Question: A 40-year-old male patient to the emergency room for treatment complained of vomiting blood (hematemesis), he used to be healthy without a history of peptic ulcer disease and chronic liver disease, recent nor taking any medication, and no weight loss phenomenon, vomiting ago dinner drink and socialize with friends, and have severe vomiting, you are faced with this patient first thing to do is:

Answer: The amount of vital signs, marked drip infusion

Choices:
A. Insert a nasogastric tube to see whether the bleeding
B. The amount of vital signs, marked drip infusion
C. Quickly arrange blood hemoglobin check to see whether the anemia
D. Quickly called consultation gastroenterologist

40 year old male patient
emergency room
treatment
of vomiting blood
hematemesis
used to
healthy
history of peptic ulcer disease
chronic liver disease
recent
medication
weight loss
vomiting
dinner
severe vomiting
faced
patient first


Question: Tetanus toxin (Tetanospasmin) effect on nerve cells as follows:

Answer: Inhibiting the release of neurotransmitters in the synapses of the block

Choices:
A. Decomposition blocking synaptic (Synapse) of the neurotransmitter
B. Conductive substance inhibiting acetylcholine (acetylcholine) release of
C. Promote the synthesis of acetylcholine conductive substance
D. Inhibiting the release of neurotransmitters in the synapses of the block

Tetanus toxin
Tetanospasmin
effect
follows


Question: Fundoplication (fundoplication) is not a disease following that ⼀ the watch surgery ⼀ a surgical?

Answer: ⾎ pipe ring (vascular ring)

Choices:
A. Gas hiatal hernia (hiatal hernia)
B. GERD (gastro-esophageal reflux)
C. ⾎ pipe ring (vascular ring)
D. Ben ⾨ achalasia (achalasia)

Fundoplication
fundoplication
not
disease following
surgery
surgical


Question:
57.42-year-old male, no history of diabetes and chronic organ failure; 15 days ago, have two days of diarrhea, immediately soles of the feet tingling, numbness gradually turned, hemp all the way along the foot to the knee, also found that calf muscles on both sides loose and weakened the power of hands using chopsticks and twist caps of action becomes trapped
 difficult. Following speculation about the patient's diagnosis, whichever is most correct?

Answer: Acute peripheral neuropathy

Choices:
A. The right side of a massive stroke cerebral artery
B. Hereditary motor and sensory neuropathy
C. Old sequelae of spinal cord white matter lesions
D. Acute peripheral neuropathy

57
year old male
history
diabetes
chronic organ
days
two days
diarrhea
immediately soles of
feet tingling
numbness
turned
hemp
foot
knee
found
calf muscles
sides loose
power
hands using
twist caps
action
difficult
Following
patient's diagnosis
most correct


Question: Descending thoracic aortic injuries, chest X-ray imaging findings, which of the following rare?

Answer: Tracheal deviation to the left (tracheal shift to the left)

Choices:
A. Aortic fuzzy boundaries (blurring of the aortic contour)
B. Tracheal deviation to the left (tracheal shift to the left)
C. 血胸（hemothorax）
D. Mediastinal increase in width (widening of the mediastinum)

Descending thoracic aortic injuries
chest X-ray imaging findings
following rare


Question: Which of the following will be directly across the ureter?

Answer: Uterine artery

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


Question: 48-year-old Wang, the usual laws of normal menstrual cycles, a week ago touched a lump in the left breast, so she hopes to surgical clinic for further treatment. For the main Wang v. Treatment measures first imposed, the following statements is true?

Answer: When breast health checkups, we should first ask the patient sitting, whether visually symmetrical on both sides of the breast, skin or without changes, depression and other signs of whether the nipple. If the skin erythema (erythema) and swelling (edema) biopsy should be considered

Choices:
A. When breast health checkups, we should first ask the patient sitting, whether visually symmetrical on both sides of the breast, skin or without changes, depression and other signs of whether the nipple. If the skin erythema (erythema) and swelling (edema) biopsy should be considered
B. Palpation of the breast lump is hard and if the line is unknown, will involve the surrounding adjacent tissues move, we should have suspected the possibility of malignancy. Especially when there are symptoms of mass tenderness, for the identification of benign and malignant tumors very helpful
C. For the purposes of outpatient fine needle aspiration (fine-needle aspiration) check, you can be part of the differential diagnosis of invasive cancer or carcinoma in situ, in particular for the identification of tumor is solid tumors (solid) or cystic tumor (cystic) helpful
D. The sensitivity of mammography in younger patients with dense breasts or the poor, we now have become a breast ultrasound imaging screening asymptomatic women for breast cancer choice

48 year old
usual
normal menstrual cycles
week
touched
lump in
left breast
surgical clinic
further treatment
main
Treatment measures first
following
true


Question: When general anesthesia patients receiving blood transfusions, if the blood group incompatibility caused acute hemolysis pairing occurs, the patient does not render Which of the following phenomena?

Answer: Diabetes insipidus

Choices:
A. Hypotension
B. Urine hemolysis
C. Extensive bleeding body
D. Diabetes insipidus


Question: Which of the following drugs is via inhibition of muscarinic receptor and therapeutic effect of irritable bowel syndrome?

Answer: Clidinium

Choices:
A. Bethanechol
B. Pirenzepine
C. Tropicamide
D. Clidinium

following drugs
inhibition
muscarinic
therapeutic effect
irritable bowel syndrome


Question: A patient receiving a kidney transplant, need long-term use cyclosporine hormone (cyclosporine) against repulsion, the following related description of the drug, whichever is correct?

Answer: Cyclosporine element through Cytochrome P450 (cytochrome P450) metabolism rendered hydrophilic, excretion from the kidneys

Choices:
A. Su no cyclosporine nephrotoxicity renal transplant patients using the most appropriate
B. Cyclosporine element through Cytochrome P450 (cytochrome P450) metabolism rendered hydrophilic, excretion from the kidneys
C. Grapefruit juice (Grapefruit) itself contains flavonoids (Flavonoid), electron transfer can help, and element cyclosporine cyclosporine administration does not affect the hormone concentration in blood with
D. Erythromycin antibiotics (erythromycin) are not metabolized via the cytochrome P450, and thus will not affect the concentration of cyclosporine in the blood prime

patient receiving
kidney transplant
need long-term use cyclosporine hormone
cyclosporine
following related
drug
correct


Question: From the previous question, the possible reasons why it happen?

Answer: This may be because of drug-induced liver metabolic enzyme activity increased, therefore decreasing efficacy in long-term use

Choices:
A. The results of individual differences in sensitivity to this drug arising
B. Because the drug may reduce the number of receptors in vivo, thus decreasing the efficacy of long-term use
C. This may be because of drug-induced liver metabolic enzyme activity increased, therefore decreasing efficacy in long-term use
D. This may be because the drugs inhibit the enzyme activity of the metabolism of the drug in vivo, thus decreasing efficacy in long-term use


Question: The following description of leprosy mycobacteria (Mycobacterium leprae), the what's right?

Answer: Can be found in the skin or mucous membranes comprising smear lepromatous leprosy extract leprosy (lepromatous leprosy) of a patient

Choices:
A. Can be found in the skin or mucous membranes comprising smear lepromatous leprosy extract leprosy (lepromatous leprosy) of a patient
B. Has been successfully cultivated in medium
C. Fast growth, and therefore a short incubation period
D. And atypical acid-resistant bacteria staining


Question: That one of the following characteristics relating to DNA virus is not correct?

Answer: Must be replicated in the nucleus

Choices:
A. Genome can be double-stranded or single-stranded
B. Must be replicated in the nucleus
C. With mantle can
D. Compared to the viral RNA, genome variability less

one
following characteristics relating
not correct


Question: Which of the following is not the birth of a drug?

Answer: Ritodrine

Choices:
A. Prostaglandin E2
B. Oxytocin
C. Misoprostol
D. Ritodrine


Question: About Huxixitong of tissue lesions, the following statements is wrong?

Answer: Alveolar macrophages (alveolar macrophage) and phagocytosis of decomposition tubercle bacillus (Mycobacterium tuberculosis)

Choices:
A. Cystic fibrosis (cystic fibrosis) is a genetic predilection for children and young people, chronic obstructive respiratory disease
B. Alveolar macrophages (alveolar macrophage) and phagocytosis of decomposition tubercle bacillus (Mycobacterium tuberculosis)
C. After an air gap of bronchial terminal (terminal bronchiole) as a permanent expansion (permanent enlargement) will cause emphysema
D. Chronic bronchitis (chronic bronchitis) or bronchodilatory (bronchiectasis), partially converted to respiratory epithelium stratified squamous epithelium (stratified squamous epithelium)


Question: A 75-year-old woman who was sent to coma and hospitalized, their serum sodium (sodium) was found to be 105 mEq / L. History asks, no one home to take care of, there may be a few days in a coma for a long time, should pay attention to (within 24 hours) during the first days of increase in serum sodium increase serum sodium should not exceed the number?

Answer: 12 mEq/L

Choices:
A. 12 mEq/L
B. 20 mEq/L
C. 24 mEq/L
D. 30 mEq/L

75 year old woman
sent
coma
hospitalized
serum sodium
sodium
found to
mEq
L
History
home to
few days
coma
long time
pay
24 hours
first days
increase
serum sodium increase
not
number


Question: Air pollution index value (PSI) EPA publication, but will give the concentration of pollutants is measured in terms of the sub-index, then whichever which publication?

Answer: All sub-indices of the maximum contaminant

Choices:
A. All sub-indices of the maximum contaminant
B. All sub-criteria pollutants in the minimum
C. The sum of all the sub-indices of the pollutants
D. The average of all sub-indices of the pollutants

index value
publication
give
concentration
pollutants
measured
terms
sub index
then
publication


Question: Bearing on the question, Which of the following is the most likely factor?

Answer: Nasal allergies

Choices:
A. hypertension
B. asthma
C. Nasal allergies
D. Nasal vestibulitis


Question: The following statements about the eye ciliary body (ciliary body) functions and what was wrong?

Answer: Adjusting the amount of light entering the eye

Choices:
A. Generating humor fluid (aqueous humor)
B. Support the suspension of the lens (lens)
C. Adjusting the amount of light entering the eye
D. Adjusting the thickness of the lens (Lens) of

following
eye ciliary body
ciliary body
functions
wrong


Question: Sound by the human ear in the air reached the lymph, according to acoustics, sound detract from a few decibels?

Answer: 30

Choices:
A. 5
B. 10
C. 20
D. 30

Sound
human ear
air reached
lymph
sound
decibels


Question: Which of the following is an anti-drugs perchlorate hyperthyroidism main mechanism of action?

Answer: Blocking thyroid uptake of iodine ions (thyroidal uptake of iodide) to

Choices:
A. Blocking thyroid uptake of iodine ions (thyroidal uptake of iodide) to
B. Inhibition of thyroid peroxidase catalyzed reaction (thyroid peroxidase-catalytic reaction)
C. Which facilitates the periphery of triiodothyronine (T3) and tetraiodothyronine (T4) acting deprotection iodide (deiodination)
D. Which can inhibit organic iodine (iodine organification) and reduced triiodothyronine (T3) and tetraiodothyronine (T4) released


Question:
17.40-year-old health worker suffered a fire in a confined work in factories, but escape routes blocked debris. This worker over a period of time to move out of the debris was out of the fire. The scene of heavy smoke, he inhaled a lot of smoke; coupled with his face blackened, nose and forehead hair has been burned on both sides of the upper limbs was burnt
 Injury, and thus to the emergency treatment. About his injuries and medical treatment, the following statements is wrong?

Answer: Because this injuries Moyoushengyin husky (hoarseness), asthma (wheezing), or carbon-containing slag sputum (carbonaceous sputum), and no abnormal chest X-rays and therefore should not invasive diagnosis and treatment and the like bronchoscopy or intubation immediately.

