Question: 40.28-year-old pregnant woman, G1P0, no family history, the current 12 weeks of pregnancy, after consultation with the gynecologist, decided to accept the first trimester maternal serum screening for Down's syndrome (first-trimester maternal serum Down screen), thus accepting blood examination and ultrasound. Which of the following is not the first trimester maternal serum screening for Down's syndrome included in the project?

Answer: Unconjugated estriol（uE3）

Choices:
A. Human chorionic gonadotropin（hCG）or free β-hCG（free β-subunit hCG）
B. Nuchal translucency（NT）
C. Unconjugated estriol（uE3）
D. Pregnancy-associated plasma protein-A（PAPP-A）


Question: Statements about struvite stone is, which of the following error?

Answer: Mostly infectious knot ⽯, mainly anti-hormone therapy ⽣

Choices:
A. The main component is magnesium (magnesium), phosphate (phosphate) and ammonium salts (ammonium)
B. Usually deer corner of the junction ⽯ (staghorn stone) presented
C. Face of urine pH disease ADVANCED zoomed to more than 7.2, the amount of diuretic ⽽ zoomed not prevent the formation of struvite stone
D. Mostly infectious knot ⽯, mainly anti-hormone therapy ⽣


Question: The following account of the basic chemical burns of the cornea (alkaline burns), and what's right?

Answer: The degree of ischemia (limbal ischaemia) corneal ring portion is an important factor affecting the visual outcome

Choices:
A. In general, acidic chemical burns (acid burns) comparison, chemical burns basic (alkaline burns) better prognosis
B. An acidic aqueous solution as soon as possible in order to flush the eyes, injuries to neutralize the basic
C. The first 10 days of steroid use absolutely prohibited, to avoid inhibition of wound healing
D. The degree of ischemia (limbal ischaemia) corneal ring portion is an important factor affecting the visual outcome


Question: Which of the following is the transfer (spinal epidural metastasis) of the most common early symptoms of spinal epidural?

Answer: Local pain (local pain)

Choices:
A. Radiculopathy (radiculopathy)
B. Local pain (local pain)
C. Urinary retention (urinary retension)
D. Numbness (numbness of lower limbs)


Question: After incubation for 48 hours in the blood flat, Streptococcus pneumoniae (Streptococcus pneumoniae) generates colonies close circle surrounded by the green, this phenomenon is which of the following?

Answer: α-hemolytic

Choices:
A. α-hemolytic
B. β-hemolytic
C. γ-hemolytic
D. Dual-zone hemolysis


Question: Which of the following is not involved in the formation of posterior fossa front (anterior cranial fossa)?

Answer: Temporal bone (temporal bone)

Choices:
A. Temporal bone (temporal bone)
B. Ethmoid bone (ethmoid bone)
C. Sphenoid (sphenoid bone)
D. Frontal (frontal bone)


Question: A 60-year-old female patient with biliary tract infection occurred many times over and over again, empirical antibiotic treatment options, Which of the following is not the most suitable?

Answer: Cefazolin

Choices:
A. Ceftriaxone
B. Ciprofloxacin + Metronidazole
C. Cefazolin
D. Piperacillin + Tazobactam


Question: The following paranasal sinuses (paranasal sinuses) whichever is higher due to open, the most vulnerable to drainage (drainage) incomplete infection or irritation?

Answer: Maxillary sinus (Maxillary sinus)

Choices:
A. Maxillary sinus (Maxillary sinus)
B. Frontal sinus (Frontal sinus)
C. Sphenoid sinus (Sphenoid sinus)
D. Ethmoid (Ethmoidal sinus)


Question: Statements about nonclostridial necrotizing fasciitis, the most Which of the following is wrong?

Answer: Common subcutaneous muscle necrosis

Choices:
A. Common skin irritation
B. Common subcutaneous exudate appear pus-like
C. Common subcutaneous muscle necrosis
D. Skin blisters or bubbles may appear sound pressure


Question: Which of the following would circumvent the left recurrent laryngeal nerve and then further on to the throat?

Answer: Aortic arch

Choices:
A. Aortic arch
B. Brachiocephalic trunk
C. Subclavian artery
D. Carotid artery


Question: Pharmacological effects related to tamoxifen following description, what's wrong?

Answer: Use can lead to elevated blood women's total cholesterol and low density lipoprotein concentrations after menopause

Choices:
A. An anti-estrogen, by binding to estrogen receptors, thereby inhibiting endogenous estrogen effect one kind of non-steroid
B. Widely used to treat breast cancer patients
C. Use can lead to elevated blood women's total cholesterol and low density lipoprotein concentrations after menopause
D. With reduced risk of post-menopausal women reduced bone mineral density of the lumbar spine


Question: A 42-year-old female patient, because of the right lower limb swelling and pain for several days to the emergency attendances, the diagnosis of deep venous thrombosis (deep vein thrombosis), which of the following is less likely to risk factors of the disease?

Answer: diabetes

Choices:
A. History of cancer
B. obesity
C. pregnancy
D. diabetes


Question: About GERD (Gastroesophageal reflux) compared with hypertrophic pyloric stenosis (Hypertrophic pyloric stenosis), the Which statement is correct?

Answer: Most infant gastroesophageal reflux with age self-improvement, hypertrophic pyloric stenosis baby after diagnosis requires surgery or drug therapy

Choices:
A. There is no difference in the sex ratio of gastroesophageal reflux, hypertrophic pyloric stenosis are more girls than boys
B. Most infant GERD will seriously affect Tizhongzengjia, hypertrophic pyloric stenosis treatment most of them will not even dehydration severe vomiting
C. GERD baby vomit without bile, hypertrophic pyloric stenosis baby vomit containing bile
D. Most infant gastroesophageal reflux with age self-improvement, hypertrophic pyloric stenosis baby after diagnosis requires surgery or drug therapy


Question: The following account of insomnia patients with health education, and what's wrong?

Answer: If you do not get enough sleep six to eight hours, there is a health hazard

Choices:
A. Lying in bed during the day time limit
B. If you do not get enough sleep six to eight hours, there is a health hazard
C. Try to go to bed at a fixed time
D. Bedtime may be hot tubbing


Question: About GnRH (gonadotropin releasing hormone) of the narrative, which of the following error?

Answer: GnRH stimulates the pituitary gland can not secrete FSH, LH can stimulate the pituitary gland to secrete

Choices:
A. GnRH stimulates the pituitary gland can not secrete FSH, LH can stimulate the pituitary gland to secrete
B. GnRH is secreted in pulses of embodiment (pulsatile fashion), is secreted only time intervals
C. GnRH molecule is a protein containing 10 amino acids of
D. GnRH very short half-life in vivo metabolism, only 2 to 4 minutes


Question: The following sources of income that kind of health services, led to income or wealth redistribution effect of the strongest?

Answer: General government tax revenue

Choices:
A. General government tax revenue
B. Compulsory social insurance
C. Private health insurance
D. Medical services at their own expense


Question: 97 bottom left and bottom right chest computed tomography scan FIG magnetic resonance angiography (the MRA), displays a right lower lung lesion (arrow), the most likely diagnosis is:

Answer: Pulmonary sequestration

Choices:
A. Bacterial pneumonia
B. Pulmonary sequestration
C. Lung cancer
D. Tuberculosis


Question: Herpes virus family (Herpesviridae) member characteristics in common:

Answer: B cells only in the replication

Choices:
A. Genome is double-stranded circular DNA
B. The establishment of latent infection
C. B cells only in the replication
D. Viral particles not having the mantle (Envelope)


Question: 14 big boys month, cough and shortness of breath for 10 days because there has been no fever, until his mother found the case of loss of appetite it to the clinic for treatment, lung auscultation found that when both sides can hear song asthma (wheezing ), the left side than the right whispered breath sounds, chest X-ray examination as shown, which of the following is the most likely diagnosis?

