Question: 80 year old woman hospitalized due to lung cancer receiving chemotherapy. On the 20th day of hospitalization the patient breathe, chills, shock (blood pressure 80/60 mmHg), X ray showed right lower pneumonia (lobar pneumonia), dispose of what should be the most inappropriate?

Answer: The first generation cephalosporin given treatment

Choices:
A. Sputum microscopy and culture
B. Two blood culture
C. White blood cell count and classification
D. The first generation cephalosporin given treatment


Question: The glycoprotein (glycoproteins), the following amino acids which group is directly involved in the formation sugar and protein covalent bond?

Answer: Amides aspartate, threonine and serine (Asn, Thr & Ser)

Choices:
A. Glycine, threonine and serine (Gly, Thr & Ser)
B. Amides aspartate, threonine and serine (Asn, Thr & Ser)
C. Amine Amides bran, serine and tyrosine (Gln, Ser & Tyr)
D. Lysine, alanine and glutamic tissue (Lys, His & Glu)


Question: Biofeedback self-relaxation training (relaxation therapy) treatment (bio-feedback) are compared with one of the following does not apply to that situation?

Answer: Attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder)

Choices:
A. sleep disorder
B. asthma
C. Attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder)
D. Tension headache


Question: 63-year-old woman in the face and chest as shown in the skin lesions and the number gradually increased with age, which of the following is the most likely diagnosis?

Answer: Seborrheic keratosis (seborrheic keratosis)

Choices:
A. Pigment cells acquired nevus (acquired melanocytic nevus)
B. Basal cell carcinomas (basal cell carcinoma)
C. Actinic keratosis (actinic keratosis)
D. Seborrheic keratosis (seborrheic keratosis)


Question: The clinical examination showed the intercostal arteries (intercostal arteries) becomes large, even palpable pulse beat, and the X-ray shows a lower edge of the ribs is increased arterial notch, these phenomena may suffer most patients show:

Answer: Aortic stenosis (coarctation of aorta)

Choices:
A. Defect Congenital diaphragmatic
B. Aortic stenosis (coarctation of aorta)
C. Open foramen ovale (oval foramen)
D. Umbilical artery (umbilical artery) insufficiency


Question: Normal human blood divided into A, B two, poured simultaneously so that the carbon dioxide gas partial pressure of both are 46 mmHg, the oxygen partial pressure A tube 100 mmHg, the oxygen partial pressure tube B was 40 mmHg. The following statements is true?

Answer: A carbon inner tube acyl group hemoglobin (carbaminohemoglobin) of the total hemoglobin (Hemoglobin) ratio is lower than the tube B

Choices:
A. A, B within the same two total content of carbon dioxide
B. A carbon inner tube acyl group hemoglobin (carbaminohemoglobin) of the total hemoglobin (Hemoglobin) ratio is lower than the tube B
C. The composition of the gas tube B blood approximate Edema (systemic arterial blood)
D. Caused by the A, B two differences mainly hemoglobin (Hemoglobin) molecular characteristics Bohr effect (Bohr effect)


Question: A 3-year-old boy, when a doctor found the right cheek and right foot there once every 1 second twitch phenomenon, theosophy still awake, but neurological examination revealed right foot has shown a paralysis, this situation has continued for a month the above. The following statements is wrong?

Answer: Pathology characterized by numerous voids of different sizes, i.e. spongiform encephalopathy (spongiform encephalopathy)

Choices:
A. The most likely diagnosis is Rasmussen encephalitis
B. Locality attack heavy volume status (epilepsia partialis continua) characteristic of its clinical manifestations
C. Brain magnetic resonance angiography (MRI) representing the left cerebral hemisphere atrophy
D. Pathology characterized by numerous voids of different sizes, i.e. spongiform encephalopathy (spongiform encephalopathy)


Question: Professor Wang is conducting studies of sperm, the need to seek voluntary subjects, provided good sperm motility, which of the following is the most appropriate subjects?

Answer: Adult men

Choices:
A. Professor Wang students
B. Psychiatric patients
C. 10-15-year-olds
D. Adult men


Question: The following lymphoid organs, whichever is free of lymphoid nodules (lymphatic nodules) or follicles (follicles)?

Answer: Thymus (thymus)

Choices:
A. Lymph nodes (lymph nodes)
B. Spleen (spleen)
C. Thymus (thymus)
D. Pei's patches (Peyer's patches)


Question: Ludwig's angina and following Ho gap (space) than unrelated?

Answer: Masseter

Choices:
A. Masseter
B. Submandibular
C. Submental
D. Sublingual


Question: This disease is most relevant to what kind of cell in the following histologically?

Answer: Type II alveolar cells

Choices:
A. Pulmonary vascular endothelial cells
B. Neutropenia
C. The first type alveolar cells
D. Type II alveolar cells


Question: From the previous question, after examination revealed feces mixed with blood, rectal abnormalities, Which of the following is the most appropriate follow-up inspection of the project?

Answer: The fiber endoscopy, colonoscopy

Choices:
A. Computer tomography
B. E. barium X-ray photographic examination
C. The fiber endoscopy, colonoscopy
D. Abdominal sonography


Question: Statements about acute renal failure, which of the following error?

Answer: Tubular necrosis after ischemic renal failure caused by renal blood flow even in the administration of correction, renal function will not recover

Choices:
A. Prerenal kidney failure is the most common cause of urine sodium concentration typically <10 mmol / L
B. Tubular necrosis after ischemic renal failure caused by renal blood flow even in the administration of correction, renal function will not recover
C. Nephrotoxic drugs, such as antibiotics or anticancer drugs, acute renal failure is usually caused damage to the proximal tubules
D. If one day the patient urine output of less than 100 mL, should consider the possibility of obstructive renal failure


Question: A 18-year-old woman, complained of never had menstruation, breast hypoplasia, no pubic hair, He does not need to do the following checks?

Answer: HCG (Human chorionic gonadotropin)

Choices:
A. Chromosome karyotype (Karyotype)
B. Follicle stimulating hormone (Follicle-stimulating hormone)
C. HCG (Human chorionic gonadotropin)
D. Ultrasonography


Question: The following methods can not control what kind of interference effects (confounding)?

Answer: When increasing the number of samples received comp

Choices:
A. Pairing (matching) when receiving the interference-like factor
B. Data correction (adjustment) interference factor analysis
C. Data analysis in order to make the interference factor stratification (stratification) analysis
D. When increasing the number of samples received comp


Question: 45-year-old female complained of foot no care has been taken two days neurological examination revealed no care has been taken right leg, below the navel on the left side pain, temperature sensation loss, check the monitor for the inflammatory lesions of the spinal cord, for her narrative result of the inspection, which of the following error?

Answer: MRI lesions exhibit increased signal T1 (T1-weighted hyperintense), T2 signal constant (T2-weighted isointense), it may be as acute myelitis

Choices:
A. MRI lesions exhibit increased signal T1 (T1-weighted hyperintense), T2 signal constant (T2-weighted isointense), it may be as acute myelitis
B. Optic examination can help diagnose neuromyelitis
C. The results may be found lumbar puncture cells - isolated egg white (cytoalbuminologic dissociation)
D. ⾎ fluid check for possible anti-SSA antibody


Question: Health-related quality of the reporting system, divided into policy and promote policies to encourage the two categories, Which of the following does not belong to inform policies to promote the system?

Answer: Cancer screening system

Choices:
A. Cancer Registry System
B. Cancer screening system
C. Hospital Infection Surveillance Information System
D. National Adverse Drug Reaction Reporting System


Question: Which of the following does not belong to amphetamine Forbidden phenomenon?

Answer: Insomnia (insomnia)

Choices:
A. Eager to get the drug (craving for drugs)
B. Fatigue (lassitude)
C. Bulimia (hyperphagia)
D. Insomnia (insomnia)


Question: 9 year-old boy stated during the day urinary frequency, urinary urgency, and even the phenomenon of wet pants, and wet the bed nightly, the best selection of treatment of bedwetting this case is:

Answer: Day and at bedtime anticholinergic, such as oxybutynin

Choices:
A. Bedtime desmopressin (DDAVP)
B. Day and at bedtime alpha adrenergic antagonist, such as doxazosin
C. Day and at bedtime anticholinergic, such as oxybutynin
D. Use only at bedtime imipramine


Question: 28 weeks of gestational age preterm children, birth to five months of outpatient health examinations. Which of the following evaluation and recommendation of the most correct?

Answer: Assessment of development should be calculated to two months of age

Choices:
A. Assessment of development should be calculated to two months of age
B. If you do not grip things, representation of fine motor development delay
C. Suggested that parents should add non-staple food
D. Recommended to start using a walker to promote gross motor development


Question: As shown in retinal photographs, the patients most likely diagnosis of why?

Answer: Background diabetic retinopathy (background diabetic retinopathy; BDR)

Choices:
A. Acute central retinal artery occlusion
B. Retinopathy of premature children
C. Background diabetic retinopathy (background diabetic retinopathy; BDR)
D. Proliferative diabetic retinopathy (proliferative diabetic retinopathy; PDR)


Question: When the patient after abdominal surgery, the risk of abdominal compartment syndrome (abdominal compartment syndrome) if there happen after assessment, following what measures should be taken?

Answer: Avoid doing the initial wound stitched (primary closure)

Choices:
A. Supply of oxygen
B. Supplying a large number of infusion
C. Avoid doing the initial wound stitched (primary closure)
D. Placement of central venous catheters (central venous catheter)


Question: Which of the following after the child was born with congenital heart disease, if the patent ductus arteriosus lockout, it could be fatal?

Answer: ①②③

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④


Question: Which of the following cases occur in children at least Kawasaki disease (Kawasaki disease)?

Answer: Complement C3, C4 decrease

Choices:
A. Coronary expand
B. Pyuria (pyuria)
C. Complement C3, C4 decrease
D. Elevated liver function index


Question: Auditory hair cells (auditory hair cells) depolarization, the initial ion flow phenomena Why?

Answer: influx of K+

Choices:
A. influx of K+
B. outflux of K+
C. Na + influx of
D. outflux of Ca2+


Question: Which of the following can help their peers have arterial blood supply to the hip?

Answer: Femoral ligament (ligament of head of femur)

Choices:
A. Femoral ligament (ligament of head of femur)
B. Transverse acetabular ligament (transverse acetabular ligament)
C. Iliofemoral ligament (iliofemoral ligament)
D. Shame shares ligament (pubofemoral ligament)


Question: In patients with artificial heart valves, gastrointestinal bleeding, must first consider what reasons caused?

Answer: Use of anti-clotting drugs

Choices:
A. Use of anti-clotting drugs
B. Aplastic anemia
C. Autoimmune thrombocytopenia
D. Thrombocytopenic purpura


Question: Diagnostic phoria (heterophoria) generally must depend on which of the following checks to determine?

Answer: cover-uncover test

Choices:
A. cover-uncover test
B. alternate cover test
C. prism cover test
D. prism reflex test（krimsky）


Question: Overweight patients, to half a kilo of weight loss per week, the average number of calories per day about to be cut?

Answer: 500 kcal

Choices:
A. 100 kcal
B. 250 kcal
C. 500 kcal
D. 1000 kcal


Question: 2 a 26-year-old woman occurred in highway crash accident, hospital emergency room served mainly physical examination conditions are as follows: blood pressure mmHg; heart rate 105 / min; GCS GCS 8 points (E1M5V2), there is the case of restlessness (agitation); the combined face fracture (facial bone fracture); a predetermined emergency brain surgery. According to the above description, Which of the following is the improper disposal?

