Question: 51 excluded patients age factor, the current general consensus that adult allogeneic hematopoietic (allogeneic hematopoietic stem cell transplantation) most do not meet priority therapeutic indications (indication) Why are stem cells?

Answer: Newly diagnosed Philadelphia chromosome-positive chronic phase chronic myeloid leukemia (Ph-positive chronic myeloid leukemia in chronic phase)

Choices:
A. Severe aplastic anemia (severe aplastic anemia)
B. Acute myelogenous leukemia second remission (acute myeloid leukemia in 2nd remission)
C. Acute lymphocytic leukemia first remission (acute lymphoid leukemia in 1st remission)
D. Newly diagnosed Philadelphia chromosome-positive chronic phase chronic myeloid leukemia (Ph-positive chronic myeloid leukemia in chronic phase)


Question: Edible snail meat undercooked, the human parasite infects Which of the following?

Answer: Angiostrongylus cantonensis (Angiostrongylus cantonensis)

Choices:
A. Anisakis (Anisakis simplex)
B. Philippines Trichinella (Capillaria philippinensis)
C. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
D. Chinese liver fluke (Clonorchis sinensis)


Question: 33 cervical cerclage (eg: McDonald cerclage) is a method of treating one of the cervical insufficiency. When receiving cervical cerclage weeks pregnant women, the infection occurs: when (such as fever, abdominal pain, increased vaginal secretions), Which of the following is the most appropriate approach?

Answer: Cervical cerclage removed and oxytocin (cerclage removal and labor induction)

Choices:
A. Given intravenous antibiotics and bed rest (intravenous antimicrobial agents and bed rest)
B. Cervical cerclage removed and oxytocin (cerclage removal and labor induction)
C. Given intravenous antibiotics and tocolytic drugs (intravenous antimicrobial agents and tocolytic administration)
D. Oral medication miscarriage and accepted ultrasound examination (oral tocolytic drugs and serial ultrasonographic examinations)


Question: Statements about social phobia (social phobia), and which of the following error?

Answer: The most common age of onset at 30

Choices:
A. Epidemiological studies show more women than men
B. The most common age of onset at 30
C. Psychotherapy efficacy of combined therapy is superior to either treatment used alone
D. Patients with generalized social phobia (generalized social phobia) often complicated by the recoil of personality disorder (avoidant personality


Question: 46. In order to prevent a smoking theme of health education activities, teachers use value clarification, film appreciation, role-play different teaching methods to help students familiarize themselves with "refusal skills", such as future students encounter similar drinks upon others or solicitation when the drug situation, you can use refusal skills learned, what is the application of these techniques to change behavior?

Answer: Class of principle

Choices:
A. The principle of mutual boycott
B. The principle of gradual reduction sensitive
C. Class of principle
D. Enhancement principle


Question: In certain protein comprising the amino acid sequence -Ser-Gly-Pro-Gly- most likely secondary structures of proteins which of the following?

Answer: b-turn

Choices:
A. b-turn
B. a-helix
C. β-sheet
D. zinc finger


Question: 4.65-year-old male patient two weeks ago with acute myocardial infarction after coronary stent placement hospitalized and discharged today because of chest pain and a slight fever (37.8 degrees Celsius) and back to the clinic. No respiratory distress, lung auscultation rales no, no new heart murmur, gallop sound (gallop) or pericardial friction rub (friction rub). Preliminary examination ruled out infection, and electrocardiogram done before discharge relatively unchanged. That one of the following treatment more appropriate?

Answer: Given high-dose aspirin

Choices:
A. Given steroids
B. Given high-dose aspirin
C. Administration of anticoagulant (anticoagulant)
D. Aggravate angina drugs (antianginal drugs)


Question: The so-called peripheral blood stem cells (peripheral blood stem cell) refers to a cell surface antigen with which the performance of the following persons?

Answer: CD 34

Choices:
A. CD 34
B. CD 30
C. CD 20
D. CD 4


Question: Newborn baby boy, showing lack of muscle tension (hypotonia), feeding difficulties, skin color than white and there are bilateral cryptorchidism, palms, soles of the feet are relatively small, causing him the most likely cause is an exception:

Answer: The chromosome microdeletions (microdeletion)

Choices:
A. The chromosome microdeletions (microdeletion)
B. Chromosomal translocation (translocation) when copying
C. Sex chromosome abnormalities
D. Birth injury


Question: 70-year-old woman three weeks ago, found a tumor in the left breast, mammography examination revealed the left breast has 4.0 cm spiculated mass. Which of the following treatment plan is wrong?

Answer: Breast-conserving surgery and postoperative radiotherapy

Choices:
A. Preoperative do first core biopsy, to determine the condition of its histology and estrogen receptor
B. After the surgery if ER (+), is given Tamoxifen therapy for five years
C. Breast-conserving surgery and postoperative radiotherapy
D. Modified extensive mastectomy


Question: Account of mycobacteria (Mycobacteria), the Which statement is correct?

Answer: Mycobacterium avium (Mycobacterium avium) is common in patients with HIV infection

Choices:
A. Kansas mycobacteria (Mycobacterium kansasii) of normal non-pathogenic flora
B. Mycobacterium avium (Mycobacterium avium) is common in patients with HIV infection
C. Ocean mycobacteria (Mycobacterium marinum) will not cause human infection
D. M. bovis (Mycobacterium bovis) non-human pathogens


Question: From the previous question, about the change in the number of eye diopter Miss Lee, due to what factors?

Answer: Subretinal water

Choices:
A. Cataract formation
B. Corneal edema
C. Axial length growth
D. Subretinal water


Question: Mr. Wang due to change in bowel habits and to accept colonoscopy. Check the day, which happened to have three medical students to trainee endoscopy room, watching the whole process Wang inspected. Later Mr. Wang complained to the hospital were not respected in the inspection, hoping to improve the hospital as soon as possible and give an explanation. In order to avoid renewed the same situation, the hospital intends to take the following measures, whichever is most appropriate?

Answer: In addition to the provisions of inspection staff, and other personnel to enter the examination room, shall be subject Xianxiang reasons and with the consent

Choices:
A. Please notice of Medicine modify its trainee program, arranging for medical students to trainee endoscopy room
B. Design modifications examination room, allowing students to watch the trainee checked through one-way glass, to reduce interference to the subject
C. At the clinic or hospital posted on filling Know "the hospital is a teaching hospital please see the students agreed to practice" and other words
D. In addition to the provisions of inspection staff, and other personnel to enter the examination room, shall be subject Xianxiang reasons and with the consent


Question: The combined chemotherapy side effects, which of the following relationship is less clear?

Answer: carboplatin and hemorrhagic cystitis

Choices:
A. and doxorubicin cardiotoxicity
B. bleomycin and pulmonary fibrosis
C. cisplatin and kidney toxicity
D. carboplatin and hemorrhagic cystitis


Question: The following account of fatty acids, whichever is correct?

Answer: Biosynthesis of fatty acids in the process of cell requires NADPH as electron carriers (electron carrier)

Choices:
A. Hormone glucagon can promote blood cell fatty acid biosynthesis
B. Biosynthesis of fatty acids in the process of cell requires NADPH as electron carriers (electron carrier)
C. Cells fatty acid biosynthesis intermediate malonyl-CoA in vitro activates mitochondrial membrane enzyme (carnitine acyltransferase Ⅰ)
D. Insulin (insulin) can increase the concentration of fatty acids in the blood


Question: Acute inflammation, histamine (Histamine) will result in increased vascular permeability. Which of the following is most likely the cells release histamine?

Answer: Mast cell (Mast cell)

Choices:
A. Lymphocyte (Lymphocyte)
B. Macrophage (Macrophage)
C. Mast cell (Mast cell)
D. Neutrophils (Neutrophil)


Question: The following relevant PPF (pterygopalatine fossa) of the narrative, what's wrong?

Answer: Inwardly by the pterygopalatine fossa via the nasal foramen (nasopalatine foramen) into the nasal cavity

Choices:
A. A third portion of the maxillary artery (maxillary artery) into the fossa of
B. Inwardly by the pterygopalatine fossa via the nasal foramen (nasopalatine foramen) into the nasal cavity
C. Maxillary nerve (maxillary nerve) through this nest
D. This nest of parasympathetic preganglionic fibers from the pterygoid canal (pterygoid canal) 28 following bone does not constitute any orbit (Orbit)?


Question: The following related neurons (neuron) description of the injury (injury) reaction and what was wrong?

Answer: In the central nervous system, nerve injury mainly by the few at the gum dendritic cells (oligodendrocyte) responsible for the myelin sheath (myelin) of decomposition Clear

Choices:
A. Axons in the distal nerve injury at (axon) will appear along ⾏ degeneration (anterograde degeneration)
B. Nerve damage leading to loss of neuronal cells in vivo nylon ⽒ ⼩ body (Nissl body) is referred to as mass transfer color dissolution (chromatolysis)
C. In the peripheral nervous system, nerve injury at the gathering will be a single bulge Yan ⽣ of phagocytic cells (monocyte-derived macrophage) of
D. In the central nervous system, nerve injury mainly by the few at the gum dendritic cells (oligodendrocyte) responsible for the myelin sheath (myelin) of decomposition Clear


Question: A 62-year-old patient, past history of heart disease, being treated, examined the recent tendency for bleeding, peripheral blood hemoglobin, white blood cell and platelet count normal, prothrombin time (PT) INR 3.5, activated partial thromboplastin time 26 "(normal control 27 "). Which of the following is the most likely cause of this patient cause bleed easily?

Answer: coumadin treatment

Choices:
A. coumadin treatment
B. heparin treatment
C. liver disease
D. von Willebrand disease


Question: Which of the following does not cause disease most delayed neonatal jaundice syndrome?

Answer: Wilson disease

Choices:
A. UTI（urinary tract infection）
B. CMV infection
C. hypothyroidism
D. Wilson disease


Question: 22. One boy was taken to the clinic two years old, my mother statement four days ago when a small boy playing with other children, suddenly short cyanosis situation but then resumed, it often four days of paroxysmal cough and wheezing, but no other nasal congestion, runny nose and other cold symptoms, a normal chest X-ray results, following that disposal must be a priority?

Answer: Bronchoscopy

Choices:
A. Without treatment, can be observed
B. Drip infusion
C. Bronchoscopy
D. Antibiotics


Question: In 1997 AJCC TNM staging system to the renal cell carcinoma, T1 was the size of the tumor and T2 of the boundary is:

Answer: 7 cm

Choices:
A. 2.5 centimeters
B. 5 cm
C. 7 cm
D. 10 cm


Question: A 32-year-old man on his way to work, head on collision with another passenger cars, to the hospital found the right lower limb movement is very little pain, foot exhibit valgus posture, physical examination and found no signs of nerves, vascular injury, X-ray examination revealed no dislocated right hip, femoral neck fracture and displacement but, I ask Which of the following is the most appropriate disposal?

Answer: Immediately assess the risk of anesthesia, surgery will be scheduled as soon as possible fracture fixation

Choices:
A. First arrange the bones in hospital to give traction to further observe other potential complications
B. Immediately hit to ease the pain, and fractures in the emergency, in order to avoid the occurrence of osteonecrosis
C. Immediately assess the risk of anesthesia, surgery will be scheduled as soon as possible fracture fixation
D. Has been displaced fracture, explained in detail to the patient and make arrangements for artificial joint replacement


Question: When a B cell antibodies produced by the transformed IgM to IgG, the mechanism is:

Answer: DNA recombination (recombination)

Choices:
A. DNA recombination (recombination)
B. RNA splicing (splicing)
C. Protein cleavage (degradation)
D. The new gene expression (expression of a new gene)


Question: He does not belong to the following items cervical nerve plexus (cervical plexus)?

