Question: Asplenia (asplenia syndrome also known as right isomerism) is a manifestation of heterotaxy syndrome. With the following statements is not associated with asplenia most?

Answer: Easier to get bacterial infections

Choices:
A. Often associated with congenital heart disease
B. Blood smears can see Howell-Jolly body within red blood cells
C. Easier to get bacterial infections
D. Easy biliary abnormalities

Asplenia
asplenia syndrome
known
right isomerism
manifestation of heterotaxy syndrome
following
not associated with asplenia


Question: 20-year-old otherwise healthy man, began yesterday with fever, chills, malaise, headache, nausea, symptoms persist because of this, and vomiting and seek medical advice. Physical examination found that the skin bleeding and bleeding spots (petechiae and purpuric rash), stiff neck. Cerebrospinal fluid Gram stain found in Gram-negative meningitis (gram-negative diplococci), pathogen:

Answer: Neisseria meningitidis

Choices:
A. Streptococcus pneumoniae
B. Klebsiella pneumoniae
C. Neisseria meningitidis
D. Haemophilus influenzae

20 year old
healthy man
began
fever
chills
malaise
headache
nausea
symptoms
vomiting
medical advice
found
skin bleeding
bleeding spots
petechiae
purpuric rash
stiff neck
Cerebrospinal fluid Gram stain found
Gram negative meningitis


Question: About the senile comprehensive assessment of the following statements is wrong?

Answer: Screening is mainly physical illness

Choices:
A. Is in understanding the problem of the elderly frail, and thus provide an overall plan to serve as a reference treatment and long-term tracking of
B. Execution process includes screening for patients, evaluation, and implementation of recommendations
C. Applicable at all levels of care for the elderly
D. Screening is mainly physical illness


Question: The narrative about Deprenyl Which of the following error?

Answer: Metabolites will promote the release of Dopamine

Choices:
A. Monoamine oxidase B inhibition main Deprenyl
B. Metabolites will promote the release of Dopamine
C. When used with Levodopa and likely at risk for high blood pressure
D. Levodopa when used in combination, can reduce the dose of Levodopa


Question: Pregnant women because of massive bleeding caused by acute respiratory distress syndrome, following the disposal in the greatest increase in the amount of oxygen in the tissue?

Answer: Blood transfusion

Choices:
A. Blood transfusion
B. childbirth
C. Increased arterial oxygen partial pressure to 200 mmHg
D. Pulmonary artery catheter placed

massive bleeding caused
acute respiratory distress syndrome
following
greatest increase
amount
oxygen
tissue


Question: Ingredients stomach gas, the concentration of the highest Why?

Answer: nitrogen

Choices:
A. hydrogen
B. oxygen
C. nitrogen
D. carbon dioxide


Question: Statements about inguinal canal (inguinal canal), and Which statement is correct?

Answer: Transversalis fascia (transversalis fascia) surrounded the outside of the top (deep inguinal ring) deep inguinal ring 1/3

Choices:
A. Male inguinal canal through the spermatic cord (spermatic cord), by female ovarian ligament (ligament of the ovary)
B. During embryogenesis, vaginalis (vaginal process) occurs only in a male individual
C. Occurring in the inner tube hernia, inguinal hernia is called a direct type (direct inguinal hernia)
D. Transversalis fascia (transversalis fascia) surrounded the outside of the top (deep inguinal ring) deep inguinal ring 1/3


Question: Which of the following is attached to the upper limb by the trunk?

Answer: Sternoclavicular joint (sternoclavicular joint)

Choices:
A. Acromioclavicular joint (acromioclavicular joint)
B. Glenohumeral joint (glenohumeral joint)
C. Sternoclavicular joint (sternoclavicular joint)
D. Shank chest joint (manubriosternal joint)


Question: Which of the following neonatal lack of membrane proteins most likely to cause serious diarrhea?

Answer: sodium-dependent glucose transporter 1（SGLT1）

Choices:
A. sodium-dependent glucose transporter 1（SGLT1）
B. cystic fibrosis transmembrane conductance regulator（CFTR）
C. aquaporin
D. sodium-dependent glucose transporter 2（SGLT 2）

following neonatal lack
membrane proteins
to cause serious diarrhea


Question: Which of the following does not belong to tumor associated syndrome (paraneoplastic syndrome)?

Answer: Subacute merger degeneration (subacute combined degeneration)

Choices:
A. Dermatomyositis (dermatomyositis)
B. Limbic encephalitis (limbic encephalitis)
C. Cerebellar degeneration (cerebellar degeneration)
D. Subacute merger degeneration (subacute combined degeneration)

following
not
tumor associated syndrome
paraneoplastic syndrome


Question: Based on current evidence, that following a viral or bacterial infection and cancer is not the most relevant?

Answer: Colon cancer (colon cancer)

Choices:
A. NPC (nasopharyngeal cancer)
B. Colon cancer (colon cancer)
C. Stomach cancer (gastric cancer)
D. Cervical cancer (cervical cancer)

Based
current
following
viral
bacterial infection
cancer
not
most relevant


Question: Which of the following actions with the muscles of the back of the middle layer about?

Answer: Associated with the respiratory motion

Choices:
A. Associated with the respiratory motion
B. Flexion movement of the upper arm
C. Stretch of the upper arm
D. The operation of a curved spine J

following actions
muscles
back
middle layer


Question: Which of the following will pass sciatic hole?

Answer: Obturator muscle

Choices:
A. Gluteus minimus
B. Piriformis
C. Margin on muscle
D. Obturator muscle


Question: Skin warts (skin warts) may be associated with the generation following what virus?

Answer: HPV (human papillomavirus) type 1 and 2

Choices:
A. Human herpes simplex virus (human herpes simplex virus) types 1 and 2
B. HPV (human papillomavirus) type 1 and 2
C. Human papillomavirus type 16 and 18
D. Adenovirus (Adenovirus) type 40 and 41

Skin warts
skin warts
associated with
generation following


Question: Which of the following less likely to lead to hypocalcemia (hypocalcemia)?

Answer: Taking diuretics (thiazide)

Choices:
A. Hypomagnesemia (hypomagnesemia)
B. Parathyroid hypothyroidism (hypoparathyroidism)
C. Taking diuretics (thiazide)
D. Chronic renal failure

following less likely to lead
hypocalcemia
hypocalcemia


Question: Notions of tolerance following autologous (self tolerance) of what's wrong?

Answer: Regulatory T cells (regulatory T cell) can effectively remove tumor cells

Choices:
A. Thymus and bone marrow are vital organs to maintain self-tolerance
B. After maturation of T lymphocytes from thymus, still maintaining its regulatory mechanism in the periphery of tolerance
C. Since differentiation to thymic regulatory T cells (regulatory T cell), can inhibit the activity of autoreactive T cells
D. Regulatory T cells (regulatory T cell) can effectively remove tumor cells

tolerance following autologous
self tolerance
wrong


Question: 9 when a 25-year-old woman to the emergency room, left wrist palm radial side about 3 cm transverse incision, neurological examination revealed the palm and fingers can be straightened and refers to, but can not make a fist bend, and ventral finger numbness, then The patient should be the main damage is that following a nerve?

Answer: The median nerve (median nerve)

Choices:
A. Ulnar nerve (ulnar nerve)
B. Radial nerve (radial nerve)
C. The median nerve (median nerve)
D. \ A nerve (digital nerve)

year old woman
emergency room
left wrist palm radial side
cm transverse incision
neurological examination revealed
palm
fingers
refers
not make
fist bend
ventral finger numbness
then
patient
main damage
following
nerve


Question: About malignant hypertension and renal pathological lesions (malignant hypertension), and Which of the following most inappropriate?

Answer: Vitreous arteriolosclerosis (hyaline arteriolosclerosis)

Choices:
A. Arteriolar fibrinoid necrosis (fibrinoid necrosis of arterioles)
B. Proliferative fine arteritis (hyperplastic arteriolitis)
C. Changes in glomerular necrosis or thrombosis (necrotic or thrombotic changes in glomeruli)
D. Vitreous arteriolosclerosis (hyaline arteriolosclerosis)

About malignant hypertension
renal pathological lesions
malignant hypertension
following
inappropriate


Question: The watch liver surgery, frequently-used pringle maneuver to control and reduce the amount ⾎, the following are not included in any structure where?

Answer: common hepatic artery

Choices:
A. common hepatic artery
B. portal vein
C. common bile duct
D. hepatic artery proper

liver surgery
frequently used
to control
amount
following
not included
structure


Question: A 30-year-old woman complained of loose teeth, wound healing and other symptoms, physical examination found that oral swollen gums, gums pan-purple. According to history, the patients most likely to have a vitamin deficiency which of the following?

Answer: Vitamin C

Choices:
A. Vitamin B1
B. Vitamin B12
C. Vitamin C
D. Vitamin A

30 year old woman
loose teeth
wound healing
symptoms
found
oral swollen gums
gums pan purple
history
patients
to
vitamin deficiency
following


Question: One patient because of a dislocated elbow caused by a fall, a fixed period of plaster, should be related activity and what was not included?

Answer: Daily electrical stimulation of the deltoid muscle, the muscle atrophy avoid

Choices:
A. Daily sports activities do take the initiative to shoulder, shoulder to avoid contractures
B. Daily electrical stimulation of the deltoid muscle, the muscle atrophy avoid
C. Daily for biceps, triceps isometric muscle contraction
D. Initiative wrist and fingers often do each direction of movement

One patient
dislocated elbow caused
fall
fixed period
plaster
related activity
not included


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

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

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


Question: Following that muscle contraction, can be put on the second rib (second rib)?

Answer: After scalene muscle (posterior scalene muscle)

Choices:
A. Anterior scalene muscle (anterior scalene muscle)
B. Scalene (middle scalene muscle)
C. After scalene muscle (posterior scalene muscle)
D. Subclavian muscle (subclavius muscle)

Following
muscle contraction
second rib
second rib


Question: It has nothing to do with cirrhosis Child-Pugh classification system project:

Answer: ALT values

Choices:
A. albumin
B.  original clotting time
C. ALT values
D. Bile pigments (Bilirubin)


Question: The following items are not characteristics that ⼀ ulcerative colitis (ulcerative colitis) is?

Answer: Patients with ulcerative colitis zoomed portion (> 50%) but also with primary sclerosing cholangitis (primary sclerosing cholangitis)

Choices:
A. Patients with ulcerative colitis zoomed portion (> 50%) but also with primary sclerosing cholangitis (primary sclerosing cholangitis)
B. Can ⾒ pseudopolyps, in severe cases can cause toxic megacolon
C. It usually affects the rectum and extends proximally
D. Inflammation of mucosa and generally limited to superficial submucosa

following
not characteristics
ulcerative colitis
ulcerative colitis


Question: A middle-aged housewife, when sewing clothes were young children playing beside the collision, causing the needle into the left knee joint, causing septic arthritis (septic arthritis). In this case, what kind of bacterial infection is most likely?

Answer: Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Staphylococcus aureus (Staphylococcus aureus)
B. Streptococcus pneumoniae (Streptococcus pneumoniae)
C. Escherichia coli (E. coli)
D. Beta hemolytic streptococcus (β-hemolytic Streptococcus)

middle-aged housewife
clothes
young children playing
collision
causing
needle
left knee joint
causing septic arthritis
septic arthritis
case
kind
bacterial infection


Question: A 6-year-old boy due to bow legs (bow leg) treatment, you determine that he may be suffering from rickets (rickets). Following that a laboratory test results do not support your ideas?

