Question: 96 a 37-year-old male HIV positive patients with facial, body and limbs, many red-purple rash, rash was also found several nodular changes. Began months before, and gradually increased. These lesions are most likely to detect what kind of virus?

Answer: Human herpes virus type VIII (human herpesvirus 8)

Choices:
A. CMV (cytomegalovirus)
B. EB virus (Epstein-Barr virus)
C. Human herpes virus type VIII (human herpesvirus 8)
D. Human immunodeficiency virus type I (HIV-1)

96
year old male HIV positive patients
facial
body
limbs
red purple rash
rash
found several nodular changes
Began months
increased
lesions
to detect
kind


Question: Ingredients on hormonal contraceptives, whichever narrative wrong?

Answer: It can contain only estrogen

Choices:
A. It may contain estrogen plus progestin
B. It can contain only estrogen
C. It can contain only progestin
D. Hormonal contraceptives may be given orally or by injection manner


Question: The following account of thymic cancer (malignant thymoma), and what's wrong?

Answer: Determined envelope (pericardium), or pleura (pleura) when violated, chemical treatment with surgical resection combined therapy

Choices:
A. The most common before the mediastinum, occur in middle-aged persons, about evenly divided between men and women
B. About one-third with myasthenia gravis
C. Determined envelope (pericardium), or pleura (pleura) when violated, chemical treatment with surgical resection combined therapy
D. Myasthenia gravis thymectomy embodiment, will have a higher rate of remission than medical therapy alone

The following account of thymic cancer
malignant thymoma
wrong


Question: You as a big six months Xiaoming vaccination, received two hepatitis B vaccine inoculation record according to Xiao Ming Cheng provisions have been on time, two DPT (diphtheria, pertussis and tetanus) vaccine and two oral polio vaccine. The need for the Bob vaccine inoculation is the most complete of those?

Answer: Hepatitis B vaccine, DPT vaccine, oral polio vaccine

Choices:
A. DPT vaccine and oral polio vaccine
B. DPT vaccine and MMR (measles, mumps and rubella) vaccine
C. Hepatitis B vaccine, DPT vaccine, oral polio vaccine
D. Hepatitis B vaccine, DPT vaccine, oral polio vaccine, MMR vaccine


Question: From the previous question, which describes skin lesions, which of the following error?

Answer: Surgical resection is the treatment of choice

Choices:
A. Surgical resection is the treatment of choice
B. The deeper the color, ethnic origin, the better hair
C. Occur in the skin tension at large
D. Radiation therapy is one treatment method


Question: Diaphragm (diaphragm) with respect to the breach of the tenth thoracic following what is the structure?

Answer: Esophageal cleft (esophageal hiatus)

Choices:
A. Aortic gap (aortic hiatus)
B. Esophageal cleft (esophageal hiatus)
C. Vena cava gap (caval opening)
D. Azygos gap (azygal opening) 18 Which of the following edge of the right coronary artery branches (marginal branch) and go?

Diaphragm diaphragm tenth following structure


Question: Follicular cavity (antrum) first appeared in:

Answer: Secondary follicles (secondary follicle)

Choices:
A. Primordial follicles (primordial follicle)
B. Primary follicles (primary follicle)
C. Secondary follicles (secondary follicle)
D. Mature follicle (mature follicle)


Question: A 60-year-old male patient feels difficulty in breathing when sitting, lying usually that is in remission, Which of the following is the most likely diagnosis?

Answer: Liver and lung syndrome (hepato-pulmonary syndrome)

Choices:
A. heart failure
B. Pulmonary infarction (pulmonary embolism)
C. Liver and lung syndrome (hepato-pulmonary syndrome)
D. Diabetic patients with ketoacidosis (diabetic ketoacidosis)

60 year old male patient
difficulty
breathing
sitting
lying usually
remission
following
diagnosis


Question: Which of the following features are hyaline cartilage?

Answer: There are many stromal cells

Choices:
A. There are many stromal cells
B. Rich in microvascular
C. Harveyi cell system formed concentrically arranged
D. Intercellular substance containing calcium deposits


Question: In terms of medical treatment of acute coronary syndrome, which of the following error?

Answer: Morphine can be used to ease the patient's breathing low (respiratory depression) symptoms

Choices:
A. Used sildenafil to use nitrate drugs of low blood pressure and an absolute contraindication within 24 hours
B. If the patient has no bleeding risk is too high, the proposed merger aspirin and thienopyridine drug use
C. Morphine can be used to ease the patient's breathing low (respiratory depression) symptoms
D. When patients with suspected coronary spastic angina, the use of calcium blockers

In terms
medical treatment
acute coronary syndrome
following error


Question: Which of the following is not a cause of the increase in Colon diverticular disease?

Answer: High fiber diet

Choices:
A. Aging
B. High sugar diet
C. High meat diet
D. High fiber diet

following
not
cause
increase
Colon diverticular disease


Question: Contact configuration on both sides of the neocortex (neocortex) is:

Answer: The corpus callosum (Corpus callosum)

Choices:
A. Before Union (Anterior commissure)
B. Rear Union (Posterior commissure)
C. Fornix commissure (Fornix commissure)
D. The corpus callosum (Corpus callosum)

Contact configuration
sides
neocortex
neocortex


Question: Located falx (falx cerebri) canopy cerebellum (tentorium cerebelli) junction structure is:

Answer: Straight sinus (straight sinus)

Choices:
A. Under the sagittal sinus (inferior sagittal sinus)
B. Straight sinus (straight sinus)
C. 匯竇（confluence of sinuses）
D. Occipital sinus (occipital sinus) 9 Which of the following does not go in the PPF (pterygopalatine fossa)?

falx
falx cerebri
cerebellum
tentorium cerebelli
junction structure


Question: 13-year-old male junior high school students recently near his knee occasionally feel a dull pain, pain and more and more time, sleep at night when symptoms are obvious, the figures for the lower extremity X-ray photography, the most likely diagnosis Why?

Answer: osteogenic sarcoma

Choices:
A. fibrous dysplasia
B. aneurysmal bone cyst
C. osteogenic sarcoma
D. eosinophilic granuloma

year old male
recently
knee occasionally
dull pain
pain
more
more time
sleep
night
symptoms
lower extremity X-ray
diagnosis


Question: Which of the following cells with apical dendrites (apical dendrite) may extend to the surface of the cerebral cortex?

Answer: Cones (pyramidal cell)

Choices:
A. Stellate cells (stellate cell)
B. Cones (pyramidal cell)
C. Spindle cell (fusiform cell)
D. Horizontal cells (horizontal cell) 29 so-called embryonic initial diaphragm (primordium diaphragm) Which of the following is not included?

following cells
apical dendrites
apical dendrite
extend
surface
cerebral cortex


Question: 64. Mrs. Wang, 61-year-old housewife in recent months that finger stiffness, pain, but no numbness. Physician examination found that the distal interphalangeal joint and proximal interphalangeal joints were swelling her bilateral, joint merge some small lumps, there are some joint tenderness, I ask Mrs. Wang Which of the following is the most likely diagnosis?

Answer: Degenerative arthritis

Choices:
A. Rheumatoid arthritis
B. Gouty arthritis
C. Degenerative arthritis
D. False gouty arthritis

64
Mrs
61 year old housewife
recent months
finger stiffness
pain
numbness
Physician
found
distal interphalangeal joint
proximal interphalangeal joints
swelling
bilateral
joint
small lumps
joint tenderness
I
Mrs
following
diagnosis


Question: That one of the following benign liver tumors, there is a higher possibility of malignant transformation, and recommended surgery?

Answer: adenoma

Choices:
A. cyst
B. adenoma
C. focal nodular hyperplasia
D. hemangioma

one of
following benign liver tumors
higher possibility
malignant transformation
surgery


Question: After the crystalline arising after Which of the following is used to treat cataract surgery PCO (posterior capsular opacity)?

Answer: Rubidium YAG lasers (Nd: YAG laser)

Choices:
A. Rubidium YAG lasers (Nd: YAG laser)
B. Ultrasonic phacoemulsification (phacoemulsification)
C. Artificial crystalline lens
D. Artificial vitreous

arising
following
used to treat cataract surgery PCO
posterior capsular opacity


Question: Colon tissue, which of the following minimum?

Answer: Paneth cells (Paneth cells)

Choices:
A. Goblet cells (goblet cells)
B. Paneth cells (Paneth cells)
C. Enteroendocrine cells (enteroendocrine cells)
D. Epithelial cells (epithelial cells of mucosa)


Question: Indirect or called auscultation blood pressure measurements, according to the theory why?

Answer: Turbulence generated by the audio shock

Choices:
A. Laminar flow generated audio oscillation (audible vibration)
B. Turbulence generated by the audio shock
C. Laminar flow accompanied mute
D. Turbulence accompanying silent


Question: 8535-year-old woman due to high blood calcium accept parathyroid surgery. Pathological examination lesions with intact coating. Microscopic lesions by the chief cell composed of mitotic cell morphology does not appear. In the outer edge of the package is still visible remnants of a circle normal parathyroid tissue. The following parathyroid disease, whichever is most consistent with the clinical and pathological features of this patient?

Answer: Adenoma

Choices:
A. Primary hyperplasia
B. Secondary hyperplasia
C. Adenoma
D. Carcinoma

year old woman due to high blood accept parathyroid surgery


Question: 80-year-old female, lower abdominal magnetic resonance angiography (T2WI) presented in Figure narrative arrows within the meaning of what's the most correct?

Answer: Endometrial cancer

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


Question: Sebaceous glands (sebaceous gland) secretion, secrete what way?

Answer: Full slurry secretion (holocrine)

Choices:
A. Secreted portion (merocrine)
B. Apocrine (apocrine)
C. Full slurry secretion (holocrine)
D. Diffusion (diffusion)

Sebaceous glands
sebaceous gland
secretion
secrete


Question: According to the 2008 edition of the Helsinki Declaration (Declaration of Helsinki), in human studies of ordinary people in every possible subject must be informed of the contents, which of the following error?

Answer: Due to funding research can lead to misunderstanding, without informing the subject

Choices:
A. The purpose, method, and researchers of the study Affiliations
B. The study foreseeable benefits and may be accompanied by the risk and discomfort
C. Has the right to subject, including refuse to participate in the study, or withdraw consent at any time without reprisal
D. Due to funding research can lead to misunderstanding, without informing the subject

possible subject
informed
following error


Question: Which of the following is a method for the treatment of adult femoral shaft fracture (Femoral shaft fracture) use most often?

Answer: Intramedullary nail (Intramedullary nail)

Choices:
A. Intramedullary nail (Intramedullary nail)
B. Dynamic compression of the steel sheet (Dynamic compression plate)
C. Skeletal traction (Skeletal traction)
D. External fixation (External fixator)

following
method
treatment
adult femoral shaft fracture
Femoral shaft fracture
use
often


Question: Primary achalasia (primary idiopathic achalasia) disease is the most fundamental:

Answer: Nerve cell degeneration (degeneration)

Choices:
A. Smooth muscle hypertrophy (hypertrophy)
B. Smooth muscle atrophy
C. Nerve cell degeneration (degeneration)
D. Nerve cell activity increased

Primary achalasia
primary idiopathic
disease
most


Question: 36-year-old girls in a 14-country suffering from scoliosis disease, X-rays showed its point of maximum curvature of the spine in the first lumbar vertebra, Kebo's angle (Cobb's angle) was 35 degrees, may I ask which of the following disposal the most important?

Answer: Seca (spinal brace) correction

Choices:
A. Exercise therapy (exercise therapy)
B. Seca (spinal brace) correction
C. Pelvic band (pelvic band) and traction (traction therapy)
D. Surgical treatment

36 year old girls
country suffering
scoliosis disease
X-rays
point of maximum curvature
spine
first lumbar vertebra
angle
Cobb's angle
35 degrees
I
following
most important


Question: When the urine concentration X was 36 mg / mL, the plasma concentration X of 0.25 mg / mL, the amount of urine if the test subject was 1 mL / min, hematocrit (hematocrit) is 50%, the plasma X clearance (clearance) is closest to how many mL / min?

