Question: The following information about mifepristone (RU-486) pharmacological effects described, what's wrong?

Answer: Clinical worsening symptoms of Cushing's syndrome (Cushing's syndrome) is

Choices:
A. As a selective glucocorticoid receptor antagonist (glucocorticoid receptor antagonist)
B. Highly active anti-progesterone (antiprogestin activity) action, it can be used as a contraceptive agent
C. Clinical worsening symptoms of Cushing's syndrome (Cushing's syndrome) is
D. Orally active


Question: The most common sustained arrhythmia Why?

Answer: Atrial fibrillation (atrial fibrillation)

Choices:
A. Supraventricular tachycardia (supraventricular tachycardia)
B. Ventricular tachycardia (ventricular tachycardia)
C. Atrial fibrillation (atrial fibrillation)
D. Atrial flutter (atrial flutter)


Question: Large 3-month boy coughing for 10 days, beginning last 3 days of fever, shortness of breath. Pulmonary auscultation both asthma song (wheezes) crude rales (coarse crackles), and a depression phenomena (subcostal retraction) lower rib. Chest X-rays as shown, then check one of the following best diagnosis?

Answer: Respiratory syncytial virus antigen test

Choices:
A. Respiratory syncytial virus antigen test
B. Mycoplasma pneumoniae IgG and IgM
C. Urine test for vanillylmandelic acid
D. Bone marrow biopsy


Question: Incubation (Histoplasma capsulatum), Histoplasma capsulatum, scrambling, dry prevents shifting of other contaminating fungi, which of the following is generally added in the medium?

Answer: Actinomycetes Kin酮 (Cycloheximide)

Choices:
A. Ring serine (Cycloserine)
B. Actinomycetes Kin酮 (Cycloheximide)
C. Chlorination ⿑ Ming (clofazimine)
D. Quinupristin (Quinupristin)


Question: Related to growth hormone (GH) of the narrative, Which of the following most correct?

Answer: Configured and prolactin (Prolactin) similar to

Choices:
A. Its also known as somatomedin
B. Configured and prolactin (Prolactin) similar to
C. In the daytime the highest amount of secretion
D. From bovine growth hormone is widely used in the clinical


Question: Cause hypokalemia (hypokalemia), excluding which of the following?

Answer: Taking spironolactone

Choices:
A. diarrhea
B. Persistent vomiting
C. Taking spironolactone
D. Hyperaldosteronism (hyperaldosteronism)


Question: In addition to elevated uric acid, blood and urine as well as a substance that increases in Lesch-Nyhan syndrome in?

Answer: Hypoxanthine

Choices:
A. Hypoxanthine
B. Inosine 5'-hypoxanthine
C. Guanosine 5'-monophosphate
D. ATP


Question: Lin 36 years old, suffering from acute myeloid leukemia after chemotherapy successfully achieved complete remission status, allogeneic hematopoietic stem cell transplantation in the doctor suggested. Which of the following test its reliability and timeliness of the most successful transplant can confirm?

Answer: DNA/STR（short tandem repeat）analysis

Choices:
A. RBCs ABO grouping
B. DNA/STR（short tandem repeat）analysis
C. chromosomal study
D. RH system


Question: When there is a change of ECG hyperkalemia treatment of acute hyperkalemia merger, in order to avoid hyperkalemia complications following a way that the effect of the fastest happen?

Answer: calcium gluconate intravenous infusion

Choices:
A. Insulin (insulin) plus glucose infusion
B. Ion exchanger (cation exchange resin) oral
C. B (β2) accelerator sympathetic (adrenergic agonists) spray use
D. calcium gluconate intravenous infusion


Question: 34-year-old Mr. Chen and his wife have been married for six years did not have children, Mr. Chen to urology examination, semen analysis found no sperm and semen less, pH value of 7.0. On examination described not touch both sides of the vas deferens scrotum. He is the most likely diagnosis is:

Answer: Congenital sides No vas deferens (congenital bilateral absence of vas deferens)

Choices:
A. After sub testicles (epididymitis) causes both epididymis tubule blocking
B. Ejaculatory duct obstruction
C. Counterflow ejaculation (retrograde ejaculation)
D. Congenital sides No vas deferens (congenital bilateral absence of vas deferens)


Question: 77 A 28-year-old pregnant woman smoking, was found lying unconsciousness family bathroom, the 119 sent to hospital A, B transferred to the hospital after three hours (pregnant women are using 100% oxygen masks in the ambulance and hospital B), At this point the patient has recovered consciousness sober, measured arterial blood carboxyhemoglobin is 8%, PaO2 = 480 mmHg, then the following statements is true? (Note: smokers blood carboxyhemoglobin up to 5-10%)

Answer: This would suggest pregnant women HBO (Hyperbaric oxygen) treatment

Choices:
A. This represents not pregnant smokers carbon monoxide (CO) poisoning
B. This would suggest pregnant women HBO (Hyperbaric oxygen) treatment
C. Carbon monoxide toxicity damage to the pregnant mother is more serious than the fetus
D. PaO2 reached 480 mmHg, patients did not indicate hypoxia and should not need to use oxygen therapy


Question: 34. Which of the following is breast tissue pathology report, as a necessary factor to determine adjuvant chemotherapy (chemotherapy) of? Tumor size ① ② ③ lymph node metastasis position ④ male hormone receptor negative

Answer: ①②④

Choices:
A. ①②③
B. ①③④
C. ①②④
D. ②③④


Question: 19. A pattern-recognition receptors (pattern recognition receptors, PRRs) is the innate immune system to recognize pathogen-associated molecular pattern (pathogenassociated molecular patterns, PAMPs) antigen receptor, are reflected in all the innate immune cells. About pattern recognition receptors statements is wrong?

Answer: DNA-based pattern recognition receptor RIG-I (RIG-I-like receptors) are DNA viruses identify receptors, RIG-I and class messages after receptor binding and immune cell DNA will generate a first type transfer results interferon

Choices:
A. Pattern recognition receptors toll-like receptor (Toll-like receptors) are ancient conserved evolutionarily pathogen recognition receptors, even in invertebrates expressive
B. Toll-like receptor (Toll-like receptors) Identification of TLR3 and TLR7, respectively double-stranded and single-stranded RNA virus derived from
C. NOD-based pattern recognition receptors (nod-like receptors) receptors are mainly intracellular pathogens in the identification, cell wall components such as Salmonella (Salmonella) and Listeria monocytogenes (Listeria) of
D. DNA-based pattern recognition receptor RIG-I (RIG-I-like receptors) are DNA viruses identify receptors, RIG-I and class messages after receptor binding and immune cell DNA will generate a first type transfer results interferon


Question: Which of the following is a Down's syndrome child (Down syndrome) most commonly merger of heart disease?

Answer: In-room cushion defect (endocardial cushion defect)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Patent ductus arteriosus (patent ductus arteriosus)
C. Method Rockwell Snap disease (tetralogy of Fallot)
D. In-room cushion defect (endocardial cushion defect)


Question: Which of the following  (enzyme) does not rise in the myocardial infarction?

Answer: glutamic pyruvic transaminase（GPT）

Choices:
A. creatine kinase（CK）
B. creatine kinase MB form（CK-MB）
C. glutamic oxaloacetic transaminase（GOT）
D. glutamic pyruvic transaminase（GPT）


Question: Patients were asked the following figure pushing up the abdomen of sandbags, which is doing what muscle strength training following?

Answer: Cross diaphragm

Choices:
A. Rectus skin
B. External oblique
C. Cross diaphragm
D. Intercostal muscle


Question: Which of the following is not a growth hormone (growth hormone) on the clinical indications that can be used?

Answer: The insulin preparation 63 following carpal tunnel syndrome (carpal tunnel syndrome) in accordance with its onset of action (onset) from fast to slow arranged to validity?

Choices:
A. Prader - Willi syndrome (Prader-Willi syndrome)
B. Toruosame Mr. diseases (Turner syndrome)
C. Short bowel syndrome (short bowel syndrome)
D. The insulin preparation 63 following carpal tunnel syndrome (carpal tunnel syndrome) in accordance with its onset of action (onset) from fast to slow arranged to validity?


Question: Miss Yang, after a quarrel with the chief, suddenly lost for words, more than a month in the diagnosis and treatment of many divisions, did not find any problems on the organ. Today to psychiatric treatment, psychiatrists diagnose Miss Yang lost for words not deliberately fake, but its symptoms are not neurological or other physiological diseases can be explained. Miss Yang why the most likely diagnosis?

Answer: Conversion disorder (conversion disorder)

Choices:
A. 詐病（malingering）
B. 偽病（factitious disorder）
C. Dissociation disorder (dissociative disorder)
D. Conversion disorder (conversion disorder)


Question: 50 order of the polymerase chain reaction (polymerase chain reaction) process Why? ①DNA extension (extension) ②DNA denaturation (denaturation) ③ DNA template primer binding (annealing)

Answer: ②③①

Choices:
A. ①③②
B. ②①③
C. ②③①
D. ①②③


Question: Related to decompression sickness (decompression sickness; DCS) described it, what's wrong?

Answer: In the normal height of 3,000 meters, the atmospheric pressure is 565 mmHg, which is approximately 95% oxygen saturation

Choices:
A. Each drop in sea water meter 10, the pressure increases by 1 atm
B. In addition to the DCS hyperbaric oxygen treatment, also recommended fluids
C. Nose bleeding is pressure trauma (barotrauma) when diving drop, caused by the symptoms
D. In the normal height of 3,000 meters, the atmospheric pressure is 565 mmHg, which is approximately 95% oxygen saturation


Question: A girl suffering from chronic leukemia chemotherapy have not been fully relieved after six months, X-ray examination revealed right middle lobe infiltrate. Then the brain necrosis, which in FIG endoscopic findings, it is seen:

Answer: Mold

Choices:
A. bacterial
B. Mold
C. virus
D. Leukemia cells


Question: 6 A 63-year-old male 15 kg weight loss recently, he has 20 years history of diabetes, physical examination found to have cracks (fissured tongue) on the tongue and feeling the vibration of the lost. Blood examination revealed hemoglobin 10.1 g / dL and mean corpuscular volume of 124 fL. Following what most likely diagnosis?

Answer: Pernicious anemia (pernicious anemia)

Choices:
A. Alcoholism (alcoholism)
B. Low thyroid function (hypothyroidism)
C. Erosive gastritis (erosive gastritis)
D. Pernicious anemia (pernicious anemia)


Question: Xian ⽣ examined ⾎ pressure on the lower limbs, the lower limbs dorsalis pedis artery systolic pressure of 90 mmHg, measured at the upper arm ⾎ pressure 150/75 mmHg, mean ⾎ pressure of 100 mmHg, the following statements is true?

Answer: ankle-brachial index為0.6

Choices:
A. ankle-brachial index為0.6
B. Because less information diastolic blood pressure lower limbs, unable to calculate the ankle-brachial index
C. ankle-brachial index為0.9
D. Lower limb to the measurement site dorsalis pedis artery, can not calculate the ankle-brachial index


Question: Which of the following cancer metastasis to the lowest chance of bones?

Answer: Hepatic carcinoma

Choices:
A. Breast cancer
B. Hepatic carcinoma
C. Lung cancer
D. Prostate Cancer


Question: Before the scheduled patients undergoing cataract surgery, with the patient should be noted that the details of their benefits and risks of surgery, and after confirming that patients understand and agree, then ask patients to sign informed consent procedure (informed consent), this practice is the most important in make sure:

Answer: Patient autonomy

Choices:
A. Patient autonomy
B. Patient Privacy
C. Waste of resources
D. Fairness and justice


Question: 5-year-old girl, pain around the navel past six months the situation appears more than once and medical treatment, the next figure is its pedigree, the following statements is most appropriate?

