Question: Narrative about menopause, Which statement is correct?

Answer: Smoking, chemotherapy, pelvic radiation therapy, make early menopause

Choices:
A. Menopausal mood swings and depression and reduce estrogen-independent
B. About menopause between 65-75 years, mean 70 years
C. Smoking, chemotherapy, pelvic radiation therapy, make early menopause
D. Women entering menopause, irregular uterine bleeding is a very common, without further examination


Question: Complications related to acute otitis media, the following statements is wrong?

Answer: Acute complications more likely to develop meningitis or brain abscess ratio chronic otitis media

Choices:
A. If the middle ear complications of hydrocephalus, can cause temporary hearing loss
B. If acute mastoiditis (acute mastoiditis) occurs, must be hospitalized for antibiotic treatment
C. Acute complications more likely to develop meningitis or brain abscess ratio chronic otitis media
D. If the patient and visual papillary edema, headache (papilledema), must be considered venous sinus thrombosis complications side (lateral sinus thrombosis) of


Question: He pulmonary function following items can be used as indicators to assess and monitor asthma severity?

Answer: Peak expiratory flow rate (peak expiratory flow)

Choices:
A. Total lung capacity (total lung capacity)
B. Vital capacity (vital capacity)
C. Peak expiratory flow rate (peak expiratory flow)
D. Residual lung volume (residual volume)


Question: Lumbar spinal stenosis (lumbar spinal stenosis) in the posture which would slow down the symptoms of neurogenic claudication?

Answer: Lumbar spine curved (Flexion)

Choices:
A. Lumbar spine straight (Extension)
B. Lumbar spine curved (Flexion)
C. To lumbar side bending (lateral bending)
D. Upright (standing)


Question: Which of the following carry preganglionic parasympathetic ganglion nerve fibers to the ear (otic ganglion)?

Answer: Little Rock nerve (lesser petrosal n.)

Choices:
A. Chorda tympani nerve (chorda tympani n.)
B. Oiwa nerve (greater petrosal n.)
C. Little Rock nerve (lesser petrosal n.)
D. Auriculotemporal nerve (auriculotemporal n.)


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

Answer: Serum thyroid stimulating hormone (TSH) Normal values

Choices:
A. Mood disorders (emotional disturbance) for clinical symptoms often appear
B. Pulse pressure (pulse pressure) increases
C. Serum thyroxine (Thyroxine) higher than normal
D. Serum thyroid stimulating hormone (TSH) Normal values


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

Answer: The liquid components and the extracellular fluid within a similar order as a low-sodium liquid, called the perilymph (in perilymph)

Choices:
A. There are three chambers of the cochlea spiral, comprising scala vestibuli (scala vestibuli), mid (scala media) and the tympanic membrane stage (scala tympani)
B. In order, also known as the cochlear duct (cochlear duct), containing the organ of Corti (organ of Corti)
C. The liquid components and the extracellular fluid within a similar order as a low-sodium liquid, called the perilymph (in perilymph)
D. Lymph (of Endolymph) generated by a vessel groove (stria vascularis), contains high concentrations of potassium


Question: Patient complained of abdominal distension, nausea, abdominal dull pain. Abdominal computed tomography scan showing intestinal blockage figures. This patient caused by the following reasons intestinal obstruction, and that one of the most correct?

Answer: intussusception

Choices:
A. phytobezoar
B. intussusception
C. inguinal hernia
D. volvulus


Question: Which is not endometrial cancer (endometrial carcinoma) risk factors?

Answer: Using progestin treatment of infertility

Choices:
A. obesity
B. The use of tamoxifen treatment for breast cancer
C. The use of estrogen alone to treat post-menopausal symptoms
D. Using progestin treatment of infertility


Question: 39 year old woman suffering from mediastinal Hodgkin's disease, a series of neurological disorders, cerebral spinal fluid of normal, magnetic resonance imaging found demyelination (demyelination) area, after getting into a coma, four months after the onset of death. Her brain changes are:

Answer: Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)

Choices:
A. Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)
B. Aspergillus disease (aspergillosis)
C. Hodgkin's disease transfer
D. Cerebral infarction (cerebral infarction)


Question: Which of the following amputation most often used to open the window sleeve inside (medial opening socket)?

Answer: Syme's (Syme's amputation)

Choices:
A. Syme's (Syme's amputation)
B. Tibia (transtibial amputation)
C. Femur (transfemoral amputation)
D. Race Burgers (Chopart amputation)


Question: 52. Statements relating to joint adenovirus virus (Adeno-associated virus) of the narrative, what's wrong?

Answer: Is a small virus family (Parvoviridae) of a

Choices:
A. Is a small virus family (Parvoviridae) of a
B. In the presence of adenovirus, can be replicated
C. In the presence of hepatitis B virus replication stronger
D. Have been used as gene therapy vectors of


Question: Which of the following is humoral immunity (humoral immunity) lack of indicators?

Answer: The amount of antibodies in the serum values generally lower than

Choices:
A. Measles virus (measles virus) skin test was negative
B. Repeating bacterial infections (intracellular bacteria) intracellular
C. The amount of antibodies in the serum values generally lower than
D. To Legumin concanavalin A (Con A) stimulation can not cause lymphoproliferative


Question: Zhou physicians to help patients in the endoscopy Mr. Wang, Mr. Wang found a stomach ulcer, Zhou doctors preliminary judge should belong to benign ulcers and did not help Mr. Wang a biopsy. Gastroscopy end, Mr. Wang was worried this would not be a gastric ulcer stomach, and repeatedly asked Zhou whether physicians should immediately do again endoscopy with biopsy, doctors inform week as long as four months to take medicine can heal stomach ulcers. Four months later, Mr. Wang once again accept the endoscopy, biopsy appears as stomach cancer. Zhou physician in order to avoid medical malpractice, increase "the patient would like to take medicine," described on the first endoscopy report. The following statements is true?

Answer: There can be only at the meeting of the ethical, legal behavior is illegal

Choices:
A. Can effectively avoid medical disputes
B. After a medical dispute medical records necessary for retro behavior
C. Although there can be proposed at the ethically, legally it is perfectly legal
D. There can be only at the meeting of the ethical, legal behavior is illegal


Question: Which of the following is not a typical manifestation of pregnant women HELLP syndrome?

Answer: High blood sugar

Choices:
A. Hemolytic anemia (Hemolytic anemia)
B. Abnormal liver function
C. Low platelet count
D. High blood sugar


Question: Use influenza A sympathetic inhibitor (alpha-adrenergic blockers) treatment of prostate hypertrophy, Which of the following is not a common side effect?

Answer: Slow heartbeat (bradycardia)

Choices:
A. Dizziness (dizziness)
B. Postural hypotension (postural hypotension)
C. Fatigue (tiredness)
D. Slow heartbeat (bradycardia)


Question: Which of the following anaerobic bacteria there is often a normal lower extremity and cause gas gangrene infection diabetes disease (gas gangrene)?

Answer: Clostridium perfringens

Choices:
A. Clostridium perfringens
B. Clostridium botulinum
C. Clostridium tetani
D. Clostridium difficile


Question: About esophageal achalasia accept the results of the tensile test, the following statements is non?

Answer: decreased LES pressure

Choices:
A. aperistalsis of esophageal body
B. loss of lower esophageal sphincter (LES) relaxation
C. decreased LES pressure
D. increased LES pressure


Question: The following statements about the antigenic determinant bit (epitope) of, what's right?

Answer: Fab antibodies can be part of the identification

Choices:
A. A protein only has one epitope bit
B. Fc part of the antibody can identify
C. Fab antibodies can be part of the identification
D. Can be an Fc receptor (Fc-receptor) Identification


Question: ECG lead I, aVL acute myocardial infarction changes, such as to indicate that part of myocardial infarction occur?

Answer: lateral wall

Choices:
A. inferior wall
B. lateral wall
C. anteroseptal wall
D. posterior wall


Question: 28-year-old worker at work carrying heavy loads slip and hit the shoulder, armpit bruises swelling and pain, arm numbness and weakness found elevated. After X-ray examination is not the case of a fracture or dislocation. This patient is most likely that following a nerve injury?

Answer: Arm plexus (brachial plexus)

Choices:
A. The median nerve (median nerve)
B. Ulnar nerve (ulnar nerve)
C. Radial nerve (radial nerve)
D. Arm plexus (brachial plexus)


Question: Fatty acids, cis-, cis-delta 9, delta 12-octadecadienoate refers to which of the following?

Answer: linoleate

Choices:
A. oleate
B. palmitoleate
C. linoleate
D. arachidonate


Question: Mr. Chen is a 28-year-old power company new employees, 1 hour ago by a 11,000 volt electrical injury, urine routine examination (urinalysis) shows that the appearance of dark brown, pH value of 7.28, occult blood reaction 4+, 2+ protein, ketones - erythrocyte 2-6 / HPF (high power field, HPF), bacteria (-). The following diagnostic whichever is most appropriate?

Answer: Myosin aciduria (myoglobulinuria)

Choices:
A. Acute renal failure (acute renal failure)
B. Low volume shock (hypovolemic shock)
C. Myosin aciduria (myoglobulinuria)
D. Metabolic acidosis (metabolic acidosis)


Question: About the sperm through the path before, that one of the following combinations correctly?

Answer: Testicular network (rete testis) → epididymis (epidydimis) → vas deferens (ductus deferens) → ejaculatory ducts (ejaculatory duct)

Choices:
A. Vas deferens (ductus deferens) → testicular network (rete testis) → epididymis (epidydimis) → ejaculatory ducts (ejaculatory duct)
B. Testicular network (rete testis) → ejaculatory ducts (ejaculatory duct) → vas deferens (ductus deferens) → seminal vesicles (seminal vesicle)
C. Vas deferens (ductus deferens) → ejaculatory ducts (ejaculatory duct) → bladder (bladder) → urethra (urethral)
D. Testicular network (rete testis) → epididymis (epidydimis) → vas deferens (ductus deferens) → ejaculatory ducts (ejaculatory duct)


Question: Following that kind of glucose transporter (glucose transporter, GLUT) is responsible for transporting glucose into the pancreatic beta cells (β cell)?

Answer: GLUT2

Choices:
A. GLUT1
B. GLUT2
C. GLUT3
D. GLUT4


Question: Which of the following high correlation with its placental separation?

Answer: Multiple births pregnancy

Choices:
A. Young age
B. Long-term drinking
C. Multiple births pregnancy
D. Oligohydramnios


Question: The following community health diagnosis method, whichever is the higher cost but can understand the community?

Answer: To interviewers for field or household surveys

Choices:
A. Important leaders qualitative survey, visit the community
B. View community secondary sources, such as community epidemiological data
C. To interviewers for field or household surveys
D. The use of focus groups way to understand the idea of community residents


Question: The following circumstances will stimulate the DNA synthesis of the desired enzyme into ⽣, ⽽ into the cell cycle from G1 into S?

Answer: CDK2 phosphorylation of retinoblastoma protein (pRb)

Choices:
A. Egg white substance is activated p53
B. p21 egg white mass production ⽣ zoomed
C. CDK2 phosphorylation of retinoblastoma protein (pRb)
D. PRb-E2F complex formation


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

Answer: Incisional hernia (incisional hernia) can be directly sutured (primary closure), even if the hole is larger than 5 cm hernia is not necessary to use artificial retina

Choices:
A. Shares hernias (femoral hernia) and indirect inguinal hernias (indirect type inguinal hernia) are to the right of the main
B. Shares hernia most likely caused by the intestines necrosis (20%), it shall underwent surgery at the time of initial diagnosis
C. Incisional hernia (incisional hernia) can be directly sutured (primary closure), even if the hole is larger than 5 cm hernia is not necessary to use artificial retina
D. Obesity and abdominal surgery wound infection can cause incisional hernia (incisional hernia) increase in the incidence


Question: Oxazole (Azole) based antimycotic agents mechanism of action is:

Answer: Inhibition of cell membranes generated

Choices:
A. Inhibition of protein synthesis
B. Inhibition of cell membranes generated
C. Inhibition of nucleic acid synthesis
D. Inhibiting cell wall biogenesis


Question: This elegant virus (Bunyaviruses) mostly spread by arthropods, however, which of the following exceptions?

