Question: Which of the following autoimmune diseases, mainly due to an immune-reactive T cells from the body caused?

Answer: Autoimmune Insulin - dependent diabetes mellitus (autoimmune insulin-dependent diabetes mellitus)

Choices:
A. Autoimmune Insulin - dependent diabetes mellitus (autoimmune insulin-dependent diabetes mellitus)
B. Systemic lupus erythematosus (systemic lupus erythematosus)
C. Myasthenia gravis (myasthenia gravis)
D. Grave's disease (Grave's disease)


Question: From the previous question, about the following pathogens narrative, what's right?

Answer: This bacteria can proliferate within macrophages (macrophage)

Choices:
A. This bacteria can infect humans and animals
B. The bacteria must be grown in an oxygen-free environment
C. The bacteria in the harsh environment will form spores (spores)
D. This bacteria can proliferate within macrophages (macrophage)


Question: One child 24 kg of body weight, if absolutely can not eat. The maintenance of intravenous infusion should be given one day how many mL?

Answer: 1580

Choices:
A. 2400
B. 2000
C. 1580
D. 1250


Question: Which of the following is not a principle to raise the Taiwan National Health Insurance premiums?

Answer: User Fees

Choices:
A. User Fees
B. Fairness
C. Adequacy
D. Efficiency


Question: Which of the following is glaucoma common vision change?

Answer: Arcuate blind spots (arcuate scotoma)

Choices:
A. Arcuate blind spots (arcuate scotoma)
B. Two temporal side half-blind (bitemporal hemianopsia)
C. Two ipsilateral half-blind (homonymous hemianopsia)
D. Center for blind spots (central scotoma)


Question: After a 25-year-old male motorcyclist and a truck rear-ended, because both sides of the lower limb fractures were sent to the hospital emergency room. In the first emergency vital signs measuring blood pressure of 80/50 mm Hg (mmHg), heart rate 120 beats / min, respiration 26 / min, unconscious. In this case, the injured belong to the first few levels hemorrhagic shock, what kind of infusion therapy should be adopted?

Answer: Belonging to the third stage hemorrhagic shock, recoverable lactated Ringer's solution (lactated Ringer's solution) 1 liter perfused

Choices:
A. Belonging to the first stage of hemorrhagic shock, recoverable lactated Ringer's solution (lactated Ringer's solution) 2 liter perfused
B. Belonging to the third stage hemorrhagic shock, recoverable lactated Ringer's solution (lactated Ringer's solution) 1 liter perfused
C. Belonging to the first stage of hemorrhagic shock, recoverable 1,000 ml concentrated erythrocyte formula (packed red blood cells) perfusion
D. Belonging to the second stage hemorrhagic shock, recoverable 1,000 ml concentrated erythrocyte formula (packed red blood cells) perfusion


Question: Which of the following synthetic Gram-positive bacteria cell wall glycoconjugates (Glycoconjugates), the antibiotic can be suppressed PENICILLIN?

Answer: peptidoglycans

Choices:
A. glycolipids
B. proteoglycans
C. glycoproteins
D. peptidoglycans


Question: 25 year old woman with acute right lower abdominal pain to the emergency room. According to her complaint, she began yesterday afternoon, intermittent abdominal pain, mainly confined to the right lower abdomen when practicing gymnastics, and accompanied by nausea and vomiting; pain, feeling more and more intense, let her feel ill at ease, even unable to eat, in addition she denied diarrhea. When to the emergency, her conscious, blood pressure 120/78 mmHg, 36.9 deg.] C temperature, pulse 85 / min, respiration 19 / min. Physical examination showed a right lower quadrant tenderness accompanied by a slight rebound pain, pelvic cavity and left uterine appendages diagnosis display normal right appendage has a mass of about 5 cm, and tenderness. Blood test shows leukocytes 11,000 / mm3, urine pregnancy test negative, vaginal ultrasonography revealed below, but show no abdominal fluid reservoir. Which of the following is the most likely diagnosis?

Answer: Ovarian tumor reverse merger

Choices:
A. Ruptured ectopic endometrial merger
B. Ovarian tumor reverse merger
C. Corpus luteum cyst rupture
D. The combined degeneration of uterine fibroids


Question: From the previous question, about the treatment of patients with the above Which of the following error?

Answer: melphalan + prednisolone (MP) can be used as the main first-line chemotherapy

Choices:
A. Even in the absence of hypercalcemia case, bisphosphonate is an effective additional treatment (adjunctive therapy)
B. melphalan + prednisolone (MP) can be used as the main first-line chemotherapy
C. The so-called novel formulations such bortezomib (novel agents) can improve such a combined chemotherapy induction therapy in newly diagnosed patients with complete remission
D. Future autologous hematopoietic stem cell transplantation (autologous hematopoietic stem cell transplantation) may improve long-term survival


Question: Which of the following is a translation of the initiation of protein amino acids?

Answer: methionine

Choices:
A. leucine
B. cysteine
C. methionine
D. tyrosine


Question: 32.16-year-old young women, abdominal pain and increased abdominal girth due to out-patient clinics, menstrual cycle, about 28 days, the last two months have abnormal bleeding, ultrasonography revealed the complexity of the left ovarian tumor, blood tests found that beta-hCG, CA- LDH and 125 are normal, but the AFP is 1,236 ng / mL. The following statements is true?

Answer: Patients most likely ovarian endodermal sinus tumor (endodermal sinus tumors), are sensitive to chemotherapy

Choices:
A. Most patients with epithelial ovarian cancer may be, shall hysterectomy and bilateral salpingo resection
B. Patients most likely ovarian endodermal sinus tumor (endodermal sinus tumors), are sensitive to chemotherapy
C. This tumor is sensitive to radiation therapy, surgery often have to do radiation plus chemotherapy merger
D. Rare in young women malignant ovarian tumors


Question: Related asthma patient desensitization therapy, what is non?

Answer: Also recommended therapeutic applications in food allergy diseases

Choices:
A. Produce desensitization blocking IgG antibodies
B. Also recommended therapeutic applications in food allergy diseases
C. May cause dielectric allergen-specific white matter -4 (IL-4) and reduced γ- interferon (IFN-γ) increased
D. Patients β- blockers (β-blocker) is not recommended for use in


Question: The patient upper arm fracture, wrist extension can not, which of the following is most likely caused by injury?

Answer: Radial nerve

Choices:
A. Median nerve
B. Axillary nerve
C. Ulnar nerve
D. Radial nerve


Question: 9648-year-old woman, because he touched the right side of a breast cancer doctor, breast cancer is determined after inspection. Which of the following prognosis for breast cancer represents the best possible?

Answer: 4 cm thick carcinoma in situ

Choices:
A. 4 cm thick carcinoma in situ
B. There are an axillary lymph node metastasis
C. Skin cancer cells in lymphatic vessels
D. HER2 / neu gene or protein overexpression


Question: The following statements about pancreatic cancer (carcinoma of the pancreas), and what's wrong?

Answer: Pancreatic cancer in human serum carcinoembryonic antigen (CEA) and lock carbohydrate antigen (CA19-9) will rise, is an important basis for early diagnosis

Choices:
A. Periampullary (periampullary carcinoma) with pancreatic head carcinoma accounts for up to
B. Pancreatic cancer in human serum carcinoembryonic antigen (CEA) and lock carbohydrate antigen (CA19-9) will rise, is an important basis for early diagnosis
C. Good computer tomography (CT scan) and endoscopic ultrasound (EUS) than the general diagnostic ultrasound (ultrasonography) Rate
D. Surgical treatment of pancreatic carcinoma may be employed Whipple procedure (radical pancreatico-duodenal resection) 15 where the following items is not a hospitalization (on admission) Ranson's criteria for assessing the prognosis of acute pancreatitis?


Question: Which of the following drugs, the most suitable for the treatment of urinary retention after surgery?

Answer: Bethanechol

Choices:
A. Atropine
B. Bethanechol
C. Pilocarpine
D. Rivastigmine


Question: A young patient just by chest trauma, sent to the emergency room by ambulance after the accident ten minutes, physical examination findings clearly anxious patient conscious but breathing fast, neck vein distention, will not take a deep breath and collapse, both sides are clear breath sounds, the nurse told only blood pressure 80/65 mmHg, pulse rate was 150 beats / min, following diagnosis, whichever is the correct answer?

Answer: Cardiac tamponade (cardiac tamponade)

Choices:
A. Cardiac tamponade (cardiac tamponade)
B. Tension pneumothorax (tension pneumothorax)
C. Early low blood compatibility shock (hypovolemic shock)
D. Neurogenic shock (neurogenic shock)


Question: The following account of pneumonia chlamydia (Chlamydia pneumoniae) infection, and that a mistake?

Answer: Most occur in less than six months

Choices:
A. Most occur in less than six months
B. Drug of choice for pediatric patients are giant molecules of antibiotics erythromycin (macrolide antibiotic)
C. Cause of atypical pneumonia (atypical pneumonia) clinical symptoms of pneumonia caused by other reasons difficult to distinguish
D. No animal reservoir, by droplet infection


Question: Patients with non-slip figure wearing gloves, wheelchair wheels wrapped a rubber band in order to effectively promote the wheelchair, this showed that the patient is most likely to be following what the patient?

Answer: Sixth cervical spinal cord injury completely

Choices:
A. The fourth cervical spinal cord injury completely
B. Sixth cervical spinal cord injury completely
C. The second complete thoracic spinal cord injury
D. The first lumbar spinal cord injury completely


Question: Which of the following is located in the posterior mediastinum?

Answer: Thoracic aorta

Choices:
A. heart
B. Thoracic aorta
C. The inferior vena cava
D. trachea


Question: Often variability between each HIV-1 isolates (isolates), in particular the maximum genetic differences?

Answer: ca.

Choices:
A. ca.
B. gag
C. half
D. LTR


Question: The following narrative about the iron, whichever is correct?

Answer: Ferritin and hemosiderin iron mainly two kinds of patterns stored in the body mainly

Choices:
A. Absorption of iron mainly in the stomach
B. Ferritin and hemosiderin iron mainly two kinds of patterns stored in the body mainly
C. Absorption of iron to trivalent iron ions mainly based
D. Normal excretion per day to about 10 mg of iron


Question: ⼀ bit 8-year-olds, originally shy personality, change schools after the move, ⼀ complain straight after school Your Own chest upwards body discomfort, do not worry Center Weighted ⽗ ⺟ parent to pick Your Own home before the school day will be crying resist to school at night sleeping ⼀ straight about my parents do not ⾒ a nightmare, lasting more than a month are ⼀. Which statement is correct?

Answer: To drug therapy, should be selected with ⾎ serotonin (serotonin) recovering the antidepressant effect of suppressing

Choices:
A. The features described above in full compliance with the child generalized anxiety disorder (generalized anxiety disorder) is
B. The first frame line treatment shutter mode is Analytical Center Weighted spirit physiotherapy
C. To drug therapy, should be selected with ⾎ serotonin (serotonin) recovering the antidepressant effect of suppressing
D. After the symptoms improved, only into their home Face ⾏ health education and familial Center Weighted management intervention


Question: 38 year old man, began three weeks ago, malaise, headache, micro intermittent fever, headache intensified merge the last two days of nausea, vomiting and lethargy. Physical examination revealed a stiff neck. Cerebro-spinal fluid exhibits: a pressure of 240 mmH2O, is 480 leukocytes (lymphocytes wherein 80%), the protein was 80 mg / dL, glucose is 20 mg / dL (glucose level of 120 mg / dL), Cryptococcus antigen (cryptococcal antigen) was negative. Research with serum-STD chamber agglutination (the VDRL) was negative. Which of the following is the most likely diagnosis?

Answer: Tuberculous meningitis

Choices:
A. Viral meningitis
B. Tuberculous meningitis
C. It had been without antibiotic treatment of bacterial meningitis
D. Parasitic meningitis


Question: Which of the following causes and ischemic stroke (ischemic stroke) of relatively unrelated?