Answer: Case has undergone major stressful life events (stressful life event)

Choices:
A. Case family nuclear family
B. Case has undergone major stressful life events (stressful life event)
C. Stressful life events has nothing to do with the case of health problems
D. Abdominal X-rays (plain abdomen) is sufficient to understand the cause of abdominal pain patients


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

Answer: Occur in the face of the trigeminal nerve third branch region

Choices:
A. Occur in the face of the trigeminal nerve third branch region
B. Can be accompanied by ipsilateral sclera of the eye black blue spots
C. Usually unilateral lesion
D. Occur in Asian women


Question: 2. narrative about daptomycin (Daptomycin) of, which of the following error?

Answer: The multidrug resistance effective maltophilia Aeromonas (Stenotrophomonas maltophilia)

Choices:
A. Acting on the cell membrane
B. Is a lipid peptide (lipopeptides) drugs
C. The multidrug resistance effective maltophilia Aeromonas (Stenotrophomonas maltophilia)
D. Vancomycin-resistant may be treated (Vancomycin) of S. aureus (Staphylococcus aureus) diseases caused by


Question: Which of the following is part of the pelvic diaphragm (pelvic diaphragm) of?

Answer: Levator ani (levator ani)

Choices:
A. Levator ani (levator ani)
B. Obturator muscle (obturator internus)
C. Deep transverse perineal muscles (deep transverse perineal muscle)
D. The external urethral sphincter (external urethral sphincter)


Question: An acceptance of women after hysterectomy photographic examination of the bladder as shown in the following statements is most accurate?

Answer: Obstetric fistula

Choices:
A. Congenital double vagina
B. Obstetric fistula
C. Bladder cancer
D. Bladder prolapse


Question: At the same time that these enzymes involved in glycolysis (glycolysis) and neonatal glucose (gluconeogenesis) of metabolic pathways?

Answer: 3-phosphoglycerate kinase (3-phosphoglycerate kinase)

Choices:
A. 3-phosphoglycerate kinase (3-phosphoglycerate kinase)
B. Hexose kinase (Hexokinase)
C. Phosphofructokinase -1 (phosphofructokinase-1)
D. Pyruvate kinase (pyruvate kinase)


Question: Which of the following is located within the lumen of the spine (vertebral canal), and even up to the base of the skull cap film (tectorial membrane)?

Answer: Posterior longitudinal ligament (posterior longitudinal ligament)

Choices:
A. Nucleus (nucleus pulposus)
B. Looped fibers (annulus fibrosus)
C. Anterior longitudinal ligament (anterior longitudinal ligament)
D. Posterior longitudinal ligament (posterior longitudinal ligament)


Question: A 52-year-old male patient due to cough one week for medical treatment, chest X-ray photography has found the right lower lung field of a suspected tumor lesions; other routine blood tests also found to have anemia: Hb 9 gm / dL, MCV 72 fL ( Normal: 80-100). Which of the following diagnostic tests will not help?

Answer: serum vitamin B12

Choices:
A. serum vitamin B12
B. serum ferritin
C. serum Hb electrophoresis
D. Hb H stain


Question: When the average of the difference of the number of sample statistics and female parent population is 0, i.e., equal to the expected value of the statistic parent number. This statistic has the following characteristics statistically what?

Answer: Without bias

Choices:
A. Effectiveness
B. consistency
C. Sufficiency
D. Without bias


Question: Which of the following bladder lesions FGFR3 mutations occur most often?

Answer: Low grade malignant non-invasive urothelial carcinoma (noninvasive low-grade papillary urothelial carcinoma)

Choices:
A. Low grade malignant non-invasive urothelial carcinoma (noninvasive low-grade papillary urothelial carcinoma)
B. A high degree of non-invasive malignant urothelial carcinoma (noninvasive high-grade papillary urothelial carcinoma)
C. Carcinoma in situ (carcinoma in situ)
D. Highly malignant invasive urothelial carcinomas (invasive high-grade papillary urothelial carcinoma)


Question: 6 for disposal after the kidney transplant, of the following is correct? ① often used β-blockers, hydralazine, and calcium channel blockers to control hypertension ②nystatin (mycostatin) is often used to prevent oral fungal infections ③trimethoprim-sulfamethoxazole (baktar) is used to prevent urinary tract infections and pneumocystis pneumonia (of Pneumocystis carinii) ④ antacids (antacids) is used to prevent ulcers ⑤ aspirin (aspirin) is used to prevent arterial thrombosis (arterial thrombosis)

Answer: ①②③④

Choices:
A. ①③⑤
B. ①②④⑤
C. ②③④⑤
D. ①②③④


Question: Account of prolactin (prolactin) Relationship between blood concentrations and clinical symptoms, which of the following error?

Answer: Blood concentrations will circadian rhythm of prolactin (Prolactin), the lowest point of 22:00 to 2:00

Choices:
A. When the blood concentration of 2 ~ 30 ng / mL, the absence of other persons will normally ovulatory dysfunction
B. With increasing concentrations of blood may cause ovulation, menstruation and no insufficient luteal function
C. Blood concentrations will circadian rhythm of prolactin (Prolactin), the lowest point of 22:00 to 2:00
D. When the blood concentration of 100 ng / mL or more, there will be no menstruation clinical


Question: Related cytokine function, the following statements is wrong?

Answer: IL-17 primarily functions to attract eosinophils

Choices:
A. Regulatory T cells (regulatory T cell) secrete TGF-β to suppress effector T cells (effector T cell) functions of
B. IL-6 and TGF-β can help CD4 + T cells into T helper type XVII (the TH17)
C. IL-17 primarily functions to attract eosinophils
D. IL-4 and IL-5 secreted primarily from the second type of T helper cells (TH2), can work together to help B cells to produce IgE antibodies


Question: Filling speed and cardiac diastolic function of the left ventricle about 28, also affects the hardness of left ventricular filling speed which may cause changes in ventricular diastolic function, as shown in FIG left ventricular pressure volume (pressure-volume curve), the solid line representative of normal left ventricular function, the dotted line represents the abnormal left ventricular diastolic function (diastolic function) appear, that following a graphical representation of chamber dilation of the left ventricle?

Answer: Figure D

Choices:
A. Figure A
B. Figure B
C. Figure C
D. Figure D


Question: The following description related to alcohol (ethanol), and what's wrong?

Answer: In the case of ethanol absorption and distribution of the same, when the same amount of alcohol consumption, usually male blood alcohol concentrations higher than F

Choices:
A. In the case of ethanol absorption and distribution of the same, when the same amount of alcohol consumption, usually male blood alcohol concentrations higher than F
B. Forbidden role in the administration of benzodiazepines drugs can relieve alcohol (withdrawal syndromes)
C. Ethanol via hepatic metabolism, increase the NADH / NAD + ratio
D. When the plasma ethanol concentration exceeds 200 mg / dL (0.2%), shaking will walk, drive is not suitable for


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

Answer: Secretion of cerebrospinal fluid (CSF)

Choices:
A. Secretion of cerebrospinal fluid (CSF)
B. Extends along the optic nerve (optic nerve) to the rear wall of the eye
C. Communicates with the brain ventricles
D. There are cerebral artery


Question: Which of the following is not diabetic ketoacidosis performance?

Answer: Urine specific gravity low

Choices:
A. feel sick and vomit
B. Urine specific gravity low
C. The blood pH <7.0
D. Shortness of breath and rapid heartbeat


Question: 552-year-old male patient at the time of December 8th night of 11 sudden onset of chest pain, mild breathing difficulties. To 2 pm the next day only to the emergency room for treatment. Physical examination found that acute symptoms, blood pressure 140/70 mmHg, heart rate 88 / min, no jugular venous distention, the heart no noise, no chest auscultation leg edema and other physical examination are normal. ECG showed typical anterior myocardial infarction changes. That term following the disposal of a combination of the most suitable for this patient?  intravenous tPA  oral aspirin  oral captopril  oral atenolol  arrangements for emergency cardiac catheterization


Question: Ansa cervicalis narrative about the, what's wrong?

Answer: From below into the sternocleidomastoid muscle

Choices:
A. Distributed in infrahyoid muscles
B. After the hypoglossal nerve (hypoglossal nerve) and the first and second cervical nerve (C1, C2) anastomosis is formed
C. From below into the sternocleidomastoid muscle
D. radical surgery to clear


Question: A 80-year-old man, from three years ago, skin lesions grow in the soles of the feet as shown in Figure, the most likely diagnosis is:

Answer: Melanoma (melanoma)

Choices:
A. Melanocytic nevi (melanocytic nevus)
B. Melanoma (melanoma)
C. Kaposi's sarcoma (Kaposi's sarcoma)
D. Basal cell carcinoma (basal cell carcinoma)


Question: A sixth cervical spinal cord injury only 20-year-old male patient, setting its target rehabilitation (rehabilitation goal) is, which of the following most difficult to reach?

Answer: Use underarm crutches

Choices:
A. After the self-feeding aids worn
B. Can control their own electric wheelchair
C. Use underarm crutches
D. Translocation to be part of the assistance between bed and wheelchair


Question: 10-year-old boy presented hydrocephalus and urinary frequency phenomena such as diabetes insipidus, magnetic resonance angiography showed the brain has a concave saddle 3 cm cystic tumor calcification is most appropriate that following a diagnosis?

Answer: Craniopharyngioma (craniopharyngioma)

Choices:
A. Craniopharyngioma (craniopharyngioma)
B. Calcified pituitary tumors (calcified pituitary adenoma)
C. Ependymoma (ependymoma)
D. Few dendritic cell tumor (oligodendroglioma)


Question: Which of the following is causing epidural hemorrhage (epidural hematoma) the most likely cause?

Answer: Meningeal artery (middle meningeal artery) rupture

Choices:
A. Ring cerebral artery (arterial circle of cerebrum) hemangioma rupture
B. Maxillary artery (maxillary artery) Bleeding
C. Meningeal artery (middle meningeal artery) rupture
D. Anterior cerebral artery (anterior cerebral artery) bleeding


Question: Which of the following does not belong to congenital platelet deficiency (congenital thrombocytopenia) disease?

Answer: neonatal alloimmune thrombocytopenic purpura

Choices:
A. Wiskott-Aldrich syndrome
B. neonatal alloimmune thrombocytopenic purpura
C. amegakaryocytic thrombocytopenia
D. Fanconi anemia


Question: From the previous question, the patient, the treatment of the following items best suited to what?

Answer: Wrist splint therapy

Choices:
A. Oral anti-inflammatory analgesics
B. Neck traction therapy
C. Wrist splint therapy
D. Inflatable compression therapy (pneumatic compression)


Question: When a smoker to quit the hospital smoking cessation clinic, physician assessment has found that smokers motivated to quit, so the use of strategies to enhance motivation to quit their firm willingness to quit smoking. This is a smoker in a smoking cessation that stage?

Answer: Ponder period (contemplation phase)

Choices:
A. Ignorant period (pre-contemplation phase)
B. Ponder period (contemplation phase)
C. Preparation period (preparation phase)
D. Action period (action phase)


Question: For insulinoma (insulinoma), the following statements is wrong?

Answer: Skin lesions are common necrolytic migratory erythema

Choices:
A. Neurological symptoms such as confusion, blurred vision, abnormal behavior is common
B. Sympathetic symptoms such as palpitations, hand tremor is common
C. Insulin values can be determined using selective arterial calcium stimulation and hepatic venous blood to target tumor
D. Skin lesions are common necrolytic migratory erythema


Question: Which of the following granulocyte electron transfer chain line body Complex II of electron donor?

Answer: succinate

Choices:
A. NADH
B. succinate
C. NADPH
D. ubiquinone


Question: 7 a 25-year-old young women, breast examination found outside of the left breast of a 2.1 cm tumor, core needle biopsy is invasive cancer pipeline (infiltrating ductal carcinoma), no touch to the lymph nodes under the arms, other tests are not distant metastasis, which cancer clinical stage (clinical stage) to which of the following?

