Question: A wide range of new blood vessels (angiogenesis) does not occur:

Answer: Dermoid cysts (dermoid cyst)

Choices:
A. Luteinizing
B. Embryogenesis
C. Malignancies
D. Dermoid cysts (dermoid cyst)


Question: Statements about children cryptorchidism (cryptorchidism) is, which of the following error?

Answer: Cryptorchidism surgery is the best time is between 1 and 3 years old

Choices:
A. Hormonal treatment success rate of only 20%, but also about the location of cryptorchidism
B. Cryptorchidism surgery is the best time is between 1 and 3 years old
C. Children on both sides of the case cryptorchidism should further evaluate the chromosomal order to find abnormal sex
D. Radiological examination to determine the location of cryptorchidism is not absolutely necessary, and will not affect the operation of conduct


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

Answer: 46, XX and 47, XXY is female

Choices:
A. There are 22 pairs of chromosomes
B. There are two sex chromosomes, X and Y
C. 46, XX and 47, XXY is female
D. X and Y chromosome has a small part of the high similarity, is referred to as pseudo-autosomal region


Question: 38-year-old female patient after surgery because of four with stimulating monitoring (train of four) show muscle twitching are blocked (total twitch suppression), and shall live into the intensive care unit were respiratory care. Initially ruled out other postoperative complications, the patient gradually recover in the second day, and the weaning and extubation, the patient most likely diagnosis Why?

Answer: myasthenia gravis

Choices:
A. spinal cord injury
B. Guillain-Barre syndrome
C. myasthenia gravis
D. meningitis


Question: Patients with neurological examination, reflection triceps (triceps reflex) have weakened or disappeared, triceps weakness, then most likely the first of several cervical nerve lesions?

Answer: Seven

Choices:
A. Fives
B. six
C. Seven
D. Eight


Question: Carpal tunnel syndrome (Carpal tunnel syndrome) of incidence, what is correct?

Answer: More women than men

Choices:
A. More women than men
B. More men than women
C. Almost sex ratio
D. Different studies report different results


Question: Statements about Multiple endocrine neoplasia syndrome (multiple endocrine neoplasia, MEN), and which of the following error?

Answer: MEN 2C comprises pheochromocytoma (pheochromocytoma)

Choices:
A. MEN 1 comprising hyperparathyroidism (hyperparathyroidism)
B. MEN 2A comprising medullary thyroid cancer (medullary thyroid carcinoma)
C. MEN 2B comprises medullary thyroid carcinomas (medullary thyroid carcinoma)
D. MEN 2C comprises pheochromocytoma (pheochromocytoma)


Question: About weight loss, the following statements is wrong?

Answer: In general, within six months, to reduce the 15% of the original weight, and is easily reached by a target

Choices:
A. Diet focus is to reduce total calorie intake
B. In general, within six months, to reduce the 15% of the original weight, and is easily reached by a target
C. Severe obese patients, in medical therapy invalid, weight loss surgery (bariatric surgery) is a reasonable choice
D. Lorcaserin is in the central nervous, appetite suppressing drugs for the


Question: Following the merger of a situation that diabetes is due to inadequate secretion of insulin cause?

Answer: mutation(s) in insulin promoter factor-1（IPF-1）

Choices:
A. type A insulin resistance
B. leprechaunism
C. Rabson-Mendenhall syndrome
D. mutation(s) in insulin promoter factor-1（IPF-1）


Question: Electrocardiogram following a 5-year-old boy. What is the most important change in this abnormal ECG?

Answer: By the pacemaker (Pacemaker) driving the heartbeat

Choices:
A. By the pacemaker (Pacemaker) driving the heartbeat
B. A first-degree atrioventricular block
C. Right branch block
D. Myocardial infarction


Question: Protective role of angiotensin-converting enzyme inhibitors of the kidney, which of the following error?

Answer: Can increase the glomerular filtration rate

Choices:
A. Can lower blood pressure
B. You can reduce proteinuria
C. Can increase the glomerular filtration rate
D. Can reduce the efferent artery pressure


Question: Palate sail tensor (tensor veli palatini) and how these same muscles innervated by cranial?

