Question: After the reaction physiology Which is not bedridden patients not moving (immobilization)?

Answer: Ligamentous laxity, increased ductility

Choices:
A. Muscle atrophy
B. Weakness
C. Ligamentous laxity, increased ductility
D. Poor motor coordination


Question: Humans, vitamin D3 is converted to 25-hydroxycholecalciferol is mainly carried out in which of the following organs?

Answer: liver

Choices:
A. skin
B. kidney
C. liver
D. parathyroid gland


Question: Esotropia eye when doing alternate cover test (alternate cover test), covering the right eye moves to the left eye, right eye to what will appear to move?

Answer: Abduction (Abduction)

Choices:
A. In the exhibition (adduction)
B. Abduction (Abduction)
C. Down (downword movement)
D. Improvement (upward movement)


Question: Suppose there is a popular city Influenza A, 10% of households have infected mothers, 10% of households dad infection, 2 percent of parents are also infected with the family, if the A event for the mother of infection, B event for the father has infection, then P (A | B) =?

Answer: 0.2

Choices:
A. 0.1
B. 0.002
C. 0.2
D. 0.005


Question: Healthcare nuclear emergency physician is notified to delete the process of pre-hospital emergency patient died in CPR and intubation. The following statements is true?

Answer: Emergency physicians should be according to their clinical judgment to decide whether to require CPR and intubation. Healthcare should argue nuclear deleted

Choices:
A. To pre-hospital patient's death does not require CPR and intubation, nuclear delete reasonable health care
B. Patient dead on arrival must be CPR and intubation, nuclear delete unreasonable health insurance
C. Emergency physicians should be according to their clinical judgment to decide whether to require CPR and intubation. Healthcare should argue nuclear deleted
D. In accordance with the provisions of the hospital to decide whether the patient dead on arrival of emergency


Question: 52. Which of the following virus infection, the site of infection in smears can see how endosomal fusion cells with nuclei (inclusion body)?

Answer: Herpes simplex virus

Choices:
A. Herpes simplex virus
B. Human papillomavirus
C. Adenovirus
D. Epstein-Barr virus


Question: A 78-year-old woman, suddenly paralyzed on the right side, below is made by CT 2 days, most likely that the following distribution of a blood vessel infarct?

Answer: Middle cerebral artery

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


Question:
61. A 20-year-old woman hospitalized psychiatric patients, makeup wear strapless evening dress, singing and dancing in the hall. Her self-confidence is the most attractive of the giant star, and because he is convinced that the performance too prominent, who were jealous framed being held here. To diagnose the Ms first bipolar disorder
 (Bipolar I disorder), Which statement is correct?

Answer: Must exclude the effects of hyperthyroidism caused by low or

Choices:
A. Must also have major depressive episodes (major depressive episode)
B. These symptoms may not be caused by loss of function of patients
C. Do not need to consider the possible influence of drugs
D. Must exclude the effects of hyperthyroidism caused by low or


Question: The following symptoms related to vaginal trichomoniasis (Trichomonas vaginalis) or caused, whichever wrong?

Answer: Sexual partners, men do not have symptoms may not be necessary if the administration simply treat the symptoms of the woman to

Choices:
A. Sexual partners, men do not have symptoms may not be necessary if the administration simply treat the symptoms of the woman to
B. No reservoir host (reservoir host)
C. Female patients of symptoms, including vaginal itching, increased vaginal discharge and often has yellow-green, etc.
D. According to research in Africa shows that the higher the probability of disease Trichomonas vaginalis (vaginal trichomoniasis) HIV-infected patients


Question: A monarch after strenuous exercise immediately drink a bottle of wine  high, and did not eat, following about the narrative of carbohydrate metabolism in vivo what's wrong?

Answer: Resulting in glycogenolysis (glycogenolysis) reduction

Choices:
A. May cause low blood sugar (hypoglycemia)
B. Alcohol metabolism will consume NAD +
C. Resulting in glycogenolysis (glycogenolysis) reduction
D. Resulting in gluconeogenesis role (gluconeogenesis) reduction


Question: A 45 year old woman complained about itchy skin during treatment, physical examination found xanthomas (xanthelasma) of the upper eyelid, blood tests found that alkaline phosphatase (ALP), cholesterol and increase the value of IgM, anti-mitochondria antibody were positive, the following what is the most appropriate term of diagnosis?

Answer: Primary biliary cirrhosis (Primary biliary cirrhosis)

Choices:
A. Drug-induced hepatitis
B. Obstructive jaundice
C. Primary biliary cirrhosis (Primary biliary cirrhosis)
D. Primary sclerosing cholangitis (Primary sclerosing cholangitis)


Question: A 35-year-old woman for medical treatment due to polyuria. Forward limit of the water test, the blood osmolality 288 mOsm / kg (normal 282-295 mOsm / kg), urine osmolality 250 mOsm / kg, 6 hours after the test water restriction, the blood osmolality 298 mOsm / kg, urine osmolality 300 mOsm / kg, 1 h after subcutaneous injection of pitressin 5 units, the blood osmolality 290 mOsm / kg, urine osmolality 550 mOsm / kg. The most likely diagnosis is:

Answer: Inadequate secretion of pituitary ADH all

Choices:
A. Inadequate secretion of ADH portion of the pituitary gland
B. Inadequate secretion of pituitary ADH all
C. Psychological excessive drinking
D. Nephrogenic diabetes insipidus


Question: Statements about the formation of urinary stones, which of the following error?

Answer: Infection stones (infection stone) formed in acidic urine (low urine pH) more readily

Choices:
A. The most important factor in the formation of uric acid stones (uric acid stone) are acidic urine (low urine pH)
B. Infection stones (infection stone) formed in acidic urine (low urine pH) more readily
C. The incidence of kidney stones adult men than adult women high
D. The incidence of urinary tract stones weight and body mass ratio (BMI) related


Question: Most breast changes which may have occurred during pregnancy?

Answer: ⼩葉增⽣（lobular hyperplasia）

Choices:
A. Interstitial fibrosis (stromal fibrosis)
B. ⽪ of squamous ⽣ (ductal epithelium squamous metaplasia) on the duct
C. Iso ⽣ acinar cells (acinic cell dysplasia)
D. ⼩葉增⽣（lobular hyperplasia）


Question: 35 year old man appeared a tumor in the thyroid gland. Pathological examination revealed the tumor had amyloid (amyloid) deposition. The following account of this type of tumor, whichever is most appropriate?

Answer: Tumor cells contain thyroglobulin

Choices:
A. Thyroid C-cell hyperplasia were
B. Tumor cells contain thyroglobulin
C. The first symptoms of hypocalcemia must have
D. RET mutation nothing to do with potential violations of the tumor


Question: Which of the following can be most effective in improving posture dysphagia stroke patients with hemiplegia (dysphagia)?

Answer: The head forward, chin Shoulong (chin tuck)

Choices:
A. The head forward, chin Shoulong (chin tuck)
B. Will head to the healthy side (turning the head to the stronger side)
C. The head tends to ipsilateral side (tilting the head toward the affected side)
D. The head thrown back, chin protrusion (neck extension)


Question: Which of the following causes, resulting in type II diabetes is not a major causative machine turn?

Answer: Inadequate secretion of glucagon

Choices:
A. Of insulin resistance
B. Insulin secretion
C. Inadequate secretion of glucagon
D. Excessive free fatty acids


Question: 30-year-old female patient, post-traumatic wrist pain, initially to adopt a folk remedy, after a half months has not improved, it is accepted imaging. X-ray photography picture shows the front of the A, B Pictured T1WI, coronal view, why should patients the correct diagnosis?

Answer: scaphoid fracture with avascular necrosis

Choices:
A. osteomyelitis of scaphoid
B. scaphoid fracture with avascular necrosis
C. lunate fracture with dislocation
D. osteolytic bone tumor of scaphoid with fracture


Question: Part of molar pregnancy (partial molar pregnancy), the most common type of chromosome why?

Answer: 69, XXY

Choices:
A. 46, XX
B. 46, XY
C. 69, XXY
D. 69, XYY


Question: 9. A 45 year old male patient with a history of chronic hepatitis C, because the urine and edema of foam and for treatment Tichongzengjia from 5 kg, 24-hour urinary protein which flow 4 g / dL, serum complement (complement) concentration decline, following statements is wrong?

Answer: Prone to renal artery embolization

Choices:
A. The degree of proteinuria in nephrotic syndrome has reached the standard of
B. Cryo-patient blood often occur (cryoglobulin)
C. Prone to renal artery embolization
D. When do kidney biopsy, pathological diagnosis is most likely MPGN (membranoproliferative glomerulonephritis)


Question: As shown, for the laparoscopic Burch colposuspension bilateral vagina next to the fascia (paravaginal fascia) after the suspension laparoscopic surgery pictures, iliopectineal ligament (Cooper's ligament) Which of the following is the text of the figure indicated it?

Answer: C

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


Question: Which of the following virus structure can resist acid and disinfectants (detergents)?

Answer: Protein shell (capsid)

Choices:
A. Mantle (Envelope)
B. A nucleic acid binding protein thereof
C. Protein shell (capsid)
D. Nucleic acids (DNA or RNA)


Question: Charge of a multi-peptide (polypeptide) at its isoelectric point of pH (isolelectric pH) of the solution, the multi-peptide Why?

Answer: The net charge of zero

Choices:
A. Amine (Amino) and a carboxyl group (carboxyl) terminus (termini) are positively charged
B. Amino and carboxy termini neither charged
C. The net charge of zero
D. With four net charge


Question: 12-year-old hemoglobin H disease (hemoglobin H disease) patients had undergone splenectomy, a recent high fever and cough cases, the patient may have to consider sepsis (sepsis) status, following the kind of bacteria is less common in this patient?

Answer: Neisseria meningitidis

Choices:
A. Streptococcus pneumoniae
B. Escherichia coli
C. Haemophilus influenzae
D. Neisseria meningitidis


Question: For a description of fungal hyphae, which of the following error?

Answer: Mycelium produces spores called vegetative mycelium

Choices:
A. Mycelium grown under different conditions because the length varies
B. Mycelium produces spores called vegetative mycelium
C. Form hyphae of fungus as a basis for identification
D. Fragmentation of the mycelium fungus is one mode of reproduction


Question: After a 69-year-old menopausal women, vaginal bleeding due to accept endometrial curettage surgery, pathology report showed the class endometrial adenocarcinoma cells differentiate into Level 3 (grade 3), pelvic MRI (MRI) found deep muscle layer of the uterus suspected violations of the following statements is true?

Answer: Patients should by laparotomy, removal of the uterus and fallopian tubes and ovaries, pelvic and para-aortic lymph nodes next pick addition, the peritoneal cavity lavage cytology

Choices:
A. Patients should by laparotomy, and hysterectomy and bilateral salpingo
B. Patients should by laparotomy, removal of the uterus and fallopian tubes and ovaries, pelvic and para-aortic lymph nodes next pick addition, the peritoneal cavity lavage cytology
C. Smoking, obesity, a risk factor for productive times for this disease
D. A first patient condition is endometrial cancer, and are often related to p53 mutation


Question: Krebs cycle (TCA cycle) of the intermediate product is generated directly following those two amino acids via transamination (the transamination)?

Answer: Glutamic acid (glutamate) and aspartic acid (aspartate)

Choices:
A. Arginine (Arginine) and histidine (histidine)
B. Tyrosine (tyrosine) and proline (proline)
C. Glutamic acid (glutamate) and aspartic acid (aspartate)
D. Alanine (alanine) and serine (serine)


Question: Cause traveler's diarrhea (traveler's diarrhea) pathogen in less common is which of the following?

