Question: According to the habits of the parasite life history, these two kinds of parasites that are most likely to occur in the abdominal cavity due to ectopic parasitism?

of
parasite life history
two kinds
parasites
to occur
abdominal cavity
ectopic parasitism


Question: For nucleotide synthesis route for drug design, the following statements is wrong?

Answer: fluorouracil inhibits thymidylate kinase

Choices:
A. azaserine inhibits glutamine amidotransferase, can not provide the nitrogen required for nucleotide synthesis yl
B. fluorouracil inhibits thymidylate kinase
C. methotrexate inhibits dihydrofolate reductase
D. trimethoprim affinity for bacterial dihydrofolate reductase enzyme than the corresponding human even higher by 100,000 times


Question: Calcitonin (calcitonin) mainly related to what kind of hormone physiological antagonism (antagonist) role?

Answer: Parathyroid hormone (PTH)

Choices:
A. Thyroid hormone (thyroxine)
B. Follicle stimulating hormone (FSH)
C. Male hormone (androgen)
D. Parathyroid hormone (PTH)

Calcitonin
calcitonin
related
kind
hormone physiological
antagonist
role


Question: Histopathology of the following kind of endometrial hyperplasia, the most likely to progress to endometrial cancer?

Answer: Simple hyperplasia without atypia

Choices:
A. Simple hyperplasia without atypia
B. Complex hyperplasia without atypia
C. Simple hyperplasia with atypia
D. Complex hyperplasia with atypia

Histopathology of the following kind
endometrial hyperplasia
to progress
endometrial cancer


Question: 77 there is a severe edema of the eyes of patients, which is a history of several days prior to applying orbital Warou surrounding the wound, taken from the wound of about 3 cm 2 when the treatment of parasites white, according to the above description, what the patient most likely to be infected parasites?

Answer: Manson crack head tapeworm (Spirometra mansonoides)

Choices:
A. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
B. Pork tapeworm (Taenia solium)
C. Manson crack head tapeworm (Spirometra mansonoides)
D. Wide section of crack head tapeworm (Diphyllobothrium latum)

severe
eyes
patients
history
days
applying orbital
surrounding
wound
wound
3 cm 2
treatment
parasites white
above
patient
to
infected parasites


Question: Ankylosing spondylitis (ankylosing spondylitis) is back pain and stiffness of young people under common disease, when patients ask first if there is a family history of close relatives from the same diagnosed when treatment is most likely what patients themselves and with rigor spondylitis strong correlation of human leukocyte antigen (HLA)?

Answer: HLA-B27

Choices:
A. HLA-B5
B. HLA-B27
C. HLA-DR2
D. l HLA-DR4

Ankylosing spondylitis
ankylosing spondylitis
back pain
stiffness
young
common disease
patients
first
family
close relatives
same diagnosed
treatment
patients
rigor spondylitis strong correlation
human leukocyte antigen
HLA


Question: 31 Which of the following TNM staging Lung cancer surgery is not suitable as a first-line therapy? ①T1N0M0 ②T1N1M0 ③T1N3M0 ④T3N1M0

Answer: Only ③

Choices:
A. Only ③
B. Only ③④
C. Only ②③④
D. Only ①②

31
of the following
Lung cancer surgery
not suitable
first-line therapy


Question: 16 a 7-year-old boy due to poor ability to learn in school, and was taken to the pediatric clinic. Based on the mother's description of the boy often push other students to play, restless in class, easily distracted, inability to concentrate, at home, like the destruction of toys, running around, not easy to concentrate. According to the above point of view of the most likely diagnosis is:

Answer: attention-deficit / hyperactivity disorder

Choices:
A. mental retardation
B. attention-deficit / hyperactivity disorder
C. Tourette's syndrome
D. autism 17 newborn spasm of attack patterns in what were the most rare?

year old boy due to poor ability to
in school
pediatric clinic
Based
boy often push
to play
restless
easily
to concentrate
at home
destruction
toys
not easy to concentrate
point
view
likely diagnosis


Question: Which of the following diagnosis with thyroid cancer, most unrelated?

Answer: Serum calcium inhibiting hormone (Calcitonin)

Choices:
A. Serum thyroglobulin (Thyrogobulin)
B. Serum calcium inhibiting hormone (Calcitonin)
C. RET gene analysis
D. Neck ultrasound

following diagnosis
thyroid cancer
most unrelated


Question: Alveolar period Late fetal lung development (alveolar period), the vesicle end (terminal saccule) Which of the following is equivalent to the structure?

Answer: Alveolar ducts (Alveolar duct)

Choices:
A. Bronchioles (bronchiole)
B. Alveoli (Alveolus)
C. Alveolar hole (Alveolar pore)
D. Alveolar ducts (Alveolar duct)

Alveolar period Late fetal
alveolar period
vesicle end
terminal saccule
following
equivalent
structure


Question: Purulent inflammation of the finger (whitlow) that is caused by a virus?

Answer: Herpes simplex virus

Choices:
A. Cytomegalovirus
B. Herpes simplex virus
C. Human papillomavirus
D. Human herpesvirus-6

Purulent inflammation
finger
whitlow
caused


Question: A large number of T cells in the human body that secrete cytokines, most associated with clinical symptoms caused by delayed (delayed-type) allergic reaction?

Answer: IL-17 + IFN-γ

Choices:
A. IL-4 + IL-5
B. IL-5 IL-17 +
C. IL-17 + IFN-γ
D. IFN-γ + IL-4


Question: Aggregated path (lectin pathway) complement (complement) system, a bacterial infection, which glycoprotein or carbohydrate surface of the mannose moiety and mannose-binding lectin (MBL) in connection with the start, the MBL, and the complement system that a similar molecular function?

Answer: Clk

Choices:
A. Clk
B. C2a
C. C3b
D. C4a

Aggregated path
lectin
complement
complement
system
bacterial infection
glycoprotein
carbohydrate surface
mannose
mannose-binding lectin
connection
start
MBL
complement system
similar


Question: The following description of Okazaki fragments and what was right?

Answer: Occurs in the intermediate lagging strand synthesis during DNA replication

Choices:
A. Since the DNA restriction enzyme fragment (, endonuclease) action generated
B. Present in the 30S ribosomal subunit (ribosomal subunit) in the RNA fragments
C. Occurs in the intermediate lagging strand synthesis during DNA replication
D. Means the 3 '→ 5' fragment of synthetic DNA


Question: G1P0 28-year-old pregnant woman at 28 weeks of pregnancy, fetal growth retardation in the womb (intrauterine fetel growth restriction, IUGR) was diagnosed, and later that is in regular outpatient prenatal care. Currently 38 weeks of pregnancy, fetal heart rate monitoring antenatal Arrangement exhibits good reaction (reactive), uterine contraction irregularity; ultrasonography amniotic fluid index (amniotic fluid index) 3.2 cm, estimated fetal weight 1900 grams, intravaginal clinic the cervix is not open, broken water test (nitrazine test) showing a negative reaction. The most appropriate disposition in this case is:

Answer: Arrangements for induction of labor in hospital

Choices:
A. Antenatal clinics followed up arrangements
B. Umbilical artery Doppler measurements further arranged to check (umbilical arterial Doppler velocimetry)
C. Try to arrange further stimulate oxytocin (oxytocin challenge test)
D. Arrangements for induction of labor in hospital

year old
weeks
pregnancy
fetal growth retardation
womb
intrauterine
growth restriction
IUGR
diagnosed
later
regular outpatient prenatal
Currently
weeks
pregnancy
fetal heart rate
antenatal Arrangement
good reaction
reactive
uterine contraction irregularity
ultrasonography
3.2
estimated fetal
grams
intravaginal clinic
cervix
not open
water test
test
negative reaction
most appropriate disposition
case


Question: Two pupils at the same time to be a sound move to the right of:

Answer: Right sixth cranial nerve and left third cranial nerve

Choices:
A. Right sixth cranial nerve and left third cranial nerve
B. Right and left third cranial nerve sixth cranial nerve
C. Right fourth cranial nerve and left third cranial nerve
D. Right and left sixth cranial nerve fourth cranial nerve

Two pupils
same time to
sound move
right


Question: After fracture surgery, that one of the following bone and joint movement can best be avoided by inappropriate force?

Answer: Isometric contraction (isometric contraction)

Choices:
A. Isometric contraction (isometric contraction)
B. Concentric isotonic contraction type (concentric isotonic contraction)
C. Isotonic formula eccentric contraction (eccentric isotonic contraction)
D. Isokinetic contraction (isokinetic contraction)

fracture surgery
one
following bone
joint movement
best
inappropriate


Question: The following items are not characteristics that promote the health of the city?

Answer: Municipal sector-led

Choices:
A. Municipal sector-led
B. Innovation
C. Cross-sectoral cooperation
D. Commitment to health


Question: The patients in the emergency room treatment described epistaxis, which of the following error?

Answer: If you see bleeding, emergency physicians can first use of chemical cautery or electrocautery to stop bleeding

Choices:
A. Kiesselbach plexus bleeding position to the front of the nose of the most common
B. Nasal packing can be treated using the method (nasal packing)
C. Vasoconstrictors may be used to the treatment
D. If you see bleeding, emergency physicians can first use of chemical cautery or electrocautery to stop bleeding

emergency room
epistaxis
following error


Question: Calcium chloride (CaCl2) intravenously, not suitable for the treatment of the following conditions is what?

Answer: Digitalis (digoxin) poisoning

Choices:
A. High potassium levels (hyperkalemia)
B. High blood magnesium (hypermagnesemia)
C. Hydrofluoric acid (HF, hydrofluoric acid) poisoning
D. Digitalis (digoxin) poisoning

Calcium chloride
not suitable
treatment
following conditions


Question: For ovarian hyperstimulation syndrome (ovarian hyperstimulating syndrome) narrative, what's wrong?

Answer: Diuretics can be applied to improve the fight pleural effusion, ascites, is the treatment of choice

Choices:
A. Ultrasonic visible ovarian enlargement, ascites
B. Diuretics can be applied to improve the fight pleural effusion, ascites, is the treatment of choice
C. If pregnancy, symptoms may be more severe
D. Severe cases can cause breathing difficulties

ovarian hyperstimulation syndrome
ovarian
syndrome
wrong


Question: In esophageal atresia (esophageal atresia) of malformations, the most common type Why?

Answer: Esophageal atresia and distal fistula (esophageal atresia with a distal tracheoesophageal fistula)

Choices:
A. Esophageal atresia uncomplicated fistula (esophageal atresia without a tracheoesophageal fistula)
B. Fistulas and esophageal atresia proximal end (esophageal atresia with a proximal tracheoesophageal fistula)
C. Esophageal atresia and distal fistula (esophageal atresia with a distal tracheoesophageal fistula)
D. Fistulas and esophageal atresia bis (esophageal atresia with a double tracheoesophageal fistula)

esophageal atresia
esophageal atresia
malformations
most common type


Question: Elbow acute dislocation (acute dislocation) or reset the treatment (reduction of dislocation), a nerve that the most vulnerable?

Answer: Median nerve

Choices:
A. Ulnar nerve
B. Radial nerve
C. Median nerve
D. Nerve

Elbow acute dislocation
acute dislocation
treatment
reduction of dislocation
nerve
most


Question: Parathyroid hormone secreting cells are:

Answer: Parathyroid chief cells

Choices:
A. Parathyroid eosinophils
B. Parathyroid chief cells
C. Thyroid follicular cell next to
D. Thyroid follicular cells


Question: After total parenteral nutrition (TPN) use for some time, often leading to liver function in patients with abnormal liver histological changes that patients will not have Which of the following phenomena?

Answer: A large number of liver cell necrosis

Choices:
A. Cholestasis (Cholestasis)
B. Of liver fat (Hepatic steatosis)
C. Lobular chronic inflammation
D. A large number of liver cell necrosis

total parenteral nutrition
use
time
often leading
liver function
patients
abnormal liver histological changes
patients
not
following


Question: The implementation of patient health education within the medical and academic institutions, subject to following an arrangement that ideal?

