Question: When a scholar and B compare mortality rates in both countries, crude death rate (crude death rate) A high country than country B (State A 900 person / per 100,000, country B 800 / per 100,000). A country's age-standardized mortality rates (age-standardized death rate) is low (country A 738 person / per 100,000, country B 770 / per 100,000), the following statements is true than Country B?

Answer: Standardized mortality can use third country when the reference population

Choices:
A. A national average per 100,000 population every year 738 people died
B. A country's elderly population is less than country B
C. Standardized mortality can use third country when the reference population
D. Using different groups of reference standardized death rate can be compared with one another


Question: When the 3 'untranslated region (3' to a gene UTR) of AATAAA mutation AAGAAA, which leads to the defects affect RNA (RNA) synthesis step after that?

Answer: Polyadenylation action (polyadenylation)

Choices:
A. Step end cap (capping)
B. Polyadenylation action (polyadenylation)
C. Splicing (splicing)
D. Transport (transport)


Question: From the previous question, these patients tend to have Which of the following personality traits?

Answer: Compulsive

Choices:
A. Paranoid
B. Borderline
C. Compulsive
D. dramatic


Question: Among centrilobular emphysema, was destroyed and part of the expansion is mainly in:

Answer: Proximal acini

Choices:
A. Distal acini (Acinus) of
B. Proximal acini
C. Near the scar
D. Septal at close


Question: Luteinizing hormone tide put (LH surge) is physiological:

Answer: A necessary condition caused by ovulation

Choices:
A. Progesterone caused by the positive feedback
B. A necessary condition caused by ovulation
C. Occurs after leaving the egg follicles
D. Granular cells can promote synthetic estrogen


Question: 56 year old man hoarseness treatment, the throat endoscopic examination revealed a tumor as shown below, the following statements is true?

Answer: As confirmed by the slice-like squamous cell carcinoma, may consider surgery or radiation therapy

Choices:
A. Linked to chronic chewing betel nut
B. Arrow tumor in the supraglottic (supraglottis)
C. Such tumors of the larynx frequently accompanied by lymph node metastasis
D. As confirmed by the slice-like squamous cell carcinoma, may consider surgery or radiation therapy


Question:
52.
 mg) 5 consecutive days, the results of this successful Molly pregnant, ultrasound at 10 weeks she came back for check-ups display in the following figure. So please answer the following three questions: the following statements is true?

Answer: The probability of 37-year-old woman pregnant with twins than 20-year-old young women to high

Choices:
A. This ultrasound Zhang appears as identical twins, day after fertilization the embryo split in 1 to 3
B. The use of clomiphene ovulation induction of ovulation will increase, and therefore the incidence of fraternal twins will rise, but identical twins
C. The probability of 37-year-old woman pregnant with twins than 20-year-old young women to high
D. Risk of preterm birth monochorionic twin amniotic twins (monochorionic-diamnionic twins) will be lower than the double-double chorionic amniotic twins (dichorionic-diamnionic twins)


Question: Li Xiaodi is the severity of hemophilia A patients, often joint bleeding, the following statements is true?

Answer: Abnormal intrinsic coagulation pathway for this patient (intrinsic pathway) occur

Choices:
A. Disease is the lack of Factor IX
B. Abnormal intrinsic coagulation pathway for this patient (intrinsic pathway) occur
C. Disease of abnormal platelet function
D. Reducing the number of disease platelets, resulting in bleeding tendency


Question: Which of the following can cause cancer cells to increase enzyme activity can not be aging normal cells?

Answer: Telomerase (telomerase)

Choices:
A. To oxygen RNA polymerization enzyme - alpha (DNA polymerase alpha)
B. To oxygen RNA polymerization enzyme - D type (DNA polymerase delta)
C. RNA oxygen to engagement enzyme (DNA ligase)
D. Telomerase (telomerase)


Question: One month old baby boy, due to frequent bloating after birth and was taken to hospital for treatment. Patients occasional vomiting situation, but most of the time can still eat normally. The average three days a bowel movement, and sometimes diarrhea and de-paste it. There are obvious physical examination of abdominal distension. Knock diagnosis (percussion) presented Drum (tympanic). Which of the following do you think most of the diagnosis does not help?

Answer: Under the arrangement gastrointestinal series

Choices:
A. Check the tightness of the anal palpation
B. Q meconium time
C. Under the arrangement gastrointestinal series
D. Stool bacterial culture


Question: A 26-year-old man has been up to become a more social withdrawal, without leaving home. For nearly six months, often being followed him to trap him, sometimes talking to himself as if in dialogue with others, if the patient diagnosed with psychosis disorder (schizophrenia), under statements is most accurate?

Answer: Nervous reports in the literature of science, disease psychosis (schizophrenia) in patients with brain neuronal dendrites or axons have reduced circumstances

Choices:
A. The first rule is to choose the heart of psychoanalysis
B. Drug treatment of first choice is a dopamine reuptake inhibitors (dopamine reuptake inhibitors)
C. The combined nicotine (Nicotine) of abuse, antipsychotic drug concentration in the blood of patients will increase
D. Nervous reports in the literature of science, disease psychosis (schizophrenia) in patients with brain neuronal dendrites or axons have reduced circumstances


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

Answer: Contaminated animals are the main source of infection

Choices:
A. The person to be infected, most will not symptoms
B. Is a major risk of gastric ulcer, duodenal ulcer due
C. Contaminated animals are the main source of infection
D. There is no effective vaccine to prevent infection


Question: Wolff-Chaikoff effect means:

Answer: Caused by excessive intake of iodide ion reducing thyroid hormone synthesis

Choices:
A. Caused by excessive intake of iodide ion reducing thyroid hormone synthesis
B. Excessive intake of iodide causes an increase in thyroid hormone synthesis
C. Caused by excessive thyroid stimulating hormone (TSH) secretion decreased
D. Thyrotropin stimulating hormone secretion


Question: 48-year-old female non-smoker history, dyspnea due to climbing stairs, to the medical clinic, physical examination found the right side pleural effusion, pleural drainage guided by ultrasound, pleural effusion cells examination revealed adenocarcinoma, lung computed tomography revealed right lower lung 3 cm tumor, lung metastasis concurrent sides of dense, non-metastatic brain MRI examination revealed by bronchial biopsy, lung adenocarcinoma confirmed (lung adenocarcinoma), other organ function, physician assessment performance status (PS) 1. That the most appropriate disposal of these items?

Answer: With lung specimen, for detecting EGFR mutation and ALK rearrangements

Choices:
A. Removal of the right lower lobe clearance and mediastinal lymph nodes (right lower lobe lobectomy + mediastinal lymph nodes dissection)
B. Administered alone pleurodesis surgery (pleurodesis)
C. Right lower lung tumor stereotactic radiosurgery (stereotactic radiosurgery)
D. With lung specimen, for detecting EGFR mutation and ALK rearrangements


Question: In the chemical structure inhalation anesthetic gases, which of the following non-ether chain structure (ether linkage)?

Answer: Halothane

Choices:
A. Sevoflurane
B. Halothane
C. Isoflurane
D. Desflurane


Question: Groin hernia repair complications are rare, some need surgery again handler Why?

Answer: There are a large number of the scrotum hematoma

Choices:
A. Scrotal swelling after surgery, testicular atrophy
B. Scrotal edema (hydrocele)
C. There are a large number of the scrotum hematoma
D. Wound infection


Question: G3P0A3 30-year-old woman, because habitual abortion three times less than 10 weeks, and her husband come together for treatment. The only time she did check before autologous antibodies: lupus anticoagulant negative, anti-β2-glycoprotein 1 Ab negative, anticaridiolipin IgG high positive. The couple want to know why habitual abortion. He recommended that the following items are not the most suitable?

Answer: Mrs. advised of anti-phospholipid syndrome (antiphospholipid syndrome), should immediately start taking aspirin

Choices:
A. Mrs. advised of anti-phospholipid syndrome (antiphospholipid syndrome), should immediately start taking aspirin
B. Arrange transvaginal ultrasound, hysterosalpingography photography or sub hysteroscopy
C. Thyroid function blood tests
D. 12 weeks after the first track antibody concentrations autologous


Question: A 27-year-old woman, 35 weeks pregnant, complained of lower lip has a rapidly proliferating tumor bleeding skin as shown. The patients most likely diagnosis is:

Answer: Pyogenic granuloma (pyogenic granuloma)

Choices:
A. Malignant melanoma (malignant melanoma)
B. Pyogenic granuloma (pyogenic granuloma)
C. Kaposi's sarcoma (Kaposi's sarcoma)
D. Vascular sarcoma (angiosarcoma)


Question:
1 .The I i i i to the I ;! r I I f the i 1l | I | the II 1 I 丨 · \ s 1 / 4'11 "I t, - the UIJ, I j I be 廿-1 to be 梠 11I-「 4 MakE | | 1 盯 to | the · I'll 1 of 1 [丨 I i I 胆 I 11u the RFT I iI i | t I f I 丨 廿 the ll |
 I I '1J t; I • with it I'll .. I 11`f The 1lllliU1l, tThe 1i 1I t! I t of the JLI the I, I .lI J to the I I I 仙 坩,! T I i I iI The 盯 k | I I h, I +.111 I! | The! | H LHL to Uμlt t i + 1 which I ~ | |卜 the I t; of! the I ,, 1 {廿'll 廿 II to the f | l | 11 s t | l | | I I! I 1 of the first 1I.! I \ I W | t! the I t ITT | ! \ 」「! 廿 I11 1I 「I 用,「 ·, 11 {1, t i ,,, _ | n I t 1 苷 用 to ,, j - 恒 柑 · I t l, t I t 1 f 1} 且 the
 I 1 1 「IFL / 111 in rlll 丨 丨 not「 阻 I | tThe l | ll l |) 1 | II ~ 11; 1 .I I I II I ~ t i LTL | I'll 廿 廿 II Ii 1 | I
 | III | | The J1 I I I | l | The p t I I | wil | i 1I | ||| f || IT Tthe II 1,1l 1 · I t 廿 .t the 廿 1 t I I I I 廿 the 廿'll 廿 to the IJ | the
 Ill 11111 t I i I'll iI in 廿 I tt | I MakE | The 1111 111 · rl II I'll f t! I t I t (t H ll I I I! I IIIJI II J SOCIAL! Jlll 111 I I I II Ill 111 1 I 1 \ I II 1.1, the TJ 111 ± The JI II I I I be 廿 The j
 I II I | | | | I! t | 1i | I physical! the WI {i ti I I II I I Ki | iI the i | I, 4 I ll1 i i | the "IT | | || And i! 廿 to the l | I | 廿 丨 I I I 1 t
 I Ill! I'll be 1111111l1 lll1 I I I II LHL l /! Ill II |叫 I II III | Ill! I 圃 浦 似 廿 廿!, 1 H, t h I 1,1Il1l! I I'IPI in Ill IPI I l1l 11th in the U 11lj I | l | , I II I Ill RLR I T1i The H rl 計 1 什 I 丨 11t i I, I II II t
 111111111I 1 11,111,111
 l | i II which the | I I I | i | IIJ II'll 值 11111 II 11, / j | and | | | I I1 1 i, i | ll 1 | I 川, the IHI 丨 1TL 11111 I I
 If I 11II 1 111 1 111 1 Ill i1i 11 丨 1,1I I I The 11: 11 I SOCIAL lilJI! : Ii I ltll 1 111 1 j | II 111Ill I1 |, | with the | | Lll 11! I seal 111III I 丨 廿 I 」s 廿 || LLLT 肚 to the ||) II hI • i} the one I 1I And I 廿 丨 汨 I I I I Ii 1111 11ii · 11 Iii 1111111ti U, the first, I 丨 d | I f i. | I I I t Ii | 1I I1

Answer: Before the diaphragm (Anterior septum)

Choices:
A. RV sidewall (Right free wall)
B. Left ventricular side wall (Left lateral ventricle)
C. Before the diaphragm (Anterior septum)
D. After the diaphragm (Posterior septum)


Question: The following narrative about the primary open corner glaucoma, whichever is more correct?

