Question: Which of the following does not constitute an edge arm quadrangular space (quadrangular space) of?

Answer: Small rhomboid muscle (rhomboid minor)

Choices:
A. Small rhomboid muscle (rhomboid minor)
B. Humerus (humerus)
C. Teres major (teres major)
D. Long head of the triceps (long head of triceps brachii)

following
not
edge arm quadrangular space
quadrangular space


Question: One of the children aged two months on suspicion of developmental delay have been brought for treatment. When physical examination if one of the following reflection that there is still considered to be a normal reflex?

Answer: Lando reflection (Landau reflex)

Choices:
A. Startle reflex (Moro reflex)
B. Lando reflection (Landau reflex)
C. Zhang force reflector neck (tonic neck reflex)
D. The reaction palm grip (palmar grasp)

One
children aged two months
developmental delay
brought
treatment
one
following
to
normal reflex


Question:
79.30-year-old male patient, diagnosed with intracranial hemorrhage after treatment of patients is still confusion, the condition is not optimistic, considering the families of orthodox Western medicine efficacy stagnant, so there is the opportunity to find other ways to improve the condition. Because patients are devout folk religion, the gods after referrals to health care requirements
 Fushui gavage, in this case, following the disposal of what are the most appropriate?

Answer: Family health care workers may require affidavit executed, allowing self-fed family

Choices:
A. Health care workers should be unconditional assistance force-fed
B. Health care workers should be prohibited force-feeding their families on their own
C. Staff guidance on how family members should take the initiative force-fed
D. Family health care workers may require affidavit executed, allowing self-fed family

30 year old male patient
diagnosed
intracranial hemorrhage
confusion
condition
not optimistic
families
orthodox Western efficacy
to find
to
condition
patients
religion
requirements
gavage
case
following
most appropriate


Question: For a description of purpura nephritis (Henoch-Schönlein purpura nephritis), and which of the following error?

Answer: Sick children allergic purpura (ITP) in most of them will become chronic nephritis

Choices:
A. Sick children allergic purpura (ITP) in some patients appear hematuria, proteinuria
B. Sick children allergic purpura (ITP) in most of them will become chronic nephritis
C. Purpura nephritis most often occurs in the pathogenesis of allergic purpura 3 months
D. In terms of pure purpura nephritis microscopic hematuria (isolated microscopic hematuria) performers, best prognosis

purpura nephritis
Henoch
purpura nephritis
following error


Question: About infantile hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis), the following statements is this bad?

Answer: An average disease in two weeks after birth

Choices:
A. An average disease in two weeks after birth
B. Little or no vomit bile bile
C. Surgical treatment for pyloric sphincter incision (pyloromyotomy)
D. Good prognosis


Question: Statements about the role of the intravenous anesthetic thiopental, which of the following error?

Answer: Adult dose administered 2.5 mg / kg with a good analgesic effect

Choices:
A. Low-dose effect is sedation, hypnosis up to the role of high-dose
B. Adult dose administered 2.5 mg / kg with a good analgesic effect
C. For patients with traumatic brain injury, intracranial pressure may be reduced, having a neuroprotective
D. Alkaline formulation, to be isotonic sodium chloride, Ringer's lactate formulations do not use

role
intravenous anesthetic thiopental
following error


Question: Which of the following food intake of the human body, caused by the respiratory quotient (respiratory quotient) the highest?

Answer: Containing only carbohydrates food

Choices:
A. Containing only carbohydrates food
B. The only food containing fat
C. The only food containing protein
D. Mixed foods containing carbohydrates, fat, protein of

following food intake
human body
caused
respiratory quotient
respiratory quotient
highest


Question: Laser puncture the iris (laser iridotomy) that apply to the following types of glaucoma?

Answer: Blocking the pupil (pupillary block) of the angle-closure glaucoma

Choices:
A. Blocking the pupil (pupillary block) of the angle-closure glaucoma
B. Open corner glaucoma
C. Use of steroids led to the renewal of glaucoma
D. Any type of glaucoma apply

Laser puncture
iris
laser iridotomy
apply
following types
glaucoma


Question: 74 a 98-year-old woman, suffering from degenerative arthritis and lame in the past three years, sleep patterns change, often day and night reversed. The most recent year memory loss, beginning not remember names. Reduce appetite and weight loss phenomenon, recently more severe, then also become less, not express belly hungry or going to the toilet, and compare sleepiness, less urine and the color is dark yellow. That one of the following disposal more appropriate for this patient?

Answer: Comprehensive assessment of elderly

Choices:
A. Comprehensive assessment of elderly
B. EEG examination
C. Check the cancer tumor markers
D. Upper gastrointestinal

74
98 year old woman
suffering
degenerative arthritis
past three years
sleep patterns change
often day
night reversed
most recent year memory loss
beginning not
names
appetite
weight loss
recently
severe
then
less
not
belly hungry
toilet
sleepiness
less urine
color
dark yellow
one
following
more appropriate
patient


Question: 73. One 38 year-old man for treatment of sexual dysfunction, blood test results, testosterone concentration was 1.5 ng / mL (normal is 3 ~ 8 ng / mL), prolactin concentration of 150 ng / mL (normal adult male <20 ng / mL). Which of the following is least likely to cause cause of this sexual dysfunction?

Answer: Cryptorchidism (cryptorchidism)

Choices:
A. Inhibition of dopamine secretion of drugs administered
B. Gland in the brain (pituitary gland) a tumor
C. Hypothalamus (hypothalamus) near the Commissioner glandular (pituitary gland) at brain tumor
D. Cryptorchidism (cryptorchidism)

One
year old man
treatment
sexual dysfunction
blood test results
testosterone concentration
1.5 ng
mL
normal
3
ng
mL
prolactin concentration
ng
mL
normal adult male
20 ng
mL
following
least likely to cause cause
sexual dysfunction


Question: Following what kind of health insurance payment system, physicians are less likely to induce mild screening patients?

Answer: On the amount of capitation

Choices:
A. On the quality of capitation
B. On the amount of capitation
C. Capitation
D. In case payment


Question: The following related adrenal gland (adrenal gland) arterial supply, whichever is correct?

Answer: By the kidney artery (renal artery), the abdominal aorta (abdominal aorta) and inferior phrenic artery (inferior phrenic artery) of the three branches of supply

Choices:
A. Entirely supplied by a branch of the renal artery (renal artery) of
B. Entirely supplied by branches of the abdominal aorta (abdominal aorta) of
C. Branch supplied entirely by renal artery (renal artery) and abdominal aorta (abdominal aorta) of
D. By the kidney artery (renal artery), the abdominal aorta (abdominal aorta) and inferior phrenic artery (inferior phrenic artery) of the three branches of supply

following related adrenal gland
adrenal gland
arterial supply
correct


Question: A 7-day-old newborn has cyanosis, physical examination hear the first heart sound split second heart sound, the left sternal line appears the third time systolic heart murmur. Chest X-ray display case with an enlarged heart, the ECG display partial enlarged mandrel and the right atrium and right. This diagnosis of newborns are more likely to be:

Answer: Yibositan abnormalities (Ebstein anomaly)

Choices:
A. Coarctation of the aorta (Coarctation of aorta)
B. Hypoplastic left heart syndrome (Hypoplastic left heart syndrome)
C. Tetralogy of Fallot (Tetralogy of Fallot)
D. Yibositan abnormalities (Ebstein anomaly)

day old newborn
cyanosis
hear
first heart sound split second
left sternal line appears
third time systolic heart murmur
Chest X-ray display case
enlarged heart
ECG display partial enlarged mandrel
right atrium
right
diagnosis
newborns
more likely to


Question: The following narrative about acute liver failure patients with severe care of the disposal, what's wrong?

Answer: Hypernatremia (> 150 mmol / L) as a liver of Tabu

Choices:
A. European countries most common cause of liver toxicity caused by acetaminophen
B. Antibiotic prophylaxis has been shown to be effective in reducing infection rates
C. Cerebral edema and increased intracranial pressure, is an indicator of poor prognosis
D. Hypernatremia (> 150 mmol / L) as a liver of Tabu

following
acute liver failure patients
severe
wrong


Question: The following is how to construct a shallow concave perineum (superficial perineal pouch) upper bound?

Answer: Film perineum (perineal membrane)

Choices:
A. Levator ani fascia (fascia of the levator ani muscle)
B. Film perineum (perineal membrane)
C. Superficial perineal fascia (superficial perineal fascia)
D. Bulbospongiosus fascia (fascia of the ischiocavernosus muscle)

following
to
shallow concave perineum
superficial perineal pouch
upper bound


Question: Female lung cancer the most common type of organization to which of the following?

Answer: Adenocarcinoma

Choices:
A. Adenocarcinoma
B. Like squamous cell carcinoma
C. Small cell carcinoma
D. Large cell carcinoma

Female lung cancer
most common type
organization
following


Question: 10-day-old neonatal irritability, loss of appetite and fever phenomenon. Lumbar puncture found that many polymorphonuclear leukocytes, cerebrospinal fluid, most likely cultivate E. coli or which of the following?

Answer: group B Streptococcus

Choices:
A. Listeria monocytogenes
B. group B Streptococcus
C. Haemophilus influenzae
D. Neisseria meningitidis

10 day old neonatal irritability
loss of appetite
fever
Lumbar puncture found
polymorphonuclear leukocytes
cerebrospinal fluid
most likely
following


Question: About the narrative of the succimer, Which statement is correct?

Answer: Blood can be used for the treatment of high lead concentration in children

Choices:
A. 又名 DMPS（dimercaptopropanesulfornic acid）
B. To intramuscular injection
C. Blood can be used for the treatment of high lead concentration in children
D. There will be side effects of high blood pressure


Question: Digestive tract, which of the following has the strongest cytoplasmic eosinophilic (eosinophilic)?

Answer: Cell wall (parietal cell)

Choices:
A. Enteroendocrine cells (enteroendocrine cell)
B. Cervical mucus cells (mucous neck cell)
C. Primary cells (chief cell)
D. Cell wall (parietal cell)

Digestive tract
following
strongest cytoplasmic eosinophilic
eosinophilic


Question: Astigmatic lenses described + 2.0D sph with cyl -3.0D ax 90 ° is equivalent to which of the following?

Answer: -1.0D sph with cyl + 3.0D ax 180°

Choices:
A. -2.0D sph with cyl + 3.0D ax 180°
B. -2.0D sph with cyl - 3.0D ax 90°
C. -1.0D sph with cyl + 3.0D ax 180°
D. -1.0D sph with cyl - 3.0D ax 90°


Question: Which of the following parasite infection can cause cutaneous larva migrans (cutaneous larva migrans)?

Answer: 犬鉤蟲（Ancylostoma caninum）

Choices:
A. Canine heartworm (Dirofilaria immitis)
B. 犬鉤蟲（Ancylostoma caninum）
C. Dog roundworm (Toxocara canis)
D. C. hepatica (Capillaria hepatica)

following parasite infection
cause cutaneous larva migrans
cutaneous larva migrans


Question: 14 year-old girl and treatment of short stature, physical examination showed Height 132 cm (below the third percentile), the appearance shown in FIG. That one of the following examination to establish the diagnosis of most did not help?

Answer: Growth hormone stimulation test (Growth hormone stimulation test)

Choices:
A. Chromosome
B. Follicle stimulating hormone (FSH), luteinizing stimulating hormone (LH), estradiol (estradiol)
C. Hone齡 (Bone age)
D. Growth hormone stimulation test (Growth hormone stimulation test)

year old girl
treatment
short stature
Height
third percentile
appearance
one
following
to establish
diagnosis
most
not help


Question: A middle-aged man after many years engaged in physical labor, complained of back pain and lower limb muscle weakness on one side. Following that loss of muscle function, can confirm that the first recommended injured nerve (S1 spinal nerve), rather than the sciatic nerve injury?

