Question: Related liver disease sick children suspected of fulminant hepatic failure (Fulminant liver failure) of the data evaluation and laboratory diagnosis related to disposal, Which statement is correct?

Answer: If ⾎ zymogen coagulation time (Prothrombin time), and a partial condenser ⾎ aPTT (Activated partial thromboplastin time) delay ⻑,

Choices:
A. Transglutaminase may ⾎ clear Aspartate aminotransferase (AST), Alanine aminotransferase (ALT) values of the low severity determination ADVANCED fulminant hepatic failure
B. If ⾎ clear white egg white (Serum albumin) low value, Rec Plus Ultra abdominal water resistant waves found, treatment should therefore especially to give white egg white infusion, drip infusion and give maintenance
C. If ⾎ zymogen coagulation time (Prothrombin time), and a partial condenser ⾎ aPTT (Activated partial thromboplastin time) delay ⻑,
D. For liver disease Sick Children drowsiness or unconsciousness, if ⾎ ammonia (Ammonia) has risen and the combined second shot of hepatic encephalopathy (Hepatic


Question: Which of the following embolization (thrombosis) is most likely to lead to the left testicle (testis) swelling?

Answer: Left renal vein (left renal vein)

Choices:
A. The left pudendal vein (left internal pudendal vein)
B. Inferior vena cava (inferior vena cava)
C. Left outer genitals vein (left external pudendal vein)
D. Left renal vein (left renal vein)


Question: 21.7 big month-old boy, the occurrence of high fever, cough, shortness of breath symptoms, breathing apparatus and sent to the hospital to give 100% oxygen therapy, barely able to maintain the blood oxygen concentration greater than 85%, the blood test shows the number of white blood cells is 25,500 / mm3 ; wherein 64.5% lymphocytes, granulocytes 4.5%; 30.5% monocytes, 0.5% basophil granulocyte, immunological tests CD3 = 89%,

Answer: Bruton agammaglobulinemia

Choices:
A. Bruton agammaglobulinemia
B. severe combined immunodeficiency
C. common variable immunodeficiency
D. hyper-IgM syndrome


Question: The following statements about Becher's disease (Behçet's disease), and what's wrong?

Answer: Older women are more susceptible

Choices:
A. 25-30% would infringe on the central nervous system
B. The eyes are often violated, and may even lead to blindness
C. Common cranial neuropathy
D. Older women are more susceptible


Question: Cervical degenerative disc disease most Rongyifasheng position:

Answer: C 5-6

Choices:
A. C 3-4
B. C 4-5
C. C 5-6
D. C 6-7


Question: The following account of cystine calculi (cystine stone), and what's wrong?

Answer: To prevent stone growth and recurrence urine acidification

Choices:
A. Autosomal recessive hereditary (autosomal recessive)
B. 1 to 2% incidence
C. To prevent stone growth and recurrence urine acidification
D. There are no known inhibitor of stone


Question: That one of the following is most likely to cause muscle weakness, abnormal gait figure?

Answer: Gluteal muscles (gluteus medius)

Choices:
A. 腰 方 肌 (square lumbar)
B. Gluteus maximus muscle (gluteus maximus)
C. Gluteal muscles (gluteus medius)
D. Quadriceps (rectus femoris)


Question: The following statements about the cervical ganglia (superior cervical ganglion), and what's wrong?

Answer: Head longissimus muscle (longus capitis) generally in front of it

Choices:
A. Not carotid sheath (carotid sheath) inside
B. Head longissimus muscle (longus capitis) generally in front of it
C. Postganglionic with CN IX and CN X together form the pharyngeal plexus (pharyngeal plexus)
D. Festival nerves to the salivary glands via the branch of CN V


Question: 65. American College of Sports Medicine laid the outline (American College of Sports Medicine's Guideline), it is recommended for normal care has been taken Face Center Weighted lung resistance training (cardiorespiratory endurance training), the following description of what's right?

Answer: A week into ⾏ 3 to 5 days of training

Choices:
A. Static muscle movement ⼩ ⾁ group (static exercise of small muscle groups) based
B. Care has to re-training machines have different barrier care has been taken in (variable resistance weight machines) for the secondary
C. A week into ⾏ 3 to 5 days of training
D. Every 10 to 20 minutes into ⾏


Question: The following account of Streptococcus pneumoniae, and what's wrong?

Answer: Pneumonia is caused by bacteria, not found in the normal throat

Choices:
A. Pneumonia is caused by bacteria, not found in the normal throat
B. Gram-positive bacteria, and often has a form of meningitis
C. Will produce capsule, and is an important pathogenic factor
D. Often resulting in the lower lung infections, also known as lobar pneumonia


Question: Related acute lymphocytic leukemia (Acute lymphoid leukemia) of the patients, the prognosis is better Which of the following is the index?

Answer: Chromosome number more than 50

Choices:
A. Patients older than 10 years old
B. The number of peripheral white blood cells exceeds 105 / μL
C. Chromosome number more than 50
D. Have the Philadelphia chromosome (Philadelphia chromosome)


Question: 18-year-old patient, high 160 cm, weight 48 kg, to gynecology for treatment, complained of cramps without menarche, physical examination breast development, pubic hair growth is normal, the most likely diagnosis is:

Answer: Hymen atresia

Choices:
A. Androgen allergies
B. Ovarian failure syndrome
C. Hymen atresia
D. Turner's syndrome (45, X)


Question: 68 patients with obsessive-compulsive disorder, obsessive thoughts (obsession) of the following four clinical types are more common, the probability of their occurrence sorted from high to low, whichever is correct? ① symmetry (symmetry) ② morbid suspicion (pathological doubt) ③ shameless or offend the idea (intrusive thoughts): For example: the idea ④ pollution pornographic or offensive (contamination)

Answer: ④②③①

Choices:
A. ④②③①
B. ②④③①
C. ④②①③
D. ②④①③


Question: 5 A 30-year-old man recently have poor appetite and fatigue situation and medical treatment, he has no pain phenomenon. Blood test results are as follows: AST (GOT) = 650 U / L (normal <37), ALT (GPT) = 600 U / L (normal <41), total bilirubin = 3.0 mg / dL (normal <1.2 ), ALP (alkaline phosphatase) = 450U / L (normal <104), γ-GT (gamma-glutamyl transpeptidase) = 350U / L (normal <52), PT (prothrombin time) = 11 seconds (control 11.1 seconds ). Abdominal sonography did not reveal any abnormalities. The following statements is true?

Answer: It may be drug-induced hepatitis

Choices:
A. If the HBsAg (+), hepatitis B should be acute attack
B. If the Anti-HCV (+), hepatitis C should
C. It may be drug-induced hepatitis
D. Is likely to lead to hepatitis, bile duct obstruction


Question: Statements about ventricular septal defect (VSD) is, which of the following error?

Answer: Eastern National a first type (type upper chamber crest) ventricular septal defect rate than the second type (membrane type) high

Choices:
A. The second type (membrane type) ventricular septal defect may heal naturally
B. The first type (ridge type upper chamber) could easily lead to ventricular septal defect with aortic valve prolapse
C. Eastern National a first type (type upper chamber crest) ventricular septal defect rate than the second type (membrane type) high
D. Portion of the second type (membrane type) ventricular septal defect later merged pulmonary valve stenosis


Question: About the hepatitis virus, which of the following with the yellow fever virus (yellow fever virus) belongs to the same family?

Answer: Hepatitis C virus

Choices:
A. Hepatitis A virus
B. Hepatitis B virus
C. Hepatitis C virus
D. Hepatitis D virus


Question: One kind of autosomal dominant (Autosomal dominant) hereditary disease called Familial hyper-cholesterolemia but as Low density lipoprotein (LDL) receptor mutation. The following narrative about LDL, whichever is correct?

Answer: LDL cholesterol through the LDL receptor's role, to provide liver cells to synthesize Bile salts

Choices:
A. LDL receptor exists only on liver cells
B. LDL cholesterol through the LDL receptor's role, to provide liver cells to synthesize Bile salts
C. LDL Triglyceride fat contained in the main
D. LDL is manufactured directly secreted by the liver


Question: Kidney cancer who may be partial nephrectomy (partial nephrectomy), that tumor size is generally set within what range, select the most appropriate answer?

Answer: 4 cm below

Choices:
A. 2 cm below
B. 4 cm below
C. 6 cm below
D. 8 cm below


Question: 40 years old male liver transplant due to cirrhosis of the liver transplant surgery went smoothly, currently taking anti-rejection drugs. Liver transplant is acute rejection description of the main pathological changes, which of the following error?

Answer: The main cell infiltration in portal area, based polymorphonuclear leukocytes

Choices:
A. Acute rejection usually occurs within the first two months after surgery
B. Portal area, district of central venous inflammation, endothelial cell swelling
C. Bile duct is damaged
D. The main cell infiltration in portal area, based polymorphonuclear leukocytes


Question: Cancer pain treatment, it is ideal for one of the following modes of administration?

Answer: Oral mode of administration

Choices:
A. Intraspinal administration
B. Intravenous administration
C. Oral mode of administration
D. Intramuscular


Question: Account of skin and soft tissue infections, skin and soft tissue infections (SSTIs), the error which of the following?

Answer: Skin and soft tissue infections caused by MRSA, occurs in medical staff or hospital patients, rarely occurs in normal general community

Choices:
A. impetigo and necrotizing fascitis of the pathogen may be Staphylococcus aureus
B. methicillin-resistant S. aureus (MRSA) is gradually increased prevalence SSTI
C. Opportunity MRSA colonies formed in atopic dermatitis patients with higher than normal
D. Skin and soft tissue infections caused by MRSA, occurs in medical staff or hospital patients, rarely occurs in normal general community


Question: Bearing on the problem, not long after the interrogation, the patient tells you to stand fast stomach pain, his face paler. At this time, breathing 26 times / min, heart rate 142 beats / min, temperature 37.2 ℃, blood pressure 80/50 mmHg, marked abdominal bloating than 30 minutes before. He disposed of the following items best?

Answer: Abdominal ultrasound (abdominal ultrasound) examination

Choices:
A. Avoid bulging belly more, should reduce the amount of intravenous fluids
B. Epinephrine administered drugs
C. Abdominal X-rays
D. Abdominal ultrasound (abdominal ultrasound) examination


Question: Which of the following does not belong to tick media zoonotic infectious diseases (tick-borne zoonoses)?

Answer: West Nile virus disease (West Nile)

Choices:
A. Lyme disease (Lyme disease)
B. West Nile virus disease (West Nile)
C. Barbados's protozoan disease (babesiosis)
D. Rocky Mountain spotted fever (Rocky Mountain spotted fever)


Question: Related symptoms of lead (lead) poisoning and disease, which of the following less common?

Answer: Dilated cardiomyopathy (dilated cardiomyopathy)

Choices:
A. Hemolytic anemia (hemolytic anemia)
B. Dilated cardiomyopathy (dilated cardiomyopathy)
C. Demyelinating lesions of the peripheral nerves (peripheral demyelinating neuropathy)
D. Gout (gout)


Question: For the class of benzodiazepines (benzodiazepines.) Of withdrawal symptoms described sedative hypnotics, which of the following correct?

Answer: The combined treatment of insomnia may be necessary to have a calming effect of antidepressants to treat

Choices:
A. Withdrawal produce the illusion of choice for the treatment of antipsychotic drugs (antipsychotics)
B. The combined treatment of insomnia may be necessary to have a calming effect of antidepressants to treat
C. Avoid withdrawal seizures to be switched to short-acting drugs such as lorazepam
D. If hospitalization can be stopped immediately sedative hypnotics


Question: Masticatory muscle proprioception (proprioception) following primary afferent nucleus?