Answer: Airway foreign body

Choices:
A. Airway foreign body
B. Congenital heart disease
C. Organ translocation syndrome
D. Left pneumothorax


Question: A 60-year-old male patient informed of his right lobe of the liver has a 3 cm thick liver cancer, liver function is normal and Child-Pugh class A, nowhere vein invasion and distant organs transfer phenomenon, and no other Yanzhongjibing, the The most likely recommend that patients receiving a treatment?

Answer: Partial liver resection (partial hepatectomy)

Choices:
A. Topical percutaneous ethanol injection (percutaneous ethanol injection)
B. Chemotherapy (systemic chemotherapy)
C. Hepatic artery embolization (transcatheter arterial embolization)
D. Partial liver resection (partial hepatectomy)


Question: Narrative about the rectus abdominis (rectus abdominis) is, which of the following error?

Answer: This domination of the abdominal wall muscle artery (inferior epigastric artery), within self iliac artery (internal iliac artery)

Choices:
A. This muscle is attached in the upward and the sternum cartilage, attached downwardly in the pubic
B. White line (linea alba) is constructed between the right and left rectus abdominis
C. This domination of the abdominal wall muscle artery (inferior epigastric artery), within self iliac artery (internal iliac artery)
D. Internal thoracic artery (internal thoracic artery) into which the peripheral sheath become abdominal artery (superior epigastric artery)


Question: A 17-year-old girl suffering from endodermal sinus tumor, then the following statements is wrong?

Answer: May occur in both ovaries, and therefore the contralateral ovary sections shall

Choices:
A. May occur in both ovaries, and therefore the contralateral ovary sections shall
B. Alpha fetoprotein (alpha-fetoprotein) may increase
C. Shall be added after chemical treatment
D. Also known as yolk sac carcinoma (yolk sac carcinoma)


Question: Lower extremity deep venous thrombosis (deep venous thrombosis) caused by lower limb edema, into the main machine:

Answer: Hydrostatic pressure rise

Choices:
A. Hydrostatic pressure rise
B. Decline in plasma osmolality
C. Lymphatic obstruction
D. Sodium and water retention


Question: The following statements about pre-T cell antigen receptor (pre-T cell receptor), and what's the most correct?

Answer: Having a TCR β chain (TCR β chain)

Choices:
A. Having a TCR α chain (TCR α chain)
B. Having a TCR β chain (TCR β chain)
C. Can identify foreign antigens
D. Most of the cells can be identified at this stage of their major histocompatibility complex (MHC)


Question: Route of infection on hepatitis C, which of the following error?

Answer: Other ways of infection, such as sex, household contacts also very common within

Choices:
A. Hepatitis B and C as hepatitis infection via blood and bodily fluids
B. Over the past transfusion of blood or blood products is an important mode of transmission
C. Other ways of infection, such as sex, household contacts also very common within
D. Breastfeeding is not contagious hepatitis C virus


Question: Which of the following of saliva containing neurotoxins, when taking the host blood will cause the movement of host nerve palsy?

Answer: Tick (tick)

Choices:
A. Body louse (body louse)
B. Bug (bedbug)
C. Shitahae (tsetse fly)
D. Tick (tick)


Question: The final electron acceptor molecule when it can not be that one of the following lines anaerobic respiration (anaerobic respiration) as the bacteria?

Answer: NADH

Choices:
A. Nitrate
B. Sulfate
C. Carbon dioxide
D. NADH


Question: 2-day-old baby after birth due to cyanosis (cyanosis), shortness of breath and transferred to hospital. Physical examination, 55 times the number of breaths per minute, with thoracic slightly concave phenomenon; no significant difference in blood pressure limbs, about 63/40 mmHg; 62% concentration of oxygen, but the upper body, lower body oxygen concentration of 88%. Which of the following is the most likely diagnosis?

Answer: Simple merger of the great vessels open heart catheterization and small room bloodstream traffic (simple TGA, PDA, a restricted atrial shunt)

Choices:
A. The total pulmonary venous return next type of cardiac abnormalities (TAPVR, infra-cardiac type)
B. The combined aortic arch type B interrupt ventricular septal defect (interrupted aortic arch type B with VSD)
C. Aortic arch narrowing (coarctation) were combined ventricular septal defect (VSD)
D. Simple merger of the great vessels open heart catheterization and small room bloodstream traffic (simple TGA, PDA, a restricted atrial shunt)


Question: 75-year-old Lin, usually have dementia and diabetes, occasional insomnia. These days suddenly does not speak, and there is the phenomenon of incontinence, and the family did not mind at first, worsening Three days later, brought to the emergency room, was diagnosed as pneumonia, the following statements is true?

Answer: Mr. Lin is the beginning of a performance atypical performance

Choices:
A. Lin no geriatric syndrome
B. Mr. Lin's performance deterioration caused by dementia
C. Lin may have iatrogenic problems
D. Mr. Lin is the beginning of a performance atypical performance


Question: Radioactive iodine (radioiodine) therapy should be implemented in a clear differentiation of thyroid carcinoma (well-differentiated thyroid carcinoma), what's wrong?

Answer: Phase I patient

Choices:
A. All III, IV stage patients
B. All under the age of 45 stage II patients
C. Most stage II patients over 45 years old
D. Phase I patient


Question: Which of the following is not derived from the ear plate (otic placode)?

Answer: Otic vesicle (otic capsule) 33 terminal bars epithelial cells (terminal bar) is formed which is configured?

Choices:
A. Cochlear duct (cochlear duct)
B. Spiral ganglion (spiral ganglion)
C. Semicircular canals (semicircular duct)
D. Otic vesicle (otic capsule) 33 terminal bars epithelial cells (terminal bar) is formed which is configured?


Question: Bile acid secretion status and serum bile acid number of diseases following what is normal?

Answer: Dubin - Johnson syndrome (Dubin-Johnson syndrome)

Choices:
A. Dubin - Johnson syndrome (Dubin-Johnson syndrome)
B. Biliary atresia
C. Bile retention syndrome familial
D. Cystic fibrosis (cystic fibrosis) induced liver disease


Question: 2. a 32 year-old male marathon runners often feel tired because of the recent inspection requirements. He had just five days ago to participate in a game, did not show anything abnormal. No abnormal physical examination, laboratory examination of the real hemoglobin and thyroid stimulating hormone (TSH), check the values are normal. Recently, he found his wife in bed often snoring, sleep study conducted found no apnea, but 24 hours of ECG records, which sleep in the heartbeat between 42 to 58 times per minute, waking heart rate is 66 to 78 per minute between times. He should be taken to dispose of the following items for the heart condition of the patient?

Answer: Not need treatment

Choices:
A. Arrangements for hospitalized cardiac electrical examination
B. Not need treatment
C. Referral arrangements heart pacemaker implantation
D. Give carotid sinus (carotid sinus) massage


Question: The following narrative about the complement and what was wrong?

Answer: Also complement one interferon

Choices:
A. Complement is a protein
B. Experience up to participate in specific and non-specific defense role
C. Also complement one interferon
D. Complement can dissolve the bacterial cell membrane


Question: Lipid bilayer membranes in all organisms which have the following common characteristics?

Answer: Individual grease molecules can freely diffuse in the lateral surface of the lipid bilayer (lateral diffusion)

Choices:
A. Individual grease molecules can freely diffuse in the lateral surface of the lipid bilayer (lateral diffusion)
B. Individual grease molecules rapidly in the lipid bilayer wherein the diffusion layer consisting of flip (flip-flop diffusion) to another layer
C. Having a polar but uncharged compound by diffusion through the lipid bilayer readily
D. Lipid bilayer covalent bonds between adjacent phospholipid molecules to form a stable structure


Question: Which of the following most commonly used as an indicator of myocardial oxygen demand it?

