Question: A 48-year-old woman suffering from mild lethargy and anorexia due to the general weakness is sent to the emergency room, physical examination found no abnormalities, the only laboratory tests found that serum sodium concentration of 114 meq / L. Administered by slow high of 3% NaCl saline (hypertonic saline) drip injection, serum sodium ion concentration increased after 2 days to 135 meq / L, the patient regaining consciousness, weakness symptoms improved. But again 3 days later the patient suddenly limb paralysis, dysarthria and swallowing, and semi-conscious state. According to the above description, which of the following complications after this treatment the patient is most likely to happen?

Answer: Central pontine myelinolysis (central pontine myelinolysis)

Choices:
A. Stroke pituitary gland (pituitary apoplexy)
B. Acute multiple neuritis
C. Central pontine myelinolysis (central pontine myelinolysis)
D. Multiple sclerosis (multiple sclerosis) acute relapses


Question: Andropause (Male Climacterics) what kind of values in the blood will rise?

Answer: Sex hormone binding globulin（SHBG）

Choices:
A. Free testosterone
B. Sex hormone binding globulin（SHBG）
C. Dehydroepiandrosterone (DHEA)
D. Total testosterone


Question: Male baldness special agent finasteride hair growth primarily through what these machines turn to promote hair growth?

Answer: Having a reduced circulation and generating dihydro testosterone (dihydrotestosterone) in the prostate, thereby promoting hair growth

Choices:
A. Is a derivative of progesterone (progesterone), and through androgen suppression (antiandrogenic) and inhibition of gonadotropin
B. Having a reduced circulation and generating dihydro testosterone (dihydrotestosterone) in the prostate, thereby promoting hair growth
C. An aromatic ring having activity of inhibiting conversion  (aromatase), thereby promoting hair growth
D. Is a synthetic progestin, progesterone receptors through activation of hair growth promoting


Question: When total parenteral nutrition (total parenteral nutrition, TPN), and the following description of a central venous catheter-related complications, what's wrong?

Answer: UTI (urinary tract infection)

Choices:
A. Catheter thrombosis (thrombus)
B. Pneumothorax (pneumothorax)
C. Brachial plexus injury (brachial plexus injury)
D. UTI (urinary tract infection)


Question: Which of the following is not a medical judgment on whether the patient has "the ability to decide" project?

Answer: If a patient over 20 years old

Choices:
A. If a patient over 20 years old
B. The ability to understand medical problems
C. The ability to understand the physician's recommended therapy
D. When the refusal of the proposed therapy, can reasonably foresee the consequences of their ability


Question: Anxiety about the reaction of the narrative, whichever is most unwell cut?

Answer: Anxiety response associated with three main neurotransmitter serotonin, norepinephrine, acetylcholine

Choices:
A. Anxiety response associated with three main neurotransmitter serotonin, norepinephrine, acetylcholine
B. Appropriate anxiety reaction itself has a protective and adaptive
C. When the reaction is too strong anxiety-related symptoms will appear sympathetic excitement
D. When the cause of anxiety reaction Richangshenghuo function, occupational or social impairment, require medical attention


Question: Account of mild mental retardation (mild mental retardation), and which of the following error?

Answer: About 70 to 85 IQ, mental retardation is the most common, accounting for about 85% of the total number of mental retardation

Choices:
A. About 70 to 85 IQ, mental retardation is the most common, accounting for about 85% of the total number of mental retardation
B. Usually to a primary school, second grade was discovered to keep up with homework
C. To the country, high school age, their academic ability equivalent to about sixth grade students
D. Consolidation opportunities arise Conduct disorder (conduct disorder) is greater than the combined appearance of autism (autistic disorder)


Question: 34 year old woman, since winter began four years ago, will appear fingers turn white and then purple (as indicated by reference). Two years back, fingers and facial skin darkening gradually harden, most joints will ache. The past six months have breathing difficulty walking. Chest X- ray drawings results. I ask why the most likely diagnosis of this patient?

Answer: systemic sclerosis

Choices:
A. pulmonary tuberculosis
B. idiopathic Raynaud's disease
C. systemic sclerosis
D. systemic lupus erythematosus


Question: An unmarried menstruation rule 30, but more by blood and blood clots, by sex, obstetrics and gynecology outpatient doctor to find heme 8 g / dL, ultrasound scanning and hysteroscopy below, most likely the diagnosis whichever is lower?

Answer: Submucosal uterine fibroids (submucosal myoma)

Choices:
A. Endometrial polyps (endometrial polyp)
B. Endometrial cancer (endometrial cancer)
C. Serous uterine fibroids (subserosal myoma)
D. Submucosal uterine fibroids (submucosal myoma)


Question: The following statements about the newborn immune system, what's right?

Answer: The earliest itself is produced IgM

Choices:
A. Does not have immunity protection
B. Get the mother through the placenta IgM
C. The earliest itself is produced IgM
D. Adults have the amount of IgE


Question: Which is not the meaning of the central limit theorem (central limit theorem) of?

Answer: Random sample mean (sample mean) of the statistical distribution close Bua Song distribution (Poisson distribution)

Choices:
A. Random sample mean (sample mean) of the statistical distribution close to the normal distribution (normal distribution)
B. Random sample mean (sample mean) of the statistical distribution close Bua Song distribution (Poisson distribution)
C. The average of all possible random sample mean (sample mean) is equal to the parent population (original population) average
D. SE (standard error) size standard deviation of the sample depends on the parent population (original population) (size of sample)


Question: The following neck muscles and their nerves dominate the narrative, what's wrong?

Answer: Digastric (Digastric muscle) before abdomen (anterior belly) by the facial nerve branches of the neck domination

Choices:
A. Twelfth cranial nerve accompanied the first cervical nerve abdominal collateral (ventral ramus) dominate geniohyoid (geniohyoid muscle)
B. Digastric (Digastric muscle) before abdomen (anterior belly) by the facial nerve branches of the neck domination
C. Mylohyoid muscle (Mylohyoid muscle) by the trigeminal nerve (trigeminal nerve) dominate
D. Supraomohyoid (Omohyoid muscle) by the neck loop (ansa cervicalis) dominate


Question: After the temporomandibular joint (temporomandibular joint) surgery, glands (parotid gland) secretion reduce the ear, Which of the following is most likely damaged?

Answer: Ear temporal nerve (auriculotemporal nerve)

Choices:
A. Facial nerve (facial nerve)
B. Ear temporal nerve (auriculotemporal nerve)
C. Lingual nerve (lingual nerve)
D. Inferior alveolar nerve (inferior alveolar nerve)


Question: Measuring specific health and medical care after the implementation of the actual effect of community residents, to assess what effect it called?

Answer: effectiveness assessment

Choices:
A. efficacy assessment
B. efficiency assessment
C. effectiveness assessment
D. assess effect modification


Question: A 70-year-old man due to sudden high fever and confusion were sent to hospital, physical examination found to have significant jaundice, serum total bilirubin and direct bilirubin were 9.5 mg / dL and 4.2 mg / dL, abdominal ultra sonic found to have gallstones and significant expansion of the common bile duct and intrahepatic bile duct, gallbladder swell also, may I ask what kind should immediately arrange for disposal following the most appropriate for the patient?

Answer: Arrange endoscope emergency biliary drainage and treatment

Choices:
A. Blood tests for hepatitis type B and C
B. Arrange emergency surgery to remove the gallbladder
C. Arrange endoscope emergency biliary drainage and treatment
D. Liver slices


Question: Which of the following benign familial hematuria (benign familial hematuria) feature?

Answer: Glomerular basement membrane diffuse thinning

Choices:
A. Neural hearing-impaired
B. Eye lens dislocation, cataract
C. Glomerular basement membrane diffuse thinning
D. Have a family history of kidney failure


Question: Platysma (platysma muscle) and how these same muscles innervated by?

Answer: 莖突 hyoid bone skin (stylohyoid muscle)

Choices:
A. 莖突 hyoid bone skin (stylohyoid muscle)
B. Masseter muscle (masseter muscle)
C. Digastric muscle (anterior belly of digastric muscle)
D. Supraomohyoid (omohyoid muscle)


Question: Uremic patients with anemia may occur, which hematopoietic growth hormone treatment of such patients need to ask?

Answer: Erythropoietin

Choices:
A. Thrombopoietin
B. Erythropoietin
C. Stem cell factor
D. Granulocyte-colony stimulating factors


Question: A 58-year-old female patient, because two days before the start of urinary frequency, burning urination, abdominal feel a slight sense of pain, sometimes feel less out of the urine, hematuria start today, no blood clots, which of the following is wrong?

Answer: Should arrange cystoscopy

Choices:
A. The most likely diagnosis is acute bacterial cystitis
B. The vast majority community pathogen infection of E. coli (E. coli)
C. Should arrange cystoscopy
D. In the clinic is very common, typical cases does not necessarily need to do urine culture


Question: Which of the following receptors than via messaging GTP-binding protein (G protein)?

Answer: NMDA receptor

Choices:
A. muscarinic receptor
B. glucagon receptor
C. histamine receptor
D. NMDA receptor


Question: If a patient suffered from diarrhea and kidney disease or loss of half-isotonic NaCl 3L, the effect on the intracellular fluid (ICF) and extracellular fluid (ECF) volume of Why?

Answer: ICF volume loss：1.0 L；ECF volume loss：2.0 L

Choices:
A. ICF volume loss：1.5 L；ECF volume loss：1.5 L
B. ICF volume loss：2.0 L；ECF volume loss：1.0 L
C. ICF volume loss：1.0 L；ECF volume loss：2.0 L
D. ICF volume loss：0.5 L；ECF volume loss：2.5 L


Question: ADVANCED 68.75 years old with the educational level of men Face disease, due to track treatment ADVANCED ⾎ pressure and diabetes come for treatment, while a series of statements recently ⼀ a month on hair fall ⽣ twice, as he entered the elderly ⾏ comprehensive assessment of each of the following class assessment statements is true?

Answer: Using the chi Mini Center Weighted required state examination (MMSE) valuated ⾏ Center Weighted Chi state, if the score 24 points belong to the following exception

Choices:
A. Using the chi Mini Center Weighted required state examination (MMSE) valuated ⾏ Center Weighted Chi state, if the score 24 points belong to the following exception
B. Using older required Depression Scale (GDS-15) to evaluate depression into ⾏, if the score was 4 points or less normal, even if there are more than 8 points depression
C. Use can Mini Nutritional Assessment Scale (MNAzyme) to feed ⾏ nutritional assessment, when operating above the score 10 points, the table may be displayed malnutrition, needs to provide further into ⼀
D. Using the scale bar can be ⽒ for daylight often live ⽣ function assessment, if the score 31 to 60 minutes are mild disability


Question: Urine with vanilloid (homovalinic acid) and VMA (vanillylmandelic acid) increase the amount of these tumor markers is what children's cancer (tumor marker)?

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Renal Wilms 'tumor (Wilms' tumor)
B. Neuroblastoma (neuroblastoma)
C. Rhabdomyosarcoma (rhabdomyosarcoma)
D. Yolk sac tumor (yolk sac tumor)


Question: Which of the following belong ratio scale data (ratio scaling data)?

Answer: Height (such as 165 cm, 170 cm)

Choices:
A. Celsius temperature (e.g. 25 ℃, -5 ℃)
B. Religion (such as Catholicism and Taoism)
C. Height (such as 165 cm, 170 cm)
D. Education (such as elementary school, high school)


Question: Congenital retinal detachment disease is usually caused due Which of the following does not heal?

Answer: Cup (optic cup) of the inner and outer layers

Choices:
A. Cup (optic cup) of the inner and outer layers
B. Between the retina and crystalline
C. Pigment layer and choroid layer / room sclera
D. Eyestalk (optic stalk) base


Question: Giant cells vasculitis (giant cell arteritis), which often co-occur with these diseases?

