Question: Defense role of the skin and mucous membranes, the following statements is wrong?

Answer: Alkaline state of the surface of the skin, the skin can prevent propagation of microorganisms

Choices:
A. Outer layer of skin cells keratinocytes, can enhance the defense against pathogens
B. Strongly acidic gastric juice, can destroy most bacteria
C. Sebaceous glands secrete oil can prevent bacterial growth
D. Alkaline state of the surface of the skin, the skin can prevent propagation of microorganisms


Question: A 20-year-old college girls the past six months because of emotional problems and academic stress, often at night when a person can not control the appetite to eat twice as much food she had, until bulging belly to stand stopped, but she was very concerned about their size and weight, so they find a way to lose weight. Which of the following most likely to occur in the girls?

Answer: Use of laxatives or vomiting occurs after the potassium level too high

Choices:
A. Efforts to diet and exercise during the day
B. Eat when preferences sweets and high-calorie foods
C. After vomiting often feel depressed
D. Use of laxatives or vomiting occurs after the potassium level too high


Question: A 55 year old woman presented although irregular enlargement of the thyroid gland, but normal thyroid function. After surgery, the resected pathologically found thyroid nodules comprising a plurality of irregular brown gel-like substance. Interspersed within nodules or hemorrhage, cystic fibrosis and calcification or lesion. Which of the following best meet the clinical and pathological features of this patient?

Answer: multinodular goiter

Choices:
A. follicular adenoma
B. Hashimoto thyroiditis
C. multinodular goiter
D. follicular carcinoma


Question: Which of the following does not belong to the olfactory cortex?

Answer: Septal region (septal region)

Choices:
A. Piriform cortex (piriform cortex)
B. Almond nucleus (amygdaloid nucleus)
C. Olfactory tubercle (olfactory tubercle)
D. Septal region (septal region)


Question: South Korea, Seoul National University investigation committee announced the end of 2005: Huang Yuxi Pei Yu called embryonic stem cells special is false, than what he said somatic gene in patients with the same tailor-made embryonic stem cells, but the fertilized egg stem cells. Director of Studies at Seoul National University Lu Zhen Hui in a news release said: "The three external institutions 2,3 stem cells for analysis, the results confirm inconsistent with the DNA in patients with somatic cells." In response, Huang Yuxi Li engraved resigned from Seoul National University professorship , but insisted that has the technology to cultivate patient-matched stem cell type. Will Huang Yuxi Xuan said used to produce embryonic stem cell technology, which of the following is most likely?

Answer: somatic cell nuclear transfer

Choices:
A. genetic engineering
B. somatic cell nuclear transfer
C. chimeric hybridization
D. gonadal cell nuclear transfer


Question:
26. A 28-year-old woman, the past two years have symptoms of dizziness and fatigue easily, and increasingly severe and hospitalization. Eight months before admission, because the symptoms continued to increase, a particular Medical Center found that hemoglobin 9 g / dL, hematocrit 92.5 fL, normal white blood cell and platelet count, when creatinine was 1.3 mg / dL. After admission, blood pressure 140/90 mmHg, pulse 76 / min, no heart murmur, slightly lower extremity edema, a solid chamber examination revealed increased creatinine
 4 mg / dL, hemoglobin 8.5 g / dL, serum ferritin (ferritin) 591 ng / mL, iron 172 μg / dL, total iron binding capacity of 190 μg / dL, the reaction was negative fecal occult blood, no abnormal urinalysis Which of the following is most likely to do this deterioration of renal function in patients lesions?

Answer: chronic tubulointerstitial disorders

Choices:
A. rapidly progressive glomerulonephritis
B. thrombotic microaniopathy
C. chronic tubulointerstitial disorders
D. hypertensive nephrosclerosis


Question: Pig heart transplant in hyperacute rejection (hyperacute rejection) primates will occur, this phenomenon can be through transgenic following what human genes and slow down?

Answer: CD（clusters of differentiation）59

Choices:
A. Immunoglobulin -G (immunoglobulin-G)
B. Complement (complement)
C. CD（clusters of differentiation）52
D. CD（clusters of differentiation）59


Question: About urinary tract infections, which of the following is most correct?

Answer: 56 year-old woman, three occurred pyelonephritis, ultrasound examination revealed staghorn stones on both sides, the urine pH is

Choices:
A. 27 year old woman, cystitis occurs three times in the past year, an acute pyelonephritis. Usually this age infected with gram-positive bacteria dominated
B. 25 weeks pregnant 32-year-old woman, a routine check urine, high magnification 15 to 20 white blood cells, urine culture E. coli.
C. 68 year old woman due to spinal cord injury, neurological bladder, need long-term indwelling catheter. Urine high magnification 30 to 40 white blood cells, urine culture E. coli, antibiotics should be given
D. 56 year-old woman, three occurred pyelonephritis, ultrasound examination revealed staghorn stones on both sides, the urine pH is


Question: Shoulder dislocation (dislocation) of the most vulnerable and which of the following?

Answer: Axillary nerve (axillary nerve)

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


Question: Which of the following to enter from the top of the hip piriformis (piriformis) of?

Answer: Superior gluteal artery (superior gluteal artery)

Choices:
A. Superior gluteal artery (superior gluteal artery)
B. Gluteal artery (inferior gluteal artery)
C. Sciatic nerve (sciatic nerve)
D. Pudendal nerve (pudendal nerve)


Question: 76. The following parasite infection which, its larvae in the human body migration (migration) does not pass through the lungs? ① fecal nematode (Strongyloides stercoralis) ② pinworms (Enterobius vermicularis) ③ whipworms (Trichuris trichiura)

Answer: Only ②③

Choices:
A. Only ①②
B. Only ①③
C. Only ②③
D. ①②③


Question: Huxiqiguan primordia (respiratory primordium) Which of the following originated in the end of the (caudal end)?

Answer: The fourth pharyngeal pouches (pharyngeal pouch)

Choices:
A. The first pharyngeal pouches (pharyngeal pouch)
B. The second pharyngeal pouches (pharyngeal pouch)
C. The third pharyngeal pouches (pharyngeal pouch)
D. The fourth pharyngeal pouches (pharyngeal pouch)


Question: Palliative care regulations, not related to the implementation of the provisions of CPR or medical life support, the following statements is wrong?

Answer: Shall be two licensed physician diagnosis of a license to practice indeed for the terminally ill

Choices:
A. Shall be two licensed physician diagnosis of a license to practice indeed for the terminally ill
B. Should the wishes of the Letter of Intent signed
C. When people are willing to sign the letter of intent minors, should be obtaining the consent of the legal representative
D. When people are willing to minors can not express the will should be signed by the legal representative letter of intent


Question: Statements about the female breast fiber adenoma (fibroadenoma), and which of the following error?

Answer: Since often leads to breast cancer, it must be cut

Choices:
A. Common tumor size which is 1 or 2 cm
B. Common in young women 15-25 years old
C. Multiple fibrous adenoma is not uncommon
D. Since often leads to breast cancer, it must be cut


Question: A patient in a car accident, face covered in blood sent to the emergency room physician on duty if you are, you have to prioritize:

Answer: Check whether there are other injuries

Choices:
A. ABC（airway, breathing, circulation）
B. Hemostasis
C. Wound closure
D. Check whether there are other injuries


Question: 10 bearing on the question, the general peripheral nerve sensory function engaged to be detected whether there is progress, can be tapped using a finger along the nerve to see if there is cause numbness situation. This phenomenon is known as:

Answer: \ Tinel sign

Choices:
A. Pinch's sign
B. String's sign
C. \ Tinel sign
D. \ Phalen's sign


Question: Which of the following is the most common eyelid cancers?

Answer: Basal cell carcinoma

Choices:
A. Sebaceous gland carcinoma
B. Squamous cell carcinoma
C. Basal cell carcinoma
D. Malignant melanoma


Question: Which of the following is the outside of the tendon can be measured pulsation of the radial artery (radial artery) of?

Answer: Radial wrist flexor muscle (Flexor carpi radialis)

Choices:
A. Extensor carpi radialis longus (Extensor carpi radialis longus)
B. Abductor pollicis longus (Abductor pollicis longus)
C. Elbow 橈肌 (Brachioradialis)
D. Radial wrist flexor muscle (Flexor carpi radialis)


Question: 30 A 28-year-old woman three times in a row experience mid-pregnancy (14 to 20 weeks) of spontaneous abortion, miscarriage three times in the emergency department have found the cervix is almost fully open, amniotic bags (water bag) to bulge into the vagina, but no uterine contractions obvious phenomenon. Now is the first week of her fourth pregnancy, Which of the following is the most appropriate disposal?

Answer: Loop turns embodiment cervical surgery (cervical cerclage)

Choices:
A. Estrogen replacement therapy
B. Progesterone supplements
C. Loop turns embodiment cervical surgery (cervical cerclage)
D. Prophylactic tocolytic agents (e.g., calcium channel blockers (calcium channel blocker))


Question: A 30-year-old woman complained about pain in the left wrist three months, local swelling, tenderness to palpation when seeking treatment, while palpable soft tissue mass. X-ray of the left distal radius epiphysis (epiphysis) and epiphyses (metaphysis) has a map style (geographic pattern) destruction of lesions, no periosteal reaction (periosteal reaction). The most likely diagnosis is:

Answer: Bone giant cell tumor (giant cell tumor of bone)

Choices:
A. Bone cyst (simple bone cyst)
B. Cartilage synovial membrane hyperplasia (synovial chondromatosis)
C. Of fibrous dysplasia (fibrous dysplasia)
D. Bone giant cell tumor (giant cell tumor of bone)


Question: Sciatic nerve (sciatic nerve) of the blood supply from which of the following?

Answer: Gluteal artery (inferior gluteal artery)

Choices:
A. Gluteal artery (inferior gluteal artery)
B. Superior gluteal artery (superior gluteal artery)
C. Obturator artery (obturator artery)
D. Femoral artery (femoral artery)


Question: The following statements about Hodgkin's disease (Hodgkin's disease), the what's wrong?

Answer: Occur more frequently than high non-Hodgkin's lymphoma

Choices:
A. Lesions mainly axial involvement
B. In adolescence (adolescence) have a peak appears
C. Occur more frequently than high non-Hodgkin's lymphoma
D. Most stageⅠ-Ⅱ, radiotherapy (R / T) is healed


Question: 55 yellow 62-year-old wife, suffering from Type 2 diabetes for 5 years. Height 163 cm, weight 64.5 kg. Normal diet, daily intake of 1,600 Kcal, about forty sports every day, taking Glibenclamide 10 mg BID and Metformin 1,000 mg BID. The last six months of glycated hemoglobin (HbA1C) was 7.8% and 8.2%, respectively, last month self-test fasting blood glucose is 98-120 mg / dL, blood sugar after a meal is 218-250 mg / dL. The following statements is wrong?

Answer: Elevated HbA1C values and basal insulin (basal insulin) inadequate secretion

Choices:
A. Most self-test fasting blood glucose values fall within the range of therapeutic targets
B. Elevated HbA1C values and basal insulin (basal insulin) inadequate secretion
C. And patients may be treated with the present or long-acting insulin
D. This patient treatment should focus on the regulation of blood sugar after a meal


Question: 64 year old man with diabetes and hypertension, there are five days of fever, chills, abdominal pain, without voiding difficult or painful situation; abdominal ultrasound found a 4.5-cm heterogeneous hepatic lesions, intrahepatic bile duct no expansion of the case . Aerobic and anaerobic blood culture bottles are grown gram-negative bacilli. So the condition most likely the pathogen why?

