Question: For Clostridium difficile colitis narrative, which of the following error?

Answer: The main treatment is intravenous vancomycin

Choices:
A. Opportunity Clostridium difficile colitis 45 percent to 55 occur in surgical patients, especially accept the general surgery and vascular surgery of highest
B. Clostridium difficile overgrowth can cause varying degrees of disease, from asymptomatic carrier without symptoms to self-limited colitis, pseudomembranous colitis (pseudomembranous colitis), fulminant colitis (fulminant colitis) to toxic megacolon
C. The main treatment is intravenous vancomycin
D. Performance mainly on CT colon wall thickening and edema, and ascites produced

Clostridium difficile colitis
following error


Question: Patients left parotid tumor pieces 2 cm in size, was found by microscopic examination of a small duct hyperplasia, keratinized epithelium cells, myoepithelial cells, mucus cells, and some type of a matrix similar to the cartilage differentiation. The narrative about the tumor, Which of the following most inappropriate?

Answer: From a variety of mesoderm

Choices:
A. Diagnosis of pleomorphic adenoma (mixed tumor)
B. From a variety of mesoderm
C. The probability of malignant transformation is not high
D. May recur after surgical resection

Patients left parotid pieces
size
found
microscopic examination
small duct hyperplasia
keratinized epithelium cells
matrix similar
cartilage differentiation
tumor
following
inappropriate


Question: Law Rockwell Snap disease (tetralogy of Fallot) does not include which of the following?

Answer: Aortic stenosis (aortic stenosis)

Choices:
A. Ventricular septal defect (ventricular septal defect)
B. Right heart obstructive way (right ventricular outflow tract obstruction)
C. Right ventricular hypertrophy (right ventricular hypertrophy)
D. Aortic stenosis (aortic stenosis)

Law
Snap disease
tetralogy of Fallot
not include
following


Question: ⼀ bit 57 year old man's disease because of the Face stream ⿐ ⾎ ⾄ regular emergency room, no history ADVANCED ⾎ pressure, diabetes and so on, but there are other times in black and condensate ⾎ stools and stomach tells ⾎, ⾎ fluid examination ⾎ red pigment is low, due Submenu, ⾎ ⼩ plates were normal, earphones Physical examination found ⿐ ⿐ throat portion and the tongue-like red spots with multiple expansion of the tube ⾎. Face of the disease most likely diagnosis Why?

Answer: Osler-Weber-Rendu syndrome

Choices:
A. ⿐ allergy
B. Osler-Weber-Rendu syndrome
C. Sipple's syndrome
D. ⿐ pharyngeal cancer

bit 57 year old man's disease
of
Face
regular emergency room
history ADVANCED
pressure
diabetes
so
times
black
stools
stomach
fluid
red pigment
low
due
plates
normal
earphones
found
throat portion
tongue
red spots
multiple
tube
Face
disease
likely diagnosis


Question: When a patient is suspected Acute colonic pseudo-obstruction, the first priority should be to do the following to check that one?

Answer: Water-soluble contrast enema

Choices:
A. Colonosocpy
B. Water-soluble contrast enema
C. Barium enema
D. Double contrast circulation by colon series 10 SMA and IMA connectivity, in addition to the outer arc of Riolan, mainly rely on a blood vessel that?


Question: The following account of catheter-associated urinary tract infection (catheter-associated urinary tract infection), and what's right?

Answer: Bladder by catheter infusion wash, even with the addition of anti-⽣ factors in the infusion, may still increase the chance of catheter-associated urinary tract infection

Choices:
A. Using conventional anti ⽣ prime-connector is applied to the urethra measures to prevent catheter-associated urinary tract infection is the most effective
B. Using conventional prime-connector taking anti ⽣ prevent catheter-associated urinary tract infections is empirical evidence strongly recommended measures
C. The quality of the relationship between catheter-related urinary tract infections and urinary catheter hair ⽣ material from the largest
D. Bladder by catheter infusion wash, even with the addition of anti-⽣ factors in the infusion, may still increase the chance of catheter-associated urinary tract infection

following account of catheter associated urinary tract infection


Question: When intravenous opioid narcotic drugs (Opioids), often clinically observed to have slowed heartbeat (Bradycardia) phenomenon, but which of the following exceptions?

Answer: Meperidine

Choices:
A. Morphine
B. Meperidine
C. Fentanyl
D. Alfentanil

intravenous opioid narcotic drugs
Opioids
often
observed to
slowed heartbeat
Bradycardia
following


Question: Accident caused headaches for the treatment dura puncture during Epidural anesthesia, Which of the following most effective?

Answer: Epidural autologous blood clot (Epidural blood patch)

Choices:
A. Acceleration intravenous infusion (Intravenous fluid)
B. Oral pain medication
C. Epidural autologous blood clot (Epidural blood patch)
D. Epidural injection of bupivacaine

caused headaches
treatment dura puncture
Epidural anesthesia
following
effective


Question: Which of the following autoimmune diseases, mainly due to an immune-reactive T cells from the body caused?

Answer: Autoimmune Insulin - dependent diabetes mellitus (autoimmune insulin-dependent diabetes mellitus)

Choices:
A. Autoimmune Insulin - dependent diabetes mellitus (autoimmune insulin-dependent diabetes mellitus)
B. Systemic lupus erythematosus (systemic lupus erythematosus)
C. Myasthenia gravis (myasthenia gravis)
D. Grave's disease (Grave's disease)

following autoimmune diseases
due to
immune reactive
body caused


Question: From the previous question, about the following pathogens narrative, what's right?

Answer: This bacteria can proliferate within macrophages (macrophage)

Choices:
A. This bacteria can infect humans and animals
B. The bacteria must be grown in an oxygen-free environment
C. The bacteria in the harsh environment will form spores (spores)
D. This bacteria can proliferate within macrophages (macrophage)


Question: One child 24 kg of body weight, if absolutely can not eat. The maintenance of intravenous infusion should be given one day how many mL?

Answer: 1580

Choices:
A. 2400
B. 2000
C. 1580
D. 1250

One child
kg
body weight
not eat
intravenous infusion
given one day
mL


Question: Which of the following is not a principle to raise the Taiwan National Health Insurance premiums?

Answer: User Fees

Choices:
A. User Fees
B. Fairness
C. Adequacy
D. Efficiency

following
not
to
Taiwan
Insurance premiums


Question: Which of the following is glaucoma common vision change?

Answer: Arcuate blind spots (arcuate scotoma)

Choices:
A. Arcuate blind spots (arcuate scotoma)
B. Two temporal side half-blind (bitemporal hemianopsia)
C. Two ipsilateral half-blind (homonymous hemianopsia)
D. Center for blind spots (central scotoma)


Question: After a 25-year-old male motorcyclist and a truck rear-ended, because both sides of the lower limb fractures were sent to the hospital emergency room. In the first emergency vital signs measuring blood pressure of 80/50 mm Hg (mmHg), heart rate 120 beats / min, respiration 26 / min, unconscious. In this case, the injured belong to the first few levels hemorrhagic shock, what kind of infusion therapy should be adopted?

Answer: Belonging to the third stage hemorrhagic shock, recoverable lactated Ringer's solution (lactated Ringer's solution) 1 liter perfused

Choices:
A. Belonging to the first stage of hemorrhagic shock, recoverable lactated Ringer's solution (lactated Ringer's solution) 2 liter perfused
B. Belonging to the third stage hemorrhagic shock, recoverable lactated Ringer's solution (lactated Ringer's solution) 1 liter perfused
C. Belonging to the first stage of hemorrhagic shock, recoverable 1,000 ml concentrated erythrocyte formula (packed red blood cells) perfusion
D. Belonging to the second stage hemorrhagic shock, recoverable 1,000 ml concentrated erythrocyte formula (packed red blood cells) perfusion

first emergency vital measuring blood pressure


Question: Which of the following synthetic Gram-positive bacteria cell wall glycoconjugates (Glycoconjugates), the antibiotic can be suppressed PENICILLIN?

Answer: peptidoglycans

Choices:
A. glycolipids
B. proteoglycans
C. glycoproteins
D. peptidoglycans


Question: 25 year old woman with acute right lower abdominal pain to the emergency room. According to her complaint, she began yesterday afternoon, intermittent abdominal pain, mainly confined to the right lower abdomen when practicing gymnastics, and accompanied by nausea and vomiting; pain, feeling more and more intense, let her feel ill at ease, even unable to eat, in addition she denied diarrhea. When to the emergency, her conscious, blood pressure 120/78 mmHg, 36.9 deg.] C temperature, pulse 85 / min, respiration 19 / min. Physical examination showed a right lower quadrant tenderness accompanied by a slight rebound pain, pelvic cavity and left uterine appendages diagnosis display normal right appendage has a mass of about 5 cm, and tenderness. Blood test shows leukocytes 11,000 / mm3, urine pregnancy test negative, vaginal ultrasonography revealed below, but show no abdominal fluid reservoir. Which of the following is the most likely diagnosis?

Answer: Ovarian tumor reverse merger

Choices:
A. Ruptured ectopic endometrial merger
B. Ovarian tumor reverse merger
C. Corpus luteum cyst rupture
D. The combined degeneration of uterine fibroids


Question: From the previous question, about the treatment of patients with the above Which of the following error?

Answer: melphalan + prednisolone (MP) can be used as the main first-line chemotherapy

Choices:
A. Even in the absence of hypercalcemia case, bisphosphonate is an effective additional treatment (adjunctive therapy)
B. melphalan + prednisolone (MP) can be used as the main first-line chemotherapy
C. The so-called novel formulations such bortezomib (novel agents) can improve such a combined chemotherapy induction therapy in newly diagnosed patients with complete remission
D. Future autologous hematopoietic stem cell transplantation (autologous hematopoietic stem cell transplantation) may improve long-term survival


Question: Which of the following is a translation of the initiation of protein amino acids?

Answer: methionine

Choices:
A. leucine
B. cysteine
C. methionine
D. tyrosine


Question: 32.16-year-old young women, abdominal pain and increased abdominal girth due to out-patient clinics, menstrual cycle, about 28 days, the last two months have abnormal bleeding, ultrasonography revealed the complexity of the left ovarian tumor, blood tests found that beta-hCG, CA- LDH and 125 are normal, but the AFP is 1,236 ng / mL. The following statements is true?

Answer: Patients most likely ovarian endodermal sinus tumor (endodermal sinus tumors), are sensitive to chemotherapy

Choices:
A. Most patients with epithelial ovarian cancer may be, shall hysterectomy and bilateral salpingo resection
B. Patients most likely ovarian endodermal sinus tumor (endodermal sinus tumors), are sensitive to chemotherapy
C. This tumor is sensitive to radiation therapy, surgery often have to do radiation plus chemotherapy merger
D. Rare in young women malignant ovarian tumors


Question: Related asthma patient desensitization therapy, what is non?

Answer: Also recommended therapeutic applications in food allergy diseases

Choices:
A. Produce desensitization blocking IgG antibodies
B. Also recommended therapeutic applications in food allergy diseases
C. May cause dielectric allergen-specific white matter -4 (IL-4) and reduced γ- interferon (IFN-γ) increased
D. Patients β- blockers (β-blocker) is not recommended for use in


Question: The patient upper arm fracture, wrist extension can not, which of the following is most likely caused by injury?

Answer: Radial nerve

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

patient upper arm fracture
wrist extension
not
following
most likely caused
injury


Question: 9648-year-old woman, because he touched the right side of a breast cancer doctor, breast cancer is determined after inspection. Which of the following prognosis for breast cancer represents the best possible?

Answer: 4 cm thick carcinoma in situ

Choices:
A. 4 cm thick carcinoma in situ
B. There are an axillary lymph node metastasis
C. Skin cancer cells in lymphatic vessels
D. HER2 / neu gene or protein overexpression

year old woman
touched the right side of
breast cancer doctor
breast cancer
determined
inspection
following prognosis
breast cancer
best possible


Question: The following statements about pancreatic cancer (carcinoma of the pancreas), and what's wrong?

