Question: 45-year-old female patient undergoing peritoneal dialysis, abdominal pain three days before, the day before dialysis solution became cloudy today to the emergency room, dialysis fluid leukocyte 356 / μL, 3 days after treatment with antibiotics, dialysis fluid cultures yielded Candida ( candidiasis). Which of the following is most appropriate disposal?

Answer: Removal of peritoneal dialysis catheter

Choices:
A. Use of oral anti-fungal medication
B. The use of intravenous anti-fungal drugs
C. Use intraperitoneal anti-fungal drugs
D. Removal of peritoneal dialysis catheter


Question: A disease that most often following the merger panic attack?

Answer: Cardiomyopathy (cardiomyopathy)

Choices:
A. Thyroid function is too high
B. Mitral valve prolapse
C. Cardiomyopathy (cardiomyopathy)
D. Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease)


Question: Mr. Wang, 68 years old, past smoking, B hepatitis, hypertension and diabetes mellitus, but there is no rule to track treatment, nearly a month complained of bilateral lower extremity symmetrical edema, abdominal distension and urine have shown a decrease. To give the patient an amount of blood pressure 148/92 mmHg, temperature 36 ° C, pulse rate 98 / min and irregular, respiratory rate 20 / min, by the above preliminary medical history, what is most unlikely diagnosis?

Answer: Deep vein thrombosis (deep vein thrombosis)

Choices:
A. Congestive heart failure (congestive heart failure)
B. Kidney failure (renal failure)
C. Cirrhosis (liver cirrhosis)
D. Deep vein thrombosis (deep vein thrombosis)


Question: "Core respiratory assessment (core of airway assessment)" before surgery, the most difficult to predict the potential of three respiratory physical examination items, not including which of the following?

Answer: Head size (circumference of the head)

Choices:
A. Degree (mouth opening) mouth open
B. Head size (circumference of the head)
C. Jaw before the very degree (jaw protrusion)
D. Degree of extension of the head (head extension)


Question: A 46-year-old female, above the right breast, the nipple from 2 centimeters, found that about 2 cm size of a lump. Mammogram display irregularity of an edge of the tumor, combined microcalcifications extend below the nipple, Cuzhen (core needle) biopsy puncture confirmed invasive ductal carcinoma (infiltrating ductal carcinoma). Which of the following is the most inappropriate of surgical treatment?

Answer: Breast conserving surgery (breast conserving surgery)

Choices:
A. Modified radical surgery for breast cancer (modified radical mastectomy)
B. Breast resection surgery + axillary sentinel lymph node sections (total mastectomy + axillary sentinel lymph node biopsy)
C. The combined skin retention breast Breast reconstruction surgery eradication (skin sparing radical mastectomy + breast reconstruction surgery)
D. Breast conserving surgery (breast conserving surgery)


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

Answer: Adjustment of vergence convergence (accommodative convergence) belongs to a tension of vergence convergence (tonic convergence)

Choices:
A. Duction refers monocular movement, including eye pronation (intorsion) and external rotation (extorsion), etc.
B. Version refers to the movement, both eyes see the same including the upper right (dextro-elevation), or lower left (levo-depression), etc.
C. Vergence refers to the movement of different eyes, vergence comprising condensing (Convergence) or divergent (Divergence), etc.
D. Adjustment of vergence convergence (accommodative convergence) belongs to a tension of vergence convergence (tonic convergence)


Question: 71. The following statements that correct? ① fracture penis (penile fracture) occurs in the penis suspensory ligament (suspensory ligament) ② distal penile fracture when conservative treatment would happen if more than 10% of the bent penis erection (penile curvature) ③ penis penetrating trauma (penetrating injury) to when considering retrograde urethral Photography (retrograde urethrography) ④ emergency found injured in a car accident the male urethra bleeding, must be placed immediately catheter treatment

Answer: ①②③

Choices:
A. ①②③
B. ①②④
C. ①③④
D. ②③④


Question: About Gonggongweisheng, primary health care, cutting-edge medical technology of the three closely related, influence each other, from the viewpoint of ROI national health, the relationship between three of the following, whichever is the most correct?

Answer: Gonggongweisheng> Primary Care> cutting-edge medical technology

Choices:
A. Gonggongweisheng> Primary Care> cutting-edge medical technology
B. Primary Care> = Gonggongweisheng cutting-edge medical technology
C. Cutting-edge medical technology> Primary Care> Gonggongweisheng
D. Primary Care = = Gonggongweisheng cutting-edge medical technology


Question: A 50-year-old male with a history of long-term smoking and high blood pressure, chest tightness, sweating due to the emergency room, blood pressure 110/70 mmHg, breathing 26 times / min, body temperature of 37.2 ℃, pulse 84 beats / min, ECG lead ST-V1 ~ V6 rise band, and the lead II, III, and aVF ST-band decreased, the diagnosis should be:

Answer: Acute anterior myocardial infarction

Choices:
A. Acute anterior myocardial infarction
B. Acute posterior wall myocardial infarction
C. Acute inferior wall myocardial infarction
D. Myocarditis


Question: The following statements is related to the salivary glands wrong?

Answer: Submandibular duct (submandibular duct) through the mylohyoid muscle (mylohyoid m.), Open to both sides of the substrate lingual frenulum

Choices:
A. Submandibular duct (submandibular duct) through the mylohyoid muscle (mylohyoid m.), Open to both sides of the substrate lingual frenulum
B. Submental artery (submental a.) Supplying the submandibular gland
C. Chorda tympani nerve (chorda tympani n.) Passed sublingual glands parasympathetic preganglionic
D. Sublingual gland pooled lymph to the lymph nodes under the jaw (submandibular lymph nodes)


Question: Of the following statements about warfarin, what's wrong?

Answer: Synthesis unaffected protein C

Choices:
A. For direct inhibition of vitamin K clotting factors II, VII, IX, X for γ-carboxylation modification
B. Direct inhibition of epoxide reductase, so that reproduction can not be reduced vitamin K
C. Synthesis unaffected protein C
D. The time of onset of action than heparin anticoagulant action (onset) Slow


Question: The following statements about PJ symptom clusters (Peutz-Jeghers syndrome), and what's wrong?

Answer: Polyp itself is a malignant lesions, so to all the polyp excision

Choices:
A. Emergence of multiple polyps, the most in the small intestine, is defective neoplastic (hamartomatous) polyp
B. The patient's lips, buccal or toes skin pigmentation
C. Bleeding or polyps may become large, causing intestinal obstruction or intussusception
D. Polyp itself is a malignant lesions, so to all the polyp excision


Question: Which of the following walking behind the medial epicondyle (medial epicondyle of humerus) of?

Answer: Ulnar nerve (ulnar nerve)

Choices:
A. Musculocutaneous nerve (musculocutaneous nerve)
B. The median nerve (median nerve)
C. Ulnar nerve (ulnar nerve)
D. Radial nerve (radial nerve)


Question: A 12-year-old girl because of bad-tempered, easy to insomnia, weight loss and treatment, physical examination found that its 140 beats per minute, his eyes protruding, his hands trembling phenomenon there. Most do not match the following clinical signs that a patient's test results with this?

Answer: Serum TSH values 5.0 μIU / mL

Choices:
A. Serum T3 value of 350 ng / dL
B. Serum free T4 values 3.0 ng / dL
C. Serum T4 value 18.0 μg / dL
D. Serum TSH values 5.0 μIU / mL


Question: Which of the following with the adductor longus muscle (adductor longus) is governed by the same nerve?

Answer: Gracilis muscle (gracilis)

Choices:
A. Gracilis muscle (gracilis)
B. Stock side muscle (quadratus femoris)
C. Pubic muscle (pectineus muscle)
D. Obturator muscle (obturator internus)


Question: Pathogens gastrointestinal tract after adsorption, antigen that can be ingested by an immune cell, and a top surface antigen from the cell mass (apical face) in the end side (basolateral face)?

Answer: M cells (microfold cells)

Choices:
A. B lymphocytes (B lymphocytes)
B. M cells (microfold cells)
C. Natural killer cells (natural killer cells)
D. T lymphocytes (T lymphocytes)


Question: Which of the following follicle (follicle) does not have the zona pellucida (zona pellucida)?

Answer: Primitive follicles (primordial follicle)

Choices:
A. Mature follicle (mature follicle)
B. Secondary follicles (secondary follicle)
C. Primary follicles (primary follicle)
D. Primitive follicles (primordial follicle)


Question: That one of the following enzymes involved in circulation g (Krebs cycle, also known as the citric acid cycle or TCA cycle) reaction, is located within the membrane and mitochondrial electron transport chain involved in the direct?

Answer: succinate dehydrogenase

Choices:
A. succinate dehydrogenase
B. isocitrate dehydrogenase
C. alpha-ketoglutarate dehydrogenase complex
D. malate dehydrogenase


Question: Men commit suicide was found to hospital after first aid remained comatose state. Pathological changes in his brain that is causing the most?

Answer: Carbon monoxide and heme-binding affinity is much higher than oxygen

Choices:
A. Carbon monoxide and heme-binding affinity is much higher than oxygen
B. Reduce blood flow to the brain
C. Brain glial cells are the body most vulnerable to hypoxic cell injury
D. Organization of toxic carbon monoxide


Question: When the following scenarios, the shape of the crystal body becomes flatter?

Answer: focusing on distant objects

Choices:
A. contraction of ciliary muscle
B. accommodation for near vision
C. focusing on distant objects
D. firing of parasympathetic nerves


Question: 46.50-year-old man, after chiropractic does not apply to emergency brain magnetic resonance according to the film showed the right side of the bulbar medial infarction (infarction of right medial medulla), may have those symptoms: ① right side face Ma ② ③ left limb weakness right limb disorders (dysmetria) ④ right tongue weakness

Answer: ②④

Choices:
A. ①③
B. ②④
C. ①④
D. ②③


Question: 32. Li schoolchildren before and after swimming in a pond near the home return home, have fever, headache, nasal congestion, and olfactory disorders and other symptoms, the hospital examination found that white blood cells of up to 24,000 / cmm (> 90% as neutrophils), neck stiff and Koenig's sign (Kernig's sign), and was hospitalized five days after the death. Based on the above results, Li children parasites which most likely to be infected?

Answer: Freund's Negri amoeba (Naegleria fowleri)

Choices:
A. Freund's Negri amoeba (Naegleria fowleri)
B. Entamoeba histolytica (Entamoeba histolytica)
C. Acanthamoeba (Acanthamoeba spp.)
D. Colon amoeba (Entamoeba coli)


Question: Which of the following is not penis deep fascia (deep fascia of the penis) inside?

Answer: Penis haptics ligament (fundiform ligament of penis)

Choices:
A. Penis haptics ligament (fundiform ligament of penis)
B. Deep dorsal penile vein (deep dorsal vein of penis)
C. Dorsal artery (dorsal artery of penis)
D. Penile urethra (corpus spongiosum)


Question: 25-year-old woman to the emergency, private prosecution last night because they can not stand fall, causing body aches. She also mentioned that the last six months are often lower abdominal (pelvic) pain, back pain, fatigue and weakness symptoms. Her husband next to show impatience, that she exaggerated symptoms. Found physical checkups and left eyes and the limbs during various degrees of bruises, blood pressure 130/84 mmHg, pulse 108 / min, the deep abdominal tenderness, no other special. Based on these findings, taking into consideration the relative probability of the disease, Which of the following is most likely?

Answer: Spousal abuse (spouse abuse)

Choices:
A. Acute leukemia (acute leukemia)
B. Low thyroid function (hypothyroidism)
C. A bleeding disorder (bleeding disorder)
D. Spousal abuse (spouse abuse)


Question: Which of the following allow access intercellular ion?