Answer: Gluteus maximus

Choices:
A. Biceps femoris
B. Gastrocnemius
C. Gluteus maximus
D. Tibialis anterior muscle

middle-aged man
years engaged
physical labor
back pain
lower limb muscle weakness
one side
Following
loss
muscle function
confirm
first
injured nerve
S1 spinal
sciatic nerve injury


Question: Which of the following factors may be secreted to reduce acid production?

Answer: somatostatin

Choices:
A. acetylcholine
B. somatostatin
C. gastrin
D. histamine


Question: Which of the following minimal effect on platelet function?

Answer: heparin

Choices:
A. heparin
B. aspirin
C. uremia
D. von Willebrand disease

following minimal effect
platelet function


Question: Laparoscopic cholecystectomy (laparoscopic cholecystectomy) is performed, in order to prevent bile duct injury (bile duct injury), that one of the following will not turn into a laparoscopic surgery to open surgery (convert to open) the main factors?

Answer: Gangrenous gallbladder (gallbladder gangrene)

Choices:
A. Progression-free surgical procedure (operation is not progressing)
B. Unclear anatomy (anatomy in doubt)
C. Biliary photography can not clearly show the anatomy (cholangiogram does not clearly define anatomy)
D. Gangrenous gallbladder (gallbladder gangrene)

Laparoscopic cholecystectomy
laparoscopic cholecystectomy
performed
order to prevent bile duct injury
bile duct injury
one
following
not turn
laparoscopic surgery
open
to open
main factors


Question: When the sky off hernia (tentorial herniation), which structure most likely to fall into the sky notch (tentorial notch)?

Answer: Temporal lobe (temporal lobe)

Choices:
A. 間腦（diencephalon）
B. Temporal lobe (temporal lobe)
C. Olfactory bulb (olfactory bulb)
D. Pituitary gland (pituitary gland)

sky
hernia
tentorial herniation
structure
likely to fall
sky notch
tentorial notch


Question: Face 75-year-old male disease, because over the years when there is movement difficulty breathing phenomenon, to come to the hospital. Treatment when no fever, chest upwards body checkups found with both hands clubbing (clubbing fingers), can be heard at both lung fields with fine La Rec (fine crackles) and auscultation time, following which the disease is the most likely diagnosis ?

Answer: Pulmonary fibrosis

Choices:
A. Pulmonary fibrosis
B. Water resistant pulmonary edema
C. pneumonia
D. Lung cancer

Face 75 year old male disease
years
movement difficulty breathing
to
fever
chest
body
found
hands clubbing
clubbing fingers
heard
lung fields
fine La Rec
crackles
auscultation time
following
disease
diagnosis


Question: Sperm capacitation to the role (decapacitation) in where?

Answer: Epididymis tube (epididymis)

Choices:
A. Seminiferous tubule (seminiferous tubule)
B. Epididymis tube (epididymis)
C. Fallopian tube (oviduct)
D. Vas deferens (ductus deferens)


Question: A child, due to chronic diarrhea, flatulence, fatty stools, malabsorption and other symptoms seek medical treatment, nutrition has detected two nuclei in their feces, the parasite infection is he most likely to:

Answer: Giardia lamblia (Giardia lamblia)

Choices:
A. Dual-core amoeba (Dientamoeba fragilis)
B. Giardia lamblia (Giardia lamblia)
C. E. ciliates (Balantiduim coli)
D. People trichomoniasis (Trichomonas hominis)

child
chronic diarrhea
flatulence
fatty stools
malabsorption
symptoms
medical treatment
nutrition
detected two nuclei
feces
parasite infection


Question: The reason the nerve cells called neurons red (red neurons) because:

Answer: In acute injury caused by ischemia and hypoxia

Choices:
A. Blood ferrite
B. Containing pigment consumption
C. In acute injury caused by ischemia and hypoxia
D. Necrosis after calcium deposits


Question: Account of primary pneumothorax (primary pneumothorax), and what's wrong?

Answer: Insert a chest tube is absolutely necessary

Choices:
A. Diagnosis by medical history, physical examination and X-ray determination
B. CT routine does not need
C. Pneumothorax chronic obstructive pulmonary disease (COPD) is caused by the renewal of (Secondary) pneumothorax
D. Insert a chest tube is absolutely necessary

Account
primary pneumothorax
primary pneumothorax
wrong


Question: In anesthesia, which of the following approaches to sustainable and effective sensing whether a patient hypoxia?

Answer: Pulse oximeter (pulse oxymetry)

Choices:
A. Monitoring of inspired oxygen concentration
B. Observation of the patient's skin color
C. Pulse oximeter (pulse oxymetry)
D. Arterial blood oxygen analysis

anesthesia
following approaches
effective sensing
patient hypoxia


Question: Functional rehabilitation field of medical evaluation, the following best irrelevant?

Answer: Patients with liver and kidney function

Choices:
A. Life of the patient self-care functions
B. Patients with liver and kidney function
C. Before the onset of walking ability
D. Torso and limbs of muscle strength

Functional
Functional rehabilitation field
medical evaluation
following best


Question: Dysfunctional uterine bleeding (dysfunctional uterine bleeding) The most common machine transfer Why?

Answer: Anovulatory cycle (anovulatory cycle)

Choices:
A. Follicular phase is too short (short follicular phase)
B. Luteal phase (inadequate luteal phase)
C. Anovulatory cycle (anovulatory cycle)
D. Exogenous progesterone (exogenous progesterone)

Dysfunctional uterine bleeding
dysfunctional uterine bleeding
most common machine transfer


Question: A 72-year-old male, in recent days complained of headaches, dizziness, ataxia, limb weakness on the left side, according to CT findings (arrow indicates where the lesion), its diagnosis is:

Answer: Chronic subdural hematoma (chronic subdural hematoma)

Choices:
A. Chronic subdural hematoma (chronic subdural hematoma)
B. Hemorrhagic stroke
C. Infarct stroke
D. Meningioma (meningioma)

72 year old male
recent days
headaches
dizziness
ataxia
limb weakness
left side
CT findings
arrow
lesion
diagnosis


Question: 30 a 21 year old man years to polyuria and nocturia clinic, blood examination revealed: sodium 158 mmol / L, potassium 3.7 mmol / L, chloride 124 mmol / L, urine examination revealed sodium 12 mmol / L, K 6 mmol / L, creatinine 32 mg / dL, permeability of 60 mosm / kg H2O, desmopressin (DDAVP) tested was found to increase urine osmolality 500 mosm / kg H2O, the following statements is true?

Answer: Patients of central diabetes insipidus

Choices:
A. Patients as primary polydipsia
B. Patients with nephrogenic diabetes insipidus
C. Patients of central diabetes insipidus
D. Disease patients to osmotic diuresis (osmotic diuresis)


Question: A 3-year-old girl vomiting, unconsciousness and convulsions and other symptoms of acute cerebrovascular disease (acute encephalopathy) is sent to the emergency room, examination revealed metabolic acidosis (metabolic acidosis) merger hypoglycemia, abnormal liver function and blood ammonia high values (about three times the normal maximum value), taking her medical history is unknown, the following diseases or conditions whichever is least likely?

Answer: Acyl ornithine carbamoyl transferase deficiency (ornithine transcarbamylase deficiency)

Choices:
A. Taking aspirin and cold
B. Medium-chain fatty acid oxidation abnormality (medium-chain fatty acid oxidation defect)
C. Acyl ornithine carbamoyl transferase deficiency (ornithine transcarbamylase deficiency)
D. Primary systemic carnitine deficiency (primary systemic carnitine deficiency)

3 year old girl vomiting
unconsciousness
convulsions
symptoms
acute cerebrovascular disease
acute encephalopathy
sent
emergency room
revealed metabolic acidosis
metabolic acidosis
hypoglycemia
abnormal liver function
blood ammonia high values
about three times
normal maximum value
medical history
unknown
following diseases
conditions
least likely


Question: Use of oral contraceptives absolute contraindications are:

Answer: Thrombophlebitis

Choices:
A. Pelvic inflammation
B. Thrombophlebitis
C. Drinking habit
D. Menstrual cycle were not allowed


Question: A 70-year-old male patient complained of difficulty swallowing, his teeth locked (trismus), physical examination, neck stiffness, after hospitalization, appears straight spasms (orthotonos), opisthotonus (opisthotonos), generalized convulsions (generalized convulsions), the most appropriate initial examination why?

Answer: Check the body or limbs, there is no wound

Choices:
A. Measured alcohol concentration
B. Urine drug test reaction
C. Check the body or limbs, there is no wound
D. 測 VDRL

70 year old male patient
difficulty swallowing
teeth locked
trismus
neck stiffness
appears straight spasms
opisthotonus
opisthotonos
generalized convulsions
generalized convulsions
most appropriate initial


Question: Currently modern mental health, following which treatment is administered to patients with schizophrenia least?

Answer: Frontal cut open surgery (Frontal lobotomy)

Choices:
A. Dopamine receptor antagonist (Dopamine receptor antagonist)
B. Frontal cut open surgery (Frontal lobotomy)
C. Group Psychotherapy (Group psychotherapy)
D. Occupational Therapy (Vocational therapy)

Currently following treatment administered patients schizophrenia


Question: 59. According to history, answer the following two questions

Answer: CJD (Creutzfeldt-Jakob disease)

Choices:
A. Pick's disease (Pick disease)
B. Lewy body disease (dementia with Lewy bodies)
C. Ezihaimo disease (Alzheimer disease)
D. CJD (Creutzfeldt-Jakob disease)


Question: Congestive heart failure (congestive heart failure) patients associated with pulmonary edema (pulmonary edema), the following statements is wrong?

Answer: After lying down can alleviate the symptoms

Choices:
A. Pulmonary capillary pressure increases
B. Jugular venous pressure increased
C. After lying down can alleviate the symptoms
D. Will affect the alveolar gas exchange in severe


Question: From the previous question, if you are diagnosed with enteric fever, then the following statements is true?

Answer: In addition to blood culture, this time should be considered in the bone marrow and stool culture

Choices:
A. Widal test this with good sensitivity and specificity
B. Mr. Gu Although the incidence of nearly three weeks, but because of the above clinical symptoms, blood culture positive rate is still 90%
C. In addition to blood culture, this time should be considered in the bone marrow and stool culture
D. Most disease is self-limited, over ninety percent of patients can be cured without drugs

previous
diagnosed
enteric fever
then
following
true


Question: Surgical hysteroscope is not available for treatment of the following symptoms are what?

Answer: Repeated IVF failures

Choices:
A. Submucosal uterine fibroids
B. Repeated IVF failures
C. Uterine septum
D. Women approaching menopause, the normal uterus but menorrhagia

Surgical hysteroscope
not available
treatment of
following symptoms


Question: Statements about the colorectal cancer screening methods, Which statement is correct?

Answer: Less than 10% of colorectal cancer can be touched by Dre

Choices:
A. Fecal occult blood reaction specificity of up to about 80-90%
B. Less than 10% of colorectal cancer can be touched by Dre
C. Sigmoidoscopy (a sigmoidoscope) found over 90% of colorectal cancer
D. Colonoscopy (colonoscope) to find small polyps sensitivity of up to 95%

colorectal cancer screening methods
correct


Question: One 85-year-old diabetic patient, too cerebral vascular accident (cerebral vascular accident, CVA) occurs, and recently coronary artery disease (coronary artery disease) and is often angina (angina pectoris), he uremia (uremia) require long-term dialysis, One method that is safest for him?

Answer: Continuously movable peritoneal dialysis (continuous ambulatory peritoneal dialysis)

Choices:
A. Hemodialysis (Hemodialysis)
B. Continuously movable peritoneal dialysis (continuous ambulatory peritoneal dialysis)
C. Blood perfusion (hemoperfusion)
D. Continuous arteriovenous hemofiltration method (continuous arterio-venous hemofiltration)

One 85 year old diabetic patient
cerebral vascular accident
cerebral vascular accident
CVA
occurs
recently coronary artery disease
coronary artery disease
often angina
angina pectoris
uremia
uremia
long-term dialysis
One method


Question: Although some lymphocytes with low affinity molecules can be recognized self-antigen or autoantigen very similar, but it is possible to escape from the immune system tolerance machine body (self-tolerance) in turn can exist. What is the nature of these lymphocytes?