Answer: Klebsiella pneuomoniae

Choices:
A. Pseudomonas aeruginosa
B. Bacteroides fragilis
C. Enterobacter cloacae
D. Klebsiella pneuomoniae


Question:
100 index is calculated according to the following table the following data, which of the following error? Availability of real disease
 No
 Have
 68
 6
 No
 12
 114
 Disease diagnosis 74 Total
 126
 Total
 80
 120 200

Answer: Positive predictive value of 85%

Choices:
A. A sensitivity of 85%
B. A specificity of 95%
C. Positive predictive value of 85%
D. Negative predictive value of 90.5%


Question: A 3-month-old baby boy, my mother complained of poor feeding baby boy (poor feeding) and pale (pallor), night sweats (cold sweating), physical checkups found 260 heart beats / min, blood pressure 76/40 mmHg, the most likely diagnosis why ?

Answer: The ventricular tachycardia (supraventricular tachycardia)

Choices:
A. High fever (high fever)
B. Sepsis (sepsis)
C. The ventricular tachycardia (supraventricular tachycardia)
D. 竇性 tachycardia (sinus tachycardia)


Question: Which of the following has nothing to do with the hearing?

Answer: Inferior olivary nucleus (inferior olivary nucleus)

Choices:
A. Outside of the shoe department (lateral lemniscus)
B. Inferior olivary nucleus (inferior olivary nucleus)
C. Spiral ganglion (spiral ganglion)
D. Medial geniculate body (medial geniculate body)


Question: Fungal cell wall composition is unique:

Answer: Chitin

Choices:
A. Ergot alcohol
B. Chitin
C. Horny
D. Glycosides


Question: A 3-year-old child from infancy to suffer from atopic dermatitis (atopic dermatitis), recently found in some places the skin exudate (ooze) and scab (crust) phenomenon, he is most likely to merge what infection?

Answer: Staphylococcus aureus

Choices:
A. Candida albicans
B. Staphylococcus aureus
C. Haemophilus influenzae
D. Mycobacterium tuberculosis


Question: Pathological changes retrograde ejaculation (retrograde ejaculation) are:

Answer: Bladder neck can not shrink or close

Choices:
A. Unable to reach orgasm
B. Contraction force of ejaculation is not enough
C. Bladder neck can not shrink or close
D. Not enough to cause the amount of semen discharged from the urethra


Question: "Currant-jelly" stool relationship with most of that disease?

Answer: intussusception

Choices:
A. Intestinal polyps
B. Meck ear diverticulum (Meckel's diverticulum)
C. intussusception
D. Proctitis


Question: Which of the following main automatically activating neurotransmitter receptors for Use, normally inhibit the activity of adenylyl cyclase?

Answer: muscarinic M2 cholinoceptor

Choices:
A. muscarinic M2 cholinoceptor
B. muscarinic M3 cholinoceptor
C. β1 adrenoceptor
D. β3 adrenoceptor


Question: A 18-year-old male, in recent years gradually limb tremors, ataxia, dysarthria, regress in school achievement, emotional instability. Physical examination found that corneas brown-green residue, upper wing beating tremor (wing beating tremor) associated with dystonia posture (dystonic posture). Which of the following is the most likely diagnosis?

Answer: Wilson's disease (Wilson disease)

Choices:
A. Dance spine red blood cell disorder (choreoacanthocytosis)
B. Xideng Han's disease (Sydenham chorea)
C. Multiple sclerosis (multiple sclerosis)
D. Wilson's disease (Wilson disease)


Question: Which of the following diseases of the nervous system, most are not suitable for plasmapheresis (plasma exchange) to treat?

Answer: Limbic encephalitis (limbic encephalitis)

Choices:
A. Critical myasthenia gravis (myasthenia crisis)
B. Chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyneuropathy)
C. Multiple nerve (root) inflammation (Guillain-Barré syndrome)
D. Limbic encephalitis (limbic encephalitis)


Question: Account of neuralgia (post-herpetic neuralgia) after herpes, what's wrong?

Answer: Administration of acyclovir (antiviral) therapy in the acute phase of herpes can reduce its incidence

Choices:
A. Occur in the elderly
B. Difficult to treat
C. Early doing sympathectomy may reduce its incidence
D. Administration of acyclovir (antiviral) therapy in the acute phase of herpes can reduce its incidence


Question: A 12-year-old boy has repeatedly complained in the past six months have episodes of abdominal pain. His father, grandfather and grandfather were in the past history of peptic ulcer. Boy parents strongly urge you to check for boys for peptic ulcer. He checked the following items best able to determine whether the boy had Helicobacter pylori-induced peptic ulcer?

Answer: Endoscopy and make the stomach biopsy

Choices:
A. Check whether there are bacteria of fecal antigen
B. Endoscopy and make the stomach biopsy
C. Hydrogen breath test
D. Detecting antibodies in the serum of bacteria


Question: Papillary or follicular thyroid cancer, thyroid cancer undergoing total resection, where the following items can be used to detect recurrence or metastasis?

Answer: Thyroglobulin (thyroglobulin)

Choices:
A. THE
B. Hormone calcitonin (Calcitonin)
C. Thyroglobulin (thyroglobulin)
D. Tran-receptor Ab


Question: Atrial septal defect (atrial septal defect) occurs most often in the following Where?

Answer: Foramen ovale (oval foramen)

Choices:
A. Foramen ovale (oval foramen)
B. Coronary sinus (coronary sinus)
C. Right atrial appendage (right auricle)
D. 終 嵴 (crista terminalis)


Question: When a patient is diagnosed with cancer, their families based on the requirements, the medical staff did not inform the patient diagnosis, that is a violation of the principles of bioethics?

Answer: Respect for the principle of autonomy (respect for autonomy)

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


Question: Narrative hysteroscope surgery complications may arise, which of the following error?

Answer: And the difference was not poured into the above two liters of effluent, without giving diuretics

Choices:
A. Preoperative blood test to be established as the reference electrolyte
B. Preferably the difference is calculated every 5 minutes and the liquid effluent was poured into the
C. And the difference was not poured into the above two liters of effluent, without giving diuretics
D. Perfusion pressure of 70 ~ 80 mmHg is appropriate


Question: Taiwan's rapid surge in HIV-infected patients in the last 2 to 3 years of cases related to the following description, what's wrong?

Answer: World Health Organization definition of AIDS (AIDS) is HIV-positive patients peripheral blood CD4 + T cell count <400 / mm3 or merge opportunistic infections

Choices:
A. World Health Organization definition of AIDS (AIDS) is HIV-positive patients peripheral blood CD4 + T cell count <400 / mm3 or merge opportunistic infections
B. HIV is a retrovirus RNA viruses (Retrovirus)
C. AIDS patients with cytomegalovirus (CMV) retinitis to the infection most often to show
D. Infected blood and body fluid-based approach to Taiwan recently is infected drug users sharing needles up to each other


Question: Bearing on the question, for the disposal of the above-mentioned patients, Which of the following is most likely helpful?

Answer: Use of alpha-adrenoceptor antagonists (alpha-adrenergic antagonist)

Choices:
A. Use of alpha-adrenoceptor antagonists (alpha-adrenergic antagonist)
B. Behavioral therapy (behavioral therapy), such as: pelvic floor muscle training
C. Anticholinergic agents (anticholinergic)
D. Acetic three adrenergic receptor agonists (beta 3-adrenergic agonist)


Question: A 35-year-old male patient was diagnosed with colon cancer, his mother was diagnosed with endometrial cancer at age 20, was diagnosed with colon cancer at age 48. His grandfather died of colon cancer at the age of 55, his 38-year-old sister recently received a colonoscopy examination, the first phase of colorectal cancer has been diagnosed, but found no polyps. Following that with his mutated colon cancer is most likely to have relevance?

Answer: germ-line mutant hMSH2 gene or underrepresented

Choices:
A. germ-line mutant hMSH2 gene or underrepresented
B. ATM gene heterozygous loss (loss of heterozygosity)
C. p53 unilateral allelic germ-line mutations (germ-line mutation of a single allele of p53 gene)
D. nucleotide excision repair gene mutations in somatic cells


Question: 59 most suitable for use in patients with bone marrow transplantation, also known as sargramostim of colony stimulating factor (colony-stimulating factor, CSF) is that one of the following?

Answer: GM-CSF

Choices:
A. G-CSF
B. GM-CSF
C. Multi-CSF
D. M-CSF


Question: Which of the following is a pure opioid antagonist class (opioids) drugs (pure antagonist)?

Answer: naloxone

Choices:
A. nalbuphine
B. butorphanol
C. naloxone
D. pentazocine


Question: Statements about juvenile rheumatoid arthritis (JRA) is, which of the following error?

Answer: If the violation of the TMJ (temporomandibular joints), may lead to macrognathia

Choices:
A. Abnormal growth and development is a common complication of JRA
B. If the violation of the TMJ (temporomandibular joints), may lead to macrognathia
C. Asymmetric arthritis of the lower limbs, feet often leads to unequal
D. Leg length can also be caused due to the different pelvic rotation and scoliosis


Question: 20. A 55 year old female patient without diabetes or hypertension, after swimming suddenly felt a little stuffy nose, fatigue, headache, but no fever, normal number of white blood cells also through

Answer: Acute frontal sinusitis

Choices:
A. Acute frontal sinusitis
B. Acute sphenoid sinusitis
C. Cavernous sinus thrombosis
D. Acute maxillary sinusitis


Question: A young woman showing magnetic resonance angiography figure, narrative arrows within the meaning of what's the most correct?

Answer: Double horn

Choices:
A. Double horn
B. Double uterus
C. Uterine blood retention
D. Single horn


Question:
When gas exchange (gas exchange) between the blood 61. The following gases in the alveoli (alveolus) and alveolar capillary (alveolar capillary), whichever belongs to the diffusion limiting (diffusion-limited) process? ① nitrous oxide (N2O) in normal human ② dioxide (CO2) in the normal human ③ monoxide (CO) in the normal human ④ oxygen (O2) in the normal human ⑤ oxygen
 (O2) in pulmonary edema (pulmonary edema) in vivo

Answer: Only ③⑤

Choices:
A. Only ①②⑤
B. Only ①②④
C. Only ③④⑤
D. Only ③⑤


Question: The following pneumoperitoneum (Pneumoperitoneum) the description of that one wrong?

Answer: Abdominal X-ray photography than supine chest X-ray photography stand (Chest PA) is more easily detected pneumoperitoneum

Choices:
A. The reason most gastric or duodenal ulcer for adults spontaneous pneumoperitoneum of
B. Abdominal X-ray photography than supine chest X-ray photography stand (Chest PA) is more easily detected pneumoperitoneum
C. Computer tomography can be used to detect pneumoperitoneum
D. Ultrasound scan can detect pneumoperitoneum


Question: From the previous question, in the case of this patient, should be how to deal with?

Answer: Giving tonic

Choices:
A. Infusion of a large number of sodium ions to give
B. Giving tonic
C. Reduce or limit infusion administration
D. Administered sodium restriction


Question: This 3-year-old Xiaofang suddenly less willing to walk two days, and accompanied by a fever. Physical checkups showed right knee swelling, suspected septic arthritis, following a bacterium that is most common in this arthritis?

Answer: Staphylococcus aureus

Choices:
A. Haemophilus influenzae type b
B. Staphylococcus aureus
C. Salmonella
D. Streptococcus pneumoniae


Question: The following account of rhinovirus (Rhinoviruses) of, what is wrong?

Answer: Its protein shell (capsid) stable in an acidic environment

Choices:
A. Is an RNA virus
B. Its protein shell (capsid) stable in an acidic environment
C. Grows well at 33 ℃, about their preferences replication in nasal
D. In the majority of ICAM-1 (intracellular adhesion molecule-1) to enter the cell receptors (receptor)


Question: 70. ⼀ bit 50 year old woman Face disease, no heavy zoomed history, because in the past have made ADVANCED 12-hour burn, chills and low back pain, so to emergency treatment, kidney ultra Rec wave monitor kidney knot ⽯ no swelling or water resistant, white ⾎ ball urine was> 100 / HPF, but no red ⾎ ball (<2 / HPF), the white ⾎ ⾎ ball of 18,000 / mm3, Face disease had urinary frequency and burning urination in two weeks, but voiding symptoms have disappeared, which of the following error?