Answer: polymyalgia rheumatica

Choices:
A. rheumatoid arthritis
B. Sjögren's syndrome
C. polymyalgia rheumatica
D. primary biliary cirrhosis


Question: A 1-year-old six large month-old child, 11 months old at the time because to get Kawasaki (Kawasaki disease) receiving high-dose intravenous immunoglobulin therapy. Currently the following that a vaccine should not be vaccinated, so as not to affect the effect of this vaccine?

Answer: Measles, mumps, rubella (MMR) triple vaccine

Choices:
A. Flu vaccine
B. Japanese encephalitis vaccine
C. Measles, mumps, rubella (MMR) triple vaccine
D. Diphtheria, pertussis, tetanus, b type Haemophilus Observing the polio vaccine


Question: Which of the following is not a recurrent laryngeal nerve (recurrent laryngeal nerve) common cause of injury?

Answer: Arterial catheter (ductus arteriosus) latch

Choices:
A. Hemangioma of the aorta (aneurysm of the aorta)
B. Arterial catheter (ductus arteriosus) latch
C. Mediastinal lymph nodes (enlargement of mediastinal lymph nodes)
D. Esophageal cancer (esophageal carcinoma)


Question: A 3-year-old boy three weeks because of a persistent cough and fever one week treatment, sometimes because of severe coughing and vomiting caused by, physical examination revealed right side conjunctivitis and some secretions, lung auscultation bilaterally with fine rales (fine crackles) . That one of the following is the most likely pathogen?

Answer: Adenovirus

Choices:
A. influenza
B. pertussis
C. Mycoplasma
D. Adenovirus


Question: Thinking about sleep disorders (schizophrenia) of the narrative, what's right?

Answer: Loose coupling (loosening of association) is a Reflection type (thought form) symptoms

Choices:
A. Little indifferent (blunted) cut or discomfort (inappropriate) emotions
B. For many years before symptoms began to appear negative (negative symptoms) in suffering from this disease
C. Loose coupling (loosening of association) is a Reflection type (thought form) symptoms
D. The most common of the two kinds of hallucinations auditory hallucinations and tactile hallucinations


Question: The most common type of stroke are:

Answer: Ischemic stroke (ischemic infarction)

Choices:
A. Ischemic stroke (ischemic infarction)
B. ICH (intracerebral hemorrhage)
C. Bleeding (subarachnoid hemorrhage) subarachnoid
D. Thrombotic cerebral infarction (embolic infarction)


Question: 50-year-old male patient, physical examination revealed scleral yellowing, but no abnormal urine color, following the diagnosis of what's least likely?

Answer: Common bile duct stones

Choices:
A. Hemolytic anemia
B. Gilbert syndrome
C. Common bile duct stones
D. Crigler-Najjar syndrome


Question: A 65-year-old woman, suffering from diabetes for many years, its dyslipidemia are as follows: triglycerides 220 mg / dL, cholesterol 240 mg / dL, HDL cholesterol 35 mg / dL, LDL cholesterol 161 mg / dL. In addition to recommending amendments lifestyle and glycemic control, and that one of the following drugs for the treatment best suited to their dyslipidemia?

Answer: fibrates

Choices:
A. statins
B. fibrates
C. niacin
D. vitamin B complex


Question: 50-year-old Wang is hepatitis B asymptomatic carrier. One day a medical center to receive a liver ultrasound examination and found a small right hepatic liver cancer suspected the phenomenon. Blood test to detect why Mr. Wang is most needed?

Answer: Alpha fetoprotein (alpha fetoprotein)

Choices:
A. Cholesterol (cholesterol)
B. Transferrin (transferrin)
C. α1- antitrypsin (alpha 1-antitrypsin)
D. Alpha fetoprotein (alpha fetoprotein)


Question: 55-year-old male with lower back pain accompanied by morning stiffness (> 30 minutes) for two years, pelvic X-ray was normal, the patient had a history of left with the Arab Spring (Achilles tendon) inflammation, in order to determine the current condition and what the disease is most likely?

Answer: Spondyloarthritis axis (axial spondyloarthropathy)

Choices:
A. Ankylosing spondylitis (ankylosing spondylitis)
B. Spondyloarthritis axis (axial spondyloarthropathy)
C. Osteoarthritis (Osteoarthritis)
D. Psoriatic arthritis (psoriatic arthritis)


Question: When the body was found checkups orange peel changes (peau d'orange or orange peel appearance) breast, the following statements is wrong?

Answer: Antibiotics should be given

Choices:
A. This change was due to the cancer cells blocking lymph circulation caused by subcutaneous
B. Stage I breast cancer do not have this performance
C. There may be inflammatory breast cancer (inflammatory breast cancer)
D. Antibiotics should be given


Question: The 54-year-old has given birth women because bleeding after menopause, if there is clinical suspicion of endometrial lesions may, following the disposal of what the most accurate diagnosis of lesions?

Answer: Cervical dilation and scraping scratch surgery or hysteroscopy (dilation and curettage or hysteroscopy)

Choices:
A. Vaginal and cervical smear (Pap smear)
B. Transvaginal ultrasound (transvaginal ultrasound)
C. Outpatient endometrial sampling to draw (office endometrial aspiration biopsy)
D. Cervical dilation and scraping scratch surgery or hysteroscopy (dilation and curettage or hysteroscopy)


Question: Adult (adult) small bowel obstruction (small bowel obstruction) the most common reasons are:

Answer: Post-operative adhesions (adhesions)

Choices:
A. Post-operative adhesions (adhesions)
B. Hernia (hernia)
C. Intestinal tumors (tumor)
D. Intussusception (intussusception)


Question: ⼀ bit 10-year-old child with fever and rash two days submenus ⾄ emergency medical treatment, examination found rash submenus patterns have maculae, papulae and vesicles, etc. Which of the following best describes inappropriate?

Answer: Start contagious after the rash appears submenus

Choices:
A. Caused by the Herpes virus
B. Start contagious after the rash appears submenus
C. May associate the resulting complications include encephalitis, pneumonia
D. Refrain from using aspirin therapy


Question: What kind of tumor in the spinal cord (intramedullary tumor) the most common?

Answer: Astrocytoma (astrocytoma) 15 meningioma tissue is grown from what?

Choices:
A. Meningioma (meningioma)
B. Metastases (metastatic tumor)
C. Melanoma (melanoma)
D. Astrocytoma (astrocytoma) 15 meningioma tissue is grown from what?


Question: 73-year-old woman, in the past there is a history of hypertension and arrhythmia, sudden left lower limb weakness, low body movements and speak change, neurological examination showed normal consciousness, language comprehension is acceptable, the left lower limb muscle strength decreased, the other limb muscle strength yet normal, clinical diagnosis of acute cerebral infarction stroke. The most likely lesion why?

Answer: Right anterior cerebral artery (anterior cerebral artery)

Choices:
A. Right anterior cerebral artery (anterior cerebral artery)
B. Right middle cerebral artery (middle cerebral artery)
C. After the right middle cerebral artery (posterior cerebral artery)
D. Basilar artery (basilar artery)


Question: 9.12 year-old girl, because short stature and treatment, the father height 165 cm, 154 cm tall and mother. The most recent year length of 3 cm. Physical checkups display body

Answer: Movement (exercise)

Choices:
A. Movement (exercise)
B. Insulin (insulin)
C. Arginine (arginine)
D. Glucagon (glucagon of)


Question: Related cytokine function, the following statements is wrong?

Answer: The second type of T helper cells (TH2) is able to cause a first type hypersensitivity, because capable of secreting IFN-γ, IFN-γ and can live

Choices:
A. TNF-α, IL-1, IL-6 and acute phase proteins and fever (acute phase protein) in the elevated
B. The second type of T helper cells (TH2) is able to cause a first type hypersensitivity, because capable of secreting IFN-γ, IFN-γ and can live
C. IFN-α / β will increase the MHC class I and class II expression levels of cells that can help fight the virus
D. GM-CSF can help the growth and differentiation of dendritic cells


Question: Thickness skin graft according to take into full thickness skin graft with a (full-thickness skin graft) skin graft and the portion of the layer (split-thickness skin graft), belongs to which of the following characteristics of the full-thickness skin graft?

Answer: Better aesthetic results

Choices:
A. Primary less shrinkage (primary contraction)
B. Easier survival (graft survival)
C. More post-contraction (secondary contraction)
D. Better aesthetic results


Question: ⽒ statements about Paget Paget's disease (Paget's disease of bone), and Which statement is correct?

Answer: Patients not yet receiving treatment, ⾎ clear alkaline phosphatase (alkaline phosphatase) will significantly increase during

Choices:
A. Lesions of bone resorption (resorption) significantly increased bone ⽣ to ⽽ (formation) decreased
B. May be associated with bacterial infection (bacterial infection)
C. Patients not yet receiving treatment, ⾎ clear alkaline phosphatase (alkaline phosphatase) will significantly increase during
D. Patients not yet receiving treatment, urine hydroxy-proline (hydroxyproline) will significantly reduce


Question: Also NMDA receptor ion channel, which is turned on following ions through?

Answer: Sodium, potassium and calcium

Choices:
A. Only sodium
B. Sodium and potassium only
C. Only sodium and calcium
D. Sodium, potassium and calcium


Question: 38 year old man, repeated on both sides of the palms and soles appear as shown itching of the skin lesions; microscopic examination found no mold, bacteria culture is sterile, pathological examination revealed inflammation of eczema; what patients are most likely diagnosis?

Answer: Khan herpes

Choices:
A. Athlete's foot
B. Khan herpes
C. Palmoplantar pustulosis
D. Secondary syphilis


Question: To prevent new mutant influenza virus infection, it is recommended for the elderly and children - administration of influenza vaccine each year. Construction mutation most vulnerable to influenza viruses is that one of the following?

Answer: Hemagglutinin (Hemagglutinin)

Choices:
A. Hemagglutinin (Hemagglutinin)
B. Reverse transcriptase (reverse transcriptase)
C. Transcriptase (Transcriptase)
D. Protein coat (capsid protein)


Question: A young man in a car accident, the radial groove of the humerus (radial groove) at the lateral impact and suffered fractures, nerve injuries through the meantime, the following functions which are most likely to be affected?

Answer: The knuckle extension (extension of fingers)

Choices:
A. Wrist flexion (flexion of wrist)
B. The knuckle extension (extension of fingers)
C. Pronation of the wrist function (pronation of wrist)
D. Outside the shoulder exhibition (abduction of shoulder) on 8 clinical bladders testicles (hydrocele of testis) is a liquid accumulation in where?


Question: The following figure shows a graph of pulmonary function examination single breath nitrogen washout, and where called closing volume?

Answer: III and IV junction

Choices:
A. II and III
B. Midpoint III
C. III and IV junction
D. IV end


Question: The following narrative about the rise of ST segment myocardial infarction (ST-elevation myocardial infarction, STEMI), and what's wrong?

Answer: Usually dead on arrival due to acute heart failure

Choices:
A. Pathological Physiology of atherosclerotic plaque rupture Rose intravascular, vascular thrombosis resulting in acute complete obstruction
B. Cardiac troponin (cardiac troponin) rises, usually persist for a week
C. Usually dead on arrival due to acute heart failure
D. Inferior wall myocardial infarction (inferior wall myocardial infarction) patients to do routine electrocardiogram right anterior chest wall


Question: Middle-aged male patient with history of alcohol abuse for years, complained of diarrhea, weight loss, abdominal pain when eating satiety, abdominal pain sitting position and posture can be slightly bent over my eyes relieve abdominal pain. The clinical differential diagnosis of the disease is the primary consideration:

Answer: Chronic pancreatitis

Choices:
A. Intrahepatic stones
B. Chronic cholangitis
C. Chronic pancreatitis
D. Chronic duodenal ulcer


Question: Statements about Neisseria meningitidis (Neisseria meningitidis), the error which of the following?