Answer: Temporalis muscle (temporal muscle)

Choices:
A. Temporalis muscle (temporal muscle)
B. Sternocleidomastoid (sternocleidomastoid muscle)
C. After the belly of the digastric (posterior belly of digastric muscle)
D. Inferior rectus (inferior rectus muscle)


Question: A 65-year-old male to the dermatology clinic complaining of starting from two months ago, the face of a rapidly proliferating tumor, then the lesions are most likely diagnosis is shown in Figure:

Answer: Keratoacanthoma (keratoacanthoma)

Choices:
A. Basal cell carcinomas (basal cell carcinoma)
B. Malignant melanoma (malignant melanoma)
C. Merkel's cell carcinoma (Merkel cell carcinoma)
D. Keratoacanthoma (keratoacanthoma)


Question: From the previous question, the cause of arrhythmia, mainly due to the blockade following what channel?

Answer: K +

Choices:
A. na +
B. K +
C. Ca2+
D. Mg2+


Question: Medullary thyroid cancer (medullary carcinoma), what's wrong?

Answer: When accompanied chromaffin cell carcinoma (pheochromocytoma) patients with medullary thyroid cancer surgery first

Choices:
A. Should be combined total thyroidectomy lymphadenectomy central compartment (central compartment dissection)
B. Diagnostic tests with CEA, calcitonin and cytology
C. When accompanied chromaffin cell carcinoma (pheochromocytoma) patients with medullary thyroid cancer surgery first
D. Iodine 131 therapy


Question: Tracheal bifurcation (carina) at the height of the chest X-ray is located approximately corresponding to a part of the spine that?

Answer: T4-5

Choices:
A. C6
B. T1-2
C. T4-5
D. L2-3


Question: 45. IARC (International Agency for Research on Cancer, referred to IARC) classified as ultraviolet what carcinogens?

Answer: Most likely (probable) human carcinogen

Choices:
A. Known (known) human carcinogen
B. Most likely (probable) human carcinogen
C. Suspected (possible) human carcinogen
D. Can not be classified (not classifiable) of a human carcinogen


Question: Which of the following can stimulate vasoconstriction?

Answer: Endothelin -1 (endothelin-1)

Choices:
A. Atrial natriuretic peptides (atrial natriuretic peptide)
B. Prostacyclin (prostacyclin)
C. Nitric oxide (nitric oxide)
D. Endothelin -1 (endothelin-1)


Question: Treatment of sickle cell anemia (sickle cell anemia) can use the following what kind of drugs?

Answer: Hydroxyurea

Choices:
A. Folate
B. Deferoxamine
C. Hydroxyurea
D. Pyridoxine


Question: Which of the following has diagnostic significance autoantibodies (systemic lupus erythematosus) in patients with systemic lupus erythematosus, and and disease activity (especially nephritis) about?

Answer: Anti-double stranded DNA antibody (anti-double-stranded DNA antibody)

Choices:
A. Anti-double stranded DNA antibody (anti-double-stranded DNA antibody)
B. Antinuclear antibodies (antinuclear antibody)
C. Anti-Sm antibodies (anti-Smith antibody)
D. Anti-tissue antibodies (antihistone antibody)


Question: Mrs. Lin 58 years old, suffering from depression (depression), usually often feel cold hands and feet, his mother and sister have diabetes. Today Mrs. Lin was diagnosed with high blood pressure, serum creatinine 1.8 mg / dL. Which of the following is the most she should not use the medication?

Answer: beta-blocker

Choices:
A. alpha-blocker
B. beta-blocker
C. dihydropyridine calcium channel blocker
D. angiotensin-converting enzyme inhibitor


Question: Which of the following drugs, the most suitable for the diagnosis of myasthenia gravis (myasthenia gravis)?

Answer: edrophonium

Choices:
A. echothiophate
B. edrophonium
C. entacapone
D. estazolam


Question: Dialysis dementia and following the kind of metal poisoning?

Answer: aluminum

Choices:
A. aluminum
B. zinc
C. copper
D. iron


Question: Pudendal nerve (pudendal nerve) impairment on the Which of the following is the smallest?

Answer: uterus

Choices:
A. Urethra
B. uterus
C. vaginal
D. Anal


Question: From the previous question, the disorder, the most likely cause of that?

