Question: Hepatitis C patients have up to 30% will be accompanied by kidney disease, which changes following what most rare?

Answer: Acute renal interstitial nephritis (acute interstitial nephritis)

Choices:
A. Condensing globulin glomerulonephritis (cryoglobulinemic glomerulonephritis)
B. Membranous nephropathy (membranous glomerulonephritis)
C. Acute renal interstitial nephritis (acute interstitial nephritis)
D. The first film glomerulonephritis (type 1 membranoproliferative glomerulonephritis)


Question: Narrative about thymoma, which of the following error?

Answer: Chemotherapy cisplatin its poor treatment

Choices:
A. Before the most common mediastinal tumor mediastinal
B. The second phase of the surgery to remove thymoma, often combined with radiation therapy to be
C. Chemotherapy cisplatin its poor treatment
D. Most heavy gravis (myasthenia gravis) without thymoma


Question: 25-year-old woman, from adolescence locus coeruleus large area (Figure) appears in the right periorbital and conjunctival. Diagnostic why?

Answer: Ota Mr. nevus (nevus of Ota)

Choices:
A. Mr. Ito nevus (nevus of Ito)
B. Ota Mr. nevus (nevus of Ota)
C. Mongolian spot (Mongolian spot)
D. Flat nevus (nevus spilus)


Question: Type a research method generations not to expose the group and the non-exposed group selected subjects, and to select a well-defined population for the study. This study sampling method biggest advantage Why?

Answer: Research can be simultaneously exposed to multiple factors

Choices:
A. Research can be simultaneously exposed to multiple factors
B. You can reduce research costs
C. Can quickly complete research work
D. The impact of confounding factors can be completely solved


Question: A 75-year-old male, red patches of eczema itching in the scrotum and penis appear at A, the skin pathology slice B, the following statements is true?

Answer: To mark apocrine (apocrine gland) immunostained epithelial cells do, often positive

Choices:
A. More than 80% of patients have tumors of the genitourinary system, skin lesions and more transferred from its
B. May have sexually transmitted
C. Carbon dioxide partial surgical resection or laser ablation, high cure rate
D. To mark apocrine (apocrine gland) immunostained epithelial cells do, often positive


Question: Which of the following occurs in the pelvis and lumbar plexus directly from (lumbar plexus)?

Answer: Obturator nerve (obturator nerve)

Choices:
A. Superior gluteal nerve (superior gluteal nerve)
B. To the obturator nerve (nerve to obturator internus)
C. Obturator nerve (obturator nerve)
D. Pelvic splanchnic nerve (pelvic splanchnic nerve)


Question: Which is not a combination of the β-subunit of α-subunit hormone?

Answer: GnRH（gonadotropin releasing hormone）

Choices:
A. GnRH（gonadotropin releasing hormone）
B. TSH（thyroid stimulating hormone）
C. FSH（follicle stimulating hormone）
D. LH（luteinizing hormone）


Question: Under the figure for the treatment of surgical Which of the following symptoms?

Answer: Spastic pad toe walk

Choices:
A. Tibial nerve palsy
B. Habitual ankle sprain
C. Heel tendon is not completely broken
D. Spastic pad toe walk


Question: Rongyifasheng twin transfusion syndrome (twin-twin-transfusion syndrome), it is one of the following features twin transfusion syndrome blood donors (donor) is?

Answer: Underweight

Choices:
A. Edema
B. Gender
C. Polyhydramnios
D. Underweight


Question: About bacterial DNA replication narrative, that a mistake?

Answer: May begin never specific DNA sequences

Choices:
A. May begin never specific DNA sequences
B. Can be started from multiple starting points
C. There are different machines and can turn in both directions
D. Is responsible for a variety of DNA polymerases


Question: On the left ventricle of the coronary blood supply, which of the following correct?

Answer: Mainly in diastole

Choices:
A. The average allocation for systolic and diastolic
B. Mainly in diastole
C. Mainly in systole
D. Often depending on the level of systolic blood pressure varies


Question: 11. ㄧ bit 70 year-old male patient complained of progressive dyspnea, cough, sputum but not much, chest X-ray display both lobes infiltration, HRCT (high-resolution CT) shows the major changes basilar and subpleural reticular opacities , traction bronchiectasis and honeycombing performance, the most likely diagnosis is:

Answer: usual interstitial pneumonia（UIP）

Choices:
A. usual interstitial pneumonia（UIP）
B. nonspecific interstitial pneumonia（NSIP）
C. cryptogenic organizing pneumonia
D. aspiration pneumonia


Question: ⼩ not have lymph nodes (lymphatic nodules) within Which of the following organs?

Answer: Thymus (thymus)

Choices:
A. Thymus (thymus)
B. Spleen (spleen)
C. ⼩腸（small intestine）
D. Tonsil (tonsil)


Question: The following related incision hernia (incisional hernia) of the narrative, what's wrong?

Answer: Must use artificial membrane (mesh) to patch the gap

Choices:
A. From the past or too much tension abdominal surgical wound healing
B. Postoperative wound infection is one of the reasons
C. Surgery is the only effective treatment approach
D. Must use artificial membrane (mesh) to patch the gap


Question: There are statements about the Panner disease, which of the following error?

Answer: The most common symptom is pain and limitation of elbow bend

Choices:
A. Occurred in the humeral head (capitellum) osteochondral lesions (osteochondrosis)
B. The probability of occurrence on the right side than the left elbow of the elbow
C. Occurs in children 5-11 years old
D. The most common symptom is pain and limitation of elbow bend


Question: Following surgery and hematoma (hematoma) related to the narrative, what's wrong?

Answer: Before surgery to correct coagulation disorders (coagulopathy) does not reduce the incidence of post-operative hematoma

Choices:
A. Hematoma may occur infection
B. Many of the hematoma is caused due to insufficient hemostasis
C. Hematoma of the neck is too large will affect the function of the respiratory tract
D. Before surgery to correct coagulation disorders (coagulopathy) does not reduce the incidence of post-operative hematoma


Question: In the most developed countries of endometrial cancer diagnosis, is the first of several?

Answer: The first phase

Choices:
A. The first phase
B. the second term
C. Phase III
D. Phase IV


Question: There will be unsteady gait (ataxia) in patients with cerebellar damage when walking phenomenon, related to the statements is wrong?

Answer: Muscle weakness (weakness) is the main factor causing gait disorders

Choices:
A. Patients with open eyes walking helps to increase stability
B. Muscle weakness (weakness) is the main factor causing gait disorders
C. Receiving from the vestibular system cerebellum (vestibular system), skeletal muscle, skin and other sensory information
D. Patients may have difficulty merging perform meticulous action (fine movement) of


Question: Congenital adrenal hyperplasia (congenital adrenal hyperplasia) of newborn screening in Taiwan is to determine the baby's blood spots:

Answer: 17-hydroxyprogesterone

Choices:
A. ACTH
B. cortisol
C. 17-hydroxyprogesterone
D. 21-hydroxylase enzyme activity 22 related velocardiofacial (DiGeorge) syndrome of the narrative, Which statement is correct?


Question: A 1-day-old full-term baby boy was later found to have congenital birth deformities and heart murmur. Birth weight of 1.8 kg, 43 cm length, 31 cm in head circumference; Zhang Liqiang muscle (hypertonia); malformation of their hands as shown in FIG. Which of the following is the most likely diagnosis?

Answer: Trisomy 18 syndrome

Choices:
A. Holt-Oram syndrome
B. Trisomy 18 syndrome
C. Ellis-van Creveld syndrome
D. Alagille syndrome


Question: For the treatment of heart failure, which of the following drugs can not increase the survival rate?

Answer: Digitalis (digoxin)

Choices:
A. Angiotensin converting enzyme inhibitors (angiotensin-converting enzyme inhibitor, ACEI)
B. Digitalis (digoxin)
C. B sympathetic antagonist (β-blockers)
D. Aldosterone antagonist (spironolactone)


Question: Glucocorticoids (glucocorticoids) mainly in the following ways into the cell, regulate the transcription of genes?

Answer: Directly through the cell membranes into the cell and receptor binding, and then bound to the DNA sequences

Choices:
A. Receptor binding and re-enter the cell membrane, directly bound to the DNA sequences
B. After binding to receptors on the cell membrane, via the message transmission path
C. Directly through the cell membranes into the cells are directly bound to the DNA sequence
D. Directly through the cell membranes into the cell and receptor binding, and then bound to the DNA sequences


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

Answer: Pancreatic β cells after glucose metabolism and insulin secretion caused by

Choices:
A. Starch-containing food through the stomach wall can be induced when the pancreas to secrete insulin
B. Insulin receptors on the cell membrane of muscle cells, when engaged by its insulin, glucose can be induced through the cell membranes into the interstitial fluid
C. Pancreatic β cells after glucose metabolism and insulin secretion caused by
D. Has an insulin receptor α-subunit and β-subunits 2


Question: 46-year-old Mr. Lin because of hematuria and resolve to the hospital, he and no other uncomfortable symptoms. Physicians for him to do IVU examination revealed bladder abnormalities, further CT examination, the lesion as shown. Lin most likely suffering from what disease?

Answer: Bladder Cancer

Choices:
A. Bladder stones
B. Cystitis
C. Bladder Cancer
D. Prostate hypertrophy


Question: 46,XY karyotype

Answer: Generally divided into benign mole and invasive mole (hydatidiform mole and invasive mole) and malignant tumor cells and the placenta villous trophoblast cancer (placental-site trophoblastic tumor and choriocarcinoma)

Choices:
A. Generally divided into benign mole and invasive mole (hydatidiform mole and invasive mole) and malignant tumor cells and the placenta villous trophoblast cancer (placental-site trophoblastic tumor and choriocarcinoma)
B. Mole (complete hydatidiform mole) of the most common chromosomal patterns (karyotype) is 46, XX, but can also be seen a few
C. Some typical characteristics mole (partial hydatidiform mole), including significant stromal trophoblastic inclusions (stromal trophoblastic inclusions), obviously a fan-like fluff (villous scalloping), and fetal tissue Keyijiandao
D. For the first part of the placenta trophoblastic tumor (stage I placental-site trophoblastic tumor) treatment, hysterectomy should be done, is a suitable treatment


Question: When the infants were intubated, easily lead into the left or right of the bronchi, which is the main reason why?

Answer: Trachea relatively short

Choices:
A. Trachea relatively short
B. From the upper lip to a relatively short throat portion
C. Endotracheal tube does not have the balloon, poor anchoring effect, it is easy to slide
D. The angle between the main bronchus and trachea caused not big enough


Question: 28 year old woman, G3P3, 30 weeks of pregnancy, childbirth preterm baby boy, newborn blue-violet color body and limbs, according to A Page's scoring method (Apgar score), under sub-item score of color Why?

Choices:
A. 0
B. 1
C. 2
D. 3


Question: 51 year old man, accidentally touched the right side of the neck tumors. The MRI T1WI after the injection of Gd-DTPA with fat-suppression image (Figure 1, Figure II), the most likely diagnosis is:

Answer: NPC with neck metastatic lymphadenopathies

Choices:
A. Tongue carcinoma with neck metastatic lymphadenopathies
B. Buccal mucosal carcinoma with neck metastatic lymphadenopathies
C. Minor salivary adenocarcinoma with neck metastatic lymphadenopathies
D. NPC with neck metastatic lymphadenopathies


Question: Head right in front of the crash, Which of the following most susceptible to tearing caused Parasagittal subdural hemorrhage?

Answer: The cerebral veins

Choices:
A. Meningeal artery and vein
B. The cerebral veins
C. Superficial middle cerebral vein
D. ) Cerebellar artery


Question: Primidone is a derivative of following that one anti-epileptic drugs, antiepileptic efficacy which is similar thereto?