Answer: Patients and caregivers

Choices:
A. Patients themselves
B. Patients children
C. The patient's spouse
D. Patients and caregivers

patient medical following arrangement ideal


Question: 49 A 60-year-old the next day of pneumonia and acute respiratory distress syndrome treatment of patients currently using FiO2: 0.8, PEEP: 12 cmH2O, PC (pressure control): 25 cmH2O, that ABG is pH: 7.33, PaCO2: 50 mmHg , PaO2: 55 mmHg, actual bicarbonate: 25 mEq / L, the following further processing whichever is most correct?

Answer: Patients given sedatives and muscle relaxants, and consider using a prone position

Choices:
A. PC level increase is 30 cmH2O, in order to increase tidal volume, lower PaCO2
B. FiO2 increased to 1.0 to improve PaO2
C. Given sodium bicarbonate to treat acidosis
D. Patients given sedatives and muscle relaxants, and consider using a prone position

60 year old
next day
pneumonia
acute respiratory distress syndrome
currently using FiO2
0.8
PEEP
cmH2O
PC
pressure control
cmH2O
ABG
pH
50 mmHg
PaO2
mmHg
actual bicarbonate
mEq
L
following further
most correct


Question: A 54-year-old patients with hypertension, discovered on auscultation with a low frequency tone pips before their first heart apex position of the (first heart sound), this time the patient often accompanied Which of the following phenomena?

Answer: Echocardiography found left ventricular hypertrophy

Choices:
A. ECG atrial fibrillation (atrial fibrillation)
B. Chest X-ray of right ventricular enlargement
C. Echocardiography found left ventricular hypertrophy
D. The lower edge of the left sternal systolic heart murmur occurs

54 year old patients
hypertension
auscultation
low frequency
first heart apex position of the
first heart sound
time
patient often
following


Question: From the previous question, if within the clinic found that the cervix is not open, Which of the following is the best?

Answer: Immediately arrange for the treatment of miscarriage

Choices:
A. Immediately arrange for the treatment of miscarriage
B. If malposition, immediately arrange for an emergency caesarean section
C. Go with the flow, no treatment
D. If the head position, try natural production

previous
clinic found
cervix
not open
following
best


Question: Which of the following enzymes can not be performed as an acid - Huoxingzhongxin amino acids (active site residue) when base-catalyzed (acid-base catalysis)?

Answer: Methionine (methionine)

Choices:
A. Histidine (histidine)
B. Methionine (methionine)
C. Aspartate (aspartic acid)
D. Glutamate (glutamic acid)

following enzymes
not
performed
acid
amino acids
active site residue
base
acid base


Question: The following narrative about the digestive tract endoscopy her disposal, whichever is correct?

Answer: Early superficial gastrointestinal cancer, there is a growing trend within the endoscopic resection (endoscopic or endoluminal resection) of

Choices:
A. If the patient will be a lot of blood solution (hematochezia), will be a large number of lower gastrointestinal bleeding, to arrange emergency colonoscopy
B. Before the implementation within the endoscope, if there is to take low-dose aspirin must first week off
C. All indications for the purposes of jaundice patients are retrograde biliary and pancreatic mirror (endoscopic retrograde cholangiopancreatography, ERCP) of
D. Early superficial gastrointestinal cancer, there is a growing trend within the endoscopic resection (endoscopic or endoluminal resection) of


Question: Which of the following most commonly used to assess the scale of elderly cognitive function (cognitive function)?

Answer: Mini-Mental State Examination

Choices:
A. Barthel Index
B. Geriatric Depression Scale
C. Katz Index
D. Mini-Mental State Examination

following most
used to
scale
elderly cognitive function


Question: Which of the following is NOT immunoglobulin G (immunoglobulin G, IgG) main function?

Answer: Clear intracellular pathogens

Choices:
A. And (neutralize the) pathogen or toxin
B. Clear intracellular pathogens
C. Enhance phagocytosis
D. Complement activation function

following
NOT immunoglobulin G
immunoglobulin G
main function


Question: About the inner ear (inner ear), the following statements is this bad?

Answer: Crista (cristae ampullaris) experience linear acceleration (linear acceleration) and gravity (Gravity)

Choices:
A. Inner ear including membranous labyrinth and skeletal (bony and membranous labyrinth)
B. Lymph (of Endolymph) fills the entire membranous labyrinth (membranous labyrinth)
C. Vestibular membrane (vestibular membrane) in order to (scala media) and the scala vestibuli (scala vestibuli) separately
D. Crista (cristae ampullaris) experience linear acceleration (linear acceleration) and gravity (Gravity)


Question: Characteristics of social insurance and commercial insurance, and some are the same, some are different, which of the following is their similarities?

Answer: Emphasis on efficiency

Choices:
A. purpose
B. The pursuit of fairness
C. Rates way
D. Emphasis on efficiency

Characteristics same different following similarities


Question: Features relating to false male hermaphrodite (male pseudohermaphroditism) of, which of the following error?

Answer: Chromosome 46, XX

Choices:
A. inadequate secretion of testosterone
B. Chromosome 46, XX
C. Free of chromatin (sex chromatin)
D. Testicular development may be normal or degraded

Features relating
false male hermaphrodite
male pseudohermaphroditism
following error


Question: The following head construction, whichever will not feel the pain caused by?

Answer: Brain tissue (parenchyma of brain)

Choices:
A. Dura base of the brain (dura at brain base)
B. Intracranial venous sinus (venous sinuses)
C. Brain tissue (parenchyma of brain)
D. Middle meningeal artery (middle meningeal artery)

following head construction
not
pain caused


Question: A 45 year old male patient with severe stomach pain and intermittent diarrhea several times a day for about eight months for treatment, patients had no special history of drug and past medical history. Pan endoscopic examination revealed severe esophagitis, gastric ulcer and duodenal multiple ulcers multiple second portion, identified in the following diseases of primary consideration for the diagnosis of the disease:

Answer: Zollinger-Ellison syndrome

Choices:
A. insulinoma
B. Zollinger-Ellison syndrome
C. Whipple's disease
D. Crohn's disease


Question: From the previous question, Zoe Curreri formula, the patient's daily requirement of how much energy Kcal?

Answer: 2220 kcal

Choices:
A. 1500 kcal
B. 1860 kcal
C. 2220 kcal
D. 3000 kcal

previous
formula
patient's daily requirement
energy Kcal


Question: Statements about colon diverticulitis (diverticulitis disease) is, which of the following error?

Answer: Once the patients had colon diverticulitis, it is necessary to recommend that patients be a regular part of the large intestine removed, to prevent the onset of the next colon diverticulitis

Choices:
A. Assess the severity of colon diverticulitis, compared with the current diagnostic tool is recommended CT
B. Acute diverticulitis in clinical colon can be roughly classified into uncomplicated and complexity; uncomplicated (uncomplicated) can adopt a conservative treatment
C. May recommend colon diverticulitis colonoscopy in patients receiving 4 to 6 weeks after the symptoms improved, whereby the diagnosis of colon cancer or colon diverticulum and the possibility of inflammatory diseases of the intestine negative
D. Once the patients had colon diverticulitis, it is necessary to recommend that patients be a regular part of the large intestine removed, to prevent the onset of the next colon diverticulitis

colon diverticulitis
diverticulitis disease
following error


Question: 66 year old female with a long-term chronic knee pain sides, orthopedic examination revealed a localized tenderness in the medial portion of the proximal tibia, located just sartorius (Sartorius) attached at the distal end. Which of the following is the most likely diagnosis?

Answer: Tulip-shaped knee ligament bursitis (pes anserine bursitis)

Choices:
A. Tulip-shaped knee ligament bursitis (pes anserine bursitis)
B. Meniscus tear (meniscus tear)
C. Sprained medial collateral ligament (medial collateral ligament sprain)
D. Coronary ligament sprain (coronary ligament sprain)

year old female
long-term chronic knee pain
revealed
localized tenderness
medial portion
proximal tibia
sartorius
Sartorius
attached
distal end
following
diagnosis


Question: The following describes that a related parathyroid hormone (parathyroid hormone, PTH) is correct?

Answer: Macrophage bone cells (osteoclast) no PTH receptor

Choices:
A. PTH bioactivity mainly from the C-terminal (carboxyl-terminal) 34 amino acids
B. Blood PTH (1-84) the clearance rate is slower than the rate of clearance of the C-terminal fragment of PTH
C. The most important factor is the regulation of PTH secretion blood phosphorus level
D. Macrophage bone cells (osteoclast) no PTH receptor

following
related parathyroid hormone
parathyroid hormone
correct


Question: Which of the following is not an architectural concept of the health belief model?

Answer: Self re-evaluation

Choices:
A. Conscious mobility impairments
B. Conscious of suffering
C. Self re-evaluation
D. Self-efficacy


Question: The following narrative about intestinal tibia bundle friction syndrome (iliotibial band friction syndrome), the one was wrong?

Answer: Pain in the patellar tendon prone

Choices:
A. Running who has long been engaged predisposed to the disease
B. Knee pain incidental to the outside
C. Pain in the patellar tendon prone
D. Pain patients often have extended the movement

following
intestinal tibia
syndrome
iliotibial band friction syndrome
one
wrong


Question: A 58-year-old woman, recently two days difficulty speaking, difficulty swallowing, slightly unsteady gait, according to this two of MRI FLAIR (A) and DWI (B) images, this patient most likely diagnosis is:

Answer: Wallenberg syndrome

Choices:
A. multiple sclerosis（MS）
B. pyramidal syndrome
C. wallerian degeneration
D. Wallenberg syndrome

58 year old woman
recently two days difficulty speaking
difficulty swallowing
slightly unsteady gait
two
MRI FLAIR
DWI
patient
likely diagnosis


Question: Sodium bicarbonate play a role in the rescue process, Which statement is correct?

Answer: Since the patient's heart stops, emergency has been for some time, and has intubation, but did not respond to the signs, you can use the drug

Choices:
A. Since the patient's heart stops, emergency has been for some time, and has intubation, but did not respond to the signs, you can use the drug
B. Since the patient's heart stops, emergency has been for some time, and has a pH of 6.9 acidosis (acidosis), be sure to use the drug
C. Since the patient's heart stops, emergency has been for some time, although not yet intubation, but hypoxia has been a long time, so the best use of the drug
D. The patient's heart is stopped and ECG is pulseless electrical activity (PEA), have clearly demonstrated hyperkalemia, can use the drug

Sodium bicarbonate play
role
process
correct


Question: Stroke patients hemi-paralysis and impaired sensation, lower limb movement significantly more flexible than the upper limbs, the lesions most likely to:

Answer: Middle cerebral artery (middle cerebral artery)

Choices:
A. Anterior cerebral artery (anterior cerebral artery)
B. Middle cerebral artery (middle cerebral artery)
C. Posterior cerebral artery (posterior cerebral artery)
D. Vertebral artery (vertebral artery)

Stroke patients hemi paralysis
impaired sensation
lower limb movement significantly
flexible
upper limbs
lesions


Question: The baby boy who was born 16 days, because a lot of fluid film left rib cage breathing difficulties, internal emergency intubation and pleural effusion drainage, postoperative chest X-ray as shown below, of the most accurate diagnosis should be:

Answer: Right upper lobe atelectasis (Right upper lobe atelectasis)

Choices:
A. Right upper lobe atelectasis (Right upper lobe atelectasis)
B. Right upper lobe tumor (Right upper lobe tumor)
C. Mast thymus (Thymus enlargement)
D. Mediastinal tumors (Mediastinal tumor)


Question: Hengting Dayton chorea (Huntington's chorea) of three typical symptoms (Triad), does not include which of the following?

