Question: From the previous question, if within the clinic found that the cervix is not open, Which of the following is the best?

Answer: Immediately arrange for the treatment of miscarriage

Choices:
A. Immediately arrange for the treatment of miscarriage
B. If malposition, immediately arrange for an emergency caesarean section
C. Go with the flow, no treatment
D. If the head position, try natural production


Question: Which of the following enzymes can not be performed as an acid - Huoxingzhongxin amino acids (active site residue) when base-catalyzed (acid-base catalysis)?

Answer: Methionine (methionine)

Choices:
A. Histidine (histidine)
B. Methionine (methionine)
C. Aspartate (aspartic acid)
D. Glutamate (glutamic acid)


Question: The following narrative about the digestive tract endoscopy her disposal, whichever is correct?

Answer: Early superficial gastrointestinal cancer, there is a growing trend within the endoscopic resection (endoscopic or endoluminal resection) of

Choices:
A. If the patient will be a lot of blood solution (hematochezia), will be a large number of lower gastrointestinal bleeding, to arrange emergency colonoscopy
B. Before the implementation within the endoscope, if there is to take low-dose aspirin must first week off
C. All indications for the purposes of jaundice patients are retrograde biliary and pancreatic mirror (endoscopic retrograde cholangiopancreatography, ERCP) of
D. Early superficial gastrointestinal cancer, there is a growing trend within the endoscopic resection (endoscopic or endoluminal resection) of


Question: Which of the following most commonly used to assess the scale of elderly cognitive function (cognitive function)?

Answer: Mini-Mental State Examination

Choices:
A. Barthel Index
B. Geriatric Depression Scale
C. Katz Index
D. Mini-Mental State Examination


Question: Which of the following is NOT immunoglobulin G (immunoglobulin G, IgG) main function?

Answer: Clear intracellular pathogens

Choices:
A. And (neutralize the) pathogen or toxin
B. Clear intracellular pathogens
C. Enhance phagocytosis
D. Complement activation function


Question: About the inner ear (inner ear), the following statements is this bad?

Answer: Crista (cristae ampullaris) experience linear acceleration (linear acceleration) and gravity (Gravity)

Choices:
A. Inner ear including membranous labyrinth and skeletal (bony and membranous labyrinth)
B. Lymph (of Endolymph) fills the entire membranous labyrinth (membranous labyrinth)
C. Vestibular membrane (vestibular membrane) in order to (scala media) and the scala vestibuli (scala vestibuli) separately
D. Crista (cristae ampullaris) experience linear acceleration (linear acceleration) and gravity (Gravity)


Question: Characteristics of social insurance and commercial insurance, and some are the same, some are different, which of the following is their similarities?

Answer: Emphasis on efficiency

Choices:
A. purpose
B. The pursuit of fairness
C. Rates way
D. Emphasis on efficiency


Question: Features relating to false male hermaphrodite (male pseudohermaphroditism) of, which of the following error?

Answer: Chromosome 46, XX

Choices:
A. inadequate secretion of testosterone
B. Chromosome 46, XX
C. Free of chromatin (sex chromatin)
D. Testicular development may be normal or degraded


Question: The following head construction, whichever will not feel the pain caused by?

Answer: Brain tissue (parenchyma of brain)

Choices:
A. Dura base of the brain (dura at brain base)
B. Intracranial venous sinus (venous sinuses)
C. Brain tissue (parenchyma of brain)
D. Middle meningeal artery (middle meningeal artery)


Question: A 45 year old male patient with severe stomach pain and intermittent diarrhea several times a day for about eight months for treatment, patients had no special history of drug and past medical history. Pan endoscopic examination revealed severe esophagitis, gastric ulcer and duodenal multiple ulcers multiple second portion, identified in the following diseases of primary consideration for the diagnosis of the disease:

Answer: Zollinger-Ellison syndrome

Choices:
A. insulinoma
B. Zollinger-Ellison syndrome
C. Whipple's disease
D. Crohn's disease


Question: From the previous question, Zoe Curreri formula, the patient's daily requirement of how much energy Kcal?

Answer: 2220 kcal

Choices:
A. 1500 kcal
B. 1860 kcal
C. 2220 kcal
D. 3000 kcal


Question: Statements about colon diverticulitis (diverticulitis disease) is, which of the following error?

Answer: Once the patients had colon diverticulitis, it is necessary to recommend that patients be a regular part of the large intestine removed, to prevent the onset of the next colon diverticulitis

Choices:
A. Assess the severity of colon diverticulitis, compared with the current diagnostic tool is recommended CT
B. Acute diverticulitis in clinical colon can be roughly classified into uncomplicated and complexity; uncomplicated (uncomplicated) can adopt a conservative treatment
C. May recommend colon diverticulitis colonoscopy in patients receiving 4 to 6 weeks after the symptoms improved, whereby the diagnosis of colon cancer or colon diverticulum and the possibility of inflammatory diseases of the intestine negative
D. Once the patients had colon diverticulitis, it is necessary to recommend that patients be a regular part of the large intestine removed, to prevent the onset of the next colon diverticulitis


Question: 66 year old female with a long-term chronic knee pain sides, orthopedic examination revealed a localized tenderness in the medial portion of the proximal tibia, located just sartorius (Sartorius) attached at the distal end. Which of the following is the most likely diagnosis?

Answer: Tulip-shaped knee ligament bursitis (pes anserine bursitis)

Choices:
A. Tulip-shaped knee ligament bursitis (pes anserine bursitis)
B. Meniscus tear (meniscus tear)
C. Sprained medial collateral ligament (medial collateral ligament sprain)
D. Coronary ligament sprain (coronary ligament sprain)


Question: The following describes that a related parathyroid hormone (parathyroid hormone, PTH) is correct?

Answer: Macrophage bone cells (osteoclast) no PTH receptor

Choices:
A. PTH bioactivity mainly from the C-terminal (carboxyl-terminal) 34 amino acids
B. Blood PTH (1-84) the clearance rate is slower than the rate of clearance of the C-terminal fragment of PTH
C. The most important factor is the regulation of PTH secretion blood phosphorus level
D. Macrophage bone cells (osteoclast) no PTH receptor


Question: Which of the following is not an architectural concept of the health belief model?

Answer: Self re-evaluation

Choices:
A. Conscious mobility impairments
B. Conscious of suffering
C. Self re-evaluation
D. Self-efficacy


Question: The following narrative about intestinal tibia bundle friction syndrome (iliotibial band friction syndrome), the one was wrong?

Answer: Pain in the patellar tendon prone

Choices:
A. Running who has long been engaged predisposed to the disease
B. Knee pain incidental to the outside
C. Pain in the patellar tendon prone
D. Pain patients often have extended the movement


Question: A 58-year-old woman, recently two days difficulty speaking, difficulty swallowing, slightly unsteady gait, according to this two of MRI FLAIR (A) and DWI (B) images, this patient most likely diagnosis is:

Answer: Wallenberg syndrome

Choices:
A. multiple sclerosis（MS）
B. pyramidal syndrome
C. wallerian degeneration
D. Wallenberg syndrome


Question: Sodium bicarbonate play a role in the rescue process, Which statement is correct?

Answer: Since the patient's heart stops, emergency has been for some time, and has intubation, but did not respond to the signs, you can use the drug

Choices:
A. Since the patient's heart stops, emergency has been for some time, and has intubation, but did not respond to the signs, you can use the drug
B. Since the patient's heart stops, emergency has been for some time, and has a pH of 6.9 acidosis (acidosis), be sure to use the drug
C. Since the patient's heart stops, emergency has been for some time, although not yet intubation, but hypoxia has been a long time, so the best use of the drug
D. The patient's heart is stopped and ECG is pulseless electrical activity (PEA), have clearly demonstrated hyperkalemia, can use the drug


Question: Stroke patients hemi-paralysis and impaired sensation, lower limb movement significantly more flexible than the upper limbs, the lesions most likely to:

Answer: Middle cerebral artery (middle cerebral artery)

Choices:
A. Anterior cerebral artery (anterior cerebral artery)
B. Middle cerebral artery (middle cerebral artery)
C. Posterior cerebral artery (posterior cerebral artery)
D. Vertebral artery (vertebral artery)


Question: The baby boy who was born 16 days, because a lot of fluid film left rib cage breathing difficulties, internal emergency intubation and pleural effusion drainage, postoperative chest X-ray as shown below, of the most accurate diagnosis should be:

Answer: Right upper lobe atelectasis (Right upper lobe atelectasis)

Choices:
A. Right upper lobe atelectasis (Right upper lobe atelectasis)
B. Right upper lobe tumor (Right upper lobe tumor)
C. Mast thymus (Thymus enlargement)
D. Mediastinal tumors (Mediastinal tumor)


Question: Hengting Dayton chorea (Huntington's chorea) of three typical symptoms (Triad), does not include which of the following?

Answer: Yue muscle disorders (Myoclonus)

Choices:
A. Autosomal dominant genetic
B. Choreoathetosis (Choreoathetosis)
C. Yue muscle disorders (Myoclonus)
D. Intelligence and cognitive impairment


Question: You 1 (u) is a bit emergency physicians, 60-year-old Lee difficulties due to the recent worsening of breathing to emergency medical treatment, physical examination found that blood pressure 138/80 mmHg, heart rate 96 / min, respiratory rate 20 breaths / min, when not given oxygen oxygen concentration of 90%, jugular venous distention, a third heart sound, in the apical third of the pan systolic heart murmur (grade III / VI pansystolic murmur over apex), bilateral pulmonary rales (crackles), and lower extremity edema. Mr. Lee on the condition and disposition Which of the following error?

Answer: Sympatholytic agents started beta (β-blocker) as soon as possible

Choices:
A. Should decompensated heart failure (decompensated heart failure), may be associated with pulmonary edema (pulmonary edema). Preliminary disposal as LMNO, namely diuretics (loop diuretics: furosemide), nitroglycerin (nitroglycerin), oxygen. Morphine administered depending on the circumstances
B. Should explore the causes of heart failure and deterioration factors: such as medical history (past medical history, medication adherence, diet, infections ...), electrocardiogram (myocardial ischemia or arrhythmias), cardiac enzyme test (myocardial infarction), heart super sonic (valvular heart disease), measuring CBC
C. Can be started with ACEI (Angiotensin-converting enzyme inhibitor), or the ARB (Angiotensin II receptor blocker)
D. Sympatholytic agents started beta (β-blocker) as soon as possible


Question: The following parasitic infections and what was not due to the migration of the larvae (migration) and affects the lungs?

Answer: Whipworm

Choices:
A. Whipworm
B.  insects
C. Fecal nematode
D. roundworms


Question: About boys precocious puberty (precocious puberty), that one of the following pathogenic machine turn different from the other three?

Answer: Hypothalamic hamartoma (hypothalamic hamartoma)

Choices:
A. Hypothalamic hamartoma (hypothalamic hamartoma)
B. Human chorionic gonadotropin secretion stimulating hormone (hCG-secreting) in the pineal gland tumors (pineal tumor)
C. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
D. Leydig cell tumor (Leydig cell tumor)


Question: 5 A 36-year-old man admitted to hospital because of abdominal pain, he began to have intermittent lower abdominal pain from six months ago, diarrhea, nausea, vomiting, fever and weight loss phenomenon. Physical checkups show: temperature: 37.1 ° C, heart rate: 90 / min, blood pressure: 124/82 mmHg. Blood tests: WBC: 11,000 / mm3 (normal: 4,000 ~ 10,000 / mm3); hemoglobin: 10.8 g / dL (normal: 14 ~ 16 g / dL); C-reactive protein: 3.24 mg / dL (normal: <0.5 ), colonoscopy found ileum (ileum) had stenosis and hardening. Which of the following is the most likely diagnosis?

