Question: Methotrexate can be used as chemotherapy turn of the biochemical machine Why?

Answer: 抑制 dihydrofolate reductase

Choices:
A. As analogues of pyridoxal phosphate, inhibition of enzyme activity
B. 抑制 dihydrofolate reductase
C. Competitive inhibition of EPSP synthase
D. Direct inhibition of lipolysis sugar (Glycolysis)

Methotrexate
used
chemotherapy turn of
biochemical machine


Question: Statements about elderly Face Auto kill what's wrong?

Answer: Elderly Face Auto kill less intense mining using the watch segment

Choices:
A. Depression is the most common comorbid mental disorders ⾒
B. Elderly Face Auto kill less intense mining using the watch segment
C. Auto kill the dead, more men than women
D. Lost or chest upwards often because the body of disease induction automatically kill ⾏


Question: Diabetic foot disease is the leading cause of lower limb amputations, the following statements is wrong?

Answer: Foot ulcers are often accompanied by bacterial infection, due to poor glycemic control, the most common species as Klebsiella pneumoniae (Klebsiella pneumoniae)

Choices:
A. Lower extremity neuropathy can lead to deformation of the foot
B. Lower extremity arterial blood supply shortage can cause intermittent claudication (intermittent claudication)
C. Foot ulcers are often accompanied by bacterial infection, due to poor glycemic control, the most common species as Klebsiella pneumoniae (Klebsiella pneumoniae)
D. If the infection is not properly controlled, can cause inflammation of the bone marrow


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

Answer: Most patients with tumor occurs, usually Tongshifasheng lung asbestosis fibrosis (asbestosis fibrosis)

Choices:
A. Parietal pleura may occur or the visceral pleura
B. Visible or sarcoma epithelioid-like patterns of tumor cells
C. Tumor cells often exhibit Calretinin
D. Most patients with tumor occurs, usually Tongshifasheng lung asbestosis fibrosis (asbestosis fibrosis)

following mesothelioma mesothelioma wrong


Question: Statements about the nicotinic cholinoceptor Which of the following error?

Answer: The receptor is a G-protein coupled

Choices:
A. The receptor is a G-protein coupled
B. Acetylcholine can be activated
C. Located on sympathetic nerve cell bodies after losing
D. After activation of skeletal muscle contraction can


Question: A 50-year-old man near the front of the left ear above the mandible, there is a well-defined, not painful lumps. 2 years ago he had found the lump presence, he felt lumps gradually become larger, there are about 3 cm thick and medical treatment. In addition, he did not have other symptoms. This patient's tumor is most likely:

Answer: Pleomorphic adenoma (Pleomorphic adenoma)

Choices:
A. Adenoid cystic carcinoma (Adenoid cystic carcinoma)
B. Malignant lymphoma (Malignant lymphoma)
C. Pleomorphic adenoma (Pleomorphic adenoma)
D. SCC (Squamous cell carcinoma)

50 year old man
front
left
mandible
well-defined
not painful lumps
years
found
lump presence
lumps
larger
about
thick
medical treatment
addition
not
symptoms
patient's tumor


Question: The following description of the patient about the pernicious anemia (pernicious anemia), what's wrong?

Answer: Due to lack of Vit B12 intake cause

Choices:
A. Due to lack of Vit B12 intake cause
B. Reticulocyte lower
C. Indirect bilirubin (indirect bilirubin) increased
D. There may be neurological symptoms

following
patient
pernicious anemia
pernicious anemia
wrong


Question: When Lidocaine added epinephrine, described the anesthetic effects generated when the following about the infiltration surrounding the brachial plexus, what's wrong?

Answer: epinephrine acting on the α2-adrenergic receptor, has a direct analgesic effect

Choices:
A. Extend the duration of action epinephrine anesthetic lidocaine
B. epinephrine can enhance the effect of lidocaine nerve block
C. epinephrine may reduce the systemic absorption of the drug lidocaine
D. epinephrine acting on the α2-adrenergic receptor, has a direct analgesic effect

Lidocaine added epinephrine
anesthetic effects
following
infiltration surrounding
brachial plexus
wrong


Question: The following statements about the influenza virus, what's wrong?

Answer: B type often cause a pandemic worldwide

Choices:
A. Multi-gene-containing recombinant therefore widespread occurrence
B. It is divided into A, B, C III
C. B type often cause a pandemic worldwide
D. After virus infection, bacterial infection renewal (secondary bacterial infection), a common cause of pneumonia


Question: 6 American Joint Committee on Cancer (AJCC) published by the Cancer Staging Manual (2002, 6th ed.), Statements about the staging of colorectal cancer, and what is non?

Answer: When there is distant metastasis (stage Ⅳ) five-year survival rate is approximately 15%

Choices:
A. When stageⅠ, and no lymph node metastasis
B. When stageⅡ, and no lymph node metastasis
C. StageⅡ colorectal cancer after surgery, five-year survival rate is about 75%
D. When there is distant metastasis (stage Ⅳ) five-year survival rate is approximately 15%

Cancer Staging Manual
staging
colorectal cancer
non


Question: The following statements about the screening for colorectal cancer, what's right?

Answer: General risk groups, every 1-2 years to immunoassay fecal occult blood test screening is a good way of screening

Choices:
A. Once the diagnosis of inflammatory bowel disease (inflammatory bowel disease), we must perform a colonoscopy every 1-3 years
B. General risk groups, every 1-2 years to immunoassay fecal occult blood test screening is a good way of screening
C. Once the diagnosis of adenomatous polyps after resection and should be tracked colonoscopy every year
D. There are first-degree family history of colorectal cancer, 50-year-old should start doing colonoscopy every 5 years

following
screening
colorectal cancer
right


Question: About extracranial carotid artery peel (carotid dissection), which of the following error?

Answer: Do endarterectomy (carotid endartectomy) Surgical Treatment Remedies

Choices:
A. Most prone ⽣ extracranial internal carotid artery in the neck (cervical part), ⽽ non carotid artery at points ⽀ (carotid bifurcation)
B. Do endarterectomy (carotid endartectomy) Surgical Treatment Remedies
C. Magnetic resonance angiography (MRI) signal can be seen swollen arterial wall ⾎
D. Drug treatment may be considered invalid ⽀ shelf placement surgery (carotid stenting) treatment

About extracranial carotid artery peel
carotid dissection
following error


Question: About cornea donation, one of the following narrative that does not meet the norms of medical ethics?

Answer: Doctors can let the death of the removal of the eye cornea

Choices:
A. Hepatitis B, AIDS and other deceased is not suitable for donation
B. Doctors can let the death of the removal of the eye cornea
C. Donated corneal tissue, which belongs donations
D. Due to brain lesions of patients with unexplained death, not suitable for donation


Question: When combined with the Gentamicin Which of the following antibiotic use, most likely to produce toxic effects addition of (potentiation) of the kidneys?

Answer: amphotericin B

Choices:
A. amphotericin B
B. ceftriaxone
C. doxycyclin
D. nafcillin

combined
Gentamicin
of
following
use
likely to
toxic effects addition
potentiation
kidneys


Question: A 70 year old male bladder cancer, receiving transurethral resection of bladder tumor (TUR-BT), intraoperative findings only an approximately 1 cm of tumor biopsy are transitional cell carcinomas (transitional cell carcinoma) grade I, of not is Ta, after surgery following the disposal of what's right?

Answer: Not need to accept any chemicals or bladder infusion BCG adjuvant therapy

Choices:
A. Need to receive intravesical Bacillus Calmette-Guerin (BCG) perfusion adjuvant therapy
B. Need to receive intravesical infusion adjuvant treatment chemicals
C. Not need to accept any chemicals or bladder infusion BCG adjuvant therapy
D. Need to receive radiation therapy aid


Question: A 46-year-old female patient was found to family night sweats, confusion and convulsions and taken to the emergency office. No high blood pressure or a history of head trauma patients, and no history of convulsions or coma, physical examination and no abnormal local or unilateral nervous system. Biochemical tests related to the emergency room, the most important must include:

Answer: Blood sugar level

Choices:
A. Ammonia
B. GOOD
C. Calcium concentration
D. Blood sugar level

year old female patient
found
night sweats
confusion
convulsions
emergency office
high blood pressure
head trauma
history
convulsions
coma
abnormal local
unilateral nervous system
Biochemical tests related
emergency room
most important
include


Question: Which of the following does not pass through the greater sciatic hole?

Answer: Pudendal nerve

Choices:
A. Piriformis
B. Sciatic nerve
C. Pudendal nerve
D. Obturator muscle


Question: Following that type of ventricular septal defect (ventricular septal defect), common in the East race, and relatively easy to cause aortic valve counter-current (aortic valve regurgitation)?

Answer: Pulmonary artery type (subpulmonic type)

Choices:
A. Aorta type (subaortic type)
B. Pulmonary artery type (subpulmonic type)
C. Muscular (muscular type)
D. Ji-down type (infracristal type)

easy to cause aortic valve counter current


Question: A 45 year old housewife, had no history of injury, complained of pain in the past three months are often left shoulder. The left arm abduction (Abduction) will increase the pain, compression pain during sleep is difficult to sleep. Physical checkups found: left shoulder abductor decline, but flexion (anterior flexion) passive range of motion is normal. X-ray examination: the left shoulder has a diameter of about 1 cm of the white patches. This patient most likely diagnosis is which of the following?

Answer: Calcific tendonitis muscle (calcified supraspinatus tendinitis) spine

Choices:
A. Capsulitis adhesion (adhesive capsulitis)
B. Rotator cuff tendon lacerations (rotator cuff tear)
C. Calcific tendonitis muscle (calcified supraspinatus tendinitis) spine
D. Biceps tendinitis (bicipital tendinitis)

year old housewife
history of injury
pain
past three months
often left shoulder
left arm abduction
increase
pain
compression pain
sleep
difficult to sleep
Physical
found
left shoulder
flexion
anterior flexion
passive range of motion
normal
X-ray
left shoulder
diameter
white patches
patient
likely diagnosis
following


Question: Statements about muscle (suprahyoid muscles) on the hyoid bone, which of the following correct?

Answer: After two ventral abdominal muscles (posterior belly of digastric muscle) is dominated by the facial nerve (facial nerve)

Choices:
A. After two ventral abdominal muscles (posterior belly of digastric muscle) is dominated by the facial nerve (facial nerve)
B. Anterior belly of the digastric (anterior belly of digastric muscle) is dominated by the hypoglossal nerve (hypoglossal nerve)
C. Mylohyoid muscles (mylohyoid muscle) dominated by the hypoglossal nerve (hypoglossal nerve)
D. Stylohyoid muscle (stylohyoid muscle) dominated by the mandibular nerve (mandibular nerve)

muscle
suprahyoid muscles
hyoid bone
following correct


Question: Which of the following is the main cause construction anteversion (anteflexion) of?

Answer: Uterine round ligament (round ligament of the uterus)

Choices:
A. Broad ligament (broad ligament)
B. Main ligaments (cardinal ligament)
C. Uterine round ligament (round ligament of the uterus)
D. Recommended uterus ligament (uterosacral ligament)

following
main cause construction anteversion
anteflexion


Question: 43 year old man, suddenly the left limb weakness, MRI image below, the diagnosis is:

Answer: Acute infarction (Acute infarction)

Choices:
A. Encephalitis (Encephalitis)
B. Acute infarction (Acute infarction)
C. Acute intracerebral hemorrhage (Acute intracerebral hemorrhage)
D. Meningitis (Meningitis)

year old man
left limb weakness
MRI
diagnosis


Question: About sex steroid hormones on the endometrial submenus for Use of narrative, which of the following error?

Answer: Submenu progesterone inhibits the endometrial ⾎ tube (blood vessels) and glands (glands) increase ⽣

Choices:
A. Submenu estrogen stimulates endometrial stromal cells (stroma cells) increase ⽣
B. Submenu progesterone inhibits endometrial stromal cells (stroma cells) increase ⽣
C. Estrogen stimulates endometrial submenus in ⾎ tubes (blood vessels) and glands (glands) increase ⽣
D. Submenu progesterone inhibits the endometrial ⾎ tube (blood vessels) and glands (glands) increase ⽣

sex steroid hormones
endometrial
Use of
following error


Question: To the emergency room of a young woman sent by ambulance, accompanied by women officers stated that due to emotional factors, swallowed an hour before the home through music (containing sodium hydroxide, ammonia and other alkali), following emergency treatment of what is appropriate ?