Answer: Generally does not produce an autoimmune reaction, only in special circumstances, such as will be activated when severe infection

Choices:
A. Generally does not produce an autoimmune reaction, only in special circumstances, such as will be activated when severe infection
B. Usually recycled to the thymus is removed, and therefore does not cause autoimmune disease
C. Biasing action will accept cytokines (cytokine deviation) disappear from in vivo
D. Regulation by AIRE (autoimmune regulator) gene caused the destruction of pancreatic islet cells (islet cells) of

lymphocytes
low
very similar
possible to
immune system tolerance machine body
self-tolerance
turn
nature
lymphocytes


Question: When two Hyperthyroidism caused to right, severe diplopia, two parallel image; the left as viewed, no diplopia. Which of the following most likely to be violated?

Answer: Right lateral rectus

Choices:
A. Right medial rectus
B. Right lateral rectus
C. Upper right rectus
D. Lower right rectus

two Hyperthyroidism caused
right
severe diplopia
two parallel
left
viewed
diplopia
following
likely to


Question: A 28-year-old women were infertile egg retrieval operation 6 days ago, 20 eggs were taken after 2 days implantation of three embryos. Today I come to the emergency, complained of breathing difficulties, nausea and bloating. Ultrasound detection of ovarian swelling of about 6 cm sides, a large number of ascites. That one of the following disposal are less suitable?

Answer: Blood test CA125, CEA, CA199

Choices:
A. Blood test CA125, CEA, CA199
B. Blood test CBC, electrolytes, GPT
C. LT), BUN, Creatinine
D. Pumping ascites

year old
infertile egg retrieval operation
days
20
2 days implantation
three embryos
Today I
emergency
breathing difficulties
nausea
bloating
Ultrasound detection
ovarian swelling
sides
large number
ascites
one
following
less suitable


Question: Surgery related to cervical degenerative disease of the narrative, which of the following error?

Answer: The elderly to accept the rear side of the arch resection, in the future it is easy to produce deformed spine kyphosis

Choices:
A. Cervical spinal cord lesions (cervical myelopathy) produce symptoms that required surgery
B. Acute nerve root compression can be the first conservative treatment
C. The elderly to accept the rear side of the arch resection, in the future it is easy to produce deformed spine kyphosis
D. Cervical before surgery may hurt the recurrent laryngeal nerve

Surgery related
cervical degenerative
following error


Question: Which of the following derivatives ⽣ Auto notochord (notochord)?

Answer: Nucleus (nucleus pulposus)

Choices:
A. Vertebral body (body of vertebra)
B. Nucleus (nucleus pulposus)
C. Fibrous ring (anulus fibrosus)
D. Vertebral ⼸ (vertebral arch)


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

Answer: After activation reaction can produce oxygen metabolites (reactive oxygen intermediates) and nitric oxide (NO)

Choices:
A. After activation reaction can produce oxygen metabolites (reactive oxygen intermediates) and nitric oxide (NO)
B. After activation can cause specific for toxic effects on pathogen (specific) of
C. Endogenous antigen presenting mainly compatible antigen (MHC class II) in the second type main cause tissue T cell activation
D. After activation produces cytokines, such as IL-4, etc.


Question: Baby in a large serum for 3 months, the higher the concentration of phenylalanine (Phenylalanine) and phenylketonuria (phenylpyruvate) a. If PKU (phenylketonuria), most likely to re-emerge following the inspection data?

Answer: Phenylalanine hydroxylase (Phenylalanine hydroxylase) activity is decreased

Choices:
A. Phenylalanine hydroxylase (Phenylalanine hydroxylase) activity is decreased
B. Black serum uric acid (Homogentisic acid) high concentrations
C. Vitamin B12 concentrations in serum low
D. Vitamin B6 concentration in serum low

Baby
large serum
3 months
higher
concentration
phenylalanine
Phenylalanine
phenylketonuria
phenylpyruvate
PKU
phenylketonuria
likely to re
following
inspection data


Question: 21 A 50-year-old man complained of weight loss, laboratory tests found lower serum albumin, and on endoscopic examination revealed gastric body folds (folds) thicker, it is most suitable for the diagnosis:

Answer: Ménétrier's disease

Choices:
A. Eosinophilic gastritis (eosinophilic gastritis)
B. Ménétrier's disease
C. Stomach cancer (gastric cancer)
D. Zollinger-Ellison syndrome

endoscopic examination revealed gastric folds


Question: He is 80 years old, suffering from high blood pressure, diabetes, prostate hypertrophy many years, the rules in the hospital, taking a total of six drugs of different frequencies. Often due to a cold, dizziness, fatigue or edema and other uncomfortable symptoms to clinics, and self-disabling chronic medication had to take it. Principles concerning the elderly medication following, whichever is correct?

Answer: This and other cases of dizziness, fatigue or edema symptoms may be related to long-term use of drugs

Choices:
A. This case had chronic disabling of taking drugs is correct, because it is easy drug interactions
B. This case taking time, the number of times without integration
C. This case no multiple drug problem
D. This and other cases of dizziness, fatigue or edema symptoms may be related to long-term use of drugs

80 years old
suffering
high blood pressure
diabetes
prostate hypertrophy
years
hospital
total
six drugs
different frequencies
Often
cold
dizziness
fatigue
edema
symptoms
clinics
chronic
to
medication following
correct


Question: Pituitary tumor compression of the optic chiasm (optic chiasma), which most of the following symptoms may occur?

Answer: Hemianopia temporal binocular field of view (bitemporal hemianopia)

Choices:
A. Monocular vision blind
B. Hemianopia temporal binocular field of view (bitemporal hemianopia)
C. Hemianopia contra eyes (homonymous hemianopia)
D. Hemianopia contra eyes, but the field of view macular retention (homonymous hemianopia with macula sparing)


Question: First women 27 years old, 35 weeks of pregnancy, the delivery room to the doctor complaining of vaginal bleeding and abdominal pain, blood pressure 96/58 mmHg, urine protein-free reaction, abdominal ultrasound unremarkable, because fetal heart monitor (tococardiography) exhibits delayed fetal heart rate deceleration (late deceleration) phenomenon, administered emergency Caesarean section, laparotomy, the uterus blue surface changes (Couvelaire uterus), concomitant poor uterine contraction and postpartum hemorrhage, what kind of obstetric emergencies?

Answer: Placental abruption (placental abruption)

Choices:
A. Placental abruption (placental abruption)
B. Placenta (placenta accreta)
C. Rupture of the uterus (uterine rupture)
D. Unexplained coagulopathy (idiopathic coagulation disorder)


Question: A healthy 20-year-old restless motorcycle riders, unfortunately injured in a car accident, causing left femur fracture, namely hospitalization. The next day the patient breathe faster, confusion, PaO2 was 55 mmHg, temperature 38 ℃, blotchy skin bleeding, he most likely diagnosis is:

Answer: Fat embolism syndrome (Fat embolism syndrome)

Choices:
A. Fat embolism syndrome (Fat embolism syndrome)
B. Compartment syndrome (Compartment syndrome)
C. Can not be identified head injuries (Unrecognized head trauma)
D. pneumonia

healthy 20 year old restless
injured
car accident
causing left
next day
patient
faster
confusion
PaO2
mmHg
temperature
blotchy skin bleeding
diagnosis


Question: One 35-year-old athlete in the health check, we found the edge of the area have a right kidney 3.5 cm protruding solid tumors (fat-free), which of the following disposal more appropriate?

Answer: Perform partial nephrectomy

Choices:
A. The implementation of radical nephrectomy
B. Fine needle aspiration for diagnosis purposes sliced
C. Perform partial nephrectomy
D. Oral targeted drug therapy

35 year old athlete
check
found
edge
area
right kidney
cm protruding solid tumors
fat free
following
more appropriate


Question: Cardiac auscultation examination, found to have abnormal noise in the fifth intercostal clavicle at the middle line, which of the following most lesions may occur?

Answer: Mitral valve (mitral valve)

Choices:
A. Mitral valve (mitral valve)
B. Aortic valve (aortic valve)
C. Tricuspid valve (tricuspid valve)
D. Pulmonary artery valve (pulmonary valve)

Cardiac
Cardiac auscultation
found to
abnormal
fifth
clavicle
middle line
following
lesions
occur


Question: Which of the following does not include the promotion of the Program of Action five in the Ottawa Declaration of Health Health Promotion in 1986?

Answer: Media advocacy

Choices:
A. Health Policy
B. Healthy Environment
C. Community participation
D. Media advocacy


Question: 37 a couple to the clinic for infertility examination, 30-year-old wife, the normal menstrual cycle, cycle day 3 FSH 7.2 IU / L, bilateral tubal patency, Mr. sperm count was 200,000 / mL, 10% motility, Mr. chromosome 46XY, no Y chromosome microdeletion. Would you recommend them for what treatment?

Answer: Intracellular sperm microinjection (intracytoplasmic sperm injection; ICSI)

Choices:
A. Artificial insemination (intrauterine insemination; IUI)
B. Traditional IVF (in vitro fertilization; IVF)
C. Intracellular sperm microinjection (intracytoplasmic sperm injection; ICSI)
D. Baby gift (gamete intrafallopian transfer; GIFT)

couple
clinic
infertility
30 year old
normal menstrual cycle
cycle day
IU
L
bilateral tubal patency
Mr
count
200
mL
10
motility
Mr
chromosome 46XY
chromosome microdeletion
treatment


Question: 71 Dr. Wang found that some physicians use cortisone treatment of symptoms of respiratory tract infection, he was very skeptical whether this treatment really works, he decided to EBM way to answer his questions. The one most suitable for the following questions to explore evidence-based medicine?

Answer: Cortisol comparison with the general treatment of the symptoms of respiratory tract infection symptoms on adult assessment

Choices:
A. Cortisol on evidence-based medicine respiratory symptoms on mitigation assessment
B. Cortisol comparison with the general treatment of the symptoms of respiratory tract infection symptoms on mitigation assessment
C. Cortisol before and after the use of a comparative assessment of the ease of use of respiratory symptoms
D. Cortisol comparison with the general treatment of the symptoms of respiratory tract infection symptoms on adult assessment

Dr
found
physicians use cortisone treatment
symptoms
respiratory tract infection
very
treatment
EBM
to
one most suitable
following
to
evidence-based medicine


Question: The narrative about methadone, which of the following error?

Answer: Analgesic effect than morphine poor

Choices:
A. Analgesic effect than morphine poor
B. The role of long half-life than morphine
C. Orally active
D. Withdrawal effect than morphine produced slight


Question: Congenital cystic adenomatous abnormal (Congenital cystic adenomatoid malformation) can be divided into three types depending on the size of the cyst, what items the following statements is most accurate?

Answer: Type III poor prognosis

Choices:
A. Type I with poor prognosis
B. Type II with poor prognosis
C. Type III poor prognosis
D. Has nothing to do with the kind of prognosis


Question: Currently used to treat endometriosis way, and that does not include one of the following?

Answer: Given dexamethasone

Choices:
A. Given progestin
B. Given danazol
C. Laparoscopic surgery
D. Given dexamethasone

Currently used to treat endometriosis
not include one


Question: The following narrative about the relationship between the ion current in ventricular myocytes of the action potential, what's wrong?

Answer: Fourth, the ion current is the main calcium influx

Choices:
A. Zeroth depolarization, the main flow of the ion current is sodium
B. The second phase (plateau), the main current of the ion is calcium ion flow
C. Third repolarization, the main flow of the ion current is potassium
D. Fourth, the ion current is the main calcium influx

following
relationship
ion current
action potential
wrong


Question: A 34-year-old healthy woman, since the beginning of G1P1,13-year-old was a regular menstrual cycle, complained of no menstruation began a year and a half ago. The results showed that blood: β-hCG <1.0 mIU / mL; estradiol <20 pg / mL, FSH> 100 mIU / mL, prolactin <20 ng / mL. In addition she has hot flashes (hot flash) and pain during intercourse (dyspareunia) problem has affected her life. The following statements is wrong?