Answer: Most cases no obvious symptoms

Choices:
A. After watching the film, there will be the phenomenon of increased intraocular pressure
B. Often have unexplained headaches
C. Patients often feel blurred vision in the evening
D. Most cases no obvious symptoms


Question: The following information about biometric statements is true?

Answer: Independent variables and the dependent variable are equidistant variables, using linear regression (linear regression)

Choices:
A. Expressed as mean central tendency is not affected by extreme values
B. When the independent variables and the dependent variables are categorical variables, ANOVA to test the best
C. Independent variables and the dependent variable are equidistant variables, using linear regression (linear regression)
D. Independent variable is categorical variables, the dependent variable is an isometric variables, chi-square test better


Question: The principle of antibody diversity (diversity) related to the following generation that a description of the error?

Answer: Somatic hypermutation (somatic hyper-mutation) occurs in the gene recombination (gene rearrangement) before

Choices:
A. Somatic hypermutation (somatic hyper-mutation) occurs in the gene recombination (gene rearrangement) before
B. Hypermutation (somatic hyper-mutation) can occur in somatic antibody heavy chain (heavy chain) and light chain (light chain) site
C. The four kinds of enzymes using nuclear  acid (Nucleotides) any added splice site, can cause diverse connection (junctional diversity)
D. Identical heavy chains (heavy chain) in combination with different light chains (light chain) of antibody diversity may also be caused (Diversity)


Question: About the drug clomiphene citrate ovulation narrative, which of the following error?

Answer: The main gonadotropin therapy can lower low-gonadal function disorders (hypogonadotropic hypogonadism WHO group I) in patients with anovulatory phenomenon

Choices:
A. The main gonadotropin therapy can lower low-gonadal function disorders (hypogonadotropic hypogonadism WHO group I) in patients with anovulatory phenomenon
B. Selective estrogen receptor modulators, estrogen negative feedback can influence the reaction, stimulate follicle development
C. May reduce the side effects of treatment include cervical mucus secretion, impaired growth and endometrial multiple pregnancies
D. After the treatment some patients the opportunity to still unable to ovulation, can be combined with the insulin sensitizers metformin, increase ovulation


Question: Related to the pharmacological effects of methimazole, which of the following error?

Answer: Its efficacy onset of action (onset) fairly rapidly, typically to produce a therapeutic effect after dosing

Choices:
A. Mainly through inhibition of thyroid peroxidase catalyzed reaction (thyroid peroxidase-catalytic reaction) and organic iodine (iodine organification) action to inhibit the synthesis of thyroid hormone (triiodothyronine and tetraiodothyronine) of
B. Inhibits the surrounding tissue, the triiodothyronine and tetraiodothyronine deprotection iodination (deiodination)
C. Its efficacy onset of action (onset) fairly rapidly, typically to produce a therapeutic effect after dosing
D. The most common side effect is produced using rash pruritic rash (maculopapular pruritic rash)


Question: About the mode of transmission of tuberculosis, the following statements is wrong?

Answer: Flu-like virus, once attached to the airway epithelial infection occurs

Choices:
A. Flu-like virus, once attached to the airway epithelial infection occurs
B. Often due to the inhalation of droplets coughed up the infected TB patients
C. Usually not contagious via tableware
D. People infected with TB incidence will be only about 10%


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

Answer: Smoking in CD patients will help reduce the symptoms, but stop pumping anti worsen; but for UC patients will only worsen symptoms

Choices:
A. Ulcerative colitis (ulcerative colitis, UC), the only violation of the large intestine; Crohn's disease (Crohn's disease, CD), from the mouth to the anus may infringe
B. UC is extensive mucosal inflammation; CD was deep plaque inflammation, may form abscess, fistula
C. UC and CD Jie of possible cancer, especially then when sick more than 8 years
D. Smoking in CD patients will help reduce the symptoms, but stop pumping anti worsen; but for UC patients will only worsen symptoms


Question: Health status of our country, which of the following correct?

Answer: If the patient or agent without the consent of the implementation of medical practice, may constitute a legal obligation

Choices:
A. Under normal circumstances, the patient's consent for minors or unable to personally sign the surgery, the hospital social worker took the signed
B. If the patient or agent without the consent of the implementation of medical practice, may constitute a legal obligation
C. Patients signed consent form, medical personnel may be exempted from liability of medical errors
D. Article 60 of the Medical Act: "hospitals and clinics in case of critically ill patients, should be thoroughly appropriate first aid, and that is to be in accordance with its treatment of personnel and equipment capacity or take all necessary measures without undue delay." So a physician must do everything possible treat all patients


Question: 60-year-old healthy postmenopausal white women consider taking hormone replacement therapy (HT) 0.625 mg Premarin (CEE) plus 2.5 mg medroxyprogesterone (MPA) 5 years to prevent osteoporosis, the following items that the highest risk for her?

Answer: Venous thrombosis

Choices:
A. Coronary artery disease
B. Breast cancer
C. Colorectal Cancer
D. Venous thrombosis


Question: Which of the following is not a cause influenza virus causes antigen drift (antigenic drift) of?

Answer: When the gene redistribution (genetic reassortment) caused by both viruses occur

Choices:
A. When the gene redistribution (genetic reassortment) caused by both viruses occur
B. Because viral RNA synthesis error often occurs, causing mutation
C. Often occurs in the hemagglutinin gene (hemagglutinin gene)
D. Often occurs in the neuraminidase gene (neuraminidase gene)


Question: Which of the following most effective way to control air pollutants?

Answer: Replace

Choices:
A. Isolation
B. Replace
C. Wet work
D. Dust collection facilities


Question: Chen was recently diagnosed with systemic lupus erythematosus (SLE) associated with nephritis, kidney doctors recommend biopsies. Chen refused a biopsy, but asked not to be informed of their condition fiance (worried about the impact of marriage to each other). Chen fiance quite concerned about Chen's condition, in person to ask, whether physicians should be informed of Chen's condition fiance?

Answer: Should not, because Chen has been clear that the disease do not inform their fiance, physicians should respect its decisions

Choices:
A. Should not, because her fiance is not a family member, physician Chen's condition should not be informed of their
B. Should not, because Chen has been clear that the disease do not inform their fiance, physicians should respect its decisions
C. It should, because her fiance, though not families, but for the relationship between man, the physician should inform their Chen's condition
D. It should, because although Chen not to verbally communicate their fiance condition, but not to pre-writing, stating their opposition to the wishes, the physician should inform their fiance in Chen Chen's condition


Question: Which of the following contraction of skeletal muscle cells and not directly related?

Answer: Parasympathetic (parasympathetic nerve)

Choices:
A. Parasympathetic (parasympathetic nerve)
B. Motor endplate (motor end plate)
C. Sarcoplasmic reticulum (sarcoplasmic reticulum)
D. Transverse tubule (T-tubule)


Question: Treatment of cerebral palsy patients with muscle spasms, the effect of a method most durable?

Answer: Selective dorsal root resection (selective posterior rhizotomy)

Choices:
A. Therapeutic Movement
B. Oral anti-spasticity drugs
C. Phenol (phenol) nerve block
D. Selective dorsal root resection (selective posterior rhizotomy)


Question: 60-year-old woman, complained of the past few weeks of frequent headaches and dizziness phenomenon. Patients had no fever, but a plurality of blood and ruddy or slightly cyanosis, patients with normal blood pressure, palpable spleen. Hemoglobin, hematocrit, platelets and white blood cells are significantly increased. Serum erythropoietin (erythropoietin) can not detect, ferritin (Ferritin) normal. Which of the following patients more often experience the course?

Answer: Bone marrow fibrosis, and in the spleen of significant extramedullary hematopoiesis (extramedullary hematopoiesis)

Choices:
A. Finally, by transforming into a plurality of patients with acute lymphoblastic leukemia (acute lymphoblastic leukemia) and death
B. Finally, by transforming into a plurality of patients with acute myeloid leukemia (acute myeloblastic leukemia) and death
C. Bone marrow fibrosis, and in the spleen of significant extramedullary hematopoiesis (extramedullary hematopoiesis)
D. Patients often do not get any treatment and natural ease


Question: A 52-year-old woman three years ago after a small needle injection for augmentation (free silicon injection) because, recently felt lumps to seek treatment, following which checks most unfit?

Answer: Mammography

Choices:
A. Ultrasound
B. Mammography
C. Magnetic Resonance Imaging (MRI)
D. Fine needle smear


Question: 4-year-old boy complained of the past two months intermittently discharged from the anus of bright red blood in stool, but no pain. Physical examination no fissure, but be seen to do digital rectal examination finger glove with blood. This diagnosis of patients most likely to be which of the following?

Answer: Juvenile polyps

Choices:
A. Ulcerative colitis
B. Peptic ulcer
C. intussusception
D. Juvenile polyps


Question: 29. The fetal monitor can help clinicians to track and observe the fetal heart rate (fetal heart rate pattern) with the mother uterine contractions (uterine contraction) of the situation. When the fetal heartbeat presents a sinusoidal (sinusoidal fetal heart rate) found clinically, most likely associated with which of the following clinical situations?

Answer: The case of fetal anemia

Choices:
A. The mother has fever case
B. Mother the case of anemia
C. The case of fetal anemia
D. Fetal oppression


Question: Which is not a first type of bipolar disorders (bipolar I disorder) risk factor for poor prognosis?

Answer: Case onset older

Choices:
A. male
B. Accompanied by the onset of psychotic symptoms
C. Case onset older
D. Merge alcohol dependence


Question: Bearing on the question, for the patient, which of the following examination for the diagnosis and localization of lesions most helpful?

Answer: Magnetic resonance angiography

Choices:
A. Waist X-ray
B. Computer tomography
C. Nerve conduction, electromyography
D. Magnetic resonance angiography


Question: Some patients with severe type of depression, there will be One is that all things are untrue or delusions (nihilistic delusion) does not exist in the world, this phenomenon is called:

Answer: Cotard's syndrome

Choices:
A. Cotard's syndrome
B. already seen
C. Anton's syndrome
D. factitious disorder


Question: Taiwan currently has comprehensive newborn screening using tandem mass spectrometry screening, analysis of amino acids and acylcarnitines. The latter comprises a long chain fatty acid complexes carnitine, carnitine complex and an organic acid short chain. Following a disease that is not within the scope of screening?

Answer: 黑尿 disease (alkaptonuria)

Choices:
A. PKU (phenylketonuria)
B. 黑尿 disease (alkaptonuria)
C. Maple syrup urine disease (maple syrup urine disease)
D. Methylmalonic acidemia (methylmalonic acidemia)


Question: BRCA 1 gene mutation most associated with which of the following type of breast cancer?

Answer: Class type substrate (basal-like)

Choices:
A. Luminal A (Luminal A)
B. Luminal Type B (Luminal B)
C. Class type substrate (basal-like)
D. HER-2 over-phenotype (HER-2 type)


Question: According to the following chart, the left ear bone conduction (bone conduction) average hearing threshold (pure tone average) Why?

Answer: 35 dB

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


Question: A 65-year-old man complained recently two weeks began to have difficulty urinating and constipation, three days ago because of lower abdominal swelling, pain to the emergency room. Export catheter was placed 800 mL of urine clear; to the clinic this morning after removal of the catheter, still no solution to noon urine, came to the hospital clinic, then placed catheter, exported 400 mL of urine . Physical examination revealed anal sphincter relaxation, moderate prostate hypertrophy (about 60 grams). The inquiry was informed three months and lower back pain will spread to his right foot, which of the following is the most appropriate examination or treatment?

Answer: Neurological examination

Choices:
A. Transurethral resection of the prostate (TURP)
B. Transrectal ultrasound and prostate sliced
C. Administration of 5 alpha reductase inhibitors
D. Neurological examination


Question: Which of the following form with abdominal oblique (internal oblique muscle) most relevant?

Answer: Joint tendon (conjoint tendon)

Choices:
A. Deep inguinal ring (deep inguinal ring)
B. Spermatic fascia (internal spermastic fascia)
C. Lacunar ligament (lacunar ligament)
D. Joint tendon (conjoint tendon)


Question: Human vomiting center (vomiting center) is located where?