Answer: T2N0M0

Choices:
A. T1N0M0
B. T2N0M0
C. T1N1M0
D. T2N1M0


Question: The following statements about Mediterranean anemia (thalassemia), and what's wrong?

Answer: Most common reasons for causing α-thalassemia is a single point mutation (point mutation)

Choices:
A. Mediterranean anemia is an autosomal recessive genetic disease (autosomal recessive)
B. Most common reasons for causing α-thalassemia is a single point mutation (point mutation)
C. Bone marrow transplantation is a method of treating thalassemia one anemia (thalassemia major)
D. People of Mediterranean anemia gene with the original rate (gene carrier rate) is about one-twentieth


Question: 58 year old woman with chronic renal failure due to medical treatment, past medical history records of patients due to chronic headaches often taking mixed analgesics (including such as aspirin, phenacetin or acetaminophen). This patient most likely of kidney disease becomes:

Answer: Papillary necrosis

Choices:
A. Diffuse cortical necrosis
B. Papillary necrosis
C. Acute tubular necrosis
D. Focal cortical infarction 94 travelers diarrhea (Traveler's diarrhea) is the most common cause of infections caused by bacteria which of the following?


Question: A 65-year-old woman, complained of pale and tired. In addition to the past history of high blood pressure, no other systemic disease. Blood tests show hemoglobin was 10.1 g / dL, RBC 3.86 × 106 / mm3, MCV 77.1 fL, leukocytes 6,610 / mm3, normal classification, platelets 455,000 / mm3, serum iron 25μg / dL, total iron binding capacity (TIBC) 447μg / dL, serum iron (ferritin) 3 ng / mL, liver, renal function was normal. In order to find out the cause of the anemia in women following the inspection, which is the most need to do?

Answer: Stool occult blood

Choices:
A. C-reactive protein
B. Erythrocyte sedimentation rate
C. Stool occult blood
D. Bone marrow examination


Question: Young Wang as asthma and repeated bacterial pneumonia, poor growth and development, the sweat chloride test and was diagnosed with cystic fibrosis (cystic fibrosis). This is a recessive hereditary disease of autologous, Wang Jiazi women, there is a 3/4 chance of a result or diseased person with the couple and then hope the other two currently 10 years old and 7-year-old children with no symptoms of acceptance due by genetic testing . The following medical advice whichever is most correct?

Answer: After the adult children, by their own decision whether to accept because those with genetic testing

Choices:
A. Early diagnosis can improve hidden morbidity prognosis
B. Early detection can help carry the gene psychological adjustment of children
C. Because those with genetic testing should be decided by mutual family meeting
D. After the adult children, by their own decision whether to accept because those with genetic testing


Question: 59 A 35-year-old man falls from a height, causing the seventh, eighth thoracic spine fracture dislocation and spinal cord injury, resulting in paralysis of both lower extremities, muscle strength 0 points. When there is that one of the following signs of future recovery of neurological function best prognosis?

Answer: Reservations recommended marrow function (sacral sparing)

Choices:
A. Ankle clonus phenomenon (ankle clonus)
B. Pap reflection phenomenon (Babinski's sign)
C. Deep tendon reflexes (deep tendon reflex) enhanced
D. Reservations recommended marrow function (sacral sparing)


Question: Contact or exposure to harmful heavy metals have been found in succession with a number of health effects related. Cause and effect of the following combination of that group of relevance lowest?

Answer: Chromium - teratogen

Choices:
A. Manganese - Parkinson's syndrome
B. Mercury - Minamata
C. Arsenic - Blackfoot disease
D. Chromium - teratogen


Question:
46 A 65-year-old male patient was merged prostate cancer bone metastases to receive LHRH agonist treatment, bone pain improved after a period of time, 14 months later, the patient began to have the lower part of the waist and right hip pain, then check found serum testosterone remained
 2 g / mL, but the concentration of PSA in serum is gradually increased, then the patient is most likely because the symptoms:

Answer: To hormone refractory disease

Choices:
A. Hormonal treatment of patients with incomplete
B. To hormone refractory disease
C. Spinal cord is about to be oppressed
D. Sensitive to male hormones (androgen-sensitive) reaction of tumorigenesis tachyphylaxis


Question:
29. The following parasites that can cause the patient's body from infection (autoinfection)? ① short envelope tapeworm (Hymenolepis nana) ② Philippine Trichinella (Capillaria philippinensis) ③ cryptosporidiosis (Cryptosporidium parvum) ④ fecal nematode
 (Strongyloides stercoralis)

Answer: Four kinds

Choices:
A. One kind
B. 2 kinds
C. 3 types
D. Four kinds


Question: Which of the following is Tetracyclines antibacterial machine turn?

Answer: Aminoacyl-tRNA to the inhibition of binding bacterial ribosomes

Choices:
A. 50S ribosome subunit binding
B. Inhibitory activity of translocase
C. Aminoacyl-tRNA to the inhibition of binding bacterial ribosomes
D. Ribosomal peptidyl transferase inhibiting activity


Question: Patients with lung cancer malignant pleural effusion (malignant pleural effusion), in the TNM staging, at least part of that period?

Answer: ⅢB

Choices:
A. ⅡA
B. ⅡB
C. ⅢA
D. ⅢB


Question: One hundred meters in players intense exercise, NADH glycolysis within skeletal muscle (Glycolysis) generated, via the main re-oxidized to NAD + which of the following reaction?

Answer: pyruvate reaction became lactate

Choices:
A. α-ketoglutarate reaction becomes succinyl-CoA
B. pyruvate reaction became lactate
C. The reaction became coenzyme Q cytochrome b
D. The reaction became pyruvate acetyl-CoA


Question: About infants infected with Chlamydia trachomatis (Chlamydia trachomatis) narrative pneumonia, which of the following more correct?

Answer: After Chlamydia trachomatis infection, blood eosinophil white blood cells increases (eosinophils> 400 cells / μL)

Choices:
A. Suffering from Chlamydia trachomatis mothers who did not receive treatment, some 90% of their newborns will get Chlamydia trachomatis pneumonia
B. 1 week have obvious symptoms of pneumonia usually after birth
C. Relative respiratory syncytial virus infection, Chlamydia trachomatis pneumonia easier fever and asthma song (Wheezing)
D. After Chlamydia trachomatis infection, blood eosinophil white blood cells increases (eosinophils> 400 cells / μL)


Question: 30-year-old male, long-term heavy smoking habit, the recent discovery of the left lower limb pain and intermittent claudication, significantly reduce the number of seizures after quitting, Which of the following is the most likely diagnosis?

Answer: Obstructive thromboangiitis (thromboangiitis obliterans)

Choices:
A. Form of multiple microscopic vasculitis (microscopic polyangiitis)
B. Polyarteritis nodosa (polyarteritis nodosa)
C. Obstructive thromboangiitis (thromboangiitis obliterans)
D. Webster multiple granuloma (Wegener granulomatosis)


Question: In addition to outside rebleeding, aneurysm rupture occurs most often in patients with serious complications and death reasons are:

Answer: Vasospasm (vasospasm)

Choices:
A. Water brain (hydrocephalus)
B. Epilepsy (seizure)
C. Vasospasm (vasospasm)
D. Headache (headache)


Question: A 60-year-old woman brought the family to see the doctor, the symptoms for the past year and a half, the conversation often can not find the appropriate word language, sometimes to replace the word count charge, sometimes lost his temper, everyday memory Fortunately, life function is also still capable of autonomy. Body found checkups movement, sensation, balance the autonomic nervous system are normal. The women most likely scenario is:

Answer: The wave primary aphasia (primary progressive aphasia)

Choices:
A. The wave primary aphasia (primary progressive aphasia)
B. Lewy body dementia (dementia with Lewy bodies)
C. CJD (Creutzfeldt-Jakob disease)
D. Acute left middle cerebral artery (middle cerebral artery) occlusion


Question: The following description of fibrocystic breast (Fibrocystic change), and what is non?

Answer: Surgery is the best treatment

Choices:
A. Symptoms include lumps, pain
B. After menopause symptoms will reduce
C. Most women have breast cancer incidence rate of the general population of the same this change
D. Surgery is the best treatment


Question: Statements about normal vascular (blood vessel), and Which statement is correct?

Answer: Endothelial cells (endothelium) adjustable relaxing vasoconstriction and

Choices:
A. Arterial smooth muscle cell-rich outside layer
B. Microvascular rich layer outside fibroblasts (fibroblasts)
C. Endothelial cells (endothelium) adjustable relaxing vasoconstriction and
D. Endothelial cells can not produce nitric oxide (NO)


Question: Which of the following are common symptoms of colon cancer on the right side?

Answer: Anemia (Anemia)

Choices:
A. Diarrhea (Diarrhea)
B. Anemia (Anemia)
C. Intestinal obstruction (Intestinal obstruction)
D. Blood will (Bright bloody stool)


Question: After treatment patients gradually improve the situation, unfortunately, once again high fever after surgery five days following the disposal of what's wrong?

Answer: If severe hyperlipidemia patients or immune suppression (immunosuppression), an antibiotic efficacy shall cover gram-positive cocci and fungus

Choices:
A. Blood cell examination, chest X-ray, urine analysis and blood culture
B. If the suspected catheter-related infections, unplug the duct at the same time and given vancomycin or linezolid
C. If the suspected endocarditis (endocarditis), at least four to six weeks to antibiotics
D. If severe hyperlipidemia patients or immune suppression (immunosuppression), an antibiotic efficacy shall cover gram-positive cocci and fungus


Question: About epilepsy children using the principles of anticonvulsant, which of the following error?

Answer: The most common reason for failure is the use of medications to control drug dose is not enough

Choices:
A. Once the need to take the long-term, we must use the law
B. Can simultaneously use a variety of drugs for refractory cases of epilepsy
C. The most common reason for failure is the use of medications to control drug dose is not enough
D. Categorically withdrawal will lead to status epilepticus


Question: Lambda phage DNA by what role is embedded in the genome DNA of Escherichia coli?

Answer: Specific recombination site (site-specific recombination)

Choices:
A. Homologous recombination (homologous recombination)
B. Effect transposition (transposition)
C. Specific recombination site (site-specific recombination)
D. Non-homologous end joining (non-homologous end joining, NHEJ)


Question: A 45 year old patient, within one hour after the onset of symptoms of a stroke are sent to a medical center. After a head CT examination, assessment and emergency department of neurology physicians, patients meet the conditions applying to fight thrombolytic agent r-tPA, family members are anxious to ask about r-tPA contraindications. Which of the following non-acute infarction stroke (acute stroke) in patients with absolute contraindications to the use of r-tPA?

Answer: Have a history of stomach ulcers

Choices:
A. Previously have had cerebral hemorrhage
B. Have a history of stomach ulcers
C. There ischemic stroke a month ago
D. 3 weeks before moving off intracranial surgery


Question: A school bus and a truck after the collision, a 6-year-old child was sent to the emergency room, then the child has been in critical condition, but the second-administration surrounding veins are lost, this time to give the best infusion path:

Answer: Tibia bone implantation needle (intraosseous cannulation)

Choices:
A. Establish a intra-abdominal catheter (intraperitoneal catheter)
B. Tibia bone implantation needle (intraosseous cannulation)
C. The establishment of a central venous catheter
D. Continue to try to establish a peripheral venous catheter


Question: The following related plant disease hepatitis globulin (monoclonal gammopathy) of the narrative, what's wrong?

Answer: Is common in patients with acute inflammation of the

Choices:
A. Is common in patients with acute inflammation of the
B. Not necessarily have Bence-Jones proteinuria phenomenon
C. May contain only the heavy chain immunoglobulin
D. Not necessarily have plasma cell tumors or multiple myeloma


Question: A 60-year-old patients with myocardial infarction, in exercise testing largest heartbeat of 170 beats per minute, resting heart rate of 70 beats per minute. If using kermen formula (Karvonen's method) to open an exercise prescription and exercise intensity set to 50% of its target heart rate should be several times per minute?