Answer: Normal serum alkaline phosphatase (alkaline phosphatase) value

Choices:
A. Low blood calcium (hypocalcemia)
B. Normal serum calcium level
C. Normal serum alkaline phosphatase (alkaline phosphatase) value
D. 低血磷（hypophosphatemia）

year old boy due to bow legs
treatment
suffering
rickets
rickets
Following
laboratory test results
not support


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

Answer: Found primarily in mast cells (mast cells)

Choices:
A. Is a medium for vasoactive (vasoactive mediator)
B. Found primarily in mast cells (mast cells)
C. May be present in neuroendocrine cells of the gastrointestinal tract (neuroendocrine cells)
D. Of blood vessels and histamine (histamine) similar


Question: In spinal cord injury, recovery Which of the following reflex action, the stage on behalf of spinal shock (spinal shock) have been in the past?

Answer: Bulbospongiosus reflex (bulbocavernosus reflex)

Choices:
A. Knee-jerk
B. Ankle reflex
C. Reflection jaw (jaw jerk)
D. Bulbospongiosus reflex (bulbocavernosus reflex)

spinal cord injury
recovery
following reflex action
stage
spinal shock
spinal shock
past


Question: Wu because of physical discomfort to the hospital, blood circulation numerical display: arterial partial pressure of oxygen (PaO2) to 55 mmHg, arterial carbon dioxide tension (PaCO2) of 61 mmHg, the pH value is 7.16, bicarbonate (HCO3-) of 24.5 mEq / L. This patient most likely diagnosis Why?

Answer: Kidney failure

Choices:
A. Acute airway obstruction
B. Chronic obstructive airways
C. Kidney failure
D. Renal failure with respiratory decompensation

Wu
physical discomfort
hospital
blood circulation numerical display
arterial partial pressure of oxygen
PaO2
mmHg
arterial carbon dioxide tension
61 mmHg
pH value
bicarbonate
HCO3
mEq
L
patient
likely diagnosis


Question: Which of the following is a childhood malignant rhabdomyosarcoma (rhabdomyosarcoma) less well made parts?

Answer: Gastrointestinal tract

Choices:
A. Head and neck
B. Four limbs
C. Gastrointestinal tract
D. Urinary tract system

following
childhood malignant
rhabdomyosarcoma
less well made parts


Question: 7-year-old boy to the emergency room because of abdominal pain, right lower abdominal pain 24 hours ago complained of vomiting and mild fever ensued, the boys completely without appetite, nor diarrhea, abdominal pain extended to the whole abdomen and slightly swollen four hours ago, the boy found the body checkups moderate dehydration, bowel sounds disappear, the entire abdomen Jie rebound pain (rebound tenderness). Diagnostic most priority should be given to which of the following?

Answer: Acute appendicitis (acute appendicitis)

Choices:
A. Acute gastroenteritis (acute gastroenteritis)
B. Acute appendicitis (acute appendicitis)
C. Acute mesenteric lymphadenitis (acute mesenteric lymphadenitis)
D. Acute pyelonephritis (acute pyelonephritis)

year old boy
emergency room
abdominal pain
right lower abdominal pain 24 hours
vomiting
mild fever
boys completely
appetite
diarrhea
abdominal pain extended
whole abdomen
slightly swollen four hours
boy found
body
moderate dehydration
bowel sounds
entire abdomen
rebound pain
rebound tenderness
Diagnostic
priority
given


Question: For patients with acute pancreatitis early enteral nutrition force-fed the narrative, the following items what is wrong?

Answer: Will increase the chance of infection

Choices:
A. Can reduce bacterial translocation of intestinal
B. Nasal gavage to make use of the small intestine, or jejunum tube-fed
C. Use low-fat diet or elements
D. Will increase the chance of infection


Question: 11 from the left ventricle disability (dysfunction) to chronic heart failure (heart failure), resulting in insufficient systemic perfusion (hypoperfusion), which of the following occurred last?

Answer: Peripheral vasoconstriction

Choices:
A. Peripheral vasoconstriction
B. Nerve hormone activation
C. Retention of sodium salt (sodium retention)
D. The first three Tongshifasheng


Question: Which of the following is a selective cervical suture (elective cerclage placement) indications?

Answer: There are three natural history of abortion in mid-pregnancy (second trimester) combined yield in the absence of pain, or in the case of placental abruption

Choices:
A. A history of spontaneous abortion three times early pregnancy (first trimester) of
B. There are three natural history of abortion in mid-pregnancy (second trimester) combined yield in the absence of pain, or in the case of placental abruption
C. Previously had a cervical cone-shaped sections (loop electrosurgical excision procedure) treatment
D. Zhou Shizai pregnancy cervical length 18 to 35 mm

following
cervical suture
elective cerclage placement


Question: One has been in the health examination, routine blood examination failed to find abnormal mother (once the result is a Hb: 13.5g / dL, MCV: 85 fL, MCH: 27 pg), but found her 5-year-old daughter was diagnosed with hemoglobin H disease (Hb H disease). A form of hemoglobin gene that is most likely following the mother?

Answer: s / aa

Choices:
A. ß0/A
B. s / s
C. s / aa
D. - - / aa


Question: From the previous question, after referral of patients by 12 days after neurosurgical emergency surgery, still unable to recover and become a deep coma, after the discussion of brain death determination. The following items are not brain dead determine what range?

Answer: Fundus reflection mastoid

Choices:
A. Pupillary light reflex
B. Corneal reflex
C. Vestibular ocular reflex
D. Fundus reflection mastoid

previous
days
emergency surgery
unable to recover
deep coma
discussion of brain death determination
following
not brain dead
range


Question: The adults with mild mental retardation equivalent mental age (mental age) How old?

Answer: 9-12 years old

Choices:
A. 12-15 years old
B. 9-12 years old
C. 6-9 years
D. 6 years

adults
mild mental retardation equivalent
age
old


Question: About the pressure (stress) caused describes the main reaction of the body, Which statement is correct?

Answer: Stimulates glucocorticoids (glucocorticoid hormone) secretion

Choices:
A. Stimulates the sympathetic nervous system secrete norepinephrine, epinephrine but does not affect the adrenal glands
B. Secretion of glucocorticoids (glucocorticoid hormone) is faster than norepinephrine
C. Stimulates glucocorticoids (glucocorticoid hormone) secretion
D. A lot will stimulate insulin secretion

pressure
stress
caused
main reaction
body
correct


Question:
14 A middle-aged woman working in a restaurant, accidentally cut off his left index finger together when cut chicken, then to the emergency room. Examination revealed incision neat, at a position one-half the transverse nail, but less nail germinal layer (germinal matrix) combined phalanx exposed, according fingertip
 amputation of classification Allen's classification, what type should belong to this situation?

Answer: Type II

Choices:
A. Type I
B. Type II
C. Type III
D. Type IV

middle-aged
restaurant
cut off
left index finger together
cut
then
emergency room
revealed incision
position one half
transverse nail
less nail germinal layer
matrix
combined phalanx exposed
fingertip amputation of classification
type


Question: The following statements about protein structure, whichever is correct?

Answer: Some proteins may be present in one or more quaternary structure

Choices:
A. mRNA alternative splicing (alternative splicing) does not affect the protein structure
B. Point mutation (point mutation) does not result in a change in protein secondary structure
C. flaps β- (β-sheet) and α- helix (α-helix) belonging to the tertiary structure of the protein structure classification on
D. Some proteins may be present in one or more quaternary structure


Question: When the purposes of the pudendal nerve block (pudendal nerve block) in the ischial spine (ischial spine) at the following where the feeling most likely to be affected?

Answer: Vaginal vestibule (vestibule of vagina)

Choices:
A. Upper vagina (upper vagina)
B. Mons pubis (mons pubis)
C. Vaginal vestibule (vestibule of vagina)
D. Womb (uterus)

purposes
nerve block
pudendal nerve
ischial spine
ischial spine
following
to
affected


Question: About kidney inflammation (acute poststreptococcal glomerulonephritis) after treatment in children with acute streptococcal infection, the following statements is true?

Answer: Treating hypertension comprising administering calcium antagonist (calcium channel antagonists) or diuretics (diuretics)

Choices:
A. Since the infection caused by Streptococcus, and therefore provides the appropriate antibiotic treatment may shorten the course
B. Treating hypertension comprising administering calcium antagonist (calcium channel antagonists) or diuretics (diuretics)
C. Limit sodium intake, primarily for the prevention of chronic kidney disease
D. Steroid drugs for the treatment of choice


Question: Anti-phospholipid antibody syndrome (antiphospholipid antibody syndrome) abnormalities are most associated with which of the following?

Answer: thrombocytopenia

Choices:
A. thrombocytopenia
B. proteinuria
C. photosensitivity
D. arthritis

Anti-phospholipid antibody syndrome
antiphospholipid antibody syndrome
abnormalities
most associated with


Question: 5.7-day-old baby boy, found to have respiratory distress, cyanosis and heart murmur. 60 breaths per minute combined severe chest recess (Subcostal retraction) phenomena, positioned at the right edge of the liver was 4 cm rib, the right blood pressure 90/50 mmHg, and the left lower limb blood pressure was about 60/45 mmHg. The following statements is wrong?

Answer: Often associated with high blood calcium (hypercalcemia)

Choices:
A. Need to give prostaglandins (Prostaglandin E1)
B. Often associated with thymic hypoplasia (Thymic hypoplasia)
C. Facial abnormalities and often associated with cleft palate (Cleft palate)
D. Often associated with high blood calcium (hypercalcemia)


Question: The following related myosin light-chain phosphatase function of narrative, what's right?

Answer: Myosin light-chain caused dephosphorylation, inhibiting cross-bridge cycling for

Choices:
A. Resulting in myosin light-chain phosphorylation, promote cross-bridge cycling were
B. Myosin light-chain caused dephosphorylation, inhibiting cross-bridge cycling for
C. Ca2 + binding and to promote cross-bridge cycling for
D. Inhibition of Ca2 + release into the cytoplasm, for suppressing cross-bridge cycling


Question: About the identification of paranoid psychosis disorder (paranoid schizophrenia) and clinical features of amphetamine psychosis, Which statement is correct?

Answer: Paranoid psychosis disorders are more affective flattening (affective flattening)

Choices:
A. Amphetamine psychosis often have loose coupling (loosening of association)
B. Amphetamine psychosis rare visual hallucinations
C. Paranoid psychosis disorders are more affective flattening (affective flattening)
D. Amphetamine psychosis than sexual activity will decrease (hypo-sexuality)

identification
psychosis disorder
paranoid schizophrenia
clinical features
amphetamine psychosis
correct


Question: Illustrated as a 25-year-old intravenous drug addiction in patients with tricuspid valve disease, Which of the following is the most likely disease-causing bacteria?

Answer: Staphylococcus aureus

Choices:
A. β-hemolytic streptococcus, group A
B. α-hemolytic Streptococcus viridans
C. Staphylococcus aureus
D. Staphylococcus epidermidis

year old intravenous
patients
tricuspid valve disease
following
disease-causing bacteria


Question: Liver left leaves distinguish roughly to Cantlie's line as a dividing line, which of the following approximate boundary surface here?

Answer: Middle hepatic vein

Choices:
A. Left portal vein
B. Middle hepatic vein
C. Umbilical fissure
D. Right hepatic vein

Liver left
Cantlie's line
dividing line
following approximate
surface


Question: Lin 32 years old, has just completed a doctorate in the country, because he was a student of geology, it is necessary to collect geological specimens everywhere. Two months ago he had the opportunity to be close to the Mexican border in California desert for a whole month investigation in the area, and even some caves. After returning home, Mr. Lin began to have a fever, chills, night sweats, dry cough for four weeks, during this period, Mr. Lin thought it was a cold, doctors also opened antibiotic treatment, but her condition continued to not improve. Systemic test results of about 3 cm in addition to the right chest, hard lumps, the armpits and in the groin have from about 1 cm smaller swollen lymph, blood samples incubated 25 ℃, filamentous fungi have found arthrospores (Arthrospores), the arthrospores breaking presentation barrel (Barrel-shaped). Histology is showing parasitic spherules, containing within spores (endospores). Mr. Lin was most likely infected with pathogenic bacteria?

