Question: Statements about keratoconus (keratoconus), and which of the following error?

Answer: Corneal thickness becomes gradually thicker, resulting in corneal curvature becomes convex

Choices:
A. Usually at the onset of puberty, and then slowly
B. Myopia and astigmatism will gradually increase
C. Corneal thickness becomes gradually thicker, resulting in corneal curvature becomes convex
D. Down syndrome (Down Syndrome) may be associated with keratoconus


Question: For a description of Warthin tumor, He's wrong?

Answer: Predilection for the upper end position of the parotid gland

Choices:
A. Salivary gland tumors are the second most common benign tumor
B. Occurred in the smoking habits of older men
C. Predilection for the upper end position of the parotid gland
D. Parotid superficial lobe resection is adequate treatment


Question: A 30-year-old female patient, non smoking habits, chronic cough and sputum. The fever, chest pain left, sputum for treatment, chest X-ray and CT scan showed the inside of the lower lobe of the left lung has a mass containing cystic changes (cystic change), what further examination in the diagnosis of the most helpful?

Answer: Magnetic resonance angiography examination (MRA)

Choices:
A. Sputum cytology
B. Bronchoscopy
C. Positron scan (PET)
D. Magnetic resonance angiography examination (MRA)


Question: Account of Rose rosea (pityriasis rosea), and which of the following error?

Answer: There is often less than one lesion time

Choices:
A. There is often less than one lesion time
B. Often seen pioneer lesions (herald patch)
C. Characterization of a typical tree-like profile presentation (Christmas tree pattern)
D. The differential diagnosis includes secondary syphilis (secondary syphilis)


Question: A 46-year-old woman because of vaginal bleeding and voiding difficulty, urinary retention and the hospital, cervix by vaginal examination found a huge tumor with a diameter more than 6 cm, the surface was the situation fester and fester was violated before the vagina wall. Ulceration was checked by pathology report slices squamous cell carcinoma, patients receiving computer tomography to further local invasion and lymph nodes status speculum case, at one of its FIG CT scan imaging, computer tomography this why the arrow thing?

Answer: Catheter and catheter ball

Choices:
A. Lymph node
B. Cervical tumor
C. Uterine fibroids
D. Catheter and catheter ball


Question: Urinary tract infections as a child, then check one of the following best suited to assess VUR (vesicoureteral reflux)?

Answer: Voiding urinary tract photography (voiding cystourethrography)

Choices:
A. Positron tomography (PET)
B. Intravenous pyelography (IVU)
C. Transrectal ultrasound scanning (transrectal ultrasonography)
D. Voiding urinary tract photography (voiding cystourethrography)


Question: About thyroid hyoid bone cyst (thyroglossal duct cyst), the following statements is wrong?

Answer: Often found in newborns

Choices:
A. Were located above the central portion of the front of the neck
B. May move up and down on swallowing
C. Removal of the cyst, the hyoid bone to be cut together with the middle section
D. Often found in newborns


Question: Intubation (endotracheal tube intubation) endotracheal process is often prone to complications, scholars put forward four principles disposal process should be followed in order to reduce the incidence of or reducing the severity of endotracheal intubation-related complications . This four principles, priorities whichever is listed as the highest?

Answer: Principles fully oxygenated (oxygenation) / oxygen before intubation must front (preoxygenation), to mask ventilation should be oxygen between the cannula manner

Choices:
A. Injury prevention principle (prevent trauma) / before intubation trauma prevention must all conditions optimization (optimization), to avoid injury caused by intubation
B. Principles fully oxygenated (oxygenation) / oxygen before intubation must front (preoxygenation), to mask ventilation should be oxygen between the cannula manner
C. Backup plan principles (backup plans) / start before intubation should be ready for the strain of backup plans, including termination and cancellation procedures, including intubation
D. Principles for help as soon as possible (call for help) / intubation if the disposal of any difficulties encountered, they should seek all possible assistance immediately


Question: Which of the following does not dominate the scrotum (scrotum)?

Answer: Obturator nerve (obturator nerve)

Choices:
A. Obturator nerve (obturator nerve)
B. Femoral cutaneous nerve rear side (posterior femoral cutaneous nerve)
C. Pudendal nerve (pudendal nerve)
D. Ilioinguinal nerve (ilioinguinal nerve)


Question: The process of forming sperm (spermiogenesis) refers to how these items?

Answer: A sperm cell (spermatid) is converted to mature spermatozoa (spermatozoa)

Choices:
A. Converted by spermatocytes (spermatogonia) as primary spermatocytes (primary spermatocytes)
B. Spermatogonia from the Sertoli's cells (Sertoli cell)
C. Converted to sperm Sperm (spermatozoa) with the fertilizing capacity of the epididymis (epididymis)
D. A sperm cell (spermatid) is converted to mature spermatozoa (spermatozoa)


Question: 7720-year-old woman because of foreign body sensation and swelling of the lower neck before swallowing, not injected contrast agent (non-contrast) CT scan results as the following figure, the most likely diagnosis Why?

Answer: Goiter

Choices:
A. Carotid artery aneurysm
B. Lipoma
C. Goiter
D. Lung cancer


Question: One child 12 years old with type 1 diabetes, because of dizziness and was taken to hospital. Actual clinical diagnosis of severe hyperglycemia, ketoacidosis, and blood pH = 7.15. Which of the following must be injected intravenously immediately to control the symptoms of ketoacidosis?

Answer: crystalline zinc insulin

Choices:
A. glyburide
B. tolbutamide
C. insulin glargine
D. crystalline zinc insulin


Question: The process of a mole (mole) mole glucose produces two pyruvate (pyruvate) via glycolysis (glycolysis), the net needs:

Answer: Two mole ADP

Choices:
A. Four mole ATP
B. A mole NAD +
C. A mole phosphate (inorganic phosphate)
D. Two mole ADP


Question: Surface antigens of Mycoplasma (Mycoplasma), mainly determined by which of the following ingredients?

Answer: Membrane protein (Membrane proteins)

Choices:
A. Capsular polysaccharide (Capsular polysaccharides)
B. Flagellin (Flagellin)
C. Membrane protein (Membrane proteins)
D. LPS body (Lipopolysaccharides)


Question: Citric acid cycle (Citric acid cycle) in the enzyme can catalyze the FADH2 produced?

Answer: Succinate dehydrogenase (Succinate dehydrogenase)

Choices:
A. Isocitrate dehydrogenase (Isocitrate dehydrogenase)
B. Malate dehydrogenase (Malate dehydrogenase)
C. α- ketoglutarate dehydrogenase (α-Ketoglutarate dehydrogenase)
D. Succinate dehydrogenase (Succinate dehydrogenase)


Question: An adolescent girl, from the beginning of the menstrual cycle begun that is not normal, because two recent menstrual cycle and not to seek treatment, disposal is the highest priority:

Answer: Pregnancy test

Choices:
A. Pregnancy test
B. Given progesterone (progestin)
C. Observed
D. Administration of estrogen (estrogen)


Question: Related avascular necrosis (osteonecrosis of femoral head), the following statements is most accurate?

Answer: X-ray appearance of the femoral head subchondral cyst is a change in the early

Choices:
A. X-ray appearance of the femoral head subchondral cyst is a change in the early
B. When a patient collapse of cartilage (subchondral collapse), the decompression center (core decompression) is the best treatment
C. The most common cause is a traumatic cause
D. The femoral head marrow cavity pressure (intraosseous pressure) is not usually raised


Question: The following statements about prostatitis (prostatitis), and whichever is less correct?

Answer: Chronic nonbacterial prostatitis (chronic abacterial prostatitis) disease PORTRAIT shoots as usual is not repeated history of urinary tract infection, hair ⽣ rate is the lowest among all kinds of prostatitis

Choices:
A. Acute prostatitis (acute bacterial prostatitis), which is the causative pathogen is usually urinary tract infections caused by pathogens like
B. Chronic bacterial prostatitis (chronic bacterial prostatitis) shoots as usual easy diagnosis and treatment, the disease often repeated Face history of urinary tract infections
C. The reason the United States, the most common cause ⾁ granulomatous prostatitis (granulomatous prostatitis) is Using the Bacillus Calmette-Guérin
D. Chronic nonbacterial prostatitis (chronic abacterial prostatitis) disease PORTRAIT shoots as usual is not repeated history of urinary tract infection, hair ⽣ rate is the lowest among all kinds of prostatitis


Question: Which of the following is not a lack of transmission of human immunodeficiency virus (HIV) is?

Answer: Richangshenghuo contacts

Choices:
A. Richangshenghuo contacts
B. Blood transfusion
C. Tattoo
D. breast-feeding


Question: Immediately following that situation is most likely to increase stroke volume of the test subject (stroke volume)?

Answer: Improve end-diastolic volume

Choices:
A. Improve end-diastolic volume
B. Improve arterial pressure
C. Inhibition of sympathetic
D. Parasympathetic stimulation at low intensity


Question: For trimeric G-protein coupled receptor (trimeric G protein-coupled receptor), which does not have the following characteristics?

Answer: Is a nuclear receptor (nuclear receptor)

Choices:
A. Receptor using cyclic nucleotide portion (cyclic nucleotides) as a message deliverer
B. Is a nuclear receptor (nuclear receptor)
C. This receptor by G protein-protein interaction and
D. This receptor has a number of penetrating structure


Question: Mr. Wang had just 40 Thai tourism back, the occurrence of high fever, bloody mucus-like stools, general malaise malaise, abdominal pain and tenesmus (tenesmus) symptoms, preliminary disposal is the most appropriate at this time:

Answer: Giving hydration, fever, rest, stool examination of white blood cells and fecal bacterial culture

Choices:
A. Giving hydration, fever and inhibition of gastric motility drugs (antispasmodics)
B. Antibiotics and inhibition of gastric motility drugs
C. Giving hydration, fever, rest, stool examination of white blood cells and fecal bacterial culture
D. Arrange colonoscopy (colonoscopy) inspection


Question: A 65-year-old woman, cervical tumor size of about 5 cm, slice-shaped confirmed squamous cell carcinoma, found in the diagnosis of pelvic tissue hardening, photographic examination display ureter edema, patients have sciatica situation, but a series of inspections had not found that the transfer of the case outside the pelvic cavity, which of the following treatment more appropriate?

Answer: concurrent chemoradiation therapy（CCRT）

Choices:
A. radical hysterectomy+ pelvic lymph node dissection
B. pelvic exenteration
C. concurrent chemoradiation therapy（CCRT）
D. debulking surgry


Question: A 28-year-old woman has missed her period and a half, nearly two daily feeling right lower quadrant pain, the pain got worse today due to medical treatment, vaginal DRE found that uterine pain, touch and pressure situations, but also touch and pressure at the right side of the uterus pain situation. Urine pregnancy test showed positive reaction, ultrasound scanning was found next to the right ovary (ROV) with a cystic tumor, about the size of 2.5 × 2.8 cm (where arrows indicate), the patient was diagnosed as the most appropriate:

Answer: Outer tubal pregnancy (tubal pregnancy)

Choices:
A. Outer tubal pregnancy (tubal pregnancy)
B. Ovarian tumors (ovarian tumor)
C. Hydroureter (hydroureter)
D. Tubo-ovarian abscess (tubo-ovarian abscess)


Question: Large three weeks with complaints of baby jaundice. Physical examination found enlargement of the liver, the spleen, but not touch. Laboratory tests of its direct bilirubin 8.6 mg / dL. He should check the following items image as a top priority?

Answer: Abdominal sonography

Choices:
A. Abdominal X-ray photographic examination
B. NMR photography
C. Abdominal computed tomography
D. Abdominal sonography


Question: A 38-year-old female, since papillary thyroid cancer (papillary carcinoma of thyroid) accepts thyroidectomy. Postoperative patients often feel on both sides of the wrist and muscle twitching face of the phenomenon. Which of the following is the most likely blood information?