Answer: Pancreatic cancer in human serum carcinoembryonic antigen (CEA) and lock carbohydrate antigen (CA19-9) will rise, is an important basis for early diagnosis

Choices:
A. Periampullary (periampullary carcinoma) with pancreatic head carcinoma accounts for up to
B. Pancreatic cancer in human serum carcinoembryonic antigen (CEA) and lock carbohydrate antigen (CA19-9) will rise, is an important basis for early diagnosis
C. Good computer tomography (CT scan) and endoscopic ultrasound (EUS) than the general diagnostic ultrasound (ultrasonography) Rate
D. Surgical treatment of pancreatic carcinoma may be employed Whipple procedure (radical pancreatico-duodenal resection) 15 where the following items is not a hospitalization (on admission) Ranson's criteria for assessing the prognosis of acute pancreatitis?

following
pancreatic cancer
carcinoma of the pancreas
wrong


Question: Which of the following drugs, the most suitable for the treatment of urinary retention after surgery?

Answer: Bethanechol

Choices:
A. Atropine
B. Bethanechol
C. Pilocarpine
D. Rivastigmine

following drugs
most suitable
treatment of urinary retention
surgery


Question: A young patient just by chest trauma, sent to the emergency room by ambulance after the accident ten minutes, physical examination findings clearly anxious patient conscious but breathing fast, neck vein distention, will not take a deep breath and collapse, both sides are clear breath sounds, the nurse told only blood pressure 80/65 mmHg, pulse rate was 150 beats / min, following diagnosis, whichever is the correct answer?

Answer: Cardiac tamponade (cardiac tamponade)

Choices:
A. Cardiac tamponade (cardiac tamponade)
B. Tension pneumothorax (tension pneumothorax)
C. Early low blood compatibility shock (hypovolemic shock)
D. Neurogenic shock (neurogenic shock)

young patient
chest trauma
sent
emergency room
ambulance
ten minutes
physical examination findings
anxious patient
breathing fast
neck vein distention
not
deep breath
collapse
sides
clear breath sounds
nurse
only blood pressure 80 65 mmHg
pulse rate
beats
min
following diagnosis
correct


Question: The following account of pneumonia chlamydia (Chlamydia pneumoniae) infection, and that a mistake?

Answer: Most occur in less than six months

Choices:
A. Most occur in less than six months
B. Drug of choice for pediatric patients are giant molecules of antibiotics erythromycin (macrolide antibiotic)
C. Cause of atypical pneumonia (atypical pneumonia) clinical symptoms of pneumonia caused by other reasons difficult to distinguish
D. No animal reservoir, by droplet infection

following account
pneumonia chlamydia
infection
mistake


Question: Patients with non-slip figure wearing gloves, wheelchair wheels wrapped a rubber band in order to effectively promote the wheelchair, this showed that the patient is most likely to be following what the patient?

Answer: Sixth cervical spinal cord injury completely

Choices:
A. The fourth cervical spinal cord injury completely
B. Sixth cervical spinal cord injury completely
C. The second complete thoracic spinal cord injury
D. The first lumbar spinal cord injury completely

Patients
non
wearing gloves
wheelchair wheels
rubber band
order
wheelchair
patient
to
following
patient


Question: Which of the following is located in the posterior mediastinum?

Answer: Thoracic aorta

Choices:
A. heart
B. Thoracic aorta
C. The inferior vena cava
D. trachea


Question: Often variability between each HIV-1 isolates (isolates), in particular the maximum genetic differences?

Answer: ca.

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

Often
HIV-1 isolates
isolates
maximum genetic differences


Question: The following narrative about the iron, whichever is correct?

Answer: Ferritin and hemosiderin iron mainly two kinds of patterns stored in the body mainly

Choices:
A. Absorption of iron mainly in the stomach
B. Ferritin and hemosiderin iron mainly two kinds of patterns stored in the body mainly
C. Absorption of iron to trivalent iron ions mainly based
D. Normal excretion per day to about 10 mg of iron


Question: ⼀ bit 8-year-olds, originally shy personality, change schools after the move, ⼀ complain straight after school Your Own chest upwards body discomfort, do not worry Center Weighted ⽗ ⺟ parent to pick Your Own home before the school day will be crying resist to school at night sleeping ⼀ straight about my parents do not ⾒ a nightmare, lasting more than a month are ⼀. Which statement is correct?

Answer: To drug therapy, should be selected with ⾎ serotonin (serotonin) recovering the antidepressant effect of suppressing

Choices:
A. The features described above in full compliance with the child generalized anxiety disorder (generalized anxiety disorder) is
B. The first frame line treatment shutter mode is Analytical Center Weighted spirit physiotherapy
C. To drug therapy, should be selected with ⾎ serotonin (serotonin) recovering the antidepressant effect of suppressing
D. After the symptoms improved, only into their home Face ⾏ health education and familial Center Weighted management intervention

bit
year olds
shy personality
change schools
move
straight
school
chest
body
not worry Center Weighted
to pick
home
school day
school
night sleeping
straight
not
nightmare
lasting more
month
correct


Question: 38 year old man, began three weeks ago, malaise, headache, micro intermittent fever, headache intensified merge the last two days of nausea, vomiting and lethargy. Physical examination revealed a stiff neck. Cerebro-spinal fluid exhibits: a pressure of 240 mmH2O, is 480 leukocytes (lymphocytes wherein 80%), the protein was 80 mg / dL, glucose is 20 mg / dL (glucose level of 120 mg / dL), Cryptococcus antigen (cryptococcal antigen) was negative. Research with serum-STD chamber agglutination (the VDRL) was negative. Which of the following is the most likely diagnosis?

Answer: Tuberculous meningitis

Choices:
A. Viral meningitis
B. Tuberculous meningitis
C. It had been without antibiotic treatment of bacterial meningitis
D. Parasitic meningitis

year old man
began three weeks
malaise
headache
micro intermittent fever
headache
last two days
nausea
vomiting
lethargy
revealed
stiff neck
Cerebro-spinal fluid
pressure
mmH2O
480
lymphocytes
80
protein
80 mg
dL
glucose
20 mg
dL
glucose level
mg
dL
negative
serum
chamber agglutination
VDRL
negative
following
diagnosis


Question: Which of the following causes and ischemic stroke (ischemic stroke) of relatively unrelated?

Answer: Cerebral aneurysms (cerebral aneurysm)

Choices:
A. Carotid atherosclerotic plaque (carotid atherosclerotic plaque)
B. Cerebral aneurysms (cerebral aneurysm)
C. Atrial fibrillation (atrial fibrillation)
D. Intracardiac thrombi (intracardiac thrombi)

following causes
ischemic stroke
ischemic stroke
unrelated


Question: A 42-year-old man presented to the emergency vomiting, physician examination found vomit containing bile, it is most likely that these diseases?

Answer: Duodenal end tumor obstruction

Choices:
A. Duodenal end tumor obstruction
B. Pyloric obstruction
C. Esophageal tumor obstruction
D. Achalasia disease

year old man
emergency vomiting
physician
found vomit containing bile
diseases


Question: The following account of enterovirus infection, what's wrong?

Answer: Enterovirus infection is best made in spring

Choices:
A. Breastfeeding can reduce intestinal infection
B. HFMD mainly by Kesha Qi A16 (coxsackievirus A16) and enterovirus 71 (enterovirus 71) infection
C. Enterovirus 71 infection is one of the main causes of severe brain stem encephalitis
D. Enterovirus infection is best made in spring

following account
enterovirus infection
wrong


Question: According to Goodsall's rule, anal fistula located outside the mouth 8 o'clock, it should be inside the mouth in the direction of what time?

Answer: 6 o'clock

Choices:
A. 3 points
B. 6 o'clock
C. 9:00
D. 12 o'clock

rule
anal fistula
outside
mouth
clock
mouth
direction
time


Question: Pathological or clinical features associated ovarian germ cell cord or stromal cell tumors (ovarian sex cord-stromal tumors), and which of the following error?

Answer: Call-Exner bodies are characterized in stromal tumor (Sertoli-Leydig cell tumor) of the support ovarian

Choices:
A. Call-Exner bodies are characterized in stromal tumor (Sertoli-Leydig cell tumor) of the support ovarian
B. Furrow nucleoli beans (coffee-bean grooved nuclei) is characterized in ovarian granulosa cell tumor (granulosa cell tumor) of
C. Adult ovarian granulosa cell tumor (adult-type granulosa cell tumor) may be accompanied by endometrial hyperplasia or endometrial cancer occur
D. The masculine is ovarian tumors associated supporting stromal tumor (Sertoli-Leydig cell tumor)

Pathological
clinical features associated ovarian
cord
stromal cell tumors
ovarian sex cord-stromal tumors
following error


Question: Which is not an anti-influenza virus drugs?

Answer: Acyclovir（Zovirax(r)）

Choices:
A. Acyclovir（Zovirax(r)）
B. Oseltamivir（Tamiflu(r)）
C. Peramivir（Rapiacta(r)）
D. Zanamivir（Relenza(r)）


Question: When cell necrosis, changes pyknosis you is:

Answer: Nuclear smaller, chromatin condensation

Choices:
A. Nuclear small, loose chromatin
B. Nuclear smaller, chromatin condensation
C. Nuclear large, loose chromatin
D. Nuclear larger, chromatin condensation


Question: 3-year-old girl because of swollen water resistant full chest upwards, Tichongzengjia 2 public ⽄ treatment. ⾯ surface plot Body surface area (BSA) was 0.5m2, the egg white was found in urine laboratory test 4 +, 24 ⼩ egg white as urinary 3.3gm, single urine test: Urine egg white (Urine protein) 250 mg / dL urine creatinine (Urine creatinine) 50 mg / dL, ⾎ in white egg white is 1.5 gm / dL, cholesterol: 420 mg / dL, three acid oil: 248 mg / dL, the following related statements is wrong?

Answer: Shall immediately Statin-based lipid lowering drugs ⾎ aliphatic ADVANCED ⾎

Choices:
A. Shall immediately Statin-based lipid lowering drugs ⾎ aliphatic ADVANCED ⾎
B. Shoots as usual is essential, not be used for kidney slices can be the first Using steroids
C. The amount of egg white urine has reached Nephrotic range proteinuria definition
D. If steroid-responsive patients with good prognosis is good, with little progress to chronic kidney disease ⽽ required dialysis treatment

3 year old girl
swollen
resistant full chest
surface
Body surface area
0
found
urine laboratory test
urinary
single urine test
Urine
Urine protein
mg
dL urine creatinine
Urine creatinine
50 mg
dL
white
1.5 gm
dL
cholesterol
420 mg
dL
three acid oil
mg
dL
following related
wrong


Question: 745-year-old male patient with pancreatitis due to long-term use of morphine, is due to be femoral fractures and surgery, the following information about the narrative and what was the error?

Answer: The use of general anesthesia anesthesia is better than the half-length

Choices:
A. The use of general anesthesia anesthesia is better than the half-length
B. Postoperative pain can be used NSAID
C. May be used by opioid (opioids) analgesics
D. Patient-controlled analgesia device may be used


Question: The following account of Meckel's diverticulum (Meckel's diverticulum) of, what's right?

Answer: May contain heterotopic pancreatic tissue

Choices:
A. As acquired diseases
B. Intussusception (intussusception) occur less frequently
C. May contain heterotopic pancreatic tissue
D. Supportive therapy is the best treatment


Question: An ambulance took 10 minutes to a patient unconscious and electrocardiogram showed ventricular fibrillation (VF) is sent home from the emergency room, you find that patients no longer breathing, no heartbeat, how to do next?

Answer: Now do five cycles of CPR, then look at heart rhythm, such as still VF, then immediately shock

Choices:
A. Because there is no breathing is 10 minutes, so to quickly discharge the endotracheal tube, so that the oxygen concentration to a high
B. Now do five cycles of CPR, then look at heart rhythm, such as still VF, then immediately shock
C. Now do five cycles of CPR, then immediately shock
D. Since the VF is, it quickly shock, then 5 cycles do CPR

ambulance
10 minutes
patient unconscious
electrocardiogram
ventricular fibrillation
sent home
emergency room
find
patients
longer breathing
heartbeat
next


Question: Which of the following and radial nerve (radial nerve) and accompanying access to the radial nerve sulcus?