Answer: Joining gap (gap junctions)

Choices:
A. Close contact (tight junctions)
B. Joining gap (gap junctions)
C. Bridge cell bodies (desmosomes)
D. Small adhesive band (zonula adherens)


Question: Which of the following from the above, the inter-pharyngeal constrictor muscle through?

Answer: Glossopharyngeal nerve (glossopharyngeal nerve)

Choices:
A. Glossopharyngeal nerve (glossopharyngeal nerve)
B. Laryngeal nerve (internal laryngeal nerve)
C. Laryngeal artery (superior laryngeal artery)
D. Recurrent laryngeal nerve (recurrent laryngeal nerve)


Question: 73. The pre-treatment of attention deficit / hyperactivity disorder (attention-deficit / hyperactivity disorder) in children and adolescents patients using the nerve stimulator (stimulants), that is not generally recommended to first measure the project?

Answer: blood sugar

Choices:
A. blood pressure
B. Heartbeat
C. blood sugar
D. height


Question: Mr Chen suffering from hepatocellular carcinoma, to accept the hepatic arterial embolization after half an hour, the situation of consciousness by brain CT examination revealed the phenomenon of blood clots, when suspected hepatic arterial embolization scored the drugs, part of the stream due to the brain blood vessels. Because the range is quite extensive stroke, Mr Chen respiratory failure ensues, followed by the worsening condition, and finally death. Cerebral embolism cases of hepatic artery embolization therapy caused quite rare, for this is rare, but in the end fatal complication, in accordance with current views with relevant regulations or court, whether the scope should be informed?

Answer: It should be informed of the scope of the complications, the complications, although rare, but the consequences of its occurrence is very serious, should be informed

Choices:
A. Complications range should be informed of belonging, because this complication is rare, it should inform
B. It should be informed of the scope of the complications, the complications, although rare, but the consequences of its occurrence is very serious, should be informed
C. Complications do not belong to the scope should be informed of, because it is too rare
D. Complications range are not to be told, because if informed of the complications, the patient will decide not to accept the hepatic arterial embolization therapy


Question: Lee, 55-year-old right movement disorders (ataxia) occurs on the right side face and left side of the body paresthesia, slurred speech, swallowing disorders, appears on the right Horner syndrome (Horner's syndrome), which imaging is most likely:

Answer: T2-weighted axial MRI

Choices:
A. T2-weighted axial MRI
B. CT
C. CT
D. diffusion-weighted axial MRI


Question: Due to hypertension (170/120 mm / Hg) and proteinuria (3.1 g / 24 hours) hospitalization, hospitalization have found patellar reflex increase in cases when the beginning of a 30-year-old mother 36 weeks of pregnancy, then the attending physician instructions given MgSO4 . Before giving MgSO4, following which test data is absolutely necessary?

Answer: Renal

Choices:
A. liver function
B. Renal
C. Coagulation
D. Platelet function


Question: 33 year old pregnant woman, G2P0SA1, 40 weeks of pregnancy, the fetus admitted to be produced in the monitor accepts examination results shown in Figure its interpretation that?

Answer: late deceleration

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


Question: When taking into account the sensitivity (sensitivity) and specificity (specificity), following what kind of tumor markers (tumor marker) is the most appropriate cancer screening?

Answer: Prostate specific antigen (prostate specific antigen, PSA) - prostate cancer

Choices:
A. Prostate specific antigen (prostate specific antigen, PSA) - prostate cancer
B. Cancer ovarian cancer antigen CA-125-
C. Oncofetal antigens (carcinoembryonic antigen, CEA) - colorectal cancer,
D. Breast cancer antigen CA-15-3-


Question: Myasthenia gravis (myasthenia gravis) and that following a tissue or organ hyperplasia?

Answer: Thymus (thymus)

Choices:
A. Thymus (thymus)
B. Thyroid (thyroid gland)
C. Adrenal cortex (adrenal gland)
D. Plasma cells (plasma cell) within the bone marrow


Question: Patients usually a physician before proceeding with full capacity of medical practice, will be informed in advance in order to obtain consent, then the physician face "capacity incomplete (Incompetent)" adult patients when (if self-injurious behavior in patients with mental illness) The following ethical guidelines that inappropriate?

Answer: Physicians track line with the best interests of the patient to make a decision

Choices:
A. First the patient's family to seek "proxy consent" for the patient
B. When the meaning of inconsistency between family members, and other pro recently, as a priority
C. Acting in the best interests of the patient must agree not incompatible with the patient's decision would do if conscious
D. Physicians track line with the best interests of the patient to make a decision


Question: The following statements about mandibular fracture (mandibular fractures), and what's wrong?

Answer: Surgical treatment of major fracture fixation and mandibular teeth reset, a fixed time as long as possible, there will be no problem temporomandibular joint stiffness

Choices:
A. Composition comprising a mandible mandibular joint (symphysis), mandibular body (body), mandibular angle (angle), mandibular branch (ramus), mandibular condyle
B. Mandibular fractures can be based on the relationship between mandibular dentition, Angle classification system is classified as Class I, Class II and Class III
C. Upper and lower case can be used to reset the fixed teeth no displacement, no misalignment of teeth and temporomandibular joint (temporo-mandibular joint) of the normal activity
D. Surgical treatment of major fracture fixation and mandibular teeth reset, a fixed time as long as possible, there will be no problem temporomandibular joint stiffness


Question: Infant found vaginal cancer, the most common why?

Answer: Botryoid rhabdomyosarcoma

Choices:
A. Squamous cell carcinoma
B. Malignant melanoma
C. Adenocarcinoma
D. Botryoid rhabdomyosarcoma


Question: In congenital heart disease, post-neonatal period have the opportunity to discover the most rare natural healing for which of the following?

Answer: Kept open arteriosus (persistent truncus arteriosus)

Choices:
A. Film edge type ventricular septal defect (perimembranous ventricular septal defect)
B. The second port of atrial septal defects (secundum atrial septal defect)
C. Kept open arteriosus (persistent truncus arteriosus)
D. Muscular ventricular septal defect (muscular ventricular septal defect)


Question: Glycerol 3-phosphate shuttle For path (glycerol 3-phosphate shuttle) of the description, which of the following correct?

Answer: This shuttle path cytoplasm NADH can be converted to NAD +, while mitochondria generate FADH2

Choices:
A. This shuttle path cytoplasm NADH transported through the mitochondrial membrane in vivo to the interstitial (Matrix) to give 3ATP / NADH
B. This shuttle path cytoplasm NADH can be converted to NAD +, while mitochondria generate FADH2
C. This shuttle path -3- participating member Dehydrogenase (mitochondrial glycerol 3-phosphate dehydrogenase) need not mitochondrion
D. This path needs to shuttle malate dehydrogenase (malate dehydrogenase) participation


Question: The following cranial nerves that at the time of sponge venous sinus thrombosis complicated by sinusitis least likely to be affected?

Answer: Seventh to

Choices:
A. The third pair
B. The fourth
C. The fifth
D. Seventh to


Question: The following range of motion, He's the greatest?

Answer: The joint between the first metacarpal (1st metacarpal bone) and carpal

Choices:
A. Between the fifth metacarpal joint (5th metacarpal bone) with its proximal phalange
B. The joint between the first metacarpal (1st metacarpal bone) with its proximal phalange
C. Joint between the fifth metacarpal (5th metacarpal bone) and carpal
D. The joint between the first metacarpal (1st metacarpal bone) and carpal


Question: Third and fourth ventricle paraneoplastic nipple body (mamillary body) spotting and neurologic symptoms, which of the following was due caused?

Answer: thiamine deficiency

Choices:
A. thiamine deficiency
B. riboflavin deficiency
C. Excessive copper
D. Iron overload


Question: A 32-year-old female patient complained during the last three months in case of cold or angry finger will turn pale complexion, and feel a little difficulty swallowing, and the middle of the night often acid reflux into the mouth. Two weeks ago, began to frequent dry cough, and asthma will feel a little movement. Following the inspection, items that most unnecessary?

Answer: Exercise ECG

Choices:
A. Exercise ECG
B. Echocardiography
C. Chest X-ray
D. Pulmonary function tests


Question: At present, Taiwan nightclub very popular illicit drug "ecstasy", which is part of the following ingredients?

Answer: MDMA

Choices:
A. Ketamine
B. Heroin
C. MDMA
D. marijuana


Question: Various combinations of the following common side effects of anti-TB drugs and, what's wrong?

Answer: Rifampin－hyperuricemia

Choices:
A. Isoniazid－hepatitis
B. Ethambutol－optic neuritis
C. Rifampin－hyperuricemia
D. Pyrazinamide－hepatitis


Question: That following the secretion of a hormone glands mostly fat-soluble?

Answer: Adrenal cortex (adrenal cortex)

Choices:
A. 胃（stomach）
B. Cardiac (heart)
C. Pancreas (pancreas)
D. Adrenal cortex (adrenal cortex)


Question: The following statements about chemical penetration mode (chemiosmotic model), and what's right?

Answer: Electron transfer process, along with proton transfer across the membrane, resulting in membrane potential (membrane potential) and ΔpH

Choices:
A. When this mode is established, the mitochondrial inner membrane allows protons (Proton) freely permeable
B. This mode prediction oxidative phosphorylation reaction can be carried out when the absence of the mitochondrial
C. Electron transfer process, along with proton transfer across the membrane, resulting in membrane potential (membrane potential) and ΔpH
D. 2,4-dinitrophenol (2,4-dinitrophenol) may carry electrons penetrate freely mitochondrial membrane in vivo


Question: Right breast lymphatic system, usually not directly import:

Answer: 胸管（thoracic duct）

Choices:
A. Subclavian lymphatic trunk (subclavian trunk)
B. 胸管（thoracic duct）
C. Axillary lymph nodes (axillary lymph nodes)
D. Parasternal lymph nodes (parasternal lymph nodes)


Question: Innate immunity (innate immunity) and adaptive immunity (adaptive immunity) the biggest difference is that:

Answer: Antigen-specific immune memory and different

Choices:
A. As different cells and the role of objects
B. Different intensity and speed of reaction
C. Antigen-specific immune memory and different
D. Location and action that occurs has a different


Question: When normal, which of the following immunoglobulin (Ig) the highest concentration in the blood? What is the minimum?

Answer: The highest IgG, IgE lowest

Choices:
A. Maximum IgM, IgA lowest
B. Highest IgA, IgG lowest
C. Highest IgE, IgM lowest
D. The highest IgG, IgE lowest


Question: A 30-year-old man convicted of nosebleeds four weeks for treatment. Physical examination is displayed on the left submanibular angle has a firm, non-tender and fixed mass, the mass no signs of local infection, the most appropriate examination why at this stage?

Answer: Biopsy and inspection of the nasopharynx fiberoscopic

Choices:
A. Ultrasound lymph node
B. Excision biopsy (excisional biopsy)
C. Fine needle aspiration (fine needle aspiration)
D. Biopsy and inspection of the nasopharynx fiberoscopic


Question: Absorbance 280 nm using the quantitative protein is a common way, that one amino acid can affect the absorbance of the protein is destroyed when?

Answer: Color amino acids (tryptophan)

Choices:
A. Silk amino acid (serine)
B. Color amino acids (tryptophan)
C. Asparagine amino acid (aspartic acid)
D. Methylthio amino acid (methionine)


Question: The researchers wanted to test a polymorphism in a gene (AA / AG group relative GG group) whether the incidence of oral cancer is related in a hospital with 200 oral cancer patients participating in this study, all patients with oral cancer each pair a no oral cancer healthy subjects were measured genotype, the following statistical analysis whichever is most appropriate?