Answer: Prion protein (Prion protein)

Choices:
A. Number 蛋白 (Protein Tau)
B. Prion protein (Prion protein)
C. β- amyloid (β-amyloid protein)
D. α- synuclein (α-synuclein protein)


Question: 80-year-old diabetic female patients complained last six months often unconscious incontinence situation, describing each patient urine output not much, and might go to the bathroom every hour from 1 to 2 times, physical examination revealed abdominal micro-swelling, but no patients Urine swelling feeling. Will urinary incontinence Which of the following is most likely?

Answer: Full expansion incontinence (overflow incontinence)

Choices:
A. Full expansion incontinence (overflow incontinence)
B. Urgency urinary incontinence (urge incontinence)
C. Stress urinary incontinence (stress incontinence)
D. True incontinence (true incontinence)


Question: The following cancer whichever is appropriate and effective screening method?

Answer: Cervical Cancer

Choices:
A. Cervical Cancer
B. Ovarian cancer
C. Endometrial cancer
D. Lung cancer


Question: To a group of healthy 80-year-old man and 20-year-olds compared to the healthy group, Which of the following most will not decline in the elderly group?

Answer: Blood insulin (insulin) concentration

Choices:
A. Can achieve the fastest heart rate during exercise
B. PaO
C. Glomerular filtration rate (glomerular filtration rate)
D. Blood insulin (insulin) concentration


Question: Statements about repeated urinary tract infections, Which statement is correct?

Answer: Girl repeated urinary tract infections, often have to hold back, less drinking habits and constipation

Choices:
A. Girl repeated urinary tract infections, urinary tract abnormalities there will be a system anatomy
B. Girl repeated urinary tract infections, often have to hold back, less drinking habits and constipation
C. If there is no fever, urinary tract infections do not need treatment
D. Urine reason vesicoureteral reflux, not the cause of repeated urinary tract infections


Question: The following statements about the hepatitis E, what's wrong?

Answer: Hepatitis E virus is mainly transmitted by the faecal-oral route, the incubation period of about 24 weeks

Choices:
A. Hepatitis E virus is mainly transmitted by the faecal-oral route, the incubation period of about 24 weeks
B. Hepatitis E infection in patients with acute type, most prognosis is good, very few patients after infection may be complicated by fulminant hepatic failure (fulminant hepatic failure)
C. Hepatitis E virus IgM antibodies (IgM anti-HEV) serum diagnostic marker of acute hepatitis E
D. Infection in patients with acute hepatitis E's completely healed, only a minority of patients with severely impaired immune function will evolve into chronic hepatitis E


Question: 63. The diagnosis of a disease psychosis (schizophrenia) of young male patients began receiving antipsychotics (antipsychotics) treatment, the treatment of the third day, the situation is hanging the eye suddenly appeared, this time of disposal does not include:

Answer: Administering muscle relaxant (muscle relaxant)

Choices:
A. Administration of anticholinergic drugs (anticholinergics)
B. Reduce or adjust the dose antipsychotic antipsychotic species of
C. Administering muscle relaxant (muscle relaxant)
D. Exclude other possible of neurological disorders, such as: epilepsy


Question: Acute lower extremity arterial occlusive disease completely, is a required emergency surgery of the object, in order to avoid causing irreversible harm to distant tissues, at the latest within a few hours after the occurrence of a complete obstruction to surgery?

Answer: 6～8

Choices:
A. 1～2
B. 3～5
C. 6～8
D. 9～12


Question: The following statements about pernicious anemia (pernicious anemia), and what's right?

Answer: Peripheral blood cells appear larger and nuclear super leafy neutropenia

Choices:
A. Autoantibodies attack the gland due to the duodenum
B. Peripheral blood cells appear larger and nuclear super leafy neutropenia
C. Gastrointestinal mucosa-associated lymphoma (mucosa-associated lymphoid tumor) is an important risk factor
D. Peripheral blood appear larger and oval lightly stained red blood cells


Question: The following description on Three subtypes of JRA (Juvenile rheumatoid arthritis), whichever is correct?

Answer: Pauciarticular onset merger uveitis occur more frequently in girls

Choices:
A. Pauciarticular onset merger uveitis occur more frequently in girls
B. Polyarticular onset is the most common type
C. The most common age of onset ranged between 4 to 6 years old
D. As much Polyarticular onset prevalence of boys and girls


Question: From the previous question, what's the most appropriate treatment?

