Question: 23 year old man, after oral administration of a drug for two weeks, causing toxic epidermal rhabdomyolysis (toxic epidermal necrolysis), which of the following drugs than those without relevant?

Answer: acetaminophen

Choices:
A. carbamazepine
B. allopurinol
C. acetaminophen
D. phenytoin


Question: 25. The present analysis of human gene (variant alleles) associated with the pathogenicity of autologous immune disease, the presence of this gene is found in a ratio of autoimmune diseases in patients, and then do the expectations of the general population in accordance with the comparison, and get this gene (variant alleles) in autoimmune pathogenicity of the "relative risk" (relative risk). Currently found to have a higher "relative risk" gene for that category of one of the following?

Answer: Human leukocyte antigens (human leukocyte antigens) gene

Choices:
A. Human leukocyte antigens (human leukocyte antigens) gene
B. GM-CSF gene
C. CD4 gene
D. Small GTP-binding protein cdc42 gene


Question: Open fractures of the lower limbs, blood vessel repair needs to be done if, when, belonging to several classes Gustilo classification?

Answer: type III C

Choices:
A. type I
B. type II
C. type III A
D. type III C


Question: About increase in intracranial pressure signs (sign), which of the following error?

Answer: Accelerated heart rate

Choices:
A. Poor state of sanity
B. Pupil dilation response to light deterioration and
C. Accelerated heart rate
D. Increased blood pressure


Question: A baseball pitcher in the game, shoulder pain, was diagnosed as Rotator cuff injuries (rotator cuff injury), that one of the following Rotator cuff muscles are most likely to be injured?

Answer: Spinous process on the muscles (supraspinatus)

Choices:
A. The deltoid muscle (deltoid)
B. Arm triceps (triceps brachii)
C. Pectoralis major muscle (pectoralis major)
D. Spinous process on the muscles (supraspinatus)


Question: Related to Parkinson's disease (Parkinson's disease) rehabilitation therapy, Which of the following is not the most often used?

Answer: Due to the slow movement and coordination disorders patients may be using the treadmill (treadmill) for physical training

Choices:
A. Due to the slow movement and coordination disorders patients may be using the treadmill (treadmill) for physical training
B. Use a walker with wheels (rolling walker) function to help maintain patient activity
C. By resistance exercise (resistance exercise) movement and flexibility (flexibility exercise) Physical therapy to improve patient
D. When patients receive rehabilitation treatment, often requires a variety of audio-visual and tactile and other sensory prompt (cues)


Question: For narrative about kidney proximal tubular reabsorption of water, which of the following error?

Answer: Near the end of the proximal tubules in the liquid, rise to an osmotic pressure 2 times the glomerular filtrate

Choices:
A. Near the end of the proximal tubules in the liquid, rise to an osmotic pressure 2 times the glomerular filtrate
B. Apical membrane of proximal tubular epithelial basolateral a first-in-water channel (aquaporin-1) to assist the inner pipe water is rapidly reabsorbed
C. About proximal tubular resorbable glomerular filtration was 60 to 70% of water
D. Hyperglycemia (e.g., diabetes) is a major cause polyuria proximal tubular impact absorption moisture permeable


Question: A male AIDS patients in Guangdong since the country returned to Taiwan, presented with fever, cough, lung infiltration, lymph node swelling, mild anemia and other symptoms. Blood sample incubated at 25 deg.] C a similar common fungal hyphae with a partition (septate hyphae), conidiophores spores bottle top has a handle-like arrangement of the broom (phialides), pigment red colonies surrounded by diffusion, incubated at 37 [deg.] C in split-type yeast (fission yeast) is presented. The most likely suffering from these kind of disease?

Answer: Maernifei Penicillium disease (talaromycosis or penicilliosis marneffei)

Choices:
A. Candida bacteremia (candidemia)
B. Cryptococcal disease (cryptococcosis)
C. Maernifei Penicillium disease (talaromycosis or penicilliosis marneffei)
D. Pneumocystis carinii disease (pneumocystosis)


Question: Common cause of obstructive jaundice (obstructive jaundice) does not include which of the following?

Answer: Acute hepatitis A

Choices:
A. Biliary calculi
B. Ampulla cancer (ampulla of Vater cancer)
C. Pancreatic head tumor
D. Acute hepatitis A


Question: Following a nerve damage that can cause elbow flexion (flexion) weakness?

Answer: Musculocutaneous nerve (musculocutaneous nerve)

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


Question: As a patient in the early exercise dyspnea occurred, the reason is most unlikely:

Answer: Stable left to right shunt foramen ovale side (left to right shunt)

Choices:
A. Lung excessive dead space (dead space)
B. Premature accumulation of lactic acid (lactic acidosis)
C. Oxygen (oxygen saturation) decreased
D. Stable left to right shunt foramen ovale side (left to right shunt)


Question: Which of the following inhaled anesthetics increase the metabolic rate of the brain?

Answer: nitrous oxide

Choices:
A. halothane
B. nitrous oxide
C. desflurane
D. sevoflurane


Question: Due to acute appendicitis appendectomy surgery on a month ago, after the original surgery right lower abdominal incision touch a skin nodules, microscopic examination showed macrophages, lymphocytes, plasma cells and multinucleated giant cells, there has also polarized refraction material. Which of the following best suited to explain this situation nodules?

Answer: Suture granuloma caused

Choices:
A. TB skin infections
B. Wound infection, abscess caused
C. Suture granuloma caused
D. Crab foot swelling caused by surgery (Keloid)


Question: Statements about the method of treatment of cancer pain, which of the following error?

Answer: Patient-controlled analgesic drug is the most convenient and easiest method of

Choices:
A. According to the WHO analgesic ladder (analgesic ladder), analgesic drugs selected, the severity of the illness and solely used by the weak to strong
B. Patient-controlled analgesic drug is the most convenient and easiest method of
C. Auxiliary agents including sedatives, hypnotics, antiemetics, stool softeners, steroids, anti-anxiety and depression agents, antiepileptic agents
D. Nerve damage surgery (neurolytic block) may be effective in some cases of local relieve pain, reduce the dose of analgesics


Question: Which of the following is a lawful medical advertising?

Answer: Specializes in the promotion of medical institutes, professional treatment divisions

Choices:
A. By excerpts from medical journals propaganda content
B. Use medical journals propaganda gift
C. Specializes in the promotion of medical institutes, professional treatment divisions
D. To publicize an open question and answer


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

Answer: Producing a fourth heart sounds usually associated with left heart blood flow related, such as mitral valve regurgitation

Choices:
A. The first heart sound is atrioventricular valve (mitral and tricuspid)
B. The second heart sound for the aortic and pulmonary valve
C. The second heart sound usually produce physiological cleavage (physiological splitting of S2) during normal intake
D. Producing a fourth heart sounds usually associated with left heart blood flow related, such as mitral valve regurgitation


Question: The following statements about stimulating hormone (cytokine), He's wrong?

Answer: Cytokines IL-4 B-lymphocytes is secreted, can stimulate a large number of antibody secreting plasma cells

Choices:
A. All cytokines are proteins, glycoproteins, compared with some
B. Communication between cells of the bridge, sometimes two or more cells in a cell hormone (cytokine) may act
C. Each cytokine (Cytokine) to act on the cell, the cell surface receptor shall
D. Cytokines IL-4 B-lymphocytes is secreted, can stimulate a large number of antibody secreting plasma cells


Question: 57. A 36-year-old man, cause neck pain and bilateral weakness, sensory abnormalities, axial CT image of the imaging (axial images) display appears dual-chamber images (double in the sixth and seventh cervical spine in a car accident -lumen sign). In accordance with the results of this check, which of the following is the most appropriate diagnosis sixth, seventh cervical vertebra?

Answer: Dislocation (dislocation)

Choices:
A. Compression fractures (compression fracture)
B. Burst fractures (burst fracture)
C. Fracture facet joints (facet fracture)
D. Dislocation (dislocation)


Question: Respiratory tract infections in infants often, lips cyanosis, can be heard on the left chest systolic heart murmur 3/6 degrees, and have heart failure, ECG showing QRS mandrel being 240 degrees, right ventricular hypertrophy; cardiac ultrasound diagram of another serious mitral valve regurgitation. At this point the most likely of congenital heart disease are:

Answer: Atrio-ventricular septal defect (atrioventricular septal defect)

Choices:
A. Large ventricular septal defect
B. Large patent ductus arteriosus
C. Atrio-ventricular septal defect (atrioventricular septal defect)
D. Full abnormal pulmonary venous return (total anomalous pulmonary venous return)


Question: A 22-year-old woman, G0P0, complained married two years is not pregnant. Patients height 155 cm, weight 95 kg, without any surgery or medical history before history. Usual menstrual irregularities, a year only about 4 to 5 times menstruation. Based on the above description, the factors most likely to cause infertility why?

Answer: Ovarian factors

Choices:
A. Uterine factor
B. Ovarian factors
C. Tubal factor
D. Cervical factor


Question: One patient from treatment due to weight loss, the appropriate preliminary examination (initial testing) does not include which of the following?

Answer: Esophagogastroduodenoscopy

Choices:
A. Complete blood count (CBC) (complete blood count)
B. Check liver function
C. Esophagogastroduodenoscopy
D. Chest X-ray


Question: About right ventricular infarction, the following statements is wrong?

Answer: Because with right ventricular failure, must limit the use of diuretics and water intake

Choices:
A. Accounting for about one-third of patients with myocardial infarction of inferior wall
B. Often associated with low blood pressure
C. ST-segment changes occurred in the right chest lead section
D. Because with right ventricular failure, must limit the use of diuretics and water intake


Question: Which of the following is not a primary trauma assessment, there will be the risk of injury ⽣ life now?

Answer: Auto spontaneous pneumothorax (spontaneous pneumothorax)

Choices:
A. Center Weighted tamponade disease (cardiac tamponade)
B. Auto spontaneous pneumothorax (spontaneous pneumothorax)
C. Airway obstruction (airway obstruction)
D. Flail chest (flail chest) and pulmonary contusion (pulmonary contusion)


Question: Auditory receptors located in the following Where?

Answer: inner ear

Choices:
A. middle ear
B. external auditory canal
C. tympanic membrane
D. inner ear


Question: 40-year-old woman, moon face, acne, there are buffalo shoulder. Found eight in the morning blood ACTH <5.0 pg / mL, cortisol 22.6 μg / dL, four o'clock ACTH <5.0 pg / mL, cortisol 24.6 μg / dL, 23:00 oral administration of 1 mg dexamethasone, eight in the morning the next day cortisol 20.0 μg / dL. Which of the following is correct?

Answer: Further to do adrenal computed tomography

Choices:
A. Further to do adrenal computed tomography
B. This is a diagnosis of Cushing's disease patients
C. After the surgery without taking cortisone acetate
D. It is clear that long-term use of dexamethasone patients


Question: Which of the following is not a disease diagnosis related groups (DRGs) classification of patient variables?

Answer: Physiological traits

Choices:
A. Age, gender
B. Surgery category
C. Physiological traits
D. Disease diagnosis


Question: Commonly used to treat the herpes virus acyclovir (Acyclovir) is phosphorylated enzyme which the virus, thereby inhibiting the replication of the virus?