Answer: Serum calcium (calcium ion) decreased serum phosphate ions (phosphate) elevated serum parathyroid hormones (parathyroid hormone) decreases

Choices:
A. Serum calcium (calcium ion) elevated serum phosphate ions (phosphate) decreased serum parathyroid hormones (parathyroid hormone) increases
B. Serum calcium (calcium ion) elevated serum phosphate ions (phosphate) elevated serum parathyroid hormones (parathyroid hormone) increases
C. Serum calcium (calcium ion) decreased serum phosphate ions (phosphate) elevated serum parathyroid hormones (parathyroid hormone) decreases
D. Serum calcium (calcium ion) decreased serum phosphate ions (phosphate) decreased serum parathyroid hormones (parathyroid hormone) decreases


Question: Simple large arteries transposition disease (Transposition of great arteries) of surgical treatment, the current manner in which the most appropriate?

Answer: Jatene 術式（Arterial switch）

Choices:
A. Senning 術式（Atrial switch）
B. Rastelli surgical
C. Jatene 術式（Arterial switch）
D. Blalock-Hannon 術式


Question: Diaphragmatic right foot (right crus of the diaphragm) following a structure around it?

Answer: esophagus

Choices:
A. Aortic
B. The inferior vena cava
C. esophagus
D. Hepatic portal vein


Question: "Vaccination after exposure mad ⽝ disease" and suggested time following, whichever is correct?

Answer: 0,3,7,14,28 first day, a total of 5 times

Choices:
A. 0,3,7,14,28 first day, a total of 5 times
B. 0,7,14,28 The first day, a total of 4 times
C. 0,7,28 The first day, a total of 3 times
D. 0,14,28 The first day, a total of 3 times


Question: 40 year old man suffering from AIDS found that kidney function deteriorates during the tracking. Twenty-four hours urinary protein up to 10 grams. Serological tests found no C or hepatitis B virus antibodies. Renal biopsy demonstrated glomerular podocyte (visceral podocytes) proliferation and local glomerular collapse. The following diseases that one of the most consistent with its clinical and pathological manifestations?

Answer: Focal segmental glomerulosclerosis

Choices:
A. Focal segmental glomerulosclerosis
B. Diffuse crescentic glomerulonephritis
C. Membranoproliferative glomerulonephritis
D. Minimal change nephropathy


Question: Which of the following pathological changes in bladder tumors, lesions flat, seen in the malignant cells are spread in the normal urothelial cells in morphology to form Paget's disease-like extension (pagetoid spread)?

Answer: Carcinoma in situ (carcinoma in situ)

Choices:
A. Carcinoma in situ (carcinoma in situ)
B. Low-grade papillary urothelial cancer predisposition (papillary urothelial neoplasm of low malignant potential)
C. Low histological grade papillary urothelial carcinoma (low-grade papillary urothelial carcinoma)
D. High histological grade papillary urothelial carcinoma (high-grade papillary urothelial carcinoma)


Question: The following statements about the growth of the tumor, what's right?

Answer: The greater the longer the tumor cell proliferation because of the loss of cells beyond

Choices:
A. Growth fraction of tumor cells (growth fraction) irrespective of its receiving chemotherapy
B. When the tumor was found clinically, its most cells in the breeding season
C. Most tumor cells have a shorter cell cycle
D. The greater the longer the tumor cell proliferation because of the loss of cells beyond


Question: Common causes of early deceleration (early deceleration) of the fetal heartbeat Why?

Answer: Fetal oppression

Choices:
A. Fetal oppression
B. Umbilical cord oppression
C. Fetal hypoxia
D. Mother acidemia


Question: 64. The narrative about the lumbar spinal cord prolapse syndrome and spina bifida (myelomeningocele), the most complete which of the following? ① embryonic neural tube defects, and there will likely increase with age occurs in patients with severe degree ② ③ feel defect occurs in patients with motor function impairment ④ occur in patients with bowel and bladder function impairment

Answer: ①②③④

Choices:
A. Only ①②
B. Only ①③
C. Only ①②③
D. ①②③④


Question: A 40-year-old man injured in a car accident was sent to the emergency, was conscious, but there are plenty of hematuria, given intravenously Crystalloid and two liters of blood transfusion, abdominal tomography (CT scan) is displayed on the left kidney laceration with giant hematoma, the patient's blood pressure has been maintained at 70/40 mmHg can not rise again, the next step is to make the disposal of why?

Answer: Emergency surgery

Choices:
A. Renal angiography
B. Perform percutaneous nephrostomy (percutaneous nephrostomy)
C. Emergency surgery
D. According KUB


Question: 40-year-old pregnant women, fetuses site name G3P2, pregnancy 22 weeks, for examination, the results were shown check of why?

Answer: head

Choices:
A. abdomen
B. chest
C. head
D. neck


Question: Which of the following does not belong to an absolute contraindication cardiopulmonary exercise testing?

Answer: The first degree of atrio-ventricular conduction block

Choices:
A. The first degree of atrio-ventricular conduction block
B. Myocardial infarction have occurred within two days
C. Unstable angina
D. Beyond the control of high blood pressure


Question: Which of the following is the gallbladder does not have structure?

Answer: Muscularis mucosa (muscularis mucosa)

Choices:
A. Muscularis mucosa (muscularis mucosa)
B. Lamina propria (lamina propria)
C. The muscularis externa (muscularis externa)
D. Outer membrane (adventitia)


Question: About cholecystectomy is recommended rather than open surgery endoscopic resection of the narrative, which of the following error?

Answer: Gallstone blockage caused by swelling of the gallbladder

Choices:
A. The severe heart failure patients
B. Suspected or known to have malignant disease gallbladder
C. Pregnant 7-9 months pregnant
D. Gallstone blockage caused by swelling of the gallbladder


Question: 51-year-old male patient with right shoulder pain, and the rotation is limited. Ultrasound and X-ray examination figure, the most likely diagnosis Why?

Answer: Synovitis and shoulder deltoid (subacromial-subdeltoid bursitis)

Choices:
A. Faults in the rotating ring (rotator cuff tear)
B. Osteoarthritis (degenerative arthritis)
C. Synovitis and shoulder deltoid (subacromial-subdeltoid bursitis)
D. Calcific tendinosis (calcific tendinosis)


Question: For the following severe ovarian hyperstimulation syndrome treatment (ovarian hyperstimulation syndrome, OHSS), and what's inappropriate?

Answer: The use of hCG injection

Choices:
A. The use of hCG injection
B. O recording patient, body weight and abdominal circumference
C. Albumin (Albumin) Infusion
D. Peritoneal tapping (paracentesis)


Question: 60 year-old man complained of a headache the past month, and to the clinic, following injection of iodine developer CT imaging, the most likely diagnosis is:

Answer: Malignant tumor metastasis (Metastasis)

Choices:
A. Malignant tumor metastasis (Metastasis)
B. Aneurysm (Aneurysm)
C. Astrocytoma (Astrocytoma)
D. Absorption clot (Hematoma in resorption)


Question: Which of the following enzymes located on intestinal epithelial cell membrane and is responsible for digestion of protein foods?

Answer: Peptide amine enzyme (Aminopeptidase)

Choices:
A. Peptide amine enzyme (Aminopeptidase)
B. Carboxy peptide enzyme (carboxypeptidase)
C. Chymotrypsin (Chymotrypsin)
D. Trypsin (Trypsin)


Question: That following a nerve - muscle blocking agent, reaction time (duration of action) at the minimum therapeutic dose?

Answer: succinylcholine

Choices:
A. succinylcholine
B. cisatracurium
C. pancuronium
D. vecuronium


Question: Account of pemphigoid (bullous pemphigoid), and which of the following error?

Answer: ⽣ often occur in young Face

Choices:
A. ⽣ often occur in young Face
B. Early can itching, nettle rash-like lesions showed ⿇
C. Histopathology lesions often ⾒ eosinophilic ball (eosinophil) infiltration
D. Therapeutic drug-connector serving ⽪ corticosteroids and immunosuppressants based


Question: That one of the following sedative hypnotics shortest half-life?

Answer: triazolam

Choices:
A. alprazolam
B. triazolam
C. quazepam
D. diazepam


Question: Which of the following is not the way to deal with post-polio syndrome (Post-polio syndrome) is?

Answer: Increase the amount of exercise to avoid muscle weakness

Choices:
A. Learning energy saving tips
B. Increase the amount of exercise to avoid muscle weakness
C. Use of aids and the stent
D. Weight loss


Question: When the upper arm muscle nerve (musculocutaneous nerve) damage, the following best not therefore be seriously affected?

Answer: Elbow 橈肌 (brachioradialis)

Choices:
A. Brachial muscle (brachialis)
B. Biceps (biceps brachii)
C. 喙肱 skin (coracobrachalis)
D. Elbow 橈肌 (brachioradialis)


Question: The following information about V (D) J Recombination narrative, what's wrong?

Answer: Involved in the generation of antibody diversity

Choices:
A. J Recombination narrative, what's wrong?
B. Involved in the generation of antibody diversity
C. The reaction mechanism which homologous recombination (Homologous recombination) similar
D. RAG1 participatory role


Question: A 34-year-old, 36 weeks pregnant women come for treatment because of massive bleeding, blood pressure 90/60 mmHg, pulse 120 / min, temperature 37 ℃, ultrasonic display located placenta cervix position. So please answer the following three questions: what is disposed of following good?

Answer: Caesarean section

Choices:
A. Give miscarriage drug
B. Termination of pregnancy gave birth
C. DRE examination of the uterus and open lesions
D. Caesarean section


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

Answer: After determining the diagnosis can continue taking birth control pills

Choices:
A. Hepatic adenoma associated with the use of oral contraceptives
B. After determining the diagnosis can continue taking birth control pills
C. Single adenoma is usually located in the right lobe of the liver
D. Histopathology adenomatous hyperplasia of the liver from normal cell morphology


Question: The left middle cerebral artery (middle cerebral artery) occlusion, the most likely cause Which of the following symptoms?

Answer: aphasia

Choices:
A. Left visual field loss
B. Right lower extremity sensory loss
C. Right leg weakness
D. aphasia


Question: There is a neonatal intestinal obstruction, abdominal X-ray found that intra-abdominal calcifications, which of the following is the most likely explanation?

Answer: Fetus small intestine perforation

Choices:
A. Intra-abdominal bleeding
B. And intra-abdominal tumor necrosis
C. Fetus small intestine perforation
D. Stones causing intestinal obstruction


Question: It was following a suspected muscle disease least check?

Answer: Nuclear medicine scan

Choices:
A. Thyroid hormone
B. Muscle enzymes such as: CPK, GOT, LDH
C. EMG
D. Nuclear medicine scan


Question: A 18-year-old male, in addition to a child had a history of asthma, but in good health. Complete blood examination done at Freshmen On examination of hemoglobin 12.8 gm / dL, the number of red blood cells 5.6 × 106 / μL, mean corpuscular volume (MCV) 65 fL, number of leukocytes 5,640 / μL, classification of normal platelet count 178,000 / μL. The student Which of the following is most likely to have the disease?

Answer: Thalassemia minor type

Choices:
A. Iron deficiency anemia
B. Thalassemia minor type
C. The anemia caused by chronic diseases
D. Paroxysmal nocturnal urinary hemoglobin


Question: Statements about insulin injection techniques, what's wrong?

Answer: Insulin generally dominated by intramuscular injection

Choices:
A. Not long-term continuous injection at a fixed site
B. May be subcutaneous injection at the site of the abdomen, upper arm, thigh or buttocks
C. Lispro insulin is injected 10 minutes before the meal
D. Insulin generally dominated by intramuscular injection


Question: 28 weeks a pregnant 23-year-old woman last week because of increased vaginal discharge, odor and itching from seeking treatment. Pap found clue cells, she does not have diabetes or other medical conditions, this time how to treat this patient?