Answer: Occipital nerve

Choices:
A. Occipital nerve
B. Lesser occipital nerve
C. Great auricular nerve
D. Transverse cervical nerve


Question: The composition of cartilage following each other structure whichever of the three different?

Answer: Epiglottis (epiglottis)

Choices:
A. Epiglottis (epiglottis)
B. Windpipe (trachea)
C. Thyroid cartilage (thyroid cartilage)
D. Cricoid cartilage (cricoid cartilage)


Question: 46 A 40-year-old woman, sudden headache, dizziness to the emergency, the brain MRI showed the right side of the outer medullary infarction (right lateral medullary infarction), those patients have the following symptoms? ① ② decrease pain right limb pain decreased ③ right side face right limb disorders (dysmetria) ④ right limb weakness

Answer: ②③

Choices:
A. ①③
B. ②④
C. ①④
D. ②③


Question: The following is an immunomodulatory agent which affects the adaptive immune response (adaptive immune responses), which is different from the general main role cytotoxic drugs (cytotoxic agent) to all dividing cells?

Answer: Rapamycin

Choices:
A. Azathioprine
B. Cyclophosphamide
C. Mycophenolate
D. Rapamycin


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

Answer: Delirium is often a precursor to the onset of mental illness, physical illness unrelated to the

Choices:
A. Bad (fluctuating) good times are usually a sudden onset (acute onset) and the symptoms
B. Cases often have changes in cognitive function
C. State of consciousness often less clear cases
D. Delirium is often a precursor to the onset of mental illness, physical illness unrelated to the


Question: Which is not an advantage of laparoscopic inguinal hernia repair surgery (laparoscopic inguinal hernia repair) it?

Answer: Compared to traditional repair surgery, there is a significantly lower recurrence rate

Choices:
A. Artificial omentum can be placed in large preperitoneal cavity (preperitoneal space)
B. Artificial retina easier to cover the pubic muscle hole (myopectineal orifice)
C. Compared to traditional repair surgery, there is a significantly lower recurrence rate
D. Suitable for the treatment of bilateral hernia or recurrent hernias


Question: Mr. Wong 32 years old, had just been diagnosed with myasthenia gravis. His chest X-ray and CT examination revealed before mediastinal lesions there is a clear demarcation. On this lesion, which of the following is the most likely diagnosis?

Answer: Thymoma

Choices:
A. Lymphoma
B. Thymoma
C. Thyroid nodules
D. Castleman's disease


Question: A 77-year-old female patient hospitalized due to colorectal cancer, liver metastases have been found in the scan. Ward nurses told her daughter and son's disease patients. Patients daughter immediately contact a physician, insisted not let her mother know the disease, in order to avoid emotional collapse. The physician how to deal with?

Answer: Please families family meeting to discuss how to inform physicians and patients of the disease details

Choices:
A. The disease inform patients as quickly as possible, please do not interfere with the patient's daughter
B. Tell the patient's children, which they can not decide, the whole thing is handled by a physician
C. The firm told the patient's daughter, the physician will look for every opportunity to inform the patient details
D. Please families family meeting to discuss how to inform physicians and patients of the disease details


Question: Using materials which can be used for the following (the transamination) direct synthesis via transamination glutamic acid?

Answer: a-ketoglutarate

Choices:
A. a-ketoglutarate
B. pyruvate
C. acetoacetate
D. oxaloacetate


Question: Forearm items that are most likely configuration while impaired?

Answer: Radial artery

Choices:
A. Radial artery
B. Ulnar artery
C. Brachial artery
D. Artery


Question: Lungs due to consumption of drugs of unknown cause chronic interstitial lung disease, lung than lung volume resulting in smaller volume, reduced gas exchange capability, chronic pulmonary fibrosis of the honeycomb. Follow its impact is most unlikely Which of the following?

Answer: Emphysema

Choices:
A. Right ventricular hypertrophy
B. Pulmonary hypertension
C. Reduced lung elasticity
D. Emphysema


Question: A 51-year-old female company employee, has been stopped two years, no past history of a particular disease, height 156 cm, weight 66.2 kg, usually no exercise habits, not smoking and not drinking. From the perspective of evidence-based medicine, the following items to check how cancer screening is not suitable for this purpose subject?

Answer: Abdominal sonography

Choices:
A. Mammography
B. Pap smear
C. Fecal occult blood reaction
D. Abdominal sonography


Question: Affective disorder manic episodes (manic episode): In accordance with the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition provides period (duration) between the onset of symptoms must be at least how many days?

Answer: Seven

Choices:
A. One
B. four
C. Seven
D. fourteen


Question: 36. The diagnosis of Sjögren's syndrome, which of the following conditions can be diagnosed with primary Sjogren's syndrome (primary Sjögren's syndrome)? ① ② dry eyes and dry mouth ③Schirmer's test (+) ④ abnormal slice salivary glands (more than 1 focus lymphocyte aggregation) ⑤ ⑥ salivary gland function test abnormalities in blood SSB antibodies or anti SSA ⑦ joint pain

Answer: ①②③④

Choices:
A. ①②③④
B. ①②⑤⑦
C. ①②③⑤
D. ①②⑥⑦


Question: A 59-year-old housewife to the emergency room for treatment, complained that the urine has been widowed for one week. She underwent surgery eight months ago and colorectal cancer. Past history of kidney stones, emergency inspection found that serum creatinine 16.5 mg / dL, urine examination was normal. Emergency physician gave her to put a foley catheter, found that only 30 mL of urine. To exclude obstructive nephropathy is the cause of acute renal failure, the next step you will give priority to that item checked?

Answer: Renal ultrasonography

Choices:
A. IVP（Intravenous pyelography）
B. Antegrade pyelography
C. Renal ultrasonography
D. Voiding cystourethrography


Question: The following related trigeminal neuralgia (Trigeminal Neuralgia) of treatment, whichever relatively low success rate?

Answer: Subcutaneous nerve cystectomy (percutaneous nerve ablation)

Choices:
A. Drugs: Tegretol and Neurontin
B. Microvascular decompression (microvascular decompression)
C. Subcutaneous nerve cystectomy (percutaneous nerve ablation)
D. Gamma Knife radiosurgery (Gamma knife surgery)


Question: 33 a 58-year-old male patient, a car accident resulting in peritonitis by laparotomy and found that there were several small bowel and mesenteric hematoma, finally accepted the small intestine 25 cm length of small bowel resection and anastomosis, 10 days found that the drainage tube intestinal contents ingredients, daily outflow ml, soft flat belly without abdominal pain, body temperature 37.4 ℃, why is your diagnosis?

Answer: Incomplete healing of the skin may be formed  intestinal tube (enterocutaneous fistula)

Choices:
A. Short bowel syndrome (short bowel syndrome)
B. Ischemic bowel disease (ischemic bowel disease)
C. Sticking intestinal obstruction (adhesion ileus)
D. Incomplete healing of the skin may be formed  intestinal tube (enterocutaneous fistula)


Question: After receiving a large number of stored blood transfusion, Which of the following does not cause adverse reactions?

Answer: 2,3-diphosphoglycerate elevated blood

Choices:
A. Blood pH changes
B. Hyperkalemia phenomenon
C. Hypocalcemia phenomenon
D. 2,3-diphosphoglycerate elevated blood


Question: The following cases can not consider any place IVC filter (vena cava filter)?

Answer: Therefore especially times of acute pulmonary embolism

Choices:
A. Therefore especially times of acute pulmonary embolism
B. Deep vein thrombosis, not suitable Use anticoagulant agent ⾎
C. Deep vein thrombosis, and chronic pulmonary embolism, and has caused lung ADVANCED pressure
D. In ⾎ anticoagulant agent for the treatment of the amount of underexposure, still repeated venous thrombosis


Question: Which of the following most ADVANCED partial pressure of oxygen?

Answer: Expired gas (expired air)

Choices:
A. Alveoli (alveolus)
B. ⾎ alveolar micro tube (alveolar capillary) was ⾎
C. Arterial ⾎ (systemic arterial blood)
D. Expired gas (expired air)


Question: 30 year old man, carrying sandbags finish after 50 km ⽄ 100 meters, found that severe back pain, with right rear side of the lower limb of ⿇ pass ⾄ foot pain, the most likely diagnosis Why?

Answer: Lumbar disc herniation (herniation of intervertebral disc)

Choices:
A. Neuritis shingles (herpes zoster neuritis)
B. Guillain-Barre 症候群 (Guillain-Barré syndrome)
C. Polymyositis (Polymyositis)
D. Lumbar disc herniation (herniation of intervertebral disc)


Question: 1.2 years for boys midnight by fever and respiratory distress is brought ⾄ emergency diagnosis seek diagnosis, Q examination showed that H o a r s e n e s s and B a r k i n g c o symptoms u g h, the stethoscope has S t r i d o r, X ray examination, such as drawings, the column wrong classification of said whichever error?

Answer: This disease is the most common pathogen ⾒ Enterovirus (Enterovirus)

Choices:
A. That a white arrow mark displayed minaret called signs (Steeple sign)
B. Diagnosis of the disease is most likely croup (Croup)
C. The acute phase is mixed with oxygen and give Epinephrine ⽣ physiological salt water resistant shutter mode inhalation therapy
D. This disease is the most common pathogen ⾒ Enterovirus (Enterovirus)


Question: 45-year-old male patient complain of tinnitus and the left neck mass for four months, nasopharyngoscopy in the drawings, the most likely diagnosis Why? From what part?

Answer: Nasopharyngeal cancer, pharyngeal recess

Choices:
A. Sinus cancer, nasal wall
B. Nasopharyngeal cancer, pharyngeal recess
C. JNA, Eustachian tube eminence
D. Nasopharyngeal lymphoma, nasopharyngeal top wall


Question: 7,456 year-old male, no history of trauma, complained of three days, the right thigh persistent swelling, pain, and emergency medical treatment, CT and circumflex femoral arteriography, as illustrated, is the most appropriate disposition:

Answer: Transcatheter arterial embolization (Transcatheter arterial embolization)

Choices:
A. Transcatheter arterial embolization (Transcatheter arterial embolization)
B. Emergency surgery to stop bleeding
C. Conservative transfusion therapy
D. Shi hemostatic drugs fight


Question: 25 A 20-year-old man after exercise thigh inability to emergency medical treatment. Physical examination blood pressure 128/88 mmHg, heart rate 80 / min, breath mg / dL, AST 42 U / L, creatine kinase 410 U / L (normal 60-400); electrolyte (Unit mmol / L): Na 140, K 2.3, Cl 112, Ca 2.25. For further diagnose the patient, following the disposal of the most appropriate?

Answer: Arterial blood gas analysis

Choices:
A. Arterial blood gas analysis
B. ECG
C. Chest X-ray
D. EMG


Question: 75 year old man hospitalized due to lung cancer, CT detection of cancer metastasis to both sides of the adrenal gland, general malaise, increased serum potassium, body skin and oral mucosa, many black palm print at the following statements is true?

Answer: There can not be a normal response to corticotropin stimulation test, high blood ACTH concentration

Choices:
A. There can not be a normal response to corticotropin stimulation test, high blood ACTH concentration
B. niacin deficiency
C. Cause skin cancer metastasis
D. Patients taking epidermal growth factor receptor (EGFR) inhibitor caused


Question: 18 A 55 year old man because the merger fever, chills, abdominal pain to the emergency, preliminary tests showed WBC: 13600 / mm3, seg: 89%, bilirubin (total): 6.0 mg / dL, abdominal ultrasound examination showed bile duct stones, then the following statements is wrong?

Answer: Patients blood AST / ALT may rise, but never more than five times

Choices:
A. Physical examination may touch the gallbladder
B. Patients blood AST / ALT may rise, but never more than five times
C. Blood cultures may have Gram-negative bacteria
D. Endoscopic treatment of choice of stone


Question: After dinner abdominal pain after a 60-year-old man with peptic ulcer bleeding received partial gastrectomy surgery (Billroth II procedure), adverse circumstances absorb flatulence, diarrhea merger fat and vitamin B12, what item on the treatment of the following drugs most appropriate?