Answer: McNemar chi-square test

Choices:
A. Linear Regression
B. Chi-square test of independent samples
C. Paired t-test
D. McNemar chi-square test


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

Answer: Glucocorticoids (glucocorticoid) will promote the production of the fetus before birth pulmonary surfactant

Choices:
A. Secreted by the respiratory bronchioles (respiratory bronchiole)
B. Glucocorticoids (glucocorticoid) will promote the production of the fetus before birth pulmonary surfactant
C. Its density in a small alveoli (alveolus) within the alveoli than large low
D. Can increase the elasticity of the alveoli (alveolus) of the restoring force (elastic recoil)


Question: Patients true plethora (polycythemia vera) is the most frequently mutated genes which appear?

Answer: JAK2

Choices:
A. ABL
B. JAK2
C. BCL1
D. MYC


Question: A large 7-month baby was due right side spasm nanny to the emergency room, nanny complained of approximately 50 cm from high infant crib drop after spasm, baby no recent fever, colds and other symptoms. No past medical history of epilepsy and other congenital diseases, emergency room physicians to after intramuscular lorazepam, cramps stop, arranged head CT, image shown below, the CT image to see why?

Answer: Subdural hemorrhage

Choices:
A. Subdural hemorrhage
B. Meningoencephalitis
C. Subarachnoid hemorrhage
D. Vasculitis brain hemorrhage


Question: When the patient speaks, the first issue to be difficult, but the process has extended talk, repeat, or even interrupted the phenomenon, the symptoms most likely the problem is:

Answer: Stuttering (stuttering)

Choices:
A. Stuttering (stuttering)
B. 吶吃（dysarthria）
C. Aphasia (aphasia)
D. Loss for the disease (apraxia)


Question: 35-year-old former vice acute testicular inflammation mainly because young people:

Answer: Sexually transmitted urethritis

Choices:
A. Sexually transmitted urethritis
B. E. coli urinary tract infections
C. TB urinary tract infections
D. Staphylococcus aureus caused by Balanitis


Question: Stroke patients in bed anyway, for a long time lying on his side (side lying) position of pressure ulcers (pressure sore) is what most often occurs in the following locations?

Answer: The greater trochanter of the femur (greater trochanter)

Choices:
A. Heel (heel)
B. Acromion (acromion)
C. The greater trochanter of the femur (greater trochanter)
D. Intestinal bone protrusion (iliac crest)


Question: Our national health insurance to control the excessive growth of medical costs, have launched a number in case payment (case payment) system, payment system which belong to such a system?

Answer: Prospective Payment System (prospective payment system)

Choices:
A. Prospective Payment System (prospective payment system)
B. Retrospective payment system (retrospective payment system)
C. An immediate payment system
D. Real support of pocket-type payment system


Question: Which of the following is not a melanoma cell cancer (melanoma) risk factors?

Answer: Under sunlight easily tanning, sunburn easily parting the skin

Choices:
A. Under sunlight easily tanning, sunburn easily parting the skin
B. Long-term excessive sun exposure
C. The number of melanin nevus (melanocytic nevi) of more than 100
D. Have a family history of melanoma cell carcinoma


Question: Which of the following is women using postmenopausal hormone replacement therapy (hormonal replacement therapy) indications?

Answer: Flushing (flushing) and genitourinary tract symptoms

Choices:
A. Have a family history of breast cancer
B. Triglycerides hyperparathyroidism
C. Endometrial cancer
D. Flushing (flushing) and genitourinary tract symptoms


Question: Do abdominal computed tomography examination (abdominal computed tomography) following trauma patients what circumstances?

Answer: Patient's blood pressure is 65~72 mmHg, pulse of 108~112 / min, 20 ~ 25 breath / min

Choices:
A. Blunt trauma to the abdomen (abdominal blunt trauma)
B. Assess whether there injured pancreas
C. Physical assessment can not determine whether abdominal injuries
D. Patient's blood pressure is 65~72 mmHg, pulse of 108~112 / min, 20 ~ 25 breath / min


Question: 30-year-old male, occupation is farming, thigh skin lesions 5 years, as a. Skin pathology H & E stained sections, two as shown in FIG. Correct diagnosis for this patient is:

Answer: chromomycosis

Choices:
A. foreign body granuloma
B. tuberculosis verrucosa cutis
C. chromomycosis
D. sporotrichosis


Question: There are more than one sexual partner of the girls appeared ulcerative sores in the vagina, and itching, pain, difficulty urinating and systemic symptoms, and persistent fever about 10 days, Papanicolaou (Pap) smears show multinucleated giant cells ( syncytia) and Cowdry a type inclusion body, this girl's symptoms were caused by a viral infection caused by what?

Answer: Herpes simplex  (Herpes simplex virus)

Choices:
A. Herpes simplex  (Herpes simplex virus)
B. Human papillomavirus (HPV)
C. Parvovirus B19 (Parvovirus B19)
D. Rubella virus (Rubella virus)


Question: Congenital adrenal hyperplasia (congenital adrenal hyperplasia, CAH) genetic model:

Answer: Autosomal recessive inheritance

Choices:
A. Autosomal dominant inheritance
B. Autosomal recessive inheritance
C. Sex-linked genetic
D. Sex chromosome abnormalities


Question: de Quervain's disease refers to inflammation of the tendon lesions that occur in the two wrist?

Answer: Abductor pollicis longus and extensor pollicis brevis

Choices:
A. Abductor pollicis longus and extensor pollicis brevis
B. Flexor hallucis longus and extensor brevis tendon
C. Long flexor tendon and abductor hallucis longus tendon
D. Abductor hallucis longus and extensor digitorum longus tendon


Question: Obstacles patients had short-term memory (short-term memory), and this patient may Pap neural circuit (circuit of Papez) (limbic system) due to the brain's limbic system damage, the following structure that does not participate in this loop?

Answer: Nipple body (mamillary body)

Choices:
A. Vault (fornix)
B. Nipple body (mamillary body)
C. Hypothalamus dorsal nucleus (mediodorsal thalamic nucleus)
D. Cingulate gyrus (cingulum)


Question: The reason these antibiotics can not be used in pregnant women, which of the following correct?

Answer: sulfonamides easily lead to hemolysis lack of glucose-6-phosphate dehydrogenase cause of neonatal kernicterus

Choices:
A. erythromycin estolate easy to make fetal eighth cranial nerve damage
B. streptomycin easily lead to infant cartilage damage
C. sulfonamides easily lead to hemolysis lack of glucose-6-phosphate dehydrogenase cause of neonatal kernicterus
D. tetracycline can cause gray baby syndrome (gray baby syndrome)


Question: That one of the following items is not currently recommended for the elderly as a cancer screening?

Answer: Ultrasonic Gynecology: Ovarian Cancer

Choices:
A. Mammography: Breast Cancer
B. Pap smear: cervical cancer
C. Fecal occult blood test: colorectal cancer
D. Ultrasonic Gynecology: Ovarian Cancer


Question: Which of the following is a penile erection (penile erection) the most important blood vessels?

Answer: Deep penile arteries (deep artery of penis)

Choices:
A. Dorsal artery (dorsal artery of penis)
B. Deep penile arteries (deep artery of penis)
C. Superficial dorsal penile vein (superficial dorsal vein of penis)
D. Ball penile artery (artery of the bulb of penis)


Question: A 17-year-old man, the occurrence of head trauma and left elbow fracture dislocation, after restoration elbow to cast immobilization, two months after the discovery of elbow swelling subsided, but the emergence of a lump in the front of the elbow, the implementation of X-ray examination revealed an ossification clumps, was diagnosed as myositis ossificans, this time the way it handles, which statement is correct?

Answer: A fixed plate to protect the joints, and the implementation of moderate rehabilitation

Choices:
A. Active massage purposes and stretching to improving articulation range
B. A fixed plate to protect the joints, and the implementation of moderate rehabilitation
C. Surgery should be implemented at an early
D. Indocid drugs or radiation treatment can aggravate the condition


Question: Miss Li suffering from zero because of breast tumors to the implementation of the hospital A thorough root resection of the left breast after surgery received routine antibiotic therapy, unfortunately due to adverse drug reactions to death, the patient may be able to apply what relief?

Answer: Injury relief

Choices:
A. Injury relief
B. Vaccines relief
C. There is no statutory means of relief
D. Loan injury


Question: 46 Lin inadvertently high voltage to work and call burns, electric current from the right shoulder, right hand out from three months after the injury the right upper limb weakness gradually. This result is most likely prompted by the Department of tissue damage which of the following?

Answer: nerve

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


Question: Which of the following is attached to the ulna olecranon (olecranon)?

Answer: 肘 肌 (anconeus)

Choices:
A. Extensor carpi radialis longus (extensor carpi radialis longus)
B. Ulnar extensor carpi muscle (extensor carpi ulnaris)
C. Extensor muscle (extensor digitorum)
D. 肘 肌 (anconeus)


Question: The following clinical manifestations related to Kawasaki disease (Kawasaki disease) narrative, whichever is most correct?

Answer: Hand, foot peeling often seen in two to three weeks after symptoms begin

Choices:
A. Even without treatment, usually high fever three days after fever
B. Lymphadenopathy mostly bilateral and less than 0.5mm
C. Red eyes, mostly unilateral and pus-like discharge
D. Hand, foot peeling often seen in two to three weeks after symptoms begin


Question: Diabetic neuropathy (diabetic neuropathy) in what were the most common?

Answer: Distal neuropathy (distal polyneuropathy)

Choices:
A. The third cranial nerve disease (diabetic ophthalmoplegia)
B. Multiple neuropathy (mononeuritis multiplex)
C. Distal neuropathy (distal polyneuropathy)
D. Autonomic neuropathy (autonomic neuropathy)


Question: The following issues that most will not cause an overactive bladder (overactive bladder)?

Answer: Cervical cancer Radical resection accepted

Choices:
A. Stroke
B. Benign prostatic hyperplasia
C. Cervical cancer Radical resection accepted
D. Thoracic injuries caused by bladder dysfunction


Question: Which of the following inhibition of enzyme activity can enhance the cAMP concentration in order to reduce asthma symptoms?

Answer: cAMP phosphodiesterase

Choices:
A. phospholipase C
B. adenylate cyclase
C. protein kinase A
D. cAMP phosphodiesterase


Question: The following account of absence epilepsy type seizures (absence, petit mal), and what's the most correct?

Answer: Hyperventilation (hyperventilation) causes seizures

Choices:
A. The first attack usually occurs between the ages of 15 and 20 years old
B. There will be no automatism (automatism) episode
C. Attack electroencephalogram (EEG) presented localized spikes (focal spikes)
D. Hyperventilation (hyperventilation) causes seizures


Question: Which of the following is the correct response of the parasympathetic nervous excitement?

Answer: Ciliary muscle contraction of the eye

Choices:
A. Mydriasis
B. Vasoconstriction
C. 降低 basal metabolic rate
D. Ciliary muscle contraction of the eye


Question: Statements about Turner's disease (Turner syndrome), and which of the following error?

Answer: Intelligence are not affected, completely normal

Choices:
A. The short arm of the X chromosome has SHOX gene, so there will be little patient symptoms (short stature)
B. There may be abnormal left ventricular (left-heart abnormalities)
C. Because it is the sex chromosome abnormalities, so there gonadal dysgenesis (gonadal dysgenesis)
D. Intelligence are not affected, completely normal


Question: A 22-year old man on the right testicular pain and swelling, merger fever, nausea and to emergency treatment, physical checkups and laboratory tests of interpretation about the following statements is wrong?

Answer: Prehn sign positive diagnosis is biased epididymis - orchitis, testicular torsion can rule out the possibility of

Choices:
A. Scrotal swelling or lump appearance, can not distinguish epididymis - orchitis (epididymo-orchitis) or testicular torsion (testicular torsion)
B. Right lifting epididymis reflex (cremasteric reflex) disappears, for the diagnosis of testicular torsion bias
C. Prehn sign positive diagnosis is biased epididymis - orchitis, testicular torsion can rule out the possibility of
D. Color duplex ultrasonogram show normal or increased testicular blood flow, diagnostic bias for the epididymis - orchitis


Question: About the upper mediastinum (superior mediastinum), to describe the nerve, Which statement is correct?