Answer: vaginal metronidazole

Choices:
A. oral clindamycin
B. vaginal premarin cream
C. oral fluconazole
D. vaginal metronidazole


Question: Order female adolescent development order, it is the most common:

Answer: Acceleration taller shoots develop milk → → → pubic hair menarche

Choices:
A. Acceleration taller shoots develop milk → → → pubic hair menarche
B. Milk shoots develop pubic hair → → → acceleration tall menarche
C. Pubic hair → → L. shoots develop long high acceleration → menarche
D. Milk shoots develop long high acceleration → → → First pubic hair growth by


Question: Some researchers want to explore the relationship between unemployment and suicide rates, so gather last year's average unemployment rate and the average annual suicide rate data in 319 counties and cities, the following statistical analysis whichever is most appropriate?

Answer: Linear Regression (Linear Regression)

Choices:
A. Linear Regression (Linear Regression)
B. Analysis of variance (ANOVA)
C. Logistic regression (Logistic Regression)
D. Table analysis (Contingency Table)


Question: After the above patient attempts to urinate, immediately use ultrasound examination of the bladder, found that about more than 500 mL of urine. When the pressure of the lower abdominal ultrasound probe, can be found in a small amount of slow involuntary urine flow from the urethra. This type of incontinence (urinary incontinence) is called:

Answer: Overflow incontinence (overflow incontinence)

Choices:
A. Functional incontinence (functional incontinence)
B. Stress urinary incontinence (stress incontinence)
C. Overflow incontinence (overflow incontinence)
D. Urge incontinence (urge incontinence)


Question: A 40 year old male farmer, because in case of flood water Wade, two weeks after the occurrence of linear feet back erythema shown below. And peripheral blood eosinophilic white blood cells is high, the most likely diagnosis Why?

Answer: Cutaneous larva migrans (cutaneous larva migrans)

Choices:
A. Contact dermatitis (contact dermatitis)
B. Athlete's foot (tinea pedis)
C. Cutaneous larva migrans (cutaneous larva migrans)
D. Telecentricity annular erythema (erythema annulare centrifugum)


Question: Babinski sign appeared in the possible reasons why the adult's?

Answer: lateral corticospinal tract injury

Choices:
A. lateral corticospinal tract injury
B. basal ganglion damage
C. lower motor neuron damage
D. vestibulospinal tract injury


Question: 21-day-old newborn high fever, doctors are suspected bacterial meningitis, the following symptoms that one of the most unusual?

Answer: Stiff neck

Choices:
A. jaundice
B. Restlessness crying
C. Stiff neck
D. Poor motility


Question:
39.79-year-old woman in good health private prosecution in the past, were not taking any medications or supplements, getting up one morning and found the body limbs with multiple bruises. The next day for treatment, physical examination found that there were many mouth ulcers and blood clots. Blood cell inspection data as follows (in parentheses are the normal reference values): RBC 5.02 M / μL (3.78 ~ 4.99), Hb 11.1 g / dL (10.8 ~ 14.9), Hct 34.6% (35.6 ~ 45.4), MCV 68.9 fL (80 ~ 100),
 PLT 5 K / μL (150 ~ 361), WBC 10.14 K / μL (3.54 ~ 9.06), leukocyte classification: Seg 58.1%, Eos 1.0%, Baso..
 4%, Mono. 4.1%, Lym. 36.4%. The following items describe how wrong?

Answer: Patients may be spurious thrombocytopenia syndrome, blood needed patient blood collecting tube containing heparin (heparin) after, do a check

Choices:
A. Patients should be considered for bone marrow examination to help diagnose
B. Patients may be spurious thrombocytopenia syndrome, blood needed patient blood collecting tube containing heparin (heparin) after, do a check
C. The patient should immediately infusion of platelet concentrate
D. Patients should avoid strenuous activity


Question: Insulin may affect its performance through the MAP kinase cascade regulatory genes, involved in messaging has sorted according to their role of molecules Which statement is correct?

Answer: insulin receptor, IRS-1, Grb2-Sos, Ras-Raf-1, MEK, ERK

Choices:
A. insulin receptor, IRS-1, Grb2-Sos, Ras-Raf-1, MEK, ERK
B. insulin receptor, Ras-Raf-1, Grb2-Sos, ERK, IRS-1, MEK
C. insulin receptor, Grb2-Sos, Ras-Raf-1, MEK, IRS-1, ERK
D. insulin receptor, IRS-1, Grb2-Sos, Ras-Raf-1, ERK, MEK


Question: Atelectasis (atelectasis) Minimum found:

Answer: Acute pneumonia

Choices:
A. Airway obstruction
B. Pleural cavity water
C. Alveolar surface tension hormone deficiency
D. Acute pneumonia


Question: About the narrative of misoprostol, which of the following correct?

Answer: Dose for the prevention of postpartum haemorrhage is a single oral 600 μg

Choices:
A. Misoprostol is a prostaglandin E2 (prostaglandin)
B. Misoprostol than oxytocin (oxytocin) more effective prevention of postpartum hemorrhage
C. Dose for the prevention of postpartum haemorrhage is a single oral 600 μg
D. The most effective way of giving intramuscular


Question: 49. The improvement of eradicating breast resection, the need to avoid those following nerve injury? ① thoracodorsal nerves (thoracodorsal nerve) ② long thoracic nerve (long thoracic nerve) within ③ milk nerve (internal mammary nerve) ④ phrenic nerve (phrenic nerve)

Answer: ①②③

Choices:
A. ①②③
B. Only ②③
C. ③④
D. ①④


Question: Local excision of about colorectal cancer through the anus, the following statements is wrong?

Answer: Carcinoma of both T1 and T2 do not need to further treatment

Choices:
A. Must be less than 4 cm in order to use T1 and T2 carcinomas
B. Cancer to be in the range of 6 cm from the anus or less to the use of this therapy
C. Carcinoma of both T1 and T2 do not need to further treatment
D. Carcinoid tumor must be differentiated or moderately differentiated by


Question: Mainly fine tactile nerve conduction pathways which of the following?

Answer: Inner shoe dorsal column lines (dorsal column-medial lemniscus system)

Choices:
A. Spinal mesh diameter (spinoreticular tract)
B. Spinocerebellar backside diameter (dorsal spinocerebellar tract)
C. Inner shoe dorsal column lines (dorsal column-medial lemniscus system)
D. Anterolateral system (anterolateral system)


Question: Which of the following is not attached to the ischial spine (ischial spine) on?

Answer: Piriformis (piriformis)

Choices:
A. Coccygeus (coccygeus)
B. Piriformis (piriformis)
C. The margin muscles (superior gemellus)
D. Recommended ligament (sacrospinous ligament)


Question: Hypothalamic disease can cause gonadotropin releasing hormone (GnRH) secretion disorders, leading to glandular luteinizing hormorne (LH) under the brain, folliclestimulating hormone (FSH) secretion disorders also may cause infertility in women. GnRH acting on the G protein coupled receptor, activation may be mainly phospholipase C, the following statements is wrong?

Answer: diacylglycerol (DAG) can directly activate protein kinase A

Choices:
A. phospholipase C可分解phosphatidylinositol 4,5-bisphosphate（PIP2）
B. phosphatidylinositol 4,5-bisphosphate (PIP2) is decomposed into inositol 1,4,5-trisphosphate (IP3) and diacylglycerol (DAG)
C. diacylglycerol (DAG) can directly activate protein kinase A
D. inositol 1,4,5-trisphosphate (IP3) can within the endoplasmic reticulum Ca2 + release


Question: After myocardial infarction patients received exercise training, the following values will be reduced?

Answer: During submaximal exercise heart rate (submaximal work heart rate)

Choices:
A. Maximal cardiac output (maximal cardiac output)
B. During submaximal exercise heart rate (submaximal work heart rate)
C. Maximal oxygen uptake (maximal oxygen uptake)
D. Per cardiac output (resting stroke volume) at rest


Question: This 30-year-old unmarried men nationality, there are a number of male and female sexual partners; recently taking no medication, travel abroad or pet situation. Five days after another body was found the hands of lesions rash and pain or itching in (Figure); no special genital lesions, nor fever situation. Which of the following do this patient most likely pathogen?

Answer: Treponema pallidium

Choices:
A. Streptococcus pyogenes
B. Treponema pallidium
C. Dengue virus
D. Measles virus


Question: Narrative about the first type of endometrial cancer (type I endometrial cancer), the following best inappropriate?

Answer: Prognosis is generally less than the second type of endometrial cancer

Choices:
A. Often related to estrogen hyperstimulation
B. Patients, mostly before and after menopause (perimenopausal) women
C. Pathological mostly low grade endometrioid type
D. Prognosis is generally less than the second type of endometrial cancer


Question: A 12-year-old boy suddenly fell to the ground unconscious in the movement, the limbs twitch, his teeth clenched and two hanged. Sent to the emergency immediately, this time in a coma and sustained systemic ankylosing convulsions forty minutes. What immediately dispose of the following error?

Answer: Give drip injection and immediately sent for the brain computed tomography

Choices:
A. Give drip injection and immediately sent for the brain computed tomography
B. Give all necessary drip injection of anti-epileptic drugs immediately and continued to observe stop seizures
C. The establishment of a stable blood pressure, respiration and physiological signs of immediate heartbeat
D. The need for endotracheal intubation and respirator immediately


Question: Our suicide rate in recent years is:

Answer: Per 100,000 population 12 to 14 people

Choices:
A. 12 to 14 people per thousand population
B. 12 to 14 million people per person
C. Per 100,000 population 12 to 14 people
D. Per million population 12 to 14 people


Question: The following information about chronic kidney disease (chronic kidney disease) caused by the onset of secondary hyperparathyroidism (secondary hyperparathyroidism) turn the machine described, what's wrong?

Answer: Hyperphosphatemia (manage hyperphosphatemia) promote the generation of active form of vitamin D

Choices:
A. Kidney failure caused by hyperphosphatemia (hyperphosphatemia)
B. Fibroblast growth factor 23 attenuates renal 1-alpha hydroxylase, decreased synthesis of active vitamin D
C. Hyperphosphatemia (manage hyperphosphatemia) promote the generation of active form of vitamin D
D. Hypocalcemia (hypocalcemia) to stimulate the production of parathyroid hormone


Question: A car accident injured patients the right side of the body below the waist and loss of pain sensation of hot and cold, but there is still touch and vibratory sensation (vibration), then this patient most likely location for the injury:

Answer: The left side of the lumbar spinal cord anterolateral part

Choices:
A. The left side of the lumbar spinal cord anterolateral part
B. On the right side of the lumbar spinal cord anterolateral part
C. The left side of the lumbar spinal cord dorsal part
D. On the right side of the lumbar spinal cord dorsal part


Question: About traveler's diarrhea (traveler's diarrhea) narrative, Which of the following most correct?

Answer: bismuth subsalicylate is selected preventable, but the child is not recommended

Choices:
A. The most common cause of traveler's diarrhea pathogens are Salmonella
B. When East Asian countries to diarrhea occur tourism, the drug of choice for the treatment of ciprofloxacin
C. One of azithromycin is the treatment of choice, but can not be used in pregnant women
D. bismuth subsalicylate is selected preventable, but the child is not recommended


Question: He who has the greatest ability to catalyze reactions?

Answer: 全酶（holoenzyme）

Choices:
A. Apoenzyme (apoenzyme)
B. Coenzyme (coenzyme)
C. 全酶（holoenzyme）
D. Proenzyme (zymogen)


Question: 14-year-old girl ⼀ Waze normal care has been taken with familial history of epilepsy, often after being found not automatically get home ⻑ main limbs twitch, sometimes to fail and even fell to the ground, the following information about the diagnosis and treatment of the statements is wrong?

Answer: Diagnosis of childhood absence epilepsy may be

Choices:
A. 4 ~ 6Hz electroencephalogram possible generalized spike (generalized spikes)
B. Detection of gene diagnosis of epilepsy family
C. Antiepileptics (valproate) is the drug of choice for treatment therefore especially
D. Diagnosis of childhood absence epilepsy may be


Question: About the blacks appear pigmentation treatment, the following statements is wrong?