Answer: phenobarbital

Choices:
A. phenytoin
B. phenobarbital
C. felbamate
D. topiramate


Question: When Which of the following is the main stratum corneum lipid composition, and the lack of, related to the occurrence of atopic skin inflammation?

Answer: ceramide

Choices:
A. cholesterol
B. ceramide
C. free fatty acid
D. triglyceride


Question: Muller ⽒ about anti-hormone (antimüllerian hormone, AMH) narrative, which of the following error?

Answer: Use AMH value can not be predicted ovarian response to FSH stimulation

Choices:
A. Using egg Submenu women evaluated ⼀ inventory and stimulation of the ovaries with detection ⼯
B. Is e.g. preantral follicles or antral follicles (preantral and small antral follicles) secreted by the smaller size of the follicle
C. AMH values are not affected by the gonadal hormones (gonadotropin-independent)
D. Use AMH value can not be predicted ovarian response to FSH stimulation


Question: One child under 3 years old one week diarrhea, respiratory rate 35 / min, no respiratory distress phenomenon, heart rate 150 / min, blood pressure 90/64 mmHg, capillary refill time is 5 seconds, the mother described only urinate once a day, following what's disposal immediately better?

Answer: Should be given 20 ml / kg of physiological saline infusion, within half an hour intravenous infusion is completed full

Choices:
A. There humoral defect case for Sick Children should be given hypotonic solution containing glucose, electrolytes of, but given the speed is not too fast to avoid heart failure
B. Sick Children have shock case, infusion alone can not improve blood circulation, should be given combined dopamine 2-5 μg / kg / min
C. Should be given 20 ml / kg of physiological saline infusion, within half an hour intravenous infusion is completed full
D. As good as oral and intravenous infusion infusion effect, oral administration of the electrolytic solution at 500 ml was observed in the emergency


Question: Purpose gel electrophoresis (gel electrophoresis) separation of proteins by adding SDS (sodium dodecyl sulfate) Why?

Answer: For determining the molecular weight of the protein

Choices:
A. For determining a protein's isoelectric point (isoelectric point)
B. For determining the specific activity of a protein (specific activity)
C. To protect the structure and biological activity of the protein
D. For determining the molecular weight of the protein


Question: Which of the following drugs suitable for intravenous injection manner, for the treatment of patients with acute and severe asthma or chronic obstructive pulmonary (COPD) is?

Answer: methylprednisolone

Choices:
A. cromolyn
B. tiotropium
C. montelukast
D. methylprednisolone


Question: Of drug-related disease or nephrotic syndrome, whichever the pathology often not membrane nephropathy (membranous glomerulopathy)?

Answer: Hodgkins lymphoma (Hodgkin lymphoma)

Choices:
A. Hepatitis B infection (primary tape)
B. Congenital syphilis (Syphilis)
C. Hodgkins lymphoma (Hodgkin lymphoma)
D. Drug use penicillamine


Question: 5-year-old mother took the boy to seek treatment, complained of pneumonia in hospital six months ago, accidentally discovered the boy had microscopic hematuria (urine analysis: occult blood 2+, RBC: 36-50 / HPF). After he had several of the urine test red blood cells are found in the urine, but she had never seen the boy with red urine or brown urine. Grandmother, uncle and grandmother have all been checked out with hematuria, but no one in the family kidney failure. Which of the following is the boy most likely diagnosis?

Answer: Familial thin glomerular basement membrane syndrome (thin glomerular basement membrane disease)

Choices:
A. The familial IgA nephritis (IgA called nephropathy,)
B. Familial of Alport syndrome (Alport syndrome)
C. Familial thin glomerular basement membrane syndrome (thin glomerular basement membrane disease)
D. The congenital nephrotic syndrome (congenital nephrotic syndrome)


Question: The following information about E. coli DNA replication narrative, what's wrong?

Answer: Mainly composed of DNA polymerase I to synthesize

Choices:
A. Need of RNA primer
B. Mainly composed of DNA polymerase I to synthesize
C. During replication fork replicated opened by Helicase
D. Direction is copied from the 5 '→ 3', and the error can be corrected


Question: Wang Xiaoming, 25 years old, the high school entrance examination found to have hepatitis B with the original, then there is regular follow. Currently liver AST 20 U / L, ALT 15 U / L, HBeAg positive, HBV DNA value of 2 × 107 IU / mL. Family history, his mother and brother also hepatitis B asymptomatic carrier, there is a 45-year-old uncle get in hepatocellular carcinoma. The following statements is wrong?

Answer: Wang Xiaoming should begin receiving antiretroviral therapy

Choices:
A. Xiaoming most likely route of infection of hepatitis B infection vertical (Vertical transmission)
B. Wang Xiaoming is currently in the natural history of hepatitis B in the "immune tolerant phase (Immune tolerance phase)."
C. Wang Xiaoming of the future incidence of liver cancer than the general asymptomatic carrier of hepatitis B is high
D. Wang Xiaoming should begin receiving antiretroviral therapy


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

Answer: Lenticular (cylindric lens) of the shaft (axis), refers to a direction where the cylindrical power (Meridian)

Choices:
A. FIG sundial radial shape on the eye chart, is designed for the inspection of astigmatism with
B. Corneal curvature measured by the corneal astigmatism, the astigmatism of the eye can be used as a reference
C. Astigmatism may by cylinder (Cylinder) to correct the refractive error (refractive errors)
D. Lenticular (cylindric lens) of the shaft (axis), refers to a direction where the cylindrical power (Meridian)


Question: Which of the following ATPase responsible for maintaining the body's largest mammals ion concentration gradient (gradient)?

Answer: Hydrogen ions - potassium adenosine triphosphatase (H + -K + ATPase)

Choices:
A. Sodium - potassium adenosine triphosphatase (Na + -K + ATPase)
B. Erythrocyte anion transporter (anion transporter)
C. Hydrogen ions - potassium adenosine triphosphatase (H + -K + ATPase)
D. Calcium adenosine triphosphatase (Ca2 + ATPase)


Question: A 50-year-old man to the emergency room for treatment, complained of swelling and pain in the jaw, tongue backward shift, the following statements is most inappropriate?

Answer: After oral antibiotics can be tracked to the clinic

Choices:
A. Ludwig's angina is possible differential diagnosis
B. Tooth decay or oral patients, because the cleaning is not held due to
C. After oral antibiotics can be tracked to the clinic
D. CT can be used to diagnose


Question: Physicians in patients with mitral valve auscultation a diastolic murmur (diastolic murmur), then it may be the reasons?

Answer: Mitral valve stenosis (stenosis)

Choices:
A. Left ventricular pressure is too high
B. Left ventricular pressure is too low
C. Mitral valve stenosis (stenosis)
D. Mitral regurgitation (insufficiency)


Question: Statements about temporomandibular joint (temporomandibular joint), the Which statement is correct?

Answer: Pterygoid muscle (lateral pterygoid muscle) contraction of the mandible op (Protrusion)

Choices:
A. Styloid mandibular ligament (stylomandibular ligament) attached to the mandible tongue (lingula of mandible)
B. Sphenoid mandibular ligament (sphenomandibular ligament) is attached in the mandibular angle (angle of mandible)
C. Pterygoid muscle (lateral pterygoid muscle) contraction of the mandible op (Protrusion)
D. Temporomandibular joint articular cartilage plate is made of elastic (elastic cartilage)


Question: 40. With regard to children muscular torticollis (torticollis), the following statements is true? ① ② for the sternocleidomastoid fibrosis caused by the rotation of the affected side of the face to face the opposite side of restricted ③ ④ dysplasia are required surgery

Answer: Only ①②

Choices:
A. ②④
B. ①③④
C. Only ①②
D. ①②③


Question: Which of the following is not involved in the formation of a cross anastomosis (cruciate anastomosis) of?

Answer: Superior gluteal artery (superior gluteal artery)

Choices:
A. The first perforating artery (the first perforating artery)
B. Superior gluteal artery (superior gluteal artery)
C. Medial femoral circumflex artery (medial femoral circumflex artery)
D. Lateral femoral circumflex artery (lateral femoral circumflex artery)


Question: Mr. Wang because of persistent abdominal pain and visits to the hospital emergency room, according to his description, the beginning of abdominal pain around the navel, a few hours after the symptoms intensified and turned into the right lower quadrant abdominal pain, location, Wang underwent surgery after confirmed acute appendicitis. Then this type of pain should be which of the following?

Answer: Transition from organ pain (visceral pain) as abdominal pain (parietal pain)

Choices:
A. Projection pain (referred pain)
B. Transition from organ pain (visceral pain) as abdominal pain (parietal pain)
C. Transition from abdominal pain (parietal pain) to organ pain (visceral pain)
D. Chronic pain (chronic pain)


Question: About HLA-B27 associated with ankylosing spondylitis of the narrative, that one right?

Answer: In general, fewer women suffering from ankylosing spondylitis; and the prognosis is better than male patients, less severe hunchback

Choices:
A. Diagnosis of ankylosing spondylitis, HLA-B27 do the examination is necessary
B. From about 7 to about ankylosing spondylitis patients which are positive for HLA-B27
C. HLA-B27 positive patients will suffer from about 4 days to ankylosing spondylitis
D. In general, fewer women suffering from ankylosing spondylitis; and the prognosis is better than male patients, less severe hunchback


Question: Low blood capacitive shock (hypovolemic shock) is that one of the following situations?

Answer: A

Choices:
A. A
B. B
C. C
D. D


Question: 75. limb fractures often accompanied by other damage, following the merger injury that is correct? ① ② scapular fracture associated with pulmonary contusion lumbar fracture dislocation of the knee associated with intra-abdominal injury ③ ④ accompanied femoral artery injuries associated with fractures of vertebral fractures

Answer: ①②④

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④


Question: Principle of treatment following acute hypercalcemia that one of the most inappropriate?

Answer: The use of thiazide diuretics

Choices:
A. Immediately replenish physiological saline
B. The use of thiazide diuretics
C. Hypercalcemia of malignancy initiator may consider administering bisphosphonate (bisphosphonates)
D. Vitamin D can cause hypercalcemia consider using steroids


Question: Related to sex hormones secretion in cells of ovarian follicles, the following statements is true?

Answer: Oocysts granulosa cells and cell membrane

Choices:
A. Confined to granulosa cells (granulosa cells)
B. Granulosa cells and base cells (basal cells)
C. Oocysts ligament cells (theca cells) and basal cell
D. Oocysts granulosa cells and cell membrane


Question: Which of the following complications of lung cancer, NA chest radiation therapy to relieve symptoms?

Answer: A large number of pleural effusion

Choices:
A. Superior vena cava obstruction syndrome (superior vena cava syndrome)
B. Large airways oppressed
C. Chest pain caused by violations
D. A large number of pleural effusion


Question: In applying primary total knee arthroplasty, following what the organization must be removed during surgery?

Answer: The top ten ligament (anterior cruciate ligament)

Choices:
A. The top ten ligament (anterior cruciate ligament)
B. Patella tendon (patellar tendon)
C. MCL (medial collateral ligament)
D. Lateral collateral ligament (lateral collateral ligament)


Question: 25-year-old female patient, the last three years every morning is always confusion, it is difficult to get up. And they have a suspect but had amnesia to psychiatric attendances, while taking the medication. One morning, the family can not afford to find her sleeping, her emergency hospital. Examination revealed insulin and blood glucose ratio (I / G) exceeding 1; After fasting, abnormal mental condition of the patient becomes more apparent. MRI scan and stimulate hepatic vein arterial blood sampling technique (selective arterial calcium stimulation with hepatic venous sampling) found in pancreatic tumors of the tail, and pancreatic tumors located very close. Which of the following, as the most likely diagnosis?

Answer: Insulinoma (insulinoma)

Choices:
A. Gastrinoma (gastrinoma)
B. Insulinoma (insulinoma)
C. CHH tumor (glucagonoma)
D. Somatostatin tumor (somatostatinoma)


Question: If long-term intake of large amounts of protein but contains a very small amount of starch foods, the body will appear Which of the following symptoms?