Answer: Deep brachial artery (profunda brachii artery)

Choices:
A. Humeral artery (posterior circumflex humeral artery)
B. Circumflex humeral artery before (anterior circumflex humeral artery)
C. Deep brachial artery (profunda brachii artery)
D. Radial recurrent artery (radial recurrent artery)

following
radial nerve
radial nerve
access
radial sulcus


Question: He constructed the following derivatized scrotum?

Answer: Reproductive uplift (genital swelling)

Choices:
A. Genital tubercle (genital tubercle)
B. Reproductive uplift (genital swelling)
C. Anal folds (anal fold)
D. Urethral folds (urethral fold)


Question: 5-year-old boy because the growth hormone receptor gene mutation, resulting in metabolic disorders, it can not grow. Which of the following best suited to improve this symptom?

Answer: mecasermin

Choices:
A. somatropin
B. octreotide
C. atosiban
D. mecasermin

5 year old boy
growth hormone receptor gene mutation
resulting in metabolic disorders
not
following best
to
symptom


Question: The following statements about the treatment of hypokalemia, what's wrong?

Answer: potassium chloride may be added to normal saline or dextrose solution, as the effect of post-infusion liter Potassium

Choices:
A. Low blood potassium supplement potassium citrate renal tubular acidosis due to better than potassium chloride
B. When peripheral intravenous infusion potassium chloride, the injection speed should not exceed 20 mmol per hour
C. potassium chloride may be added to normal saline or dextrose solution, as the effect of post-infusion liter Potassium
D. The center of intravenous potassium, potassium chloride injection up to a concentration of 60 mmol / L


Question: A 56-year-old man with diabetes, diabetic foot came to the clinic with a physician to discuss it possible to make the dressing with wound healing, the following items where the most decisive?

Answer: Check the dorsalis pedis and posterior tibial artery with or without pulsation

Choices:
A. HbA1c blood tests
B. Arrangement EMG and nerve conduction (NCV / EMG)
C. Bacterial culture
D. Check the dorsalis pedis and posterior tibial artery with or without pulsation

year old man
diabetes
diabetic foot
clinic
physician to
possible to make
dressing
wound healing
following
most


Question: Allodynia is to describe the pain that ⼀ kind of feeling?

Answer: For harmless (nonnoxious) stimulation, will feel the pain

Choices:
A. Without stimulation, will feel abnormal sensation
B. For harmless (nonnoxious) stimulation, will feel the pain
C. For harmful (noxious) stimulation, feeling more and more intense
D. For harmful (noxious) stimuli, feeling ever more weakly


Question: The following related carpal tunnel syndrome (carpal tunnel syndrome) of the narrative, what's wrong?

Answer: There must thenar (thenar muscle) contraction

Choices:
A. Qu wrist action will increase the symptoms
B. There must thenar (thenar muscle) contraction
C. Early treatment can be administered deputy wood
D. Surgery is cut transverse carpal ligament (transverse carpal ligament)


Question: Lineweaver-Burk plot of enzyme catalyzed reaction (double-reciprocal plot) if a competitive inhibitor (competitive inhibitor) is present, then the following items will change what?

Answer: Intercept 1 / [S] axis

Choices:
A. Intercept 1 / V axis
B. Intercept 1 / [S] axis
C. V max
D. Equilibrium constant K (pK)

enzyme
reaction
double reciprocal
inhibitor
inhibitor
present
then
following
change


Question: Case-control study, which of the following disease are more suitable for use cumulative sampling (cumulative sampling) to select cases and controls?

Answer: Food poisoning

Choices:
A. diabetes
B. cancer
C. Stroke
D. Food poisoning

following disease
more suitable
use cumulative sampling
cumulative sampling
to
cases
controls


Question: Neonatal fulminant hepatitis, which of the following prognosis of patients with the most relevant?

Answer:  original clotting time (prothrombin time)

Choices:
A.  original clotting time (prothrombin time)
B. Serum bilirubin
C. Value of serum aminotransferase 
D. Fetal serum protein values

Neonatal
hepatitis
following prognosis
patients
most relevant


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

Answer: Stimulating hormone secretion of human chorionic gonadotropin (HCG-secreting) in the hypothalamic tumors

Choices:
A. Water brain (hydrocephalus)
B. Hypothalamic hamartoma (hypothalamic hamartoma)
C. Stimulating hormone secretion of human chorionic gonadotropin (HCG-secreting) in the hypothalamic tumors
D. No long-term treatment of primary thyroid disease low-energy (primary hypothyroidism)


Question: Fetal position when the following about childbirth "transverse lie" narrative, what's wrong?

Answer: Nothing to do with too much amniotic fluid

Choices:
A. Was lower than 1%
B. Can be caused by placenta (placenta previa)
C. Uterine anomaly is one of the reasons
D. Nothing to do with too much amniotic fluid

Fetal position
following
childbirth
transverse lie
what
rong?


Question: According advantages, weaknesses, opportunities and threats of the use of medical management often SWOT assessment of the hospital, where the following items can not be used to optimize the assessment index hospitals, weaknesses?

Answer: The degree of competition environment

Choices:
A. Innovation
B. quality
C. The degree of competition environment
D. effectiveness

weaknesses
of
use
medical management often
assessment
hospital
following
not
used to
index hospitals
weaknesses


Question: Which of the following is diabetic retinopathy (diabetic retinopathy) affected the earliest retinal vascular cells?

Answer: Microvascular pericytes (capillary pericyte)

Choices:
A. Microvascular endothelial cells
B. Microvascular pericytes (capillary pericyte)
C. Vasa tubes (vasa vasorum)
D. Fibroblasts (fibroblast)

following
diabetic retinopathy
diabetic retinopathy
affected
earliest retinal vascular cells


Question: Chances if known domestic male smoking prevalence of 20%, a random draw three men, three were smoking Why?

Answer: 0.008

Choices:
A. 0.067
B. 0.008
C. 0.6
D. 0.08

Chances
known domestic male smoking prevalence
20
random
three
three
smoking


Question: Which of the following is the main reason for the merger of drug use treatment of tuberculosis?

Answer: Prevention of drug resistance

Choices:
A. Prevention of drug resistance
B. Reduce induced side effects
C. Increase the role of inhibition of Mycobacteria
D. Increase the role against other bacterial infections

following
main
for
of drug use treatment
tuberculosis


Question: 3. a 64-year-old male patient with myocardial infarction and congestive heart failure, there are no symptoms when lying down to rest, but he said a day after his bath in the usual way, I felt very tired, chest tightness and accelerated heart rate, to after sitting in a chair to rest a few minutes to pick dry hair. Zoe New York Heart Association functional class of heart failure (New York Heart Association Functional Classification), he currently belongs to the first few levels?

Answer: Slow in speech cap

Choices:
A. I t I : j [
B. Figure ··· • · saying a '~ m ... ··· a' · a ^ Shu Li Li Xuan four dead Kobe fight at all is J l | ti |. L | lI
C. Slow in speech cap
D. The first stage


Question: The highest mortality of traumatic brain injury is what kind?

Answer: Acute meningeal hemorrhage

Choices:
A. Brain contusion
B. Subdural hemorrhage on
C. Acute meningeal hemorrhage
D. Chronic meningeal hemorrhage

highest mortality
traumatic brain injury
kind


Question: A 53-year-old male patient with hypertension, the blood examination fasting blood glucose value is found to be 180 mg / dL, total cholesterol (T-CHO) is 260 mg / dL, high density cholesterol (HDL-C ) was 35 mg / dL, triglyceride value (TG) of 260 mg / dL. According to Taiwan lipid treatment guidelines, their LDL cholesterol value (LDL-C) to control how many mg / dL target should be less than?

Answer: 100

Choices:
A. 190
B. 160
C. 130
D. 100


Question:
37. One 75-year-old woman, usually in good health, but nearly three months to feel loss of appetite, fatigue, lower back pain. Physical examination showing his face and pale conjunctiva, no hepatosplenomegaly. Data show room solid: leukocytes 5,310 / μL, no abnormal classification. Hemoglobin 7.8 g / dL, platelets 171,000 / μL. Normal liver function, serum creatinine was 3.4 mg / dL. Lumbar spine imaging of presenting serious collapse. Bone marrow smears show
 As shown below. The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: After diagnosis immediately given an intravenous infusion of high-dose chemotherapy is the standard treatment

Choices:
A. This disease occurs in the elderly
B. After diagnosis immediately given an intravenous infusion of high-dose chemotherapy is the standard treatment
C. Even in the measurement of blood less than monoclonal protein, the disease can not be ruled out
D. lenalidomide, steroid and bortezomib is an effective prescription to treat the disease

One 75 year old woman
usually
nearly three months to
loss of appetite
fatigue
lower back pain
face
pale conjunctiva
hepatosplenomegaly
Data
room solid
abnormal classification
Hemoglobin
g
dL
platelets
L
Normal liver function
serum creatinine
3.4 mg
dL
Lumbar spine imaging
serious collapse
Bone marrow smears
following
patient
likely diagnosis
treatment
diseases
wrong


Question: When patients winged scapula (winging of the scapula) symptoms, the most common cause is due to a nerve that dominated its muscle damage caused?

Answer: Long thoracic nerve (long thoracic nerve) and serratus anterior muscle (serratus anterior)

Choices:
A. Axillary nerve (axillary nerve) and the deltoid muscle (deltoid muscle)
B. Long thoracic nerve (long thoracic nerve) and serratus anterior muscle (serratus anterior)
C. Suprascapular nerve (suprascapular nerve) and spinal muscles (supraspinatus) on
D. Under subscapularis nerve (inferior subscapular nerve) and teres major (teres major)

patients winged scapula
winging of
scapula
symptoms
most common cause
due to
nerve
muscle damage caused


Question: The following account of sympathetic ophthalmia (sympathetic ophthalmitis), and what's wrong?

Answer: Is a non-granulomatous both sides (non-granulomatous) uveitis

Choices:
A. Is a non-granulomatous both sides (non-granulomatous) uveitis
B. Possible eye injury or eye surgery and related
C. Clinical manifestations and Harada disease (Harada disease) similar
D. Untreated can lead to blindness

following account
sympathetic ophthalmia
sympathetic ophthalmitis
wrong


Question: For a description of pseudo-obstruction of the large intestine, which of the following error?

Answer: Drug therapy can be considered neostigmine, but be careful application of patients have bradycardia after fight drugs need to carefully observe changes in heart rate, and prepare dopamine as an emergency antidote

Choices:
A. Also known as Ogilvie's syndrome, a diagnosis was proposed in 1948 AD
B. Common causes of colon pseudo-obstruction Clinically, secondary, mainly used in combination and morphine-like painkillers, thyroid dysfunction, diabetes, kidney poisoning and other factors
C. Treatment may consider using colonoscopy to make a diagnosis and decompression, but be careful carefully selected patients, if the suspect can not perform colon necrosis
D. Drug therapy can be considered neostigmine, but be careful application of patients have bradycardia after fight drugs need to carefully observe changes in heart rate, and prepare dopamine as an emergency antidote


Question: Obstructive sleep apnea syndrome in patients with the most common respiratory abort is that a period of sleep?

Answer: Rapid eye movement (REM)

Choices:
A. Non-rapid eye movement (non-REM) stage 1
B. Non-rapid eye movement stage 2
C. Non-rapid eye movement stage 3
D. Rapid eye movement (REM)

Obstructive sleep apnea syndrome
patients
most common respiratory abort
period
sleep


Question: And milk were served, not only affect the absorption, but will also lose antimicrobial activity of the drug as follows:

Answer: Tetracycline

Choices:
A. Ampicillin
B. Tetracycline
C. Erythromycin
D. Cephalexin

milk
not only
absorption
antimicrobial activity
drug
follows


Question: Ethosuximide inhibit the T-type calcium channels, primarily for the treatment of epileptic seizures following what?

