Question: There are patients infected with Mycobacterium leprae (M. Leprae) come to treatment of patients with symptomatic primary skin irritation and inflammation of the nervous system, blood antibody titer is not high against M. leprae, M. leprae also within macrophages not many, these cells are more likely to be associated with the kind of patient clinical symptoms?

Answer: The first type T helper cell (TH1)

Choices:
A. The first type T helper cell (TH1)
B. The second type of T helper cell (TH2)
C. The third type of T helper cell (TH3)
D. Regulatory T cells (regulatory T cell)

patients infected
symptomatic primary skin irritation
inflammation
nervous system
blood
not high
macrophages not
cells
more likely to
associated with
kind
patient clinical symptoms


Question: In infants virus infection following which, at the time of the elderly can cause encephalitis, the symptoms of dementia, mental deterioration and even death, this symptom known as subacute sclerosing pan encephalitis (subacute sclerosing panencephalitis)?

Answer: Measles virus

Choices:
A. Cold virus
B. Mumps virus
C. Measles virus
D. Polio virus

infants virus infection following
time
cause encephalitis
symptoms
dementia
mental deterioration
death
symptom known
subacute
pan encephalitis
subacute sclerosing panencephalitis


Question: The following figure shows the three countries accounted for 2011 gross domestic product of health care costs A, B, C: the ratio (GDP gross domestic products) is respectively 8.5%, 10.4%, 16.2%, showing a national primary care physicians the more the number, the lower the health care costs. Which of the following groups of countries most in line with this figure?

Answer: A: UK, B: Canada, C: United States

Choices:
A. A: UK, B: United States of America, C: Canada
B. A: UK, B: Canada, C: United States
C. A: Canada, B: the United Kingdom, C: United States
D. A: United States of America, B: Canada, C: United Kingdom

following
three countries accounted
gross domestic product
health care costs
ratio
GDP gross domestic products
8.5
10.4
primary care physicians
more
number
lower
health care costs
following groups
countries


Question: That one of the following RNA, the 5 'end and 3' end of the ribose (ribose), may also have a free 3'-OH?

Answer: Eukaryotic mRNA

Choices:
A. Eukaryotic mRNA
B. Prokaryotic cell mRNA
C. Eukaryotic cells rRNA
D. Prokaryotic rRNA

one
following RNA
5
end
3
end
ribose
ribose
free


Question: When the emergency treatment of alcohol withdrawal (alcohol withdrawal), Which of the following most inappropriate treatment?

Answer: phenobarbital

Choices:
A. phenobarbital
B. magnesium sulfate
C. lorazepam
D. thiamine

emergency treatment
alcohol withdrawal
alcohol withdrawal
following
inappropriate treatment


Question: 80. The patient was 51-year-old male, a year ago began to have delusions of jealousy that elders in the church in the pursuit of his wife and ordered her to be patient and divorce, so the patient is very angry, in addition to conflict with the public outside the church elders also stresses his wife. Patients solitude, no job, Richangshenghuo hope his wife try not to leave his line of sight, will be to place her work secretly monitor while writing "crime" church elders daily distribution relatives and friends. In addition to patient delusional jealousy, there are some weird religious fantasy. Because of its violent tendencies more and more obvious that his wife is very afraid to go home, for fear of being killed by the patient, and therefore resort to a physician. In this case, following the disposal of what are the most inappropriate?

Answer: Antipsychotic drops directly open to the patient's family, in order to allow patients to take their

Choices:
A. Antipsychotic drops directly open to the patient's family, in order to allow patients to take their
B. Forced patients hospitalized
C. Providing social resources and families can take advantage of the pipeline
D. Considering the safety of patients and their families, social workers or police notify the relevant units

80
patient
year old male
year
began to
delusions
jealousy
elders
church
ordered
to
patient
divorce
patient
very
conflict
outside
church elders
stresses
Patients
not to
line
sight
to place
monitor
church elders daily distribution
patient delusional jealousy
religious
violent
more
very
to go home
killed
patient
resort
physician
case
following
most inappropriate


Question: Clinically Prader-Willi syndrome and Angelman syndrome is not the same disease, but found that there are two patients with different diagnosis of the same small defect on chromosome 15 during testing. Most likely what is the reason?

Answer: Prader-Willi syndrome patients with the chromosomal defect is inherited from the father; chromosome defect of patients with Angelman syndrome is inherited from the mother

Choices:
A. Because two patients had different variations on other chromosomes
B. Prader-Willi syndrome patients with the chromosomal defect is inherited from the father; chromosome defect of patients with Angelman syndrome is inherited from the mother
C. Chromosomal defect of inaccurate detection technology
D. The two unrelated diseases and defects in this area

Prader-Willi syndrome
Angelman syndrome
not
same disease
found
two patients
different diagnosis
same small defect
chromosome 15
testing
likely


Question: Related pneumonia caused by Legionella pneumophila, the following description of what's wrong?

Answer: Often occur in smoking, chronic lung disease and young

Choices:
A. Is an atypical pneumonia, with a water tower or water pollution
B. Often occur in smoking, chronic lung disease and young
C. In addition to the clinical symptoms of fever, cough, often associated with other symptoms of extrapulmonary
D. Other than pneumonia caused by bacteria, more often hyponatremia

Related pneumonia caused
following
wrong


Question: 40 year-old male patient found to have both temporal hemianopia (bitemporal hemianopsia) symptoms, prolactin value of 49 ng / mL (prolactin level of 49 ng / mL), magnetic resonance angiography (MRI) as shown below, this why focus the best treatment option?

Answer: operation treatment

Choices:
A. bromocriptine therapy
B. The first vote with bromocriptine therapy, followed by surgery
C. Radiotherapy (radiation therapy)
D. operation treatment

40 year old male patient found to
temporal hemianopia
bitemporal hemianopsia
symptoms
prolactin value
ng
mL
prolactin level
ng
mL
magnetic resonance angiography
MRI
focus
best treatment option


Question: Bearing on the problem, patients undergoing resection and esophageal tube after  anastomosis, the most common follow-up question is:

Answer: GERD (gastroesophageal reflux)

Choices:
A. GERD (gastroesophageal reflux)
B. Small bowel obstruction (intestinal obstruction)
C. Constipation (constipation)
D. Tracheomalacia (tracheomalacia)

Bearing
problem
patients
resection
esophageal
anastomosis
most common follow-up


Question: If the wrong d-tubocurarine injected newborn, resulting in neonatal respiratory depression, following which drug to be injected first aid?

Answer: Physostigmine

Choices:
A. Atropine
B. Physostigmine
C. Adrenaline
D. Hexamethonium


Question: A 52-year-old female patient, because of lower abdominal pain five days was taken to the emergency room. Patient's temperature 38 degrees Celsius, physical examination showed a right lower quadrant tenderness and rebound pain, and touch a size of about 5 cm, boundaries unknown lumps. The blood test values blood leukocytes 13800 / mm3. Will Which of the following is the most appropriate of further examination?

Answer: Abdominal computed tomography

Choices:
A. Abdominal computed tomography
B. Abdominal X-ray photography (plain abdomen X ray)
C. Colon barium enema Photography
D. Colonoscopy

year old female patient
lower abdominal pain
emergency
Patient's temperature
degrees
right lower quadrant tenderness
pain
touch
size
unknown lumps
blood test values
13800
mm3
following
most appropriate
further


Question: The following description of type 2 diabetes about what's wrong?

Answer: If kidney disease is still reversible enter macroalbuminuria

Choices:
A. Better glycemic control, microvascular disease (microangiopathy), the less
B. Glycemic control and macrovascular (macroangiopathy) less relevance
C. If kidney disease is still reversible enter macroalbuminuria
D. Newly diagnosed younger patients, HbA1c more nearly normal as possible


Question: A 50-year-old woman complained of ear tinnitus for about half a year, tinnitus sound particularly evident at night, and the sound of beating and pulse rate exactly the same. Whichever is the least suitable as the next inspection?

Answer: Arrange temporomandibular joint photographic examination

Choices:
A. Otoscopy (otoscopic examination)
B. Stethoscope to listen to the ear and neck bruit
C. Arrange temporomandibular joint photographic examination
D. Carotid ultrasound examination arrangements

50 year old woman
ear tinnitus
about half
year
tinnitus sound
night
sound
pulse rate
same
least suitable
next inspection


Question: 2826-year-old woman collapsed for no reason and was sent to the emergency room, physical examination found that blood pressure 220/110 mmHg, heart rate 130 beats / minute, face red tide, will have to arrange those following checks? ①complete blood count (CBC) ②total urine VMA level ③blood free catecholamines ④total urine free catecholamines ⑤abdominal CT scan

Answer: ②④⑤

Choices:
A. ①②③
B. ②③⑤
C. ①④⑤
D. ②④⑤

year old woman collapsed
sent
emergency room
found
blood pressure
mmHg
heart rate
beats
minute
face
to
following checks
complete blood count
CBC
total urine
blood free
abdominal CT


Question: Parietal pleura (parietal pleura) of lymph, the following is most likely to flow back into the lymph nodes (lymph node)?

Answer: Underarm (axillary)

Choices:
A. Underarm (axillary)
B. Bronchopulmonary (bronchopulmonary)
C. Tracheobronchial (tracheobronchial)
D. Bronchial mediastinal (bronchomediastinal)

Parietal pleura
parietal pleura
lymph
following
back
lymph nodes


Question: A 40-year-old woman, nearly six months show a continued easy too worried, so worried that she is difficult to control, and there will be time to worry about anxiety, general tension, fatigue and sleep disorders, these symptoms caused by her apparent distress. The following description about this patient, what's wrong?

Answer: Current drug therapy to benzodiazepines (benzodiazepines.) Mainly selective serotonin reuptake inhibitor (SSRI) this ineffective diseases

Choices:
A. Such patients often also suffer from social phobia, panic disorder or depression
B. Differential diagnosis, the medical officer shall consider poisoning coffee, stimulant abuse, alcohol withdrawal and psychoactive drug withdrawal
C. Current drug therapy to benzodiazepines (benzodiazepines.) Mainly selective serotonin reuptake inhibitor (SSRI) this ineffective diseases
D. The main psychological treatment is cognitive behavior therapy, supportive psychotherapy, sick sense of knowledge-oriented psychotherapy

40 year old woman
nearly six months
easy
worried
worried
difficult
control
time
worry
anxiety
general tension
fatigue
sleep disorders
symptoms caused
distress
following
patient
wrong


Question: To reduce edema resulting brain tumors, which of the following is the most commonly used and best cortisol?

Answer: Dexamethasone

Choices:
A. Betamethasone
B. Prednisolone
C. Dexamethasone
D. Triamcinolone

To
edema resulting brain
following
most
used
best cortisol


Question: About intussusception (intussusception), which of the following error?

Answer: Occurs in more than 10 years old child

Choices:
A. Occurs in more than 10 years old child
B. Infants with unexplained main
C. Infants under 2 years, to cover the ileocecal intestine is the most common
D. Of adult intussusception is often associated with colon cancer

intussusception
intussusception
following error


Question: A 50-year-old woman, complained of abnormal vaginal bleeding, such as magnetic resonance imaging drawings, which of the following is the most likely diagnosis?

Answer: Cervical Cancer

Choices:
A. Chocolate cyst
B. Cervical Cancer
C. Bone pelvic inflammatory disease
D. Ovarian cancer

50 year old woman
abnormal vaginal bleeding
magnetic resonance imaging
following
diagnosis


Question: When patients tongue spit, skewed to the right, which of the following is most likely to be injured?

