Question: About scleroderma (scleroderma) clinical manifestations, what's wrong?

Answer: Raynaud's phenomenon (Raynaud phenomenon) usually until late in the disease to appear

Choices:
A. Antibodies appear anti-topoisomerase (Scl 70) of
B. Raynaud's phenomenon (Raynaud phenomenon) usually until late in the disease to appear
C. The ratio of adult emergence is more than childhood
D. Patients may be due to lung disease or pulmonary arterial hypertension and death


Question: Which of the following clinical cause of the disease is believed to Endothelin-1 has nothing to do?

Answer: hypertension

Choices:
A. hypertension
B. heart failure
C. Myocardial infarction
D. Pulmonary hypertension


Question: CRP (cAMP receptor protein) gene expression of the lac operon is a master regulator, which of the following is the appropriate description of CRP?

Answer: RNA polymerase binds to the CRP assistance (RNA polymerase) and lac- promoter (lac-promoter) of

Choices:
A. RNA polymerase binds to the CRP assistance (RNA polymerase) and lac- promoter (lac-promoter) of
B. CRP combined with the lac operon can only be carried out in the presence of glucose
C. CRP binding can be prevented with the lac operon lac- repressor binding (lac-repressor) and the operator
D. CRP and lac- repressor (lac-repressor) Competition operator


Question: Account of multiple endocrine neoplasia (multiple endocrine neoplasia, MEN), the error which of the following?

Answer: A common feature of MEN 2A and MEN 2B of medullary thyroid cancer (medullary thyroid cancer) and parathyroid tumors

Choices:
A. MEN 1 contains the pituitary gland, parathyroid tumors and insulin
B. A common feature of MEN 2A and MEN 2B of medullary thyroid cancer (medullary thyroid cancer) and parathyroid tumors
C. MEN 2A and MEN 2B are mutations of RET oncogene induced
D. For MEN 2, in early childhood as total thyroidectomy surgery, mostly to help reduce deaths due to medullary carcinoma of the thyroid


Question: Ventricular muscle action potential of the cell membrane around for some plateau (plateau), which is the main change in the cell membrane ion flow generated?

Answer: Inflow and outflow of calcium ions and potassium ions

Choices:
A. Sodium ions and potassium ions flow in and out
B. Inflow and outflow of calcium ions and potassium ions
C. Inflow and outflow of potassium ions and sodium ions
D. Inflow and outflow of potassium ions and calcium ions


Question: The cost of new drug development plant for the higher of the original, the sale price of the reasons, the impact of the following items that ⼀ factors with a smaller size?

Answer: ⽣ production cost of manufacture

Choices:
A. Research and development expenses at
B. Patent protection
C. Cost of clinical trials
D. ⽣ production cost of manufacture


Question: Mr. Lin, 78 years, the last 10 years due to acute episodes of chronic obstructive pulmonary disease, hospitalized several times. The last three days due to respiratory distress gradually, to emergency medical treatment. Physical examination and slight drowsiness, lung auscultation with diffuse wheezing, sputum volume small, arterial blood gas analysis pH = 7.35, PCO2 = 72 mmHg, PO2 = 47 mmHg, after communicating with their dependents, who advocate aggressive treatment, the Which of the following is the top priority of the effective disposal?

Answer: Non-invasive treatment using a respirator (Bi-PAP)

Choices:
A. Oxygen administration by the nasal tube, a flow rate of 1-2 liters / min
B. Use Venturi mask, FIO2 = 28%
C. Non-invasive treatment using a respirator (Bi-PAP)
D. Immediately tracheostomy tube, use a respirator therapy


Question: From the previous question, the following treatments what works best?

Answer: resists beta] (β-blocker)

Choices:
A. Anti-acetylcholine drugs (anticholinergics)
B. resists beta] (β-blocker)
C. Left-dopa (Levodopa)
D. clonazepam


Question: 28. The normal esophagus esophagus in photography, there is usually a narrow place three, which of the following correct? ① ② left atrium adjacent the diaphragm near the epiglottis ③ ④ vicinity of the proximal aorta or trachea bifurcation

Answer: ②③④

Choices:
A. ①②③
B. ②③④
C. ①③④
D. ①②④


Question: Which of the following drugs given to patients with kidney dysfunction and lack of G-6-P dehydrogenase can cause neuropathy and hemolytic disease?

Answer: Nitrofurantoin

Choices:
A. Salicylic acid
B. Nitrofurantoin
C. Metronidazole
D. Methenamine


Question: Suppose A, B two rigid cylindrical pipes of the same length and radius, as the viscosity of the flowing liquid (Viscosity) are also the same. If the pressure of the two end points A tube were 105 mmHg and 5 mmHg, and tube B were 605 mmHg and 505 mmHg, which of the following is correct?

Answer: A flow tube velocity is equal to the pipe B

Choices:
A. A flow tube velocity is equal to the pipe B
B. A tube of flow velocity than the tube B
C. A flow velocity less than the tube B of the tube
D. A, B are both zero velocity of the two


Question: A 36-year-old firefighter fell from a ladder on board at the time of disaster, the emergency department X-ray examination revealed a fracture of the first lumbar burst, physical examination revealed two lower limb muscle strength 0 points, completely numb, no pain, no deep tendon reflexes, may I ask at this time in the diagnosis of spinal cord shock (spinal shock) should be the most important check which of the following?

Answer: Penis ball cavernous muscle reflex

Choices:
A. Computer tomography
B. Penis ball cavernous muscle reflex
C. Lumbar puncture
D. NMR photography


Question: A 4-month-old girl who had suffered four times the skin abscess (abscess), because of this ass (buttock) has a abscess in hospital, her grandmother said, this girl just off the umbilical cord other than the grandson of the late three weeks, and umbilical cord occur infection, which of the following do you think most tests confirmed the disease?

Answer: CD11/CD18 expression on flow cytometry

Choices:
A. IgG subclass
B. Lymphocyte subsets
C. Nitroblue tetrazolium test
D. CD11/CD18 expression on flow cytometry


Question: Location Bochdalek's hernia occurs as follows:

Answer: Diaphragm

Choices:
A. groin
B. belly button
C. Diaphragm
D. Cerebral


Question: A 45 year old woman hospitalized due to pelvic tumor, the biopsy, the tumor tissue was found with multiple giant cells (multiple giant cell), fibrous tissue, blood vessels (vascular fibrous tissue) and blood iron (hemosiderin). Was diagnosed as Brown tumor, may I ask what this disease and these diseases?

Answer: Hyperparathyroidism (Hyperparathyroidism)

Choices:
A. Hypothyroidism (Hypothyroidism)
B. Pituitary hyperactivity disorder (Hyperpituitarism)
C. Hyperparathyroidism (Hyperparathyroidism)
D. Paget's disease


Question: The following statements about carcinoid of the appendix (appendiceal carcinoid tumor), and what's wrong?

Answer: As long as size is greater than 1 cm, be sure to make the job right hemicolectomy

Choices:
A. For the appendix (appendix) is the most common malignant tumor
B. If less than 1 cm and asymptomatic, can simply be appendectomy
C. If the tumor is larger than 2 cm, there may occur distant metastasis
D. As long as size is greater than 1 cm, be sure to make the job right hemicolectomy


Question: Which of the following is a translation of the initiation of protein amino acids?

Answer: Methionine

Choices:
A. Leucine
B. Cysteine
C. Methionine
D. Tyrosine


Question: Parietal bone (Parietal bone), frontal (frontal bone), temporal bone (temporal bone) and the cheekbone (zygomatic bone) of the junction known as:

Answer: Pterional (Pterion)

Choices:
A. Bregma (Bregma)
B. Herringbone point (Lambda)
C. Long external occipital bump (Inion)
D. Pterional (Pterion)


Question: About artificial anus (ostomies) narrative, what's wrong?

Answer: Postoperative colorectal cancer will require a permanent colostomy

Choices:
A. Colostomy location is important for the patient's quality of life
B. Artificial anus should be placed within the rectus abdominis and easily seen by the naked eye and easy to operate
C. Artificial anus should be avoided previously placed surgical scars and bones projecting position
D. Postoperative colorectal cancer will require a permanent colostomy


Question: Which of the following is a common cause of pediatric asthma allergens (allergen) clinically?

Answer: Dust mites (dust mite)

Choices:
A. Head lice (head louse)
B. Flea (flea)
C. Dust mites (dust mite)
D. Dog ticks (dog tick)


Question: From the previous question, imaging the brain of patients with pituitary fossa found in a tumor of a diameter of about 2 cm, compression upwardly optic chiasma, exhibits uniform and significantly after injection of the developing developer, what the most likely diagnosis?

Answer: pituitary macroadenoma

Choices:
A. lymphoma
B. pituitary macroadenoma
C. meningioma
D. germ cell tumor


Question: Skeletal muscle contraction to produce the necessary ATP, was first produced by what way?

Answer: Phosphocreatine (creatine phosphate) and transferring the energy of phosphate and ADP binding

Choices:
A. Phosphocreatine (creatine phosphate) and transferring the energy of phosphate and ADP binding
B. Oxidative phosphorylation (oxidative phosphorylation)
C. Sugar decomposition reaction (Glycolysis)
D. Fatty acid (fatty acid) oxide


Question:
10 A 35-year-old male civil servants since a month, conscious physical strength and medical treatment, no particular history or past medical history. Physical examination was found pale conjunctiva, beat rule 96 / min, no noise; no jaundice or lymph node / hepatosplenomegaly, the two legs of the old and new scattered bleeding. Blood routine examination found: WBC 1300 / μL, N / L / Mo = 5/92/3%, Hb 7.6 gm / dL, MCV 92.3 fL, Platelet
 68 mg / dL, ALT / AST: 26/32 U / L, LDH 140 U / L. That one of the following in the diagnosis of this patient's blood cells to reduce the most helpful?

Answer: bone marrow biopsy

Choices:
A. parvovirus B19
B. Serum G-6-PD
C. bone marrow biopsy
D. serum ANA


Question: Trauma patient death, in that period of time after a trauma occurs, the largest number of deaths?

Answer: 0～15 minutes

Choices:
A. 0～15 minutes
B. 1～24 hours
C. 3～7 days
D. 7～30 days


Question: According to Japanese Society for Gastrointestinal Endoscopy guidelines established, subject to certain criteria in order to use endoscopic mucosal resection (EMR) treatment of esophageal cancer (esophageal cancer), which of the following error?

Answer: Tumor confined in the upper section of the esophagus

Choices:
A. Tumor size ≦ 2 cm
B. Tumor invasion esophageal wall is less than one third ring (Circumference)
C. Esophageal tumor confined to the mucosa (mucosa)
D. Tumor confined in the upper section of the esophagus


Question: Postpartum fever narrative, which of the following error?

Answer: Most of mastitis infection at the same time on both sides

Choices:
A. Puerperal fever postpartum period is defined as the measured body temperature at 38 ℃
B. Most of mastitis infection at the same time on both sides
C. The most common cause of postpartum fever is persistent genital tract infection
D. The most common bacteria was Staphylococcus aureus mastitis


Question: ⾎ lipid metabolism, the following statements is most accurate?

Answer: Apolipoprotein egg white points are aliphatic egg white deposits on the submenus, and lipid related metabolic ⾎

Choices:
A. Egg white is largest lipid fraction of very low-density lipoprotein Submenu white (very-low-density lipoprotein)
B. Apolipoprotein egg white points are aliphatic egg white deposits on the submenus, and lipid related metabolic ⾎
C. Chylomicron particles (chylomicron) formed in the liver, egg white substance which component is apolipoprotein B-48
D. Insulin resistance will ⾎ abnormal lipid metabolism, High-density lipoprotein ⾎ rise in white


Question: Tardive dyskinesia (Tardive dyskinesia) caused by the following general lines that a cause?

