Question: About swallowing mechanism, the following statements is wrong?

Answer: Of oropharynx (oral phase) for independent movement, until the base of the tongue from the inlet to the food portion (tongue base)

Choices:
A. Of oropharynx (oral phase) for independent movement, until the base of the tongue from the inlet to the food portion (tongue base)
B. The first action of the throat (pharyngeal phase) is blocking the pharynx jaw (velopharyngeal closure)
C. Of the esophagus (esophageal phase) starting from the throat ring opening (cricopharyngeal opening)
D. Three sphincter to prevent tracheal inhalation include: epiglottis (epiglottis), false vocal cords (false cord), true vocal cords (true


Question: A 30-year-old married woman have long menstrual pain, sexual intercourse often feel unwell, and many years of infertility cases, on clinical wonder whether they have:

Answer: Endometriosis

Choices:
A. Uterine fibroids
B. Endometriosis
C. Endometrial cancer
D. Pelvic inflammatory disease

30 year old married woman
long menstrual pain
sexual intercourse often
unwell
years
infertility cases
clinical


Question: The following statements about surfactant (surfactant) of, what's wrong?

Answer: Can reduce pulmonary compliance (lung compliance)

Choices:
A. A second alveolar cells secrete
B. Can reduce the surface tension of the alveoli
C. Small and continuous patterns may reduce respiratory secretion
D. Can reduce pulmonary compliance (lung compliance)


Question: About narcolepsy (Narcolepsy) of the main clinical symptoms, which of the following error?

Answer: Sleepwalking (sleep walking)

Choices:
A. Cataplexy (cataplexy)
B. Sleepwalking (sleep walking)
C. Sleep paralysis (sleep paralysis)
D. Daytime sleepiness (excessive daytime sleep)

narcolepsy
Narcolepsy
main clinical symptoms
following error


Question: Cause human disease cause of death in developed countries, in addition to pathogens, the following factors where the greatest impact?

Answer: Personal lifestyle

Choices:
A. Personal lifestyle
B. The quality of environmental factors
C. Personal physiological conditions
D. The quality of medical equipment

Cause human disease
of death
developed countries
following factors
greatest impact


Question: 51-year-old woman, complained of the past six months, headache, hemp and right lower limb weakness, according to the attached diagram MRI (T1WI with Gd-DTPA), the diagnosis is:

Answer: Meningioma

Choices:
A. Glioblastoma multiforme (GBM)
B. Oligodendroglioma
C. Giant aneurysm
D. Meningioma

year old woman
past six months
headache
hemp
right
diagram MRI
Gd-DTPA
diagnosis


Question: Three rounds of hyperparathyroidism (tertiary hyperparathyroidism), whichever is correct?

Answer: A year after kidney transplantation, calcium, parathyroid hormone continues to rise, should surgery

Choices:
A. A year after kidney transplantation, calcium, parathyroid hormone continues to rise, should surgery
B. Bone pain, pruritus is not serious, should surgery
C. BMD did not decrease (T> -2.5), surgical treatment should
D. Without recurrence hardly resection

Three rounds
hyperparathyroidism
tertiary hyperparathyroidism
correct


Question: Which of the following non-rheumatoid nodules (rheumatoid nodules) predilection site?

Answer: There have been near the site of skin injury and

Choices:
A. Position around the joint
B. Extension side surface of the limbs
C. Often suffer from pressure surges site
D. There have been near the site of skin injury and

following non rheumatoid nodules
rheumatoid nodules
site


Question: Mycoplasma (Mycoplasma) and L form bacterial cell wall is also a lack of structure, the biggest difference between the two Why?

Answer: Mycoplasma cell membranes containing the sterols, the L form no bacteria

Choices:
A. Mycoplasma cell membranes containing the sterols, the L form no bacteria
B. L form on the bacterial cell membrane containing a sterol, and no mycoplasma
C. Under appropriate growth conditions, mycoplasma cell wall structure may be formed, while the L form bacteria NO
D. Mycoplasma of β-lactam drugs sensitive, and L form bacteria is resistant

cell wall
lack
structure
biggest difference
two


Question: 72.21-year-old woman, no past medical history. Three days before the start of fever, cough. Today there is still a fever clinic, and shortness of breath than, chest pain when breathing. Clear consciousness, blood pressure 100/70 mmHg, pulse rate 100 bpm, respiration 24 bpm, ear thermometer 9 ℃, left lower lobe buckle diagnosis voiced (dullness), chest X-ray showed infiltration of the left lower lobe, diagnosis of pneumonia. In community clinics should be given to what the most appropriate disposal?

Answer: Azithromycin treatment may be preferred

Choices:
A. Should be given antibiotics before blood culture
B. Always perform sputum culture
C. Azithromycin treatment may be preferred
D. Moxifloxacin therapy may be preferred

72 21-year-old woman
past medical history
Three days
start
fever
cough
Today
fever clinic
shortness of breath
chest pain
breathing
Clear consciousness
blood pressure 100 70 mmHg
pulse rate 100
respiration
ear thermometer
left lower lobe buckle diagnosis voiced
dullness
chest X-ray
infiltration
left lower lobe
diagnosis
pneumonia
community clinics
given
most appropriate


Question: A young 65 year old man, three weeks before gradually turn yellow skin and sclera, and recently two days stool color changes to gray. Supreme abdominal pain, nor fever. Physical examination found the right upper quadrant have a painless lump. Will the following diagnostic whichever is less suitable?

Answer: Acute hepatitis

Choices:
A. Acute hepatitis
B. Pancreatic cancer
C. Biliary obstruction
D. Periampullary tumor

young 65 year old man
three weeks
turn yellow skin
sclera
recently two days stool color changes
gray
Supreme abdominal pain
fever
found
right upper quadrant
painless lump
following diagnostic
less suitable


Question: About Hepatitis D virus (Delta agent) of the narrative, Which statement is correct?

Answer: When the virus formation requires HBV surface antigen (surface antigen)

Choices:
A. Deficient mutants of HBV (defective mutant)
B. When the virus formation requires HBV surface antigen (surface antigen)
C. And HCV-related
D. Containing double-stranded DNA virus


Question: Olfactory region of the nasal cavity (olfactory region) that does not have one of the following cell?

Answer: Goblet cells (goblet cell)

Choices:
A. Bipolar neurons (bipolar neuron)
B. Goblet cells (goblet cell)
C. Basal cells (basal cell)
D. Sertoli cells (sustentacular cell)

Olfactory region
nasal cavity
olfactory region
not
one
following cell


Question: About short bowel syndrome (short bowel syndrome) after resection of the small intestine, the following statements is wrong?

Answer: Resection of the jejunum (jejunum) are prone to short bowel syndrome than ileal resection (ileum)

Choices:
A. Less than 50% resection of the small intestine, the body can withstand more than usual, but without malabsorption of short bowel syndrome appears
B. Ileocecal valve if saved, compared with less prone to short bowel syndrome
C. Resection of the jejunum (jejunum) are prone to short bowel syndrome than ileal resection (ileum)
D. Intestinal transplantation is a serious short bowel syndrome treatment options

About short bowel syndrome
short bowel syndrome
resection of
small intestine
following
wrong


Question: Periodic health examination is an important project of preventive health care. Check the following items related diseases should be included in the scope of the described periodic health check, whichever is wrong?

Answer: Screening way up to the specialist to improve the credibility

Choices:
A. The disease must have a significant impact on health
B. The prevalence of the disease should be quite cost-effective to
C. The disease should be effective after the onset of the treatment, and early treatment with a better effect than the
D. Screening way up to the specialist to improve the credibility

Periodic health examination
important
Check
following
related diseases
included
periodic
check
wrong


Question:
60
 From the previous questions, the following information that a determination of whether to give him oral hypoglycemic agents most helpful?

Answer: Glycated hemoglobin

Choices:
A. Glycated hemoglobin
B. Chest X-ray
C. ECG
D. blood pressure

60
previous
following
determination
to give
oral hypoglycemic agents most helpful


Question: Sick Children in the game, due to cyanosis and dyspnea, the game must be interrupted, and hold the position for a while squatting station, the situation was improving, then the machine turn why?

Answer: Can be increased peripheral vascular resistance squat the partial reduction of the flow right to left

Choices:
A. Can be increased peripheral vascular resistance squat the partial reduction of the flow right to left
B. When the squat, leg muscle contraction, can reduce venous return, reduce heart failure
C. When the squat lower head, the head blood flow easily
D. When the squat, comparisons can increase lung capacity

Sick Children
cyanosis
dyspnea
interrupted
hold
position
squatting station
improving
then
machine turn


Question: Assess the adequacy of tissue perfusion, which of the following is most reliable?

Answer: Blood lactate concentration

Choices:
A. blood pressure
B. Heartbeat
C. Cardiac output (cardiac output)
D. Blood lactate concentration

adequacy
tissue perfusion
following
most


Question: The following description of inter-related intertrochanteric fractures, what's wrong?

Answer: Likely to have nonunion and avascular necrosis of complications

Choices:
A. Medical conditions as long as the patient is stable, i.e., should the surgical fixation
B. Likely to have nonunion and avascular necrosis of complications
C. Occur more frequently in older persons
D. May be associated with the distal radial fracture, and proximal humeral fracture

inter related intertrochanteric fractures


Question: The following muscle that is dominated by the throat outside nerve (external laryngeal nerve)?

Answer: Cricothyroid muscle (cricothyroid muscle)

Choices:
A. Dipper muscle backing ring (posterior cricoarytenoid muscle)
B. Outer cricoarytenoid muscle (lateral cricoarytenoid muscle)
C. Cricothyroid muscle (cricothyroid muscle)
D. Kinoehishakuhada (thyroarytenoid muscle)

following muscle
throat outside nerve
external laryngeal nerve


Question: The cholesterol-lowering Statin drugs can sometimes cause muscle damage caused by muscle enzymes such as CK in the blood to rise. If while taking these drugs which are most likely to increase the rate of Statin produce muscle disease or severity?

Answer: Fibrate lipid-lowering drugs

Choices:
A. Fibrate lipid-lowering drugs
B. Heinz loop diuretics (loop diuretics)
C. Sulfonylurea type hypoglycemic agent
D. Warfarin anticoagulants

cholesterol-lowering Statin drugs
sometimes cause muscle damage caused
muscle enzymes
as CK
blood to
drugs
to increase
rate
Statin
muscle disease
severity


Question: 12-year-old boy has a respiratory infection a few days ago, two days appeared swollen eyelids, scrotal edema. Urine examination showed proteinuria> 300 mg / dL, RBC 3 ~ 5 / HPF, serum albumin, 1.7 gm / dL, the physician administering the steroid after eight weeks of treatment, again detecting urinary protein is still> 300mg / dL the reaction, and the blood creatinine acid value of two months increased by 1.2 mg / dL, which of the following is the most likely diagnosis boys?

Answer: Local nested glomerular sclerosis (focal segmental glomerulosclerosis)

Choices:
A. Small changes in type nephropathy (minimal change nephropathy)
B. Local nested glomerular sclerosis (focal segmental glomerulosclerosis)
C. Glomerular basement membrane disease film (thin glomerular basement membrane disease)
D. IgA nephritis (IgA called nephropathy,)

year old boy
respiratory infection
few days
two days appeared swollen eyelids
scrotal edema
Urine examination
proteinuria
300 mg
dL
RBC
HPF
serum albumin
1.7 gm
dL
physician administering
steroid
eight weeks
treatment
detecting urinary protein
dL
reaction
blood creatinine acid value
two months increased
2 mg
dL
following
diagnosis boys


Question: The most frequent complications after appendectomy Why?

Answer: Infection in subcutaneously and intraperitoneally

Choices:
A. pneumonia
B. Urinary tract infections
C. Intestinal fistula subcutaneous
D. Infection in subcutaneously and intraperitoneally

most frequent complications
appendectomy


Question: Which of the following congenital heart disease have to keep an open ductus arteriosus (ductus arteriosus), otherwise usually fatal soon after birth?