Answer: Thymidine kinase (thymidine kinase)

Choices:
A. Cytidine kinase (cytidine kinase)
B. Thymidine kinase (thymidine kinase)
C. Tyrosine kinases (tyrosine kinase)
D. Cyclin-dependent kinases (cyclin dependent kinase)


Question: 4856-year-old male, sudden severe headache, has shown a coma was taken to the emergency room. The figures are anxious to do a CT image, cause this type of spontaneous intracranial bleeding, the most common reasons are:

Answer: The possibility of intracranial aneurysms original (aneurysm) rupture

Choices:
A. With bleeding tendency, such as leukemia, liver cirrhosis or taking anticoagulants
B. The possibility of intracranial arteriovenous malformations original (Arterio-venous malformation, AVM) rupture
C. The possibility of intracranial aneurysms original (aneurysm) rupture
D. The possibility of intracranial hemorrhage original high tendency of brain tumor (brain tumor) bleeding caused by a brain tumor (tumor bleeding)


Question: Tensor fascia lata (tensor fasciae latae) atrophy, which of the following may be caused due to damage?

Answer: Superior gluteal nerve

Choices:
A. Superior gluteal nerve
B. Gluteal nerve
C. Obturator nerve
D. Sciatic nerve


Question: Belong to Type IV hypersensitivity granulomatous reaction (Type Ⅳ granulomatous hypersensitivity) usually How long will it produce?

Answer: 21-28 days

Choices:
A. 30 minutes
B. 6-12 hours
C. 48-72 hours
D. 21-28 days


Question: The following narrative about human degenerative arthritis (osteoarthritis), and what's wrong?

Answer: Does not appear inflammation (inflammation) phenomenon

Choices:
A. Good men and women of different hair joint position
B. Joint often occurs as hip and knee
C. Does not appear inflammation (inflammation) phenomenon
D. The most common risk factor (risk factor) were age


Question: 1 year 8 months large children, due to a large number of brick red blood will seek treatment, the patient no fever, no abdominal pain, Which of the following is the most likely diagnosis?

Answer: Meckel's diverticulum bleeding (Meckel's diverticulum)

Choices:
A. Intestinal stack
B. Salmonella enteritidis
C. Meckel's diverticulum bleeding (Meckel's diverticulum)
D. Anal fissure


Question: Which of the following drugs can reduce levodopa decarboxylase be metabolized surrounding tissue, reduced dosage and side effects of levodopa?

Answer: carbidopa

Choices:
A. carbidopa
B. ropinirole
C. amantadine
D. benztropine


Question: Narrative about the genotype of the hepatitis B virus, which of the following error?

Answer: Basically after infection clinical course and severity of virus subtypes

Choices:
A. At least 8 isoforms (subtypes), and 10 genotypes (A-J)
B. Basically after infection clinical course and severity of virus subtypes
C. Genotype B compared to genotype C, D, there is a lower risk of cirrhosis and liver cancer
D. A genotype or without receiving antiviral therapy, compared to other genotypes, there is a high probability of surface antigen (HBsAg) or disappearance of e antigen (HBeAg) disappear


Question: When asthma sick children with acute asthma attack to the emergency room, following the disposal of what are the most inappropriate?

Answer: Given inhaled steroids (inhaled corticosteroid)

Choices:
A. Give oxygen (O2) inhalation
B. Administration of inhaled short-acting bronchodilators (short-acting β2 agonist)
C. Given inhaled steroids (inhaled corticosteroid)
D. Administration of inhaled anticholinergic drugs (inhaled anticholinergics)


Question: 1-day-old full-term baby, birth were found to have congenital deformities and heart murmur. Birth weight of 1.8 kg, 43 cm length, 31 cm in head circumference; Zhang Liqiang muscle (hypertonia); deformity of its hands as shown in FIG. Which of the following for the most common with heart disease?

Answer: Ventricular septal defect (ventricular septal defect)

Choices:
A. Pulmonary stenosis (pulmonary stenosis)
B. Aortic arch constriction (aortic coarctation)
C. Method Rockwell Snap disease (tetralogy of Fallot)
D. Ventricular septal defect (ventricular septal defect)


Question: 1 25-year-old now appears a potential sexual organs of brain-dead donors, these patients require that a heart-lung transplant (heart-lung transplantation)?

Answer: The combined primary myocardial disease pulmonary hypertension secondary generalization

Choices:
A. Stage emphysema (end-stage emphysema)
B. Ischemic heart disease (ischemic heart disease)
C. Primary pulmonary hypertension (primary pulmonary hypertension)
D. The combined primary myocardial disease pulmonary hypertension secondary generalization


Question: Human monocytic ehrlichiosis ball body's disease (human monocytotropic ehrlichiosis) have sustained fever, headache, general or local muscle pain, liver and spleen and lymph nodes and other symptoms usually appear less skin rash, infection by Ehrlichia canis due, is an emerging infectious disease. Account of this disease, which of the following error?

Answer: The original of the pathogenic cell wall composed mainly of peptidoglycan

Choices:
A. Doxycycline Tetracycline or the disease can be used for treatment
B. The causative agent of an intermediary to tick (Ixodes) based
C. The causative agent of parasites in the infected granulocytes, monocytes, platelets and red blood cells
D. The original of the pathogenic cell wall composed mainly of peptidoglycan


Question: The following analgesics whichever does not have anti-inflammatory effect (anti-inflammatory effect)?

Answer: acetaminophen

Choices:
A. acetylsalicylic acid
B. acetaminophen
C. ibuprofen
D. celecoxib


Question:
Perinatal asphyxia 79.14-year-old bell at birth due to take place, resulting in a severe brain injury, the reaction of the outside world just a little twist of the body and throat blurry sound, ten years no significant changes in this situation. His parents can no longer care for him because of old age, three years ago he moved into institutional care severely disabled. Two days ago in a few hours after the nasogastric tube feeding shortness of breath phenomenon, doctors give special agency after the situation has not improved oral medication, emergency nurses agency sent him to the hospital, you do the relevant checks to him in the emergency room, he was found on both sides of severe pneumonia, blood gas analysis showed severe respiratory failure, requiring urgent intubation make use of a respirator. But unable to contact his parents, and the case of a small bell on the use of oxygen and nasal positive pressure device
 Has not improved, and hypotension phenomenon, this time that one of the following practices most appropriate?

Answer: According to your professional judgment to him endotracheal intubation and respirator use

Choices:
A. Continued to contact his parents and continue the current treatment, but not intubation
B. It invited to send a small bell to the nursing staff to make decisions
C. Call agency heads and asked him to make a decision
D. According to your professional judgment to him endotracheal intubation and respirator use


Question: 30-year-old male patient complained of acute vision loss, eye pain merger to emergency department visits. Which of the following is most likely diagnosis?

Answer: Optic neuritis (optic neuritis)

Choices:
A. Optic neuritis (optic neuritis)
B. Central retinal artery occlusion (central retinal artery occlusion)
C. Central retinal vein occlusion (central retinal vein occlusion)
D. Temporal arteritis (temporal arteritis)


Question: The following fat-soluble antibiotics whichever of the largest, most easily through the blood brain barrier into the central nervous system (blood brain barrier) for the treatment of meningitis?

Answer: rifampin

Choices:
A. cefazolin
B. erythromycin
C. gentamicin
D. rifampin


Question: After the amputation, Which of the following does not belong to the stump end (stump) common cause of pain?

Answer: Stump end blood clots

Choices:
A. Wound infection
B. Stump end periosteal bone spurs or
C. Nerve stump tip end of neoplasia or nerve stimulation
D. Stump end blood clots


Question: Herpes virus infections often caused by viruses establish latent infection in the host, which varicella - zoster virus (VZV) causes chicken pox and adult children banding of the herpes virus establishing latent infection in which of the following?

Answer: Nerve cell

Choices:
A. skin
B. liver
C. Nerve cell
D. spleen


Question: Of Fentanyl patch (Fentanyl patch) is often used to control cancer pain, but the pain after the operation to control primarily because few:

Answer: And respiratory depression after 10-12 hours for an analgesic concentration in the blood to reach the post-operative pain control Nanyiyuce

Choices:
A. When you stop using the patch of Fentanyl analgesic efficacy abruptly disappear
B. Intestinal obstruction (ileus) and resistance (Tolerance) faster than Morphine
C. And respiratory depression after 10-12 hours for an analgesic concentration in the blood to reach the post-operative pain control Nanyiyuce
D. After the desired dose is too high to control the operation of Fentanyl clinical pain


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

Answer: During ⺟ breast-feeding, the need to avoid pro-⺟ food made with high food allergies

Choices:
A. ADVANCED recommended for pregnant women to avoid eating without food allergies (such as seafood, flowers ⽣, etc.)
B. Food is recommended to start adding 4 to 6 Month zoomed
C. Yet there are international guidelines recommend routine infant Using the beneficial bacteria to prevent allergies ⽣
D. During ⺟ breast-feeding, the need to avoid pro-⺟ food made with high food allergies


Question: When the cause of the implementation of artificial reproductive technology (ART), the occurrence of luteal phase (Luteal phase defect) does not contain:

Answer: Treatment of vaginal progesterone substituted intramuscular

Choices:
A. Not produce enough gonadotropin and progesterone during ovulation
B. When the oocyte retrieval procedure, granulosa cells destroy
C. Treatment of vaginal progesterone substituted intramuscular
D. Drugs used to suppress endogenous luteinizing generating hormone (LH) of


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

Answer: Bleuler 4 As Lenovo containing barriers (associational disturbances of thought)

Choices:
A. Kraepelin and Bleuler consistent view that the function of patients with schizophrenia will continue to deteriorate
B. Kraepelin was first named schizophrenia (schizophrenia) of scholars
C. Bleuler 4 As Lenovo containing barriers (associational disturbances of thought)
D. Kraepelin called three serious mental illness does not include paranoia (paranoia)


Question: Which of the following is not a diabetes clinical manifestations of the third nerve lesions?

Answer: Proptosis

Choices:
A. Ptosis
B. Eye muscle paralysis (ophthalmoplegia)
C. Pupillary reaction normal
D. Proptosis


Question: Which of the following is not suitable for most drugs "(EIB) exercise-induced bronchospasm" for prevention?

Answer: Theophylline

Choices:
A. Cromolyn
B. Terbutaline
C. Salmeterol
D. Theophylline


Question: Parasympathetic release of ACh role in the muscarinic receptor, can cause smooth muscle contraction, mainly to increase Which of the following second messenger?

Answer: IP3

Choices:
A. cAMP
B. cGMP
C. IP3
D. PIP2


Question: 52-year-old female, height 160 cm, weight 58 kg, complained of insomnia, anxiety and hot flashes, bone density scans presented osteopenia (osteopenia), a recent period was two years ago, no history of surgery or medical history before. This hormone therapy given to patients with the most suitable justification for which of the following?

Answer: Reduce the risk of osteoporosis

Choices:
A. Reduce the risk of disease Ezihaimo
B. Reduce the risk of venous thrombosis disease
C. Reduce the risk of osteoporosis
D. Reduce the risk of endometrial cancer


Question: Dispose of the facial trauma and fractures (facial trauma & fracture), the following statements is wrong?

Answer: If there are serious eye screening nose (nasal-orbitoethmoid) or skull fracture should be given the nasal endotracheal intubation (nasotracheal intubation) to maintain

Choices:
A. Frontal bone fracture (forehead fracture) to consider whether the frontal sinus and skull base injury
B. If there are serious eye screening nose (nasal-orbitoethmoid) or skull fracture should be given the nasal endotracheal intubation (nasotracheal intubation) to maintain
C. The mandibular jaw bone fracture patients do not have to do tracheostomy (tracheostomy), tube (endotracheal tube) can be maintained with endotracheal airway
D. Processing mandibular fractures (mandibular fracture), emphasizing the stability of the fixation nip and stable


Question: Which of the following is most likely to cause of placental abruption (placental abruption) of?