Answer: Coccidioides immitis

Choices:
A. Histoplasma capsulatum
B. Blastomyces dermatitidis
C. Paracoccidioides brasiliensis
D. Coccidioides immitis

Lin
years old
completed
country
to
Two months
to
close
border
California desert
whole month
area
caves
returning home
Mr
Lin began to
fever
chills
night sweats
dry cough
four weeks
period
Mr
Lin
cold
doctors
opened antibiotic treatment
condition
to not
Systemic test results
right chest
hard lumps
armpits
groin
about
smaller swollen lymph
blood samples incubated
filamentous fungi
found
breaking
barrel
Barrel-shaped
Histology
parasitic
containing
Mr
Lin
most likely infected
pathogenic bacteria


Question: A description of renal tubular function, which of the following error?

Answer: Via ultrafiltration (Ultrafiltration) action, a tubular material may be recovered from the glomerular filtrate

Choices:
A. Via secretion (secretion) effects of a substance may be added to the tubular glomerular filtrate
B. Via ultrafiltration (Ultrafiltration) action, a tubular material may be recovered from the glomerular filtrate
C. Not because of renal tubular inulin (inulin) secreted or recycled, so the inulin clearance rate (clearance) will be equal to the glomerular filtration rate
D. For active tubular transport of material has its upper limit is the maximum amount of transport (transport maximum)


Question: Which of the following belong comment instrumental Richangshenghuo Scale (instrumental activities of daily living, IADL) the amount of items:

Answer: Telephone

Choices:
A. use computer
B. Telephone
C. Read
D. Eating

following
Scale
instrumental activities of daily living
IADL
amount


Question: Check the Cryptococcus neoformans (Cryptococcus neoformans) infections commonly used method of dyeing what?

Answer: Description biological characteristics of ink staining (india ink staining) 72 following related Cryptococcus neoformans (Cryptococcus neoformans), what's wrong?

Choices:
A. Gram staining (Gram staining)
B. Acid-fast staining (acid-fast staining)
C. Silver plated staining (silver staining)
D. Description biological characteristics of ink staining (india ink staining) 72 following related Cryptococcus neoformans (Cryptococcus neoformans), what's wrong?

Check
Cryptococcus neoformans
Cryptococcus neoformans
infections
used method


Question: Which of the following diseases continuous noise (continuous murmur) does not appear?

Answer: atrial septal defect

Choices:
A. patent ductus arteriosus
B. coronary AV fistulas
C. atrial septal defect
D. ruptured sinus of Valsalva aneurysm 23 the following information about WPW (Wolff-Parkinson-White) syndrome patient's electrocardiogram narrative, what's wrong?

following diseases
continuous murmur
not appear


Question: 65 Young students riding a motorcycle accident led to severe brain injury, is still consciousness disorders, memory loss, often restless phenomenon. Pursuant to Rancho Los Amigos Scale score, should belong to the first few levels?

Answer: IV

Choices:
A. III
B. IV
C. V
D. WE

65 Young
motorcycle accident led
severe brain injury
consciousness disorders
memory loss
often restless
Rancho
Scale score
first
levels


Question: Which of the following amino acids, via metabolic programming, can be a methyl providers (methyl donor)?

Answer: methionine

Choices:
A. valine
B. threonine
C. methionine
D. glutamine

following amino acids
metabolic
providers
donor


Question: Following a disease that the distal interphalangeal joint (distal interphalangeal joint) inflammation or lesions occur most often?

Answer: Psoriatic arthritis (psoriatic arthritis)

Choices:
A. Bleeding in hemophilia arthropathy (hemoarthropathy)
B. Psoriatic arthritis (psoriatic arthritis)
C. Rheumatoid arthritis (rheumatoid arthritis)
D. Rheumatoid arthritis (rheumatic arthritis)

Following
disease
distal interphalangeal joint
distal interphalangeal joint
inflammation
lesions occur
often


Question: 61. The diagnostic criteria based on DSM-IV-TR, the following regarding manic episodes (manic episode) and light manic episode (hypomanic episode) narrative, what's right?

Answer: Episode of mania severity of hospital standards, and then a short time can also be treated as an episode of mania (manic episode)

Choices:
A. Do not worry palm clean and wash their hands over and over again is one of the diagnostic criteria for mild manic episodes
B. Only light manic episodes will have confidence in expansion (inflated self-esteem)
C. Episode of mania severity of hospital standards, and then a short time can also be treated as an episode of mania (manic episode)
D. And light manic episodes of manic diagnostic criteria such as patient must have occupational or social function was defect

61
based
TR
following
manic episodes
manic episode
light manic episode
hypomanic episode
right


Question: Which of the following does not have a transitional epithelium (transitional epithelium)?

Answer: Penile urethra (penile urethra)

Choices:
A. Ureter (ureter)
B. Bladder (urinary bladder)
C. Prostatic urethra (prostatic urethra)
D. Penile urethra (penile urethra)

following
not
transitional epithelium
transitional epithelium


Question: The following related primary central nervous system lymphoma narrative, what's wrong?

Answer: Organizations outside the central nervous system is also frequently violated

Choices:
A. This immunosuppressed patients the most common central nervous system tumor immune
B. Organizations outside the central nervous system is also frequently violated
C. The vast majority of B cell lymphoma tumors, and most of the cells will exhibit BCL-6
D. Intravascular lymphoma (intravascular lymphoma) usually show a wide range of small infarcts, rather than mass performance


Question: A 45 year old male with athlete's foot, but no history of other systemic diseases, no history of exposure to sea water, three days ago right leg began to produce redness, swelling, pain, and fever, chills and was sent to the emergency room, what most the common etiology?

Answer: Streptococcus

Choices:
A. staphylococcus
B. Vibrio vulnificus
C. Streptococcus
D. Gas sp

year old male
athlete's foot
history of
systemic diseases
history
exposure
sea water
three days
right leg began to
redness
swelling
pain
fever
chills
sent
emergency room
most
common etiology


Question: Which of the following starting point (origin) is not the humerus?

Answer: Biceps (biceps brachii)

Choices:
A. 旋後 skin (supinator)
B. Pronator teres (pronator teres)
C. Brachial muscle (brachialis)
D. Biceps (biceps brachii)

following starting point
origin
not
humerus


Question: 45 year old man, two years gradually formed in the dorsal skin rash itching, as shown, the most appropriate diagnosis Why?

Answer: Chronic eczema (chronic eczema)

Choices:
A. Acute eczema (acute eczema)
B. Chronic eczema (chronic eczema)
C. Plaque psoriasis (psoriasis vulgaris)
D. Amyloid disease lichen (lichen amyloidosis)

year old man
two years
formed
dorsal skin rash itching
most appropriate diagnosis


Question: A 60-year-old man was admitted due to acute myocardial infarction, cardiac intensive care unit (CCU), upon inspection no arrhythmia, congestive heart failure or other complications. Its cardiac rehabilitation therapy on when to start the best?

Answer: Day 1 CCU admitted to the

Choices:
A. Day 1 CCU admitted to the
B. After one week in bed
C. Bed 4 to 6 weeks
D. After stable condition, go to the general ward

60 year old man
due to acute myocardial infarction
cardiac intensive care unit
inspection
arrhythmia
congestive heart failure
complications
cardiac rehabilitation therapy
to start
best


Question: Account of the basal ganglia (basal ganglia), the error which of the following?

Answer: Indirect loop (indirect pathway) from the substantia nigra (substantia nigra) regulation

Choices:
A. Nigra (substantia nigra) projecting into the housing portion (putamen)
B. Ventral anterior nucleus (ventral anterior nucleus of thalamus) can participate directly (Direct) and indirect circuit (indirect pathway)
C. Nigra (substantia nigra) excited direct circuits (direct pathway)
D. Indirect loop (indirect pathway) from the substantia nigra (substantia nigra) regulation

Account
basal ganglia
basal ganglia
error
following


Question: The following statements about Lyme arthritis, and what's right?

Answer: caused by Borrelia burgdorferi infection

Choices:
A. Steroid drugs for the treatment of choice
B. Generally ineffective for treatment of oral doxycycline
C. caused by Borrelia burgdorferi infection
D. Small joints, fingers or toes of the main violations


Question: A 32-year-old female patient 3 months of pregnancy, blood pressure is between 156/96 to 170/105 mmHg, which of the following antihypertensive drugs is absolutely contraindicated (absolute contraindication)?

Answer: Angiotensin converting enzyme inhibitor（ACEI）

Choices:
A. Angiotensin converting enzyme inhibitor（ACEI）
B. Hydralazine
C. Methyldopa
D. Calcium blockers (Calcium antagonist)

year old female patient 3 months
pregnancy
blood pressure
96
mmHg
following antihypertensive drugs
contraindicated
absolute contraindication


Question: Mrs. Chang, 70 years old, married for 45 years, since Mr. died suddenly of a heart attack more than three months ago, which appeared sleep, could not eat, lost 5,6 kg. Lethargy, trance, sat quietly all day on a high-backed chair in the living room, and sometimes can not help but began to cry, saying wanted to die quickly, earlier met with Mr. heaven, but no obvious signs of suicide. 3-year-old granddaughter came looking for her, she was able to coax a smile out little granddaughter play it. Mrs. Zhang diagnosis is most likely that one of the following?

Answer: Mourning bereavement reaction normal (normal bereavement)

Choices:
A. Adjustment disorder merger melancholy mood (adjustment disorder with depressed mood)
B. Mourning bereavement reaction normal (normal bereavement)
C. Severe depression disorder (major depressive disorder)
D. Melancholy temperament (melancholia)

Mrs
70 years old
married
years
Mr
died
heart attack
three months
appeared sleep
not eat
lost 5
kg
Lethargy
trance
sat
day
high backed chair
living room
sometimes
not help
began
wanted to die
earlier met
Mr
signs
suicide
year old
looking
able to
smile out little
play
Mrs
diagnosis
one


Question: The following information about the relationship between energy intake and thyroid and what was right?

Answer: Adipose tissue-derived leptin (Leptin) A releasing hormone promotes (thyrotropin releasing hormone) secretion

Choices:
A. Excessive intake of carbohydrates can inhibit thyroid hormone secretion (Thyroxine) of
B. Adipose tissue-derived leptin (Leptin) A releasing hormone promotes (thyrotropin releasing hormone) secretion
C. Leptin inhibits the secretion of thyroid hormone
D. Inhibit excessive hormone leptin secretion

following
relationship
energy intake
thyroid
right


Question: Following that kind of lung tissue for our most common?

Answer: adenocarcinoma

Choices:
A. adenocarcinoma
B. squamous cell carcinoma
C. large cell carcinoma
D. small cell carcinoma


Question: Which is not an internal iliac artery (internal iliac artery) branches?

Answer: Rectal artery

Choices:
A. Obturator artery
B. Rectal artery
C. Rectal artery
D. Internal pudendal artery

not
internal iliac artery
internal iliac artery
branches


Question: Autoantigens and pathogenic microorganisms similar cross reactivity of the antigens can cause disease, but which of the following is not true?

Answer: Grave's disease (Graves' disease)

Choices:
A. Mycoplasma infection after the anemia (anemia after mycoplasma infection)
B. After the kidney infection streptococcal glomerulonephritis (post-streptococcal glomerulonephritis)
C. Grave's disease (Graves' disease)
D. Rheumatic fever (rheumatic fever)

pathogenic
similar cross reactivity
cause disease
following
not true


Question: A 70-year-old woman had a history of peptic ulcer, after recently taking some kind of medication, because the solution to the emergency melena three days, as gastroscopy. This most patients can not take what items the following drugs?