Answer: Brainstem (brainstem)

Choices:
A. Brain (cerebrum)
B. Cerebellum (cerebellum)
C. Brainstem (brainstem)
D. Spinal cord (spinal cord)


Question: Which of the following occurs in less Face Neurofibromatosis type I disease of?

Answer: Bilateral acoustic neuroma

Choices:
A. Family dominant inheritance
B. Bilateral acoustic neuroma
C. ⽜ coffee milk spots on your skin (Café-au-lait macules)
D. Spinal abnormalities


Question: Too little amniotic fluid (oligohydramnios) Which of the following best not associated with disease or changes in the fetus?

Answer: Intestinal closure (intestinal atresia)

Choices:
A. Unformed kidney (renal agenesis)
B. Hip yield formula (breech presentation)
C. Intestinal closure (intestinal atresia)
D. Pulmonary hypoplasia (pulmonary hypoplasia)


Question: Epidermis (Epidermis) belongs:

Answer: Keratinized stratified squamous epithelium (Keratinized stratified squamous epithelium)

Choices:
A. Epithelium (Simple columnar epithelium)
B. Transitional epithelium (Transitional epithelium)
C. Pseudo stratified columnar epithelium (Pseudostratified columnar epithelium)
D. Keratinized stratified squamous epithelium (Keratinized stratified squamous epithelium)


Question: Which of the following is most common during hemodialysis of acute complications?

Answer: Hypotension

Choices:
A. hypertension
B. Hypotension
C. cramp
D. Vomit


Question: Take vertical lift, acceleration and deceleration at the lifts, responsible for detecting vertical displacement of the body, and cause reflection in order to maintain the proper balance of the main structure Why?

Answer: Saccule

Choices:
A. Utricle
B. Saccule
C. Semicircular ducts
D. Cochlea


Question: G protein α-subunit has the following enzyme activity which itself?

Answer: GTPase, hydrolysis of GTP to GDP

Choices:
A. guanylate cyclase, GTP into cGMP catalytic converter
B. GTPase, hydrolysis of GTP to GDP
C. Kinase, catalytic transfer a phosphate to a protein GTP
D. cGMP-dependent protein kinase


Question: Account of the treatment of Parkinson's disease drugs, which of the following error?

Answer: amantadine inhibits the metabolism of levodopa

Choices:
A. monoamine oxidase B inhibitor is deprenyl, it will increase the concentration of dopamine in the brain
B. bromocriptine can directly activate dopamine receptors
C. amantadine inhibits the metabolism of levodopa
D. In the treatment of Parkinson's disease, levodopa effects than drugs effective antimuscarinic prime


Question: On the luminal membrane (Apical membrane) Henry's elbow upstream branch pipe crude cell, following which the same direction of transport (Symport) can cause sodium reabsorption?

Answer: Na + -K + -2Cl-

Choices:
A. Na + -glucose
B. The -Cl- +
C. Na+-phosphate
D. Na + -K + -2Cl-


Question: Gallstones are related to the following statements is wrong?

Answer: Cirrhotic patients tend to suffer from cholesterol stone

Choices:
A. Symptomatic cholelithiasis have occurred or had complications, it is best to accept cholecystectomy
B. ursodeoxycholic acid can not be treated pigment stone
C. Cirrhotic patients tend to suffer from cholesterol stone
D. Patients with gallstones are asymptomatic more than 15 years occurred after the symptoms of low probability of occurrence


Question: Asthma is a chronic inflammatory reaction, the reaction is over-sensitive airway. The following causes airway narrowing the diameter of the narrative for asthma, what's wrong?

Answer: Epidermal cell proliferation, increasing the wall thickness and airway obstruction

Choices:
A. Small wrap bronchial smooth muscle contraction, the airway constriction
B. Eosinophilic cells (eosinophil) and neutrophilic polynuclear leukocyte (neutrophil) and other inflammatory cell aggregation, airway infiltration
C. Epidermal cell proliferation, increasing the wall thickness and airway obstruction
D. Increased mucus secretion and respiratory tract tissue edema and airway obstruction


Question: A 73-year-old male patient, smoking a pack a day for 50 years, is still continuing to smoke, but was reduced to half a pack a day. Pulmonary function tests FEV1 / FVC = 60%, FEV1 = 38% predicted value, chest X-ray exhibits both pulmonary emphysema, right upper lobe several large bubbles (bullae), patients with more than twice as last acute exacerbation of dyspnea hospitalization, the following statements is wrong?

Answer: lung volume reduction surgery (LVRS) of the patients benefit little

Choices:
A. According to GOLD criteria, the severity of COPD patients be stage III (severity = severe)
B. Patients received MDI (metered-dose inhaler) treatment, should be used in combination inhaled long-acting β-agonist and corticosteroids
C. lung volume reduction surgery (LVRS) of the patients benefit little
D. Long-term oral corticosteroids is not suitable for patients with this class


Question: 45-year-old Mr. Chin families are advised to hospital. They bring the test results of Mr. Chin, and quoted doctors saying before that Mr. Chin has obvious alcoholic liver injury, you want to convince him to stop drinking. Data provided by the families of all support Mr. Qin with alcohol-induced liver injury, in addition to:

Answer: ALT> 2000 U / L (normal: 0 ~ 40)

Choices:
A. alanine aminotransferase（ALT）< aspartate aminotransferase（AST）
B. γ-GT values high blood
C. Ultrasound showed fatty liver (fatty liver) phenomenon
D. ALT> 2000 U / L (normal: 0 ~ 40)


Question: The following relevant World Health Organization definition of palliative care, and what's wrong?

Answer: Patient-centered care, so the object is limited to patient services

Choices:
A. Enthusiasm for the care of terminally ill patients can not be cured provided by
B. Patient-centered care, so the object is limited to patient services
C. Services include physical and psychological integrity of social spiritual care
D. To improve the quality of life of patients achieve the goal of hospice


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

Answer: Blood FSH, LH and reduce female hormone

Choices:
A. There flushing or fever
B. Blood FSH, LH and reduce female hormone
C. Gradually increase the chance of heart disease
D. Is one of the symptoms of atrophic vaginitis


Question: 46 a 18-year-old man stunted genitals to diagnosis, no past history of orchitis or mumps or head trauma, physical examination revealed testicular about 1.5 cm, hard, no armpit hair and pubic hair, has gynecomastia, blood biochemical FSH 40 mIU / mL, LH 41 mIU / mL, Testosterone 0.7 ng / mL. He shall have the following diagnostic checks?

Answer: Chromosome

Choices:
A. Nuclear magnetic resonance (brain)
B. HCG stimulation test
C. Hormone stimulation test
D. Chromosome


Question: For psychiatric coronary heart disease of non-drug treatment mode, which of the following compared to the lack of evidence of evidence-based medicine?

Answer: Psychoanalysis

Choices:
A. Relaxation training
B. Stress Management Training
C. Social Support Groups
D. Psychoanalysis


Question: 21-year-old Chen Xian ⽣, no past medical history. Three days before the start of fever, cough. When the fever still visit today, and a more rapid breathing, chest pain when breathing, conscious. ⾎ pressure 96/62 mmHg, pulse rate 102 bpm, respiration 24 bpm, earphones temperature of 39.2 deg.] C, the right lower lobe diagnosis cloud Rec button (dullness), chest X-ray infiltration occurs right lower lobe, diagnosis of pneumonia. CURB-65 is based on the principle, the need for hospitalization?

Answer: Without hospitalization, diagnosis treatment can ⾨

Choices:
A. Without hospitalization, diagnosis treatment can ⾨
B. Require hospitalization, but just stay shoots as usual ward
C. Require hospitalization and intensive care unit stay is required
D. ⾎ check not smoke, can not be determined


Question: 52 a 23-year-old man without any past history, due to a fall caused by iron bars left hip suffered stab wounds and taken to the emergency room, has been out in the emergency room when the iron bars, there is about a 2 cm wound in the left hip check, the depth is unknown, heartbeat normal blood pressure. So please answer the following 52 questions to:

Answer: Emergency immediately sutured wounds

Choices:
A. Emergency immediately sutured wounds
B. Abdominal physical examination
C. Dre
D. Blood test


Question: Pure grief reactions (bereavement) usually do not have Which of the following symptoms?

Answer: Suicidal thoughts

Choices:
A. Suicidal thoughts
B. Inattention
C. Doing everything uninterested
D. Loss of appetite


Question: Tuberculosis patients often treat a variety of different drugs together, rifampicin is one of the main drugs. Rifampicin inhibition of M. tuberculosis into the machine following inhibition of an enzyme that?

Answer: Bacterial RNA polymerase (bacterial RNA polymerase)

Choices:
A. Deoxyribonucleic acid polymerase (DNA polymerase)
B. Bacterial RNA polymerase (bacterial RNA polymerase)
C. Mitochondrial RNA polymerase (mitochondrial RNA polymerase)
D. Reverse transcriptase (reverse transcriptase)


Question: Which of the following virus after ether (ether) will deal with the loss of active infection?

Answer: influenza virus

Choices:
A. hepatitis A virus
B. influenza virus
C. rotavirus
D. poliovirus


Question: In Taiwan, the following applies what type of no-fault compensation for medical malpractice?

Answer: Vaccine Injury

Choices:
A. Vaccine Injury
B. Cosmetic surgery hurt
C. Implant damage
D. Injury rehabilitation


Question: Of glucose production (glucogenic) amino acid can be converted under the action of the enzyme directly to the Krebs cycle (TCA cycle) of the intermediate product, which of the following error?

Answer: Histidine (histidine) → succinic acyl coenzyme A (succinyl-CoA)

Choices:
A. Glutamic acid (glutamate) → α- ketoglutaric acid (α-ketoglutarate)
B. Histidine (histidine) → succinic acyl coenzyme A (succinyl-CoA)
C. Tenfuyu 胺酸 (aspartate) → grass 醯乙 acid (oxaloacetate)
D. Tyrosine (tyrosine) → fumaric acid (fumarate)


Question: A 25-year-old man in A hospital discharge after nose surgery two weeks ago, today a large number of sudden nosebleed flow to B hospital emergency room. B dispose of hospitals, in what were the most appropriate?

Answer: First stop bleeding, to be stable condition, please place the patient back to the original surgeon treatment

Choices:
A. Blood tests do not have to explain why, back to the original A hospital surgery disposal
B. Cotton stuffed nose bleeding, and surgery failed to inform the original cause, the need to go back and find the original physician
C. First stop bleeding, to be stable condition, please place the patient back to the original surgeon treatment
D. Bleeding, blood tests, imaging studies, and later told the patient not to go back to the original surgical hospital


Question: The following related poisoning and the antidote pair of use, whichever is wrong?

Answer: organophosphorus compounds---physostigmine

Choices:
A. methanol---folinate
B. lead encephalopathy---dimercaprol + edetate calcium disodium
C. organophosphorus compounds---physostigmine
D. cyanide---sodium thiosulfate


Question: Which of the following does not cause swelling detrusor bad (poor detrusor distensibility)?

Answer: Benign prostatic hypertrophy accepted transurethral prostatectomy

Choices:
A. Benign prostatic hypertrophy accepted transurethral prostatectomy
B. Radiation therapy causes detrusor fibrosis and loss of capacity for expansion
C. Interstitial cystitis (interstitial cystitis)
D. Colorectal cancer receiving low anterior resection surgery


Question: A 29-year-old man presented to the emergency room with acute abdominal pain, physical checkups showed that the patient had abdominal tenderness and a slight rebound pain (rebound tenderness), no jaundice, body temperature 37.0 ° C. Blood tests show: WBC: 9800 / mm3, Hb: 16.2 g / dL, ALT (GPT): 58 U / L (normal <40 U / L), AST (GOT): 139 U / L (normal <45 U / L), alkaline phosphatase (alkaline phosphatase): 108 U / L (normal value <100 U / L), γ-glutamyltransferase (GGT): 380 U / L (normal <60 U / L), amylase : 785 U / L (normal value <190 U / L), lipase: 859 U / L (normal value <190 U / L). May I ask what are the most suitable for the disposal of the following?

