Question: 40-year-old woman, the last good health, because the last two days to speak clear, dysphagia, and two eyelids can not open the whole, the symptoms gradually increased to emergency medical treatment. After five days ago to the hospital with her mother and three people to eat vegetarian, Mr. Dougan street vendors to buy, began to diarrhea, vomiting and abdominal pain, follow the above symptoms occur at the same time, patients are also emerging proximal limbs, facial muscles and respiratory weakness. To the hospital the same day, the mother and husband also similar symptoms began to appear. Physical examination findings clearly conscious patients, no fever, heart rate and blood pressure is normal, but shallow breathing and laborious; neurological examination showed deep tendon reflexes (deep tendon reflex) decreased. The most likely diagnosis Why?

Answer: botulism

Choices:
A. Guillain-Barré syndrome due to campylobacteriosis
B. tetanus
C. botulism
D. Lambert-Eaton syndrome

40 year old woman
last
last two days
speak clear
dysphagia
two eyelids
not open
whole
symptoms
increased
emergency medical treatment
five days
hospital
three
to eat
Mr
street vendors
began
diarrhea
vomiting
abdominal pain
follow
above symptoms occur
same time
patients
proximal limbs
facial muscles
respiratory weakness
hospital
same day
similar symptoms began to appear
Physical examination findings
patients
fever
heart rate
blood pressure
normal
shallow breathing
laborious
neurological examination
deep tendon reflexes
deep tendon reflex
decreased
diagnosis


Question: A lack of vitamin B12 Which of the following is most likely to lead to disease?

Answer: Pernicious anemia (pernicious anemia)

Choices:
A. Beriberi (beriberi)
B. Scurvy (scurvy)
C. Pernicious anemia (pernicious anemia)
D. Angular cheilitis (angular stomatitis)

A lack
vitamin B12
following
to lead
disease


Question: Familial adenomatous polyposis (Familial adenomatous polyposis) Which of the following gene variation has the closest relationship?

Answer: APC / β-catenin

Choices:
A. APC / β-catenin
B. RB gene
C. p53 gene
D. TGF-b receptor

Familial adenomatous polyposis
Familial adenomatous polyposis
following gene variation
closest relationship


Question: Which of the following is a preoperative diagnosis of benign and malignant thyroid tumors most accurate way?

Answer: Thyroid fine needle aspiration cytology

Choices:
A. Thyroid fine needle aspiration cytology
B. Thyroid ultrasound
C. Neck CT
D. MRI of the neck

following
preoperative diagnosis
benign
malignant thyroid tumors
accurate


Question: Of sexually active young men suffering from urethritis, outflow of pus from the urethra observed in microscopic examination, there are cells Neige Lan's double-negative bacteria, the bacteria that urethritis is:

Answer: Neisseria gonorrhoeae

Choices:
A. Streptococcus pneumoniae
B. Neisseria gonorrhoeae
C. Neisseria meningitidis
D. Mycoplasma genitalium

sexually active young
suffering
urethritis
pus
urethra observed
microscopic examination
cells
Lan's double negative bacteria
bacteria
urethritis


Question: A 58-year-old man with acute chest pain, accompanied by cold to the emergency help, check the current arrangements, which of the following less suitable?

Answer: Exercise ECG

Choices:
A. Chest CT
B. Cardiac enzyme blood test
C. Exercise ECG
D. Cardiac catheterization Coronary angiography

58 year old man
acute chest pain
cold
emergency help
check
current arrangements
following less suitable


Question: The following statements about the mole (hydatidiform mole) of, whichever is less correct?

Answer: Not complete mole (partial mole) of patients with complete mole ratio in patients with a higher risk of developing choriocarcinoma (choriocarcinoma)

Choices:
A. Complete hydatidiform mole (complete mole) is meant genetic material of the zygote are all paternal
B. Not complete mole (partial mole) of patients with complete mole ratio in patients with a higher risk of developing choriocarcinoma (choriocarcinoma)
C. Complete mole (complete mole) than the patients do not complete mole patients with invasive mole (invasive mole) higher risk of developing
D. Mole incomplete (partial mole) zygote is meant genetic material plus parent maternal source

following
mole
hydatidiform mole
less correct


Question: A 45-year-old woman given birth to three children to the clinic to accept the Pap smear, the doctor found in the cervix and there is a cyst the size of 1 cm, so the way to do biopsy, after slicing wound there are some clear mucus out Come. Found that these microscopic epithelial cysts simple cuboidal or columnar epithelium (reference), the most likely diagnosis is:

Answer: Na Bode's cyst (Nabothian cyst)

Choices:
A. Cervicitis temper herpes (Herpes cervicitis)
B. Neoplastic (cervical intraepithelial neoplasia, CIN) Cervical intraepithelial
C. Na Bode's cyst (Nabothian cyst)
D. Trichomonas infection (Trichomonas infection)


Question: For most lung large cell carcinoma (Large cell carcinoma), the following statements is true?

Answer: As undifferentiated

Choices:
A. Will appear keratin pearls
B. The formation of mucus
C. As undifferentiated
D. Equal to oat cell carcinoma

lung large cell carcinoma
Large cell carcinoma
following
true


Question:
60. Bit the watch football selected in the game, because the knee is injured to the emergency room and found knee swelling deformation inspection, upon reviewing the video game, forwarding unit is found injured knee hyperextension made ⽣ (hyperextension) the combined turn the machine revolutions (varus mechanism), the following disposition
 What's wrong?

Answer: ⾺ onto the watch surgery room surgery is performed manually, since it is possible ⾅ off knee (knee dislocation)

Choices:
A. ⾺ onto the watch surgery room surgery is performed manually, since it is possible ⾅ off knee (knee dislocation)
B. Shi ⾏ ordinary X-ray (plain X-ray) on ⾺, because to estimate the relative position
C. Evaluation on ⾺ ⾎ tube, because the tube ADVANCED proportion ⾎ injury (vascular injury)
D. Ongoing assessment of whether there is muscle compartment syndrome (compartment syndrome), to avoid serious complications


Question: 42 location of the neuronal cell body, the following statements is true? Gray ① ② ③ white matter surrounding nerve fibers ganglion ④

Answer: ①③

Choices:
A. ①④
B. ①③
C. ②③
D. ②④

location of
neuronal cell body
following
true
Gray
white surrounding nerve fibers ganglion


Question: The following statements about anaphylactic shock (anaphylaxis), and what's wrong?

Answer: Only injecting drugs or insect stings will produce

Choices:
A. Only injecting drugs or insect stings will produce
B. IgE antibodies via binding of the allergen on mast cell (mast cell) resulting from
C. Shi play epinephrine as soon as possible to the patient, can relieve most of the symptoms
D. Penicillin (penicillin) allergy, if the spores begin with streptozotocin (cephalosporin) there are still some patients may be allergic

following
anaphylactic shock
anaphylaxis
wrong


Question: A 5-year-old neurological examination were normal girl, had twice in the past three years due to an upper respiratory infection complicated by fever, generalized stiffness clonic seizures (generalized tonic-clonic seizure), each episode will end in 1 minute . The following statements is wrong?

Answer: Characteristic EEG (EEG) which usually exhibit no fever spike during the temporal lobe of the wave is a partial (temporal spike)

Choices:
A. The most likely diagnosis of febrile seizure (febrile seizure)
B. There's a strong genetic predisposition (strong inheritance tendency)
C. Characteristic EEG (EEG) which usually exhibit no fever spike during the temporal lobe of the wave is a partial (temporal spike)
D. Clonic seizures usually occurs in a fever above 38 degrees Celsius

5 year old neurological examination
normal girl
twice
past three years
upper respiratory infection complicated
fever
generalized stiffness clonic seizures
generalized tonic-clonic seizure
episode
end
minute
following
wrong


Question: Containing a large amount of inter-cell shedding pigment particles within interstitial pneumonia (desquamative interstitial pneumonia) Patient alveoli:

Answer: Macrophages

Choices:
A. Neutrophils
B. Shedding of epithelial cells
C. Macrophages
D. The activated lymphoblasts

Containing
large amount
inter
interstitial pneumonia
desquamative interstitial pneumonia
Patient alveoli


Question: About anti-drug ketoconazole and fluconazole compare the mold, the following statements is wrong?

Answer: Ketoconazole fungal meningitis caused by a treatable, fluconazole is impossible to treat fungal infections of central

Choices:
A. Ketoconazole will inhibit the formation of human cortisol, fluconazole is less likely
B. Ketoconazole fungal meningitis caused by a treatable, fluconazole is impossible to treat fungal infections of central
C. Ketoconazole is mainly metabolized by the liver and loss of efficacy, fluconazole by renal excretion
D. Ketoconazole can inhibit the activity of hepatic cytochrome P450 humans, fluconazole is less likely

About
drug ketoconazole
fluconazole
following
wrong


Question: 69 Which of the following cells are directly involved in antibody dependent cellular toxic reactions (antibody-dependent cell-mediated cytotoxicity, ADCC)?

Answer: Natural killer cells

Choices:
A. Natural killer cells
B. B lymphocytes
C. CD8 + T lymphocytes
D. CD4 + T lymphocytes


Question: Statements about human skeletal muscle three fit (triad), and Which statement is correct?

Answer: Three final assembly storage pool has the function of calcium ions

Choices:
A. The pool consists of end sides of the tubule and T
B. Generally in the Z lines
C. Three final assembly storage pool has the function of calcium ions
D. T tubules dilated endoplasmic reticulum formed

human skeletal muscle three fit
triad
correct


Question: When 5-year-old boy complained of slight movement of the lips cyanosis (cyanosis), and asthma than normal. On the left chest can be heard 2-3 degree heart murmur. Chest X-ray which is shown in FIG. Found two atrial cardiac catheterization, two ventricles, pulmonary artery and aorta oxygen concentration was about 89%. Which of the following is the most likely diagnosis?

Answer: The total abnormal pulmonary venous return (total anomalous pulmonary venous return)

Choices:
A. Corrected great vessels (corrected transposition of great arteries)
B. Great vessels merge ventricular septal defect (transposition of great arteries with VSD)
C. The total abnormal pulmonary venous return (total anomalous pulmonary venous return)
D. Coronary venous  pipe (coronary arteriovenous fistula)

5 year old boy
slight movement
lips cyanosis
cyanosis
asthma
normal
left chest
heard
degree heart murmur
Chest X-ray
Found two atrial
two ventricles
pulmonary artery
aorta oxygen concentration
about
following
diagnosis


Question: A 60-year-old man complained of headache, limb weakness and to the left the clinic, CT image as shown below, the arrow of lesions Why?

Answer: Chronic subdural hematoma (Chronic subdural hematoma)

Choices:
A. Brain abscess (Brain abscess)
B. Meningioma (Meningioma)
C. Subdural hematoma upper chamber (Epidural hematoma)
D. Chronic subdural hematoma (Chronic subdural hematoma)

60 year old man
headache
limb weakness
left
clinic
CT
arrow
lesions


Question: 33 Xiaoting with five Baidu myopia, listening to my colleagues say may undergo surgery to correct myopia. Among the currently very popular and a good way to effect correction of myopia, the best surgical method is:

Answer: Laser Orthokeratology (LASIK)

Choices:
A. Radiation keratotomy (RK)
B. Laser Orthokeratology (LASIK)
C. Artificial crystalline lens implantation
D. Crystal body removal surgery

five
myopia
listening
surgery
correct myopia
currently very
good
effect correction
myopia
best surgical method


Question: A 18-year-old woman, complained of urinary frequency, urgency, and pain above the pubic bone, the pain got worse when inflation urine, but the urine after the temporary relief of pain. Over the past six months have done several urine culture is negative reaction, antibiotics can not improve symptoms, cystoscopy under anesthesia may be found to have bleeding after inflation urine. She most likely diagnosis is:

Answer: Painful bladder syndrome of unknown cause (painful bladder syndrome of unknown etiology)

Choices:
A. Acute cystitis (acute cystitis)
B. Interstitial cystitis (interstitial cystitis)
C. Painful bladder syndrome of unknown cause (painful bladder syndrome of unknown etiology)
D. Overactive bladder (overactive bladder)

year old woman
urinary frequency
urgency
pain
pubic bone
pain
worse
inflation urine
urine
temporary relief
pain
past six months
several urine culture
negative reaction
not
symptoms
cystoscopy
anesthesia
found to
bleeding
inflation urine
diagnosis


Question: Obstruction statements about the placenta (placental barrier), and Which statement is correct?