Answer: Syncope 發作 (absence seizure)

Choices:
A. Full tonic-clonic seizures (generalized tonic-clonic seizure)
B. Syncope 發作 (absence seizure)
C. Most seizures (partial seizure)
D. Myoclonic seizures (myoclonic seizure)

Ethosuximide inhibit
T-type calcium channels
treatment
epileptic seizures following


Question: Statements about the human papilloma virus (Human Papillomavirus, HPV) is, which of the following error?

Answer: E5 virus proteins will bind to p53

Choices:
A. HPV-6 and HPV-11 cervical cancer is caused by low-risk strains
B. E5 virus proteins will bind to p53
C. E7 viral proteins will bind to the protein p105RB
D. E1 protein and viral replication related


Question: 2000 grams of preterm children hospitalized in the ICU for nearly two Month, she had bilateral renal agenesis ⽽ associated with chronic renal failure, pulmonary hypoplasia separate warranty as pneumonia ⼀ directly dependent on a respirator therapy, 3 weeks before the start of ⻑ need of peritoneal dialysis in order to maintain body fluids and electrolyte balance. Unfortunately, these days doctors discovered the baby fever, dialysate turned turbid, and zoomed to reduce the flow, initially diagnosed as fungal peritonitis, except Using the drug, the doctor suggested surgery to replace the watch peritoneal dialysis tube. At this time, under 20-year-old young ⽗ ⺟ pro requires the physician to: "She is really so poor, do not save, so she ⾛ it, please help us remove the respirator, let's go home!." Which of the following practices most appropriate?

Answer: ⽗ ⺟ after obtaining the consent administer palliative care, by health care personnel on a respirator removed, let her go home

Choices:
A. ⽗ ⺟ ⽣ her, but also legal representation Face, which must be removed from the respirator ⽗ ⺟
B. ⽗ ⺟ after obtaining the consent administer palliative care, by health care personnel on a respirator removed, let her go home
C. All care has been taken to make full Use of modern medical rescue in the end
D. Does not remove the respirator dimension ⽣, but down to stop the watch surgery and other active treatment

2000 grams
preterm children hospitalized
ICU
nearly two Month
bilateral renal agenesis
associated with chronic renal failure
pulmonary hypoplasia separate
pneumonia
directly dependent
respirator therapy
3 weeks
start
need
peritoneal dialysis
order to
body fluids
electrolyte balance
days doctors
baby fever
dialysate turned turbid
to
initially diagnosed
fungal peritonitis
Using
drug
doctor
surgery to replace
peritoneal dialysis tube
time
20 year old young
pro
physician
poor
not
help
remove
respirator
let
o  ome!
ollowing
ost  ppropriate?


Question: Which of the following participate in an initial diaphragmatic (primordial diaphragm), accounting for most of the early fetal diaphragmatic (early fetal diaphragm), and in newborn babies of the diaphragm (neonate's diaphragm) accounts for only a relatively small part?

Answer: Chest film (pleuroperitoneal membrane)

Choices:
A. Chest film (pleuroperitoneal membrane)
B. Lateral septum (septum transversum)
C. Mesangial esophagus (mesoesophagus)
D. Original mediastinum (primitive mediastinum)

following
initial diaphragmatic
primordial diaphragm
early fetal diaphragmatic
early fetal diaphragm
newborn babies
diaphragm
neonate's diaphragm
accounts
only
small part


Question: Diagnosed with cervical cancer, which of the following is correct when pregnant?

Answer: Prognosis and the same non-pregnant women

Choices:
A. Prognosis and the same non-pregnant women
B. If pregnancy 17 weeks found that cervical cancer, should fetal maturity and other reprocessing
C. Vaginal production will worsen the prognosis
D. Radiation therapy does not cause abortion

Diagnosed
cervical cancer
following
correct
pregnant


Question: Mr. Zhang, 60 years old, suffering from high blood pressure, long-term regular diabetes medication, the last two days, will walk a few steps short of breath, unable to sleep lying down, sitting, breathing only more comfortable, while walking his chest men Tong, sitting rest is more relieve chest tightness, chest pain recently increased the frequency than before. Mr. Zhang to the ER for treatment, blood pressure 160/90 mm Hg, at 130 beats per minute, the temperature 37 degrees Celsius, 25 times per minute respiration, blood oxygen levels below 88% of oxygen-free, showed the following physical checkups , jugular venous distention (jugular vein engorgement), at the apex with a second degree (Grade II / VI) systolic murmur, S3 running sound (S3 gallop), had bilateral pulmonary rales (rALES), lower extremity edema, ECG showing sinus tachycardia (sinus tachycardia) and V4-V6 ST segment decline, chest X-ray showing cardiomegaly and pulmonary edema, the diagnosis for Mr. Zhang to the emergency room, Which of the following most inappropriate?

Answer: Pulmonary heart disease (cor pulmonale)

Choices:
A. heart failure
B. Pulmonary heart disease (cor pulmonale)
C. Acute pulmonary edema
D. Acute coronary syndrome

Mr
60 years old
suffering
high blood pressure
long-term regular diabetes medication
last two days
few steps short of breath
unable to sleep lying
sitting
breathing only
chest
Tong
sitting
more relieve chest tightness
chest pain recently increased
frequency
Mr
ER
treatment
blood pressure
90 mm Hg
beats per minute
temperature
degrees Celsius
times
minute respiration
blood
levels
free
following physical
jugular venous distention
jugular vein engorgement
apex
second degree
VI
systolic murmur
S3
sound
S3 gallop
bilateral pulmonary rales
rALES
lower extremity edema
ECG
sinus tachycardia
sinus tachycardia
V6 ST segment
chest X-ray
cardiomegaly
pulmonary edema
diagnosis
Mr
emergency room
following
inappropriate


Question: Bearing on the question, given the most appropriate disposal day-why?

Answer: The femoral epiphyseal ends of the bone fixation plate with a screw (screw stabilization)

Choices:
A. Antibiotics (antibiotics) injections three weeks
B. In anesthetized hip Closed reduction (closed reduction)
C. The femoral epiphyseal ends of the bone fixation plate with a screw (screw stabilization)
D. Turning the proximal femoral osteotomy surgery line (varus osteotomy)


Question: Which of the following is a renewal of high blood pressure (secondary hypertension) the most common cause?

Answer: renal parenchymal disease

Choices:
A. renal parenchymal disease
B. primary aldosteronism
C. pheochromocytoma
D. Cushing's syndrome

following
high blood pressure
secondary hypertension
most common cause


Question: The best way to diagnose Asherman's syndrome are:

Answer: Diagnostic hysteroscopy

Choices:
A. Diagnostic hysteroscopy
B. Diagnostic laparoscopy
C. Computer tomography
D. Ultrasonography


Question: 56 year old man nausea, poor appetite week to emergency room visits. Patients had no history of diabetes. Biochemical examination revealed BUN 118 mg / dL, creatinine 8.1 mg / dL. This is about patient diagnosis of acute or chronic renal failure, following that a relatively non-differential diagnosis reference value?

Answer: Patient's blood pressure was 170/95 mmHg

Choices:
A. Renal ultrasonography revealed right kidney longest diameter of 10.3 cm, 10.5 cm left
B. The patient's hemoglobin was 13.5 g / dL
C. Patient's blood pressure was 170/95 mmHg
D. Patient serum calcium 13.0 mg / dL, phosphorus ions 6.0 mg / dL

non differential diagnosis reference value


Question: 30 a two-month-old baby because genital confusion (ambiguous genitalia) and treatment, its external genital appearance as shown, genital tubercle (phallus) 2 cm long, chromosome 46, XY. That one of the following is least likely diagnosis?

Answer: XY pure gonadal abnormalities (XY pure gonadal dysgenesis)

Choices:
A. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
B. 5α- reductase deficiency (5α-reductase deficiency)
C. True hermaphrodite (true hermaphroditism)
D. XY pure gonadal abnormalities (XY pure gonadal dysgenesis)

30
two month old baby
genital confusion
ambiguous genitalia
treatment
external genital appearance
genital tubercle
phallus
2
long
chromosome
XY
one
following
least likely diagnosis


Question: The following relevant background diabetic retinopathy (background diabetic retinopathy; BDR) described, what's wrong?

Answer: The need for active retinal laser treatment (laser photocoagulation) to prevent deterioration

Choices:
A. Retinopathy confined to the retina (intraretinal)
B. Microaneurysm (microaneurysms) is characteristic of the early retinopathy
C. Retinal exudates yellow (hard exudates) which is also characteristic of retinopathy
D. The need for active retinal laser treatment (laser photocoagulation) to prevent deterioration


Question: Statements about Streptococcus pneumoniae (Streptococcus pneumoniae), and which of the following error?

Answer: With group C polysaccharide, reaction with C- reactive protein (C-reactive protein, CRP)

Choices:
A. On blood culture plate around the colonies, showing green grass hemolytic
B. With anti-phagocytic ability of the capsule (capsule) is an important virulence factor of this bacterium
C. With group C polysaccharide, reaction with C- reactive protein (C-reactive protein, CRP)
D. Of Aoputuoxin (Optochin) sensitive to bile and may be dissolved


Question: If the implementation of a health plan, the proposed assessment "if popular participation rate expectations?" "Use of resources is satisfactory?" "Investment executive meets role?" And so on, is part of that kind of evaluation?

Answer: Process evaluation

Choices:
A. Process evaluation
B. Evaluation results
C. Impact Evaluation
D. Evaluation form

proposed
participation rate
Use of
satisfactory
Investment executive
role
so
part of
kind


Question: Which of the following refers to the "two eyes to a non-relative or opposite direction of conjugation (non-conjugate) movement"?

Answer: Vergence eye rotation (Vergence)

Choices:
A. Eye movement (duction of)
B. Eyes turn (version)
C. Vergence eye rotation (Vergence)
D. Ocular accommodation (Accommodation)

following refers
two eyes
non relative
opposite direction
conjugation
non
movement


Question: Which of the following is a chemical anti-cancer drugs cisplatin of side effects?

Answer: Low blood magnesium disease

Choices:
A. Hypercalcemia disease
B. Low blood magnesium disease
C. Hyponatremia disease
D. Blood chloro hyperparathyroidism

anti cancer drugs cisplatin of side effects


Question: The following statements about trihexyphenidyl, whichever is correct?

Answer: For the treatment of Parkinson's disease

Choices:
A. Capable of activating cholinergic receptors
B. For the treatment of Parkinson's disease
C. A dopamine receptor agonist
D. Inhibit monoamine oxidase


Question: That one of the following is the most common early symptoms of breast cancer?

Answer: Breast lumps

Choices:
A. Breast pain
B. Nipple discharge
C. Breast lumps
D. Rutouaoxian (retraction of nipple)


Question: Which of the following is not a feature of the colon?

Answer: Completely intraperitoneal organs

Choices:
A. Completely intraperitoneal organs
B. With fat hanging (omental appendices)
C. The longitudinal muscle wall into three special strip of taeniae coli
D. Bag-like exterior wall (haustra)


Question: 20 year old woman was found outside the top right breast has a size of 2 cm, and can significantly limit movement of the tumor. Which of the following is the most likely diagnosis?

Answer: Fibroadenoma (fibroadenoma)

Choices:
A. Chronic mastitis (chronic mastitis)
B. Fibroadenoma (fibroadenoma)
C. Inner tube papilloma (intraductal papilloma)
D. Invasive ductal adenocarcinoma (invasive ductal carcinoma)

20 year old woman
found outside
top right breast
size
limit movement
tumor
following
diagnosis


Question: Which of the following opportunities resulting in full-cytopenia (pancytopenia) minimum?