Choices:
A. This patient is likely to suffer burns the lungs (inhalation injury)
B. Because this injuries Moyoushengyin husky (hoarseness), asthma (wheezing), or carbon-containing slag sputum (carbonaceous sputum), and no abnormal chest X-rays and therefore should not invasive diagnosis and treatment and the like bronchoscopy or intubation immediately.
C. Clinical studies have shown, the liquid confinement (fluid restriction) will not prevent pulmonary edema caused by inhalation burn
D. In the follow-up treatment, unless there is evidence that lung infection is not recommended to start prophylactic antibiotics

40 year old
suffered
fire
factories
routes blocked
period
time to move out
out
fire
heavy smoke
inhaled
lot
smoke
coupled
face
nose
forehead hair
burned
sides of
upper limbs
burnt Injury
emergency treatment
injuries
medical treatment
following
wrong


Question: 40-year-old male patient who receives methadone replacement therapy to the psychiatric emergency room for medical treatment, examination revealed that the patient's confusion, vague words, Wufahuida questioning, and their restlessness like a needle in general. Which of the following is most likely for the clinical diagnosis?

Answer: Heroin poisoning

Choices:
A. Amphetamine withdrawal
B. Amphetamine poisoning
C. Heroin Withdrawal
D. Heroin poisoning

40 year old male patient
receives methadone replacement
psychiatric emergency room
medical treatment
revealed
patient's confusion
vague
restlessness
needle
general
following
clinical diagnosis


Question: That one of the following ophthalmic be used to identify the nodular scleritis (nodular episcleritis) and nodular scleritis (nodular scleritis)?

Answer: Sympathomimetic agents (such as phenylephrine)

Choices:
A. Parasympathetic inhibitors (e.g., tropicamide)
B. Sympathetic B inhibitors (e.g., timolol)
C. Parasympathetic stimulants (such as pilocarpine)
D. Sympathomimetic agents (such as phenylephrine)

one
following ophthalmic
used to
nodular scleritis
nodular episcleritis
nodular scleritis
nodular scleritis


Question: Emergency feeding on the poisoning, which of the following error?

Answer: All patients are recommended put a gastric tube lavage (gastric lavage)

Choices:
A. All patients are recommended put a gastric tube lavage (gastric lavage)
B. Not all patients are recommended for activated carbon (activated charcoal)
C. Stable phenomenon of life is the most important task first aid
D. Transit is recommended to lie on the left side (Left decubitus) transported gestures


Question: Corynebacterium diphtheria (Corynebacterium diphtheriae) the risk factors are:

Answer: Exotoxin release, inhibition of protein synthesis

Choices:
A. Exotoxin release, inhibition of protein synthesis
B. Inhibiting phagocytic cells produce granulomas
C. In the release of toxins, causing fever, shock
D. Destruction of epithelial cells, resulting in vasculitis


Question: From the previous question, this does not need to consider that most patients following the diagnosis?

Answer: Bartter syndrome (Bartter's syndrome)

Choices:
A. Primary aldosteronism cortex (primary aldosteronism)
B. Bartter syndrome (Bartter's syndrome)
C. Gelafusi's disease (Graves' disease)
D. Takayasu arteritis (Takayasu's arteritis) 29 and diagnosis of Sjögren's syndrome is the most independent inspection:

previous
not need to
patients following
diagnosis


Question: Pilocytic astrocytoma belongs to WHO classification system of glioma in:

Answer: Grade 1

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


Question: 80-year-old man, usually have constipation, sudden vomiting, frequent urination, weakness, presenting to the emergency room semi-conscious state, and found that blood serum calcium 14.2 mg / dL, the blood phosphorus 2.5 mg / dL, EKG showing PR extension, T wave or ST high shortened. Its disposal order items that the highest priority?

Answer: Forced hydration

Choices:
A. Calcitonin drug use
B. Correct electrolyte imbalance
C. Diuretic use
D. Forced hydration

80 year old man
usually
constipation
sudden vomiting
frequent urination
weakness
emergency room semi-conscious state
found
blood serum calcium
mg
dL
blood phosphorus
mg
dL
EKG
PR extension
T wave
ST high shortened
order
highest priority


Question: Which of the following is not a total parenteral nutrition (total parenteral nutrition) the indications?

Answer: Severe head trauma caused by the coma

Choices:
A. Severe head trauma caused by the coma
B. Long-term intestinal paralysis (prolonged ileus)
C. Intestinal - Leather fistula (entero-cutaneous fistula)
D. Short bowel syndrome (short bowel syndrome)

following
not
total parenteral nutrition
total parenteral nutrition


Question: CD4 and CD8 narrative related molecules on T cells, whichever is the most correct?

Answer: These two molecules can (MHC) molecule in combination with MHC tissue

Choices:
A. CD4 structure is constituted by two different peptide chains wins
B. These two molecules can be antigen-binding protein fragments directly
C. These two molecules can (MHC) molecule in combination with MHC tissue
D. CD4 and CD8 molecules are not involved in signal transmission system activated T cells


Question: Which of the following is not bent foot (plantar flexion) role?

Answer: Third peroneal muscles (peroneus tertius)

Choices:
A. Gastrocnemius muscle (gastrocnemius)
B. Third peroneal muscles (peroneus tertius)
C. Peroneal longus (peroneus longus)
D. Posterior tibial muscle (tibialis posterior) 8 Which of the following accompanying dorsal artery (dorsalis pedis artery)?

following
not bent foot
plantar flexion
role


Question: Lesch-Nyhan syndrome is due to lack of time yellow purine - Bird purine nucleoside phosphorylase transfer enzyme (hypoxanthine-guanine phosphoribosyltransferase), thus following what happens?

Answer: A large number of purine (purine) biosynthesis

Choices:
A. A large number of purine (purine) biosynthesis
B. A large number of dTTP synthesis
C. DCTP in the blood is very low
D. Urine large number of urea (urea)


Question: The following section of the air passage is narrowed HE emphysema (emphysema) is characterized in?

Answer: Bronchioles (bronchioles)

Choices:
A. Windpipe (trachea)
B. Bronchus (bronchus)
C. Bronchioles (bronchioles)
D. Alveolar sacs (alveolar sac)

following section
air passage
narrowed
emphysema
emphysema


Question: Unilateral patient suffering from cancer of the urinary tract, bladder cancer later on the opposite side of the urinary tract and the probability of occurrence are:

Answer: 30 to 50% and 2 to 4%

Choices:
A. 5 to 10% and 10 to 15%
B. 20 to 25% and from 5 to 10%
C. 30 to 50% and 2 to 4%
D. 30 to 50% and 20 to 25%

Unilateral patient suffering
cancer of the urinary tract
bladder cancer later
opposite side
urinary tract
probability
occurrence


Question: 31 Mr. 32-year-old, 30-year-old wife. The first eight weeks of pregnancy in spontaneous abortion, the second time in 16 weeks of pregnancy the fetus is found no brain child (acrania), thus terminating the pregnancy. Currently preparing to become pregnant, whichever is most appropriate treatment following?

Answer: The couple to accept chromosome, if one of the couple have chromosomal abnormalities, a higher chance chromosomal fetal abnormalities, amniocentesis must accept checks

Choices:
A. After pregnancy to take folic acid and vitamins
B. Folic acid and vitamins before pregnancy, after pregnancy to accept high-level ultrasound examination
C. Checks accepted amniocentesis during pregnancy 16 weeks to rule out the chance of fetal chromosomal abnormalities
D. The couple to accept chromosome, if one of the couple have chromosomal abnormalities, a higher chance chromosomal fetal abnormalities, amniocentesis must accept checks

31 Mr
year old
30 year old
first eight weeks
pregnancy
spontaneous abortion
second time
weeks
pregnancy
fetus
found
brain child
acrania
terminating
pregnancy
Currently
to
pregnant
most appropriate treatment following


Question: When head trauma, skull pterion part of a compression fracture, it can easily cause damage to a blood vessel, causing bleeding?

Answer: Middle meningeal artery (middle meningeal artery)

Choices:
A. Internal carotid artery (internal carotid artery)
B. Middle cerebral artery (middle cerebral artery)
C. Sigmoid sinus (sigmoid sinus)
D. Middle meningeal artery (middle meningeal artery)

head trauma
skull pterion part of
compression fracture
easily cause damage
blood vessel
causing bleeding


Question: A 46-year old man hospitalized with alcoholic hepatitis, alcohol dependence has been the case for over 20 years, to drink two bottles of sorghum liquor for about a day, was still hospitalized alcohol. The first night in hospital complained about difficulty falling asleep and appeared tremor, sweating, heart palpitations and ill at ease, the following statements is true?

Answer: Vote benzodiazepine, but non-drug to improve sleep as the main subject

Choices:
A. The first line treatment of antipsychotics
B. Vote benzodiazepine, but non-drug to improve sleep as the main subject
C. Cast a non-benzodiazepine sleeping pills to improve sleep
D. Shall not be given anti-epileptic drugs carbamazepine

year old man hospitalized
alcoholic hepatitis
alcohol dependence
case
20 years
to
two bottles
sorghum liquor
about
day
hospitalized alcohol
first night
hospital
difficulty falling asleep
appeared tremor
sweating
heart palpitations
ill at ease
following
true


Question: 73 a 67-year-old man complained of blurred vision, eye doctor check bi-temporal hemianopsia phenomenon. The injection of this two MRI Gd-DTPA is, T1WI, the most likely diagnosis is:

Answer: meningioma

Choices:
A. pituitary adenoma
B. craniopharyngioma
C. meningioma
D. germ cell tumor

67 year old man
blurred vision
eye doctor check
temporal hemianopsia
injection
two MRI Gd-DTPA
diagnosis


Question: A 3-year-old boys from 15 kg, six-story drop sent emergency, vital signs for the next heartbeat 160 / min, blood pressure 70/30 mmHg, 30 next breaths / min, the proper first aid to the infusion method Why?

Answer: Physiological saline (normal saline) a rapid infusion of 300 ml, twice if no response after the administration of transfusion i.e.

Choices:
A. Plasma substitute solution (Gelofusine) a rapid infusion of 300 ml, giving a blood transfusion i.e., after the reaction, if not
B. Fresh frozen plasma (fresh frozen plasma) a rapid infusion of 300 ml, if no response after a given red blood cell transfusion of the concentrate i.e.
C. Ringer's solution (Ringer's solution) a rapid infusion of 150 ml, twice if no response after the administration of transfusion i.e.
D. Physiological saline (normal saline) a rapid infusion of 300 ml, twice if no response after the administration of transfusion i.e.

3 year old boys
15 kg
six story drop sent emergency
vital signs
next heartbeat
min
blood pressure 70 30 mmHg
30 next breaths
min
first aid
infusion method


Question: A 26-year-old male patient incidence of intestinal infection, which of the following circumstances do not need to use antimicrobial agents treatment?

Answer: nontyphoidal salmonellosis

Choices:
A. nontyphoidal salmonellosis
B. giardiasis
C. Fever and bloody stools phenomenon of traveler's diarrhea
D. Patients with fever and a lot of white blood cells in stool


Question: HE following items immunomodulatory drugs, anti-inflammatory and anti-angiogenic effect, which can inhibit the action of TNF-α, reduced phagocytosis of neutrophil?

Answer: thalidomide

Choices:
A. azathioprine
B. thalidomide
C. mycophenolate mofetil
D. cyclosporine

following
drugs
anti-inflammatory
anti-angiogenic effect
inhibit
action
TNF
reduced phagocytosis


Question: 4 days old boy, shortness of breath, and severe cyanosis hospitalization, chest X-ray as shown in FIG. After administration of renal prostaglandin (PGE 1), which cyanosis and shortness of breath phenomenon did not improve, Which of the following is the most likely of heart problems?