Answer: Obstruction placental blood and lung air vasospasm is very similar in structure and function of tissue

Choices:
A. In the fourth month of pregnancy, the placenta began to thicken vasospasm
B. Obstruction of placental villi gradually thinner, because syncytiotrophoblast (syncytiotrophoblast) degradation caused by
C. Obstruction placental blood and lung air vasospasm is very similar in structure and function of tissue
D. Obstruction in the thinnest part of the placenta, containing a layer of continuous and complete cytotrophoblast (cytotrophoblast)

Obstruction
placenta
placental barrier
correct


Question: Which of the following is not involved in the pupillary light reflex?

Answer: trigeminal nerve

Choices:
A. midbrain
B. ciliary ganglion
C. Edinger-Westphal nucleus
D. trigeminal nerve

following
not involved
pupillary light reflex


Question: Mrs. Wang, 46 years old, complained in the past few months the whole body itchy skin, and recently more and more powerful. Blood tests found that total bilirubin, alkaline phosphatase and cholesterol rise, and antimitochondrial antibody titer also increased. Her liver slices Which of the following most pathological changes that may occur?

Answer: Granulomatous inflammatory destruction of bile duct (granulomatous destruction)

Choices:
A. Hepatocytes bulk copper (copper deposition)
B. Granulomatous inflammatory destruction of bile duct (granulomatous destruction)
C. There are many liver cells Prussian blue staining (Prussian blue stain) positive for the presence of pigment
D. Concentric onion-skin-like bile duct fibrosis (onion-skin fibrosis)

Mrs
years old
past
months
whole body itchy skin
recently
more
Blood
found
total bilirubin
alkaline phosphatase
cholesterol
antimitochondrial antibody titer
increased
liver
following
pathological changes
occur


Question: High-risk prognostic factors of the following is NOT that early ovarian cancer?

Answer: Surgery tumor rupture

Choices:
A. Bright cell (clear cell type)
B. The surface of the tumor to grow
C. ascites
D. Surgery tumor rupture

High-risk prognostic factors of
following
NOT
early ovarian cancer


Question: Ms. Chen, 55 had diabetes for 15 years. Past six months, Ms. Chen often blurred vision, leg edema and urinary symptoms such as increased foam. There she learned in eye examination of diabetic retinopathy (diabetic retinopathy). After being referred to the kidneys outpatient, a series of test results are as follows: Plasma: BUN 42 mg / dL, Creatinine 3.0 mg / dL, Na + 145 mEq / L, K + 5.3 mEq / L, Albumin 3.0 g / dL, Cholesterol 350 mg / dL, Triglyceride 400 mg / dL. 24 hours Urine: Volume 1000 mL; Protein 450 mg / dL, Creatinine 120 mg / dL, Na + 44 mEq / L. So Ms. Chen calculated creatinine clearance of its true glomerular filtration rate (GFR) will be:

Answer: Overestimated, due to renal tubular secretion of creatinine in urine can be self

Choices:
A. Overestimated, due to renal tubular secretion of creatinine in urine can be self
B. Underestimated, because self tubular reabsorption of creatinine
C. Unchanged, due to creatinine since tubular reabsorption and secretion
D. Unchanged, because not since creatinine tubular reabsorption and secretion

Ms
diabetes
years
Past six months
Ms
often blurred vision
leg edema
urinary symptoms
increased foam
eye examination of diabetic retinopathy
diabetic retinopathy
referred
kidneys outpatient
series
test results
follows
Plasma
mg
dL
Creatinine
0 mg
dL
mEq
L
mEq
L
Albumin
0 g
dL
Cholesterol 350 mg
dL
Triglyceride 400 mg
dL
24 hours Urine
Volume
mL
Protein 450 mg
dL
Creatinine
mg
dL
mEq
L
Ms
calculated creatinine clearance of
true glomerular filtration rate


Question: The oblique muscle (superior oblique muscle) own role, which of the following do not make eye movement (or rotation)?

Answer: The inner rotor (adduction)

Choices:
A. Look (depression)
B. 內 旋 (intorsion)
C. The inner rotor (adduction)
D. Abduction (Abduction)

oblique muscle
superior oblique muscle
role
following
not make eye movement
rotation


Question: If the blood viscosity coefficient (blood viscosity) increase, most likely a direct result of the following that change?

Answer: Total peripheral resistance (total peripheral resistance) increases

Choices:
A. Total peripheral resistance (total peripheral resistance) increases
B. Small arteries (arterioles) radius increases
C. Mean arterial pressure (mean arterial pressure) fall
D. Stroke volume (stroke volume) increased

blood viscosity coefficient
blood viscosity
increase
direct result
following
change


Question: From the previous question, when administered 1 ~ 2 g magnesium sulfide (magnesium sulfate) repeatedly appears still unconscious when the above-described electrocardiogram, whichever is most appropriate disposal following instillation?

Answer: isoproterenol accelerated heart infusion IVF to 100 to 120 beats / min

Choices:
A. amiodarone 150 mg infusion of IVF
B. Intravenous lidocaine 50 mg IV
C. isoproterenol accelerated heart infusion IVF to 100 to 120 beats / min
D. Maintaining temporary pacemaker 70 heart beats / min

previous
administered 1
2 g magnesium
magnesium sulfate
repeatedly appears
unconscious
above
electrocardiogram
most appropriate
following instillation


Question: According to the 2006 American Society of Anesthesiologists operating instructions (The American Society of Anesthesiologists Practice Guidelines, 2006), suggesting that patients need blood transfusions described operating conditions of, what's wrong?

Answer: Patients using allogeneic blood transfusion (allogeneic RBCs) for the patient transfusion set indications, should be more use of self-transfusion (autologous RBCs) are more loose and free, because the former high security allogeneic blood transfusion

Choices:
A. Patients hemoglobin less than 6 g / dL of the patient, in particular, acute anemia, almost all patients have reached the condition requiring urgent transfusion
B. The patient hemoglobin greater than 10 g / dL, almost without regard to the principle of transfusion
C. When the patient hemoglobin is between 6 ~ 10 g / dL, the patient should be the risk of complications occurring hypoxia, determines whether red blood cell transfusion
D. Patients using allogeneic blood transfusion (allogeneic RBCs) for the patient transfusion set indications, should be more use of self-transfusion (autologous RBCs) are more loose and free, because the former high security allogeneic blood transfusion

operating instructions
patients need blood transfusions
operating conditions
wrong


Question: Which of the following two outside of the eye muscles are not conjugate muscle (yoke muscle)?

Answer: Rectus (right superior rectus muscle) and an upper left oblique (left superior oblique muscle) on the right eye

Choices:
A. An outer right rectus (right lateral rectus muscle) and the left rectus (left medial rectus muscle)
B. Rectus (right superior rectus muscle) and an upper left oblique (left superior oblique muscle) on the right eye
C. Rectus (right superior rectus muscle) and oblique (left inferior oblique muscle) on the left-right
D. Right medial rectus (right medial rectus muscle) and left lateral rectus outer (left lateral rectus muscle)

following two
eye muscles
not
muscle
yoke muscle


Question: A 46-year-old woman last four months to have dry mouth (such as photos), but the eyes feel dry. After sleep every night because of the thirst to drink water 2 or 3 times. Her blood sugar value before meals 86 mg / dL, after a meal 112 mg / dL. In addition, the body often feel a lot of joints will ache. That following an inspection Will be most helpful in the diagnosis of the disease?

Answer: anti-SSA / anti-SSB

Choices:
A. C-reactive protein
B. rheumatoid factor
C. anti-SSA / anti-SSB
D. anti-nuclear antibody

year old woman
four months to
dry mouth
eyes
dry
sleep
night
thirst to
water
3 times
blood sugar value
meals
mg
dL
mg
dL
addition
body often
lot
joints
ache
following
inspection
most helpful
diagnosis
disease


Question: After the result of the implementation of breast cancer and breast removal surgery rehabilitation, the following precautions whichever wrong?

Answer: Postoperative pain must immediately take the initiative for the affected shoulder joint activities to relieve symptoms

Choices:
A. The greater the extent of surgery, shoulder range of motion more easily influenced
B. Postoperative pain must immediately take the initiative for the affected shoulder joint activities to relieve symptoms
C. Shoulder joint angle should be gradually increased
D. After wound healing, shoulder activity angle without special restrictions

the result of
breast cancer
breast rehabilitation
following
wrong


Question: Raw egg protein avidin affect the human intestinal absorption of vitamins which of the following?

Answer: biotin

Choices:
A. folate
B. biotin
C. cobalamin
D. pyridoxine

Raw egg protein avidin
human intestinal absorption
vitamins
following


Question: Relatively speaking, which of the following less common BRAF V600E mutation?

Answer: Breast cancer

Choices:
A. Breast cancer
B. Colon cancer
C. Malignant melanoma
D. Papillary thyroid carcinoma


Question: Trigger finger (trigger finger) as a stenosing tenosynovitis, that occur in the following location of a pulley?

Answer: A1

Choices:
A. A1
B. A2
C. A3
D. A4

Trigger finger
trigger finger
stenosing tenosynovitis
occur
following location
pulley


Question: 1 known to have hepatitis B immunity of people, from the following HBV serum markers which can distinguish between a natural infection (immunity through natural infection), rather than antibodies obtained by a vaccine?

Answer: Anti-HBc (+)

Choices:
A. HBsAg (-)
B. Anti-HBs (+)
C. Anti-HBc (+)
D. Anti-HBe (-)

1 known to
hepatitis B immunity
following
serum markers
natural infection
immunity
natural infection
antibodies obtained
vaccine


Question: About Case suffering from attention deficit hyperactivity disorder, which of the following error?

Answer: Often self-esteem in children and adolescents is higher than the average

Choices:
A. Inability to concentrate, making it impossible to complete the work or do the job
B. Often self-esteem in children and adolescents is higher than the average
C. Poor impulse control, irritable or angry
D. Impatient thinking when faced with the problem solution, in advance to give up, lack of organization and solving skills


Question: A diuretic that will increase patient serum potassium?

Answer: spironolactone

Choices:
A. spironolactone
B. bumetanide
C. acetazolamide
D. furosemide

diuretic
increase patient serum potassium


Question: Which of the following through the supinator (supinator)?

Answer: Deep branch of the radial nerve (deep branch of radial nerve)

Choices:
A. Deep branch of the radial nerve (deep branch of radial nerve)
B. Superficial branch of the radial nerve (superficial branch of radial nerve)
C. Deep branch of the ulnar nerve (deep branch of ulnar nerve)
D. Superficial branch of the ulnar nerve (superficial branch of ulnar nerve)


Question: Following that kind of muscle cells are stretch (stretch) the most likely to produce shrink?

Answer: Small intestine smooth muscle

Choices:
A. Skeletal muscle
B. Myocardial
C. Small intestine smooth muscle
D. Aorta smooth muscle

Following kind stretch stretch to shrink


Question: 70. Section ⻑ 45-year-old Feng, size extra baggage, there is no reason to start a sudden onset of chest pain more than six months ago. Read the Medical Center Weighted Center Weighted, a number of lung specialist, do a variety of health care and the self-check fees, are unable to find organic causes. Although physicians ⼀ reassurance Center Weighted heart disease may be very little, Feng first ⽣ still bear body chest upwards Center Weighted still insidious problem is not to find out, and continue to look for various medical examination. According to Mental Disorders Diagnostic and Statistical manual in the fifth edition (DSM-V), the most likely diagnosis is?