Answer: Cyclospora 和 Giardia lamblia

Choices:
A. E. coli
B. Salmonella 和 Shigella
C. Rotavirus 和 Norwalk-like virus
D. Cyclospora 和 Giardia lamblia


Question: The following meningioma (meningiomas), He who could not help the internal carotid artery (internal carotid artery) blood supply?

Answer: Meningioma cranial hump (cranial convexity meningioma)

Choices:
A. Olfactory groove meningioma (olfactory groove meningioma)
B. Sphenoid wing meningioma (sphenoid wing meningioma)
C. Lateral ventricle meningioma (lateral ventricle meningioma)
D. Meningioma cranial hump (cranial convexity meningioma)


Question: One study conducted regression analysis, if the coefficient of determination (coefficient of determination) R2 of 0.25. The following statements is true?

Answer: Related to this independent variable X in the dependent variable Y explain variation of 25%

Choices:
A. This is a statistically significant correlation
B. Related to this correlation (correlation coefficient) must +0.5
C. This is likely to draw a sample from a correlation coefficient of the parent group 0
D. Related to this independent variable X in the dependent variable Y explain variation of 25%


Question: Allergic asthma, a major change in the organization:

Answer: Small bronchi and bronchioles (small bronchi and bronchioles)

Choices:
A. Bronchus (major bronchi)
B. Small bronchi and bronchioles (small bronchi and bronchioles)
C. Alveoli (alveoli)
D. Pulmonary microvascular (capillaries)


Question: Stage renal failure patients often complications, the following statements is wrong?

Answer: Patients have hyperphosphatemia, primarily because of inadequate secretion of parathyroid

Choices:
A. Anemia is usually normocytic, normochromic, the kidney is the main reason not make enough red blood erythropoietin (erythropoietin)
B. Patients prone to bleeding, mainly due to a problem with platelet function, you can use desmorpressin treatment
C. Patients have hyperphosphatemia, primarily because of inadequate secretion of parathyroid
D. At this time, metabolic acidosis occurred in patients, there may be a non-anion gap (non-anion gap), and anion gap (anion gap) metabolic miscibility of acidosis


Question: Back pain, imaging studies found L4 vertebral body spondylolisthesis of L5 vertebral body (spondylolisthesis) under long-term patients. Which of the following is least likely?

Answer: L5 joint between the portions of the defect or break

Choices:
A. Defective joint between the L4 portion (pars interarticularis) or fracture of
B. L5 joint between the portions of the defect or break
C. L4-5 facet joints (facet joint), and the shift of osteoarthritis
D. L4 or L5 nerve root (nerve root) oppression


Question: From the previous question, after series of checks, and no malignancy of the esophagus, Which of the following is the most correct diagnosis?

Answer: Plummer-Vinson syndrome

Choices:
A. scleroderma
B. Schatzki's ring
C. Plummer-Vinson syndrome
D. reflux related esophagitis


Question: The following classification on the differential diagnosis of arthritis, which combined the most correct?

Answer: sarcoidosis－chronic polyarticular arthritis

Choices:
A. tuberculous arthritis－acute monoarticular arthritis
B. virus-induced arthritis－chronic monoarticular arthritis
C. sarcoidosis－chronic polyarticular arthritis
D. infectious arthritis－acute polyarticular arthritis


Question: 26 year old woman, G2P1, 40 weeks of pregnancy prenatal ultrasound examination, which of the following is abnormal?

Answer: Fetus at diameter (biparietal diameter, BPD) 50 mm

Choices:
A. Fetus at diameter (biparietal diameter, BPD) 50 mm
B. Fetal femur (femur length, FL) 70 mm
C. Abdominal circumference 35 cm
D. Amniotic fluid index (amniotic fluid index, AFI) 20 cm


Question: Ready to study the relationship between colorectal cancer cases and postoperative complications in patients before surgery, a study to collect six patients with colorectal cancer is better preoperative preparation of the four cases with poor preoperative preparation, two postoperative complications Merger are a number of three. Which of the following statistical methods most appropriate?

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

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


Question: Abnormal liver function for a patient, it does not have the following coagulation test what performance?

Answer: thrombin time reduction

Choices:
A. fibrinogen decline
B. prothrombin time prolonged
C. aPTT normal or slightly increased
D. thrombin time reduction


Question: A 40-year-old Asian female patient, no history of smoking, was recently diagnosed with non-small cell lung cancer Phase IV, tumors have EGFR mutations, following which treatment is more appropriate?

Answer: EGFR inhibitors

Choices:
A. EGFR inhibitors
B. EGFR inhibitor + chemotherapy
C. Anti-angiogenic antibody
D. EGFR inhibitor + anti-angiogenic antibodies


Question: The following statements about the mitochondrial ATP synthase (ATP synthase), and what is correct?

Answer: When it catalyzes ATP synthesis, which is standard free energy change (ΔG'o) is in fact close to zero

Choices:
A. It contains F0 and F1 subunit (subunit), the two can penetrate the mitochondrial membrane
B. It may still be in aqueous solution separately synthesized ATP
C. It is able to hydrolyze ATP
D. When it catalyzes ATP synthesis, which is standard free energy change (ΔG'o) is in fact close to zero


Question: About lung physical therapy (chest physical therapy) of respiratory movement (breathing exercises), which of the following description of the error?

Answer: Patients with chronic obstructive pulmonary disease (COPD) respiratory movement (breathing exercises) comprises a stick lip breathing (pursed lip breathing) and stressed ⽽ fast shallow breathing (fast shallow breathing)

Choices:
A. Before teaches breathing exercises (breathing exercises), generally must first learn relaxation techniques (relaxation technique)
B. Patients with chronic obstructive pulmonary disease (COPD) respiratory movement (breathing exercises) comprises a stick lip breathing (pursed lip breathing) and stressed ⽽ fast shallow breathing (fast shallow breathing)
C. Pursed lips breathing (pursed lip breathing) Use is made that maintain a positive pressure of expiratory airway (maintain positive airway pressure during exhalation)
D. Chronic obstructive pulmonary disease (COPD) patients, although the teachings of commonly breathing diaphragm shutter mode (diaphragmatic breathing), but these ⽽ The language patient breathing diaphragm shutter mode than the natural coloring may respiratory shutter mode (natural pattern of breathing) consume more breathing work


Question:
32. A 35-year-old woman nocturia (nocturia) treatment, physical examination: blood pressure 150/94 mmHg, pulse rate 78 / min, other examination was normal. Real chamber subject: blood urea nitrogen 15 mg / dL, creatinine 1.0 mg / dL, fasting blood glucose 97 mg / dL, serum sodium 142 mmol / L, potassium
 8 mmol / L, serum chloride 90 mmol / L, normal urinary sediment, urinary excretion of potassium 50 mmol / day, gas arterial pH 7.45, [HCO3-] 30 mmol / L, PaCO2 44 mmHg, the patient most likely suffer from this?

Answer: Primary cortical aldehyde ketoacidosis (primary aldosteronism)

Choices:
A. Renal tubular acidosis (renal tubular acidosis)
B. Bartter syndrome (Bartter's syndrome)
C. Villous adenoma (villous adenoma)
D. Primary cortical aldehyde ketoacidosis (primary aldosteronism)


Question: The following description of staphylococcal scalded skin syndrome (SSSS) and toxic epidermal necrolysis (TEN), and what's right?

Answer: Both skin will be friction when there is Nikolsky's sign

Choices:
A. SSSS occurs in the elderly
B. TEN by Staphylococcus aureus caused by the release of exotoxin
C. Both skin will be friction when there is Nikolsky's sign
D. SSSS will cause necrosis of the whole epidermis


Question: The following semen and sperm for proper nouns explanation, what's wrong?

Answer: asthenozoospermia: sperm motility excessive

Choices:
A. necrozoospermia: All sperm motility are not
B. asthenozoospermia: sperm motility excessive
C. oligozoospermia: a small number of sperm
D. azoospermia: sperm-free semen


Question: Chinese people venous thrombosis than the low prevalence of Caucasians, because the Chinese rare items that the following diseases?

Answer: Resistance to activated protein C (activated protein C resistance)

Choices:
A. Antiphospholipid syndrome (antiphospholipid syndrome)
B. Protein S deficiency (protein S deficiency)
C. Hyperlipidemia homocysteine (hyperhomocysteinemia)
D. Resistance to activated protein C (activated protein C resistance)


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

Answer: Have a little blood vessels

Choices:
A. Have a little blood vessels
B. Have a little nerve fibers
C. Not keratinocytes (keratinize)
D. From the ectoderm


Question: A 55-year-old man complained of severe tremor because, outside the hospital has seen nearly 10 years, also ate several drugs, initially very effective, but recent poor control. Neurological examination revealed his bilateral limb there was a clear shaking at rest, and stiff, pull back the test (pull-test) may fall if not blocked. The patients most likely diagnosis is:

Answer: Parkinson's disease No. 3

Choices:
A. Parkinson's disease Phase 2
B. Parkinson's disease No. 3
C. Essential tremor
D. Spinocerebellar ataxia


Question: After Which of the following needs to be absorbed into and accumulated in the parietal cells and its tubules, which metabolic conversion product that has the irreversible inhibition of H + / K + -ATPase pharmacological effect?

Answer: esomeprazole

Choices:
A. metoclopramide
B. cimetidine
C. diphenoxylate
D. esomeprazole


Question: Which of the following taking vasodilator easy to produce side effects hirsutism?

Answer: minoxidil

Choices:
A. hydralazine
B. minoxidil
C. captopril
D. sildenafil


Question: The role of the nervous system bladder urine storage period, the following statements is wrong?

Answer: Signals emitted by the central pontine urine storage (pontine storage center) is transmitted via the external urethral sphincter pelvic nerve (pelvic nerve)

Choices:
A. Bladder urine up signal is transmitted to the central nervous system via the pelvic nerve (pelvic nerve)
B. Signals emitted by the central pontine urine storage (pontine storage center) is transmitted via the external urethral sphincter pelvic nerve (pelvic nerve)
C. Sympathetic signal enhancement, and spread to the bladder through the lower abdomen nerve (hypogastric nerve)
D. Bladder filled up signal may be referred to as a protective Spinal reflex reflector (guarding reflex), increased urinary functions forbidden


Question: According to Denis classification, the following where thoracolumbar injuries (thoracolumbar injuries) would be considered unstable?

Answer: 中柱（middle column）

Choices:
A. Front pillar (anterior column)
B. 中柱（middle column）
C. After column (posterior column)
D. Thoracolumbar junction (thoracolumbar junction)


Question: Health-related synthesis of collagen protein (collagen) narrative, what's wrong?

Answer: After modification only hydroxylation

Choices:
A. After proline and lysine Often modification (modification)
B. Vitamin C is required to participate in
C. Most of glycine, alanine, proline composed
D. After modification only hydroxylation


Question: One child under 6 years old because of fever, throat pain, cough, runny nose for 4 days treatment, physical examination revealed mild redness of the throat, lung and heart auscultation was normal and no other abnormal symptoms. Check blood leukocytes 4,300 / mm3, segment 56%, lymphocyte 41%, monocyte 3%. His father and mother one day before the visit sick children have a fever, and muscle pain symptoms. That one of the following is the most likely of children suffering from the disease?

Answer: Influenza virus infection

Choices:
A. Influenza virus infection
B. Adenovirus infection
C. septicemia
D. Enterovirus infection


Question: A 40 year old obese female patient, after receiving pelvic surgery on the third day suddenly presented wheezing and severe shortness of breath. The patient's respiratory rate 38 / min, heart rate was 120 / min. The maximum possible causes of the symptoms of this patient is:

Answer: Pulmonary embolism

Choices:
A. High blood sugar
B. septicemia
C. Wound pain
D. Pulmonary embolism


Question: 7129-year-old female patient, introverted, cautious, doing things carefully and seriously. 3 months ago appeared repeatedly memories of the past did, over and over again to check whether the drawer shut the office, at home against the gas switch should be checked over and over again. Saw the weapon are constantly worried about whether they will harm their families, knowing that this idea is irrational, but can not be controlled, to this end is upset. The case most likely diagnosis is:

Answer: Obsessive-compulsive disorder

Choices:
A. phobia
B. Obsessive-compulsive disorder
C. amnesia
D. Personality disorder


Question: Concerning variant Creutzfeldt-Jakob disease (variant Creutzfeldt-Jakob disease; vCJD) described Which statement is correct?

