Question:
7. cardiac surgery, myocardial ischemia often bear - reperfusion (ischemia-reperfusion) injury, resulting in cardiac disorders in the energy supply situation, which of the following is correct? ① often show clinical low cardiac output syndrome (LCOS: low cardiac output syndrome), cardiac index less than 2.4L / min / m2 ② pulmonary artery catheter may be measured by the hemoglobin oxygen saturation (SvO2: mixed venous oxygen saturation), was
 Now cardiac output and systemic oxygen consumption balance ③ anesthesiologist foundation shall physiological changes, before and after adjustment multi ventricular afterload and ventricular contractility
 ④ to reduce systemic oxygen consumption, cardiac surgery postoperative care required after sedation and hypothermia

Answer: ①②③

Choices:
A. ①②③
B. ①②④
C. ①③④
D. ②③④


Question: 50-year-old man, from 1 years ago, when there will be left to do the movements involuntary twitching, six months after the left side of the body movements began to become inflexible, and the combined symptoms of mental decline and other neurological exam jump muscle disease and dystonia appears incomplete, his left hand is particularly sensitive to stimulation, but if let him touch coins or keys with his left hand, the patient does not recognize, and often complained about his left hand like aliens. Why is the most likely diagnosis?

Answer: Corticobasal degeneration (corticobasal ganglionic degeneration)

Choices:
A. Multiple system degeneration (multiple system atrophy)
B. Parkinson's disease (Parkinson disease)
C. Corticobasal degeneration (corticobasal ganglionic degeneration)
D. Progressive supranuclear palsy (progressive supranuclear palsy)


Question: 69. alcohol withdrawal symptoms may vary, can be divided into four categories include: ① perceived barriers (such as: hallucinations) ② tremor (tremulousness) ③ convulsion (seizure) ④ delirium (delirium tremens); although not everyone has the same after the onset of the order, but if it occurs in the most typical timing, interrupt drinking alcohol, according has sort why?

Answer: ②①③④

Choices:
A. ③①④②
B. ①③②④
C. ④②③①
D. ②①③④


Question: Three patients with atrial disease (cor triatriatum), the left atrium of a film will be divided into upper and lower two chambers, the following statements is false?

Answer: LAA (left atrial appendage) communicates the upper chamber and an opening

Choices:
A. Connected to the upper chamber of pulmonary venous flow
B. A lower chamber and an opening communicating mitral
C. LAA (left atrial appendage) communicates the upper chamber and an opening
D. Usually associated with atrial septal defect


Question: The following kind of treatment for muscle spasms in patients with cerebral palsy (spasticity) have no evidence to suggest determine the efficacy?

Answer: Hyperbaric oxygen therapy (hyperbaric oxygen therapy)

Choices:
A. Bracket (orthotics)
B. Spinal cavity injection Baclofen
C. Hyperbaric oxygen therapy (hyperbaric oxygen therapy)
D. Botox (botulinum toxin) injections


Question: Acid resistance (acid-fast) bacteria is the meaning of:

Answer: After the cells are stained easily decolorized by acid alcohol

Choices:
A. Cell growth is more rapid in acidic environments
B. Experience bacteria secrete acid substances
C. After the cells are stained easily decolorized by acid alcohol
D. Acid bacteria presents itself


Question: When voiding, detrusor (detrusor muscle) contraction mainly by following what nerve stimulation?

Answer: Parasympathetic nerve

Choices:
A. Renal nerves
B. Sympathetic
C. Parasympathetic nerve
D. Experience Yin nerve (pudendal nerve)


Question: Hemosuccus pancreaticus exact meaning is:

Answer: Pseudoaneurysm due to pancreatitis caused by a tumor of the blood flow into the pancreatic duct

Choices:
A. Pancreas bleeding
B. Pancreatitis due to bleeding into the abdominal cavity and
C. Pseudoaneurysm due to pancreatitis caused by a tumor of the blood flow into the pancreatic duct
D. Bleeding ulcer caused by pancreatitis


Question: Fungal hyphae cell wall structure does not include:

Answer: Layer lipopolysaccharide (lipopolysaccharide layer)

Choices:
A. Dextran layer (polysaccharide layer)
B. Layer lipopolysaccharide (lipopolysaccharide layer)
C. Glycoprotein (glycoprotein)
D. Chitin layer (chitin layer)


Question: Sympathetic preganglionic neurons located?

Answer: Thoracic spinal cord 與 lumbar spinal cord

Choices:
A. Thoracic spinal cord 與 lumbar spinal cord
B. Brain stem 及 sacral spinal cord
C. Paravertebral sympathetic ganglia
D. Prevertebral ganglia


Question: From the previous question, the patient was confirmed completion tongue, tumor size of 3 × 3 × 1.5 cm after the inspection, the neck showed no abnormal mass or lymph nodes, chest, abdomen, bone, etc. have no distant metastasis sign. Which of the following is the best treatment?

Answer: After oral tumor resection with neck lymphadenectomy, radiation or chemotherapy depends on the outcome of the pathological examination

Choices:
A. Chemotherapy-induced (induction chemotherapy) and oral cancer radiation therapy (radiotherapy)
B. After oral tumor resection with neck lymphadenectomy, radiation or chemotherapy depends on the outcome of the pathological examination
C. Chemotherapy (chemotherapy)
D. Oral cancer and neck lymph combined radiation and chemical treatment (concurrent chemoradiotherapy)


Question: Antihypertensive drug captopril cause side effects mainly dry cough and following what autocrine hormone (autacoid) about?

Answer: Bradykinin

Choices:
A. Angiotensin
B. Bradykinin
C. Serotonin
D. Histamine


Question: A 58-year-old male, no underlying disease, physical condition are fairly good in the past, appeared on the recent week bloating, jaundice, dark urine to the hospital for treatment, abdominal ultrasound, endoscopic retrograde biliary duct Photography (ERCP) showed a Periampullary tumor, if required to surgical treatment, how preoperative assessment, that an inspection is not absolutely necessary?

Answer: Small intestine Photography (Small bowel series)

Choices:
A. Abdominal computed tomography (Abdominal CT scan)
B. Chest X-ray (Chest X-ray)
C. Abdominal magnetic resonance (MRI)
D. Small intestine Photography (Small bowel series)


Question: There are a couple gave birth to a chromosomal structural anomalies (unbalanced translocation) of the child, doctors found that when asked about the history mother has been pregnant three times in early spontaneous abortion. So doctors decided to perform a couple chromosome analysis (they do not have mental retardation or a congenital deformity of the phenomenon). Do you think the couple physicians most likely suspect is which of the following?

Answer: Parents, one of whom may have balanced chromosomal translocation

Choices:
A. Perhaps one of the parents and children have the same karyotype (karyotype), so that you can explain to their children abortion and abnormal
B. Parents might each with half the chromosome abnormalities, genetic child if both the two kinds of abnormal incidence will
C. Parents, one of whom may have balanced chromosomal translocation
D. Parental chromosome irregularities


Question: In the relaxed (relaxed) skeletal sarcomere, the area that is free of thick filaments (thick filaments)?

Answer: I girdle

Choices:
A. I girdle
B. A band
C. H band
D. M line


Question: There is a 40-year-old woman because of thyroid cancer undergoing total thyroidectomy, two days after the occurrence of the hands and feet cramps, which is a blood test that best meet the following condition of this patient?

Answer: free T4 0.8 ng/dL，TSH 2.0 µU/mL ，Na 135 mM，K 4.0 mM，Ca 1.7 mM，P 6.0 mM

Choices:
A. free T4 0.1 ng/dL，TSH 30 µU/mL ，Na 140 mM，K 4.0 mM，Ca 2.4 mM，P 3.5 mM
B. free T4 0.8 ng/dL，TSH 2.0 µU/mL ，Na 135 mM，K 4.0 mM，Ca 1.7 mM，P 6.0 mM
C. free T4 0.8 ng/dL，TSH 2.0 µU/mL ，Na 140 mM，K 2.0 mM，Ca 2.4 mM，P 3.5 mM
D. free T4 0.6 ng/dL，TSH 4.0 µU/mL ，Na 120 mM，K 4.0 mM，Ca 2.4 mM，P 6.0 mM


Question: 42.38-year-old woman was diagnosed as cervical epithelium carcinoma, accept the Radical hysterectomy and pelvic lymph node dissection (radical hysterectomy and bilateral pelvic lymph node dissection), according to Berek & Novak's Gynecology edition 15 published in 2012 textbook risk factors Description Which of the following is a non-high-risk factors related to relapse?

Answer: Large tumors (large tumor size)

Choices:
A. Near the edge, or incisal edges tumor (positive or close margins)
B. Large tumors (large tumor size)
C. Lymph node metastasis (positive lymph nodes)
D. There are next to the uterus connective tissue under the microscope inspection violations (microscopic parametrial involvement)


Question: Brain computed tomography in the drawing, where the display bleeding?

Answer: Right subdural

Choices:
A. Dura right upper chamber
B. The left chamber dura
C. Right subdural
D. Left subdural


Question: Mitral valve (mitral valve) insufficiency and aortic valve stenosis heart murmur, that in general can not be distinguished by one of the following characteristics?

Answer: Is a systolic murmur, the other is diastolic murmur

Choices:
A. Is a systolic murmur, the other is diastolic murmur
B. And wherein the noise period, a full systolic than Soft; another type of crescendo decrescendo systolic murmur, more harsh
C. Different noise radiation, one to the left armpit, the other to the carotid artery
D. Heart murmur maximum intensity, one in the apical portion, a further second intercostal space at the right (heart site)


Question: A 50-year-old obese man, complained in recent months somewhat less memory, woke up this morning headaches, daytime sleepiness comparison. His wife noticed a big snore when he sleeps at night. The most likely diagnosis is:

Answer: Obstructive sleep apnea syndrome (obstructive sleep apnea syndrome)

Choices:
A. 猝睡 disease (narcolepsy)
B. Obstructive sleep apnea syndrome (obstructive sleep apnea syndrome)
C. Restless leg syndrome (restless leg syndrome)
D. REM sleep behavior disorder (REM sleep behavior disorder)


Question: After the nerve to dominate half of the scrotum Which of the following branches of?

Answer: Pudendal nerve

Choices:
A. Femoral nerve
B. Pudendal nerve
C. Reproductive femoral nerve
D. Ilioinguinal nerve


Question: A 50-year-old male patient complained of left wrist drooping, unable to straighten, as shown, both sides are normal strength elbows straight. The following description of the location of the lesion, that one of the most correct?

Answer: Radial nerve (radial nerve)

Choices:
A. Radial nerve (radial nerve)
B. Ulnar nerve (ulnar nerve)
C. The median nerve (median nerve)
D. Musculocutaneous nerve (musculocutaneous nerve)


Question: 59 relapsing - remitting form of multiple sclerosis (relapsing-remitting type of multiple sclerosis) patients in disease remission (remitting stage) must receive treatment to reduce the recurrence of the disease, and that one of the following is the most inappropriate choice of drugs?

Answer: nonsteroid anti-inflammatory drugs

Choices:
A. interferon-β1b
B. interferon-β1a
C. nonsteroid anti-inflammatory drugs
D. glatiramer acetate


Question: A middle-aged man, chronic diarrhea and repeated back and limbs appear symmetry, nettle-like rash of small blisters and itching rash, oral mucosa normal, the most likely diagnosis is:

Answer: Dermatitis herpetiformis

Choices:
A. Pemphigus vulgaris
B. Pemphigus foliaceus
C. Bullous pemphigoid
D. Dermatitis herpetiformis


Question: The following information about attention deficit / hyperactivity disorder (ADHD) children's statements is wrong?