Answer: The main artery occlusion (aortic atresia)

Choices:
A. Ventricular septal defect (ventricular septal defect)
B. Coarctation of the aorta (coarctation of aorta)
C. Atrial septal defect (atrial septal defect)
D. The main artery occlusion (aortic atresia)


Question: Wang, 25, obstetric history as G2P2, you want to have a third baby, but it has been three years are no longer pregnant. Her menstrual rules, but she had two years ago because of appendicitis caused by a ruptured appendix persistent fever, with severe peritonitis surgery. Her husband 28-year-old, semen analysis (semen analysis) normal, she and her husband do not have medical aspects of the disease. Because of her infertility to your out-patient clinics, which are most likely to couple infertility causes are:

Answer: Tubal factor (tubal factor)

Choices:
A. Quality egg (oocyte quality) poor
B. Tubal factor (tubal factor)
C. Male factor (male factor)
D. Cervix and immunological factors (cervical and immunologic factors)

obstetric history
to
third baby
three years
longer pregnant
menstrual
two years
appendicitis caused
ruptured appendix persistent fever
severe peritonitis surgery
year old
semen analysis
semen analysis
normal
not
medical aspects
disease
of
infertility
out-patient clinics
to couple infertility causes


Question: The following description of various diseases to adolescents and changes of adulthood, what's wrong?

Answer: Part of the autistic children to early adulthood (young adulthood) symptoms improved, in order to improve the rituals and repetitive behaviors most

Choices:
A. Attention deficit hyperactivity disorder symptoms may continue to adolescents and adulthood
B. Have a family history of attention deficit hyperactivity disorder, conduct disorder and regulate negative life events, symptoms persist for predicting adverse factor
C. If the child has a self-closing in 5 to 7 years of age and language communication IQ higher than 70, then the prognosis is better
D. Part of the autistic children to early adulthood (young adulthood) symptoms improved, in order to improve the rituals and repetitive behaviors most

following various adolescents changes adulthood wrong


Question: Which of the following is given parenteral nutrition (parenteral feeding) adaptation?

Answer: Gastrointestinal fistula (gastrointestinal-cutaneous fistulas)

Choices:
A. Hyperthyroidism (hyperthyroidism)
B. Acute cholecystitis (acute cholecystitis)
C. Gastrointestinal fistula (gastrointestinal-cutaneous fistulas)
D. Venous thromboembolism (venous thromboembolism)

following
given parenteral nutrition
parenteral feeding
adaptation


Question: A 38-year-old man complained of severe pain in his right knee, his right knee about a month history of pain, after martial arts hall and massage can not find weight-bearing walking. Found local swelling when seeking treatment, associated with significant tenderness and jarring sound (crepitus sound). X-ray photography in the right proximal femur has a lesion in the following figure. Diagnosis and treatment of this patient, which of the following most inappropriate?

Answer: Fracture reduction and fixation immediately

Choices:
A. Skeletal traction embodiment, in order to maintain the relative positions of the bone
B. Arrange whole body bone scan (bone scan)
C. Arrangements for Magnetic Resonance Imaging (MRI)
D. Fracture reduction and fixation immediately

year old man
severe pain
right knee
right
month history
pain
massage
not find weight-bearing
Found local swelling
treatment
associated with significant tenderness
jarring sound
crepitus sound
X-ray
right proximal femur
lesion
following
Diagnosis
following
inappropriate


Question: Cheek muscles (buccinator) dominated by what nerve?

Answer: The seventh cranial nerve buccal branch of the (buccal branch)

Choices:
A. The fifth cranial nerve of the buccal nerve (buccal nerve)
B. The seventh cranial nerve buccal branch of the (buccal branch)
C. The second branch of the fifth cranial nerve
D. Twelfth cranial nerve


Question: 56 year old woman three weeks ago because of chest pain and the diagnosis of acute myocardial infarction, after thrombolytic treatment received and discharged. Recently two days because I felt it surge through the outpatient and inpatient. Patient said she was regularly taking the physician open drug containing atorvastatin, lisinopril, metoprolol, aspirin. Physical examination blood pressure 100/45 mm Hg, heart rate 46 times per minute, bilateral pulmonary rales (bilateral crackles), jugular venous distention, bilateral lower extremity edema, no new heart murmur or gallop sound (gallop). ECG sinus bradycardia, presenting recent myocardial infarction, but the new changes did not occur. Following the disposal of whichever correct?

Answer: Use of diuretics, and reduced or stopped metoprolol

Choices:
A. Emergency placement of pacemaker
B. Measuring free thyroxine T4 (free T4)
C. Use of cardiac drugs dobutamine
D. Use of diuretics, and reduced or stopped metoprolol


Question:
4. Mr. Zhang was sent to the families of the emergency room, they only know a bad mood because of Mr. Zhang, swallowed a lot of headache medicine (acetaminophen) after been nausea, vomiting, general tiredness and weakness. Blood tests results are as follows: alanine aminotransferase (ALT): 894 U / L (normal: 0 ~ 40); aspartate aminotransferase
 (AST): 720 U / L (normal: 5 ~ 45); total bilirubin: 2.2 mg / dL (normal: 0.2 ~ 1.6); direct bilirubin: 1.8 mg / dL
 (Normal: 0 ~ 0.3); alkaline phosphatase (ALK-P): 42 U / L (normal: 10 ~ 100); gamma-glutamyl transpeptidase (γ-
 U / L (normal: 6 ~ 60). About the damage caused by the drug, whichever is most incorrect?

Answer: Mr. Zhang Failure to liver failure, or later turn into chronic liver disease

Choices:
A. This is a dose (dose dependent) related to liver damage
B. Drug concentration in blood and the severity of liver injury related
C. Mr. Zhang Failure to liver failure, or later turn into chronic liver disease
D. Can cause kidney failure

4
Mr
sent
emergency room
only
Mr
swallowed
lot
headache medicine
acetaminophen
nausea
vomiting
general tiredness
weakness
Blood tests results
follows
alanine aminotransferase
ALT
U
L
normal
0
40
aspartate aminotransferase
AST
720 U
L
normal
5
total bilirubin
2.2 mg
dL
normal
0
6
direct bilirubin
1.8 mg
dL
Normal
0
3
alkaline phosphatase
U
L
normal
10
100
gamma-glutamyl transpeptidase
U
L
normal
6
60
damage caused
drug
most incorrect


Question: Which of the following Flumazenil is an antagonist of narcotic drugs (Antagonist)?

Answer: Midazolam

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

following Flumazenil
antagonist
narcotic
Antagonist


Question: Related cervical intraepithelial neoplasia (CIN) treatment Which statement is correct?

Answer: CIN III cervical cone may be cut

Choices:
A. CIN I want to treat immediately
B. CIN II are not suitable for cryotherapy
C. CIN III cervical cone may be cut
D. CIN III must be made hysterectomy


Question: Which of the following drugs can cause patients not lose consciousness intravenous anesthesia drugs?

Answer: Neostigmine

Choices:
A. Propofol
B. Diazepam
C. Neostigmine
D. Midazolam


Question: Eye complications caused by sinusitis, which of the following is the most commonly cultivated strains?

Answer: Haemophilus influenza (Haemophilus influenzae)

Choices:
A. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
B. 白黴菌（mucormycosis）
C. Staphylococci (Staphylococcus)
D. Haemophilus influenza (Haemophilus influenzae)

Eye complications caused
sinusitis
following
most
strains


Question: About atopic dermatitis narrative Which statement is correct?

Answer: Can be combined vulgaris fish ringworm (ichthyosis vulgaris)

Choices:
A. Serum immunoglobulin E (of IgE) low
B. Often appear red skin disease designated pattern (red dermatographism)
C. Palm and palm fewer feet (hypolinearity of palms and soles)
D. Can be combined vulgaris fish ringworm (ichthyosis vulgaris)


Question: About tears flow, which of the following error?

Answer: Nasolacrimal duct (nasolacrimal duct) opening into the nasal cavity to the nasal passage (middle meatus)

Choices:
A. Lacrimal tear secretion by the lacrimal gland (lacrimal ducts) is released into the conjunctival sac (conjunctival sac)
B. Lake of Tears (lacrimal lake) in the point of tears to flow into tears (lacrimal puncta)
C. Lacrimal duct (lacrimal canaliculi) introduced into the lacrimal tear (lacrimal sac)
D. Nasolacrimal duct (nasolacrimal duct) opening into the nasal cavity to the nasal passage (middle meatus)


Question: Blood lead levels (blood lead level, units of μg / dl) and the urinary Guding Ni concentration (cotinine level, units of ng / ml) measured data of a group of children, comparison Jinyu blood lead concentration in urine concentration whichever Guding Ni varied greatly, which of the following statistic most appropriate?

Answer: The coefficient of variation (coefficient of variation)

Choices:
A. Standard deviation (standard deviation)
B. Variance (variance)
C. The coefficient of variation (coefficient of variation)
D. Full distance (range)

Blood lead levels
blood lead level
units
g
dl
urinary
Ni concentration
cotinine level
units
ng
ml
measured data
children
blood concentration in
Ni
greatly
following statistic most appropriate


Question: Children receiving high doses of cortisol treatment, when the need to avoid vaccination Which of the following vaccines?

Answer: Measles, mumps and rubella (MMR) vaccine

Choices:
A. Measles, mumps and rubella (MMR) vaccine
B. Hepatitis B vaccine
C. Diphtheria, pertussis and tetanus (DPT) vaccine
D. Inactivated polio virus vaccine (Salk vaccine)

Children receiving high doses
cortisol treatment
need to
vaccination
following vaccines


Question: 29. A process ⽣ mediastinal germ cell tumors, pumping ⾎ examination of fetal white globulin (alpha fetal protein) membrane and cashmere ⽑ hormone (beta-HCG), the following classification of whichever of said error?

Answer: Seminomas (seminoma) of ⾎ clear egg white and fetal ball down ⽑ significant increase during film hormone Index

Choices:
A. Seminomas (seminoma) of ⾎ clear egg white and fetal ball down ⽑ significant increase during film hormone Index
B. This check item identification ⼆ as seminomas (seminoma) and non-seminoma (nonseminomatous germ cell tumor) of
C. This check may evaluate ⼆ term effects of chemotherapy
D. This ⼆ indices on a regular basis to detect the early detection of tumor recurrence

29
process
mediastinal germ cell tumors
pumping
examination
fetal white globulin
alpha fetal protein
membrane
hormone
beta-HCG
following classification
error


Question: That one of the following diseases of the eye, easy to concurrent filamentary keratitis (Filamentary keratitis)?

Answer: Dry eye

Choices:
A. Huge follicular conjunctivitis
B. Trachoma
C. cataract
D. Dry eye

one of the following diseases
eye
easy
concurrent filamentary keratitis
Filamentary keratitis


Question: 80 years old man, in the upper right half facial rash and multiple blisters as shown in FIG., The following statements is wrong?

Answer: Taking care of his son may contact their wounds and get shingles hand

Choices:
A. Shi has not yet hit the chickenpox vaccine (varicella vaccine) grandson, may be due to contact with the man's wounds and infected produce chickenpox (varicella)
B. Taking care of his son may contact their wounds and get shingles hand
C. Must note ophthalmology, eye check for violations
D. The first branch of the trigeminal nerve viral invasions

80 years old man
upper right half facial rash
multiple blisters
following
wrong


Question: 32. arthropod intermediate host may be those when the following tapeworm? ① pork tapeworm (Taenia solium) ② canine tapeworm genital complex (Dipylidium caninum) ③ narrow envelope tapeworm (Hymenolepis diminuta) ④ Aeromonas tapeworms (Echinococcus granulosus)

Answer: ②③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④

following tapeworm
pork tapeworm
Taenia solium
tapeworm genital complex
narrow envelope tapeworm
Echinococcus granulosus


Question: After myocardial infarction, in addition to following what circumstances, are required to carry out emergency heart surgery or as soon as possible?