Answer: Trigeminal nucleus in the midbrain (mesencephalic trigeminal nucleus)

Choices:
A. Spinal trigeminal nucleus (spinal trigeminal nucleus)
B. Motor nucleus of the facial nerve (facial motor nucleus)
C. Trigeminal nucleus in the midbrain (mesencephalic trigeminal nucleus)
D. Isolated nucleus (solitary nucleus)


Question: 20. mature lymphocytes during development will benefit uses various mechanisms to automatically reach my tolerance (self-tolerance), which of the following, and I reached the self-tolerance has a direct correlation? ①AIRE gene ②CTLA-4 gene ③Fas ④ Positive selection gene (positive selection) ⑤ formed ⑥regulatory T cells to negative selection (negative selection)

Answer: ①②③⑤⑥

Choices:
A. ①②③④⑥
B. ①②③⑤⑥
C. Only ②③⑤⑥
D. Only ①②③⑤


Question: Why is most common in adults tricuspid regurgitation (tricuspid regurgitation) reason?

Answer: Pulmonary hypertension (pulmonary hypertension)

Choices:
A. Pulmonary hypertension (pulmonary hypertension)
B. Carcinoid (carcinoid)
C. Aibositan's abnormalities (Ebstein's anomaly)
D. Endocarditis (endocarditis)


Question: Description of strength training, which of the following error?

Answer: Isotonic sports (isotonic exercise) is the angular velocity movement (isokinetic exercise)

Choices:
A. Resistance training exercise is to draw on the high resistance, generally a resistance of isometric muscle contraction (isometric contraction)
B. Isometric resistance training to maintain muscle against resistance in isometric contraction training for the state, it does not produce joint action
C. Isotonic sports (isotonic exercise) is the angular velocity movement (isokinetic exercise)
D. Resistance training load on the heart of a large, heart patients are generally not recommended for the elderly or the more


Question: 32 a two year old boy, walking instability due to diagnosis; it is also a brother to start at about the same age, ataxia, and at the age of five when diagnosed with non-Hodgkin's lymphoma (non-Hodgkin lymphoma), in the age of eight due to repeated lung infection, died of pulmonary fibrosis. This two year old boy and his brother serum alpha-fetoprotein (α-fetoprotein) are high (the boy was 129.43 ng / mL), and alpha-immunoglobulin (immunoglobulin A) are low (<6.67 mg / dL), Which of the following is most likely diagnosis for this purpose boy?

Answer: Ataxia vasodilator syndrome (ataxia-telangiectasia)

Choices:
A. Ataxia vasodilator syndrome (ataxia-telangiectasia)
B. Fanconi's anemia (Fanconi's anemia)
C. Tuberous sclerosis (tuberous sclerosis)
D. Li-Fraumeni syndrome


Question: Which of the following enzymes Alkaptonuria with defects?

Answer: Homogentisic acid dioxygenase

Choices:
A. Branched-chain α-keto acid dehydrogenase complex
B. Homogentisic acid dioxygenase
C. Alanine transaminase
D. Glutamine amidotransferase


Question: Which of the following is myasthenia gravis (myasthenia gravis) the most common symptoms?

Answer: ocular muscle weakness

Choices:
A. diaphragmatic weakness
B. ocular muscle weakness
C. dysphagia
D. wrist drop


Question: Which of the following is the total peroneal nerve (common peroneal nerve) will appear when the phenomenon injured?

Answer: Pedal (footdrop)

Choices:
A. Foot eversion
B. Dorsal bending (dorsiflex)
C. Hook valgus (calcaneovalgus)
D. Pedal (footdrop)


Question: There are patients infected with Mycobacterium leprae (M. Leprae) come to visit, after the blood sample was found against a high antibody titer M. leprae, parasitic macrophages in many M. leprae, revealed severe clinical symptoms tissue destruction, following the activation of the cells that are most likely to patients with clinical symptoms?

Answer: The second type of T helper cells (TH2)

Choices:
A. The first type T helper (TH1)
B. The second type of T helper cells (TH2)
C. The third type of helper T cells (TH3)
D. Regulatory T cells (regulatory T cell)


Question: A 14-year-old boy in the school urine screening found a week ago proteinuria. Protein found in the urine of the hospital routine examination:> 300 mg / dL; WBC 0 ~ 2 / HPF; RBC 0 ~ 2 / HPF. 24 hours 3 days before analysis of urine protein: 0.85 g / 24 hr. However, according to the boy's mother described the boy after getting past the first 3 days to soak the urine dipstick urine test were negative. Excluded urine dipstick false negative reaction. Which of the following is the most likely diagnosis?

Answer: Attitude proteinuria (postural proteinuria)

Choices:
A. Attitude proteinuria (postural proteinuria)
B. Glomerular proteinuria (glomerular proteinuria)
C. Tubular proteinuria (tubular proteinuria)
D. Nephrotic syndrome (nephrotic syndrome)


Question: 1665-year-old female patients with long-term diabetes, gastroenterology consultation by the liver and gallbladder, complained of blurred vision have been left for three days. Patients with fever, headache, general malaise to hospital, internal medicine found that the liver has a 3.5 cm large abscess, after extracting found to be Gram (-) bacilli liver abscess, ophthalmic examination showed visual acuity was 0.4 left only identified hand, a small amount of anterior chamber eye pyometra (hypopyon), around the pupil white pus-like exudate, found ophthalmoscopy eye intravitreally full white turbidity, the fundus is not visible, there is a yellow-white downward right nasal retina (subretinal) subretinal bump. Account of the patient's eye, which of the following error?

Answer: This relatively low incidence of disease Taiwanese Westerners

Choices:
A. Patients are likely to suffer in the endogenous endophthalmitis (endogenous endophthalmitis)
B. Patients most likely causative agent was Klebsiella (Klebsiella pneumoniae)
C. This relatively low incidence of disease Taiwanese Westerners
D. Very poor prognosis of patients with eye diseases


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

Answer: Cyanotic heart failure caused by severe, often accompanied by dilation of small blood vessels

Choices:
A. Large patent ductus arteriosus (PDA) cyanosis difference (differential cyanosis) caused, often lower body cyanosis
B. Cyanosis caused by peripheral vascular disease site, often in a downstream artery stenosis at
C. The representative of the physiological significance for the blood oxygen content decreased, or lack of blood flow to tissue perfusion
D. Cyanotic heart failure caused by severe, often accompanied by dilation of small blood vessels


Question: The first type and second type diabetes and micro-albuminuria (microalbuminuria) and high blood pressure, following a drug that can slow the deterioration of kidney disease?

Answer: ACE inhibitors (angiotensin converting enzyme inhibitor)

Choices:
A. Calcium channel blockers (calcium channel blocker)
B. ACE inhibitors (angiotensin converting enzyme inhibitor)
C. α- sympathetic blockers (α-blocker)
D. sympathetic [beta] blockers (β- blocker)


Question: Intravenous injection of ketamine agent type ⿇ drunk mainly for Using the machine turn why?

Answer: NMDA receptor inhibition

Choices:
A. GABAA receptor activation
B. GABAA receptor inhibition
C. Activation of NMDA receptors
D. NMDA receptor inhibition


Question: Abnormal metabolism of purines can cause human disease, following on adenosine deaminase (ADA) deficiency of the statements is wrong?

Answer: Will promote the synthesis of dATP when ADA deficiency

Choices:
A. Can cause severe immune deficiency when ADA deficiency, so that T lymphocytes can not play normal defense
B. Will promote the synthesis of dATP when ADA deficiency
C. Will lead to more than 100 times dATP cells accumulate when ADA deficiency
D. Excessive cell dATP will inhibit nuclear  acid reduction  role can not create other dNTP


Question: One child under 8 years of age have completed all the provisions of the vaccination, at home and when the hand was cut kitchen knife, tetanus disposal should be given to what?

Answer: T.T. and do not need all T.I.G.

Choices:
A. T.T.（Tetanus toxoid）
B. T.I.G.（Tetanus immune globulin）
C. T.T. and T.I.G. are required
D. T.T. and do not need all T.I.G.


Question: In the production process, from mothers to their babies of hepatitis virus, which of the following most common?

Answer: Type B

Choices:
A. A type
B. Type B
C. Type C
D. Type D


Question: From the previous question, after inspection found that patients with intestinal mucosal inflammation, erosion, bleeding from the rectum to infiltrate the transverse colon, blood examination was normal, no fever phenomenon, which of the following is not a treatment option at this stage it?

Answer: Antibiotics

Choices:
A. Fasting milk products
B. Antibiotics
C. Given steroids
D. Given sulfa drugs


Question: The ionophore (ionophore), such as valinomycin (Valinomycin), was added to a suspension of a prokaryotic cell, said cell membrane ionic gradient (transmembrane ion gradients) Which of the following changes have?

Answer: Ion gradient reduction

Choices:
A. Gradient of increasing ionic
B. Ion gradient reduction
C. Ion gradients no change
D. Ion gradient can not expect will change


Question: About familial hypercholesterolemia (familial hypercholesterolemia) of the narrative, Which statement is correct?

Answer: Most genetic diseases low-density lipoprotein receptors (receptor) gene mutation caused

Choices:
A. Major is a genetic disease caused by low-density lipoprotein structural abnormalities
B. Mostly low-density lipoprotein gene imprinting (genomic imprinting) abnormality
C. Most regulation of gene expression of LDL is methylated (methylation) due
D. Most genetic diseases low-density lipoprotein receptors (receptor) gene mutation caused


Question: Effective drugs Sildenafil erectile function (trade name Viagra) was the first of several major phosphodiesterase type blocker?

Answer: The fifth type

Choices:
A. The first type
B. The third type
C. The fifth type
D. The sixth type


Question: The following (ankylosing spondylitis) of statements about ankylosing spondylitis, what's wrong?

Answer: 80% of patients may be complicated by acute uveitis (uveitis)

Choices:
A. More than 90% of patients with HLA-B27 antigen
B. 80% of patients may be complicated by acute uveitis (uveitis)
C. The most commonly recommended violations of intestinal joint (sacroiliac joint)
D. Spine disease is the most serious complication of vertebral fractures (spinal fracture)


Question: The main subject of Amphotericin B cell-destroying fungi is that one of the following?

Answer: Cell membrane

Choices:
A. Cell wall
B. Cell membrane
C. Nucleic Acids
D. Energy transfer


Question: Intracerebral arteries carbon dioxide (CO2) concentration rises, the brain blood vessels and blood flow changes Why?

Answer: Arterioles (arterioles) expansion, increase in blood flow

Choices:
A. Arterioles (arterioles) dilation, blood flow constant
B. Arterioles (arterioles) expansion, increase in blood flow
C. Arterioles (arterioles) shrinkage, decreased blood flow
D. Arterioles (arterioles) contraction, blood flow constant


Question: When the antigen through the skin into tissue, B cell and T cell immune response occurred?

Answer: Lymph node

Choices:
A. Subcutaneous
B. marrow
C. Lymph node
D. spleen


Question: 46-year-old Chen accepted by the abdominal endoscopy, found on the gastric antrum 4 cm tumor in a body portion intermediate the gastric surface mucosal integrity, endoscopic ultrasound examination confirmed submucosal tumor, following which the disposal of the most appropriate?

Answer: Laparoscopic tumor resection

Choices:
A. Laparoscopic tumor resection
B. Outpatient follow-up observation
C. After endoscopic resection
D. Radiation therapy


Question: Statements about the central nervous system stimulant cocaine, which of the following error?

Answer: And heroin (heroin) will have an effect dependent interaction (cross dependence) of

Choices:
A. With local anesthesia and vasoconstriction
B. And heroin (heroin) will have an effect dependent interaction (cross dependence) of
C. Has blocking dopamine (dopamine) recycling system effect, thus increasing the local concentration of dopamine in the brain
D. Effect with reduced appetite


Question: Primary subarachnoid hemorrhage (spontaneous subarachnoid hemorrhage) Which of the following as the most common disease?

Answer: Aneurysm (aneurysm)

Choices:
A. High blood pressure (hypertension)
B. Arteriovenous malformations (arteriovenous malformation)
C. Aneurysm (aneurysm)
D. Brain tumors (brain tumor)


Question: Children account of persistent hyperinsulinemic hypoglycemia (persistent hyperinsulinemic hypoglycemia of infancy), and which of the following error?