Answer: Often get infected by a contaminated animal

Choices:
A. Vaccinations ingredient is capsular polysaccharide (capsular polysaccharides)
B. Often get infected by a contaminated animal
C. Mainly through the respiratory tract infection
D. Can cause severe anemia, caused by damage to the adrenal gland (adrenal gland) of


Question: Which of the following disease psychosis (schizophrenia) therapeutic drugs, than those without extrapyramidal symptoms (extrapyramidal syndrome) side effects, but can cause particles of white blood cell deficiency (agranulocytosis)?

Answer: clozapine

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


Question: After HIV infection and organ transplants, patients receiving long-term immunosuppressive treatment following which will increase the prevalence of brain tumors?

Answer: Primary central nervous system lymphoma (primary CNS lymphoma)

Choices:
A. Primary central nervous system lymphoma (primary CNS lymphoma)
B. Meningioma (meningioma)
C. Ependymoma (ependymoma)
D. Craniopharyngioma (craniopharyngioma)


Question: MD, found that patients with asymptomatic carrier to AIDS, in accordance with the decree, which of the following should be notified?

Answer: Local competent authority

Choices:
A. Legal spouse of the patient
B. Local competent authority
C. Physician confidentiality obligations, unless patient consent shall not tell anyone
D. People may have sex occurred with patients


Question: A 54-year-old woman Phase IV lung adenocarcinoma patients received targeted drug gefitinib treatment, poor efficacy, conditions continued to deteriorate. Whichever is less likely for the following reasons?

Answer: Lung cancer cells with EML4-ALK fusion protein

Choices:
A. Patients with long-term smoking
B. Lung epithelial cell growth hormone receptors (epidermal growth factor receptor, EGFR) gene is not mutated
C. T790M mutation in the EGFR gene with
D. Lung cancer cells with EML4-ALK fusion protein


Question: The following does not belong to that kind of study design observational epidemiology?

Answer: Clinical trial

Choices:
A. A case-control study law
B. Generations follow-up study law
C. Ecological research method
D. Clinical trial


Question: Pair following their natural hosts of the virus, what's wrong?

Answer: Yellow fever virus (Yellow fever virus) and birds

Choices:
A. Yellow fever virus (Yellow fever virus) and birds
B. Dengue virus (Dengue virus) and humans, monkeys
C. Japanese encephalitis virus (Japanese encephalitis virus) and birds, pigs
D. St. Louis encephalitis virus (St. Louis encephalitis virus) and birds


Question: ⺟ the following statements about testicular sperm cell tumor (testicular seminoma), and whichever is less correct?

Answer: Often made ⽣ in infancy (infant)

Choices:
A. The variation of transfer color is often ⾒ ⼗ ⼆ article transfer color of the short arm body like an arm transfer color body (isochromosome 12p)
B. Tumor cells will show OCT3 / 4 and NANOG
C. Often made ⽣ in infancy (infant)
D. Some tumors have activating mutations in the KIT gene (activating mutations)


Question: Carboxylase  (Pyruvate carboxylase) its secondary  biotin (Biotin) primary function is to transfer:

Answer: Carbon dioxide (CO2)

Choices:
A. Amino group (amino group)
B. Electronics (electrons)
C. 醯基（acyl groups）
D. Carbon dioxide (CO2)


Question: 45 year old woman, intermittent pain above the pubic bone, urinary frequency, hematuria and painful urination. Pathological microscopic changes seen bladder mucosa chronic ulcers, chronic inflammation of the bladder wall, fibrosis and cell infiltration. Which of the following is the most likely diagnosis?

Answer: Interstitial cystitis

Choices:
A. Polypoid cystitis
B. Cystitis follicular
C. Interstitial cystitis
D. Hemorrhagic cystitis


Question: Gonorrhea meningitidis (gonococci) infection in adult women, most often starting at the following locations?

Answer: Cervix

Choices:
A. Urethra
B. vaginal
C. Cervix
D. oviduct


Question: The following account of Streptococcus pneumoniae infections (Streptococcus pneumoniae), whichever is correct?

Answer: Streptococcus pneumoniae bacteremia in infants and the elderly than the general adult common

Choices:
A. Streptococcus pneumoniae bacteremia in infants and the elderly than the general adult common
B. Immunodeficiency patients (such as: splenectomy patients) administered to fight pneumococcal vaccine is contraindicated
C. Streptococcus pneumoniae pharyngitis is Streptococcus pneumoniae meningitis the most common first event
D. Blood leukocytes was significantly higher (marked leukocytosis) with respect to a host of factors, the main factors predict poor prognosis of pneumococcal infection


Question: The following account of the electric submenus transport chain, what's wrong?

Answer: Coenzyme Q (CoQ) can assist in transmitting electrical Submenu ⾄ complex II of complex I

Choices:
A. Submenus Oxygen (O2) for the electric final recipient submenus
B. NADH oxidation hair ⽣ to complex I
C. Coenzyme Q (CoQ) can assist in transmitting electrical Submenu ⾄ complex II of complex I
D. Cytochrome c (Cyt c) help transfer electrical Submenu ⾄ complex IV of complex III


Question: Hereditary angioneurotic edema causes are:

Answer: Due to lack of the inhibitor of complement C1, C2 kinin and bradykinin cause excessive generation

Choices:
A. Due to lack of the inhibitor of complement C1, C2 kinin and bradykinin cause excessive generation
B. Due to lack of purine nucleoside phosphorylase, thus increasing vascular leakage
C. Caused by excessive activation of IgG1 C2, C4 hyperactivity, increased vascular permeability
D. High properdin and factor D cause excessive vascular permeability


Question: About the type of tuberculosis type of leprosy (tuberculoid leprosy) and lepromatous leprosy leprosy narrative (lepromatous leprosy), and Which statement is correct?

Answer: Cellular type immune response resembling tuberculosis leprosy patients (cellular immune reaction) leprosy patients compared to lepromatous leprosy strong

Choices:
A. Tuberculosis Leprosy class type tissue lesions observed foamy macrophages (foamy macrophages), lepromatous leprosy, leprosy is no feature that
B. Cellular type immune response resembling tuberculosis leprosy patients (cellular immune reaction) leprosy patients compared to lepromatous leprosy strong
C. Contagious disease like tuberculosis, leprosy type of skin disease than lepromatous leprosy is high
D. Lepromatous leprosy skin lesions of leprosy tested positive for leprosy streptozotocin (lepromin) test


Question: The following statements about cell death (necrosis), and what's wrong?

Answer: Cytoplasm necrotic cells than in normal cells, basophilic H & E staining (basophilia)

Choices:
A. Cytoplasm necrotic cells than in normal cells, basophilic H & E staining (basophilia)
B. Vacuole appears in the cytoplasm of the cell cytoplasm because digestion is due
C. Condensation nuclei (pyknosis) found in apoptosis (apoptotic cell death)
D. Image forming myelin (myelin figures) from the cell membrane is broken


Question: Which is not the role of opioids (opioids) are?

Answer: Anticonvulsant

Choices:
A. Anticonvulsant
B. Cough suppression
C. constipation
D. Miosis


Question: A 73-year-old male patient due to diarrhea and weight loss in two months in hospital outpatient and 10 kg. Ultrasound examination showed multiple outpatient liver tumor. Colonoscopy found projection of the ascending colon tumor, pathological examination confirmed adenocarcinoma. The patient hepatitis B, C hepatitis markers negative, normal fetal protein, but carcinoembryonic antigen (CEA) was 1160 ng / mL. Patients with abdominal CT figures. Which of the following best suited for this purpose the patient's Dukes stage?

Answer: D

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


Question: 36 a 38-year-old woman complained two years often begin in the afternoon of high fever (up to 39.4 ℃), sometimes accompanied by sore throat, joint pain and salmon-colored rash, fever usually only experience a few hours and then automatically bring down a fever, which kind of attack will last two months and sometimes years, is different from ordinary people do not attack, this time in hospital physical examination found to have liver, splenomegaly, blood tests found that WBC 12800 / μL, ESR 42 mm / 1h, CRP 2.48 mg / L, AST 42 U / L, ALT 48 U / L, ferritin 11280 ng / mL, ANA and rheumatoid factor (rheumatoid factors) were negative, and three sets of blood culture comprising bacteria and mold urine no , and common viral antibodies were within the normal range, the most likely diagnosis why?

Answer: Adult-onset Still's disease

Choices:
A. Dengue fever
B. Adult-onset Still's disease
C. Plasmodium falciparum infestation
D. Cancer fever


Question: Under normal circumstances, the decision glomerular filtration rate (GFR) of the Shi force (Starling forces), the largest absolute Why?

Answer: The pressure in the glomerular capillaries (PGC)

Choices:
A. In the glomerular capillary plasma colloid osmotic pressure (ΠGC)
B. The pressure in the glomerular capillaries (PGC)
C. Bowman's capsule in the pressure (PBS)
D. Bowman's capsule in glomerular filtration liquid glue osmotic pressure (ΠBS)


Question: The following nerve damage that can cause a claw hand (claw hand) symptoms?

Answer: Ulnar nerve (ulnar nerve)

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


Question: The parasite may occur extract the patient's sputum 93 are those? Wei's lung fluke eggs    fecal nematode larvae roundworm eggs  Wei's lung fluke larvae


Question: Following that ⼀ neck fascia (fascia) is located under the hyoid muscles (infrahyoid muscles) ⾯, and cover the thyroid (thyroid gland) Table ⾯?

Answer: Pretracheal layer (pretracheal layer)

Choices:
A. Envelope layer (investing layer)
B. Carotid sheath (carotid sheath)
C. Pretracheal layer (pretracheal layer)
D. Prevertebral layer (prevertebral layer)


Question: A 35-year-old female patient, two years to the most persistent low mood, dizziness, stretching, lack of concentration, memory loss, sleep difficulties and other symptoms, but patients are generally able to maintain the work and role function, in this case most likely the diagnosis why?

Answer: Low affective disorders (dysthymic disorder)

Choices:
A. Heavy depressive (major depression)
B. Adaptive disorders (adjustment disorder)
C. Low affective disorders (dysthymic disorder)
D. Anxiety (anxiety disorder)


Question: Because of that kind of amino acid 26 following its rigid structure (rigidity) large, and therefore rarely found in proteins flaps β- (β-sheet) structure?

Answer: Proline (proline)

Choices:
A. Glycine (glycine)
B. Serine (serine)
C. Half 胱胺 acid (cysteine)
D. Proline (proline)


Question: Which of the following is subject to hormone produced by the action of receptors to the cell membrane?

Answer: Insulin

Choices:
A. Glucocorticoid
B. Thyroid hormone
C. Insulin
D. Estrogen


Question: Which of the following indicators of the least frequently used to assess the prognosis of brain injury (traumatic brain injury) patients with clinically?

Answer: After brain injury epilepsy (seizure) of the frequency of occurrence

Choices:
A. After brain injury epilepsy (seizure) of the frequency of occurrence
B. Coma length (duration of coma) time
C. Glaston Coriolis GCS (Glasgow coma scale)
D. The length of the brain after injury, loss of memory (amnesia) time


Question: A 60-year-old woman five years ago due to cervical carcinoma in situ (carcinoma in situ) removal of the uterus, vagina six months ago at a seam (vaginal cuff) biopsy showed severe vaginal endothelial cell neoplasia (grade 3 vaginal intraepithelial neoplasia, VAIN 3) accept laser vaporization treatment; still persists after an abnormal pap smear, then how to do the most appropriate?

Answer: Surgical resection

Choices:
A. Freezing treatment
B. Coffee
C. Surgical resection
D. 5-FU cream wiping


Question: Heat-shock proteins can be used to promote solid tumor vaccine (tumor vaccine), the machine turn why?