Answer: The average survival time is longer than sporadic Creutzfeldt-Jakob disease

Choices:
A. The average age of the disease usually occurs 65 years old
B. Often associated with depression, intelligent rapid decline, jump and muscle disease
C. The average survival time is longer than sporadic Creutzfeldt-Jakob disease
D. Most have a 14-3-3 protein in cerebrospinal fluid, and can be measured Pu Liang (the prion) protein


Question: 46 A 60-year-old male patient, fever, chest pain on the right side hospitalized. Chest X-rays showed a small amount of water right pleural cavity, is displayed as a check pumping exudate, WBC: 8,800 / mm3 and polynuclear cells were mainly neutrophils (85%), pH value 7.28, Sugar was 76 mg / dL. Which of the following is the most appropriate treatment?

Answer: Start antibiotic therapy, and chest X-ray examination track

Choices:
A. Start antibiotic therapy, and chest X-ray examination track
B. Antibiotics, and immediately insert a chest tube drainage of pleural cavity water
C. The use of anti-TB drugs
D. Wait cytology results, and then decide the follow-up treatment


Question: Statements about Enchondroma (enchondroma) of, which of the following error?

Answer: The so-called Maffucci's syndrome refers to the multiple limb deformation caused enchondroma

Choices:
A. Common in the hands or feet of the proximal finger (toe) bone
B. The so-called Maffucci's syndrome refers to the multiple limb deformation caused enchondroma
C. Often caused by pathological fractures
D. When the violation of long bones, in the X-ray visible inclusions calcifications


Question: When the chemical eye burns (chemical burn), the first step in what is first aid?

Answer: Immediately rinse the eye

Choices:
A. Eyes bandaged
B. Rushed to hospital
C. Immediately rinse the eye
D. Immediately administered steroids


Question: The following (dystrophic type) account of malnutrition neurofibromatosis type of scoliosis, what's wrong?

Answer: Good therapeutic effect of the back frame

Choices:
A. Often short, acute bending of scoliosis
B. Good therapeutic effect of the back frame
C. A deformity often merge
D. Is a genetic disease


Question: For the treatment of patients with low body temperature, the following statements is wrong?

Answer: Below body temperature 30 ℃, such as the heart stops, such as ECG VF, shock should be three times as invalid, only to do CPR, until the temperature exceeds 30 ℃

Choices:
A. Hypothermic patients prone to induce ventricular fibrillation (VF), when the processing operation should be gentle and ECG monitoring
B. Below body temperature 30 ℃, such as the heart stops, the treatment within the warm (internal rewarming) based
C. Below body temperature 30 ℃, such as the heart stops, such as ECG VF, shock should be three times as invalid, only to do CPR, until the temperature exceeds 30 ℃
D. Temperature 32 ℃, such as cardiac arrest, first aid and the general case, except for a time longer touch the pulse interval for a long time more medication


Question: Pregabalin produce analgesic effect of ion channels associated why?

Answer: calcium channel

Choices:
A. sodium channel
B. calcium channel
C. chloride channel
D. potassium channel


Question: Related to aortic stenosis, the following statements is wrong?

Answer: When symptoms of heart failure occur, the expected life expectancy is about 3 years

Choices:
A. When the determined failure symptoms, recommended acceptance of the aortic valve replacement
B. When symptoms of heart failure occur, the expected life expectancy is about 3 years
C. Calcific aortic stenosis, aortic valve area decreased each year about 0.1 cm ^
D. Approximately two to sudden death due to cardiac arrhythmias is patient death


Question: 68 year old man came to the right chest pain at emergency medical treatment. Physical examination found that patients with clear consciousness, chest auscultation in the right lower lobe of the breath decrease. Chest X-rays with a display at the right lower lobe of the amount of pleural effusion. Pumping examination revealed pleural exudate, cell count 4,500 / mL, the ratio of lymphocyte / neutrophil sum of 80/20, pH was 6.9, glucose 50, following which treatment is most appropriate?

Answer: Pleural fluid cytology and do the relevant checks of acidophilus

Choices:
A. Due to pH <7.0, suspicion quickly give pneumonia complicated by empyema insert a chest tube drainage
B. Unplugged chest tube drainage, antibiotic therapy
C. Pleural fluid cytology and do the relevant checks of acidophilus
D. For Bronchoscopy


Question: The following diseases on pulmonary function tests will show all restrictive pulmonary dysfunction, but what items the disease will increase the residual amount (residual volume)?

Answer: Respiratory muscle weakness

Choices:
A. Pulmonary fibrosis
B. obesity
C. After Scoliosis
D. Respiratory muscle weakness


Question: 31. The following statements about Schistosoma mansoni (Schistosoma mansoni) infection, that is wrong? ① stool may be checked with spines (terminal spine) ② eggs and diagnosis of chronic infection in patients prone to causing enlargement of the left lobe of the liver disease may be due to ③ raw water snails, which immature capsule (metacercaria) into the body infection

Answer: Only ①③

Choices:
A. Only ①②
B. Only ①③
C. Only ②③
D. ①②③


Question: Glucocorticoids (glucocorticoids) in inflammatory cells (inflammatory cells) in the following through which the main mechanism of action to produce anti-inflammatory effects?

Answer: Inhibit the activity of phospholipase A2

Choices:
A. Inhibit the activity of phospholipase A2
B. Inhibit the activity of phospholipase C
C. Promoting activity of phospholipase A2
D. Promote phospholipase C activity


Question: 46-year-old woman to return to Taiwan from the United States, because his hands and feet numbness, weakness, after the physician checkups, cervical an MRI scan (as shown below), inform the physician is likely to be malignant spinal tumor, why not?

Answer: Vertebral body, epidural malignant tumors

Choices:
A. Vertebral body, epidural malignant tumors
B. Intradural, outside the spinal cord tumors were neuroma and meningioma
C. Intradural, spinal cord tumor
D. Metastatic tumor


Question: That is one of the following common characteristics of DNA and RNA?

Answer: Containing both phosphate, sugar and base

Choices:
A. Are all double-stranded helix α
B. Synthesis have the same error correction mechanism to avoid
C. Containing both phosphate, sugar and base
D. In the second position of the pentose groups are -OH


Question: The main organs of aflatoxin damage are:

Answer: liver

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


Question: Which of the following parasympathetic fibers contained in it could not help facial nerve?

Answer: Parotid

Choices:
A. Lacrimal gland
B. The nasal mucosa glands
C. Parotid
D. Mandibular gland


Question: In patients with chronic stable angina, coronary artery disease following that, not indications of surgical treatment (indication)?

Answer: Two vessels have greater than 70% stenosis

Choices:
A. Have left main stenosis of greater than 60%
B. Jie three vessels greater than 70% stenosis, and poor left ventricular function
C. Two vessels have greater than 70% stenosis
D. Only the left anterior artery proximal to stenosis of more than 70% but less than 50% of the left ventricle emitted


Question: The following narrative about the sphingolipid synthesis, whichever is correct?

Answer: When the synthesis of palmitate and serine ceramide, while carbon dioxide is generated

Choices:
A. All the carbon atoms are derived from serine and palmitate into sphingosine comprising
B. Phosphatidic acid is a key intermediate
C. CDP-sphingosine is an activated intermediate
D. When the synthesis of palmitate and serine ceramide, while carbon dioxide is generated


Question: The following narrative about the absorption of the drug, whichever is wrong?

Answer: Ionization greater, the greater the absorption

Choices:
A. Most of the drug absorbed passively mode of transport
B. Ionization greater, the greater the absorption
C. High for the first time the effect of drugs, not oral
D. Bile excretion of the drug may be absorbed from the gut and then


Question: 77 A 36-year-old male worker weighing 70 kg, the fire broke out accidentally at work, 30% of the body surface area burns, Parkland formula calculated, eight hours before he was to be given to how many ml infusion?

Answer: 4200

Choices:
A. 8400
B. 6300
C. 4200
D. 2100


Question: 28 a five-month-old child suspected meningitis, has not been used before antibiotics, the cerebrospinal fluid examination results are as follows: white cell count 250 / mm3, mononuclear cell 85%, PMN 15%, sugar 60 mg / dL ( their blood sugar 110 mg / dL), protein mg / dL; according to the above meningitis more like he's that type of meningitis?

Answer: Viral

Choices:
A. Bacterial
B. Viral
C. TB
D. Cryptococcus


Question: Account of epilepsy surgery (epilepsy surgery), and which of the following error?

Answer: Childhood absence epilepsy (childhood absence epilepsy) to vagus nerve stimulation (vagus nerve stimulation) based

Choices:
A. Rasmussen encephalitis brain surgery to half (hemispherectomy) based
B. Zhang lost seizures (atonic seizure) to amputation of the corpus callosum (corpus callosotomy) based
C. Childhood absence epilepsy (childhood absence epilepsy) to vagus nerve stimulation (vagus nerve stimulation) based
D. Mesial temporal sclerosis (medial temporal sclerosis) in temporal lobectomy (temporal lobectomy) or amygdala - hippocampus resection


Question: In the blood smear stained with blood cell Which of the following is the biggest?

Answer: Monocytes

Choices:
A. erythrocyte
B. Lymphocyte
C. Monocytes
D. Neutrophils


Question:
20. One 25-year-old suffering from AIDS, one week before the upper respiratory tract infection, and purulent nasal discharge, nasal congestion, sinusitis and other symptoms, and fever (38 ℃), sore throat, two days before the sudden chills, high fever (39 ℃), head pain, pain behind the eyes; physical examination found that the first 3,4,6 cranial nerve palsy, the most likely diagnosis
 Why?

Answer: Cavernous sinus thrombosis

Choices:
A. Eye abscess
B. Brain abscess
C. Eye cellulitis
D. Cavernous sinus thrombosis


Question: A 16-year-old male patient presented with fever, cough less sputum, headache and general malaise for five days, chest X-rays appear left lower lobe infiltrate. After hospitalization, physician administering a second-generation cephalosporin treatment for five days, sustained fever, cough and a slight improvement, chest X-ray no obvious progress, the patient skin erythema multiforme major lesions. Sputum examination presented Gram (+) Cocci, PMNs> 25, squamous epithelial cells> 10 (X100 magnification). Serum cold agglutinins titer is 1:32 positive, the following statements is wrong?

Answer: Should be replaced for the third generation antibiotic β-lactam drugs

Choices:
A. Should be replaced for the third generation antibiotic β-lactam drugs
B. Skin lesions may be caused by the pathogen produces pneumonia
C. sputum Gram's stain appears Gram (+) Cocci, may be colonized flora within the patient's mouth
D. Viral infections such as cytomegalovirus, Epstein-Barr virus, can also cause cold agglutinins titer increased


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

Answer: Currently vaccinated against

Choices:
A. And hepatitis B compared to lower rates of hepatitis C infection in a vertical (perinatal transmission) of
B. If the mother is asymptomatic carrier of hepatitis C and associated with high viremia or associated with HIV infection, the risk of infection increases the vertical
C. After acute hepatitis C infection in 20 to 30 years, some patients will progress to cirrhosis of the liver (cirrhosis), liver failure (liver failure) or liver cancer
D. Currently vaccinated against


Question: When immunofluorescence method to make an anti-nuclear antibodies (ANA), except that the concentration level as a result, the other type of nuclear staining can be seen (pattern), that following a type associated with systemic sclerosis (systemic sclerosis) most relevant ?