Answer: Antibiotic treatment should be given immediately

Choices:
A. Antibiotic treatment should be given immediately
B. Abdominal sonography should arrange
C. Should be asked to strengthen drinking history and history of drug taking
D. The opening should be fast orders


Question: 30 pregnant women, 42 weeks of pregnancy, abortion want to, according to the degree of cervical ripening rates which Bishop score, if the cervix is closed, Effacement 10%, Station: -3, hardness of hard cervix (Firm), and located behind the cervix. Bishop score was a bit?

Choices:
A. 0
B. 3
C. 6
D. 9


Question: From the previous question, what kind of treatment these patients this inappropriate?

Answer: For arterial to pulmonary artery shunt

Choices:
A. Drug treatment of heart failure
B. In infancy treatment for heart surgery
C. Pulmonary artery banding procedure for
D. For arterial to pulmonary artery shunt


Question: Asthma is a chronic disease, and also that Th2 cells secrete cytokines (cytokines) related to the error of the following statements?

Answer: Interferon γ will modular cell weight (remodeling)

Choices:
A. IL-4 will tracheal mucus (mucus) secretion
B. IL-4 also stimulates fibroblasts (fibroblast) growth
C. IL-5 increases fibrogenesis (subepithelial fibrosis) lower epidermis
D. Interferon γ will modular cell weight (remodeling)


Question: Trachoma-related symptoms (trachoma), and on the significance of the following best diagnosis?

Answer: Follicular wheel portion (limbal follicles) and Herbert pits

Choices:
A. Follicular wheel portion (limbal follicles) and Herbert pits
B. Giant papillae (giant papillae)
C. Horner-Trantas dots
D. Conjunctival stones (lithiasis)


Question: Ms. Chen, 35 years old, in addition to natural production over the past two times, but no special history of the disease, due to vaginal bleeding after sex clinic, the clinic found inside the cervix 1 cm easy bleeding ulcer wound, sliced confirmed cervical squamous intraepithelial carcinoma, invasive procedure did not show vaginal wall, next to the connective tissue of the uterus and pelvic cavity wall violation, normal chest X-ray, no indication pyelography renal pelvis or ureter edema, CT revealed no lymph nodes, on the next Chan treatment, whichever is most appropriate?

Answer: Radical hysterectomy (radical hysterectomy) and pelvic lymph node extirpation

Choices:
A. Simple hysterectomy (simple hysterectomy)
B. Simple hysterectomy and pelvic lymph node extirpation
C. Radical hysterectomy (radical hysterectomy) and pelvic lymph node extirpation
D. The combined treatment of radiation chemistry


Question: A 20-year-old man had a history of cryptorchidism, testicular swelling due to treatment. Physical examination revealed enlarged lymph nodes and breast feminization of bilateral collarbone. At this stage most inappropriate checks should be:

Answer: Breast ultrasound

Choices:
A. Serum alpha-fetoprotein (AFP)
B. Serum hCG β- (β-HCG)
C. Serum LDH
D. Breast ultrasound


Question: An 8-year-old sick children can not all due to nasopharyngeal cancer resection, only a biopsy, the pathologist diagnosed through blood Burkitt's lymphoma, other physical examination revealed no other lymph nodes, liver, spleen is not enlarged, bones , bone marrow, spinal fluid and blood tests were normal, I ask his property and lymphoma cancer clinical stage of disease why?

Answer: B lymphocytes of I

Choices:
A. B lymphocytes of I
B. T lymphocytes Phase I
C. B lymphocytes Phase II
D. T lymphocytes Phase II


Question: 62. anemia (anemia) in patients, which (Hemoglobin) hemoglobin concentrations only up to 50% of normal value, and for no other cardiopulmonary dysfunction. When this person normal ventilation (ventilation), compared to healthy people, those following parameters significantly lower? Bodies ① the amount of oxygen in arterial blood oxyhemoglobin saturation percentage ③ ④ alveolar oxygen partial pressure within the arterial supply of the surrounding tissue oxygen partial pressure member ②

Answer: Only ④

Choices:
A. Only ②③④
B. Only ①②④
C. Only ②④
D. Only ④


Question: If the ventricular wall papillary muscle (papillary muscle) paralysis or tendons (chordae tendinae) damage, which of the following is most likely to cause the phenomenon?

Answer: Ventricular atrial blood reflux back

Choices:
A. Atrioventricular valve could not be opened
B. Atrioventricular valve stenosis
C. Ventricular atrial blood reflux back
D. Potential ventricular conduction abnormalities


Question: 26 a 70-year-old male, after dinner felt a rush of palpitations, thirty minutes after the sudden severe abdominal pain, pain due to last one hour has not yet eased, and to the emergency room, you find that this patient was pale, cold sweat, blood pressure 140 / 82 mmHg, heart rate 110 / min, respiration 28 / min, body temperature of 36.8 ℃, four months ago and asked past medical history of myocardial infarction received balloon angioplasty, abdominal physical examination: abdominal scars have an appendectomy after the lower right, listen less than bowel sounds, but the abdomen soft, no tenderness and rebound pain, EKG showed atrial fibrillation, blood tests: Hb 14g / dL, WBC 16,000 / uL, blood gas analysis (FiO2 40%): pH 7.32, PaO2 116 mmHg , 27 mmHg, HCO3- 16 mmol / L. Will Which of the following is most appropriate?

Answer: Abdominal angiography examination

Choices:
A. Abdominal computed tomography
B. Abdominal MRI
C. Abdominal angiography examination
D. Direct laparotomy


Question: Which of the following does not affect the validity of CVP measurement of circulating blood volume?

Answer: Mitral insufficiency

Choices:
A. The differences in individual patient
B. Chronic emphysema
C. Mitral insufficiency
D. Tricuspid stenosis


Question: 49 histidine (histidine) amine group (- NH2), a side chain (R-group) with a carboxyl group (- COOH) pKa value of 9,6 and 2, respectively, when the amino acid in this environment, pH 5.0 in when the charged state of the most histidine molecules in solution should be:

Answer: A positive charge

Choices:
A. With two positive charges
B. A positive charge
C. Uncharged
D. With a negatively charged


Question: A 61-year-old male patient found the past year his hands and lower back after getting up in the morning, there are stiff and sore for 10-20 minutes. Hand and is gradually deformed (FIG. 1). There will be significant improvement after a slight movement. Blood tests found that ESR 22 mm / 1h, 45 mm / 2h; CRP 0.65 mg / dL, RF 24 IU / mL (normal <20 IU / mL); ANA 1: 80X speckled pattern. The X-ray waist Figure 2. May I ask which of the following is the most likely diagnosis?

Answer: Osteoarthritis

Choices:
A. Ankylosing spondylitis
B. Rheumatoid arthritis
C. Gouty arthritis
D. Osteoarthritis


Question: A date ⼯ labor ⼯ for every eight lower, and assuming a ⼀ per hour display 10. Prior exposure to 60 ppm of toluene after 50 minutes is not exposed, which always eight ⼩ an average exposure concentration that?

Answer: 10 ppm

Choices:
A. 10 ppm
B. 15 ppm
C. 20 ppm
D. 60 ppm


Question: 29 in non-embryonic pole (abembryonic pole) at the chorionic villi approximately completely degraded in the first few months, a smooth chorion (chorion laeve)?

Choices:
A. 3
B. 4
C. 5
D. 6


Question: A 20-year-old male student accommodation, recently discovered that the fingers, armpits, abdomen, inner thighs and scrotum itching papules, aggravate symptoms at night when the cover is. The roommate has the same situation. Which of the following diagnosis?

Answer: Scabies (scabies)

Choices:
A. Discoloration rosea (pityriasis versicolor)
B. Acne vulgaris (acne vulgaris)
C. Mosquito bites (insect bite)
D. Scabies (scabies)


Question: 100 A 40-year-old male, diagnosed with acute appendicitis and appendectomy surgery. When pathological examination shows a 1 cm thick, pale yellow solid tumors clear boundaries at the trailing end of the appendix. Microscope, tumor cells pink granular cytoplasm, and cell morphology consistent with each other. Which of the following is the most likely diagnosis?

Answer: Carcinoid tumors (carcinoid tumor)

Choices:
A. Carcinoid tumors (carcinoid tumor)
B. Malignant lymphoma (malignant lymphoma)
C. Metastatic adenocarcinoma (metastatic adenocarcinoma)
D. Xanthomas (xanthoma)


Question: About submenus that lead to an excessive increase in endometrial ⽣ the narrative, Which of the following is least likely?

Answer: Use of progesterone clothes ⻑

Choices:
A. ⻑ anovulatory (chronic anovulation)
B. Use of progesterone clothes ⻑
C. ⻑ of clothes Using tamoxifen
D. Obesity and no Month by (amenorrhea) in women


Question: A 36-year-old woman, because two days to leg weakness, numbness from the emergency room. Neurological examination showed lower limb weakness, only horizontal movement, enhanced tendon reflexes, Babinski sign on both sides there are, on both sides of the lower limb reducing the feeling of pain, until the navel. The most likely diagnosis is:

Answer: Myelopathy (spinal cord lesion)

Choices:
A. Myelopathy (spinal cord lesion)
B. Peripheral neuropathy (peripheral neuropathy)
C. Myopathy (muscle disorder)
D. 癔病（conversion disorder）


Question: The role of Nystatin (Nystatin) turn the machine, as in the following what kind of drugs?

Answer: Amphotericin (Amphotericin B)

Choices:
A. Fluorocytosine (flucytosine)
B. Amphotericin (Amphotericin B)
C. Caspofungin (Caspofungin)
D. Fecal shell streptozotocin (sordarin)


Question: Leukocyte adhesion molecule defects caused by immune dysfunction, the following description that one of the most correct?

Answer: Leukocyte infiltration in the inflamed tissue reduction

Choices:
A. The number of white blood cells in the blood drop
B. Leukocyte infiltration in the inflamed tissue reduction
C. Leukocyte reaction to complement enhancements
D. White blood cell migration (migration) are not affected


Question: About the phosphodiesterase (phosphodiesterase) inhibitors, the treatment of male erectile dysfunction machine turn Which statement is correct?

Answer: Can not be taken with nitrate drugs (nitrates)

Choices:
A. The main role of Sildenafil (Viagra) is the inhibition of phosphodiesterase type 6 and 11
B. Phosphodiesterase type 5 causes cyclic adenosine monophosphate (cAMP) metabolism in the 5 'cyclic adenosine monophosphate (5'AMP)
C. Can directly lead to erectile mechanism
D. Can not be taken with nitrate drugs (nitrates)


Question:
80. The protection of patient privacy is a time-honored tradition of medical ethics, but in exceptional cases, physicians have the duty to take the initiative communications. In accordance with China's medical regulations set, a physician in case of following those circumstances, should take the initiative to inform the competent authorities? ① ② the patient may be victims of child abuse patients may suffer from the statutory infectious
 ③ disease patients may be involved in the insurance fraud ④ patients may be wanted by the police authorities of prisoners

Answer: Only ①②

Choices:
A. Only ①③④
B. Only ①②④
C. Only ①②
D. Only ②


Question: A 36-year-old woman, before falling asleep at night will feel significantly lower extremities tingling discomfort, need to get out of bed until a little more comfortable, this symptom seriously affect their sleep, following that kind of lack of substance in the blood may be associated with this disease?

Answer: Fe (iron)

Choices:
A. Magnesium (Magnesium)
B. K (potassium)
C. Phosphorus (HANDLING)
D. Fe (iron)


Question: In accordance with the Department of Health of the Executive Yuan announced Health Food Management Law (2006) specification for the health food market Why?

Answer: Health benefits, and mark it with advertising or the effect of food

Choices:
A. Provide special nutrients, or have specific health benefits, especially to be marked or advertising, to treat, for the purpose of correction of human disease
B. Health benefits, and mark it with advertising or the effect of food
C. Having a specific composition, has a clinical response to a particular disease
D. Excellent food in line with the Act Governing Food Sanitation


Question: A 65-year old man was found to have the right of voice hoarse vocal cord paralysis. Further chest X-ray photography found the right upper lung tumor, confirmed by chest physicians lung cancer. The cause vocal cord paralysis patients most likely cause is which of the following?