Answer: The left side of the twelfth cranial nerve

Choices:
A. The right side of the ninth cranial nerve
B. Right genioglossus (genioglossus)
C. The left side of the twelfth cranial nerve
D. The left side of the fifth cranial nerve third branch

patients tongue spit
right
following
to
injured


Question: 2-year-old girl hit due to fall after oral cheek bleeding more than was sent to the emergency room. Girls will be brought up off the mouth or nosebleeds bleeding occurs, but not very serious, while others will stop bleeding longer than the time when vaccination. Patients without bleeding, hematoma cases, parents do not have relatives on both sides of the family have bleeding disorders. Check the patient's blood hemoglobin, hematocrit, number of white blood cells, platelet count, prothrombin time (PT) within the normal range, activated partial thromboplastin time (the aPTT) extended to 37.2 seconds (normal 24.4-33.2 seconds) . The most likely cause of the patient's mouth is bleeding more than:

Answer: Congenital von Willebrand factor reduction

Choices:
A. Congenital von Willebrand factor reduction
B. Factor VIII deficiency
C. Glucose-6-phosphate dehydroepiandrosterone enzymes (glucose 6-phosphate dehydrogenase) deficiency
D. Immune complex (immune complex) caused by the accumulation of vascular endothelial injury

2 year old girl hit due to fall
oral cheek bleeding more
sent
emergency room
Girls
brought
mouth
nosebleeds bleeding occurs
not very serious
others
stop bleeding longer
time
vaccination
Patients
bleeding
hematoma cases
not
relatives
sides
family
bleeding disorders
Check
patient's blood hemoglobin
hematocrit
number
white blood cells
platelet count
prothrombin time
normal range
activated partial thromboplastin time
extended to
seconds
normal
seconds
most likely cause
patient's mouth
bleeding more


Question: Bearing on the question, the next disposal options less consideration is that one?

Answer: Weight Loss

Choices:
A. Uvula soft palate angioplasty (uvulopalatopharyngoplasty, UPPP)
B. Cricopharyngeus by neck incision (pharyngeal constrictor myotomy)
C. Weight Loss
D. A continuous positive pressure breathing mask (CPAP)


Question: Six-year-old restaurant owner Mr. Chen recently had a minor stroke, carotid artery stenosis without ultrasound, ECG found to have atrial fibrillation (atrial fibrillation), may I ask what kind of drugs to prevent stroke again using the most effective?

Answer: Warfarin

Choices:
A. Aspirin
B. Ticlopidine
C. Warfarin
D. Clopidogrel

Six year old restaurant
Mr
recently
minor stroke
carotid artery
ultrasound
ECG found to
atrial fibrillation
atrial fibrillation
I
kind
drugs to prevent stroke
using
most effective


Question: The following characteristics of the virus and what was not correct?

Answer: Method of virus replication is done by the "split"

Choices:
A. Method of virus replication is done by the "split"
B. The viral genome is a DNA or RNA
C. Whether the virus to follow for classification of mantle
D. Virus must replicate within the host cell


Question: Description of Mycoplasma pneumoniae (Mycoplasma pneumoniae) infection, which of the following error?

Answer: Correct diagnosis depends mainly on sputum and blood culture

Choices:
A. School-age children are common pathogens of community pneumonia
B. Pulmonary symptoms include encephalitis, arthritis, and rash
C. The incubation period of 2 to 3 weeks, high contagious within the family
D. Correct diagnosis depends mainly on sputum and blood culture


Question: The following substances in the stomach wall cells (Parietal cells) have receptors of gastric acid secretion may be adjusted, but whichever exception?

Answer: Secretin

Choices:
A. Acetylcholine
B. Histamine
C. Prostaglandin
D. Secretin

following substances
stomach wall cells
receptors
gastric acid secretion
adjusted


Question: After surgical removal of the uterus uterine artery ligation (uterine artery), still bleeding, the blood Which of the following is most likely to come from the branch?

Answer: Ovarian artery (ovarian artery)

Choices:
A. The vesical artery (superior vesical artery)
B. Rectal artery (inferior rectal artery)
C. Ovarian artery (ovarian artery)
D. Obturator artery (obturator artery)

surgical removal of
uterus
artery ligation
uterine artery
bleeding
blood
following
to
branch


Question: Which is not an acute inflammation of the complications and sequelae change?

Answer: Malignant changes

Choices:
A. Organization scarring
B. Abscess formation
C. Malignant changes
D. Chronic inflammation

not
acute inflammation
complications
sequelae change


Question: Which of the following is not a characteristic Treponema pallidum (Treponema pallidum) of?

Answer: Gram-positive bacteria stain

Choices:
A. Can not grow in cell-free media
B. Cell is slim spiral
C. Gram-positive bacteria stain
D. Slow growth rate than normal bacteria


Question: 32-year-old men, intravenous drug addiction patients. Nearly a week to feel nausea, vomiting, and dark urine. Laboratory examination revealed bilirubin, conjugated bilirubin, AST and ALT values increased significantly. Hepatitis virus detection result as follows: HBsAg positive, Anti-HBs negative, Anti-HBc-positive, IgM-anti-HBc negative, IgG-anti-HAV positive, IgM-anti-HAV negative, Anti-HCV negative, Anti-HDV positive. Why is the most likely diagnosis?

Answer: Chronic hepatitis B virus infection and acute hepatitis D virus infection

Choices:
A. Acute hepatitis A virus infection
B. Acute hepatitis B virus infection
C. Chronic hepatitis C virus infection
D. Chronic hepatitis B virus infection and acute hepatitis D virus infection


Question: Statements about Cluster headache (cluster headache), and Which statement is correct?

Answer: Certain unilateral

Choices:
A. More girls than boys
B. Certain unilateral
C. Pain for about 4-72 hours
D. Will attack every year

Cluster headache
cluster headache
correct


Question: Bearing on the question, which of the following is the most appropriate treatment?

Answer: Without treatment

Choices:
A. Without treatment
B. Line joint action grant rehabilitation therapy
C. Separation surgery with bone bonding
D. Closed reduction and fixation plaster Correction

Bearing
following
most appropriate treatment


Question: Patients with brain abscess due to increased intracranial pressure occurs when the brain through the canopy off hernia (transtentorial herniation), oppression of a blood vessel to that caused by ischemia?

Answer: Posterior cerebral artery

Choices:
A. Anterior cerebral artery
B. Middle cerebral artery
C. Posterior cerebral artery
D. Basilar artery

Patients
brain abscess
increased intracranial pressure occurs
brain
hernia
transtentorial herniation
oppression
blood vessel
caused
ischemia


Question: Account of adult polycystic kidney (Adult polycystic kidney disease), the error which of the following?

Answer: As sex-linked genetic diseases

Choices:
A. As sex-linked genetic diseases
B. Often accompanied by high blood pressure
C. Bleeding (Subarachnoid hemorrhage) 1/10 patients occur under the arachnoid
D. Cyst found in other organs such as the liver, spleen, pancreas, etc.

Account
adult polycystic kidney
Adult polycystic kidney disease
error
following


Question: 1 induction of anesthesia for the patient, which of the following will make the minimum alveolar concentration of anesthetic gas (minimum alveolar concentration; MAC) increase?

Answer: Long-term alcohol abuse (chronic alcohol abuse)

Choices:
A. Temperature 34 ℃
B. Acute alcohol intoxication (acute alcohol intoxication)
C. Long-term alcohol abuse (chronic alcohol abuse)
D. Oxygen concentration in arterial blood (PaO2) less than 40 mmHg

1 induction of anesthesia
patient
following
make
minimum alveolar concentration
anesthetic
minimum alveolar concentration
MAC
increase


Question: 21. Simple coarctation of the aorta syndrome (isolated coarctation of aorta) of surgery, surgical procedures may include those of the following? ① flap aortic artery angioplasty (subclavian flap aortoplasty) placed under patent ductus arteriosus stent (stent) ② ③ clavicle cloth augmentation (patch augmentation) ④ wide excision anastomotic constriction then ends (extended resection with primary anastomosis)

Answer: ②③④

Choices:
A. ①②
B. ①③
C. ①④
D. ②③④


Question: Fundus examination revealed bull's-eye-like macular degeneration (bull's eye maculopathy), which is often associated with these diseases?

Answer: Retinopathy chloroquine (chloroquine retinopathy)

Choices:
A. Retinopathy chloroquine (chloroquine retinopathy)
B. Bladder macular edema (cystoid macular edema)
C. Central retinal artery occlusion (central retinal artery occlusion)
D. Age-related macular degeneration (age-related macular degeneration)

Fundus
revealed
macular degeneration
bull's eye maculopathy
often associated
diseases


Question: A 68-year-old woman with acute cholecystitis underwent laparoscopic cholecystectomy, after truncating the cystic artery, near the Calot's triangle is most likely to be hurt that one of the following vessels?

Answer: right hepatic artery

Choices:
A. right hepatic artery
B. superior mesenteric vein
C. left hepatic artery
D. right renal vein

year old woman
acute cholecystitis
laparoscopic cholecystectomy
cystic artery
Calot's triangle
to
one
following vessels


Question: 16. A 60-year-old male patient was sent to hospital because of a car accident, manager examination revealed left lower leg in the distal 1/3, has a diameter of about 10 cm defect from the wound can be seen tibial tendon and expose the phenomenon (as shown below ), X-rays also showed fracture status, physical examination and other real room to check the patient's normal. The recommendation of the "reconstruction options" (reconstructive options), the following reconstruction which is the first choice?

Answer: Free flaps (free tissue transfer)

Choices:
A. Part of the layer of skin and skin grafting (split-thickness skin graft)
B. Advance local skin flap (local advanced skin flap)
C. Local muscle flap (regional muscle flap)
D. Free flaps (free tissue transfer)

60 year old male patient
sent
hospital
car accident
manager
revealed left lower leg
distal 1/3
diameter
10
defect
wound
seen tibial tendon
X-rays
fracture status
real room to check
patient
ormal.
econstruction  ptions"
econstructive  ptions)
ollowing  econstruction
irst


Question: About esophageal atresia (esophageal atresia) often associated with the deformity, which of the following error?

Answer: Small intestine closure (intestinal atresia)

Choices:
A. Anorectal anomaly (anorectal malformation)
B. Kidney and radial anomalies (renal or radius malformation)
C. Small intestine closure (intestinal atresia)
D. Spine defects (vertebral defects)

About esophageal atresia
esophageal atresia
often associated with
deformity
following error


Question: 57 south of dengue fever outbreak a pandemic, what if the patient has the following symptoms, doctors will be diagnosed with dengue virus (dengue viruses) of the infection? ① erythema (rash) ② arthritis (arthritis) ③ thrombocytopenia (thrombocytopenia) ④ hemorrhagic fever (hemorrhagic fever)

Answer: ①③④

Choices:
A. ①②③
B. ①②④
C. ②③④
D. ①③④

57 south
dengue fever
patient
following symptoms
doctors
diagnosed
infection
erythema
rash
arthritis
arthritis
thrombocytopenia
thrombocytopenia
hemorrhagic fever
hemorrhagic fever


Question: Which of the following is NOT a characteristic of RNA polymerase (RNA polymerase) transcription?

Answer: Connected to a terminal nucleotide 5'-OH

Choices:
A. DNA binding cover size of about 35 bp
B. Required magnesium ion (Mg2 +)
C. Connected to a terminal nucleotide 5'-OH
D. RNA sequences extended from the 5 'to 3' direction

following
NOT
characteristic
RNA polymerase
RNA polymerase


Question: 63. narrative about rickets (rickets) and bone softening disease (osteomalacia), and which of the following error?