Answer: Centromere pattern

Choices:
A. Centromere pattern
B. Peripheral pattern
C. Cytoplasmic pattern
D. Homogenous pattern 34 The following narrative about Rheumatoid arthritis (RA), and what's right?


Question: 53-year-old male, no past medical history. Complained the beach when a fish the fishing field is stabbed and palm fins, a few weeks to form a skin wound worsening 2 cm diameter of the central circular granuloma chronic ulcers with secretions. Skin biopsy by pathological changes granulomatous (granuloma), s giant cells (Langhans'giant cells), and how the amount of acidophilic bacteria, and culturing mycobacteria in the specimen only grow at 30 ° C bacteria culture. Which of the following is the most likely pathogens?

Answer: Mycobacterium marinum

Choices:
A. Mycobacterium abscessus
B. Mycobacterium kansasii
C. Mycobacterium marinum
D. Mycobacterium ulcerans


Question: 23-year-old pregnant woman, G2P1, pregnancy 35 weeks, for examination, the results as shown below, check its name why?

Answer: Umbilical artery blood flow velocity waveform

Choices:
A. Umbilical artery blood flow velocity waveform
B. Fetal blood flow velocity waveform inferior vena cava
C. Fetal middle cerebral artery blood flow velocity waveform
D. Fetal downlink aortic flow velocity waveform


Question: The following is that one artery ascending aorta (ascending aorta) branch?

Answer: Coronary artery (coronary artery)

Choices:
A. Internal thoracic artery (internal thoracic artery)
B. Coronary artery (coronary artery)
C. Bronchial artery (bronchial artery)
D. Intercostal artery (intercostal artery)


Question: 69 heart block town is a prevalence of coronary artery disease community, Dr. Lin efforts to promote smoking cessation campaign of community residents. Dr. Lin community survey in those groups such as women, children's health organization that provides psychological and social support for quitters. Dr. Lin present work, a step that belongs to Lawrence W. Green's PRECEDE mode?

Answer: Education diagnosis (educational diagnosis)

Choices:
A. Social diagnosis (social diagnosis)
B. Epidemiological diagnosis (epidemiological diagnosis)
C. Diagnostic behavior (behavioral diagnosis)
D. Education diagnosis (educational diagnosis)


Question: Antiepileptic drugs to stabilize concentrations (steady state concentrations) in the patient's blood half-life of the drug is usually several times?

Answer: Fives

Choices:
A. two
B. three
C. four
D. Fives


Question: A 16-year-old girl, accompanied by her mother to the maternity clinics for treatment, the patient complained of was born 40 days after the car accident injuries, after brain surgery is still mild mental retardation and physical disabilities situation. Patients have been raped but had to accept abortion, menstruation and menstrual cramps can not take care of themselves, the lack of long-term Gerenweisheng, mom administration request hysterectomy. Can I ask doctors perform surgery?

Answer: Not. Due to aggressive too large, and not in the best interests of the patient

Choices:
A. can. Due to meet the patient's best interests
B. can. Because of mental disability, parents may decide Agent
C. Not. Due to aggressive too large, and not in the best interests of the patient
D. Not. Because the patient will not sign consent


Question: 99.20-year-old woman, the last two weeks of persistent low-grade fever. Erythema patient cheeks, a mouth with a painless ulcer. Urine appears red blood cells cylinder (erythrocyte casts). Blood antinuclear antibodies (antinuclear antibody), anti-double-stranded deoxyribonucleic acid antibody (anti-double stranded DNA antibody), anti-Smith antigen (anti-Smith antigen) antibodies, rheumatoid factor (rheumatoid factor) were positive; anti section chromosome antibody (anticentromere antibody), anti-Scl-70 antibody, anti-SS-A antibody, anti-SS-B antibody or the like is rendered negative. This disease is mainly pathogenic machine turn, and elicit an immune overreaction Which of the following diseases (hypersensitivity) closest to?

Answer: Streptococcal glomerulonephritis (poststreptococcal glomerulonephritis)

Choices:
A. Multiple sclerosis (multiple sclerosis)
B. Acute rheumatic fever (acute rheumatic fever)
C. Streptococcal glomerulonephritis (poststreptococcal glomerulonephritis)
D. Myasthenia gravis (myasthenia gravis)


Question: 65 psoriasis patients taking other drugs due to recent, psoriasis flare, which of the following drugs and psoriasis worsening the most relevant?

Answer: atenolol

Choices:
A. isosorbide mononitrate
B. atenolol
C. metformin
D. simvastatin


Question: A 70-year-old man to the emergency room complaining of left side near the 2nd eyelids can not be closed, watery eyes, mouth drooping, the following statements is inappropriate?

Answer: Typical of Bell's palsy (Bell's palsy), can be completely ruled out the possibility of cerebrovascular disease

Choices:
A. Typical of Bell's palsy (Bell's palsy), can be completely ruled out the possibility of cerebrovascular disease
B. Cause of the disease may be related to herpes simplex virus (HSV) infection
C. Artificial tears and ointments to avoid cornea is too dry
D. Can open the oral steroid therapy


Question: After determining the lesion, Mr. Wang accept surgical treatment, postoperative recovery was smooth, but a week later began to appear drowsiness, unconsciousness, blood tests sodium 136 mEq / L, as shown computer tomography, which may occur concurrently Wang disease?

Answer: Vascular spasm (vasospasm)

Choices:
A. Vascular spasm (vasospasm)
B. Acute hydrocephalus (acute hydrocephalus)
C. Bleeding (rebleeding)
D. Low blood sodium (hyponatremia)


Question: 69 a 67-year-old retired male executives, there is a family history of liver cancer, there is no past history of a particular disease, usually without exercise habits, not smoking and not drinking. The following recommended preventive health services what items, there is no basis for evidence-based medicine?

Answer: Anemia Screening

Choices:
A. Anemia Screening
B. Depression Screening
C. Weight measurement
D. Vision Screening


Question: Appendicitis is a common acute abdomen of the following statements is inappropriate?

Answer: Acute appendicitis is the most common acute abdomen, often occurs in the elderly and children

Choices:
A. Acute appendicitis is the most common acute abdomen, often occurs in the elderly and children
B. Maxwell the third point (McBurney's point) for the right lower quadrant iliac spine front (anterior superior iliac spine) and an outer connecting navel
C. For acute appendicitis complications can not be considered non-surgical treatment, but there is still the standard treatment for the appendectomy
D. About 1% of patients as a tumor of appendix, it must still make a final pathology


Question: When the near distance, near reflex reaction (near reflex) generated does not include which of the following?

Answer: Iridescent vasoconstriction (iris vessel constriction)

Choices:
A. Adjust (accommodation)
B. Convergence (Convergence)
C. Pupil constriction (constriction of the pupil)
D. Iridescent vasoconstriction (iris vessel constriction)


Question: According to DSM-IV-TR, statements about the body of disease (somatoform disorder), and Which statement is correct?

Answer: Physical deformities disorders (body dysmorphic disorder) occur in the 15-30 year-old female, and the patient focus typically focuses on facial defects (facial flaws)

Choices:
A. Physical deformities disorders (body dysmorphic disorder) occur in the 15-30 year-old female, and the patient focus typically focuses on facial defects (facial flaws)
B. Body of illness (somatization disorder) occur more frequently at higher education level or social class were higher by
C. Hypochondriasis (hypochondriasis) are more commonly women, and by class and level of education-related community
D. Pain disorders (pain disorder), the most common disease and acute pain depressive disorder (depressive disorder), but is more often chronic pain and anxiety disorders


Question: Causes of Wilson's disease is caused by deposition of excess what?

Answer: copper

Choices:
A. iron
B. copper
C. silver
D. magnesium


Question:
42 a 75-year-old man had not previously been bleeding tendency, often for no reason last three years bruises on both sides of the forearm, and soon disappeared, no body parts for this phenomenon. Examination revealed normal blood platelet count, template bleeding time normal, PT and aPTT also normal.
 The following diagnostic whichever is most likely?

Answer: senile purpura

Choices:
A. Von Willebrand disease
B. Henoch-Schönlein purpura
C. senile purpura
D. uremic bleeding


Question: 23 This is a 13-year-old boy two weeks to have the upper eyelid edema, lower limb edema, Tizhongzengjia 5 kg. Boy past no similar history. Urine examination revealed Protein> 300 mg / dL; WBC 0-2 / HPF; RBC 0-2 / HPF. The blood serum albumin is 0.9 g / dL. The following related disposal or narrative, what's wrong?

Answer: Do not need to make section diagnosis can be directly used steroids, then make ineffective treatment of kidney sections

Choices:
A. Do not need to make section diagnosis can be directly used steroids, then make ineffective treatment of kidney sections
B. 6 weeks of continuous use such steroid treatment than continuous daily use rate of disease recurrence four weeks daily steroid therapy
C. Diuretics may increase thrombotic complications (thromboemboli complication) possibilities
D. Steroid dependence (steroid dependent) refers is changed every other day doses of steroids or disabled recurrence within 28 days


Question: Which of the following types of ventricular septal defect, aortic valve prolapse resulting in easier, ultimately resulting in aortic insufficiency?

Answer: Bit crooked (malalignment type)

Choices:
A. Rouzhu circumferential membrane type (perimembranous trabecular type)
B. Intramuscular runner type (muscular inlet type)
C. Artery type (subarterial type)
D. Bit crooked (malalignment type)


Question: coenzyme vitamins which are not involved in the formation of the role of the enzyme pyruvate dehydrogenase complex?

Answer: niacin

Choices:
A. thiamine
B. biotin
C. riboflavin
D. niacin


Question: For the sensory stimuli of different strengths, major changes in the parameters of nerve fibers Why?

Answer: frequency of action potential

Choices:
A. frequency of action potential
B. amplitude of action potential
C. duration of each action potential
D. latency of receptor potential


Question: 3634-year-old married woman, suffering from pituitary prolactin tumor (prolactinoma), rules to drug therapy can maintain normal menstrual cycles. Recently complained of the six weeks of amenorrhea, the merger nausea, and vomiting. At this point it should be recommended to make key hormones that check?

Answer: Urine of human chorionic of pro-hormone (hCG)

Choices:
A. Urine of human chorionic of pro-hormone (hCG)
B. Lactation hormone (prolactin)
C. TSH (TSH)
D. Adrenocortical hormones in urine collected less than 24 hours (Cortisol)


Question: 20 year old woman, suffering from atopic dermatitis, as the lesions appeared last week in the face, the following statements is true?

Answer: Herpes simplex virus infection

Choices:
A. Worsening of atopic dermatitis
B. Candida infections
C. Herpes simplex virus infection
D. Dermatophyte infection


Question: Which of the following nucleotide RNA molecule does not exist in general?

Answer: Adenine (adenine)

Choices:
A. Adenine (adenine)
B. Uracil (uracil)
C. Cytosine (cytosine)
D. Thymine (thymine) 33 following the vitamin is derived from cholesterol (cholesterol)?


Question: Which of the following diseases, at least gallbladder edema (Hydrops of gallbladder)?

Answer: Polysplenia (Polysplenia syndrome)

Choices:
A. Kawasaki disease (Kawasaki disease)
B. Polysplenia (Polysplenia syndrome)
C. Strep throat (Streptococcal pharyngitis)
D. Allergic purpura (Henoch-Schönlein purpura)


Question: The following best suited to the kind of drugs for the treatment of patients suffering from Zollinger-Ellison syndrome is?

Answer: proton pump inhibitors

Choices:
A. antacids
B. H2 antagonists
C. proton pump inhibitors
D. anticholinergic agents


Question: 35-year-old woman, to patient complained of painless bleeding nipple secretion, patients in the past without smoking and drinking habits, not pregnant in the past history, physical examination, no touch tumor, axillary lymph node enlargement, Which of the following is the most likely diagnosis?

