Question: Chronic obstructive pulmonary disease cause acute worsening (acute exacerbation), cough with yellow sputum, breathing 18 times per minute; the treatment of the following statements, whichever is absolutely non-essential?

Answer: Artificial respirator

Choices:
A. Antibiotic-containing
B. Steroid
C. Bronchodilators
D. Artificial respirator


Question: Congenital thyroid disease in children following low-energy rare that a feature?

Answer: diarrhea

Choices:
A. Protracted jaundice (prolonged jaundice)
B. After fontanelle (posterior fontanel) wider than 0.5 cm
C. diarrhea
D. Umbilical hernia (umbilical hernia)


Question: The genetic code (genetic codon) of degeneracy means:

Answer: More genetic codons may represent the same amino acid (amino acid)

Choices:
A. Genetic code is composed of two core  acid (Nucleotides)
B. Genetic code is repeated using the acid formed by the core 
C. More genetic codons may represent the same amino acid (amino acid)
D. The same genetic code, representing different kinds of amino acids in different organisms


Question: Bone tissue myositis ossificans (myositis ossificans) lesions most likely to change what?

Answer: Metaplasia (metaplasia)

Choices:
A. 異生（dysplasia）
B. Hyperplasia (hyperplasia)
C. Shrink (atrophy)
D. Metaplasia (metaplasia)


Question: 43 disease (foodborne diseases) have occurred because of food poisoning (food poisoning) and infections that occur due to food (foodborne infections). In the case of food poisoning in the country, most often occurs because:

Answer: Staphylococcus aureus (Staphylococci) caused

Choices:
A. Staphylococcus aureus (Staphylococci) caused
B. Puffer caused
C. Pollution caused by heavy metals
D. Cryptosporidium caused


Question: A 60-year-old woman five years of degenerative arthritis of the knee, X-ray showed a medial joint cavity (medial compartment) when bilateral stenosis accompanied by pain in the knee load. Which of the following aids (orthosis) to her most helpful?

Answer: An outer wedge-shaped projection installation insole (lateral wedge)

Choices:
A. An outer wedge-shaped projection installation insole (lateral wedge)
B. Arch support (arch support)
C. The heel cup (heel cup)
D. Elastic bandage (elastic bandage)


Question: Described method of about prenatal health assessment, which of the following error?

Answer: Non-pressure test (nonstress test) is generally done 2 weeks 1

Choices:
A. Systolic pressure test (contraction stress test) showed positive is not normal
B. Non-pressure test (nonstress test) is generally done 2 weeks 1
C. Normal non-test pressure is defined as within 20 minutes of the test, more than 2 times increase in heart rate, average heart more than each and every 15 to 15 seconds or more continuously
D. If not do pressure testing more than 90 minutes, still showing a non-reactive representatives may have perinatal lesions


Question: Bearing on the question, which of the following is less likely the diagnosis?

Answer: Endometriosis (endometriosis)

Choices:
A. Endometrial hyperplasia (endometrial hyperplasia)
B. Endometriosis (endometriosis)
C. Endometrial cancer (endometrial cancer)
D. Submucous myoma (submucous myoma) or polyps (polyp)


Question: 54 year old man came to the emergency department with chest pain discomfort, drawings, made by its ECG, Which of the following is the most appropriate disposal?

Answer: Track line right chest ECG

Choices:
A. Unless wait until heart enzymes increased, or not enough to make a diagnosis
B. Track line right chest ECG
C. ECG showed normal, the patient can go home
D. ECG showed ambiguous, it should be two hours before making an electrocardiograph examination


Question: Which of the following passage in between brachial biceps muscle (brachialis) (biceps brachii)?

Answer: Musculocutaneous nerve (Musculocutaneous nerve)

Choices:
A. Radial nerve (Radial nerve)
B. Musculocutaneous nerve (Musculocutaneous nerve)
C. Ulnar nerve (Ulnar nerve)
D. The median nerve (Median nerve) 10 Which of the following closely the prostate bottom (base)?


Question: Vanillylmandelic acid in the urine, which can be used to diagnose disease?

Answer: Neuroblastoma

Choices:
A. Wilms' tumor
B. Hepatoblastoma
C. Seminoma
D. Neuroblastoma


Question: Isolated lung (pulmonary sequestration) occur more frequently in where?

Answer: Left lung

Choices:
A. Left lung
B. Left lung
C. Right upper lung
D. Right lower lung


Question: Which of the following for the two categorical variables (binomial variable)?

Answer: gender

Choices:
A. Blood lead concentration
B. The number of weekly exercise
C. body weight
D. gender


Question: 60 year old man, in recent years ⼗ back, the limbs ⻑ a rash itching (FIG. A), the out skin sections do congo red staining (FIG. B), observed under a polarizing microscope (polarizing microscope) (FIG. C). The most likely diagnosis is:

Answer: Amyloid lichen (lichen amyloidsis)

Choices:
A. Guttate psoriasis (guttate psoriasis)
B. Nodular prurigo (prurigo nodularis)
C. Lichen planus (lichen planus)
D. Amyloid lichen (lichen amyloidsis)


Question: A 67-year-old female patient complained of pain in the right shoulder, arm lift. The picture shows the shoulder T2 MRI images. Why is the most likely diagnosis?

Answer: Rotator cuff tear

Choices:
A. Shoulder dislocation
B. Rotator cuff tear
C. Calcific tendinitis
D. Humeral head fracture


Question: 22 A 70-year-old female patient with hypertension, the ECG showed atrial fibrillation (atrial fibrillation), sudden severe abdominal pain three hours is sent to the emergency, before the onset she was watching TV. Patients have nausea and vomiting, but there are a few hours before the onset of normal bowel movements. There are the usual medication hydrochlorothiazide, enalapril and digoxin. Treatment when blood pressure 88/64 mmHg, irregular heartbeat, about 120 times per minute, temperature 38.5 ℃, abdominal tenderness, decreased bowel sounds (hypoactive bowel sound). CT displayed near the spleen and bowel wall edema with air, other unremarkable. In emergency patients a small amount of bowel movements, there is blood in response. Serum amylase and lipase increased only slightly, following that direction most likely diagnosis?

Answer: 腸缺血（intestinal ischemia or mesenteric ischemia）

Choices:
A. Acute pancreatitis
B. Colorectal obstruction (colon cancer with obstruction)
C. 腸缺血（intestinal ischemia or mesenteric ischemia）
D. Duodenal ulcer perforation (perforated duodenal ulcer)


Question: Its well-differentiated thyroid cancer lymph node metastasis, according to statistics the area in which the most common and most rare of that area?

Answer: Sixth region (level VI) and the first region (level I)

Choices:
A. A first region (level I) and the second region (level II)
B. A third region (level III) and the fourth region (level IV)
C. Fifth District (level V) and sixth district (level VI)
D. Sixth region (level VI) and the first region (level I)


Question: Which of the following most common cause of prosthetic valve endocarditis (endocarditis of artificial valve)?

Answer: Staphylococcus aureus (Staphylococci)

Choices:
A. Streptococcus (Streptococci)
B. Staphylococcus aureus (Staphylococci)
C. Section intestinal bacillus bacteria (Enterobacteriaceae)
D. Brucella genus (Brucella spp.)


Question: 20 year old woman, a week before menstruation, sexual activity due to severe lower abdominal pain occurs suddenly, to the emergency room for treatment. Negative pregnancy test, there is extensive abdominal palpation tenderness, right ovary vaginal ultrasound found a 6 cm echo uneven mass and ascites have about 180 mL, blood pressure and pulse stable, solid laboratory examination heme 10.5 g / dL , CA-125 was 38 U / mL; whichever is more appropriate diagnosis of the following?

Answer: Corpus luteum cyst bleeding

Choices:
A. Ruptured ectopic pregnancy
B. Tubo-ovarian abscess
C. Corpus luteum cyst bleeding
D. Ovarian teratoma


Question: For a description of the alveoli (alveolus), and which of the following error?

Answer: Terminal bronchioles (terminal bronchioles) having alveoli

Choices:
A. Of the gas exchange region Huxixitong
B. Terminal bronchioles (terminal bronchioles) having alveoli
C. The first cell type is a continuous flat epithelial cells
D. The second type of cells may secrete hormone action surface (Surfactant)


Question: The reason can cause pancreatitis include the following several, whichever is the most common cause of acute pancreatitis is the reason?

Answer: Biliary calculi

Choices:
A. Biliary calculi
B. alcoholism
C. Hypercalcemia
D. After endoscopic retrograde biliary duct Photography


Question:
57. A 40-year-old male accident, causing severe back pain. X-ray thoracolumbar side (lateral view) found eleventh thoracic spine fractures, front and rear X-ray (AP view) which was found to stem from the bilateral vertebral (interpedicular distance) is widened. In accordance with X-ray findings, which of the following
 Is the most appropriate diagnostic eleventh thoracic spine?

Answer: Burst fractures (burst fracture)

Choices:
A. Burst fractures (burst fracture)
B. Compression fractures (compression fracture)
C. The retractor fracture bending (flexion-distraction fracture)
D. Fracture and dislocation (fracture dislocation)


Question: The following decline in the body's blood sugar response, whichever occurs first?

Answer: Reduced insulin secretion

Choices:
A. Reduced insulin secretion
B. Glucagon secretion
C. Hypoglycemia
D. Cognitive (cognition) force variation


Question: Narrative about penile lesions, Which statement is correct?

Answer: Penis ulcer (ulcer) at an appropriate long-term drug therapy not healed, biopsy should be considered

Choices:
A. Peyronie's disease occurs in young men, often in the dorsal penile palpable lump, painful erection, causing severe penile curvature
B. Penile fracture (penile fracture) is common in locomotive car accident
C. Persistent penile erection (priapism) caused by leukemia, do not have to deal spontaneously subside
D. Penis ulcer (ulcer) at an appropriate long-term drug therapy not healed, biopsy should be considered


Question: Face trauma narrative about the disposal of old age, which of the following error?

Answer: ⽣ predictable life signs of change

Choices:
A. Under the chances of elderly Face issued a ⾎ ⽣ dura (subdural hemorrhage) of the ⾎ (epidural hemorrhage) ADVANCED chance than on the dura
B. If necessary, should try to lose ⾎
C. When the probability chest contusion, hair ⽣ nosocomial infections than younger PORTRAIT ADVANCED
D. ⽣ predictable life signs of change


Question: 20 a 7 year-old boy initially diagnosed as acute renal failure. Blood measured blood urea nitrogen (BUN) value of 36 mg / dL, serum creatinine level mg / dL. Urine was negative in the urine protein, urine specific gravity of 1.002. Urine sodium excretion rate (fractional excretion of sodium; FENa) greater than 1%. Renal ultrasound examination without edema (hydronephrosis). Which of the following is the most likely diagnosis?

Answer: Acute tubular necrosis (acute tubular necrosis) merger renal failure

Choices:
A. Acute tubular necrosis (acute tubular necrosis) merger renal failure
B. Acute glomerulonephritis (acute glomerulonephritis) merger renal failure
C. Low blood volume (hypovolemia) combined renal failure
D. Neurogenic bladder (neurogenic bladder) were combined renal failure


Question: About organophosphate poisoning (organophosphate intoxication), the following statements is wrong?

Answer: pralidoxime (PAM) can improve muscle tremor circumstances, to use at least three months

Choices:
A. Parasympathetic hyperactivity often show symptoms such as restlessness, salivation and slow heartbeat
B. Prone to complications of aspiration pneumonia
C. atropine as an antidote
D. pralidoxime (PAM) can improve muscle tremor circumstances, to use at least three months


Question: Immune cells secrete tumor necrosis factor (TNF), resulting in apoptosis of target cells (apoptosis), which of the following is the correct action?