Answer: High blood pressure (hypertension)

Choices:
A. High blood pressure (hypertension)
B. Uterine fibroids (leiomyoma)
C. Thrombosis (thrombophilia)
D. Smoke (cigarette smoking) 26. Under abnormal placental FIG whichever belongs to?


Question: Mr. Liu, 17, 35 years old, diagnosed with HBe antigen-positive chronic hepatitis B of the current security can receive stem (Lamivudine) for 6 months. The following statements is wrong?

Answer: HBe antigen disappears, can be discontinued, but to track as closely to detect relapse (relapse)

Choices:
A. An acceptable to treat dry year HBe antigen disappearance rate of about 20%
B. Security can accept the dry year of treatment resistance (drug resistance) rate of about 20%
C. An energy resistance occurs when dry, can be combined dry fitness (Adefovir) for long-term treatment
D. HBe antigen disappears, can be discontinued, but to track as closely to detect relapse (relapse)


Question: Tourette's syndrome (Tourette's disease) takes medication, which is the drug of choice is which of the following?

Answer: High titer (high-potency) antipsychotics

Choices:
A. Tricyclic antidepressants
B. High titer (high-potency) antipsychotics
C. Lithium salt
D. Mood stabilizers (mood stabilizers)


Question: Brain cistern (cisterna magna) level:

Answer: Extension of the junction with the rear of the brain cerebellum

Choices:
A. Between the cerebral peduncle fossa (interpeduncular fossa)
B. Quadrigeminal rearward
C. Bridge 腦前 how
D. Extension of the junction with the rear of the brain cerebellum


Question: When according to the formula 61, when a patient is total cholesterol 287 mg / dL, triglycerides of 175 mg / dL and high-density lipoprotein cholesterol (HDL-C) was 90 mg / dL, low-density lipoprotein calculated protein cholesterol (LDL-C) is how much?

Answer: 162 mg/dL

Choices:
A. 22 mg/dL
B. 85 mg/dL
C. 130 mg/dL
D. 162 mg/dL


Question: 41. The test pad (pad test) is often widely to apply it to the patient-led research to understand the effectiveness of the treatment of urinary incontinence, pad test at 24 smaller size

Choices:
A. 0
B. 1
C. 2
D. 4


Question: Statements about thiazides diuretics, which of the following error?

Answer: Reduce sympathetic activity

Choices:
A. Generating natriuresis
B. Reduced peripheral vascular resistance
C. Reduce sympathetic activity
D. Increase in uric acid concentration in blood


Question: A car accident 24-year-old man suddenly appeared on the right lower extremity weakness and left lower extremity paresthesia, the hospital examination revealed right lower extremity muscle strength decline, the left lower limb pain sensation of hot and cold fall and extending to the same side of the navel, associated with double deep tendon reflexes and the emergence of abnormal enhancement of Babinski reflex, most likely the patient neuroanatomical lesions why?

Answer: The right side of thoracic spinal cord

Choices:
A. Extension of the right side of the brain
B. The left side of the brain
C. The right side of thoracic spinal cord
D. The left thoracic spinal cord


Question: When the patient upper body upright posture pleural puncture, following a position that is most likely to hurt the lungs?

Answer: Scapular line (scapular line) ninth intercostal

Choices:
A. Midclavicular line (midclavicular line) 8th intercostal
B. Scapular line (scapular line) ninth intercostal
C. Axillary line (midaxillary line) ninth intercostal
D. Next to the 10th thoracic intercostal


Question: Type B aortic dissection disease, surgery needed, is a way of treatment:

Answer: The intimal gap (Intimal tear) arterial resection, artificial blood vessels to a short adapter, so that pseudo cavity (False lumen) Close

Choices:
A. Must be cut to the diaphragm descending aorta to graft replacement
B. The intimal gap (Intimal tear) arterial resection, artificial blood vessels to a short adapter, so that pseudo cavity (False lumen) Close
C. The descending aorta with a graft from the outside package together, to avoid cracking
D. In the front and rear ends of the gap at the inner membrane, artificial vascular bypass


Question: A 12-year-old boy complained of sudden abdominal pain and slight fever, abdominal tenderness physical examination found significant (guarding). Biochemical tests showed that the serum amylase (amylase from) was 620 U / L. To confirm the diagnosis, your next step should be how to detect the following items?

Answer: Serum lipase (lipase)

Choices:
A. Serum amylase determination was
B. Fecal fat (fecal fat)
C. Glucose (blood sugar)
D. Serum lipase (lipase)


Question: The following description of adolescent behavior problems and what was right?

Answer: Physical, psychological, social and environmental changes are not synchronized, associated with risk-taking behavior

Choices:
A. Risk-taking behavior of young people has nothing to do with the male hormone
B. Risky sexual behavior of young people do not belong
C. Physical, psychological, social and environmental changes are not synchronized, associated with risk-taking behavior
D. Substance abuse is usually used in combination stimulants, marijuana and cocaine


Question: Which of the following drugs in combination with the separation of the fastest rate of sodium channel?

Answer: lidocaine

Choices:
A. quinidine
B. amiodarone
C. flecainide
D. lidocaine


Question: What headache particularly occurs in men?

Answer: Cluster headache (cluster headache)

Choices:
A. Harbinger of migraine (migraine with aura)
B. No sign of migraine (migraine without aura)
C. Crunch-type headache (tension-type headache)
D. Cluster headache (cluster headache)


Question: Smoking cessation clinic has a 40-year-old male patient wants to take action to quit smoking within a month, is part across the theoretical models that period (transtheoretical model) in it?

Answer: Consider phase (preparation)

Choices:
A. No consideration phase (precontemplation)
B. Consider phase (preparation)
C. Contemplation stage (contemplation)
D. Action stage (action)


Question: Patients do brain biopsy, microscopic observation that neurons bite phenomenon (neuronophagia), the most commonly occurring variations in how these conditions?

Answer: Viral encephalitis

Choices:
A. Ischemic necrosis liquefaction
B. Viral encephalitis
C. Neurodegenerative diseases
D. Highly malignant brain tumor


Question: 40-year-old pregnant woman suffering from excessive thyroid function, anti-thyroid stimulating hormone receptor antibody (anti-TSH receptor antibody) of Ge Ruifu's disease (Graves' disease) occurs. After the successful production, found a small baby 2000 grams heavy, easily frightened, very difficult to sleep, low milk volume, check the body also anti-thyroid stimulating hormone receptor antibody. The reason why?

Answer: Anti-immune diseases mother autologous thyroid stimulating hormone receptor antibody is IgG, through the placenta, causing temporary symptoms small baby

Choices:
A. In this example because due to genetic Ge Ruifu's disease
B. Anti-immune diseases mother autologous thyroid stimulating hormone receptor antibody is IgG, through the placenta, causing temporary symptoms small baby
C. Characteristics of Ge Ruifu's disease causes little baby vivo CD4 + CD25 + regulatory T cells (CD4 + CD25 + cells of Treg) increased
D. Characteristics of Ge Ruifu's disease causes little baby in vivo anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) increased


Question: The figure below displays the main reason girls have to walk within eight gait is:

Answer: Internal rotation of the femur (femoral medial torsion)

Choices:
A. Tibia 內旋 (tibial medial torsion)
B. Tibia lateral rotation (tibial lateral torsion)
C. Internal rotation of the femur (femoral medial torsion)
D. External rotation of the femur (femoral lateral torsion)


Question: Which of the following circumstances, the most unlikely there will be a wide pulse pressure (wide pulse pressure)?

Answer: Mitral stenosis

Choices:
A. Hyperthyroidism
B. anemia
C. Aortic valve regurgitant flow
D. Mitral stenosis


Question: Related to adrenaline (epinephrine) and norepinephrine (norepinephrine) liter of blood pressure, which of the following description of the error?

Answer: The main effect of adrenaline or blood pressure via alpha] l adrenergic receptors (α1-adrenergic receptors)

Choices:
A. The main effects of epinephrine or blood pressure increase heart rate and force of contraction of the heart
B. Administration of norepinephrine can cause reduced reflective heartbeat
C. The main effect of adrenaline or blood pressure via alpha] l adrenergic receptors (α1-adrenergic receptors)
D. L primarily norepinephrine blood pressure via increased peripheral vascular resistance


Question: Which of the following and neurosyphilis (neurosyphilis) are associated with each other?

Answer: Argyll-Robertson pupil

Choices:
A. Argyll-Robertson pupil
B. Marcus-Gunn pupil
C. Horner's pupil
D. Adie's pupil


Question: The reason directional neurotransmission is because:

Answer: Ion channels (ion channel) proteins play a role in desensitization (desensitization)

Choices:
A. Ion channels (ion channel) proteins play a role in desensitization (desensitization)
B. Having a specific ion channel protein (specificity)
C. With directional transfer of calcium ions in nerve cells
D. Calmodulin (Calmodulin) having a directional transmission of nerve cells


Question: Which of the following does not belong to the striatum (corpus striatum)?

Answer: 黑 質 (substantia nigra)

Choices:
A. Caudate nucleus (caudate nucleus)
B. 殼部（putamen）
C. 黑 質 (substantia nigra)
D. Globus pallidus (globus pallidus)


Question: Mr. Lin, a technology company executives depart for the United States New Jersey region in two weeks visit had been subjected to an unknown parasite bites have eight legs during travel, tourism, one week after returning fever, chills, headache and muscle pain and other symptoms, hospital detection result thrombocytopenia, hemolytic anemia and mild found in red blood cell nucleated bis (binucleateform) of the parasite. Based on the above results, Lin parasitic disease which most likely to be infected?

Answer: Barbados's protozoan disease (babesiosis)

Choices:
A. Lyme disease (Lyme disease)
B. Barbados's protozoan disease (babesiosis)
C. Scrub typhus (scrub typhus)
D. Ai rickettsial disease (ehrlichiosis)


Question: Which of the following aortic balloon pump (intra-aortic balloon pump) the best use of time?

Answer: Mitral chordae rupture countercurrent with acute severe mitral

Choices:
A. L acute aortic dissection with acute severe aortic countercurrent
B. Aortic aneurysm with chronic severe aortic countercurrent
C. Mitral chordae rupture countercurrent with acute severe mitral
D. Infectious abdominal aortic aneurysm merger hemorrhagic shock


Question: 42 year-old man complained of recent days, severe headache, nausea, stiff neck, and to the emergency room, injection developer (Gd-DTPA) as shown in MRI imaging, diagnosis is:

Answer: Brain abscess (brain abscess)

Choices:
A. Brain abscess (brain abscess)
B. Acute cerebral infarction (acute infarction)
C. Absorption clot (resolving intracerebral hemorrhage)
D. Aneurysm (aneurysm)


Question: 38 A 28-year-old man riding a motorcycle not wearing a helmet, a car accident caused by head trauma to the emergency room, the hospital when the CT display trace left temporal lobe brain contusion hemorrhage, coma index was 14 points, the hospital administration reducing intracranial pressure, etc. gradually regained consciousness after drug treatment, two weeks after discharge. Unfortunately, months later, the patient left prominence associated with conjunctival hyperemia, and intracranial hear abnormal sounds, then following that diagnosis correct?

Answer: Traumatic carotid cavernous tube (Traumatic Carotid-Cavernous fistula)

Choices:
A. Traumatic arteriovenous tube (Traumatic AV fistula at the transverse sinus)
B. Traumatic carotid cavernous tube (Traumatic Carotid-Cavernous fistula)
C. Arteriovenous cerebral cortex tube (Cortical artery and venous fistula)
D. Traumatic intracranial aneurysms (Traumatic intracranial aneurysm)


Question: Observed when cystic hygroma (cystic hygroma) in the second or third trimester fetus should be suspected the most likely correlated with abnormal chromosome which of the following?