Answer: Hantavirus (Hantaan virus)

Choices:
A. Hantavirus (Hantaan virus)
B. Rift Valley fever virus (Rift valley fever virus)
C. California encephalitis virus (California encephalitis virus)
D. Crimea - Congo hemorrhagic fever virus (Crimean-Congo hemorrhagic fever virus)


Question: Which of the following is the most important inspiratory muscle?

Answer: Transverse diaphragm (diaphragm)

Choices:
A. Transverse diaphragm (diaphragm)
B. Outer intercostal muscles (external intercostal muscles)
C. Within the intercostal muscles (internal intercostal muscles)
D. Sternocleidomastoid (sternocleidomastoids)


Question: 15-year-old school ⽣ unfortunate fall ⾞ suspected cause abdominal organ injury, complained of abdominal pain, Center Weighted jump accelerate, Ruoyu into whether ⾏ abdominal imaging to evaluate liver injury out ⾎ ⾎ tube, which of the following most priority?

Answer: Computer tomography

Choices:
A. ⾎ tube photography
B. Computer tomography
C. Magnetic Resonance Imaging
D. Isotope liver scan


Question: Which of the following particle size of dust into the alveoli most likely to cause injury?

Answer: 0.01 to 0.1 micrometers ([mu] m)

Choices:
A. 0.001 to 0.01 micrometers ([mu] m)
B. 0.01 to 0.1 micrometers ([mu] m)
C. 1-10 micron ([mu] m)
D. 10 to 100 microns ([mu] m)


Question: The following treatment of diseases caused hypokalemia, whichever is more prone to rebound hyperkalemia (rebound hyperkalemia)?

Answer: Hypokalemic periodic Glanzmann (hypokalemic periodic paralysis)

Choices:
A. Hypokalemic periodic Glanzmann (hypokalemic periodic paralysis)
B. Liddle's syndrome (Liddle's syndrome)
C. Diabetic ketoacidosis (diabetic ketoacidosis)
D. Diarrhea (diarrhea)


Question: 14 twenty young female patients complained of easy bruising (purpura), nosebleeds (epistaxis) and bleeding gums (gingival bleeding), via blood tests, presented thrombocytopenia (thrombocytopenia), normal bone marrow examination. This patient most likely diagnosis Why?

Answer: Idiopathic thrombocytopenic purpura (idiopathic thrombocytopenic purpura)

Choices:
A. Systemic lupus erythematosus (systemic lupus erythematosus)
B. Idiopathic thrombocytopenic purpura (idiopathic thrombocytopenic purpura)
C. Congenital thrombocytopenia (congenital thrombocytopenia)
D. Hypersplenism (hypersplenism)


Question: From the previous question, that a surgery is most likely appropriate for the patient?

Answer: Cyst excision

Choices:
A. Drainage tube placed ultrasonically
B. With endoscopic incision Sphincter of Oddi and drainage tubes
C. Laparotomy the small intestine to the cyst drainage
D. Cyst excision


Question: 14. A 30-year-old woman pregnant for three months, a medical examination found that the slight enlargement of the thyroid solid feel. Blood was found free T4 0.6 ng / dL (normal range 0.8 ~ 1.8 ng / dL), T3 120 ng / dL (normal range 80 ~ 180 ng / dL), TSH 20μIU / mL (normal range 0.1 ~ 2.0 μIU / mL), how do you think her thyroid function?

Answer: Primary hypothyroidism (primary hypothyroidism)

Choices:
A. Normal thyroid function (euthyroidism)
B. Overactive thyroid gland (hyperthyroidism)
C. Times-onset hypothyroidism (secondary hypothyroidism)
D. Primary hypothyroidism (primary hypothyroidism)


Question: Which of the following and active transport (active transport) is provided during transport of the thermodynamic driving force (thermodynamic driving force) has nothing to do?

Answer: Synthetic macromolecules

Choices:
A. Light complement won
B. Adenosine triphosphate (ATP) hydrolysis
C. Synthetic macromolecules
D. Ion gradient consumption (depletion of ion gradient)


Question: End-tidal carbon dioxide partial pressure (End-tidal CO2, PETCO2) meter can detect patient end expiratory carbon dioxide gas partial pressure for respiratory monitoring. Which of the following is least likely to anesthesia during surgery sudden end tidal carbon dioxide partial pressure of the cause of the sharp reduction?

Answer: Hyperventilation (hyperventilation)

Choices:
A. Off the breathing tube (circuit disconnection)
B. Hyperventilation (hyperventilation)
C. Sudden cardiac output reduction (abrupt decrease in cardiac output)
D. Airway obstruction (airway obstruction)


Question: About ten following anterior cruciate ligament (anterior cruciate ligament) rupture of narrative, what's wrong?

Answer: Pain is the most common symptom of acute phase

Choices:
A. Pain is the most common symptom of acute phase
B. Ice, elevation, oppression is an important acute treatment
C. Rahman test (Lachman's test) sensitive than before pulling test (anterior drawer test)
D. For athletes, it is recommended reconstructive surgery in 1 to 2 weeks after injury


Question: A no congenital anomalies or significant lung infection in patients with acquired disease, after receiving lobectomy surgery, postoperative lung function will be subject to some degree of damage, in the case of other non-specific lung diseases, the following lobectomy after their surgery minimal impact on lung function?

Answer: Right middle lobe

Choices:
A. Right upper lobe
B. Right middle lobe
C. Upper lobe of the left lung
D. Left lower lobe


Question: Between cervical stenosis caused by spinal cord compression, leading to cervical myelopathy (myelopathy), whichever is less the following symptoms appear?

Answer: Occipital neuralgia (occipital neuralgia)

Choices:
A. Occipital neuralgia (occipital neuralgia)
B. Spasms (spasticity)
C. Deep tendon reflexes increased (increased deep tendon reflexes)
D. Pathological reflex Babinski's sign, Hoffmann's sign: positive


Question: Which of the following could antagonize the activation of plasminogen to plasmin?

Answer: tranexamic acid

Choices:
A. urokiase
B. vasopressin
C. tPA（tissue plasminogen activator）
D. tranexamic acid


Question: 60-year-old female patient complained of sudden severe eye pain, blurred vision and halos, nausea, vomiting, dilated pupils, blood pressure 140/80 mmHg, the note of Ophthalmology, the proposed disposal, which of the following is most appropriate:

Answer: Intravenous or oral acetazolamide

Choices:
A. Treatment of hypertension
B. Intravenous or oral acetazolamide
C. Topical analgesics and muscle relaxants eye
D. The use of topical steroids


Question: Which of the following mechanism of action of antibiotics and different from the other three?

Answer: 磺氨（Sulfonamide）

Choices:
A. Aminoglycosides (Aminoglycoside)
B. 磺氨（Sulfonamide）
C. Macrocyclic lactone (Macrolide)
D. Chloramphenicol (Chloramphenicol)


Question: The following statements about organic nitrates's what's wrong?

Answer: Can increase ventricular ejection time

Choices:
A. Can increase ventricular ejection time
B. May lead to tachycardia, as well as sodium and water retention problems
C. Can vein dilation, reduced blood backflow, reduce cardiac preload (pre-load)
D. Can coronary artery dilatation, blood flow to the ischemic region redistribution, improve symptoms of angina


Question: Which of the following contains the least amount of connective tissue?

Answer: Brain parenchyma

Choices:
A. Renal parenchyma
B. Liver parenchyma
C. Brain parenchyma
D. Tongue essence


Question: 8-year-old Xiao Ming, said two days have been the main stomach pain and swelling in the left ankle joint pain, lower extremity physical examination found that there are many purpura (purpura), the following statements is wrong?

Answer: Acute stage of abnormal urine test, urine test is recommended to track two months

Choices:
A. 25 to 50% of such patients will affect the kidneys
B. The number of normal platelets in the blood
C. If severe gastrointestinal symptoms such as bleeding or obstruction, can be treated with steroids
D. Acute stage of abnormal urine test, urine test is recommended to track two months


Question: A 50-year-old woman, pregnant three times, producing twice, once spontaneous abortion, abnormal vaginal bleeding due to a clinic. Her previous regular period of about 30 days, each time for 5 to 6 days after moderate amounts, over a period of only a slight abdominal dull pain; but most of the past six months, her menstrual become disordered, ranging from 15 to 22 days period and once for 7 to 10 days, and the amount of blood clots. She denied the pregnancy, there is no history of surgery or other medical history. Visits found cervical smooth, irregular uterus increases, contact pressure without pain, both appendages no obvious abnormalities. Ultrasonography revealed uterine fibroids and endometrial thickness of 2.5 cm. The next step is the most appropriate disposal Why?

Answer: Arrangement hysteroscopy, if necessary, endometrial sections (endometrial biopsy)

Choices:
A. Abdominal computed tomography
B. Hysterectomy (hysterectomy)
C. Arrangement hysteroscopy, if necessary, endometrial sections (endometrial biopsy)
D. Open hormone formulation hemostatic


Question:
3 a 81 year-old female patient was upper abdominal pain and fever one day in hospital by the emergency. She has diabetes, high blood pressure and a history of heart disease. When the emergency temperature of 39 ℃, blood pressure 170/68 mmHg, pulse 86 / min, respiratory rate 24 / min. Physical examination revealed enlargement of the liver and rib cage there knocking pain in the right side. Check blood leukocytes 13,300 / μL, where the strip (Band) 34% leukocytes, sub-section (segment) 49% of white blood cells, hemoglobin 12.6 g / dL, platelets 38,000 / μL. AST 154 IU / L, ALT 124 IU / L, whole bilirubin (total bilirubin)
 6 mg / dL. Urine examination was normal. Chest X-ray examination without pneumonia changes. The following inspections that should be a priority?

Answer: Abdominal sonography

Choices:
A. Abdominal X-ray (KUB)
B. Nuclear medicine scan
C. Abdominal MRI
D. Abdominal sonography


Question: Eutrophication of rivers in generated (eutrophication) role is mainly that some of the substances that cause?

Answer: Nitrogen and phosphorus

Choices:
A. Potassium chloride
B. Nitrogen and phosphorus
C. Sodium barium
D. Aminothiourea


Question: A 21-year-old male patient with polyuria and nocturia due to long-term outpatient visits, blood tests found that: sodium 158 mmol / L, potassium 3.7 mmol / L, chloride 124 mmol / L, urine test found that sodium 12 mmol / L, potassium 6 mmol / L, creatinine 32 mg / dL, permeability of 60 mosm / kg H2O, administration of desmopressin (DDAVP) tested was found to increase urine osmolality 500 mosm / kg H2O, correct diagnosis Which of the following?

Answer: Central diabetes insipidus (Central diabetes insipidus)

Choices:
A. Primary drink plenty of water disease (Primary polydipsia)
B. Nephrogenic diabetes insipidus (Nephrogenic diabetes insipidus)
C. Central diabetes insipidus (Central diabetes insipidus)
D. Osmotic diuresis disease (Osmotic diuresis)


Question: Brain stem nucleus following functional components (functional component) in, whichever is closest to the center line?