Answer: Intravenous fluids and nasogastric tube feeding

Choices:
A. Oral mucosal injury case if slight, it is not necessary to arrange examination of the esophagus
B. Should be given immediately emetic or gastric lavage acid acceptor and
C. Intravenous fluids and nasogastric tube feeding
D. Should immediately arrange for endoscopy scope and extent of damage

emergency room
young woman sent
ambulance
stated
due to emotional factors
swallowed
hour
home
containing sodium hydroxide
ammonia
following emergency treatment
appropriate


Question:
2 a 7-day-old boy, because abdominal distension and jaundice treatment. Birth weight of 2,550 grams, was born a few weeks to 38 weeks. Physical examination show poor fatigue, vigor, liver palpable two fingers. Check blood leukocytes 8,280 / μL, where segment accounts for 15%, band form accounts for 22%, lymphocyte accounted for 30%, monocyte accounted for 1%, eosinophil 1.2%. Heme 15 g / dL, platelets 220,000 / μL.
 U / L, AST 72 U / L. Abdominal X-ray, abdominal skin and faeces below, which of the following is the most likely clinical diagnosis?

Answer: intestinal obstruction

Choices:
A. intestinal obstruction
B. acute gastroenteritis
C. milk allergy
D. congenital megacolon

2
day old boy
abdominal distension
jaundice treatment
Birth weight
550 grams
born
few weeks
poor fatigue
liver palpable two fingers
Check
segment accounts
band form accounts
accounted
30
accounted
Heme
g
dL
platelets
L
U
AST 72 U
L
Abdominal X-ray
abdominal skin
faeces
following
clinical diagnosis


Question: Which of the following is the main sites of metastases of liver cancer?

Answer: Abdominal lymph nodes and lung

Choices:
A. Stomach and intestines
B. Stomach and pancreas
C. Abdominal lymph nodes and lung
D. Abdominal lymph nodes and renal

following
the main sites of metastases
liver cancer


Question: A 30-year-old woman came for treatment because of irregular menstruation, the patient complained after menarche to irregular menstruation, physical examination revealed lower abdominal midline fine hairs, legs also increased. Of the following statements do not match this disease?

Answer: Patients FSH / LH ratio higher than normal

Choices:
A. Patients often have insulin resistance
B. High androgen patient
C. Patients FSH / LH ratio higher than normal
D. Ovary increases patient

30 year old woman
treatment
irregular menstruation
patient
menarche
irregular menstruation
revealed lower abdominal midline fine
legs
increased
following
not match
disease


Question: Which of the following after taking anti-cancer drugs can cause side effects in acute hemorrhagic cystitis?

Answer: cyclophosphamide

Choices:
A. doxorubicin
B. fluorouracil
C. vincristine
D. cyclophosphamide

following
cancer
cause side effects
acute hemorrhagic cystitis


Question: 67.21-year-old Wang ⼩ sister, have complained of wheezing during exercise and shortness of breath phenomenon. To prevent induced asthma in this case, that ⼀ the following drugs is the best choice?

Answer: Inhaled short-acting sympathomimetic agent ⼄ ⼆ type (β2-agonist)

Choices:
A. Inhaled short-acting sympathomimetic agent ⼄ ⼆ type (β2-agonist)
B. ⼝服aminophylline
C. Inhaled anticholinergic agents (anticholinergics)
D. Inhaled sodium cromoglycate (cromolyn)

67 21-year-old
wheezing
exercise
shortness of breath
To prevent induced asthma
case
following drugs
best


Question: One 60-year-old male patient was found to have a litter of 4 cm lump on the right side only clavicle, Which of the following is the most likely primary lesion?

Answer: Prostate Cancer

Choices:
A. Nasopharyngeal
B. Oral Cancer
C. Prostate Cancer
D. Sinus cancer

One 60 year old male patient
found to
litter
lump
right side only clavicle
following
primary lesion


Question: Which of the following did not pass the cubital fossa (cubital fossa)?

Answer: Ulnar nerve (ulnar nerve)

Choices:
A. Brachial artery (brachial artery)
B. Biceps tendon (tendon of biceps brachii)
C. The median nerve (median nerve)
D. Ulnar nerve (ulnar nerve)

following
not pass
cubital fossa
cubital fossa


Question: 44.24-year-old man nausea and discomfort around the navel and then I felt right lower abdominal pain and to the emergency room for treatment, as shown in Figure abdominal X-ray, which of the following is the more likely diagnosis?

Answer: Acute appendicitis

Choices:
A. Acute cholecystitis
B. Acute appendicitis
C. Sigmoid diverticulitis
D. Peptic ulcer

year old man nausea
discomfort
navel
then I
right lower abdominal pain
emergency room
treatment
abdominal X-ray
following
more likely diagnosis


Question: 12 patients simple pulmonary valve stenosis (pulmonary atresia with intact ventricular septum), if the right ventricular infundibulum (infundibulum) defect, while coronary artery and right ventricular cavity have in common, the first phase of surgery to that one of the most suitable?

Answer: Blalock-Taussig shunt

Choices:
A. Pulmonary valve incision
B. Blalock-Taussig shunt
C. Pulmonary valve incision combined Blalock-Taussig shunt
D. Under cardiopulmonary bypass, do cloth over the massive pulmonary valve ring portion (transannular patching) 13 gamekeepers thumb (gamekeeper's thumb) of the disease, because there is a thumb fracture?


Question: For immunomodulatory agents (immunomodulators) mechanism of action, which is not an inhibitor of TNF-α?

Answer: abatacept

Choices:
A. infliximab
B. abatacept
C. etanercept
D. adalimumab

immunomodulatory agents
immunomodulators
mechanism of action
not
inhibitor
TNF


Question: There is a child born after abdominal distension phenomenon, often alternating constipation and diarrhea, the situation appears to have the appearance of malnutrition. Physical examination found that the anus is tight, but the appearance is normal. Which of the following in the diagnosis of little help?

Answer: Anoscopy (Anoscopy)

Choices:
A. Anoscopy (Anoscopy)
B. Barium enema (Barium enema)
C. Anorectal manometry test (Anorectal manometry)
D. Rectal slice (Rectal biopsy)

child born
abdominal distension
often alternating constipation
diarrhea
appears to
appearance
malnutrition
Physical
found
anus
tight
appearance
normal
following
diagnosis
little help


Question: A left-handed man of 28 years old, due to neck pain, to accept the printing of chiropractic, chiropractic procedure after 20 minutes, worsening neck pain and numbness noted that the left cheek, and the emergence of left limbs clumsy (clumsiness), that the following the term is most likely diagnosis?

Answer: Peeling vertebral artery (Vertebral artery dissection)

Choices:
A. Basilar artery embolization (Basilar artery thrombosis)
B. Neck disc (Cervical disc protrusion)
C. Carotid artery stenosis (Carotid stenosis)
D. Peeling vertebral artery (Vertebral artery dissection)

left-handed man
years old
neck pain
to accept
chiropractic
chiropractic procedure
20 minutes
worsening neck pain
numbness noted
left cheek
left limbs clumsy
clumsiness
following
term
diagnosis


Question: Account of generalized anxiety disorder (generalized anxiety disorder), and Which statement is correct?

Answer: Onset usually begins in early adulthood

Choices:
A. While cases with severe depression accounted for a very small number
B. Onset usually begins in early adulthood
C. More than ninety percent of the patients had experienced a panic attack
D. Ratio of men and women suffering from the disease roughly equal

Account
generalized anxiety disorder
generalized anxiety disorder
correct


Question: About the male reproductive system, the following statements is this bad?

Answer: Sertoli cells secrete the hormone release inhibition (Inhibin) may facilitate stimulation anterior pituitary luteinizing hormone (LH) of

Choices:
A. Vas deferens (ductus deferens) is a pseudo-epithelium columnar epithelium (pseudostratified columnar epithelium)
B. Luteinizing stimulating hormone (LH) stimulates the Leydig cells (Leydig cell) androgenic hormone (Testosterone)
C. Vas deferens (ductus deferens) has an inner vertical-travel, take the middle ring, take the three outer longitudinal smooth muscle wall
D. Sertoli cells secrete the hormone release inhibition (Inhibin) may facilitate stimulation anterior pituitary luteinizing hormone (LH) of


Question: 65. If urinary tract obstruction caused by Bowman's capsule clean water pressure (hydrostatic pressure of the Bowman's capsule) increased glomerular filtration rate (glomerular filtration rate) is most likely to produce the following therefore what changes?

Answer: cut back

Choices:
A. Reflex increase
B. Rapid increase and become stable
C. cut back
D. Unaffected

65
urinary tract obstruction caused
Bowman's capsule
Bowman's capsule
increased glomerular filtration rate
glomerular filtration rate
to
following
changes


Question: 55 year old man right facial palsy 2 to 3 weeks by examination, otoscopic examination revealed otorrhea right ear while the ear mastoid tenderness. Patients with a history of past asked that the case of repeated ear otorrhea, hard of hearing and the right side, the most likely diagnosis Why?

Answer: The complications caused by cholesteatoma

Choices:
A. Bell's facial palsy
B. Ear herpes zoster
C. The complications caused by cholesteatoma
D. Facial nerve sheath tumors (facial nerve schwannoma)

year old man right facial palsy 2
weeks
otoscopic
revealed otorrhea right ear
ear mastoid
Patients
history of past
case
repeated ear otorrhea
hard of hearing
right side
diagnosis


Question: Which of the following will first through the greater sciatic hole, then through the greater sciatic hole?

Answer: Pudendal nerve

Choices:
A. Margin on muscle
B. Piriformis
C. Obturator muscle
D. Pudendal nerve

following first greater hole then greater hole


Question: About neonatal pneumonia chlamydia (Chlamydia trachomatis), the following statements is wrong?

Answer: Auscultation often hear wheezing

Choices:
A. Often eosinophilic leukocytosis (eosinophilia) phenomenon
B. Auscultation often hear wheezing
C. Usually not fever
D. Can (erythromycin) treatment with erythromycin

About neonatal pneumonia
following
wrong


Question: Which of the following amino acid for the synthesis of nitric oxide (NO) precursor?

Answer: Arginine

Choices:
A. Arginine
B. Tryptophan
C. Lysine
D. Methionine


Question: That is equal to one of the following amino acids at pH 11 with a net negative charge?

Answer: Silk amino acid (serine)

Choices:
A. Jing amino acid (Arginine)
B. Asparagine amino acid (aspartic acid)
C. Bran amino acid (glutamic acid)
D. Silk amino acid (serine)

equal to one
following amino acids
pH
net negative


Question: Which of the following atelectasis (atelectasis) is usually irreversible of changes?

Answer: Systolic pulmonary atelectasis (contraction atelectasis)

Choices:
A. The absorbent atelectasis (resorption atelectasis)
B. Obstructive pulmonary atelectasis (obstruction atelectasis)
C. Oppressive atelectasis (compression atelectasis)
D. Systolic pulmonary atelectasis (contraction atelectasis)

following atelectasis
atelectasis
usually
changes


Question: For total parenteral nutrition in patients with liver failure given principle, the following items what is wrong?

Answer: Energy should be administered> 35 Kcal / kg / day

Choices:
A. Selection of the branched amino acids (branched chain amino acids)
B. Energy should be administered> 35 Kcal / kg / day
C. Selection medium-chain fatty acids (MCT fat)
D. If the high index jaundice, should be changed using the formula given cycle (cyclic TPN)

total parenteral nutrition
patients
liver failure
following
wrong


Question: Male psychogenic erection (psychogenic erection) control bit nervous tissue where?