Answer: Are all growth plate (growth plate) proliferative zone (proliferative zone) of the bone mineral (bone mineralization) caused loss

Choices:
A. Are all growth plate (growth plate) proliferative zone (proliferative zone) of the bone mineral (bone mineralization) caused loss
B. Serum parathyroid hormone (parathyroid hormone) and alkaline phosphatase (alkaline phosphatase) will increase
C. Weight of the load of the long bones of X-ray images, can change Looser's common transition region (Looser's transformation zone) of
D. The exact diagnosis is based are all bone biopsy

63
rickets
rickets
bone softening disease
osteomalacia
following error


Question: About thyroglossal cyst (thyroglossal duct cyst) of the narrative, which of the following error?

Answer: Usually occurs outside of the neck

Choices:
A. Is the most common congenital neck mass
B. Usually occurs outside of the neck
C. Usually asymptomatic or repeated inflammation for the performance
D. Cysts can be found as the vertical movement swallow palpation

About thyroglossal cyst
thyroglossal duct cyst
following error


Question: Which is not an indication for surgery?

Answer: pneumatosis intestinalis

Choices:
A. intraperitoneal free air
B. pneumatosis intestinalis
C. acidosis (pH < 7.20) after fluid resuscitation
D. hepatoportal venous gas


Question:  bone cells and bone  small tube plate (interstitial lamella) 35 What is one liver cells with phagocytic function?

Answer: Hepatocyte

Choices:
A. Bone cells and tubules
B. Between the bone plate (interstitial lamella) 35 What is one liver cells with phagocytic function?
C. Hepatocyte
D. Endothelial cells

bone
small tube plate
interstitial lamella
one liver
function


Question: 50 year old man, to grow in this decade trunk and limbs red patches as shown, visible lesions on extremely thick silvery white scales, small bleeding points occur when outside forces brushed aside. The most likely diagnosis is:

Answer: Plaque psoriasis (psoriasis vulgaris)

Choices:
A. Vulgaris ichthyosis (ichthyosis vulgaris)
B. Lichen planus (lichen planus)
C. Plaque psoriasis (psoriasis vulgaris)
D. Common warts (verruca vulgaris)

50 year old man
to
decade trunk
limbs red patches
visible lesions
extremely thick silvery white scales
small bleeding points occur
outside
brushed
diagnosis


Question: (Microinvasive) describes the following information about cervical cancer lesions microscopic violations, what's wrong?

Answer: Depth of invasion in the basement membrane, greater than 7 mm

Choices:
A. The first phase a1 (stage Ia1)
B. Depth of invasion in the basement membrane, greater than 7 mm
C. Found no violations in the lymph or blood vessels
D. Alternatively treatment of hysterectomy surgery

Microinvasive
following
cervical cancer lesions microscopic
wrong


Question: Testicular of the following statements about what's wrong?

Answer: The only serum hCG rises of testicular seminoma

Choices:
A. About 7 to 10% of patients with testicular cancer had occurred in the history of cryptorchidism
B. Testicular lymphatic drainage height extending from T1 to L4
C. IIA, and IIB of the distinction between lymph node size is 2 cm
D. The only serum hCG rises of testicular seminoma


Question: The factors contributing to alcoholism does not cover what items?

Answer: Ethics

Choices:
A. surroundings
B. Learn
C. Inherited
D. Ethics


Question: Using the early secretory antigenic target -6 (ESAT-6) and culture filtrate protein -10 (CFP-10), as an antigen to detect the patient's T cells produced interferon gamma (IFN-γ), the purpose of check the patient is infected following a microorganism that is?

Answer: Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Choices:
A. Li Rickettsia (Rickettsia rickettsii)
B. Smoke yeast fungi (Aspergillus fumigatus)
C. Mycoplasma pneumoniae (Mycoplasma pneumoniae)
D. Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Using
early secretory
target
culture
protein
10
to detect
patient's
interferon gamma
purpose
check
patient
infected following


Question: The following related tear Paixiejitong (tear excretory system) of the narrative, what's wrong?

Answer: Nasolacrimal duct opening located in the middle turbinate (middle nasal meatus)

Choices:
A. Eye surface tear distributed mainly by the blinking action of the eyelids (Blinking)
B. Eyelid closure failure patients, often accompanied epiphora (epiphora) SYMPTOMS
C. Nasolacrimal duct opening located in the middle turbinate (middle nasal meatus)
D. The most common cause of congenital nasolacrimal duct obstruction is Hasner's valve does not open

following related tear
tear
system
wrong


Question: Following a virus that can cause infection through the skin?

Answer: Papilloma virus (Papillomavirus)

Choices:
A. Adenovirus (Adenovirus)
B. Rotavirus (Rotavirus)
C. Rhinovirus (Rhinovirus)
D. Papilloma virus (Papillomavirus)


Question: A 1-year-old boy was two months nearly a month pallor, reduced appetite, poor motility to the clinic for treatment, physical examination found that the liver and spleen enlargement phenomenon, blood routine examination results are as follows: WBC 8,100 / mm3, segment 55%, lymphocyte 42%, RBC 2.30 × 106 / mm3, Hb 4.0 g / dL, MCV 59 fL, MCH 16 pg, platelets 290,000 / mm3, reticulocyte 5.2%. He is most likely that following an illness?

Answer: Heavy marine anemia beta] type (β-thalassemia)

Choices:
A. [Alpha] type marine heavy anemia (α-thalassemia)
B. Heavy marine anemia beta] type (β-thalassemia)
C. Leukemia (acute leukemia)
D. Aplastic anemia (aplastic anemia)

year old boy
two months nearly
month pallor
reduced appetite
poor motility
clinic
treatment
found
liver
spleen enlargement
blood routine examination results
follows
WBC
100
mm3
segment
30
mm3
Hb 4 0 g
dL
MCV 59 fL
MCH
pg
platelets
mm3
following
illness


Question: Mitochondria (Mitochondria) The main functions:

Answer: generate energy

Choices:
A. Make proteins
B. Do repair and packaging of newly synthesized proteins
C. Decomposition of foreign substances
D. generate energy

Mitochondria
Mitochondria
main functions


Question: About jaundice (jaundice) of the narrative, which of the following error?

Answer: Bilirubin half-life of approximately 4 hours, but the combination of the albumin half-life of about 3 days bilirubin

Choices:
A. Bilirubin is the main metabolite of heme decomposition
B. Unconjugated bilirubin bound bilirubin into hepatic cells via, then discharged through the duct
C. Bilirubin half-life of approximately 4 hours, but the combination of the albumin half-life of about 3 days bilirubin
D. Normal serum bilirubin less than 1 mg / dL, direct bilirubin about 30%


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

Answer: Streptococcus is the most common pathogen osteomyelitis

Choices:
A. ESR can be used as index-tracking treatment response
B. Streptococcus is the most common pathogen osteomyelitis
C. Children of osteomyelitis occur in the long bones (long bones)
D. Treatment time usually takes 4 to 6 weeks or more

following osteomyelitis osteomyelitis wrong


Question: The following antacids (antacid) whichever has a laxative effect?

Answer: Mg(OH)2

Choices:
A. Mg(OH)2
B. Al (OH) 3
C. CaCO3
D. NaHCO3

following antacids
antacid
laxative effect


Question: Esophageal resection and reconstruction, in order that the organ most commonly used?

Answer: stomach

Choices:
A. colon
B. stomach
C. jejunum
D. Muscle flap

Esophageal resection
reconstruction
order
organ
used


Question: A 6-year-old boy with fever three days to seek treatment, physical examination revealed redness of the throat, tongue changes as shown. That one of the following is the most appropriate diagnosis?

Answer: Geographic tongue

Choices:
A. Strawberry tongue
B. Hairy leukoplakia
C. Geographic tongue
D. Hairy tongue

6 year old boy
fever days to
treatment
revealed redness
throat
tongue changes
one
following
most appropriate diagnosis


Question: When Dr. Chang ophthalmology eye of a needle to see patients, often encounter patients are afraid of the pain, but do not treat eye of a needle will continue to expand, so he must use more indirect methods; taking advantage of an eye exam, do not pay attention when comparing the patient, be sty resection. This is also for the good of the patient before performing such an action, he can not blame the patient did not speak with clear, so the idea, right?

Answer: No, any medical practice must obtain prior consent of the patient

Choices:
A. No, any medical practice must obtain prior consent of the patient
B. Fortunately, a simple medical practice without first obtaining the patient's consent
C. Fortunately, a simple medical practices can be subsequently re-obtain the patient's consent
D. Fortunately, a simple medical practices as long as the patient verbally agreed to after-acquired

Dr
ophthalmology eye
needle to see patients
often
patients
pain
not treat eye
needle
to expand
use more indirect methods
eye exam
not pay
patient
sty resection
good
patient
performing
action
not
patient
not speak
clear
idea
right


Question: The most common in the interior of the tertiary structure of the protein covalent interactions are:

Answer: Disulfide bonds (Disulfide bond)

Choices:
A. Hydrogen (Hydrogen bond)
B. Van de Waal forces (van der Waals interaction)
C. Ionic interactions (Ionic interaction)
D. Disulfide bonds (Disulfide bond)


Question: Which of the following conduct by a gastric ulcer pain?

Answer: Splanchnic nerve (greater splanchnic 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: The following about the continued use of gonadotropin-releasing hormone (gonadotropin releasing hormone; GnRH) described side effects occur when the analog drugs, what's wrong?

Answer: Rongyifasheng case of long-term use of central precocious puberty (central precocious puberty) in

Choices:
A. When women use long-term Rongyifasheng ovarian cysts (ovarian cysts) phenomenon, but may improve after withdrawal
B. Long-term systemic Rongyifasheng atopic dermatitis (generalized hypersensitivity upon subcutaneous administration
C. Bone density tends to decrease when women and long-term use of osteoporosis (osteoporosis) case
D. Rongyifasheng case of long-term use of central precocious puberty (central precocious puberty) in

following
use of gonadotropin-releasing hormone
gonadotropin releasing hormone
GnRH
side effects occur
analog drugs
wrong


Question: 59 A 50-year-old male patient with a history of diabetes, medical clinic has been home track. Two days ago began to have a fever, cough, and do a complete blood glucose checks; fasting blood glucose was 124 mg / dL, hemoglobin was 16.8 g / dL, white blood cell count was 32,260 / μL, neutrophils 25%, 69.5% lymphocytes, 4% monocytes, eosinophilic blood cells 1%, basophil 0.5%, platelets 190,000 / μL. Flow cytometry lymphocyte displayed as CD19, CD20, CD5, and κ-light chain positive, CD3 and λ-light chain was negative. Whichever of the following is the most likely diagnosis in this patient?

Answer: B-cell chronic lymphocytic leukemia

Choices:
A. common cold associated lymphocytosis
B. Epstein-Barr virus infection induced lymphocytosis
C. systemic tuberculosis induced lymphocytosis
D. B-cell chronic lymphocytic leukemia

59
50 year old male
history
diabetes
medical clinic
home track
Two days
began to
fever
cough
complete blood glucose checks
fasting blood glucose
mg
dL
hemoglobin
g
dL
white blood cell count
69
lymphocytes
4
eosinophilic
0.5
platelets
L
Flow cytometry
displayed
CD19
CD20
CD5
light chain positive
CD3
light chain
negative
following
diagnosis
patient


Question: An 8-year-old children do not concentrate in class because, homework procrastination, forgets and is often punished by the teacher to seek treatment. That behavior following diagnosis than a physician's inappropriate?

Answer: First arrangements imaging tests (such as CT, MRI)

Choices:
A. Ask parents, this phenomenon in patients with or without hyperactivity
B. Asked parents whether this patient have this phenomenon in the context of two or more
C. Ask parents, teens begin this patient have this phenomenon
D. First arrangements imaging tests (such as CT, MRI)

year
not concentrate
forgets
often punished
teacher to
treatment
behavior following diagnosis
physician's inappropriate


Question: A 20-year-old male patient, because the secondary sexual characteristics is not obvious from the treatment. His height 178 cm, weight 70 kg, no beard, armpit hair and pubic hair sparse, small testicles and hard. This patient was following the inspection, an outcome that is most likely?