Answer: Located on the right phrenic nerve vena cava (superior vena cava) and mediastinal pleura (mediastinal part of parietal pleura) Room

Choices:
A. Right recurrent laryngeal nerve (right reccurent laryngeal nerve) passed around the right brachiocephalic vein (right brachiocephalic vein) up
B. Left recurrent laryngeal nerve (left reccurent laryngeal nerve) passed around the left subclavian artery (left subclavian artery) upward
C. Located on the right phrenic nerve vena cava (superior vena cava) and mediastinal pleura (mediastinal part of parietal pleura) Room
D. Left phrenic nerve descending aorta (descendig aorta) downstream


Question: That one of the following substances in the presence of Gram-negative bacteria without the presence of Gram-positive bacteria?

Answer: Lipid A

Choices:
A. Peptidoglycan (wins peptidoglycan)
B. Lipid A
C. Capsule (capsule)
D. l Flagella (flagellum)


Question: About lower gastrointestinal hemorrhage (LGI bleeding) narrative, what's wrong?

Answer: Surgery is the only treatment to save patients

Choices:
A. The primary goal of treatment of lower gastrointestinal bleeding heart rate and blood pressure is stable
B. When the patient's vital signs stable position should look for bleeding
C. Surgery is the only treatment to save patients
D. Angiography (angiography) can be used to find the site of bleeding and treatment


Question: Perform surgery for breast cancer sentinel lymph node removal surgery (sentinel node biopsy) is the most important purpose why?

Answer: Reduce complications due to a full axillary lymph node dissection caused by the

Choices:
A. Prevent breast cancer recurrence
B. Reduce complications due to a full axillary lymph node dissection caused by the
C. Beautiful
D. Not the whole breast surgery was done


Question: Regarding the efficacy of pulmonary rehabilitation, Which of the following most can not expect results?

Answer: Pulmonary function test data that the patient (e.g. FEV1) return to normal

Choices:
A. Increase exercise tolerance
B. Improve health-related quality of life of patients
C. Reduce the discomfort of patients with breathing difficulties
D. Pulmonary function test data that the patient (e.g. FEV1) return to normal


Question: Common in cancer tissue tumor gene (Oncogene) of the ErbB protein translation, that is performed via the action of the following as a receptor (receptor) conducting paths?

Answer: epidermal growth factor（EGF）receptor

Choices:
A. insulin receptor
B. platelet-derived growth factor（PDGF）receptor
C. epidermal growth factor（EGF）receptor
D. G-protein coupling receptor


Question: Measuring the presence or absence of clinical urethral hypermobility mobile (urethral hypermobility), often as a cotton swab test and use the goniometer (goniometer) to measure changes in the angle of the urethra stationary and moving, which of the following diagnostic criteria for excessive movement of the urethra (criteria)?

Answer: a resting urethral angle > 30 degrees or a maximal straining angle > 30 degrees

Choices:
A. a resting urethral angle > 30 degrees or a maximal straining angle > 30 degrees
B. a resting urethral angle > 30 degrees and a maximal straining angle > 30 degrees
C. a resting urethral angle > 30 degrees or a maximal straining angle > 45 degrees
D. a resting urethral angle > 30 degrees and a maximal straining angle > 45 degrees


Question: That an anti-arrhythmic drugs most commonly have blush, chest tightness and breathing urgency of the side effects?

Answer: Adenosine

Choices:
A. Propafenone
B. Adenosine
C. Procainamide
D. Atenolol


Question: Which of the following type of cells will form the first meiotic division multiple half-cell (haploid cells)?

Answer: primary spermatocyte

Choices:
A. spermatogonia
B. primary spermatocyte
C. secondary spermatocyte
D. spermatid


Question: Statements about bullous emphysema surgical indications and methods of, which of the following error?

Answer: Lobectomy surgery must be performed to avoid recurrent disease

Choices:
A. air leakage caused by pneumothorax
B. bullae volume occupied half (50%) of one side of the chest
C. Lobectomy surgery must be performed to avoid recurrent disease
D. Asymptomatic small size and bullae, tracking can be observed generally


Question: The following narrative with massive transfusion-related, what's wrong?

Answer: 7

Choices:
A. 7
B. When a large number of blood transfusion, routine administration of bicarbonate (bicarbonate) can be prevented after transfusion alkalosis (by alkalosis)
C. Citrate blood products (citrated blood products) a large number of blood transfusion, leads to transient decrease calcium concentration
D. A large number of post-transfusion thrombocytopenia dilution occurs (thrombocytopenia)


Question: Mr. Wang Feng Central African diplomats accredited to any of the service for two years, recently periodic abdominal swelling and fever return home for medical treatment, the doctors found to have liver and spleen enlargement (hepatosplenomegaly) and anemia (anemia) disease, after a bone marrow puncture in hospital parasites seen with macrophages. Based on the above results, Mr. Wang parasite which most likely to be infected?

Answer: Leishmania parasite (Leishmania donovani)

Choices:
A. Leishmania parasite (Leishmania donovani)
B. Tropical Leishmania (Leishmania tropica)
C. Gambiense (Trypanosoma brucei gambiense)
D. Dry West Trypanosoma cruzi (Trypanosoma cruzi)


Question: The two main hormones responsible for sperm production in the testes is:

Answer: Follicle stimulating hormone (FSH) and androgen

Choices:
A. GH (growth hormone) and the male hormone (androgen)
B. Follicle stimulating hormone (FSH) and androgen
C. Follitropin and estrogen (estrogen)
D. A stimulating hormone (TSH) and androgen


Question: A 50-year-old woman, right upper quadrant pain and fever to diagnosis, abdominal physical examination found that Murphy's sign positive, then what is the most appropriate examination of the following items?

Answer: Abdominal sonography (ultrasonography)

Choices:
A. Abdominal X-ray (KUB)
B. Abdominal sonography (ultrasonography)
C. Gallbladder photography (oral cholecystography)
D. Upper gastrointestinal tract endoscopy (UGI endoscopy)


Question: Which of the following does not belong to the DSM-IV subtypes in schizophrenia?

Answer: Differentiated (differentiated type) 62 according to the DSM-IV-TR diagnosis of bipolar disorder (bipolar disorder) narrative Which statement is correct?

Choices:
A. Paranoid (paranoid type)
B. Disorganized (disorganized type)
C. Tension-type (catatonic type)
D. Differentiated (differentiated type) 62 according to the DSM-IV-TR diagnosis of bipolar disorder (bipolar disorder) narrative Which statement is correct?


Question: You plan for a 55-year-old men do not exercise habits of jogging three times a week, plan to 60% of maximum heart rate target during the first week of exercise, your recommended target heart rate is how much?

Answer: 99 beats / minute

Choices:
A. 87 beats / minute
B. 99 beats / minute
C. 117 beats / minute
D. 105 beats / minute


Question: If a pregnant woman's blood type is AB Rh-negative and the fetus's blood type is Rh-positive B-type, with regard to the health risks of pregnancy, Which statement is correct?

Answer: If the mother had been pregnant once before with the increased chance of this pregnancy with fetal blood type, this pregnancy the fetus by the mother's immune system attacks

Choices:
A. Different blood type blood cells will attack the fetus the mother, the mother's cause autoimmune diseases
B. If the mother first pregnancy, the chance of this pregnancy the fetus by the maternal immune system attacks increase
C. If the mother had been pregnant once before with the increased chance of this pregnancy with fetal blood type, this pregnancy the fetus by the mother's immune system attacks
D. Antibodies produced by the fetus through the placenta late in pregnancy will attack maternal cells


Question: Which of the following is not a way of shoulder dystocia method of treatment?

Answer: background pressure

Choices:
A. Woods corkscrew maneuver
B. background pressure
C. McRoberts maneuver
D. Delivery of the posterior shoulder


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

Answer: Is a non-catecholamine (noncatecholamine)

Choices:
A. Is a non-catecholamine (noncatecholamine)
B. On the cardiovascular effects, can increase blood pressure, accelerate heartbeat
C. Is a bronchoconstrictor (bronchoconstrictor)
D. Reduces blood flow to the kidneys (renal blood flow)


Question: Following on dopamine hypothesis of schizophrenia (dopamine hypothesis), what's wrong?

Answer: LSD and amphetamine cause schizophrenia-like machine revolutions are induced stimulation of dopamine receptors

Choices:
A. The occurrence of schizophrenia may be related to excess dopamine function
B. Dopaminergic activator can cause symptoms similar to schizophrenia
C. LSD and amphetamine cause schizophrenia-like machine revolutions are induced stimulation of dopamine receptors
D. Antipsychotic drugs during treatment, to reduce the progress of clinical symptoms and plasma HVA (homovanillic acid) related


Question: Which of the following media white matter (Interleukin, IL) caused by the most suitable for the treatment of chemotherapy thrombocytopenia syndrome?

Answer: IL-11

Choices:
A. IL-3
B. IL-4
C. IL-11
D. IL-2


Question: ⼀ bit 77-year-old woman Face, 22:00 when normal sleep, but woke up as early as 8:00 ⼀ no care has the right limbs, teeth-connector is unclear, namely 10am home PORTRAIT sent to the emergency, neurological examination and imaging, judged the left corona radiata infarction (corona radiata infarction), Which of the following is the most appropriate woman Face of acute stroke treatment?

Answer: Anti ⾎ ⼩ plate drugs (antiplatelet)

Choices:
A. Intravenous ⾎ dissolved bolt (IV tPA)
B. Carotid ⽀ holder means (stenting)
C. Anti ⾎ ⼩ plate drugs (antiplatelet)
D. ⾎ anticoagulant medication (anticoagulants)


Question: External carotid artery (external carotid artery) and its branches supply blood to not:

Answer: The brain

Choices:
A. The brain
B. Dura
C. Orbital
D. Nasal mucosa


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

Answer: Is a small vein

Choices:
A. Can occur in acute liver disease
B. Can occur in pregnant women
C. Is a small vein
D. Common in the upper body


Question: The following statements about Meck ear diverticulum (Meckel diverticulum), and what's right?

Answer: Caused intussusception (intussusception) of common guiding point (lead point)

Choices:
A. Location away from the ileocecal valve (ileocecal valve) 2 inches
B. Bleeding symptoms occur mostly between 3-6 years old
C. The most common containing ectopic gastric tissue is kidney tissue
D. Caused intussusception (intussusception) of common guiding point (lead point)


Question: About language and communication and expression may encounter problems, which of the following error?

Answer: When the right brain damage in communication to express the most common problem is language fluency (fluency) poor

Choices:
A. Brain injury patients in the communication and expression of the most common problems and cognitive (cognition) is related to poor
B. Language apraxia (apraxia of speech) occur often combined Buka's aphasia (Broca's aphasia)
C. When the right brain damage in communication to express the most common problem is language fluency (fluency) poor
D. Cerebellum (cerebellum) can also cause damage when stuttering (dysarthria)


Question: Thyroid (thyroid gland) surgery, most likely to cause nerve damage following what?

Answer: Recurrent laryngeal nerve (recurrent laryngeal nerve)

Choices:
A. Laryngeal nerve (internal laryngeal nerve)
B. Phrenic nerve (phrenic nerve)
C. The root neck loop (inferior root of ansa cervicalis)
D. Recurrent laryngeal nerve (recurrent laryngeal nerve)


Question: A 30-year-old man has the right upper arm 3 × 7 cm tumor surface ulceration of about 8 months. Patients with axillary and inguinal lymph node pain-free section. The radiation diagram shows a 4 cm left pleural tumor; Abdominal CT showed a 5 cm tumor intraperitoneal. FIG pathology, tumors with high degree of alienation of large cells, cytoplasmic more, some or polynuclear horseshoe-shaped nucleus, infiltration around veins or venous sinus. Patients after chemotherapy can be alleviated. Tumor cells that have the following tag?