Answer: 120 times

Choices:
A. 110 times
B. 120 times
C. 130 times
D. 140 times


Question: Bacillus anthracis edema factor, cholera toxin, and pertussis toxin, what in common?

Answer: "Can lead to increased intracellular cAMP concentration"

Choices:
A. Inhibited protein synthesis in the host cell
B. "Can lead to increased intracellular cAMP concentration"
C. Fat enzyme activity (phospholipase C), can be solubilized membrane
D. Host can cause diarrhea (diarrhea)


Question: A 65-year-old with chronic obstructive pulmonary disease (Chronic Obstructive Pulmonary Disease) patients receiving 3 months of rehabilitation chest, which of the following functions will be significant progress?

Answer: Exercise tolerance

Choices:
A. Lung capacity
B. First second FEV1
C. When the oxygen concentration of the rest
D. Exercise tolerance


Question: Having close contact (tight junction) and the formation of blood - epididymis barrier (blood-testis barrier) cells are:

Answer: Sertoli's cells (Sertoli cell)

Choices:
A. Leddy's cells (Leydig cell)
B. Sertoli's cells (Sertoli cell)
C. Tube peripheral cells (peritubular cell)
D. Producing sperm cells (spermatogenic cell)


Question: Which of the following cells are generally not classified as innate immune cells?

Answer: B cell

Choices:
A. macrophage
B. B cell
C. neutrophil
D. dendritic cell


Question: Which of the following examination for the diagnosis of gastroesophageal reflux disease (GERD) is the gold standard (golden standard)?

Answer: ambulatory 24-hour pH monitoring

Choices:
A. double-contrast esophagography
B. Upper digestive tract endoscopy (upper gastrointestinal endoscopy)
C. Pressure test the esophagus (manometry)
D. ambulatory 24-hour pH monitoring


Question: 25-year-old male, two years ago scaly red patches (as shown), and later occurrence of distal (toe) joint pain and arthritis gradually deformed hospitalization, treatment drug of choice Why?

Answer: methotrexate

Choices:
A. prednisolone
B. sulfasalazine
C. methotrexate
D. cyclosporin


Question: Narrative about the pelvis (greater pelvis), and Which statement is correct?

Answer: Containing the sigmoid colon (sigmoid colon)

Choices:
A. Located in the pelvic inlet (pelvic inlet) below
B. Wide and shallow men than women
C. Containing the sigmoid colon (sigmoid colon)
D. Containing kidney (kidney)


Question: Newborn Mongolian spot, which of the following is the most important caused?

Answer: dermal melanocyte

Choices:
A. epidermal melanin
B. epidermal melanocyte
C. dermal melanin
D. dermal melanocyte


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

Answer: Blood supply from pulmonary artery

Choices:
A. Lung tissue and airway system no normal links
B. Blood supply from pulmonary artery
C. Lung lobe outer isolation often associated with other congenital anomalies
D. Internal lobe lung isolation often associated with infection


Question: Emergency surgery a ruptured spleen, splenic artery (splenic artery) ligation of the artery at its source and to facilitate the bleeding, surgery, blood flow Which of the following will not be affected?

Answer: The left gastric artery (left gastric artery)

Choices:
A. Dorsal pancreatic artery (dorsal pancreatic artery)
B. Short gastric artery (short gastric artery)
C. The left gastric artery (left gastric artery)
D. The left gastric retinal artery (left gastroomental artery)


Question: Compared with the use of the plastid (Plasmid) cloned as a gene carrier, which of the following is the use of yeast artificial chromosome (YAC) vector as an advantage?

Answer: Greater functional fragment cloned DNA

Choices:
A. In a host cell, the recombinant DNA molecule amplification best
B. Any host cell into good efficiency
C. A gene in a host cell protein synthesis better efficiency
D. Greater functional fragment cloned DNA


Question: Severe disability narrative about the patient rehab common psychological problems, which of the following error?

Answer: Melancholy problem of spinal cord injury patients than the more common anxiety problem

Choices:
A. Denial (denial) is a common psychological rehabilitation problem, but not a single phenomenon
B. Depression (depression) and anxiety (anxiety) are common psychological rehabilitation problems
C. Melancholy problem of spinal cord injury patients than the more common anxiety problem
D. Melancholy problem is more common than stroke patients anxiety


Question: Ligament of Treitz check mark whether the digestive tract abnormal occurs, the Lahti where the following?

Answer: Campylobacter duodenum (duodenojejunal flexure)

Choices:
A. At the junction of the duodenum and pylorus of the stomach
B. Between the upper (superior part) and downlink segment duodenum (descending part)
C. Campylobacter duodenum (duodenojejunal flexure)
D. SeiJo duodenum


Question: Xiao Fen to book two weeks after Myanmar relief, she was on the Department of Health Disease Control website, website suggestions need to use malaria prophylaxis, indicating resistance to Chloroquine and Mefloquine local Jie on the site, which of the following is the best disposal ?

Answer: Doxycycline or administered Malarone (Atovaquone / proguanil) by the patient's condition

Choices:
A. Without drug administration
B. Just to health education
C. Doxycycline or administered Malarone (Atovaquone / proguanil) by the patient's condition
D. Chloroquine Mefloquine given according to the patient's condition or


Question: In the diagnostic system of the DSM-IV-TR, a total of three categories personality disorder diseases. Here, C personality disorder disorders often show anxiety or fear, Which of the following does not belong to C personality disorder?

Answer: Borderline personality disorder (borderline personality disorder)

Choices:
A. Obsessive-compulsive personality disorder (obsessive-compulsive personality disorder)
B. Dependent personality disorder (dependent personality disorder)
C. Borderline personality disorder (borderline personality disorder)
D. Personality disorder of escape (avoidant personality disorder)


Question: The following description of the amino acids, whichever is correct?

Answer: Hundreds of amino acids exist in nature

Choices:
A. D form amino acids to proteins
B. Protein amino acids coupled to each other ionically
C. Hundreds of amino acids exist in nature
D. The amino acid at pH 7 = neutral


Question:  cephalosporin:  quinolone inhibits the synthesis of cell membranes:

Answer: penicillin: inhibition of cell wall synthesis

Choices:
A. cephalosporin: inhibition of the synthesis of the cell membrane
B. quinolone: inhibition of DNA synthesis
C. penicillin: inhibition of cell wall synthesis
D. aminoglycoside: inhibition of protein synthesis


Question: The following statements about Adrenogenital syndrome, what's wrong?

Answer: Reduce serum concentrations of 17-ketosteroids

Choices:
A. C21 hydroxylation defect
B. C11 hydroxylation defect
C. Increased release of ACTH
D. Reduce serum concentrations of 17-ketosteroids


Question: Which of the following is NOT caused by pancreatitis complications?

Answer: Duct split tube (Pancreas divisum)

Choices:
A. Pancreatic pseudocyst (Pancreatic pseudocyst)
B. Surrounding pancreatic necrosis (Peripancreatic necrosis)
C. Pancreatic abscess (Pancreatic abscess)
D. Duct split tube (Pancreas divisum)


Question: 5951-year-old Mr. Zhao is a farmer working in the field a week ago when a foot stabbed. Yesterday chin began to feel tight fight is not open for dinner only mouth open a little bit, but also choked several times. Stiff body was found this morning, lying in bed, get up again. When the body was sent to the emergency room presenting posture opisthotonus (opisthotonos), facial muscle stiffness, trismus, mouth fully open. Mr. Zhao's conscious, but a little shortness of breath, a little nudged him and he convulsions. That one of the following is most likely diagnosis?

Answer: Tetanus (tetanus)

Choices:
A. Tetanus (tetanus)
B. Organophosphate poisoning (organophosphate intoxication)
C. Seizures (seizure)
D. Meningitis (meningitis)


Question: When a patient in a wheelchair, have a foot problem plantar flexion (plantar flexion), the following statements is wrong?

Answer: Because height is too high feet (footrest) of

Choices:
A. Patients may be positive support reaction (positive supporting reaction) caused
B. Because height is too high feet (footrest) of
C. Height adjustment of the foot, the foot is maintained at a slight dorsiflexion (dorsiflexion) posture
D. Contracture may be associated with the heel (heel cord contracture)


Question: 17. Many intestinal pathogens, disease will produce parenteral, following that with a combination of pathogen outside of intestinal diseases?

Answer: rotavirus- reactive arthritis

Choices:
A. Shigella- glomerulonephritis
B. Campylobacter- immunoglobulin A（IgA）nephropathy
C. rotavirus- reactive arthritis
D. Yersinia- hemolytic anemia


Question: Immunoglobulin (Immunoglobulin, Ig) molecular structure, a region that is not in contact with the antigen?

Answer: Fc

Choices:
A. CDR
B. Fc
C. VL
D. Articles


Question: A 25-year-old pregnant woman, G5P0AA4, 41 weeks of pregnancy, accepted OCT (oxytocin challenge test oxytocin challenge test), results in the following figure, this check belongs to which of the following?

Answer: contraction stress test

Choices:
A. nonstress test
B. nipple stimulation test
C. contraction stress test
D. Doppler flow velocity test


Question: 24. One 56-year-old male patient hospitalized due to chest. He has diabetes, high blood pressure, and smoking history. Coronary angiography examination revealed 85% left main coronary artery stenosis, stenosis of 80% left anterior descending artery, the left circumflex artery stenosis 77%, 90% of the right coronary artery stenosis. The following statements is true? ① When the decision by checking before coronary angiography dependents, immediate drug bracket means (drug-eluting stent) ② coronary angiography examination, after consultation with the family, immediately means bare metal frames (bared-metal stent) ③ bracket means when before, please do not need to explain the advantages and disadvantages of cardiac surgeons ④ device holder coronary artery bypass surgery to patients and their families, the operating room to be ready, so that it can carry out emergency surgery immediately

Answer: Only ④

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④


Question: Wound healing process, the appropriate collagen synthesis must be sufficient:

Answer: Vitamin C

Choices:
A. cholesterol
B. Adrenal cortex such KataAtsushi
C. Vitamin C
D. Vitamin E


Question:
60 to 100%
 49-year-old Ms. Wang had a history of hypertension, did not receive regular treatment, sudden headache pain sleep last night and woke up, she said it was her life the most powerful headache, pain almost fainting, Ms. Wang is most likely what disease ?

Answer: Temporal arteritis

Choices:
A. Temporal arteritis
B. Subarachnoid hemorrhage
C. Encephalitis
D. Meningitis


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

Answer: occurred in the left hepatic hydrothorax

Choices:
A. Cause serum ascites-to-albumin gradient (SAAG)> 1.1 g / dL most likely represented ascites portal hypertension
B. Ascites albumin concentration lower than Rongyifasheng spontaneous bacterial peritonitis
C. Multi-core white blood cells in the ascites> 250 / hour mm3, to consider the possibility of infection
D. occurred in the left hepatic hydrothorax


Question: The following information about pediatric lung transplant (Pediatric lung transplantation) of the narrative, what's wrong?

Answer: Early after transplantation common cause of death as bronchiolitis obliterans, and the late common cause of death was infection

Choices:
A. The common surgical indication for the end-stage pulmonary vascular disease and end-stage bronchopulmonary pathology
B. When the implementation of unilateral lung transplantation, cardiopulmonary bypass does not necessarily require the use of an auxiliary machine (cardiopulmonary bypass)
C. Early after transplantation common cause of death as bronchiolitis obliterans, and the late common cause of death was infection
D. After Post-transplant lymphoproliferative disease incidence is about 10%, and Epstein-Barr virus infection


Question: Plane where the abdominal aorta branches into the left and right following total iliac artery?