Answer: If the increase in true blacks appear granules ⽪ layer, Using the pulsed light (intense pulsed light, IPL) Jacob than neodymium (Nd: YAG) laser effect is more

Choices:
A. If the increase in the blacks appear in Table ⽪ layer granules, terephthalic ⼆ Using phenol (Hydroquinone) can effectively dilute cream
B. If the increase in true blacks appear granules ⽪ layer, Using the pulsed light (intense pulsed light, IPL) Jacob than neodymium (Nd: YAG) laser effect is more
C. If the laser-administration of the dose is too strong or too frequently administered to play, likely to cause iatrogenic discolored prime depigmentation
D. Using the outer A acid (retinoic acid) cream for freckles (freckles) dilute the effect


Question: The following statements about kink colon (colonic volvulus), and what's wrong?

Answer: Cecum (cecum) kink colonoscopy should first try to restore again perform routine surgery

Choices:
A. Sigmoid colon is the most common site
B. Past history (cecum) kink risk factors include high intake, psychotropic substances and taking dietary fiber abdominal surgery cecum
C. Cecum (cecum) kink colonoscopy should first try to restore again perform routine surgery
D. Caecum (cecum) often associated with some or all of the kink ascending colon torsion


Question: Patients Azihaimo disease (Alzheimer disease), its brain pathology and clinical symptoms of most relevance were:

Answer: neurofibrillary tangles

Choices:
A. Negri body
B. neurofibrillary tangles
C. Lewy body
D. Hirano body


Question: 23. One aged 7 year old little girl was pale and half month long limbs, often for no reason purpura or bleeding gums are sent to the hospital to check and found no hepatosplenomegaly. Hematology rendering hemoglobin (Hb) 9.2g / dL, white blood cell count 2500 / mm3, neutrophils 5%, platelet count of 25 × 103 / mm3, the corrected reticulocytes is 0.4%. Bone marrow nucleated cells are very rare, and each has a distinct lack of blood cell lines phenomenon. Which of the following is the most likely diagnosis?

Answer: Severe aplastic anemia

Choices:
A. Acute lymphoblastic leukemia
B. Specific thrombocytopenic purpura
C. Autoimmune hemolytic anemia
D. Severe aplastic anemia


Question: Air Pollution Index (Pollutant standard index, PSI) how many more, have poor health and a more sensitive person, so health symptoms worse?

Answer: 100

Choices:
A. 50
B. 100
C. 150
D. 200


Question: To diagnose Helicobacter pylori (Helicobacter pylori) non-invasive (non-invasive) method of infection, the detection of bacteria is what product?

Answer: Urease (Urease)

Choices:
A. 觸酶（catalase）
B. Mucinases (mucinase)
C. Oxidizing enzyme (oxidase)
D. Urease (Urease)


Question: A 30-year-old female patient urine analysis found hematuria, the following test results support what items are glomerular (glomerular) hematuria?

Answer: Deformability of red blood cells found in urine sediment

Choices:
A. Particulate sediment saw cylinder
B. 24 hours proteinuria excretion> 2.5 g
C. Deformability of red blood cells found in urine sediment
D. Red blood cell count> 50 / hpf


Question: Risk assessment used the hazard quotient (hazard quotient), mainly for the following steps that assessment?

Answer: Risk characterization

Choices:
A. Hazard identification (hazard identification)
B. Dose-response assessment
C. Exposure assessment
D. Risk characterization


Question: Japanese encephalitis virus (Japanese encephalitis virus) by which of the following media communication?

Answer: Three-spot quinquefasciatus

Choices:
A. Three-spot quinquefasciatus
B. Tsetse
C. White 蛉子
D. mouse


Question: 24. Order of the problem, patients suffering from congenital deficiency of such hormones, clinical symptoms seen following those? ① ② smart growth retardation, impaired development of hypokalemia ③ ④ ⑤ hypothyroidism precocious puberty

Answer: Only ①②④

Choices:
A. Only ①②③
B. Only ①④⑤
C. Only ①②④
D. Only ②③⑤


Question: Which of the following is not pyloric plane (transpyloric plane) on?

Answer: Splenic (splenic hilum)

Choices:
A. Duodenojejunal song (duodenojejunal flexure)
B. Around the renal hilum (renal hilum) connection
C. L1 vertebrae (vertebral body of L1)
D. Splenic (splenic hilum)


Question: About the treatment of pain in cancer patients, which of the following correct?

Answer: Analgesics should be administered when (around the clock)

Choices:
A. Morphine dose should not exceed 200 mg per day in order to prevent respiratory depression
B. Analgesics is limited to severe pain of patients (severe pain)
C. Morphine most common side effect is diarrhea (diarrhea)
D. Analgesics should be administered when (around the clock)


Question: Related lymphoma narrative Which statement is correct?

Answer: Whether it is T cell or B cell lymphoma, lymphoma antigen receptor will often (antigen receptor) gene recombination phenomenon

Choices:
A. Once lymphoma cells found in the blood, it should be classified as leukemia (leukemia) instead lymphoma
B. The outer lymph node cell lymphoma (mantle cell lymphoma) mainly Helicobacter pylori (Helicobacter pylori) For
C. Whether it is T cell or B cell lymphoma, lymphoma antigen receptor will often (antigen receptor) gene recombination phenomenon
D. In Taiwan Hodgkin lymphoma (Hodgkin lymphoma) compared with non-Hodgkin's lymphoma (non-Hodgkin lymphoma) common


Question: If adults due to illness or accident loses its ability to conduct independent, execute the surgical consent of the agent by whom, in accordance with the provisions of the Medical Act, Which of the following is the most priority order?

Answer: spouse

Choices:
A. spouse
B. parents
C. child
D. brothers and sisters


Question: 50-year-old man, past history of duodenal ulcer and high blood pressure, because last month had been left ureter stones emergency, recently often feel tired, limbs, muscle weakness, following which the examination, diagnosis than those without value?

Answer: Blood triglyceride (triglyceride) concentration

Choices:
A. Calcium concentration
B. Blood alkaline phosphatase (alkaline phosphatase) concentration
C. Parathyroid hormone in the blood (of iPTH) concentration
D. Blood triglyceride (triglyceride) concentration


Question: Auto master narrative about dysreflexia (autonomic dysreflexia, AD) is, which of the following error?

Answer: Face disease have low pressure ⾎

Choices:
A. ⽣ often send to the injury site to the above ADVANCED T6 ~ T8 disease Face
B. Face disease have low pressure ⾎
C. Face disease have headache and flushing the affected area above
D. Face often male disease and urethral smooth muscle ataxia (dyssynergia)


Question: A 6-year-old boy to out-patient clinics, complained last month that the stairs difficult and suppressed, physical examination found around the finger joints and eye rash. The following statements is wrong?

Answer: Nerve conduction visible slow conduction velocity

Choices:
A. Often elevated muscle enzymes
B. Nerve conduction visible slow conduction velocity
C. A folding microscopy (nailfold microscopy) and a common expansion of the curved microvessel
D. Treatment with steroids and other required immunosuppressants


Question: The following mechanisms of action of pathogenic bacteria escape the immune system, does not include:

Answer: CD4 T cells directly attack

Choices:
A. Increasing the mutation rate of the surface antigen
B. CD4 T cells directly attack
C. Tumor necrosis factor synthesis initiator
D. Secretion of enzymes to break complement molecules


Question: Vaginal examination (colposcopy) In some cases there may be suspicion of invasive cancer, Which of the following is not included?

Answer: Cervical eversion

Choices:
A. Abnormal blood vessels branch
B. Cervical eversion
C. Color change
D. Irregular surface


Question: From the previous question, the obstetrician discovered she was pregnant before, if you climb the stairs three layers will breathe, but shoots as usual ⽣ live and rest and will not cause problems. But after pregnancy, these conditions become more severe, sometimes ⾛ road will be long ⼀ points asthma, you need to stop and rest. Check the conjunctiva of Xiao Qing (conjunctiva) is pink discolored with no evidence of poor ⾎, auscultation found Rec Center Weighted miscellaneous, obstetricians suspect a problem with the screen for ⽅ Center Weighted dirty, so dirty super Rec Center Weighted arrangements waves have found Hiu Ching Center Weighted chamber ⼀ a septal defect level ⽅ about 1.6 cm. The following advice to Xiao Qing, what's wrong?

Answer: Center Weighted ⼀ chamber septal defect is a congenital heart disease Center Weighted, which is not abnormal genetic structure to the fetus

Choices:
A. According to the definition of the functions of the New York Center Weighted Center Weighted dirty dirty Association (NYHA), Hiu Ching before pregnancy belongs to second shot grade (functional class II), but pregnancy
B. Center Weighted ⼀ chamber septal defect is a congenital heart disease Center Weighted, which is not abnormal genetic structure to the fetus
C. The Center Weighted zoomed room septal defect may progress to pulmonary failure and left Center Weighted room ADVANCED pressure, pulmonary resistance when care has been taken (pulmonary vascular
D. Center Weighted room was not repaired septal defect there are risks meningitis (infective endocariditis) in infectious Center Weighted, in the suspected bacteria ⾎ disease, it is recommended


Question: A 45 year old male Golden Gate to travel back a few days later fever, headache and cough situation, and skin lesions appear as shown in the thigh, the following statements is wrong?

Answer: Skin lesions known as eschar (Eschar), is a feature of most patients by key will appear

Choices:
A. Highly suspected Scrub Typhus, but also called Tsutsugamushi disease
B. Must be notified of legal infectious diseases
C. Skin lesions known as eschar (Eschar), is a feature of most patients by key will appear
D. Via the media tsutsugamushi


Question: 29 a normal full-term children, the third day of presenting vomiting repeatedly hospitalized at birth; physical examination found: patients with moderate dehydration, vomit bile. He disposed of the following items inappropriate?

Answer: Give 10% glucose intravenous infusion

Choices:
A. Fasting immediately
B. Nasogastric tube placement
C. Give 10% glucose intravenous infusion
D. Abdominal X-ray examination schedule J


Question: A 60-year-old man in a coma after drinking one hour, the blood test methanol (methanol), where the substance of injuries like nerve cells?

Answer: Retina (retina)

Choices:
A. 黑 質 (substantia nigra)
B. Olive pits (olivary nucleus)
C. Retina (retina)
D. The optic nerve (optic nerve)


Question: Appendix (appendix) is the most common tumor:

Answer: Carcinoid (carcinoid tumor)

Choices:
A. Mucinous adenocarcinoma (mucinous adenocarcinoma)
B. Serous adenocarcinoma (serous adenocarcinoma)
C. Tubular adenoma (tubular adenoma)
D. Carcinoid (carcinoid tumor)


Question: 27 to check the chemical immunohistochemical staining of cells found in certain metastatic cancers negative for the Cytokeratin 20, Cytokeratin 7 positive

Answer: Lung cancer

Choices:
A. Colorectal Cancer
B. Pancreatic cancer
C. Bladder epithelial cancer-shift
D. Lung cancer


Question: Related to obstructive sleep apnea syndrome (obstructive sleep apnea syndrome; OSAS) of the narrative, which of the following error?

Answer: Waking up early in the morning tend to have headaches, lower blood was due to the carbon dioxide concentration due

Choices:
A. Most merger snoring (snoring)
B. Severe cases can lead to pulmonary hypertension
C. Waking up early in the morning tend to have headaches, lower blood was due to the carbon dioxide concentration due
D. Common main child as the oral adenoid and tonsil (adenoids) hypertrophy


Question: About the pairing of mental illness and their drug of choice, which of the following correct?

Answer: Generalized anxiety disorder (generalized anxiety disorders) ─ selective serotonin reuptake inhibitors

Choices:
A. Psychosis disorder (schizophrenia) ─ serotonin and dopamine agonists
B. Generalized anxiety disorder (generalized anxiety disorders) ─ selective serotonin reuptake inhibitors
C. Bipolar affective disorder (bipolar disorders) ─ dopamine agonists
D. OCD (obsessive compulsive disorders) ─ lithium


Question: The following antihypertensive drug, whichever will reduce the damage of bradykinin and substance P, thus easily causing side effects of dry cough?