Answer: Crohn's disease (Crohn's disease)

Choices:
A. Crohn's disease (Crohn's disease)
B. Colorectal Cancer
C. Ulcerative colitis (ulcerative colitis)
D. Amebic colitis (amoebic colitis)


Question: From the previous question, you give the patient took a C-spine lateral view X-ray inspection and found that there are thumb-shaped appearance of the epiglottis, which of the following is the most likely diagnosis in this patient?

Answer: Acute epiglottitis (acute epiglottitis)

Choices:
A. Acute tonsillitis (acute tonsillitis)
B. Retropharyngeal abscess (retropharyngeal abscess)
C. Acute epiglottitis (acute epiglottitis)
D. Acute vascular edema (acute angioedema)


Question: Cause hypomagnesemia (Hypomagnesemia) where the following factors are not included?

Answer: Kidney failure

Choices:
A. Chronic diarrhea
B. Kidney failure
C. Heavy drinking
D. Diabetes and sustained polyuria


Question: That is the main reason for the lack of a hormone diabetes insipidus (diabetes insipidus) caused? This hormone Where generation (synthesis)?

Answer: Vasopressin; hypothalamic

Choices:
A. Vasopressin (vasopressin was); after the pituitary gland
B. Oxytocin (oxytocin); after the pituitary gland
C. Oxytocin; hypothalamic
D. Vasopressin; hypothalamic


Question: 7. Although the day of surgery (ambulatory surgery) do not need hospitalization, can reduce the number of medical expenses; however, anesthesia, surgery once following what happens, should consider the delay discharge or hospital? ① severe nausea, severe pain and vomiting blood pressure ③ ② unstable yet to surgical complications outside the control ④ expected

Answer: ①②③④

Choices:
A. Only ②④
B. Only ②③
C. ①②③④
D. Only ③④


Question: 33-year-old woman, G2P1, the front tire due to malposition caesarean section; the pregnancy, found a large number of vaginal bleeding, receive emergency caesarean section, found placenta previa and placenta accreta in surgery, hysterectomy accepted at 35 weeks of pregnancy. Compared to the diagnosis and plan before surgery and caesarean section in patients with total removal of the uterus, maternal surgery this occurs, the higher the chance of complications following what?

Answer: Bladder injury (bladder injury)

Choices:
A. Bladder injury (bladder injury)
B. Intestinal injury (bowel injury)
C. Venous blood clots (venous thromboembolism)
D. Amniotic fluid embolism (amniotic fluid embolism)


Question: After a 70-year falls in older people hit in the head two days ago, and today feel powerless and left side drowsiness, hematoma (subdural hematoma) under the dura mater of the following is an error displayed in the emergency department CT scan?

Answer: May be caused by middle cerebral artery (middle cerebral artery) bleeding

Choices:
A. May be caused by middle cerebral artery (middle cerebral artery) bleeding
B. Such patients may require surgical treatment
C. Most of these had cerebral hemorrhage due to head trauma
D. Sometimes neurological changes only appeared late in elderly patients


Question: Caudate nucleus dominant Which of the following features?

Answer: Perform the action

Choices:
A. Emotional control
B. Perform the action
C. Self-regulation of autonomic nervous
D. Yi can care has been taken


Question: Which of the following is a nonsteroidal antiinflammatory drugs (NSAIDs) direct pharmacological machine turn?

Answer: Inhibit the formation of prostaglandins

Choices:
A. Inhibit the formation of prostaglandins
B. The release of substance P
C. Directly on the μ-opioid receptor
D. Inhibiting the release of substance P


Question: Neurogenic bladder dysfunction (neuropathic bladder) related to the occurrence of diabetes, which of the following is bladder dysfunction first appeared?

Answer: Voiding frequency (urination frequency) reduction

Choices:
A. Voiding frequency (urination frequency) reduction
B. Voiding start (initiating micturition) difficulties
C. Can not suppress voiding (voiding uninhibition)
D. Overflow incontinence (overflow incontinence)


Question: The following related jugular venous pressure measurement narrative, what's wrong?

Answer: Typically the right external jugular vein (external jugular vein) measuring the most appropriate

Choices:
A. Typically the right external jugular vein (external jugular vein) measuring the most appropriate
B. "A" indicates the R wave atrial contraction wave
C. After the "c" on behalf of right ventricular systolic wave, tricuspid
D. Tricuspid regurgitation causes "v" wave increases


Question: Which of the following blood pressure lowering drugs mechanism of action is through blocking the AT1 receptor and achieved?

Answer: Valsartan

Choices:
A. Lisinopril
B. Diltiazem
C. Valsartan
D. Amiloride


Question: Following that kind of sedative hypnotics will not produce biologically active metabolites?

Answer: lorazepam

Choices:
A. flurazepam
B. diazepam
C. lorazepam
D. chlordiazepoxide


Question: Uterus portion (portio vaginalis uteri) or uterine overhanging portion (the ectocervix) of epithelial tissue are:

Answer: Stratified squamous epithelium

Choices:
A. Epithelium
B. Stratified squamous epithelium
C. Columnar epithelium
D. Pseudo stratified columnar epithelium


Question: A lung transplant patients in the outpatient routine blood tests, it was found that the blood of CMV (cytomegalovirus) antibodies index surge occurs and the patient complains of shortness of breath; suspected diagnosis of cytomegalovirus infection under hospitalization. Will the following statements is wrong?

Answer: Intravenous ganciclovir effective to treat CMV infection, usually only one week of treatment can be cured

Choices:
A. In addition to cytomegalovirus infection in lung transplant outside, retina also susceptible patients, causing retinitis, affect the vision of patients
B. Intravenous ganciclovir effective to treat CMV infection, usually only one week of treatment can be cured
C. The use of ganciclovir treatment of cytomegalovirus infection, the most common complication of leukopenia
D. CMV infection is often easy to relapse, so Adjunctive to regularly detect the blood in the index of CMV antibodies


Question: The patient's spouse want to apply for a certificate of the patient, how to be disposed of?

Answer: Spouse must have an identity card plus attorney stated intention of the commission

Choices:
A. You can see the spouse's identity card
B. Spouse verbally to
C. Can produce patient's identity card
D. Spouse must have an identity card plus attorney stated intention of the commission


Question: Following contact with the organic solvent resulting from occupational, whichever is the following pairing error?

Answer: Dimethylformamide (Dimethyl formaldehyde) → acute tubular necrosis

Choices:
A. Dimethylformamide (Dimethyl formaldehyde) → acute tubular necrosis
B. Toluene diisocyanate (Toluene diisocyanate) → asthma
C. Carbon disulfide (Carbon disulfide) → arteriosclerosis
D. Benzene (Benzene) → aplastic anemia


Question: 42 a 23-year-old young woman, hands and feet as acne and hirsutism to seek treatment, she found her quite irregular menstruation, only 2 or 3 times a year. Blood tests found her FSH edge than normal, but the LH value is very high, the most likely diagnosis Why?

Answer: polycystic ovarian syndrome

Choices:
A. testicular feminization syndrome
B. polycystic ovarian syndrome
C. Sheehan syndrome
D. ovarian theca cell tumor


Question: After menopause, women's hot flashes (hot flush) are more likely reason why?

Answer: estrogen reduction, increased LH

Choices:
A. estrogen reduction, increased FSH
B. estrogen, decreased FSH
C. estrogen reduction, increased LH
D. reduce estrogen, LH reduction


Question: The following statements about Q fever infection (Q fever) etiology and manifestations, whichever is correct?

Answer: In patients with valvular disease original problem may result in the Center Weighted meningitis (endocarditis)

Choices:
A. Case in Taiwan mainly to Jingwaiyiru
B. Found out skin rashes can be used as basis for the diagnosis of Q fever infection
C. In patients with valvular disease original problem may result in the Center Weighted meningitis (endocarditis)
D. Is an acute infectious disease, does not cause chronic infection


Question: That one of the following amino acids do not absorb UV light at 280 nm wavelength, so the molar absorption coefficient of a protein (molar extinction coefficient) is small contribution?

Answer: Asparagine (Asparagine)

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


Question: ⼀ bit 23 year-old man afraid ⾄ ⾨ Center Weighted patient examination, Center Weighted electrical diagram is displayed in the following figure, its affiliates or bypass path (accessory pathway) are most likely place where?

Answer: Left Center Weighted chamber side wall (left lateral ventricle)

Choices:
A. Right Center Weighted chamber sidewall (right free wall)
B. Left Center Weighted chamber side wall (left lateral ventricle)
C. Before the diaphragm (anterior septum)
D. After the diaphragm (posterior septum)


Question: In the embryo seventh, eight weeks of infection rubella (rubella), the virus can lead to hearing impairment and affect which of the following?

Answer: Spiral ganglion development

Choices:
A. The size of the outer ear channel
B. Spiral ganglion development
C. Small and middle ear bone formation ligament
D. Pinna (auricle) size


Question: Which of the following vector breeding infection by blood transfusion caused easily from human to human infection?

Answer: Barbados's protozoan disease (babesiosis)

Choices:
A. 巴西利什曼 protozoosis (leishmaniasis braziliensis)
B. Lyme disease (Lyme disease)
C. Scrub typhus (scrub typhus)
D. Barbados's protozoan disease (babesiosis)


Question: The method of diagnosis of pheochromocytoma, Which of the following most reliable?

Answer: plasma metanephrine

Choices:
A. urine VMA
B. urine catecholamine
C. plasma catecholamine
D. plasma metanephrine


Question: Adhesive capsulitis shoulder primary (idiopathic adhesive capsulitis) also known as frozen shoulder (frozen shoulder). Statements about this disease, which of the following error?

Answer: Do arthrography (arthrography) inspection, can be found in the axilla inflamed swollen joint capsule, filled with contrast agent

Choices:
A. A typical patient is about 40 to 60-year-old woman
B. Prone to non-dominant side (nondominant side)
C. Do arthrography (arthrography) inspection, can be found in the axilla inflamed swollen joint capsule, filled with contrast agent
D. Most cases can alleviate the symptoms disappear on their own, self-limited (self-limiting) disease


Question: Squeeze the glans clitoris can cause friction or external anal sphincter contraction is what reflection?

Answer: Bulbospongiosus reflex (bulbocavernosus reflex)

Choices:
A. Anal reflex (anal reflex)
B. Bulbospongiosus reflex (bulbocavernosus reflex)
C. Mention epididymis reflex (cremasteric reflex)
D. Detrusor (detrusor reflex)


Question: Which of the following is the main cause cell wound contracture (wound contracture) of?

Answer: Myofibroblasts (myofibroblast)

Choices:
A. Myofibroblasts (myofibroblast)
B. B- lymphocytes (B-lymphocyte)
C. T- lymphocytes (T-lymphocyte)
D. Macrophages (macrophage)


Question: 17 An 80-year-old woman right upper quadrant pain merger fever, biochemical examination revealed: total protein 6.8 g / dL, albumin 3.8 g / dL, ALT 200 U / L, AST 100 U / L, alkaline phosphatase 300 U / L (normal <100 U / L), γ-glutamyl transpeptidase U / L (normal <52 U / L), total bilirubin 5 mg / dL, direct bilirubin 3.5 mg / dL. Which of the following is the most likely diagnosis?

Answer: Common bile duct stones

Choices:
A. Alcoholic liver disease
B. Liver cyst
C. Fatty liver
D. Common bile duct stones


Question: A blunt eye contusion (blunt trauma) patients received fundus examination, which found that the more independent of the injury?

Answer: Macular drusen (Drusen)

Choices:
A. Macular hole (macular hole)
B. Retinal concussion (commotio retinae)
C. Macular drusen (Drusen)
D. Vitreous hemorrhage (vitreous hemorrhage)


Question: Which of the following drugs, the most suitable for the treatment of Sjögren's syndrome xerostomia about it?

Answer: cevimel to

Choices:
A. bethanechol
B. cevimel to
C. donepezil
D. neostigmine


Question: Acoustic neuroma (acoustic neuroma) that is best made in a following cranial nerves?