Answer: Body from chest upwards disorder symptoms (somatic symptom disorder)

Choices:
A. Severe depression disorder (major depression)
B. Light-depressive affective disorder (dysthymic disorder)
C. Body from chest upwards disorder symptoms (somatic symptom disorder)
D. Anxiety (anxiety disorder)


Question: A 7-year-old girl, over the years repeatedly appear throughout the body will itch of skin lesions such as drawings, sneezing and often, the most likely diagnosis Why?

Answer: Atopic dermatitis

Choices:
A. Contact dermatitis
B. Seborrheic dermatitis
C. Atopic dermatitis
D. Lack of fat dermatitis

year old girl
years repeatedly appear
body
itch of skin lesions
sneezing
often
diagnosis


Question: According to the US Preventive Services Task Team (USPSTF) periodic 11 to 24 years of age involved in the health recommendations, which of the following is not included?

Answer: Who must check the total cholesterol and blood sugar

Choices:
A. Now or in the past more active sex life of women do every 1-3 Pap smear once a year
B. 11 to 16-year-old added tetanus / diphtheria vaccine
C. Who must check the total cholesterol and blood sugar
D. Use health education bike, motorcycle helmet of

periodic
years
age involved
following
not included


Question: Which of the following best suited for the identification of gastrinoma diagnosis?

Answer: Secretin stimulation test

Choices:
A. High-protein meal test (High protein meal test)
B. Calcium perfusion test (Calcium infusion test)
C. Basal acid / acid ratio of the highest
D. Secretin stimulation test

following best
identification
gastrinoma diagnosis


Question: Hemagglutination (hemagglutination) test, to detect which of the following does not apply to the virus?

Answer: Respiratory syncytial virus cells (Respiratory syncytial virus)

Choices:
A. Respiratory syncytial virus cells (Respiratory syncytial virus)
B. Mumps virus (Mumps virus)
C. Parainfluenza virus (Parainfluenza virus)
D. Measles virus (Measles virus)

Hemagglutination
hemagglutination
test
to detect
following
not apply


Question: The following related lung atypical carcinoid (Atypical carcinoid) of the narrative, what's wrong?

Answer: Common with Carcinoid syndrome

Choices:
A. Most occur in lobe bronchus (Lobar bronchus)
B. There may be lymph glands or vascular invasion or metastasis
C. Common with Carcinoid syndrome
D. Pathological visible increase of the polymorphonuclear cells (pleomorphic) and division (The Mitosis) case

following related lung atypical
Atypical carcinoid
wrong


Question: Miss Lu 28-year-old slipped in the bathroom, wash basin right arm was cut multiple pieces, stitched hospital after the disposal of the rest home, a few weeks after somewhat of a discomfort to the clinic complaining of the little finger and ring finger of the right hand half numb, sensation, appearance and shape buckling. Miss Lu is the most appropriate diagnosis:

Answer: Ulnar nerve injury

Choices:
A. Median nerve injury
B. Radial nerve injury
C. Ulnar nerve injury
D. Between the anterior nerve injury

Miss Lu
year old
bathroom
wash basin right arm
cut multiple pieces
hospital
rest home
few weeks
somewhat
discomfort
clinic
little finger
ring finger of
right hand half numb
sensation
appearance
shape buckling
Miss Lu
most appropriate diagnosis


Question: From the previous question, the inappropriate disposal of patients than why?

Answer: Outpatient treatment purposes retinal laser (laser photocoagulation)

Choices:
A. Frozen retinal fixation (cryopexy)
B. Scleral buckle surgery (scleral buckling)
C. Outpatient treatment purposes retinal laser (laser photocoagulation)
D. Vitrectomy (vitrectomy)


Question: A 11-year-old child was accidentally instant adhesive (cyanoacrylate adhesives) eye drops, following the disposal of what's wrong?

Answer: Because it will cause permanent damage to the cornea, it must be removed immediately

Choices:
A. Because it will cause permanent damage to the cornea, it must be removed immediately
B. A short time to arrange an ophthalmologist or an emergency clinic as soon as possible
C. Damage to the cornea is mainly caused by mechanical friction
D. Erythromycin ointment used to treat adhesions resulting adhesive cornea

year
adhesive
cyanoacrylate adhesives
eye drops
following
wrong


Question: 17-year-old man, getting up in the morning around the navel muffled feel uncomfortable all day, loss of appetite, abdominal pain evening shift to the right lower abdomen, a slight fever of 38.3 degrees, a partial physical examination the lower right pain, no rebound pain, the boy the most likely diagnosis?

Answer: Acute appendicitis

Choices:
A. Colorectal cancer rupture
B. Acute appendicitis
C. Acute diverticulitis
D. Intestinal stack

abdominal evening shift to the right lower


Question: In Taiwan, the treatment of group A streptococcal pharyngitis drugs, the following best possible treatment failure?

Answer: oral erythromycin 10 天

Choices:
A. oral penicillin V 10 days
B. IM benzathine penicillin single dose
C. oral first-generation cephalosporin 10 天
D. oral erythromycin 10 天


Question: A 65 epilepsy patients, the onset readme every time from the right hand began to twitch, then quickly spread to the upper right arm, right cheek, and then spread to his right foot. The patient's epileptic focus, most likely that one of the following locations in the left side of the brain?

Answer: Frontal lobe (frontal lobe)

Choices:
A. Frontal lobe (frontal lobe)
B. Hippocampus (hippocampus)
C. Thalamus (thalamus)
D. Occipital (occipital lobe)

65 epilepsy patients
onset
time
right hand began to twitch
then
spread
upper right arm
right cheek
then spread
right
patient's epileptic focus
one
following locations
left
brain


Question: The elderly often accompanied by degenerative cervical arthritis, back and neck occurrence of excessive (hyperextension) injured, following what most prone to spinal cord injury?

Answer: Center spinal cord syndrome (central cord syndrome)

Choices:
A. Center spinal cord syndrome (central cord syndrome)
B. Anterior spinal syndrome (anterior cord syndrome)
C. Tapered spinal cord syndrome (conus medullaris syndrome)
D. Bu Langxi boast's (Brown-Sequard) syndrome

often
degenerative cervical arthritis
back
neck occurrence
excessive
hyperextension
injured
following
most prone
spinal cord injury


Question: Which is not derived from the inner cell mass (inner cell mass)?

Answer: Trophoblast (trophoblast)

Choices:
A. Trophoblast (trophoblast)
B. Yolk sac (yolk sac)
C. Stem engaging (connecting stalk)
D. Amniotic membrane (amnion)

not derived
inner cell mass
inner cell mass


Question: Which of the following pathogens causing minimal hemolytic uremic syndrome (hemolytic-uremic syndrome)?

Answer: Vibrio cholera (Vibrio cholerae)

Choices:
A. E. coli O157: H7 (E coli O157:. H7)
B. Shiga Shikin (Shigella)
C. Streptococcus pneumoniae (Streptococcus pneumoniae)
D. Vibrio cholera (Vibrio cholerae)


Question: Account of the wedge-shaped nucleus (cuneate nucleus), the error which of the following?

Answer: Nuclear wedge issue of cerebellar diameter (cuneocerebellar tract)

Choices:
A. Transitive upper limb vibration sense
B. Nuclear wedge issue of cerebellar diameter (cuneocerebellar tract)
C. The incoming sensory information may thalamus (thalamus)
D. Located in the medulla (medulla oblongata)

Account
wedge-shaped nucleus
cuneate nucleus
error
following


Question: From the previous question, the following statements about this genus, what's wrong?

Answer: Easy to invade the patient's blood, causing sepsis (sepsis)

Choices:
A. Can cause apoptosis of phagocytes (apoptosis)
B. Humans are the only host of the reservoir (Reservoir)
C. Easy to invade the patient's blood, causing sepsis (sepsis)
D. Often spread by direct contact from person to person


Question: Under normal circumstances, deep breathing does not lead to what is listed under physiological response?

Answer: A substantial increase in arterial blood total oxygen content (oxygen content)

Choices:
A. A substantial increase in arterial blood total oxygen content (oxygen content)
B. Stimulate the secretion of surfactant (Surfactant) of
C. Increased alveolar ventilation (alveolar ventilation)
D. Increase in lung compliance (lung compliance)

normal
deep breathing
not lead
physiological response


Question:
80. One 68 year-old female patient suffering from lung cancer late, has signed a letter of intent DNR. In recent months several times after another respiratory infection history, after antibiotic treatment, have recovered well. In recent days the patient developed fever and urinary frequency phenomenon, emergency diagnosis of urinary tract inflammation, hyperlipidemia merger. For emergency treatment, the patient began to unstable blood pressure, decreased urine output, bloody shock phenomenon, followed by shallow breathing becomes faster, lower blood oxygen
 drop. There is the need for endotracheal intubation of clinical, but the patient has signed a letter of intent DNR, then the physician should be whether its intubation, or antibiotic and a large drip infusion for treatment? The following statements is most correct?

Answer: The hospitalized patients, because the Department of hemorrhagic shock, is treatable disease, the progression of the disease is not likely to die, and therefore does not apply

Choices:
A. The hospitalized patients, because the Department of hemorrhagic shock, is treatable disease, the progression of the disease is not likely to die, and therefore does not apply
B. Has signed a DNR patients, they should respect their wishes, regardless of whether the hospital incurable disease, and regardless of whether the course will progress to death, DNR regulations apply equally to all, and not for intubation, but may consider and a large number of antibiotic drip infusion for treatment
C. Patients already signed a DNR, they should respect their wishes, not only for physicians intubation, should not be a lot of antibiotics and intravenous drip infusion
D. After the signing of DNR, have a lifelong effect unless revoked patients themselves, or emergency-related medical practices, including antibiotics and intravenous drip treatment

80
One
year old female patient suffering
lung cancer late
letter
intent DNR
recent months
times
respiratory infection history
antibiotic treatment
recovered well
recent days
patient
fever
urinary frequency
emergency diagnosis
urinary inflammation
hyperlipidemia
emergency treatment
patient began
unstable blood pressure
decreased urine output
bloody shock
followed by shallow breathing
faster
lower blood oxygen drop
need
endotracheal intubation
clinical
patient
letter
intent DNR
then
physician
intubation
large drip infusion
treatment
following
most correct


Question: A 23-year-old intravenous drug in patients with recent fever, breathing difficulties and acute heart failure. Which of the following is the patients with acute heart failure most likely cause?

Answer: infective endocarditis with rupture of tricuspid valve

Choices:
A. mitral valve prolapse with rupture of chordae tendineae
B. left ventricular aneurysm
C. aortitis with dilation of aortic ring
D. infective endocarditis with rupture of tricuspid valve

23 year old intravenous drug
patients
recent fever
breathing difficulties
acute heart failure
following
patients
acute heart failure
likely cause


Question: Title bearing 15, if used analgesic prostaglandin synthesis inhibitor class of drugs, which often have gastrointestinal side effects?

Answer: Inhibition of gastric mucus (mucus) secretion

Choices:
A. Inhibition of gastric mucus (mucus) secretion
B. Inhibition of pepsin (Pepsin) secretion
C. Inhibition of gastric acid (gastric acid) secretion
D. Inhibition of H + / K + ATPase activity

Title bearing
used analgesic prostaglandin
inhibitor
drugs
often
gastrointestinal side effects


Question: The following information about the optic nerve (optic nerve) and axon narrative, what's right?

Answer: Dura is surrounded by a sheath (sheath of dura) and Subarachnoid in their sockets

Choices:
A. Is formed of a light receiving cells of the retina
B. Solid construction, distribution of blood vessels in the outermost
C. Dura is surrounded by a sheath (sheath of dura) and Subarachnoid in their sockets
D. Schwann's cells having a configuration of myelin

following
optic nerve
optic nerve
axon
right


Question: Most hand surgery performed under local anesthesia, the anesthetic whichever of the following can not be used?