Answer: Sympathetic to the tenth thoracic spinal cord of the second waist

Choices:
A. To the tenth thoracic spinal cord nerve of the second waist
B. Sympathetic to the tenth thoracic spinal cord of the second waist
C. Recommended in the second to fourth lumbar nerve
D. The second to fourth lumbar recommended parasympathetic

Male psychogenic erection
psychogenic erection
control bit nervous tissue


Question: A person living alone in Taiwan Zhao accepted due to change in bowel habits colonoscopy, was found in the sigmoid colon tumor growth ring, and is about to complete obstruction of the intestine. When doctors told her she had to undergo surgery flatly refused, and told her husband and only son of a physician due to injury, surgery has caused complications and death. Next, the physician most expedient way to deal with what?

Answer: Zhao committed to working with fuller communication

Choices:
A. Zhao decided not to directly listen to the scheduled surgery
B. To deceive the way for Ms. Zhao scheduled surgery
C. Shelve decisions when the situation changes and then decide
D. Zhao committed to working with fuller communication

living alone
Taiwan
accepted due to change
bowel habits colonoscopy
found
sigmoid colon tumor growth ring
to complete obstruction of
intestine
doctors
to
surgery
physician
injury
surgery
caused complications
death
Next
physician
to


Question: Clinical characterization Neural tube defect that does not contain one of the following?

Answer: dermoid sinus common in cranial encephalocele

Choices:
A. spina bifida occulta often no obvious neurological symptoms
B. myelomenigocele is a manifestation of the most serious, surgery is necessary and the earlier the better
C. dermoid sinus common in cranial encephalocele
D. hydrocephalus is a common complication in the myelomenigocele

Clinical
Neural tube defect
not contain one


Question: When the aqueous humor (aqueous humor) drainage path abnormal, can lead to elevated intraocular pressure, if not treated can damage the optic nerve and cause blindness, of this common eye disease are:

Answer: Glaucoma (glaucoma)

Choices:
A. Glaucoma (glaucoma)
B. Cataract (cataract)
C. Depending papillary edema (papilledema)
D. Retinal detachment (retinal detachment)

aqueous humor
aqueous humor
drainage path abnormal
lead
elevated intraocular pressure
not treated
damage
optic nerve
cause blindness
common eye disease


Question: 9. When a car accident a lot of blood, at one hour after the incident, the body will by those mechanisms to maintain a constant blood pressure? ① pressure sensitive reflector (baroreflex) ② kidney - Pressure regulation of blood volume (renal-blood volume pressure control) ③ renin - angiotensin - vasoconstriction (renin-angiotensinvasoconstriction) ④ fluid recovered microvascular (capillary fluid shift)

Answer: ①③④

Choices:
A. ①②④
B. ①②③
C. ①③④
D. ②③④

car accident
lot
blood
one hour
body
mechanisms to
constant blood pressure
sensitive
baroreflex
kidney
Pressure regulation of blood volume
renal-blood volume pressure control
renin
angiotensin
vasoconstriction
renin
fluid recovered microvascular
capillary fluid shift


Question: The following clinical manifestations, whichever does not appear in the periphery of the lung embolism?

Answer: Syncope

Choices:
A. Hemoptysis
B. Respiratory distress
C. Pleural chest pain
D. Syncope

following clinical manifestations
not appear
periphery
lung embolism


Question: Which of the following drugs do not inhibit the metabolism of warfarin?

Answer: aspirin

Choices:
A. amiodarone
B. aspirin
C. trimethoprim
D. disulfiram

following drugs
not inhibit
metabolism
warfarin


Question: About surgery, the use of transesophageal ultrasound (Transesophageal echocardiography, TEE) for the monitoring of the narrative, which of the following error?

Answer: MI (Myocardial infarction) occurs surgery, it is not easily detected by TEE

Choices:
A. TEE be used to assess left ventricular function, including whether the ejection fraction (Ejection fraction), systolic dysfunction, etc.
B. As the surgery TEE monitoring whether a gas embolism (Air embolism) is a very sensitive
C. MI (Myocardial infarction) occurs surgery, it is not easily detected by TEE
D. TEE can also be used to assess abnormal valve morphology and function of the heart valve

surgery
use of transesophageal ultrasound
Transesophageal echocardiography
TEE
following error


Question: 89. ⼀ bit first frame type diabetes (type 1 diabetes mellitus) patients after injection of insulin (insulin), not eating to ⾄ low ⾎ sugar coma, following whichever is the most important factor causing low ⾎ sugar?

Answer: The fourth type of insulin increases glucose transport egg white (GLUT4) in extrahepatic tissues for Use

Choices:
A. Insulin increases in liver tissue of the first frame-type glucose transport egg white (GLUT1) for Use of
B. The fourth type of insulin increases glucose transport egg white (GLUT4) in extrahepatic tissues for Use
C. Insulin increases the activity of hepatic hexokinase
D. Insulin increases the activity of hexokinase extrahepatic tissues

bit first frame type diabetes
type 1 diabetes mellitus
patients
injection of insulin
insulin
not eating
low
sugar coma
following
most important factor causing low
sugar


Question: When inpatient acute renal failure, which is not an incentive?

Answer: Recently taking lipid-lowering drugs

Choices:
A. Recently accepted the developer injection
B. Recently used antibiotics
C. Recently hypotension
D. Recently taking lipid-lowering drugs

inpatient acute renal failure
not
incentive


Question: Binding of the antibody to the antigen is not dependent:

Answer: Covalent bonds (covalent bonds)

Choices:
A. Covalent bonds (covalent bonds)
B. Electrostatic interactions (electrostatic interactions)
C. Hydrogen bonds (hydrogen bonds)
D. Van de Waal forces (van der Waals forces)


Question: Between the ring wire within the sphere related to kidney cells (mesangial cells), the following statements is wrong?

Answer: The embryo, cells derived from the mononuclear phagocytic this system (mononuclear phagocytotic system) pioneer cells

Choices:
A. The embryo, cells derived from the mononuclear phagocytic this system (mononuclear phagocytotic system) pioneer cells
B. When glomerular injury, the cells may secrete interstitial leukocyte between -1 (interleukin-1)
C. This capability phagocytic cells (phagocytosis) to remove after the glomerular filtration of residue
D. This podocyte cell can provide structural support (podocyte)

ring wire
sphere related
following
wrong


Question: Brazilian Vice coccidioidomycosis fungus (Paracoccidioides brasiliensis) in the cell wall of yeast cells, following what kind of content and composition of the virulence of the most relevant?

Answer: 1,3-α- glucan (1,3-α-glucan)

Choices:
A. 1,3-α- glucan (1,3-α-glucan)
B. 1,3-β- glucan (1,3-β-glucan)
C. Galactomannan (Galactomannan)
D. Chitin (Chitin)

Brazilian
coccidioidomycosis fungus
cell wall
yeast cells
following
kind
composition
virulence
relevant


Question: 46 Mr. Wang, 45 years old, shortness of breath after abdominal surgery. Blood pressure, pulse, ECG were normal, lung auscultation, and chest X-ray examination revealed many lung secretions can not be coughed up. Arterial oxygen partial pressure of 88 mmHg, the carbon dioxide partial pressure of 40 mmHg. Which of the following best rehabilitation training on Mr. Wang did not help?

Answer: Glossopharyngeal breathing (glossopharyngeal breathing)

Choices:
A. Relaxation and breathing exercises (relaxation and breathing exercise)
B. Posture drainage and take sputum (posture drainage)
C. Assisted cough training (assistive cough)
D. Glossopharyngeal breathing (glossopharyngeal breathing)


Question: Which of the following can the eggs with the blood circulation to the brain or spinal cord, the formation of granulomas, cause seizures, neurological deficits?

Answer: Shaped flukes (Heterophyes heterophyes)

Choices:
A. Echinostoma (Echinostoma spp.)
B. Shaped flukes (Heterophyes heterophyes)
C. Cattle and sheep liver fluke (Fasciola hepatica)
D. 薑片 蟲 (F. buski)

following
blood circulation
brain
spinal cord
cause seizures
neurological deficits


Question: After the baby is delivered, the placenta can not be delivered on their own, and uterine bleeding situation, it should give priority to one of the following disposal?

Answer: Massaging the uterus and placenta manually peeled

Choices:
A. With gauze packing of the uterus and vagina
B. Waiting for the release of placental self uterus
C. Massaging the uterus and placenta manually peeled
D. To remove the clip placenta uteroplacental

baby
delivered
placenta
not
delivered
uterine bleeding
give priority to one
following


Question: Prevalence (prevalence) in Taiwan women infected with cervical human papillomavirus (HPV) is about how much?

Answer: 15%

Choices:
A. 15%
B. 35%
C. 50%
D. 75%

Prevalence prevalence Taiwan infected cervical about


Question: 46 A 60-year-old woman was hospitalized for fatigue and confusion, patients with long-term diabetes taking metformin, was diagnosed with small cell lung cancer is still the treatment of last year. Body checkups: blood pressure 136/80 mmHg, pulse rate 76 per minute, 14 times per minute, respiratory, jugular vein flat, no abnormal chest and abdomen, extremities edema, neurological examination, no motor deficits, reduced symmetry CD deep tendon reflexes. Laboratory tests: sodium 108 mmol / L, potassium 3.8 mmol / L, HCO3- 24 mEq / L, urea nitrogen 5 mg / dL, creatinine 0.5 mg / dL, serum osmolality 220 mOsmol / kg H2O, urine osmolality 400 mOsmol / kg H2O. If this is too fast to correct the patient's electrolyte abnormalities, following what most worried about complications?

Answer: Permeability of brain demyelinating syndrome (osmotic cerebral demyelination)

Choices:
A. Rebound hyperglycemia (rebound hyperglycemia)
B. Permeability of brain demyelinating syndrome (osmotic cerebral demyelination)
C. Pulmonary edema (pulmonary edema)
D. Cerebral edema (brain edema)


Question: One diabetic ketoacidosis (diabetic ketoacidosis) of sick children in hospital the other day, because theosophy have not replied and go to the hospital. Sick Children in the emergency room suddenly cramp (seizure), examination revealed both pupil sizes. At this point it is best for quick disposal of giving:

Answer: l 10 mL/kg 20% mannitol

Choices:
A. 20 mL / kg of 0.9% NaCl
B. regular insulin 0.1 U/kg
C. 1：10000 epinephrine 0.1 cc/kg
D. l 10 mL/kg 20% mannitol

One diabetic ketoacidosis
diabetic ketoacidosis
sick
hospital
day
not
go
hospital
Sick Children
emergency room
cramp
seizure
revealed
pupil sizes
point
best
quick
giving


Question:
11. One 47-year-old woman, the last three years with mild thirst, hair, fingers winter will be white and purple. Further, in the palm and back of a micro significant vasodilation (telangiectasis). Nearly half have dysphagia. By blood examination revealed ANA 1: 160 centromere pattern, C3
 108 mg / dL, C4 23.5 mg / dL, anti-Scl-70 85 AU / mL (normal <120 AU / mL), anti-centromere protein 218 AU / mL (normal <120 AU / mL), anti-SSA 128 AU / mL (normal <120 AU / mL), anti-dsDNA 108 IU / mL
 (Normal <120IU / mL), anti-Sm / anti-RNP were normal. The most likely diagnosis Why?

Answer: CREST syndrome

Choices:
A. polymyositis
B. CREST syndrome
C. Sjögren's syndrome
D. systemic lupus erythematosus

One
year old woman
last three years
mild thirst
hair
fingers winter
white
purple
Further
palm
back of
micro significant vasodilation
telangiectasis
Nearly half
dysphagia
blood examination revealed
centromere pattern
C3
mg
dL
C4 23
mg
dL
anti-Scl-70 85 AU
mL
normal
AU
mL
centromere protein
AU
mL
normal
AU
mL
AU
mL
normal
AU
mL
anti-dsDNA
IU
mL
Normal
mL
anti Sm
RNP
normal
diagnosis


Question: Vascular layer of the eye (vascular tunica) which does not include the following structure?