Answer: Of a general body spread (general somatic efferent)

Choices:
A. Of a general body passed (general somatic afferent)
B. Of a general body spread (general somatic efferent)
C. Is a general visceral afferent (general visceral afferent)
D. Is a general visceral efferent (general visceral efferent)


Question: "The Lord ⾒ card Face" (Jehovah's Witnesses) sect followers insisted on not receiving medical lose ⾎. Recently, based on respect for ethical principles in the Face Self-main disease, legal and ethical gradual acceptance of the will of the Lord ⾒ card Face refuse lose ⾎ should be respected; that ⼀ kinds of the following circumstances, the physician should respect ⼀ a show Face of the Lord ⾒ certificate believers refuse ⾎ lose the will of?

Answer: Adult and there ⾏ Face for the disease situation can care has been taken in an emergency, if you do not lose ⾎ then, Face disease will die; but there is clear documentary evidence to prove that the disease Face

Choices:
A. Adult and there ⾏ Face for the disease situation can care has been taken in an emergency, if you do not lose ⾎ then, Face disease will die; but there is clear documentary evidence to prove that the disease Face
B. Face disease is 36 weeks pregnant women refuse to lose ⾎
C. Face disease is 15-year-old minors refused to lose ⾎ Face
D. ⽗ ⺟ LORD ⾒ card Face believers, their 8-year-old sick children refused to lose ⾎


Question: The following what is PGI2 agonist drugs may be the treatment of lung ADVANCED Use pressure (pulmonary hypertension)?

Answer: treprostinil

Choices:
A. treprostinil
B. alprostadil
C. misoprostol
D. latanoprost 60. Which of the following drugs is for Use in dopaminergic D2 receptor Use to treat Pa ⾦ Sen ⽒ disease (Parkinsonism)?


Question: Which of the following illegal Rockwell Snap disease (tetralogy of Fallot) of the diagnostic requirements?

Answer: Left ventricular hypertrophy

Choices:
A. Ventricular septal defect
B. Right ventricular hypertrophy
C. Cross-aortic (overriding of aorta)
D. Left ventricular hypertrophy


Question:
78.12 Cai-year-old little brother riding a bicycle because of injury, injuries to the aorta and massive bleeding, sent by ambulance to the hospital, blood pressure has begun to decrease. Lai emergency room physician to help his intention to massive blood transfusion, after steady sign of life, then follow-up related to surgery. After phone contact with parents Cai little brother, little brother Cai parents based on religious grounds, adhere to blood transfusion can not help little brother Cai, only use plasma substitutes. Lai parents to explain to their physicians plasma substitutes and blood can not completely replace, the situation Cai little brother, if there is no blood transfusion, I am afraid there will be life-threatening, but his father
 Mother still can not adhere to blood transfusion. At this point depends on how physicians should deal with?

Answer: Cai transfusion to help little brother, little brother Cai parents because the decision violates the best interests of the little brother of Cai constitutes an abuse of the legal rights of the agency, it should not be adopted

Choices:
A. Cai does not help the little brother transfusion, because physicians rely on blood transfusions have been fully explained and the differences plasma substitutes, the parents still insist on using plasma substitutes
B. Cai transfusions do not help little brother, little brother because Cai minors, their parents and their legal representatives, parents should respect the decision Cai brother
C. Cai transfusion to help little brother, little brother Cai because blood pressure has begun to decline, in order to save their lives, no need to communicate with their parents
D. Cai transfusion to help little brother, little brother Cai parents because the decision violates the best interests of the little brother of Cai constitutes an abuse of the legal rights of the agency, it should not be adopted


Question: About the following description of the unit (single-unit) smooth muscle, whichever error?

Answer: Each nerve cell must accept regulation, resulting in contraction

Choices:
A. Each nerve cell must accept regulation, resulting in contraction
B. There are many cracks intercellular engagement (gap junction)
C. There may be pacemaker activity
D. Will produce contraction is pulled


Question: Which of the following is not a clinical characterization of secondary adrenal insufficiency (secondary adrenal insufficiency) is?

Answer: Excessive pigmentation (hyperpigmentation)

Choices:
A. Excessive pigmentation (hyperpigmentation)
B. Orthostatic hypotension (orthostatic hypotension)
C. General weakness (weakness)
D. Electrolytes are usually normal


Question: You served as the General Assembly in Taipei marathon medical work, damping-off was witnessed when a 14-year-old adolescent girls athlete running, the Assembly staff in three minutes sent her to the ambulance station, when she was no response, no pulse, no respiration , body temperature 37.2 ℃, EKG showed the following, which of the following most reasonable doubt and disposal?

Answer: Girls may lead to cardiomyopathy arrhythmia, should be given immediately in vitro adult automatic defibrillator 200 joules shock

Choices:
A. Girls might dehydration, electrolyte imbalance caused by arrhythmia, should be immediately given intravenous rehydration
B. Girls may myocardial infarction should be given aspirin (aspirin) and sublingual nitroglycerin immediately
C. Girls may lead to cardiomyopathy arrhythmia, should be given immediately in vitro adult automatic defibrillator 200 joules shock
D. Girl exercise-induced asthma may lead to arrhythmia, should immediately be given a bronchodilator


Question: Which of the following best describes the characteristics of the current system of health insurance in Taiwan?

Answer: Government insurance sector and provide for the health care system contract, but the contract between the people and not a single public contract system

Choices:
A. Voluntary participation in and direct payment of health care insurance system
B. And then after the first payment reimbursements of medical expenses to participate in a voluntary insurance system and medical care when
C. Government insurance departments and the health care system to integrate with each other to organize a public system integration
D. Government insurance sector and provide for the health care system contract, but the contract between the people and not a single public contract system


Question: Narrative oxytocin (Oxytocin), and what's right?

Answer: Promote postpartum uterine contraction

Choices:
A. Synthesized by the pituitary gland posterior lobe
B. Half-life of about 2 hours
C. Promote postpartum uterine contraction
D. Hormone can promote the synthesis of milk protein (Lactalbumin) of


Question: Following which method can not determine whether the ovulation?

Answer: Blood estrogen

Choices:
A. Basal body temperature
B. Blood progesterone
C. Ultrasound
D. Blood estrogen


Question: What role following a solid rib muscle during breathing?

Answer: 腰 方 肌 (square lumbar)

Choices:
A. Psoas muscle (psoas major)
B. Waist small muscle (psoas minor)
C. 腰 方 肌 (square lumbar)
D. Iliac muscle (iliacus)


Question: After 35-year-old man from Thai tourism back a month diarrhea, right upper quadrant pain and fever, its stool examination (Figure I), abdominal computed tomography (Figure II) as follows, what items the following drugs is most appropriate treatment?

Answer: metronidazole

Choices:
A. ciprofloxacin
B. teicoplanin
C. vancomycin
D. metronidazole


Question: Big baby 88 months, left chest blue due to tumor diagnosis, pathology revealed class Kaposi hemangioendothelioma (Kaposiform hemangioendothelioma), the number (WBC count) of leukocytes 8,700 / mm3, hemoglobin concentration ( Hb) was 10.5 g / dL, platelets (platelets) number was 32,000 / mm3, no other abnormal physical examination; baby was found that after several days of bleeding, and platelets (platelets) reduced number of 12,000 / mm3, before the thrombin time (prothrombin time) and activated thrombin time (partial thromboplastin time, PTT) are extended, upon inspection no cases of infection or shock. Most patients following a situation that can happen?

Answer: Kasabach-Merritt syndrome

Choices:
A. Autoimmune purpura (immune thrombocytopenic purpura)
B. Anaphylactoid purpura (Henoch-Schönlein purpura or anaphylactoid purpura)
C. Kasabach-Merritt syndrome
D. Bone marrow tumor metastasis


Question: Causing atmospheric ozone hole, Earth's biosphere will be exposed to more radiation, increasing skin cancer in man. In order to avoid the destruction of the ozone layer should be regulated exhaust gases are:

Answer: CFCs

Choices:
A. Carbon monoxide
B. CFCs
C. Nitrogen dioxide
D. Sulfur dioxide


Question: 50-year-old gentleman, was diagnosed with Huntington's chorea (Huntington chorea), but refused to let the physician tell his daughter the information about the disease gene. On the grounds that his daughter even knew he inherited the genes of Huntington's disease, currently also no cure, you can not change the fact that the incidence of future. After attending physician persuasion failed, finally did not tell his daughter, because the principle that compliance with one of the following medical ethics?

Answer: The principle of patient autonomy (Autonomy)

Choices:
A. The principle of patient autonomy (Autonomy)
B. Do no harm principle (Non-maleficence)
C. The principle of beneficence (Beneficence)
D. The principles of fairness and justice (Justice)


Question: A 48-years old male patient had a history of smoking, chronic cough and sputum for many years and more yellow, the chest computed tomography examination showed a figure, I ask that the most likely diagnosis is which of the following?

Answer: Bronchiectasis

Choices:
A. Chronic bronchitis
B. Lung abscess
C. Bronchiectasis
D. Emphysema


Question: Following that a hormone can not promote the metabolism of fat in the fat cells (adipocyte) to produce ATP?

Answer: Insulin

Choices:
A. Insulin
B. Glucagon
C. Epinephrine
D. Glucocorticoids


Question:
19. A 60-year-old male patient was hospitalized with acute myocardial infarction. After one week, the patient suddenly breathing more asthma, cold flow; physical examination showed new left sternal systolic murmur, blood pressure 65/50 mm Hg (mmHg), 60/40 mmHg pulmonary artery pressure, central venous pressure ( CVP) 30 mm Hg, but conscious. The following statements is wrong? ① diagnosis of ventricular septal rupture ② is not required intra-aortic balloon pump unit ③ required emergency surgery, but if written patient refused surgery, the surgery can not be forced ④ If the patient's consciousness is not clear, but also unable to contact their families, after initial treatment strategy have changed
 Good, then inoperable immediately

Answer: Only ②

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ②


Question: Breast carcinoma in situ patients must receive a full mastectomy, except which of the following?

Answer: Therefore especially topical mastectomy can not have a clean edge (clear margin)

Choices:
A. Therefore especially topical mastectomy can not have a clean edge (clear margin)
B. Disseminated ductal calcifications
C. Patients without a strong willingness to breast-conserving
D. Patients can not receive radiation therapy


Question: Which of the following can not be disposed of most effectively reduce the pain?

Answer: Injection of local anesthetic in the surface position of referred pain of pain

Choices:
A. Press hard or rub the fingers pinching the door
B. Injection of local anesthetic in the surface position of referred pain of pain
C. The position of the body surface where the pain, cordotomy performed in an appropriate position of the spinal cord, the spinal cord of the opposite side of the cutting pain anterolateral pathway
D. Electrical stimulation is located in the midbrain periaqueductal gray area


Question: Deep flexor muscle (flexor digitorum profundus) is attached to the tendon which of the following?

Answer: Distal phalanges (distal phalange)

Choices:
A. Distal phalanges (distal phalange)
B. Mid phalanx (middle phalange)
C. Proximal phalanx (proximal phalange)
D. Carpal (metacarpal)


Question: Account of the appearance of free lung lungs (extra-pulmonary sequestration), and which of the following error?

Answer: There are similarities with bronchial and gas exchange

Choices:
A. The blood supply from the circulation
B. There are similarities with bronchial and gas exchange
C. Most occur in the lower lung lobe
D. More common in the left lung


Question: The most common white blood cell molecule-linked hereditary immunodeficiency severe mixed (XSCID) patient cells produce gene mutations should be classified as the following that kind?