Answer: Vestibular nerve (vestibular nerve)

Choices:
A. Facial nerve (facial nerve)
B. Cochlear nerve (cochlear nerve)
C. Vestibular nerve (vestibular nerve)
D. Glossopharyngeal nerve (glossopharyngeal nerve)


Question: Which of the following antibiotics can increase the rate of liver metabolism, reduce the efficacy of other drugs?

Answer: rifampin

Choices:
A. chloramphenicol
B. erythromycin
C. ketoconazole
D. rifampin


Question: About Prinzmetal's Angina, the following statements is wrong?

Answer: When chest pain occurs, often seen electrocardiogram ST segment decreased significantly

Choices:
A. Chest pain occurs mostly at rest, but also one-third of patients with chest pain can occur in sports
B. When chest pain occurs, often seen electrocardiogram ST segment decreased significantly
C. Common cardiac catheterization without significant stenosis of coronary angiography
D. Pathogenic transfer machine and coronary artery spasm (spasm) about, and may use the acetylcholine-induced


Question: After the abdominal wall, along the downlink sacral wing (Ala), consisting of nerve plexus is recommended:

Answer: Lumbosacral nerve trunk (lumbosacral trunk)

Choices:
A. Obturator nerve (obturator nerve)
B. Femoral nerve (femoral nerve)
C. Lumbosacral nerve trunk (lumbosacral trunk)
D. Reproductive femoral nerve (genitofemoral nerve)


Question: A case-control study (case-control study) studied the relationship between smoking and certain diseases, such as information associated with the following table:

Answer: Fisher appropriate test (Fisher's exact test)

Choices:
A. Independent t-test (two-sample t-test)
B. Paired t-test (paired t-test)
C. McNemar chi-square test (McNemar Chi-square test)
D. Fisher appropriate test (Fisher's exact test)


Question: The following narrative about the interaction of the drug with the receptor, what's wrong?

Answer: partial agonist is still part of the receptor binding and non-activation state (inactive form) reaction

Choices:
A. Highest reactivity with the full agonist for receptor activation state (active form) in combination
B. partial agonist is still part of the receptor binding and non-activation state (inactive form) reaction
C. inverse agonist to an inhibitory response upon binding to the receptor does not activate state (inactive form) of
D. receptor antagonist for the activation status (active form) receptors and non-activation state (inactive form) after the binding reaction are no


Question: Treatment of AIDS (AIDS) drugs zidovudine (azidothymidine, AZT), is the product of the gene for the virus?

Answer: half

Choices:
A. ca.
B. gag
C. of
D. half


Question: Pregnant 29 weeks premature children born, birth weight 1600 grams, after feeding suffering from necrotizing enterocolitis. He's the least of the following symptoms appear?

Answer: constipation

Choices:
A. constipation
B. Bloating
C. Vomit
D. Blood in the stool


Question: Bordetella pertussis (Bordetella pertussis) produce pertussis toxin (pertussis toxin), a catalytic Gi alpha (i.e., inhibitory G protein α subunit) of the ADP-ribosylation, results in persistent activation of adenylate cyclase. The following narrative about the pertussis toxin pathogenic turn of the machine, whichever is correct?

Answer: Giα pertussis toxin inhibition of GDP-bound state to the GTP binding converter

Choices:
A. Giα pertussis toxin inhibition of GDP-bound state to the GTP binding converter
B. Giα pertussis toxin inhibition of GTP-bound state to convert GDP binding
C. pertussis toxin inhibition of GTPase activity Giα
D. Giα role of adenylate cyclase promote the pertussis toxin


Question: Account of Clostridium difficile (Clostridium difficile), and Which statement is correct?

Answer: The disease is often a result of long-term use of antibiotics, resulting in intestinal flora caused by the change

Choices:
A. The disease is often a result of long-term use of antibiotics, resulting in intestinal flora caused by the change
B. Available ampicillin (ampicillin) and clindamycin (clindamycin) Treatment
C. Will produce enterotoxin (enterotoxin), causing muscle spasms
D. Will produce a toxin α (α toxin), causing severe soft tissue necrosis


Question: 46 year-old man complained of tinnitus right side. According to this Zhang MRI, T2WI, causing the right side of tinnitus most likely cause is:

Answer: NPC cause water right ear mastoiditis (mastoiditis)

Choices:
A. NPC cause water right ear mastoiditis (mastoiditis)
B. Bacterial water right ear mastoiditis (bacterial mastoiditis)
C. Viral water right ear mastoiditis (viral mastoiditis)
D. Mastoid cholesteatoma (mastoid cholesteatoma)


Question: Large a two month old baby red spot will appear as shown in the drawings of genitals, that one of the following is the most appropriate treatment for the cause?

Answer: Anti-fungal creams

Choices:
A. Antihistamine syrup
B. Antibiotic ointment
C. Anti-fungal creams
D. Moisturizing creams


Question: When (bronchiole) bronchioles of the lungs is blocked somewhere foreign matter, which of the following reactions occur?

Answer: Ventilation (ventilation) of this region and the blood perfusion (Perfusion) the ratio of the change, and then returned to close to the other normal region

Choices:
A. Entering this zone alveolar ventilation (alveolus) of the (ventilation) increase
B. Entering this zone alveoli (alveolus) of blood perfusion (perfusion) increase
C. Ventilation (ventilation) of this region and the blood perfusion (Perfusion) the ratio of the change, and then returned to close to the other normal region
D. Nearby vasodilation (vasodilation)


Question: The following statements about neuropsychological tests (neuropsychological assessment), and what's wrong?

Answer: Progressive brain injury situation assessment of cognitive function (Rancho scale) can not be used to observe the function of nerve injury patients

Choices:
A. Coma Patient Index (coma scale) can be used for screening of acute nerve injury
B. Progressive brain injury situation assessment of cognitive function (Rancho scale) can not be used to observe the function of nerve injury patients
C. Neuropsychological tests can help the rehabilitation plan of the development
D. Emotional and behavioral problems of patients, the rehabilitation training will also be affected


Question: Long-term position of the patient lying on his side bedsores occur most frequently in the following parts of what?

Answer: Greater trochanter of femur (greater trochanter of femur)

Choices:
A. 髂嵴（iliac crest）
B. Greater trochanter of femur (greater trochanter of femur)
C. Shoulder (shoulder)
D. Ankle (ankle)


Question: One 40-year-old female, found a nest of 4 cm lump on the left side only clavicle, one of the following is most unlikely that the primary lesion?

Answer: Laryngeal cancer

Choices:
A. Lung cancer
B. Laryngeal cancer
C. Stomach cancer
D. Cervical Cancer


Question: 70 year old man, right upper lobe has a 5 cm tumor, there are violations of the visceral pleura (visceral pleura) of. Non-small cell lung sections confirmed (non-small cell lung cancer). After surgery proved right anterior tracheal lymph nodes were positive, in addition no other cancer invasion or metastasis. According to the seventh edition of the AJCC staging, please select the most appropriate options:

Answer: For the first stage IIIa

Choices:
A. T classification 為 T3
B. N classification is N1
C. For the first stage IIIa
D. For the first Phase IIb


Question: 5 using muscle relaxant antagonists cholinesterase inhibitors (cholinesterase inhibitors), acting in the role of muscarine receptor (muscarinic receptor) produced, which of the following error?

Answer: Reducing the tension of the bladder (decreased bladder tone)

Choices:
A. Slow the heart rate (decreased heart rate)
B. Miosis (pupillary constriction)
C. Stomach cramps (intestinal spasm)
D. Reducing the tension of the bladder (decreased bladder tone)


Question: Hypertensive patients with asthma or chronic pulmonary obstruction, which should not be used following blood pressure lowering drugs?

Answer: Propranolol

Choices:
A. Clonidine
B. Terazosin
C. Losartan
D. Propranolol


Question: One patient complained of lower limb weakness and numbness. Physical examination and neuroimaging found in Section 6 to Section 8 thoracic spinal nerve lesions. On its deep and superficial reflex, whichever of the following is most likely?

Answer: Biceps normal reflection, reflection enhancing ankle, there Babinski sign

Choices:
A. Biceps (biceps) reflection reflected knee (knee jerk) are enhanced, without Babinski sign
B. Biceps normal reflection, reflection enhancing ankle, there Babinski sign
C. Biceps ankle reflex and reflection are weakened, there Babinski sign
D. Biceps reflex enhancement, and knee reflexes, no Babinski sign


Question: For a description of wound infection, which of the following error?

Answer: Naishi antibiotic prophylaxis for surgical wounds of cleaning

Choices:
A. Cause wound infections include bacterial factors, local wound factors, patient factors
B. Clean the chances of wound infection after surgery to produce three percent or less
C. Naishi antibiotic prophylaxis for surgical wounds of cleaning
D. When normal trauma occurs, the number of bacteria per gram of tissue greater than 105 will cause infection


Question: Wu grandfather 84 years due to sudden headache and mobility, was sent to the emergency room, the attending physician neurology considered hemorrhagic stroke, which of the following is the most appropriate checks?

Answer: Computer tomography (CT)

Choices:
A. Angiography (angiogram)
B. Computer tomography (CT)
C. NMR photography (MRI)
D. transcranial doppler


Question: An enzyme kcat = 500 s-1, Km = 5 mM, in the case of receiving quality is much higher than the Km concentration, the rate constant of the reaction of this enzyme is approximately:

Answer: 500 s-１

Choices:
A. 500 s-１
B. 2,500 mM s-１
C. 100 mM-１s-１
D. 0.01 s mM-１


Question: About the pineal gland (pineal gland), the following statements is this bad?

Answer: This gland contains many melanocytes (melanocyte)

Choices:
A. Melatonin secretion (levels of melatonin) thereby affecting the function of the reproductive system
B. Adult pineal brain often contain sand (corpora arenacea / brain sand)
C. This gland contains many melanocytes (melanocyte)
D. This glands activity (Activity) receiving light rays (light) Effect


Question: Trypsin (trypsin) that does not participate in the activation of these enzymes?

Answer: deoxyribonuclease

Choices:
A. colipase
B. carboxypeptidase B
C. elastase
D. deoxyribonuclease


Question: Which of the following diseases most infrequently associated with accessory pathway, causing fewer on ventricular tachycardia (supraventricular tachycardia)?

Answer: Tetralogy of Fallot (tetrology of Fallot)

Choices:
A. Aibositan's abnormalities (Ebstein anomaly)
B. Disease both the right atrium (right atrial isomerism)
C. Tetralogy of Fallot (tetrology of Fallot)
D. Wolff-Parkinson-White syndrome (WPW syndrome)


Question: Severe trauma patients presenting a large number of intra-abdominal bleeding and shock, damage control surgery is occasionally necessary (damage control surgery) in a short time to control bleeding and other rescue steps to save lives. Otherwise lethal three elements (lethal triad) will appear. Which of the following does not belong to the lethal triad?

Answer: Hyperlipidemia (sepsis)

Choices:
A. Coagulation insufficiency (coagulopathy)
B. Metabolic acidosis (metabolic acidosis)
C. Low body temperature (hypothermia)
D. Hyperlipidemia (sepsis)


Question: A 60-year-old patient with diabetes and high blood pressure, chest tightness and shortness of breath occasionally occur, at which time resting electrocardiogram (resting ECG) showed no abnormalities. Patients complain of brisk walking can still engage in sports. When you suspect that this patient may have ischemic heart disease, check what priority should be given?

Answer: Treadmill ECG (Treadmill exercise test)

Choices:
A. Treadmill ECG (Treadmill exercise test)
B. Cardiac ultrasonography
C. Nuclear perfusion scan (Nuclear perfusion scan)
D. Cardiac magnetic resonance scan


Question: A healthy person, when standing before you start to inhale more than the volume of the lung (residual volume), this time to that of alveolar air will enter most of a region?