Answer: Genetic model for sex-linked genetic X- (X-linked inheritance)

Choices:
A. Genetic model for sex-linked genetic X- (X-linked inheritance)
B. KIR 6.2 channel gene mutation can cause disease
C. Sulfonylurea receptor gene mutation can cause disease
D. The need for timely treatment to prevent neurological sequelae


Question: The so-called Caroli's disease means:

Answer: choledochal cyst, typeⅤ

Choices:
A. choledochal cyst, typeⅠ
B. choledochal cyst, typeⅢ
C. choledochal cyst, type Ⅳ
D. choledochal cyst, typeⅤ


Question: Of the following statements about the trauma of pregnant women wrong?

Answer: Because the placenta is full of oxygenated blood, even if the pregnant woman has hemorrhagic shock, the fetus is still not easy to hypoxia immediately

Choices:
A. The first requirement is to save the baby's vital signs first aid and stabilized pregnant women
B. Because pregnancy increases the blood, pregnant women may have considerable amount of blood loss, but no obvious signs of shock
C. If the pregnant woman showing shock phenomenon may lie on the left to reduce the oppression of the inferior vena cava, increase Rhodobryum
D. Because the placenta is full of oxygenated blood, even if the pregnant woman has hemorrhagic shock, the fetus is still not easy to hypoxia immediately


Question: Account of the uterine wall (uterine wall), and Which statement is correct?

Answer: When pregnant myometrium (myometrium) of the smooth muscle cells will hypertrophy (hypertrophy) and hyperplasia (hyperplasia)

Choices:
A. Only the endometrium (endometrium) will change with the menstrual cycle (menstrual cycle)
B. Myometrium (myometrium) having a smooth floor, the outer layer (outer layer) is thickest
C. When pregnant myometrium (myometrium) of the smooth muscle cells will hypertrophy (hypertrophy) and hyperplasia (hyperplasia)
D. The content of the cervix (cervix) than uterine smooth muscle (uterine body)


Question: Ipsilateral shoulder pain, stiffness and other problems stroke patients often occurs, the following statements is wrong?

Answer: Acute shoulder strap or sling can not be used to avoid the deterioration of stiffness

Choices:
A. About 70-80% of stroke patients have shoulder problems
B. Maintain the passive joint activities with the most important movement shoulder abduction
C. Acute shoulder strap or sling can not be used to avoid the deterioration of stiffness
D. Shoulder problems occur in patients with spasticity (spastic phase) than of weakness (flaccid phase)


Question: Which of the following serum markers appear on behalf of the patient immune to hepatitis B virus?

Answer: anti-HBs

Choices:
A. IgM-anti-HBc
B. IgG-anti-HBc
C. anti-HBe
D. anti-HBs


Question: The following related lung cancer Gefitinib (EGFR tyrosine kinase inhibitor) treatment of the subject, what's wrong?

Answer: Consolidation chemotherapy may improve the outcome

Choices:
A. Most effective for female lung cancer
B. There EGFR mutations, preferred treatment
C. Consolidation chemotherapy may improve the outcome
D. In the case of chemotherapy failure, remain efficacy


Question: 47. thyroid cancer patients after surgical resection of acceptance and completion of high doses of radioactive iodine-131 isotope therapy, clinical, biochemical markers in the blood to track whether the thyroid cancer recurrence Which of the following is?

Answer: Thyroglobulin (thyroglobulin)

Choices:
A. Tetraiodo thyroxine (T4)
B. Triiodothyronine (T3)
C. Thyroglobulin (thyroglobulin)
D. TSH (TSH)


Question: Which of the following is easier to produce on lung fibrosis, hilar lymph nodes eggshell calcification; and more susceptible to tuberculosis?

Answer: silicosis

Choices:
A. silicosis
B. asbestosis
C. berylliosis
D. byssinosis


Question: 6225-year-old Mr. Zhang 2nd episode of mania, there are significant sleep loss, delusions of grandeur and religious delusions. After the first episode of mania is 2 years, there is no past history of depression, this time with a lithium salt (lithium) and chlorpromazine (chlorpromazine) treatment, lithium salt of 2 mEq / L, 3 months of treatment, thought and emotional return to normal. Once a stable condition, following drug treatment whichever is most appropriate?

Answer: Lithium salt slightly reduced dose and disable wintermine

Choices:
A. Direct disable lithium salt, so as to avoid renal dysfunction
B. As long as disabled wintermine, tardive abnormalities (tardive dyskinesia) in order to avoid
C. Disable both lithium salt and wintermine
D. Lithium salt slightly reduced dose and disable wintermine


Question: Unknown 10-year-old boy was bitten by snakes upper limb, the limb on the appearance of visible light little bite marks, no local swelling, following treatment whichever correct?

Answer: Whether there should be observed salivation, ptosis state

Choices:
A. Should be applied directly to the nerve to fight anti-bleeding and anti-venom serum
B. Arterial oxygen analysis should be carried out
C. Whether there should be observed salivation, ptosis state
D. Should be given antibiotic treatment


Question: Which of the following influenza virus egg white substance belongs to the quality submenus channel (proton channel), and the virus is released into the cytoplasm about?

Answer: Egg white film quality (membrane protein, M2)

Choices:
A. Egg white mass matrix (matrix protein, M1)
B. Egg white film quality (membrane protein, M2)
C. White mass nucleocapsid protein (nucleocapsid protein, NP)
D. RNA polymerase (polymerase, PA)


Question: 62 A 42-year-old female that recently two weeks to get up quite difficult, must be getting up both hands to support. Further, forehead, back of the hand and skin erythema occurs interphalangeal joints (such as photos). Right shoulder muscles weakness, not on the move. Sometimes a fever of about 38.5 ℃. Blood found ANA 1: 160x speckled pattern, AST U / L, ALT 86 U / L, CK 2,784 U / L. Which of the following is the most likely diagnosis?

Answer: dermatomyositis

Choices:
A. dermatomyositis
B. Guillain-Barre syndrome
C. rhabdomyolysis
D. hypokalemia


Question: Adjust the diet as an important means of treatment of gastrointestinal diseases, gastrointestinal diseases related to the following adjustments to the diet narrative, what's wrong?

Answer: dumping syndrome patients must limit the amount of fat

Choices:
A. gastroparesis patients is best to use liquid meals
B. dumping syndrome patients must limit the amount of fat
C. irritable bowel syndrome patients may be considered high-fiber diet
D. short bowel syndrome patients can eat medium-chain triglyceride


Question: By inhibiting the activation of osteoclasts (osteoclast cell) may improve bone loss drug Why?

Answer: Denosumab（anti-RANK-L）

Choices:
A. Infliximab (anti-TNF-α)
B. Denosumab（anti-RANK-L）
C. Daclizumab (anti-IL-2R)
D. Belimumab（anti-BLyS）


Question: No analysis of the number of female Which of the following description of the error?

Answer: The extreme value of the information is sensitive

Choices:
A. The extreme value of the information is sensitive
B. Without assuming that data were normally distributed
C. Statistical test force are more female low number analysis
D. Small samples for analysis


Question: After the babies begin standing and walking, which of the following is most evident?

Answer: Waist bent

Choices:
A. Curved neck
B. Chest bent
C. Waist bent
D. Recommended bending


Question: 55-year-old female patient, no injury history, the last 2 months the shoulder pain and often feel more and more difficult to wear off underwear, but no problems eating and writing, it is most likely to be which of the following diseases?

Answer: Frozen shoulder (frozen shoulder)

Choices:
A. Humeral epicondylitis (lateral epicondylitis)
B. Cervical nerve lesions (cervical radiculopathy)
C. Shoulder dislocation (shoulder dislocation)
D. Frozen shoulder (frozen shoulder)


Question: Which of the following is not a form part of the Waldeyer's ring?

Answer: Virchow's node

Choices:
A. Eustachian tube opening surrounding lymphoid tissue (Gerlach's tonsil)
B. Adenoids (adenoid)
C. Tongue tonsil (lingual tonsil)
D. Virchow's node


Question: 34 year old man, discovered on a health check hypercalcemia, hypophosphatemia, further determination of intact parathyroid hormone (iPTH) found too high, as 750 pg / mL, but ultrasound examination did not find parathyroid adenoma, then do further He checked the most appropriate?

Answer: Parathyroid Tc99m-sestamibi scan + SPECT (single photon emission computed tomography)

Choices:
A. Parathyroid Tc99m-sestamibi scan + SPECT (single photon emission computed tomography)
B. I-131 thyroid uptake and scan
C. Neck MRI (magnetic resonance imaging)
D. Neck CT (computed tomography)


Question: Following a viral infection that can cause fever occurred army often, cough, sore throat, pharyngitis and cervical adenitis (cervical adenitis) and other symptoms of the disease?

Answer: Adenovirus (Adenovirus)

Choices:
A. Parainfluenza virus (Parainfluenza virus)
B. Human papilloma virus (HPV)
C. Herpes simplex  (Herpes simplex virus)
D. Adenovirus (Adenovirus)


Question: From the previous questions, then what kind of examination should be re-scheduled, before the exact diagnosis?

Answer: Biopsy

Choices:
A. Isotope bone scan
B. Serum electrophoresis inspection
C. Biopsy
D. Chest CT scan


Question: 35-year-old male patient complained of hearing loss in the right ear in recent days, and there is swelling sense of closure, which of the following should immediately do first is check?

Answer: Otoscopy (otoscopic examination)

Choices:
A. Otoscopy (otoscopic examination)
B. Check the tuning fork (tuning fork evaluation)
C. Tympanogram Check (tympanometric examination)
D. Hearing tests (audiometry)


Question: Amyotrophic lateral sclerosis (Amyotrophic lateral sclerosis, ALS) will not have the following symptoms?

Answer: Sensory loss

Choices:
A. Sensory loss
B. Dysphagia
C. Fasciculation
D. Babinski sign


Question: The following statements about "congenital hypothyroidism screening" of what's wrong?

Answer: Specificity is more important than sensitivity

Choices:
A. Specificity is more important than sensitivity
B. No serious side effects
C. False negative results caused by the influence of early patient treatment
D. High chance of false positives


Question: After the individual human being by human immunodeficiency virus (HIV) attacks will lead to decreased immune function, resulting in secondary generalization immune impairment (acquired immune deficiency syndrome, commonly known as AIDS). AIDS patients often find skin cancer Kaposi's sarcoma, which directly causes why?

Answer: Kaposi's sarcoma herpes virus

Choices:
A. Kaposi's sarcoma herpes virus
B. Human herpes virus type I (HHV-1)
C. Low blood levels of immunoglobulin
D. Skin hepatitis B virus protein accumulation


Question: Which of the following of knee pain, most likely Europe's Disease (Osgood-Schlatter disease) caused?

Answer: 15-year-old male volleyball players

Choices:
A. 15-year-old male volleyball players
B. 20-year-old female ballet dancer
C. 15 year-old female swimmer
D. 20 year old man free car player


Question: About achalasia (achalasia), the following statements is wrong?

Answer: Within endoscopic injection of botulinum toxin (botulinum toxin) can be completely cured

Choices:
A. Characterized by a lack of esophageal peristalsis and lower esophageal sphincter can not relax completely, thus increasing the pressure of the lower esophageal sphincter
B. Clinical manifestations of vomiting, dysphagia, weight loss, chest pain, cough and counterflow
C. Esophageal pressure monitoring (manometry) can help diagnose
D. Within endoscopic injection of botulinum toxin (botulinum toxin) can be completely cured


Question: That one of the following strains of viridans streptococci has a high resistance to penicillin?

Answer: Streptococcus

Choices:
A. Streptococcus mutans
B. Streptococcus
C. Streptococcus salivarius
D. Streptococcus anginosus


Question: Narrative of alcoholic liver disease about, what's wrong?