Answer: Cancerous invasion of the upper mediastinum

Choices:
A. Lung through the trachea violations of the vocal cords
B. Throat cancer metastasis
C. Cancerous invasion of the upper mediastinum
D. Brainstem metastasis of lung cancer


Question: A 20-year smoker with chronic obstructive pulmonary disease (chronic obstructive pulmonary disease) patients, in an interview with pulmonary function tests, Which of the following does not appear the most?

Answer: Vital capacity (vital capacity) increase

Choices:
A. More than lung volume (residual volume) increased
B. Vital capacity (vital capacity) increase
C. Total lung capacity (total lung capacity) increases
D. Forced expiratory volume in one second (FEV1) reduction


Question: 36 year old man complained of recent week, two hands and soles of the skin lesions appear as shown in FIG. That a real laboratory examination diagnosed the disease the most help?

Answer: VDRL and TPHA

Choices:
A. Bacterial culture (bacteria culture)
B. KOH microscopy (KOH examination)
C. Stickers skin test (patch test)
D. VDRL and TPHA


Question: A 70-year-old woman hospitalized with peritonitis due to cholecystitis. When kidney function is hospitalized BUN 28 mg / dL, Creatinine 1.2 mg / dL. Antibiotics cefazolin 1 g q8h and gentamicin 80 mg q12h injection, intravenous feeding and the I whole. After three days the temperature drops to 37 ℃, pulse, blood pressure is normal, then weighing 45 kg. Start giving soft food after a week. Tenth day Creatinine and BUN was measured each 40 and 3.5 mg / dL, serum electrolytes (mmol / L): Na 134, K 3.3, Cl 95; day patient urine was measured to be 2000 mL, normal urinalysis. Statements about this patient of kidney problems, which of the following is most correct?

Answer: There will be loss of magnesium in urine

Choices:
A. Urine tests usually severe proteinuria and microscopic hematuria appears
B. There will be loss of magnesium in urine
C. Mainly distal renal tubular necrosis
D. Renal efferent arteriolar dilation caused


Question: 80. Face the evil constitution on disease cancer (cachexia), Which of the following is the most likely reason? ①TNF produced by macrophages ②TNF produced by tumor cells ③IL-10 produced by macrophages ④IL-10 produced by tumor cells

Answer: ①②

Choices:
A. ①②
B. ②③
C. ①④
D. ③④


Question: Which of the following diseases, otoscopy Schwartze visible signs?

Answer: Otosclerosis (otosclerosis)

Choices:
A. Acoustic neuroma (acoustic neuroma)
B. Cholesterol granuloma (cholesterol granuloma)
C. Cholesteatoma (cholesteatoma)
D. Otosclerosis (otosclerosis)


Question: The following drugs, the therapeutic effect on multiple myeloma what's best?

Answer: Bortezomib 38 of clotting factor IX gene located on chromosome that one of the following?

Choices:
A. Gifitinib
B. Bevacizumab
C. Trastuzumab
D. Bortezomib 38 of clotting factor IX gene located on chromosome that one of the following?


Question: 39 usually appear in the ligament (ligament) or tendon (tendon) and bony phase at that? ① hyaline cartilage (hyaline cartilage) ② Elastic cartilage (elastic cartilage) ③ fibrous cartilage (fibrocartilage)

Answer: Only ③

Choices:
A. Only ①
B. Only ②
C. Only ③
D. ①② have


Question: Before performing induction of general anesthesia, the patient should be evaluated whether there may be difficult ventilation, the patient can not be expected Which of the following most difficult of ventilation?

Answer: Patients with rheumatic heart disease

Choices:
A. Patients with rheumatic heart disease
B. Patients with Down syndrome
C. Rheumatoid arthritis patients
D. Patients with obstructive sleep apnea


Question: Sacral sparing represent incomplete spinal cord injury (Incomplete spinal cord injury), Sacral sparing Which of the following does not belong?

Answer: Big toe stretchable (Great toe extension)

Choices:
A. There is a feeling around the anus (Perianal sensation)
B. Anus can be voluntary contraction (Voluntary anal contraction)
C. Big toe may flexion (Great toe flexion)
D. Big toe stretchable (Great toe extension)


Question: 35-year-old man with bilateral chronic sinusitis and nasal polyps, in the hospital for bilateral functional endoscopic sinus surgery in the third day postoperative fever by the nose out of the clear liquid, and the emergence, dizziness, severe headache, neck Ministry stiffness of symptoms. Which of the following is the most likely diagnosis?

Answer: Leakage of cerebrospinal fluid (CSF leak)

Choices:
A. Eyeball emphysema (orbital emphysema)
B. Leakage of cerebrospinal fluid (CSF leak)
C. Eye hematoma (orbital hematoma)
D. 溢淚（epiphora）


Question: A 35-year-old male, was first diagnosed with high blood pressure, blood pressure was 140/96 mmHg, pulse rate was 70 beat / min, the patient does not have any symptoms, nor special past medical history, physical examination, in addition to high blood pressure, there is no special abnormal findings. Which of the following is not a preliminary assessment of the arrangements required to check this patient?

Answer: Thyroid stimulating hormone

Choices:
A. Urine examination
B. Potassium
C. Thyroid stimulating hormone
D. Fasting plasma glucose


Question: 7. zoomed most cancers will be via lymphatic metastasis (lymphatic metastasis), and therefore the watch lymphadenectomy surgery is an important step malignant tumor surgery sudden the watch. Which of the following cancer because there are few lymph node metastases (<5%), so no conventional technique into ⾏ lymphadenectomy your watch?

Answer: ⾁ soft tissue tumors

Choices:
A. Stomach cancer
B. ⾁ soft tissue tumors
C. Zoomed cancer
D. Pancreatic cancer


Question: The following pair of internal diseases and skin related characterization, whichever is the most correct?

Answer: Lupus erythematosus (Lupus erythematosus): alopecia (alopecia)

Choices:
A. Renal failure (Renal insufficiency): spider angioma (Spider angioma)
B. Lupus erythematosus (Lupus erythematosus): alopecia (alopecia)
C. The second stage of syphilis (Secondary syphilis): erythroderma (Erythroderma)
D. B hepatitis (Hepatitis B infection): hyperpigmentation (Hyperpigmentation)


Question: Statements about the topical pimecrolimus and tacrolimus, which of the following error?

Answer: Prone to skin atrophy side effects

Choices:
A. Can be used to treat atopic dermatitis (atopic dermatitis)
B. Prone to skin atrophy side effects
C. Is a calcineurin inhibitor
D. Would inhibit the activation of T cell


Question: A middle-aged man came to the emergency department, family members of patients complained of long-term alcohol abuse, diarrhea and dementia recent phenomenon, skin changes as shown in the drawing, pathological suspicion nutritional deficiency diseases, the patients most likely reason why?

Answer: vitamin B3（niacin）deficiency

Choices:
A. vitamin B1（thiamin）deficiency
B. vitamin B2（riboflavin）deficiency
C. vitamin B3（niacin）deficiency
D. vitamin B6（pyridoxine）deficiency


Question: The following information about congenital huge colon disease (Hirschsprung disease) of the narrative, what's wrong?

Answer: DRE can be found in anal tension (anal tone) decreased

Choices:
A. Lesions occur in the rectum sigmoid colon (rectosigmoid) at
B. Appears meconium (meconium) discharge of Retarded
C. Possible enterocolitis (enterocolitis) with sepsis
D. DRE can be found in anal tension (anal tone) decreased


Question: Women after menopause, estrogen is produced by where?

Answer: fat

Choices:
A. skeleton
B. fat
C. nerve
D. Artery


Question: The clinical manifestations related to tracheal esophageal fistula, which of the following less common?

Answer: Breath sounds can be heard stridor

Choices:
A. A large amount of tracheal secretions
B. Breath sounds can be heard stridor
C. X-rays often seen bloating phenomenon
D. Easy accompanied by respiratory or lung infections


Question: Effective medical reduces what can inform project?

Answer: Non-caused due to negligence of medical disputes

Choices:
A. Medical foreseeable accident
B. Unforeseen medical accident
C. Caused due to negligence of medical disputes
D. Non-caused due to negligence of medical disputes


Question: Which of the following hormones induce NK cells and T cells to produce IFN-γ?

Answer: IL-12

Choices:
A. IL-4
B. IL-6
C. IL-10
D. IL-12


Question: 15-year-old boy limp because of groin pain and seek treatment, its X-ray frog posture as shown, the most likely diagnosis Why?

Answer: The proximal femoral growth plate spondylolisthesis

Choices:
A. Muscle strain
B. The proximal femoral growth plate spondylolisthesis
C. Inguinal hernia
D. Genital contusion


Question: That following the enzymatic reaction catalyzed no CO2?

Answer: Glyceraldehyde-3-phosphate dehydrogenase (glyceraldehyde-3-phosphate dehydrogenase)

Choices:
A. Isocitrate dehydrogenase (isocitrate dehydrogenase)
B. Glyceraldehyde-3-phosphate dehydrogenase (glyceraldehyde-3-phosphate dehydrogenase)
C. α- ketoglutarate dehydrogenase (α-ketoglutarate dehydrogenase)
D. Pyruvate dehydrogenase (pyruvate dehydrogenase)


Question: Which of the following by the diaphragm (diaphragm) breach of the esophagus (esophageal opening)?

Answer: Vagus nerve

Choices:
A. Vagus nerve
B. Phrenic nerve
C. The inferior vena cava
D. Chest tube


Question: Nai Geli's bodies (Negri body) viral inclusion bodies, the kind used to diagnose these diseases?

Answer: Rabies

Choices:
A. Mumps
B. measles
C.  rash
D. Rabies


Question: Which of the following enzyme activity will lead to reduction in the absence of vitamin B1B?

Answer: α-Ketoglutarate dehydrogenase

Choices:
A. Succinate dehydrogenase
B. Glucose 6-phosphate dehydrogenase
C. α-Ketoglutarate dehydrogenase
D. Transldolse


Question: IL-4 may contribute to the formation of antibodies that one of the following?

Answer: IgE

Choices:
A. IgM
B. IgG3
C. IgG2a
D. IgE


Question: One patient valve endocarditis due to Streptococcus lead, and he took penicillin G can cause anaphylaxis, which of the following is the drug of choice for the treatment of this patient?

Answer: Vancomycin

Choices:
A. Vancomycin
B. Aztreonam
C. Cefazolin + gentamicin
D. Meropenem


Question: On wound healing the synthesis of collagen (Collagen), the following statements is wrong?

Answer: Synthesis of collagen, the collagen begins predecessor (of procollagen) of [alpha] chain (pro-α-chains) from sticking Golgi

Choices:
A. After the injury, fibroblasts begin synthesis of type III collagen (type III collagen)
B. Collagen is the major component of wound healing
C. Synthesis of collagen, the collagen begins predecessor (of procollagen) of [alpha] chain (pro-α-chains) from sticking Golgi
D. A first type collagen (type I collagen) 80% of adult skin


Question: Which of the following best renal replacement therapy for the treatment of end stage renal disease (treatment of choice)?

Answer: Kidney transplant (kidney transplantation)

Choices:
A. Hemodialysis (hemodialysis)
B. Peritoneal dialysis (peritoneal dialysis)
C. Kidney transplant (kidney transplantation)
D. Hemodiafiltration (hemodiafiltration)


Question: Following that disease is less likely to cause stroke?

Answer: Rheumatoid arthritis

Choices:
A. Lupus erythematosus
B. Carotid release
C. hypertension
D. Rheumatoid arthritis


Question: : Calculate the average FIG hearing threshold of the right ear (pure tone average) The

Answer: 25 dB

Choices:
A. 3 dB
B. 12 dB
C. 25 dB
D. 45 dB


Question: Related to the cornea of the eye (cornea), the following statements is this bad?