Answer: intraductal papilloma

Choices:
A. Paget's disease
B. intraductal papilloma
C. ductal carcinoma
D. fibrocystic disease


Question: The definition of shoulder dystocia, fetal head was delivered after more than a few minutes at least shoulder is still not delivered?

Answer: 1 minute

Choices:
A. 1 minute
B. 2 minutes
C. 3 minutes
D. 4 minutes


Question: A 50-year-old woman, in recent months to feel tired and weak. Physical and laboratory test results found to be most important to her hemoglobin slightly lower. After a colonoscopy, she accepted the part of the large intestine resection. As shown in the drawings is to open the large intestine mucosa surface changes her excised specimen. Which of the following is the most important diagnosis?

Answer: Adenocarcinoma (Adenocarcinoma)

Choices:
A. Tubular adenoma (Tubular adenoma)
B. Adenocarcinoma (Adenocarcinoma)
C. Malignant lymphoma (Malignant lymphoma)
D. Gastrointestinal stromal cells aneurysm (Gastrointestinal stromal tumor)


Question: The following related knee surgery (knee arthroplasty) continuity after the passive joint movement (continuous passive movement) purpose, whichever is most incorrect?

Answer: Increase muscle strength of the biceps femoris

Choices:
A. Avoid joint contractures
B. Reduce joint swelling
C. Maintain joint proprioception
D. Increase muscle strength of the biceps femoris


Question: Ingredient content of adult male semen from where most?

Answer: Seminal vesicle

Choices:
A. Testicular
B. Epididymis
C. Seminal vesicle
D. prostate


Question: 75. The following information about Pan tail volvulus (Onchocerca volvulus) infection with the human narrative, several narrative is correct? ① micro filarial (microfilaria) will also appear in the urine ② micro filarial (microfilaria) may cause blindness ③ patients may present leopard skin patterns (leopard skin) ④ patients with lung may have coin-sized nodules ( coin lesion)

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


Question: Below that a eukaryotic cell protein complexes, while RNA transcripts involved in DNA repair and function?

Answer: TFIIH

Choices:
A. TFIIA
B. TFIID
C. TFIIF
D. TFIIH


Question: A 28-year-old man with fever and right upper quadrant pain three days and to the emergency room for treatment. Physical examination found the right upper quadrant tenderness. Laboratory tests white blood cells 17,300 / μL (65% neutrophils, lymphocytes accounted for 19%), GOT 25 U / L, GPT 31 U / L. Computer tomography shown in FIG. After the patients hospitalized for drainage tube placement and antibiotics. Three days later, pus and blood cultures were negative report, but stool examination revealed amoeba activity body (trophozoite) and bladder (cyst). About the disease, the following statements is most inappropriate?

Answer: Pathogen Entamoeba dispar, cause colitis and liver abscess and other diseases clinic

Choices:
A. Pathogen Entamoeba dispar, cause colitis and liver abscess and other diseases clinic
B. Route of infection is to eat food or water with a balloon
C. AIDS patients tend to get amoebic liver abscess
D. Metronidazole is the drug of choice to treat


Question: A farmer spraying pesticide poisoning because, when sent to the emergency room, chest tightness, restlessness, blurred vision and excessive secretion of saliva and other symptoms, which drugs should be given at this time of the treatment?

Answer: Atropine

Choices:
A. Atropine
B. Physostigmine
C. Propantheline
D. Edrophonium


Question: Concerning the obligation, Which statement is correct?

Answer: When respect for the views of family members, you should respect the wishes of patients, and to comply with legal obligations

Choices:
A. When the patient's family asked not to be told the true condition of the patient, the physician when the patient was asked to conceal their illness related
B. Physician to inform the patient and not the interests of "proper behavior on Business" is a
C. As long as the family requested not to inform patients, physicians may dispense with the obligation instructions
D. When respect for the views of family members, you should respect the wishes of patients, and to comply with legal obligations


Question: Which of the following is the main nerve in the excitement of the bladder neck sphincter?

Answer: Sympathetic

Choices:
A. Sympathetic
B. Vagus nerve
C. Pudendal nerve
D. Pelvic splanchnic nerve


Question: Mode of transmission of adenovirus as:

Answer: contact

Choices:
A. Sex
B. contact
C. Blood transfusion
D. Breast milk


Question: 12-year-old child because of headache, vomiting 10 days healed while undergoing brain computed tomography (Figure, after development). His physical examination is most likely what the eyes are the symptoms?

Answer: Unable to look up

Choices:
A. Unable to look inward
B. Unable to look up
C. Not look down
D. Unable to adapt to the intensity of light


Question: From the previous question, what the following entry for the correct disposal?

Answer: Oral valacyclovir

Choices:
A. Topical steroid creams
B. Oral fluconazole
C. Oral valacyclovir
D. Topical antibiotic ointment


Question: Wakabayashi students lesion size of 4 centimeters, what is most appropriate disposal of these items?

Answer: Complete surgical resection

Choices:
A. Stereotactic radiosurgery (stereotactic radiosurgery)
B. Radiation therapy (radiotherapy)
C. Only in vascular embolization (endovascular embolization) to
D. Complete surgical resection


Question: Which of the following drugs most suitable for the treatment of mycoplasma pneumonia (Mycoplasma pneumoniae) caused it?

Answer: Erythromycin (Erythromycin)

Choices:
A. Penicillin (Penicillin)
B. Carbapenem (a carbapenem)
C. Cephalosporins sub hormone (Cephalosporin)
D. Erythromycin (Erythromycin)


Question: Which of the following is not a stroke patient gait training using ankle harness (ankle-foot orthosis) main purpose?

Answer: Providing arch (plantar arch) the stability of the ground

Choices:
A. Providing arch (plantar arch) the stability of the ground
B. Increased ankle dorsiflexion (dorsiflexion) muscle
C. Corrective plantar flexion contracture (plantar flexion contracture)
D. Prevent foot drop (drop foot)


Question: 41. One 18 year-old man clinics open neck lymph nodes, blood tests found that hemoglobin was 12.5 gm / dL, leukocytes 3550 / μL, which blast 2%,

Answer: precursor T cell lymphoblastic lymphoma/leukemia

Choices:
A. precursor B cell lymphoblastic lymphoma/leukemia
B. precursor T cell lymphoblastic lymphoma/leukemia
C. Burkitt's lymphoma
D. adult T cell lymphoma/leukemia


Question: 28. preschool children often be heard meaningless (Innocent), benign (Benign), otherwise known as functional (Functional) a heteroaryl Center Weighted Rec (Heart murmur). The following types of characteristics that ⼀ Rec Center Weighted hybrid is unlikely to be this type of hybrid Rec Center Weighted?

Answer: Rec Center Weighted heteroaryl strength up to level 4

Choices:
A. Rec Center Weighted heteroaryl strength up to level 4
B. Rec Center Weighted heteroaryl strength will change with posture and breathing ⽽
C. Rec Center Weighted miscellaneous only appears in systolic
D. Second shot Rec Center Weighted situation will bifurcation ⽽ a result of inhalation (S2 split)


Question: Esophageal atresia less merger Which of the following abnormalities?

Answer: Asplenia (asplenism)

Choices:
A. Asplenia (asplenism)
B. Abnormal spine (vertebral anomaly)
C. Congenital heart disease (congenital heart disease)
D. Anorectal anomaly (anorectal malformation)


Question: In the pancreatic β cells, following the enzyme catalyzed reaction rate will be significantly improved with increasing blood sugar, and its downstream products can promote the secretion of insulin (insulin) in the?

Answer: glucokinase (Aru稱 hexokinase IV)

Choices:
A. glycogen synthase
B. glucokinase (Aru稱 hexokinase IV)
C. phosphorylase kinase
D. glycogen phosphorylase


Question: Peeling osteochondritis (osteochondritis dissecans) can occur in a number of joints, the following occurs where this disease happened?

Answer: Shoulder

Choices:
A. Elbow
B. Shoulder
C. Knee
D. ankle joint


Question: 45-year-old male physical examination revealed mitral valve prolapse (Mitral valve prolapse) and insufficiency (Mitral insufficiency), valvular most probable pathological changes are:

Answer: Myxomatous degeneration

Choices:
A. Fibrosis with commissural fusion
B. Fibrinoid necrosis
C. Myxomatous degeneration
D. Calcification


Question: When the front of the nose bleeding, often occurs in what position?

Answer: The front end of the nasal septum

Choices:
A. Turbinate at the front
B. The front end of the middle turbinate
C. The front end of the nasal septum
D. The front end of the nasal vestibule


Question: 40-year-old woman complained of repeated episodes of vertigo several years, in that each episode has a history of fear of light (photophobia) or fear of sound (phonophobia), and often are associated with the onset of the menstrual period. When dairy products (dairy products such as cheese, etc.) will overdose vertigo, which history, she most likely diagnosis Why?

Answer: Vestibular migraine (vestibular migraine)

Choices:
A. Vestibular migraine (vestibular migraine)
B. Vestibular neuritis (vestibular neuritis)
C. Meniere's disease (Ménière's disease)
D. Benign paroxysmal posture vertigo (BPPV)


Question: 12 When the alveolar oxygen partial pressure (alveolar PO2) of 100 mmHg suddenly dropped to 50 mmHg. In this case, those values in arterial blood circulation will be reduced? ① arterial oxygen tension (PaO2) ② arterial oxygen saturation (arterial hemoglobin oxygen saturation) ③ blood oxygen amount (total oxygen content)

Answer: ①②③

Choices:
A. Only ①②
B. Only ①③
C. Only ②③
D. ①②③


Question: The following pharmacological effects related to morphine-like substances described it, what's wrong?

Answer: Naloxone effects than oral absorption of naltrexone good

Choices:
A. Naloxone effects than oral absorption of naltrexone good
B. Forbidden phenomenon Methadone produced weaker than morphine
C. Codeine dose required antitussive effect generating dose than needed for analgesia low
D. Morphine analgesic effect stronger than codeine


Question: Infective endocarditis in patients with the following conditions, usually recommend surgery, except for whichever?

Answer: Tricuspid valve endocarditis

Choices:
A. Valvular dysfunction caused by heart failure
B. Where appropriate antibiotic treatment duration of bacteremia
C. Staphylococcus aureus infection while aortic ring abscess
D. Tricuspid valve endocarditis


Question: Physical examination found that patients with a triangular hole on the eardrum, the most likely cause of the disease are:

Answer: trauma

Choices:
A. Acute otitis media
B. Chronic suppurative otitis media
C. Chronic otitis media with effusion
D. trauma


Question: CD4 + T cell activation process, in addition need to signal 1, but also requires appropriate signal 2, the following description of the signal 2, whichever error?

Answer: If CD4 + T cells and antigen presenting cell binding, signal lack of signal 2, CD4 + T cells may be primarily apoptosis (

Choices:
A. CD4 + T cells will exhibit the antigen presenting cell and CD28 B7 molecule, so that CD4 + T cells into activated state
B. If CD4 + T cells and antigen presenting cell binding, signal lack of signal 2, CD4 + T cells may be primarily apoptosis (
C. If CD4 + T cells exhibit CTLA-4 molecule with a B7 antigen presenting cell binding molecules, primary CD4 + T cells can lead to disability (
D. CD28 and CTLA-4 molecules are molecules will bind to B7, CTLA-4 but with higher affinity than B7 CD28


Question: Account of pancreatic cancer, Which statement is correct?