Answer: At the apex

Choices:
A. At the end of the lung
B. At the apex
C. Lung center
D. Evenly distributed to all


Question: Following an infectious disease that is present in human society through vaccination, most likely to eradicate the disease?

Answer: Polio (poliomyelitis)

Choices:
A. TB (tuberculosis)
B. Measles (measles)
C. Polio (poliomyelitis)
D. Pertussis (diphtheria)


Question: 56-year-old male, in the cold winter comes, bilateral leg skin lesions will appear as shown in Figure itch. Which of the following most inappropriate disposal?

Answer: Encourage patients to take a bath

Choices:
A. Encourage patients to take a bath
B. Wipe steroids
C. Improve indoor humidity
D. Emollients


Question: Oral contraceptive agents containing primary clinical use of estrogen and progestin two components, may be reduced after taking follicle stimulating hormone (follicle-stimulating hormone; FSH) and luteinizing stimulating hormone (luteinizing hormone; LH) secretion inhibiting ovarian follicular maturation and , blocking ovulation. The following statements is wrong?

Answer: Contraceptive agents can reduce the secretion of FSH and LH, but through a positive feedback on the hypothalamus regulation

Choices:
A. The two components belong to the contraceptive steroid (Steroid) hormone
B. Contraceptive agents can reduce the secretion of FSH and LH, but through a positive feedback on the hypothalamus regulation
C. The two components of the contraceptive can be regulated through the degree of expression of a particular gene is located within a nuclear receptor action
D. Steroids are also located on the cell membrane receptor responsible for the rapid hormonal effect


Question: Account of pleural effusion (pleural effusion), and Which statement is correct?

Answer: Pneumonia, pleural effusion Ruoyin ⽣ yield, the glucose concentration of this liquid is usually lowered, and ⼩ at 60mg / dL

Choices:
A. Leakage of fluid (transudate) ⽣ often made at the time of virus infection or pneumonia
B. Exudate (exudate) is usually clear, low content of the liquid egg white matter
C. Exudate (exudate) is clear ⾎ LDH pleural fluid LDH than the ratio of 0.6 to ⼩
D. Pneumonia, pleural effusion Ruoyin ⽣ yield, the glucose concentration of this liquid is usually lowered, and ⼩ at 60mg / dL


Question: About IVF treatment, the narrative and implanted embryo culture, which of the following error?

Answer: Embryo culture late (post-compaction), recommended media requires more non-essential amino acids (non-essential amino acids) to

Choices:
A. Early (pre-compaction) embryos cultured recommended media need more pyruvic acid (pyruvate) to simulate the environment of the fallopian tube
B. Embryo culture late (post-compaction), recommended media requires more non-essential amino acids (non-essential amino acids) to
C. When the patient normal conditions, compared to the blastocyst stage embryo implantation embryo implantation in the division have a higher rate of bed
D. Embryos cultured to the blastocyst stage compared to the division of the embryo, have a higher chance embryo can not implant


Question: The following account of antipsychotic drugs and what was wrong?

Answer: Risperidone more likely to cause seizures than clozapine

Choices:
A. Clozapine can be used to treat patients with other antipsychotic efficacy poor
B. Aripiprazole is a dopamine agent portion of (dopamine partial agonist)
C. Risperidone more likely to cause seizures than clozapine
D. The second-generation antipsychotics than conventional antipsychotics are prone to causing metabolic syndrome (metabolic syndrome)


Question: When neck cancer surgery, unfortunately hurt the vagus nerve branches, the most likely scenario what happened?

Answer: Hoarseness

Choices:
A. Reduce gastric acid secretion
B. diarrhea
C. Tachycardia
D. Hoarseness


Question: The following statements about the structure of the respiratory tract, what's wrong?

Answer: Terminal bronchioles (terminal bronchiole) having a large number of epithelial goblet cells (goblet cells)

Choices:
A. Bronchi (bronchus) and a ring wall having cartilage pieces go smooth muscle layer
B. Bronchial cartilage having no inner sheet (bronchiole), the ring away from the smooth muscle layer mainly composed of
C. Terminal bronchioles (terminal bronchiole) having a large number of epithelial goblet cells (goblet cells)
D. Function terminal bronchioles (terminal bronchiole) epithelial Clara cells secretory protein, a cell surface non cilia


Question: A 6-year-old boy, and double-stranded on both sides of the lower limbs and bleeding purple rash, fever without the boy, the spirit is good, but the right knee swelling, complete blood measurement normal, the most likely diagnosis is:

Answer: Anaphylactoid purpura Henoch-Schönlein (anaphylactoid) purpura

Choices:
A. Essential thrombocytopenia purpura (idiopathic thrombocytopenic purpura)
B. Youth rheumatoid arthritis (juvenile rheumatoid arthritis)
C. Meningococcal septicemia (meningococcemia)
D. Anaphylactoid purpura Henoch-Schönlein (anaphylactoid) purpura


Question: For the diagnosis of pelvic hemorrhage, puncture fluid pouch typically performed surgery (culdocentesis) via the following where?

Answer: The posterior vaginal fornix (posterior fornix of vagina)

Choices:
A. The posterior vaginal fornix (posterior fornix of vagina)
B. Vaginal vault (anterior fornix of vagina)
C. Bladder wall (posterior wall of urinary bladder)
D. Rectal wall (anterior wall of rectum)


Question: Acute infectious diarrhea in children caused by pathogens, which of the following would cause non-inflammatory diarrhea (non-inflammatory diarrhea)?

Answer: Arc cholera bacteria (Vibrio cholerae)

Choices:
A. Jejunum song like tuberculosis (Campylobacter jejuni)
B. Salmonella (Salmonella spp.)
C. Dysentery bacillus (Shigella spp.)
D. Arc cholera bacteria (Vibrio cholerae)


Question: A 80-year-old man hospitalized patients, there is no prior history of psychiatric or dementia, and no alcohol or other substance abuse issues, from Neike Jia intensive care unit into a general ward, appeared auditory and visual hallucinations evening, time can not be determined, locations such as performance, and is associated with acts of interference such as insomnia and excitement to the situation improved slightly during the day, before the families did not have similar mental symptoms, only six months ago because of a stroke in the hospital there had been a brief similar situation. The patient's current performance is most likely to be diagnosed as which of the following?

Answer: Delirium (delirium)

Choices:
A. Schizophrenia (schizophrenia)
B. There dementia and behavioral disorders (dementia with behavioural and psychological symptoms)
C. Delirium (delirium)
D. Previous stroke sequelae


Question: For post-traumatic syringomyelia (post-traumatic syringomyelia), following what most diagnostic imaging value?

Answer: Magnetic resonance imaging (MRI)

Choices:
A. Computed tomography (CT scan)
B. Magnetic resonance imaging (MRI)
C. Photography spinal cord (myelography)
D. Sonography (ultrasonography)


Question: The following description of the relevant mechanisms of the parasite to escape the host immune response, and that one is not correct?

Answer: Leishmania (Leishmania species) induced higher Th1 response in vivo host

Choices:
A. Malaria parasite (Plasmodium species) off the circumsporozoite (CS) antigen
B. Leishmania (Leishmania species) induced higher Th1 response in vivo host
C. Cone worm (Trypanosomes) the appearance of a variation glycoprotein (variant surface glycoprotein)
D. Schistosomes (Schistosomes) 70 Which of the following is not covered with the appearance of B cell surface molecules of human ABO blood group antigens?


Question: The following account of biofilms (biological membrane) what is the molecular structure of the non?

Answer: Is symmetric

Choices:
A. As noncovalent assemblies
B. Is symmetric
C. As the fluid structures
D. Mainly composed of lipids and proteins


Question: When suspected anti-phospholipid antibody syndrome (antiphospholipid antibody syndrome), following examination of what is most important?

Answer: prothrombin time 及 activated partial thromboplastin time

Choices:
A. C3 and C4
B. prothrombin time 及 activated partial thromboplastin time
C. ESR and CRP
D. cholesterol 及 triglyceride


Question: 23. The following on valvular heart disease, what's right? ① syncope (syncope) severe stenosis of the aortic valve surgery indications one ② mitral valve repair can be used dilated cardiomyopathy (dilated cardiomyopathy) ③ surgical treatment of patients with heart transplants can be used for surgical treatment of valvular heart disease suffer ④ mitral valve repair surgery mortality rate is higher than the mortality of mitral valve replacement

Answer: ①②③

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④


Question: cerebrospinal fluid secreted by which of the following?

Answer: choroid plexus

Choices:
A. arachnoid membrane
B. choroid plexus
C. arachnoidal villi
D. ependyma


Question: Hypertensive patients suffering from lupus, which is not suitable for the following antihypertensive drugs?

Answer: Hydralazine

Choices:
A. Captopril
B. Diazoxide
C. Clonidine
D. Hydralazine


Question: Q-type heat (Q fever) occurred in most countries of zoonosis (zoonosis), after a person is infected, will be presented acute type (pneumonia, hepatitis, flu-like symptoms, headache), or severe chronic type (endocardial inflammation) symptoms. This disease is caused by a bacterial infection what?

Answer: Coxiella burnetii

Choices:
A. Rickettsia rickettsii
B. Coxiella burnetii
C. Ehrlichia canis
D. Staphylococcus epidermidis


Question: Childbirth appears "shoulder dystocia" right line which method to use to give this predicament?

Answer: 马克罗伯兹 method (Mc Roberts maneuver)

Choices:
A. 马克罗伯兹 method (Mc Roberts maneuver)
B. Lubin Act (Rubin maneuver)
C. Woods method (Woods maneuver)
D. Sapporo Where Donnelly Act (Za vanelli maneuver)


Question: Which of the following human parasitic infections more often lead to severe anemia on the clinical symptoms?

Answer: Duodenum 鉤蟲 (Ancylostoma duodenale)

Choices:
A. Schistosoma japonicum (Schistosoma japonicum)
B. Bancrofti (Wuchereria bancrofti)
C. Duodenum 鉤蟲 (Ancylostoma duodenale)
D. Angiostrongylus cantonensis (Angiostrongylus cantonensis)


Question: 64. The following test results that do not meet a case of arterial blood gas analysis and serum electrolytes listed in [pH 7.49, PaO2 90 mmHg, PaCO2 43 mmHg, 0, Cl- 89 (electrolyte unit is mmol / L)]?

Answer: B: 37-year-old female patient, suffering from Sjögren's syndrome, renal ultrasonography found the kidney pelvis on both sides there are signs of calcification

Choices:
A. A: The 40-year-old female patient, the past six months found that hypertension; patients sometimes lower limb weakness, plasma aldosterone concentration cortex 38 ng / dL (normal is 10 to 25)
B. B: 37-year-old female patient, suffering from Sjögren's syndrome, renal ultrasonography found the kidney pelvis on both sides there are signs of calcification
C. C: 30-year-old male patient was hospitalized with acute pancreatitis, given nasogastric tube drainage, drainage of about 3000 mL per day
D. D: 22-year-old female patient taking thiazide diuretics to lose weight long term


Question:  ouabain  size availability of three oral digoxin  digitoxin biological arranged as:


Question: 90 A 54-year-old woman found in the small intestine has a 6 cm tumor was found to be sliced sarcoma, immunochemical staining found that c-kit (CD117) (+), CD34 (+), smooth muscle actin (-), then which of the following is the most likely diagnosis?

Answer: Gastrointestinal stromal tumors

Choices:
A. Leiomyosarcoma
B. Angiosarcoma
C. Nerve fibrosarcoma
D. Gastrointestinal stromal tumors


Question: Account of fecal occult blood (fecal occult blood testing, FOBT), and what's wrong?

Answer: Fecal occult blood test three days before must avoid intake of red meat

Choices:
A. No risk factors for people is a good screening tool for colorectal cancer
B. Immune response detected by fecal occult blood which redox specificity than the fecal occult blood detection is high
C. Because the blood cells will be destroyed in the gastrointestinal tract, the immune response is detected from a fecal occult blood colon or rectal bleeding
D. Fecal occult blood test three days before must avoid intake of red meat


Question: Postoperative lung cancer the most common cause of death in the watch ⾒ Why?