Answer: Intravenous prostaphlin

Choices:
A. Body skin debridement (debridement), after supportive therapy
B. Intravenous prostaphlin
C. Intravenous immunoglobulin (IVIG)
D. Intravenous penicillin G


Question: As shown, this Zhang radiation image map for that diagnosis of a gas leak syndrome?

Answer: Pericardium product gas (pneumopericardium)

Choices:
A. Tension pneumothorax (tension pneumothorax)
B. Pericardium product gas (pneumopericardium)
C. In pneumomediastinum (pneumomediastinum)
D. Peritoneal product gas (pneumoperitonium)


Question: According to AHA / ACC guidelines for coronary artery bypass grafting (CABG), which of the following is not a coronary artery bypass surgery class I indications?

Answer: The middle of the right coronary artery blockage with acute myocardial infarction

Choices:
A. Only a single proximal left anterior descending artery 80% stenosis
B. The middle of the right coronary artery blockage with acute myocardial infarction
C. The combined infarction after acute myocardial infarction ventricular septal rupture
D. The combined three coronary blockage adverse ventricular systolic function


Question: About ankylosing spondylitis of the narrative, which of the following error?

Answer: In the general population, 20% of HLA-B27 positive, there may ankylosing spondylitis

Choices:
A. HLA-B27 B27 positive than negative, prone to uveitis (uveitis)
B. HLA-B27 positive than negative, higher familial predisposition
C. In the general population, 20% of HLA-B27 positive, there may ankylosing spondylitis
D. HLA-B27 in the North American Indians (Indians) its prevalence is much higher than Taiwan aborigines


Question: A 30-year-old woman, complained over the past decade, the mind will appear hesitant repeated the idea, fearing bad faucet off, worried that gas does not close tightly, not worry about the doors and windows closed, this idea over and over again to make her feel anxious. She complained that every time out and before going to bed, will be repeated in off the tap, gas, doors and windows, spend at least 40 minutes each time, these issues cause she quit her job, interpersonal retreat and feelings of depression. The following description of this patient, what's the most correct?

Answer: For some induced events which led to the development of such a condition better prognosis

Choices:
A. The main reason this disease is caused by stress, psychodynamic psychotherapy (psychodynamic psychotherapy) clinical outcome for most of these patients
B. The main cause of this disease is biologically caused by excessive secretion of adrenaline
C. Such patients must have compulsive personality disorders (obsessive-compulsive personality disorder)
D. For some induced events which led to the development of such a condition better prognosis


Question: Traumatic brain injury patient's muscle tone (muscle tone) increases, which is not an active treatment of indications?

Answer: Limb numbness

Choices:
A. Influence active action
B. Produce joint contractures
C. Affect caregivers to patient setup and cleaning
D. Limb numbness


Question: Related liver transplant indications, which of the following error?

Answer: Colon cancer with liver metastases

Choices:
A. Primary sclerosing cholangitis
B. Failure of a previous liver graft
C. Alagille's syndrome
D. Colon cancer with liver metastases


Question: 97 A 30-year-old woman to the emergency due to lower abdominal pain, physical examination found that patients with low blood pressure, emergency surgery right fallopian tube was found with blood clots. Pathological examination revealed the structure shown below, diagnosis is possible:

Answer: Ectopic pregnancy (ectopic pregnancy)

Choices:
A. Choriocarcinoma (choriocarcinoma)
B. Ectopic pregnancy (ectopic pregnancy)
C. Hydatidiform mole (hydatidiform mole)
D. Serous carcinoma (serous carcinoma)


Question: Related liver disease, the following statements is wrong?

Answer: Nodular regenerative hyperplasia (nodular regenerative hyperplasia) has a central star-shaped areas of fibrosis

Choices:
A. Aflatoxin (aflatoxin) is a risk factor for hepatocellular carcinoma
B. Nodular regenerative hyperplasia (nodular regenerative hyperplasia) has a central star-shaped areas of fibrosis
C. Hepatic adenoma (hepatic adenoma) may rupture, causing abdominal bleeding
D. Hepatoblastoma (hepatoblastoma) may occur between differentiation interstitial (mesenchymal differentiation), osteoid e.g., striated muscle, cartilage, and other ingredients


Question: Suffering from Turner's syndrome (Turner syndrome) 5-year-old girl, that one of the following characteristics rarely appear?