Answer: Less than one tenth of children with ADHD into adulthood still meet the ADHD diagnosis

Choices:
A. Because of its low academic achievement, poor interpersonal relationships, often resulting in low self-esteem in adolescence may join the peer group deviance
B. When applied behavioral therapy, there must be a detailed observation of behavior, behavior contract details, give timely feedback was
C. Less than one tenth of children with ADHD into adulthood still meet the ADHD diagnosis
D. Taiwan's Department of Health is currently approved for the treatment of ADHD drugs include methylphenidate and atomoxetine


Question: An accident patients were admitted to the emergency room complaining of chest pain, difficulty breathing, blood pressure 80/45 mmHg, heart rate 120 beats / min, X-ray found in the right lung field is not clear, mediastinum partial left, at this time the best why treatment?

Answer: After intravenous infusion, if placed in the chest hemothorax

Choices:
A. Now do CT
B. Immediately placed endotracheal intubation and to calm
C. After intravenous infusion, if placed in the chest hemothorax
D. Suspected pleural cavity hemorrhage (hemothorax), the most likely cause lacerations of the lung


Question: Wu Xiaomei is a small country Grade 6 students, seven days ago, hand tamper with sudden involuntary happen, she could not take the chopsticks. When hands flat, non-stop dancing the whole arm has been unable to control, but without weakening the power of his right hand, feeling no abnormal physical examination of the body determined display noise. Erythrocyte sedimentation rate (ESR) increased. The most likely clinical diagnosis is:

Answer: Xideng Han's disease (Sydenham chorea)

Choices:
A. Huntington's disease (Huntington chorea)
B. Xideng Han's disease (Sydenham chorea)
C. Stroke of half chorea
D. High Hyperthyroidism chorea


Question: Narrative about the child's back pain symptoms, which of the following error?

Answer: Very common in preschool children

Choices:
A. Virus infection is often accompanied by the occurrence of one of the factors
B. Very common in preschool children
C. When the merger occurs skin lesions, such as moles, long-haired or abnormal pigmentation, shall consider the possibility of spinal closure imperfecta (spinal dysraphism)
D. When the C-reactive protein (C-reactive protein) abnormal shall consider bacterial infections, tumors and rheumatoid diseases


Question: Which of the following is not a cause of acute respiratory distress syndrome (acute respiratory distress syndrome) is?

Answer: Organophosphate poisoning (organophosphate intoxication)

Choices:
A. Drowning (near-drowning)
B. Stomach contents suction (aspiration of gastric contents)
C. Organophosphate poisoning (organophosphate intoxication)
D. Inhalation injury (inhalation injury)


Question: Baby infusion build the pipeline are the following ways, whichever is most NA?

Answer: Umbilical artery (umbilical artery)

Choices:
A. Scalp vein (scalp vein)
B. Injection of bone (intraosseous infusion)
C. Umbilical artery (umbilical artery)
D. Phlebotomy (venous cutdown)


Question: Subacute merger degeneration (subacute combined degeneration) is not accompanied by the following circumstances?

Answer: Cerebrospinal fluid white blood cells increase (pleocytosis)

Choices:
A. Large red blood cell anemia (macrocytic anemia)
B. Slow vibration sense (impaired vibration sense)
C. Cerebrospinal fluid white blood cells increase (pleocytosis)
D. Multiple peripheral neuropathy (polyneuropathy)


Question: About characteristics of unstable angina, the following statements is wrong?

Answer: Associated with significantly elevated cardiac enzymes attack

Choices:
A. When the onset of mild exercise or at rest, or the severity of the attack intensified, or new onset
B. ECG ST segment decrease, transient ST segment rising and / or T wave inversion
C. Associated with significantly elevated cardiac enzymes attack
D. Atherosclerotic plaque rupture or thrombosis atherosclerotic plaque lesions exist, the most common machine transfer of pathology


Question: Urea (Urea) cycle, a urea is formed by NH4 + and CO2. Ammonia (Ammonia) of large human toxicity, but no toxic urea, but soluble in water, can be excreted in urine. That one of the following error description of carbamoyl phosphate synthetase I in?

Answer: It is an enzyme in the cytoplasm

Choices:
A. It is an enzyme in the cytoplasm
B. It needs to catalyze the reaction of ATP
C. It is NH4 + and HCO3- by mass of the reaction
D. It catalyzed reaction of formation of carbamoyl phosphate 48 Phenylketonuria and what items following enzyme defects?


Question: 50-year-old woman complained of left side of the head neck mass about six months (as indicated by reference), then the following statements is true?

Answer: Check the mouth, nasopharynx lateral pharyngeal wall and the diagnosis are also the focus of

Choices:
A. In terms of site considerations, most likely the tumor is adenocarcinoma (adenocarcinoma)
B. Because mass is too large, it is recommended in patients with direct incision made part of the tissue sent to pathology, then a follow-up treatment
C. Check the mouth, nasopharynx lateral pharyngeal wall and the diagnosis are also the focus of
D. For the possibility of surgery, postoperative patients most need to inform the trigeminal nerve palsy


Question: A 31-year-old male, no significant past medical history and medication history, due to vomit blood by a friend to the emergency room for treatment, the patient and the patient's friends told colleagues drunk, vomiting twice to spit out the food, and the third was found vomiting large amounts of blood doping a small amount of food. Gastrointestinal bleeding diseases, the differential diagnosis of primary consideration is the following:

Answer: Mallory-Weiss tear

Choices:
A. Rupture of esophageal varices
B. Gastric ulcer
C. Duodenal ulcer
D. Mallory-Weiss tear


Question: 6-year-old child five days to the gradual emergence of difficulty walking, numbness hands and feet end, Physical examination found normal cranial nerves, limbs, muscle strength is approximately three (out of five), decreased tendon reflexes. Recently played no shot, but one week ago, there was a slight cold symptoms, no medication. After hospitalized spinal fluid analysis cell count is 0, proteins 90 mg / dL, blood examination is normal muscle enzyme. The most likely diagnosis is:

Answer: Guillain-Barré syndrome

Choices:
A. encephalitis
B. Brain tumor
C. Guillain-Barré syndrome
D. Polymyositis


Question: Which of the following is not involved in molecular cell toxic effects?

Answer: Integration action lectin (integrin-) and webs protein (fibronectin) of

Choices:
A. Perforin (perforin) and related enzyme granules (granule-associated enzymes; granzymes)
B. The role of Fas and FasL
C. Oxygen reactive metabolites (reactive oxygen intermediates) and nitric oxide (NO)
D. Integration action lectin (integrin-) and webs protein (fibronectin) of


Question: Anti-neutrophil cytoplasmic antibodies that disease occurs most frequently in?

Answer: Wegener's granulomatosis

Choices:
A. Wegener's granulomatosis
B. Behçet's disease
C. Rheumatoid arthritis
D. Sjögren's syndrome


Question: The following statements about the central nervous system stimulant methylphenidate, what's wrong?

Answer: With the promotion of appetite

Choices:
A. Can effectively improve attention deficit / hyperactivity syndrome (attention-deficit / hyperactivity syndrome)
B. Has blocking norepinephrine and dopamine resorbed into the presynaptic neuron action
C. With the promotion of appetite
D. Not suitable for use in patients with a history of cardiovascular disease


Question: Neonatal teratoma (teratoma) made the best site in the following Where?

Answer: Recommended caudal portion (sacrococcygeal region)

Choices:
A. Testicles (testis)
B. Ovary (ovary)
C. 縱隔 cavity (mediastinal region)
D. Recommended caudal portion (sacrococcygeal region)


Question: The following autoimmune diseases and self-antigens pair, whichever is most correct?

Answer: multiple sclerosis-myelin-basic protein

Choices:
A. multiple sclerosis-myelin-basic protein
B. rheumatoid arthritis-F-actin
C. autoimmune hepatitis-collagen type Ⅱ
D. Sjögren's syndrome-deoxyribonucleoprotein


Question: Which of the following disease psychosis (schizophrenia) therapeutic agents, and serotonin (5-HT2) receptor affinity and care has been taken there ADVANCED, less likely to cause extrapyramidal symptoms (extrapyramidal symptoms), but there is delay ⻑ QT (QT prolongation) of risk?

Answer: ziprasidone

Choices:
A. ziprasidone
B. clozapine
C. chlorpromazine
D. haloperidol


Question: Which of the following due to inhibit calcineurin phosphatase, can reduce rejection after organ transplantation?

Answer: cyclosporine

Choices:
A. basilixmab
B. methylprednisolone
C. cyclosporine
D. orthoclone OKT3


Question: 20 weeks pregnant women, maternity clinics to antenatal fetal-D (two-dimentional) ultrasound examination revealed fetal abdomen abdominal wall defects, a preliminary judge for omphalocele. Whichever of the following processing error?

Answer: Recommend termination of pregnancy

Choices:
A. Recommend termination of pregnancy
B. Recommend the use of fetal three-dimensional (three-dimentional) ultrasound examination confirmed the diagnosis
C. MRI is recommended to confirm the diagnosis
D. Inform higher chance chromosomal fetal abnormalities, amniocentesis acceptable inspection


Question: Which of the following is not taking side effects caused by nitrovasodilators?

Answer: Lupus-like syndrome

Choices:
A. Hypotension
B. Lupus-like syndrome
C. Headache
D. Tolerance


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

Answer: When using ovulation drugs treatment, adenomyosis will shrink smaller

Choices:
A. Endometrial glandular tissue directly onto the myometrium
B. Adenomyosis symptoms of dysmenorrhea and menorrhagia mainly
C. When using ovulation drugs treatment, adenomyosis will shrink smaller
D. Treatment with aromatase inhibitors can make narrow


Question: Squamous cell carcinoma of the lung-like characteristics most associated with not following that one?

Answer: Often produce neuroendocrine substance

Choices:
A. smokes
B. Often occurs in the bronchial
C. Often occurs in the hilar
D. Often produce neuroendocrine substance


Question: 9335-year-old female contraceptive pill has been five years since the right upper abdominal discomfort to the clinic, abdominal ultrasound examination revealed a large tumor at 8 cm below the left lobe of the liver capsule, but could not find the portal area within the tumor under the microscope significantly small arteries and small veins proliferation of tumor cells and normal liver cells have similar but translucent cytoplasm. The following statements about the clinical features of this disease, what's wrong?

Answer: Common portal hypertension patients

Choices:
A. Clinically easily distinguish malignant hepatocellular carcinoma
B. Common portal hypertension patients
C. Tumor break easily cause abdominal bleeding during pregnancy
D. A few cases may occur simultaneously with hepatocellular carcinoma


Question: The following related hyperopia (hyperopia or hypermetropia) narrative, whichever is more correct?

Answer: Term (full term) neonates (new-born) of the eye, the vast majority are hyperopia

Choices:
A. Hyperopia seeing far away, it is not necessary to wear glasses to see clearly
B. Hyperopia seeing near objects without glasses is to look unclear
C. Hyperopia eye far point (far point) bit infinity (Infinity) at
D. Term (full term) neonates (new-born) of the eye, the vast majority are hyperopia


Question:
A 40 to 25 year-old male out-patient clinics as chest tightness, chest X-rays show a mediastinal tumor, blood tests fetoprotein index (α-fetoprotein) is 500ng / mL (normal <20ng / mL), human chorionic gonadotrophin (β-hCG) is
 mIU / mL), patients who are most likely to be afflicted with what disease?

Answer: Germ cell cancer

Choices:
A. Lymphoma
B. Hepatocellular carcinoma with pulmonary metastasis
C. Germ cell cancer
D. Thyroid cancer


Question: Auditory conduction path (auditory pathway) of the narrative, which of the following error?

Answer: Left medial geniculate body (medial geniculate body) of the audible messages can be passed around two sides of a primary auditory cortex (primary

Choices:
A. Primary auditory cortex (primary auditory cortex) in the temporal lobe (temporal lobe)
B. Olivary nucleus (superior olivary nucleus) involved in the conduction hearing
C. The right inner ear of the hearing of the message can be passed into the left and right sides of medial geniculate body (medial geniculate body)
D. Left medial geniculate body (medial geniculate body) of the audible messages can be passed around two sides of a primary auditory cortex (primary


Question: Hair-Acanthosis Nigricans syndrome does not include:

Answer: Gonadal hormone is too high

Choices:
A. Male hormone hyperparathyroidism (Hyperandrogenism)
B. Gonadal hormone is too high
C. Resistant against insulin (Insulin resistance)
D. Acanthosis nigricans


Question: Zhuyuanyishi first year, do an appendectomy, the appendix can not find where you are if his physician, please tell him which of the following methods most likely to find the appendix?