Answer: Antibiotic-containing (antibiotics)

Choices:
A. Proton pump inhibitors (proton pump inhibitor)
B. Antibiotic-containing (antibiotics)
C. Gastrointestinal motility accelerators (prokinetics)
D. Antacids (antacid)


Question: Adrenal medulla (adrenal medulla) cells, by accepting that following nerve stimulation and release of adrenaline?

Answer: preganglionic sympathetic neuron

Choices:
A. postganglionic sympathetic neuron
B. postganglionic parasympathetic neuron
C. preganglionic sympathetic neuron
D. preganglionic parasympathetic neuron


Question: Which of the following is not a brain injury (traumatic brain injury) patients with common sequela?

Answer: Parkinson's disease (Parkinsonism)

Choices:
A. Muscle spasms (spasticity)
B. Parkinson's disease (Parkinsonism)
C. Epilepsy (epilepsy)
D. Headache (headache)


Question: 93 about the narrative of Schistosoma japonicum, which of the following correct? (1) there have been human cases reported Taiwan's Changhua Wang Gong region (2) occurs mainly in the Far East, mainland China many cases (3) mainly due to the end of the larvae move through the skin and infections (4) It has two intermediate hosts

Answer: (2)(3)

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


Question: Declaration stressed that the policy of the following is NOT a World Health Organization issued by the Ottawa Health Promotion?

Answer: Emphasis on medical skills

Choices:
A. A supportive environment
B. Promote community health action
C. The development of health policy
D. Emphasis on medical skills


Question: Ethical issues to consider when clinical research, which of the following error?

Answer: Can be derived from the principle of beneficence should be fair selection of subjects

Choices:
A. Ruoyi have an effective standard treatment, which is not used as a placebo control group
B. By the principles of respect for human dignity can be derived "should obtain informed consent" of the concept
C. Can be derived from the principle of beneficence should be fair selection of subjects
D. Without the subject's consent track line test is the violation of medical regulations


Question: Which of the following is a female sex hormone Kaohsiung (Hyperandrogenism) and hirsutism (Hirsutism) the most common cause?

Answer: Polycystic ovary syndrome (PCOS)

Choices:
A. Refrigerator 欣氏 disease (Cushing Syndrome)
B. Polycystic ovary syndrome (PCOS)
C. Ovarian androgen secretion tumors (Androgen-producing ovarian neoplasms)
D. Congenital adrenal hyperplasia (Congenital adrenal hyperplasia)


Question: The following description when bandaged forearm fractures related gypsum treatment, whichever is correct?

Answer: After bandaged hand raised to maintain, and regularly photographed X-ray tracing

Choices:
A. Thumb fracture sustained oppression imposed maintain reduction when dressing
B. Elbows should be fixed in a straight posture
C. To enhance the effect of fixing, bandaging the thumb and fingers should limit their activities
D. After bandaged hand raised to maintain, and regularly photographed X-ray tracing


Question: In accordance with the principles of diagnosis, a case in animal pathology lab work samples (formalin exposure, alcohol, xylene) has been 2 years, because in the past five years, frequent headaches and brain tumors diagnosed by CT, if it requests issued by the career-related disease and diagnostic proof of the following is the most correct?

Answer: Unreasonable, does not meet the timing of

Choices:
A. Reasonable, there are causally related
B. Reasonable, due to medical literature reports
C. Unreasonable, colleagues get the same job no one brain tumor
D. Unreasonable, does not meet the timing of


Question: Surrounding ⾎ duct obstruction treatment, which of the following is not appropriate?

Answer: Illuminated (phototherapy)

Choices:
A. Illuminated (phototherapy)
B. ADVANCED ⾎ control pressure, to give ⼄ type blocker
C. Control Diabetes
D. In shutter mode catheter tube open ⾎


Question: The following various tissues, whichever is not in a second type of collagen (type II collagen) as the main component of?

Answer: Meniscus (meniscus) in the knee joint

Choices:
A. Hyaline cartilage of the articular surface (hyaline cartilage)
B. Meniscus (meniscus) in the knee joint
C. Spinal disc nucleus (nucleus pulposus)
D. Spinal disc and adjacent vertebral end plates (endplate)


Question: Which of the following purulent joint drainage of infection must be urgent surgery to avoid complications of bone necrosis?

Answer: Hip

Choices:
A. Knee
B. Ankle
C. Hip
D. Wrist


Question: The composition of cells related to neural tissue of the following is the correct term?

Answer: The central nervous system, having phagocytosis is minute glia (microglia)

Choices:
A. Pu Jinshi cells (Purkinje cell) located in the cerebral cortex, is responsible for coordinating muscle activity
B. Choroid plexus cells (cells of choroid plexus) ciliated (ciliated)
C. The central nervous system, having phagocytosis is minute glia (microglia)
D. A Schwann cells (Schwann cell) will cover a number of myelin axons (myelinated axons)


Question: Wang alcoholism for many years, eat normal meals three meals a day, it is underweight, one day sudden confusion (confusion), unsteady gait ataxia (ataxia), his family brought to the emergency room, doctors found that Mr. Wang to the right eye examination presents horizontal tremor (horizontal nystagmus), and the eye can not see to the outside (lateral orbital palsy), slow pupillary light response, on both sides of the pupil sizes (anisocoria), Mr. Wang what the most likely clinical diagnosis?

Answer: Wei Niji's encephalopathy (Wernicke's encephalopathy)

Choices:
A. Brain stem stroke (brainstem infarct)
B. Alcohol withdrawal syndrome (alcohol withdrawal syndrome)
C. Wei Niji's encephalopathy (Wernicke's encephalopathy)
D. Keshakefu's syndrome (Korsakoff's syndrome)


Question: Patients otoscopy seen below, the most likely diagnosis:

Answer: Primary acquired cholesteatoma (primary acquired cholesteatoma)

Choices:
A. Congenital cholesteatoma (congenital cholesteatoma)
B. Primary acquired cholesteatoma (primary acquired cholesteatoma)
C. Secondary acquired cholesteatoma (secondary acquired cholesteatoma)
D. Cholesteatoma ear canal (ear canal cholesteatoma)


Question: After seven years of renal failure patients on dialysis serum calcium checked about 10.2 mg / dL, parathyroid hormone 1300 pg / mL, the most likely diagnosis Why?

Answer: Times-onset (secondary) hyperparathyroidism

Choices:
A. Primary hyperparathyroidism, parathyroid tumor (adenoma)
B. Primary hyperparathyroidism, parathyroid hyperplasia (hyperplasia)
C. Times-onset (secondary) hyperparathyroidism
D. Three of the (tertiary) Parathyroid hyperplasia


Question: Erythropoietic process, which of the following will not have the ability to divide?

Answer: Erythrocytes positive busbar (normoblasts)

Choices:
A. Erythrocytes positive busbar (normoblasts)
B. Erythrocyte precursor parent (proerythroblasts)
C. Basophilic mother erythrocyte (basophilic erythroblasts)
D. Mother polychromatic erythrocytes (polychromatophilic erythroblasts)


Question: Following the diagnosis of ankylosing spondylitis which found most helpful?

Answer: symmetric sacroiliitis in X-ray films

Choices:
A. positive HLA-B27
B. history of low back pain in old patients
C. pain on motion during chest expansion
D. symmetric sacroiliitis in X-ray films


Question: Commonly known as the "mother hand" of wrist tendonitis, called DeQuervain's disease, inflammation of the tendon is six wrist extensor tendon of the chamber (compartment) in the radial side closest to the first chamber. This includes that following a tendon?

Answer: Thumb abduction longus (abductor pollicis longus tendon)

Choices:
A. Short radial wrist extensor tendon (extensor carpi radialis brevis tendon)
B. Extensor carpi radialis longus tendon (extensor carpi radialis longus tendon)
C. Longus thumb extension (extensor pollicis longus tendon)
D. Thumb abduction longus (abductor pollicis longus tendon)


Question: A myasthenia gravis (myasthenia gravis) female patients after surgery to remove the thymus. Which of the following is the most rare pathological changes in the thymus?

Answer: Thymic carcinoma (thymic carcinoma)

Choices:
A. Normal thymus
B. Thymoma (thymoma)
C. Thymic lymphoid hyperplasia (thymic lymphoid hyperplasia)
D. Thymic carcinoma (thymic carcinoma)


Question: With the increase in the elderly population, incontinence (urine incontinence) increasing incidence, especially in post-menopausal women. The following clinical assessment of urinary incontinence, what's wrong?

Answer: Residual urine volume (postvoid-residual volume) is greater than 100 mL, urinary flow rate greater than 15 mL / sec, represents emptying bladder dysfunction

Choices:
A. History taking should include whether there is diabetes, neurological disease or urinary tract problems
B. The physical examination should include cognitive function and the second and third sacral nerve examination
C. Residual urine volume (postvoid-residual volume) is greater than 100 mL, urinary flow rate greater than 15 mL / sec, represents emptying bladder dysfunction
D. Residual urine volume of less than 100 mL, urinary flow rate of less than 10 mL / sec, showing urethral obstruction


Question: The following statements about the petrous bone (petrous portion of temporal bone) of, what's wrong?

Answer: Small rock nerve (Lesser petrosal nerve) containing the postganglionic parasympathetic fibers derived from the ninth cranial nerve

Choices:
A. Petrosal nerve (Greater petrosal nerve) by the disposal of the geniculate ganglion (geniculate ganglion)
B. Small rock nerve (Lesser petrosal nerve) containing the postganglionic parasympathetic fibers derived from the ninth cranial nerve
C. Rock deep nerve (Deep petrosal nerve) containing sympathetic postganglionic fibers
D. And the deep petrosal nerve rock into the neural tube formation wing pterygoid canal nerve (nerve of pterygoid canal)


Question: Cerebellum (Cerebellum) development is derived from:

Answer: Hindbrain (Metencephalon) of the blade neuroblasts

Choices:
A. Brain marrow (Myelencephalon) of the blade neuroblasts (neuroblasts of alar plates)
B. The substrate marrow brain neuroblastoma (neuroblasts of basal plates)
C. Hindbrain (Metencephalon) of the blade neuroblasts
D. The substrate brain neuroblastoma


Question: Which of the following best childhood diseases do not meet the indications for bone marrow transplantation?

Answer: Mucopolysaccharidosis (mucopolysaccharidoses) of Hunter syndrome

Choices:
A. Acute myeloid leukemia (acute myeloid leukemia) second remission (second complete remission)
B. Congenital severe immunodeficiency (severe combined immune deficiency)
C. Mucopolysaccharidosis (mucopolysaccharidoses) of Hunter syndrome
D. Severe aplastic anemia (severe aplastic anemia)


Question: Born in Vancouver, the Canadian Chinese youth, David, for the first time this summer back to Taiwan to visit elderly grandparents, former fly twice received the hepatitis B vaccine, he most likely serum antibodies to hepatitis B surface antigen why is the situation?

Answer: Second day 5 after vaccination appear very high amount of IgG

Choices:
A. After the first vaccination on day 5 appeared extremely high amount of IgM
B. After the first vaccination on day 5 appeared extremely high amount of IgG
C. Second day 5 after vaccination appear very high amount of IgM
D. Second day 5 after vaccination appear very high amount of IgG


Question: About Renovascular hypertension, the following statements is wrong?

Answer: Occurs only in young patients

Choices:
A. Resulting in ischemic kidney renin secretion is too high
B. Occurs only in young patients
C. Some patients can be heard in the abdominal vascular murmur (bruit)
D. Both renal artery stenosis, disable angiotensin converting enzyme inhibitors (ACEI) control of blood pressure


Question: The occurrence of lymph node center (germinal center) is the place B cell development, but it does not contain one of the following role?