Answer: Abnormal chromosome

Choices:
A. FSH value is low
B. Testosterone is still in the normal range
C. Abnormal chromosome
D. Abnormal sense of smell

20 year old male patient
secondary
characteristics
not
treatment
height
weight 70 kg
beard
armpit hair
pubic hair
small testicles
hard
patient
following
inspection
outcome


Question: 32 a 30-year-old married woman, menstrual pain complained about 8 years, transvaginal ultrasound pelvic examination revealed a tumor from about 6 cm below. The most likely diagnosis of why?

Answer: Ovarian endometrial tumors (endometrioma of ovary)

Choices:
A. Uterine fibroids (uterine myoma)
B. Endometrial cancer (endometrial carcinoma)
C. Ovarian teratoma (teratoma)
D. Ovarian endometrial tumors (endometrioma of ovary)


Question: If the oxygen content of the patient in the arterial circulation to the body 0.20 mL O2 / mL blood, pulmonary blood oxygen content of 0.15 mL O2 / mL blood, and its oxygen consumption of the body 200 mL / min, the cardiac output of the patient how many mL / min?

Answer: 4000

Choices:
A. 5000
B. 4000
C. 2000
D. 1000

oxygen content
patient
arterial circulation
body 0 20 mL O2
mL blood
pulmonary blood oxygen content
0.15 mL O2
mL
oxygen consumption
body 200 mL
min
cardiac
patient
mL
min


Question: A 64 year old woman receiving computer tomography peritonitis, found into contraceptive coil (the IUD) as indicated by arrows in FIG utero, the error of the following statements?

Answer: Endometriosis

Choices:
A. Uterine abscess
B. Endometriosis
C. Uterine necrosis perforation
D. Peritoneal abscess


Question: From the previous questions, the results of blood tests and abnormal white blood cell that infants most likely to:

Answer: Eosinophilic leukocyte increase (eosinophilia)

Choices:
A. Lymphocyte increase (lymphocytosis)
B. Strip neutrophils increased (increased band-form neutrophils)
C. Eosinophilic leukocyte increase (eosinophilia)
D. Thrombocytopenia (thrombocytopenia)

previous
results
blood tests
abnormal white blood cell
infants


Question: "Meissner's corpuscles (Meissner's corpuscle)," which has the following characteristics?

Answer: Tactile receptors

Choices:
A. Distributed in the epidermis
B. Distributed in the dermis reticular layer
C. Structure formed by aggregation of lymphocytes
D. Tactile receptors

Meissner
orpuscles
eissner'
rpuscle),
llowing c aracteristics?


Question: Kallmann syndrome can cause inadequate pituitary gland function, leading to infertility, and is accompanied by the kind of sensory disorders?

Answer: Nose

Choices:
A. Visual
B. Nose
C. Auditory sense
D. Sense of taste


Question: 36. A 50-year-old woman, whose complaints of sudden severe pain in the right shoulder, previously used anti-inflammatory agents for several days, but can not effectively alleviated. To the hospital, the right shoulder is difficult activities, subdeltoid bursa significant tenderness to palpation, uric acid 8.0 mg / dL, rheumatoid factor 30 U / mL (normal <20), via a photographic X-ray and MRI results As illustrated, following which the disease is most likely?

Answer: initiation of arthritis apatite crystals

Choices:
A. Gouty arthritis
B. Rheumatoid arthritis
C. initiation of arthritis apatite crystals
D. Frozen shoulder (frozen shoulder)

36
50 year old woman
complaints
sudden severe
right shoulder
used anti-inflammatory agents
days
not
hospital
right shoulder
difficult
subdeltoid bursa significant tenderness
palpation
uric acid
0 mg
dL
rheumatoid factor 30 U
mL
normal
20
photographic X-ray
MRI results
following
disease


Question: To do the current diagnosis of bronchiectasis (bronchiectasis), the best item to be tested:

Answer: High resolution chest computed tomography (high resolution computed tomography of chest)

Choices:
A. Chest X-ray
B. High resolution chest computed tomography (high resolution computed tomography of chest)
C. Bronchial angiography (bronchography)
D. Bronchoscopy (bronchoscopy)

To
current diagnosis
bronchiectasis
bronchiectasis
best
to


Question: About naming influenza virus (Influenza virus) of a virus strain A / Bangkok / 1/79 (H3N2), the following statements is wrong?

Answer: 1/79 on behalf of strains of the disease No.

Choices:
A. A representative of this type A influenza virus
B. Bangkok represents the location of its first isolated
C. 1/79 on behalf of strains of the disease No.
D. Representative antigenic H3N2, HA antigen is the third type, NA antigen of the second type


Question: Testicular tumors when 100 microscopy found Schiller-Duval bodies, α-fetoprotein immunohistological staining of tumor cells were positive, the diagnosis of the most appropriate to ask what the following?

Answer: Yolk sac tumor

Choices:
A. Embryonal carcinoma
B. Choriocarcinoma
C. Seminoma
D. Yolk sac tumor


Question: 40. The international study of women in a survey in 50 countries around the world (15-49 years old) the relationship between fertility (fertility rate, represented by Y) (to X represents a percentage contraception) and the contraceptive prevalence rate of married women using a simple linear regression Y = 6.8-0.08X, and Pearson correlation coefficient of -0.4 Y and X, the following statements is true?

Answer: 16% of the variation in fertility could be interpreted contraceptive prevalence rate of married women

Choices:
A. The contraceptive prevalence rate of married women per unit increase in average fertility rate will increase the value of 6.8
B. 40% of the variation in fertility could be interpreted contraceptive prevalence rate of married women
C. 16% of the variation in fertility could be interpreted contraceptive prevalence rate of married women
D. The contraceptive prevalence rate of married women per unit increase in the value of the average fertility rate will decrease 0.4

40
study
survey
50 countries
years old
relationship
fertility
fertility rate
percentage contraception
contraceptive prevalence rate
married
using
simple linear regression
0
Pearson correlation coefficient
0.4
following
true


Question: A 50-year-old male patient was sent to the emergency, the family complained when patients get up suddenly fell to the ground for winter sports in the morning, loss of consciousness, and limbs continue to twitch. Sent home from the emergency time is around 30 minutes, the phenomenon continues. The first step should be:

Answer: Clear respiratory secretions and to consider the establishment of an endotracheal tube

Choices:
A. Valium 10 mg administered intravenously
B. Ativan 2 mg given intravenously
C. Dormicum 5 mg administered intravenously
D. Clear respiratory secretions and to consider the establishment of an endotracheal tube

50 year old male patient
sent
emergency
patients get
fell
morning
loss of consciousness
limbs
to twitch
Sent home
emergency time
30 minutes
first step


Question: X-ray of a 3-year-old children (as shown below), the following is most likely what disease?

Answer: The left hip dislocation

Choices:
A. The left hip dislocation
B. The left femoral head necrosis
C. The right of a dislocated hip
D. On the right side of the femoral head necrosis


Question: Which of the following sports injuries are ankle sprains caused (ankle sprain) The most common ligament injury?

Answer: From the anterior fibula (anterior talofibular) ligament

Choices:
A. After the fibula from the (posterior talofibular) ligament
B. From the anterior fibula (anterior talofibular) ligament
C. From the fibula side (lateral talofibular) ligament
D. Triangle (deltoid) ligament

following sports injuries
ankle sprains caused
ankle sprain
most common ligament injury


Question: Amino group can be by the following ways, transported by skeletal muscle cells into the liver cell metabolism?

Answer: Glucose-alanine cycle

Choices:
A. Krebs cycle
B. Glucose-alanine cycle
C. Urea cycle
D. Citric acid cycle

following
transported
liver cell metabolism


Question: Which of the following do not meet the health promotion proper code of ethics?

Answer: Respect for individual privacy

Choices:
A. Time-series studies
B. Value clearly open
C. Respect for individual privacy
D. Expert-led decision


Question: A 50-year-old man because of hepatitis B-related liver cirrhosis with massive ascites hospitalized several times by diuretics and massive ascites fluid treatment after discharge, urine volume and decreased glomerular filtration rate, the most appropriate treatment Why?

Answer: fluid supply

Choices:
A. propranolol
B. fluid supply
C. Increase the dose of diuretics
D. Consider a liver transplant


Question: 36 Tamoxifen most commonly used in the treatment of cancer (such as breast cancer and other cancers), the main machine into which of the following hormone suppression sensing body (hormone receptor) of transcription (transcription) capability?

Answer: Estrogen feel the body (estrogen receptor)

Choices:
A. Androgen receptor body (androgen receptor)
B. Estrogen feel the body (estrogen receptor)
C. Thyroid hormone receptor body (thyroid hormone receptor)
D. Vitamin D sensing body (vitamin D receptor)

36 Tamoxifen
used
treatment of cancer
breast cancer
cancers
main machine
following hormone suppression
hormone receptor
capability


Question: Bearing on the question, which of the following is the most likely diagnosis?

Answer: Breast abscess

Choices:
A. Breast cancer
B. Breast abscess
C. Fibrocystic breast disease
D. Breast fibroadenoma


Question: Square in front of the right lung tumor oppression Which of the following is most likely?

Answer: Phrenic nerve (phrenic nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Vagus nerve (vagus nerve)
C. Recurrent laryngeal nerve (recurrent laryngeal nerve)
D. Sympathetic trunk (sympathetic trunk)


Question: The removal of organs in accordance with the provisions of the Human Organ Transplant Ordinance, MD, of the following statements is wrong?

Answer: Physicians removal of organs from dead bodies, the next of kin of the deceased agreed to in writing or orally

Choices:
A. Physicians removal of organs from dead bodies, alive or will agree to in writing by the deceased
B. Physicians removal of organs from dead bodies, the next of kin of the deceased agreed to in writing or orally
C. Physician before harvesting organs from living, donors should explain the scope and removal of organs during surgery, the complications and possible danger
D. When doctors perform the removal of organs, should fulfill the necessary medical attention and etiquette

removal
organs in accordance with
Human Organ Transplant
following
wrong


Question: Ten days ago a 55-year-old male patient due to acute respiratory infections leading to pneumonia, chest X-ray shows interstitial and alveolar infiltrates changes in diffusion, bilateral and rapid progress, the diagnosis of pulmonary edema has occurred (lung edema) and hypercapnia (hypercapnia), which of the following does not appear in this patient?

Answer: Increase the binding of oxygen to the tissues surrounding the heme

Choices:
A. Diffusion (diffusion) barrier
B. Ventilation / perfusion abnormalities (ventilation / perfusion mismatch)
C. Increase the binding of oxygen to the tissues surrounding the heme
D. Systemic arterial partial pressure of oxygen (PaO2) decreased

year old male patient due to acute respiratory infections leading


Question: A hospice for the elderly over the last few months of repeated abdominal distension, abdominal pain, often emit large amounts of gas and water will be alleviated in recent days, and severe abdominal distension, no exhaust has been two days, and then go to a doctor, by the X-ray visible coffee bean sign, Which of the following is correct?

Answer: If there is no acute abdomen may check with a barium enema or colonoscopy and ease

Choices:
A. Cancer may be required to immediately arrange for surgery
B. If there is no acute abdomen may check with a barium enema or colonoscopy and ease
C. Blocking position is most likely the ascending colon (ascending colon)
D. Long-term prognosis is poor because of repeated attacks

hospice
last
months
repeated abdominal distension
abdominal pain
often emit large amounts
gas
water
recent days
severe abdominal distension
exhaust
two days
then go
doctor
X-ray visible
sign
following
correct


Question: Which of the following secrete Mullerian inhibitor (Müllerian inhibiting substance, MIS), the deputy in the renal tubular (paramesonephric duct) degradation?