Answer: Smoking is an important risk of pancreatic cancer because of submenus, about 20 to 25 percent of pancreatic cancer and smoking-related

Choices:
A. Smoking is an important risk of pancreatic cancer because of submenus, about 20 to 25 percent of pancreatic cancer and smoking-related
B. Approximately 80% of the zoomed pancreatic cancer genetic predisposition, such as germline mutations: STK11 gene, BRCA2, p16 / CDKN2A, PALB2, etc.
C. Screening for pancreatic cancer, ⾎ serological test CA19-9 and CEA have quite good sensitivity and positive predictive value
D. Distant metastasis of pancreatic cancer late first frame line treatment for gemcitabine, Use this medication, patients ⼀-year survival rate of up to 70%


Question: Which of the following drugs does not lead to relaxation of the uterus, it can not be used as tocolytic drugs?

Answer: Misoprostol

Choices:
A. Ritodrine
B. Indomethacin
C. Terbutaline
D. Misoprostol


Question: 24-year-old record of Lee useful for doping work in the electronics factory, due to paralysis of the left side of the hospital; he may use the following controlled substances or illegal drugs that cause a stroke?

Answer: Cocaine

Choices:
A. Demerol
B. Cocaine
C. Valium
D. Marijuana


Question: Statements about intestinal stack (intussusception), the Which statement is correct?

Answer: Typical symptoms are abdominal pain occurs while a while

Choices:
A. The incidence of women is about 3 times that of men
B. Typical symptoms are abdominal pain occurs while a while
C. Ileum - ileum model (ileoileal) most commonly occurring intestinal stack
D. Recurrence rate barium enema (barium enema reduction) after less than 1%


Question: Fresh stool fecal nematode (Strongyloides stercoralis) patients, most commonly seen what stage of the parasite's life cycle?

Answer: Rod-shaped larvae (rhabditiform larva)

Choices:
A. 胎蟲 eggs (embryonated egg)
B. Rod-shaped larvae (rhabditiform larva)
C. Filamentous larvae (filariform larva)
D. Adult (adult worm)


Question: 32 year old woman suddenly felt fast heartbeat, this is the second time this week, for the first time on their own to stop after a few minutes. This has been going on for half an hour, when she reaches the emergency room, blood pressure 120/70 mm Hg, respiratory fourteen per minute, oxygenation concentration ninety-eight percent (no oxygen), narrow band ECG heart rate rules, one hundred eighty times per minute. This arrhythmia was given to carotid sinus massage and Valsalva maneuver, heart rate did not decline. Then give what kind of drugs is better?

Answer: adenosine 6 mg, intravenous bolus

Choices:
A. verapamil 2.5 to 5 mg, one minute after injection intravenously
B. digoxin 0.5 mg, slow intravenous injection
C. adenosine 6 mg, intravenous bolus
D. diltiazem 0.25 mg / kg, one minute after injection intravenously


Question: Long bones (long bone) endochondral ossification (endochondral ossification) primary ossification center (primary ossification center) located?

Answer: Backbone (diaphysis)

Choices:
A. Backbone (diaphysis)
B. Epiphysis (epiphysis)
C. Metaphyseal bone (metaphysis)
D. Endosteal (endosteum)


Question: Children inguinal hernia (inguinal hernia) is the ideal age at surgery:

Answer: Any age

Choices:
A. Within six months
B. Between six months to one year old
C. After one year old
D. Any age


Question: The timing of the following check-in, what's wrong?

Answer: 28-32 weeks of pregnancy may be four indicators of maternal blood screening for Down's syndrome

Choices:
A. 16-18 weeks gestation amniocentesis
B. 20-24 weeks gestation fetal ultrasound screening is the best time
C. 28-32 weeks of pregnancy may be four indicators of maternal blood screening for Down's syndrome
D. 35-37 weeks gestation are cultured Streptococcus group B


Question: 70-year-old male patient because of a hernia repair surgery and pre-line tradition, the following considerations related to anesthesia, what's wrong?

Answer: Contraindications bust anesthetized patients only refused, clotting abnormalities and increased intracranial pressure

Choices:
A. Bust anesthesia (epidural anesthesia, spinal anesthesia) or nerve block
B. Contraindications bust anesthetized patients only refused, clotting abnormalities and increased intracranial pressure
C. Spinal anesthesia can cause high blood drop is due to sympathectomy
D. In addition to spinal anesthesia can cause decreased blood pressure, but also may cause slow heartbeat


Question: Gonadotropin (gonadotrophins) secretion is insufficient, inadequate gonadal function of patients with testicular structure (idiopathic hypogonadotropic hypogonadism), lack Which of the following cell?

Answer: Between testicular interstitial cells (Leydig cells)

Choices:
A. Endothelial cells (endothelial cells)
B. Testicular Sertoli cells (Sertoli cells)
C. Between testicular interstitial cells (Leydig cells)
D. Narrow peritubular class myocytes (peritubular myoid cells)


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

Answer: Respiratory depression caused by morphine via kappa receptor

Choices:
A. Receptor which comprises a mu, kappa, delta and sigma receptors
B. All opioid receptors to G proteins (G Proteins) binding
C. Respiratory depression caused by morphine via kappa receptor
D. is an opioid receptor antagonist naloxone (antagonist)


Question: In addition to imaging studies, the kind commonly used in clinical invasive method to identify cysts and solid tumors?

Answer: Fine-needle aspiration

Choices:
A. Fine-needle aspiration
B. Bodkin sliced
C. Mai Ma through breast biopsy (mammatome)
D. Traditional slice surgery


Question: About research ethics of human testing, the first explicitly advocated "voluntary" and "informed consent" of international literature Why?

Answer: Nuremberg Code (the Nuremburg Code)

Choices:
A. Hippocratic Oath (Hippocratic Oath)
B. Nuremberg Code (the Nuremburg Code)
C. Belmont Report (Belmont Report)
D. Helsinki Declaration (the Declaration of Helsinki)


Question: 62 A 45 year old male with a history of diabetes and diabetic nephropathy, a diagnosis of community-acquired pneumonia (Community-acquired pneumonia) and hospitalization. The blood test as follows: leukocytes 15200 / mm3 (85% neutrophils, 12% lymphocytes), creatinine 3.5 mg / dL. For the treatment of this patient, it is best not to choose one of the following antibiotics?

Answer: Cefuroxime + Gentamicin

Choices:
A. Moxifloxacin
B. Ceftriaxone
C. Ampicillin-Sulbactam + clarithromycin
D. Cefuroxime + Gentamicin


Question: Which of the following is a varenicline clinical use?

Answer: Quit smoking

Choices:
A. Quit smoking
B. glaucoma
C. Myasthenia gravis
D. Senile dementia


Question: A 15-year-old male patient, was raised after the family cat scratch, local lymph nodes, the diagnosis of cat-scratch disease, the following statements about the disease, what's wrong?

Answer: The disease is caused by Bartonella quintana

Choices:
A. The disease is caused by Bartonella quintana
B. The disease usually occurs in children who
C. Lymph node disease pathology is granulomatous inflammation with stellate necrosis
D. The disease is usually treated with antibiotics will not heal itself (self-limited)


Question: The following statements about the typical febrile convulsion, what's wrong?

Answer: The chances of sick children in future high incidence of epilepsy than five times the normal population

Choices:
A. Often occurs in the normal development of infants and young children
B. The chances of sick children in future high incidence of epilepsy than five times the normal population
C. Repeated episodes of sick children is not obliged to long-term use of epilepsy drugs
D. Onset time is often less than five minutes


Question: Please refer to the attached answer this question. Mr. Hu is a 25-year-old student Institute, face serious car accident collision, resulting in open fracture of the right side of the upper jaw bone. Because of persistent bleeding, systolic blood pressure was reduced to 50 mmHg, hemostasis lost in the operating room, the surgeon physician act decisively, an open wound of about 10 cm on the right side of the neck, a large blood vessel structure is exposed near the carotid sinus, intended to block the blood supply to the face, in order to achieve the purpose of hemostasis. In FIG tie blood vessel where the most appropriate?

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


Question: The following information about newborn sides renal deficiency (renal agenesis) of the narrative, whichever is incorrect?

Answer: Usually died of kidney failure within 48 hours after birth, unless to do dialysis treatment as early as possible

Choices:
A. Bladder ultrasound can not see
B. Porter has a face (Potter facies)
C. Usually died of kidney failure within 48 hours after birth, unless to do dialysis treatment as early as possible
D. Mother little amniotic fluid (oligohydramnios)


Question: In terms of body surface area corrected creatinine clearance rate (creatinine clearance rate; mL / min / 1.732m2) to estimate glomerular filtration rate (glomerular filtration rate). Glomerular filtration rate Children (glomerular filtration rate) on average how long after birth will develop into adult-like values?

Answer: 2 years to 3 years

Choices:
A. 3 months
B. 6 months
C. 9 months to 12 months
D. 2 years to 3 years


Question: Patients due to blurred vision, eye doctor, ophthalmologist visual field defects, and an MRI, MRI diagnosed based on this there right occipital lobe infarction, patients are most likely to produce that kind of vision defects?

Answer: Left side homonymous hemianopsia

Choices:
A. Bitemporal hemianopsia
B. Right side homonymous hemianopsia
C. Left side homonymous hemianopsia
D. Central scotoma


Question: For protein liver failure patients give, the more amino acids which avoids hepatic encephalopathy?

Answer: Branched chain of amino acids (Branched chain amino acids)

Choices:
A. Arginine (Arginine)
B. Amides bran (Glutamine)
C. Branched chain of amino acids (Branched chain amino acids)
D. Any amino acids can


Question: Assessment of patients with cerebral palsy spastic, found that passive range of motion is normal, but among the entire range of activities have significantly increased muscle tension, which is part of the first few levels of the Modified Ashworth Scale?

Answer: Level 2

Choices:
A. Level 1
B. The first level 1+
C. Level 2
D. Level 3


Question: After following that type of muscle stimulated by the stimulus to reach time (ie, contraction time) required for maximal contraction force of the longest?

Answer: Small intestine smooth muscle (small intestinal smooth muscle)

Choices:
A. Ventricular myocardium (cardiac ventricular muscle)
B. Small intestine smooth muscle (small intestinal smooth muscle)
C. Gastrocnemius muscle (gastrocnemius)
D. Control of eye movement muscles


Question: About the narrative of von Willebrand factor, which of the following error?

Answer: The principal of vascular smooth muscle cells

Choices:
A. The principal of vascular smooth muscle cells
B. When a vessel wall is damaged, platelets, and can be combined
C. Yes directly inactivated platelet
D. Regulatable coagulation factor VIII (Factor VIII)


Question: Which of the following is a cell belonging to the gastric glands (gastric gland proper) of?

Answer: Parietal cells (parietal cells)

Choices:
A. Parietal cells (parietal cells)
B. Fold microfold cells (M cells / microfold cells)
C. ⽒ Paneth cells (Paneth cells)
D. Goblet cells (goblet cells)


Question: In the visual neural pathway, the first action potential (action potential) of the cell Why?

Answer: Ganglion cell

Choices:
A. Bipolar cell
B. Ganglion cell
C. Horizontal cell
D. Photoreceptor cell 23 in the autonomic nervous system, clear why the most important mechanism of acetylcholine released by the nerve endings?


Question: "Informed consent" (informed consent) is not required to comply with that principle?

Answer: This decision must be no apparent risk of

Choices:
A. Mental patient's ability to be self-choice do
B. Patients must have the right to be properly informed
C. This decision must be no apparent risk of
D. This decision must be voluntary patient


Question: Left L5 ~ S1 lumbar disc, the intermediate bias protruding position, is pressed into the spinal nerve:

Answer: S1

Choices:
A. L4
B. L5 and S1
C. S1
D. Co1


Question: A 55 year old patient, because of shortness of breath, bleeding gums arrived at the emergency room. Physical examination, the body temperature is 39 ℃, clear consciousness, body with multiple bruises. Blood tests results were as follows: Hb 7.8 gm / dL, leukocyte 215,000 / μL, where blast 88.5%, band 1.5%, segmented neutrophil 2.5%, monocyte 2.5%, lymphocyte 5%, platelet 5,000 / μL; 15% bud cells peroxidase is positive, a chest X-ray and urine examination was normal. Which of the following is not correct?