Answer: Usually after drinking blush easily, palpitations, representing a strong ability to metabolize alcohol

Choices:
A. In general, drinking the same amount of alcohol, women worse than men of tolerance, prone to cause liver damage
B. Usually after drinking blush easily, palpitations, representing a strong ability to metabolize alcohol
C. Many individuals with alcohol metabolism enzyme gene polymorphism and susceptibility to alcoholic liver disease related to the
D. Alcoholic cirrhosis patients prone to spider veins (spider angioma) than in patients with viral cirrhosis


Question: 10-year-old Lee, ie chronic renal failure due to start dialysis. 5 years ago to accept the transplanted kidney transplant, and have a daughter three years ago. Recently, he found his daughter had intermittent red urine. In between attending doctors found Lee had mild mental retardation. The children presented a preliminary urine dipstick test 3 + blood. The children most likely diagnosis is:

Answer: Alport syndrome (Alport syndrome)

Choices:
A. Alport syndrome (Alport syndrome)
B. Hypercalciuria (hypercalciuria)
C. Membranous nephropathy (membranous glomerulopathy)
D. Goodpasture 症候群（Goodpasture syndrome）


Question: 65-year-old female, ten days occurs gradually left limb weakness, difficulty speaking. According to this injection of iodine developer CT imaging, the most likely diagnosis is:

Answer: Metastasis

Choices:
A. Acute infarction with hemorrhage（hemorrhagic infarction）
B. Acute infarction with gyral pattern enhancement
C. Metastasis
D. High grade astrocytoma


Question: A 60 year old female, diagnosis to shortness of breath, chest auscultation in the left side of the intake of high-frequency noise sternal, chest X-ray and CT in FIG. 1, 2 and 3 shown in FIG. Will the following statement best describes what's right?

Answer: Benign tumors greater chance

Choices:
A. Patients may require chemotherapy
B. Disposal condition appropriate to place an endotracheal stent
C. In open heart surgery the patient is appropriate
D. Benign tumors greater chance


Question: HLA typing coincide organ transplant rejection among strangers still occur because:

Answer: Both of histocompatibility minor antigens different

Choices:
A. Adverse HLA typing of interpretation
B. Both of histocompatibility minor antigens different
C. Clq caused by cellular immunity (Clq-mediated cellular immunity)
D. Chemokines induced tissue damage (chemokine-mediated tissue damage)


Question: A 35-year-old healthy woman, pm movement, sudden aphasia and right limb weakness, it is most unlikely diagnosis:

Answer: Cerebral amyloid angiopathy (cerebral amyloid angiopathy)

Choices:
A. Cerebral amyloid angiopathy (cerebral amyloid angiopathy)
B. Peeling the internal carotid artery
C. Takayasu's arteritis (Takayasu's arteritis)
D. Arteriovenous malformation


Question: The following information about prostate cancer diagnosis (adenocarcinoma of prostate), and what's wrong?

Answer: Magnetic Resonance Imaging (MRI) is the most accurate method of diagnosis of prostate cancer

Choices:
A. Most have no symptoms early
B. Benign prostate hypertrophy (BPH) surgery, prostate cancer may still occur
C. Magnetic Resonance Imaging (MRI) is the most accurate method of diagnosis of prostate cancer
D. Men over 50 should be Dre regularly every year, pooled serum prostate specific antigen (PSA) to detect


Question: The following statements about Ginny's Po fibers (Purkinje fiber), and what's right?

Answer: Is a specialized cardiac cells

Choices:
A. Nerve fibers
B. Is a specialized cardiac cells
C. There transverse tubule (transverse tubule)
D. There are cells in contact with intercalated discs (intercalated disc) 46 near skein cells (juxtaglomerular cell) Which of the following is a specialized come?


Question: A 50 year old man, obviously feel chest pain. ECG display changes in acute myocardial infarction. Blood tests found that serum creatine kinase (CK) values are rising phenomenon. Which of the following best explains the situation changes in the blood?

Answer: Myocardial cell membrane defects

Choices:
A. CK synthesis
B. CK decomposition rate slowing
C. Myocardial cell membrane defects
D. Myocardial nuclear chromatin condensation


Question: Central Use the following drugs of sedation can be flumazenil antagonism, what is wrong?

Answer: alcohol

Choices:
A. zolpidem
B. lorazapam
C. alcohol
D. aplrazolam


Question: In the colon of marginal artery Lymph nodes in the vicinity of the call:

Answer: Paracolic nodes

Choices:
A. Epicolic nodes
B. Paracolic nodes
C. Intermediate nodes
D. Primary（main）nodes


Question: 71. One 35-year-old male patients with infertility, semen examination revealed no sperm, serum FSH, LH and low testosterone, and the patient smell abnormalities, the most likely diagnosis is:

Answer: Kallmann syndrome

Choices:
A. hyperprolactinemia
B. Kallmann syndrome
C. Klinefelter's syndrome
D. XYY syndrome


Question: 49 in a nursing home, a number of elderly people have symptoms of acute respiratory infections such as dry cough and chest pain, of which several more developed pneumonia and urgent hospital treatment. Need to add cysteine (L-cysteine) Gram-negative bacteria from the lung tissue of the hospital or other respiratory secretions, and cooling towers subject patients in nursing homes, the same culture isolated. The following statements about this infection, what's wrong?

Answer: Due to the highly contagious, patients will be isolated

Choices:
A. Patients get infections from the respiratory tract
B. Due to the highly contagious, patients will be isolated
C. There is still no vaccine can be used
D. Immune cells (cellular immunity) is the body's main defense mechanism


Question: A 3-year-old boy had run but will find it increasingly unable to walk nearly four months, was found a week ago after he squatted on his hands shore ground need to stand up, serum creatine kinase (creatine kinase) is normal 100 times. He Which of the following is most likely to get the disease?

Answer: Duchenne muscular dystrophy

Choices:
A. Duchenne muscular dystrophy
B. spinal muscular atrophy
C. congenital muscular dystrophy
D. myasthenia gravis


Question: Which of the following does not apply to most prognostic brain injury (traumatic brain injury) patients?

Answer: Blink reflex (blink reflex)

Choices:
A. Unconsciousness length of time when the disease
B. The length of amnesia after the injury (amnesia) time
C. Glass can (Glasgow) Index injured coma
D. Blink reflex (blink reflex)


Question: The following relevant central serous retinopathy context (central serous chorioretinopathy, CSCR) of the narrative, what's wrong?

Answer: Symptoms include visual large (macropsia), visual color change (dyschromatopsia)

Choices:
A. Sensory layer of the retina (sensory retina) of serous release (serous detachment)
B. Symptoms include visual large (macropsia), visual color change (dyschromatopsia)
C. There may happen over and over again
D. Most patients will be better on its own


Question: If patients had reduced pupil (miosis), decreased sweating side of the face (anhydrosis), drooping of the upper eyelid (ptosis), etc. Horner syndrome, which are three typical clinical symptoms appear, is the least likely caused Which of the following diseases?

Answer: External carotid artery (external carotid artery) damage

Choices:
A. Peeling carotid artery (common carotid artery dissection)
B. External carotid artery (external carotid artery) damage
C. Embolic stroke brainstem (brainstem infarction)
D. Superior cervical ganglia (superior cervical ganglion) injury


Question: Which of the following long-term use side effects of glucocorticoid drugs is the most likely cause?

Answer: Osteoporosis

Choices:
A. Like lupus erythematosus
B. Osteoporosis
C. Liver poisoning
D. Adrenal tumors


Question: The following related microvascular reaction caused extensive burns, whichever is correct?

Answer: Capillary wall permeability (capillary permeability) increased

Choices:
A. Hydrostatic pressure (hydrostatic pressure) fall
B. Capillary pressure (capillary pressure) rise
C. Blood osmotic pressure (oncotic pressure) rise
D. Capillary wall permeability (capillary permeability) increased


Question: Lee, a 40-year-old templates workers, due to oral cancer underwent wide excision performed by the ENT team and neck lymph nodes dissection surgery, tissue defects caused by the size of about 10 to immediately multiply by the plastic surgery team 6 cm radial artery forearm free flap microsurgical reconstructive surgery, before and takes about ten hours. As Zhuyuanyishi, after surgery care related matters should be noted that Mr. Lee, what's the most inappropriate?

Answer: Placing sand bags neck wound compression anastomosis imposed to avoid bleeding

Choices:
A. Observation flap blood flow per hour, such as color, temperature, capillary refill (capillary refilling)
B. Performed Doppler (Doppler) blood count checked every hour
C. Placing sand bags neck wound compression anastomosis imposed to avoid bleeding
D. Monitoring of urine output


Question: Ms. Wang is a market greengrocer, smoking habits (a pack a day), acid reflux is often the case in recent months, a deeper voice, but no breathing difficulties and no sore throat, Ms. Wang about the test results Which of the following is less likely to occur?

Answer: Laryngoscopy presented with bilateral vocal cord paralysis

Choices:
A. And may have hypothyroidism
B. Laryngoscopy presented bilateral vocal cord edema
C. Laryngoscopy presented with bilateral vocal cord paralysis
D. Laryngeal strobe mirror (videostroboscopy) check, the vocal cord mucosal increased volatility


Question: Frontal (frontal bone) and nasal (nasal bone) of the intersection known as:

Answer: Nasion (nasion)

Choices:
A. Eyebrows (glabella)
B. Star point (asterion)
C. Nasion (nasion)
D. Pterional (pterion)


Question: The following related hepatocellular adenoma (liver cell adenoma) narrative and what is non?

Answer: No malignant transformation (malignant transformation) may

Choices:
A. Occurs most frequently in women aged 20 to 40 years old
B. Long-term use of oral contraceptives may increase their probability of occurrence
C. The main danger is that internal bleeding caused by rupture
D. No malignant transformation (malignant transformation) may


Question: Lower gastrointestinal bleeding related to the following description, what's wrong?

Answer: Nuclear medicine scans red blood cells (RBC scan), to detect bleeding compared with angiography technique sensitive, precise positioning, to help treat

Choices:
A. Bleeding source unknown (obscure) of gastrointestinal bleeding, lesions often in the small intestine, must first rule out the upper gastrointestinal tract and colorectal lesions. Therefore, upper gastrointestinal endoscopy and colonoscopy must be implemented, even more than once is sufficient checks
B. Cases of severe bleeding can arrange angiography examination (angiography), the injectable is found the source of bleeding
C. Nuclear medicine scans red blood cells (RBC scan), to detect bleeding compared with angiography technique sensitive, precise positioning, to help treat
D. If there is no active bleeding, unless it is rich in blood vessels (hypervascular) tumor or vascular dysplasia


Question: That following a viral infection, do not form tumors via inhibition of host tumor suppressor gene?

Answer: Human T-lymphotropic virus (HTLV-1)

Choices:
A. Adenovirus (Adenovirus)
B. Human T-lymphotropic virus (HTLV-1)
C. Human papillomavirus (HPV)
D. Polyomavirus (SV40)


Question: Peripheral blood bone marrow red blood cell series, white blood cells and platelets series series, each stage of the mature blood cells, and chronic myelogenous leukemia patients have the Philadelphia chromosome (Philadelphia chromosome), it can be inferred, the starting cell disease level of chromosomal abnormalities why earliest ?

Answer: Lymphocyte stem cells (lymphoid stem cell)

Choices:
A. Lymphocyte stem cells (lymphoid stem cell)
B. Bone marrow stem cells (myeloid stem cell)
C. Multi-derived hematopoietic stem cells (pluripotent hematopoietic stem cell)
D. Embryonic stem cells (embryonic stem cell)


Question: , It will mainly be cleared by secreted by the sympathetic nerve endings Norepinephrine what mechanism from the synaptic cleft?

Answer: Recycling by the nerve endings (re-uptake)

Choices:
A. Recycling by the nerve endings (re-uptake)
B. After being included in the postsynaptic cell lysis enzymes
C. After clearance by the liver into the blood circulation
D. After being recycled postsynaptic cell


Question: About gestational trophoblastic disease (gestational trophoblastic disease-GTD; gestational trophoblastic tumor-GTT; gestational trophoblastic neoplasm-GTN), which of the following description of gynecologic cancer physicians are more consistent view?