Answer: Go to the bottom of the body along the ascending colon (ascending colon) of the colon (teniae coli)

Choices:
A. To (cecum) along a direction parallel to the ileocecal valve to find the cecum (ileocecal valve)
B. Go to the bottom of the body along the ascending colon (ascending colon) colon bags (haustra)
C. Go to the bottom of the body along the ascending colon (ascending colon) of the colon (teniae coli)
D. First find the terminal ileum (terminal ileum) go down to look for the right side of the body


Question: The following narrative about sleep apnea syndrome (sleep apnea syndrome), and what's wrong?

Answer: Central type (central type apnea) sleep apnea syndrome, clinical more common and better prognosis

Choices:
A. Repeated pauses in breathing during sleep phenomenon, the probability of occurrence increases with patient age
B. Could endanger the state of consciousness during the day and cardiovascular function
C. Obstructive (obstructive type) sleep apnea syndrome, snoring at night often, hyperactivity, polyuria and daytime headache history
D. Central type (central type apnea) sleep apnea syndrome, clinical more common and better prognosis


Question: Description of the relevant parts of secretory glands (merocrine gland), the following statements is true?

Answer: Secreted embodiment of salivary glands

Choices:
A. Secreted products often released with whole cells
B. Secreted products often released together with the top part of the cell
C. Lipids secreted way of breast
D. Secreted embodiment of salivary glands


Question: Mediastinum after surgery, hoarseness and vocal cords do not move, branch Which of the following is most likely to damage?

Answer: Vagus nerve

Choices:
A. Phrenic nerve
B. Accessory nerve
C. Vagus nerve
D. Sympathetic plexus


Question: 50. The arrangement according to the order of the sperm maturation process of fertilization: ① the acrosome reaction (acrosomal reaction) ② skin reaction (cortical reaction) ③ capacitation (capacitation) ④ ejaculation (ejaculation)

Answer: ④③①②

Choices:
A. ①②③④
B. ④③②①
C. ④③①②
D. ①②④③


Question: Mr. Wang is a 55-year-old patient with a history of 30 years of smoking, a few days ago due to difficulty breathing patient examination, chest X-ray shows hyperinflation of the lungs, flat diaphragm, reducing suspected pulmonary microvascular and alveolar wall is undermine the formation of large alveolar sacs, and appears on exertion dyspnea, pulmonary function tests of FEV1 / FVC = 45%. Which of the following may occur in this patient?

Answer: Physiological dead space (physiological dead space) increased

Choices:
A. Restrictive lung disease (restrictive lung disease)
B. Lung compliance (lung compliance) decrease
C. Physiological dead space (physiological dead space) increased
D. Pulmonary function over capacity (functional residual capacity) reduction


Question: The following statements about sick infants, whichever is incorrect?

Answer: Baby no appetite

Choices:
A. Vomit without bile
B. Vomiting often into the spray
C. Baby no appetite
D. Often dehydration


Question: 6. Which of the following import celiac pool (cisterna chyli)? ① intestinal lymphatic trunk (intestinal lymphatic trunk) ② lymphatic left flank (left lumbar lymphatic trunk) ③ Youyao lymphoid stem (right lumbar lymphatic trunk)

Answer: ①②③

Choices:
A. Only ①
B. Only ①②
C. Only ①③
D. ①②③


Question: ⽣ dimensional element A (vitamin A) will be the following classes of cells that ⼀ egg white substance directly bonded to regulate gene expression?

Answer: nuclear retinoid receptors

Choices:
A. calcitriol receptor
B. receptor tyrosine kinases
C. nuclear retinoid receptors
D. G protein-coupled receptors


Question:
59
 Cause systemic fungal infection most of what fungus?

Answer: Conditions for pathogenic fungi

Choices:
A. Toxigenic fungi
B. Conditions for pathogenic fungi
C. Have mutagenic fungus
D. Multicellular fungi


Question: 3.36-year-old man has smoke, came to the emergency with chest pain, chest pain has eight hours, will be transmitted to the bilateral upper arm, and chest pain due to aggravated inspiration, worse when lying down, sitting up in the upper body slightly forward pour will be better. Physical examination blood pressure 140/72 mm Hg, heart rate 96 beats per minute, oxygen saturation useless oxygen ninety-eight percent. No abnormal lung auscultation, only in the lower left edge of the sternum hear the sound of friction with three components (three component friction rub). ECG performed at this time are most likely to see:

Answer: Chest lead (V2 - V6) and a first lead, aVL lead, ST segment concavely curved (concave curvature) increased

Choices:
A. Chest lead inverted T-wave (inverted T wave)
B. PR section rises in the second, third, and lead aVF
C. Chest lead (V1 - V6), ST segment convexly curved (convex curvature) increased
D. Chest lead (V2 - V6) and a first lead, aVL lead, ST segment concavely curved (concave curvature) increased


Question: Which of the following is a chest X-ray can be seen in the smallest unit of abnormal?

Answer: Acini (acinus)

Choices:
A. Primary leaflets (primary lobule)
B. \ Secondary lobule (secondary lobule)
C. Acini (acinus)
D. Bronchioles (bronchiole)


Question: The following statements about cervical dislocation fracture treatment and what was wrong?

Answer: If there is no change in weight after adjustment neurological, will not need to track cervical spine X-ray

Choices:
A. Weight varies traction cervical have different
B. After pulling the patient should be closely observed neurological symptoms
C. After the traction required to track the patient's cervical spine X-ray
D. If there is no change in weight after adjustment neurological, will not need to track cervical spine X-ray


Question: The figure is a 57-year-old woman peripheral blood smear under the microscope observation. Which of the following is this patients most likely diagnosis?

Answer: Hemolytic anemia

Choices:
A. Aplastic anemia
B. Hemolytic anemia
C. Iron deficiency anemia
D. Megaloblastic anemia


Question: Statements about the gallstones, what's wrong?

Answer: Gallstone acute cholecystitis taken to laparoscopic surgery is an absolute contraindication

Choices:
A. Fasting or long-term use of total parenteral nutritional therapy in patients with gallstone formation of correlated
B. Gallbladder stones and pigment stones can be divided into two major categories of cholesterol gallstones
C. Gallstone complications include acute cholecystitis, gallstone pancreatitis, ileus
D. Gallstone acute cholecystitis taken to laparoscopic surgery is an absolute contraindication


Question: Uncle Wang 40 years of smoking two packs a day, was told two years ago have a medical examination early emphysema, was determined to quit the habit of smoking. Uncle Wang recently hospitalized due to hernia, Zhuyuanyishi that Uncle Wang successfully quitting story, I hope he can stop smoking in a hospital advocacy film their own experiences, they informed teaching chambers Commissioner Zhang interview before Uncle Wang was discharged and solicitation film matters . When Zhang commissioner explained what he wanted, some unhappy Uncle Wang, Zhang asked the commissioner said: "How can you know that you smoke for many years I do?" The Prophet would not have had Zhuyuanyishi Uncle Wang Zhang would ask the Commissioner soon. Zhuyuanyishi of the following statements is the most important act of negligence?

Answer: Uncle Wang will neglect to inform other people's privacy

Choices:
A. Uncle Wang did not accurately assess the response to events
B. Uncle Wang will neglect to inform other people's privacy
C. Zhang does not take into account the Commissioner with medical personnel identity
D. Forget to ask the social worker prior to fully communicate


Question: The following molecular defects, whichever is most commonly associated with sporadic (sporadic) parathyroid adenoma about?

Answer: cyclin D1

Choices:
A. cyclin D1
B. calcium-sensing receptor
C. vitamin D receptor
D. parathyroid hormone


Question: Interferon -γ (IFN-γ) which is produced by cells?

Answer: T cells

Choices:
A. Vascular endothelial cells
B. Epithelial Cells
C. Fibroblasts
D. T cells


Question: Lipopolysaccharide (LPS) is a Gram-negative bacterial cell wall components, and will be combined with the molecules on white blood cells?

Answer: CD14

Choices:
A. CD1
B. CD5
C. CD14
D. CD25


Question: Suppose membrane allows only cations (cations which) transparent. After a period of time, will form an ion permeable relationship on both sides of a special distribution of the cell membrane, referred to herein as:

Answer: Nernst equilibrium

Choices:
A. Starling effect
B. Nernst equilibrium
C. Donnan effect
D. Bohr effect


Question: A 4-year-old girl who Cough, to hospital, physical examination revealed heart rate of about 96 beats / min, breathing a little faster, but also the liver palpable under the right rib 2 cm, cardiac auscultation is not clear, chest X rays figures. X-rays from these abnormal changes can be seen in the main what?

Answer: Enlarged heart

Choices:
A. Changes in lung cancer
B. Enlarged heart
C. pneumothorax
D. 橫膈 film improvement movement


Question: In 595 received a transfusion with 712 people who had not received transfusions are suffering from hepatitis unmanned, track two years after discovery: There are 75 blood transfusion, blood transfusion did not have 16 suffering from hepatitis, is that what kinds of research methods?

Answer: Cohort study

Choices:
A. Cross - sectional study
B. Ecological Research
C. Cohort study
D. Case-control study


Question: 70-year-old male with hypertension, coronary heart disease, sudden one day left eye almost invisible at work, for about 20 minutes after the symptoms gradually restore vision, as if the disease is most likely lesion why?

Answer: Internal carotid artery (internal carotid artery)

Choices:
A. Anterior cerebral artery (anterior cerebral artery)
B. Middle cerebral artery (middle cerebral artery)
C. Posterior cerebral artery (posterior cerebral artery)
D. Internal carotid artery (internal carotid artery)


Question: Gastrointestinal tract contains a large number of IgA, an immune response in the mucosal pathogens can effectively block the invasion of the body, the relevant statements is most accurate?

Answer: Secreted fragment secretory IgA (secretory component) is synthesized by epithelial cells

Choices:
A. Gastrointestinal tract and in serum two kinds of subtypes IgA antibody ratio consistent
B. Cytokine IL-12 can promote B cell secretory IgA
C. Secreted fragment secretory IgA (secretory component) is synthesized by epithelial cells
D. Pathogen antigen-binding IgA, can effectively start the classical route of complement activation


Question: Metastatic spinal tumors most commonly violated that part of the spine?

Answer: thoracic

Choices:
A. Cervical vertebra
B. thoracic
C. Lumbar
D. Sacral


Question: Amantadine and Rimantadine drugs often used to treat influenza virus type A, which inhibits the virus from entering the machine turn why?

Answer: Prevent the virus invasion and disintegration (uncoating)

Choices:
A. Prevent the virus invasion and disintegration (uncoating)
B. Prevent viral DNA synthesis in the host
C. Prevent viral RNA synthesis in the host
D. Prevent viral protein synthesis in the host


Question: Of the following statements about lung cancer, what's right?

Answer: Lung adenocarcinoma (adenocarcinomas) more easily early squamous cell carcinoma of the lung metastasis

Choices:
A. Lung squamous cell carcinoma (squamous cell carcinoma) is most common in Taiwan
B. Lung adenocarcinoma (adenocarcinomas) more easily early squamous cell carcinoma of the lung metastasis
C. Lung adenocarcinoma grown in areas close to the door (hilar)
D. Small cell lung cancer (small cell carcinoma) therapy with surgery


Question: Sperm maturation and stored in the following that organ?

Answer: Epididymis tube (ductus epididymis)

Choices:
A. Seminal vesicle (seminal vesicle)
B. Epididymis tube (ductus epididymis)
C. Seminiferous tubule (seminiferous tubules)
D. Prostate (prostate gland)


Question: 75 the following statements about suicide, what's right? ① suicide death rate for women than men ② With increasing age, the suicide rate decreased ③ mood disorders, schizophrenia, alcoholism patients, the risk of suicide are higher ④ attempted suicides, about 45% to 80% have emotions ⑤ anxiety disorders and disorders of the problem of suicide and no association

Answer: ③④

Choices:
A. ①④⑤
B. ①③④
C. ②③⑤
D. ③④


Question: A 2-year-old child because of bloating, vomiting medical treatment, examination revealed duodenal obstruction, which he most likely suffering from the congenital disorders?