Answer: Left ventricular aneurysms occur

Choices:
A. Continued after infarction angina pectoris
B. Left ventricular aneurysms occur
C. Papillary muscle rupture caused by mitral insufficiency
D. Myocardial necrosis caused by ventricular septal defect

myocardial infarction
following
required to carry out emergency heart
possible


Question: The most common symptoms of small hepatocellular carcinoma (small hepatocellular carcinoma) Why?

Answer: Usually no symptoms

Choices:
A. Usually no symptoms
B. ascites
C. jaundice
D. Vomiting blood

most common symptoms
small hepatocellular carcinoma
small hepatocellular carcinoma


Question: The following about the superior mesenteric artery (SMA) syndrome narrative, what's wrong?

Answer: More prone to obesity

Choices:
A. Also known as Wilkie's syndrome
B. SMA refers duodenum 3rd portion is oppressed
C. More likely to occur in young women
D. More prone to obesity

following
superior mesenteric artery
syndrome
wrong


Question:
39. A 45 year old woman, usually in good health, but nearly three months to feel bloating, loss of appetite, fatigue, weakness. Physical examination showing his face and conjunctival pallor, abdominal palpation can touch another significant enlargement of the spleen and liver. Real Data for display, the white blood cells of up to 260,000 / μL, Hemoglobin 7.7 g / dL, platelets 650,000 / μL, leukocyte display blast 10%, promyelocyte 19%, myelocyte 9.8%, metamyelocyte 9.5%, band 12.3%, segmented neutrophil 24%, basophil 7%, eosinophil 6.3%,
 lymphocyte 1.3%. Bone marrow cells of the display chromosome t (9; 22) (q34; q11). The bone marrow blasts 2%. The blood smear as shown in FIG. The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: In the chronic phase, if the patient does not have obvious symptoms, you can observe the track, without immediate drug treatment

Choices:
A. Treatment of the disease is now the first-line drugs are tyrosine kinase inhibitors, e.g. imatinib, dasatinib or nilotinib
B. In the chronic phase, if the patient does not have obvious symptoms, you can observe the track, without immediate drug treatment
C. Such patients of leukocyte alkaline phosphatase (LAP) score is often reduced
D. For this disease, a rare diagnosis that is the beginning of the acute phase

year old woman
usually
nearly three months to
bloating
loss of appetite
fatigue
weakness
face
conjunctival pallor
abdominal palpation
touch
significant enlargement of
spleen
liver
Real
white blood cells
Hemoglobin
g
dL
platelets 650
L
display blast 10
9.5
band
segmented
marrow
display chromosome
9
bone marrow blasts 2
blood smear
following
patient
likely diagnosis
treatment
diseases
wrong


Question: For pancreatitis patients with indications for surgery, what does not include the following items?

Answer: Can not eat

Choices:
A. Diagnostic uncertainty
B. Complicated by intra-abdominal infections
C. Can not eat
D. Intra-abdominal bleeding can not be controlled

pancreatitis patients
indications
surgery
not include
following


Question: Wutai Tai found in the stomach during a routine health check endoscopic gastric polyps 1 cm in size, the need for which of the following polypectomy?

Answer: Slice pathology report adenoma (adenomatous polyp)

Choices:
A. Slice pathology report hyperplastic polyps (hyperplastic polyp)
B. Slice pathology report adenoma (adenomatous polyp)
C. Slice pathology report hamartoma (hamartoma)
D. Section pathology report as ectopic tumors (heterotopic polyp)

found
stomach
routine
check endoscopic gastric
size
need
following polypectomy


Question: Wang ⼩ sister 45 years old, married, has recently found the left breast ⼩ block tumor, the physician diagnosis of breast cancer, after is performed manually excision, and administered cyclophosphamide, methotrexate and 5-fluorouracil chemotherapy for cancer, paired following drugs and machine transfer of what's correct?

Answer: methotrexate & 5-fluorouracil: antimetabolites (anti-metabolites)

Choices:
A. cyclophosphamide & methotrexate：抑制topoisomerase II
B. methotrexate & 5-fluorouracil: inhibiting mitosis (The Mitosis)
C. methotrexate & 5-fluorouracil: antimetabolites (anti-metabolites)
D. cyclophosphamide & 5-fluorouracil: DNA alkylate (DNA alkylating agents)


Question: Which of the following is most consistent with the cardiac cycle (cardiac cycle) atrial pressure (atrial pressure), ventricular pressure (ventricular pressure) and aortic pressure (aortic pressure) the relative relationship description?

Answer: Isovolumic ventricular diastolic (isovolumetric ventricular relaxation), the pressure is greater than or equal to the ventricular atrial pressure

Choices:
A. Addition of congestive heart ventricle (ventricular filling), the aortic pressure is less than the atrial pressure
B. Of ventricular ejection (ventricular ejection), the ventricular pressure is less than the aortic pressure
C. Isovolumic ventricular systole (isovolumetric ventricular contraction), the ventricular pressure is greater than or equal to aortic pressure
D. Isovolumic ventricular diastolic (isovolumetric ventricular relaxation), the pressure is greater than or equal to the ventricular atrial pressure

following
most
cardiac cycle
cardiac cycle
atrial pressure
atrial pressure
ventricular pressure
ventricular pressure
aortic pressure
aortic pressure
relative relationship


Question: A 60-year-old male patient than a week ago degenerative hip arthritis underwent left total hip replacement surgery treatment of the whole (total hip replacement), five days after injection of analgesics and cephalosporin treatment, 7 patients after surgery day began persistent diarrhea, abdominal pain, and with a little bloody stools, fever and leukocytosis, but no peritonitis phenomenon, this time in addition to stool culture, how to deal with this before?

Answer: As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy

Choices:
A. Give buscopan, treatment and re-use cephalosporin
B. As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy
C. Arrangements for barium enema examination
D. Emergency arranged the whole colon resection


Question: To assess the degree of renal vascular sclerosis, following a method that does not affect the comparison of kidney function?

Answer: Nuclear magnetic resonance angiography (magnetic resonance angiography)

Choices:
A. Computer tomography (CT scan) was added a developer (contrast medium)
B. Standard angiography (standard angiography)
C. Urinary tract photography infusion (intravenous urography)
D. Nuclear magnetic resonance angiography (magnetic resonance angiography)

To
degree
renal vascular sclerosis
following
method
not
kidney function


Question: Which of the following is attenuating viable vaccine?

Answer: BCG (tuberculosis vaccine)

Choices:
A. The Salk vaccine (polio vaccine)
B. Influenza vaccine
C. BCG (tuberculosis vaccine)
D. Tetanus vaccine


Question: Wang, 28 years old, postpartum order to lose weight, do not eat breakfast, two months down ten kilograms of weight loss, heart feel pleased but also weight loss success, in addition to the usual looks lean down no discomfort, but recently the ten o'clock every morning street to buy food are similar to the phenomenon of panic attacks, appeared cold sweat, trembling, rapid breathing, as if about to die general, Wang is the most likely diagnosis is:

Answer: Hypoglycemia

Choices:
A. postpartum depression
B. Panic Disorder
C. Hypoglycemia
D. Thyroid function is too high

years old
postpartum order to
weight
not eat breakfast
two months
ten kilograms of weight loss
heart
pleased
weight loss
in addition to
usual looks
discomfort
recently
ten
clock
morning street
food
similar
panic attacks
appeared cold sweat
trembling
rapid breathing
to die general
diagnosis


Question: From the previous question, the above-mentioned patients receiving surgery, the most likely diagnosis is:

Answer: Papillary carcinoma (papillary thyroid cancer)

Choices:
A. Papillary carcinoma (papillary thyroid cancer)
B. Follicular carcinoma (follicular carcinoma)
C. Medullary carcinoma (medullary cancer)
D. Hürthle cell cancer

previous
patients receiving surgery
diagnosis


Question: The main causes of secondary hyperparathyroidism in chronic renal failure is caused by:

Answer: Hyperphosphatemia

Choices:
A. Hyperphosphatemia
B. Metabolic acidosis
C. Aluminum intoxication
D. Accumulation of β2-microglobulin

main causes
secondary hyperparathyroidism
chronic renal failure
caused


Question: A 25-year-old female, recent months often without warning, chest tightness, heart palpitations, dizziness, breathing difficulties, feeling about to die, ran the emergency room several times, were not checking out the physical problems, was transferred to see a physician referral psychiatry, psychiatric opened a week of fluoxetine 20 mg / ingots, asked to take a day after breakfast, although the results did not happen nausea, headaches side effects, but heart palpitations, panic, restless feeling worse, when back to the clinic, which of the following is a more appropriate treatment?

Answer: Reducing the dosage of fluoxetine per day half stars, etc. can adapt the drugs, and then gradually increase the dose of fluoxetine

Choices:
A. Increasing the dose of fluoxetine each morning and evening for a
B. Reducing the dosage of fluoxetine per day half stars, etc. can adapt the drugs, and then gradually increase the dose of fluoxetine
C. Direct disable fluoxetine, shift to cognitive therapy
D. Direct disable fluoxetine, use beta-adrenergic receptor blocker (β-adrenergic receptor blocker) Treatment

year old female
recent months often
chest tightness
heart palpitations
dizziness
breathing difficulties
to die
ran
emergency room
times
not
out
physical
transferred to see
psychiatry
psychiatric opened
week
to
day
breakfast
results
not
nausea
headaches side effects
heart palpitations
panic
restless
worse
back
clinic
following
more appropriate treatment


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

Answer: Atrophy is tissue or organ cells become smaller, but will not reduce the number of cells

Choices:
A. In the embryonic period, some organizations have begun to shrink
B. Atrophy is tissue or organ cells become smaller, but will not reduce the number of cells
C. The main reason the elderly brain atrophy (senile atrophy) is due to reduced blood supply
D. Lipofuscin (lipofuscin) found in certain organs atrophy


Question: 25-year-old young men, a large area without any symptoms of poikiloderma spots (as shown) a few weeks to appear in the chest. Under Wood's light (Wood's light), bright yellow lesions, the most likely diagnosis Why?

Answer: Discoloration rosea (pityriasis versicolor)

Choices:
A. White spots (vitiligo)
B. Rose rosea (pityriasis rosea)
C. White rosea (pityriasis alba)
D. Discoloration rosea (pityriasis versicolor)

year old young
large area
symptoms
poikiloderma spots
few weeks to appear
chest
Wood's light
Wood's light
bright yellow lesions
diagnosis


Question: Pertussis (whooping cough) bacteria with which of the following characteristics?

Answer: Not long survive in the environment

Choices:
A. Grown in an oxygen-free environment
B. Does not produce any exotoxin
C. Not long survive in the environment
D. Insect as an intermediary

Pertussis
whooping cough
bacteria
following characteristics


Question: Related to bladder store urine narrative, which of the following error?

Answer: Contraction of the bladder parasympathetic suppressor

Choices:
A. Pudendal nerve external sphincter control
B. Sympathetic control bladder neck smooth muscle
C. Contraction of the bladder parasympathetic suppressor
D. Maintaining a stable state of low pressure in the bladder

Related
bladder store urine
following error


Question: For liver and kidney syndrome (hepatorenal syndrome) of the narrative, which of the following error?