Answer: Excessive dopamine receptor sensitivity (Supersensitivity)

Choices:
A. Depolarization (Depolarization) resulting limbic system (Mesolimbic system) DA (Dopamine) neurons is inhibited
B. Excessive dopamine receptor sensitivity (Supersensitivity)
C. System drug block acetylcholine activity
D. Blocking serotonin (Serotonin) Receptor


Question: Ileal diverticulum (ileal diverticulum) is a residue of the finger blind sac, its causes why?

Answer: Yolk stalk (yolk stalk) incomplete degradation

Choices:
A. Yolk sac (yolk sac) non-degraded
B. Urine bag (allantois) non-degraded
C. Yolk stalk (yolk stalk) incomplete degradation
D. Incomplete closure of the umbilical cord


Question: 36-year-old male patient, due to long-term social, average daily drink half a bottle of spirits has been ten years, recently due to physical fatigue, poor appetite, pale yellow and hospitalization, hospitalization found that the total bilirubin up to 22 mg / dL, ALT up to 226 U / L, AST up to 282 U / L, GGT up to 388 U / L, prolonged PT clotting function greater than 4 seconds, INR of 1.59, aPTT slightly higher than normal, what is the most appropriate disposition of ?

Answer: Intravenous nutrition, and oral vitamin supplements

Choices:
A. Immediately ready for a liver transplant
B. Intravenous nutrition, and oral vitamin supplements
C. In order to avoid bleeding, should be given a lot of FFP (fresh frozen plasma)
D. Due to a sudden reduction in alcohol concentration, easy to produce abstinence syndrome, should be given a small amount of food containing alcohol


Question: A 45 year old male with a history of diabetes five years, poor blood sugar control, three days ago because of fever, abdominal pain seek treatment, was diagnosed as liver abscess, Taiwan is the most common pathogens:

Answer: Klebsiella pneumoniae

Choices:
A. Klebsiella pneumoniae
B. Entamoeba histolytica
C. Escherichia coli
D. Salmonella choleraesuis


Question: Easy to suffer from long-term alcoholics, "alcohol-induced psychotic disorders (Alcohol-induced psychotic disorder)," Which of the following most commonly in these patients perceived barriers arise?

Answer: Auditory hallucinations

Choices:
A. Visual hallucinations
B. Auditory hallucinations
C. Olfactory hallucinations
D. Touch hallucinations


Question: About description of what's right for colorectal cancer?

Answer: If relapse after treatment for colorectal cancer, mostly concentrated in the front four, five-year survival therefore of great reference value

Choices:
A. If relapse after treatment for colorectal cancer, mostly concentrated in the front four, five-year survival therefore of great reference value
B. T3N0M0 belongs to the third period
C. T1N1M0 belong to the second period
D. Colorectal cancer, lung is the organ most likely to transfer


Question: 15-year-old boy was diagnosed with mediastinal lymph node disease, cervical lymph node excisional biopsy to be performed, the following statements is wrong?

Answer: If the preoperative assessment of patients without respiratory distress phenomenon, then there would be no anesthesia airway obstruction

Choices:
A. Preoperative evaluation should pay attention to whether there are respiratory problems oppressed by
B. If the preoperative assessment of patients without respiratory distress phenomenon, then there would be no anesthesia airway obstruction
C. Patients with superior vena cava syndrome may be forced to appear by
D. This slice purposes of local anesthesia surgery is still the safest choice


Question: Ta Nei Jing bladder cancer endoscopic complete resection (TUR) and then combined with intravesical infusion of the drug indications, does not include which of the following?

Answer: Low degree of differentiation person

Choices:
A. Multiple bladder cancer
B. Recurrent bladder cancer
C. Large bladder cancer
D. Low degree of differentiation person


Question: About the narrative of chronic fatigue syndrome, which of the following correct?

Answer: Often associated with EB virus (EBV) infection

Choices:
A. The best in the 40 to 60 years old male
B. Often associated with EB virus (EBV) infection
C. The vast majority are caused by psychological factors
D. Nothing to do with abnormal immune function


Question: Wang's mother in his left middle finger alternately bending and straightening of the action, the tendon in the base of the metacarpophalangeal joints palpable nodules (nodule), and sometimes produces sound effects finger movements, her mother got what disease?

Answer: Trigger finger (trigger finger)

Choices:
A. Mallet finger (mallet finger)
B. Trigger finger (trigger finger)
C. De Quervain syndrome (de Quervain tenosynovitis)
D. Hand buttons malformation (bontonniere deformity)


Question: A 5-year-old boy has a respiratory infection a few days ago, two days appeared swollen eyelids, scrotal edema. Urine examination showed proteinuria> 300 mg / dL, RBC 0 ~ 2 / HPF, serum albumin, 1.9 gm / dL, the physician administering the steroid after 4 weeks of treatment, again urinary protein was negative reaction, may be of the following best M diagnosis of children?

Answer: Small changes in type nephropathy (minimal change nephropathy)

Choices:
A. Small changes in type nephropathy (minimal change nephropathy)
B. IgA nephritis (IgA nephritis)
C. Nested local glomerular sclerosis (focal segmental glomerulosclerosis)
D. Membranous glomerulonephritis (membranous nephropathy)


Question: About synthesis reaction aminoacyl-tRNA, the following statements is correct that one?

Answer: Produced by the catalytic aminoacyl-tRNA synthetase

Choices:
A. Requires guanosine triphosphate (GTP) and manganese ions (Mn2 +)
B. Requires ATP (ATP) with the manganese ion (Mn2 +)
C. The joined amino acid the tRNA 5 'end
D. Produced by the catalytic aminoacyl-tRNA synthetase


Question: The following relevant eyeball optical model (schematic eye) of the data, whichever is least likely?

Answer: The radius of curvature of the front curved surface of the cornea is about 43 mm

Choices:
A. The radius of curvature of the front curved surface of the cornea is about 43 mm
B. Aqueous humor and vitreous humor of the index of refraction (index of refraction) are each 1.3337
C. Throughout the whole refractive power of the eye (total refracting power) of about +60 diopters (diopters)
D. Front (emmetropic) before and after the diameter of the eye axial length, on average about 23 mm


Question: In glycolysis (glycolysis) role in the function of the enzyme six carbon sugars can be divided into two three-carbon sugar?

Answer: aldolase

Choices:
A. phosphohexose isomerase
B. aldolase
C. triose phosphate isomerase
D. enolase


Question: 2242-year-old man admitted to hospital due to high blood calcium parathyroid gland tumor surgery, postoperative hypocalcemia phenomenon, which is the most important reason may be listed whichever is lower?

Answer: Increased deposition of calcium in the bone, resulting in sharply decreased serum calcium

Choices:
A. Due to the dramatic increase in urinary calcium emissions lead to calcium loss
B. Due to increased gastrointestinal calcium emissions lead to calcium loss
C. Increased deposition of calcium in the bone, resulting in sharply decreased serum calcium
D. Caused by hormonal changes due to surgery-induced stress caused


Question: The following side effects of ocular hypotensive drug that is not a beta blocker glaucoma (β-blocker)?

Answer: Eyelashes longer

Choices:
A. Eyelashes longer
B. Blood pressure
C. Slow heartbeat
D. Bronchospasm


Question: Which of the following is not involved in contraction of the cardiac muscle cells?

Answer: Bridge cell bodies (desmosomes)

Choices:
A. Sarcoplasmic reticulum (sarcoplasmic reticulum)
B. T tubules (T-tubules)
C. Intersomatic gap tray engagement (gap junction of intercalated disc)
D. Bridge cell bodies (desmosomes)


Question: When we use social marketing theory planning a health promotion activities, a strategy that is part of the marketing strategy?

Answer: Mass segment (audience segmentation)

Choices:
A. Message compatibility (information compatibility)
B. Mass segment (audience segmentation)
C. Group performance (collective efficacy)
D. Expect consequences (outcome expectation)


Question: Statements about Peutz-Jeghers syndrome (Peutz-Jeghers syndrome), the what's wrong?

Answer: Breast cancer and ovarian cancer does not increase the incidence of

Choices:
A. Dark brown spots appear (macules) in the lip and oral mucosa
B. This syndrome gastrointestinal polyps
C. Breast cancer and ovarian cancer does not increase the incidence of
D. Sepia spots (macules) also occur in the palms, soles and nose


Question:
8 bearing on the problem, physical examination revealed blood pressure 179/96 mmHg, pulse rate 82 / min, the rules, the more sparse eyebrows, areola color fades, heart, lung, abdominal examination found no special, normal neurological examination, blood was found Hb 13 gm / dL, WBC 8600 / μL, Platelet 130 K / μL, BUN 15 mg / dL, Cr 0.8 mg / dL, Na 122 mM, K 5.0 mM, free T4 0.41 ng / dL, TSH 3.2 μU / mL, then the next
 Column statements is not?

Answer: Patients with thyroid disease should be immediately given to the low-energy supplementary thyroxine

Choices:
A. Patients with high blood pressure must be controlled
B. Patients with thyroid disease should be immediately given to the low-energy supplementary thyroxine
C. The patient may have adrenal disease should be immediately given to low-energy sugar mesothelin supplement
D. The patient may have symptoms of adrenal low energy but do not need to add salt mesothelin


Question: Which of the following non aortic insufficiency (aortic regurgitation) physical checkups see?

Answer: elevated diastolic BP

Choices:
A. Corrigan's pulse
B. Musset's sign
C. elevated diastolic BP
D. Austin Flint murmur


Question: 12-year-old male Tongqing Chen pulls first after getting visible red bubble can not afford, no prior symptoms of respiratory infection, lower extremity edema, a single urine protein ≥300 mg / dL urine tests found that the urine protein / creatinine (protein / Creatinine) ratio of 0.35. May I ask what is the next most appropriate countermeasures?

Answer: After collecting urine urine rest and exercise after lying down for urine analysis

Choices:
A. Give low doses of steroids, then track changes in proteinuria
B. After collecting urine urine rest and exercise after lying down for urine analysis
C. Renal biopsy
D. Recommend low-protein diet, and then track their changes in proteinuria


Question: Which of the following is not a fourth type of allergic reaction?

Answer: Hepatitis B

Choices:
A. Tuberculosis
B. Sarcoidosis (sarcoidosis)
C. Hepatitis B
D. Leprosy (leprosy)


Question: Following that kind of endometrial hyperplasia (endometrial hyperplasia) histopathological most likely to lead to endometrial cancer?

Answer: adenomatous with atypia

Choices:
A. cystic without atypia
B. adenomatous without atypia
C. cystic with atypia
D. adenomatous with atypia


Question: The following account of ectopic regulating enzyme (allosteric enzymes), and what's wrong?

Answer: Most of these enzymes in a manner monomer (monomeric) in the presence of

Choices:
A. Ectopic adjustment factor (allosteric effector) will affect the structure of such enzymes Huoxingzhongxin
B. Ectopic regulation by modulating the activity belongs to reversible (Reversible) of
C. Most of these enzymes in a manner monomer (monomeric) in the presence of
D. The beginning of such enzyme catalyzed reaction rate (Vo or Vi) and subject to mass concentration ([S]) is plotted, the resultant curve is S-shaped


Question: That movement following a brain area located behind the sensory areas of the body, and is responsible for hand-eye coordination?

Answer: parietal-lobe association cortex

Choices:
A. primary motor cortex
B. premotor cortex
C. supplementary motor cortex
D. parietal-lobe association cortex


Question: Which of the following is the thinnest sclera, are likely to cause rupture of the position due to trauma?

Answer: Eyeball equator (Equator)

Choices:
A. Rectus (rectus muscle) of the attachment (Insertion)
B. Eyeball pole portion (posterior pole) after
C. Eyeball equator (Equator)
D. Wheel portion (of limbus)


Question: Mrs. Huang to the clinic to see the family physician Dr. Lin, said the sophomore son cough, runny nose two days, he wanted to take a cold medicine. The following Dr. Lin's that kind of approach most appropriate?