Answer: Blood levels of ketones (ketone bodies) will rise sharply

Choices:
A. Urea content in urine will significantly reduce
B. The body will accumulate a lot of fat
C. Blood levels of ketones (ketone bodies) will rise sharply
D. Is likely to lead to metabolic alkalosis (metabolic alkalosis)


Question: 35-year-old man was diagnosed with renal cell carcinoma, liver and pancreas surgery found that the presence of cysts in patients with a history of kidney cancer father, brain magnetic resonance according to the film found in the cerebellum part of a tumor, the patient is most likely that one of the following genes mutation?

Answer: VHL

Choices:
A. Rb
B. p53
C. VHL
D. WT-1


Question: A 70-year-old female patient with hypertension, history of diabetes for many years, are normal to get up at 6 am, but when the toilet suddenly spoke very clearly, the left limb weakness, early morning 6:50 to be sent to the emergency room, blood pressure and family: 180/98 mmHg, whichever is the least processed following suit?

Answer: Give prophylactic antihypertensive drugs, and arrange care center beds

Choices:
A. After history taking and physical simple neurological examination, should immediately arrange for the brain computer tomography
B. Immediately blood and blood-related biochemical examination, and electrocardiogram
C. Give prophylactic antihypertensive drugs, and arrange care center beds
D. If these were all normal, given rt-PA thrombolytic agent as soon as possible


Question: Central nervous system passed by the right ear auditory input, where the spread?

Answer: superior temporal gyrus sides of

Choices:
A. postcentral gyrus on the right side of
B. posterior sides of temporal gyrus
C. superior temporal gyrus sides of
D. the right side of the posterior temporal gyrus


Question: 50-year-old male liver transplant recipients seventh day, right upper abdominal pain and slight fever, γ-GT, Alk-P and Bilirubin slight increase, the most likely reason why?

Answer: Acute rejection (Acute rejection)

Choices:
A. Hepatic portal vein thrombosis (Portal vein thrombosis)
B. Cytomegalovirus infection
C. New reverse liver
D. Acute rejection (Acute rejection)


Question: Which of the following is often added to milk and calcium supplements, prevention of childhood rickets and osteomalacia in adults?

Answer: iodides

Choices:
A. levothyroxine
B. iodides
C. liothyroine
D. calcitriol


Question: From the previous question, the woman came for treatment date is May 1, 2005, what was the number of weeks of pregnancy Why? Please choose the most appropriate answer lies in the four following:

Answer: 12 weeks

Choices:
A. 8 weeks
B. 12 weeks
C. 16 weeks
D. 20 weeks


Question: A 30-year-old male complained of lower back pain with left lower limb sciatica, magnetic resonance imaging (MRI) examination showed a disc (extraforaminal disc herniation) outside the fourth and fifth lumbar vertebrae left side of the hole. Most likely to be pressure stimulation of the nerve root is which of the following?

Answer: The left side of the fourth lumbar nerve root

Choices:
A. Left second lumbar nerve root
B. The left side of the third lumbar nerve root
C. The left side of the fourth lumbar nerve root
D. The left side of the fifth lumbar nerve root


Question: Newborn loses heat more easily than adults, the reason is:

Answer: Body surface area to body weight ratio of the higher

Choices:
A. Heart rate, respiratory rate faster
B. Body surface area to body weight ratio of the higher
C. Brown fat faster metabolic rate
D. High blood thyroxine


Question: Which of the following is not attached to the perineal body (perineal body)?

Answer: Ischiocavernosus (ischiocavernosus)

Choices:
A. External anal sphincter (external anal sphincter)
B. Bulbospongiosus (bulbospongiosus)
C. Levator ani (levator ani)
D. Ischiocavernosus (ischiocavernosus)


Question: Which of the following is not suitable for the treatment of psoriasis vulgaris (psoriasis vulgaris)?

Answer: Oral steroids

Choices:
A. Narrow band ultraviolet B light
B. Topical vitamin D derivative
C. Oral steroids
D. Topical steroids


Question: Anorectal bending (anorectal flexure) of the angle, which of the following is mainly formed by a traction?

Answer: Shame rectal muscle (puborectalis muscle)

Choices:
A. Shame rectal muscle (puborectalis muscle)
B. Hajiohada (pubococcygeal muscle)
C. Deep transverse perineal muscles (deep transverse perineal muscle)
D. External anal sphincter (external anal sphincter)


Question: A 40-year-old woman, the most recent year uniform chunks of brown spots (brown patches) occur in the cheeks, this spot due to sun exposure and deterioration, the most likely diagnosis is:

Answer: Liver spots (chloasma)

Choices:
A. Freckles (freckles)
B. Sunshine of the small mole (solar lentigo)
C. Atopic dermatitis light (photosensitive dermatitis)
D. Liver spots (chloasma)


Question: 48-year-old woman, do smear reported as high-grade squamous intraepithelial lesion (HSIL), whichever is the most appropriate next step disposal?

Answer: Biopsy under colposcopy is recommended

Choices:
A. Smear once half a year tracking
B. Consider HPV testing and HPV vaccines administered to play
C. Biopsy under colposcopy is recommended
D. Arrange fractional D & C inspection


Question: The following description of DNA replication, whichever is correct?

Answer: DNA replication will take some RNA primer

Choices:
A. DNA replication without having to energy
B. DNA replication is a part of the full retention mode (conservative model)
C. DNA replication will take some RNA primer
D. DNA replication starting point may be any DNA


Question: About narrative antibiotics, Which statement is correct?

Answer: Folic acid methoxy pyrimidine (Trimethoprim) generation inhibition of folic acid

Choices:
A. Clavulanic acid (Clavulanic acid) are generally used alone
B. Folic acid methoxy pyrimidine (Trimethoprim) generation inhibition of folic acid
C. Erythromycin (Erythromycin) inhibition of cell wall synthesis
D. Sulfonamides (Sulfonamide) inhibition of DNA gyrase (Gyrase)


Question: Mr. Wong, 60 years old, abdominal CT, abdominal angiography and diagnosed with liver cancer after liver biopsy, the following statements is wrong?

Answer: For multiple liver cancer, embolization (trans-arterial embolization therapy, TAE) will only increase patient mortality, should not be considered

Choices:
A. Surgical resection is less than 5 cm for the solitary liver, eradication of the method of treatment (Curative) of
B. For the treatment of liver tumors Coffee solitary liver of less than 3 cm, good results treatment
C. For multiple liver cancer, embolization (trans-arterial embolization therapy, TAE) will only increase patient mortality, should not be considered
D. Tracking postoperative liver include blood and abdominal ultrasound A fetoprotein (α-fetoprotein) Check


Question: Weight <2000 g of preterm children, how much of the moisture requirements mL / Kg / day is about?

Answer: 150

Choices:
A. 150
B. 100
C. 50
D. 20


Question: Which of the following peritoneal dialysis patients with the most common cause of peritonitis?

Answer: Gram-positive bacteria

Choices:
A. Viral
B. Mold
C. Gram-negative bacteria
D. Gram-positive bacteria


Question: The 45-year-old male patient after resection cholecystitis, back to the ward, the attending physician found that abdominal X-rays after the track, there are residual gauze. The following statements is wrong?

Answer: To enhance the quality of care, reduce medical errors occur, should be established punitive medical error reporting system

Choices:
A. To conceal the error occurred on the patient's health could undermine public trust for medicine
B. When a patient by a medical injury, they have the right to seek an appropriate correction or compensation
C. To enhance the quality of care, reduce medical errors occur, should be established punitive medical error reporting system
D. Way physicians should try not to self-defense or excuse to shirk its responsibility will be informed


Question: 41 an 73 year-old male, a figure below the plaque (Plaque) left arm recently occurred two weeks, even itch; 1 week of treatment with the ointment-until no improvement. Inquiry found that patients with a recent three weeks due to urinary tract infections oral anti-inflammatory drugs; and about a year ago also similar lesions in the left arm with the Department appears. The most likely clinical diagnosis:

Answer: Drug rash fixed type (Fixed drug eruption)

Choices:
A. Psoriasis (Psoriasis)
B. Drug rash fixed type (Fixed drug eruption)
C. 體 癬 (tinea body)
D. Erythema multiforme (Erythema multiforme)


Question: In accordance with the provisions of the medical law, medical surgery, the patient should or their legal representatives, spouses, relatives or relations who explained the reasons surgery, the success rate of surgery or complications and the possible dangers of, and with its consent, signed with surgery consent and anesthesia consent form before they may engage. But what kind of situation unless?

Answer: Urgency of the situation by

Choices:
A. Urgency of the situation by
B. Private patient
C. Outpatient surgery
D. Endoscopic surgery


Question: Assessment of suicide risk factors, those are relatively low risk?

Answer: The impulsive suicidal behavior

Choices:
A. Widowed
B. The impulsive suicidal behavior
C. ERA (self blame)
D. Hanging or jumping


Question: The following pairwise combinations of that molecule (molecules on endothelial cells / molecules on leukocytes) occurs when cells migration of inflammatory response (cell migration)?

Answer: E-selectin/CD15s（sialyl-Lewis-X carbohydrate of CD15）

Choices:
A. MadCAM/α4β1
B. E-selectin/CD15s（sialyl-Lewis-X carbohydrate of CD15）
C. IL-8 / CCR2
D. VCAM-1/LFA-1


Question: Abnormal construction phase of the common bile duct and pancreatic duct at (Anomalous junction of pancreatic duct and common bile duct) What may cause disease?

Answer: Bile duct cyst

Choices:
A. Biliary atresia
B. Bile duct cyst
C. Duct cyst
D. Duodenum 囊腫


Question: Which of the following is not the core symptoms of autism?

Answer: Mental retardation

Choices:
A. Impairment of social interaction
B. Mental retardation
C. Abnormal communication skills
D. Limitations, repeatedly, solid behavioral / interest / activity


Question: Acute pancreatitis attack, the first to be activated enzyme why?

Answer: Trypsin (Trypsin)

Choices:
A. Pancreatic amylase (pancreatic amylase)
B. Trypsin (Trypsin)
C. Pancreatic chymotrypsin (chymotrypsin)
D. Pancrelipase (pancreatic lipase)


Question: The following statements about the emotional schizophrenia (schizoaffective disorder), and what's wrong?

Answer: The prognosis of this disease and schizophrenia same

Choices:
A. The prognosis of this disease and schizophrenia same
B. Family members of patients with this disease than the average person more likely to get schizophrenia
C. Compared to the main symptoms of schizophrenic symptoms, the main symptoms of affective symptoms in patients with better prognosis thereof
D. Diagnosis of this disease, there must be a period of time there is schizophrenic symptoms and affective symptoms at the same time


Question: 63-year-old Ms. Wang diabetic nephropathy, its pedigree (pedigree) and patient self-administered the Family Circle (family circle) as shown below. Ms. Wang recently due to acute renal failure and acute respiratory distress syndrome, was admitted to the intensive care unit and intubated, after nearly a week of treatment, no significant improvement in the condition, you must perform a tracheostomy (tracheostomy), medical staff told Ms. Wang and needs of the families of tracheostomy. Although Ms. Wang could not speak, but conscious, has been shaking his head refused tracheostomy, in addition to the efforts of the medical staff, you would think that a family member ask to convince the most appropriate?

Answer: Second son

Choices:
A. Mr
B. Eldest son
C. Second son
D. Second daughter


Question: About the narrative Sugiura procedure, which of the following error?

Answer: Belongs to a selective shunt

Choices:
A. Belongs to a selective shunt
B. Suitable for splenic vein thrombosis
C. Subject to esophageal transection
D. In patients with alcoholic liver cirrhosis have a higher rebleeding rate


Question: Pathological changes associated with diabetic retinopathy (diabetic retinopathy) of the organization, which of the following error?