Answer: This patient is a typical postmenopausal women (typical menopausal woman)

Choices:
A. This patient is a typical postmenopausal women (typical menopausal woman)
B. Compared with women of the same age have menstrual this patient, there is a higher risk of fractures and bone loss
C. This patient is premature ovarian failure (premature ovarian failure), should receive hormone replacement therapy (hormone replacement therapy)
D. Vaginal estrogen preparations (vaginal estrogens) can help improve pain during intercourse problems

year old healthy woman
beginning
G1P1
year old
regular menstrual cycle
menstruation began
year
half
results
blood
hCG
1 0 mIU
mL
estradiol
20 pg
mL
100 mIU
mL
prolactin
20 ng
mL
addition
hot flashes
pain
intercourse
dyspareunia
problem
affected
following
wrong


Question: Schilling, 56 years, height 159 cm, weight 60 kg, due to the recent dizzy often, so a hospital fasting blood glucose was 290 mg / dL, 9.9% glycated hemoglobin, creatinine (creatinine) 1.9 mg / dL, potassium 5.2 meq / L, urinalysis: urine protein ++ ++ urine. That one of the following information to understand Schilling's condition most helpful?

Answer: blood pressure

Choices:
A. waistline
B. GOOD
C. blood pressure
D. Uric acid

years
height
weight 60 kg
recent dizzy often
hospital fasting blood glucose
mg
dL
glycated hemoglobin
creatinine
creatinine
1.9 mg
dL
potassium
meq
L
urinalysis
urine protein
one
following
to
condition most helpful


Question: Patient complained of acute abdominal pain and poor appetite. Chest X- ray presented figures. That one of the following early diagnosis most correct?

Answer: pneumonia

Choices:
A. acute gastritis
B. perforated peptic ulcer
C. pneumonia
D. acute hepatitis

Patient
acute abdominal pain
poor appetite
Chest X
ray
one
following early diagnosis most correct


Question: The following account of chronic obstructive lung disease (chronic obstructive pulmonary disease, COPD), and what's wrong?

Answer: Not positive for the bronchial provocation test (bronchial provocation test)

Choices:
A. Smoking is the main risk factor
B. "Amount of one second (FEV1)" pulmonary function test is the best single indicator to assess the severity of
C. Not positive for the bronchial provocation test (bronchial provocation test)
D. By the "amount of one second (FEV1)" after the bronchodilator test (bronchodilator test) of less than 0.7


Question: 7441-year-old male workers at the site wrestling, X-ray showed bone open fractures in the tibia, after cast immobilization go home and rest, I feel more and more pain in his right foot while sleeping at night, after he ate painkillers, slightly ease the symptoms, but still persistent pain following a medical procedure whichever most correct?

Answer: The need to cut gypsum

Choices:
A. Increase the dose of painkillers can improve the condition
B. In other third-generation antibiotics can improve
C. The need to cut gypsum
D. To re-inflamed wound dressing

year old male
site
X-ray
bone open fractures
tibia
cast immobilization go home
I
more
more pain in
right foot
sleeping
night
ate painkillers
slightly
symptoms
persistent pain following
most correct


Question: Mr. Wang, 23 years old, height 185 cm, weight 60 kg, due to the student health clinic chest X-ray report suspected emphysema and thus medical treatment, there is no chest discomfort, there is no smoking in the past, and had no family history of congenital lung disease , which is scheduled for the following examination is most appropriate?

Answer: Pulmonary function tests: FVC, FEV, FEV1 and DLCO (carbon monoxide diffusion test)

Choices:
A. Lung computer tomography
B. Pulmonary function provocation test
C. Pulmonary function tests: FVC, FEV, FEV1 and DLCO (carbon monoxide diffusion test)
D. Arterial blood gas analysis

student health clinic chest report suspected emphysema


Question: Which of the following is not a sponge when complicated by sinusitis sinus thrombosis, can produce symptoms?

Answer: Facial palsy

Choices:
A. Trigeminal nerve symptoms
B. Photophobia
C. Diplopia
D. Facial palsy

following
not
sponge
complicated
sinusitis sinus thrombosis
symptoms


Question: About shoulder dislocation and instability (shoulder dislocation and instability), the following statements is wrong?

Answer: Forward dislocation (anterior dislocation), a nerve injury may be complicated should be noted, of which the radial nerve (radial nerve) is the most common injury

Choices:
A. Forward dislocation (anterior dislocation) common than backward dislocation (posterior dislocation)
B. Forward dislocation (anterior dislocation), a nerve injury may be complicated should be noted, of which the radial nerve (radial nerve) is the most common injury
C. If the first occurrence of dislocation younger than 20 years old, the future have a higher chance of recurrent dislocation (recurrent dislocation)
D. If multi-directional shoulder instability (multidirectional instability), are usually not caused by trauma, treatment preference for the physical therapy

shoulder dislocation
instability
shoulder dislocation
instability
following
wrong


Question: Once reduce blood sugar, which of the following can be restored to normal blood sugar values?

Answer: Decreased insulin, glucagon increases

Choices:
A. Insulin (insulin) increases, glucagon (glucagon of) reduction
B. Decreased insulin, glucagon increases
C. Insulin increases, increased glucagon
D. Decreased insulin, glucagon reduced

blood sugar
following
normal blood sugar values


Question: Which of the following is least likely supplied by the right coronary artery?

Answer: Atrioventricular bundle

Choices:
A. Right atrium
B. Atrioventricular node
C. Restraint belt (moderator band)
D. Atrioventricular bundle

following
least likely
right coronary artery


Question: Regulation of enzyme activity following the way, what is irreversible (irreversible)?

Answer: Proteolytic zymogen (a zymogen) cleavage (proteolytic clevage)

Choices:
A. Ectopic adjustment (allosteric regulation)
B. Covalent modification (covalent modification)
C. Proteolytic zymogen (a zymogen) cleavage (proteolytic clevage)
D. Non-competitive inhibitors of binding (uncompetitive inhibitor) of


Question: Which of the following carries the sensory innervation of the pericardium (pericardium) of?

Answer: Phrenic nerve (phrenic nerve)

Choices:
A. Intercostal nerve (intercostal nerve)
B. Phrenic nerve (phrenic nerve)
C. Vagus nerve (vagus nerve)
D. Sympathetic trunk (sympathetic trunk) that section 14 of the stomach protrudes above it at the entrance of the esophagus?

following carries
sensory innervation
pericardium
pericardium


Question: After a number of weeks of pregnancy to 26 weeks premature children discharged after birth to your clinic track examination during seven months. He will issue a ㄨ ㄧ sound, but still no da ba tone. Head will turn to the source. Prone chest and head can be lifted, but still will not turn over. Toys will give him the grip, but still will not take the initiative to reach out and grab. Your assessment of him is:

Answer: The overall development of normal

Choices:
A. Gross motor developmental delay
B. Fine motor development delay
C. Delayed language development
D. The overall development of normal

number of weeks
pregnancy
weeks premature children
after birth
clinic track examination
seven months
issue
sound
da ba tone
Head
turn
source
Prone chest
head
not turn
Toys
give
grip
not
to reach out
grab


Question: Which of the following drugs for nausea caused by chemotherapy agents, vomiting, have a good preventive effect?

Answer: ondansetron

Choices:
A. buspirone
B. ketanserin
C. tegaserod
D. ondansetron

following drugs
nausea caused
chemotherapy agents
vomiting
good preventive effect


Question: Description of the pharmacological effects following alcohol-related, what's wrong?

Answer: When administered via intravenous way with the same dose of alcohol, the alcohol concentration in the blood plasma of women higher than men

Choices:
A. Alcohol can be completely absorbed from the gastrointestinal tract
B. When administered via intravenous way with the same dose of alcohol, the alcohol concentration in the blood plasma of women higher than men
C. Metabolism of alcohol zero order reaction (zero-order kinetics)
D. Acetaldehyde is the primary product of alcohol metabolism


Question: 44. The following diseases that occur on the left side? ① varicocele (varicocele) ② gastroschisis (gastroschisis) ③ cryptorchidism (undescended testis) ④ Bochdalek congenital diaphragmatic hernia (Congential diaphragmatic hernia, Bochdalek type)

Answer: ①④

Choices:
A. ①②
B. ①③
C. ②④
D. ①④

following diseases
occur
left side
varicocele
varicocele
gastroschisis
gastroschisis
cryptorchidism
undescended testis
congenital diaphragmatic hernia
diaphragmatic hernia
type


Question: Which of the following with Crystal ectopic (ectopia lentis) has nothing to do?

Answer: Down Syndrome (Down syndrome)

Choices:
A. Marfan syndrome (Marfan syndrome)
B. Weill-Marchesani 症候群 (Weill-Marchesani syndrome)
C. Homocysteine metabolism (homocystinuria)
D. Down Syndrome (Down syndrome)

following
Crystal ectopic
ectopia lentis
to


Question: Description of the clinical characterization of children with infective endocarditis (Infective endocarditis) relating to which of the following error?

Answer: Real sick children often have room to check low white blood cell (Leukopenia) or proteinuria (Proteinuria) phenomenon

Choices:
A. Sick children congenital heart disease may be a patient or patients with a central venous catheter (Central venous catheter) is placed
B. Sick children with respiratory asthma, Pirates night, weight loss symptoms
C. Sick Children physical examination enlarged spleen, or appear Roth spots such as embolic phenomena (Embolic phenomena)
D. Real sick children often have room to check low white blood cell (Leukopenia) or proteinuria (Proteinuria) phenomenon

clinical
children
infective endocarditis
Infective endocarditis
relating
following error


Question: For suspected hyperlipidemia associated with hypotension adult emergency procedure (protocol for resuscitation of adult hypotensive patients with suspected sepsis), which of the following inappropriate?

Answer: Central venous or pulmonary artery catheters placed, holding CVP / PAWP level <8 mmHg

Choices:
A. Do culture fluids, including blood
B. Central venous or pulmonary artery catheters placed, holding CVP / PAWP level <8 mmHg
C. Min recovery target set at the mean blood pressure or pulse rate greater than 65 mmHg less than 120 beats /
D. Monitoring venous oxygen concentration and urine volume


Question: Amyloidosis (amyloidosis) are a class of protein misfolding diseases caused by, what kind of protein secondary structure (secondary structure) leads to the relationship between these disorders and the most closely related?

Answer: flaps β- (β-sheet)

Choices:
A. α- helix (α-helix)
B. flaps β- (β-sheet)
C. beta- 回轉 (b-turn)
D. Random coil (random coil)

Amyloidosis
amyloidosis
protein misfolding diseases caused
kind
protein secondary structure
secondary structure
leads
relationship
disorders
most
related


Question: The following inguinal hernia related (inguinal hernia) and water resistant ⼩ children scrotal swelling (hydrocele) of the narrative, what's wrong?

Answer: Inguinal hernia scrotum ⼩ children and swelling of the water resistant, and the reasons for its formation process is completely different, so the shutter mode is not treated like ⼀

Choices:
A. ⼩ child groin hernia zoomed mostly indirect inguinal hernia. Hernia sac formed is not closed because the fetal period vaginalis (processus vaginalis) caused ⽽
B. The watch hernia treatment can position the inner ring (internal ring) to do the hernia sac ADVANCED bit ligation (high ligation)
C. Inguinal hernia scrotum ⼩ children and swelling of the water resistant, and the reasons for its formation process is completely different, so the shutter mode is not treated like ⼀
D. When scrotal swelling ⼀ a water resistant water resistant had no scrotum swollen ⼩ male ⽣ suddenly appeared, to carefully distinguish whether the testicular tumor, trauma, or reverse the inflammation epididymis

following inguinal hernia related
inguinal hernia
water resistant
children scrotal swelling
hydrocele
wrong


Question: A 85-year-old female patient bedridden stroke two years ago, have appeared on the nasogastric tube and catheter, two years, there have been three times due to aspiration pneumonia admitted to the intensive care unit, describes the following information about the home visit services, whichever is the least appropriate?

