Question: Laser puncture the iris (laser iridotomy) does not apply to that type of glaucoma?

Answer: Primary open-angle glaucoma

Choices:
A. Acute angle-closure glaucoma
B. Chronic angle-closure glaucoma
C. Not attack the opposite corner of the narrow eyes
D. Primary open-angle glaucoma


Question: Account of involuntary weight loss (involuntary weight loss), the error which of the following?

Answer: Only when suffering from type 1 diabetes poorly controlled, there will be weight loss; when poorly controlled type II diabetes are still many suffering from obesity,

Choices:
A. The clinically meaningful weight loss in general, defined to be within 6 to 12 months, weight loss> 5%
B. Only when suffering from type 1 diabetes poorly controlled, there will be weight loss; when poorly controlled type II diabetes are still many suffering from obesity,
C. Patients did not deliberately diet or exercise to lose weight
D. When associated with palpitations or hypertension, hyperthyroidism, or to consider pheochromocytoma


Question: After following that with a hormone receptors (receptor) binding, will start the activity of tyrosine kinase receptors (tyrosine kinase) of?

Answer: insulin

Choices:
A. epinephrine
B. glucagon
C. insulin
D. estrogen


Question: The following statements about carpal tunnel syndrome (carpal tunnel syndrome), and what's wrong?

Answer: Numbness in the distribution refers to the back of the first, second and third

Choices:
A. Patients often sleepless night because of pain woke hemp palm, hands-rejection unit can slow the symptoms
B. Numbness in the distribution refers to the back of the first, second and third
C. Wrist extension or flexion can induce extreme symptoms
D. In severe cases, there will be a short thumb abductor muscle of weakness


Question: 14. Mr. Wang, 54 years old, chest tightness and asthma symptoms for over a year. He has a family history of hypertension, diabetes, two packs of cigarettes and smoke a day for 30 years, has been diagnosed with chronic obstructive pulmonary disease (COPD). Against him following a possible merger narrative of coronary heart disease, what is correct?

Answer: CT examination of the correctness of coronary heart disease, although high, but it is not clear in predicting prognosis of application

Choices:
A. If he though still able to go to work and normal activities, but will eat up the grade chest, then his Canadian Cardiovascular Society class III functional class
B. Considering that risk stress testing (stress testing) should avoid exercise ECG examination
C. Dopamine pressure (dobutamine stress) echocardiography examination while fairly accurate, but the sensitivity (sensitivity) slightly lower than the exercise ECG
D. CT examination of the correctness of coronary heart disease, although high, but it is not clear in predicting prognosis of application


Question: Procedural sedation and analgesia (procedural sedation and analgesia), the following statements is inappropriate?

Answer: Etomidate technology can be used for mild sedation and analgesia

Choices:
A. Midazolam technology can be used for mild sedation and analgesia
B. Ketamine can be used for moderate sedation and analgesia techniques
C. Etomidate technology can be used for mild sedation and analgesia
D. Propofol can be used for moderate sedation and analgesia techniques


Question: Crohn's disease is related to the following statements is wrong?

Answer: Abnormalities may be associated with HLA-DQ2 molecule function

Choices:
A. The patient has a strong inflammatory response to intestinal symbiotic bacteria
B. The first type is a T helper (TH1) inflammatory diseases dominated
C. Extensive use of antibiotics to treat the disease
D. Abnormalities may be associated with HLA-DQ2 molecule function


Question: 80.56-year-old male patient suffering from tuberculosis, the chest outpatient treatment after a period of time, the fever persisted, due to the chest physicians wonder whether patients are also infected with human immunodeficiency virus (HIV), by the consent of the patient blood tests and found that disease suffering infected with HIV. Test results came out, chest physicians have an opportunity to tell patients the test results, but also because of fever patients came to the emergency department. Emergency physicians based on good intentions, after the discovery of HIV-infected patients, HIV-infected patients put the case in the absence of informed patient directly inform his wife. The following statements is wrong?

Answer: HIV infection is a statutory infectious diseases, emergency physicians should be informed of the obligation, but also an obligation to check their HIV results to his wife, in order to ensure their safety, no patient consent

Choices:
A. HIV infection is a statutory infectious diseases, emergency physicians should be informed of the obligation, but also an obligation to check their HIV results to his wife, in order to ensure their safety, no patient consent
B. Emergency physicians should first review the results of HIV patients to inform and advise the inspection results should inform their wives, in its solicitation
C. If the inspection results to the patient against his wife, emergency physicians should be informed later, case-tracking by the health unit, while the inspection results to the relevant parties may have risky sexual behaviors of patients with
D. If the patient learned that he was infected with HIV, while Mrs. conceal its conduct risky sexual behaviors, thus infect their wives, will have the responsibility of criminal law


Question: The following information about the orbit (orbit) of the narrative, what's wrong?

Answer: Contained within the sensory nerve fibers are from the fifth cranial nerve

Choices:
A. Parasympathetic preganglionic fibers contained within the cranial nerves from the third
B. Contained within the sensory nerve fibers are from the fifth cranial nerve
C. Skeletal muscle which is contained therein by the third, fourth or six cranial nerves controlling
D. The blood supply to the eye from the ophthalmic artery (ophthalmic artery)


Question: A 30-year-old female suffering from vaginal cancer, after the examination revealed the tumor confined to one-third of the vagina. The best treatment methods are:

Answer: Cervical cancer eradication surgery, pelvic lymph nodes on both sides of the cut halves and vaginal Clear

Choices:
A. Intravaginal topical application of 5-fluorouracil
B. Vaginal Hysterectomy upper part
C. Cervical cancer eradication surgery, pelvic lymph nodes on both sides of the cut halves and vaginal Clear
D. Vaginal hysterectomy and removal of the upper half


Question: Most membrane protein covalently bound following which lipids (lipid), is attached on the outer membrane?

Answer: Acyl phosphatidyl inositol glycosylation (glycosyl phosphatidylinositol; GPI)

Choices:
A. Stearic acid (stearic acid)
B. Sphingosine (Sphingosine)
C. Acyl phosphatidyl inositol glycosylation (glycosyl phosphatidylinositol; GPI)
D. Acyl inositol phospholipid (phosphatidylinositol)


Question: A 50-year-old lover of tennis, after two weeks in intensive tennis match found lateral elbow pain, wrist dorsiflexion strength activities aggravate their symptoms, the most likely hurt the piece of tendon?

Answer: Extensor carpi radialis brevis (Extensor carpi radialis brevis)

Choices:
A. Radial wrist flexor muscle (Flexor carpi radialis)
B. Brachial muscle (Brachialis)
C. Extensor carpi radialis brevis (Extensor carpi radialis brevis)
D. Pronator teres (Pronator teres)


Question: 3 is attached on the styloid process (styloid process) muscles, those governed by the following six nerves?

Answer: ②③⑥

Choices:
A. ①②⑤
B. ③④⑥
C. ①④⑤
D. ②③⑥


Question: 41. One 53 year-old male in good health in the past, recent gradual emergence of jaundice, pale stools, dark brown urine. Patients with no previous history of biliary stones. Physical examination showed that patients without abdominal pain, no lumps, gall bladder also can not touch. The data indicate that the real blood chamber duct dye: 9.8 mg / dL, direct bilirubin: 7.6 mg / dL, prothrombin time INR: 1.79, ALT: 141 U / L, AST: 147 U / L, amylase: 130 U / L, lipase: 86 U / L, alkaline-P: 469 U / L. Abdominal ultrasonography revealed the expansion of intrahepatic duct, gallbladder normal. Which of the following is the most likely diagnosis in patients with discrepancies?

Answer: Abdominal computed tomography show significant expansion of the common bile duct

Choices:
A. Abdominal computed tomography show significant expansion of the common bile duct
B. Adenocarcinoma tumor patients, slow growth rate
C. Biliary tract infection is not common
D. The diagnostic value of percutaneous transhepatic photography than retrograde biliary endoscopic photography is high


Question: Generally the host immune response to viral infection, following that a statement is incorrect?

Answer: Matter as interleukin -10 (interleukin-10) is the major cytokines can activate natural killer cells of

Choices:
A. There antibody to block the virus from entering the host cell's role in the acute infection
B. After the establishment of the viral infection, the role of cell-mediated response to clear the virus more important
C. If an individual gene defects in the complement system, and will not cause serious virus infection
D. Matter as interleukin -10 (interleukin-10) is the major cytokines can activate natural killer cells of


Question: A 58-year-old postmenopausal women with breast cancer, to accept the right breast conserving surgery, preoperative examination showed no distant metastasis. Pathological examination showed that the tumor size of 2 cm, estrogen receptors (estrogen receptor, ER) negative staining, progesterone receptor (progesterone receptor, PR) negative staining, HER2 staining was positive, histologic grade for the second stage , axillary lymph nodes have two transfers. I ask patients what item do not need to accept the following adjuvant therapy?

Answer: Hormone therapy (hormone therapy)

Choices:
A. Chemotherapy (chemotherapy)
B. Hormone therapy (hormone therapy)
C. Radiotherapy (radiation therapy)
D. Treatment target (target therapy)


Question: The following description of mitochondrial about what's wrong?

Answer: Mitochondrial monolayer film having

Choices:
A. To cleave mitochondrial manner (Division) increasing the number of
B. The mitochondrial matrix (Matrix) with DNA and RNA
C. The mitochondrial matrix particles (matrix granules) stored bivalent ion
D. Mitochondrial monolayer film having


Question: A cation concentration is much higher than the extracellular concentration within the cell, when the cell membrane permeability of the nerve cells of a cation when this is much larger than the permeability of other ions, membrane potential why most likely right?

Answer: Positive potential

Choices:
A. zero
B. Negative potential
C. Positive potential
D. Can not judge


Question: Which of the following can Use for the treatment of radioactive cesium (radioactive cesium, 137Cs) contamination or thallium salt (thallium salts) poisoning?

Answer: prussian blue

Choices:
A. EDTA
B. unithiol
C. deferasirox
D. prussian blue


Question: A 30-year-old male patient in the summer of 2007 returned to Taiwan from Indonesia island of Java, went to the countryside areas in Indonesia during the stay, and help deal with dead chickens. After returning to Taiwan for treatment complained of fever three days, and accompanied by headache, general malaise, cough, then the following statements is wrong?

Answer: At this point amantadine is the preferred treatment

Choices:
A. Informed health authorities within 24 hours
B. Wear a gown, N95 masks, gloves, throat swabs were collected inspection, send a contract laboratory or health authority inspection
C. Isolation Ward into the patient Observation
D. At this point amantadine is the preferred treatment


Question: Vitamin D deficiency rickets (vitamin D deficiency rickets) of sick children, following an inspection result that most rare?

Answer: Normal serum parathyroid hormone concentration

Choices:
A. Normal serum calcium level
B. Hypophosphatemic value (Hypophosphatemia)
C. Normal serum parathyroid hormone concentration
D. Normal serum concentration of 1,25-Dihydroxyvitamin D


Question: Statements about prostate hypertrophy (BPH), the error which of the following?

Answer: When Finasteride in the treatment of BPH, the volume reduction of the maximum effect occurring within 3 months

Choices:
A. Tamsulosin is the strongest α1 antagonist
B. Approximately 30% BPH patients while the presence of hypertension
C. When Finasteride in the treatment of BPH, the volume reduction of the maximum effect occurring within 3 months
D. α1a receiver for the prostate gland smooth muscle of the main receiver


Question: Following that sequence will be regulated eukaryotic mRNA nuclear polyadenylation?

Answer: AAUAAA

Choices:
A. UUAUUU
B. UUUUUAU
C. UAUUUUU
D. AAUAAA


Question: Following that a drug treatment of partial seizures (partial seizure), often because of side effects liver toxicity, and to reduce its universal usability?