Answer: Between the iliac crest surfaces (intercrestal plane)

Choices:
A. Pylori lateral surface (transpyloric plane)
B. Umbilical lateral surface (transumbilical plane)
C. Bone nodule surface cross-intestinal (transtubercular plane)
D. Between the iliac crest surfaces (intercrestal plane)


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

Answer: Occurs in children

Choices:
A. Occurs in children
B. Good site for the head, torso and Zhouxi
C. Some patients will merge psoriatic arthritis (psoriatic arthritis)
D. Lesions characterized by distinct realm, the surface of the red patches of white crumbs


Question: Chronic ulcerative colitis after colectomy treatment, it is still one of the following can not be improved?

Answer: Primary sclerosing cholangitis

Choices:
A. Colitis
B. Primary sclerosing cholangitis
C. Peripheral arthritis
D. Ankylosing spondylitis


Question: Which of the following drugs acting on the GABAB receptor?

Answer: baclofen

Choices:
A. baclofen
B. diazepam
C. tizanidine
D. dantrolene


Question: Mr. Wang in the right upper limb three months ago, suffered serious burns, after surgery and fixed one month to accept the rehabilitation exercise and stretching, recently near the right elbow pain gradually increased and decreased range of motion, and there is tenderness of the case, the following whichever is most likely the reason?

Answer: Heterotopic ossification

Choices:
A. Dislocated elbow
B. Cellulitis
C. Heterotopic ossification
D. Radial nerve palsy


Question: Which of the following auto-antibodies is labeled antibodies specific for Sjögren's syndrome?

Answer: Anti-SSB / La antibodies

Choices:
A. Anti-SSB / La antibodies
B. Anti-U1-RNP antibody
C. Anti-Jo-1
D. Anti-Scl-70 antibody


Question: The following abnormal enzyme related to the narrative, what is most likely to lead to gout (gout) hair ⽣?

Answer: hypoxanthine-guanine phosphoribosyltransferase活性降低

Choices:
A. Lack of citrate synthase
B. 5-phosphoribosyl-1-pyrophosphate synthetase activity is reduced
C. hypoxanthine-guanine phosphoribosyltransferase活性降低
D. glucose 6-phosphatase expression levels rise


Question: Laryngeal cancer following statements is true?

Answer: Glottic cancer metastasis easily occurs but if the transfer tends to bilateral cervical lymph node metastasis

Choices:
A. About 95% of adenocarcinomas (adenocarcinoma)
B. Supraglottic (Supraglottic type) than the glottal portion (glottic type) slightly
C. Approximately 15% of patients had cervical metastatic carcinoma of the glottis when the diagnosis of T1
D. Glottic cancer metastasis easily occurs but if the transfer tends to bilateral cervical lymph node metastasis


Question: Placental separation will lead to maternal blood components which fall?

Answer: fibrinogen

Choices:
A. plasmin
B. D-dimer
C. fibrinogen
D. fibrinogen-fibrin degradation products


Question: Account of the skull (cranium) development, where this bad?

Answer: Dirty cranial (viscerocranium) is the brain's main source of protection

Choices:
A. Originated in the interstitial tissue between the surrounding brain tissue
B. Cranial nerve section (neurocranium) is formed by a plurality of cartilage healing
C. Dirty cranial (viscerocranium) is the brain's main source of protection
D. First and second pharyngeal arch (pharyngeal arch) involved in the formation dirty cranial cartilage (cartilaginous viscerocranium) of


Question: In case you call your uncle says he started 30 minutes before the left hand and foot fatigue, slurred speech. You should suggest that he:

Answer: To get to the emergency room, do not delay

Choices:
A. To get to the emergency room, do not delay
B. It should be noted outpatient registration to be directly linked to the Department of Neurology
C. Hanging general medical patient registration more properly advised
D. Pulse and blood pressure should be checked


Question: Breathing exercise training in chronic obstructive pulmonary disease (COPD) patients, Which of the following describes the most correct?

Answer: Use lip breathing way round

Choices:
A. Multi-use Xiongshihuxi
B. Long inspiratory time than the expiration time
C. Use lip breathing way round
D. When you use abdominal breathing, inhale the abdomen must be forced under pressure


Question: The tile pattern as a bug crawling in, so as to not get out of bed to walk, this symptom is:

Answer: Illusion (illusion)

Choices:
A. Hallucination (hallucination)
B. Illusion (illusion)
C. Pseudo-hallucinations (pseudo-hallucination)
D. Delusion (delusion)


Question: Cervical transition zone (transformation zone), under colposcopy can see some of characterization, characterization of the area of abnormal Which of the following is?

Answer: Leukoplakia 52 Which of the following is not a way to confirm a diagnosis of endometrial cancer?

Choices:
A. Mature and immature metaplastic epithelium
B. Nabothian cysts
C. Opening of glands
D. Leukoplakia 52 Which of the following is not a way to confirm a diagnosis of endometrial cancer?


Question: A fibrous substance in eukaryotic, which is constituted by a set of Genomic DNA and protein, having a regulatory function of gene expression. The name of the structure why?

Answer: Chromatin (chromatin)

Choices:
A. Chromatin (chromatin)
B. Centrioles (centrosome)
C. Gene (gene)
D. Nucleosome (nucleosome)


Question: Glutathione (glutathione) human body adjust important material reduction of oxidation, it is not one of the following amino acid as the main skeleton of glutathione synthesis?

Answer: Lysine (lysine)

Choices:
A. Glutamic acid (glutamate)
B. Lysine (lysine)
C. Half 胱胺 acid (cysteine)
D. Glycine (glycine)


Question: Statements about anal fistula, which of the following error?

Answer: Fistula fistula according to the different anatomical divided into four types, and which the trans-sphincteric type most common

Choices:
A. Anal fistula anal glands caused by the inflammation and more
B. Fistula fistula according to the different anatomical divided into four types, and which the trans-sphincteric type most common
C. Goodsall's rule refers fistula orifice is located on the rear half side perianal skin, which is normally located within the mouth directly behind the anus
D. When fistula surgery, internal sphincter (internal sphincter) will probably be cut off


Question: Statements about clinical monitoring facilities of the following, whichever is correct?

Answer: end-tidal CO2 can be used to determine whether the endotracheal tube is inserted into the esophagus erroneous

Choices:
A. The right internal jugular vein into the central venous catheter, the maximum risk of pneumothorax
B. pulse oxymetry can monitor the patient's current blood concentration of carbon dioxide
C. end-tidal CO2 can be used to determine whether the endotracheal tube is inserted into the esophagus erroneous
D. precordial doppler used to detect air embolism (air embolism) the most accurate


Question: A 70-year-old male, because lymphoma received CHOP chemotherapy three times, most recently two to three weeks, emerging dark red to dark purple papules and plaques, skin biopsies as shown in the limbs, the patient most likely diagnosis why ?

Answer: Kaposi's sarcoma (Kaposi's sarcoma)

Choices:
A. Pyogenic granuloma (pyogenic granuloma)
B. Fibrosarcoma (fibrosarcoma)
C. Kaposi's sarcoma (Kaposi's sarcoma)
D. Vascular sarcoma (angiosarcoma)


Question: Person A busy international schedule impermanence shuttle. Recently often feel abdominal distension, bowel diminished. Computer tomography (CT) colon display abnormal, further barium enema X-ray (Barium enema) lesion was found as shown in FIG. The most likely diagnosis is:

Answer: Colon cancer (colon cancer)

Choices:
A. Colonic diverticulitis (diverticulitis)
B. Colon cancer (colon cancer)
C. Colon TB (tuberculosis)
D. Colonic Crohn's disease (Crohn's disease)


Question: A 58-year-old female patient with diabetes, caused by dropping the ditch right leg lacerations, wounds was immersed in water ditch, the following statements is most appropriate for this wound treatment?

Answer: Repeat for wound debridement, topical or systemic administration of antibiotics until the infection under control after the line suture the wound or skin graft

Choices:
A. After rinsing in saline suture wounds
B. After debridement (débridement) suture wounds
C. After wound debridement, then topical administration of antibiotics
D. Repeat for wound debridement, topical or systemic administration of antibiotics until the infection under control after the line suture the wound or skin graft


Question: Serum biochemical test results of a patient 11 as follows: bilirubin (T / D) = 4.5 / 2.5 mg / dL; A / G = 2.8 / 3.5 gm / dL; alkaline phosphatase = 278 U / L (normal <238 U / L); GOT = 105 U / L (normal <31 U / L); GPT = 85 U / L (normal <31 U / L); Further prothrombin time = 17.5 / 11.5 sec, which is the most likely diagnosis:

Answer: Cirrhosis and liver function decompensation (decompensated liver cirrhosis)

Choices:
A. Cirrhosis and liver function decompensation (decompensated liver cirrhosis)
B. HCC (hepatocellular carcinoma)
C. Cholangiocarcinoma (Cholangiocarcinoma)
D. Common bile duct stones


Question: ⾁ granulomatous uveitis (granulomatous uveitis) is often ⾒ Which of the following complications of the disease?

Answer: Class ⾁ fibromatosis (sarcoidosis)

Choices:
A. Blacks appear malignant melanoma (malignant melanoma)
B. Malignant lymphoma (malignant lymphoma)
C. Class ⾁ fibromatosis (sarcoidosis)
D. Lupus erythematosus (lupus erythematosus)


Question: The following abdominal lesions related to children, it may be a barium examination and treatment?

Answer: Ileum intussusception junction (ileocolic intussusception)

Choices:
A. Duodenum closure (duodenal atresia)
B. Ileum intussusception junction (ileocolic intussusception)
C. Hirschsprung's disease (Hirschsprung's disease)
D. Anus closed (imperforated anus)


Question: Suppose there are blood groups in smoking Guding Ni concentration (ng / ml) of normal distribution (mean = 11, variance = 16), the group of smoking without blood Guding Ni concentration was normal distribution (mean = 6 , variance = 16). Studies made available in a blood concentration of greater than 7 Guding Ni is determined that there smoker, the dummy rule committed rate (false positive rate) of 0.25, the pseudo-female ratio (false negative rate) of 0.15. If it is determined smoking standards to blood Guding Ni concentration of greater than 8.5, and the dummy rate sensitivity (Sensitivity) will be changed?

Answer: Pseudo-positive rate of decline decreased sensitivity

Choices:
A. Pseudo-positive rate of decline decreased sensitivity
B. Pseudo-positive rate of decline, the sensitivity increased
C. Pseudo-positive rate increased, decreased sensitivity
D. Pseudo-positive rate increased, rising sensitivity


Question: A 50-year-old Taiwanese male patients with unilateral otitis media with effusion right ear, on the right side with neck 4 cm thick painless lymph nodes, should be highly skeptical that the following might be kind of cancer?

Answer: Nasopharyngeal

Choices:
A. Laryngeal cancer
B. Hypopharyngeal
C. Nasopharyngeal
D. Parotid gland


Question: A large clinical trial study taking daily low-dose Aspirin drugs and the relationship between myocardial infarction occur in the future. Aspirin randomly assigned to the group 10000, 10000 additionally assigned to placebo (Placebo). After a period of time tracking Aspirin myocardial infarction group 100, 180 in the placebo group myocardial infarction. Which of the following error?

Answer: Aspirin group than in the placebo group than the relative risk (Relative risk) is greater than 1

Choices:
A. Aspirin group than in the placebo group than the relative risk (Relative risk) is greater than 1
B. Recoverable Chi square test test whether taking Aspirin was associated with myocardial infarction
C. Recoverable Fisher exact test test whether taking Aspirin was associated with myocardial infarction
D. Risk recoverable Two-sample z test test of whether the two groups was not the same as myocardial infarction


Question: Clinically still no satisfactory vaccine for the prevention of TB. About BCG narrative Which of the following error?