Answer: Lidocaine 1%加 norepinephrine

Choices:
A. Lidocaine 1%
B. Bupivacaine 0.25%
C. Lidocaine 1%加 Bupivacaine 0.25%
D. Lidocaine 1%加 norepinephrine

hand surgery performed
local anesthesia
anesthetic
following
not
used


Question: A research survey in 1965 alcohol consumption 3000 Taipei adult males, and investigate the situation of these adult males suffering from cancer in 1981 to 1995, this study design is part of:

Answer: Cohort study (cohort study)

Choices:
A. Cross-sectional studies (cross-sectional study)
B. Cohort study (cohort study)
C. A case-control study (case-control study)
D. Ecological Research Community (community ecological trial)

3000
adult males
investigate
adult males suffering
cancer
part of


Question: Which of the following neck harness optimal effect on the neck of a fixed range of motion?

Answer: Wheel Vest halo (halo-vest orthrosis)

Choices:
A. Wheel Vest halo (halo-vest orthrosis)
B. Cervical loaded with four (four-post orthrosis)
C. Philadelphia collar (Philadelphia collar)
D. Miami collar (Miami collar)

following neck harness optimal effect
neck of
fixed range
motion


Question: 63. Mrs. Zhang is 75-year-old housewife, three recently Month to complain ⾛ road ⾛ a ⼗ come in two lower limbs will ache, ⿇ ⽊, but sit down submenus ⼀ immediate improvement in symptoms, a separate warranty may continue ⾛ down. Which of the following is most helpful in the diagnosis?

Answer: Magnetic resonance angiography (MRI)

Choices:
A. Lumbar shoots as usual X-ray (plain x-ray)
B. Electromyography (EMG)
C. Nerve conduction (NCS)
D. Magnetic resonance angiography (MRI)

63
Mrs
75 year old housewife
three recently Month
road
two lower limbs
ache
sit down
immediate
symptoms
separate
following
most helpful
diagnosis


Question: Order of 15 questions, which of the following is most likely to exacerbate Chen's condition?

Answer: Bile reflux to the stomach

Choices:
A. Taking antibiotic element
B. Taking histamine H2-receptor antagonists
C. Taking the H + / K + ATPase inhibitors
D. Bile reflux to the stomach


Question: 75.47 year old man shot right chest with shock caused by hemothorax after chest tube drainage of 600 ml of blood, blood pressure returned to 122/84 mmHg, pulse 96 / min, for 5 minutes at the blood pressure of 84/62 mmHg, pulse rate 126 beats / min, Which of the following is the top priority of processing steps?

Answer: Re-evaluate the patient

Choices:
A. That endotracheal intubation within the Executive
B. Emergency thoracotomy
C. Then plug the other branch chest tube
D. Re-evaluate the patient

75
year old man shot right chest
shock caused
hemothorax
chest
600 ml
blood
blood pressure returned
84 mmHg
pulse 96
min
5
blood pressure
84 62 mmHg
pulse rate
beats
min
following
top
steps


Question: Cause of elderly postoperative short bowel syndrome (short bowel syndrome) is the most common why?

Answer: Mesenteric vascular occlusion (mesenteric vascular occlusion)

Choices:
A. Inflammatory bowel disease (inflammatory bowel disease)
B. Intussusception (intussusception)
C. Mesenteric vascular occlusion (mesenteric vascular occlusion)
D. Intestinal tumors (intestinal neoplasm)

Cause
postoperative short bowel syndrome
short bowel syndrome
most common


Question: A 20 year old woman, over the past few years she often felt difficulty in swallowing, occasionally choking food to the situation will change. Upper gastrointestinal examination revealed distal esophageal sphincter above the significant expansion of the phenomenon. Distal esophagus biopsies also found that the absence of neurons. Which of the following is the most likely diagnosis?

Answer: Loss of relaxation disorder (achalasia)

Choices:
A. Loss of relaxation disorder (achalasia)
B. Barrett's esophagus (Barrett's esophagus)
C. De hiatal hernia (hiatal hernia)
D. Mallory-Weiss syndrome


Question: Acute inflammation, the most important reason vascular permeability changes are:

Answer: Vascular endothelial cell contraction

Choices:
A. Vascular endothelial cell contraction
B. Intravascular hydrostatic pressure increased
C. Intravascular hydrostatic pressure drop
D. Blood stagnation

Acute inflammation
most important
vascular permeability changes


Question: Vincristine and methotrexate causes of cancer drug resistance is increased:

Answer: P-glycoprotein transporter's performance

Choices:
A. Adhesion molecule expression
B. DNA repair enzyme performance
C. P-glycoprotein transporter's performance
D. Glucose-6-phosphate dehydrogenase performance

Vincristine
methotrexate causes
increased


Question: In 2000, a clinic Taichung area of water in the area to inform groups of suspected infection of E. coli O157: H7, O means that a component of the cell wall of E. coli?

Answer: somatic antigen

Choices:
A. teichoic acid
B. The lipid A endotoxin
C. somatic antigen
D. The endotoxin core (Core) polysaccharide

2000
clinic
area
water
area to inform
suspected
O
component
cell


Question: By improving the drinking water system can best reach the parasite infection prevention and control which of the following?

Answer: Medina worm (Dracunculus medinensis)

Choices:
A. Trichinella spiralis (Trichinella spiralis)
B. Medina worm (Dracunculus medinensis)
C. Wide section of crack head tapeworm (Diphyllobothrium latum)
D. Angiostrongylus cantonensis (Angiostrongylus cantonensis)

improving
system
best reach
parasite
control
following


Question: Statements about the pituitary gland corticotropin adenomas (corticotroph adenoma), and which of the following error?

Answer: Often with giant adenomas (macroadenoma) presented diagnosis

Choices:
A. Often with giant adenomas (macroadenoma) presented diagnosis
B. Most belong to basophilic adenoma (basophilic), only a handful of difficult dyeing adenoma (chromophobic)
C. Periodic-acid-Schiff (PAS) staining positive
D. Easily lead to Cushing's syndrome (Cushing syndrome)

pituitary gland corticotropin adenomas
corticotroph adenoma
following error


Question: 15 most likely to grow into the brain tissue of the brain tumor was glial cells (Glial cells), then the following is not that kind of brain tumor glioblastoma (Glioma)?

Answer: Pineal cell tumor (Pineocytoma)

Choices:
A. Astrocytomas (Astrocytoma)
B. Oligo-foot cell tumor (Oligodendroglioma)
C. Pineal cell tumor (Pineocytoma)
D. Tumor cell membrane tubes (ependymoma)

likely to
the brain tissue of
tumor
then
following
not
kind tumor glioblastoma


Question: Related non-steroidal anti-inflammatory drugs (NSAIDs) cause stomach becomes narrative, Which statement is correct?

Answer: The risk of gastrointestinal bleeding as indomethacin> diclofenac> ibuprofen

Choices:
A. While taking aspirin and COX-2 inhibitors and the risk of gastrointestinal bleeding only COX-2 inhibitors quite
B. Antiplatelet agent clopidogrel and do not cause gastrointestinal bleeding
C. The risk of gastrointestinal bleeding as indomethacin> diclofenac> ibuprofen
D. COX-2 inhibitors may reduce the risk of gastrointestinal bleeding, but may increase cardiovascular risk, rather than selective NSAID does not increase the risk of cardiovascular


Question: Finger tenosynovitis (tenosynovitis), often due to a puncture caused by trauma, what the symptoms are not included?

Answer: When passive fingers straight without pain

Choices:
A. Clostridium (fusiform) swelling of the fingers
B. Semi fingers bent posture
C. When passive fingers straight without pain
D. Qu entire tendon sheath will pain

Finger tenosynovitis
tenosynovitis
often due to
puncture caused
trauma
symptoms
not included


Question: Subacute granulomatous thyroiditis (subacute granulomatous thyroiditis) transfer of pathogenic machine is not yet fully clear, but now believe the disease is most likely to be composed of the following infections caused by what?

Answer: Virus infection (viral infection)

Choices:
A. Bacterial infection (bacterial infection)
B. Fungal infections (fungal infection)
C. Virus infection (viral infection)
D. Infected with TB (tuberculosis)

Subacute granulomatous thyroiditis
subacute granulomatous thyroiditis
transfer
pathogenic machine
not
clear
now
disease
to
following infections caused


Question: 16-year-old girl, was due to delays in the beginning, but breast development, also typical female genitalia, chromosome test results for the 46, XY, following the most unlikely circumstances?

Answer: aromatase gene mutation or defect

Choices:
A. 5α-reductase II gene mutation
B. Complete androgen insensitivity syndrome type
C. aromatase gene mutation or defect
D. SRY gene mutation or defect

year old girl
due to delays
beginning
breast development
typical female genitalia
chromosome test results
XY
following
most unlikely


Question: 55-year-old patients with cirrhosis, want to accept his son donated liver transplant surgery, known ascites more than 3 liters of preoperative renal dysfunction and bleeding tendency, the following statements on narcotic disposal and what was wrong?

Answer: Inhalation anesthetics (inhalational anesthetics) are not suitable for this patient

Choices:
A. Massive ascites may increase the risk of inhalation of gastric juice, you can take a quick induction of anesthesia (rapid sequence induction)
B. Muscle relaxants selected cisatracurium or atracurium, vecuronium appropriate than
C. Inhalation anesthetics (inhalational anesthetics) are not suitable for this patient
D. Infusion of fresh frozen plasma can (fresh frozen plasma), platelets or frozen precipitation product (cryoprecipitate) to improve the coagulation and the like; and make coagulation monitoring

year old patients
cirrhosis
to accept
liver
known ascites
liters
preoperative renal dysfunction
bleeding tendency
following
narcotic
wrong


Question: Ambulance personnel involved in post-disaster relief work, the pressure adjustment process, the following statements is wrong?

Answer: Medical treatment for the victims remains more experienced, so little troubled

Choices:
A. Risk poor judgment, efficiency and coordination of the poor is warning
B. Medical treatment for the victims remains more experienced, so little troubled
C. Mature personality traits help adapt
D. Disaster medicine trainers who have received the more resistance to stress

Ambulance personnel involved
post
pressure adjustment process
following
wrong


Question: When cardiac catheterization, the left ventricle after injection of contrast (contrast medium) Photography unable to assess the following items?

Answer: Aortic regurgitation (aortic regurgitation) severity

Choices:
A. Aortic regurgitation (aortic regurgitation) severity
B. Mitral regurgitation (mitral regurgitation) severity of the
C. Left ventricular ejection fraction (left ventricular ejection fraction)
D. Left ventricular end-diastolic volume (left ventricular end-diastolic volume)

left ventricle
injection
contrast
unable to
following


Question: Emergency room patients come in flaccid paralysis (flaccid paralysis) of an occurrence, judged from ingestion botulism (Clostridium botulinum) contamination of food due. The bacteria of the toxin (botulinum toxin) is the main cause of the disease:

Answer: Inhibiting the release of acetylcholine, cholinergic blocking neurotransmission peripheral nerve synapse

Choices:
A. Inhibition of host cell protein synthesis
B. Inhibiting the release of acetylcholine, cholinergic blocking neurotransmission peripheral nerve synapse
C. Ions interfere with the host cell permeability, cell dehydration resulting
D. Decomposition host cell ribosomes, enzyme synthesis block

Emergency room patients
flaccid paralysis
flaccid paralysis
occurrence
judged
botulism
due
bacteria
toxin
botulinum toxin
main cause
disease


Question: The following cardiac structure and what was supplied by the blood flow in coronary arteries?

Answer: Epicardium (epicardium)

Choices:
A. Endocardial (endocardium)
B. Pericardium layer (parietal layer of pericardium)
C. Epicardium (epicardium)
D. Heart valve

following cardiac structure
blood flow
coronary arteries


Question: Which of the following controls both the pituitary gland and the autonomic nervous system?

Answer: Hypothalamus

Choices:
A. Thalamus
B. Hypothalamus
C. Basal ganglia
D. Ventral tegmental area

following controls
pituitary gland
autonomic nervous system


Question: About stress fracture (stress fracture), the following statements is wrong?