Answer: Annular pancreas (Annular pancreas)

Choices:
A. Pancreatic hypoplasia (Pancreatic agenesis)
B. Pancreas split (Bifid pancreas)
C. Annular pancreas (Annular pancreas)
D. Ectopic pancreas (Ectopic pancreas)


Question: 58-year-old male, in the forehead, nose and eyebrows appear as itchy skin lesions of the drawings. Most of the patients with similar skin lesions may occur in the following Where?

Answer: scalp

Choices:
A. scalp
B. neck
C. palm
D. Plantar


Question: After the damaged structure after repair of patients with healed well, and after an appropriate rehabilitation, whose hand function may also have the kind of defects?

Answer: Ring finger can not be fully extended

Choices:
A. Thumb ventral paresthesia
B. Index proximal interphalangeal joint (proximal interphalangeal joint) can not be bent
C. Middle finger can not bend
D. Ring finger can not be fully extended


Question: Which of the following drugs NSAIDs can be used in place of colchicine is, as a first-line treatment of gout?

Answer: Indomethacin

Choices:
A. Aspirin
B. Acetaminophen
C. Indomethacin
D. Ketorolac


Question: The following autoantibodies that one has systemic lupus erythematosus (systemic lupus erythematosus, SLE) diagnostic significance?

Answer: Anti-Sm antibodies (anti-Smith antibody)

Choices:
A. Anti-Sm antibodies (anti-Smith antibody)
B. Anti-Scl-70 antibody (anti-Scl-70 antibody)
C. Anti-Jo-1 antibody (anti-Jo-1 antibody)
D. Anti-centromere antibodies (anti-centromere antibody)


Question:
46
 From the previous question, in order to prove your assumptions, following what most do not need to check?

Answer: Hysteroscopy

Choices:
A. Ultrasonography
B. Check the blood hormone
C. Pregnancy tests
D. Hysteroscopy


Question: Malignant black acanthosis (malignant acanthosis nigricans) most often combined with tumor that system?

Answer: Gastrointestinal system

Choices:
A. Huxijitong
B. Gastrointestinal system
C. Reproductive system
D. Urinary system


Question: The following narrative and what was wrong?

Answer: Immediately after the wound was sutured wound contamination (contaminated wounds) the most appropriate treatment for debridement (debridement)

Choices:
A. Malnutrition may lead to delayed wound healing
B. Wound dressing purposes covered to protect the wound and prevent bacterial infection of the wound exudate absorbent
C. Immediately after the wound was sutured wound contamination (contaminated wounds) the most appropriate treatment for debridement (debridement)
D. Macrophages (macrophages) and neutrophils (neutrophils) is the major inflammatory cells in the wound healing


Question: 52. Shi ⾏ Face ⼯ assist ⽣ reproductive technology (ART) Using drugs after gonadotropin stimulation, how to avoid ovarian hyperstimulation syndrome (OHSS) hair ⽣, Which statement is correct?

Answer: Using Cabergoline after ovulation may be suppressed ⾎ inner tube ⽪ ⽣ ⻑ due Submenu (VEGF) production ⽣

Choices:
A. Use velvet ⽑ non- human gonadotropin (hCG) to luteinizing ⽣ substituted into hormone (LH) stimulate ovulation
B. When using the gonadotropin releasing hormone promoter (agonist) treatment, gonadotropin releasing hormone antagonist (antagonist) stimulate ovulation
C. When tracking measurement found that estrogen had ADVANCED value, without considering fully stop the drugs to stimulate gonadotropin
D. Using Cabergoline after ovulation may be suppressed ⾎ inner tube ⽪ ⽣ ⻑ due Submenu (VEGF) production ⽣


Question: That's one of the following is Streptococcus pyogenes superantigen?

Answer: heat-labile toxin（speA）

Choices:
A. M-protein
B. F-protein
C. heat-labile toxin（speA）
D. Streptolysin S


Question: Mr. Chen, now 38 years old, in good health, is married and has a 12-year-old boy. Two months ago, Mr. Chen's 42-year-old brother, was diagnosed with Huntington's disease (Huntington's disease). Chen's father, who has a severe neurological disease, has died five years ago, presumably this disease. Chen own request genetic testing, unfortunately, also confirmed that he has the gene for this disease. So Mr. Chen with his son to the hospital, requiring genetic testing of the disease. Now there is no treatment of the disease drugs, for how to deal with this requirement?

Answer: Do not agree to, because the boy was a minor, after such treatment can not detect major diseases, should be adult parties to decide whether to go for a check

Choices:
A. Agreed, according to the law because parents are guardians of their children, if unfortunate with this gene, young people can understand the words to explain to Mr. Chen's son know
B. Agreed, because the parents are the child's guardian in accordance with law, if unfortunate with this gene, you will not be told
C. Do not agree to, because this disease is no effective method of treatment, if unfortunate with this gene, the boy will live forever in the shadow of disease
D. Do not agree to, because the boy was a minor, after such treatment can not detect major diseases, should be adult parties to decide whether to go for a check


Question: Human immunodeficiency virus (HIV) infected persons infected with syphilis (syphilis) other clinical characterization of sexually transmitted diseases or narrative, what's wrong?

Answer: Human immunodeficiency virus-infected persons infected with syphilis, and the severity of their disease progression compared with the average person is no different

Choices:
A. Human immunodeficiency virus-infected persons infected with syphilis, and the severity of their disease progression compared with the average person is no different
B. Most serological testing of human immunodeficiency virus-infected patients can be used to confirm the diagnosis of syphilis
C. Gonorrhea infection (gonorrhea) may increase the risk of human immunodeficiency virus infection and gonorrhea in men may not have obvious symptoms, but be careful diagnosis
D. Syphilis is a risk factor for human immunodeficiency virus infection


Question: 30. Which of the following may be due to parasites invade human reproductive system into the abdominal cavity (peritoneal cavity) and lead to chronic pelvic peritonitis (chronic pelvic peritonitis)?

Answer: Pinworm (Enterobius vermicularis)

Choices:
A. Pinworm (Enterobius vermicularis)
B. 鞭蟲（Trichuris trichiura）
C. Trichinella spiralis (Trichinella spiralis)
D. Roundworm (Ascaris lumbricoides)


Question: 14. One 57 year old man has done a health check at the age of 40, when blood is normal phase. 15 years ago due to gastric ulcer perforation underwent surgery to remove two-thirds of the stomach, no other special medical history. Recently because of easy fatigue, blood tests and found that hemoglobin was 8.7 gm / dL, MCV

Answer: iron deficiency anemia

Choices:
A. thalassemia
B. anemia of chronic disorder
C. iron deficiency anemia
D. vitamin B12 deficiency anemia


Question: Mr. Li smoking nearly two decades, is expected to take action within a month to quit, Lee's behavior across that stage theory mode?

Answer: preparation stage

Choices:
A. Contemplation stage
B. preparation stage
C. Action phase
D. Maintenance phase


Question: Common eye diseases in clinical Which of the following does not occur in the absence of red eye complications?

Answer: cataract

Choices:
A. Acute conjunctivitis
B. Subconjunctival hemorrhage
C. Acute glaucoma
D. cataract


Question: The following bacteria, whichever is the least cause bacteremia?

Answer: Vibrio cholera (Vibrio cholerae)

Choices:
A. E. coli (Escherichia coli)
B. Vibrio cholera (Vibrio cholerae)
C. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
D. Salmonella typhimurium (Salmonella typhi)


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

Answer: The main source for Gram-positive bacteria

Choices:
A. The main source for Gram-positive bacteria
B. By the cell wall lipopolysaccharide body (LPS) composition
C. Induced inflammatory response associated with
D. And sepsis-related


Question: 40 When the elderly prostatic hypertrophy of careless treatment, may cause acute urinary retention (urinary retention). Which of the following drugs is not the most likely cause of this adverse reaction?

Answer: captopril

Choices:
A. captopril
B. diphenhydramine
C. haloperidol
D. oxybutynin


Question: The following narrative about Listeria (Listeria monocytogenes), and what's wrong?

Answer: Gram-positive cocci, can grow in an environment of 20 ℃ to 25 ℃

Choices:
A. Gram-positive cocci, can grow in an environment of 20 ℃ to 25 ℃
B. Occur in pregnant women, the elderly and some immunocompromised patients
C. Clinical manifestations of infection bacteremia or central nervous system of majority
D. Preferred drug treatment is ampicillin or penicillin, aminoglycoside drugs often associated with co-therapy


Question: Use the following mode is best suited to explain "the possible cancer risk group in the ADVANCED why some will go to Use Face cancer screening services, but will not go ⽽ some PORTRAIT Use" ⾏ it is?

Answer: Health Belief Model (health belief model)

Choices:
A. Cross-theoretical model (the transtheoretical model)
B. Social ⾏ pin (social marketing)
C. Health Belief Model (health belief model)
D. Diffusion of Innovation (diffusion of innovations)


Question: Affective disorders in the so-called shield type depressive (masked depression), in which of the following occur up to?

Answer: Old people

Choices:
A. teens
B. Adults
C. Old people
D. child


Question: For the following substances in hair ⽣ ⾎ solution concentration is increased and atherosclerosis (atherosclerosis), except whichever?

Answer: ADVANCED white-density lipoprotein (high-density lipoprotein)

Choices:
A. C-reactive protein
B. ADVANCED white-density lipoprotein (high-density lipoprotein)
C. Same half 胱胺 acid (homocysteine)
D. ⾎ sugar


Question: 3150 years middle-aged women, blood tests of liver biochemical indices as follows: A / G: 3.9 / 4.0 g / dL, Bil: 1.0 / 0.4 mg / dL, GOT: 120 U / L, GPT: 140 U / L, ALP: 840 U / L, r-GT: 500 U / L. The virus mark examination showed all negative, normal ultrasound examination results. I ask you: of the following is wrong?

Answer: Contribute to prednisolone therapy

Choices:
A. AMA test helps diagnose
B. Do help diagnose liver slices
C. Contribute to prednisolone therapy
D. Contribute to ursodeoxycholic acid treatment


Question: A cancer hospital in view of the growing popularity of genetic testing in recent years, coupled with the human tissue repositories gene medicine helps, it was decided at the time of all hospitalized patients, a number of genetic testing into routine examination, all patients should do their own expense . About such practices, saying that one of the following error?

Answer: Based on medical research promotion, additional hospital routine examination at their own expense nothing wrong

Choices:
A. Patients should be able to choose whether to do genetic testing should not be told that is not included in routine examination
B. The remaining patients routine examination of blood, if you want to retain doing research, it should be clearly informed patient
C. Informed of the results of genetic testing, genetic counseling should be provided
D. Based on medical research promotion, additional hospital routine examination at their own expense nothing wrong


Question: Duke Haemophilus (Haemophilus ducreyi) infection that mainly parts of the body?

Answer: genitals

Choices:
A. genitals
B. Eye
C. Nasopharyngeal
D. Gastrointestinal


Question: The following diseases that are less likely to be complicated by osteoporosis?

Answer: hyperaldosteronism

Choices:
A. hyperthyroidism
B. Cushing's syndrome
C. hypogonadism
D. hyperaldosteronism


Question: Related virus (viruses) copy of the narrative, which of the following error?

Answer: Major outer membrane having a virus by cell lysis (Lysis) and release the extracellular

Choices:
A. With the outer membrane (Envelope) viral resistance to the environment in general lower
B. Most of RNA virus replication is carried out in the cytoplasm
C. Most do not need to copy RNA virus host cell enzymes
D. Major outer membrane having a virus by cell lysis (Lysis) and release the extracellular


Question: The following account of the first type of human immunodeficiency virus (HIV-1) combination therapy (combination therapy), and what is wrong?