Answer: If you develop fever immediately taken to the hospital, so as not to worsen pneumonia

Choices:
A. When discussing the situation concerning the end of the process to be made
B. Help patients to replace the nasogastric tube and catheter
C. Assess the ability to take care of their families
D. If you develop fever immediately taken to the hospital, so as not to worsen pneumonia

85 year old female patient bedridden stroke two years


Question: The following narrative about sleep apnea syndrome (sleep apnea syndrome), and what's wrong?

Answer: Diagnosis of obstructive sleep apnea syndrome is (polysomnography) inspection found a number of physiological basis of sleep, breath the air flow and lung, abdominal breathing action while suspended

Choices:
A. Obstructive sleep apnea syndrome (obstructive sleep apnea), often at night snoring, daytime headache history
B. Diagnosis of obstructive sleep apnea syndrome is (polysomnography) inspection found a number of physiological basis of sleep, breath the air flow and lung, abdominal breathing action while suspended
C. Obstructive sleep apnea syndrome in obese than Rongyifasheng and short chin person
D. Sleep apnea syndrome may increase cardiovascular disease

following
sleep apnea syndrome
sleep apnea syndrome
wrong


Question: A stroke patient from swallowing disorders after stroke onset, he currently only slowly swallow semi-solid food, drink plenty of water or fruit juice when it is very easy to choke. This dysphagia patient of what should occur in the following stage?

Answer: Stage throat (pharyngeal phase)

Choices:
A. Oral Stage (oral phase)
B. Stage throat (pharyngeal phase)
C. Stage esophagus (esophageal phase)
D. Nasal phase (nasal phase)

stroke patient
swallowing
stroke onset
currently only slowly swallow
water
very easy to choke
dysphagia patient
occur
following stage


Question: Which of the following starting point (origin) is not the humerus?

Answer: 喙肱 skin (coracobrachialis)

Choices:
A. 喙肱 skin (coracobrachialis)
B. Brachial muscle (brachialis)
C. Elbow 橈肌 (brachioradialis)
D. Palm longus (palmaris longus)

following starting point
origin
not
humerus


Question: 7-day-old baby's natural production of, vomiting and difficulty eating symptoms, physical examination found opisthotonus (opisthotonos), there is real room to check the phenomenon of low blood sugar, urine examination was normal, the water has a strange taste, patients with metabolic acidosis. The most likely diagnosis is:

Answer: Maple syrup urine disease (maple syrup urine disease)

Choices:
A. Renal tubular acidosis (renal tubular acidosis)
B. Maple syrup urine disease (maple syrup urine disease)
C. Arnold-Chiari Mr. Kikei (Arnold-Chiari malformation)
D. Congenital hypothyroidism (congenital hypothyroidism)

7-day old baby's natural
vomiting
difficulty eating symptoms
found opisthotonus
opisthotonos
real room to check
low blood sugar
urine examination
normal
water
taste
patients
metabolic acidosis
diagnosis


Question: From the previous question, cardiac ultrasound examination, preliminary diagnosis, also found that pulmonary arterial pressure is not high, following a diagnosis that is most likely?

Answer: Law Rockwell Snap disease

Choices:
A. The large arteries transposition disease
B. Atrial septal defect
C. Law Rockwell Snap disease
D. Pulmonary valve atrophy

previous
cardiac
preliminary diagnosis
found
pulmonary arterial pressure
not high
following
diagnosis


Question: The following description of the treatment of Parkinson's disease drug levodopa, and what's right?

Answer: levodopa can cause loss of appetite

Choices:
A. poor oral levodopa, to be intravenously administered in a manner
B. levodopa and generally not selegiline (deprenyl) and treated with
C. often with levodopa and bromocriptine and to prolong the effect of time
D. levodopa can cause loss of appetite

following
treatment
Parkinson's disease drug levodopa
right


Question: About atopic dermatitis following narrative, what's wrong?

Answer: Often occurs in the elderly

Choices:
A. Often occurs in the elderly
B. Patients often also suffer from asthma (Asthma) or allergic rhinitis (allergic rhinitis)
C. Laboratory examination often shows blood IgE rise
D. Can be accompanied by herpes simplex infection, known as eczema herpeticum


Question: From the previous question, after three months of eating habits control, and then tracking fasting glucose level of 120 mg / dL, T-CHO was 242 mg / dL, HDL-C was 34 mg / dL, TG 180 mg of / dL, disposal is the most appropriate at this time:

Answer: Given statin drugs

Choices:
A. Then strictly controlled dietary intake of sugar
B. Given fibrate drugs
C. Given statin drugs
D. Nicotinic acid drugs administered

previous
three months
control
then tracking fasting glucose level
mg
dL
T
242 mg
dL
HDL
mg
dL
TG
mg
dL
most appropriate
time


Question: O Jun (type O, Rh-positive) need a blood transfusion, but Mr. A (A type, Rh-negative) may not be the main reason for transfusion to O king why?

Answer: O Jun anti-A antibody will have a red blood cell A antigen was dissolved

Choices:
A. O Jun blood having leukocyte antigen is O red blood cells having antigen A coated
B. O Jun Rh-positive antibody will Mr. A Rh-negative hemagglutination
C. O monarch has had on leukocyte antigen will swallow O red blood cells have A antigens
D. O Jun anti-A antibody will have a red blood cell A antigen was dissolved

O Jun
type
Rh-positive
need
blood transfusion
Mr
type
Rh-negative
not
main
transfusion
O


Question: 17-year-old boy for the last 2 weeks Tichongzengjia 10 kg and edema condition for treatment, physical examination found a pressing lower limb edema, urine examination revealed severe proteinuria (3+), white blood cells: 20 / HPF, blood tests found low albumin: 1.6 g / dL, increased cholesterol: 425 mg / dL and triglycerides increased 300 mg / dL, Which of the following is the most likely diagnosis?

Answer: Nephrotic syndrome

Choices:
A. Nephrotic syndrome
B. Acute nephritis
C. Urinary tract infections
D. Dilated cardiomyopathy


Question: Mr. Zhang, 65 years old, hepatitis B virus in patients with primary. Due to chronic hepatitis, the doctor suggested every 3-4 months receiving blood liver function tests and abdominal ultrasound. Recently abdominal ultrasound examination has found the right lobe of a hybrid echo level of tumors, tumor size of about 5 cm. Blood concentrations of alpha-fetoprotein is 4820 ng / mL. The initial diagnosis of hepatocellular carcinoma physician is recommended Mr. Zhang underwent surgery. Physical examination, Mr. Zhang sane, the detection value prior to treatment of serum albumin is 4.2 g / dL, a total bilirubin 0.8 mg / dL, blood coagulation time (prothrombin time) is nine seconds, no ascites. According to Child-Pugh classification of liver function, Mr. Zhang should belong to that of the following?

Answer: Child-Pugh A

Choices:
A. Child-Pugh A
B. Child-Pugh B
C. Child-Pugh C
D. Child-Pugh D


Question: A 12-year-old spina bifida (myelomenigocele) patients, the emergence of rapid change in the past six months scoliosis, the following statements is wrong?

Answer: Usually normal bowel and bladder function

Choices:
A. Spinal cord may be involved (tethered spinal cord) to produce
B. Treatment with surgery to relax (surgical detethering) based
C. Usually normal bowel and bladder function
D. Repeated flexion and extension of the spinal cord may cause micro infarction (microinfarction)

year old spina bifida
patients
rapid change
past six months scoliosis
following
wrong


Question: 68-year-old male patient suffering from cancer, complain of bone pain. The picture shows the lumbar spine X-ray photography of this treatment. The most likely source of bone metastasis Why?

Answer: prostate cancer

Choices:
A. thyroid cancer
B. adrenal cancer
C. renal cancer
D. prostate cancer

year old male suffering
cancer
bone pain
picture
lumbar spine X-ray
of
treatment
source
bone metastasis


Question: Edema caused by cirrhosis of the liver Which of the following best reaction of drugs?

Answer: eplerenone

Choices:
A. mannitol
B. eplerenone
C. bumetanide
D. thiazide

Edema caused
cirrhosis of
liver
following best reaction
drugs


Question: A 49-year-old male patient, after a fall in the game of tennis, abdominal swelling and pain in the right leg three days. The figure below shows the gray scale and color duplex ultrasonogram for vertical scanning ventromedial leg, the arrow at the most likely diagnosis Why?

Answer: Gastrocnemius partial tear (partial tear of gastrocnemius)

Choices:
A. Gastrocnemius partial tear (partial tear of gastrocnemius)
B. Gastrocnemius angioma (hemangioma of gastrocnemius)
C. Leg abscess (lower leg abscess)
D. Ejilisi tendon (Achilles tendon tear)

year old male patient
fall
abdominal swelling
pain in
right leg three days
gray scale
color duplex ultrasonogram
vertical scanning
leg
arrow
likely diagnosis


Question: 3-year-old boy by an arcuate legs (bowleg) visit, laboratory tests showed that serum calcium concentration of 8 mg / dL (2.0 mmol / L) (normal 8.8-10.8 mg / dL), inorganic phosphorus concentration of 3.2 mg / dL (normal 3.8-6.5 mg / dL), alkaline phosphatase (alkaline phosphatase) concentration of 1,000 U / L (normal 145-420 U / L), complete parathyroid hormone (intact parathyroid hormone) concentration of 150 pg / mL (normal 9-65 pg / mL), the most likely diagnosis in this patient is:

Answer: Vitamin D-dependent rickets (vitamin D dependent rickets)

Choices:
A. High-energy primary parathyroid disease (primary hyperparathyroidism)
B. Vitamin D-dependent rickets (vitamin D dependent rickets)
C. Hypophosphatemia rickets bloody (hypophosphatemic rickets)
D. Inadequate calcium intake

3 year old boy
arcuate legs
bowleg
laboratory tests
serum calcium concentration
mg
dL
2 0 mmol
L
normal 8.8 10
mg
dL
concentration
2 mg
dL
normal
8
5 mg
dL
alkaline phosphatase
alkaline phosphatase
concentration
U
L
normal
420 U
L
complete parathyroid hormone
intact parathyroid hormone
concentration
pg
mL
normal
65 pg
mL
diagnosis
patient


Question: Which of the following may cause hypotension, acute gastroenteritis, and even shock and metabolic acidosis (metabolic acidosis) and other symptoms of poisoning?

Answer: Acute poisoning inorganic arsenic (acute inorganic arsenic poisoning)

Choices:
A. Acute poisoning inorganic arsenic (acute inorganic arsenic poisoning)
B. Acute inorganic mercury poisoning (acute inorganic mercury intoxication)
C. Thallium salt poisoning (thallium salts intoxication)
D. Radioactive cesium poisoning (radioactive cesium (137Cs) intoxication)

following
cause hypotension
acute gastroenteritis
shock
metabolic acidosis
metabolic acidosis
symptoms
poisoning


Question: Which of the following minimum prognosis of childhood acute leukemia?

Answer: Whether the liver and spleen enlargement

Choices:
A. Special chromosome type
B. Whether the liver and spleen enlargement
C. Whether the violation of the central nervous system
D. To respond to initial chemotherapy

following minimum prognosis
childhood acute


Question: Proximal radius bone (proximal radius) near the elbow, for example, radial neck fracture, most likely that a merger nerve damage?

Answer: Posterior interosseous nerve (posterior interosseous nerve)

Choices:
A. Before interosseous nerve (anterior interosseous nerve)
B. Posterior interosseous nerve (posterior interosseous nerve)
C. Ulnar nerve (ulnar nerve)
D. Superficial radial nerve (superficial radial nerve)

Proximal radius bone
proximal radius
elbow
radial neck fracture
nerve damage


Question: Current drug treatment of hepatitis B, does not include which of the following?