Answer: Yue muscle disorders (Myoclonus)

Choices:
A. Autosomal dominant genetic
B. Choreoathetosis (Choreoathetosis)
C. Yue muscle disorders (Myoclonus)
D. Intelligence and cognitive impairment

chorea
Huntington's chorea
three typical symptoms
Triad
not include
following


Question: You 1 (u) is a bit emergency physicians, 60-year-old Lee difficulties due to the recent worsening of breathing to emergency medical treatment, physical examination found that blood pressure 138/80 mmHg, heart rate 96 / min, respiratory rate 20 breaths / min, when not given oxygen oxygen concentration of 90%, jugular venous distention, a third heart sound, in the apical third of the pan systolic heart murmur (grade III / VI pansystolic murmur over apex), bilateral pulmonary rales (crackles), and lower extremity edema. Mr. Lee on the condition and disposition Which of the following error?

Answer: Sympatholytic agents started beta (β-blocker) as soon as possible

Choices:
A. Should decompensated heart failure (decompensated heart failure), may be associated with pulmonary edema (pulmonary edema). Preliminary disposal as LMNO, namely diuretics (loop diuretics: furosemide), nitroglycerin (nitroglycerin), oxygen. Morphine administered depending on the circumstances
B. Should explore the causes of heart failure and deterioration factors: such as medical history (past medical history, medication adherence, diet, infections ...), electrocardiogram (myocardial ischemia or arrhythmias), cardiac enzyme test (myocardial infarction), heart super sonic (valvular heart disease), measuring CBC
C. Can be started with ACEI (Angiotensin-converting enzyme inhibitor), or the ARB (Angiotensin II receptor blocker)
D. Sympatholytic agents started beta (β-blocker) as soon as possible

1
u
bit emergency physicians
60 year old
difficulties due to
recent worsening
breathing
emergency medical
found
blood pressure
80 mmHg
heart rate 96
min
respiratory rate 20 breaths
min
not
oxygen
concentration
90
jugular venous distention
third heart sound
apical third
pan systolic heart murmur
grade III
VI pansystolic murmur
apex
bilateral pulmonary rales
crackles
lower extremity edema
Mr
condition
disposition
following error


Question: The following parasitic infections and what was not due to the migration of the larvae (migration) and affects the lungs?

Answer: Whipworm

Choices:
A. Whipworm
B.  insects
C. Fecal nematode
D. roundworms

following parasitic infections
not due to
migration
migration
lungs


Question: About boys precocious puberty (precocious puberty), that one of the following pathogenic machine turn different from the other three?

Answer: Hypothalamic hamartoma (hypothalamic hamartoma)

Choices:
A. Hypothalamic hamartoma (hypothalamic hamartoma)
B. Human chorionic gonadotropin secretion stimulating hormone (hCG-secreting) in the pineal gland tumors (pineal tumor)
C. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
D. Leydig cell tumor (Leydig cell tumor)


Question: 5 A 36-year-old man admitted to hospital because of abdominal pain, he began to have intermittent lower abdominal pain from six months ago, diarrhea, nausea, vomiting, fever and weight loss phenomenon. Physical checkups show: temperature: 37.1 ° C, heart rate: 90 / min, blood pressure: 124/82 mmHg. Blood tests: WBC: 11,000 / mm3 (normal: 4,000 ~ 10,000 / mm3); hemoglobin: 10.8 g / dL (normal: 14 ~ 16 g / dL); C-reactive protein: 3.24 mg / dL (normal: <0.5 ), colonoscopy found ileum (ileum) had stenosis and hardening. Which of the following is the most likely diagnosis?

Answer: Crohn's disease (Crohn's disease)

Choices:
A. Crohn's disease (Crohn's disease)
B. Colorectal Cancer
C. Ulcerative colitis (ulcerative colitis)
D. Amebic colitis (amoebic colitis)

5
36 year old man
abdominal pain
began to
intermittent lower abdominal pain
six months
diarrhea
nausea
vomiting
fever
weight loss
Physical
temperature
heart rate
90
min
blood pressure
mmHg
Blood tests
WBC
mm3
normal
4
10
mm3
hemoglobin
10.8 g
dL
normal
g
dL
C-reactive protein
3.24 mg
dL
normal
0.5
colonoscopy found ileum
ileum
stenosis
hardening
following
diagnosis


Question: From the previous question, you give the patient took a C-spine lateral view X-ray inspection and found that there are thumb-shaped appearance of the epiglottis, which of the following is the most likely diagnosis in this patient?

Answer: Acute epiglottitis (acute epiglottitis)

Choices:
A. Acute tonsillitis (acute tonsillitis)
B. Retropharyngeal abscess (retropharyngeal abscess)
C. Acute epiglottitis (acute epiglottitis)
D. Acute vascular edema (acute angioedema)

previous
give
patient
spine lateral view X-ray inspection
found
thumb shaped appearance
epiglottis
following
diagnosis
patient


Question: Cause hypomagnesemia (Hypomagnesemia) where the following factors are not included?

Answer: Kidney failure

Choices:
A. Chronic diarrhea
B. Kidney failure
C. Heavy drinking
D. Diabetes and sustained polyuria

Cause hypomagnesemia
Hypomagnesemia
following factors
not included


Question: That is the main reason for the lack of a hormone diabetes insipidus (diabetes insipidus) caused? This hormone Where generation (synthesis)?

Answer: Vasopressin; hypothalamic

Choices:
A. Vasopressin (vasopressin was); after the pituitary gland
B. Oxytocin (oxytocin); after the pituitary gland
C. Oxytocin; hypothalamic
D. Vasopressin; hypothalamic

main
lack
hormone diabetes insipidus
diabetes insipidus
caused
hormone
generation


Question: 7. Although the day of surgery (ambulatory surgery) do not need hospitalization, can reduce the number of medical expenses; however, anesthesia, surgery once following what happens, should consider the delay discharge or hospital? ① severe nausea, severe pain and vomiting blood pressure ③ ② unstable yet to surgical complications outside the control ④ expected

Answer: ①②③④

Choices:
A. Only ②④
B. Only ②③
C. ①②③④
D. Only ③④

day
surgery
ambulatory surgery
not need
number
medical expenses
anesthesia
surgery
following
delay discharge
hospital
severe nausea
severe pain
vomiting
unstable
surgical complications outside
control


Question: 33-year-old woman, G2P1, the front tire due to malposition caesarean section; the pregnancy, found a large number of vaginal bleeding, receive emergency caesarean section, found placenta previa and placenta accreta in surgery, hysterectomy accepted at 35 weeks of pregnancy. Compared to the diagnosis and plan before surgery and caesarean section in patients with total removal of the uterus, maternal surgery this occurs, the higher the chance of complications following what?

Answer: Bladder injury (bladder injury)

Choices:
A. Bladder injury (bladder injury)
B. Intestinal injury (bowel injury)
C. Venous blood clots (venous thromboembolism)
D. Amniotic fluid embolism (amniotic fluid embolism)


Question: After a 70-year falls in older people hit in the head two days ago, and today feel powerless and left side drowsiness, hematoma (subdural hematoma) under the dura mater of the following is an error displayed in the emergency department CT scan?

Answer: May be caused by middle cerebral artery (middle cerebral artery) bleeding

Choices:
A. May be caused by middle cerebral artery (middle cerebral artery) bleeding
B. Such patients may require surgical treatment
C. Most of these had cerebral hemorrhage due to head trauma
D. Sometimes neurological changes only appeared late in elderly patients

70 year falls
hit
head two days
today
left side drowsiness
hematoma
subdural hematoma
dura mater
following
error displayed
emergency department CT scan


Question: Caudate nucleus dominant Which of the following features?

Answer: Perform the action

Choices:
A. Emotional control
B. Perform the action
C. Self-regulation of autonomic nervous
D. Yi can care has been taken

Caudate nucleus dominant
following features


Question: Which of the following is a nonsteroidal antiinflammatory drugs (NSAIDs) direct pharmacological machine turn?

Answer: Inhibit the formation of prostaglandins

Choices:
A. Inhibit the formation of prostaglandins
B. The release of substance P
C. Directly on the μ-opioid receptor
D. Inhibiting the release of substance P

following
nonsteroidal antiinflammatory drugs
direct pharmacological machine turn


Question: Neurogenic bladder dysfunction (neuropathic bladder) related to the occurrence of diabetes, which of the following is bladder dysfunction first appeared?

Answer: Voiding frequency (urination frequency) reduction

Choices:
A. Voiding frequency (urination frequency) reduction
B. Voiding start (initiating micturition) difficulties
C. Can not suppress voiding (voiding uninhibition)
D. Overflow incontinence (overflow incontinence)

Neurogenic bladder dysfunction
neuropathic bladder
related
occurrence
diabetes
following
bladder dysfunction first appeared


Question: The following related jugular venous pressure measurement narrative, what's wrong?

Answer: Typically the right external jugular vein (external jugular vein) measuring the most appropriate

Choices:
A. Typically the right external jugular vein (external jugular vein) measuring the most appropriate
B. "A" indicates the R wave atrial contraction wave
C. After the "c" on behalf of right ventricular systolic wave, tricuspid
D. Tricuspid regurgitation causes "v" wave increases


Question: Which of the following blood pressure lowering drugs mechanism of action is through blocking the AT1 receptor and achieved?

Answer: Valsartan

Choices:
A. Lisinopril
B. Diltiazem
C. Valsartan
D. Amiloride


Question: Following that kind of sedative hypnotics will not produce biologically active metabolites?

Answer: lorazepam

Choices:
A. flurazepam
B. diazepam
C. lorazepam
D. chlordiazepoxide

Following
kind
sedative hypnotics
not
biologically active metabolites


Question: Uterus portion (portio vaginalis uteri) or uterine overhanging portion (the ectocervix) of epithelial tissue are:

Answer: Stratified squamous epithelium

Choices:
A. Epithelium
B. Stratified squamous epithelium
C. Columnar epithelium
D. Pseudo stratified columnar epithelium

Uterus portion
vaginalis uteri
uterine
portion
ectocervix
epithelial tissue


Question: A lung transplant patients in the outpatient routine blood tests, it was found that the blood of CMV (cytomegalovirus) antibodies index surge occurs and the patient complains of shortness of breath; suspected diagnosis of cytomegalovirus infection under hospitalization. Will the following statements is wrong?

Answer: Intravenous ganciclovir effective to treat CMV infection, usually only one week of treatment can be cured

Choices:
A. In addition to cytomegalovirus infection in lung transplant outside, retina also susceptible patients, causing retinitis, affect the vision of patients
B. Intravenous ganciclovir effective to treat CMV infection, usually only one week of treatment can be cured
C. The use of ganciclovir treatment of cytomegalovirus infection, the most common complication of leukopenia
D. CMV infection is often easy to relapse, so Adjunctive to regularly detect the blood in the index of CMV antibodies

lung transplant patients
outpatient routine blood tests
found
blood
antibodies index
occurs
patient
of shortness
breath
suspected diagnosis
cytomegalovirus infection
following
wrong


Question: The patient's spouse want to apply for a certificate of the patient, how to be disposed of?

Answer: Spouse must have an identity card plus attorney stated intention of the commission

Choices:
A. You can see the spouse's identity card
B. Spouse verbally to
C. Can produce patient's identity card
D. Spouse must have an identity card plus attorney stated intention of the commission

patient's
to apply
certificate
patient
to


Question: Following contact with the organic solvent resulting from occupational, whichever is the following pairing error?

Answer: Dimethylformamide (Dimethyl formaldehyde) → acute tubular necrosis

Choices:
A. Dimethylformamide (Dimethyl formaldehyde) → acute tubular necrosis
B. Toluene diisocyanate (Toluene diisocyanate) → asthma
C. Carbon disulfide (Carbon disulfide) → arteriosclerosis
D. Benzene (Benzene) → aplastic anemia

Following contact with
organic solvent resulting
occupational
following
error


Question: 42 a 23-year-old young woman, hands and feet as acne and hirsutism to seek treatment, she found her quite irregular menstruation, only 2 or 3 times a year. Blood tests found her FSH edge than normal, but the LH value is very high, the most likely diagnosis Why?

Answer: polycystic ovarian syndrome

Choices:
A. testicular feminization syndrome
B. polycystic ovarian syndrome
C. Sheehan syndrome
D. ovarian theca cell tumor

23 year old young woman
hands
feet
acne
hirsutism to
treatment
found
irregular menstruation
only
3 times
year
Blood tests found
edge
normal
LH value
very high
diagnosis


Question: After menopause, women's hot flashes (hot flush) are more likely reason why?