Answer: Usually need to do computerized tomography or intravenous pyelography, further confirm the diagnosis into ⼀

Choices:
A. Zoomed coli (E. coli) is the most common pathogen ⾒
B. Physical examination may find ribs spine to delta (costo-vertebral angle) have knocked pain (knocking pain)
C. Usually need to do computerized tomography or intravenous pyelography, further confirm the diagnosis into ⼀
D. If no failure ⾎ disease (septicemia) of symptoms, may be considered administered broad-spectrum anti-connector serving ⽣ hormone therapy 10 to 14 days


Question: Which of the following Diarrhea (Diarrhea) mechanism is part of Secretory type diarrhea?

Answer: Congenital chloride diarrhea (Congenital chloride diarrhea)

Choices:
A. Congenital chloride diarrhea (Congenital chloride diarrhea)
B. Lactose intolerance diarrhea (Lactase deficiency)
C. Intestinal bowel syndrome (Irritable bowel syndrome)
D. Celiac (Celiac disease)


Question: Middle-aged male patient complained of fatigue, upper abdominal pain, nausea, vomiting and fever two weeks of hospitalization, serum tests IHA (indirect hemagglutination) 1: 512. Differential diagnosis of the disease is the primary consideration:

Answer: Amebic liver abscess

Choices:
A. AIDS
B. Pancreatic cancer
C. Amebic liver abscess
D. Hepatic tuberculosis


Question: A 28-year-old female, menstrual cycle 2-3 months, the appearance of hirsutism, acne, where the minimum term following checks to help with the diagnosis?

Answer: TSH（thyroid-stimulating hormone）

Choices:
A. FSH（follicle-stimulating hormone）
B. LH（luteinizing hormone）
C. testosterone
D. TSH（thyroid-stimulating hormone）


Question: Differentiation of B cells that has nothing to do with one of the following in the bone marrow (bone marrow) in?

Answer: Type switch recombination (class switch recombination)

Choices:
A. RAG1 / RAG2 enzyme
B. Stromal cells (stromal cell)
C. Type switch recombination (class switch recombination)
D. IL-7


Question: Statements about the digestive tract of the venous return, which of the following error?

Answer: Head of the pancreas (head of pancreas) advanced into the spleen of blood vein (splenic vein) and then import the hepatic portal vein (hepatic portal vein)

Choices:
A. Intravenous lesser curvature of the stomach reflux direct hepatic portal vein (hepatic portal vein) in
B. Superior mesenteric vein (superior mesenteric vein) with splenic vein (splenic vein) meet hepatic portal vein (hepatic portal vein)
C. Blood inferior mesenteric vein (inferior mesenteric vein) import splenic vein (splenic vein)
D. Head of the pancreas (head of pancreas) advanced into the spleen of blood vein (splenic vein) and then import the hepatic portal vein (hepatic portal vein)


Question: Following the same drugs that inhibit Carbonic anhydrase and reduce the formation of aqueous humor of the eye?

Answer: Dorzolamide

Choices:
A. Amiloride
B. Dorzolamide
C. Torsemide
D. Bumetanide


Question: A 40-year-old male patient, two months ago, has been suffering from acute pancreatitis. Recently complained of abdominal distention, manager examination found that patients with left upper quadrant tenderness, swelling, but no jaundice, blood in the stool or anemia phenomenon. Serum amylase patient is 180 IU / L, lipase value of 510 IU / L. Next check for this patient, what items have less diagnostic?

Answer: Abdominal angiography

Choices:
A. Abdominal X-ray photography
B. Abdominal ultrasound
C. Abdominal angiography
D. Abdominal computed tomography


Question: From the previous questions, test results came out, Mr. Pepe's red blood cells is relatively small, so the couple do a genetic test results came out, the two are beta thalassemia belt due to the following statements is wrong?

Answer: Severe beta thalassemia fetus usually can not survive in the womb, to the end of pregnancy, fetal hydrops occurs (hydrops fetalis)

Choices:
A. Each of them has a probability of 1/4 of the tire gave birth to the fetus of severe beta thalassemia
B. Severe beta thalassemia fetus usually can not survive in the womb, to the end of pregnancy, fetal hydrops occurs (hydrops fetalis)
C. After beta thalassemia severe fetal birth, if not do stem cell transplantation therapy, often need to rely on blood transfusions for life
D. To know whether the fetus is a severe beta thalassemia, in 10 ~ 13 weeks gestation chorionic puncture made available genetic testing


Question: Which of the following structure of the inner ear degeneration and senile deafness (presbycusis) is not the most relevant?

Answer: Vestibular ganglion cells (vestibular ganglion cells)

Choices:
A. Vestibular ganglion cells (vestibular ganglion cells)
B. Stria vascularis (stria vascularis)
C. Inner hair cells (inner hair cells)
D. Outer hair cells (outer hair cells)


Question: Dog roundworm (Toxocara canis) most likely to cause visceral larva migrans (visceral larva migrans), whose larvae most likely to invade the body that site?

Answer: liver

Choices:
A. kidney
B. liver
C. The brain
D. Lung


Question: In caring for terminally dying patients, the patient's family to see if the patient dry mucous membranes to worry about the patient died of thirst or dehydration, Which of the following is the most appropriate disposal?

Answer: Commentary late dying of dehydration and the patient's family will not cause the patient pain

Choices:
A. Accelerate intravenous injection
B. Force-fed by a nasogastric tube, add water
C. Placement of central venous catheters (CVP) to assess whether a lack of body fluid
D. Commentary late dying of dehydration and the patient's family will not cause the patient pain


Question: Month 3 Month zoomed EMPTY births, three weeks after the home ⻑ ⽣ noted shortness of breath hetero Rec, earphones ⿐ throat after physician assessment arrangement laryngeal endoscopy, a result as shown below, the following statements is true?

Answer: When the baby to drink milk more severe symptoms

Choices:
A. Opportunities for women than for the baby's ADVANCED
B. Baby's symptoms may gradually improve within 6 Month
C. When the baby lying in relatively minor symptoms
D. When the baby to drink milk more severe symptoms


Question: Health and Welfare Ministry of Food and Drug Administration to promote the "5 a day of fruits and vegetables, healthy and happy living" is part of that period Gonggongweisheng precautionary principle that primary prevention?

Answer: An early stage

Choices:
A. An early stage
B. The early part two
C. The next stage tertiary
D. Three sections of four


Question: AZT (3'-azido-2 ', 3'-dideoxythymidine) used to treat human immunodeficiency virus (HIV) infection, its role is:

Answer: Synthesis of DNA strand reverse transcription enzyme (reverse transcriptase) Terminator

Choices:
A. Viral proteolytic enzymes (Protease) inhibitors
B. Competitive inhibitors of DNA polymerase
C. Synthesis of DNA strand reverse transcription enzyme (reverse transcriptase) Terminator
D. RNase H inhibitors


Question: A 32-year-old male, examination revealed the left testicle has a solid tumor about 4 cm in size. Further examination revealed several enlarged lymph nodes next to the abdominal aorta and lungs on both sides, there are many small nodules present. Blood examination revealed hCG (human chorionic gonadotropin; HCG) and alpha fetoprotein (alpha-fetoprotein) significantly increased concentration. Which of the following is the most likely diagnosis?

Answer: Mixed germ cell tumors (mixed germ cell tumor)

Choices:
A. Seminoma (seminoma)
B. Mixed germ cell tumors (mixed germ cell tumor)
C. Reddy's cell tumor (Leydig cell tumor)
D. Diffuse large cell lymphoma (diffuse large B cell lymphoma)


Question: Following that drug, clinically usually do not require regular blood monitoring of blood concentrations of the drug?

Answer: clozapine

Choices:
A. clozapine
B. lithium
C. valproic acid
D. carbamazepine


Question: The following narrative and what was wrong?

Answer: Gambia trypanosomiasis (Trypanosoma gambiense) distributed only in East Africa

Choices:
A. Gambia trypanosomiasis (Trypanosoma gambiense) distributed only in East Africa
B. Trypomastigote (trypomastigote) having undulating membrane (undulating membrane)
C. Gambia Trypanosoma no reservoir hosts
D. African trypanosomiasis disease examination material, including blood, lymph and cerebrospinal fluid


Question: 78 an 8-year-old boy in a car accident the bus was hit, was sent to the emergency room at the hospital when the boy conscious, face anxiety, rapid shallow breathing, chest bruises and India have large wheels, vital signs show respiratory rate 60 / min, heart rate 180 / min, systolic blood pressure 70 mmHg, clammy, oxygen 91%, prior to imaging, to prevent respiratory failure, prophylactic intubation (prophylactic intubation), wake after administration cannula ball CPAP , but found that 64% oxygen, 32 beats / min, blood pressure can not be measured, showing pulseless cardiac electrical activity (pulseless electrical activity), determined tube position is correct, but the right side breath sounds disappear, Which of the following immediate disposal the most appropriate ?

Answer: Administered from right intercostal chest needle bleed

Choices:
A. Arrangements for chest X-rays
B. And give a lot of fluids into the operating room
C. 100% oxygen ventilation of the machinery, and gives Atropine 0.2 mg / kg
D. Administered from right intercostal chest needle bleed


Question: For patients with abnormal left ventricular systolic function heart failure, following which treatment can not prolong life?

Answer: Foxglove (digitalis)

Choices:
A. Angiotensin converting enzyme inhibitors (ACE inhibitors)
B. Sympathetic beta receptor blockers (beta-adrenergic receptor blockers)
C. Foxglove (digitalis)
D. Vasodilators composition (combination of vasodilators)


Question: The following distance effects related to cancer (remote effects of neoplasm), whichever is correct?

Answer: Lung cancer is one of the common causes of cancer effect

Choices:
A. Cancer metastasis (metastasis) to produce
B. Some because IgE antibodies cause autoimmune
C. Only produce central nervous system lesions
D. Lung cancer is one of the common causes of cancer effect


Question: Pharmacological effects of antidepressants venlafaxine noradrenaline (norepinephrine) and serotonin (serotonin) of why?

Answer: Greater than the effect of serotonin norepinephrine

Choices:
A. Greater than the effect of a serotonin norepinephrine
B. Greater than the effect of serotonin norepinephrine
C. Norepinephrine and serotonin effect equal
D. Not yet conclusive


Question: Description of phagocytic cells (phagocytes) is, which of the following error?

Answer: Macrophages (macrophage) by monocytes (monocyte) formed by cleavage after the bacterial challenge

Choices:
A. Macrophages (macrophage) may be cytokine T lymphocytes (lymphocytes) secreted (cytokines) are activated
B. Liver Kupffer cells is a specialized macrophages, phagocytosis of bacteria may be secreted cytokines (cytokines)
C. Neutrophils (neutrophil) after activation of intracellular NADPH oxidase complex will be synthesized superoxide (superoxidant)
D. Macrophages (macrophage) by monocytes (monocyte) formed by cleavage after the bacterial challenge


Question:
20520
 55
 40
 60
 Total
 25
 75
 100
 Which of the following statistics How assays can be used to test whether the pregnancy will change the smoking behavior of women?

Answer: McNemar's χ2 test

Choices:
A. Pearson's χ2 test
B. Test for the difference between two proportions
C. McNemar's χ2 test
D. Test for Goodness-of-fit


Question: Patients with psychosis disorder (schizophrenia) to track the approximate number of long-term death rate would commit suicide?

Answer: 10～13%

Choices:
A. 1～3%
B. 10～13%
C. 25～30%
D. 40～50%


Question: Which of the following is not the main reason for the pre-orders ethical stand?