Answer: Metatarsal stress fractures (metatarsal stress fracture) occurs most frequently in the first metatarsal (first metatarsal)

Choices:
A. Tibial stress fractures (tibial stress fracture) is the most common lower extremity stress fractures
B. Metatarsal stress fractures (metatarsal stress fracture) occurs most frequently in the first metatarsal (first metatarsal)
C. Most of the humerus fracture stress (humeral stress fracture) occurs in baseball pitcher
D. The basic principle of treatment is to give proper rest to avoid the repeated nature of the load, the bones have enough time freshmen and repair

stress fracture
stress fracture
following
wrong


Question: Which of the following produce disease and insulin resistance (insulin resistance) has nothing to do most?

Answer: Adrenal insufficiency (adrenal insufficiency)

Choices:
A. Obesity (obesity)
B. Cushing's syndrome (Cushing's syndrome)
C. Adrenal insufficiency (adrenal insufficiency)
D. Acromegaly (acromegaly)

following
disease
insulin resistance
insulin resistance
to


Question: Which of the following is a way to improve a person's self-efficacy?

Answer: Given to show success through self-challenge

Choices:
A. Give social sanction
B. Given to show success through self-challenge
C. Given the degree of threat of serious consequences
D. Given to social norms and compliance motivation


Question: 73 When you receive a serious trauma patient referral has been inserted endotracheal intubation tube (endotracheal tube), the following dispose of what's most appropriate?

Answer: Endotracheal intubation in the position to check whether or not in the correct position

Choices:
A. Connected to a respirator as soon as possible
B. Other undiscovered quickly assess damage
C. Rapid removal of the endotracheal tube and give enough oxygen
D. Endotracheal intubation in the position to check whether or not in the correct position

receive
serious trauma
inserted endotracheal intubation tube
endotracheal tube
following
appropriate


Question: The following description associated with post-operative complications, what's wrong?

Answer: 5 to 7 days after pulmonary atelectasis (atelectasis) occurs most often in abdominal surgery

Choices:
A. Transfusion reaction is a cause of post-operative fever
B. 5 to 7 days after pulmonary atelectasis (atelectasis) occurs most often in abdominal surgery
C. , Increasing age, hypertension and coronary artery disease (coronary artery disease) is a risk factor for the occurrence of heart failure after surgery
D. Urinary retention (urinary retention) is one of the perianal surgery (perianal operations) and hernia repair surgery (hernia repair) common complication


Question: Which of the following are among the most typical neurohormones (neurohormone)?

Answer: vasopressin

Choices:
A. vasopressin
B. FSH（follicle stimulating hormone）
C. thyroid hormone
D. estrogen

following
most typical neurohormones
neurohormone


Question: Cause surgical site infections (surgical site infections) risk factors, which of the following error?

Answer: Do not smoke in young patients

Choices:
A. Surgical site hematoma
B. Hypoxemia
C. Do not smoke in young patients
D. Malnutrition

Cause surgical site infections
surgical site infections
risk factors
following error


Question: Nephron is divided into superficial nephrons (superficial nephron) and nearly medulla nephron (juxtamedullary nephron), following a tubular section that does not belong to the superficial nephrons?

Answer: Heinz fine rising pipe branch (thin ascending limb of Henle's loop)

Choices:
A. Proximal tubules (proximal tubule)
B. Heinz fine rising pipe branch (thin ascending limb of Henle's loop)
C. Coarse Heinz rise branched (thick ascending limb of Henle's loop)
D. Collection tube (connecting tubule)

Nephron
divided
superficial nephrons
superficial nephron
nearly medulla nephron
juxtamedullary nephron
following
tubular section
not
superficial nephrons


Question: Gestational age preterm children born 22 weeks, one week after birth, sudden bloating, loss of appetite, poor vitality, supine abdominal X-rays as shown, is the most common reason why?

Answer: Pneumoperitoneum (pneumoperitoneum)

Choices:
A. Gastroenteritis (gastroenteritis)
B. Biliary atresia (biliary atresia)
C. 巨腸 disease (megacolon)
D. Pneumoperitoneum (pneumoperitoneum)

Gestational age preterm children born
weeks
one week
birth
sudden bloating
loss of appetite
poor vitality
supine abdominal X-rays
most common


Question: For pregnant women, laparoscopic surgery is the best surgical position:

Answer: left lateral decubitus position

Choices:
A. prone position
B. lithotomy position
C. left lateral decubitus position
D. right lateral decubitus position

laparoscopic surgery
best surgical position


Question: Which of the following Cholinesterase inhibitor as a tertiary amine (Tertiary amine) screen by cerebral blood disorders (Blood-brain barrier)?

Answer: Physostigmine

Choices:
A. Neostigmine
B. Edrophonium
C. Physostigmine
D. Pyridostigmine

following Cholinesterase inhibitor
screen
cerebral blood disorders
Blood-brain barrier


Question: Statements about athlete's foot (tinea pedis) is, which of the following error?

Answer: May cause id reaction, the formation of pimples and blisters on the hands, doing KOH examination from id reaction lesions, can be found in the mycelium (hyphae)

Choices:
A. May form scaling, erosion sewing foot (toe webs)
B. May cause keratosis, scaling, cracking in the soles of the feet
C. Can form blisters on their feet, doing KOH examination from lesions, may find mycelium (hyphae)
D. May cause id reaction, the formation of pimples and blisters on the hands, doing KOH examination from id reaction lesions, can be found in the mycelium (hyphae)

athlete's foot
tinea pedis
following error


Question: A 35-year-old female patient, height 155 cm, weight 85 kg, came to the clinic complained of headaches and blurred vision have been for several months. In addition to visual examination revealed retinal edema papillae (papilledema) on both sides, the neurological examination was normal. Brain MRI examination also unremarkable. Which of the following is the most likely diagnosis?

Answer: Primary intracranial hypertension

Choices:
A. meningitis
B. Primary intracranial hypertension
C. glaucoma
D. migraine


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

Answer: If there is no psoas sign or obturator sign appears, you can rule out this diagnosis

Choices:
A. Abdominal pain usually occurs in the upper abdomen or around the navel, may move to the right lower abdomen after 12 hours
B. Acute inflammation if not disposed of, may be formed within 36 hours gangrene, perforation
C. If there is no psoas sign or obturator sign appears, you can rule out this diagnosis
D. White blood cells may rise to 10,000 Zhi 20000 / μL

following
acute appendicitis
acute appendicitis
wrong


Question: 22. thymus-dependent (thymus-dependent) B cell activation antigen requires the participation of T helper cells, the two cells on it and antigen is recognized relationship correlation exists ⼀ species identification (linked recognition), the relevant correlation Identification narrative, what's wrong?

Answer: If the B cell antigen receptor ⼀ a table ⾯ is to identify the white egg ⼀ viral antigen receptors ⽽ T helper cell is the identification of this virus Nuclear Center Weighted inside the egg white, the T helper cell is unable to assist the aforementioned B cell activation

Choices:
A. If the B cell antigen receptor ⼀ a table ⾯ is to identify the white egg ⼀ viral antigen receptors ⽽ T helper cell is the identification of this virus Nuclear Center Weighted inside the egg white, the T helper cell is unable to assist the aforementioned B cell activation
B. Auto Correlation I Identification ensure resistance (self-tolerance) ⽣ production, because of the self-reaction of the body (self-reactive) T cells will
C. Using the concepts we can take advantage of the identification of a vaccine designed to help baby ⽣ effective production of antibodies, bacteria have to deal with capsular structure, such as
D. Many causes of allergic Face plate Nigeria ⻄ Lin (PENICILLIN) because the disc is injected into the egg Nigeria ⻄ forest body will automatically and white body to form a polymer, the polymer may induce ⽣ into TH2 cells, and then by identifying the correlation B cell activation to cause allergic reactions IgE production ⽣

thymus dependent
thymus dependent
B cell activation antigen
participation
two cells
relationship correlation
identification
relevant correlation Identification
wrong


Question: The full-term newborns, birth weight 3500 grams, the fifth day after birth weight 4200 grams, kidney ultrasound showed bilateral hydronephrosis (hydronephrosis) and the expansion of the ureter (hydroureter), bladder wall thickness and irregular, following what is the most likely diagnosis?

Answer: Posterior urethral valve (posterior urethral valves)

Choices:
A. VUR (bilateral vesicoureteral reflux)
B. Posterior urethral valve (posterior urethral valves)
C. Ureteral junction obstruction (ureterovesical junction stenosis)
D. Ureteropelvic junction obstruction (ureteropelvic junction stenosis)

full-term newborns
birth weight 3500 grams
fifth day
birth weight
grams
kidney ultrasound
bilateral hydronephrosis
hydronephrosis
ureter
hydroureter
bladder wall thickness
irregular
following
diagnosis


Question: Wing canal nerve (Vidian nerve) that contain one of the following nerve fibers?

Answer: The sympathetic postganglionic fibers

Choices:
A. The parasympathetic postganglionic
B. The preganglionic sympathetic nerve fibers
C. The sympathetic postganglionic fibers
D. Ethmoidal nerve fibers

Wing canal nerve
Vidian nerve
contain one
following nerve fibers


Question: 78. One day you are in a small hospital emergency room duty, CT room technician sudden call to inform you of the computer failure unexplained fault occurs, can not be checked. Subsequently, a 60-year-old male patient was sent to the families of emergency, the patient suddenly tells you right limb weakness before the half hour, unclear speech, swallowing and choking frequent vomiting. When you view the name of the patient, found his Glasgow Coma Scale only E2V2M4, blood pressure mmHg, at 120 beats per minute, following the disposal of what are most inappropriate?

Answer: As soon as possible given aspirin therapy and referral to a head computed tomography hospital for further treatment

Choices:
A. As soon as possible given aspirin therapy and referral to a head computed tomography hospital for further treatment
B. Immediately to maintain the smooth flow of the respiratory tract, giving intubation if necessary, as soon as possible transferred to the hospital with a head CT
C. Although the patient's blood pressure is high, but not considered for lowering blood pressure medications
D. Before referral to referral hospitals to be contacted in advance, and make early preparations


Question: Which of the following does not belong to the US Food and Drug Administration (FDA) approved HIV antiviral drugs?

Answer: Inhibitors of viral budding (budding inhibitor)

Choices:
A. Protease inhibitors (protease inhibitor)
B. Embedding inhibitors (integrase inhibitor)
C. Nucleoside analog reverse transcriptase inhibitors (nucleoside analog RT inhibitor)
D. Inhibitors of viral budding (budding inhibitor)

following
not
approved HIV antiviral drugs


Question: 8 A 35-year-old woman gave birth to baby boy, breast-feeding is normal. But one day postpartum baby has convulsions, blood tests found that babies Ca 5 mM, then the following statements is true?

Answer: Mother may hyperparathyroidism

Choices:
A. Mother may have low blood calcium resulting in insufficient calcium intake baby
B. Babies may lack vitamin D
C. Mother may hyperparathyroidism
D. Infant life must take calcium supplements

35 year old woman gave birth
baby boy
breast-feeding
normal
one day postpartum baby
convulsions
blood tests found
babies Ca
mM
then
following
true


Question: A 13-year-old female patient receiving general anesthesia, strabismus surgery. The patient's height 161 cm, weight 53 kg. Patients received atropine 0.3 mg and after thiopental 300 mg fentanyl 100 [mu] g, and sustained administration of oxygen, and the muscle relaxant pancuronium inhaled anesthetic. 10 minutes after the operation, the blood pressure was found reduced to 122 mm Hg 80, heart rate dropped from 90 to 50 per minute. The most likely reasons are:

Answer: Extraocular muscles being involved

Choices:
A. Hypoxia
B. Inadequate depth of anesthesia
C. Pancuronium role
D. Extraocular muscles being involved

year old female patient receiving general anesthesia


Question: Pharmacokinetics of the following statements about, what's wrong?