Answer: 144

Choices:
A. 9
B. 18
C. 144
D. 288

urine concentration
36 mg
mL
plasma concentration
0.25 mg
mL
amount
urine
test subject
1
min
hematocrit
hematocrit
50
plasma
clearance
clearance
closest
mL
min


Question: 77.35-year-old man, riding a machine ⾞ work accidentally in ⼗ word road-connector made ⽣ ⾞ disaster, doctors found that his right to check your watch radius open fractures, injury-connector

Answer: II

Choices:
A. I
B. II
C. IIIA
D. IIIB

35 year old man
machine
road connector made
doctors found
right to check
radius open fractures
injury connector


Question: Splanchnic nerve (greater splanchnic nerve) starting from the spinal cord that Dan?

Answer: T5 ~ 9

Choices:
A. T2～4
B. T5 ~ 9
C. T11～12
D. L1～2

Splanchnic nerve
greater splanchnic nerve
starting
spinal cord


Question: About asystole patient emergency, Which statement is correct?

Answer: Vasopressin may be substituted with 1 or 2 followed by epinephrine

Choices:
A. If found early, can be used transcutaneous pacemaker (TCP) treatment
B. When invalid epinephrine, vasopressin substitution of available
C. Vasopressin may be substituted with 1 or 2 followed by epinephrine
D. Using the maximum dose of atropine 0.04 mg / kg

About asystole patient emergency
correct


Question: About the influence of cataract on vision, which of the following error?

Answer: Nuclear cataract (nuclear cataract) often associated with hyperopia, but sometimes improve near vision, but do not need to wear reading glasses when reading

Choices:
A. Posterior subcapsular cataract (posterior subcapsular cataract) because in the nodes of the eye (nodal point), the greatest impact on vision
B. Posterior subcapsular cataract visual acuity (posterior subcapsular cataract) of the patient, under poor light
C. Nuclear cataract (nuclear cataract) often associated with hyperopia, but sometimes improve near vision, but do not need to wear reading glasses when reading
D. Cataract cortex (cortical cataract) patients more often caused by scattering of light due to glare (GLARE) issues


Question: Which of the following and posterior vitreous separation (posterior vitreous detachment) compared with no correlation?

Answer: Initiator lattice retinal degeneration (lattice degeneration)

Choices:
A. Retinal detachment hole type initiator
B. Initiator lattice retinal degeneration (lattice degeneration)
C. Retinal tears initiator (retinal tear)
D. Lead to vitreous hemorrhage

following
posterior vitreous separation
posterior vitreous detachment
correlation


Question: One month-old baby, receiving Anoplasty, respirator to maintain anesthesia administered FiO2 = 1, arterial blood oxygen follows: PaCO2 = 11 mmHg; pH = 7.47; PaO2 = 209 mmHg; calculated [HCO3- ] = 7.7 mEq / L, Base deficit = -14.6 mEq / L, the patient was one of those acid-base imbalance?

Answer: With primary respiratory alkalosis and metabolic acidosis

Choices:
A. The combined compensatory respiratory acidosis and compensated metabolic acidosis
B. Primary compensatory respiratory alkalosis and metabolic acidosis
C. Primary metabolic acidosis and compensated respiratory alkalosis
D. With primary respiratory alkalosis and metabolic acidosis

One month old baby
receiving Anoplasty
respirator to
anesthesia administered FiO2
1
arterial blood oxygen follows
mmHg
pH
7
PaO2
mmHg
calculated
HCO3
7.7 mEq
L
Base deficit
mEq
L
patient
one
acid-base imbalance


Question: For comparison neuromyelitis (neuromyelitis optica, NMO) and multiple sclerosis (multiple sclerosis, MS), the following statements is wrong?

Answer: beta] interferon (interferon-β), and glatiramer acetate can effectively prevent recurrence of NMO, better than the effect of preventing recurrence of MS

Choices:
A. NMO for violations of the spinal cord is usually greater than the section 3
B. Patients with NMO than the NMO-IgG antibody or prone to aquaporin-4
C. NMO patients need to use high doses of intravenous methylprednisolone in acute relapse
D. beta] interferon (interferon-β), and glatiramer acetate can effectively prevent recurrence of NMO, better than the effect of preventing recurrence of MS

neuromyelitis
neuromyelitis optica
multiple sclerosis
multiple sclerosis
MS
following
wrong


Question: According to the Department of Health announcement 95 years' research with human physical body collection and use considerations ", concerning the acquisition agree with the provisions of the fetus sample, Which statement is correct?

Answer: Just by their mother's consent

Choices:
A. Just by their mother's consent
B. Subject to his mother and father (if know) consent
C. Subject to their mother or father (if know) consent
D. Subject to their mother or father (if know) consent, and approved by two obstetricians

95 years
uman  hysical  ody  ollection
se  onsiderations
gree
etus
orrect?


Question: 21. Which of the following is not a typical Children with severe asthma of lung function meter (spirometry) to measure the results? (FVC: forced vital capacity fully FEV1; FEV1: forced expiratory volume at one second one second FEV1 full.)

Answer: Daily morning and evening FEV1 variation of ≦ 20%

Choices:
A. FEV1 / FVC ratio <0.80
B. The reaction improve bronchodilator FEV1 value ≧ 12%
C. Exercise challenge test FEV1 decline in the value of ≧ 15%
D. Daily morning and evening FEV1 variation of ≦ 20%

following
not
typical Children
severe asthma
lung function meter
spirometry
to measure
results
FVC
forced vital capacity
FEV1
FEV1
forced expiratory volume
one second
FEV1 full


Question: That one of the following drugs can be used as a heroin (heroin) addicts substitutional therapy (substitution therapy) drugs?

Answer: methadone

Choices:
A. naloxone
B. methadone
C. acamprosate
D. rimonabant

one
following drugs
used
heroin
heroin
addicts
therapy
therapy
drugs


Question: 25 year old man, a car accident caused by an accident left thigh fracture, cast immobilization after treatment, weeks left leg can not move freely, found his left leg thinner. Which of the following best explains changes in muscle?

Answer: Shrink (atrophy)

Choices:
A. Apoptosis (apoptosis)
B. Shrink (atrophy)
C. Dysplasia (hypoplasia)
D. Dystrophy (dystrophy)

year old man
car accident caused
left thigh fracture
cast immobilization
weeks left leg
not move freely
found
left leg
following best
changes
muscle


Question: Fructose 2,6-bisphosphate is an important glycolysis (glycolysis) and gluconeogenesis role (gluconeogenesis) common ectopic mediation factor (allosteric regulator), the following information about fructose 2,6-bisphosphate of the statements is true?

Answer: fructose 2,6-bisphosphate increased gluconeogenesis action (gluconeogenesis)

Choices:
A. Glucagon (glucagon of) stimulate the synthesis
B. fructose 2,6-bisphosphatase catalyze the synthesis of fructose 6-phosphate
C. fructose 2,6-bisphosphate 活化 phosphofructokinase-1
D. fructose 2,6-bisphosphate increased gluconeogenesis action (gluconeogenesis)

Fructose
important
role
common ectopic
factor
regulator
following
fructose
true


Question: Which of the following is not the most suitable for a lumbar puncture (lumbar puncture)?

Answer: Brain tumor lesions

Choices:
A. Brain tumor lesions
B. meningitis
C. Subarachnoid hemorrhage
D. Communicating hydrocephalus (communicating hydrocephalus)

following
not
most suitable
lumbar puncture
lumbar puncture


Question: Cortisol (cortisol) to promote that kind of increase in the number of blood cells strongest?

Answer: Red blood cell (RBC)

Choices:
A. Eosinophil (eosinophils)
B. T cells (T cells)
C. Lymphopenia (lymphocytes)
D. Red blood cell (RBC)

Cortisol
cortisol
to
kind
increase
number
blood cells strongest


Question: Statements about the Chylothorax, whichever is correct?

Answer: Pseudo Chylothorax usually due to rheumatoid pleurisy or tuberculosis caused

Choices:
A. Occurs most frequently in the left chest
B. Most often because the tumor caused Chylothorax
C. Regardless of the amount of Chylothorax drainage, chest tube ligation surgery is the only way to treat chylothorax
D. Pseudo Chylothorax usually due to rheumatoid pleurisy or tuberculosis caused


Question: After organ transplantation, it is most likely caused by one of the following virus infection in organ transplantation, and it is easy to develop resistance to antiviral drugs?

Answer: Human cytomegalovirus (Cytomegalovirus)

Choices:
A. Adenovirus (Adenovirus)
B. Human cytomegalovirus (Cytomegalovirus)
C. Hepatitis B virus (Hepatitis B virus)
D. Coronavirus SARS CoV

organ transplantation
most likely caused
one
following virus infection
organ transplantation
easy to
resistance antiviral drugs


Question: A 20-year-old male patient, because of gastrointestinal polyps and inspected and found in his lips there are many black pigmentation, I ask: Why is the most likely diagnosis?

Answer: Peutz-Jeghers syndrome

Choices:
A. Osler-Weber-Rendu syndrome
B. Familial adenomatous polyposis
C. Peutz-Jeghers syndrome
D. Hereditary nonpolyposis colorectal cancer

20 year old male patient
gastrointestinal polyps
found
lips
black pigmentation
I
diagnosis


Question: Description of the side effects of glucocorticoids (glucocorticoids) generated, which of the following error?

Answer: Promote osteoblasts (osteoblast) formation and activity

Choices:
A. Will, thus causing osteoporosis (Osteoporosis) through the interference phenomenon calcium metabolism
B. Promote osteoblasts (osteoblast) formation and activity
C. Has the effect of increasing the peptic ulcer (peptic ulcer) occurs
D. Long-term use can inhibit the secretion of growth hormone

side effects
glucocorticoids
glucocorticoids
following error


Question: Someone complained of headache, fever, general fatigue, chills, nausea, vomiting, neck stiffness, muscle and joint pain and swollen lymph glands and other symptoms, after inquiry found that the participants in mountaineering one week ago, sleeping in the wild; came back to find who has the bug bites to the left erythema, erythema and later spread out in a circle shape, become migratory erythema (erythema migrans), this patient may have been infected with the original pathogenic what?

Answer: Borrelia burgdorferi spirochete (Borrelia burgdorferi)

Choices:
A. 恙蟲 disease standing Katsuji Mr. bacteria (Orientia tsutsugamushi)
B. Brucellosis (Brucella)
C. Borrelia burgdorferi spirochete (Borrelia burgdorferi)
D. Leptospirosis (Leptospira interrogans)

headache
fever
general fatigue
chills
nausea
vomiting
neck stiffness
muscle
joint pain
swollen lymph glands
symptoms
found
one week
sleeping
back to find
bug bites
left erythema
erythema
later spread out
circle shape
migratory erythema
erythema migrans
patient
infected
original pathogenic


Question: Relationship between human papillomavirus and cervical cancer, the following statements is wrong?

Answer: The most common cervical cancer is the human papillomavirus type 18

Choices:
A. Found to be the first or the second type 16 human papillomavirus type 18 within about 70% of patients with cervical cancer
B. The most common cervical cancer is the human papillomavirus type 18
C. Through its HPV E6 protein, E7 protein of cervical cancer, and epithelial cells of the p53 protein, Rb protein, respectively, for
D. HPV is a circular DNA virus

Relationship
cervical cancer
following
wrong


Question:
79. Mr. Paik is a 64-year-old successful businessman, past optimistic, cheerful, very active social and physical, his wife passed away with cancer about a year ago, he gave up unhappy, only son to live with his wife. The last two months of his weight loss, hematuria occurred and more to come for treatment. You are his urology physician, so he arranged for cystoscopy and slice outpatient surgery, pathology report after 1 week proved to bladder cancer. He and his son went into the examination room, sent away after Mr. Paik, Mr. Paik's son said after medical condition: "Please do not doctors declared him to my father had cancer, he can not stand the blow of you please tell him the bladder. ! inflamed, give him some hope of it. "Although you explain to his son informed of the necessary condition, he insisted; how do you
 deal with?