Answer: acetaminophen

Choices:
A. acetaminophen
B. clopidogrel
C. celecoxib
D. meloxicam

70 year old woman
history of peptic ulcer
recently
kind
medication
solution
emergency melena three days
gastroscopy
most patients
not
following drugs


Question:
80 single mothers Ahui Ruiqi youngest son (4 years old) suffering from hereditary cerebral white matter sclerosis (adrenoleukodystrophy, hereinafter referred to as ALD) paralyzed in bed, since a few years ago Ruiqi brother died due to suffering from the same disease, it knows Ahui the disease except bone marrow transplant, there is no other cure therapies, and even if the transplant was successful, previously irreversible lesions can not be restored. Seeing Aiko sinking, Ahui decided to return home with their children, a warm home life with their last journey through life, to control the pain and discomfort caused by the disease, the physician Luo Ruiqi provide a physician pain autonomous control system, teach Ahui use and dose, conversation, Ahui several drugs to help his son confided quick, quiet death of the idea to Luo, MD, a physician so in Luo explained among other quietly revealed lethal narcotic drug the amount of the dose.
 Was discharged a few days later, could not bear to see Ruiqi agonizing scene Ahui, finally chose to fight for his son Shi lethal dose of anesthetic, let Ruiqi forever from torment of ALD.
 In the above case, the Luo physician that can be a violation of ethical principles?

Answer: The principle of beneficence, because he did not Ruiqi referral to specialized hospice staff, and let A Huigu no single decision Yiddish

Choices:
A. The principle of beneficence, because he did not Ruiqi referral to specialized hospice staff, and let A Huigu no single decision Yiddish
B. Respect for the principle of autonomy, because he did not respect the wishes of my Ruiqi
C. The principles of justice, because the behavior of physicians Luo tantamount to indirect murder
D. Do no harm principle, because life is supreme, must not be deprived


Question: To correct diagnosis at the same time as the planned assessment before surgery, following that examination is most needed?

Answer: Artery angiography

Choices:
A. Duplex ultrasonogram
B. Artery angiography
C. Femoral brachial artery pressure ratio (Femoro-brachial pressure ratio)
D. Plethysmography

correct diagnosis
same time
planned
surgery
following
most needed


Question: The following information about the nasopharynx (nasopharynx) of the narrative, what's wrong?

Answer: Nasopharyngeal tube opening (nasopharyngeal tube) on the sidewalls of the

Choices:
A. After the pharyngeal wall of tonsil (pharyngeal tonsil)
B. Nasopharyngeal tube opening (nasopharyngeal tube) on the sidewalls of the
C. After nasal aperture (choana) through the nasal cavity before
D. Pharyngeal muscle contraction (superior pharyngeal constrictor) form a rear wall and side walls


Question: A drug used to treat impotence "Viagra" (Viagra; Sildenafil citrate) can quite selectively inhibit one cGMP phosphodiesterase highly expressed in vascular smooth muscle, causing the blood vessels to dilate, cavernous congestion, cavernous and therefore larger expansion to achieve an erection effect. The following narrative about Viagra's effect, whichever is correct?

Answer: Vascular smooth muscle causes an increase in intracellular cGMP

Choices:
A. Will add a new synthesis of cGMP
B. Inhibits cGMP to 5'-GMP conversion
C. Vascular smooth muscle causes an increase in intracellular cGMP
D. Will increase the release of nitric oxide (NO) is

drug used to treat impotence
Viagra
Viagra
Sildenafil citrate
inhibit one
highly
vascular smooth muscle
causing
blood vessels to dilate
cavernous congestion
cavernous
larger
to
erection effect
following
Viagra
ffect,
orrect?


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

Answer: Required amount of bacteria cause infection of more than 108

Choices:
A. Shigellosis (bacillary dysentery) main pathogen
B. Shigella dysentery (Shigella dysenteriae) can produce Shiga toxin
C. With aggressive, invade intestinal cells and spread to neighboring cells
D. Required amount of bacteria cause infection of more than 108


Question: Peripheral nerves (peripheral nerve) is completely cut off the kind of damage belong to Sunderland classification?

Answer: Fifth category

Choices:
A. The second category
B. The third category
C. The fourth category
D. Fifth category

Peripheral nerves
peripheral nerve
completely cut off
kind
damage
classification


Question: 37 A 20-year-old male was HIV asymptomatic carrier, from a year ago continue to grow in Figure A multiple asymptomatic purple to brown skin nodules, skin biopsies shown in Figure B in the face and torso, shows that many spindle-shaped cells (spindle cell) proliferation, and many similar construction vessel lumen. Polymerase chain reaction (PCR) detection of disease has DNA human herpes virus 8 (HHV-8) a. The most likely diagnosis is:

Answer: Kaposi's sarcoma (Kaposi sarcoma)

Choices:
A. Melanoma (melanoma)
B. Capillary hemangioma (capillary hemangioma)
C. Kaposi's sarcoma (Kaposi sarcoma)
D. Basal cell carcinoma (basal cell carcinoma) 38 a 25-year-old patient, found the lesion as shown in Fig. Why is the most likely diagnosis?

20 year old male
HIV asymptomatic carrier
year
to
multiple asymptomatic purple
brown skin nodules
skin biopsies
face
torso
shaped
proliferation
similar construction vessel lumen
Polymerase chain reaction
DNA
diagnosis


Question: He does not rule out the following drugs via the kidneys?

Answer: Chloramphenicol

Choices:
A. Cephazolin
B. Tobramycin
C. Chloramphenicol
D. Imipenem


Question: When these that a drug with levodopa and use, be careful whether the patient has a history of high blood pressure?

Answer: deprenyl

Choices:
A. amantadine
B. deprenyl
C. carbidopa
D. bromocriptine

drug
levodopa
use
patient
history
high blood pressure


Question: The following statements about the febrile seizure, whichever is correct?

Answer: ⼩ older than 6 Month febrile seizure patients, the possibility of infection of the central nervous system must do a lumbar puncture to exclude

Choices:
A. Complex thermal VD Face spasm, future opportunities hair ⽣ epilepsy shoots as usual with the same ethnic group
B. ⼩ older than 6 Month febrile seizure patients, the possibility of infection of the central nervous system must do a lumbar puncture to exclude
C. Therefore especially secondary generalization ⽣ of simple febrile seizure, and more zoomed images shall cause neurological examination to rule out abnormal brain structure
D. Febrile seizure unrelated to the hair gene or family ⽣


Question: In accordance with muscle-grading scale British Medical Research Council, normal strength is:

Answer: Muscle grade 5

Choices:
A. Muscle grade 1
B. Muscle grade 3
C. Muscle grade 5
D. Muscle grade 6 22 description of angioma (hemangioma) and vascular malformations (vascular malformation), and Which statement is correct?


Question: Patients experienced a hypoxic state, such as respiratory failure or shock, alter glucose metabolism and blood tests in patients at this time, which of the following concentrations rise?

Answer: Lactate

Choices:
A. Acetyl-CoA
B. Ethanol
C. Lactate
D. Acetaldehyde

Patients
hypoxic state
respiratory failure
shock
alter
blood tests
patients
time
following


Question: He is married and his wife separated for many years, he was hospitalized because of cryptococcal meningitis, and after being diagnosed with AIDS, Chen repeatedly told the hospital staff, do not tell any of his family, all his medical decisions are made by a committee bit surnamed Wang male friend to call the shots and have set a letter of appointment. Now, he suddenly collapsed, requiring emergency intubation and go to the intensive care unit, doctors want to discuss matters relating to the patient's DNR, whom should I?

Answer: His male friend Wang

Choices:
A. His male friend Wang
B. Mrs. Chen
C. Mr. Chen's parents
D. He is the eldest son of the adult

married
separated
years
hospitalized
cryptococcal meningitis
diagnosed
AIDS
repeatedly
hospital staff
not
medical
made
bit
male
to call
shots
set
letter
appointment
Now
collapsed
emergency intubation
go
intensive care unit
doctors
to
relating
patient's DNR
I


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

Answer: Water-soluble than bupivacaine small

Choices:
A. Belonging to the class of local anesthetics amide
B. Water-soluble than bupivacaine small
C. Is neurotoxic (neurotoxicity)
D. Having a central inhibition


Question: About ventricular adjust narrative with (moderator band), and what's wrong?

Answer: Located in the left ventricle

Choices:
A. Located in the left ventricle
B. Located in the right ventricle
C. To the front wall from the ventricle septum
D. Containing the atrioventricular bundle branch


Question: IQ intelligence assessment is an important reference to intelligence scale IQ scores Wilcoxon example, Norm average (mean) is approximately equal to 100, standard deviation (standard deviation, SD) is approximately equal to 15, it is determined that mild mental retardation SD range between a few IQ norm averages?

Answer: 2 ~ 3 SD

Choices:
A. 1 ~ 2 SD
B. 2 ~ 3 SD
C. 3 ~ 4 SD
D. 4 ~ 5 SD

IQ
assessment
important
scores
Norm average
mean
approximately equal to 100
standard deviation
standard deviation
approximately equal to
mild mental retardation
range
norm averages


Question: 30-year-old Mr. Zhang, intermittent abdominal recently felt uncomfortable, to the hospital clinic to see the physician has no specific effect. One day he felt stomach pain unbearable, the family was sent to the emergency room. After physician examination for him to do CT (CT) examination and found the small intestine is not normal, as shown. Will Mr. Zhang is most likely suffering from what disease?

Answer: Intussusception (Intussusception)

Choices:
A. Intussusception (Intussusception)
B. Intestinal ischemia (Intestinal ischemia)
C. Intestinal bleeding (Intestinal hemorrhage)
D. Neoplasms (Intestinal neoplasm)

30 year old Mr
intermittent abdominal recently
hospital clinic to see
physician
specific effect
One day
stomach pain
sent
emergency room
physician
CT
CT
found
small intestine
not normal
Mr
suffering
disease


Question: The following account of Kegel exercises (Kegel exercises), and what's wrong?

Answer: Kegel according to the original theory, applicable should be limited to pregnant women

Choices:
A. Supplemented by health education leaflets is an effective way of guidance
B. Spot Guidance can increase the effects of health care workers
C. Kegel according to the original theory, applicable should be limited to pregnant women
D. Combined effect of biofeedback equipment (biofeedback devices) may increase the movement

following account
Kegel exercises
Kegel exercises
wrong


Question: In general, breast-feeding can inhibit ovulation hormone which is mainly due to the impact?

Answer: Prolactin (prolactin)

Choices:
A. Estrogen (estrogen)
B. Progestin (progesterone)
C. Prolactin (prolactin)
D. Sex-releasing hormone (GnRH)

general
breast-feeding
inhibit ovulation hormone
due to
impact


Question: A President for the tenth thoracic spinal cord (T10) in patients with spinal cord injuries and partial paralysis, he Richangshenghuo take a long time to use a wheelchair. What would you recommend he use cushions?

Answer: f /'.- a>! ,,, Dian a stand 4 ( '.a ^'

Choices:
A.  L ^ k: / {: '[/ V /, A Dian
B. ; \J
C. f /'.- a>! ,,, Dian a stand 4 ( '.a ^'
D. High density cushion (high density cushion)

tenth thoracic spinal cord
T10
patients
spinal cord injuries
partial paralysis
long time to use
wheelchair
use cushions


Question: Which of the following can multiply in phagocytic cells (phagocytes)?

Answer: Legionella pneumophila bacteria (Legionella pneumophila)

Choices:
A. Vibrio parahaemolyticus (Vibrio parahaemolyticus)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
C. E. coli (Escherichia coli)
D. Legionella pneumophila bacteria (Legionella pneumophila)


Question: Carbon monoxide diffusing capacity (DLCO), under the following circumstances will increase performance?