Answer: Mole (complete hydatidiform mole) (partial hydatidiform mole) portion mole ratio of rare

Choices:
A. GTT or GTN after surgery according to the pathology of the other, began chemotherapy
B. Transfer to the lungs for the third period, the remission rate after treatment nearly 50%
C. Have responded to a single dose of medicament for the treatment of chemical
D. Mole (complete hydatidiform mole) (partial hydatidiform mole) portion mole ratio of rare


Question: A 45 year old male ESRD patients choose peritoneal dialysis (peritoneal dialysis), the following statements is wrong?

Answer: Peritoneal dialysis is performed once every two days

Choices:
A. Peritoneal dialysis is performed once every two days
B. Peritoneal dialysis single intraperitoneal injection of 2 liters of dialysate are possible
C. Peritoneal dialysis dehydrated by osmotic pressure (osmolality), the most commonly used material provided osmotic pressure is high concentration of glucose
D. Creatinine clearance rate of 70 L per week is enough


Question: Symmetry limb peripheral nerve sensory loss is most likely to occur in patients following what disease?

Answer: diabetic polyneuropathy

Choices:
A. cerebellar lesions
B. cerebrovascular diseases
C. diabetic polyneuropathy
D. Parkinson's disease


Question: About T helper cells in B cell activation in the process of providing assistance narrative, following that a mistake?

Answer: T helper cell surface expression B7, costimulatory factor is the main (co-stimulatory molecule)

Choices:
A. Must identify the same two cell antigen (linked recognition), in order to effectively stimulate antibody production
B. T helper cells secrete cytokines (cytokines) assist in replication and activation of B cells
C. T helper cell surface transfer performance CD40L molecules, B-cell help second signals
D. T helper cell surface expression B7, costimulatory factor is the main (co-stimulatory molecule)


Question: 67 a 70-year retired teacher, early without any history of mental illness, regularly treated for hypertension for 8 years, hospitalized due to a heart condition, hospital 2 days after the sudden appearance of many words, sleep loss, nocturnal frequency required to go out, and claims that there is sixth sense can predict the future, occasional visual hallucinations at night. Following the disposal of whichever wrong?

Answer: Evening administration of long-acting sleeping pills to improve sleep

Choices:
A. Should assess whether cognitive impairment
B. Physiological should exclude any disease associated
C. Evening administration of long-acting sleeping pills to improve sleep
D. With antipsychotic drugs as the main consideration of


Question: The correct way myasthenia gravis Which of the following non-therapeutic?

Answer: The use of aminoglycoside drugs the patient is infected

Choices:
A. Lipid anticholinergic drugs (anticholinesterase drugs)
B. Steroids (corticosteroid)
C. Thymectomy (thymectomy)
D. The use of aminoglycoside drugs the patient is infected


Question: Which of the following most likely to progress to narrowing pericarditis pericarditis (constrictive pericarditis)?

Answer: Purulent pericarditis (suppurative pericarditis)

Choices:
A. Serous pericarditis (serous pericarditis)
B. Fibrinous pericarditis (fibrinous pericarditis)
C. Serofibrinous pericarditis protein (serofibrinous pericarditis)
D. Purulent pericarditis (suppurative pericarditis)


Question: The following account of malignant melanoma cell cancer (malignant melanoma), and what's right?

Answer: The most common type of malignant melanoma patients Orient cell carcinoma is a small mole extremities (acral lentiginous) type

Choices:
A. West gene mutation in patients with malignant melanoma cell carcinoma is the most NRAS mutation
B. The most common type of malignant melanoma patients Orient cell carcinoma is a small mole extremities (acral lentiginous) type
C. Primary prevention of malignant melanoma cell cancer education, screening, early detection
D. Malignant melanoma metastasis cancer cell targeted therapy drugs only effective


Question: Which of the following is the excitement can cause Hering-Breuer reflex, thereby preventing lung over-expansion?

Answer: Of receptors involved pulmonary (lung stretch receptors)

Choices:
A. Of receptors involved pulmonary (lung stretch receptors)
B. Lung irritant receptors (lung irritant receptors)
C. Aorta (aortic bodies)
D. Carotid body (carotid bodies)


Question: Statements about blood lipid abnormalities associated with yellow lipoma (xanthoma) of, which of the following error?

Answer: Only the blood low-density lipoprotein cholesterol (LDL cholesterol) will occur when too high, irrespective of the concentration of blood triglyceride (triglyceride) of

Choices:
A. Only the blood low-density lipoprotein cholesterol (LDL cholesterol) will occur when too high, irrespective of the concentration of blood triglyceride (triglyceride) of
B. Often the distribution of subcutaneous (subcutaneous) at
C. Often distributed in the tendon sheath (tendon sheath) at
D. Often the distribution of the body surface of the limb extensor (extensor surface)


Question: Glenohumeral joint (glenohumeral joint) connection humerus, small nodules while fixing the biceps tendon of the long head of the ligament Why?

Answer: Humerus transverse ligament (transverse humeral ligament)

Choices:
A. The glenohumeral ligament (superior glenohumeral ligament)
B. Under glenohumeral ligament (inferior glenohumeral ligament)
C. Coracobrachialis ligament (coracohumeral ligament)
D. Humerus transverse ligament (transverse humeral ligament)


Question: Liu, 57 years old, in addition to natural production twice in the past no special history of disease, abnormal vaginal bleeding due to out-patient clinics, the clinic found within a 5 cm cervical cancer, sliced confirmed cervical squamous cell carcinoma, tumor 1/3 range of first vaginal wall, right ureter and renal pelvis renal pelvis photography show edema, CT no lymph nodes, Sharon cervical cancer on why not at least?

Answer: The third (III b)

Choices:
A. The first phase (I b)
B. A second phase (II a)
C. The second phase (II b)
D. The third (III b)


Question: A 28-year-old young men, complained before the start of the day how the amount of yellow-green urethral discharge, or painful urination solution at the same time, a burning sensation. He admitted sexual contact with unclean week ago. Preliminary assumptions suspected gonococcal urethritis; the following check what is able to provide the most rapid diagnosis for symptomatic treatment?

Answer: Urethral secretions smear, after dyeing in the presence or absence of Neisseria gonorrhoeae 100x microscope leukocyte oil

Choices:
A. Urethral secretions smear, after dyeing in the presence or absence of Neisseria gonorrhoeae 100x microscope leukocyte oil
B. Bacterial culture of urethral discharge
C. Urine culture
D. Urine examination


Question: From the previous question, vessels had to be given a large number of central venous catheter intravenous fluids, which of the following is not among the most commonly used first-aid course?

Answer: Cephalic vein (cephalic vein)

Choices:
A. Internal jugular vein (internal jugular vein)
B. Femoral vein (femoral vein)
C. Cephalic vein (cephalic vein)
D. Subclavian vein (subclavian vein)


Question: In laparoscopic surgery, the pressure should not exceed the number of Pneumoperitoneum mmHg?

Answer: 15

Choices:
A. 9
B. 11
C. 13
D. 15


Question: Suppose we want to compare the two effects of antibiotic treatment of gonorrhea A and B, the patient must receive antibiotics A and B patients receiving antibiotics through age and gender matched, these patients must return to the clinic within a week, to check whether gonorrhea has been eliminated. Assumptions were as follows:

Answer: Mainei Ma test (McNemar's Test)

Choices:
A. Two-sample t-test
B. Chi-square test
C. Paired t-test
D. Mainei Ma test (McNemar's Test)


Question: A 68-year-old male patient was eight months ago after being diagnosed with non-small cell lung cancer, ongoing chemical treatment. This comes due to severe asthma emergency room, chest X-ray found to have left pneumothorax, there are a lot of right lung nodules, chest tube was placed on the left after lung still open. Will the next disposal, what's wrong?

Answer: Photodynamic therapy do to get through the trachea

Choices:
A. Do bronchoscope to see whether the tumor obstruction, causing the lungs to collapse
B. CT violations do see the situation of the tumor and whether the oppression of the respiratory tract
C. Photodynamic therapy do to get through the trachea
D. Put tracheal stent to prop the airway open


Question: That one of the following diseases, are not suitable for treatment with cryosurgery (cryosurgery)?

Answer: Mycoides granuloma (mycosis fungoides)

Choices:
A. Mycoides granuloma (mycosis fungoides)
B. Seborrheic keratosis (seborrheic keratosis)
C. Molluscum contagiosum (molluscum contagiosum)
D. Wart virus (viral wart)


Question: Therapy on breast cancer, which of the following error?

Answer: Breast cancer patients should be given chemotherapy after surgery to prevent recurrence

Choices:
A. With or without axillary lymph cancer metastasis is one of the most important prognostic indicator of breast cancer
B. The presence of breast cancer estrogen receptor (positive), anti-hormone therapy should be given
C. Breast cancer patients should be given chemotherapy after surgery to prevent recurrence
D. Both the first and second parts of the survival rate of breast cancer, the absence of multiple lesions, with mastectomy breast-conserving considerable


Question: A 78-year-old prostate cancer patients hormone therapy has been ineffective and whole body bone metastases, often in pain index 7 or more points (0-10 points), after assessment of the patient has been unfit for chemotherapy and radiation therapy, the pain general has been unable to control pain medications, which of the following treatment more appropriate?

Answer: Short-acting oral morphine every 3 to 4 hours, to adjust the dose until the long-term stability of morphine

Choices:
A. Bisphosphonates zoledronate intravenously irregular and short-acting morphine week
B. Short-acting oral morphine every 3 to 4 hours, to adjust the dose until the long-term stability of morphine
C. Short-acting morphine administered amount occurs when the patient pain, long-acting morphine to be stabilized
D. Direct long-term administration of morphine, to avoid affecting patients sleep


Question: About the relationship between ankylosing spondylitis and vertebral fractures, the following statements is true?

Answer: Ankylosing spondylitis patients with cervical spine fractures most common

Choices:
A. Ankylosing spondylitis spine stiffer, it is less prone to fracture than the average person
B. Ratio of ankylosing spondylitis patients with vertebral fractures if, making a spinal cord injury was lower than the average person
C. Ankylosing spondylitis patients with vertebral fractures, the most common causes for the accident
D. Ankylosing spondylitis patients with cervical spine fractures most common


Question: Which is not ARDS (Acute respiratory distress syndrome) the characteristics?

Answer: PAWP（Pulmonary artery wedge pressure）＞18 mmHg

Choices:
A. Chest X-ray display both pulmonary infiltration
B. PaO2/FiO2＜200
C. PAWP（Pulmonary artery wedge pressure）＞18 mmHg
D. Acute attack (Acute onset)


Question: Based on the special nature of illness and injury as well as their own specific health care needs of the population, making the health care market there are different from the general market. The following items are not characteristic of what health care market?

Answer: Consumer healthcare providers to provide diagnosis and treatment project of the type, quantity, price initiative

Choices:
A. Demand and uncertainty about the outcome
B. Information asymmetry
C. Consumer healthcare providers to provide diagnosis and treatment project of the type, quantity, price initiative
D. Medical providers will not necessarily pursue profit maximization, and may require the patient to the most important considerations


Question: A 40-year-old male patient, drink a day for two to three bottles of sorghum for about 20 years. The last five years he often nausea and vomiting phenomenon, mainly in the admission after intense vomiting vomiting blood phenomenon. He was sent to the emergency body temperature 36.8 ℃, blood pressure 80/40 mmHg, pulse 110 / min, respiration 22 / min. Physical examination did not hear the heart murmur, breath sounds are also normal on both sides of his abdomen did not swell also no tenderness. His electrocardiogram and chest X-ray were normal, and no occult blood stool examination. The next step following that examination?

Answer: Esophagogastroduodenoscopy examination

Choices:
A. Abdominal computed tomography
B. Abdominal angiography
C. Esophagogastroduodenoscopy examination
D. Abdominal sonography


Question: Local complications of acute pancreatitis, the most unusual Which of the following?