Answer: Save medical staff time to make medical decisions

Choices:
A. Ensure respect for patient autonomy
B. When health care is no longer valid, enhance patient quality of life and human dignity
C. Save medical staff time to make medical decisions
D. Reduce anxiety that may arise when family members for the parties to make life and death decisions, conflicts and guilt


Question: The following narrative about the common antibiotic of adverse drug reactions, what items most inappropriate?

Answer: linezolid- rash

Choices:
A. clindamycin- diarrhea
B. gentamicin- nephrotoxicity
C. linezolid- rash
D. vancomycin- Reds syndrome (red man syndrome)


Question: Which of the following symptoms or signs (symptoms and / or signs) is usually open only in the late chronic glaucoma corner?

Answer: Blurred vision

Choices:
A. Blurred vision
B. Visual field defects (visual field defect)
C. Recess optic disc (disc cupping) increases
D. Changes in retinal nerve fiber layer (retinal nerve fiber layer) of


Question: 40 a serious lack of platelets (platelet count 5,000 / mm3) in patients with transfusion of platelet concentrate was 24 blood bank units, about hours after a blood test again and found that the platelet count is 6,000 / mm3. Which of the following is least likely cause of this phenomenon?

Answer: blood type ABO incompatibility of donated platelets

Choices:
A. bacterial sepsis
B. Immune thrombocytopenic purpura
C. Splenomegaly
D. blood type ABO incompatibility of donated platelets


Question: At this point the best disposal are:

Answer: Surgical treatment as soon as possible

Choices:
A. Surgical treatment as soon as possible
B. Cherrie chemotherapy
C. Can be observed on a regular basis to see if it changes
D. Do not ignore it completely


Question: For muscle length or tension detection system (length- or tension-monitoring system), the following statements is true?

Answer: responsible for detecting the length of the muscle spindle through the Ia fiber

Choices:
A. muscle spindle is responsible for detecting tension through Ib fiber
B. responsible for detecting the length of the muscle spindle through the Ia fiber
C. Golgi tendon organ responsible for detecting through Ib fiber length
D. Golgi tendon organ responsible for detecting tension through Ia fiber


Question: The following nonsteroidal anti-inflammatory drugs (NSAID), than those without any inhibition of platelet aggregation The pharmacological effect?

Answer: Celecoxib

Choices:
A. Naproxen
B. Piroxicam
C. Celecoxib
D. Nabumetone


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

Answer: Inhibit the growth of 20% bile

Choices:
A. Inhibit the growth of 20% bile
B. Hydrolysis of esculin may be
C. Gram-negative bacteria
D. Some are resistant to clindamycin


Question: The following account of acute myocardial infarction (acute myocardial infarction, AMI), and what's wrong?

Answer: In the first hour after the onset of AMI most common cause of death was heart failure

Choices:
A. In the first hour after the onset of AMI most common cause of death was heart failure
B. Anterior, apical, septal infarction of left ventricle due to the left anterior descending artery thrombosis caused by
C. Treatment can be given morphine, oxygen, aspirin, nitroglycerine
D. Β blockers can not be used when the AMI patients with severe heart failure


Question: A 72-year-old man with mild dementia, cognitive disorder is progressive and gradual deterioration occurs, slow easy to fall, occasional confusion consciousness and hallucinations, but no incontinence. Physical examination torso stiff, no shaking. CT scan showed generalized cerebral atrophy, show mild generalized EEG cortical dysfunction. Which of the following is most likely to patients suffering from the disease?

Answer: Lewy body dementia (dementia with Lewy body)

Choices:
A. Lewy body dementia (dementia with Lewy body)
B. Ezihaimo disease (Alzheimer's disease)
C. Normal pressure hydrocephalus (normal pressure hydrocephalus)
D. CJD (Creutzfeldt-Jakob disease)


Question: About diagnostic hysteroscopy, the following statements is true?

Answer: Hysteroscopic endometrial superior scratch scraping operation (D & C) in the diagnosis of lesions of the uterine cavity and photography hysterosalpingography (HSG)

Choices:
A. It's all part of the assessment of infertility
B. Because the patient discomfort, diagnostic hysteroscopy can not be performed on an outpatient basis
C. Hysteroscopic endometrial superior scratch scraping operation (D & C) in the diagnosis of lesions of the uterine cavity and photography hysterosalpingography (HSG)
D. There's too much blood, not suitable for hysteroscopy


Question: Account of fragile X chromosome folding disease (fragile X syndrome), and which of the following error?

Answer: CGG repeat (trinucleotide repeat) up to 44 times the number will appear clinical symptoms of mental retardation

Choices:
A. Etiology is mutated FMR1 (fragile-X mental retardation) gene, located in Xq27
B. Cause mutations in the gene appear three nucleotide CGG repeat (trinucleotide repeat) amplification of the number of abnormal phenomenon
C. CGG repeat (trinucleotide repeat) up to 44 times the number will appear clinical symptoms of mental retardation
D. Obstetrics and Gynecology, the American Medical Association in 2010 for unexplained mental retardation, growth retardation, autism, or who have a family history, as well as premature ovarian failure


Question: In considering the congenital metabolic diseases, these kind of diseases easier ammonia (ammonia) increased, whereas pH and HCO3- were normal?

Answer: Urea cycle defects

Choices:
A. Urea cycle defects
B. Phenylketonuria
C. Hawkinsinuria
D. methylmalonic acidemia


Question: The second most common benign tumors of the hand are:

Answer: Giant cell tumor (giant cell tumor)

Choices:
A. Giant cell tumor (giant cell tumor)
B. Epidermal cysts (epidermal inclusion cyst)
C. Lipoma (lipoma)
D. Ganglion cyst (ganglion)


Question: Which of the following situations can inhaled anesthetic minimum alveolar concentration (minimum alveolar concentration, MAC) reduced?

Answer: Intravenous injection of local anesthetic

Choices:
A. fever
B. Chronic alcoholism
C. Intravenous injection of local anesthetic
D. Anesthesia time over four hours


Question: Interferon (interferon) is one of the body's defense system viral infection of the ring, into its mechanism of action:

Answer: Decoy cells synthesize various enzymes, viral RNA or decomposable blocking viral protein synthesis

Choices:
A. Direct binding of the virus, so the virus is not activated
B. Activation of complement factors (complements)
C. Cell surface binding, blocking viral entry
D. Decoy cells synthesize various enzymes, viral RNA or decomposable blocking viral protein synthesis


Question: As shown in a 21-year-old female patient doing pelvic imaging Figure that one of the following best describes not correct?

Answer: In order to achieve the correct diagnosis, the need to do further transvaginal ultrasound scan of

Choices:
A. In order to achieve the correct diagnosis, the need to do further transvaginal ultrasound scan of
B. Depends on the media check
C. The most likely diagnosis for the image from cystic teratoma of the ovary
D. Most sonic frequency which is between 2.5 MHz to 10 MHz


Question: About autoimmune hemolytic anemia (autoimmune hemolytic anemia), the following statements is wrong?

Answer: "Evans syndrome" autoimmune hemolytic anemia merger neutrophils low as autologous

Choices:
A. Antibodies can be divided into "cold type antibody (cold antibodies)" and "warm antibody (warm antibodies)."
B. In the warm antibody hemolysis, most cases are idiopathic
C. "Evans syndrome" autoimmune hemolytic anemia merger neutrophils low as autologous
D. Since the possibility of autoimmune hemolytic anemia have to be careful of SLE


Question: A particular disease or condition, likely to cause children with obstructive sleep apnea (obstructive sleep apnea) or insufficient ventilation (hypoventilation), lead to sleep disorders, poor growth, and even cerebral hypoxia, Which of the following is least likely?

Answer: Cleft palate (cleft palate) has not been repaired by surgery

Choices:
A. achondroplasia合併midface hypoplasia
B. Cleft palate (cleft palate) has not been repaired by surgery
C. Pierre-Robin sequence合併 micrognathia
D. Prader-Willi syndrome complicated by obesity (obesity)


Question: The following statements about the retina fovea (fovea), and what's wrong?

Answer: Only the bottom of the outer nuclear layer (outer nuclear layer) and outer segments of photoreceptor cells (outer segment) present

Choices:
A. In the eyeball posterior pole (posterior pole)
B. Only the bottom of the outer nuclear layer (outer nuclear layer) and outer segments of photoreceptor cells (outer segment) present
C. Cone cells (cones) here (Rods) than rod cells
D. The most visually clear


Question: The following patients with heart disease should not be involved in what heart rehabilitation training?

Answer: Acute unstable angina

Choices:
A. Orthotopic heart transplantation
B. Acute unstable angina
C. Installation cardiac pacemaker
D. Has been undergoing heart valve replacement surgery of rheumatic heart disease


Question: Which of the following is not a risk factor for neonatal respiratory distress (neonatal respiratory distress syndrome) is?

Answer: There are mothers in prenatal use of steroids (glucocorticoids)

Choices:
A. Newborn male gender (male gender)
B. There are mothers in prenatal use of steroids (glucocorticoids)
C. Premature birth
D. Neonatal race for the White (white race)


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

Answer: gonadotropin-releasing hormone secreted by the anterior pituitary

Choices:
A. testosterone secreted by the Leydig cell
B. follicle-stimulating hormone secreted by the anterior pituitary
C. follicle-stimulating hormone may promote the maturation of sperm cells (spermatid maturation)
D. gonadotropin-releasing hormone secreted by the anterior pituitary


Question: Phosphorus glycogen hydrolase (glycogen phosphorylase) activity is regulated by phosphorylase kinase and phosphorylase phosphatase is, which of the following is the main way to play a regulatory role?

Answer: Phosphorylation - dephosphorylation (phosphorylation-dephosphorylation)

Choices:
A. Effects of enzyme protein breakdown (protein degradation)
B. Phosphorylation - dephosphorylation (phosphorylation-dephosphorylation)
C. Ectopic regulation (allosteric regulation)
D. Effect of enzymes and regulatory proteins Glycogen Metabolism (regulatory protein) the binding


Question: About Pseudomonas aeruginosa (Pseudomonas) infection of the nails, the following statements is true?

Answer: Strain due to the generation pyocyanin and pyoverdin, the green fingernails

Choices:
A. Strain due to the generation pyocyanin and pyoverdin, the green fingernails
B. With high contagious, quickly passed around the nail
C. Removal of infected nails, is the treatment of choice
D. Often accompanied by systemic Pseudomonas aeruginosa infection


Question: 35. pancreatic surgery (Whipple operation) Which of the following resection portion comprises? ① head of the pancreas (pancreatic head) ② spleen

Answer: ①③④

Choices:
A. ①②③
B. ①③⑤
C. ②④⑤
D. ①③④


Question: Metastatic ovarian cancer in the Krukenberg tumor, its most common primary site why?

Answer: stomach

Choices:
A. liver
B. lung
C. breast
D. stomach


Question: Which of the following situations does not comply immediately inform the child protection team less of conditions?

Answer: Single hand of the children over 2 years old fracture

Choices:
A. There are more than three times the emergency trauma medical records and test results inconsistent with the mechanism of injury
B. Before and after a history of inconsistent and delayed medical treatment
C. At low (less than 150 cm) drop that fracture
D. Single hand of the children over 2 years old fracture


Question: Right picture T2-weighted magnetic resonance imaging, visible on the left occipital There are a lot of worm-like lesions of no signal, Which of the following is the most likely diagnosis?

Answer: Arteriovenous malformations (arteriovenous malformation)

Choices:
A. Meningitis (meningitis)
B. Arteriovenous malformations (arteriovenous malformation)
C. Meningioma (meningioma)
D. Bleeding in the brain (intracerebral hemorrhage)


Question: Which of the following may be notched by DNA DNA ligase (Ligase) engaged?