Answer: Congestive heart failure

Choices:
A. Congestive heart failure
B. Interstitial lung disease
C. Emphysema
D. Pulmonary hypertension in (pulmonary hypertension)

Carbon monoxide diffusing capacity
DLCO
following
increase


Question: This year 60-year-old Yang Bobo hospitalized a year ago gastric surgery, has recently been shown to have relapse and metastasis to the lungs, expected survival time left only about six months. After informed of the bad news, Yang Bobo requires physicians do not inform the actual condition of his foreign wife married six months, because Yang Bobo told the truth lied to her own cancer a year ago because of stomach ulcers without surgery, afraid she knew after the meeting not understanding and forsake him. The following is a response to a physician Yang Bobo, where whichever is most appropriate?

Answer: Yang Bobo expressed understanding, but honesty is the correct way to guide some of the communication skills Yang Bobo

Choices:
A. Mrs. Yang pointed out that the right to know the truth, so physicians when asked Mrs. Yang will truly to notice
B. Yang Bobo should inform themselves confess to his wife, but if you have to ask Mrs. Yang then, it will not help conceal
C. Yang Bobo expressed understanding, but honesty is the correct way to guide some of the communication skills Yang Bobo
D. Agreed to hide and to teach how to make and respond to Mrs. Yang

year 60
old
hospitalized
year
gastric surgery
recently
to
relapse
metastasis to the lungs
survival time left only
six months
informed
bad
physicians
not inform
actual condition
foreign
married six months
cancer
year
stomach ulcers
surgery
not
following
response
physician
most appropriate


Question: In the case of a small amount of antidiuretic hormone secretion, the minimum period following that renal tubular permeability to water?

Answer: Henry's elbow upstroke

Choices:
A. Proximal renal tubule
B. Cortical collecting pipe
C. Henry's elbow upstroke
D. Medullary collecting duct

case
small amount
antidiuretic hormone secretion
minimum period following
renal tubular
water


Question: Split (hypospadias) of the lower urinary tract related narrative, which of the following error?

Answer: The best technique to correct the watch preschool age of about 6 years old, so as not to be affected child Center Weighted management

Choices:
A. Is based on the position of the urethra open-connector type
B. The best technique to correct the watch preschool age of about 6 years old, so as not to be affected child Center Weighted management
C. Severe hypospadias urethra, many need to do to take ⽪ flap surrounding the urethra reconstruction
D. Often associated with penile curvature (chordee), in particular the urethra open-connector at the proximal end of the type

Split
hypospadias
lower urinary tract related
following error


Question: Statements about anal Bowen's disease (Bowen's disease), the error which of the following?

Answer: It is a little transfer of adenocarcinoma in situ

Choices:
A. It is a little transfer of adenocarcinoma in situ
B. Most patients with mild symptoms or no symptoms
C. Extensive local excision can often achieve cure effect
D. Frozen sections have surgery to help determine the scope of resection

anal Bowen's disease
Bowen's disease
error
following


Question: Neuromuscular blockers doxacurium mechanism of action is:

Answer: Blocking the motor end-plate nicotinic receptor

Choices:
A. Blocking the release of acetylcholine
B. Cholinesterase inhibition
C. Blocking the muscarinic receptor
D. Blocking the motor end-plate nicotinic receptor


Question: The following related neuromyelitis (neuromyelitis optica spectrum disorder, NMOSD) narrative, what's right?

Answer: Neuromyelitis range of violations of the spinal cord can often be more than three

Choices:
A. Neuromyelitis range of violations of the spinal cord can often be more than three
B. Typical neuromyelitis optica clinical symptoms include: optic neuritis, acute myelitis attack and peripheral neuropathy
C. Face disease neuromyelitis optica better prognosis than Face disease multiple sclerosis, your eyesight and its case results in lower extremity care has myelitis, may recover more than 80%
D. Because spinal fluid optic Face inflammatory disease of spinal cord, and the quality will not increase during egg white or oligoclonal band of the phenomenon, it is easy and multiple sclerosis (multiple sclerosis) differentiate

following related neuromyelitis
neuromyelitis optica spectrum disorder
right


Question: Which of the following is not a risk factor for colorectal cancer it?

Answer: HRT (Hormone replacement therapy)

Choices:
A. High animal fat diet
B. Inflammatory bowel disease (Inflammatory bowel disease)
C. Adenomatous polyposis (polyposis coli)
D. HRT (Hormone replacement therapy)

following
not a
factor
colorectal cancer


Question: When Tetralogy of Fallot (tetralogy of Fallot) occur sick child cyanotic episodes (hypoxic spells, blue spells), heart murmur will be how to change?

Answer: Whispered change

Choices:
A. Become loud
B. constant
C. Whispered change
D. Will change into a diastolic murmur

Tetralogy
Fallot
occur sick child cyanotic episodes
hypoxic spells
blue spells
heart murmur
to change


Question: 42-year-old man, the last body is very healthy, and there is no systemic disease. This because after suffering influenza A, complicated by bacterial pneumonia. The most likely pathogens why?

Answer: Streptococcus pneumoniae (Streptococcus pneumoniae) or Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Streptococcus pneumoniae (Streptococcus pneumoniae) or Staphylococcus aureus (Staphylococcus aureus)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa), or Klebsiella coli (Klebsiella pneumoniae)
C. Mycoplasma (Mycoplasma pneumoniae)
D. Anaerobic bacteria

year old man
last body
very healthy
systemic disease
suffering influenza A
complicated
bacterial pneumonia


Question: Description of alcohol-related disorders, what's wrong?

Answer: Alcohol withdrawal on slow heartbeat

Choices:
A. Alcohol withdrawal on slow heartbeat
B. Alcohol withdrawal will take time
C. Will hyponatremia during long-term use of alcohol
D. Can induce delirium during alcohol withdrawal, is a high-risk disease


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

Answer: Most patients need surgical treatment available to cure

Choices:
A. Staphylococcal bacteremia is often associated with it
B. Often associated with empyema
C. Most patients with medical treatment can
D. Most patients need surgical treatment available to cure

following related lung abscess
lung abscess
wrong


Question: Miss Qiu as lupus erythematosus patients complained of general weakness, poor appetite and cough with sputum has been three weeks, the last four or five days fever, therefore, to outpatient, chest X-ray and computer tomography images as shown most likely the diagnosis:

Answer: Lung abscess (lung abscess)

Choices:
A. Lung cancer
B. Bronchiectasis (bronchiectasis)
C. Lung abscess (lung abscess)
D. Pulmonary fibrosis (lung fibrosis)

Miss
lupus erythematosus patients
general weakness
poor appetite
cough
sputum
three weeks
last four
five days fever
outpatient
chest X-ray
computer tomography
diagnosis


Question: A 72-year-old male patient, blood in the stool because four days in hospital, the hospital the same day the solution is still four times red bloody stools. Hospitalization blood pressure 100/74 mmHg, pulse rate 74 per minute. Check blood leukocytes 8,100 / mm3, hemoglobin of 11.6 g / dL, platelets 260,000 / mm3. Which of the following best of the next check after hospitalization for this purpose?

Answer: Colonoscopy

Choices:
A. Abdominal angiography
B. Colon barium X-ray
C. Colonoscopy
D. Radioactive red blood cell scan

72 year old male patient
blood in
stool
four days in hospital
hospital
same day
solution
four times red bloody
blood pressure 100 74 mmHg
pulse rate 74
minute
Check blood
100
mm3
hemoglobin
g
dL
platelets
mm3
following best
next check
purpose


Question: The following change ⾎ ⾏ moving care has to learn (hemodynamics) action, and Center Weighted dirty miscellaneous relationship between what's wrong Rec?

Answer: When standing from a sitting, if the room-connector obstructive Center Weighted Center Weighted myopathy (hypertrophic obstructive cardiomyopathy, HOCM), the

Choices:
A. When the grip with both hands (hand grip), mitral regurgitation heteroaryl Rec strength because of increased flow ⾎ increase ⽽
B. When the patient into ⾏ Buddha Sa ⽡ ⽒ care has pressure equalization breathing (Valsalva maneuver), if patients with aortic stenosis ⻑ of strength and heteroaryl Rec
C. When the patient into ⾏ After Buddha Sa ⽡ ⽒ care has pressure equalization breathing (Valsalva maneuver), Center Weighted dirty right heteroaryl Rec restored to its original strength faster than the left Center Weighted heteroaryl Rec
D. When standing from a sitting, if the room-connector obstructive Center Weighted Center Weighted myopathy (hypertrophic obstructive cardiomyopathy, HOCM), the


Question: second messenger cAMP is one (second messenger) in eukaryotic cells (eukaryotic cells) can be directly regulate the function of the protein which of the following?

Answer: Inactivated Protein kinase A

Choices:
A. Adenylate cyclase activation
B. Inactivated Protein kinase A
C. G protein inhibiting
D. Calmodulin inhibition

second messenger cAMP
one
second messenger
directly
function
protein
following


Question: 12-year-old Xiaoting suffering from type 1 diabetes has been two years since her sharp thin, polyuria, dehydration and breathing out of the hospital intensive care ward for seven times during this period, doctors suspect she did not follow the treatment plan, not-administration of insulin. Although multi-party counseling and persuasion, she still firmly refused to cooperate, family members a NIMBY attitude that all problems will be solved sent to the hospital. Now, she brings a crisis to be sent to the emergency room, following the disposal of what the most appropriate?

Answer: Join professional counseling or psychiatric treatment mental health of the consultative

Choices:
A. Informed the Bureau of Social Affairs and other appropriate authorities
B. Can directly determine Xiaoting no medical decision-making capacity
C. Join professional counseling or psychiatric treatment mental health of the consultative
D. Extended sick children in hospital until the time to solve the problem of refuse treatment

year old
suffering
type 1 diabetes
two years
sharp thin
polyuria
dehydration
breathing out of
hospital intensive care ward
seven times
period
doctors
not follow
not administration of insulin
multi
counseling
firmly
to
sent
hospital
Now
crisis to
sent
emergency room
following
most appropriate


Question: Adhesions (vitreoretinal adhesion) between the most closely following what parts of the retina and vitreous?

Answer: Substrate vitreous (vitreous base) surrounding site

Choices:
A. Retinal perivascular sites
B. Macular (Macula) surrounding site
C. The optic nerve (optic nerve) surrounding site
D. Substrate vitreous (vitreous base) surrounding site

Adhesions
vitreoretinal adhesion
most
following
parts of
retina


Question: Which of the following virus, can cause testicular, ovarian, and other inflammation of the pancreas gland disorder?

Answer: Mumps virus

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

following
cause testicular
ovarian
inflammation
pancreas gland disorder


Question:  the jugular vein (internal jugular vein)  deep cervical lymph nodes (deep cervical lymph nodes) 29 Which is not formed by the mesenteric back (dorsal mesenteries) development?

Answer: Small omentum (Lesser omentum)

Choices:
A. Jugular vein (internal jugular vein)
B. Deep cervical lymph nodes (deep cervical lymph nodes) 29 Which is not formed by the mesenteric back (dorsal mesenteries) development?
C. Greater omentum (Greater omentum)
D. Small omentum (Lesser omentum)

jugular vein
internal jugular vein
deep cervical lymph nodes
deep cervical lymph nodes
29
not formed
mesenteric back
dorsal mesenteries
development


Question: About the narrative Actinomyces, Which statement is correct?

Answer: Facultative anaerobic or absolute

Choices:
A. Facultative anaerobic or absolute
B. Mitochondrial membrane having a nucleus
C. The main anti-fungal medication
D. A common cause of infection among people


Question: 77 The following is a human tapeworm infection in dogs complex genitalia (Dipylidium caninum) way, those are wrong? ① ② eating dogs eating the eggs of the parasite fleas ③ eating reproductive segments (gravid proglottid)

Answer: Only ①①

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

following
human tapeworm infection
dogs complex genitalia
wrong
eating
eating
parasite fleas
eating reproductive segments
gravid


Question: 50-year-old male, middle of the night because of sudden severe back pain to tear between the two shoulder blades, came to the emergency department, physical examination found under pulse 68 per minute, hands normal blood pressure, mood noise, abdomen soft, no special changes in the electrocardiogram, chest X-ray showed mediastinal widening, pleural effusion-free sides. After hospitalization, sudden chest pain increased, the amount of blood pressure is less than the left, the following statements is least likely?