Answer: With obstructive pulmonary venous return anomaly

Choices:
A. With obstructive pulmonary venous return anomaly
B. Great vessels merge ventricular septal defect
C. Law Rockwell Snap herniation with unilateral absence of pulmonary artery
D. Double outlet right ventricle with pulmonary stenosis

4 days old boy
shortness of breath
severe cyanosis
chest X-ray
administration
renal prostaglandin
PGE 1
cyanosis
shortness of breath
not
following
heart problems


Question: 23 a 70-year-old man suddenly left limb weakness, it is the onset of the third day after he made the brain magnetic resonance imaging (MRI), the left is

Answer: Internal carotid artery (internal carotid artery)

Choices:
A. Internal carotid artery (internal carotid artery)
B. Middle cerebral artery (middle cerebral artery)
C. Anterior cerebral artery (anterior cerebral artery)
D. Posterior cerebral artery (posterior cerebral artery)

23
70 year old man
left limb weakness
onset
third day
made
brain magnetic resonance imaging
left


Question: Diffuse interstitial lung disease (diffuse interstitial lung disease) patient's physical examination, the most unlikely Which of the following occurs?

Answer: Bilateral symmetry of joint swelling (hypertrophic osteoarthropathy)

Choices:
A. Promote forced breathing (tachypnea)
B. Step down on both sides of the lung inspiratory rales (Crackle)
C. Clubbing (clubbing fingers)
D. Bilateral symmetry of joint swelling (hypertrophic osteoarthropathy)

Diffuse interstitial lung disease
diffuse interstitial lung disease
patient's physical examination
most unlikely
following occurs


Question: 62 A 36-year-old male skin every 2-3 days there will be a sudden rash of fusion occurs as shown below, and quite itch, there are 2 years. But the rash never happened lips. By taking antihistamines effective, but can not be cured. Blood examination revealed total IgE IU / mL, WBC 5,850 / mm3 with eosinophil 3.2%, ANA 1: 40X . Which of the following is the most likely diagnosis?

Answer: Chronic urticaria

Choices:
A. Angioedema
B. Chronic urticaria
C. Atopic dermatitis
D. Erythema multiforme

62
36 year old male skin
2-3 days
sudden rash
fusion occurs
itch
2 years
rash never
lips
antihistamines effective
not
Blood examination revealed total
IU
mL
WBC
850
mm3
following
diagnosis


Question: 33.15 ⽣-year-old male, middle of the night sleeping suddenly left of testicular pain, pain to face discolored pale white, cold sweats, immediately to the hospital emergency room. In the absence of ultra-imaging Rec waves below, which of the following examination or treatment more in line with current medical shoots as usual ⾏ routine?

Answer: Exploration of the watch testicular surgery

Choices:
A. ⽣ anti-hormone therapy
B. Testicular slices
C. Exploration of the watch testicular surgery
D. Testicle removal surgery your watch

year old male
middle
night sleeping
left of testicular pain
pain to face discolored pale white
cold sweats
immediately
hospital emergency room
absence
ultra imaging Rec waves
following
treatment
line
current medical
usual
routine


Question: 7. Which of the following constitute the arcuate line (arcuate line) before the lower rectus sheath (rectus sheath anterior to the rectus abdominis)? ①Scarpa's fascia ② obliques (external abdominal oblique muscle) of the fascia (aponeurosis) ③ internal oblique muscle (internal abdominal oblique muscle) ④ transversus abdominis aponeurosis (transversus abdominis) aponeurosis

Answer: ②③④

Choices:
A. ①
B. Only ②
C. Only ②③
D. ②③④

following
arcuate line
arcuate line
lower rectus sheath
rectus sheath anterior
rectus abdominis
Scarpa's fascia
obliques
external abdominal oblique muscle
fascia
aponeurosis
internal oblique muscle
internal abdominal oblique muscle
transversus abdominis aponeurosis
transversus abdominis
aponeurosis


Question: From the previous question, the most likely outcome is that checking which of the following?

Answer: absence of end-diastolic flow velocity

Choices:
A. absence of end-diastolic flow velocity
B. reversed end-diastolic velocity
C. decrease of middle cerebral arterial flow
D. increase of middle cerebral arterial flow


Question: DNA is not in the common 5'-methyl cytosine go after amine (deamination), which appear in the visible mutations copy?

Answer: CG to TA

Choices:
A. CG to TA
B. CG to GC
C. CG to AT
D. G is removed

DNA
not
common
cytosine go
amine
appear
visible
copy


Question: 4 operating room late at night brought a 27-year-old car accident, the patient must be an emergency craniotomy decompression take hyperventilation anesthesia to reduce intracranial pressure (intracranial pressure), relating to the following description, what is correct? ①hyperventilation cerebrospinal fluid will tend to acidic ② even continued hyperventilation, cerebral blood flow (cerebral blood flow) will slowly return to the original numbers ③ excessive hyperventilation after about 12 hours, such as the PaCO2 lower than 20 mmHg, can also cause injured brain ischemia (ischemia) ④ If the swelling of the brain is very serious, after surgery should be considered temporarily closed skull

Answer: ②③④

Choices:
A. ①②③
B. ②③④
C. Only ①④
D. Only ③④

4 operating room late
night brought
27 year old car accident
patient
emergency craniotomy decompression
hyperventilation anesthesia to
intracranial pressure
intracranial pressure
relating
following
correct
hyperventilation cerebrospinal fluid
hyperventilation
cerebral blood flow
cerebral blood flow
slowly return
original numbers
excessive hyperventilation
about 12 hours
lower
20 mmHg
cause injured brain ischemia
ischemia
swelling
brain
very serious
surgery
closed skull


Question: Which of the following is not a cause of "pseudo - strabismus" (pseudoesotropia) of?

Answer: Preterm children retinopathy caused by macular ectopic (ectopic macula)

Choices:
A. Two pupils distance is too short
B. Explicit inner canthus wrinkles epithelium (epicanthal folds)
C. High myopia associated with negative kappa angle
D. Preterm children retinopathy caused by macular ectopic (ectopic macula)

following not cause pseudo strabismus pseudoesotropia


Question: If the bottom of the levator ani muscle compared to pelvic hammock (hammock), following which plays anatomy ⽊ functions like a cross (the main attachment structure both ends of the hammock) across the hammock?

Answer: tendineus arch levator ani (ATLAS)

Choices:
A. tendineus arch levator ani (ATLAS)
B. arch tendineus fascia pelvis (ATFP)
C. internal obturator muscle
D. endopelvic fasciae

bottom
levator ani muscle
pelvic
following
plays anatomy
functions
main attachment structure
ends


Question: Control of the following reasons related to the low dose of aspirin of myocardial infarction, what's wrong?

Answer: COX inhibition endothelial cells, no effect of regeneration

Choices:
A. Aspirin acts platelet cycloxygenase (COX) irreversibility
B. Primarily inhibit the formation of thromboxane A2 in platelets
C. The endothelial cells would inhibit COX at high doses, while prostacyclin formation will be reduced
D. COX inhibition endothelial cells, no effect of regeneration

Control
following
related
low dose
aspirin
myocardial infarction
wrong


Question: For a 70-year-old man undergoing total knee replacement surgery, patients had a history of coronary heart catheterization and received balloon angioplasty, symptoms improved. Still need to take a break when a slight movement, but no chest symptoms. Mining surgery under general anesthesia to thiopental, succinylcholine and halothane anesthesia is performed. When placing the knee, a sudden drop in blood pressure, display the ECG atrial fibrillation, heart rate 105 beats / min. The following statements is most likely?

Answer: May be the production of methylmethacrylate bone caused by mud

Choices:
A. High temperature may occur in patients with malignant
B. Patients with acute myocardial infarction may occur
C. Fat embolism occur, end-tidal carbon dioxide (end-tidal carbon dioxide) will increase to about 60 mmHg
D. May be the production of methylmethacrylate bone caused by mud

70 year old man
total knee replacement surgery
patients
history
coronary
received balloon angioplasty
symptoms improved
need to
break
slight movement
chest symptoms
surgery
general anesthesia
thiopental
succinylcholine
halothane anesthesia
performed
placing
knee
sudden drop in blood pressure
display
ECG atrial fibrillation
heart rate
beats
min
following


Question: Narrative about bacterial liver abscess of the following, what's wrong?

Answer: Early required to undergo a surgical drainage surgery

Choices:
A. Often occurs in patients with diabetes
B. Bacteria occurs via the blood circulation to the liver abscess
C. May be a single or multiple abscess
D. Early required to undergo a surgical drainage surgery

bacterial liver abscess of
following
wrong


Question: That following malignant tumor of the middle ear to the eardrum red or dark red bumps appear?

Answer: Jugular paraganglioma (glomus jugulare tumor)

Choices:
A. Jugular paraganglioma (glomus jugulare tumor)
B. Middle ear (cholesteatoma)
C. Lipoma (lipoma)
D. 骨瘤（osteoma）


Question: From the previous question, the abovementioned conditions are most likely to organizational changes:

Answer: Diffuse alveolar damage

Choices:
A. Diffuse alveolar damage
B. Alveoli expand
C. Granulomatous vasculitis
D. Neutrophil infiltration


Question: Which of the following is not a neonatal brachial plexus damage (neonatal brachial plexus injuries) risk factors?

Answer: Premature birth (prematurity)

Choices:
A. Premature birth (prematurity)
B. Shoulder dystocia (shoulder dystocia)
C. Multi-maternal (multiparous mothers)
D. High birth weight (greater than 4,500 grams)

following
not
neonatal brachial plexus damage
neonatal brachial plexus injuries
risk factors


Question: Which of the following is not the most commonly used in genetic engineering of bacteria to be conducted?

Answer: DNA gyrase

Choices:
A. DNA gyrase
B. Restriction enzyme
C. DNA ligase
D. Cloning vector


Question: About hemorrhoids (hemorrhoid) narrative, what's wrong?

Answer: All of hemorrhoids need surgery

Choices:
A. Hemorrhoids are anal mucosa under construction which contains artery and vein smooth muscle and other tissues
B. Play an important role in the maintenance of the anal sphincter
C. Hemorrhoids surgery available ineffective conservative treatment of patients
D. All of hemorrhoids need surgery


Question: A student come to treatment because the outer knee pain, in its lateral femur (lateral femoral condyle) and the front lateral collateral ligament (lateral collateral ligament) found to have a significant local tenderness. Found that he had asked about the history of the habit of jogging, but examination revealed no apparent injuries. He most likely diagnosis is:

Answer: Tibial tract friction intestinal syndrome (iliotibial band friction syndrome)

Choices:
A. Outer knee meniscal cartilage (lateral meniscus) cracking
B. Third and fourth lumbar disc herniation (L3 ~ L4 HIVD)
C. Tibial tract friction intestinal syndrome (iliotibial band friction syndrome)
D. Knee lateral collateral ligament (lateral collateral ligament) sprain

treatment
outer knee pain
lateral femur
lateral femoral condyle
front lateral collateral ligament
lateral collateral ligament
found to
significant local tenderness
Found
history
revealed
injuries
diagnosis


Question: Which of the following is not conducting toes feel?

Answer: The saphenous nerve (saphenous nerve)

Choices:
A. Superficial peroneal nerve (superficial fibular nerve)
B. The saphenous nerve (saphenous nerve)
C. Plantar nerve (medial plantar nerve)
D. Deep peroneal nerve (deep fibular nerve)


Question: 72. The patient complained of lower back dull pain on the right side, the number of white blood cells in normal blood, ultrasound examination revealed right kidney tumor, computer tomography, such as drawings, which of the following best diagnosis correct?

Answer: renal angiomyolipoma

Choices:
A. renal cell carcinoma
B. urothelial cell carcinoma
C. renal angiomyolipoma
D. xanthogranulomatous pyelonephritis

72
patient
lower back dull pain
right side
number
white blood cells
normal blood
ultrasound examination revealed right
computer tomography
following best diagnosis correct


Question: When is the implantation of the embryo in the endometrium time?