Answer: estrogen reduction, increased LH

Choices:
A. estrogen reduction, increased FSH
B. estrogen, decreased FSH
C. estrogen reduction, increased LH
D. reduce estrogen, LH reduction


Question: The following statements about Q fever infection (Q fever) etiology and manifestations, whichever is correct?

Answer: In patients with valvular disease original problem may result in the Center Weighted meningitis (endocarditis)

Choices:
A. Case in Taiwan mainly to Jingwaiyiru
B. Found out skin rashes can be used as basis for the diagnosis of Q fever infection
C. In patients with valvular disease original problem may result in the Center Weighted meningitis (endocarditis)
D. Is an acute infectious disease, does not cause chronic infection

following
Q fever infection
Q fever
etiology
manifestations
correct


Question: That one of the following amino acids do not absorb UV light at 280 nm wavelength, so the molar absorption coefficient of a protein (molar extinction coefficient) is small contribution?

Answer: Asparagine (Asparagine)

Choices:
A. Phenylalanine (Phenylalanine)
B. Asparagine (Asparagine)
C. Tyrosine (tyrosine)
D. Tryptophan (tryptophan)

one
following amino acids
not
nm wavelength
molar absorption coefficient
a protein
molar
coefficient
small


Question: ⼀ bit 23 year-old man afraid ⾄ ⾨ Center Weighted patient examination, Center Weighted electrical diagram is displayed in the following figure, its affiliates or bypass path (accessory pathway) are most likely place where?

Answer: Left Center Weighted chamber side wall (left lateral ventricle)

Choices:
A. Right Center Weighted chamber sidewall (right free wall)
B. Left Center Weighted chamber side wall (left lateral ventricle)
C. Before the diaphragm (anterior septum)
D. After the diaphragm (posterior septum)

bit 23 year old man
Center Weighted
Center Weighted electrical diagram
displayed
following
affiliates
bypass path
accessory pathway
place


Question: In the embryo seventh, eight weeks of infection rubella (rubella), the virus can lead to hearing impairment and affect which of the following?

Answer: Spiral ganglion development

Choices:
A. The size of the outer ear channel
B. Spiral ganglion development
C. Small and middle ear bone formation ligament
D. Pinna (auricle) size

embryo seventh
eight weeks
infection rubella
rubella
lead
hearing impairment
following


Question: Which of the following vector breeding infection by blood transfusion caused easily from human to human infection?

Answer: Barbados's protozoan disease (babesiosis)

Choices:
A. 巴西利什曼 protozoosis (leishmaniasis braziliensis)
B. Lyme disease (Lyme disease)
C. Scrub typhus (scrub typhus)
D. Barbados's protozoan disease (babesiosis)

following vector breeding infection
blood transfusion caused easily
human
human infection


Question: The method of diagnosis of pheochromocytoma, Which of the following most reliable?

Answer: plasma metanephrine

Choices:
A. urine VMA
B. urine catecholamine
C. plasma catecholamine
D. plasma metanephrine

method diagnosis pheochromocytoma following


Question: Adhesive capsulitis shoulder primary (idiopathic adhesive capsulitis) also known as frozen shoulder (frozen shoulder). Statements about this disease, which of the following error?

Answer: Do arthrography (arthrography) inspection, can be found in the axilla inflamed swollen joint capsule, filled with contrast agent

Choices:
A. A typical patient is about 40 to 60-year-old woman
B. Prone to non-dominant side (nondominant side)
C. Do arthrography (arthrography) inspection, can be found in the axilla inflamed swollen joint capsule, filled with contrast agent
D. Most cases can alleviate the symptoms disappear on their own, self-limited (self-limiting) disease

Adhesive capsulitis shoulder primary
idiopathic adhesive capsulitis
known
frozen shoulder
frozen shoulder
disease
following error


Question: Squeeze the glans clitoris can cause friction or external anal sphincter contraction is what reflection?

Answer: Bulbospongiosus reflex (bulbocavernosus reflex)

Choices:
A. Anal reflex (anal reflex)
B. Bulbospongiosus reflex (bulbocavernosus reflex)
C. Mention epididymis reflex (cremasteric reflex)
D. Detrusor (detrusor reflex)

Squeeze
glans clitoris
cause
external anal sphincter contraction


Question: Which of the following is the main cause cell wound contracture (wound contracture) of?

Answer: Myofibroblasts (myofibroblast)

Choices:
A. Myofibroblasts (myofibroblast)
B. B- lymphocytes (B-lymphocyte)
C. T- lymphocytes (T-lymphocyte)
D. Macrophages (macrophage)

following
main cause cell wound contracture
wound contracture


Question: 17 An 80-year-old woman right upper quadrant pain merger fever, biochemical examination revealed: total protein 6.8 g / dL, albumin 3.8 g / dL, ALT 200 U / L, AST 100 U / L, alkaline phosphatase 300 U / L (normal <100 U / L), γ-glutamyl transpeptidase U / L (normal <52 U / L), total bilirubin 5 mg / dL, direct bilirubin 3.5 mg / dL. Which of the following is the most likely diagnosis?

Answer: Common bile duct stones

Choices:
A. Alcoholic liver disease
B. Liver cyst
C. Fatty liver
D. Common bile duct stones

80 year old woman right upper quadrant pain


Question: A blunt eye contusion (blunt trauma) patients received fundus examination, which found that the more independent of the injury?

Answer: Macular drusen (Drusen)

Choices:
A. Macular hole (macular hole)
B. Retinal concussion (commotio retinae)
C. Macular drusen (Drusen)
D. Vitreous hemorrhage (vitreous hemorrhage)

blunt eye contusion
blunt trauma
patients received fundus
found
more independent of
injury


Question: Which of the following drugs, the most suitable for the treatment of Sjögren's syndrome xerostomia about it?

Answer: cevimel to

Choices:
A. bethanechol
B. cevimel to
C. donepezil
D. neostigmine

following drugs
most suitable
treatment
syndrome xerostomia


Question: Acoustic neuroma (acoustic neuroma) that is best made in a following cranial nerves?

Answer: Vestibular nerve (vestibular nerve)

Choices:
A. Facial nerve (facial nerve)
B. Cochlear nerve (cochlear nerve)
C. Vestibular nerve (vestibular nerve)
D. Glossopharyngeal nerve (glossopharyngeal nerve)

Acoustic neuroma
acoustic neuroma
best made
following cranial nerves


Question: Which of the following antibiotics can increase the rate of liver metabolism, reduce the efficacy of other drugs?

Answer: rifampin

Choices:
A. chloramphenicol
B. erythromycin
C. ketoconazole
D. rifampin

following
increase
rate
liver metabolism
efficacy
drugs


Question: About Prinzmetal's Angina, the following statements is wrong?

Answer: When chest pain occurs, often seen electrocardiogram ST segment decreased significantly

Choices:
A. Chest pain occurs mostly at rest, but also one-third of patients with chest pain can occur in sports
B. When chest pain occurs, often seen electrocardiogram ST segment decreased significantly
C. Common cardiac catheterization without significant stenosis of coronary angiography
D. Pathogenic transfer machine and coronary artery spasm (spasm) about, and may use the acetylcholine-induced


Question: After the abdominal wall, along the downlink sacral wing (Ala), consisting of nerve plexus is recommended:

Answer: Lumbosacral nerve trunk (lumbosacral trunk)

Choices:
A. Obturator nerve (obturator nerve)
B. Femoral nerve (femoral nerve)
C. Lumbosacral nerve trunk (lumbosacral trunk)
D. Reproductive femoral nerve (genitofemoral nerve)

abdominal wall
sacral wing
Ala
consisting
nerve plexus


Question: A case-control study (case-control study) studied the relationship between smoking and certain diseases, such as information associated with the following table:

Answer: Fisher appropriate test (Fisher's exact test)

Choices:
A. Independent t-test (two-sample t-test)
B. Paired t-test (paired t-test)
C. McNemar chi-square test (McNemar Chi-square test)
D. Fisher appropriate test (Fisher's exact test)

studied
relationship
smoking
certain diseases
associated with
following table


Question: The following narrative about the interaction of the drug with the receptor, what's wrong?

Answer: partial agonist is still part of the receptor binding and non-activation state (inactive form) reaction

Choices:
A. Highest reactivity with the full agonist for receptor activation state (active form) in combination
B. partial agonist is still part of the receptor binding and non-activation state (inactive form) reaction
C. inverse agonist to an inhibitory response upon binding to the receptor does not activate state (inactive form) of
D. receptor antagonist for the activation status (active form) receptors and non-activation state (inactive form) after the binding reaction are no

following interaction drug receptor wrong


Question: Treatment of AIDS (AIDS) drugs zidovudine (azidothymidine, AZT), is the product of the gene for the virus?

Answer: half

Choices:
A. ca.
B. gag
C. of
D. half

Treatment
AIDS
AIDS
drugs zidovudine
azidothymidine
AZT
product
gene


Question: Pregnant 29 weeks premature children born, birth weight 1600 grams, after feeding suffering from necrotizing enterocolitis. He's the least of the following symptoms appear?

Answer: constipation

Choices:
A. constipation
B. Bloating
C. Vomit
D. Blood in the stool


Question: Bordetella pertussis (Bordetella pertussis) produce pertussis toxin (pertussis toxin), a catalytic Gi alpha (i.e., inhibitory G protein α subunit) of the ADP-ribosylation, results in persistent activation of adenylate cyclase. The following narrative about the pertussis toxin pathogenic turn of the machine, whichever is correct?

Answer: Giα pertussis toxin inhibition of GDP-bound state to the GTP binding converter

Choices:
A. Giα pertussis toxin inhibition of GDP-bound state to the GTP binding converter
B. Giα pertussis toxin inhibition of GTP-bound state to convert GDP binding
C. pertussis toxin inhibition of GTPase activity Giα
D. Giα role of adenylate cyclase promote the pertussis toxin

pertussis toxin
pertussis toxin
Gi alpha
i.e
inhibitory G protein
subunit
results
persistent
following
pertussis toxin pathogenic turn
machine
correct


Question: Account of Clostridium difficile (Clostridium difficile), and Which statement is correct?

Answer: The disease is often a result of long-term use of antibiotics, resulting in intestinal flora caused by the change

Choices:
A. The disease is often a result of long-term use of antibiotics, resulting in intestinal flora caused by the change
B. Available ampicillin (ampicillin) and clindamycin (clindamycin) Treatment
C. Will produce enterotoxin (enterotoxin), causing muscle spasms
D. Will produce a toxin α (α toxin), causing severe soft tissue necrosis


Question: 46 year-old man complained of tinnitus right side. According to this Zhang MRI, T2WI, causing the right side of tinnitus most likely cause is:

Answer: NPC cause water right ear mastoiditis (mastoiditis)

Choices:
A. NPC cause water right ear mastoiditis (mastoiditis)
B. Bacterial water right ear mastoiditis (bacterial mastoiditis)
C. Viral water right ear mastoiditis (viral mastoiditis)
D. Mastoid cholesteatoma (mastoid cholesteatoma)

year old man
tinnitus right side
MRI
causing
right side
tinnitus
likely cause


Question: Large a two month old baby red spot will appear as shown in the drawings of genitals, that one of the following is the most appropriate treatment for the cause?

Answer: Anti-fungal creams

Choices:
A. Antihistamine syrup
B. Antibiotic ointment
C. Anti-fungal creams
D. Moisturizing creams

Large
two month old baby red spot
appear
genitals
one
following
most appropriate treatment
cause


Question: When (bronchiole) bronchioles of the lungs is blocked somewhere foreign matter, which of the following reactions occur?

Answer: Ventilation (ventilation) of this region and the blood perfusion (Perfusion) the ratio of the change, and then returned to close to the other normal region

Choices:
A. Entering this zone alveolar ventilation (alveolus) of the (ventilation) increase
B. Entering this zone alveoli (alveolus) of blood perfusion (perfusion) increase
C. Ventilation (ventilation) of this region and the blood perfusion (Perfusion) the ratio of the change, and then returned to close to the other normal region
D. Nearby vasodilation (vasodilation)

bronchiole
bronchioles
lungs
blocked
foreign
following reactions occur


Question: The following statements about neuropsychological tests (neuropsychological assessment), and what's wrong?