Answer: Given saline infusion

Choices:
A. Given ketamine, to reduce intracranial pressure
B. The combined morphine-like drugs, as an adjuvant intubation
C. Using an osmotic diuretics
D. Given saline infusion


Question: In general, dominant limb stretch (extension of limb) of the spinal cord motor neurons in the anterior horn:

Answer: Ventrolateral (ventrolateral division)

Choices:
A. Ventromedial (ventromedial division)
B. Ventrolateral (ventrolateral division)
C. Dorsal medial area (dorsomedial division)
D. Dorsolateral region (dorsolateral division)


Question: 7-year-old boy with fever, cough three days, with fine rales (fine crackles) on both sides of the lung auscultation, by the use of cefotaxime 150 mg / kg / day q6h after three days of treatment, the fever persisted, but the boy good vigor, no respiratory distress, chest X-ray was symmetrical interstitial infiltrates. That one of the following disposal the most appropriate?

Answer: Switch azithromycin 10 mg / kg / day qd

Choices:
A. Switch cefotaxime 300 mg / kg / day q6h
B. Switch azithromycin 10 mg / kg / day qd
C. Use vancomycin 40 mg / kg / day q8h
D. Switch penicillin 300,000 units / kg / day q6h


Question: Congenital diaphragmatic hernia (congenital diaphragmatic hernia), the most serious problem may be complicated by Why?

Answer: Hypoplastic lungs (pulmonary hypoplasia)

Choices:
A. Hypoplastic lungs (pulmonary hypoplasia)
B. Congenital heart disease (congenital heart disease)
C. Esophageal atresia tracheoesophageal fistula (esophageal atresia with tracheoesophageal fistula)
D. After nostril atresia (choanal atresia)


Question: The following narrative about the facilitated diffusion, what's wrong?

Answer: Need to consume energy

Choices:
A. It requires carrier media
B. Saturates
C. Certain compounds having selectivity for
D. Need to consume energy


Question: Bearing on the question, Which of the following most important for bacterial virulence factors (virulence factor)?

Answer: Bacterial surface polysaccharide capsule (polysaccharide capsule)

Choices:
A. Bacterial surface fimbriae (Pili)
B. Bacterial surface polysaccharide capsule (polysaccharide capsule)
C. Cell toxin (cytotoxin)
D. Wins cell wall peptidoglycan (peptidoglycan)


Question: Traditional unit of radiation dose is rad, modern unit is Gray (Gy), that the following items are correct conversion method?

Answer: 1 Gy = 100 rad

Choices:
A. 1 rad = 10 Gy
B. 1 Gy = 100 rad
C. 1 Gy = 1000 rad
D. 1 Gy = 100 rad


Question: 70-year-old male patient with cerebral stroke pressure increases, the traditional pre-line decompression craniotomy, narrative therapy following brain pressure drop related to anesthesia, what's wrong?

Answer: The smaller the better to maintain arterial carbon dioxide

Choices:
A. Arterial carbon dioxide down to 30 ~ 33 mmHg
B. Mannitol (0.25 ~ 0.5 g / kg) reducing intracranial pressure because varying the osmotic pressure in the blood
C. Diuretics (furosemide) help is there because of the reduction in brain tissue and cerebrospinal fluid produced water
D. The smaller the better to maintain arterial carbon dioxide


Question: RecA protein is the main regulator of the SOS response (SOS response), and its mechanism of action Why?

Answer: III-a, b-I, c-II

Choices:
A. a-II, III-b, c-I
B. a-II, b-I, c-III
C. III-a, b-I, c-II
D. Holoenzyme polymerization (polymerase holoenzyme) binding, can LexA repressor (repressor) gene from the manipulation (operator)


Question: An ion that can prevent fertilized egg cell repeatedly (polyspermy)?

Answer: calcium

Choices:
A. magnesium
B. iron
C. sodium
D. calcium


Question: Related cervical disease rehabilitation treatment narrative principle, which of the following error?

Answer: Spinal cord lesion is cervical traction indications

Choices:
A. Spinal cord lesion is cervical traction indications
B. Available Transcutaneous electrical nerve stimulation (TENS) for pain
C. Coughing, sneezing may aggravate the symptoms of disease of the cervical nerve root
D. Raise the same side of the humerus may reduce symptoms of radiculopathy


Question: Following a DNA virus that has a different serotypes can cause upper respiratory tract, conjunctival infection and gastrointestinal tract?

Answer: Adenovirus (Adenovirus)

Choices:
A. Papilloma virus (Papillomavirus)
B. Adenovirus (Adenovirus)
C. Pox virus (Poxvirus)
D. Parvovirus B19 (Parvovirus B19)


Question: Which of the following anti-clotting drugs, primarily via hepatic metabolism?

Answer: Argatroban

Choices:
A. Argatroban
B. Enoxaparin
C. Fondaparinux
D. Lepirudin


Question: The following statements about monoclonal antibodies (monoclonal antibody), and what items most correct?

Answer: Obtained can be purified using affinity column staphylococcal Protein A

Choices:
A. They are IgM
B. Many may recognize antigenic determinants bit
C. Obtained can be purified using affinity column staphylococcal Protein A
D. The present study can only be used to reduce tissue transplant rejection therapy


Question: β-lactamase inhibitor in clinical penicillin often associated with these drugs in combination with, and to expand its antibacterial spectrum activity, except where item?

Answer: nafcillin

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


Question: Account of diabetes (diabetes mellitus) of acute complications (acute complication), the error which of the following?

Answer: When Kussmaul's breathing patterns are usually more common in hyperglycemic hyperosmolar state cum, less seen in diabetic ketoacidosis

Choices:
A. Diabetic ketoacidosis is usually (diabetic ketoacidosis) cum hypertonic glucose ratio state (hyperglycemic hyperosmolar state), lower arterial blood PH value, generally less than 7.3 and
B. When blood glucose concentration at a high osmotic pressure state cum hyperglycemia, diabetic ketoacidosis usually more is high, and often greater than 500 mg / dL
C. High blood sugar cum high osmotic pressure state is more common in the elderly sick, and diabetic ketoacidosis is more common in children
D. When Kussmaul's breathing patterns are usually more common in hyperglycemic hyperosmolar state cum, less seen in diabetic ketoacidosis


Question: Related immunosuppressant sirolimus (rapamycin) of the narrative, which of the following error?

Answer: As the role of calcineurin can be inhibited tacrolimus

Choices:
A. May be coupled to the FK506-binding protein
B. As the role of calcineurin can be inhibited tacrolimus
C. Have less adverse effects than cyclosporine impairment of renal function
D. Inhibition of mTOR to inhibit protein synthesis


Question: To the eye when out above (temporal upper) look to be on the outer lateral rectus muscle (lateral rectus muscle) and following what the eye muscle strip joint action?

Answer: Superior rectus (superior rectus muscle)

Choices:
A. Superior rectus (superior rectus muscle)
B. The oblique muscle (superior oblique muscle)
C. Inferior rectus (inferior rectus muscle)
D. Under oblique muscle (inferior oblique muscle)


Question: 4235-year-old male, cough and hemoptysis, lower limb more purple tenderness nodules, check the following items where most helpful in the diagnosis of Wegener's granulomatosis?

Answer: antiproteinase-3 antineutrophil cytoplasmic antibodies（PR3-ANCA）

Choices:
A. antihistone antibodies
B. antiproteinase-3 antineutrophil cytoplasmic antibodies（PR3-ANCA）
C. anticardiolipin antibodies
D. antinuclear antibodies (ANA)


Question: A 42-year-old female patient's blood report presents HBsAg: positive, anti-HBs antibody IgG: positive. Which of the following determine the most reasonable?

Answer: The patient remains asymptomatic carrier of hepatitis B

Choices:
A. The patient remains asymptomatic carrier of hepatitis B
B. This non-B hepatitis patient asymptomatic carrier, because of the existing anti-HBs positive
C. Reality check error, HBsAg and anti-HBs were positive impossible
D. It should be added for anti-HBc antibody (anti-HBc), as determined before


Question: Wang Daming accidentally while playing basketball ball, the ball should have been turned into the palm of his right middle finger catch, suddenly swollen fingers, a few days after the last one on swelling fingers hanging down, how hard can not do anything straight. The most appropriate diagnostic why?

Answer: Mallet finger (mallet finger)

Choices:
A. Trigger finger (trigger finger)
B. De Quervain syndrome (de Quervain's tenosynovitis)
C. Mallet finger (mallet finger)
D. Hand buttons malformation (boutonniére deformity)


Question: A dysphagia patients, clinical complained of burning sensation in the chest (heart burn), and food and have jammed (food sticking) of feeling, according to stage of swallowing, following that period most likely damaged?

Answer: Of the esophagus (esophageal stage)

Choices:
A. Oral stage (oral stage)
B. Oral preparation phase (oral preparatory stage)
C. Period throat (pharyngeal stage)
D. Of the esophagus (esophageal stage)


Question: The following drugs that are suitable for improving the symptoms of Crohn's disease, and the role of up to 12 weeks?

Answer: Infliximab

Choices:
A. Loperamide
B. Cholestyramine
C. Infliximab
D. Senna


Question: The following about the hand metacarpal (metacarpal) fracture of the narrative, what's wrong?

Answer: The most common place is part of the metacarpal fracture in the metacarpal bone (metacarpal head) of

Choices:
A. Metacarpal fractures account hand (hand) and wrist fractures 1/3
B. The most common symptoms are swelling and pain metacarpal fracture
C. To be flushing if the patient is due to human or animal bites, causing a fracture, surgery and given powerful antibiotics
D. The most common place is part of the metacarpal fracture in the metacarpal bone (metacarpal head) of


Question: The following information about the role of growth hormone (growth hormone), and what's right?

Answer: Excessive concentrations of growth hormone in the blood can cause insulin resistance (insulin resistance) phenomenon

Choices:
A. Reduce glucose production by the liver
B. Reduce blood free fatty acid concentration
C. Increase in skeletal muscle glucose uptake (uptake)
D. Excessive concentrations of growth hormone in the blood can cause insulin resistance (insulin resistance) phenomenon


Question: Miss Rein ulcer perforation for emergency surgery, postoperative condition. When Miss Lai Zhuyuanyishi review medical records and found her abdominal pain on the year and a half ago and had undergone gastroscopy in our hospital, found to have been suffering from duodenal ulcers and H. pylori positive, but the doctors did not give outpatient antibiotic treatment. Which of the following is the name of this piece Zhuyuanyishi suspected medical negligence events next most appropriate disposal?

Answer: First understand why there is no documented record of the use of antibiotic treatment of Helicobacter pylori infection on medical records

Choices:
A. Not to pursue past and given medical treatment of Helicobacter pylori infection can directly when Miss Lai oral medication
B. First understand why there is no documented record of the use of antibiotic treatment of Helicobacter pylori infection on medical records
C. Miss Lai previously admitted to negligence and commitment of clinicians and hospital claims to the parties for her
D. Write a report to inform the head of the hospital medical errors and build this please punish relevant personnel and education


Question: Long plantar ligament (long plantar ligament) is attached to the front end of the bone where these?

Answer: Cuboid bone (cuboid)

Choices:
A. Cuneiform (Cuneiform)
B. Talus (talus)
C. Scaphoid (navicular)
D. Cuboid bone (cuboid)


Question: Patients due to blurred vision, eye doctor, eye doctors check for defective vision, and an MRI, according to this MRI (shown below), patients are most likely to produce that kind of vision defects?

Answer: Bitemporal hemianopia

Choices:
A. Bitemporal hemianopia
B. Right side homonymous hemianopia
C. Left side homonymous hemianopia
D. Central scotoma


Question: Which of the following is not a Phase I metabolic reactions of?

Answer: Conjugation

Choices:
A. Oxidation
B. Hydrolysis
C. Conjugation
D. Reduction


Question: A 30-year-old man for long-term intravenous drug addicts, because of fever, breathing difficulties to seek treatment; cardiac auscultation determined to murmur, and lung X-rays with multiple infiltration, most likely pathogens ask why?

Answer: Staphylococcus aureus

Choices:
A. Klebsiella pneumoniae
B. Proteus mirabilis
C. Staphylococcus aureus
D. Streptococcus pyogenes


Question: The following statements about testicular seminoma (seminoma), and what's the most correct?