Answer: Improve liver function, renal function does not improve with

Choices:
A. Patients with cirrhosis (liver cirrhosis) when pumping ascites (paracentesis), not too much, so as not to cause hepatorenal syndrome
B. Improve liver function, renal function does not improve with
C. If the liver and kidney syndrome patients who did not donate kidneys liver, the kidney can restore this function
D. Diagnosis of liver and kidney syndrome, you must first rule out other factors that may cause metabolic alkalosis 28 Which of the following?

liver
kidney syndrome
hepatorenal syndrome
following error


Question: Pregnant women in the first frame of pregnancy diagnosis of abdominal pain ⾄ ⾨, after examination found that the cervix has opened submenus 3 cm, then the most likely diagnosis is:

Answer: Inevitable abortion (inevitable abortion)

Choices:
A. Incomplete abortion (incomplete abortion)
B. Inevitable abortion (inevitable abortion)
C. Missed abortion (missed abortion)
D. Defeated ⾎ abortion (septic abortion)

in
first frame
pregnancy diagnosis
abdominal pain
found
cervix
opened
then
diagnosis


Question: Bending the following information about the human spine (vertebral column), and what's right?

Answer: Forwardly projecting neck and waist

Choices:
A. Forwardly projecting neck and chest
B. Forwardly projecting neck and waist
C. And chest projecting forwardly sacral
D. Waist portion and projecting rearwardly recommended

Bending
following
human spine
vertebral column
right


Question: Generation infection compartment (generation time) refers to a host to obtain a generation time of infection of the maximum appeal. If the generation of infectious shorter interval, then:

Answer: Pandemic come faster

Choices:
A. Epidemic curve is slowing down
B. Pandemic comes slowly
C. Epidemic curve not receive influence
D. Pandemic come faster

Generation infection compartment
generation time
refers
to obtain
generation time
infection
maximum
generation
infectious shorter interval
then


Question: Following that anatomy at the opening nasal passages?

Answer: Nasolacrimal duct

Choices:
A. Maxillary sinus opening
B. Frontal sinus opening
C. Sphenoid sinus opening
D. Nasolacrimal duct

Following
anatomy
opening nasal passages


Question: A 20-year old man sudden weakness to the emergency room, blood pressure 150/90 mmHg, heart rate 110 beats / minute, blood tests found: sodium 138 mmol / L, potassium 2.4 mmol / L, chloride 106 mmol / L, muscle anhydride 0.9 mg / dL, osmolality 290 mOsmol / kgH2O, pH value 7.40, bicarbonate 23 mmol / L; urine examination showed: creatinine 98.5 mg / dL, sodium 102 mmol / L, potassium 10.4 mmol / L, chloride 98 mmol / L, osmolality 600 mOsmol / kg H2O. The following statements, what's wrong?

Answer: A large number of patients due to urinary excretion of potassium ions, potassium ions require a lot of supplementary

Choices:
A. Patients may be suffering from hyperthyroidism, thyroid disease required the function
B. A large number of patients due to urinary excretion of potassium ions, potassium ions require a lot of supplementary
C. Add potassium ions added physiological saline (normal saline) is better than 5% glucose
D. Require close monitoring of serum potassium in order to avoid rebound hyperkalemia

20 year old man sudden weakness
emergency room
blood pressure
90 mmHg
heart rate
beats
minute
blood tests found
sodium
mmol
L
potassium
mmol
L
mmol
L
muscle anhydride 0.9 mg
dL
osmolality
mOsmol
pH value 7 40
bicarbonate 23 mmol
L
urine examination
creatinine 98
mg
dL
sodium
mmol
L
potassium 10.4 mmol
L
98 mmol
L
osmolality 600 mOsmol
kg H2O
following
wrong


Question: Nucleic acid depurination effect (depurination of nucleotides) is the destruction of ribose (ribose) and the chemical bond connecting base (base residues). The chemical bond known as:

Answer: Glycosidic bond (N-glycosyl bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Glycosidic bond (N-glycosyl bond)
C. Phosphodiester linkage (phosphodiester bond)
D. Amides bond (amide bond)

Nucleic acid
effect
destruction
ribose
ribose
base
base residues
known


Question: The following statements about respiratory failure (respiratory failure) of, what's wrong?

Answer: The first type (type I) of respiratory failure hypoxemia have encountered improved via oxygen therapy (oxygen therapy)

Choices:
A. Generally arterial blood gas (e.g., oxygen, carbon dioxide) partial pressure criterion
B. Lung fibrosis (idiopathic pulmonary fibrosis) belong to a first type (type I) respiratory failure, also known as oxygenation failure (oxygenation failure)
C. Severe chronic obstructive pulmonary disease (chronic obstructive pulmonary disease) is a second category (type II) respiratory failure, also known as the ventilation failure
D. The first type (type I) of respiratory failure hypoxemia have encountered improved via oxygen therapy (oxygen therapy)

following
respiratory failure
respiratory failure
wrong


Question: Changes in secondary sexual characteristics of adolescent boys first appeared as follows:

Answer: Testicular increases

Choices:
A. Penis length
B. Testicular increases
C. Scrotal thinning
D. Pubic hair

Changes
secondary
characteristics
adolescent boys first appeared
follows


Question: Mitral stenosis rare chest X-ray changes are:

Answer: Left ventricular enlargement

Choices:
A. Left atrial enlargement
B. Expand the left atrial appendage
C. Left ventricular enlargement
D. Right ventricular enlargement


Question: Aspirin is the common painkiller, its broad spectrum of action is:

Answer: cyclooxygenase inhibitor

Choices:
A. PGE2 synthesis stimulator
B. phospholipase inhibitor
C. cyclooxygenase inhibitor
D. arachidonic acid synthesis stimulator


Question: He has the following chromosome determinant of human testicles (testis-determining factor)?

Answer: AND

Choices:
A. The first five pairs
B. The first 21 pairs
C. X
D. AND

following chromosome determinant
human testicles
testis-determining factor


Question: A 34-year-old man complained of nausea and anorexia week and then appear dark urine, liver function test suspected acute hepatitis and made the following tests:

Answer: T lymphocytes destroy the infected liver cells

Choices:
A. Virus surface antigen direct damage to liver cells
B. IgM anti-HBV core antibody directly cause liver cell lysis (lysis)
C. DNA replication is inhibited hepatocytes
D. T lymphocytes destroy the infected liver cells


Question: Which of the following statistical indicators less susceptible to extremes?

Answer: 75th percentile (The 75th percentile)

Choices:
A. The average value (Mean)
B. 75th percentile (The 75th percentile)
C. Sample standard deviation (Standard deviation)
D. Sample standard error (Standard error)


Question: The world's most common glomerular lesions (glomerulopathy) is what kind?

Answer: Type immunoglobulin A nephropathy (Immunoglobulin A nephropathy, Burger's disease)

Choices:
A. Membranous nephritis (Membranous glomerulonephritis)
B. Type immunoglobulin A nephropathy (Immunoglobulin A nephropathy, Burger's disease)
C. Minimal-change nephropathy (Minimal change disease)
D. Bureau variable glomerulonephritis (Focal glomerulonephritis)

common glomerular lesions
glomerulopathy
kind


Question: A 27 year old worker falling from a height due to the right causing fractures, X-rays and computed tomography (CT scans) broken into three display calcaneus and the shift, the articular surface was indented calcaneus, the how to treat a patient?

Answer: Surgical reduction and internal fixation

Choices:
A. Surgical reduction and internal fixation
B. For arthrodesis
C. Elevation, articulate, does not live 2-3 months
D. Closed reduction and fixing needle subcutaneously (closed reduction and percutaneous pinning)

27 year old
right causing fractures
X-rays
computed tomography
CT scans
broken
three display calcaneus
shift
articular surface
indented calcaneus
to treat
patient


Question: And amend the relevant medical records, the following statements is wrong?

Answer: Medical modified part, based on the needs and the appearance evaluation of the hospital, or elevation may be white correction tape destruction

Choices:
A. Physician or medical records should personally make a record, signature or seal and filling date
B. Medical records or records subject to additions and deletions, additions or deletions shall be signed or sealed at the filling date and
C. Medical modified part, based on the needs and the appearance evaluation of the hospital, or elevation may be white correction tape destruction
D. Spouse apply on behalf of medical records, even if the identity confirmation, should have power of attorney

relevant medical records
following
wrong


Question: The following components of the complement system will be in the typical and alternative pathways play an important role?

Answer: C3

Choices:
A. C1
B. C2
C. C3
D. C4

following components
complement system
typical
play
important role


Question: Chronic obstructive pulmonary disease and chronic respiratory failure patients, the administration of oxygen needed treatment, the arterial blood oxygen partial pressure (PaO2) should be maintained at a more appropriate to what extent the following?

Answer: 60～65 mmHg

Choices:
A. 50～55 mmHg
B. 60～65 mmHg
C. 80～85 mmHg
D. 90～95 mmHg

Chronic obstructive pulmonary disease
chronic respiratory failure patients
administration
oxygen needed treatment
arterial blood oxygen partial pressure
PaO2
maintained
appropriate
extent
following


Question: A 55 year old woman, uterine prolapse do after hysterectomy and bilateral ovarian resection, postoperative discomfort worry, this situation would be that a physiological change?

Answer: Serum testosterone level decrease

Choices:
A. Insulin resistance decrease
B. Serum estrone level increase
C. Serum testosterone level decrease
D. Total cholesterol decrease

year old woman
uterine prolapse
hysterectomy
bilateral
postoperative discomfort worry
physiological change


Question: When PAROTIDECTOMY To retain, facial nerve, the parotid shall deep, superficial lobe separate and often secreted parotid duct (parotid duct) is parallel to the facial nerve branches:

Answer: Buccal branch (Buccal branch)

Choices:
A. Neck support (Cervical branch)
B. Marginal mandibular branch (Marginal mandibular branch)
C. Buccal branch (Buccal branch)
D. 顴支（Zygomatic branch）

PAROTIDECTOMY To retain
facial nerve
parotid
deep
superficial lobe separate
often secreted parotid duct
parotid duct
parallel
facial nerve branches


Question: About temporal lobe epilepsy (temporal lobe epilepsy) narrative, which of the following error?

Answer: Epilepsy zone (epileptogenic region) and lateral temporal lobe structures are usually (lateral temporal lobe structures) related

Choices:
A. Is the most common adult epilepsy syndrome (epilepsy syndrome)
B. Epilepsy zone (epileptogenic region) and lateral temporal lobe structures are usually (lateral temporal lobe structures) related
C. Of poor drug response acceptable temporal lobectomy patients, about half of the patients can not achieve the effect of epilepsy seizures (seizure free) after one year
D. Hippocampal sclerosis (hippocampus sclerosis) is a major cause of temporal lobe epilepsy

About temporal lobe epilepsy
temporal lobe epilepsy
following error


Question: Comparative Ulcerative colitis and Crohn's disease, and Which statement is correct?

Answer: In radiographs, ulcerative colitis will not appear phenomenon segmental colitis, and Crohn's disease often have made this phenomenon

Choices:
A. Depending including endoscopic, ulcerative colitis often rectal sparing phenomenon, Crohn's disease is relatively rare
B. Depending including endoscopic mucosal changes in ulcerative colitis often cobblestoning's, Crohn's disease is relatively rare
C. In radiographs, ulcerative colitis will not appear phenomenon segmental colitis, and Crohn's disease often have made this phenomenon
D. In a clinical physical examination, ulcerative colitis symptoms common significant perineal disease, and Crohn's disease symptoms in this rare occurrence

Ulcerative colitis
Crohn's disease
correct


Question: The following message that a protein involved in the human sense of smell does not pass?

Answer: STAT transcription factors

Choices:
A. Three G protein (trimeric G protein)
B. cAMP
C. Membrane calcium channel
D. STAT transcription factors

following
a protein involved
human sense of smell
not pass


Question: About anti-acetylcholine drugs (anticholinergic drugs), what's wrong?