Answer: 7 to 10 days after ovulation

Choices:
A. 7 to 10 days after ovulation
B. Menstrual cycle of 16 to 18 days
C. 3 to 5 days after ovulation
D. Menstrual cycle of 28 to 30 days


Question: A 30-year-old man with schizophrenia taking antipsychotic drugs, and auditory hallucinations, smiling Jie improved, but is still unable to work and stay at home, thus causing resentment and blame siblings, his mother is very protective and life to help him in everything ready. The following statements about the mood of the show, what's wrong?

Answer: Emotional Expression theory proposed by British scholar Julian Left in the year of 60

Choices:
A. This family of patients are highly emotional show (high expressed emotion)
B. Emotional Expression theory proposed by British scholar Julian Left in the year of 60
C. Mental illness in the family of highly emotional show, and the contact time with the family over 35 hours per week, the relapse rate is high
D. Low emotion expression families will think of a more patient behavior is caused by the disease, rather than his ability to control

30 year old man
schizophrenia
antipsychotic drugs
auditory hallucinations
improved
unable to
home
causing
very
to help
ready
following
mood
wrong


Question: Whichever of the following anticancer agent and can be due to vascular endothelial growth factor (VEGF) in combination, to inhibit angiogenesis (angiogenesis), can be used as therapy of metastatic colorectal cancer?

Answer: bevacizumab

Choices:
A. bevacizumab
B. cetuximab
C. gefitinib
D. imatinib


Question: A 80-year-old man because memory has receded two years, accompanied by their families for the first time to see the clinic, your first step is to make:

Answer: Asked in detail about their medical history and neurological examination for Science and

Choices:
A. Asked in detail about their medical history and neurological examination for Science and
B. Brain CT
C. Brainwave
D. Brain magnetic resonance imaging

80 year old man
memory
two years
first time to see
clinic
first step
to make


Question: Rapidly progressive glomerulonephritis (rapidly progressive glomerulonephritis) characteristics of pathological changes Why?

Answer: Forming a crescent (crescent formation)

Choices:
A. Thickening of the basement membrane (basement membrane thickening)
B. Foot cell fusion (podocyte fusion)
C. Forming a crescent (crescent formation)
D. A large number of immune complex deposition (immune complex deposition)

Rapidly progressive glomerulonephritis
rapidly progressive glomerulonephritis
characteristics
pathological changes


Question: For when the twelfth thoracic vertebra compression fracture (compression fracture) occurs patient prescription aids bracket, Which of the following most appropriate?

Answer: Full back frame (Knight-Taylor brace)

Choices:
A. Full back frame (Knight-Taylor brace)
B. Short back frame (Knight brace)
C. Corset (lumbar corset)
D. Miwa Ji back frame (Milwaukee brace)


Question: Account of sudden infant death syndrome (sudden infant death syndrome, SIDS), and which of the following error?

Answer: The incidence of neonatal month or less reached its peak in the next 2-3 months, large, and very common

Choices:
A. SIDS is defined as the sudden death of infants under one year of age, and after a complete autopsy, the death process and resolve clinical history and other viewers after a detailed investigation, failed to find a cause of death
B. The incidence of neonatal month or less reached its peak in the next 2-3 months, large, and very common
C. Risk factors include fetal exposure to smoking in the womb, premature birth, not breast-feeding, Pashui to sleep with their parents, there are soft crib items
D. Also found that SIDS-related gene variants, for example, sodium potassium channels of the cardiac muscle, autonomic nervous system development, and other respiratory control center of abnormal gene

Account of sudden infant death syndrome
sudden infant death syndrome
SIDS
following error


Question: 79. Vibrio cholerae (Vibrio cholerae) will output cholera toxin (cholera toxin), a catalytic Gs [alpha] (i.e., white stimulatory G protein α subunit) of the ADP-ribosylation, ⽽ GTPase activity so that Gs [alpha] was inhibited, the following about this toxin as Using ⽪ described in the cells of the intestinal disease PORTRAIT what's wrong?

Answer: Gsα cells not activate downstream effectors (effectors)

Choices:
A. Gsα cells not activate downstream effectors (effectors)
B. Gsα cells and white Gs protein βγ subunits bind again (re-association) is inhibited
C. Cell adenylyl cyclase activation duration
D. Cell cAMP increase

cholera toxin
cholera toxin
alpha
i.e
white stimulatory G protein
subunit
so
alpha
inhibited
following
toxin
Using
cells of
intestinal disease PORTRAIT
wrong


Question: 5350-year-old male, 6 years ago, the family discovered he walked, swinging his left hand low, but he does not feel bothered did not take medicine. Two years later, left hand, left foot movements become more stiff and slow, three years ago, also found that patients become more awkward when he did something with his right hand. So he started taking drugs. In the last three years, he also found that eating just left of dopamine (L-dopa), these symptoms will disappear completely, but efficacy can only be maintained for about four hours. Six years, he no circumstances trembling. Will he most likely what ails?

Answer: Parkinson's disease (Parkinson's disease)

Choices:
A. Multiple cerebral degeneration of Parkinson's disease (multiple systemic atrophy-parkinsonian type; MSA-P)
B. Corticobasal degeneration (cortico-basal degeneration, CBD)
C. Parkinson's disease (Parkinson's disease)
D. Multiple sclerosis (multiple sclerosis)

year old male
years
left hand low
not
not
medicine
Two years later
left hand
left
more stiff
slow
three years
found
patients
more awkward
right hand
started
last three years
found
eating
left
dopamine
symptoms
completely
efficacy
only
maintained
four hours
Six years
trembling
ails


Question: From the previous question, the initial physical examination, the patient was found swollen lymph nodes; on tumor stage (staging), Which of the following does not have the most importance?

Answer: Skin depth of tumor invasion (Clark level of invasion)

Choices:
A. The thickness of the tumor tissue (tumor thickness) measurement
B. Sentinel lymph node biopsy (sentinel lymph node biopsy)
C. Skin depth of tumor invasion (Clark level of invasion)
D. Chest X-ray photography

previous
initial
patient
found swollen lymph nodes
tumor stage
staging
following
not
most importance


Question: What age usually appear first symptoms of a panic attack, may be considered to be particularly associated with internal and surgical diseases?

Answer: Over 45 years

Choices:
A. Childhood
B. Adolescence
C. 25 to 35 years old
D. Over 45 years

age usually appear first symptoms
panic
to
associated with internal
surgical diseases


Question: A 75-year-old male thrombosis occurred in a different vein alternate location. Such a removal of thrombophlebitis (migratory thrombophlebitis) phenomenon (also known as Trousseau sign), most often complicated by following what disease?

Answer: Pancreas, colon or lung cancer

Choices:
A. Pancreas, colon or lung cancer
B. Chronic osteomyelitis
C. Congestive heart failure
D. Stage renal disease

75 year old male thrombosis
in
different vein alternate location
removal
thrombophlebitis
migratory thrombophlebitis
known
Trousseau sign
most often complicated
following
disease


Question: 78 S. haematobium infections (Schistosoma haematobium) of the following statements is that correct? Patients often ① hematuria (hematuria) ② often occur in patients urine eosinophils (eosinophilic leukocyturia) ③ by adult patients with chronic infection may induce bladder irritation

Answer: Only ①①

Choices:
A. Only ①①
B. Only ①①
C. Only ①①
D. ①①①

infections
following
correct
Patients often
hematuria
hematuria
often occur
patients urine eosinophils
eosinophilic leukocyturia
adult patients
chronic infection
induce bladder irritation


Question: Because patients with hyperthyroidism caused by arrhythmias, should be avoided Which of the following drugs in order to avoid the deterioration of hyperthyroidism?

Answer: amiodarone

Choices:
A. digoxin
B. amiodarone
C. propranolol
D. diltiazem

patients
hyperthyroidism caused
arrhythmias
following drugs
order to
hyperthyroidism


Question: Statements about the diabetic polyneuropathy, which of the following error?

Answer: Foot ulcers are rare

Choices:
A. Diabetes is the most common cause of polyneuropathy
B. The most common manifestations of chronic, progressive and symmetrical violations distal lower extremity foot sensory nervous system-based
C. Patients often complained of the foot and lower limb numbness, tingling (tingling)
D. Foot ulcers are rare


Question: ADVANCED immunoglobulin M White syndrome (hyper-IgM syndrome) is a congenital immunodeficiency diseases ⼀, clear ⾎ patient except rare ⾒ other types of IgM, IgG and IgA, for example, significantly lower than the average value, resulting in patients prone to infection. B cell defect in a particular gene can not result in B cell production ⽣ conversion type (class switching), but mutations of T cells can also result in the same disease. The following egg white matter defects that cause T cells help B cells can not be cast?

Answer: CD40 ligand

Choices:
A. AID（activation-induced cytidine deaminase）
B. CD40
C. CD40 ligand
D. NEMO (NF-κB essential modulator, also known as IKK γ)

ADVANCED immunoglobulin White syndrome
hyper-IgM syndrome
congenital immunodeficiency diseases
clear
patient
rare
types
IgM
IgA
lower
average value
resulting in patients prone
infection
defect
gene
not result
conversion
switching
result
same disease
following egg white matter defects
cause
help
not
cast


Question:
65. The incidence of scoliosis (scoliosis) cerebral palsy (cerebral palsy) patients 21 to 76%, if the gross motor function evaluation system (Gross Motor Function Classification System, GMFCS) classified severe cerebral palsy degree, following the kind of severity
 Cerebral palsy patients have a greater chance to generate scoliosis problems?

Answer: GMFCS IV

Choices:
A. GMFCS In
B. GMFCS II
C. GMFCS III
D. GMFCS IV

65
incidence
scoliosis
scoliosis
cerebral palsy
cerebral palsy
patients
76
gross motor function
system
Gross Motor Function
severe cerebral palsy degree
following
kind
severity Cerebral palsy patients
greater chance to
scoliosis


Question: Shaft flap (axial pattern flap) of blood circulation from:

Answer: Artery and vein skin (cutaneous artery and vein)

Choices:
A. Artery and vein skin (cutaneous artery and vein)
B. Organizations rely on nutrient penetration of its required supply of liquid
C. By muscle of blood vessels (myocutaneous perforators)
D. The dermal microvascular alone (subdermal plexus)

Shaft flap
axial pattern flap
blood circulation


Question: 60 a 58 year old patient with diabetes secondary to injections of insulin daily to control blood sugar, blood sugar values are: 160 mg / dL, before breakfast, after breakfast hours 150 mg / dL, before dinner, 120 mg / dL, bedtime 140 mg / dL. The following is one of the measures that correct?

Answer: Increase NPH insulin dose before dinner

Choices:
A. NPH insulin dose before adding breakfast
B. Regular increases insulin dose before breakfast
C. Increase NPH insulin dose before dinner
D. Regular insulin dose increased before dinner


Question: Statements about sleep apnea (sleep apnea), and which of the following error?

Answer: Occurs by transfer machine can be divided into three types, the majority of mixed type

Choices:
A. Normal adult respiratory airflow during sleep, such as stopping for more than 10 seconds is called significant apnea
B. The severe form is defined as greater than the apnea-hypopnea index (AHI) 30 times / hour
C. Occurs by transfer machine can be divided into three types, the majority of mixed type
D. Patients with central apnea, the air flow is stopped when the nose and mouth, but no chest or other respiratory movement


Question: 450-year-old male patient, to the hospital three days ago because of severe headaches, after CT angiography diagnosed with a cerebral aneurysm (cerebral arterial aneurysm), now surgery. For the induction and maintenance of anesthesia, the following statements is wrong?