Answer: Progressive brain injury situation assessment of cognitive function (Rancho scale) can not be used to observe the function of nerve injury patients

Choices:
A. Coma Patient Index (coma scale) can be used for screening of acute nerve injury
B. Progressive brain injury situation assessment of cognitive function (Rancho scale) can not be used to observe the function of nerve injury patients
C. Neuropsychological tests can help the rehabilitation plan of the development
D. Emotional and behavioral problems of patients, the rehabilitation training will also be affected

following
neuropsychological tests
neuropsychological assessment
wrong


Question: Long-term position of the patient lying on his side bedsores occur most frequently in the following parts of what?

Answer: Greater trochanter of femur (greater trochanter of femur)

Choices:
A. 髂嵴（iliac crest）
B. Greater trochanter of femur (greater trochanter of femur)
C. Shoulder (shoulder)
D. Ankle (ankle)

Long-term position
patient lying
side bedsores occur
frequently
following parts of


Question: One 40-year-old female, found a nest of 4 cm lump on the left side only clavicle, one of the following is most unlikely that the primary lesion?

Answer: Laryngeal cancer

Choices:
A. Lung cancer
B. Laryngeal cancer
C. Stomach cancer
D. Cervical Cancer

One 40 year old female
found
nest
lump
left side only clavicle
one
following
most unlikely
primary lesion


Question: 70 year old man, right upper lobe has a 5 cm tumor, there are violations of the visceral pleura (visceral pleura) of. Non-small cell lung sections confirmed (non-small cell lung cancer). After surgery proved right anterior tracheal lymph nodes were positive, in addition no other cancer invasion or metastasis. According to the seventh edition of the AJCC staging, please select the most appropriate options:

Answer: For the first stage IIIa

Choices:
A. T classification 為 T3
B. N classification is N1
C. For the first stage IIIa
D. For the first Phase IIb

70 year old man
right upper lobe
5
tumor
visceral pleura
visceral pleura
Non-small cell lung sections confirmed
non-small cell lung cancer
surgery
right anterior tracheal lymph nodes
positive
addition
cancer invasion
metastasis
seventh
staging
most appropriate options


Question: 5 using muscle relaxant antagonists cholinesterase inhibitors (cholinesterase inhibitors), acting in the role of muscarine receptor (muscarinic receptor) produced, which of the following error?

Answer: Reducing the tension of the bladder (decreased bladder tone)

Choices:
A. Slow the heart rate (decreased heart rate)
B. Miosis (pupillary constriction)
C. Stomach cramps (intestinal spasm)
D. Reducing the tension of the bladder (decreased bladder tone)

5 using muscle relaxant
cholinesterase
cholinesterase inhibitors
acting
role
muscarine receptor
muscarinic receptor
following error


Question: Hypertensive patients with asthma or chronic pulmonary obstruction, which should not be used following blood pressure lowering drugs?

Answer: Propranolol

Choices:
A. Clonidine
B. Terazosin
C. Losartan
D. Propranolol


Question: One patient complained of lower limb weakness and numbness. Physical examination and neuroimaging found in Section 6 to Section 8 thoracic spinal nerve lesions. On its deep and superficial reflex, whichever of the following is most likely?

Answer: Biceps normal reflection, reflection enhancing ankle, there Babinski sign

Choices:
A. Biceps (biceps) reflection reflected knee (knee jerk) are enhanced, without Babinski sign
B. Biceps normal reflection, reflection enhancing ankle, there Babinski sign
C. Biceps ankle reflex and reflection are weakened, there Babinski sign
D. Biceps reflex enhancement, and knee reflexes, no Babinski sign

One patient
of lower limb weakness
numbness
neuroimaging found
Section
to Section
thoracic spinal nerve lesions
deep
superficial reflex
following


Question: For a description of wound infection, which of the following error?

Answer: Naishi antibiotic prophylaxis for surgical wounds of cleaning

Choices:
A. Cause wound infections include bacterial factors, local wound factors, patient factors
B. Clean the chances of wound infection after surgery to produce three percent or less
C. Naishi antibiotic prophylaxis for surgical wounds of cleaning
D. When normal trauma occurs, the number of bacteria per gram of tissue greater than 105 will cause infection


Question: Wu grandfather 84 years due to sudden headache and mobility, was sent to the emergency room, the attending physician neurology considered hemorrhagic stroke, which of the following is the most appropriate checks?

Answer: Computer tomography (CT)

Choices:
A. Angiography (angiogram)
B. Computer tomography (CT)
C. NMR photography (MRI)
D. transcranial doppler

Wu
84 years due to sudden headache
mobility
sent
emergency room
attending physician neurology
hemorrhagic stroke
following
most appropriate checks


Question: An enzyme kcat = 500 s-1, Km = 5 mM, in the case of receiving quality is much higher than the Km concentration, the rate constant of the reaction of this enzyme is approximately:

Answer: 500 s-１

Choices:
A. 500 s-１
B. 2,500 mM s-１
C. 100 mM-１s-１
D. 0.01 s mM-１

enzyme
500
5 mM
case
receiving quality
much higher
concentration
rate constant
approximately


Question: About the pineal gland (pineal gland), the following statements is this bad?

Answer: This gland contains many melanocytes (melanocyte)

Choices:
A. Melatonin secretion (levels of melatonin) thereby affecting the function of the reproductive system
B. Adult pineal brain often contain sand (corpora arenacea / brain sand)
C. This gland contains many melanocytes (melanocyte)
D. This glands activity (Activity) receiving light rays (light) Effect


Question: Trypsin (trypsin) that does not participate in the activation of these enzymes?

Answer: deoxyribonuclease

Choices:
A. colipase
B. carboxypeptidase B
C. elastase
D. deoxyribonuclease


Question: Which of the following diseases most infrequently associated with accessory pathway, causing fewer on ventricular tachycardia (supraventricular tachycardia)?

Answer: Tetralogy of Fallot (tetrology of Fallot)

Choices:
A. Aibositan's abnormalities (Ebstein anomaly)
B. Disease both the right atrium (right atrial isomerism)
C. Tetralogy of Fallot (tetrology of Fallot)
D. Wolff-Parkinson-White syndrome (WPW syndrome)


Question: Severe trauma patients presenting a large number of intra-abdominal bleeding and shock, damage control surgery is occasionally necessary (damage control surgery) in a short time to control bleeding and other rescue steps to save lives. Otherwise lethal three elements (lethal triad) will appear. Which of the following does not belong to the lethal triad?

Answer: Hyperlipidemia (sepsis)

Choices:
A. Coagulation insufficiency (coagulopathy)
B. Metabolic acidosis (metabolic acidosis)
C. Low body temperature (hypothermia)
D. Hyperlipidemia (sepsis)

Severe trauma patients
large number
intra-abdominal bleeding
shock
damage control surgery
occasionally
damage control surgery
short time to control bleeding
steps
lives
lethal three
lethal triad
appear
following
not
lethal triad


Question: A 60-year-old patient with diabetes and high blood pressure, chest tightness and shortness of breath occasionally occur, at which time resting electrocardiogram (resting ECG) showed no abnormalities. Patients complain of brisk walking can still engage in sports. When you suspect that this patient may have ischemic heart disease, check what priority should be given?

Answer: Treadmill ECG (Treadmill exercise test)

Choices:
A. Treadmill ECG (Treadmill exercise test)
B. Cardiac ultrasonography
C. Nuclear perfusion scan (Nuclear perfusion scan)
D. Cardiac magnetic resonance scan

60 year old patient
diabetes
high blood pressure
chest tightness
shortness of breath occasionally occur
time
electrocardiogram
abnormalities
Patients
brisk
patient
ischemic heart disease
check
priority
given


Question: A healthy person, when standing before you start to inhale more than the volume of the lung (residual volume), this time to that of alveolar air will enter most of a region?

Answer: At the apex

Choices:
A. At the end of the lung
B. At the apex
C. Lung center
D. Evenly distributed to all

healthy
standing
start to inhale more
volume
lung
residual volume
time
alveolar air
enter most
region


Question: Following an infectious disease that is present in human society through vaccination, most likely to eradicate the disease?

Answer: Polio (poliomyelitis)

Choices:
A. TB (tuberculosis)
B. Measles (measles)
C. Polio (poliomyelitis)
D. Pertussis (diphtheria)

Following
infectious disease
present
human
vaccination
likely to
disease


Question: 56-year-old male, in the cold winter comes, bilateral leg skin lesions will appear as shown in Figure itch. Which of the following most inappropriate disposal?

Answer: Encourage patients to take a bath

Choices:
A. Encourage patients to take a bath
B. Wipe steroids
C. Improve indoor humidity
D. Emollients

year old male
cold winter
bilateral leg skin lesions
appear
itch
following
inappropriate


Question: Oral contraceptive agents containing primary clinical use of estrogen and progestin two components, may be reduced after taking follicle stimulating hormone (follicle-stimulating hormone; FSH) and luteinizing stimulating hormone (luteinizing hormone; LH) secretion inhibiting ovarian follicular maturation and , blocking ovulation. The following statements is wrong?

Answer: Contraceptive agents can reduce the secretion of FSH and LH, but through a positive feedback on the hypothalamus regulation

Choices:
A. The two components belong to the contraceptive steroid (Steroid) hormone
B. Contraceptive agents can reduce the secretion of FSH and LH, but through a positive feedback on the hypothalamus regulation
C. The two components of the contraceptive can be regulated through the degree of expression of a particular gene is located within a nuclear receptor action
D. Steroids are also located on the cell membrane receptor responsible for the rapid hormonal effect


Question: Account of pleural effusion (pleural effusion), and Which statement is correct?

Answer: Pneumonia, pleural effusion Ruoyin ⽣ yield, the glucose concentration of this liquid is usually lowered, and ⼩ at 60mg / dL

Choices:
A. Leakage of fluid (transudate) ⽣ often made at the time of virus infection or pneumonia
B. Exudate (exudate) is usually clear, low content of the liquid egg white matter
C. Exudate (exudate) is clear ⾎ LDH pleural fluid LDH than the ratio of 0.6 to ⼩
D. Pneumonia, pleural effusion Ruoyin ⽣ yield, the glucose concentration of this liquid is usually lowered, and ⼩ at 60mg / dL

Account
pleural effusion
pleural effusion
correct


Question: About IVF treatment, the narrative and implanted embryo culture, which of the following error?

Answer: Embryo culture late (post-compaction), recommended media requires more non-essential amino acids (non-essential amino acids) to

Choices:
A. Early (pre-compaction) embryos cultured recommended media need more pyruvic acid (pyruvate) to simulate the environment of the fallopian tube
B. Embryo culture late (post-compaction), recommended media requires more non-essential amino acids (non-essential amino acids) to
C. When the patient normal conditions, compared to the blastocyst stage embryo implantation embryo implantation in the division have a higher rate of bed
D. Embryos cultured to the blastocyst stage compared to the division of the embryo, have a higher chance embryo can not implant

IVF treatment
implanted embryo culture
following error


Question: The following account of antipsychotic drugs and what was wrong?

Answer: Risperidone more likely to cause seizures than clozapine

Choices:
A. Clozapine can be used to treat patients with other antipsychotic efficacy poor
B. Aripiprazole is a dopamine agent portion of (dopamine partial agonist)
C. Risperidone more likely to cause seizures than clozapine
D. The second-generation antipsychotics than conventional antipsychotics are prone to causing metabolic syndrome (metabolic syndrome)

following account
antipsychotic drugs
wrong


Question: When neck cancer surgery, unfortunately hurt the vagus nerve branches, the most likely scenario what happened?

Answer: Hoarseness

Choices:
A. Reduce gastric acid secretion
B. diarrhea
C. Tachycardia
D. Hoarseness


Question: The following statements about the structure of the respiratory tract, what's wrong?

