Question: An asthma patient, during the day twice a week will feel chest tightness and cough have the case; but displayed normal lung function. Which of the following is least likely to control (controller) for this patient requires daily medication?

Answer: Short-acting β2-agonist

Choices:
A. Low-dose inhaled steroids
B. Theophylline (Theophylline)
C. leukotriene change
D. Short-acting β2-agonist

asthma patient
day twice
week
chest tightness
cough
case
displayed normal lung function
following
least likely to control
controller
patient
daily medication


Question: Which of the following drugs for the treatment of chronic alcoholism?

Answer: Disulfiram

Choices:
A. Dobutamine
B. Carbidopa
C. Reserpine
D. Disulfiram


Question: Children rickets (Rickets) often due to the body caused by abnormal calcium and phosphorus metabolism, following that a pathogenic machine turn caused by rickets and other least the same?

Answer: Hypophosphatemia rickets (Hypophosphatemic rickets)

Choices:
A. Chronic Kidney Disease (Chronic kidney disease)
B. Hypophosphatemia rickets (Hypophosphatemic rickets)
C. Gastrointestinal malabsorption (Malabsorption)
D. Malnutrition caused by vitamin D deficiency (Nutritional vitamin D deficiency)

Children rickets
Rickets
often due to
body caused
abnormal calcium
following
pathogenic machine turn caused
rickets
least
same


Question: Invasive lobular carcinoma (invasive lobular carcinoma) major molecular characteristics Why?

Answer: Do not show E-cadherin

Choices:
A. Do not show E-cadherin
B. Her2 gene increase (amplification)
C. BRCA1 gene mutation
D. Epidermal growth factor receptor (epidermal growth factor receptor) overexpression

Invasive lobular carcinoma
invasive lobular carcinoma
major molecular characteristics


Question: Which of the following results may be as Defective canalization occurs when the development of the female vagina?

Answer: Vaginal lateral septum

Choices:
A. Longitudinal vaginal septum
B. Vaginal lateral septum
C. Hymen atresia
D. Endometrial septum

following results
Defective canalization occurs
development
female vagina


Question: Plantar nerve (medial plantar nerve) injured, most will not affect which of the following actions?

Answer: Foot in the toe closed

Choices:
A. Foot in the toe closed
B. Foot toe abduction
C. Foot toe flexion
D. Toe flexion

Plantar nerve
medial plantar nerve
injured
most
not
following actions


Question: Production methods shown in the figure, as shoulder dystocia which helper methods?

Answer: McRoberts maneuver

Choices:
A. Rubin maneuver
B. McRoberts maneuver
C. background pressure
D. Woods corkscrew maneuver


Question: 15. Disposal Standards neonatal meconium inhalation (meconium aspiration syndrome), in order to avoid deterioration and even cause persistent pulmonary hypertension (pulmonary hypertension), Which of the following is the most important process?

Answer: Endotracheal suction to clear meconium and treatment of respiratory distress and hypoxia

Choices:
A. Immediately after birth surface tension element
B. Endotracheal suction to clear meconium and treatment of respiratory distress and hypoxia
C. Positive pressure ventilation breathing
D. Extracorporeal membrane oxygenation ECMO (extracorporeal membrane oxygenation)

Standards neonatal meconium inhalation
meconium aspiration syndrome
order to
cause persistent pulmonary hypertension
pulmonary hypertension
following
most important process


Question: Compared with young people, elderly people suffering from symptoms related to pneumonia, the following statements is true?

Answer: The proportion of produce mental impairment than the young high

Choices:
A. The proportion of young people than high fever
B. Cough with phlegm higher proportion than the young
C. The proportion of produce mental impairment than the young high
D. Chest pain produced proportions than young high

young
suffering
symptoms related
pneumonia
following
true


Question: In the 100-meter sprint, which of the following is a muscle four seconds before the major energy?

Answer: creatine phosphate

Choices:
A. anaerobic metabolism of glucose
B. aerobic metabolism of glucose
C. creatine phosphate
D. ketone bodies

100 meter
following
muscle four seconds
major energy


Question: The following about the seminal vesicle (seminal vesicle), what's wrong?

Answer: Cells lining epithelium (simple columnar epithelium)

Choices:
A. Both to the outer longitudinal smooth inner coating (smooth muscle coat)
B. Secretions rich in fructose (fructose)
C. There are many inherent elastic fiber layer (elastic fiber)
D. Cells lining epithelium (simple columnar epithelium)

following
seminal vesicle
seminal vesicle
wrong


Question: 12-year-old boy, bloody stool come for treatment. Physical examination found his lips with black spots in the following figure, the disease is most likely to:

Answer: Peutz-Jeghers syndrome

Choices:
A. Peutz-Jeghers syndrome
B. familial polyposis coli
C. Gardner's disease
D. flat villous adenoma

year old boy
bloody stool
treatment
found
lips
black spots
following
disease


Question: Most of the brainstem glioma (intrinsic brain stem glioma) patients with symptoms as the initial presentation of what?

Answer: Cranial neuropathy (cranial neuropathies)

Choices:
A. Cranial neuropathy (cranial neuropathies)
B. Headache (headache)
C. Hydrocephalus (hydrocephalus)
D. Papilledema (papilledema)

Most of the brainstem glioma
intrinsic brain stem glioma
patients
symptoms
initial presentation


Question: Statements is glucose newborn action (gluconeogenesis) the following information about the right of human cells?

Answer: Protein can be converted into glucose

Choices:
A. Protein can be converted into glucose
B. Glucose, insulin can activate the role of newborn
C. After the intake of high-carbohydrate foods, take advantage of this effect to lower blood sugar
D. Essential fatty acids into glucose the way

glucose newborn action
following
right
human cells


Question: Which of the following is disposed a flow-directed pulmonary artery catheter when recording pulmonary artery wedge pressure (wedge pressure), was observed reasons prominent v waves exist? ①tricuspid atresia ②aortic valve stenosis ③aortic regurgitation ④mitral regurgitation

Choices:
A. ①②③
B. ①③
C. ②④
D. ④


Question: Figure hatched parts of the epidermis feeling, it is mainly the responsibility of a spinal nerve root?

Answer: The first thoracic spinal cord

Choices:
A. Sixth cervical spinal cord
B. Seventh cervical spinal cord
C. The first thoracic spinal cord
D. Second thoracic spinal cord

hatched parts of
epidermis
of
spinal nerve root


Question: That one of the following antidepressants are less prone to side effects of postural hypotension?

Answer: Fluoxetine

Choices:
A. Desipramine
B. Trazodone
C. Fluoxetine
D. Amitriptyline

one
following antidepressants
less prone
side effects
postural hypotension


Question: Fixed spinal cord dentate ligament (denticulate ligament) is formed from which of the following?

Answer: Pia mater (pia mater)

Choices:
A. Dura periosteal layer (periosteal layer of dural mater)
B. Meningeal layer of the dura (meningeal layer of dural mater)
C. Arachnoid (arachnoid mater)
D. Pia mater (pia mater)

Fixed spinal cord dentate ligament
denticulate ligament
formed


Question: Connective tissue, which of the following manufacture and secretion of matrix (ground substance)?

Answer: Fibroblasts (fibroblast)

Choices:
A. Plasma cells (plasma cell)
B. Mast cells (mast cell)
C. Histiocytes (histiocyte)
D. Fibroblasts (fibroblast)

Connective tissue
following
secretion
matrix
ground substance


Question:
8 as a result of patient oral glucose tolerance test (oral glucose tolerance test) as follows: Time (minutes) 0 '30' 60 '90' 120 'blood glucose (mg%) 110 220 190 178 155
 The diagnosis is:

Answer: Impaired glucose tolerance (impaired glucose tolerance)

Choices:
A. normal
B. diabetes
C. Impaired glucose tolerance (impaired glucose tolerance)
D. Not only make a diagnosis

oral glucose tolerance test
oral glucose tolerance test
follows
Time
minutes
0
30
60
90
blood glucose
mg
diagnosis


Question: Which of the following rare in opioid overdose (opioid overdose)?

Answer: Body temperature

Choices:
A. Miosis
B. Reaction worse (unresponsiveness)
C. Respiratory depression (respiratory depression)
D. Body temperature

following rare
opioid overdose
opioid overdose


Question: Following the adult's distal radial fracture (Colles's fracture) narrative, what's right?

Answer: Nonunion fractures rarely occur (non-union)

Choices:
A. The most commonly occur in the 40 years of age
B. The incidence of women than men
C. Nonunion fractures rarely occur (non-union)
D. Distal radial ulnar joint (radio-ulnar joint) without dislocation is rare

Following
adult's distal radial fracture
Colles's fracture
right


Question: When pregnant women infected with rubella virus most likely to cause congenital birth defects?

Answer: The initial three months of pregnancy

Choices:
A. The initial three months of pregnancy
B. Mid-pregnancy for three months
C. Three months late pregnancy
D. Perinatal

infected
to cause congenital birth defects


Question: A 34-year-old male patient to the orthopedic clinic for medical treatment, the patient is professional movers, the last half year that is the phenomenon of lower back pain, and even affect the work; complained in recent weeks to the right leg and buttocks extending to the ipsilateral the first toe severe numbness, severe lameness, coughing and aggravate their symptoms on the toilet hard. Recalling its history, before the emergence of the right lower extremity numbness of the day, there is heavy items waist flash back to the feeling, so we judge that the patient most likely diagnosis is which of the following?

Answer: Disc (HIVD)

Choices:
A. Spinal stenosis (spinal stenosis)
B. Spondylolisthesis (spondylolisthesis)
C. Disc (HIVD)
D. Tumor metastasis

year old male patient
orthopedic clinic
medical treatment
patient
professional movers
last half year
of lower back pain
recent weeks
right leg
buttocks extending
ipsilateral
first toe severe numbness
severe lameness
coughing
aggravate
symptoms
toilet hard
history
right lower extremity numbness
day
heavy
waist flash back
feeling
judge
patient
likely diagnosis
following


Question: 57 aminoglycoside class (aminoglycoside) is a fungicide drugs, commonly used to treat serious infections caused by Gram-negative bacteria and a small number of gram-positive bacteria, anaerobic bacteria to these drugs but is resistant , the main reason is:

Answer: Such antibiotics can not enter bacterial cells

Choices:
A. Bacterial ribosome binding site mutation, so that antibiotics can not be combined
B. Such antibiotics can not enter bacterial cells
C. Antibiotics structure is secreted bacterial enzymes that break
D. The effectiveness of antibiotics is not enough

57 aminoglycoside
aminoglycoside
fungicide drugs
used to treat serious infections caused
small number
drugs
resistant
main


Question: A 60 year old man left lung resection for lung cancer (left pneumonectomy), then the total alveolar compliance (total alveolar compliance), pulmonary vascular resistance (pulmonary vascular resistance), conductivity airways (airway conductance) and other physiological indicators and not previously done before lung resection compared to the most likely why change?

Answer: Decreased alveolar total compliance, decreased pulmonary vascular resistance, elevated airway conductivity

Choices:
A. Decreased alveolar total compliance, elevated pulmonary vascular resistance, decrease of airway conductance.
B. Alveolar elevated total compliance, elevated pulmonary vascular resistance, decrease of airway conductance.
C. Alveolar total compliance increased, decreased pulmonary vascular resistance, elevated airway conductivity
D. Decreased alveolar total compliance, decreased pulmonary vascular resistance, elevated airway conductivity

60 year old man left lung resection
cancer
left pneumonectomy
then
total alveolar compliance
total alveolar compliance
pulmonary vascular resistance
pulmonary vascular resistance
airways
airway conductance
physiological
not
done
lung resection
likely
change


Question: For immunosuppressive drugs may chelate any cellular DNA to inhibit the proliferation of immune cells from the immune response associated with?