Answer: Cytokine molecule accepts the message from being transmitted

Choices:
A. Cytokine molecule accepts the message from being transmitted
B. Molecules constituting the cytoskeleton
C. Cell migration (Migration) required adhesion molecule
D. Corpuscle generation of reactive oxygen species enzyme


Question: A 20-year-old male stiff neck symptoms suddenly occur, continue to maintain and difficult to rotate in a strange position. This is not trauma patients, taking metoclopramide recently as gastroesophageal reflux medications. At this time, the best treatment is given that these medicines?

Answer: benztropine mesylate

Choices:
A. phenytoin
B. botulinum toxin
C. benztropine mesylate
D. haloperidol


Question: About Duchenne-type muscular dystrophy (Duchenne's muscular dystrophy) description of the clinical signs, which of the following error?

Answer: Age of onset is usually over 20 years old

Choices:
A. As sex-linked recessive inheritance
B. Caused by the lack of dystrophin protein
C. Age of onset is usually over 20 years old
D. The increase in muscle enzymes CK typically more than 10 times greater than normal


Question: A 58-year-old male, about 10 years of long-term stomach pain, serum tests revealed slightly elevated cholesterol, the rest are all in the normal range. Because of bleeding patients recently hospitalized for emergency room after stomach surgery. The most likely pathological diagnosis is:

Answer: Gastric ulcer (Gastric ulcer)

Choices:
A. Gastric adenocarcinoma (Adenocarcinoma of stomach)
B. Gastric ulcer (Gastric ulcer)
C. Chronic gastritis (Chronic gastritis)
D. Stomach polyps (Gastric polyp)


Question: When found on the neck more than three centimeters of lumps, following the disposal of what is preferred?

Answer: Check the nasopharynx, nose, mouth and throat

Choices:
A. Needle aspiration check
B. Neck biopsy
C. Surgery to remove
D. Check the nasopharynx, nose, mouth and throat


Question: Which of the following does not supply branch of the scrotum (scrotum)?

Answer: Ball penile artery (artery of the bulb of penis)

Choices:
A. Mention epididymis muscular artery (cremasteric artery)
B. Femoral artery (femoral artery)
C. Ball penile artery (artery of the bulb of penis)
D. Iliac artery (internal iliac artery)


Question: The first phase of a woman who IB1 cervical cancer 47 years old, a Radical hysterectomy surgery, resulting in voiding difficulties, Which of the following is the most common cause?

Answer: Innervating the lower urinary tract damage

Choices:
A. Bottom pelvic muscles overstrain
B. Urinary outlet obstruction
C. Swelling of tissue around the bladder
D. Innervating the lower urinary tract damage


Question: The eradication of prostate cancer surgery, and often do nerve-sparing surgery (Nerve Sparing Technique) is mainly to avoid postoperative:

Answer: Erectile Dysfunction

Choices:
A. Difficulty urinating
B. Incontinence
C. Erectile Dysfunction
D. Ejaculatory dysfunction


Question: A 65-year-old female patient was diagnosed with a pituitary tumor up to 2 years, with severe headache, vomiting, blurred vision and other symptoms, which of the following primary diagnosis must be considered the cause of a sudden?

Answer: Pituitary stroke (apoplexy)

Choices:
A. Pituitary gland infection
B. Pituitary stroke (apoplexy)
C. tumor metastasis
D. Sella vacancy (empty sella)


Question: Which of the following ions poured into the digestive tract smooth muscle cells, the cause spike potential causes smooth muscle contraction?

Answer: Calcium

Choices:
A. Sodium
B. Potassium
C. Calcium
D. Magnesium ions


Question: Renal failure patients often have bleeding tendency, one of the most important machine into:

Answer: Abnormal platelet aggregation function

Choices:
A. Reducing the number of platelets
B. Abnormal platelet aggregation function
C. Coagulation liver reduced protein synthesis
D. Abnormal vascular integrity


Question: Occurs in infants and young children teratoma (Teratoma), with most of that position?

Answer: Recommended coccyx area

Choices:
A. Testicular
B. Ovary
C. Recommended coccyx area
D. In compartment


Question: From the previous question, brain computer tomography (computed tomography) is the most typical exception:

Answer: Bean nuclear atrophy (caudate nucleus atrophy)

Choices:
A. Bean nuclear atrophy (caudate nucleus atrophy)
B. Teeth nuclear atrophy (dentate nucleus atrophy)
C. Pons atrophy (pontine atrophy)
D. Thalamus atrophy (thalamus atrophy)


Question: Richangshenghuo functional training for stroke patients, the following statements is correct that one?

Answer: By the time lying down and sat up, should turn over to the side contralateral limb sit up

Choices:
A. Should be wearing a T-shirt to wear contralateral upper limb, upper limb wear
B. By the time lying down and sat up, should turn over to the side contralateral limb sit up
C. For the bed when indexing to a wheelchair, wheelchair should be placed in the healthy side, facing the bed
D. For when indexing a wheelchair to a bed, wheelchair should be placed in the healthy side, facing the end of the bed


Question: Which of the following is not a kidney replacement therapy treatment of end stage renal disease (ESRD) is (renal replacement therapy)?

Answer: hemoperfusion

Choices:
A. hemodialysis
B. renal transplantation
C. hemoperfusion
D. CAPD（continuous ambulatory peritoneal dialysis）


Question: 27. In accordance with the 2012 date of KDIGO (Kidney Disease: Improving Global Outcomes) criteria, define the following diagnosis of acute kidney injury (acute kidney injury) of what's wrong?

Answer: ⾎ creatinine clearance value increases in amplitude below approximately 5 days or equal to 25%

Choices:
A. When creatinine clearance value in ⾎ 48 ⼩ the rise or below approximately equal to 0.3 mg / dL
B. ⾎ creatinine clearance value increases in amplitude below approximately 5 days or equal to 25%
C. ⾎ creatinine clearance value increases in amplitude ⼀ weeks or below approximately equal to 50%
D. When the urine is discharged per ⼩ less than 0.5 mL / kg, for 6 ⼩


Question: 40-year-old Schilling irregular menstrual bleeding was found several months. Her physician abdominal X-ray photography, the lower left display icon pelvic lesions. Followed the CT scan of her pelvis, found abnormalities such as illustrated in the lower right. Schilling most likely suffering from what disease?

Answer: Ovarian dermoid cysts (dermoid cyst)

Choices:
A. Intrauterine gestational sac (intrauterine gestational sac)
B. Ectopic pregnancy (ectopic pregnancy)
C. Ovarian dermoid cysts (dermoid cyst)
D. Ovarian cancer (ovarian cancer)


Question: A 25-year-old woman, the production history is G3P2, currently 7 weeks pregnant, complained of vaginal bleeding, vaginal ultrasound examination arrangements so doctors determine there is a sac in the womb also found that fetal heart beat phenomenon, but the left side of the uterus affiliated organizations there is a 3 cm bladders, I ask the following statements best?

Answer: The first phase of pregnancy (first trimester) is not unusual vaginal bleeding

Choices:
A. This patient may be pregnant and have a child while in the womb ectopic pregnancy
B. Patients should be advised that this will soon be unable to continue the pregnancy
C. This bladders should be removed as soon as possible surgery
D. The first phase of pregnancy (first trimester) is not unusual vaginal bleeding


Question: 28. In laparoscopic surgery the watch into the side sleeve (Trocar), because the position of the sleeve often too close to the chest upwards midline ⽽ injury ⾎ tube, causing the abdominal wall showing ⾎ ⽽ ⾎ and swollen, it is most likely to hurt the tube is ⾎:

Answer: Inferior epigastric artery (inferior epigastric artery)

Choices:
A. Superficial circumflex artery (superficial circumflex artery)
B. Left gastric artery (left gastric artery)
C. Superficial external pudendal artery (superficial external pudendal artery)
D. Inferior epigastric artery (inferior epigastric artery)


Question: Related electrical injury (electric injury) and lightning damaged (lightning injury) described it, which of the following correct?

Answer: Reverse triage (reverse triage) is in principle a large number of injuries caused by lightning damaged the scene of

Choices:
A. Lightning damaged due to high voltage volts, the mortality rate is higher
B. Reverse triage (reverse triage) is in principle a large number of injuries caused by lightning damaged the scene of
C. For intravenous fluid replacement of the principle of electrical injury and lightning wounded patients are the same
D. High volt lightning shock often caused by coronary artery spasm (coronary artery spasm) produce ventricular fibrillation (VF) and death


Question: From the previous question, the disposal of the baby, which of the following most non-essential?

Answer: Lung CT examination

Choices:
A. Brain magnetic resonance angiography
B. Renal ultrasound examination
C. Lung CT examination
D. Cardiac ultrasonography


Question: Circle of Willis (arterial circle of cerebrum) does not include:

Answer: Vertebral artery (vertebral artery)

Choices:
A. Vertebral artery (vertebral artery)
B. Anterior cerebral artery (anterior cerebral artery)
C. Posterior cerebral artery (posterior cerebral artery)
D. After the traffic branch (posterior communicating artery)


Question: 3-year-old girl, to out-patient clinics as vaginal bleeding, pelvic examination revealed a grape-like projections of the vaginal opening, which has the cells arranged in piles microscope wherein Cambium layer, then the most likely diagnosis is:

Answer: Embryonal rhabdomyosarcoma (embryonal rhabdomyosarcoma)

Choices:
A. Urethral prolapse (urethral prolapse)
B. Kyu sharp warts (condyloma acuminatum)
C. Embryonal rhabdomyosarcoma (embryonal rhabdomyosarcoma)
D. Vaginal polyp (vaginal polyps)


Question: Head trauma emergency treatment should be based on what is the priority?

Answer: Correction of low blood pressure, maintain an adequate oxygen supply

Choices:
A. Chest X-ray
B. Urine examination
C. Abdominal X-rays
D. Correction of low blood pressure, maintain an adequate oxygen supply


Question: That following an immunoglobulin receptors on mast cells often show (mast cell) surfaces, after binding of IgE and allergen, can cause allergic reactions?

Answer: FcεRI

Choices:
A. FcαRI
B. FcεRI
C. FcγRI
D. FcγRIII


Question: The following account of infectious erythema (erythema infectiosum), and what's wrong?

Answer: Preference virus infected white blood cells early

Choices:
A. After the rash appears on the face like cold symptoms
B. Caused by Parvovirus B19
C. This virus may cause arthritis in adults
D. Preference virus infected white blood cells early


Question: A 45 year old woman admitted to hospital due to severe chronic pancreatitis, abdominal ultrasound showed no pseudo cysts (pseudocyst) or gallstones (cholelithiasis), endoscopic retrograde biliary duct Photography (ERCP) found that pancreatic duct dilatation and there are many narrow, the following surgical what the most appropriate?

Answer: pancreaticojejunostomy (Puestow)

Choices:
A. cholecystectomy
B. splenectomy
C. distal pancreatectomy
D. pancreaticojejunostomy (Puestow)


Question: 54 A 40-year-old man presented to the emergency abdominal pain, the patient complained on the eve of drinking with friends, to start emergency abdominal afternoon, nausea, vomiting, abdominal X-ray showing paralytic ileus (paralytic ileus), but no abdominal tenderness or rebound pain (rebound pain), blood tests g / dL, WBC 9600 / μL, Na 130 mM, K 3.2 mM, urine examination revealed specific gravity 1.020, pH 7.0, protein (-), glucose (-), ketone body (- ), urobilinogen (+++), bilirubin (-), 4 hours after the patient began to unconsciousness, convulsions soon followed. Following the disposal of what are most appropriate?

Answer: The most commonly measured out in the following serum which 55 patients given intravenous Hematin TSH (TSH) receptors of the antibody?