Answer: Cerebral aneurysms (cerebral aneurysm)

Choices:
A. Carotid atherosclerotic plaque (carotid atherosclerotic plaque)
B. Cerebral aneurysms (cerebral aneurysm)
C. Atrial fibrillation (atrial fibrillation)
D. Intracardiac thrombi (intracardiac thrombi)


Question: A 42-year-old man presented to the emergency vomiting, physician examination found vomit containing bile, it is most likely that these diseases?

Answer: Duodenal end tumor obstruction

Choices:
A. Duodenal end tumor obstruction
B. Pyloric obstruction
C. Esophageal tumor obstruction
D. Achalasia disease


Question: The following account of enterovirus infection, what's wrong?

Answer: Enterovirus infection is best made in spring

Choices:
A. Breastfeeding can reduce intestinal infection
B. HFMD mainly by Kesha Qi A16 (coxsackievirus A16) and enterovirus 71 (enterovirus 71) infection
C. Enterovirus 71 infection is one of the main causes of severe brain stem encephalitis
D. Enterovirus infection is best made in spring


Question: According to Goodsall's rule, anal fistula located outside the mouth 8 o'clock, it should be inside the mouth in the direction of what time?

Answer: 6 o'clock

Choices:
A. 3 points
B. 6 o'clock
C. 9:00
D. 12 o'clock


Question: Pathological or clinical features associated ovarian germ cell cord or stromal cell tumors (ovarian sex cord-stromal tumors), and which of the following error?

Answer: Call-Exner bodies are characterized in stromal tumor (Sertoli-Leydig cell tumor) of the support ovarian

Choices:
A. Call-Exner bodies are characterized in stromal tumor (Sertoli-Leydig cell tumor) of the support ovarian
B. Furrow nucleoli beans (coffee-bean grooved nuclei) is characterized in ovarian granulosa cell tumor (granulosa cell tumor) of
C. Adult ovarian granulosa cell tumor (adult-type granulosa cell tumor) may be accompanied by endometrial hyperplasia or endometrial cancer occur
D. The masculine is ovarian tumors associated supporting stromal tumor (Sertoli-Leydig cell tumor)


Question: Which is not an anti-influenza virus drugs?

Answer: Acyclovir（Zovirax(r)）

Choices:
A. Acyclovir（Zovirax(r)）
B. Oseltamivir（Tamiflu(r)）
C. Peramivir（Rapiacta(r)）
D. Zanamivir（Relenza(r)）


Question: When cell necrosis, changes pyknosis you is:

Answer: Nuclear smaller, chromatin condensation

Choices:
A. Nuclear small, loose chromatin
B. Nuclear smaller, chromatin condensation
C. Nuclear large, loose chromatin
D. Nuclear larger, chromatin condensation


Question: 3-year-old girl because of swollen water resistant full chest upwards, Tichongzengjia 2 public ⽄ treatment. ⾯ surface plot Body surface area (BSA) was 0.5m2, the egg white was found in urine laboratory test 4 +, 24 ⼩ egg white as urinary 3.3gm, single urine test: Urine egg white (Urine protein) 250 mg / dL urine creatinine (Urine creatinine) 50 mg / dL, ⾎ in white egg white is 1.5 gm / dL, cholesterol: 420 mg / dL, three acid oil: 248 mg / dL, the following related statements is wrong?

Answer: Shall immediately Statin-based lipid lowering drugs ⾎ aliphatic ADVANCED ⾎

Choices:
A. Shall immediately Statin-based lipid lowering drugs ⾎ aliphatic ADVANCED ⾎
B. Shoots as usual is essential, not be used for kidney slices can be the first Using steroids
C. The amount of egg white urine has reached Nephrotic range proteinuria definition
D. If steroid-responsive patients with good prognosis is good, with little progress to chronic kidney disease ⽽ required dialysis treatment


Question: 745-year-old male patient with pancreatitis due to long-term use of morphine, is due to be femoral fractures and surgery, the following information about the narrative and what was the error?

Answer: The use of general anesthesia anesthesia is better than the half-length

Choices:
A. The use of general anesthesia anesthesia is better than the half-length
B. Postoperative pain can be used NSAID
C. May be used by opioid (opioids) analgesics
D. Patient-controlled analgesia device may be used


Question: The following account of Meckel's diverticulum (Meckel's diverticulum) of, what's right?

Answer: May contain heterotopic pancreatic tissue

Choices:
A. As acquired diseases
B. Intussusception (intussusception) occur less frequently
C. May contain heterotopic pancreatic tissue
D. Supportive therapy is the best treatment


Question: An ambulance took 10 minutes to a patient unconscious and electrocardiogram showed ventricular fibrillation (VF) is sent home from the emergency room, you find that patients no longer breathing, no heartbeat, how to do next?

Answer: Now do five cycles of CPR, then look at heart rhythm, such as still VF, then immediately shock

Choices:
A. Because there is no breathing is 10 minutes, so to quickly discharge the endotracheal tube, so that the oxygen concentration to a high
B. Now do five cycles of CPR, then look at heart rhythm, such as still VF, then immediately shock
C. Now do five cycles of CPR, then immediately shock
D. Since the VF is, it quickly shock, then 5 cycles do CPR


Question: Which of the following and radial nerve (radial nerve) and accompanying access to the radial nerve sulcus?

Answer: Deep brachial artery (profunda brachii artery)

Choices:
A. Humeral artery (posterior circumflex humeral artery)
B. Circumflex humeral artery before (anterior circumflex humeral artery)
C. Deep brachial artery (profunda brachii artery)
D. Radial recurrent artery (radial recurrent artery)


Question: He constructed the following derivatized scrotum?

Answer: Reproductive uplift (genital swelling)

Choices:
A. Genital tubercle (genital tubercle)
B. Reproductive uplift (genital swelling)
C. Anal folds (anal fold)
D. Urethral folds (urethral fold)


Question: 5-year-old boy because the growth hormone receptor gene mutation, resulting in metabolic disorders, it can not grow. Which of the following best suited to improve this symptom?

Answer: mecasermin

Choices:
A. somatropin
B. octreotide
C. atosiban
D. mecasermin


Question: The following statements about the treatment of hypokalemia, what's wrong?

Answer: potassium chloride may be added to normal saline or dextrose solution, as the effect of post-infusion liter Potassium

Choices:
A. Low blood potassium supplement potassium citrate renal tubular acidosis due to better than potassium chloride
B. When peripheral intravenous infusion potassium chloride, the injection speed should not exceed 20 mmol per hour
C. potassium chloride may be added to normal saline or dextrose solution, as the effect of post-infusion liter Potassium
D. The center of intravenous potassium, potassium chloride injection up to a concentration of 60 mmol / L


Question: A 56-year-old man with diabetes, diabetic foot came to the clinic with a physician to discuss it possible to make the dressing with wound healing, the following items where the most decisive?

Answer: Check the dorsalis pedis and posterior tibial artery with or without pulsation

Choices:
A. HbA1c blood tests
B. Arrangement EMG and nerve conduction (NCV / EMG)
C. Bacterial culture
D. Check the dorsalis pedis and posterior tibial artery with or without pulsation


Question: Allodynia is to describe the pain that ⼀ kind of feeling?

Answer: For harmless (nonnoxious) stimulation, will feel the pain

Choices:
A. Without stimulation, will feel abnormal sensation
B. For harmless (nonnoxious) stimulation, will feel the pain
C. For harmful (noxious) stimulation, feeling more and more intense
D. For harmful (noxious) stimuli, feeling ever more weakly


Question: The following related carpal tunnel syndrome (carpal tunnel syndrome) of the narrative, what's wrong?

Answer: There must thenar (thenar muscle) contraction

Choices:
A. Qu wrist action will increase the symptoms
B. There must thenar (thenar muscle) contraction
C. Early treatment can be administered deputy wood
D. Surgery is cut transverse carpal ligament (transverse carpal ligament)


Question: Lineweaver-Burk plot of enzyme catalyzed reaction (double-reciprocal plot) if a competitive inhibitor (competitive inhibitor) is present, then the following items will change what?

Answer: Intercept 1 / [S] axis

Choices:
A. Intercept 1 / V axis
B. Intercept 1 / [S] axis
C. V max
D. Equilibrium constant K (pK)


Question: Case-control study, which of the following disease are more suitable for use cumulative sampling (cumulative sampling) to select cases and controls?

Answer: Food poisoning

Choices:
A. diabetes
B. cancer
C. Stroke
D. Food poisoning


Question: Neonatal fulminant hepatitis, which of the following prognosis of patients with the most relevant?

Answer:  original clotting time (prothrombin time)

Choices:
A.  original clotting time (prothrombin time)
B. Serum bilirubin
C. Value of serum aminotransferase 
D. Fetal serum protein values


Question: About boy precocious puberty (precocious puberty), that one of the following pathogenic machine turn different from the other three?

Answer: Stimulating hormone secretion of human chorionic gonadotropin (HCG-secreting) in the hypothalamic tumors

Choices:
A. Water brain (hydrocephalus)
B. Hypothalamic hamartoma (hypothalamic hamartoma)
C. Stimulating hormone secretion of human chorionic gonadotropin (HCG-secreting) in the hypothalamic tumors
D. No long-term treatment of primary thyroid disease low-energy (primary hypothyroidism)


Question: Fetal position when the following about childbirth "transverse lie" narrative, what's wrong?

Answer: Nothing to do with too much amniotic fluid

Choices:
A. Was lower than 1%
B. Can be caused by placenta (placenta previa)
C. Uterine anomaly is one of the reasons
D. Nothing to do with too much amniotic fluid


Question: According advantages, weaknesses, opportunities and threats of the use of medical management often SWOT assessment of the hospital, where the following items can not be used to optimize the assessment index hospitals, weaknesses?

Answer: The degree of competition environment

Choices:
A. Innovation
B. quality
C. The degree of competition environment
D. effectiveness


Question: Which of the following is diabetic retinopathy (diabetic retinopathy) affected the earliest retinal vascular cells?

Answer: Microvascular pericytes (capillary pericyte)

Choices:
A. Microvascular endothelial cells
B. Microvascular pericytes (capillary pericyte)
C. Vasa tubes (vasa vasorum)
D. Fibroblasts (fibroblast)


Question: Chances if known domestic male smoking prevalence of 20%, a random draw three men, three were smoking Why?

Answer: 0.008

Choices:
A. 0.067
B. 0.008
C. 0.6
D. 0.08


Question: Which of the following is the main reason for the merger of drug use treatment of tuberculosis?

Answer: Prevention of drug resistance

Choices:
A. Prevention of drug resistance
B. Reduce induced side effects
C. Increase the role of inhibition of Mycobacteria
D. Increase the role against other bacterial infections


Question: 3. a 64-year-old male patient with myocardial infarction and congestive heart failure, there are no symptoms when lying down to rest, but he said a day after his bath in the usual way, I felt very tired, chest tightness and accelerated heart rate, to after sitting in a chair to rest a few minutes to pick dry hair. Zoe New York Heart Association functional class of heart failure (New York Heart Association Functional Classification), he currently belongs to the first few levels?

Answer: Slow in speech cap

Choices:
A. I t I : j [
B. Figure ··· • · saying a '~ m ... ··· a' · a ^ Shu Li Li Xuan four dead Kobe fight at all is J l | ti |. L | lI
C. Slow in speech cap
D. The first stage


Question: The highest mortality of traumatic brain injury is what kind?

Answer: Acute meningeal hemorrhage

Choices:
A. Brain contusion
B. Subdural hemorrhage on
C. Acute meningeal hemorrhage
D. Chronic meningeal hemorrhage


Question: A 53-year-old male patient with hypertension, the blood examination fasting blood glucose value is found to be 180 mg / dL, total cholesterol (T-CHO) is 260 mg / dL, high density cholesterol (HDL-C ) was 35 mg / dL, triglyceride value (TG) of 260 mg / dL. According to Taiwan lipid treatment guidelines, their LDL cholesterol value (LDL-C) to control how many mg / dL target should be less than?