Answer: Crystalline lens (lens)

Choices:
A. Iris (iris)
B. Crystalline lens (lens)
C. Ciliary body (ciliary body)
D. Choroid layer (choroid)

Vascular layer
eye
vascular tunica
not include
following structure


Question: Which of the following properties Rickettsia bacteria (Rickettsiae) with the same virus?

Answer: Within the cell to survive

Choices:
A. While DNA and RNA
B. Within the cell to survive
C. Line breeding dichotomy
D. Can be killed by antibiotics


Question: 79. One 45-year-old middle-aged men, career as a long-distance bus driver, recently often suffer from dizziness, severe dizzy unable to stand. This vertigo has occurred several times in his car, causing danger. When coincides with the company to hold annual physical examination, a physician diagnosis of inner ear disease, can not be completely cured in the short term, to be a good rest. Only the patient as breadwinner, to refuse treatment, and requires the physician to the company's confidential. Whether the physician should inform the employer of this patient?

Answer: Yes. At this time, the safety of the passengers and the public interest is more important than privacy

Choices:
A. Yes. At this time, the safety of the passengers and the public interest is more important than privacy
B. no. The principle of confidentiality does not allow physicians to violate the rights of any
C. no. Physicians should be referred to other physicians
D. Yes. Employers know that employees' privacy life


Question: A 40-year-old female, infertility due to polycystic ovary years, irregular menstruation, blood analysis for the first three days of menstruation FSH: 8 mIU / mL, LH: 30 mIU / mL, testosterone: 75 ng / dL, ultrasound under shows bilateral polycystic ovaries, endometrial thickness of 2.5 cm, before the start of ovulation induction, the following examination is what priority needs?

Answer: Endometrial sliced

Choices:
A. Breast examination
B. Laparoscopy
C. Endometrial sliced
D. Blood cholesterol and triglyceride


Question: Staphylococcus aureus (Staphylococcus aureus) is divided into 11 serotypes (serotypes) component of its cell in accordance with the kind of the region?

Answer: Capsular polysaccharides (capsular polysaccharide)

Choices:
A. Wins peptidoglycan (peptidoglycan)
B. Protein A (Protein A)
C. Peeling toxin (Exfoliative toxins)
D. Capsular polysaccharides (capsular polysaccharide)

Staphylococcus aureus
Staphylococcus aureus
divided
component
cell in accordance with
kind
region


Question: About pancreatic cancer, which of the following error?

Answer: By staging American Joint Committee on Cancer (AJCC) made for pancreatic cancer, T3N0M0 T2N1M0 are all part of the stage IIB

Choices:
A. The most common pathological diagnosis of ductal adenocarcinoma
B. Risk factors for pancreatic cancer include the age, family history, smoking, chronic pancreas Yandeng
C. By staging American Joint Committee on Cancer (AJCC) made for pancreatic cancer, T3N0M0 T2N1M0 are all part of the stage IIB
D. Head of pancreas cancer may be considered to be excised pancreaticoduodenectomy


Question: Magnetic Resonance Imaging (MRI) in clinical use, for approaching the cerebral cortex (cortical) or ventricles (ventricle) next to the brain infarction, which of the following sequences (sequences) provides the highest sensitivity will focus stand out?

Answer: fluid-attenuated inversion recovery（FLAIR）imaging

Choices:
A. T1-weighted imaging
B. T2-weighted imaging
C. fluid-attenuated inversion recovery（FLAIR）imaging
D. susceptibility-weighted imaging（SWI）

Magnetic Resonance Imaging
clinical use
approaching
cerebral cortex
cortical
ventricles
ventricle
next to
brain infarction
following
highest sensitivity
focus stand out


Question: The following account of the treatment of asthma (bronchial asthma), and what's right?

Answer: Use of inhaled long-acting with the ethylene-type synergist sympathetic inhaled steroids combined formulation, can effectively control persistent asthma (persistent asthma)

Choices:
A. Ethylene type conventionally used should be fast-acting sympathetic synergist (rapid acting β-agonist) to control the symptoms
B. Use dose inhaled steroids while ineffective, priority should be given to increase the dose of steroids to control inflammation
C. Use of inhaled long-acting with the ethylene-type synergist sympathetic inhaled steroids combined formulation, can effectively control persistent asthma (persistent asthma)
D. And white acid antagonists (leukotriene antagonist) suitable for severe persistent asthma (severe persistent asthma)

following account
treatment
asthma
bronchial asthma
right


Question: Which of the following conditions does not increase the risk of acute tubular necrosis induced by the developer?

Answer: Hyperkalemia

Choices:
A. Multiple myeloma (multiple myeloma)
B. diabetes
C. Humoral deficiency (hypovolemia)
D. Hyperkalemia

following conditions
not increase
acute tubular necrosis induced
developer


Question: When a newborn Which of the following diseases must avoid BCG is administered to play?

Answer: Mixed severe immune function defect

Choices:
A. Immunoglobulin hypothyroidism
B. Mixed severe immune function defect
C. Family history of tuberculosis
D. Cytomegalovirus infection in the fetus

newborn
following diseases
administered to play


Question: Connected sympathetic chain (sympathetic chain) with the L4 spinal nerve is:

Answer: Gray communicating branches, containing postganglionic sympathetic nerve fibers

Choices:
A. White rami (white communicating ramus), containing preganglionic sympathetic nerve fibers
B. White communicating branch, containing postganglionic sympathetic nerve fibers
C. Gray communicating branches (gray communicating ramus), containing preganglionic sympathetic nerve fibers
D. Gray communicating branches, containing postganglionic sympathetic nerve fibers

Connected sympathetic chain
sympathetic chain
L4 spinal


Question: Which of the following is not acute heart failure and pulmonary edema are the main drug?

Answer: Beta-sympatholytic agents preferably used (β-blocker)

Choices:
A. Intravenous dopamine or dobutamine
B. Intravenous nitroglycerin
C. Intravenous diuretics
D. Beta-sympatholytic agents preferably used (β-blocker)

following
not acute heart failure
pulmonary edema
main drug


Question: The following diseases fetoprotein (α-fetoprotein, AFP) is most unlikely elevated diseases:

Answer: Liver adenoma (Hepatic adenoma)

Choices:
A. HCC (Hepatocellular carcinoma)
B. Liver adenoma (Hepatic adenoma)
C. Testicular teratocarcinoma cell carcinoma (teratocarcinoma)
D. Severe viral hepatitis (Severe viral hepatitis)

following diseases fetoprotein
fetoprotein
most unlikely elevated diseases


Question: Account of the first type of bipolar disorder (bipolar I disorder), and which of the following error?

Answer: Only a very small number of cases of mania, hallucinations or delusions will produce

Choices:
A. Most cases first made as a depression rather than manic
B. Only a very small number of cases of mania, hallucinations or delusions will produce
C. The main therapeutic drugs for mood stabilizers
D. Men often associated with substance abuse case

Account
first type
bipolar
bipolar I disorder
following error


Question: Mr. Wong, 51 years old, over the past year memory was impaired, ataxia, middle of the night to the toilet often fall. Physical examination (physical examination) found Mr. Huang feet weakness, lower limb tendon reflexes (tendon reflex) decline, appear Babinski sign; the feet of the tuning fork vibration sense disappeared, but tingling is normal. Mr. Huang is not in contact with any chemical solvents, nor taking the medicine, but five years ago underwent gastric surgery. That one of the following in the diagnosis of the most helpful?

Answer: Vitamin B12 concentration in blood examination

Choices:
A. EEG examination
B. Vitamin B12 concentration in blood examination
C. Brain angiography (CT or MRI)
D. Cerebrospinal fluid examination

Mr
years old
past year memory
impaired
ataxia
middle
night
toilet often fall
found Mr
feet
lower limb tendon reflexes
tendon reflex
appear Babinski sign
feet
tuning fork vibration sense
tingling
normal
Mr
not
contact with
medicine
five years
gastric surgery
one
following
diagnosis
helpful


Question: A construction site worker at work fell to the ground from the second floor of the pelvis, was rushed to hospital. Patients with stable blood pressure, rapid heartbeat, abdominal pain and urinary retention, which of the following error?

Answer: When straddle injury (straddle injury), membranous urethra (membranous urethra) vulnerable

Choices:
A. When the patient's urethra opening with blood, we must rule out the possibility of urethral injury
B. Pelvic fracture and often have a membranous urethra (membranous urethra) injuries
C. Membranous urethra (membranous urethra) after the injury, DRE, prostate might shift
D. When straddle injury (straddle injury), membranous urethra (membranous urethra) vulnerable

construction worker
work fell
second floor
pelvis
rushed
hospital
Patients
stable blood pressure
rapid heartbeat
abdominal pain
urinary retention
following error


Question: Which of the following is a fungal disease known subcutaneous (subcutaneous mycosis) having two types of (dimorphic) of the pathogen?

Answer: Schenck Sporothrix (Sporothrix schenckii)

Choices:
A. Verrucous Trichophyton (Trichopyton verrucosum)
B. Schenck Sporothrix (Sporothrix schenckii)
C. Deputy crown ear fungus (Conidiobolus coronatus)
D. Frog dung mold (Basidiobolus ranarum)

following
fungal disease known subcutaneous
subcutaneous mycosis
two types
dimorphic


Question: Suffering from mental diseases housewife D, due to acute abdominal pain for several days, the families are taken to emergency assistance, the surgeon's diagnosis of acute appendicitis complicated by acute peritonitis. D surgeons perfect their families informed about his condition D, the recommended emergency surgery, but D convinced sinner himself is the cause of world catastrophe, should be atoning death, refused to accept any explanation and persuasion, has also refused to sign the consent form and anesthesia consent. Surgeons note psychiatrists P, P should be or what treatment is recommended, more appropriate?

Answer: D medical decision-making capacity of the affected mental diseases, divorced from reality, without the ability to grant or deny mean surgery, P should be recommended by their family members to sign on behalf of surgery and anesthesia consent form book agree

Choices:
A. D surgeons recommend to respect the decision not to accept self-surgery
B. P should be based on techniques of psychotherapy, D advised to undergo surgery
C. D medical decision-making capacity of the affected mental diseases, divorced from reality, without the ability to grant or deny mean surgery, P should be recommended by their family members to sign on behalf of surgery and anesthesia consent form book agree
D. After the surgeon recommendations given antipsychotic D, D be the digestion delusions, then persuade them to undergo surgery

Suffering
mental housewife
due to acute abdominal pain
days
emergency assistance
surgeon's diagnosis
acute appendicitis complicated
acute peritonitis
surgeons
informed
condition
emergency surgery
D
cause
death
to accept
to sign
anesthesia consent
Surgeons note psychiatrists
P
treatment
more appropriate


Question: Which of the following is not obturator nerve (obturator nerve) domination?

Answer: Obturator muscle (obturator internus)

Choices:
A. Short adductor muscles (adductor brevis)
B. Gracilis muscle (gracilis)
C. Obturator muscle (obturator internus)
D. Adductor longus (adductor longus)

following
not obturator nerve
obturator nerve


Question: Which of the following is not Taiwan currently has a newborn screening test project?

Answer: Beta thalassemia

Choices:
A. Congenital low thyroid function disorders
B. Phenylketonuria
C. Beta thalassemia
D. Methylmalonic acidemia (methylmalonic acidemia)

following
not Taiwan currently
newborn screening test


Question: As shown in the figure below is a 65-year-old male hypertensive patients with aortic disease, left aortic cross-section (low power), and the right is the aortic wall lesions (high power). Which of the following most appropriate diagnosis for this disease?

Answer: aortic dissection

Choices:
A. mycotic aneurysm
B. atherosclerotic aneurysm
C. aortic dissection
D. luetic aneurysm

65-year-old male hypertensive patients
aortic disease
left aortic cross-section
low power
right
aortic wall lesions
high power
following
appropriate diagnosis
disease


Question: Which of the following is causing injury-connector contracture (wound contracture) primary cells?