Answer: Ribavirin (ribavirin)

Choices:
A. Tony Luck (entecavir)
B. Joy will fu (telbivudine)
C. Qian'an energy (lamivudine)
D. Ribavirin (ribavirin)

Current drug
hepatitis B
not include
following


Question: A 35-year-old woman found in the left armpit with a 3 × 2 cm of the fixed painless lymph nodes, no other location of the lesion, which of the following staining unable to assist the diagnosis?

Answer: Prostate specific antigen

Choices:
A. Estrogen receptor
B. Thyroid transcription factor 1(TTF-1)
C. Leukocyte common antigen
D. Prostate specific antigen

35 year old woman found
left armpit
3
2 cm
fixed painless lymph nodes
location
lesion
following staining unable to assist
diagnosis


Question: Which of the following is not conditional on the diagnosis of diabetes?

Answer: The urine can be tested glucose

Choices:
A. The typical symptoms of more than three, plus casual plasma glucose (random blood sugar)> 200 mg / dL
B. The urine can be tested glucose
C. 2 fasting blood glucose value exceeds 126 mg / dL
D. 75 grams oral glucose of the blood glucose level after 2 hours exceeds 200 mg / dL

following
not conditional
diagnosis
diabetes


Question: The role of steroids (corticosteroids), the error which of the following?

Answer: Promoting cytokines (cytokines) produced

Choices:
A. Promote white blood cells (leukocytes) apoptosis (apoptosis)
B. Promoting cytokines (cytokines) produced
C. Suppression of white blood cells (leukocytes) migration (migration)
D. Inhibition of production of prostaglandins (Prostaglandins) of

role steroids corticosteroids error following


Question: 31 year old woman with a sudden swelling and pain (e.g., left figures) when the ears on both sides in the last 4 years. Then after several episodes, ear cartilage lost gradually deformed elastically (the right as indicated by reference). Diagnosis of the patient's why?

Answer: relapsing polychondritis

Choices:
A. relapsing polychondritis
B. pyogenic infection of ear auricles
C. eczema of ear auricles
D. tuberculous infection of ear auricles

31 year old woman
sudden swelling
pain
left
ears
sides
last
years
Then
episodes
ear cartilage lost
deformed
right
indicated
Diagnosis
patient's


Question: If a factory leaks toxic substances cause damage to the respiratory tract number of cases showing renewed steep drop, this phenomenon is more in line with what the epidemic curve?

Answer: Common pathogens prevalent (common source epidemic)

Choices:
A. Mixing popular (mixed epidemic)
B. Popular chain (propagated epidemic)
C. Common pathogens prevalent (common source epidemic)
D. Pop cycles (cyclic epidemic)


Question: 4 under the column related large artery translocation (t r a n s p o s i t i o n o f t h e g r e a t a r t e r i e s) of the classification above, whichever error?

Answer: Poor prognosis, heart surgery mortality rate above 50%

Choices:
A. Aortic out by the right ventricle, the pulmonary artery from the left ventricle out
B. If not combined ventricular septal defect, requires a foramen ovale or patent ductus arteriosus to maintain the supply of oxygen after birth
C. Poor prognosis, heart surgery mortality rate above 50%
D. Before heart surgery, prostaglandin E1 intravenous therapy or atrial septal Transcatheter pore perform surgery, may help to improve the oxygen


Question: 8. A 60-year-old man in the past history of heart disease, with fever and shock is sent to the intensive care unit. Electrocardiographic monitoring display 160 heart beats per minute, and presenting regular narrow QRS complex patterns (regular narrow QRS complex), adenosine 6 mg administered by rapid intravenous injection. 5 seconds after the injection, the ECG is displayed on the monitor is temporarily reduced or eliminated the QRS, p-wave but not stopped, the rule still occur at a rate of 160 per minute, another five seconds before injection electrocardiogram returned as adenosine as 160 per minute under regular narrow QRS complex state. In the following too fast rhythm, the patient's heart rhythm most likely to:

Answer: paroxysmal supra-ventricular tachycardia

Choices:
A. ventricular tachycardia
B. atrial fibrillation with rapid ventricular response
C. atrial tachycardia
D. paroxysmal supra-ventricular tachycardia

60 year old man
the past history of heart disease
fever
shock
sent
intensive care unit
Electrocardiographic monitoring display
heart
minute
regular narrow QRS complex patterns
regular narrow QRS complex
adenosine
mg administered
rapid intravenous injection
seconds
injection
ECG
displayed
monitor
reduced
eliminated
p-wave
not stopped
rule
occur
rate
minute
five seconds
injection electrocardiogram returned
adenosine
minute
regular narrow QRS complex state
following
fast rhythm
patient's heart rhythm


Question: 78. ⼀ bit 18 year old man since before the beginning of abdominal pain ⽽ 8 hour display to the emergency, with the slightly evil Center Weighted symptoms, poor appetite (anorexia), no fever. Abdominal pain around the navel original position (periumbilical area), found that the transfer to the lower right abdomen to the hospital. Physical examination found that intestinal Rec slower, right lower quadrant tenderness (tenderness), no rebound pain (rebound tenderness), lumbar muscle zoomed signs (psoas sign). According to the evidence before the destination time, you think that ⼀ term symptoms or signs for suspected appendicitis sensitivity (sensitivity) ADVANCED most?

Answer: Right lower abdominal pain (right lower quadrant pain)

Choices:
A. Waist zoomed signs of muscle (psoas sign)
B. Transfer Pain (migration pain)
C. Right lower abdominal pain (right lower quadrant pain)
D. Fever (fever)

bit
year old man
beginning
abdominal
8 hour display
emergency
slightly
Center Weighted symptoms
poor appetite
anorexia
fever
Abdominal pain
navel original position
periumbilical area
found
transfer
lower right abdomen
hospital
found
intestinal Rec slower
right lower quadrant tenderness
tenderness
pain
rebound tenderness
lumbar muscle
signs
psoas sign
destination time
term symptoms
signs
suspected appendicitis sensitivity
sensitivity
ADVANCED most


Question: About four chambers of the lower leg, the following statements is wrong?

Answer: Shallow rear chamber (superficial posterior compartment) containing the flexor digitorum longus muscle (flexor digitorum longus), Qu

Choices:
A. The front chamber (anterior compartment) comprises the tibialis anterior muscles (tibialis anterior), extensor longus  (extensor hallucis longus), extensor digitorum longus (extensor digitorum longus) and the third fibula (peroneus tertius)
B. Superficial peroneal nerve (superficial peroneal nerve) positioned side chamber (lateral compartment)
C. Shallow rear chamber (superficial posterior compartment) containing the flexor digitorum longus muscle (flexor digitorum longus), Qu
D. Posterior tibial artery (posterior tibial artery) and the posterior tibial nerve (posterior tibial nerve) is located in the rear chamber depth (deep posterior

About four chambers
lower leg
following
wrong


Question: Compared with electric wheelchairs, manual wheelchairs Which of the following is the advantage?

Answer: Easy transport

Choices:
A. Fatigue can not travel long-range
B. Easy transport
C. You can pass through rough terrain
D. Can avoid repeated injuries of the upper limb

electric wheelchairs
manual wheelchairs
following


Question: Which of the following can help coenzyme single carbon group (one-carbon groups) transfer will affect the synthesis of DNA during the absence?

Answer: tetrahydrofolate

Choices:
A. coenzyme A
B. Lipo
C. tetrahydrofolate
D. pyridoxal phosphate

following
help coenzyme
carbon
one carbon groups
transfer
synthesis
DNA
absence


Question: A multiple trauma patients, to avoid hypothermia, in addition to giving heat lamp, warm blankets, but can also be used crystalloid solution was warmed to avoid hypothermia, such crystalloid solution is preferably heated to a few degrees C?

Answer: 39

Choices:
A. 37
B. 39
C. 41
D. 43

multiple trauma patients
to
hypothermia
giving heat lamp
warm blankets
used crystalloid solution
to
hypothermia
crystalloid solution
degrees C


Question: A 50-year-old woman, in recent months she felt lower abdominal sense of falling. Pap smear is no exception. She underwent a hysterectomy. As shown in the figure is a surgical resection specimens. Which of the following is the most likely diagnosis?

Answer: Fibroids (leiomyoma)

Choices:
A. Adenomyosis (adenomyosis)
B. Endometrial cancer (endometrial cancer)
C. Endometrial polyps (endometrial polyp)
D. Fibroids (leiomyoma)

50 year old woman
recent months
lower abdominal sense
falling
Pap smear
hysterectomy
surgical resection
following
diagnosis


Question: Which of the following is not Staphylococcus aureus (Staphylococcus aureus) common risk factors (virulence factor)?

Answer: Edema factor (edema factor)

Choices:
A. Coagulase (coagulase)
B. Toxic shock symptoms toxin -1 (toxic shock syndrome toxin-1)
C. Edema factor (edema factor)
D. Protein A (protein A)

following
not Staphylococcus aureus
Staphylococcus aureus
common risk factors
virulence factor


Question:
57. Lin because of dizziness, nausea, and vomiting is sent to the emergency room, when the respiratory rate of 13 / min, arterial circulation blood analysis values are: PaO2 = 98 mmHg, PaCO2 = 38 mmHg, SaO2 = 70%, Hb = 14 g / 100 mL. According to the results, can be estimated
 Which of the following can be characterized by the patient?

Answer: poisoned by carbon monoxide

Choices:
A. poisoned by carbon monoxide
B. Massive blood loss
C. respiratory failure
D. Takayama disease

57
Lin
dizziness
nausea
vomiting
sent
emergency room
respiratory rate
min
arterial circulation blood values
PaO2
98 mmHg
mmHg
70
Hb
g
100 mL
results
estimated
following
patient


Question: 41. We collected some 30 people systolic blood pressure (mmHg) and age a random sample of data, calculate Pearson's correlation coefficients (Pearson's correlation coefficient) was 0.7. If the same information to the blood pressure when the dependent variable (Y; dependent variable), age as independent variable (X; independent variable), the linear regression line is obtained t = a + bX. Which statement is correct?

Answer: b must be greater than zero

Choices:
A. b must be greater than zero
B. a constant less than zero
C. Changes in blood pressure 70% variation can be explained by the age of
D. Each additional year of average, the systolic blood pressure increased 0.7mmHg

collected
30
systolic blood pressure
mmHg
age
data
Pearson's correlation coefficients
Pearson's correlation coefficient
0.7
same
blood pressure
dependent variable
dependent variable
age
independent variable
independent variable
linear regression line
obtained t
a
bX
correct


Question: Most flukes (trematodes) life history between the two models subject to the host, which of the following is necessary for the common intermediate host?

Answer: Freshwater snails

Choices:
A. Aquatic plants
B. Freshwater snails
C. Freshwater fish
D. Arthropods


Question: CD28 and CTLA-4 molecules important for the regulation of CD4 + T cell activation, CD28 and the following related description of CTLA-4 to validity?

Answer: CD28 activation message transmitted to CD4 + T cells, but inhibition of CTLA-4 activation message transmitted to CD4 + T cells

Choices:
A. CD28 and CTLA-4 will be reflected in both pure (naïve) CD4 + T cells
B. CD28 and CTLA-4 molecules are molecules will bind B7, CD28 and B7 but higher affinity than the affinity of CTLA-4 to B7
C. CD28 activation message transmitted to CD4 + T cells, but inhibition of CTLA-4 activation message transmitted to CD4 + T cells
D. CTLA-4 for the maintenance of central tolerance (central tolerance) play an important role


Question: Caused by an external force greater trochanter of the femur (greater trochanter) damage, Which of the following most affected?

Answer: Stock side muscle

Choices:
A. Margin on muscle
B. Under Margin muscle
C. Stock side muscle
D. Obturator muscle

Caused
external
greater trochanter of
femur
greater trochanter
damage
following most affected


Question: 43-year-old woman, G2P1, at 41 weeks' late deceleration "to be produced in the fetal heart rate occurs (late deceleration), I ask the following diagnosis whichever is most likely?