Answer: Cyclophosphamide

Choices:
A. Cyclosporine
B. Tacrolimus
C. Cyclophosphamide
D. Muromonab-CD3

immunosuppressive drugs
cellular DNA to inhibit
proliferation
immune cells
immune response associated with


Question: Bearing on the question, which of the following syndrome are more likely to Tongshifasheng disease in infants?

Answer: Mikulicz's syndrome

Choices:
A. Down syndrome
B. Peutz-Jeghers syndrome
C. Mikulicz's syndrome
D. Zollinger-Ellison syndrome

Bearing
following syndrome
more likely
disease
infants


Question: Heart patients blood cholesterol (cholesterol) is too high, so taking cholesterol-lowering statin drugs, which of the following is a statin in this situation the most important mechanism of action?

Answer: inhibition of cholesterol synthesis reaction statin HMG-CoA reductase

Choices:
A. statin inhibition of cholesterol absorption by the intestine
B. statin inhibition of cholesterol enterohepatic recycling (enterohepatic recirculation)
C. inhibition of cholesterol synthesis reaction statin HMG-CoA reductase
D. statin suppressing low-density lipoprotein receptor gene expression

Heart patients blood cholesterol
cholesterol
too high
cholesterol-lowering statin drugs
following
statin
most important mechanism of action


Question: The figures are a 50-year-old male patient on the left side of the eardrum found otoscopy, based on observation of this figure, why your diagnosis?

Answer: Otitis media with effusion

Choices:
A. Otitis media with effusion
B. Chronic suppurative otitis media
C. Acute otitis media
D. Cholesteatoma otitis media

50 year old male patient
left
eardrum found otoscopy
based
observation
diagnosis


Question: The following description of the scrotal dartos fascia, and what's right?

Answer: Associated with abdominal Camper's fascia

Choices:
A. Associated with abdominal Camper's fascia
B. Rich in subcutaneous fat
C. Dartos muscle skeletal muscle configuration containing
D. Muscle extract containing epididymis (cremasteric muscle)


Question: 95.56-year-old female, the labia majora and there is a clear boundary, itching, face redder and will scab lesions. She received a biopsy. Illustrates a variation of the lesions under the microscope. The following information about the disease statements is true?

Answer: PAS staining cytoplasm of diseased cells is positive

Choices:
A. Caused by the human papillomavirus
B. Is derived from a benign tumor of melanocytes
C. Is primary cell carcinoma
D. PAS staining cytoplasm of diseased cells is positive

95
year old female
labia majora
clear
itching
face redder
scab lesions
received
biopsy
variation
lesions
microscope
following
disease
true


Question: Central nervous system, the detecting body fluid osmolality, and involved in the regulation of vasopressin (anti-diuretic hormone) secreted by the osmotic device (osmoreceptor) closest to the following distribution where?

Answer: Supraoptic nucleus (supraoptic nucleus)

Choices:
A. Supraoptic nucleus (supraoptic nucleus)
B. Cone cortex (pyramidal cortex)
C. CROSS cone (pyramidal decussation)
D. System hoof-like inner (medial lemniscus system)

Central nervous system
detecting body fluid osmolality
involved
vasopressin
diuretic hormone
secreted
osmotic device
osmoreceptor
closest
following distribution


Question: The following account of carcinogenicity RNA virus (Oncovirus) of, what is wrong?

Answer: Some itself without oncogenes can cause cancer, such as Rous sarcoma virus (Rous sarcoma virus)

Choices:
A. Belonging to the retrovirus families (retroviridae) classification
B. Also known as RNA tumor virus (RNA tumor virus)
C. Some itself with oncogene (oncogenes)
D. Some itself without oncogenes can cause cancer, such as Rous sarcoma virus (Rous sarcoma virus)


Question: Smoking-related statements about the glue, Which statement is correct?

Answer: The effect produced is similar CNS depressants (CNS depressant), such as alcohol

Choices:
A. The effect produced is similar CNS depressants (CNS depressant), such as alcohol
B. Long-term smokers often prone to withdrawal symptoms
C. Long-term smokers brain tomography, easy to find infarction (infarction) small area
D. Because of its short duration of action of drug, continued smoking during pregnancy, the fetus has little impact


Question: In about a 30 year old woman long-term amenorrhea due to obstetrics and gynecology for treatment, pregnancy test result is negative, there are situations when the milk secretion and referred patients, blood tests and blood prolactin concentration than normal of about 1,000 above the fold, so go to the clinic neurosurgery. The physician Arrangement following the disposal, whichever is most inappropriate?

Answer: Carotid ultrasound

Choices:
A. Brain magnetic resonance imaging (MRI)
B. Perimetry
C. Carotid ultrasound
D. Blood testing GH, ACTH, TSH concentration in blood


Question: Mylohyoid muscle (Mylohyoid muscle) innervated by what?

Answer: The fifth cranial nerve third branch

Choices:
A. The fifth cranial nerve third branch
B. Glossopharyngeal nerve (Glossopharyngeal nerve)
C. The first cervical nerve
D. Hypoglossal nerve (Hypoglossal nerve)


Question: 5626-year-old female patient, intermittent headache for three years, even more Rongyifasheng before menstruation; often the immediate shadow of the phenomenon lasted about 5-10 minutes before the headache, headaches position behind the right eye socket most serious, the pulse of the dance movement, while photophobia phenomenon, usually pain all day, to wake up the next day will be good; outpatient physical examination found no anomalies. This patient most likely suffers from:

Answer: migraine

Choices:
A. After the right eyeball tumor
B. migraine
C. Sinusitis
D. The right side in the carotid stenosis

year old female patient
intermittent headache
three years
menstruation
often
immediate shadow
lasted
5 minutes
headache
headaches position
right eye most serious
pulse
movement
photophobia
usually pain
day
wake up
next day
good
outpatient
found
anomalies
patient
suffers


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

Answer: Parafollicular cells 分泌 thyroglobulin

Choices:
A. T4 adult half-life of about one week
B. Parafollicular cells 分泌 thyroglobulin
C. T3 half-adults of from about 8 to 12 hours
D. Medullary thyroid carcinoma lesions from the parafollicular cells


Question: In the diagnosis and treatment of breast cancer, axillary lymph divided into three regions (Level), wherein the second region (level Ⅱ) is:

Answer: Then located in a small chest (pectoralis minor muscle) Party

Choices:
A. Located thoracodorsal artery (thoracodorsal artery) outside the
B. Positioned inside the artery thoracodorsal
C. Also known as axillary lymph node tip (apical node)
D. Then located in a small chest (pectoralis minor muscle) Party

diagnosis
treatment of breast cancer
axillary lymph divided
three regions
Level
second region
level


Question: After the occurrence of athletes ankle sprain, following the disposal of what's wrong?

Answer: To cast immobilization six weeks is a necessary measure

Choices:
A. To cast immobilization six weeks is a necessary measure
B. Basketball and football players can Gaotong to wear shoes (hightop shoes)
C. Taping (taping) therapy on ankle sprain longer valid
D. A treadmill help of endurance training after ankle sprain

occurrence of athletes ankle sprain
following
wrong


Question: Statements about food poisoning staphylococci (Staphylococcus) caused, following that a mistake?

Answer: It is caused by heat-labile enterotoxin

Choices:
A. It is caused by heat-labile enterotoxin
B. Fast produce symptoms, occurs within about 4 hours
C. Symptoms disappear quickly, about 24 hours will disappear
D. Some of Staphylococcus aureus bacteria can lead to pseudomembranous enterocolitis

food poisoning staphylococci
caused
following
mistake


Question:
A serum-old boy 37 for 3 months, there are higher concentrations of both compounds, including phenylalanine (Phenylalanine) and phenylketonuria (phenylpyruvate), suspected phenylketonuria (phenylketonuria), but the test was measured the phenylalanine hydroxylase (Phenylalanine
 hydroxylase) activity was normal. If following the project abnormal enzyme test, you can still support your phenylketonuria diagnosis?

Answer: Hydrochlorothiazide pteridine reduction enzyme (dihydrobiopterin reductase)

Choices:
A. Tyrosinase (Tyrosinase)
B. Hydrochlorothiazide pteridine reduction enzyme (dihydrobiopterin reductase)
C. Black urate oxidase (homogentisic acid oxidase)
D. Dopamine hydroxylase (dopamine hydroxylase)

serum old boy
months
higher
compounds
including phenylalanine
Phenylalanine
phenylketonuria
phenylpyruvate
suspected phenylketonuria
phenylketonuria
test
measured
phenylalanine hydroxylase
Phenylalanine hydroxylase
activity
normal
following
abnormal enzyme test
support
phenylketonuria diagnosis


Question: The following information about adoptive T-cell transfer immunotherapy used to describe a tumor, that a mistake?

Answer: From healthy human purified T cells in vivo hit back after in vitro stimulation therapy for cancer patients

Choices:
A. From healthy human purified T cells in vivo hit back after in vitro stimulation therapy for cancer patients
B. T cell activation requires IL-2 in vitro cytokine stimulation
C. T cells can activate antigen presenting cells via (antigen presenting cells)
D. T cell activation still retains memory (Memory)

following
adoptive
cell transfer immunotherapy used to
tumor
mistake


Question: The following statements about the inhaled anesthetic gases and what was wrong?

Answer: Drug metabolism mainly carried out through the kidneys

Choices:
A. Inhibit ischemic pulmonary vasoconstriction (hypoxic pulmonary vasoconstriction)
B. Tidal volume (tidal volume) will be reduced when patients breathe
C. Will reduce the contractile force of the heart (myocardial contractility)
D. Drug metabolism mainly carried out through the kidneys

following
inhaled anesthetic gases
wrong


Question: N2 can be converted to nitrogen via ammonia solidification (nitrogen fixation), they are used for the two enzymes:

Answer: nitrogenase, nitrogenase reductase

Choices:
A. nitrate reductase, nitrite reductase
B. glutamate synthase, glutamate dehydrogenase
C. dihydrofolate reductase, methione synthase
D. nitrogenase, nitrogenase reductase

N2
nitrogen
ammonia
nitrogen fixation
used
two enzymes


Question: Massive blood loss, the body through many machines turn causes increased thirst and water intake, Which is a reasonable machine turn?

Answer: Angiotensin II increases blood concentrations, and applied to the subfornical organ (located diencephalon), and finally through the signal initiator hypothalamic thirst

Choices:
A. Hypothalamus of osmoreceptor thirst caused the osmolarity of body fluids change, activation
B. Blood pressure, heart and baroreceptor activation located in the vessel wall, the last signal is triggered via the hypothalamus thirst
C. Increase the release of renin, renin lead to action on the hypothalamic thirst
D. Angiotensin II increases blood concentrations, and applied to the subfornical organ (located diencephalon), and finally through the signal initiator hypothalamic thirst

Massive blood loss
body
machines turn causes increased thirst
water intake
machine turn


Question: Neonatal Intensive Care Unit nurse received claiming to be patient Xiu Xiu aunt's phone, asking breathing Xiu Xiu's better not. At this point the nurse practice what more appropriate?

Answer: Tactfully explain the phone can not tell the condition

Choices:
A. Phone to confirm whether she was the aunt of Xiu Xiu
B. Xiu Xiu parents asked if she got authorization
C. She told the inquiry of the matter, and told her not to call again next time
D. Tactfully explain the phone can not tell the condition


Question: Which of the following non-laparoscopic cholecystectomy the contraindications?