Answer: The product of systolic blood pressure and heartbeat

Choices:
A. The product of systolic blood pressure and heartbeat
B. The product of stroke volume and heart rate
C. The product of the heartbeat of the maximum oxygen uptake
D. The product of the heart beat and the output


Question: 75-year-old woman to take charge of complaints on the right knee has been sore for two days. Physical examination revealed that the knee had significant swelling and tenderness. That value following an examination of the most diagnosed?

Answer: Extraction and analysis of synovial fluid

Choices:
A. Extraction and analysis of synovial fluid
B. The knee tomography
C. Rheumatoid factor and ESR, CRP inspection
D. 31 statements about the properties of the antibody following the determination of uric acid in blood, whichever error?


Question: Which of the following belong antipseudomonal penicilins, infection with aminoglycoside and Use for the treatment of Pseudomonas aeruginosa (P. aeruginosa) caused?

Answer: ticarcillin

Choices:
A. amoxicillin
B. dicloxacillin
C. nafcillin
D. ticarcillin


Question: Bearing on the question, most of the diagnostic examination is:

Answer: Ceruloplasmin (Ceruloplasmin) concentration

Choices:
A. Brain magnetic resonance imaging (magnetic resonance imaging)
B. Ceruloplasmin (Ceruloplasmin) concentration
C. Cerebrospinal fluid (cerebrospinal fluid) examination
D. Hypothyroidism (thyroid function) inspection


Question: 38 year old man driving the car hit the pier was sent to the emergency room, the hospital after the evaluation found that blood pressure 100/70 mmHg, heart rate 88 / min, respiratory rate 20 / min, jugular vein engorgement, no cyanosis, normal breath sounds, chest X-ray showed mediastinal widening, Which of the following is the most likely diagnosis?

Answer: Dissection of the aorta (aortic dissection)

Choices:
A. Cardiac tamponade (cardiac tamponade)
B. Dissection of the aorta (aortic dissection)
C. Aortic aneurysm (ruptured aortic aneurysm)
D. Myocardial contusion (myocardial contusion)


Question: 32. The following statement is true that a few? Does not include pain reasons ① ② acute cholecystitis acute diverticulitis of colon tender points McBurney point ③ acute pancreatitis pain radiating to the right shoulder readily ④ splenic abscesses readily pain radiation to release the pain of the left shoulder ⑤ abdominal aortic aneurysms may have conducted to the shoulder area

Answer: ④⑤

Choices:
A. ①②
B. ③④
C. ④⑤
D. ①④


Question: Oxytocin (oxytocin) main role why?

Answer: Promoting the removal of the role of milk (milk ejection)

Choices:
A. Promote uterine relaxation
B. Promoting the removal of the role of milk (milk ejection)
C. Inhibition of luteinizing decomposition (luteolysis)
D. Inhibits the secretion of prostate hormone F2α (PGF2α) of


Question: Which of the following is not a human baby crack tapeworm disease (sparganosis) route of infection?

Answer: Raw food has been infected with a parasite of fish

Choices:
A. Drink into drinking water containing water fleas have been infected with the parasite
B. Raw food has been infected with the parasite or snake Warou
C. The parasite has infected the Warou or snake wound dressing
D. Raw food has been infected with a parasite of fish


Question: From the previous question, the condition is most likely to be following what proteins do not accumulate normal?

Answer: α- synuclein (α-synuclein protein)

Choices:
A. 蛋白 year (year Protein)
B. β- amyloid (β-amyloid protein)
C. α- synuclein (α-synuclein protein)
D. Prion protein (prion protein)


Question: Person A feeling of intermittent abdominal pain (intermittent abdominal pain), bloody stool toileting found. Barium enema X-rays (barium enema) lesions displayed in FIG. The most likely diagnosis is:

Answer: Intussusception (Intussusception)

Choices:
A. Within the intestinal wall hematoma (Intramural hematoma)
B. Intussusception (Intussusception)
C. Volvulus (Intestinal volvulus)
D. Intraperitoneal intestinal hernia (Internal herniation of intestine)


Question: Osteoarthritis (Osteoarthritis) is the major causative transfer machine:

Answer: (Articular cartilage degeneration) chondrocytes and degradation of articular cartilage abnormality repair capacity (disordered repair of chondrocytes)

Choices:
A. Osteoblasts (subchondral osteocyte) under the articular cartilage is damaged due to age, the cumulative overuse, inflammatory reactions causing the joint
B. The joint synovial membrane cells (synoviocyte) degradation, resulting in lymphocytic infiltration of the joint, causing an inflammatory reaction
C. (Articular cartilage degeneration) chondrocytes and degradation of articular cartilage abnormality repair capacity (disordered repair of chondrocytes)
D. (Synoviocyte) damage degenerative joint synovial membrane cells, leading to synoviocyte due to repair and hyperplasia, obstruction of a blood vessel through tissue near joints


Question: A middle-aged patients with diabetes, suddenly found the right ptosis, diplopia, pupil larger, light reflex loss, what items following the disposal of the most reasonable?

Answer: Hospital immediately arrange for a brain blood vessel inspection

Choices:
A. Hospital immediately arrange for a brain blood vessel inspection
B. Note to arrange a series of ophthalmology and eye exams
C. Blood test blood glucose, and blood sugar control
D. Measurement of blood pressure, and maintain normal blood pressure


Question: Overuse of common skin when formulated in a topical steroids side effects, does not include which of the following?

Answer: Pigmentation (hyperpigmentation)

Choices:
A. Hirsutism (hypertrichosis)
B. Pigmentation (hyperpigmentation)
C. Wound healing
D. Skin, stretch marks (atrophic striae)


Question: A 35-year-old man injured in a car accident, resulting in neck pain, unable to walk. Was rushed to the emergency room, the initial physical examination showed signs of life stable, clear consciousness, on the right side of the lower limb muscle strength is 5 points, but the pain and temperature sensation loss, the left lower limb muscle strength 0 points, but the pain feels normal temperature, CT video display fourth cervical spine fracture, nerve compression. This patient is most likely to be which of the following spinal cord injury?

Answer: Bulangsaika's syndrome (Brown-Séquard syndrome)

Choices:
A. The front side of the spinal cord syndrome (anterior cord syndrome)
B. Bulangsaika's syndrome (Brown-Séquard syndrome)
C. Central cord syndrome (central cord syndrome)
D. Rear side of the spinal cord syndrome (posterior cord syndrome)


Question: A new study by doctors want to antiviral drugs (antiviral agent) on the efficacy of the common cold, her approach is experimental for children 2 to 8 years of age 100, to which 100 children taking this new flu drugs, week later she discovered: one of the 90 symptoms of sick children. So she thinks the new drug very effective. The reasons for physician incorrect conclusions why?

Answer: Because of the lack of appropriate control groups

Choices:
A. Because of the prevalence of physician use rather than incidence
B. Because the results of the lack of a clear description of the denominator
C. Because the results can not be inferred to the target groups
D. Because of the lack of appropriate control groups


Question: Related asthma (bronchial asthma) narrative Which statement is correct?

Answer: One of inhaled steroids (inhaled corticosteroid) is widely used in recent years to reduce the main cause of mortality in patients with asthma

Choices:
A. One of inhaled steroids (inhaled corticosteroid) is widely used in recent years to reduce the main cause of mortality in patients with asthma
B. Asthma (bronchial asthma) Definition (definition) is easy to reach a consensus, the diagnosis of the disease can be easily distinguished from other segments
C. Asthma (bronchial asthma) patient airway mucosa (airway mucosa) inflammation, there are mainly leukocytes (neutrophils), B leaching
D. The main reason for poor control of asthma (poor control of bronchial asthma) is a short-acting bronchodilators (bronchodilators) using irregular


Question: Which of the following best to help improve the accuracy of the stimulation site (localization of a stimulus site) identification?