Answer: Not trigger a cellular immune response

Choices:
A. Live mycobacteria
B. Not trigger a cellular immune response
C. Is one of China's free routine vaccine
D. After playing facilities will increase the false positive rate of tuberculin test


Question: 57-year-old Zhang, MD, recently often fever, fatigue, bloating after meals, patients are still reluctant to see a doctor. Day in their own clinic fainted and were taken to hospital, the emergency department physician examination found him hepatomegaly, bloating, body temperature and blood pressure normal. Receiving computed tomography (CT scan) in the emergency room, as seen in the drawings (FIG. 1: plain CT, FIG. 2: contrast-enhanced CT). Dr. Chang liver is most likely to suffer from:

Answer: Metastatic cancer (metastatic neoplasm)

Choices:
A. Metastatic cancer (metastatic neoplasm)
B. Local nodular hyperplasia (focal nodular hyperplasia; FNH)
C. Cyst (cysts)
D. Cirrhotic nodules (cirrhotic nodules)


Question: The following statements, whichever is correct?

Answer: Before surgery to avoid infection of the surgical site at a remote, can prevent the occurrence of surgical site infection (surgical site infections)

Choices:
A. Antibiotics can prevent urinary tract infections (urinary tract infection)
B. Antibiotics can prevent central venous catheters (central venous catheter) related bloodstream infections
C. Before surgery to avoid infection of the surgical site at a remote, can prevent the occurrence of surgical site infection (surgical site infections)
D. If the fraction of malnutrition malnourished patients (nutritional risk screening maluntrition score) to give 5 points at nutrition risk screening, does not require correction prior to surgery


Question: Bearing on the question, which of the following ways to improve the fastest man of the above body temperature?

Answer: CPB (cardiopulmonary bypass)

Choices:
A. CPB (cardiopulmonary bypass)
B. Hemodialysis
C. Peritoneal Dialysis
D. 45 ℃ warm water lavage (gastric lavage)


Question: The following factors and what items postoperative abdominal wound dehiscence than those without relationship?

Answer: hypertension

Choices:
A. Intra-abdominal infections
B. Malnutrition
C. hypertension
D. Long-term use of steroids


Question: Colchicine (colchicine is) inhibits tubulin (tubulin) of the polymerization, it can not form microtubules (microtubule). The following cell activity from whichever of its direct inhibition?

Answer: Muscle contraction

Choices:
A. Mitosis (mitosis)
B. Neuronal axonal transport (axonal transport)
C. Muscle contraction
D. Secretory vesicles (secretory vesicle) transported within the cell


Question: That following an oral hypoglycemic agents mechanism of action is to stimulate insulin secretion?

Answer: Repaglinide

Choices:
A. Metformin
B. Acarbose
C. Pioglitazone
D. Repaglinide


Question: Assessment of neurogenic bladder disorder, the following statements is wrong?

Answer: Generally do not require renal ultrasonography

Choices:
A. Detailed history taking and physical checkups is still the most important assessment project
B. Examination is mainly used to evaluate the urodynamic testing muscle strength and bladder contraction process
C. Voiding urethral anatomy main photography while checking an abnormal voiding
D. Generally do not require renal ultrasonography


Question: A 70-year-old woman hospitalized due to pulmonary hemorrhage and hematuria, the patient used to have rheumatoid arthritis (RA) and treatment of hypertension and found that the rapid deterioration of renal function, lung biopsy results necrotizing vasculitis (necrotizing hospital vasculitis), which of the following special examination of the diagnosis of the cause of the patient?

Answer: Anti-neutrophil cytoplasmic antibody (ANCA-)

Choices:
A. Erythrocyte sedimentation rate (ESR)
B. C- reactive protein (CRP)
C. Anti-neutrophil cytoplasmic antibody (ANCA-)
D. Complement (complement)


Question: A 40-year-old male medical examination found that bilirubin (total / direct) is 3.0 / 0.4 mg / dL, which of the following is least likely cause of this patient's bilirubin rises?

Answer: Rotor's syndrome

Choices:
A. glucose-6-phosphate dehydrogenase deficiency
B. Taking rifampin
C. Gilbert's syndrome
D. Rotor's syndrome


Question: This year 29-year-old Chen, outpatient want to lose weight, her height 156 cm, weight 62.27 kg, BMI 25.59, Chen's mother has diabetes; that one of the following data to assess the health of her most helpful?

Answer: waistline

Choices:
A. Skinfold thickness (skin-fold thickness)
B. waistline
C. Hips
D. Chen mother's BMI


Question: Nude (nude mice) with severe immunodeficiency, ask nude mice immune deficiency and that one of the following is most similar to the human disease?

Answer: DiGeorge syndrome

Choices:
A. DiGeorge syndrome
B. common variable immunodeficiency
C. severe combined immunodeficiency
D. Omenn syndrome


Question: Chlamydia (Chlamydia) following what form of infection among the host cell?

Answer: 基體（elementary body）

Choices:
A. Nosema (microspore)
B. 基體（elementary body）
C. The mesh body (reticulate body)
D. Inclusion bodies (inclusion body)


Question: From the previous question, when the patient visits thirst and oliguria, dark in color, the following are what treatment should be given priority?

Answer: Nasogastric tube and placed under reduced pressure (Decompression) and sufficient of IV Therapy

Choices:
A. Nasogastric tube and placed under reduced pressure (Decompression) and sufficient of IV Therapy
B. The patient immediately underwent surgery to promote the operating room, without having to wait in order to avoid small bowel necrosis
C. Antibiotics given the breadth and note Gynecologists
D. Pro-motility agents administered intravenously enema (Enema) Treatment


Question: Statements about ovarian cancer, Which of the following most inappropriate?

Answer: Ovarian cancer debulking surgery comprising uterus salpingo resection, lymphadenectomy, is not required omentectomy

Choices:
A. The most common pathological patterns ovarian epithelial cell cancer (ovarian epithelial carcinoma)
B. Ovarian low malignant (borderline adenocarcinoma) prognosis than mucinous ovarian cancer (mucinous
C. Ovarian cancer debulking surgery comprising uterus salpingo resection, lymphadenectomy, is not required omentectomy
D. Over ovarian cancer debulking surgery (debulking surgery) is try to remove the primary tumor and metastasis


Question: After RNA degradation, CMP and UMP will primarily be metabolized into it following an intermediate product?

Answer: uracil

Choices:
A. b-aminoisobutyrate
B. thymine
C. uracil
D. hypoxanthine


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

Answer: Implantation sites isthmus (Isthmus) of the outer tubal pregnancy (ectopic tubal pregnancy) most commonly occurring

Choices:
A. The most common location of ectopic pregnancy is implantation in the fallopian tube
B. Implantation sites isthmus (Isthmus) of the outer tubal pregnancy (ectopic tubal pregnancy) most commonly occurring
C. Ectopic pregnancy in the ovary might implantation
D. Right fallopian tube ectopic pregnancy, tubal rupture caused if the clinical manifestations similar to appendicitis


Question: The following description of the antiepileptic drugs carbamazepine, what's wrong?

Answer: Poor effect orally, intravenously required mode of administration

Choices:
A. Poor effect orally, intravenously required mode of administration
B. carbamazepine have extended the reaction of sodium ions pipe does not effect
C. The role of big strength oxcarbazepine than carbamazepine
D. carbamazepine promotes the activity of hepatic microsomal enzymes, thus increasing the metabolism of other drugs


Question: The following account of intestinal tibial tract (iliotibial band) and friction syndrome (friction syndrome), and what's wrong?

Answer: Intestinal tibial tract attached to the tibial tuberosity (tibial tuberosity)

Choices:
A. Rotational (internal rotation) phenomenon tibia are more likely to occur this symptom
B. The proximal tibial tract of intestine (proximal part) connected to the tensor fascia lata (tensor of fascia lata)
C. Intestinal tibial tract attached to the tibial tuberosity (tibial tuberosity)
D. Biking worsen symptoms


Question: Statements about the baby hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis), the Which statement is correct?

Answer: When physical checkups, upper abdominal mass palpable olive (olive mass)

Choices:
A. Biochemical tests showed high chloride metabolic alkalosis (hyperchloremic metabolic alkalosis)
B. Abdominal X-ray showing double bubble sign
C. Surgical methods: gastrojejunostomy
D. When physical checkups, upper abdominal mass palpable olive (olive mass)


Question: Statements about relapsing polychondritis (relapsing polychondritis), and Which statement is correct?

Answer: Most patients will merge arthritis

Choices:
A. Most patients have rheumatoid factor (rheumatoid factor) positive
B. Most patients will merge arthritis
C. Approximately 90% of patients will be associated with other autoimmune diseases
D. Treatment with anti-tumor necrosis factor (anti-TNF) based biologies


Question: 47 A 20-year-old man, a car accident and was sent to the emergency room, were treated and found that, in addition to multiple limb contusion, but there are about a centimeter to the left leg, about 2 cm deep wound of an irregular tear. Wounds on this, which of the following disposal wrong?

Answer: Betadine solution to flush the internal wounds

Choices:
A. Betadine solution to flush the internal wounds
B. Betadine solution to disinfect the skin around the wound
C. Physiological saline flushing inside the wound
D. Given tetanus vaccination


Question: Young narrative type ⽪ myositis (juvenile dermatomyositis), and which of the following error?

Answer: Pharyngeal cancer complicated by ⿐

Choices:
A. Performance may amyopathic dermatomyositis
B. Easy to merge on your skin calcification (calcinosis cutis)
C. Out skin ⾎ complicated by vascular disease (vasculopathy)
D. Pharyngeal cancer complicated by ⿐


Question: That situation will not happen in one of the following vitamin D deficiency (vitamin D deficiency)?

Answer: Normal serum 25-hydroxyvitamin D (25-hydroxyvitamin D) values

Choices:
A. Normal serum calcium level
B. Hypophosphatemia (hypophosphatemia)
C. Normal serum 25-hydroxyvitamin D (25-hydroxyvitamin D) values
D. Normal serum 1,25-dihydroxyvitamin D (1,25-dihydroxyvitamin D) values


Question: Gland anterior lobe hormones are most likely to act on the body cells or tissues following what brain?

Answer: GH (growth hormone)

Choices:
A. GH (growth hormone)
B. Estrogen (estrogen)
C. Progesterone (progesterone)
D. Oxytocin (oxytocin)


Question: A 48-year-old male, height 170 cm, weight 85 kg, fasting plasma glucose 136 mg / dl. Want to maintain a healthy weight loss, but are not interested in sports. You suggested that he would reduce daily caloric intake of 500 kcal. If other conditions remain unchanged, continuing this diet control, weight loss may be about six weeks a few kilos?

Answer: 3 kg

Choices:
A. 1 kg
B. 3 kg
C. 4.5 kg
D. 6 kg


Question: Which of the following does not belong to Xu Qu joint (hinge joint)?

Answer: Metacarpophalangeal joint (Metacarpophalangeal joint)

Choices:
A. Metacarpophalangeal joint (Metacarpophalangeal joint)
B. Ankle (Ankle joint)
C. Elbow (Elbow joint)
D. Interphalangeal joint (Interphalangeal joint)


Question: Appendiceal tip position is below that of the most common?

Answer: retrocecal

Choices:
A. subcecal
B. retrocecal
C. pelvic
D. preileal


Question: Modafinil belongs sympathomimetic agent (sympathomimetics), which can be used for the following diseases?

Answer: Narcolepsy (narcolepsy)

Choices:
A. Shock (shock)
B. High blood pressure (hypertension)
C. Asthma (asthma)
D. Narcolepsy (narcolepsy)


Question: Spinal cord injury patients, prone to respiratory failure is that sections?

Answer: The third to fifth cervical vertebra

Choices:
A. The third to fifth cervical vertebra
B. Sixth to seventh cervical vertebra
C. The third to seventh thoracic vertebra
D. Fourth to fifth lumbar vertebra


Question: A hormone that [alpha] subunit (α-subunit) and luteinizing hormone (LH) α subunit same?

Answer: Human chorionic gonadotropin (hCG)

Choices:
A. Lactation hormone (prolactin)
B. Adrenocorticotropic hormone (ACTH)
C. Growth hormone (GH)
D. Human chorionic gonadotropin (hCG)


Question: Oropharyngeal membrane (oropharyngeal membrane) Which of the following is the composition?