Answer: monosomy

Choices:
A. triploidy
B. trisomy 18
C. trisomy 21
D. monosomy


Question: 12. Under normal rest state, the surrounding tissue after gas exchange in the blood, leaving the tissue hemoglobin oxygen saturation therein (hemoglobin oxygen saturation) is approximately:

Answer: 75%

Choices:
A. 90%
B. 75%
C. 50%
D. 25%


Question: Patients in the use of antibiotics for treating infectious diseases, diarrhea is often the case, the following statements is wrong?

Answer: If the diarrhea symptoms persist, you can use injection type of Metronidazole or Vancomycin to treat patients

Choices:
A. pseudomembranous colitis is mainly caused by the Clostridium difficile
B. Stool culture bacteria and germs toxin detection can be used to diagnose pseudomembranous colitis
C. Most of the patients after discontinuation of antibiotics, diarrhea symptoms will ease
D. If the diarrhea symptoms persist, you can use injection type of Metronidazole or Vancomycin to treat patients


Question: In bypassing the medial malleolus of the foot tarsal tunnel (tarsal tunnel), the pulse can touch Which of the following is?

Answer: Posterior tibial artery (posterior tibial artery)

Choices:
A. Anterior tibial artery (anterior tibial artery)
B. Posterior tibial artery (posterior tibial artery)
C. Medial plantar artery (medial plantar artery)
D. Lateral plantar artery (lateral plantar artery)


Question: Which is not the first frame neurofibromatosis type (neurofibromatosis type 1) of the typical symptoms?

Answer: Bilateral acoustic neuroma (bilateral acoustic neuromas)

Choices:
A. Iris discolored melanoma (Lisch nodule)
B. ⽜ coffee milk spots (café au lait spots)
C. Bilateral acoustic neuroma (bilateral acoustic neuromas)
D. Out skin neurofibromatosis (multiple skin neurofibromas)


Question: Which of the following is not a risk factor for breast cancer?

Answer: Was suffering from breast fibroadenoma (fibroadenoma)

Choices:
A. 40-year-old pregnant first birth child
B. With a mutated BRCA1 gene
C. Was suffering from breast fibroadenoma (fibroadenoma)
D. Atypical hyperplasia of the breast ducts (atypical ductal hyperplasia)


Question: Obesity is excess fat disease. On fat metabolism of adipose tissue, following what's wrong?

Answer: Fasting, released fatty acids to triglyceride synthesis in the liver, packaged in low density lipoprotein (low-density lipoprotein) secretion into the blood

Choices:
A. Released fatty acid moiety may be supplied to other energy production
B. Released fatty acids to the liver triglyceride resynthesis, it is easy to obese patients fatty liver
C. Fasting, released fatty acids to triglyceride synthesis in the liver, packaged in low density lipoprotein (low-density lipoprotein) secretion into the blood
D. Released fatty acids, mostly in the liver and adipose tissue triglyceride resynthesis


Question: The following constitute about table ⽪ (epidermis) cells narrative, what's wrong?

Answer: Merck earphone ⽒ cells (Merkel's cell) mainly in the table ⽪ spinous layer (stratum spinosum)

Choices:
A. Corner of stromal cells (keratinocyte) is the largest table cell content ⽪
B. Cells blacks appear voxel cell (melanocyte) mainly in Table ⽪ base layer (stratum basale)
C. Merck earphone ⽒ cells (Merkel's cell) mainly in the table ⽪ spinous layer (stratum spinosum)
D. Lange Han ⽒ cells (Langerhans' cell) with dendrites (dendritic process), is a kind of antigen presenting cells ⼀ (antigenpresenting cell)


Question: Trauma on the musculoskeletal system, the following statements is wrong?

Answer: If the shock phenomenon amputees will be carried out immediately engage surgery (replantation)

Choices:
A. If the shock phenomenon amputees will be carried out immediately engage surgery (replantation)
B. Fracture fixation can reduce pain and prevent further soft tissue injury
C. Suspected arterial vascular injury must consider arranging angiography examination
D. Wounds near joints do not try to check the physiological saline injected from the wound and the whether interlinked joint cavity


Question: Which of the following close contact with the bladder neck?

Answer: prostate

Choices:
A. uterus
B. vaginal
C. rectum
D. prostate


Question: The following related pulmonary embolism (pulmonary embolism) diagnostic narrative, what's wrong?

Answer: The diagnosis by pulmonary angiography (pulmonary angiography)

Choices:
A. Shortness of breath (dyspnea), chest pain, hemoptysis and other symptoms are not specific
B. The diagnosis by pulmonary angiography (pulmonary angiography)
C. D-dimer detected in serum with high sensitivity, low specificity characteristics
D. The use of nuclear medicine ventilation - perfusion lung scan, there will be - the image (ventilation-perfusion mismatch) the "ventilation perfusion does not match."


Question: Interferons (interferons, Type I and II) and having the antiviral action of inducing the immune response, wherein that human immune interferon for enhancing the most powerful?

Answer: c

Choices:
A. d
B. c
C. b
D. a


Question: The following narrative about the scimitar syndrome, what is wrong?

Answer: Often associated with atrial septal defect (atrial septal defect)

Choices:
A. Often associated with atrial septal defect (atrial septal defect)
B. Lung hypoplasia and the combined visible right heart disease (dextroposition of heart)
C. Right pulmonary veins is not injected properly inferior vena cava (inferior vena cava)
D. Often associated with the free lung (pulmonary sequestration)


Question: The following ages, the one on the age, physical and social level, the largest inter-individual differences?

Answer: elderly

Choices:
A. Children
B. teens
C. middle aged
D. elderly


Question: Account of psoriasis (psoriasis), and which of the following error?

Answer: Droplet psoriasis (guttate psoriasis), mostly caused by Staphylococcus aureus infection

Choices:
A. Auspitz's sign of its features
B. 有 Koebner phenomenon
C. Droplet psoriasis (guttate psoriasis), mostly caused by Staphylococcus aureus infection
D. Some drugs, such as β-blocker will aggravate the condition of psoriasis


Question: Statements about colon diverticulum, and what is non?

Answer: It does not occur between the lateral mesenteric taeniae and mesenteric taeniae

Choices:
A. It does not occur between the lateral mesenteric taeniae and mesenteric taeniae
B. It does not occur between the two lateral mesenteric taeniae of antimesenteric side
C. Usually only part of the herniation mucosa, it is a pseudodiverticulum
D. Perforating vessel usually occurs in the colon wall penetrations


Question: Prostatic hypertrophy patients received transurethral resection of prostate surgery, appeared confused consciousness, nausea, high blood pressure, slow heartbeat and other symptoms, it is most likely the reason is:

Answer: Transurethral resection syndrome (transurethral resection syndrome)

Choices:
A. Hyperlipidemia (sepsis)
B. Hemorrhagic shock (hemorrhagic shock)
C. Deep vein thrombosis (deep vein thrombosis)
D. Transurethral resection syndrome (transurethral resection syndrome)


Question: After about following stroke central pain (central pain) of the narrative, whichever is most correct?

Answer: Central pain occurs in the contralateral brain lesions of the central nervous system

Choices:
A. Central pain occurs in the contralateral brain lesions of the central nervous system
B. Small stroke lesion does not cause central pain
C. The ratio of central pain occurs within one year after the disease is very high
D. The majority of patients with central pain and temperature (temperature perception) is not affected


Question: The following account of influenza virus (Influenza virus) variation of, what is wrong?

Answer: Antigen big variation is the main cause annual epidemics of influenza virus

Choices:
A. Great variability called antigen (antigenic shift) means the variability exchange between the RNA genome segments of different strains caused by
B. Antigen big variation is the main cause annual epidemics of influenza virus
C. The so-called small variation antigen (antigenic drift) refers to a variant RNA genome itself which point mutation (point mutation) caused by
D. Antigen small variation is caused mainly due to different strains of influenza virus each year between


Question: Related to the liver tissue, which of the following error?

Answer: Is supplied poor circulation of the liver, hepatic portal lobule cells a first zone (zone 1 of liver acinus) of the first and the last death of reproducing

Choices:
A. Hepatocytes body lipoprotein complex (lipoprotein complex) as a dense core vesicles (dense-cored vesicle) form electron microscope
B. Hepatocyte lipoprotein lipid moiety duplexes (lipoprotein complex) is produced by the smooth endoplasmic reticulum, the protein portion is produced by rough endoplasmic reticulum
C. Is supplied poor circulation of the liver, hepatic portal lobule cells a first zone (zone 1 of liver acinus) of the first and the last death of reproducing
D. Toxicant and cholestasis (bile stasis) the reaction is slowest cells in the hepatic lobule door third zone (zone 3 of liver acinus)


Question: A middle-aged tramp due to diarrhea, confusion was sent to the emergency room, examination revealed his face, chest, back of the hand has a rough skin dermatitis, inflammation of the tongue there, diagnostician is: suspected pellagra ( pellagra). Of the following statements about the disease, what is correct?

Answer: The disease is the lack of nicotinic acid (niacin) resulting from

Choices:
A. The disease is the lack of nicotinic acid (niacin) resulting from
B. Nicotinic acid is synthesized by the niacinamide adenine dinucleotide salt (nicotinamide adenine dinucleotide, i.e., NAD +)
C. Corn-based food will not readily get the disease
D. The nervous system will not be affected


Question: China's current national health insurance, is what is the main source of revenue?

Answer: insurance

Choices:
A. General taxes
B. Lottery revenue
C. Foreign exchange reserves
D. insurance


Question: A 53-year-old man to hospital for medical examination, no significant past medical history, his father died of a heart attack at the age of 74, his mother, now 80-year-old history of hypertension, he does not smoke, does not drink nor exercise regularly. Blood pressure 128/84 mmHg, pulse 80 / min, 170 cm tall, weighing 82 kg, no special abnormal physical examination. The following would you recommend he do that kind of screening?

Answer: Colorectal Cancer

Choices:
A. Prostate Cancer
B. Lung cancer
C. Abdominal aortic aneurysm
D. Colorectal Cancer


Question: 55 year old man peripheral blood white blood cell count is checked 240,000 / μL, LAP score is 3, and there is the Philadelphia chromosome is present, following which treatment is most appropriate?

Answer: Imatinib

Choices:
A. Hydroxyurea
B. Interferon
C. Imatinib
D. Stem cell transplantation


Question: That one of the following neonatal highest rate of chromosomal abnormalities occur?

Answer: Trisomy 21

Choices:
A. Trisomy 21
B. Trisomy 18
C. Trisomy 13
D. 45,X


Question: Which of the following is not the nerve in the calf with the line?

Answer: Peroneal artery (peroneal artery)

Choices:
A. Posterior tibial artery (posterior tibial artery)
B. Anterior tibial artery (anterior tibial artery)
C. Peroneal artery (peroneal artery)
D. Small saphenous vein (small saphenous vein)


Question: After bearing the title, were treated in the emergency infusion still vasopressors to maintain systolic blood pressure greater than 90 mmHg, which of the following is wrong?

Answer: Before sputum specimen should not be made given antibiotics

Choices:
A. Blood cultures must be completed before antibiotics administered
B. Before sputum specimen should not be made given antibiotics
C. This combined patients should be administered intravenous broad-spectrum antibiotics
D. This patient should receive treatment in intensive care unit


Question: 88. The physician must check the specificity of known (specificity) when the interpretation of a result of the check. What is the specificity (specificity)?