Answer: Having no corneal nerve endings (nerve ending)

Choices:
A. Having no corneal nerve endings (nerve ending)
B. All metabolic exchange cornea (metabolic exchange) occurs mainly in the corneal endothelium (corneal endothelium)
C. Comprises a five-layer structure of the cornea, which Descemet's membrane and Bowman's membrane layer is non-cellular
D. Corneal epithelium (corneal epithelium) cells have a high capacity of regeneration (regenerative capacity)


Question: Cell gene transcription (transcription) is responsible for the expression of various genes. In the process of transcription, it is unnecessary that the following items?

Answer: Deoxyribonucleic acid polymerase (DNA polymerase)

Choices:
A. RNA polymerase (RNA polymerase)
B. Promoter (promoter)
C. Deoxyribonucleic acid polymerase (DNA polymerase)
D. Facilitator (enhancer)


Question: Which of the following pathogens diseases are spread through the rat flea?

Answer: Endemic typhus (endemic typhus)

Choices:
A. Scrub typhus (scrub typhus)
B. Rocky Mountain spotted fever (Rocky mountain spotted fever)
C. Endemic typhus (endemic typhus)
D. Epidemic typhus (epidemic typhus)


Question: 71 World Health Organization (WHO) for the definition and classification of disability, inconvenience and can not play a full role in society (inability to fulfill role) who are classified as:

Answer: handicap

Choices:
A. impairment
B. disability
C. barrier
D. handicap


Question: Figure lesions occurred after patients receive physical therapy, following a therapeutic device that is most likely to be the reason?

Answer: Hot pack (hot packs)

Choices:
A. Shortwave therapy apparatus (short wave diathermy)
B. Hot pack (hot packs)
C. Interference wave (interferential current)
D. Low-energy laser (low energy laser therapy)


Question: Following that a patient's glomerular lesions, compared with the other three, serum complement usually do not drop?

Answer: 25-year-old woman, two years ago, there will be macroscopic hematuria after upper respiratory tract infection two days. Urine check 100 mg / dL protein, high-power microscopic examination 15-20 RBC

Choices:
A. 47 year old man, suffering from hepatitis C decades, nearly half appeared lower limb edema, urine analysis is 300 mg / dL protein, high-power microscope
B. 55-year-old man after tooth extraction to cause endocarditis (infectious endocarditis). Urine analysis is 300 mg / dL protein, high-powered microscope
C. 25-year-old woman, two years ago, there will be macroscopic hematuria after upper respiratory tract infection two days. Urine check 100 mg / dL protein, high-power microscopic examination 15-20 RBC
D. 34-year-old woman, began a year ago polyarthritis and rash over the cheeks, antinuclear antibody positive. Three months after the edema, urine analysis is 500 mg / dL protein, high-powered microscopic examination have 20-30 RBC, 10-15 WBC


Question: The following related gastric epithelial cells polyps (polyp) of the narrative, what's wrong?

Answer: Adenoma (adenomatous polyp) proportion of up to 75%

Choices:
A. Adenoma (adenomatous polyp) proportion of up to 75%
B. Hyperplastic polyps (hyperplastic polyp) is still the risk of cancer
C. Is the most common benign tumors of the stomach
D. Ectopic tumors (heterotopic polyp) and hamartoma (hamartoma) of the cancer risk is very low


Question: 19 a 7-year-old girl with acute lymphatic leukemia relapse and accept cord blood stem cell transplant, 45 days after the first few days of the whole body rash and desquamation (desquamation) phenomenon, and watery diarrhea (watery diarrhea) case, the peripheral blood no abnormal leukocytes appeared, aspartate aminotransferase (AST; SGOT): 85 U / L, alanine aminotransferase (ALT; SGPT): 128 U / L, total bilirubin: 2.5 mg / dL, CRP normal clinical patients without fever, no cough, no obvious abnormal motility, following which the disease is most likely?

Answer: acute graft-versus-host disease（GVHD）

Choices:
A. acute graft-versus-host disease（GVHD）
B. chronic graft-versus-host disease（GVHD）
C. Candida infection
D. Epstein-Barr virus（EBV）infection


Question: Disposable wide neck muscle (. Platysma m) nerve fibers derived from:

Answer: ) Facial nerve

Choices:
A. Accessory nerve
B. Supraclavicular nerve
C. Transverse cervical nerve
D. ) Facial nerve


Question: 22. Jaundice is often the bed of disease. There is a 20-year-old light man, without any liver history, out-patient complained of health inspection, we found serum Bilirubin 2.9 / 0.5 ㎎ / dL (Total / Direct, reference value: <1.0 / <0.3 mg / dL), other liver function tests are normal, serum hepatitis markers were negative reaction; examination often no, no itching symptoms. Under which most likely diagnosis?

Answer: Gilbert's Syndrome

Choices:
A. Intrahepatic bile stagnation (Cholestasis)
B. Dubin-Johnson Syndrome
C. Gilbert's Syndrome
D. Rotor Syndrome


Question: 55 year old man chewing betel nut, smoking and drinking habits of about 15 years, the past six months about 1.5 cm tumor in the left side of the tongue, science examination revealed a 2 cm ipsilateral lymph node swelling in the lower jaw triangle, tongue biopsy confirmed the tongue squamous cell carcinoma (squamous cell carcinoma), may I ask this patient's cancer clinical stage for the first of several?

Answer: The third stage (stage III)

Choices:
A. The first stage (stage I)
B. The second phase (stage II)
C. The third stage (stage III)
D. Phase IV (stage IV)


Question: A 78-year-old female patient, hospitalized one day prior to loss of consciousness 10 minutes after his family woke up to an emergency hospitalization. The next morning the phone when you receive a nursing station on duty "patient loss of consciousness took place, hands and feet cramps", ie you to the scene within 30 seconds, the patient wake, less than the amount of blood pressure, heart sounds can be heard. This time has been recorded electrocardiogram as shown in FIG. That one of the following disposal the most inappropriate?

Answer: intubation first

Choices:
A. call for help
B. cardiac massage
C. DC cardioversion as soon as possible
D. intubation first


Question: A 18-year-old woman had not come menstruation (amenorrhea), normal height, normal second sexual characteristics, blood lutein levels were normal, basic thermometer normal, abdominal ultrasound examination figure, what is the most appropriate diagnosis?

Answer: Mayer-Rokitansky-Kuster-Hauser syndrome

Choices:
A. androgen insensitivity（testicular feminization）
B. Mayer-Rokitansky-Kuster-Hauser syndrome
C. Turner syndrome
D. Asherman's syndrome


Question: Which of the following tumor suppressor genes (tumor suppressor gene) function and DNA repair-related?

Answer: BRCA1 and BRCA2

Choices:
A. APC / β-catenin
B. PTEN
C. RB1
D. BRCA1 and BRCA2


Question:
8
 92
 100
    No
 20
 80
 100
 Total
 28
 172
 200
 Chi-square test, P value = 0.014
 71 why this intervention training for the experimental and control groups in the relative risk of falls among the elderly (relative risk) and absolute risk difference (absolute risk difference)?

Answer: 0.5 with respect to the absolute risk difference between the control group, the experimental group relative risk of falling to 0.10

Choices:
A. Relative to the control group, the experimental group had a relative risk of fall is 0.4, the absolute risk difference is 0.12
B. 0.5 with respect to the absolute risk difference between the control group, the experimental group relative risk of falling to 0.12
C. Relative to the control group, the experimental group had a relative risk of fall is 0.4, the absolute risk difference is 0.10
D. 0.5 with respect to the absolute risk difference between the control group, the experimental group relative risk of falling to 0.10


Question: Statements about endometrial cancer, which of the following error?

Answer: Serous carcinoma (serous carcinoma) belonging to the first type

Choices:
A. The first type of estrogen (Estrogen) stimulation than about
B. Serous carcinoma (serous carcinoma) belonging to the first type
C. The second type of prognosis is not good
D. Endometrial hyperplasia is the first type of precursor lesions


Question: Mrs.wu, 44 years old, complained of in the past three weeks, the left calf and thigh pain and swelling, because sudden chest pain and palpitations hospitalization, hospitalizations abnormal chest X-ray, CT scan chest FIG. The most likely diagnosis is:

Answer: Pulmonary embolism (Pulmonary embolism)

Choices:
A. Tuberculosis (Pulmonary tuberculosis)
B. Pulmonary embolism (Pulmonary embolism)
C. Aortic dissection (Aortic dissection)
D. Pneumonia (Pneumonia)


Question: A 20-year-old students enrolled in grades 2 University, often use computers to play games online, nearly three weeks he felt right palm hemp, especially the thumb and index finger, while more severe numbness while riding, and even these days pen write feel inflexible, so he went to the clinic for help. What do you think he is most likely diagnosis?

Answer: Carpal tunnel syndrome (carpal tunnel syndrome)

Choices:
A. Ulnar nerve (ulnar nerve) disease
B. Radial nerve (radial nerve) disease
C. Carpal tunnel syndrome (carpal tunnel syndrome)
D. Brachial plexus lesions (brachial plexus neuropathies)


Question: The following narrative about the white matter, what's wrong?

Answer: Meyer's loop conduction hearing posts

Choices:
A. cingulum contain association fibers
B. corpus callosum commissural fibers comprising
C. uncinate fasciculus connecting the brain's frontal and temporal lobe
D. Meyer's loop conduction hearing posts


Question: Which of the following cleavage of a protein can be used to determine their amino acid contents of ingredients:

Answer: 6 N HCl

Choices:
A. 6 N HCl
B. 8 N NaOH
C. 8 M urea
D. 6 M guanidine HCl


Question: Mention epididymis reflex (cremasteric reflex) has nothing to do with what the following structure?

Answer: Reproductive femoral nerve (genitofemoral nerve)

Choices:
A. Ilioinguinal nerve (ilioinguinal nerve)
B. Femoral cutaneous nerve rear side (posterior femoral cutaneous nerve)
C. Lumbar spinal cord (spinal cord, lumbar segment)
D. Reproductive femoral nerve (genitofemoral nerve)


Question: 34-year-old married woman, abnormal menstrual bleeding 2 years, use of oral contraceptives treatment, now want early pregnancy, ultrasound check 7 cm myometrium uterine fibroids, also cause pelvic tenderness, that following a treatment for the most appropriate?

Answer: Myomectomy surgery

Choices:
A. 使用 Gonadotropin-releasing hormone（GnRH）Agonist
B. Myomectomy surgery
C. D & C plus hysteroscope
D. Uterine artery embolization


Question: The following description of the relevant plans imaging under, what's wrong?

Answer: This check can not render the vein of the hepatic portal vein

Choices:
A. Liver arterial photography pictures
B. Right hepatic artery supplied from the mesenteric artery
C. To assess the left lobe of the liver artery catheter placed in the abdominal distribution should be dry artery
D. This check can not render the vein of the hepatic portal vein


Question: 55-year-old male, month loss of appetite, weight loss 6 kg, the family found their urine color changes to brown, to bring the hospital, found blood total bilirubin level was 7.8 mg / dL, direct form bilirubin level was 6.9 mg / dL, tumor index also increased, Which of the following is least likely to cause?

Answer: Empty cancer

Choices:
A. Cholangiocarcinoma
B. Pancreatic cancer
C. Empty cancer
D. Ampullary cancer


Question: 87. The narrative about Porrett's esophagus (Barrett esophagus), and which of the following error?

Answer: Histological features seen in the wall of the esophagus wall cells (parietal cell) and primary cells (chief cell)

Choices:
A. Is reflux esophagitis (reflux esophagitis) complications
B. Predilection for white males
C. Is one risk factor for adenocarcinoma of the esophagus (adenocarcinoma) of
D. Histological features seen in the wall of the esophagus wall cells (parietal cell) and primary cells (chief cell)


Question: A 22 year old man was found near the left testicle months painless enlargement (about 10 × 8 × 6 cm), β-HCG blood examination revealed significantly increased but fetoprotein (AFP) is not increased, ultrasonography as shown, the most likely diagnosis is:

Answer: Choriocarcinoma cell carcinoma (choriocarcinoma)

Choices:
A. Seminoma (seminoma)
B. Embryonic cell carcinoma (embryonal carcinoma)
C. Choriocarcinoma cell carcinoma (choriocarcinoma)
D. Abnormal cell carcinoma (teratocarcinoma)


Question: Under the following circumstances, acetyl-CoA into the citric acid cycle will be reduced?