Choices:
A. Injections given 3% NaCl
B. Given phenytoin treatment
C. Given an enema (enema) promote bowel movements
D. The most commonly measured out in the following serum which 55 patients given intravenous Hematin TSH (TSH) receptors of the antibody?


Question: A 22-year-old male, complained of lower back and hip pain, morning feeling stiff back there, what items the following blood tests most diagnostic value?

Answer: HLA B27

Choices:
A. Rheumatoid factor（RA）
B. Anti-nuclear antibody (ANA)
C. Uric acid
D. HLA B27


Question: According to Curreri formula, a 50 kg patient, burns up to 70% of the body surface area, for one day calories (calorie) about how many calories (Kcal)?

Answer: 4,050

Choices:
A. 3,050
B. 3,650
C. 4,050
D. 4,550


Question: The following causes of Cushing's syndrome caused by (Cushing syndrome), a person has nothing to do with what excessive adrenocorticotropic hormone (ACTH) secretion?

Answer: Congenital adrenal hyperplasia (congenital adrenal hyperplasia)

Choices:
A. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
B. Generating anterior pituitary ACTH secreting tumors (ACTH-secreting tumor) the brain
C. Hypothalamic corticotropin releasing hormone (CRH) excessive secretion
D. Ectopic ACTH hypersecretion (ectopic ACTH syndrome)


Question: A mother to seek treatment, tell her children grew up to see what it will not distinguish colors, the most likely reason is:

Answer: The cones (cone cells) cGMP-controlled ion channels (cGMP-gated channel) the loss of function occurring α subunit

Choices:
A. Rod cells (rod cells) damaged
B. The cones (cone cells) cGMP-controlled ion channels (cGMP-gated channel) the loss of function occurring α subunit
C. The disease is because the cells to light stimulation, Mg2 + can not enter the cells caused
D. Vitamin A (vitamin A) will heal


Question: For patients with acute myocardial infarction, consider giving thrombolytic drugs (fibrinolytic agents, such as tPA), a following that is not an absolute contraindication?

Answer: Older than 75 years old

Choices:
A. Older than 75 years old
B. There had been a history of cerebral hemorrhage
C. Blood pressure over 180/110 mm Hg
D. The last three months had a history of stroke infarct


Question: The following statements about laryngeal spasm (laryngospasm), and what's wrong?

Answer: Rongyifasheng during anesthesia stageⅠ

Choices:
A. Occur in the induction of anesthesia and extubation
B. Rongyifasheng during anesthesia stageⅠ
C. Can be the first to dispose of positive pressure ventilation
D. Succinylcholine can relieve throat spasm case


Question: Related acute myeloid leukemia (AML) description of the following best right?

Answer: As Down syndrome 1 ~ 3 years old, the most common leukemia

Choices:
A. Overall, AML five-year survival rate of better-than-acute lymphoblastic leukemia (ALL)
B. As Down syndrome 1 ~ 3 years old, the most common leukemia
C. The incidence of acute lymphatic leukemia (ALL) three times
D. Interferon, and Hydroxyurea combination of Ara-c, the same cure rate and transplantation


Question: The following equipment or that a check than not know the refractive state of the eye (refractive status)?

Answer: Exophthalmos meter (exophthalmometer)

Choices:
A. Direct ophthalmoscope (direct ophthalmoscope)
B. Retinoscope (retinoscope)
C. Exophthalmos meter (exophthalmometer)
D. Computer refractor (auto-refractor)


Question: Which of the following does not belong to the rotator cuff cuff (rotator cuff) is composed of muscle?

Answer: Biceps (biceps brachii)

Choices:
A. Biceps (biceps brachii)
B. 脊上 skin (supraspinatus)
C. 脊下 skin (infraspinatus)
D. Under the shoulder blade muscles (subscapularis)


Question: 19 patients of mitral valve prolapse syndrome auscultation, systolic beat A common sound (click) and noise, and the sound of the shot noise can answer because what items the following steps to generate even disappear delay:

Answer: Squat (squatting)

Choices:
A. Standing
B. valsalva maneuver
C. Inhalation amy1 nitrate
D. Squat (squatting)


Question: Narrative about the outside extracellular fluid (extracellular fluid, ECF), and what's wrong?

Answer: Chloride ion is the predominant anion extracellular fluid of the cells

Choices:
A. Chloride ion is the predominant anion extracellular fluid of the cells
B. Potassium is the major cation of extracellular fluid cells
C. The main cause is different from the cation of extracellular fluid cells mainly located on the membrane Na + / K + ATPase
D. A 70 kg adult male whose extracellular fluid is about 14 liters


Question: When normal standing, where an oxygen partial pressure which is significantly higher than the lungs Edema (systemic arterial blood) oxygen partial pressure, and where the carbon dioxide partial pressure was lower than the body arterial partial pressure of carbon dioxide?

Answer: Apex of the lung (lung apex)

Choices:
A. Bottom lung (lung base)
B. Lung middle (middle lung)
C. Apex of the lung (lung apex)
D. The lungs are so everywhere


Question: A 40-year-old cardiomyopathy (cardiomyopathy) patients test narrative about the movement of their prognosis, which of the following is most correct?

Answer: Exercise test, if unable to reach 85% of the expected maximum age heart rate (age-predicted maximal heart rate), the prognosis is poor

Choices:
A. Exercise test, if unable to reach 85% of the expected maximum age heart rate (age-predicted maximal heart rate), the prognosis is poor
B. Which product of the maximum heart rate and the systolic blood pressure were higher, which is representative of movement tolerance (exercise capacity) worse
C. After the exercise, the heart rate when the heart rate quickly return to rest, the difference represents the patient fitness
D. Exercise testing appears beginning 1 mm ST segment fall, preferred prognosis


Question: Miss Zhang is a middle-aged professional women, nearly half often feel tired and weak, could not sleep, poor appetite, sometimes inexplicable sadness cry. According to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), the diagnosis of depression still need to have the kind of symptoms?

Answer: Loss of interest or pleasure sensation

Choices:
A. Loss of interest or pleasure sensation
B. Chatty
C. Appears auditory hallucinations
D. Anxiety


Question: The main cause of fetal heart rate variability deceleration (variable decelerations) Why?

Answer: Umbilical cord oppression obstruction

Choices:
A. Fetal oppression
B. Mother acidemia
C. Umbilical cord oppression obstruction
D. Fetal hypoxia


Question: Which of the following is a chronic lupus erythematosus (chronic cutaneous lupus erythematosus) feature?

Answer: A typical disk-shaped lupus erythematosus (classic discoid lupus erythematosus) patients only about 5% of the final turn into systemic lupus erythematosus (systemic lupus erythematosus)

Choices:
A. The most common clinical manifestations of lupus fat inflammation (lupus panniculitis)
B. Frostbite type lupus erythematosus (chilblain lupus erythematosus) occur in the winter cold season, often occurs in the torso
C. A typical disk-shaped lupus erythematosus (classic discoid lupus erythematosus) patients only about 5% of the final turn into systemic lupus erythematosus (systemic lupus erythematosus)
D. Hypertrophic lupus erythematosus (hypertrophic discoid lupus erythematosus) since the dermis mucin (Mucin) deposition, has caused the appearance of hypertrophy


Question: About Primary sclerosing cholangitis (primary sclerosing cholangitis), the following statements is wrong?

Answer: Occur in women than men, there will be fatigue, itching and jaundice

Choices:
A. Intrahepatic and extrahepatic bile duct occlusion will have fibrosis (obliterative fibrosis) and segmental expansion (segmental dilatation)
B. Associated with HLA-B8
C. Often associated with inflammatory bowel disease (inflammatory bowel disease)
D. Occur in women than men, there will be fatigue, itching and jaundice


Question: A 28-year-old woman complained of abdominal pain began three days ago. Patients without nausea and vomiting, loss of normal bowel habits have not changed. Vaginal discharge, but no bleeding. There are fixed taking the pill, never pregnant. Physical examination found that body temperature is 38.5 ℃, lower abdominal tenderness (tenderness), but no rebound pain (rebounding pain), bowel sounds normal. If you suspect that this patient is a gynecological or intestinal disease, the following statements is most appropriate?

Answer: Laparoscopy (laparoscopy) can be used to diagnose pelvic infection (pelvic inflammatory disease)

Choices:
A. Because there is a fever and have the pill, so this patient can not be ectopic pregnancy
B. Laparoscopy (laparoscopy) can be used to diagnose pelvic infection (pelvic inflammatory disease)
C. Pelvic infection is the most common pathogen Staphylococcus aureus (Staphylococcus aureus)
D. When do physical examination found to have significant pain in moving the cervix (cervical motion tenderness) or adnexal pain (adnexal tenderness) next to the uterus, you can rule out the possibility of appendicitis


Question: 31 statements about gastrointestinal stromal tumors (gastrointestinal stromal tumor, GIST), and Which statement is correct? ① are likely to occur in all of the digestive tract, which most often belong to the emergence of a muscle in the stomach ② tumor (leiomyoma), and has nothing to do with H. pylori ③ malignant GIST does not infringe the lymph nodes and surrounding tissue ④ Most GIST and c-kit mutation , and therefore imatinib (Gleevec) is one treatment option

Answer: ①④

Choices:
A. ①③
B. ②④
C. ①④
D. ②③


Question: In general, for the treatment of patients with mild gallstone pancreatitis, the following statements is wrong?

Answer: Antibioitics is absolutely necessary

Choices:
A. Fluid and electrolyte repletion very important
B. Antibioitics is absolutely necessary
C. Biliary tract of definitive treatment in the same hospital as the implementation of
D. Nutritional support is necessary


Question: Which of the following is conduction aphasia (conduction aphasia) lesion location most frequently occurring?

Answer: Beam arcuate (arcuate fasciculus)

Choices:
A. Beam arcuate (arcuate fasciculus)
B. Basal ganglia (basal ganglion)
C. Broca's (Broca) region
D. Wei Nikai's (Wernicke) area


Question: Inability wrist flexion and adduction movements within along with the wrist (adduction) Which of the following generation as one of the signs of injury?

Answer: The median nerve (median nerve)

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


Question: Week cells (pericytes) which are mainly located in the blood vessel wall?

Answer: Continuity microvascular (continuous capillaries)

Choices:
A. Continuity microvascular (continuous capillaries)
B. Medium vein (medium veins)
C. Muscular artery (muscular arteries)
D. Small arteries (arterioles)


Question: 4-year-old autistic boy because of behavior (Autistic behavior) and treatment, basic newborn screening at birth and there is no routine chromosome abnormalities. Physical examination show normal head circumference, face longer, big ears, testicular volume Yijiao big boys the same age. 30-year-old mother also because of its delay another pregnancy, checked that there is premature ovarian failure. This boy Which of the following is most likely to suffer from disease?

Answer: Fragile X syndrome

Choices:
A. Asperger syndrome
B. Fragile X syndrome
C. Klinefelter syndrome
D. Tourette syndrome


Question: About inguinal hernia (inguinal hernia), whichever is correct?

Answer: The most common and long-term complications after surgery are pain

Choices:
A. The most common and long-term complications after surgery are pain
B. All types of hernia, women most frequently occurring shares hernia (femoral hernia) instead of groin hernia
C. Laparoscopic hernia repair is easy to learn and its recurrence rate was significantly lower than the traditional way
D. Men with indirect (indirect type) hernia mainly women based on the direct type (direct type) more


Question: Xiaoyi 23-year-old, there is no past medical illness, because the next morning to the emergency abdominal pain, pale and clammy, and there will be a little shortness of breath, blood pressure 90/60 mmHg, 100 beats per minute, her private prosecution last menstrual irregularities, not remember the last menstruation what time, but these days there are some vaginal bleeding, emergency physicians to help her pregnancy, the outcome is positive, do not need to ask how the following items to check diagnosis?