Answer: Recombinant antigen receptors (antigen receptor gene rearrangement)

Choices:
A. Recombinant antigen receptors (antigen receptor gene rearrangement)
B. Antibody type transition (immunoglobulin class switching)
C. Somatic hypermutation (somatic hypermutation)
D. Forming memory cells (memory cells)


Question: A 25-year-old woman, complained of pain when there is recent sex happens. Examination revealed the right rear side has the labia minora local swelling phenomena, and in the case where there was tenderness upon palpation. Surgical resection of a 3 cm in size, internal pus-filled cysts. Which of the following is the most likely diagnosis?

Answer: Bartholin's gland cyst

Choices:
A. Bartholin's gland cyst
B. Gartner duct cyst
C. Papillary hidradenoma
D. Urachal cyst


Question: Which of the following people in the past five years the average annual maximum number of times for medical treatment?

Answer: Taiwan

Choices:
A. Taiwan
B. United States
C. United Kingdom
D. Turkey


Question: About bacterial gene operon of narrative form, what's wrong?

Answer: Genes can not be translated when transcribed

Choices:
A. Usually consists of several related genes
B. Promoter controls transcription of a
C. Genes can not be translated when transcribed
D. RNA transcribed genes generally contain several


Question: Uric acid crystals precipitated in the renal tubules (renal tubules) and collecting duct (collecting ducts) causes urinary obstruction known as:

Answer: Uric acid nephropathy (uric acid nephropathy)

Choices:
A. gout
B. Kidney stones
C. Urate nephropathy (urate nephropathy)
D. Uric acid nephropathy (uric acid nephropathy)


Question: There are big time when children come for treatment has severe diarrhea an 8 months 5 days, physical examination found: This patient was pale, pulse 180 beats / min, breathing 45 times / min, blood pressure 50 / 30mmHg, capillary refilling time (capillary refill time ) is 5 seconds. The most appropriate at this time to dispose of immediately:

Answer: Marked drip, given 0.9% NaCl 20 mL / kg / 1hr

Choices:
A. As the electrolyte and blood gas analysis, oral administration of drinks
B. Marked drip, given 0.9% NaCl 20 mL / kg / 1hr
C. As an electrolyte and blood gas analysis, oxygen is administered
D. Marked drip, given 0.33% NaCl in 5% dextrose 80 mL / kg / 24hr


Question: Ureteral injury of the following statements about what's right?

Answer: Most occurred during surgery, was immediately found and repaired, its good surgical results

Choices:
A. The most common occurrence is in third place ureter
B. Most occurred during surgery, was immediately found and repaired, its good surgical results
C. Most often during colorectal surgery
D. Resulting in gynecological surgery ureteral injury often occurs in ovariectomy


Question: 50. The treatment of migraine triptans class of drugs that affect the 5HT receptors of? ①1A ②1B ③1C ④1D

Answer: ②④

Choices:
A. ①③
B. ②④
C. ①④
D. ②③


Question: Occur in the NPC and the Chinese people following a virus closely related to what?

Answer: EB virus (Epstein-Barr virus)

Choices:
A. Herpes simplex virus (Herpes simplex virus)
B. Hepatitis B virus (Hepatitis B virus)
C. EB virus (Epstein-Barr virus)
D. HPV (Human papillomavirus)


Question: Which of the following via inhibition of vitamin K epoxide reductase, reduced clotting factor manufacture?

Answer: warfarin

Choices:
A. heparin
B. warfarin
C. tPA（tissue plasminogen activator）
D. melagartran


Question: When the egg to complete the first meiotic division (meiosis I)?

Answer: When tidal discharge luteinizing hormone (LH surge)

Choices:
A. Sexual maturity (puberty)
B. When tidal discharge luteinizing hormone (LH surge)
C. When the sperm enters the egg
D. After fertilization (fertilization)


Question: 309 year-old girl often complained of palpitations; 2 years ago with venous sinuses (sinus venosus) Atrial septal defect type for surgery. ECG below. Which of the following is the most likely diagnosis?

Answer: Atrial flutter (atrial flutter)

Choices:
A. Atrial fibrillation (atrial fibrillation)
B. Atrial flutter (atrial flutter)
C. Atrioventricular cyclotron frequency pulse (AVRT)
D. Boshitsuyui 迴旋 tachycardia (AVNRT)


Question: On the prevention of infant allergy concept, the following statements is most inappropriate?

Answer: In accordance with international guidelines recommend routine use of probiotics in infants to prevent allergies

Choices:
A. Pregnant women do not need to diet to avoid foods high allergy (eg seafood, peanuts, etc.)
B. Recommendations can start adding large grocery at 4 to 6 months
C. The effect of breast-feeding for the prevention of asthma uncertain
D. In accordance with international guidelines recommend routine use of probiotics in infants to prevent allergies


Question: A natural birth after birth was found the next day the scalp parietal bone (parietal) regions lumps of a size of table tennis, clear edge, and not beyond the suture. Will most likely diagnosis is:

Answer: Cephalohematoma (cephalohematoma)

Choices:
A. Fetal head mass (caput succedaneum)
B. Cephalohematoma (cephalohematoma)
C. Hematoma subgaleal (subgaleal hematoma)
D. Cerebral spinal bifida (meningocele)


Question: A 62-year-old woman was treated as a chronic cough, asthma treatment a month, until coughing up blood before switching to thoracic surgery, bronchoscopy section diagnosis was adenoid cystic carcinoma of the trachea, the next disposal, which of the following ideal?

Answer: After assessed directly tracheal reconstruction surgery

Choices:
A. Before chemotherapy and then surgery
B. For tracheostomy stoma not to be considered surgery
C. After assessed directly tracheal reconstruction surgery
D. Create radiation therapy immediately Allowed


Question: The following account of B cells, what's wrong?

Answer: The number of B cells in the blood than neutrophils (neutrophil)

Choices:
A. B cell development occurs mainly in the bone marrow
B. Most B cell apoptosis naturally during the maturation process
C. After binding the antigen, an Ig Ig can be transmitted by the message, that the cell activation
D. The number of B cells in the blood than neutrophils (neutrophil)


Question: - right heart syndrome (Dextrocardia) as a variation of the heart. Such symptoms apex (Apex) towards the right. The cause of such symptoms are:

Answer: Core tube (Heart tube) is folded at the folding time of rightward

Choices:
A. Diaphragm (Septum transversum) defects
B. Ectopic aorta (Transposition of great arteries)
C. Core tube (Heart tube) is folded at the folding time of rightward
D. The ventricular septal defect (Interventricular septum) is formed


Question: pili or fimbriae surface of the bacteria usually cause the host machine turn virulence why?

Answer: Attached to a specific cell surface

Choices:
A. Attached to a specific cell surface
B. Enhance the mobile force bacteria
C. Resistance to phagocytosis
D. Enhance the role of endotoxin


Question: A 30-year-old female patient, falling on the ground from the third floor, the 119 ambulance service of a regional hospital emergency room. To the hospital very restless patient, blood pressure 80/50 mmHg, heart rate 130 / min, respiration 30 / min. Since there is no hospital treatment capacity of severe trauma, patients must be transferred to the trauma center. I ask before transfer, dispose of the following items that inappropriate?

Answer: Give a lot of fluids and blood transfusion, the patient must be maintained in order to transfer systolic blood pressure above 120 mmHg

Choices:
A. Should immediately confirm the airway open without worry
B. Given oxygen
C. Give a lot of fluids and blood transfusion, the patient must be maintained in order to transfer systolic blood pressure above 120 mmHg
D. Direct contact with the physician accepting referral


Question: One 20-year-old university student from an overdose of drugs, causing seizures and was sent to the emergency department, her roommate describe the student had some oral drugs can cause insomnia. Which of the following is used to treat asthma patient's airway spasm, and easily lead to insomnia and epilepsy?

Answer: theophylline

Choices:
A. ipratropium
B. theophylline
C. cromolyn
D. metaproterenol


Question: A 25 year-old male patient complained of palpitations 2-hour, in an amount to give the emergency room of a pulse for approximately 140 times / min, and the electrocardiogram made below. The most correct diagnosis:

Answer: Paroxysmal supraventricular tachycardia (paroxysmal supraventricular tachycardia)

Choices:
A. 竇性 tachycardia (sinus tachycardia)
B. Atrial fibrillation (atrial fibrillation)
C. Paroxysmal supraventricular tachycardia (paroxysmal supraventricular tachycardia)
D. Ventricular tachycardia (ventricular tachycardia)


Question: 39. Ms. Wang, 48 years old, in addition to natural production over the past two outer no special history of the disease, a large number of vaginal bleeding due to emergency attendances, was found in the examination of the cervix with a 7 centimeter tumor, sliced confirmed cervical squamous cell carcinoma, tumor range to 1/3 vaginal wall, signs of uterine tissue soft non-intrusive, chest X-ray is normal, renal pelvis renal pelvis or ureter photography no indication edema, CT no lymph nodes, according to the current International Federation of Gynecology and Obstetrics ( International Federation of Gynecology and Obstetrics, FIGO) staging, Ms. Wang cervical cancer clinical stage why?

Answer: IIIa

Choices:
A. Ib3
B. IIa2
C. IIb
D. IIIa


Question: 13-year-old girl after being scolded sudden convulsions, were able to determine what belongs to the following pseudo-twitch (pseudoseizure)?

Answer: No abnormal EEG changes convulsions

Choices:
A. MRI (magnetic resonance, MR) examination was normal
B. Cerebrospinal fluid (cerebrospinal fluiod, CSF) no abnormal
C. No abnormal EEG changes convulsions
D. After intravenous injection of diazepam convulsions stopped


Question: What bile duct cysts are most likely to need a liver transplant?

Answer: Type V（Dilatation of intrahepatic duct）

Choices:
A. TypeⅠ（Cystic dilatation of common bile duct）
B. TypeⅡ（Diverticulum from common bile duct）
C. TypeⅢ（Choledochocele）
D. Type V（Dilatation of intrahepatic duct）


Question: A 70-year-old female patient with hypertension, history of diabetes for many years, are normal 23:00 to sleep, get up at 6 am, only to find that talk is not clear, the left limb weakness, 6:30, to be sent to the family emergency room, 7:20, blood pressure: 160/88 mmHg, all blood tests, ECG were normal, no brain tomography brain hemorrhage or other abnormalities, then the most appropriate treatment why not?

Answer: Intravenous thrombolytic agents (rt-PA) therapy

Choices:
A. Intravenous thrombolytic agents (rt-PA) therapy
B. Oral administration of anti-platelet agents (Aspirin) Treatment
C. Stroke admitted to the intensive care unit treatment
D. Strict control of blood glucose


Question: Loss of androgen deprivation therapy (castration-resistant) prostate cancer (prostate cancer), which does not include medications which of the following?

Answer: flutamide

Choices:
A. flutamide
B. ENZALUTAMIDE
C. abiraterone acetate
D. docetaxel


Question: The most likely diagnosis is:

Answer: Pyloric stenosis

Choices:
A. Pyloric stenosis
B. Duodenal atresia
C. Jejunal atresia
D. Gastric vulvulus


Question: When a 26-year-old woman appeared on both sides of the inter-core when the optic nerve palsy (bilateral internuclear ophthalmoplegia), the most likely diagnosis is:

Answer: Multiple sclerosis

Choices:
A. Multiple sclerosis
B. Brainstem ischemic stroke
C. Brainstem arteriovenous malformation
D. Brain stem tumor


Question: Which of the following is toxic T cells (cytotoxic T cell) co-receptor (co-receptor)?

Answer: CD8

Choices:
A. CD2
B. CD3
C. CD4
D. CD8


Question: Treatment of non-allergic rhinitis, of the following is least effective?