Answer: Microvascular basement membrane thinning (thinning of the basement membrane)

Choices:
A. Microvascular basement membrane thinning (thinning of the basement membrane)
B. Blocking tiny blood vessels (microvascular occlusion)
C. Microvascular outer cells are lost (loss of pericyte)
D. Angiogenesis (neovascularization)


Question: Testicular teratoma (teratoma) Sick Children, if blood fetoprotein tumor marker (α-fetoprotein) increases, this kind of malignant tumor may contain components?

Answer: Yolk sac tumor (yolk sac tumor)

Choices:
A. Yolk sac tumor (yolk sac tumor)
B. HCC (hepatocellular carcinoma)
C. Gastrointestinal cancer (adenocarcinoma)
D. Neuroblastoma (neuroblastoma)


Question: That following a abdominal organs most commonly injured in blunt abdominal trauma in?

Answer: spleen

Choices:
A. liver
B. kidney
C. spleen
D. Pancreas


Question: 14 patients with advanced lung  Vice half azygos vein (accessory hemiazygos vein)  IVC (inferior vena cava) tumors, and hoarseness of situation occurs, the tumor has violated Which of the following is most likely?

Answer: 14 patients with advanced lung inferior vena cava (inferior vena cava) tumors, and hoarseness of situation occurs, the tumor has violated Which of the following is most likely?

Choices:
A. Vice half azygos vein (accessory hemiazygos vein)
B. 14 patients with advanced lung inferior vena cava (inferior vena cava) tumors, and hoarseness of situation occurs, the tumor has violated Which of the following is most likely?
C. Phrenic nerve (phrenic nerve)
D. Vagus nerve (vagus nerve)


Question: The following statements about the regulation of the retinoblastoma protein (retinoblastoma protein), and what's right?

Answer: Can bind E2F transcription factor, influence gene transcription

Choices:
A. Can bind E2F transcription factor, influence gene transcription
B. Can promote the activation of Rhodopsin kinase
C. Its kinase (Kinase) activity, may be activated via phosphorylation after
D. As a cancer-causing gene


Question: 65 If the two different inbred strain mice, A and B strains of mating produce progeny F1, F1 mouse is then mated with each other and then the obtained progeny F2. At this time, if the F2 F1 mice either a skin graft, the proportion of F1 mice skin was accepted F2 mice (%) Why?

Answer: 50

Choices:
A. 100
B. 75
C. 50
D. 25


Question: Glutathione involved in the oxidation-reduction reaction in the cell, which is three peptides consisting of those three amino acids of (tripeptide)?

Answer: glutamate, cysteine, glycine

Choices:
A. methionine, glutamate, cysteine
B. glutamate, cysteine, glycine
C. alanine, methionine, glutamate
D. arginine, aspartic acid, methionine


Question: Sinusitis cases of fungal infection caused by complications, Which of the following is the most typical signs?

Answer: Blood clots

Choices:
A. Rupture of blood vessels
B. Blood clots
C. Bone marrow involvement
D. Muscle dissolution


Question: A 35-year-old man two hours ago right ankle breakthrough pain into the room emergency room. Patients represents years ago had a similar situation occurred in the left knee by a physician after playing analgesics relieve, I do not know why. And colleagues to dinner tonight. Half an hour began to ache after eating seafood dinner and beer. Physical checkups with a body temperature is 37.3 ℃, right ankle joint swelling and marked tenderness. Blood leukocytes was 14,500 / mm3, Which of the following best help further the differential diagnosis?

Answer: Synovial fluid analysis

Choices:
A. Blood uric acid levels
B. Synovial fluid analysis
C. Ankle X-ray
D. CRP


Question: Which of the following is not a serious type of pre-eclampsia (severe preeclampsia) of the index?

Answer: Polyuria

Choices:
A. headache
B. Abdominal pain
C. Blurred vision
D. Polyuria


Question: 42-year-old Lee, suffering from uremia, hemodialysis therapy. Recently found to have superficial bladder cancer, just accepted transurethral resection of bladder tumor, a kidney transplant as soon as possible he wants to do, what the best time?

Answer: After 2 years

Choices:
A. After 3 months
B. After 6 months
C. 1 year after
D. After 2 years


Question: Emergency obstetric A 17-year-old girl, due to menstrual expired, spotty bleeding, left lower quadrant pain, complained of asexual experience, then what kind of check as the first priority?

Answer: Pregnancy tests

Choices:
A. Pregnancy tests
B. Vaginal ultrasound
C. Abdominal computed tomography
D. Smear


Question: When assessing a dementia (dementia) patients, for the purpose of brain computerized tomography (CT) or magnetic resonance imaging (MRI) examination in that:

Answer: Find out if there are other causes of dementia diseases such as tumor, subdural hemorrhage

Choices:
A. Determine whether there is brain atrophy
B. Determine the extent of brain atrophy
C. As the index tracking the extent of brain degeneration year
D. Find out if there are other causes of dementia diseases such as tumor, subdural hemorrhage


Question: Curie (Curie) is following what kind of ionizing radiation per unit?

Answer: radioactivity

Choices:
A. absorbed dose
B. equivalent dose
C. radioactivity
D. collective dose


Question: Patients with trigeminal neuralgia therapy drugs (such as carbamazepine, gabapentin), following which method works the fastest?

Answer: Microvascular decompression (microvascular decompression)

Choices:
A. Microvascular decompression (microvascular decompression)
B. Trigeminal ganglia injection glycerin (glycerol injection)
C. Gamma Knife stereotactic surgery (gamma knife surgery)
D. Balloon oppression surgery (balloon compression)


Question: Which of the following is not a human parvovirus B19 (Human parvovirus B19) infection caused by the clinical manifestations?

Answer: Baby Rose rash (roseola infantum)

Choices:
A. Fifth Disease (erythema infectiosum)
B. Baby Rose rash (roseola infantum)
C. Hyperkinetic aplastic anemia (transient aplastic anemia)
D. Water fetus (hydrops fetalis)


Question: A 34-year-old woman, G0 (gravida), has been trying to get pregnant for three years have failed to conceive. She has many years of severe pelvic pain and pain during intercourse (dyspareunia). Pelvic examination revealed nodular and tender uterosacral ligament, uterus backward (retroverted) but normal in size, mass and right appendages. Vaginal ultrasound right ovarian cancer found a 6 cm. Blood tests aspects, CA 125 index rose. The next most appropriate disposal is which of the following?

Answer: Laparoscopic ovarian cystectomy (laparoscopy with cystectomy)

Choices:
A. Gonadotropin-releasing hormone similar body (GnRH agonist)
B. Diagnostic laparoscopy (diagnostic laparoscopy)
C. Laparoscopic ovarian cystectomy (laparoscopy with cystectomy)
D. Laparoscopic right oophorectomy (laparoscopy and right oophorectomy)


Question: Epididymis (epididymis) belongs to the epithelial lining:

Answer: Pseudo stratified columnar epithelium (pseudostratified columnar epithelium)

Choices:
A. Pseudo stratified columnar epithelium (pseudostratified columnar epithelium)
B. Stratified squamous epithelium (stratified squamous epithelium)
C. The multilayer columnar epithelium (stratified columnar epithelium)
D. Transitional epithelium (transitional epithelium)


Question: When the body is exposed to respiratory allergens, bronchial contracture early produce reaction (early bronchospastic response), can cause acute asthma attacks, mainly due to:

Answer: Fat cells (mast cells) secrete histamine (Histamine) and leukotrienes (leukotrienes are)

Choices:
A. Chemical hormone (chemokines) secretion induced chemotaxis of eosinophilic leukocyte (chemotaxis)
B. The first type helper cells (TH1-lymphocytes) produced as interleukin matter -2 (interleukin-2) and gamma interferon (interferon-gamma)
C. Fat cells (mast cells) secrete histamine (Histamine) and leukotrienes (leukotrienes are)
D. Airway goblet cell hyperplasia (goblet cell hyperplasia) and stagnant mucus (mucus plug)


Question: Thyroidectomy patients accidentally hurt your watch laryngeal nerve outside (external laryngeal nerve), following what most muscle function may be impaired?

Answer: Ring bones muscle (cricothyroid muscle)

Choices:
A. Ring bones muscle (cricothyroid muscle)
B. Thyroid scoop musculoskeletal (thyroarytenoid muscle)
C. Dipper muscle backing ring (posterior cricoarytenoid muscle)
D. Outer cricoarytenoid muscle (lateral cricoarytenoid muscle)


Question: In elderly people aged 70 thigh and forearm flexor side, axillary, inguinal and lower abdominal skin of a plurality of blisters (bullae), under the skin tissue sections exhibit non acantholysis blisters (subepidermal nonacantholytic blisters), immunofluorescent Examination showed immunoglobulin and complement deposition in the basement membrane substantially linear parts, the diagnosis why?

Answer: Pemphigoid large blisters (bullous pemphigoid)

Choices:
A. Pemphigus vulgaris (pemphigus vulgaris)
B. Pemphigus erythematosus (pemphigus erythematosus)
C. Pemphigoid large blisters (bullous pemphigoid)
D. Dermatitis herpetiformis (dermatitis herpetiformis)


Question: Which of the following may stimulate GnRH pulses?

Answer: Catecholamine

Choices:
A. Hyperprolactinemia
B. Cushing's disease
C. Catecholamine
D. Acromegaly


Question: When a patient in a wheelchair problematic hip internal rotation (internal rotation), the following statements is true?

Answer: Must check for hip dislocation (dislocation) of problem

Choices:
A. Must check for hip dislocation (dislocation) of problem
B. Wheelchair seat (seat) depth is too long
C. Probably because too hip flexion (flexion), this time can be adjusted more hip extension (Extension) posture
D. The question put on a limb ankle foot bracket (ankle-foot orthosis) can improve this problem


Question: Which of the following is an important disease Zollinger-Ellison's syndrome?

Answer: Peptic ulcer

Choices:
A. hypertension
B. High blood sugar
C. Hepatic coma
D. Peptic ulcer


Question: Which of the following as a pre-palate cleft lip (cleft lip and palate) and cleft palate after the demarcation of the index?

Answer: Waterloo incisors (incisive fossa)

Choices:
A. A blind hole (foramen cecum)
B. Waterloo incisors (incisive fossa)
C. Large palatal canal (greater palatine canal)
D. Foramen ovale (foramen ovale)


Question: Treatment of the following statements about bronchiectasis, what's wrong?

Answer: For patients with repeated infections should be long-term use of antibiotics to prevent further damage to the respiratory tract

Choices:
A. For patients with repeated infections should be long-term use of antibiotics to prevent further damage to the respiratory tract
B. The appropriate use of bronchodilators may improve the symptoms of patients
C. Pulmonary rehabilitation to improve the respiratory tract mucus accumulation, play an important role
D. aspergilloma caused repeatedly hemoptysis, surgical resection may be considered


Question: If children with disseminated intravascular coagulation (DIC) occurs when a blood test, which of the following does not appear?

Answer: Elevated blood fibrinogen

Choices:
A. Blood D-dimer appearance
B. Blood Factor V or Factor VIII to reduce
C. Platelets (Platelets) reduce the number of
D. Elevated blood fibrinogen


Question: 67.63-year-old Ms. Zhang, three months ago adult health check report shows that total cholesterol 264 mg / dL, triglycerides 145 mg / dL, HDL cholesterol 59 mg / dL, other normal. The very fact that no smoke, no other medical history, father has diabetes. Review the results of LDL cholesterol 150 mg / dL, blood pressure 126/72 mmHg, body mass index (BMI) 30.1 kg / m2, the following statements is most appropriate?