Answer: Terminal bronchioles (terminal bronchiole) having a large number of epithelial goblet cells (goblet cells)

Choices:
A. Bronchi (bronchus) and a ring wall having cartilage pieces go smooth muscle layer
B. Bronchial cartilage having no inner sheet (bronchiole), the ring away from the smooth muscle layer mainly composed of
C. Terminal bronchioles (terminal bronchiole) having a large number of epithelial goblet cells (goblet cells)
D. Function terminal bronchioles (terminal bronchiole) epithelial Clara cells secretory protein, a cell surface non cilia

following
structure
respiratory tract
wrong


Question: A 6-year-old boy, and double-stranded on both sides of the lower limbs and bleeding purple rash, fever without the boy, the spirit is good, but the right knee swelling, complete blood measurement normal, the most likely diagnosis is:

Answer: Anaphylactoid purpura Henoch-Schönlein (anaphylactoid) purpura

Choices:
A. Essential thrombocytopenia purpura (idiopathic thrombocytopenic purpura)
B. Youth rheumatoid arthritis (juvenile rheumatoid arthritis)
C. Meningococcal septicemia (meningococcemia)
D. Anaphylactoid purpura Henoch-Schönlein (anaphylactoid) purpura

year old boy
double-stranded
sides
lower limbs
bleeding purple rash
fever
boy
spirit
good
right
complete blood measurement normal
diagnosis


Question: For the diagnosis of pelvic hemorrhage, puncture fluid pouch typically performed surgery (culdocentesis) via the following where?

Answer: The posterior vaginal fornix (posterior fornix of vagina)

Choices:
A. The posterior vaginal fornix (posterior fornix of vagina)
B. Vaginal vault (anterior fornix of vagina)
C. Bladder wall (posterior wall of urinary bladder)
D. Rectal wall (anterior wall of rectum)

diagnosis
pelvic hemorrhage
puncture fluid pouch
performed surgery
culdocentesis
following


Question: Acute infectious diarrhea in children caused by pathogens, which of the following would cause non-inflammatory diarrhea (non-inflammatory diarrhea)?

Answer: Arc cholera bacteria (Vibrio cholerae)

Choices:
A. Jejunum song like tuberculosis (Campylobacter jejuni)
B. Salmonella (Salmonella spp.)
C. Dysentery bacillus (Shigella spp.)
D. Arc cholera bacteria (Vibrio cholerae)


Question: A 80-year-old man hospitalized patients, there is no prior history of psychiatric or dementia, and no alcohol or other substance abuse issues, from Neike Jia intensive care unit into a general ward, appeared auditory and visual hallucinations evening, time can not be determined, locations such as performance, and is associated with acts of interference such as insomnia and excitement to the situation improved slightly during the day, before the families did not have similar mental symptoms, only six months ago because of a stroke in the hospital there had been a brief similar situation. The patient's current performance is most likely to be diagnosed as which of the following?

Answer: Delirium (delirium)

Choices:
A. Schizophrenia (schizophrenia)
B. There dementia and behavioral disorders (dementia with behavioural and psychological symptoms)
C. Delirium (delirium)
D. Previous stroke sequelae

80 year old man hospitalized patients
prior history
psychiatric
dementia
alcohol
substance abuse issues
Jia intensive care unit
general ward
appeared auditory
visual hallucinations evening
time
not
locations
associated with acts
interference
insomnia
improved slightly
day
not
similar mental symptoms
only six months
stroke
hospital
brief similar
patient's current performance
to
diagnosed


Question: For post-traumatic syringomyelia (post-traumatic syringomyelia), following what most diagnostic imaging value?

Answer: Magnetic resonance imaging (MRI)

Choices:
A. Computed tomography (CT scan)
B. Magnetic resonance imaging (MRI)
C. Photography spinal cord (myelography)
D. Sonography (ultrasonography)

post-traumatic syringomyelia
post-traumatic syringomyelia
following
most diagnostic imaging value


Question: The following description of the relevant mechanisms of the parasite to escape the host immune response, and that one is not correct?

Answer: Leishmania (Leishmania species) induced higher Th1 response in vivo host

Choices:
A. Malaria parasite (Plasmodium species) off the circumsporozoite (CS) antigen
B. Leishmania (Leishmania species) induced higher Th1 response in vivo host
C. Cone worm (Trypanosomes) the appearance of a variation glycoprotein (variant surface glycoprotein)
D. Schistosomes (Schistosomes) 70 Which of the following is not covered with the appearance of B cell surface molecules of human ABO blood group antigens?

following
relevant mechanisms
parasite to
host immune
one
not correct


Question: The following account of biofilms (biological membrane) what is the molecular structure of the non?

Answer: Is symmetric

Choices:
A. As noncovalent assemblies
B. Is symmetric
C. As the fluid structures
D. Mainly composed of lipids and proteins

following account
biological membrane
non


Question: When suspected anti-phospholipid antibody syndrome (antiphospholipid antibody syndrome), following examination of what is most important?

Answer: prothrombin time 及 activated partial thromboplastin time

Choices:
A. C3 and C4
B. prothrombin time 及 activated partial thromboplastin time
C. ESR and CRP
D. cholesterol 及 triglyceride


Question: 23. The following on valvular heart disease, what's right? ① syncope (syncope) severe stenosis of the aortic valve surgery indications one ② mitral valve repair can be used dilated cardiomyopathy (dilated cardiomyopathy) ③ surgical treatment of patients with heart transplants can be used for surgical treatment of valvular heart disease suffer ④ mitral valve repair surgery mortality rate is higher than the mortality of mitral valve replacement

Answer: ①②③

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④


Question: cerebrospinal fluid secreted by which of the following?

Answer: choroid plexus

Choices:
A. arachnoid membrane
B. choroid plexus
C. arachnoidal villi
D. ependyma


Question: Hypertensive patients suffering from lupus, which is not suitable for the following antihypertensive drugs?

Answer: Hydralazine

Choices:
A. Captopril
B. Diazoxide
C. Clonidine
D. Hydralazine

Hypertensive patients suffering
lupus
not suitable
following antihypertensive drugs


Question: Q-type heat (Q fever) occurred in most countries of zoonosis (zoonosis), after a person is infected, will be presented acute type (pneumonia, hepatitis, flu-like symptoms, headache), or severe chronic type (endocardial inflammation) symptoms. This disease is caused by a bacterial infection what?

Answer: Coxiella burnetii

Choices:
A. Rickettsia rickettsii
B. Coxiella burnetii
C. Ehrlichia canis
D. Staphylococcus epidermidis

type
Q fever
countries
zoonosis
zoonosis
infected
acute type
pneumonia
hepatitis
flu-like symptoms
headache
severe chronic type
endocardial inflammation
symptoms
disease
caused
bacterial infection


Question: Childbirth appears "shoulder dystocia" right line which method to use to give this predicament?

Answer: 马克罗伯兹 method (Mc Roberts maneuver)

Choices:
A. 马克罗伯兹 method (Mc Roberts maneuver)
B. Lubin Act (Rubin maneuver)
C. Woods method (Woods maneuver)
D. Sapporo Where Donnelly Act (Za vanelli maneuver)

Childbirth appears
shoulder
right line
method to use to give


Question: Which of the following human parasitic infections more often lead to severe anemia on the clinical symptoms?

Answer: Duodenum 鉤蟲 (Ancylostoma duodenale)

Choices:
A. Schistosoma japonicum (Schistosoma japonicum)
B. Bancrofti (Wuchereria bancrofti)
C. Duodenum 鉤蟲 (Ancylostoma duodenale)
D. Angiostrongylus cantonensis (Angiostrongylus cantonensis)

following human parasitic infections
often lead
severe anemia
clinical symptoms


Question: 64. The following test results that do not meet a case of arterial blood gas analysis and serum electrolytes listed in [pH 7.49, PaO2 90 mmHg, PaCO2 43 mmHg, 0, Cl- 89 (electrolyte unit is mmol / L)]?

Answer: B: 37-year-old female patient, suffering from Sjögren's syndrome, renal ultrasonography found the kidney pelvis on both sides there are signs of calcification

Choices:
A. A: The 40-year-old female patient, the past six months found that hypertension; patients sometimes lower limb weakness, plasma aldosterone concentration cortex 38 ng / dL (normal is 10 to 25)
B. B: 37-year-old female patient, suffering from Sjögren's syndrome, renal ultrasonography found the kidney pelvis on both sides there are signs of calcification
C. C: 30-year-old male patient was hospitalized with acute pancreatitis, given nasogastric tube drainage, drainage of about 3000 mL per day
D. D: 22-year-old female patient taking thiazide diuretics to lose weight long term

64
following test results
not
case
arterial blood gas analysis
serum electrolytes
pH 7
PaO2 90 mmHg
mmHg
0
electrolyte unit
mmol
L


Question:  ouabain  size availability of three oral digoxin  digitoxin biological arranged as:

ouabain
size availability of three oral digoxin
digitoxin biological


Question: 90 A 54-year-old woman found in the small intestine has a 6 cm tumor was found to be sliced sarcoma, immunochemical staining found that c-kit (CD117) (+), CD34 (+), smooth muscle actin (-), then which of the following is the most likely diagnosis?

Answer: Gastrointestinal stromal tumors

Choices:
A. Leiomyosarcoma
B. Angiosarcoma
C. Nerve fibrosarcoma
D. Gastrointestinal stromal tumors

90
54 year old woman found
small intestine
tumor
found to
sarcoma
staining found
c-kit
CD117
CD34
smooth muscle actin
then
following
diagnosis


Question: Account of fecal occult blood (fecal occult blood testing, FOBT), and what's wrong?

Answer: Fecal occult blood test three days before must avoid intake of red meat

Choices:
A. No risk factors for people is a good screening tool for colorectal cancer
B. Immune response detected by fecal occult blood which redox specificity than the fecal occult blood detection is high
C. Because the blood cells will be destroyed in the gastrointestinal tract, the immune response is detected from a fecal occult blood colon or rectal bleeding
D. Fecal occult blood test three days before must avoid intake of red meat

Account
fecal occult blood
fecal occult blood testing
FOBT
wrong


Question: Postoperative lung cancer the most common cause of death in the watch ⾒ Why?

Answer: Pneumonia defeat ⾎ disease (pneumonia with sepsis)

Choices:
A. Pneumonia defeat ⾎ disease (pneumonia with sepsis)
B. ⼼律 irregular (arrhythmia)
C. Kidney failure (renal failure)
D. Stroke (stroke)

Postoperative lung cancer
most common cause of death


Question: Following that disease is the most important risk factor for suicide?

Answer: Depression

Choices:
A. With terminal cancer
B. Depression
C. Drug addiction
D. Adjustment disorder

Following
disease
most important risk
suicide


Question: Female patients following heart diseases due to the production of a high risk of pregnancy should be advised not to get pregnant, except what women?

Answer: Had undergone open heart surgery of Tetralogy of Fallot

Choices:
A. There are severe pulmonary hypertension of
B. There are powerful of aortic stenosis
C. Marfan syndrome and aortic root has greater than 40 mm
D. Had undergone open heart surgery of Tetralogy of Fallot


Question: 70-year-old Lin, is a type 2 diabetes, a recent examination found that the serum creatinine value of 2.5 mg / dL, you suggested that he stop using the kind of oral hypoglycemic drugs?

Answer: metformin

Choices:
A. pioglitazone
B. glipizide
C. metformin
D. repaglinide

70 year old Lin
type 2 diabetes
recent
found
serum creatinine value
mg
dL
stop using
kind
oral hypoglycemic drugs


Question: Following with cervical cancer most relevant HPV (human papillomavirus) typing is:

Answer: type 16, 18

Choices:
A. type 6, 8
B. type 16, 18
C. type 6, 11
D. type 6, 18


Question: And allergic asthma incidence related to good hygiene hypothesis (hygiene hypothesis), that the following statement best describes correct?