Answer: 100

Choices:
A. 190
B. 160
C. 130
D. 100


Question:
37. One 75-year-old woman, usually in good health, but nearly three months to feel loss of appetite, fatigue, lower back pain. Physical examination showing his face and pale conjunctiva, no hepatosplenomegaly. Data show room solid: leukocytes 5,310 / μL, no abnormal classification. Hemoglobin 7.8 g / dL, platelets 171,000 / μL. Normal liver function, serum creatinine was 3.4 mg / dL. Lumbar spine imaging of presenting serious collapse. Bone marrow smears show
 As shown below. The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: After diagnosis immediately given an intravenous infusion of high-dose chemotherapy is the standard treatment

Choices:
A. This disease occurs in the elderly
B. After diagnosis immediately given an intravenous infusion of high-dose chemotherapy is the standard treatment
C. Even in the measurement of blood less than monoclonal protein, the disease can not be ruled out
D. lenalidomide, steroid and bortezomib is an effective prescription to treat the disease


Question: When patients winged scapula (winging of the scapula) symptoms, the most common cause is due to a nerve that dominated its muscle damage caused?

Answer: Long thoracic nerve (long thoracic nerve) and serratus anterior muscle (serratus anterior)

Choices:
A. Axillary nerve (axillary nerve) and the deltoid muscle (deltoid muscle)
B. Long thoracic nerve (long thoracic nerve) and serratus anterior muscle (serratus anterior)
C. Suprascapular nerve (suprascapular nerve) and spinal muscles (supraspinatus) on
D. Under subscapularis nerve (inferior subscapular nerve) and teres major (teres major)


Question: The following account of sympathetic ophthalmia (sympathetic ophthalmitis), and what's wrong?

Answer: Is a non-granulomatous both sides (non-granulomatous) uveitis

Choices:
A. Is a non-granulomatous both sides (non-granulomatous) uveitis
B. Possible eye injury or eye surgery and related
C. Clinical manifestations and Harada disease (Harada disease) similar
D. Untreated can lead to blindness


Question: For a description of pseudo-obstruction of the large intestine, which of the following error?

Answer: Drug therapy can be considered neostigmine, but be careful application of patients have bradycardia after fight drugs need to carefully observe changes in heart rate, and prepare dopamine as an emergency antidote

Choices:
A. Also known as Ogilvie's syndrome, a diagnosis was proposed in 1948 AD
B. Common causes of colon pseudo-obstruction Clinically, secondary, mainly used in combination and morphine-like painkillers, thyroid dysfunction, diabetes, kidney poisoning and other factors
C. Treatment may consider using colonoscopy to make a diagnosis and decompression, but be careful carefully selected patients, if the suspect can not perform colon necrosis
D. Drug therapy can be considered neostigmine, but be careful application of patients have bradycardia after fight drugs need to carefully observe changes in heart rate, and prepare dopamine as an emergency antidote


Question: Obstructive sleep apnea syndrome in patients with the most common respiratory abort is that a period of sleep?

Answer: Rapid eye movement (REM)

Choices:
A. Non-rapid eye movement (non-REM) stage 1
B. Non-rapid eye movement stage 2
C. Non-rapid eye movement stage 3
D. Rapid eye movement (REM)


Question: And milk were served, not only affect the absorption, but will also lose antimicrobial activity of the drug as follows:

Answer: Tetracycline

Choices:
A. Ampicillin
B. Tetracycline
C. Erythromycin
D. Cephalexin


Question: Ethosuximide inhibit the T-type calcium channels, primarily for the treatment of epileptic seizures following what?

Answer: Syncope 發作 (absence seizure)

Choices:
A. Full tonic-clonic seizures (generalized tonic-clonic seizure)
B. Syncope 發作 (absence seizure)
C. Most seizures (partial seizure)
D. Myoclonic seizures (myoclonic seizure)


Question: Statements about the human papilloma virus (Human Papillomavirus, HPV) is, which of the following error?

Answer: E5 virus proteins will bind to p53

Choices:
A. HPV-6 and HPV-11 cervical cancer is caused by low-risk strains
B. E5 virus proteins will bind to p53
C. E7 viral proteins will bind to the protein p105RB
D. E1 protein and viral replication related


Question: 2000 grams of preterm children hospitalized in the ICU for nearly two Month, she had bilateral renal agenesis ⽽ associated with chronic renal failure, pulmonary hypoplasia separate warranty as pneumonia ⼀ directly dependent on a respirator therapy, 3 weeks before the start of ⻑ need of peritoneal dialysis in order to maintain body fluids and electrolyte balance. Unfortunately, these days doctors discovered the baby fever, dialysate turned turbid, and zoomed to reduce the flow, initially diagnosed as fungal peritonitis, except Using the drug, the doctor suggested surgery to replace the watch peritoneal dialysis tube. At this time, under 20-year-old young ⽗ ⺟ pro requires the physician to: "She is really so poor, do not save, so she ⾛ it, please help us remove the respirator, let's go home!." Which of the following practices most appropriate?

Answer: ⽗ ⺟ after obtaining the consent administer palliative care, by health care personnel on a respirator removed, let her go home

Choices:
A. ⽗ ⺟ ⽣ her, but also legal representation Face, which must be removed from the respirator ⽗ ⺟
B. ⽗ ⺟ after obtaining the consent administer palliative care, by health care personnel on a respirator removed, let her go home
C. All care has been taken to make full Use of modern medical rescue in the end
D. Does not remove the respirator dimension ⽣, but down to stop the watch surgery and other active treatment


Question: Which of the following participate in an initial diaphragmatic (primordial diaphragm), accounting for most of the early fetal diaphragmatic (early fetal diaphragm), and in newborn babies of the diaphragm (neonate's diaphragm) accounts for only a relatively small part?

Answer: Chest film (pleuroperitoneal membrane)

Choices:
A. Chest film (pleuroperitoneal membrane)
B. Lateral septum (septum transversum)
C. Mesangial esophagus (mesoesophagus)
D. Original mediastinum (primitive mediastinum)


Question: Diagnosed with cervical cancer, which of the following is correct when pregnant?

Answer: Prognosis and the same non-pregnant women

Choices:
A. Prognosis and the same non-pregnant women
B. If pregnancy 17 weeks found that cervical cancer, should fetal maturity and other reprocessing
C. Vaginal production will worsen the prognosis
D. Radiation therapy does not cause abortion


Question: Mr. Zhang, 60 years old, suffering from high blood pressure, long-term regular diabetes medication, the last two days, will walk a few steps short of breath, unable to sleep lying down, sitting, breathing only more comfortable, while walking his chest men Tong, sitting rest is more relieve chest tightness, chest pain recently increased the frequency than before. Mr. Zhang to the ER for treatment, blood pressure 160/90 mm Hg, at 130 beats per minute, the temperature 37 degrees Celsius, 25 times per minute respiration, blood oxygen levels below 88% of oxygen-free, showed the following physical checkups , jugular venous distention (jugular vein engorgement), at the apex with a second degree (Grade II / VI) systolic murmur, S3 running sound (S3 gallop), had bilateral pulmonary rales (rALES), lower extremity edema, ECG showing sinus tachycardia (sinus tachycardia) and V4-V6 ST segment decline, chest X-ray showing cardiomegaly and pulmonary edema, the diagnosis for Mr. Zhang to the emergency room, Which of the following most inappropriate?

Answer: Pulmonary heart disease (cor pulmonale)

Choices:
A. heart failure
B. Pulmonary heart disease (cor pulmonale)
C. Acute pulmonary edema
D. Acute coronary syndrome


Question: Bearing on the question, given the most appropriate disposal day-why?

Answer: The femoral epiphyseal ends of the bone fixation plate with a screw (screw stabilization)

Choices:
A. Antibiotics (antibiotics) injections three weeks
B. In anesthetized hip Closed reduction (closed reduction)
C. The femoral epiphyseal ends of the bone fixation plate with a screw (screw stabilization)
D. Turning the proximal femoral osteotomy surgery line (varus osteotomy)


Question: Which of the following is a renewal of high blood pressure (secondary hypertension) the most common cause?

Answer: renal parenchymal disease

Choices:
A. renal parenchymal disease
B. primary aldosteronism
C. pheochromocytoma
D. Cushing's syndrome


Question: The best way to diagnose Asherman's syndrome are:

Answer: Diagnostic hysteroscopy

Choices:
A. Diagnostic hysteroscopy
B. Diagnostic laparoscopy
C. Computer tomography
D. Ultrasonography


Question: 56 year old man nausea, poor appetite week to emergency room visits. Patients had no history of diabetes. Biochemical examination revealed BUN 118 mg / dL, creatinine 8.1 mg / dL. This is about patient diagnosis of acute or chronic renal failure, following that a relatively non-differential diagnosis reference value?

Answer: Patient's blood pressure was 170/95 mmHg

Choices:
A. Renal ultrasonography revealed right kidney longest diameter of 10.3 cm, 10.5 cm left
B. The patient's hemoglobin was 13.5 g / dL
C. Patient's blood pressure was 170/95 mmHg
D. Patient serum calcium 13.0 mg / dL, phosphorus ions 6.0 mg / dL


Question: 30 a two-month-old baby because genital confusion (ambiguous genitalia) and treatment, its external genital appearance as shown, genital tubercle (phallus) 2 cm long, chromosome 46, XY. That one of the following is least likely diagnosis?

Answer: XY pure gonadal abnormalities (XY pure gonadal dysgenesis)

Choices:
A. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
B. 5α- reductase deficiency (5α-reductase deficiency)
C. True hermaphrodite (true hermaphroditism)
D. XY pure gonadal abnormalities (XY pure gonadal dysgenesis)


Question: The following relevant background diabetic retinopathy (background diabetic retinopathy; BDR) described, what's wrong?

Answer: The need for active retinal laser treatment (laser photocoagulation) to prevent deterioration

Choices:
A. Retinopathy confined to the retina (intraretinal)
B. Microaneurysm (microaneurysms) is characteristic of the early retinopathy
C. Retinal exudates yellow (hard exudates) which is also characteristic of retinopathy
D. The need for active retinal laser treatment (laser photocoagulation) to prevent deterioration


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

Answer: With group C polysaccharide, reaction with C- reactive protein (C-reactive protein, CRP)

Choices:
A. On blood culture plate around the colonies, showing green grass hemolytic
B. With anti-phagocytic ability of the capsule (capsule) is an important virulence factor of this bacterium
C. With group C polysaccharide, reaction with C- reactive protein (C-reactive protein, CRP)
D. Of Aoputuoxin (Optochin) sensitive to bile and may be dissolved


Question: If the implementation of a health plan, the proposed assessment "if popular participation rate expectations?" "Use of resources is satisfactory?" "Investment executive meets role?" And so on, is part of that kind of evaluation?

Answer: Process evaluation

Choices:
A. Process evaluation
B. Evaluation results
C. Impact Evaluation
D. Evaluation form


Question: Which of the following refers to the "two eyes to a non-relative or opposite direction of conjugation (non-conjugate) movement"?

Answer: Vergence eye rotation (Vergence)

Choices:
A. Eye movement (duction of)
B. Eyes turn (version)
C. Vergence eye rotation (Vergence)
D. Ocular accommodation (Accommodation)


Question: Which of the following is a chemical anti-cancer drugs cisplatin of side effects?

Answer: Low blood magnesium disease

Choices:
A. Hypercalcemia disease
B. Low blood magnesium disease
C. Hyponatremia disease
D. Blood chloro hyperparathyroidism


Question: The following statements about trihexyphenidyl, whichever is correct?

Answer: For the treatment of Parkinson's disease

Choices:
A. Capable of activating cholinergic receptors
B. For the treatment of Parkinson's disease
C. A dopamine receptor agonist
D. Inhibit monoamine oxidase


Question: That one of the following is the most common early symptoms of breast cancer?