Answer: High plasma protein binding drugs less prone to generating interaction with other drugs

Choices:
A. Acidic drugs easily discharged in alkaline urine
B. Intravenously without first transition effect (first-pass effect)
C. High plasma protein binding drugs less prone to generating interaction with other drugs
D. Serum albumin (Albumin) the amount of the change will affect the metabolism of drugs 52 related drug interactions, what's wrong?


Question: Treatment considerations related to Kawasaki disease (Kawasaki disease) is, which of the following is most correct?

Answer: Immune globulin (IVIG) 2 g / kg for the treatment of major

Choices:
A. Immune globulin (IVIG) 2 g / kg for the treatment of major
B. High dose Aspirin (80 ~ 100 mg / kg / day) for the anticoagulant effect
C. Low dose Aspirin (3 ~ 5 mg / kg / day) to the anti-inflammatory effect
D. When the fever required third line of antibiotics to prevent infection

Treatment considerations related
Kawasaki disease
Kawasaki disease
following
most correct


Question: A 45 year old male, because carrying heavy loads caused by acute lower back pain, but with right lower extremity pain, pain sensation is similar to acupuncture, and will be transmitted to the outside of the leg, can not walk on tiptoe, physical examination found on the right side SLRT (Straight Leg Raising Test) at 60 degrees can cause pain, compared with normal SLRT left, right four muscle force of about 5 minutes, about 4 minutes dorsiflexion right foot, right foot flexion about 3 minutes the left lower limb muscle strength were both five points outside the right foot near the fifth toe and calf outside paresthesia, what the most likely site of the lesion in which of the following?

Answer: The fifth lumbar and first sacral vertebrae, intervertebral disc

Choices:
A. The third and fourth lumbar disc herniation
B. The fourth and fifth lumbar disc herniation
C. The fifth lumbar and first sacral vertebrae, intervertebral disc
D. First and second sacral vertebrae, disc

year old male
heavy loads caused
acute lower back pain
right
pain sensation
similar
acupuncture
transmitted
outside
leg
not
tiptoe
found
right side
Straight Leg Raising Test
60 degrees
cause pain
normal
left
right four muscle
5 minutes
about
minutes
right foot
right foot flexion
minutes
left lower limb muscle strength
five points outside
right foot
fifth toe
calf outside paresthesia
site of
lesion
following


Question: High blood sugar a 16-year-old boy, following a clinical sign that appears, strongly suggesting that rather than suffering from Type 2 Type 1 diabetes?

Answer: Acanthosis nigricans (acanthosis nigricans)

Choices:
A. Thin body
B. Diabetic necrobiosis necrosis (necrobiosis lipoidica diabeticorum)
C. Acanthosis nigricans (acanthosis nigricans)
D. The positive urine ketone

High blood sugar
year old boy
following
clinical sign
appears
suffering
Type 2 Type 1 diabetes


Question: Memantine for the treatment of Azihaimo disease (Alzheimer's disease), which of the following is the turn of the pharmacological effects of the drug may machine?

Answer: NMDA receptor inhibition

Choices:
A. Muscarine receptor inhibition
B. Dopamine receptor inhibition
C. NMDA receptor inhibition
D. GABAA receptor inhibition

Memantine
treatment
disease
Alzheimer's disease
following
turn
machine


Question: The following account of intramedullary spinal cord tumor, and what's wrong?

Answer: The most common intramedullary spinal cord tumor is a metastatic tumor

Choices:
A. intramedullary spinal cord tumor accounts for about 5% of all spinal tumor
B. primary intramedullary spinal cord lymphoma is rare
C. The most common intramedullary spinal cord tumor is a metastatic tumor
D. Papillary mucinous ependymoma (myxopapillary ependymoma) in length more often at the lumbar spine


Question: When the disease appears that Face ⼀ one of the following symptoms, more likely than primary forest ⽒ Pakistan ⾦ disease (idiopathic Parkinson disease)?

Answer: ⽪ qualitative sensory loss (cortical sensory loss)

Choices:
A. Impaired sense of smell (hyposmia)
B. Restless leg syndrome (restless legs syndrome)
C. ⽪ qualitative sensory loss (cortical sensory loss)
D. REM sleep ⾏ abnormal (rapid eye movement sleep behavior disorder)

disease appears
Face
one
following symptoms
more likely
primary
Pakistan
disease
idiopathic Parkinson disease


Question: For lung cancer, Which of the following is not necessary to check?

Answer: Cerebral angiography examination

Choices:
A. Pulmonary function tests
B. Positron photography (positron emission tomography, PET) examination
C. Cerebral angiography examination
D. Chest CT


Question: A young patient at home two days prior swallowed through music (containing sodium hydroxide, ammonia and other alkali), check if there are found in the middle of a ring of esophageal ulcers and extremely swollen, and patients have fever, chest pain and increased white blood cell , Which of the following is the most appropriate at this time of disposal?

Answer: GERD antibiotic formulation and Prevention

Choices:
A. Within the mirror to continue to check the complete evaluation of the lower esophagus and stomach
B. Given steroids to reduce inflammation degree
C. Avoid piercing infection, should not be implemented gastrostomy tube feeding (feeding gastrostomy)
D. GERD antibiotic formulation and Prevention

young patient
home two days prior swallowed
containing sodium hydroxide
ammonia
check
found
middle
ring
esophageal ulcers
extremely swollen
patients
fever
chest pain
increased white blood cell
following
the most appropriate
time of


Question: 44 a 45-year-old man was diagnosed with right kidney perirenal abscess, about the size of 2.5 cm right kidney function is still normal, the most reasonable disposal Why?

Answer: Percutaneous drainage

Choices:
A. Nephrectomy
B. Partial nephrectomy
C. Open type drainage
D. Percutaneous drainage

year old man
diagnosed
right kidney perirenal abscess
size of
cm right kidney function
normal
most


Question: Cervix (uterine external os) of epithelial tissues belong to which of the following?

Answer: Non-keratinized stratified squamous epithelium (nonkeratinized stratified squamous epithelium)

Choices:
A. Epithelium tissue (simple columnar epithelium)
B. Non-keratinized stratified squamous epithelium (nonkeratinized stratified squamous epithelium)
C. Transitional epithelium (transitional epithelium)
D. Simple cuboidal epithelium (simple cuboidal epithelium)

Cervix
uterine external os
epithelial tissues


Question: 8. an infected patient EB virus (Epstein-Barr virus, EBV), which serology follows: anti-VCA IgM (+), anti-VCA IgG (+), anti-EA (+/-), anti-EBNA (-), in this case the patient belongs to which of the following? [VCA: viral capsid protein antigens (viral capsid antigen); EA: early antigen (early antigen); EBNA: EB virus nuclear antigen (Epstein-Barr nuclear antigen)]

Answer: EB virus infection in the acute phase (acute primary infection)

Choices:
A. EB virus infection in the acute phase (acute primary infection)
B. EB virus chronic infection (chronic primary infection)
C. EB virus infection has been (past infection)
D. EB virus infection was now viral reactivation (reactivation)

infected patient
serology follows
anti
IgM
anti
IgG
EA
case
patient
viral capsid protein
viral capsid
EA
early
early
Epstein-Barr nuclear antigen


Question: Bound to the chromosome (chromosome) 1000 more of the above proteins, wherein the five proteins having amino acid consensus sequence obvious (consensus amino acid sequence), the lysine-rich proteins (lysine) and arginine (Arginine ), is a chromatin (chromatin) is the major structural protein, the protein may I ask why?

Answer: Histones (histone proteins)

Choices:
A. Scaffold protein (scaffolding proteins)
B. Nucleolar protein (nucleolus proteins)
C. Histones (histone proteins)
D. Transcription factors (transcription factors)

Bound
chromosome
chromosome
proteins
five proteins
lysine rich proteins
lysine
arginine
Arginine
chromatin
chromatin
major structural protein
protein
I


Question: 22 Li 4 hours after coronary artery bypass surgery, heart rate 130 beats / min, respiration 14 / min, blood pressure 90/50 mmHg, central venous pressure 4 mmHg, chest 600cc of blood flow to two hours, a gradual increase. Physical assessment found that alveolar sounds normal, normal heart sounds, chest wound oozing blood and more water, lower limbs cold. He describes the following items or dispose of properly? ① Lee may be in a state of hypothermia active bleeding ② Lee may be in a state of active bleeding ③ give the arm, increasing myocardial contractility of cardiac surgeons ④ notification is required

Answer: ②④

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

Li
hours
coronary artery bypass surgery
heart rate
beats
min
respiration
min
blood pressure 90 50 mmHg
central venous pressure
mmHg
chest
blood flow
two hours
gradual increase
found
alveolar
normal
heart sounds
chest wound
blood
more water
lower limbs cold
following
state of hypothermia active bleeding
state
active bleeding
give
arm
increasing myocardial contractility
cardiac surgeons
required


Question: Breast cancer is the most common:

Answer: invasive ductal carcinoma

Choices:
A. invasive ductal carcinoma
B. carcinosarcoma
C. lobular carcinoma in situ
D. medullary carcinoma


Question: Which of the following gas diaphragm hernia (hiatal hernia) up to share?

Answer: Type I（sliding hiatal hernia）

Choices:
A. Type I（sliding hiatal hernia）
B. Type II（paraesophageal hiatal hernia）
C. Type III（mixed hiatal hernia）
D. Type IV（herniation of organs other than stomach into the chest）

following gas diaphragm hernia
hiatal hernia


Question: For narrative pancreas (pancreas) of the endocrine (endocrine portion), the following items correct what?

Answer: Is a Gram islets (islets of Langerhans)

Choices:
A. Serous glands (serous gland) Composition
B. Is a Gram islets (islets of Langerhans)
C. Is centroacinar cells (centroacinar cells) composed of
D. Composition interior cells have many eosinophilic zymogen granules (zymogen granules)

pancreas
pancreas
endocrine
endocrine portion
following
correct


Question: Account of minimally invasive surgery (minimally invasive surgery), and which of the following error?

Answer: Minimally invasive surgery can not be like the traditional open surgery has a clear surgical field

Choices:
A. The benefits of minimally invasive surgery include reduced postoperative pain and a faster recovery of bowel function, thus improving the quality of life of patients with colorectal cancer after surgery
B. The use of minimally invasive surgery and does not conducive to the treatment of colorectal cancer
C. Minimally invasive surgery can not be like the traditional open surgery has a clear surgical field
D. With the development of minimally invasive surgical training, the popularity of laparoscopic surgery has increased year by year

Account
minimally invasive surgery
minimally invasive surgery
following error


Question: Brain astrocytoma, WHO grade grade1-4, which of the following is not listed as an important basis for microscopic histological grade?

Answer: Bleeding (hemorrhage)

Choices:
A. Cell level (degree of cellularity)
B. Bleeding (hemorrhage)
C. There mitogen nucleus body (mitotic figure)
D. Necrosis (necrosis)

Brain astrocytoma
grade
following
not
important basis
microscopic


Question: For patients with stage heart failure, heart transplantation before, there are other surgical methods may improve cardiac function and clinical symptoms, except which of the following?

Answer: By laser myocardial revascularization procedure (transmyocardial laser revascularization)

Choices:
A. CABG (coronary artery bypass surgery)
B. Countercurrent mitral valve reconstructive surgery (mitral reconstruction)
C. By laser myocardial revascularization procedure (transmyocardial laser revascularization)
D. Left ventricular portion surgery (partial left ventriculectomy)

patients
stage heart
heart transplantation
cardiac function
clinical symptoms
following


Question: Each of the following digestive tract, where those with glandular mucosa (submucosal glands) under, also known as Brunner's glands?