Answer: lateral inhibition

Choices:
A. descending regulation pathway
B. lateral inhibition
C. rapid adaptation
D. slow adaptation


Question: 10 suffering from a rheumatic heart disease, female patients with moderate mitral stenosis, normal heartbeat to sinus rhythm. Middle of the night suddenly feel palpitations, taken to the emergency after 1 hour. Emergency physician on duty as observed palpitations accompanied by severe dyspnea, orthopnea and frothy pinkish sputum. From the attached ECG record, the most likely to see palpitations, Which of the following is not the whole pulse? l one hundred twenty-three station spoon kernel] tris three ears and a II I] · households. Two l [\ - l; - F twenty-two - twelve words two hundred twenty-two bite is the second death [Zhu] fighting death two Hong Hong twenty-one "three

Answer: Atrial fibrillation

Choices:
A. Atrial fibrillation
B. Sinus tachycardia
C. Automatic atrial tachycardia
D. Atrial flutter


Question: The best way to diagnose stomach cancer Why?

Answer: Endoscopy

Choices:
A. Endoscopy
B. Abdominal ultrasound
C. Abdominal CT
D. Upper gastrointestinal


Question: Which of the following diseases will lead to a non-shrinking bladder (flaccid bladder)?

Answer: diabetes

Choices:
A. Thoracic and lumbar spinal cord injury
B. Stroke
C. Multiple sclerosis
D. diabetes


Question: 28-year-old young men riding motorcycle accidentally crash, right thigh swelling deformation, after to an emergency, X-ray examination showed middle spiral fracture (femoral midshaft spiral fracture) right femur. No patients in combination with other injuries, good peripheral circulation, nerve damage did not occur. Which of the following should be taken at this time fixation for optimum therapeutic effect?

Answer: Locking intramedullary nail (intramedullary interlocking nail)

Choices:
A. Bone fixing traction (skeletal traction)
B. Plaster (Casting)
C. Locking intramedullary nail (intramedullary interlocking nail)
D. External fixation of bone (external fixation)


Question: The following statements about the smooth muscle cells (smooth muscle cell), and what the correct term?

Answer: Extracellular outer plate (external lamina) surrounded

Choices:
A. Dense body (dense body) for myosin filaments (myosin filament) directly attached
B. Extracellular outer plate (external lamina) surrounded
C. T cells by the tubules (T tubule) transfer of calcium ions
D. Between cells by desmosomes (desmosome) connected


Question: 68-year-old woman because of pain around the navel merger nausea and vomiting to the emergency, physical examination found that body temperature 37.5 ℃, and there is pressure pain around the navel, blood tests WBC: 14500 / μL, Category segment: 85%, as shown in abdominal computed tomography results, the most likely diagnosis why?

Answer: ventral hernia

Choices:
A. acute appendicitis
B. ventral hernia
C. acute diverticulitis
D. adynamic ileus


Question: The following information about the treatment of tumors of the pituitary gland, what's wrong?

Answer: Has all the functionality of tumor therapy to surgery

Choices:
A. Has all the functionality of tumor therapy to surgery
B. The pituitary gland tumor surgery in a manner based transsphenoidal
C. Lifelong tracking and disposal is necessary
D. The radiation therapy can prevent recurrence


Question: The surface epithelial cells often following specialized configuration which increase the surface area?

Answer: Microvilli (microvilli)

Choices:
A. Microvilli (microvilli)
B. Basement membrane (basement membrane)
C. Engaging duplexes (junctional complex)
D. Cilia (cilia)


Question: The following account of suspect nuclear (nucleus ambiguus), and what's right?

Answer: Contains sensory neurons

Choices:
A. Fibers issued dominated pharynx intrinsic muscles (intrinsic laryngeal muscles)
B. Located in isolated dorsal nucleus
C. Contain sympathetic preganglionic neurons
D. Contains sensory neurons


Question: A 39-year-old with diabetes after receiving a kidney transplant, doctors choose Cyclosporin A as an anti-rejection drugs, which suppress Which of the following is the main machine turn?

Answer: Interleukin 2 production

Choices:
A. Macrophage function
B. Interleakin 1 production
C. Interleukin 2 production
D. Antibody production


Question: The following narrative about the Gram stain method, whichever is correct?

Answer: First dye crystal violet dye (crystal violet), not fade after positive bacteria Chromatium

Choices:
A. First dye crystal violet dye (crystal violet), not fade after positive bacteria Chromatium
B. First sand yellow dyed using dye (safranin), not fade after positive bacteria Chromatium
C. First dye crystal violet staining, non-staining-positive bacteria the bacteria
D. Early use of dyed sand yellow dye, not colored the bacteria-positive bacteria


Question: A 25-year-old woman, the past six months in the face, neck and chest before the skin, as the manifestations. A description of the diagnosis and treatment of the patient, what's wrong?

Answer: Skin pathology significant inflammatory response, resulting in depigmentation

Choices:
A. Skin pathology significant inflammatory response, resulting in depigmentation
B. Reduce the number of melanocytes
C. Should be done to check the thyroid function and antibodies
D. (311 nm) UV-B narrowband dye may facilitate return


Question: Which of the following is not a post-traumatic stress disorder (posttraumatic stress disorder, PTSD) diagnostic criteria?

Answer: Gloomy

Choices:
A. Repeat the experience, such as trauma situations similar nightmare
B. Escape-related situational stimuli
C. insomnia
D. Gloomy


Question: When strenuous exercise, which of the following phenomena circulation does not happen?

Answer: Chloride ions in the blood cells into the plasma

Choices:
A. Heavy bicarbonate ion (HCO3-) within red blood cells into the plasma
B. Most of the carbon dioxide dissolved into the red blood cells
C. Carbonic acid (H2CO3) is synthesized in erythrocytes and dissociated
D. Chloride ions in the blood cells into the plasma


Question: Bearing on the question before the results have not checked, can be given that one of the following oral medication?

Answer: Aspirin

Choices:
A. Aspirin
B. vitamin B
C. steroid
D. zinc supplement


Question:
7727-year-old male. Complained right scrotal swelling and harden, "right" and "left side" of the duplex ultrasonogram color sequentially FIG scrotum, which is diagnosed as: -. '* -
  . _ ,, ~
 c `

Answer: Right testicular torsion (testicular torsion)

Choices:
A. The right of testicular inflammation (orchitis)
B. On the right epididymis inflammation (epididymitis)
C. Right testicular torsion (testicular torsion)
D. Right testicular seminoma (seminoma)


Question: A 30-year-old female, BMI = 36, was diagnosed with polycystic ovary syndrome (polycystic ovary syndrome) who visit the hospital, complained of trying to conceive. The following suggestions for the kind of treatment or at least help her?

Answer: spironolactone

Choices:
A. Arrangements vaginal ultrasound examination and photography fallopian tubes, and requested Mr. semen examination (semen analysis)
B. Weight Loss
C. metformin or clomiphene
D. spironolactone


Question: Mention palate sail muscle (levator veli palatini) dominated by what nerve?

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

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


Question: A very serious neonatal lactic acidosis (lactic acidosis), further examination revealed pyruvate dehydrogenase enzyme (pyruvate dehydrogenase) deficiency, the following statements is true?

Answer: Pyruvate dehydrogenase enzyme is a combination of three kinds of enzyme complex from

Choices:
A. Under aerobic conditions pyruvate into lactate (lactic acid) and ethanol (Ethanol)
B. Under anaerobic conditions, the mitochondrial pyruvate into acetyl coenzyme A (acetyl-CoA)
C. Pyruvate dehydrogenase enzyme is a combination of three kinds of enzyme complex from
D. The nervous system will not be affected


Question: The following infection, He may cause liver fibrosis disease?