Answer: Felbamate

Choices:
A. Diazepam
B. Felbamate
C. Ethosuximide
D. Valproic acid


Question: Which of the following is the best method for the determination of breast cancer sentinel lymph node excision (sentinel node biopsy) of the method used?

Answer: Isotope scanning

Choices:
A. Isotope scanning
B. X ray radiation positioning method
C. Naked eye Act
D. Physical Inspection Act


Question: 16.50-year-old male disease hepatitis B Face, the liver has ⼀ stars 8 cm hepatocellular carcinoma and liver ⾨ vein tumor thrombosis (main portal vein tumor thrombosis), and multiple pulmonary metastases. Face disease without cirrhosis, liver decompensation phenomenon no, no jaundice, abdominal not water resistant. Which of the following ⼀ treatments best suited to the disease Face?

Answer: Targeted therapy (sorafenib)

Choices:
A. Liver transplant
B. The watch excision
C. Radio frequency ablation (radiofrequency ablation)
D. Targeted therapy (sorafenib)


Question: Which of the following does not contain cerebrospinal fluid (cerebrospinal fluid)?

Answer: Subdural (subdural space)

Choices:
A. Oike (cisterna magna)
B. Subdural (subdural space)
C. Spider meninges lower chamber (subarachnoid space)
D. Central canal (central canal of spinal cord)


Question: Which of the following is the optimal interpretation of the B- form DNA double helix?

Answer: Dextrose; spacing between each base pair is 3.4 Å

Choices:
A. Dextrose; spacing between each base pair is 3.6 Å
B. Dextrose; spacing between each base pair is 3.4 Å
C. L; spacing between each base pair is 3.4 Å
D. L; spacing between each base pair is 3.6 Å


Question: 30 year old woman, a child will often cold symptoms, and was determined to inform the noise, physical examination findings are as follows: height 160 cm, weight 60 kg, the law of the heart, the left upper edge of the chest of the three emitted systolic murmur (systolic ejection murmur), S2 with permanent split (fixed splitting of S2), P2 increase, the most likely diagnosis is:

Answer: Atrial septal defect (atrial septal defect)

Choices:
A. Ventricular septal defect (ventricular septal defect)
B. Atrial septal defect (atrial septal defect)
C. Restrictive cardiomyopathy (restrictive cardiomyopathy)
D. The combined problem of pulmonary hypertension (pulmonary hypertension) 39 Which of the following is not obstructive urinary tract (urinary tract obstruction) caused by kidney disease?


Question: The following information about Campylobacter upsaliensis of narrative, what's wrong?

Answer: Nothing to do with Guillain-Barré syndrome

Choices:
A. Mainly by the infected cats kept in contact
B. Nothing to do with Guillain-Barré syndrome
C. Helicobacter pylori-like cell morphology
D. Micro is oxygen requirement bacteria


Question: After birth, found that abdominal organs protrude, and covered with a layer of film and connected with the umbilical cord wrapped, the most likely diagnosis Why?

Answer: Omphalocele (omphalocele)

Choices:
A. Omphalocele (omphalocele)
B. 腹裂（gastroschisis）
C. Umbilical hernia (umbilical hernia)
D. Umbilical granuloma (umbilical granuloma)


Question: Related to the disposal of vulvar cancer (vulvar cancer), the recent disposal of principle, does not include which of the following?

Answer: Because patients, lymph vulvar cancer (vulvar cancer), and along the inguinal lymph node metastasis, patients should be routinely performed vulvar eradication and bilateral inguinal lymph node removal procedures (groin lymph nodes dissection)

Choices:
A. All patients should be based on its condition, do individual therapy formula (individualization) of
B. Do not have to perform routine (routine) surgery to remove pelvic lymph nodes (pelvic lymph node dissection)
C. For patients with inguinal lymph node metastasis (multiple positive groin nodes), and radiation therapy after surgery is necessary. To reduce the recurrence object inguinal (groin) at. Because once such patients had recurrent groin, almost all will die
D. Because patients, lymph vulvar cancer (vulvar cancer), and along the inguinal lymph node metastasis, patients should be routinely performed vulvar eradication and bilateral inguinal lymph node removal procedures (groin lymph nodes dissection)


Question: There are concerns the following description diseases envelope, whichever wrong?

Answer: Because narrowing pericarditis (constrictive pericarditis) and patients receiving resection of pericardium (pericardiectomy) in order to narrowing of the radiation-induced pericarditis (constrictive pericarditis) best prognosis

Choices:
A. Normal pericardium was about 20 mL, once the acute cardiac tamponade traumatic effusion of 40 mL, the pressure will increase rapidly
B. Narrowing pericarditis (constrictive pericarditis) and restrictive cardiomyopathy (Restrictive
C. Secondary generalization in patients with malignant pericardial effusion (secondary malignant pericardial effusion), the men and women begin with the most common lung cancer
D. Because narrowing pericarditis (constrictive pericarditis) and patients receiving resection of pericardium (pericardiectomy) in order to narrowing of the radiation-induced pericarditis (constrictive pericarditis) best prognosis


Question: The following statements is true?

Answer: Lysosomes (lysosomes) size of about 0.2-0.5 μm

Choices:
A. The thickness of the membrane of the cells 30-40 nm
B. Ribosome size of about 60-80 nm
C. Glycogen individual particle size of about 70-100 nm
D. Lysosomes (lysosomes) size of about 0.2-0.5 μm


Question: 47. ⺟ nerve cell tumors (neuroblastoma) is the most common extracranial children ⾒ of solid tumors, the following description for ⺟ nerve cell tumor, whichever error?

Answer: When the suspected ⼩ children suffering from neural cell tumors ⺟ shall collect urine detection ⼩ 24 wherein the amino phenol children (catecholamine) or a metabolite thereof

Choices:
A. ⺟ nerve cells from tumors of neural crest cells in automatically (neural crest cells), the sympathetic nervous system malignancies is
B. About 65% of the zoomed ⺟ nerve cell tumor in the abdomen is made ⽣, most of which is located in the adrenal medulla (adrenal medulla), the other in the neck,
C. When the suspected ⼩ children suffering from neural cell tumors ⺟ shall collect urine detection ⼩ 24 wherein the amino phenol children (catecholamine) or a metabolite thereof
D. Iodine-131 nuclear medicine scan submenus (iodine -131 MIBG scan) can use it not only to detect the presence of nerve ⺟ cell tumor and whether it has been transferred, but also


Question: About out skin pigment blacks appear hyperpigmentation (hypermelanosis) narrative, which of the following error?

Answer: Sweat stain (pityriasis versicolor) will only result in skin colors become darker, not lighter

Choices:
A. Blacks appear to increase or granules increases blacks appear producing melanocytes, are caused blacks appear out skin hyperpigmentation hormone
B. Sweat stain (pityriasis versicolor) will only result in skin colors become darker, not lighter
C. Metastatic cancer hormone blacks appear likely to cause a full chest upwards out skin pigment blacks appear hyperpigmentation (universal melanosis)
D. Genes, hormones, ultraviolet radiation and other factors may cause the blacks appear out skin hyperpigmentation prime


Question: Baby boy birth to three children 26-year-old women in spontaneous abortions at 28 weeks of pregnancy, birth abortion which is smaller than the general number of normal fetal weeks, and the third finger and fourth finger of both hands together there the deformity. In addition to the placenta is relatively small, can also see some size from about 0.8 cm as grape-like blisters. These placental tissue is most likely to have these kind of chromosomal abnormalities?

Answer: 69,XXY

Choices:
A. 69,XXY
B. 46,XX
C. 23 and
D. 47,XXY


Question: About the different types (isotype) immune globulin in the case of the distribution of the human body, the following statements is true?

Answer: Tissue liquid has a high content of IgG

Choices:
A. The highest serum IgA
B. Gastrointestinal tract mucosa highest content of IgE
C. Tissue liquid has a high content of IgG
D. IgM can cross the placenta and protect the fetus


Question: Which of the following people to quit smoking nicotine withdrawal symptoms may occur?

Answer: Heartbeat rate drops

Choices:
A. Heartbeat rate drops
B. Weight loss
C. Reduce muscle tension
D. High blood pressure


Question: 32. cyclobutane pyrimidine dimers (cyclobutane pyrimidine dimer) repair, which of the following is a bacterial DNA photolyase (photolyase) cofactors (cofactor)?

Answer: FADH-

Choices:
A. pyridoxal phosphate
B. thiamine pyrophosphate
C. FADH-
D. coenzyme A


Question: Bode Shi disease of the nipple (Paget's disease) is derived from:

Answer: Nipple milk ducts

Choices:
A. Nipple skin
B. Nipple milk ducts
C. Breast
D. Fibrous tissue between the breast


Question: Under familial cortical infarction (familial subcortical infarction, CADASIL) of the gene may be associated why?

Answer: notch3

Choices:
A. protein C
B. protein S
C. notch3
D. mtDNA


Question: Women times-onset hypogonadism (secondary hypogonadism) of patients with ovarian ovulation can not, due to lack of these kind of hormones?

Answer: Luteinizing hormone (LH)

Choices:
A. Growth hormone (GH)
B. Luteinizing hormone (LH)
C. TSH (TSH)
D. Lactation hormone (prolactin)


Question: 7 a 23-year-old man committed suicide by burning charcoal in a sealed room, was sent to the emergency room for treatment. Glasgow coma scale E1M1V1, temperature 36 ℃, blood pressure 80/60 mmHg, heart rate 110 beats per minute rule, breathing 8 times per minute; biochemical tests: CK 11,250 U / L, CK-MB U / L, Troponin-I 49.9 ng / mL, electrocardiogram as shown in FIG. Which of the following is a non-emergency treatment necessary?

Answer: Coronary angiography and cardiac catheterization

Choices:
A. Endotracheal intubation, use of respirators, and 100% oxygen
B. Placed central venous catheter, intravenous fluids give plenty
C. Vasopressors dopamine
D. Coronary angiography and cardiac catheterization


Question: Which of the following will produce skin redness, sweating, dizziness, vomiting, diarrhea, tinnitus and blurred vision and other side effects of antimalarial drug poisoning?

Answer: Quinine

Choices:
A. Primaquine
B. Pyrimethamine
C. Quinine
D. Amodiaquine


Question: Comparison of the vascular system, the structure and functional organization of arteries, capillaries and veins, the following statements is true?

Answer: Microvascular has the largest total cross-sectional area of the flow rate and the lowest average

Choices:
A. Rich arterial elasticity, so its compliance (compliance) is better than intravenous
B. Usually about 60% of blood to stay in veins. So venous vascular system of "pressure accumulator" (pressure reservoir)
C. Microvascular has the largest total cross-sectional area of the flow rate and the lowest average
D. Blood flow in different vessels depends on the distance from the heart


Question: There are the following account of dysphagia, what's wrong?

Answer: Mengde Sen practices (Mendelsohn maneuver) will reduce the time and extent of the esophageal sphincter to open open

Choices:
A. After receiving head and neck radiation therapy, can cause nearby tissue fibrosis leading to annexation it difficult to swallow
B. Such as dysphagia chest (thoracic dysphagia) occurs, the probability of esophageal dysfunction caused by high
C. Mengde Sen practices (Mendelsohn maneuver) will reduce the time and extent of the esophageal sphincter to open open
D. There swallowing sequence of excitement and inhibition (sequential excitation and inhibition) greater than fifty muscles (more than 50 muscles)


Question: The following information about Toxoplasmosis (Toxoplasma gondii) of the narrative, what's wrong?

Answer: It has been determined that the final host is a human

Choices:
A. Immunocompetent adult acquired the infection Toxoplasmosis, the vast majority have no clinical symptoms
B. Congenital infection with the first trimester (first trimester) of pregnancy infection, the most severe congenital disease
C. It has been determined that the final host is a human
D. Hyperplasia mainly propagated in the host macrophages (macrophages)


Question: Honeymoon period with which of the following diseases?