Answer: iron deficiency

Choices:
A. systemic lupus erythematosus
B. paroxysmal nocturnal hemoglobinuria
C. vitamin B12 deficiency
D. iron deficiency

following
resulting in full cytopenia
pancytopenia
minimum


Question: Venous blood is typically deoxygenated blood, but the following exceptions to what items?

Answer: Umbilical vein (umbilical vein)

Choices:
A. Hepatic vein (hepatic vein)
B. Portal vein (portal vein)
C. Umbilical vein (umbilical vein)
D. Uterine vein (uterine vein)


Question: The following account of message delivery, whichever is wrong?

Answer: Nitric oxide (nitric oxide) is transmitted via the message for cell membrane receptor guanylyl cyclase (membrane form guanylyl cyclase)

Choices:
A. β-adrenergic receptor cell is transferred via cyclic AMP posts
B. Nitric oxide (nitric oxide) is transmitted via the message for cell membrane receptor guanylyl cyclase (membrane form guanylyl cyclase)
C. Intracellular calcium ion concentration by inositol-3-phosphate (IP3) Regulation
D. cyclic AMP (cAMP) is regulated by allosteric regulation of protein kinase manner  A (protein kinase A) activity


Question: 1 A 60-year-old farmer, was scratched eye when busy foliage. A few days later, because of eye pain treatment. Thin slit lamp examination revealed a 4 mm central corneal large white infiltration (infiltration), the lesion edge blur, and several satellite-like small lesions (satellite lesions). The following narrative that a disposal or wrong?

Answer: Should be given steroid eye treatment

Choices:
A. Pap needed, patients corneal lesion of the scraper (scraping smear) and microbial cultures
B. The most likely diagnosis is fungal keratitis
C. Should be given steroid eye treatment
D. If medical treatment fails, requiring surgery

1
60 year old farmer
scratched eye
few days later
eye
Thin slit lamp examination revealed
4 mm central corneal
infiltration
infiltration
lesion edge blur
several satellite
small lesions
satellite lesions
following
wrong


Question: If you want to study the results of the above application in clinical or community health clinic, which of the following reference variables are the most clinically significant?

Answer: The experimental group and the control group had an absolute risk difference falls

Choices:
A. Experimental group and control group the number of cases between the two groups
B. Experimental group and control group value falling between the two groups P ratio of the statistical difference
C. Relative to the control group, the experimental group relative risk of falling
D. The experimental group and the control group had an absolute risk difference falls

to study
results
application
clinical
community clinic
following
variables
most
significant


Question: Right hilum (hilum) being above the ditch (or pressure trace) is caused by what structure?

Answer: Azygos

Choices:
A. esophagus
B. Arch of aorta
C. Azygos
D. The superior vena cava

Right hilum
hilum
pressure trace
caused
structure


Question: 26 gestational diabetes screening performed at 24-28 weeks, the blood sugar level after one hour 50 g glucose drink much (mg / dL) above, shall do g glucose tolerance test (100 g oral glucose tolerance test)?

Answer: 140

Choices:
A. 110
B. 120
C. 130
D. 140

gestational performed
weeks
blood sugar level
one hour
g
much
mg
dL
above
g glucose tolerance test
100 g oral glucose tolerance test


Question: The main manufacturing sites in blood albumin (albumin) is?

Answer: liver

Choices:
A. Small intestine
B. spleen
C. Pancreas
D. liver


Question: Account of the atherosclerotic arterial stenosis (carotid stenosis), and which of the following error?

Answer: Catheter angiography examination is a method of screening high-risk patients the safest

Choices:
A. Catheter angiography examination is a method of screening high-risk patients the safest
B. With smoking and hypertension
C. Head and neck cancer patients receiving radiation therapy, will increase the incidence
D. Drugs can, stenting surgery or therapy

Account
atherosclerotic arterial stenosis
carotid stenosis
following error


Question: The clinical diagnosis of insulinoma (insulinoma) is Whipple triad, namely:

Answer: Hypoglycemia, blood glucose less than 50 mg / dL glucose after intravenous injection and may improve symptoms

Choices:
A. Hypoglycemia, blood glucose less than 50 mg / dL and have history of taking the diabetes drug
B. Hypoglycemia, blood glucose less than 50 mg / dL and can improve symptoms after oral glucose
C. Hypoglycemia, blood glucose less than 50 mg / dL glucose after intravenous injection and may improve symptoms
D. Hypoglycemia, blood glucose less than 50 mg / dL and insulin injection have a history of use

clinical diagnosis
insulinoma
insulinoma
triad


Question: Which of the following occupational 48, most likely in the chest HRCT in computer tomography, see curve calcification (subpleural curvilinear line) 5 to 10 cm length under the pleura?

Answer: asbestosis

Choices:
A. asbestosis
B. silicosis
C. coal worker's pneumoconiosis（CWP）
D. berylliosis

following occupational 48
likely
chest
computer tomography
see curve calcification
line
5
10
length
pleura


Question: Statements about scabies (scabies) is, which of the following error?

Answer: The first infection incubation period of about 2 to 4 days

Choices:
A. The first infection incubation period of about 2 to 4 days
B. Most adults are infected with scabies, skin lesions, which rarely appear on the face
C. Patients will not sleep at night itching
D. May be transmitted to family members


Question: The following narrative for domestic violence and child victims of abuse, what's wrong?

Answer: Few perpetrators Drug Addiction

Choices:
A. Often repeat those seeking treatment
B. The law must inform the child abuse incident
C. The narrative of the injured machine turn often inconsistent with injury
D. Few perpetrators Drug Addiction

following
domestic violence
child victims of abuse
wrong


Question: A 17-year-old man, for the third year students. Accompanied by a parent, complained of insomnia, palpitations, dizziness and inability to concentrate there two months. Recent history records the patient rest is not normal, and often requires the mother to leave the school grounds with a variety of teachers, getting to class content can not keep up, test scores fall sharply. Attendances hope physician can prescribe drugs to protect the brain and help mental and learning efficiency. Physical examination and blood tests are not an exception. Mechanism, whichever of these patients have symptoms of anxiety more correct?

Answer: Adjustment due to bad

Choices:
A. Examination of the pressure from the pure
B. Parents and teachers care enough
C. Lack of exercise and poor physical
D. Adjustment due to bad

year old man
third year
insomnia
palpitations
dizziness
to concentrate
two months
Recent history records
patient
not normal
often
to
school
teachers
getting
not keep
test scores fall
physician
drugs to
brain
help
efficiency
blood tests
not
Mechanism
patients
symptoms
anxiety more correct


Question: About bipolar disorder (bipolar disorder) described it, which of the following correct?

Answer: Manic symptoms in old age, should consider the differential diagnosis of dementia or delirium

Choices:
A. Manic symptoms in old age, should consider the differential diagnosis of dementia or delirium
B. A typical first onset of type often impatient
C. Compared to major depression, bipolar disorder type II (bipolar II disorder) lower risk of suicide
D. Long-term follow discovered more than half a lifetime incidence of cases only once

About bipolar disorder
bipolar disorder
following correct


Question: Which of the following is not a pathological changes of asthma?

Answer: epithelial metaplasia

Choices:
A. epithelial basement membrane thickness
B. glandular hypertrophy
C. angiogenesis
D. epithelial metaplasia

following
not
pathological changes
asthma


Question: Patients 70 years, nearly a month rashes and blisters (panel A) in the body and limbs, skin pathological sections were found infiltrating lymphocytes (panel B) in the dermis, direct immunofluorescence staining was found in the IgG appeared fluorescent between keratinocytes (Figure C), the most likely diagnosis why?

Answer: Deciduous pemphigus (pemphigus foliaceus)

Choices:
A. Deciduous pemphigus (pemphigus foliaceus)
B. Pemphigus vulgaris (pemphigus vulgaris)
C. Pemphigoid (bullous pemphigoid)
D. Herpetic skin inflammation (dermatitis herpetiformis)

Patients 70 years
nearly
month rashes
blisters
panel
body
limbs
skin pathological sections
found infiltrating lymphocytes
panel
dermis
direct immunofluorescence staining
found
appeared fluorescent
diagnosis


Question: Which of the following virus most likely to cause eye infections in the pool, causing conjunctivitis?

Answer: Adenovirus (Adenovirus)

Choices:
A. Papilloma virus (Human papilloma virus)
B. Herpes simplex virus (Herpes simplex virus)
C. Adenovirus (Adenovirus)
D. Pox virus (Poxvirus)

following
to cause eye infections
pool
causing conjunctivitis


Question: Ranson scoring method is determined well severity of acute pancreatitis method, for the first 48 hours of non-per project basis:

Answer: Serum potassium

Choices:
A. After hospitalization hematocrit (hematocrit)
B. Arterial blood oxygen concentration
C. Serum potassium
D. Serum calcium

well severity
acute pancreatitis method
first 48 hours
non
basis


Question: The following related statements is true?

Answer: Melanocytes in the dermis increased

Choices:
A. Melanin is a congenital disease, associated with the distribution of blood vessels to
B. Abnormal metabolism of melanin in the epidermis
C. Epidermal melanocytes increases
D. Melanocytes in the dermis increased


Question: From the previous question, about the subsequent disposal of Ms. Wang sound anomalies, which of the following less suitable?

Answer: Vocal Botox or hyaluronic acid

Choices:
A. Smoking cessation therapy and speech therapy are necessary steps
B. Countercurrent treatment of the hypopharynx (laryngopharyngeal reflux) may slow the deterioration of sound
C. There airway obstruction or conservative treatment is not valid before considering surgery
D. Vocal Botox or hyaluronic acid

previous
subsequent
Ms
sound anomalies
following less suitable


Question: Which of the following is not your watch dangerous surgical site infection (surgical site infection) due to the submenus (risk factors)?

Answer: Cancer patients receiving the watch surgery

Choices:
A. Cancer patients receiving the watch surgery
B. If a patient ⻑ Smoking
C. Whether intraoperative transfusion ⾎
D. ⼿術 time ⻑短

following
not
surgical site infection
surgical site infection
risk factors


Question: When following that a substance in the drinking water content is too high, the infant can cause blue baby syndrome (methemoglobinemia)?

Answer: Nitrate

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

following
substance
content
too high
infant
cause blue baby syndrome
methemoglobinemia


Question: 5 related to orthopedic surgery anesthesia narrative Which statement is correct? ① recommended nerve (sciatic nerve), and femoral nerve (femoral nerve) block technique knee surgery is often sufficient to take a sitting position ② shoulder surgery, often due to the pressure sensitive reflector (baroreflex) leading to bradycardia, hypotension ③ the probability of the pelvis (pelvic) and femur surgery often have fat embolism (fat emboli), fat embolism syndrome is a serious but less than one percent ④ spinal anesthesia (spinal anesthesia) or spinal epidural anesthesia (epidural anesthesia) for total hip joint replacement (total hip replacement) are appropriate, but still need to monitor the amount of blood loss

Answer: ①③④

Choices:
A. ①③④
B. ①②④
C. ①②③
D. ②③④

5 related
orthopedic surgery anesthesia
correct
nerve
sciatic nerve
femoral nerve
femoral nerve
block technique knee surgery
often sufficient to
sitting position
shoulder surgery
often due
pressure sensitive
baroreflex
leading
bradycardia
hypotension
probability
pelvis
pelvic
femur surgery often
fat embolism
fat embolism syndrome
serious
less than one percent
spinal anesthesia
spinal anesthesia
spinal epidural
epidural anesthesia
total
total hip replacement
appropriate
need to monitor
amount of blood loss


Question: 63 A 54-year-old woman, had difficulty getting up in the morning for three weeks, in addition to physical examination found that his legs weak, move the right arm is also difficult. But the grip of both hands properly. Even will choke when swallowing. Laboratory examination revealed AST 75 U / L, ALT 14 U / L, ANA 1:80 (+) speckled, CK 805 U / L (MB form 635 μg / L), IgG 1720 mg / mL, IgA 354 mg / mL , IgM 213 mg / mL, mm / 1h, 78 mm / 2h, CRP 0.76 mg / mL. The most likely diagnosis in this patient is:

Answer: polymyositis

Choices:
A. polymyositis
B. myasthenia gravis
C. esophageal tumor
D. degenerative joint disease


Question: Which of the following is an intracellular metabolic breakdown of thymine (thymine) intermediates?