Answer: Obviously inadequate growth hormone secretion

Choices:
A. short and small
B. Coarctation of the aorta
C. Kidney malformations (renal malformation)
D. Obviously inadequate growth hormone secretion


Question: Most of the tooth and its surrounding structures are mesoderm (mesodermal) or neural crest (neural crest) of derivatives, but which of the following exceptions?

Answer: Enamel (enamel)

Choices:
A. The tooth (Dentin)
B. Chalky mass teeth (cementum)
C. Enamel (enamel)
D. Medullary cavity (pulp)


Question: Immune globulin (immunoglobulin, Ig) and T cell receptor variable region (T-cell receptor, TCR) molecules (variable domain), the gene required for V (D) J recombination fragments (recombination), but that the following one is relatively small phenomenon occurs when the TCR gene recombination?

Answer: Palindrome may have added (palindromic-addition) phenomenon

Choices:
A. J fragment recombination (recombination), but it is one of the following phenomena occur when relatively small TCR gene recombination?
B. A plurality of V-gene segments inherited genes
C. Start RAG (recombination-activating gene) activity
D. Palindrome may have added (palindromic-addition) phenomenon


Question: 78-year-old Lin the last 10 years due to acute exacerbation of chronic obstructive pulmonary disease hospitalized several times. Last 3 days due to respiratory distress gradually be sent to the families of emergency medical treatment. Physical examination and slight drowsiness, lung auscultation with diffuse wheezing, sputum volume small, arterial blood gas analysis pH = 7.33, PCO2 = 72 mmHg, PO2 = 47 mmHg, families advocate aggressive treatment, Which of the following is the top priority of solving method?

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

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


Question: Hu, 80 years old, living with his wife, three men and a woman. Lower back pain occurred five months ago, Jiangan lower limb weakness, difficulty walking, emergency found the fourth thoracic pathologic fracture, spinal cord compression resulting in admission examination to stomach cancer and liver, lungs and spine metastasis after surgery and received chemotherapy radiation therapy. Due to the continued deterioration of symptoms, his family and go to the next note hospices requirements. Aspects of the disease, patients only knew nerve compression caused by lower limb discomfort, I do not know terminal cancer, his family after the patient accept the illness but worried that will not bear. Informed about the disease following narrative, what's wrong?

Answer: In accordance with the views of family members, worried that patients can not afford not to inform

Choices:
A. Only when the patient said they did not want to know if there is no illness or ready to inform temporarily
B. In accordance with the views of family members, worried that patients can not afford not to inform
C. So that families understand in the case to conceal the truth to each other, the patient will gradually be isolated and loss of autonomy
D. So that families understand anyway to conceal the disease, the patient will eventually know


Question: Account of the nasal angiofibroma (angiofibroma), and Which statement is correct?

Answer: It is believed from the nasal side wall-rich fibrovascular stroma grow out

Choices:
A. Occurs most often in middle-aged men
B. It is believed from the nasal side wall-rich fibrovascular stroma grow out
C. Is the cause of the nasal septum necrotic ulceration of the most common
D. Is a benign tumor, the patient will not cause recurrence or death


Question: 16.65-year-old male patient with respiratory failure due to severe pneumonia, ICU stay, after administration of broad-spectrum antibiotics three days of fever; but in the fifth day of abdominal pain, bloating and water will be (at least five times a day), the following statements most appropriate?

Answer: Available oral metronidazole therapy

Choices:
A. Clostridium difficile toxin in stool toxin test negative, can exclude the diagnosis of Clostridium difficile-associated diarrhea
B. Stool cultures yielded Clostridium difficile, the diagnosis can be confirmed Clostridium difficile associated diarrhea,
C. Symptoms such as diarrhea, can first use loperamide to ease symptoms
D. Available oral metronidazole therapy


Question: The following clinical signs related to congestive heart failure (congestive heart failure), and what is non?

Answer: Appear paradoxical pulse

Choices:
A. Auscultation appear gallop rhythm
B. Appear paradoxical pulse
C. Appear pulse alternans
D. Lungs moist rales


Question: 4-year-old boy, preterm birth hypoxia, 2-year-old began to learn to walk, pad toe when walking, giving the bracket shown in the figure, its main purpose is to improve which of the following?