Answer: 5'-O-P+3'-OH

Choices:
A. 5'-O-P+3'-OH
B. 5'-OH+3'-O-P
C. 5'-OH+3'-OH
D. 5'-O-P+3'-O-P


Question: That one of the following antiepileptic drugs can not be used in the treatment of absence seizures (petit mal) is?

Answer: phenytoin

Choices:
A. ethosuximide
B. valproate
C. phenytoin
D. lamotrigine


Question: Narrative obstructive sleep disorders (obstructive sleep apnea / hypopnea syndrome, OSAHS), and Which statement is correct?

Answer: Increase in myocardial infarction (myocardial infarction) risk by about 20%

Choices:
A. Apnea (apnea) is defined as adult respiratory arrest (breathing pause) ≧ 15 Miao
B. The incidence occurs in people BMI (body mass ratio) of 19 to 25
C. Increase in myocardial infarction (myocardial infarction) risk by about 20%
D. Medications (such as diuretics) is the first priority of treatment


Question: 23.2 ⼩-year-old friend, when suddenly a persistent cough after a meal last night running play to the emergency room today, found that breathing sound to become apparent, auscultation unilateral wheezing Rec (Wheezing), ⽀ given short-acting bronchodilator ( after Bronchodilator), wheezing Rec has not changed, Which of the following is the most likely diagnosis?

Answer: Foreign body airway obstruction (Airway foreign body obstruction)

Choices:
A. Upper respiratory tract infection (Upper respiratory tract infection)
B. Fine ⽀ bronchitis (bronchiolitis)
C. Asthma (Asthma)
D. Foreign body airway obstruction (Airway foreign body obstruction)


Question: Bearing on the question, which of the following check most of the differential diagnosis?

Answer: Nose supernatant biochemical tests

Choices:
A. Ocular inspection
B. Ophthalmoscopy
C. Spinal tap
D. Nose supernatant biochemical tests


Question: Principles relating to the treatment of acute ankle sprain following, which one was wrong?

Answer: At this point the damaged joint activities, can help patients stretch ankle

Choices:
A. Avoid causing movement of pain
B. Ice may one day 4 times, each for about 20 minutes
C. At this point the damaged joint activities, can help patients stretch ankle
D. Can tie an elastic bandage to the affected area


Question: Vector ticks (tick) is still the vector of many infectious diseases, following which the infection is not spread via the vector tick?

Answer: Trench fever (trench fever)

Choices:
A. Barbados's protozoan disease (babesiosis)
B. Eric times body disease (ehrlichiosis)
C. Lyme disease (Lyme disease)
D. Trench fever (trench fever)


Question: 32 31-year-old pregnant woman, G3P2, 40 weeks of pregnancy, fetal monitor checks accepted, the results shown below. The following are the four most likely to check the name of the phenomenon arrow Why? (Tip: F.M to fetal movement.)

Answer: nonstress test ; acceleration

Choices:
A. nonstress test ; acceleration
B. nipple stimulation test ; early deceleration
C. contraction stress test ; late deceleration
D. acoustic stimulation test ; early deceleration


Question: Under any kind of cell in the column secretory granules containing lysozyme (Lysozyme)?

Answer: Paneth cells (Paneth cells)

Choices:
A. Paneth cells (Paneth cells)
B. Goblet cells (goblet cells)
C. Enteroendocrine cells (enteroendocrine cells)
D. Mucus secreting cells (mucus-secreting cells)


Question: Which of the following is amputation Syme's amputation (Symes amputation) of?

Answer: Amputation ankle (ankle disarticulation)

Choices:
A. Thumb amputation (big toe disarticulation)
B. By metatarsal amputation (trans-metatarsal amputation)
C. Amputation ankle (ankle disarticulation)
D. Transtibial amputations bone (trans-tibial amputation)


Question: The following four diagnosis, when the first cases of what kind of attack, most often on their own to the emergency medical treatment?

Answer: Panic Disorder

Choices:
A. Acute Schizophrenia
B. Panic Disorder
C. Body image phobia (body dysmorphic disorder)
D. Hypochondriasis (hypochondriasis)


Question: Urodynamic testing inspection, the items that can be measured most bladder outlet obstruction caused by an enlarged prostate?

Answer: Urine flow check pressure (pressure-flow study)

Choices:
A. Determination of urinary flow (uroflowmetry)
B. FIG bladder pressure (cystometry)
C. Urine flow check pressure (pressure-flow study)
D. Urethral pressure (urethral pressure profile)


Question: 61. One 75-year-old male patient, when voiding usually takes a little harder to come out solution, and urine flow is fine, urologist was diagnosed with an enlarged prostate (benign prostatic hyperplasia or hypertrophy). One day he was cold and vomiting medication, the result of the case can not urinate suddenly, it's clear that the bladder is swelling, but that solution does not come out. Please answer the following 3 questions according to the foregoing. The following drugs whichever is least likely to cause this situation?

Answer: metoclopramide (one kind of gastrointestinal motility enhancer [prokinetic])

Choices:
A. codeine (one kind opiate, for cough)
B. diphenhydramine (an antihistamine [anti-histamine])
C. metoclopramide (one kind of gastrointestinal motility enhancer [prokinetic])
D. pseudoephedrine (one kind of alpha-adrenergic receptor agonists [alpha-adrenergic agonist])


Question: Rb and p53 gene in cancer-causing machine where in turn play a key role in cell reproduction cycle (cell cycle)?

Answer: G1 to S Room

Choices:
A. G0 to G1 room
B. G2 to between M
C. G1 to S Room
D. S to G2 between


Question: When do you find both sides of the kidney kidney ultrasound are all 12.5 cm long, and the blood of patients with creatinine (creatinine) was 7.5 mg / dL, you should suspect that a disease?

Answer: Diabetic nephropathy (DM nephropathy)

Choices:
A. Chronic glomerulonephritis (chronic glomerulonephritis)
B. Chronic interstitial nephritis (chronic interstitial nephritis)
C. Diabetic nephropathy (DM nephropathy)
D. Hypertensive nephropathy (hypertensive nephropathy)


Question: Which is not characteristic of non-inflammatory synovial fluid (non-inflammatory synovial fluid) of?

Answer: The number of white blood cells is higher than 2000 / mm3

Choices:
A. Mucin coagulation (mucin clot) good
B. Ratio of polymorphonuclear leukocytes <25%
C. The number of white blood cells is higher than 2000 / mm3
D. Sticky silk degree (viscosity) High


Question: The following statements about the disease and its virus can cause it, and what's wrong?

Answer: Rhinovirus (Rhinovirus) herpes can cause inflammation of the pharynx sipping (herpangina)

Choices:
A. Respiratory syncytial virus (Respiratory syncytial virus) can cause pneumonia (pneumonia)
B. Parainfluenza virus (Parainfluenza virus) can cause asthma (croup)
C. Rhinovirus (Rhinovirus) herpes can cause inflammation of the pharynx sipping (herpangina)
D. Coronavirus (Human coronavirus) can cause a cold (common cold)


Question: 80. Otto was a 45-year-old grocer, 5 years ago because of cirrhosis of liver transplant, because intra-abdominal abscess after repeated bloody shock, a shock after five months ago, because Otto bloody thrombosis causing multiple brain embolic stroke in a vegetative state. This time because of fever, hemorrhagic shock, to the nursing home from the emergency room, you are to take care of his general surgeon, and the family want you to make every effort to save him, and emergency first aid when needed, into the intensive care unit treatment when necessary; you should how to deal with the most appropriate?

Answer: When judged as invalid medical doctors, family members should inform your professional decision, to try to reach a consensus with the family therapy

Choices:
A. Limited medical resources, should be avoided in a vegetative state who can ask the family to take him home
B. When judged as invalid medical doctors, family members should inform your professional decision, to try to reach a consensus with the family therapy
C. Always follow the views of family members, income ICU, given antibiotics and after line vasopressor therapy
D. When judged as invalid medical doctors, family members should inform your professional decision, do not need to discuss with their families


Question: Multifactorial genetic disease refers to several diseases of genetic factors and environmental factors are jointly determined. That one of the following diseases are usually not included in the multifactorial genetic diseases?

Answer: Neurofibromatosis disease

Choices:
A. Adult-onset diabetes
B. Schizophrenia
C. Neurofibromatosis disease
D. hypertension


Question: Which of the following is the most common term production of children with congenital heart disease?

Answer: Ventricular septal defect (ventricular septal defect)

Choices:
A. Ventricular septal defect (ventricular septal defect)
B. A second atrial septal defect (atrial septal defect secundum)
C. Tetralogy of Fallot (tetralogy of Fallot)
D. Patent ductus arteriosus (patant ductus arteriosus)


Question: 60-year-old male with hypertension, a history of diabetes, sudden limb weakness, difficulty speaking, standing instability, diplopia, dizziness and other symptoms, neurological examination revealed right limb muscle strength decline, the left limb disorders, two eye can not rotates outward. Where the lesion is most likely?

Answer: Pons (pons)

Choices:
A. Thalamus (thalamus)
B. Midbrain (midbrain)
C. Pons (pons)
D. Medulla (medulla)


Question: Syphilis (Syphilis) tested positive VDRL first use, then the measurement will also be positive TPHA use, it can be identified as positive, referred to as a test series (tests in series), it is an object to increase:

Answer: Specificity (specificity)

Choices:
A. Sensitivity (sensitivity)
B. Specificity (specificity)
C. The incidence (incidence)
D. Prevalence (prevalence)


Question: Account of thyroxine (Thyroid hormones), the error which of the following?

Answer: Episomal (Free-form) by binding to the major hormone receptor (Receptor) is located on the target cell membrane, physiological regulation

Choices:
A. Mainly by blood-binding protein (Binding protein) delivered to target cells (Target cell) action
B. Episomal (Free-form) by binding to the major hormone receptor (Receptor) is located on the target cell membrane, physiological regulation
C. Blood half-life is longer than a general class of peptide (Peptide) Hormones
D. Transcription of target gene can be regulated (Transcription)


Question: Outreach nucleus (abducens nucleus) the main functions:

Answer: Outgoing general body (general somatic efferent)

Choices:
A. Incoming general body (general somatic afferent)
B. Special visceral efferent (special visceral efferent)
C. General body outgoing and general visceral efferent (general somatic efferent and general visceral efferent)
D. Outgoing general body (general somatic efferent)


Question: Generalized brown hyperpigmentation of the skin characterized by that following an endocrine disease?

Answer: Addison's disease

Choices:
A. Cushing's syndrome
B. Addison's disease
C. Graves' disease
D. glucagonoma syndrome


Question: From the previous question, when the patient's condition is stable, then check one of the following help identify the most critical lesions caused by the rapid deterioration of the disease?

Answer: Brain magnetic resonance photography

Choices:
A. Bronchoscopy
B. Brain magnetic resonance photography
C. Myocardial biopsy
D. Lung biopsy


Question: Crystal ectopic (ectopic lentis) is characterized by the following kind of diseases?

Answer: Marfan syndrome (Marfan syndrome)

Choices:
A. Marfan syndrome (Marfan syndrome)
B. Retinopathy of premature children (retinopathy of prematurity)
C. Wilson's disease (Wilson's disease)
D. Type 1 diabetes (juvenile diabetes)


Question: A 56 year old male patient blood pressure 80/40 mmHg (mean 54 mmHg), Swan-Ganz catheters cocurrent results show PAP: 32/21 mmHg (mean 26 mmHg), PAWP: 17 mmHg, CVP: 13 mmHg, cardiac output: 6.7 L / min, body surface area: 2 m2, the shock of this patient most likely reason why?

Answer: Septic shock

Choices:
A. Cardiogenic shock
B. Septic shock
C. hypovolemic shock
D. Neurogenic shock


Question: Ms. suffering from a degenerative osteoarthritis for several years, there is no joint swelling (swelling) or check local heating. Increase the degree of knee pain up and down stairs, walking endurance and decreased recently. Which of the following best suited to accept the rehabilitation treatment?