Answer: [ATP] / [ADP] high

Choices:
A. [AMP] / [ATP] high
B. [ATP] / [ADP] high
C. [IN +] / [made] 高
D. [oxaloacetate]高


Question: Which of the following effect can not be repaired repair pyrimidine dimers caused by ultraviolet (pyrimidine dimers) hurt?

Answer: Nucleic acid mismatched repair (mismatch repair)

Choices:
A. Nucleotide excision repair (nucleotide excision repair)
B. DNA photolyase (DNA photolyases)
C. Nucleic acid mismatched repair (mismatch repair)
D. Base excision repair (base excision repair)


Question: 47.COPD inflammatory response in inflammatory many media, including IL-8, TNF-α, IL-1β gene activation of these inflammatory medium that is mainly via a transcription factor (Transcriptional factor)?

Answer: NF-κB

Choices:
A. NF-κB
B. Of 1
C. JNK
D. HIF-1α


Question: 30-year-old female complained of dry mouth and dry eyes past six months, more and more serious, even drink a lot of water every day will not improve, ophthalmologist after Schirmer's test is recognized as dry eye, referred to the Division of Rheumatology clinic. Which of the following disposal more appropriate?

Answer: First blood check Anti-SSA / SSB antibody

Choices:
A. Direct use of high-dose steroid therapy
B. Directly Cyclophosphamide treatment
C. Rituximab treatment directly
D. First blood check Anti-SSA / SSB antibody


Question: The following cerebellar cortex cells, whichever belongs to the excitatory glutamate neurosecretory element?

Answer: granule cells

Choices:
A. Purkinje cells
B. Golgi cells
C. granule cells
D. basket cells


Question: Close contact with Meningococcal meningitis without proper protection of medical personnel, should receive post-exposure prophylaxis antibiotics, drugs are recommended:

Answer: Oral rifampin

Choices:
A. Oral penicillin
B. Oral first-generation cephalosporin
C. Oral rifampin
D. Topical mupirocin


Question: About the machine turn immunosuppressive drugs, what is wrong?

Answer: Etanercept is a major role in suppressing inflammation matter as interleukin -1 (IL-1) induced

Choices:
A. Etanercept is a major role in suppressing inflammation matter as interleukin -1 (IL-1) induced
B. Used in systemic lupus erythematosus Hydroxychloroquine was originally used to treat malaria
C. In addition to intravenous immunoglobulin is effective for Kawasaki disease, but can also be used to treat dermatomyositis
D. Sulfasalazine is mainly used to treat juvenile rheumatoid arthritis


Answer: Less than 50% of malignant (less than 50% are malignant)

Choices:
A. Within less than 2 cm asymptomatic lung mass (an asymptomatic mass within the lung parenchyma that is less than
B. Less than 50% of malignant (less than 50% are malignant)
C. If a single pulmonary nodules characteristic of benign calcifications, generally without surgery (patient with benign pattern of calcification does not
D. Some single pulmonary nodules can not use wedge resection (a wedge resection for SPN may not be always possible)


Question: Cancer often have specific tumor markers (tumor marker), about pairing narrative, which of the following error?

Answer: Small-cell lung cancer -CA19-9

Choices:
A. Liver cancer (hepatocellular carcinoma) - fetoprotein (alpha-fetoprotein, AFP)
B. Colorectal cancer -CEA (carcinoembryonic antigen)
C. Small-cell lung cancer -CA19-9
D. Prostate cancer -PSA (prostate specific antigen)


Question: Consider age and international staging system, following what kind of neuroblastoma (neuroblastoma) best prognosis neuroblastoma?

Answer: stage 4S, 9 months old

Choices:
A. stage 3,4 years old
B. stage 4,5 years old
C. stage 4,2 years old
D. stage 4S, 9 months old


Question: There are a couple with a little boy to treatment, the current 3-year-old child, lack of height, the development is relatively slow. His face is rather special, it looks as rough figures, relatively thick hair. Can not fully bend his fingers, physical examination found that the liver is relatively large. That one of the following examination, there will be specific of this disease found?

Answer: Bone X-rays

Choices:
A. Liver function tests
B. EEG examination
C. Bone X-rays
D. Coagulation tests


Question: Parotid gland (parotid gland) secrete neurotransmitters signal by what?

Answer: Glossopharyngeal nerve (glossopharyngeal nerve)

Choices:
A. The facial nerve (facial nerve)
B. Maxillary nerve (maxillary nerve)
C. Glossopharyngeal nerve (glossopharyngeal nerve)
D. Eighth cranial nerve


Question: Infertile women undergoing IVF treatment, after playing human chorionic gonadotropin (hCG) to induce ovulation, oocyte how often the most appropriate?

Answer: 34-36 hours

Choices:
A. 12-14 hours
B. 24-26 hours
C. 34-36 hours
D. 50-56 hours


Question: Which of the following is located below the bladder side?

Answer: Obturator muscle

Choices:
A. uterus
B. prostate
C. ureter
D. Obturator muscle


Question: Most in need of antibiotic therapy when what kind of following patients developed asymptomatic bacteriuria (asymptomatic bacteriuria)?

Answer: Pregnant woman

Choices:
A. Pregnant woman
B. The elderly suffering from tuberculosis disease
C. There's indwelling catheter
D. Patient with diabetes mellitus


Question: Itself suffering from an asthma mother, with her 10-month-old son came to the clinic, asking if her son would asthma in the future, when her son was 6 months old have a wheezing episode (wheezing episode). The following statements is true?

Answer: If the children who also have eczema (eczema), then his chance after higher incidence of asthma

Choices:
A. If the children who also have eczema (eczema), then his chance after higher incidence of asthma
B. If his mother does not drink, then his chances to develop into asthma smaller
C. If he grew chance to drink goat's milk, he developed into smaller asthma
D. Long-term use of bronchodilators may reduce the chance that he will develop into asthma


Question: Which of the following is the body's main liver mitochondrial function of HMG-CoA synthase of?

Answer: Promote the synthesis of ketones (ketone body biosynthesis)

Choices:
A. Promote the synthesis of cholesterol (cholesterol biosynthesis)
B. Inhibition of fatty acid synthesis (fatty acid biosynthesis)
C. Promote the synthesis of ketones (ketone body biosynthesis)
D. Promote gluconeogenesis (gluconeogenesis)


Question: About swallowing mechanism, the following statements is wrong?

Answer: Of oropharynx (oral phase) for independent movement, until the base of the tongue from the inlet to the food portion (tongue base)

Choices:
A. Of oropharynx (oral phase) for independent movement, until the base of the tongue from the inlet to the food portion (tongue base)
B. The first action of the throat (pharyngeal phase) is blocking the pharynx jaw (velopharyngeal closure)
C. Of the esophagus (esophageal phase) starting from the throat ring opening (cricopharyngeal opening)
D. Three sphincter to prevent tracheal inhalation include: epiglottis (epiglottis), false vocal cords (false cord), true vocal cords (true


Question: A 30-year-old married woman have long menstrual pain, sexual intercourse often feel unwell, and many years of infertility cases, on clinical wonder whether they have:

Answer: Endometriosis

Choices:
A. Uterine fibroids
B. Endometriosis
C. Endometrial cancer
D. Pelvic inflammatory disease


Question: The following statements about surfactant (surfactant) of, what's wrong?

Answer: Can reduce pulmonary compliance (lung compliance)

Choices:
A. A second alveolar cells secrete
B. Can reduce the surface tension of the alveoli
C. Small and continuous patterns may reduce respiratory secretion
D. Can reduce pulmonary compliance (lung compliance)


Question: About narcolepsy (Narcolepsy) of the main clinical symptoms, which of the following error?

Answer: Sleepwalking (sleep walking)

Choices:
A. Cataplexy (cataplexy)
B. Sleepwalking (sleep walking)
C. Sleep paralysis (sleep paralysis)
D. Daytime sleepiness (excessive daytime sleep)


Question: Cause human disease cause of death in developed countries, in addition to pathogens, the following factors where the greatest impact?

Answer: Personal lifestyle

Choices:
A. Personal lifestyle
B. The quality of environmental factors
C. Personal physiological conditions
D. The quality of medical equipment


Question: 51-year-old woman, complained of the past six months, headache, hemp and right lower limb weakness, according to the attached diagram MRI (T1WI with Gd-DTPA), the diagnosis is:

Answer: Meningioma

Choices:
A. Glioblastoma multiforme (GBM)
B. Oligodendroglioma
C. Giant aneurysm
D. Meningioma


Question: Three rounds of hyperparathyroidism (tertiary hyperparathyroidism), whichever is correct?

Answer: A year after kidney transplantation, calcium, parathyroid hormone continues to rise, should surgery

Choices:
A. A year after kidney transplantation, calcium, parathyroid hormone continues to rise, should surgery
B. Bone pain, pruritus is not serious, should surgery
C. BMD did not decrease (T> -2.5), surgical treatment should
D. Without recurrence hardly resection


Question: Which of the following non-rheumatoid nodules (rheumatoid nodules) predilection site?

Answer: There have been near the site of skin injury and

Choices:
A. Position around the joint
B. Extension side surface of the limbs
C. Often suffer from pressure surges site
D. There have been near the site of skin injury and


Question: Mycoplasma (Mycoplasma) and L form bacterial cell wall is also a lack of structure, the biggest difference between the two Why?

Answer: Mycoplasma cell membranes containing the sterols, the L form no bacteria

Choices:
A. Mycoplasma cell membranes containing the sterols, the L form no bacteria
B. L form on the bacterial cell membrane containing a sterol, and no mycoplasma
C. Under appropriate growth conditions, mycoplasma cell wall structure may be formed, while the L form bacteria NO
D. Mycoplasma of β-lactam drugs sensitive, and L form bacteria is resistant


Question: 72.21-year-old woman, no past medical history. Three days before the start of fever, cough. Today there is still a fever clinic, and shortness of breath than, chest pain when breathing. Clear consciousness, blood pressure 100/70 mmHg, pulse rate 100 bpm, respiration 24 bpm, ear thermometer 9 ℃, left lower lobe buckle diagnosis voiced (dullness), chest X-ray showed infiltration of the left lower lobe, diagnosis of pneumonia. In community clinics should be given to what the most appropriate disposal?

Answer: Azithromycin treatment may be preferred

Choices:
A. Should be given antibiotics before blood culture
B. Always perform sputum culture
C. Azithromycin treatment may be preferred
D. Moxifloxacin therapy may be preferred


Question: A young 65 year old man, three weeks before gradually turn yellow skin and sclera, and recently two days stool color changes to gray. Supreme abdominal pain, nor fever. Physical examination found the right upper quadrant have a painless lump. Will the following diagnostic whichever is less suitable?

Answer: Acute hepatitis

Choices:
A. Acute hepatitis
B. Pancreatic cancer
C. Biliary obstruction
D. Periampullary tumor


Question: About Hepatitis D virus (Delta agent) of the narrative, Which statement is correct?

Answer: When the virus formation requires HBV surface antigen (surface antigen)

Choices:
A. Deficient mutants of HBV (defective mutant)
B. When the virus formation requires HBV surface antigen (surface antigen)
C. And HCV-related
D. Containing double-stranded DNA virus


Question: Olfactory region of the nasal cavity (olfactory region) that does not have one of the following cell?

Answer: Goblet cells (goblet cell)

Choices:
A. Bipolar neurons (bipolar neuron)
B. Goblet cells (goblet cell)
C. Basal cells (basal cell)
D. Sertoli cells (sustentacular cell)


Question: About short bowel syndrome (short bowel syndrome) after resection of the small intestine, the following statements is wrong?

Answer: Resection of the jejunum (jejunum) are prone to short bowel syndrome than ileal resection (ileum)

Choices:
A. Less than 50% resection of the small intestine, the body can withstand more than usual, but without malabsorption of short bowel syndrome appears
B. Ileocecal valve if saved, compared with less prone to short bowel syndrome
C. Resection of the jejunum (jejunum) are prone to short bowel syndrome than ileal resection (ileum)
D. Intestinal transplantation is a serious short bowel syndrome treatment options


Question: Periodic health examination is an important project of preventive health care. Check the following items related diseases should be included in the scope of the described periodic health check, whichever is wrong?