Answer: Surgery hyperventilation, carbon dioxide gas resulting in decreased arterial pressure (PaCO2), the increased blood flow to the brain (cerebral blood flow)

Choices:
A. For an arterial catheter (arterial catheter) monitoring of blood pressure
B. Anesthesia was induced sudden increase in blood pressure to be avoided (acute hypertension)
C. Selective surgery hypotension (induced hypotension) often use high concentrations of isoflurane were combined nitroprusside
D. Surgery hyperventilation, carbon dioxide gas resulting in decreased arterial pressure (PaCO2), the increased blood flow to the brain (cerebral blood flow)

450 year old male patient
hospital three days
severe headaches
CT angiography diagnosed
cerebral aneurysm
cerebral arterial aneurysm
now surgery
induction
anesthesia
following
wrong


Question: When a runner ran fast forward, suddenly encounters an obstacle that must continue to gallop in a right turn, runners can maintain a balance in this process does not fall right turn, what would be an assist in maintaining the homeostasis of the main structure of this?

Answer: Semicircular ducts

Choices:
A. Utricle
B. Saccule
C. Semicircular ducts
D. Basal ganglia

ran fast forward
to
right turn
balance
process
not fall right turn
assist
main structure


Question: A 30-year-old man complained of a sudden see the flash in the upper left visual field, gradually jagged, after growing, flashing stops after about 15 minutes, but after a few minutes the headache gradually produce for several hours, and accompanied by nausea. This is his third attack last six months. Which of the following is the most likely diagnosis?

Answer: Harbinger of migraine

Choices:
A. epilepsy
B. Harbinger of migraine
C. Transient ischemic
D. glaucoma

30 year old man
sudden see
flash
upper left visual field
flashing stops
about 15 minutes
few minutes
headache
hours
nausea
third attack last six months
following
diagnosis


Question: 14-year-old girl, two years ago right knee swelling, pain medication invalid, X ray showed right leg distal femur tumor infiltration, surgery, biopsy confirmed osteosarcoma. But the poor response received multiple chemotherapy, tumor resection done and installed an artificial joint. Recurrence after resection done right leg; lung metastasis surgical resection. Hospitalized for a month before the bottom of the sternum, above the navel is often paroxysmal like electrical contact-like pain, clinically suspected spinal metastases. The following disposal plan what's more appropriate?

Answer: Recommend patients and their families receiving palliative care and pain control do

Choices:
A. After the nuclear medicine bone scan confirmed that note neurosurgeon surgery
B. Continue to give further chemical treatment
C. Recommended that anesthesiologists do note intervertebral injection pain
D. Recommend patients and their families receiving palliative care and pain control do


Question: Statements about Oxytocin (Oxytocin), and which of the following error?

Answer: The most common side effects of oxytocin is uterine rupture, especially in the uterus occurs no scar of maternal

Choices:
A. When using certain birth oxytocin starting dose and rate of increase
B. Oxytocin dose should not exceed the maximum (42 mU / min)
C. The most common side effects of oxytocin is uterine rupture, especially in the uterus occurs no scar of maternal
D. Side effects of oxytocin water intoxication (Water intoxication), can cause convulsions, coma, and death


Question: Following on the development of the tonsils, where entries are correct?

Answer: Palatine tonsils from the second pharyngeal pouch

Choices:
A. Palatine tonsils from the second pharyngeal pouch
B. Pharyngeal tonsils from the oropharyngeal lymphoid nodules
C. Lingual tonsil lymphoid nodules fall from the nasopharynx gathered together
D. Lymphoid nodule tongue tube from the tonsils


Question: Decided to chronic severe mitral regurgitation whether (severe mitral regurgitation) patients should undergo surgery, Which of the following is the highest priority considerations?

Answer: Are there symptoms

Choices:
A. Left ventricular systolic function
B. Left ventricular end-systolic diameter
C. Are there symptoms
D. Suitability for mitral valve repair

chronic severe mitral
severe mitral regurgitation
patients
surgery
following
highest priority considerations


Question: Risk factors for active TB that does not include one of the following?

Answer: Preschool

Choices:
A. AIDS
B. Chronic renal failure
C. Use of steroids and other immunosuppressive drugs
D. Preschool


Question: Which of the following does not belong to a local flap flap (local flap)?

Answer: Toe to finger transplant (toe to hand transfer)

Choices:
A. Advancement flap (advanced flap)
B. Toe to finger transplant (toe to hand transfer)
C. Island vascular stem flap (island-pedicled flap)
D. Gluteus maximus musculocutaneous V-Y advancement flap (gluteal maximal V-Y musculocutaneous advanced flap)


Question: Which of the following does not belong to the systemic inflammatory response syndrome (systemic inflammatory response syndrome, SIRS)?

Answer: Arterial carbon dioxide tension (PaCO2)> 32 mmHg

Choices:
A. Core temperature <36 ℃
B. Heart rate> 90 / min
C. Arterial carbon dioxide tension (PaCO2)> 32 mmHg
D. Leukocyte <4000 cells / mm3

following
not
systemic inflammatory response syndrome
systemic inflammatory response syndrome
SIRS


Question: Who lived in the village of General Tainan 48 year old man recently found off of painless hematuria, blood clots and a sheet-like appearance. Patients not taking aspirin, but the history of stones, there are also long-term smoking, drinking of habit. For more illness in whichever 'diagnosis of the cause "no significant value?

Answer: Patients have the habit of drinking

Choices:
A. Patients living in rural General
B. Hematuria form
C. No patients using aspirin
D. Patients have the habit of drinking

lived
village
General
48 year old man recently found
painless hematuria
blood clots
appearance
Patients not
aspirin
history
stones
long-term smoking
drinking
habit
more illness
iagnosis
ause
ignificant  alue?


Question: 50-year-old male with a history of liver cancer. In about two days, severe back pain suddenly occurs and unable to walk, magnetic resonance imaging (MRI) examination showed metastasis occurred in the twelfth thoracic vertebra, and severe nerve compression situation. There was also a physician to inform patients cauda equina syndrome (cauda equina syndrome). Which of the following is not a typical symptom of cauda equina syndrome?

Answer: Lower limb deep tendon reflexes (deep tendon reflex) enhanced

Choices:
A. Incontinence or retention
B. Lower limb deep tendon reflexes (deep tendon reflex) enhanced
C. Numbness around the anus
D. Leg weakness


Question: One male patient, long granite work digging work, complained of dry cough and breathing difficulties. Chest X-rays showed nodules dispersed and there is peripheral calcification, the diagnosis is most likely:

Answer: Silicon deposition disease

Choices:
A. Carbon deposition disease
B. Beryllium deposition disease
C. Silicon deposition disease
D. Asbestos deposition disease

One male patient
long granite
digging
dry cough
breathing difficulties
Chest X-rays
nodules dispersed
peripheral calcification
diagnosis


Question: There are two urea nitrogen atoms. If the first ammonia from nitrogen atom, the second nitrogen atom which of the following come from?

Answer: aspartate

Choices:
A. aspartate
B. histidine
C. arginine
D. ornithine

two urea nitrogen
first
second nitrogen
following


Question: When the following conditions are metabolic alkalosis, check urine chloride concentration may occur, which of the following conditions different from the other three?

Answer: Patients using nasogastric tube drainage

Choices:
A. Primary cortical aldehyde ketoacidosis (primary aldosteronism)
B. Patients using nasogastric tube drainage
C. Gitelman's syndrome
D. Use of diuretics

following conditions
metabolic alkalosis
check urine chloride concentration
occur
following conditions different
three


Question: 18-year-old male student in class because of the occurrence of headache, confusion, weak legs and incontinence was sent to the emergency room. Two weeks ago, he had a few days of respiratory infections, fever, after treatment, when the symptoms had complete remission. According to history, the most likely diagnosis is:

Answer: Acute diffuse encephalomyelitis (acute disseminated encephalomyelitis)

Choices:
A. Multiple sclerosis (multiple sclerosis)
B. Acute inflammatory demyelinating polyneuropathy syndrome (Guillain-Barré syndrome)
C. Viral meningitis (viral meningoencephalitis)
D. Acute diffuse encephalomyelitis (acute disseminated encephalomyelitis)

year old male
occurrence
headache
confusion
weak legs
incontinence
sent
emergency room
Two weeks
few days
respiratory infections
fever
treatment
symptoms
complete remission
history
diagnosis


Question: Patients with anemia related to chronic kidney statements is true?

Answer: If the patient is tubulointerstitial nephritis, anemia usually appear earlier than patients glomerular lesions

Choices:
A. The main causes of anemia is the shortened life of red blood cells
B. If the patient is tubulointerstitial nephritis, anemia usually appear earlier than patients glomerular lesions
C. Most of these patients anemia is hypochromic anemia of small ball (hypochromic microcytic anemia)
D. When corrected, the hematocrit of the patient (hematocrit) should be controlled at 36-38%

Patients
anemia related
chronic kidney
true


Question: The following related auscultation, palpation and stethoscope (stethoscope) describes the use of, what's wrong?

Answer: The second heart sound (second heart sound) on and off of the mitral and tricuspid related

Choices:
A. stethoscope diaphragm surface is adapted to listen to the high frequency heart murmurs, bell surface is adapted to listen to the heart sounds and murmurs low
B. The second heart sound (second heart sound) on and off of the mitral and tricuspid related
C. Thrill expressed palpable intensity exceeds III / VI stage heart murmur
D. Normal second heart sound may be slightly apart (splitting second sound) when breathing significantly grow about 23 children and infants of slow (Failure to thrive) during inspiration than the narrative, which of the following error?

following related auscultation
palpation
stethoscope
stethoscope
use of
wrong


Question: 65-year-old vegetarian woman to the clinic complaining of progressive ataxia six months, blood tests found that vitamin B12 (Vitamin B12) is low, the neurological examination revealed ankle and knee jerk reflex enhancement, positive Babinsiji's sign (positive Babinski sign), lower limb vibration and position sense impaired nerve conduction studies appear peripheral neuropathy, the diagnosis is most likely why?

Answer: Subacute combined degeneration (subacute combined degeneration)

Choices:
A. Prefrontal stroke
B. In stroke
C. Syphilis spinal cord disease
D. Subacute combined degeneration (subacute combined degeneration)


Question: Pseudomonas aeruginosa (Pseudomonas aeruginosa) produced exotoxin A (exotoxin A) Which of the following mechanism of the toxic effect on cells similar?

Answer: Diphtheria toxin (Diphtheria toxin)

Choices:
A. Cholera toxin (Cholera toxin)
B. Diphtheria toxin (Diphtheria toxin)
C. Tetanus toxin (Tetanospasmin)
D. Streptococcal exotoxin source (Pyrogenic exotoxin)

exotoxin
exotoxin
following mechanism
toxic effect
cells similar


Question: The following statements about the fetal blood circulation, what this bad?

Answer: Aortic artery catheter may be introduced into the pulmonary blood circulation

Choices:
A. The oxygenated blood from the umbilical vein carrying the placenta to the fetus
B. Save the umbilical artery blood oxygen from the placenta to the fetus carried
C. Into the right atrium and right ventricle through the blood may reach the left atrium
D. Aortic artery catheter may be introduced into the pulmonary blood circulation


Question: 30-year-old young men because of acute diarrhea dozens of times to emergency medical treatment, stool examination revealed white blood cells, may I ask what kind of bacteria the least likely?

Answer: Vibrio cholerae

Choices:
A. Salmonella species
B. Shigella species
C. Vibrio cholerae
D. Vibrio parahaemolyticus


Question: Common features of atherosclerotic plaque (atheromatous plaques) are:

Answer: Endometrial (tunica intima) has many smooth muscle cell proliferation

Choices:
A. Endometrial (tunica intima) has many smooth muscle cell proliferation
B. Membrane (tunica media) Many elastic plate (elastic lamellae) occurs
C. Adventitia (tunica adventitia) significantly thicker
D. Three-layer structure were significantly smooth muscle cell proliferation, lipids (Lipid) accumulation and collagen (Collagen) large scale synthesis

Common features
atherosclerotic plaque
atheromatous plaques


Question: 62-year-old female patient complained over the years on both sides of the hand and foot joint pain. The picture shows the X-ray photography both ankle joint of this treatment. Why is the most likely diagnosis?