Answer: Breast lumps

Choices:
A. Breast pain
B. Nipple discharge
C. Breast lumps
D. Rutouaoxian (retraction of nipple)


Question: Which of the following is not a feature of the colon?

Answer: Completely intraperitoneal organs

Choices:
A. Completely intraperitoneal organs
B. With fat hanging (omental appendices)
C. The longitudinal muscle wall into three special strip of taeniae coli
D. Bag-like exterior wall (haustra)


Question: 20 year old woman was found outside the top right breast has a size of 2 cm, and can significantly limit movement of the tumor. Which of the following is the most likely diagnosis?

Answer: Fibroadenoma (fibroadenoma)

Choices:
A. Chronic mastitis (chronic mastitis)
B. Fibroadenoma (fibroadenoma)
C. Inner tube papilloma (intraductal papilloma)
D. Invasive ductal adenocarcinoma (invasive ductal carcinoma)


Question: Which of the following opportunities resulting in full-cytopenia (pancytopenia) minimum?

Answer: iron deficiency

Choices:
A. systemic lupus erythematosus
B. paroxysmal nocturnal hemoglobinuria
C. vitamin B12 deficiency
D. iron deficiency


Question: Venous blood is typically deoxygenated blood, but the following exceptions to what items?

Answer: Umbilical vein (umbilical vein)

Choices:
A. Hepatic vein (hepatic vein)
B. Portal vein (portal vein)
C. Umbilical vein (umbilical vein)
D. Uterine vein (uterine vein)


Question: The following account of message delivery, whichever is wrong?

Answer: Nitric oxide (nitric oxide) is transmitted via the message for cell membrane receptor guanylyl cyclase (membrane form guanylyl cyclase)

Choices:
A. β-adrenergic receptor cell is transferred via cyclic AMP posts
B. Nitric oxide (nitric oxide) is transmitted via the message for cell membrane receptor guanylyl cyclase (membrane form guanylyl cyclase)
C. Intracellular calcium ion concentration by inositol-3-phosphate (IP3) Regulation
D. cyclic AMP (cAMP) is regulated by allosteric regulation of protein kinase manner  A (protein kinase A) activity


Question: 1 A 60-year-old farmer, was scratched eye when busy foliage. A few days later, because of eye pain treatment. Thin slit lamp examination revealed a 4 mm central corneal large white infiltration (infiltration), the lesion edge blur, and several satellite-like small lesions (satellite lesions). The following narrative that a disposal or wrong?

Answer: Should be given steroid eye treatment

Choices:
A. Pap needed, patients corneal lesion of the scraper (scraping smear) and microbial cultures
B. The most likely diagnosis is fungal keratitis
C. Should be given steroid eye treatment
D. If medical treatment fails, requiring surgery


Question: If you want to study the results of the above application in clinical or community health clinic, which of the following reference variables are the most clinically significant?

Answer: The experimental group and the control group had an absolute risk difference falls

Choices:
A. Experimental group and control group the number of cases between the two groups
B. Experimental group and control group value falling between the two groups P ratio of the statistical difference
C. Relative to the control group, the experimental group relative risk of falling
D. The experimental group and the control group had an absolute risk difference falls


Question: Right hilum (hilum) being above the ditch (or pressure trace) is caused by what structure?

Answer: Azygos

Choices:
A. esophagus
B. Arch of aorta
C. Azygos
D. The superior vena cava


Question: 26 gestational diabetes screening performed at 24-28 weeks, the blood sugar level after one hour 50 g glucose drink much (mg / dL) above, shall do g glucose tolerance test (100 g oral glucose tolerance test)?

Answer: 140

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


Question: The main manufacturing sites in blood albumin (albumin) is?

Answer: liver

Choices:
A. Small intestine
B. spleen
C. Pancreas
D. liver


Question: Account of the atherosclerotic arterial stenosis (carotid stenosis), and which of the following error?

Answer: Catheter angiography examination is a method of screening high-risk patients the safest

Choices:
A. Catheter angiography examination is a method of screening high-risk patients the safest
B. With smoking and hypertension
C. Head and neck cancer patients receiving radiation therapy, will increase the incidence
D. Drugs can, stenting surgery or therapy


Question: The clinical diagnosis of insulinoma (insulinoma) is Whipple triad, namely:

Answer: Hypoglycemia, blood glucose less than 50 mg / dL glucose after intravenous injection and may improve symptoms

Choices:
A. Hypoglycemia, blood glucose less than 50 mg / dL and have history of taking the diabetes drug
B. Hypoglycemia, blood glucose less than 50 mg / dL and can improve symptoms after oral glucose
C. Hypoglycemia, blood glucose less than 50 mg / dL glucose after intravenous injection and may improve symptoms
D. Hypoglycemia, blood glucose less than 50 mg / dL and insulin injection have a history of use


Question: Which of the following occupational 48, most likely in the chest HRCT in computer tomography, see curve calcification (subpleural curvilinear line) 5 to 10 cm length under the pleura?

Answer: asbestosis

Choices:
A. asbestosis
B. silicosis
C. coal worker's pneumoconiosis（CWP）
D. berylliosis


Question: Statements about scabies (scabies) is, which of the following error?

Answer: The first infection incubation period of about 2 to 4 days

Choices:
A. The first infection incubation period of about 2 to 4 days
B. Most adults are infected with scabies, skin lesions, which rarely appear on the face
C. Patients will not sleep at night itching
D. May be transmitted to family members


Question: The following narrative for domestic violence and child victims of abuse, what's wrong?

Answer: Few perpetrators Drug Addiction

Choices:
A. Often repeat those seeking treatment
B. The law must inform the child abuse incident
C. The narrative of the injured machine turn often inconsistent with injury
D. Few perpetrators Drug Addiction


Question: A 17-year-old man, for the third year students. Accompanied by a parent, complained of insomnia, palpitations, dizziness and inability to concentrate there two months. Recent history records the patient rest is not normal, and often requires the mother to leave the school grounds with a variety of teachers, getting to class content can not keep up, test scores fall sharply. Attendances hope physician can prescribe drugs to protect the brain and help mental and learning efficiency. Physical examination and blood tests are not an exception. Mechanism, whichever of these patients have symptoms of anxiety more correct?

Answer: Adjustment due to bad

Choices:
A. Examination of the pressure from the pure
B. Parents and teachers care enough
C. Lack of exercise and poor physical
D. Adjustment due to bad


Question: About bipolar disorder (bipolar disorder) described it, which of the following correct?

Answer: Manic symptoms in old age, should consider the differential diagnosis of dementia or delirium

Choices:
A. Manic symptoms in old age, should consider the differential diagnosis of dementia or delirium
B. A typical first onset of type often impatient
C. Compared to major depression, bipolar disorder type II (bipolar II disorder) lower risk of suicide
D. Long-term follow discovered more than half a lifetime incidence of cases only once


Question: Which of the following is not a pathological changes of asthma?

Answer: epithelial metaplasia

Choices:
A. epithelial basement membrane thickness
B. glandular hypertrophy
C. angiogenesis
D. epithelial metaplasia


Question: Patients 70 years, nearly a month rashes and blisters (panel A) in the body and limbs, skin pathological sections were found infiltrating lymphocytes (panel B) in the dermis, direct immunofluorescence staining was found in the IgG appeared fluorescent between keratinocytes (Figure C), the most likely diagnosis why?

Answer: Deciduous pemphigus (pemphigus foliaceus)

Choices:
A. Deciduous pemphigus (pemphigus foliaceus)
B. Pemphigus vulgaris (pemphigus vulgaris)
C. Pemphigoid (bullous pemphigoid)
D. Herpetic skin inflammation (dermatitis herpetiformis)


Question: Which of the following virus most likely to cause eye infections in the pool, causing conjunctivitis?

Answer: Adenovirus (Adenovirus)

Choices:
A. Papilloma virus (Human papilloma virus)
B. Herpes simplex virus (Herpes simplex virus)
C. Adenovirus (Adenovirus)
D. Pox virus (Poxvirus)


Question: Ranson scoring method is determined well severity of acute pancreatitis method, for the first 48 hours of non-per project basis:

Answer: Serum potassium

Choices:
A. After hospitalization hematocrit (hematocrit)
B. Arterial blood oxygen concentration
C. Serum potassium
D. Serum calcium


Question: The following related statements is true?

Answer: Melanocytes in the dermis increased

Choices:
A. Melanin is a congenital disease, associated with the distribution of blood vessels to
B. Abnormal metabolism of melanin in the epidermis
C. Epidermal melanocytes increases
D. Melanocytes in the dermis increased


Question: From the previous question, about the subsequent disposal of Ms. Wang sound anomalies, which of the following less suitable?

Answer: Vocal Botox or hyaluronic acid

Choices:
A. Smoking cessation therapy and speech therapy are necessary steps
B. Countercurrent treatment of the hypopharynx (laryngopharyngeal reflux) may slow the deterioration of sound
C. There airway obstruction or conservative treatment is not valid before considering surgery
D. Vocal Botox or hyaluronic acid


Question: Which of the following is not your watch dangerous surgical site infection (surgical site infection) due to the submenus (risk factors)?

Answer: Cancer patients receiving the watch surgery

Choices:
A. Cancer patients receiving the watch surgery
B. If a patient ⻑ Smoking
C. Whether intraoperative transfusion ⾎
D. ⼿術 time ⻑短


Question: When following that a substance in the drinking water content is too high, the infant can cause blue baby syndrome (methemoglobinemia)?

Answer: Nitrate

Choices:
A. Nitrate
B. Phosphate
C. Sulfate
D. Cyanate


Question: 5 related to orthopedic surgery anesthesia narrative Which statement is correct? ① recommended nerve (sciatic nerve), and femoral nerve (femoral nerve) block technique knee surgery is often sufficient to take a sitting position ② shoulder surgery, often due to the pressure sensitive reflector (baroreflex) leading to bradycardia, hypotension ③ the probability of the pelvis (pelvic) and femur surgery often have fat embolism (fat emboli), fat embolism syndrome is a serious but less than one percent ④ spinal anesthesia (spinal anesthesia) or spinal epidural anesthesia (epidural anesthesia) for total hip joint replacement (total hip replacement) are appropriate, but still need to monitor the amount of blood loss

Answer: ①③④

Choices:
A. ①③④
B. ①②④
C. ①②③
D. ②③④


Question: 63 A 54-year-old woman, had difficulty getting up in the morning for three weeks, in addition to physical examination found that his legs weak, move the right arm is also difficult. But the grip of both hands properly. Even will choke when swallowing. Laboratory examination revealed AST 75 U / L, ALT 14 U / L, ANA 1:80 (+) speckled, CK 805 U / L (MB form 635 μg / L), IgG 1720 mg / mL, IgA 354 mg / mL , IgM 213 mg / mL, mm / 1h, 78 mm / 2h, CRP 0.76 mg / mL. The most likely diagnosis in this patient is:

Answer: polymyositis

Choices:
A. polymyositis
B. myasthenia gravis
C. esophageal tumor
D. degenerative joint disease


Question: Which of the following is an intracellular metabolic breakdown of thymine (thymine) intermediates?

Answer: b-aminoisobutyrate

Choices:
A. Uric acid
B. b-alanine
C. Carbamoyl phosphate
D. b-aminoisobutyrate


Question: A pregnant woman in the third trimester eighteen weeks of recurrent herpes simplex virus type II (HSV-2), a prescription drug is Acyclovir, the principle of action of this drug is:

Answer: Inhibition of viral gene deoxyribonucleic acid (DNA) replication of

Choices:
A. Inhibition of RNA virus gene (RNA) transcribed (Transcription)
B. Inhibition of RNA virus gene (RNA) of the translation (Translation)
C. Inhibition of viral gene deoxyribonucleic acid (DNA) replication of
D. Inhibition of direct binding of the virus to the host (Attachment)


Question: Insulin deficiency type 1 diabetes (type I diabetes mellitus) patients with poor blood sugar control may occur ketoacidosis (ketoacidosis), describes the following information about the energy metabolism of the patient, what's wrong?