Answer: ALK

Choices:
A. ALK
B. CD4
C. c-KIT
D. HTLV-1


Question: A 34-year-old women, the normal menstrual cycle, was found to have unilateral breast cancer, and the ipsilateral axillary lymph node metastasis phenomenon, this patient after receiving partial mastectomy and radiation therapy, the most appropriate disposal Why?

Answer: Do adjuvant chemotherapy 5835-year-old woman, because the skin bruising, bleeding gums, bone pain, fatigue and poor appetite came for treatment, physical examination found chunks of body with multiple bruises, tenderness sternum, the patient appears quite tired. Preliminary blood test results are as follows, hemoglobin 9.2 g / dL, leukocytes 3,200 / μL, platelets 11,000 / μL. The lady most likely diagnosis Why?

Choices:
A. Do not need adjuvant therapy, but to closely track
B. Do sides oophorectomy
C. Taking tamoxifen
D. Do adjuvant chemotherapy 5835-year-old woman, because the skin bruising, bleeding gums, bone pain, fatigue and poor appetite came for treatment, physical examination found chunks of body with multiple bruises, tenderness sternum, the patient appears quite tired. Preliminary blood test results are as follows, hemoglobin 9.2 g / dL, leukocytes 3,200 / μL, platelets 11,000 / μL. The lady most likely diagnosis Why?


Question: Which of the following is the most important impact of vulvar cancer prognostic factor?

Answer: Lymph node metastasis

Choices:
A. Tumor size
B. Tissue type
C. Lymph node metastasis
D. Violations of the urinary system


Question: Which of the following long-term administration of drugs to treat stomach ulcers, easily lead to impotence?

Answer: cimetidine

Choices:
A. omeprazole
B. cimetidine
C. nizatidine
D. ranitidine


Question: Which of the following is the prevalence?

Answer: Teen asthma rate

Choices:
A. Maternal mortality
B. Teen asthma rate
C. Lung cancer mortality
D. The infant mortality rate


Question: Mr. Li because the solution will be dark for three days, and early in the morning began vomiting blood while the case was sent to the emergency room. Note the need for early surgical treatment indications, which of the following error?

Answer: Gastroscopy to a fifth modified Johnson-type classification (modified Johnson classification V) Ulcer

Choices:
A. Gastroscopy to a fifth modified Johnson-type classification (modified Johnson classification V) Ulcer
B. Older than sixty
C. Duodenal diameter larger than two centimeters
D. Bottom ulcers visible blood vessels


Question: About the narrative of pulsus alternans, Which statement is correct?

Answer: In severe left heart failure patients who appear, there are differences between each heartbeat representative of cardiac contractility

Choices:
A. In general, all occur simultaneously with the electrical alternans ECG recording
B. In severe left heart failure patients who appear, there are differences between each heartbeat representative of cardiac contractility
C. When often appear in the early morning
D. Often appear in patients with pulmonary hypertension associated with right heart failure


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

Answer: light chain and heavy chain α-helix structure based

Choices:
A. IgG antibody consists of two light chain (L) and two heavy chain (H) composed of
B. IgG antibody has two antigen binding sites
C. Antibodies to the N-terminal hypervariable loop region may be specific binding to the antigen
D. light chain and heavy chain α-helix structure based


Question: When heart transplant, if the recipient pulmonary artery pressure before surgery is very high, resulting in death after the most likely cause of death was:

Answer: Acute right heart failure

Choices:
A. Acute pulmonary edema
B. Acute right heart failure
C. Acute exclusion
D. Acute pulmonary embolism


Question: Which of the following hurt the most likely cause of the patient's oropharyngeal mucosa general anesthesia?

Answer: Glossopharyngeal nerve (glossopharyngeal nerve)

Choices:
A. Vagus nerve (vagus nerve)
B. Glossopharyngeal nerve (glossopharyngeal nerve)
C. Neck loop (ansa cervicalis)
D. Recurrent laryngeal nerve (recurrent laryngeal nerve)


Question: To investigate the relationship between poverty and childhood obesity, obesity if not 20% of poor children, poor children obesity rate of 40%, the following statements is true?

Answer: Poverty is a risk factor for obesity, the relative risk ratio (relative risk) of 2

Choices:
A. Poverty is a risk factor for obesity, the relative risk ratio (relative risk) of 2
B. Poverty is a risk factor for obesity, the relative risk ratio (relative risk) 1/2
C. Poverty is obese protection factor, relative risk ratio (relative risk) of 2
D. Poverty is obese protective factors, the relative risk ratio (relative risk) 1/2


Question: Vitamin following what is secondary  A (coenzyme A) structural components?

Answer: Pantothenic acid

Choices:
A. Pantothenic acid
B. Ascorbic acid
C. Nicotinic acid
D. Folic acid


Question: In class motion control, Which of the following are among the most under-order execution level?

Answer: spinal cord

Choices:
A. spinal cord
B. Basal ganglia
C. Cerebellum
D. The primary motor cortex of the brain (primary motor cortex)


Question: Taiwan's National Health Insurance is implemented in the beginning of the year?

Answer: 1995

Choices:
A. 1985
B. 1990
C. 1995
D. 2000


Question: Most irrelevant of HIV infection and opportunistic infections which of the following?

Answer: Helicobacter pylori (Helicobacter pylori) infection

Choices:
A. Pneumocystis pneumonia (Pneumocystis pneumonia)
B. Extrapulmonary tuberculosis (Extrapulmonary tuberculosis)
C. Cytomegalovirus retinitis (Cytomegalovirus retinitis)
D. Helicobacter pylori (Helicobacter pylori) infection


Question: Can lead to liver cirrhosis and portal hypertension (portal hypertension), the following kind of situation with hepatic portal hypertension less relevant?

Answer: Hepatic encephalopathy (hepatic encephalopathy)

Choices:
A. Hepatic encephalopathy (hepatic encephalopathy)
B. Esophageal varices (esophageal varices)
C. Hyperactivity splenomegaly and spleen (splenomegaly and hypersplenism)
D. Ascites (ascites)


Question: 21. What type of atrial septal defect (atrial septal defect) most often part of the merger abnormal pulmonary venous return (partial abnormal pulmonary venous return)?

Answer: sinus venosus type

Choices:
A. the first type
B. secondum type
C. sinus venosus type
D. coronary septal defect type


Question: In heme (Heme) raw synthesis process, which of the following is the rate-determining step (rate-limiting step) the enzyme?

Answer: UDP-glucose dehydrogenase

Choices:
A. ferrochelatase
B. Heme oxygenase
C. delta-aminolevulinic acid (δ-ALA) synthase
D. UDP-glucose dehydrogenase


Question: 32.3-year-old boy due to obesity and treatment, basic neonatal screening no abnormalities at birth, nor neonatal past history of low tension. No special physical family history of obesity. Physical examination found that multi-finger (toe) disease (post-axial polydactyly) axis Jie hands and feet, genitalia short dysplasia, eye end of pigmented lesions appear, the boy most likely to suffer Which of the following diseases?

Answer: Bardet-Biedl syndrome

Choices:
A. Bardet-Biedl syndrome
B. Noonan syndrome
C. Prader-Willi syndrome
D. Williams syndrome


Question: Following botulinum toxins (botulism toxin) caused describes the clinical manifestations of severe poisoning, whichever is least likely?

Answer: Delirious

Choices:
A. Diplopia
B. hard to swallow
C. Difficulty breathing
D. Delirious


Question: About Zollinger-Ellison syndrome Which of the following statements is correct?

Answer: In patients with peptic ulcer disease may be in 0.1 to 1%, this symptom hair ⽣ gastrinoma, multiple endocrine neoplasia it

Choices:
A. Because the beta cell endocrine tumor to abnormal secretion Gastrin, zoomed cause gastric acid secretion, causing refractory ulcer
B. In patients with peptic ulcer disease may be in 0.1 to 1%, this symptom hair ⽣ gastrinoma, multiple endocrine neoplasia it
C. With peptic ulcer and erosive esophagitis based on clinical presentation, lower gastrointestinal diarrhea is quite rare ⾒
D. Zollinger-Ellison syndrome the rare possibility of malignant gastrinoma, distant metastasis status rather small ⾒


Question: The following statements about amblyopia (amblyopia), and what's more correct?

Answer: There exotropia children, if not quickly accept the surgery, it will amblyopia

Choices:
A. The reason many congenital amblyopia, so amblyopia will be genetic, not prevention
B. There exotropia children, if not quickly accept the surgery, it will amblyopia
C. Depending ranging from two or amblyopia astigmatism caused more than 3,4 years of age, you can not treat
D. Esotropia hyperopia caused early corrective glasses, amblyopia may be cured


Question: One-year old baby boy paroxysmal crying and there is persistent vomiting, the following priority areas where the disease exclusion?

Answer: intussusception

Choices:
A. Baby hypertrophic pyloric obstruction
B. intussusception
C. Acute appendicitis
D. Bacterial enteritis


Question: Head trauma patients with a clear awareness of the emergency service, blood pressure 85/55 mmHg, breathing 30 per minute, at 120 beats per minute, whichever emergency treatment following an error?

Answer: Only use vasopressors to maintain brain perfusion

Choices:
A. Emergency intubation
B. Immediately give 2000 mL Ringer lactate solution
C. Bedside abdominal ultrasound examination
D. Only use vasopressors to maintain brain perfusion


Question: The most common cause of tracheal stenosis is:

Answer: Intubation complications

Choices:
A. Congenital anomalies
B. Vascular rings
C. Tumor
D. Intubation complications


Question: Special neuropathological lesions of pernicious anemia (pernicious anemia) patients accompanied by what is in the site?

Answer: spinal cord

Choices:
A. White matter
B. spinal cord
C. The cerebral cortex
D. Cerebellum


Question: A 40-year-old woman with bilateral lower extremity edema, shortness of breath, difficulty breathing to the clinic, physical checkups showed bilateral lung auscultation, heart sounds auscultation S3 gallop, echocardiography show left ventricular ejection fraction was 23%. moderate mitral and tricuspid regurgitation, the following statements is wrong?

Answer: Use of beta-blockers (beta-blockers) help the patient prognosis, should begin immediately

Choices:
A. B-type natriuretic peptide (BNP) or N-terminal pro-BNP can be used as indicators of disease severity assessed
B. Health education aspects of the diet should limit salt a day less than 2-3 g
C. Use of beta-blockers (beta-blockers) help the patient prognosis, should begin immediately
D. When the patient still has symptoms after receiving rational drug therapy and ECG QRS> 120 msec, should be considered cardiac


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

Answer: Triglycerides synthesized transported to liver cells surrounding tissues chylomicrons lipoproteins (chylomicrons)

Choices:
A. Lipoproteins and lipid-containing protein, which is responsible for transporting cholesterol (cholesterol), phospholipid (phospholipid) and triglycerides
B. ApoC-II will promote the decomposition of triglycerides in the blood
C. Most of protein-containing lipoprotein is high density lipoprotein (HDL, high density lipoprotein)
D. Triglycerides synthesized transported to liver cells surrounding tissues chylomicrons lipoproteins (chylomicrons)


Question: Which of the following should not be the principle of treatment of strabismus (refractive accommodative esotropia) in view of the children's tune?

Answer: Corrective surgery as soon as possible, once and for all, and so as not to cause amblyopia

Choices:
A. The degree of wear full correction of hyperopia glasses as soon as possible
B. See near objects, the light may increase with bis (bifocals) corrective glasses
C. If there is strabismus and amblyopia, it is best coupled with the shutter therapy (occlusion therapy)
D. Corrective surgery as soon as possible, once and for all, and so as not to cause amblyopia


Question: Which of the following is German measles (Rubella virus) pathogenic mechanisms?