Answer: At this point only continue to improve the way of life, not to be given statin drugs therapy

Choices:
A. The very fact belong to moderate risk of cardiovascular disease by (moderate risk)
B. The very fact that the low-density lipoprotein cholesterol above target
C. At this point only continue to improve the way of life, not to be given statin drugs therapy
D. Shall be according to Framingham Heart Study risk equation conjecture value within five years of suffering from coronary heart disease, in order to decide the very fact of cholesterol goals


Question: 19 A 20-year-old male recently lower limb edema, urine can not afford to have a red bubble. Blood test showed a low value of patient serum albumin (albumin 2.0 g / dL); and Urine examination showed proteinuria (urine protein> 300 mg / dL). Blood tests found elevated hemoglobin values phenomenon (hemoglobin 16.8 g / dL). About the patient's narrative, Which of the following is most likely to happen?

Answer: The blood of patients with renin (renin) concentration will increase

Choices:
A. The total discharge amount of sodium will increase kidney patients
B. The blood of patients with renin (renin) concentration will increase
C. Patients outer intercellular tissue interstitial fluid (interstitial fluid) purified water pressure (hydrostatic pressure) decreases
D. Lymph flow (thoracic duct lymph flow) within the patient's chest tube will be reduced


Question: Blood epinephrine (epineprine) which inhibits the metabolism of the liver or muscle concentration rises?

Answer: Liver glycolysis (Glycolysis)

Choices:
A. Liver glycolysis (Glycolysis)
B. Muscle glycolysis (glycolysis)
C. Hepatic glucose newborn action (gluconeogenesis)
D. The decomposition of muscle glycogen (glycogenolysis)


Question: The following statements about acute sporadic encephalomyelitis (acute disseminated encephalomyelitis, ADEM), and what's wrong?

Answer: It is easy to relapse

Choices:
A. After prompted by viral infection or after vaccination vaccine-induced autoimmune disease
B. It is easy to relapse
C. If severe brain injuries, high mortality
D. Pathological changes to destroy myelin (myelin) mainly


Question: Head and neck of all parasympathetic ganglia which final anatomical location (posterior) were as follows:

Answer: Ear ganglion (otic ganglion)

Choices:
A. Submandibular ganglion (submandibular ganglion)
B. Pterygopalatine ganglion (pterygopalatine ganglion)
C. Ear ganglion (otic ganglion)
D. Ciliary ganglion (ciliary ganglion)


Question: The following cell fusion-related respiratory virus (Respiratory syncytial virus) of the narrative, what's right?

Answer: After causes bronchial epithelial cell necrosis into respiratory tract, mucus secretion, inflammatory cell infiltration, edema of the submucosa

Choices:
A. Mucus virus belongs to the positive (Orthomyxovirus)
B. After causes bronchial epithelial cell necrosis into respiratory tract, mucus secretion, inflammatory cell infiltration, edema of the submucosa
C. Life-long immunity after infection
D. Is a positive-stranded RNA nucleic acid


Question: Infant wheezing (stridor) What is the most common reason?

Answer: Throat osteomalacia (laryngomalacia)

Choices:
A. Vocal cord paralysis (vocal fold paralysis)
B. Laryngeal cyst (laryngeal cyst)
C. Throat osteomalacia (laryngomalacia)
D. Subglottic obstruction (subglottic stenosis)


Question: Which of the following does not meet the infectious diseases department of the Executive Yuan of Health Guidelines for the notification?

Answer: Diagnosis of

Choices:
A. Diagnosis of
B. specialization
C. Information technology
D. globalization


Question: Congenital spinal bifida spinal cord disease (myelomeningocele) is often associated with abnormalities of the nervous system does not include which of the following?

Answer: Microcephaly

Choices:
A. The second type Arnold Chiari anomaly
B. Microcephaly
C. Spinal adhesions (tethered cord)
D. Spinal cord lipoma (lipoma) 24 The following narrative about child obesity, whichever is most incorrect?


Question: Narrative about breast MRI examination of the following, what's wrong?

Answer: For ductal carcinoma in situ (DCIS) of the sensitivity (sensitivity) up to 90%

Choices:
A. For ductal carcinoma in situ (DCIS) of the sensitivity (sensitivity) up to 90%
B. Specificity (specificity) is moderate (moderate) only
C. For patients with occult breast cancer it is very useful to check
D. For high-risk (high risk) patients can (screening) as a screening examination


Question: The following account of the ECG (electrocardiogram, ECG or EKG) monitoring what's wrong?

Answer: Since simplify conductance (ECG leads), most of arrhythmias and myocardial ischemia diagnosis can not be found by the ECG monitor

Choices:
A. ECG monitoring anesthesia in patients is necessary projects, but also in a standard monitoring
B. The main purpose of ECG monitoring is to detect cardiac electrical disorder will affect the mechanical function of (electrical
C. For arrhythmia and correct diagnosis of myocardial ischemia and help correct and effective formulation and implementation of clinical management
D. Since simplify conductance (ECG leads), most of arrhythmias and myocardial ischemia diagnosis can not be found by the ECG monitor


Question: A 56-year-old man no special medical history, nor any discomfort, found that hemoglobin was 13.5 gm / dL, white blood cell 11500 / μL, platelets 875000 / μL during a health check; no special physical examination abnormalities. What items seized following the results of blood can confirm the diagnosis of this patient histiocytosis (essential thrombocythemia), rather than as a sub-onset idiopathic thrombocytopenic?

Answer: JAK2 mutation

Choices:
A. low thrombopoietin level
B. increased LAP score
C. JAK2 mutation
D. immature myeloid cells


Question: The following statements about MHC (major histocompatibility complex), and what's wrong?

Answer: MHC expression by different human leukocyte antigen (HLA) can be divided into two categories class I and class II, and belonging to class I HLA-DQ

Choices:
A. MHC is located on the sixth human chromosome (chromosome 6)
B. MHC expression by different human leukocyte antigen (HLA) can be divided into two categories class I and class II, and belonging to class I HLA-DQ
C. MHC class I expression to be cytotoxic CD8 T cell help
D. At the time of organ transplantation, MHC and T cell-mediated rejection of the relevant


Question: Statements about rabies (Rabies viruses), and which of the following error?

Answer: Can not be destroyed ether

Choices:
A. Generating Negri bodies (Negri body)
B. Can not be destroyed ether
C. It is an RNA virus
D. Mainly affects the nerve tissue


Question: Complex III mitochondrial electron transport chain is the main body to the electron transfer:

Answer: Cytochrome c

Choices:
A. Cytochrome c
B. Succinate
C. NADH
D. Ubiquinone


Question: The following description of pregnancy complicated with heart disease, what's wrong?

Answer: In order to avoid the deterioration of cardiac function, caesarean section should be performed

Choices:
A. Heart failure should be avoided during pregnancy
B. In order to avoid the deterioration of cardiac function, caesarean section should be performed
C. When the time of occurrence of heart failure is common in the production and post-natal
D. The probability of congenital heart disease in pregnant women gave birth to the fetus has a heart attack than the average high for pregnant women


Question: 28. One primiparas 39, now 39 weeks of pregnancy, blood pressure during pregnancy are between 100 ~ 120/60 ~ 70 mmHg. Found that blood pressure 150/100 mmHg today check-ups, but no merger headache, blurred vision, nausea, vomiting or abdominal pain situation. After the delivery room to the maternal blood is again measured 160/90 mmHg, hematocrit (hematocrit) is 0%, platelet count 160,000 / μL, indices of liver function GOT: 22, GPT: 15, urinalysis no proteinuria cases, fetal monitors found no cases of fetal distress. The women most likely to meet the following diagnosis?

Answer: Pregnancy-induced hypertension (gestational hypertension)

Choices:
A. Pre-eclampsia syndrome (preeclampsia)
B. Chronic hypertension (chronic hypertension)
C. Chronic hypertension and pre-eclampsia disease (chronic hypertension with superimposed)
D. Pregnancy-induced hypertension (gestational hypertension)


Question: Which of the following is not a development about the age of 3 years old normal behavior?

Answer: Will rollerblading

Choices:
A. Riding a tricycle
B. Will draw circles
C. Will rollerblading
D. Ran very stable


Question: 35-year-old woman because of menstruation did not come come to seek treatment for 1 year, year and a half before the natural birth to a third child, postpartum not breastfeeding, so far still no menstrual cramps. After further inquiry, that when production due to heavy bleeding with shock had received an emergency blood transfusion. He seized the following items most projects do not help diagnose?

Answer: CBC

Choices:
A. LH
B. FSH
C. Prolactin
D. CBC


Question: Sinus node (SA Node) the correct anatomical position Why?

Answer: Right atrium and the superior vena cava junction

Choices:
A. Inferior vena cava and right atrium junction
B. Tricuspid annulus and the inferior vena cava at the corners
C. Pulmonary vein and left atrium junction
D. Right atrium and the superior vena cava junction


Question: Which of the following is mainly composed of cell membranes of skeletal muscle cells (plasma membrane)?

Answer: Sarcolemma (sarcolemma)

Choices:
A. Sarcolemma (sarcolemma)
B. Hadagaimaku (epimysium)
C. Endomysial (endomysium)
D. Perimysia (perimysium)


Question: The following related acute inflammation (acute inflammation) of the vascular response to validity?

Answer: Vascular endothelial cell shrinkage results due to vascular leakage histamine (histamine), bradykinin caused retardation (Bradykinin) other substances

Choices:
A. Vascular leakage of liquid from the main transudate (transudate)
B. Vasodilation is due to histamine (Histamine) and nitric (nitric oxide, NO) and other effects on vascular endothelium (endothelium) due to
C. Vascular permeability (permeability) increased the most common machine transfer is endothelial damage, cell death and shedding caused
D. Vascular endothelial cell shrinkage results due to vascular leakage histamine (histamine), bradykinin caused retardation (Bradykinin) other substances


Question: Narrative about schizophrenia, which of the following error?

Answer: Hearing voices is a necessary condition diagnosis

Choices:
A. Lifetime prevalence of approximately one percent
B. Poor prognosis in childhood adolescence onset
C. May be associated with depression or obsessive-compulsive symptoms appear
D. Hearing voices is a necessary condition diagnosis


Question: Which of the following metals absorb excessive exposure can cause the body appear tremor (tremor) and incoordination (ataxia) and other symptoms of Minamata disease?

Answer: HG

Choices:
A. HG
B. thallium
C. cadmium
D. aluminum


Question: For the treatment of burns of the watch section, the following statements is wrong?

Answer: Using the required sub ⽊ (splint), to maintain the extension metacarpophalangeal joint (MP joint extension) and extends interphalangeal joint (IP joint

Choices:
A. Early healing wound-connector, to avoid contractures best shutter mode
B. Using the required sub ⽊ (splint), to maintain the extension metacarpophalangeal joint (MP joint extension) and extends interphalangeal joint (IP joint
C. Maintaining the posture of the watch function portion (functional position), in order to avoid stretching the tendon contracture (extensor tendon contracture)
D. Should maintain the position of the thumb abduction (Abduction) of


Question: 14-year-old boy, whose father suffers from high blood pressure; boys CT scan as shown, that the most likely diagnosis Why?

Answer: Polycystic kidney disease

Choices:
A. Glomerular inflammation
B. Pyelonephritis
C. Kidney stones
D. Polycystic kidney disease


Question: A 4-year-old boy because of fever four days, come for treatment, as shown in Figure its tongue. Following a disease that at least this change occur?

Answer: Streptococcus pneumoniae pneumonia

Choices:
A. Kawasaki disease
B. s
C. Streptococcus pneumoniae pneumonia
D. Staphylococcus aureus infection


Question: Anesthesia narrative for various organ transplants, Which statement is correct?