Answer: The body can eradicate HIV-1 virus

Choices:
A. 又名 HAART（highly active antiretroviral therapy）
B. Comprising a combination of reverse transcriptase inhibitors (reverse transriptase inhibitors) and protease inhibitors (protease inhibitor) of
C. The body can eradicate HIV-1 virus
D. AIDS patients can reduce mortality and morbidity infected with other diseases


Question: A 40-year-old male diabetic, complained of sexual activity after the external genitalia have local burning sensation, after examination how much fat in the glans and foreskin inside, scattered papules and pus , and is accompanied by slight erosion as shown. The patients most likely diagnosis Why?

Answer: Candida balanoposthitis (candidal balanoposthitis)

Choices:
A. Simple  rash (herpes simplex)
B. Molluscum contagiosum (molluscum contagiosum)
C. Pointed warts (condyloma acuminatum)
D. Candida balanoposthitis (candidal balanoposthitis)


Question: 7,737 year old man two hours before the sudden pain to the emergency. Patient long-term alcoholics, in recent years has started to 5,6 times episodes of pancreatitis hospitalized. In terms of this patient, what items the following statements is most reasonable?

Answer: Blood amylase and lipase is likely to be normal, but it does not mean that no inflammation of the pancreas

Choices:
A. Blood amylase and lipase is likely to be normal, but it does not mean that no inflammation of the pancreas
B. Use Ranson criteria in the acute phase can have a very accurate prediction of prognosis
C. Blood lipase increased speed, half-life of about two hours, will be back to normal within 3 days
D. The higher the blood amylase or lipase, on behalf of the more serious inflammation of the pancreas


Question: Related acute muscle compartment syndrome (acute compartment syndrome) of the narrative, which of the following error?

Answer: If it is found outside the pulse (peripheral pulse) there is almost excluded the possibility of

Choices:
A. Tissue ischemia (ischemia) often leads to pain
B. Painful (pain on passive stretch) will rest when the pain (rest pain) when administered sensitivity of diagnosis passive stretch
C. Nerve ischemia (ischemia) often lead to paresthesia (paresthesia) and insensitive (hypoesthesia)
D. If it is found outside the pulse (peripheral pulse) there is almost excluded the possibility of


Question: From the previous question, relating to devour "through music" cleaners, Which of the following most appropriate?

Answer: Blood gas analysis can assess the severity of

Choices:
A. Digestive tract will produce coagulation necrosis
B. Blood gas analysis can assess the severity of
C. Shall implement thoracotomy
D. If the esophagus were removed, reconstructive surgery must be done immediately


Question: A 35-year-old male patient underwent ultrasound examination, following which the situation will be normal spleen size?

Answer: Thrombocytopenic purpura lack of original occurrence (Idiopathic thrombocytopenic purpura)

Choices:
A. Hemolytic anemia (Hemolytic anemia)
B. Giant nodular cirrhosis (Macronodular cirrhosis)
C. Sickle cell anemia (Sickle cell anemia)
D. Thrombocytopenic purpura lack of original occurrence (Idiopathic thrombocytopenic purpura)


Question: 49. If the baby is full Month to render the jet-like vomiting after feeding, suspected to be quiet ⾨ hypertrophic stenosis (hypertrophic pyloric stenosis), the following statements about the examination and treatment, whichever is the most correct?

Answer: Can help confirm the diagnosis right upper quadrant abdominal palpation olive-shaped lumps, abdominal ultra-wave or upper gastrointestinal photography Rec

Choices:
A. Can help confirm the diagnosis right upper quadrant abdominal palpation olive-shaped lumps, abdominal ultra-wave or upper gastrointestinal photography Rec
B. Lying abdominal X-ray examination can be found signs bubbles bis (double bubble sign)
C. Baby secluded ⾨ hypertrophic stenosis due to obstruction of the gastrointestinal tract is a ⼀, usually belonging to the surgical emergency (surgical emergency)
D. Treatment destination time before the watch to the watch forming ⾨ quiet operation (pyloroplasty) based


Question: Which of the following is the drug of choice for the inhibition of HIV and the prevention of cytomegalovirus infection?

Answer: Ganciclovir

Choices:
A. Indinavir
B. Rifabutin
C. Fluconazole
D. Ganciclovir


Question: 3. When the car accident injuries are sent to the emergency room for treatment, if you find a foreign body airway, breathing difficulty or confusion, should be given intubation (endotracheal intubation) endotracheal immediately. The following items is what emergency intubation of trauma patients, most should pay attention to the matter?

Answer: Protection of the cervical spine (cervical spine protection)

Choices:
A. Protection of the cervical spine (cervical spine protection)
B. Note brain pressure
C. Note aspiration pneumonia (aspiration pneumonia)
D. Note anesthetic overdose


Question: In human terms, chromium has not been proven what causes the following disease?

Answer: Stomach cancer

Choices:
A. Stomach cancer
B. Lung cancer
C. Dermatitis
D. Nasal septum perforation


Question: That one of the following antifungal (anti-fungal) drug resistant mechanism, is a mutation in the synthesis of dextran (Glucan) associated gene?

Answer: IL ratchet type (echinocandins)

Choices:
A. Fluorocytosine (flucytosine)
B. IL ratchet type (echinocandins)
C. Allylamines (allylamines)
D. Amphotericin B (Amphotericin B)


Question: 60 year-old man underwent coronary bypass surgery. The next day after surgery, blood normal mobility, normal chest X-ray, lung auscultation breath sounds clear without sound, normal arterial blood gas analysis, patients with clear consciousness, when the respirator is set SIMV mode, the number of respirator ventilation 4 times per minute patient call from 8 times, PEEP: 4 cm-H2O, sensitivity of 2 cm-H2O, pressure support the respirator 10 cm-H2O. Prepare the patient from the respirator, connected to the T-tube allows the patient's own breathing, respiratory rate soon rose to 30 beats per minute, the patient will feel breath, back to the respirator and the respirator with the original setting, the patient recovered quickly, but try to pick up a T-tube, the patient breathing becomes shallow and rapid, and the patient feel uncomfortable. May I ask why the patient most likely diagnosis?

Answer: Acute heart failure (acute heart failure)

Choices:
A. Too much fluid (fluid overload)
B. Acute heart failure (acute heart failure)
C. Adult respiratory distress syndrome (ARDS)
D. Phrenic nerve injury (phrenic nerve palsy)


Question: According to the views of the United States Joint Commission (Joint Committee on Infant Hearing) of infant hearing, following which the hearing-impaired infants at high risk groups?

Answer: Suffering from purulent meningitis

Choices:
A. All infants
B. All preterm children
C. Requires illumination by jaundice
D. Suffering from purulent meningitis


Question: The basic unit nucleosome (nucleosome) chromatin (chromatin to allow), which forms the core of the composition (Core) proteins from four different tissues (Histone) for DNA around its upper, tissue from the core protein at the DNA, the a specific tissue protein attached, please indicate the name of the connexin (linker protein) why?

Answer: H1 histone

Choices:
A. H1 histone
B. H2AB tissue protein
C. H3 histone
D. H4 histone


Question: 68 year-old man complained of began, facial appearance as shown on the left arrow of the disease, pathology as shown at right five years ago. Which of the following is the most appropriate diagnosis?

Answer: Actinic keratosis (actinic keratosis)

Choices:
A. Actinic keratosis (actinic keratosis)
B. Discoid lupus erythematosus (discoid lupus erythematosus)
C. Seborrheic keratosis (seborrheic keratosis)
D. Basal cell carcinomas (basal cell carcinoma)


Question: Primary visual cortex (primary visual cortex) positioned following any Brodmann area?

Answer: 17

Choices:
A. 19
B. 17
C. 22
D. 45


Question: 56. Acute muscle compartment syndrome (acute compartment syndrome) is an orthopedic emergency of ⼀, if not instantly into your watch ⾏ decompression surgery, will lead to tissue necrosis and lack ⾎. Statements about the acute muscle compartment syndrome, which of the following error?

Answer: After the trauma, zoomed legs than ⼩ leg prone ⽣

Choices:
A. It is the most common cause of fracture of ⾒
B. After the trauma, zoomed legs than ⼩ leg prone ⽣
C. Even outside the affected limb pulse beats (peripheral pulse) and micro ⾎ reflux tube (capillary return) normal, still can not be excluded
D. Pain symptoms are often the earliest


Question: From the previous question, the most suitable of the above-mentioned patient pleural effusion way:

Answer: Given diuretics

Choices:
A. Repeated extraction
B. Put a chest tube drainage and give adhesions treatment
C. Administration of anti-TB drugs
D. Given diuretics


Question: When the drug lamotrigine to treat epilepsy and that of one of the following drugs in combination, metabolic half-life of lamotrigine may be extended?

Answer: Valproic acid

Choices:
A. Topiramate
B. Phenytoin
C. Valproic acid
D. Tiagabine


Question: About oral fertility drugs clomiphene citrate, the following statements is most accurate?

Answer: Cause endometrial thinning

Choices:
A. Need to use women in hypothalamus-pituitary axis dysfunction
B. With potent estrogenic effects
C. Will reduce the secretion of GnRH
D. Cause endometrial thinning


Question: The main part of the bladder peritoneum are covered:

Answer: On the surface

Choices:
A. Behind
B. The following side
C. On the surface
D. Bladder neck


Question: The following statements about the treatment of multiple disease surgery, what's wrong?

Answer: Surgical resection is the main part of the fourth and fifth thoracic sympathetic ganglia

Choices:
A. Palms and armpits can be improved through multi-thoracic sympathectomy
B. Surgical resection is the main part of the fourth and fifth thoracic sympathetic ganglia
C. Of side effects may Horner's syndrome is the T1 sympathectomy
D. Possible side effects include pneumothorax and hemothorax


Question: 14 patients cheek sudden pain, maxillary sinusitis To identify whether to select what kind of X-ray examination of the following best?

Answer: Water's view

Choices:
A. skull PA view
B. skull lateral view
C. Stenvers view
D. Water's view


Question: In a blast of men over 20 years, have not been appropriate protective work if he has a higher prevalence of that one of the following diseases than the average person?

Answer: tuberculosis

Choices:
A. Occupational asthma symptoms
B. tuberculosis
C. pneumonia
D. Bladder Cancer


Question: Statements about infectious protein (prion) caused by the disease, which of the following error?

Answer: Can cause intense immune response

Choices:
A. The incubation period is very long
B. Can cause intense immune response
C. Via infected cornea transplant
D. Patients often have dementia (dementia) symptoms


Question: Grasp the trends and related risk factors of illegal drugs is an important task Gonggongweisheng Which of the following error?

Answer: Most drug testing laboratory so as to assess the subject of illicit drug use, which is not validity test method, the sample type, or aging effects

Choices:
A. Currently investigating ways of drug abuse may include active investigation (with cross-sectional survey-based) and passive investigation (notification system)
B. Many studies have shown that the phenomenon of self-reported Chen (self-report) is often under-reported
C. Most drug testing laboratory so as to assess the subject of illicit drug use, which is not validity test method, the sample type, or aging effects
D. "Computer-assisted self-interview" Chen can improve self-reported rates of drug use


Question: Gram negative bacteria cell wall component lipopolysaccharide body (Lipopolysaccharide, LPS) is highly immune stimulating substance. Will have lower blood pressure, increase in body temperature of the organism to feel the symptoms of LPS stimulation. Sometimes even lead to shock. The main increase in body temperature to produce immune cells and media matter, which of the following is most important?

Answer: Macrophages produced IL-1

Choices:
A. The first type of interferon produced by natural killer cells
B. Macrophages produced IL-1
C. T cells produce IL-4
D. Dendritic cells produce IL-10


Question: Joint spores (arthroconidia) Which of the following is an identifying characteristic of the mold?

Answer: Coccidioides immitis

Choices:
A. Coccidioides immitis
B. Fusarium solani
C. Histoplasma capsulatum
D. Malassezia furfur


Question: Which of the following will be (14; 18) translocation and BCL-2 protein overexpression?