Answer: Testicular Sertoli cells (Sertoli cell)

Choices:
A. Testicular Sertoli cells (Sertoli cell)
B. Between testicular interstitial cells (Leydig cell)
C. Primordial germ cells (primordial germ cell)
D. Follicular cells (follicular cell)

following secrete
inhibitor
MIS
renal tubular
paramesonephric duct
degradation


Question: Systemic sclerosis (systemic sclerosis) organs most often violated are:

Answer: esophagus

Choices:
A. esophagus
B. heart
C. kidney
D. eye

Systemic sclerosis
systemic sclerosis
organs
often


Question: In the respiratory mucosa, can neutralize the most important antibody for the invasion of bacteria:

Answer: Age

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

respiratory mucosa
most important antibody
invasion
bacteria


Question:
95 Lieutenant Colonel protect a country to measure the height of the school for 10 students, the following data: 148,149,153,155,155,158, 161,162,166,170. The elite care when preparing the data into the computer 149 for analysis accidentally mistaken wherein sum key 194
 . This error does not affect the value of which of the following?

Answer: The mode

Choices:
A. average value
B. Standard difference
C. The mode
D. Median

95
country to measure
height
school
10
following data
data
computer
analysis
mistaken
sum
error
not
value


Question: 20 middle-aged female patient complained of fatigue, dark urine and itchy skin for about six months for treatment. Physical examination found mild scleral jaundice. Abdominal ultrasound examination revealed chronic hepatitis images. Blood test data: bilirubin T / D 4.3 / 2.1 (0.2-1.2 / 0.0-0.4) mg / dL; Alk-P 560 (66-240) IU / L; cholesterol 375 (130-200) mg / dL; IgM 870 (45-250) mg / dL; antimitochondrial antibody

Answer: PBC（primary biliary cirrhosis）

Choices:
A. PSC（primary sclerosing cholangitis）
B. PBC（primary biliary cirrhosis）
C. hereditary hemochromatosis
D. Wilson's disease

20 middle-aged female patient
fatigue
dark urine
itchy skin
six months
treatment
found mild scleral jaundice
Abdominal revealed chronic hepatitis
Blood test data
bilirubin
mg
dL
Alk
66
IU
L
cholesterol 375
200
mg
dL
IgM
mg
dL
antimitochondrial antibody


Question: Following an infection that was originally belong to "obligate intracellular bacteria"?

Answer: Chlamydia trachomatis

Choices:
A. Chlamydia trachomatis
B. Treponema pallidum
C. Clostridium botulinum
D. Pseudomonas aeruginosa


Question: In the narrative about the phrenic nerve (phrenic nerve) related to the position of the neck at the root of what's right?

Answer: Scalene go in front (anterior scalene muscle) in front of

Choices:
A. Located in the subclavian vein (subclavian vein) in front of
B. Scalene go in front (anterior scalene muscle) in front of
C. Located carotid artery (common carotid artery) inner
D. Walking in the arm plexus (brachial plexus) back

phrenic nerve
phrenic nerve
related
position
neck
root
right


Question: As shown most likely kidney biopsy Which of the following is the result:

Answer: 45 year old man appeared hemoptysis and rapid renal failure

Choices:
A. 10-year-old boy appeared nephrotic syndrome
B. Continuous renal failure occurred after 25-year-old woman taking diet pills unidentified
C. Acute renal failure after 35-year-old male marathon
D. 45 year old man appeared hemoptysis and rapid renal failure


Question: 72-year-old male patient in hospital four days because of blood in the stool, still red blood repeatedly solution and after hospitalization. 1st hospitalized after a colonoscopy found multiple blood clots in the large intestine, and abdominal angiography did not find the bleeding site. Hospitalization 2nd sigmoid colonoscopy and found a lesion at the figures. After the disease by cauterization patient blood in the stool symptoms disappeared. Which of the following best clinical diagnosis of the patient for this purpose?

Answer: E. vasodilation (ectasia)

Choices:
A. Colorectal Cancer
B. Colon diverticula (diverticula)
C. E. vasodilation (ectasia)
D. Colitis

72 year old male patient in hospital four days


Question: Emergency room an 8 year-old boy with refractory epilepsy due to a left elbow fracture deformation, anesthesia need to be reset. Which of the following is the preferred drug of choice?

Answer: fentany1＋midazolam

Choices:
A. ketamine＋midazolam
B. midazolam
C. fentany1＋midazolam
D. oxycodone

Emergency room
year old boy
refractory epilepsy
left elbow fracture deformation
anesthesia need to
following
preferred drug


Question: Which of the following can not be cultured in the general atmosphere?

Answer: Helicobacter pylori (Helicobacter pylori)

Choices:
A. Vibrio cholera (Vibrio cholerae)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
C. Shiga Mr. dysentery bacteria (Shigella dysenteriae)
D. Helicobacter pylori (Helicobacter pylori)

following
not
cultured
general atmosphere


Question: PKU patients in Taiwan, about one-third of phenylalanine hydroxylase secondary tetrahydrobiopterin (BH4) deficiency caused. BH4 is also required for the synthesis of dopamine and serotonin. So when BH4 deficiency, in addition to the increase in the concentration of phenylalanine, that there will be a performance?

Answer: Neurodegenerative symptoms because of the lack of the neurotransmitter caused

Choices:
A. Acidemia
B. Neurodegenerative symptoms because of the lack of the neurotransmitter caused
C. Prone chromaffin cell tumors (pheochromocytoma)
D. Congenital heart disease

phenylalanine hydroxylase secondary tetrahydrobiopterin


Question: 60-year-old Wang, have one male and two female, two months ago was diagnosed with multiple metastases to cervical cancer with abdominal, after chemotherapy and radiation therapy, tumor proliferation continues, because this has been for several consecutive days of severe lower abdomen pain and hospitalization, the nature of pain is lower abdomen dull pain, and pain is persistent pain, can not be due to changes in posture and ease. The following treatment and evaluation mode, whichever is most appropriate?

Answer: To assess whether there is internal bleeding emergency, and then be pain according to World Health Organization (WHO) three-stage method of relieving pain

Choices:
A. Patients with persistent pain because of the strong, should be given immediately strongest analgesics, such as fentanyl patches
B. Direct administration of a single injection of meperidine, again depending on the future administration of a single case of pain meperidine
C. To assess whether there is internal bleeding emergency, and then be pain according to World Health Organization (WHO) three-stage method of relieving pain
D. Because of pain medications can affect the future diagnosis and treatment, should first be given pain medication, but should wait and check all the diagnostic to determine and then considered for treatment

60 year old
one male
two female
two months
diagnosed
multiple metastases
cervical
abdominal
chemotherapy
radiation therapy
tumor proliferation
several consecutive days
severe lower abdomen pain
nature
pain
lower abdomen dull pain
pain
persistent pain
not
due to changes
posture
following treatment
mode
most appropriate


Question: Suicide is a growing phenomenon in Taiwan's social concern in recent years, description of suicide, Which of the following most correct?

Answer: The suicide rate of the elderly population is more than younger

Choices:
A. In epidemiological studies found that the ratio of women appear less suicidal behavior than men, but higher than the suicide rate
B. The suicide rate of the elderly population is more than younger
C. Ethnic suicide, only 10% had been diagnosed as a mental illness
D. Whether suicide attempts in the past had nothing to do with predicting the future risk of suicide

Suicide
Taiwan's social
recent years
suicide
following
correct


Question: Which of the following form anorectal flexion (anorectal flexure) and helps control bowel movements (fecal continence)?

Answer: Puborectalis (puborectalis)

Choices:
A. Internal anal sphincter (internal anal sphincter)
B. Coccygeus (coccygeus)
C. Puborectalis (puborectalis)
D. External anal sphincter (external anal sphincter)

following form anorectal flexion
anorectal flexure
helps control bowel
fecal continence


Question: 8 A 35-year-old female patient, have two sons, currently taking birth control pills, health checks and blood pressure from home several times between 138/88 mmHg mmHg. Health checkups and health clinic tests are all normal. He's following the disposal of the most appropriate?

Answer: Please patients and their gynecologists to discuss whether to stop taking birth control pills, and regular blood pressure and back to the clinic

Choices:
A. Diuretics to treat hypertension
B. Administration of calcium channel blockers to treat hypertension
C. Please patients and their gynecologists to discuss whether to stop taking birth control pills, and regular blood pressure and back to the clinic
D. Administration of angiotensin-converting enzyme inhibitor (ACEI) treatment of hypertension

35 year old female patient
two
currently
birth control pills
checks
blood pressure
home
times
88 mmHg
Health checkups
clinic tests
normal
following
appropriate


Question: Mature milk can be divided into before and after milk milk, which contains more nutrients after milk?

Answer: fat

Choices:
A. protein
B. fat
C. Carbohydrate
D. vitamin

Mature milk
divided
milk
contains more
milk


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

Answer: reactive

Choices:
A. positive
B. negative
C. reactive
D. nonreactive

previous
following
four
likely to check
results


Question: 3924-year-old women have refractory hypertension after diagnosis two years ago from the increasing use of drugs and doses, the drug currently used include labetalol 1000 mg bid, lisinopril 40 mg qd, clonidine 0.1 mg bid, amlodipine 5 mg qd. Physical checkups: Blood pressure mmHg, heart rate 84 beats per minute, no respiratory distress, cardiac examination no heart murmur or heart friction rub. And peripheral arterial pulse symmetry normal, no swelling of limbs, no hirsutism, fat distribution or abnormal genital abnormalities. Laboratory tests: potassium 2.8 mEg / dL, fasting glucose 114 mg / dL, Zoe above cases, the most likely diagnosis is:

Answer: Kang's disease (Conn's syndrome)

Choices:
A. Pheochromocytoma (pheochromocytoma)
B. Refrigerator 欣氏 disease (Cushing's syndrome)
C. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
D. Kang's disease (Conn's syndrome)

year old
refractory hypertension
diagnosis two years
increasing use of drugs
doses
drug currently used include labetalol
mg
qd
clonidine 0.1 mg
qd
Physical
Blood pressure mmHg
heart rate 84 beats per minute
respiratory distress
heart murmur
heart friction rub
peripheral arterial symmetry normal
swelling of limbs
hirsutism
fat distribution
abnormal
Laboratory tests
potassium
mEg
dL
fasting glucose
mg
dL
cases
diagnosis


Question: The following related lung emphysema (lobar emphysema) of the narrative and what is wrong?

Answer: And asthma (asthma) are closely related, to be administered steroids

Choices:
A. Usually occurs within 6 months after birth
B. About 1/4 of patients with bronchial achondroplasia (bronchial cartilage dysplasia)
C. Patients commonly have bronchiolitis (bronchiolitis)
D. And asthma (asthma) are closely related, to be administered steroids

following related lung emphysema
lobar emphysema
wrong


Question: When the potassium ion concentration in the blood rises, then a most significant increase in the following hormone?

Answer: aldosterone

Choices:
A. anti-diuretic hormone
B. angiotensinogen
C. aldosterone
D. atrial natriuretic peptide

potassium ion concentration in
blood
then
most significant increase
following hormone


Question: TB control measures currently Taiwan's most important is that one of the following?

Answer: Discover new patients, and support the implementation of all treatment (DOTS) program

Choices:
A. Full sputum screening to identify new patients
B. Identify the most common of resistant strains
C. Discover new patients, and support the implementation of all treatment (DOTS) program
D. Budget increase, expansion of hospital


Question: The following statements about the development of the pancreas, whichever is correct?