Answer: Causing mitochondrial cytochrome c release, trigger of DNA damage and cell protein

Choices:
A. No specific TNF receptors, but may bind TNF receptors Fas induced apoptosis
B. TNF activation of caspase 8, apoptosis induced decomposition of cytochrome c
C. Destroy enzymes involved in DNA synthesis
D. Causing mitochondrial cytochrome c release, trigger of DNA damage and cell protein


Question: For B-type, T-cell antigen receptor (antigen receptor), that following a description of the error?

Answer: After cell activation, antigen receptors will be secreted extracellularly

Choices:
A. Antigen receptor gene must be approved by the reorganization, the protein can be represented
B. Antigen receptors present on the cell membrane
C. Protein antigen receptor complex rely on other messages transmitted
D. After cell activation, antigen receptors will be secreted extracellularly


Question: A 30-year-old woman has been cherished three months pregnant, because come for treatment of low back pain. In arranging physical therapy, following a treatment program that must not be administered in its back?

Answer: HF (shortwave)

Choices:
A. Hot (hot packing)
B. IR (infrared)
C. Interference wave (interferential current)
D. HF (shortwave)


Question: Outbreak in Anhui Province, China and other places meningitis epidemic in early 2005, confirmed the C-strain caused. This classification is based on the following bacteria which antigen?

Answer: Capsular polysaccharides (capsular polysaccharides)

Choices:
A. LPS body (Lipopolysaccharides)
B. Capsular polysaccharides (capsular polysaccharides)
C. Lipoproteins (lipoproteins)
D. Wins peptidoglycan (peptidoglycans)


Question: 3-year-old boy walking swaying, unsteady gait, hip X-rayed in the drawings, the most likely diagnosis Why?

Answer: developmental dysplasia of the hip（DDH）

Choices:
A. Legg-Calve-Perthes disease
B. slipped femoral capital epiphysis
C. developmental dysplasia of the hip（DDH）
D. osteochondrosis


Question: Bearing the title, after 3 hours, into a patient's blood pressure 86/50 mmHg, aggravate chest pain symptoms. The ECG tracing as shown in FIG. The following statements is true?

Answer: Intravenous infusion of nitroglycerin should relieve the symptoms of patients with chest pain

Choices:
A. Intravenous infusion of nitroglycerin should relieve the symptoms of patients with chest pain
B. Should be done right precordial ECG is abnormal process
C. Must wait for the cardiac enzyme test results and then decide on further treatment
D. According to clinical manifestations of patients, their key block blood vessels most likely to be left anterior descending coronary artery


Question: Following a hormone that no significant heat production (calorigenic action)?

Answer: Reverse triiodothyronine (reverse T3, RT3)

Choices:
A. Triiodothyronine (T3)
B. Thyroxine (T4)
C. Progesterone (progesterone)
D. Reverse triiodothyronine (reverse T3, RT3)


Question: Which of the following with neurosyphilis (neurosyphilis) compared with nothing to do?

Answer: Marcus-Gunn Pupil

Choices:
A. tabes dorsalis
B. general paresis
C. Marcus-Gunn Pupil
D. lancinating or lightning pains


Question: Which of the following enzyme deficiency, will cause "Gray baby" when using Chloramphenicol newborn?

Answer: UDP-glucuronyl transferase

Choices:
A. UDP-glucuronyl transferase
B. Cytochrome p-450
C. Glutathione transferase
D. N-Acetyl transferase


Question: When using respirators patient, tidal volume of 400 ml, the maximum inspiratory airway pressure of 50 cmH2O, the intake end Heights (Plateau) pressure of 20 cmH2O, the end expiratory pressure is set to 10 cmH2O, the elastic Huxixitong static capacity ( static compliance) is how many ml / cmH2O?

Answer: 40

Choices:
A. 8
B. 10
C. 20
D. 40


Question: Which of the following prostaglandins derivatives are useful in the treatment of wide-angle glaucoma?

Answer: alprostadil

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


Question: 37 A 28-year-old pregnant woman, G2P1, receiving 50 g glucose tolerance test (50-g oral glucose tolerance test, 50-g OGTT) 25 weeks of pregnancy, prior to 24 weeks of gestation, was sentenced as an exception must undergo further an examination. The 50-g OGTT glucose values how much mg / dL or more judged as abnormal?

Answer: 140

Choices:
A. 110
B. 120
C. 125
D. 140


Question: Early the following relevant pediatric skull skull deformity caused by the closure (craniosynostosis) of the narrative and what is non?

Answer: Crouzon's disease herringbone slit (lambdoid suture) early closing

Choices:
A. Sagittal suture (sagittal suture) early closing of the disease is the most common type
B. Sagittal suture cause early closing boat shaped head (scaphocephaly)
C. Crouzon's disease herringbone slit (lambdoid suture) early closing
D. Frontal suture (Metopic suture) cause early closing triangular-shaped head (trigonocephaly)


Question: An adult patient unconscious, not breathing, no pulse, electrocardiogram as shown. Which of the following is most suitable for disposal?

Answer: CPR

Choices:
A. 120-200 joules biphasic shock
B. Single-phase 360 joules shock
C. Atropine 0.5 mg intravenous injection, the total dose does not exceed 0.04 mg / kg
D. CPR


Question: Following on gastric epithelial cells of the narrative, what's wrong?

Answer: Endocrine cells (endocrine cell), comprising G cells responsible for the secretion of gastrin (Gastrin) of D cells and secretion of histamine

Choices:
A. responsible for the secretion of gastric mucus mucous cell, the second type pepsinogen (pepsinogen II) and bicarbonates (bicarbonate)
B. a first chief cell responsible for the secretion, pepsinogen type II (pepsinogen I and II)
C. Intracellular mitochondria (Mitochondria) is the most abundant cells parietal cell, acid secretion is responsible for intrinsic factor (intrinsic factor)
D. Endocrine cells (endocrine cell), comprising G cells responsible for the secretion of gastrin (Gastrin) of D cells and secretion of histamine


Question: For burn patients, aids fixed upper limb wrist, palm, refers to the principle of the following statements is wrong?

Answer: Placed in the palm thumb abduction (palmar abduction) and bending gesture

Choices:
A. Wrist slightly extended (slight extension) gesture
B. Interphalangeal joint (interphalangeal joint) disposed extending posture
C. Metacarpophalangeal joints (metacarpophalangeal joint) disposed curved (Flexion) gesture
D. Placed in the palm thumb abduction (palmar abduction) and bending gesture


Question: Which of the following clinical manifestations of deep dermal burns?

Answer: Blisters and white healing after 21 days

Choices:
A. Pain, pink and healing 21 days
B. Pain, white and healing after 21 days
C. Blisters, pink and heal in 21 days
D. Blisters and white healing after 21 days


Question: Which of the following is the most common cause of limb defects in the fetus the uterus (intrauterine amputation) of?

Answer: Amniotic band syndrome (amniotic band syndrome)

Choices:
A. Amniotic band syndrome (amniotic band syndrome)
B. Wound cord (cord entanglement)
C. Maternal trauma history (maternal trauma)
D. Vascular occlusion (vascular occlusion)


Question: Bearing on the question, which of the following is the correct interpretation?

Answer: Fetal distress

Choices:
A. Fetal brain wave response
B. Fetal sleep response
C. Normal fetal
D. Fetal distress


Question: Brain tumor length (interhemispheric region) between the cerebral hemispheres of the frontal area - parietal region (frontal-parietal area), following which patients are most likely to have symptoms?

Answer: Muscle weakness in the lower extremities obvious symptoms

Choices:
A. Side face paresthesia
B. Knee tendon reflex (knee jerk reflex) diminished or disappeared
C. Upper and lower limbs disappear all the sensory function
D. Muscle weakness in the lower extremities obvious symptoms


Question: Vaccination is part of Gonggongweisheng the precautionary principle in that period?

Answer: The early part of prevention (Primary prevention)

Choices:
A. The early part of prevention (Primary prevention)
B. Paragraphs Prevention (Secondary prevention)
C. Three sections of Prevention (Tertiary prevention)
D. Sec Prevention (Quarterary prevention)


Question: Which of the following is not involved in the corneal reflex?

Answer: Oculomotor nucleus (oculomotor nucleus)

Choices:
A. Ipsilateral facial nerve motor nucleus (facial motor nucleus)
B. Contralateral facial nerve motor nucleus (facial motor nucleus)
C. Spinal trigeminal nucleus (spinal trigeminal nucleus)
D. Oculomotor nucleus (oculomotor nucleus)


Question: Which of the following drugs is through the aldosterone receptor antagonism and improving congestive heart failure?

Answer: Eplerenone

Choices:
A. Eplerenone
B. Captopril
C. Digoxin
D. Milrinone


Question: Patients were suspected of eating a food disaster at Japan's Fukushima nuclear radiation dust pollution. In addition to the treatment of iodine (iodine) -131 contamination of potassium iodide (potassium iodide), the treatment may also cesium (cesium) -137 contamination using Which of the following?

Answer: Prussian blue

Choices:
A. aluminum phosphate
B. bicarbonate
C. calcium diethylenetriaminopentaacetate
D. Prussian blue


Question: Deep plantar arch artery (deep plantar artery) Which of the following is mainly composed of branches?

Answer: Lateral plantar artery (lateral plantar artery)

Choices:
A. Arcuate arteries (arcuate artery)
B. Dorsalis pedis artery (dorsalis pedis artery)
C. Medial plantar artery (medial plantar artery)
D. Lateral plantar artery (lateral plantar artery)


Question: Which of the following sensory receptor activation can lead to the crossed-extension reflex?

Answer: nociceptors

Choices:
A. pacinian corpuscles
B. nociceptors
C. muscle spindle stretch receptors
D. osmoreceptors


Question: From the previous question, accept the chest computed tomography after Wang found a thrombus in the right pulmonary artery branch, the disposal of whichever wrong?

Answer: Warfarin alone in clinical efficacy can be achieved

Choices:
A. Low molecular weight heparin (low molecular weight heparin) undecomposed treatment than heparin (unfractionated heparin) with a lower bleeding complications
B. The beginning of the treatment can be combined heparin and Warfarin
C. Warfarin alone in clinical efficacy can be achieved
D. If the right ventricular failure or shock, consider the use of thrombolytic agents (Thrombolysis)


Question: Severe brain lesions caused by lead poisoning, immediately following which drug should be given the best treatment?

Answer: Edetate calcium disodium（EDTA）

Choices:
A. Deferoxamine
B. Edetate calcium disodium（EDTA）
C. Penicillamine
D. succimer


Question: A 48-year-old town man in a bus accident abdominal injuries, over 10 hours after being transferred to a major hospital emergency room, though conscious, but peritonitis and receiving emergency laparotomy, intraoperative findings have split the transverse colon, pancreas and stomach contusion, laceration of the left lobe of the liver, the liver laceration after repair, such as blood pressure and heart rate remains stable, how you should deal with the split of the colon most appropriate?

Answer: With this gap pulled out the large intestine made a colostomy

Choices:
A. Direct repair cracks
B. With this gap pulled out the large intestine made a colostomy
C. Direct repair cracks, then the proximal colon pulled out of the abdominal wall as a stoma
D. Resection of the injured segment of the large intestine and this gap, the large intestine and the large intestine anastomosis completed immediately


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

Answer: Smoking will slow down the metabolic rate theophylline, propranolol, oxazepam and other drugs, the use of such drugs should smokers reduction

Choices:
A. Smokers compared to nonsmokers, higher risk of pancreatic cancer and bladder cancer
B. Smoking will slow down the metabolic rate theophylline, propranolol, oxazepam and other drugs, the use of such drugs should smokers reduction
C. Secondhand smoke of children compared to nonsmokers, water ear (effusion) and prone to asthma
D. Smokers compared to non-smokers, use of oral contraceptives more Rongyifasheng adverse effects of ischemic stroke and myocardial infarction


Question: G0P0 female 49.30 years old, and married three years are not because of contraception, infertility and her husband want to consult. Since the beginning of the 11-year-old classics, all the rules of menstruation 28 days, each period lasts five days and no menstrual pain. Blood tests and fallopian tubes photography (hysterosalpingography) The results are normal, the measurement of the antral follicle count of 10. Husband's semen analysis (semen analysis) results: semen volume 3 ml, sperm concentration 11,000,000 / ml, total motility 38%, normal forms 6%. They recommended that prior to accepting a medical assisted reproduction (assisted reproductive technologies) the most reasonable?