Answer: Electrotherapy + heat + bike training (hot packing + electrotherapy + cycling exercise)

Choices:
A. Cold + electrotherapy + climbing ladder training (cold packing + electrotherapy + climbing steps exercise)
B. Alternating hot and cold treatment (alternate cold and heat therapy)
C. + Electrotherapy + hot spa (hot packing + electrotherapy + hydrotherapy)
D. Electrotherapy + heat + bike training (hot packing + electrotherapy + cycling exercise)


Question: Which of the following does not require the patient to obtain prior informed consent?

Answer: Surgery, let Zhuyuanyishi responsible under the knife and sutures

Choices:
A. 10cc drawn patient blood tested for HIV before surgery
B. NSC will study the surgical removal of waste used as human tissue
C. Surgery, let Zhuyuanyishi responsible under the knife and sutures
D. Injection developer


Question: Patients who have received post-abdominal surgery because of gastrointestinal discomfort, often long-term local heat alleviate the symptoms, skin pigmentation as shown in the following statements is true?

Answer: On the affected skin can be complicated by skin like squamous cell carcinoma

Choices:
A. Because melanoma cell proliferation caused by the ultraviolet
B. Because the affected area after the burn blisters inflamed left
C. On the affected skin can be complicated by skin like squamous cell carcinoma
D. Continue to promote local heat can dissipate pigment


Question: Children with asthma caused by allergies, Taiwan is quite common on today's clinical condition, may I ask which of the following most common arthropod cause of pediatric asthma allergen is clinically?

Answer: House dust mites (house dust mite)

Choices:
A. Chiggers (Chigger)
B. House dust mites (house dust mite)
C. Tick (tick)
D. 體 蝨 (Pediculuc human)


Question: Which of the following has nothing to do with the real role of nuclear transcription cells?

Answer: RNA primer (RNA primer)

Choices:
A. DNA template (DNA template)
B. RNA polymerase (RNA polymerase)
C. RNA primer (RNA primer)
D. Promoter (promoter)


Question: Pathological staging of colon cancer Dukes' stage C, cancer refers to:

Answer: Has violated the mesenteric lymph nodes

Choices:
A. Has violated the intestinal muscle layer (muscularis propria), without lymph node metastasis
B. Existing liver metastases
C. Has violated the mesenteric lymph nodes
D. Still confined to the intestinal mucosa


Question: From the previous question, to determine the diagnosis and treatment decisions, following which a non-invasive examination of the most appropriate?

Answer: MRI scans (MRI)

Choices:
A. MRI scans (MRI)
B. Ultrasound scan (Ultrasonography)
C. Nuclear isotope scanning (Bone scan)
D. Joint photography (Arthrogram)


Question: About spondylolisthesis (spondylolisthesis) causing pain, deterioration and deformation of the body slipping risk factors, except which of the following?

Answer: Male patients

Choices:
A. Younger
B. Male patients
C. Repeated attacks
D. Back of the thigh muscles tight


Question: The following clinical manifestations of children with congenital heart disease, whichever is less likely to cyanosis (cyanosis) performance?

Answer: PDA（patent ductus arteriosus）

Choices:
A. PDA（patent ductus arteriosus）
B. TOF（tetralogy of Fallot）
C. TGV（transposition of the great vessels）
D. TA (truncus arteriosus)


Question: The same happens pregnancy after bearing the title, this tire later suffered a miscarriage Angel, Angel is very sad, very worried, following consultation What's wrong?

Answer: Recommends that the next start of pregnancy bed rest, and estrogen replacement therapy

Choices:
A. She may recommend the next child in the 12 to 16 weeks gestation intercropping prophylactic cervical cerclage
B. Next pregnancy, transvaginal ultrasound can be used to track the length of the cervix, the mouth of the cervix and whether there appears the funnel (funneling) signs
C. Vaginal cervical cerclage most commonly used are the two procedures McDonald and Shirodkar
D. Recommends that the next start of pregnancy bed rest, and estrogen replacement therapy


Question: Albicans oral thrush (Candida albicans) caused in common:

Answer: Newborn baby

Choices:
A. Newborn baby
B. child
C. teens
D. Adults


Question: Currently advocated periodic health checks, the emphasis is on:

Answer: There is evidence on the medical show actual health benefits

Choices:
A. Inspection items and inspection interval
B. Payment methods
C. There is evidence on the medical show actual health benefits
D. Easy to implement, easy to forget


Question: Changes in depression patients about sleep, Which of the following most unusual?

Answer: The first time (REM latency) REM sleep appears to delay the occurrence of

Choices:
A. The total number of hours of sleep loss
B. The amount of rapid eye movement sleep (REM sleep) increased
C. The amount of slow-wave sleep (slow wave sleep) is reduced
D. The first time (REM latency) REM sleep appears to delay the occurrence of


Question: Which of the following is a single-layer film organelle?

Answer: Solution  body (lysosome)

Choices:
A. Nucleolus (nucleolus)
B. Mitochondria (Mitochondria)
C. Nuclear membrane (nuclear envelope)
D. Solution  body (lysosome)


Question: 2 year-old child to walk shoulder hit, cry, purple lips and fell to the ground, unconscious reaction. The most likely diagnosis of why?

Answer: Breath attack (breath-holding spell)

Choices:
A. Traumatic epilepsy (traumatic epilepsy)
B. Absence seizures (absence attack)
C. The onset of cyanosis (blue spell)
D. Breath attack (breath-holding spell)


Question: Since the growth of the liver, the ventral mesentery (ventral mesentery) derivatized:

Answer: Sickle ligament and small omentum

Choices:
A. Sickle ligament and small omentum
B. Sickle ligament and omentum
C. Small omentum and greater omentum
D. Falciform ligament and duodenum mesangial


Question: In the rapidly growing cancer in women, which is a cancer cell by the time two (doubling time) becomes the shortest and the most effect of chemotherapy is:

Answer: choriocarcinoma

Choices:
A. ovarian serous cystadenocarcinoma
B. choriocarcinoma
C. uterine sarcoma
D. squamous cell carcinoma of cervix


Question: Which of the following would create non- human velvet ⽑ HCG (human chorionic gonadotrophin)?

Answer: Fusion trophoblast (syncytiotrophoblast)

Choices:
A. Brain gland (pituitary gland) under the anterior lobe
B. Fusion trophoblast (syncytiotrophoblast)
C. 黃 體 (yellow body)
D. Decidua (decidua)


Question: In the study of occupational skin disease, a cross - sectional study (cross-sectional study) and longitudinal type study (longitudinal study) The main difference is:

Answer: Cross-sectional study of Formula determines the order of exposure and less susceptible to the disease

Choices:
A. Cross - sectional study looked at a large study population
B. Cross-sectional study of Formula determines the order of exposure and less susceptible to the disease
C. Cross - sectional study can not also collect information on exposure and disease
D. Cross-sectional study of the formula may be calculated odds ratio (odds ratio)


Question: Account of serotonin (serotonin), and Which statement is correct?

Answer: Gastrointestinal secretion accounts for about 90% of the production of the body

Choices:
A. Brain and intestinal secretion mostly different subtype (subtype)
B. Gastrointestinal secretion accounts for about 90% of the production of the body
C. Synthesized by a cysteine (cystine)
D. Mainly secreted by the parietal cells of the stomach


Question: (Air conduction) average hearing threshold (pure tone average) why the following figure, the left air conduction?

Answer: 55 dB

Choices:
A. 2 pcs
B. 25 dB
C. 35 dB
D. 55 dB


Question: 2042-year-old female smoking and obesity, abdominal existing horizontal Caesarean scar, E cup breasts. Right now suffering from breast cancer, breast resection claim Modified breast reconstruction immediately after surgery (modified radical mastectomy). There are several options the following: ① stalk horizontal rectus abdominis myocutaneous flap (pedicled transverse rectus abdominis myocutaneous (TRAM) flaps) ② free rectus abdominis muscle retention flap (free muscle sparing TRAM flaps) ③ wide dorsal muscle flap (latissimus dorsi myocutaneous flaps) ④ deep abdominal artery through the free flap (free deep inferior epigastric artery perforator (DIEP) flaps); of the following is an error?

Answer: For patients with large and sagging breasts, alone broad back muscle flap (latissimus dorsi myocutaneous flaps) without adding reconstruction with breast implants are the right choice

Choices:
A. With stems horizontal rectus abdominis muscle flap (pedicled TRAM flaps) is a good choice, but there are fat necrosis and partial flap necrosis risk
B. Once patients receiving caesarean section, may choose to retain the rectus abdominis muscle flap free (free muscle sparing TRAM flaps) and deep abdominal artery through the free flap (free DIEP flaps) to do breast reconstruction, but pay special attention to blood circulation
C. For patients with large and sagging breasts, alone broad back muscle flap (latissimus dorsi myocutaneous flaps) without adding reconstruction with breast implants are the right choice
D. Deep abdominal artery through the free flap (free DIEP flaps) minimal complications of abdominal skin flap Supplies


Question: 77.33-year-old healthy woman, sudden severe headache and fainting (syncope), the patient regained consciousness, headache, vomiting and neck soreness, the highest priority at this time to check why?

Answer: Do not fight the developer of brain CT

Choices:
A. Do not fight the developer of brain CT
B. Developer brain CT fight
C. Developer brain magnetic resonance imaging fight
D. Angiography


Question: The following account of epilepsy caused by alcohol withdrawal seizures (alcohol withdrawal seizures), and what's right?

Answer: 90% occurred within 48 hours after withdrawal

Choices:
A. 90% occurred within 48 hours after withdrawal
B. Usually attack (simple partial seizures) as part simplex
C. Will not lead to status epilepticus (status epilepticus)
D. Require long-term medication to control in order to avoid the recurrence


Question: Uterus in childbirth preparation period (PhaseⅠ), whichever is correct?

Answer: Myometrial oxytocin receptor cell of a substantial increase

Choices:
A. Uterine remained fairly stable
B. Myometrial oxytocin receptor cell of a substantial increase
C. Gap junctions between cells of the uterine muscle reduction
D. Prostaglandin (Prostaglandins) no response


Question: One patient wine neuropathy, muscle weakness, cardiac hypertrophy, edema, impose what most vitamin may be helpful for the disease?

Answer: thiamine

Choices:
A. thiamine
B. riboflavin
C. niacin
D. folate


Question: In a cell, the type of the housekeeping gene (housekeeping genes) of the range, but different expression levels of individual genes. Which of the following is the most important mechanism for the regulation of gene expression of housekeeping?

Answer: Each gene promoter of RNA polymerase different affinity

Choices:
A. Each gene product is consistent synthesis rate, but the rate of degradation varies
B. Consistent with the amount of mRNA for each gene is transcribed, but their translation rates vary
C. Each gene promoter of RNA polymerase different affinity
D. Each level of gene expression by inducing or suppressing the different adjustment factor


Question: 80 ICU patients when the disease acute exacerbations, will face a process of rebirth, physicians should help families face the current situation in order to accept death. Which of the following ways to make a case or their families get better care?

Answer: Emergency first aid so that families understand the probability of success is not, ask family members to accept the fact that their loved ones will soon be reborn, and to try to make the patient and family members say goodbye

Choices:
A. Please wait outside first to the families, emergency patients as much as possible
B. First aid process according to the requirements of the families, as much as possible to aid the required time to stop
C. Emergency first aid so that families understand the probability of success is not, ask family members to accept the fact that their loved ones will soon be reborn, and to try to make the patient and family members say goodbye
D. 30 minutes after first aid, please families come to announce the fact of death, to leave your family members to help care corpse, and then sent by the deceased patient room


Question: And intra-abdominal infections (intra-abdominal infections) related to the narrative, which of the following error?