Answer: Gastrocnemius muscle spasm

Choices:
A. Tibialis anterior muscle weakness
B. Tibialis anterior muscle spasm
C. Gastrocnemius muscle weakness
D. Gastrocnemius muscle spasm


Question: A 7-year-old boy, woke up to find right leg is very painful, walking limp morning. In the afternoon left foot also have similar symptoms occur, immediate hospitalization. Neurological examination revealed: feet Achilles tendon and knee reflexes were normal and normal tension leg and thigh muscles, the blood of abnormal CPK increased ten times the upper limit of normal. Sick children have symptoms of high fever and upper respiratory tract infection two days. Disorders that are most likely to occur:

Answer: acute myositis

Choices:
A. acute myositis
B. Guillain-Barre syndrome
C. acute myelitis
D. acute rheumatoid arthritis


Question: The following description related to insulin, what's wrong?

Answer: Brain cells to absorb glucose-dependent insulin needs

Choices:
A. Brain cells to absorb glucose-dependent insulin needs
B. Insulin-sensitive cells containing more than fourth-type glucose transporter (GLUT4)
C. Insulin can increase the absorption of glucose in fat cells
D. Insulin can increase the synthesis of skeletal muscle glycogen


Question: General lymphoma staging examination, that does not include one of the following?

Answer: Bone Scan

Choices:
A. Bone marrow aspiration and biopsy
B. Bone Scan
C. Chest X-ray photography
D. Abdominal and pelvic computed tomography


Question: Which of the following non-neonatal hypoglycemia of risk factors?

Answer: anemia

Choices:
A. Mother has diabetes
B. anemia
C. premature baby
D. septicemia


Question: Dengue fever is still prevalent infectious diseases in Taiwan, about the narrative of the dengue vector mosquito, Which statement is correct?

Answer: Aegypti mosquito habitat preferences in the vicinity of the human home

Choices:
A. Male mosquitoes during the day vampire, the blood-sucking female mosquitoes in the evening
B. Like female mosquitoes lay their eggs in stagnant water turbidity of the
C. In Taiwan, the vector mosquito species is limited to the dissemination of Aedes aegypti (Aedes aegypti)
D. Aegypti mosquito habitat preferences in the vicinity of the human home


Question: From the previous questions, such as the patient's surgery within the cyst fluid inspection, you will be a special emphasis on the value of that check?

Answer: amylase

Choices:
A. WBC
B. bilirubin
C. amylase
D. protein


Question: Common physiological changes of pregnancy for women, the following statements is wrong?

Answer: White blood cells in the blood is reduced

Choices:
A. Hematocrit (Hct, hematocrit) drops
B. PaCO2 drops
C. White blood cells in the blood is reduced
D. The average heart rate will gradually increase


Question: A 50-year-old male patient with high blood pressure, creatinine is 3.0 mg / dL, aortic photography figure, most likely diagnosis is:

Answer: Atherosclerotic renal artery stenosis and occlusion (Atherosclerotic steno-occlusion)

Choices:
A. Atherosclerotic renal artery stenosis and occlusion (Atherosclerotic steno-occlusion)
B. Renal artery fibromuscular dysplasia (Fibromuscular dysplasia)
C. Renal artery embolization (Renal artery embolism)
D. Peeling renal artery (Renal artery dissection)


Question: A long-term hemodialysis uremic patients, receiving erythropoietin (erythropoietin) injections three times a week 2000 U, played three months, hemoglobin (hemoglobin) seen to rise. When looking for reasons, most do not need to consider which of the following?

Answer: Calcium deficiency

Choices:
A. Chronic gastrointestinal bleeding
B. Adverse dialysis efficiency
C. Iron deficiency
D. Calcium deficiency


Question: 65-year-old woman, the only past medical history of diabetes, was first diagnosed with high blood pressure, because systolic blood pressure between 190 ~ 200 mmHg, go to the emergency clinic, no discomfort, the last patients do not know they have high blood pressure Which of the following deal with the poor?

Answer: Sublingual administration of short-acting nifedipine antihypertensive immediately

Choices:
A. Ask the patient to take a break, then the amount of a blood pressure
B. Asked past medical history and family history
C. Sublingual administration of short-acting nifedipine antihypertensive immediately
D. Watch for changes in neurological


Question: Which of the following substances, the lowest in the blood pH regulation of importance?