Answer: Help tumor antigen (major histocompatibility complex) class I molecules are presented in the MHC

Choices:
A. Help antigen presenting cell proliferation (antigen-presenting cell) of
B. Presents promote cell (antigen-presenting cell) of co-stimulating molecules of antigen expression
C. Help tumor antigen (major histocompatibility complex) class I molecules are presented in the MHC
D. Help antigen presenting cell tolerance (antigen-presenting cell) tumor cells


Question: The following ketamine about the statements is wrong?

Answer: Reduce myocardial oxygen consumption, it is suitable for patients with coronary artery occlusion

Choices:
A. Increases intracranial pressure and improve brain oxygen consumption
B. Suitable for anesthesia in patients with asthma
C. It has analgesic effect
D. Reduce myocardial oxygen consumption, it is suitable for patients with coronary artery occlusion


Question: Myelomeningocele (myelomeningocele) predilection position:

Answer: Thoracolumbar junction

Choices:
A. Lumbar sacral junction
B. Thoracolumbar junction
C. Cervical vertebra
D. Lumbar


Question: About brain aneurysm subarachnoid hemorrhage (SAH), which of the following error?

Answer: Subarachnoid hemorrhage caused by cerebral vasoconstriction (vasospasm), usually the first three days of the most serious

Choices:
A. Subarachnoid hemorrhage often associated with a higher concentration at the location of the aneurysm
B. Subarachnoid hemorrhage caused by cerebral vasoconstriction (vasospasm), usually the first three days of the most serious
C. CT angiography (CTA) in the diagnosis of intracranial of 2 mm has a sensitivity of greater than than 90% of
D. Subarachnoid hemorrhage can cause communicating hydrocephalus (communicating hydrocephalus)


Question: Mom did not rule the check-radical production, neonatal respiratory distress in hospital, bacterial blood culture long room to inform Gram-positive cocci, Which of the following is the most likely cause of this bacterial neonatal hyperlipidemia?

Answer: Streptococcus agalactiae

Choices:
A. Staphylococcus aureus
B. Streptococcus agalactiae
C. Escherichia coli
D. Listeria monocytogenes


Question: Which is not Krukenberg tumor common primary tumor site?

Answer: Pulmonary (lung)

Choices:
A. The large intestine (colon)
B. Pulmonary (lung)
C. 胃（stomach）
D. Breast (breast)


Question: Which is not to low tidal volume; aim high PEEP improve acute respiratory distress syndrome (ARDS) is?

Answer: Reduce infection caused by the respirator

Choices:
A. Reduce barotrauma
B. Reduce the toxicity of oxygen (oxygen toxicity)
C. Reduce mortality
D. Reduce infection caused by the respirator


Question: 62 year old man had a history of ADVANCED ⾎ pressure, irregular medication but, because of lower left abdominal pain two days came to the emergency, fever 38.5 ℃, ⾎ pressure 90/60 mmHg, Center Weighted jump 110 times per minute, physical examination left lower quadrant tenderness lumps, ⾨ rectal palpation will appear ⾎ mucus, white smoke ⾎ result ⾎ ball 22,000 / μL, ⾎ red pigment 9.7 g / dL. Based on the foregoing, it is most inappropriate examination:

Answer: Zoomed colonoscopy (colonoscopy)

Choices:
A. Zoomed colonoscopy (colonoscopy)
B. Computed tomography (CT)
C. Chest X-rays (the CXR)
D. Abdominal X-ray lie on the left side (left lateral decubitus)


Question: To perform this operation point in time, the best surgery within two weeks after birth and at the latest not more than six weeks, what are the reasons?

Answer: After more than six weeks, left ventricular function will be degraded, unable to bear the circulation work

Choices:
A. Atrial septal balloon ostomy effect can not be sustained
B. After more than six weeks, left ventricular function will be degraded, unable to bear the circulation work
C. After more than six weeks, the maternal antibodies disappear, infection-prone surgery
D. Within 2 weeks of surgery, coronary relatively easily separated (dissection)


Question: Medical accordance with the provisions of law, human trials of medical records should be kept a few years?

Answer: Permanent preservation

Choices:
A. 7 years
B. 10 years
C. 20 years
D. Permanent preservation


Question: The 14-year-old girl complained of jaundice deeper and deeper over the past two weeks, the physical examination no hepatosplenomegaly. The following test results what items you are most likely to make the diagnosis of her fulminant liver failure, and liver transplantation is recommended for immediately?

Answer: After administration of vitamin K, before prothrombin time (prothrombin time) continued to extend

Choices:
A. Elevated blood ammonia
B. After administration of vitamin K, before prothrombin time (prothrombin time) continued to extend
C. Serum direct bilirubin and ALT values increasing
D. Ascites


Question: 30-year-old patients with no history of hypertension weekdays, for some reason today to be surgery, general anesthesia induction, blood pressure jumped to 220/150 mmHg, thus aborted anesthesia. When returned to the recovery room, high blood pressure and attack several times, the correct diagnosis, what do these checks?

Answer: For 24 hours and blood Metanephrine Vallinyl mandelic acid (VMA)

Choices:
A. Potassium and Aldosterone
B. Blood Cortisol
C. For 24 hours and blood Metanephrine Vallinyl mandelic acid (VMA)
D. Blood Renin


Question: Head tumors cause eye, nose and mouth dry, I ask this of where the tumor is most likely to occur?

Answer: Pterygoid canal (pterygoid canal)

Choices:
A. Optic canal (optic canal)
B. Pterygoid canal (pterygoid canal)
C. Foramen ovale (foramen ovale)
D. Hole (foramen rotundum)


Question: 25. One 69 year-old male patient was hospitalized with acute myocardial infarction. Five days later, the patient breathing more asthma, physical examination showed a new apical systolic murmur, blood pressure 80/50 mmHg, central venous pressure 30 mmHg, chest X-ray showed pulmonary edema. The following statements is wrong? ① diagnosis of ventricular septal rupture ② aortic balloon apparatus shall pump ③ ④ do not need emergency surgery mortality from about 10 to 20%

Answer: Only ①③

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


Question: 33 a three-month baby girl big five days in hospital because of fever. Urine examination revealed: leukocyte 100-150 / HPF, erythrocyte 36-50 / HPF, urinary protein 30 mg / dL, nitrite (+), urine culture is reported as Escherichia coli> 100,000 colonies / mL. Kidney nuclear medical examination results are shown in the next inspection arrangements best suited to what?

Answer: Vesicoureteral photographic examination (voiding cystourethrogram)

Choices:
A. Photography IVP (intravenous pyelogram)
B. Vesicoureteral photographic examination (voiding cystourethrogram)
C. Computer tomography kidney (renal computed tomography)
D. Cystoscopy (Cystoscope)


Question: The following statements about the treatment of Type II diabetes, what's wrong?

Answer: Oral hypoglycemic drug acesulfame urea (a sulfonylurea) as a first line drug formulation

Choices:
A. Generally glycated hemoglobin (hemoglobin A1c) is less than 7% target
B. Oral hypoglycemic drug acesulfame urea (a sulfonylurea) as a first line drug formulation
C. DPP-4 inhibitor is to improve the function of the postprandial blood concentration of GLP-1
D. α-glucosidase inhibitor is mainly used for reducing postprandial blood glucose


Question: The following react with the vagus nerve has nothing to do?

Answer: Inhibition of alveolar type II alveolar epithelial secretory

Choices:
A. Cough reflex
B. Lung expansion reflector (Hering-Breuer inflation reflex)
C. Inhibition of alveolar type II alveolar epithelial secretory
D. Bronchial smooth muscle contraction


Question: The following account of the resistance of the fungus, what is wrong?

Answer: Heat, 60 ℃ not be killed one hour

Choices:
A. Drying, resistant to sunlight and ultraviolet
B. Generally more resistant to disinfectants
C. Heat, 60 ℃ not be killed one hour
D. Against bacterial antibiotic insensitive


Question: Here it does not contain a virus reverse transcriptase (reverse transcriptase)?

Answer: Polio virus (Poliovirus)

Choices:
A. AIDS virus
B. Hepatitis B virus
C. Human T-lymphotropic virus (Human T-lymphotropic virus)
D. Polio virus (Poliovirus)


Question: Cholesterol is following what vitamins (vitamin) synthetic precursor?

Answer: D

Choices:
A. A
B. D
C. IS
D. TO


Question: 44.6-year-old boy, appeared at the right side of the baby when a flesh-colored patch of scalp uplift As shown, increases slowly over time, the most likely diagnosis Why?

Answer: nevus sebaceous

Choices:
A. seborrheic keratosis
B. sebaceous hyperplasia
C. nevus sebaceous
D. verruca


Question: The following account of dermatomyositis (dermatomyositis) of, what's wrong?

Answer: More than 90% of patients with high anti-nuclear antibodies (antinuclear antibody, ANA) performance

Choices:
A. Some patients other organ cancers merger
B. Myositis symptoms extremities proximal end (proximal) portion
C. More than 90% of patients with high anti-nuclear antibodies (antinuclear antibody, ANA) performance
D. Some patients show symptoms of myositis lack of


Question: Major ions influence the duration of electrocardiogram ST section of the wave is:

Answer: Calcium

Choices:
A. Sodium
B. Calcium
C. Potassium
D. Phosphorus ions


Question: In suffering from precocious puberty in boys, and that one of the following pathogenic machine turn different from the other three?

Answer: The early appearance of early signs of adrenal (Premature adrenarche)

Choices:
A. 21 hydroxyalkyl congenital adrenal hyperplasia due to enzyme deficiency (congenital adrenal hyperplasia due to 21-hydroxylase deficiency)
B. Secretion of human chorionic intracranial tumors stimulating hormone (HCG-secreting intracranial tumor)
C. Adrenocortical tumors (Adrenocortical tumor)
D. The early appearance of early signs of adrenal (Premature adrenarche)


Question: There are statements about the NPC, Which statement is correct?

Answer: Neck lymph nodes are the most common initial symptoms of

Choices:
A. Neck lymph nodes are the most common initial symptoms of
B. Neoplasms generally proportional to the size of the extent of lymph node metastasis
C. Distant metastases occur at followed by lung, brain, bone
D. Pathological classification Up to WHO type I


Question: When Parkinson syndrome (Parkinsonism) of patients, such as restlessness associated with the constant hyperactivity disorder (akathisia), the most likely diagnosis is:

Answer: Drug-induced (drug-induced) of Parkinson syndrome

Choices:
A. Primary Parkinson's disease (idiopathic Parkinson's disease)
B. Drug-induced (drug-induced) of Parkinson syndrome
C. The progressive nuclear palsy (progressive supranuclear palsy)
D. Striatonigral degeneration (striatonigral degeneration)


Question: When estrogen (estrogen) secretion highest in the menstrual cycle (menstrual cycle) in? Its main role Why?

Answer: Ovulation about 24 hours (Ovulation) supra; Chao facilitate release luteinizing stimulating hormone (LH surge)

Choices:
A. The follicular phase (follicular phase); promoting follicular growth
B. Ovulation about 24 hours (Ovulation) supra; Chao facilitate release luteinizing stimulating hormone (LH surge)
C. Luteal phase (luteal phase); promote endometrial thickening
D. Menstruation (menstruation); endometrial facilitate collapse


Question: And human cervical cancer is related to the virus:

Answer: HPV (Human Papilloma virus) type XVIII

Choices:
A. HPV (Human Papilloma virus) type XVIII
B. EB virus (Epstein-Barr virus)
C. Adenovirus (Adenovirus) type VII
D. Retroviral (Retrovirus)


Question: An 8-year-old girl, complained of lower abdominal pain and was taken to the clinic, ultrasound examination revealed the right ovary has a 6 cm tumor, following diagnosis whichever is most likely?