Answer: Only ①②

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


Question: The following lesions, what's with aortic dissection (aortic dissection) most relevant?

Answer: Cystic medial necrosis (cystic medial necrosis)

Choices:
A. Syphilitic aortitis (syphilitic aortitis)
B. Cystic medial necrosis (cystic medial necrosis)
C. Mycobacterial aortitis (mycobacterial aortitis)
D. Streptococcal endocarditis and aortitis (streptococcal endocarditis with aortitis)


Question: Pseudogout (pseudogout) glyoxylic calcium pyrophosphate arthritis (calcium pyrophosphate dehydrate) following crystallization most often deposited in the joint that?

Answer: Knee

Choices:
A. LOL
B. Shoulder
C. Elbow
D. Knee


Question: Eflornithine commonly used to treat what disease?

Answer: Gambian sleeping sickness (Gambian sleeping sickness)

Choices:
A. Toxoplasmosis (toxoplasmosis)
B. Gambian sleeping sickness (Gambian sleeping sickness)
C. Katayama fever (Katayama fever)
D. Trichinella disease (trichinosis)


Question: Which of the following received messages from the vestibular nerve is under the branch (inferior division of vestibular nerve) incoming center?

Answer: Posterior semicircular canal (posterior semicircular canal)

Choices:
A. Semicircular canal (superior semicircular canal)
B. Side of the semicircular canal (lateral semicircular canal)
C. Posterior semicircular canal (posterior semicircular canal)
D. Utricle (utricle)


Question: Bearing on the question, which of the following maximum for examination and treatment to help the patient?

Answer: Send to extract pleural effusion cytology, consider chemotherapy

Choices:
A. Pumping pleural effusion bacterial culture, and start intravenous antibiotics
B. Do not need to check directly diuretics
C. Send to extract pleural effusion cytology, and consider surgery
D. Send to extract pleural effusion cytology, consider chemotherapy


Question: 17 A 30-year-old obese men (170 cm, 100 kg) due to severe snoring, daytime sleepiness and to the hospital for treatment, physical examination found that when patients Zhang mouth, tongue base almost on both sides of the uvula and tonsils covered. May I ask which of the following examination in the diagnosis and treatment to help minimize?

Answer: Sleep examination (polysomnography)

Choices:
A. Bacterial culture surface tonsils
B. Sleep examination (polysomnography)
C. The nasopharynx and throat soft endoscopy
D. X-ray head profile (lateral cephalometry)


Question: The concurrency of about renal anemia in chronic kidney disease (renal anemia), the following statements is wrong?

Answer: Patients with chronic kidney disease is often associated with blood clotting dysfunction, it is the main cause of renal anemia as gastrointestinal bleeding

Choices:
A. Renal anemia erythrocytes patterns of normal blood cell size often (normocytic) and normochromic (normochromic)
B. Renal anemia often appear weak, poor exercise tolerance (exercise intolerance), heart failure and cognitive dysfunction and other symptoms
C. Patients with chronic kidney disease is often associated with blood clotting dysfunction, it is the main cause of renal anemia as gastrointestinal bleeding
D. The hemoglobin value of renal anemia in patients with normal corrected to the standard value (≥13 g / dL), not to improve the cardiovascular complications of disease


Question: Narrative about Hodgkin's lymphoma (Hodgkin lymphoma), and Which statement is correct?

Answer: Typically the tumor, tumor cells of all the cells only a small portion of the

Choices:
A. Overall, treatment and survival of non-Hodgkin's lymphoma is less than (non-Hodgkin lymphoma)
B. Most occur in organs other than the lymph nodes
C. Typically the tumor, tumor cells of all the cells only a small portion of the
D. Histological subtypes greater impact on survival than clinical stage


Question: A 25-year-old male motorcyclist, drunken accidentally hit refuges, when facial contusion to the emergency room, the patient complained of pain around the eyes, eyelid edema and bleeding. Blowout fracture of the following statements about, what's wrong?

Answer: frontal sinus easier than maxillary sinus blood clots

Choices:
A. Waters' view and Caldwell view fundus examination evaluation may assist fracture
B. frontal sinus easier than maxillary sinus blood clots
C. Blowout fracture mainly due to the orbital floor is too weak cause
D. Often accompanied by the phenomenon of double vision (diplopia)


Question: The 30-year-old asthma patients usually have regular use of low doses of inhaled steroids to control the disease, but the situation is still often acute asthma attack, the need to use every day are 3-4 times more than the short-acting bronchodilators to control the disease. Will this time be adding Which of the following drugs is most appropriate?

Answer: Long-acting inhaled daily rules of the ethylene type sympathetic stimulants

Choices:
A. Long-acting inhaled daily rules of the ethylene type sympathetic stimulants
B. Daily use of oral theophylline
C. Long-term oral steroids
D. Regular use of inhaled anticholinergic drugs


Question: A hospital emergency room, suddenly came 20 injured by an unknown gas leaked from the train station harm. Most injuries Jie difficulty breathing phenomenon Tisi cross-flow and miosis. The following various kinds of treatment, whichever is most inappropriate?

Answer: Decontamination of high pressure, on one powerful water jets flushing patients

Choices:
A. Rinse decontamination area should be established outside the emergency department
B. Health care workers should have at least a C grade protective equipment
C. The antidote should be well prepared (such as: atropine, PAM)
D. Decontamination of high pressure, on one powerful water jets flushing patients


Question:
7. ⼀ bit 36-year-old woman with no past history of chest pain due date for three consecutive ⾄ emergency treatment. Chest pain in a particular posture may be more relieved. She denied recent date Using drugs or have a history of trauma, but have a sore throat and other flu-like symptoms before the destination time. Pumping ⾎ examination revealed that D-dimer and Center Weighted normal muscle enzymes, but the white ball with inflammation index ⾎
 (HsCRP) there was a slight increase during the phenomenon. Center Weighted electronystagmography below in the diagram below. Center Weighted super dirty Rec Center Weighted dirty wave examination displayed systolic function, and no regional wall motion abnormalities (regional wall motion abnormality), can be a small amount of ⾒ Center Weighted fluid envelope. The most likely diagnosis Why?

Answer: Center Weighted package meningitis

Choices:
A. Crown Center Weighted acute disease
B. Center Weighted myositis
C. Center Weighted package meningitis
D. Pulmonary embolism


Question: 76. The following information about Trichinella spiralis (Trichinella spiralis) described infection, there are several correct? ① ingestion of undercooked pork ② worm parasite is common routes of infection in human skeletal muscle development and symptoms of bladder infection first appeared ③ ④ pig muscle pain is also the definitive host for the intermediate host

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


Question: That group following the contraction of muscles can cause the finger to the middle finger (middle finger) as the center of abduction (abduction) of the action?

Answer: Dorsal interosseous muscle (dorsal interossei)

Choices:
A. Palm brevis (palmaris brevis)
B. Dorsal interosseous muscle (dorsal interossei)
C. Volar interosseous muscle (palmar interossei)
D. Lumbrical (lumbricals)


Question: A study comparing the mean blood pressure value of the four groups of patients with different statistical significant differences in ages, the method further multiple comparison test for all possible pairwise group comparison, a type made assuming error rate of 0.05 switchboard, using the Bonferroni correction method dominant level of each individual test is as follows:

Answer: 0.05/6

Choices:
A. 0.05
B. 0.05/4
C. 0.05/6
D. 0.05/12


Question: Differential diagnosis of chronic pelvic pain Mittelschmerz represents:

Answer: Ovulation pain

Choices:
A. Dysmenorrhea
B. Ovulation pain
C. Inflammation pain
D. Hemorrhoids pain


Question: Which of the following is not a reference to check blood menopause hormones of women?