Answer: Pneumonia defeat ⾎ disease (pneumonia with sepsis)

Choices:
A. Pneumonia defeat ⾎ disease (pneumonia with sepsis)
B. ⼼律 irregular (arrhythmia)
C. Kidney failure (renal failure)
D. Stroke (stroke)


Question: Following that disease is the most important risk factor for suicide?

Answer: Depression

Choices:
A. With terminal cancer
B. Depression
C. Drug addiction
D. Adjustment disorder


Question: Female patients following heart diseases due to the production of a high risk of pregnancy should be advised not to get pregnant, except what women?

Answer: Had undergone open heart surgery of Tetralogy of Fallot

Choices:
A. There are severe pulmonary hypertension of
B. There are powerful of aortic stenosis
C. Marfan syndrome and aortic root has greater than 40 mm
D. Had undergone open heart surgery of Tetralogy of Fallot


Question: 70-year-old Lin, is a type 2 diabetes, a recent examination found that the serum creatinine value of 2.5 mg / dL, you suggested that he stop using the kind of oral hypoglycemic drugs?

Answer: metformin

Choices:
A. pioglitazone
B. glipizide
C. metformin
D. repaglinide


Question: Following with cervical cancer most relevant HPV (human papillomavirus) typing is:

Answer: type 16, 18

Choices:
A. type 6, 8
B. type 16, 18
C. type 6, 11
D. type 6, 18


Question: And allergic asthma incidence related to good hygiene hypothesis (hygiene hypothesis), that the following statement best describes correct?

Answer: Infancy suffered a virus or bacterial infection, can reduce the incidence

Choices:
A. Genetic factors most relevant to the pathogenesis or not
B. Diet and the incidence of the most relevant or not
C. Infancy suffered a virus or bacterial infection, can reduce the incidence
D. Growth compared to undeveloped countries, the incidence tend to be lower in developed countries


Question: A 22-year-old woman has been on dialysis for three years, brothers and sisters want to donate a kidney to her, following those HLA antigen has more important clinical significance?

Answer: A, B and DR

Choices:
A. A, B and C
B. A, B and DR
C. DP,DR and DQ
D. A, E and DQ


Question: Statements about osteogenesis imperfecta (osteogenesis imperfecta), the error which of the following?

Answer: Belong to autosomal recessive (autosomal recessive) genetic disorders

Choices:
A. Belong to autosomal recessive (autosomal recessive) genetic disorders
B. Most from a first type collagen (type I collagen) genetic disease
C. The most common clinical problem is repeated long bone fractures (recurrent fracture)
D. Bone marrow and correcting multiple cut the nail, the retransmission can reduce fracture


Question: The following is a phenomenon which is often case-control study bias the results (bias) source?

Answer: Subjects unable to recall past exposure situation correctly

Choices:
A. Healthy worker effect
B. The study sample lost to follow
C. Subjects are usually volunteers
D. Subjects unable to recall past exposure situation correctly


Question: 45 a 24-year-old girl to the clinic for treatment because of irregular menstruation, complained of menarche is 12 years, the last six months but not menstruation. Type body fat, hirsutism and acne, which most unlikely diagnosis?

Answer: Cervical Cancer

Choices:
A. Cervical Cancer
B. Polycystic ovary
C. Premature ovarian failure
D. pregnancy


Question: Normal primipara, in the absence of anesthesia if the status of the second stage of labor more than you can count how many hours too long?

Answer: 2 hours

Choices:
A. 1 hour
B. 2 hours
C. 3 hours
D. 4 hours


Question: Which of the following congenital heart disease, pulmonary vascular lines will not appear on the chest X-ray film increases (increased pulmonary vascularity)?

Answer: Method Rockwell quartet deformities (tetralogy of Fallot)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Patent ductus arteriosus disease (patent ductus arteriosus)
C. Method Rockwell quartet deformities (tetralogy of Fallot)
D. Great vessels diseases (transposition of great arteries)


Question: The highest chance SS-A / Ro autoantibodies (SS-A / Ro autoantibody) following which the disease appears in the blood test?

Answer: Subacute cutaneous lupus erythematosus (subacute cutaneous lupus erythematosus)

Choices:
A. Erythema systemic lupus (systemic lupus erythematosus)
B. Subacute cutaneous lupus erythematosus (subacute cutaneous lupus erythematosus)
C. Discoid lupus erythematosus (discoid lupus erythematosus)
D. Sclerosis (scleroderma)


Answer: 5'-GAATTC-3 '

Choices:
A. 5'-GAATTC-3 '
B. CATTAG-5'-3 '
C. CATATG-5'-3 '
D. CAATTG 5'-3 '


Question: Patients in hypercatabolic state, blood and urine concentrations of urea nitrogen will rise, following what's wrong?

Answer: urea cycle occurs mainly in the kidney

Choices:
A. On behalf of protein degradation increases
B. urea nitrogen source is the amino acid
C. amino acid was converted urea cycle to urea
D. urea cycle occurs mainly in the kidney


Question: A 9-year-old boy by the recent bruising and often pale to treatment, peripheral blood leukocytes and there is too high, the case of anemia and thrombocytopenia, peripheral blood smear as follows, arrow blood cell inclusions Why?

Answer: Auer's rod

Choices:
A. Basophilic stippling
B. Auer's rod
C. Heinz body
D. Howell-Jolly body


Question: The following about the unknown fever (fever of unknown origin) classification, what's wrong?

Answer: Unknown type of heat community (community FUO)

Choices:
A. Hospital type of unknown fever (nosocomial FUO)
B. Unknown type of heat community (community FUO)
C. HIV is unknown heat-related (HIV associated FUO)
D. Neutropenia unknown heat (neutropenic FUO)


Question: In recent years, discovery of Mycobacterium isonicotinate (treatments of isoniazid), ethyl isonicotinoyl amine (ethionamide), ethylamine butyrate (ethambutol) and the ring serine (cycloserine) and other four antibiotic resistance increasing number, which of the following is the main reason for resistance to these drugs produce?

Answer: Cell changes so that drugs can not enter

Choices:
A. Bacterial cells with a plasmid
B. Cell changes so that drugs can not enter
C. Cells secrete enzymes decompose the drug
D. Changes in cell metabolism of these drugs on the way


Question: 72. menopause already 56 year-old female patient complained of abnormal vaginal bleeding, magnetic resonance angiography (T2WI) as shown below. Why is the diagnosis?

Answer: Endometrial cancer (endometrial cancer)

Choices:
A. Uterine fibroids (uterine myoma)
B. Endometrial cancer (endometrial cancer)
C. Cervical cancer (cervical cancer)
D. Blood in the uterine cavity (hematometra)


Question: Following a muscle that does not belong to the organization rotator cuff cuff (rotator cuff)?

Answer: Teres major (teres major)

Choices:
A. 嵴上 skin (supraspinatus)
B. Teres minor (teres minor)
C. Teres major (teres major)
D. Subscapularis muscle (subscapularis)


Question: Patients have brain lesions occur Kernohan notch (Kernohan's notch), resulting in ipsilateral hemiparesis (hemiparesis), directly related changes Why?

Answer: By cerebellar sky prolapse (transtentorial herniation)

Choices:
A. Prolapse (subfalcial herniation) under the falx
B. By cerebellar sky prolapse (transtentorial herniation)
C. Prolapse of the cerebellar tonsils (tonsillar herniation)
D. Gilles de Ia Tourette's bleeding (Duret's hemorrhage)


Question: A 33-year old male patient, there is about a 6 cm before mediastinal tumor, blood examination revealed by serum CEA levels were normal, increases of AFP (80 ng / ml, normal range:

Answer: Non spermatocytes germ cell cancer (non-seminomatous germ cell tumor)

Choices:
A. Liver cancer (hepatocellular carcinoma)
B. Spermatocytes germ cell cancer (seminoma)
C. Non spermatocytes germ cell cancer (non-seminomatous germ cell tumor)
D. Thymoma (thymoma)


Question: Which of the following does not belong there should be changes in pulmonary emphysema (emphysema)?

Answer: Diffusion volume increase (increased diffusing capacity)

Choices:
A. Care has increased airway resistance (increased airway resistance)
B. Diffusion volume increase (increased diffusing capacity)
C. Total lung capacity increases (increased total lung capacity)
D. Ventilation perfusion imbalance (ventilation perfusion mismatch)


Question: After menopause, women no longer what hormone synthesis and secretion of the body?

Answer: Progesterone (progesterone)

Choices:
A. Estrogen (estrogen)
B. Male hormone (androgen)
C. Progesterone (progesterone)
D. Luteinizing hormone (LH)


Question: Compared to elicit the production of antibodies initial response (primary response), characteristics of the secondary reaction (secondary response) with a protein antigen caused by what?

Answer: There are involved in memory lymphocytes

Choices:
A. Usually takes a long time to start a large number of antibody production
B. There are involved in memory lymphocytes
C. Mainly manufacture and secrete large amounts of IgM
D. Antibody titers (Titer) produced with quite primary reaction


Question: Which of the following drugs can not make prostate volume was significantly reduced?

Answer: Influenza sympathetic inhibitor (α-adrenergic blocker)

Choices:
A. Androgen receptor antagonist (anti-androgenic receptor agent)
B. Influenza sympathetic inhibitor (α-adrenergic blocker)
C. 5a reductase inhibitors (5α-reductase inhibitor)
D. Female hormone preparations


Question: Beating coronary artery bypass surgery, the monitor via the pulmonary artery catheter, observed a sudden increase in pulmonary artery pressure, but blood pressure remained in the normal range, address the following related anesthesiologists do, what's wrong?

Answer: Increased tidal volume (tidal volume)

Choices:
A. Deepen the depth of anesthesia
B. Increased respiratory rate
C. Increased tidal volume (tidal volume)
D. Administration of phosphodiesterase III inhibitor


Question: A 24-year-old students who come to the emergency acute vertigo, nystagmus chart below, the patient has no major medical illness, and no tinnitus, a history of hearing loss. Will it be the most likely diagnosis Why?

Answer: Left vestibular neuritis (vestibular neuritis)

Choices:
A. Right Meniere's disease (Meniere's disease)
B. Left Meniere's disease (Meniere's disease)
C. Right vestibular neuritis (vestibular neuritis)
D. Left vestibular neuritis (vestibular neuritis)


Question: The following figure shows a child's chest X-ray tablets, the most likely diagnosis is:

Answer: Bronchopulmonary dysplasia (bronchopulmonary dysplasia)

Choices:
A. Pulmonary sequestration (pulmonary sequestration)
B. Pneumothorax (pneumothorax)
C. Lobar pneumonia (lobar pneumonia)
D. Bronchopulmonary dysplasia (bronchopulmonary dysplasia)


Question: 40-year-old Lin, was diagnosed with chronic psychosis disorder (formerly known as schizophrenia). One day Mr. Lin held in the street casually waving a broom, fortunately caused no harm to others, was sent to the hospital emergency police and their families, emergency room Zhuyuanyishi advice to find Mr. Lin's obvious paranoia, auditory hallucinations and delusions controlled, but I'm Mr. refused to accept hospital treatment, the following statements is true?

Answer: Zhuyuanyishi psychiatric specialist should be invited to assess the situation of Mr. Lin

Choices:
A. After Zhuyuanyishi diagnosis is confirmed, Mr. Lin will be immediately compulsory hospitalization
B. Mr. Lin's behavior violated the law, the police should be asked to Mr. Lin brought to justice
C. Mr. Lin to direct outpatient tracking
D. Zhuyuanyishi psychiatric specialist should be invited to assess the situation of Mr. Lin


Question: Within the first six hours of the occurrence of septic shock, Which of the following does not belong to the set target must be as agreed when the general first aid?