Answer: Blood FSH concentration

Choices:
A. The blood concentration of β-hCG
B. Transvaginal ultrasound
C. Test Complete blood count (CBC)
D. Blood FSH concentration


Question: 25 Which of the following diuretics can be used to treat congenital nephrogenic diabetes insipidus (congenital nephrogenic diabetes insipidus) caused much urine disease? ①thiazides ②loop diuretics ③acetazolamide ④amiloride

Answer: ①④

Choices:
A. ①②
B. ②③
C. ②④
D. ①④


Question: Case-control study (case-control) to explore the use of colorectal cancer risk factors found in the control of various factors, regular consumption of soy-based odds ratio (OR) was 0.6, 95% confidence interval is (0.4, 0.9). The results of this study, consumption of soy products category for colorectal cancer, what its role?

Answer: Tend to have a protective effect (protective)

Choices:
A. No effect
B. Tend to have a protective effect (protective)
C. Tend to have detrimental effects (harmful)
D. This data can not determine its role


Question: Account of mature epithelial tissue type (epithelioid tissue) cells, the following error what items?

Answer: Of free surface (free surface)

Choices:
A. Of free surface (free surface)
B. There side region (lateral domain)
C. With a base region (basal domain)
D. Base region and the basement membrane (basement membrane) contacting


Question: A 68-year-old male, chronic alcoholism, fever, cough and sputum brown, difficulty breathing, chest X-ray showed right upper lung fields white solid changes (consolidation) merger lung clearance Guzhang (bulging interlobar fissure), this lung patients infections of the bacteria most likely why?

Answer: Klebsiella pneumoniae (Klebsiella pneumoniae)

Choices:
A. TB
B. Klebsiella pneumoniae (Klebsiella pneumoniae)
C. Pneumococcal
D. Mycoplasma pneumoniae (Mycoplasma pneumoniae)


Question: Determination of the amount of the performance of a specific mRNA in a cell, following which method is best suited?

Answer: Northern blotting

Choices:
A. Gel shift assay
B. Site-directed mutagenesis
C. Northern blotting
D. Southern blotting


Question: The following statements about room water (aqueous humour), and what's wrong?

Answer: Osmotic pressure (osmotic pressure) slightly lower than the osmotic pressure of blood plasma (plasma) of

Choices:
A. After full humor and anterior chamber, a volume of approximately 250 μL
B. Forming speed of about 2.5 μL / min
C. Osmotic pressure (osmotic pressure) slightly lower than the osmotic pressure of blood plasma (plasma) of
D. Similar components and plasma, but ascorbic acid (ascorbatecan), pyruvate (pyruvate) and lactate (lactate) concentration higher than that of plasma


Question: According to the World Health Organization on the interpretation made by palliative care, which of the following characteristics and comply with the spirit of palliative care?

Answer: Peace will be able to intervene when palliative care should be diagnostic, rather than wait until a few weeks before death intervenes

Choices:
A. Palliative care implementation target for patients, their families rather than
B. Palliative care is to delay death, rather than to hasten death
C. Peace will be able to intervene when palliative care should be diagnostic, rather than wait until a few weeks before death intervenes
D. Palliative care implementation of the kind of disease is terminal cancer, but not the end of the other chronic diseases


Question: 9. The following what kind of respiratory infection caused by a virus, not through the action of reverse transcription (reverse transcription), directly to polymerase chain reaction (PCR) to detect?

Answer: Adenovirus (adenovirus)

Choices:
A. Adenovirus (adenovirus)
B. Influenza A virus (influenza A virus)
C. Middle East respiratory syndrome coronavirus (MERS-CoV)
D. Respiratory syncytial virus cells (respiratory syncytial virus)


Question: 45 year old man late pancreatic adenocarcinoma patients, the number of transient lower extremity venous thrombosis (evanescent phlebothrombosis), as Tongshifasheng patients with cerebral infarction, the most likely cardiac complications Why?

Answer: Nonbacterial thrombotic endocarditis (non-bacterial thrombotic endocarditis)

Choices:
A. Nonbacterial thrombotic endocarditis (non-bacterial thrombotic endocarditis)
B. Libman-Sacks endocarditis's (Libman-Sacks endocarditis)
C. Acute infection endocarditis (acute infective endocarditis)
D. Acute myocardial infarction (acute myocardial infarction)


Question: The following viruses, which can now be applied to an attenuated vaccine to fight the best way to prevent?

Answer: Varicella - zoster virus (Varicella-zoster virus)

Choices:
A. Herpes simplex virus (Herpes simplex virus)
B. Eighth-type human herpes virus (Human herpesvirus-8)
C. EB virus (Epstein-Barr virus)
D. Varicella - zoster virus (Varicella-zoster virus)


Question: Currently International Medical is popular, hoping to attract foreigners to China's tourism, and health checks or accept cosmetic surgery. Relevant legal issues related to international medical ethics, the following statements is true?

Answer: Medical ethics should treat patients regardless of race, nationality, political parties

Choices:
A. On foreigners in our country can not sue physicians court
B. Foreigners will provide medical practices unmanaged Care Act
C. Provide private medical behavior unmanaged Care Act
D. Medical ethics should treat patients regardless of race, nationality, political parties


Question: Lack of maintenance ⽣ prime B1 (thiamine) metabolic lactic acidosis (lactic acidosis) ⽽ caused by abnormal enzyme related to the following functions that?

Answer: Pyruvate dehydrogenase complex (pyruvate dehydrogenase complex)

Choices:
A. Isocitrate dehydrogenase (isocitrate dehydrogenase)
B. LDH (lactate dehydrogenase)
C. Malate dehydrogenase (malate dehydrogenase)
D. Pyruvate dehydrogenase complex (pyruvate dehydrogenase complex)


Question: Which of the following drugs can be used to treat pituitary diabetes insipidus (pituitary diabetes insipidus)?

Answer: Desmopressin

Choices:
A. Atosiban
B. Desmopressin
C. Conivaptan
D. Oxytocin


Question: Following that kind of muscle cell contraction would be the fastest fatigue (fast rate of fatigue)?

Answer: fast-glycolytic fibers

Choices:
A. cardiac muscle
B. smooth muscle fibers
C. fast-oxidative glycolytic fibers
D. fast-glycolytic fibers


Question: When the elaboration of patients with hypertension health education program using the Precede-Proceed model to assess patients with hypertension awareness, attitudes, belongs to assess which of the following factors?

Answer: Forward factors (predisposing factor)

Choices:
A. Forward factors (predisposing factor)
B. Enhancement factor (reinforcing factor)
C. Enablers (enabling factor)
D. Educational factors (educational factor)


Question: If you are a prospective cohort study on low-dose radiation and endocrine diseases, those who should not be included in the study following members?

Answer: Suffering from goiter

Choices:
A. Children under 3 years old
B. Car accident fracture
C. The anti-nuclear activists
D. Suffering from goiter


Question: Which of the following is secreted by the hypothalamus?

Answer: Dopamine

Choices:
A. LH（luteinizing hormone）
B. TSH（thyroid stimulating hormone）
C. Dopamine
D. Vasopressin


Question: 6 A 70-year-old female patient, because lung cancer with bone metastases and pain, and note anesthesiology seek treatment, patients complain of aches and pains intolerable (pain index 8/10), currently used drugs acetaminophen 1 # tid, the following statements is wrong ?

Answer: Patient-controlled analgesia device is not available for cancer patients

Choices:
A. May be given immediately morphine analgesia
B. Anti-epileptic drugs can be added to help relieve pain
C. Patient-controlled analgesia device is not available for cancer patients
D. Intraspinal morphine for cancer pain patients the way


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

Answer: The most common exception combined ventricular septal defect

Choices:
A. The main symptoms are displaced downwards tricuspid valve to the right ventricle disease
B. The most common exception combined ventricular septal defect
C. Other structural abnormalities of the heart include: abnormal right ventricle, tricuspid valve and the conduction system
D. Often there will be about atrium traffic, which may result in right to left shunt


Question: Which of the following will not affect the hormone most growth?

Answer: Calcitonin

Choices:
A. Thyroxine
B. Male hormone
C. Calcitonin
D. Growth hormone


Question: The following description of thoracoscopic surgery, what's right?

Answer: When thoracoscopic surgery, required intubation tube bis (Double-lumen endotracheal tube), the one-side lungs to collapse to facilitate the surgery

Choices:
A. Carbon dioxide must be poured into the pleural cavity during thoracic surgery, so to facilitate lung collapse for surgery
B. Thoracoscopy for the diagnosis of diseases and the treatment of benign and malignant diseases preferably by thoracotomy in order to avoid the spread of cancer
C. Thoracoscopic surgery for the screen image (left and right opposite), it is necessary to long-term practice to become familiar with the operation of the surgical instrument
D. When thoracoscopic surgery, required intubation tube bis (Double-lumen endotracheal tube), the one-side lungs to collapse to facilitate the surgery


Question: Li-Fraumeni incident is a rare genetic disease, family members of patients are readily available in a variety of cancers before the age of 30, the family's problem is that they have inherited a mutation in the p53 gene. In addition, more than half of human cancers can be found in the p53 gene somatic mutations. P53 of the following statements about what's wrong?

Answer: Mainly normal p53 on the cell membrane, can receive external signals

Choices:
A. Normal p53 tumor suppressor genes (tumor suppressor gene)
B. Involved in cell cycle regulation of normal p53 (cell cycle) of
C. For the normal p53 transcription factor, can bind to specific DNA sequences
D. Mainly normal p53 on the cell membrane, can receive external signals


Question: The indications for surgery chronic constipation, typically do not include:

Answer: Paradoxic puborectalis

Choices:
A. Paradoxic puborectalis
B. Adult Hirschsprung's disease
C. Chagas' disease
D. Rectocele over 2 cm 54 Which of the following is not one of colorectal cancer primary prevention?


Question: Which of the following is the cause pyogenic liver abscess (pyogenic liver abscess) of the most common routes of infection?

Answer: Biliary tract infection

Choices:
A. Bacteria to the liver via the portal blood circulation
B. Biliary tract infection
C. Liver injury
D. After the liver adjacent organs affected, directly attacking the liver


Question: The following account of the salivary glands (salivary gland) of, what this bad?

Answer: Parotid / parotid glands (Parotid gland) mucus secretion by the cells

Choices:
A. Parotid / parotid glands (Parotid gland) mucus secretion by the cells
B. Submandibular gland (Submandibular gland) secreted mainly slurry
C. Sublingual gland (Sublingual gland) less than salivation other glandular
D. Inner lips, inner cheeks and palate can be found small salivary glands


Question:
27.QT extended pitch syndrome (long QT syndrome) ion channel is a congenital heart disease (channelopathy). Which of the following drugs may aggravate their change of QT prolongation should be avoided? ①clarithromycin
 ②amiodarone ③acetaminophen ④haloperidol

Answer: ①②④

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④


Question: Interferon can hinder the propagation of microorganisms in the cell. Which of the following is classified in the second category interferon?

Answer: IFNs-c

Choices:
A. IL-6
B. IFNs-a
C. IFNs-b
D. IFNs-c


Question: Mr. 32-year-old, 30-year-old wife. When his wife first pregnancy in the first 22 weeks fetal complex congenital heart disease, and therefore to terminate the pregnancy. The fetus in the chromosome of 46, XY. This is the second time the first 18 weeks of pregnancy. What's the most appropriate treatment following?