Answer: Androstenedione

Choices:
A. Estradiol (Estradiol)
B. Follicle stimulating hormone (FSH)
C. Luteinizing hormone (LH)
D. Androstenedione


Question: Zenker diverticulum of esophagus often occurs in:

Answer: Killian's triangle of cricopharyngeus

Choices:
A. GE junction
B. Middle esophagus
C. Killian's triangle of cricopharyngeus
D. Thoracic inlet


Question: Airborne sound by the human body through the tympanic membrane, ossicles to the inner ear, according to the proportion of the eardrum and the stapes footplate area, the voice added a few decibels?

Answer: 15～18

Choices:
A. 3～5
B. 15～18
C. 10～13
D. 23～25


Question: From the previous question, the patient for sputum microscopy, if properly collected specimen, the following statements is wrong?

Answer: Gram staining can be seen in Gram-negative bacteria

Choices:
A. Sputum under a field of view greater than 25 visible leukocytes, epithelial cells less than 10
B. Gram staining can be seen in Gram-negative bacteria
C. Gram stain can not be effectively dyed pathogenic bacteria
D. Where appropriate dyeing, rod-shaped bacteria can be seen


Question: The following narrative about vitamin deficiency disease caused by the nervous system, what's wrong?

Answer: Anti-TB drugs INH (isoniazid) of associated neuropathy, a lack of vitamin B2B

Choices:
A. Subacute combined degeneration (subacute combine degeneration) is a lack of vitamin B12B
B. Kashagan Korsakov syndrome (Korsakoff syndrome) is a lack of vitamin B1B
C. Neuropathic beriberi (neuropathic beriberi) is a lack of vitamin B complex
D. Anti-TB drugs INH (isoniazid) of associated neuropathy, a lack of vitamin B2B


Question: About the molecular weight of unfractionated heparin (UFH) and low molecular weight LMW heparin narrative of, which of the following error?

Answer: UFH can effectively neutralize factor Xa and thrombin, but LMW heparin on thrombin and have a higher capacity in

Choices:
A. Both can prevention and treatment of pulmonary embolism
B. UFH can effectively neutralize factor Xa and thrombin, but LMW heparin on thrombin and have a higher capacity in
C. LMW heparin less phenomenon caused thrombocytopenia
D. Dose of LMW heparin clinically better control


Question: A 48-year-old male patient complained of the slow pace and is very easy to faint, slow patients, the use of L-DOPA therapy for several years, but the effect is not obvious; discovered on physical examination: the right arm blood pressure (systolic / diastolic) in when lying 130 mmHg / 80 mmHg, sitting up when blood pressure was 90 mmHg / 50 mmHg, at this time extremely pale face; left arm of the blood pressure measurement, when lying down is 120 mmHg / 90 mmHg, sit up to 80 mmHg / 50 mmHg. The most likely diagnosis in this patient is:

Answer: Shy-Drager syndrome

Choices:
A. Wilson's disease
B. Huntington's disease
C. Shy-Drager syndrome
D. Guillain-Barre syndrome


Question: The type of lung cancer that is most likely paraneoplastic syndrome (paraneoplastic syndrome) occurs, resulting in adrenal stimulating hormone (ACTH)?

Answer: Small cell carcinoma

Choices:
A. Adenocarcinoma
B. Squamous cell carcinoma
C. Small cell carcinoma
D. Malignant mesothelioma


Question: Following on iron (iron) absorption of the narrative, what's right?

Answer: In carrier (Transporter) transport mode is absorbed

Choices:
A. Iron food hundred percent may be absorbed
B. In carrier (Transporter) transport mode is absorbed
C. Mainly absorbs in the form of Fe3 +
D. Inhibit the absorption of iron acidic environment


Question: 68 young Wang 8 years old, grew restless, and even sit still watching cartoons, the 5-year-old kindergarten, always make fun of students in class, after class students often down, the 7-year-old elementary school, classes are still unable to concentrate, talkative, and began to appear frequently blink of an eye, dry cough, throat clearing phenomenon, three months ago by a teacher suggested to seek treatment, prescription ritalin-SR, young Wang school rules significantly improved, homework progress, less conflict relationship between students, but recently a month, young Wang often appear involuntary grimace twitch phenomenon, but also angered the students laugh from time to time, it is often angry young Wang cried, what young Wang most likely diagnosis? ① Tourette's syndrome (Tourette's Disorder) ② chronic motor tics or language disorders (chronic motor or vocal tic disorder) ③ OCD (obsessive-compulsive disorder) ④ attention deficit disorder (attention-deficit disorder)

Answer: ①④

Choices:
A. ①③
B. ②④
C. ①④
D. ③④


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

Answer: Shoulder (Shoulder joint)

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


Question: When the two on the right direction, the conjugate muscle (yoke muscles) to the following that group?

Answer: Upper right rectus (right superior rectus muscle) and lower left oblique (left inferior oblique muscle)

Choices:
A. Upper right rectus (right superior rectus muscle) and lower left oblique (left inferior oblique muscle)
B. Upper right oblique (right superior oblique muscle) and lower left oblique (left inferior oblique muscle)
C. Upper right oblique (right superior oblique muscle) and the upper left rectus (left superior rectus muscle)
D. Lower right oblique (right inferior oblique muscle) and the upper left rectus (left superior rectus muscle)


Question: Following which the synthesis of estrogen, can be used as oral contraceptives (oral contraceptives)?

Answer: mestranol

Choices:
A. danazol
B. desogestrel
C. mestranol
D. letrozole


Question: The following variation of the protein structure which is the cause of osteogenesis imperfecta (osteogenesis imperfecta) of?

Answer: Collagen (Collagen)

Choices:
A. Fiber mucin (fibronectin)
B. Osteopontin (osteopontin)
C. Keratin (keratin)
D. Collagen (Collagen)


Question: 27-year-old pregnant woman, G6P3A2, 24 weeks of gestation, for examination, the results in the following figure, the name of its examination of the fetal parts Why?

Answer: head

Choices:
A. head
B. chest
C. abdomen
D. heart


Question: The following statements about VUR (vesicoureteral reflux), and what's wrong?

Answer: Primary vesicoureteral reflux and related neurogenic bladder

Choices:
A. Primary vesicoureteral reflux and related neurogenic bladder
B. Cystitis can also result in countercurrent
C. Pre-adolescent child if the first is the International Classification of counter-current to the third phase, the first antibiotic therapy can
D. If you still adolescent females reflux, surgery should be considered


Question: The following drugs are suitable for treating any open-angle glaucoma (open-angle glaucoma)?

Answer: betaxolol

Choices:
A. atropine
B. betaxolol
C. phentolamine
D. tropicamide


Question: 92-year-old Mr. Zhang Sanlao, 10 years ago because of stomach cancer while accepting subtotal gastrectomy and gastrojejunostomy surgery. In good condition after surgery. A few days ago he felt abdominal pain and was taken to hospital family. Physician examination found abnormal abdomen, yellow eyes a little while for him to do CT. Image display abnormal intestine and bile duct, as shown. Will Joe Smith is most likely suffering from what disease?

Answer: Bowel syndrome in end rings (afferent loop syndrome)

Choices:
A. Inability to intestinal obstruction (adynamic ileus)
B. Bowel syndrome in end rings (afferent loop syndrome)
C. Superior mesenteric artery syndrome (superior mesenteric artery syndrome)
D. 環胰（annular pancreas）


Question: In memory of tumor cells in the body and the ability to grow is amazing, it has many ways to avoid detection and elimination of the body's immune system, and to continue to grow, these methods do not include those of the following?