Answer: Artificial insemination (intrauterine insemination)

Choices:
A. IVF (in vitro fertilization)
B. Egg Donation
C. Artificial insemination (intrauterine insemination)
D. clomiphene citrate


Question: A 46-year-old male diabetic patients with proteinuria (proteinuria), and blood pressure is between 150/90 mmHg to 160/94 mmHg. The drug of choice is that of the following?

Answer: angiotensin-converting enzyme inhibitor（ACEI）

Choices:
A. Sympathetic beta blockers (β-adrenergic receptor blocker)
B. Alpha blockers sympathetic (α-adrenergic receptor blocker)
C. Diuretics (diuretics)
D. angiotensin-converting enzyme inhibitor（ACEI）


Question: The following statements is related to urinary tract infections wrong?

Answer: Urine culture bacteria, urinary tract infection can be determined

Choices:
A. Is the most common pathogen Escherichia coli O serotype (O-serogroups E. coli)
B. The most common route of infection is pyelonephritis bacteria in the bladder through the ureter to the kidney
C. Urine analysis is a rapid screening method for urinary tract infections
D. Urine culture bacteria, urinary tract infection can be determined


Question: A 20-year-old woman, complained in recent weeks cheeks erythema after sun exposure can exacerbate symptoms, associated with mouth ulcers and swollen finger joints, laboratory tests found that anti-nuclear antibody antibody titers of 1: 1280 (+) , anti-ds DNA antibody titer of 1:20 (+), to diagnose the patient:

Answer: Systemic lupus erythematosus (systemic lupus erythematosus)

Choices:
A. Systemic lupus erythematosus (systemic lupus erythematosus)
B. Sclerosis (scleroderma)
C. Erythema multiforme (erythema multiforme)
D. Dermatomyositis (dermatomyositis)


Question: When a child's abdomen palpable mass (abdominal mass), which should make the following checks to the differential diagnosis?

Answer: Ultrasound (sonography)

Choices:
A. Computed tomography (CT)
B. Ultrasound (sonography)
C. Intravenous pyelography (IVP)
D. Angiography (angiography)


Question: Related to the female reproductive system, which of the following contains erectile tissue (erectile tissue)?

Answer: Labia majora (labia majora)

Choices:
A. Labia majora (labia majora)
B. Labia (labia minora)
C. Hymen (hymen)
D. Clit (clitoris)


Question: 45 year old woman, breast palpable mass, whichever is more appropriate disposal of the following?

Answer: First breast ultrasound examination arrangements

Choices:
A. If the normal physical examination, no other checks, arrange half a year tracking
B. Without other tests, surgery immediately arrange slices
C. First breast ultrasound examination arrangements
D. CA15-3 blood check


Question: Disposal of infectious waste our hospitals, clinics, biotech research institute currently produced mainly in what way?

Answer: incineration

Choices:
A. Sanitary landfill
B. Microwave disinfection
C. Autoclave
D. incineration


Question: Which of the following is located in the outer membrane of mitochondria (outer mitochondrial membrane)?

Answer: acyl CoA synthetase

Choices:
A. acyl CoA synthetase
B. cytochrome c
C. nucleotide kinase
D. glycerol 3-phosphate dehydrogenase


Question: Epidemiological studies have found that the ratio of first-generation Japanese American immigrants died of stomach cancer is less than the original inhabitants of Japan, but higher than the local Americans; the ratio of the second-generation Japanese American immigrants died of stomach cancer is less than a first-generation American immigrants Japanese, but still higher than the local Americans. This study by the inference results obtained, what is the most appropriate?

Answer: Environmental and genetic inheritance can affect the development of cancer

Choices:
A. The only cancer related to the environment
B. The only cancer related to genetic
C. Environmental and genetic inheritance can affect the development of cancer
D. Age is a factor in cancer effects


Question: Musculocutaneous nerve (musculocutaneous nerve) Which of the following to enter through the forearm?

Answer: 喙肱 skin (coracobrachialis)

Choices:
A. Triceps (triceps brachii)
B. Biceps (biceps brachii)
C. Brachial muscle (brachialis)
D. 喙肱 skin (coracobrachialis)


Question: 4218-year-old woman, complained of has been there since yesterday urinary frequency, urgency and suprapubic pain above phenomenon. She stated three times the genius of the first sexual experience, but her sexual partners use condoms contraception there. The following statements is true?

Answer: Catheterization of the urine test, if bacteria or white blood cells found to have greater than 30 / HPF, there is a strong suspicion of urinary tract infection

Choices:
A. Bladder inflammation men more likely than women
B. Catheterization of the urine test, if bacteria or white blood cells found to have greater than 30 / HPF, there is a strong suspicion of urinary tract infection
C. Condoms can prevent urinary tract infections
D. Teenage women than women after menopause have more asymptomatic bacteriuria


Question: Characteristics of mycotoxins in food Why?

Answer: Generally stable and heat-resistant

Choices:
A. Generally stable and heat-resistant
B. Easily destroyed in acidic
C. Destroyed by heating to 70 deg.] C
D. Temperature to 100 deg.] C to destroy


Question: 56. Which of the following brain tumor after use of corticosteroids (corticosteroid) therapy, although it will reduce cerebral edema (brain edema), but also cause brain tumor regression (tumor regression) affect diagnostic (histological diagnosis) right histology and cytology ?

Answer: Primary central nervous system lymphoma (primary CNS lymphoma)

Choices:
A. Glioblastoma multiforme tumors (glioblastoma multiforme)
B. Ependymoma (ependymoma)
C. Craniopharyngioma (craniopharyngioma)
D. Primary central nervous system lymphoma (primary CNS lymphoma)


Question: Following growth factor (growth factors), whichever is no neovascularization (angiogenesis) role?

Answer: Leukocyte-derived growth factor Leukocyte-derived growth factor

Choices:
A. Platelet-derived growth factor Platelet-derived growth factor
B. Leukocyte-derived growth factor Leukocyte-derived growth factor
C. β- modified growth factor Transforming growth factor-beta
D. α- Tumor necrosis factor Tumor necrosis factor-alpha


Question: Which of the following immunoglobulin (Ig) can contribute to basophils and mast cells secrete histamine (histamine)?

Answer: Ig E

Choices:
A. Ig M
B. to the
C. Ig E
D. Ig G


Question: Mr. Lee, 45 years old, suffering from migraine (migraine), no high blood pressure, history of diabetes, hospitalized due to cerebral infarction. His father and brother also has a history of cerebral infarction, cerebral infarction, in addition to his brother, also dementia (dementia). The following statements is most accurate?

Answer: NOTCH3 can do genetic analysis checks

Choices:
A. Brain imaging showed hydrocephalus
B. Associated with polyneuropathy (polyneuropathy)
C. NOTCH3 can do genetic analysis checks
D. Migraine is a necessary condition for the diagnosis of this disease


Question: The following account of epilepsy syndrome (epilepsy syndromes) drug treatment, whichever is wrong?

Answer: Lennox-Gastaut syndrome usually respond to single antiepileptic good

Choices:
A. Good juvenile myoclonic epilepsy (juvenile myoclonic epilepsy) is often a single antiepileptic drug reaction
B. Good Teen absence epilepsy (juvenile absence epilepsy) is often a single antiepileptic drug reaction
C. Lennox-Gastaut syndrome usually respond to single antiepileptic good
D. Mesial temporal lobe epilepsy (medial temporal lobe epilepsy syndrome) often do not respond to single antiepileptics


Question: LH surge before ovulation account of the physiological effects of, which of the following error?

Answer: Promoting follicular granulosa cells (granulose cells) producing and androgen secretion (androgens)

Choices:
A. Can recover the egg first meiotic division (meiosis I) were
B. Yellow promoting follicular granulosa cells (granulose cells) of body (luteinization)
C. Promoting follicular granulosa cells (granulose cells) producing and secretion of prostaglandin (Prostaglandins)
D. Promoting follicular granulosa cells (granulose cells) producing and androgen secretion (androgens)


Question: One patient suffering from tuberculosis, doctors give anti-TB drugs, which are usually given to prevent vitamin side effects of isoniazid caused?

Answer: Vitamin B6B

Choices:
A. Thiamine
B. Vitamin B6B
C. Folic Acid (Folate)
D. Vitamin B12B


Question: That an examination of the following blunt abdominal trauma the most specific (specificity)?

Answer: Abdominal computed tomography

Choices:
A. Abdominal X-ray
B. Abdominal ultrasound
C. Diagnostic peritoneal lavage
D. Abdominal computed tomography


Question: A 33-year-old man can not get up in the morning due to be sent to the emergency room. No special patient past medical history, high blood pressure found that six months ago, but he did not care and did not medication. Body checkups: 98 pulse per minute, the blood pressure 178/110 mmHg, no anemia or jaundice, chest, abdomen, and heart were normal. Blood electrolyte (mmol / L): Na + 139, K + 2.5, Cl- 89. Further about this patient's diagnosis and disposal, Which of the following does not apply to most cut?

Answer: Cardiac ultrasonography

Choices:
A. Check the potassium ion concentration and urine osmolality, and serum osmolality
B. Check thyroid function
C. Plasma aldosterone check cortex (aldosterone) concentration
D. Cardiac ultrasonography


Question: Which of the following is not a major difference between laparoscopic surgery and traditional open surgery?

Answer: Surgery quickly

Choices:
A. Small wounds
B. Require less pain medication after surgery
C. Surgery quickly
D. Rapid recovery


Question: For pediatric patients with congenital defects of the lower limbs, what age is the most appropriate time to start fitting prosthetic?

Answer: 9-12 months

Choices:
A. 6-8 months
B. 9-12 months
C. 13-18 months
D. 19-24 months


Question: Neonatal duodenal atresia (duodenal atresia) occurred because, generally considered to be:

Answer: Embryonic development, vacuoles (vacuolization) is formed failure

Choices:
A. Vascular ischemic necrosis
B. Embryonic development, vacuoles (vacuolization) is formed failure
C. Chromosomal abnormalities
D. Prenatal trauma


Question: Account of anorexia nervosa (anorexia nervosa), the error which of the following?

Answer: Prone to hyperkalemia and metabolic acidosis

Choices:
A. Refusal to maintain body weight, fear of fat, no menstruation
B. Prone to hyperkalemia and metabolic acidosis
C. Fatality rate can be as high as 9%
D. Often with improper vomiting, excessive use of stool softeners and related diuretics


Question: A 65-year-old male farmer, a black facial nodules (such as photos), 3-year history, pathological tumor was found extending from the epidermis down, showing the island gathered, peripheral cells showed fence arrangement, your diagnosis Why?

Answer: Basal cell carcinomas (basal cell carcinoma)

Choices:
A. Squamous cell carcinoma (squamous cell carcinoma)
B. Malignant melanoma (malignant melanoma)
C. Basal cell carcinomas (basal cell carcinoma)
D. Daylight keratosis (actinic keratosis)


Question: The following statements about severe sepsis and septic shock, what's wrong?