Answer: Acute myeloid leukemia, chemotherapy to be done as soon as possible HOP (adriamycin, vincristine, prednisolone)

Choices:
A. There may be too high leukocyte white blood cells cholestasis (leukostasis), white blood cell apheresis needs to be done
B. The number of platelets and low bleeding tendency, need for platelet concentrate
C. There may be fever infection, microbial culture to be done, and begin antibiotic treatment
D. Acute myeloid leukemia, chemotherapy to be done as soon as possible HOP (adriamycin, vincristine, prednisolone)


Question: Statements about the insulin receptor (insulin receptor) messaging, and Which statement is correct?

Answer: Phosphorylation of insulin receptor by its own subject matter (substrate)

Choices:
A. Insulin receptor is a nuclear hormone receptor
B. Insulin receptor of message passing using cAMP
C. Phosphorylation of insulin receptor by its own subject matter (substrate)
D. Prior to the insulin stimulated insulin receptor, a kinase-activated


Question: Which is not an ecstasy (3,4-methylene-dioxymethamphetamine) symptoms caused?

Answer: Becomes very sensitive to sensory stimuli, decreased alertness

Choices:
A. Heart rate, blood pressure
B. Becomes very sensitive to sensory stimuli, decreased alertness
C. Blurred vision
D. Can cause unpleasant emotions, may also cause delusions or hallucinations


Question: Statements about mushroom granuloma (mycosis fungoides) is, which of the following error?

Answer: Is a fungal infection

Choices:
A. Is a fungal infection
B. The skin of T-cell lymphoma
C. Rash by plaque progression to cancer
D. Can be turned into Xizha Li disease (Sézary syndrome), and erythroderma (erythroderma) occurs


Question: Skeletal muscle contraction process, Myosin head by following what role into a high-energy state (High-energy state)?

Answer: ATP hydrolysis

Choices:
A. ATP hydrolysis
B. Combined with Actin
C. Combined with Titin
D. the condensation of ATP


Question: Which of the following congenital heart disease, today still completely unable to cardiac catheterization method (such as occluder or occluder coil coil) treatment?

Answer: Complete type of endocardial cushion abnormal (endocardial cushion defect, complete form)

Choices:
A. The muscular ventricular septal defect (muscular type ventricular septal defect)
B. Atrial septal defect (atrial septal defect)
C. Patent ductus arteriosus (patent ductus arteriosus)
D. Complete type of endocardial cushion abnormal (endocardial cushion defect, complete form)


Question: Patients want to leave skin tumor resection scar is not obvious, following the design that cuts a less able to achieve good results?

Answer: A

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


Question: Where the bladder artery (superior vesical artery) from?

Answer: Umbilical artery (umbilical artery)

Choices:
A. Umbilical artery (umbilical artery)
B. Obturator artery (obturator artery)
C. Superior gluteal artery (superior gluteal artery)
D. Rectal artery (superior rectal artery)


Question: Mr. Zhang end a patient with lung cancer, chest X-ray showed both lungs are all invasive cancer cells, leaving only small normally inflated lung tissue. Mr. Zhang has severe breathing difficulties clinically, give high flow oxygen mask (O2 mask) will not be able to maintain normal blood oxygen concentration. In accordance with the principles of palliative care, do you think the best way to deal with what?

Answer: After the exclusion of other factors, such as anemia, can slowly increase the narcotics, to relieve shortness of breath

Choices:
A. Obtain consent of their families use intubation
B. Reduce opioid painkillers (opioids), temporarily disregard the patient's pain problem
C. After the exclusion of other factors, such as anemia, can slowly increase the narcotics, to relieve shortness of breath
D. For redress of chemical therapy to slow cancer


Question: After Xiao Ming usually occasionally eat a little peanut will be very uncomfortable, one day accidentally eat peanuts fried sesame balls, out of breath after a few minutes. Xiao Ming in vivo to peanuts are also specific T cell activity, most likely what kind?

Answer: T helper type II cells (Th2 cells)

Choices:
A. T helper cell type I (Th1 cells)
B. T helper type II cells (Th2 cells)
C. T regulatory cells (Treg cells)
D. Toxic T cells (Tc cells)


Question: A 33-year-old female patient with abdominal pain one day in hospital by the emergency. She suffers from hepatitis B, cirrhosis and liver cancer and was hospitalized three weeks ago received a liver embolization. Patients hospitalized the same day 3:00 at home suddenly abdominal pain and abdominal swelling and to the emergency room. Patients with vomiting but no solution melena. When the emergency temperature is 36.6 degrees Celsius, blood pressure 91/34 mmHg, pulse rate 140 times per minute. Check blood leukocytes 11,900 / μL, where neutrophils strip (band) 3%, sub-section (segment) 73%, hemoglobin was 7.1 g / dL, platelets 194,000 / μL, AST (aspartate aminotransferase) 21 U / L, ALT (alanine aminotransferase) 58 U / L. Patients in the emergency abdominal computed tomography figures. Ascites obtained red examination of ascites, blood transfusion patient's blood pressure is stable. Which of the following best the next step to this end inpatient examination and treatment?

Answer: Abdominal angiography and embolization

Choices:
A. Laparoscopic liver resection
B. Esophagus, stomach and duodenum endoscope and ligating
C. Liver resection surgery
D. Abdominal angiography and embolization


Question: The following of the case-control study (case-control study) "pairing (matching)" narrative, what's wrong?

Answer: The purpose of the pairing to increase the validity of the design

Choices:
A. In the case-control method can increase the efficiency of
B. Density sampling is taking time matched control group
C. Pairing each test subject can increase the amount of data
D. The purpose of the pairing to increase the validity of the design


Question: About elderly patients with acute appendicitis (acute appendicitis) of the narrative, which of the following error?

Answer: The probability of the occurrence of acute appendicitis, young higher

Choices:
A. The probability of the occurrence of acute appendicitis, young higher
B. The younger population is less typical symptoms, diagnosis is easy delay
C. Younger population, perforation (perforation) the probability of large, more complications
D. Diverticulitis cecum (cecal diverticulitis) differential diagnosis difficult


Question: The most common clinical symptoms of vulvar cancer are:

Answer: Voiding difficulty

Choices:
A. Genital itching
B. Abnormal bleeding
C. Pain during intercourse
D. Voiding difficulty


Question: [alpha] -ketoglutarate dehydrogenase (α-ketoglutarate dehydrogenase) as the citric acid cycle (citric acid cycle) regulation of enzyme (regulatory enzyme) one of which can be inhibited enzyme activity following what was the?

Answer: Amber acyl coenzyme A (succinyl-CoA)

Choices:
A. AMP
B. ADP
C. NAD +
D. Amber acyl coenzyme A (succinyl-CoA)


Question: EMPTY zoomed Month 27.2 days of new ⽣ children, found embodiment ⾏ oxygen screening properties ⾎ receiving both lower extremities ⾎ oxygen saturation is 90% oxygen saturation and right is the watch ⾎

Answer: ⼸ narrow aortic condense patent ductus arteriosus (Coarctation of the aorta with patent ductus arteriosus)

Choices:
A. Arteries completely dry (Complete truncus arteriosus)
B. ⼸ narrow aortic condense patent ductus arteriosus (Coarctation of the aorta with patent ductus arteriosus)
C. Farlow ⽒ four severe (Tetralogy of Fallot)
D. Extreme Pulmonary stenosis with patent ductus arteriosus (Critical pulmonary valve stenosis with patent ductus


Question: According to the 2008 edition of the Helsinki Declaration (Declaration of Helsinki), in the treatment of patients, the absence of effective treatment, the physician determine if there is hope to save lives and rebuild health or alleviate pain. After those procedures, it was unproven treatment?

Answer: Require consultation with experts and obtain consent of the patient or their legal representatives

Choices:
A. Simply consulted experts
B. Simply obtaining consent of the patient or their legal representatives
C. Require consultation with experts and obtain consent of the patient or their legal representatives
D. Require consultation with experts and obtain consent of the patient or their legal representatives, notified to and approved by the competent authority


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

Answer: Neurogenic shock (neurogenic shock) is often associated with pulse pressure (pulse pressure) fall

Choices:
A. Systolic blood pressure begins to drop, the blood has reached 30% of the expressed amount of blood in vivo
B. Neurogenic shock (neurogenic shock) is often associated with pulse pressure (pulse pressure) fall
C. The degree of bleeding is calculated as a percentage of ideal body weight
D. Calculating the standard blood volume of the children is 80 mL to 90 mL per kg


Question: 38-year-old general manager 27. One electronics company in the past two months were 37.5 Zhi body temperature 38.0 ℃, when treatment complained of weakness, breathing difficulties when there is no movement symptoms, but palpitations phenomenon, physical examination anemia, blood pressure 120 / 70 mmHg, beat rule 94 / min, temperature 38.1 deg.] C, normal liver and kidney function, left ventricular heart palpation fluctuation (LV heave), auscultation grade III / VI systolic heart murmur full, maximum acoustic apex, no significant systemic or peripheral arterial embolism phenomenon. Mitral cardiac ultrasonography (the mitral valve) of approximately 15 mm with a flowing neoplasm, and the blood sample taken in the left and right hands culture were grown Streptococcus viridans. Which of the following is appropriate initial treatment plan?

Answer: Every 4 hours intravenously injection of penicillin G two million to three million units considered 4 weeks after surgery

Choices:
A. Intravenously every 8 hours penicillin G two million to three million units considered 4 weeks after surgery
B. Every 4 hours intravenously injection of penicillin G two million to three million units considered 4 weeks after surgery
C. Every 4 hours intravenously injection of penicillin G two million to three million units every 8 hours plus intravenous gentamicin 1 mg / kg, after two weeks if not made
D. After intravenous injection of ampicillin 2g every 4 hours intravenously every 8 hours plus gentamicin 1 mg / kg total of 4-6 weeks, considering valvular surgery


Question: Giant cell tumor of bone narrative about the (giant cell tumor of bone), and Which statement is correct?

Answer: To avoid local recurrence (local recurrence), surgery is often required to merge the auxiliary equipment such as burr-speed (high-speed burr) remove the tumor, or the like slip cement filling

Choices:
A. Long bone most often occurs in children under the age of 10, very few violations of the epiphysis (epiphysis)
B. The most common is X-ray found a osteoblastic (osteoblastic) of destructive lesions, often have significant and periosteal reaction (periosteal reaction)
C. The most common treatment is wide excision (wide excision) surgery
D. To avoid local recurrence (local recurrence), surgery is often required to merge the auxiliary equipment such as burr-speed (high-speed burr) remove the tumor, or the like slip cement filling


Question: What colony stimulating factor (colony-stimulating factor, CSF) currently applicable in the treatment of bone marrow suppression caused by cancer chemotherapy response (myelosuppressive reaction), its name, also known as Filgrastim?

Answer: G-CSF

Choices:
A. G-CSF
B. GM-CSF
C. Multi-CSF
D. M-CSF


Question: That these medicines may affect thyroid function tests, the T4 values increased?

Answer: amiodarone

Choices:
A. lithium
B. androgens
C. amiodarone
D. salicylates


Question: What better intussusception in children ages?

Answer: Eight to ten months

Choices:
A. Month-to-month
B. Eight to ten months
C. Two to three years old
D. More than four years old


Question: Inhaled anesthetics halothane merger muscle relaxant succinylcholine, may cause malignant hyperthermia (malignant hyperthermia), which of the following drugs can relieve?