Answer: Rheumatoid arthritis

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

62 year old female patient
years
sides
hand
foot joint pain
picture
X-ray
ankle joint of
treatment
diagnosis


Question: Which of the following will make feeding stool routine examination when peroxide enzyme (peroxidase test) Determination of occult blood, occurrence of false negative reaction?

Answer: Vitamin C

Choices:
A. Liver
B. Lean meat
C. Potato
D. Vitamin C

following
make
stool routine examination
enzyme
peroxidase test
Determination
occult blood
occurrence
false negative reaction


Question: The watch-connector cavity cancer-related surgery received adjuvant radiotherapy and chemotherapy narrative (chemoradiation) of, which of the following error?

Answer: The best adjuvant chemotherapy after more than six weeks before the start, to avoid affecting the healing wound-connector

Choices:
A. The best adjuvant chemotherapy after more than six weeks before the start, to avoid affecting the healing wound-connector
B. There diffusion of extranodal disease Face film is adjuvant chemotherapy indications
C. Margin (section margin) tumor cells, adjuvant chemotherapy still contribute to disease control
D. Phase IV disease surgery Face the watch even if complete resection, also recommended for adjuvant chemotherapy

connector cavity cancer related surgery received adjuvant radiotherapy


Question: Rehabilitation physical therapy equipment, the following does not belong to that deep hyperthermia?

Answer: Vector wave interference

Choices:
A. shortwave
B. microwave
C. Vector wave interference
D. Ultrasound

Rehabilitation physical equipment
following
not
deep hyperthermia


Question: In the causally related, because we must appear before the fruit, that is the causative agent of the disease should occur before the invasion to the study, and from invasion by the time interval between the onset must be compared with the induction phase of the disease or a long incubation period. The above description of a condition that belongs to determine causality?

Answer: Related to the timing of

Choices:
A. Of biological agree
B. Related consistency
C. Related strength
D. Related to the timing of

related
appear
causative agent
disease
occur
invasion
study
invasion
time
onset
induction phase
disease
long incubation period
above
condition
to
causality


Question: Forearm tendon patients, Which of the following is most likely damaged at the same time?

Answer: Ulnar flexor carpi (Flexor carpi ulnaris muscle) tendon

Choices:
A. Radial wrist flexor muscle (Flexor carpi radialis muscle) tendon
B. Ulnar flexor carpi (Flexor carpi ulnaris muscle) tendon
C. Flexor hallucis longus muscle (Flexor pollicis longus) tendon
D. Shallow index finger flexor muscle (Flexor digitorum superficialis) tendon

Forearm tendon patients
following
most likely damaged
same time


Question: Which of the following virus infection can cause monocytogenes, heterophile antibodies (heterophile antibody) and negative symptoms of hepatitis?

Answer: Cytomegalovirus

Choices:
A. Epstein-Barr virus
B. Human herpesvirus-6
C. Human T-cell lymphotropic virus type 1
D. Cytomegalovirus

following virus infection
cause
heterophile antibodies
heterophile antibody
negative symptoms
hepatitis


Question: B cells were bound to antigen activation of T cells did not get help because of genetic disorders: hyper-IgM syndrome (hyper-IgM syndrome), often because of a genetic defect that caused?

Answer: CD40 ligand（CD40L）

Choices:
A. DNA helicase
B. Bruton's tyrosine kinase（Btk）
C. CD40 ligand（CD40L）
D. Recombination-activating gene（RAG）

bound
antigen activation
T cells
not
help
genetic disorders
hyper-IgM syndrome
hyper-IgM syndrome
often
genetic defect
caused


Question: 21 year old woman, complained: palpitations, chest tightness, and the symptoms and has nothing to do with sports, its heart ultrasound chart below, the following statements is true?

Answer: Low doses of beta blockers (beta-blocker) may help to improve the patient's symptoms

Choices:
A. Common arthritis and a history of prolonged fever
B. Applicable digitalis and diuretics
C. Recommend limiting patients daily volume of activity
D. Low doses of beta blockers (beta-blocker) may help to improve the patient's symptoms

21 year old woman
palpitations
chest tightness
symptoms
to
heart ultrasound chart
following
true


Answer: Radial nerve (radial nerve)

Choices:
A. The median nerve (median nerve)
B. Radial nerve (radial nerve)
C. Ulnar nerve (ulnar nerve)
D. Axillary nerve (axillary nerve)


Question: The following describes what is used disadvantage mast cell stabilizers (mast cell stabilizer) eye drops for treating allergic conjunctivitis?

Answer: Must begin to use before the onset completely

Choices:
A. Must begin to use before the onset completely
B. Points once per hour
C. Easily lead to asthma attacks
D. Easily lead to glaucoma attack

following
used
mast cell stabilizers
mast cell stabilizer
eye drops
treating allergic conjunctivitis


Question: At the time of organ transplantation, anti-cortisol is also frequently used one rejection drugs, which of the following is the most commonly used cortisol?

Answer: Prednisolone

Choices:
A. Beclomethasone
B. Prednisolone
C. Dexamethasone
D. Triamcinolone

time
organ transplantation
cortisol
frequently used one rejection drugs
following
most
used cortisol


Question: Statements about diverticular disease of the small intestine (diverticular disease), the error which of the following?

Answer: About duodenal diverticular disease, mainly occur in the first portion of the position

Choices:
A. About predilection position diverticular disease of the intestine, small intestine, large intestine is ranked second only to
B. Difference between true diverticulum and false diverticulum lies in false diverticulum lack of muscle layer
C. Patients diagnosed with intestinal diverticular disease, and very few patients older than 40 years old
D. About duodenal diverticular disease, mainly occur in the first portion of the position

diverticular disease of
small intestine
diverticular disease
error
following


Question: Priority treatment of gestational trophoblastic diseases (gestational trophoblastic disease) was transferred to the treatment of the brain, in the case of no bleeding and compression symptoms, which of the following is NETDC (New England Trophoblastic Disease Center [Dana-Farber Cancer Institute]) suggested ?

Answer: Combined with chemotherapy and radiation therapy (combination of chemotherapy and brain irradiation)

Choices:
A. Whole brain radiation therapy (whole-brain radiation)
B. Stereotactic radiosurgery treating (stereotactic radiosurgery)
C. Craniotomy surgery (craniotomy)
D. Combined with chemotherapy and radiation therapy (combination of chemotherapy and brain irradiation)


Question: 75 year old man right nephrectomy renal cell carcinoma, non-illustrated diseased kidney tissue tumor renal artery tube. Which of the following best meets shown lesions?

Answer: systemic hypertension

Choices:
A. polyarteritis nodosa
B. Wegener granulomatoses
C. microscopic polyangiitis
D. systemic hypertension


Question: Irrespective of cartilage cells (chondrocyte) differentiation with which of the following?

Answer: Fibroblasts (fibroblast)

Choices:
A. Fibroblasts (fibroblast)
B. Chondrogenic (chondrogenic cell)
C. Chondroblasts (chondroblast)
D. Mesenchymal cells (mesenchymal cell)


Question: Patients because of hoarseness and cough and treatment, no previous history inquiry by major surgery or surgical disease, no significant local check impalpable tumor, laryngeal endoscopic examination revealed left vocal cord inactive, which shall take place subsequent the most appropriate?

Answer: X-ray photography neck

Choices:
A. #VALUE!
B. 67890ooooooo
C. #VALUE!
D. X-ray photography neck


Question: Statements about shaking a baby syndrome (shaken baby syndrome), the error which of the following?

Answer: It is easy to find abnormal appearance

Choices:
A. Often with child abuse (child abuse) related to social work intervention is sometimes necessary
B. Clinically do Fundus examination showed retinal bleeding (retinal hemorrhage)
C. CT scan, hematoma (acute subdural hematoma) acute subdural
D. It is easy to find abnormal appearance

shaking
baby syndrome
shaken baby syndrome
error
following


Question: From the previous question, since patients with parapneumonic effusion, thoracentesis do so under ultrasound guidance, the following numerical fluid analysis of pleural, whichever is most do not need to put a chest tube?

Answer: glucose > 40 mg/dL

Choices:
A. flank pus
B. glucose > 40 mg/dL
C. pH < 7.2
D. LDH> 1,000 U / L

previous
patients
parapneumonic effusion
so
ultrasound guidance
following numerical fluid analysis
pleural
most
not need to
chest tube


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

Answer: The occurrence of the disease and taking salicylate (salicylate) has nothing to do

Choices:
A. Disturbance of consciousness after the disease is mostly severe vomiting
B. Pathological changes of the liver, the brain cells of a fine fat particles deposited
C. Blood group transfer enzyme values (GOT, GPT), and ammonia values will rise
D. The occurrence of the disease and taking salicylate (salicylate) has nothing to do


Question: 6051-year-old Chen, nearly a month have found the right side of the scalp partial hair loss, scalp itching, peeling and generation block pain, the hospital's physician before giving antibiotics and anti-inflammatory prednisone does not improve the situation. So before physicians know the detailed inquiry: a very cute stray dogs picked up Chen three months ago, named Bobby. Bobby appealing very lively, and often close to Chen, then the physician to Wood's light (Wood's light) test is positive, the affected area take further culture dander; results raise white hairy colonies, septate hyphae presented microscope (septate hyphae), produce numerous number of spindle-shaped, thick-walled, large surface roughness spores (macrospores). The infection is most likely pathogen which of the following?

Answer: Microsporum canis

Choices:
A. Epidermophyton floccosum
B. Microsporum canis
C. Microsporum gypseum
D. Trichophyton schoenleinii

year old
nearly
month
found
right side of
scalp partial
scalp itching
peeling
generation block pain
hospital's physician
giving
anti-inflammatory prednisone
not
physicians
detailed
very
three months
very lively
often close
then
physician
Wood's light
Wood's light
test
positive
affected area
further culture dander
results
white hairy colonies
septate hyphae presented microscope
septate
numerous number
spindle shaped
thick-walled
large surface
infection
following


Question: Which of the following is not a low frequency heart sounds?

Answer: Aortic insufficiency (Aortic regurgitation) diastolic murmur cause of

Choices:
A. The third heart sound
B. The fourth heart sound
C. Mitral stenosis (Mitral stenosis) led to the diastolic murmur
D. Aortic insufficiency (Aortic regurgitation) diastolic murmur cause of

following
not
low frequency heart sounds


Question: If analysis of a body of experimental gene found in an organism, adenine nucleic acid content is about 20%, guanine content in the body of this gene why?

Answer: 30%

Choices:
A. 10%
B. 20%
C. 30%
D. 40%

analysis
body
experimental gene found
organism
adenine nucleic acid
about 20
body
gene


Question: To target drugs (tyrosine power inhibitor, tyrosine kinase inhibitor) treatment of non-small cell lung cancer, the effect is the most important determinant of treatment Why?

Answer: Epidermal growth factor receptor (epidermal growth factor receptor) gene mutation specific

Choices:
A. Cell sorting - lung adenocarcinoma
B. Gender - Women
C. Smoking history - a non-smoker
D. Epidermal growth factor receptor (epidermal growth factor receptor) gene mutation specific

To target drugs
tyrosine power inhibitor
tyrosine kinase inhibitor
treatment of non-small cell lung cancer
effect
most important


Question: Human leukocyte antigen (human leucocyte antigens, HLA) are:

Answer: Major histocompatibility complex molecules (major histocompatibility complex molecules)

Choices:
A. Adhesion molecule (adhesion molecules)
B. Go home receptors (homing receptors)
C. Major histocompatibility complex molecules (major histocompatibility complex molecules)
D. Tissue-specific antigen (tissue specific antigens)

Human leukocyte antigen
human leucocyte antigens
HLA


Question: What these malignancies are rare lymph node metastasis Day?