Answer: Lack of uterine placental function

Choices:
A. Fetal oppression
B. Umbilical cord oppression
C. Lack of uterine placental function
D. Umbilical cord around neck

year old woman
weeks
ate deceleration
o
etal heart rate  ccurs
ate deceleration)
ollowing  iagnosis


Question: Which of the following new drugs can be converted to melagatran, and direct inhibition of thrombin, can be used for deep venous thrombosis, and safety than warfarin, although its impact on liver function of the side effects?

Answer: Ximelagatran

Choices:
A. Ximelagatran
B. Lepirudin
C. Tenecteplase
D. Abciximab

following new drugs
melagatran
direct inhibition
thrombin
used
deep venous thrombosis
warfarin
impact
liver function
side effects


Question: Acute renal colic (acute renal colic), the highest rate of diagnostic imaging methods which are:

Answer: CT No developer (non-contrast spiral CT scan)

Choices:
A. Photography simple abdomen (KUB film)
B. Photography IVP (intravenous pyelography)
C. CT No developer (non-contrast spiral CT scan)
D. Abdominal ultrasound (abdomen ultrasonography)

Acute renal colic
acute renal colic
highest rate
diagnostic imaging methods


Question: 46 a 21-year-old woman seeking treatment due to hypertrophy of the clitoris, was diagnosed with congenital adrenal hyperplasia (CAH), its blood ng / dL. The following statements about the cause and treatment of CAH, whichever is most appropriate?

Answer: The most common is the 21-hydroxylase deficiency, the most effective treatment for the dexamethasone

Choices:
A. The most common is the 21-hydroxylase deficiency, the most effective treatment is cortisone
B. The most common is 11β-hydroxylase deficiency, the most effective treatment for the dexamethasone
C. The most common is the 21-hydroxylase deficiency, the most effective treatment for the dexamethasone
D. The most common is 11β-hydroxylase deficiency, the most effective treatment is cortisone

21-year-old woman
treatment due to hypertrophy of
clitoris
diagnosed
congenital adrenal hyperplasia
blood ng
dL
following
cause
treatment
CAH
most appropriate


Question: He does not have a stable structure following kidney role?

Answer: Adrenal

Choices:
A. Wai kidney fat (perirenal fat)
B. Renal fascia (renal fascia)
C. Renal artery and vein
D. Adrenal

not
stable structure following kidney role


Question: αβ T cell antigen receptors (antigen receptor) gene recombination (gene rearrangement) that occurred in the following organs?

Answer: Thymus

Choices:
A. marrow
B. Thymus
C. Lymph node
D. spleen

T cell antigen receptors
antigen receptor
gene rearrangement
following organs


Question: Retina (Retina) comprising a photoreceptor (photoreceptor) and neuronal cells, some patients visual impairment due to the first and second layers are peeled retina (retinal detachment). The following information about the retina statements is wrong?

Answer: Axon bipolar cells (bipolar cells) of (axons) forming the optic nerve fiber layer (optic fiber layer)

Choices:
A. The first layer (layer I) of the retinal pigment epithelium (pigment epithelium)
B. Rod cells (Rods) ratio of vertebra cells (cones) containing more light dye (photopigment)
C. Axon bipolar cells (bipolar cells) of (axons) forming the optic nerve fiber layer (optic fiber layer)
D. Manufacturing lumichrome (photopigment) mainly in the photoreceptor inner segments (inner segment of photoreceptor cells) cells to complete

Retina
Retina
cells
patients visual impairment due to
first
second layers
peeled retina
retinal detachment
following
retina
wrong


Question: 64 using viral cell surface molecule into the recipient as to the selection of cells can be infected. HIV with CD4 as the primary receptor, and as a co-receptor CCR5. So following that HIV primarily infects one cell?

Answer: Helper T cells

Choices:
A. Cell kill T cells
B. Helper T cells
C. Activated B cells
D. Natural killer (NK) cells

64 using viral cell surface
as
cells
infected
HIV
CD4
primary receptor
co receptor CCR5
So following
HIV
infects one cell


Question: Part of skin graft donor sites on cells are of the following healing, except whichever?

Answer: Fat cells (lipocyte)

Choices:
A. Sweat glands (sweat gland)
B. Follicular (hair follicle)
C. Sebaceous glands (sebaceous gland)
D. Fat cells (lipocyte)

Part of
graft donor sites
following healing


Question: Currently we inoculation of hepatitis B vaccine belong:

Answer: Recombinant subunit vaccine (subunit vaccine)

Choices:
A. Dead virus (killed viruses)
B. Live attenuated vaccine (live attenuated viruses)
C. Live virus (live viruses)
D. Recombinant subunit vaccine (subunit vaccine)


Question: 2 year-old girl, doctor with complaints of high fever three days, sore throat, mouth water, my mother found a lot of hands and feet girls appear rash, while girls these days is almost impossible to eat, decreased urine output. Physical examination found blisters on the throat and soft palate, hands, feet, hips rash appears (as shown), the following statements is wrong?

Answer: Acyclovir is the drug of choice for treatment

Choices:
A. Enteroviruses cause HFMD typical performance
B. Acyclovir is the drug of choice for treatment
C. EV71 prone to causing severe
D. Of transmission of intestinal virus, or primary infection by respiratory secretions spread through fecal-oral

2 year old girl
doctor
complaints
high fever three days
sore throat
mouth water
found
lot
hands
feet girls appear rash
girls
days
almost
to eat
decreased urine output
found blisters
throat
soft palate
hands
feet
hips rash appears
following
wrong


Question: A 60-year-old woman to a health examination center for routine health checks, after completion as 60 cm long sigmoidoscopy, immediately appeared abdominal pain and bloating symptoms, physical examination, have lower abdominal tenderness symptoms, but there is no rebound tenderness. Shines through abdominal X-ray was found in the abdominal cavity (Retroperitoneum) a small amount of free air, chest X-rays there is little mediastinal free air, abdominal computed tomography could see a small amount of retroperitoneal free air, but no free air of the peritoneal cavity. Have found sigmoid colon diverticulum, but did not make any biopsy or polypectomy in a sigmoidoscopy procedure. According to the above, the patient is most likely what the situation happen?

Answer: Colon perforation

Choices:
A. Peptic ulcer perforation
B. Colon perforation
C. Diverticulitis of colon
D. Pneumatosis intestinalis

60 year old woman
health
center
routine
checks
completion
60
long sigmoidoscopy
immediately appeared abdominal pain
bloating symptoms
lower abdominal symptoms
rebound tenderness
abdominal X-ray
found
abdominal cavity
Retroperitoneum
small amount
free air
chest X-rays
little mediastinal free air
abdominal computed tomography
see
small amount
retroperitoneal free air
free air
peritoneal cavity
found sigmoid
not make
biopsy
polypectomy
sigmoidoscopy procedure
above
patient


Question: On 'consent (informed consent) after informing "the narrative, which of the following error?

Answer: As long as a bookmark with the consent, not only represents done this obligation may also be exempt from liability, MD

Choices:
A. As long as a bookmark with the consent, not only represents done this obligation may also be exempt from liability, MD
B. Once the responsibility of complications, medical errors still have to produce up to judge from the logic of medicine
C. Careful interpretation and good communication skills, helps avoid medical disputes
D. In accordance with the provisions of Article 63 of the Medical Act, an emergency can not obtain consent


Question: The following account of absence seizures (absence seizures), and what's wrong?

Answer: Diagnosis is based on asymmetric EEG, spike slow wave complex variable frequency (spike-and-wave complexes)

Choices:
A. Diagnosis is based on asymmetric EEG, spike slow wave complex variable frequency (spike-and-wave complexes)
B. Brain bilaterally symmetrical ratchet 3Hz slow wave complex to readily induce hyperventilation
C. Most of absence epilepsy onset in adolescence
D. Absence seizures often have blink, chew or upper limb muscle tension slight increase of the phenomenon

following account
absence seizures
absence seizures
wrong


Question: He was wrong about the following item description xiphoid sternum (xiphoid process) of?

Answer: Relative to the height of the twelfth thoracic vertebra

Choices:
A. Its appearance varies, can be sharp, be blunt, may also be branched
B. In the projection points of the body surface represented by the lower edge of the heart
C. Represents the projection point on the boundary surface of the liver
D. Relative to the height of the twelfth thoracic vertebra

wrong
following
xiphoid sternum
xiphoid process


Question: The aforementioned patient a cranial nerve that causes the left side of the oppressed and dilated pupils?

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. Trochlear nerve (trochlear nerve)
B. Oculomotor nerve (oculomotor nerve)
C. Abducens nerve (abducens nerve)
D. Trigeminal nerve (trigeminal nerve)

patient
cranial nerve
causes
left side
dilated pupils


Question: Hospital infections (nosocomial infection or hospital acquired infection) mostly in hospitalized patients long after the onset?

Answer: 72 hours

Choices:
A. 1 hour
B. 12 hours
C. 24 hours
D. 72 hours

Hospital infections
nosocomial infection
hospital acquired infection
mostly
hospitalized patients long
onset


Question: About the symptoms of opiate withdrawal of the narrative, Which statement is correct?

Answer: No serious physical illness who rarely die from withdrawal symptoms

Choices:
A. Of the short-acting opioids, the more does not cause withdrawal symptoms
B. No serious physical illness who rarely die from withdrawal symptoms
C. Withdrawal symptoms are drowsiness and accelerated heart beat
D. Opioid antagonists (opioid antagonist, such as naloxone) will not cause withdrawal symptoms


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

Answer: Skin Tattoo (tattoo) pigment is present in the skin (epidermis)

Choices:
A. Skin Tattoo (tattoo) pigment is present in the skin (epidermis)
B. Tattoo pigment (Tattoo) generally do not cause inflammation
C. Lipofuscin (lipofuscin) cells and not harm or affect its function
D. Appears lipofuscin (lipofuscin) is a radical of injury (free radical injury) and lipid peroxidation (peroxidation)


Question: A chronic obstructive pulmonary disease (COPD) patients, due to acute worsening (acute exacerbation) is sent to the emergency, the following statements about the treatment of this patient, what is non?

Answer: The short-term oral or intravenous steroids (glucocorticosteroids) of such patients, it does not shorten the course, the effect of accelerating improvement in lung function

Choices:
A. Inhaled short-acting sympathomimetic agents ethylene-type (β2-agonist) with inhaled anti-acetylcholine formulation (anticholinergics) is mainly used as the bronchodilator
B. The short-term oral or intravenous steroids (glucocorticosteroids) of such patients, it does not shorten the course, the effect of accelerating improvement in lung function
C. If the cause of deterioration in patients with acute respiratory tract infection, should be selected against S. pneumoniae, H. influenzae and M. catarrhalis antibiotics of
D. Non-invasive positive pressure breathing apparatus (NIPPV) can improve this patient's respiratory failure, reduce the rate of endotracheal intubation and reduce mortality

chronic obstructive pulmonary disease
patients
acute worsening
acute exacerbation
sent
emergency
following
non


Question: Which of the following lesions and vasculitis syndrome (vasculitis syndrome) related to the occurrence?

Answer: Induced by immune complex deposition in the blood vessel wall

Choices:
A. B lymphocytes in the blood vessel wall formed granulomas (granuloma) induced
B. Amyloid (amyloid) deposition in the vascular wall induced
C. Induced by immune complex deposition in the blood vessel wall
D. Protein C (protein C) due to lack of

following lesions
vasculitis syndrome
vasculitis syndrome
related
occurrence


Question: A 64-year-old male with a drinking habit and a history of alcoholic cirrhosis, one day not to drink, because of confusion, restlessness sweating, visual hallucinations and was sent to the emergency room. It describes their families, a few days before the patient has no fever, symptoms of headache, body temperature 38 ℃, pulse 132 times / min, breathing 24 times / min, the blood pressure 160/100 mmHg, this patient most likely diagnosis is:

Answer: Alcohol withdrawal symptoms caused by the flutter jump (delirium tremens)

Choices:
A. Alcohol withdrawal symptoms caused by the flutter jump (delirium tremens)
B. meningitis
C. Alcoholic ketoacidosis
D. septicemia

64 year old male
drinking habit
history
alcoholic cirrhosis
one day not to
confusion
restlessness sweating
visual hallucinations
sent
emergency room
few days
patient
fever
symptoms
headache
body temperature
pulse
times
min
breathing
times
min
blood pressure
100 mmHg
patient
likely diagnosis


Question: Patients with chest pain to the emergency, after a preliminary assessment of the likelihood of myocardial ischemia is not high, in accordance with the process of clinical path that does not include one of the following?