Answer: Previously treated with abdominal surgery

Choices:
A. Coagulation dysfunction beyond the control of
B. The serious obstructive pulmonary disease
C. The severe heart failure
D. Previously treated with abdominal surgery

following non laparoscopic cholecystectomy


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

Answer: Is a disease of the peripheral nervous system

Choices:
A. Is a disease of the peripheral nervous system
B. Cerebrospinal fluid within the TNF (Tumor Necrosis Factor, TNF) associated with disease activity
C. Interferon treatment is curative
D. The virus is related to EBV and HHV6

following
multiple sclerosis
multiple sclerosis
wrong


Question: 60 year old man, because of an accident caused by a ruptured spleen blood loss, clinical manifestations of dry skin, no urine, blood pressure, by surgery, blood transfusion and rehydration, the symptoms improve, change in the course of the organ caused Which of the following most likely to occur?

Answer: Acute tubular necrosis

Choices:
A. Extensive liver necrosis
B. Acute tubular necrosis
C. Diffuse alveolar necrosis
D. Adrenocortical cells in fat accumulation

60 year old man
caused
ruptured spleen blood loss
clinical manifestations of dry skin
urine
blood pressure
surgery
blood transfusion
rehydration
symptoms
change
course
organ caused
following
likely to occur


Question: Human discharged through the anus "gas" (Flatus), approximately what percentage is fermented by the bacteria in the large intestine (Fermentation) generated?

Answer: Seventy-five percent

Choices:
A. Twenty-five percent
B. Fifty percent
C. Seventy-five percent
D. hundred percent

Human discharged
anus
gas
Flatus
approximately
percentage
bacteria
large intestine


Question: The narrative about cerebral palsy, which of the following error?

Answer: The most serious type is hemiplegia

Choices:
A. cerebral palsy patients will not necessarily merge with intellectual disabilities
B. The most serious type is hemiplegia
C. To diagnose cerebral palsy is subject to the prior rule out the possibility of other progressive brain disease
D. cerebral palsy treatment requires complex medical professionals and psychologists help of


Question: The following account of cryptosporidiosis (Cryptosporidium parvum), and what's wrong?

Answer: Patients with fresh fecal oocysts (oocyst) not contagious

Choices:
A. Parasitic in the intestinal epithelial cells
B. Once the water because the water is contaminated and cause a pandemic
C. Patients with fresh fecal oocysts (oocyst) not contagious
D. Usually self-healing (self-limiting) disease, but AIDS patients may cause chronic diarrhea

following account
cryptosporidiosis
wrong


Question: 56 25-year-old nurse in a hospital nursery, the home appear runny nose, mild cough and slight fever phenomenon, this situation continues for a few days, the cough becomes more severe, and issued a "bark" sound, when there will be excitement asthma song. In addition, the nurse seems no abnormalities, in addition to have been coughing, X-ray examination revealed significant narrowing of the glottis at the neck. This symptom is caused by a viral infection which of the following?

Answer: Parainfluenza virus (Parainfluenza virus)

Choices:
A. Parainfluenza virus (Parainfluenza virus)
B. Influenza virus (Influenza virus)
C. Respiratory syncytial virus cells (Respiratory syncytial virus)
D. Rhinovirus (Rhinovirus)

year old nurse
hospital
home appear runny nose
mild cough
slight fever
days
cough
more severe
issued
bark
sound
asthma
addition
nurse
abnormalities
coughing
X-ray
revealed significant narrowing
glottis
neck
symptom
caused
viral infection
following


Question: A 6-year-old girls' primary complaint in the past two months have intermittent anal solved by the small amount of bright red blood in stool, but no abdominal pain. Physical examination no fissure, but Dre, referring put blood, causing rectal bleeding this sick children most likely cause is:

Answer: Youth polyps

Choices:
A. intussusception
B. Youth polyps
C. Meckel's diverticulum
D. Ulcerative colitis

6 year old girls
primary complaint
past two months
intermittent anal
small amount
bright red blood
stool
abdominal pain
fissure
Dre
referring
blood
causing rectal bleeding
sick children
likely cause


Question: Which of the following through the diaphragm central tendon (central tendon of diaphragm)?

Answer: The inferior vena cava

Choices:
A. Aortic
B. The inferior vena cava
C. esophagus
D. Hepatic vein ⾨

following
diaphragm central tendon
central tendon of diaphragm


Question: Mr. Xu has liver cirrhosis with ascites, hepatic encephalopathy there. Was recently found to have day and night lethargy, confusion phenomenon, blood tests found that NH3 = 110 μg / dL (normal range: 19 ~ 60), Which is not such a common condition predisposing factor?

Answer: Hyperkalemia

Choices:
A. constipation
B. Hyperkalemia
C. Gastrointestinal bleeding
D. infection

Mr
Xu
liver cirrhosis
ascites
hepatic encephalopathy
recently found to
day
night lethargy
confusion
blood tests found
NH3
g
dL
normal range
60
not
common condition predisposing


Question: About conjunctiva papilloma (papilloma), the following statements is true?

Answer: Pathogenic ultraviolet irradiation related transfer machine

Choices:
A. Not contagious
B. Very easily transformed into malignant tumors
C. Pathogenic ultraviolet irradiation related transfer machine
D. Pathogenic infection with the human papillomavirus machine turn about

conjunctiva papilloma
papilloma
following
true


Question: A 3-year-old boy repeated occurrence of pyogenic bacterial infections, but he antibody response after vaccination normal, and he contracted chicken pox and measles normal after recovery. He is most likely the following functional defects that one cell?

Answer: Neutrophil (Neutrophils)

Choices:
A. Neutrophil (Neutrophils)
B. Phagocytes (Macrophages)
C. B lymphocytes (B lymphocytes)
D. T lymphocytes (T lymphocytes)

3 year old boy repeated occurrence
pyogenic bacterial infections
vaccination normal
contracted chicken pox
measles normal
recovery
following functional defects
one cell


Question: Large 3-year-old child, outpatient physical examination for Sick Children found that this small head circumference, wearing a hearing aid, can only say simple words, short sentences and can not say, other physical examination is normal. Its history was born full-term natural productivity and merge jaundice and thrombocytopenia. The CT examination revealed periventricular calcification. Based on the above information the following is most likely that a congenital infection?

Answer: Cytomegalovirus Infection (Cytomegalovirus infection)

Choices:
A. Syphilis (Syphilis)
B. Toxoplasmosis (Toxoplasmosis)
C. Herpes virus (Herpes simplex virus infection)
D. Cytomegalovirus Infection (Cytomegalovirus infection)

Large
year
outpatient
Sick Children found
small head circumference
hearing aid
only
simple
short
not
normal
history
born full-term natural productivity
jaundice
thrombocytopenia
CT
revealed
calcification
Based
following
congenital infection


Question: A 40-year-old man, whose height 178 cm, weight 70 kg, when it is not taking any medication affect heart rate, if at the time recommended maximum heart rate of 60 to 70% of the exercise intensity to engage in sports, then wrist pulse every ten seconds, beating several recommendations that best meet this sport?

Answer: 19

Choices:
A. 15
B. 17
C. 19
D. 22

40 year old man
height
weight 70 kg
not
medication
heart rate
time
maximum heart rate
60
70
exercise intensity
then wrist pulse
ten seconds
several
best


Question: The most common type of stomach tissue primary cancers are:

Answer: Adenocarcinoma (adenocarcinoma)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Squamous cell carcinoma (squamous cell carcinoma)
C. Lymphoma (lymphoma)
D. Leiomyosarcoma (leiomyosarcoma)


Question: Pathological changes related to Vice-onset times caused by hyperthyroidism, which of the following error?

Answer: Fat cells increase in parathyroid

Choices:
A. Within the parathyroid chief cells (chief cells) proliferation are the main
B. Causing osteitis fibrosa cystica (osteitis fibrosa cystica)
C. Fat cells increase in parathyroid
D. Visible metastatic calcification (metastatic calcification) in multiple tissues and organs

Pathological changes related
onset times caused
hyperthyroidism
following error


Question: Deoxyribonucleic acid (DNA) double helix (double helix) structure is one of the greatest discoveries of the twentieth century. Stability of double-stranded helical structure, mainly from which of the following?

Answer: Between the different DNA strands purine (purine) with a pyrimidine (pyrimidine) hydrogen

Choices:
A. Between the neighboring purine (purine) hydrogen bonds
B. Between the adjacent pyrimidine (pyrimidine) hydrogen
C. Double helix structure itself
D. Between the different DNA strands purine (purine) with a pyrimidine (pyrimidine) hydrogen

Deoxyribonucleic acid
double helix
double helix
structure
one
greatest
century
Stability
double-stranded helical structure


Question: The following three types of virus, where cases can cause lesions as shown in the arrow in the nervous system?

Answer: ①②③

Choices:
A. Only ①
B. Only ②
C. Only ①②
D. ①②③

following three
cases
cause lesions
arrow
nervous system


Question: GnRH agonists narrative about the drugs, Which of the following most correct?

Answer: Treat endometriosis

Choices:
A. Shorter half-life than endogenous GnRH
B. 3 weeks after administration, can stimulate FSH
C. Treat endometriosis
D. Can be used orally


Question: Bearing on issues such as the above checks can not rule out biliary atresia, the next step dispose why?

Answer: operative cholecystocholangiography

Choices:
A. Computed tomography or magnetic resonance imaging
B. Laparoscopic
C. Retrograde biliary duct Photography (ERCP)
D. operative cholecystocholangiography

Bearing
issues
above checks
not rule out biliary atresia
next step


Question: Following on standardized mortality ratio (standardized mortality ratio, SMR) of the narrative, what's wrong?

Answer: Two groups different SMR, must be due to different mortality stratified

Choices:
A. Case-control method also calculate SMR
B. SMR can not be directly compared two
C. Is a standardized way of an indirect method
D. Two groups different SMR, must be due to different mortality stratified

Following
standardized mortality ratio
standardized mortality ratio
SMR
wrong


Question: The following is not a molecule that glycolysis (glycolysis) and gluconeogenesis (gluconeogenesis) common intermediate product?

Answer: Oxaloacetic acid (oxaloacetate)

Choices:
A. PEP (phosphoenolpyruvate)
B. Oxaloacetic acid (oxaloacetate)
C. 1,3-diphosphoglycerate (1,3-bisphosphoglycerate)
D. Glucose 6-phosphate (glucose 6-phosphate)

following
not
common intermediate product


Question: 56.14-year-old boy complained to the tumor gradually grew up about a year and right thighs. Local history inquiry found that there is pain, especially after long standing pain was diagnosed as intramuscular hemangioma (intramuscular hemangioma). Narrative about the diagnosis, prognosis and disposal, the following best right?

Answer: The more deep tumors more difficult to diagnose, easily mistaken for cancer

Choices:
A. Most tumors will continue to increase resulting in limb deformity
B. Often require surgery to resolve the pain
C. Distant metastases may occur
D. The more deep tumors more difficult to diagnose, easily mistaken for cancer

year old boy
tumor
year
right thighs
Local history
found
pain
long standing pain
diagnosed
intramuscular hemangioma
intramuscular hemangioma
diagnosis
prognosis
following best right


Question: Which of the following would happen cyanosis (cyanosis)?

Answer: Arterial blood hemoglobin oxygen content greater than 5 g / dL

Choices:
A. Arterial blood hemoglobin oxygen content greater than 5 g / dL
B. poisoned by carbon monoxide
C. Hypoxic tissue toxicity
D. Severe anemia hypoxia


Question: Taiwan has entered the aging society, the elderly about the following common benign prostate hypertrophy performed transurethral resection of the prostate (TURP) consideration of anesthesia, what's wrong?