Answer: Congenital diaphragmatic hernia

Choices:
A. Intestinal atresia
B. Congenital biliary atresia
C. Omphalocele
D. Congenital diaphragmatic hernia


Question: About placenta previa, the most typical symptoms of what?

Answer: Painless vaginal bleeding

Choices:
A. Abnormal fetal heart rate monitor graphics
B. Painful vaginal bleeding
C. Painless vaginal bleeding
D. Clotting disease


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

Answer: The most common cause of lung abscess is a blood infection

Choices:
A. The most common cause of lung abscess is a blood infection
B. Bronchoscopy subject to see if there is a tumor or foreign object airway obstruction
C. Lung abscess patients, such as large hemoptysis occurred shall consider surgery
D. Patients with lung abscess can be the first effective antibiotics and respiratory therapy to heal


Question: Trauma patients using a variety of infusion and blood products to aid recovery, its purpose is to make the various tissues of the body can get adequate tissue perfusion (tissue perfusion). Excretion of urine is a practical objective of quantitative indicators, the indicators Which of the following is correct?

Answer: Adult greater than 0.5 ml / kg (body weight) / hour, the child is greater than 1 ml / kg (body weight) / hour

Choices:
A. Adult greater than 1 ml / kg (body weight) / hour, children greater than 0.5 ml / kg (body weight) / hour
B. Adult greater than 0.5 ml / kg (body weight) / hour, the child is greater than 1 ml / kg (body weight) / hour
C. Adult greater than 1 ml / kg (body weight) / hour, the child is greater than 1 ml / kg (body weight) / hour
D. Adult greater than 0.5 ml / kg (body weight) / hour, children greater than 0.5 ml / kg (body weight) / hour


Question: A 65-year-old woman, left lower abdominal pain medical treatment. Its slightly lower hemoglobin blood test. Imaging examination revealed intestinal expansion phenomenon, especially in the ascending colon and transverse colon area. She received the left colon resection. As shown in the drawings is to open the large intestine mucosa surface changes her excised specimen. Which of the following is the most important diagnosis?

Answer: Adenocarcinoma (adenocarcinoma)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Ischemic colitis (ischemic colitis)
C. Pseudomembranous colitis (pseudomembranous colitis)
D. Ulcerative colitis (ulcerative colitis)


Question:
15. One 22-year-old woman with fever and headache one week for medical treatment, the last two days the body has a faint rash. Orchid patient private prosecution two weeks ago to travel three days. Physical examination in the popliteal fossa (popliteal area) with a black scab lesions, no tenderness (as shown). The blood sample: leukocytes 9,800 / mm3 (Band 16%, Seg 35%, Mono9%, Lymph 40%), hemoglobin 13.2 g / dL, platelets 195,000 / mm3;
 GOT / GPT: 154/180 IU / L; chest X-ray, abdominal ultrasound liver and spleen, urine sample, are no exception. The most likely diagnosis of this patient?

Answer: scrub typhus

Choices:
A. scrub typhus
B. drug allergy
C. chickenpox
D. measles


Question: Hepatic portal hypertension (portal hypertension) Which of the following is least likely caused by the phenomenon?

Answer: Varicose veins

Choices:
A. Hemorrhoids
B. Esophageal varices
C. Varicose veins
D. Splenic vein pressure rise


Question: Cervical radiculopathy (cervical radiculopathy) often caused by degenerative cervical lesions (degenerative cervical lesion), leading to neck and upper limb numbness, paresthesia (paresthesia), cervical nerve root compression syndrome (root compression syndrome) occurs most often is:

Answer: C6, C7

Choices:
A. C3, C4
B. C4, C5
C. C5, C6
D. C6, C7


Question: The most common condition in patients with AIDS pathogenic fungal infections are:

Answer: Pneumocystis carinii pneumonia (Pneumocystis carinii pneumonia)

Choices:
A. Lung infection Candida albicans (Candida albicans) cause
B. Lung infections Cryptococcus neoformans (Cryptococcus neoformans) caused
C. Pneumocystis carinii pneumonia (Pneumocystis carinii pneumonia)
D. Trichophyton (Trichophyton) tissue necrosis caused


Question: 10 year-old girl sudden weakness to the emergency room. Blood pressure 100/60 mmHg, the blood test: creatinine (Creatinine) 0.6 mg / dL, potassium ion is 2.2 mmol / L, sodium ions of 138 mmol / L, chloride ions of 96 mmol / L, magnesium ions of 1.3 mg / dL (normal value of 1.6 ~ 2.4 mg / dL), the blood pH of 7.56, bicarbonate ion (HCO3-) of 30 mmol / L. Urine calcium and creatinine ratio (Urine Ca / Cr) was 0.1, the most likely diagnosis is girls:

Answer: Ji Teman syndrome (Gitelman syndrome)

Choices:
A. The first renal tubular acidosis (Renal tubular acidosis, type I)
B. Ji Teman syndrome (Gitelman syndrome)
C. Bartter's syndrome (Bartter syndrome)
D. Fanconi syndrome (Fanconi syndrome)


Question: Which of the following is not Azihaimo disease (Alzheimer's disease) early symptoms?

Answer: Long-term memory (remote memory) disorders

Choices:
A. New learning disabilities
B. Easy to get lost in the new environment
C. Named difficult (dysnomia)
D. Long-term memory (remote memory) disorders


Question: Which of the following is a hormone secreted by the cells Th1 cells?

Answer: IFNs-c

Choices:
A. IFNs-c
B. IL-4
C. IL-9
D. IL-13


Question: Statements about myasthenia gravis (myasthenia gravis), and what's wrong?

Answer: Botox can be injected (botulinum toxin) to treat

Choices:
A. Eye symptoms to drooping eyelids or double vision performance
B. Elderly person suffering from this disease should check with thymoma
C. Intravenous edrophonium chloride may help diagnose
D. Botox can be injected (botulinum toxin) to treat


Question: When 20-year-old Mullerian agenesis (müllerian agenesis) of female patients underwent laparoscopic appendectomy, the surgeon suspected endometriosis lesions in the pelvis, the following items describe what can reasonably explain this situation?

Answer: Endometriosis may be because abnormal epithelial metaplasia body cavity (coelomic metaplasia) sake

Choices:
A. Endometriosis is not possible because there is no reason uterus
B. Often accompanied by endometriosis, menstrual blood can not be discharged (menstrual outflow obstruction) sake
C. There may be endometriosis, because blood reflux (retrograde menstruation) sake
D. Endometriosis may be because abnormal epithelial metaplasia body cavity (coelomic metaplasia) sake


Question: Clinical manifestations of hyponatremia, hypoglycemia and pigmentation in the skin folds (crease) at the patient, its primary lesion is most likely located?

Answer: Adrenal

Choices:
A. Adrenal
B. kidney
C. pituitary gland
D. liver


Question: Which of the following is more suitable to be used to prevent or avoid vomiting due to chemotherapy drugs caused nausea and side effects?

Answer: ondansetron

Choices:
A. levodopa
B. misoprostol
C. sucralfate
D. ondansetron


Question: That is the main function of the following immunoglobulin receptors (Fc receptor) is?

Answer: Enhance phagocytosis (phagocytosis)

Choices:
A. Direct binding to the antigen
B. Binding the T cell receptor (T cell receptor)
C. Enhance phagocytosis (phagocytosis)
D. Stimulate the production of interleukin -2 (interleukin-2)


Question: There analysis (one-way analysis of variance, ANOVA) comparing obesity, whether overweight, underweight normal weight and of LDL-cholesterol values were significantly different, this is what investigators compared the investigators bit single factor variance kinds of statistics (statistics)?

Answer: average value

Choices:
A. average value
B. Median
C. The mode
D. Variance


Question: Which of the following is the lower respiratory tract (lower respiratory tract) the most common congenital anomalies (the most common birth defect)?

Answer: Tracheoesophageal fistula (tracheoesophageal fistula)

Choices:
A. Throat closing (laryngeal atresia)
B. Tracheoesophageal fistula (tracheoesophageal fistula)
C. Esophagus, larynx and trachea split (laryngotracheoesophageal cleft)
D. Tracheal stenosis (tracheal stenosis)


Question: Lixiao Di due to inhalation of foreign matter, resulting in regional airway obstruction, accompanied by parents to 10 minutes after the emergency room for treatment to the oximeter (pulse oximeter) detecting the arterial circulation of oxygen saturation (oxygen saturation) of 90% how many can conjecture mmHg circulation of this patient's arterial oxygen tension (PaO2) about?

Answer: 60

Choices:
A. 90
B. 80
C. 60
D. 40


Question: A 56-year-old woman with diabetes, due to frequent urination, left abdominal pain, fever, chills five days and to out-patient clinics, physical examination has touched left Yao Lei pain, blood pressure 90/60 mmHg, heart rate 100 / min, breathing 22 / min, CBC presents WBC 13,000 / mm3, Neutrophil 86%, while the urine microscopy precipitate exhibits WBC 80-100 / HPF, RBC 2-4 / HPF, ask the diagnosis processing, which of the following inappropriate?

Answer: Diagnosis of lower urinary tract infection

Choices:
A. Diagnosis of lower urinary tract infection
B. Urine culture should be done
C. Consider doing abdominal ultrasound
D. Consider hospitalization, parallel blood culture


Question: 50 year-old man complained of facial pigmentation removal, KOH microscopy negative, under Wood's light (Wood's light) Check the contrast more evident, as shown in clinical, the diagnosis is which of the following?

Answer: White spots (vitiligo)

Choices:
A. White spots (vitiligo)
B. White rosea (pityriasis alba)
C. Sweat stain (pityriasis versicolor)
D. Albinism (albinism)


Question: Which of the following is not a characteristic of a robotic arm assisted endoscopic surgery?

Answer: Two-dimensional vision

Choices:
A. Two-dimensional vision
B. When surgery can eliminate the surgeon's hand shake
C. Assistant surgeon who does not need help, you can adjust their direction as the lens
D. The surgical instrument can enter the narrow space, the angle difficult operation


Question: A 60-year-old woman suffering from type 1 diabetes for more than 40 years, the meal often severe stomach flatulence, confirm a diagnosis of diabetes mellitus after limping stomach (gastroparesis). Which of the following is a prokinetic drugs used to treat this symptom?

Answer: metoclopramide

Choices:
A. alosetron
B. metoclopramide
C. loperamide
D. sucralfate


Question: Following a method that can be used to estimate the molecular weight of the protein?

Answer: Gel chromatography (gel filtration chromatography)

Choices:
A. Gel chromatography (gel filtration chromatography)
B. IEF (isoelectric focusing)
C. Affinity chromatography (affinity chromatography)
D. Natural gel electrophoresis (native gel electrophoresis)


Question: 18. One of the long-term bed rest due to stroke patients, normally fed by the nursing home-made liquid diet through a nasogastric tube. After replacing the care a month ago, the family found that patients tail sacrum grow a diameter of 3 cm of pressure ulcer (pressure sore) (sacrum) nearby. Although the daily morning and evening Cayao month treatment, eager to turn over, but the wound expanded to a diameter of 8 cm. This lack of patients most unlikely Which of the following nutrients?