Answer: The second generation antihistamines oral

Choices:
A. Steroid nasal sprays
B. The first generation of oral antihistamine
C. The second generation antihistamines oral
D. Antihistamine nasal spray


Question: A 40-year-old woman, examination showed a tumor on the posterior wall of the uterus, and has invaded the myometrium. Is visible under the microscope by a single type of tumor cells, there are no villi (chorionic villus) a. These tumor cells with a single nucleus and abundant cytoplasm. Immunohistochemical staining found that these cells have a human placental lactogen (human placental lactogen) performance. The most likely diagnosis is:

Answer: At trophoblastic tumor implantation (Placental site trophoblastic tumor)

Choices:
A. Endometrial stromal sarcoma (Endometrial stromal sarcoma)
B. Choriocarcinoma (Choriocarcinoma)
C. At trophoblastic tumor implantation (Placental site trophoblastic tumor)
D. Invasive moles (Invasive mole)


Question: Which of the following drugs, the least likely to shrink fibroids?

Answer: Progesterone (progesterone)

Choices:
A. RU486
B. Progesterone (progesterone)
C. GnRH
D. GnRH antagonist


Question: A stroke patient, understanding completely normal, difficulty in starting his speech, and the need to strain to toad, speech language Chang ring true (dysprosody), the same word articulation errors are inconsistent (articulatory inconsistency), but will be self-correcting. This bit patients most likely to be following what language barriers?

Answer: Language apraxia (apraxia of speech)

Choices:
A. Wo Nike aphasia (Wernicke's aphasia)
B. Bullock aphasia (Broca's aphasia)
C. Dysarthria (articulation disorder)
D. Language apraxia (apraxia of speech)


Question: Pain and temperature sensory receptors of the message can be transmitted to the somatosensory cortex that by following a nerve path?

Answer: anterolateral system

Choices:
A. dorsal column system
B. anterolateral system
C. corticospinal system
D. corticobulbar system


Question: In general, patients with vascular dementia (vascular dementia), and has a multi Which of the following characteristics?

Answer: Multiple vascular risk factors

Choices:
A. Multiple vascular risk factors
B. Slow movement, stiff limbs, especially in the upper limbs for the most
C. Rarely depressive symptoms
D. Much later appear incontinence


Question: Which of the following is not a cure asthma medication?

Answer: propranolol

Choices:
A. cromolyn
B. propranolol
C. zileuton
D. beclomethasone


Question: Following the infiltration (osmosis) related to the description of what's right?

Answer: osmolarity susceptible to variation solute concentration in solution (solutes) and affect

Choices:
A. refers to the amount per liter osmolarity (liter) solvent (Solvent) the permeability (osmoles) of
B. osmolality refers to the amount per liter of solution (Solution) degrees in the permeate
C. refers to the amount of osmolarity per kilogram (of kilogram.) of the permeate solution
D. osmolarity susceptible to variation solute concentration in solution (solutes) and affect


Question: The most common cause of chronic pancreatitis Why?

Answer: Long-term wine

Choices:
A. Gallstones
B. Long-term wine
C. Chronic hepatitis
D. CFTR gene mutation


Question: There is a pregnancy of preterm children born 28 weeks after discharge to assess the baby's development track In following a discovery that need referral joint assessment of child development center for further disposal?

Answer: 13 months after the birth of the lower limbs to support the body still can not stand up in aid

Choices:
A. 2 months after birth, still no meaningful smile (smile)
B. 5 months after birth will still not turn over (roll over)
C. 2 months neck is still not stable hold up the head after birth
D. 13 months after the birth of the lower limbs to support the body still can not stand up in aid


Question: The following options that can increase the statistical test force (statistical power)?

Answer: Increase the number of (sample size) samples

Choices:
A. Double-blind (double-blind)
B. Randomized (randomization)
C. Increase the number of (sample size) samples
D. Using a control group (Control)


Question: The following diseases often complicated by the hearing impaired?

Answer: Alport's syndrome

Choices:
A. Adult-type polycystic kidney disease
B. Alport's syndrome
C. Henoch-Scholein purpura
D. Goodpasture's syndrome


Question: Pathogenic bacteria Pathology of the following machine turn mainly through outside bacteria produce toxins, except for whichever?

Answer: Mycobacterium tuberculosis

Choices:
A. Vibrio cholerae
B. Diphtheria
C. Botox
D. Mycobacterium tuberculosis


Question: Pulmonary venous return a complete failure patients (total anomalous pulmonary venous return), and although there are different degrees of hypoxia (desaturated), may be employed are generally selective (Elective) to surgical treatment, but with the following circumstances, it is necessary to urgency (emergent) surgical treatment?

Answer: Regardless of that type, as long as the return path has blocked (obstructed) by

Choices:
A. There were mixed return path
B. Supracardiac (supracardiac type) completely abnormal pulmonary venous return
C. Regardless of that type, as long as the return path has blocked (obstructed) by
D. Cardiac type (intracardiac type) completely abnormal pulmonary venous return, but not into the coronary sinus (coronary sinus) but were directly injected into the right atrium


Question: Former hip-bit dislocation, hip limb deformities produce what?

Answer: Abduction (Abduction) and the external rotation (external rotation)

Choices:
A. Abduction (Abduction) and the external rotation (external rotation)
B. Abduction and internal rotation (internal rotation)
C. Adduction (adduction) and the rotary
D. Adduction and external rotation


Question: 6220-year-old male college student, complained of persistent fever for 10 days, the merger headache, muscle aches and sore throat. Family, classmates or friends no similar symptoms. Physical checkups have swollen lymph glands of the neck and groin and torso skin rash. Peripheral blood leukocytes 4,200 / μL, leukocyte: the multi-core sphere 35% 45% lymphocytes, 15% monocytes and 5% atypical lymphocytes. GOT: 56 U / L, GPT: 60U / L, total bilirubin (total bilirubin): 1.0 mg / dL. Will most do not need to choose which of the following tests?

Answer: measles IgM

Choices:
A. HIV test（human immunodeficiency virus I & II）
B. CMV IgM（cytomegalovirus IgM）
C. EB VCA IgM（Epstein-Barr viral capsid antigen IgM）
D. measles IgM


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

Answer: Acute attack, the use of non-steroidal anti-inflammatory drugs (NSAIDs) or colchicine (colchicine) treatment

Choices:
A. In the acute attack, serum uric acid (uric acid) higher constant value
B. Acute attack, the use of non-steroidal anti-inflammatory drugs (NSAIDs) or colchicine (colchicine) treatment
C. Hyperuricemia in patients with long-term, you can often see a meniscal cartilage (meniscus) cartilage occurs calcareous Shen disease (chondrocalcinosis)
D. A polarization microscope (polarized light microscope) examination of joint fluid, needle-like crystals can be seen positive birefringence (positively birefringent) properties


Question: 32 year old pregnant woman, G5P4, at 41 weeks, to be produced in the fetal monitor checks accepted, results as shown below: which interpretation that?

Answer: variable decelerations

Choices:
A. early deceleration
B. late deceleration
C. variable decelerations
D. sinusoid pattern


Question: Palate tongue (palatoglossus muscle) is governed by what nerve?

Answer: Accessory nerve (accessory nerve) of the cranial root (cranial root), turning the vagus nerve (vagus nerve)

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


Question: Respiratory failure showed low oxygen, and no carbon dioxide retention, and chest X-ray no obvious lung infiltration, then what is to be considered clinically disease?

Answer: Pulmonary vascular disease

Choices:
A. Respiratory center lesions
B. Respiratory pump lesions
C. Severe chronic obstructive pulmonary disease
D. Pulmonary vascular disease


Question: Features about vernal keratoconjunctivitis (Vernal keratoconjunctivitis), the following statements is true?

Answer: Itching, discharge and more

Choices:
A. And about wearing contact lenses
B. Occurs in middle-aged women
C. Conjunctiva smear seen basophilic leukocytes to inflammatory cells (basophil) based
D. Itching, discharge and more


Question: About suture techniques and how to reduce facial scarring of the narrative, which of the following error?

Answer: The facial skin incision with cut shall be as perpendicular to the direction of wrinkles

Choices:
A. The facial skin incision (incision) and subject to the detailed design plans, the wound can not be cut
B. The facial skin and the skin incision to be as parallel as possible slack line (relax skin tension line)
C. The facial skin incision with cut shall be as perpendicular to the direction of wrinkles
D. The need to eliminate wound suture facial subcutaneous dead space (dead space), the use of smaller sutures wound


Question: Which of the following situations will not increase the strength of the carotid pulse (carotid pulse) of (intensity)?

Answer: Left atrial myxoma (myxoma)

Choices:
A. Aortic insufficiency
B. Left atrial myxoma (myxoma)
C. fever
D. anemia


Question: The following description of the relevant medical price elasticity of demand, whichever is correct?

Answer: Dental services price elasticity is high compared with Western medicine

Choices:
A. Outpatient hospital services than the price elasticity is high
B. Dental services price elasticity is high compared with Western medicine
C. Nursing home price elasticity than the acute inpatient services for low
D. Health care services than the average price elasticity is high


Question: The first type of human T-lymphotropic virus (Human T-lymphotropic virus type 1, HTLV-1) is related cancers:

Answer: Adult T-cell leukemia (Adult T-cell leukemia)

Choices:
A. Chronic myelogenous leukemia (Chronic myelogenous leukemia)
B. Adult T-cell leukemia (Adult T-cell leukemia)
C. Kaposi's sarcoma (Kaposi's sarcoma)
D. HTLV-1 associated myelopathy (HTLV-1 associated myelopathy)


Question: A 4-year-old boy fell from the bike and the right arm to the ground, due to pain and swelling of the right arm, the parents took him to the emergency attendances and receive X-rays from the image display this boy what happened fracture?

Answer: Mengtejiya's fracture (Monteggia's fracture)

Choices:
A. Kelai Stormer fracture (Colles' fracture)
B. Padang's fracture (Barton's fracture)
C. Rail Lai Aji's fracture (Galeazzi's fracture)
D. Mengtejiya's fracture (Monteggia's fracture)


Question: The interaction of genetic code (codon) and the anticodon (anticodon) through a combination of what kind of chemical bond?

Answer: Hydrogen bond (hydrogen bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Ionic bonds (ionic bond)
C. A peptide bond (peptide bond)
D. Acetal bond (acetal bond)


Question: 46. ⽣ about mixed ovarian malignant germ cell tumors (mixed germ cell malignancies of the ovary), is a mixture of two or more ⽣ germ cell tumors (germ cell tumor), the most commonly ⾒ combination of those two patterns?

Answer: Asexual embryo tumor (dysgerminoma) and ovarian endodermal sinus tumor (endodermal sinus tumor)

Choices:
A. Asexual embryo tumor (dysgerminoma) and ovarian endodermal sinus tumor (endodermal sinus tumor)
B. Asexual embryonic tumors (dysgerminoma) and ovarian tumor polyembryony (polyembryoma)
C. Ovarian tumor polyembryonic (polyembryoma) and immature teratoma (immature teratoma)
D. Ovarian endodermal sinus tumor (endodermal sinus tumor) and immature teratoma (immature teratoma)


Question: 4 Which of the following congenital metabolic disease can produce lactic acidosis (lactic acidosis)?  galactosemia  pyruvate dehydrogenase deficiency  Leigh's encephalopathy  organic acidurias


Question: The following account of the pentose phosphate pathway (pentose phosphate pathway), and what's wrong?

Answer: The restriction enzyme reaction rate (rate limiting enzyme) of 6-phospho-gluco-lactonase

Choices:
A. Generating NADPH for reduction reactions using
B. The product can be converted into ribose-5-phosphate for use of nucleotide synthesis
C. Reaction glucose-6-phosphate dehydrogenase deficiency can lead to broad bean disease
D. The restriction enzyme reaction rate (rate limiting enzyme) of 6-phospho-gluco-lactonase


Question: The following statements about autism and what was right?