Answer: Transurethral prostatectomy syndrome (TURP syndrome), because too much fluid genus, a certain decrease in blood pressure

Choices:
A. Frame foot (lithotomy) posture affects lung FRC (functional residual capacity)
B. Typically implemented bust anesthesia, but the preoperative assessment of cardiopulmonary function is still necessary
C. When intraoperative change awareness, blood tests should be oxygen and blood concentration of sodium ions
D. Transurethral prostatectomy syndrome (TURP syndrome), because too much fluid genus, a certain decrease in blood pressure


Question: Related to ovarian hyperstimulation syndrome (OHSS), Which of the following most correct?

Answer: Ascites caused by oppression or dyspnea, to be deprived of ascites

Choices:
A. Regardless of the number and incidence of oocyte retrieval
B. Early-onset OHSS and exogenous hCG has nothing to do
C. Found few urine, quickly diuretics
D. Ascites caused by oppression or dyspnea, to be deprived of ascites

Related
ovarian hyperstimulation syndrome
following
correct


Question: Trisomy (trisomy) formed mainly of chromosomes during cell division to the progeny not evenly distributed in cells. The following statements about the causes Down's syndrome, that kind of highest probability?

Answer: Egg formation, the first time in meiosis uneven distribution

Choices:
A. Egg formation, the first time in meiosis uneven distribution
B. Sperm formation, the first time in meiosis uneven distribution
C. Distribution of chromosomes when the fertilized egg formation, in the previous mitotic uneven
D. Two sperm and egg together to form a zygote

Trisomy
trisomy
formed
chromosomes
cell division
not
distributed
cells
following
causes Down's syndrome
kind
highest probability


Question: The seventh cranial nerve parasympathetic preganglionic fibers through what's contained in the ganglion, but not with the nerve synapse within the ganglion yuan?

Answer: Geniculate ganglion (Geniculate ganglion)

Choices:
A. Pterygopalatine ganglion (Pterygopalatine ganglion)
B. Mandibular ganglion (Submandibular ganglion)
C. Ear ganglion (Otic ganglion)
D. Geniculate ganglion (Geniculate ganglion)

seventh cranial nerve
fibers
contained
ganglion
not
nerve synapse
ganglion


Question: Suppose a DNA fragment of 900 pairs of nucleotides (base pairs) consisting of, free of non-translated portion (untranslated region). How many multi-peptide (polypeptide) of its corresponding translation of mRNA produced by the molecular weight of about?

Answer: 30,000

Choices:
A. 900
B. 5,000
C. 30,000
D. 100,000

a DNA fragment
900 pairs
base pairs
consisting
free
non
portion
multi peptide
polypeptide
molecular weight


Question: Benign paroxysmal postural vertigo (benign paroxysmal positional vertigo, BPPV) is a balloon or utricle otolith (Otolith) fall, fall into the semicircular canal, otolith fall off is the most common:

Answer: Posterior semicircular canal (posterior semicircular canal)

Choices:
A. Side of the semicircular canal (lateral semicircular canal)
B. Posterior semicircular canal (posterior semicircular canal)
C. Semicircular canal (superior semicircular canal)
D. Horizontal semicircular canal (horizontal semicircular canal)

Benign
Benign paroxysmal postural
benign paroxysmal positional vertigo
BPPV
balloon
utricle otolith
Otolith
fall
fall into
semicircular canal
otolith fall
most common


Question: Surgical options well-differentiated thyroid cancer, related to total thyroidectomy, the following statements is wrong?

Answer: Can reduce parathyroid dysfunction and recurrent laryngeal nerve injury and other complications

Choices:
A. Can reduce parathyroid dysfunction and recurrent laryngeal nerve injury and other complications
B. After the surgery can be used as markers to track thyroglobulin
C. Increase iodine -131 (iodine-131) treatment after surgery
D. Need lifelong thyroxine


Question: For the following description, "atrial natriuretic peptide (atrial natriuretic peptide)", the what's right?

Answer: The main function of lowering blood pressure regulation and electrolyte

Choices:
A. Mainly by the ventricular myocardial cells secrete
B. Mainly by endothelial cells
C. The main function is to increase blood pressure
D. The main function of lowering blood pressure regulation and electrolyte

following
atrial natriuretic peptide
atrial natriuretic peptide
what
ight?


Question: Chronic viral hepatitis patients if long-term excessive drinking, to Which of the following most likely caused by cirrhosis of the liver?

Answer: Type C

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

Chronic viral hepatitis patients
long-term excessive drinking
following most likely caused
cirrhosis of
liver


Question: Under Mr. Chen a few days ago suddenly appear back pain and leg pain and numbness associated with sweaty, lumbar MRI scans (MRI) appears fourth lumbar vertebrae, intervertebral disc between the fifth. Which of the following rehabilitation treatment best suited?

Answer: Lower back traction pelvic with hot (pelvic traction)

Choices:
A. Lower back traction pelvic with hot (pelvic traction)
B. Electrical stimulation (electric stimulation)
C. Ultrasound (ultrasound)
D. Spa (hydrotherapy)

Mr
few days
appear back pain
leg pain
numbness associated with sweaty
lumbar MRI scans
MRI
appears fourth lumbar vertebrae
intervertebral disc
fifth
following rehabilitation treatment best


Question: A 40-year-old male, smoking up to two years, recent physical examination found on the right side of the lung lobe 2 cm nodule by positron photography and brain and chest CT examination found that only ipsilateral hilar lymph node involvement, by the slice confirmed non-small cell lung cancer, what treatment patients should receive the most appropriate?

Answer: Surgical resection and postoperative adjuvant chemotherapy

Choices:
A. Surgery, postoperative can
B. Surgical resection and postoperative adjuvant chemotherapy
C. Radiation treatment
D. Use Gefitinib

40 year old male
smoking
two years
recent
found
the right side of
lung lobe
nodule
positron
brain
chest CT
found
only ipsilateral hilar
confirmed non-small cell lung cancer
treatment patients
receive
most appropriate


Question: Which of the following diseases most often associated with potentially cancer (occult cancer)?

Answer: Dermatomyositis (dermatomyositis)

Choices:
A. Rheumatoid arthritis (rheumatoid arthritis)
B. Muscular dystrophy (muscular dystrophy)
C. Sports neurons disease (motor neuron diseases)
D. Dermatomyositis (dermatomyositis)

following diseases
often associated with
cancer
occult cancer


Question: Stomach feeling of satiety is mainly carried by which of the following?

Answer: Vagus nerve (vagus nerve)

Choices:
A. Splanchnic nerve (greater splanchnic nerve)
B. Small visceral nerve (lesser splanchnic nerve)
C. Splanchnic nerve (least splanchnic nerve)
D. Vagus nerve (vagus nerve)


Question: When hysteroscopic surgery, the occurrence of hypotonic (hypotonic) uterine inflation fluid (distension media) excessive absorption (overload) clinical manifestations of, in addition to brown urine or hematuria, the merger may not include which of the following symptoms?

Answer: Continued heavy bleeding

Choices:
A. Shortness of breath and sputum foam (frothy sputum)
B. Changes in consciousness (conscious change) or delirium (delirium)
C. Few of urine (oliguria)
D. Continued heavy bleeding

hysteroscopic surgery
occurrence
hypotonic
hypotonic
uterine inflation fluid
distension media
excessive absorption
clinical manifestations of
brown urine
hematuria
not include
following symptoms


Question: The following statements about the causes of epilepsy, what's right?

Answer: Infants and Junior (greater than 1 month, less than 12 years old) with genetic abnormalities or primary (idiopathic) based

Choices:
A. Less than a month to newborns the most common brain tumor
B. Infants and Junior (greater than 1 month, less than 12 years old) with genetic abnormalities or primary (idiopathic) based
C. Adolescents (12-18 years old) with cerebral vascular disease based
D. Youth and adults (18-35 years old) to neurodegenerative diseases based


Question: About herpes zoster ophthalmia (herpes zoster ophthalmicus) of the narrative, which of the following error?

Answer: Oral steroids is an absolute contraindication

Choices:
A. Occur more frequently in the elderly or patients with immunodeficiency
B. Skin lesions occur in the range of the trigeminal nerve (trigeminal nerve) dominated the
C. Early administration of antiviral drugs (such as acyclovir) reduces the potential for the occurrence of post-herpetic neuralgia (post-herpetic neuralgia) of
D. Oral steroids is an absolute contraindication

herpes zoster ophthalmia
herpes zoster ophthalmicus
following error


Question: 47.60-year-old male with a history of hypertension and diabetes, neurological symptoms due to acute medical treatment, according to shadow the brain magnetic resonance examination revealed acute lacunar (lacunar infarction), those following a lacunar stroke common typical symptoms: ① limb disorder (dysmetria) ② aphasia (aphasia) ③ dysarthria (dysarthria) ④ ignored (neglect The)

Answer: ①③

Choices:
A. ①③
B. ②④
C. ①④
D. ②③


Question: Abdominal compartment syndrome (abdominal compartment syndrome) is a bleeding organ or abdominal cavity pulp tissue edema, resulting in intra-abdominal pressure (intra-abdominal pressure) rises sharply, leading to difficulty in breathing, blood pressure, kidney failure when, what should be used immediately following better ways to deal with?

Answer: Now using the disposal or surgical decompression (decompressive procedures or operation)

Choices:
A. Inserted endotracheal tube
B. A supercharger agents (vasopressor in)
C. Shi play diuretics (diuretic agents)
D. Now using the disposal or surgical decompression (decompressive procedures or operation)

Abdominal compartment syndrome
abdominal compartment syndrome
bleeding organ
abdominal pulp tissue edema
resulting in intra-abdominal pressure
intra-abdominal pressure
leading
difficulty
breathing
blood pressure
kidney failure
used immediately following better
to


Question: Tensor tympani muscle (tensor tympani) dominated by what nerve?

Answer: The fifth cranial nerve third branch

Choices:
A. The fifth cranial nerve third branch
B. Accessory nerve (accessory nerve) of the cranial root (cranial root), turning the vagus nerve (vagus nerve)
C. Eighth cranial nerve
D. The seventh cranial nerve

Tensor tympani muscle
tensor tympani
nerve


Question: Are breast-feeding postpartum two weeks of 30-year-old woman, because of fever and pain in the right breast to the emergency room for medical treatment, physical examination found the right breast swelling and tenderness of the case, the body temperature is 38 ℃, other vital signs and physical examination is no exception, following statements is wrong?

Answer: Should be a full cessation of breastfeeding

Choices:
A. Highly suspected mastitis (puerperal mastitis) postpartum
B. The most common pathogen was Staphylococcus aureus
C. Should be a full cessation of breastfeeding
D. Oral antibiotics

breast
postpartum two
30 year old woman
fever
pain in the right breast
emergency room
medical treatment
found
right
tenderness
case
body temperature
vital signs
following
wrong


Question: 94 assume that 10 years ago, 25% of the incidence of myocardial infarction patients died within 24 hours, this ratio is called the case fatality rate (case fatality), researchers want to know there was a 10-year case fatality rate of myocardial infarction patients if there are significant changes in 15 patients with myocardial infarction his new collection, within five 24 hours of death, what should researchers use statistical methods to answer this research question him?

Answer: Two single sample proportion test

Choices:
A. A single sample z test
B. A single sample t-test
C. Two single sample proportion test
D. Two samples of two proportions test

incidence
myocardial infarction patients died
24 hours
ratio
called
case fatality rate
case fatality
researchers
to
a 10 year case fatality rate
myocardial infarction patients
significant changes
patients
myocardial infarction
new collection
five 24 hours
death
researchers use
to


Question: The following narrative and what was wrong?