Answer: It contains large amounts of placental alkaline phosphatase

Choices:
A. Occurs in infants and young children
B. It contains large amounts of placental alkaline phosphatase
C. Serum α-fetoprotein patients often significantly increase the value of
D. Poor response to chemotherapy, the prognosis is poor


Question: For children with functional abdominal pain over and over again (functional recurrent abdominal pain), the following clinical manifestations what best suits this diagnosis?

Answer: Abdominal pain is located around the navel

Choices:
A. Vomit bile
B. There watery diarrhea phenomenon
C. Abdominal pain is located around the navel
D. Midnight pain woke easy


Question: A 65-year-old woman because of a headache, eye pain and blurred vision suddenly hospitalized, diagnosed as acute glaucoma, must receive treatment to reduce intraocular pressure. Past medical history included hypertension and asthma, in addition to the heart, liver and kidney functions are normal, and no drug allergies of the patient's condition. When given antihypertensive therapy, Which of the following most should be avoided?

Answer: Beta-adrenergic antagonist eye drop

Choices:
A. Intravenous mannitol infusion
B. Oral acetazolamide
C. Pilocarpine eye drop
D. Beta-adrenergic antagonist eye drop


Question: The following is a drug that Benzodiazepines sedative - hypnotic (sedative-hypnotic) drug antagonist (antagonist), which can be used to treat or diagnose acute poisoning Benzodiazepines are?

Answer: Flumazenil

Choices:
A. Buspirone
B. Zolpidem
C. Flumazenil
D. Zaleplon


Question: No bilateral congenital vas deferens (congenital bilateral absence of vas deferens) and genetic diseases following the most relevant?

Answer: Cystic fibrosis

Choices:
A. Cryptorchidism
B. Ureter defect
C. Atopic dermatitis
D. Cystic fibrosis


Question: Which of the following drugs should not be used in acute gout attacks?

Answer: Uric acid lowering drugs (hypouricemic agents), such as allopurinol

Choices:
A. Nonsteroidal antiinflammatory drugs (non-steroid anti-inflammatory drugs, NSAID)
B. Colchicine (colchicine)
C. Steroids (steroids)
D. Uric acid lowering drugs (hypouricemic agents), such as allopurinol


Question: Angle of view of preventive medicine, with a low risk factor and more than 35-year-old man, how often should undergo a cholesterol (cholesterol) blood tests?

Answer: Five years

Choices:
A. Three months
B. Six months
C. A year
D. Five years


Question: 3445-year-old woman receiving cadaveric renal transplantation, total ischemic time (Total ischemic time) for the twelve hours thirty-five, surgery went smoothly, after using an anti-lymphocyte immune globulin (antilymphocyte globulin) and steroids as anti-rejection drugs . Two days before the average urine volume per hour after 25 c.c .. The patient's vital signs stable, central venous pressure at 10-12 cmH2O, after ultrasound Color Doppler Ultrasound display vascularized normal flow, reduce postoperative voiding phenomenon is related to Which statement is correct?

Answer: May be acute tubular necrosis

Choices:
A. Must be acute exclusion
B. Should increase the dose of anti-rejection drugs
C. Impossible to restore kidney function, kidney transplant surgery immediately
D. May be acute tubular necrosis


Question: Statements about German measles (rubella virus), and which of the following error?

Answer: Conventional with throat swabs (throat swab) culturing the virus, according to the diagnosis of infection as

Choices:
A. The only human hosts
B. Only one serotype
C. MMR vaccine can be administered to prevent infection fight
D. Conventional with throat swabs (throat swab) culturing the virus, according to the diagnosis of infection as


Question: Which of the following diseases rare lung collapse (atelectasis) situation?

Answer: Peripheral lung cancer

Choices:
A. Pneumothorax (pneumothorax)
B. Chylothorax (chylothorax)
C. Neonatal respiratory distress syndrome (neonatal respiratory distress syndrome)
D. Peripheral lung cancer


Question: A 19-year-old woman, hospitalized three months ago in a car accident injuries to the abdomen, hematuria recently because of continued high readmissions, angiography images such as drawings, the patient most likely diagnosis is which of the following?

Answer: Kidney contusion concurrent pseudoaneurysm (pseudoaneurysms)

Choices:
A. Kidney contusion concurrent pseudoaneurysm (pseudoaneurysms)
B. Kidney contusion and arteriovenous fistula (arteriovenous fistulas)
C. Contusion complicated by kidney subcapsular hematoma (subcapsular hematoma)
D. Kidney contusion complicated by acute pyelonephritis (acute pyelonephritis)


Question: A stroke patient ability to understand and speak the language fluency Jie defect, but for verbal instructions given by the medical staff, can complete all the spoken. The patients most likely to develop that type of aphasia?

Answer: Cortical aphasia (transcortical aphasia)

Choices:
A. Wernicke's aphasia
B. Conductive aphasia (conduction aphasia)
C. Broca's aphasia
D. Cortical aphasia (transcortical aphasia)


Question: The following configuration is not any direct contact with the tooth (Dentin)?

Answer: Chalky (cementum)

Choices:
A. Periodontal ligament (periodontal membrane)
B. Enamel (enamel)
C. Chalky (cementum)
D. Pulp cavity (pulp cavity)


Question: 5-phosphoribosyl-1-pyrophosphate (PRPP) synthesis of inosine 5'-monophosphate (IMP) in the nucleotide biosynthetic pathway, PRPP amidotransferase that the reaction rate may be one of the following product negatively regulate?

Answer: AMP

Choices:
A. AMP
B. CMP
C. FAD
D. malonyl-CoA


Question: A 45 year old male, was found to have colon cancer two years ago, for the Duke B1 period, to accept surgery, pathological diagnosis of cancer, found this year a routine check right upper lobe has a 2 × 2 cm metastases, biopsy also adenocarcinoma by positron scan did not find elsewhere transfer, disposal of the patient, which of the following is most appropriate?

Answer: Surgical treatment

Choices:
A. Chemotherapy
B. Radiation treatment
C. Surgical treatment
D. Chemotherapy combined with radiotherapy


Question: About syphilis (syphilis), the following statements is true?

Answer: The second stage of syphilis can affects the skin, kidneys, liver, spleen, skeletal muscle, etc.

Choices:
A. doxycycline treatment is currently considered the drug of choice
B. VDRL (Venereal disease research laboratory test) positive for the disease can be diagnosed
C. Usually the Gram's stain cells are clearly visible
D. The second stage of syphilis can affects the skin, kidneys, liver, spleen, skeletal muscle, etc.


Question: After years of research, and finally found that the drug X may promote the transcription factor FoxP3 expression, and the transcription factor FoxP3 mainly in CD4 + T cells, and the T cells to secrete IL-10 and TGF-β, and the performance of CTLA-4 molecule. Drug X is most unlikely to control that disease?

Answer: Tumor

Choices:
A. Transplant rejection
B. Lupus erythematosus
C. asthma
D. Tumor


Question: Antibodies against the cell surface receptor (cell surface receptors), and can cause organ damage of autoimmune diseases, such as anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) that can cause one of the following diseases?

Answer: Myasthenia gravis (myasthenia gravis)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Pemphigus vulgaris (pemphigus vulgaris)
C. Multiple sclerosis (multiple sclerosis)
D. Lupus (systemic lupus erythematosus)


Question: Which of the following factors can reduce the rate of induction of systemic inhalation anesthetic?

Answer: Drug solubility high blood anesthesia

Choices:
A. Increasing the ratio of drug concentration in the inhaled gas
B. Increased alveolar ventilation rate
C. Drug solubility high blood anesthesia
D. Reduced cardiac output


Question: 56 year old man yellowing of the skin and sclera, and have dark urine and pale stools. The following statements is true?

Answer: If the touch swollen gallbladder, bile duct obstruction outside the patient's liver

Choices:
A. This patient had hemolytic jaundice
B. If the touch swollen gallbladder, bile duct obstruction outside the patient's liver
C. Elevated blood bilirubin mainly non-engagement bilirubin
D. Because liver cancer cells would create too much bilirubin is particularly prone to this type of jaundice


Question: If the spinal cord injury (spinal cord injury) in patients with major injury site in the spinal cord dorsal nerve bundle (dorsal column), Which of the following most likely to occur?

Answer: Not detect the correct temperature changes on the skin

Choices:
A. Unable to recognize objects in the palm of the right eyes closed
B. Vibration sensation (vibratory sense) poor
C. Not detect the correct temperature changes on the skin
D. Can not stand eyes closed


Question: Patients with head trauma, emergency computer tomography images, such as drawings, are indicated by arrows:

Answer: Acute subdural hematoma upper chamber (acute epidural hematoma)

Choices:
A. Acute subdural hematoma upper chamber (acute epidural hematoma)
B. Acute subdural hematoma (acute subdural hematoma)
C. Chronic subdural hematoma (chronic subdural hematoma)
D. The brain contusion hemorrhage (contusion hemorrhage)


Question: Which of the following is a T helper cell (helper T cell) co-receptor (co-receptor)?

Answer: CD4

Choices:
A. CD2
B. CD3
C. CD4
D. CD8


Question: Dandy-Walker malformation is a kind of congenital hydrocephalus, which of the following first appeared expand phenomenon?

Answer: Fourth ventricle (4th ventricle)

Choices:
A. The third ventricle (3rd ventricle)
B. Fourth ventricle (4th ventricle)
C. Cerebral aqueduct (aqueduct)
D. Ventricle (lateral ventricle)


Question: The following have concerns murmur (heart murmur) of the narrative, what's wrong?

Answer: Normal healthy person should not be determined noise

Choices:
A. Normal healthy person should not be determined noise
B. Systolic murmur at the time of the first heart sound or later, and ended the next second heart sound or slightly before
C. When the carotid pulse (the upstroke), which is the systolic murmur heart murmur; in carotid sink, which is a diastolic murmur heart murmur
D. Diastolic murmur occurs when the second heart sound or later, and ended the next or slightly before the first heart sound


Question: For the following description Paramyxoviridae (Paramyxoviridae), the what's right?

Answer: A film having both (Envelope) and fusion (Fusion) Protein

Choices:
A. Positive stocks (positive sense) RNA virus
B. By nucleoprotein (Nucleoprotein) is divided into A, B and C III
C. Nucleoprotein clothing (nucleocapsid) icosahedral symmetry structure
D. A film having both (Envelope) and fusion (Fusion) Protein


Question: Which of the following bacteria and plants which synthesize aromatic amino acids (aromatic amino acids) process, an important intermediate product?

Answer: chorismate

Choices:
A. purine
B. chorismate
C. pyrimidine
D. p-aminobenzoic acid


Question: Item 63 properties that severe depression (major depressive disorder) patients and progress in the future as the first course of bipolar disorder (bipolar I disorder) of less relevant?

Answer: Severe insomnia (insomnia)

Choices:
A. Severe insomnia (insomnia)
B. Psychotic symptoms
C. A family history of a first type of bipolar disorder (bipolar I disorder)
D. But had to take antidepressants appear hypomania


Question: When there was a 50-year-old public acceptance health check, body mass index = 33 kg / m2, esophagogastroduodenoscopy found to have erosive esophagitis (erosive esophagitis), the genus LA classification grade A. After careful inquiry he had no obvious pit of the stomach burning sensation (heartburn), there is no feeling of acid reflux, swallowing food too normal. The following description and what was the most correct?

Answer: He should be advised to lose weight and drinking less alcohol, coffee and tea, eat less fats and oils and acidic foods

Choices:
A. Should be given immediately taking proton pump inhibitor (PPI) for at least 4 months
B. Next year should be a gastrointestinal endoscopic examination on
C. It is further checked the pH within the esophagus
D. He should be advised to lose weight and drinking less alcohol, coffee and tea, eat less fats and oils and acidic foods


Question: The following thyroid surgery on nerve injury may be caused, what's wrong?