Answer: In order to effectively enhance the ability Richangshenghuo must assess the level of language skills, movement, social relations, to develop treatment and education direction

Choices:
A. It spoken often obstacles, so often body language to communicate with the outside world
B. Most have special memories, painting, sound sense genius ability, so that the focus of treatment is to find a particular patient's ability to host
C. In order to effectively enhance the ability Richangshenghuo must assess the level of language skills, movement, social relations, to develop treatment and education direction
D. Autistic children have three core features of social interaction, language development and motor development delay thickness


Question: Which of the following drug treatment of asthma and its role longest?

Answer: Formoterol

Choices:
A. Salbutamol
B. Terbutaline
C. Adrenaline
D. Formoterol


Question: Which of the following diseases is not suitable for use arginine vasopressin (AVP) antagonist (vaptans)?

Answer: Diabetes insipidus (diabetes insipidus)

Choices:
A. Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
B. High fluid hyponatremia (hypervolemic hyponatremia)
C. Merge small cell lung cancer hyponatremia
D. Diabetes insipidus (diabetes insipidus)


Question: Spinal cord injury patients 5 years, can not be bent knees, X-rays below the knees, which is most likely diagnosis:

Answer: Ectopic calcification

Choices:
A. Bone cancer
B. Osteoporosis
C. Ectopic calcification
D. Degenerative arthritis of the knee


Question: A 37-year-old woman factory worker, because the last two weeks after the gradual weakness for treatment. Six months ago the patients have eyelid (eyelid) and dry eye swelling phenomenon, two months ago, erythema on the eyelids and fingers side, unable to move his hands high and that an inspection can not stand up from the seat, the following month ago is the most important of the check?

Answer: Creatine phosphokinase

Choices:
A. The number of white blood cells
B. Lower extremity X-ray
C. Creatine phosphokinase
D. Immunoglobulin


Question: The following is a case-control study, prospective cohort comparison study with retrospective cohort study of what's wrong?

Answer: Most likely to establish the timing relationship is retrospective cohort study

Choices:
A. 成本：prospective cohort study＞retrospective cohort study＞case-control study
B. Most likely to establish the timing relationship is retrospective cohort study
C. Only case-control study can not be calculated relative risk and absolute risk
D. The number of samples used in case-control study is relatively small


Question: Ecological Research (ecological studies) of the following environmental epidemiology studies are commonly used statements is wrong?

Answer: Very easy to control interference factor

Choices:
A. Unable to obtain personal information exposed
B. Very easy to control interference factor
C. The relationship between population level can not be inferred to the individual level
D. New areas for research, want to quickly and low cost way to seek possible hypotheses


Question: Glucose is the most important amino acid produced indirectly via Which of the following metabolic pathways (glucose)?

Answer: citric acid cycle

Choices:
A. pentose phosphate pathway
B. urea cycle
C. oxidative phosphorylation
D. citric acid cycle


Question: A 40-year-old man due to fatigue and asthma outpatient treatment. Vital signs Blood pressure 125/80 mmHg, and the Law of 85 beats per minute. Pulse oximetry room air (room air SpO2) 98%. Physical examination has jacked up right ventricle (right ventricle heave), and the left second intercostal palpable systolic trembling (systolic thrill), and the left second intercostal systolic heart murmur can be heard. In addition, it can be heard clearly and with respiration split second heart sound (wide split second heart sound). The most likely diagnosis of why?

Answer: Pulmonary valve stenosis (pulmonary stenosis)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Aortic stenosis (aortic stenosis)
C. Patent ductus arteriosus (patent ductus arteriosus)
D. Pulmonary valve stenosis (pulmonary stenosis)


Question: The following description of pathological changes related to idiopathic pulmonary fibrosis (idiopathic pulmonary fibrosis), and what's wrong?

Answer: Non-specific interstitial pneumonia (non-specific interstitial pneumonia)

Choices:
A. Non-specific interstitial pneumonia (non-specific interstitial pneumonia)
B. Intergenic block fibrosis (patchy interstitial fibrosis)
C. Fibroblast proliferation foci (fibroblastic focus)
D. Fibrotic honeycomb (honeycomb fibrosis)


Question: Right brachiocephalic vein (brachiocephalic vein) to import the superior vena cava (superior vena cava) position, corresponding to the most likely surface:

Answer: Sternum (manubrium) right edge

Choices:
A. Sternum (manubrium) right edge
B. Sternum (manubrium) left edge
C. Sternal body (body) just below
D. The third intercostal space on the right


Question: 46. Miss Lee, 55 years old, due to sudden headache and seizures, unconsciousness was sent to the emergency room colleagues, checking its computer tomography (CT) as shown below. The following statements is wrong?

Answer: Complications, cerebral vascular spasm (vasospasm) is usually higher than bleeding (rebleeding) occurs early

Choices:
A. Possible diagnosis of subarachnoid hemorrhage (subarachnoid hemorrhage)
B. The most common disease because of cerebral aneurysms (aneurysm) rupture
C. Complications may occur hydrocephalus
D. Complications, cerebral vascular spasm (vasospasm) is usually higher than bleeding (rebleeding) occurs early


Question: 79 falciparum malaria symptoms are those of a more serious cause of malaria in the other three? Fever lasts longer when red blood cells can ① ② violations of various developmental stages more easily lead to relapse (relapse) ③ may be complicated by cerebral malaria (cerebral malaria) ④ attack (paroxysm)

Answer: ①③④

Choices:
A. ①②③
B. ①②④
C. ①③④
D. ②③④


Question: 60-year-old female patient complained of mild pain and swelling in the right knee has been two weeks. Extracting synovial fluid sample, the outer yellow transparent, viscosity (Viscosity) is very high, white blood cells at a concentration of 250 cells / mm3. The most appropriate diagnostic why?

Answer: Degenerative arthritis

Choices:
A. Gouty arthritis
B. Degenerative arthritis
C. Bacterial arthritis
D. Psoriatic arthritis


Question: Statements about congenital anomalies of the esophagus, which of the following error?

Answer: Esophageal atresia often grow up to be discovered

Choices:
A. Esophageal atresia (esophageal atresia) occurs most often in near the bifurcation of the trachea
B. Webbed esophagus (esophageal web) in addition to the causes of congenital abnormalities, can also occur in long-esophageal reflux patients
C. Esophageal atresia often grow up to be discovered
D.  esophageal tube, the most common form of the esophagus above the blind end, forming the bottom of the esophagus and trachea tube 


Question: 60 year old male, back pain and hematuria recently, computer tomography found a 4 cm left kidney tumor size, tumor surgical specimens cut surface and yellow necrosis region, as shown microscopic changes. Which of the following most unlikely that such tumor gene abnormality?

Answer: Low methyl (hypomethylation) of the VHL gene

Choices:
A. The third deletion of the short arm of chromosome (3p-)
B. The third occurrence of the unbalanced translocation chromosome
C. Somatic mutations (somatic mutation) VHL gene
D. Low methyl (hypomethylation) of the VHL gene


Question: Before accepting patients undergoing heart surgery assessed as rheumatic valve disease, their preoperative blood pressure of 170/35 mmHg, valve disease is most likely to be what?

Answer: Aortic insufficiency

Choices:
A. Aortic stenosis
B. Aortic insufficiency
C. Mitral insufficiency
D. Mitral stenosis


Question: A 56-year-old housewife and has two men and a woman, no abortion history. Since the age of 40 uterine fibroids cause symptoms of anemia caused by excessive menstrual blood, after discussion with a gynecologist, hysterectomy surgery, but retain both ovaries. Began to face flushing, palpitations, insomnia and other symptoms about 52 years old, diagnosed with post-menopausal symptoms, women had used hormone therapy for two years. Aunt passed away due to breast cancer in the year before, because I heard there is a family history of breast cancer, about whether you will develop breast cancer, it came to the clinic for assessment. This case of breast cancer the most important risk factor why?

Answer: Over age 50

Choices:
A. Over age 50
B. Hormone therapy
C. Aunt get breast cancer
D. After hysterectomy


Question: Allergens and antigen-specific IgE how the combined activation of mast cells (mast cells)?

Answer: Send messages to the recipient cell surface of mast cells by IgE

Choices:
A. Complement receptor is via swallowed into the mast cells
B. Produce more B cell surface IgE antibodies stimulate B cells via
C. Send messages to the recipient cell surface of mast cells by IgE
D. Adhesion to MHC molecules on dendritic cells to stimulate T cells to produce IL-4


Question: The deltoid tuberosity of the humerus (deltoid tuberosity of humerus) fracture location, most likely a direct vascular injuries that?

Answer: Deep brachial artery (profunda brachii artery)

Choices:
A. Humeral circumflex artery before (anterior circumflex humeral artery)
B. After humeral circumflex artery (posterior circumflex humeral artery)
C. Scapular circumflex artery (circumflex scapular artery)
D. Deep brachial artery (profunda brachii artery)


Question: Many large position in the section of the spinal micturition reflex center for adults?

Answer: The first lumbar vertebra

Choices:
A. Tenth thoracic
B. The first lumbar vertebra
C. The fifth lumbar vertebra
D. The second sacral


Question: Features old-age diseases do not include which of the following?

Answer: Typical performance

Choices:
A. Merge multiple diseases
B. Typical performance
C. Latent disease
D. Easy iatrogenic problems


Question: See pseudokidney sign during abdominal ultrasound examination, the following may be what disease?

Answer: Intussusception (intussusception)

Choices:
A. Volvulus (volvulus)
B. Acute cholecystitis (acute cholecystitis)
C. Intussusception (intussusception)
D. Wilms mother sarcoma (Wilms' tumor)


Question: Statements about human kidney to regulate plasma osmolality (osmolar regulation) is, which of the following error?

Answer: Antidiuretic hormone distal renal tubular reabsorption of water molecules easily

Choices:
A. Penetration plasma (plasma osmolality) is greater than 280 mOsm / kg H2O will stimulate the antidiuretic hormone (antidiuretic hormone) secreted
B. Thirst plasma osmotic stimulation threshold (threshold) than stimulated secretion of antidiuretic hormone high threshold
C. Antidiuretic hormone distal renal tubular reabsorption of water molecules easily
D. Concentrated urine when urine osmolality value up to 1200 mOsm / kg H2O, while its dilute urine Urine permeability can be as low as to 50 mOsm / kg H2O


Question: Can be lost (disability) patients, in an interview with the focus of rehabilitation therapy should be noted, does not include which of the following?

Answer: Rehabilitation should be taken one way, and not to let too many patients with other patients have social interaction (social interaction)

Choices:
A. Loss of energy due to the extent of each patient is different, so the rehabilitation treatment must be tailored in accordance with each person's different arrangements (individualized)
B. It must be noted rehabilitation environment (environmental factors), such as barrier-free space
C. Must have a good education families (adequate family education)
D. Rehabilitation should be taken one way, and not to let too many patients with other patients have social interaction (social interaction)


Question: When you see this patient's ECG, you would think that detects blood of patients with electrolyte?

Answer: Potassium

Choices:
A. sodium
B. Potassium
C. calcium
D. phosphorus


Question: Statements about the role of insulin following, whichever is correct?

Answer: Stimulated glucose transport protein (glucose transporter) from the vesicles (vesicle) to the cell membrane

Choices:
A. After the cell membrane receptor (receptor) binding, activation of the amino acid filament accepting excited  (serine kinase)
B. Activation stimulated glycogen synthesis   three (GSK-3)
C. Stimulated glucose transport protein (glucose transporter) from the vesicles (vesicle) to the cell membrane
D. Forming a complex across the cell membrane is transferred to mitochondria (Mitochondria)


Question: He who belong to the following drugs Alkylating agent?