Answer: Volume of distribution (Vd), the actual volume of distribution for drug

Choices:
A. Volume of distribution (Vd), the actual volume of distribution for drug
B. Liver, kidney function is important for the impact of drug clearance (CL)
C. After administration, the plasma drug concentration reduced the time required for half of the original called half-life (t1 / 2)
D. The living body administered intravenously (IV) availability (Bioavailability) 100%


Question: Injured blood vessel, adjacent to the endothelial cells release a substance to prevent the proliferation following which platelet aggregation state?

Answer: Nitric oxide (nitric oxide) and prostacyclin (PGI2)

Choices:
A. Vitamin K and plasminogen (plasmin)
B. Lipid coagulation factors A2 (thromboxane A2)
C. Fibrinogen (fibrinogen) and calcium ions
D. Nitric oxide (nitric oxide) and prostacyclin (PGI2)

Injured blood vessel
adjacent to
release
to prevent
proliferation following
platelet aggregation state


Question: Clinical and pathological lesions of the skin 40. As shown in FIG discovery, chest X-ray found bilateral hilar lymph nodes, skin Which of the following as the most likely disease?

Answer: Class granuloma (sarcoidosis)

Choices:
A. Class granuloma (sarcoidosis)
B. TB (tuberculosis)
C. Cutaneous T-cell lymphoma (cutaneous T cell lymphoma)
D. Kaposi's sarcoma (Kaposi's sarcoma)


Question: 75. A 65-year-old female patient, obesity, stroke, history of hypertension. Four weeks ago but had leg fractures and underwent surgery, is currently recuperating at home in bed, the wound healed well. This morning, the patient suddenly felt nausea, chest tightness, out of breath, his family rushed to hospital for treatment. When the temperature is normal hospital conscious, breathing 27 times / min, heart rate 120 beats / min, blood pressure 88/43 mmHg, 86% oxygen saturation. You discover new T wave inversion and S1-Q3-T3 pattern in the ECG Lead V1 to V4, the patient most likely diagnosis of why?

Answer: Pulmonary embolism (pulmonary embolism)

Choices:
A. Dissection of the aorta (aortic dissection)
B. Acute stroke (acute stroke)
C. Pulmonary embolism (pulmonary embolism)
D. Lobar pneumonia (lobar pneumonia)

75
65 year old female patient
obesity
stroke
history of hypertension
Four weeks
leg fractures
surgery
currently
at home
bed
wound healed well
morning
patient
chest tightness
breath
rushed
hospital
treatment
temperature
normal hospital
breathing 27 times
min
heart rate
beats
min
blood pressure 88
mmHg
oxygen saturation
new T wave inversion
S1
pattern
ECG Lead V1
patient
likely diagnosis


Question: The following statements about vitamin E (vitamin E), and what's right?

Answer: Food ingredients containing vitamin E tocopherols and tocotrienols

Choices:
A. Vitamin E is a single carbon metabolism (one-carbon metabolism) reactions important coenzyme
B. Vitamin E quinone (quinone) derivatives
C. Food ingredients containing vitamin E tocopherols and tocotrienols
D. After the body exposed to the sun, Vitamin E itself can be synthesized


Question: Which of the following is derived solely from the fertilized egg sperm provided?

Answer: The central body (centrosomes)

Choices:
A. The central body (centrosomes)
B. Mitochondria (Mitochondria)
C. Golgi apparatus (Golgi apparatus)
D. Nuclear membrane (nuclear envelope)


Question: From the previous question, if further diagnosis of the first renal tubular acidosis (Type I renal tubular acidosis), which girls may have the following clinical or laboratory manifestations?

Answer: Renal ultrasound girls may have kidney calcifications (nephrocalcinosis)

Choices:
A. Renal ultrasound girls may have kidney calcifications (nephrocalcinosis)
B. Girls have hyperammonemia (hyperammonemia)
C. Urine anion gap value of the girl child will be negative
D. Urine pH value <5.5

previous
further diagnosis
first renal tubular acidosis
Type I renal tubular acidosis
girls
following clinical
laboratory manifestations


Question: A 50-year-old woman because of red eye, pain to the emergency room, the following statements is inappropriate?

Answer: Eye pain severity index treatment is effective, it is not appropriate to use a topical analgesic eye

Choices:
A. When the upper lid (Eyelid) found at small blisters, shall note whether ophthalmologist Corneal lesions
B. If the tip of the nose found a small blisters, then nasal ciliary nerve (nasociliary nerve) have been violated
C. Eye pain severity index treatment is effective, it is not appropriate to use a topical analgesic eye
D. If you suspect herpes virus infection, use erythromycin (erythromycin) prevention of secondary bacterial infections

50 year old woman
red eye
pain
emergency room
following
inappropriate


Question: About the syndrome of inappropriate secretion of antidiuretic hormone (syndrome of inappropriate secretion of ADH) narrative, which of the following error?

Answer: Patients had hyponatremia, is caused due to excessive fluid

Choices:
A. The diagnosis must rule out thyroid or adrenal insufficiency
B. Usually a complication of certain diseases, such as tuberculosis, lung cancer
C. Patients had hyponatremia, is caused due to excessive fluid
D. Patient Urine sodium concentration is generally greater than 10 mmol / L, and an osmotic pressure greater than 100 mOsm / kgH2O


Question: 38. The relevant Hodgkin's lymphoma (Hodgkin's lymphoma), which of the following is displayed for the third stage of the disease?

Answer: Cervical lymph nodes and inguinal lymph node involvement

Choices:
A. Neck lymph node involvement and weight loss
B. Cervical lymph nodes and inguinal lymph node involvement
C. Splenomegaly
D. Bone marrow involvement

relevant Hodgkin's lymphoma
Hodgkin's lymphoma
following
displayed
third stage
disease


Question: Concerning the classification of surgical wounds, Which statement is correct?

Answer: Xiao Ming was stabbed in the abdomen with a knife who was sent to the emergency caused by ruptured intestines, intestinal fluid from the wound seen in the emergency room, this wound should go

Choices:
A. Xiaoming arm subcutaneous fat resection performed in the outpatient operating room, complete wound closure. This wound should be classified as clean wound, the chances of infection of about 8 to 15%
B. Xiaoming due to acute appendicitis (simple appendicitis) laparoscopic appendectomy, after complete wound closure. This wound should
C. Xiao Ming was stabbed in the abdomen with a knife who was sent to the emergency caused by ruptured intestines, intestinal fluid from the wound seen in the emergency room, this wound should go
D. Bob dog bites after the calf did not mind, a week after the wound began to fester fester, requiring hospitalization debridement surgery, postoperative wounds


Question: The following narrative about the primary open corner glaucoma, what's wrong?

Answer: Early in the disease often have symptoms of blurred vision

Choices:
A. Belonging to the progressive optic neuropathy (optic neuropathy)
B. Early in the disease often have symptoms of blurred vision
C. IOP is caused by a disease risk factors, but also elements of disease control
D. With a special aspect of the optic nerve head (optic nerve head) lesions, sometimes accompanied by visual field defect

following
primary open corner glaucoma
wrong


Question: Statements about congenital trigger thumb (congenital trigger thumb) is, which of the following error?

Answer: A2 ⾞ typically slide (Pulley) at a palpable nodule (nodule)

Choices:
A. A2 ⾞ typically slide (Pulley) at a palpable nodule (nodule)
B. Month zoomed older ⼩ in nine patients, often the more likely Auto
C. Zoomed in some cases there is no family history
D. Usually without inflammation

congenital trigger thumb
congenital trigger thumb
following error


Question: The following non-steroid anti-inflammatory drugs (NSAIDs) drugs, what does not have anti-inflammatory effects?

Answer: acetaminophen

Choices:
A. acetaminophen
B. etodolac
C. ketoprofen
D. naproxen


Question: Wang 32.31 years old was diagnosed with systemic lupus erythematosus and nephritis, about 7 years, in onset mycophenolate after treatment with prednisolone, 24-hour urine past five years are less than 0.5 grams protein, serum creatinine was 0.6 mg / dL, current medication as prednisolone 5 mg daily plus hydroxychloroquine 200 mg. Wang recently due to be married, have a pregnancy plan, so to the clinic to consult whether it is necessary to adjust medication. He disposed of the following clinical most appropriate?

Answer: Maintain the current medication does not need to change

Choices:
A. The strength prednisolone dexamethasone and the like into
B. Maintain the current medication does not need to change
C. Stopped hydroxychloroquine
D. Plus azathioprine

31 years old
diagnosed
systemic lupus erythematosus
nephritis
about
years
onset mycophenolate
prednisolone
hour urine past five years
less than 0.5 grams protein
serum creatinine
0.6 mg
dL
current medication
daily
hydroxychloroquine 200 mg
recently due to
married
pregnancy plan
so
clinic to
to
medication
following clinical
appropriate


Question: 40-year-old married sex, because endometrial polyps undergoing hysterectomies arthroscopic surgery, hysteroscopy monopolar electrocautery (monopolar). Surgery and clear picture quality good but can not find Coffee role, the nurse checked the flow of electrical burn-normal function, power and good contacts, following which the uterine cavity expansion medium (distention media) is not caused by cauterization of the possible causes?

Answer: Physiological saline (normal saline)

Choices:
A. Distilled water (distilled water)
B. Dextran (dextran 70)
C. Physiological saline (normal saline)
D. Glycine (Glycine)

40 year old married sex
endometrial polyps
hysterectomies arthroscopic surgery
hysteroscopy monopolar electrocautery
monopolar
Surgery
clear picture quality good
not find
role
nurse
electrical burn normal function
power
good
following
uterine cavity
medium
distention media
not caused
cauterization
possible causes


Question: In fetal circulation, the highest oxygen content of the following where blood?

Answer: Venous catheter (ductus venosus)

Choices:
A. The superior vena cava (superior vena cava)
B. Aorta (aorta)
C. The right ventricle (right ventricle)
D. Venous catheter (ductus venosus)

fetal circulation
highest oxygen content
following
blood


Question: Most eukaryotic cells contain 40 to 50 different tRNAs, which of the following is a common sequence of these tRNA?

Answer: 3 'end containing -CCA-3'OH

Choices:
A. 3 'end containing -CCA-3'OH
B. 3 'end containing -AAC-3'OH
C. 5 'end-containing -CCAp-5'
D. 5 'end-containing -AACp-5'

Most
contain 40
50 different tRNAs
following
common sequence
tRNA


Question: 75.65-year-old male patient services, complained three days before stool with bloodshot eyes, doctors do DRE examination found no traces of blood, doctors say the following about what's most appropriate?

Answer: Lower gastrointestinal bleeding may come from the jejunum (jejunum)

Choices:
A. Lower gastrointestinal bleeding upper gastrointestinal bleeding than with a life-threatening nature
B. Older than upper gastrointestinal bleeding risk factors
C. Most acute gastrointestinal bleeding does not automatically stop the bleeding
D. Lower gastrointestinal bleeding may come from the jejunum (jejunum)

75 65 year old male patient
three days
stool
bloodshot eyes
doctors
DRE
found
traces
blood
doctors
following
most appropriate


Question: The following about the law in motion the mechanism to reduce the occurrence of coronary heart disease, what is wrong?

Answer: Increase the impedance of the action of insulin (Insulin resistance)

Choices:
A. Increase the impedance of the action of insulin (Insulin resistance)
B. Increase blood high-density lipoprotein cholesterol (HDL-Cholesterol) concentration
C. Reduce body fat ratio (Body fat ratio)
D. Lower blood triglyceride (Triglyceride) concentration


Question: 50-year-old male patient complained of, history of hypertension, did not receive regular treatment, the three weeks before there is a sudden tear back pain who are still unable to ease. CT display as shown below, following the diagnosis and treatment of what's wrong?