Answer: Infancy suffered a virus or bacterial infection, can reduce the incidence

Choices:
A. Genetic factors most relevant to the pathogenesis or not
B. Diet and the incidence of the most relevant or not
C. Infancy suffered a virus or bacterial infection, can reduce the incidence
D. Growth compared to undeveloped countries, the incidence tend to be lower in developed countries

allergic asthma incidence related
good
following
best
correct


Question: A 22-year-old woman has been on dialysis for three years, brothers and sisters want to donate a kidney to her, following those HLA antigen has more important clinical significance?

Answer: A, B and DR

Choices:
A. A, B and C
B. A, B and DR
C. DP,DR and DQ
D. A, E and DQ

year old woman
dialysis
three years
to
kidney
following
HLA antigen
more important clinical significance


Question: Statements about osteogenesis imperfecta (osteogenesis imperfecta), the error which of the following?

Answer: Belong to autosomal recessive (autosomal recessive) genetic disorders

Choices:
A. Belong to autosomal recessive (autosomal recessive) genetic disorders
B. Most from a first type collagen (type I collagen) genetic disease
C. The most common clinical problem is repeated long bone fractures (recurrent fracture)
D. Bone marrow and correcting multiple cut the nail, the retransmission can reduce fracture

osteogenesis imperfecta
osteogenesis imperfecta
error
following


Question: The following is a phenomenon which is often case-control study bias the results (bias) source?

Answer: Subjects unable to recall past exposure situation correctly

Choices:
A. Healthy worker effect
B. The study sample lost to follow
C. Subjects are usually volunteers
D. Subjects unable to recall past exposure situation correctly


Question: 45 a 24-year-old girl to the clinic for treatment because of irregular menstruation, complained of menarche is 12 years, the last six months but not menstruation. Type body fat, hirsutism and acne, which most unlikely diagnosis?

Answer: Cervical Cancer

Choices:
A. Cervical Cancer
B. Polycystic ovary
C. Premature ovarian failure
D. pregnancy

year old girl
clinic
treatment
irregular menstruation
menarche
years
last six months
not menstruation
Type body fat
hirsutism
acne
most unlikely diagnosis


Question: Normal primipara, in the absence of anesthesia if the status of the second stage of labor more than you can count how many hours too long?

Answer: 2 hours

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

Normal primipara
absence
anesthesia
status of
second stage
labor
count
hours too long


Question: Which of the following congenital heart disease, pulmonary vascular lines will not appear on the chest X-ray film increases (increased pulmonary vascularity)?

Answer: Method Rockwell quartet deformities (tetralogy of Fallot)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Patent ductus arteriosus disease (patent ductus arteriosus)
C. Method Rockwell quartet deformities (tetralogy of Fallot)
D. Great vessels diseases (transposition of great arteries)


Question: The highest chance SS-A / Ro autoantibodies (SS-A / Ro autoantibody) following which the disease appears in the blood test?

Answer: Subacute cutaneous lupus erythematosus (subacute cutaneous lupus erythematosus)

Choices:
A. Erythema systemic lupus (systemic lupus erythematosus)
B. Subacute cutaneous lupus erythematosus (subacute cutaneous lupus erythematosus)
C. Discoid lupus erythematosus (discoid lupus erythematosus)
D. Sclerosis (scleroderma)

highest chance SS
Ro autoantibodies
SS
Ro autoantibody
following
disease appears
blood test


Answer: 5'-GAATTC-3 '

Choices:
A. 5'-GAATTC-3 '
B. CATTAG-5'-3 '
C. CATATG-5'-3 '
D. CAATTG 5'-3 '


Question: Patients in hypercatabolic state, blood and urine concentrations of urea nitrogen will rise, following what's wrong?

Answer: urea cycle occurs mainly in the kidney

Choices:
A. On behalf of protein degradation increases
B. urea nitrogen source is the amino acid
C. amino acid was converted urea cycle to urea
D. urea cycle occurs mainly in the kidney

Patients
state
blood
urine
urea nitrogen
following
wrong


Question: A 9-year-old boy by the recent bruising and often pale to treatment, peripheral blood leukocytes and there is too high, the case of anemia and thrombocytopenia, peripheral blood smear as follows, arrow blood cell inclusions Why?

Answer: Auer's rod

Choices:
A. Basophilic stippling
B. Auer's rod
C. Heinz body
D. Howell-Jolly body

year old boy
recent bruising
often pale
treatment
too high
case
anemia
thrombocytopenia
peripheral blood smear
follows
arrow
inclusions


Question: The following about the unknown fever (fever of unknown origin) classification, what's wrong?

Answer: Unknown type of heat community (community FUO)

Choices:
A. Hospital type of unknown fever (nosocomial FUO)
B. Unknown type of heat community (community FUO)
C. HIV is unknown heat-related (HIV associated FUO)
D. Neutropenia unknown heat (neutropenic FUO)

following
unknown fever
fever of unknown origin
classification
wrong


Question: In recent years, discovery of Mycobacterium isonicotinate (treatments of isoniazid), ethyl isonicotinoyl amine (ethionamide), ethylamine butyrate (ethambutol) and the ring serine (cycloserine) and other four antibiotic resistance increasing number, which of the following is the main reason for resistance to these drugs produce?

Answer: Cell changes so that drugs can not enter

Choices:
A. Bacterial cells with a plasmid
B. Cell changes so that drugs can not enter
C. Cells secrete enzymes decompose the drug
D. Changes in cell metabolism of these drugs on the way


Question: 72. menopause already 56 year-old female patient complained of abnormal vaginal bleeding, magnetic resonance angiography (T2WI) as shown below. Why is the diagnosis?

Answer: Endometrial cancer (endometrial cancer)

Choices:
A. Uterine fibroids (uterine myoma)
B. Endometrial cancer (endometrial cancer)
C. Cervical cancer (cervical cancer)
D. Blood in the uterine cavity (hematometra)

72
menopause
year old female patient
abnormal vaginal bleeding
magnetic resonance angiography
diagnosis


Question: Following a muscle that does not belong to the organization rotator cuff cuff (rotator cuff)?

Answer: Teres major (teres major)

Choices:
A. 嵴上 skin (supraspinatus)
B. Teres minor (teres minor)
C. Teres major (teres major)
D. Subscapularis muscle (subscapularis)

Following
muscle
not
organization rotator cuff
rotator cuff


Question: Patients have brain lesions occur Kernohan notch (Kernohan's notch), resulting in ipsilateral hemiparesis (hemiparesis), directly related changes Why?

Answer: By cerebellar sky prolapse (transtentorial herniation)

Choices:
A. Prolapse (subfalcial herniation) under the falx
B. By cerebellar sky prolapse (transtentorial herniation)
C. Prolapse of the cerebellar tonsils (tonsillar herniation)
D. Gilles de Ia Tourette's bleeding (Duret's hemorrhage)

Patients
brain lesions occur
notch
notch
resulting in ipsilateral hemiparesis
hemiparesis
directly related changes


Question: A 33-year old male patient, there is about a 6 cm before mediastinal tumor, blood examination revealed by serum CEA levels were normal, increases of AFP (80 ng / ml, normal range:

Answer: Non spermatocytes germ cell cancer (non-seminomatous germ cell tumor)

Choices:
A. Liver cancer (hepatocellular carcinoma)
B. Spermatocytes germ cell cancer (seminoma)
C. Non spermatocytes germ cell cancer (non-seminomatous germ cell tumor)
D. Thymoma (thymoma)

year old male patient
mediastinal tumor
blood examination revealed
serum
levels
normal
increases
80 ng
ml
normal range


Question: Which of the following does not belong there should be changes in pulmonary emphysema (emphysema)?

Answer: Diffusion volume increase (increased diffusing capacity)

Choices:
A. Care has increased airway resistance (increased airway resistance)
B. Diffusion volume increase (increased diffusing capacity)
C. Total lung capacity increases (increased total lung capacity)
D. Ventilation perfusion imbalance (ventilation perfusion mismatch)

following
not
changes
pulmonary emphysema
emphysema


Question: After menopause, women no longer what hormone synthesis and secretion of the body?

Answer: Progesterone (progesterone)

Choices:
A. Estrogen (estrogen)
B. Male hormone (androgen)
C. Progesterone (progesterone)
D. Luteinizing hormone (LH)


Question: Compared to elicit the production of antibodies initial response (primary response), characteristics of the secondary reaction (secondary response) with a protein antigen caused by what?

Answer: There are involved in memory lymphocytes

Choices:
A. Usually takes a long time to start a large number of antibody production
B. There are involved in memory lymphocytes
C. Mainly manufacture and secrete large amounts of IgM
D. Antibody titers (Titer) produced with quite primary reaction

to elicit
initial response
primary response
characteristics
secondary reaction
secondary response
a protein
caused


Question: Which of the following drugs can not make prostate volume was significantly reduced?

Answer: Influenza sympathetic inhibitor (α-adrenergic blocker)

Choices:
A. Androgen receptor antagonist (anti-androgenic receptor agent)
B. Influenza sympathetic inhibitor (α-adrenergic blocker)
C. 5a reductase inhibitors (5α-reductase inhibitor)
D. Female hormone preparations

following drugs
not make prostate volume
reduced


Question: Beating coronary artery bypass surgery, the monitor via the pulmonary artery catheter, observed a sudden increase in pulmonary artery pressure, but blood pressure remained in the normal range, address the following related anesthesiologists do, what's wrong?

Answer: Increased tidal volume (tidal volume)

Choices:
A. Deepen the depth of anesthesia
B. Increased respiratory rate
C. Increased tidal volume (tidal volume)
D. Administration of phosphodiesterase III inhibitor


Question: A 24-year-old students who come to the emergency acute vertigo, nystagmus chart below, the patient has no major medical illness, and no tinnitus, a history of hearing loss. Will it be the most likely diagnosis Why?

Answer: Left vestibular neuritis (vestibular neuritis)

Choices:
A. Right Meniere's disease (Meniere's disease)
B. Left Meniere's disease (Meniere's disease)
C. Right vestibular neuritis (vestibular neuritis)
D. Left vestibular neuritis (vestibular neuritis)

year old
emergency acute vertigo
nystagmus chart
patient
illness
tinnitus
history of hearing loss
diagnosis


Question: The following figure shows a child's chest X-ray tablets, the most likely diagnosis is:

Answer: Bronchopulmonary dysplasia (bronchopulmonary dysplasia)

Choices:
A. Pulmonary sequestration (pulmonary sequestration)
B. Pneumothorax (pneumothorax)
C. Lobar pneumonia (lobar pneumonia)
D. Bronchopulmonary dysplasia (bronchopulmonary dysplasia)

following
child's chest X-ray tablets
diagnosis


Question: 40-year-old Lin, was diagnosed with chronic psychosis disorder (formerly known as schizophrenia). One day Mr. Lin held in the street casually waving a broom, fortunately caused no harm to others, was sent to the hospital emergency police and their families, emergency room Zhuyuanyishi advice to find Mr. Lin's obvious paranoia, auditory hallucinations and delusions controlled, but I'm Mr. refused to accept hospital treatment, the following statements is true?

Answer: Zhuyuanyishi psychiatric specialist should be invited to assess the situation of Mr. Lin

Choices:
A. After Zhuyuanyishi diagnosis is confirmed, Mr. Lin will be immediately compulsory hospitalization
B. Mr. Lin's behavior violated the law, the police should be asked to Mr. Lin brought to justice
C. Mr. Lin to direct outpatient tracking
D. Zhuyuanyishi psychiatric specialist should be invited to assess the situation of Mr. Lin

40 year old Lin
diagnosed
chronic psychosis disorder
formerly known
schizophrenia
One day Mr
Lin held
street
broom
caused
others
sent
hospital emergency police
emergency room
to find Mr
Lin's
paranoia
auditory hallucinations
delusions controlled
I m Mr
to accept
following
true


Question: Within the first six hours of the occurrence of septic shock, Which of the following does not belong to the set target must be as agreed when the general first aid?