Answer: follicular lymphoma

Choices:
A. follicular lymphoma
B. small lymphocytic lymphoma
C. mantle cell lymphoma
D. marginal zone lymphoma


Question: Which of the following pelvic prolapse, in the pathophysiology and anatomy than meets the definition of hernia (hernia) of?

Answer: Intestinal prolapse (enterocele)

Choices:
A. Urethral prolapse (urethrocele)
B. Prolapse of the bladder (cystocele)
C. Intestinal prolapse (enterocele)
D. Rectal prolapse (rectocele)


Question: 1318-year-old unmarried teenage pregnancy, without the good prenatal care, inadequate nutrition without supplemental multivitamins or iron, easily fatigued physical weakness in late pregnancy, babies born at 35 weeks, poor motility, blood tests found that the mother and baby iron protein (ferritin) were lower. Which of the following is most likely Tongshifasheng mother and baby?

Answer: Microcytic anemia

Choices:
A. Peripheral neuropathy
B. Goiter
C. Microcytic anemia
D. Vitamin B12 deficiency


Question: Bearing on the question, with regard to the disposal of health education and given to the child, the following items where inappropriate?

Answer: Administration of γ-benzene hexachloride external use

Choices:
A. Administration of γ-benzene hexachloride external use
B. Give crotamiton external use
C. Give permethrin external use
D. Laundry & sheets 60 ℃ hot water cooked at


Answer: Muscle fiber dysplasia (fibromuscular dysplasia)

Choices:
A. Atherosclerosis (Atherosclerosis)
B. Muscle fiber dysplasia (fibromuscular dysplasia)
C. trauma
D. Arteriovenous malformation


Question: Mr. Lee, 47 years old, last month to gradually feel difficulty swallowing phenomenon, unable to eat solid food, weight loss and weight of 2 kg. Lee usually there are smoking and drinking habits. Lee was a series of checks confirmed suffering from esophageal squamous cell carcinoma, esophageal cancer related, Which of the following is the correct answer?

Answer: Up to the middle of the esophagus is located in the chest

Choices:
A. To radiation therapy
B. Up to the middle of the esophagus is located in the chest
C. After removal of the esophagus to the small intestine most common reconstruction
D. Asians esophageal cancer, the most common cancer tissue pathology


Question: Inside of your wrist flexor support band (flexor retinaculum) attached to where?

Answer: Bean-shaped bone (pisiform) and -like bone (hamate)

Choices:
A. Bean-shaped bone (pisiform) and -like bone (hamate)
B. Bean-shaped bone (pisiform) and triangular bone (triquetrum)
C.  shaped bone (hamate) and the capitate bone (capitate)
D. Ulnar styloid (ulnar styloid process)


Question: 27 year old man edema due to outpatient. Two days ago with fever, cough, to the pharmacy to buy medicine, burn back but appear darker urine, no burning sensation during urination. Urinalysis found that each high magnification 50-70 red blood cells, white blood cells 3-5, skinless cells (microscopic examination as shown in the drawings). Physical examination: 37.5 deg.] C temperature, blood pressure 135/90 mmHg, there is a slight tenderness waist on both sides, slightly ankle edema. The following diagnosis is best suited to the patient?

Answer: Acute glomerulonephritis

Choices:
A. Acute pyelonephritis
B. Drug-induced renal interstitial inflammation
C. Acute glomerulonephritis
D. Ureteral obstruction complicated by kidney stones


Question: For bipolar disorder (bipolar disorder) narrative rule, whichever is correct?

Answer: Acute mania lithium salts can be administered, antiepileptic drugs, antipsychotics, or

Choices:
A. Acute mania lithium salts can be administered, antiepileptic drugs, antipsychotics, or
B. Maintaining (Maintenance) treatment may be used antiepileptic drugs or lithium salt, lithium salt, but only need to be monitored in blood drug concentration
C. Antiepileptic drugs lamotrigine in preventing mania better than other antiepileptic drugs
D. Electro-convulsive treatment (electroconvulsive therapy) is not suitable for the treatment of depression in bipolar disorder


Question: Following brain tumor that kind have mostly a thin capsule, and relatively non-invasive?

Answer: Meningioma (meningioma)

Choices:
A. Ependymoma (ependymoma)
B. Meningioma (meningioma)
C. Glial blastoma (glioblastoma)
D. Oligodendrocyte cell tumors glue (oligodendroglioma)


Question: A 64-year-old woman suffering from metastatic breast cancer, she has decided to accept Hospice (palliative care). Chronic bone pain due to the use of non-steroidal analgesics (NSAID) and acetaminophen, but the effect is not satisfactory. Which of the following pain control to the next more appropriate?

Answer: Efficient i.e. morphine sulfate administered 5 mg every 4 hours, if necessary, once every 2 hours to give

Choices:
A. After administration of steroids such as dexamethasone to control pain, again given nonsteroidal analgesics maintain control of symptoms
B. The lowest dose of fentanyl patch to
C. Efficient i.e. morphine sulfate administered 5 mg every 4 hours, if necessary, once every 2 hours to give
D. Administration of long-acting morphine sulfate, i.e. re-acting morphine sulfate given when breakthrough pain


Question: Case-control study, the odds ratio (odds ratio) of the occurrence of oral cancer smoking 2.0 times. If the healthy control cases among the 25% of cases of smoking, the risk of oral cancer among 400 patients how many patients smoke?

Answer: 160

Choices:
A. 100
B. 160
C. 200
D. 240


Question: Ascending colon (ascending colon) Which of the following import veins?

Answer: Portal vein (portal vein)

Choices:
A. Inferior mesenteric vein (inferior mesenteric vein)
B. Hepatic vein (hepatic vein)
C. Portal vein (portal vein)
D. Splenic vein (splenic vein)


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

Answer: Dwelling in normal human respiratory tract, mainly strains with capsule

Choices:
A. Child care infection can cause meningitis (meningitis)
B. Their growth requirements of blood through the supplemental heating medium
C. Dwelling in normal human respiratory tract, mainly strains with capsule
D. There are already other vaccine against serotype b


Question: In intestinal epithelial cells, sodium ions (Na +) does not absorb together with which of the following?

Answer: Bicarbonate (bicarbonate)

Choices:
A. Amino acids (amino acid)
B. Bicarbonate (bicarbonate)
C. Galactose (galactose)
D. Dextrose (glucose)


Question: There is a 10-year-old boy mental retardation, can be responsible for their own daily living. Patients with a short head (brachycephaly), palpebral fissure steeper, and having the significant epicanthus off. There are palm and palm off the patient. Physical examination of the contractile chest murmur Grade Ⅲ / Ⅵ the display. The following diseases are most likely to occur at the age of 20?

Answer: Acute leukemia

Choices:
A. Acute leukemia
B. Cirrhosis
C. Chronic renal failure
D. Acute myocardial infarction


Question: During a hysterectomy (hysterectomy) uterine artery ligation, Which of the following is most likely to be mistaken tie?

Answer: Ureter (ureter)

Choices:
A. Ovarian artery (ovarian artery)
B. Internal pudendal artery (internal pudendal artery)
C. Ureter (ureter)
D. Pudendal nerve (pudendal nerve)


Question: Elderly care center of a cluster infection occurs, there are 25 elderly watery diarrhea, nausea and vomiting, symptoms persist for 12-60 hours vary. This is most likely caused by a virus which of the following?

Answer: Norovirus (Norovirus)

Choices:
A. Cytomegalovirus (Cytomegalovirus)
B. Hantavirus (Hantaan virus)
C. Norovirus (Norovirus)
D. Hepatitis B virus (Hepatitis B virus)


Question: The following statements about psoriasis, what's wrong?

Answer: Is a B lymphocyte (B lymphocyte) of diseases caused by activation

Choices:
A. Sympathetic beta blockers (β-blockers) may induce or worsen psoriasis
B. Mental stress may cause the deterioration of psoriasis
C. Is a B lymphocyte (B lymphocyte) of diseases caused by activation
D. Acute streptococcal infection may induce droplet psoriasis (guttate psoriasis)


Question: Obese women, blood in what is most likely to fall?

Answer: Sex hormone binding globulin

Choices:
A. Androgen
B. Insulin
C. Sex hormone binding globulin
D. Estrone


Question: That one of the following structure, regardless of the composition of the diaphragm (diaphragm) of?

Answer: Chest pericardium (pleuropericardial membrane)

Choices:
A. Lateral septum (septum transversum)
B. Chest film (pleuroperitoneal membrane)
C. Mesangial backside esophagus (dorsal mesentery of esophagus)
D. Chest pericardium (pleuropericardial membrane)


Question: The following account of submenus that cervical cancer (cervical cancer), and what's wrong?

Answer: The HPV E6 and E8 sub-submenus that are pathogenic HPV-associated cervical cancer submenus of submenus that because

Choices:
A. ADVANCED hair ⽣ rate than the region including South America, the Caribbean and Southeast Asia
B. Before accepting sexual ⾏ to HPV vaccine can reduce the HPV-16 and HPV-18 infection, can also reduce cervical dysplasia Submenu
C. The HPV E6 and E8 sub-submenus that are pathogenic HPV-associated cervical cancer submenus of submenus that because
D. Violations ⼀ thirds lower pelvic or vaginal cervical part of the submenus FIGO stage III


Question: A 68-year-old woman because the left side of degenerative arthritis of the knee admission, ready to accept the artificial knee replacement surgery tomorrow, you happened to be on duty today is responsible for the advice to the patient's physician, will dispose of the following is true in terms of the patient of?

Answer: Should examine the patient and the test results to determine whether to change the condition of patients not suitable for surgery

Choices:
A. Surgical site should be marked, and will assist the patient to shave their legs, to reduce wound infection
B. As soon as possible administration of prophylactic antibiotics to reduce the infection rate
C. Should examine the patient and the test results to determine whether to change the condition of patients not suitable for surgery
D. Hypnotics or sedatives should be given, so as to avoid panic and delayed surgery


Question: Our County Municipal Health Bureau will be held each year for area public Composite adult health checks, and screening for abnormal cases be referred to track the service Gonggongweisheng prevention measures in the three sections of five belong to which of the following?

Answer: The second paragraph of the third stage

Choices:
A. The second paragraph of the third stage
B. The first paragraph of the second stage
C. The second paragraph of the fourth stage
D. The third paragraph of the second stage


Question: 35. One 47 year old man last month, loss of appetite, nausea and feeling more tired. Blood tests: BUN 35 mg / dL, creatinine 1.6 mg / dL, Na + 145 mmol / L, K + 3.2 mmol / L, Cl- 92 mmol / L, free Ca 3.00 mmol / L. When asked about the history, which of the following for the differential diagnosis than those without help?

Answer: Whether the use of diuretics ring

Choices:
A. Whether the use of vitamin D
B. Whether chewing betel nut (with lime sauce) habits
C. Whether long-term use of antacids
D. Whether the use of diuretics ring


Question: About endometrial hyperplasia (endometrial hyperplasia), generally considered the most relevant genes with which of the following?

Answer: PTEN

Choices:
A. PTEN
B. BRCA1
C. HER2
D. BRCA2


Question: The main component of spinal cord white matter why?

Answer: myelinated axons

Choices:
A. neuronal soma
B. dendrites
C. connective tissue
D. myelinated axons


Question: Early onset and duration of the code of conduct disorders (conduct disorder) patients with poor prognosis, some will develop into what personality disorder?

Answer: Antisocial personality disorder

Choices:
A. Paranoid personality disorder
B. Borderline personality disorder
C. Antisocial personality disorder
D. Theater personality disorder


Question: An 8-year-old boy, sudden headache, vomiting and unsteady gait, CT scan revealed a tumor hydrocephalus and midline posterior fossa of the fourth ventricle tumor invasion and top surgery, microscopic examination findings as attached Figure, the diagnosis should be:

Answer: Medulloblastoma (Medulloblastoma)

Choices:
A. Acoustic neuroma (Acoustic neuroma)
B. Meningioma (Meningioma)
C. Hemangioblastoma (Hemangioblastoma)
D. Medulloblastoma (Medulloblastoma)


Question: If a child from a sitting position into a standing position, such as action figures showing that he is most likely to suffer from it following a disease?