Answer: If the injuries to cervical sympathetic trunk, will lead Wermer's syndrome

Choices:
A. If injuries recurrent laryngeal nerve, can cause vocal cord paralysis
B. If injuries external branch of superior laryngeal nerve, can cause difficulties made treble
C. Surgery is not easy to hurt the internal branch of superior laryngeal nerve
D. If the injuries to cervical sympathetic trunk, will lead Wermer's syndrome


Question: A middle-aged patients with sudden mediastinal emphysema (pneumomediastinum), following which the differential diagnosis of the most unlikely?

Answer: Mediastinal tumors

Choices:
A. Acute asthma attacks
B. Mediastinal tumors
C. Rupture of the esophagus
D. Neck deep tissue infections


Question: The following statements about community health assessment, what's wrong?

Answer: All community problems found, make every effort to achieve the goal to solve the problem

Choices:
A. To solve a particular ethnic health problems specific method
B. Found the problem through integration available resources to develop solutions
C. All community problems found, make every effort to achieve the goal to solve the problem
D. The purpose of the promotion of community health assessment of the health status of community residents


Question: A 65-year-old patient, has many years of drinking habits. Recently he felt fatigue, weakness, poor appetite and to the hospital. Physical examination revealed an enlarged spleen and a small amount of ascites. Blood test shows ALT 85 U / L, AST 60 U / L, albumin 3 g / dL, total bilirubin 0.9 mg / dL, glucose 106 mg / dL, HBsAg (+), AFP 950 ng / mL. Angiogram and a CT image as shown in FIG. Which of the following is the most likely diagnosis?

Answer: HCC (hepatocellular carcinoma)

Choices:
A. Metastatic liver cancer (Metastasis)
B. Bile duct cancer (cholangiocarcinoma)
C. Hepatic hemangioma (cavernous hemangioma)
D. HCC (hepatocellular carcinoma)


Question: Which is not nigra pars reticulata (pars reticulata of the substantia nigra) direct projection area of GABAergic neurons?

Answer: Pale nucleus (globus pallidus)

Choices:
A. Pale nucleus (globus pallidus)
B. The superior colliculus (superior colliculus)
C. Pontine nuclei cerebral peduncle (pedunculopontine nucleus)
D. Thalamus (thalamus)


Question: About Lake Louise acute mountain sickness (Lake Louise Acute Mountain Sickness) to assess signs and symptoms of a table of contents, excluding the following items where?

Answer: diarrhea

Choices:
A. headache
B. feel sick and vomit
C. diarrhea
D. insomnia


Question: Which of the following is the DNA sequence 5'- ATTGCAG-3 'is complementary to a nucleic acid shares?

Answer: 5'- CUGCAAU- 3 '

Choices:
A. 5'- CUGCAAU- 3 '
B. 5'- TAACGTC- 3'
C. 5'- ATTCGTC- 3'
D. 5'- ATTGCAG- 3'


Question: Select the following information about breast cancer adjuvant treatment (Adjuvant therapy), and what's right?

Answer: Estrogen receptor (ER) negative for the women before the menopause, chemical therapy

Choices:
A. Premenopausal women, the main anti-hormone drugs
B. Postmenopausal women, chemical therapy
C. Estrogen receptor (ER) negative for the women before the menopause, chemical therapy
D. Estrogen accept the body of a female, positive and hormone therapy before menopause has nothing to do


Question: Mr Tsang is a 35-year history of drinking, there are two episodes of acute pancreatitis in the past three years, most recently three weeks, due to continued de-black, gastroduodenal artery photography Figure A and B, the most reasonable diagnosis of anterior superior pancreaticoduodenal artery of:

Answer: False aneurysm (pseudoaneurysm)

Choices:
A. Blockage (occlusion)
B. False aneurysm (pseudoaneurysm)
C. Arteriovenous fistula (arterio-venous fistula)
D. Arteriovenous malformations (arterio-venous malformation)


Question: 2 large month-old girl, i.e. shortly after birth shortness combined asthma found song (stridor), tracheal stenosis found bronchoscopy, esophageal photography as shown in FIG. Which of the following is the most likely diagnosis?

Answer: Pulmonary artery sling (pulmonary sling)

Choices:
A. Double aortic arch (double aortic arch)
B. Right aortic arch and left patent ductus arteriosus (right aortic arch & left PDA)
C. Pulmonary artery sling (pulmonary sling)
D. For the fifth aortic arch (persistent fifth arch)


Question: 96 a 56-year-old woman, in recent months, abdominal circumference gradually increases. Physical checkups on both sides have found ovarian cystic tumors and ascites exist. Ascites cytology found in malignant cells. She underwent tumor resection, the tumor specimen is visible wall surface of many papillary protrusions. The following narrative about this disease and what was the most correct?

Answer: Ovarian tumors observed under a microscope, often visible sand bodies (psammoma bodies)

Choices:
A. Increased β-human chorionic gonadotropin concentration in the blood
B. It peritoneal pseudo myxoma (pseudomyxoma peritonei) may occur
C. Ovarian tumors most likely granular cell tumor (granulosa cell tumor)
D. Ovarian tumors observed under a microscope, often visible sand bodies (psammoma bodies)


Question: Premature children apnea (of apnea to) can be divided into central, obstructive, and mixed. For obstructive apnea, following what kind of treatment most appropriate?

Answer: Continuous positive airway pressure to give (continuous positive airway pressure)

Choices:
A. Give blood
B. Give oxygen
C. Give methylxanthines
D. Continuous positive airway pressure to give (continuous positive airway pressure)


Question: That one of the following instruments are checked within the corneal epithelium (corneal endothelium) lesions of the most important instruments?

Answer: Ophthalmoscope (ophthalmoscope)

Choices:
A. Light microscopic mirror (specular microscope)
B. Corneal curvature topography tester (computerized videokeratoscope)
C. Ophthalmoscope (ophthalmoscope)
D. Tonometer (tonometer)


Question: A 15-year-old boy, two years there have been repeated a lot of nosebleeds phenomenon, the left middle ear also water, no lumps found in the neck, the most likely disease Why?

Answer: JNA

Choices:
A. Nasopharyngeal
B. Nasal cancer
C. Little area before the bottom of the nasal septum bleeding
D. JNA


Question: Adductor hiatus (adductor hiatus) Which of the following structure is located?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Adductor longus (adductor longus)
B. Short adductor muscles (adductor brevis)
C. Adductor muscle (adductor magnus)
D. Pubic muscle (pectineus)


Question: Swimmer's itch (swimmer's itch) which is caused by a parasite?

Answer: Schistosoma birds (avian Schistosoma spp.)

Choices:
A. Schistosoma birds (avian Schistosoma spp.)
B. 犬鉤蟲（Ancylostoma caninum）
C. Manson crack head tapeworm (Spirometra mansonoides)
D. Pan tail volvulus (Onchocerca volvulus)


Question: The following statements about the severe acute respiratory syndrome (severe acute respiratory syndrome, SARS), and what's right?

Answer: Taken to "quarantine" measures, good effect

Choices:
A. Pathogenic virus is a DNA virus
B. Will produce coughing and breathing difficulties, but less likely to have a fever
C. Contagious skin
D. Taken to "quarantine" measures, good effect


Question: 72-year-old male with a history of hypertension for many years, complained of pain in the left lower extremity numbness up to 3 hours to consultation. Patients in the past day a pack of cigarettes lasts for more than 40 years, physical examination found that the left foot cold, pale, no swelling of the feet, but feet weak pulse. Patients with a history of many years of bilateral disease varicose veins, not taking medications to control. Patient's blood pressure 180/110 mmHg, heart rate 100 / min, the blood glucose level 220 mg / dL when the blood. This patient most likely diagnosis is:

Answer: Lower extremity arterial blockage (lower limb arterial occlusion)

Choices:
A. Lower extremity arterial blockage (lower limb arterial occlusion)
B. Venous congestion (lower limb venous occlusion)
C. Yu lower extremity phlebitis blood (stasis dermatitis)
D. Lower extremity arterial aneurysm (lower limb arterial aneurysm)


Question: Parasternal, fifth intercostal depth of about 1 centimeter puncture wounds, causing heavy bleeding, most likely injured arteries are:

Answer: Internal thoracic artery (internal thoracic artery)

Choices:
A. Top intercostal artery (supreme intercostal artery)
B. Internal thoracic artery (internal thoracic artery)
C. Muscle phrenic artery (musculophrenic artery)
D. Artery ribs (subcostal artery)


Question: Early treatment following information about severe gallstone pancreatitis, whichever is most inappropriate?

Answer: Pancreatic debridement surgery performed immediately (debridement)

Choices:
A. Antibiotic-containing
B. Relieve pain
C. Fluid and electrolyte supplement
D. Pancreatic debridement surgery performed immediately (debridement)


Question: 25-year-old woman, G3P2, 32 weeks of pregnancy, found that emergency Caesarean section "Ke's womb" (Couvelaire uterus), Will most likely diagnosis is:

Answer: Placental abruption

Choices:
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Placenta accreta


Question: The following information about the use of inhaled anesthetics, due to an increase in blood adrenaline caused by arrhythmias narrative, what's wrong?

Answer: Mechanism and adrenal AB type receptacle (α1Aand β adrenoreceptor) irrespective of the myocardium

Choices:
A. Currently halothane is still sensitive to adrenaline threshold value (threshold) the lowest drug
B. sevoflurane and desflurane needed to initiate blood arrhythmias lowest concentration of epinephrine is about the same
C. isoflurane more likely to develop this type of arrhythmia than sevoflurane
D. Mechanism and adrenal AB type receptacle (α1Aand β adrenoreceptor) irrespective of the myocardium


Question: Parathyroid hormone can promote [(OH) 2-vitamin D3 1,25-] generating 1,25-dihydroxyvitamin D3, this function is primarily that occurring in an organ?

Answer: kidney

Choices:
A. liver
B. kidney
C. lung
D. Thyroid


Question: A basketball player during a layup foul, fell to the ground when, with his right hand stays, resulting in proximal ulna fracture associated with "radial head" fracture dislocation, after the emergency room after orthopedic surgeons perform a reset of the lockout, check found in the wrist there is also the phenomenon of dislocation of joints, the reason I ask for this so-called Essex-Lopresti lesions, most likely what structure is destroyed?

Answer: Interosseous membrane between the radius, ulna torn

Choices:
A. Annular ligament rupture
B. The wrist triangular ligament tear
C. Interosseous membrane between the radius, ulna torn
D. Scaphoid fractures of the wrist


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

Answer: Will not cause systemic infection

Choices:
A. The female reproductive tract normal flora
B. Will form pseudohypha
C. Cause opportunistic infections
D. Will not cause systemic infection


Question: Chest tube through the diaphragm into the chest (thoracic duct) and following that structure together?

Answer: Aortic

Choices:
A. The inferior vena cava
B. esophagus
C. Aortic
D. Vagus nerve


Question: Which of the following does not belong to the work of rehabilitation treatment of alcoholics?

Answer: Long-term use drugs and alcohol

Choices:
A. Do not drink to maintain motivation
B. Work to maintain the lifestyle change
C. Relapse prevention
D. Long-term use drugs and alcohol


Question: A 42-year-old Wang, the past six months has been that the coming end of the world, and decided to sell all the property, to follow the leader of his faith, but the family firm opposition forced him to hospital and hospital treatment, he still insisted he did not disease and the treatment of non-cooperation, the following statements is wrong?

Answer: Paranoia of drug efficacy is poor, difficult to heal

Choices:
A. If the same religious congregations Wang do not agree that the idea is more like religious delusions
B. The key to establish an effective doctor-patient relationship is a successful treatment
C. To reduce the influence of delusions treatment goals for patients and their families
D. Paranoia of drug efficacy is poor, difficult to heal


Question: Varicocele (varicocele) occurs at one side is:

Answer: Left testicular vein injected into the left renal vein

Choices:
A. Left testicular artery from aorta
B. Aortic artery from the right testicle
C. Left testicular vein injected into the left renal vein
D. Right testicular vein injection right renal vein


Question: Miss Po, 40 years old, diagnosed with HBe antigen-negative chronic hepatitis B of currently considering receiving antiretroviral treatment. The following statements is wrong?