Answer: The patient does not have the disease, the test results were negative probability

Choices:
A. Patient test results were positive, the probability that the disease does have
B. Patient test results were negative, the chances that the disease does not
C. Patients have the disease, the probability of positive test results for the
D. The patient does not have the disease, the test results were negative probability


Question: A woman due to ovarian solid tumors ultrasound display appears hospitalized for further examination, following a series of inspections, found that patients with this merger appears ascites and hydrothorax, determined to Meigs' syndrome clinically. This ovarian tumors are most likely to be which of the following?

Answer: fibroma

Choices:
A. Thecoma
B. Cystic teratoma
C. Endometrioma
D. fibroma


Question: A 18-year-old high school graduate, from small children and a loner, homework ordinary schools can meet the requirements for very involved astronomy, astronomical knowledge beyond their peers, as long as the school can mention astronomy eloquent, but he because poor interpersonal relationships, that it is difficult jobs. The most likely diagnosis in this case is:

Answer: Yasiboge disorders (Asperger's disorder)

Choices:
A. Intelligent developmental disabilities (mental retardation)
B. Social phobia (social phobia)
C. Yasiboge disorders (Asperger's disorder)
D. Class Jingshenfenlie personality disorder (schizoid personality disorder)


Question: Most people around the renal hilum connection by following what plane?

Answer: Between the iliac crest surfaces (intercristal plane)

Choices:
A. Pylori lateral surface (transpyloric plane)
B. Umbilical lateral surface (transumbilical plane)
C. Bone nodule surface cross-intestinal (transtubercular plane)
D. Between the iliac crest surfaces (intercristal plane)


Question: When the neuroendocrine tumor metastases hair ⽣ that ⼀ least one of the following cases for selection liver resection surgery your watch?

Answer: Face disease liver function Child-Pugh class B

Choices:
A. More than 95% of the resectable liver tumor volume
B. Use as ⻑ effect compstatin analog (long-acting somatostatin analogues) therapy
C. There are obvious symptoms of neuroendocrine
D. Face disease liver function Child-Pugh class B


Question: About Benzodiazepines sedative - hypnotic (Sedative-hypnotic) drugs, affect the normal sleep cycle, which of the following error?

Answer: To shorten the second period of non-REM sleep (Non-rapid eye movement) of

Choices:
A. During shorter REM sleep (Rapid eye movement) of
B. To shorten the second period of non-REM sleep (Non-rapid eye movement) of
C. Shorten the time required to enter sleep
D. During the fourth non-REM shortened sleep (Non-rapid eye movement) of


Question: 80-year-old man had left ventricular dilatation, often angina, cardiac catheterization is not severe coronary artery stenosis, mitral valve normal, but there are significant aortic stenosis, the person most likely to aortic valve disease are:

Answer: calcific aortic stenosis

Choices:
A. calcific aortic stenosis
B. rheumatic aortic stenosis
C. syphilitic aortitis
D. Marfan syndrome


Question: For long-term post-menopausal women taking hormone replacement therapy (hormone replacement therapy) effects on various organ systems of the body, to study the most appropriate in the following ways?

Answer: Generations follow-up study

Choices:
A. Real animal model
B. Randomized trial
C. Generations follow-up study
D. A case-control study


Question: Hair cells have stereocilia (stereocilia) can be found in many ears, but which of the following do not have this configuration?

Answer: 聽管（auditory or Eustachian tube）

Choices:
A. Utricular spot (macula of utricle)
B. Cochlea of the organ of Corti
C. Vestibular ampulla (ampulla of vestibular apparatus)
D. 聽管（auditory or Eustachian tube）


Question: About correlation between the narrative of the events of ECG and cardiac cycle, Which statement is correct?

Answer: Near the end-diastolic ventricular, P waves can be observed

Choices:
A. Near the end-diastolic ventricular, P waves can be observed
B. After the QRS complex appears, immediately enter the ventricular isovolumic ventricular diastolic (isovolumetric ventricular relaxation)
C. When the T-wave occurs, the volume of the ventricles (ventricular volume) is the largest cardiac cycle
D. Atrial repolarization, usually diastole (diastole) with T-wave


Question: Which of the following is the spread of zoonotic vectors of Lyme disease (Lyme disease) it?

Answer: Deer ticks (Ixodes dammini)

Choices:
A. Deer ticks (Ixodes dammini)
B. 鼠蚤（Xenopsylla cheopis）
C. Body louse (body louse)
D. Bug (bedbug)


Question: After breast cancer surgery, inner arm numbness following what was due to nerve damage?

Answer: Intercostal brachial nerve (intercostobrachial nerve)

Choices:
A. Thoracodorsal nerves (thoracodorsal nerve)
B. Intercostal brachial nerve (intercostobrachial nerve)
C. Long thoracic nerve (long thoracic nerve)
D. Intercostal nerve (intercostal nerve)


Question: The role of eicosanoids following the contraction of blood vessels, but what are exceptions?

Answer: Prostaglandin I2

Choices:
A. Thromboxane A2
B. Prostaglandin I2
C. Prostaglandin F2
D. Leukotriene D4


Question: That one of the following sign will not appear on the Plain abdominal X-ray film Sigmoid colon volvulus it?

Answer: "Bird's beak＂deformity

Choices:
A. "Bent inner tube＂sign
B. "Bird's beak＂deformity
C. Absent rectal gas
D. Air-fluid level in dilated colon loop


Question: Patients known to suffer from severe hemophilia category (severe von Willebrand disease), no other medical conditions, the following laboratory test results belong to whichever unusual?

Answer: PFA-100（platelet function analyzer 100）test 正常

Choices:
A. normal prothrombin time
B. PFA-100（platelet function analyzer 100）test 正常
C. activated partial thromboplastin time prolonged slightly
D. von Willebrand factor ristocetin co-factor activity decreased


Question: Fifteen-day-old baby girl, newborn screening because TSH (TSH) is 60 μU / mL and treatment, and that one of the following check most unfit?

Answer: I-131 掃描（I-131 sodium iodide scintigraphy）

Choices:
A. Serum thyroxine (T4)
B. I-131 掃描（I-131 sodium iodide scintigraphy）
C. Technetium -99m Scan (Tc-99m sodium pertechnetate scintigraphy)
D. Thyroid ultrasonography (Ultrasonography of the thyroid)


Question:
72. Suppose you collect 100 lung cancer patients and 1000 similar age, sex and condition Shehuijingji non-lung cancer control group for the study, 100 patients with lung cancer 90 are regular smokers, 1000 and 270 control group bits are regular smokers, the smoke get lung cancer risk odds ratio
 (Odds ratio) is how much?

Answer: 24.33

Choices:
A. 4.1
B. 24.33
C. 300
D. 3.33


Question: Ms. Wang, 47 years old, have a family history of breast cancer, recently underwent breast cancer screening clinic schedule. Received a letter informing the left breast abnormal result after checking, invited her to the hospital for further examination. Ms. Wang to surgical clinics, and physician she raised issues related to the discussion of the test results, the following statements is wrong?

Answer: Breast ultrasound examination can determine whether the lesion is substantial (solid) or cystic nature (cystic), can determine the lesion's appearance, therefore breast ultrasound imaging has become the first choice for breast cancer screening in asymptomatic women

Choices:
A. Mammography images typically comprise two views, one for the craniocaudal view, mediolateral oblique view of another
B. Bit digital mammography compared with traditional advantages, mainly dense breasts can enhance the interpretation of the younger
C. Breast ultrasound examination can determine whether the lesion is substantial (solid) or cystic nature (cystic), can determine the lesion's appearance, therefore breast ultrasound imaging has become the first choice for breast cancer screening in asymptomatic women
D. Movies as breast magnetic resonance check the dense breasts of young patients lesion assessment, the scope of invasive lobular carcinomas (invasive lobular carcinoma) is very helpful


Question: About the narrative of urea recycling, which of the following error?

Answer: urea recycling phenomenon beneficial to the patient's liver failure

Choices:
A. urea recycling phenomenon beneficial to the patient's liver failure
B. Humanity itself can not produce urease
C. Long-term consumption of high-fiber foods low in protein, their urea recycling more
D. Large intestinal bacteria may play a role in the urea recycling


Question: A 38-year-old man riding a motorcycle with a friend after dinner and wine of driving cars collide, fall drains, causing systemic multiple injuries and fractures. Was rushed to the emergency room, a preliminary check vital signs stable, clear consciousness, and there is a fracture of the right leg 10 cm long wound, you can see the stump fracture. X-rays showed a right middle leg tibia and fibula open fracture, joint dislocation and the right side of the right femur fractures. Its disposal a variety of fractures and dislocations, Which of the following is the most correct description?

Answer: Surgery right upper limb fractures fixed if the mining open-reset (open reduction), often easily lead to wrist drop (drop wrist), mainly because of the radial nerve (radial nerve) damage caused

Choices:
A. For the right leg open fractures, fracture location in order to avoid excessive loss of blood, as soon as possible after cleaning the wound, the wound stitched closely, one can reduce the bleeding continues, on the one hand to avoid the chance of wound infection
B. For the right leg open fractures, soft tissue damage is to avoid repeated surgery, should be fixed to the rugged internal surgery, such as nail, fracture fixation plate
C. Previous mostly femoral dislocation dislocation (anterior dislocation), as soon as possible within 6-8 hours to reset it to reduce complications and sequelae
D. Surgery right upper limb fractures fixed if the mining open-reset (open reduction), often easily lead to wrist drop (drop wrist), mainly because of the radial nerve (radial nerve) damage caused


Question: Which of the following benign tumor of the pancreas particularly in young women?

Answer: Solid-pseudopapillary tumor of the pancreas

Choices:
A. Serous cystadenoma
B. Mucinous cystadenoma
C. Intraductal papillary mucinous tumor（IPMT）
D. Solid-pseudopapillary tumor of the pancreas


Question: 4035-year-old woman last few days when the action suddenly had breathing difficulties and severe anemia, jaundice and dark urine phenomenon. Urine examination revealed: protein (2 +), glucose (-), occult blood (4 +), bilirubin (±), urobilinogen (3 +), sediment RBC 2-3 / HPF,

Answer: Hemoglobinuria

Choices:
A. Obstructive jaundice
B. Methemoglobinemia
C. Hemoglobinuria
D. Homocystinuria


Question: 6658-year-old Ho, adult health check found that high blood pressure clinics to track, no other abnormalities. He usually does not smoke, a small cup of wine before going to bed mL), no other medical history. His father died of stroke, the mother has diabetes. Blood pressure 172/102 mmHg, body mass index (BMI) 26.1 kg / m2. Ho mmHg blood pressure should be reduced to much less?

Answer: 140/90 mmHg

Choices:
A. 160/90 mmHg
B. 140/90 mmHg
C. 130/80 mmHg
D. 120/80 mmHg


Question: 1 to n e u r i n i n h i b i t o r s in c a l c i classification described above, the column whichever correct?

Answer: FK-506 induced diabetes sometimes recover after discontinuation A 8

Choices:
A. tacrolimus (FK-506) and sirolimus belong calcineurin inhibitors, have FK binding protein effect on
B. cyclosporine have bald (alopecia) and gingival hyperplasia (gingival hypertrophy) side effects
C. FK-506 induced diabetes sometimes recover after discontinuation A 8
D. FK-506 and cyclosporine are all kidney transplant postoperative medication, no renal toxicity side effects


Question: Which of the following symptoms belonging to the positive symptoms of schizophrenia (positive symptoms)?

Answer: Hallucination

Choices:
A. 思維 poverty
B. Inattention
C. Hallucination
D. Apathy


Question: The following is how the vaccine in mid-pregnancy can not be applied to play (contraindication)?