Answer: ⺟ muscle fiber cells (myofibroblast)

Choices:
A. T- lymphocytes (T-lymphocyte)
B. B- lymphocytes (B-lymphocyte)
C. Macrophages (macrophage)
D. ⺟ muscle fiber cells (myofibroblast)

following
causing injury connector contracture
wound contracture
primary cells


Question: 50-year-old male, the occurrence of left ventricular infarction, pulmonary congestion and pleural cavity water appeared two weeks later, a large number of cells brown heart failure (heart failure cells) in the lungs, which of the following is the source of such brown cells?

Answer: Macrophages

Choices:
A. Cardiomyocytes
B. Endocardial cells
C. Macrophages
D. Fibroblasts


Question: The following statements about laparoscopic surgery of the watch, what's wrong?

Answer: Outside the watch abdominal endoscopic surgery (extraperitoneal endosurgery) the watch do surgery space with a smaller size, and will increase the chance of intestinal adhesions

Choices:
A. In laparoscopic surgery the watch into the whole chest upwards ⿇ drunk preferably ⾏
B. After the peritoneal cavity or organ needs (extraperitoneal space) into the abdominal cavity from outside the peritoneum, and sometimes require surgery Using distraction balloon (balloon dissection) to open the first shot hole
C. Outside the watch abdominal endoscopic surgery (extraperitoneal endosurgery) the watch do surgery space with a smaller size, and will increase the chance of intestinal adhesions
D. The watch to the watch-assisted laparoscopic surgery (hand-assisted laparoscopic surgery) is believed to be reduced to convert the laparoscopic surgeon learning curve, to also reduce the chance the watch traditional surgery


Question: Anal rectal ⾨ position junction (anorectal junction), the entry will be observed where the following configurations?

Answer: Rectal (. Colon Rectum) ⽪ many goblet cells (goblet cells)

Choices:
A. Rectal (. Colon Rectum) ⽪ many goblet cells (goblet cells)
B. ⽪ the rectum (. Colon Rectum) stratified on a flat ⽪ (stratified squamous epithelium)
C. Anal ⾨ (anus) have Peyer's patch
D. Anal ⾨ (anus) longitudinal muscle layer ⾛ muscle ⾁ (longitudinal layer of muscularis externa) has a significant thickening of the internal sphincter

Anal rectal
position junction
anorectal junction
observed
following configurations


Question: 6-year-old Xiao Ming head injury because of an accident, emergency back after dependent respirator in the ICU after one week of treatment, and now the situation worse, dilated pupils and the emergence of the phenomenon of diabetes insipidus, boost blood pressure by agents remained at around 100/54 mmHg may have been brain dead, grief-stricken family members still in the stage. If you are a ICU physician, which of the following improper disposal?

Answer: Track line to remove the respirator and transferred ICUs

Choices:
A. Note neurologist assessment of brain death
B. If unstable blood pressure, doctors can not arbitrarily stop vasopressors
C. The families of organ donation wishes to consult
D. Track line to remove the respirator and transferred ICUs

year old
head injury
of
emergency back
dependent respirator
ICU
one week
treatment
now
worse
dilated pupils
diabetes insipidus
boost blood pressure
agents
100 54 mmHg
brain dead
stage
ICU physician
following


Question: To reduce scarring, when the incision should:

Answer: Parallel to the "minimum tension" (minimal tension) line

Choices:
A. Parallel to the "minimum tension" (minimal tension) line
B. Perpendicular to the "Langer" Line (Langer's lines)
C. Parallel to the subcutaneous muscle
D. Perpendicular to the skin wrinkles


Question: A 1-year-old girl for six months to seek treatment because of growth retardation. Physical examination found her height and weight were less than the third percentile. Blood analysis showed that sodium [Na +] 139 mmol / L; potassium [K +] 3.2 mmol / L; blood chloride [Cl-] 109 mmol / L, in blood of bicarbonate [HCO3-] 19 mmol / L. Please calculate the anion gap?

Answer: 11 mmol/L

Choices:
A. 14.2 mmol/L
B. 11 mmol/L
C. 18 mmol/L
D. Not enough data to calculate

year old girl
six months to
treatment
growth retardation
Physical
found
height
weight
less than
third percentile
Blood analysis
sodium
mmol
L
potassium
K
3.2 mmol
L
blood chloride
mmol
L
blood
bicarbonate
HCO3
mmol
L
anion gap


Question: Norway Wacker (Norwalk) virus infection causes diarrhea, vomiting and other symptoms, the virus genome is:

Answer: Positive (+) stranded RNA

Choices:
A. Double-stranded RNA
B. Double-stranded DNA
C. Positive (+) stranded RNA
D. Negative (-) stranded RNA

Norway
virus infection causes diarrhea
vomiting
symptoms
virus genome


Question: The following information about abdominal aortic aneurysm (abdominal aortic aneurysm) describes the indications for surgery, what's wrong?

Answer: Ruptured abdominal aortic aneurysm, high mortality, do not recommend immediate surgery

Choices:
A. The maximum diameter of> 5.5 cm, should surgery
B. The maximum diameter between 4.0 ~ 5.0 cm and 1 cm increases every year, should surgery
C. Associated with abdominal pain, back pain caused by thrombosis or peripheral arterial blockage, immediately surgery
D. Ruptured abdominal aortic aneurysm, high mortality, do not recommend immediate surgery

following
abdominal aortic aneurysm
abdominal aortic aneurysm
surgery
wrong


Question: 37-year-old men, BMI was 38 kg / m2, had complained of chest pain phenomenon sleep at night for about six months, the pain confined to the chest, often accompanied by a burning sensation and acid spill sense, as a basis for diagnosis, which of the following do not need to check ?

Answer: Hypotonic duodenography

Choices:
A. UGI endoscopic examination
B. 24hr esophageal pH monitor
C. Esophageal manometer examination
D. Hypotonic duodenography

year old
BMI
kg
m2
of chest pain
sleep
night
six months
pain
chest
often
burning sensation
acid
sense
basis
diagnosis
following
not need to check


Question: Account of high prolactin hyperlipidemia (hyperprolactinemia) and prolactin adenoma (prolactin adenoma), the error which of the following?

Answer: Taking bromocriptine and cabergoline, can not effectively shrink the tumor

Choices:
A. bromocriptine is short-acting dopamine-like drugs, must be taken daily
B. cabergoline is long-acting dopamine-like drugs, taken twice a week
C. Taking bromocriptine and cabergoline, can not effectively shrink the tumor
D. Taking bromocriptine and cabergoline, if blood prolactin (prolactin) in the concentration falls within the normal range for more than 2 years, may consider withdrawal tracking

Account
high prolactin hyperlipidemia
hyperprolactinemia
prolactin adenoma
prolactin adenoma
error
following


Question: Which of the following neurotransmitters (neurotransmitter) plays the most important role in the reward system of the mammalian central nervous system?

Answer: Dopamine

Choices:
A. Dopamine
B. Epinephrine
C. Glycine
D. Acetylcholine

following neurotransmitters
neurotransmitter
plays
most important role
system
central nervous


Question: 42 below those for the fat-soluble vitamins? Vitamin A   vitamin B  vitamin C  Vitamin E Vitamin D 

fat-soluble vitamins
Vitamin
vitamin
C
E
D


Question: When humans biotin deficiency, the following biochemical reactions can not be affected?

Answer: Carboxylation reaction (carboxylation)

Choices:
A. Transamination reaction (the transamination)
B. Phosphorylation reaction (phosphorylation were)
C. Carboxylation reaction (carboxylation)
D. Methylation reaction (by methylation)

humans biotin deficiency
following
not
affected


Question: Male infertility patients, the total number of active sperm semen less than 1 million to assist the implementation of artificial reproduction technology, where the most effective disposal of these items?

Answer: Single sperm quality in ovo injection technique (intracytoplasmic sperm injection)

Choices:
A. Transparent and puncture area (zona drilling)
B. Single sperm quality in ovo injection technique (intracytoplasmic sperm injection)
C. The transparent region sperm injection (subzonal sperm injection)
D. Transparent region thinning surgery (assisted hatching)

Male
Male infertility patients
total number
active sperm semen
1 million to assist
artificial
most effective


Question: Which of the following form  tail with teratoma (sacrococcygeal teratoma) about?

Answer: Original Article (primitive streak) remaining

Choices:
A. Notochord (notochord) of retention
B. Original Article (primitive streak) remaining
C. Notochord front plate (prechordal plate) development
D. Hyperplasia extraembryonic mesoderm

following form
tail
teratoma
sacrococcygeal teratoma
about


Question: From the previous question, the disposal of the patient, which of the following more appropriate?

Answer: Add water, and diuretics

Choices:
A. Immediately given intravenous injection of 50% glucose
B. Add water, and diuretics
C. Calcium Injection
D. US forces give good powder (Kalimate)

previous
patient
following more appropriate


Question: The reason hypothermia Which of the following is least likely?

Answer: Vice hypothyroidism

Choices:
A. Gland under the brain hypofunction
B. Vice hypothyroidism
C. Low adrenal (Addison's disease)
D. Stroke


Question: A 55-year-old female, found by chance a dip in blood on the toilet paper, and go to hospital for a colonoscopy when wiping the anus after a bowel movement, and found that there is a 2 cm in size joints rectum and sigmoid colon polyps have stems. After removal of polyps, a pathology report and the adenoma polyp near the stem of the polyp neck merge local invasion of cancer (Focal invasive cancer), if the patient's general condition are fairly healthy, then how to deal with the most it is good?

Answer: For rectal anterior resection

Choices:
A. Then make a base for polyp wider local endoscopic mucosal resection
B. Through the anus for removal of a broader base polyp
C. Tracking can be observed
D. For rectal anterior resection

year old female
found
chance
dip
blood
toilet paper
go
hospital
colonoscopy
wiping
anus
bowel movement
found
2
size joints rectum
sigmoid colon polyps
stems
removal
polyps
the adenoma polyp
stem of
neck
local
cancer
Focal invasive cancer
patient's general condition
healthy
then
to
good


Answer: Special Tony's disease (Behçet's disease)

Choices:
A. Pemphigus scarring (cicatricial pemphigoid)
B. Erythema multiforme (erythema multiforme)
C. Pemphigus vulgaris (pemphigus vulgaris)
D. Special Tony's disease (Behçet's disease)


Question: About generalized anxiety disorder (generalized anxiety disorder) the treatment of the following statements is wrong?

Answer: Benzodiazepine (benzodiazepine; BZD) is the drug of choice for newly diagnosed quickly control the disease

Choices:
A. Benzodiazepine (benzodiazepine; BZD) is the drug of choice for newly diagnosed quickly control the disease
B. Buspirone hydrochloride (buspirone) need to take 2 to 3 weeks appear efficacy, cognition (Cognitive) effective than physical symptoms (Somatic) SYMPTOMS
C. The most effective treatment is to merge psychotherapy, drug therapy and supportive care
D. Studies have shown that cognitive behavioral therapy (cognitive-behavioral technique) has short-term and long-term efficacy of

About generalized anxiety disorder
generalized anxiety disorder
treatment
following
wrong


Question: Which of the following X-ray is the most suitable for the detection of acute maxillary sinusitis?

Answer: Submental vertical view

Choices:
A. Skull lateral view
B. Waters view
C. Caldwell view
D. Submental vertical view

following X-ray
most suitable
detection
acute maxillary sinusitis


Question: Dendritic cells secrete cytokines affect the differentiation of CD4 + T cells, that these cytokines stimulate a seventeenth type helper T cells (the TH17) of differentiation?

Answer: TGF-β and IL-6

Choices:
A. TGF-β, IL-6, IL-10 及
B. TGF-β and IL-10
C. IL-10 IL-6 及
D. TGF-β and IL-6

secrete cytokines
differentiation
CD4
T cells
cytokines
differentiation


Question: The computer shown in FIG lung tomography, arrows indicate which of the following?