Answer: Ketones (ketone body) is mainly the acetyl-CoA produced from glucose metabolism and transformed into

Choices:
A. Ketones (ketone body) is mainly the acetyl-CoA produced from glucose metabolism and transformed into
B. Ketone bodies instead of glucose can be the source of cellular energy
C. The Kreb's cycle intermediates, such as oxaloacetate alienation gluconeogenesis action (gluconeogenesis) of material, so blood will rise
D. acetyl-CoA by the lack of oxaloacetate, can not be Kreb's cycle, it is converted to a ketone


Question: Sunderland nerve damage in accordance with the classification can be divided into several categories?

Answer: six

Choices:
A. three
B. four
C. Fives
D. six


Question: Which of the following common low-frequency hearing loss?

Answer: Meniere's disease

Choices:
A. Age-related hearing loss
B. Audio Damage
C. Meniere's disease
D. Ear thyrotoxicosis


Question: Breast surgery, when the axillary lymph dissection, the most important to avoid the long thoracic nerve (long thoracic nerve) of damage, the main reason why?

Answer: Avoid scapula wing (winged scapula)

Choices:
A. Will cause the pectoralis minor muscle (pectoralis minor muscle) atrophy
B. Avoid scapula wing (winged scapula)
C. Can cause paralysis of the arms inside (paralysis)
D. Induced lymphedema (lymphedema)


Question: The following pair of parasites, their life cycle are no balloon period (cyst stage) who Why?

Answer: Dientamoeba (Dientamoeba fragilis) and intestinal trichomoniasis [Trichomonas (Pentatrichomonas)

Choices:
A. Maxwell Chilomastix (Chilomastix mesnili) and vaginal trichomoniasis (Trichomonas vaginalis)
B. Dientamoeba (Dientamoeba fragilis) and intestinal trichomoniasis [Trichomonas (Pentatrichomonas)
C. E. ciliates (Balantidium coli) and gum amoeba (Entamoeba gingivalis)
D. Amoeba addicted iodine (Iodamoeba bütschlii) and oral trichomoniasis (Trichomonas tenax)


Question: 79 current legal priority for the families of agency decisions and no general rules, so most apply by analogy the provisions of Article VII of palliative medical regulations, in order to prioritize Which of the following is correct?

Answer: Spouse> Adult immediate blood relatives Peel> Parents> brothers and sisters

Choices:
A. Spouse> Adult immediate blood relatives Peel> Parents> brothers and sisters
B. Spouse> Parents> Adult immediate blood relatives Peel> brothers and sisters
C. Adult direct blood relatives Peel> spouses> Parents> brothers and sisters
D. Adult direct blood relatives Peel> Parents> spouses> brothers and sisters


Question: 56 year old male diabetic people were chest discomfort to the emergency, preliminary examination of blood creatinine 2.0 mg / dL, K + 5.8 mEq / L, Na + 139 mEq / L, Cl- 116 mEq / L, HCO3- 18 mEq / L, osmolality 290 mOsm / kg‧H2O, urine creatinine 12 mg / dL, K 9.6 mEq / dL, osmolality 580 mOsm / kg‧H2O, the patient most likely diagnosis is:

Answer: Low renin low aldosterone hyperlipidemia (hyporeninemic hypoaldosteronism)

Choices:
A. A second renal tubular acidosis (type 2 renal tubular acidosis)
B. acidosis induced metformin (metformin related acidosis)
C. Low renin low aldosterone hyperlipidemia (hyporeninemic hypoaldosteronism)
D. Diabetic ketoacidosis (diabetic ketoacidosis)


Question: ⼀ normal child can not help East ⻄ standing on one foot for 10 seconds, can still type in a circular motion, to express "your" "my," Which of the following is closest to the age range of its development?

Answer: Over 3 years of age but under the age of 4 years old

Choices:
A. Over 2 years of age but under the age of 3 years old
B. Over 3 years of age but under the age of 4 years old
C. Over 4 years of age but under the age of 5 years old
D. Over 5 years of age but under the age of 6 years old


Question: 75. The following specific cell cycle with the anticancer drug (cell cycle-specific agents), the drug with which it is paired inhibition of cell cycle, whichever correct?

Answer: ixabepilone-M phase

Choices:
A. Capecitabine-mitosis (1000) 期
B. irinotecan－DNA synthesis（S）期
C. ixabepilone-M phase
D. vincristine-S phase


Question: When the 47.70 year-old male smoker for nearly 50 years, has many years of chronic cough and dyspnea movement, recently exacerbated by coughing and breathing difficulties go to emergency room for medical treatment. Physical checkups findings clearly conscious patients, blood pressure is stable, but rapid breathing and chest auscultation call asthma song (wheezes). Chest X-ray is not the phenomenon pneumonia, little sputum, its breathing air arterial blood gas analysis showed pH 7.274, pCO2 78 mmHg, pO2 40 mmHg, mEq / L, BE (ECF) +9 mEq / L. After giving oxygen, following which deal with the most correct?

Answer: The first to give bronchodilator inhalation therapy, and consider using a non-invasive treatment respirator

Choices:
A. Administering an infusion of sodium bicarbonate to improve acidemia
B. The speedy granting of an endotracheal tube and a respirator to improve to 40 mmHg pCO2
C. Give theophylline (aminophylline) intravenous treatment
D. The first to give bronchodilator inhalation therapy, and consider using a non-invasive treatment respirator


Question: For the following enterovirus (enteroviruses) description of what's wrong?

Answer: Its progeny virus replication in the cell nucleus

Choices:
A. Resistance remain at pH3 to pH9 the environment
B. Ability of the virus genome itself with (naked genome) infection
C. Viral RNA in the cell will be translated into polyprotein
D. Its progeny virus replication in the cell nucleus


Question: From the previous question, the patient may receive improved following treatment, which of the following exceptions?

Answer: Nd-YAG laser（532 nm）

Choices:
A. topical glucocorticoid
B. narrowband UVB（311 nm）
C. Nd-YAG laser（532 nm）
D. excimer light（308 nm）


Question: 65. In the recombinant antigen receptors (antigen receptor gene rearrangement), N- nucleotide addition (N-nucleotide addition) varied ways (diversity) at the time what kind of opportunity following the reorganization, which occurred as a minimum?

Answer: Antibody light chain gene (Ig light chain gene)

Choices:
A. Antibody heavy chain gene (Ig heavy chain gene)
B. Antibody light chain gene (Ig light chain gene)
C. T cell receptors α- chain gene (TCR α-chain gene)
D. T cell receptors β- chain gene (TCR β-chain gene)


Question: If a population has 10% of people have a particular disease, if randomly selected from a population of people, who have a chance of winning this particular disease is the number?

Answer: 1/9

Choices:
A. 1/10
B. 1/9
C. 10
D. 9


Question: A 65-year-old male suffering from diabetes, recently in the outpatient treatment of tuberculosis, only to find trace blood abnormalities: total bilirubin 3 mg / dL (normal: 0.2 ~ 1.2), direct bilirubin 0.3 mg / dL (normal: 0 ~ 0.4). The following statements is most inappropriate?

Answer: At this time, the urine will find patients were positive urine bilirubin

Choices:
A. TB drugs may lead to hemolysis
B. At this time, the urine will find patients were positive urine bilirubin
C. At this time, the urine will find patients were positive urine urobilinogen
D. At this time, patient blood HbA1c (HbA1C), there may be pseudo low


Question: Which of the following is most likely to lead to the situation around the outside of the field of view of both eyes are missing?

Answer: Damage to the optic chiasm (optic chiasm) at

Choices:
A. Damage to the optic chiasm (optic chiasm) at
B. The left optic nerve (optic nerve) damage
C. The right of the optic nerve (optic nerve) damage
D. The right optic bundle (optic tract) damage


Question: Gender mainstreaming meaning, which of the following error?

Answer: The men and women as a popular topic

Choices:
A. The men and women as a popular topic
B. When formulating national policies, the need to also consider the impact of gender and gender participation
C. Women's health needs to consider the needs of women and gender equality in education
D. States should set up dedicated units for women


Question: A 48-year-old woman, G3P2, by the blood of normal, the moderate degree of pain, in routine Pap smear was CIN I, and found to have a 6 cm uterine fibroids, ovarian suspected adverse ovulation. No urinary frequency and bowel problems and other symptoms. What's next most appropriate disposal of that?

Answer: Track six months check again

Choices:
A. Track six months check again
B. Surgical removal of fibroids laparotomy
C. Injection of gonadotropin-releasing hormone (GnRH) agonists Therapy
D. Laparoscopic myomectomy surgery


Question: Placental abruption (placental abruption) potential is relatively common complications which of the following?

Answer: Coagulopathy

Choices:
A. Uterine inversion
B. Coagulopathy
C. Puerperal infection
D. Uterine inertia


Question: The following items where the drug does not cause high plasma clearance (high anion gap) metabolic acidosis?

Answer: Hippurate

Choices:
A. Ethylene glycol
B. Hippurate
C. Methanol
D. Salicylate


Question: The following narrative about cerebral palsy, whichever is most correct?

Answer: From high bilirubin hyperlipidemia caused by Xu action type (athetoid type) of patients with hearing loss problems easier to merge

Choices:
A. Cerebral Palsy Children will merge with intellectual disabilities
B. The most common type of low tension (hypotonia)
C. Most children with hemiplegic cerebral palsy (hemiplegic type) can not walk
D. From high bilirubin hyperlipidemia caused by Xu action type (athetoid type) of patients with hearing loss problems easier to merge


Question: The following figure bladder imaging examination (cystography) of abnormal results, mainly caused by what disease?

Answer: Bladder wall of the trabecular (bladder trabeculation)

Choices:
A. Bladder tumors (bladder tumor)
B. Bladder wall of the trabecular (bladder trabeculation)
C. Bladder diverticulum (bladder diverticulum)
D. Polyps bladder (bladder polyp)


Question: 61.39 in the past year old man in good health is good, because a week of fever and persistent headache to the hospital for medical treatment. Physical examination examination found that body temperature 39.0 ℃, roof of the mouth with white markings, and no stiff neck. Blood tests found that white blood cell count 7020 / μL. CT shows only the brain edema. Spinal (lumbar puncture) found that a pressure> 600 mmH2O, biochemical examination revealed proteins 94 mg / dL, as shown microscopy. The following statements is most inappropriate?

Answer: 4 weeks to complete the course of treatment to stop treatment

Choices:
A. HIV infection should be seized
B. The most likely pathogen is Cryptococcus neoformans
C. The current standard combination therapy is amphotericin B + flucytosine
D. 4 weeks to complete the course of treatment to stop treatment


Question: On the secondary wound healing (secondary healing), the following statements is wrong?

Answer: Fibroblasts (fibroblast) seven days after the injury first began to appear in the wound

Choices:
A. Becomes smaller due to the contraction of wound
B. Myofibroblasts (myofibroblast) involvement healing
C. Fibroblasts (fibroblast) seven days after the injury first began to appear in the wound
D. contaminated wound healing multi thereby manner


Question: The following description of the emergency patients, whichever is most do not need to do brain imaging immediately?

Answer: 25-year-old patient, after slipping fell and bumped his head, Glasgow Coma Scale 15 points, headache, nausea merger, has returned to the hospital, there is no obvious neurological abnormalities

Choices:
A. 25-year-old patient, after slipping fell and bumped his head, Glasgow Coma Scale 15 points, headache, nausea merger, has returned to the hospital, there is no obvious neurological abnormalities
B. 35-year-old patient infected with human immunodeficiency virus, headache newly created, merged fever, nausea, vomiting, no obvious neurological abnormalities
C. 45-year-old patient, a new headache occurs, merge local nerve dysfunction
D. 55-year-old patient, sudden severe headache with severe vomiting, no obvious neurological abnormalities


Question: Ward a result of gastric cancer patients undergoing subtotal gastrectomy and Billroth-II reconstruction after the beginning of eating, complaining that eating 20 to 30 minutes after the nausea (nausea), palpitations (palpitation), risk and diarrhea, after checking for signs of life found to have the case tachycardia (tachycardia), the most likely diagnosis why?