Answer: b-aminoisobutyrate

Choices:
A. Uric acid
B. b-alanine
C. Carbamoyl phosphate
D. b-aminoisobutyrate

following
intracellular metabolic
thymine
thymine
intermediates


Question: A pregnant woman in the third trimester eighteen weeks of recurrent herpes simplex virus type II (HSV-2), a prescription drug is Acyclovir, the principle of action of this drug is:

Answer: Inhibition of viral gene deoxyribonucleic acid (DNA) replication of

Choices:
A. Inhibition of RNA virus gene (RNA) transcribed (Transcription)
B. Inhibition of RNA virus gene (RNA) of the translation (Translation)
C. Inhibition of viral gene deoxyribonucleic acid (DNA) replication of
D. Inhibition of direct binding of the virus to the host (Attachment)

pregnant woman
third trimester
weeks
prescription drug
Acyclovir
action
drug


Question: Insulin deficiency type 1 diabetes (type I diabetes mellitus) patients with poor blood sugar control may occur ketoacidosis (ketoacidosis), describes the following information about the energy metabolism of the patient, what's wrong?

Answer: Ketones (ketone body) is mainly the acetyl-CoA produced from glucose metabolism and transformed into

Choices:
A. Ketones (ketone body) is mainly the acetyl-CoA produced from glucose metabolism and transformed into
B. Ketone bodies instead of glucose can be the source of cellular energy
C. The Kreb's cycle intermediates, such as oxaloacetate alienation gluconeogenesis action (gluconeogenesis) of material, so blood will rise
D. acetyl-CoA by the lack of oxaloacetate, can not be Kreb's cycle, it is converted to a ketone

Insulin deficiency type 1 diabetes
type I diabetes mellitus
patients
poor blood sugar control
occur ketoacidosis
ketoacidosis
following information
energy metabolism
patient
wrong


Question: Sunderland nerve damage in accordance with the classification can be divided into several categories?

Answer: six

Choices:
A. three
B. four
C. Fives
D. six


Question: Which of the following common low-frequency hearing loss?

Answer: Meniere's disease

Choices:
A. Age-related hearing loss
B. Audio Damage
C. Meniere's disease
D. Ear thyrotoxicosis


Question: Breast surgery, when the axillary lymph dissection, the most important to avoid the long thoracic nerve (long thoracic nerve) of damage, the main reason why?

Answer: Avoid scapula wing (winged scapula)

Choices:
A. Will cause the pectoralis minor muscle (pectoralis minor muscle) atrophy
B. Avoid scapula wing (winged scapula)
C. Can cause paralysis of the arms inside (paralysis)
D. Induced lymphedema (lymphedema)

Breast surgery
axillary lymph dissection
most important to
long thoracic nerve
long thoracic nerve
damage
main


Question: The following pair of parasites, their life cycle are no balloon period (cyst stage) who Why?

Answer: Dientamoeba (Dientamoeba fragilis) and intestinal trichomoniasis [Trichomonas (Pentatrichomonas)

Choices:
A. Maxwell Chilomastix (Chilomastix mesnili) and vaginal trichomoniasis (Trichomonas vaginalis)
B. Dientamoeba (Dientamoeba fragilis) and intestinal trichomoniasis [Trichomonas (Pentatrichomonas)
C. E. ciliates (Balantidium coli) and gum amoeba (Entamoeba gingivalis)
D. Amoeba addicted iodine (Iodamoeba bütschlii) and oral trichomoniasis (Trichomonas tenax)

following pair
parasites
life cycle
balloon period
cyst stage


Question: 79 current legal priority for the families of agency decisions and no general rules, so most apply by analogy the provisions of Article VII of palliative medical regulations, in order to prioritize Which of the following is correct?

Answer: Spouse> Adult immediate blood relatives Peel> Parents> brothers and sisters

Choices:
A. Spouse> Adult immediate blood relatives Peel> Parents> brothers and sisters
B. Spouse> Parents> Adult immediate blood relatives Peel> brothers and sisters
C. Adult direct blood relatives Peel> spouses> Parents> brothers and sisters
D. Adult direct blood relatives Peel> Parents> spouses> brothers and sisters

current
priority
general
most apply
palliative medical
order to
following
correct


Question: 56 year old male diabetic people were chest discomfort to the emergency, preliminary examination of blood creatinine 2.0 mg / dL, K + 5.8 mEq / L, Na + 139 mEq / L, Cl- 116 mEq / L, HCO3- 18 mEq / L, osmolality 290 mOsm / kg‧H2O, urine creatinine 12 mg / dL, K 9.6 mEq / dL, osmolality 580 mOsm / kg‧H2O, the patient most likely diagnosis is:

Answer: Low renin low aldosterone hyperlipidemia (hyporeninemic hypoaldosteronism)

Choices:
A. A second renal tubular acidosis (type 2 renal tubular acidosis)
B. acidosis induced metformin (metformin related acidosis)
C. Low renin low aldosterone hyperlipidemia (hyporeninemic hypoaldosteronism)
D. Diabetic ketoacidosis (diabetic ketoacidosis)

year old male diabetic people
chest discomfort
emergency
preliminary examination
blood 2.0 mg
dL
mEq
L
mEq
L
mEq
L
HCO3
mEq
L
osmolality
mOsm
urine creatinine
mg
dL
K
mEq
dL
osmolality 580 mOsm
patient
likely diagnosis


Question: ⼀ normal child can not help East ⻄ standing on one foot for 10 seconds, can still type in a circular motion, to express "your" "my," Which of the following is closest to the age range of its development?

Answer: Over 3 years of age but under the age of 4 years old

Choices:
A. Over 2 years of age but under the age of 3 years old
B. Over 3 years of age but under the age of 4 years old
C. Over 4 years of age but under the age of 5 years old
D. Over 5 years of age but under the age of 6 years old

normal child
not help East
standing
one foot
10 seconds
circular
to
my
following
closest
age range
development


Question: 75. The following specific cell cycle with the anticancer drug (cell cycle-specific agents), the drug with which it is paired inhibition of cell cycle, whichever correct?

Answer: ixabepilone-M phase

Choices:
A. Capecitabine-mitosis (1000) 期
B. irinotecan－DNA synthesis（S）期
C. ixabepilone-M phase
D. vincristine-S phase

75
following specific cell cycle
cell cycle specific agents
drug
paired inhibition
cell cycle
correct


Question: When the 47.70 year-old male smoker for nearly 50 years, has many years of chronic cough and dyspnea movement, recently exacerbated by coughing and breathing difficulties go to emergency room for medical treatment. Physical checkups findings clearly conscious patients, blood pressure is stable, but rapid breathing and chest auscultation call asthma song (wheezes). Chest X-ray is not the phenomenon pneumonia, little sputum, its breathing air arterial blood gas analysis showed pH 7.274, pCO2 78 mmHg, pO2 40 mmHg, mEq / L, BE (ECF) +9 mEq / L. After giving oxygen, following which deal with the most correct?

Answer: The first to give bronchodilator inhalation therapy, and consider using a non-invasive treatment respirator

Choices:
A. Administering an infusion of sodium bicarbonate to improve acidemia
B. The speedy granting of an endotracheal tube and a respirator to improve to 40 mmHg pCO2
C. Give theophylline (aminophylline) intravenous treatment
D. The first to give bronchodilator inhalation therapy, and consider using a non-invasive treatment respirator


Question: For the following enterovirus (enteroviruses) description of what's wrong?

Answer: Its progeny virus replication in the cell nucleus

Choices:
A. Resistance remain at pH3 to pH9 the environment
B. Ability of the virus genome itself with (naked genome) infection
C. Viral RNA in the cell will be translated into polyprotein
D. Its progeny virus replication in the cell nucleus

following enterovirus
enteroviruses
wrong


Question: From the previous question, the patient may receive improved following treatment, which of the following exceptions?

Answer: Nd-YAG laser（532 nm）

Choices:
A. topical glucocorticoid
B. narrowband UVB（311 nm）
C. Nd-YAG laser（532 nm）
D. excimer light（308 nm）

previous
patient
receive improved following treatment
following


Question: 65. In the recombinant antigen receptors (antigen receptor gene rearrangement), N- nucleotide addition (N-nucleotide addition) varied ways (diversity) at the time what kind of opportunity following the reorganization, which occurred as a minimum?

Answer: Antibody light chain gene (Ig light chain gene)

Choices:
A. Antibody heavy chain gene (Ig heavy chain gene)
B. Antibody light chain gene (Ig light chain gene)
C. T cell receptors α- chain gene (TCR α-chain gene)
D. T cell receptors β- chain gene (TCR β-chain gene)

65
antigen receptors
antigen receptor gene rearrangement
N
addition
N
addition
varied
diversity
time
kind
following
minimum


Question: If a population has 10% of people have a particular disease, if randomly selected from a population of people, who have a chance of winning this particular disease is the number?

Answer: 1/9

Choices:
A. 1/10
B. 1/9
C. 10
D. 9

population 10 disease population chance winning disease number


Question: A 65-year-old male suffering from diabetes, recently in the outpatient treatment of tuberculosis, only to find trace blood abnormalities: total bilirubin 3 mg / dL (normal: 0.2 ~ 1.2), direct bilirubin 0.3 mg / dL (normal: 0 ~ 0.4). The following statements is most inappropriate?

Answer: At this time, the urine will find patients were positive urine bilirubin

Choices:
A. TB drugs may lead to hemolysis
B. At this time, the urine will find patients were positive urine bilirubin
C. At this time, the urine will find patients were positive urine urobilinogen
D. At this time, patient blood HbA1c (HbA1C), there may be pseudo low

65-year-old male suffering
diabetes
recently
outpatient treatment
tuberculosis
only to find trace blood abnormalities
total bilirubin
mg
dL
normal
0
1
direct bilirubin 0.3 mg
dL
normal
0
4
following
most inappropriate


Question: Which of the following is most likely to lead to the situation around the outside of the field of view of both eyes are missing?

Answer: Damage to the optic chiasm (optic chiasm) at

Choices:
A. Damage to the optic chiasm (optic chiasm) at
B. The left optic nerve (optic nerve) damage
C. The right of the optic nerve (optic nerve) damage
D. The right optic bundle (optic tract) damage

following
to lead
outside of
field
view
eyes
missing


Question: Gender mainstreaming meaning, which of the following error?

Answer: The men and women as a popular topic

Choices:
A. The men and women as a popular topic
B. When formulating national policies, the need to also consider the impact of gender and gender participation
C. Women's health needs to consider the needs of women and gender equality in education
D. States should set up dedicated units for women


Question: A 48-year-old woman, G3P2, by the blood of normal, the moderate degree of pain, in routine Pap smear was CIN I, and found to have a 6 cm uterine fibroids, ovarian suspected adverse ovulation. No urinary frequency and bowel problems and other symptoms. What's next most appropriate disposal of that?

Answer: Track six months check again

Choices:
A. Track six months check again
B. Surgical removal of fibroids laparotomy
C. Injection of gonadotropin-releasing hormone (GnRH) agonists Therapy
D. Laparoscopic myomectomy surgery

48 year old woman
blood
normal
moderate degree
pain
routine Pap smear
CIN I
found to
uterine fibroids
ovarian suspected
ovulation
urinary frequency
bowel problems
symptoms
next
appropriate


Question: Placental abruption (placental abruption) potential is relatively common complications which of the following?

Answer: Coagulopathy

Choices:
A. Uterine inversion
B. Coagulopathy
C. Puerperal infection
D. Uterine inertia

Placental abruption
placental abruption
potential
common complications
following


Question: The following items where the drug does not cause high plasma clearance (high anion gap) metabolic acidosis?

Answer: Hippurate

Choices:
A. Ethylene glycol
B. Hippurate
C. Methanol
D. Salicylate

following
drug
not cause high plasma clearance
high anion gap
metabolic acidosis


Question: The following narrative about cerebral palsy, whichever is most correct?