Answer: Cause Type IV hypersensitivity (late phase allergic reaction) to form a mass grew

Choices:
A. Cause an increase in regulated T (Treg) cells, thereby causing an immune response of the steering
B. Peptide tumor cells do not exhibit or only very low: human leukocyte antigen (peptide: MHC) performance
C. Cause Type IV hypersensitivity (late phase allergic reaction) to form a mass grew
D. Although the tumor antigen by antigen-presenting cells (APC) performance to T cells, T cell antigen but will not react to this


Question: Lax about following acute encephalomyelitis (acute disseminated encephalomyelitis, ADEM) of the narrative, what's wrong?

Answer: Often violated nerve cell (neuron)

Choices:
A. To a pulp de lesions (demyelinating illness)
B. Is an acute inflammatory response (acute inflammatory illness)
C. Meningeal infiltration may be generated (meningeal infiltration)
D. Often violated nerve cell (neuron)


Question: In DNA replication, following what enzyme function is mainly used to increase the accuracy of DNA replication?

Answer: Single-stranded DNA binding protein

Choices:
A. Single-stranded DNA binding protein
B. 3 '→ 5' exonuclease
C. DNA ligase
D. DNA helicase


Question: 1 A 35-year-old female patient was macroscopic hematuria treatment. She did not have a fever or other symptoms of bladder discomfort. Family history, the 65-year-old mother died of uremia. Physical examination found that the blood pressure of 150/100 mmHg, no anemia or jaundice; no abnormal skin, liver and spleen enlargement, but faintly touch both kidneys, lower extremity edema. Further about this patient's diagnosis or treatment, which of the following is most correct?

Answer: Should do the ultrasound examination, diagnosis may be adult polycystic kidney disease (polycystic kidney disease)

Choices:
A. Should do hearing tests, diagnosis may be quite A special syndrome (Alport syndrome)
B. Renal angiography should be done, the diagnosis may be renal arterial hypertension (renovascular hypertension)
C. Should do the ultrasound examination, diagnosis may be adult polycystic kidney disease (polycystic kidney disease)
D. Blood tests should complement and antinuclear antibodies, diagnosis may be systemic lupus erythematosus (systemic lupus erythematosus)


Question: When the suspected ruptured globe, following the disposal of what's wrong?

Answer: The amount of eye pressure (IOP)

Choices:
A. The amount of eye pressure (IOP)
B. Metal protective goggles
C. According to X-ray, for example, Water's view or eye CT
D. Intravenous cephalosporine


Question: For a description of cat scratch disease (Cat-scratch disease), and what's wrong?

Answer: Cat scratch disease is caused by the bacteria Pasteurella multocida

Choices:
A. Cat scratch disease is caused by the bacteria Pasteurella multocida
B. Clinical manifestations often local lymph nodes
C. Symptoms can last for weeks or even months
D. Most patients will not cause fever


Question: Sympathetic chain (sympathetic chain) into the abdominal cavity where the following diaphragmatic (diaphragm) of?

Answer: The medial arcuate ligament (medial arcuate ligament)

Choices:
A. The median arcuate ligament lower (median arcuate ligament)
B. The medial arcuate ligament (medial arcuate ligament)
C. The outer arcuate ligament (lateral arcuate ligament)
D. Aortic hole (aortic hiatus)


Question: The following color duplex ultrasonogram scan the description, that one is not correct?

Answer: The main reflectors (reflectors) in blood platelets

Choices:
A. The higher the frequency of the incident wave, the reflected wave changes frequency (Doppler shift) greater
B. The main reflectors (reflectors) in blood platelets
C. Meaning of colors including the availability of blood flow, blood flow direction and speed of blood flow
D. Size of the frequency change of a reflected wave associated with the incident angle and the direction of blood flow


Question: The following description of the relevant calcaneal, what's wrong?

Answer: Normal calcaneus Böhler angle less than 20 degrees

Choices:
A. About 10% of patients with calcaneal fractures vertebral fractures consolidation
B. About 10% of patients with fractures of the heel compartment syndrome generation, resulting fixed clawing of the toes
C. According to Essex-Lopresti classification, can be divided into Tongue type calcaneal fractures and Joint depression type
D. Normal calcaneus Böhler angle less than 20 degrees


Question: 65 year old woman in the right upper quadrant pain, jaundice and two months, lost six kilograms from seeking treatment, the following diseases, the most unlikely:

Answer: Gallstones intestinal obstruction (gallstone ileus)

Choices:
A. Bile duct cancer (cholangiocarcinoma)
B. Gallstones intestinal obstruction (gallstone ileus)
C. Hepatoma cells (hepatocellular carcinoma)
D. Pancreatic cancer (pancreatic carcinoma)


Question: About sleep disorders, Which statement is correct?

Answer: Sleep panic disorder (sleep terror) ⽣ often occur in non-rapid eye movement of deep sleep (deep NREM sleep)

Choices:
A. Sleep panic disorder (sleep terror) often occur ⽣ to sleep late at night
B. Sleepwalking (sleepwalking) mainly made ⽣ in rapid eye movement (REM period)
C. Nightmare (nightmare, nightmare) mainly sent ⽣ in non-rapid eye movement (NREM)
D. Sleep panic disorder (sleep terror) ⽣ often occur in non-rapid eye movement of deep sleep (deep NREM sleep)


Question: From the previous question, this patient's treatment, what's the best?

Answer: Extensive tumor resection and eyelid reconstruction

Choices:
A. Implementation tumor cut again and curettage (incision and curettage)
B. Radiation treatment
C. Freezing treatment
D. Extensive tumor resection and eyelid reconstruction


Question: After a meal blood sugar into the liver cells and skeletal muscle cells converted into glycogen (glycogen), which of the following types of glucose to glycogen synthesis directly involved?

Answer: UDP-glucose

Choices:
A. glucose 1-phosphate
B. glucose 6-phosphate
C. CMP-glucose
D. UDP-glucose


Question: 20-year-old woman, after using hair dye causes a reaction as shown in the following statements is wrong?

Answer: Dermatitis caused by hair dye belongs to the second type hypersensitivity

Choices:
A. The most common allergic reactions caused by hair dye ingredient para-phenylenediamine
B. Dermatitis caused by hair dye belongs to the fourth type hypersensitivity
C. Dermatitis caused by hair dye belongs to the second type hypersensitivity
D. Stickers skin test helps confirm allergens


Question: Dry artery disease (Truncus arteriosus) shortly after birth have severe heart failure, by far the best surgical approach is:

Answer: In infancy as a fully surgery

Choices:
A. Pulmonary artery banding procedure
B. In infancy as a fully surgery
C. Aortic valve repair
D. Arterial to pulmonary artery shunt


Question: From the previous question, this patient, which of the following best treatment should not be given priority?

Answer: Electroconvulsive therapy

Choices:
A. Drug treatment
B. Cognitive Therapy
C. Behavior Therapy
D. Electroconvulsive therapy


Question: 24-year-old male disease psychosis (schizophrenia) patients refuse medication because a year caused by worsening of symptoms, physician assessment after giving haloperidol intramuscular injection, 12 hours later, the case suddenly eyeball hanging, stiff neck and torso twist, the following statements, what's the most correct?