Answer: The incidence decreased year by year, but the mortality rate has increased year by year

Choices:
A. When septic shock impedance decreased peripheral vascular, peripheral abnormal blood flow distribution
B. The incidence decreased year by year, but the mortality rate has increased year by year
C. Systemic inflammatory response because the pathogen infection caused by
D. Activated protein C is clinically shown to improve survival of drugs


Question: There are the following account of pituitary adenoma (pituitary adenoma), and what is non?

Answer: In general magnetic resonance angiography, small adenomas will be significant development

Choices:
A. Of 1 cm diameter less than a minute called adenoma (microadenoma)
B. The most common adenomas as prolactin tumor
C. In general magnetic resonance angiography, small adenomas will be significant development
D. Is caused by adenoma of acromegaly growth hormone secretion adenoma


Question: A 45 year old woman, usually healthy, because of intermittent fever for about four months to the clinic for treatment, physical examination signs of a slight anemia conjunctiva, the following items that most did not help in the diagnosis?

Answer: Brain computer tomography

Choices:
A. Blood culture
B. Complete blood count
C. Cardiac ultrasonography
D. Brain computer tomography


Question: IVF treatment to be controlled ovarian stimulation while making more stars to the stage of mature follicles before ovulation, the most important is to give extra because of the following that a hormone?

Answer: FSH, because of the high concentration of FSH, can continue to grow in support of follicular

Choices:
A. Estradiol, because high estrogen environment, and can continue to grow in support of follicular
B. FSH, because of the high concentration of FSH, can continue to grow in support of follicular
C. LH, LH will increase because of steroid manufacturing, so that the smaller follicles continue to generate raw material female hormone
D. Estradiol, estrogen because of the high concentration of negative feedback inhibition of the hypothalamus would thus allow more delay follicular LH surge may be grown


Question: 56 year old female patient with a history of nasopharyngeal carcinoma, 2 years after radiation therapy, headache complaints, receiving MRI examination revealed bilateral temporal lobe foci bottom, panel A was injected with a contrast of T2-weighted images, panel B T1 images post, Which of the following is the most likely diagnosis?

Answer: Radiation necrosis (radiation necrosis)

Choices:
A. Metastatic brain tumor (brain metastasis)
B. Radiation necrosis (radiation necrosis)
C. Brain abscess (brain abscess)
D. Glial blastoma (glioblastoma)


Question: Full-term newborns is not applied to fight vitamin K, the more that one of the following happens?

Answer: Cause before thrombin time (prothrombin time) extended

Choices:
A. The fifth factor causing (factor V) lack
B. Cause before thrombin time (prothrombin time) extended
C. If hemorrhagic disease, most will not take place within five days after birth
D. If the occurrence of bleeding disorders, feeding milk (cow's milk) are worse than breast feeding (breast milk) were


Question: 95% confidence interval of the difference in mortality 84. The two anesthetic drugs (-0.142, 0.102), if the test of significant resistance level changed from 05 to 0.01, other things being equal, the mortality rate test whether two anesthetic drugs there are differences, of the following statements is true?

Answer: Mortality two anesthetic drugs not reach statistical significance

Choices:
A. Mortality two anesthetic drugs reach statistical significance
B. Mortality two anesthetic drugs not reach statistical significance
C. Not conclude
D. The results of this test are likely to commit an error type (type I error)


Question: The most common consolidated gastroschisis (gastroschisis) exceptions are:

Answer: Intestinal atresia

Choices:
A. Water kidney
B. Spinal deformity
C. Intestinal atresia
D. Esophageal atresia esophageal tracheal tube 


Question: According to World Health Organization statistics, following the kind of disease is the leading cause of death in human society 0 to 44 years who?

Answer: Infectious diseases

Choices:
A. Accidental injury
B. Infectious diseases
C. Non-communicable diseases
D. Born after stillbirth and death within 1 week


Question: Compared with psychiatry, public mental health has what characteristics?

Answer: Emphasis on community-based organizations and community participation

Choices:
A. Emphasis on the treatment of symptoms and disease modifying
B. The importance of personal genetic and biological factors
C. Emphasis on community-based organizations and community participation
D. Strengthening the isolation of patients in order to protect the community


Question: A young woman riding a motorcycle, a car accident fall, humeral fracture, causing deltoid muscle weakness and atrophy, can not shoulder abduction, the fracture site at:

Answer: Humerus 1/3, median nerve injury

Choices:
A. Humerus surgical neck (surgical neck of humerus), axillary nerve injury
B. Humerus 1/3, median nerve injury
C. The middle of the humerus, the radial nerve injury
D. Trochlea (trochlea of humerus), ulnar nerve injury


Question: Bartter's narrative about the disease, which of the following error?

Answer: Gene downstream tubular branches (descending limb) part of the damage caused due to

Choices:
A. The normal blood pressure
B. Normal or low serum magnesium, metabolic alkalosis
C. High values of urinary prostaglandin E2
D. Gene downstream tubular branches (descending limb) part of the damage caused due to


Question: The following narrative about colorectal polyps, what's wrong?

Answer: Colon polyps herniation with oral mucosa and palm black spots were as Gardner's syndrome

Choices:
A. The most common benign polyps are hyperplastic polyps (hyperplastic polyp)
B. The most dangerous cancerous (malignant potential) is villous adenoma (villous adenoma)
C. Colon polyps herniation with oral mucosa and palm black spots were as Gardner's syndrome
D. Gland polyps (adenomatous polyp) is less than 1 cm less than 5% chance of malignant


Question: The patient can still listen comprehension, poor oral expression, but repeat spoken (repetition) good capacity, which is what aphasia (aphasia)?

Answer: Transcortical sports (transcortical motor)

Choices:
A. Broca (Broca's)
B. Wo Nika (Wernicke's)
C. Transcortical sports (transcortical motor)
D. Sensory cortex by type (transcortical sensory)


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

Answer: Sudden headache, hemiplegia, blood pressure 220/115 mmHg

Choices:
A. 60-year-old male with chronic alcoholism, headache, meningeal signs (meningeal sign), fever, cerebrospinal fluid neutrophil increase
B. 80 year old guy living nursing homes, long-term dementia
C. Sudden headache, hemiplegia, blood pressure 220/115 mmHg
D. Berry-like aneurysm rupture


Question: 75 A 30-year-old male, to participate in the Taipei Marathon in March, the same day the weather was clear and the temperature 20 ~ 22 ℃, humidity 90%, in the fast reach the end, confusion was found lying on the ground. You do on-site medical services, found that patients with GCS GCS (Glasgow coma scale) = E2V3M5, who have sweating, this time in patients with blood pressure 100/50 mmHg, heart rate 145 / min, respiration 26 / min, 41 ℃ ear thermometer . The following statements is true?

Answer: Should be used as heat stroke treatment, rapid cooling

Choices:
A. Day temperature is only 22 ℃, should not occur heatstroke (heat stroke)
B. His body sweating, heat stroke should not be
C. Should be used as heat stroke treatment, rapid cooling
D. Should be immediately sent him to the hospital for CT examination to rule out the diagnosis of stroke


Question: The following account of pathological fractures of the spine (pathologic fracture), and what's wrong?

Answer: When the tumor is determined for the severity of spinal cord compression, CT is more suitable than MRI

Choices:
A. Mostly metastatic tumors (metastatic tumor) resulting
B. Common tumor-derived lung cancer, breast cancer, etc.
C. When the tumor is determined for the severity of spinal cord compression, CT is more suitable than MRI
D. When the patient should increasingly lower limb weakness or incontinence and other symptoms to consider surgery under reduced pressure


Question: 79. Lin is the end of the NPC disease patients, due to difficulty in breathing was sent to the hospital emergency room the family, Mr. Lin unconsciousness, medical staff believe patients have been unable to avoid death, should not be first aid, prioritizing why these practices? ① I asked whether the DNR letter of intent ② explained, and signed consent of their families consent ③ asked if there was a medical appointment of agents

Answer: ①→③→②

Choices:
A. ①→③→②
B. ①→②→③
C. ②→①→③
D. ③→①→②


Question: About the human hormone regulation of the menstrual cycle and its effects are described, which of the following error?

Answer: Plasma estrogen (estrogen) only have the phenomenon of increased secretion before ovulation

Choices:
A. The main reason luteinizing stimulating hormone (luteinizing hormone) secreted in a large amount before ovulation is caused by ovulation
B. Plasma progesterone (progesterone) will only be significantly higher after ovulation
C. Plasma estrogen (estrogen) only have the phenomenon of increased secretion before ovulation
D. Secreted follicles (follicle) granulosa cells (granulosa cell) estrogen (Estrogen) about the mature eggs


Question: Which of the following amoeba are not pathogenic to humans?

Answer: Di Sipa amoeba (Entamoeba dispar)

Choices:
A. Entamoeba histolytica (Entamoeba histolytica)
B. Acanthamoeba (Acanthamoeba spp.)
C. Di Sipa amoeba (Entamoeba dispar)
D. Gurley resistance Freund amoeba (Naegleria fowleri)


Question: One 8-year-old boy of slight mental retardation, was diagnosed with autism orientation, physical examination showed bilateral testicular relatively big boys of the same age, but the appearance of normal ears than children the same age, language development is also impaired. This child is most likely to be following what disease?

Answer: Chromosome fragile X syndrome (fragile X syndrome)

Choices:
A. Mr. Tang disease (Down syndrome)
B. Toruosame Mr. diseases (Turner syndrome)
C. Chromosome fragile X syndrome (fragile X syndrome)
D. Benzene acid aciduria (phenylketonuria)


Question: The following narrative about alcohol on the impact of sleep, what's right?

Answer: Phase IV reduce sleep

Choices:
A. Overall, helps sleep
B. Increase REM (rapid eye movement) sleep
C. Phase IV reduce sleep
D. Reduce sleep disruption


Question: "Weibel-Palade bodies (Weibel-Palade body)" Which of the following are mainly located in the cell?

Answer: The artery endothelial cells

Choices:
A. The artery endothelial cells
B. The arterial smooth muscle cells
C. Vein Endothelial Cells
D. Vein Smooth Muscle Cells


Question: From the previous question, diagnostic electrocardiogram displayed why?

Answer: Atrial fibrillation (atrial fibrillation)

Choices:
A. Atrioventricular node cyclotron frequency pulse (of AVNRT)
B. Increased ST segment myocardial infarction (STEMI)
C. Atrial fibrillation (atrial fibrillation)
D. Right ventricular hypertrophy (RVH)


Question: 20 A 50-year-old male patient with hearing loss in the right ear and pus about 10 years, 1 month ago began to feel dizzy, especially when the wipe secretions in the ear canal with a cotton swab, dizziness aggravated; there is no ear pain or other nerve symptoms. This case most likely diagnosis is complicated by middle ear:

Answer: Benign paroxysmal positional vertigo

Choices:
A. Vestibular neuritis
B. Benign paroxysmal positional vertigo
C. Meniere's disease
D. Labyrinthine fistula


Question: That one of the following antidepressants inhibiting serotonin and norepinephrine recycling, more no anticholinergic (anticholinergic) and [alpha] adrenergic blockers (α-adrenergic blocking) side effects?

Answer: venlafaxine

Choices:
A. amitriptyline
B. venlafaxine
C. fluoxetine
D. selegiline


Question: There are patients infected with Mycobacterium leprae (M. Leprae) come to treatment of patients with symptomatic primary skin irritation and inflammation of the nervous system, blood antibody titer is not high against M. leprae, M. leprae also within macrophages not many, these cells are more likely to be associated with the kind of patient clinical symptoms?

Answer: The first type T helper cell (TH1)

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


Question: In infants virus infection following which, at the time of the elderly can cause encephalitis, the symptoms of dementia, mental deterioration and even death, this symptom known as subacute sclerosing pan encephalitis (subacute sclerosing panencephalitis)?