Answer: Hydrogen sulfate

Choices:
A. protein
B. Hydrogen sulfate
C. Bicarbonate
D. Heme


Question: What kind of following drugs, not by promoting the machine turn water from the room to reduce intraocular pressure?

Answer: beta- receptor blockers (β-blocker)

Choices:
A. Prostaglandin (prostaglandin)
B. Miotics (miotics)
C. alpha- receptor agonist (α-agonist)
D. beta- receptor blockers (β-blocker)


Question: Crohn's disease (Crohn's disease) the most common symptoms why?

Answer: Diarrhea and abdominal pain

Choices:
A. Diarrhea and abdominal pain
B. Rectal bleeding
C. Anal abscess
D. Enterocutaneous fistula


Question: 70. Mrs. Ho 40 years old and has a son, recently frequent chest pain, Pirates, trembling, and there will be difficulty in breathing, feeling suffocated. Symptoms peak within about ten minutes, and the time is uncertain occurrence, has also occurs during sleep in the hospital do a lot of checks, can not find organic causes. Finally slowly improved after the forest physician-patient medicine, Dr. Lin's prescription, it is most likely a drug?

Answer: sertraline

Choices:
A. isosorbide mononitrate
B. propylthiouracil
C. sertraline
D. digoxin


Question: 28 weeks a pregnant woman, due to loss of consciousness into the emergency room, no signs of life when the hospital. You immediately start doing CPR for her, when performing cardiopulmonary resuscitation, the patient's posture should be based on what are the most appropriate?

Answer: Elevate the right hip, lying

Choices:
A. Elevate left hip, Trendelenburg
B. Elevate the right hip, lying
C. Elevate the right hip, high-Trendelenburg
D. Elevate left hip, lying


Question: 59 A 45 year old male, a month ago because of right big toe joint swelling and pain, checks the blood test and found that the number of white blood cells is 28,500 / mm3. Physical examination found right big toe at the slight pain, but according to patients complain of swelling than a month ago has been reduced, no other special exception. Re blood test, the following values: Hb 15.0 g / dL, hematocrit 46.5%, leukocytes 35,450 / mm3, classification blast 0.25%, promyelocyte 4.25%, myelocyte 8.5%, metamyelocyte 5.75%, band 9.5%, segmented neutrophil 50.75 %, eosinophil 2.75%, basophil 4.5%, monocyte 1.5%, lymphocyte 12.25%, platelets 319,000 / mm3, leukocyte alkaline phosphatase  (LAP) activity 28, LDH 1,148 U / L, AST 50 U / L, ALT 23 U / L. He checked the following items to diagnose the cause of this man leukocytosis most helpful?

Answer: Bone marrow chromosome analysis

Choices:
A. Uric acid
B. Hepatitis B and C serology
C. X-ray of the right big toe
D. Bone marrow chromosome analysis


Question: Those following hormone decreases muscle protein synthesis?

Answer: Glucocorticoids

Choices:
A. Glucocorticoids
B. Insulin
C. Growth hormone
D. Thyroid hormone


Question: 39-year-old male patient complained of left hip pain, a few months ago, receiving a kidney transplant. The picture shows the treatment of the MRI. The most likely diagnosis is:

Answer: Avascular necrosis of left femoral head

Choices:
A. Avascular necrosis of left femoral head
B. Chondroblastoma of left femoral head
C. Bony metastasis of left femoral head
D. Amyloidosis of left femoral head


Question: The minimum number of opportunities following what happens thrombocytosis (thrombocytosis) is?

Answer: hepatitis C virus infection

Choices:
A. iron deficiency anemia
B. polycythemia vera
C. splenectomy
D. hepatitis C virus infection


Question: Narrative about the physiology of children, what's right?

Answer: Cardiac output is mainly dependent on the heart rate

Choices:
A. Neonatal weight ratio of the low surface area, it is easy to lose body heat
B. Neonatal heat mainly by trembling (shivering)
C. Cardiac output is mainly dependent on the heart rate
D. Fluid ratio is lower than the share of adults


Question: Changes in the surrounding nerve transection due to trauma occurred, the following statements is true?