Answer: duodenum

Choices:
A. stomach
B. duodenum
C. jejunum
D. Ileum

following digestive tract
glandular mucosa
submucosal glands
known
Brunner's glands


Question: 20-year-old Lam classmates, class consciousness is impaired suddenly sent emergency, after a series of checks in the following figure. So please answer the following three questions:

Answer: Bleeding arteriovenous malformations (arteriovenous malformation rupture)

Choices:
A. Hypertensive intracerebral hemorrhage (hypertensive intracranial hemorrhage)
B. Subarachnoid hemorrhage (subarachnoid hemorrhage)
C. Bleeding arteriovenous malformations (arteriovenous malformation rupture)
D. Amyloid angiopathy (amyloid angiopathy)

20 year old Lam
consciousness
impaired
sent emergency
series
checks
following
following three


Question: Which of the following is not a sub-⽀ pudendal nerve (pudendal nerve) of?

Answer: Before scrotal nerve (anterior scrotal nerve)

Choices:
A. Dorsal penile nerves (dorsal nerve of penis)
B. Rectal nerve (inferior rectal nerve)
C. Before scrotal nerve (anterior scrotal nerve)
D. After scrotal nerve (posterior scrotal nerve)

following
not
sub
pudendal nerve
pudendal nerve


Question: A children seeking treatment due to diarrhea, he came to the water will dilute stool, stool examination no white blood cells (leukocytes), presented through fasting and improve clinical symptoms, then one of the following test results in 1955-2002?

Answer: Feces spacing ion (ion gap) of greater than 200 mOsm / kg

Choices:
A. Stool examination no reducing substances (reducing substances)
B. Breathing hydrogen concentration is reduced (decreased breath hydrogen)
C. Difficulties Clostridium (Clostridium difficile) toxin test positive
D. Feces spacing ion (ion gap) of greater than 200 mOsm / kg

children
treatment due to diarrhea
water
dilute stool
stool examination
white blood cells
fasting
clinical symptoms
then one
following test results


Question: A 81-year-old male patient, right cheek with a black ulcer tumor in Figure A, already 2 years, skin pathology examination revealed the tumor extending from the epidermis down B, the diagnosis may I ask why?

Answer: Basal cell carcinomas (basal cell carcinoma)

Choices:
A. Malignant melanoma (malignant melanoma)
B. Actinic keratosis (actinic keratosis)
C. Squamous cell carcinoma (squamous cell carcinoma)
D. Basal cell carcinomas (basal cell carcinoma)

81 year old male patient
right cheek
black ulcer tumor
years
skin pathology revealed
tumor extending
epidermis
diagnosis
I


Question: Mr Chan is a 25-year-old doctoral student, due to pass the qualifying examination with the students to dinner to celebrate, the next morning wake up and find weakness in limbs, but no paresthesia, difficulty swallowing or slurred speech and no conditions, and sane, and was sent to the emergency room for help, Mr Chan about the condition of the following statements is wrong?

Answer: There diplopia

Choices:
A. May hypokalemia
B. Tendon hyporeflexia
C. There diplopia
D. Familial genetic predisposition

Mr
year old doctoral
pass
qualifying
dinner
next morning wake up
find weakness
limbs
paresthesia
difficulty swallowing
slurred speech
conditions
sent
emergency room
help
Mr
condition
following
wrong


Question: A 5-year-old boy, his parents when he complained of motion lip cyanosis (cyanosis), and asthma than normal. Can be heard in the left chest of heart murmur 2-3, chest X-ray which is shown in FIG. Which of the following is the most likely diagnosis?

Answer: The total abnormal pulmonary venous return (total anomalous pulmonary venous return)

Choices:
A. The total abnormal pulmonary venous return (total anomalous pulmonary venous return)
B. Great vessels (transposition of great arteries)
C. Tricuspid atresia (tricuspid atresia)
D. Method Rockwell Snap disease (tetralogy of Fallot)

5 year old boy
lip cyanosis
cyanosis
asthma
normal
heard
left chest
heart murmur
chest X-ray
following
diagnosis


Question: Supercoiled DNA negative (negative supercoiling) present in vivo, plasmid (Plasmid), which represents its linking number (Lk) that?

Answer: Lk <Lk0

Choices:
A. Lk> Lk0
B. Lk = Lk0
C. Lk <Lk0
D. Can not judge

negative
negative
present in vivo
plasmid
Plasmid
number
Lk


Question: 53 Which of the following are the main drugs to inhibit fat cells (mast cells) to release histamine, can be used to prevent exercise-induced bronchospasm (exercise-induced bronchospasm) role?

Answer: cromolyn sodium

Choices:
A. cromolyn sodium
B. ipratropium
C. montelukast
D. zileuton


Question: Drug clearance has nothing to do with how these factors?

Answer: Volume of distribution(Vd)

Choices:
A. Volume of distribution(Vd)
B. Albumin concentration
C. Capacity-limited protein binding
D. Alpha1-acid glycoprotein concentration


Question: Meningioma (meningioma) made the best of the three position Why?

Answer: Parasagittal - falx (parasagittal-falx), cranial hump (convexity), sphenoid wing (sphenoid wing)

Choices:
A. Parasagittal - falx (parasagittal-falx), petrous bone (petrous bone), cranial hump (Convexity)
B. Parasagittal - falx (parasagittal-falx), cranial hump (convexity), sphenoid wing (sphenoid wing)
C. Parasagittal - falx (parasagittal-falx), sphenoid plane (planum sphenoidale), cranial hump (Convexity)
D. Cranial hump (convexity), sphenoid wing (sphenoid wing), the petrous bone (petrous bone)

Meningioma
meningioma
made
best
three position


Question: A 26 year-old male, 3 years for treatment of infertility, rigorous analysis of semen: semen volume = 2.5 mL, total sperm = 1 × 106 / mL, 4% straight forward, 3% normal sperm appearance following the processing whichever more appropriate?

Answer: Breast swelling and pain

Choices:
A. Spontaneous abortion
B. Tubal
C. Breast swelling and pain
D. Uterine cavity insemination (intrauterine insemination)

year old male
3 years for treatment
infertility
rigorous analysis
semen
semen volume
2.5 mL
total
1
mL
4
straight forward
normal appearance following
more appropriate


Question: Currently the Department of Health recommended 11 newborn screening program does not cover what items?

Answer: Mediterranean anemia (Thalassemia)

Choices:
A. Mediterranean anemia (Thalassemia)
B. Medium chain fatty acid dehydrogenase deficiency (medium chain acyl-CoA dehydrogenase deficiency)
C. Glutaric acidemia type I (glutaric acidemia type I)
D. Itsuchinoesanchisho (isovaleric acidemia)

Currently
newborn screening program
not cover


Question: ammonia produced by muscle cells metabolic processes in animals, whichever is transported to the liver by the urea cycle carried out (Urea cycle)?

Answer: alanine

Choices:
A. alanine
B. glycine
C. serine
D. cysteine

ammonia
muscle cells metabolic processes
animals
transported
liver
carried out


Question: Messaging of desensitization (desensitization) In the case of adrenaline (epinephrine) is through?

Answer: Adrenergic receptor phosphorylation for

Choices:
A. Adrenergic receptor phosphorylation for
B. Adrenoceptors can be dephosphorylated
C. Open potassium channels
D. Sodium ion channels open

desensitization desensitization case adrenaline epinephrine


Question: About the relationship between vector (vector) and diseases of the media, which of the following error?

Answer: Tsetse fly (tsetse fly) the spread of Chagas disease (Chagas'disease)

Choices:
A. Aegypti mosquito (Aedes aegypti) the spread of yellow fever (yellow fever)
B. Blackfly (Simulium spp.) Spread river blindness (river blindness)
C. Tsetse fly (tsetse fly) the spread of Chagas disease (Chagas'disease)
D. Sandflies (sandfly) the spread of leishmaniasis (leishmaniasis)

relationship
vector
vector
diseases
media
following error


Question:
twenty two.
 A 55 year old man had a history of diabetes, blood pressure 160/100 mmHg, urine routine examination: protein (+), serum
 creatinine value: 1.0 mg / dL, no remaining biochemical abnormalities found that the drug of choice which of the following is more appropriate to start with?

Answer: angiotensin-converting enzyme inhibitors / angiotensin receptor blockers

Choices:
A. Diuretics (diuretics)
B. angiotensin-converting enzyme inhibitors / angiotensin receptor blockers
C. beta-blockers
D. methyldopa


Question: Qiuxin Shi female with a muscle because those (carrier) dystrophy (Duchenne muscular dystrophy), its clinical manifestations include which of the following?

Answer: Asymptomatic muscle biopsy is normal

Choices:
A. Most asymptomatic
B. With 80% due to the serum creatine kinase values will rise
C. Asymptomatic muscle biopsy is normal
D. If at the same time as Turner syndrome, typical symptoms may occur

female
muscle
carrier
dystrophy
Duchenne muscular dystrophy
clinical manifestations include
following


Question: Statements about the hepatitis B virus, which of the following error?

Answer: Nucleocapsid of the virus (nucleocapsid) ⼩ zoomed to 27 nm, having a table ⾯ antigen (HBsAg), the viral DNA polymerase and DNA

Choices:
A. Asymptomatic carrier liquid surrounding ⾎, the largest number of 22 nm zoomed smaller size viral particles, spherical appearance or filamentous ⻑
B. Zoomed smaller size 42 nm viral particle, a double shell structure, respectively, in Table ⾯ (Surface) and nuclear Center Weighted (Core) egg white, only a 22 nm viral load
C. Nucleocapsid of the virus (nucleocapsid) ⼩ zoomed to 27 nm, having a table ⾯ antigen (HBsAg), the viral DNA polymerase and DNA
D. Hepatitis B virus e antigen (HBeAg), the front region comprising a portion of the signal within the core (precore) region of the egg white and the guide ⾄ endoplasmic reticulum


Question: Many causes of recurrent spontaneous abortion, the following factors highest percentage share of that term?

Answer: Immune factors (immunologic factors)

Choices:
A. Immune factors (immunologic factors)
B. Genetic factors (genetic factors)
C. Anatomy of factors (anatomic factors)
D. Endocrine factors (endocrine factors)

causes
recurrent spontaneous abortion
following factors highest percentage
term


Question: Recently hospital accreditation attaches great importance to medical ethics, medical ethics issues should be required in a hospital in the annual plan for this phenomenon, the following statements is true?

Answer: Hospital and all employees should strive to promote medical ethics

Choices:
A. Hospitals should profit, management and ethics are in conflict
B. Medical ethics is a physician to do, nothing to do with the hospital
C. Hospital and all employees should strive to promote medical ethics
D. Medical ethics is the unreasonable demands of the public hospitals, no attention to

Recently
great importance
medical ethics issues
required
hospital
annual plan
following
true


Question: The following test results to diagnose what items herpes simplex encephalitis (herpes simplex encephalitis) does not have the most specific?

Answer: Rise in serum anti-herpes virus antibodies

Choices:
A. Herpes simplex virus in cerebrospinal fluid PCR (polymerase chain reaction) test was positive reaction
B. Brain magnetic resonance according to the film examination showed frontal and temporal lobes of the brain are violated
C. Unilateral periodic epileptiform electroencephalogram (periodic lateralized epileptic discharges, PLEDs)
D. Rise in serum anti-herpes virus antibodies

following test results to diagnose
herpes simplex encephalitis
herpes simplex encephalitis
not
most specific


Question: The definition of infertility (infertility) as follows:

Answer: 1 year in a row without contraception can not conceive

Choices:
A. 1 year in a row without contraception can not be full-term producer
B. 1 year in a row without contraception can not conceive
C. 2 consecutive years without contraception can not be full-term producer
D. 2 consecutive years without contraception can not conceive


Question: 32 year old woman, complained of loss of appetite and tiredness, and after ultrasound contrast agent is not applied to play abdominal computed tomography figure, the most likely diagnosis?

Answer: Fatty liver (fatty liver)

Choices:
A. Obstructive jaundice (obstructive jaundice)
B. Fatty liver (fatty liver)
C. Cirrhosis (liver cirrhosis)
D. HCC (hepatocellular carcinoma)


Question: 65. The narrative about the toxic T cells (cytotoxic T lymphocyte, CTL) and natural killer cells (natural killer cell, NK), the what's right?