Answer: Atropine does not produce central nervous system stimulant

Choices:
A. Atropine (atropine) is a tertiary amine (tertiary amine), cerebral blood through the screen barrier (blood-brain barrier)
B. glycopyrrolate is a quaternary ammonium (quaternary ammonium), not by cerebral blood barrier screen
C. The effect of saliva only glycopyrrolate (antisialagogue effect) Bi Etuo intensity level
D. Atropine does not produce central nervous system stimulant

About
acetylcholine drugs
anticholinergic drugs
wrong


Question: In accordance with the relevant provisions of "medical law" in the description of the disease, the following statements is true?

Answer: Description include illness, treatment guidelines, disposal, treatment and prognosis of the situation and possible adverse reactions

Choices:
A. Description condition shall be with those whom doctors identity
B. Object Description only patients themselves
C. Description include illness, treatment guidelines, disposal, treatment and prognosis of the situation and possible adverse reactions
D. Instructions shall be recorded in the medical record when time, place, content description, description of objects, etc.

In accordance with
relevant
following
true


Question: That the following reactions arising from one kind of morphine, the most Rongyifasheng tolerance?

Answer: Respiratory depression (respiratory depression)

Choices:
A. Miosis (miosis)
B. Constipation (constipation)
C. Slow heartbeat (bradycardia)
D. Respiratory depression (respiratory depression)

following reactions arising
one kind
morphine
most
tolerance


Question: Patients excess of amino acids and glucose in urine, kidney disease most likely is where?

Answer: Proximal tubule (proximal tubule)

Choices:
A. Proximal tubule (proximal tubule)
B. Descending branch loop of Henle (descending limb of Henle's loop)
C. Ascending branch loop of Henle (ascending limb of Henle's loop)
D. Collecting duct (collecting duct)

Patients excess
amino acids
glucose in urine
kidney disease
likely


Question: An occurrence of necrotizing enterocolitis in preterm children (necrotizing enterocolitis), what measures does not necessarily require the following?

Answer: Laparotomy

Choices:
A. fasting
B. Tube placement
C. By intravenous antibiotics
D. Laparotomy

occurrence
necrotizing enterocolitis
preterm children
necrotizing enterocolitis
measures
not
following


Question: About Helicobacter pylori medication, Which statement is correct?

Answer: In patients with early gastric cancer, although the lesion has been removed, Helicobacter pylori still need treatment, because it will reduce the recurrence rate of metachronous gastric cancer

Choices:
A. If the treatment of peptic ulcer has been cured by the proton pump inhibitor, which eliminates the need for treatment of Helicobacter pylori, because it would not affect the ulcer recurrence rate
B. In patients with early gastric cancer, although the lesion has been removed, Helicobacter pylori still need treatment, because it will reduce the recurrence rate of metachronous gastric cancer
C. Sterilizing drugs, including amoxicillin, metronidazole, tetracycline, clarithromycin, bismuth compounds, etc., antibiotics sterilization
D. After sterilization treatment practices urea breath test to be performed within 7 days to confirm the success of sterilization


Question: Which of the following does not pass the identification of tactile (discriminative touch)?

Answer: Spinothalamic diameter (spinothalamic tract)

Choices:
A. Thalamus backside trigeminal diameter (dorsal trigeminothalamic tract)
B. Trigeminal ventral thalamus diameter (ventral trigeminothalamic tract)
C. The arcuate fibers (internal arcuate fibers)
D. Spinothalamic diameter (spinothalamic tract)

following
not pass
identification
tactile
touch


Question: Which of the following can directly contribute to clot formation (clot formation)?

Answer: thrombin make fibrinogen → fibrin

Choices:
A. thrombin make fibrinogen → fibrin
B. plasminogen→plasmin
C. tissue factor activation of factor XII
D. Ca2 + activated factor V and factor IXa

following
directly
to clot formation
clot formation


Question: Small splanchnic nerve (lesser splanchnic nerve) Which of the following comes from?

Answer: 10-11 sympathetic ganglion

Choices:
A. The first and lower cervical ganglia
B. 5-9 sympathetic ganglion
C. 10-11 sympathetic ganglion
D. 12 sympathetic ganglion

Small splanchnic nerve
lesser splanchnic nerve
following


Question: Turner's syndrome (Turner syndrome) Children with congenital heart abnormalities that one of the following rare?

Answer: pulmonary stenosis

Choices:
A. bicuspid aortic valve
B. aortic stenosis
C. aortic coarctation
D. pulmonary stenosis

Turner's syndrome
Children
congenital heart abnormalities
one
following rare


Question: The following statements about the incidence of breast cancer, what's right?

Answer: There family history of breast cancer, age of onset lighter, and more susceptible to both sides of the breast

Choices:
A. Female and male ratio of 1000: 1
B. There family history of breast cancer, age of onset lighter, and more susceptible to both sides of the breast
C. Menarche and late menopause earlier than those early menarche and late menopause are high
D. Low intake of fat intake were higher for women is high

The following
incidence of breast cancer
right


Question: Pregnant women, heart disease production, which of the following best anesthesia?

Answer: Epidural administration

Choices:
A. Local anesthesia
B. Epidural administration
C. Spinal anesthesia
D. general anesthesia


Question: That one of the following intercostal vein (intercostal vein), usually do not import odd vein (azygos vein) system?

Answer: First left intercostal vein

Choices:
A. The left side of the eighth intercostal vein
B. First left intercostal vein
C. The right of third intercostal vein
D. The right side of the tenth intercostal vein

one
following intercostal vein
intercostal vein
usually
not
odd vein
azygos vein
system


Question: About the secretion of prolactin (prolactin), the Which statement is correct?

Answer: A pulse-type (pulsatile)

Choices:
A. No day and night (diurnal) difference
B. No difference in the menstrual cycle
C. A pulse-type (pulsatile)
D. It was the plain


Question: Statements about parathyroid, Which statement is correct?

Answer: The thyroid gland is located in the surface

Choices:
A. Full embryonic origin from the third pharyngeal arches
B. There are two symmetrical glands
C. The thyroid gland is located in the surface
D. Hormones secreted primarily calcitonin (Calcitonin)


Question: 53 Mr. Zhang, 55 years old, known hepatitis B-related cirrhosis of the present AST 150 U / L, ALT 120 U / L, bilirubin 2.5 mg / dL, HBV DNA value of 5 × 105 IU / mL, platelets 50 × 103 / mm3. The following statements is wrong?

Answer: Interferons receive treatment

Choices:
A. Interferons receive treatment
B. Acceptable oral antiviral treatment of
C. During treatment, should accept the liver cancer screening
D. If the poor response to treatment, can be considered for evaluation of liver transplant

Mr
years old
known hepatitis B related cirrhosis
present AST
U
L
ALT
U
L
bilirubin
mg
dL
DNA value
IU
mL
platelets 50
mm3
following
wrong


Question: About the treatment of eyelid tumors, Which of the following is the most reliable and most effective way?

Answer: Surgical treatment

Choices:
A. Medical treatment
B. Surgical treatment
C. Radiation therapy
D. Regular observation

the treatment of eyelid tumors
following
most
effective


Question: ⽒ statements about Lisfranc injury (Lisfranc injury) is, which of the following error?

Answer: Lisfranc ligament located ⽒ second shot cuneiform (Cuneiform) ⼀ second metatarsal (metatarsus) between

Choices:
A. Belonging tarsometatarsal injury (tarso-metatarsal joint injury)
B. Lisfranc ligament located ⽒ second shot cuneiform (Cuneiform) ⼀ second metatarsal (metatarsus) between
C. X-ray phase EMPTY front portion (anteroposterior view), and if found from the first frame and the second shot zoomed increase metatarsal base portion, and altitudes to be pregnant
D. EMPTY phase portion obliquely (oblique view) of the X-ray examination, found that if the fourth metatarsal bone and cuboid (Cuboid) with an inner edge not ⼀ connection shall be pregnant and altitudes


Question: Which of the following does not issue intercostal arteries?

Answer: Brachiocephalic trunk (brachiocephalic trunk)

Choices:
A. Brachiocephalic trunk (brachiocephalic trunk)
B. Internal thoracic artery (internal thoracic artery)
C. Muscle phrenic artery (musculophrenic artery)
D. Thoracic aorta (thoracic aorta)

following
not issue intercostal arteries


Question: 21 which is not an enzyme deficiency 17 - hydroxy (17-hydroxylase deficiency) clinical signs congenital adrenal hyperplasia (congenital adrenal hyperplasia) of the resulting?

Answer: The girls suffering from this disease have sex difficile (ambiguous genitalia)

Choices:
A. The girls suffering from this disease have sex difficile (ambiguous genitalia)
B. hypertension
C. Plasma renin activity (plasma renin activity) Low
D. Low blood potassium (hypokalemia)


Question: In non-sensitized (unsensitized) patients, organ transplant rejection early and what's relevant?

Answer: Donor dendritic cells (dendritic cell)

Choices:
A. Donor T cells
B. The donor's natural killer cells (natural killer cell)
C. Donor dendritic cells (dendritic cell)
D. Donor plasma cells (plasma cell)

non sensitized
patients
organ transplant rejection early
relevant


Question: That one of the following immunoglobulin can cross the placenta, providing neonatal protection against pathogens force?

Answer: IgG

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

one
following immunoglobulin
placenta
neonatal protection


Question: Our 2014 national health expenditure as a percentage of the gross domestic production (NHE / GDP), which of the following is closer?

Answer: 6.20%

Choices:
A. 4.20%
B. 5.20%
C. 6.20%
D. 7.20%

health expenditure
percentage
gross domestic
following


Question: Irrespective of the recurrent laryngeal nerve (recurrent laryngeal nerve) function with which of the following?

Answer: Control cricothyroid muscle (cricothyroid muscle) contraction of

Choices:
A. Passing the vocal folds (vocal folds) of the laryngeal mucosa feeling
B. Control glottis (rima glottidis) of open
C. Close control of the glottis
D. Control cricothyroid muscle (cricothyroid muscle) contraction of

recurrent laryngeal nerve
recurrent laryngeal nerve
function


Question: Which of the following attached to the scapular spine (spine of scapula)?

Answer: Hasukatahada (trapezius muscle)

Choices:
A. Hasukatahada (trapezius muscle)
B. Levator scapulae (levator scapulae muscle)
C. After serratus (serratus posterior superior muscle)
D. After sawing muscle (serratus posterior inferior muscle)

following
scapular spine
spine of scapula


Question: A 7-year-old boy vomiting, diarrhea and fever for three days. In the first ten minutes had grand mal epilepsy and sudden come to the hospital. According to the families of description, a sick child with epilepsy, the routine use of valproic acid a year. There were not the case during the attack. This can not eat for two days before the attack. That is the least one of the following appropriate measures?

Answer: After discharge switch carbamazepine substituted effect of valproic acid

Choices:
A. Asked in detail about the recent case of medication
B. Check the blood electrolytes, glucose and the concentration of valproic acid in blood
C. After discharge switch carbamazepine substituted effect of valproic acid
D. Temporarily to intravenous administration of phenytoin admission to inhibit recurrence of epilepsy

year old boy vomiting
diarrhea
fever
three days
first ten minutes
grand mal epilepsy
sudden
hospital
sick child
epilepsy
routine use of valproic acid
year
not
case
attack
not eat
two days
attack
least one
following appropriate measures


Question: He does not belong to the following structure thalamus (epithalamus)?

Answer: Stria terminalis (stria terminalis) 30 The following description relating to the cerebral cortex (cerebral cortex), and what is correct?

Choices:
A. Pineal gland (pineal gland)
B. 韁核（habenular nucleus）
C. Stria medullaris (stria medullaris)
D. Stria terminalis (stria terminalis) 30 The following description relating to the cerebral cortex (cerebral cortex), and what is correct?

not
following structure thalamus
epithalamus


Question: The following circumstances of X-linked lymphoproliferative syndrome, and what's right?