Answer: From high bilirubin hyperlipidemia caused by Xu action type (athetoid type) of patients with hearing loss problems easier to merge

Choices:
A. Cerebral Palsy Children will merge with intellectual disabilities
B. The most common type of low tension (hypotonia)
C. Most children with hemiplegic cerebral palsy (hemiplegic type) can not walk
D. From high bilirubin hyperlipidemia caused by Xu action type (athetoid type) of patients with hearing loss problems easier to merge


Question: The following figure bladder imaging examination (cystography) of abnormal results, mainly caused by what disease?

Answer: Bladder wall of the trabecular (bladder trabeculation)

Choices:
A. Bladder tumors (bladder tumor)
B. Bladder wall of the trabecular (bladder trabeculation)
C. Bladder diverticulum (bladder diverticulum)
D. Polyps bladder (bladder polyp)

following
bladder imaging
cystography
abnormal results
caused
disease


Question: 61.39 in the past year old man in good health is good, because a week of fever and persistent headache to the hospital for medical treatment. Physical examination examination found that body temperature 39.0 ℃, roof of the mouth with white markings, and no stiff neck. Blood tests found that white blood cell count 7020 / μL. CT shows only the brain edema. Spinal (lumbar puncture) found that a pressure> 600 mmH2O, biochemical examination revealed proteins 94 mg / dL, as shown microscopy. The following statements is most inappropriate?

Answer: 4 weeks to complete the course of treatment to stop treatment

Choices:
A. HIV infection should be seized
B. The most likely pathogen is Cryptococcus neoformans
C. The current standard combination therapy is amphotericin B + flucytosine
D. 4 weeks to complete the course of treatment to stop treatment

61
past year old man
good
week
fever
persistent headache
hospital
medical treatment
found
body temperature
0
roof of
mouth
white markings
stiff neck
Blood tests found
white blood
count
CT
only
brain edema
Spinal
lumbar puncture
found
pressure
600 mmH2O
biochemical
revealed proteins
mg
dL
microscopy
following
most inappropriate


Question: On the secondary wound healing (secondary healing), the following statements is wrong?

Answer: Fibroblasts (fibroblast) seven days after the injury first began to appear in the wound

Choices:
A. Becomes smaller due to the contraction of wound
B. Myofibroblasts (myofibroblast) involvement healing
C. Fibroblasts (fibroblast) seven days after the injury first began to appear in the wound
D. contaminated wound healing multi thereby manner

secondary wound healing
secondary healing
following
wrong


Question: The following description of the emergency patients, whichever is most do not need to do brain imaging immediately?

Answer: 25-year-old patient, after slipping fell and bumped his head, Glasgow Coma Scale 15 points, headache, nausea merger, has returned to the hospital, there is no obvious neurological abnormalities

Choices:
A. 25-year-old patient, after slipping fell and bumped his head, Glasgow Coma Scale 15 points, headache, nausea merger, has returned to the hospital, there is no obvious neurological abnormalities
B. 35-year-old patient infected with human immunodeficiency virus, headache newly created, merged fever, nausea, vomiting, no obvious neurological abnormalities
C. 45-year-old patient, a new headache occurs, merge local nerve dysfunction
D. 55-year-old patient, sudden severe headache with severe vomiting, no obvious neurological abnormalities

following
emergency patients
most
not need to
brain imaging immediately


Question: Ward a result of gastric cancer patients undergoing subtotal gastrectomy and Billroth-II reconstruction after the beginning of eating, complaining that eating 20 to 30 minutes after the nausea (nausea), palpitations (palpitation), risk and diarrhea, after checking for signs of life found to have the case tachycardia (tachycardia), the most likely diagnosis why?

Answer: Dumping syndrome (dumping syndrome)

Choices:
A. Input loop syndrome (afferent loop syndrome)
B. Output loop syndrome (efferent loop syndrome)
C. Dumping syndrome (dumping syndrome)
D. Irritable bowel syndrome (irritable bowel syndrome)

Ward
gastric cancer
subtotal gastrectomy
Billroth-II reconstruction
beginning
eating
eating 20
30
nausea
nausea
palpitations
palpitation
diarrhea
signs
found to
case tachycardia
tachycardia
diagnosis


Question: The eye of antihypertensive drugs in glaucoma following, whichever is less likely to have a side effect of pupil enlarged or reduced?

Answer: adrenaline 或 epinephrine

Choices:
A. pilocarpine
B. adrenaline 或 epinephrine
C. timolol
D. propine (dipivefrin)

eye
antihypertensive drugs
glaucoma following
less likely to
side effect
pupil enlarged
reduced


Question: When bearing on the question, if patients have significant difficulty in breathing, pulmonary function tests are to be carried out, the most likely result is:

Answer: Obstructive ventilatory defect is obvious

Choices:
A. normal
B. Obstructive ventilatory defect is obvious
C. Obviously restrictive ventilatory defect
D. Like severe obstructive and restrictive ventilatory defect

bearing
patients
significant difficulty
breathing
pulmonary function tests
to
carried out
result


Question: 38.40-year-old pregnant woman, G5P2AA2, remarried unwanted pregnancies. The pregnancy has not yet received any check-ups, no family history, the last two births were normal.

Answer: short tibia

Choices:
A. echogenic bowel
B. nuchal skinfold thickening
C. short humerus
D. short tibia

40 year old
remarried unwanted pregnancies
pregnancy
not
received
check-ups
family history
last two births
normal


Question: The following account of tourism-related bacterial diarrhea treatment, whichever is inappropriate?

Answer: Infants and young children have bloody diarrhea and fever, oral administration of the first-generation cephalosporin

Choices:
A. Liquid containing electrolytes and sugars rehydration
B. Infant fever over 24 hours, there are bloody stools or diarrhea for several days, seek medical diagnosis and treatment
C. Infants and young children have bloody diarrhea and fever, oral administration of the first-generation cephalosporin
D. The elderly have bloody stools and fever, administration of oral fluoroquinolones

following account
related bacterial diarrhea treatment
inappropriate


Question: A 23-year-old male patient because of aggressive behavior, causing passers-by were injured, the police forcibly sent to the emergency room. When history taking, the patient was found nearly a week can not go to work, sleep less than three hours a day, talks so much, spend money, high emotions, irritability, often quarrel with others, and claiming to have super powers. This patient most likely of clinical diagnosis of which of the following?

Answer: Bipolar disorder, manic episodes

Choices:
A. Bipolar disorder, manic episodes
B. Bipolar disorder, hypomania episodes
C. Bipolar disorder, depressive episodes
D. Non-specific bipolar disorder

23 year old male patient
causing passers
injured
police
sent
emergency room
patient
found nearly
week
not go to
sleep less than three hours
day
talks so
spend money
irritability
often
others
to
patient
likely
clinical diagnosis


Question: Which of the following has nothing to do with early dumping of Postgastrectomy syndrome?

Answer: insulin secretion

Choices:
A. insulin secretion
B. serotonin secretion
C. neurotensin secretion
D. enteroglucagon


Question: A 54-year old male patient complains of urine by cystoscopy and transurethral resection of bladder tumor (transurethral resection of urinary bladder tumor), pathology report of bladder carcinoma cell (urothelial carcinoma), violation of the submucosal lamina propria, but whole sections do not see the muscle layer of tissue. He's following the disposal of the most appropriate?

Answer: Find the right time to do cystoscopy and transurethral resection of bladder tumor curettage, staging re-do

Choices:
A. Table superficial treatment of bladder carcinoma
B. Press Aggressive treatment of bladder carcinoma
C. Cystectomy
D. Find the right time to do cystoscopy and transurethral resection of bladder tumor curettage, staging re-do


Question: The following statements about chronic non-cancer pain treatment of multiple, what's wrong?

Answer: Anesthesiologists just use nerve blocks and drugs to treat patients

Choices:
A. Psychiatrists behavioral therapy helps lower back pain patients
B. Rehabilitation for chronic non-cancer pain, the active movement was better than passive massage
C. Occupational therapy for pain treatment can also help
D. Anesthesiologists just use nerve blocks and drugs to treat patients

following
chronic
cancer pain treatment
multiple
wrong


Question: Acute urinary tract infection (urinary tract infection), if not put a catheter, no abnormal urinary tract structure, nor stones (calculi), the most common pathogen that kind?

Answer: E. coli

Choices:
A. Proteus
B. E. coli
C. Klebsiella
D. Enterobacter

Acute urinary tract infection
urinary tract infection
not
catheter
abnormal urinary tract structure
stones
calculi
most common
kind


Question: From the previous question, I ask at this time which of the following most appropriate choice of antimicrobial agents is?

Answer: doxycycline

Choices:
A. oxacillin
B. ampicillin
C. vancomycin
D. doxycycline

previous
I
time
following
appropriate
antimicrobial agents


Question: A 70-year-old male, in recent months, and every day headache and blurred vision. Headache temporal position to the left, non-pulsating pain (non-throbbing pain), headache times per day for several hours, and does not like nausea, vomiting, headache symptoms or tearing. Patients complain that while general malaise, fever and muscle pain. Physical examination revealed the left superficial temporal artery (superficial temporal artery) near the skin hardens and swelling. The following that examination, the diagnosis of the most helpful?

Answer: Erythrocyte sedimentation rate (Erythrocyte sedimentation rate, ESR)

Choices:
A. Rheumatoid factor (Rheumatoid factor, RF)
B. Erythrocyte sedimentation rate (Erythrocyte sedimentation rate, ESR)
C. HLA-typing
D. Tumor markers (Tumor markers)

70 year old male
recent months
day headache
blurred vision
Headache temporal position
left
non pulsating pain
non throbbing pain
headache times per day
several hours
not
nausea
vomiting
headache symptoms
tearing
Patients
general malaise
fever
muscle pain
revealed
left superficial temporal artery
superficial temporal artery
skin hardens
swelling
following
diagnosis
helpful


Question: A so-called air pollutants nitrogen oxides, refers to which of the following?

Answer: Nitric oxide and nitrogen dioxide

Choices:
A. Nitric and nitrous oxide
B. Nitric oxide and nitrogen dioxide
C. Nitric oxide and ammonia
D. Nitrogen dioxide and nitrous oxide


Question: Athlete training caused no menstruation, which of the following would fall?

Answer: LH

Choices:
A. LH
B. endophine
C. ACTH
D. androgen


Question: Which of the following will elicit the production of migrating myoelectric complex (MMC) in?

Answer: Sports hormone (motilin)

Choices:
A. Gastrin (gastrin)
B. Sports hormone (motilin)
C. Noradrenaline (norepinephrine)
D. Incretin secretin (secretin)

following
elicit
migrating myoelectric complex


Question:
3' exonuclease
 yes
 yes
 yes
 5' exonuclease
 no
 no
 yes
 Biological
 ․SOS DNA repair
 ․Replicative
 ․DNA repair
 Function
 chain
 ․DNA primer
 elongation
 excision

Answer: X = polymerase II, Y = polymerase I, Z = polymerase III

Choices:
A. X = polymerase I, Y = polymerase II, Z = polymerase III
B. X = polymerase I, Y = polymerase III, Z = polymerase II
C. X = polymerase II, Y = polymerase I, Z = polymerase III
D. X = polymerase II, Y = polymerase III, Z = polymerase I

3 exonuclease yes 5 yes Biological SOS repair Function chain excision


Question: 7517-year-old man, accompanied by the parents into the emergency room with complaints of abdominal pain the day before the start, accompanied by a feeling of nausea, normal bowel movements. Patients feel the last two weeks it is easy to thirst, increased urination, significant weight loss, a little shortness of breath. No past medical history. Physical examination revealed the patient somewhat fruity, blood pressure was 105/60 mmHg, heart rate was 110 / min, respiratory rate 25 / min, the temperature was 36.7 deg.] C, abdominal bowel sounds normal, no tenderness (tenderness). Blood leukocytes was 13500 / μL, hemoglobin of 16.6 g / dL, BUN / Creatinine was 35 / 1.1 mg / dL, glucose was 310 mg / dL, C-reactive protein (CRP) was 0.05 mg / dL. So patient's clinical presentation, what do you think the disease is most likely?