Answer: Upper lobe of the lung (upper lobe) the previous section 支氣 tube (anterior segment)

Choices:
A. Lung middle (middle lobe) bronchial outer section (lateral segment)
B. Lung middle (middle lobe) Section bronchial inner (medial segment)
C. Upper lobe of the lung (upper lobe) the previous section 支氣 tube (anterior segment)
D. Lung upper lobe (upper lobe) bronchial side section (lateral segment)

computer
lung tomography
arrows
following


Question: 57. Those following meningitis, if not treated early, Rongyifasheng severe exudative inflammation of the meninges skull base changes (basilar meningeal exduate), resulting in sub-onset cerebral infarction (cerebral infarction)? ① meningitis, mumps virus (mumps) ② meningitis cytomegalovirus (CMV) ③ ④ cryptococcal meningitis, tuberculosis meningitis

Answer: ③④

Choices:
A. ①②
B. ②③
C. ①④
D. ③④

severe exudative of the meninges skull base changes

resulting in sub onset cerebral infarction


Question: The following antidepressant drugs, which belong to monoamine oxidase inhibitors?

Answer: selegiline

Choices:
A. selegiline
B. paroxetine
C. imipramine
D. bupropion

following antidepressant drugs
monoamine oxidase inhibitors


Question: For the description of osteoporosis (Osteoporosis), the Which statement is correct?

Answer: Osteoporosis is divided into two types, the first type are mainly caused by the post-menopausal osteoporosis, the second type is due to aging or caused by insufficient calcium absorption, the ratio of the occurrence of this type two are female than male high

Choices:
A. Osteoporosis is divided into two types, the first type are mainly caused by the post-menopausal osteoporosis, the second type is due to aging or caused by insufficient calcium absorption, the ratio of the occurrence of this type two are female than male high
B. Caused by the aging of osteoporosis refers to the patient over 70 years old, male female ratio from about 2: 1, the major cause vertebral compression fractures (Compression fracture), hip fracture (Hip fracture), proximal radius fractures (Proximal radius fracture)
C. The current World Health Organization (WHO) defines T-score between -1 and -2.5 Osteoporosis is called
D. Check BMD (Bone mineral density), the current SEXA (Single energy X-ray absorptiometry) than DEXA


Question: To investigate the effects of three brands of milk and season of birth weight in infants, a statistical method that is more suitable?

Answer: A two-way analysis of variance (two-way ANOVA)

Choices:
A. One ANOVA (one-way ANOVA)
B. A two-way analysis of variance (two-way ANOVA)
C. Three-way analysis of variance (three-way ANOVA)
D. Repeated measures analysis of variance (repeated measurement ANOVA)

To investigate
effects
three
milk
season
birth weight
infants
more suitable


Question: T follicular helper (TFH) cells are very important for the humoral immune response (humoral immune response), TFH description about what's wrong?

Answer: Using mouse B cell cultured in vitro with LPS, IL-2, and IL-21, can replace TFH cell functions to stimulate antibody production IgG1

Choices:
A. TFH cells located in the germinal center light zone (light zone)
B. TFH cell differentiation requires the transcription factor Bcl-6
C. TFH cells may secrete IL-21 and other cytokines, IL-21 promote plasma cell differentiation
D. Using mouse B cell cultured in vitro with LPS, IL-2, and IL-21, can replace TFH cell functions to stimulate antibody production IgG1

follicular
very important
humoral immune response
humoral immune response
TFH
wrong


Question: Which of the following circumstances, can not serve as clues to potential bioterrorist attacks epidemiology?

Answer: Mild disease severity than the average disease

Choices:
A. More than produce similar symptoms when patients have designated bulletin
B. Mild disease severity than the average disease
C. Unusual geographic distribution of the disease or seasons (especially when the lack of appropriate media)
D. Simultaneous or sequential disease outbreak

following
not
potential
attacks epidemiology


Question: Statements about scarlet fever (Scarlet fever), and which of the following error?

Answer: Endotoxin (Endotoxin) transfer machine and scarlet fever pathogenic group A streptococci (Group A streptococcus) generated about

Choices:
A. Clinical need and measles virus, Kawasaki disease (Kawasaki disease) or Staphylococcus aureus difference
B. Scarlet fever rash feels rough feeling
C. Typical symptoms also include strawberry tongue, systemic diffuse rash, pale around the lips, skin desquamation few days
D. Endotoxin (Endotoxin) transfer machine and scarlet fever pathogenic group A streptococci (Group A streptococcus) generated about

scarlet fever
Scarlet fever
following error


Question: 26 a 58-year-old male, non-invasive medical history, complained two months have cases of cough, purulent sputum, fever. Recently began to have pain in the right chest. Found right lower lung auscultation decreased breath sounds, percussion local voiced (Dullness). Chest X-ray showed right lower lung field white. By ultrasound and pleural pumping arrangement (thoracentesis), extracts only 5 mL of yellow-white turbid liquid, following results were obtained for laboratory examination:

Answer: Choutan tube to the respirator or inserted into the trachea

Choices:
A. Arrange sputum bacterial culture and antibiotic treatment
B. Right chest drainage chest tube placement
C. Choutan tube to the respirator or inserted into the trachea
D. Arrange hospitalization


Question: That one of the following antibiotic used to treat pneumonia for L. pneumophila Legionnaires bacteria (Legionella pneumophila) caused?

Answer: Azithromycin (azithromycin)

Choices:
A. Clindamycin (clindamycin)
B. Azithromycin (azithromycin)
C. Ampicillin (ampicillin)
D. Amphotericin B (amphotericin B)

one
following
used to treat pneumonia
pneumophila
bacteria
caused


Question: The following phases of the cell cycle, DNA replication is controlled:

Choices:
A. G1
B. S
C. G2
D. M

following phases
cell cycle
DNA replication
controlled


Question: If patients had peripheral facial nerve (facial palsy of peripheral type) damage, and the first two-thirds of the tongue ipsilateral loss of taste, which is the site of injury in the most unlikely:

Answer: Facial nerve through the parotid gland (parotid gland) at

Choices:
A. Geniculate ganglion (geniculate ganglion) nearby
B. Chamber eardrum (tympanic cavity)
C. Internal auditory canal (internal acoustic meatus) nearby
D. Facial nerve through the parotid gland (parotid gland) at

patients
peripheral facial
facial palsy
peripheral type
damage
first two thirds of
tongue ipsilateral loss
taste
site
injury
most unlikely


Question: Disc-related cause (intervertebral disc herniation induced) of radiculopathy (radiculopathy), the following statements is wrong?

Answer: Thoracic predilection sites

Choices:
A. Occur in 30 to 60 years old
B. May lead to local muscle atrophy
C. Thoracic predilection sites
D. Tendon hyporeflexia

Disc related cause
intervertebral disc herniation induced
radiculopathy
radiculopathy
following
wrong


Question: A 68-year-old man fell sent emergency, state of consciousness fuzzy, eyes will open to painful stimuli, and the left hand will sweep aside the pain stimulus, but will not say anything, and head CT as shown below, which of the following correct?

Answer: Subdural hemorrhage located

Choices:
A. Subdural hemorrhage located
B. Most of the source of bleeding is caused by a skull fracture from meningeal artery rupture
C. The best treatment for a large number of intracranial pressure-lowering drugs, to avoid compression of the brainstem blood clots
D. The patient is currently GCS of 10 points

year old man fell sent emergency
state of consciousness fuzzy
eyes
open
painful
left hand
pain
not
head CT
following correct


Question: Mitral stenosis patients need to be addressed with surgical procedures, following a way that now use less?

Answer: Closed mitral valve incision (closed mitral commissurotomy)

Choices:
A. Mitral incision under direct vision (open mitral commissurotomy)
B. Closed mitral valve incision (closed mitral commissurotomy)
C. Balloon angioplasty (balloon mitral valvuloplasty)
D. Mitral valve replacement (mitral valve replacement)

Mitral stenosis patients need to
surgical procedures
following
now use less


Question: 35 pregnant women, G2P1, 42 weeks of pregnancy, the birth before receiving examination NST (nonstress test), the results as shown:

Answer: Nonreactive

Choices:
A. Early deceleration
B. Late deceleration
C. Reactive
D. Nonreactive

35
weeks
pregnancy
birth
receiving examination NST
nonstress test
results


Question: There is a 32 year old male patient at the right ear pieces 1.5 cm tumor grew slowly, for about six months, after the removal of medical treatment by surgery, biopsy thereof as illustrated. Will diagnostic or following statements is most appropriate?

Answer: Pleomorphic adenoma (pleomorphic adenoma)

Choices:
A. Chondroma (chondroma)
B. Parotid gland inflammation and cartilage metaplasia (sialadenitis with chondroid metaplasia)
C. Adenoid cystic carcinoma (adenoid cystic carcinoma)
D. Pleomorphic adenoma (pleomorphic adenoma)

32 year old male
right ear pieces 1 5
tumor
slowly
about six months
removal
medical treatment
surgery
biopsy
diagnostic
following
most appropriate


Question: The basketball court, his right hand holding a stride king of Jordan layup, but was severely Michael Lee built a record large pot, Jordan's right arm was forced back under pressure, only to hear his screams, the right arms like "dead salted fish" hanging in the body, could not lift. Will the King of Jordan sports injuries are most likely to occur Why?

Answer: Dislocated right shoulder anterior glenoid lip rupture merger

Choices:
A. Acromioclavicular joint dislocation
B. Rotator cuff rupture
C. Non-displacement subclavian (Non-displaced) fractures
D. Dislocated right shoulder anterior glenoid lip rupture merger

basketball court
right hand holding
Jordan
severely
record large pot
Jordan
ight arm
orced  ack
ressure,
nly  o  ear
ight arms
ead  alted
anging
ody,
ot  ift.
ordan  ports injuries
o  ccur


Question: The following cell walls of any bacteria of the structured protein A, IgG can bind to?

Answer: Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Hemolytic group A streptococci (Group A hemolytic streptococcus)
B. Pneumococcus (Streptococcus pneumoniae)
C. Staphylococcus aureus (Staphylococcus aureus)
D. Gonorrhea (Neisseria gonorrhoeae)

following cell walls
bacteria
protein A
to


Question: 30-year-old man complained: "the face of sudden onset acne badly the last three days" (Figure 1) "very itchy and have a fever." There are a lot of back and play Prurigo child (Figure 2). The most likely clinical diagnosis:

Answer: Varicella (Chicken pox)

Choices:
A. Acne vulgaris (Acne vulgaris)
B. Varicella (Chicken pox)
C. Single pure herpes (Herpes simplex)
D. Band of shingles (Herpes zoster)

30 year old man
face
sudden onset acne badly
last three days
very itchy
fever
lot of back
play Prurigo child
clinical diagnosis


Question: Which of the following is not a hormone by the anterior pituitary gland under the brain (anterior pituitary) manufactured secretion?

Answer: oxytocin

Choices:
A. follicle stimulating hormone
B. prolactin
C. adrenocorticotropic hormone
D. oxytocin

following
not
hormone
anterior pituitary
brain
anterior pituitary
secretion


Question: Stroke patients with middle cerebral artery (middle cerebral artery) infarction caused Which of the following most common cause vision disorders?

Answer: Two sides with hemianopia (homonymous hemianopia)

Choices:
A. Temporal hemianopia two sides (bitemporal hemianopia)
B. Two sides with hemianopia (homonymous hemianopia)
C. Center of the field defect (central scotoma)
D. Blindness single (one-eye blindness)

Stroke patients
middle cerebral artery
middle cerebral artery
infarction caused
following
common cause vision disorders


Question: Which of the following has myenteric disk (intercalated disc)?

Answer: Myocardial

Choices:
A. Myocardial
B. Skeletal muscle
C. Vertical hair muscle
D. smooth muscle


Question: Factors that affect health behavior, as personal attributes and personality traits, etc., can not be used to change the characteristics of health education. This is part of:

Answer: Antecedents of Bukegaibian

Choices:
A. Antecedents of Bukegaibian
B. Can change the antecedents
C. Contributing factors
D. Reinforcers

Factors
personal attributes
personality traits
not
used to change
characteristics
part of


Question: Viral hepatitis D virus is a defective virus and can not exist alone, it must be what hepatitis virus attached to it may form a complete infectious virus it?

Answer: Type B

Choices:
A. A type
B. Type B
C. Type C
D. E-type

Viral
not
alone
form
complete infectious


Question: Which of the following is the most appropriate approach?