Answer: All-abdominal infections have surgery

Choices:
A. Computer tomography (abdominal computed tomography) can help in the diagnosis of abdominal infections
B. If not properly handled, can lead to multiple organ dysfunction syndrome (multiple organ dysfunction syndrome)
C. All-abdominal infections have surgery
D. Intra-abdominal infection of the elderly and malnourished people are more at risk of complications


Question: Account of atopic dermatitis (atopic dermatitis), and what's wrong?

Answer: Lesions in adult extending side extremities (extensor) site

Choices:
A. The barrier function of the skin (skin barrier function) decreases
B. Lesions in adult extending side extremities (extensor) site
C. Patients prone to skin infections associated with Staphylococcus aureus
D. Most patients with elevated serum IgE values


Question: Which of the following proteins responsible for DNA binding motif is formed mainly dimers (protein dimers) of (Motif)?

Answer: leucine zipper

Choices:
A. b-barrel
B. homeodomain
C. leucine zipper
D. zinc finger


Question: Which of the following virus, usually without vertical infection to the fetus?

Answer: Reovirus (Reovirus)

Choices:
A. Rubella virus (Rubella virus)
B. Cytomegalovirus (Cytomegalovirus)
C. Reovirus (Reovirus)
D. Herpes simplex virus (Herpes simplex virus)


Question: A 67-year-old female patient, smoking a pack a day for 30 years, quit smoking 10 years, have a history of allergic rhinitis 40 years. Complained of chronic cough, sputum less exertional dyspnea for 10 years. Pulmonary function tests: FVC = 70%, FEV1 = 42%, FEV1 / FVC = 47%, TLC = 109%, RV = 133%, RV / TLC = 61%, post-bronchodilator FEV1 improvement 9%, following a diagnosis that the most suitable for this patient?

Answer: Chronic obstructive pulmonary disease (COPD)

Choices:
A. Asthma symptoms (asthma)
B. Chronic obstructive pulmonary disease (COPD)
C. Heart failure (heart failure)
D. Bronchiectasis (bronchiectasis)


Question: 62. One 74-year-old man had a history of hypertension, because of asthma, lower limb edema hospital, hospital examination revealed normal left ventricular function, and no arrhythmia, diuretics and antihypertensive drug therapy, but a few days later appeared repeatedly unconscious , no pulse, no blood pressure, need shock therapy, electrocardiographic monitoring records as shown below, which most likely merger electrolyte abnormalities?

Answer: Hypokalemia (hypokalemia)

Choices:
A. Hyponatremia (hyponatremia)
B. High blood 鉀症 (hyperkalemia)
C. Hypercalcemia (hypercalcemia)
D. Hypokalemia (hypokalemia)


Question: 42.32 G1P0-year-old pregnant woman, pregnancy 29 weeks was diagnosed with pre-eclampsia (preeclampsia), now 35 weeks pregnant complained of the past three days and often a sense of dizziness come for treatment. Physical examination, blood pressure 172/116 mmHg, two weeks ago increased weight 3 kg, urine protein 3+; ultrasonography Estimated fetal weight 1,900 grams, irregular uterine contractions. At this point the best disposal are:

Answer: Recommended immediate hospitalization for treatment

Choices:
A. Aggressive treatment of high blood pressure and arrange for outpatient track
B. Positive fetal health assessment clinic and arrange track
C. At the same time the treatment of hypertension and fetal health assessment clinic and arrange track
D. Recommended immediate hospitalization for treatment


Question: About the relationship between exercise and blood sugar, the following statements is wrong?

Answer: Movement can not promote insulin sensitivity in diabetic patients of type II

Choices:
A. Exercise can help control blood sugar in patients with diabetes
B. Movement can not promote insulin sensitivity in diabetic patients of type II
C. Patients with Type I diabetes, in the exercise easy danger of hypoglycemia
D. Patients of poor glucose tolerance, control diet plus regular exercise, may reduce the risk of such patients become Type II Diabetes


Question: 3940-year-old male with a history of past long-term hypertension and hypokalemia, did not receive drug treatment. Last week, because of repeated headaches, heart palpitations, general weakness and admission examination. In addition to the physical examination blood pressure (190/100 mmHg), no other abnormal findings. Blood tests showed hypokalemia, increased serum aldosterone, renin activity decreased. 24 hours urine test, a significant increase in potassium discharge. Abdominal CT show a 1.3 cm right adrenal gland tumors, and nuclear medicine I131-NP59 scan shows bilateral symmetry increases adrenal development. For this patient, which of the following check better able to distinguish idiopathic hyperaldosteronism aldosterone-producing adenoma or bilateral adrenal hyperplasia caused?

Answer: bilateral adrenal vein sampling

Choices:
A. bilateral adrenal vein sampling
B. 24hr urine VMA, catecholamine
C. 24hr urine potassium
D. abdominal CT scan


Question: Lin several times in and out of the hospital for treatment of recurrent nasopharyngeal carcinoma him, but the situation has deteriorated, and he discussed many times told the attending physician Dr. Chen, the condition of his Last unable to sustain life on his own strength, and Dr. Chen of course, a wide variety of possible explanation with him, Mr. Lin to discuss with his family, decided at the last critical if he will not do any of intubation, hoping to peacefully leave this world, Dr. Chen also expressed his willingness to respect . At this point Chen Lin physicians should recommend what procedures?

Answer: Signed without performing CPR Letter of Intent

Choices:
A. Letter of Intent signed euthanasia
B. Signed without performing CPR Letter of Intent
C. Please sign the euthanasia families of Intent
D. Please sign the working families of suicide Letter of Intent


Question: 74. Anti shares Oligonucleotides (antisense oligonucleotide) which is mainly used for the treatment of drug mipomersen same type of familial hypercholesterolemia (homozygous familial hypercholesterolemia), by lowering blood low density lipoprotein (LDL) content of lipid-lowering effect, Which of the following as its main target of inhibition?

Answer: apoB-100

Choices:
A. PCSK9
B. Rev-3
C. apoB-100
D. apoA-I


Question: A study of cases recorded 700 non-lung cancer and 700 patients with lung cancer who were asked about their smoking habits, lung cancer patients have a 70-smoker, non-lung cancer who have a 26-smoker, which belong to the following that kind of research method?

Answer: A case-control study (case-control studies)

Choices:
A. Cohort studies (cohort studies)
B. A case-control study (case-control studies)
C. Ecological Research (ecological studies)
D. Cross - sectional study (cross-sectional studies)


Question: Mr. Wang because morbid obesity underwent gastric bypass surgery (Roux-en-Y Gastric Bypass), after surgery was found not long after the meal, there will be bloating, nausea and accompanied by dizziness, palpitations and shortness of breath. Treatment of symptoms related to Mr. Wang, the following statements is true?

Answer: Mr. Wang's physical symptoms related to the secretion of Serotonin, but taking Serotonin antagonists (Serotonin antagonists) only partially improve symptoms

Choices:
A. Mr. Wang's physical symptoms related to the secretion of Serotonin, but taking Serotonin antagonists (Serotonin antagonists) only partially improve symptoms
B. Wang eating habits should recommend smaller meals and avoid protein or fats and other difficult to digest food
C. Wang eating habits should recommend smaller meals, meal plus soup or drink in order to promote the digestion of food
D. Mr. Wang's symptoms, Sandostatin subcutaneous injection can be effective in improving the gastrointestinal symptoms, but for dizziness, palpitations and other symptoms invalid


Question: Which of the following does not involve membrane fusion (membrane fusion)?

Answer: Glucose enter cells

Choices:
A. Endocytosis (endocytosis)
B. Enveloped viruses (enveloped virus) into the cell
C. Glucose enter cells
D. Extracellular action release (exocytosis)


Question: Of 100 little sixth grade students weight measurement, the sample was found to average 35 kg, 95% confidence interval for the average of the parent population from 33 to 37 kg. The following statements is true?

Answer: The standard sample weight difference of about 10 kg schoolchildren

Choices:
A. Female population average of 35 kg
B. The study was 100 children in elementary school, the dielectric body 95 is between 33-37 kg
C. The standard sample weight difference of about 10 kg schoolchildren
D. If the calculated 90% confidence interval of the female population mean, range may be greater than 95% confidence interval


Question: Rehabilitation on the total artificial hip replacement (total hip replacement) surgery, the following statements is true?

Answer: The use of bone cement (cement) fixed, postoperative day you can try to get out of bed to walk

Choices:
A. The use of bone cement (cement) fixed, postoperative day you can try to get out of bed to walk
B. Complications after surgery before the dislocation (anterior dislocation) is the most common
C. After surgery received care pillow (adduction pillow) within the best use to be protected
D. After surgical operation should avoid hip abduction (Abduction) and abduction (external rotation) of


Question: From the previous questions, the scoring method in much less score, cervical maturity as "immature" (unfavorable cervix)?

Choices:
A. 4
B. 5
C. 6
D. 7


Question: Gartner duct cyst is:

Answer: Mesonephric origin

Choices:
A. Skene duct origin
B. Müllerian duct origin
C. Mesonephric origin
D. Bartholin duct origin


Question: Related to alveolar tissue, the following statements is wrong?

Answer: Gas - a second barrier alveolar blood cells (type II pneumocytes) with microvascular endothelial cells and their base layer

Choices:
A. Necessary cell product gas or by diffusion (Diffusion) exchange between alveoli and capillaries
B. Gas - a second barrier alveolar blood cells (type II pneumocytes) with microvascular endothelial cells and their base layer
C. Some base layer between alveolar cells and microvascular endothelial cells (basement membrane) cells and connective tissue fibers
D. Cells dust (dust cell) having phagocytosis


Question: That following a bacterial disease caused by the formation of pseudomembranous (pseudomembrane) impede breathing?

Answer: Corynebacterium diphtheria (Corynebacterium diphtheriae)

Choices:
A. Corynebacterium diphtheria (Corynebacterium diphtheriae)
B. Bordetella pertussis (Bordetella pertusis)
C. Tetanus (Clostridium tetani)
D. Streptococcus pneumoniae (Streptococcus pneumoniae)


Question: Congenital heart disease accounts for 0.5-0.8% of live births, but in newborns following the merger situation, the incidence rate will increase more than 10 times. The foregoing is the most suitable examples:

Answer: Maternal smoking

Choices:
A. Trisomy 21
B. Maternal lupus
C. Persistent pulmonary hypertension
D. Maternal smoking


Question: That ⼀ kind of aphasia following its review chant (repetition) can best care has been taken?

Answer: anomic aphasia

Choices:
A. conduction aphasia
B. anomic aphasia
C. global aphasia
D. Wernicke aphasia


Question: 34 mothers compared with the general, the front tire and this tire caesarean section to try vaginal delivery (VBAC, vaginal birth after cesarean section) of the mothers, have a higher chance of following what circumstances happen?

Answer: Uterine rupture

Choices:
A. Uterine rupture
B. Neonatal death
C. Maternal deaths
D. Thrombus formation


Question: Nothing to do with the expansion of cardiomyopathy prognosis (prognosis) indicators are:

Answer: Reduced serum potassium concentration

Choices:
A. New York Heart Association functional assessment and treatment of patients with heart disease classification
B. Shu inner diameter of the left ventricle (diastolic dimension) increases
C. Reduced serum potassium concentration
D. Extreme sports oxygen consumption (peak O2 consumption)


Question: 23 year old woman, G1P0, 30 weeks of pregnancy, fetal abdominal ultrasound examination revealed its "double bubble sign" (double-bubble sign), I ask the following diagnosis whichever is most likely?

Answer: Duodenal closure

Choices:
A. Neural tube defects
B. Omphalocele
C. Duodenal closure
D. Down's syndrome


Question: Will children's tumors (Wilm's tumor) is the most Rongyifasheng transfer Which of the following organs?