Answer: Dumping syndrome (dumping syndrome)

Choices:
A. Input loop syndrome (afferent loop syndrome)
B. Output loop syndrome (efferent loop syndrome)
C. Dumping syndrome (dumping syndrome)
D. Irritable bowel syndrome (irritable bowel syndrome)


Question: The eye of antihypertensive drugs in glaucoma following, whichever is less likely to have a side effect of pupil enlarged or reduced?

Answer: adrenaline 或 epinephrine

Choices:
A. pilocarpine
B. adrenaline 或 epinephrine
C. timolol
D. propine (dipivefrin)


Question: When bearing on the question, if patients have significant difficulty in breathing, pulmonary function tests are to be carried out, the most likely result is:

Answer: Obstructive ventilatory defect is obvious

Choices:
A. normal
B. Obstructive ventilatory defect is obvious
C. Obviously restrictive ventilatory defect
D. Like severe obstructive and restrictive ventilatory defect


Question: 38.40-year-old pregnant woman, G5P2AA2, remarried unwanted pregnancies. The pregnancy has not yet received any check-ups, no family history, the last two births were normal.

Answer: short tibia

Choices:
A. echogenic bowel
B. nuchal skinfold thickening
C. short humerus
D. short tibia


Question: The following account of tourism-related bacterial diarrhea treatment, whichever is inappropriate?

Answer: Infants and young children have bloody diarrhea and fever, oral administration of the first-generation cephalosporin

Choices:
A. Liquid containing electrolytes and sugars rehydration
B. Infant fever over 24 hours, there are bloody stools or diarrhea for several days, seek medical diagnosis and treatment
C. Infants and young children have bloody diarrhea and fever, oral administration of the first-generation cephalosporin
D. The elderly have bloody stools and fever, administration of oral fluoroquinolones


Question: A 23-year-old male patient because of aggressive behavior, causing passers-by were injured, the police forcibly sent to the emergency room. When history taking, the patient was found nearly a week can not go to work, sleep less than three hours a day, talks so much, spend money, high emotions, irritability, often quarrel with others, and claiming to have super powers. This patient most likely of clinical diagnosis of which of the following?

Answer: Bipolar disorder, manic episodes

Choices:
A. Bipolar disorder, manic episodes
B. Bipolar disorder, hypomania episodes
C. Bipolar disorder, depressive episodes
D. Non-specific bipolar disorder


Question: Which of the following has nothing to do with early dumping of Postgastrectomy syndrome?

Answer: insulin secretion

Choices:
A. insulin secretion
B. serotonin secretion
C. neurotensin secretion
D. enteroglucagon


Question: A 54-year old male patient complains of urine by cystoscopy and transurethral resection of bladder tumor (transurethral resection of urinary bladder tumor), pathology report of bladder carcinoma cell (urothelial carcinoma), violation of the submucosal lamina propria, but whole sections do not see the muscle layer of tissue. He's following the disposal of the most appropriate?

Answer: Find the right time to do cystoscopy and transurethral resection of bladder tumor curettage, staging re-do

Choices:
A. Table superficial treatment of bladder carcinoma
B. Press Aggressive treatment of bladder carcinoma
C. Cystectomy
D. Find the right time to do cystoscopy and transurethral resection of bladder tumor curettage, staging re-do


Question: The following statements about chronic non-cancer pain treatment of multiple, what's wrong?

Answer: Anesthesiologists just use nerve blocks and drugs to treat patients

Choices:
A. Psychiatrists behavioral therapy helps lower back pain patients
B. Rehabilitation for chronic non-cancer pain, the active movement was better than passive massage
C. Occupational therapy for pain treatment can also help
D. Anesthesiologists just use nerve blocks and drugs to treat patients


Question: Acute urinary tract infection (urinary tract infection), if not put a catheter, no abnormal urinary tract structure, nor stones (calculi), the most common pathogen that kind?

Answer: E. coli

Choices:
A. Proteus
B. E. coli
C. Klebsiella
D. Enterobacter


Question: From the previous question, I ask at this time which of the following most appropriate choice of antimicrobial agents is?

Answer: doxycycline

Choices:
A. oxacillin
B. ampicillin
C. vancomycin
D. doxycycline


Question: A 70-year-old male, in recent months, and every day headache and blurred vision. Headache temporal position to the left, non-pulsating pain (non-throbbing pain), headache times per day for several hours, and does not like nausea, vomiting, headache symptoms or tearing. Patients complain that while general malaise, fever and muscle pain. Physical examination revealed the left superficial temporal artery (superficial temporal artery) near the skin hardens and swelling. The following that examination, the diagnosis of the most helpful?

Answer: Erythrocyte sedimentation rate (Erythrocyte sedimentation rate, ESR)

Choices:
A. Rheumatoid factor (Rheumatoid factor, RF)
B. Erythrocyte sedimentation rate (Erythrocyte sedimentation rate, ESR)
C. HLA-typing
D. Tumor markers (Tumor markers)


Question: A so-called air pollutants nitrogen oxides, refers to which of the following?

Answer: Nitric oxide and nitrogen dioxide

Choices:
A. Nitric and nitrous oxide
B. Nitric oxide and nitrogen dioxide
C. Nitric oxide and ammonia
D. Nitrogen dioxide and nitrous oxide


Question: Athlete training caused no menstruation, which of the following would fall?

Answer: LH

Choices:
A. LH
B. endophine
C. ACTH
D. androgen


Question: Which of the following will elicit the production of migrating myoelectric complex (MMC) in?

Answer: Sports hormone (motilin)

Choices:
A. Gastrin (gastrin)
B. Sports hormone (motilin)
C. Noradrenaline (norepinephrine)
D. Incretin secretin (secretin)


Question:
3' exonuclease
 yes
 yes
 yes
 5' exonuclease
 no
 no
 yes
 Biological
 ․SOS DNA repair
 ․Replicative
 ․DNA repair
 Function
 chain
 ․DNA primer
 elongation
 excision

Answer: X = polymerase II, Y = polymerase I, Z = polymerase III

Choices:
A. X = polymerase I, Y = polymerase II, Z = polymerase III
B. X = polymerase I, Y = polymerase III, Z = polymerase II
C. X = polymerase II, Y = polymerase I, Z = polymerase III
D. X = polymerase II, Y = polymerase III, Z = polymerase I


Question: 7517-year-old man, accompanied by the parents into the emergency room with complaints of abdominal pain the day before the start, accompanied by a feeling of nausea, normal bowel movements. Patients feel the last two weeks it is easy to thirst, increased urination, significant weight loss, a little shortness of breath. No past medical history. Physical examination revealed the patient somewhat fruity, blood pressure was 105/60 mmHg, heart rate was 110 / min, respiratory rate 25 / min, the temperature was 36.7 deg.] C, abdominal bowel sounds normal, no tenderness (tenderness). Blood leukocytes was 13500 / μL, hemoglobin of 16.6 g / dL, BUN / Creatinine was 35 / 1.1 mg / dL, glucose was 310 mg / dL, C-reactive protein (CRP) was 0.05 mg / dL. So patient's clinical presentation, what do you think the disease is most likely?

Answer: Diabetic ketoacidosis (diabetic ketoacidosis)

Choices:
A. Acute appendicitis (acute appendicitis)
B. Peptic ulcer (peptic ulcer disease)
C. Acute gastritis (acute gastritis)
D. Diabetic ketoacidosis (diabetic ketoacidosis)


Question: 6 antidepressants (of Sect.) Is a drug treatment of chronic pain, it is blocking the transfer machine that a neurotransmitter (Neurotransmitter) reuptake?

Answer: serotonin

Choices:
A. adenosine
B. substance P
C. serotonin
D. γ-aminobutyric acid（GABA）


Question: The following items are not what cyclophosphamide common side effects?

Answer: Peripheral neuropathy

Choices:
A. Bone marrow suppression
B. Hemorrhagic cystitis
C. Peripheral neuropathy
D. feel sick and vomit


Question: Occurred during chemotherapy in patients with cancer-related bacterial infections, the most common in these circumstances?

Answer: Neutral granular cells (neutrophil) count <500 / μL

Choices:
A. corticosteroid treatment
B. Neutral granular cells (neutrophil) count <500 / μL
C. Hb<7 gm/dL
D. Weight loss> 10%


Question: 35 50 year old woman suffering from breast infiltrating duct carcinoma (infiltrating ductal carcinoma), tumor size was 1.2 cm, axillary lymph node dissection was 16, wherein a transfer, other tests found no distant metastasis, this patient based AJCC (American Joint Committee on cancer) cancer staging for the first several issues? (T: Tumor, N: Node, M: Metastasis, p: pathological)

Answer: pT1cN1M0，Stage II A

Choices:
A. pT1aN0M0，Stage I A
B. pT1bN1M0，Stage I B
C. pT1cN1M0，Stage II A
D. pT1cN1M0，Stage II B


Question: A 25-year-old woman shortly after manufacture sudden difficulty in breathing, cyanosis, hypotension and shock, patients continue pulmonary edema. Which of the following can not appear in the patient's pulmonary capillary circulation?

Answer: air

Choices:
A. air
B. Squamous cell
C. fat
D. Mucus


Question: When to ultrasound for deep hyperthermia (diathermy), which of the following is not a contraindication?

Answer: Chronic arthritis of the knee

Choices:
A. Chronic arthritis of the knee
B. Fasciitis near the heart pacemaker
C. Menstrual period abdominal cramps
D. Chronic tissue inflammation around the eye


Question: A 30-year-old woman found in breast X-ray photography microscopic calcifications in the range of about 4.5 centimeters (microcalcification), while  needle localization breast biopsy result of ductal carcinoma in situ (DCIS), Comedo type, what's the next step disposal more reasonable?

Answer: Breast resection, consider immediate breast reconstruction surgery

Choices:
A. Breast resection, consider immediate breast reconstruction surgery
B. Radiation
C. Chemotherapy
D. Outpatient track to


Question: 12-year-old girl in a country for the first time diagnosed with scoliosis of unknown cause disease (idiopathic scoliosis), spinal X-rays showed that the maximum bending point in the first position of the lumbar spine, Kebo's angle (Cobb's angle) is 15 degrees, following what disposal of the most appropriate species?

Answer: Give movement and posture correction treatment, and follow-up examinations

Choices:
A. Give movement and posture correction treatment, and follow-up examinations
B. Milwaukee give back frame correction
C. Knight -Taylor give back frame correction
D. Chiropractic surgery


Question: About esophageal atresia and distal tracheoesophageal fistula (esophageal atresia with distal tracheoesophageal fistula) surgery, the following statements is this bad?

Answer: Peelable lower esophagus for a long distance, in order to match

Choices:
A. Ligation fistula (ligation), preferably in the trachea and the esophagus fistula junction of the mucosa
B. The upper end of the esophagus can be peeled off for a long distance, in order to match
C. Peelable lower esophagus for a long distance, in order to match
D. Typically via extrathoracic (extrapleural) surgery


Question: A 30-year-old woman who married five years have been unable to conceive and treatment. She complained of abdominal pain last menstrual period often happens. There are no abnormal physical examination. Laparoscopy found that many of about 2-5 mm on the surface of bleeding lesions of the uterus and both ovaries. The following lesions, whichever is most likely to appear in this position a woman's ovaries?

Answer: Endometrial cyst (Endometriotic cyst)

Choices:
A. Endometrial cyst (Endometriotic cyst)
B. Lu Kenshi g tumor (Krukenberg tumor)
C. Mature cystic teratoma (Mature cystic teratoma)
D. Polycystic ovarian disease (Polycystic ovarian disease)


Question: Children arrhythmia patients if the need to use three consecutive defibrillation shocks surgery (defibrillation), the recommended amount of shock were much J / kg?