Answer: Duchenne muscular dystrophy

Choices:
A. cerebral palsy, hemiplegic type
B. Duchenne muscular dystrophy
C. developmental dysplasia of hip
D. Charcot-Marie-Tooth disease


Question: The correct diagnosis of non-alcoholic fatty liver disease (nonalcoholic fatty liver disease), where the following item description, do not need liver ultrasound examination of risk factors for the disease?

Answer: Hepatitis B asymptomatic carrier (hepatitis B carrier)

Choices:
A. Insulin resistance (insulin resistance)
B. Over 3 years old obese boys
C. Hepatitis B asymptomatic carrier (hepatitis B carrier)
D. Tricarboxylic acid ester glycosides oil (triglyceride) is too high


Question: The following pair of parasites in whichever contain (infective forms) of the human infection in patients with type fresh feces?

Answer: Cryptosporidiosis (Cryptosporidium parvum) and iodine addicted amoeba (Iodamoeba bütschlii)

Choices:
A. Neospora ring (Cyclospora cayetanensis) and Dientamoeba (Dientamoeba fragilis)
B. Human flesh Neospora (Sarcocystis hominis) and Giardia lamblia (Giardia lamblia)
C. Cryptosporidiosis (Cryptosporidium parvum) and iodine addicted amoeba (Iodamoeba bütschlii)
D. And other Neospora (Isospora belli) and the large intestine ciliates (Balantidium coli)


Question: Which of the following belong M3 muscarinic receptor (M3 muscarinic receptor) antagonist clinically useful for the treatment of overactive bladder (overactive bladder)?

Answer: oxybutynin

Choices:
A. pirenzepine
B. trihexyphenidyl
C. ipratropium
D. oxybutynin


Question: 12 a 70-year-old male patient complained of smoke movement shortness of breath, pulmonary function tests show that FEV1 / FVC = 60%, FEV1 only the expected value

Answer: Long-term low-dose oral steroids

Choices:
A. Long-acting inhaled bronchodilators
B. Long-term low-dose oral steroids
C. Quit smoking
D. Pulmonary Rehabilitation


Question: What percentage of cardiac output of about cerebral blood flow (cardiac output) of?

Answer: 15%

Choices:
A. 6%
B. 15%
C. 25%
D. 30%


Question: Which of the following drugs for the H + -K + ATPase inhibitors?

Answer: Omeprazole

Choices:
A. Atropine
B. Cimetidine
C. Misoprostol
D. Omeprazole


Question: 30-year-old male patient complained of left-hand and right-hand finger the first 2,3 3,4 refers distal phalanges joint (distal interphalangeal joint) pain, swelling already three weeks. At the same time on both sides of the lower limbs skin rash, there have been a number of outstanding blocks will desquamation. Why is the most likely diagnosis?

Answer: Psoriatic arthritis

Choices:
A. Rheumatoid arthritis
B. Bacterial arthritis
C. Systemic lupus erythematosus
D. Psoriatic arthritis


Question: 18 due to the following cause jaundice (jaundice) in, what is bilirubin (bilirubin) produce too much, beyond the capacity can be engaged (Conjugation) in normal liver?

Answer: Hemolytic disease

Choices:
A. Acute hepatitis
B. Hemolytic disease
C. Common bile duct stones
D. Pancreatic head cancer


Question: About the great arteries associated with normal ventricular septum (transposition of great arteries with intact ventricular septum) of the narrative, Which statement is correct?

Answer: ①③

Choices:
A. ①②
B. ①③
C. ②④
D. Only ④


Question: Nocardiasis the following statements about lung infection, whichever is correct?

Answer: Often violated to the pleura, chest wall

Choices:
A. Nocardia spp. Is an anaerobic
B. May be obtained via the diagnosis result sputum culture
C. Often violated to the pleura, chest wall
D. Two-thirds of the patients were female


Question: Softening of the brain (encephalomalacia) means:

Answer: Ischemic or voids liquefaction zone

Choices:
A. Postmortem autolysis changes, the entire brain into the mud-like gruel
B. Ischemic or voids liquefaction zone
C. Adverse neonatal myelination
D. Adult diffuse myelin damage


Question: From the previous question, if the patient later according abdominal X-ray, you estimate what was found?

Answer: Stomach up big

Choices:
A. X-rays just routine, does not have to find anything
B. Stomach up big
C. Stomach and duodenum are up big
D. Stomach up, but it is up duodenum


Question: A diuretic that inhibits curved distal tubule (distal convoluted tubule) Na + / Cl - transporter produce a diuretic effect?

Answer: thiazide

Choices:
A. acetazolamide
B. triamterene
C. thiazide
D. bumetanide


Question: 64. What are the most common causes of calcium-containing kidney stones (calcium nephrolithiasis)? ① urinary calcium ion concentration increases ② ③ urinary uric acid concentration increased urinary oxalate (oxalate) ④ concentration increased urinary citrate (citrate) increased concentration

Answer: ①②③

Choices:
A. ①②③
B. ①②④
C. ②③④
D. ①③④


Question: Which of the following is not caused by atherosclerosis of the major risk factors?

Answer: drink

Choices:
A. hypertension
B. drink
C. smokes
D. Plasma high-density lipoprotein cholesterol (HDL cholesterol) is too low (less than 40 mg / dL)


Question: 7217-year-old Chen, due to suffering from malignant lymphoma disease (malignant lymphoma) to the hospital for treatment. Physicians for her abdominal computed tomography examination, detection of ovarian lesions as shown. The picture shows the contrast injection CT, the same values of CT. Her ovaries are most likely to suffer from:

Answer: Ovarian cysts (ovarian cyst)

Choices:
A. Ectopic pregnancy (ectopic pregnancy)
B. Ovarian cysts (ovarian cyst)
C. Ovarian cancer (ovarian cancer)
D. Malignant lymphoma disease (malignant lymphoma)


Question: A 59-year-old diabetic patients, the ankle blood pressure than the upper arm (ankle-brachial index) of 0.48, be referred to the cardiopulmonary rehabilitation department to do the test, the result is the least likely:

Answer: Maximal oxygen uptake (peak VO2) normal

Choices:
A. Maximal oxygen uptake (peak VO2) normal
B. Abnormal rise in blood pressure
C. Anaerobic threshold (anaerobic threshold) decreased
D. Underage expected maximum heart rate (age-predicted maximal heart rate)


Question: Following the kind of anti-inflammatory corticosteroid strongest?

Answer: Dexamethasone

Choices:
A. Aldosterone
B. Dexamethasone
C. Fludrocortisone
D. Desoxycorticosterone


Question: The following statements about granulomatous inflammation (granulomatous inflammation), and what's right?

Answer: Han's morphology Portland cytomegalovirus (Langhans-type giant cells) with foreign body giant cell type (foreign body-type giant cells) of

Choices:
A. Han's morphology Portland cytomegalovirus (Langhans-type giant cells) with foreign body giant cell type (foreign body-type giant cells) of
B. Cheese-like (caseating) is common in sarcoidosis granuloma (sarcoidosis)
C. Granuloma lymphocytes in the majority of B lymphocytes
D. Granuloma is common in ulcerative colitis (ulcerative colitis) of the intestinal wall


Question: The most common cause of mitral stenosis Why?

Answer: Rheumatic fever

Choices:
A. Congenital
B. The severe mitral annular calcification
C. Autoimmune disease (such as: SLE, RA)
D. Rheumatic fever


Question: Changes in older people with sleep (sleep phase) is characterized by:

Answer: Forward (advanced sleep phase)

Choices:
A. Forward (advanced sleep phase)
B. After the shift (delayed sleep phase)
C. Irregularity
D. No different from the general adult


Question: A 3-year-old boy lack of height, the development is relatively slow, his face rather special, looks very rugged (as indicated by reference), the hair is relatively thick, the fingers can not fully bend, physical examination found enlargement of the liver. Is that one of the following examination, most diagnostic value?

Answer: Urine analysis mucopolysaccharides

Choices:
A. Plasma amino acid analysis
B. Urine organic acid analysis
C. Urine analysis mucopolysaccharides
D. Cerebrospinal fluid neurotransmitters Analysis


Question: From the previous question, if you want to confirm the diagnosis, the best way to detect which of the following?

Answer: Easy analysis code repeated triplet (triplet repeats at the fragile X locus) X-brittle

Choices:
A. Inspection of organic acids in urine (urine organic acid analysis)
B. Amino acids of the blood tests (serum amino acid analysis)
C. Usually the chromosome (G banding karyotyping)
D. Easy analysis code repeated triplet (triplet repeats at the fragile X locus) X-brittle


Question: From the previous question, this patient follow-up inspection also found that the main pancreatic duct (main pancreatic duct) diameter greater than 1 cm, if you choose surgical treatment, for which patients are most likely to take Which of the following surgical procedures?

Answer: Puestow operation and clear the main pancreatic duct stones

Choices:
A. HP surgery (Whipple operation)
B. Puestow operation and clear the main pancreatic duct stones
C. Cholecystectomy
D. Placement of drainage tube drainage


Question: Related to systemic lupus erythematosus (systemic lupus erythematosus), the following statements is wrong?

Answer: Should be more than the sun, in order to strengthen the immune system

Choices:
A. More women than men
B. Face more than a melasma (butterfly rash)
C. Antinuclear antibodies (antinuclear antibody) positive
D. Should be more than the sun, in order to strengthen the immune system


Question: When the purposes of axillary lymph node dissection surgery, injury to nerves piece, the inside of the upper arm can cause numbness or pain?

Answer: ICBN (intercostal brachial nerve)

Choices:
A. Long thoracic nerve (long thoracic nerve)
B. Thoracodorsal nerves (thoracodorsal nerve)
C. ICBN (intercostal brachial nerve)
D. Pectoral nerve (pectoral nerve)


Question: Which of the following is a symptom of chronic poisoning fluoride (fluoride)?

Answer: Bone sclerosis (osteosclerosis)

Choices:
A. Hypercalcemia
B. High blood sugar
C. hypertension
D. Bone sclerosis (osteosclerosis)


Question: Congenital huge colon disease (Hirschsprung disease) occurs most frequently in where?

Answer: Sigmoid

Choices:
A. Ascending colon
B. Transverse colon
C. Descending colon
D. Sigmoid


Question: 10-year-old female Tong Xiaohua, already suffering from skin rashes three months after doctors diagnosed as chronic urticaria (Urticaria), the following statements is wrong?

Answer: Blood usually have a high probability to identify allergens

Choices:
A. When the diagnosis of chronic urticaria, the symptoms must occur repeatedly over six weeks
B. Blood usually have a high probability to identify allergens
C. Is divided into acute and chronic urticaria, both the formation and the treatment of different transfer machine
D. Of blood in patients with chronic urticaria of IgE antibodies, not necessarily increased


Question: From the previous question, if the above situation caused by heavy bleeding, to stop bleeding, can be temporarily tied:

Answer: External carotid artery

Choices:
A. Maxillary artery
B. Carotid artery
C. External carotid artery
D. Internal carotid artery


Question: The following statements is wrong?

Answer: Large vein adventitia (tunica adventitia of large veins) is the thickest layer of the wall

Choices:
A. Large vein membrane (tunica media of large veins) is the thinnest layer of the wall, and having an annular surrounding smooth muscle
B. Large vein adventitia (tunica adventitia of large veins) is the thickest layer of the wall
C. Outer membrane having a inferior vena cava The longitudinal muscle
D. Medium vein outer membrane has a vertical travel of smooth muscle


Question: A 13-year-old boy, no injury history, the past year getting back hump; although parents repeatedly reminded the chest, but it still hunched increasingly apparent. X-ray examination revealed thoracic and lumbar eleventh, twelfth thoracic vertebrae and lumbar vertebrae, and a first deformable wedge (wedge deformity), and the wedge angle of more than five degrees. Which of the following is the most likely diagnosis?