Answer: If the disease progression, patients may be followed by left-sided paralysis occurs

Choices:
A. Patients may be extended to the left subclavian artery aortic dissection
B. If the disease progression, patients may be followed by left-sided paralysis occurs
C. If the disease progression, patients could then lower body paralyzed
D. If the disease progression, patients may be followed by acute abdominal pain

50 year old male
middle
night
sudden severe back pain to tear
two shoulder blades
emergency department
found
pulse
minute
hands normal blood pressure
mood
abdomen soft
special changes
electrocardiogram
chest X-ray
mediastinal widening
pleural effusion free sides
sudden chest increased
amount
blood pressure
less than
left
following
least likely


Question: About Congenital tracheal esophageal fistula (congenital tracheoesophageal fistula), which of the following error?

Answer: Can be divided into five types, the most common of which is ⾒ by "H" shape tracheoesophageal fistula

Choices:
A. Can be divided into five types, the most common of which is ⾒ by "H" shape tracheoesophageal fistula
B. X-ray imaging can distinguish whether or esophageal atresia
C. Blocking, esophagus, may be inserted via the spinning tube confirmed
D. Patients often associated with aspiration pneumonia, or other bones, the digestive tract and other congenital anomalies

About Congenital esophageal
congenital tracheoesophageal fistula
following error


Question: CSF (cerebrospinal fluid) secreted generated by whichever?

Answer: Choroid plexus (choroid plexus)

Choices:
A. Cavernous (cavernous sinus)
B. AGs (arachnoid granulations)
C. Choroid plexus (choroid plexus)
D. Choroid (choroid)


Question: Menstrual cycle, adenomyosis (uterine glands) that in the following period will become curly (coiled) and filled with glycogen (glycogen)?

Answer: Secretory phase (secretory phase)

Choices:
A. Proliferative phase (proliferative phase)
B. Period of ischemia (ischemic phase)
C. Secretory phase (secretory phase)
D. Menstrual period (menstrual phase)

Menstrual cycle
adenomyosis
uterine glands
following period
curly
coiled
glycogen
glycogen


Question: The following symptoms of breast whichever is most likely need to consider surgery?

Answer: Single pipe nipple bleeding naturalness

Choices:
A. Breast pain
B. Single pipe nipple bleeding naturalness
C. Multiple white discharge pipe nipple
D. Montgomery gland projection areola

following symptoms
breast
most likely need to
surgery


Question: Suffering from visceral larva migrans (visceral larva migrans) patients usually have the following characteristics, except whichever?

Answer: Occurs mostly in adults

Choices:
A. Dog roundworm (Toxocara canis) as the main pathogens
B. Common hepatomegaly
C. Common eosinophilic leukocytosis
D. Occurs mostly in adults

Suffering
visceral larva migrans
visceral larva migrans
patients usually
following characteristics


Question: The following account of infective endocarditis, what's wrong?

Answer: The time required antibiotic treatment of valvular endocarditis with two weeks left side

Choices:
A. Fever is the most common clinical symptoms
B. Pathogens in patients infected intravenous drug endocarditis Staphylococcus aureus (Staphylococcus aureus) most common
C. Fever, Roth's spot, and subconjunctival hemorrhage (conjunctival hemorrhage) within the secondary conditions are Duke criteria
D. The time required antibiotic treatment of valvular endocarditis with two weeks left side

following account
infective endocarditis
wrong


Question: There are often acute fever, a farmer in the rice harvest, coughing, difficulty breathing, increased white blood cells and blood, the most likely diagnosis is:

Answer: Hypersensitivity pneumonitis

Choices:
A. Bronchopneumonia
B. Tuberculous pneumonia
C. Hypersensitivity pneumonitis
D. Adult respiratory distress syndrome

often acute fever
farmer
rice
coughing
difficulty breathing
increased white blood cells
blood
diagnosis


Question: Which of the following is not a blood vessel in the leg with the line?

Answer: Superficial peroneal nerve (superficial fibular nerve)

Choices:
A. Sural nerve (sural nerve)
B. Deep peroneal nerve (deep fibular nerve)
C. Superficial peroneal nerve (superficial fibular nerve)
D. Tibial nerve (tibial nerve)


Question: 31 a 27-year-old women to receive 16 weeks of pregnancy amniocentesis examination, test results of fetal chromosome 47, XXY, she decided to terminate the pregnancy. After the year of the women pregnant again, following which deal with the most appropriate?

Answer: Inform recurrent high chance of chromosomal abnormalities, amniocentesis can accept checks

Choices:
A. Inform recurrent high chance of chromosomal abnormalities, amniocentesis can accept checks
B. Inform recurrent chromosomal abnormalities opportunity not walks very high
C. Inform the front tire chromosome 47, XXY is not a serious problem
D. Recommended that the couple receives blood chromosome examination, if the husband and wife normal chromosomes, there would be no problem

31
27 year old
to receive
weeks
pregnancy amniocentesis
test results
fetal chromosome
to terminate
pregnancy
year
following
appropriate


Question: Bearing on the question, which of the following is not evidence of the above diagnosis?

Answer: Cerebellum and spinal cord of patients have significant atrophy

Choices:
A. Levodopa drug testing (Levodopa challenge test) progress more than 30%
B. Brain magnetic resonance (MRI) has a slight brain atrophy
C. Positron contrast of 18F-DOPA PET can confirm
D. Cerebellum and spinal cord of patients have significant atrophy


Question: A 70-year-old otherwise healthy patients of diabetes, fever two days, right upper quadrant pain, eye redness (diagnosed as endophthalmitis), Which of the following is the most likely diagnosis?

Answer: Liver abscess

Choices:
A. Duodenal ulcer
B. Acute pancreatitis
C. Angina
D. Liver abscess

70 year old
healthy patients
diabetes
fever two days
right upper quadrant pain
eye redness
diagnosed
endophthalmitis
following
diagnosis


Question: The following account of the intrinsic factor (intrinsic factor) of, what's right?

Answer: Molecule is a glycoprotein

Choices:
A. Molecule is a glycoprotein
B. Secreted by the gastric chief cells (chief cell)
C. Promote the absorption of vitamin B12 in the jejunum (jejunum) of
D. Affect white blood cell manufacturing

following account
intrinsic factor
intrinsic factor
right


Question: 22 A 65-year-old man due to coronary artery stenosis, underwent heart bypass vascular surgery, decreased urine output, now only 15 mL per hour, with suspected acute renal failure. To distinguish prerenal or intrinsic renal acute renal failure, urine and blood biochemical inspection physician value, the results of serum creatinine (Cr) of 3 mg / dL, BUN 35 mg / dL, Na was 130 mEq / L, K is 5 mEq / L, the urine of mg / dL, Na was 50 mEq / L, specific gravity = 1.010, FENa is how much?

Answer: 2.90%

Choices:
A. 0.20%
B. 2.90%
C. 10.30%
D. 35%


Question: 34 a 80-year-old male, lower limb itchy scaling lesions as shown, and this skin disease will recur every winter, summer improvement. He used to use very hot winter hot water soak the affected area, the most likely diagnosis is:

Answer: Lack of fat eczema (asteatotic eczema)

Choices:
A. Plaque psoriasis (psoriasis vulgaris)
B. Allergic contact dermatitis (allergic contact dermatitis)
C. Seborrheic dermatitis (seborrheic dermatitis)
D. Lack of fat eczema (asteatotic eczema)

80 year old male
lower limb itchy scaling lesions
skin disease
winter
summer
used to use very
winter
soak
affected area
diagnosis


Question: Which of the following test methods most accurately measured glomerular filtration rate (glomerular filtration rate)?

Answer: Inulin clearance rate (inulin clearance rate; ICr)

Choices:
A. Blood urea nitrogen value (blood urea nitrogen; BUN)
B. An acid value of serum creatinine (serum creatinine concentration)
C. Creatinine clearance rate (creatinine clearance rate; CCr)
D. Inulin clearance rate (inulin clearance rate; ICr)

following test methods
measured glomerular filtration rate
glomerular filtration rate


Question: The following narrative about fetal MRI, what's wrong?

Answer: Fetal MRI is not suitable for detecting fetal abnormalities of body

Choices:
A. Fetal MRI NA developer
B. Fetal MRI is not suitable for detecting fetal abnormalities of body
C. 3 months of pregnancy early fetus is not suitable for the purposes of fetal magnetic resonance imaging
D. Currently on the impact of high magnetic field and noise for the fetus still have some concerns


Question: 24-year-old woman, both sides of goiter, ultrasound examination two leaves are showing low echo, cytology to lymphocyte-based, low or no symptoms of hyperthyroidism, which of the following is wrong?

Answer: If arrhythmia occurs, it is best to use amiodarone

Choices:
A. You can use hormone therapy
B. Not eat iodine foods
C. If arrhythmia occurs, it is best to use amiodarone
D. After the production of large goiter may become

year old woman
sides
goiter
ultrasound examination two
low echo
cytology
based
low
symptoms
hyperthyroidism
following
wrong


Question: 55-year-old Lin, in recent months the feeling of fatigue, anorexia, right upper quadrant also feel some pain. Blood test fetoprotein (alpha- fetoprotein) value is normal, HBsAg positive (HBsAg +), liver Dynamic CT image in FIG , again do angiography examination before the operation shown in FIG . Lin most likely suffering from what disease?

Answer: HCC (hepatocellular carcinoma)

Choices:
A. Liver metastases (liver metastasis)
B. Bile duct cancer (cholangiocarcinoma)
C. HCC (hepatocellular carcinoma)
D. Cavernous hemangioma (cavernous hemangioma)

year old Lin
recent months
fatigue
anorexia
right upper quadrant
pain
Blood test fetoprotein
alpha
fetoprotein
value
normal
HBsAg positive
HBsAg
liver Dynamic CT
angiography
operation
Lin
likely suffering
disease


Question: The following non-drug therapy on depression, what's wrong?

Answer: And eye movement desensitization therapy History Update (eye movement desensitization and reprocessing)

Choices:
A. Light therapy
B. Sleep deprivation
C. Vagus nerve stimulation
D. And eye movement desensitization therapy History Update (eye movement desensitization and reprocessing)

following non drug therapy
depression
wrong


Question: Mrs. Chen to come to treatment because of long-term back pain, she had severe osteoporosis and pelvic cavity remains, the metal IUD, the following is most appropriate that a physical therapy?

Answer: Lower back heat interfering wave (Interferential current)

Choices:
A. Lower back heat (Hot packing) and lumbar traction (Pelvic traction)
B. Lower back heat interfering wave (Interferential current)
C. Lower back short (Shortwave) and lumbar traction
D. Lower back short interfering wave

Mrs
to
treatment
long-term back pain
severe osteoporosis
pelvic cavity
IUD
following
most appropriate
physical therapy


Question: The most common single skull sutures prematurely (single-suture craniosynostosis) is what?

Answer: Sagittal suture (sagittal)

Choices:
A. The coronal suture (coronal)
B. People seam (lambdoid)
C. Sagittal suture (sagittal)
D. 蝶顳縫（sphenozygomatic）

most common single skull sutures
single suture craniosynostosis


Question: Multiple sclerosis cerebrospinal fluid often can be seen which of the following situations?

Answer: Immunoglobulin G (IgG) increased

Choices:
A. The amount of glucose in the blood glucose below 20%
B. Reduce protein
C. Per microliter ([mu] L) of more than 100 white blood cells
D. Immunoglobulin G (IgG) increased


Question: For the following inflammatory breast cancer (inflammatory carcinoma) narrative, what's right?