Answer: Vitamin A

Choices:
A. Vitamin A
B. Vitamin C
C. Zinc
D. protein


Question: 31 that a case does not meet the following test results listed in the arterial blood gas analysis and serum electrolytes? pH 7.49, PaO2 90 mmHg, PaCO2 48 mmHg, HCO3- 32 mEq / L; Na + 140, K + 2.7, Cl- 92 (electrolyte unit is mmol / L)

Answer: 60-year-old Ding treatment of glaucoma patients using acetazolamide

Choices:
A. A 40-year-old patient, the blood pressure 160/108 mmHg, plasma renin activity of 0.12 ng / mL / hr (normal 1.0-3.5 ng / mL / hr)
B. 20-year-old female B, use of diuretics (hydrochlorothiazide) Weight Loss
C. Propionate 40-year-old patient, blood pressure 162/102 mmHg, long-term consumption of licorice (licorice)
D. 60-year-old Ding treatment of glaucoma patients using acetazolamide


Question: When the spine is formed, the final result of the development of the spinal cord (notochord) appear early embryo is:

Answer: Degradation and confined within the disc

Choices:
A. And become part of ossification of the vertebrae
B. Into synovial joints (synovial joint)
C. Constituting articular cartilage
D. Degradation and confined within the disc


Question: Treatment of asthma but also progress in the past few years, the following statements about drugs is true?

Answer: Leukotriene - Drug effect adjustment (leukotriene-modifying agents) while having the anti-inflammatory and bronchodilator

Choices:
A. Anti-cholinergic (anti-cholinergic) the main effect of a drug is to inhibit inflammation
B. As long as a patient receiving anti--IgE antibody treatment will no longer attack
C. Leukotriene - Drug effect adjustment (leukotriene-modifying agents) while having the anti-inflammatory and bronchodilator
D. Inhaled steroids even the highest dose used in Children with asthma does not cause any side effects


Question: 38.20-year-old woman in the first six weeks and found a forearm slightly itchy red patches appear, use creams on their own, but the rash gradually expanded as shown in the following statements is wrong?

Answer: Should be used Wood's light (Wood's lamp) checking, if there is no fluorescence response, the diagnosis can be excluded tinea

Choices:
A. Should be used Wood's light (Wood's lamp) checking, if there is no fluorescence response, the diagnosis can be excluded tinea
B. Should be asked whether pets
C. KOH microscopic examination should be carried out
D. If the rash associated with small ulcers scratch, but we also have to be careful whether to merge secondary bacterial infection


Question: The following immunomodulators (immunomodulating agents) can be used in whichever insecticide treatment, it also can promote monocytes, B cells and T lymphocyte function of?

Answer: levamisole

Choices:
A. levamisole
B. thalidomide
C. Guerin bacillus Calmett
D. interferons


Question: The following illustration photo elderly patient was 17 years old, I ask this patient most likely to suffer from these diseases that?

Answer: Muscle disease (myopathy)

Choices:
A. Brainstem lesions (brain stem lesion)
B. Multiple sclerosis (multiple sclerosis)
C. Muscle disease (myopathy)
D. Neuromuscular junction disease (neuromuscular junction lesion)


Question: 54-year-old Forest Management suffering from high blood pressure, there has been no treatment, hospitalization is due to ischemic stroke, acute cerebral infarction proved by evidence-based medicine and patient of cerebral blood pressure is higher than the value of following what was to be addressed?

Answer: 180/110 mmHg

Choices:
A. 180/110 mmHg
B. 140/100 mmHg
C. 130/90 mmHg
D. 120/80 mmHg


Question: Stepped on the outside of the glass cut through plantar artery (lateral plantar artery) caused by bleeding, if the pressure to stop bleeding, the most pressing of the following where appropriate?

Answer: Tarsal tunnel (tarsal tunnel)

Choices:
A. Femoral triangle (femoral triangle)
B. Popliteal fossa (popliteal fossa)
C. Tarsal tunnel (tarsal tunnel)
D. Dorsum of the foot (dorsalis pedis)


Question: When the drug to treat Tourette's disorder (Tourette's disorder), which of the following is not considered?

Answer: Desmopressin

Choices:
A. Haloperidol
B. Pimozide
C. Desmopressin
D. Clonidine


Question: Women's labia minora line derived from the Which of the following?

Answer: Urethral folds (urethral fold)

Choices:
A. Urethral folds (urethral fold)
B. Genital tubercle (genital tubercle)
C. Reproductive uplift (genital swelling)
D. Anal folds (anal fold) 37 Which of the following developmental abnormalities, resulting Club foot (clubfoot)?


Question: The following statements about anti-CCP (anti-cyclic citrullinated peptide antibody) of, what's wrong?

Answer: The use of anti-TNFα treatment of RA, anti-CCP antibodies do not fall

Choices:
A. Often seen in rheumatoid arthritis (RA) patients
B. In general the severity of this antibody level associated with RA disease
C. This form of the CCP, is converted from arginine (Arginine) via a PAD enzyme as citrulline (citrulline)
D. The use of anti-TNFα treatment of RA, anti-CCP antibodies do not fall


Question: The patient developed right lower limb vibration (vibration) paresthesia, left lower limb abnormalities light touch and pain, most likely the lesion is located:

Answer: The right side of the thoracic spinal cord (right thoracic spinal cord)

Choices:
A. The right side of the thoracic spinal cord (right thoracic spinal cord)
B. Right thalamus (right thalamus)
C. Medullary left (left medulla)
D. Left cerebral sensory cortex (left sensory cortex)


Question: A 24-year-old man, three weeks ago, had a car accident caused by head trauma. The last ten days complained of eye irritation, slight right eyeball prominent right ear vaguely heard the sound of Xiu Xiu sleep, from ophthalmology treatment. CT images as reference orbit after the injection of the developer, the most likely diagnosis is:

Answer: carotid cavernous fistula

Choices:
A. carotid cavernous fistula
B. retrobulbar hematoma
C. traumatic edema of superior rectus muscle
D. myositis of superior rectus muscle


Question: Mrs. Lee was a housewife, a group tour a month ago to the mainland Yunnan tourism, after returning the body is indisposed, and more recently because of high fever, fatigue and general malaise and seek medical attention. Laboratory tests have found that the peripheral blood of malaria parasites, number approximately 60000 / μl, red blood cell count was 2.5 million / μl, the patient's parasitemia about:

Answer: Greater than 2%

Choices:
A. Less than 0.5%
B. 0.5%~1%
C. 1%~2%
D. Greater than 2%


Question: Which of the following non-cause fainting (syncope) common machine transfer?

Answer: Inner ear disease (inner ear disorders)

Choices:
A. Lack of vascular tone (vascular tone) or blood volume (blood volume) of
B. Arrhythmia (cardiac arrhythmias)
C. Inner ear disease (inner ear disorders)
D. Cerebrovascular disease (cerebrovascular diseases)


Question: Steroid eye drops Which of the following is not suitable for eye diseases?

Answer: Herpes simplex dendritic keratitis (herpes simplex dendritic keratitis)

Choices:
A. Epidemic keratoconjunctivitis (epidemic keratoconjunctivitis)
B. Discoid keratitis (disciform keratitis)
C. Acute anterior uveitis (acute anterior uveitis)
D. Herpes simplex dendritic keratitis (herpes simplex dendritic keratitis)


Question: The following piece of artery and internal iliac artery (internal iliac artery) has nothing to do?

Answer: Femoral artery (femoral artery)

Choices:
A. Femoral artery (femoral artery)
B. Uterine artery (uterine artery)
C. Umbilical artery (umbilical artery)
D. Bladder arteries (middle vesical artery)


Question: Pairing following related inflammatory response medium (mediator), and what's wrong?

Answer: Vasodilation (vasodilation) with TNF, IL-1

Choices:
A. Vasodilation (vasodilation) with TNF, IL-1
B. Increased vascular permeability and C3a and C5a
C. Fever (fever) and prostaglandin (prostaglandins)
D. Pain (Pain) and retardation bradykinin (Bradykinin)


Question: When a mammogram, a tumor or calcification of the image due to increased age has changed, the following statements is true?

Answer: Fat gain, image clarity

Choices:
A. Fat reduction, image clarity
B. Fat gain, blurry
C. Fat reduction, image blur
D. Fat gain, image clarity


Question: 35 Glycogen phosphorylase can be by covalent modification of the activated phosphorylation and glycogen decomposed into glucose-1-phosphate, this phosphorylation reaction is carried out by what enzyme?

Answer: phosphorylase kinase

Choices:
A. phosphorylase kinase
B. phosphorylase phosphatase
C. trypsin
D. caspase


Question: The following relevant L. loa (Loa loa) infection with the human narrative, what's wrong?

Answer: Adults transitional often cause pain

Choices:
A. The main adult parasites in the subcutaneous tissue
B. Adults transitional often cause pain
C. Micro filarial (microfilaria) will appear in the blood
D. Most of the patients will be significantly increased eosinophils


Question: A 64-year-old male, long-term smoking, exercise-induced dyspnea began three years ago, recently aggravated shortness of breath, chest both men Tong, dizziness, physical examination: jugular vein distention, lower left chest edge of a grade III / VI systolic murmur , P2 increase, associated with lower limb edema, will most likely diagnosis is:

Answer: Pulmonary heart disease (cor pulmonale)

Choices:
A. Constrictive pericarditis (constrictive pericarditis)
B. Restrictive cardiomyopathy (restrictive cardiomyopathy)
C. Pulmonary heart disease (cor pulmonale)
D. Acute coronary syndrome (acute coronary syndrome)


Question: An 18-year-old woman because of the beauty and the implementation of rapid weight loss program, she severely restricted intake of starches and meat, eat only fruits and vegetables, the results of her dramatic increase in daily potassium intake of 65 mmol / day to 130 mmol / day . If the current embodiment of the weight loss program, do you think changes in her body three weeks later, most likely why?

Answer: Aldosterone concentration in plasma rises

Choices:
A. Potassium ion concentration in the blood to increase significantly (> 1 mmol / L)
B. Discharge rate of sodium ion (Sodium excretion rate) to increase significantly
C. Aldosterone concentration in plasma rises
D. Potassium renal proximal tubular discharge amount will be a substantial increase


Question: Walking on the way, left foot suddenly stepped on the pushpin feeling pain, there will be which of the following reaction?

Answer: Biceps femoris contraction of the left thigh, right thigh quadriceps contraction

Choices:
A. At the same time contract together left thigh and right thigh biceps femoris
B. At the same time contract together left thigh and right thigh quadriceps
C. Quadriceps contraction of the left thigh, right thigh biceps femoris contraction
D. Biceps femoris contraction of the left thigh, right thigh quadriceps contraction


Question: The following narrative about the Kanagawa hemolysin, what's wrong?

Answer: In the sheep β hemolysis were medium

Choices:
A. The secreted by Vibrio parahaemolyticus
B. Toxin is a thermally stable
C. In the sheep β hemolysis were medium
D. Can cause watery diarrhea (watery diarrhea)


Question: 9740-year-old woman, recently found her interview for the first time have a Pap smear abnormal glandular cells, no other abnormal physical checkups. As shown in the drawings is a cross sectional view taken she received hysterectomy specimens. Which of the following is the most likely diagnosis?

Answer: Cervical cancer (cervical adenocarcinoma)

Choices:
A. Adenomyosis (adenomyosis)
B. Endometrial shaped complex hyperplasia (atypical complex hyperplasia of endometrium)
C. Cervical cancer (cervical adenocarcinoma)
D. Endometrial adenocarcinoma (endometrial adenocarcinoma)


Question: Carpal tunnel syndrome (carpal tunnel syndrome) in the test, which of the following most accurately?

Answer: Phalen test

Choices:
A. Phalen test
B. Tinel's sign
C. Tourniquet test
D. Two resolution (Two-point discrimination)


Question: After doing Radical neck dissection, there Shoulder dysfunction, may I ask that the Department of the damaged cranial nerves?