Answer: If the patient to ask you directly, expressed the wish to know the results, should be telling him

Choices:
A. In accordance with the requirements of the son of Mr. Paik hide
B. If the patient to ask you directly, expressed the wish to know the results, should be telling him
C. Found that patients inform their own condition deteriorated
D. Delivery ethics committee decided to approach

Mr
64 year old successful
past optimistic
cheerful
very active social
physical
passed
cancer
year
gave
unhappy
to live
last two months of
weight loss
hematuria
more to
treatment
urology physician
cystoscopy
outpatient surgery
1 week
bladder cancer
sent
Mr
Mr
edical  ondition:
ot  octors
ancer,
ot  tand
low
ladder.
nflamed,
ive
nformed
ondition,


Question: Which of the following is occurring on an adult touched upon the conjunctiva huge papillary conjunctivitis (giant papillary conjunctivitis), the most common cause?

Answer: Wear contact lenses

Choices:
A. Wear contact lenses
B. Vitamin A deficiency
C. diabetes
D. Carotid sinus  tube (carotid-cavernous fistula)

following
occurring
adult touched
conjunctiva
papillary conjunctivitis
giant papillary conjunctivitis
most common cause


Question: 3450-year-old female patient feel right ear, right ear hearing loss and tinnitus gradually, no dizziness, ear missing, earache or other neurological symptoms, reduced response to caloric test right ear, pure tone audiogram as shown to further differential diagnosis, should be a priority select which of the following check?

Answer: Auditory brainstem response checks

Choices:
A. Speech discrimination test
B. Nystagmus electrical diagram
C. Auditory brainstem response checks
D. Temporal bone Stenver's view-X-ray

year old female patient
right ear
right ear hearing loss
tinnitus
dizziness
ear missing
earache
neurological symptoms
reduced response
caloric right ear
tone audiogram
further differential diagnosis
priority
following check


Question: From the previous question, the patient should be given to those described above the following treatments: ①0.9% saline ②hydrocortisone ③ thyroxine ④5% glucose (dextrose):

Answer: ①②④

Choices:
A. ①②③
B. ②③④
C. ①②④
D. ①③④

previous
patient
given
following treatments
0 9
hydrocortisone
thyroxine 5
glucose
dextrose


Question: Cricoid cartilage (cricoid cartiage) with respect to the vertebrae where the height?

Answer: C6

Choices:
A. C2
B. C4
C. C6
D. T1


Question: Emergency to a left thumb metacarpal phalangeal joint metacarpophalangeal joint complete amputation injury, the finger can withstand the warm ischemia time is:

Answer: 12 hours

Choices:
A. 2 hours
B. 4 hours
C. 8 hours
D. 12 hours

Emergency to
left thumb metacarpal phalangeal joint
complete amputation injury
finger
warm ischemia time


Question: The following statements about protein synthesis in the eukaryotic cell, whichever is correct?

Answer: N-terminal amino acid of all proteins necessary for the starting methionine (methionine)

Choices:
A. N-terminal amino acid of all proteins necessary for the starting methionine (methionine)
B. N-terminal amino acid of all proteins necessary for the starting tryptophan (tryptophan)
C. N-terminal amino acid of all proteins necessary for the starting cysteine (cysteine)
D. All the N terminus of the protein will start to histidine amino acid (histidine)


Question: For a physician diagnosis of incurable terminal cancer patients in the patient awake cases, depending on palliative care regulations, legal requirements and that the following items?

Answer: The patient asked to give up the implementation of CPR

Choices:
A. The patient asked to give up the implementation of CPR
B. Without the patient's consent, family members asked to give up the implementation of CPR
C. Patients given the drug your physician to die prematurely and suffering
D. In violation of the wishes of the patient to give up the implementation of CPR, family physicians request the full treatment, including cardiopulmonary resuscitation

diagnosis
terminal
patient awake cases
depending
palliative care
legal requirements
following


Question: From the above description and the test results, the most likely diagnosis is:

Answer: Tetralogy of Fallot

Choices:
A. Aorta completely transposition comorbidities ventricular and left ventricular septal defect outlet obstruction
B. Pulmonary atrophy complicated ventricular septal defect
C. Tetralogy of Fallot
D. Tricuspid atresia


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

Answer: Lesions that do not involve small bronchi

Choices:
A. Filled alveoli of spherical fibroblast proliferation (Masson body)
B. Lesions that do not involve small bronchi
C. Usually no interstitial fibrosis
D. Usually without honeycomb fibrosis

following
organizing pneumonia
organizing pneumonia
wrong


Question: A 6-year-old child was accidentally crossing the road SUV at 30 km / h speed hit, the following statements is true?

Answer: The opportunity to rib fractures did not happen and can not rule out pulmonary contusion

Choices:
A. Flail chest (flail chest) a high probability of occurrence
B. Myocardial contusion symptoms usually occur
C. Rib fractures occur in children of this age
D. The opportunity to rib fractures did not happen and can not rule out pulmonary contusion

year
road SUV
30 km
h speed hit
following
true


Question: Because a patient falls hit the elbow, two months later visits, found that income, including thumb muscle (adductor pollicis) and interosseous muscle (interossei) has to shrink, most likely that a neuropathy?

Answer: Ulnar nerve

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

patient falls hit
elbow
two months later
found
income
including thumb muscle
adductor pollicis
muscle
shrink
neuropathy


Question: The following related sandflies statements is true?

Answer: Nocturnal vampire

Choices:
A. Most male and female vampire will
B. Due to individual small it can fly very far with the flow
C. Nocturnal vampire
D. Taiwan does not sandflies


Question: In the brain structure of the following, including whichever messages transmitted auditory nerve fibers?

Answer: Hypothalamic arm (brachium of inferior colliculus)

Choices:
A. Based inner shoe (medial lemniscus)
B. Superior colliculus arm (brachium of superior colliculus)
C. Hypothalamic arm (brachium of inferior colliculus)
D. Department hoof spinal cord (spinal lemniscus)

brain structure of
following
including
transmitted auditory nerve fibers


Question: General dysphagia patient when trying to feed, whichever of the following methods wrong?

Answer: Patient lying down

Choices:
A. In the patients to choose more sober moments
B. Patient lying down
C. Small mouth feeding
D. Ask the patient to eat a little bow

General dysphagia patient
to
following methods wrong


Question: 60-year-old patient of 10 years of repeated kidney stones received multiple ESWL, the last month because of easy fatigue, joint and bone pain undergo a series of health checks, find the right lobe of the liver has a 3 cm tumor, kidney stones on both sides , serum uric acid levels 8.0 mg / dL; calcium value of 12 mg / dL. The following items to check what is not suitable as a differential diagnosis?

Answer: Thyroid protein (thyroglobulin)

Choices:
A. Fetoprotein (α-fetoprotein)
B. Parathyroid hormone (intact PTH)
C. Thyroid protein (thyroglobulin)
D. Urine was collected 24 hours should calcium value


Question: For the description of the liver and kidney syndrome (hepatorenal syndrome), and what's right?

Answer: Using drugs can be used to treat liver and kidney syndrome have terlipressin

Choices:
A. Hepatorenal syndrome can be divided into the first frame type and the second ⼆ type. Wherein the first frame type is more stable, better prognosis, characterized in that the second shot type 1 and 2 in renal function
B. Hepatorenal syndrome is usually made ⽣ in abdominal disease not water resistant Face of
C. Using drugs can be used to treat liver and kidney syndrome have terlipressin
D. Because renal parenchymal damage already, even into ⾏ liver transplant, liver and kidney syndrome will not improve

liver
kidney syndrome
hepatorenal syndrome
right


Question: Hodgkin's lymphoma statements about (Hodgkin lymphoma), and Which statement is correct?

Answer: Tumors often confined to a single lymph node group of local performance

Choices:
A. A malignant tumor is primarily composed of small lymphocytes, mixed with Reed-Sternberg cells transformed from a small lymphocytes
B. Tumors often confined to a single lymph node group of local performance
C. To radiation and chemotherapy poor response, is highly malignant tumor
D. Lymphocytes (lymphocyte predominance) subtype relationship with Epstein-Barr virus most closely

Hodgkin's lymphoma
Hodgkin lymphoma
correct


Question: Which of the following is an aortic balloon pump (intra-aortic balloon pump) of the contraindications?

Answer: AR（aortic regurgitation）

Choices:
A. AR（aortic regurgitation）
B. MR（mitral regurgitation）
C. PR（pulmonary regurgitation）
D. TR（tricuspid regurgitation）

following
aortic balloon pump
intra-aortic balloon pump
contraindications


Question: Ventriculomegaly under the following circumstances may be called compensatory hydrocephalus (hydrocephalus ex vacuo)?

Answer: Elderly dementia (senile dementia)

Choices:
A. Encephalitis cytomegalovirus (CMV encephalitis)
B. Choroid plexus papilloma (choroid plexus papilloma)
C. Elderly dementia (senile dementia)
D. Congenital aqueduct stenosis (congenital stenosis of aqueduct)

Ventriculomegaly
following
called compensatory hydrocephalus
hydrocephalus ex vacuo


Question: Which of the following does not cause systemic disease compared with cataracts?

Answer: High blood pressure (hypertension)

Choices:
A. Diabetes (diabetes mellitus)
B. High blood pressure (hypertension)
C. Vice hypothyroidism (hypoparathyroidism)
D. Atopic dermatitis (atopic dermatitis)

following
not cause systemic disease
cataracts


Question: When a terminally ill patient can not express the will clearly be decided by their next of kin proxy, its priorities and what was right?

Answer: Spouse> children> parents> Siblings> grandparents

Choices:
A. Spouse> children> parents> Grandparents> Siblings
B. Spouse> Parents> Children> Grandparents> Siblings
C. Parents> spouses> Grandparents> Siblings> Children
D. Spouse> children> parents> Siblings> grandparents

terminally ill patient
not
priorities
right


Question: Ivabradine for treating tachycardia, does not affect myocardial contractility, ventricular repolarization and conduction within the heart, the mechanism that?

Answer: funny current（If）blocker

Choices:
A. funny current（If）blocker
B. L-Type calcium channel blocker
C. T-Type calcium channel blocker
D. beta blocker

Ivabradine
treating tachycardia
not
myocardial contractility
ventricular repolarization
conduction
heart
mechanism


Question: When endoscopic surgery, in dealing with the one following the sinuses, more likely to hurt the optic nerve (optic nerve) and internal carotid artery (internal carotid artery) within the sinuses of patients with chronic sinusitis implementation?

Answer: Sphenoid (sphenoid sinus)

Choices:
A. Maxillary sinus (maxillary sinus)
B. Frontal sinus (frontal sinus)
C. Anterior ethmoid sinus (anterior ethmoidal sinus)
D. Sphenoid (sphenoid sinus)

endoscopic surgery
one following
sinuses
more likely to
optic nerve
optic nerve
internal carotid artery
internal carotid artery
sinuses
patients
chronic sinusitis


Question: FIG make the patient prone on the bed is, measuring the angle between the axis of the thigh and foot. Which of the following patients with this problem?

Answer: Left tibia external rotation (tibial external rotation)

Choices:
C. Rotary left shin bone (tibial internal rotation)
D. Left tibia external rotation (tibial external rotation)

make
patient prone
bed
measuring
angle
axis
thigh
foot
following patients
problem


Question:  parathyroid hormone side effects of the treatment of osteoporosis (osteoporosis) is caused by high blood calcium (hypercalcemia) 67 following the pharmacological effects of glucocorticoid for the narrative, what's wrong?