Answer: Endoderm and ectoderm

Choices:
A. Endoderm and ectoderm
B. Endodermal and mesodermal
C. Mesoderm and ectoderm
D. Composed only of ectodermal


Question: A 50-year-old patient suffering from chronic glomerulonephritis 20 years, now appears uremic symptoms, and blood creatinine was 11.0 mg / dL, BUN 120 mg / dL, patients choose hemodialysis, the following statements is wrong?

Answer: Long-term hemodialysis, a single dialyzer which urea nitrogen (BUN) reduction ratio of 60% is sufficient

Choices:
A. Long-term hemodialysis, a single dialyzer which urea nitrogen (BUN) reduction ratio of 60% is sufficient
B. Most Taiwanese patients receiving 3 times a week for four hours of treatment
C. Usually employed with bicarbonate dialysate uremic patient to correct acidosis (acidosis)
D. Muscle cramps (muscle cramps) is a common complication of dialysis


Question: Which of the following location hormone receptors are in the cell membrane?

Answer: GH (growth hormone)

Choices:
A. Vitamin D (vitamin D)
B. GH (growth hormone)
C. Cortical hormone (Cortisol)
D. Thyroid hormone (thyroxine)


Question: The following description of the ultrasound examination of the liver, what's wrong?

Answer: Hemangiomas low echo, will not present a high echo

Choices:
A. Liver round ligament (ligamentum teres) high echoic
B. Normal intrahepatic bile duct of hepatic artery and portal vein the more difficult to detect
C. Fatty liver changes to high echoic
D. Hemangiomas low echo, will not present a high echo


Question: Account of alcohol-related disorders (alcohol related disorders), the error which of the following?

Answer: Using alcohol can help sleep, reduce sleep disruption, increased rapid eye movement sleep (REM sleep) and stage 4 sleep

Choices:
A. Often co-morbidities (comorbid) other substance-related disorders, antisocial Face lattice disorder (antisocial personality disorder), emotional
B. Alcohol withdrawal syndrome include: the watch shaking, anxiety, Center Weighted evil, hallucinations and seizures
C. Therefore especially chosen to treat alcohol withdrawal syndrome benzodiazepines
D. Using alcohol can help sleep, reduce sleep disruption, increased rapid eye movement sleep (REM sleep) and stage 4 sleep


Question: Which of the following is not a recent workplace the most common occupational disease cumulative damage (cumulative trauma disorder) hazard factor?

Answer: Noise (noise)

Choices:
A. Repetitive operation (repetitiveness)
B. High force action (forceful exertion)
C. Noise (noise)
D. Fixed position (sustained posture)


Question: Chromosome can be used to assess the prognosis of acute leukemia, that belongs to one of the following chromosomal abnormality is a good prognostic factor?

Answer: t（8；21）

Choices:
A. t（8；21）
B. monosomy 7
C. t（9；22）
D. t（9；11）


Question: The best distinction between delirium (delirium) and dementia (dementia) Why?

Answer: Disturbance of consciousness

Choices:
A. Memory impairment
B. Judgment obstacles
C. Disturbance of consciousness
D. The Obstacles


Question: After cerebral infarction, the most likely to cause necrosis following what?

Answer: Liquefaction necrosis

Choices:
A. Liquefaction necrosis
B. Coagulation necrosis
C. Fat necrosis
D. Gangrenous necrosis


Question: Which of the following drugs do not cross the placenta membrane (placental membrane)?

Answer: Heparin (heparin)

Choices:
A. Tetracycline (tetracycline)
B. Heparin (heparin)
C. Retinoic acid (retinoic acid)
D. Insulin (insulin)


Question:
37.20 years 38 weeks pregnant women, G1P0, because malposition caesarean section surgery, surgical found unexpectedly left side about one to about 10 cm ovarian tumor, right ovary appearance of normal operation, no ascites, then after caesarean section by row ovarian cyst ( ovarian cystectomy), intraoperative
 Cyst rupture occurred inadvertently. Intraoperative frozen section pathology report as yolk sac tumor. Then dispose of what is good?

Answer: Leaving the other side to preserve the ovary and uterus fertility, and postoperative chemotherapy in

Choices:
A. Finished as the circumstances may be, depending on the month before
B. Not parallel feeding pelvic radiation therapy
C. Leaving the other side to preserve the ovary and uterus fertility, and postoperative chemotherapy in
D. Because of poor prognosis germ cell cancer, should immediately hysterectomy and bilateral salpingo


Question: The following items where the least common in pre-renal renal failure (Prerenal azotemia)?

Answer: Natriuretic greater than 10 mmol / L

Choices:
A. Natriuresis fraction (FENa) less than 1%
B. Natriuretic greater than 10 mmol / L
C. Specific gravity greater than 1.018
D. Appeared glass cylinder (Hyaline casts)


Question: Which of the following does not belong to the fetal complications of diabetes before pregnancy?

Answer: cerebral hemorrhage

Choices:
A. congenital malformation
B. Abortion
C. fetal death
D. cerebral hemorrhage


Question: 1 year and 1 month 3 months due to child gradually weak to consultation. Complained at the time about nine months after a cold find progressive muscle weakness, muscle soft physical examination, muscle strength is about two to three degrees, can not sit up straight, to check blood creatine kinase (CK), lactate and pyruvate value were increased. Why is the most likely diagnosis?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)

Choices:
A. Spinal cord atrophy (spinal muscular atrophy)
B. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
C. Congenital myopathy (congenital myopathy)
D. Mitochondrial myopathy (mitochondrial myopathy)


Question: Which of the following is not direct evidence of CT diagnosis of aortic dissection?

Answer: Ascending aorta of a larger diameter than the descending aorta

Choices:
A. Visible peeling intima (intimal flap) in the lumen
B. Hardened calcified plaque intima (calcific plaques) are displaced inwardly (medial displacement)
C. Visible intimal drum to release the false lumen (false lumen)
D. Ascending aorta of a larger diameter than the descending aorta


Question: Of a 2-year-old girl with chronic bile stasis (cholestasis). Physical examination found that malnutrition and lack of certain nutrients suspected. Which of the following clinical signs are most likely to occur in this case?

Answer: Osteomalacia (rickets)

Choices:
A. 懼光（photophobia）
B. Osteomalacia (rickets)
C. Neuritis (neuritis)
D. Iron deficiency anemia (iron deficiency anemia)


Question: Features related changes in tissue pathology (prion disease) Pu Liang brain disease, which of the following error?

Answer: Significant inflammatory cell infiltration

Choices:
A. Sponge-like lesions (spongiform change)
B. Significant inflammatory cell infiltration
C. Immunocytochemical reactions (immunocytochemistry) visible Pu Liang protein (prion protein) deposits
D. Reduce the number of neurons and astrocytes proliferation merger (astrocytosis)


Question: Supply and disposable blood vessels and nerves in the lower extremity adductors (adductor muscles), namely:

Answer: Deep femoral artery (deep femoral artery) and obturator nerves (obturator nerve)

Choices:
A. Obturator artery (obturator artery) and obturator nerves (obturator nerve)
B. Obturator artery (obturator artery) and femoral nerve (femoral nerve)
C. Deep femoral artery (deep femoral artery) and obturator nerves (obturator nerve)
D. Deep femoral artery (deep femoral artery) and femoral nerve (femoral nerve)


Question: Statements about HPV (human papilloma virus, HPV), the following best right?

Answer: How high-risk HPV type, which most often cause cervical cancer is the 16th type

Choices:
A. Sexual by women, about 20% had been infected
B. Most people have been infected with HPV will have genital warts, cervical intraepithelial lesions and cancer
C. How high-risk HPV type, which most often cause cervical cancer is the 16th type
D. HPV vaccine is effective in preventing cervical cancer, after playing facilities do not need Pap tests


Question: For a comparison of mature skeletal muscle fibers and muscle fibers, the following statements is true?

Answer: Jie base plate (basal lamina) coated

Choices:
A. Both are of multinucleated cells
B. Both take between myofascial (intercalated disk) that connects the neighboring muscle cells
C. Jie base plate (basal lamina) coated
D. Both have the ability to mitosis


Question: Bearing on the question, why in the apolipoprotein B?

Answer: ApoB100

Choices:
A. ApoB100
B. APOB48
C. ApoE
D. Rev.


Question: Mr. Chen, 58 years old, diabetes ten years, usually from time to time taking oral hypoglycemic agents, there is no regular testing of blood sugar habit, right big toe and second toe four weeks ago after trauma, wound festering, pus bones exposed exudation, but Mr. Chen has said that there is no feeling of pain, dry skin, and more dander, and cold feet, dorsum of the foot and ankle at the pulse of the intangible, the existing symptoms of Chen to speculate Which of the following best diagnosis does not apply?

Answer: Retinopathy

Choices:
A. Peripheral vascular occlusive disease
B. Retinopathy
C. Autonomic neuropathy
D. Sensory neuropathy


Question: Which of the following virus, and schizophrenia (schizophrenia) about?

Answer: Bolivia is satisfied disease virus (Borna disease virus)

Choices:
A. West Nile virus (West Nile encephalitis virus)
B. Bolivia is satisfied disease virus (Borna disease virus)
C. Mubarak Rees virus (La Crosse virus)
D. Sin Nombre virus (Sin Nombre virus)


Question: When pregnancy vaginal congestion turned purple shape known as:

Answer: Chadwick sign

Choices:
A. Chadwick sign
B. Hegar sign
C. Ladin sign
D. Piskacek sign


Question: Which of the following drug treatment of congestive heart failure, its mechanism of action is via the β-adrenergic receptor blocking from?

Answer: Metoprolol

Choices:
A. Metoprolol
B. Valsartan
C. Eplerenone
D. Milrinone


Question: A 9-year-old neurological examination were normal boys, the main complaint of attendance when the occasional grand mal seizures (grand mal seizure) during sleep, also occasionally half of the face or limbs twitching phenomenon of time during the day. The following statements is wrong?

Answer: Resection of half of the brain (hemispherectomy) is the most commonly used method of treating surgical treatment of this disease

Choices:
A. Antiepileptic drugs (antiepileptic drugs) treatment and prognosis are good, gradually recovered after puberty
B. Some patients with chromosome 15q14-related
C. Resection of half of the brain (hemispherectomy) is the most commonly used method of treating surgical treatment of this disease
D. Central and medial temporal lobe spikes (central and midtemporal spikes) (EEG) of the performance of its characteristic EEG


Question: 85 a 22-year-old male patient with testicular surgery after reaction wound pain, scrotal found a huge lump of blood. Patients with normal blood count, prothrombin time (PT) normal, part thromboplastin time (the aPTT) prolonged fibrinogen (fibrinogen) normal. Do those tests must be added the following to get the correct diagnosis? Test ①aPTT correction (correction studies of aPTT) ② bleeding time (bleeding time) ③ Test VIII or Factor IX (factor VIII or factor IX assays) ④ Test factor VIIa (factor VII assay)

Answer: ①②③

Choices:
A. ①③
B. ②④
C. ①②③
D. ①②④


Question: After returning to the parent-child tours, there are three pre-school children have participated due to bloody diarrhea to the hospital. Hospitals O157 isolated in the feces of three children: H7 serotype of Escherichia coli (Escherichia coli). Which of the following is the most common serious complication?

Answer: HUS (hemolytic uremic syndrome)

Choices:
A. Meningitis (meningitis)
B. Sepsis (septicemia)
C. HUS (hemolytic uremic syndrome)
D. Rhabdomyolysis (rhabdomyolysis)


Question: The following information about the role of cortisol (cortisol), the what's right?

Answer: Inhibition of osteogenesis (bone formation)

Choices:
A. Inhibition of osteogenesis (bone formation)
B. Promote inflammation
C. Increase muscle mass (muscle mass)
D. Reduced glomerular filtration rate (GFR)


Question: Statements about antibiotics and other drugs and interact with the effects may occur, which of the following error?