Answer: Central venous oxygen partial pressure> 60 mmHg

Choices:
A. Mean arterial pressure (mean arterial pressure, MAP)> 65 mmHg
B. CVP (central venous pressure, CVP) is between 8 ~ 12 cmH2O
C. Central venous oxygen partial pressure> 60 mmHg
D. Amount of urine> 0.5 mL / kg / hr


Question: Atrioventricular node (AV node) where the following is closest to?

Answer: Coronary sinus opening (opening of coronary sinus)

Choices:
A. Restraint belt (moderator band)
B. Junction of the inferior vena cava and the right atrium
C. Coronary sinus opening (opening of coronary sinus)
D. Bound ridge (crista terminalis)


Question: Mr. Wang is the most likely diagnosis Why?

Answer: Subarachnoid hemorrhage (subarachnoid hemorrhage)

Choices:
A. Bleeding (epidural hematoma) on dura
B. Subarachnoid hemorrhage (subarachnoid hemorrhage)
C. Subdural hemorrhage (subdural hemorrhage)
D. Ischemic stroke (ischemic stroke)


Question: What at the beginning of the following period, the fetal head is about half the length of its head heel (crown-heel length) of?

Answer: Fetal period (fetal period)

Choices:
A. Second trimester (second trimester)
B. 胚期（embryonic period）
C. Fetal period (fetal period)
D. Fetal stage (stage of quickening)


Question: The following relevant Chinese liver fluke (Clonorchis sinensis) infection with the human narrative, what's wrong?

Answer: Eggs and Yi which Yokokawa trematodes (Metagonimus yokogawai) distinguish eggs

Choices:
A. Due to the ingestion of meat and freshwater fish parasite infection
B. Its capsule Young (metacercaria) has the ability to infect the human body
C. Eggs and Yi which Yokokawa trematodes (Metagonimus yokogawai) distinguish eggs
D. May lead to cholangiocarcinoma in chronic severe infection


Question: It has nothing to do following a virus and intestinal diseases?

Answer: Pox virus (Pox viruses)

Choices:
A. Rotavirus (Rota viruses)
B. Norway Wacker viruses (Norwalk viruses)
C. Small RNA viruses (Picorna viruses)
D. Pox virus (Pox viruses)


Question: Tendon (tendon) is mainly composed of which of the following?

Answer: Collagen fibers (collagen fiber)

Choices:
A. Nerve fibers (nerve fiber)
B. Collagen fibers (collagen fiber)
C. Reticular fibers (reticular fiber)
D. Elastic fiber (elastic fiber)


Question: The following account of mediastinal tumors (mediastinal mass), and what's wrong?

Answer: Morgagni's diaphragmatic hernia (diaphragm hernia) often appear in the mediastinum

Choices:
A. Teratoma (benign teratoma) often appear in front of the mediastinum
B. Lymphoma (lymphoma) often appear first, in the mediastinum
C. Bronchogenic cyst (bronchogenic cyst), pericardial cysts (pericardial cyst) often appear in the mediastinum
D. Morgagni's diaphragmatic hernia (diaphragm hernia) often appear in the mediastinum


Question: Which of the following is the object of the elderly comprehensive assessment (comprehensive geriatric assessment) of?

Answer: Acute dysfunction of the elderly

Choices:
A. Over 65 years old
B. Acute dysfunction of the elderly
C. Bedridden elderly long-term care facilities
D. Receiving intensive treatment in the elderly


Question: An 8-year-old female student was diagnosed with scoliosis, skin pigmentation coffee (café-au-lait spots). The body spine X-ray photographic examination display thoracic curve 55 5 - 11 degrees, and the hole increases intervertebral neural situations. Which of the following is the most appropriate diagnosis?

Answer: Neurofibromatosis scoliosis (neurofibromatosis scoliosis)

Choices:
A. Congenital scoliosis (congenital scoliosis)
B. Idiopathic scoliosis (idiopathic scoliosis)
C. Spinal bifida scoliosis (myelomeningocele scoliosis)
D. Neurofibromatosis scoliosis (neurofibromatosis scoliosis)


Question: Mr. Lee, 50 years old, have a history of chronic cough, the recent emergence of generalized weakness, nausea, anorexia, vomiting, and even the circumstances. Last night apparent visual hallucinations, seeing a bunch of kids wearing red to him for money, but the next day, but most do not remember, you most likely got Lee Which of the following diseases or conditions?

Answer: Lower serum sodium

Choices:
A. Lower blood sugar
B. Lower serum sodium
C. Serious type of depression
D. Paranoia


Question: Common clinical manifestations of non-obstructive sleep apnea which of the following?

Answer: Ringing in the ears (tinnitus)

Choices:
A. Obesity (obesity)
B. Snoring (snoring)
C. High blood pressure (hypertension)
D. Ringing in the ears (tinnitus)


Question: Which of the following renal tubular acidosis (renal tubular acidosis) will be complicated by kidney stones?

Answer: Type I

Choices:
A. Type I
B. Type II
C. Type III
D. Type IV


Question: Discussion Studies have a certain pharmaceutical effect for urinary excretion of calcium, nine subjects were randomly selected, 0.5 mg of oral drugs, human urine collected after taking medication for 6 hours. Another 16 randomly selected subjects who are not taking medication, who also collected urine 6 hours after the randomly selected. The researchers question is "urinary excretion of calcium ion concentration in the two groups of people whether or not significantly different?" What statistical methods you will use the test above information?

Answer: Two-sample t-test

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


Question: The following statements about the essential amino acids (essential amino acids), and what's wrong?

Answer: All are of aromatic amino acids

Choices:
A. Bacteria (e.g., Escherichia coli) may be synthesized
B. Humanity must supplement from food
C. The synthesis process is relatively complicated non-essential amino acids
D. All are of aromatic amino acids


Question: Post-herpetic neuralgia (postherpetic neuralgia) occurs most often in the following section where the skin (dermatome)?

Answer: chest

Choices:
A. chest
B. neck
C. waist
D. Sacral


Question: Statements about the hyoid bone (hyoid bone), and Which statement is correct?

Answer: At the height of about 3 cervical

Choices:
A. Is a ring-shaped bone
B. Pharyngeal constrictor muscle (superior constrictor) attached to the hyoid Arcturus (greater horn of hyoid bone)
C. Its rear end to the epiglottis (epiglottis) contact
D. At the height of about 3 cervical


Question: A 1-year-old child of these two days of cold symptoms, loss of appetite. Get up in the morning his mother found him unconsciousness, difficulty in breathing. Sent to the hospital for blood glucose values found only 10 mg / dL, and the lactic acid is very high. Physicians also found a lot of sick children liver, the margin of 8 cm in rib. Which of the following is the most likely diagnosis?

Answer: Glycogen storage disease type Ia

Choices:
A. Hyperinsulinemia
B. Glycogen storage disease type Ia
C. Organic acidemia
D. Acute hepatitis


Question: Account of the patient's progression, Which statement is correct?

Answer: occipital and temporal margin of the head is usually not affected

Choices:
A. occipital and temporal margin of the head is usually not affected
B. In addition to the scalp, hair and other secondary sex characteristics will be increasingly sparse
C. Dry thickness will not change
D. Sebaceous glands secrete less and less


Question: 80. One 84 year-old male patient a few years ago after suffering from stroke, prolonged bed rest, often with respiratory infections or urinary tract infections. In recent days the patient developed fever and diarrhea start and so on. After examination in the emergency identified as pseudo-mucosal colitis, doctors began to use antibiotics, but treatment after a few days, there has been no concrete improvement in symptoms. Then ask family members overseas studies have shown that the pseudo-mucosal colitis using faecal transplantation therapy, I do not know whether physicians would consider this treatment? By relevant literature and found evidence that the level of literature as Ib, level of evidence is quite high, but this is not a conventional therapy for the treatment of Taiwan's pseudo-mucosal colitis. The following narrative and what was wrong?

Answer: Based on the concept of evidence-based medicine, should be based on the latest and best evidence to treat patients. In this case, since the level of evidence of the document Ib, belonging to the high level of evidence documents, according to this treatment be treating a patient

Choices:
A. Based on the concept of evidence-based medicine, should be based on the latest and best evidence to treat patients. In this case, since the level of evidence of the document Ib, belonging to the high level of evidence documents, according to this treatment be treating a patient
B. Although the high level of documentary evidence, but there is no evidence of local literature, and whether the results of the literature can be applied to domestic patients, tolerance
C. Regardless of the level of evidence rating, as long as the new treatment, must go through the approval of the Ministry of Health and Welfare, to be carried out after the body check test its therapeutic effect and treatment-related safety, clinical application to patients
D. Clinically, the doctor has the obligation to comply with conventional medical treatment to patients. But did not comply with the latest literature best level of evidence to treat patients with obligations


Question: A 54-year old man left sudden weakness do bust CT, CT images as shown, right basal nucleus has found that a blood clot, but also to see a left basal nucleus lesion (arrow), the left side of the skull has had surgery . By questioning family members, patients have the right limb weakness 5 years, this is the left basal ganglia lesions:

Answer: An old intracerebral hematoma

Choices:
A. A cyst of brain tissue
B. An arachnoid cyst from Sylvian fissure
C. An old intracerebral hematoma
D. An old infarction


Question: Human papillomavirus (HPV) types 16 and 18 is closely associated with cervical cancer, viral E6 and E7 proteins less likely to inhibit the function of tumor suppressor genes which of the following?

Answer: BRCA1 and BRCA2

Choices:
A. p53
B. RB
C. p21
D. BRCA1 and BRCA2


Question: Which is not an after-effects of breast augmentation surgery?

Answer: hormone imbalance

Choices:
A. Capsular contracture (capsular contracture)
B. infection
C. Implant rupture leakage (implant leakage)
D. hormone imbalance


Question: Which of the following does not have a virus (hemagglutinin) hemagglutinin?

Answer: Respiratory syncytial virus (respiratory syncytial viruses)

Choices:
A. Influenza virus (influenza viruses)
B. Respiratory syncytial virus (respiratory syncytial viruses)
C. Mumps virus (mumps viruses)
D. Measles virus (measles viruses)


Question: Prohormone hormone into the process, mainly where you make?

Answer: Golgi apparatus

Choices:
A. Golgi apparatus
B. mitochondrion
C. peroxisome
D. centriole


Question: Which of the following can be single-stranded DNA sequence (5 ') AGACTGGTC (3') the most stable hybridization (hybridization)?

Answer: （5'）GACCAGTCT（3'）

Choices:
A. （5'）CTGGTCAGA（3'）
B. （5'）GACCAGTCT（3'）
C. （5'）AGACTGGTC（3'）
D. （5'）TCTGACCAG（3'）


Question: 76.12-year-old boy with acute onset of abdominal pain, vomiting, fever and to the emergency room, after injection of contrast agent abdominal computed tomography images shown in the lower, then most likely the reason why?

Answer: Acute appendicitis rupture

Choices:
A. Acute appendicitis rupture
B. Kidney stones
C. Schistosomiasis
D. Gallstones


Question: Bearing the title has nothing to do, what the above conditions and the following factors?

Answer: Artificial insemination

Choices:
A. Previous caesarean section
B. Abortions
C. Placenta previa
D. Artificial insemination


Question: The 62-year-old Hu suffering from disease, hypertension and cardiac outpatient treatment tracking, complained of severe abdominal dull pain began to merge two hours before take cold and vomiting in the emergency measure was the heartbeat of about 52 per minute, blood pressure 80/50 mmHg, jugular vein drum Zhang, was diagnosed as acute myocardial infarction, ECG changes which of the following is least likely diagnosis and its relevant?

Answer: PR segment depression

Choices:
A. ST elevation在lead II, III, aVF
B. ST depression在lead V1, V2
C. ST elevation in lead V4R
D. PR segment depression


Question: Which of the following is more suitable for patients with movement training for strength after a heart transplant?