Answer: lisinopril

Choices:
A. lisinopril
B. amlodipine
C. diazoxide
D. clonidine


Question: Taiwan accordance with the provisions of the law, which under the following conditions, physicians did not have the duty to inform the competent authority?

Answer: When a physician in psychotherapy, psychiatric patients found that C threatened to kill his mother

Choices:
A. Physicians in emergency found to have suicidal tendencies of Ms. A long-term by their battering husband
B. Emergency physician to find B girl was abandoned by his father
C. When a physician in psychotherapy, psychiatric patients found that C threatened to kill his mother
D. Physicians at the clinic have found that the human immunodeficiency virus (Human Immunodeficiency Virus) infection of


Question: About the treatment of stroke, the following statements is wrong?

Answer: Lack ⾎ stroke, systolic blood pressure> 200 mmHg, diastolic blood pressure> or higher 100 mmHg, to emergency relief

Choices:
A. Face pressure ⾎ zoomed majority of stroke disease will pain, agitation, and then automatically controlled to reduce the intracranial pressure
B. Lack ⾎ stroke, systolic blood pressure> 200 mmHg, diastolic blood pressure> or higher 100 mmHg, to emergency relief
C. For lack of neurological outcome to 3 hours when the stroke ⾎ Face disease, r-tPA suitable for treatment, can be improved
D. R-tPA in the Treatment of Ischemic stroke of ⾎ dose, is largest does not exceed 90 mg


Question: That one of the following antiepileptic drugs to relieve severe epilepsy product (status epilepticus) works best?

Answer: diazepam

Choices:
A. ethosuximide
B. diazepam
C. topiramate
D. tiagabine


Question: 60 year old male was diagnosed with a tumor metastasis lumbar spine, the spine X-ray showed that the first, second and fourth lumbar vertebral collapse and osteogenic image (osteoblastic image). Spine X-ray results based on judgment, is most likely to be transferred to the lumbar spine from which of the following?

Answer: Prostate cancer (prostate cancer)

Choices:
A. Colorectal cancer (colon cancer)
B. Stomach cancer (gastric cancer)
C. Liver (hepatic cell carcinoma)
D. Prostate cancer (prostate cancer)


Question: A response when there is no enzyme catalysis and enzyme catalysis, following what term is correct?

Answer: There enzyme catalyzed reaction activation energy (activation energy) will decrease

Choices:
A. Equilibrium constant (equilibrium constant) change
B. There enzyme catalyzed reaction activation energy (activation energy) will decrease
C. There enzyme-catalyzed reactions the standard free energy change (standard free energy change) will change
D. There are enzymes which catalyze reactions initial velocity (initial velocity) decreases


Question: A Hodgkin's lymphoma (Hodgkin's lymphoma) male patients, found a large number of proteinuria (5.8 gm / day / 1.73 m2 body surface), blood cholesterol 328 mg / dL, serum albumin, 1.5 gm / dL, ready receiving a kidney biopsy, he most likely of renal pathological changes:

Answer: Small changes in kidney disease

Choices:
A. Membranous glomerulonephritis
B. Local glomerular sclerosis
C. Small changes in kidney disease
D. IgA nephropathy


Question: Complex partial seizures (Complex partial seizure) seizures most often derived from what part?

Answer: Temporal lobe (Temporal lobe)

Choices:
A. The frontal lobes (Frontal lobe)
B. Temporal lobe (Temporal lobe)
C. Parietal lobe (Parietal lobe)
D. Occipital lobe (Occipital lobe)


Question: About people with dementia clinical use of nasogastric feeding narrative, which of the following error?

Answer: Nasogastric tube may reduce the incidence of aspiration pneumonia

Choices:
A. Families do not have the heart to starve or thin patients
B. Most people with dementia still retains the hunger and can eat by mouth
C. Nasogastric tube may reduce the incidence of aspiration pneumonia
D. People with dementia to the end can not eat because of nausea and respiratory failure should be treated condition, without the use of artificial feeding


Question: A 59-year-old left renal disease patients want to accept the surgery, the patient has a history of hypertension, the blood pressure before surgery was 180/110 mmHg, the following statements is wrong?

Answer: Preoperative ward nurses told to fast, so the patient is not the usual oral antihypertensive drugs, intraoperative blood pressure will not be affected

Choices:
A. This high blood pressure in patients, the drug should be to control blood pressure, in order to reduce intraoperative complications
B. This surgery patients blood pressure or hypertension may be difficult to control hypotension
C. Preoperative ward nurses told to fast, so the patient is not the usual oral antihypertensive drugs, intraoperative blood pressure will not be affected
D. Anesthesiologists should be actively surgery to drug treatment, to allow the patient's blood pressure try to keep the proper range


Question: 62-year-old teacher in the class suddenly becomes weird, repeating the same question. He's conscious, hands and feet flexible, no recent head trauma. Was sent to the neighboring hospital, after six hours, gradually returning to normal, but for the past few hours no memory. He most likely scenario is:

Answer: Temporary amnesia (transient global amnesia)

Choices:
A. Temporary amnesia (transient global amnesia)
B. Ezihaimo disease (Alzheimer disease)
C. Frontotemporal dementia (frontotemporal dementia)
D. Occipital seizure (occipital seizure)


Question: About the basal body temperature (basal body temperature), the following statements is true?

Answer: After taking synthetic progestational agent, basal body temperature will rise

Choices:
A. Single phase (monophasic) temperature determined ovulation
B. Pregnancy, estrogen to maintain the body temperature high temperature
C. After taking synthetic progestational agent, basal body temperature will rise
D. According to basic thermometer, the probability of pregnancy is highest in the two days after the high temperature period


Question: Stroke patients easily with reflex sympathetic dystrophy (Reflex sympathetic dystrophy), which of the following is not a typical symptom?

Answer: Restricted elbow activity

Choices:
A. Shoulder pain
B. Restricted elbow activity
C. Wrist edema
D. Hand thinning of the skin


Question: The following ideas about gerontology (geriatric medicine) description of what's wrong?

Answer: For reasons of cost-effectiveness, the elderly may not have to pay attention to disease prevention

Choices:
A. The performance of older people than younger people with atypical disease
B. When the body is subject to the same minor injury, the elderly, the young may be more serious conditions occur
C. The clinical symptoms of the elderly often caused by a variety of causes of abnormal and multiple organ systems
D. For reasons of cost-effectiveness, the elderly may not have to pay attention to disease prevention


Question: The degree of differentiation of cancer cells represents the Anaplasia why?

Answer: Undifferentiated

Choices:
A. good
B. Moderately
C. bad
D. Undifferentiated


Question: 11 a 68-year male patient suffering from diabetes for many years, is due to fever and general malaise was sent to the hospital, checking blood pressure 96/60 mmHg, body temperature 3 mg / dL, ALT (GPT) 95 U / L, sugar 200 mg / dL , leukocytes in urine was 0-2 / HPF, chest X-ray examination was normal. Then one of the following do first check that the most appropriate?

Answer: Abdominal ultrasound

Choices:
A. Sinus X-rays
B. Gallium scan
C. Abdominal ultrasound
D. Pulmonary high resolution computed tomography (HRCT)


Question: From the previous question, if the patient has no cirrhosis, general health is good, what is the best way to treat this patient was?

Answer: Left lateral segmentectomy of liver

Choices:
A. Left lateral segmentectomy of liver
B. Percutaneous ethanol injection therapy（PEIT）
C. Transarterial embolization（TAE）
D. Radiofrequency ablation（RFA）


Question: A 42-year-old male patient, 10 years ago to work in chemical plants, industrial safety since the accident, inhalation of ammonia. It was not the acute inhalation lung injury caused by ARDS, hospitalization and use of a respirator tube into the trachea treatment, two weeks after weaning, to go home. However, patients suffering from chronic cough, yellow sputum and a large number of progressive dyspnea, repeated concurrent lung infection. The following statements is wrong?

Answer: Such patients appear yellow sputum volume increased, become darker in color, fever and other symptoms, suspected to be pulmonary infection, this time should be treated with antibiotics, in particular, to consider Staphylococcus aureus infection

Choices:
A. The patients may be diagnosed as the toxic gas inhalation causes of bronchiectasis (bronchiectasis)
B. Such patients appear yellow sputum volume increased, become darker in color, fever and other symptoms, suspected to be pulmonary infection, this time should be treated with antibiotics, in particular, to consider Staphylococcus aureus infection
C. Such patients can accept the respiratory therapy, such as shoot sputum, postural drainage, etc., but mucolytic agents are used or not is controversial
D. If a large number of the patients hemoptysis, embolization (embolization) than surgical resection may suitably


Question: The following judgment on the depth of burns (burn depths), the following statements is wrong?

Answer: Elderly burning hot water bath. Forgot to add hot water and cold water. Burns stepped into a bathtub of hot water. Pale skin lesion, blisters, discoloration oppression (do not blanch to touch), but will touch the tapered article pain (painful to pinprick). This is a shallow second degree burns

Choices:
A. Junior high school students to the beach to play, sunburn and redness caused by back pain. Redness of the skin are oppressed will be white (blanch to the touch), the pressure is released and then red. This is a once burns
B. Elderly burning hot water bath. Forgot to add hot water and cold water. Burns stepped into a bathtub of hot water. Pale skin lesion, blisters, discoloration oppression (do not blanch to touch), but will touch the tapered article pain (painful to pinprick). This is a shallow second degree burns
C. Motorcycle riders in a car accident. The distal end of the inner leg is pressed hot exhaust pipe cause burns. Not painful skin lesion formed leather-like eschar (leathery eschar), which is
D. The couple broke up, the woman inconsolable and commit suicide. After the woman was found unconscious, the hospital successfully save lives. However, patients in a coma in the process of charcoal, charcoal too close to the right foot, even the muscles have been scorched. These are the four degrees of burns


Question: The following systemic vasculitis which have asthma attacks?

Answer: Churg-Strauss syndrome

Choices:
A. Churg-Strauss syndrome
B. Goodpasture's syndrome
C. essential mixed cryoglobulinemia
D. drug-induced vasculitis


Question: Which of the following is the most common adult Face ⾒ malignant lymphoma?

Answer: Zoomed diffuse B-cell lymphoma (diffuse large B-cell lymphoma)

Choices:
A. Zoomed diffuse B-cell lymphoma (diffuse large B-cell lymphoma)
B. Peripheral T cell lymphoma, unspecified (peripheral T-cell lymphoma, unspecified)
C. Back ⾏ of zoomed-cell lymphoma (anaplastic large cell lymphoma)
D. Mantle cell lymphoma (mantle cell lymphoma)


Question: Most diabetics will not be complicated by the kind of eye diseases?

Answer: Goggle-eyed disease

Choices:
A. cataract
B. Retinopathy
C. Oculomotor nerve palsy
D. Goggle-eyed disease


Question: Navel section of skin (dermatome) is:

Answer: T10

Choices:
A. L1
B. T12
C. T10
D. T8


Question: From the previous question, Ruoyu know patency Choledochoduodenostomy of (Patency), following an inspection that should be given priority?

Answer: HIDA scan

Choices:
A. Angiography
B. HIDA scan
C. Abdominal ultrasound
D. Percutaneous transhepatic photography (Percutaneous transhepatic cholangiogram)


Question: 58 a 55-year-old man complained that two months to feel very tired, poor appetite, numbness in hands and feet more and more severe, and sometimes diarrhea. Physical examination show a slight scleral icterus, smooth tongue, taste buds atrophy; complete blood examination showed hemoglobin 5.2 g / dL, red blood cells 36 × 106 / mm3, MCV 115 fL, leukocytes 2,290 / mm3, normal classification, platelets 34,000 / mm3. This bit of men most likely have which of the following situation?