Answer: First proliferation in the respiratory tract, re-infection of the reticuloendothelial system

Choices:
A. Columnar epithelial cells via the digestive tract infection
B. First proliferation in the respiratory tract, re-infection of the reticuloendothelial system
C. Mosquito bites directly viremia
D. In the first muscle proliferation, and spread to the central nervous


Question: The woman touched a lump in the breast, the following statements is wrong?

Answer: Without recess skin (skin dimpling), to eliminate the possibility of breast cancer

Choices:
A. Skin sag (skin dimpling) than breast cancer hardness higher positive predictive value
B. Without recess skin (skin dimpling), to eliminate the possibility of breast cancer
C. If palpable axillary lymph nodes increased the likelihood of breast cancer
D. Skin sag (skin dimpling) are related with the Cooper's ligament


Question: Full-term children's physiological jaundice, jaundice usually peaks in value when it occurs?

Answer: Born 2 to 5 days

Choices:
A. Within 6 hours of birth
B. Within 12 hours of birth
C. Within 24 hours of birth
D. Born 2 to 5 days


Question: Under normal circumstances, following that period of renal tubular reabsorption of sodium ions can not take the initiative?

Answer: Henry's elbow descending branch

Choices:
A. Proximal renal tubule
B. Henry's elbow descending branch
C. The distal renal tubule
D. Cortical collecting pipe


Question: Bile canaliculi (bile canaliculi) complex is formed by joining the body (junctional complex) between those cells following?

Answer: Liver cells and liver cells

Choices:
A. Liver cells and liver cells
B. Liver cells and endothelial cells
C. Ito cells and endothelial cells
D. Endothelial cells and endothelial cells


Question: Krukenberg tumor is a primary means of certain gastrointestinal cancer metastasis to:

Answer: Ovary

Choices:
A. liver
B. lung
C. spleen
D. Ovary


Question: For the treatment of Raynaud's disease clinically vasodilator, whichever of the mechanism of action is inhibition of α1-adrenergic receptor?

Answer: prazosin

Choices:
A. Hydralazine
B. prazosin
C. Minoxidil
D. Sildenafil


Question: Roundworm infection in highly endemic areas, which of the following age groups are roundworm (Ascaris lumbricoides) infection in high-risk groups?

Answer: 5 to 9 years old

Choices:
A. 1 to 4 years old
B. 5 to 9 years old
C. 10 to 15 years old
D. Over 15 years old


Question: The following statements about "Tourette's syndrome" (Tourette's syndrome), the what's wrong?

Answer: Vocal tics often appears earlier than twitch action

Choices:
A. Usually began as a simple twitch action
B. Vocal tics often appears earlier than twitch action
C. Tic symptoms and downs, even if the medication can drag on for a number of
D. Most cases in adulthood, symptoms flatten


Question: From the previous question, in this case, following the disposal of the kind most likely no benefit?

Answer: Start pacemaker

Choices:
A. Start pacemaker
B. The use of intravenous inotropic
C. Vasodilators intravenous
D. Cardiac ultrasound examination for assessment


Question: A fever patient's CT results as shown below, the following statements is true?

Answer: Usually drugs and percutaneous drainage treatment can be

Choices:
A. Usually drugs and percutaneous drainage treatment can be
B. If the patient with shock and multiple organ failure, get surgery to do source control (source control)
C. Surgical liver resection is not the one selected
D. Laparoscopic surgery is not suitable for this disease


Question: Capable of producing diphtheria toxin diphtheria what items have the following characteristics?

Answer: Phage having latent soluble β-

Choices:
A. Is not hemolytic colonies
B. Has a capsule
C. Phage having latent soluble β-
D. Can metabolize urea


Question: 82. Which of the following will be of poor solvent ⾎ ⾎ (hemolytic anemia), low fragmentation plate ⾎ ⼩ ⾎ red ball (schistocytes) occurs with liquid ⾎ smear? ① thrombotic purpura ⾎ ⼩ lower plate (thrombotic thrombocytopenic purpura) ② tumor giant zoomed in ⾎ tube (hemangioma) ③ diffuse inner tube ⾎ ⾎ coagulation (disseminated intravascular coagulation) ④ purpura autoimmune ⾎ ⼩ lower plate (immune thrombocytopenic purpura)

Answer: ①②③

Choices:
A. Only ①②
B. Only ①③
C. ①②③
D. ②③④


Question: Central Health Insurance Bureau bulletin of Family Physicians integrated service system pilot project, the alleged family physicians:

Answer: Join Community Medical Group primary care physicians

Choices:
A. Family Medicine specialist
B. All primary care physicians opened
C. Join Community Medical Group primary care physicians
D. General physicians


Question: A 35-year-old healthy woman, recent week toothache, fever, when to get up in the morning, headache, vomiting, sudden double vision, eye conjunctival edema and prominent, the following statements is wrong?

Answer: Inappropriate treatment with anticoagulants

Choices:
A. Brain magnetic resonance angiography arrangements as soon as possible
B. Aggressive antibiotic-containing treatment
C. Inappropriate treatment with anticoagulants
D. There may be complicated by cerebral hemorrhage of


Question: What's the function of these genes can not be classified as carcinogenic role of intracellular delivery of the message?

Answer: ERBB2

Choices:
A. ABL
B. nice
C. ERBB2
D. β-catenin


Question: For a description of pulmonary rehabilitation (pulmonary rehabilitation), and which of the following error?

Answer: The main purpose of reversing the pathological changes in the lung tissue

Choices:
A. The object of treatment include obstructive pulmonary disease, restrictive lung disease, neuromuscular disease, spinal cord injury patients, etc.
B. The main purpose of reversing the pathological changes in the lung tissue
C. In addition to respiratory rehabilitation training content, expectoration, also including drug optimization, and to assess the physiological function of energy loss of coping (coping skills), education, nutrition counseling and psychosocial support, etc.
D. Training can often result in patients with increased exercise tolerance, improve the lives of function, increase the quality of life, further reducing the consumption of medical resources


Question: The figure is to learn how to change these ovarian tumor tissue?

Answer: benign Brenner tumor

Choices:
A. ovarian fibroma
B. benign Brenner tumor
C. corpus luteum cyst
D. Krukenberg tumor


Question: Lymph nodes that can render a cellular antigen-antibody complexes (immune complexes) to B cells, but also can save long antigens?

Answer: Vesicles prominent dendritic cells (follicular dendritic cells)

Choices:
A. Macrophages edge area (marginal zone macrophages)
B. Macrophages medullary area (medullary macrophages)
C. Vesicles prominent dendritic cells (follicular dendritic cells)
D. Dendritic cells prominent area T cells (dendritic cells in T cell areas)


Question: Which of the following is attached to the tibial tuberosity (tibial tuberosity)?

Answer: Knee ligament (patellar ligament)

Choices:
A. Recommended trochanter ligaments (sacrotuberous ligament)
B. Tibial collateral ligament (tibial collateral ligament)
C. Fibular collateral ligament (fibular collateral ligament)
D. Knee ligament (patellar ligament)


Question: Post-menopausal women with osteoporosis risk factors, does not include which of the following?

Answer: Menopause at a later age

Choices:
A. Petite
B. Family history
C. Menopause at a later age
D. Long-term use of steroids


Question: Post-traumatic stress disorder following about (posttraumatic stress disorder, PTSD) treatment, what's wrong?

Answer: Avoid discussing relevant events in order to reduce their suffering

Choices:
A. Give emotional and psychological support
B. Avoid discussing relevant events in order to reduce their suffering
C. The use of drugs such as selective serotonin reuptake inhibitors (selective serotonin reuptake inhibitors, SSRIs)
D. Teach relaxation techniques


Question: 74 A 36-year-old male patient was sent to emergency room with complaints of sudden breathing difficulties began 30 minutes before, accompanied by a swelling of the throat and chest tightness. Patient's consciousness is still clear, the blood pressure of 70/30 mmHg, heart rate was 130 / min, respiratory rate 32 / min, the body temperature was 36.8 ℃. Physical examination found that the body surface skin redness (cutaneous flushing), two side lung Jie wheezing (wheezing). Family members said previously very healthy, with no history, most recently as cough, runny nose and to the nearby clinic for treatment, said Dr. bacterial infection may need to take antibiotics treatment, eat only half an hour before the onset of first drug. So patient's clinical presentation, following which the disease is most likely?

Answer: Allergic reactions (anaphylaxis)

Choices:
A. Acute bronchitis (acute bronchitis)
B. Asthma attack (asthma attack)
C. Allergic reactions (anaphylaxis)
D. Acute coronary heart syndrome (acute coronary syndrome)


Question: Ms. Chen, 55 had diabetes for 15 years. Past six months, Ms. Chen often blurred vision, leg edema and urinary symptoms such as increased foam. There she learned in eye examination of diabetic retinopathy (diabetic retinopathy). After being referred to the kidneys outpatient, a series of test results are as follows: Plasma: BUN 42 mg / dL, Creatinine 3.0 mg / dL, Na + 145 mEq / L, K + 5.3 mEq / L, Albumin 3.0 g / dL, Cholesterol 350 mg / dL, Triglyceride 400 mg / dL. 24 hours Urine: Volume 1000 mL; Protein 450 mg / dL, Creatinine 120 mg / dL, Na + 44 mEq / L. Please Chan calculated creatinine clearance rate of (clearance of creatinine, mL / min):

Answer: 28

Choices:
A. 56
B. 40
C. 28
D. 20


Question: The following related spiny amoeba keratitis (acanthamoeba keratitis) narrative, what's wrong?

Answer: Prompt administration of appropriate drugs, typically about a week or can be cured and withdrawal

Choices:
A. The main risk factors for contact lens wearers
B. Compared to the herpes simplex keratitis (herpes simplex keratitis), the patient will have a more pronounced eye pain
C. Typical performance for corneal corneal infiltrates annular (ring-shape infiltration)
D. Prompt administration of appropriate drugs, typically about a week or can be cured and withdrawal


Question: The following related amphetamine (Amphetamine) the pharmacological effects and what was wrong?

Answer: Amphetamine can promote appetite, thereby causing bulimia

Choices:
A. Amphetamine is a central nervous stimulant
B. Amphetamine it is used to improve inattention syndrome (attention-deficit / hyperactivity disorder, ADHD)
C. Amphetamine can promote appetite, thereby causing bulimia
D. Cocaine and Amphetamine-dependent interactions occur (cross-dependence)


Question: Narrative about the superior cerebellar peduncle (superior cerebellar peduncle), the error which of the following?

Answer: Containing nerve fibers connected with the inferior olivary nucleus cerebellum (inferior olivary nucleus) of

Choices:
A. It contains ventral spinocerebellar tract
B. Containing nerve fibers connected with the inferior olivary nucleus cerebellum (inferior olivary nucleus) of
C. Cerebellar containing nerve fibers connected to the red nucleus
D. Containing nerve fibers connected to the thalamus and cerebellum


Question: Mr. Lin, 36, right eyelid drooping began 15 years ago, began the phenomenon of double vision after six months; after which the symptoms gradually worsened, even the left eye also produce the same symptoms. Now eyes are not open, the eyes must be opened by hand only see the road, two eyes are not moving around way up and down. There are many people suffering from the same family of diseases, aunt and daughter because of sudden right limb weakness at the age of 24, was diagnosed with stroke; patients sister's son, 7-year-old suffering from epilepsy. Cerebrospinal fluid examination found that patients with lactic acid (lactic acid) is much higher than normal, muscle biopsy in the modified Gomori trichrome stain, visible red cells appear coarse fibrous material. The patient is most likely to suffer from it following a disease?