Answer: Interferon antiviral drugs than oral have more side effects and drug resistance

Choices:
A. Oral antiviral interferon or the use of either
B. Interferon antiviral drugs than oral have more side effects and drug resistance
C. Interferon with 48 weeks, oral antiviral generally use more than 1 year
D. Department of Health's Central Health Insurance Bureau of interferon and oral antiviral drugs were payments


Question: Stellate cell collagen related to the central nervous system (astrocyte) response to injury, the Which statement is correct?

Answer: Rosen Saybolt fiber (Rosenthal fibers) is common in hairy cell astrocytoma (pilocytic astrocytoma)

Choices:
A. Gum degeneration (gliosis) collagen only stellate cell proliferation (hyperplasia) without hypertrophy (hypertrophy)
B. Azihaimo second type (Alzheimer type Ⅱ) stellate cells mainly seen Ezihaimo collagen disease (Alzheimer disease)
C. Rosen Saybolt fiber (Rosenthal fibers) is common in hairy cell astrocytoma (pilocytic astrocytoma)
D. Starch bodies (corpora amylacea) at substantially the same probability of different ages of patients seen


Question: 40 year old man with acute mental disorders, diagnosis is most unlikely:

Answer: Ezihaimo disease (Alzheimer disease)

Choices:
A. Ezihaimo disease (Alzheimer disease)
B. Subdural hematoma
C. Winnick's encephalopathy (Wernicke's encephalopathy)
D. Depression


Question: On typical clinical manifestations of acute myocardial infarction, which of the following error?

Answer: Similar angina, chest pain usually stops with the activity and remission

Choices:
A. Usually accompanied by weakness, sweating, nausea, vomiting
B. Similar angina, chest pain usually stops with the activity and remission
C. Site of pain may occur in the upper abdomen below the sternum and xiphoid, it may be misdiagnosed as indigestion
D. In elderly patients, ST segment rose myocardial infarction may appear to be sudden difficulty in breathing, and may further lead to pulmonary edema


Question: A 68-year-old woman was found to have proteinuria, blood examination showed hemoglobin 8.7 gm / dL, normal white blood cells and platelets, albumin, 3.3 gm / dL, globulin 1.8 gm / dL, Cr 1.7 mg / dL, urine Bence -Jones protein positive, X- ray head shown in FIG. This patient most likely diagnosis is?

Answer: multiple myleoma

Choices:
A. multiple myleoma
B. carcinoma with bone metastasis
C. anemia secondary to chronic kidney disease
D. Paget's disease


Question: About serious diabetic gastroparesis surgical treatment, which of the following most inappropriate?

Answer: Gastrectomy

Choices:
A. Gastrectomy
B. Gastrostomy
C. Jejunostomy
D. Pancreas transplant


Question: 40 year old man, grew up torso was found with multiple pigmented spots and skin cancer, as shown, the most likely diagnosis is:

Answer: neurofibromatosis

Choices:
A. tuberous sclerosis
B. neurofibromatosis
C. neurocutaneous melanosis
D. xeroderma pigmentosum


Question: Related fracture healing (Fracture healing) description of what's wrong?

Answer: Inflammatory phase (Inflammation), osteoclasts (osteoclasts) and fibroblast cells (fibroblasts) significantly hyperplasia

Choices:
A. Inflammatory phase (Inflammation), osteoclasts (osteoclasts) and fibroblast cells (fibroblasts) significantly hyperplasia
B. Patch period (Repair), Soft Callus fracture begins to form within two weeks, and later replaced Hard Callus
C. After modification period (Remodeling) in the mid-repair period began, the clinical fracture healing can last for years
D. Fracture healing and nutritional status of patients and stable fracture fixation or not, there is a significant relationship


Question: Which of the following ⾎ pressure lowering drugs at the time of ⻑ of clothing made with high-dose treatment, if the immediate withdrawal because of the strong increase in sympathetic activity, may lead to fatal ADVANCED ⾎ pressure?

Answer: clonidine

Choices:
A. clonidine
B. nifedipine
C. hydralazine
D. captopril


Question: 77 Mr. Zhang two weeks ago, went to mainland China in Hunan Dongting lake activities, hands and feet had to extend into the water during swimming, and in the evening back to the hotel found swimming in the hands and feet itching rash occurs at rest, return general malaise, fever and cough and other symptoms after Taiwan, the hospital found to have mild liver and spleen enlargement (hepatosplenomegaly) and acute hepatitis (acute hepatitis) phenomenon. Based on the above results, Mr. Zhang parasite which most likely to be infected?

Answer: Schistosoma japonicum (Schistosoma japonicum)

Choices:
A. Chinese liver fluke (Clonorchis sinensis)
B. 橫川 吸蟲 (Metagonimus yokogawai)
C. Shaped flukes (Heterophyes heterophyes)
D. Schistosoma japonicum (Schistosoma japonicum)


Question: Which of the following does not belong to the risk factors for ovarian cancer?

Answer: Long-term use of contraceptive drugs

Choices:
A. Nulliparous
B. Long-term use of contraceptive drugs
C. First-degree relatives with a history of ovarian cancer
D. Itself has a history of breast cancer


Question: 7 A 40-year-old man in the rear upper arm has a deep cut wounds, came to the emergency wrist unable to stretch (extension), the fingers can not be straightened, this situation may be that a nerve injury?

Answer: Radial nerve (radial nerve)

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


Question: According to most studies data showed, elderly abdominal aortic aneurysm (abdominal aortic aneurysm) Which of the following most commonly misdiagnosed as a disease?

Answer: Kidney stones (renal colic)

Choices:
A. Peptic ulcer (peptic ulcer disease)
B. Kidney stones (renal colic)
C. Cholecystitis (cholecystitis)
D. Appendicitis (appendicitis)


Question: The following is the place where most babies of brain cell puncture (cisternal puncture) to obtain cerebrospinal fluid (CSF) of?

Answer: After the cisterna magna (posterior cerebellomedullary cistern)

Choices:
A. Between the cerebral peduncle pool (interpeduncular cistern)
B. After the cisterna magna (posterior cerebellomedullary cistern)
C. Four cistern (quadrigeminal cistern)
D. Pool pons (pontine cistern)


Question: Which of the following small saphenous vein (small saphenous vein) with the line?

Answer: Sural nerve (sural nerve)

Choices:
A. The saphenous nerve (saphenous nerve)
B. Sural nerve (sural nerve)
C. Deep peroneal nerve (deep peroneal nerve)
D. Superficial peroneal nerve (superficial peroneal nerve)


Question: The following related urinary diversion (urinary diversion) described the surgery, what's wrong?

Answer: When bladder cancer prostate urethra violations, Urinary diversion operation mode is preferably used neobladder

Choices:
A. Heart and lung function was assessed before surgery is important
B. Intestinal cleansing preparation must be done before surgery
C. When bladder cancer prostate urethra violations, Urinary diversion operation mode is preferably used neobladder
D. Because the longest length of the ileum, most often cited in the urinary shunt


Question: A 38-year-old obese women, abnormal vaginal spotting for up to six months. 10 years ago because of irregular menstruation for medical treatment, was diagnosed with polycystic ovary syndrome, have not been taking medication. Pregnancy test was negative reaction. Ultrasound examination revealed thickening of the endometrium. Which of the following check most appropriate?

Answer: Endometrial sampling

Choices:
A. 2-hour glucose tolerance test
B. glucose/insulin ratio
C. LH / FSH ratio
D. Endometrial sampling


Question: The following account of the esophagus, whichever is correct?

Answer: With submucosal glands (submucosal gland)

Choices:
A. Outside the esophagus muscularis (muscularis externa) comprises only smooth muscle
B. Mucosa (mucosa layer) having a number of goblet cells (goblet cells)
C. With submucosal glands (submucosal gland)
D. There are serous thoracic segment (serosa) covered


Question: The main difficulties in the development of gonorrhea (gonorrhea) vaccine Why?

Answer: Gonorrhea meningitidis surface antigen of 43 easily change due to cirrhosis or liver cancer patients with eating raw seafood, especially oysters, which led to the rapid progress of sepsis (septicemia), often due to infection following kind of bacteria?

Choices:
A. Gonorrhea cocci can not be cultured in vitro
B. Gonorrhea meningitidis surface antigen component of non-sexual
C. Gonorrhea meningitidis unable to produce protective antibodies in humans
D. Gonorrhea meningitidis surface antigen of 43 easily change due to cirrhosis or liver cancer patients with eating raw seafood, especially oysters, which led to the rapid progress of sepsis (septicemia), often due to infection following kind of bacteria?


Question: Ames assays (Ames test) can be used to assess:

Answer: The ability of compounds mutagenicity

Choices:
A. The pathogenic bacteria
B. DNA replication rate
C. The efficacy of antibiotics
D. The ability of compounds mutagenicity


Question: Men suffering from high blood pressure and a 52-year-old medication, and India plans to travel to the countryside for seven days if you are to give him suggestions, which of the following inappropriate?

Answer: Hypertension drug can not bring, because the travel time of only seven days

Choices:
A. Hypertension drug can not bring, because the travel time of only seven days
B. Owned ciprofloxacin to treat traveler's diarrhea may occur journey or urinary tract infections
C. Carry some anti-inflammatory painkillers and antihistamines for a rainy day
D. Required cooked food, boiled, skinned, or do not want to eat


Question: The blood will enter the antigen presenting cells where the antigen (antigen-presenting cell, APC) was presented to the T cell recognition, activation of specific immune response of the host (specific immunity)?

Answer: Spleen (spleen)

Choices:
A. Bone marrow (Bone marrow)
B. Mucosal lymphoid tissue (Mucosa-associated lymphoid tissue; MALT)
C. Cardiac (heart)
D. Spleen (spleen)


Question: The following description of the relevant parasympathetic regulation of the cardiovascular system, what's right?

Answer: Increasing sinus (SA node) on potassium ion permeability of the membrane hyperpolarization

Choices:
A. Stimulate the sinus node (SA node) on the F-type sodium channel (F-type Na + channels), so that membrane depolarization
B. Direct inhibition of cAMP action, slow ventricular contraction and relaxation rate
C. Activating beta] 2 adrenergic receptor (β2 adrenergic receptors), resulting in vasodilation
D. Increasing sinus (SA node) on potassium ion permeability of the membrane hyperpolarization


Question: 1 a 18 year-old boy due to the recent frequent bruising to treatment, inspection reports for Sick Children as WBC: 8,700 / mm3, Hgb: 12 gm / dL, 7 / 10.8 (patient / control) sec, activated partial thromboplastin time (aPTT) : 89.3 / 29.6 (patient / control) sec, bleeding time (Ivy's method): 1.5 min, von Willebrand factor (vWF) antigen 72%, most likely this Sick Children:

Answer: Hemophilia B (hemophilia B)

Choices:
A. Coagulation factor VII deficiency
B. Hemophilia B (hemophilia B)
C. von Willebrand 病
D. Uremia (uremia)


Question: 47 A 45 year old female patient in a closed winter and take a bath with a water heater, due to confusion suspected CO poisoning is sent to the emergency, blood gas analysis results are displayed in the arteries when the indoor air is sucked pH 7.32, PaCO2 38 mmHg , PaO2 86 mmHg, HCO3- 20 mEq / L, BEECF- 4 mEq / L, SaO2 98%. Will following the treatment, whichever is most correct?