Answer: Anaerobic threshold

Choices:
A. Anaerobic threshold
B. Eighty-five percent of maximum heart rate
C. Sixty percent of maximum heart rate
D. (Maximum heart rate during exercise tolerance tests - resting heart rate) × (40 - 60)% + resting heart rate


Question: Immune globulin (immunoglobulin, Ig) molecule structure, the sequence of the most diverse areas (hyper-variable sequence)?

Answer: CDR（complementarity-determining region）

Choices:
A. CDR（complementarity-determining region）
B. CL（constant region of light chain）
C. Fc（fragment crystallizable）
D. hinge region


Question: Smaller areas such as the eyelids (Eyelid) when the skin defect, is appropriate:

Answer: Whole layer of skin grafting (full thickness skin graft)

Choices:
A. Skin graft thin portion (thin split thickness skin graft)
B. Artificial Leather
C. Whole layer of skin grafting (full thickness skin graft)
D. Muscle flap (myocutaneous flap)


Question: A 60-year-old woman, occurred a week ago diplopia (diplopia), no severe headache, neurological examination revealed: on the right eyelid drooping (ptosis), when looking straight ahead, right tilted outward, pupillary light reflex (light Reflex) normal, cerebro-spinal fluid and cerebral angiography examination, the results are normal. Judgment according to the above process, what kind of maximum likelihood diagnosis?

Answer: Ischemic third cranial neuropathy (third cranial nerve palsy of ischemic type)

Choices:
A. After the traffic artery aneurysm (aneurysmal rupture of posterior communicating artery)
B. Transtentorial brain prolapse (transtentorial herniation)
C. Ischemic third cranial neuropathy (third cranial nerve palsy of ischemic type)
D. Sponge sinus syndrome (cavernous sinus syndrome)


Question: Which of the following is formed by the ureteric bud (ureteric bud)?

Answer: Urine collection tubules (collecting tubule)

Choices:
A. Bowman's capsule (Bowman's capsule)
B. 近曲小管（proximal convoluted tubule）
C. Glomerular (glomerulus)
D. Urine collection tubules (collecting tubule)


Question: Account of degenerative arthritis (osteoarthritis), and which of the following error?

Answer: Because there are joint inflammation, so the patient blood CRP and ESR values often have raised the case

Choices:
A. Is a common form of arthritis, occurs in older patients
B. Predilection distal interphalangeal joint comprises a hand portion (DIP) joints, hip joints and knee joints
C. X ray examination of joints often find that narrowed joint space, bone erosion but usually not the case
D. Because there are joint inflammation, so the patient blood CRP and ESR values often have raised the case


Question: Two fellows explore the correlation between smoking and stroke. They have been the result of 2.8 odds ratio (odds ratio) =, but the corresponding 95% confidence interval is different: A researcher obtained (0.9, 8.7), a researcher for the B (1.8, 4.4). Will the following statements is most likely to be correct?

Answer: Fellow variability data B (Variation) small

Choices:
A. Both statistical significance (i.e., P <0.05)
B. There was no correlation of smoking and stroke
C. A researcher of the number of samples (sample size) may be relatively large
D. Fellow variability data B (Variation) small


Question: Following what kind of symptoms or signs (symptom and / or sign), later appeared on the corner late chronic open-angle glaucoma?

Answer: Blurred vision

Choices:
A. Increased intraocular pressure
B. Blurred vision
C. Visual field (visual field) Defect
D. Optic disc recess (cup / disc ratio) is increased


Question: The following statements about chicken pox (varicella), and what is non?

Answer: The older adolescents and young adults suffering from its symptoms and complications than children slightly

Choices:
A. The older adolescents and young adults suffering from its symptoms and complications than children slightly
B. Skin and soft tissue bacterial infection is the most common complication
C. Patients with severe immune deficiency appears chickenpox
D. Varicella before 20 weeks of pregnancy, congenital malformations may occur


Question: About Clostridium tetani (Clostridium tetani) the narrative Which statement is correct?

Answer: Shi tetanus antitoxin immunoglobulin (antitoxin globulin) helpful in treating tetanus

Choices:
A. Is due to the generation of pathogenic tetanospasmin (tetanospasmin) inhibiting the release of acetylcholine neurotransmitter (acetylcholine) of
B. Germs can spread the body by the bloodstream, causing systemic tetanus
C. Shi tetanus antitoxin immunoglobulin (antitoxin globulin) helpful in treating tetanus
D. Shi tetanus vaccine to prevent tetanus, is a passive immunity


Question: Which of the following is not a transurethral resection of the prostate typical symptoms syndrome (transurethral resection of prostate syndrome) is?

Answer: Heartbeat

Choices:
A. Blurred vision
B. hypertension
C. Vomit
D. Heartbeat


Question: The following painkillers, whichever mechanism of action is not via the activation of μ receptor?

Answer: nalbuphine

Choices:
A. nalbuphine
B. morphine
C. methadone
D. fentanyl


Question: Which of the following does not belong to the composition of the intervertebral disc (intervertebral disc) of?

Answer: Posterior longitudinal ligament (posterior longitudinal ligament)

Choices:
A. Endplate cartilage (cartilaginous endplate)
B. Posterior longitudinal ligament (posterior longitudinal ligament)
C. Nucleus (nucleus pulposus)
D. Cyclic fibers (annulus fibrosus)


Question: A 76-year-old male patient to the hospital for medical treatment, complained of 6 months with severe abdominal pain, mainly in the 1 to 2 hours after eating. So he was quite afraid of eating. His weight decreased, stool color as usual, and no occult blood reaction. This diagnosis of patients most likely to be which of the following?

Answer: Mesenteric angina

Choices:
A. Mesenteric angina
B. Diverticulosis
C. Duodenal ulcer
D. Irritable bowel syndrome


Question: Following which the virus genome as mRNA?

Answer: Coronavirus (Coronavirus)

Choices:
A. Influenza virus (Influenza virus)
B. Coronavirus (Coronavirus)
C. Adenovirus (Adenovirus)
D. Herpes virus (Herpesvirus)


Question: Narrative about a pregnant woman cystitis or acute pyelonephritis, which of the following error?

Answer: Simple cystitis (simple cystitis) occurs, a single dose of antibiotics, the treatment can be generally

Choices:
A. Because urinary retention, urinary tract so that is the most common site of infection pregnant women
B. Simple cystitis (simple cystitis) occurs, a single dose of antibiotics, the treatment can be generally
C. The most common pathogens same non-pregnant women with urinary tract infections, as Escherichia coli
D. The occurrence of pyelonephritis, due to the great opportunity to generate complications, often have to be more aggressive treatment than non-pregnant


Question: The following statements about the urinary system, where this bad?

Answer: Renal sinus (renal sinus) refers to enlargement at the upper end of the ureter

Choices:
A. Lower than the left kidney the right kidney
B. Slanting ureter into the bladder wall (distance approximately 2 cm), forming a narrow physiological; when the bladder is full of urine, compresses the ureter, preventing the backflow of urine
C. Renal sinus (renal sinus) refers to enlargement at the upper end of the ureter
D. Papillary kidney (renal papilla) cone kidney (renal pyramid) tip


Question: About narrative pancreas tube, following what this bad?

Answer: Duct of Santorini will normally duct of Wirsung distal opening directly into the duodenum

Choices:
A. The main pancreatic duct also known as duct of Wirsung
B. The diameter size of the pancreas body portion is 0.9-2.4 mm
C. The absence of pancreatitis occur with increasing age, the pancreas diameter will be increased
D. Duct of Santorini will normally duct of Wirsung distal opening directly into the duodenum


Question: On the highway sudden deceleration impact, is likely to cause chest injuries, particularly traumatic aortic rupture, such an injury, what on chest X-rays are the most common manifestations?

Answer: In large diaphragm chamber (Widened mediastinum)

Choices:
A. See section aorta (Obliteration of aortic knob)
B. Trachea skewed to the right (Deviation of the trachea to the right)
C. Down the left bronchus (Depression of the left main stem bronchus)
D. In large diaphragm chamber (Widened mediastinum)


Question: A deliveryman personality nervous easily merge abdominal pain phenomenon, when a year ago in the Viaduct traffic jam, abdominal pain and diarrhea by almost a sense of fecal incontinence, after which the case did not dare to drive on the elevated road and highway lost their jobs, and even then can not train, bus, or more people to the outskirts where no toilets, and the impact of life is very huge. This case is most likely to comply with the following diagnosis?

Answer: Agoraphobia (agoraphobia)

Choices:
A. Adjustment disorder (adjustment disorder)
B. Post-traumatic stress disorder (posttraumatic stress disorder)
C. Agoraphobia (agoraphobia)
D. Generalized anxiety disorder (generalized anxiety disorder)


Question: Which of the following is popular in North America, the Mississippi River, two types of (dimorphic) systemic fungal infection?

Answer: Blastomyces dermatitidis and Histoplasma capsulatum

Choices:
A. Blastomyces dermatitidis and Histoplasma capsulatum
B. Coccidioides immitis and Paracoccidioides brasiliensis
C. Paracoccidioides brasiliensis and Histoplasma capsulatum
D. Blastomyces dermatitidis  and Paracoccidioides brasiliensis


Question: Diaphragmatic aorta split on (diaphragm) (aortic hiatus) by which of the following structures?

Answer: Chest tube

Choices:
A. Vagus nerve
B. Phrenic nerve
C. Sympathetic trunk
D. Chest tube


Question: 9 Which of the following factors may determine the size of lung compliance (compliance) of?  elastic tissue of the lung (elastic connective tissues)  surface tension (surface tension)  airway resistance (airway resistance)


Question: After the patients were treated a lower limb fractures walk again, but during the treatment of pressure ulcers caused by bed rest due to come for treatment, the following whichever is less suitable disposal?

Answer: Hyperbaric oxygen treatment

Choices:
A. Good appropriate wound care
B. Good nutrition support
C. Hyperbaric oxygen treatment
D. Avoid bedsores at pressure


Question: ABCD formulas related to determine whether the melanoma cell skin cancer (cutaneous melanoma) narrative Which statement is correct?

Answer: A: asymmetry (asymmetry): vertical and horizontal asymmetry lesions

Choices:
A. A: asymmetry (asymmetry): vertical and horizontal asymmetry lesions
B. B: Rule edge: edge (border)
C. C: Color (color): Color uniformity lesions
D. D: diameter (diameter): less than 6 mm is considered to be particularly melanoma cell carcinoma


Question: The following account of the mediastinum, and what's right?

Answer: Located between the pericardium behind the thoracic and

Choices:
A. Located between the pericardium behind the thoracic and
B. Esophagus inner vertical downward
C. Hemiazygos vein in the fourth thoracic vertebra height across
D. Esophagus is not in direct contact with the membrane mediastinal


Question: Which of the following does not belong to feature case-control study design (case-control study design) of?

Answer: The disease incidence can be calculated directly exposed group and control group

Choices:
A. Other analytical epidemiological study design with respect, it is relatively economical
B. The method is retrospective study of the etiology, and therefore often deviation
C. The disease incidence can be calculated directly exposed group and control group
D. The results can be used to calculate the percentage of risk attributable


Question: Uterus caused by leaning forward mainly by the traction which of the following?

Answer: Round ligament of the uterus

Choices:
A. Suspensory ligament
B. Ovarian ligament
C. Round ligament of the uterus
D. Uterine ligament recommended


Question:
51
 Which of the following topical medication can be used as a mydriatic and relieve nasal congestion?

Answer: Phenylephrine

Choices:
A. Atropine
B. Phenylephrine
C. Clonidine
D. Yohimbine


Question: That error on one of the following description of spinal muscular atrophy?