Answer: Vit.B12 deficiency

Choices:
A. Vit.B12 deficiency
B. Folic acid deficiency
C. Hemolytic anemia
D. Aplastic anemia


Question: Blue baby syndrome (blue baby) is a substance which contains excessive drinking water caused?

Answer: Nitrate

Choices:
A. Nitrate
B. Fluoride
C. Sulfate
D. Carbonate


Question: The main pathological changes of chronic rejection of the transplanted lung Which of the following happen to?

Answer: Obstructive bronchitis

Choices:
A. Inflammatory cell infiltration
B. Diffuse alveolar damage
C. Obstructive bronchitis
D. Cytomegalovirus infection


Question: Toll-like receptors (TLRs) to perform message passing, following that kind of presence on the cell membrane, bacteria can accept the lipopolysaccharide (LPS) stimulation?

Answer: TLR-4

Choices:
A. TLR-3
B. TLR-4
C. TLR-5
D. TLR-7


Question: The following spinal epidural outer clinical examination of tumor (intra-spinal, extra-dural tumor) of the found, whichever relatively rare?

Answer: Reflexes (hypo-reflexia)

Choices:
A. Neuralgia
B. Sports fatigue (motor weakness)
C. Reflexes (hypo-reflexia)
D. Spasms (spasticity)


Question: GH (growth hormone) has the effect of promoting fat and carbohydrate metabolism, mainly indirectly through the following to what the role of hormones produced?

Answer: The first type of insulin growth factors (insulin-like growth factor; IGF-1)

Choices:
A. TSH (thyroid-stimulating hormone; TSH)
B. ACTH (adrenocorticotropic hormone; ACTH)
C. Corticotropin releasing hormone (corticotropin-releasing hormone; CRH)
D. The first type of insulin growth factors (insulin-like growth factor; IGF-1)


Question: When some vascular endothelial damage, which of the following direct and smooth muscle cells in blood vessels, causing blood vessels?

Answer: Acetylcholine

Choices:
A. Adenosine
B. Acetylcholine
C. ANP
D. Carbon monoxide（CO）


Question: One patients with cirrhosis, hepatic coma often occurs each time blood tests have been advised of electrolyte imbalance, hepatic coma caused one of the main reasons, compared with electrolyte imbalance can induce hepatic coma is following what items?

Answer: Hyponatremia or hypokalemia

Choices:
A. Hyponatremia or hypokalemia
B. Hypernatremia or hypokalemia
C. Hyponatremia or hyperkalemia
D. Hypernatremia or hyperkalemia


Question: The following time-related microvascular surgery anticoagulant use of narrative, what's wrong?

Answer: Use anticoagulant increases the success rate of free flap transfer of substantial improvements

Choices:
A. anti-platelet effects of low dose aspirin good
B. heparin can be administered systemically or locally using
C. There is help when fibrinolytic agent in microanastomosis thrombosis
D. Use anticoagulant increases the success rate of free flap transfer of substantial improvements


Question: Patients complain of constipation and fecal incontinence, anal relaxation physical examination found no spontaneous contractility, anal reflex and bulbospongiosus reflex (bulbocavernosus reflex) are disappearing, Which of the following is the most likely cause?

Answer: Mawei tract lesions (cauda equina lesion)

Choices:
A. Intracranial hemorrhage (intracranial hemorrhage)
B. Brain stem stroke (brainstem stroke)
C. 頸髓 cavity disease (cervical syringomyelia)
D. Mawei tract lesions (cauda equina lesion)


Question: The following features related to mycotoxicoses, He's wrong?

Answer: Contagious

Choices:
A. Toxins produced by fungi that cause
B. The onset of regional
C. The incidence of seasonal
D. Contagious


Question: A three month-old baby because of large seizures, vomiting, unconsciousness sent emergency room, blood tests found high blood ammonia (hyperammonemia), blood citrulline (citrulline) is low, urine orotic acid also reduced. Whichever is most likely to lack the enzymes patient's body?

Answer: Carbamylphosphate synthetase（CPS）

Choices:
A. Carbamylphosphate synthetase（CPS）
B. Ornithine transcarbamylase（OTC）
C. Argininosuccinate synthetase
D. Argininosuccinate lyase


Question: A patient suspected of vitamin B12 deficiency phenomenon, which of the following changes in blood most do not support this diagnosis?

Answer: P-hydroxyphenyl pyruvate (para-hydroxyphenylpyruvate) too high

Choices:
A. Methyl malonate (methylmalonic acid) high
B. P-hydroxyphenyl pyruvate (para-hydroxyphenylpyruvate) too high
C. Too few red blood cells
D. Giant red blood cells mother too


Question: Cruciate ligament is supplied by a piece of blood vessel after knee?

Answer: The knee artery (Middle genicular artery)

Choices:
A. Outer knee artery (Superior lateral genicular artery)
B. The upper knee artery (Superior medial genicular artery)
C. The lower knee artery (Inferior medial genicular artery)
D. The knee artery (Middle genicular artery)


Question: Viral hemorrhagic fever may spread with the international tourism, which of the following highest mortality rate?

Answer: The Ebola virus

Choices:
A. Hantavirus
B. The Ebola virus
C. Dengue virus
D. Yellow fever


Question: From the previous question, if this tumor is follicular thyroid cancer, the following items describe what is wrong?

Answer: There are obvious envelope (capsule) and vascular (vessels) violations

Choices:
A. There are obvious envelope (capsule) and vascular (vessels) violations
B. According AGES score (age, grade, extension, size), should belong to the low risk (less than 4)
C. After receiving total thyroidectomy, thyroid usable protein (thyroglobulin) to track
D. If accepted subtotal thyroidectomy, 131I can be used to track


Question: Primary brain tumors, the most common tumor in what?

Answer: Astrocytoma (astrocytoma)

Choices:
A. Astrocytoma (astrocytoma)
B. Meningioma (meningioma)
C. Ependymoma (ependymoma)
D. Medulloblastoma (medulloblastoma)


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

Answer: resists beta] (β-blocker)

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


Question: Small bowel epithelial cells of striated border (striated border), which is constructed by the following composition?

Answer: Microvilli (microvilli)

Choices:
A. Flagellum (flagella)
B. Cilia (cilia)
C. Static cilia (stereocilia)
D. Microvilli (microvilli)


Question: Diabetes patients check in urodynamic testing (urodynamic study), most of that will not be following the results appear?

Answer: Reflecting detrusor overactivity (detrusor hyperreflexia)

Choices:
A. Bladder feel worse
B. Chronic bladder inflation (overdistension)
C. Reflecting detrusor overactivity (detrusor hyperreflexia)
D. Urination (postvoiding residuals) increased


Question: 62.65-year-old wife, Zhang suffering from degenerative arthritis in his right knee for five years, the day before yesterday a friend invited climb Qixingshan, feeling right knee pain, swelling home. Physician examination found the right knee swelling Mrs. Chang, is likely to have stagnant water; her right knee bend to 100 degrees can cause severe pain and tenderness in his right knee medial point, the following are most suitable for the disposal of what?

Answer: Immediately pulled her right knee to the normal angle

Choices:
A. Administration of non-steroidal anti-inflammatory drugs
B. Use of transcutaneous electrical nerve stimulation in the right knee
C. Immediately pulled her right knee to the normal angle
D. Do isometric exercise his right knee


Question: The following statements about the amoeba in and what was wrong?

Answer: Parasitic parasitic amoeba of parts of the body are in the large intestine

Choices:
A. Can be identified by PCR Entamoeba histolytica (Entamoeba histolytica) and Disi Pa amoeba (Entamoeba dispar)
B. Metronidazole is the preferred amoebic dysentery's disease drugs
C. Entamoeba histolytica (Entamoeba histolytica) trophozoites (trophozoites) will swallow the red blood cells
D. Parasitic parasitic amoeba of parts of the body are in the large intestine


Question: Clinically, the most common of Cushing's syndrome (Cushing's syndrome) because:

Answer: Excessive use of steroids

Choices:
A. Adrenocortical tumors
B. Pituitary gland tumor
C. Excessive use of steroids
D. Thymic tumors


Question: A 30-year-old patient without sperm, testicles on both sides of the long diameter of about 1 cm, serum FSH, LH and testosterone were lower than normal, the most appropriate examination or treatment Why?

Answer: HCG + recombinant FSH injections

Choices:
A. Intracytoplasmic sperm injection mass (ICSI)
B. Testicular sperm do first to see whether the slice
C. HCG + recombinant FSH injections
D. testosterone replacement therapy


Question: That is not one of the following mumps (mumps) complications?

Answer: Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)

Choices:
A. Orchitis (orchitis)
B. Inflammation of the pancreas (pancreatitis)
C. After infection encephalitis (postinfectious encephalitis)
D. Progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy)


Question: When adhesions cause intestinal obstruction after abdominal surgery, the following statements is wrong?

Answer: Upper gastrointestinal barium photography is necessary to determine the blocking position

Choices:
A. Upper gastrointestinal barium photography is necessary to determine the blocking position
B. Nasogastric decompression and fasting is needed
C. Rehydration and electrolyte are in need
D. Abdominal X-ray photography, and sometimes have to repeatedly check


Question: A 1-year-old sick child, there are long-term secretory diarrhea (secretory diarrhea), abdominal ultrasound found a lump, this time to be considered in particular the possibility of what disease?

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Adrenal hemorrhage (adrenal hemorrhage)
B. Adrenocortical carcinoma (adrenocortical carcinoma)
C. Neuroblastoma (neuroblastoma)
D. Wilms' tumor (Wilms tumor)


Question: When beginning a 30-year-old mother 35 weeks of pregnancy due to hypertension (170/120 mmHg) and proteinuria (3.1 g / 24 hours) hospitalization, hospitalization rational drug prescription should include:

Answer: Antihypertensive drugs administered MgSO4 and

Choices:
A. Give Aspirin
B. Antihypertensive drugs administered MgSO4 and
C. Administration MgSO4, antihypertensive drugs and antibiotics
D. Administration MgSO4, antihypertensive drugs and low doses of Aspirin


Question: A 28-year-old woman has experienced three consecutive early pregnancy (<12 weeks) of embryonic death, Which of the following does not belong to the women the necessary assessment project?

Answer: Vaginal and pelvic infections Chlamydia trachomatis

Choices:
A. Couples chromosome examination
B. Hysterosalpingography photography (stereo or uterine ultrasonography)
C. Thyroid function and blood sugar before meals
D. Vaginal and pelvic infections Chlamydia trachomatis


Question: Add relevant principles of non-staple food, Which of the following most inappropriate?

Answer: When added with allergies infants should be delayed until 8 Month zoomed

Choices:
A. Must be added when ⺟ Rubu fed kids or zoomed to 6 Month
B. When added with allergies infants should be delayed until 8 Month zoomed
C. 1 year old baby to avoid feeding honey
D. Each time you add only ⼀ kinds of new foods, starting from a small, gradual increase observed 4 to 7 to Tian


Question: AIP has nothing to do with that than one of the following?

Answer: Foreign body inhalation of stomach contents

Choices:
A. Inhalation of toxic gases
B. Anaphylaxis
C. Viral infection
D. Foreign body inhalation of stomach contents


Question: 18 a 2-year-old boy, after dinner, sudden severe coughing, shortness of breath, wheezing began to appear (stridor) case, and there is an instant cyanosis (cyanosis) phenomenon, should be scheduled before the preliminary emergency room consultation otolaryngology following those checks? Chest X-ray ② ① the neck in head and neck X-ray computed tomography ③ ④ Soft laryngotracheal endoscopy

Answer: ①②

Choices:
A. ②③
B. ①③
C. ①②
D. ③④


Question: Intestinal bile salts are reabsorbed in that period, to enter the enterohepatic circulation (enterohepatic circulation)?

Answer: Ileum (ileum)

Choices:
A. Duodenum (duodenum)
B. Jejunum (jejunum)
C. Ileum (ileum)
D. Colon (colon)


Question: Which of the following mother's condition (maternal condition), and the fetus is most likely too much amniotic fluid (hydramnios) correlated?