Answer: Germ cell tumors (germ cell tumor)

Choices:
A. Benign epithelial tumors (benign epithelial neoplasm)
B. Malignant epithelial tumors (malignant epithelial neoplasm)
C. Follicular cysts (follicular cyst)
D. Germ cell tumors (germ cell tumor)


Question: In laparoscopic surgery, Complication due Pneumoperitoneum generated, the following was one of the most serious?

Answer: Gas embolus

Choices:
A. Pneumothorax
B. Pneumomediastinum
C. Gas embolus
D. Subcutaneous emphysema


Question: Following on human immunodeficiency virus (HIV) laboratory diagnosis of narrative, what's right?

Answer: Reverse transcription polymerase chain reaction (RT-PCR) can detect the presence of HIV RNA in the blood

Choices:
A. The main serological diagnosis, namely to detect whether there is blood in the HIV virus antigen
B. Which is one of western blot serological diagnosis, mainly used for initial screening
C. Wherein the enzyme-linked immunosorbent assay (ELISA) is one of serological diagnosis, test for confirming the main
D. Reverse transcription polymerase chain reaction (RT-PCR) can detect the presence of HIV RNA in the blood


Question: Cyclosporine is a potent immunosuppressive agents, often used against the rejection of organ transplants, the reason why?

Answer: Interleukins inhibiting gene transcription

Choices:
A. Increased synthesis of IgG antibodies
B. Antibody binding interference checking
C. Interleukins inhibiting gene transcription
D. Activating Natural killer (NK) cells


Question: Bearing on the question, What should I do?

Answer: Require immediate laparotomy (exploratory laparotomy immediately)

Choices:
A. Continue to observe (continue observation)
B. Require immediate laparotomy (exploratory laparotomy immediately)
C. Photography for the small intestine (small intestine series)
D. Total parenteral nutrition (give TPN)


Question: Account of eukaryotic DNA replication ⽣ matter, which of the following error?

Answer: Mainly composed of DNA polymerase I DNA replication into ⾏

Choices:
A. Mainly composed of DNA polymerase I DNA replication into ⾏
B. Replication initiating RNA primer need Submenu (Primer)
C. Helicase unwinds the double helix DNA may be
D. Replication protein A (RPA) may be combined with single-stranded DNA


Question: Recommended marrow damage (sacral spinal cord injury) urodynamic often occurs exceptions are:

Answer: No reflection detrusor (detrusor areflexia)

Choices:
A. Reflecting detrusor overactivity (detrusor hyperreflexia)
B. No reflection detrusor (detrusor areflexia)
C. Detrusor urethral sphincter ataxia (detrusor- external sphincter dyssynergia)
D. Low compliance (low compliance)


Question: Which of the following is the most important pathological features of acute respiratory distress syndrome caused by the diagnosis of acute lung injury?

Answer: The transparent film (hyaline membrane)

Choices:
A. The transparent film (hyaline membrane)
B. Proliferation of type II pneumocytes (type II pneumocyte proliferation)
C. Alveolar walls and alveolar cavity granulation tissue (granulation tissue in alveolar wall and spaces)
D. Alveolar septal thickening and fibrosis (fibrotic thickening of alveolar septa)


Question: Wang was a 30-year-old terminally ill breast cancer, because cancer multiple bone metastasis and lung metastasis causing pain and asthma hospitalization. Wang pain through a variety of medications are still unable to effectively control, then what is the most appropriate disposal method?

Answer: Assessment of psychological, social and spiritual needs

Choices:
A. Miss Wang skeptical whether the complaint should be true
B. A single prescription medication, should not merge multiple drugs
C. Assessment of psychological, social and spiritual needs
D. Consider using the chemotherapy drugs test


Question: Which of the following most associated with emphysema?

Answer: Flexible proteolytic enzymes (Elastase)

Choices:
A. Flexible proteolytic enzymes (Elastase)
B. Xialai Barre crystals (Charcot-Leyden crystals)
C. Complement (complement)
D. Acute inflammatory chemical regulator (chemical mediators)


Question: The following description of the serratus anterior muscle (serratus anterior), and what's right?

Answer: Rotatable scapula forward

Choices:
A. In the front wall of thorax
B. Under pressure ribs
C. Dominated by the intercostal nerve
D. Rotatable scapula forward


Question: About narrative related suicide attempt (suicide attempt), the Which statement is correct?

Answer: Borderline personality disease patients (borderline personality disorder) often occur with manipulation means suicide attempt

Choices:
A. Among those who attempt suicide, more men than women and more
B. When assessing suicide attempts in patients, promote patient to avoid repetition of suicidal behavior, questions to be bypassed, not directly questioning of its current suicidal ideation or related plans
C. Borderline personality disease patients (borderline personality disorder) often occur with manipulation means suicide attempt
D. Suicide attempts were, the vast majority is not related to psychiatric diagnosis


Question: Which of the following can inhibit the secretion of saliva?

Answer: atropine

Choices:
A. aspirin
B. atropine
C. cimetidine
D. vasoactive intestinal peptide


Question: A 50-year-old male with a history of duodenal ulcer, but medication is not normal, because of the recent busy, always feel upper abdominal pain. After this morning burst of pain, suddenly does not hurt, but abdominal swelling. Came to the emergency room, the most likely diagnosis addiction Why?

Answer: Duodenal ulcer perforation

Choices:
A. Acute cholecystitis
B. Acute hepatitis
C. Gallbladder rupture
D. Duodenal ulcer perforation


Question: Which of the following does not belong to five ingredients Smilkstein founded out of the family APGAR Questionnaire it?

Answer: Resources of (resource)

Choices:
A. Fitness (adaptation)
B. The degree of cooperation (partnership)
C. The growth of the (growth)
D. Resources of (resource)


Question: 28 year old man, appeared in the palms soles asymptomatic scaling rash, as shown, the most likely diagnosis is:

Answer: syphilis

Choices:
A. syphilis
B. Herpes simplex
C. Scabies
D. gonorrhea


Question: According to Catterall believes that signs of children femoral head avascular necrosis disease (Legg- Calvé -Perthes disease) in poor prognosis, except which of the following?

Answer: Younger (less than 5 years) at onset of

Choices:
A. On the outside of the femoral head passes through the X increased (radiolucency in lateral femoral head)
B. Growth of the horizontal plate portion of the femoral head (horizontal growth plate)
C. Younger (less than 5 years) at onset of
D. Necrosis of the femoral head portion of the range up to 80%


Question: A 80 year old man began to have symptoms of bloating and vomiting yesterday to emergency treatment, the patient expressed before and there have been several similar symptoms, physical checkups display body temperature 36 ℃, at 16 breaths per minute, 80 beats per minute , abdominal examination revealed a lower abdominal surgery scars, abdominal swelling (distended), no tenderness (tenderness) symptoms, after placing a nasogastric tube, patient symptoms improved tracking of imaging studies in the following figure, the following statements is wrong?

Answer: Supportive therapy (supportive care) does not apply to this patient

Choices:
A. The patient may have a lack of water (dehydration) status to be given fluid replacement (fluid resuscitation) and monitoring of urine output
B. Administering to the patient a large amount of water needs to be considered placed central venous catheter (central venous catheter) to monitor the condition of water to give
C. If abdominal pain or peritoneal sign appears, it means that there is the possibility of intestinal necrosis
D. Supportive therapy (supportive care) does not apply to this patient


Question: About human color vision, Which of the following is the most appropriate description?

Answer: Cone cells (Cone) discriminating red and green gene, located on chromosome X and simultaneously close position

Choices:
A. M cone cells (M cones) on normal human retina primarily absorb red
B. Human vision refers to the three primary colors red, green and yellow
C. The ratio of male and female human color blindness occurs is 1: 1
D. Cone cells (Cone) discriminating red and green gene, located on chromosome X and simultaneously close position


Question: Specific particles (specific granule) What type of white blood cells with a crystalline (crystalloid body) is?

Answer: Eosinophil

Choices:
A. Monocytes
B. Eosinophil
C. Basophil granulocyte
D. Neutrophils


Question: The main feature of these diseases is the blood which bone marrow function exuberant, resulting in significant expansion of the bone marrow?

Answer: Mediterranean anemia (thalassemia)

Choices:
A. Mediterranean anemia (thalassemia)
B. Aplastic anemia (aplastic anemia)
C. Lack of immune thrombocytopenic purpura (immune thrombocytopenic purpura)
D. Acute myeloid leukemia (acute myelogenous leukemia)


Question: Which of the following does not include the old principle of medication?

Answer: Symptomatic treatment should be given medication

Choices:
A. Collect detailed drug habit
B. Symptomatic treatment should be given medication
C. Simplify treatment
D. Starting a small amount of drugs


Question: Which of the following is most likely to be cured of malignant disease with a chemotherapeutic drug (chemotherapy)?

Answer: seminoma

Choices:
A. non-smal cell lung cancer
B. colorectal carcinoma
C. seminoma
D. chronic myeloid leukemia


Question: Which of the following is not a type of abnormal trinucleotide repeats (trinucleotide-repeat disorder)?

Answer: Ezihaimo disease (Alzheimer's disease)

Choices:
A. Huntington's disease (Huntington's disease)
B. Machado - Joseph's disease (Machado-Joseph disease)
C. Kennedy disease (Kennedy's disease)
D. Ezihaimo disease (Alzheimer's disease)


Question: A 24-year-old male, in recent months, often intermittent abdominal pain, fever and mild diarrhea, pressure easier to attack. Physical examination revealed the presence of the tube next to the rectum. Colonoscopy visible mucosal some areas of edema, ulceration change, some are normal. Biopsy in the lesion area, seen under a microscope ulcer, acute and chronic inflammatory cell infiltration, and non-caseating granulomas change (noncaseating granulomas) a. Which of the following is the most likely diagnosis?

Answer: Crohn's disease (Crohn disease)

Choices:
A. Amoeba sis (Amebiasis)
B. Crohn's disease (Crohn disease)
C. Pseudomembranous colitis (Pseudomembranous colitis)
D. Ulcerative colitis (Ulcerative colitis)


Question: Which of the following lesions to the natural history of type I diabetes first appeared in person?

Answer: Retinal

Choices:
A. Retinal
B. nerve
C. kidney
D. Cardiovascular


Question: Which of the following does not dominate the anterior abdominal wall construction?

Answer: Obturator nerve (obturator nerve)

Choices:
A. Iliohypogastric nerve (iliohypogastric nerve)
B. Ilioinguinal nerve (ilioinguinal nerve)
C. Reproductive femoral nerve (genitofemoral nerve)
D. Obturator nerve (obturator nerve)


Question: Patients with the following diseases after using the Sabin oral polio virus vaccine live, where whichever is the risk of causing paralytic polio (poliomyelitis) is higher?

Answer: Bruton's disease (X-linked deficiency of immunoglobulin gamma hyperlipidemia) (X-linked agammaglobulinemia [Bruton disease])

Choices:
A. 狄喬 Mr. Osamu syndrome (DiGeorge syndrome)
B. Bruton's disease (X-linked deficiency of immunoglobulin gamma hyperlipidemia) (X-linked agammaglobulinemia [Bruton disease])
C. Chronic granulomatous disease (chronic granulomatous disease)
D. Weisikete - 奥尔德里奇 syndrome (Wiskott-Aldrich syndrome)


Question: A 10-year-old boy in a coma due to be sent to the hospital emergency room school health nurses. To the hospital spontaneous breathing, the doctor told him did not respond, body checkup limbs soft weakness, pain stimulation hands eyes open, hands will retract, at this time of GE's GCS (Glasgow coma scale) is the number of points ?

Answer: 7

Choices:
A. 6
B. 7
C. 8
D. 9


Question: A middle-aged male patients with cirrhosis was admitted to hospital because of intoxication, physical examination revealed marked abdominal swelling and there is shifting dullness, palms flapping tremor, laboratory tests found elevated serum bilirubin and ammonia, but albumin reduced renal function, ascites examination revealed a neutral white blood cell count greater than 500 / mm3. The following items are what treatment errors?