Answer: And end stage renal disease often have severe arteriosclerosis, preoperative cardiovascular status should be a detailed assessment

Choices:
A. And end stage renal disease often have severe arteriosclerosis, preoperative cardiovascular status should be a detailed assessment
B. Liver transplant patients coagulopathy should be noted, brain dysfunction and renal dysfunction, not removal of the endotracheal tube in the operating room, and it is not used for postoperative pain narcotics
C. Pancreas transplant patients is often associated with liver transplantation should not reduce the amount of drug use and strict monitoring of blood glucose
D. Brainstem dead organ donors for organ donation procedures in the event of bradycardia, atropine is the drug of choice


Question: The following information about the Central Limit Theorem (central limit theorem) content of the statements is wrong?

Answer: The average sample standard deviation of the sampling distribution, also known as standard error, which is equal to the sample standard deviation divided by the number of samples

Choices:
A. The average sample standard deviation of the sampling distribution, also known as standard error, which is equal to the sample standard deviation divided by the number of samples
B. The average value of the sampling distribution of the sample mean equal to the average female population
C. If the parent population is normally distributed, not even if the number of samples, the sampling distribution of the sample means will be close to normal distribution
D. If the sample size is large enough, the sample mean of the sampling distribution will certainly be close to normal distribution


Question: It is not one of the following amino acid absorption wavelength of 280 nm UV light?

Answer: Asparagine (Asparagine)

Choices:
A. Phenylalanine (Phenylalanine)
B. Asparagine (Asparagine)
C. Tyrosine (tyrosine)
D. Tryptophan (tryptophan)


Question: A 60-year-old male patient than a week ago degenerative hip arthritis underwent left total hip replacement surgery treatment of the whole (Total Hip Replacement), five days after injection of analgesics and Cephalosporin therapy, 7 patients after surgery day began persistent diarrhea, abdominal pain, and with a little bloody stools, fever and leukocytosis, but no peritonitis phenomenon, this time in addition to stool culture, how to deal with this before?

Answer: As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy

Choices:
A. Given Buscopan, treatment and re-use Cephalosporin
B. As a stool cytotoxin assay, conservative treatment, and arrange for colonoscopy
C. Barium enema examination arrangements
D. Emergency arranged the whole colon resection


Question: 6. A 36-weeks premature child birth by caesarean section, respiratory distress symptoms, breathing rales (RALES), 25% oxygen was administered) and continuous positive airway pressure (CPAP) after respiratory symptoms gradually improved, the next day that is asymptomatic. That one of the following is the most likely diagnosis?

Answer: Transient tachypnea (transient tachypnea of newborn)

Choices:
A. Respiratory distress syndrome (respiratory distress syndrome)
B. Transient tachypnea (transient tachypnea of newborn)
C. Bacterial pneumonia (bacterial pneumonia)
D. Spontaneous pneumothorax (spontaneous pneumothorax)


Question: A 49-year-old male tongue cancer patients undergoing surgery. Pathologic stage of T4N2 squamous cell carcinoma. After receiving synchronous chemoradiation therapy. Six months later of the left common carotid mass biopsy confirmed tumor recurrence. The left carotid mass rapid increases, ulcers pus. After using anti-inflammatory painkillers for three days, found that family members of the patient is very weak, almost all half asleep; so she took the patient to the emergency room, no other abnormal physical examination. Which of the following is the most relevant and necessary to check?

Answer: Calcium blood test

Choices:
A. Brain computer tomography
B. Blood test iPTH
C. Albumin blood test
D. Calcium blood test


Question: Note that care has been taken regarding the defect / hyperactivity disorder (attention-deficit / hyperactivity disorder) What's wrong?

Answer: Note that care has defects / hyperactivity disorder the treatment of integration results is displayed, the non-drug treatment efficacy is far superior drug therapy

Choices:
A. Hyperactive symptoms earlier than pay attention to care has been taken to improve the problem
B. Face still have time to become part of a patient care has been taken note defect issues
C. Note that care has defects / hyperactivity disorder the treatment of integration results is displayed, the non-drug treatment efficacy is far superior drug therapy
D. Use easily comorbid substance-related disorders


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

Answer: Most likely caused by pneumoconiosis particle size of 5 to 10 microns

Choices:
A. Inhalation mineral dust, organic dust, fumes or vapors cause chemical
B. Most likely caused by pneumoconiosis particle size of 5 to 10 microns
C. The smaller volume of the particles are prone to causing acute lung injury
D. Smoking can increase the damage caused by inhalation of mineral dust


Question: A 52-year-old woman, BUN 60 mg / dL, creatinine 1.8 mg / dL, looks dry skin, feet edema, patients with dry mouth phenomenon, a situation that should be suspected?

Answer: Prerenal azotemia (Pre-renal azotemia)

Choices:
A. Prerenal azotemia (Pre-renal azotemia)
B. Post-renal azotemia (Post-renal azotemia)
C. Renal azotemia (Renal azotemia)
D. Can not judge


Question: If the stroke patients had cognitive (cognition) dysfunction, behavioral changes, the disease occurs most often in the position where these parts?

Answer: Amount (frontal) lobe

Choices:
A. Amount (frontal) lobe
B. Top (parietal) leaf
C. Temporal (temporal) leaves
D. Occipital (occipital) lobe


Question: About bipolar disorder (bipolar disorder) narrative with severe depression (major depressive disorder), and Which statement is correct?

Answer: Family history of major depression associated with bipolar disorder is below, and more female patients

Choices:
A. The final major depression ⽣ Sheng ⾏ rate (lifetime prevalence) lower
B. Bipolar disorder is defined to be of major depression include (major depressive episode) and mania (manic episode) are subjected to
C. Family history of major depression associated with bipolar disorder is below, and more female patients
D. In case two kinds of disorders of depression begin receiving drug treatment is therefore especially selected from the group of antidepressants


Question: Strengths and weaknesses related to peritoneal dialysis and hemodialysis, which of the following error?

Answer: Hemodialysis often compare the loss of albumin

Choices:
A. For hemodialysis ultrafiltration (ultrafiltration) control more accurate
B. Comparative Rongyifasheng peritoneal dialysis elevated blood fat
C. Hemodialysis often compare the loss of albumin
D. Peritoneal dialysis more likely to have low blood potassium cases


Question: Certain human leukocyte antigen (Human Leukocyte Antigens, HLA) genes in patients with certain autoimmune diseases have increased the phenomenon is more, there is high "compared to the risk of value" (relative risk) cause autoimmune pathogenicity. On these correlations that one of the following statements is correct?

Answer: For ankylosing spondylitis B27 (Ankylosing spondylitis)

Choices:
A. B27 for type 1 diabetes (type 1 diabetes mellitus)
B. For Ge Ruifu B27's disease (Graves' disease)
C. B27 for pemphigus vulgaris (pemphigus vulgaris)
D. For ankylosing spondylitis B27 (Ankylosing spondylitis)


Question: The main function of liver mitochondria in vivo synthesis of HMG-CoA synthase enzyme is Which of the following?

Answer: Promote the synthesis of ketones (Ketone body biosynthesis)

Choices:
A. Promote the synthesis of cholesterol (Cholesterol biosynthesis)
B. Inhibition of fatty acid synthesis (Fatty acid biosynthesis)
C. Promote the synthesis of ketones (Ketone body biosynthesis)
D. Promote gluconeogenesis (Gluconeogenesis)


Question: Narrative about human suffering from river blindness (river blindness), and what's wrong?

Answer: Adult parasites in the patient's eye that has caused blindness

Choices:
A. Blackflies fly genus (genus Simulium) are insects, diseases caused by this media
B. Adult parasites in the patient's eye that has caused blindness
C. Sclerosing keratitis is caused by the main cause of blindness
D. Prompted by Pan tail volvulus (Onchocerca volvulus) infection


Question: When normal breathing, which of the following measured pressure in the inspiratory and expiratory phase is most likely a negative pressure (negative pressure)?

Answer: Pleura internal pressure (intrapleural pressure)

Choices:
A. Pleura internal pressure (intrapleural pressure)
B. Alveolar pressure (alveolar pressure)
C. Alveolar pressure - pressure pleura (transpulmonary pressure)
D. Airway pressure (airway pressure)


Question: The absorbent hypercalciuria (absorptive hypercalciuria) when the independent Type I and food, which treatment is:

Answer: Administration cellulose phosphate

Choices:
A. Administration cellulose phosphate
B. Administration of allopurinol
C. Administration of orthophosphate
D. Administration of Vit. D


Question: Which of the following drugs have a role in melatonin (MT1) and MT2 receptors, but not addictive, can be used to treat patients with insomnia?

Answer: ramelteon

Choices:
A. ketanserin
B. lorcaserin
C. ramelteon
D. repinotan


Question: The condyle (medial epicondyle) humerus fracture Which of the following is most likely to hurt?

Answer: Ulnar nerve

Choices:
A. Musculocutaneous nerve
B. Median nerve
C. Radial nerve
D. Ulnar nerve


Question: 75 A 60-year-old male patient was found to have cardiac arrhythmia at the clinic were referred to the regional hospital emergency room, examination showed that the patient's potassium is 0 mEq / L, whichever is the first priority of the following drugs is not treated?

Answer: Atropine

Choices:
A. Calcium chloride
B. Insulin plus glucose
C. Sodium bicarbonate
D. Atropine


Question: Which of the following is the cause of mitral valve stenosis (mitral stenosis) of the most common?

Answer: Rheumatic heart disease

Choices:
A. Infective endocarditis
B. Congenital anomalies
C. Rheumatic heart disease
D. Rheumatoid heart disease


Question: Prolonged bed rest can cause various organs of the body produce lost motion syndrome (immobilization syndrome). Which of the following does not belong among the symptoms?

Answer: Resting heart rate reduction

Choices:
A. Resting heart rate reduction
B. Disuse muscle atrophy
C. Decreased bone density
D. Deposition pneumonia (hypostatic pneumonia)


Question: Some patients complained recently often feel thirsty, physical examination found that breathing acetone fruit flavor, fasting blood glucose levels up to 380 mg / dL. Relative to normal, the patient urine Which of the following will not change?

Answer: HCO3- excretion of urine than normal and more

Choices:
A. urine pH lower than normal
B. NH4 + excretion of urine than normal and more
C. Urine than normal amount of more than 24 hours
D. HCO3- excretion of urine than normal and more


Question: The following treatment of dyslipidemia (dyslipidemia) of the drug, whichever is through inhibition of intestinal NPC1L1 sterol transporter, reduce cholesterol (cholesterol) absorption?

Answer: ezetimibe

Choices:
A. cholestyramine
B. gemfibrozil
C. ezetimibe
D. simvastatin


Question: Blood postpartum hemorrhage (postpartum hemorrhage) occurred a 25-year-old woman after vaginal delivery, postpartum non-lactating, six months later and had no normal menstrual, Which of the following is the most likely of the hormonal changes?

Answer: The low-gonad-stimulating hormone hypogonadal (hypogonadotropic hypogonadism)

Choices:
A. Gonad-stimulating hormone of high hypogonadal (hypergonadotropic hypogonadism)
B. The low-gonad-stimulating hormone hypogonadal (hypogonadotropic hypogonadism)
C. Normal (eugonadism)
D. Prolactin too high


Question: A 25-year-old male performance nephrotic syndrome. Glomerular pathology to trap partial segment type curing collapse (collapsing focal segmental glomerulosclerosis) mainly visible glomerular endothelial cells in large amounts tubuloreticular inclusions, tubular bladder common local expansion (cystic dilation). This patient most likely to be infected:

Answer: human immunodeficiency virus（HIV）

Choices:
A. cytomegalovirus（CMV）
B. hepatitis B virus（HBV）
C. human immunodeficiency virus（HIV）
D. human papilloma virus（HPV）


Question: A 37-year-old male workers fell from the site, when the physical examination, the patient is conscious, but there are traces of blood found in the urethra, and scrotum hematoma, perineal bruises, then you should first check what arrangements?