Answer: Eleventh to

Choices:
A. Ninth for
B. Tenth of
C. Eleventh to
D. 12 The


Question: A baby at birth, gestational age 35 weeks, birth weight 1950 gm, there periventricular calcification, bilateral hearing impairment, hepatosplenomegaly, jaundice, urine culture some kind of pathogen, the pathogen is most likely:

Answer: cytomegalovirus

Choices:
A. Herpes simplex virus
B. Toxoplasma gondii
C. cytomegalovirus
D. rubella virus


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

Answer: Prolific

Choices:
A. Prolific
B. obesity
C. hypertension
D. Estrogen therapy


Question: Ms. Wang was 86 years old elderly people living alone, usually can take care of themselves. Recently a week often wandering near his home, and neighbors denounced the intention to take over their property, three days ago had described seeing her daughter's father has passed away to go home to see her. Ms. Wang began to eat or drink since yesterday and hide in their own corner, because the familiar neighbor discovery with alarm and was taken by ambulance to the hospital. When asked to history and mental status examination and found that there are significant barriers to the attention and conversation can not be consistent to the point, according to a neighbor described in nearly a week, its course there are ups and downs, has also there was a sober state. Ms. Wang psychiatric diagnosis most likely to:

Answer: delirium

Choices:
A. dementia
B. delirium
C. Schizophrenia
D. Schizoaffective disorder


Question: The concept of rehabilitation, which of the following error?

Answer: Professional multi-mode (multidisciplinary) rehabilitation is the best mode

Choices:
A. As long as there is dysfunction, the earlier the intervention, the better
B. Must find the correct diagnosis, in order to have the right training rehabilitation goals
C. Professional multi-mode (multidisciplinary) rehabilitation is the best mode
D. Must be involved in the family home and training to be successful


Question: Because both sides of a patient for treatment of lower extremity edema, jugular venous pressure physical examination found that about 12 cmH2O, Which of the following is least likely the cause of the disease?

Answer: Cirrhosis (liver cirrhosis)

Choices:
A. Cirrhosis (liver cirrhosis)
B. Heart failure (heart failure)
C. Kidney failure (renal failure)
D. Limitations of pericarditis (constrictive pericarditis)


Question: Patient Y, 40-year-old male, Rh-positive blood type B, hepatitis B because of suffering from lead to cirrhosis, merger massive ascites, splenomegaly, hypoalbuminemia, coagulation defects, liver and brain lesions; was hospitalized twice treated conservatively treatment, conditions continued to deteriorate, doctors recommended liver transplant therapy in vivo. In accordance with the provisions of "Human Organ Transplant Ordinance" of our country, who have donated the following legally liver to Y?

Answer: Mei Xu Y, B, 40-year-old male, Rh-positive blood type B, by understanding a liver transplant is the only life his wife's brother, that express a strong willingness to donate liver

Choices:
A. Mei Xu Y, B, 40-year-old male, Rh-positive blood type B, by understanding a liver transplant is the only life his wife's brother, that express a strong willingness to donate liver
B. Y17-year-old son, S, Rh-positive blood type B, a liver transplant is by understanding the unique life of his father, that express a strong willingness to donate liver
C. Y colleague and friend C, 35-year-old male, Rh-positive blood type B, the only life after a liver transplant is understood to be a friend of that expressed strong willingness to donate liver
D. Y cohabitation girlfriend G (S also the mother), Rh-positive blood group B, by understanding its sole liver transplant boyfriend's life, i.e. strongly expressed willingness to donate the liver


Question: Which of the following is least likely to ovarian hyperstimulation syndrome (ovarian hyperstimulation syndrome) causative factor?

Answer: Lutein

Choices:
A. Estrogen
B. Lutein
C. Renin (renin)
D. Angiotensin (Via Extracellular Signal Regulated)


Question: More than a recruit training center recruits outbreak of fever, headache, nausea vomiting, neck stiffness as physical examination, hemorrhagic rash, cerebral spinal fluid is stained Gram-negative meningitis, the following statements is wrong?

Answer: Patients must be employed negative pressure isolation (air isolation precautions)

Choices:
A. Patients must be employed negative pressure isolation (air isolation precautions)
B. The pathogen is Neisseria meningitidis
C. After administration of antibiotics for 24 hours, the average patient that is not contagious
D. Drug treatment is penicillin or ceftriaxone


Question: Krebs cycle (TCA cycle) by the enzyme is a substance that four-carbon compound?

Answer: Citrate synthase (citrate synthase)

Choices:
A. Isocitrate dehydrogenase (isocitrate dehydrogenase)
B. Aconitase (aconitase)
C. Citrate synthase (citrate synthase)
D. LDH (lactate dehydrogenase)


Question: Action potential changes in ventricular myocytes, can be divided into the zero of: depolarization (depolarization); a first phase: rapid repolarization (rapid repolarization); II: sustained plateau (Plateau); III: the final repolarization (final repolarization); IV: resting membrane potential (resting membrane potential). Account of the role of potassium channels, which of the following is correct?

Answer: The main factor of the third initiator is potassium channel opening

Choices:
A. One mechanism is the zeroth off of potassium channels
B. One mechanism is the first phase of closing potassium channels
C. In the second phase, all of the potassium channel completely closed
D. The main factor of the third initiator is potassium channel opening


Question: Benign prostate hypertrophy caused mainly by the proliferation of that area?

Answer: Transition zone (transitional zone)

Choices:
A. Transition zone (transitional zone)
B. Surrounding area (peripheral zone)
C. Central District (central zone)
D. Above the district average increases hyperplasia


Question: The following narrative about the amoeba's in, what's right?

Answer: Entamoeba histolytica (Entamoeba histolytica) ADVANCED infection risk groups including gay and special education, mental reformatory ⽣

Choices:
A. Amoeba addicted iodine (Iodamoeba bütschlii) trophozoites (trophozoites) having a very ⼀ zoomed bubble glycogen (Glycogen
B. Ha ⽒ amoeba (Entamoeba hartmanni) trophozoites (trophozoites) will swallow the red ball ⾎
C. Entamoeba histolytica (Entamoeba histolytica) ADVANCED infection risk groups including gay and special education, mental reformatory ⽣
D. Component Entamoeba histolytica (Entamoeba histolytica) of the capsule body transfer color classes (chromatoid bodies) of DNA is


Question: Account of the role of antiepileptic drug valproic acid, Which statement is correct?

Answer: Can be used to treat bipolar disorder and prophylaxis of migraine

Choices:
A. Only be used for absence seizures, has no effect on other types of attack
B. The main mechanism of action Switch inhibiting sodium channels, regardless of the GABA system
C. Will increase the number of antiepileptic drugs such as phenytoin and carbamazepine are metabolized
D. Can be used to treat bipolar disorder and prophylaxis of migraine


Question: A 45 year old female patient, resulting in the palm and soles state clearly in Figure erythema, and have a strong sense of pain, the patient recalled the past month used drug minocycline, doxorubicin, amlodipine and diclofenac, the patient's rash if caused by a drug, the drug most likely to cause why?

Answer: doxorubicin

Choices:
A. minocycline
B. doxorubicin
C. amlodipine
D. diclofenac


Question: Which of the following is a possible cause of hyperthyroidism is the most common disease?

Answer: Graves' disease

Choices:
A. Graves' disease
B. Hashimoto's disease
C. Inadequate intake of iodine
D. Traumatic brain injury


Question: Following a pathogen that is not currently effective anti-microbial agents treatment, and must be special isolation to prevent spread to others?

Answer: Severe Acute Respiratory Syndrome (severe acute respiratory syndrome)

Choices:
A. Severe Acute Respiratory Syndrome (severe acute respiratory syndrome)
B. Inhaled anthrax (anthrax)
C. Han sick (Hansen's disease)
D. influenza


Question: What items following medications used to treat Paget's disease (Paget's disease)?

Answer: calcitonin

Choices:
A. thyroxine
B. exenatide
C. calcitonin
D. rosiglitazone


Question: The following types of pathogens, He's just neutralizing antibodies (neutralizing antibody) can neutralize toxins and not pathogenic?

Answer: Tetanus (Clostridium tetani)

Choices:
A. Staphylococcus aureus (Staphylococcus aureus)
B. Candida albicans (Candida albicans)
C. Leprosy bacillus (Mycobacterium leprae)
D. Tetanus (Clostridium tetani)


Question: If you want to plan a Gonggongweisheng meet minimum "rational" standards, following a step that is indispensable?

Answer: Policy objectives to be measured (target)

Choices:
A. Policy objectives to be measured (target)
B. The value of the policy objectives listed
C. Assess the health needs of the people
D. The list of different policy alternatives


Question: Which of the following drugs can be used to treat abnormal phenomenon pain of endometriosis (endometriosis) of?

Answer: leuprolide

Choices:
A. leuprolide
B. ganirelix
C. desmopressin
D. The following description conivaptan 61 about oxytocin (oxytocin), and what's wrong?


Question: 80 year old man lesions appear as shown, Which of the following is the most likely diagnosis?

Answer: Basal cell carcinoma (Basal cell carcinoma)

Choices:
A. Cell carcinoma (Squamous cell carcinoma)
B. Cell carcinoma melanoma (Melanoma)
C. Basal cell carcinoma (Basal cell carcinoma)
D. Sebaceous carcinoma (Sebaceous carcinoma)


Question: About the relationship between individual behavior and the allocation of medical resources, which of the following is not Taiwan's current regulations?

Answer: Because alcoholics have for their excessive drinking behavior causes liver failure is responsible for the end, when For liver transplant, their participation should be assigned overall pick last one

Choices:
A. Because alcoholics must be responsible for their excessive drinking, Taiwan's national health insurance does not pay the treatment of alcoholism rehab
B. Because alcoholics have for their excessive drinking behavior causes liver failure is responsible for the end, when For liver transplant, their participation should be assigned overall pick last one
C. Because the purpose of national health insurance is to restore or maintain health, not to assist people seeking to perfect, so do not pay National Health Insurance cosmetic surgery
D. Even swallowing pesticide suicide attempt suicide but their behavior, universal health insurance still pay medical costs incurred due to damage of suicidal behavior


Question: Which of the following cancer response to chemotherapy worst?

Answer: Renal cell carcinoma

Choices:
A. Acute myelogenous leukemia
B. Renal cell carcinoma
C. Breast cancer
D. Seminoma


Question: If a cell can not synthesize or obtain folate (folic acid), then this cell will not be synthesized by following the kind of amino acids?

Answer: methionine

Choices:
A. isoleucine
B. leucine
C. lysine
D. methionine


Question: Combined use of female contraceptives, can not reduce the incidence of which of the following?

Answer: Breast cancer

Choices:
A. Ovarian cancer
B. Endometrial cancer
C. Breast cancer
D. Ectopic pregnancy


Question: The following statements about wine spots (port-wine stain), and what's wrong?

Answer: Located hemangioma of the skin

Choices:
A. Located hemangioma of the skin
B. Located vascular malformations of the skin
C. With the laser treatment
D. Available surgery


Question: Middle-aged patients with hepatitis B, right upper quadrant pain suddenly appear, run cold, blood pressure and hemoglobin decreased, the most likely diagnosis is?

Answer: Liver rupture

Choices:
A. Liver rupture
B. Inflammation of the pancreas
C. GERD
D. Gastric ulcer


Question: The following statements about the small intestine and what was wrong?

Answer: Arcuate artery (arterial arcade) than on the ileal mesenteric multiple empty

Choices:
A. Empty wall thickness of the intestinal wall than the ileum
B. Arcuate artery (arterial arcade) than on the ileal mesenteric multiple empty
C. Jejunum annular folds (plicae circulares) than multi ileum
D. Back to the intestinal wall have gathered lymphoid tissue (Peyer's patch)


Question: tropomyosin hair ⽣ structural changes, which will lead to the following reaction skeletal muscle contraction?

Answer: exposing the myosin binding sites on actin, skeletal muscle contraction

Choices:
A. Ca2 + leave the troponin start skeletal muscle contraction
B. exposing the myosin binding sites on actin, skeletal muscle contraction
C. ATP yield ⽣ decomposition energy to bind to actin myosin, and slide yield ⽣
D. myosin and tropomyosin engagement, skeletal muscle contraction start


Question: Which of the following main functions lipoprotein (lipoprotein) is to transport cholesterol to peripheral tissues?