Answer: Although surgical endovascular repair (TEVAR) developed rapidly, but still the traditional open heart surgery based replacement surgery

Choices:
A. Which is peeled from the descending aorta to the aortic abdominal aorta, but the inlet is located at the proximal descending aorta, a diagnosis of type B aortic dissection Stanford
B. Need to consider surgery
C. Symptoms occurred more than 14 days, is a chronic aortic dissection
D. Although surgical endovascular repair (TEVAR) developed rapidly, but still the traditional open heart surgery based replacement surgery

50 year old male patient
history of hypertension
not receive regular treatment
three weeks
sudden tear back pain
unable to
CT display
following
diagnosis
treatment
wrong


Question: Hilum bronchial pulmonary bits:

Answer: Front

Choices:
A. Above
B. Underneath
C. Front
D. rear


Question: 62 following one cell that normally involved in antibody-dependent cellular poison reaction (antibody-dependent cell-mediated cytotoxicity, ADCC)?

Answer: Natural killer cells (natural killer cell)

Choices:
A. B lymphocytes
B. CD8 T lymphocytes
C. Natural killer cells (natural killer cell)
D. Mast cells (mast cell)

antibody dependent cellular poison reaction


Question: A lady came back backpacking diarrhea occurs, give antidiarrheal drugs can not improve symptoms, this may be caused due to infection in patients with gram-negative bacilli, which of the following drug of choice for the treatment of this patient?

Answer: levofloxacin

Choices:
A. levofloxacin
B. sulfacetamide
C. trimethoprim
D. vancomycin

back
diarrhea occurs
give antidiarrheal drugs
not
symptoms
caused due to infection
patients
following drug


Question: A 28-year-old male patient, it will happen every night last week, severe headache, headache occurred in each place the right eyes and temples, but also have the right eye red and watery eyes phenomenon will ease after about an hour, he last year autumn have similar headaches a month occur every night. Which of the following is the most likely diagnosis?

Answer: Cluster headache (cluster headache)

Choices:
A. Cluster headache (cluster headache)
B. Harbinger of migraine (migraine with aura)
C. Brain tumor
D. Glaucoma (glaucoma)

year old male patient
night
week
severe headache
headache
place
right eyes
temples
right eye red
watery eyes
hour
last year autumn
similar headaches
month occur
night
following
diagnosis


Question: Human DNA (genome) were wrapped in each chromosome in humans have about twenty-three thousand genes. The following description of the relevant gene on chromosome distribution, what's wrong?

Answer: Gene sequencing the human quite closely, what little independent sequence between genes and genes, and not lower organisms

Choices:
A. Often many repetitive sequences or telomeres of chromosomes center section (telomere) at
B. Gene (Gene) normally composed of a plurality exon, intron between exon and exon are often much longer than exon
C. Gene sequencing the human quite closely, what little independent sequence between genes and genes, and not lower organisms
D. There are a number of small pieces of the sequence of human DNA, although not responsible for protein, but will be transcribed shRNA, may have the function of gene regulation

Human DNA
genome
chromosome
humans
about twenty genes
following
relevant gene
chromosome distribution
wrong


Question: 6 rheumatic fever (rheumatic fever) is a clinical diagnosis, currently used updated Jones criteria 1992 year, which of the following is part of minor criteria?

Answer: migratory polyarthritis

Choices:
A. fever
B. carditis
C. migratory polyarthritis
D. subcutaneous nodules

rheumatic fever
rheumatic fever
clinical diagnosis
currently used updated Jones
year
following
part of minor


Question: A 43-year-old female patient had dizziness and vomiting phenomenon has been three days, after inspection of suspected benign paroxysmal vertigo (benign paroxysmal positional vertigo), check the following which best used to confirm the diagnosis?

Answer: Dix-Hallpike position test inspection

Choices:
A. Dix-Hallpike position test inspection
B. EEG examination (electroencephalography)
C. Computed tomography of the brain (brain CT scan)
D. Carotid ultrasound (carotid ultrasound)

year old female patient
dizziness
vomiting
three days
inspection
suspected benign paroxysmal vertigo
benign paroxysmal positional vertigo
check
following
best used to confirm
diagnosis


Question: Related to shoulder dystocia occurs, mostly those related to the objective conditions of the mother or fetus. Which of the following is associated with the mother's shoulder dystocia risk factors (maternal risk factor)?

Answer: obesity

Choices:
A. nulliparity
B. obesity
C. advanced maternal age
D. chronic hypertension

Related
shoulder dystocia occurs
mostly
related
objective conditions
fetus
following
associated with
mother's shoulder dystocia risk factors
risk factor


Question: 52-year-old man, suffering from metastatic renal cell carcinoma, complained of pain in the left leg from the hip down to the number of days already. He described the nature of pain is sharp like a knife stab, a burning sensation, pain scores up to 7/10. Which of the following is the most appropriate treatment for this patient's pain medication?

Answer: gabapentin

Choices:
A. gabapentin
B. codeine
C. meperidine
D. Non-steroidal anti-inflammatory drug (NSAID)

year old man
suffering
metastatic renal cell carcinoma
pain
left
hip
number
days
nature
pain
sharp
knife stab
burning sensation
pain scores
10
following
most appropriate
patient's pain medication


Question: A 6-year-old boy involuntary twitching of facial muscles, merger or throat clearing sound meaningless repetition, the symptoms will be more obvious when the patient nervous, disappears while sleeping. This boy most likely to be which of the following diseases?

Answer: 妥瑞 Mr. syndrome (Tourette's syndrome)

Choices:
A. 妥瑞 Mr. syndrome (Tourette's syndrome)
B. Stroke (stroke)
C. Epilepsy (epilepsy)
D. Extrapyramidal effects (extrapyramidal symptoms)

year old boy
twitching of facial muscles
throat clearing sound
repetition
symptoms
more
patient nervous
sleeping
boy
to
following diseases


Question: Which of the following is least likely to promote hormone increases bone mass (bone mass) of?

Answer: cortisol

Choices:
A. growth hormone
B. testosterone
C. estrogen
D. cortisol

following
least likely to
hormone increases bone mass
bone mass


Question: Statements about false labor pain (false labor pain) and true labor pain (true labor pain), and Which of the following is wrong?

Answer: False labor pain usually start with abdominal pain and then gradually start to abdominal pain, obstetric pain is usually true start of abdominal pain

Choices:
A. False labor pain usually start with abdominal pain and then gradually start to abdominal pain, obstetric pain is usually true start of abdominal pain
B. False labor pain, pain generally irregular frequency, it is generally true labor pain is pain rules
C. No false labor pain submenus cervical dilation, labor pain really submenus cervical dilation occurs gradually
D. False labor pain usually lasts a few days, labor pain really small children will be expected ⼀ days ⽣ down

false labor pain
false labor pain
true labor pain
true labor pain
following
wrong


Question: Statements about the absorption of nutrients, which of the following error?

Answer: Protein, should be broken down into amino acids can absorb

Choices:
A. Protein, should be broken down into amino acids can absorb
B. Maltose, must be broken down into simple sugars can be absorbed
C. Fat, must be broken down into a single fatty acid to absorb
D. Lactose, broken down into glucose and galactose, to absorb


Question: 34 an 38 year-old male patient complained of fatigue, dark urine, blood tests show: ALT (GPT): 836 U / L (normal <40 U / L), AST (GOT): 578 U / L (normal <45 U / L), bilirubin (total / direct): 3.8 / 2.5 mg / dL, HBsAg: negative, HBeAg: positive, HBV DNA: 3,850,000 copies / mL. Patients in the past has not been taking any antiviral drugs. Will Which of the following drugs should not be used in this patient?

Answer: pegylated interferon 35 following about low renin aldosterone secretion deficiency syndrome (hyporeninemic hypoaldosteronism) of the features described, what's right?

Choices:
A. lamivudine
B. telbivudine
C. entecavir
D. pegylated interferon 35 following about low renin aldosterone secretion deficiency syndrome (hyporeninemic hypoaldosteronism) of the features described, what's right?

year old male patient
fatigue
dark urine
blood tests
ALT
GPT
U
L
normal
40 U
L
AST
U
L
normal
U
L
bilirubin
total
direct
mg
dL
HBsAg
negative
positive
DNA
3 850
copies
mL
Patients
past
not
antiviral drugs
following drugs
not
used
patient


Question: About breast cancer hormone therapy, most of the following statements is not correct?

Answer: For women after menopause, the current first line metastatic breast cancer drug tamoxifen anti-hormone therapy is the

Choices:
A. About 50-60% of pre-menopausal breast cancer and 60-75% of post-menopausal breast cancer have estrogen receptor (ER) or progesterone receptor (PR)
B. Anti-hormone therapy comprising GnRH agonist, an anti-estrogen, aromatase inhibitor and a progestin like megestrol acetate, etc.
C. Hormonal treatment of metastatic breast cancer in women before menopause, GnRH agonist merger tamoxifen theoretically effect than single GnRH
D. For women after menopause, the current first line metastatic breast cancer drug tamoxifen anti-hormone therapy is the

breast cancer hormone therapy
most
following
not correct


Question: Careful history and physical checkups, diagnosis of infectious diseases is the most important part, which of the following is not a commonly used formulas TOCC in one?

Answer: History of Therapeutic Use

Choices:
A. History of Therapeutic Use
B. Occupational history
C. Contact history
D. Clustering phenomenon

history
physical
diagnosis
infectious diseases
most important part
following
not
used formulas
one


Question: 51-year-old male, smoking two decades, a pack a day, and often coughs. Lower back pain for two months appeared recently. Lumbar spine magnetic resonance imaging (MRI) as shown in FIG. The most likely diagnosis is:

Answer: Cancer metastasis of bone (bone metastasis)

Choices:
A. Infectious spondylitis (infectious spondylitis)
B. Cancer metastasis of bone (bone metastasis)
C. Degenerative changes in the spine (degenerative spinal disease)
D. Ankylosing spondylitis (ankylosing spondylitis)

year old male
smoking two decades
pack
day
often coughs
Lower back pain
two months appeared recently
Lumbar spine magnetic resonance imaging
diagnosis


Question: The following statements about spinothalamic diameter (spinothalamic tract), and what's wrong?

Answer: Nerve fibers which dorsal spinal cord white matter by a cross (dorsal white commissure)

Choices:
A. Belonging to the anterolateral system (anterolateral system)
B. Conduction of pain
C. Nerve fibers which dorsal spinal cord white matter by a cross (dorsal white commissure)
D. Nerve fibers which mainly spinal dorsal horn neurons of the emitted

following
diameter
spinothalamic tract
wrong


Question: Which of the following antigen presenting cells are not cells (antigen-presenting cell, APC)?

Answer: CD4 + T cells

Choices:
A. B cells
B. CD4 + T cells
C. Macrophages (macrophage)
D. Lange John cells (Langerhans' cells)


Question: The following narrative about the urine concentration, what's wrong?

Answer: Low-protein diet will increase the kidneys' ability to concentrate urine

Choices:
A. Urea concentrations between the renal medullary interstitial fluid can affect an osmotic pressure gradient medulla perpendicularity
B. Vasopressin (antidiuretic hormone) may facilitate collecting duct urea transporter (urea transpoter; UT) tube within the absorption liquid urea
C. Urea via urea transporter protein (urea transpoter; UT) UT-A1 and UT-A3 promoting urine concentration
D. Low-protein diet will increase the kidneys' ability to concentrate urine


Question: When the potassium ion concentration in the blood rises, a hormone that increases the body?

Answer: aldosterone

Choices:
A. Vasopressin (anti-diuretic hormone; ADH)
B. angiotensinogen
C. aldosterone
D. atrial natriuretic peptide（ANP）

potassium ion concentration in
blood
hormone
increases
body


Question: Ovarian cancer surgical staging, does not include which of the following?