Answer: Zhang acute muscle loss (acute dystonia), should be immediately given anti-acetylcholine drugs intramuscular

Choices:
A. Seizures, shall be given anti-epileptic drugs
B. Zhang acute muscle loss (acute dystonia), should be immediately given anti-acetylcholine drugs intramuscular
C. As tardive movement disorders (tardive dyskinesia), should be replaced by the second generation antipsychotics
D. Anti-anxiety agents for drug contraindications


Question: A 58 year old woman pelvic tumor laparotomy, intraoperative detection of malignant ovarian tumors, and therefore the line hysterectomy, tubal ND lose both ovaries removed, omentectomy, both pelvic lymph resection of all visible tumors are completely removed. Pathological examination revealed that both ovarian cancer cell infiltration Jie, other portions are not. Peritoneal cytology examination showed malignant cells. This staging of ovarian cancer patients (stage) is:

Answer: Ic

Choices:
A. a
B. Ic
C. IIb
D. IIc


Question: 72 A 35-year-old male patient, after a fall, leg pain and swelling, duration of symptoms; there is increasing trend in the last two months, and the affected area redness; patient underwent MRI examination calf; A picture shows T1WI, sagittal view; Photo B T2 WI, axial view. Why is the correct diagnosis?

Answer: chronic osteomyelitis with sinus tract of tibia

Choices:
A. post-traumatic fracture of tibia
B. primary bone tumor, complicated with fracture
C. chronic osteomyelitis with sinus tract of tibia
D. chronic osteomyelitis with sinus tract of fibula


Question: A 68-year old man was sent to the emergency room of consciousness, neurological examination revealed: both sides of the pupil light reflex narrow but normal, appears doll's eye phenomenon when turned around, while Cheyne-Stokes respiration, both sides of the motor system function symmetry, no local phenomenon of paralysis. Create awareness of the barriers most likely cause of this patient or lesion is:

Answer: Diffuse brain lesions (diffuse encephalopathy)

Choices:
A. Diffuse brain lesions (diffuse encephalopathy)
B. Midbrain (midbrain) lesions
C. Pons (pons) lesions
D. Medulla (medulla) lesions


Question: About measurement scale (measurement scale) narrative Which statement is correct?

Answer: Cholesterol (mg / 100 ml) for the geometric dimensions (ratio scale)

Choices:
A. ⾎ type of order bit scale (ordinal scale)
B. Cholesterol (mg / 100 ml) for the geometric dimensions (ratio scale)
C. Body temperature (taken ⽒ degrees C) is a geometric scale (ratio scale)
D. Cancer staging is an isometric scale (interval scale)


Question: The following information about lactose (lactose) of the digestion and absorption and metabolism of the narrative, what's right?

Answer: Lactose intolerance can cause osmotic diarrhea (osmotic diarrhea)

Choices:
A. Pancreas to secrete lactase (Lactase) digest lactose
B. The adult lactase (lactase) will rise and race-related
C. Lactose intolerance can cause osmotic diarrhea (osmotic diarrhea)
D. Galactosemia (galactosemia) is caused by hyperphagia lactose


Question: There is a two year old child was hospitalized because of abdominal pain. Ultrasonic reported as "Cystic dilatation of the common bile duct, intrahepatic ducts are normal", your diagnosis:

Answer: Choledochal cyst typeⅠ

Choices:
A. Choledochal cyst typeⅠ
B. Choledochal cyst typeⅡ
C. Choledochal cyst type Ⅲ
D. Choledochal cyst type Ⅳ


Question: 60-year-old Lee, smoking for decades, due to nasopharyngeal cancer eight years ago while undergoing radiation therapy, regular follow-up no recurrence, the past year has dizziness, three days before the sudden emergence of the left hand and left leg weakness, continued 30 minutes before resuming, following the disposal of what is the highest priority?

Answer: Neck auscultation and duplex ultrasonogram

Choices:
A. Neck auscultation and duplex ultrasonogram
B. Whether there is oppression cervical CT examination
C. Clinical check nasopharyngeal local recurrence
D. Systemic nuclear medicine examination and rule out whether there are other transfers


Question: Early pregnant women smear malignant cells, if colposcopy and biopsy could not determine the presence of invasive cervical cancer, and to perform diagnostic conical sections (conization), the best and when?

Answer: Ⅱ of pregnancy (second trimester)

Choices:
A. The first stage of pregnancy Ⅰ (first trimester)
B. Ⅱ of pregnancy (second trimester)
C. Ⅲ of pregnancy (third trimester)
D. postnatal


Question: Which of the following drugs can clear the infection African sleeping disease patient's blood and lymph nodes of trypanosomiasis?

Answer: melarsoprol

Choices:
A. nifurtimox
B. melarsoprol
C. pentamidine
D. suramin


Question: Clinical diagnosis and treatment in general, which of the following is the most common cause of polyneuropathy it?

Answer: diabetes

Choices:
A. Chronic alcoholism
B. lead poisoning
C. diabetes
D. Uremia


Question: Xiao Ming is a human immunodeficiency virus (human immunodeficiency virus) were infected with the disease, is currently receiving anti-retroviral drugs (antiretroviral therapy). The following related description, what's wrong?

Answer: Who receive treatment should be regular follow-CD3 lymphocyte count and viral load

Choices:
A. Pneumocystis pneumonia (Pneumocystis pneumonia) is the most common lung suffering from AIDS opportunistic infections
B. With the use of anti-retroviral drugs, opportunistic infection in AIDS patients has been drastically reduced
C. Taking anti-retroviral drugs can cause increased blood fat, blood sugar rises and other metabolic side effects
D. Who receive treatment should be regular follow-CD3 lymphocyte count and viral load


Question: At present, China's mental health work main legal basis for why?

Answer: Mental Health Act

Choices:
A. Mental Health Act
B. Public Mental Health Act
C. Mental Health Act
D. Community Mental Health Care Act


Question: Which of the following is not a feature of apoptosis (apoptosis) of?

Answer: Cell swelling 40 passes sound waves that without following a structure?

Choices:
A. DNA fragmentation
B. Apoptotic body
C. Of blister-like membrane (blebbing)
D. Cell swelling 40 passes sound waves that without following a structure?


Question: In patients undergoing surgery often have low body temperature (hypothermia) occurs, the following information about the operation described in hypothermia phenomenon, what's wrong?

Answer: Hypothermia surgery does not increase the complications and mortality after surgery

Choices:
A. When referred to hypothermia in patients in anesthesia body temperature below 36 ℃
B. Hypothermia can reduce the metabolic demand for oxygen, so hypothermia can provide a protective effect on the brain or cardiac ischemia
C. Hypothermia surgery does not increase the complications and mortality after surgery
D. Surgery hypothermia due to the phenomenon of the age of the patient, abdominal surgery, surgery and prolonged low temperature and more Rongyifasheng


Question: One pregnancy 32 weeks pregnant women come for prenatal care physicians in addition to this interrogation fetal symptoms, past pregnancy history, family history of disease and physical examination, but also need to arrange a real laboratory examination. Check the following items that are necessary for the process to arrange the time this pregnancy?

Answer: Hepatitis B Surface Antigen Test

Choices:
A. Thyroid function
B. Glucose-6-phosphate dehydrogenase (dehydrogenase deficiency inspection)
C. Oral glucose tolerance test
D. Hepatitis B Surface Antigen Test


Question: Pregnant 8 months pregnant unfortunate fall from 5 meters high, the following statements is wrong?

Answer: Aid pregnant women, without spinal cord injury, on the left, preventing uterine compression aorta lie

Choices:
A. The most effective first aid fetus, is to maintain stable vital signs for pregnant women
B. Aid pregnant women, without spinal cord injury, on the left, preventing uterine compression aorta lie
C. Also need to monitor fetal heartbeat
D. Even if the mother's life signs stable, but the fetus may be in shock


Question: A 25-year-old young people suffering from psoriasis, after riding a bicycle fall there is a scratch on the right thigh, a psoriasis lesions grow in the future on the wound, this phenomenon is a feature that psoriasis?

Answer: Koebner phenomenon

Choices:
A. Darier sign
B. Auspitz's sign
C. Nikolsky sign
D. Koebner phenomenon