Answer: LDL

Choices:
A. chylomicron
B. VLDL
C. LDL
D. HDL


Question: Mr. Chen is a 53-year-old of the farm workers, the hospital four hours ago was hundred-pace snake bites right foot back, gave emergency room with 12 anti-snake serum, outside the surgical intensive care unit found in the right leg into a dark purple skin, extreme swelling, right foot cold, weak dorsal artery, the pressure measuring chamber (compartment pressure) to about 70 mmHg, and urgently fascia incision debridement three weeks after the patient recovery from respiratory failure and renal failure, the right leg, have an outer about 30 cm long, 10 cm wide, open wounds covered with fresh granulation tissue of red. Which of the following is most appropriate wound management?

Answer: Split-thickness skin graft (split thickness skin graft)

Choices:
A. Direct suture
B. Split-thickness skin graft (split thickness skin graft)
C. Full-thickness skin grafts (full thickness skin graft)
D. Free flaps (free flap transplantation)


Question: 20-year-old boy in the last two weeks, often up to the toilet at night, reducing their body weight in the last two weeks kg. And treatment of patients due to the general weakness, no other abnormal physical examination except for mild dehydration. Laboratory tests show the blood glucose level 610 mg / dL, pH 7.17, paCO2 39.2 mmHg, paO2 mmHg, HCO3- 13.9 mEq / L, BE -14.2 mEq / L, Na + 131 mmol / L, K + 4.5 mmol / L, Cl- 98 mmol / L. That one of the following treatment for the patient this is not necessary disposal?

Answer: Administration of sodium bicarbonate (sodium bicarbonate)

Choices:
A. Add water (hydration)
B. Supplemental insulin (insulin)
C. Administration of potassium (potassium)
D. Administration of sodium bicarbonate (sodium bicarbonate)


Question: The following description of referred pain, and what are the most appropriate?

Answer: The phenomenon of pain cholecystitis patients often right shoulder, which is a referred pain

Choices:
A. referred pain occurs, the most common cause of nerve and visceral afferent nerve fibers of the brain due to meet at the extension
B. Stomach and pancreas inflammation caused by referred pain does not occur on the back
C. The phenomenon of pain cholecystitis patients often right shoulder, which is a referred pain
D. Right thumb injury often due to referred pain also feel pain in the left thumb


Question: Statements about bone density, which of the following error?

Answer: Over 70 years, the rate of bone loss in women faster than men

Choices:
A. About 35 to 40 years old reached the strongest and most hard, after a gradual loss
B. 2 to 3 years after menopause, the loss of the fastest most
C. Over 70 years, the rate of bone loss in women faster than men
D. Movement of anti-gravity, can increase bone density


Question: The most common benign tumor of the liver are:

Answer: Angioma (hemangioma)

Choices:
A. Angioma (hemangioma)
B. Adenoma (adenoma)
C. Local nodular hyperplasia (focal nodular hyperplasia)
D. Lymphoma (lymphoma)


Question: About the narrative of lipid metabolism, which of the following error?

Answer: Decomposition of triglycerides in the blood of an enzyme, a hormone-sensitive lipase (hormone-sensitive lipase)

Choices:
A. The intestinal absorption of fat cells after intestinal chylomicron (chylomicron), a small tube into the chyle
B. Decomposition of triglycerides in the blood of an enzyme, a hormone-sensitive lipase (hormone-sensitive lipase)
C. Low density lipoprotein (LDL) in the blood is transformed from very low density lipoprotein (VLDL) from
D. High density lipoprotein (HDL) can be exchanged and blood lipids in lipoproteins other


Question: For γ-aminobutyric acid (GABA) receptor complex is described whichever error?

Answer: Buspirone may be bonded to the GABA receptor complex

Choices:
A. Zolpidem mechanism of action related to the GABA receptor complex
B. Related to the anxiolytic effects
C. Buspirone may be bonded to the GABA receptor complex
D. Related to the inhibitory effect


Question: Which of the following treatment of breast cancer drugs, has a specific role in female breast cancer?

Answer: Trastuzumab

Choices:
A. Doxorubicin
B. Trastuzumab
C. Anastrozole
D. Fluoxymesterone


Question: Which of the following does not belong to Berlin and Fowkes developed out of the LEARN mode?

Answer: Support (advocacy)

Choices:
A. Listen (listen)
B. Explain (explain)
C. Support (advocacy)
D. Recommended (recommend)


Question: The following statements about the antiepileptic drugs lamotrigine and what was wrong?

Answer: When you merge its use, its in vivo half-life will be shortened to sodium valproate, thus doubling the dose needed

Choices:
A. Its major role in the potential-sensitive sodium channels, to stable nerve membrane excitability inhibition of neurotransmitter release action
B. Which has the effect of treatment for focal seizures, generalized tonic clonic
C. When you merge its use, its in vivo half-life will be shortened to sodium valproate, thus doubling the dose needed
D. Which may be used in bipolar disorders (bipolar disorder) Prevention of Depressive


Question: Smoking, high cholesterol, hypertension and other issues are relatively easy to suffer from coronary heart disease, but not necessarily will suffer without these factors were also likely to suffer, these factors of coronary heart disease:

Answer: Contributing cause of (contributing causes)

Choices:
A. Sufficient cause of (sufficient causes)
B. Need 致因 (necessary causes)
C. To cause of charge (sufficient and necessary causes)
D. Contributing cause of (contributing causes)


Question: The following is a characteristic paroxysmal nocturnal urinary hemoglobin (paroxysmal nocturnal hemoglobinuria), and what's wrong?

Answer: hemolysis due to deficiency of CD16 and CD66 on RBC

Choices:
A. PIG-A gene mutation
B. hemolysis due to deficiency of CD16 and CD66 on RBC
C. complication of thrombosis
D. iron deficiency


Question: Which of the following is radiolucent stones still in the non-contrast spiral CT?

Answer: Indinavir stone

Choices:
A. Uric acid stone
B. Xanthine stone
C. Struvite stone
D. Indinavir stone


Question: Sulfo ammonia (sulfonamides) drugs are anti-metabolic drugs, which will then compete in vivo bacterial compounds, while preventing bacteria growth and metabolism of folate synthesis must be?

Answer: p- aminobenzoic acid (p-aminobenzoic acid)

Choices:
A. p- aminobenzoic acid (p-aminobenzoic acid)
B. Methionine (methionine)
C. Four folic acid (tetrafolate)
D. Dihydrofolate reductase (dihydrofolate reductase) 48 following related mycobacteria (Mycobacterium) of the narrative, what's wrong?


Question: For the treatment of TB, which of the following error?

Answer: Pregnant women should avoid the use of ethambutol have tuberculosis

Choices:
A. To isoniazid, rifampin, pyrazinamide and ethambutol for 2 months, then isoniazid plus rifampin for 4 months to
B. Can also be administered daily medication every other day dosing
C. Pregnant women should avoid the use of ethambutol have tuberculosis
D. It is possible complication Ethambutol Optic neuritis


Question: From the previous question, the most appropriate disposition of the patient does not cover what items?

Answer: Soaking solution diluted Betadine

Choices:
A. Vaseline
B. Applied urea-containing ointment
C. Apply steroid cream
D. Soaking solution diluted Betadine


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

Answer: Secretin (secretin) secretion

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


Question: Which of the following participate in the transfer of lower limb proprioception?

Answer: Thin core (gracile nucleus)

Choices:
A. Lateral cervical nucleus (lateral cervical nucleus)
B. Thin core (gracile nucleus)
C. Wedge-shaped nucleus (cuneate nucleus)
D. Arcuate nucleus (arcuate nucleus)


Question: The following hormone, the chemical structure and properties of what's different from the other three?

Answer: thyroxine

Choices:
A. aldosterone
B. 1,25-dihydroxycholecalciferol
C. thyroxine
D. testosterone


Question: A 7-year-old boy, because of cold extremities, dizziness and abdominal pain to hospital for treatment. According to family members described the boy has a cold (common cold) symptoms on 4 days ago. Blood pressure of 70/48 mmHg, resulting in liver under the right rib 4 cm touch, ECG FIG. Which of the following is the appropriate treatment?

Answer: Placing a temporary pacemaker (temporary pacemaker)

Choices:
A. Placing a temporary pacemaker (temporary pacemaker)
B. Given intravenous amiodarone
C. Intravenous administration of digitalis (digoxin) and diuretics
D. Shock shock (DC shock)


Question: For the "thymus (thymus)," the narrative, Which statement is correct?

Answer: Is T- lymphocytes (T-lymphocyte) positions mature

Choices:
A. Both input and output lymphatic
B. Is T- lymphocytes (T-lymphocyte) positions mature
C. The main function to filter the lymph
D. Older people with well-developed of the thymus


Question: 80-year-old Lin, recently feeling tired, dizzy. His family said he was thin, pale skin. Normal liver function blood tests, and thus do photography barium enema X-ray examination, such as the illustrated image of him. Lin most likely suffering from what disease?

Answer: Colon cancer (colon cancer)

Choices:
A. Ulcerative colitis (ulcerative colitis)
B. Junction intussusception (intussusception)
C. Disease Crohn's disease (Crohn's disease)
D. Colon cancer (colon cancer)


Question: A 3-year-old boy five days of fever, severe cough, red eyes, face and torso have a grain of rice to a pea-sized rash, no blisters, swollen lymph glands in the neck. The above description is that a feature of measles and less seen in Kawasaki disease (Kawasaki's disease)?

Answer: cough

Choices:
A. cough
B. Rash size and shape
C. Redness of the eye
D. Swollen lymph glands in the neck


Question: According to the attached diagram imaging, Which of the following is least likely diagnosis?

Answer: Right chest a large number of pleural effusion

Choices:
A. Right lung hypoplasia (right lung agenesis)
B. Right lung collapse
C. Right chest a large number of pleural effusion
D. Resulting in complete obstruction of the right bronchus


Question: A 80-year-old man, covered with bulging blisters in extremities, immunofluorescence examination revealed pathological IgG, C3 linear accumulation in the basement membrane (basement membrane zone). The disease is most likely to be following what vesicular disease?

Answer: bullous pemphigoid

Choices:
A. bullous pemphigoid
B. pemphigus vulgaris
C. Stevens-Johnson syndrome
D. bullous drug eruptions


Question: "Plasma cells (plasma cell)" which has the following characteristics?

Answer: Cable distribution in the spleen spleen (splenic cord)

Choices:
A. Nucleus is the flat, often located in the cell center
B. Many intracellular smooth endoplasmic reticulum (smooth endoplasmic reticulum)
C. Differentiated by the T lymphocyte (T lymphocyte) from
D. Cable distribution in the spleen spleen (splenic cord)


Question: A 15-month girl, born a few weeks to 32 weeks, birth weight 2100 grams. After the birth hospital only to go home a week without the use of oxygen therapy during hospitalization. Her development process will turn over 9 months, 12 months, will sit tight, hold the station will be 15 months. For now her situation, which of the following is least likely?

Answer: Neonatal spinal muscular atrophy

Choices:
A. Cerebral palsy
B. Down syndrome
C. Neonatal spinal muscular atrophy
D. Hydrocephalus


Question: Mucous layer of the stomach (mucosa) Which of the following is not cell?

Answer: Goblet cells (goblet cell)

Choices:
A. Surface mucous cells (surface mucous cell)
B. Goblet cells (goblet cell)
C. Cell wall (parietal cell)
D. Undifferentiated adult stem cells (undifferentiated adult stem cell)


Question: A 25 year old man found in a bean-shaped projection surface of the penis, urological surgery to remove attendance, pathology showed mainly papillary squamous epithelium covering the protruding structure is presented hyperkeratosis, and thickening of the epithelial cells of the sample cavity (koilocytosis ) circumstances (such as photos), Which statement is correct?