Answer: Mitochondrial disease (mitochondrial disease)

Choices:
A. Wilson's disease (Wilson's disease)
B. Myasthenia gravis (myasthenia gravis)
C. Thyroid disease (thyroid disease)
D. Mitochondrial disease (mitochondrial disease)


Question: Various gastrointestinal smooth muscle contraction mode, that one is unique to the large intestine smooth muscle contraction?

Answer: Mass action contraction

Choices:
A. Peristaltic wave
B. Segmentation contraction
C. Tonic contraction
D. Mass action contraction


Question: A 68-year-old male patient was sent to the emergency family, complained of breathing difficulties and coughing up blood in large quantities 30 minutes ago. Goodpasture's syndrome patient is a patient, long-term follow in the Division of Rheumatology clinic. Clear consciousness, blood pressure was 100/50 mmHg, heart rate was 120 / min, respiratory rate of 30 / min, the temperature was 36.5 deg.] C, dry La Jie sides lung sound (crackle). Oxygen concentration of 89% (nasal canula: 3L / min), the blood leukocytes of 7800 / mm3, hemoglobin of 9.8 g / dL, C-reactive protein (CRP) was 1.6 mg / dL, chest X-rays show the two sides of the lung Jie diffuse alveolar infiltrates (diffuse alveolar infiltration). So patient's clinical presentation, following which the disease is most likely?

Answer: Pulmonary hemorrhage (pulmonary hemorrhage)

Choices:
A. Lung cancer (lung cancer)
B. Tuberculosis (pulmonary tuberculosis)
C. Pneumonia (pneumonia)
D. Pulmonary hemorrhage (pulmonary hemorrhage)


Question: The following account of the black acanthosis (acanthosis nigricans) of what is wrong?

Answer: For obesity-related acanthosis black, skin lesions were not for weight loss improvement

Choices:
A. May be associated with insulin resistance (insulin resistance) endocrine disease
B. Can be caused by drugs such as niacin (nicotinic acid)
C. After removal of the associated internal malignancy, skin lesions may disappear
D. For obesity-related acanthosis black, skin lesions were not for weight loss improvement


Question: Which of the following is most commonly used to treat onychomycosis (onychomycosis; tinea unguium) of oral medication?

Answer: Terbinafine (for Terbinafine)

Choices:
A. Terbinafine (for Terbinafine)
B. Nystatin (Nystatin)
C. Amphotericin B
D. mphotericin B）


Question: The following related osteoid (osteoid) of the statements is true?

Answer: Organic matter before the calcified bone matrix

Choices:
A. Is completely calcified bone matrix
B. Organic matter before the calcified bone matrix
C. Osteoclasts are cells secretions
D. Is a precursor of cartilage formation


Question: Cefepime increased following which the drug into bacteria (e.g.: enterococci) concentration, and thus with increased antibacterial activity both?

Answer: amikacin

Choices:
A. amantadine
B. amikacin
C. azlocillin
D. aztreonam


Question: The most common pathogen in chronic otitis media with effusion is:

Answer: Haemophilus influenza bacillus (Haemophilus influenzae)

Choices:
A. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
B. Streptococcus pneumoniae (Streptococcus pneumoniae)
C. Haemophilus influenza bacillus (Haemophilus influenzae)
D. Escherichia coli (E. Coli)


Question: 21. The artificial heart-lung machine during cardiac surgery include those of the following devices? ① heat exchanger (heat exchanger) ② aortic clamp (aortic clamp) ③ pump (pump) ④ oxygenator (oxygenator)

Answer: ①③④

Choices:
A. ①②③
B. ②③④
C. ①②④
D. ①③④


Question: In hospital clinicians to avoid suffering why hepatitis B virus infection, commonly used methods of prevention?

Answer: Shi fight hepatitis B vaccine

Choices:
A. Shi fight hepatitis B vaccine
B. Interferon injections
C. Injection of hepatitis B immunoglobulin
D. Active hepatitis B virus infection


Question: Centrilobular emphysema lesions occur mainly in where?

Answer: Respiratory bronchioles

Choices:
A. bronchus
B. Respiratory bronchioles
C. Distal alveoli
D. All the alveoli


Question: Which of the following will not be involved in the regulation of the eye (accommodation) function?

Answer: The curvature of the cornea (corneal curvature)

Choices:
A. Crystalline lens (lens)
B. Zonula fibers (zonular fiber)
C. Ciliary muscle (ciliary muscle)
D. The curvature of the cornea (corneal curvature)


Question: Narrative about the diagnosis of liver cancer (hepatocellular carcinoma), the Which of the following is yes?

Answer: If two kinds of imaging a high blood vessel density found in the liver cancer, while elevated serum fetoprotein, can be diagnosed with liver cancer

Choices:
A. All suspected lesions of the liver, are required to perform tumor biopsies before they can establish the diagnosis
B. As normal serum fetoprotein, to eliminate the possibility of liver cancer
C. If two kinds of imaging a high blood vessel density found in the liver cancer, while elevated serum fetoprotein, can be diagnosed with liver cancer
D. Abnormal liver function, is a necessary condition for the diagnosis of liver cancer


Question: Mr. Zhang, 58 years old, suffering from coronary heart disease and hypertension, currently taking the following medicines, Jinyu using Viagra (sildenafil, viagra), then that should stop taking the drug?

Answer: nitrate

Choices:
A. beta-blocker
B. calcium channel blocker
C. nitrate
D. angiotensin-converting enzyme inhibitor


Question: 41 year old woman, G1P0, 16 weeks gestation, fetal blood tests influenza protein (alpha-fetoprotein, AFP) is too high, Which of the following is least likely diagnosis?

Answer: Down's syndrome

Choices:
A. No brain child
B. Spina Bifida
C. Down's syndrome
D. Omphalocele


Question: Obsessive-compulsive disorder in their lives that most merger mental illness?

Answer: Depression

Choices:
A. Panic Disorder
B. Social phobia
C. Depression
D. Alcohol addiction


Question: Was first approved for the treatment of human AIDS drug AZT (Zidovudine) is a nucleotide analog (nucleoside analog). It inhibits the AIDS virus engine revolutions why?

Answer: Inhibition of HIV reverse transcriptase (reverse transcriptase)

Choices:
A. Suppress the AIDS virus polymerase deoxyribonucleic acid (DNA polymerase)
B. Inhibition of HIV reverse transcriptase (reverse transcriptase)
C. Inhibition of HIV gag protein
D. Inhibition of HIV TAT transcription factor


Question: 6. The following test results more in line with that of a case listed in arterial blood gas analysis and serum electrolytes [pH: 7.32, PaO2: 110 mmHg, mmHg, HCO3-: 18; Na + 138, K + 3.0, Cl- 109 units (electrolyte is mmol / L)]?

Answer: 69-year-old woman with diarrhea three days

Choices:
A. 19-year-old female student to type 1 diabetes, stay up all night because of final exams for two days, forget insulin injections
B. 39-year-old women taking the role of manager of the distal tubule diuretics to lose weight
C. 59 year old woman had chronic kidney disease fifth
D. 69-year-old woman with diarrhea three days


Question: 49.60-year-old man, said the main long-term cough, shortness of breath, with joint pain symptoms recently. See clubbing (clubbing fingers) physical examination. The following should give priority to those diseases included in the differential diagnosis? ① ② acute lung pneumonia, bronchiectasis ③ ④ congenital heart disease, cirrhosis of the liver ⑥ ⑤ Crohn's disease (Crohn's disease)

Answer: Only ①③⑤

Choices:
A. ①②③④⑤⑥
B. Only ③④⑤⑥
C. Only ②④⑤⑥
D. Only ①③⑤


Question: At least up to the age above which, the baby began to complete all the development actions in the figure below?

Answer: Four months

Choices:
A. Months
B. Four months
C. Six months
D. Eight months


Question: Removal of calcium ions within the cytoplasm of skeletal muscle fluid (cytosol), which will produce the following phenomena?

Answer: Actin myosin connected at the protein myosin is rotated occupies

Choices:
A. Actin (actin) Myosin (Myosin) on the connection, the rotated myosin (Tropomyosin) action exposed
B. Myosin rotation will change shape, such rotator (Troponin) junction away from the bridges (cross-bridge)
C. Rotator will change shape, such that the connecting bridge junction exposed
D. Actin myosin connected at the protein myosin is rotated occupies


Question: About cricoid pressure method (cricoid pressure, Sellick's maneuver), the following statements is true?

Answer: When the patient is in a non-fasting (full stomach) state, the compression method to be used cricoid

Choices:
A. In addition cricoid, the thyroid cartilage if compression can achieve the same purpose
B. Only intubation time before use cricoid pressure, can not be used when the ventilation bag-mask
C. This method can completely prevent gastroesophageal reflux and aspiration pneumonia
D. When the patient is in a non-fasting (full stomach) state, the compression method to be used cricoid


Question: The main switch machine which immunosuppressant FK506-binding protein that bind to inhibit phosphate hydrolase enzyme (calcineurin) activity, thereby reducing immune-related cytokine (Cytokine) of generating?

Answer: Tacrolimus

Choices:
A. Cyclosporine
B. Azathioprine
C. Tacrolimus
D. Methotrexate


Question: Statements is following spinal cord injury patients about abnormal autonomic reflex (autonomic dysreflexia) correct?

Answer: This is mainly reflected by the sacral Chuanrushenjing stimulation effect triggered

Choices:
A. Reflex behavior is a parasympathetic nervous system (parasympathetic) of
B. This is mainly reflected by the sacral Chuanrushenjing stimulation effect triggered
C. Clinically, there will be symptoms of low blood pressure and heart rate
D. This situation is common in patients eighth thoracic spinal cord (T8) injured


Question: Miss Lin factor ectopic pregnancy bleeding merger admission, admission hemoglobin: 7.8 mg / dL, physicians should be reported to the surgery and blood transfusions, but patients and their families because of their religious beliefs and therefore, would not agree to surgery but insisted transfusion, doctors believe that blood transfusion is necessary actions, decided to transfusion, physician behavior is appropriate?

Answer: no. Therefore, contrary to the wishes of the patient and clinical management

Choices:
A. Yes. Because physicians need to make their best treatment for the patient diagnosis and treatment obligations
B. Yes. Because physicians have discretion on how medical
C. no. Therefore, contrary to the wishes of the patient and clinical management
D. no. Family members oppose


Question: 82-year-old man living in a nursing home, because three days they unsolved and abdominal distention, vomiting and other symptoms and was sent to the emergency room. Patients often months previously intermittent right upper abdominal cramps, abdominal no scar, no inguinal hernia, abdominal X-ray can be seen that in addition to the significant swell parenterally, dendritic still observed in the right upper quadrant of the pneumatic structure , then this reason the intestinal obstruction in patients most likely to:

Answer: Gallstones intestinal obstruction

Choices:
A. Gallstones intestinal obstruction
B. Abnormal intestinal translocation
C. Intestinal adhesions
D. Intestinal atresia


Question: A 16-year-old male patient, growing up in his right cheek of a tumor to seek treatment, patients have some freckles on his face, on both sides of the armpit there are some brown spots, the most likely diagnosis is which of the following?

Answer: neurofibromatosis

Choices:
A. Gorham Stout disease
B. neurofibromatosis
C. fibrous dysplasia
D. Crouzon's disease


Question: The first step in viral replication protein to the surface of the receptacle recognize virus infected cells (recognition); Rhinovirus cells of the receptacle 14 is:

Answer: Intercellular adhesion molecule (Intracellular adhension molecule, ICAM-1)

Choices:
A. Intercellular adhesion molecule (Intracellular adhension molecule, ICAM-1)
B. The cell surface sialic acid (sialic acid)
C. The cell surface molecules CD4
D. Complement C3 receptors


Question: From the previous question, the surgeon requires the use of epidural regional anesthesia, blood coagulation tests before surgery, which of the following is the proposed project?