Answer: Reducing thyroid - stimulating hormones (thyroid-stimulating hormone) secrete

Choices:
A. Side effects of parathyroid hormone to treat osteoporosis (osteoporosis) is caused by high blood calcium (hypercalcemia) 67 following the pharmacological effects of glucocorticoid for the narrative, what's wrong?
B. Reducing the production of prostaglandins (Prostaglandin) of
C. Reducing thyroid - stimulating hormones (thyroid-stimulating hormone) secrete
D. Increase in osteogenic cells (osteoblast) and the activity of

parathyroid hormone side effects
treatment
osteoporosis
osteoporosis
caused
high blood
hypercalcemia
following
pharmacological effects
glucocorticoid
wrong


Question: The following related myopia (myopia) of the statements is true?

Answer: Distant object image focused on the retina (Retina) front

Choices:
A. Distant object image focused on the retina (Retina) front
B. Available lens sheet (convex lens) to assist vision correction
C. Crystalline (Lens) adjustment of the image near (Accommodation) defective
D. The patient does not suffer from myopia presbyopia (presbyopia)


Question: 70-year-old man due to stroke bedridden in his sacrum Department has an area 10 × 8 cm deep visible bone of decubitus (pressure sore) (as shown below), the number one cause of bedsores is:

Answer: Pressure (pressure)

Choices:
A. Friction (Friction)
B. Pressure (pressure)
C. Shear (shearing force)
D. Health care for poor wound (poor hygiene)

70 year old man due to stroke bedridden
sacrum
area 10
8
deep visible bone
decubitus
pressure sore
number one cause
bedsores


Question: Which of the following drugs have been approved by the US FDA for the treatment of narcolepsy Use (narcolepsy)?

Answer: modafinil

Choices:
A. clozapine
B. lorazepam
C. lithium
D. modafinil

following drugs
approved
treatment of narcolepsy Use
narcolepsy


Question: Which of the following physiological factors, most will not affect the response time of human neurotransmitter (nerve conduction) of?

Answer: Posture of subjects

Choices:
A. height
B. Posture of subjects
C. age
D. body temperature

following physiological factors
most
not
response time
human neurotransmitter
nerve conduction


Question: Statements about the child's lymphoma, which of the following error?

Answer: Most adults are different slow progress (indolent), children of non-Hodgkin's lymphoma, usually highly aggressive malignant possessed

Choices:
A. Children under the age of 10 in Taiwan, the incidence of non-Hodgkin's lymphomas (Non-Hodgkin lymphoma), more than Hodgkin's lymphoma
B. Most non-Hodgkin's lymphoma Children with new-onset (de novo) disease, a small number of children with compromised immune systems are times of onset
C. Most adults are different slow progress (indolent), children of non-Hodgkin's lymphoma, usually highly aggressive malignant possessed
D. Bo's lymphoma (Burkitt lymphoma) Children with, tumor lysis syndrome may occur after the group (tumor lysis syndrome), in need of special attention


Question: 16 year old woman, because of heart murmur treatment, after injection of contrast agent imaging such as CT figures, the most likely diagnosis is which of the following?

Answer: The second type atrial septal defect

Choices:
A. Sinus venosus type atrial septal defect
B. Membranous type ventricular septal defect
C. Outlet type ventricular septal defect
D. The second type atrial septal defect

year old woman
heart murmur treatment
injection
imaging
CT
diagnosis
following


Question: For a description beside surgical procedure, which of the following error?

Answer: percutaneous endoscopic gastrostomy (PEG) is for high risk aspiration, inability to swallow, gastric outlet obstruction in critically ill patients, provide safe and fast intestinal pipeline path, force-fed nutrition

Choices:
A. bedside surgical procedure may be surgery is performed manually for the selective treatment critically ill patients, patients with critical advantages reduce transportation ⾄
B. Use bedside laparotomy normally be in abdominal compartment syndrome, especially when intra-abdominal pressure reached grade Ⅲ (21mmHg), the watch may be considered to do this surgery, in order to reduce the intra-abdominal pressure
C. percutaneous dilatational tracheostomy (PDT) for critically ill patients with prolonged mechanical intubation, the watch is simple and safe operation, which peri-procedure mortality rate <0.1%
D. percutaneous endoscopic gastrostomy (PEG) is for high risk aspiration, inability to swallow, gastric outlet obstruction in critically ill patients, provide safe and fast intestinal pipeline path, force-fed nutrition


Question: From the previous question, what this patient's symptoms following items available to check more correct diagnosis?

Answer: Pulmonary angiography

Choices:
A. Blood gas analysis
B. ECG
C. Biochemical examination
D. Pulmonary angiography


Question: In the treatment of chronic stable disease doctor-patient relationship, the Which of the following is the most appropriate doctor-patient interaction mode?

Answer: Active participation mode

Choices:
A. Authoritative guide mode
B. Independent decision-making mode
C. Active participation mode
D. Guide mode of cooperation

treatment
chronic stable
following
most appropriate
mode


Question: 50 bearing on the question, relating to the above-mentioned diseases, Which statement is correct? ① pylorus incision (pyloromyotomy) is a complication of surgery ② way the disease is most likely caused by a kink in the intestinal (midgut volvulus) ③ if it is possible to diagnose the disease, the patient required to undergo more urgent surgery ④ likely to cause metabolic hypokalemia alkalosis

Answer: Only ②③

Choices:
A. ①④
B. Only ②③
C. ②③④
D. ①③


Question: Which of the following mutations in genes with ichthyosis vulgaris is most relevant?

Answer: profilaggrin

Choices:
A. profilaggrin
B. steroid sulfatase
C. transglutaminase
D. keratin 1 or 10

following
genes
ichthyosis vulgaris
most relevant


Question: A 15-year-old girl, three years ago began menstruation, recently was diagnosed with adolescent idiopathic scoliosis (adolescent idiopathic scoliosis), lateral bending degree is 22 degrees, Risser sign is 4, and the most appropriate treatment is now:

Answer: Observation (observation)

Choices:
A. Surgical treatment (surgery)
B. Backrest treatment (brace)
C. Observation (observation)
D. Electrical stimulation therapy

year old girl
three years
began menstruation
recently
diagnosed
adolescent idiopathic scoliosis
adolescent idiopathic scoliosis
lateral bending degree
degrees
sign
most appropriate treatment
now


Question: Moujun for the retirement of African farming team members, recently because of photophobia and blurred vision and eye phenomenon and seek medical attention. After inspection found that the patient's cornea micro filarial death, medical history, the patient has been stated many years ago in Africa river blackflies (Simulium spp.) Bites, but at that time did not mind, may I ask what kind of parasitic Moujun most likely to be infected insect?

Answer: Pan tail volvulus (Onchocerca volvulus)

Choices:
A. L. loa (Loa loa)
B. Pan tail volvulus (Onchocerca volvulus)
C. 斑氏絲蟲（Wuchereria bancrofti）
D. Brugia malayi (Brugia malayi)

retirement
farming
recently
photophobia
blurred vision
eye
medical
inspection found
patient's cornea micro
death
medical history
patient
stated
years
Africa
spp
Bites
time
not
I
kind
parasitic
to
infected insect


Question: When a 4-year-old boy taking a bath, my mother found his right abdomen bulge of mass, determined by ultrasound examination is about 8 cm large tumor, after surgical pathology diagnosis of adrenal cancer, which of the following is most likely genetic variation?

Answer: N-myc gene mutation increase

Choices:
A. N-myc gene mutation increase
B. p53 gene point mutation
C. c-myc gene translocation
D. RB gene deletion

4 year old boy
bath
found
right abdomen bulge
mass
determined by ultrasound examination
about
large tumor
surgical
adrenal cancer
following
genetic variation


Question: 44.40-year-old man, from two months ago began to progressive right side of tinnitus, ringing in the ears and pulse rate similar to this night will be louder and affect their sleep, and have a right ear after occipital headache. Why is the most likely diagnosis?

Answer: Dural arteriovenous fistula (dural arteriovenous fistula)

Choices:
A. Brain arteriovenous malformations (arteriovenous malformation)
B. Dural venous sinus thrombosis (dural sinus thrombosis)
C. Dural arteriovenous fistula (dural arteriovenous fistula)
D. Cerebral aneurysms (cerebral aneurysm)

40 year old man
two months
began
progressive right side
tinnitus
ringing in the ears
pulse rate similar
night
louder
sleep
right ear
occipital headache
diagnosis


Question: Account of acalculous acute cholecystitis, which of the following error?

Answer: In the absence of gallstones, so that the symptoms are caused by stones slight acute cholecystitis, preferred prognosis

Choices:
A. In the absence of gallstones, so that the symptoms are caused by stones slight acute cholecystitis, preferred prognosis
B. Occur in seriously ill or injured patients, may be related to the retention of the gallbladder or bile ischemia
C. About 5 to 10 percent of all acute cholecystitis
D. Most have to make an emergency cholecystectomy

Account
acalculous acute cholecystitis
following error


Question: What contaminants in water can cause young children "blue baby syndrome" (methemoglobenemia) problem?

Answer: Nitrate

Choices:
A. Sulfate
B. Nitrate
C. Phosphate
D. Carbonate

water
cause young children
blue baby syndrome
problem


Question: Term newborns, length 42 cm, weight 2.3 kg, small head size, small eye contour, mandibular poor growth, thin upper lip, the following diseases most likely diagnosis that?

Answer: Fetal alcohol syndrome (fetal alcohol syndrome)

Choices:
A. Fetal alcohol syndrome (fetal alcohol syndrome)
B. Neonatal abstinence syndrome (neonatal abstinence syndrome)
C. Mr. Tang disease (Down syndrome)
D. Williams Syndrome (Williams syndrome)

Term newborns
length
weight
kg
small
small eye contour
mandibular poor growth
thin upper lip
following diseases
likely diagnosis


Question: From the previous question, what simple checks you can make a diagnosis?

Answer: Chest X-ray

Choices:
A. Aqueous solvent oral contrast examination (oral water soluble contrast medium study)
B. Endoscopy
C. Abdominal ultrasound
D. Chest X-ray


Question: The following statements about Nissl bodies (Nissl's body), and what's right?

Answer: Appear within the cell body and dendrites, axons but no

Choices:
A. Constituted by ribosomes and Golgi
B. Appear within the cell body and dendrites, axons but no
C. Can only be observed under the electron microscope, optical microscope can not see
D. Typically positioned within synaptic vesicles

following
Nissl bodies
Nissl's body
right


Question: Sixty-eight male patients, lower back pain, bed rest has not been improved, and the pain gradually intensified after the accident a month ago appeared. Two weeks ago a fever, lumbar magnetic resonance imaging (MRI) examination shown. The most likely diagnosis is:

Answer: Infectious spondylitis (Infectious spondylitis)

Choices:
A. After the oppressive waist major muscle trauma fracture (Psoas muscle) bleeding
B. Ankylosing spondylitis (Ankylosing spondylitis)
C. Infectious spondylitis (Infectious spondylitis)
D. Cancer metastasis of bone (Bone metastasis)

male patients
lower back pain
bed rest
not
improved
pain
month
appeared
Two weeks
fever
lumbar magnetic resonance imaging
diagnosis


Question: Statements about times essential hypertension, which of the following error?

Answer: primary aldosteronism often associated with hyperkalemia

Choices:
A. primary aldosteronism often associated with hyperkalemia
B. The most common time for the onset hypertension, renal parenchymal disease (renal parenchymal disease)
C. Pheochromocytoma (pheochromocytoma) can also occur in extra-adrenal tissues of
D. One reason for sleep-disordered breathing is also essential hypertension times

times essential hypertension
following error


Question: 18-year-old woman complained of neck mass clinics to repeated inflammation of about a year, the advice to found a hyoid bone below the neck midline 2 cm cyst move up and down with swallowing action, ask the following statements is wrong?