Answer: Central venous oxygen partial pressure> 60 mmHg

Choices:
A. Mean arterial pressure (mean arterial pressure, MAP)> 65 mmHg
B. CVP (central venous pressure, CVP) is between 8 ~ 12 cmH2O
C. Central venous oxygen partial pressure> 60 mmHg
D. Amount of urine> 0.5 mL / kg / hr

first six hours
occurrence
septic shock
following
not
set target
agreed
general first aid


Question: Atrioventricular node (AV node) where the following is closest to?

Answer: Coronary sinus opening (opening of coronary sinus)

Choices:
A. Restraint belt (moderator band)
B. Junction of the inferior vena cava and the right atrium
C. Coronary sinus opening (opening of coronary sinus)
D. Bound ridge (crista terminalis)


Question: Mr. Wang is the most likely diagnosis Why?

Answer: Subarachnoid hemorrhage (subarachnoid hemorrhage)

Choices:
A. Bleeding (epidural hematoma) on dura
B. Subarachnoid hemorrhage (subarachnoid hemorrhage)
C. Subdural hemorrhage (subdural hemorrhage)
D. Ischemic stroke (ischemic stroke)


Question: What at the beginning of the following period, the fetal head is about half the length of its head heel (crown-heel length) of?

Answer: Fetal period (fetal period)

Choices:
A. Second trimester (second trimester)
B. 胚期（embryonic period）
C. Fetal period (fetal period)
D. Fetal stage (stage of quickening)

beginning
following period
fetal head
about half
length
head heel
crown-heel length


Question: The following relevant Chinese liver fluke (Clonorchis sinensis) infection with the human narrative, what's wrong?

Answer: Eggs and Yi which Yokokawa trematodes (Metagonimus yokogawai) distinguish eggs

Choices:
A. Due to the ingestion of meat and freshwater fish parasite infection
B. Its capsule Young (metacercaria) has the ability to infect the human body
C. Eggs and Yi which Yokokawa trematodes (Metagonimus yokogawai) distinguish eggs
D. May lead to cholangiocarcinoma in chronic severe infection

following relevant
infection
human
wrong


Question: It has nothing to do following a virus and intestinal diseases?

Answer: Pox virus (Pox viruses)

Choices:
A. Rotavirus (Rota viruses)
B. Norway Wacker viruses (Norwalk viruses)
C. Small RNA viruses (Picorna viruses)
D. Pox virus (Pox viruses)


Question: Tendon (tendon) is mainly composed of which of the following?

Answer: Collagen fibers (collagen fiber)

Choices:
A. Nerve fibers (nerve fiber)
B. Collagen fibers (collagen fiber)
C. Reticular fibers (reticular fiber)
D. Elastic fiber (elastic fiber)


Question: The following account of mediastinal tumors (mediastinal mass), and what's wrong?

Answer: Morgagni's diaphragmatic hernia (diaphragm hernia) often appear in the mediastinum

Choices:
A. Teratoma (benign teratoma) often appear in front of the mediastinum
B. Lymphoma (lymphoma) often appear first, in the mediastinum
C. Bronchogenic cyst (bronchogenic cyst), pericardial cysts (pericardial cyst) often appear in the mediastinum
D. Morgagni's diaphragmatic hernia (diaphragm hernia) often appear in the mediastinum


Question: Which of the following is the object of the elderly comprehensive assessment (comprehensive geriatric assessment) of?

Answer: Acute dysfunction of the elderly

Choices:
A. Over 65 years old
B. Acute dysfunction of the elderly
C. Bedridden elderly long-term care facilities
D. Receiving intensive treatment in the elderly


Question: An 8-year-old female student was diagnosed with scoliosis, skin pigmentation coffee (café-au-lait spots). The body spine X-ray photographic examination display thoracic curve 55 5 - 11 degrees, and the hole increases intervertebral neural situations. Which of the following is the most appropriate diagnosis?

Answer: Neurofibromatosis scoliosis (neurofibromatosis scoliosis)

Choices:
A. Congenital scoliosis (congenital scoliosis)
B. Idiopathic scoliosis (idiopathic scoliosis)
C. Spinal bifida scoliosis (myelomeningocele scoliosis)
D. Neurofibromatosis scoliosis (neurofibromatosis scoliosis)

year old female
diagnosed
scoliosis
skin pigmentation
caf au
spots
body spine X-ray photographic
display
curve
degrees
hole increases intervertebral neural
following
most appropriate diagnosis


Question: Mr. Lee, 50 years old, have a history of chronic cough, the recent emergence of generalized weakness, nausea, anorexia, vomiting, and even the circumstances. Last night apparent visual hallucinations, seeing a bunch of kids wearing red to him for money, but the next day, but most do not remember, you most likely got Lee Which of the following diseases or conditions?

Answer: Lower serum sodium

Choices:
A. Lower blood sugar
B. Lower serum sodium
C. Serious type of depression
D. Paranoia

Mr
50 years old
history
chronic cough
recent
generalized weakness
nausea
anorexia
vomiting
night
visual hallucinations
seeing
red
money
next day
most
not
following diseases
conditions


Question: Common clinical manifestations of non-obstructive sleep apnea which of the following?

Answer: Ringing in the ears (tinnitus)

Choices:
A. Obesity (obesity)
B. Snoring (snoring)
C. High blood pressure (hypertension)
D. Ringing in the ears (tinnitus)

Common clinical manifestations of non obstructive sleep apnea


Question: Which of the following renal tubular acidosis (renal tubular acidosis) will be complicated by kidney stones?

Answer: Type I

Choices:
A. Type I
B. Type II
C. Type III
D. Type IV

following renal tubular acidosis
renal tubular acidosis
complicated
kidney stones


Question: Discussion Studies have a certain pharmaceutical effect for urinary excretion of calcium, nine subjects were randomly selected, 0.5 mg of oral drugs, human urine collected after taking medication for 6 hours. Another 16 randomly selected subjects who are not taking medication, who also collected urine 6 hours after the randomly selected. The researchers question is "urinary excretion of calcium ion concentration in the two groups of people whether or not significantly different?" What statistical methods you will use the test above information?

Answer: Two-sample t-test

Choices:
A. Two-sample t-test
B. Chi-square test
C. Paired t-test
D. Mainei Ma test (McNemar's Test)

Discussion Studies
certain pharmaceutical effect
urinary excretion
calcium
nine subjects
0.5 mg
oral drugs
human urine collected
6 hours
subjects
not
medication
collected urine
hours
researchers
urinary
calcium ion concentration
two groups
not
different
use
test


Question: The following statements about the essential amino acids (essential amino acids), and what's wrong?

Answer: All are of aromatic amino acids

Choices:
A. Bacteria (e.g., Escherichia coli) may be synthesized
B. Humanity must supplement from food
C. The synthesis process is relatively complicated non-essential amino acids
D. All are of aromatic amino acids

following
essential amino acids
essential amino acids
wrong


Question: Post-herpetic neuralgia (postherpetic neuralgia) occurs most often in the following section where the skin (dermatome)?

Answer: chest

Choices:
A. chest
B. neck
C. waist
D. Sacral

Post-herpetic neuralgia
postherpetic neuralgia
occurs most often
following section
skin
dermatome


Question: Statements about the hyoid bone (hyoid bone), and Which statement is correct?

Answer: At the height of about 3 cervical

Choices:
A. Is a ring-shaped bone
B. Pharyngeal constrictor muscle (superior constrictor) attached to the hyoid Arcturus (greater horn of hyoid bone)
C. Its rear end to the epiglottis (epiglottis) contact
D. At the height of about 3 cervical


Question: A 1-year-old child of these two days of cold symptoms, loss of appetite. Get up in the morning his mother found him unconsciousness, difficulty in breathing. Sent to the hospital for blood glucose values found only 10 mg / dL, and the lactic acid is very high. Physicians also found a lot of sick children liver, the margin of 8 cm in rib. Which of the following is the most likely diagnosis?

Answer: Glycogen storage disease type Ia

Choices:
A. Hyperinsulinemia
B. Glycogen storage disease type Ia
C. Organic acidemia
D. Acute hepatitis

1 year
two days
cold symptoms
loss of appetite
Get
morning
found
unconsciousness
difficulty
breathing
Sent
hospital
blood glucose values found only 10 mg
dL
lactic acid
very high
Physicians
found
lot
sick children liver
margin
rib
following
diagnosis


Question: Account of the patient's progression, Which statement is correct?

Answer: occipital and temporal margin of the head is usually not affected

Choices:
A. occipital and temporal margin of the head is usually not affected
B. In addition to the scalp, hair and other secondary sex characteristics will be increasingly sparse
C. Dry thickness will not change
D. Sebaceous glands secrete less and less


Question: 80. One 84 year-old male patient a few years ago after suffering from stroke, prolonged bed rest, often with respiratory infections or urinary tract infections. In recent days the patient developed fever and diarrhea start and so on. After examination in the emergency identified as pseudo-mucosal colitis, doctors began to use antibiotics, but treatment after a few days, there has been no concrete improvement in symptoms. Then ask family members overseas studies have shown that the pseudo-mucosal colitis using faecal transplantation therapy, I do not know whether physicians would consider this treatment? By relevant literature and found evidence that the level of literature as Ib, level of evidence is quite high, but this is not a conventional therapy for the treatment of Taiwan's pseudo-mucosal colitis. The following narrative and what was wrong?

Answer: Based on the concept of evidence-based medicine, should be based on the latest and best evidence to treat patients. In this case, since the level of evidence of the document Ib, belonging to the high level of evidence documents, according to this treatment be treating a patient

Choices:
A. Based on the concept of evidence-based medicine, should be based on the latest and best evidence to treat patients. In this case, since the level of evidence of the document Ib, belonging to the high level of evidence documents, according to this treatment be treating a patient
B. Although the high level of documentary evidence, but there is no evidence of local literature, and whether the results of the literature can be applied to domestic patients, tolerance
C. Regardless of the level of evidence rating, as long as the new treatment, must go through the approval of the Ministry of Health and Welfare, to be carried out after the body check test its therapeutic effect and treatment-related safety, clinical application to patients
D. Clinically, the doctor has the obligation to comply with conventional medical treatment to patients. But did not comply with the latest literature best level of evidence to treat patients with obligations

pseudo mucosal colitis using faecal transplantation therapy


Question: A 54-year old man left sudden weakness do bust CT, CT images as shown, right basal nucleus has found that a blood clot, but also to see a left basal nucleus lesion (arrow), the left side of the skull has had surgery . By questioning family members, patients have the right limb weakness 5 years, this is the left basal ganglia lesions:

Answer: An old intracerebral hematoma

Choices:
A. A cyst of brain tissue
B. An arachnoid cyst from Sylvian fissure
C. An old intracerebral hematoma
D. An old infarction

54 year old man left sudden weakness
CT
CT
right basal nucleus
found
blood clot
to see
left basal nucleus lesion
arrow
left side
skull
surgery
patients
right limb weakness
years
left basal ganglia lesions


Question: Human papillomavirus (HPV) types 16 and 18 is closely associated with cervical cancer, viral E6 and E7 proteins less likely to inhibit the function of tumor suppressor genes which of the following?

Answer: BRCA1 and BRCA2

Choices:
A. p53
B. RB
C. p21
D. BRCA1 and BRCA2

Human papillomavirus
types 16
associated with cervical cancer
viral E6
E7 proteins
likely to inhibit
function
tumor suppressor genes
following


Question: Which is not an after-effects of breast augmentation surgery?

Answer: hormone imbalance

Choices:
A. Capsular contracture (capsular contracture)
B. infection
C. Implant rupture leakage (implant leakage)
D. hormone imbalance

after effects of breast augmentation surgery


Question: Which of the following does not have a virus (hemagglutinin) hemagglutinin?

Answer: Respiratory syncytial virus (respiratory syncytial viruses)

Choices:
A. Influenza virus (influenza viruses)
B. Respiratory syncytial virus (respiratory syncytial viruses)
C. Mumps virus (mumps viruses)
D. Measles virus (measles viruses)


Question: Prohormone hormone into the process, mainly where you make?

Answer: Golgi apparatus

Choices:
A. Golgi apparatus
B. mitochondrion
C. peroxisome
D. centriole