Answer: The lesions in the genital prone, especially in the inner surface of the foreskin Coronal

Choices:
A. The lesions diagnosed as Bowen's disease (Bowen disease)
B. The lesions in the genital prone, especially in the inner surface of the foreskin Coronal
C. Associated with human papilloma virus infection, especially 18 and 30 type
D. The disease is easy to relapse, and can lead to invasive cancer


Question: One patient was found down the road ambulance to the emergency room to have eyes only for pain reaction will be issued stammered moan, bent limbs appear abnormal (abnormal flexion), the patient's GCS (Glasgow coma scale) is a bit?

Answer: 7

Choices:
A. 6
B. 7
C. 8
D. 9


Question: A 30-year-old man seeking treatment because of infertility, semen analysis results are as follows: pH 8.5, total volume 5 cc, sperm count 0, then the physician to arrange for testicular sections (testis biopsy) examination, the pathology lab results can be seen fine cell (spermatid), but found no sperm (sperm). Following what the best diagnosis?

Answer: maturation arrest

Choices:
A. obstructive azoospermia
B. maturation arrest
C. hypospermatogenesis
D. Sertoli-cell-only syndrome


Question: One 45-year-old woman, in the case three years ago found himself shaking his right hand, but take their food at dinner time jitter will stop. 3 years, time jitter amplitude seems to have more powerful, but also confined to the right hand, walking speed and hand swing in the past without much difference, she did not have a history of hyperactivity of the thyroid gland. Two years before the onset of the left dopamine effects are pretty good, but recently has been unable to completely make her tremble. Will this trembling, the most likely are:

Answer: Parkinson tremor (parkinsonian tremor)

Choices:
A. Essential tremor (essential tremor)
B. Parkinson tremor (parkinsonian tremor)
C. Primary dystonia (primary dystonia)
D. Spinocerebellar ataxia (cerebellar degeneration)


Question: 6,7-year-old children have the following eye refractive errors, amblyopia will compare what's in danger?

Answer: Two two visual range Baidu hyperopia (e.g. a + 1.0D, the other eye + 3.0D)

Choices:
A. Two each of two Baidu myopia (i.e. -2.0D)
B. Two each of two Baidu hyperopia (i.e., + 2.0D)
C. Baidu two simple myopic astigmatism (horizontal axis two plain eye, the vertical axis -2.0D)
D. Two two visual range Baidu hyperopia (e.g. a + 1.0D, the other eye + 3.0D)


Question: After hip replacement (total hip replacement) rehabilitation process, the following statements is wrong?

Answer: The lower the better seats

Choices:
A. Alice his legs to avoid
B. The lower the better seats
C. Toilet seat to be raised
D. Do not ride a bike after surgery within three months


Question: 26 A 45 year old women, who have a history of cardiac arrhythmias, sudden chest tightness, heart palpitations, dizziness symptoms associated with, for emergency treatment, blood pressure mmHg, electrocardiogram below, the following statements is true?

Answer: Intravenous amiodarone can be considered

Choices:
A. Now consider intravenous digitalis (digoxin)
B. Intubation should immediately begin cardiopulmonary resuscitation
C. Intravenous amiodarone can be considered
D. Use of beta-blockers (beta-blockers) to control the rhythm


Question: Which of the following is not in clinical use alpha-receptor-blocking drugs it?

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

Choices:
A. High blood pressure (hypertension)
B. Attention deficit hyperactivity disorder (attention deficit hyperactivity disorder)
C. Raynaud's Phenomenon (Raynaud's phenomenon)
D. Benign hypertrophy of prostate (benign prostatic hypertrophy)


Question: The following account of urgent percutaneous respiratory tract (percutaneous airway) disposal technologies, what's wrong?

Answer: In terms of technical choice, the emergency tracheotomy (tracheotomy) should take precedence emergency incision cricothyroid cartilage

Choices:
A. When the non-invasive respiratory tract (noninvasive airway) technology can not dispose of intubation, ventilation can not (can not intubate, can not ventilate), and severe hypoxia continues to worsen when to take immediate and urgent percutaneous respiratory disposal
B. In terms of technical choice, the emergency tracheotomy (tracheotomy) should take precedence emergency incision cricothyroid cartilage
C. Tracheotomy tube through the respiratory tract in the front wall portion, and the ring A cartilage site through the incision of the cricothyroid membrane
D. Unable to oxygen saturation concentration (oxygen saturation) to define the timing of start of emergency percutaneous airway disposal of clinical use because the timing and extent of hypoxia and the speed of the deterioration of the relevant


Question: Once born, B lymphocytes produced by following that organ?

Answer: marrow

Choices:
A. marrow
B. spleen
C. liver
D. Thymus


Question: 30-year-old female, regular menstrual cycles, menstruation is calculated based on the last time she currently 10 weeks of pregnancy, fetal growth and development on the narrative, Which of the following most do not meet?

Answer: Hip head diameter (crown-rump length) 7 cm

Choices:
A. Bendable elbow
B. Hip head diameter (crown-rump length) 7 cm
C. The diaphragm has been formed
D. Cardiac structure has been formed


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

Answer: Often resulting in early menstruation early or premature secondary sex characteristics

Choices:
A. Short stature and webbed neck
B. Hand, Foot and lymphedema occurs at birth
C. Genotype chromosome 45, X most common
D. Often resulting in early menstruation early or premature secondary sex characteristics


Question: The following statements about acute promyelocytic leukemia (acute promyelocytic leukemia), and what's wrong?

Answer: With chromosomal abnormalities t (5; 7)

Choices:
A. Rongyifasheng disseminated intravascular coagulation (DIC)
B. With chromosomal abnormalities t (5; 7)
C. There are anomalies PML / RARα fusion gene
D. To reverse the retinoic acid tretinoin therapy, can achieve complete remission


Question: Hematopoietic stem cells must first find human leukocyte antigen prior to transplantation (human leukocyte antigen, HLA) the same donor, I ask: with the same father with the mother's siblings HLA opportunity is how much?

Answer: 1/4

Choices:
A. 1/2
B. 1/3
C. 1/4
D. 1/8


Question: Polymerase chain reaction (PCR) in the clinical diagnosis is a very important tool, what does not need the following items in the general reaction?

Answer: A large amount of purified DNA

Choices:
A. A large amount of purified DNA
B. Temperature Cycler
C. Four kinds of deoxyribonucleic acid
D. Heat stable DNA polymerase


Question: From the previous question, the patient is usually live at home, clad only in adult diapers. Urinary line (urine stream) with a thin and discontinuous phenomenon (intermittency). Will the status of its pelvis and bladder, of the following is most likely?

Choices:
B. #VALUE!
C. Water on both sides of the renal pelvis and ureter, the bladder muscle becomes thick, and there is significant of the trabecular (trabeculation)
D. Normal renal pelvis and ureter, and bladder nor abnormal


Question: clomiphene usually that one of the following abnormal ovulation infertility, ovulation inducing effect of the poor?

Answer: Anorexia

Choices:
A. Anorexia
B. Polycystic ovary syndrome
C. Prolactin too high
D. Unexplained infertility


Question: 31.4-year-old boy, because walking is easy to fall and have difficulty climbing stairs and treatment, and can not very well stand up from a chair, his hands need help, blood found in blood CK (Creatine kinase) concentration of 18,000 IU / L, past history display before the age of 3 is normal developmental milestones, the most likely diagnosis in this case is:

Answer: Duchenne muscular dystrophy

Choices:
A. Charcot-Marie-Tooth disease
B. Duchenne muscular dystrophy
C. Myotonic dystrophy
D. Spinal muscular atrophy


Question: Some students want to make decisions for him this semester elective physical education. Suppose a semester course optional two movements, but the number of elective once full amount can not be elected. If this raw chosen swimming lessons 0.6 probability, the probability class chosen rhythm of 0.5, while the probability of the selected prosodic swimming lessons and courses 0.3. The chances of this life chosen rhythm lessons or swimming lessons, or both courses is how much?

Answer: 0.8

Choices:
A. 0.3
B. 0.5
C. 0.6
D. 0.8


Question: Which of the following is not under the jurisdiction of the Ministry of Health and Welfare Foundation organization?

Answer: John Tung Foundation

Choices:
A. John Tung Foundation
B. Foundation for organ donation transplant center Login
C. Foundation injury Relief Foundation
D. Foundation-cum-hospital accreditation policy for the Advancement of Medical Quality


Question: 5-year-old boy three days because of fever, abdominal pain and vomiting come to treatment, doctor found a little red throat, shortness of breath, abdominal soft, but there is extensive slight tenderness. That the surgeon may EMERGENCY prepared abdominal surgery, pre-surgery routine chest and abdominal X-rays as shown in FIG. That one of the following is the most likely diagnosis for Sick Children?

Answer: Bronchial pneumonia

Choices:
A. Acute intestinal obstruction pulmonary edema
B. Bronchial pneumonia
C. Intestinal rupture complicated by systemic inflammatory response syndrome
D. Acute appendicitis complicated by pleural effusion


Question: Hedge brain contusion (Contrecoup contusion) where the following most common bleeding?

Answer: The bottom of the frontal lobe hemorrhage

Choices:
A. The bottom of the frontal lobe hemorrhage
B. Pons, corpus callosum and the top spotting
C. Midbrain and pons central bleeding
D. Parietal spotting


Question: Which of the following is the hierarchical order of the DNA-coated:

Answer: DNA → nucleosome (nucleosome) → chromatin fibrils (chromatin fibril) → chromatin fibers snare (chromatin fiber looping) → chromosome (chromosome)

Choices:
A. DNA → nucleosome (nucleosome) → chromatin fibrils (chromatin fibril) → chromatin fibers snare (chromatin fiber looping) → chromosome (chromosome)
B. The DNA chromatin fibrils → → → nucleosome chromosomal chromatin fibers snare →
C. The DNA nucleosome → → → chromatin fibers snare chromosomal chromatin fibrils →
D. The DNA chromatin fibrils → → → chromatin fibers trap nucleosome chromosome →


Question: Which of the following is the major muscle responsible for the mouth?

Answer: Pterygoid muscle (lateral pterygoid)

Choices:
A. Pterygoid muscle (lateral pterygoid)
B. 顳 肌 (temporary)
C. Chewing muscles (masseter)
D. Zygomatic major muscle (zygomaticus major)


Question: The following family tree is what is most likely mode of inheritance?

Answer: Mitochondrial inheritance

Choices:
A. Mitochondrial inheritance
B. Autosomal recessive inheritance
C. X-linked recessive inheritance
D. Autosomal dominant inheritance


Question: Hyperacute rejection (hyperacute rejection) occurs when the kidney transplant, the reason is an antibody which attacks the kidney cells or tissues?

Answer: Vascular endothelial cells (vascular endothelium)

Choices:
A. Vascular endothelial cells (vascular endothelium)
B. Kidney diaphragm cells (mesangial cell)
C. Renal tubular epithelial cells (renal tubular epithelial cell)
D. Bowman's capsule (Bowman's capsule)


Question: A 57 year old woman who insipidus cause hypernatremia which serum sodium concentration of 160 mEq / L (normal value 140 mEq / L), assuming the current total body water (total body water) is 24 liters and no net sodium loss, with an estimated loss of water is about how many liters?

Answer: 3.5

Choices:
A. 2.5
B. 3
C. 3.5
D. 4


Question: That one of the following pathogens proliferate in macrophages (macrophage), and sporadic form of small nodules in the liver necrosis?