Answer: Of activated T cells is defective, the patient easy because of Epstein-Barr virus (EBV) infection and death of

Choices:
A. It is due to defects in Toll like receptor 2 (TLR2) gene caused
B. At the same time there are also obstacles platelets and clotting function of
C. Of activated T cells is defective, the patient easy because of Epstein-Barr virus (EBV) infection and death of
D. Cause IFNγ receptor 1 and 2 IFNγ receptor function is low, so it is easy to bacterial infections such as Mycobacterium avium intracellular

following
X-linked lymphoproliferative syndrome
right


Question: A pregnant woman suffering from lupus erythematosus, 29 weeks pregnant at the time of the last two days had complained of abdominal pain and reduction rules fetal heart rate and fetal presentation late decelerations (late deceleration) of happens. The most likely assumption is:

Answer: Premature labor complicated by fetal hypoxia may

Choices:
A. Premature labor complicated by fetal hypoxia may
B. Gestational diabetes
C. Placenta previa
D. Aborted

suffering
lupus erythematosus
29 weeks pregnant
time of
two days
abdominal pain
reduction rules fetal heart rate
fetal presentation late decelerations
late deceleration


Question: Which of the following patients experienced minimal chance of iron deficiency anemia?

Answer: thalassemia

Choices:
A. gastrectomy
B. menorrhagia
C. paroxysmal nocturnal hemogblobinuria
D. thalassemia

following patients
minimal chance
iron deficiency anemia


Question: After lung transplantation, chronic rejection is the most important:

Answer: Bronchiolitis obliterans

Choices:
A. Eosinophilic leukocyte infiltration
B. Bronchiolitis obliterans
C. Granuloma
D. Pulmonary artery atherosclerosis

lung transplantation
chronic rejection
most important


Question: The following related chronic atrial fibrillation (permanent atrial fibrillation) narrative, what's wrong?

Answer: 25 years old, male, rheumatic heart disease combined mitral valve stenosis, without the use of anticoagulant therapy

Choices:
A. Is the most common chronic arrhythmia
B. 75-year-old woman, suffering from diabetes, you should use anticoagulant therapy
C. 25 years old, male, rheumatic heart disease combined mitral valve stenosis, without the use of anticoagulant therapy
D. Consider only rhythm speed control (rate control)


Question: Assess quality of care, three facets common Donabedian presented to view, in which clinical path (clinical pathway) to improve the quality of care, and that is part of a facet?

Answer: process

Choices:
A. background
B. structure
C. process
D. result

three facets common
to view
to
part of
facet


Question: About narrative diagnosis of fungal infection of the serum, which of the following correct?

Answer: Capsular polysaccharides commonly used in the diagnosis of Cryptococcus neoformans

Choices:
A. chitin commonly used in the diagnosis of Blastomyces dermatitidis
B. Capsular polysaccharides commonly used in the diagnosis of Cryptococcus neoformans
C. 2,4-β-glucans are commonly used in the diagnosis of Candida
D. cord factor commonly used in the diagnosis of Aspergillus

About
diagnosis
fungal infection
serum
following correct


Question: Which of the following is not a post-polio syndrome (postpolio syndrome) is the most common clinical symptoms early?

Answer: Limb deformity

Choices:
A. Muscle weakness
B. fatigue
C. Joint pain
D. Limb deformity

following
not
post-polio syndrome
postpolio syndrome
most common clinical symptoms early


Question: One-month-old child, ie since birth found a small hole at the leading edge of the right side under one-third of the sternocleidomastoid, will flow clear mucus, the most likely diagnosis is:

Answer: The second pair of branchial fistula (branchial cleft fistula)

Choices:
A. A first pair of branchial fistula (branchial cleft fistula)
B. The second pair of branchial fistula (branchial cleft fistula)
C. A third pair of branchial fistula (branchial cleft fistula)
D. The fourth branchial fistula (branchial cleft fistula)

One-month
ie
birth found
small hole
leading edge
right side
one third
sternocleidomastoid
clear mucus
diagnosis


Question: A neurological examination were normal 15-year-old boy, since primary school often fall asleep in class because the teacher be punished, laugh suddenly sagging chin weak laugh when he argued that his ability to control non. The following statements is wrong?

Answer: The most likely diagnosis is rapid eye movement (REM) sleep behavior disorder

Choices:
A. The most likely diagnosis is rapid eye movement (REM) sleep behavior disorder
B. It may be associated with sleep paralysis and hypnagogic hallucination
C. Studies have found that the gene HLA-DQ (B1-0602) relating to the
D. overnight polysomnography and a multiple sleep latency test can help diagnose

neurological examination
normal
year old boy
primary school often fall asleep
teacher
punished
sagging chin weak
ability to control non
following
wrong


Question: For the treatment of uric acid stones, that one of the following statements is correct?

Answer: Can take medication allopurinol

Choices:
A. Eat purine (purine) food
B. Can take medication allopurinol
C. Not take sodium carbonate (sodium bicarbonate) Drug
D. Less water

treatment
uric acid stones
one
following
correct


Question: If intra-abdominal malignancies transferred to below the navel and showed lumps, this is called:

Answer: Sister Mary Joseph's node

Choices:
A. Virchow's node
B. Sister Mary Joseph's node
C. Rotter's node
D. Sentinel node

intra abdominal malignancies transferred to


Question: Children born at term, the mother has a fever and amniotic membrane has ruptured before birth two days, the baby began to obvious respiratory distress than 8 hours after birth, blood pressure, chest X-ray showing a comprehensive bilateral infiltrates, pleural cavity and a little water, which of the following is the most likely diagnosis?

Answer: Group B streptococci (group B Streptococcus) infection

Choices:
A. E. coli (Escherichia coli) infection
B. Pseudomonas aeruginosa (Pseudomonas spp.) Infection
C. Streptococcus pneumoniae (Streptococcus pneumoniae) infection
D. Group B streptococci (group B Streptococcus) infection

Children born
term
fever
amniotic membrane
ruptured
birth two days
baby began
respiratory distress
8 hours
birth
blood pressure
chest X-ray
comprehensive bilateral infiltrates
pleural cavity
little water
following
diagnosis


Question: That one of the following axon terminals of neurons, not in their main nerve acetylcholine release of transmitter substance?

Answer: postganglionic sympathetic neurons

Choices:
A. alpha-motor neurons
B. gamma-motor neurons
C. preganglionic parasympathetic neurons
D. postganglionic sympathetic neurons

one
following axon terminals
not
main nerve acetylcholine release
transmitter


Question: Chronic renal failure caused by time-onset hyperparathyroidism (secondary hyperparathyroidism) have those characteristics?

Answer: Phosphorus increased, blood calcium decreased, thus elevated PTH

Choices:
A. Elevated serum calcium, phosphorus decreased, thus parathyroid hormone (PTH) lower
B. Elevated serum phosphorus, calcium increased, thus elevated PTH
C. Lower serum calcium, phosphorus increased, thus reducing PTH
D. Phosphorus increased, blood calcium decreased, thus elevated PTH

Chronic renal failure caused
time-onset hyperparathyroidism
secondary hyperparathyroidism
characteristics


Question: 29. a 84 year old man four days unsolved, bloating, intermittent abdominal pain embolism and was sent to the emergency room. Patients with a prior history of chronic constipation, received no abdominal surgery, abdominal X-ray examination of the colon can be seen that swell significantly, with a bent inner tube sign. Stable vital signs, physical examination, a slight abdominal tenderness, but no symptoms of peritonitis, no inguinal hernia, following initial management whichever is most like?

Answer: Sigmoidoscopy and depressurized

Choices:
A. Now laparotomy
B. Gastroscopy
C. Sigmoidoscopy and depressurized
D. Abdominal sonography

29
84 year old man four days
bloating
intermittent abdominal pain embolism
sent
emergency room
prior
chronic constipation
received
abdominal surgery
abdominal X-ray
colon
seen
swell
bent inner tube sign
Stable vital signs
slight abdominal tenderness
symptoms
peritonitis
inguinal hernia
following initial
most


Question: Eco-mode (ecological model) that is part of a healthy pattern of behavior change?

Answer: Multi-level hierarchy

Choices:
A. Individual level
B. Interpersonal level
C. Community-level organizations
D. Multi-level hierarchy

Eco mode
part of
healthy pattern
behavior change


Question: Tetralogy of Fallot (tetralogy of Fallot) sick children have systolic murmur, may I ask what this noise from these pathological changes?

Answer: Pulmonary stenosis export

Choices:
A. Atrial septal defect
B. Pulmonary stenosis export
C. Aortic interbank
D. Right ventricular hypertrophy

Tetralogy
Fallot
sick children
systolic murmur
I
pathological changes


Question: The following statements about Wilson's disease (Wilson's disease, namely hepatolenticular degeneration), and what's right?

Answer: Often appear in the patient's cornea Keith diagnostic value - the Buddha to Sri Lanka ring (Kayser-Fleischer ring)

Choices:
A. Patient serum copper content increases, but since the precipitate in the liver and the brain, and therefore the amount of copper in the 24-hour urine has decreased
B. About half of patients with neurological symptoms will appear before the age of 5
C. Often appear in the patient's cornea Keith diagnostic value - the Buddha to Sri Lanka ring (Kayser-Fleischer ring)
D. While carrying the enzyme ceruloplasmin copper ions is higher than normal, but because it is not working, so the symptoms

following
Wilson's disease
Wilson's disease
hepatolenticular degeneration
right


Question: From the previous question, what is the next appropriate checks?

Answer: Colonoscopy (colonoscopy)

Choices:
A. Angiography (angiography)
B. Colonoscopy (colonoscopy)
C. Laparoscopy (laparoscopy)
D. Intravenous urinary tract photography (IVU)


Question: 47. For young people at different stages, to take different steps and strategies to assist them to quit smoking, such as a lack of motivation to quit if the smokers, the harmful effects of smoking should be taught to strengthen the motivation to quit smoking, if smokers intend to quit in the near future, it can provide smoking cessation plans and methods, this is the application that a theory or model to change behavior?

Answer: Cross-theoretical model

Choices:
A. Social Learning Theory
B. Health Belief Model
C. Operational control theory
D. Cross-theoretical model

young
to
different steps
to assist
to
smoking
as
lack of motivation to
smokers
effects
smoking
taught to
to
smoking
smokers
to
future
smoking cessation plans
methods
application
to change behavior


Question: 51 a 25-year-old woman complained often begin two days before menstruation to feel intense abdominal pain, pain and continued until the end of menstruation, which has been going on for a year's time. Prior to that, she was usually the first day of menstruation to feel pain. She eats its own painkillers, but can not improve symptoms. Thus the maternity hospital for treatment, after ultrasound examination, was found to have a 6 cm left ovary ovarian cyst. She has always been very punctual menstrual cycle is 28 days, each also continued for about five days, the blood is nothing special. After the physician checkups, heart has an initial assumptions, therefore giving prescription progesterone treatment. Sure enough, after dosing pain that is slightly improved. Do you think the most likely diagnosis is:

Answer: Endometriosis

Choices:
A. Ovarian function degradation
B. Uterine fibroids
C. Corpus luteum cyst
D. Endometriosis

year old woman
often begin two days
menstruation to
intense abdominal pain
pain
end
menstruation
year's time
usually
first day
menstruation to
pain
eats
painkillers
not
symptoms
hospital
treatment
ultrasound examination
found to
left ovary
cyst
always
very
menstrual cycle
days
blood
special
physician
heart
initial
giving
progesterone treatment
Sure
dosing pain
slightly improved
diagnosis


Question: Which of the following is the reason ⾎ (subarachnoid hemorrhage) caused by subarachnoid most ⾒ inferior vena out?

Answer: Intracranial cystic (saccular type) aneurysm

Choices:
A. Head injury (trauma)
B. Intracranial arteriovenous malformation ⾎ tube (arteriovenous malformations)
C. Intracranial cystic (saccular type) aneurysm
D. Intracranial fusiform (fusiform type) aneurysm

following
subarachnoid hemorrhage
caused
subarachnoid
inferior vena out


Question: About colon diverticular disease, the following statements is wrong?