Answer: Description physician did not personally give a patient medicine examination can not refuse her request

Choices:
A. Description physician did not personally give a patient medicine examination can not refuse her request
B. For her son's health and schoolwork want to Mrs. Huang explained, as he opened the medicine but not after it
C. Mrs. Huang asked in detail about her son has a fever, cough and mental condition before making a decision
D. Huang explained to his wife because the child did not come, did as the last term due to a cold cough and runny nose medicine clinic open to him, if fever or symptoms become severe to immediately take him for medical treatment


Question: Linda Lee, MD hang due to obesity clinic to seek treatment, Dr. Lee suggested that she began recording daily food type and quantity, to return to clinic every other week. Dr. Lee that belong to the disposal of a cognitive behavioral therapy?

Answer: Self-monitoring

Choices:
A. Self-monitoring
B. Solve the problem
C. Stimulus control
D. Cognitive restructuring


Question: A young women under chronic abdominal pain and underwent laparoscopic examination, in the operating room anesthesia intubation, placement of the catheter (Foley catheter) to empty the bladder of urine, then laparoscopy. The case of laparoscopic pelvic cavity of the speculum shown below, was found in the uterus (uterus) before the bladder has a long and a spherical projection (the guide arrow), according to the illustrated, this projection is the most suitable for the diagnosis of:

Answer: Water polo catheter (Foley catheter balloon)

Choices:
A. Uterine fibroids (uterine myoma)
B. Ovarian tumors (ovarian tumor)
C. Endometrial polyps (endometrial polyp)
D. Water polo catheter (Foley catheter balloon)


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

Answer: The smaller the probability of malignant polyps larger

Choices:
A. Associated with the disease, including polyps Peutz-Jeghers syndrome, Gardner syndrome and familial adenomatous polyposis
B. The smaller the probability of malignant polyps larger
C. Familial adenomatous polyposis have a great chance of malignancy
D. With hyperplastic polyps (hyperplastic polyp) is the most common


Question: Statements about the common bile duct stones, which of the following error?

Answer: After six months of cholecystectomy was regarded as the discoverer of primary bile duct stones

Choices:
A. Obstructive jaundice is the most typical symptom
B. After six months of cholecystectomy was regarded as the discoverer of primary bile duct stones
C. Abdominal ultrasound often see the common bile duct dilatation
D. Via endoscopic retrograde biliary Photography can be used for diagnosis in addition to treatment may be


Question: 29-year-old woman was sent to the emergency room because of shortness of breath (shortness of breath) and consciousness (conscious disturbance). Experimental data are as follows: pH 7.32, HCO3- 6 mEq / L, PaCO2 12 mmHg, Na + 142 mEq / L, Cl- 110 mEq / L. This acid-base status of the patient (acid-base status) the most appropriate description of why?

Answer: Metabolic acidosis with respiratory alkalosis (combined metabolic acidosis and respiratory alkalosis)

Choices:
A. Metabolic acidosis and of appropriate respiratory compensation (metabolic acidosis with appropriate respiratory compensation)
B. Metabolic acidosis with respiratory acidosis (combined metabolic acidosis and respiratory acidosis)
C. Metabolic acidosis with respiratory alkalosis (combined metabolic acidosis and respiratory alkalosis)
D. Only metabolic acidosis (metabolic acidosis only)


Question: Upper respiratory tract infection (common cold) is the most common disease-causing microorganisms:

Answer: Adenovirus (adenovirus)

Choices:
A. Rhinovirus (rhinovirus)
B. CoV (coronavirus)
C. Adenovirus (adenovirus)
D. Streptococcus (streptococcus)


Question: 69 Miss Zhou often feel tired, loss of appetite, chronic insomnia, low ability to work, life is boring and discomfort, several years. Done a lot of checks have found no organic cause, is considered to be a nervous breakdown. Although most of the day and feel the spirit of good health, but did not change significantly over the years. According to the Diagnostic and Statistical Manual Mental Disorders, Fourth Edition (DSM-IV), the most likely diagnosis is:

Answer: Light-depressive affective disorder (dysthymic disorder)

Choices:
A. Severe depression disorder (major depression)
B. Light-depressive affective disorder (dysthymic disorder)
C. The proposed body disorder (somatoform disorder)
D. Anxiety (anxiety disorder)


Question: Surgery monitoring of the patient's end tidal volume of carbon dioxide (ETCO2), will rise in the following circumstances?

Answer: Malignant hyperthermia (malignant hyperthermia)

Choices:
A. Air embolism occurs (air embolism)
B. Malignant hyperthermia (malignant hyperthermia)
C. Hypothermia
D. Lower blood pressure


Question: Statements about the dihydropyridine receptors of skeletal muscle cells, Which statement is correct?

Answer: Located cross tube film (T tubule membrane) on voltage-gated calcium ion conduit (Ca2 + channel)

Choices:
A. Located cross tube film (T tubule membrane) on the ligand-gated calcium ion conduit (Ca2 + channel)
B. Of voltage-gated calcium ion conduit (Ca2 + channel) located sarcoplasmic reticulum (sarcoplasmic reticulum) on
C. Located cross tube film (T tubule membrane) on voltage-gated calcium ion conduit (Ca2 + channel)
D. Is a ligand-gated calcium ion conduit (Ca2 + channel) located sarcoplasmic reticulum (sarcoplasmic reticulum) on


Question: A 50-year-old man, the past five years in the face over and over again will grow as shown in photo red papules and pustules, nose swollen, red face, easy (flushing), no acne (comedo) lesions. The most likely diagnosis is:

Answer: Acne rosacea (acne rosacea)

Choices:
A. Acne vulgaris (acne vulgaris)
B. Acne rosacea (acne rosacea)
C. Impetigo (impetigo)
D. Contact dermatitis (contact dermatitis) Situation: A 20-year-old woman, like drawings of clinical characterization face. So to answer 43 questions to 44 questions.


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

Answer: Double-stranded DNA virus

Choices:
A. Adenovirus-associated virus belonging to the virus family
B. Double-stranded DNA virus
C. There is no external (envelope)
D. Icosahedral structure belonging to the virus


Question: From the previous question, if the above situation continued for two hours or more, Which of the following is the most appropriate diagnosis?

Answer: Decline stagnation

Choices:
A. Latency
B. Activities prolongation
C. Accelerated prolongation
D. Decline stagnation


Question: A 25-year-old pregnant woman, G1P0, 38 weeks of pregnancy, due to the rules of admission to be produced pains. Currently cervix open 10 cm, height (station) is 0, as shown in the patient examination, its fetal position Why?

Answer: ROP

Choices:
A. ROA
B. ROP
C. SPEAK
D. LOP


Question: Bearing the title, description about the course of the disease, what's wrong?

Answer: Three months of oral itraconazole is extremely effective standard treatment

Choices:
A. Speed, and immune status of the patient about disease progression
B. Keratotic lesions chronic, may cause squamous cell carcinoma
C. Heat treatment may assist affected area
D. Three months of oral itraconazole is extremely effective standard treatment


Question: Which of the following concomitant with the deep peroneal nerve in the leg (deep peroneal nerve)?

Answer: Anterior tibial artery (anterior tibial artery)

Choices:
A. Peroneal artery (peroneal artery)
B. Posterior tibial artery (posterior tibial artery)
C. Anterior tibial artery (anterior tibial artery)
D. Popliteal artery (popliteal artery)


Question: Spinal cord white matter of the outer beam (lateral funiculus) which the neural pathways containing the following?

Answer: Corticospinal outer diameter (lateral corticospinal tract)

Choices:
A. Inner shoe dorsal column lines (dorsal column-medial lemniscus system)
B. Corticospinal outer diameter (lateral corticospinal tract)
C. Vestibulospinal diameter (vestibulospinal tract)
D. Quadrigeminal cord diameter (tectospinal tract)


Question: The following virus infection-induced host to produce narrative interferon (interferon) of, what's right?

Answer: Interferon adjustable helper T lymphocytes in the immune system and confirmation of the T cells kill infected cells, and to be crushed

Choices:
A. Substance-induced DNA virus is the best of interferon
B. When interferon in vivo lack of manufacturing, will reduce the severity of viral infection
C. Interferon adjustable helper T lymphocytes in the immune system and confirmation of the T cells kill infected cells, and to be crushed
D. Interferon was only late in viral infection is released


Question: The following does not belong to the kind of high-grade malignant lymphoma?

Answer: Follicular lymphoma (follicular lymphoma)

Choices:
A. Lymphoblastic lymphoma (lymphoblastic lymphoma)
B. Burkitt's lymphoma
C. Adult T-cell lymphoma (adult T-cell lymphoma)
D. Follicular lymphoma (follicular lymphoma)


Question: 75-year-old male with hypertension and atrial fibrillation for years, burst right hemiplegia and sense of chaos and sent to the emergency room. To the emergency time is 1 hour after onset of symptoms, initial brain CT did not show hemorrhage, which of the following conditions are not suitable for the use of intravenous thrombolytic drugs (tissue plasminogen activator, tPA) therapy?

Answer: Blood pressure 200/120 mmHg

Choices:
A. A week ago a transient ischemic attack
B. Glucose 320 mg / dL
C. The use of warfarin, INR 1.3
D. Blood pressure 200/120 mmHg


Question: Patients with lung cancer with pleural cavity water, cytology found to have lung cancer cell metastasis, the following statements is most accurate?

Answer: Most tumor metastasis or invasion via a direct sowing methods

Choices:
A. Most tumor cells through the blood transfer
B. Most tumor cells via lymphatic metastasis
C. Most tumor metastasis or invasion via a direct sowing methods
D. Squamous cell carcinoma of the most common


Question: Which of the following is not (PMS) common symptoms of premenstrual syndrome?

Answer: Mania (mania)

Choices:
A. Breast tenderness (mastalgia)
B. Headache (headache)
C. Mania (mania)
D. Low mood (depression)


Question: Aspirin is commonly used anti-inflammatory agents, which mainly produces hormones that suppress one of the following?

Answer: Prostaglandin

Choices:
A. Leukotriene
B. Testosterone
C. Insulin
D. Prostaglandin


Question: Which of the following through the thyroglossal periosteum (thyrohyoid membrane)?

Answer: Laryngeal nerve (internal laryngeal n.)

Choices:
A. Recurrent laryngeal nerve (recurrent laryngeal n.)
B. Laryngeal nerve outer (external laryngeal n.)
C. Laryngeal nerve (inferior laryngeal n.) At
D. Laryngeal nerve (internal laryngeal n.)


Question: Which of the following pathogens could not be cultured?

Answer: Syphilis spirochete (Treponema pallidum)

Choices:
A. Mycoplasma pneumoniae (Mycoplasma pneumoniae)
B. Syphilis spirochete (Treponema pallidum)
C. Gonorrhea (Neisseria gonorrhoeae)
D. Vibrio parahaemolyticus (Vibrio parahaemolyticus)


Question: Face the treatment of the aforementioned disease, whichever is most suitable for?

Answer: Use acetaminophen to reduce body temperature

Choices:
A. Use acetaminophen to reduce body temperature
B. Inserted endotracheal tube
C. Supplementary ⽣ physiological salt water resistant
D. Using lorazepam, if necessary, treatment of spasticity


Question: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy) of Children with often Deshi gait (Trendelenberg gait) walk, because it is a muscle weakness caused by the following?

Answer: Gluteal muscles (gluteus medius)

Choices:
A. 髂腰 skin (iliopsoas)
B. Gluteal muscles (gluteus medius)
C. Gluteus maximus muscle (gluteus maximus)
D. Hip adductors (hip adductors)


Question: Statements about the alcoholic hepatitis, what's wrong?

Answer: Fibrosis typically starting from a portal areas, after extending to the central vein

Choices:
A. AST is typically about twice or more higher than ALT
B. Typical visible liver fat accumulation, Mallory-Denk bodies, neutropenia (neutrophils) infiltration
C. Fibrosis typically starting from a portal areas, after extending to the central vein
D. For wine, women seem to be more susceptible to liver damage than men


Question: If testicular tumor microscopy, and found a large hemorrhagic necrosis cytotrophoblastic cells, additional blood abnormal increase in β-HCG, the following diagnostics are most appropriate where?