Answer: Diabetes (diabetes)

Choices:
A. Listeriosis (Listeriosis)
B. Sickle-blood cell anemia (sickle-cell anemia)
C. Diabetes (diabetes)
D. Lupus (systemic lupus erythematosus)


Question: One of the following proteins that inhibit apoptosis (apoptosis) of function?

Answer: Bcl-2

Choices:
A. Behind
B. look
C. Bcl-2
D. FASL


Question: A 55 year old male, long-term chewing betel nut, the last three weeks, mouth ulcers, pain. According to the MRI T1WI (panel A) and T2WI with fat-suppression (panel B) images, is your diagnosis:

Answer: buccal mucosal carcinoma

Choices:
A. tongue carcinoma
B. buccal mucosal carcinoma
C. minor salivary adenocarcinoma
D. lip carcinoma


Question: 44 bearing on the problem, when this patient demonstrated a left middle ureter found wide substrate of 2 cm (sessile) transitional cell carcinoma (Grade 2), while the contralateral normal urinary system, the priority at this time than the standard treatment option for Which of the following?

Answer: Left kidney ureter and bladder cuff excision (nephroureterectomy with bladder cuff removal)

Choices:
A. Left kidney and ureter resection (nephroureterectomy)
B. Left kidney ureter and bladder cuff excision (nephroureterectomy with bladder cuff removal)
C. Middle ureter resection (segmental resection) and the reclosing operation
D. Ureteroscopy laser surgery to remove the tumor (endoscopic laser resection)


Question: The so-called appropriate ovarian cancer debulking surgery (optimal debulking), refers to the residual tumor size was:

Answer: < 1.5 cm

Choices:
A. < 4 cm
B. < 3.5 cm
C. < 3 cm
D. < 1.5 cm


Question: Insulin (insulin) is the body control blood sugar the most important hormones, insulin injections for diabetics how the main items of the following reactions occur?

Answer: Insulin receptor phosphorylation by its nature, such as IRS-1

Choices:
A. 使 insulin receptor dimerization
B. Insulin receptor phosphorylation by its nature, such as IRS-1
C. Inhibition of protein kinase C
D. Suppressing protein kinase G


Question: A 65-year-old female patient, the left nostril bleeding, stop bleeding after partial obliteration, day 3 Remove the packing gauze and bleeding, and then by the nose, nasal cavity packing to stop bleeding, nosebleeds still a lot of 3 days, it was decided outside disposal of carotid artery ligation, but unfortunately, after ligation still nosebleeds, bleeding of the blood vessels is most likely why?

Answer: Former ethmoid artery (anterior ethmoid artery)

Choices:
A. Butterfly jaw artery (sphenopalatine artery) of the branch
B. Former ethmoid artery (anterior ethmoid artery)
C. Large jaw artery (greater palatine artery)
D. Upper lip artery (superior labial artery)


Question: Uterine cancer is the most common:

Answer: Leiomyoma (leiomyoma) 35 mole most common symptoms why?

Choices:
A. Sarcoma (sarcoma)
B. Adenomyosis (adenomyosis)
C. Adenocarcinoma (adenocarcinoma)
D. Leiomyoma (leiomyoma) 35 mole most common symptoms why?


Question: The following description of the physical nature of the growth delay (constitutional growth delay), and what's not correct?

Answer: The adult height is often dwarfish

Choices:
A. Birth length and weight often normal
B. In 2 - 3 years old, the normal growth rate
C. Often accompanied by puberty delay (delayed puberty) phenomenon
D. The adult height is often dwarfish


Question: Miss Lee last two months, often sudden palpitations, breath, feeling about to faint. After emergency physician examination, blood biochemistry and ECG were normal, arterial blood gas to check the phenomenon presents a slight respiratory alkalosis, was diagnosed with panic attacks, administration of paroxetine 20 mg / tablets, each night one, and alprazolam 0.5 mg / ingots, when taking the attack. Miss Lee to take home, nausea, sleepy during the day, sleep at night and, therefore, disabled paroxetine, in addition, it is feared alprazolam eating habits will be, and therefore did not dare to take. Following the disposal of whichever wrong?

Answer: Behavior Therapy: Xiongshihuxi teaches breathing and progressive relaxation training to reduce anxiety and avoid hyperventilation

Choices:
A. Cognitive therapy: Do not teach mild physical symptoms mistaken for fatal symptoms, physiological and pathological mechanisms inform panic disorder, the symptoms are short-lived phenomenon, usually not fatal
B. Behavior Therapy: Xiongshihuxi teaches breathing and progressive relaxation training to reduce anxiety and avoid hyperventilation
C. Selective serotonin reuptake inhibitors (SSRIs): encourage patients to continue using the selective serotonin reuptake inhibitor to a stable condition, to continue treatment for at least 8-12 months. Early paroxetine can first take half, or less likely to use sedation sertraline
D. And treated with benzodiazepine (benzodiazepine, BZDs): initial absorption and re-benzodiazepine with a selective serotonin inhibitors for about 4-12 weeks, and other selective serotonin reuptake inhibitors or effect occurs, then using 4-10 weeks slowly benzodiazepine stopped


Question: The following related histamine (histamine) of the inflammatory response in the narrative, what's right?

Answer: Releasable via other trauma, cold or heat damage

Choices:
A. The main source of white blood cells (leukocytes) and endothelium (endothelium)
B. Releasable via other trauma, cold or heat damage
C. Cause microvascular (capillaries) to expand and increase its permeability
D. The H2 receptor and vascular endothelial (H2 receptors) binding leads to expansion of blood vessels


Question: Reconstruction of the distal tibia can use that one flap?

Answer: Free tissue flap (free flap transfer)

Choices:
A. pedicled gastrocnemius flap
B. Free tissue flap (free flap transfer)
C. pedicled extensor digitorum longus
D. pedicled sartorius muscle flap


Question: A 6-year-old boy, complained of fever, sore throat two days, no runny nose, body physical examination throat congestion, tonsils with white exudate, slightly swollen lymph nodes. Which of the following conditions need the full course of antibiotics?

Answer: Group A streptococcal infection (Group A streptococcal infection)

Choices:
A. Group A streptococcal infection (Group A streptococcal infection)
B. Hand, foot and mouth disease (Hand-Foot-Mouth disease)
C. Adenovirus infection (Adenoviral infection)
D. Kawasaki disease (Kawasaki disease)


Question: Following a disease that most commonly appear amyloid angiopathy (amyloid angiopathy)?

Answer: Alzheimer's disease

Choices:
A. Adrenal leukodystrophy (adrenoleukodystrophy)
B. Medulloblastoma (medulloblastoma)
C. Alzheimer's disease
D. Parkinson's disease


Question: Which of the following can not be used as indicators of exercise intensity during exercise in patients with heart disease prescription?

Answer: Oxygen concentration

Choices:
A. Oxygen concentration
B. The percentage of maximum heart rate
C. Movement consciously Scale
D. Metabolic Equivalent (MET)


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

Answer: Case transferred to other organs are common

Choices:
A. Case transferred to other organs are common
B. Clinically, most with cystic nodules (nodulocystic type)
C. Excessive UV exposure is the main cause of basal cell carcinoma
D. Treatment with excision


Question: E. coli DNA repair replication error arising with (mismatch), which shall be on the (parental strand) modified by recognition mother share?

Answer: methylated adenine

Choices:
A. methylated adenine
B. methylated guanine
C. cytosine methylation
D. Methylation thymine


Question: Large 2.9-month boy fever five days, is beginning to show lethargy state this morning, in the evening due to systemic stiff clonic seizures (Generalized tonic clonic seizure) 5 Fenzhong was sent to the emergency room. In the ICU made spinal biopsy, cerebral spinal fluid report display WBC 10000 / μL (90% PMNs and 10% Lymphocyte), Protein 380 mg / dL, Glucose 5 mg / dL. Which of the following is the most likely pathogens?

Answer: Streptococcus pneumoniae (Streptococcus pneumoniae)

Choices:
A. Herpes simplex virus type I (HSV type 1)
B. Streptococcus pneumoniae (Streptococcus pneumoniae)
C. Enterovirus (Enterovirus)
D. Cryptococcus neoformans (Cryptococcus neoformans)


Question: Which of the following features will appear in the patient's body hemolytic anemia?

Answer: hemosiderinuria

Choices:
A. Life expectancy of normal red blood cells
B. Increase blood haptoglobin
C. Reduced bone marrow function
D. hemosiderinuria


Question: Injury or death from heart muscle cells to release some of the ingredients in the blood can be used to determine the occurrence of myocardial infarction, following what is protein specific for myocardial ischemia injury marked substance (biomarker)?

Answer: troponin T and troponin I

Choices:
A. C-reactive protein
B. creatine kinase muscle dimer
C. lactate dehydrogenase
D. troponin T and troponin I


Question: On various antibiotic mechanism of action of the narrative, Which statement is correct?

Answer: cephalosporins inhibit bacterial cell wall synthesis and development

Choices:
A. cephalosporins inhibit bacterial cell wall synthesis and development
B. vancomycin is the bacterial protein synthesis inhibition
C. rifampin is the synthesis of bacterial deoxyribonucleic acid (DNA) to inhibit
D. quinolones inhibit bacterial ribonucleic acid (RNA) Synthesis of


Question: A middle-aged men, smoking 10 years, complained of chronic cough, bronchial epithelium show histopathological squamous epithelium, this variation is most likely:

Answer: Metaplasia (metaplasia)

Choices:
A. Shrink (atrophy)
B. Metaplasia (metaplasia)
C. 異生（dysplasia）
D. Cancer (cancer)


Question: 52 A 20-year-old male military service examination found that weight 65 kg, height 165 cm, poor genital development, blood FSH 40 mIU / L (reference mIU / L), testosterone 100 μg / dL (reference value> 300 μg / dL), The most likely diagnosis is:

Answer: Klinefelter syndrome

Choices:
A. Klinefelter syndrome
B. Kallmann syndrome
C. Prader-Willi syndrome
D. Laurence-Moon syndrome


Question: According to the norms of palliative care regulations, the public can sign the "pre-established selection palliative care letter of intent", "pre-established Non-imposition of cardiopulmonary resuscitation letter of intent", "pre-established medical appointment of agents" and other pre-established medical indication, which of the following items is not a necessary condition for the signing of those?

Answer: Terminal Illness

Choices:
A. Aged over 20 years old
B. With full legal capacity
C. Conscious
D. Terminal Illness


Question: After bearing the title, Barbara accepted the placenta no stress test (NST), at the doctor suggested, accompanied by their families deal with the hospital for observation, and given blood pressure lowering drugs and follow-up treatment, but, Barbara entered the room up to a minute of epilepsy will happen grand mal seizures (generalized tonic-clonic seizures), following the disposal of what are the most appropriate?

Answer: Barbara is currently 30 weeks pregnant, the fetus is still too small, it is recommended first to reduce blood pressure drugs and anti-epileptic drugs to control the situation, to be twelve weeks of treatment before making birth

Choices:
A. Barbara is currently 30 weeks pregnant, the fetus is still too small, it is recommended first to reduce blood pressure drugs and anti-epileptic drugs to control the situation, to be twelve weeks of treatment before making birth
B. Barbara definition of seizures have been met eclampsia (eclampsia), and seizures should be immediately given first aid procedures and general anti-epileptic drugs, MgSO4 metabolized by the liver, in the case of AST, ALT is not recommended to use a slightly higher
C. When Barbara attack should be observed on the NST to fetal bradycardia can not reply, you should immediately arrange an emergency Caesarean section, giving
D. MgSO4 has been demonstrated in preventing the onset and treatment of eclampsia is very effective, because the postpartum eclampsia still occurs, it is recommended to use 24 hours postpartum. Clinical monitoring yet effective concentration, such as excessive calcium gluconate situation occurs antagonist can be administered


Question: For the following method ventricular Rockwell Snap disease (tetralogy of Fallot) of the septal defect described, whichever error?