Answer: the most frequent ⽣ fistula complicated diverticulitis organs as the bladder, and women outnumber men

Choices:
A. Shoots as usual ⽽ The language, the most frequent ⽣ in the sigmoid and descending colon, due to colon lumen narrow. But in Asia, more often made in the right colon and cecum ⽣
B. abdominal CT diagnosis of acute diverticulitis standards
C. For Hinchey classification stageⅢ of diverticulitis with perforation, need for treatment is performed manually
D. the most frequent ⽣ fistula complicated diverticulitis organs as the bladder, and women outnumber men

colon diverticular disease
following
wrong


Question: Which of the following gas diffusion coefficient in body fluids (diffusion coefficient) the highest?

Answer: Carbon dioxide

Choices:
A. Oxygen
B. Nitrogen
C. Carbon monoxide
D. Carbon dioxide


Question: Vi antigen component contained important virulence factor in Salmonella typhi (Salmonella Typhi), has also been made for the vaccine are:

Answer: Capsular polysaccharides (capsular polysaccharides)

Choices:
A. Hemolysin (hemolysin)
B. Capsular polysaccharides (capsular polysaccharides)
C. Wins peptidoglycan (peptidoglycan)
D. Flagellin (flagellin)


Question: 50-year-old man dead, found in liver weight of 2,300 grams and the appearance of yellow color than the dissection. Blood tests before his death and found no particularly unusual. Illustrates changes in liver sections microscope. Which of the following changes in the liver with the deceased that most closely?

Answer: alcoholism

Choices:
A. alcoholism
B. Hepatitis B virus infection
C. Autoimmune reaction
D. Taking Acetaminophen

50 year old man dead
found
liver weight
300 grams
appearance
yellow color
dissection
Blood tests
death
found
unusual
changes
liver sections microscope
following changes
liver
deceased
most


Question: Under standard conditions, which of the following free energy released by hydrolysis (free energy) maximum?

Answer: phosphoenolpyruvate

Choices:
A. creatine phosphate
B. phosphoenolpyruvate
C. ATP
D. 1,3-bisphosphoglycerate

standard conditions
following
released
maximum


Question: From the previous question, following the four most likely to check what the results are?

Answer: negative

Choices:
A. positive
B. negative
C. equivocal-suspicious
D. unsatisfactory

previous
following
four
likely to check
results


Question: Antidiuretic hormone (ADH) secretion, can lead to diabetes insipidus (diabetes insipidus). Changes in the following narrative about the patient's body, what's wrong?

Answer: Plasma renin (renin) concentration decreases

Choices:
A. Plasma osmolality (plasma osmolarity) will rise
B. Sodium ions (plasma sodium) concentration rises in plasma
C. Plasma renin (renin) concentration decreases
D. Between the outer tissue interstitial fluid (interstitial fluid) purified water pressure (hydrostatic pressure) decreases

Antidiuretic hormone
secretion
lead
diabetes insipidus
diabetes insipidus
Changes
following
patient's body
wrong


Question: Which of the following for the inhibition of gastric motility (motility) and evacuation (emptying) the strongest effect?

Answer: Into the high-fat food in the duodenum

Choices:
A. Stomach food containing only carbohydrates
B. Stomach expansion
C. Into the high-fat food in the duodenum
D. Gastrin (gastrin)

following
inhibition of gastric motility
motility
evacuation
strongest effect


Question: In the cold winter night, the ambulance technician to send a 43 year old tramp into the emergency room. Patient unconsciousness, no breathing and heartbeat, body temperature of 29 ℃. You begin for him to do CPR, ECG showed ventricular fibrillation (ventricular fibrillation), following the disposal of what are the most appropriate?

Answer: Do a defibrillation procedure, without the use of drugs, and continued to do CPR, intubation and warm treatment

Choices:
A. Disposal in accordance with the general process of ACLS to defibrillation technique (defibrillation) with the use of epinephrine-based
B. Do a defibrillation procedure, without the use of drugs, and continued to do CPR, intubation and warm treatment
C. Because the patient is first aid, not suitable for the body to warm to warm-based passive in vitro
D. If the patient body temperature consistently below 30 ℃ more than 30 minutes, no matter what rhythm, can consider giving first aid

cold winter night
ambulance technician to send
year old tramp
emergency
Patient unconsciousness
breathing
heartbeat
body temperature
29
begin
CPR
ECG
ventricular fibrillation
ventricular fibrillation
following
most appropriate


Question: The following narrative interpretation of serum markers of hepatitis type B, what's wrong?

Answer: antinuclear antibody (ANA) when high titer, IgM anti-HBc have false positive may

Choices:
A. IgM anti-HBc may be used to distinguish between acute or chronic hepatitis B
B. rheumatoid factor (RF) when high titer, IgM anti-HBc have false positive may
C. Chronic hepatitis B acute attack (acute reactivation of chronic hepatitis B), IgM anti-HBc positive reactions may occur
D. antinuclear antibody (ANA) when high titer, IgM anti-HBc have false positive may

following
interpretation
serum markers
hepatitis type B
wrong


Question: Puncture wounds of the second intercostal space at the left side of the sternum Which of the following is most likely to hurt?

Answer: Pulmonary artery (pulmonary trunk)

Choices:
A. The right ventricle (right ventricle)
B. The right atrium (right atrium)
C. The superior vena cava (superior vena cava)
D. Pulmonary artery (pulmonary trunk)

Puncture wounds
second intercostal space
left side
sternum
following
to


Question:
28
 During pregnancy does not increase the clotting factors are:

Answer: factor XI

Choices:
A. factor VII
B. factor VIII
C. factor IX
D. factor XI


Question: Two year old boy accidentally swallowed a round button battery. Chest X-ray examination showed that the battery card in the middle of the esophagus. This is the best approach foreign body:

Answer: Immediately remove the battery

Choices:
A. Immediately remove the battery
B. 24 hours before tracking chest X-rays
C. Large amount of barium to make photographic examination of the esophagus
D. Think of ways to push foreign objects into the stomach

Two year old boy
swallowed
round button battery
Chest X-ray
battery card
middle
esophagus
best approach foreign body


Question: Statements about the baby hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis), the Which statement is correct?

Answer: The diagnosis relies complete medical history and abdominal ultrasound examination

Choices:
A. Most birth appear vomiting (projectile vomiting)
B. Vomit in bile (bile) based
C. The diagnosis relies complete medical history and abdominal ultrasound examination
D. Gastrojejunostomy surgery osteosynthesis (gastrojejunostomy)

baby hypertrophic pyloric stenosis
infantile hypertrophic pyloric stenosis
correct


Question: For a description of the pharmacological effects of the following Morphine, what's wrong?

Answer: When Morphine overdose, mydriasis may be utilized (Mydriasis) to determine

Choices:
A. Morphine will reduce the secretion of gastric acid
B. For the elderly sedation Morphine produced sensitive than younger people
C. When Morphine overdose, mydriasis may be utilized (Mydriasis) to determine
D. Morphine will promote the release of prolactin

pharmacological effects
following Morphine
wrong


Question: fibrolamellar hepatocellular carcinoma (FHCC) is a variant of hepatocellular carcinoma, and hepatocellular carcinoma compared to traditional narrative about the FHCC, whichever is correct?

Answer: Less intrusive

Choices:
A. Common men than women
B. The occurrence of larger older
C. Easy associated with cirrhosis of the liver
D. Less intrusive

fibrolamellar hepatocellular carcinoma
variant
hepatocellular carcinoma
hepatocellular carcinoma
traditional
FHCC
correct


Question: Taiwan's current overall health care spending, the main source of income was from one of the following?

Answer: Social Security

Choices:
A. Charity Donation
B. business insurance
C. Social Security
D. tax

Taiwan's current overall
spending
main source
income
one


Question: Congenital pyloric stenosis (pyloric stenosis) intestinal peristaltic waves (visible peristalsis) most likely to occur and when?

Answer: After feeding, vomiting ago

Choices:
A. Before feeding, vomiting ago
B. Before feeding, vomiting
C. After feeding, vomiting ago
D. After feeding, vomiting

Congenital pyloric stenosis
pyloric stenosis
intestinal peristaltic
visible peristalsis
to occur


Question: Before the new drugs, which primarily studies designed to evaluate the clinical effects of treatment?

Answer: Randomized trial

Choices:
A. Successful case report
B. A case-control study
C. Randomized trial
D. Generations follow-up study

new drugs
studies
to
clinical effects
treatment


Question: To study whether certain drugs affect blood pressure have different effects on men and gender. After the test, two groups of men and women to obtain 95% confidence interval of the mean blood pressure difference (95% confidence interval) was (-0.82 - 2.72), the hypothesis testing (hypothesis testing) concluded that:

Answer: Can not reject the null hypothesis indicates efficacy did not differ between men and women

Choices:
A. Reject the alternative hypothesis (alternative hypothesis), men and women representing different efficacy
B. Reject the null hypothesis (null hypothesis), men and women showing different pharmacodynamic
C. Can not reject the alternative hypothesis indicates efficacy did not differ between men and women
D. Can not reject the null hypothesis indicates efficacy did not differ between men and women

To study
certain drugs
blood pressure
different effects
gender
test
two groups
to obtain 95
confidence
mean
95
confidence interval
0
72
concluded


Question: Which of the following virus infection, have the opportunity to lead to relapse after years of subacute sclerosing panencephalitis (subacute sclerosing panencephalitis)?

Answer: Measles virus (Measles virus)

Choices:
A. Measles virus (Measles virus)
B. Mumps virus (Mumps virus)
C. Nipah virus (Nipah virus)
D. Hendra virus (Hendra virus)

following virus infection
to lead to relapse
years
subacute sclerosing panencephalitis
subacute sclerosing panencephalitis


Question: When increasing the flow rate through the upstream tube Heinz asperata and distal tubule of the same nephron glomerular filtration rate decreases. Conversely, reducing the flow rate caused by increased glomerular filtration rate. Above the kidney physiological phenomenon known as:

Answer: Tubular - glomerular feedback (tubuloglomerular feedback)

Choices:
A. Tubular - glomerular feedback (tubuloglomerular feedback)
B. Glomerular - tubular balance (glomerulotubular balance)
C. Regurgitation exchange (countercurrent exchange)
D. Countercurrent multiplier (countercurrent multiplier)


Question: Which of the following does not exist within the spermatic cord (spermatic cord)?

Answer: Iliohypogastric nerve (iliohypogastric nerve)

Choices:
A. Iliohypogastric nerve (iliohypogastric nerve)
B. Vas deferens (ductus deferens)
C. Mention epididymis muscular artery (cremasteric artery)
D. Remains vaginalis (vestige of vaginal process)

following
not
spermatic cord
spermatic cord


Question: Characteristics of the meniscus (meniscus) within the knee joint, which of the following error?

Answer: Typically medial meniscus is more curved than the lateral meniscus, also covers the larger part of the tibial plateau (tibial plateau) of the area

Choices:
A. They help carry weight, but also increased the goodness of fit between the femur bone of the tibia (congruency)
B. This position provides a knee sleep (proprioceptive) message, the function of joint movement to help
C. Typically medial meniscus is more curved than the lateral meniscus, also covers the larger part of the tibial plateau (tibial plateau) of the area
D. Meniscus (menisus) of white-white zone blood perfusion is poor, even at break also be sewn poor healing

Characteristics
meniscus
meniscus
knee joint
following error


Question: Can replace dapsone, treatment of leprosy and the plasma half-life of up to 2 months of drugs:

Answer: clofazimine

Choices:
A. rifampin
B. ethambutol
C. clofazimine
D. cycloserine

replace dapsone
treatment
leprosy
plasma half-life
up to 2 months
drugs


Question: 78-year-old Mr. Gao Lao suffering from high blood pressure for many years, hospitalized due to cerebral hemorrhage, may I ask hypertensive intracerebral hemorrhage, the most common site of bleeding why?