Answer: 2, 2-4, 4

Choices:
A. 2, 2-4, 4
B. 2, 4, 2008
C. 2, 8, 2008
D. 4, 4, 2008


Question: From the previous question, if required surgical repair, which of the following is a non-surgical principle (Surgical principle)?

Answer: Continuous suture (Continuous suture)

Choices:
A. Adequate debridement (Adequate debridement)
B. Tension-free suture (Tension-free suture)
C. Continuous suture (Continuous suture)
D. Layered suture (Layer by layer suture)


Question: A 52-year-old woman slipped and fell, after examination confirmed the occurrence of fractures of the distal radius (Colles's fracture), after treatment package arm of plaster, patients in good condition, the finger was normal; but to the sixth week, suddenly can not initiative to extend the thumb, but no restriction on passive activities. Which of the following most likely?

Answer: Extensor hallucis longus tendon rupture

Choices:
A. Sudeck's happened reflex sympathetic dystrophy
B. Extensor hallucis longus tendon rupture
C. The dislocation of the base of the thumb
D. Fractures lose Reset


Question: Which of the following would be the front end of the tendon between two attachment points through the long plantar ligament (long plantar ligament)?

Answer: Peroneal longus (peroneus longus)

Choices:
A. Short peroneal muscles (peroneus brevis)
B. Peroneal longus (peroneus longus)
C. Posterior tibial muscle (tibialis posterior)
D. Tibialis anterior muscle (tibialis anterior)


Question: Taiwan in the 1960s worked in international health architecture, receiving assistance in building hygiene is important. The following statements is true?

Answer: Help matters, including the eradication of malaria, TB

Choices:
A. Taiwan has given assistance of international organizations, the United Nations or its agencies are owned and non-governmental organizations did not come to Taiwan
B. Help matters, including the eradication of malaria, TB
C. Fight help matters, including plague
D. Will assist in preventing AIDS


Question: About narrative virus infection Epstein-Barr, what's wrong?

Answer: anti-EBNA positive representation in the acute phase of infection

Choices:
A. Occur in young people
B. Increased infectious disease monocytogenes (infectious mononucleosis) with fever, sore throat and lymph node lesions typical clinical symptoms
C. Laboratory tests have lymphocytosis and atypical lymphocyte greater than 10%
D. anti-EBNA positive representation in the acute phase of infection


Question: About secondary syphilis (secondary syphilis) clinical manifestations, which of the following error?

Answer: Nodular syphilis swelling (nodular gumma)

Choices:
A. Irregular Kamuro髮 (moth-eaten hair loss)
B. Multiple red patches of skin appear torso (roseola syphilitica)
C. Flat warts (condylomata lata)
D. Nodular syphilis swelling (nodular gumma)


Question: The locus coeruleus (locus coeruleus) Which of the following neuron releases neurotransmitters?

Answer: Noradrenaline (norepinephrine)

Choices:
A. Serotonin (serotonin)
B. Acetylcholine (acetylcholine)
C. Noradrenaline (norepinephrine)
D. Adrenaline (epinephrine)


Question: Description of the child bedwetting (nocturnal enuresis) is, which of the following error?

Answer: Ineffective drug treatment of small children, usually there will be more nocturnal bladder capacity zoomed in

Choices:
A. Renewal of bedwetting (secondary enuresis) of small children should consider the possibility of the presence or absence of urinary tract infection
B. Nocturnal polyuria (nocturnal polyuria) are also possible causes of ⼀
C. Can use the pipe ⾎ vasopressin (vasopressin was) Treatment
D. Ineffective drug treatment of small children, usually there will be more nocturnal bladder capacity zoomed in


Question: For normal female urinary move care has been taken examination value, which of the following error?

Answer: Strong urine (strong desire to void) made ⽣ perfusate in an amount of 250 mL ⼩

Choices:
A. Residual urine volume (residual urine) <50 mL
B. First sense urine (first desire to void) made between 150 and 250 mL ⽣ perfusate amount
C. Strong urine (strong desire to void) made ⽣ perfusate in an amount of 250 mL ⼩
D. Bladder capacity (cystometric capacity) of between 400 and 600 mL perfusate amount


Question: Ectopic pregnancy tubal pregnancy, fetal sac larger than 3.5 cm and there is fetal heartbeat, the patient in good condition, then the most appropriate treatment Why?

Answer: Laparoscopic surgery

Choices:
A. Tracking the concentration of hCG detected in blood
B. Methotrexate given medical treatment
C. Laparoscopic surgery
D. Laparotomy excision of the fallopian tubes and ovaries pregnancy side


Question: Which of the following does not promote gastric phase of (gastric phase) of gastric acid secretion?

Answer: Secretin (secretin) secretion

Choices:
A. The expansion of the stomach by food
B. The product of protein digestion
C. Secretin (secretin) secretion
D. Stimulation of the vagus nerve


Question: Psychosomatic Medicine (psychosomatic medicine) the theoretical pressure (stress theory), which of the following error?

Answer: Most people think of positive life events, such as promotion, winning, etc., as not to generate pressure

Choices:
A. Pressure may cause imbalance of neurotransmitters
B. Pressure may cause endocrine or immune system disorders
C. Because life events should be related to the adjustment pressure
D. Most people think of positive life events, such as promotion, winning, etc., as not to generate pressure


Question: About a 50-year-old man, his hands due to the ring finger, little finger flexion contracture affecting the function to seek treatment, palm palpable fibrous streaks (fibrous cord) and thickening of the skin, but no paralysis, Which statement is correct?

Answer: Surgery can not cure

Choices:
A. May be the median nerve palsy (median nerve palsy)
B. Surgery can not cure
C. Occurs in women
D. May be ulnar nerve palsy (ulnar nerve palsy)


Question: 53 year old man, because of the right popliteal artery embolization sudden medical attention, cardiac CT imaging in the drawings, the most likely diagnosis is which of the following?

Answer: Left atrial myxoma (left atrial myxoma)

Choices:
A. LAA thrombus (left atrial appendage thrombi)
B. Left atrial myxoma (left atrial myxoma)
C. Mitral stenosis and left atrial thrombi
D. Right atrial myxoma (right atrial myxoma)


Question: 5 45 year old female menstrual rule, which has a 3 cm of the right tumor, invasive breast cancer were fine needle aspiration (infiltrating duct carcinoma), ultrasound examination found to have violated the chest wall to ipsilateral axillary lymph nodes significantly, by clinical TNM staging system is the first of several issues?

Answer: stageⅢ

Choices:
A. stageⅠ
B. stageⅡ
C. stageⅢ
D. stageⅣ


Question: Which of the following checks, can not be used to test binocular stereo vision?

Answer: worth 4-dot test with red-green glasses

Choices:
A. Titmus fly test with polaroid glasses
B. worth 4-dot test with red-green glasses
C. firsby test（without spectacles）
D. Large amblyoscope (major amblyoscope) example: synoptophore


Question: Which of the following does not appear in the film osteogenesis (intramembraneous bone formation) process?

Answer: Hyaline cartilage (hyaline cartilage)

Choices:
A. Osteoid (osteoid)
B. 骨針（bone spicules）
C. Hyaline cartilage (hyaline cartilage)
D. Primary bone marrow (primary bone marrow)


Question: Thyroid hanging on the ligament attached to the trachea, this ligament also known as:

Answer: Berry's ligament

Choices:
A. coronary ligament
B. triangular ligament
C. Berry's ligament
D. belt ligament


Question: Statements about L. pneumophila Legionella (Legionella pneumophila) is, which of the following error?

Answer: Pang to cause grams of hot (Pontiac fever) and two types of pneumonia, and in order to Pang grams of hot high mortality

Choices:
A. To be added L- cysteine (L-cysteine) in the culture medium
B. Can multiply in macrophages (macrophages)
C. Pang to cause grams of hot (Pontiac fever) and two types of pneumonia, and in order to Pang grams of hot high mortality
D. Often spread from the central air conditioning


Question: The following information about the ulnar nerve (Ulnar nerve) oppressed the narrative and what is non?

Answer: Ulnar nerve compression at the elbow neither required surgical treatment

Choices:
A. The most common location in the elbow
B. In the ulnar nerve compression at the elbow must be on the inside of the brachial epicondylitis (medial epicondylitis) differentiate
C. Ulnar nerve compression at the elbow neither required surgical treatment
D. Several ways ulnar nerve at the elbow surgery site of the oppressed in a way that is not good


Question: Account of bacterial pathogenicity island (pathogenicity island), the error which of the following?

Answer: Submenu in the translocation is not present (transposon) in

Choices:
A. Bacteria transfer color may be located in the body (chromosome) or plastid (Plasmid)
B. Submenu in the translocation is not present (transposon) in
C. Submenu be mono- ⼀ by activation, for example: changes in temperature or pH
D. Composed by a majority of genes, can be produced by a variety of pathogenic Submenu (virulence factors)


Question: 32-year-old Wang had a history of depression, at one hour after ingestion of approximately 50 cc "through music" cleaner, the family was sent to the emergency room, blood pressure was 110/70 mmHg, breathing 22 times / min, heart rate 90 beats / min, body temperature 37 ℃, following the disposal of what the most appropriate?

Answer: Intravenous infusion, a physical examination

Choices:
A. Nasogastric tube plug extraction cleaner
B. Nasogastric tube inserted gastrointestinal lavage
C. Devour a lot of milk
D. Intravenous infusion, a physical examination


Question: Bearing on the question if they wish to be pregnant, then what is the first-line treatment?

Answer: clomiphene citrate

Choices:
A. Piercing laparoscopic ovarian surgery
B. Ovarian wedge resection
C. clomiphene citrate
D. gonadotropin


Question: From the previous question, the most common treatment of such patients what way?

Answer: Laser iridotomy (laser iridotomy)

Choices:
A. Trabeculectomy (trabeculectomy)
B. Laser iridotomy (laser iridotomy)
C. Vitrectomy (vitrectomy)
D. Sclera withhold surgery (scleral buckling procedure)


Question: Which of the following constitute perineal membrane (perineal membrane)?

Answer: Lower perineal fascia (Inferior perineal deep fascia)

Choices:
A. Diaphragmatic pelvis (Pelvic diaphragm)
B. Perineum superficial fascia (Perineal superficial fascia)
C. Perineum deep fascia upper (Superior perineal deep fascia)
D. Lower perineal fascia (Inferior perineal deep fascia)


Question: About 6 years old hives (urticaria) Sick Children, the following statements is true?

Answer: Chronic urticaria patients to therapeutic agents based H1 antihistamines, such as patient response ineffective, can increase the dose of the drug in the allowable range

Choices:
A. Urticaria acute, steroid drug of choice
B. Repeated exposure repeated acute urticaria specific allergen (recurrent acute urticaria with repeated exposures to a specific
C. Most patients with chronic urticaria can be used to find the allergen blood
D. Chronic urticaria patients to therapeutic agents based H1 antihistamines, such as patient response ineffective, can increase the dose of the drug in the allowable range


Question: Which of the following belong to outside Sheng peptidase (exopeptidase)?

Answer: Peptide amine enzyme (Aminopeptidase)

Choices:
A. Peptide amine enzyme (Aminopeptidase)
B. Chymotrypsin (Chymotrypsin)
C. Elastase (Elastase)
D. Trypsin (Trypsin)


Question: An 8-year-old boy hospitalized one day fever, chest X-ray as shown in FIG time of hospitalization, white blood cell count 13,500 / mm3, leukocyte band 6%, segment 81%, monocyte 4%, lymphocyte 9%, C-reactive protein 1.1 mg / dL. That following an infection of the highest possibility?