Answer: B hepatitis (Hepatitis B)

Choices:
A. Tetanus (tetanus)
B. Typhoid (thyphoid)
C. B hepatitis (Hepatitis B)
D. Mumps (mumps)


Question: When 25 when the ligand-gated ion channel is opened, may allow sodium ions to potassium ions in 1: 1 ratio of flow. If this stop static membrane potential of neurons to -60mV, then this ion channel is opened when the membrane potential change?

Answer: constant

Choices:
A. Depolarization
B. Hyperpolarization
C. constant
D. Not necessarily


Question: Which of the following can inhibit the action of TNF-α for the treatment of rheumatoid arthritis?

Answer: Etanercept

Choices:
A. Etanercept
B. Allopurinol
C. Sulfinpyrazone
D. Methotrexate


Question: Rubber swelling (Gumma) is:

Answer: Syphilis lesions

Choices:
A. Benign neoplastic tumors
B. Malignancies
C. Human papilloma virus lesions
D. Syphilis lesions


Question: From the previous question, more than check the most appropriate interpretation of the results:

Answer: The reaction of (reactive)

Choices:
A. The reaction of (reactive)
B. Non-reactive (non-reactive)
C. Variability deceleration (variable deceleration)
D. Late decelerations (late deceleration)


Question: Alcohol withdrawal epilepsy (alcohol withdrawal seizure) of the narrative, Which of the following is most appropriate?

Answer: Mostly in two days to stop drinking

Choices:
A. Stop drinking often occurs in five to six days
B. Single seizure occurs multiple generalized seizure ratio higher than
C. Mostly in two days to stop drinking
D. More than 70% of the produced alcohol withdrawal epilepsy patients will be associated with delirium tremens


Question: 26 year old man weighing 120 kg to the weight loss center for treatment, his height 172 cm, the following description of what's wrong about weight loss surgery?

Answer: Body mass index values surgical indications restrictive surgical (restrictive procedures) than type surgical malabsorption (malabsorptive procedures) Low

Choices:
A. Restrictive surgical (restrictive procedures) weight loss than the absorption (malabsorptive procedures) type surgical poor low
B. Postoperative complications and mortality restrictive surgical procedures (restrictive procedures) compared with malabsorption type surgical (malabsorptive procedures) Low
C. After malabsorption type surgical procedures (malabsorptive procedures), the cure rate preoperative complications (a comorbidity) is higher than the limit type surgical (restrictive procedures)
D. Body mass index values surgical indications restrictive surgical (restrictive procedures) than type surgical malabsorption (malabsorptive procedures) Low


Question: The following statements about the cough, what's wrong?

Answer: GERD can cause inflammation of the esophagus, but does not cause chronic cough

Choices:
A. Under normal circumstances, the cough can be used for clean-protection mechanism of the respiratory tract
B. Some drugs, such as ACEI (angiotensin-converting enzyme inhibitor) will cause cough
C. GERD can cause inflammation of the esophagus, but does not cause chronic cough
D. Cough can be due to external factors (such as smoke, dust) or internal factors (such as respiratory secretions) induced


Question: Pyloric complete obstruction can cause severe vomiting, if not properly treated easily lead Which of the following results?

Answer: Alkalosis

Choices:
A. Rapid increase in ascites
B. Acid poisoning
C. Alkalosis
D. Dehydration, but no acid-base balance


Question: A 60-year-old woman, complained to the beginning of the Lunar New Year, on both sides of the lower leg itching, gradually extended to the thighs and buttocks, after washing hot bath itching is more severe, clinical skin as seen in FIG. The most likely diagnosis the patient:

Answer: asteatotic dermatitis

Choices:
A. contact dermatitis
B. seborrheic dermatitis
C. asteatotic dermatitis
D. stasis dermatitis


Question: If too little amniotic fluid (oligohydramnios), the fetus is most likely associated with how these defects?

Answer: Did not develop kidney (renal agenesis)

Choices:
A. Anencephaly (anencephaly)
B. Esophagus closed (esophageal atresia)
C. Lack of umbilical artery (umbilical artery)
D. Did not develop kidney (renal agenesis)


Question: Pain nerve conduction receptacle body (somatosensory receptor) is:

Answer: free nerve endings

Choices:
A. free nerve endings
B. Pacinian corpuscles
C. Merkel's disks
D. Ruffini's endings


Question: Which of the following exposure to hazards most likely to cause nasal septum perforation?

Answer: Chromic acid

Choices:
A. Carbon tetrachloride
B. Amides dimethyl Mech
C. Chromic acid
D. Organophosphorus


Question: Constitute the main component of the fungal cell wall Why?

Answer: Chitin, dextran and β-1-3- (β-1-3-glucan)

Choices:
A. Chitin (Chitin) and α-1-4- dextran (α-1-4-glucan)
B. Chitin, dextran and β-1-3- (β-1-3-glucan)
C. Peptide sugar (peptidoglycan) dextran and β-1-4-
D. Chitin, dextran, and α-1-6- (α-1-6-glucan)


Question:
10.2 40
 16.2 36.4 normal
 13.5-17 138-353
 9.4-12.5 26-38
 Unit
 g / dL
 10 ^ 3 / mL
 sec
 sec

Answer: PT abnormalities must be corrected coagulopathy

Choices:
A. Severe liver cancer, surgery should track line
B. Thrombocytopenia, the correction to be
C. Liver surgery easy bleeding, prepare in advance packed RBC
D. PT abnormalities must be corrected coagulopathy


Question: Which of the following is the structure of all these myocardial cells and smooth muscle cells?

Answer: Joining gap (gap junction) 37 of the following description relating to a large vein to validity?

Choices:
A. Triad (triad)
B. Dense bodies (dense body)
C. Close contact (tight junction)
D. Joining gap (gap junction) 37 of the following description relating to a large vein to validity?


Question: The following statements about the Helicobacter pylori, whichever is correct?

Answer: Of patients with gastric ulcer Helicobacter pylori prevalence of duodenal ulcer patients below

Choices:
A. Due to the low diagnosis rate urease test, bacterial culture therefore required in order to establish the diagnosis
B. None of the ulcer dyspepsia patients, suffer if there is this bacteria, the international consensus that require sterilization
C. The H. pylori cleared after sterilization, will increase the chance of gastroesophageal reflux disease
D. Of patients with gastric ulcer Helicobacter pylori prevalence of duodenal ulcer patients below


Question: Early peptic ulcer-related complications after surgery, the following statements is wrong?

Answer: Anastomosis function retardation (stomal delay)

Choices:
A. Postoperative bleeding
B. Seams leakage (sutureline leakage)
C. Pancreas damage
D. Anastomosis function retardation (stomal delay)


Question: Statements about Long-term potentiation, He's wrong?

Answer: Will lead the action potential amplitude increases

Choices:
A. Is a kind of learning and memory related mechanisms
B. Will lead the action potential amplitude increases
C. Turn their machine may be associated with NMDA receptor
D. Will strengthen the synaptic transmission


Question: When patients with acute myocardial infarction thrombolytic agent therapy (thrombolytic therapy), the following statements is most incorrect?

Answer: After the infarct-related coronary artery (infarct related artery) after thrombolytic therapy of blood, if TIMI grade 1, their better prognosis than those TIMI grade 3

Choices:
A. Prime-time treatment is administered within 6 hours after the onset of acute myocardial infarction
B. The most common side effects of treatment are bleeding
C. After the infarct-related coronary artery (infarct related artery) after thrombolytic therapy of blood, if TIMI grade 1, their better prognosis than those TIMI grade 3
D. With severe hypertension (systolic blood pressure above 180 mmHg), was the implementation of a thrombolytic agent therapy contraindications


Question: 80-year-old man living in nursing homes, there are some skin rash, as determined by dermatologists diagnose scabies, the following statements is true?

Answer: Under microscopic examination, if only to see and not see eggs or fecal parasites, scabies infection is also Keyiqueding

Choices:
A. There is a history of scabies without friends, the next day after visiting the old man felt itchy, which give a high chance of scabies
B. The head is made of scabies mites good location
C. When scabies mites leave the body within a few hours to death
D. Under microscopic examination, if only to see and not see eggs or fecal parasites, scabies infection is also Keyiqueding


Question: 3 after a 28-year-old girl with fever day, the chest and neck began to appear extremely itchy blisters, blisters gradually spread to the limbs, administration of anti-itch medicine physicians seeing patients with aspirin 30 mg / kg / day, qid treatment. One day after the fever persists, a large limbs rash and strawberry tongue phenomenon, then bring another physician for treatment. The physicians have found that patients strawberry tongue, significant swelling purulent blisters around, then administering acetaminophen 40 mg / kg / day, qid treatment with oral cephalexin. One day after the treatment of fever, rash slowly faded, but the next day the child began suffering severe vomiting, confusion, so the emergency was brought to the emergency at the preliminary examination showed white blood cells 9200 / mm3, blood sugar 12 mg / dL, bilirubin total /direct:0.4/0.1 mg / dL, alanine aminotransferase (ALT, GPT) 220 U / L, prothrombin time 40 seconds (control: 14 seconds), cerebrospinal fluid leukocyte 3 / mm3, are lymphocytes. Later sent to the intensive care unit patient has no fever, was supportive treatment seven days later were discharged, doctors found that patients discharged when the fingers and toes have peeling. According to the condition of the girls, the most likely diagnosis is:

Answer: Varicella Staphylococcus aureus or group A streptococcal infection, Reye syndrome (Reye syndrome) occurs later

Choices:
A. Varicella Staphylococcus aureus or group A streptococcal infection, Reye syndrome (Reye syndrome) occurs later
B. Varicella Kawasaki (Kawasaki disease) and central nervous system phenomena violations
C. Staphylococcus aureus or group A streptococcal septicemia complicated by meningitis
D. Then came Kawasaki acetaminophen poisoning


Question: Were positive (estrogen receptor-positive) in the estrogen receptor in breast cancer, estrogen (Estrogen) can promote the growth of cancer cells; often clinically used an estrogen antagonist (estrogen antagonist) Tamoxifen these patients as breast cancer adjuvant therapy. The figure is the structure of Estradiol and Tamoxifen. The following statements is wrong?

Answer: Estradiol and Tamoxifen upon binding to a cell surface receptor, can alter gene expression through regulation of transcription

Choices:
A. Estradiol and Tamoxifen may be incorporated by simple diffusion through the cell membrane to intracellular receptors
B. Estradiol and Tamoxifen upon binding to a cell surface receptor, can alter gene expression through regulation of transcription
C. Estradiol receptor binding the receptor conformational change (conformational changes) occurs
D. Transcription of Tamoxifen caused far less Estradiol


Question: Leuprolide Which of the following commonly used in the treatment of diseases?

Answer: prostate cancer

Choices:
A. Hodgkin's lymphoma
B. lung cancer
C. prostate cancer
D. pancreatic cancer


Question: The most common metastatic colorectal path Why?

Answer: Transferred via the lymphatic system

Choices:
A. Transfer through the intestinal wall
B. By penetrating the peritoneal metastasis
C. Transferred via the lymphatic system
D. Through a blood vessel transfer


Question: Which of the following X-ray photography, part of the maxillary sinus may be petrous ridge (petrous ridge) easily blocked by the interpretation?

Answer: Caldwell view

Choices:
A. Waters view
B. Caldwell view
C. skull lateral view
D. submental view


Question: 9. One 32-year-old man presented with fever for a week-long inability to seek treatment, routine blood leukocyte count display up to 96,000 / μL, shoot the ball 0 gm / dL, platelet 15,000 / μL. Bone marrow examination is reported as acute lymphoblastic leukemia. Philadelphia chromosome-positive. After induction chemotherapy and tyrosine kinase inhibitor (TKI) achieved complete remission, Which of the following will have the highest chance of cure?