Answer: ampicillin 加上 tobramycin

Choices:
A. cefotaxime
B. ampicillin 加上 tobramycin
C. lactulose
D. Intravenous albumin


Question: Bearing on the question, which of the following is the drug of choice?

Answer: Doxycycline

Choices:
A. Doxycycline
B. Augmentin
C. 2nd generation Cephalosporin
D. Supportive therapy (Supportive care), there is no cure


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

Answer: Facial nerve (facial nerve) can pass the masticatory muscle proprioception (proprioception)

Choices:
A. Facial nucleus (facial nucleus) is located in the pons (Pons)
B. Right side of the nucleus (facial nucleus) damage that can lead to paralysis of the whole right side of the facial expression muscles (right facial palsy)
C. Facial nucleus (facial nucleus) of the neurons belonging to the lower motor neurons (lower motor neuron)
D. Facial nerve (facial nerve) can pass the masticatory muscle proprioception (proprioception)


Question: Which of the following end of the parasite's larvae in the human body filamentous will show bifurcated (notched tail)?

Answer: Fecal nematode (Strongyloides stercoralis)

Choices:
A. American hookworm (Necator americanus)
B. Duodenum 鉤蟲 (Ancylostoma duodenale)
C. Fecal nematode (Strongyloides stercoralis)
D. Pinworm (Enterobius vermicularis)


Question: The following account of irritable bowel syndrome (irritable bowel syndrome), and what's right?

Answer: Certain antibiotics, such as rifaximin be effective for some patients with irritable bowel syndrome

Choices:
A. Severe irritable bowel syndrome, intestinal abnormalities and physiological relevance of the strong correlation, and spiritual aspects of small
B. Irritable bowel syndrome prevalence of 2 to 3 times for men and women
C. Certain antibiotics, such as rifaximin be effective for some patients with irritable bowel syndrome
D. Antidepressants (antidepressant drugs) for irritable bowel syndrome is of no help


Question: Which of the following belong to the anti-androgen preparation of steroids (Steroid antiandrogen)?

Answer: Cyproterone acetate

Choices:
A. Cyproterone acetate
B. Flutamide
C. Bicalutamide
D. Ketoconazole


Question: The upper esophagus, mostly?

Answer: Cell carcinoma (squamous cell carcinoma)

Choices:
A. Cell carcinoma (squamous cell carcinoma)
B. Adenocarcinoma (adenocarcinoma)
C. sarcoma
D. adenosquamous cell carcinoma


Question: From the previous question, if the patient's general condition has not deteriorated, then the how to deal with more appropriate?

Answer: Fasting, intravenous infusion and injection of antibiotics, and observed

Choices:
A. Immediately laparotomy gastric perforation repair
B. Immediately for sigmoid colostomy
C. Fasting, intravenous infusion and injection of antibiotics, and observed
D. Immediately carried out to confirm the diagnosis barium


Question: Mediastinal tumors occur in at least the following Where?

Answer: In mediastinal (middle mediastinum)

Choices:
A. Mediastinal front (anterior mediastinum)
B. Mediastinal upper (superior mediastinum)
C. After mediastinal (posterior mediastinum)
D. In mediastinal (middle mediastinum)


Question: Republic of China in 1991 amended the law physician, updating Article 121, states: "When physicians treat patients, patients or their families should be informed of their condition, treatment guidelines, disposal, treatment and prognosis of the situation and possible adverse reactions . "Does this provision consistent with the principle that a code of ethics of physicians?

Answer: Respect for the principle of patient autonomy

Choices:
A. Respect for the principle of patient autonomy
B. Privacy Principles
C. Do no harm principle
D. The principles of justice


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

Answer: ATP formed in the gap between the membrane and the outer membrane of mitochondria in vivo

Choices:
A. Mitochondrial membrane located vivo
B. Using mitochondria from hydrogen across the membrane in vivo concentration of ATP synthesis difference Submenu
C. ATP formed in the gap between the membrane and the outer membrane of mitochondria in vivo
D. ATP synthesis process involves four structural changes of ATP synthase


Question: The following account of neonatal herpes simplex virus (HSV) encephalitis, and what is non?

Answer: 85% post-partum infection

Choices:
A. Is mostly caused by type 2 HSV, but if the mother has genital herpes, C-section can reduce the risk of neonatal morbidity
B. The incubation period of about 1-2 weeks
C. 85% post-partum infection
D. CSF virus DNA by PCR may be used to detect the tracking effect of acyclovir treatment of patients


Question: Which of the following because of the duodenum by glucose stimulated secretion, thereby stimulating insulin (insulin) secretion?

Answer: GIP (gastric inhibitory polypeptide)

Choices:
A. GIP (gastric inhibitory polypeptide)
B. Gastrin (gastrin)
C. Sports hormone (motilin)
D. Incretin secretin (secretin)


Question: The impact of energy-related cortisol following substances in vivo, whichever is correct?

Answer: Promote lipolysis

Choices:
A. Gluconeogenesis inhibiting action (gluconeogenesis)
B. Inhibition of lipolysis (lipolysis)
C. Inhibition of one generation (ketogenesis)
D. Promote lipolysis


Question: A 35-year-old male patient for medical treatment because of persistent abdominal pain on the right side, the lower gastrointestinal Photography ascending colon found a core of an apple (apple core) like lesions, which of the following is not required to check?

Answer: Alpha fetoprotein (AFP)

Choices:
A. Biopsy colonoscopy (colonoscopic biopsy)
B. Computed tomography (CT scan)
C. Carcinoembryonic antigen (CEA)
D. Alpha fetoprotein (AFP)


Question: A 12-year-old female student to the orthopedic clinic required to check for scoliosis. Physical examination to determine whether the scoliosis, which of the following is most important?

Answer: Adam's spine forward bending test (Adams forward bend test)

Choices:
A. Adam's spine forward bending test (Adams forward bend test)
B. School Qu Keshi test (Patrick's test)
C. Shaw Platinum's spine forward bending test (Schober's test)
D. Sitting in front torso and limbs bend test (sit and reach test)


Question: Cause pneumoconiosis risk factors that fall below what type?

Answer: Chemical hazards

Choices:
A. Physical hazards
B. Chemical hazards
C. Biological Hazards
D. Ergonomic hazards


Question: Wei Xiaodi 12 years old, muscle weakness and atrophy gradually over the years, to proximal limb muscles of the worst, he could not stand up from a squatting position. Muscles are shrinking, but there gastrocnemius hypertrophy phenomenon. Wei Xiaodi 16-year-old brother has been confined to a wheelchair, but the 18-year-old sister and parents are normal in appearance. Heard an aunt's son get the same disease, and another one uncle died due to respiratory failure at the age of 19. Wei Xiaodi that are most likely to suffer from a disease of the following?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)

Choices:
A. The first hereditary motor and sensory neuropathy (hereditary motor and sensory neuropathy, type I)
B. Huntington's disease (Huntington's disease)
C. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
D. Myotonic muscular dystrophy (myotonic dystrophy)


Question: A 36-year-old male patient was sent to the emergency room for medical treatment, blood pressure was 182/126 mmHg, heart rate 112 beats per minute, a fever, runny nose, abdominal pain, dilated pupils, muscle aches. This patient most likely clinical diagnosis of why?

Answer: Heroin withdrawal (heroin withdrawal)

Choices:
A. Heroin poisoning (heroin intoxication)
B. K he ordered the poisoning (ketamine intoxication)
C. Amphetamine withdrawal (amphetamine withdrawal)
D. Heroin withdrawal (heroin withdrawal)


Question: Nerve block can Use to ⿇ drunk and for still pain for Use, the following statements about nerve block, and what's wrong?

Answer: Using local ⿇ drunk the whole drug does not cause toxicity chest upwards

Choices:
A. Using the determined neural position may exceed Rec wave, or sensory nerve stimulator by sick Face
B. Patients do not agree with an absolute taboo for the ⼀
C. Using local ⿇ drunk the whole drug does not cause toxicity chest upwards
D. Using needles possible injury to nerves


Question: 4438-year-old woman, complained of infertility for six years, FSH: 45 mIU / mL, normal hysterosalpingography photography, six months without menstruation, Mr. semen examination was normal, For pregnant women accepted this following what treatment?

Answer: Acceptance of egg donation

Choices:
A. 注射 human chorionic gonadotropin
B. Artificial insemination
C. Acceptance of egg donation
D. Taking ovulation drugs


Question: The trigeminal neuralgia microvascular decompression (microvascular decompression, MVD) mainly to vascular decompression Which of the following?

Answer: Before cerebellar artery (anterior inferior cerebellar artery)

Choices:
A. Superior cerebellar artery (superior cerebellar artery)
B. After inferior cerebellar artery (posterior inferior cerebellar artery)
C. Before cerebellar artery (anterior inferior cerebellar artery)
D. Basilar artery (basilar artery)


Question: A 1-year-old children for six months, a nose around erosion occurs erythema and exudate weeks ago, three days before the start of the body skin redness and peeling (as shown), physical examination found that body temperature 38.9 ℃, swollen lymph nodes did not show , oral mucosa and tongue intact without exception, according to the above, the most likely diagnosis why?

Answer: Staphylococcal scalded skin syndrome

Choices:
A. Toxic epidermal necrolysis
B. Staphylococcal scalded skin syndrome
C. Kawasaki syndrome
D. Scarlet fever


Question: A 3-year-old girl, skin lesions appear as shown in the right lower extremity, to describe the distribution of the rash patients Which statement is correct?

Answer: Along Blaschko's line distribution, epidermal dysplasia

Choices:
A. Distributed along the direction of scratching, isomorphic phenomenon positive
B. Along the blood vessels, as mesoderm caused by abnormal
C. Along innervation ectodermal dysplasia is caused by
D. Along Blaschko's line distribution, epidermal dysplasia


Question: Levator ani muscles (Levator ani muscle) that includes the following muscles?

Answer: Pubococcygeus

Choices:
A. Piriformis
B. Gluteus major
C. Anal sphincter
D. Pubococcygeus


Question: Which of the following cancer gene "Aggressive" bladder cancer compared with not connected?

Answer: p16

Choices:
A. p16
B. p21
C. p53
D. Rb gene


Question: That the following is NOT a role of Dihydrotestosterone?

Answer: Manufacture of sperm

Choices:
A. The growth of external genitalia
B. The growth of the prostate
C. Growth of hair
D. Manufacture of sperm


Question: The following narrative about the vagus nerve (vagus nerve) of, what's wrong?

Answer: Its branches forming the neck loop (ansa cervicalis) under the root (inferior root)

Choices:
A. Laryngeal nerve outside (external laryngeal nerve) muscle control caused by the vocal folds (vocal folds) tight
B. Its branches forming the neck loop (ansa cervicalis) under the root (inferior root)
C. Its branches recurrent laryngeal nerve (recurrent laryngeal nerve) control within the throat muscles
D. Vagus nerve in the subclavian artery (subclavian artery) across the front


Question: Which of the following is part of the pelvic diaphragm?

Answer: Levator ani

Choices:
A. Piriformis
B. Levator ani
C. Obturator muscle
D. Superficial transverse perineal muscle


Question: A condition that occurs following and amniotic fluid embolism syndrome (amniotic fluid embolism) are the least relevant?

Answer: Preterm birth (preterm delivery)

Choices:
A. Radical production (rapid labor)
B. Meconium staining of the amniotic fluid (meconium-stained amniotic fluid)
C. Uterine vein laceration (tears into uterine veins)
D. Preterm birth (preterm delivery)


Question: A 20-year-old male patient due to acute asthma after the onset of chest pain situation under continuous sternum, physical examination revealed a breath of song when both sides have a breathing lung auscultation, palpation can be found in the chest of a mild subcutaneous emphysema situation. Patients most likely to have the following scenarios?