Answer: Scheuermann's hump (Scheuermann's kyphosis)

Choices:
A. Postural hunchback (postural kyphosis)
B. Congenital hump (congenital kyphosis)
C. Scheuermann's hump (Scheuermann's kyphosis)
D. Vertebral fractures (spine fracture)


Question: 23 60 years Zhao mediastinal chest X-ray when the cavity 8 cm wide (conscious) health checks. The following statements is true? ① arrange chest CT examination ② thoracic descending aortic aneurysm is probably one of diagnosis ③ before surgery, the physician may be requested in writing Mr. Zhao without being informed of their surgical risk of separation of spouse ④ aortic stent (endovascular aortic graft) is not available for the treatment of descending thoracic aortic aneurysm of

Answer: Only ①③

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


Question: 64. The following anticancer drugs whichever is xanthine oxidase metabolism, if while taking oxidase allopurinol inhibitor xanthine, may increase its toxicity?

Answer: 6-mercaptopurine

Choices:
A. 5-fluorouracil
B. 6-mercaptopurine
C. methotrexate
D. 6-thioguanin


Question: Following that a primitive reflex (primitive reflex), after the emergence of life will exist?

Answer: Parachute response

Choices:
A. Moro reflex
B. Palmar grasp
C. Landau reflex
D. Parachute response


Question: The following description about abdominal breathing, what's wrong?

Answer: To mouth breathing

Choices:
A. Namely the use of diaphragmatic breathing
B. To mouth breathing
C. Inhale abdomen swelled
D. Exhale hard abs


Question: Which of the following medications congestive heart failure, and its mechanism of action is through the increase in NO vasodilation be reached?

Answer: Nitroglycerin

Choices:
A. Dopamine
B. Nitroglycerin
C. Nesiritide
D. Milrinone


Question: A 7-year-old boy was nearly a month pallor, bloating, poor motility to the clinic for treatment, routine blood test results as follows: WBC: 320,000 / mm3 (segment 2%; lymphocyte 25%; blast cell 72%) , RBC: 2.30 × 106 / mm3, Hb: 6.0 g / dL, platelets: 10,000 / mm3. Physical checkups found in liver and spleen enlargement phenomenon. He was a most unlikely following blood test results appear?

Answer: Sodium ions (Na +): 155 mEq / L

Choices:
A. Urate (uric acid): 10 mg / dL
B. Potassium ion (K +): 6 mEq / L
C. Inorganic phosphorus (phosphorus, inorganic): 8.6 mg / dL
D. Sodium ions (Na +): 155 mEq / L


Question: The following account of mitochondrial ATP synthase, and what's wrong?

Answer: Is hydrogen symporter of phosphate ions to

Choices:
A. Mitochondrial membrane located vivo
B. Hydrogen ion concentration gradient can be used (H + gradient) to convert ADP to ATP
C. Is hydrogen symporter of phosphate ions to
D. This enzyme produces protein quaternary structure change during operation


Question: An occupational physician survey a factory worker eating relevance of betel nut and mouth disease, a total of 150 employees surveyed, 110 have betel habit employees in 80 risk of oral disease; and 40 employees do not have this habit of 4 risk of oral disease, then eat betel nut oral disease odds ratio (odds ratio) as follows:

Answer: 24

Choices:
A. 24
B. 7.3
C. 3.4
D. 1.2


Question: The following statements about mucus blanket on the nasal mucosa, whichever is correct?

Answer: Mucus blanket can adsorb bacteria and fine particles of dust, and with the movement of the cilia of these substances to move oropharynx

Choices:
A. Composed mainly of epithelial secretions in the respiratory ciliated cells of
B. This mucus blanket only distributed in the nasal cavity and are not present in the oropharynx and trachea
C. Mucus blanket can adsorb bacteria and fine particles of dust, and with the movement of the cilia of these substances to move oropharynx
D. In an acidic environment, the ciliary movement and lysosomal activity optimum


Question: Following that a virus will copy the virus genome in the reverse transcriptase (reverse transcriptase)?

Answer: Hepatitis B virus (hepatitis B virus)

Choices:
A. Papilloma virus (papillomavirus)
B. West Nile virus (West Nile virus)
C. Hepatitis B virus (hepatitis B virus)
D. Respiratory syncytial virus cells (respiratory syncytial virus)


Question: After Xiao Ming usually occasionally eat a little peanut will be very uncomfortable, one day accidentally eat peanuts fried sesame balls, out of breath after a few minutes. This phenomenon is a disease that attack?

Answer: Allergic immune diseases

Choices:
A. Autoimmune diseases
B. Allergic immune diseases
C. Immunodeficiency disease
D. Substandard immune disease


Question: Dacryocystorhinostomy (dacryocystorhinostomy) is more suitable for these kind of disease?

Answer: Nasolacrimal duct obstruction

Choices:
A. Dry eye
B. Nasolacrimal duct obstruction
C. Punctal agenesis
D. Lacrimal sac fistula


Question: Some protein-based polypeptide chain by a plurality of independent (or protein subunits) combination, the three-dimensional arrangement of unit times is referred to as protein:

Answer: Quaternary structure (Quaternary structure)

Choices:
A. Secondary structure (Secondary structure)
B. Super-secondary structures (Supersecondary structure)
C. Tertiary structure (Tertiary structure)
D. Quaternary structure (Quaternary structure)


Question: Rash shown in the figure, the following statements is true?

Answer: Its occurrence and sun exposure, pregnancy or oral contraceptives

Choices:
A. Eczema-like lesions usually occurs first
B. Its occurrence and sun exposure, pregnancy or oral contraceptives
C. Usually associated with liver function abnormalities
D. Ruby laser treatment is the best disposal


Question: When a basketball player to dunk, was violent collision, causing the surgical neck of the humerus fracture (fracture of surgical neck of the humerus), the following structure adjacent to the surgical neck of those most likely to be injured?

Answer: Axillary nerve (axillary nerve) and humeral circumflex artery (circumflex humeral artery)

Choices:
A. Radial nerve (radial nerve) and upper scapular artery (suprascapular artery)
B. Axillary nerve (axillary nerve) and humeral circumflex artery (circumflex humeral artery)
C. Suprascapular nerve (suprascapular nerve) and the subscapularis artery (subscapular artery)
D. Long thoracic nerve (long thoracic nerve) and the brachiocephalic artery (brachial artery)


Question: Inflammation of the alveolar walls, common in that disease?

Answer: Viral infection

Choices:
A. Viral infection
B. Bacterial infections
C. Fungal infections
D. Bronchial pneumonia


Question: Which of the following are changes since the National Health Insurance opened in 1995, Taiwan's medical environment what happened?

Answer: Reduce the number of district hospitals

Choices:
A. Reduce the number of district hospitals
B. Reduce the number of primary care
C. Cancer mortality, more than heart disease as the largest cause of death
D. Start grading health care and referral system


Question: Which of the following is the best antidote drugs when cyanide poisoning?

Answer: Hydroxocobalamin

Choices:
A. Hydroxocobalamin
B. Acetylcysteine
C. Physostigmine
D. Pralidoxime


Question: Drooping eyelids (blepharoptosis) Which of the following are less common in the disease?

Answer: Thyroid eye disease (thyroid eye disease)

Choices:
A. Thyroid eye disease (thyroid eye disease)
B. Horner's syndrome (Horner's syndrome)
C. Myasthenia gravis (myasthenia gravis)
D. The third cranial nerve palsy


Question: Which of the following stimulation, less likely to cause asthma attacks?

Answer: Swim

Choices:
A. allergen
B. Respiratory tract infections
C. Mood changes
D. Swim


Question: Children of infectious arthritis (infective arthritis), the most common species are:

Answer: Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Staphylococcus aureus (Staphylococcus aureus)
B. E. coli (Escherichia coli)
C. Salmonella (Salmonella species)
D. Mycoplasma (Mycoplasma pneumoniae)


Question: The following antihypertensive drug, whichever may increase the intracellular concentration of cGMP in vascular smooth muscle relaxation of the blood vessels?

Answer: Sodium nitroprusside

Choices:
A. Minoxidil
B. Nifedipine
C. prazosin
D. Sodium nitroprusside


Question: Toll-like receptor 4 is to identify the bacterial component of what?

Answer: lipopolysaccharide

Choices:
A. lipopeptide
B. lipopolysaccharide
C. GOUT
D. RNA


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

Answer: If the use of quinine, patients Blackwater hot (blackwater fever) phenomenon, should immediately stop using quinine

Choices:
A. When quinine treatment, the patient will have the phenomenon of low blood sugar, it is necessary to monitor blood sugar
B. Today malaria parasite has become resistant to quinine appears
C. If the use of quinine, patients Blackwater hot (blackwater fever) phenomenon, should immediately stop using quinine
D. Quinine for pregnant women cause side effects, although abortion, but in severe falciparum malaria, to take account of the mother and fetus safe, should the use of quinine treatment


Question: Normal anti-acid reflux mechanism of the human body, including which of the following?

Answer: Lower esophageal sphincter, the diaphragm muscle and gastroesophageal junction is located below the diaphragmatic hiatus

Choices:
A. Lower esophageal sphincter, the diaphragm muscle and gastroesophageal junction is located in the diaphragm hiatus (hiatus) above
B. Lower esophageal sphincter muscle at the bottom of the stomach and gastroesophageal junction is located below the diaphragmatic hiatus
C. Lower esophageal sphincter muscle at the bottom of the stomach and gastroesophageal junction located above the diaphragm hiatus
D. Lower esophageal sphincter, the diaphragm muscle and gastroesophageal junction is located below the diaphragmatic hiatus


Question: Acute sinusitis causes of headache, if occurred in the daytime, in the afternoon or in the evening then gradually slowed, the most common of the reasons why?

Answer: Frontal sinusitis

Choices:
A. Ethmoiditis
B. Sphenoiditis
C. Frontal sinusitis
D. Maxillary and ethmoid sinusitis


Question: 75-year-old male, 2 years, the gradual emergence of underexposure in part and Purple plaques (Figure A), on your skin pathological examination revealed increased ⽣ sieve-like ⾎ tube (Figure B), the most likely diagnosis Why?

Answer: Kaposi ⻄ ⽒ ⾁ tumors (Kaposi's sarcoma)

Choices:
A. ⾎ tube ⾁ tumor (angiosarcoma)
B. Kaposi ⻄ ⽒ ⾁ tumors (Kaposi's sarcoma)
C. ⾎ tube corner of Hualiu (angiokeratoma)
D. Sinusoidal ⾎ vessel tumor (sinusoid hemangioma)


Question: Located in the center of the tumor cancer cells, often in a hypoxic environment, these cells using the following preferences that kind of carbohydrate metabolic pathway get ATP?

Answer: glycolysis

Choices:
A. ß-oxidation
B. glycolysis
C. tricarboxylic acid cycle
D. pentose phosphate pathway


Question: When light shines too strong eye, the pupil becomes smaller because of the following factors what?

Answer: Iris ring muscle contraction

Choices:
A. Ciliary muscle contraction
B. Iris ring muscle contraction
C. Changing the shape of the lens
D. Ciliary muscle relaxation


Question: Which of the following is not a chorionic (chorion) the composition of the structure?

Answer: Dirty extraembryonic mesoderm (extraembryonic splanchnic mesoderm)

Choices:
A. Trophoblast cells (cytotrophoblast)
B. Fusion trophoblast (syncytiotrophoblast)
C. Endoderm (extraembryonic somatic mesoderm) outer body wall mesoderm
D. Dirty extraembryonic mesoderm (extraembryonic splanchnic mesoderm)


Question: The initial diagnosis of a 30-year-old male taxi front, after the accident to the emergency room, left leg showing shorter limbs physical examination, left hip flexion, adduction and internal rotation of the appearance, the most likely why?

Answer: Bit dislocated hip

Choices:
A. Anterior hip dislocation
B. Bit dislocated hip
C. Femoral neck fracture
D. Intertrochanteric fracture