Answer: Streptococcus pneumoniae

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


Question: 18-year-old men usually wear extended wear contact lenses. A holiday to go fishing pond, the water was spilled and splashed right eye, the king did not mind, there is no replacement contact lenses. Two days after the beginning of the right eye, foreign body sensation, to the pharmacy to buy eye drops with no improvement. The monarch then to a nearby clinic for medical treatment because of suspected infection, an ophthalmologist give norfloxacin (Norfloxacin) of antibiotic eye drops. However, the treatment effect is not significant, visual acuity began to decline, and the eyes are very painful. After several weeks to a patient in a hospital emergency department visits, bio thin slit lamp microscopic examination showed corneal infiltrates annular (ring infiltrates) below, most likely is the causative agent:

Answer: Echinostoma amoeba (of Acanthamoeba)

Choices:
A. Aspergillus (Aspergillus)
B. Candida albicans (Candida albicans)
C. Echinostoma amoeba (of Acanthamoeba)
D. Nosema (Microsporidia)


Question: Statements about congenital muscular torticollis (congenital muscular torticollis), the error which of the following?

Answer: Chest due tongue side (sternohyoid muscle) contraction caused by

Choices:
A. Chest due tongue side (sternohyoid muscle) contraction caused by
B. Within two months baby often due to neck mass (palpable lump) was diagnosed
C. About 20% of the patients accompanied by a bad hip growth and sexual development (developmental dysplasia of hip)
D. Stretching exercises (stretching exercise) therapy usually have good results


Question: 73 A 48-year-old male lung cancer terminally ill, hospitalized because of breathing difficulties, physical examination of the patient body weight loss, the left lung breath sounds decreased. The following is not reasonable that kind of treatment?

Answer: Serum albumin 2.2 g / dL, albumin supplemented

Choices:
A. Serum albumin 2.2 g / dL, albumin supplemented
B. Chest X-ray examination revealed a large number of chest pleural effusion, pleural be pumped
C. Morphine to reduce dyspnea
D. Check the blood hemoglobin 8.2 g / dL, 2 units of red blood cells to be lost and concentrated


Question: It is one of the following amino acid adrenaline (epinephrine) and noradrenaline (norepinephrine) biosynthesis precursors?

Answer: tyrosine

Choices:
A. arginine
B. histidine
C. tyrosine
D. tryptophan


Question: Epidermoid cysts (epidermoid tumor) Which of the following qualities will have a brain tumor?

Answer: Aseptic meningitis (aseptic meningitis)

Choices:
A. Bacterial meningitis (bacterial meningitis)
B. Associated with congenital anomalies (associated congenital malformations)
C. For effective radiation therapy (responsive to radiation therapy)
D. Aseptic meningitis (aseptic meningitis)


Question: The following related ureteropelvic junction obstruction (ureteropelvic junction obstruction) narrative, what's wrong?

Answer: Ultrasound examination can confirm the diagnosis and determine prognosis

Choices:
A. The left is more common
B. The reason may be joined at ectopic muscle or vascular abnormalities (aberrant vessel) compression
C. Can coexist in severe VUR (vesicoureteral reflux)
D. Ultrasound examination can confirm the diagnosis and determine prognosis


Question: The following statements about the Face infection anisakis (Anisakis spp.), And what's wrong?

Answer: Must be checked to confirm infection in the faecal egg

Choices:
A. Must be developed in the two kinds of intermediate hosts, it can only infectious Face care has
B. Must be checked to confirm infection in the faecal egg
C. Usually eat seawater, ⿂ ⽣ ⿂ piece ⽽ infection
D. After infection often causes acute abdominal pain


Question: Primary school children to eat nutritious lunch after school one to six hours, a number of children have been incidents of nausea, vomiting, diarrhea and food poisoning cluster of events. Differential diagnosis, in addition to considering as a possible pathogen Staphylococcus aureus, but also which of the following is the most likely pathogen?

Answer: Bacillus cereus

Choices:
A. Bacillus cereus
B. Campylobacter jejuni
C. Salmonella spp.
D. Vibrio parahemolyticus


Question: Which of the following tapeworm segments of conception have oocysts (egg capsules)?

Answer: Dogs complex genital tapeworm (Dipylidium caninum)

Choices:
A. Dogs complex genital tapeworm (Dipylidium caninum)
B. Beef tapeworm (Taenia saginata)
C. Narrow envelope tapeworm (Hymenolepis diminuta)
D. Wide section of crack head tapeworm (Diphyllobothrium latum)


Question: The following related frontal lobe epilepsy (frontal lobe epilepsy) describe what's wrong?

Answer: phenytoin for the treatment drug of choice

Choices:
A. Seizures (seizure) short, may not have confusion (postictal confusion) after seizure
B. EEG (scalp EEG) abnormalities may see significant
C. Seizures tend to sleep at night
D. phenytoin for the treatment drug of choice


Question: A 1-year-old children to the clinic, the parents complained children still can not sit independently, unable to stand, when to take action to reach out strange objects, often appear strange facial expression; history was born full-term birth, for check without any exception, but after birth because of neonatal hyperbilirubinemia (hyperbilirubinemia) had received illumination treatment, neonatal screening addition to hearing loss (hearing loss), no other significant abnormality, the initial diagnosis of cerebral palsy. Which of the following is most likely he is cerebral palsy?

Answer: Xu action type (athetoid type)

Choices:
A. Low Tension (hypotonic type)
B. Xu action type (athetoid type)
C. Double spastic paralysis (spastic diplegia)
D. Spastic quadriplegia (spastic quadriplegia)


Question: Two days ago a middle-aged woman complained of vertigo, continued for half an hour to an hour, with the left side of the hearing loss, tinnitus, ear swelling pressure. She no high blood pressure, such as coronary heart disease, hyperlipidemia or diabetes history. This is the third attack in two years, the duration of each episode are the same. Which of the following is the most likely diagnosis?

Answer: Meniere's disease (Meniere's disease)

Choices:
A. Meniere's disease (Meniere's disease)
B. Benign paroxysmal positional vertigo (benign paroxysmal positional vertigo)
C. Vestibular neuritis (vestibular neuritis)
D. Vertebral basilar artery circulation Imperfecta (vertebro-basilar artery insufficiency)


Question: About the narrative before implantation genetic diagnosis (preimplantation genetic diagnosis) technology, which of the following error?

Answer: When the result is normal female (46, XX), the most likely time of cultivation treatment, the mother cells caused by pollution

Choices:
A. With the need to perform IVF treatment
B. When the result is normal female (46, XX), the most likely time of cultivation treatment, the mother cells caused by pollution
C. May exclude embryonic chromosome abnormalities
D. When women have a history of habitual abortion, can reduce the chance of miscarriage


Question: A 17-year-old female patient, diagnosed with chin abscess (submandibular abscess), the need for emergency drainage surgery, physical examination found severe facial swelling, difficulty in opening mouth, which of the following is more likely is the correct approach to this patient's respiratory tract?

Answer: Be awake nasal intubation, and please accompany surgeons, tracheostomy supplies ready

Choices:
A. Be awake nasal intubation, and please accompany surgeons, tracheostomy supplies ready
B. Passing through the trachea and advanced laryngeal nerve block on both sides to facilitate awake intubation
C. Prone to be awake intubation laryngospasm, this time should be combined with minimal muscle relaxants
D. After may consider administering anesthetic or sedative, cricothyroid membrane (cricothyroid membrane) retrograde cannula


Question: A 60-year-old male was found in the healthy serum prostate specific antigen (PSA) concentration of 28.51 ng / mL, normal urine test, digital rectal examination found that prostate enlargement, surface irregularities, but no induration, nor tenderness. Which of the following is the better of disposal?

Answer: Accepted transrectal ultrasound examination and prostate biopsy slice

Choices:
A. Taking alpha-blockers (α-blocker)
B. Taking 5α- reductase inhibitors (5α-reductase inhibitor)
C. Use antibiotic-containing
D. Accepted transrectal ultrasound examination and prostate biopsy slice


Question: When brain tumors with intracranial pressure increased, the eye that one of the following changes occur?

Answer: Papilledema

Choices:
A. Lens opacity
B. IOP decreased
C. Papilledema
D. Optic atrophy


Question: Laparoscopic procedures, the patient taken overpronation and hip flexion posture, easily lead to over-stretching and damage to the nerve:

Answer: Femoral nerve and sciatic nerve

Choices:
A. Trigeminal nerve and nerve
B. Ulnar nerve and radial nerve
C. Femoral nerve and sciatic nerve
D. Axillary nerve and nerve


Question: The following description of the developer on the prevention of kidney disease, what is correct?

Answer: Pathogenic transfer machine including kidney outer medulla of oxygen, free radical damage and renal tubular cells temporary factors such as renal tubular obstruction

Choices:
A. Serum creatinine is typically 24 to 48 hours after the injection of the developer began to rise, there is more than 1% of patients receiving dialysis treatment for an
B. Prevention saline developer nephropathy, may be given after the start-administration of the developer, for 6 to 24 hours
C. Meta-analysis show the effect of preventing N-acetylcysteine developer Nephropathy good and low side effects, it is recommended routine clinical use
D. Pathogenic transfer machine including kidney outer medulla of oxygen, free radical damage and renal tubular cells temporary factors such as renal tubular obstruction


Question: The following information about the pathogenesis of asthma (pathogenesis), whichever is correct?

Answer: Allergens or viral infections can induce T helper 2 (TH2) lymphocytes secrete interleukin-5, eosinophils prompted to enter the respiratory tract

Choices:
A. Airway epithelial cells mainly for defense, not involved in the inflammatory response
B. Allergens or viral infections can induce T helper 2 (TH2) lymphocytes secrete interleukin-5, eosinophils prompted to enter the respiratory tract
C. Asthma can lead to inflammation of airway smooth muscle contraction of the media, but the smooth muscle itself does not release inflammatory media
D. Neutropenia is mainly against bacterial infections, is not involved in the inflammatory response


Question: Which of the following is not a physiological anxiety symptoms?

Answer: Miosis

Choices:
A. Miosis
B. Shortness of breath
C. Chest tightness
D. diarrhea


Question: Healthy men hospitalized due to community-acquired pneumonia, and thick sputum microscopy examination showed a lot of multi-core white blood cells and a pair of intracellular gram-positive cocci, sputum culture results only normal flora (normal flora), the most likely cause that germs are the following:

Answer: Streptococcus pneumoniae

Choices:
A. Legionella pneumophila
B. Streptococcus pneumoniae
C. Staphylococcus aureus
D. Enterococcus faecalis


Question: 59 Now there are five known hepatitis viruses, such viruses is very special, there is nuclear DNA, the RNA core, more incomplete nuclear nucleic acids, that one of the following description is wrong?

Answer: Hepatitis D virus usually incomplete, and the need to help the A type of infection and replication

Choices:
A. Hepatitis virus A, C, D and E are Type nucleic acid RNA, only the B-type a DNA, and which single-stranded portion
B. Hepatitis D virus usually incomplete, and the need to help the A type of infection and replication
C. To current knowledge, five, type hepatitis virus, B type and C-type chronic hepatitis can cause
D. Hepatitis viruses A and E type of transmission commonplace as the anus (manure) to the mouth


Question: Which of the following drugs can be used as an early abortifacient (early abortion)?

Answer: mifepristone

Choices:
A. alprostadil
B. treprostinil
C. mifepristone
D. iloprost


Question: 3-year-old girl hirsutism, breast enlargement, tall and looks like a skeleton-year-old child, the clinical diagnosis of precocious puberty disorders. Which of the following is more suitable for the treatment of such symptoms?

Answer: leuprolide

Choices:
A. pegvisomant
B. follitropin
C. octreotide
D. leuprolide


Question: A 14-year-old girls in the country have scoliosis disease, X-rays showed that the maximum bending point in the first lumbar vertebra and Kebo's angle (Cobb's angle) is 30 degrees. Which of the following is the most important way of treatment?

Answer: Correcting given back frame Molding

Choices:
A. Treatment of spinal movement to give back
B. Given spinal traction (traction) treatment
C. Correcting given back frame Molding
D. Spinal surgery orthodontic treatment