Answer: Busulfan

Choices:
A. Thioguanine
B. Busulfan
C. Bleomycin
D. Vincristine


Question: Thoracic duct (lacteal) distributed in the layer of the small intestine?

Answer: Lamina propria (lamina propria)

Choices:
A. Lamina propria (lamina propria)
B. Submucosa (submucosa)
C. Muscularis mucosa (muscularis mucosae)
D. Serosa (serosa)


Question: A 56-year-old postmenopausal women, and they have a man and a woman, long-term use hormone drugs improve the symptoms of menopause, because of television coverage of breast cancer incidence increased fear in the heart, to out-patient clinics. Breast examination symmetrical appearance, skin, no dents, palpation both breasts Jie smooth nodules. Arrange mammography (mammography), test results are reported as BI-RADS category: 0. Which of the following is the most appropriate patients for outpatient physician advice?

Answer: In the near future have to arrange further imaging studies

Choices:
A. Regular mammography track each year
B. Regular ultrasound examination every six months to track
C. In the near future have to arrange further imaging studies
D. Requiring immediate arrangements for outpatient core needle check (core needle biopsy)


Question: When full-term birth, fetal Which of the following is not a distress situation occur?

Answer: Fetal heart rate appears "early deceleration"

Choices:
A. Fetal heart a "late deceleration"
B. Umbilical artery blood flow velocity waveform appears countercurrent
C. Fetal heart rate appears "early deceleration"
D. Umbilical artery blood flow velocity waveform showing no diastolic blood


Question: A 50-year-old schizophrenic patients with persecutory delusions, auditory hallucinations, talking to himself, apathy and other symptoms. Which of the following belong to the negative symptoms of this disorder (negative symptom)?

Answer: Apathy

Choices:
A. Delusion
B. Auditory hallucinations
C. Soliloquize
D. Apathy


Question: A history of alcohol abuse has many years of 30-year-old man, after drinking three days ago due to the occurrence of the severe abdominal pain did not improve symptoms persist and to the emergency room for medical treatment, physical examination revealed abdominal tenderness and slight rebound in pain, patients have mild fever ( 38.1 deg.] C), the blood test leukocytes 16500 / μL, hemoglobin 10.5g / dL, abdominal computed tomography found inflamed pancreas, pancreas next liquid retention. Will the next most appropriate disposal decisions Why?

Answer: CT extracted by the liquid guide pancreas do next examination, bacterial culture

Choices:
A. Direct laparotomy parallel pancreatic debridement
B. Immediately arrange retrograde biliary photography
C. CT extracted by the liquid guide pancreas do next examination, bacterial culture
D. Laparoscopic surgery and drainage of liquid


Question: From the previous question, this patient after undergoing surgery following treatment compared with that item can not reduce the probability of relapse?

Answer: acetaminophen

Choices:
A. pregnancy
B. danazol
C. gonadotropin-releasing hormone agonist
D. acetaminophen


Question: Psoriatic arthritis (psoriatic arthritis) with which of the following related?

Answer: Often causes inflammation of the distal interphalangeal joint (distal interphalangeal joint) of

Choices:
A. Serum rheumatoid factor present in
B. Often causes inflammation of the distal interphalangeal joint (distal interphalangeal joint) of
C. Does not cause spondylitis
D. And HLA-DR2 have a strong correlation


Question: 10. Compare the probability of the emergence of Hirschsprung's disease (Hirschsprung disease, HD) and functional constipation (Functional constipation, FC) symptoms, the following statements is wrong?

Answer: Zoomed incontinence (Encopresis): HD> FC

Choices:
A. Zoomed incontinence (Encopresis): HD> FC
B. ⽣⻑遲緩（Failure to thrive）：HD＞FC
C. ⼩ enterocolitis (Enterocolitis): HD> FC
D. 腹漲（Abdominal distention）：HD＞FC


Question: Cancer tumor cells tend to anaerobic respiration, anaerobic respiration following statements regarding glucose metabolism and what was wrong?

Answer: Produces more acetyl-CoA

Choices:
A. Produce less ATP
B. Produce more lactate
C. Produces more acetyl-CoA
D. Low level of participation of Krebs cycle


Question: Join gathered into perineal body muscle, it does not include one of the following?

Answer: internal sphincter

Choices:
A. internal sphincter
B. external sphincter
C. bulbospongiosus
D. transverse perineal muscle


Question: Which of the following will also appear clubbing (clubbing fingers) and cyanosis (cyanosis) phenomenon?

Answer: Pulmonary arteriovenous  tube (pulmonary arteriovenous fistula)

Choices:
A. Infective endocarditis (infective endocarditis)
B. Inflammatory bowel disease (inflammatory bowel disease)
C. Normal
D. Pulmonary arteriovenous  tube (pulmonary arteriovenous fistula)


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

Answer: Use as a mucus layer is water resistant to prevent evapotranspiration min

Choices:
A. Tear layer by the outer (air) into the (ocular ⾯) can be divided into the layer of fat (lipid layer), liquid water resistant layer (aqueous layer), mucus layer
B. Oil layer mainly secreted by the meibomian gland plate eyelid (meibomian gland)
C. Use as a mucus layer is water resistant to prevent evapotranspiration min
D. The amount of liquid water resistant layer of basal secretion during sleep least


Question: He is not located in the following structure cerebellopontine angle (cerebellopontine angle)?

Answer: External rotation nerve (abducens nerve)

Choices:
A. Facial nerve (facial nerve)
B. External rotation nerve (abducens nerve)
C. Vestibular cochlear nerve (vestibulocochlear nerve)
D. The median nerve (nervus intermedius)


Question: Take care of the following statements about the below-knee amputation, whichever is correct?

Answer: Please post the best patient prone, one day several times, once 10-15 minutes

Choices:
A. To make the patient comfortable, anyway, when in bed, the pillow can be delegated in the knee, so keeping your knees bent
B. Postoperative residual limb will be swelling, so it is absolutely not massage
C. After stumps joint contractures could not be prevented
D. Please post the best patient prone, one day several times, once 10-15 minutes


Question: The following account of Zollinger-Ellison Syndrome, and what's right?

Answer: Secretin test is quite sensitive and specific

Choices:
A. About one-quarter MEN 2
B. Total gastrectomy is still the main treatment options
C. Few Malignant
D. Secretin test is quite sensitive and specific


Question: The following have been identified related to the diagnosis described treatment of patients with chronic symptoms and possessed of heart failure, what's wrong?

Answer: beta-blocker may be slowing of heart failure

Choices:
A. Diuretics can maintain the retention volume (volume retention) does not occur, you should consider using
B. Angiotensin converting enzyme inhibitors (angiotensin-converting enzyme inhibitor) of heart failure may be slow
C. beta-blocker may be slowing of heart failure
D. digoxin treatment of heart failure only by inhibition of switch machines + -K + ATPase in the of Na effect


Question: The following statements about stem cells (adult / somatic stem cells), and what's right?

Answer: Skin stem cells in the hair follicle bulge portion (hair follicle bulge), the epidermis (interfollicular areas of surface epidermis) between the hair follicles and sebaceous glands (sebaceous glands)

Choices:
A. Stem cells in the liver harveyi tube (canals of Havers)
B. Brain stem cells in the hippocampus (hippocampus) of CA1 and CA2 region
C. Skin stem cells in the hair follicle bulge portion (hair follicle bulge), the epidermis (interfollicular areas of surface epidermis) between the hair follicles and sebaceous glands (sebaceous glands)
D. Skeletal muscle stem cells is between epimysium (epimysium) stromal cells


Question: A 9-year-old girl sore left knee, femur X-ray examination and MRI examination As shown, serum alkaline phosphatase enzyme (alkaline phosphatase) increased tumor phenomenon at this time why?

Answer: They may cause pathological fractures

Choices:
A. Into the interior of the joint cavity
B. Wrap femoral artery
C. After the violations to the thigh muscle chamber
D. They may cause pathological fractures


Question: One patient blood gas analysis showed pH 7.51, PaCO2 49 mmHg, HCO3- 38 mmol / L, Which statement is correct?

Answer: Metabolic alkalosis

Choices:
A. Metabolic acidosis (acidosis)
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis


Question: Upper extremity lymphedema treatment of breast cancer lymph node swelling common to therapy (complex decongestive therapy), at least one of the following to use it?

Answer: Raise the affected area for drainage (elevation for drainage)

Choices:
A. Unarmed lymphatic drainage (manual lymphatic drainage)
B. Low tension bandage (short stretch bandaging)
C. Raise the affected area for drainage (elevation for drainage)
D. Swollen lymph retreat movement (decongestive exercise)


Question: 24 year-old woman was found in outpatient labia majora, but the projections of less than 1 centimeter small tumors, after biopsy, the most likely diagnosis is:

Answer: Package epithelial cysts (epidermal inclusion cyst)

Choices:
A. Carcinoma in situ (carcinoma in situ)
B. Melanoma (melanoma)
C. Package epithelial cysts (epidermal inclusion cyst)
D. Tube adenomas (hidradenoma)


Question: From the previous question, there is a check as a sensitive indicator of radiation damage, the exposure associated with the prognosis of patients with radiation. Requires multiple daily within a few days after the detection of radiation exposure. This question on most patients need frequent inspection of the project Why?

Answer: Absolute lymphocyte count (absolute lymphocyte count)

Choices:
A. Absolute lymphocyte count (absolute lymphocyte count)
B. Absolute neutrophil count (absolute neutrophil count)
C. Lactate dehydrogenase enzyme (lactate dehydrogenase)
D. Chromosome analysis neutrophils (neutrophil chromosomal analysis)


Question: The following tumor suppressor genes, what does not directly regulate the cell cycle (G1 → S)?

Answer: E-cadherin

Choices:
A. RB
B. E-cadherin
C. p16 / INK4a
D. p53


Question: 46 a 60 year old male patient with anemia due to treatment, found that increased colonoscopy colon tumor, adenocarcinoma sections pathology report, computer tomography showed no distant metastasis, the tumor surrounding clothing, right colon to the colon was found right hemicolectomy adipose tissue, mesenteric lymph nodes, there are five teeth in violation of cancer cells, so the stage was T3N2M0. What measures will be taken after the recommendations?

Answer: Containing oxaliplatin / fluorouracil / leucovorin prescription for adjuvant chemotherapy

Choices:
A. Observed
B. Containing oxaliplatin / fluorouracil / leucovorin prescription for adjuvant chemotherapy
C. Containing irinotecan / fluorouracil / leucovorin prescription for adjuvant chemotherapy
D. With prescription fluorouracil / leucovorin as adjuvant chemotherapy of


Question: Narrative about the pharmacological effects of opioids, which of the following error?

Answer: Opioids can increase the motility of the gastrointestinal tract

Choices:
A. Opioids can affect the placenta transparent offspring
B. Opioid receptor having an activated chemical excitation zone (Chemoreceptor trigger zone) effect
C. Opioids could promote contraction of bladder smooth muscle
D. Opioids can increase the motility of the gastrointestinal tract


Question: A 58-year-old male patient with a history of diabetes and high blood pressure, height 165 cm, weight 80 kg, blood tests results are as follows:

Answer: Given fibrate class of drugs

Choices:
A. Limit cholesterol intake of the patient
B. Given statin drugs therapy
C. Given fibrate class of drugs
D. Assess whether its cardiovascular abnormalities


Question: 49 by 25-year-old pregnant woman, G1P0, 39 weeks of pregnancy, fetal movement slightly reduce private prosecution, come for treatment, then do the following checks, as shown, may I ask what is done to check? Please choose the most appropriate answer lies in the four following.