Answer: choriocarcinoma

Choices:
A. choriocarcinoma
B. yolk sac tumor
C. embryonal carcinoma
D. spermatocytic seminoma


Question: A 40-year-old male patient with liver cirrhosis hospitalized due to vomiting blood by the emergency. After hospitalization esophageal gastroduodenal endoscopy examination revealed esophageal lesions figures. After the lesions Nei Jing endoscopic treatment of patients vomiting symptoms disappeared. Which of the following best clinical diagnosis of the patient for this purpose?

Answer: Esophageal varices

Choices:
A. Esophageal cancer
B. Esophageal varices
C. Esophagitis
D. Mallory-Weiss tears


Question: The following severe acute respiratory syndrome have occurred about 2003 (Severe acute respiratory syndrome, SARS) of the narrative, what's wrong?

Answer: Has effects of drugs, the eradication of this disease

Choices:
A. Prevent the spread of the disease should develop good health habits, especially frequent hand washing and coughing to cover your nose and mouth
B. Epidemic to avoid crowded places
C. Fever period, high infectivity
D. Has effects of drugs, the eradication of this disease


Question: Baby Rose rash (roseola infantum) also known as exanthem subitum fever a few days before the rash appears suddenly, I ask the following which virus will cause this disease?

Answer: Human herpesvirus-6

Choices:
A. Parvovirus B19
B. Human herpesvirus-6
C. Rubella virus
D. Varicella-zoster virus


Question: That one of the following instruments, is to check keratoconus (keratoconus) early lesions of the most sensitive and effective instrument?

Answer: Corneal curvature topography tester (computerized videokeratoscope)

Choices:
A. Light microscopic mirror (specular microscope)
B. Corneal curvature topography tester (computerized videokeratoscope)
C. Ophthalmoscope (ophthalmoscope)
D. Tonometer (tonometer)


Question: 48-year-old Ms. Hong, height 162 cm, weight 98 kg, also associated with diabetes, hypertension and high cholesterol, weight loss surgery she decided to accept the advice of the physician, following which surgery is less recommended?

Answer: Abdominal Liposuction

Choices:
A. Laparoscopic gastric bypass
B. Abdominal Liposuction
C. Laparoscopic adjustable gastric banding
D. Laparoscopic gastric sleeve resection


Question: The following account of psychosocial treatment of schizophrenia (psychosocial treatment), and what's wrong?

Answer: Psychoanalytic therapy is the main treatment for schizophrenia

Choices:
A. Psychoanalytic therapy is the main treatment for schizophrenia
B. Group Psychotherapy focus of treatment is to adapt to emotional support, disease, enhance human interaction, social skills training
C. Family therapy focuses on the families of the disease health education, emotional support, reducing the high emotion expression family (high expressed emotion) case
D. Rehabilitation therapy with emphasis on self-care training, independent living training, social skills training, vocational skills training


Question: 19 A 50-year-old woman, known as type B and hepatitis C asymptomatic carrier for 10 years, has always been normal liver function tests, the past six months GOT value and GPT value maintained 100 U / about L (two normal values were 0 -35 U / L), to understand the type B and C hepatitis whether attack, which of the following arrangements for the quantitative test is most appropriate? (HBV refers to hepatitis B virus, HCV refers to the hepatitis C virus.)

Answer: HBV DNA and HCV RNA

Choices:
A. HBV DNA 及 HCV DNA
B. HBV DNA and HCV RNA
C. HBV RNA and HCV DNA
D. HBV RNA 及 HCV RNA


Question: A preterm child by Caesarean section shortly after birth breath and grunts occur, cyanosis, nostrils flared. Umbilical artery blood oxygen saturation exhibits insufficient, acidosis and decreased protein. Respiratory therapy remains the next day after death. Pulmonary pathology autopsy findings is shown. The following narrative about this disease, and that one is wrong?

Answer: lamellar bodies of type Ⅱ alveolar cells increases

Choices:
A. Mother and diabetes are all risk factors for caesarean section
B. Lung floating test, submerged in the water
C. Pink alveolar wall covering material comprising fibrin
D. lamellar bodies of type Ⅱ alveolar cells increases


Question: During B-cell development type, that kind of rearrangement of the following occurs first step?

Answer: Heavy chain (heavy chain) gene D → J

Choices:
A. V heavy chain (heavy chain) gene → D
B. Heavy chain (heavy chain) gene D → J
C. Heavy chain (heavy chain) V gene → J
D. V light chain (light chain) gene → J


Question: Patients have a very severe whipworm (Trichuris trichiura) infection. The following clinical symptoms, whichever is least likely to happen?

Answer: pneumonia

Choices:
A. stomach ache
B. anemia
C. pneumonia
D. appendicitis


Question: The following statements about liver adenoma (Adenoma), and what's wrong?

Answer: Easy bleeding

Choices:
A. Often occurs in young women
B. With long-term oral contraceptives may be related
C. Easy bleeding
D. Α-fetoprotein tumor index generally normal


Question: Disposable parotid (parotid gland) parasympathetic preganglionic nerve cell bodies located:

Answer: Saliva nuclear (inferior salivatory nucleus)

Choices:
A. The saliva nuclear (superior salivatory nucleus)
B. Saliva nuclear (inferior salivatory nucleus)
C. Suspect nuclear (nucleus ambiguus)
D. Spinal trigeminal nucleus diameter (spinal trigeminal nucleus)


Question: Wang weekdays sound normal, but often foreign body sensation in the throat, general anesthesia perform myomectomy surgery a month ago, foreign body sensation in the throat nearly one week increase, and a slight sore throat and hoarseness situation, Wang has no recent private prosecution cold symptoms, she was most likely suffering from what disease?

Answer: Vocal cord granuloma (vocal cord granulomas)

Choices:
A. Vocal cord nodules (vocal cord nodules)
B. Vocal cord granuloma (vocal cord granulomas)
C. Vocal cord paralysis (vocal cord paralysis)
D. Polyps, vocal cord inflammation (polypoid corditis)


Question: ⾎ epididymis barrier (blood testis barrier) has the following features which protect the cells of?

Answer: primary spermatocytes

Choices:
A. Leydig cells
B. myoid cells
C. fibroblasts
D. primary spermatocytes


Question: Patients with severe aortic valve regurgitation there are many signs (signs) at the time of physical examination, which of the following error?

Answer: You can hear the wind as diastolic heart murmur on auscultation, easier to hear than sitting lying down

Choices:
A. A bed of nails visible pulse of the beat (Quincke's pulse)
B. Femoral artery with a stethoscope can hear the "pistol-shot" sound (Traube's sign)
C. You can hear the wind as diastolic heart murmur on auscultation, easier to hear than sitting lying down
D. Rarely, aortic valve insufficiency of heart diastolic blood affects the mitral valve (mitral valve) before the leaves open, it will produce similar mitral stenosis diastolic heart murmur, called the Austin Flint murmur


Question: Which of the following is a mammal used in the heat of nature to a coupling agent (Endogenous uncoupling agent)?

Answer: Thermogenin

Choices:
A. 2,4-Dinitrophenol
B. Thermogenin
C. Thioredoxin
D. Cytochrome c


Question: From the previous question, if you are her clinicians, following the kind of disposal is most appropriate?

Answer: Given antidepressants, anxiolytics and supplemented by the short-term treatment of symptoms in order to improve

Choices:
A. Given antipsychotic drugs to prevent disease progression immediately
B. Recommendations cases immediately oriented psychoanalytic psychotherapy in order to change its personality
C. Given antidepressants, anxiolytics and supplemented by the short-term treatment of symptoms in order to improve
D. Administration of a lithium salt (Lithium) Treatment


Question: Enteral genus (Enterobacteriaceae) of Lipopolysaccharide (LPS) molecule, a portion of the maximum variation that can be used to distinguish the same (Species) serotypes different species classification (serotype)?

Answer: O antigen

Choices:
A. Lipid A
B. Core polysaccharide
C. O antigen
D. the whole frame


Question: Related to osteoporosis (osteoporosis) principle of rehabilitation, which of the following non?

Answer: Swimming should increase bone density

Choices:
A. Swimming should increase bone density
B. How to educate their patients avoid falls
C. To teach the correct way to lift heavy lifting patients
D. Patients can engage in Taijiquan


Question: Which of the following is not a common cause of abnormal taste?

Answer: heart failure

Choices:
A. drug
B. radiation therapy
C. diabetes mellitus
D. heart failure


Question: From the previous question, pathological diagnosis of these patients later confirmed as breast cancer, patients choose to accept the Modified radical mastectomy lymph clear expansion of the range, whichever is not included?

Answer: Internal mammary lymph node (Internal mammary chain)

Choices:
A. Rotter's node
B. Axillary lymph node I (Level I)
C. Axillary lymph nodes II (Level II)
D. Internal mammary lymph node (Internal mammary chain)


Question: One 17-year-old male high school student, nearly a year late for no reason, decreased academic performance, withdrawal of few words, no communication with classmates, family relationship with the cold, do not want to go out, take a bath, haircut, following the kind most likely diagnosis?

Answer: Schizophrenia simplex

Choices:
A. Paranoid schizophrenia
B. Type of schizophrenia youth
C. Schizophrenia simplex
D. Catatonic schizophrenia


Question: 69 following treatment principles related to emphysematous pyelonephritis (emphysematous pyelonephritis), the initial treatment whichever is less consideration?

Answer: Now nephrectomy

Choices:
A. Control blood sugar
B. Throw 予抗 raw element
C. Percutaneous drainage
D. Now nephrectomy


Question: In addition to Mycobacterium tuberculosis can cause lung tuberculosis, also other parts of the body violated, the following description of tuberculosis (TB), and what's right?

Answer: BCG vaccine (BCG) can prevent TB meningitis and miliary TB

Choices:
A. Acid-fast stain positive for TB can be diagnosed
B. PCR inspection accuracy better than M. tuberculosis culture
C. BCG vaccine (BCG) can prevent TB meningitis and miliary TB
D. M. tuberculosis will not infringe on the bones


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

Answer: The Light's criteria, identification of pleural effusion (pleural effusion) is transudate or exudate, pleural fluid to be detected

Choices:
A. Face have normal pleura fluid (pleural fluid) for Use as lubrication, produced mainly by ⽣ visceral pleura, then absorbed by the parietal pleura
B. The Light's criteria, identification of pleural effusion (pleural effusion) is transudate or exudate, pleural fluid to be detected
C. Pleural effusion adenosine deaminase (ADA) level> 50 mg / L, and altitudes to be suspected lymphoma (lymphoma)
D. Tuberculosis (tuberculosis) resulting from pleural effusions, cultured can be zoomed plurality TB (Mycobacterium tuberculosis)


Question: Which of the following is to confirm the diagnosis Chinese liver fluke (Clonorchis sinensis) is?

Answer: Since feces were detected in eggs

Choices:
A. Their remaining food freshwater fish habits
B. Peripheral blood eosinophils increased
C. There are abdominal pain, hepatomegaly, jaundice phenomenon
D. Since feces were detected in eggs


Question: Diagnosis of Cushing's disease (Cushing's syndrome) Which of the following most reliable?

Answer: Low-dose dexamethasone suppression test

Choices:
A. 8 am blood concentration of cortisol (Cortisol)
B. 1 mg dexamethasone suppression test Overnight
C. Blood cortisol concentrations midnight
D. Low-dose dexamethasone suppression test


Question: The following mitral valve stenosis of rheumatic heart disease complicated narrative about, what's wrong?

Answer: Auscultation often found treble diastolic murmur (high pitched early diastolic murmur)

Choices:
A. The opening size of the normal mitral valve is 4 ~ 6 cm2, when the <1 cm2 severe stenosis
B. Often associated with atrial fibrillation
C. Often associated with pulmonary hypertension secondary generalization
D. Auscultation often found treble diastolic murmur (high pitched early diastolic murmur)


Question: Two weeks ago 46 year old male patient complained of shoulder pain and injuries emperor swings restrictions. BRIEF present Visit shoulder of X-ray photography and computer tomography. Most unlikely performance or diagnose why?