Answer: Measles virus

Choices:
A. Cold virus
B. Mumps virus
C. Measles virus
D. Polio virus


Question: The following figure shows the three countries accounted for 2011 gross domestic product of health care costs A, B, C: the ratio (GDP gross domestic products) is respectively 8.5%, 10.4%, 16.2%, showing a national primary care physicians the more the number, the lower the health care costs. Which of the following groups of countries most in line with this figure?

Answer: A: UK, B: Canada, C: United States

Choices:
A. A: UK, B: United States of America, C: Canada
B. A: UK, B: Canada, C: United States
C. A: Canada, B: the United Kingdom, C: United States
D. A: United States of America, B: Canada, C: United Kingdom


Question: That one of the following RNA, the 5 'end and 3' end of the ribose (ribose), may also have a free 3'-OH?

Answer: Eukaryotic mRNA

Choices:
A. Eukaryotic mRNA
B. Prokaryotic cell mRNA
C. Eukaryotic cells rRNA
D. Prokaryotic rRNA


Question: When the emergency treatment of alcohol withdrawal (alcohol withdrawal), Which of the following most inappropriate treatment?

Answer: phenobarbital

Choices:
A. phenobarbital
B. magnesium sulfate
C. lorazepam
D. thiamine


Question: 80. The patient was 51-year-old male, a year ago began to have delusions of jealousy that elders in the church in the pursuit of his wife and ordered her to be patient and divorce, so the patient is very angry, in addition to conflict with the public outside the church elders also stresses his wife. Patients solitude, no job, Richangshenghuo hope his wife try not to leave his line of sight, will be to place her work secretly monitor while writing "crime" church elders daily distribution relatives and friends. In addition to patient delusional jealousy, there are some weird religious fantasy. Because of its violent tendencies more and more obvious that his wife is very afraid to go home, for fear of being killed by the patient, and therefore resort to a physician. In this case, following the disposal of what are the most inappropriate?

Answer: Antipsychotic drops directly open to the patient's family, in order to allow patients to take their

Choices:
A. Antipsychotic drops directly open to the patient's family, in order to allow patients to take their
B. Forced patients hospitalized
C. Providing social resources and families can take advantage of the pipeline
D. Considering the safety of patients and their families, social workers or police notify the relevant units


Question: Clinically Prader-Willi syndrome and Angelman syndrome is not the same disease, but found that there are two patients with different diagnosis of the same small defect on chromosome 15 during testing. Most likely what is the reason?

Answer: Prader-Willi syndrome patients with the chromosomal defect is inherited from the father; chromosome defect of patients with Angelman syndrome is inherited from the mother

Choices:
A. Because two patients had different variations on other chromosomes
B. Prader-Willi syndrome patients with the chromosomal defect is inherited from the father; chromosome defect of patients with Angelman syndrome is inherited from the mother
C. Chromosomal defect of inaccurate detection technology
D. The two unrelated diseases and defects in this area


Question: Related pneumonia caused by Legionella pneumophila, the following description of what's wrong?

Answer: Often occur in smoking, chronic lung disease and young

Choices:
A. Is an atypical pneumonia, with a water tower or water pollution
B. Often occur in smoking, chronic lung disease and young
C. In addition to the clinical symptoms of fever, cough, often associated with other symptoms of extrapulmonary
D. Other than pneumonia caused by bacteria, more often hyponatremia


Question: 40 year-old male patient found to have both temporal hemianopia (bitemporal hemianopsia) symptoms, prolactin value of 49 ng / mL (prolactin level of 49 ng / mL), magnetic resonance angiography (MRI) as shown below, this why focus the best treatment option?

Answer: operation treatment

Choices:
A. bromocriptine therapy
B. The first vote with bromocriptine therapy, followed by surgery
C. Radiotherapy (radiation therapy)
D. operation treatment


Question: Bearing on the problem, patients undergoing resection and esophageal tube after  anastomosis, the most common follow-up question is:

Answer: GERD (gastroesophageal reflux)

Choices:
A. GERD (gastroesophageal reflux)
B. Small bowel obstruction (intestinal obstruction)
C. Constipation (constipation)
D. Tracheomalacia (tracheomalacia)


Question: If the wrong d-tubocurarine injected newborn, resulting in neonatal respiratory depression, following which drug to be injected first aid?

Answer: Physostigmine

Choices:
A. Atropine
B. Physostigmine
C. Adrenaline
D. Hexamethonium


Question: A 52-year-old female patient, because of lower abdominal pain five days was taken to the emergency room. Patient's temperature 38 degrees Celsius, physical examination showed a right lower quadrant tenderness and rebound pain, and touch a size of about 5 cm, boundaries unknown lumps. The blood test values blood leukocytes 13800 / mm3. Will Which of the following is the most appropriate of further examination?

Answer: Abdominal computed tomography

Choices:
A. Abdominal computed tomography
B. Abdominal X-ray photography (plain abdomen X ray)
C. Colon barium enema Photography
D. Colonoscopy


Question: The following description of type 2 diabetes about what's wrong?

Answer: If kidney disease is still reversible enter macroalbuminuria

Choices:
A. Better glycemic control, microvascular disease (microangiopathy), the less
B. Glycemic control and macrovascular (macroangiopathy) less relevance
C. If kidney disease is still reversible enter macroalbuminuria
D. Newly diagnosed younger patients, HbA1c more nearly normal as possible


Question: A 50-year-old woman complained of ear tinnitus for about half a year, tinnitus sound particularly evident at night, and the sound of beating and pulse rate exactly the same. Whichever is the least suitable as the next inspection?

Answer: Arrange temporomandibular joint photographic examination

Choices:
A. Otoscopy (otoscopic examination)
B. Stethoscope to listen to the ear and neck bruit
C. Arrange temporomandibular joint photographic examination
D. Carotid ultrasound examination arrangements


Question: 2826-year-old woman collapsed for no reason and was sent to the emergency room, physical examination found that blood pressure 220/110 mmHg, heart rate 130 beats / minute, face red tide, will have to arrange those following checks? ①complete blood count (CBC) ②total urine VMA level ③blood free catecholamines ④total urine free catecholamines ⑤abdominal CT scan

Answer: ②④⑤

Choices:
A. ①②③
B. ②③⑤
C. ①④⑤
D. ②④⑤


Question: Parietal pleura (parietal pleura) of lymph, the following is most likely to flow back into the lymph nodes (lymph node)?

Answer: Underarm (axillary)

Choices:
A. Underarm (axillary)
B. Bronchopulmonary (bronchopulmonary)
C. Tracheobronchial (tracheobronchial)
D. Bronchial mediastinal (bronchomediastinal)


Question: A 40-year-old woman, nearly six months show a continued easy too worried, so worried that she is difficult to control, and there will be time to worry about anxiety, general tension, fatigue and sleep disorders, these symptoms caused by her apparent distress. The following description about this patient, what's wrong?

Answer: Current drug therapy to benzodiazepines (benzodiazepines.) Mainly selective serotonin reuptake inhibitor (SSRI) this ineffective diseases

Choices:
A. Such patients often also suffer from social phobia, panic disorder or depression
B. Differential diagnosis, the medical officer shall consider poisoning coffee, stimulant abuse, alcohol withdrawal and psychoactive drug withdrawal
C. Current drug therapy to benzodiazepines (benzodiazepines.) Mainly selective serotonin reuptake inhibitor (SSRI) this ineffective diseases
D. The main psychological treatment is cognitive behavior therapy, supportive psychotherapy, sick sense of knowledge-oriented psychotherapy


Question: To reduce edema resulting brain tumors, which of the following is the most commonly used and best cortisol?

Answer: Dexamethasone

Choices:
A. Betamethasone
B. Prednisolone
C. Dexamethasone
D. Triamcinolone


Question: About intussusception (intussusception), which of the following error?

Answer: Occurs in more than 10 years old child

Choices:
A. Occurs in more than 10 years old child
B. Infants with unexplained main
C. Infants under 2 years, to cover the ileocecal intestine is the most common
D. Of adult intussusception is often associated with colon cancer


Question: A 50-year-old woman, complained of abnormal vaginal bleeding, such as magnetic resonance imaging drawings, which of the following is the most likely diagnosis?

Answer: Cervical Cancer

Choices:
A. Chocolate cyst
B. Cervical Cancer
C. Bone pelvic inflammatory disease
D. Ovarian cancer


Question: When patients tongue spit, skewed to the right, which of the following is most likely to be injured?

Answer: The left side of the twelfth cranial nerve

Choices:
A. The right side of the ninth cranial nerve
B. Right genioglossus (genioglossus)
C. The left side of the twelfth cranial nerve
D. The left side of the fifth cranial nerve third branch


Question: 2-year-old girl hit due to fall after oral cheek bleeding more than was sent to the emergency room. Girls will be brought up off the mouth or nosebleeds bleeding occurs, but not very serious, while others will stop bleeding longer than the time when vaccination. Patients without bleeding, hematoma cases, parents do not have relatives on both sides of the family have bleeding disorders. Check the patient's blood hemoglobin, hematocrit, number of white blood cells, platelet count, prothrombin time (PT) within the normal range, activated partial thromboplastin time (the aPTT) extended to 37.2 seconds (normal 24.4-33.2 seconds) . The most likely cause of the patient's mouth is bleeding more than:

Answer: Congenital von Willebrand factor reduction

Choices:
A. Congenital von Willebrand factor reduction
B. Factor VIII deficiency
C. Glucose-6-phosphate dehydroepiandrosterone enzymes (glucose 6-phosphate dehydrogenase) deficiency
D. Immune complex (immune complex) caused by the accumulation of vascular endothelial injury


Question: Bearing on the question, the next disposal options less consideration is that one?

Answer: Weight Loss

Choices:
A. Uvula soft palate angioplasty (uvulopalatopharyngoplasty, UPPP)
B. Cricopharyngeus by neck incision (pharyngeal constrictor myotomy)
C. Weight Loss
D. A continuous positive pressure breathing mask (CPAP)


Question: Six-year-old restaurant owner Mr. Chen recently had a minor stroke, carotid artery stenosis without ultrasound, ECG found to have atrial fibrillation (atrial fibrillation), may I ask what kind of drugs to prevent stroke again using the most effective?

Answer: Warfarin

Choices:
A. Aspirin
B. Ticlopidine
C. Warfarin
D. Clopidogrel


Question: The following characteristics of the virus and what was not correct?

Answer: Method of virus replication is done by the "split"

Choices:
A. Method of virus replication is done by the "split"
B. The viral genome is a DNA or RNA
C. Whether the virus to follow for classification of mantle
D. Virus must replicate within the host cell


Question: Description of Mycoplasma pneumoniae (Mycoplasma pneumoniae) infection, which of the following error?

Answer: Correct diagnosis depends mainly on sputum and blood culture

Choices:
A. School-age children are common pathogens of community pneumonia
B. Pulmonary symptoms include encephalitis, arthritis, and rash
C. The incubation period of 2 to 3 weeks, high contagious within the family
D. Correct diagnosis depends mainly on sputum and blood culture


Question: The following substances in the stomach wall cells (Parietal cells) have receptors of gastric acid secretion may be adjusted, but whichever exception?

Answer: Secretin

Choices:
A. Acetylcholine
B. Histamine
C. Prostaglandin
D. Secretin


Question: After surgical removal of the uterus uterine artery ligation (uterine artery), still bleeding, the blood Which of the following is most likely to come from the branch?

Answer: Ovarian artery (ovarian artery)

Choices:
A. The vesical artery (superior vesical artery)
B. Rectal artery (inferior rectal artery)
C. Ovarian artery (ovarian artery)
D. Obturator artery (obturator artery)


Question: Which is not an acute inflammation of the complications and sequelae change?