Answer: Often malignant changes need to remove as soon as possible

Choices:
A. This cyst is the most common congenital neck cyst
B. Surgical treatment of multiple use "Sistrunk 'surgery
C. Need to rule out the possibility of ectopic thyroid in order to avoid mistakenly cut the sole of the thyroid
D. Often malignant changes need to remove as soon as possible

year old woman
of neck mass clinics
repeated inflammation
year
found
hyoid bone
neck midline 2
cyst move
down
swallowing action
following
wrong


Question: A 35-year-old man from a routine medical examination was diagnosed with hepatitis B, liver function was normal, serum alpha-fetoprotein (α-fetoprotein, AFP) within the normal range. This proposal of the patient, which of the following error?

Answer: Every 6 months abdominal computed tomography

Choices:
A. Clinic every six months to track
B. Serum alpha-fetoprotein every 6 months (α-fetoprotein, AFP) Check
C. Every 6 months abdominal computed tomography
D. Every six months, liver function tests

35 year old man
routine
diagnosed
hepatitis B
liver function
normal
serum
fetoprotein
normal range
patient
following error


Question: Can activate B cell antigen (antigen), that it does not include one of the following characteristics?

Answer: The need for participation of MHC molecules and antigen and immunoglobulin receptor on B cells in combination

Choices:
A. The need for participation of MHC molecules and antigen and immunoglobulin receptor on B cells in combination
B. multi-epitope on the antigen is hydrophilic properties
C. As the B cells cognition peptides, which may be a sequence having the amino acid sequence of discontinuity antigen
D. The antigen may be protein, polysaccharide or lipid

activate
not include one
following characteristics


Question: Current knowledge, Ezihaimo disease (Alzheimer disease) causes risk factors most associated with which of the following?

Answer: Aging (aging)

Choices:
A. Aging (aging)
B. Cardiovascular risk factors, such as (Hypertension) Hypertension
C. Low education level (low education)
D. Head injury (head injury)


Question: Cause of familial hypercholesterolemia (familial hypercholesterolemia) are:

Answer: In the liver cell membrane LDL receptor defect

Choices:
A. In the liver cell membrane LDL receptor defect
B. Extracellular matrix adhesion cholesterol and liver (Matrix) is reduced
C. Cholesterol is not efficiently absorbed by the stomach cells
D. Active transport of cholesterol into the red blood cells is inhibited

Cause
familial hypercholesterolemia
familial hypercholesterolemia


Question: Under a 55-year-old female patient at the time because of back pain clinic for examination, physical examination was normal, but when reviewing a previous blood tests and found that she appeared high blood calcium and alkaline phosphatase enzyme (Alkaline phosphatase) increased, following what causes the least likely item?

Answer: Osteoporosis

Choices:
A. Multiple Myeloma
B. Metastatic bone lesions
C. Hyperparathyroidism
D. Osteoporosis

year old female patient
time
of back pain clinic
normal
reviewing
previous blood tests
found
appeared high blood
alkaline phosphatase enzyme
Alkaline phosphatase
increased
following
causes
least likely


Question: When the smoking cessation therapy replacement therapy (replacement therapy) loss, consider that one of the following drugs?

Answer: bupropion

Choices:
A. trazodone
B. bupropion
C. citalopram
D. venlafaxine


Question: 19 a 42 year old woman has severe abdominal pain for 2 hours to come to seek treatment, serum biochemistry amylase 3,564 U / L (normal 60 ~ 180 U / L), lipase 1,500 U / L (normal <160 U / L), no significant biochemical abnormalities other. Will those patients should be considered for immediate disposal? Fasting    intravenous infusion intravenous octreotide  intravenous broad spectrum antibiotics

Answer: Only 

Choices:
A. Only 
B. Only 
C. Only 

year old woman
severe abdominal
hours to
to
treatment
serum
amylase
U
L
normal 60
U
L
lipase
500 U
L
normal
U
L
significant biochemical abnormalities
patients
immediate
Fasting
intravenous infusion
octreotide
broad spectrum


Question: From the previous question, intervention methods of primary care physicians is:

Answer: Patients are encouraged to set a date to stop smoking

Choices:
A. Review of patients to quit smoking program, reduce the temptation to smoke the emotion
B. Strengthen the cognitive benefits of patients quit smoking, the benefits of reducing the perception of smoke, so that patients tend to stop smoking than the last
C. Patients are encouraged to set a date to stop smoking
D. Discuss the impact of smoking on health

previous
intervention methods
primary care physicians


Question: 18 when an 80-year old man injured in a car accident ride the forehead, the upper limbs to the emergency room for about 2 minutes, about 3-4 points lower limbs, the patient had had a history of cervical degenerative diseases. Physical examination had bilateral Hoffmann's sign and bilateral deep tendon reflexes (DTR) to enhance the situation, and still retains anal anal function (anal tone preserved). The old gentleman is most likely what spinal injuries?

Answer: Central cord syndrome (central cord syndrome)

Choices:
A. Central cord syndrome (central cord syndrome)
B. The front side of the spinal cord syndrome (anterior cord syndrome)
C. Brown-Séquard syndrome
D. Complete rupture of the cervical spinal cord


Question: A 30-year-old Taiwanese left-handed occur deep vein thrombosis (deep vein thrombosis, DVT), review their family history, his brother died of pulmonary embolism at the age of 35. Which of the following is least likely cause of this patient DVT occurs?

Answer: factor V Leiden mutation

Choices:
A. protein C deficiency
B. protein S deficiency
C. antithrombin III deficiency
D. factor V Leiden mutation

30 year old
left-handed occur deep vein thrombosis
deep vein thrombosis
DVT
family history
died
pulmonary embolism
age
35
following
least likely cause
patient DVT occurs


Question: The following related sphincterotomy (transurethral sphincterotomy) is applied to describe neurological micturition disorders, whichever is the most correct?

Answer: Surgery aims to reduce urethral resistance, promote urination

Choices:
A. Apply to women
B. Applies to beam cauda equina lesions dysuria
C. The method of operation is the use of a cystoscope completely removed the sphincter
D. Surgery aims to reduce urethral resistance, promote urination

following related sphincterotomy
transurethral sphincterotomy
applied to
neurological micturition
most correct


Question: A 60-year-old male patient, long-term diabetes and high blood pressure, good control with oral medications. 1 due for treatment of liver dysfunction, blood tests GOT value of 68 U / L, GPT value of 104 U / L (normal two are 0 ~ 35 U / L), following a diagnosis that the most impossible?

Answer: Chronic Hepatitis A

Choices:
A. Chronic Hepatitis A
B. Chronic hepatitis B
C. Chronic hepatitis C
D. Fatty liver

60 year old male patient
long-term diabetes
high blood pressure
good control
oral medications
1 due
treatment
liver dysfunction
blood tests
value
U
L
GPT value
104 U
L
normal two
0
35 U
L
following
diagnosis
most


Question: 47. Because his father suffering from tuberculosis or accept contacts examined 23-year-old man, his chest X-ray examination was normal, but blood test hepatitis C interferon (interferon-γ release assay) were positive. Which of the following is recommended most inappropriate?

Answer: The first two months of receiving rifampin and pyrazinamide daily treatment

Choices:
A. The first 9 months of isoniazid therapy to accept daily
B. Receiving isoniazid once weekly doses of 12 and rifapentine treatment
C. The first two months of receiving rifampin and pyrazinamide daily treatment
D. When his father suffered a strain resistant to isoniazid, may recommend taking four months of rifampin treatment

suffering
tuberculosis
accept
examined 23 year old man
chest X-ray
normal
blood test hepatitis C interferon
interferon
release assay
positive
following
most inappropriate


Question: About calcium storm (hypercalcemic crisis), the following statements is wrong?

Answer: Many patients restless, excited consciousness

Choices:
A. Many patients restless, excited consciousness
B. Calcium Chaoguo 16 mg / dL
C. Parathyroid hyperplasia or cancer prone
D. Treatment should be given normal saline infusion and furosemide

calcium storm
hypercalcemic crisis
following
wrong


Question: The ultimate goal is to develop health education:

Answer: Health Behavior

Choices:
A. Health knowledge
B. Health Belief
C. Healthy attitude
D. Health Behavior


Question: Peritoneal dialysis is the most important complication of that kind?

Answer: Infection (Infection)

Choices:
A. High blood sugar (Hyperglycemia)
B. Infection (Infection)
C. Hernia (Hernia)
D. Leak (leakage)

Peritoneal dialysis
most important complication
kind


Question: A half years old child was brought outpatient want to get vaccinated, when he was 11 months old, had been due to illness treated immunoglobulin (IVIG) is. Following up what vaccines vaccination is more appropriate?

Answer: Hepatitis A Vaccine

Choices:
A. Measles - rubella - mumps vaccine
B. Chickenpox Vaccine
C. Hepatitis A Vaccine
D. Active Japanese encephalitis vaccine

half years
brought outpatient
to
vaccinated
months old
due to illness treated immunoglobulin
IVIG
Following up
vaccines vaccination
more appropriate


Question: Strong base titration with NaOH containing glycine (Glycine) solution at pH = 12, to complete the titration process, this time the main chemical formula of glycine Why?

Answer: NH2-CH2-COO-

Choices:
A. NH3+-CH2-COOH
B. NH2-CH2-COO-
C. NH2-CH3+-COO-
D. NH3+-CH2-COO-

Strong base titration
containing glycine
Glycine
solution
pH
to complete
titration process
time
main
glycine


Question: 39 Zhou Xinsheng female infants, birth weight of 2,400 grams, is 47 centimeters in length, head circumference was 33 cm. According to the accompanying fetal growth curve, following a narrative that is most likely to be the baby's features?

Answer: Late fetal growth retardation

Choices:
A. Late fetal growth retardation
B. Lower infant growth potential
C. There may be chromosomal abnormalities
D. There may be congenital infection

female infants
birth weight
400 grams
centimeters
length
head circumference
fetal growth curve
following
to
baby's features


Question: About the appendix carcinoid (appendiceal carcinoid tumor) of the narrative, which of the following error?

Answer: If the size of 1.8 cm, located in the base (base of appendix), can be simply implemented appendectomy

Choices:
A. Is the most common malignant tumor of the appendix
B. Most asymptomatic, but less than 1 cm
C. If the size of 1.8 cm, located in the base (base of appendix), can be simply implemented appendectomy
D. If the size of 3 cm, preferably implemented right hemicolectomy (right hemicolectomy)

appendix carcinoid
appendiceal carcinoid tumor
following error


Question: Masako scan (Positron emission tomography, PET) to help most of the following scenarios?

Answer: The systemic diagnosis of lung cancer metastasis

Choices:
A. Mediastinal lymph node tuberculosis difference or tumor metastasis
B. Diagnostic bronchoalveolar cell carcinoma (bronchoalveolar carcinoma)
C. The systemic diagnosis of lung cancer metastasis
D. Lung cancer associated with differential diagnosis of patients with diabetes

scan
Positron emission tomography
to help most
following scenarios


Question: Wei's lung fluke infection routes (Paragonimus westermani) as follows:

Answer: Fresh capsule containing raw crab larvae (metacercaria) of

Choices:
A. Capsule containing raw freshwater fish larvae (metacercaria) of
B. Capsule containing raw aquatic larvae (metacercaria) of
C. Fresh capsule containing raw crab larvae (metacercaria) of
D. Moving the tail larvae (cercaria) penetrate into the skin infection


Question: A 50-year-old man burning pain under the sternum several years, endoscopic examination revealed significant of reflux esophagitis, from the esophagus to be biopsies (endoscopic biopsies) above the junction of the stomach inflammation at 5 cm in, the pathology report the severity of adverse developmental cylindrical epithelium (columnar epithelium with severe dysplasia), if the lower heart and lung function and general health of the patient allows, ask the patient the best treatment for this why?

Answer: Embodiment esophageal resection and colorectal esophagus reconstruction using a period (esophagectomy and esophageal reconstruction with a segment of colon)

Choices:
A. With antacids (antacids or H2 blockers)
B. Embodiment antireflux surgery (anti-reflux surgery)
C. Embodiment esophageal resection and colorectal esophagus reconstruction using a period (esophagectomy and esophageal reconstruction with a segment of colon)
D. Radiation therapy (radiotherapy)


Question: A trauma patient, abdominal bleeding and perform emergency surgery. Entering the operating room, blood pressure 75/50 mmHg, heart rate 110 / min. What kind of anesthesia induction agent is more appropriate?