Answer: dantrolene

Choices:
A. dantrolene
B. isoflurane
C. diazepam
D. theophylline


Question: When the working environment may be hazardous factors exist, following what kind of exposure management should not be the most priority?

Answer: Wear personal protective equipment

Choices:
A. Alternatively hazardous substances at a lower hazardous substance higher
B. Use local exhaust
C. Rotation organization of work to reduce exposure time
D. Wear personal protective equipment


Question: Which of the following viruses having resistance to aliphatic solvents (e.g., diethyl ether)?

Answer: Adenovirus (Adenovirus)

Choices:
A. Pox virus (Poxvirus)
B. Herpes virus (Herpesvirus)
C. Adenovirus (Adenovirus)
D. Retroviral (Retrovirus)


Question: Ms. Qiu, due to a large number of sputum and hemoptysis outpatient, chest X-ray as shown, the most accurate diagnosis:

Answer: Bronchiectasis (bronchiectasis)

Choices:
A. Pulmonary embolism (pulmonary embolism)
B. Bronchiectasis (bronchiectasis)
C. Lung cancer (lung cancer)
D. Pulmonary fibrosis (lung fibrosis)


Question: Hypoglycemia is a common clinical phenomenon, and that the following statement best describes how inappropriate?

Answer: Insulinoma (insulinoma) is typically expressed as Whipple's triad, is the most common cause of low blood sugar

Choices:
A. Insulinoma (insulinoma) is typically expressed as Whipple's triad, is the most common cause of low blood sugar
B. Low blood sugar can cause fatal consequences, the importance of timely treatment
C. Common symptoms of low blood sugar include tears, rapid heart beat, run cold and coma
D. Can cause hypoglycemia clinical drugs include insulin, sulfonylureas and glinides class


Question: Surgical treatment of chronic anal fissure, which of the following should be adopted?

Answer: partial lateral internal sphincterotomy

Choices:
A. anal stretch procedure
B. partial lateral external sphincterotomy
C. partial lateral internal sphincterotomy
D. excision of fissure with primary suture


Question:
60
 It belongs to one of the following fungal endogenous fungal infection?

Answer: Candidiasis (Candida)

Choices:
A. Candidiasis (Candida)
B. Aspergillus (Aspergillus)
C. Epidermophyton (and Epidermophyton)
D. Cryptococcus neoformans (Cryptococcus neoformans)


Question: 71 a 78-year-old male patient was sent to the psychiatric clinic, his wife described it on: The patient began to have poor memories, nine years ago, can not remember the original do, symptoms persist for approximately two years, after the patient becomes progressively quiet, on the situation of people with a strong hostility, and have lost, lost it. Jianlang patient's body, never had any surgical history. This is most likely the patients clinically diagnosed as which of the following?

Answer: Ezihaimo disease (Alzheimer's disease)

Choices:
A. Vascular dementia (vascular dementia)
B. Dissociative amnesia (dissociative amnesia)
C. Ezihaimo disease (Alzheimer's disease)
D. Parkinson's disease (Parkinson's disease)


Question: The following account of free lung (sequestration), and what's wrong?

Answer: Usually communicates with normal lung bronchial

Choices:
A. Can be divided into (intralobar) free outer lung lobe (extralobar) with free lung lobes
B. Usually communicates with normal lung bronchial
C. Its main supply artery from the aorta
D. Treatment with surgical excision


Question: Cancer of the stomach in about 15% of malignant lymphoma, namely primary gastric lymphoma (primary gastric lymphoma). The following description related to validity?

Answer: If it is mucosa-associated lymphoid tissue (MALT) lymphoma, should consider the use of antibiotics to clear H. pylori

Choices:
A. Gastric malignant lymphoma and gastric adenocarcinoma endoscopy can clearly identify the pathological diagnosis without sections
B. The vast majority of primary gastric lymphomas T- cell lymphoma
C. If it is mucosa-associated lymphoid tissue (MALT) lymphoma, should consider the use of antibiotics to clear H. pylori
D. If it is high-grade, large-cell lymphoma, gastric cancer should be carried out and subtotal gastrectomy, consider chemotherapy to prevent cancer such as bleeding, obstruction or perforation of complications


Question: 7632 year old woman suffering from chronic otitis media, acute onset of severe headache and attendances, left for the T1 magnetic resonance angiogram after injection of contrast agent, the right is vascular magnetic resonance images, the most likely diagnosis Why?

Answer: Venous sinus thrombosis

Choices:
A. Cerebral infarction
B. Cerebral hemorrhage
C. Venous sinus thrombosis
D. Cerebellar artery embolization


Question: Control ciliary muscle (ciliary muscle) parasympathetic preganglionic nerve fibers (parasympathetic preganglionic fibers), usually via Which of the following into the ciliary ganglion (ciliary ganglion)?

Answer: Oculomotor lower branch (inferior branch of oculomotor nerve)

Choices:
A. Oculomotor nerve branch (superior branch of oculomotor nerve)
B. Oculomotor lower branch (inferior branch of oculomotor nerve)
C. Nose and eyelashes nerve (nasociliary nerve)
D. External rotation nerve (abducent nerve)


Question: Patients with chronic heart failure does not occur because of acute exacerbations Which of the following factors?

Answer: smokes

Choices:
A. Myocardial infarction
B. pregnancy
C. drink
D. smokes


Question: Which of the following has the worst prognosis of chromosomal abnormalities in children with acute myeloid leukemia?

Answer: Seventh chromosome deletion; Del (7q), -7

Choices:
A. 8 and chromosome 21 translocation; t (8; 21)
B. 16 pairs of chromosomes inversions; inv (16)
C. 15 and 17 on chromosome translocation; t (15; 17)
D. Seventh chromosome deletion; Del (7q), -7


Question: Which of the following enzymes are not involved in DNA replication (DNA replication)?

Answer: DNA-dependent RNA polymerase (DNA-dependent RNA polymerase)

Choices:
A. DNA topoisomerase (DNA topoisomerase)
B. Helicase (helicase)
C. Protein bonded single-stranded DNA (single-stranded DNA binding protein)
D. DNA-dependent RNA polymerase (DNA-dependent RNA polymerase)


Question: Bearing on the question, for the disposal of Mr. Zhang, Which of the following most inappropriate?

Answer: Intravenous physiological saline

Choices:
A. Administered with physiological monitor oxygen
B. Intravenous injection of morphine
C. Intravenous physiological saline
D. Intravenous diuretics


Question: Statements about white rosea (pityriasis alba) is, which of the following error?

Answer: Even after adult patients, the majority of lesions is still difficult to heal

Choices:
A. White spots appear desquamation
B. Common in the face
C. Occur in children
D. Even after adult patients, the majority of lesions is still difficult to heal


Question: The main section of the rectum lymph exchange inflow that the following lymph nodes?

Answer: Lymph nodes (inferior mesenteric lymph nodes) inferior mesenteric

Choices:
A. Iliac lymph nodes (internal iliac lymph nodes)
B. Lumbar lymph nodes (lumbar lymph nodes)
C. Superficial inguinal lymph nodes (superficial inguinal lymph nodes)
D. Lymph nodes (inferior mesenteric lymph nodes) inferior mesenteric


Question: Most relevant mutations and the formation of medullary thyroid cancer (medullary carcinoma) that one of the following genes?

Answer: RIGHT

Choices:
A. RAS
B. RIGHT
C. nice
D. PTEN


Question: Which of the following raw materials can not be used as a synthetic glucose (gluconeogenesis) of precursor?

Answer: fatty acid

Choices:
A. fatty acid
B. Amino acids
C. Glycerin (glycerol)
D. Oxaloacetic acid (oxaloacetate)


Question: Total gastrectomy patients, which may produce the following diseases?

Answer: anemia

Choices:
A. night blindness
B. anemia
C. Osteomalacia
D. Osteoporosis


Question: 78-year-old Wang, the last three years to the gradual emergence of the chest dull pain, occasional cases of fainting, this year there will be even shortness of breath, a little activity that is dyspnea. Wang found that the physical checkups slowly continued to show a pulse, of small fine slow pulse, while a heart sound auscultation can be found in hearing apex S3, S4 heart sounds can be heard in the right second intercostal low, rough, grade III / VI of mid-systolic murmur heart, also at left sternal edge to hear weak (grade II / VI) of the systolic murmur at the apex. Will Wang most likely suffering from what disease?

Answer: Aortic stenosis and heart failure

Choices:
A. Ventricular septal defect with Heart Failure
B. Obstructive hypertrophic cardiomyopathy with cardiac failure
C. Mitral insufficiency with heart failure
D. Aortic stenosis and heart failure


Question: 55-year-old male patient was found in the shadow of the liver ultrasound tracking, arrange a three-phase (pre-contrast, arterial phase, venous phase) CT scan as shown. According Couinaud liver leaf method, the lesion location why?

Answer: S5

Choices:
A. S5
B. S6
C. S7
D. S8


Question: Wallenberg's syndrome occurs most often in those following a clogged arteries?

Answer: Posterior inferior cerebellar artery

Choices:
A. Middle cerebral artery
B. Anterior inferior cerebellar artery
C. Posterior inferior cerebellar artery
D. Superior cerebellar artery


Question: 32 year old woman, complained of amenorrhea 3 months, blood tests, estradiol <20 pg / mL, follicle stimulating hormone (FSH) is 80 IU / L, which of the following is most correct?

Answer: For pregnant need egg donation

Choices:
A. Pregnancy induced amenorrhea
B. For pregnant need egg donation
C. Clomiphene may be used to stimulate ovulation
D. Due to pituitary dysfunction caused amenorrhea


Question: From the previous question, that one of the following is the cause of the disease caused by the split second heart sound?

Answer: Due to increased blood flow in the right way out of the heart, pulmonary valve off later

Choices:
A. Due to increased blood flow in the right way out of the heart, pulmonary valve off later
B. Due to reduced blood flow in the right way out of the heart, the pulmonary valve to close early
C. Due to increased left ventricular way blood flow, aortic valve off later
D. Because of the way out of left ventricular blood flow, aortic valve early close


Question: Alcohol dehydrogenase (EC 1.1.1.1) catalyze ethanol (alcohol) and aldehyde, the reaction patterns which belong to?

Answer: Oxidoreductase (oxidoreductase)

Choices:
A. Transferases (transferase in)
B. Oxidoreductase (oxidoreductase)
C. Hydrolase (hydrolase)
D. Ligase (Ligase)


Question: Male hormone (androgen) can be generated in those two organs of the fetus?

Answer: Liver and adrenal gland

Choices:
A. Lung and liver
B. Liver and adrenal gland
C. Adrenal gland and stomach
D. Stomach and lung


Question: Which of the following effects of hepatitis C treatment the best?

Answer: With interferon and ribavirin

Choices:
A. Interferon alone
B. With interferon and ribavirin
C. Interferon and with entecavir
D. Interferon and with adefovir


Question: A 40-year-old woman because the ascending colon right colon accept the eradication of surgery, 48 hours after fever. So please answer the following three questions: Which of the following is the most likely cause?

Answer: Pulmonary atelectasis (lung atelectasis)

Choices:
A. Pneumonia (pneumonia)
B. Anastomotic leak (anastomotic site leakage)
C. Pulmonary atelectasis (lung atelectasis)
D. Wound infection (surgical wound infection)


Question: Prostate specific antigen (PSA) in different age groups, there is not the same as the normal range, the following statements is wrong?

Answer: 50 to 59 years, PSA normal range is 0.0 ~ 4.0 ng / mL

Choices:
A. 40 to 49 years, PSA normal range is 0.0 ~ 2.5 ng / mL
B. 50 to 59 years, PSA normal range is 0.0 ~ 4.0 ng / mL
C. 60 to 69 years, PSA normal range is 0.0 ~ 4.5 ng / mL
D. 70 to 79 years, PSA normal range is 0.0 ~ 6.5 ng / mL