Answer: Diabetic ketoacidosis (diabetic ketoacidosis)

Choices:
A. Acute appendicitis (acute appendicitis)
B. Peptic ulcer (peptic ulcer disease)
C. Acute gastritis (acute gastritis)
D. Diabetic ketoacidosis (diabetic ketoacidosis)

year old man
emergency room
complaints
abdominal pain
day
start
nausea
normal bowel movements
Patients
last two weeks
easy
thirst
increased urination
significant weight loss
little shortness of breath
past medical history
revealed
patient somewhat
blood pressure
60 mmHg
heart rate
min
respiratory rate
min
temperature
36
deg
abdominal bowel sounds normal
tenderness
tenderness
hemoglobin
g
dL
Creatinine
35
mg
dL
glucose
mg
dL
C-reactive protein
0.05 mg
dL
patient's
disease


Question: 6 antidepressants (of Sect.) Is a drug treatment of chronic pain, it is blocking the transfer machine that a neurotransmitter (Neurotransmitter) reuptake?

Answer: serotonin

Choices:
A. adenosine
B. substance P
C. serotonin
D. γ-aminobutyric acid（GABA）

antidepressants
Sect
drug treatment
chronic pain
blocking
transfer machine
neurotransmitter
Neurotransmitter
reuptake


Question: The following items are not what cyclophosphamide common side effects?

Answer: Peripheral neuropathy

Choices:
A. Bone marrow suppression
B. Hemorrhagic cystitis
C. Peripheral neuropathy
D. feel sick and vomit

following
not
cyclophosphamide common side effects


Question: Occurred during chemotherapy in patients with cancer-related bacterial infections, the most common in these circumstances?

Answer: Neutral granular cells (neutrophil) count <500 / μL

Choices:
A. corticosteroid treatment
B. Neutral granular cells (neutrophil) count <500 / μL
C. Hb<7 gm/dL
D. Weight loss> 10%

chemotherapy
patients
cancer-related bacterial infections
most common


Question: 35 50 year old woman suffering from breast infiltrating duct carcinoma (infiltrating ductal carcinoma), tumor size was 1.2 cm, axillary lymph node dissection was 16, wherein a transfer, other tests found no distant metastasis, this patient based AJCC (American Joint Committee on cancer) cancer staging for the first several issues? (T: Tumor, N: Node, M: Metastasis, p: pathological)

Answer: pT1cN1M0，Stage II A

Choices:
A. pT1aN0M0，Stage I A
B. pT1bN1M0，Stage I B
C. pT1cN1M0，Stage II A
D. pT1cN1M0，Stage II B

35 50 year old woman suffering
breast infiltrating duct carcinoma
infiltrating ductal carcinoma
tumor size
1.2
axillary lymph node dissection
transfer
tests found
patient based
cancer staging
first
issues
T
Tumor
N
Node
M
Metastasis
p
pathological


Question: A 25-year-old woman shortly after manufacture sudden difficulty in breathing, cyanosis, hypotension and shock, patients continue pulmonary edema. Which of the following can not appear in the patient's pulmonary capillary circulation?

Answer: air

Choices:
A. air
B. Squamous cell
C. fat
D. Mucus

year old woman
sudden difficulty
breathing
cyanosis
hypotension
shock
patients
pulmonary edema
following
not appear
patient's pulmonary circulation


Question: When to ultrasound for deep hyperthermia (diathermy), which of the following is not a contraindication?

Answer: Chronic arthritis of the knee

Choices:
A. Chronic arthritis of the knee
B. Fasciitis near the heart pacemaker
C. Menstrual period abdominal cramps
D. Chronic tissue inflammation around the eye

ultrasound
deep hyperthermia
diathermy
following
not
contraindication


Question: A 30-year-old woman found in breast X-ray photography microscopic calcifications in the range of about 4.5 centimeters (microcalcification), while  needle localization breast biopsy result of ductal carcinoma in situ (DCIS), Comedo type, what's the next step disposal more reasonable?

Answer: Breast resection, consider immediate breast reconstruction surgery

Choices:
A. Breast resection, consider immediate breast reconstruction surgery
B. Radiation
C. Chemotherapy
D. Outpatient track to


Question: 12-year-old girl in a country for the first time diagnosed with scoliosis of unknown cause disease (idiopathic scoliosis), spinal X-rays showed that the maximum bending point in the first position of the lumbar spine, Kebo's angle (Cobb's angle) is 15 degrees, following what disposal of the most appropriate species?

Answer: Give movement and posture correction treatment, and follow-up examinations

Choices:
A. Give movement and posture correction treatment, and follow-up examinations
B. Milwaukee give back frame correction
C. Knight -Taylor give back frame correction
D. Chiropractic surgery

year old girl
country
first time diagnosed
scoliosis
unknown
idiopathic scoliosis
spinal X-rays
maximum bending point
first position
lumbar spine
angle
Cobb's angle
degrees
following
appropriate


Question: About esophageal atresia and distal tracheoesophageal fistula (esophageal atresia with distal tracheoesophageal fistula) surgery, the following statements is this bad?

Answer: Peelable lower esophagus for a long distance, in order to match

Choices:
A. Ligation fistula (ligation), preferably in the trachea and the esophagus fistula junction of the mucosa
B. The upper end of the esophagus can be peeled off for a long distance, in order to match
C. Peelable lower esophagus for a long distance, in order to match
D. Typically via extrathoracic (extrapleural) surgery


Question: A 30-year-old woman who married five years have been unable to conceive and treatment. She complained of abdominal pain last menstrual period often happens. There are no abnormal physical examination. Laparoscopy found that many of about 2-5 mm on the surface of bleeding lesions of the uterus and both ovaries. The following lesions, whichever is most likely to appear in this position a woman's ovaries?

Answer: Endometrial cyst (Endometriotic cyst)

Choices:
A. Endometrial cyst (Endometriotic cyst)
B. Lu Kenshi g tumor (Krukenberg tumor)
C. Mature cystic teratoma (Mature cystic teratoma)
D. Polycystic ovarian disease (Polycystic ovarian disease)


Question: Children arrhythmia patients if the need to use three consecutive defibrillation shocks surgery (defibrillation), the recommended amount of shock were much J / kg?

Answer: 2, 2-4, 4

Choices:
A. 2, 2-4, 4
B. 2, 4, 2008
C. 2, 8, 2008
D. 4, 4, 2008


Question: From the previous question, if required surgical repair, which of the following is a non-surgical principle (Surgical principle)?

Answer: Continuous suture (Continuous suture)

Choices:
A. Adequate debridement (Adequate debridement)
B. Tension-free suture (Tension-free suture)
C. Continuous suture (Continuous suture)
D. Layered suture (Layer by layer suture)

previous
required surgical repair
following
non-surgical
Surgical


Question: A 52-year-old woman slipped and fell, after examination confirmed the occurrence of fractures of the distal radius (Colles's fracture), after treatment package arm of plaster, patients in good condition, the finger was normal; but to the sixth week, suddenly can not initiative to extend the thumb, but no restriction on passive activities. Which of the following most likely?

Answer: Extensor hallucis longus tendon rupture

Choices:
A. Sudeck's happened reflex sympathetic dystrophy
B. Extensor hallucis longus tendon rupture
C. The dislocation of the base of the thumb
D. Fractures lose Reset

year old woman
fell
confirmed
occurrence
fractures
distal radius
Colles's fracture
package
plaster
patients
good condition
finger
normal
sixth week
not
to extend
thumb
restriction
passive
following


Question: Which of the following would be the front end of the tendon between two attachment points through the long plantar ligament (long plantar ligament)?

Answer: Peroneal longus (peroneus longus)

Choices:
A. Short peroneal muscles (peroneus brevis)
B. Peroneal longus (peroneus longus)
C. Posterior tibial muscle (tibialis posterior)
D. Tibialis anterior muscle (tibialis anterior)

following
front end
tendon
two attachment points
long plantar ligament
long plantar ligament


Question: Taiwan in the 1960s worked in international health architecture, receiving assistance in building hygiene is important. The following statements is true?

Answer: Help matters, including the eradication of malaria, TB

Choices:
A. Taiwan has given assistance of international organizations, the United Nations or its agencies are owned and non-governmental organizations did not come to Taiwan
B. Help matters, including the eradication of malaria, TB
C. Fight help matters, including plague
D. Will assist in preventing AIDS

Taiwan
1960s
receiving assistance
building hygiene
important
following
true


Question: About narrative virus infection Epstein-Barr, what's wrong?

Answer: anti-EBNA positive representation in the acute phase of infection

Choices:
A. Occur in young people
B. Increased infectious disease monocytogenes (infectious mononucleosis) with fever, sore throat and lymph node lesions typical clinical symptoms
C. Laboratory tests have lymphocytosis and atypical lymphocyte greater than 10%
D. anti-EBNA positive representation in the acute phase of infection


Question: About secondary syphilis (secondary syphilis) clinical manifestations, which of the following error?

Answer: Nodular syphilis swelling (nodular gumma)

Choices:
A. Irregular Kamuro髮 (moth-eaten hair loss)
B. Multiple red patches of skin appear torso (roseola syphilitica)
C. Flat warts (condylomata lata)
D. Nodular syphilis swelling (nodular gumma)

About secondary syphilis
secondary syphilis
clinical manifestations
following error


Question: The locus coeruleus (locus coeruleus) Which of the following neuron releases neurotransmitters?

Answer: Noradrenaline (norepinephrine)

Choices:
A. Serotonin (serotonin)
B. Acetylcholine (acetylcholine)
C. Noradrenaline (norepinephrine)
D. Adrenaline (epinephrine)

locus coeruleus
locus coeruleus
following
releases neurotransmitters


Question: Description of the child bedwetting (nocturnal enuresis) is, which of the following error?

Answer: Ineffective drug treatment of small children, usually there will be more nocturnal bladder capacity zoomed in

Choices:
A. Renewal of bedwetting (secondary enuresis) of small children should consider the possibility of the presence or absence of urinary tract infection
B. Nocturnal polyuria (nocturnal polyuria) are also possible causes of ⼀
C. Can use the pipe ⾎ vasopressin (vasopressin was) Treatment
D. Ineffective drug treatment of small children, usually there will be more nocturnal bladder capacity zoomed in

child bedwetting
nocturnal enuresis
following error


Question: For normal female urinary move care has been taken examination value, which of the following error?

Answer: Strong urine (strong desire to void) made ⽣ perfusate in an amount of 250 mL ⼩

Choices:
A. Residual urine volume (residual urine) <50 mL
B. First sense urine (first desire to void) made between 150 and 250 mL ⽣ perfusate amount
C. Strong urine (strong desire to void) made ⽣ perfusate in an amount of 250 mL ⼩
D. Bladder capacity (cystometric capacity) of between 400 and 600 mL perfusate amount

normal female urinary move
value
following error


Question: Ectopic pregnancy tubal pregnancy, fetal sac larger than 3.5 cm and there is fetal heartbeat, the patient in good condition, then the most appropriate treatment Why?

Answer: Laparoscopic surgery

Choices:
A. Tracking the concentration of hCG detected in blood
B. Methotrexate given medical treatment
C. Laparoscopic surgery
D. Laparotomy excision of the fallopian tubes and ovaries pregnancy side

Ectopic pregnancy tubal pregnancy
fetal sac larger
fetal heartbeat
patient
good condition
then
most appropriate treatment


Question: Which of the following does not promote gastric phase of (gastric phase) of gastric acid secretion?

Answer: Secretin (secretin) secretion

Choices:
A. The expansion of the stomach by food
B. The product of protein digestion
C. Secretin (secretin) secretion
D. Stimulation of the vagus nerve

following
not
gastric phase
gastric phase
gastric acid secretion