Answer: Uterine radical resection

Choices:
A. Peritoneal slice
B. Omentum resection
C. Next to the aorta and pelvic lymph node dissection
D. Uterine radical resection

Ovarian cancer surgical staging
not include
following


Question: A 55 year old patient with chronic schizophrenia residual type (residual type), living in psychiatric day ward, rules and functions of receiving drug rehabilitation treatment for two months. Which of the following symptoms in patients with this relatively unlikely to occur?

Answer: Aggressive behavior (aggressive behavior)

Choices:
A. Thinking interrupt (thought blocking)
B. Lack of motivation (lack of motivation)
C. Social withdrawal (social withdrawal)
D. Aggressive behavior (aggressive behavior)

year old patient
chronic schizophrenia residual
residual type
living
psychiatric day
functions
receiving drug rehabilitation treatment
two months
following symptoms
patients
unlikely to occur


Question: The first type of glycogen storage disease (type I glycogen storage disease) is due to the lack of glucose-6-phosphatase cause, which of the following for the clinical and biochemical characteristics?

Answer: ketosis

Choices:
A. hyperglycemia
B. hypouremia
C. hypolipemia
D. ketosis

first type
glycogen storage disease
I
due to
lack
glucose-6-phosphatase cause
following
clinical
biochemical characteristics


Question: In the treatment of cancer, monoclonal antibody-producing cells connected to the poisoning substance called what?

Answer: immunotoxin

Choices:
A. adjuvant
B. immunotoxin
C. defend
D. l cytokine

treatment cancer monoclonal poisoning called


Question: Ureter (ureter) of embryonic origin Why?

Answer: After kidney diverticula (metanephric diverticulum)

Choices:
A. After kidney mesoderm (metanephric mesoderm)
B. 原 腎 (Pronephrium)
C. In kidney (mesonephros)
D. After kidney diverticula (metanephric diverticulum)


Question: No prior medical history of a 14-year-old girl, this time because of fever and difficulty breathing five consecutive days to consultation. Suspected infection in the ward, so were made of blood, urine and sputum culture, but without any positive results. Also given broad-spectrum antibiotics, but patients continued fever. X- ray examination of the lungs can be found in the form of interstitial infiltration of inflammation. Which of the following in the diagnosis than those without help?

Answer: Lung computer tomography

Choices:
A. Tuberculin (Tuberculin) inspection
B. Lung computer tomography
C. Antinuclear antibody (ANA)
D. Peripheral blood smear

prior medical history of
year old girl
time
fever
difficulty breathing
consecutive
Suspected infection
ward
made
blood
urine
sputum culture
positive results
broad spectrum
patients
fever
X
ray
of
lungs
found
form
interstitial infiltration
inflammation
following
diagnosis
help


Question: The final product of red blood cells due to lack mitochondria, its glucose decomposition why?

Answer: lactate

Choices:
A. pyruvate
B. lactate
C. acetyl-CoA
D. CO2

final product
red blood cells
lack mitochondria
glucose


Question: Following which the virus genome to DNA, young children and can cause a rash of infectious disease (erythema infectiosum)?

Answer: Human parvovirus (parvovirus) B19

Choices:
A. Human parvovirus (parvovirus) B19
B. Rubella virus (Rubella virus)
C. Measles virus (Measles virus)
D. Yike virus (Echovirus) Sixteenth type

Following
virus genome
DNA
young children
cause
rash
infectious disease
erythema infectiosum


Question: Two adult medical staff operating CPR, chest pressure and blowing ratio is the number?

Answer: 30：2

Choices:
A. 15：2
B. 5：1
C. 30：2
D. 15：1

Two adult medical staff operating CPR
chest pressure
blowing ratio
number


Question: Initiator of the first type of respiratory allergic immune response, and that one of the following description of the characteristics of the allergen most appropriate?

Answer: Often have enzyme activity

Choices:
A. Often have enzyme activity
B. Protein molecules often
C. Such molecules are typically poorly water-soluble
D. Such molecules are usually less stable

Initiator
first type
respiratory allergic immune response
one
following
characteristics
allergen most appropriate


Question: The fourth cause of spinal cord dysfunction quadriplegic patient, what can engage in the following activities?

Answer: Use special electric wheelchair

Choices:
A. Own shower
B. Use a spoon to eat
C. Self-indexable by the wheelchair to the bed
D. Use special electric wheelchair

fourth cause
spinal cord dysfunction
patient
following


Question: In 1999 the US Institute of Medicine published "To Err is Human" report, that aroused the attention of a medical problem in the world?

Answer: Patient Safety

Choices:
A. Patient Rights
B. Medical costs soaring
C. Patient Safety
D. The rational allocation of medical resources


Question: That these medicines for smoking cessation lack of efficacy?

Answer: benzodiazepines

Choices:
A. nicotine gum
B. benzodiazepines
C. clonidine
D. bupropion

medicines
smoking cessation lack of efficacy


Question: Cancer classification (grading) and that one of the following relevant?

Answer: Primary tumor differentiation

Choices:
A. Primary tumor size
B. Primary tumor differentiation
C. The degree of violation of local lymph glands
D. Whether the transfer of


Question: In A, B two kinds of unknown bacterial double-stranded DNA, we measured obtaining thymine (thymidine) components accounted for 16% and 31%, the following statements is wrong?

Answer: B bacterial cytosine (cytosine) about 31% of the composition of DNA

Choices:
A. A bacterial adenine (adenosine) composed of about 16% of their DNA
B. A bacterial cytosine (cytosine) about 34% of its DNA composition
C. B bacterial cytosine (cytosine) about 31% of the composition of DNA
D. A B speculate bacteria than bacteria are more likely to survive in the high-temperature hot springs

two kinds
unknown
double-stranded DNA
measured obtaining thymine
thymidine
components accounted
31
following
wrong


Question: Which of the following has been IARC (International Agency for Research on Cancer) as prescribed confirmed human carcinogen?

Answer: asbestos

Choices:
A. Trichlorethylene
B. Toluene
C. asbestos
D. Lead dust


Question: Use in laparoscopic pelvic surgery Central Standing Committee pessary (uterine manipulator) to adjust the position of the uterus, vaginal pessary placed in the uterine cavity, the patient sitting in the ass end of assistants to manipulate in order to adjust the position of the uterus, so that surgery can be executed smoothly . For the following structure A laparoscopic figure it to clear presentation, the assistant should be how to handle the pessary?

Answer: Mobile uterine pessary make long axis direction toward the abdomen and the head of the patient

Choices:
A. Mobile uterine pessary make long axis direction toward the abdomen and the head of the patient
B. Uterine pessary allow movement toward the long axis direction and the back of the right side wall of a patient
C. Uterine pessary allow movement toward the long axis direction and the back of the left side wall of the patient
D. Pessary retraction (uterine moved assistant direction) and longitudinal direction of the uterus so that the patient's back toward the direction


Question: Which of the following situations will not increase the chance of occurrence of congenital malformation of the fetus?

Answer: Mr. had received cancer chemotherapy

Choices:
A. Pregnant women have a history of epilepsy and taking anti-epileptic drugs to prevent seizures
B. Pregnant women have juvenile diabetes
C. Mr. balanced chromosomal translocation type
D. Mr. had received cancer chemotherapy

following
not increase
chance of occurrence
congenital malformation
fetus


Question: When the 921 earthquake, the building collapsed, a 46-year-old man was the collapse of the concrete pressure to the torso and lower limbs, the day after a night rescue was finally sent to the emergency room, emergency room found in the right side of the tibia and fibula fracture, and therefore accept the calcaneal nail traction surgery, in order to avoid acute renal failure caused by rhabdomyolysis, patients transferred to the ICU closely observe and assess the necessary acceptance of hemodialysis, after six hours, the patient felt pain on the right leg so that when the nurse pulled the toes, pain best steps even more intensified, the next step to be taken is which of the following?

Answer: Immediately arrange surgery done fasciotomy

Choices:
A. Immediately arranged on the right tibia and fibula fracture fixation surgery, to avoid secondary damage hair
B. Immediately arrange surgery done fasciotomy
C. Immediately administered analgesics (e.g., morphine), as to avoid the pain, increased blood pressure and complications
D. Immediately nail pulling nail into the bone marrow, in order to facilitate the implementation of the rehabilitation plan

earthquake
building collapsed
year old man
collapse
pressure
torso
lower limbs
day
night
sent
emergency room
emergency room found
right
tibia
fibula fracture
accept
calcaneal nail traction surgery
order to
acute renal failure caused
rhabdomyolysis
patients
observe
hemodialysis
six hours
patient
pain
right leg so
nurse pulled
toes
pain best steps
more
next step to
following


Question: Natalizumab [anti-α4 integrin (anti-VLA-4) monoclonal antibody] has been demonstrated what can be used to treat the disease?

Answer: multiple sclerosis

Choices:
A. multiple sclerosis
B. metastatic melanoma
C. chronic myeloid leukemia
D. chronic asthma

Natalizumab
integrin
VLA-4
monoclonal antibody
used to treat
disease


Question: Which of the following substances can be directly through the action of cyclooxygenase, resulting in the forefront of lectins (thromboxanes)?

Answer: Arachidonic acid (arachidonate)

Choices:
A. Acetyl coenzyme A (acetyl-CoA)
B. Palmitic acid (the palmitate)
C. Stearic acid (stearate)
D. Arachidonic acid (arachidonate)

following
directly
action
cyclooxygenase
resulting in
lectins
thromboxanes


Question: Statements about malignant soft tissue tumors of the following, whichever is the most correct?

Answer: Malignant liposarcoma (liposarcoma) occurs after abdominal, thigh, buttocks

Choices:
A. Synoviae sarcoma (synovial sarcoma) refers to differentiated cells from synovial capsule (synovium) tumors formed, in the vicinity of the common articulation
B. Clear cell sarcoma (clear cell sarcoma) can be seen histologically form two phases (biphasic pattern), including mast cells and spindle cell
C. Malignant liposarcoma (liposarcoma) occurs after abdominal, thigh, buttocks
D. Exhibits shaped masses (heterogenous mass) in magnetic resonance photography, this feature can be used to distinguish benign or malignant


Question: When Mr. Wu was sent to the hospital emergency room with complaints of bloating and abdominal cramps for two days, day and there is vomiting, but the past two days Mr. Wu did not exhaust defecation. 37.5 deg.] C checkups body temperature, heart rate at 102 per minute, respiratory rate 18 per minute, the blood pressure 130/60 mmHg. Abdominal checkups showed a right abdominal tenderness, rebound and right lower quadrant pain after appendectomy scar. By fluid replacement and blood tests, abdominal X-ray photography showed a small bowel obstruction, so further arrangements abdominal computed tomography. The narrative about abdominal computed tomography examination, which of the following error?

Answer: The developer can reduce the chance of water-soluble need for surgery

Choices:
A. At this time, the computer tomography developer typically must be compatible with the water-soluble drink (water soluble contrast)
B. Computer tomography, the water soluble developer occurs within 24 hours of development in the large intestine, intestinal obstruction can be alleviated as an index
C. The developer can reduce the chance of water-soluble need for surgery
D. Water-soluble developer can reduce the number of days in hospital


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

Answer: Does not have flagella, so there is no movement of

Choices:
A. Is the major causative gastritis, gastric ulcer due
B. Most suitable for growing in the near-neutral environment
C. Does not have flagella, so there is no movement of
D. Can not grow to the atmosphere


Question: A 23-year-old pregnant 29 weeks pregnant due to premature rupture of membranes in hospital, three days after the fever in pregnant women, increasing the number of white blood cells, fetal heart beat a little faster, and pregnant women have abdominal tenderness, the most likely diagnosis Why?