Answer: Ketamine

Choices:
A. Propofol
B. Ketamine
C. Thiopental
D. Midazolam

trauma patient
abdominal bleeding
perform emergency surgery
Entering
operating room
blood pressure 75 50 mmHg
heart rate
min
kind of anesthesia induction agent
more appropriate


Question: Related duodenal ulcer (duodenal ulcer), in patients with pyloric antrum (pyloric antrum) of the mucosa (mucosa) cell changes Which statement is correct?

Answer: The number of suppressor cells auxin (somatostatin-secreting cell) increased

Choices:
A. The number of gastrin cells (gastrin-secreting cell) increased
B. The number of suppressor cells auxin (somatostatin-secreting cell) increased
C. The number of adherent cells (parietal cell) of a substantial increase
D. The number of Paneth cells (Paneth cell) a significant increase

Related duodenal ulcer
duodenal ulcer
patients
pyloric antrum
pyloric antrum
mucosa
mucosa
cell changes
correct


Question: Causes weight loss surgery Roux-en-Y gastric bypass surgery death (mortality), the following statements is wrong?

Answer: One female patient also risk factors (risk factor)

Choices:
A. 30 days after the mortality rate of about 0.3% to 0.5%
B. One female patient also risk factors (risk factor)
C. Pulmonary embolism is a common factor
D. Heart attack (cardiac event) is a common factor


Question: Detect biological occupational diseases, sister chromatid exchange (sister chromatid exchanges), chromosome mutation (chromosomal aberrations), p53 gene mutation, a biological indicator of what disease?

Answer: cancer

Choices:
A. cancer
B. Cardiovascular diseases
C. Neurological Disorders
D. Liver Disease

Detect biological occupational diseases
chromosome mutation
chromosomal aberrations
p53 gene mutation
biological indicator
disease


Question: Age and weight to calculate two variables Pearson's correlation coefficient r (Pearson's correlation coefficient), the following statements is true?

Answer: r = 0, indicates that no linear correlation between two variables

Choices:
A. r = 0.25, representing each increasing age 1 year of age, body weight increased 0.25 times
B. r = 0, indicates that no linear correlation between two variables
C. Unit weight in kilograms or pounds, different values r
D. r = -0.8, the greater the age, body weight represents the weight of the more


Question: Which of the following symptoms are not thinking disorders (formal thought disorders)?

Answer: Paranoid (persecutory delusion)

Choices:
A. Ideas leap (flight of ideas)
B. New mutism (neologism)
C. Pause to think (thought blocking)
D. Paranoid (persecutory delusion)

following symptoms
not
disorders
formal thought disorders


Question: Which of the following is not a cell chemokine?

Answer: IL-2

Choices:
A. IL-2
B. IL-8
C. Leukotriene B4 (LTB4)
D. MCP-1（CCL2）


Question: To diagnose visceral larva migrans (visceral larva migrans) shall be based on the three following according to the clinical diagnosis?

Answer: Eosinophilic leukocytosis, hepatomegaly, increased serum globulin

Choices:
A. Eosinophilic leukocytosis, splenomegaly, increased serum albumin
B. Neutrophil leukocytosis, liver enlargement, increased serum globulin
C. Eosinophilic leukocytosis, hepatomegaly, increased serum globulin
D. Neutrophil leukocytosis, splenomegaly, increased serum albumin

To diagnose visceral larva migrans
visceral larva migrans
based
three following
clinical diagnosis


Question: About iron deficiency anemia (Iron-deficiency anemia) patients, heart failure does not occur, or if a serious gastrointestinal bleeding, which of the following error?

Answer: Now give red blood cell transfusion

Choices:
A. Note that after taking iron stomach and constipation situation
B. Reticulocyte follow-up examinations
C. After routine blood examination was normal, continue to give iron therapy is generally recommended 2-3 months
D. Now give red blood cell transfusion

iron deficiency anemia
Iron-deficiency anemia
patients
heart failure
not occur
serious gastrointestinal bleeding
following error


Question: 75-year-old male, parathyroid hormone concentration in the blood rises, abdominal X-rays, such as drawings, change its spine Why?

Answer: renal osteodystrophy

Choices:
A. renal osteodystrophy
B. ankylosing spondylitis
C. metastasis
D. osteomyelitis

75 year old male
parathyroid hormone concentration
blood
abdominal X-rays
change
spine


Question: Patients received general anesthesia for thoracic scoliosis (scoliosis) corrective surgery, the anesthesiologist perform surgery sobriety tests (wake-up test), the purpose of which is to test the patient's neurological function?

Answer: Lower limb motor function

Choices:
A. Lower extremity sensory function
B. Upper limb motor function
C. Lower limb motor function
D. Upper extremity sensory function

Patients received general anesthesia
thoracic scoliosis
scoliosis
corrective surgery
anesthesiologist perform surgery
tests
wake-up test
purpose
to test
patient's neurological function


Question: That one of the following maximum concentration of antibodies in the serum?

Answer: IgG

Choices:
A. Age
B. IgE
C. IgG
D. IgM

one
following maximum concentration
antibodies
serum


Question: Usually female pubic hair development extends to the thigh, means Downer staging (Tanner stage) of several issues?

Answer: Fifth

Choices:
A. the second term
B. Phase III
C. Phase IV
D. Fifth

Usually
pubic hair
extends
thigh
staging
Tanner stage
several issues


Question: Prenatal monitoring (antepartum fetal surveillance) is the main purpose why?

Answer: To prevent fetal death

Choices:
A. To prevent fetal death
B. Identify fetal malformations
C. Determination of fetal maturity
D. Estimated fetal sex

Prenatal
antepartum fetal surveillance
main purpose


Question: Which of the following is not Mifepristone (RU 486) of the role?

Answer: Antiestrogen

Choices:
A. Antiprogesterone
B. Antiestrogen
C. Antiandrogen
D. Antiglucocorticoid


Question: 67 developmental delay should include those aspects can be expected to have abnormal or slow development of the phenomenon, need to receive early treatment and education? ① ② cognitive development of language and communication development ③ ④ psychosocial development of motor development

Answer: ①②③④

Choices:
A. Only ①④
B. Only ①②④
C. Only ①③④
D. ①②③④

67 developmental delay
include
aspects
to
abnormal
slow development
need to receive early treatment
cognitive development
development
motor


Question: The following account of the enzyme reaction, what's wrong?

Answer: Enzymes can change the equilibrium constant for the chemical reaction, the rate of rise of the positive reaction

Choices:
A. Enzymes can change the equilibrium constant for the chemical reaction, the rate of rise of the positive reaction
B. Most enzymes are proteins, but a few molecules of ribonucleic acid (RNA) also has the ability to catalyze
C. The general chemical reaction rate will increase with increasing temperature, but the majority of the enzyme reaction rate will decrease significantly when the temperature is too high
D. Enzymes can be distinguished by the different optical properties of mass, and therefore the reaction stereospecificity (stereospecificity) high


Question: Angina patients using nitrate (Nitrate), after sympathetic beta-blockers (Beta blocker) and calcium blockers, if there is still angina, which of the following improper disposal?

Answer: Nonsteroidal drugs inhibiting inflammation (Nonsteroidal anti-inflammatory drugs)

Choices:
A. Potassium channel opening drugs (Potassium channel opener)
B. Nonsteroidal drugs inhibiting inflammation (Nonsteroidal anti-inflammatory drugs)
C. Interventional heart catheter diagnosis and treatment
D. Use  angiotensin converting inhibitors (Angiotensin-converting enzyme inhibitors) to patients with diabetic complications

Angina patients using nitrate
Nitrate
beta-blockers
Beta blocker
calcium
angina
following


Question: Which is not an opportunistic fungal infections important predisposing factor diseases?

Answer: Male and female

Choices:
A. Taking anti-microbial agents
B. Malignancies
C. Surgery or burns
D. Male and female

opportunistic fungal important predisposing factor diseases


Question: Air pollution is an environmental issue Richangshenghuo concerns. Air pollutant is very complex, routine monitoring of the pollutant carbon monoxide, nitrogen oxides, sulfur dioxide, ozone and fine particles, special circumstances may also determination of volatile organic compounds. The content of these pollutants and the most easiest and heme is bound:

Answer: Carbon monoxide

Choices:
A. oxygen
B. Carbon monoxide
C. ozone
D. Sulfur dioxide

environmental issue
Air pollutant
very complex
routine monitoring
pollutant carbon monoxide
sulfur dioxide
fine
special
determination
volatile organic compounds
pollutants
most easiest
heme
bound


Question: Statements about the rectosacral fascia, which of the following error?

Answer: rectosacral fascia, also known as do Denonvilliers fascia

Choices:
A. It connects presacral fascia and rectal fascia propria position in S4
B. If the procedure accidentally pierced the landmark, will be back into the presacral fascia caused by venous plexus injuries bloodbath
C. If the surgical separation process is not organized along rectosacral fascia, forward would undermine the fascia propria, the risk of local cancer metastasis
D. rectosacral fascia, also known as do Denonvilliers fascia


Question: The following Radical resection of bladder-related (radical cystectomy) narrative, what's wrong?

Answer: Do not have to stop taking aspirin before surgery

Choices:
A. After intravesical perfusion is still repeated recurrence of bladder cancer or high grade bladder carcinoma in situ (carcinoma in situ) patients, it is recommended to perform this
B. Do not have to stop taking aspirin before surgery
C. Deep leg vein thrombosis may occur after surgery
D. Surgery mortality rate of about 1 to 3%

following Radical
bladder related
radical cystectomy
wrong


Question: The following information about mifepristone (RU-486) pharmacological effects described, what's wrong?

Answer: Clinical worsening symptoms of Cushing's syndrome (Cushing's syndrome) is

Choices:
A. As a selective glucocorticoid receptor antagonist (glucocorticoid receptor antagonist)
B. Highly active anti-progesterone (antiprogestin activity) action, it can be used as a contraceptive agent
C. Clinical worsening symptoms of Cushing's syndrome (Cushing's syndrome) is
D. Orally active

following
mifepristone
RU-486
pharmacological effects
wrong


Question: The most common sustained arrhythmia Why?

Answer: Atrial fibrillation (atrial fibrillation)

Choices:
A. Supraventricular tachycardia (supraventricular tachycardia)
B. Ventricular tachycardia (ventricular tachycardia)
C. Atrial fibrillation (atrial fibrillation)
D. Atrial flutter (atrial flutter)


Question: Large 3-month boy coughing for 10 days, beginning last 3 days of fever, shortness of breath. Pulmonary auscultation both asthma song (wheezes) crude rales (coarse crackles), and a depression phenomena (subcostal retraction) lower rib. Chest X-rays as shown, then check one of the following best diagnosis?

Answer: Respiratory syncytial virus antigen test

Choices:
A. Respiratory syncytial virus antigen test
B. Mycoplasma pneumoniae IgG and IgM
C. Urine test for vanillylmandelic acid
D. Bone marrow biopsy

Large 3 month boy coughing
10 days
beginning last 3 days
fever
shortness of breath
Pulmonary auscultation
asthma
wheezes
rales
coarse crackles
depression
subcostal retraction
lower rib
Chest X-rays
then check one
following best diagnosis


Question: Incubation (Histoplasma capsulatum), Histoplasma capsulatum, scrambling, dry prevents shifting of other contaminating fungi, which of the following is generally added in the medium?

Answer: Actinomycetes Kin酮 (Cycloheximide)

Choices:
A. Ring serine (Cycloserine)
B. Actinomycetes Kin酮 (Cycloheximide)
C. Chlorination ⿑ Ming (clofazimine)
D. Quinupristin (Quinupristin)

dry prevents shifting
contaminating fungi
following
added
medium


Question: Related to growth hormone (GH) of the narrative, Which of the following most correct?