Answer: Bleeding time

Choices:
A. Prothrombin time
B. Partial Thromboplastin time
C. Bleeding time
D. Thrombin time


Question: The following parathyroid disease, the most common cause of primary hyperparathyroidism (primary hyperparathyroidism) disease is:

Answer: Adenoma

Choices:
A. Adenoma
B. Proliferate
C. Adenocarcinoma
D. fever


Question: A 65-year-old man to accept the left hip arthroplasty, three days later, suddenly found the situation on the right lower limb swelling. Physical examination, the patient irregular heartbeat, atrial fibrillation there is the phenomenon of the right femoral artery and dorsalis pedis arterial pulse is very clear and there is no difference between the left and, when there is swelling sense of right calf muscle palpation, measuring up around it, larger than the left leg 2 cm. When the skin color and temperature, no difference between the left and right legs, the patient will be bent toward the right foot rear surface (dorsiflexion) operation, the patient's right leg muscles pain, but left no such reaction. Accordance with the preceding narrative, the most likely diagnosis Why?

Answer: On the right side of the lower limb deep vein thrombosis disease

Choices:
A. When the artificial joint surgery, injuries to the femoral vein obstruction caused by reflux
B. Atrial fibrillation, ventricular plug fell perivascular
C. On the right side of the lower limb deep vein thrombosis disease
D. May be lower extremity cellulitis (Cellulitis)


Question: Figure thoracic trauma patients, every half hour to be done to this action, which is the main purpose why?

Answer: To prevent pressure sores

Choices:
A. Avoid back pain
B. Avoid artherosclerosis
C. To prevent pressure sores
D. Prevention of lower extremity edema


Question: Ganglion cyst is the most common benign tumor of the upper limb, it is the most common location is:

Answer: Middle dorsal wrist

Choices:
A. Middle dorsal wrist
B. Abdominal radial wrist (volar radial site)
C. Metacarpal bending wrinkles (metacarpal flexion crease)
D. End of the fingertip joint dorsal


Question: The first-line drugs chronic urticaria (chronic urticaria) treatment Why?

Answer: Antihistamine (antihistamine)

Choices:
A. Steroid (corticosteroid)
B. Antibiotic-containing (antibiotic)
C. Immunosuppressants (immunosuppressant)
D. Antihistamine (antihistamine)


Question: Which of the following does not form the boundaries of the pelvic inlet (pelvic inlet) of?

Answer: 髂嵴（iliac crest）

Choices:
A. 薦岬（promontory）
B. 髂嵴（iliac crest）
C. Pubic crest (pubic crest)
D. Arcuate line (arcuate line)


Question: The following indications for surgery and the account of TB (pulmonary TB), and what's wrong?

Answer: Because preoperative generally weak, with all surgery should be assisted thoracic surgery

Choices:
A. The most common indications for the multi-drug resistant tuberculosis
B. Complicated by fungal infection should consider surgery or large hemoptysis
C. Albumin value before the surgery the patient is preferably higher than 3 g / dL
D. Because preoperative generally weak, with all surgery should be assisted thoracic surgery


Question: From the previous question, abdominal computed tomography (abdominal CT scan) found a 4 cm right adrenal gland tumor of, what would you take disposal?

Answer: ①②③

Choices:
A. ①②③
B. ①③④
C. ①②④
D. ②③④


Question: The following statements about thyroid hormone (thyroid hormones), the what's wrong?

Answer: Free type (free-form) by binding the major hormone receptors on the cell membrane of the target (receptor)

Choices:
A. Mainly by blood-binding protein (binding protein) delivered to target cells (target cell)
B. Free type (free-form) by binding the major hormone receptors on the cell membrane of the target (receptor)
C. Blood half-life is longer than a general class of peptide (Peptide) Hormones
D. Can transcriptional regulation of target cells (Transcription)


Question: If following which cancer metastasis to the spine, can cause bone hyperplasia phenomenon?

Answer: Prostate Cancer

Choices:
A. Stomach cancer
B. Thyroid cancer
C. Colorectal Cancer
D. Prostate Cancer


Question: A 54-year-old woman, goiter, about 1 year no palpitations, heat intolerance, physical examination thyroid slightly harder, the next step does not have to check include:

Answer: CA-199

Choices:
A. T3, tran, T4
B. aspiration cytology
C. Ultrasound
D. CA-199


Question: A 5-year-old boy, came to the emergency room complaining of pain in the scrotum from the right side last night, no fever, normal vitality, which of the following error?

Answer: If the boy standing, hold the scrotum physical examination will relieve pain, more like sub-acute orchitis

Choices:
A. The differential diagnosis includes acute testicular torsion (testicular torsion), sub-acute orchitis, trauma
B. Doppler (Doppler) ultrasound to check if within the testicles to increase blood flow, and a significant increase in white blood cells in the urine, is more likely to show acute vice orchitis
C. If the boy standing, hold the scrotum physical examination will relieve pain, more like sub-acute orchitis
D. When sometimes difficult to distinguish the sub-acute testicular torsion or orchitis, surgery must probe


Question: Benzodiazepine-type sedative - hypnotic (sedative-hypnotic) drugs to speed the rate of action of the body depends on its fat, I ask that one of the following benzodiazepine class of drugs administered when the role of the quickest?

Answer: Diazepam

Choices:
A. Diazepam
B. Chlordiazepoxide
C. Oxazepam
D. Lorazepam


Question: Which of the following calcium ion channels (calcium channel) is all muscle cells are possessed, and is responsible for the release of calcium ions start shrinking?

Answer: Skin 漿網 film on the ryanodine receptor

Choices:
A. Skin 漿網 film on the ryanodine receptor
B. The muscle cell membrane ligand-gated Ca2 + channel
C. Skin 漿網 film on the dihydropyridine receptor
D. The muscle cell membrane L-type Ca2 + channel


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

Answer: [ATP] / [ADP] high

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


Question: Workplace physical hazards that come from more than one of the following?

Answer: The use of special equipment

Choices:
A. product material
B. When labor long hours
C. The use of special equipment
D. Plant layout


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

Answer: Should eat high-protein foods to supplement the physical

Choices:
A. Clinical symptoms can be behavioral changes or hand tremor (flapping tremor)
B. Should eat high-protein foods to supplement the physical
C. Often due to gastrointestinal bleeding induced
D. Blood ammonia (Ammonia) often elevated concentration


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

Answer: Organ exfoliation of type A or type B aortic perfusion (mal-perfusion syndrome), the most common in the brain and intestinal

Choices:
A. Release often associated with hypertension patients aorta or aortic valve disease
B. Diagnostics in photography comprising aorta, esophagus, ultrasound, CT or MRI, diagnostic sensitivity and specificity of 80% on Jie
C. Any acute ascending aorta release (acute type A aortic dissection), immediate need for surgery
D. Organ exfoliation of type A or type B aortic perfusion (mal-perfusion syndrome), the most common in the brain and intestinal


Question: Following on diabetic retinopathy (diabetic retinopathy) What's wrong?

Answer: Petechial hemorrhages, cotton wool spots (cotton wool spot) and retinal neovascularization are all non-proliferative diabetic retinopathy (Non-proliferative diabetic retinopathy) changes fundus

Choices:
A. Progressive changes in small blood vessels (microangiopathy)
B. Petechial hemorrhages, cotton wool spots (cotton wool spot) and retinal neovascularization are all non-proliferative diabetic retinopathy (Non-proliferative diabetic retinopathy) changes fundus
C. With macular edema can cause vision loss
D. The longer diabetes, the higher the probability of concurrent diabetic retinopathy


Question: Small cell lung carcinoma (small cell carcinoma of lung) patients, if the proximal limb weakness, but not paresthesia, repetitive nerve stimulation inspection (repetitive nerve stimulation), found that increasing the reaction (incremental response) phenomenon occurs, it may be which of the following diseases?

Answer: Lambert-Eaton myasthenic syndrome

Choices:
A. Lambert-Eaton myasthenic syndrome
B. Polymyositis
C. Chronic inflammatory demyelinating polyneuropathy
D. Polyradiculoneuropathy


Question: According to the US National Institutes of Health, before surgery insulinoma (insulinoma) Which of the following most accurately positioned to?

Answer: Arterial injection before surgery to calcium stimulation test

Choices:
A. Preoperative MRI
B. Pre-operative angiography
C. Arterial injection before surgery to calcium stimulation test
D. Intraoperative ultrasound scan


Question: The following relevant organ of Corti (organ of Corti) of the narrative, what's wrong?

Answer: The top of the cochlear hair cells responsible for receiving high-frequency sound of the stimulus

Choices:
A. Auditory Ganjueqiguan is located in the basement membrane (basilar membrane) on
B. Containing a single row of hair cells (inner hair cells) and outside rows of hair cells (outer hair cells)
C. The longest of the upper and Film Stereocilia (tectorial membrane) in contact with or embedded therein
D. The top of the cochlear hair cells responsible for receiving high-frequency sound of the stimulus


Question: A 52-year-old man, the original diabetes, hypertension and dyslipidemia, angina pectoris due to undergo cardiac catheterization, whose test results showed left main coronary artery disease (left main lesion), about 60% stenosis. Which of the following is most appropriate treatment is recommended?

Answer: Coronary artery bypass surgery

Choices:
A. Increased use of medications
B. Perform cardiac catheterization balloon dilatation
C. Cardiac balloon dilatation catheter purposes and combined using bare metal stents (bare-metal stent)
D. Coronary artery bypass surgery


Question: About collecting duct (collecting duct) to describe water reabsorption, which of the following error?

Answer: The main use of a first-in-water collecting duct passage (aquaporin-1) increased water reabsorption

Choices:
A. Just inside the tubular fluid into the collecting duct of the genus hypotonic solution (hypotonic solution)
B. Collecting duct by vasopressin (antidiuretic hormone) to change its action for moisture permeability and resorption
C. The main use of a first-in-water collecting duct passage (aquaporin-1) increased water reabsorption
D. In extreme conditions required moisture, 99.7% of the water can be re-absorbed back to the circulation


Question: Which of the following is less likely to cause blood vessels to dilate?

Answer: Diabetes (diabetes mellitus)

Choices:
A. Cardiomyopathy (cardiomyopathy)
B. Cirrhosis (liver cirrhosis)
C. Diabetes (diabetes mellitus)
D. Cataract (cataract)


Question: 7-year-old girl complained in the past month to have intermittent around the umbilical abdominal pain. She often wake up in pain at night when sleeping, and often nausea, and weight loss of the phenomenon, which of the following is least likely to diagnose the girls?

Answer: Functional abdominal pain (functional abdominal pain)

Choices:
A. Bile duct cysts (choledochocyst)
B. Peptic ulcer (peptic ulcer)
C. Crohn's disease (Crohn's disease)
D. Functional abdominal pain (functional abdominal pain)


Question: Which of the following regeneration of Lung Cancer (doubling time) the shortest?

Answer: Small cell carcinoma

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


Question: Which of the following is most likely to cause gastrointestinal disease can not be delayed (achalasia)?

Answer: Esophageal myenteric plexus impairment

Choices:
A. nitric oxide and vasoactive intestinal polypeptide hypersecretion
B. Esophageal myenteric plexus impairment
C. Epiglottis (epiglottis) of deficits
D. Secluded ⾨ stenosis (pylorostenosis)


Question: The main pathological changes depigmentation of vitiligo vulgaris (vitiligo vulgaris), which destroyed the following cell?

Answer: Melanocytes (melanocyte)

Choices:
A. Melanocytes (melanocyte)
B. Epidermal basal cells (basal cell)
C. Lange Han 'cells (Langerhans' cell)
D. Epidermal granular cell (granular cell)