Answer: Malignant changes

Choices:
A. Organization scarring
B. Abscess formation
C. Malignant changes
D. Chronic inflammation


Question: Which of the following is not a characteristic Treponema pallidum (Treponema pallidum) of?

Answer: Gram-positive bacteria stain

Choices:
A. Can not grow in cell-free media
B. Cell is slim spiral
C. Gram-positive bacteria stain
D. Slow growth rate than normal bacteria


Question: 32-year-old men, intravenous drug addiction patients. Nearly a week to feel nausea, vomiting, and dark urine. Laboratory examination revealed bilirubin, conjugated bilirubin, AST and ALT values increased significantly. Hepatitis virus detection result as follows: HBsAg positive, Anti-HBs negative, Anti-HBc-positive, IgM-anti-HBc negative, IgG-anti-HAV positive, IgM-anti-HAV negative, Anti-HCV negative, Anti-HDV positive. Why is the most likely diagnosis?

Answer: Chronic hepatitis B virus infection and acute hepatitis D virus infection

Choices:
A. Acute hepatitis A virus infection
B. Acute hepatitis B virus infection
C. Chronic hepatitis C virus infection
D. Chronic hepatitis B virus infection and acute hepatitis D virus infection


Question: Statements about Cluster headache (cluster headache), and Which statement is correct?

Answer: Certain unilateral

Choices:
A. More girls than boys
B. Certain unilateral
C. Pain for about 4-72 hours
D. Will attack every year


Question: Bearing on the question, which of the following is the most appropriate treatment?

Answer: Without treatment

Choices:
A. Without treatment
B. Line joint action grant rehabilitation therapy
C. Separation surgery with bone bonding
D. Closed reduction and fixation plaster Correction


Question: Patients with brain abscess due to increased intracranial pressure occurs when the brain through the canopy off hernia (transtentorial herniation), oppression of a blood vessel to that caused by ischemia?

Answer: Posterior cerebral artery

Choices:
A. Anterior cerebral artery
B. Middle cerebral artery
C. Posterior cerebral artery
D. Basilar artery


Question: Account of adult polycystic kidney (Adult polycystic kidney disease), the error which of the following?

Answer: As sex-linked genetic diseases

Choices:
A. As sex-linked genetic diseases
B. Often accompanied by high blood pressure
C. Bleeding (Subarachnoid hemorrhage) 1/10 patients occur under the arachnoid
D. Cyst found in other organs such as the liver, spleen, pancreas, etc.


Question: 1 induction of anesthesia for the patient, which of the following will make the minimum alveolar concentration of anesthetic gas (minimum alveolar concentration; MAC) increase?

Answer: Long-term alcohol abuse (chronic alcohol abuse)

Choices:
A. Temperature 34 ℃
B. Acute alcohol intoxication (acute alcohol intoxication)
C. Long-term alcohol abuse (chronic alcohol abuse)
D. Oxygen concentration in arterial blood (PaO2) less than 40 mmHg


Question: 21. Simple coarctation of the aorta syndrome (isolated coarctation of aorta) of surgery, surgical procedures may include those of the following? ① flap aortic artery angioplasty (subclavian flap aortoplasty) placed under patent ductus arteriosus stent (stent) ② ③ clavicle cloth augmentation (patch augmentation) ④ wide excision anastomotic constriction then ends (extended resection with primary anastomosis)

Answer: ②③④

Choices:
A. ①②
B. ①③
C. ①④
D. ②③④


Question: Fundus examination revealed bull's-eye-like macular degeneration (bull's eye maculopathy), which is often associated with these diseases?

Answer: Retinopathy chloroquine (chloroquine retinopathy)

Choices:
A. Retinopathy chloroquine (chloroquine retinopathy)
B. Bladder macular edema (cystoid macular edema)
C. Central retinal artery occlusion (central retinal artery occlusion)
D. Age-related macular degeneration (age-related macular degeneration)


Question: A 68-year-old woman with acute cholecystitis underwent laparoscopic cholecystectomy, after truncating the cystic artery, near the Calot's triangle is most likely to be hurt that one of the following vessels?

Answer: right hepatic artery

Choices:
A. right hepatic artery
B. superior mesenteric vein
C. left hepatic artery
D. right renal vein


Question: 16. A 60-year-old male patient was sent to hospital because of a car accident, manager examination revealed left lower leg in the distal 1/3, has a diameter of about 10 cm defect from the wound can be seen tibial tendon and expose the phenomenon (as shown below ), X-rays also showed fracture status, physical examination and other real room to check the patient's normal. The recommendation of the "reconstruction options" (reconstructive options), the following reconstruction which is the first choice?

Answer: Free flaps (free tissue transfer)

Choices:
A. Part of the layer of skin and skin grafting (split-thickness skin graft)
B. Advance local skin flap (local advanced skin flap)
C. Local muscle flap (regional muscle flap)
D. Free flaps (free tissue transfer)


Question: About esophageal atresia (esophageal atresia) often associated with the deformity, which of the following error?

Answer: Small intestine closure (intestinal atresia)

Choices:
A. Anorectal anomaly (anorectal malformation)
B. Kidney and radial anomalies (renal or radius malformation)
C. Small intestine closure (intestinal atresia)
D. Spine defects (vertebral defects)


Question: 57 south of dengue fever outbreak a pandemic, what if the patient has the following symptoms, doctors will be diagnosed with dengue virus (dengue viruses) of the infection? ① erythema (rash) ② arthritis (arthritis) ③ thrombocytopenia (thrombocytopenia) ④ hemorrhagic fever (hemorrhagic fever)

Answer: ①③④

Choices:
A. ①②③
B. ①②④
C. ②③④
D. ①③④


Question: Which of the following is NOT a characteristic of RNA polymerase (RNA polymerase) transcription?

Answer: Connected to a terminal nucleotide 5'-OH

Choices:
A. DNA binding cover size of about 35 bp
B. Required magnesium ion (Mg2 +)
C. Connected to a terminal nucleotide 5'-OH
D. RNA sequences extended from the 5 'to 3' direction


Question: 63. narrative about rickets (rickets) and bone softening disease (osteomalacia), and which of the following error?

Answer: Are all growth plate (growth plate) proliferative zone (proliferative zone) of the bone mineral (bone mineralization) caused loss

Choices:
A. Are all growth plate (growth plate) proliferative zone (proliferative zone) of the bone mineral (bone mineralization) caused loss
B. Serum parathyroid hormone (parathyroid hormone) and alkaline phosphatase (alkaline phosphatase) will increase
C. Weight of the load of the long bones of X-ray images, can change Looser's common transition region (Looser's transformation zone) of
D. The exact diagnosis is based are all bone biopsy


Question: About thyroglossal cyst (thyroglossal duct cyst) of the narrative, which of the following error?

Answer: Usually occurs outside of the neck

Choices:
A. Is the most common congenital neck mass
B. Usually occurs outside of the neck
C. Usually asymptomatic or repeated inflammation for the performance
D. Cysts can be found as the vertical movement swallow palpation


Question: Which is not an indication for surgery?

Answer: pneumatosis intestinalis

Choices:
A. intraperitoneal free air
B. pneumatosis intestinalis
C. acidosis (pH < 7.20) after fluid resuscitation
D. hepatoportal venous gas


Question:  bone cells and bone  small tube plate (interstitial lamella) 35 What is one liver cells with phagocytic function?

Answer: Hepatocyte

Choices:
A. Bone cells and tubules
B. Between the bone plate (interstitial lamella) 35 What is one liver cells with phagocytic function?
C. Hepatocyte
D. Endothelial cells


Question: 50 year old man, to grow in this decade trunk and limbs red patches as shown, visible lesions on extremely thick silvery white scales, small bleeding points occur when outside forces brushed aside. The most likely diagnosis is:

Answer: Plaque psoriasis (psoriasis vulgaris)

Choices:
A. Vulgaris ichthyosis (ichthyosis vulgaris)
B. Lichen planus (lichen planus)
C. Plaque psoriasis (psoriasis vulgaris)
D. Common warts (verruca vulgaris)


Question: (Microinvasive) describes the following information about cervical cancer lesions microscopic violations, what's wrong?

Answer: Depth of invasion in the basement membrane, greater than 7 mm

Choices:
A. The first phase a1 (stage Ia1)
B. Depth of invasion in the basement membrane, greater than 7 mm
C. Found no violations in the lymph or blood vessels
D. Alternatively treatment of hysterectomy surgery


Question: Testicular of the following statements about what's wrong?

Answer: The only serum hCG rises of testicular seminoma

Choices:
A. About 7 to 10% of patients with testicular cancer had occurred in the history of cryptorchidism
B. Testicular lymphatic drainage height extending from T1 to L4
C. IIA, and IIB of the distinction between lymph node size is 2 cm
D. The only serum hCG rises of testicular seminoma


Question: The factors contributing to alcoholism does not cover what items?

Answer: Ethics

Choices:
A. surroundings
B. Learn
C. Inherited
D. Ethics


Question: Using the early secretory antigenic target -6 (ESAT-6) and culture filtrate protein -10 (CFP-10), as an antigen to detect the patient's T cells produced interferon gamma (IFN-γ), the purpose of check the patient is infected following a microorganism that is?

Answer: Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Choices:
A. Li Rickettsia (Rickettsia rickettsii)
B. Smoke yeast fungi (Aspergillus fumigatus)
C. Mycoplasma pneumoniae (Mycoplasma pneumoniae)
D. Mycobacterium tuberculosis (Mycobacterium tuberculosis)


Question: The following related tear Paixiejitong (tear excretory system) of the narrative, what's wrong?

Answer: Nasolacrimal duct opening located in the middle turbinate (middle nasal meatus)

Choices:
A. Eye surface tear distributed mainly by the blinking action of the eyelids (Blinking)
B. Eyelid closure failure patients, often accompanied epiphora (epiphora) SYMPTOMS
C. Nasolacrimal duct opening located in the middle turbinate (middle nasal meatus)
D. The most common cause of congenital nasolacrimal duct obstruction is Hasner's valve does not open


Question: Following a virus that can cause infection through the skin?

Answer: Papilloma virus (Papillomavirus)

Choices:
A. Adenovirus (Adenovirus)
B. Rotavirus (Rotavirus)
C. Rhinovirus (Rhinovirus)
D. Papilloma virus (Papillomavirus)


Question: A 1-year-old boy was two months nearly a month pallor, reduced appetite, poor motility to the clinic for treatment, physical examination found that the liver and spleen enlargement phenomenon, blood routine examination results are as follows: WBC 8,100 / mm3, segment 55%, lymphocyte 42%, RBC 2.30 × 106 / mm3, Hb 4.0 g / dL, MCV 59 fL, MCH 16 pg, platelets 290,000 / mm3, reticulocyte 5.2%. He is most likely that following an illness?

Answer: Heavy marine anemia beta] type (β-thalassemia)

Choices:
A. [Alpha] type marine heavy anemia (α-thalassemia)
B. Heavy marine anemia beta] type (β-thalassemia)
C. Leukemia (acute leukemia)
D. Aplastic anemia (aplastic anemia)


Question: Mitochondria (Mitochondria) The main functions:

Answer: generate energy

Choices:
A. Make proteins
B. Do repair and packaging of newly synthesized proteins
C. Decomposition of foreign substances
D. generate energy


Question: About jaundice (jaundice) of the narrative, which of the following error?

