choices:
A. Phenylalanine (Phenylalanine)
B. Lysine (lysine)
C. Methionine (methionine)
D. Tenfuyu 胺酸 (aspartate)


Question: About the sex chromosomes (sex chromosome) disorders, or dispose of the following statements whichever is most incorrect?

Answer: Karyotype 45, X / 46, XY more than 50% of patients presenting gender difficile (ambiguous genitalia)

Choices:
A. Sex chromosome mosaicism in case more than the number of chromosomal abnormalities disease
B. Such as a multi-sex chromosomes: 47, XXY higher figure, and as a less: 45, X dwarfish
C. Karyotype 45, X / 46, XY more than 50% of patients presenting gender difficile (ambiguous genitalia)
D. Turner's disease (Turner syndrome) If the Y chromosome contains a substance should pay attention to the occurrence of gonadoblastoma

sex chromosomes
sex chromosome
disorders
following
most incorrect


Question: In general, healthy and normal sexual life of young couples trying to conceive, 12 months after the chances of success are about:

Answer: 90%

Choices:
A. 90%
B. 70%
C. 50%
D. 30%

general
healthy
normal sexual
young
to
12 months
chances


Question: A 25-year-old female, due to sixth grade has been bitten by a dog, so very afraid of dogs, so she did not dare go out alone, there are more afraid of the dog anywhere, the emergence of interpersonal withdrawal, can not go out to seek employment. She learned that these are too afraid overdone, but is struggling to know how to change. The following information about the treatment of this case, what's wrong?

Answer: Drug treatment best

Choices:
A. Drug treatment best
B. Psychotherapy can help understand the causes of fear of cases, while cases encouraged to seek further treatment
C. Hypnosis, supportive therapy and family therapy may also be helpful
D. Such problems with behavioral therapy, the most commonly used method of reducing systemic sensitive method (systematic desensitization) of

year old female
sixth grade
bitten by
dog
very
not
go out alone
more
interpersonal withdrawal
not go out to
employment
to
to change
following information
treatment
case
wrong


Question: The following characteristics of what items found in acute megakaryocytic leukemia (acute megakaryoblastic leukemia)?

Answer: CD41 expression

Choices:
A. peroxidase positive reaction
B. Cytoplasm appears Auer rod
C. Performance Glycophorin A
D. CD41 expression

following characteristics
found
acute megakaryocytic leukemia
acute megakaryoblastic leukemia


Question: The following account of the thyroid eye disease, what's wrong?

Answer: Superior rectus (superior rectus muscle) earlier onset of inflammation and fibrosis of the extraocular muscles other than

Choices:
A. Occurs in middle-aged women
B. Superior rectus (superior rectus muscle) earlier onset of inflammation and fibrosis of the extraocular muscles other than
C. Smoke thyroid eye disease risk factor, so the treatment must also ask the patient to quit smoking
D. Is the cause of monocular goggle-eyed adult disease the most common

The following account of
thyroid eye disease
wrong


Question: 17-year-old male patient complained of neck swelling before accepting computer tomography, two figures respectively different section images after injection of the developer, which of the following is the most likely diagnosis?

Answer: Thyroglossal cyst (thyroglossal duct cyst)

Choices:
A. Cystic teratoma (cystic teratoma)
B. Branchial cleft cyst (branchial cleft cyst)
C. Thyroglossal cyst (thyroglossal duct cyst)
D. Lymphangioma (lymphangioma)

year old male patient
neck swelling
accepting computer tomography
two
different section
injection
developer
following
diagnosis


Question: Multiple nodular arteritis (Polyarteritis nodosa) of etiology, and often following infection, but what are exceptions?

Answer: Hepatitis A

Choices:
A. Hepatitis B
B. Hepatitis G
C. Hepatitis A
D. Streptococcus

Multiple nodular arteritis
Polyarteritis nodosa
etiology
often following infection