Answer: Chorioamnionitis (chorioamnionitis)

Choices:
A. Acute pyelonephritis (acute pyelonephritis)
B. Chorioamnionitis (chorioamnionitis)
C. Cytomegalovirus infection (cytomegalovirus infection)
D. Acute appendicitis (acute appendicitis)

23 year old pregnant 29 weeks pregnant due to premature rupture of membranes


Question: About innervation of the lower urinary tract, the following statements is most correct?

Answer: The main body of the nerve dominate the external sphincter and pelvic floor muscles other, mainly via the pudendal nerve (pudendal nerve)

Choices:
A. Predominantly sympathetic inhibition of bladder contractions, closing off the urethra and bladder neck, and not via the hypogastric nerve (hypogastric nerve)
B. Parasympathetic mainly for detrusor contraction, resulting in urinary function, mainly through the lower abdomen nerve (hypogastric nerve)
C. The main body of the nerve dominate the external sphincter and pelvic floor muscles other, mainly via the pudendal nerve (pudendal nerve)
D. The main sensory nerve via the pelvic nerve and pudendal nerve

innervation
lower urinary tract
following
most correct


Question: Of the following statements about cholangiocarcinoma, what's wrong?

Answer: The occurrence position can be divided into the liver, hepatic portal bile duct at the distal end, and made the best position intrahepatic cholangiocarcinoma

Choices:
A. The occurrence position can be divided into the liver, hepatic portal bile duct at the distal end, and made the best position intrahepatic cholangiocarcinoma
B. More than 90% of the distal bile duct cancer patients or clinical manifestations of hepatic hilum obstructive jaundice
C. Hilar cholangiocarcinoma at computer tomography tumor is not easy to see, but to see the expansion of intrahepatic bile duct and gallbladder smaller
D. For classification type I & cholangiocarcinoma Bismuth Without vascular invasion of the porta hepatic hilum II, may be considered a partial tumor resection, biliary reconstruction using jejunum


Question: The following information about the incidence and prognosis of schizophrenia narrative, what's wrong?

Answer: Early-onset schizophrenia usually sudden, short duration and good prognosis

Choices:
A. Early-onset schizophrenia usually sudden, short duration and good prognosis
B. Early-onset schizophrenia and mental retardation and autism need for differential diagnosis
C. Late-onset schizophrenia usually refers to only 45 years after the onset
D. Late-onset schizophrenia is more common in women

following incidence prognosis schizophrenia wrong


Question: Hypocalcemia pooled serum parathyroid hormone concentration is high, you should consider which of the following diseases?

Answer: pseudohypoparathyroidism

Choices:
A. hereditary hypoparathyroidism
B. pseudohypoparathyroidism
C. pseudopseudohypoparathyroidism
D. severe hypomagnesemia


Question: A 50 year-old man with a history of iron deficiency anemia, due to left supraclavicular mass for treatment, diagnosis by biopsy of metastatic adenocarcinoma and signet-ring cell differentiation (signet ring cell differentiation). At this stage the most appropriate examination as follows:

Answer: Esophagogastroduodenoscopy

Choices:
A. Esophagogastroduodenoscopy
B. Chest CT scan
C. Bone scan
D. PET scan

50 year old man
history of iron deficiency anemia
due to left supraclavicular mass
treatment
diagnosis
biopsy
metastatic adenocarcinoma
differentiation
differentiation
stage
most appropriate
follows


Question: 73. Mrs. hole is ⼀ bit zoomed cancer Dying Face, has been unable to identify unconsciousness Face entering hospice home, complete bed ⾏ not move, can only eat a small amount of semi-solid food, body chest upwards date getting weak and thin. Do you think this time what the most appropriate treatment shutter mode that?

Answer: Continue to give food acceptable by-connector

Choices:
A. Placed ⿐ gavage
B. Using peripheral venous catheter administration Face ⼯ Areas subject and Nutrition
C. Placement of central venous catheter administration of total parenteral nutrition
D. Continue to give food acceptable by-connector

Mrs
hole
bit
cancer Dying Face
unable to
unconsciousness Face entering
complete bed
not move
only eat
small amount
body chest
date getting weak
thin
time
most appropriate treatment shutter mode


Question: In the same (Species) different in individual animals, with an immunoglobulin (e.g., lgG3) heavy chain constant region (constant region) amino acid difference is found, namely:

Answer: allotypic variation

Choices:
A. isotypic variation
B. allotypic variation
C. idiotypic variation
D. random mutation

same
animals
immunoglobulin
g
heavy chain constant region
constant region
amino acid difference
found


Question: A below-knee amputation of the right side of the patient after administration of the prosthetic assembly and training, the patient can now walk on their own, then the patient should belong to which of the following conditions defined in the World Health Organization?

Answer: impairment

Choices:
A. impairment
B. disability
C. handicap
D. normal

below-knee amputation
right side
patient
administration
assembly
training
patient
now
then
patient
following conditions


Question: Month 30.3 zoomed body baby girl was diagnosed as autosomal recessive genetic transfer color Phenylketonuria, cause of lack Phenylalanine hydroxylase (PAH), which family lineage accompanying drawings. Brother and sister were 6 years old and 4 years old zoomed, without any clinical symptoms, are normal growth development. Brother and sister with a probability of gene mutations affect the activity of PAH why?

Answer: Are all 2/3

Choices:
A. Are 1 / 4,1 / 2
B. Are all 1/4
C. Are all 1/2
D. Are all 2/3

Month 30
body baby girl
diagnosed
color Phenylketonuria
cause
lack Phenylalanine hydroxylase
years old
4 years old
clinical symptoms
normal growth development
probability


Question: Our law provides that "when the day average allowable concentration" means the number of hours of work allowed average concentration of alleged?

Answer: 8 hours a day

Choices:
A. Up to 15 minutes
B. 4 hours per day
C. 8 hours a day
D. 40 hours per week

law
day average
concentration
hours
average concentration


Question: Trachea is a tubular organ, on which the following statements is wrong?

Answer: Louis angle to the height of the trachea into left and right bronchi

Choices:
A. Trachea movable organ undergoing surgery often shall neck extension (hyperextension)
B. RLN the groove between the trachea and esophagus (tracheoesophageal groove)
C. Innominate artery (innominate artery) is located behind the left bronchus
D. Louis angle to the height of the trachea into left and right bronchi


Question: The following statements about the skin (epidermis) of what is correct?

Answer: Clear transparent layer (stratum lucidum) 37 following that kind of tongue papillae (lingual papillae) containing no taste buds appear thick skin of the palms or soles of the feet?

Choices:
A. Stem cell (stem cell) are mainly distributed in the spine layer (stratum spinosum)
B. Sebaceous glands (sebaceous gland) glands of epidermal basal layer is located in the main portion (stratum basale)
C. Riemerella cells (Merkel's cell) are mainly located in the granular layer (stratum granulosum)
D. Clear transparent layer (stratum lucidum) 37 following that kind of tongue papillae (lingual papillae) containing no taste buds appear thick skin of the palms or soles of the feet?


Question: About milk protein allergy, the following statements is wrong?

Answer: Usually occurs after the age

Choices:
A. Usually occurs after the age
B. Children grow up with age, symptoms may ease
C. Belongs to a dominant IgE antibodies (IgE-mediated) hypersensitivity reactions
D. Of children allergic to milk protein, milk or use infant formula milk, and not the effect of preventing allergies


Question: Minimum number of white blood cells in the body are:

Answer: Basophil granulocyte (basophils)

Choices:
A. Lymphopenia (lymphocytes)
B. Neutrophils (neutrophils)
C. Eosinophilic ball (eosinophils)
D. Basophil granulocyte (basophils)


Question: Which of the following does not belong to the intrinsic nervous system of the digestive tract (intrinsic nervous system)?

Answer: nodose ganglion

Choices:
A. interstitial cell of Cajal（ICC）
B. myenteric plexus
C. nodose ganglion
D. submucosal plexus

following
not
intrinsic nervous system
digestive tract
intrinsic nervous system


Question: About juvenile idiopathic arthritis (juvenile idiopathic arthritis) in systemic arthritis (systemic-onset arthritis) narrative Which statement is correct?

Answer: Often accompanied by fever, skin rash

Choices:
A. Does not have liver, splenomegaly
B. There will be no swollen lymph glands and pericarditis
C. Often complicated by chronic uveitis (chronic uveitis)
D. Often accompanied by fever, skin rash

About juvenile idiopathic arthritis
juvenile idiopathic arthritis
systemic arthritis
systemic onset arthritis
correct


Question: 44 influenza (influenza) self-limiting in the majority of patients 2 to 5 days, but there are a few complications that may occur. Statements about influenza complications following, whichever is wrong?

Answer: Adult cold and taking acetaminophan may be complicated by Reye syndrome (Reye's syndrome)

Choices:
A. Pneumonia is the most common complication of influenza virus containing primary pneumonia, bacterial pneumonia and two hybrid
B. Adult cold and taking acetaminophan may be complicated by Reye syndrome (Reye's syndrome)
C. Children suffering from influenza and taking aspirin may be complicated by Reye's syndrome
D. Myocarditis, rhabdomyolysis, encephalitis and Guillain-Barre syndrome, are possible complications of influenza

influenza
influenza
limiting
patients
5 days
few complications
occur
influenza complications following
wrong


Question: 56 polio virus has two variants A and B, if the A cell infected with a variant or variant B alone will not produce virus. However, if co-infected with variants A and B, following a situation that is most likely to happen?

Answer: Two kinds of variants complementary effect occurs, generates A and B virus

Choices:
A. The recombinant gene can produce wild-type virus (wild type virus)
B. Viral genes reverse transcribed into DNA, generating A and B virus
C. Two kinds of variants complementary effect occurs, generates A and B virus
D. The cells will become cancerous

two variants
cell infected
variant
variant
alone
not
co infected
variants
following


Question: Community-acquired pneumonia, the most common atypical pathogens do not include which of the following?

Answer: Klebsiella pneumoniae

Choices:
A. Chlamydia pneumoniae
B. Mycoplasma pneumoniae
C. Klebsiella pneumoniae
D. Legionella pneumophila

Community-acquired pneumonia
most common atypical
not include
following


Question: There is no obvious abnormal infant at birth. Large about three months, the parents think the baby's body was moving relatively poor. After a cold cough has been bad, difficult breathing, chest X-ray taken to hospital examination found a great heart, blood creatinine kinase levels were significantly increased. That following a follow-up of the development of the most appropriate diagnosis?

Answer: Genetic testing to prove dystrophy is muscle Qiuxin Shi

Choices:
A. Blood tests acid alpha-glucosidase activity, proves to Pompe disease (Pompe disease)
B. Echocardiography, proved to ventricular septal defect
C. Muscle biopsy proved to spinal muscular atrophy
D. Genetic testing to prove dystrophy is muscle Qiuxin Shi

abnormal infant
birth
Large
three months
baby's body
moving
poor
cold cough
bad
difficult breathing
chest X-ray
hospital
found
great heart
blood kinase levels
increased
following
follow-up
development
appropriate diagnosis


Question: Which of the following hypoglycemic agents, the most easy to hypoglycemia side effects?

Answer: meglitinide

Choices:
A. dipeptidyl peptidase-4 (DPP-4) inhibitors
B. sodium-glucose co-transporter 2 (SGLT2) inhibitor
C. meglitinide
D. glucagon-like peptide 1 (GLP-1) receptor enhancers

following hypoglycemic agents
most easy
hypoglycemia side effects


Question: The most common clinical condition of esophageal cancer Why?

Answer: Drifted dysphagia

Choices:
A. fever
B. Chest pain
C. Drifted dysphagia
D. Esophageal reflux

most common clinical condition
esophageal