Answer: Inform fetal congenital heart disease a higher chance acceptable sonography

Choices:
A. Inform fetal chromosomal abnormalities higher chance acceptable amniocentesis examination (amniocentesis)
B. Inform fetal gene mutation higher chance acceptable amniocentesis to check
C. Inform fetal congenital heart disease a higher chance acceptable sonography
D. The couple to accept chromosome, if one of the couple have chromosomal abnormalities, a higher chance chromosomal fetal abnormalities, amniocentesis must accept checks


Question: Which of the following DNA virus particles having an annular, double-stranded DNA genome?

Answer: Human papilloma virus (Human Papillomavirus)

Choices:
A. EB virus (Epstein-Barr virus)
B. Human papilloma virus (Human Papillomavirus)
C. Adenovirus (Adnovirus)
D. Human parvovirus (Parvovirus) B19


Question: Year-old girl due to drowning after receiving first aid to the intensive care unit, was completely unconscious three days without breathing on their own, must be totally dependent on a respirator and other life support systems. Family agreed to organ donation transplant, but needs to determine brain death to be implemented. If that sick children have one of the following signs, you definitely can not be judged as brain dead?

Answer: There are doll eye sign

Choices:
A. Amplifying light pupil completely unresponsive
B. There are doll eye sign
C. Normal blood oxygen concentration
D. Normal body temperature


Question: A typical performance degradation in osteoarthritis (degenerative osteoarthritis) imaging studies of the patient, of the following is least likely?

Answer: A protruding edge of periarticular erosion Mi (periarticular erosion with overhanging edge)

Choices:
A. Local joint space narrowing (localized joint-space narrowing)
B. Edge spur formation (marginal osteophytosis)
C. A protruding edge of periarticular erosion Mi (periarticular erosion with overhanging edge)
D. Subchondral sclerosis and cyst formation (subchondral sclerosis and cyst formation)


Question: Which of the following drugs can be effective in preventing patients infected with Onchocerca volvulus caused by Pan river blindness (onchocerciasis) causing "river blindness"?

Answer: Ivermectin

Choices:
A. Diethylcarbamazine
B. Bithionol
C. Oxamniquine
D. Ivermectin


Question: 46-year-old woman working seriously striving for perfection. The last two months to muscle and bone pain, poor sleep at night will make the symptoms more pronounced. In many hospitals test results are normal. Physical examination occurred without fever or swollen lymph glands, but most parts of tenderness occurs (as indicated by reference). The most appropriate clinical diagnosis Why?

Answer: Fibromyalgia

Choices:
A. Chronic fatigue syndrome
B. Myofascial pain
C. Polymyositis
D. Fibromyalgia


Question: Which of the following concomitant anterior tibial artery (anterior tibial artery) and is responsible dominate tibialis anterior muscle (tibialis anterior)?

Answer: Deep peroneal nerve (deep fibular nerve)

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


Question: When you Lee physician outpatient clinics with, there is a pregnant 36 weeks of maternity ask you about matters related to group B streptococcus (group B Streptococcus) culture, the following statements about B streptococci, whichever is more correct?

Answer: The bacteria rarely exist within the general woman's vagina and rectum

Choices:
A. The bacteria rarely exist within the general woman's vagina and rectum
B. On a bead B streptococcus culture is positive, the tire is at high risk for an immediate prophylactic antibiotics
C. For highly allergic to penicillin (anaphylaxis) are possible, generally recommended when labor begins, give clindamycin 900 mg directly
D. Production of pregnancy before 37 weeks pregnant women do not need special prophylactic antibiotics


Question: Function of the different CD4 + T cell subsets (subset), the following statements is wrong?

Answer: The first type T helper (TH1) does not help macrophage activation, and production of antibodies

Choices:
A. The first type T helper (TH1) does not help macrophage activation, and production of antibodies
B. The second type of T helper cells (TH2) is primarily to help B cells to produce antibodies and to help clear the parasite
C. Regulatory T cells by inhibiting the function of antigen presenting cells, the strength of the immune response to inhibit the
D. A seventeenth type helper T cells (the TH17) can help by neutrophil chemotaxis and activation controlling early infections


Question: 3. Which of the following empirical evidence (evidence-based) instructions, can prevent infection when patients using central venous catheters in the ICU (intensive care units) in? ① ② use chlorhexidine solution are placed in sterile barrier precautions do environment ③ skin disinfection using antibiotic-impregnated central venous catheter guide with ultrasonic technology ④ placed central venous catheter

Answer: ①②③

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④


Question: Which of the following is not the pelvic wall fascia (parietal pelvic fascia) structure?

Answer: Uterine round ligament (round ligament of uterus)

Choices:
A. Uterine round ligament (round ligament of uterus)
B. Main ligaments (cardinal ligament)
C. Uterine sacral ligament (utero-sacral ligament)
D. Pubic cervical ligament (pubo-cervical ligament)


Question: 40-year-old engineer surnamed Chen, complained to the mainland will be employed as a factory in Guangzhou cadres, and will work at least three years at the local, local have hepatitis A epidemic. After six months in anticipation of carrying large pregnant wife and an 11-month-old boy went to serve together, the following information about hepatitis A vaccination narrative, whichever is most correct?

Answer: Chen recommends that couples today are accepted blood test to see if the protective with hepatitis A antibodies

Choices:
A. Chen recommends that couples today are accepted blood test to see if the protective with hepatitis A antibodies
B. The couple recommended today to accept hepatitis A vaccine, six months and then a second dose vaccination before departure
C. Recommend less than 1 year of age are not fit to play Chen Xiaodi hepatitis A vaccination, today an injection of hepatitis A immune globulin, and the dose is
D. Engineer surnamed Chen please pay special attention to hygiene of food and drinking water, do not drink unboiled water and eating food not fully cooked


Question: 73 palliative care includes physical, mental, social and spiritual care, which become increasingly important psychological spiritual care at the end of life, the following statements about how to maintain the desired terminal cancer patient, what's wrong?

Answer: Take active curative therapy to maintain the patient's wish to live

Choices:
A. Take active curative therapy to maintain the patient's wish to live
B. Give pain to reach the lift, and the wishes of the family care
C. Recalling the life of the patient that this life is not lived in vain
D. The so-called hope refers to the ability to reach the next goal, beyond the expectations of inaction


Question: From the previous question, spinal cord injury above the best disposal within 6-8 hours Why gold?

Answer: Give a lot of potent steroids

Choices:
A. Immediate surgery
B. Do not move the patient
C. Give a lot of potent steroids
D. The collar can be fixed


Question: 60 year old woman, a doctor because of chest pain and shortness of breath, chest X-rays and CT, as shown, the most correct diagnosis should be:

Answer: Pulmonary embolism (pulmonary embolism)

Choices:
A. Mediastinal tumors
B. pneumonia
C. Lung cancer (adenocarcinoma)
D. Pulmonary embolism (pulmonary embolism)


Question: Mr. Zhu is late liver cancer, is currently locked in a deep coma. Because the patient was already terminally ill, is not appropriate to perform CPR before his death. Physicians may wish to make recommendations without performing cardiopulmonary resuscitation to the family. According to China's law, related the following statements is true?

Answer: In relatives agreed not to sign the purposes of cardiopulmonary resuscitation who is the spouse with the most priority

Choices:
A. In relatives agreed not to sign the purposes of cardiopulmonary resuscitation who is the spouse with the most priority
B. There must be three physicians with relevant specialist qualifications of the judge Mr. Zhu is terminally ill
C. Must have at least two of the adult family members sign a consent form
D. Do not perform CPR consent shall prescribe Youxiaoqixian, if the deadline will fail


Question: A 50-year-old man, because of chronic obstructive pulmonary disease with respiratory failure, after receiving endotracheal intubation tube into the hospital by him, was unconscious when to the hospital, no pulse, but the ECG monitor sinus tachycardia (sinus tachycardia), physical examination found that patients with pale, bulging neck veins, unilateral lung sounds disappear with obvious percussion drum sounds (hyperresonance), this time in addition to administration of basic life support (basic life support), but what should be disposed of?

Answer: Acupuncture and placed under reduced pressure to a chest tube

Choices:
A. Consultation thoracic surgeon
B. Chest X-ray
C. Acupuncture and placed under reduced pressure to a chest tube
D. A lot of fluids infusion


Question: For early detection of diabetic kidney disease, Which of the following is the most appropriate screening program?

Answer: Microalbuminuria

Choices:
A. Muscle amine anhydride
B. Urea nitrogen
C. Microalbuminuria
D. Urine examination


Question: Which of the following new and cerebellum (neocerebellum, pontocerebellum) cortical no direct contact?

Answer: Vestibular nucleus (vestibular nucleus)

Choices:
A. Pontine nucleus (pontine nucleus)
B. Cerebellar dentate nucleus (dentate nucleus)
C. Inferior olivary nucleus (inferior olivary nucleus)
D. Vestibular nucleus (vestibular nucleus)


Question: The following statements about papillary renal cell carcinoma, and what's wrong?

Answer: Epithelial cells from the distal end of the catheter set, and has on both sides of the multiple

Choices:
A. Epithelial cells from the distal end of the catheter set, and has on both sides of the multiple
B. Tumor hemorrhage and cystic changes will grow up
C. Some cases of mutational activation of MET protooncogene relationship
D. Associated with hepatocyte growth factor


Question: A 9-year-old girl with fever and cough for 3 days, because the right side of the knee swelling to come for treatment, physical examination showed bilateral breath sounds with fine rales (fine crackles), cardiac examination was normal. The possibility of following up that kind of disease?

Answer: Mycoplasma pneumoniae infection

Choices:
A. Mycoplasma pneumoniae infection
B. Anaphylactoid purpura
C. Enterovirus infection
D. Rheumatic fever


Question: Splenic sinus (splenic sinuses) wall lined with cells that mainly consists of the following?

Answer: Endothelial rod (rod-shaped endothelial cells)

Choices:
A. Macrophages (macrophages)
B. Endothelial rod (rod-shaped endothelial cells)
C. Fibroblasts (fibroblasts)
D. Reticulocyte (reticular cells)


Question: Traditional prevent a ruptured cerebral aneurysm cerebral vasospasm after ⾎ ⾎ (cerebral vasospasm) so-called "Triple-H" therapy, which of the following is not included in the Triple-H?

Answer: hyperventilation

Choices:
A. hypervolemia
B. hypertension
C. hemodilution
D. hyperventilation


Question: Aspirin's pKa is 3.5, the absorption into the gastric mucosal cells (pH 7.5) about the non-ionic type pharmaceutical ionic patterns many times?

Answer: 10,000 times

Choices:
A. 10 times
B. 100 times
C. 1,000 times
D. 10,000 times


Question: In 2006 Taiwan's annual incidence of cervical cancer (incidence), the number of sub-molecular cervical cancer cases occurred in 2006 Taiwan's new, its denominator is:

Answer: 2006 Taiwanese women have the opportunity to get cervical cancer, but not yet suffering of the population

Choices:
A. In 2006 the number of population-wide Taiwan
B. In 2006 the number of Taiwan's total female population
C. In 2006 the number of cases in Taiwan all women suffering from cancer
D. 2006 Taiwanese women have the opportunity to get cervical cancer, but not yet suffering of the population


Question: Statements about symmetric tonic neck reflex, and Which statement is correct?

Answer: Flexion of the head, upper body bends, leg will straighten

Choices:
A. Flexion of the head, upper body bends, leg will bend
B. Flexion of the head, upper body bends, leg will straighten
C. When the straight head, upper limbs will straighten, legs will straighten
D. When the straight head, arm bends, leg will straighten


Question: The most common cause of proliferative bone metastatic cancer are:

Answer: Prostate cancer

Choices:
A. Colorectal Cancer
B. Prostate cancer
C. Renal cell carcinoma
D. Hepatic carcinoma


Question: About the treatment of non-tuberculous mycobacteria (nontuberculous mycobacteria), the following statements is most inappropriate?