Answer: CTL and NK Jieke using perforin and granzyme toxic molecules target cells

Choices:
A. CTL and NK Jieke using perforin and granzyme toxic molecules target cells
B. NK and the need to identify MHC class I specific antigen before activating its mechanisms poisoned
C. CTL recognize MHC class I only need to activate its own mechanisms poisoning
D. CTL and NK differentiation into memory cells Jieke


Question: Mr. 35-year-old, 38-year-old wife, accepted at other hospitals during 17 weeks of pregnancy with Down's syndrome maternal serum screening results are as follows: the probability of Down syndrome is 1: 250, trisomy 18 probability of 1: 3500, 1 chance of neural tube defects: 7800. This is not willing to accept the results of a couple psychologically, and therefore come to seek advice from experts of the second. The following are the most appropriate approach what?

Answer: Recommend amniocentesis checks to verify the implementation of fetal chromosomal

Choices:
A. Cord blood samples to verify the implementation of recommendations of fetal chromosomal
B. Recommend amniocentesis checks to verify the implementation of fetal chromosomal
C. Recommended the implementation of high-level fetal ultrasonography to detect subtle features of Down's syndrome, for example, echogenic bowel, posterior nuchal
D. Repeat Down syndrome maternal blood screening

Mr
35 year old
year old
accepted
hospitals
weeks
pregnancy
Down's syndrome
serum
follows
probability
Down syndrome
1
trisomy 18 probability
3500
1 chance
neural tube defects
not willing to accept
results
couple
to
second
following
most appropriate approach


Question: Physicians anatomy A 50 year-old male, found white chalk-like in their abdominal fat necrosis, hemorrhage areas and chicken soup-like liquid, this pathological changes most likely caused by following that one?

Answer: Acute hemorrhagic pancreatitis (Acute hemorrhagic pancreatitis)

Choices:
A. Peptic ulcer perforation (Perforated peptic ulcer)
B. Ischemic colitis (Ischemic colitis)
C. Serous adenocarcinoma (Serous adenocarcinoma)
D. Acute hemorrhagic pancreatitis (Acute hemorrhagic pancreatitis)

Physicians anatomy
50 year old male
found white chalk
abdominal
hemorrhage areas
liquid
pathological changes
likely caused
following
one


Question: A 20-year-old male, to require the removal of the neoplasm outpatient dermatology face with a laser, physical examination found that many dome-shaped papules and nodules (Figure A) in the middle of the face, trunk with white spots and uplift the complexion plaques (Figure B), the most likely diagnosis in this patient why?

Answer: tuberous sclerosis

Choices:
A. tuberous sclerosis
B. neurofibromatosis
C. pseudoxanthoma elasticum
D. rosacea

20 year old male
to
removal of
neoplasm outpatient dermatology face
laser
found
dome-shaped papules
nodules
middle
face
trunk
white spots
complexion plaques
diagnosis
patient


Question: A 50-year-old woman, with black hair dye after three days, causing scalp itching and swelling of the face, which of the following is affixed to the skin test most of the components to be detected?

Answer: To-phenylendiamine

Choices:
A. Nickel sulfate
B. Mercury salt
C. Procaine
D. To-phenylendiamine

50 year old woman
black
three days
causing scalp itching
swelling of
face
following
skin test
components to
detected


Question: Mitomycin C and following what kind of syndrome about?

Answer: hemolytic uremic syndrome

Choices:
A. hand-foot syndrome
B. hemolytic uremic syndrome
C. hyperviscosity syndrome
D. capillary leak syndrome


Question: Which of the following autoimmune antibodies (autoantibody) and neonatal lupus erythematosus (neonatal lupus erythematosus) the most relevant?

Answer: anti-Ro

Choices:
A. anti-histone
B. anti-Ro
C. anti-La
D. anti-Sm

following autoimmune antibodies
autoantibody
neonatal lupus erythematosus
neonatal lupus erythematosus
most relevant


Question: 14-year-old Wei body weight loss, due to the recent special look sickly, and complained thirst, frequent urination, poor appetite and weight loss and her mother was taken to the hospital to check, through a series of laboratory tests after doctors diagnosed her illness a first diabetes (type I diabetes mellitus). The first type of diabetes is caused because the pancreas does not produce insulin, treatment must inject insulin several times a day. The following narrative about the conduction mechanism of insulin message, what's wrong?

Answer: Insulin receptor protein kinase subject matter are transcription factor

Choices:
A. Insulin receptor binding will lead to changes in the receptor protein quaternary structure (quaternary structure) of
B. Insulin binding to the receptor activates several protein kinase
C. Insulin is a protein tyrosine kinase receptor
D. Insulin receptor protein kinase subject matter are transcription factor

year old
body weight loss
recent special look
thirst
frequent urination
poor appetite
weight loss
hospital to check
series
laboratory tests
doctors diagnosed
illness
first diabetes
type I diabetes mellitus
first type
diabetes
caused
pancreas
not
insulin
treatment
inject insulin
times
day
following
conduction mechanism
insulin
wrong


Question: 35.30-year-old woman has been pregnant four times on both spontaneous abortion in the first trimester, the doctor suggested that the couple do chromosome examination, the results of one of the spouses has anomalies, most likely exceptions are:

Answer: balanced translocation

Choices:
A. trisomy 18
B. balanced translocation
C. Turner syndrome
D. Klinefelter syndrome

35 30 year old woman
pregnant four times
spontaneous abortion
first trimester
doctor
couple
chromosome
results
one
anomalies
likely


Question: Which of the following conditions does not significantly increase the risk of intrinsic urethral sphincter deficits (intrinsic sphincter deficiency) women?

Answer: Sacral parasympathetic lesions at, but not combined with other sympathetic lesions

Choices:
A. The lack of female hormones
B. Pelvic radiation therapy
C. Sacral parasympathetic lesions at, but not combined with other sympathetic lesions
D. Pudendal nerve (pudendal nerve) injury

following conditions
not
increase
intrinsic urethral sphincter deficits
intrinsic sphincter deficiency


Question: A newborn baby boy image that abdominal X-ray showed a double-bubble sign, the most likely diagnosis Why?

Answer: Duodenum closure (duodenal atresia)

Choices:
A. Pyloric stenosis (pyloric stenosis)
B. Duodenum closure (duodenal atresia)
C. Small intestine closure (intestinal atresia)
D. Anus closed (imperforate anus)

newborn baby boy
abdominal X-ray
double
sign
diagnosis


Question: One patient due to the increase in hemoglobin concentration of carbon monoxide caused by decreased attention. Which of the following conditions can cause this phenomenon?

Answer: Grease cleaning with a solvent containing chlorinated methane (methylene chloride) of

Choices:
A. Grease cleaning with a solvent containing chlorinated methane (methylene chloride) of
B. Using 1,1,1-trichloroethane (1,1,1-trichloroethane, methyl chloroform) to clean the aluminum article
C. Electronic parts plant transdermal chronic exposure to ethylene glycol ether (ethylene glycol methyl ether)
D. Suction pesticide containing a carbonyl bromide or carbonyl chloride

One patient due to
increase
hemoglobin concentration
carbon monoxide caused
decreased attention
following conditions
cause


Question: Which of the following oral lesions most likely to evolve into cell carcinoma (squamous cell carcinoma)?

Answer: Erythema (erythroplakia)

Choices:
A. Leukoplakia (leukoplakia)
B. Erythema (erythroplakia)
C. Hairy leukoplakia (hairy leukoplakia)
D. Aphthous ulcers (aphthous ulcer)

following oral lesions
to
squamous cell carcinoma


Question: Clinical trials, single-blind subjects implement the program (single blind) the main purpose why?

Answer: Remove the "Hawthorne effect (Hawthorne Effect)"

Choices:
A. Remove the interference effect
B. Remove the "Hawthorne effect (Hawthorne Effect)"
C. Researchers removal of systematic bias
D. Removing the number of errors caused by the small sample size


Question: Chest CT found ground glass-like lesions (ground glass opacity, GGO), statements about its clinical significance, which of the following error?

Answer: If it is solid GGO, is likely to be chronic inflammation, regular follow-up to

Choices:
A. There may be early adenocarcinoma
B. There may be atypical adenomatous hyperplasia
C. If it is solid GGO, is likely to be chronic inflammation, regular follow-up to
D. There may be lung adenocarcinoma predecessor, should be actively correct diagnosis

Chest CT found ground glass
lesions
ground glass opacity
GGO
clinical significance
following error


Question: Through history asking that a female patient had been pregnant twice, but two pregnancies are terminated because of spontaneous abortion and pregnancy. Which of the following best suited for depicting her situation?

Answer: Nullipara

Choices:
A. Multipara
B. Nulligravida
C. Nullipara
D. Primipara

history
female patient
pregnant twice
two pregnancies
terminated
spontaneous abortion
pregnancy
following best


Question: Experimental Study (experimental study) and the main difference between observational studies (observational study), and that the experimental studies which have the following characteristics, and observational studies no?

Answer: Exposure factor assigned by the investigator

Choices:
A. To sick patients as objects
B. May be prospective observational
C. Research on human health can only be beneficial factor
D. Exposure factor assigned by the investigator

main difference
following characteristics


Question: 28. The following structure is located where a dimple in the perineum (superficial perineal pouch)? ① The penis root (root of penis) ② ball urethral glands (bulborethral gland) ③ large vestibular glands (greater vestibular gland) ④ ischiocavernosus (ischiocavernosus muscle) ⑤ urethral sphincter (external urethral sphincter muscle)

Answer: ①③④

Choices:
A. ①②③
B. ①③④
C. ②③⑤
D. ②④⑤

following structure
dimple
perineum
superficial perineal pouch
penis root
root of penis
ball urethral glands
gland
large vestibular glands
greater vestibular gland
ischiocavernosus
ischiocavernosus muscle
urethral sphincter
external urethral sphincter muscle


Question: He does not contain the following structures within the liver ligament (hepatoduodenal ligament)?

Answer: Falciform ligament of liver (falciform ligament)

Choices:
A. Falciform ligament of liver (falciform ligament)
B. Hepatic portal vein
C. Hepatic artery
D. Bile (Bile duct)

not contain
following structures
liver ligament
hepatoduodenal ligament


Question: Requirements for early recovery for the trauma patient treatment goals (goal of early resuscitation) narrative, which of the following error?

Answer: Maintain systolic blood pressure 100 ~ 140 mmHg

Choices:
A. Hematocrit is maintained between 25 to 30%
B. Maintaining the core temperature above 35 ℃
C. Sustain platelet 50000 / cumm more
D. Maintain systolic blood pressure 100 ~ 140 mmHg

Requirements
early recovery
trauma patient treatment goals
early resuscitation
following error


Question: Statements about anti-histamine and anti-motion sickness drugs, Which statement is correct?

Answer: Diphenhydramine is an antihistamine, it can be used as an anti-motion sickness drugs

Choices:
A. The second generation antihistamine Loratadine can be used as motion sickness pills
B. H2 blocker may also have anti-motion sickness function
C. Meclizine has anti-adrenergic effect
D. Diphenhydramine is an antihistamine, it can be used as an anti-motion sickness drugs

anti-histamine
motion sickness drugs
correct


Question: The treatment of kidney stones, which of the following is selected using extracorporeal shock wave lithotripsy, ureteroscopy most important factor or percutaneous kidney stone surgery?

Answer: Stone size and number

Choices:
A. Body type
B. Calculus component
C. Stone size and number
D. Stone location


Question: Which of the following diseases or reasons caused by jaundice, direct hyperbilirubinemia (Conjugated hyperbilirubinemia) based?

Answer: Alagille syndrome (Alagille syndrome)

Choices:
A. ABO hemolytic (ABO incompatibility hemolysis)
B. Hemolytic uremic (Hemolytic-uremic syndrome)
C. Alagille syndrome (Alagille syndrome)
D. Gilbert syndrome (Gilbert syndrome)

following diseases
caused
jaundice
direct hyperbilirubinemia
Conjugated hyperbilirubinemia
based