Answer: + Bone marrow destructive consolidation therapy and chemotherapeutic human leukocyte antigen (HLA) anastomosis of allogeneic hematopoietic stem cell transplantation

Choices:
A. Consolidation therapy + maintenance therapy
B. + Bone marrow destructive treatment consolidation chemotherapy and autologous stem cell transplantation
C. + Bone marrow destructive consolidation therapy and chemotherapeutic human leukocyte antigen (HLA) anastomosis of allogeneic hematopoietic stem cell transplantation
D. Consolidation therapy + anti-CD-5, CD-20, CD-22 cocktail immunotherapy


Question: Asherman's syndrome doubt, check the items that the most appropriate?

Answer: Stimulation test progestin (progesterone challenge test)

Choices:
A. The concentration of estrogen in the blood
B. Stimulation test progestin (progesterone challenge test)
C. Gn RH test
D. TSH test


Question: Primary auditory cortex of the brain (primary auditory cortex) of the incoming message, mainly come from?

Answer: Medial geniculate body (medial geniculate body)

Choices:
A. Medial geniculate body (medial geniculate body)
B. The superior colliculus (superior colliculus)
C. Orthorhombic (trapezoid body)
D. Occipital thalamus (pulvinar of thalamus)


Question: The very fact that 26-year-old, two days before the sudden lower extremity weakness and urinary incontinence. Two years ago she had a bust of numbness on the left side, back to normal after three months; six months ago and once the right eye blurred vision, vision gradually recover more than ten days. The figure below shows this time photography magnetic resonance (MRI) test results during hospitalization. Following a diagnosis that is most likely?

Answer: Multiple sclerosis (multiple sclerosis)

Choices:
A. Multiple sclerosis (multiple sclerosis)
B. Multiple stroke (multiple infarcts)
C. Encephalomyelitis virus (viral encephalomyelitis)
D. Mercury poisoning (mercury poisoning)


Question: One patient due to sore throat and fever came to emergency room. Asked the drug history, the patient began two months ago because of heart problems taking regular physician opened; 10 days ago because of flu symptoms, take yourself to a pharmacy to buy medicine. Pharmacological examination showed swollen throat and white point, the temperature 39 ℃. Blood examination revealed white blood cell count was 1,250 / mm3, where 10% neutrophil, monocyte 8%, lymphocyte 81%, eosinophil 1%, normal red blood cells and platelets. Which of the following error?

Answer: The number of lymphocytes increases patient, whether there should be further examination lymphoproliferative disease

Choices:
A. The number of lymphocytes increases patient, whether there should be further examination lymphoproliferative disease
B. Patients most likely to have a bacterial infection, microbial culture to be done immediately after the injection of antibiotics
C. Patients most likely because the drug caused by particles ball thrombocytopenia
D. The number of patients neutrophil count only 125 / mm3, resistance is very low, it is best to stay in hospital for observation


Question: After the above PPF (pterygopalatine fossa) where leading to?

Answer: Middle cranial fossa (middle cranial fossa)

Choices:
A. nasal cavity
B. Temporal fossa (infratemporal fossa)
C. Middle cranial fossa (middle cranial fossa)
D. Oral


Question: After screening patients normal urine, abdominal X-ray examination was normal, which of the following is the most appropriate examination rectal injury of inspection items?

Answer: Rigid sigmoidoscopy

Choices:
A. Dre
B. Rigid sigmoidoscopy
C. The fiber endoscopy, colonoscopy
D. E. barium X-ray photographic examination


Question: Compared to parenteral nutrition, enteral nutrition benefits of nutritional support of surgical patients, which of the following error?

Answer: Severe hemodynamic instability (marked hemodynamic instability) for patients given enteral nutrition

Choices:
A. Eat polysaccharides (polysaccharides) are fermented in the large intestine bacteria (bacterial fermentation), in order to maintain normal intestinal colony
B. Severe hemodynamic instability (marked hemodynamic instability) for patients given enteral nutrition
C. Better gastrointestinal immune function (gastrointestinal immunity)
D. Can maintain gastrointestinal barrier function (gastrointestinal barrier function)


Question: Which of the following does not affect the minimum alveolar concentration (minimum alveolar concentration) values?

Answer: hypertension

Choices:
A. hypertension
B. Antagonist muscle relaxation
C. Hypoxia (PaO2 <40 mmHg)
D. Use reserpine


Question: If a woman's physiological menstrual cycle is 28 days, bed window period (implantation window) is most likely in the first few days after menstruation?

Answer: 20 to 24 days

Choices:
A. 12 to 15 days
B. 16 to 19 days
C. 20 to 24 days
D. 25 to 27 days


Question: Clinically, patients present features "Strawberry tongne" of what is likely to be infected with these diseases?

Answer: Scarlet fever

Choices:
A. Scarlet fever
B. Streptococcal toxin shock syndrome
C. Staphylococcal toxin shock syndrome
D. Rheumatic fever


Question: Following a fungus that belongs superficial fungal skin infections?

Answer: Ringworm fungus (Trichophyton tonsurans)

Choices:
A. Candida albicans (Candida albicans)
B. New forms of Cryptococcus (Cryptococcus neoformans)
C. Ringworm fungus (Trichophyton tonsurans)
D. SaruKatsu Mr. 孢絲 bacteria (Sporothrix schenckii)


Question: Thalamus medial geniculate body (medial geniculate body of thalamus), where the main projected to the following?

Answer: Temporal cross back (transverse temporal gyrus)

Choices:
A. Temporal cross back (transverse temporal gyrus)
B. Occipitotemporal back outside (lateral occiptotemporal gyrus)
C. 島 閾 (limen island)
D. Angular gyrus (angular gyrus)


Question: 22-year-old girl was sexually yet, because the last couple of years, while attendances increasing body weight. Height 150 cm, weight 80 kg at present, the past year have delayed menstruation quite a long time to come, the longest time up to 3 months. Abdominal ultrasound measuring chamber sinus number (antral follicle count) of 20 follicles, endometrial thickness of 15 mm, yet currently no contacts in fertility also considered. The following recommendations whichever is most inappropriate?

Answer: Given fertility drugs

Choices:
A. Given fertility drugs
B. Given progesterone
C. Recommend weight loss and actively adjust living and eating habits
D. Recommended screening for diabetes and insulin resistance


Question: Which of the following most likely primary excess aldosterone secretion (primary hyperaldosteronism) patients prone to symptoms?

Answer: Impaired glucose tolerance

Choices:
A. Impaired glucose tolerance
B. Sodium blood loss
C. Hypotension
D. Blood lipid levels decline


Question: From the previous question, the initial disposition of the baby, which of the following error?

Answer: Maintain a high Trendelenburg position, in order to avoid aspiration pneumonia

Choices:
A. A suction drainage tube proximal esophagus
B. With or without infection, intravenous antibiotics
C. Arrangements echocardiography
D. Maintain a high Trendelenburg position, in order to avoid aspiration pneumonia


Question: 6. The patient has a year-long in-patient private prosecution difficulty swallowing, and often accompanied by the feeling of something in the middle behind the breastbone stuck. Difficulty swallowing only solid food, drink liquid stuff is not difficult. But not every meal will appear, good times and bad. Patient nor the phenomenon of weight loss. Physical examination found no abnormalities. About diagnose this patient, the following description and what was right?

Answer: Photography barium (barium meal study) is very effective for the diagnosis of the patient's

Choices:
A. Diagnosis of the patient, the most likely achalasia
B. The present patient may turn pathogenic machine wherein esophageal dysmotility
C. Photography barium (barium meal study) is very effective for the diagnosis of the patient's
D. These patients, though not esophageal cancer, the treatment is still surgery


Question: The following description of schizophrenia (schizophrenic disorder) epidemiology, what's wrong?

Answer: Male ratio 2: 1

Choices:
A. Taiwan epidemiological show its prevalence is about three thousandths about
B. More than age 15-45 years old
C. Male ratio 2: 1
D. And seasonal-related risk factors, such as viral infections, there may be cause schizophrenia


Question: A gynecologist is recommended when patients see the doctor to do a Pap smear in the three sections of five levels of prevention (levels of prevention), which belongs to that next level?

Answer: The second paragraph of the third stage

Choices:
A. The first paragraph of the second stage
B. The second paragraph of the third stage
C. Third paragraph of the fourth stage
D. Third paragraph of the fifth grade


Question: About weight loss surgery (bariatric surgery), the following statements is wrong?

Answer: Can not reduce the mortality rate of patients with severe obesity

Choices:
A. Benefits of metabolism, in part because of changes in the concentrations of the gut hormones caused
B. In addition to the limitation typically type (Restrictive) surgery, recombined malabsorption type (malabsorptive) surgery, increased weight loss
C. Be used to improve glycemic control in type II diabetes patients with severe obesity
D. Can not reduce the mortality rate of patients with severe obesity


Question: A 39-year-old woman complained of nearly a month more than four times ill, each episode are no warning, no fixed period of time, during the onset of symptoms was about 10 minutes to reach the peak, associated with palpitations, sweating, tremor , bloating, dizziness, feeling on the verge of collapse, death, and distraught. Which of the following is most likely for the clinical diagnosis?

Answer: Panic Disorder

Choices:
A. Generalized Anxiety Disorder
B. Panic Disorder
C. Post-traumatic stress disorder
D. Obsessive-compulsive disorder


Question: For definitions of systemic inflammatory response syndrome SIRS (systemic inflammatory response syndrome), and which of the following error?

Answer: Systolic blood pressure less than 90 mmHg

Choices:
A. Heart rate greater than 90 beats per minute
B. Systolic blood pressure less than 90 mmHg
C. Under normal breathing respiratory rate greater than 20 per minute or lower blood carbon dioxide partial pressure (PaCO2) of less than 32 mmHg
D. Leukocytes greater than 12,000 cells / mm3 or less than 4000 cells / mm3 or greater than 10% immature (Band) cells in the peripheral blood smear


Question: The following amino acid that kind most likely to participate in cis peptide bond (cis peptide bond) in the protein structure formation?

Answer: Proline (proline)

Choices:
A. Histidine (histidine)
B. Alanine (alanine)
C. Proline (proline)
D. Glycine (glycine)


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

Answer: Rectal biopsies in, see ganglion cells (aganglion), acetylcholine enzyme (acetylcholinesterase) also reduced staining

Choices:
A. 75% to 80% of the violations of the rectum - sigmoid colon (rectosigmoid colon)
B. The largest cause of death: enterocolitis (enterocolitis)
C. Rectal biopsies in, see ganglion cells (aganglion), acetylcholine enzyme (acetylcholinesterase) also reduced staining
D. Avoid detection errors, the front lower gastrointestinal barium enema examination should be avoided


Question: Following what kind of an effect fastest insulin in the human body?

Answer: Lispro or aspart

Choices:
A. Regular insulin
B. NPH or lente
C. Lispro or aspart
D. Glargine 15 following that one has nothing to do with type II diabetes (type 2 diabetes mellitus)?


Question: Pulmonary ligament (pulmonary ligament) is located where the lungs?

Answer: The root (root)

Choices:
A. Tip (Apex)
B. Basal plane (base)
C. Rib surface (costal surface)
D. The root (root)


Question: The following related pulmonary fibrosis (fibrosis) lung function changes the narrative, what's wrong?

Answer: Pulmonary function over capacity (functional residual capacity) increased

Choices:
A. Vital capacity (vital capacity) reduction
B. Pulmonary function over capacity (functional residual capacity) increased
C. Exercise, often show rapid shallow breathing pattern (rapid shallow breathing)
D. Forced expiratory volume in one second (FEV1) is usually reduced


Question: 75-year-old Ms. Lee, her family found the past few months do not like to go out, no energy, feeling quite forgetfulness, sleep well, poor appetite, weight loss, often have difficulty breathing, chest tightness, general discomfort, family took her to the clinic assessment. The following statements is wrong?