Answer: lung

Choices:
A. The brain
B. lung
C. bladder
D. skeleton


Question: 69-year-old Mr. Zhang, past medical history including acute pancreatitis and seven years ago received aortic valve replacement, 5 hours ago abdominal pain and was taken to hospital, physician examination revealed that he had abdominal tenderness, no rebound pain, atrial fibrillation (atrial fibrillation), finally made abdominal computed tomography (FIG), shows:

Answer: Air portal vein (portal vein gas) and pneumatosis intestinalis (pneumatosis intestinalis)

Choices:
A. Insufflation (pneumoperitoneum) and intussusception (intussusception)
B. Liver abscess (liver abscess) and pneumatosis intestinalis (pneumatosis intestinalis)
C. Inflatable bile duct syndrome (Pneumobilia) and intussusception (intussusception)
D. Air portal vein (portal vein gas) and pneumatosis intestinalis (pneumatosis intestinalis)


Question: By a 30-year-old mother, G1P1, postpartum figure below, what degree perineal laceration?

Answer: Fourth degree

Choices:
A. First degree
B. Second degree
C. Third degree
D. Fourth degree


Question: 24 year old man, his hands open length than height of more than two inches penis, no pubic hair, poor sense of smell. Which of the following is the result of this examination the patient?

Answer: Small testes and soft

Choices:
A. Small testes and soft
B. Sex chromosome 47XXY
C. Short stature, a triangular face
D. Severe obesity, mental retardation


Question: The following statements about the development of the duodenum (duodenum), whichever is correct?

Answer: Due to the proliferation of epithelial cells, which were blocking (obliteration)

Choices:
A. All derived from foregut (foregut) from
B. Ring duodenum (duodenal loop) connected to the handle yolk (yolk stalk)
C. With the rotation of the stomach, duodenum ring (duodenal loop) will rotate to the left
D. Due to the proliferation of epithelial cells, which were blocking (obliteration)


Question: Children in the humerus supracondylar fractures (supracondylar fracture), the most commonly merger is that a damaged nerve?

Answer: Before interosseous nerve (anterior interosseous nerve)

Choices:
A. Arm plexus (brachial plexus)
B. Before interosseous nerve (anterior interosseous nerve)
C. Inter spine nerve (dorsal interosseous nerve)
D. Ulnar nerve (ulnar nerve)


Question: Which of the following organs derived from the foregut (foregut)?

Answer: Gallbladder (gallbladder)

Choices:
A. Spleen (spleen)
B. Gallbladder (gallbladder)
C. Appendix (appendix)
D. Jejunum (jejunum)


Question: After analysis of the clinical use of drug survey found that children with a virus when using certain drugs as fever, easy Reye syndrome accompanied by side effects. Which of the following drugs produce the highest likelihood of this side effect?

Answer: aspirin

Choices:
A. acetaminophen
B. aspirin
C. sulindac
D. ibuprofen


Question: A 28-year-old male patient with acute abdominal pain, bloating and high fever to the emergency room, but no vomiting, abdominal swelling physical examination, with tenderness and mild rebound tenderness of the white blood cells to 19,800 / μL, abdominal X-ray showed the right side thereof and a proximal transverse colon swelling, intestinal gas filled, the maximum diameter of 9 cm intestine. In the last patient has not received any abdominal surgery, but recently more than two years since often diarrhea, sometimes with blood, a colonoscopy before the half was not found to have cancer. At this point the most likely diagnosis is:

Answer: Chronic ulcerative colitis, toxic megacolon combined

Choices:
A. Big left side blocking cancer
B. Ischemic colitis merger blocked
C. Chronic ulcerative colitis, toxic megacolon combined
D. Adhesions bowel obstruction


Question: The following statements about the Neurogenic tumors of adults and what is non?

Answer: About 50% of patients have spinal extension, commonly known as dumbbell tumor

Choices:
A. Common with neurilemmoma and neurofibromas
B. Neurilemmoma may be accompanied by von Recklinghousen's disease, then you can find the Café au lait lesion on the skin
C. About 50% of patients have spinal extension, commonly known as dumbbell tumor
D. Treatment with surgical excision


Question: 68.55 years of age with diabetes to accept Ms. Xu to two weeks before a mammogram today look back to the clinic in addition to diabetes, and depends on a mammogram report, writing BIRADS category 0 (0 level) on the report, which followed her suggestions ?

Answer: 0 tells her that they can not rule out anything abnormal, she will arrange breast ultrasound examination to help further diagnose

Choices:
A. Suggested that she go to see breast surgery and breast surgery clinic to help make an appointment, so as not to drag too long illness
B. Tell her level 4 or above is more likely malignant lesions, temporary observation can then check the next year
C. Tell her 0 indicates no tumor can be checked once again for two years
D. 0 tells her that they can not rule out anything abnormal, she will arrange breast ultrasound examination to help further diagnose


Question: Patients with cardiovascular disease using aspirin prevent thrombosis, reduce stroke and myocardial infarction, the following statements is wrong?

Answer: Can be reduced cholesterol biosynthesis

Choices:
A. aspirin inhibition of cyclooxygenase
B. May reduce the synthesis of thromboxanes
C. May reduce the synthesis of prostaglandins
D. Can be reduced cholesterol biosynthesis


Question: 2-year-old boy, was found on the right knee and buttocks flocks of blisters has been shown in Figure 2 days, when you see the doctor found the boy oral mucosa also have blisters the size of 0.2 cm, the mother complained boys appetite fever situation deteriorated there, that one of the following is the most likely diagnosis?

Answer: HFMD (hand foot mouth disease)

Choices:
A. Chickenpox (varicella)
B. HFMD (hand foot mouth disease)
C. Variola (smallpox)
D. Measles (measles)


Question: Gland hormone that is responsible for one of the following under the brain caused by ovulation?

Answer: Luteinizing stimulating hormone (luteinizing hormone)

Choices:
A. Prolactin (prolactin)
B. Luteinizing stimulating hormone (luteinizing hormone)
C. Oxytocin (oxytocin)
D. TSH (thyrotropin)


Question: A 7-year-old girls because they were diagnosed with throat inflammation, is treated with oral amoxicillin 40 mg / kg / day Q8H treatment. 3 days after treatment of girls sudden fever, and behind the left ear pain and swelling phenomena as shown, no significant local mass. That one of the following disposal the most likely to be effective?

Answer: amoxicillin-clavulanic intravenous injection containing amoxicillin 100mg / kg / day of acid Q8H

Choices:
A. Oral azithromycin 10 mg / kg / day QD
B. Intravenous oxacillin 100 mg / kg / day Q6H
C. ofloxacin ear drops
D. amoxicillin-clavulanic intravenous injection containing amoxicillin 100mg / kg / day of acid Q8H


Question: A blood type O of 27 women, infants A type of full-term fetal blood at first, the infant hematocrit (hematocrit) 55%, serum bile pigments (bilirubin) and a large hours when 12 mg / dL, the following experimental data item that does not meet the most ABO hemolytic disease?

Answer: Direct Coombs test (direct Coombs test) negative

Choices:
A. Blood smears ball-type red blood cells
B. Blood smears have nucleated red blood cells
C. Direct Coombs test (direct Coombs test) negative
D. Blood reticulocyte (reticulocyte) increased


Question: Opening the maxillary sinus is located:

Answer: Middle meatus

Choices:
A. Meatus
B. Middle meatus
C. Inferior meatus
D. nasal septum


Question: The following narrative about the Donnan effect, what's wrong?

Answer: Donnan effect can be caused by means of an ion permeable membrane ion redistribution effects on both sides of the membrane

Choices:
A. Donnan effect can be caused by means of an ion permeable membrane ion redistribution effects on both sides of the membrane
B. Donnan effect ion permeable membrane means can not be caused by the redistribution effect on both sides of the membrane ion
C. Donnan effect compliance with film on both sides are maintaining a minimum limit of the energy of the electrically neutral
D. Donnan effect related to the degree of penetration


Question: A 50-year-old male was found unconsciousness family to the emergency (awake one hour before), this time in patients with blood pressure 105/60 mmHg, heart rate 70 / min, respiration 36 / min, body temperature of 37.5 ℃, Coma GCS (Glasgow coma scale) = E1V2M4, two other large pupil 1 mm in diameter, there are photo-reactive, multi tears, mucus secretion and more. Following the disposal of whichever wrong?

Answer: The maximum dose of atropine injection should not exceed 3 mg

Choices:
A. May be given 100% oxygen and intubation
B. Injectable atropine
C. Injectable PAM (pralidoxime)
D. The maximum dose of atropine injection should not exceed 3 mg


Question: 8-year-old boy in the pool, was found unconsciousness, shock, given first aid after their electrocardiogram (EKG) as shown. His 11-year-old brother, fainting (syncope) occurred when there was a history of the movement. Which of the following is the most likely diagnosis?

Answer: Long QT syndrome

Choices:
A. Wolff-Parkinson-White syndrome complicated with atrial fibrillation (atrial fibrillation)
B. Long QT syndrome
C. Lown-Ganong-Levine syndrome
D. Genetic atrial fibrillation (hereditary atrial fibrillation)


Question: 65-year-old Lin, in recent days, feeling tired, loss of appetite, yellowing of the skin. Abnormal liver function blood tests, CA-199 values increased. Physicians for him to do CT scan images as shown. Lin most likely suffering from what disease?

Answer: Head pancreatic cancer (pancreatic head cancer)

Choices:
A. Intrahepatic cholangiocarcinoma (intrahepatic cholangiocarcinoma)
B. HCC (hepatocellular carcinoma)
C. Stomach cancer (gastric cancer)
D. Head pancreatic cancer (pancreatic head cancer)


Question: Narrative about mitral valve replacement surgery (mitral valve replacement) of anesthesia, Which statement is correct?

Answer: After weaned from CPB, right ventricular failure For processing, should increase breathing oxygen concentration, and adjusting the arterial blood dioxo

Choices:
A. Surgery, extracorporeal membrane shall (ECMO: extracoporal membrane oxygenator) maintain cardiopulmonary bypass, open-heart surgery before
B. Anesthetic gas inhibits myocardial contractility, heart surgery without the use of anesthesia in clinical practice
C. After weaned from CPB, right ventricular failure For processing, should increase breathing oxygen concentration, and adjusting the arterial blood dioxo
D. Twice preoperative renal function has been abnormal cardiac surgery patients, the mortality rate of patients with normal renal function


Question: When 17-year-old left back wrist Chen Daxiong touched a protruding tumor, my mother took him to the orthopedic clinic for treatment, the doctor will tell him what Fengyun tumor most often?

Answer: Ganglion cyst (ganglion cyst)

Choices:
A. Ganglion cyst (ganglion cyst)
B. Giant cell tumor (giant cell tumor)
C. Lipoma (lipoma)
D. Enchondroma (enchondroma)


Question: After seeing the fast-moving amoeba, dropped into distilled water for a few hours in the cerebrospinal fluid of a patient, you can see the change as having two flagella flagellate parasites who is most likely to be infected :

Answer: Freund's Negri amoeba (Naegleria fowleri)

Choices:
A. Freund's Negri amoeba (Naegleria fowleri)
B. Entamoeba histolytica (Entamoeba histolytica)
C. Pap amoeba (Balamuthia mandrillaris)
D. Acanthamoeba (Acanthamoeba spp.)


Question: Following one of the factors that will not cause the incidence of certain chronic diseases fluctuates?

Answer: The incubation period

Choices:
A. The incubation period
B. Disease diagnosis technology
C. envirnmental factor
D. living habit


Question: The following narrative about descending necrotizing mediastinitis it, what's wrong?

Answer: Treatment usually does not require drainage

Choices:
A. Mostly because odontogenic infection caused
B. And the negative pressure due to gravity mediastinum, so that infectious agents into the mouth and neck mediastinal shift caused by
C. Treatment usually does not require drainage
D. Usually trained oral normal bacteria and bacteria-related