Answer: Bilirubin half-life of approximately 4 hours, but the combination of the albumin half-life of about 3 days bilirubin

Choices:
A. Bilirubin is the main metabolite of heme decomposition
B. Unconjugated bilirubin bound bilirubin into hepatic cells via, then discharged through the duct
C. Bilirubin half-life of approximately 4 hours, but the combination of the albumin half-life of about 3 days bilirubin
D. Normal serum bilirubin less than 1 mg / dL, direct bilirubin about 30%


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

Answer: Streptococcus is the most common pathogen osteomyelitis

Choices:
A. ESR can be used as index-tracking treatment response
B. Streptococcus is the most common pathogen osteomyelitis
C. Children of osteomyelitis occur in the long bones (long bones)
D. Treatment time usually takes 4 to 6 weeks or more


Question: The following antacids (antacid) whichever has a laxative effect?

Answer: Mg(OH)2

Choices:
A. Mg(OH)2
B. Al (OH) 3
C. CaCO3
D. NaHCO3


Question: Esophageal resection and reconstruction, in order that the organ most commonly used?

Answer: stomach

Choices:
A. colon
B. stomach
C. jejunum
D. Muscle flap


Question: A 6-year-old boy with fever three days to seek treatment, physical examination revealed redness of the throat, tongue changes as shown. That one of the following is the most appropriate diagnosis?

Answer: Geographic tongue

Choices:
A. Strawberry tongue
B. Hairy leukoplakia
C. Geographic tongue
D. Hairy tongue


Question: When Dr. Chang ophthalmology eye of a needle to see patients, often encounter patients are afraid of the pain, but do not treat eye of a needle will continue to expand, so he must use more indirect methods; taking advantage of an eye exam, do not pay attention when comparing the patient, be sty resection. This is also for the good of the patient before performing such an action, he can not blame the patient did not speak with clear, so the idea, right?

Answer: No, any medical practice must obtain prior consent of the patient

Choices:
A. No, any medical practice must obtain prior consent of the patient
B. Fortunately, a simple medical practice without first obtaining the patient's consent
C. Fortunately, a simple medical practices can be subsequently re-obtain the patient's consent
D. Fortunately, a simple medical practices as long as the patient verbally agreed to after-acquired


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

Answer: Disulfide bonds (Disulfide bond)

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


Question: Which of the following conduct by a gastric ulcer pain?

Answer: Splanchnic nerve (greater splanchnic nerve)

Choices:
A. Splanchnic nerve (greater splanchnic nerve)
B. Small visceral nerve (lesser splanchnic nerve)
C. Splanchnic nerve (least splanchnic nerve)
D. Vagus nerve (vagus nerve)


Question: The following about the continued use of gonadotropin-releasing hormone (gonadotropin releasing hormone; GnRH) described side effects occur when the analog drugs, what's wrong?

Answer: Rongyifasheng case of long-term use of central precocious puberty (central precocious puberty) in

Choices:
A. When women use long-term Rongyifasheng ovarian cysts (ovarian cysts) phenomenon, but may improve after withdrawal
B. Long-term systemic Rongyifasheng atopic dermatitis (generalized hypersensitivity upon subcutaneous administration
C. Bone density tends to decrease when women and long-term use of osteoporosis (osteoporosis) case
D. Rongyifasheng case of long-term use of central precocious puberty (central precocious puberty) in


Question: 59 A 50-year-old male patient with a history of diabetes, medical clinic has been home track. Two days ago began to have a fever, cough, and do a complete blood glucose checks; fasting blood glucose was 124 mg / dL, hemoglobin was 16.8 g / dL, white blood cell count was 32,260 / μL, neutrophils 25%, 69.5% lymphocytes, 4% monocytes, eosinophilic blood cells 1%, basophil 0.5%, platelets 190,000 / μL. Flow cytometry lymphocyte displayed as CD19, CD20, CD5, and κ-light chain positive, CD3 and λ-light chain was negative. Whichever of the following is the most likely diagnosis in this patient?

Answer: B-cell chronic lymphocytic leukemia

Choices:
A. common cold associated lymphocytosis
B. Epstein-Barr virus infection induced lymphocytosis
C. systemic tuberculosis induced lymphocytosis
D. B-cell chronic lymphocytic leukemia


Question: An 8-year-old children do not concentrate in class because, homework procrastination, forgets and is often punished by the teacher to seek treatment. That behavior following diagnosis than a physician's inappropriate?

Answer: First arrangements imaging tests (such as CT, MRI)

Choices:
A. Ask parents, this phenomenon in patients with or without hyperactivity
B. Asked parents whether this patient have this phenomenon in the context of two or more
C. Ask parents, teens begin this patient have this phenomenon
D. First arrangements imaging tests (such as CT, MRI)


Question: A 20-year-old male patient, because the secondary sexual characteristics is not obvious from the treatment. His height 178 cm, weight 70 kg, no beard, armpit hair and pubic hair sparse, small testicles and hard. This patient was following the inspection, an outcome that is most likely?

Answer: Abnormal chromosome

Choices:
A. FSH value is low
B. Testosterone is still in the normal range
C. Abnormal chromosome
D. Abnormal sense of smell


Question: 32 a 30-year-old married woman, menstrual pain complained about 8 years, transvaginal ultrasound pelvic examination revealed a tumor from about 6 cm below. The most likely diagnosis of why?

Answer: Ovarian endometrial tumors (endometrioma of ovary)

Choices:
A. Uterine fibroids (uterine myoma)
B. Endometrial cancer (endometrial carcinoma)
C. Ovarian teratoma (teratoma)
D. Ovarian endometrial tumors (endometrioma of ovary)


Question: If the oxygen content of the patient in the arterial circulation to the body 0.20 mL O2 / mL blood, pulmonary blood oxygen content of 0.15 mL O2 / mL blood, and its oxygen consumption of the body 200 mL / min, the cardiac output of the patient how many mL / min?

Answer: 4000

Choices:
A. 5000
B. 4000
C. 2000
D. 1000


Question: A 64 year old woman receiving computer tomography peritonitis, found into contraceptive coil (the IUD) as indicated by arrows in FIG utero, the error of the following statements?

Answer: Endometriosis

Choices:
A. Uterine abscess
B. Endometriosis
C. Uterine necrosis perforation
D. Peritoneal abscess


Question: From the previous questions, the results of blood tests and abnormal white blood cell that infants most likely to:

Answer: Eosinophilic leukocyte increase (eosinophilia)

Choices:
A. Lymphocyte increase (lymphocytosis)
B. Strip neutrophils increased (increased band-form neutrophils)
C. Eosinophilic leukocyte increase (eosinophilia)
D. Thrombocytopenia (thrombocytopenia)


Question: "Meissner's corpuscles (Meissner's corpuscle)," which has the following characteristics?

Answer: Tactile receptors

Choices:
A. Distributed in the epidermis
B. Distributed in the dermis reticular layer
C. Structure formed by aggregation of lymphocytes
D. Tactile receptors


Question: Kallmann syndrome can cause inadequate pituitary gland function, leading to infertility, and is accompanied by the kind of sensory disorders?

Answer: Nose

Choices:
A. Visual
B. Nose
C. Auditory sense
D. Sense of taste


Question: 36. A 50-year-old woman, whose complaints of sudden severe pain in the right shoulder, previously used anti-inflammatory agents for several days, but can not effectively alleviated. To the hospital, the right shoulder is difficult activities, subdeltoid bursa significant tenderness to palpation, uric acid 8.0 mg / dL, rheumatoid factor 30 U / mL (normal <20), via a photographic X-ray and MRI results As illustrated, following which the disease is most likely?

Answer: initiation of arthritis apatite crystals

Choices:
A. Gouty arthritis
B. Rheumatoid arthritis
C. initiation of arthritis apatite crystals
D. Frozen shoulder (frozen shoulder)


Question: To do the current diagnosis of bronchiectasis (bronchiectasis), the best item to be tested:

Answer: High resolution chest computed tomography (high resolution computed tomography of chest)

Choices:
A. Chest X-ray
B. High resolution chest computed tomography (high resolution computed tomography of chest)
C. Bronchial angiography (bronchography)
D. Bronchoscopy (bronchoscopy)


Question: About naming influenza virus (Influenza virus) of a virus strain A / Bangkok / 1/79 (H3N2), the following statements is wrong?

Answer: 1/79 on behalf of strains of the disease No.

Choices:
A. A representative of this type A influenza virus
B. Bangkok represents the location of its first isolated
C. 1/79 on behalf of strains of the disease No.
D. Representative antigenic H3N2, HA antigen is the third type, NA antigen of the second type


Question: Testicular tumors when 100 microscopy found Schiller-Duval bodies, α-fetoprotein immunohistological staining of tumor cells were positive, the diagnosis of the most appropriate to ask what the following?

Answer: Yolk sac tumor

Choices:
A. Embryonal carcinoma
B. Choriocarcinoma
C. Seminoma
D. Yolk sac tumor


Question: 40. The international study of women in a survey in 50 countries around the world (15-49 years old) the relationship between fertility (fertility rate, represented by Y) (to X represents a percentage contraception) and the contraceptive prevalence rate of married women using a simple linear regression Y = 6.8-0.08X, and Pearson correlation coefficient of -0.4 Y and X, the following statements is true?

Answer: 16% of the variation in fertility could be interpreted contraceptive prevalence rate of married women

Choices:
A. The contraceptive prevalence rate of married women per unit increase in average fertility rate will increase the value of 6.8
B. 40% of the variation in fertility could be interpreted contraceptive prevalence rate of married women
C. 16% of the variation in fertility could be interpreted contraceptive prevalence rate of married women
D. The contraceptive prevalence rate of married women per unit increase in the value of the average fertility rate will decrease 0.4


Question: A 50-year-old male patient was sent to the emergency, the family complained when patients get up suddenly fell to the ground for winter sports in the morning, loss of consciousness, and limbs continue to twitch. Sent home from the emergency time is around 30 minutes, the phenomenon continues. The first step should be:

Answer: Clear respiratory secretions and to consider the establishment of an endotracheal tube

Choices:
A. Valium 10 mg administered intravenously
B. Ativan 2 mg given intravenously
C. Dormicum 5 mg administered intravenously
D. Clear respiratory secretions and to consider the establishment of an endotracheal tube


Question: X-ray of a 3-year-old children (as shown below), the following is most likely what disease?

Answer: The left hip dislocation

Choices:
A. The left hip dislocation
B. The left femoral head necrosis
C. The right of a dislocated hip
D. On the right side of the femoral head necrosis


Question: Which of the following sports injuries are ankle sprains caused (ankle sprain) The most common ligament injury?

Answer: From the anterior fibula (anterior talofibular) ligament

Choices:
A. After the fibula from the (posterior talofibular) ligament
B. From the anterior fibula (anterior talofibular) ligament
C. From the fibula side (lateral talofibular) ligament
D. Triangle (deltoid) ligament


Question: Amino group can be by the following ways, transported by skeletal muscle cells into the liver cell metabolism?

Answer: Glucose-alanine cycle

Choices:
A. Krebs cycle
B. Glucose-alanine cycle
C. Urea cycle
D. Citric acid cycle


Question: Which of the following do not meet the health promotion proper code of ethics?

Answer: Respect for individual privacy

Choices:
A. Time-series studies
B. Value clearly open
C. Respect for individual privacy
D. Expert-led decision


Question: A 50-year-old man because of hepatitis B-related liver cirrhosis with massive ascites hospitalized several times by diuretics and massive ascites fluid treatment after discharge, urine volume and decreased glomerular filtration rate, the most appropriate treatment Why?

Answer: fluid supply

Choices:
A. propranolol
B. fluid supply
C. Increase the dose of diuretics
D. Consider a liver transplant


Question: 36 Tamoxifen most commonly used in the treatment of cancer (such as breast cancer and other cancers), the main machine into which of the following hormone suppression sensing body (hormone receptor) of transcription (transcription) capability?