Answer: renal artery thrombosis

Choices:
A. pancreatic phlegmon
B. pancreatic abscess
C. pancreatic pseudocyst
D. renal artery thrombosis


Question: In considering the congenital metabolic diseases, these kind of diseases easier anion gap (anion gap) increases, pH, acidic and elevated blood ammonia?

Answer: methylmalonic acidemia

Choices:
A. phenylketonuria
B. methylmalonic acidemia
C. marple syrup urine disease
D. ornithine decarboxylase deficiency 71 following the relevant central cord syndrome (central cord syndrome) narrative, whichever is most incorrect?


Question: Fontanelle (fontanelle) is too large of related diseases, which of the following error?

Answer: Hyperthyroidism

Choices:
A. Hyperthyroidism
B. Skeletal abnormalities
C. Chromosomal abnormalities
D. Hydrocephalus


Question: A patient has lupus nephritis (lupus nephritis), proteinuria 2.0 gm / day, lack of renal function (creatinine 2.0 mg / dL), which of the following drugs, most do not apply to this patient?

Answer: cyclosporine

Choices:
A. cyclosporine
B. leflunomide
C. rituximab
D. mycofenolate mofetil


Question: A child will run correctly identified the body of each part, in accordance with the normal course of development, which is closest to the child's age Why?

Answer: 2 years old

Choices:
A. 2 years old
B. 1 year old
C. 1 year, 6 months
D. 9 months


Question: The following glomerular diseases, whichever is easy to produce crescent-shaped (crescent) glomerular cell proliferation?

Answer: Anti-basement membrane disease (anti-basement membrane disease)

Choices:
A. Thin basement membrane disease (thin basement membrane disease)
B. Anti-basement membrane disease (anti-basement membrane disease)
C. Diffuse membranous glomerulonephritis (diffuse membranous glomerulonephritis)
D. Diabetic glomerular disease (diabetic glomerular disease)


Question: A pregnant woman at the time of pregnancy often have positive urine, fasting blood glucose value is 250 mg / dL pre-production, after her newborn birth weight 4400 grams, one of the following complications that may occur after the baby was born?

Answer: High hematocrit (polycythemia)

Choices:
A. High blood calcium (hypercalcemia)
B. High blood magnesium (hypermagnesemia)
C. High hematocrit (polycythemia)
D. High blood sugar (hyperglycemia)


Question: The following describes the first stage of production-related, what's wrong?

Answer: When the cervix dilates to 2 cm into the pot life is necessarily

Choices:
A. The first stage of expansion of the case can be divided into two periods cervix: latency (latent phase) and the activation period (active phase)
B. The incubation period begins to feel pregnant uterus to contract and rules along with the cervix gradually expanded to between 3-5 cm
C. When the cervix dilates to 2 cm into the pot life is necessarily
D. A so-called delayed latency (prolonged latent phase) refers to women in the early latency exceeds over 20 hours or 14 hours in a multi-maternal


Question: The following information about the external eye muscle (extraocular muscles) of the narrative, what's wrong?

Answer: On the eye to see the inferior rectus straight down; upper, respectively lower oblique responsible see uphill, obliquely lower

Choices:
A. Four rectus (rectus muscles) the starting point (Origins) are in the top sockets (Apex) of Zinn's ring (Annulus)
B. Both before (Equator) the equatorial portion of the eyeball four rectus termination point (insertions)
C. After two oblique (oblique muscles) are the end point of the eye equator
D. On the eye to see the inferior rectus straight down; upper, respectively lower oblique responsible see uphill, obliquely lower


Question: The practice of non-staple food of about adding Which of the following does not apply to most cut?

Answer: Honey water can give infants under 1 year of hydration and heat

Choices:
A. Honey water can give infants under 1 year of hydration and heat
B. Baby Food may be added during 4-6 months
C. A time to add only one principle of non-staple food
D. Rice flour or wheat flour may be water or infant formula milk into a paste with a teaspoon feeding


Question: 33-year-old woman successfully produce a baby, but the baby was born that is severe cyanosis, giving pure oxygen will not be able to improve the symptoms of cyanosis. Imaging showed no ventricular septum defect, aorta and pulmonary trunk right hand front, right ventricular hypertrophy was shaped. The following congenital heart disease, whichever is most consistent with the clinical and pathological features of patients?

Answer: Transposition of great arteries

Choices:
A. Tetralogy of Fallot
B. Transposition of great arteries
C. Tricuspid atresia
D. truncus arteriosus


Question: Soil polluted by heavy metals, and is not suitable for the remediation technology?

Answer: Vapor Extraction

Choices:
A. Vapor Extraction
B. Redox
C. Soil washing method
D. Biological treatment


Question: The following histological type, whichever is more than the other three difference?

Answer: Mediastinal tumors of the yolk sac (yolk sac tumor)

Choices:
A. Mediastinal tumors of the yolk sac (yolk sac tumor)
B. Testicular sperm cell tumor (seminoma)
C. dysgerminoma ovary
D. germinoma pineal gland area


Question: Dominate the submandibular gland (submandibular gland) without passing through the parasympathetic fibers:

Answer: 莖 乳突 孔 (stylomastoid foramen)

Choices:
A. 莖 乳突 孔 (stylomastoid foramen)
B. Auditory canal (internal acoustic meatus)
C. Middle ear (middle ear cavity)
D. Lingual nerve (lingual nerve)


Question: The following description of the clinical symptoms of cerebral vascular disease related to, what is true?

Answer: Plus peripheral facial palsy of the contralateral limb weakness, suspected to be part of the brain stem stroke

Choices:
A. Aphasia can occur in patients with brain stem stroke of
B. Unilateral limb weakness can occur in patients with small stroke of
C. Plus peripheral facial palsy of the contralateral limb weakness, suspected to be part of the brain stem stroke
D. The anterior cerebral artery stroke often leads to coma and eyeballs quiver


Question: 3. ⼀ bit 35 year old man with chronic diarrhea for medical treatment, the symptoms after eating Using flour products will intensify, eat would be more relieved. ⾎ examination was displayed ⾎ red pigment 11.5 gm / dL, and the white ball ⾎ ⾎ ⼩ plate normal, check ⽽ ⽣ chemical ⾎ displayed slightly lower calcium (2.15 mmol / L, normally 2.2 ~ 2.5 mmol / L), clear ⾎ creatinine (creatinine, 0.6 mg / dL), sodium (139 mEq / L), and potassium (3.8 mEq / L) is in the normal range, the ⾎ IgA tissue transglutaminase antibody positive. Face the disease most likely diagnosis Why?

Answer: celiac disease

Choices:
A. irritable bowel syndrome
B. celiac disease
C. eosinophilic gastroenteritis
D. Crohn's disease


Question: 40 weeks of pregnancy, fetal development of the femur, with ultrasonic measurements, what is within the normal range of values?

Answer: 70 mm

Choices:
A. 3.5 mm
B. 7.0 mm
C. 35 mm
D. 70 mm


Question: Humeral epicondylitis (humeral lateral epicondylitis) with that of a muscle following the most irrelevant excessive?

Answer: Elbow 橈肌 (brachioradialis)

Choices:
A. Elbow 橈肌 (brachioradialis)
B. Radial wrist extensor muscles (extensor carpi radialis)
C. Ulnar extensor carpi muscle (extensor carpi ulnaris)
D. Extensor digitorum muscle (extensor digitorum)


Question: What can make the adjacent bone cells (osteocytes) material exchange of construction is?

Answer: Joining gap (gap junction)

Choices:
A. Close contact (tight junction)
B. Sticky connected together (adhering junction)
C. Bridge cell bodies (desmosome)
D. Joining gap (gap junction)


Question: Which of the following is not a characteristic of prion protein (scrapie-like prion protein, PrPSC) pathogenicity?

Answer: Caused a strong immune response

Choices:
A. Pathogenic incubation period is very long
B. Hollowing out caused by nerve tissue
C. May be present in the extracellular
D. Caused a strong immune response


Question: 7. In the top of the heart, the aorta group includes arterial (ascending aorta) and pulmonary artery (pulmonary trunk), the group includes the pulmonary vein intravenous (pulmonary vein) and the superior vena cava (superior vena cava) are two separate:

Answer: Pericardium transverse sinus (transverse pericardial sinus)

Choices:
A. Pericardium transverse sinus (transverse pericardial sinus)
B. Pericardium oblique sinus (oblique pericardial sinus)
C. Coronary sinus (coronary sinus)
D. Pericardial cavity surface sternum (sternal surface of pericardial cavity)


Question: Which of the following is not possible for Sick Children with chronic renal failure to determine the initial clinic before diagnosis, the common complaints of symptoms?

Answer: Vitamin K deficiency related bleeding tendency (bleeding tendency)

Choices:
A. Short, not grow (short stature)
B. Anemia (anemia), pale (pallor)
C. Vitamin K deficiency related bleeding tendency (bleeding tendency)
D. Proteinuria, hematuria or edema


Question: About the narrative of gastroesophageal reflux, which of the following error?

Answer: There will never be a normal phenomenon of reverse flow of gastric juice

Choices:
A. Most of the Control and Prevention of the lower esophageal sphincter function
B. Gastric emptying time extension can cause the disease
C. There will never be a normal phenomenon of reverse flow of gastric juice
D. Lower esophageal sphincter pressure and length of gastric juice can decide countercurrent


Question: Radical neck dissection should be Xi sacrifice that a muscle?

Answer: sterno-cleido-mastoid muscle

Choices:
A. mylohyoid muscle
B. omohyoid muscle
C. sterno-cleido-mastoid muscle
D. digastric muscle


Question: After Taiwan's retrocession by the national government, with international assistance, after preparation, attack and eliminate three stages, in 1965 and was declared a World Health Organization to eradicate what area of infectious diseases?

Answer: malaria

Choices:
A. Cholera
B. malaria
C. Dysentery
D. Polio


Question: Which of the following is not part of the vertical spinae (erector spinae) of?

Answer: Multifidus muscles (multifidus)

Choices:
A. Iliocostalis (iliocostalis)
B. Dorsi muscle (longissimus)
C. Multifidus muscles (multifidus)
D. Spine muscles (spinalis)


Question: Which of the following does not belong to arterial elasticity (elastic artery)?

Answer: Brachial artery (brachial artery)

Choices:
A. Aorta (aorta)
B. Brachiocephalic artery (brachiocephalic artery)
C. Pulmonary artery (pulmonary trunk)
D. Brachial artery (brachial artery)


Question: Ludwig's angina means where space (space) of the infection?

Answer: Mouth floor space

Choices:
A. Pharyngomaxillary space
B. Masseter space
C. Retropharyngeal space
D. Mouth floor space


Question: Following the kind of ultraviolet radiation on the human body harmful lowest?

Answer: UV-A

Choices:
A. UV-A
B. UV-B
C. UV-C
D. UV-D


Question: 38 A 42-year-old male athlete, eight months ago left leg toe edge appears irregular, varying shades of brown to black pigment patches, slowly expanding lesions (Figure), touch of easy bleeding lesions phenomenon. The most likely diagnosis of why?

Answer: Acral melanoma (acral lentiginous melanoma)

Choices:
A. Superficial spreading melanoma cell tumor (superficial spreading melanoma)
B. Acral melanoma (acral lentiginous melanoma)
C. Subcutaneous hematoma (hematoma)
D. Nevus malignant melanoma (lentigo maligna melanoma)


Question: Which of the following description of the error on Pneumocystis pneumonia?

Answer: Pathogen Pneumocystis jirovecii is a protozoan

Choices:
A. Pathogen Pneumocystis jirovecii is a protozoan
B. AIDS patients often occurs in this case a patient's blood CD4 + lymphocytes number of usually less than 200 cells / mm3
C. Using bronchoscope for bronchoalveolar lavage (BAL), the BAL fluid using Wright-Giemsa stain can be found to pathogen
D. Trimethoprim-Sulfamethoxazole (TMP-SMX) is the standard treatment


Question: 33 following those with congenital metabolic disease, the patient's body and urine likely to have a special taste to produce? ①isovaleric acidemia ②galactosemia ③maple syrup urine disease ④methylmalonic acidemia

Answer: ①③

Choices:
A. ①②
B. ①③
C. ①④
D. ③④


Question: Human factors engineering proposals that require standing table height of the worker, according to the work of other points: ① precision work (Precision work) ② Light work (Light work) ③ heavier work (Heavier work), relatively low ordering (from high to low) why?