Answer: Salmonella typhi

Choices:
A. Campylobacter enterocolitis
B. Entamoeba histolytica
C. Salmonella typhi
D. Clonorchis sinensis


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

Answer: Antiviral oseltamivir (Tamiflu) is currently the only effective influenza type A influenza type B invalid, the use of generally 5 days

Choices:
A. Symptoms often appear suddenly, including headache, fatigue, fever, cough, muscle aches, etc.
B. After the elderly suffering from influenza can cause pneumonia and lead to death
C. Antiviral oseltamivir (Tamiflu) is currently the only effective influenza type A influenza type B invalid, the use of generally 5 days
D. Prevention strategies recommended in high-risk groups - administration of influenza vaccine


Question: 20-year-old, 60 kg body weight healthy college student, accidentally knocked over hot Detong when working in a restaurant. High temperature and poured hot tea on both sides of his lower limbs, caused these two limbs all burn blisters. According to "9 rules" (rule of nines) and "Parkland formula" (Parkland formula) estimates, following on "24 hours the amount of intravenous fluids after the injury," describes the student's "burn area" and, what's most appropriate?

Answer: 36% of body surface area, 8,640 milliliter (miniliters, mL.) Was crystalline (crystalloid)

Choices:
A. 36% of body surface area, 8,640 milliliter (miniliters, mL.) Was crystalline (crystalloid)
B. 36% of body surface area, 3,240 milliliter solution of crystalline (crystalloid) plus 1,080 milliliter colloidal solution (Colloid)
C. 45% of body surface area, 10,8000 milliliter solution of crystalline
D. 45% of body surface area, 4,050 plus 1,350 milliliter milliliter solution of crystalline colloidal solution


Question: 20-year-old man neck lymph nodes have six weeks old, the teaching hospital for treatment of ENT, head and neck by fiberoscopy examination showed normal mucosa area, exclude the diagnosis of head and neck cancer. This patient no signs of infection, physical examination show firm, non-tender and rubber-like, long diameter of 3 cm large lymph nodes. Which of the following is the most appropriate disposal at this stage?

Answer: Removal of the biopsy (excisonal biopsy)

Choices:
A. Lymph node ultrasound (sonography)
B. Removal of the biopsy (excisonal biopsy)
C. Fine needle aspiration (fine needle aspiration)
D. Positron scanning (PET scan)


Question: Mood disorders cognitive theory to explain that the most important factor is?

Answer: idea

Choices:
A. idea
B. This event chest upwards
C. result
D. subconscious


Question: The use of rehabilitation medicine shortwave (shortwave) therapy There are many considerations to be, but which of the following are not contraindications?

Answer: Chronic degenerative joint hemophilia

Choices:
A. Cardiac pacemaker users
B. Artificial knee joint affected area
C. Back at osteoporosis treatment
D. Chronic degenerative joint hemophilia


Question: 25-year-old young man, because riding motorcycle accident, causing serious fractures of the pelvis (pelvic fracture). Rendering emergency shock upon arrival, after a lot of fluids and blood transfusions to fight the blaze, systolic blood pressure higher than 90 mmHg, and then accept the abdominal computed tomography examination. But found pelvic extravasation occurs developer (contrast extravasation). Which of the following treatment of hemorrhagic shock therapy works best?

Answer: Embolization (angio-embolization)

Choices:
A. Continue transfusion (transfusion)
B. Pelvic external fixator (external fixation)
C. Laparotomy external iliac artery ligation (external iliac artery ligation)
D. Embolization (angio-embolization)


Question: In the normal menstrual cycle after ovulation, if not become pregnant, the corpus luteum can survive about it a few days?

Answer: 14

Choices:
A. 1
B. 5
C. 14
D. 28


Question: When oxygen molecules bind to hemoglobin (hemoglobin), and the two open coordination bond (open coordination bonds) heme (Heme) on Fe2 + in combination with any of the following substance group?

Answer: An oxygen molecule with an amino acid side chain

Choices:
A. A water molecule with an amino acid side chain
B. An oxygen molecule with an amino acid side chain
C. An oxygen molecule with a molecule of water
D. Two oxygen molecules


Question: Astigmatic lenses described + 2.0D sphere with cylinder -3.0D axis 90 ° is equivalent to which of the following?

Answer: -1.0D sphere with cylinder＋3.0D axis 180°

Choices:
A. -2.0D sphere with cylinder＋3.0D axis 180°
B. -2.0D sphere with cylinder -3.0D axis 90°
C. -1.0D sphere with cylinder＋3.0D axis 180°
D. -1.0D sphere with cylinder＋3.0D axis 90°


Question: Which of the following diseases Nikolsky sign is a negative reaction?

Answer: bullous pemphigoid

Choices:
A. staphylococcal scalded skin syndrome
B. pemphigus vulgaris
C. Stevens-Johnson syndrome
D. bullous pemphigoid


Question: A 27-year-old male teacher a small country, complained of feeling life is boring long, painful journey that life is a trip, there is no fun at all. Although the performance is excellent, good peer relations at school, but still think they have never succeeded, born destined to be a loser, never had a sense of accomplishment; emptiness, contradiction, no sense of direction, lack of enthusiasm is his life story. The patients most likely of clinical diagnosis of which of the following?

Answer: Depression disorders (dysthymic disorder)

Choices:
A. Major depressive episode of bipolar disorder (bipolar disorder, major depressive episode)
B. Heavy depressive (major depressive disorder)
C. Depression disorders (dysthymic disorder)
D. Cyclothymic disorder (cyclothymic disorder)


Question: Mr. Huang served as an administrator in a nursing home, often for elderly family members said that if they get dementia, dementia elderly nursing home he would not like to live in general, it is best to quickly die. Unfortunately, Mr. Wong retired shortly after the gradual emergence of dementia conditions, and often as a child-like jump, both naïve and happy. One day Mr. Huang at home in front of the chasing dogs, broke into the middle of the road was hit by a truck due to hemorrhage shock, have emergency surgery on arrival to the emergency room. Mr. Huang's daughter father explained to the physician when their right mind, would want to live with dementia had expressed the wish if it, so I do not know whether to sign the consent form. Select the disposal of the following statements for the physician how and why, where whichever is most appropriate?

Answer: Please daughters in writing explicitly stated wish of his father, instead of his father signed a consent form to give up aggressive treatment, not only active treatment

Choices:
A. I believe by his daughter quoted the father of wish, so no active treatment
B. Please daughters in writing explicitly stated wish of his father, instead of his father signed a consent form to give up aggressive treatment, not only active treatment
C. Because Mr. Huang is not explicitly stated in written documents, it is not to be disregarded his earlier wish
D. Mr. Wong is currently not recognized because it truly wishes, it should be actively rescue, etc. Mr. Huang survived say


Question: A 22-year-old woman complained of left knee pain for three months, found increased pain at night during interrogation. Physical examination revealed obvious local tenderness, lumps found Organized palpation. X-rays as the knee, the patient most likely diagnosis is:

Answer: Osteosarcoma (osteosarcoma)

Choices:
A. Simple bone cyst (simple bone cyst)
B. Osteosarcoma (osteosarcoma)
C. Fibrous dysplasia (fibrous dysplasia)
D. Osteochondroma (osteochondroma)


Question: A 50-year-old man hospitalized due to acute heart failure, systolic blood pressure was 200 mmHg on admission, examination revealed a 5 cm right adrenal tumor, clinicians suspected pheochromocytoma (pheochromocytoma), the following statements is true?

Answer: Urine sample was collected 24 hours catecholamines (catecholamines) and VMA (vanillylmandelic acid) to diagnose, with good specificity (specificity), but the sensitivity (Sensitivity) is not high

Choices:
A. Urine sample was collected 24 hours catecholamines (catecholamines) and VMA (vanillylmandelic acid) to diagnose, with good specificity (specificity), but the sensitivity (Sensitivity) is not high
B. When determined to be functional tumor imaging range to 131I cholesterol iodo (131I-iodocholesterol) NP-59 preferably scans
C. Ready-drug adrenal surgery to bisoprolol as the preferred long-acting
D. Formerly known as pheochromocytoma tumor 10%, but now about one third of the known pheochromocytoma hereditary mutations, for example, SDHB


Question: Clinically, patients with asymptomatic primary for parathyroid function, which is not an indication for surgery is recommended?

Answer: Older than 60 years old

Choices:
A. Calcium greater than 10 mg / dL
B. Creatinine clearance (Ccr) decreased more than 30%
C. Older than 60 years old
D. Lumbar spine significantly reduced (t-score <-2.5)


Question: The following items Ranson's prognostic sign what is not when non-gallstone pancreatitis patients hospitalized?

Answer: LDH> 150 Ewe / L

Choices:
A. Age> 55 years old
B. The number of> 16,000 / mm3 leukocyte
C. glucose > 200 mg/100 mL
D. LDH> 150 Ewe / L


Question: After following which receptors are activated in the sympathetic nerve endings, will promote the release of norepinephrine?

Answer: B 2

Choices:
A. A'2
B. B 2
C. Dopamine D2
D. Muscarinic M2


Question: About PMS (premenstrual syndrome) symptoms, which of the following is not common?

Answer: Hot flushes (hot flashes)

Choices:
A. Depression (depression)
B. Anxiety (anxiety)
C. Hot flushes (hot flashes)
D. Bloating (abdominal bloating)


Question: Once Which of the following viral infection, can take advantage of the way early vaccination to prevent the proliferation of the virus and disease in the body?

Answer: Rabies virus (Rabies virus)

Choices:
A. Bolivia is satisfied virus (Borna disease virus)
B. Rabies virus (Rabies virus)
C. Filamentous virus (Filovirus)
D. Marburg (Marburg virus)


Question: The following information about primary and secondary antibody response, whichever is correct?

Answer: In response to T- dependent antigen, antibody affinity (Affinity) higher in the secondary reaction

Choices:
A. IgG does not occur in the primary reaction
B. In response to T- dependent antigen, antibody affinity (Affinity) higher in the secondary reaction
C. Lag phase secondary reactions (lag phase) long plateau (plateau phase) and longer
D. Antibody titers (Titer) decreases in the secondary reaction


Question: 7-year-old girl, was found face multiple physical checkups pimples, her father said the baby's body as shown symptoms have occurred, the optimal diagnosis:

Answer: tuberous sclerosis

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


Question: Major depression (major depression) symptoms completely disappear (in full remission) refers to how long?

Answer: Two months no depressive symptoms

Choices:
A. Two weeks absolutely no depressive symptoms
B. Two months no depressive symptoms
C. Six months no depressive symptoms
D. Year no depressive symptoms


Question: The following reasons for infertility, He does not need the use of artificial assisted reproduction treatment?

Answer: Uterine fibroids

Choices:
A. Tubal
B. Unexplained infertility
C. Severe male factor azoospermia
D. Uterine fibroids


Question: After massive transfusion (Massive transfusion), the pH of the blood can cause what changes?

Answer: Alkaline hyperlipidemia

Choices:
A. Acid hyperlipidemia
B. Alkaline hyperlipidemia
C. constant
D. Not necessarily


Question: Which of the following circumstances and potassium ion loss caused by low blood potassium (Hypokalemia) has nothing to do most?

Answer: Injection of insulin (Insulin)

Choices:
A. Injection of insulin (Insulin)
B. Long-term use of diuretics (Long-term usage of diuretics)
C. Gastroenteritis causes diarrhea (Gastroenteritis induced diarrhea)
D. Renal tubular acidosis (Renal tubular acidosis)


Question: Bearing on the question, for this patient, dispose of, or the infusion of emergency at how to give in?

Answer: Should be given the right amount of glucose saline infusion

Choices:
A. Should immediately arrange dialysis
B. Should reduce the amount of infusion
C. Should be given a lot of glucose infusion
D. Should be given the right amount of glucose saline infusion


Question: Which of the following is the lining of the organs' transitional epithelium (transitional epithelium) "?

Answer: Bladder (urinary bladder)

Choices:
A. Bladder (urinary bladder)
B. Windpipe (trachea)
C. Gullet (esophagus)
D. Gall bladder (gall bladder)