Answer: anterior shoulder dislocation

Choices:
A. anterior shoulder dislocation
B. posterior shoulder dislocation
C. reverse Hill-Sachs deformity
D. intraarticular bony fragments


Question: Thyroid hormones related to metabolism and the development of human narrative, which of the following error?

Answer: Thyroid hormone can decrease cellular oxygen consumption, and decreased metabolic balance of fat and carbohydrate saccharide compound to provide the needs of normal growth and development of

Choices:
A. In infancy lack of thyroid hormone, can cause mental retardation, short stature and lifelong irreversible cretinism (cretinism)
B. Thyroid hormone can decrease cellular oxygen consumption, and decreased metabolic balance of fat and carbohydrate saccharide compound to provide the needs of normal growth and development of
C. If excessive secretion of thyroid hormone, can cause body weight loss, emotional anxiety, rapid heartbeat, trembling hands, and sometimes even cause heart failure
D. Thyroid hormone is essential for sustaining life, once the lack of will cause the body to reduce resistance to cold, abnormal increase in body weight, body swelling of mucus (myxedema), sanity and physical activity becomes clumsy and slow


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

Answer: Cerebral palsy is caused by degenerative brain diseases

Choices:
A. Less than 32 weeks gestational age and birth weight of less than 2500 grams is a risk factor for cerebral palsy
B. Cerebral palsy is caused by degenerative brain diseases
C. Causes of cerebral palsy may vary depending on the time zone is divided into prenatal, delivery and post-natal etiology
D. Symptoms caused by motor dysfunction must include


Question: Statements about basal cell carcinoma (basal cell carcinoma), the error which of the following?

Answer: Often transfer (metastasis)

Choices:
A. Is the most common malignant tumor of the skin
B. And sun exposure related
C. Sometimes violated deep tissue
D. Often transfer (metastasis)


Question: 33-year-old rheumatic heart disease (rheumatic heart disease), recently two days left limb suddenly occurred weakness, confusion, fever, increased white blood cells, according to this injection of iodine developer of CT, the diagnosis is:

Answer: Brain abscess (brain abscess)

Choices:
A. Encephalitis (acute encephalitis)
B. Brain abscess (brain abscess)
C. Cerebral hemorrhage (cerebral hemorrhage)
D. Subdural abscess upper chamber (epidural empyema)


Question: About pulse oximetry analysis, restriction on the clinical use of the following statements is wrong?

Answer: Because the oxygen saturation concentration also affected the blood concentration of carbon dioxide, thus pulse oximetry analysis may also be used to monitor ventilation (ventilation) is adequate

Choices:
A. Because the oxygen saturation concentration also affected the blood concentration of carbon dioxide, thus pulse oximetry analysis may also be used to monitor ventilation (ventilation) is adequate
B. Low body temperature, low cardiac output (cardiac output), and peripheral vasoconstriction caused by drugs, are likely to affect
C. Patients with body movements and low perfusion states (hypoperfusion) is an estimate of the impact of the most common causes. But because the sophisticated technology, this problem has been gradually improved
D. Surgical visible light emitted by the lamp, will also affect the estimate of blood oxygen saturation, it is necessary to avoid the use of strong light


Question: 15-year-old girl due to respiratory urgent treatment, past medical history is unknown, urgent chest X-ray as drawings. What must urgently address the problem shown in the figure?

Answer: Pneumonia

Choices:
A. Pneumonia
B. Pneumothorax
C. Internal bleeding
D. Fracture


Question: The following information about TMJ (temporomandibular joint) of the narrative, what's wrong?

Answer: Pterygoid muscle (medial pterygoid muscle) to assist mouth

Choices:
A. Pterygoid muscle (medial pterygoid muscle) to assist mouth
B. Pterygoid muscle and wing muscles are assisting the mandible (mandible) to move to the side (contralateral side)
C. Pterygoid muscle portion attached to the TMJ joint (articular disc)
D. Located between the jaw TMJ fossa (mandibular fossa) of the mandible condyle (condylar process)


Question: The most common side effect of ursodeoxycholic acid for the treatment of gallstones:

Answer: diarrhea

Choices:
A. jaundice
B. Kidney failure
C. anemia
D. diarrhea


Question: One suffering from deep vein thrombosis in patients already receiving oral warfarin therapy two months, INR (international normalized ratio) positive control in the desired range, if more Which of the following drugs used in combination, may diminish the efficacy of warfarin?

Answer: Rifampin

Choices:
A. Rifampin
B. Amiodarone
C. Cimetidine
D. Ketoconazole


Question: When the eye to look out over the need to rely on lateral rectus muscle and following that a joint action?

Answer: Superior rectus

Choices:
A. Superior rectus
B. The oblique muscle
C. Inferior rectus
D. Inferior oblique


Question: A 27-year-old male with bilateral male breast feminization (gynecomastia) for treatment, laboratory examination revealed normal liver function, liver ultrasound was normal, β-HCG level in the blood abnormally high, testicular ultrasound found on the right side there is a 1.2 cm tumor this patient should be the next step in the disposal of which of the following?

Answer: By removal of the right groin testicular

Choices:
A. By groin (trans-inguinal) After bilateral testicular
B. By removal of the right groin testicular
C. Scrotal (trans-scrotum) cut right testicular
D. After bilateral scrotal testicular


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

Answer: Based mainly in mental retardation

Choices:
A. Is a syndrome (syndrome)
B. Based mainly in mental retardation
C. Often associated with other neurological disorders
D. In the immature brain development occurs non-progressive disease or injury of


Question: A thirty German measles antibody-negative women, in the eighth week of pregnancy, her half year old child infected with rubella, she only worried they receive rubella, the fetus may be congenital rubella, not willing to accept abortion. In this case, how to deal with?

Answer: Shi fight human immunoglobulin (human immunoglobulin)

Choices:
A. Shi playing live rubella vaccine (live rubella vaccine)
B. Shi playing live attenuated rubella vaccine (live attenuated rubella vaccine)
C. Shi hit activity rubella vaccine (inactive rubella vaccine)
D. Shi fight human immunoglobulin (human immunoglobulin)


Question: Has a "glial fibrillary acidic protein (glial fibrillar acidic protein, GFAP)" cells are:

Answer: Stellate glia (astrocyte)

Choices:
A. Stellate glia (astrocyte)
B. Cells lining the ventricle (ependymal cell)
C. Oligodendrocyte glia (oligodendrocyte)
D. Microgel cells (microglia)


Question: About bad intestinal vascular structures (angiodysplasia) narrative, what's wrong?

Answer: Vascular endothelial cells gluconeogenesis

Choices:
A. Predilection for the young 60s
B. Common sites of the cecum (cecum) and right colon
C. Many small blood vessels visible expansion in the intestinal submucosa
D. Vascular endothelial cells gluconeogenesis


Question: 515-year-old woman, 50 kg, 152 cm, accepting eyes strabismus surgery. Anesthesia was induced administering fentanyl 100 μg and thiopental 200 mg, intubation with the help of succinylcholine 60 mg, anesthesia was maintained by inhalation anesthetic Isoflurane; to one hour when the surgery, patients found to increase in blood pressure, accelerated heart rate, end -tidal CO2 increases, the amount of body temperature is 39.8 ℃, and continued slowly rising. The following statements is wrong?

Answer: May be given calcium channel blocker, to lower blood pressure

Choices:
A. Patients with Malignant hyperthermia (malignant hyperthermia) may occur
B. You should stop all inhaled anesthetics and give breathing pure oxygen
C. May be given calcium channel blocker, to lower blood pressure
D. Should be administered promptly as cool and give dantrolene treatment


Question: The following information about meningioma (meningioma) of the narrative, what's right?

Answer: Treatment of overweight knife (gamma knife) is limited to less than 3 cm by

Choices:
A. Use of anti-female hormone (antiestrogen) therapy is effective
B. Should use radiation therapy (radiotherapy)
C. Posterior fossa (posterior fossa) of the most common tumor
D. Treatment of overweight knife (gamma knife) is limited to less than 3 cm by


Question: About the following thoracentesis (thoracentesis) statements is wrong?

Answer: Often puncture in mid-clavicular line (midclavicular line) position

Choices:
A. Need to avoid the lower edge of the rib intercostal nerves, blood vessels (intercostal nerve, vessel)
B. When in need of breathing (expiration) time of puncturing
C. In general the most appropriate puncturing ninth intercostal
D. Often puncture in mid-clavicular line (midclavicular line) position


Question: Which of the following does not produce ascites?

Answer: obesity

Choices:
A. obesity
B. Cirrhosis
C. heart failure
D. Peritoneal inflammation


Question: A 30-year-old male factory transport truck drivers, swelling and pain in his right ankle suddenly unable to walk, the last patient in good health, no history of trauma or fever, right ankle joint cavity fluid examination WBC: 20,000 / mm3. This patient Which of the following is most likely to suffer from the disease?

Answer: Crystal deposition arthritis initiator

Choices:
A. Degenerative arthritis
B. Rheumatoid arthritis
C. Crystal deposition arthritis initiator
D. Infectious arthritis


Question: For the following below-knee amputation rehabilitation after the narrative content, whichever is the most correct?

Answer: Should maintain the range of motion of the hip joint, so as not to affect the walk

Choices:
A. Avoid thigh muscle strength training, so as not to cause muscle hypertrophy difficult prosthetic devices
B. 30 degrees of knee flexion contracture, do not affect prosthetic devices
C. Should maintain the range of motion of the hip joint, so as not to affect the walk
D. Avoid stumps covered, so as not to over-sensitive skin, affecting prosthetic devices


Question: 18. A 65-year-old male patient, three years ago, had old myocardial infarction, hypertension, diabetes, dyslipidemia and smoking habits of, including the administration of drugs to control blood pressure and blood glucose and lipid beta blocker and ACE inhibitor of the after you suggesting that patients taking 100 mg of aspirin daily, but the patient said he may have more stomach acid gastric ulcer, also heard that aspirin would be Shang Wei, was told he could replace aspirin and dipyridamole may protect the heart, insisted on the use of dipyridamole. He's following the disposal of the most inappropriate?

Answer: Based on the principle of patient autonomy, giving dipyridamole

Choices:
A. Based on the principle of patient autonomy, giving dipyridamole
B. Prescription esomeprazole, with aspirin use
C. Prescription clopidogrel use
D. Referral of patients to see if Gastroenterologists shall cause gastrointestinal endoscopy


Question: 30-year-old male, 4 years ago, every year from October to December will have a one-sided headache, headache once a day, every day seizure of two months. Headache occurs mostly in the middle of the night, each time for 30 minutes to 1 hour, severe, non-pulsating pain, located around the eyes. Pain is not due to increased activity without nausea or vomiting headache, photophobia or Pachao also did not wait for the phenomenon, but the headache ipsilateral eye redness tears, ipsilateral nose will be stuffy, runny nose. Will he most likely diagnosis is:

Answer: Cluster headache (cluster headache)

Choices:
A. Trigeminal neuralgia (trigeminal neuralgia)
B. Migraine (migraine)
C. Cluster headache (cluster headache)
D. Crunch-type headache (tension-type headache)


Question: Choroid congenital defects (coloboma of the uveal tract) usually occurs in a few parts of the eye of the clock?

Answer: 6 o'clock

Choices:
A. 3 o'clock
B. 6 o'clock
C. 9 o'clock
D. 12 o clock


Question: Which of the following diagnosis with polycystic ovary syndrome (polycystic ovarian syndrome) is the most independent of?