Answer: Antidepressant drugs SSRI (selective serotonin reuptake inhibitor) class of drugs is more effective than TCA (tricyclic antidepressant) class

Choices:
A. Elderly depression is often associated with the symptoms of cognitive function, which is considered to be "pseudo-dementia"
B. Hypothyroidism or hyperthyroidism patients likely will be accompanied by symptoms of depression, so patients with suspected depression should be measured thyroid function
C. 6 to 8 weeks after drug treatment, about 60 to 70% of patients can be controlled
D. Antidepressant drugs SSRI (selective serotonin reuptake inhibitor) class of drugs is more effective than TCA (tricyclic antidepressant) class


Question: 27 A 35-year-old woman in the car when suddenly felt severe headache, after being taken to the emergency room parking, and soon fell into a coma, died a few days later. The naked eye can see the drawings of the brain, the most likely diagnosis is:

Answer: Berry-like aneurysm rupture

Choices:
A. Pleomorphic glial cell tumor buds
B. Embolism and cerebral infarction
C. Berry-like aneurysm rupture
D. Amyloid angiopathy cerebral hemorrhage


Question: Monoclonal antibody adalimumab (Humira) as an anti-tumor necrosis factor (anti-TNF), the most Which of the following is not recommended for the treatment of diseases?

Answer: systemic lupus eryhematosus

Choices:
A. Crohn's disease
B. ankylosing spondylitis
C. rheumatoid arthritis
D. systemic lupus eryhematosus


Question: 37. The researchers wanted to test a male college student from North Central of average height, like whether randomly selected each name, the following statistical analysis whichever is most appropriate from the North Central male college students in a university?

Answer: Analysis of variance (ANOVA)

Choices:
A. Z-test (Z test)
B. Analysis of variance (ANOVA)
C. Paired t-test (Paired t-test)
D. Table analysis (Contingency table)


Question: Temperature sensation by mainly as transient receptor potential (Trp) cation channels. About the characteristics of the narrative, which of the following error?

Answer: Cold sensations is activated, which will cause membrane hyperpolarization

Choices:
A. Cation channel
B. capsaicin receptors subtype activatable TrpV1
C. TrpM8 is cold sensation receptors
D. Cold sensations is activated, which will cause membrane hyperpolarization


Question: Phrenic nerve (phrenic nerve) starting from the spinal cord Dan?

Answer: C3 ~ 5

Choices:
A. C3 ~ 5
B. C7 ~ T2
C. T3 ~ 5
D. T6 ~ 10


Question: From the previous question, in this case, how to deal better?

Answer: Large intestine or stoma together as part of the large intestine resection

Choices:
A. Fasting, antibiotics and intravenous infusion therapy
B. Repair of gastric perforation
C. Appendectomy
D. Large intestine or stoma together as part of the large intestine resection


Question: The most common in the interior of the tertiary structure of the protein covalent interactions are:

Answer: Disulfide bond (disulfide bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Van de Waal forces (van der Waals interaction)
C. Ionic interactions (ionic interaction)
D. Disulfide bond (disulfide bond)


Question: A common structural unit in the molecule of the coenzyme NAD +, FAD, coenzyme A, etc. (structure module) to:

Answer: ADP

Choices:
A. ADP
B. CDP
C. GDP
D. UDP


Question: The main use of drugs seizures caused by alcoholism withdrawal as follows:

Answer: Diazepam

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


Question: 5.6 × 106 / mm3, Hb: 10.8 g / dL, MCV: 62 fL, MCH: 20.1 pg, MCHC: 31.4 g / dL, RDW (RBC distribution width) below the normal value, Hb Al: 97.1%, Hb A2 : 2.1%, Hb F: 0.8%. Show boys are most likely to be:

Answer: Iron deficiency anemia (iron deficiency anemia)

Choices:
A. [alpha] type light marine anemia (α-thalassemia minor)
B. Iron deficiency anemia (iron deficiency anemia)
C. Hereditary spherical Polycythemia (hereditary spherocytosis)
D. Marine beta] type light anemia (β-thalassemia minor)


Question: 3 A 50-year-old man, suffering from high blood pressure five years, never treated. Today in the morning to a spa, tears suddenly felt severe chest pain, cold sweat. Sent to the emergency room, brachial artery blood pressure 200/120 mmHg, left lower extremity arterial blood pressure 130/96 mmHg, right lower extremity arterial blood pressure 210/120 mmHg. ECG, troponin-I to normal. Patients with chest pain should be a top priority that kind?

Answer: Dissection of the aorta (aortic dissection)

Choices:
A. Non-ST elevation acute myocardial infarction of
B. Pulmonary embolism (pulmonary embolism)
C. Dissection of the aorta (aortic dissection)
D. Pneumothorax (pneumothorax)


Question: Description of dementia, whichever is correct?

Answer: The first is on the disposal of diagnosis, to determine whether the reversibility of dementia

Choices:
A. Will produce memory deficits, but will not appear personality changes
B. The most common is vascular dementia
C. Normal aging of cognitive decline will significantly affect social behavior
D. The first is on the disposal of diagnosis, to determine whether the reversibility of dementia


Question: A taxi driver's sleeping patterns as follows: after 23 o'clock bedtime can fall asleep within about 15 minutes, but more than they wake up around 3:00 flounder finds it difficult to fall asleep until about 6:00 in the morning can be back to sleep, but you must 7:00 get to work, so when driving lethargic. Ruoyu short-term investment to the drug to the case, which of the following drugs are more suitable for their sleep patterns?

Answer: The effect of benzodiazepines

Choices:
A. A sustained-release formulation of zolpidem
B. The short-acting benzodiazepines
C. The effect of benzodiazepines
D. Has a hypnotic effect of sedative antipsychotics


Question: 4. 2-year-old mother suspected foreign body ingestion daughter and brought her to the emergency room, the mother complained girls in the past has been good, just playing in the game room with his brother, his brother found the girl child swallowed a suspected object, and began to cough and cry, check when the girl found no cyanosis, slightly faster breathing, breath sounds normal, which of the following items is the most appropriate disposal?

Answer: Neck and chest X-ray

Choices:
A. After returning home to observe health education
B. Neck and chest X-ray
C. Upper gastrointestinal barium examination
D. Computer tomography examination


Question: That ⼀ following kinds of experimental techniques can not be directly ⽣ to apply it to the egg white chest upwards quality points identified?

Answer: Submenu points sieve column chromatography (size-exclusion chromatography)

Choices:
A. ⻄ ⽅ blot (Western blot analysis)
B. MS (mass spectrometry)
C. Submenu points sieve column chromatography (size-exclusion chromatography)
D. Analysis of amino terminal sequence (N-terminal sequencing)


Question: A 40-year-old man had a history of urinary tract stones, to the emergency room because of abdominal pain, the following statements is wrong again?

Answer: If the produce nausea, vomiting and other symptoms, to rule out the possibility of renal colic

Choices:
A. Renal colic stones caused initially by the waist and abdomen began, rear diffuser to the groin and testicles
B. Middle ureteral stones renal colic pain often makes patients unable to rest
C. Ureteral stones near the bladder, often have urinary frequency and urinary urgency feeling
D. If the produce nausea, vomiting and other symptoms, to rule out the possibility of renal colic


Question: Concomitant cardiac chamber before the branches (anterior interventricular branch) walking in the front chamber of the heart ditch veins are:

Answer: Great cardiac vein (great cardiac vein)

Choices:
A. Former cardiac vein (anterior cardiac vein)
B. Great cardiac vein (great cardiac vein)
C. Cardiac vein (middle cardiac vein)
D. Heart venules (small cardiac vein)


Question: The following account of surgical treatment cardia cancer of the, what's wrong?

Answer: Good prognosis than distal gastric cancer

Choices:
A. And comparing proximal gastrectomy, total gastrectomy procedure of choice for the
B. proximal gastrectomy have a higher morbidity and mortality than total gastrectomy
C. proximal gastrectomy had a higher incidence of heartburn than total gastrectomy
D. Good prognosis than distal gastric cancer


Question: Syphilis lesions, the most significant and a large amount of infiltrating cells are:

Answer: Plasma cell

Choices:
A. Plasma cell
B. Lymphocyte
C. Macrophages
D. Eosinophilic leukocytes


Question: Those precautions when using the local transposition flap (local rotational flaps), whichever except:

Answer: Stitching color

Choices:
A. Transposition ratio of the length and width of the flap
B. Transposition flap around suture tension is subjected
C. Tightness of the wound dressing
D. Stitching color


Question: Is doing rehabilitation therapy of cerebral palsy 4-year-old child, whose MRI FLAIR image of figure, seen an increase in bilateral frontal and occipital brain tissue atrophy and the symmetry of the signal, which image is presumed cause of cerebral palsy The reason is:

Answer: sequela of perinat	a of a full term infant

Choices:
A. sequela of perinat	a of a full term infant
B. sequela of infantile head injury
C. sequela of previous herpes encephalitis
D. sequela of previous Japanese encephalitis


Question: Which of the following does not have a platelet?

Answer: Nucleus (nucleus)

Choices:
A. Nucleus (nucleus)
B. Microfilariae (microfilament)
C. Golgi apparatus (Golgi apparatus)
D. Mitochondria (Mitochondria)


Question: Infective endocarditis least Rongyifasheng which of the following heart disease?

Answer: Atrial septal defect

Choices:
A. Aortic stenosis
B. Mitral stenosis
C. Pulmonary stenosis
D. Atrial septal defect


Question: 73-year-old Lin, fever, chills, right upper quadrant pain and his family were taken to hospital. Physicians for his percussion (percussion) have found at intercostal liver percussion pain. Before the injection of contrast agents, CT showed the right lobe lesions as illustrated. Lin most likely suffering from what disease?

Answer: Liver abscess (liver abscess)

Choices:
A. Hepatic cavernous hemangioma (cavernous hemangioma)
B. Liver abscess (liver abscess)
C. Locality fatty liver (focal fatty infiltration)
D. Metastases (liver metastasis)


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

Answer: Most of these lesions will not be transformed into melanoma (melanoma)

Choices:
A. Typically small, typically less than 5mm more general moles (nevi)
B. I saw on the skin from the sun
C. Morphology usually intradermal nevus (intradermal nevi)
D. Most of these lesions will not be transformed into melanoma (melanoma)


Question: Infantile hemangioma (hemangioma) the best hair in that one of the following organs?

Answer: liver

Choices:
A. The brain
B. Intestinal
C. kidney
D. liver


Question: Which of the following is a disorder neurofibromatosis (neurofibromatosis) the most typical characteristics of the skin?

Answer: cafe au lait spots

Choices:
A. linear hypopigmentation
B. cherry red spots
C. port-wine stain
D. cafe au lait spots


Question: When opening narcotic analgesics (narcotic analgesic) to a terminal cancer patient, Which of the following is most in need of the drug at the same time to open?

Answer: Prevention of drug constipation

Choices:
A. Prevention of drug constipation
B. Strengthen the role of sedative drugs (sedation)
C. Drug prevention of dizziness
D. Antidepressants


Question: Which of the following is the source of cell medullary thyroid cancer (medullary thyroid cancer) is?

Answer: Parafollicular cells (calcitonin producing cells, C cells)

Choices:
A. Follicular cells (follicular epithelial cells)
B. Parafollicular cells (calcitonin producing cells, C cells)
C. Lymphocyte cells (lymphocytes)
D. ⺟ fiber cells (fibroblasts)