Answer: To give oxygen of high concentration, and blood tests to send the carboxyhemoglobin

Choices:
A. PaO2 was 86 mmHg, and therefore does not require oxygen therapy
B. To give oxygen of high concentration, and blood tests to send the carboxyhemoglobin
C. SaO2 arterial blood gas analysis was 98%, the amount of carboxyhemoglobin so small, exclude the diagnosis of CO poisoning
D. Given sodium bicarbonate, for the treatment of metabolic acidosis


Question: After bearing the title, that preliminary results of blood culture, use one of the following antibiotic that is most appropriate?

Answer: Cefotaxime

Choices:
A. Trimethoprim-sulfamethoxazole
B. Azithromycin
C. Cefotaxime
D. Penicillin


Question: After a 34-year-old expectant women currently pregnant with their second child, the first 35 weeks of pregnancy; the woman pregnant with their first child three years ago, in the 36th week of pregnancy, prenatal B streptococcus (GBS) screening, The results are presented B streptococcus colonies positive. She received prophylactic antibiotic injections to be produced when the first child, the fetus after birth newborns B streptococcal infection does not occur. The second child for the prevention of neonatal B streptococcus infection, the practice should be taken to:

Answer: Prenatal screening arrangements B streptococcus, Streptococcus B colonies appear if positive, is to take preventive measures when antibiotic injections to be produced

Choices:
A. B streptococcus does not have to arrange for prenatal screening, preventive antibiotic treatment direct injection time to be produced
B. Prenatal screening arrangements B streptococcus, Streptococcus B colonies appear if positive, is to take preventive measures when antibiotic injections to be produced
C. Arrange Caesarean section, to take preventive antibiotics before surgery injection treatment
D. Arrange Caesarean section, do not take prophylactic antibiotic injection treatment


Question: Normal urine acid, excreted primarily in what form?

Answer: NH4 +

Choices:
A. H+
B. NH4 +
C. H3PO4
D. HPO42-


Question: 59-year-old female, lower abdominal magnetic resonance angiography (T2WI) figure, at about the meaning of the arrows, whichever is the most accurate description?

Answer: Cervical Neoplasia

Choices:
A. Uterine fibroids
B. Adenomyosis
C. Endometrial polyps
D. Cervical Neoplasia


Question: From the previous question, the results of blood tests [Na +] 136 mmol / L; [K +] 4.2 mmol / L, please baby next 24 hours was calculated optimum total water requirement?

Answer: Give two hours before 200 mL of physiological saline, 24 hours after infusion of 1600 mL to give

Choices:
A. Give two hours before 200 mL of physiological saline, 24 hours after infusion of 1600 mL to give
B. Give two hours before 200 mL of physiological saline, 24 hours after infusion of 1000 mL to give
C. Give 8 hours before 500 mL of physiological saline for 16 hours to give 500 mL infusion
D. Give 8 hours before 600 mL of physiological saline for 16 hours to give 1000 mL infusion


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

Answer: There is usually an increase of filaggrin and profilaggrin

Choices:
A. May be found in patients with atopic skin inflammation (atopic dermatitis) is
B. Patients palms and soles of palm obvious (hyperlinearity)
C. Often merge pore keratosis (keratosis pilaris)
D. There is usually an increase of filaggrin and profilaggrin


Question: From the previous question, Mrs. Liu intends to accept the amniocentesis, but worry about the safety of amniocentesis, the following statements is wrong?

Answer: Chromosome analysis of amniotic fluid cells (G-banding) microdeletion syndrome can be detected, for example, like syndrome CATCH22

Choices:
A. Recommends acceptance of amniocentesis is the number of weeks of pregnancy at 14-20 weeks
B. Amniocentesis complications include 1-2% water and may be an early opportunity to break less than 0.1% chorioamnionitis
C. Chance of miscarriage after amniocentesis in the following five thousandths
D. Chromosome analysis of amniotic fluid cells (G-banding) microdeletion syndrome can be detected, for example, like syndrome CATCH22


Question: When a mother at the clinic complaining about riding a motorcycle at a red light, due to the thumb, index finger, middle finger numbness and must walk away, will administer anesthesia to wake up massage bed at night, the following statements is true?

Answer: Severe cases can cause muscle thumb opposition (opponens pollicis) muscle atrophy

Choices:
A. Severe cases can cause muscle thumb opposition (opponens pollicis) muscle atrophy
B. Palm flexor carpi (volar flexion of the wrist) will often improve symptoms
C. Is the main cause of cervical disc herniation
D. Be sure to early surgical treatment


Question: Statements about groin ligament (inguinal ligament) is, which of the following error?

Answer: Attached to the outer end of the anterior superior iliac spine (anterior inferior iliac spine)

Choices:
A. Attached to the outer end of the anterior superior iliac spine (anterior inferior iliac spine)
B. Inner end attached to the pubic tubercle (pubic tubercle)
C. Formed by the external oblique aponeurosis (external abdominal oblique muscle) of
D. Shallow groin ring (superficial inguinal ring) located above the


Question: From the previous question, if medical treatment fails, what disposition should be used, a minimum of harm to the patient, the fastest recovery and effective?

Answer: Laparoscopic splenectomy (laparoscopic splenectomy)

Choices:
A. Traditional splenectomy (open splenectomy)
B. Laparoscopic splenectomy (laparoscopic splenectomy)
C. Splenic artery ligation (ligation of splenic artery)
D. Balloon splenic artery closure procedure (balloon occlusion of splenic artery)


Question: 28-year-old woman with severe depression due to the spur of the moment to drink 500 mL cleaners, when patients sent to the emergency room, following the recommendation disposal whichever is inappropriate?

Answer: Be emetic, to reduce the scope and extent of mucosal injury

Choices:
A. Please bring the families back home detergent bottles
B. Chest X-ray
C. Be emetic, to reduce the scope and extent of mucosal injury
D. Arrangements for gastroscopy


Question: For neonatal heart surgery, the waiting period can be used Which of the following drugs in advance to maintain the patency of the ductus arteriosus?

Answer: alprostadil

Choices:
A. misoprostol
B. epoprostenol
C. alprostadil
D. latanoprost


Question: Large baby girl 9 months, 2 days fever, cough, hoarseness appears, coughing sounds abnormal, respiratory effort, to the emergency medical treatment, doctors found a significant wheezing (Stridor), following what most inappropriate disposal?

Answer: Given antibiotic injections

Choices:
A. Give oxygen inhalation therapy
B. Inhaled epinephrine give
C. Given steroids
D. Given antibiotic injections


Question: Illustration of brain lesions that best meets one of the following conditions?

Answer: 36-year-old woman, there are a variety of neurological symptoms, repeated remission and relapse

Choices:
A. 36-year-old woman, there are a variety of neurological symptoms, repeated remission and relapse
B. 31 year old man, after human immunodeficiency virus infection dementia
C. Adult patients with headache, fever and frontal sinusitis
D. 60-year-old patient of high blood pressure, severe headache and hemorrhagic cerebral spinal fluid


Question: About pairing pathogens and diseases, which of the following error?

Answer: Yersinia pestis (Yersinia pestis) - Lyme disease (Lyme disease)

Choices:
A. Klebsiella pneumoniae (Klebsiella pneumoniae) - liver abscess (liver abscess)
B. Vibrio vulnificus (Vibrio vulnificus) - hyperlipidemia (septicemia)
C. Jejuni (Campylobacter jejuni) - gastroenteritis (gastroenteritis)
D. Yersinia pestis (Yersinia pestis) - Lyme disease (Lyme disease)


Question: Which of the following is the inferior mesenteric artery branch?

Answer: Anus artery

Choices:
A. Anus artery
B. Anus artery
C. Anal artery
D. Bladder artery


Question: Bearing on the question, for this incomplete spinal cord injury, if the symptoms do not continue to deteriorate, then you can start with which of the following medications?

Answer: High-dose methylprednisolone

Choices:
A. High-dose methylprednisolone
B. Swelling agent
C. Analgesics
D. Muscle relaxants


Question: After a myocardial infarction patients had left ventricular blood pressure to 70 mmHg, the following statements is wrong?

Answer: Pulmonary microvascular pressure drop

Choices:
A. Cardiac output will decline
B. Left atrial pressure rises
C. Pulmonary microvascular pressure drop
D. Left ventricular contractility decreases


Question: 56-year-old male smoker patient complained of chest pain and coughing, chest imaging, the most likely diagnosis as indicated by reference to which of the following?

Answer: Right upper lobe pneumonia (Lobar pneumonia)

Choices:
A. Youlei film effusion
B. Right lung atelectasis (Atelectasis)
C. Mediastinal tumors before (Anterior mediastinal tumor)
D. Right upper lobe pneumonia (Lobar pneumonia)


Question: Which of the following most commonly reported occupational exposure caused necrosis of the femoral head?

Answer: Abnormal air pressure

Choices:
A. Lian 苯胺 work
B. Whole body vibration
C. Low temperature exposure
D. Abnormal air pressure


Question: 38 year old man, head trauma. This CT images according to Zhang, is your diagnosis:

Answer: Acute epidural hematoma

Choices:
A. Acute epidural hematoma
B. Acute subdural hematoma
C. Acute subarachnoid hemorrhage
D. Acute contusion hemorrhage


Question: Pediatric liver cancer is common hepatoblastoma (hepatoblastoma) and hepatoma (hepatocellular carcinoma), of the following statements is true?

Answer: Tumor markers are both fetoprotein (α-fetoprotein, AFP)

Choices:
A. Hepatoblastoma (hepatoblastoma) occurs in children greater than 5 years of age
B. Tumor markers are both fetoprotein (α-fetoprotein, AFP)
C. Overall, hepatoma (hepatocellular carcinoma) prognosis than hepatoblastoma (hepatoblastoma) Good
D. Hepatoma (hepatocellular carcinoma) is often associated with Beckwith-Wiedemann syndrome


Question: From the previous question, the diagnosis of the patient at this time is most likely:

Answer: Hyperosmolar coma non-keto acid (HHNK)

Choices:
A. Because too much fluid caused by congestive heart failure
B. High hyponatremia
C. Hyponatremia
D. Hyperosmolar coma non-keto acid (HHNK)


Question: A 53-year-old woman in the daytime there will be ups and downs in the day (Diurnal fluctuation) on both sides of the proximal limb weakness and drooping eyelids and double vision, is the most likely disease:

Answer: Neuromuscular junction disease (Neuromuscular junction disorders)

Choices:
A. Myopathy (Myopathy)
B. Neuromuscular junction disease (Neuromuscular junction disorders)
C. Neuropathy (Neuropathy)
D. Motor Neurone Disease (Motor neuron disease)


Question: The following narrative about Lyme disease (Lyme disease), the what's wrong?

Answer: Causative agent is Treponema pallidum

Choices:
A. Of zoonotic disease
B. Causative agent is Treponema pallidum
C. PCR can be used to detect the subject of the original DNA of pathogenic
D. Available means of serological detection of patient antibodies


Question: Which of the following nasal mucosa of sensory information is not passed?

Answer: Palate small nerve (lesser palatine nerve)

Choices:
A. Ethmoid nerve (anterior ethmoidal nerve)
B. Palate small nerve (lesser palatine nerve)
C. Palatal nasal nerve (nasopalatine nerve)
D. Palatine nerve (greater palatine nerve)


Question: 25. If phagocytic leukocytes swallowed microorganisms can not timely and effectively to kill and decompose, the immune cells will gather together the formation of granulomas (granuloma). The center layer of granulomas often neatly surrounded by mononuclear leukocytes. This layer of cells is which of the following?

Answer: Epithelioid cells (epithelioid cells)

Choices:
A. Epithelium (epithelial cells)
B. Epithelioid cells (epithelioid cells)
C. Plasma cells (plasma cells)
D. Necrotic cells and neutrophils microorganisms


Question: 38 A 60-year-old male patient with chronic emphysema, stomach subtotal after receiving surgery for 24 hours, the patient's respiratory rate of 20 / min, heart rate was 100 / min. In addition, the patient's arterial blood gas analysis: pH = 7.37, PO2 = 78 torr, PCO2 = 52 torr, BE = +6 meq. The disposition of the patient, which of the following most appropriate?