Answer: Rules of the menstrual cycle

Choices:
A. obesity
B. Measured blood male hormone (androgen) increase
C. There are high performance male hormones (hyperandrogenism) clinically
D. Rules of the menstrual cycle


Question: 15. The patient pulmonary atresia with ventricular septal defect (pulmonary atresia with ventricular septal defect), and when receiving the initial surgery, the so-called singulation (unifocalization) To together to prepare a second stage as those following vascular surgery use? ① pulmonary (native pulmonary artery) ② aorta to the main pulmonary artery collateral circulation (major aortopulmonary collateral arteries) ③ autologous pulmonary vein (native pulmonary vein) ④ main branch of the left coronary artery from the body (left main coronary artery)

Answer: ①②

Choices:
A. ①②
B. ①③
C. ②③
D. ①④


Question: An important factor in the regulation of red blood cells and O2 affinity for 2,3-bisphosphoglycerate, it is provided by the following metabolic effects of that kind?

Answer: Glycolysis (Glycolysis)

Choices:
A. Ketone and angiogenesis (ketogenesis)
B. Glycolysis (Glycolysis)
C. Glucose newborn action (gluconeogenesis)
D. Pentose phosphate pathway (pentose phosphate pathway)


Question: Causes of hair loss during chemotherapy, the most common is which of the following?

Answer: Growing hair (anagen effluvium)

Choices:
A. Alopecia areata (alopecia areata)
B. Telogen hair loss (telogen effluvium)
C. Growing hair (anagen effluvium)
D. Tumor alopecia (alopecia neoplastica)


Question: Chen, 20 students enrolled in the country's third grade gym class baseball practice then pass, was hit accidentally left face hardball, two days later because of persistent swelling and pain to the clinic, physical examination found: watching the top left eyes, there will be two images of an object; the left cheek and upper lip left feeling numb; there is no way as before the injury mouth open so big; the upper and lower row of teeth bite position as the original no difference. Is that a diagnosis following the most appropriate?

Answer: Fracture of the left cheekbone

Choices:
A. Fracture of the left cheekbone
B. The left zygomatic arch fracture
C. Left mandible fracture
D. The left upper jaw bone fracture


Question: In general, craniosynostosis (craniosynostosis) of sick children, when to perform surgery more appropriate?

Answer: Six to twelve months

Choices:
A. Within three months
B. Three to six months
C. Six to twelve months
D. More than two years old


Question:
13 a 5-year-old boy two days ago began to have a fever phenomenon, today began to have pain in the rear of the calf muscle, blood tests showed the blood white blood cell count was 12,000 / mm3 (55% neutrophils, 38% lymphocytes, single bulge 7%); hemoglobin (hemoglobin) value of 11.6 g / dL; platelet count of 360,000 / mm3; potassium ion concentration in blood of 4.0 mmol / L, a sodium ion concentration of 135 mmol / L, serum ALT 48 U / L,
 U / L, LDH 677 U / L, CK 1502 U / L, urine examination showed OB 3 +, RBC 1 ~ 3 / HPF, urine protein: negative. Boy most likely diagnosis is:

Answer: Acute rhabdomyolysis (acute rhabdomyolysis)

Choices:
A. Acute hepatitis (acute hepatitis)
B. Acute hemolytic disease (acute hemolytic syndrome)
C. Acute rhabdomyolysis (acute rhabdomyolysis)
D. Acute cystitis (acute cystitis)


Question: Narrative effusion of the pleura pneumonia related to the following, what's wrong?

Answer: Leukocytes> 10000 / mm3 treatment should be drainage

Choices:
A. pH <7.0 drainage treatment should
B. Leukocytes> 10000 / mm3 treatment should be drainage
C. LDH> 1000 unit / L drainage treatment should
D. Bacterial cultures were positive, treatment should be drainage


Question: A 65-year-old patient, was found to have a plurality of neck and groin diameter of 1 to 3 cm large lymph nodes, biopsy confirmed B cell diffuse large cell lymphoma (lymphoma), CD20 lymphoma cell surface antigen expression , bone marrow and internal organs were negative, no fever, weight loss or other specific symptoms. Which of the following is the most appropriate treatment for this patient?

Answer: The combined Rituximab (anti-CD20) and CHOP chemotherapy

Choices:
A. Temporarily do not need treatment, re-treatment when symptoms have to be
B. The combined chemotherapy COP (cyclophosphamide, vincristine and prednisolone)
C. The combined chemotherapy CHOP (cyclophosphamide, adriamycin, vincristine and prednisolone)
D. The combined Rituximab (anti-CD20) and CHOP chemotherapy


Question: Cells, the following compounds that can not be directly involved in the reaction of ATP synthesis?

Answer: 3-Phosphoglycerate

Choices:
A. 1,3-Bisphosphoglycerate
B. 3-Phosphoglycerate
C. Phosphocreatine
D. Phosphoenolpyruvate


Question:
1) re-absorption of glucose
 Which of the following most will not at any time day and night ⽣ was ⽽ change?

Answer: ⽪ cortisol (Cortisol) secretion

Choices:
A. body temperature
B. ⽪ cortisol (Cortisol) secretion
C. Black & hormone melatonin (levels of melatonin) secretion
D. Insulin secretion


Question: The following bacteria that cause gastrointestinal bacteria minimum amount required for infection?

Answer: Shigella (Shigella)

Choices:
A. Vibrio (Vibrio)
B. Salmonella (Salmonella)
C. Shigella (Shigella)
D. Yersinia (Yersinia)


Question: Pharmaceutical sub-sector in the narrative about the rights of people to protect medical and drug safety, the following items than what is incorrect?

Answer: Drug delivery is subject to the right to swap with the professional services pharmacists

Choices:
A. Protection of fundamental rights of people medical attention and hold prescription
B. People have the freedom to "choose" the right recipe swap places
C. Drug delivery is subject to the right to swap with the professional services pharmacists
D. People have the right to use "knowledge" and "was told that" drugs and related information, etc.


Question: The following related intestinal virus (enterovirus) narrative, what's wrong?

Answer: Infant infection often causes vomiting, diarrhea and other symptoms

Choices:
A. Mainly by the fecal - oral infections
B. 1998 Taiwan pandemic, resulting in cases of death, mainly by the 71 encephalitis caused by enterovirus (encephalitis)
C. Newborns are at high risk of severe intestinal virus, mainly died of liver necrosis (hepatic necrosis)
D. Infant infection often causes vomiting, diarrhea and other symptoms


Question: In tissue sections, the following structure is that fiber cartilage (fibrocartilage) only, and does not rule dense connective tissue?

Answer: Lacuna (lacuna)

Choices:
A. Fibroblasts (fibroblasts)
B. Collagen fibers (collagen fibers)
C. Matrix (Matrix)
D. Lacuna (lacuna)


Question: The following statements about chronic inflammation of the pancreas, what's wrong?

Answer: Does not increase the incidence of pancreatic cancer

Choices:
A. Mainly due to alcoholism
B. Does not increase the incidence of pancreatic cancer
C. X- ray abdominal portion of the pancreas often display calcifications
D. Patients with pancreatic Ruoyi severely damaged, there will steatorrhea


Question: 65 A 40 year old female complains of urine clinic, urinalysis (U / A) were as follows: specific gravity of 1.000, occult blood (OB) 2+, red blood cells (RBC) 0 ~ 1 / HPF, white blood cells (WBC) 1 ~ 2 / HPF, urine protein (-). No abnormal physical examination, Which of the following is the best disposal?

Answer: Tell patient test results may be false negative (false negative), and then ask the patient to repeatedly test the urine

Choices:
A. Tell patients that there is no problem
B. Tell patient test results may be false negative (false negative), and then ask the patient to repeatedly test the urine
C. Tell patients with hematuria, cystoscopy by arrangement
D. Tell patients with hematuria, urinary tract need further arrangements photography (IVP)


Question: 90 for the traffic accident death investigation, blood samples were taken from each of these deaths left femoral artery and the left coronary artery to measure alcohol concentration, a total of 25 accidents extraction deaths. The researchers question is "average blood alcohol concentration is left femoral artery of average blood alcohol concentration was significantly different from the left coronary artery?" What statistical methods you will use the test above information?

Answer: Paired t-test

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


Question: Statements about the treatment of colorectal cancer, which of the following error?

Answer: T2 of the best colorectal cancer treatment is partially cut away, save anus

Choices:
A. Surgical resection is the most effective way to treat cancer
B. Colorectal cancer patients with low preoperative radiation therapy can reduce the local recurrence rate
C. After surgery, patients with colorectal cancer Phase III of the administration of adjuvant chemotherapy, can improve survival
D. T2 of the best colorectal cancer treatment is partially cut away, save anus


Question: A young man was wounded thigh pistol, causing fracture of the right femur, no neurovascular injury, the tetanus vaccination, wash the wound by a large and adequate debridement surgery, what to do next?

Answer: Antibiotics intravenous injection 48 hours, seven days delayed row intramedullary nail fixation

Choices:
A. Now row intramedullary nail
B. Intravenous injection of antibiotics for ten days re-debridement and external fixation
C. Antibiotics intravenous injection 48 hours, seven days delayed row intramedullary nail fixation
D. Antibiotics intravenous injection 48 hours, external fixation line


Question: The following account of the brachial artery, what's wrong?

Answer: Deep brachial artery and axillary nerve concomitant brachial artery branch

Choices:
A. Brachial artery located in front of the inner arm, and the brachial triceps muscle
B. Deep brachial artery and axillary nerve concomitant brachial artery branch
C. After axillary artery through the lower edge of the brachial artery referred teres
D. Brachial artery in the arm with the median nerve accompanied


Question: When the patient's right thigh amputation laptop wearing artificial limbs to walk, if artificial limbs too short, it will have one of the following situation?

Answer: Wang Youce body tilt (right side trunk bending)

Choices:
A. Wang Zuoce body tilt (left side trunk bending)
B. Wang Youce body tilt (right side trunk bending)
C. Prosthetic abduction occurs gait (abduction gait)
D. Prosthetic rotation occurs gait (circumduction gait)


Question: 32. One 18-year-old single woman with a history of asthma, but atrophic right kidney with normal renal function. Epigastric pain two days of intermittent, sometimes accompanied by bloating. She does not care, but yesterday I suddenly felt pain in the right lower quadrant, and the phenomenon has intensified. She came to the emergency room, then loss of appetite, but no nausea or vomiting. Blood pressure 107/71 mmHg, temperature 8 oC, the pulse 74 / min, respiration 20 / min. Leukocyte: 13000 / mm3, hemoglobin: 12.5 g / dL, platelets: 259 × 103 / mm3. Why is the most likely diagnosis?

Answer: Acute appendicitis

Choices:
A. Urinary tract stones
B. Acute appendicitis
C. Ectopic pregnancy
D. Pelvic inflammatory disease


Question: Which of the following is the most common children's language barrier?

Answer: Abnormal articulation (articulation disorder)

Choices:
A. Abnormal articulation (articulation disorder)
B. Pronunciation disorders (dysarthria)
C. Aphasia (aphasia)
D. Stuttering (stuttering)


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

Answer: Reduces the release of dopamine in the central nervous system (dopamine) of

Choices:
A. Can be used to treat attention deficit hyperactivity disorder
B. Common side effects include loss of appetite, sleep disturbances, headache, involuntary movements
C. Reduces the release of dopamine in the central nervous system (dopamine) of
D. With the exception of short-acting formulations central nervous system stimulants, there are long-acting formulations may choose


Question: A 38-year-old patients due to withdrawal alcohol withdrawal seizures (withdrawal seizures) attack, and was sent to the emergency room, you are emergency physicians, should be disposed of in the following ways?

Answer: Diazepam, I. V., 0.15 mg/kg at 2.5 mg/min

Choices:
A. Lorazepam, Oral, 2-10 mg q4h
B. Diazepam, Oral, 5-20 mg q4h
C. Chlordiazepoxide, I. V., 0.15 mg/kg at 12.5 mg/min
D. Diazepam, I. V., 0.15 mg/kg at 2.5 mg/min


Question: Statements about their daily activities after total hip arthroplasty, which of the following error?