Answer: Most of the dorsal pancreatic bud (dorsal pancreatic bud) derived from

Choices:
A. From the foregut (foregut) and the intestinal (midgut) derived from common
B. Most of the dorsal pancreatic bud (dorsal pancreatic bud) derived from
C. Ventral pancreatic bud (ventral pancreatic bud) than the dorsal pancreatic bud early development
D. Go ventral and dorsal pancreatic bud ventral pancreatic bud healing


Question: 55 year old woman because the eye is easy to feel fatigue, feeling hot appear to come for treatment. In addition there will be patients complain Heat sensation in the mouth, have difficulty chewing and swallowing dry food. Physical examination revealed swollen glands, but will not feel pain at both sides of the ear. Blood serum examination showed anti-SS-A and SS-B antibodies anti increased. This narrative about the diseases, which of the following correct?

Answer: Such patients often have rheumatoid factor (rheumatoid factor) increases phenomenon

Choices:
A. Salivary glands have many lymphocytes (lymphocyte) infiltration, mainly CD8-positive T lymphocytes
B. Renal biopsy should be performed immediately to assess the severity of the disease
C. Such patients often have rheumatoid factor (rheumatoid factor) increases phenomenon
D. Such patients often have anti-chromosome Festival antibody (anti-centromere antibody) increases phenomenon

year old woman
eye
easy to
fatigue
hot appear to
treatment
addition
patients
Heat sensation
mouth
difficulty chewing
swallowing dry food
revealed swollen glands
not
pain
sides of
ear
Blood serum examination
SS
SS-B antibodies
increased
diseases
following correct


Question: Which of the following is the most common cervical cancer human papillomavirus type?

Answer: 1618

Choices:
A. 1618
B. 611
C. 4556
D. 3133

following
most common cervical cancer
type


Question: 79. In accordance with the provisions of eugenics care law, pregnant women diagnosed or prove the following circumstances, may in its voluntary implementation of abortion. Which statement is correct? ① impede or his spouse suffering from hereditary eugenics, infectious disease or mental illness ② have medical reasons, sufficient to establish pregnancy or childbirth lead to life-threatening or harmful physical or mental health ③ who have medical reasons, sufficient to establish there is a likelihood of fetal development ④ deformities because of pregnancy or childbirth will affect their mental health or family life by

Answer: ①②③④

Choices:
A. Only ①②③
B. Only ①③
C. Only ②④
D. ①②③④

In accordance with
law
diagnosed
following
abortion
correct
suffering
hereditary
infectious disease
mental illness
medical reasons
sufficient to establish pregnancy
childbirth lead
life-threatening
physical
medical reasons
sufficient to establish
likelihood
fetal development
deformities
pregnancy
childbirth


Question: A disease first year survival rate is 0.5, the second year survival rate is 0.4, the third year survival rate is 0.3. Will the three-year survival rate of this disease Why?

Answer: 0.06

Choices:
A. 0.3
B. 0.2
C. 0.09
D. 0.06


Question: Mother holding a month-old baby came to visit, the baby's right ear pinna dysplasia much smaller than normal, and no external auditory canal. The appearance of the left ear and eardrum are normal, then the next disposal, whichever is most appropriate?

Answer: Brainstem auditory evoked potential hearing assessment

Choices:
A. Ear high-resolution computer tomography
B. The outer ear and ear canal plastic surgery
C. Optional bone conduction hearing aid
D. Brainstem auditory evoked potential hearing assessment


Question: 30. The following information about Angiostrongylus cantonensis (Angiostrongylus cantonensis) infection with the human narrative, several narrative is correct? ① people from ingestion of undercooked snail parasite infection ② the human body as the definitive host (final host) ③ worms only violations of human cerebrospinal ④ caused a significant increase in eosinophils

Choices:
A. 1
B. 2
C. 3
D. 4

30
following
infection
human
correct
snail parasite infection
human body
final
worms only
human
caused
significant increase
eosinophils


Question: Combined with its pathological features of these diseases and what was right?

Answer: Leydig cell tumor (Leydig cell tumor) and Reinke crystalloids

Choices:
A. Herpes (herpes) virus infection and empty cells (koilocyte)
B. Hydatidiform mole (hydatidiform mole) and Call-Exner bodies
C. Yolk sac tumor (yolk sac tumor) and Birbeck granules
D. Leydig cell tumor (Leydig cell tumor) and Reinke crystalloids

Combined
pathological features
diseases
right


Question: Which of the following substances, the importance of low blood pH regulation?

Answer: Hydrogen sulfate

Choices:
A. protein
B. Hydrogen sulfate
C. Bicarbonate
D. Heme


Question: A 67-year-old woman taking steroid-containing treatment of back pain medicine for many years, has Cushing's disease (Cushing's syndrome) appearance, the family has been advised after stopping a month. Is due to urinary tract infections caused by hypotension, confusion was sent to the emergency room. In addition to the use of antibiotics, fluids, vasopressors treatment, which should be disposed of immediately giving?

Answer: Blood Cortisol sent immediately, without waiting for the outcome of the report can be immediately injected glucocorticoids (glucocorticoid) treatment

Choices:
A. Blood Cortisol sent immediately, without waiting for the outcome of the report can be immediately injected glucocorticoids (glucocorticoid) treatment
B. Blood immediately sent cortisol, and other reports shall be recognized as an outcome of lack of adrenal function, in order to give glucocorticoids (glucocorticoid) treatment
C. After sending blood cortisol 8:00 and 16:00, the immediate injection of glucocorticoids (glucocorticoid) treatment
D. Pro-adrenergic stimulation test performed immediately (ACTH stimulation test), measured immediately completed injection glucocorticoids (glucocorticoid) treatment

steroid
treatment of back pain medicine
years
Cushing's disease
Cushing's syndrome
appearance
stopping
month
due to urinary tract infections caused
hypotension
confusion
sent
emergency room
In addition to
use of
fluids
vasopressors treatment
immediately giving


Question: The following describes the chemical treatment of osteosarcoma related to validity?

Answer: Can reduce lung metastasis and improve survival

Choices:
A. Good results, surgery may be substituted
B. Can reduce lung metastasis and improve survival
C. Plus the best radiation therapy
D. Plus amputation is currently the main treatment

following
treatment
osteosarcoma related
validity


Question:
69
 Hypertensive patients with a history of asthma, what should not use these drugs?

Answer: Propranolol

Choices:
A. Diltiazem
B. Furosemide
C. Propranolol
D. Captopril

69 Hypertensive patients
history of asthma
not use
drugs


Question: Okazaki's fragments (Okazaki fragments) Which of the following will appear in the biological processes?

Answer: DNA replication (DNA Replication)

Choices:
A. Transcription (transcription)
B. The role of translation (translation)
C. Recombinant DNA (DNA recombination)
D. DNA replication (DNA Replication)


Question: From the previous question, this patient the best therapeutic drugs Why?

Answer: Steroid

Choices:
A. Broad-acting antibiotic
B. Anti-fungal drugs
C. Steroid
D. anti-viral drug


Question: A 31-year-old male, sudden vomiting and cramps because of the morning, after a coma to the hospital emergency room, told his family history of epilepsy, poor memory and doctors have told cerebrovascular problems. By emergency intubation, check blood pressure: 178/96 mmHg, pulse rate: 100 / min, on both sides of the pupil 5.5 mm, the light non-reflective, hands and feet response to pain, such as the right brain computer tomography imaging, the following He found the wrong person?

Answer: Intraventricular choroid plexus has expanded curved

Choices:
A. Intraventricular hemorrhage
B. Intraventricular have expanded tortuous vessel
C. Intraventricular choroid plexus has expanded curved
D. Ventricular dilatation

31 year old male
sudden vomiting
cramps
morning
coma
hospital emergency room
family history of epilepsy
poor memory
doctors
cerebrovascular
emergency intubation
check blood pressure
96 mmHg
pulse rate
100
min
sides
pupil
mm
light non reflective
hands
feet response to pain
right computer tomography imaging
following
found
wrong


Question: A 4-year-old sister in the evening was in a coma after his father wounded, was taken to hospital after an ambulance immediately endotracheal intubation, checking pupil left 4 mm, the right 7 mm, no light reflection, hands and feet respond to pain, coma index a bit?

Answer: 7

Choices:
A. 3
B. 5
C. 7
D. 9


Question: A 62-year-old woman, menopause five years, nearly two years because of pain during intercourse, repeated urinary tract infections, topical hormone replacement, the result of vaginal bleeding for treatment, the film thickness of 0.8 cm within the next ultrasound. The following check what is preferred?

Answer: Endometrial sliced

Choices:
A. Abdominal CT
B. Endometrial sliced
C. Dose hormone deficiency, should be changed to oral dosage forms
D. Dose hormone deficiency, should increase the frequency of use

62 year old woman
menopause five years
nearly two years
pain
intercourse
repeated urinary tract infections
topical hormone replacement
result
vaginal bleeding
treatment
film thickness
0.8
next ultrasound
following check
preferred


Question: In the treatment of nicotine addiction, the following treatment shutter mode that best results?

Answer: Using the cessation of drug therapy and body Use

Choices:
A. Face Your Own illness care has been taken by the will to quit
B. Face to quit your physician recommended disease
C. Using the nicotine patch or gum-connector
D. Using the cessation of drug therapy and body Use

treatment
nicotine addiction
following treatment shutter mode
best results


Question: That project following a clinical examination, as is routine in order to assess the main indicators of high-performance cocktail treatment of AIDS (AIDS) effect?

Answer: Determination of the amount of virus in plasma of human immunodeficiency virus (HIV)

Choices:
A. Determination of p24 antigen (Antigen) of
B. Determination of CD8 T-cell ratio: CD4
C. Determination of the amount of virus in plasma of human immunodeficiency virus (HIV)
D. HIV antigen / antibody (antigen / antibody) test combinations (combo test)

following
as
routine
order to
main
high
treatment
AIDS
AIDS
effect


Question: When COPD patients at rest, arterial hypoxia phenomenon has occurred, the patient is less likely that one of the following disorders due to COPD and respiratory physiology appear?

Answer: Shunt (shunt) increase

Choices:
A. FEV1 first second (FEV1) below 50% of the expected value
B. Shunt (shunt) increase
C. Ventilation / perfusion imbalance (ventilation / perfusion mismatching)
D. FEV1 first second (FEV1) below 25% of the expected value, may be accompanied by increased arterial carbon dioxide (PaCO2)

COPD patients
arterial hypoxia
patient
less likely
one
following disorders
COPD
respiratory physiology appear


Question: Mr. Wang to be discharged when doctors told Zhuyuanyishi Yang expressed the hope that the whole photocopies of medical records for future reference. Young physician replied that no, he can only give medical record, do you think medical doctors of law Yang answer correctly?

Answer: Is not correct, the patient can obtain complete medical records copies

Choices:
A. Correctly, the patient can only get medical summary
B. Is not correct, the patient can obtain complete medical records copies
C. Is not correct, the patient can get a complete medical history had
D. Correctly, the patient can not require any medical records

Mr
to
doctors
whole
medical records
future
Young physician
only give
medical


Question: The following description of the related parasite, what's wrong?

Answer: Sudan while the distribution of Rhodesia Trypanosoma (Trypanosoma brucei rhodesiense) and gambiense (T. b. Gambiense) of

Choices:
A. Sudan while the distribution of Rhodesia Trypanosoma (Trypanosoma brucei rhodesiense) and gambiense (T. b. Gambiense) of
B. Some leishmaniasis (kala-azar) in patients if not treated properly, in one or two years the same insect pathogen may produce lesions in the skin
C. The United States also had local dry west of Trypanosoma cruzi (Trypanosoma cruzi) cases of human infection
D. Europeans and Americans to travel in East Africa Wildlife Sanctuary, had thus infected Rhodesia Trypanosoma (Trypanosoma brucei rhodesiense) cases occurred


Question: A 4-year-old boy was found to have peeling fingers at the end change to come for treatment, two weeks ago the boy had a fever five days, body rashes, other symptoms unknown, did not receive treatment. That one of the following without the necessity to check the most?