Answer: Continue to observe, 4-6 hours before tracking arterial blood gas analysis

Choices:
A. Continue to observe, 4-6 hours before tracking arterial blood gas analysis
B. Immediate intubation and respirator to assist breathing
C. And administering oxygen mask 10 liters / min of oxygen
D. Given intermittent positive pressure breathing apparatus and one hundred percent oxygen


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

Answer: Treating the first generation cephalosporin

Choices:
A. Humans are the only reservoir of Salmonella typhi
B. Many animals are nontyphoidal Salmonellosis host
C. Treating the first generation cephalosporin
D. Third-generation cephalosporin treatment


Question: Bearing on the question, for the small United States, which of the following is the best treatment?

Answer: Reduction and fixation surgical needle (open reduction and pinning)

Choices:
A. Ice and shoulder strap fixation (ice packing and shoulder sling immobilization)
B. Closed reduction and fixation bracket (closed reduction and bracing)
C. Closed reduction and fixation plaster (closed reduction and casting)
D. Reduction and fixation surgical needle (open reduction and pinning)


Question: After a 40-year-old woman breastfeeding a month, it found a mass in the right breast, mammography found to be 3 × 3 cm radiolucent and radiopaque combined oval lesion, then the following statements is wrong?

Answer: oval lesion is usually malignant lesion

Choices:
A. oval lesion is usually benign lesion
B. oval lesion is usually malignant lesion
C. Most likely galactocele
D. aspiration is seen thick yellow liquid


Question: The following is a kind of amino acids that ⼀ ⾎ serotonin (serotonin) ⽣ synthetic precursor?

Answer: tryptophan

Choices:
A. arginine
B. glutamic acid
C. tryptophan
D. tyrosine


Question: About glioblastoma multiforme following treatment, whichever is correct?

Answer: Surgical resection plus postoperative radiation therapy and chemotherapy is the best way of treatment

Choices:
A. No matter what treatment to accept, patients have a good prognosis
B. Surgical resection plus postoperative radiation therapy and chemotherapy is the best way of treatment
C. If surgical removal, radiation therapy and surgery can not do chemotherapy
D. Tumor clearly distinguished from the surrounding normal tissue, is easy to complete surgical resection


Question:
40
 Women are most likely to occur with fecal incontinence Which of the following related?

Answer: Pelvic floor and anal sphincter muscle nerve damage

Choices:
A. Pubococcygeus (pubococcygeus muscle) damaged
B. Pelvic floor and anal sphincter muscle nerve damage
C. Perineal nerve (pudendal nerve) damage
D. Obturator (obturator muscle) damaged


Question: Statements about seborrheic dermatitis (seborrheic dermatitis), the non-Which of the following?

Answer: Caused by a high cholesterol

Choices:
A. Fall intensified
B. Plaque rash is red with a crust of oil
C. Rash distributed in the glabella, the nasolabial fold, forehead, eyebrows, cheeks, ears and chest
D. Caused by a high cholesterol


Question: Flea (flea) Which of the following pathogens can spread diseases?

Answer: Endemic typhus (endemic typhus)

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


Question: Narrative about women, the most Which of the following is not correct?

Answer: Women older than 85 years are most likely to die of breast cancer

Choices:
A. After menopause the incidence of many diseases increases
B. Resulting in the death of the most common diseases of women, including cancer, cardiovascular disease and cerebrovascular disease
C. Adult women are most worried about getting breast cancer
D. Women older than 85 years are most likely to die of breast cancer


Question: From the previous question, want to establish the diagnosis is the most appropriate examination:

Answer: Transbronchial biopsy (transbronchial biopsy)

Choices:
A. Transbronchial biopsy (transbronchial biopsy)
B. Computer tomography (CT scan)
C. Pleura endoscopy (thoracoscopy examination)
D. Bronchoscope swabbing (brushing) and acid-fast bacteria culture


Question: Compared with milk, following the relevant human milk ingredients (except colostrum) description of what this bad?

Answer: High iron concentration

Choices:
A. The higher the concentration of lactose
B. High iron concentration
C. Higher IgA antibody concentrations
D. The higher the concentration of whey protein


Question: Through the power of the organized community, is committed to promoting and maintaining the mental health of individuals and society as a whole people, prevent abnormal psychological or mental illness, alleviate the disease adversely affects the individual and the community. Which of the following definitions belong to?

Answer: Public mental health

Choices:
A. Mental Health
B. Public mental health
C. Health Promotion
D. Mental Health


Question: Kidney renin (renin) which is secreted by cells?

Answer: Near glomerular cells (jextaglomerular cells)

Choices:
A. Near glomerular cells (jextaglomerular cells)
B. Macula densa (macula densa)
C. Kidney silk ball between stromal cells (mesangial cells)
D. Afferent arterial endothelial cells (endothelial cells of afferent arteriole)


Question: 16. The following relevant Mist (pterygium) of the narrative, what's right? ① invade the leading edge of the cornea of the eye shade, sometimes visible iron (stocker) after line ② recurrence of pterygium excision, sometimes causes of primary lesions than the more invasive Mist ③, high temperature and about overexposure to UV ④ Mist violations than nasal temporal corneal corneal

Answer: ①②③

Choices:
A. ①④
B. Only ①②
C. ①②③
D. Only ②③


Question: Toxic effects of gingivitis and tooth loss occurs when chronic poisoning which of the following?

Answer: Mercury vapor

Choices:
A. Tetraethyl lead
B. Mercury vapor
C. Trivalent arsenic
D. Iron


Question: Following a muscle that does not belong to shoulder rotator cuff cuff group (rotator cuff)?

Answer: Teres major (teres major)

Choices:
A. Subscapularis muscle (subscapularis)
B. Okashita skin (infraspinatus)
C. Okagami skin (supraspinatus)
D. Teres major (teres major)


Question: A normal ear, the left ear with chronic otitis media (air bone conduction difference is 30 dB) patients given tuning fork tests performed, the results can be seen:

Answer: Left Rinne test was negative, Weber test toward the left

Choices:
A. Rinne test positive for the left ear, Weber test toward the right
B. Rinne test positive for the left ear, Weber test toward the left
C. Left Rinne test was negative, Weber test toward the right
D. Left Rinne test was negative, Weber test toward the left


Question: Waist injured in a car accident caused by loss of sensation in the outside of the right leg, right side that is most likely a lumbar spinal nerve damage?

Answer: L5

Choices:
A. L2
B. L3
C. L4
D. L5


Question: 95.30-year-old female, found in recent days on the right nipple discharge blood and medical treatment. Physical examination found no nipple depression, breast skin nor abnormal, palpation failed to reveal the presence of tumor, axillary lymph node enlargement phenomenon. Her normal menstrual cycle and oral contraceptive pill. Her breast biopsy morphological changes which are most likely to occur?

Answer: Papillary structure

Choices:
A. Papillary structure
B. Neutrophil infiltration
C. Malignant epidermal cell infiltration nipple
D. Multiple cystic dilatation of the milk ducts and surrounding breast tissue fibrosis tube


Question: A young man sprained his knee while playing, was told he could hurt the meniscus (meniscus), that one of the following test positive reaction most likely?

Answer: Maikemoli's check (McMurray's test)

Choices:
A. Signs of pulling forward (anterior drawer test)
B. Maikemoli's check (McMurray's test)
C. Test shift pivot (pivot-shift test)
D. Lachman's tactics (Lachman's maneuver)


Question: When monitoring a patient in surgery late tidal volume of carbon dioxide (EtCO2), that will rise in one of the following situations?

Answer: Malignant Hyperthermia (Malignant hyperthermia)

Choices:
A. Air embolism occurs (Air embolism)
B. Malignant Hyperthermia (Malignant hyperthermia)
C. Decreased cardiac output
D. Lower blood pressure


Question: Neuroendocrine tumors (neuroendocrine tumor) liver metastases often occur, sometimes after surgical removal of the primary site already, only to find metastatic lesions in the liver. The face of such patients, the following statements is wrong?

Answer: In the liver metastatic neuroendocrine tumors, carcinoid (carcinoid tumor) is the more common types of transfer

Choices:
A. In the liver metastatic neuroendocrine tumors, carcinoid (carcinoid tumor) is the more common types of transfer
B. Most of these liver tumors grow very slowly, often without treatment can survive for long periods
C. Such surgery for liver tumor, radio frequency ablation (RFA) or transcatheter arterial chemoembolization (TACE) are treatment options may be considered
D. Some patients will be hormone-related symptoms, long-acting somatostatin analogues would be helpful at this time


Question: Miss Zhang, 26 years old, had had myopia and astigmatism, had been wearing glasses for four years, most recently that see things vague, so to think Opticians heavy glasses. The boss told eye problems, so to eye examination, found Miss Zhang comparison of the original and the degree of glasses, eye myopia increased -2.0D, astigmatism increase 5.0D, corrected visual acuity was 6/20, the left eye astigmatism increase 2.0D, correction visual acuity of 6 / 6.7, slit lamp and retinal examination were normal. Miss Chang worked for interior design, where the treatment of the following items as the first choice?

Answer: Rigid gas permeable contact lenses to wear

Choices:
A. 戴針 hole glasses
B. Wear daily disposable soft contact lenses
C. Rigid gas permeable contact lenses to wear
D. Myopia and astigmatism laser surgery


Question: 49 by 34-year-old man, feel neck pain after a car accident, his right foot weakness. Found a sense of right foot to reduce vibration check, no left foot pain. The most appropriate diagnosis should be:

Answer: Brown-Séquard syndrome

Choices:
A. Central cord syndrome
B. Anterior spinal cord syndrome
C. Brainstem injury
D. Brown-Séquard syndrome


Question: 67. Lai students, male, 17 years old, attending High School, because of a drug overdose suicide was sent to the emergency room. The students clarify the history of the display depends mainly due to emotional problems, his girlfriend broke mention the emergence of depressive symptoms has reached more than two months, no depression or past psychiatric history. Family history display Lai classmates father fear for depressive disorder and a history of wine, divorced parents, brought up by his mother brought. Lai students about the cause of this depression analysis, the following statements is true?

Answer: Parents divorced factor is the front part of the social (socio-predisposing)

Choices:
A. Parents divorced factor is the front part of the social (socio-predisposing)
B. Break event is part of the pre-psychological factors (psycho-predisposing)
C. Belong to a family history of depression induced biological factor (bio-precipitating)
D. Family history of depression is part of a continuation of the social factors (socio-perpetuating)


Question: After the lower motor neuron injury, the disposal of which they are most likely to skeletal muscle symptoms occur?

Answer: Stretch reflex (stretch reflex) disappear

Choices:
A. Stretch reflex (stretch reflex) disappear
B. Retracted reflection (withdrawal reflex) enhanced
C. Muscle tension (muscle tone) increase
D. Spastic palsy (spastic paralysis)


Question: 58 year old woman had to remove the uterus and ovaries, and the other suffering from pelvic sarcoma, and underwent surgery and radiation therapy, recently complained of lower back pain, X-ray and nuclear medicine bone scan in the drawings, the most likely diagnosis Why?

Answer: insufficiency fracture

Choices:
A. bone metastasis
B. insufficiency fracture
C. local tumor recurrence
D. degenerative spine disease


Question: Informed consent to set up the book, is to avoid the ethical principles of medicine that have been violated?

Answer: Respect for the principle of autonomy

Choices:
A. The principle of beneficence
B. Do no harm principle
C. The principles of justice
D. Respect for the principle of autonomy


Question: The following turbinate that is part of a separate bones instead of belonging to the ethmoid bone?

Answer: Inferior turbinate

Choices:
A. Inferior turbinate
B. Middle turbinate
C. Turbinate
D. Highest turbinate


Question: Carbamoyl acyl glutamic acid (carbamoyl glutamate) used in the treatment of vinegar acyl glutamate synthase (N-acetylglutamate synthetase) caused by the lack of urea cycle (urea cycle) disorders, its pharmacological effects are?