Answer: Fluoroquinolone use with antacids and will enhance the efficacy of fluoroquinolone

Choices:
A. Erythromycin and theophylline and theophylline toxicity will increase with
B. Clarithromycin and Statin hypolipidaemic agents and dissolved with striated muscle may occur
C. Trimethoprim-sulfamethoxazole with digoxin and digoxin toxicity may occur with
D. Fluoroquinolone use with antacids and will enhance the efficacy of fluoroquinolone


Question: A 25-year-old young women abdominal discomfort due to the gastroenterology clinic, breast swelling and lactation happens after taking the drug for some time, she may take the following what kind of drugs?

Answer: metoclopramide

Choices:
A. antacid
B. proton pump inhibitor
C. metoclopramide
D. magnesium oxide


Question: Related kidney transplant, the prognosis following that group is not the most ideal?

Answer: Is donors: B hepatitis, the recipient: C hepatitis

Choices:
A. Is donors (donor): type B blood, the recipient (recipient): blood type AB
B. Is donors: B hepatitis, the recipient: B Hepatitis
C. Is donors: blood type O, recipient: blood type B
D. Is donors: B hepatitis, the recipient: C hepatitis


Question: Breathing exercises (respiratory training) most appropriate for the adjuvant treatment of mental disorders which of the following?

Answer: Panic disorder (panic disorder)

Choices:
A. Panic disorder (panic disorder)
B. OCD (obsessive-compulsive disorder)
C. Heavy depressive (major depressive disorder)
D. Body of disease (somatization disorder)


Question: A 55 year old man due to progressive dysphagia and weight loss of 10 kg for three months for medical, a series of examination showed lower esophageal adenocarcinoma (adenocarcinoma). Which of the following occurs with the disease most relevant?

Answer: GERD

Choices:
A. GERD
B. Spirits
C. smokes
D. Hot food


Question: 10-day-old boy, birth weight of 2,050 grams, was born a few weeks to 34 weeks, seek treatment because of abdominal distension, poor physical checkups show fatigue, vigor. Blood test: leukocytes 9,250 / μL (segment 15%, band form 22%, lymphocyte 30%, monocyte 1%, eosinophil 1.2%), hemoglobin of 15 g / dL, platelets 220,000 / μL. ALT 77 U / L, AST 72 U / L. Abdominal appearance, X-ray, as shown in the stool, which of the following is the most likely clinical diagnosis?

Answer: necrotizing enterocolitis

Choices:
A. necrotizing enterocolitis
B. cytomegalovirus colitis
C. congenital megacolon
D. acute gastroenteritis


Question: Which of the following does not belong to the mediastinum (mediastinum) structure?

Answer: lung

Choices:
A. esophagus
B. Thymus
C. lung
D. Thoracic aorta


Question: A research community want to estimate the age of 65 the prevalence of dementia, the study decided to visit households to approach the community with more than 65 years old the family to assess dementia, the study has not been refusing to be interviewed situation, but also found that all elderly household registered cases in only 70% live at home. The results of this study should pay attention to:

Answer: Sampling bias

Choices:
A. Interference deviation
B. Sampling bias
C. Message deviation
D. Diagnostic bias


Answer: Intestinal metaplasia (intestinal metaplasia) precursor lesions of this disease (precursor lesion)

Choices:
A. The current increase in the incidence of this disease
B. Removal of H. pylori can cure this disease
C. O-type blood group higher chance of suffering from the disease
D. Intestinal metaplasia (intestinal metaplasia) precursor lesions of this disease (precursor lesion)


Question: Chromosome microdeletions (microdeletion) disease, the narrative of Sotos syndrome, which of the following error?

Answer: As 15q11 deletion

Choices:
A. As 15q11 deletion
B. Excessive growth (overgrowth)
C. Bigheadedness (macrocephaly)
D. Mental retardation (mental disabilities)


Question: The following four cell, whichever is most easily seen in the normal endometrium?

Answer: Plasma cells (plasma cells)

Choices:
A. Neutropenia (neutrophils)
B. Macrophages (macrophages)
C. Plasma cells (plasma cells)
D. Lymphopenia (lymphocytes)


Question: 61 year old man, unable to bust the right side. According to this two MRI imaging, FLAIR is left, the right is the injection of Gd-DTPA T1WI, diagnosis is the most appropriate:

Answer: Metastasis with peripheral brain tissue edema

Choices:
A. Acute MCA infarction with cytotoxic edema
B. Acute ACA infarction with cytotoxic edema
C. Metastasis with peripheral brain tissue edema
D. Subacute hematoma with peripheral brain tissue edema


Question: Someone walking on the way, the locomotive was robbery, but fortunately no injury to the head and body, consciousness has always been clear, but the face of the police make a written record and the following week, are still not fully describe the scene before and after the robbery, including: car color, car number, location and process of the incident. This phenomenon is:

Answer: Dissociative loss 憶 (dissociative amnesia)

Choices:
A. Post-traumatic stress disorder (posttraumatic stress disorder)
B. Adjustment disorder (adjustment disorder)
C. Dissociative loss 憶 (dissociative amnesia)
D. Transformation (conversion)


Question: The reason is that following the interpretation of the pulsating blood oxygen saturation monitor (pulse oximeter), an error of underestimation (false low readings)?

Answer: Only ①③

Choices:
A. Only ①②③
B. Only ①③
C. Only ②④
D. Only ④


Question: Statements about diphtheria (Corynebacterium diphtheriae), and Which statement is correct?

Answer: Humans are the only natural host

Choices:
A. Acid staining is an important diagnosis
B. Humans are the only natural host
C. Carrying diphtheria toxin (diphtheria toxin) gene located on plasmid
D. No vaccine-preventable


Question: Statements about pulmonary heart disease (cor pulmonale), and which of the following error?

Answer: In acute pulmonary heart disease, right ventricular hypertrophy significantly

Choices:
A. In acute pulmonary heart disease, right ventricular hypertrophy significantly
B. In acute cardiac pulmonary disease, right ventricular dilatation and oval
C. In chronic pulmonary heart disease, right ventricular wall thickening
D. In chronic pulmonary heart disease, right ventricular wall of fat disappear


Question: Related to anesthesia patient's body temperature monitoring narrative, which of the following error?

Answer: General anesthesia should monitor the patient body temperature, but regional anesthesia (regional anesthesia) may not necessarily be monitoring

Choices:
A. Core temperature (core temperature) is relatively stable, the measurement portion comprises a common nasopharynx
B. Anesthesia common abnormal body temperature, hypothermia more than hyperthermia
C. rectal temperature during cardiopulmonary bypass purposes, the reaction rate slower than the core temperature
D. General anesthesia should monitor the patient body temperature, but regional anesthesia (regional anesthesia) may not necessarily be monitoring


Question: The following components related to the anti-blood clotting heparin description of what's right?

Answer: Must have a combination of biological activity and antithrombin

Choices:
A. Decomposing thrombus itself (thrombolytic activity)
B. Must have a combination of biological activity and antithrombin
C. Oral half-lasting effect
D. Necessary to block the regeneration of vitamin K active role SUCCESS


Question: Statements about prostate cancer hormone therapy, which of the following error?

Answer: A single injection of LHRH accelerator (luteinizing hormone releasing hormone agonist) can also be reached hormone therapy

Choices:
A. Possible hormonal therapy refers to inhibition (the suppress) the body male hormone, male hormone as prostate cancer, it is a growth factor stimulating
B. Bilateral testicular resection regarded as a hormone therapy
C. A single injection of LHRH accelerator (luteinizing hormone releasing hormone agonist) can also be reached hormone therapy
D. Long-term hormone therapy may have osteoporosis, anemia, fatigue and other side effects


Question: A 3-day-old newborn, eyes purulent secretions, Gram stain (Gram stain) is a gram-negative meningitis, what antibiotics should be used?

Answer: ceftriaxone

Choices:
A. ceftriaxone
B. erythromycin
C. oxacillin
D. tetracycline


Question: Bancrofti (Wuchereria bancrofti) of patients taking these drugs which help during the day to check blood micro filarial (microfilaria)?

Answer: diethylcarbamazine

Choices:
A. albendazole
B. diethylcarbamazine
C. praziquantel
D. metronidazole


Question: The following statements about preventive screening (screening), and what's right?

Answer: A measure of whether a disease worth doing preventive screening, person-years (disability-adjusted life year, DALY) of disability after adjustment is possible indicators

Choices:
A. The impact of high and low prevalence of positive predictive value (positive predictive value) from disease
B. To benefit "five-year survival" assessment screening measures, easily lead to deviation from the (length-time bias)
C. Lead time offset (lead-time bias) refers to progress faster than the slow progress of the case, easier to find the way through the screening
D. A measure of whether a disease worth doing preventive screening, person-years (disability-adjusted life year, DALY) of disability after adjustment is possible indicators


Question: Which of the following is NOT health indicators of the proposed World Health Organization's Healthy City?

Answer: Abortion rate (with respect to each of a number of live births)

Choices:
A. Low birth weight rate
B. The infant mortality rate
C. Abortion rate (with respect to each of a number of live births)
D. Total mortality


Question: 45-year-old woman, complained of blood stained sputum. According to this Zhang MRI (T1WI with Gd-DTPA) films, the most likely diagnosis is:

Answer: NPC（nasopharyngeal carcinoma）

Choices:
A. rhinitis
B. vasculitis
C. paranasal sinusitis
D. NPC（nasopharyngeal carcinoma）


Question: 33.23-year-old woman in the past two months, often feeling right lower quadrant pain, this pain can improve symptoms sometimes change their position today due to increased pain and nausea and vomiting associated with the case of medical treatment. Physical examination found the right lower quadrant rebound tenderness and pain of the case, vaginally DRE found normal uterine size, but the case of contact pressure of pain, while the right uterine tumor size, such as oval, also in the case of touch and pressure pain. Ultrasound scanning has found the right uterine appendages lump size of about 7 × 8 cm. Because right lower abdominal pain, and therefore accept the laparoscopy, laparoscopic examination revealed the situation is depicted below, according to the most appropriate illustration of this patient's diagnosis:

Answer: The combined torsion ovarian tumor (ovarian tumor with torsion)

Choices:
A. The combined torsion ovarian tumor (ovarian tumor with torsion)
B. Outer tubal pregnancy (tubal pregnancy)
C. Acute appendicitis (appendicitis)
D. Red degeneration of uterine fibroids (red degeneration of myoma)


Question: Which of the following is not a pair of single ⼀ structure?

Answer: Anterior spinal artery (anterior spinal artery) and former zoomed cerebral communicating artery (anterior communicating artery)

Choices:
A. Anterior spinal artery (anterior spinal artery) and former zoomed cerebral communicating artery (anterior communicating artery)
B. After spinal artery (posterior spinal artery) and zoomed back of the head communicating artery (posterior communicating artery)
C. Anterior spinal artery (anterior spinal artery) and zoomed back of the head communicating artery (posterior communicating artery)
D. After spinal artery (posterior spinal artery) and former zoomed cerebral communicating artery (anterior communicating artery)


Question: About the narrative of liver abscess, whichever is incorrect?

Answer: Amebic liver abscess in patients with jaundice common than pyogenic liver abscess

Choices:
A. Amebic liver abscess in patients with jaundice common than pyogenic liver abscess
B. Serum alkaline phosphatase (alkaline phosphatase) may rise sharply
C. In the right position of the liver is usually
D. The most common pathogens pyogenic liver abscess are Escherichia coli and Klebsiella pneumoniae


Question: Which of the following neuromuscular blocking agents, although will not cause histamine release, but due to blocking norepinephrine recycled to produce rapid heartbeat and increased blood pressure side effects?

Answer: Pancuronium

Choices:
A. Pancuronium
B. Atracurium
C. Doxacurium
D. Relanium