Answer: rickettsia antibody

Choices:
A. echocardiogram
B. throat bacteria culture
C. anti-streptolysin O titer
D. rickettsia antibody

4 year old boy
found to
peeling fingers
end change to
treatment
two weeks
boy
fever
body rashes
symptoms unknown
not receive treatment
one
following
to check
most


Question: 70-year-old male, over the past 40 years, one day smoke a pack of cigarettes, the last three months of weight loss 6 kg, with a little blood stained sputum. Physical examination patient seems thin, clubbing (clubbing finger), before and after the longer diameter of the chest, chest auscultation both lung fields scattered wheezing (wheezing), weak heart sounds distant sounds. Chest X-rays have left hilar lymphadenopathy, flattened diaphragm. Sputum cytology display deep eosinophilic (eosinophilic staining) of irregular size and cytoplasm, deeply stained (hyperchromatic) nucleus. This patient most likely diagnosis Why?

Answer: Non-small cell lung cancer (non-small cell lung cancer)

Choices:
A. TB (tuberculosis)
B. Small cell lung cancer (small cell lung cancer)
C. Bronchiectasis (bronchiectasis)
D. Non-small cell lung cancer (non-small cell lung cancer)


Question: 61-year-old man, suffering from transient cerebral ischemia (TIA) symptoms, carotid ultrasound examination revealed ipsilateral carotid stenosis more than 90%, should do what treatment to prevent recurrence of the most effective?

Answer: Carotid endarterectomy (Carotid endarterectomy)

Choices:
A. Oral Aspirin
B. Oral Warfarin
C. Carotid endarterectomy (Carotid endarterectomy)
D. The external carotid artery - internal carotid artery bypass surgery (Extracranial-intracranial bypass)


Question: Cerebellum haptic edge fiber (climbing fibers) diameter main line to which of the following?

Answer: Olive cerebellar diameter (olivocerebellar tract)

Choices:
A. Spinocerebellar diameter front (anterior spinocerebellar tract)
B. Spinal cerebellar diameter (posterior spinocerebellar tract)
C. Nuclear wedge cerebellum diameter (cuneocerebellar tract)
D. Olive cerebellar diameter (olivocerebellar tract)

Cerebellum haptic edge fiber
climbing fibers
diameter main line


Question: Excessive intake of vitamin A during pregnancy and fetal abnormalities that may be related to the following?

Answer: Blindness (blindness)

Choices:
A. Blindness (blindness)
B. Congenital heart abnormalities (congenital heart block)
C. Abnormal limb (limb malformations)
D. Epilepsy (seizures)

Excessive intake
vitamin
pregnancy
fetal abnormalities
related


Question:
31. The first ⽣ so addicted to love gourmet food ⽽ Use soaked in wine ⽑ crab (crab) for many years, the date ago unexplained fever, cough, chest pain and zoomed with the amount ⾎ wire sputum (blood-tinged sputum) ⽽ medical treatment, after many hospital found discolored dark brown eggs and Kage ⾥ crystal board (CharcotLeyden crystals) within sputum, chest X-rays have displayed infiltration and patchy nodular balloon shadows, and pleural product water resistant (pleural effusion) and eosinophilic
 White ⾎ ball increase (eosinophilia) phenomenon. Based on the above description, in the first ⽣ most likely to be infected send ⽣ what insect?

Answer: Wei ⽒ lung fluke (Paragonimus westermani)

Choices:
A. Shaped flukes (Heterophyes heterophyes)
B. This date ⾎ flukes (Schistosoma japonicum)
C. 薑片 蟲 (F. buski)
D. Wei ⽒ lung fluke (Paragonimus westermani)

31
first
addicted to
food
Use soaked
years
date
unexplained fever
cough
chest pain
amount
wire sputum
blood-tinged sputum
medical treatment
hospital found discolored dark brown
crystal board
crystals
sputum
chest X-rays
displayed infiltration
patchy nodular balloon shadows
pleural product water resistant
pleural effusion
eosinophilic White
ball increase
eosinophilia
Based
first
likely to
infected send
insect


Question: Social Readjustment based on evaluation forms (social readjustment rating scale), pressure Which of the following life events caused the greatest strength?

Answer: Death of a spouse

Choices:
A. Death of a spouse
B. divorce
C. jail
D. Child death

Social
based
forms
social
rating scale
pressure
following life events caused
greatest strength


Question: 64-year-old male patient, lower extremity pain, tingling and weakness, accepted MRI examination, the picture shows the sagittal image T2, T1 image below shows the cross-section; lesions within the meaning of the white arrows, whichever is most correct?

Answer: herniated disc fragment

Choices:
A. neurogenic tumor
B. epidural hematoma
C. degenerative osteophyte
D. herniated disc fragment

64 year old male patient
lower extremity pain
tingling
weakness
accepted MRI
picture
sagittal
T1
cross-section
lesions
white arrows
most correct


Question: A 25-year-old female patient was diagnosed with systemic lupus erythematosus (systemic lupus erythematosus, SLE), RBC in urine of a recent 50 ~ 75 / HPF (high power field), 3.2 grams of protein per day in urine, blood in the muscle anhydride (creatinine) within 3 months, increased from 1.2 mg / dL to 2.4 mg / dL, the error of the following statements?

Answer: Anti-DNA level of physical values can not be anti-double-stranded when the index of lupus nephritis activity

Choices:
A. Kidney disease management sections most likely diffuse proliferative glomerulonephritis (diffuse proliferative glomerulonephritis)
B. Intravenous steroid pulse therapy (pulse steroid therapy)
C. Administration of cytotoxic drugs such as cyclophosphamide, the drug can also be administered by pulse treatment
D. Anti-DNA level of physical values can not be anti-double-stranded when the index of lupus nephritis activity

year old female patient
diagnosed
systemic lupus erythematosus
systemic lupus erythematosus
SLE
RBC in urine
recent 50
75
HPF
high power field
3.2 grams
protein
day
urine
blood
muscle anhydride
creatinine
3 months
increased
2 mg
dL
2.4 mg
dL
error
following


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

Answer: Available bone scintigraphy (bone scan) to diagnose whether a single or multiple bones violations

Choices:
A. Under pathological tissue can be found in malignant plasma cells (plasma cell)
B. X-rays can be found in the skull and pelvis multiple punctured like (punched out) destruction of bone lesions
C. Available bone scintigraphy (bone scan) to diagnose whether a single or multiple bones violations
D. Existing stem cell transplantation in patients successfully treated cases

multiple myeloma
multiple myeloma
following error


Question: Which of the following situations characterized by severe intestinal virus does not belong?

Answer: The incidence of more than 7 days

Choices:
A. The incidence of more than 7 days
B. Systemic limbs twitching with similar appearance frightened fast heartbeat or high blood pressure
C. Younger than 5 years old
D. Persistent vomiting


Question: Female infertility, uterine tubal photographic examination appear as shown in the following statements is most accurate?

Answer: Bilateral salpingo-smooth

Choices:
A. Cervical stenosis
B. Bilateral salpingo-smooth
C. Congenital double uterus
D. Intrauterine adhesions

Female infertility
uterine tubal photographic
appear
following
most accurate


Question: The most common cause of viral gastroenteritis baby RNA virus:

Answer: A rotavirus (Rotavirus A)

Choices:
A. Adenovirus (Adenoviruses) type 40 and 41
B. A rotavirus (Rotavirus A)
C. EB virus (Epstein-Barr Virus)
D. Rhinovirus (Rhinovirus)

most common cause
viral gastroenteritis baby


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

Answer: The timing of surgery after the school-age

Choices:
A. May be associated with inguinal hernia
B. Testicular surgery to fixation (orchidopexy) based
C. There are future without cryptorchidism patient treatment may cause infertility
D. The timing of surgery after the school-age

cryptorchidism
cryptorchidism
following error


Question: He constructed the following is not located in the midbrain (midbrain)?

Answer: Medial geniculate body (medial geniculate body)

Choices:
A. Superior cerebellar peduncle Cross (superior cerebellar peduncle decussation)
B. 黑 質 (substantia nigra)
C. Medial geniculate body (medial geniculate body)
D. Inferior colliculus (inferior colliculus)


Question: Determinants of health, the following was one of the most influential?

Answer: Environment and lifestyle

Choices:
A. Biogen
B. Healthcare
C. Socio-economic status
D. Environment and lifestyle


Question: Combination therewith pathological features of the tumor following the reproductive system, what is correct?

Answer: sarcoma botryoides 與 cambium layer

Choices:
A. granulosa cell tumor 與 Schiller-Duval bodies
B. sarcoma botryoides 與 cambium layer
C. yolk sac tumor 與 Call-Exner bodies
D. clear cell adenocarcinoma 與 Reinke crystal

Combination
pathological features
tumor following
reproductive system
correct


Question: Under fixed conditions, the following inhaled anesthetics, whichever suction can alveolar concentration concentration ratio (FA / FI) fastest rising?

Answer: desflurane

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

fixed conditions
following inhaled anesthetics
suction
alveolar concentration
ratio
fastest


Question: Prolonged, the cervix is not fully open, bulges referred to as fetal scalp edema:

Answer: Chapter succedaneous

Choices:
A. Molding
B. Chapter succedaneous
C. Subdural hematoma
D. Erythema nodosum

Prolonged
cervix
not
open
bulges referred to
fetal scalp


Question: Narrative allergic rhinitis (allergic rhinitis), and which of the following error?

Answer: The severe patients with allergic rhinitis and nasal congestion often affect the quality of life, treatment needs to anti-histamine (anti-histamine agent) were combined and rinsed with topical nasal decongestants (intranasal decongestant) two to four weeks treatment, to improve the quality of life

Choices:
A. The highest prevalence of children with chronic allergic diseases
B. The risk of future risk of asthma patients, is non-allergic rhinitis were three times higher
C. Often associated with allergic conjunctivitis, sinusitis and otitis media and relatively Rongyifasheng
D. The severe patients with allergic rhinitis and nasal congestion often affect the quality of life, treatment needs to anti-histamine (anti-histamine agent) were combined and rinsed with topical nasal decongestants (intranasal decongestant) two to four weeks treatment, to improve the quality of life

allergic rhinitis
allergic rhinitis
following error


Question: oncogenic ras gene transfer machine are:

Answer: Point mutation (point mutation)

Choices:
A. Shift adapter (translocation)
B. Point mutation (point mutation)
C. Increase (amplification)
D. Excessive expression (overexpression)


Question: Which of the following patients may explain persistent heart failure (persisting heart failure) is the main cause leg or foot edema?

Answer: Increased venous pressure

Choices:
A. Increased venous pressure
B. Increased plasma protein concentration
C. Lymph flow increase
D. Reduce microvascular permeability

following patients
persistent heart failure
heart failure
main cause leg
foot edema


Question: 4-year-old boy due to binocular vision slowly deteriorated, checked that both sides fundus tumor after surgery, pathological diagnosis of cancer, what is the probability of patients developed second cancers related to which of the following maximum?

Answer: osteogenic sarcoma

Choices:
A. hepatoblastoma
B. neuroblastoma
C. Wilms' tumor
D. osteogenic sarcoma

4 year old boy due to
slowly deteriorated
sides fundus tumor
surgery
pathological diagnosis
cancer
probability
patients
second cancers related
following maximum


Question: Which of the following mutations cause the translation (translation) during the early termination of protein synthesis?