Answer: Sarcomas (sarcomas)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Sarcomas (sarcomas)
C. Melanoma (melanoma)
D. Germ cell tumors (germ cell tumor)

malignancies
rare lymph node metastasis Day


Question: Whichever of the following medicines via inhibition of Leukotriene receptor's role, as an oral treatment for asthma medication?

Answer: Zafirlukast

Choices:
A. Zafirlukast
B. Albuterol
C. Theophylline
D. Tiopropium

following medicines
inhibition
Leukotriene role
oral treatment
asthma medication


Question: Pregnancy, maternal serum "alpha fetoprotein (AFP)" is too high, which of the following should be suspected disease?

Answer: Fetal neural tube defect or defects in the skin

Choices:
A. Chromosomal abnormalities, especially Down syndrome
B. Fetal neural tube defect or defects in the skin
C. Thalassemia
D. Gestational trophoblastic disease

Pregnancy
serum
alpha fetoprotein
too high
following
suspected disease


Question: General assessment of the environmental quality of major air pollutants, including those of the following substances?

Answer: Ozone, carbon monoxide, suspended particles, sulfur dioxide, nitrogen dioxide

Choices:
A. Ozone, carbon monoxide, suspended particles, sulfur dioxide, nitrogen dioxide
B. Polycyclic aromatic hydrocarbons, ozone, carbon monoxide, lead, benzene
C. Formaldehyde, hydrogen sulfate, asbestos, benzene, odorous substances
D. Toluene, sulfur dioxide, propylene, carbon monoxide, nitrogen dioxide

environmental quality
major air pollutants
including
following


Question: About defecation and exhaust anorectal sensory receptor that is located in the rectum of a layer structure?

Answer: Muscle layer

Choices:
A. Mucosa
B. Submucosa
C. Muscle layer
D. Serosa

defecation
exhaust anorectal sensory receptor
rectum
layer structure


Question: The inside of the lower limbs swing femoral artery (medial circumflex femoral artery) circumflex femoral artery and the outside (lateral circumflex femoral artery) Which of the following is a direct sub ⽀?

Answer: Deep femoral artery (deep femoral artery)

Choices:
A. Femoral artery (femoral artery)
B. Deep femoral artery (deep femoral artery)
C. The former is the femoral artery (femoral artery), which is the deep femoral artery (deep femoral artery)
D. The former is a deep femoral artery (deep femoral artery), which is the femoral artery (femoral artery)

inside
lower limbs
femoral artery
medial circumflex femoral artery
circumflex femoral
outside
lateral circumflex femoral artery
following
direct sub


Question: After initial treatment, until Mr. Wang in stable condition, arrangements should be further examined to determine what items following the lesion location?

Answer: Movies brain CT angiography (computed tomography angiography)

Choices:
A. Check nerve conduction velocity (nerve conduction velocity testing)
B. Lumbar puncture (lumbar puncture)
C. Movies brain CT angiography (computed tomography angiography)
D. Electroencephalogram (EEG)

initial treatment
Mr
stable condition
arrangements
further examined to
following
lesion location


Question: A child left eye was hit by a baseball, eyes swollen parts immediately, subconjunctival hemorrhage, left eye can not move up, the following statements is wrong?

Answer: Left eye can not move up because the rectus card at the bottom of orbital fracture

Choices:
A. Children may have a lower edge orbital fractures (infra-orbital rim fracture)
B. Children may have the bottom of orbital fracture (orbital floor fracture)
C. Left eye can not move up because the rectus card at the bottom of orbital fracture
D. Children need to accept orbital CT examination (orbital CT)

child left eye
hit
baseball
eyes swollen parts immediately
subconjunctival hemorrhage
left eye
not move
following
wrong


Question: A 75-year-old female patient, slipped and fell, the occurrence of back pain, according to X-ray examination revealed the first lumbar vertebra and the third lumbar compression fracture occurs, blood tests and blood counts were normal, what items the following statements is correct?

Answer: Generally do not need surgery performed under reduced pressure

Choices:
A. The most suitable location for the lumbar spine bone mineral density examination
B. Currently the best bone density test to check bone density ultrasound
C. Generally do not need surgery performed under reduced pressure
D. Bisphosphonate therapy can promote osteoblasts synthesize bone, calcium supplementation is not required

75 year old female patient
fell
occurrence of back pain
X-ray
revealed
first lumbar vertebra
third lumbar compression occurs
blood tests
blood counts
normal
following
correct


Question: Face disease spinal cord injury recoverable shutter mode assist Using electrodes made of sperm in semen, where the electrodes to be placed?

Answer: rectum

Choices:
A. abdomen
B. perineum
C. rectum
D. Penis


Question: Ninety percent of varicoceles occur on the left side of the scrotum in men is because the left testicular venous return to:

Answer: The left renal vein (Renal vein)

Choices:
A. Inferior vena cava (Inferior vena cava)
B. The left renal vein (Renal vein)
C. Left iliac vein (Iliac vein)
D. The left femoral vein (Femoral vein)

Ninety percent
varicoceles occur
left side of
scrotum
left testicular venous return


Question: Middle-aged men in a car accident injuries complained of abdominal pain, blood pressure show steady state. Computer tomography figures. Blue arrow anomaly is most likely that following an early diagnosis?

Answer: pancreas laceration

Choices:
A. liver laceration
B. colon laceration
C. pancreas laceration
D. mesentery laceration

Middle-aged men
car accident injuries
abdominal pain
blood pressure
Computer tomography
Blue arrow anomaly
following
early diagnosis


Question: The following abnormal electrolytes in the blood, often make infant prolongation of the QT wave of the ECG (QT Prolongation) phenomenon, in addition to:

Answer: Hyponatremia (hyponatremia)

Choices:
A. Hypokalemia (hypokalemia)
B. Hyponatremia (hyponatremia)
C. Hypomagnesemia (hypomagnesemia)
D. Hypocalcemia (hypocalcemia)

following abnormal
blood
often make infant prolongation
QT wave
ECG
QT Prolongation


Question: Sperm production process (spermatogenesis) subject to meiosis (meiosis). About meiosis narrative, Which of the following most correct?

Answer: Homologous chromosomes exchange genetic material fragment (crossing over) occurs after the Federation

Choices:
A. When homologous chromosomes (homologous chromosome) Association (synapsis) can occur in meiosis and mitosis (mitosis)
B. Homologous chromosomes exchange genetic material fragment (crossing over) occurs after the Federation
C. Sex chromosome (sex chromosome) X and Y is too large due to the size difference, such as a chromosome (autosome) homologous chromosome synapsis as not occur
D. First meiotic division (meiosis I) is a centromeric (centromere) separating homologous chromosomes do not separate

process spermatogenesis meiosis meiosis meiosis following correct


Question: A 33-year-old male had sexual contact abroad two weeks ago, two days ago for treatment of genital blisters began to cluster, which of the following checks can provide the most rapid diagnosis?

Answer: Tzanck smear

Choices:
A. KOH preparation
B. Tzanck smear
C. Gram stain
D. VDRL

year old male
contact
two weeks
two days
treatment
genital blisters began to cluster
following checks
most rapid diagnosis


Question: 65 the father has hemophilia (hemophilia A) of normal women and normal blood coagulation of Men's Wedding. Pregnancy after marriage, birth of their baby suffer chance hemophilia how much%?

Answer: 50

Choices:
A. 0
B. 25
C. 50
D. 100

65
hemophilia
hemophilia A
normal
normal blood coagulation
Pregnancy
marriage
birth
baby suffer chance hemophilia


Question: Account of mediastinal germ cell tumors (germ cell tumor), and which of the following error?

Answer: seminoma patients blood examination showed elevated α-fetoprotein

Choices:
A. The most common teratoma
B. seminoma patients blood examination showed elevated α-fetoprotein
C. nonseminomatous tumor patient blood examination showed increased β-HCG
D. seminoma than nonseminomatous tumor to radiation therapy should be effective

Account of mediastinal germ cell tumors
germ cell tumor
following error


Question: Acid-resistant Mycobacterium tuberculosis resistant to bleaching is an acidic alcohol and what kind of ingredients on the bacteria cell wall-related?

Answer: Lipids (lipid)

Choices:
A. Arabinogalactan (arabinogalactan)
B. Lipids (lipid)
C. Peptide glycans (peptidoglycan)
D. Protein (protein)

Acid resistant Mycobacterium tuberculosis resistant to


Question: The following nonsteroidal anti-inflammatory drugs (NSAID), whichever is not suitable for the treatment of gout?

Answer: Aspirin

Choices:
A. Indomethacin
B. Aspirin
C. Naproxen
D. Ibuprofen


Question: Which of the following is not a stable non-covalent interactions of protein tertiary structure of the force?

Answer: Disulfide bonds (disulfide bond) 30 are around 10% of the population has a folate deficiency, related the following statements is wrong?

Choices:
A. Hydrogen bond (hydrogen bond)
B. Van de Waal forces (van der Waals interaction)
C. Ionic interactions (ionic interaction)
D. Disulfide bonds (disulfide bond) 30 are around 10% of the population has a folate deficiency, related the following statements is wrong?

following
not a stable non
protein tertiary structure


Question: To better understand the situation outside the hospital, often using "SWOT" way to do policy analysis (strategic analysis) on hospital management practices, the mother of four "O" means:

Answer: opportunity

Choices:
A. opportunity
B. opponent
C. optimum
D. operation

To better
outside
hospital
often using
analysis
four


Question: Women's pelvic floor muscles, the muscles are more susceptible to that group following damage during vaginal production?

Answer: pubococcygeus muscle

Choices:
A. coccygeus muscle
B. iliorectalis muscle
C. pubococcygeus muscle
D. anal sphincter muscle

pelvic floor muscles
muscles
more susceptible
group following damage
vaginal


Question: The effect of promoting growth hormone injections for height, which of the following diseases has the most evidence to support evidence-based medicine, and at the same time comply with US FDA standards and the Taiwan National Health Insurance?

Answer: Toruosame Mr. diseases (Turner syndrome)

Choices:
A. Toruosame Mr. diseases (Turner syndrome)
B. CATCH 22 syndrome (CATCH 22 syndrome)
C. X-linked hereditary hypophosphatemic rickets (X-linked hypophosphatemic rickets)
D. Central precocious puberty (Central precocious puberty)

effect of
growth hormone injections
height
following diseases
most
to support evidence-based medicine
same time comply
standards
Taiwan


Question: Inhibition of fungal DNA and RNA synthesis of antifungal Why?

Answer: Flucytosine

Choices:
A. Terbinafine
B. Amphotericin B
C. Flucytosine
D. Fluconazole


Question: A 20-year-old man sustained two months for treatment of chest pain, chest X-ray and CT examination revealed: before mediastinal tumor and aorta violations, alpha-fetoprotein and beta-HCG normal, which of the following error?

Answer: Should remove the tumor, then to chemical treatment for adjuvant therapy (adjuvant treatment)

Choices:
A. Should remove the tumor, then to chemical treatment for adjuvant therapy (adjuvant treatment)
B. Treatment should be preceded by a biopsy
C. Gonads should check whether there are lesions
D. The tumor may respond to radiation therapy

20 year old man sustained two months
treatment of chest pain
chest X-ray
CT
revealed
mediastinal tumor
aorta
alpha-fetoprotein
beta-HCG normal
following error


Question: Supply vessels below the posterior inferior cerebellar artery directly derived from what?