Answer: ①①①

Choices:
A. ①①①
B. ①①①
C. ①①①
D. ①①①


Question: From the previous question, if the individual difference (wide pulse pressure) from the patient wide pulse pressure performance, the following should not be considered a patient suffering from what disease?

Answer: Aortic stenosis

Choices:
A. Severe anemia
B. Hyperthyroidism
C. Aortic stenosis
D. Pulmonary arteriovenous traffic


Question: Atopic dermatitis (atopic dermatitis) narrative, which of the following error?

Answer: Acute course, sudden

Choices:
A. Acute course, sudden
B. Itching
C. Dry skin
D. Infancy, predilection sites include the face


Question: From the previous question, the following statements, what's wrong?

Answer: States have the world to the United States the highest incidence

Choices:
A. States have the world to the United States the highest incidence
B. pathergy test positive
C. Small number of patients with central nervous system complications will
D. Asian and may be associated with HLA-B5 and HLA-B51


Question: Bearing on the question, Which of the following changes in their organizations least likely?

Answer: Alveolar wall thinning

Choices:
A. Alveolar hemorrhage
B. Macrophages appear
C. Alveolar wall thinning
D. Anti-basement membrane antibodies appear


Question: On the site of the occurrence of the diagnosis of human spinal radiculopathy (radiculopathy), the following electrical diagnostic method which most clinical diagnostic value?

Answer: EMG (electromyography) Check

Choices:
A. Nerve conduction (nerve conduction) Check
B. EMG (electromyography) Check
C. F-wave inspection
D. Hoffmann reflex


Question: About leukoplakia (vitiligo), the following statements is wrong?

Answer: A melanocytes (melanocyte) did not decrease, but the melanin (the melanin) reduced disease

Choices:
A. A melanocytes (melanocyte) did not decrease, but the melanin (the melanin) reduced disease
B. Sometimes coexist with other autoimmune diseases
C. Consider narrowband UVB therapy
D. Lesion boundary (border) clear


Question: Which of the following does not produce a pseudo-cerebral tumor disease (pseudotumor cerebri)?

Answer: Pernicious anemia

Choices:
A. Obesity and irregular menstruation
B. Cerebral venous sinus obstruction side (lateral venous sinus thrombosis)
C. Taking a lot of vitamin A
D. Pernicious anemia


Question: A 23-year-old man, the last half year a total of six times repeated attacks of pancreatitis, magnetic resonance imaging (MRI) examination showed the main pancreatic duct stricture, suspected of pancreatic cancer and underwent surgery, the sample below, then he accepted what surgical?

Answer: Pyloric retention Pancreatoduodenectomy (pylorus-preserving pancreaticoduodenectomy)

Choices:
A. Pancreaticojejunostomy (Puestow's operation)
B. Pancreatoduodenectomy (Whipple procedure)
C. Pyloric retention Pancreatoduodenectomy (pylorus-preserving pancreaticoduodenectomy)
D. Duodenal resection of pancreatic head (duodenum-preserving proximal pancreatectomy)


Question: 30-year-old man complained of the middle finger to the clinic deformed as shown, what is this distortion?

Answer: Boutonniere deformity

Choices:
A. Mallet finger
B. Boutonniere deformity
C. Swan neck deformity
D. Camptodactyly


Question: The following organs, at least by the mumps virus attacks, so no significant pathological changes are:

Answer: liver

Choices:
A. liver
B. Central Nervous System
C. Testicular
D. Pancreas


Question: Suffering from a severe tetralogy received 7-year-olds fully corrected it, while playing in the school teacher witnessed cataplexy, ambulance technicians arrived at the scene eight minutes, arrived at the scene did not perform CPR before checking the patient has no pulse, automatic electric shock in vitro heart rate is displayed on the device as follows, the following priorities related to first aid statements is true?

Answer: Although no signs of life, but do not hurry to electric shocks, five-cycle should be given an electric shock after CPR

Choices:
A. The rhythm is ventricular tachycardia (ventricular tachycardia) should be given electric shocks
B. Use in vitro shock adult children with automatic defibrillator shock patch, to give 50 joules of energy shocks
C. Although no signs of life, but do not hurry to electric shocks, five-cycle should be given an electric shock after CPR
D. Reanalyze the rhythm after shock wait for the machine, and then decided to give after recovery or stabilization measures continue CPR


Question: Account of childhood malignant liver tumors (malignant hepatic tumor), and Which of the following most inappropriate?

Answer: Because Shi fight hepatitis B vaccine, which have allowed domestic hepatoblastoma cancer (hepatoblastoma) significantly decreased the incidence of, but hepatocellular

Choices:
A. Hepatoblastoma cell cancer (hepatoblastoma) occurs mainly in children under 3 years old, and HCC (hepatocellular carcinoma) onset older
B. Beckwith-Wiedemann syndrome patient, and easier hepatoblastoma cancer (hepatoblastoma)
C. Because Shi fight hepatitis B vaccine, which have allowed domestic hepatoblastoma cancer (hepatoblastoma) significantly decreased the incidence of, but hepatocellular
D. HCC (hepatocellular carcinoma) easily transferred to the lungs, the prognosis


Question: Air Pollution Index (PSI) and the concentration that the following five kinds of different pollutants relevant?

Answer: SO2, CO, O3, NO2, PM10

Choices:
A. SO3, CO, O3, NO2, PM10
B. SO2, CO2, O2, NO2, PM10
C. SO2, CO, O2, NO3, PM1.0
D. SO2, CO, O3, NO2, PM10


Question: The following side effects arising from mental illness related to drugs and their possible pairing mechanism of action, what's wrong?

Answer: Tizhongzengjia: blocking the cholinergic receptors induced

Choices:
A. Amenorrhea - milk leakage (Amenorrhea-galactorrhea): dopamine receptor blockade induced
B. Tizhongzengjia: blocking the cholinergic receptors induced
C. Orthostatic hypotension (orthostatic hypotension): Blocking alpha - adrenergic receptor induced
D. Dry mouth and urinary retention: mushroom toxin receptor blockade caused


Question: 27 canopy near the cerebellum (cerebellar tentorium) of the desired blood cerebral cortex is mainly supplied by the artery what?

Answer: Posterior cerebral artery (posterior cerebral artery)

Choices:
A. Meningeal artery (middle meningeal artery)
B. Anterior cerebral artery (anterior cerebral artery)
C. Cerebellar artery (superior cerebellar artery)
D. Posterior cerebral artery (posterior cerebral artery)


Question: The following statements about alcohol problems, what's right?

Answer: Women drinking more than the recommended amount, increases the risk of breast cancer

Choices:
A. Alcoholic liver disease serum liver enzyme values typically ALT (GPT) than AST (GOT)
B. Alcoholics which Complete Blood Count (CBC) often appear pellets erythrocytes (microcytosis)
C. CAGE questionnaire screening for alcohol problems in the practical value is not high
D. Women drinking more than the recommended amount, increases the risk of breast cancer


Question: About the narrative of heparin, which of the following correct?

Answer: May be bound to antithrombin III, to achieve anticoagulant activity

Choices:
A. Having thrombolytic activity
B. Inhibit platelet agglutination
C. May be bound to antithrombin III, to achieve anticoagulant activity
D. Inhibit liver regeneration of vitamin K


Question: Which of the following is an important vehicle of cardiac excitation-contraction coupling of?

Answer: Calcium

Choices:
A. Calcium
B. Sodium
C. Potassium
D. Chloride


Question: Dr. Wang because you want to travel abroad, the patients account clinic If you want to medication, you can press the previous prescription, by nurses directly covered in Chapter king's physician, let them go medication, Dr. Wang practice right?

Answer: No, the breach of the obligation to personally clinic

Choices:
A. No, the breach of the obligation to personally clinic
B. In order to facilitate the patient does not matter
C. As long as you can release prescription
D. Dr. Wang if you can telephone inquiry


Question: Bearing on the question, why is the stapled tissue?

Answer: rectal mucosa

Choices:
A. vaginal mucosa
B. vaginal submucosa
C. anal sphincter
D. rectal mucosa


Question: 47-year-old woman, complained of the past five months, the right of tinnitus, hearing loss, according to the attached diagram MRI (T1WI with Gd-DTPA), the diagnosis is:

Answer: Acoustic neurinoma

Choices:
A. CP angle tentorial meningioma
B. CP angle aneurysm
C. Acoustic neurinoma
D. Pontine glioma


Question: The following narrative about cerebral palsy, what's wrong?

Answer: For neuropathy

Choices:
A. Is a motor dysfunction
B. For neuropathy
C. Occurs in the brain is not mature period
D. May be associated with mental retardation, epilepsy and other issues


Question: Why Hyper-IgM syndrome immune missing?

Answer: Due to lack of T cell help B cell that lacks the antibody isotype switching

Choices:
A. Producing a primary immune response due to IgM that has excessive autoimmune reaction
B. IgM because of excessive activation of genetic
C. Due to lack of T cell help B cell that lacks the antibody isotype switching
D. Due to lack of NADPH oxidase


Question: Specific chronic childhood arthritis (juvenile idiopathic arthritis, JIA), is divided into seven subtypes and some subtypes Rongyifasheng chronic uveitis (chronic anterior uveitis), thus requiring ophthalmologist by slit-lamp examination to determine whether suffering from uveitis, achieve the purpose of early detection and early treatment, may I ask what the following subtypes of JIA likely to develop chronic uveitis?

Answer: Oligoarthritis-ANA-positive

Choices:
A. Polyarthritis-RF-negative
B. Polyarthritis-RF-positive
C. Systemic arthritis
D. Oligoarthritis-ANA-positive


Question: General pharmacology, following what kind of eye medication, not having the effect of lowering intraocular pressure?

Answer: atropine

Choices:
A. atropine
B. betaxolol
C. carteolol
D. dorzolamide


Question: If a species X may be filtered out, the product of its concentration in plasma glomerular filtration rate (glomerular filtration rate) is greater than the product of urine concentration of the urine volume per minute, which of the following is the role of this substance in the tubular ?

Answer: Reabsorption secretion greater than

Choices:
A. Reabsorption secretion greater than
B. Almost without reabsorption
C. Reabsorption equal secretion
D. Secretion greater than reabsorption


Question: A 88-year-old, poor health, living in a nursing home for single women, complained of voiding and the solution will be a function is not smooth, it was found that uterine prolapse full body checkups, the best treatment is recommended:

Answer: Use pessary or vaginal torr (pessary)

Choices:
A. Transabdominal uterine suspension surgery
B. Transvaginal uterine suspension surgery
C. Use pessary or vaginal torr (pessary)
D. Recommended that its package diapers and wearing ill-fitting underwear


Question: Which of the following nephritis, renal pathological changes its hardest and allergic purpura nephritis (anaphylactoid purpura nephritis) distinction?

Answer: Nephropathy, immunoglobulin A (IgA nephropathy)

Choices:
A. Nephropathy, immunoglobulin A (IgA nephropathy)
B. Lupus nephritis (lupus nephritis)
C. Acute post-streptococcal glomerulonephritis (acute poststreptococcal glomerulonephritis)
D. Membranous proliferative glomerulonephritis (membranoproliferative glomerulonephritis)


Question: Control interference factors in the study design phase, the following methods can be taken?

Answer: pair

Choices:
A. Meter loop regression analysis
B. pair
C. Stratified analysis
D. Random sampling


Question: On the fourth of lung cancer treatment, which of the following error?