Answer: When not sleeping pillow placed between the legs

Choices:
A. Do not adopt a low seat when sitting
B. On both sides of the knee when sitting close together not
C. When not sleeping pillow placed between the legs
D. Do not over-rely on the body immediately from leaning forward


Question: 84-year-old male patient, due to intermittent claudication (intermittent claudication) to seek treatment; the first was diagnosed with right side sacral nerve root disease (right S1 radiculopathy), the patient's symptoms and signs can not appear is:

Answer: Knee reflex

Choices:
A. Knee reflex
B. Lower back pain
C. Inability to stand up
D. Thigh pain


Question: 38. For the definition of the amount of nocturia (nocturnal urinary volume) and nocturnal polyuria (nocturnal polyuria), and Which statement is correct? ① calculated the amount of nocturnal urine output should contain the last time before going to bed (the last void before going to bed) ② calculated amount should include nocturia get up in the morning the first urine output (the first void after rising in the morning) ③ at age 65 If more than the women nocturia greater than 33% of the 24 hours of urine, can be defined as nocturnal polyuria ④ in women over 65 years of age is greater than 22% if nocturnal urine of 24 hours can be defined as nocturnal aciduria

Answer: Only ②③

Choices:
A. Only ①③
B. Only ②③
C. ①②③
D. ①②④


Question: 39 bearing the title, after 6 hours, the patient's respiratory rate of 30 / min and was sleepiness, the patient's arterial blood gas analysis: pH = 7.25, = 55 torr, PCO2 = 75 torr, BE = +7 meq. In this case, the patient's disposal, whichever is the most correct?

Answer: Immediate intubation and respirator to assist breathing

Choices:
A. Immediate intubation and respirator to assist breathing
B. And administering oxygen mask 10 liters / min of oxygen
C. Administered tracheotomy, and give a respirator to assist breathing
D. Continue to observe, 4-6 hours before tracking arterial blood gas analysis


Question: A 4 months old, weighing 4 kg baby boy, because repeated cramps (seizure) and hypocalcemia, was admitted to the hospital's intensive care unit since birth, he would often diarrhea, and there are repeated and difficult to cure candidiasis (Candida) infections. Physical examination found that the lower edge of the left sternal third degree heart murmur, do you think the kids the best way to treat Why?

Answer: Thymus transplantation (thymic transplantation)

Choices:
A. Bone marrow transplantation (bone marrow transplantation)
B. γ-interferon treatment (interferon-gamma therapy)
C. Monthly intravenous immunoglobulin (monthly intravenous immunoglobulin infusions)
D. Thymus transplantation (thymic transplantation)


Question: The following statements in the blood thyroxine-binding globulin (thyroxine binding globulin) has nothing to do?

Answer: Thyroxine may carry into the central nervous

Choices:
A. Thyroid resected after one week still be present in the blood to about 50% of the normal amount of thyroxine (T4)
B. Administered over a short time with normal daily required amounts of thyroxine, does not affect the serum free thyroxine (free T4) value
C. Iodine concentration in the atmosphere may be provided in the local tissue infection
D. Thyroxine may carry into the central nervous


Question: What these drugs have sedative midazolam antagonism, central nervous system receptor competition will be to soothe the respiratory effects of midazolam overdose caused?

Answer: flumazenil

Choices:
A. flumazenil
B. dexmedetomidine
C. ketamine
D. naloxone


Question: The following tumor whichever is less likely to merge hyperplasia of red blood cells?

Answer: Lymphoma (Lymphoma)

Choices:
A. Renal cell carcinoma (Renal cell carcinoma)
B. Lymphoma (Lymphoma)
C. Liver cancer (Hepatocellular carcinoma)
D. Cerebellar hemangioblastoma (Cerebellar hemangioblastoma)


Question: From the previous question, this illness in the acute attack, the kind of treatment should be given the most appropriate?

Answer: oral glucocorticoids

Choices:
A. oral glucocorticoids
B. non-steroid anti-inflammatory drugs
C. local anesthetics injection
D. antibiotics


Question: Which of the following is not a pig parasite reservoir host (reservoir host)?

Answer: Egypt schistosome (Schistosoma haematobium)

Choices:
A. 薑片 蟲 (F. buski)
B. Schistosoma japonicum (Schistosoma japonicum)
C. Egypt schistosome (Schistosoma haematobium)
D. Wei's lung fluke (Paragonimus westermani)


Question: A 55 year old male hospital because of severe chest pain, 12 hours after the unfortunate death, autopsy found the left ventricular myocardium stained sections has a redder regions, where the nucleus of cardiomyocytes and stripes disappear. In addition, no significant bleeding or inflammatory cell infiltration. Which of the following is most likely to cause changes in their heart?

Answer: Coronary occlusion

Choices:
A. Viral infection
B. Coronary occlusion
C. Bullet wound
D. septicemia


Question: Shown as a biopsy of thyroid cancer 50-year-old woman. The following statements is most do not meet the clinical or pathological characteristics of this tumor?

Answer: PAX-PPAR γ 1 often translocation chromosome (translocation of)

Choices:
A. Nuclear often groove-like feature (nuclear grooving)
B. Occurs before the age of 40 an excellent prognosis
C. PAX-PPAR γ 1 often translocation chromosome (translocation of)
D. Tumor cells were higher than those with aggressive lenticular


Question: The following narrative about the B and T cells, B cells that are specific to one?

Answer: Cell differentiation type conversion procedure (isotype switching)

Choices:
A. Performance of a particular antigen receptor (antigen-specific receptor) on the cell surface
B. Identification and self-major histocompatibility antigen (self MHC) antigen-binding molecules
C. Will conduct gene recombination during cell development
D. Cell differentiation type conversion procedure (isotype switching)


Question: Wrist (wrist joint) which belong to the following joint?

Answer: Condylar joints (condyloid joint)

Choices:
A. Condylar joints (condyloid joint)
B. Ball and socket joint (ball and socket joint)
C. Saddle joint (saddle joint)
D. Xu flexion joint (hinge joint)


Question: 40-year-old male disease due to Face abdominal discomfort, upper abdominal ultra-wave Rec examination revealed a tumor on the right kidney ⽅ figure, the most likely diagnosis Why?

Answer: adrenal myelolipoma

Choices:
A. adrenal myelolipoma
B. adrenal pheochromocytoma
C. adrenal cortical adenoma
D. adrenal cortical carcinoma


Question: Cause of postpartum hemorrhage, Which of the following most common?

Answer: Poor uterine contraction (atony)

Choices:
A. Poor uterine contraction (atony)
B. Amniotic fluid embolism (amniotic fluid embolism)
C. Retained placenta (retained placenta)
D. Genital tract laceration (injury to birth canal)


Question: Crown Center Weighted disease-related acute cocaine (Cocaine) caused by species that ⼀ the following drugs is contraindicated?

Answer: Propranolol (β- adrenal blockers)

Choices:
A. Diazepam (benzodiazepine drugs)
B. Morphine (opioid)
C. Phentolamine (α- adrenal blockers)
D. Propranolol (β- adrenal blockers)


Question: Which of the following is not a kidney hormone produced?

Answer: Aldosterone cortex (aldosterone)

Choices:
A. Renin (renin)
B. Aldosterone cortex (aldosterone)
C. Erythropoietin (erythropoietin)
D. Active vitamin D3 (calcitriol)


Question: 35 year old man falls from a height, causing severe back pain and lower limb weakness and paresthesia situation from the body milk line (nipple line). The initial diagnosis of vertebral fractures spinal cord injury. Manager examination, the most likely site of spinal cord injury patients with this?

Answer: Fourth thoracic vertebra (T4)

Choices:
A. Fourth thoracic vertebra (T4)
B. The eighth thoracic (T8)
C. Tenth thoracic vertebrae (T10)
D. Twelfth thoracic vertebra (T12)


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

Answer: 90% occurred in the right

Choices:
A. Varicocele is a common cause of male infertility
B. 90% occurred in the right
C. After abdominal tumors can cause varicocele
D. Varicocele can cause reduce sperm motility


Question: If a patient during thyroid surgery, which inadvertently parathyroid resection, where these phenomena most likely to occur?

Answer: Short period of time will result in lower blood concentrations of calcium and phosphorus

Choices:
A. Short period of time will result in lower blood concentrations of calcium and phosphorus
B. Cause neuromuscular system hyperexcitability (hyperexcitability)
C. Cause tetany (tetany)
D. Causing renal excretion of phosphorus in the blood decreased function


Question: Face of obese as BMI (Body Mass Index) Why cut point guard ⽣ defined according to the Ministry of Welfare?

Answer: 27

Choices:
A. 25
B. 27
C. 29
D. 31


Question: Du Bole blood flow waveform index of "resistance index" (resistance index) means (meaning the S and D as shown below):

Answer: (S－D)/S

Choices:
A. S/D
B. (S－D)/S
C. (S－D)/D
D. (S－D)/Mean


Question: 50-year-old Chen is a tennis enthusiast, in preparation for his recent Corporate Cup tennis tournament for two weeks to participate in intensive tennis training. And he found lateral elbow pain, especially hard fist hand or wrist forced dorsal flexion (wrist extension) these actions, particularly severe symptoms. He is most likely to hurt the piece of tendon?

Answer: Short radial wrist extensor muscles (extensor carpi radialis brevis muscle)

Choices:
A. Radial wrist flexor muscles (flexor carpi radialis muscle)
B. Deep flexor muscle (flexor digitorum profundus muscle)
C. Short radial wrist extensor muscles (extensor carpi radialis brevis muscle)
D. Pronator teres (pronator teres muscle)


Question: 5-year-old boy developed fever, headache and sore throat two days ago. 1 day neck fever rash, then spread to the trunk and extremities. Its small red papules feel like sandpaper. Sick Children no oral ulcers, strawberry tongue shape. The most likely causative disease was originally:

Answer: A streptococci

Choices:
A. Human herpes virus type 6
B. Parvovirus B19 type
C. Staphylococcus aureus
D. A streptococci


Question: A 52-year-old female diabetic patients, diagnosed within Klebsiella pneumoniae bacteremia merger endophthalmitis (endophthalmitis) and meningitis, choose whichever is most appropriate antibiotic treatment relative?

Answer: that ceftriaxone (third generation cephalosporins cephalosporins)

Choices:
A. Cefazolin (genus first generation cephalosporins cephalosporins)
B. Cefuroxime (case of a second-generation cephalosporins cephalosporins)
C. that ceftriaxone (third generation cephalosporins cephalosporins)
D. aminoglycosides


Question: A 65-year old man suddenly to the right eye, painless loss of vision, no defects or other neurological symptoms in addition to the generation that is following a vascular occlusion due?

Answer: Internal carotid artery branches (branch of internal carotid artery)

Choices:
A. Anterior cerebral artery (anterior cerebral artery)
B. Basilar artery (basilar artery)
C. Internal carotid artery branches (branch of internal carotid artery)
D. Posterior cerebral artery (posterior cerebral artery)


Question: 14. The following gallbladder stones that a patient in need of treatment, but also with the use of oral bile salt RONGSHI agent (ursodeoxycholic acid, UDCA) treatment to the more appropriate?

Answer: 70-year-old woman, has severe abdominal pain several times, each time for 1 to 2 hours, usually occurs after dinner, 2 months ago before the onset of acute myocardial infarction 1. Abdominal X-ray see anomaly, ultrasound showed a 0.4 cm diameter gallstones

Choices:
A. 28-year-old woman, had single 1.0 cm in size of gallstones in the gallbladder; never had symptoms
B. 72 year-old man, have several right upper quadrant pain, nausea and vomiting were combined, chest X-ray showed calcification site right upper quadrant gallbladder; 3 ultrasound showed gallstones, each 0.5 cm in size
C. 60 year-old woman, had 12 hours right upper quadrant pain, nausea and vomiting, body temperature of 38 ° C, showed three ultrasound gallstones, diameter of 1 to 2 cm, the gallbladder wall thickness, and a liquid retention pericholecystic
D. 70-year-old woman, has severe abdominal pain several times, each time for 1 to 2 hours, usually occurs after dinner, 2 months ago before the onset of acute myocardial infarction 1. Abdominal X-ray see anomaly, ultrasound showed a 0.4 cm diameter gallstones


Question: From the previous question, when patients receive physical examination, pressing the hand on the abdomen, the jugular vein was observed more than 1 cm wave rises, this inspection method is called:

Answer: hepato-jugular reflux

Choices:
A. Kussmaul's sign
B. hepato-jugular reflux
C. Murphy's sign
D. Musset's sign


Question: The most common fungal spores are asexual spores What?