Answer: As acyl carbamoyl phosphate synthase (carbamoyl phosphate synthetase I) ectopic activator (allosteric activator), improve the efficiency of the urea cycle

Choices:
A. To provide the desired cyclic urea intermediate product, enhance the overall efficiency of the urea cycle
B. As acyl carbamoyl phosphate synthase (carbamoyl phosphate synthetase I) ectopic activator (allosteric activator), improve the efficiency of the urea cycle
C. Combined with glycine (Glycine) and bran amine Amides (Glutamine) into derivatives excreted, reducing the burden of the urea cycle
D. Promote the synthesis of arginine (arginine), to prevent a lack of arginine


Question: About guanylyl cyclase narrative Which statement is correct?

Answer: Can be activated nitric oxide (nitric oxide)

Choices:
A. Can be produced cAMP (cyclic adenosine monophosphate)
B. Can be activated nitric oxide (nitric oxide)
C. Catalyzed reaction product it may directly activate protein kinase C
D. Promote vasoconstriction (vasoconstriction)


Question: Carbidopa and Levodopa reason why combination therapy?

Answer: Inhibition surrounding Dopa decarboxylase

Choices:
A. Inhibition surrounding Dopa decarboxylase
B. Increasing the amount of 3-O-Methyldopa
C. Tyrosine hydroxylase activity increase of
D. Inhibitory activity of peripheral COMT


Question: Which of the following occurs when blocked, most will not affect the blood supply to the vagina?

Answer: Ovarian artery

Choices:
A. Ovarian artery
B. Uterine artery
C. Rectal artery
D. Internal pudendal artery


Question: Which of the following most likely caused by the fracture of the femoral head necrosis?

Answer: Femoral neck fracture displaced (displaced femoral neck fracture)

Choices:
A. Femoral shaft fractures (femoral shaft comminuted fracture)
B. Intertrochanteric fractures (femoral intertrochanteric fracture)
C. Intertrochanteric fractures (femoral subtrochanteric fracture)
D. Femoral neck fracture displaced (displaced femoral neck fracture)


Question: A 62-year-old male patient into the emergency room for treatment of liver cancer, complained to eight hours before the start of fever chills (fever and chills). Patients only done one day before tumor embolism (transcatheter arterial embolization) discharged. Body temperature is 38.9 ℃. Physical examination found that abdominal swelling, diffuse tenderness (diffuse tenderness), and is accompanied by a slight rebound pain (rebounding tenderness). For clinical manifestations of this patient, the following statements is most appropriate?

Answer: If examination revealed ascites polymorphonuclear neutrophil (polymorphic neutrophil) exceeds 250 / mL, can be diagnosed patients with spontaneous bacterial peritonitis

Choices:
A. Patients also complies with fever, abdominal tenderness and a sense of deterioration three kinds of symptoms to spontaneous bacterial peritonitis is suspected
B. If examination revealed ascites polymorphonuclear neutrophil (polymorphic neutrophil) exceeds 250 / mL, can be diagnosed patients with spontaneous bacterial peritonitis
C. This patient had just finished tumor embolization, inferred fever phenomenon will be caused by tumor necrosis (tumor necrosis)
D. If you suspect the patient has spontaneous bacterial peritonitis, the drug of choice for the first-generation cephalosporin antibiotics (cephalosporin) plus aminoglycoside


Question: Which of the following is not the first gill arch 4 6 and cartilage healing product?

Answer: Epiglottis (epiglottis)

Choices:
A. Epiglottis (epiglottis)
B. Thyroid cartilage (thyroid cartilage)
C. Arytenoid cartilage (arytenoid cartilage)
D. Cricoid cartilage (cricoid cartilage)


Question: A 28-year-old man because of the left upper ureteral calculi accepted ESWL (ESWL), postoperative KUB photo shows stones intact. This stone is most likely the ingredient Why?

Answer: Calcium oxalate monohydrate

Choices:
A. Double calcium oxalate monohydrate
B. Calcium oxalate monohydrate
C. apatite
D. Magnesium phosphate amine


Question:
28. ⼀ bit 18 year old man zoomed learn new ⽣, ⼀ weeks before the normal physical examination report. After three days ago to participate in a new Cup basketball game ⽣ joint pain, a self-made purchase for still pain drug (diclofenac) began to appear ⼩ will bubble and swollen feet after the service use, be it ⾄ ⾨ clinic for treatment. No vomiting, diarrhea, fever and symptoms of urinary frequency. Physical examination found: ⾎ pressure 160/90 mmHg, the respiration rate of 20 per minute, rash limbs, lower limbs 4+ swollen water resistant. ⾎ fluid examination: blood urea nitrogen (BUN) 52 mg / dL, Creatinine: 2.0 mg / dL, white egg white 1.8 g / dL, white ⾎ ball 7,000 / μL, ⾎ discolored prime 10.2 g / dL, cholesterol
 mg / dL, triacid fat (triglyceride) 260 mg / dL. Urine: red ball ⾎ 2 ~ 3 / HPF, white ⾎ ball 3 to 5 / HPF, total urine protein to creatinine ratio of white mass 12 g / g Cr. What items The following are the most likely diagnosis?

Answer: minimal change disease

Choices:
A. hemolytic uremic syndrome
B. minimal change disease
C. rapidly progressive glomerulonephritis
D. IgA Nephropathy


Question: Lack of surface tension hormone (surfactant) that is most relevant to one of the following disease?

Answer: Atelectasis (atelectasis)

Choices:
A. Pneumonia (pneumonia)
B. Emphysema (emphysema)
C. Atelectasis (atelectasis)
D. Bronchiectasis (bronchiectasis)


Question: Kienböck Disease is the one of the following occurs carpal avascular necrosis?

Answer: Lunate

Choices:
A. Scaphoid
B. capitate
C. Lunate
D. Hamate


Question: Which of the following acute pancreatitis occur relatively unrelated?

Answer: hypertension

Choices:
A. Biliary calculi
B. High cholesterol
C. alcoholism
D. hypertension


Question: About gastric surgery, which of the following error?

Answer: Surgical treatment of gastric cancer, splenectomy (splenectomy) is a conventional step

Choices:
A. Surgical resection margin (resection margin) is preferably from gastric cancer (cancer mass) of at least 5-6 cm
B. Subtotal gastrectomy and cancer free edge (subtotal gastrectomy with negative margin) is suitable for distal gastric cancer (distal gastric cancer)
C. For gastric dissection of lymph glands (lymphadenectomy), NCCN (National Comprehensive Cancer Network) recommendation removal D2 (D2 resection) (at least 15 nodes)
D. Surgical treatment of gastric cancer, splenectomy (splenectomy) is a conventional step


Question: Bearing on the question, which of the following would be positive for skin examination?

Answer: Nikolsky sign

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


Question: Which of the following when the poisoning, which can be used in clinical antibody as an antidote?

Answer: digoxin

Choices:
A. cyanide
B. benzodiazepines
C. digoxin
D. isoniazid


Question: Most people after a period of time in a bright environment, eye sensitivity to light will be reduced, a phenomenon known as light-adapted (light adaptation), the main formation mechanism which changes with the light-sensitive cells (photoreceptor cells) of about?

Answer: reducing the intracellular content of rhodopsin

Choices:
A. reducing the intracellular content of cGMP
B. reducing the intracellular content of rhodopsin
C. Reducing the number of cells
D. Sodium ion channels (sodium channels) on the activation of cell membranes


Question: A high blood pressure patient, often gout attacks, other tests, checks are normal. In the treatment of hypertension, most should avoid following what kind of drugs?

Answer: Diuretics

Choices:
A. Calcium channel blockers
B. Diuretics
C. Sympathetic beta blockers (β-adrenergic receptor blocker)
D. Angiotensin receptor blocker（ARB）


Question: 16-year-old girl was small, and no heart murmur menstruation and medical treatment. Its chromosome is 45XO. Which of the following is most likely for heart problems?

Answer: Aortic arch stenosis (coarctation of aorta)

Choices:
A. Atrial septal defect (ASD)
B. Ventricular septal defect (VSD)
C. Patent ductus arteriosus (PDA)
D. Aortic arch stenosis (coarctation of aorta)


Question: The following information about the elderly and stairs (sit-to-stand) the time to stand up from the chair impact factor, what's most important?

Answer: Ankle dorsiflexion (ankle dorsiflexion)

Choices:
A. Hip extension (hip extension)
B. Foot ankle 蹠屈 (ankle plantaflexion)
C. Bone rotary disc (pelvic rotation)
D. Ankle dorsiflexion (ankle dorsiflexion)


Question: The reason hemobilia (hemobilia) occurs, dominated by past traumatic slowly into iatrogenic (iatrogenic), the following statements is most inappropriate?

Answer: Surgical treatment is the best way to stop bleeding, blood clots and conservative treatment only a supporting role

Choices:
A. Arterial bleeding as the main reason, and hepatic portal venous bleeding is rare and easy to automatically stop the bleeding
B. Surgical treatment is the best way to stop bleeding, blood clots and conservative treatment only a supporting role
C. There are three typical clinical symptoms: abdominal pain, upper gastrointestinal bleeding, jaundice
D. Diagnostic imaging tools endoscopy, computed tomography, angiography, etc.


Question: 62-year-old businessman traveling abroad, because diarrhea is very powerful acclimatized to the local hospital, doctors diagnosed him with infectious diarrhea and there is the phenomenon of hyperlipidemia, and that one of the following bacteria most likely cause of this condition?

Answer: Salmonella species

Choices:
A. Campylobacter species
B. Salmonella species
C. Yersinia enterocolitica
D. Aeromonas hydrophila


Question: These kind of drugs used to prevent or treat uremic bleeding?

Answer: desmopressin（DDAVP）

Choices:
A. heparin
B. aspirin
C. desmopressin（DDAVP）
D. testosterone


Question: 1 A 60-year-old male patient hospitalized because of abdominal swelling, ultrasound examination revealed ascites and do diagnostic drainage, ascites white blood cell count analysis 0 g / dL, albumin value of 1.2 g / dL; serum albumin value of 2.6 g / dL, Which of the following is the most likely diagnosis?

Answer: Heart failure (Congestive heart failure)

Choices:
A. Heart failure (Congestive heart failure)
B. Tuberculous peritonitis (Tuberculous peritonitis)
C. Peritoneal cancer (Neoplasm)
D. Bacterial peritonitis (Pyogenic peritonitis)


Question: Weight received a cemented total hip arthroplasty in patients undergoing uncomplicated, after the first surgery when the affected limb can begin carrying training?

Answer: 1 day

Choices:
A. 1 day
B. 1 week
C. 1 month
D. 3 months


Question: Typical Tetralogy of Fallot (Tetralogy of Fallot) patients before surgical correction, when the chest auscultation may hear a significant systolic heart murmur (Systolic murmur), the causes of why this noise?

Answer: Narrow outlet right ventricle (Right ventricular outflow tract obstruction) cause blood flow to accelerate

Choices:
A. Cross-aortic (Overriding aorta) caused by excessive blood flow through the aorta
B. Large ventricular septal defect (Ventricular septal defect) caused by excessive pulmonary blood flow
C. Aortic separation of collateral circulation (Collateral circulation) is too strong
D. Narrow outlet right ventricle (Right ventricular outflow tract obstruction) cause blood flow to accelerate


Question: About autoimmune gastritis (autoimmune gastritis) What's wrong?

Answer: Antrum (antrum) endocrine cells reduced

Choices:
A. Parietal cell autoantibody and intrinsic factors (antibodies to parietal cells & intrinsic factor) can be measured in serum and in gastric juice
B. Vitamin B12 deficiency (vitamin B12 deficiency)
C. Lack of gastric acid secretion, increased gastrin (gastrin) secretion
D. Antrum (antrum) endocrine cells reduced