Answer: Immune checkpoint (the checkpoint) inhibitor in the treatment of non-small cell lung cancer is the fourth unhelpful

Choices:
A. Phase IV NSCLC epidermal growth factor receptor (epidermal growth factor receptor) mutation treatment is erlotinib, afatinib targeted therapy, etc.
B. Phase IV NSCLC has reset the ALK gene (rearrangement) treatment is the treatment target, for example: crizotinib
C. Immune checkpoint (the checkpoint) inhibitor in the treatment of non-small cell lung cancer is the fourth unhelpful
D. Treatment of small cell lung cancer Phase IV is mainly chemical treatment


Question: Osteoporosis fracture easily lead to long-term, long-term cause of the patient bed. Appropriate treatment outside of diet, exercise, eating enough calcium, the Which of the following is not the most appropriate treatment for male patients?

Answer: Testosterone

Choices:
A. Parathyroid hormone
B. Bisphosphonates
C. Calcitonin
D. Testosterone


Question: A 37-year-old woman, AIDS and cancer patients, with the exception of anti-AIDS drugs, still use sulfonamides, cimetidine, estrogen and tetracycline, due to acute abdominal pain was diagnosed with acute pancreatitis, which of the following drugs can not be the most acute pancreatitis dirty inflammation of the reasons?

Answer: cimetidine

Choices:
A. sulfonamides
B. cimetidine
C. estrogen
D. tetracycline


Question: A 38-year-old woman last week to fever, chills and right upper quadrant colic. Examination revealed she had jaundice phenomenon and high blood bound bilirubin concentration. Abdominal ultrasound examination revealed the phenomenon of gallstones and bile duct expansion. Further three can also be seen from about 1 to 2 cm lesions in the liver capsule. Which of the following is most likely to cause these changes?

Answer: Escherichia coli

Choices:
A. Clonorchis sinensis
B. Entamoeba histolytica
C. Escherichia coli
D. Salmonella typhi


Question: From the previous question, a similar situation may occur in the following kind of surgery?

Answer: Cholecystectomy (Cholecystectomy)

Choices:
A. Hip arthroplasty (Hip arthroplasty)
B. Tympanic membrane plastic surgery (Tympanoplasty)
C. Cholecystectomy (Cholecystectomy)
D. Nose shaping surgery (Rhinoplasty)


Question: Ranolazine is a novel antianginal drugs, their mechanism of action Why?

Answer: 抑制late component of the Na+ current

Choices:
A. 抑制late component of the Na+ current
B. 活化rapid component of the delayed rectifier K+ current
C. nitric oxide donor
D. alpha-1 adrenergic receptor blocker


Question: Childhood sporadic goiter (sporadic goiter) The most common reasons are:

Answer: Lymphocytic thyroiditis (lymphocytic thyroiditis)

Choices:
A. Simple goiter (simple goiter)
B. Thyroid hormone synthesis disorders
C. Thyroid cancer (thyroid cancer)
D. Lymphocytic thyroiditis (lymphocytic thyroiditis)


Question: 70-year-old man by endoscopy and tissue sections were found to have stomach cancer, may I ask which of the following occurs with the patient of gastric cancer than those without relevant?

Answer: Betel nuts

Choices:
A. Atrophic gastritis
B. Part of the stomach surgery
C. High-salt foods high pickled
D. Betel nuts


Question: 31 Mr. Wang returned to Taiwan from Southeast Asia trip the next day due to a sudden start of a large number of diarrhea were taken to hospital for treatment, cultivate Vibrio cholerae (Vibrio cholerae) from his excrement. This Gram-negative bacteria will be output cholera toxin (cholera toxin) protein, resulting in persistent activation of adenylyl cyclase in intestinal epithelial cells, and some of the moisture and ions are secreted into the intestinal lumen resulting in watery diarrhea painless. The following machine turn on cholera toxin causative of the statements is true?

Answer: Catalytic Gs proteins cholera toxin (stimulatory G protein) α subunit (aS) of the ADP-ribosylation

Choices:
A. Catalytic Gs proteins cholera toxin (stimulatory G protein) α subunit (aS) of the ADP-ribosylation
B. GTPase activity of causing cholera toxin subunit of Gs protein αs sustained activation
C. so that Gs protein αs cholera toxin subunit indistinguishable from the βγ subunit
D. Gs protein αs caused by cholera toxin subunit unsustainable in the cell membrane


Question: A 75-year-old man, accompanied by their families into the emergency room for medical treatment. Complained of abdominal pain began to burst and sweating (diaphoresis) 30 minutes ago, no vomiting and diarrhea. Patients with end stage renal disease, hemodialysis rules. 2 years ago, myocardial infarction, cardiac catheterization and stenting done. No history of abdominal surgery. Physical examination found that body temperature is 36.8 ℃, bowel sounds slower, no abdominal tenderness, anal examination was normal. ECG is atrial fibrillation, heart rate of about 80 ~ 120 / min, no ischemic change. Abdominal ultrasound and X-ray (KUB) are no obvious abnormality was found. Later, because of intolerable pain patients after repeated administration of analgesics, pain does not improve. In accordance with the above history and clinical manifestations, what do you think the disease is most likely?

Answer: Mesenteric ischemia (mesenteric ischemia)

Choices:
A. Mesenteric ischemia (mesenteric ischemia)
B. Ileus (intestinal obstruction)
C. Acute cholecystitis (acute cholecystitis)
D. Acute gastroenteritis (acute gastroenteritis)


Question: 2 a 31-year-old man sustained two days of abdominal pain and seek treatment, he has a history of high blood pressure, diabetes and high cholesterol, six months ago, happened once acute pancreatitis, BUN 18 mg found in the examination of the results of the emergency room / dL , creatinine 1.1 mg / dL, glucose 323 mg / dL, CRP (c-reactive protein) 0.47 mg / L, amylase 84 U / L, lipase 390 U / L, the most likely diagnosis why?

Answer: Acute pancreatitis (acute pancreatitis)

Choices:
A. Acute pancreatitis (acute pancreatitis)
B. Ketoacidosis (ketoacidosis)
C. Acute myocardial infarction (acute myocardial infarction)
D. Duodenal ulcer (duodenal ulcer)


Question: The four risk assessment, including: definition of harm, dose effect, the nature of the risk characterization and following that one?

Answer: Exposure assessment

Choices:
A. Economic Assessment
B. Technology Assessment
C. Exposure assessment
D. Communication assessment


Question: 6 across a cell membrane by the composition of a small pipe connexins allow only substance by 2 nm size, this engagement is called:

Answer: Joining gap (gap junction)

Choices:
A. Close contact (tight junction)
B. Joining gap (gap junction)
C. Sticky connected together (adhering junction)
D. A half-bridge cell bodies (hemidesmosome)


Question: Huxixitong narrative about the fifth cervical spinal cord injury patients, whichever is the most correct?

Answer: Rongyifasheng pulmonary atelectasis (atelectasis)

Choices:
A. Increase lung capacity
B. Lung residual volume (residual volume) decreased
C. The ability to breath better than inspiratory capacity
D. Rongyifasheng pulmonary atelectasis (atelectasis)


Question: A 30-year-old otherwise healthy male, 10 minutes ago very sober, poisoning less than 10 minutes into a deep coma, following what kind of poisoning, least likely to cause the patient in a coma in a short time?

Answer: Methanol (methanol)

Choices:
A. Cyanide (cyanide)
B. Hydrogen sulfide (hydrogen sulfide)
C. Organic phosphorus (organophosphate)
D. Methanol (methanol)


Question: A 60-year-old woman complained of a headache the past month, this is the MRI images after injection of the developer (Gd-DTPA), lesions of the arrow, the diagnosis is:

Answer: Meningioma (meningioma)

Choices:
A. Meningioma (meningioma)
B. Vasodilation of the superior sagittal sinus (aneurysmal dilatation of superior sagittal sinus)
C. Astrocytoma (astrocytoma)
D. Few dendritic glioblastoma (oligodendroglioma)


Question: A patient's tissue sample incubated at 25 ° C, the spores were observed having a joint barrel of about 3 ~ 6 μm of size (barrel-shaped arthroconidia). The following are most likely to suffer from that disease?

Answer: Ball fungal disease (Coccidioidomycosis)

Choices:
A. Memu germs disease (Blastomycosis)
B. Ball fungal disease (Coccidioidomycosis)
C. Histoplasma capsulatum disease (Histoplasmosis capsulati)
D. Vice ball fungal disease (Paracoccidioidomycosis)


Question: Shaken baby syndrome causes about (Shaken baby syndrome), the Which of the following more correct?

Answer: Usually caused by shaking caused by malicious caregivers

Choices:
A. Usually caused by sitting in a rocking chair baby cause
B. Caregivers usually caused by shaking hold back to sleep cause
C. Usually caused by shaking caused by malicious caregivers
D. Usually caused by caregivers play with the baby cause


Question: About Light manic episode (hypomanic episode) is described in the diagnostic criteria of DSM-IV-TR (criteria), the Which statement is correct?

Answer: Talkative than usual or not said restraint incessantly

Choices:
A. Increased sleep
B. focus
C. Talkative than usual or not said restraint incessantly
D. Reduced activity, social withdrawal


Question: 40-year-old man, known to be hepatitis B asymptomatic carrier for nearly 20 years, most recently due to the general malaise medical treatment. Last year he was convicted of upper gastrointestinal bleeding hospitalized. Physical examination revealed a small liver, laboratory tests found lower serum albumin and clotting time value longer. Which of the following physical findings are least likely to occur?

Answer: Lobes hemorrhages (splinter hemorrhage)

Choices:
A. Snake female head (caput medusae)
B. Man woman breast disease (gynecomastia)
C. Spider angioma (spider angioma)
D. Lobes hemorrhages (splinter hemorrhage)


Question: Account of the iris (iris), and what this bad?

Answer: Belonging to the eye of the iris fiber layer (tunica fibrosa)

Choices:
A. Belonging to the eye of the iris fiber layer (tunica fibrosa)
B. Prior to the posterior chamber of the eye and the room (anterior & posterior chamber) is the limit of the iris
C. Iris opening (i.e., the pupil pupil) controlled by smooth muscle
D. Iris stroma contains blood vessels and nerve fibers


Question: 77. a 4 year-old girl is 60 kilometers per hour impinging locomotive, fell from 5 meters away, to the emergency complained of abdominal pain, blood pressure 68/40 mmHg, heart rate per minute

Answer: 400 ml of physiological saline was repeated three times, with 200 ml of whole blood

Choices:
A. Physiological saline 800 ml adding 400 ml of whole blood
B. Physiological saline 800 ml adding 200 ml of whole blood
C. 200 ml of physiological saline was repeated three times, with 100 ml of whole blood
D. 400 ml of physiological saline was repeated three times, with 200 ml of whole blood


Question: A 30-year-old woman to the emergency room for medical treatment, complained of sudden chest pain, long-term breathing difficulties, chest computed tomographic images such as drawings, the following statements is wrong?

Answer: The incidence of men and women fairly

Choices:
A. Imaging findings with tuberous sclerosis lesions in the lungs similar high
B. This patient spontaneous pneumothorax may occur
C. The incidence of men and women fairly
D. In addition to the lungs, may also occur at the site of abnormal kidneys, nervous system, etc.


Question: 5-day-old baby boy was found to have respiratory distress, cyanosis, and cardiac murmur. 74 breaths per minute concave phenomenon combined powerful chest, the right liver at 5 cm palpable ribs, his right blood pressure 66/40 mmHg, and the left lower limb blood pressure was about 44/20 mmHg. Concomitant hypocalcemia. Which of the following is an inappropriate treatment?

Answer: Intravenous injection of indomethacin

Choices:
A. Endotracheal intubation (intubation) maintain respiration and give oxygen
B. Intravenous injection of dopamine, dobutamine
C. Intravenous injection of indomethacin
D. Blood tests merger of chromosome 22 q11 deficit disorder


Answer: Congenital bonding radius and ulna (congenital radioulnar synostosis)

Choices:
A. Congenital radial head dislocation (congenital radial head dislocation)
B. Labor plexus injury (brachial plexus birth injury)
C. Congenital bonding radius and ulna (congenital radioulnar synostosis)
D. Mengtejiya's fracture (Monteggia's fracture)