Answer: Retrograde urethrogram

Choices:
A. Intravenous pyelogram
B. Cystography
C. Retrograde urethrogram
D. Contrast-enhanced computed tomography


Question: The following branches of spinal nerve (spinal n.) In, whichever containing only sensory nerve fibers?

Answer: Dorsal filaments (dorsal rootlet)

Choices:
A. Dorsal branch (dorsal ramus)
B. Ventral branch (ventral ramus)
C. Dorsal filaments (dorsal rootlet)
D. Ventral filaments (ventral rootlet)


Question: Related to stereotactic surgery for Parkinson's disease described it, which of the following error?

Answer: Symptoms most therapeutic value to tremble

Choices:
A. The main goal to hypothalamic nucleus
B. Mainly with deep brain stimulation
C. Bilateral surgery can be done at the same time
D. Symptoms most therapeutic value to tremble


Question: Mr. Xie is a 42-year-old trading company grass-roots workers, were laid off because the company, self-immolation in a secluded mountain tunnel. Systemic smoked Wuhei Mr. Xie transported by ambulance to the hospital. Mr. Xie has been shouting "hurts! Thirsty! "Examination found under 162 beats per minute, respiratory rate 26 times per minute, blood pressure 70/35 mmHg, the body is a third-degree burns, completely, on the right wrist can not feel the pulse of the radial artery. Do you think for Mr. Xie, following the disposal of what should be the highest priority?

Answer: The establishment of the Pipe

Choices:
A. The establishment of the Pipe
B. Retained catheter placement style
C. Placing continuous electrocardiographic monitoring device
D. Placing continuous arterial pressure monitoring means


Question: 23 A 65-year-old patient with a history of diabetes, high blood pressure decades and seven years, six months ago because of coronary artery disease in hospital, do angiography and balloon dilatation. Blood pressure control in the discharge 130-150 / 75-85 mmHg, serum creatinine was 1.8 mg / dL. Nearly four months his blood pressure control is not satisfactory, approximately 165-180 / 95-110 mmHg; before meals glucose level of 140 mg / dL, serum creatinine increased to 3.5 mg / dL. For further diagnosis and treatment of this patient, which of the following more correct?

Answer: Arrange captopril kidney isotope photography, consider renal artery stenosis

Choices:
A. May be adrenal tumors, physical examination should pay special attention to touch the abdomen
B. The developer may be caused by renal function decline, and then observe the three months to see whether recovery of renal function
C. Arrange captopril kidney isotope photography, consider renal artery stenosis
D. This is the deterioration of diabetic nephropathy, and should again be strictly controlled blood sugar


Question: An eight large month-old baby fever two days for treatment, when normal fever vitality, physical examination found that the former fontanelle muster, the number of white blood cells in the blood is 4,300 / mm3, spinal fluid examination was normal, no abnormal head ultrasound image. Their brains are most likely the condition is:

Answer: Pseudo brain tumor (pseudotumor cerebri)

Choices:
A. Bacterial meningitis (bacterial meningitis)
B. Pseudo brain tumor (pseudotumor cerebri)
C. Brain tumors (brain tumor)
D. Water brain (hydrocephalus)


Question: Which of the following situations blood D-dimer concentration will not abnormally high?

Answer: Hemarthrosis

Choices:
A. Hemarthrosis
B. Five days after major operation
C. Brain sinus thrombosis
D. Inferior vena cava thrombosis


Question: Account of Angel Dust (phencyclidine), and which of the following error?

Answer: Similar effect transfer machine MDMA (3,4-methylene-dioxymethamphetamine, MDMA)

Choices:
A. Solvability from anesthesia role
B. Similar effect transfer machine MDMA (3,4-methylene-dioxymethamphetamine, MDMA)
C. Symptoms of poisoning may appear extreme anxiety
D. Angel Dust poisoning may consider gastric lavage with activated carbon, do not recommend urine acidification help rule


Question: 14-year-old girl, complained of headaches, blurred vision, according to the injection of Gd-DTPA this two MRI, T1WI, the most likely diagnosis is:

Answer: cerebellar vermis medulloblastoma

Choices:
A. cerebellar vermis hemorrhage due to AVM
B. cerebellar vermis medulloblastoma
C. cerebellar vermis hemangioblastoma
D. cerebellar tonsilar herniation


Question: Account of early-stage non-small cell lung cancer (non-small cell lung cancer) disposal, which of the following error?

Answer: Part IA of patients with postoperative adjuvant chemotherapy (adjuvant chemotherapy) have a survival advantage on 56 of the following statements about asthma (bronchial asthma) diseases, what's wrong?

Choices:
A. In Stage IA, lobectomy (lobectomy) than the wedge resection (wedge resection) has a relatively low rate of local recurrence
B. If co-morbidities (comorbidities), patients with poor lung function may be considered wedge resection (wedge resection) or pulmonary ganglionectomy
C. The first phase of patients with non-small cell lung cancer five-year survival rate of approximately 60-80%
D. Part IA of patients with postoperative adjuvant chemotherapy (adjuvant chemotherapy) have a survival advantage on 56 of the following statements about asthma (bronchial asthma) diseases, what's wrong?


Question: 3-day-old baby boy found that weight gradually increased, decreased urine output, edema of the limbs, laboratory examination revealed BUN / creatinine: 35 / 2.2 mg / dL, renal ultrasonography found both kidneys serious kidney water, while the bilateral ureteral expand, there are a lot of urine in the bladder reservoir, prenatal examination revealed little amniotic fluid, the following options than that inappropriate?

Answer: UVJ may be diagnosed as stenosis (ureterovesical junction stenosis)

Choices:
A. This situation should be carefully observed respiratory sick children, the result of such patients may be associated with lung hypoplasia
B. To arrange VCUG (voiding cystourethrography) inspection
C. UVJ may be diagnosed as stenosis (ureterovesical junction stenosis)
D. Growing up is likely to progress to kidney failure


Question: Human tissue hypoxia tolerance of different, which of the following tolerance worst?

Answer: muscle

Choices:
A. skin
B. Subcutaneous
C. muscle
D. Peripheral nerve


Question: From the previous question, if the drug spray of patients with acute asthma attack is not relieved, should immediately intravenous Which of the following drugs?

Answer: glucocorticoids

Choices:
A. zileuton
B. glucocorticoids
C. terbutaline
D. tiotropium


Question: The following description of acute aortic dissection (aortic dissection) of, what's right?

Answer: Acute aortic dissection is made associate the resulting zoomed mechanism intimal layer ⼀ a broken-connector (intimal tear), the outer layer is usually in the aortic wall

Choices:
A. Acute aortic dissection is preferred Diagnostic Tool Center Weighted super dirty Rec wave (cardiac echocardiography) or nuclear magnetic resonance photography (magnetic
B. Acute aortic dissection is made associate the resulting zoomed mechanism intimal layer ⼀ a broken-connector (intimal tear), the outer layer is usually in the aortic wall
C. Hair ⽣ most acute aortic dissection ⾒ symptoms of chest pain, pressure chest coronary artery disease very similar, are not readily distinguishable ⼆
D. Face disease hair ⽣ acute aortic dissection, and more are zoomed chest pain as the main symptom, and not cause ⾎ other organs flows EMPTY (malperfusion)


Question: Endoscopic describe psoriasis (psoriasis) a so-called parakeratosis (parakeratosis), which refers to the change in terms of following what the stratum corneum?

Answer: Horny is not mature, there is still the nucleus

Choices:
A. Thickening
B. Forming a glassy-like substance
C. Horny is not mature, there is still the nucleus
D. Thinning


Question: Expression of various genes in cells often differ depending on the different tissues. On promoters of some genes (promoter) often have some of the CpG island (CpG island). Expression of the same genes, often due to what CpG islands subject to the following modifications (modification) have different?

Answer: Methylated (by methylation)

Choices:
A. Of ethylene (Acetylation)
B. Methylated (by methylation)
C. Phosphorylation (phosphorylation were)
D. Carboxylated (carboxylation)


Question: The 11 The 7th Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (The JNC 7 Report) define hypertension, statements about the adults over 18 years of blood pressure (blood pressure), and which of the following error ?

Answer: Prehypertension (prehypertension) is 135-139 / 86-89 mmHg

Choices:
A. Normal blood pressure is defined as <120/80 mmHg
B. Prehypertension (prehypertension) is 135-139 / 86-89 mmHg
C. The first hypertension (stage I hypertension) is 140-159 / 90-99 mmHg
D. Second hypertension (stage II hypertension) is ≥ 160/100 mmHg


Question: The following statements about the Langerhans cells, whichever is correct?

Answer: Epidermal dendritic (dendritic) cells

Choices:
A. Endocrine cells
B. Epidermal dendritic (dendritic) cells
C. Appeared in the tubercle
D. Is the predecessor of melanocytes


Question: Following that a biological hazard of invasive manner, to the main route of ingestion?

Answer: Enterovirus (Enterovirus)

Choices:
A. Herpes virus (Herpes virus)
B. Influenza virus (Influenza virus)
C. Mycobacteria (Mycobacteria)
D. Enterovirus (Enterovirus)


Question: A 45 year old female readme from three years ago, face, limbs stretched side and suffered multiple asymptomatic white plaques, as shown. You suggested she received treatment programs, which of the following most inappropriate?

Answer: Pulsed light therapy (intense pulse light therapy)

Choices:
A. Short wavelength ultraviolet treatment narrow (narrow-band UVB phototherapy)
B. Long-wavelength ultraviolet photochemotherapy (PUVA phototherapy)
C. Topical steroid creams
D. Pulsed light therapy (intense pulse light therapy)


Question: The following route of administration, whichever is easier to produce the first transition effect (first-pass effect)?

Answer: Oral administration (Oral)

Choices:
A. Rectal (rectal)
B. Percutaneous absorption (transdermal patch)
C. Sublingual administration (sublingual)
D. Oral administration (Oral)


Question: Which of the following drugs and viral envelope protein binding, so that the virus can not be integrated with the host cell membrane?

Answer: Enfuvirtide

Choices:
A. Ribavirin
B. Adefovir
C. Enfuvirtide
D. Abacavir


Question: Mr. Zhang, 62 years old, blood pressure medication for many years, this morning at work, because of chest pain and the tear extends to the back, the right upper limb blood pressure 128/76 mmHg, left 102/68 mmHg, there is a second degree of cardiac auscultation systolic murmur The following non-invasive examination in the diagnosis of what's most helpful?

Answer: Chest CT include neck

Choices:
A. Chest X-ray
B. ECG
C. Chest CT include neck
D. Du Bole (Doppler) cardiac ultrasound FIG.


Question: Fetal scalp mass (caput succedaneum) refers to what terms?

Answer: Edema between the scalp (scalp) and periosteum (periosteum)

Choices:
A. Edema between the scalp (scalp) and periosteum (periosteum)
B. A blood clot between the scalp and the periosteum
C. Edema between the periosteum and skull (Skull)
D. A blood clot between the skull and the periosteum


Question: 21-year-old woman seeking treatment because of lower left abdominal pain, swelling of the left ovary was found inside the clinic, ultrasound examination showed left ovarian solid tumors, and the contents seem to be bones and teeth. Approximately what percentage of these tumors are bilateral in nature?

Answer: 10%～15%

Choices:
A. less than 1%
B. 2%～3%
C. 10%～15%
D. 50%


Question: Following what kind of microbes mainly in the human cell reproduction, and can lead to disease transmission through sex?

Answer: Chlamydia trachomatis (Chlamydia trachomatis)

Choices:
A. Salmonella typhi (Salmonella Typhi)
B. Duke Haemophilus (Haemophilus ducreyi)
C. Platts Rickettsia (Rickettsia prowazekii)
D. Chlamydia trachomatis (Chlamydia trachomatis)


Question: Antiviral drugs oseltamivir (oseltamivir), mainly inhibition of an enzyme that the virus?