Answer: Please patients take a deep breath, and to strengthen and take sputum expectoration

Choices:
A. After doing blood culture give broad-acting antibiotic
B. Laparotomy immediately to repair the hole
C. Please patients take a deep breath, and to strengthen and take sputum expectoration
D. The open wound debridement


Question: A cervical cancer patient made a intravenous pyelogram (IVP), the left kidney was found completely developed, this patient is at least FIGO staging of several issues?

Answer: Ⅲb

Choices:
A. a
B. Ⅱb
C. Ⅲb
D. IVb

cervical made
intravenous pyelogram
left kidney
found completely
patient
issues


Question: A Down syndrome (Down syndrome, trisomy 21) baby, by physical checkups found systolic heart murmur (grade II / VI), chest X-ray showed cardiomegaly, presenting two electrocardiogram of QRS ventricular hypertrophy and axially upwardly (superior QRS axis). The most likely congenital heart disease Why?

Answer: AVSD (endocardial cushion defect)

Choices:
A. AVSD (endocardial cushion defect)
B. A second atrial septal defect (secundum atrial septal defect)
C. Aortic dry (truncus arteriosus)
D. Aortic arch narrowing (coarctation of aorta)

Down syndrome
Down syndrome
trisomy 21
baby
physical
found systolic heart murmur
VI
chest X-ray
cardiomegaly
two electrocardiogram
ventricular hypertrophy
superior
axis
congenital heart disease


Question: A 55 year old male patient with sudden onset of right limb weakness, urinary incontinence, was diagnosed as stroke infarction. After two months, returned to almost normal right arm, right leg but still significant weakness in the diagnosis most likely that an infarction?

Answer: Anterior cerebral artery (anterior cerebral artery)

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

year old male patient
sudden right limb weakness
urinary incontinence
diagnosed
stroke infarction
two months
returned to almost normal right arm
right leg
significant weakness
diagnosis
likely
infarction


Question: Gas gangrene (gas gangrene) Which of the following is necrosis caused?

Answer: Clostridium (Clostridium) infection

Choices:
A. Fungal infections
B. Emphysema (pulmonary emphysema)
C. Clostridium (Clostridium) infection
D. Gas embolism (gas embolism)

Gas gangrene
gas gangrene
following
necrosis caused


Question: 48-year-old male suffering from high blood pressure for many years, no regular medication. At work, suddenly feeling his right arm, right leg and right cheek numbness (numbness), but no obvious weakness (weakness), the most likely location of lesions (lesion site) Where?

Answer: Left thalamus (left thalamus)

Choices:
A. Right thalamus (right thalamus)
B. Left thalamus (left thalamus)
C. The right front side of the central sulcus gyrus (right precentral gyrus)
D. The left front side of the central sulcus gyrus (left precentral gyrus)

48 year old male suffering
high blood pressure
years
regular medication
right arm
right leg
right cheek numbness
numbness
weakness
weakness
location
lesions
lesion site


Question: 60-year-old male, complained of exercise-induced shortness of breath, fatigue, lower limb edema has been two months, physical examination found that blood pressure 160/40 mmHg, left sternal border auscultation with third-degree merge systolic and diastolic heart murmur, and palpation of the left display cardiac hypertrophy, liver swelling approximately three fingers width, lower extremity edema, laboratory BUN 30 mg / dL, Cr 1.4 mg / dL, AST 50 IU / L, ALT 60 IU / L, the patient is most likely to have:

Answer: heart failure

Choices:
A. Kidney failure
B. Liver tumor
C. heart failure
D. respiratory failure


Question: The following account of neurosyphilis (neurosyphilis) of, what's wrong?

Answer: The impact on the brain's neurological syphilis mainly temporal lobe, it will produce hallucinations and delusions of schizophrenia patients is similar

Choices:
A. After the disc Ni Xilin (penicillin) invention, neurosyphilis less frequent, but since the emergence of AIDS, neurosyphilis attention of the medical profession again
B. The impact on the brain's neurological syphilis mainly temporal lobe, it will produce hallucinations and delusions of schizophrenia patients is similar
C. Their cerebrospinal fluid have increased lymphocytes (lymphocytosis) and more of the protein
D. After neurosyphilis syphilis spirochete infection usually occurred 10-15

following account
neurosyphilis
neurosyphilis
wrong


Question: About narrative Pseudomonas aeruginosa keratitis (pseudomonal keratitis), and what's right?

Answer: Mostly caused by infection of the cornea and contact lens wearers about the

Choices:
A. Fairly benign course
B. Mostly caused by infection of the cornea and contact lens wearers about the
C. Slit lamp examination of the common satellite-like lesions (satellite lesions)
D. Pseudomonas aeruginosa itself may be secreted proteolytic enzymes (Protease), prevents corneal melting, cracking

About
keratitis
pseudomonal keratitis
right


Question: Which of the following has cracked open glottis (rima glottidis) the role?

Answer: Posterior cricoarytenoid muscles (posterior cricoarytenoid muscle)

Choices:
A. Posterior cricoarytenoid muscles (posterior cricoarytenoid muscle)
B. Cricothyroid muscle (cricothyroid muscle)
C. Lateral cricoarytenoid muscle (lateral cricoarytenoid muscle)
D. Thyroid hyoid muscles (thyrohyoid muscle)

following
cracked open glottis
rima glottidis
role


Question: 39. a body weight of about 2200 grams of anal atresia (imperforate anus) baby girl, three hours found cyanosis, shortness of breath after birth, the mouth from time to time foamy saliva flowing transparent (as shown below), which is most likely to merge any problems?

Answer: Esophagus closed (esophageal atresia)

Choices:
A. Duodenum closure (duodenal atresia)
B. Hypertrophic pyloric stenosis (hypertrophic pyloric stenosis)
C. Esophagus closed (esophageal atresia)
D. Diaphragmatic hernia (diaphragmatic hernia)

body weight
grams
anal atresia
imperforate anus
baby girl
three hours found cyanosis
shortness of breath after birth
mouth
time
time foamy saliva
transparent
to


Question: 65-year-old diabetic male patient, prior to oral blisters a few weeks ago, after the trunk, limbs start to appear and many large blisters (Figure A). Skin tissue pathology (Figure B), and why direct immunofluorescence examination (direct immuno-fluorescence test) (Figure C), diagnosis?

Answer: Pemphigus vulgaris (pemphigus vulgaris)

Choices:
A. Delayed cutaneous porphyria (porphyria cutanea tarda)
B. Pemphigus vulgaris (pemphigus vulgaris)
C. Pemphigoid (bullous pemphigoid)
D. Diabetic blisters (diabetic bullae)

65 year old diabetic male patient
oral blisters
few weeks
trunk
limbs start to appear
large blisters
Skin tissue pathology
direct immunofluorescence
direct immuno-fluorescence test
diagnosis


Question: 23 year old woman, occasional chest tightness cases, cardiac auscultation found the lower left edge has a systolic heart murmur, the following statements is true?

Answer: If the mitral valve (mitral valve) can not be tightly closed, then there may be a systolic heart murmur

Choices:
A. Before the beginning of ventricular diastole (ventricular filling), atrial contraction will advance to facilitate blood flow into the ventricles
B. In the heart of the contraction and relaxation cycle (cardiac cycle), the systolic (systolic phase) than diastolic (diastolic phase) is more long
C. Diastole, aortic and pulmonary valve was left open
D. If the mitral valve (mitral valve) can not be tightly closed, then there may be a systolic heart murmur

23 year old woman
occasional chest tightness cases
cardiac auscultation found
lower left edge
systolic heart murmur
following
true


Question: The following definition of non-menstrual syndrome (amenorrhea), and what's right?

Answer: Renewal of existing non-menstrual syndrome refers to a continuous period of cessation of menstruation women more than 6 months

Choices:
A. Primary amenorrhea refers to no 16-year-old still no menses and no secondary sex characteristics
B. Primary amenorrhea refers to no 14-year-old still no menstruation, but with normal secondary sexual characteristics
C. Renewal of existing non-menstrual syndrome refers to women menstruation cessation of menstruation two consecutive months or more
D. Renewal of existing non-menstrual syndrome refers to a continuous period of cessation of menstruation women more than 6 months

following
non menstrual syndrome
amenorrhea
right


Question: The following items assess how best to predict the prognosis of forest students?

Answer: Spetzler-Martin grading system

Choices:
A. Spetzler-Martin grading system
B. Hunt-Hess scale
C. Fischer scale
D. World Federation of Neurosurgical Societies classification


Question: Mr. Wang, 45 years old, suffering from high blood pressure, diabetes, acute left ventricular anterior myocardial infarction hospitalized for 10 days in hospital in case of occasional angina pectoris. If Wang does not have any contraindications to empirical medical point of view, the hospital's medication, which of the following items is the most unnecessary?

Answer: alpha-blocker

Choices:
A. aspirin
B. alpha-blocker
C. beta-blocker
D. angiotensin-converting enzyme inhibitor


Question: When thyroid cancer surgery, to prevent bleeding and tie the throat artery (superior laryngeal a.), The most likely accidental injury at this time which of the following?

Answer: Laryngeal nerve (internal laryngeal nerve)

Choices:
A. Laryngeal nerve outside (external laryngeal nerve)
B. Under laryngeal nerve (inferior laryngeal nerve)
C. Vagus nerve (vagus nerve)
D. Laryngeal nerve (internal laryngeal nerve)

thyroid
to prevent bleeding
tie
throat artery
superior laryngeal
accidental injury
time
following


Question: 20 year-old male with mild mental developmental delay, epilepsy since taken to the emergency, physical examination found a small waist off spots, pimples and face, as shown, the most likely diagnosis Why?

Answer: Tuberous sclerosis (tuberous sclerosis)

Choices:
A. Tuberous sclerosis (tuberous sclerosis)
B. Neurofibromatosis type I disease (neurofibromatosis type I)
C. White spots (vitiligo)
D. Han illness (leprosy)

20 year old male
mild
developmental delay
epilepsy
emergency
found
small waist
spots
pimples
face
diagnosis


Question: Cerebellar climbing fibers come from where?

Answer: inferior olivary nuclei

Choices:
A. pontine nuclei
B. inferior olivary nuclei
C. cerebral cortex
D. the vestibular nuclei


Question: When gestational trophoblastic tumor (Gestational trophoblastic tumor) Transfer (Metastasis) occurs, is the most common sites of metastases:

Answer: lung

Choices:
A. vaginal
B. Pelvic
C. liver
D. lung

gestational trophoblastic tumor
Gestational trophoblastic tumor
Transfer
Metastasis
occurs
most common sites of metastases


Question: A 70-year-old woman with diabetes, there are red spots (patches) private prosecution under the breasts on both sides, surrounded by smaller satellite lesions (satellite lesions), see a lot of yeast-like microbes (yeast-like organism) of KOH microscopy. The most likely diagnosis is:

Answer: Candida infections

Choices:
A. Candida infections
B. Dermatophyte infection
C. Staphylococcus aureus infection
D. Shingles

70 year old woman
diabetes
red spots
patches
private prosecution
breasts
sides
surrounded
smaller satellite lesions
satellite lesions
see
lot
yeast
yeast
KOH microscopy
diagnosis


Question: Which of the following most unlikely to cause pharmacokinetic interaction with other drugs?

Answer: acetaminophen

Choices:
A. bile acid sequestrants
B. tricyclic antidepressants
C. ketoconazole
D. acetaminophen

following most unlikely to cause
interaction
drugs


Question: Hereditary orotic aciduria disease can cause severe anemia and growth failure, patients can ingest Which of the following substances be treated?

Answer: uridine

Choices:
A. uridine
B. thymine
C. adenosine
D. allopurinol

Hereditary orotic aciduria disease
cause severe anemia
growth failure
patients
following
treated


Question: Which of the following maximum inhalation anesthetics stimulation of the respiratory tract?

Answer: desflurane

Choices:
A. halothane
B. isoflurane
C. desflurane
D. sevoflurane


Question: reflex that kind of newborn babies have disappeared in order to make the development of stand up action is completed?