Answer: Mediastinal emphysema (pneumomediastinum)

Choices:
A. Left pneumothorax
B. Mediastinal emphysema (pneumomediastinum)
C. Angina
D. Pleural cavity water


Question: Which of the following is endothelin-1 to the main mechanism of action of uterine muscle cells (myometrial cells) turn?

Answer: Increase in intracellular potassium ion concentration

Choices:
A. Reduced intracellular potassium ion concentration
B. Reduce intracellular calcium ion concentration
C. Increase in intracellular potassium ion concentration
D. Increase in intracellular calcium ion concentration


Question: Rash shown in the figure, which of the following is the correct diagnosis?

Answer: Seborrheic dermatitis (seborrheic dermatitis)

Choices:
A. Systemic lupus erythematosus (systemic lupus erythematosus)
B. Plaque psoriasis (psoriasis vulgaris)
C. Seborrheic dermatitis (seborrheic dermatitis)
D. Atopic dermatitis light (photosensitive dermatitis)


Question: What machine Drug miscarriage turn Atosiban belong?

Answer: Oxytocin analogs (oxytocin analog)

Choices:
A. Inhibitors of prostaglandin (prostaglandin inhibitor)
B. Calcium channel blockers (calcium-channel blocker)
C. Oxytocin analogs (oxytocin analog)
D. Adrenergic receptor agonists (β-adrenergic receptor agonist)


Question: Trigeminal nerve (trigeminal nerve) of the branch accepted:

Answer: Parasympathetic nerve fibers accompanying the glossopharyngeal nerve (glossopharyngeal nerve) emitted by the control parotid (parotid gland)

Choices:
A. Parasympathetic fibers accompanied issued by the seventh cranial nerve, control the pupil sphincter (sphincter pupillae)
B. Parasympathetic nerve fibers accompanying the glossopharyngeal nerve (glossopharyngeal nerve) emitted by the control parotid (parotid gland)
C. Parasympathetic nerve fibers emitted by a third accompanying cranial nerve, lacrimal gland control (lacrimal gland)
D. Parasympathetic nerve fibers accompanied hypoglossal nerve (hypoglossal nerve) emitted by the control sublingual gland (sublingual gland)


Question: 29-year-old pregnant woman, G3P2, 18 weeks of pregnancy, ultrasound check acceptance, as shown in the results shown in the figure arrows indicate abnormal fetal organ names and characteristics (sign) Why?

Answer: cerebellum，banana sign

Choices:
A. cerebrum，frog sign
B. cerebellum，banana sign
C. skull，lemon sign
D. ventricle，keyhole sign


Question: The following account of Propionibacterium acnes (Propionibacterium) of, what's wrong?

Answer: Or resistance to oxygen anaerobic bacillus

Choices:
A. Or resistance to oxygen anaerobic bacillus
B. Etc. can be found in the skin, conjunctiva, the outer ear, female reproductive tract and oropharynx
C. No motility and is catalase-negative
D. Will produce fermentable carbohydrates by acid 48 named copy of the viral DNA in the cytoplasm is:


Question: A 55 year old female patient hospitalized due to intracranial tumors, eye view of the tumor as shown arrow, the following narrative about the tumor, whichever is the most correct?

Answer: Will lead to unilateral hearing loss

Choices:
A. Is a low-grade glioma
B. Is the most malignant brain tumors in adults
C. Will lead to unilateral hearing loss
D. Will lead to bilateral half-blind


Question: For acute asthma attack, which of the following drugs is not a first-line treatment option?

Answer: Theophylline

Choices:
A. β-2 Adrenergic agents
B. Anticholinergics
C. Corticosteroids
D. Theophylline


Question: About the narrative of chronic ulcerative colitis and what is non?

Answer: Rectal not necessarily be a problem

Choices:
A. Usually does not infringe the small intestine
B. Few aspects of anal lesions
C. Rectal not necessarily be a problem
D. The situation would not have occurred skipped area


Question: 64. A 45 year old male cleaner, the last good health situation, without any history of hospitalization due to chest tightness, shortness of breath, chest X-ray found that lung fields on both sides of frosted glass with scattered lesions (ground-glass opacities), the first two patients complained of week to clean and remove debris abandoned factory, a week ago began to cough, fever, chest tightness phenomenon, hospitalized after bronchoscopic lavage (bronchoalveolar lavage) examination revealed lymphocytosis phenomenon, this patient most likely diagnosis is:

Answer: hypersensitivity pneumonitis

Choices:
A. allergic bronchopulmonary aspergillosis
B. eosinophilic pneumonia
C. tuberculosis
D. hypersensitivity pneumonitis


Question: 49 patients with 32-year-old woman, the first type diabetes with uremia, to accept the pancreas and kidney transplant six months ago at the same time. Acute rejection two weeks ago, received 3-day high dose steroids (prednisolone 500 mg) intravenously, 39.5 deg.] C to recent fever, respiratory Jichuan, dry cough, chest X-ray presents pulmonary infiltrates (lower sides Bilateral symmetry symmetric lower pulmonary infiltration), blood leukocytes

Answer: CMV pneumonia (cytomegalovirus pneumonia)

Choices:
A. Bacterial pneumonia (bacterial pneumonia)
B. Fungal pneumonia (fungal pneumonia)
C. Heart failure with pleural effusion (pulmonary congestion)
D. CMV pneumonia (cytomegalovirus pneumonia)


Question: The following account of juvenile myoclonic epilepsy (juvenile myoclonic epilepsy), and what's wrong?

Answer: Correlation has been found between family history of epilepsy

Choices:
A. Full seizures are seizures (generalized seizures)
B. When the morning to wake up myoclonic seizures (myoclonic seizures) based
C. Most can not be cured
D. Correlation has been found between family history of epilepsy


Question: About obstructive sleep apnea (obstructive sleep apnea syndrome) the examination and treatment, Which statement is correct?

Answer: Nasal continuous positive airway pressure breathing (nasal continuous positive airway pressure) as the standard treatment for most patients

Choices:
A. More sleep study (polysomnography) of abnormal criteria: appeared more than 10 times per hour, more than five seconds each time breathing is interrupted or weakened
B. Airway obstruction occurs most often in the position of the tongue
C. Nasal continuous positive airway pressure breathing (nasal continuous positive airway pressure) as the standard treatment for most patients
D. Removal of the tonsils and adenoids (adenotonsillectomy) is the treatment of choice for adult patients


Question: Currently surgery for chronic sinusitis most commonly used why?

Answer: The functional endoscopic sinus surgery

Choices:
A. Caldwell-Luc surgery
B. The functional endoscopic sinus surgery
C. Fenestration
D. Side nose incision


Question: A 32-year-old female patient with severe abdominal pain due to the emergency, β-hCG urine test showing a positive reaction (positive), the height of suspected ectopic pregnancy (ectopic pregnancy), which of the following is less likely to risk factors of the disease?

Answer: Had received laparoscopic appendectomy (laparoscopic appendectomy)

Choices:
A. Implanted with intrauterine device (intrauterine device)
B. With a history of tubal surgery (tubal surgery) of
C. A history of pelvic inflammatory disease (pelvic inflammatory disease) of
D. Had received laparoscopic appendectomy (laparoscopic appendectomy)


Question: Which of the following worst prognosis of cystic kidney disease?

Answer: Infantile polycystic kidney disease

Choices:
A. Adult polycystic kidney  disease
B. Infantile polycystic kidney disease
C. Medullary sponge kidney
D. Cystic renal dysplasia


Question: Blood clots caused by brain blood clots (embolism), this most unlikely of blood clots from which of the following?

Answer: The superior vena cava (superior vena cava)

Choices:
A. The superior vena cava (superior vena cava)
B. Right pulmonary vein (right pulmonary vein)
C. LV (left ventricle)
D. The left atrium (left atrium) 17 omentum (greater omentum) of arterial blood from which of the following?


Question: That is one of the following T cell maturation and has an auxiliary (helper T cell) function?

Answer: TCRa b CD4 + CD8-

Choices:
A. TCRg: d CD4-CD8 +
B. TCRa b CD4 + CD8 +
C. TCRa b CD4 + CD8-
D. TCRa b CD4-CD8 +


Question: In the cardiac cycle (cardiac cycle), the blood flow into the coronary arteries is the most important:

Answer: When aortic

Choices:
A. Pulmonary valve open
B. When left ventricular systolic
C. When aortic
D. When the right atrium diastolic


Question: Which of the following is not a human brain frontal lobe (frontal lobe) symptoms disease often occurs?

Answer: No sense of direction (right-left disorientation)

Choices:
A. Appears primitive reflexes (primitive reflex) of
B. Language disorders
C. No sense of direction (right-left disorientation)
D. The loss of starting action (initiation)


Question: One patient two weeks ago to accept vaginal hysterectomy, bladder repair and incontinence surgery (Burch), complained of persistent leak phenomenon back to the clinic, she did not voiding urgency or pain. She most likely to occur following that kind of situation?

Answer: Obstetric tube 

Choices:
A. Urinary tract infections
B. Obstetric tube 
C. Unstable bladder (detrusor instability)
D. Neurogenic bladder


Question: Which of the following is a poor prognostic factor for schizophrenia?

Answer: Significant negative symptoms

Choices:
A. Acute attack
B. married
C. Significant negative symptoms
D. Family history of bipolar disorder


Question: About Leprosy narrative, which of the following error?

Answer: Tuberculoid leprosy (TT) is a common clinical manifestations of a single lesion, accompanied by a partial nerve paralysis, but still sometimes due to immune

Choices:
A. Parasitic intracellular pathogens is absolutely within the Mycobacterium leprae
B. Mycobacterium leprae bacteria is the only violation of the peripheral nerves
C. Tuberculoid leprosy (TT) is a common clinical manifestations of a single lesion, accompanied by a partial nerve paralysis, but still sometimes due to immune
D. Jopling's type I reaction is particularly common in borderline lepromatous leprosy, Jopling's type II reaction occurs mostly in lepromatous leprosy


Question: International Index of Erectile Function (international index of erectile function, IIEF), is a self-assessment questionnaire widely used, including sexual function blocks (domain), except:

Answer: Satisfaction with sexual partners

Choices:
A. Erectile function
B. Satisfaction with sexual partners
C. sexual desire
D. Climax function


Question: Hanta virus (Hanta virus) is an emerging virus, following a description that is right?

Answer: This virus can cause flu-like symptoms, followed by damage caused Huxiqiguan

Choices:
A. This virus belongs to the sand-like virus (Arenavirus)
B. This virus is spread by person to person
C. This virus antigenic variation characteristics
D. This virus can cause flu-like symptoms, followed by damage caused Huxiqiguan


Question: About EMPTY bottom fasciitis (plantar fasciitis) and narrative therapy, what's wrong?

Answer: Use underexposure at night when the ankle brace (AFO), must be fixed to the ankle plantar flexion is largest (plantar flexion) is at an angle

Choices:
A. Patients most often complain of pain in the morning the first frame stepping step down
B. Fascia calcaneal lesions often take place at the end of underexposure
C. Use underexposure at night when the ankle brace (AFO), must be fixed to the ankle plantar flexion is largest (plantar flexion) is at an angle
D. There is evidence displayed, extracorporeal shock wave therapy (extracorporeal shockwave therapy) may be effective for treating the bottom fasciitis underexposed


Question: Skeletal muscle α dominated sport of neurons (motor neuron) located?