Answer: Estrogen feel the body (estrogen receptor)

Choices:
A. Androgen receptor body (androgen receptor)
B. Estrogen feel the body (estrogen receptor)
C. Thyroid hormone receptor body (thyroid hormone receptor)
D. Vitamin D sensing body (vitamin D receptor)


Question: Bearing on the question, which of the following is the most likely diagnosis?

Answer: Breast abscess

Choices:
A. Breast cancer
B. Breast abscess
C. Fibrocystic breast disease
D. Breast fibroadenoma


Question: Square in front of the right lung tumor oppression Which of the following is most likely?

Answer: Phrenic nerve (phrenic nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Vagus nerve (vagus nerve)
C. Recurrent laryngeal nerve (recurrent laryngeal nerve)
D. Sympathetic trunk (sympathetic trunk)


Question: The removal of organs in accordance with the provisions of the Human Organ Transplant Ordinance, MD, of the following statements is wrong?

Answer: Physicians removal of organs from dead bodies, the next of kin of the deceased agreed to in writing or orally

Choices:
A. Physicians removal of organs from dead bodies, alive or will agree to in writing by the deceased
B. Physicians removal of organs from dead bodies, the next of kin of the deceased agreed to in writing or orally
C. Physician before harvesting organs from living, donors should explain the scope and removal of organs during surgery, the complications and possible danger
D. When doctors perform the removal of organs, should fulfill the necessary medical attention and etiquette


Question: Ten days ago a 55-year-old male patient due to acute respiratory infections leading to pneumonia, chest X-ray shows interstitial and alveolar infiltrates changes in diffusion, bilateral and rapid progress, the diagnosis of pulmonary edema has occurred (lung edema) and hypercapnia (hypercapnia), which of the following does not appear in this patient?

Answer: Increase the binding of oxygen to the tissues surrounding the heme

Choices:
A. Diffusion (diffusion) barrier
B. Ventilation / perfusion abnormalities (ventilation / perfusion mismatch)
C. Increase the binding of oxygen to the tissues surrounding the heme
D. Systemic arterial partial pressure of oxygen (PaO2) decreased


Question: A hospice for the elderly over the last few months of repeated abdominal distension, abdominal pain, often emit large amounts of gas and water will be alleviated in recent days, and severe abdominal distension, no exhaust has been two days, and then go to a doctor, by the X-ray visible coffee bean sign, Which of the following is correct?

Answer: If there is no acute abdomen may check with a barium enema or colonoscopy and ease

Choices:
A. Cancer may be required to immediately arrange for surgery
B. If there is no acute abdomen may check with a barium enema or colonoscopy and ease
C. Blocking position is most likely the ascending colon (ascending colon)
D. Long-term prognosis is poor because of repeated attacks


Question: Which of the following secrete Mullerian inhibitor (Müllerian inhibiting substance, MIS), the deputy in the renal tubular (paramesonephric duct) degradation?

Answer: Testicular Sertoli cells (Sertoli cell)

Choices:
A. Testicular Sertoli cells (Sertoli cell)
B. Between testicular interstitial cells (Leydig cell)
C. Primordial germ cells (primordial germ cell)
D. Follicular cells (follicular cell)


Question: Systemic sclerosis (systemic sclerosis) organs most often violated are:

Answer: esophagus

Choices:
A. esophagus
B. heart
C. kidney
D. eye


Question: In the respiratory mucosa, can neutralize the most important antibody for the invasion of bacteria:

Answer: Age

Choices:
A. Age
B. IgG
C. IgE
D. IgM


Question:
95 Lieutenant Colonel protect a country to measure the height of the school for 10 students, the following data: 148,149,153,155,155,158, 161,162,166,170. The elite care when preparing the data into the computer 149 for analysis accidentally mistaken wherein sum key 194
 . This error does not affect the value of which of the following?

Answer: The mode

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


Question: 20 middle-aged female patient complained of fatigue, dark urine and itchy skin for about six months for treatment. Physical examination found mild scleral jaundice. Abdominal ultrasound examination revealed chronic hepatitis images. Blood test data: bilirubin T / D 4.3 / 2.1 (0.2-1.2 / 0.0-0.4) mg / dL; Alk-P 560 (66-240) IU / L; cholesterol 375 (130-200) mg / dL; IgM 870 (45-250) mg / dL; antimitochondrial antibody

Answer: PBC（primary biliary cirrhosis）

Choices:
A. PSC（primary sclerosing cholangitis）
B. PBC（primary biliary cirrhosis）
C. hereditary hemochromatosis
D. Wilson's disease


Question: Following an infection that was originally belong to "obligate intracellular bacteria"?

Answer: Chlamydia trachomatis

Choices:
A. Chlamydia trachomatis
B. Treponema pallidum
C. Clostridium botulinum
D. Pseudomonas aeruginosa


Question: In the narrative about the phrenic nerve (phrenic nerve) related to the position of the neck at the root of what's right?

Answer: Scalene go in front (anterior scalene muscle) in front of

Choices:
A. Located in the subclavian vein (subclavian vein) in front of
B. Scalene go in front (anterior scalene muscle) in front of
C. Located carotid artery (common carotid artery) inner
D. Walking in the arm plexus (brachial plexus) back


Question: As shown most likely kidney biopsy Which of the following is the result:

Answer: 45 year old man appeared hemoptysis and rapid renal failure

Choices:
A. 10-year-old boy appeared nephrotic syndrome
B. Continuous renal failure occurred after 25-year-old woman taking diet pills unidentified
C. Acute renal failure after 35-year-old male marathon
D. 45 year old man appeared hemoptysis and rapid renal failure


Question: 72-year-old male patient in hospital four days because of blood in the stool, still red blood repeatedly solution and after hospitalization. 1st hospitalized after a colonoscopy found multiple blood clots in the large intestine, and abdominal angiography did not find the bleeding site. Hospitalization 2nd sigmoid colonoscopy and found a lesion at the figures. After the disease by cauterization patient blood in the stool symptoms disappeared. Which of the following best clinical diagnosis of the patient for this purpose?

Answer: E. vasodilation (ectasia)

Choices:
A. Colorectal Cancer
B. Colon diverticula (diverticula)
C. E. vasodilation (ectasia)
D. Colitis


Question: Emergency room an 8 year-old boy with refractory epilepsy due to a left elbow fracture deformation, anesthesia need to be reset. Which of the following is the preferred drug of choice?

Answer: fentany1＋midazolam

Choices:
A. ketamine＋midazolam
B. midazolam
C. fentany1＋midazolam
D. oxycodone


Question: Which of the following can not be cultured in the general atmosphere?

Answer: Helicobacter pylori (Helicobacter pylori)

Choices:
A. Vibrio cholera (Vibrio cholerae)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
C. Shiga Mr. dysentery bacteria (Shigella dysenteriae)
D. Helicobacter pylori (Helicobacter pylori)


Question: PKU patients in Taiwan, about one-third of phenylalanine hydroxylase secondary tetrahydrobiopterin (BH4) deficiency caused. BH4 is also required for the synthesis of dopamine and serotonin. So when BH4 deficiency, in addition to the increase in the concentration of phenylalanine, that there will be a performance?

Answer: Neurodegenerative symptoms because of the lack of the neurotransmitter caused

Choices:
A. Acidemia
B. Neurodegenerative symptoms because of the lack of the neurotransmitter caused
C. Prone chromaffin cell tumors (pheochromocytoma)
D. Congenital heart disease


Question: 60-year-old Wang, have one male and two female, two months ago was diagnosed with multiple metastases to cervical cancer with abdominal, after chemotherapy and radiation therapy, tumor proliferation continues, because this has been for several consecutive days of severe lower abdomen pain and hospitalization, the nature of pain is lower abdomen dull pain, and pain is persistent pain, can not be due to changes in posture and ease. The following treatment and evaluation mode, whichever is most appropriate?

Answer: To assess whether there is internal bleeding emergency, and then be pain according to World Health Organization (WHO) three-stage method of relieving pain

Choices:
A. Patients with persistent pain because of the strong, should be given immediately strongest analgesics, such as fentanyl patches
B. Direct administration of a single injection of meperidine, again depending on the future administration of a single case of pain meperidine
C. To assess whether there is internal bleeding emergency, and then be pain according to World Health Organization (WHO) three-stage method of relieving pain
D. Because of pain medications can affect the future diagnosis and treatment, should first be given pain medication, but should wait and check all the diagnostic to determine and then considered for treatment


Question: Suicide is a growing phenomenon in Taiwan's social concern in recent years, description of suicide, Which of the following most correct?

Answer: The suicide rate of the elderly population is more than younger

Choices:
A. In epidemiological studies found that the ratio of women appear less suicidal behavior than men, but higher than the suicide rate
B. The suicide rate of the elderly population is more than younger
C. Ethnic suicide, only 10% had been diagnosed as a mental illness
D. Whether suicide attempts in the past had nothing to do with predicting the future risk of suicide


Question: Which of the following form anorectal flexion (anorectal flexure) and helps control bowel movements (fecal continence)?

Answer: Puborectalis (puborectalis)

Choices:
A. Internal anal sphincter (internal anal sphincter)
B. Coccygeus (coccygeus)
C. Puborectalis (puborectalis)
D. External anal sphincter (external anal sphincter)


Question: 8 A 35-year-old female patient, have two sons, currently taking birth control pills, health checks and blood pressure from home several times between 138/88 mmHg mmHg. Health checkups and health clinic tests are all normal. He's following the disposal of the most appropriate?

Answer: Please patients and their gynecologists to discuss whether to stop taking birth control pills, and regular blood pressure and back to the clinic

Choices:
A. Diuretics to treat hypertension
B. Administration of calcium channel blockers to treat hypertension
C. Please patients and their gynecologists to discuss whether to stop taking birth control pills, and regular blood pressure and back to the clinic
D. Administration of angiotensin-converting enzyme inhibitor (ACEI) treatment of hypertension


Question: Mature milk can be divided into before and after milk milk, which contains more nutrients after milk?

Answer: fat

Choices:
A. protein
B. fat
C. Carbohydrate
D. vitamin


Question: From the previous question, following the four most likely to check what the results are?

Answer: reactive

Choices:
A. positive
B. negative
C. reactive
D. nonreactive


Question: 3924-year-old women have refractory hypertension after diagnosis two years ago from the increasing use of drugs and doses, the drug currently used include labetalol 1000 mg bid, lisinopril 40 mg qd, clonidine 0.1 mg bid, amlodipine 5 mg qd. Physical checkups: Blood pressure mmHg, heart rate 84 beats per minute, no respiratory distress, cardiac examination no heart murmur or heart friction rub. And peripheral arterial pulse symmetry normal, no swelling of limbs, no hirsutism, fat distribution or abnormal genital abnormalities. Laboratory tests: potassium 2.8 mEg / dL, fasting glucose 114 mg / dL, Zoe above cases, the most likely diagnosis is:

Answer: Kang's disease (Conn's syndrome)

Choices:
A. Pheochromocytoma (pheochromocytoma)
B. Refrigerator 欣氏 disease (Cushing's syndrome)
C. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
D. Kang's disease (Conn's syndrome)


Question: The following related lung emphysema (lobar emphysema) of the narrative and what is wrong?

Answer: And asthma (asthma) are closely related, to be administered steroids

Choices:
A. Usually occurs within 6 months after birth
B. About 1/4 of patients with bronchial achondroplasia (bronchial cartilage dysplasia)
C. Patients commonly have bronchiolitis (bronchiolitis)
D. And asthma (asthma) are closely related, to be administered steroids


Question: When the potassium ion concentration in the blood rises, then a most significant increase in the following hormone?

Answer: aldosterone

Choices:
A. anti-diuretic hormone
B. angiotensinogen
C. aldosterone
D. atrial natriuretic peptide