Answer: Often have a multi-pronged treatment, including chemotherapy, radiation therapy and surgery

Choices:
A. Good prognosis
B. Often have a multi-pronged treatment, including chemotherapy, radiation therapy and surgery
C. In breast cancer staging, the TNM system T3 of the genus
D. These patients often do not axillary lymph node metastasis or systemic metastasis to other organs

following inflammatory breast cancer
inflammatory carcinoma
right


Question: Which of the following four principles of medical ethics is not the one:

Answer: The principle of efficiency (efficiency)

Choices:
A. Respect for patient autonomy (autonomy)
B. The principle of efficiency (efficiency)
C. No harm principle (nonmaleficence)
D. The principles of fairness and justice (justice)


Question: Following on in the emergency room, acute seizures disposal, whichever is the most correct?

Answer: For the first time have epilepsy and partial onset feature, you need to check if brain imaging blood cell count, blood glucose, electrolytes, and all normal

Choices:
A. Even after a single brief episodes, as long as the patient has not yet awake to be on medication immediately
B. If a history of epilepsy and treatment only on the measured concentration of the drug, without the number of blood cells, blood sugar, electrolyte and the like check
C. If the pre-emergency to continuous seizures, it must be done immediately brain imaging
D. For the first time have epilepsy and partial onset feature, you need to check if brain imaging blood cell count, blood glucose, electrolytes, and all normal

Following
emergency room
acute seizures
most correct


Question: Fire Department sent an ambulance unidentified, unconsciousness patient down the road, after examination revealed intracranial hemorrhage, Wang neurosurgeon judgment requiring emergency surgery, but requires someone must sign the consent form before opening his king the doctor said this is the provision of medical law, if there is no consent, even if the patient does not die immediately surgery, he did not open, Dr. Wang's argument, right?

Answer: No, because although the law prescribed medical procedures require the consent of the book, but the situation is urgent, EXCEPT

Choices:
A. Yes, because doctors want to protect themselves from the accused
B. Yes, because the law provides medical consent form in no event be
C. No, because the law does not provide for medical procedures require consent
D. No, because although the law prescribed medical procedures require the consent of the book, but the situation is urgent, EXCEPT

Fire
sent
ambulance unidentified
unconsciousness patient
road
revealed intracranial hemorrhage
neurosurgeon
emergency surgery
sign
opening
doctor
consent
patient
not die immediately surgery
not open
Dr
right


Question: The following related hilar (hilum of the lung) of the narrative, what's right?

Answer: Located in the top left hilar pulmonary artery

Choices:
A. Located in the top left hilar pulmonary artery
B. Located at the bottom left hilar bronchial
C. Pulmonary vein located at the top right hilar
D. Located right hilar bronchial forefront

following related hilar
hilum of
lung
right


Question: Which of the following best nerve regeneration?

Answer: Purely motor nerve

Choices:
A. Purely motor nerve
B. Sensory nerve
C. Mixed nerve (mixed nerve)
D. All parts of the nerve is not necessarily


Question: About Tourette Syndrome (Tourette's disorder), what's wrong?

Answer: Most teens after symptoms become severe

Choices:
A. Most teens after symptoms become severe
B. Often associated with attention deficit / hyperactivity disorder (attention-deficit / hyperactivity disorder)
C. Often associated with obsessive-compulsive disorder
D. Mild symptoms do not need treatment

Tourette Syndrome
Tourette's disorder
wrong


Question: Patients with severe traumatic brain injury treatment of principles, which of the following error?

Answer: Cryogenic therapy for traumatic brain tissue damage, can effectively reduce the mortality rate has been confirmed

Choices:
A. Currently processing hematoma traumatic brain injury, surgery is still the main treatment
B. Because after traumatic brain injury caused by high intracranial pressure, cranial pressure can reduce mortality
C. Cryogenic therapy for traumatic brain tissue damage, can effectively reduce the mortality rate has been confirmed
D. At present multi-center study shows that in order to steroid treatment of traumatic brain injuries, increases the virulence and mortality

severe traumatic brain injury
following error


Question: From the previous question, what's the treatment of these diseases than inappropriate?

Answer: Antibiotic-containing treatment

Choices:
A. Antibiotic-containing treatment
B. The large intestine endoscopic hemostasis
C. Angiography and embolization
D. In the case of conservative treatment fails, surgical treatment schedule

previous treatment diseases inappropriate


Question: 41 a 47-year-old male, the last 10 days intermittent fever about 38 to 39 ℃, accompanied by a red rash with itching not appear in the abdomen, limbs and face, physical examination found that as shown in the left lower limb, the slice through the skin , showing changes in lymphoid tissues ball vasculitis on pathology. Statements about the diagnosis and course of the patients, which of the following error?

Answer: Due to trauma caused by the bacterial infection

Choices:
A. Due to trauma caused by the bacterial infection
B. Pathogens were Gram-negative bacteria
C. Pathogens may be vascular endothelial cells, the leukocytes and phagocytes Reproduction
D. High in the warm humid environment chances of infection

year old male
last 10 days intermittent fever
red rash
itching not appear
abdomen
limbs
face
found
left lower limb
skin
changes
lymphoid tissues ball vasculitis
pathology
diagnosis
course
patients
following error


Question: Cytoplasmic anti-neutrophil cytoplasmic antibody (cytoplasmic anti-neutrophil cytoplasmic antibodies, c-ANCA) which is common in the disease?

Answer: Wegener's granulomatosis

Choices:
A. Giant cell arteritis
B. Kawasaki (Kawasaki)'s disease
C. Henoch-Schönlein purpura disease
D. Wegener's granulomatosis


Question: 32 year old woman long-term amenorrhea, recent rib fractures occur due to playing basketball, bone densitometry T-score is -2.8. Patients had at the age of 20, due to primary amenorrhea hospital examination, found poor sense of smell and the uterus is small, and therefore had taken oral contraceptives for 2 years, after the self-withdrawal headache. Check the blood LH <0.8 IU / L, estradiol <20 pg / mL. Cancellous bone disease following treatment of whichever concerning the most appropriate?

Answer: estrogen

Choices:
A. bisphosphonate
B. estrogen
C. Calcium + VIT 500
D. human recombinant PTH


Question: Congenital hypothyroidism low energy syndrome (congenital hypothyroidism) The most common reasons are:

Answer: Thyroid ectopic (ectopia)

Choices:
A. Thyroid hypoplasia (aplasia)
B. Thyroid ectopic (ectopia)
C. Impairment of thyroid peroxidase (thyroid peroxidase defect)
D. Lack of thyroid stimulating hormone (TSH deficiency)

Congenital hypothyroidism
syndrome
congenital hypothyroidism
most common


Question: About necrotizing enterocolitis in preterm children (necrotizing enterocolitis), following the disposal what's wrong?

Answer: All patients are required to undergo surgery

Choices:
A. And the row immediately fasted orogastric tube (orogastric tube) under reduced pressure
B. Need to use broad-spectrum antibiotics
C. All patients are required to undergo surgery
D. The need to add water and electrolytes

About necrotizing enterocolitis
preterm children
necrotizing enterocolitis
following
wrong


Question: About LPS (lipopolysaccharides) endotoxin (endotoxin) killed the patient narrative, which of the following error?

Answer: Methicillin-resistant Staphylococcus aureus (Methicillin-Resistant Staphylococcus aureus) generated in the toxin is likely culprit

Choices:
A. Methicillin-resistant Staphylococcus aureus (Methicillin-Resistant Staphylococcus aureus) generated in the toxin is likely culprit
B. A wide intravascular coagulation (disseminated intravascular coagulation), may be one cause of death
C. The patient may die from low blood pressure (hypotension)
D. Can cause fever and shock, leading to death

LPS
lipopolysaccharides
endotoxin
endotoxin
killed
patient
following error


Question: Luo physician participation in a human trials of new drugs to control pain, patients with fractures targeted double-blind study found that drug effect is quite good. Experiment still in progress, a number of patients suffering from rheumatoid arthritis Luo attending physician, though not eligible to participate in the experiment, then its long-suffering chronic pain of old drugs coupled with poor analgesic effect, doctors decided to Romania such is still in the experimental stage, the Ministry of health and welfare has not yet formally approved a new drug, but after obtaining the patient's informed consent, this new drug application in the patients body. Luo physician so what behavior may be based on ethical principles?

Answer: The principle of beneficence

Choices:
A. Respect for the principle of autonomy
B. The principle of beneficence
C. Do no harm principle
D. The principles of justice

physician participation
human trials
new drugs to control pain
patients
fractures targeted
found
drug effect
good
progress
number of patients suffering
rheumatoid arthritis
attending physician
not eligible to
then
long suffering chronic
old drugs coupled
poor analgesic effect
doctors
Romania
experimental stage
not
approved
new drug
obtaining
patient's
body
behavior
based


Question: Which of the following administered alone antihypertensive drugs, can lead to reflex tachycardia and the release of renin?

Answer: Diazoxide

Choices:
A. Propranolol
B. Diazoxide
C. Enalapril
D. Clonidine


Question: He's following the drug half-life (half-life) longest?

Answer: digitoxin

Choices:
A. digoxin
B. digitoxin
C. ouabain
D. verapamil

following
drug half-life
half-life
longest


Question: Which is not vaginal cancer (vaginal cancer) common characteristics?

Answer: Often associated with vaginal pain

Choices:
A. Often occurs in the vaginal wall
B. Common in the upper part of the vagina
C. Often associated with vaginal pain
D. Vaginal intraepithelial neoplasia (vaginal intraepithelial neoplasia) the possibility of progression to invasive vaginal cancer (invasive vaginal cancer) of

not vaginal cancer
vaginal cancer
common characteristics


Question: 16 girls burst weakness to the emergency. Blood pressure 100/60 mmHg, blood examination revealed: creatinine 0.6 mg / dL, a sodium ion concentration of 136 mmol / L, potassium ion concentration of 2.2 mmol / L, osmolality 293 mOsmol / kgH2O. Urine examination revealed: creatinine 98.5 mg / dL, a sodium ion concentration of 30 mmol / L, potassium ion concentration of 37 mmol / L, osmolality 370 mOsmol / kgH2O, girls Trans-tubular potassium gradient (TTKG) value that?

Answer: 13.3

Choices:
A. 0.075
B. 13.3
C. 9.76
D. 0.1024

girls burst weakness
emergency
Blood pressure 100 60 mmHg
blood examination revealed
creatinine 0.6 mg
dL
concentration
mmol
L
potassium ion concentration
mmol
L
osmolality
mOsmol
Urine examination revealed
creatinine 98
mg
dL
concentration
30 mmol
L
ion concentration
mmol
L
osmolality 370 mOsmol
girls Trans tubular potassium gradient
value


Question: Smooth muscle cells, a filament (thin filaments) and intermediate filaments (intermediate filaments) will be fixed in which of the following?

Answer: Dense bodies (dense body)

Choices:
A. Pinocytotic vesicles (pinocytotic vesicles)
B. Transverse tubule (T-tubules)
C. Cell membrane pits (caveolae)
D. Dense bodies (dense body)

filament
thin filaments
intermediate filaments
intermediate filaments
fixed


Question: Which of the following does not cause unilateral rhinorrhea (unilateral nasal discharge)?

Answer: Allergic rhinitis

Choices:
A. foreign matter
B. Malignancies
C. Cerebrospinal fluid rhinorrhea
D. Allergic rhinitis

following
not cause unilateral rhinorrhea
unilateral nasal discharge


Question: Restenosis (restenosis) of the following statements about coronary interventional (intervention) caused by treatment, whichever is wrong?