Answer: ventral horn of the spinal cord

Choices:
A. ventral horn of the spinal cord
B. primary motor cortex
C. basal ganglia
D. pyramidal tract


Question: Preganglionic fibers synapse (Synapse) ciliary ganglion (ciliary ganglion) in the derived:

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. The seventh cranial nerve
B. Trigeminal nerve (trigeminal nerve) in the Ophthalmic (ophthalmic nerve)
C. The optic nerve (optic nerve)
D. Oculomotor nerve (oculomotor nerve)


Question: Pathogenic microbes infect the body's variety, but only a few are proven cancer-related pathogenic machine turn. The following microbial infection in cells that kind of strong evidence to cause cancer in humans?

Answer: EB virus (Epstein-Barr virus)

Choices:
A. Enterovirus type seventy-one
B. EB virus (Epstein-Barr virus)
C. Streptococcus
D. Mycobacterium tuberculosis


Question: Currently listed on the cervical cancer vaccine, a protein that is a major human papillomavirus (HPV) antigen as a basis for the prevention and treatment of immune?

Answer: L1

Choices:
A. E5
B. E6
C. E7
D. L1


Question: The reason a small clinical trial to evaluate a new chemotherapy treatment of lymphoma effect, if in fact this new chemotherapy has a good effect, but this study did not find significant differences in the five-year survival rate, can not detect this new therapeutic effect Why?

Answer: Type titanium error (type II error)

Choices:
A. Inspection force (power) is too large
B. Sampling error
C. A type of error (type I error)
D. Type titanium error (type II error)


Question: About the timing of surgical correction pectus excavatum (funnel chest), and Which of the following most correct?

Answer: 2 to 8 years old

Choices:
A. At birth
B. 2 to 8 years old
C. Adulthood
D. 12 to 18 years old


Question: Prader - Willi syndrome (Prader-Willi Syndrome) The following is a genetic disease caused by abnormal what?

Answer: Gene imprinting (genomic imprinting) abnormal

Choices:
A. Tissue structural proteins (structural proteins) abnormal
B. Cell receptors (receptor) Exception
C. Gene imprinting (genomic imprinting) abnormal
D. Chromosomal translocation (translocation)


Question: Related to the cardiovascular system, the following statements is wrong?

Answer: Atrial septal ventricular septum or the surface of endothelial cells are no

Choices:
A. Some particles containing atrial cardiomyocytes
B. A film ventricular septal region (membranous portion) is composed of connective tissue
C. Atrial septal ventricular septum or the surface of endothelial cells are no
D. Membranous ventricular septal region containing the A-V bundle (the bundle A-V)


Question: Pancreatic cancer often familial and genetic disorders related to the following exceptions to what disease?

Answer: familial thyroid cancer

Choices:
A. hereditary nonpolyposis colon cancer
B. familial thyroid cancer
C. Peutz-Jeghers syndrome
D. ataxia-telangiectasia 40 in laparoscopic surgery, which of the following is not the main factor causing the large vessel injury?


Question: Inferior phrenic artery (inferior phrenic artery) from:

Answer: Abdominal aorta (abdominal aorta)

Choices:
A. Internal thoracic artery (internal thoracic artery)
B. Celiac artery (celiac trunk)
C. Abdominal aorta (abdominal aorta)
D. Renal artery (renal artery)


Question: 7327-year-old woman, G2P2, 33 weeks gestation, preterm birth a baby girl, newborn breathing slow and irregular, according to A Page's scoring method (Apgar score), the score at sub-breathing Why?

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


Question: Pregnant women about caesarean section of prophylactic antibiotics administered to pregnant women if the penicillin or cephalosporin severe allergies, Which of the following is the most appropriate prophylactic antibiotics?

Answer: clindamycin plus gentamicin

Choices:
A. clindamycin
B. levofloxacin
C. clindamycin plus gentamicin
D. clindamycin plus metronidazole


Question: The following account of Nocardia species, and what's wrong?

Answer: Gram staining Gram-positive cocci

Choices:
A. Gram staining Gram-positive cocci
B. In patients with cellular immune defects may cause systemic infections, including brain abscess
C. In healthy host disease may be due to contact with the soil or plants infected with lymphatic skin type
D. Sulfa drug of choice, such as trimethoprim-sulfamethoxazole


Question: In prostate hypertrophy and chronic urinary retention in older men, Which of the following is not a common bladder changes?

Answer: Bladder compliance (compliance) Good

Choices:
A. Bladder compliance (compliance) Good
B. Detrusor (detrusor) contractility
C. Detrusor instability (detrusor instability)
D. Detrusor hypertrophy


Question: Which of the following is not a blood vessel in the leg with the line?

Answer: Superficial peroneal nerve (superficial peroneal nerve)

Choices:
A. Sural nerve (sural nerve)
B. Deep peroneal nerve (deep peroneal nerve)
C. Superficial peroneal nerve (superficial peroneal nerve)
D. Tibial nerve (tibial nerve)


Question: Which of the following drugs inhibit xanthine oxidase, for the treatment of chronic gout?

Answer: Febuxostat

Choices:
A. Febuxostat
B. Probenecid
C. Sulfinpyrazone
D. Colchicine


Question: A 40-year-old plumber, often holding a hammer drill and iron work, and complained of numbness view diagnosed right palm surface, Thenar muscle atrophy, wrist flexion sustained 60 seconds after the symptoms get worse, he piece of nerve oppressed?

Answer: Median nerve

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


Question: Statements about metabolic syndrome (metabolic syndrome) is, which of the following error?

Answer: Diagnosis of the condition include high triglycerides and low-density lipoprotein cholesterol hyperlipidemia

Choices:
A. And age-related and obesity, insulin resistance as possible causes of pathology
B. May have elevated blood pressure or blood sugar of patients
C. The risk of metabolic syndrome in people suffering from cardiovascular diseases will rise
D. Diagnosis of the condition include high triglycerides and low-density lipoprotein cholesterol hyperlipidemia


Question: A 50-year-old female patient complained of 2 months to 3 kg weight loss, physical examination found that thyroid nodular swelling, no tenderness. Laboratory results free T4 3.2 ng / dL (reference 0.6-1.75), TSH <0.001 μU / mL (reference value 0.1-4.5). The left lobe of the thyroid ultrasound was found to have a size of 1 cm nodule echo low degree of suspected malignant change. The most appropriate way to deal with that immediately following one?

Answer: Given anti-thyroid drugs

Choices:
A. Surgical removal of the thyroid gland
B. Given anti-thyroid drugs
C. Radioactive iodine treatment
D. Administration of the chemotherapeutic


Question: Patients with acute epidural hematoma (epidural hematoma), the following statements is wrong?

Answer: Poor prognosis than hematoma (acute subdural hematoma) acute subdural

Choices:
A. Often associated with skull fracture
B. Is often due to the meningeal artery (middle meningeal artery) caused by rupture
C. Poor prognosis than hematoma (acute subdural hematoma) acute subdural
D. About a third of the patients to the emergency room in a coma


Question: When checking patients, smell the smell inside the nasal cavity, which of the following is least likely?

Answer: Inferior turbinate hypertrophy

Choices:
A. Atrophic rhinitis
B. Nasal or sinus cancer
C. Inferior turbinate hypertrophy
D. Foreign body inside the nasal passage


Question: Guangdong has a live patient suspected of being infected blood nematode (Angiostrongylus cantonensis), now a way to do that confirm the diagnosis?

Answer: Cerebral spinal fluid taken to find and identify parasites

Choices:
A. Mining cerebrospinal fluid to check for eosinophilic leukocytes
B. Are there clinical symptoms of meningitis
C. Cerebral spinal fluid taken to find and identify parasites
D. By polymerase chain reaction test cerebrospinal fluid whether a parasite DNA fragment


Question: A 40-year-old male clerk medical treatment due to cough, he has the habit of smoking, smoked about 30 cigarettes a day. You discuss with him the benefits of the health hazards of smoking and smoking cessation, the patient is prepared to take action to quit, and carefully planned change in a month. At this point the patient belongs to the cessation of behavioral changes that stage?

Answer: Preparation period (preparation stage)

Choices:
A. Pre-contemplation (precontemplation stage)
B. Meditation period (contemplation stage)
C. Preparation period (preparation stage)
D. Action period (action stage)


Question: 1 a 6 weeks of full-term infants because of progressive cough, shortness of breath and slightly faster cyanosis and treatment, his temperature is normal, showed bilateral rales auscultation, X-ray showing hyperinflation (hyperinflation) and traces of interstitial infiltration, while the blood test, there are eosinophilic ball rise (eosinophilia) phenomenon; this baby's treatment should include which of the following?

Answer: erythromycin administered 14 days

Choices:
A. clindamycin administered 7 days
B. erythromycin administered 14 days
C. ampicillin administered 14 days
D. ampicillin and gentamicin administered 7 days


Question: When deciding which method to take corrective surgery ptosis, following a factor that is the most important consideration in clinical practice?

Answer: Upper eyelid levator (The levator) the function

Choices:
A. gender
B. age
C. Unilateral or bilateral ptosis
D. Upper eyelid levator (The levator) the function


Question: Sulbactam which combined with the following antibiotic use, to avoid destruction of the structure of the antibiotic β-lactamases are enzymes produced by bacteria and failure, and thus both with a synergistic effect of antibacterial?

Answer: ampicillin

Choices:
A. ampicillin
B. chloramphenicol
C. sulfamethoxazole
D. tetracycline


Question: 13. Edema (systemic arterial blood) carbon dioxide partial pressure (P coi) stimulates ventilation (ventilation) increases when, following the main line through what mechanism?

Answer: After the blood-brain barrier penetration of carbon dioxide into the medulla oblongata, and then formed to produce a hydrogen carbonate ion, a hydrogen ion stimulation of the central chemoreceptors

Choices:
A. After the blood-brain barrier penetration of carbon dioxide into the medulla oblongata, direct stimulation of the central chemoreceptors (central chemoreceptor)
B. After the blood-brain barrier penetration of carbon dioxide into the medulla oblongata, and then formed to produce a hydrogen carbonate ion, a hydrogen ion stimulation of the central chemoreceptors
C. Arterial carbon dioxide forms carbonic acid in the body for reproducing the hydrogen ions, the hydrogen ions penetrate the blood-brain barrier into the medulla oblongata, stimulation of the central chemoreceptors (central chemoreceptor)
D. Arterial carbon dioxide forms carbonic acid in the body for reproducing the hydrogen ions, hydrogen ions stimulate peripheral chemoreceptors (peripheral chemoreceptor)


Question: Which of the following is the most important source of catheter-related bacterial infection?

Answer: Flora contamination during operations and medical staff on the patient's skin

Choices:
A. Flora contamination during operations and medical staff on the patient's skin
B. Original catheter pollution
C. Original infusion pollution
D. Other transitional blood flow through the site of infection


Question: Statements about taking of glue, Which statement is correct?

Answer: Taking glue is likely to cause resistance (tolerance), withdrawal symptoms occur infrequently but

Choices:
A. If the incoherent with hallucinations, can be administered benzodiazepines class (benzodiazepines.) Drug control symptoms
B. Taking glue is likely to cause resistance (tolerance), withdrawal symptoms occur infrequently but
C. Long-term use can damage the brain and motor function, but does not affect IQ
D. Extensive use yet they are not life-threatening


Question: The following describes what's right?

Answer: All health care personnel should be screened for hepatitis B virus surface antibody

Choices:
A. AIDS virus (HIV) is more easily transmitted from patient than a doctor hepatitis B virus
B. Patients should check hepatitis B virus antibody
C. All health care personnel should be screened for hepatitis B virus surface antigen
D. All health care personnel should be screened for hepatitis B virus surface antibody


Question: One 70-year-old woman complained she will have serious urinary incontinence in the last three months cough phenomenon. No abnormal physical examination, medical history began tracking found that long-term use of some aspects of cardiovascular drugs she was about 3-4 months ago, following a drug that is most likely to be the main factors contributing to the deterioration of urinary incontinence?

Answer: doxazosin

Choices:
A. captopril
B. doxazosin
C. felodipine
D. propranolol