Answer: Often crooked backward position (posterior malalignment)

Choices:
A. Its size defects, often equal to or even greater than the ring inner diameter of aortic it (nonrestrictive)
B. Often a film-type peripheral outlet (perimembranous outlet)
C. Its position and conducting tissue of the same general ventricular septal defect
D. Often crooked backward position (posterior malalignment)


Question: At 49. The figure is a 80-year-old patient, weighing 60 kg, due to a fall burns hot water bath, next to the emergency conscious. So please answer the following three questions: the following statements is that correct? ① ② establish this infusion conduit 1 to 2 degrees burns ③2 ~ 3 ④18% body surface area burn of injured body surface area injured ⑤9%

Answer: ①③④

Choices:
A. ①②④
B. ①②⑤
C. ①③④
D. ②③⑤


Question: Go to community health care workers to provide medical services, the most resiliency that following a pattern?

Answer: Volunteer groups and community organizations are encouraged to take charge and plans to strengthen its ability to serve the community

Choices:
A. Please neighborhood with hospitals have long planned work
B. Excellent selection of hospital physicians to study abroad to create a community health technology
C. Fixed to the government to secure funding in order to create a healthy work community grants
D. Volunteer groups and community organizations are encouraged to take charge and plans to strengthen its ability to serve the community


Question: About spinal cord injury and paralysis of limbs, neurological recovery narrative, which of the following error?

Answer: The muscle care has been taken with the future of the injured early recovery has nothing to do

Choices:
A. The recovery of upper limb function in multiple ⽣ within 6 to 9 Month after injury
B. The fastest recovery of upper limb function within 3 Month after an injury-prone in ⽣
C. The muscle care has been taken with the future of the injured early recovery has nothing to do
D. The earlier recovery, the prognosis is good more


Question: A 60-year-old woman weighing 80 kg with a history of diabetes and high blood pressure, abnormal vaginal bleeding due to a gynecological clinic for treatment, examination revealed endometrial hyperplasia phenomenon of irregular thickness of 2 cm, and a violation of the uterine muscle layer. The following statements is wrong?

Answer: If it is papillary serous type, the prognosis is better

Choices:
A. The chances of long-term use of estrogen increases the risk of such tumors
B. And PTEN gene-related
C. If it is papillary serous type, the prognosis is better
D. Divided into three levels according to the degree of glandular differentiation and related to prognosis


Question: A 30-year-old male athletes to participate in the regatta, sudden onset of severe lower back pain, feet pain, numbness and weakness, while unable to urinate. At this point the most likely diagnosis is:

Answer: Lumbar disc herniation with cauda equina syndrome

Choices:
A. Lumbar stenosis
B. Vertebral fractures
C. Lumbar disc herniation with cauda equina syndrome
D. Back muscle or ligament sprain


Question: Plant hormone Indole-3-acetic acid is an amino acid which consists of the following metabolic come?

Answer: Tryptophan

Choices:
A. Arginine
B. Histidine
C. Tryptophan
D. Phenylalanine 32 for purine following the "salvage pathway" narrative, what is non?


Question: Which of the following is not a branch of the lumbar plexus?

Answer: After femoral cutaneous nerve (posterior femoral cutaneous nerve)

Choices:
A. Iliohypogastric nerve (iliohypogastric nerve)
B. Ilioinguinal nerve (ilioinguinal nerve)
C. After femoral cutaneous nerve (posterior femoral cutaneous nerve)
D. Obturator nerve (obturator nerve)


Question: The following parathyroid disease, whichever is most often caused by four parathyroid Tongshifasheng disease?

Answer: Hyperplasia (hyperplasia)

Choices:
A. Adenoma (adenoma)
B. Hyperplasia (hyperplasia)
C. Cancer (carcinoma)
D. Infection (infection)


Question: Variant Creutzfeldt-Jakob Disease (variant Creutzfeldt-Jakob disease, vCJD) differences and sporadic Creutzfeldt-Jakob disease (sporadic Creutzfeldt-Jakob disease, sCJD), the following statements is wrong?

Answer: Probability of vCJD patient to periodic sharp waves electroencephalogram (periodic synchronous bi- or triphasic sharp wave complexes) is much higher than the patient sCJD

Choices:
A. vCJD slower than the course of sCJD
B. Yue appeared less muscle disease (myoclonic jerk) of vCJD patients clinically
C. VCJD patients CSF 14-3-3 protein ratio increase is much lower than the patient sCJD
D. Probability of vCJD patient to periodic sharp waves electroencephalogram (periodic synchronous bi- or triphasic sharp wave complexes) is much higher than the patient sCJD


Question: After 51 Which of the following hematopoietic stem cell transplantation (hematopoietic stem cell transplantation) transplantation complication rate of death within 100 days

Answer: Autologous stem cell transplantation (autologous hematopoietic stem cell transplantation)

Choices:
A. Autologous stem cell transplantation (autologous hematopoietic stem cell transplantation)
B. The human leukocyte antigen anastomosis hand, foot hematopoietic stem cell transplantation (HLA-matched sibling hematopoietic stem cell transplantation)
C. Human HLA match the non-blood hematopoietic stem cell transplantation (HLA-matched unrelated hematopoietic stem cell transplantation)
D. The human leukocyte antigen match cord blood transplantation (HLA-matched cord blood transplantation)


Question: 6-year-old girl, accidentally discovered an abnormal chest X-ray, chest imaging figure, which of the following is the most likely diagnosis?

Answer: Nerve tumors (neurogenic tumor)

Choices:
A. Cardiac tumors
B. Nerve tumors (neurogenic tumor)
C. Off the horizontal diaphragmatic hernia (diaphragmatic hernia)
D. Right middle lobe pneumonia


Question: About narrative muscle lesions of, which of the following error?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy) is autosomal dominant genetic disease

Choices:
A. Hyperkalemic periodic paralysis (periodic paralysis) is a sodium ion channel disorders
B. Hypokalemic periodic paralysis (periodic paralysis) is calcium ion channel disorders
C. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy) is autosomal dominant genetic disease
D. Dermatomyositis (dermatomyositis) immune disorders


Question: About congenital anorectal anomaly (anorectal anomalies), patients Which of the following type of bowel function better prognosis?

Answer: Anorectal disease and rectal perineal fistula (imperforate anus with rectoperineal fistula)

Choices:
A. Anorectal disease and rectal urethral fistula (imperforate anus with rectourethral fistula)
B. Anorectal disorders and rectovaginal fistula (imperforate auns with rectovaginal fistula)
C. Anorectal disease and rectal perineal fistula (imperforate anus with rectoperineal fistula)
D. Cloacal malformation (cloacal malformation)


Question: In response to rising blood glucose concentration in the second stage (phase II) in key intracellular molecules of insulin release is slow Which of the following?

Answer: Glutamate (glutamate)

Choices:
A. Calcium ion (calcium ion)
B. Glutamate (glutamate)
C. Pyruvate (pyruvate)
D. Magnesium ion (magnesium ion)


Question: The following related degenerative arthritis treatment, whichever is the most important method?

Answer: Reduce the burden of joint degeneration

Choices:
A. Taking glucosamine
B. Reduce the burden of joint degeneration
C. Continue taking anti-inflammatory painkillers
D. Spa or soak in warm water


Question: Which of the following is the cause of type A hemophilia (hemophilia A) of?

Answer: factor VIII gene defect

Choices:
A. excessive production of tissue factor pathway inhibitor
B. prothrombin (factor II) gene defects
C. factor X can not be activated calcium
D. factor VIII gene defect


Question: Which of the following associates cerebellum and without cerebellar peduncle next in line?

Answer: Red nucleus

Choices:
A. spinal cord
B. Inferior olivary nucleus
C. Red nucleus
D. Nuclear wedge


Question: Which of the following can effectively inhibit the synthesis of mRNA in vivo mouse?

Answer: Alpha-amanitin

Choices:
A. Erythromycin
B. Alpha-amanitin
C. Tetracycline
D. Rifampicin


Question: 7526-year-old male patient complained of left proptosis, there is a history of a car accident three months ago, to accept the CT examination, two figures respectively different section images after injection developer, Which of the following is the most likely diagnosis?

Answer: Carotid cavernous sinus fistula (carotid cavernous sinus fistula)

Choices:
A. Carotid cavernous sinus fistula (carotid cavernous sinus fistula)
B. Varicose veins (varix)
C. Angioma (hemangioma)
D. Lymphangioma (lymphangioma)


Question: Which of the following does not belong to hypertrophic stomach (hypertrophic gastropathy)?

Answer: Gastric hyperplastic polyps (gastric hyperplastic polyp)

Choices:
A. Ménétrier 氏病（Ménétrier disease）
B. Zollinger-Ellison syndrome
C. Gastric hyperplastic polyps (gastric hyperplastic polyp)
D. Hypertrophic hypersecretory gastropathy (hypertrophic-hypersecretory gastropathy)


Question: For bilateral renal artery stenosis due to lead to high blood pressure patients, following what kind of blood pressure lowering drugs should be avoided?

Answer: Beta-receptor blockers sympathetic

Choices:
A. Diuretics
B. Beta-receptor blockers sympathetic
C. Angiotensin converting enzyme inhibitors
D. ) Alpha receptor blockers sympathetic


Question: The following parasites, whichever does not lead to infection in patients with brain lesions?

Answer: Echinostoma (Echinostoma spp.)

Choices:
A. Schistosoma japonicum (Schistosoma japonicum)
B. Pork tapeworm (Taenia solium)
C. Aeromonas tapeworm (Echinococcus granulosus)
D. Echinostoma (Echinostoma spp.)


Question: 1000 grams of preterm children, in a month neonatal intensive care unit, the occurrence of a variety of serious complications, including: respiratory distress syndrome, pneumothorax, pneumonia, necrotizing enterocolitis, sepsis and pneumonia, and now because of cerebral hemorrhage apnea and hypoxia, the baby will leave serious sequelae of brain, the parents second thoughts, requiring all physicians to stop life-sustaining treatment, Which of the following is the most correct disposal?

Answer: Please sign the families of DNR, when the situation worse, not administering first aid

Choices:
A. Students can immediately stop a Chevy treatment
B. Please remove the respirator own families
C. Boost agent can be stopped, but can not remove the respirator
D. Please sign the families of DNR, when the situation worse, not administering first aid


Question: At term, the incidence of breech births is about how much?

Answer: 4.00%

Choices:
A. 0.50%
B. 4.00%
C. 8.00%
D. 12.00%


Question: About bipolar disorder (bipolar disorder) treatment narrative of drugs, which of the following error?

Answer: Teratogenic valproate in pregnant women caused by the body, the most common biliary atresia (biliary atresia)

Choices:
A. lithium in pregnant women who caused teratogenicity, the most common Ebstein's tricuspid valve abnormalities (Ebstein's anomaly)
B. Teratogenic valproate in pregnant women caused by the body, the most common biliary atresia (biliary atresia)
C. lamotrigine may cause toxic epidermal necrolysis (toxic epidermal necrolysis)
D. carbamazepine may cause Stephen Johnson syndrome (Stevens-Johnson syndrome)


Question: A 25 to 16 weeks pregnant women of obstetrics and gynecology clinic for routine antenatal care, which mean corpuscular volume (mean corpuscular volume, MCV) is 72 fL, hemoglobin value of 12.3 g / dL, ferritin value of 102 ng / mL, hemoglobin electrophoresis HbA 98%, 2%. The next most appropriate way to deal with:

Answer: The woman's spouse is recommended to accept blood tests (complete blood count) and hemoglobin electrophoresis

Choices:
A. Recommended that women undergo genetic wafer inspection
B. Recommended that women receiving blood chromosome examination
C. The woman's spouse is recommended to accept blood tests (complete blood count) and hemoglobin electrophoresis
D. Recommended that the woman's parents and siblings to accept blood tests (complete blood count) and hemoglobin electrophoresis