Answer: Test non-pressurized (non-stress test, NST)

Choices:
A. Umbilical artery blood flow velocity waveform (umbilical artery flow velocity waveform)
B. Umbilical vein blood flow velocity waveform (umbilical vein flow velocity waveform)
C. Test pressure (contraction stress test, CST)
D. Test non-pressurized (non-stress test, NST)


Question: 1250 grams of a born preterm children developed severe respiratory distress and non-traumatic brain hemorrhage and death, when dissecting the brain hemorrhage the most common:

Answer: Periventricular germplasm layer (germinal matrix)

Choices:
A. A surface layer of the cerebral cortex (cerebral cortex)
B. Cerebellum (cerebellum)
C. Periventricular germplasm layer (germinal matrix)
D. Brain stem (brain stem)


Question: ⼀ period compared with other breast cancer, breast cancer following what type of organization the best prognosis?

Answer: mucinous carcinoma

Choices:
A. medullary carcinoma
B. mucinous carcinoma
C. metaplastic carcinoma
D. infiltrating ductal carcinoma


Question: 75. One 32 year-old female weighing 60 kg, was riding a motorcycle accidentally hit causing intra-abdominal bleeding, a preliminary examination for the systolic pressure (systolic blood pressure) normal to an emergency truck, but the pulse pressure (pulse pressure) decreased significantly , and the lower heart rate 112 / min, urine 20-30 ml / hour. This patient about how much blood loss?

Answer: 700-1100 ml

Choices:
A. 500 ml
B. 700-1100 ml
C. 1300-1700 ml
D. 1900-2300 ml


Question: About the narrative Achalasia, which of the following error?

Answer: Most likely caused by prolonged esophageal adenocarcinoma

Choices:
A. The theory is now dominated by nerve damage caused by the lower esophageal sphincter
B. Most likely caused by prolonged esophageal adenocarcinoma
C. Typical symptoms of dysphagia, weight loss and food countercurrent
D. Its surgical treatment mainly esophagomyotomy


Question: Hand flexor principles concerning the treatment of fracture of the tendon, which of the following error?

Answer: If the merger refers to arterial injury, arterial anastomosis must do first, and then sutured tendon

Choices:
A. Try to be sutured tendon surgery within 7 days
B. After six weeks almost impossible to direct suture
C. If the merger refers to arterial injury, arterial anastomosis must do first, and then sutured tendon
D. Rehabilitation of patients after surgery is very important for functional recovery


Question: Which of the following connection vestibular nucleus (vestibular nucleus) and the nerves that control eye movement of the nucleus?

Answer: medial longitudinal fasciculus

Choices:
A. vestibulocerebellar fiber
B. central tegmental tract
C. medial longitudinal fasciculus
D. medial forebrain bundle


Question: The patient checked that for the first three colorectal cancer, which of the following options for the treatment of stage?

Answer: Preoperative radiation consolidation chemotherapy

Choices:
A. Preoperative radiation therapy alone
B. Preoperative chemotherapy alone
C. Preoperative radiation consolidation chemotherapy
D. Direct surgical resection


Question: The therapeutic index of the drug treatment of asthma Which of the following (therapeutic index) narrow, need to be especially careful when using?

Answer: theophylline

Choices:
A. nedocromil
B. ipratropium
C. terbutaline
D. theophylline


Question: 59-year-old woman, two days after the hair itchy rash appears as shown; there have been several similar past the hair. The most likely diagnosis and why?

Answer: Allergic contact dermatitis; for hair dye because of allergy to phenylenediamine (para-phenylenediamine)

Choices:
A. Irritant contact dermatitis; because by the interface of the active agent shampoo (Surfactant) stimulation
B. Allergic contact dermatitis; as shampoo for the active agent in the interface (Surfactant) Allergy
C. Irritant contact dermatitis; because by hair dye p-phenylenediamine (para-phenylenediamine) stimulation
D. Allergic contact dermatitis; for hair dye because of allergy to phenylenediamine (para-phenylenediamine)


Question: Cause high anion gap metabolic acidosis (High anion gap metabolic acidosis) disease, which of the following most rare?

Answer: Renal tubular acidosis (Renal tubular acidosis)

Choices:
A. Caused by diabetes ketoacidosis (Diabetic ketoacidosis, DKA)
B. Due to the shock caused by lactic acidosis (Sepsis induced lactic acidosis)
C. Renal tubular acidosis (Renal tubular acidosis)
D. Ethylene glycol poisoning (Ethylene glycol intoxication)


Question: 49 following which the lumbar spine disease, is most suitable to the spine through the rear side of the bow screw fixation and spinal fusion (Transpedic screws and posteriolateral fusion) to treat?

Answer: Lumbar spine bone dislocation (Spondylolithiasis)

Choices:
A. Lumbar facet joint disease (Facet arthropathy)
B. Lumbar spine bone dislocation (Spondylolithiasis)
C. Lumbar spinal stenosis (Stenosis)
D. Lumbar Disc (Disc protruding)


Question: Which of the following diseases belong to voice (voice disorder)?

Answer: Dysphonia (dysphonia)

Choices:
A. Dysphonia (dysphonia)
B. Loss for the disease (apraxia)
C. Dysarthria (dysarthria)
D. Aphasia (aphasia)


Question: 52 year old man, left cheek paroxysmal complained repeatedly of severe pain occurs more than a year, at the onset of a few weeks or months later, can ease their own for several months. Most of the site of pain in the lower portion of the left cheek, without anesthesia. Which of the following is the most likely diagnosis?

Answer: Trigeminal neuralgia (trigeminal neuralgia)

Choices:
A. Midbrain (midbrain) stroke
B. Trigeminal neuralgia (trigeminal neuralgia)
C. Glossopharyngeal neuralgia (glossopharyngeal neuralgia)
D. Seizures (seizures)


Question: Which of the following is not a virus spread by respiratory tract?

Answer: Hepatitis C virus (Hepatitis C virus)

Choices:
A. Rhinovirus (Rhinovirus)
B. Coronavirus (Coronavirus)
C. Varicella zoster virus (Varicella-zoster virus)
D. Hepatitis C virus (Hepatitis C virus)


Question: The following account of the eye socket, what's wrong?

Answer: Orbital bone located at the thinnest end of the orbit (orbital floor), it is likely to cause trauma orbital floor fractures

Choices:
A. Orbital volume about 30 cc
B. A total of seven orbital bone
C. Orbital bone located at the thinnest end of the orbit (orbital floor), it is likely to cause trauma orbital floor fractures
D. Orbital bone of the outer wall (lateral wall) of the greater wing of the sphenoid (greater wing of sphenoid bone) and cheekbone


Question: The following antiplatelet drugs, whichever is easier adverse effects Neutropenia it happen?

Answer: Ticlopidine

Choices:
A. Clopidogrel
B. Ticlopidine
C. Abciximab
D. Dipyridamole


Question: A 70-year-old patient suffering from tuberculosis because of the use of anti-TB drugs, which of the following anti-TB drugs, without causing side effects of hepatitis?

Answer: Ethambutol

Choices:
A. Isoniazid
B. Rifampin
C. Ethambutol
D. Pyrazinamide


Question: Cervical cancer prevention smear sampling is the most important position:

Answer: transformation zone

Choices:
A. squamous epithelium
B. columnar epithetlium
C. vaginal fornix
D. transformation zone


Question: A esophageal atresia (esophageal atresia) of newborns, abdominal X-ray showed no presence of intestinal gas, the higher the incidence of which of the following?

Answer: Esophageal atresia without tracheoesophageal fistula

Choices:
A. Esophageal atresia and distal tracheoesophageal fistula
B. Esophageal atresia and tracheoesophageal fistula proximal end
C. Esophageal atresia without tracheoesophageal fistula
D. Proximal and distal esophageal atresia tracheoesophageal fistula


Question: The following account of cytokines, whichever is correct?

Answer: Role in specific receptors (receptor) and activates message delivery path

Choices:
A. With specific antigen (antigen specificity)
B. In the interaction between immune cells, but does not act on other organs
C. Role in specific receptors (receptor) and activates message delivery path
D. Synergistic (synergistic) effect of each other, but the absence of the antagonist (antagonistic) effect


Question: Features small cell carcinoma of the lung, the most that has nothing to do with one of the following?

Answer: Forming a honeycomb lung

Choices:
A. May secrete ACTH
B. Forming a honeycomb lung
C. Often transferred to the adrenal gland
D. Coughing up blood, shortness of breath


Question: A 12-year-old girl complained of neck and armpit lymph nodes on both sides. Lymph node biopsy showed diffuse lymphocyte proliferation, and damage the structure of the original node. Lymphocytes CD3 performance and TdT, but not with CD20, CD56, or the CD30 marker. The patient's lymphoma (lymphoma) should belong to what type?

Answer: T lymphoblastic lymphoma (T lymphoblastic lymphoma)

Choices:
A. Small lymphocytic lymphoma (Small lymphocytic lymphoma)
B. T lymphoblastic lymphoma (T lymphoblastic lymphoma)
C. Mantle cell lymphoma (Mantle cell lymphoma)
D. Nasal type NK / T cell lymphoma (Nasal NK / T cell lymphoma)


Question: Which of the following is not thyrocervical dry (thyrocervical trunk) branch?

Answer: Deep carotid artery (deep cervical artery)

Choices:
A. Deep carotid artery (deep cervical artery)
B. Scapular artery (suprascapular artery)
C. Carotid cross (transverse cervical artery)
D. Thyroid artery (inferior thyroid artery)


Question: The most common cause of why Hypoxic hypoxia clinic?

Answer: Ventilation-perfusion imbalance

Choices:
A. Ventilation-perfusion imbalance
B. Venous-arterial shunt
C. Central hypoventilation
D. Breathing less than 21% oxygen


Question: One adult death due to head trauma, imaging examination revealed hematoma between the dura and the skull, this situation occurs most often following what conditions?

Answer: Temporal bone fracture

Choices:
A. Temporal bone fracture
B. Superior sagittal sinus tear
C. Tear bridging veins
D. Aneurysm rupture


Question: When 23S rRNA and ribosomal proteins of bacteria (ribosomal proteins) mutation, can cause what bacteria resistant to these antibiotics?

Answer: Erythromycin (erythromycin)

Choices:
A. Ciprofloxacin (ciprofloxacin)
B. Lee Feining (rifampin)
C. Penicillin (penicillin)
D. Erythromycin (erythromycin)


Question: A 20-year-old male truck driver, generate significant because the last two weeks of auditory hallucinations and visual hallucinations and paranoia, and there is violence on the family, and rushed to the emergency room by ambulance. It has always been in good health, most often the past six months due to be driving while smoking several times a day amphetamines, doctors worry that mental illness may be related to taking amphetamines related. Cause of amphetamine psychosis and schizophrenia is not easy to distinguish, of the following is not a characteristic of amphetamine-induced psychosis?

Answer: Cut the emotional discomfort

Choices:
A. Cut the emotional discomfort
B. Visual hallucinations
C. Increased activity
D. Increased libido


Question: Long-term smoking can cause bladder cancer, which of the following substances has the closest relationship?

Answer: 4-aminobiphenyl

Choices:
A. polycyclic aromatic hydrocarbons
B. nitrosonornicotine
C. 4-aminobiphenyl
D. nicotine


Question: A 75-year-old male, half an hour before a sudden weakness on the right side, was sent to the emergency room, following the disposal of a variety of conditions than what's inappropriate?

Answer: Measuring blood pressure 190/100 mmHg, labetalol 10 mg administered intravenously, in order to avoid deterioration of the stroke

Choices:
A. Now blood, glucose level of 30 mg / dL, to give a 50% glucose solution
B. Oxygen concentration of 85%, give oxygen
C. CT showed no cerebral hemorrhage, consider the use of thrombolytic agents
D. Measuring blood pressure 190/100 mmHg, labetalol 10 mg administered intravenously, in order to avoid deterioration of the stroke