Answer: Stent treatment can prevent the outer vessel wall contraction, can also reduce the proliferation of vascular smooth muscle restenosis of the machine turn

Choices:
A. An outer vessel wall treatment site contraction (adventitial constriction) vessel lumen (Lumen) narrowing
B. Vascular smooth muscle proliferation wall treatment site, so that intimal thickening (neointimal hyperplasia)
C. Longer disease and diabetes more likely to have restenosis produce
D. Stent treatment can prevent the outer vessel wall contraction, can also reduce the proliferation of vascular smooth muscle restenosis of the machine turn

Restenosis
restenosis
following
coronary interventional
intervention
caused
treatment
wrong


Question: Which of the following, and myocardial cells do not have the characteristics of tonic contractions (tetanic contraction) of the most relevant?

Answer: L-type calcium channels (Ca2 + channel)

Choices:
A. L-type calcium channels (Ca2 + channel)
B. ATP-sensitive potassium channels (K + channel)
C. dihydropyridine receptor
D. ryanodine receptor

following
not
characteristics
tonic contractions
tetanic contraction
most relevant


Question: In the electron transport chain, which of the following substances will they carry electronic transfer directly to oxygen molecules (O2)?

Answer: Cytochrome C

Choices:
A. NADH
B. FADH2
C. Coenzyme Q
D. Cytochrome C


Question: Hemoglobin (Hemoglobin) which configuration change from T to R is one due to a combination of the following materials as those caused by?

Answer: Oxygen (O2)

Choices:
A. Oxygen (O2)
B. Ferric (Fe3 +)
C. Binding (subunit association) subunits of
D. Subunit of solution from (subunit dissociation) 36 eye retina (Retina) cells will cause absorption of light:

Hemoglobin
Hemoglobin
configuration change
R
one due to
combination
following
caused


Question: Patients with ascites cirrhosis of the 1952-year-old man with abdominal dull pain and fever two days in hospital by the emergency. Patients had no cough. After admission, blood tests leukocytes 7,200 / μL, where neutrophils strip (band) 3%, sub-section (segment) 90%, lymphocytes (lymphocyte) 6%, mononuclear white blood cells (monocyte) 1%, hemoglobin 8.2 g / dL, platelets 73,000 / μL. AST (aspartate aminotransferase) 52 U / L, ALT (alanine aminotransferase) 28 U / L, whole bilirubin (total bilirubin) was 3.4 mg / dL. Urine test results for the red blood cells 0-3 / HP, white blood cells 0-2 / HP. Ascites ascites yellow turbidity check result, leukocytes 7,735 / μL, where the neutrophils segment 86%, lymphocytes (lymphocyte) 0%, mononuclear white blood cells (monocyte) 14%. Patients who were treated with antibiotics after 1 day of fever and abdominal pain greatly improved. Which of the following best clinical diagnosis of patients for this purpose?

Answer: Spontaneous bacterial peritonitis

Choices:
A. Duodenal ulcer perforation
B. Spontaneous bacterial peritonitis
C. Tuberculous peritonitis
D. Urinary tract infections

Patients
ascites cirrhosis
year old man
abdominal dull
fever two days in hospital
emergency
Patients
cough
blood tests leukocytes 7 200
strip
band
sub section
segment
90
lymphocytes
1
hemoglobin
g
dL
platelets
L
AST
aspartate aminotransferase
U
L
ALT
alanine aminotransferase
U
L
whole bilirubin
total bilirubin
3.4 mg
dL
Urine test results
red blood cells 0-3
white blood cells 0-2
Ascites
yellow turbidity check result
leukocytes 7
segment
lymphocytes
0
Patients
treated with
1 day
fever
abdominal pain greatly improved
following best clinical diagnosis
patients
purpose


Question: When when only one side complete ureteral obstruction become extremely compensatory phenomenon of narrative, which of the following error?

Answer: The side ⼩ ball kidney filtration rate rise when the acute phase

Choices:
A. The lateral flow increases kidney ⾎ acute phase
B. The side ⼩ ball kidney filtration rate rise when the acute phase
C. Felsen 2003 years of research in experimental animals administered L-arginine can increase kidney and ureter ⾎ flow pressure care has been taken
D. When the blockage is released, there may be polyuria phenomenon


Question: Vitiligo (vitiligo) of the skin epithelium is:

Answer: Partial or total loss of melanocytes

Choices:
A. Partial or total loss of melanocytes
B. There are still melanoma cells, but the lack of melanin
C. Is replaced by scar tissue
D. Shedding


Question: Hopper knee pain (jumper's knee) mainly refers to which of the following disease?

Answer: Patellar tendinitis (patellar tendinitis)

Choices:
A. Chondromalacia patellae (chondromallacia patellae)
B. Patellar tendinitis (patellar tendinitis)
C. Tear the anterior cruciate ligament (anterior cruciate ligament tear)
D. Semilunar cartilage rupture (meniscus rupture)

knee pain
jumper's knee
refers
following disease


Question: About narrative Trisomy18 (Edwards syndrome) is, which of the following error?

Answer: Occipital flat (flat occiput)

Choices:
A. The second means to the third means overlaps, the fifth finger to the fourth finger overlap
B. Short sternum (short sternum)
C. Rocking chair foot (rocker-bottom feet)
D. Occipital flat (flat occiput)


Question: A 63-year-old woman with diabetes, hypertension and dyslipidemia history, she also has the habit of smoking. The following treatment goals and what was most inappropriate?

Answer: Control blood LDL-cholesterol <130 mg / dL

Choices:
A. Control blood HbA1c (HbA1C) <7.0%
B. Control blood LDL-cholesterol <130 mg / dL
C. Control blood pressure <130/80 mmHg
D. Advise patients to quit smoking

63 year old woman
diabetes
hypertension
dyslipidemia history
following
most inappropriate


Question: If fetal gastroschisis (gastroschisis) of congenital malformations, chromosomal why?

Answer: Few merger chromosomal abnormalities

Choices:
A. Down syndrome most often merge
B. The most commonly merger trisomy 18
C. The most commonly merger trisomy 13
D. Few merger chromosomal abnormalities

fetal gastroschisis
gastroschisis
congenital malformations
chromosomal


Question: Which of the following from the brain stem nerves cross to the opposite after the issuance of the?

Answer: Fourth Nerve

Choices:
A. oculomotor nerve
B. Fourth Nerve
C. Hypoglossal nerve
D. Facial nerve


Question: A 32-year-old man, was sent by drugs overdose emergency friend, then unconsciousness (drowsiness), poor response to stimuli, respiratory rate less than 10 beats per minute, temperature 35.6 degrees Celsius, blood pressure 68/32 mmHg, heartbeat 46 times per minute, this patient most likely be following what is being poisoned?

Answer: By opioid (opioids)

Choices:
A. Amphetamines (amphetamine)
B. K Ketamine (ketamine)
C. Hallucinogens (LSD)
D. By opioid (opioids)

year old man
sent
drugs emergency
then unconsciousness
drowsiness
poor response to stimuli
respiratory rate
10
minute
temperature 35
degrees Celsius
blood pressure
mmHg
heartbeat
times
minute
patient
likely
following
poisoned


Question: Case-control study in order to investigate the role of risk factors for disease alone, the case group should select the kind of patient?

Answer: New onset

Choices:
A. New onset
B. Chronic illness healed
C. Recurrence
D. After changing the actors disease

order to investigate
role
risk factors
disease alone
case group
kind
patient


Question: A 66-year-old man, poor exercise tolerance has been two days, so to seek treatment. Judgment in accordance with the electrocardiogram shown below, which of the following is the most appropriate disposal?

Answer: Temporary pacemaker implantation (Temporary pacemaker)

Choices:
A. Administration of digitalis (Digitalization)
B. And subjected to emergency coronary angioplasty Tomography (Emergent coronary angiography and angioplasty)
C. Administration of beta blockers (Beta-receptor blocker)
D. Temporary pacemaker implantation (Temporary pacemaker)

66 year old man
poor exercise tolerance
two days
to
treatment
electrocardiogram
following
most appropriate


Question: 37. Which of the following pancreatic cystic lesions (pancreatic cystic lesion) occurs in women? ① adenoma serous capsule (serous cystadenoma) ② intraductal papillary mucinous neoplasms (intraductal papillary mucinous tumor) ③ solid pseudo papillary tumors (solid-pseudopapillary tumor) ④ mucinous cystic adenomas (mucinous cystic neoplasm) ⑤ pseudocyst (pseudocyst)

Answer: ①③④

Choices:
A. ①②④
B. ①③④
C. ①④⑤
D. ②③⑤


Question: The five-year survival rate of nasopharyngeal carcinoma, following which the pathological type is the lowest?

Answer: keratinizing carcinoma

Choices:
A. keratinizing carcinoma
B. non-keratinizing carcinoma
C. undifferentiated carcinoma
D. adenoid cystic carcinoma 21 Which of the following does not belong to the structure of the hypopharynx (hypopharynx)?

five-year survival rate
nasopharyngeal carcinoma
following
pathological type
lowest


Question: Eight years old child, left armpit regional lymphadenitis (regional lymphadenitis), tenderness, has been going on for three weeks left forearm erythema also see a linear arrangement of the two weeks ago, a month before the start of feeding the family cat, then following what diseases most likely?

Answer: Bartonella spp infection

Choices:
A. Bartonella spp infection
B. A Streptococcus (Group A Streptococcus) infection
C. Pneumococcus (Streptococcus pneumoniae) infection
D. Haemophilus influenza type B (Hemophilus influenzae, type B) infection

Eight years
left armpit regional lymphadenitis
regional lymphadenitis
tenderness
three weeks left forearm erythema
see
linear arrangement
two weeks
month
start
cat
then following
diseases
likely


Question: Campylobacter coli-like about the song (Campylobacter jejuni) gastroenteritis caused by the narrative, what's wrong?

Answer: Of transmission nothing to do with drinking water

Choices:
A. Usually watery diarrhea, bloody stools, but may also occur
B. No treatment, 20% will relapse
C. Some patients with Guillain-Barre syndrome may occur
D. Of transmission nothing to do with drinking water


Question: Noise-induced hearing loss, how much early in hertz (Hz) at the most obvious, and form a recess (dip) phenomenon on the audiogram?

Answer: 4000

Choices:
A. 2000
B. 4000
C. 6000
D. 8000

Noise-induced hearing loss
early
hertz
most
form
dip
audiogram


Question: A 7-year-old girl for 10 months because mothers found breast development and treatment. Father height 163 cm, 154 cm tall and mother. This girl last 6 months, 3 cm long, 127 cm tall and physical examination show (75th percentile), weighing 30 kg (97th percentile), as breast Tanner stage Ⅱ, no pubic hair and armpit hair growth. Which bone age was 10 years, after the gonads releasing hormone (GnRH) stimulation, the maximum value of serum follicle stimulating hormone (FSH) of 10 IU / L, the highest pro-luteinizing hormone (LH) value of 6 U / L. At this point most inappropriate for the patient's mother that following a recommendation?

Answer: Now gonadal hormone release administered homogeneous composition (GnRH analogue) Treatment

Choices:
A. Arrangement pelvic ultrasonography (pelvic sonography)
B. Arrange Sella magnetic resonance Photography (MRI of sella)
C. Now gonadal hormone release administered homogeneous composition (GnRH analogue) Treatment
D. Outpatient be thoroughly track the progress of their puberty

year old girl
10 months
found breast development
treatment
height
tall
girl last
months
3
long
tall
percentile
30 kg
percentile
breast Tanner stage
pubic hair
armpit
bone age
gonads releasing hormone
stimulation
maximum value
serum follicle stimulating hormone
10 IU
L
highest pro luteinizing hormone
value
U
L
point most inappropriate
patient's
following


Question: Which of the following patients receive acute myelogenous leukemia chances of not higher than the average person?

Answer: Rheumatoid arthritis (rheumatoid arthritis)

Choices:
A. Mr. Tang disease (Down syndrome)
B. Rheumatoid arthritis (rheumatoid arthritis)
C. Long-term exposure to benzene (benzene)
D. Used in the past etoposide (VP-16)