Answer: Configured and prolactin (Prolactin) similar to

Choices:
A. Its also known as somatomedin
B. Configured and prolactin (Prolactin) similar to
C. In the daytime the highest amount of secretion
D. From bovine growth hormone is widely used in the clinical

Related
growth hormone
following
correct


Question: Cause hypokalemia (hypokalemia), excluding which of the following?

Answer: Taking spironolactone

Choices:
A. diarrhea
B. Persistent vomiting
C. Taking spironolactone
D. Hyperaldosteronism (hyperaldosteronism)

Cause hypokalemia
hypokalemia
excluding
following


Question: In addition to elevated uric acid, blood and urine as well as a substance that increases in Lesch-Nyhan syndrome in?

Answer: Hypoxanthine

Choices:
A. Hypoxanthine
B. Inosine 5'-hypoxanthine
C. Guanosine 5'-monophosphate
D. ATP

elevated uric acid
blood
urine
increases
Lesch-Nyhan syndrome


Question: Lin 36 years old, suffering from acute myeloid leukemia after chemotherapy successfully achieved complete remission status, allogeneic hematopoietic stem cell transplantation in the doctor suggested. Which of the following test its reliability and timeliness of the most successful transplant can confirm?

Answer: DNA/STR（short tandem repeat）analysis

Choices:
A. RBCs ABO grouping
B. DNA/STR（short tandem repeat）analysis
C. chromosomal study
D. RH system


Question: When there is a change of ECG hyperkalemia treatment of acute hyperkalemia merger, in order to avoid hyperkalemia complications following a way that the effect of the fastest happen?

Answer: calcium gluconate intravenous infusion

Choices:
A. Insulin (insulin) plus glucose infusion
B. Ion exchanger (cation exchange resin) oral
C. B (β2) accelerator sympathetic (adrenergic agonists) spray use
D. calcium gluconate intravenous infusion

change
ECG hyperkalemia treatment
acute
order to
hyperkalemia complications following
effect
fastest


Question: 34-year-old Mr. Chen and his wife have been married for six years did not have children, Mr. Chen to urology examination, semen analysis found no sperm and semen less, pH value of 7.0. On examination described not touch both sides of the vas deferens scrotum. He is the most likely diagnosis is:

Answer: Congenital sides No vas deferens (congenital bilateral absence of vas deferens)

Choices:
A. After sub testicles (epididymitis) causes both epididymis tubule blocking
B. Ejaculatory duct obstruction
C. Counterflow ejaculation (retrograde ejaculation)
D. Congenital sides No vas deferens (congenital bilateral absence of vas deferens)

year old Mr
married
six years
not
children
Mr
urology
semen analysis found
semen
pH value
7
not touch
sides of
vas deferens scrotum
diagnosis


Question: 77 A 28-year-old pregnant woman smoking, was found lying unconsciousness family bathroom, the 119 sent to hospital A, B transferred to the hospital after three hours (pregnant women are using 100% oxygen masks in the ambulance and hospital B), At this point the patient has recovered consciousness sober, measured arterial blood carboxyhemoglobin is 8%, PaO2 = 480 mmHg, then the following statements is true? (Note: smokers blood carboxyhemoglobin up to 5-10%)

Answer: This would suggest pregnant women HBO (Hyperbaric oxygen) treatment

Choices:
A. This represents not pregnant smokers carbon monoxide (CO) poisoning
B. This would suggest pregnant women HBO (Hyperbaric oxygen) treatment
C. Carbon monoxide toxicity damage to the pregnant mother is more serious than the fetus
D. PaO2 reached 480 mmHg, patients did not indicate hypoxia and should not need to use oxygen therapy


Question: 34. Which of the following is breast tissue pathology report, as a necessary factor to determine adjuvant chemotherapy (chemotherapy) of? Tumor size ① ② ③ lymph node metastasis position ④ male hormone receptor negative

Answer: ①②④

Choices:
A. ①②③
B. ①③④
C. ①②④
D. ②③④

following
breast tissue
factor to
adjuvant chemotherapy
chemotherapy
Tumor size
lymph node metastasis position
male hormone receptor negative


Question: 19. A pattern-recognition receptors (pattern recognition receptors, PRRs) is the innate immune system to recognize pathogen-associated molecular pattern (pathogenassociated molecular patterns, PAMPs) antigen receptor, are reflected in all the innate immune cells. About pattern recognition receptors statements is wrong?

Answer: DNA-based pattern recognition receptor RIG-I (RIG-I-like receptors) are DNA viruses identify receptors, RIG-I and class messages after receptor binding and immune cell DNA will generate a first type transfer results interferon

Choices:
A. Pattern recognition receptors toll-like receptor (Toll-like receptors) are ancient conserved evolutionarily pathogen recognition receptors, even in invertebrates expressive
B. Toll-like receptor (Toll-like receptors) Identification of TLR3 and TLR7, respectively double-stranded and single-stranded RNA virus derived from
C. NOD-based pattern recognition receptors (nod-like receptors) receptors are mainly intracellular pathogens in the identification, cell wall components such as Salmonella (Salmonella) and Listeria monocytogenes (Listeria) of
D. DNA-based pattern recognition receptor RIG-I (RIG-I-like receptors) are DNA viruses identify receptors, RIG-I and class messages after receptor binding and immune cell DNA will generate a first type transfer results interferon

pattern-recognition receptors
pattern recognition receptors
PRRs
immune system to
associated molecular pattern
molecular patterns
PAMPs
antigen receptor
About pattern recognition receptors
wrong


Question: Which of the following is a Down's syndrome child (Down syndrome) most commonly merger of heart disease?

Answer: In-room cushion defect (endocardial cushion defect)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Patent ductus arteriosus (patent ductus arteriosus)
C. Method Rockwell Snap disease (tetralogy of Fallot)
D. In-room cushion defect (endocardial cushion defect)

following
Down's syndrome child
heart disease


Question: Which of the following  (enzyme) does not rise in the myocardial infarction?

Answer: glutamic pyruvic transaminase（GPT）

Choices:
A. creatine kinase（CK）
B. creatine kinase MB form（CK-MB）
C. glutamic oxaloacetic transaminase（GOT）
D. glutamic pyruvic transaminase（GPT）

following
enzyme
not
myocardial infarction


Question: Patients were asked the following figure pushing up the abdomen of sandbags, which is doing what muscle strength training following?

Answer: Cross diaphragm

Choices:
A. Rectus skin
B. External oblique
C. Cross diaphragm
D. Intercostal muscle

Patients
following
pushing up
abdomen
muscle following


Question: Which of the following is not a growth hormone (growth hormone) on the clinical indications that can be used?

Answer: The insulin preparation 63 following carpal tunnel syndrome (carpal tunnel syndrome) in accordance with its onset of action (onset) from fast to slow arranged to validity?

Choices:
A. Prader - Willi syndrome (Prader-Willi syndrome)
B. Toruosame Mr. diseases (Turner syndrome)
C. Short bowel syndrome (short bowel syndrome)
D. The insulin preparation 63 following carpal tunnel syndrome (carpal tunnel syndrome) in accordance with its onset of action (onset) from fast to slow arranged to validity?

following
not
growth hormone
growth hormone
clinical
used


Question: Miss Yang, after a quarrel with the chief, suddenly lost for words, more than a month in the diagnosis and treatment of many divisions, did not find any problems on the organ. Today to psychiatric treatment, psychiatrists diagnose Miss Yang lost for words not deliberately fake, but its symptoms are not neurological or other physiological diseases can be explained. Miss Yang why the most likely diagnosis?

Answer: Conversion disorder (conversion disorder)

Choices:
A. 詐病（malingering）
B. 偽病（factitious disorder）
C. Dissociation disorder (dissociative disorder)
D. Conversion disorder (conversion disorder)

Miss
lost
more
month
diagnosis
treatment
divisions
not find
organ
Today
psychiatric treatment
psychiatrists diagnose Miss
lost
not
symptoms
not neurological
physiological diseases
Miss
diagnosis


Question: 50 order of the polymerase chain reaction (polymerase chain reaction) process Why? ①DNA extension (extension) ②DNA denaturation (denaturation) ③ DNA template primer binding (annealing)

Answer: ②③①

Choices:
A. ①③②
B. ②①③
C. ②③①
D. ①②③

50 order
polymerase chain reaction
polymerase chain reaction
process
DNA extension
extension
template


Question: Related to decompression sickness (decompression sickness; DCS) described it, what's wrong?

Answer: In the normal height of 3,000 meters, the atmospheric pressure is 565 mmHg, which is approximately 95% oxygen saturation

Choices:
A. Each drop in sea water meter 10, the pressure increases by 1 atm
B. In addition to the DCS hyperbaric oxygen treatment, also recommended fluids
C. Nose bleeding is pressure trauma (barotrauma) when diving drop, caused by the symptoms
D. In the normal height of 3,000 meters, the atmospheric pressure is 565 mmHg, which is approximately 95% oxygen saturation

Related
decompression sickness
decompression sickness
DCS
wrong


Question: A girl suffering from chronic leukemia chemotherapy have not been fully relieved after six months, X-ray examination revealed right middle lobe infiltrate. Then the brain necrosis, which in FIG endoscopic findings, it is seen:

Answer: Mold

Choices:
A. bacterial
B. Mold
C. virus
D. Leukemia cells

girl suffering
chronic leukemia chemotherapy
not
relieved
six months
X-ray
revealed right middle lobe infiltrate
Then
brain necrosis
endoscopic findings
seen


Question: 6 A 63-year-old male 15 kg weight loss recently, he has 20 years history of diabetes, physical examination found to have cracks (fissured tongue) on the tongue and feeling the vibration of the lost. Blood examination revealed hemoglobin 10.1 g / dL and mean corpuscular volume of 124 fL. Following what most likely diagnosis?

Answer: Pernicious anemia (pernicious anemia)

Choices:
A. Alcoholism (alcoholism)
B. Low thyroid function (hypothyroidism)
C. Erosive gastritis (erosive gastritis)
D. Pernicious anemia (pernicious anemia)


Question: Xian ⽣ examined ⾎ pressure on the lower limbs, the lower limbs dorsalis pedis artery systolic pressure of 90 mmHg, measured at the upper arm ⾎ pressure 150/75 mmHg, mean ⾎ pressure of 100 mmHg, the following statements is true?

Answer: ankle-brachial index為0.6

Choices:
A. ankle-brachial index為0.6
B. Because less information diastolic blood pressure lower limbs, unable to calculate the ankle-brachial index
C. ankle-brachial index為0.9
D. Lower limb to the measurement site dorsalis pedis artery, can not calculate the ankle-brachial index

examined
pressure
lower limbs
lower dorsalis pedis artery systolic
90 mmHg
measured
upper arm
pressure
75 mmHg
mean
pressure
100 mmHg
following
true


Question: Which of the following cancer metastasis to the lowest chance of bones?

Answer: Hepatic carcinoma

Choices:
A. Breast cancer
B. Hepatic carcinoma
C. Lung cancer
D. Prostate Cancer

following cancer metastasis
lowest chance
bones


Question: Before the scheduled patients undergoing cataract surgery, with the patient should be noted that the details of their benefits and risks of surgery, and after confirming that patients understand and agree, then ask patients to sign informed consent procedure (informed consent), this practice is the most important in make sure:

Answer: Patient autonomy

Choices:
A. Patient autonomy
B. Patient Privacy
C. Waste of resources
D. Fairness and justice

scheduled patients
cataract surgery
patient
noted
details
benefits
surgery
confirming
patients
agree
then
patients to sign
procedure
most important
make sure


Question: 5-year-old girl, pain around the navel past six months the situation appears more than once and medical treatment, the next figure is its pedigree, the following statements is most appropriate?