Answer: Vertebra

Choices:
A. Vertebra
B. lung
C. Internal carotid
D. Under the brain


Question: Intubated children can use the following formula to estimate that the inner diameter of the cannula?

Answer: 4 + (patient's age in years)/4

Choices:
A. 2 - (patient's age in years)/2
B. 3 + (patient's age in years)/5
C. 4 + (patient's age in years)/4
D. (patient's age in years) + 2

Intubated children
use
following formula to estimate
inner
cannula


Question: Early pregnancy often need folic acid supplements (folic acid), the following statements about folic acid, what's wrong?

Answer: Folic acid is a coenzyme constituting one A (coenzyme A) is the basic element

Choices:
A. Folic acid in nucleotides deoxythymidine 5'-monophosphate (dTMP) Synthesis of
B. Folic acid is a coenzyme constituting one A (coenzyme A) is the basic element
C. Tetrahydrofolate (H4 folate) as a type having a biological activity of folate
D. Tetrahydrofolate (H4 folate) is a 6-methylpterin, p-aminobenzoate and composed glutamate


Question: Hospital patients in case of emergency, should be thoroughly appropriate first aid, if the patient is a patient down the road and can not afford medical expenses, in accordance with the provisions of health care law, the cost should I do?

Answer: Subsidized by the municipality or county government agency administrative units

Choices:
A. As a self-absorbed by the hospital bad debt
B. Subsidized by the social welfare fund set aside the Hospital
C. By the national health insurance subsidy
D. Subsidized by the municipality or county government agency administrative units

Hospital patients in case
emergency
appropriate first aid
patient
patient
road
not
medical expenses
in accordance with
law
cost
I


Question: According to AJCC TNM (6th Edition) staging system for colorectal cancer must be more than a few of the local lymph node metastasis considered as N2?

Choices:
A. 3
B. 4
C. 5
D. 10

TNM
colorectal cancer
more
local lymph node metastasis
N2


Question: About women false hermaphrodite (female pseudohermaphroditism) has described the characteristics, which of the following error?

Answer: Prompted by the adrenal atrophy

Choices:
A. Too much male hormone secretion
B. Chromosome 46, XX
C. Prompted by the adrenal atrophy
D. Masculine genitalia

false hermaphrodite
female pseudohermaphroditism
characteristics
following error


Question:
29 a large 3-month baby boy from birth after there is slow growth phenomenon, physical examination found signs of weakness. Blood examination revealed lactic acid (lactate), pyruvic acid (pyruvate), alanine (alanine) rises, and metabolic acidosis (metabolic acidosis)
 phenomenon. Based on these symptoms, it can give priority to what vitamins as a treatment?

Answer: Thiamine (thiamine)

Choices:
A. Vitamin B6 (pyridoxine)
B. Nicotinic acid (niacin)
C. Riboflavin (riboflavin)
D. Thiamine (thiamine)

29
large
month baby boy
birth
slow growth
physical examination found signs
weakness
Blood examination revealed lactic acid
lactate
pyruvic acid
pyruvate
alanine
alanine
metabolic acidosis
metabolic acidosis
Based
symptoms
give priority to
vitamins
treatment


Question: If the aortic aneurysm extends to the roots, resulting in the so-called aortoannular ectasia, Laval's sinus (sinus of valsalva) expanding aortic insufficiency, subject to the Bentall's surgery liter, what these steps are not included?

Answer: Aortic graft replacement to sinotubular junction, Laval's sinus reserved

Choices:
A. Aortic valve surgery
B. Graft replacement of the ascending aorta to the aortic ring portion
C. Coronary artery reimplantation
D. Aortic graft replacement to sinotubular junction, Laval's sinus reserved

aortic aneurysm extends
resulting in
called
ectasia
sinus
sinus of valsalva
expanding aortic insufficiency
surgery liter
steps
not included


Question: Obstructive sleep apnea syndrome stop in addition to the clinical manifestations likely to snore, the following does not have what performance?

Answer: Not easy to sleep at night

Choices:
A. Not easy to sleep at night
B. Excessive daytime sleepiness
C. Moderate or severe obesity
D. Mild to moderate hypertension


Question: The following throat structure whichever lymph supply (lymphatic supply) minimum?

Answer: True vocal cords (true cord)

Choices:
A. False vocal cords (false cord)
B. True vocal cords (true cord)
C. Supraglottic area (supraglottis)
D. Subglottic (subglottis)

following throat structure
lymph supply
lymphatic supply
minimum


Question: The following statements about the wide section crack head tapeworm (Diphyllobothrium latum), and what's wrong?

Answer: Human infection can cause iron deficiency anemia

Choices:
A. Eggs with egg cover (operculum)
B. Long-tailed larvae (plerocercoid) has the ability to infect the human body
C. Human infection can cause iron deficiency anemia
D. Life history to go through the process of the development of two intermediate host

following
wide section crack head tapeworm
wrong


Question: About the elderly Major surgery (major surgery), the following statements is wrong?

Answer: Although the higher the ratio of elderly people with diabetes, but hyperglycemia (hyperglycemia) and does not increase the morbidity and mortality of surgery (morbidity and

Choices:
A. Myocardial ischemia heart disease and have smoking, the latter may be used beta blockers (β-blocker) prior to surgery
B. The chances of the elderly asymptomatic bacteriuria (bacteriuria) is relatively high, the urine should be checked before surgery
C. Although the higher the ratio of elderly people with diabetes, but hyperglycemia (hyperglycemia) and does not increase the morbidity and mortality of surgery (morbidity and
D. The elderly before surgery should be assessed lung function

Major surgery
major surgery
following
wrong


Question: Ms. Chen, 60 years old, 5 years ago, the diagnosis of hepatitis C-related cirrhosis of the liver. Test value nearest albumin (albumin) 3.3 g / dL, prothrombin time (prothrombin time) 5 seconds longer than control value, bilirubin 2.5 mg / dL, pharmacological examination revealed mild hepatic encephalopathy (hepatic encephalopathy ), abdominal ultrasound to check a large number of ascites (ascites). Ms. Chen Child-Pugh classification Why?

Answer: C

Choices:
A. A
B. B
C. C
D. D

diagnosis of hepatitis C related cirrhosis


Question: For the description of neurosyphilis (neurosyphilis), and Which statement is correct?

Answer: Symptoms may result tabes dorsalis, a similar patients ⼑ cut neuralgia, make the body of anesthesia and ataxia

Choices:
A. If the measured patient ⾎ the VDRL (Veneral Disease Research Laboratory) ADVANCED increased potency, can be selectively used to diagnose syphilis sense neuropathic
B. Spinal fluid of patients needs to be done spiral fluorescent antibody test (fluorescent treponemal antibody absorption test, FTA-ABS).
C. When the patient can occur Argyll-Robertson pupil, which is a light reflex symptoms, to look at the past two to the contraction of the pupil reflection disappear
D. Symptoms may result tabes dorsalis, a similar patients ⼑ cut neuralgia, make the body of anesthesia and ataxia


Question: 19. monocytes into the tissue of (monocytes), after which the following cytokine [cytokine (s)] stimulation, can be differentiated into dendritic cells (dendritic cells)?

Answer: GM-CSF + IL-4

Choices:
A. M-CSF
B. M-CSF＋TNF-α
C. IL-1β
D. GM-CSF + IL-4

monocytes
tissue
following cytokine
cytokine
stimulation
differentiated


Question:
58
 The following description of the fungus, what's wrong?

Answer: Most pathogenic fungi mode of reproduction is sexual reproduction

Choices:
A. Most species of fungi belonging to multicellular organisms
B. The fungi can cause disease in humans minority in fungi
C. Most pathogenic fungi mode of reproduction is sexual reproduction
D. Hyphae and spores can be used as an important basis for identification of fungi


Question: Following where the neurons responsible for erectile function of the penis (penile erection)?

Answer: Recommended marrow parasympathetic nucleus (sacral parasympathetic nucleus)

Choices:
A. Vagal nucleus (dorsal motor nucleus of vagus nerve)
B. The first to second lumbar spinal cord (L1 ~ L2) of the foreign cell column (intermediolateral cell column)
C. The tenth to twelfth thoracic spinal cord sections (T10 ~ T12) of the foreign cell column (intermediolateral cell column)
D. Recommended marrow parasympathetic nucleus (sacral parasympathetic nucleus)

Following
responsible
erectile function
penis
penile erection


Question: After severe multiple trauma patients after active treatment and surgery, as can survive more than a week, the most common cause of death in the late Why?

Answer: Multiple organ failure

Choices:
A. Severe head injury
B. Multiple organ failure
C. Hemorrhagic shock
D. Acute renal failure

severe multiple trauma patients
active treatment
surgery
survive more than a week
most common cause of death
late


Question: Karyotype degeneration (Progressive supranuclear palsy) on the most representative of the clinical symptoms are:

Answer: Vertical eye movement of paralysis (Vertical gaze palsy)

Choices:
A. Orthostatic hypotension (Orthostatic hypotension)
B. Urinary incontinence (Urine incontinence)
C. Vertical eye movement of paralysis (Vertical gaze palsy)
D. Cerebellar gait disorders (Gait ataxia)

Karyotype degeneration
Progressive supranuclear palsy
most
clinical symptoms


Question: Diagnostic criteria for attention deficit / hyperactivity disorder, which of the following error?

Answer: As long as there are some symptoms even appear in a context

Choices:
A. At least some hyperactive, impulsive difficult to control, inattention symptoms had emerged before the age of seven
B. As long as there are some symptoms even appear in a context
C. The symptoms must cause significant impairment of social, academic or work function
D. Must and pervasive developmental disorder (pervasive developmental disorder), psychosis disorder (schizophrenia), other mental morbid, mood disorders, anxiety disorders, dissociative disorders, personality disorders for the area identified

attention deficit
hyperactivity disorder
following error


Question: The following statements about the cerebral palsy, what's wrong?

Answer: Single limb spastic hemiplegia (spastic monoplegia) the most common clinical cerebral palsy

Choices:
A. Clinical assessment of children's cerebral palsy include muscle tone, reflex, abnormal posture and athletic performance
B. Early appearance before the age of a clear dominant hand, may need to carefully assess whether the Department of hemiplegic cerebral palsy or other peripheral nerve injury
C. Single limb spastic hemiplegia (spastic monoplegia) the most common clinical cerebral palsy
D. Spastic quadriplegia (spastic quadriplegia) Sick Children often associated with dysphagia


Question: Following on what the overall strategy adopted by the hospital's mistake?

Answer: Vertical integration strategy belong to stable

Choices:
A. May include growth strategy, stable policy tightening strategy and mixed strategy
B. Vertical integration strategy belong to stable
C. Reengineering and rationalization processes belonging to stable strategy
D. Mixed strategy can be adopted growth strategy Department of Medicine, Department of Pediatrics adopted austerity policies

Following
overall
adopted
hospital's mistake


Question: From the previous questions, the following information to determine whether that item to give her drugs to lose weight most helpful?

Answer: Blood glucose concentration

Choices:
A. Blood adiponectin concentration
B. Blood leptin concentration
C. Blood glucose concentration
D. Uric acid concentration in blood

previous
following
to
to give
drugs to
weight most helpful


Question: Hashimoto's thyroiditis (Hashimoto's disease) will eventually result in:

Answer: Hypothyroidism

Choices:
A. Hyperthyroidism
B. Lymphoma
C. Hypothyroidism
D. Papillary thyroid cancer

Hashimoto's thyroiditis
Hashimoto's disease
result


Question: Abdominal pain to see a male patient clinic, the doctor said it was running out from the outside of the rectus hernia, hernia this is called?

Answer: Spigelian hernia

Choices:
A. Littre's hernia
B. Richter's hernia
C. Spigelian hernia
D. Obsturator hernia

Abdominal pain to see
male patient clinic
doctor
out
outside
hernia
hernia
called