Answer: Once recognized as an M. tuberculosis infection, it is necessary to immediately treat, prevent disease progression

Choices:
A. Once recognized as an M. tuberculosis infection, it is necessary to immediately treat, prevent disease progression
B. Treatment is usually non-tuberculous mycobacteria pulmonary infection, must at the same time with multiple drug therapy
C. Mycobacterium avium complex comprising generally macrolide drugs (such as clarithromycin), ethambutol and rifamycin
D. Mycobacterium kansasii usually isoniazid, rifampin and ethambutol therapy


Question: For Hypoperfusion caused severe sepsis, the patient less likely to appear Which of the following symptoms?

Answer: Respiratory rate slows

Choices:
A. Reduce urine
B. Cardiac systolic <90 mmHg
C. Metabolic blood lactic
D. Respiratory rate slows


Question: Zhiming (blood type B) and Love (blood type AB) married gave birth to daughter Xiaoying (blood type A). With their next child blood type is B-type opportunity normal state what percentage?

Answer: 50

Choices:
A. 0
B. 25
C. 33
D. 50


Question: A cohort study to explore the relationship between smoking and certain diseases, each track smokers and non-smokers 3000, found that smokers have 60 suffering from the disease, there are 15 non-smokers during the study period. The disease can be attributed to what proportion caused by smoking?

Answer: 75%

Choices:
A. 1.50%
B. 2%
C. 45%
D. 75%


Question: ras mutations occur at the highest rate of lung cancer which of the following?

Answer: Adenocarcinoma

Choices:
A. Small Cell Lung Cancer
B. Squamous cell carcinoma
C. Adenocarcinoma
D. Large cell lung cancer


Question: The following description of the external genitals breast about Bo Zhede's disease (extramammary Paget disease), and whichever is less correct?

Answer: With the same nipple Bo Zhede's disease, breast external genital Bo Zhede's disease most potentially invasive cancer associated

Choices:
A. Clinical manifestations of this rare breast lesions similar Baizhe De's disease
B. With the same nipple Bo Zhede's disease, breast external genital Bo Zhede's disease most potentially invasive cancer associated
C. Tumor cells of this disease - Baizhe De 'cells (Paget cell) often exhibit cytokeratin 7
D. Bo Zhede's cells may spread to the surrounding epithelium, the region beyond the appearance to the naked eye can identify, it may not be completely removed lesions and lead to relapse


Question: The following account of CCK (cholecystokinin) of, what's right?

Answer: Stimulating the pancreas to secrete pancreatic juice rich in enzymes

Choices:
A. Facilitate gastric emptying (gastric emptying) role
B. Stimulating the pancreas to secrete pancreatic juice rich in enzymes
C. Secreted by the vagus nerve (vagus nerve) stimulation
D. Secreted by the duodenal wall expansion


Question: Statements about fecal incontinence (anal incontinence), and Which statement is correct?

Answer: Refers to the anus involuntary (involuntary) or exhaust defecation

Choices:
A. Belonging to the rectal dysfunction (disorders of rectal function), rarely occurs in women
B. Represented by a single finger vaginal stool
C. Refers to the anus involuntary (involuntary) or exhaust defecation
D. Most patients will actively seek to heal


Question: 1 A young head trauma patients with cerebral hemorrhage by emergency physicians diagnose surgical nerve blocks are subject to cerebral blood cleared. Before induction of anesthesia, the blood pressure mmHg, heart rate 72 / min. At this kind of anesthetic induction agent should not be used?

Answer: ketamine

Choices:
A. propofol
B. ketamine
C. thiopental
D. etomidate


Question: For a young 32-year-old is confined to the uterus of women suffering from choriocarcinoma (choriocarcinoma), the following statements is most reasonable?

Answer: In the case of low-risk group, the choice of a single chemotherapy

Choices:
A. In the case of low-risk group, the choice of a single chemotherapy
B. cytotrophoblast hCG is secreted by the cell cycle so sometimes negative
C. Pathological tissues were hydropic change villi, without hysterectomy surgery should OVX
D. In the case of high-risk groups should be radiation therapy after surgical removal of the whole uterus


Question: A hospital recently introduced surgical supplies from a different vendor, but in less than three months put the supplies excluded, because the hospital found that the abnormal increase in the amount of supplies, because private companies pay doctors to use the supplies 500 yuan per piece . Which of the following non-oriented ethical issues involved in the case may be?

Answer: Breach of patient privacy

Choices:
A. Loss of trust and healing
B. Breach of patient privacy
C. Resulting in waste of medical resources
D. There a conflict of interest


Question: If the patient has interferon-γ / interleukin-12 pathway defects, more susceptible to a number of specific infections, except which of the following?

Answer: Pseudomonas aeruginosa

Choices:
A. non-tuberculous mycobacteria
B. Mycobacterium tuberculosis
C. Listeria monocytogenes
D. Pseudomonas aeruginosa


Question: About tracheostomy, the following statements is wrong?

Answer: Often stoma between tracheal rings in the top section of the sternum 5,6

Choices:
A. The indications include not more than secretions from coughing, airway obstruction, pulmonary dysfunction need long-term use of respirators
B. Often stoma between tracheal rings in the top section of the sternum 5,6
C. If long-term intubation and tracheostomy inflatable ball hardness is too high, it may cause tracheal esophageal fistula
D. Adult pipe length of approximately 10 to 13 cm, and 35 the most common malignant tracheal cartilage link 18-22 is:


Question: After removal of the ileum, the impact of bile salts, the following statements is true?

Answer: Increase the synthesis of bile salts in the liver cells

Choices:
A. Increase the concentration of bile in the liver vein
B. An increase in the concentration of bile in the liver portal
C. Increase bile stored in the gallbladder
D. Increase the synthesis of bile salts in the liver cells


Question: The following statements about Taiwan liver abscess, what's wrong?

Answer: Up to Gram Yinshi bacteria, especially E. coli bacteria in the intestines report

Choices:
A. AIDS patients tend to get amoebic liver abscess
B. DM patients with pyogenic liver abscess easy to get
C. There are a lot of medical records transferred to the eye caused by the endophthalmitis
D. Up to Gram Yinshi bacteria, especially E. coli bacteria in the intestines report


Question: One kind of autosomal dominant (autosomal dominant) genetic disease called familial hyper-cholesterolemia but because of low density lipoprotein (LDL) receptor mutation. The following narrative about LDL, whichever is correct?

Answer: LDL cholesterol through the LDL receptor's role, to provide liver cells to synthesize bile salts

Choices:
A. LDL receptor exists only on liver cells
B. LDL cholesterol through the LDL receptor's role, to provide liver cells to synthesize bile salts
C. LDL triglyceride fat contained in the main
D. LDL is manufactured directly secreted by the liver


Question: 28-year-old open tuberculosis disease female Face, receiving anti-TB drugs containing isoniazid, rifampin, ethambutol and pyrazinamide, and three weeks after treatment, hair ⽣ severe gout. Most likely to lead to gout drug Why?

Answer: pyrazinamide

Choices:
A. isoniazid
B. rifampin
C. ethambutol
D. pyrazinamide


Question: Approximately what percentage of patients with epilepsy with antiepileptic drugs (anticonvulsants) can be well controlled or not attack?

Answer: 60-70%

Choices:
A. Less than 30%
B. 30-40%
C. 60-70%
D. Greater than 90%


Question: A normal birth process, large full-term babies after birth ie found to have inhaled stridor (inspiratory stridor) circumstances, can be alleviated when Pashui, crying is normal, no lack of oxygen and cyanosis circumstances, the most likely diagnosis Why?

Answer: Throat osteomalacia (laryngomalacia)

Choices:
A. Bilateral vocal cord paralysis (bilateral vocal cord paralysis)
B. Throat osteomalacia (laryngomalacia)
C. Webbed throat (laryngeal web)
D. Subglottic hemangioma (subglottic hemangioma)


Question: On the status of international health, the following statements is wrong?

Answer: Globalization work for the prevention and treatment of various countries for the spread of infectious diseases

Choices:
A. World Health Organization (World Health Organization, referred to as WHO) is the United Nations-owned institution, the World Health Assembly
B. Globalization work for the transfer of medical knowledge and technology
C. Globalization work for the prevention and treatment of various countries for the spread of infectious diseases
D. International health skeleton has changed yuan, in addition to WHO, and the World Economic Forum there like (World Economic Forum), World Bank (World Bank) and other non-governmental organizations are also actively engaged in international health affairs


Question: Which of the following unilateral exophthalmos (unilateral exophthalmos) occurs in the most common reason for a child?

Answer: Orbital cellulitis

Choices:
A. Orbital hemangioma
B. Orbital cellulitis
C. Rhabdomyosarcoma
D. Thyroid eye disease (thyroid eye disease)


Question: Account of gastric secretion of gastric acid and intrinsic factor (intrinsic factor), and which of the following error?

Answer: Gastric intrinsic factor is a master cell (chief cell) secreted glycoprotein (glycoprotein); gastric acid by parietal cells (parietal cell) secretion

Choices:
A. Causes chronic gastritis gastric gradually shrink, leading to reduce gastric acid secretion and
B. Acid-free disease (achlorhydria) patients after a variety of stimuli, pH value of gastric juice is still not reduced to less pH6.5
C. Gastric intrinsic factor is a master cell (chief cell) secreted glycoprotein (glycoprotein); gastric acid by parietal cells (parietal cell) secretion
D. Lack of intrinsic factor causes malabsorption of vitamin B12B, leading to pernicious anemia (pernicious anemia)


Question: 65 Chen 17, a recently discovered right testicular 2.5 × 2.0 cm painless mass, scrotal ultrasound examination revealed normal sub testicles, a low echo right testis lesions (hypoechoic lesion), blood test tumor marker (tumor markers) alpha fetal protein (AFP) is 5 ng / mL, human choroid reproductive gonadotropin beta (beta-hCG) <5 mIU / mL, for proposal should be to the next Chen:

Answer: Probed via a groin surgery, if necessary, removal of the testicle

Choices:
A. Testicular biopsies performed by the scrotal surgery, if necessary, removal of testicles
B. Scrotal ultrasound percutaneous row of testicular biopsy
C. Observed blood test AFP and beta-hCG year
D. Probed via a groin surgery, if necessary, removal of the testicle


Question: The following account of inflammatory bowel disease (inflammatory bowel disease), and what's wrong?

Answer: Compared to the incidence of Northern Europe and the United States, Asia higher

Choices:
A. Compared to the incidence of Northern Europe and the United States, Asia higher
B. Ulcerative colitis (ulcerative colitis) multiple inflammatory infiltration in submucosa and mucosa, can cause persistent inflammation results fibrosis; long
C. Crohn's disease (Crohn's disease) is a chronic, inflammatory disease full wall (transmural) can be violated any portion from the mouth to the anus
D. Patients with inflammatory bowel disease may also be complicated by other conditions, including iritis, scleritis, arthritis, skin lesions, bile duct and bile duct Yandeng


Question: A seven-year-old woman, under the left eyelid swelling and pain for three days, the most obvious point has a hard swelling and tenderness in the projection room and left nasal canthus, the following statements is wrong?

Answer: The most common pathogens causing this disease actinomycetes (Actinomyces israelii)

Choices:
A. The most likely diagnosis of acute dacryocystitis (acute dacryocystitis)
B. The most common pathogens causing this disease actinomycetes (Actinomyces israelii)
C. If not promptly treated with antibiotics may lead to orbital cellulitis
D. This disease if repeated attacks, to be considered in remission do Dacryocystorhinostomy (dacryocystorhinostomy)