Answer: Tonic neck reflex

Choices:
A. Moro reflex
B. parachute reflex
C. Rooting reflex
D. Tonic neck reflex

reflex
kind
newborn babies
order to make
development
stand up action
completed


Question: 67-year-old male, large patches of depression (depressed plaque) from two years ago began to appear in the right cheek and a dark area where the merger of many small pieces. Skin biopsies show morphea basal cell carcinoma (morpheaform basal cell carcinoma). The most appropriate treatment is:

Answer: Mohs surgery (Mohs micrographic surgery)

Choices:
A. Laser surgery
B. Cryotherapy (cryosurgery)
C. Coffee surgery (electrosurgery)
D. Mohs surgery (Mohs micrographic surgery)

67 year old male
large patches
depression
depressed plaque
two years
began to appear
right cheek
dark area
small pieces
Skin biopsies
morphea basal cell carcinoma
morpheaform basal cell carcinoma
most appropriate treatment


Question: About aortic valve replacement surgery indications, which of the following error?

Answer: Asymptomatic with aortic valve backflow emitted ventricular rate> 50%, and end-diastolic dimention <70 mm, the need for surgery

Choices:
A. Once symptoms and patients with severe aortic valve reflux, needs surgery
B. Asymptomatic patients with severe left ventricular and aortic valve backflow emission ratio <50%, need for surgery
C. Countercurrent severe aortic valve and the combined three coronary artery disease, the need for surgery
D. Asymptomatic with aortic valve backflow emitted ventricular rate> 50%, and end-diastolic dimention <70 mm, the need for surgery

About aortic valve replacement surgery
following error


Question: A 40-year-old male patient was sent to the psychiatric medical family, according to his family describing patients nearly a month depressed mood, anxiety, insomnia, restless. Significant deterioration of its appetite, weight loss 5 kg, always feel tired, have no interest, although can barely work, but has repeatedly mentioned the idea of suicide, often feel helpless, hopeless. The clinical diagnosis of this patient Which of the following is most likely?

Answer: Severe depression disorder (major depressive disorder)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Panic disorder (panic disorder)
C. Severe depression disorder (major depressive disorder)
D. Hypochondriasis (hypochondriasis)

40 year old male patient
sent
psychiatric medical
patients nearly
month depressed mood
anxiety
insomnia
restless
Significant
appetite
weight loss
kg
always
tired
repeatedly
idea
suicide
often
helpless
hopeless
clinical diagnosis
patient
following


Question: Inguinal ligament (inguinal ligament) is following what muscle fascia (aponeurosis) turn formed?

Answer: External oblique

Choices:
A. Rectus skin
B. External oblique
C. Abdominal oblique
D. Transversus abdominis

Inguinal ligament
inguinal ligament
following
muscle fascia
aponeurosis
turn formed


Question: Myoepithelial cells (myoepithelial cells) does not appear in the following Where?

Answer: Sebaceous glands (sebaceous gland)

Choices:
A. Sebaceous glands (sebaceous gland)
B. Gland (sweat gland)
C. Breast (mammary gland)
D. Salivary gland (salivary gland)


Question: Which of the following diseases in the jugular vein Porto, presents a huge wave of v?

Answer: Tricuspid regurgitation

Choices:
A. Mitral insufficiency
B. Mitral stenosis
C. Tricuspid stenosis
D. Tricuspid regurgitation

following diseases
jugular vein
presents
wave
v


Question: A botulinum toxin (botulinum neurotoxin type A) used to treat spasms (spasticity), what's wrong?

Answer: Injection effect will occur immediately (immediate effect)

Choices:
A. Can be used to treat cerebral palsy (cerebral palsy) spasms of children (spasticity)
B. Therapeutic approach is intramuscular (intramuscular injection)
C. Machine turn is botulinum toxin inhibition neuromuscular junction (neuromuscular junction) of acetylcholine (acetylcholine) release
D. Injection effect will occur immediately (immediate effect)

botulinum toxin
botulinum neurotoxin type A
used to treat spasms
spasticity
wrong


Question: Adults with chronic lead poisoning, the nervous system most likely to cause the following symptoms or lesions what?

Answer: Peripheral neuropathy (Peripheral neuropathy)

Choices:
A. Dementia (Dementia)
B. Cerebellar atrophy leading to ataxia (Cerebellar ataxia)
C. Parkinson's disease (Parkinsonism)
D. Peripheral neuropathy (Peripheral neuropathy)

Adults
chronic lead
nervous system
to cause
following symptoms
lesions


Question: If this check results to invasive squamous cell carcinomas (invasive squamous cell carcinoma), matrix invasion depth of 10 mm, urinary tract photography (IVP) with a left renal edema, cystoscopy normal. The patient what treatment is acceptable?

Answer: Radiation therapy consolidation chemotherapy (concurrent chemoradiation)

Choices:
A. Cervical cone sliced
B. Eradicate cervical cancer surgery
C. Chemotherapy
D. Radiation therapy consolidation chemotherapy (concurrent chemoradiation)

check results
invasive squamous cell carcinomas
invasive squamous cell carcinoma
matrix invasion depth
10 mm
urinary tract
IVP
left renal edema
cystoscopy normal
patient
treatment
acceptable


Question: One child under 8 years old scalded by hot water arm, swelling and blisters, very painful, he most likely for the first few degrees of burns?

Answer: Second degree

Choices:
A. one time
B. Second degree
C. Three degrees
D. Four degrees

One
years
scalded
hot water arm
swelling
blisters
very painful
first
degrees
burns


Question: The following narrative and what was wrong?

Answer: Amoeba addicted iodine (Iodamoeba bütschlii) trophozoites having a large bubble glycogen (glycogen vacuole)

Choices:
A. Gingival amoeba (Entamoeba gingivalis) trophozoites (trophozoites) will swallow the red blood cells
B. Amoeba addicted iodine (Iodamoeba bütschlii) trophozoites having a large bubble glycogen (glycogen vacuole)
C. E. ciliates (Balantidium coli) is the largest size of human parasitic protozoa
D. E. ciliates (Balantidium coli) has a large nucleus and small nuclear


Question: Sigmoid colon volvulus is associated factor that does not include one of the following?

Answer: Malrotation

Choices:
A. Aging
B. High fiber and vegetable diet
C. Malrotation
D. Psychotropic medication 4 Which of the following circumstances, can not improve coronary artery bypass surgery?

Sigmoid colon volvulus
associated factor
not include one


Question: Cardiac surgery, often performed by ligation of the aorta following what temporary structure?

Answer: Pericardium transverse sinus (transverse pericardial sinus)

Choices:
A. Arterial ligament (ligamentum arteriosum)
B. Pericardium transverse sinus (transverse pericardial sinus)
C. Coronary sinus (coronary sinus)
D. Terminal groove (sulcus terminalis)

Cardiac surgery
often performed by ligation of
aorta following
temporary structure


Question: The following items are not what USPSTF (US Preventive Services Task Force) are strongly recommended (class A) of cancer screening way?

Answer: For women aged 40 to 49 every two years mammography (mammography)

Choices:
A. For women aged 40 to 49 every two years mammography (mammography)
B. For women aged 21 to 65 every three years to accept the Pap smear (Pap test)
C. For adults aged 50 to 75 to accept fecal occult blood detection (fecal occult blood testing) per year
D. For adults aged 50 to 75 every ten years to accept colonoscopy (colonoscopy)


Question: 79 deliver bad news to patients is one of the many difficult responsibility of the physician, need the human communication process, to help terminally ill patients have the opportunity to autonomously choose the end of medical care in line with the will of individuals. When the patient's family to ask you, do not diagnose the disease terminal cancer patients to inform themselves, how can you do? ① carried out the relevance of evaluation and preparation, understanding the patient's own characteristics and willingness ② and their families to communicate, empathy and emotional support for families, the families do not want to resolve inform mood, and help the families to accept patients may have emotional and behavioral ③ honest but after politely inform the patient ④ inform and support continuous tracking

Answer: ①①①①

Choices:
A. ①①①①
B. Only ①①①
C. Only ①①
D. Only ①①


Question: 28. The narrative about adenoid cystic carcinoma of the lung, Which statement is correct? ① treatment occurs mostly in the lung tissue surrounding the tumor to the majority of local ② tracheal surgery to ③ Most tumors are slow-growing to the local tracheobronchial lesions for the performance ④ tumor will never be the phenomenon of distant metastases

Answer: Only ②③

Choices:
A. ①②
B. ②③④
C. ①③④
D. Only ②③

The
adenoid cystic carcinoma of
lung
correct
treatment occurs mostly
lung tissue surrounding the tumor
of local
tracheal surgery
tumors
slow-growing
local tracheobronchial lesions
tumor
never


Question: A fairly healthy 4-year-old girl three weeks ago, recently three weeks every evening fever Chaoguo 39.5 ° C, between two high fever, body temperature returned to normal, unaffected vitality; but there will be girls burnout when a high fever, mood swings morning feeling stiff joints, torso appear reddish rash and hand and knee joint swelling phenomenon, the most likely diagnosis is following what disease?

Answer: Juvenile rheumatoid arthritis (juvenile idiopathic arthritis)

Choices:
A. Juvenile rheumatoid arthritis (juvenile idiopathic arthritis)
B. Rheumatic fever (rheumatic fever)
C. Dengue fever (dengue fever)
D. Systemic lupus erythematosus (systemic lupus erythematosus)

healthy
year old girl three weeks
recently three weeks
evening fever
two high fever
body temperature returned
normal
vitality
girls burnout
high fever
mood swings morning
stiff joints
torso appear
rash
hand
knee
diagnosis
following
disease


Question: Which of the following symptoms less seen in SARS (severe acute respiratory syndrome) patients infected?

Answer: rhinorrhea, sorethroat

Choices:
A. fever, myalgia
B. rhinorrhea, sorethroat
C. lymphopenia, thrombocytopenia
D. diarrhea

following symptoms less seen
SARS
severe acute respiratory syndrome
patients infected


Question: Account of Bacillus cereus (Bacillus cereus), and which of the following error?

Answer: Produce super antigen (superantigen), can cause serious tissue death (necrosis)

Choices:
A. Heat-resistant (heat-stable) toxin can cause vomiting-type food poisoning
B. Most of the bacteria found in the environment
C. Produce super antigen (superantigen), can cause serious tissue death (necrosis)
D. Can cause eye infections, e.g. panophthalmitis type Bacillus (Bacillus panophthalmitis)


Question: Which of the following is the starting point and end point are in the axial skeleton?

Answer: Konokohada (serratus posterior)

Choices:
A. Pectoralis major muscle (pectoralis major)
B. Pectoralis minor muscle (pectoralis minor)
C. Serratus anterior muscle (serratus anterior)
D. Konokohada (serratus posterior)

following
starting point
end point
axial skeleton


Question: 79 has a 10-year-old boy mental retardation, can be responsible for their own daily living, patient with a short head (brachycephaly), palpebral fissure steeper, and obvious epicanthus off, and the patient off the palm of the hand palm, chest physical examination is displayed with Grade III / VI of systolic murmur. Such patients almost Which of the following diseases can occur at the age of 40?

Answer: Alzheimer's disease (Alzheimer's disease)

Choices:
A. Acute leukemia
B. Cirrhosis
C. Chronic renal failure
D. Alzheimer's disease (Alzheimer's disease)

a 10 year old boy mental retardation
responsible
patient
brachycephaly
palpebral fissure
epicanthus
patient
palm
hand
chest physical examination
displayed
Grade III
VI
systolic murmur
patients almost
following diseases
occur
age
40


Question: The following describes the extension of fatty acids related to vertebrates, what's wrong?

Answer: Malonyl-CoA by using the substance as a

Choices:
A. Synthesis of position within the smooth endoplasmic reticulum
B. Malonyl-CoA by using the substance as a
C. The palmitoyl-CoA after extended into stearoyl-CoA
D. methyl-CoA as its subject matter may

following
extension
fatty acids related
wrong