Answer: Neuraminidase (Neuraminidase)

Choices:
A. Protease (Protease)
B. Neuraminidase (Neuraminidase)
C. Thymidine kinase (thymidine kinase)
D. Reverse transcriptase (reverse transcriptase)


Question: After abdominal trauma, intra-abdominal pressure is too high will cause Abdominal compartment syndrome. If the patient presents no urine and respiratory failure, the intra-abdominal pressure should be up to how much cmH2O?

Answer: 25

Choices:
A. 10
B. 15
C. 20
D. 25


Question: A 40-year-old patient complained of coughing up blood, X-ray shows a portion of the lung parenchyma (consolidation) and crescent glomerulonephritis (crescentic glomerulonephritis). Most likely diagnosis is:

Answer: Goodpasture syndrome

Choices:
A. Goodpasture syndrome
B. idiopathic pulmonary hemosiderosis
C. Pulmonary hypertension
D. Pneumonia complicated by sepsis


Question: Fourteen years old boy because of short stature and treatment, his father height 165 cm, secondary sexual characteristics started 14 years old, 152 cm tall and mother, by the early age of 13 years and 6 months. This past year the growth rate of a normal child, physical examination showed Height 141 cm (below the third percentile) and weighing 31 kilograms (third percentile), about 3 ml were testicles, no pubic hair development, nor other organs abnormal, bone age was 13 years. The most likely diagnosis in this case is:

Answer: Constitutional growth retardation (constitutional growth delay)

Choices:
A. Growth hormone deficiency (growth hormone deficiency)
B. Low energy thyroid disease (hypothyroidism)
C. Constitutional growth retardation (constitutional growth delay)
D. Hereditary short stature (genetic short stature)


Question: Harness for prescription spine (spinal orthotics) common indications (indications), of the following is inappropriate?

Answer: Strengthening the core abdominal muscles and back muscles (strengthen the core muscle)

Choices:
A. Stable due to fractures or spinal instability (stabilize the spine after fracture and postsurgical stabilization) after surgery
B. To limit the activity of spinal pain relief (limit spinal motion in cases of pain or sprain)
C. Strengthening the core abdominal muscles and back muscles (strengthen the core muscle)
D. Support the patient's spine and avoid spinal deformities (support posture and prevent deformity)


Question: Which of the following is not a major human papillomavirus (HPV) high risk virus?

Answer: HPV 11

Choices:
A. HPV 16
B. HPV 18
C. HPV 11
D. HPV 52


Question: 35-year-old woman complained of chest pain, chest X-ray and CT images, such as drawings, which of the following is the most likely diagnosis?

Answer: Thymoma

Choices:
A. Aortic aneurysm
B. Pulmonary aortic aneurysm
C. Lung cancer
D. Thymoma


Question: 2 An 88-year-old man had a history of prostate hypertrophy, complained of the past six months a lot of physical decline, poor health, but had near-fainting (near syncope) sent to the emergency room three months ago, a slow heartbeat about 58 / min, the rules , blood was found Na + 124 mmol / L, Troponin I <0.012 ng / mL. Patients without hypertension, diabetes, smoking, history of angina and dyspnea, arrange nuclear medicine scans, echocardiography and 24-hour ECG were normal. A month before general weakness is more severe and there is severe constipation, but also to the emergency room, physical examination no breathing difficulties, no dehydration or limb edema. Blood Na + 104 mmol / L, other biochemical tests: Cr 1.0 mg / dL, BUN 15.3 mg / dL, K + 5.4 mmol / L, 07 mmol / L, albumin 4.7 g / dL, blood sugar 113 mg / dL. The following statements is wrong?

Answer: Patients hsTSH 66.7 μIU / mL, so as hyperthyroidism disease

Choices:
A. The patient hospitalization serum osmolality was 248 mOsmol / kg H2O, urine osmolality was 369 mOsmol / kg H2O, and therefore belong to low osmolality of hyponatremia
B. Patients without edema, as euvolemic status, and therefore will not be the cause of heart failure or kidney disease
C. Patients cortisol 23.3 μg / dL, ACTH 13.9 pg / mL, and therefore is not the cause of cortisol deficiency
D. Patients hsTSH 66.7 μIU / mL, so as hyperthyroidism disease


Question: The following statements about child Grave's disease, and what's wrong?

Answer: The peak of incidence in children before puberty of

Choices:
A. The peak of incidence in children before puberty of
B. Occur in girls
C. Emotional instability
D. Pulse pressure (pulse pressure) will increase


Question: Surgical treatment indications regarding lung abscess (lung abscess) does not include which of the following?

Answer: Continued heavy purulent

Choices:
A. Concurrent pleura bronchial fistulas (broncho-pleural fistula)
B. Massive hemoptysis
C. Continued heavy purulent
D. Suspect complicated with lung cancer


Question: When humans try, try to accept the consent of the former, the matter should be informed of the medical institutions, that do not include the following items?

Answer: When the subjects were to accept the withdrawal of consent, subject to the consent of the attending physician

Choices:
A. Purpose and method of test
B. And the risk of possible side effects
C. Expected test results
D. When the subjects were to accept the withdrawal of consent, subject to the consent of the attending physician


Question: When plasma osmolality was 150 mOsm, which of the following is correct?

Answer: Will suppress vasopressin (antidiuretic hormone) is released

Choices:
A. For cell is hypertonic (hypertonic)
B. Will cause an increase in blood volume (blood volume) of
C. Will suppress vasopressin (antidiuretic hormone) is released
D. Thirst sensation will stimulate the central penetration susceptor (osmoreceptors) and drink plenty of water


Question: A 45 year old female patient with a known according to current medical knowledge BRCA gene mutation, mammography (mammography) also showed abnormalities after needle biopsy (core needle biopsy) and pathological examination confirmed the violation of a type of breast cancer,, BRCA mutations caused by the breast cancer, most likely have which of the following pathological features?

Answer: estrogen receptor (ER) (-)，progesterone receptor (PR) (-)，HER2/neu negative

Choices:
A. estrogen receptor (ER) (+)，progesterone receptor (PR) (+)，HER2/neu negative
B. estrogen receptor (ER) (+)，progesterone receptor (PR) (-)，HER2/neu positive
C. estrogen receptor (ER) (+)，progesterone receptor (PR) (-)，HER2/neu negative
D. estrogen receptor (ER) (-)，progesterone receptor (PR) (-)，HER2/neu negative


Question: The following items unsuitable as what causality criterion?

Answer: From different studies or different ethnic groups, different results

Choices:
A. With the correct timing of
B. Have a higher relative risk (Relative risk)
C. From different studies or different ethnic groups, different results
D. A dose - response relationship


Question: From the previous question, Mrs. Liu found that the fetal amniotic report has Turner's syndrome (45, X), the following statements is wrong?

Answer: Inlaid Turner's syndrome fetus if it is 45, X / 46, XX can survive, if it is 45, X / 46, XY can not survive

Choices:
A. Turner's syndrome is the only surviving single chromosomal disorders (monosomy)
B. Swelling in the neck and the combined chromosomal abnormalities in the fetus, the majority of Turner's disease
C. Turner fetus's disease is often associated with congenital heart disease, especially aortic stenosis
D. Inlaid Turner's syndrome fetus if it is 45, X / 46, XX can survive, if it is 45, X / 46, XY can not survive


Question: 95 a 73-year-old man several respiratory difficulties, and the emergence of the pericardial sac pleural cavity and water, imaging examination revealed hepatomegaly congestion, urinary mg / 24 hours (normal is 0.7-8.2 mg / 24 hours). Later, patients receiving pulmonary valve and tricuspid valve replacement surgery, the following statements best describes what this patient's pathological changes of right heart valve?

Answer: Plaque-like intimal thickening and smooth muscle cell proliferation

Choices:
A. Deposition of mucoid material in spongiosa
B. Calcification and fibrosis at the base of valves
C. Plaque-like intimal thickening and smooth muscle cell proliferation
D. Subendocardial accumulation of elastic fibers


Question: 10-year-old girl, diagnosed with acute leukemia was diagnosed at the same time have t (15,17) translocation of chromosomes. Which of the following is the most likely diagnosis?

Answer: AML M3 type

Choices:
A. AML M7 type
B. early pre-B ALL
C. AML M3 type
D. mature B-cell ALL


Question: A 20-year-old woman to the emergency room because of stomach pain and abdominal ultrasound found that the pancreas has a diameter of about 8 cm tumor with cystic structures within the tumor. By surgical resection, the tumor histology filled with some bleeding, tumor cell growth mode is arranged into a piece or a projection of the inner bladder papillary structure. Which of the following is the likely diagnosis?

Answer: solid-pseudopapillary neoplasm

Choices:
A. congenital cyst of pancreas
B. divided by the pancreas
C. solid-pseudopapillary neoplasm
D. pancreatic pseudocyst


Question: 41 an 53 year-old woman was found at health check leukocytes was 23,500 / mm3, classified as follows: promyelocyte 0.5%, myelocyte 5%, metamyelocyte 5%, banded neutrophil 16.5%, segmented neutrophil 53.5%, lymphocyte 15%, monocyte 3% , eosinophil 2.5%, basophil 1.5%; normal hemoglobin and platelets. Bone marrow cells with a chromosome t (9; 22) (q34; q11). Which of the following most appropriate treatment modality for this purpose lady?

Answer: Imatinib

Choices:
A. Hydroxyurea
B. a-Interferon
C. Imatinib
D. hematopoietic stem cell transplantation


Question: 40-year-old heroin addiction patients because of asthma, fever and chest pain two days, come to emergency treatment. The intravenous drug addicts, if infective endocarditis, the most likely pathogens are:

Answer: Staphylococcus aureus

Choices:
A. Staphylococcus aureus
B. Staphylococcus epidermidis
C. Viridans streptococcus
D. Enterococcus faecalis


Question: Which of the following is located in the perineum deep gap (deep perineal pouch)?

Answer: Dorsal penile nerve

Choices:
A. Superficial transverse perineal muscle
B. Bulbospongiosus
C. Dorsal penile nerve
D. Ischiocavernosus


Question: Sickle cell anemia (sickle cell anemia) heme (Hemoglobin) mutation, which mutation occurs in the β- stranded nucleic acids:

Answer: Point mutations

Choices:
A. delete
B. insert
C. Methylation
D. Point mutations


Question: 62. The narrative about the pharmacokinetics, Which statement is correct?

Answer: Basic drug more acidic drugs, easily discharged from the latex

Choices:
A. Basic drug more acidic drugs, easily absorbed by the stomach
B. Basic drug more acidic drugs, easily bound to albumin in the blood
C. Basic drug more acidic drugs, easily discharged from the latex
D. When excreted by the kidneys, basic drug than an acidic drug, the tubular reabsorption back easily in the blood


Question: The following account of guanylyl cyclase, and what's right?

Answer: guanylin can be attached to the small intestine guanylyl cyclase receptor, and thus the regulation of Cl- secretion of intestinal

Choices:
A. guanylyl cyclase main function is to make cyclic GMP (cGMP) into 5'-GMP
B. guanylyl cyclase receptor (receptor) on the cell membrane, protein permeability are all (integral protein)
C. guanylin can be attached to the small intestine guanylyl cyclase receptor, and thus the regulation of Cl- secretion of intestinal
D. Blue pills used to treat impotence drug Viagra which is to promote the production of primary cyclic GMP (cGMP) is


Question: 78. A 50-year-old male, in the past there is no special medical history, grand mal seizures occur suddenly five minutes, to the emergency time and a bout of about 3 minutes, stop now, awareness is not clear at present, which of the following as improper disposal?

Answer: Given benzodiazepine treatment

Choices:
A. Maintain the airway patency
B. Arrangement head CT scan
C. Given phenytoin treatment
D. Given benzodiazepine treatment