Answer: Screening way up to the specialist to improve the credibility

Choices:
A. The disease must have a significant impact on health
B. The prevalence of the disease should be quite cost-effective to
C. The disease should be effective after the onset of the treatment, and early treatment with a better effect than the
D. Screening way up to the specialist to improve the credibility


Question:
60
 From the previous questions, the following information that a determination of whether to give him oral hypoglycemic agents most helpful?

Answer: Glycated hemoglobin

Choices:
A. Glycated hemoglobin
B. Chest X-ray
C. ECG
D. blood pressure


Question: Sick Children in the game, due to cyanosis and dyspnea, the game must be interrupted, and hold the position for a while squatting station, the situation was improving, then the machine turn why?

Answer: Can be increased peripheral vascular resistance squat the partial reduction of the flow right to left

Choices:
A. Can be increased peripheral vascular resistance squat the partial reduction of the flow right to left
B. When the squat, leg muscle contraction, can reduce venous return, reduce heart failure
C. When the squat lower head, the head blood flow easily
D. When the squat, comparisons can increase lung capacity


Question: Assess the adequacy of tissue perfusion, which of the following is most reliable?

Answer: Blood lactate concentration

Choices:
A. blood pressure
B. Heartbeat
C. Cardiac output (cardiac output)
D. Blood lactate concentration


Question: The following description of inter-related intertrochanteric fractures, what's wrong?

Answer: Likely to have nonunion and avascular necrosis of complications

Choices:
A. Medical conditions as long as the patient is stable, i.e., should the surgical fixation
B. Likely to have nonunion and avascular necrosis of complications
C. Occur more frequently in older persons
D. May be associated with the distal radial fracture, and proximal humeral fracture


Question: The following muscle that is dominated by the throat outside nerve (external laryngeal nerve)?

Answer: Cricothyroid muscle (cricothyroid muscle)

Choices:
A. Dipper muscle backing ring (posterior cricoarytenoid muscle)
B. Outer cricoarytenoid muscle (lateral cricoarytenoid muscle)
C. Cricothyroid muscle (cricothyroid muscle)
D. Kinoehishakuhada (thyroarytenoid muscle)


Question: The cholesterol-lowering Statin drugs can sometimes cause muscle damage caused by muscle enzymes such as CK in the blood to rise. If while taking these drugs which are most likely to increase the rate of Statin produce muscle disease or severity?

Answer: Fibrate lipid-lowering drugs

Choices:
A. Fibrate lipid-lowering drugs
B. Heinz loop diuretics (loop diuretics)
C. Sulfonylurea type hypoglycemic agent
D. Warfarin anticoagulants


Question: 12-year-old boy has a respiratory infection a few days ago, two days appeared swollen eyelids, scrotal edema. Urine examination showed proteinuria> 300 mg / dL, RBC 3 ~ 5 / HPF, serum albumin, 1.7 gm / dL, the physician administering the steroid after eight weeks of treatment, again detecting urinary protein is still> 300mg / dL the reaction, and the blood creatinine acid value of two months increased by 1.2 mg / dL, which of the following is the most likely diagnosis boys?

Answer: Local nested glomerular sclerosis (focal segmental glomerulosclerosis)

Choices:
A. Small changes in type nephropathy (minimal change nephropathy)
B. Local nested glomerular sclerosis (focal segmental glomerulosclerosis)
C. Glomerular basement membrane disease film (thin glomerular basement membrane disease)
D. IgA nephritis (IgA called nephropathy,)


Question: The most frequent complications after appendectomy Why?

Answer: Infection in subcutaneously and intraperitoneally

Choices:
A. pneumonia
B. Urinary tract infections
C. Intestinal fistula subcutaneous
D. Infection in subcutaneously and intraperitoneally


Question: Which of the following congenital heart disease have to keep an open ductus arteriosus (ductus arteriosus), otherwise usually fatal soon after birth?

Answer: The main artery occlusion (aortic atresia)

Choices:
A. Ventricular septal defect (ventricular septal defect)
B. Coarctation of the aorta (coarctation of aorta)
C. Atrial septal defect (atrial septal defect)
D. The main artery occlusion (aortic atresia)


Question: Wang, 25, obstetric history as G2P2, you want to have a third baby, but it has been three years are no longer pregnant. Her menstrual rules, but she had two years ago because of appendicitis caused by a ruptured appendix persistent fever, with severe peritonitis surgery. Her husband 28-year-old, semen analysis (semen analysis) normal, she and her husband do not have medical aspects of the disease. Because of her infertility to your out-patient clinics, which are most likely to couple infertility causes are:

Answer: Tubal factor (tubal factor)

Choices:
A. Quality egg (oocyte quality) poor
B. Tubal factor (tubal factor)
C. Male factor (male factor)
D. Cervix and immunological factors (cervical and immunologic factors)


Question: The following description of various diseases to adolescents and changes of adulthood, what's wrong?

Answer: Part of the autistic children to early adulthood (young adulthood) symptoms improved, in order to improve the rituals and repetitive behaviors most

Choices:
A. Attention deficit hyperactivity disorder symptoms may continue to adolescents and adulthood
B. Have a family history of attention deficit hyperactivity disorder, conduct disorder and regulate negative life events, symptoms persist for predicting adverse factor
C. If the child has a self-closing in 5 to 7 years of age and language communication IQ higher than 70, then the prognosis is better
D. Part of the autistic children to early adulthood (young adulthood) symptoms improved, in order to improve the rituals and repetitive behaviors most


Question: Which of the following is given parenteral nutrition (parenteral feeding) adaptation?

Answer: Gastrointestinal fistula (gastrointestinal-cutaneous fistulas)

Choices:
A. Hyperthyroidism (hyperthyroidism)
B. Acute cholecystitis (acute cholecystitis)
C. Gastrointestinal fistula (gastrointestinal-cutaneous fistulas)
D. Venous thromboembolism (venous thromboembolism)


Question: A 38-year-old man complained of severe pain in his right knee, his right knee about a month history of pain, after martial arts hall and massage can not find weight-bearing walking. Found local swelling when seeking treatment, associated with significant tenderness and jarring sound (crepitus sound). X-ray photography in the right proximal femur has a lesion in the following figure. Diagnosis and treatment of this patient, which of the following most inappropriate?

Answer: Fracture reduction and fixation immediately

Choices:
A. Skeletal traction embodiment, in order to maintain the relative positions of the bone
B. Arrange whole body bone scan (bone scan)
C. Arrangements for Magnetic Resonance Imaging (MRI)
D. Fracture reduction and fixation immediately


Question: Cheek muscles (buccinator) dominated by what nerve?

Answer: The seventh cranial nerve buccal branch of the (buccal branch)

Choices:
A. The fifth cranial nerve of the buccal nerve (buccal nerve)
B. The seventh cranial nerve buccal branch of the (buccal branch)
C. The second branch of the fifth cranial nerve
D. Twelfth cranial nerve


Question: 56 year old woman three weeks ago because of chest pain and the diagnosis of acute myocardial infarction, after thrombolytic treatment received and discharged. Recently two days because I felt it surge through the outpatient and inpatient. Patient said she was regularly taking the physician open drug containing atorvastatin, lisinopril, metoprolol, aspirin. Physical examination blood pressure 100/45 mm Hg, heart rate 46 times per minute, bilateral pulmonary rales (bilateral crackles), jugular venous distention, bilateral lower extremity edema, no new heart murmur or gallop sound (gallop). ECG sinus bradycardia, presenting recent myocardial infarction, but the new changes did not occur. Following the disposal of whichever correct?

Answer: Use of diuretics, and reduced or stopped metoprolol

Choices:
A. Emergency placement of pacemaker
B. Measuring free thyroxine T4 (free T4)
C. Use of cardiac drugs dobutamine
D. Use of diuretics, and reduced or stopped metoprolol


Question:
4. Mr. Zhang was sent to the families of the emergency room, they only know a bad mood because of Mr. Zhang, swallowed a lot of headache medicine (acetaminophen) after been nausea, vomiting, general tiredness and weakness. Blood tests results are as follows: alanine aminotransferase (ALT): 894 U / L (normal: 0 ~ 40); aspartate aminotransferase
 (AST): 720 U / L (normal: 5 ~ 45); total bilirubin: 2.2 mg / dL (normal: 0.2 ~ 1.6); direct bilirubin: 1.8 mg / dL
 (Normal: 0 ~ 0.3); alkaline phosphatase (ALK-P): 42 U / L (normal: 10 ~ 100); gamma-glutamyl transpeptidase (γ-
 U / L (normal: 6 ~ 60). About the damage caused by the drug, whichever is most incorrect?

Answer: Mr. Zhang Failure to liver failure, or later turn into chronic liver disease

Choices:
A. This is a dose (dose dependent) related to liver damage
B. Drug concentration in blood and the severity of liver injury related
C. Mr. Zhang Failure to liver failure, or later turn into chronic liver disease
D. Can cause kidney failure


Question: Which of the following Flumazenil is an antagonist of narcotic drugs (Antagonist)?

Answer: Midazolam

Choices:
A. Ketamine
B. Midazolam
C. Propofol
D. Thiopental


Question: Related cervical intraepithelial neoplasia (CIN) treatment Which statement is correct?

Answer: CIN III cervical cone may be cut

Choices:
A. CIN I want to treat immediately
B. CIN II are not suitable for cryotherapy
C. CIN III cervical cone may be cut
D. CIN III must be made hysterectomy


Question: Which of the following drugs can cause patients not lose consciousness intravenous anesthesia drugs?

Answer: Neostigmine

Choices:
A. Propofol
B. Diazepam
C. Neostigmine
D. Midazolam


Question: Eye complications caused by sinusitis, which of the following is the most commonly cultivated strains?

Answer: Haemophilus influenza (Haemophilus influenzae)

Choices:
A. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
B. 白黴菌（mucormycosis）
C. Staphylococci (Staphylococcus)
D. Haemophilus influenza (Haemophilus influenzae)


Question: About atopic dermatitis narrative Which statement is correct?

Answer: Can be combined vulgaris fish ringworm (ichthyosis vulgaris)

Choices:
A. Serum immunoglobulin E (of IgE) low
B. Often appear red skin disease designated pattern (red dermatographism)
C. Palm and palm fewer feet (hypolinearity of palms and soles)
D. Can be combined vulgaris fish ringworm (ichthyosis vulgaris)


Question: About tears flow, which of the following error?

Answer: Nasolacrimal duct (nasolacrimal duct) opening into the nasal cavity to the nasal passage (middle meatus)

Choices:
A. Lacrimal tear secretion by the lacrimal gland (lacrimal ducts) is released into the conjunctival sac (conjunctival sac)
B. Lake of Tears (lacrimal lake) in the point of tears to flow into tears (lacrimal puncta)
C. Lacrimal duct (lacrimal canaliculi) introduced into the lacrimal tear (lacrimal sac)
D. Nasolacrimal duct (nasolacrimal duct) opening into the nasal cavity to the nasal passage (middle meatus)


Question: Blood lead levels (blood lead level, units of μg / dl) and the urinary Guding Ni concentration (cotinine level, units of ng / ml) measured data of a group of children, comparison Jinyu blood lead concentration in urine concentration whichever Guding Ni varied greatly, which of the following statistic most appropriate?

Answer: The coefficient of variation (coefficient of variation)

Choices:
A. Standard deviation (standard deviation)
B. Variance (variance)
C. The coefficient of variation (coefficient of variation)
D. Full distance (range)


Question: Children receiving high doses of cortisol treatment, when the need to avoid vaccination Which of the following vaccines?

Answer: Measles, mumps and rubella (MMR) vaccine

Choices:
A. Measles, mumps and rubella (MMR) vaccine
B. Hepatitis B vaccine
C. Diphtheria, pertussis and tetanus (DPT) vaccine
D. Inactivated polio virus vaccine (Salk vaccine)