Answer: Most sick children will be significantly increased CPK

Choices:
A. Sick children there will be movement in infants and young children with developmental delay
B. Most sick children will be significantly increased CPK
C. dystrophin expression levels of sick children of normal muscle sections
D. Children's genetic diseases include autosomal dominance


Question: A 30-year-old healthy men want to be the left wrist ligament repair surgery, patients with brachial plexus block anesthesia, after the completion of the injection of local anesthetic, the patient began to feel dizzy, numb mouth and complain could not see, then body cramps phenomenon. Will this situation, what is the most inappropriate disposal?

Answer: Given benzodiazepine

Choices:
A. Maintain the airway and assisted ventilation (assist ventilation)
B. Given benzodiazepine
C. Given oxygen
D. Given steroid anti-inflammatory drugs


Question: From the previous question, what your priorities be given antibiotics?

Answer: Saipushaxin (Ciprofloxacin)

Choices:
A. Ampicillin (Ampicillin)
B. Saipushaxin (Ciprofloxacin)
C. Penicillin (Penicillin)
D. Erythromycin (Erythromycin)


Question: Nursing students in a class to participate in the 50 surgical nursing and psychiatric nursing test in two subjects, which the class average surgical care for 78 points and a standard deviation of 8 points, psychiatric nursing class average of 70 points, standard deviation of 8 points. The coefficient of variance test subjects two fractions of (coefficient of variation) is:

Answer: Surgical Nursing <psychiatric care

Choices:
A. Surgical Nursing Psychiatric Nursing =
B. Surgical Nursing> Psychiatric Nursing
C. Surgical Nursing <psychiatric care
D. Lack of information can not be determined


Question: 16.78-year-old woman suffering from high blood pressure, chronic renal insufficiency, old stroke, long-term use of catheters, living in chronic maintenance organization; due to a high fever for two days, poor digestion, the solution will be black and confusion, hospitalization. On examination of blood and urine cultures are grown: a broad spectrum enzyme B lactam (extended-spectrum beta-lactamase, ESBL) of Escherichia coli (Escherichia coli), following antibiotic therapy and the route of administration, whichever is most suitable in the early treatment?

Answer: intravenous ertapenem

Choices:
A. oral cephalexin
B. intravenous cefotaxime
C. intravenous ertapenem
D. intramuscular gentamicin


Question: Which of the following beyond the medial tibial condyle (medial tibial condyle)?

Answer: Hanmakuhada (semimembranosus)

Choices:
A. Gracilis muscle (gracilis)
B. Hanmakuhada (semimembranosus)
C. Semitendinosus (semitendinosus)
D. NuiTakumihada (sartorius)


Question: Account of Legionnaire's disease is, which of the following error?

Answer: Urine antigen detection for Legionella pneumophila serogroup 1 infection diagnosis, Specificity high> 99%, but the sensitivity is low <50%

Choices:
A. Currently there are more than 50 kinds of Legionella species been identified, Legionella pneumophila serogroup 1 is the most common pathogens
B. Legionella species 是 small, Gram(-) bacilli
C. Urine antigen detection for Legionella pneumophila serogroup 1 infection diagnosis, Specificity high> 99%, but the sensitivity is low <50%
D. For mild to moderate severity patients, the drug of choice for the treatment or Doxycycline or Azithromycin Erythromycin


Question: After treatment, PTSD (posttraumatic stress disorder) first-line drugs, which of the following best suited?

Answer: Selective serotonin reuptake inhibitors (selective serotonin reuptake inhibitors, SSRIs)

Choices:
A. Benzodiazepine (benzodiazepines, BZDs)
B. Tricyclic antidepressants (tricyclic antidepressants, TCAs)
C. Selective serotonin reuptake inhibitors (selective serotonin reuptake inhibitors, SSRIs)
D. Monoamine oxidase inhibitors (monoamine oxidase inhibitors, MAOIs)


Question: From the previous question, what kind of drugs should be used to treat the next patient?

Answer: Intravenous steroid pulse (pulse steroid) therapy

Choices:
A. Oral hydroxychloroquine
B. Intravenous steroid pulse (pulse steroid) therapy
C. Antibiotic-containing
D. Cyclosporine hormone ([cyclosporine])


Question: Which of the following drugs belonging to trivalent arsenic (arsenic), are useful for treating advanced African trypanosomiasis?

Answer: Melarsoprol

Choices:
A. Dimercaprol
B. succimer
C. Melarsoprol
D. Ferroxamine


Question: Mr. Zhang kidney failure to the late, receiving dialysis treatment after a period of time, notified the hospital, ready to accept a kidney transplant. There is a strange car accident caused by brain dead donors, will donate their organs, in which a kidney rationing Mr. Zhang. Mr. Zhang is the main organization and the donor's MHC (Major Histocompatibility Complex) test stereotypes are identical. Mr. Zhang then after a kidney transplant, the prognosis situation may Why?

Answer: There will be rejection, because the same even if the major histocompatibility complex organizations, other organizations may be different antigens will elicit an immune response

Choices:
A. There will be no rejection, because the major histocompatibility complex has been tested and is exactly the same stereotypes
B. There will be no rejection, as minor histocompatibility complex are identical
C. There will be rejection, because the same even if the major histocompatibility complex organizations, other organizations may be different antigens will elicit an immune response
D. There will be rejection, because before Mr. Zhang kidney transplant, according to the procedure must first undergo a medical radiation preparation (total body irradiation) due


Question: Acute renal failure is a common complication of surgery. Cause of acute renal failure is often the factor before the kidney, which is less than the amount of blood resulting in insufficient renal perfusion. Before the diagnosis of renal acute renal failure can be detected by means of a sodium ion concentration of urine that. What item is compatible with the following description of factors caused kidney diagnosis of renal failure?

Answer: Urine per liter sodium ion content of less than 20 meq

Choices:
A. Urine per liter sodium ion content of less than 20 meq
B. Urine per liter sodium ion content of between 20 ~ 30 meq
C. Urine per liter sodium ion content of between 30 ~ 40 meq
D. Urine per liter sodium ion content of more than 40 meq


Question: About Gower's sign narrative Which statement is correct?

Answer: It is a clinical manifestation of a lower-extremity proximal muscle weakness

Choices:
A. Gower's sign is a necessary condition for the diagnosis of Duchenne muscular dystrophy
B. It occurs before the age of 1 to 3 years old was completely obvious
C. Have the symptoms of sick children must stand up
D. It is a clinical manifestation of a lower-extremity proximal muscle weakness


Question: 1468-year-old man, when sent directly to the emergency complained of abdominal pain in the back, the patient's height 170 cm, weight 90 kg, physical examination, blood pressure mmHg, abdomen with a pulsatile mass, what causes the disease is most likely why?

Answer: Atherosclerosis (Atherosclerosis)

Choices:
A. Diabetes mellitus (DM)
B. Atherosclerosis (Atherosclerosis)
C. Vascular elastic tissue degeneration (elastic tissue degeneration)
D. Vasculitis (vasculitis)


Question: Streptococcus pneumoniae (Streptococcus pneumoniae) to penicillin (penicillin) capacity reasons ⽣ are resistant, mainly for which of the following?

Answer: White mass penicillin binding proteins (penicillin-binding protein) change

Choices:
A. Penicillin production ⽣ degrading enzyme (penicillinase)
B. White mass penicillin binding proteins (penicillin-binding protein) change
C. Penicillin into the cell block
D. Structural changes in the cell wall


Question: A 20-year-old male was found unconsciousness roommate, when the emergency room blood pressure 196/108 mmHg, heart rate 125 / min, respiration 23 / min, temperature 39 ℃, GCS GCS (Glasgow Coma Scale) = E2V2M5, two 5 mm diameter pupil and other large, there are a photoreaction, sweating body. The clinical manifestations of this patient is a typical example of what kind of poisoning following most closely?

Answer: Amphetamines (amphetamine)

Choices:
A. Antihistamine (anti-histamine)
B. Heroin (heroin)
C. Amphetamines (amphetamine)
D. Organic phosphorus (organophosphate)


Question: The principle of terminal cancer pain, the following statements is wrong?

Answer: Prescription way "when the administration of pain" in principle

Choices:
A. Oral administration is the use of analgesics priority route
B. Prescription way "when the administration of pain" in principle
C. Timely use of ancillary drugs
D. Use the correct drug and dose items items, and the correct time interval, most cancer pain can be relieved


Question: For most people, the left side of the brain in the cerebral artery (middle cerebral artery) serious obstruction, following what most Rongyifasheng aphasia?

Answer: Full aphasia (global aphasia)

Choices:
A. Full aphasia (global aphasia)
B. Aphasia conduction (conduction aphasia)
C. Wo Nike aphasia (Wernicke's aphasia)
D. Broca's aphasia (Broca's aphasia)


Question: When hungry, increase Which of the following is the most important enzyme glucose concentration?

Answer: Liver cells of glycogen phosphorylase

Choices:
A. Muscle cells of glycogen phosphorylase
B. Liver cells of glycogen phosphorylase
C. Muscle cells of lactate dehydrogenase
D. Liver cells of pyruvate kinase


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

Answer: Acute central retinal artery occlusion

Choices:
A. Diabetic retinopathy
B. Acute central retinal artery occlusion
C. Acute central retinal vein occlusion
D. Hypertensive retinopathy


Question: The following pharmacological effects that kind of opiates produced, the least prone to resistance?

Answer: Miosis (miosis)

Choices:
A. Analgesic effect (analgesia)
B. Miosis (miosis)
C. Respiratory depression (respiratory depression)
D. Sedation (sedation)


Question: When tumor hypoxia, hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) is activated, the following statements is related to the error?

Answer: HIF-1 activation does not reduce the formation of ROS (reactive oxygen species, ROS) of

Choices:
A. HIF-1 activity may be induced fumarate (fumarate)
B. HIF-1 can stimulate the glycolytic reactions (glycolysis), so that tumor cells can survive the anoxic environment
C. HIF-1 also increases endothelial growth hormone (vascular endothelial growth factor, VEGF) expression, promote tumor angiogenesis
D. HIF-1 activation does not reduce the formation of ROS (reactive oxygen species, ROS) of


Question: Messaging intracellular molecules (intracellular signaling molecules), which of the following series is the most common combination?

Answer: phopholipase C, diacylglycerol, PKC

Choices:
A. phospholipase C，cAMP，PKA
B. adenylate cyclase，cAMP，PKC
C. adenylate cyclase，diacylglycerol，PKA
D. phopholipase C, diacylglycerol, PKC


Question: A 26-year-old men in service, long-term use stomach medicine (antacid) for years, to the dermatology clinic one day after the chief complaint into military training, around the navel itchy rash As shown, the most likely diagnosis and recommendations why?

Answer: Allergic contact dermatitis (allergic contact dermatitis), should be recommended to use less metal-belt

Choices:
A. Allergic contact dermatitis (allergic contact dermatitis), should be recommended to use less metal-belt
B. Scabies (scabies), should be advised to use insect drugs against scabies and contact isolation
C. Paederus dermatitis should be advised to do the pest control measures
D. Fixed drug rash, should recommend stopping the drug or change drugs


Question: Which is not an examination of gastroesophageal reflux disease (gastroesophageal reflux disease, GERD) is?

Answer: Hormone secretion test (secretin test)

Choices:
A. Hormone secretion test (secretin test)
B. Esophageal endoscopy (esophagoscopy)
C. Esophageal pH (pH) Check
D. Mucosa slice (mucosal biopsy)


Question: For the following description of liver hemangioma (hemangioma) of, what's wrong?

Answer: To make the diagnosis must first slice (percutaneous biopsy)

Choices:
A. Is the most common benign liver tumors
B. Liver function and tumor markers are usually normal
C. To make the diagnosis must first slice (percutaneous biopsy)
D. The incidence of women than men


Question: Which of the following symptoms or inspection and volvulus (Midgut volvulus) has nothing to do?

Answer: Abdominal X-ray photography (plain abdomen) can be used to confirm the diagnosis

Choices:
A. Blood in the stool
B. anemia
C. Bloating
D. Abdominal X-ray photography (plain abdomen) can be used to confirm the diagnosis