Answer: Patients cried to test (stress test) immediately came to the emergency

Choices:
A. Whether the clinical symptoms of the patient monitoring recurrence of myocardial ischemia
B. Series of twelve-lead process to track changes in the electrocardiogram
C. When patients are asymptomatic, in 4-6 hours after the onset and 12 hours after the onset of myocardial enzyme series of tracking the changes
D. Patients cried to test (stress test) immediately came to the emergency

Patients
chest pain
emergency
preliminary
likelihood
myocardial ischemia
not high
in accordance with
process
not include one


Question: Which of the following hormone increases the excretion of sodium ions?

Answer: atrial natriuretic peptide

Choices:
A. aldosterone
B. renin
C. atrial natriuretic peptide
D. angiotensin


Question: Fear statements about body image (body dysmorphic disorder), and which of the following error?

Answer: Medical cosmetic surgery or medical intervention may effectively slow disease

Choices:
A. Medical cosmetic surgery or medical intervention may effectively slow disease
B. Patients are not satisfied with the common parts of the body that contains the nose and head Fa
C. Common psychiatric comorbidity included major depression and obsessive-compulsive disorder
D. Fear of body image therapy to antidepressant therapy

body dysmorphic disorder
following error


Question: 45-year-old female, found on the right thyroid position in recent months have left a painless lump about 2 cm, and to the out-patient clinics, patients in the past occasional cases of high blood pressure and kidney stones had several extracorporeal shock wave lithotripsy, his mother also passed away due to thyroid cancer. The clinical differential diagnosis, which of the following diagnostic value than those without?

Answer: Blood thyroglobulin concentration

Choices:
A. Blood calcitonin concentration
B. Parathyroid hormone in the blood (of iPTH) concentration
C. Urine catecholamines concentration
D. Blood thyroglobulin concentration


Question: During the summer of 1976, the American Legion Veterans' Association meeting held in Philadelphia, in the same hotel accommodation actually found 221 people suffering from "acute pneumonia", and thus led to 34 of those infected, which of the following was later confirmed to pathogens ?

Answer: Legionella pneumophila

Choices:
A. Legionella pneumophila
B. Chlamydia pneumoniae
C. Streptococcus pneumoniae
D. Haemophilus influenzae

summer
ssociation
eld
hiladelphia,
ame  otel  ccommodation
ound
uffering
cute pneumonia"
ed
nfected,
ollowing
ater  onfirmed


Question: The following statements about the overall national income and medical expenses, whichever is more correct?

Answer: In the long run, increase national income ratio will be less than the overall rate of increase in medical costs, health care is a luxury that is

Choices:
A. In general, the increase in national income and long-term increase in overall medical costs not directly related to
B. In the long run, increase national income ratio will be less than the overall rate of increase in medical costs, health care is a luxury that is
C. In the long run, increase national income ratio will be greater than the overall rate of increase in medical costs, namely health care is a necessity
D. In the long run, increase national income ratio will be equal to the overall rate of increase in medical costs

following statements
overall
income
medical expenses
more correct


Question: For allergen can cause asthma ranking ⼀ type of allergic diseases, and that the following statements is most correct ⼀ item?

Answer: Shoots as usual with the same antigen, the antigen presenting cells are subject to activated T cells for Use

Choices:
A. Shoots as usual with the same antigen, the antigen presenting cells are subject to activated T cells for Use
B. Identical twins will have the same primary response to a specific allergy
C. Egg white solution having a water resistant enzymes (Protease) function
D. Face disease can be detected in vivo IgE allergens specific for

allergen
cause asthma
type
allergic
following
most correct


Question: 35 year old woman, G5P2A2, 35 weeks of pregnancy, found that emergency Caesarean section "uteroplacental stroke" (uteroplacental apoplexy), Will most likely diagnosis is:

Answer: Placental abruption

Choices:
A. Uterine rupture
B. Placental abruption
C. Placenta previa
D. Amniotic fluid embolism

35 year old woman
35 weeks
pregnancy
found
emergency Caesarean section
stroke
uteroplacental apoplexy
diagnosis


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

Answer: Most unilateral attack

Choices:
A. Most unilateral attack
B. Occurs in middle-aged women
C. Clinical manifestations of need and differential diagnosis of dry eye
D. Symptoms may improve with Botox (botulinum toxin) Su

Account
blepharospasm
essential blepharospasm
following error


Question: A thesis are summarized as follows:

Answer: Drop rate relative risk (relative risk reduction, RRR) 71%

Choices:
A. I) 0.51 to 0.97). Stroke, myocardial infarction or vascular merger things happen by taking aspirin than those who were not taking aspirin
B. Absolute risk reduction rate (absolute risk reduction, ARR) of 71%
C. Drop rate relative risk (relative risk reduction, RRR) 71%
D. The occurrence of an event taking aspirin were no incidents with the ratio, divided by the occurrence of the event not taking aspirin were no incidents and the ratio was 0.71


Question: Statements about physical examination diagnosis of abdominal pain, Which statement is correct?

Answer: Grey Turner sign indicate patients may have acute hemorrhagic pancreatitis

Choices:
A. psoas sign and obturator sign for the diagnosis of acute appendicitis necessary and sufficient condition
B. Pan peritonitis often associated with whole abdominal pain and a rebound increase bowel sounds creep
C. Courvoisier's sign refers jaundice patients positive touch gallbladder pain
D. Grey Turner sign indicate patients may have acute hemorrhagic pancreatitis


Question: Pathogens common cause of acute sinusitis, which often is derived from an infectious bacterial teeth?

Answer: Anaerobes

Choices:
A. Streptococcus pneumoniae
B. Haemophilus influenzae
C. Staphylococcus aureus
D. Anaerobes

common cause
acute sinusitis
often
derived
infectious bacterial teeth


Question: Bound iodine and tyrosine (tyrosine) mainly by:

Answer: Thyroid peroxide  (peroxidase)

Choices:
A. Thyroid peroxide  (peroxidase)
B. Thyroid protein  (protease)
C. Deiodination of thyroid  (deiodinase)
D. Thyroid dehydrogenation  (dehydrogenase) 28 angiotensin -I (angiotensin I) is converted into angiotensin -Ⅱ that occur in an organ?


Question: That one of the following RNA polymerase (RNA polymerase) are most sensitive to α-amanitin?

Answer: RNA polymerase II

Choices:
A. RNA polymerase I
B. RNA polymerase II
C. RNA polymerase III
D. reverse transcriptase

one
following RNA polymerase
RNA polymerase
most sensitive to
amanitin


Question: Lyme disease (Lyme disease) pathogen, which has the following characteristics?

Answer: Belonging to the exemplary micro-aerobic (microaerophilic)

Choices:
A. In the end flagella (polar flagellum) for electrophoresis
B. Belonging to the exemplary micro-aerobic (microaerophilic)
C. Gram-positive
D. Usually medium may be grown

Lyme disease
Lyme disease
following characteristics


Question: Parasite pair in the following, whichever are likely to be detected in its capsule (cyst stage) in the patient's tissue slices?

Answer: Acanthamoeba (Acanthamoeba spp.) And pasteurized amoeba (Balamuthia mandrillaris)

Choices:
A. Hastelloy amoeba (Entamoeba hartmanni) and Acanthamoeba (Acanthamoeba spp.)
B. Acanthamoeba (Acanthamoeba spp.) And Entamoeba histolytica (Entamoeba histolytica)
C. Acanthamoeba (Acanthamoeba spp.) And pasteurized amoeba (Balamuthia mandrillaris)
D. Acanthamoeba (Acanthamoeba spp.) And Freund's Negri amoeba (Naegleria fowleri)

Parasite pair
following
likely to
detected
capsule
cyst stage
patient's tissue


Question: Ms. Lin recently due to fatigue, nausea, right upper quadrant discomfort to the clinic for treatment. Physical examination showed she had scleral yellowing, blood tests results are as follows:

Answer: perinuclear anti-neutrophil cytoplasmic antibody（pANCA）

Choices:
A. HBsAg
B. anti-nuclear antibody
C. perinuclear anti-neutrophil cytoplasmic antibody（pANCA）
D. anti-HAV IgM

Ms
Lin recently due to fatigue
nausea
right upper quadrant discomfort
clinic
treatment
scleral yellowing
blood tests results
follows


Question: When one molecule of pyruvic acid (pyruvate) and citric acid cycle (citric acid cycle) metabolized to carbon dioxide molecule via pyruvate dehydrogenase 3  (pyruvate dehydrogenase), may be generated ATP FADH2,1 molecule 1 molecule (or GTP), as well as a few molecules of NADH?

Choices:
A. 1
B. 2
C. 3
D. 4

one
pyruvic acid
pyruvate
metabolized
carbon dioxide
pyruvate dehydrogenase
pyruvate dehydrogenase
ATP
1
1
few
NADH


Question: Targeted therapy drugs rituximab consolidation chemotherapy has been shown to prolong the survival of patients following what?

Answer: diffuse large B cell lymphoma

Choices:
A. diffuse large B cell lymphoma
B. peripheral T cell lymphoma
C. multiple myeloma
D. acute lymphoblastic leukemia

Targeted therapy rituximab consolidation chemotherapy


Question: Children with osteomyelitis (osteomyelitis) Which of the following most commonly infected through ways?

Answer: Blood-borne

Choices:
A. Direct trauma infection
B. Blood-borne
C. Nearby organizational communication
D. Respiratory spread

Children
osteomyelitis
osteomyelitis
following most
infected


Question: The main osteoclasts (osteoclast) Which of the following is differentiated by the cell from?

Answer: Monocyte

Choices:
A. Monocyte
B. Neutrophil
C. Basophil
D. T lymphocyte


Question: The following statements about the disc lupus (Discoid lupus erythematosus), and what's wrong?

Answer: Male than female patients

Choices:
A. Male than female patients
B. Occur in the face and scalp
C. Under pathological skin atrophy seen in Table basement membrane (basement membrane zone) thickening
D. Patients are advised to reduce sun exposure or using sunscreen

following
disc lupus
Discoid lupus erythematosus
wrong


Question: Pseudomyxoma peritonei is usually caused by a ruptured where the tumor?

Answer: Or ovarian appendix (appendix or ovary)

Choices:
A. 胃（stomach）
B. Or ovarian appendix (appendix or ovary)
C. Jejunum (jejunum)
D. Ileum (ileum)

Pseudomyxoma peritonei
usually caused
ruptured
tumor


Question: A one-month-old baby boy to the clinics complained of poor appetite; hepatomegaly found during physical examination. If some of the following clinical manifestations which are most likely to suffer from metabolic liver disease believed it?

Answer: Baby body has an unusual odor

Choices:
A. Hemangioma
B. Then gray
C. Microcephaly
D. Baby body has an unusual odor

one-month old baby boy
clinics
poor appetite
hepatomegaly found
of
following clinical manifestations
to suffer
metabolic liver disease


Question: The following causes of chronic obstructive pulmonary disease (COPD) turn the machine described, what is wrong?

Answer: COPD is a eosinophils (eosinophil) a chronic inflammatory reaction

Choices:
A. Smoking is an important risk factor
B. Control of the α1-antitrypsin gene mutation, can cause early generation of COPD
C. COPD is a eosinophils (eosinophil) a chronic inflammatory reaction
D. Because protease inhibitor imbalance

following causes
chronic obstructive pulmonary disease
turn
machine
wrong