Answer: Case has undergone major stressful life events (stressful life event)

Choices:
A. Case family nuclear family
B. Case has undergone major stressful life events (stressful life event)
C. Stressful life events has nothing to do with the case of health problems
D. Abdominal X-rays (plain abdomen) is sufficient to understand the cause of abdominal pain patients

5 year old girl
pain
navel past six months
appears more than once
medical treatment
next
following
most appropriate


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

Answer: Occur in the face of the trigeminal nerve third branch region

Choices:
A. Occur in the face of the trigeminal nerve third branch region
B. Can be accompanied by ipsilateral sclera of the eye black blue spots
C. Usually unilateral lesion
D. Occur in Asian women


Question: 2. narrative about daptomycin (Daptomycin) of, which of the following error?

Answer: The multidrug resistance effective maltophilia Aeromonas (Stenotrophomonas maltophilia)

Choices:
A. Acting on the cell membrane
B. Is a lipid peptide (lipopeptides) drugs
C. The multidrug resistance effective maltophilia Aeromonas (Stenotrophomonas maltophilia)
D. Vancomycin-resistant may be treated (Vancomycin) of S. aureus (Staphylococcus aureus) diseases caused by


Question: Which of the following is part of the pelvic diaphragm (pelvic diaphragm) of?

Answer: Levator ani (levator ani)

Choices:
A. Levator ani (levator ani)
B. Obturator muscle (obturator internus)
C. Deep transverse perineal muscles (deep transverse perineal muscle)
D. The external urethral sphincter (external urethral sphincter)

following
part of
pelvic diaphragm
pelvic diaphragm


Question: An acceptance of women after hysterectomy photographic examination of the bladder as shown in the following statements is most accurate?

Answer: Obstetric fistula

Choices:
A. Congenital double vagina
B. Obstetric fistula
C. Bladder cancer
D. Bladder prolapse

hysterectomy photographic
bladder
following
most accurate


Question: At the same time that these enzymes involved in glycolysis (glycolysis) and neonatal glucose (gluconeogenesis) of metabolic pathways?

Answer: 3-phosphoglycerate kinase (3-phosphoglycerate kinase)

Choices:
A. 3-phosphoglycerate kinase (3-phosphoglycerate kinase)
B. Hexose kinase (Hexokinase)
C. Phosphofructokinase -1 (phosphofructokinase-1)
D. Pyruvate kinase (pyruvate kinase)

same time
enzymes involved
neonatal glucose
metabolic pathways


Question: Which of the following is located within the lumen of the spine (vertebral canal), and even up to the base of the skull cap film (tectorial membrane)?

Answer: Posterior longitudinal ligament (posterior longitudinal ligament)

Choices:
A. Nucleus (nucleus pulposus)
B. Looped fibers (annulus fibrosus)
C. Anterior longitudinal ligament (anterior longitudinal ligament)
D. Posterior longitudinal ligament (posterior longitudinal ligament)

following
lumen
spine
vertebral canal
the base of
skull cap film
tectorial membrane


Question: A 52-year-old male patient due to cough one week for medical treatment, chest X-ray photography has found the right lower lung field of a suspected tumor lesions; other routine blood tests also found to have anemia: Hb 9 gm / dL, MCV 72 fL ( Normal: 80-100). Which of the following diagnostic tests will not help?

Answer: serum vitamin B12

Choices:
A. serum vitamin B12
B. serum ferritin
C. serum Hb electrophoresis
D. Hb H stain

year old male patient due to cough one
medical treatment
chest X-ray
found the right lower lung field of
suspected tumor lesions
routine blood tests
found to
anemia
Hb
gm
dL
MCV 72 fL
Normal
80 100
following diagnostic tests
not help


Question: When the average of the difference of the number of sample statistics and female parent population is 0, i.e., equal to the expected value of the statistic parent number. This statistic has the following characteristics statistically what?

Answer: Without bias

Choices:
A. Effectiveness
B. consistency
C. Sufficiency
D. Without bias

number
sample statistics
female
population
0
i.e
equal to
value
statistic
number
statistic
following characteristics


Question: Which of the following bladder lesions FGFR3 mutations occur most often?

Answer: Low grade malignant non-invasive urothelial carcinoma (noninvasive low-grade papillary urothelial carcinoma)

Choices:
A. Low grade malignant non-invasive urothelial carcinoma (noninvasive low-grade papillary urothelial carcinoma)
B. A high degree of non-invasive malignant urothelial carcinoma (noninvasive high-grade papillary urothelial carcinoma)
C. Carcinoma in situ (carcinoma in situ)
D. Highly malignant invasive urothelial carcinomas (invasive high-grade papillary urothelial carcinoma)

following bladder lesions FGFR3
occur
often


Question: 6 for disposal after the kidney transplant, of the following is correct? ① often used β-blockers, hydralazine, and calcium channel blockers to control hypertension ②nystatin (mycostatin) is often used to prevent oral fungal infections ③trimethoprim-sulfamethoxazole (baktar) is used to prevent urinary tract infections and pneumocystis pneumonia (of Pneumocystis carinii) ④ antacids (antacids) is used to prevent ulcers ⑤ aspirin (aspirin) is used to prevent arterial thrombosis (arterial thrombosis)

Answer: ①②③④

Choices:
A. ①③⑤
B. ①②④⑤
C. ②③④⑤
D. ①②③④

calcium channel blockers to control hypertension nystatin

often used to prevent oral fungal infections trimethoprim-sulfamethoxazole


Question: Account of prolactin (prolactin) Relationship between blood concentrations and clinical symptoms, which of the following error?

Answer: Blood concentrations will circadian rhythm of prolactin (Prolactin), the lowest point of 22:00 to 2:00

Choices:
A. When the blood concentration of 2 ~ 30 ng / mL, the absence of other persons will normally ovulatory dysfunction
B. With increasing concentrations of blood may cause ovulation, menstruation and no insufficient luteal function
C. Blood concentrations will circadian rhythm of prolactin (Prolactin), the lowest point of 22:00 to 2:00
D. When the blood concentration of 100 ng / mL or more, there will be no menstruation clinical

Account
prolactin
prolactin
Relationship
blood concentrations
clinical symptoms
following error


Question: Related cytokine function, the following statements is wrong?

Answer: IL-17 primarily functions to attract eosinophils

Choices:
A. Regulatory T cells (regulatory T cell) secrete TGF-β to suppress effector T cells (effector T cell) functions of
B. IL-6 and TGF-β can help CD4 + T cells into T helper type XVII (the TH17)
C. IL-17 primarily functions to attract eosinophils
D. IL-4 and IL-5 secreted primarily from the second type of T helper cells (TH2), can work together to help B cells to produce IgE antibodies

Related cytokine function
following
wrong


Question: Filling speed and cardiac diastolic function of the left ventricle about 28, also affects the hardness of left ventricular filling speed which may cause changes in ventricular diastolic function, as shown in FIG left ventricular pressure volume (pressure-volume curve), the solid line representative of normal left ventricular function, the dotted line represents the abnormal left ventricular diastolic function (diastolic function) appear, that following a graphical representation of chamber dilation of the left ventricle?

Answer: Figure D

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


Question: The following description related to alcohol (ethanol), and what's wrong?

Answer: In the case of ethanol absorption and distribution of the same, when the same amount of alcohol consumption, usually male blood alcohol concentrations higher than F

Choices:
A. In the case of ethanol absorption and distribution of the same, when the same amount of alcohol consumption, usually male blood alcohol concentrations higher than F
B. Forbidden role in the administration of benzodiazepines drugs can relieve alcohol (withdrawal syndromes)
C. Ethanol via hepatic metabolism, increase the NADH / NAD + ratio
D. When the plasma ethanol concentration exceeds 200 mg / dL (0.2%), shaking will walk, drive is not suitable for


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

Answer: Secretion of cerebrospinal fluid (CSF)

Choices:
A. Secretion of cerebrospinal fluid (CSF)
B. Extends along the optic nerve (optic nerve) to the rear wall of the eye
C. Communicates with the brain ventricles
D. There are cerebral artery

following
subarachnoid
subarachnoid space
wrong


Question: Which of the following is not diabetic ketoacidosis performance?

Answer: Urine specific gravity low

Choices:
A. feel sick and vomit
B. Urine specific gravity low
C. The blood pH <7.0
D. Shortness of breath and rapid heartbeat


Question: 552-year-old male patient at the time of December 8th night of 11 sudden onset of chest pain, mild breathing difficulties. To 2 pm the next day only to the emergency room for treatment. Physical examination found that acute symptoms, blood pressure 140/70 mmHg, heart rate 88 / min, no jugular venous distention, the heart no noise, no chest auscultation leg edema and other physical examination are normal. ECG showed typical anterior myocardial infarction changes. That term following the disposal of a combination of the most suitable for this patient?  intravenous tPA  oral aspirin  oral captopril  oral atenolol  arrangements for emergency cardiac catheterization


Question: Ansa cervicalis narrative about the, what's wrong?

Answer: From below into the sternocleidomastoid muscle

Choices:
A. Distributed in infrahyoid muscles
B. After the hypoglossal nerve (hypoglossal nerve) and the first and second cervical nerve (C1, C2) anastomosis is formed
C. From below into the sternocleidomastoid muscle
D. radical surgery to clear


Question: A 80-year-old man, from three years ago, skin lesions grow in the soles of the feet as shown in Figure, the most likely diagnosis is:

Answer: Melanoma (melanoma)

Choices:
A. Melanocytic nevi (melanocytic nevus)
B. Melanoma (melanoma)
C. Kaposi's sarcoma (Kaposi's sarcoma)
D. Basal cell carcinoma (basal cell carcinoma)

80 year old man
three years
skin lesions
soles of
feet
diagnosis


Question: A sixth cervical spinal cord injury only 20-year-old male patient, setting its target rehabilitation (rehabilitation goal) is, which of the following most difficult to reach?

Answer: Use underarm crutches

Choices:
A. After the self-feeding aids worn
B. Can control their own electric wheelchair
C. Use underarm crutches
D. Translocation to be part of the assistance between bed and wheelchair

sixth cervical spinal cord injury only 20 year old male patient


Question: 10-year-old boy presented hydrocephalus and urinary frequency phenomena such as diabetes insipidus, magnetic resonance angiography showed the brain has a concave saddle 3 cm cystic tumor calcification is most appropriate that following a diagnosis?

Answer: Craniopharyngioma (craniopharyngioma)

Choices:
A. Craniopharyngioma (craniopharyngioma)
B. Calcified pituitary tumors (calcified pituitary adenoma)
C. Ependymoma (ependymoma)
D. Few dendritic cell tumor (oligodendroglioma)

10 year old boy
hydrocephalus
urinary frequency
diabetes insipidus
magnetic resonance angiography
brain
concave
cystic
most appropriate
following
diagnosis


Question: Which of the following is causing epidural hemorrhage (epidural hematoma) the most likely cause?

Answer: Meningeal artery (middle meningeal artery) rupture

Choices:
A. Ring cerebral artery (arterial circle of cerebrum) hemangioma rupture
B. Maxillary artery (maxillary artery) Bleeding
C. Meningeal artery (middle meningeal artery) rupture
D. Anterior cerebral artery (anterior cerebral artery) bleeding

following
causing epidural hemorrhage
epidural hematoma
cause


Question: Which of the following does not belong to congenital platelet deficiency (congenital thrombocytopenia) disease?

Answer: neonatal alloimmune thrombocytopenic purpura

Choices:
A. Wiskott-Aldrich syndrome
B. neonatal alloimmune thrombocytopenic purpura
C. amegakaryocytic thrombocytopenia
D. Fanconi anemia

following
not
congenital
deficiency
congenital thrombocytopenia
disease


Question: From the previous question, the patient, the treatment of the following items best suited to what?

Answer: Wrist splint therapy

Choices:
A. Oral anti-inflammatory analgesics
B. Neck traction therapy
C. Wrist splint therapy
D. Inflatable compression therapy (pneumatic compression)

previous patient treatment following best