Answer: nonsense mutation

Choices:
A. silent mutation
B. missense mutation
C. suppressor mutation
D. nonsense mutation


Question: 49-year-old male, usually have high blood pressure, sudden right limb weakness, according to this urgent CT, the diagnosis is:

Answer: Hypothalamus hemorrhagic stroke (Thalamic hemorrhage)

Choices:
A. Hypothalamus hemorrhagic stroke (Thalamic hemorrhage)
B. The shell hemorrhagic stroke (Putaminal hemorrhage)
C. Pontine hemorrhage stroke (Pontine hemorrhage)
D. Hemorrhagic stroke internal capsule (Internal capsular hemorrhage)

year old male
usually
high blood pressure
sudden right limb weakness
urgent CT
diagnosis


Question: One serving in the military in its 18-year-old young girl has suffered severe meningitis, after the two emergency hospital treatment, although his girlfriend healed himself died young. Before treatment, the bacteria found in abundant intracellular polymorphonuclear leukocyte (polymorphonuclear leukocytes) from the cerebrospinal fluid (cerebrospinal fluid) of the two acquired. The isolated from the cerebrospinal fluid to the bacterial species, they suffer from meningococcal meningitis is determined. The following narrative about this pathogen, what's wrong?

Answer: This bacteria living widespread in the environment

Choices:
A. This bacterium infects humans via the respiratory tract
B. This bacteria living widespread in the environment
C. This bacterium is a gram-negative cocci
D. Humans are the only natural hosts of this fungus

One serving
military
year old young girl
suffered severe meningitis
two emergency hospital treatment
healed
died young
treatment
bacteria found
abundant intracellular
polymorphonuclear leukocytes
cerebrospinal fluid
cerebrospinal fluid
two acquired
isolated
cerebrospinal fluid
bacterial
suffer
meningococcal meningitis
following
wrong


Question: Which of the following is 5-fluorouracil anticancer mechanism of action?

Answer: Metabolites which inhibit the thymidylate synthase and kill cells

Choices:
A. And inhibition of DNA replication and DNA binding functions
B. Dihydrofolic acid reducing enzyme inhibition
C. Metabolites which inhibit the thymidylate synthase and kill cells
D. Selective inhibition of DNA polymerase

following
5-fluorouracil
mechanism of action


Question:
12
 I
 - 52.2
 8.6 girls
 9
 9.5 50.7 neonatal height of men and women assume that the parent distribution was a normal distribution, and have the same variance, using the above information can test whether there is enough statistical evidence to support the men and women newborn neonatal height above the height of the argument. About this test, statistical methods should be selected Why?

Answer: The two-tail paired t-test

Choices:
A. The one-tail paired t-test
B. The two-tail paired t-test
C. The one-tail Student's t-test
D. The two-tail Student's t-test

12 I
52.2 8.6 girls
5 50
neonatal height
distribution
normal distribution
same variance
using
above
test
to support
newborn neonatal height
test


Question: 32. Due to the rapid growth of the embryo, thus resulting in the final position of the diaphragm back (dorsal part of diaphragm), the equivalent of a high degree below that vertebra?

Answer: L1

Choices:
A. T8
B. T10
C. L1
D. L3

Due to
rapid growth
embryo
resulting in
final position
diaphragm back
dorsal part of diaphragm
equivalent
high degree
vertebra


Question: 40-year-old male patient was upper abdominal pain one day in hospital by the emergency. Hospitalization blood pressure 140/80 mmHg, pulse rate 92 per minute. Check blood leukocytes 15,900 / μL, hemoglobin of 16.6 g / dL, platelets 198,000 / μL, AST 30 IU / L, ALT 24 IU / L, bilirubin 0.1 mg / dL, amylase 559 IU / L, fat enzyme 2935 IU / L. Which of the following best diagnosis of the patient for this purpose?

Answer: Acute pancreatitis

Choices:
A. Acute myocardial infarction
B. Acute pancreatitis
C. Acute cholecystitis
D. Duodenal ulcer


Question: A 60-year-old's long-term dialysis patients, with fever, too many white blood cells hospitalized, chest X-ray showed a multi-leaf pneumonia and Legionella pneumophila bacteria of the urine antigen test is positive, will use the most appropriate antibiotic Which of the following ?

Answer: Erythromycin (erythromycin)

Choices:
A. Tetracycline (tetracycline)
B. Penicillin (penicillin)
C. Erythromycin (erythromycin)
D. Bacillus head streptozotocin (cephalosporin)

60 year old's long-term dialysis patients


Question: From the previous question, what kind of tests should be performed to confirm the above the most likely pathogen?

Answer: Serum antibody tests

Choices:
A. Blood culture
B. Serum antibody tests
C. Cerebrospinal fluid culture
D. Urine antigen test

previous
kind
tests
performed to confirm


Question: Which of the following antiarrhythmic drugs of the mechanism of action has nothing to do with the K (potassium) channel?

Answer: Propafenone

Choices:
A. Quinidine
B. Propafenone
C. Sotalol
D. Amiodarone

of
following antiarrhythmic drugs
mechanism
action
to
K
potassium
channel


Question: When skin necrosis purpura (necrotic purpura) occur within hours of a healthy birth and neonatal purpura fulminans blood clots, most likely that following a genetic disease?

Answer: Protein C deficiency

Choices:
A. Protein C deficiency
B. Protein S deficiency
C. Hemophilia (hemophilia)
D. von Willebrand 病

skin purpura
necrotic purpura
occur
hours
healthy birth
neonatal purpura fulminans blood clots
following
genetic disease


Question: Which is not, the root (superior and inferior roots) branch dominated by the neck loop (ansa cervicalis)?

Answer: Thyroid hyoid muscles (thyrohyoid muscle)

Choices:
A. Sternohyoid (sternohyoid muscle)
B. Supraomohyoid (omohyoid muscle)
C. Sternal thyroid muscle (sternothyroid muscle)
D. Thyroid hyoid muscles (thyrohyoid muscle)

not
root
superior
inferior
branch
neck loop
ansa cervicalis


Question: Psoriasis (psoriasis) is a common chronic skin disease, the following statements is true?

Answer: Psoriasis patients will be 10 to 25% complicated with psoriatic arthritis

Choices:
A. The first type psoriasis often occurs before the age of 40, and HLA-related genetic forms, and treatment is often poor
B. Psoriasis patients will be 10 to 25% complicated with psoriatic arthritis
C. Psoriasis lesions antimicrobial proteins secreted by epidermal cells or β-defensin 2 cathelicidin (LL37) is reduced, thus the skin surface to increase the chance of bacterial infections,
D. HIV prevalence of psoriasis in the population is higher than the general population, and a higher severity of

Psoriasis
psoriasis
common chronic skin disease
following
true


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

Answer: Symptoms include trembling intention (intention tremor), limb rigidity (rigidity) and slow (bradykinesia), etc.

Choices:
A. And substantia nigra (substantia nigra) in dopamine receptors (dopaminergic receptor) reduce the number of related
B. Causes also include infections of the central nervous or brain lesions caused by drug abuse
C. Symptoms include trembling intention (intention tremor), limb rigidity (rigidity) and slow (bradykinesia), etc.
D. Even if drug therapy, neurodegenerative still will continue to progress

following
Parkinson's disease
Parkinson disease
wrong


Question: The following account of Wilson's disease (Wilson disease) treatment, whichever is correct?

Answer: Patients Ruoyin D-penicillamine side effects and can not be taken instead trientine

Choices:
A. D-penicillamine is the most common side effects occur polyneuropathy (polyneuropathy)
B. Throughout the course of treatment, the diet does not have to be taboo foods high copper
C. All patients will worsen after starting treatment
D. Patients Ruoyin D-penicillamine side effects and can not be taken instead trientine

following account
Wilson's disease
treatment
correct


Question: The boy was born three weeks, feeding often vomiting, and then evolved into vomiting without bile, physical examination revealed a mass in the abdomen, the most likely diagnosis Why?

Answer: Pyloric stenosis (pyloric stenosis)

Choices:
A. Esophagus loss slack disease (achalasia)
B. Pyloric stenosis (pyloric stenosis)
C. Annular pancreas (annular pancreas)
D. Small intestine closure (small intestine atresia)

boy
born three weeks
often vomiting
then evolved
vomiting
bile
revealed
mass in
abdomen
diagnosis


Question: When the human double-stranded DNA in aqueous solution at neutral pH, temperature heated from 95 deg.] C to 37 [deg.] C, the following statements is wrong?

Answer: N- glycosidic covalent bond (N-glycosidic bond) occur breakage

Choices:
A. UV 260 nm absorbance increase
B. N- glycosidic covalent bond (N-glycosidic bond) occur breakage
C. Unlock the double helix (unwinds)
D. DNA precipitates out of the aqueous solution is not

human double-stranded DNA
aqueous solution
neutral pH
temperature
95 deg
deg
following
wrong


Question: When the fourth week of embryonic development, the position of the cross septum (septum transversum) which is with respect to these body segments (somite) and altitudes of?

Answer: Neck section

Choices:
A. Pillow Festival
B. Neck section
C. Thoracic segments
D. Lumbar section

fourth week
embryonic development
position
septum
septum transversum
body segments
somite
altitudes


Question: The following related hepatic hemangioma (hemangioma) described it, what's wrong?

Answer: More than 2 cm to easily turn into cancer

Choices:
A. Erythrocytes isotope scanning flag (labeled red blood cell nuclide scans) may be specifically checked Tumor Imaging
B. More than 2 cm to easily turn into cancer
C. Is the most common benign tumor of the liver
D. Female patients than male patients

following related hepatic hemangioma
hemangioma
wrong


Question: Which of the following as the main vector (vector) zoonotic spread of Lyme disease (Lyme disease) it?

Answer: Ixodes genus (Ixodes spp.)

Choices:
A. Ixodes genus (Ixodes spp.)
B. Cattle tick genus (Boophilus spp.)
C. Leather 蜱屬 (Dermacentor spp.)
D. Is a soft ticks (Ornithodoros spp.)

following
main vector
vector
spread
Lyme disease
Lyme disease


Question: Comparison of three hormone anticholinergic drugs (Anti-cholinergic drugs): narrative Atropine, Scopolamine, Glycopyrrolate of Which statement is correct?

Answer: In effect faster heart rate (Tachycardia) in order to best Atropine

Choices:
A. The effect of suppressing secretion of saliva (Anti-sialagogue effect) in order to best Atropine
B. In the side-effects caused delirium (Delirium), the strongest to Glycopyrrolate
C. In effect bronchodilation (Bronchodilatation) in order to best Scopolamine
D. In effect faster heart rate (Tachycardia) in order to best Atropine

three hormone anticholinergic
Anti-cholinergic drugs
Atropine
Scopolamine
Glycopyrrolate
correct


Question: For family physician interventions planned community dengue fever, according to the order of community-oriented primary care (community-oriented primary care) cycle, Which statement is correct?

Answer: Confirm group → → confirm the problem involved in strategic planning → implementation → evaluation of the effectiveness of

Choices:
A. Identify problems → Confirmation group strategic planning → → → evaluate the effectiveness of intervention implementation
B. Confirm group → → confirm the problem involved in strategic planning → implementation → evaluation of the effectiveness of
C. Identify problems → Confirmation groups involved in the implementation of → → → assess the effectiveness of strategic planning
D. Confirm group → → confirm the problem involved in the implementation of strategic planning → → assess the effectiveness of

family interventions planned
dengue fever
order
oriented
oriented
cycle
correct


Question: Male primordial germ cells about when to begin in cell differentiation (cell differentiation)?

Answer: puberty

Choices:
A. The fifth week of embryonic development
B. The third month of fetal development
C. The first five months of fetal development
D. puberty

to begin in cell differentiation
cell differentiation