Answer: Basal ganglia

Choices:
A. The cerebral cortex
B. Basal ganglia
C. Brainstem
D. Cerebellum

year old Mr
Lao suffering
high blood pressure
years
hospitalized due to cerebral hemorrhage
I
hypertensive intracerebral hemorrhage
the most common site of bleeding


Question: 12. A 36-year-old woman, in the past no special discomfort, nor taking any medication, appeared last two days left leg swelling, pain, vascular ultrasound examination revealed a deep vein thrombosis. The peripheral blood examination showed hemoglobin 12.1 gm / dL, white blood cells 1, partial thromboplastin time 55 "(control: 28"), thrombin time 14.7 "(control: 5.1"), whichever is the highest priority of inspection?

Answer: lupus anticoagulant

Choices:
A. lupus anticoagulant
B. factor VIII
C. protein S
D. protein C

36 year old woman
past
special discomfort
medication
appeared last two days left
pain
vascular revealed
deep vein thrombosis
peripheral
hemoglobin
gm
dL
white blood cells
partial thromboplastin time
control
thrombin time 14.7
control
5
highest priority
inspection


Question: Which of the following is now the gold standard for assessment of swallowing function (gold standard) inspection?

Answer: Video fluorescent examination of swallowing (videofluorographic swallowing study)

Choices:
A. Pressure measuring instrument (manometry)
B. Ultrasonography (ultrasound)
C. Video fluorescent examination of swallowing (videofluorographic swallowing study)
D. Throat CT scan (CT scan of pharynx)

following
now
gold standard
swallowing function
gold standard
inspection


Question: Early onset is defined delivery (preterm labor), and which of the following error?

Answer: Lower abdominal pain

Choices:
A. 5-8 times an hour regular contractions (regular uterine contraction)
B. There are changes in the cervix asymptotic behavior of (progressive change)
C. 2 cm or more cervical dilation degree of thinning (effacement) more than 80%
D. Lower abdominal pain

Early onset
delivery
preterm labor
following error


Question: 51 A 60-year-old male patient due to breathing difficulty accepting pulmonary function tests, TLC show 120% predicted, FEV1 of 50% predicted,

Answer: Obstructive pulmonary disease

Choices:
A. Lung cancer
B. Obstructive pulmonary disease
C. Limitations of lung disease
D. Vascular lung disease

60 year old male patient due to breathing difficulty accepting pulmonary function tests


Question: Chemical treatment of colorectal cancer-related criteria, following statements is wrong?

Answer: Patients with Stage Ⅳ RAS mutation for Anti-EGFR therapy benefit

Choices:
A. StageⅠ without the use of postoperative adjuvant chemotherapy
B. 5-fluorouracil-based (5- FU) regimen is recommended and may be used stageⅡ poor prognostic indicator in patients with
C. FOLFOX regimen prolong survival in patients with stageⅢ
D. Patients with Stage Ⅳ RAS mutation for Anti-EGFR therapy benefit

Chemical treatment
colorectal cancer-related
following
wrong


Question: The following statements about the spleen and what was right?

Answer: In the white pulp (white pulp) lymphoid tissue surrounding the blood vessels of the central arteries (central artery)

Choices:
A. Wai arterial lymphoid sheaths (Periarterial lymphatic sheath, PALS) is mainly composed of B lymphocytes
B. Lymphoid nodules (lymphatic nodules) consists essentially of T lymphocytes
C. PALS and lymphoid nodules constituting the red pulp (red pulp)
D. In the white pulp (white pulp) lymphoid tissue surrounding the blood vessels of the central arteries (central artery)


Question: Spontaneous bacterial peritonitis (spontaneous bacterial peritonitis) common pathogenic bacteria are those of the following bacteria?

Answer: Gram-positive bacteria and gram-negative bacilli

Choices:
A. Gram-positive bacteria and gram-negative bacilli
B. Gram-negative bacilli and anaerobic bacteria (anaerobes)
C. Gram-positive and anaerobic bacteria (anaerobes)
D. Gram-positive bacteria (Mycobacterium tuberculosis)

Spontaneous bacterial peritonitis
spontaneous bacterial peritonitis
common pathogenic bacteria
following bacteria


Question: Meanwhile a 85-year-old female patients suffering from diabetes, atrial fibrillation (atrial fibrillation), peptic ulcer, lumbar degenerative arthritis, tuberculosis, left lower extremity deep vein thrombosis (deep vein thrombosis) and fungal urinary tract infection. After the use of warfarin, although increasing the dose again failed to meet expectations of the anti-clotting effect. Which of the following drugs is most likely related to this phenomenon?

Answer: rifampin

Choices:
A. amiodarone
B. cimetidine
C. fluconazole
D. rifampin


Question: Known ammonia is toxic to cells into the liver cirrhosis and coma patients, regular testing for blood ammonia concentration as an indicator of disease progression, which of the following metabolic reaction with ammonia scavenging no direct relationship?

Answer: leucine

Choices:
A. leucine
B. pyruvate
C. glutamate
D. a-ketoglutarate

Known ammonia
toxic
cells
liver cirrhosis
coma patients
regular testing
blood ammonia concentration
indicator
disease progression
following metabolic reaction
ammonia
direct relationship


Question: In the case of panic disorder medication effective treatment, how long the treatment needs?

Answer: For 8 to 12 months

Choices:
A. Receiving episodic treatment
B. For 3 to 5 weeks
C. For 3 to 5 months
D. For 8 to 12 months

case
panic disorder medication effective
long
treatment needs


Question: For metastatic pancreatic endocrine tumors in patients with inoperable, treatment can be used in and what was right?

Answer: After surgical excision as metastatic cell carcinoma (cytoreduction surgery) islet, part of liver metastases may be used to treat hepatic artery embolization

Choices:
A. hypergastrinemia can diazoxide treatment
B. For acute gastrointestinal bleeding caused by gastrinoma, the use of proton pump inhibitors are ineffective
C. After surgical excision as metastatic cell carcinoma (cytoreduction surgery) islet, part of liver metastases may be used to treat hepatic artery embolization
D. Transfer to the bone metastatic islet cell carcinoma may still consider the surgery

metastatic pancreatic endocrine tumors
patients
inoperable
treatment
used
right


Question: That following an economic analysis, policy implementation will result in natural units (such as avoiding deaths or health care visits) to calculate, but more suitable for use in the case of alternatives has two or more alternative policy, a policy that answers or scheme "most efficient" problem?

Answer: Cost-effectiveness analysis (cost-effectiveness analysis)

Choices:
A. Cost-benefit analysis (cost-benefit analysis)
B. Cost-effectiveness analysis (cost-effectiveness analysis)
C. Cost-utility analysis (cost-utility analysis)
D. Cost analysis (cost analysis)

following
result
natural units
deaths
to
more suitable
use
case
two
more
efficient
problem


Question: Account of slave card Escherichia (Nocardia species), the Which statement is correct?

Answer: Aerobic cell wall containing mycolic acids (mycolic acid) of

Choices:
A. Gram-negative bacilli
B. Less likely to cause lung and skin infections
C. Aerobic cell wall containing mycolic acids (mycolic acid) of
D. No cord factor (cord factor)


Question: A 42-year-old mother, 20 years ago, suffering from endometriosis had undergone surgery, and now her eldest daughter have the same disease, she was worried about second daughter will have the same disease. As you know, endometriosis may be that one of the following diseases?

Answer: Polygenic multifactorial

Choices:
A. Autosomal recessive with variable penetrance
B. Polygenic multifactorial
C. Spontaneous mutations
D. No evidence of genetic inheritance

year old
20 years
suffering
endometriosis
surgery
now
same disease
worried
second
same disease
endometriosis
one
following diseases


Question: Following on organ transplantation rejection describe various phenomena (rejection), and one was wrong?

Answer: Medium occur needed IgM antibodies of Hyperacute rejection can be by the use of anti-rejection drugs to prevent

Choices:
A. In general, Donor and Recipient of HLA matching more good, the better the graft survival rate
B. Medium occur needed IgM antibodies of Hyperacute rejection can be by the use of anti-rejection drugs to prevent
C. Acute rejection occurred needs of T lymphocytes of the media, the higher the frequency, the long-term prognosis is poor graft
D. Chronic rejection and the occurrence of T cell and B cell-related, the main pathological changes of the transplanted organ fibrosis and scarring

Following
organ transplantation rejection
various
rejection
one
wrong


Question: Cerebellar dentate nuclei - red nucleus - thalamic diameter (dentato-rubro-thalamic tract), passing through the following structure where?

Answer: Superior cerebellar peduncle (superior cerebellar peduncle)

Choices:
A. Superior cerebellar peduncle (superior cerebellar peduncle)
B. 中小腦腳（middle cerebellar peduncle）
C. Under cerebellar peduncle (inferior cerebellar peduncle)
D. Cord body (restiform body)

Cerebellar dentate nuclei
red nucleus
thalamic diameter
thalamic tract
passing
following structure


Question: Pericardial cavity (pericardial cavity) and pleural cavity completely separate (pleural cavity) is due to the fusion of the original mediastinum (primitive mediastinum) and Which of the following caused?

Answer: Chest pericardium (pleuropericardial membrane) 32 The following narrative about multi-finger abnormalities (polydactylia), and what's right?

Choices:
A. Chest film (pleuroperitoneal membrane)
B. Mesangial gastric back (dorsal mesogastrium)
C. Mesangial esophagus (mesoesophagus)
D. Chest pericardium (pleuropericardial membrane) 32 The following narrative about multi-finger abnormalities (polydactylia), and what's right?

Pericardial cavity
pericardial cavity
pleural cavity completely separate
pleural cavity
due to
fusion
original mediastinum
mediastinum
following caused


Question: 12-year-old boy, height 185 cm, very slender limbs. Ophthalmologist examination revealed bilateral Lens subluxation, which of the following examination in the diagnosis Least Helpful?

Answer: Muscle biopsy

Choices:
A. Plasma amino acid level
B. Serum homocysteine level
C. Mutation analysis of Marfan Syndrome
D. Muscle biopsy

year old boy
height
very slender limbs
Ophthalmologist
revealed bilateral Lens subluxation
following
diagnosis Least Helpful


Question: When heart surgery, cardiopulmonary bypass support when stopping, blood heparin (heparin), treatment must use the following ways to make it activated clotting time (activated clotting time) back to normal?

Answer: Protamine (protamine sulfate) intravenous

Choices:
A. Platelet intravenous
B. Fresh plasma intravenous
C. Protamine (protamine sulfate) intravenous
D. Cryoprecipitate (cryoprecipitate) intravenous

heart surgery
cardiopulmonary bypass support
stopping
blood heparin
heparin
treatment
use
following
to make
activated clotting time
activated clotting time
back
normal


Question: In human cells, DNA replication (DNA replication) is a substance which is the initial primer (primer)?

Answer: RNA

Choices:
A. GOUT
B. RNA
C. protein
D. Without primer

human cells
DNA replication
DNA replication
initial


Question: From the previous question, if first aid is invalid, preferably within a caesarean section to how long after cardiac arrest?

Answer: 5 minutes

Choices:
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes

previous
first aid
invalid
caesarean section
long
cardiac arrest


Question: The left vagus nerve where it branches off the recurrent laryngeal nerve (recurrent laryngeal nerve) and bypass this structure?

Answer: Main bronchus

Choices:
A. Main bronchus
B. Aortic arch
C. Subclavian artery
D. Pulmonary vein

left vagus nerve
branches
recurrent laryngeal nerve
recurrent laryngeal nerve
bypass
structure