Answer: Conidia

Choices:
A. Conidia
B. Blastospores
C. Sporangium spore
D. Chlamydospores


Question: There are about hypothyroidism associated narrative of the patient, following that a correct?

Answer: Checkups may find that the body has a diffuse enlargement of the thyroid gland

Choices:
A. Checkups may find that the body has a diffuse enlargement of the thyroid gland
B. Thyroid cancer does not appear
C. If the elderly, should be immediately given a sufficient amount of thyroid hormone, the function returns to normal as soon as possible
D. Once pregnant, should immediately stop thyroxine


Question: From the previous question, the most likely pathogens are:

Answer: Streptococcus pneumoniae (Streptococcus pneumoniae)

Choices:
A. Group A streptococci (group A Streptococcus)
B. E. coli (Escherichia coli)
C. Staphylococcus aureus (Staphylococcus aureus)
D. Streptococcus pneumoniae (Streptococcus pneumoniae)


Question: The following narrative about the circulation of the abdominal cavity, what's wrong?

Answer: Between the hepatic portal vein and the vein is not consistent with sticks

Choices:
A. Superior mesenteric artery Small walk through the mesenteric
B. Rectal artery (Superior rectal artery) are the terminal branches of the inferior mesenteric artery
C. Between the hepatic portal vein and the vein is not consistent with sticks
D. Hepatic, splenic artery supplied from the celiac artery (celiac trunk)


Question: The following kind of enzyme activity level will affect the formation of NADPH and reduced state of glutathione?

Answer: Glucose 6-phosphate dehydrogenase

Choices:
A. Glucose 6-phosphate dehydrogenase
B. Pyruvate dehydrogenase
C. Lactate dehydrogenase
D. Alcohol dehydrogenase


Question: The most common cause of urinary incontinence in women is that one of the following?

Answer: Unstable bladder

Choices:
A. Detrusor dyssynergia
B. Unstable urethra
C. Unstable bladder
D. Urethral diverticulum


Question: That condition following a drug or least likely to cause respiratory alkalosis?

Answer: Morphine (morphine)

Choices:
A. Salicylates (salicylates)
B. Alpine
C. pregnancy
D. Morphine (morphine)


Question: Mr. Wu duodenal ulcer bleeding due to the need for emergency surgery, following surgery surgical options whichever is most inappropriate?

Answer: Antral (including ulceration) resection plus Roux-en-Y gastric jejunostomy (antrectomy with Roux-en-Ygastrojejunostomy)

Choices:
A. Ulcer hemostasis (oversew)
B. Ulcer hemostasis heightening selective vagotomy surgery (oversew and highly selective vagotomy)
C. Ulcer hemostasis plus vagus nerve transection plus pyloroplasty (oversew with truncal vagotomy and pyloroplasty)
D. Antral (including ulceration) resection plus Roux-en-Y gastric jejunostomy (antrectomy with Roux-en-Ygastrojejunostomy)


Question: Account of larynx (laryngeal cancer) of, what's wrong?

Answer: Subglottic cancer (subglottic cancer) will result in initial airway obstruction

Choices:
A. Supraglottic cancer (glottic cancer) early symptoms of hoarseness (hoarseness) based
B. Early supraglottic cancer (supraglottic cancer) obvious symptoms, is more advanced when a voice hoarse
C. Subglottic cancer (subglottic cancer) will result in initial airway obstruction
D. When the vocal cords by movement of at least clinical staging tumor Effect T3


Question: 76 human consumption of aquatic plants contain cystic larvae, following those who may be infected with parasites? ① Yokogawa shaped flukes (Metagonimus yokogawai) ② ginger insects (Fasciolopsis buski) ③ cattle and sheep liver fluke (Fasciola hepatica) ④ Wei's lung fluke (Paragonimus westermani)

Answer: ②③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④


Question: Which of the following is not attached to the axial skeleton?

Answer: Teres major (Teres major)

Choices:
A. Pectoralis major muscle (Pectoralis major)
B. Pectoralis minor muscle (Pectoralis minor)
C. Teres major (Teres major)
D. Serratus anterior muscle (Serratus anterior)


Question: About ⾺ Erni Fei Penicillium (Talaromyces marneffer; formerly Penicillium memeffei) narrative, the Which statement is correct?

Answer: The main route of infection was respiratory tract (respiratory tract)

Choices:
A. 37 [deg.] C was form filamentous fungus (hyphae)
B. Jointed spore Submenu (arthroconidia)
C. ⺟ class does not render yeast bacteria (yeast-like) patterns
D. The main route of infection was respiratory tract (respiratory tract)


Question: 22.40 year-old man with hypertension, chronic kidney disease, sometimes mental fatigue, blood creatinine (creatinine) 6.5 mg / dL, hemoglobin 11.6 g / dL, ferrite (ferritin) 105 ng / mL, vitamin B12 150 pg / mL, folic acid (folate) 1.2 ng / mL. This patient, Which of the following treatment using the most inappropriate?

Answer: Red blood cell growth hormone

Choices:
A. Red blood cell growth hormone
B. Iron
C. Vitamin B12
D. Folate


Question: A 64-year-old female, found on the right eyelid there is a painless, progressively larger the mass, there are eight months. Furthermore, this tumor had received secondary incision curettage. Check the right eyelid, the eyelashes and visible modification falling eyelid margin. What this case the most likely diagnosis?

Answer: Sebaceous gland carcinoma (sebaceous gland carcinoma)

Choices:
A. Basal cell carcinomas (basal cell carcinoma)
B. Squamous cell carcinoma (squamous cell carcinoma)
C. Sebaceous gland carcinoma (sebaceous gland carcinoma)
D. Malignant melanoma (malignant melanoma)


Question: A 6-year-old boy due to an allergic reaction to eating peanuts (anaphylaxis), most are not suitable to accept what treatment?

Answer: Administration of nonsteroidal anti-inflammatory agent (NSAID)

Choices:
A. Injection of adrenaline (epinephrine)
B. Given oxygen
C. Give antihistamine
D. Administration of nonsteroidal anti-inflammatory agent (NSAID)


Question: 13 of the following statements about the severe acute respiratory syndrome (severe acute respiratory syndrome, referred to as SARS), and what's right?  is caused by a new coronavirus (coronavirus)  SARS virus is a DNA virus  viral pathogenesis (fever)  up to day 1 to day 4 viral load at 10 days after onset (fever) peak


Question: About cholesterol (cholesterol) described the structure and function of the cell membrane, Which statement is correct?

Answer: Can help regulate cholesterol in the membrane fluidity of the cell membrane (membrane fluidity)

Choices:
A. Compared with the cell membrane, organelle membrane (membrane of the organelle) on cholesterol more
B. Cholesterol with polar hydroxyl group (polar hydroxyl group) embedded in the interior of the sandwich (Interior) cell membrane lipid bilayer (lipid bilayers)
C. Can help regulate cholesterol in the membrane fluidity of the cell membrane (membrane fluidity)
D. Cholesterol distribution inside and outside the cell membrane is symmetric (Symmetric)


Question: From the previous questions, want to help the young women get quick and reliable initial diagnosis, arrange an inspection that is most appropriate?

Answer: Urine routine examination, including urine sediment examination

Choices:
A. Urine culture
B. Abdominal X-ray photography
C. Urine routine examination, including urine sediment examination
D. Abdominal sonography


Question: Intravenous rt-PA (recombinant tissue plasminogen activator) treatment of ischemic stroke, must be implemented within a few hours after a stroke?

Answer: 3 hours

Choices:
A. 3 hours
B. 6 hours
C. 9 hours
D. 24 hours


Question: Statements about ⽯ cotton lung disease (asbestosis) is, which of the following error?

Answer: Obstructive dysfunction and gas diffusing capacity (diffusing capacity) decline in lung function, shortness of breath is the main cause of disease Face

Choices:
A. ⽯ mainly exposed to the production process caused by cotton ⽣ often ⾒ Use fireproof insulating material or current
B. Diffuse pulmonary fibrosis lesions prone
C. ⽪ between lung cancer or cell tumor (mesothelioma) may appear merged
D. Obstructive dysfunction and gas diffusing capacity (diffusing capacity) decline in lung function, shortness of breath is the main cause of disease Face


Question: 66 year old man appears as shown in Figure lesions, the most likely diagnosis, clinical features and the most important why?

Answer: Systemic scleroderma (systemic sclerosis); finger sclerosis (sclerodactyly), finger ulcers (digital ulcerations)

Choices:
A. Lupus erythematosus (lupus erythematosus); lupus fat inflammation (lupus panniculitis)
B. Systemic scleroderma (systemic sclerosis); finger sclerosis (sclerodactyly), finger ulcers (digital ulcerations)
C. Rheumatoid arthritis (rheumatoid arthritis); rheumatoid nodules (rheumatoid nodules)
D. Dermatomyositis (dermatomyositis); Gottron's sign (Gottron sign)


Question: Schiller-Duvall bodies which are usually found in the following germ cell tumors (germ-cell tumor) in?

Answer: Endodermal sinus tumor (endodermal sinus tumor)

Choices:
A. Embryonic malignant tumor (dysgerminoma)
B. Choriocarcinoma (choriocarcinoma)
C. Endodermal sinus tumor (endodermal sinus tumor)
D. Teratoma (mature teratoma)


Question: The following related neonatal lupus (neonatal lupus) narrative, what's wrong?

Answer: Requires active use of steroids

Choices:
A. Because the mother's antibodies from causing symptoms
B. Can cause thrombocytopenia, rash and hepatitis
C. Sometimes cardiac conduction problems need to install artificial pacemaker
D. Requires active use of steroids


Question: A 55 year old patient suffering from hepatocellular carcinoma with metastases in the abdominal cavity, is currently undergoing an experimental chemotherapy, and you are his Zhuyuanyishi. One day, a patient sitting in his bed you would like to ask you some questions. He said he felt that drug has no effect, but dared not to the attending physician to stop drug use. Which of the following is the most appropriate first response?

Answer: First listen to his thoughts and feelings, talk about his concerns subsequent disposal

Choices:
A. First listen to his thoughts and feelings, talk about his concerns subsequent disposal
B. Recommended that patients with medication as possible to maximize the chances of survival
C. He promised to find the latest information for re-confirm whether it is worthwhile to continue treatment
D. You do not inform patients of his understanding of the drug use, ask him to discuss with the attending physician


Question: Which of the following is responsible for sky cerebellum (cerebellar tentorium) of the general feeling?

Answer: The first branch of the trigeminal nerve

Choices:
A. The third branch of the trigeminal nerve
B. The second branch of the trigeminal nerve
C. The first branch of the trigeminal nerve
D. Occipital nerve


Question: The following narrative about skin intestinal fistula and what is non?

Answer: Abdominal ultrasound should be performed as soon as possible or computer tomography, to determine the presence or absence of abdominal fluid accumulates or abscess formation, and be appropriate drainage

Choices:
A. The vast majority hypotonic amount of skin intestinal fistulas have the opportunity to turn itself off
B. When the fistula is present for greater than six months or more, yet itself off, surgical treatment is taken
C. Abdominal ultrasound should be performed as soon as possible or computer tomography, to determine the presence or absence of abdominal fluid accumulates or abscess formation, and be appropriate drainage
D. Breakfast should be based on water-soluble contrast agent injected via the fistula, to determine the location of the fistula, the fistula length, distal intestinal non-blocking, and whether or not to provide surgical treatment