Answer: The proximal end of the severed nerve degenerate, generally affects only the distance between the nodules 2-3

Choices:
A. Axon (axon) is destroyed, myelin generally remained intact
B. Transected proximal (close to the nerve cell bodies) of nerve fibers Wallerian degeneration (Wallerian degeneration)
C. Traumatic neuroma (traumatic neuroma) is formed due to nerve regeneration, axonal its composition, but no other supporting cells such as Schwann cells (Schwann cell), fibroblast cells (fibroblasts) like
D. The proximal end of the severed nerve degenerate, generally affects only the distance between the nodules 2-3


Question: Normal order in general, tertiary treatment of wastewater why?

Answer: Physical, biological, chemical

Choices:
A. Physics, Chemistry, Biology
B. Biological, chemical, physical
C. Chemistry, Biology, Physics
D. Physical, biological, chemical


Question: A newborn baby, born weighing 2950 grams, the amount of normal feeding in the nursery. A month later, the mother was found to reduce the amount of feeding, increased frequency of vomiting, upper abdominal mass palpable olive is possible diagnoses Why?

Answer: Children hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)

Choices:
A. Meckel's diverticulum (Meckel diverticulum)
B. Biliary atresia (biliary atresia)
C. Cardiac spasm (cardiospasm)
D. Children hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)


Question: Cerebral Palsy is doing rehabilitation therapy of the 3-year-old child, whose MRI FLAIR images of the figure below, showing bilateral symmetry of the lateral ventricle white matter lesions of high signal, whereby images can be speculated that the cause of his cerebral palsy is:

Answer: sequela of perinatal asphyxia of a premature infant

Choices:
A. sequela of previous Japanese encephalitis
B. sequela of previous herpes encephalitis
C. sequela of infantile head injury
D. sequela of perinatal asphyxia of a premature infant


Question: Which of the following is NOT a risk factor for endometrial cancer?

Answer: Multifetal

Choices:
A. Multifetal
B. obesity
C. Taking Tamoxifen
D. Taking estrogen


Question: Adrenaline (epinephrine) is synthesized from amino acids that kind?

Answer: Tyrosine (tyrosine)

Choices:
A. Tryptophan (tryptophan)
B. Tyrosine (tyrosine)
C. Half 胱胺 acid (cysteine)
D. Cystine (cystine)


Question: The following related unilateral vocal cord paralysis (unilateral vocal palsy) of the narrative, what's wrong?

Answer: The main nerve (superior laryngeal nerve) on the throat affected

Choices:
A. Adult trauma surgery unilateral vocal cord paralysis is the most common cause
B. The main nerve (superior laryngeal nerve) on the throat affected
C. The probability of occurrence of the left side than the right side common
D. Treatment can be the first observation of 6-12 months and then perform an operation


Question: Subjects were irradiated with a right eye, right eye pupil contraction, but not the left-eye pupil contraction. Whereby light reflected pupil (pupillary light reflex) can be ascertained:

Answer: His right eye optic nerve (optic nerve) light sensitivity and sound

Choices:
A. Its third cranial nerve conduction function of the left is not perfect
B. His right eye optic nerve (optic nerve) light sensitivity and sound
C. Wherein the brain (the midbrain) Zhizuo the Edinger-Westphal nucleus dysfunctional
D. Its left optic photosensitive sufficiency


Question: The following genus, whichever is the most alkaline environment of tolerance?

Answer: Vibrio (Vibrio)

Choices:
A. Helicobacter genus (of Helicobacter)
B. Vibrio (Vibrio)
C. Pseudomonas (of Pseudomonas)
D. Neisseria, (Neisseria)


Question: After vitrectomy the eye (vitrectomy) usually enter the eye through where?

Answer: Flat portion (pars plana)

Choices:
A. Vitreous base (vitreous base)
B. Serrata (ora serrata)
C. Crease portion (pars plicata)
D. Flat portion (pars plana)


Question: A 30-year-old hospital staff, because of confusion, abnormal behavior hospital, checked blood sugar is 42 mg / dL, no history of diabetes, but his brother is suffering from type 1 diabetes, but the number of patients in the early morning after soon a similar situation occurs. Blood test showed high insulin concentration in the blood of patients, and C- peptide (c-peptide) low concentrations, most likely diagnosis is:

Answer: Artificial hypoglycemia (factitious hypoglycemia)

Choices:
A. Reactive hypoglycemia (reactive hypoglycemia)
B. Early Diabetes
C. Artificial hypoglycemia (factitious hypoglycemia)
D. Insulinoma (insulinoma)


Question: Which of the following methods to reduce spasms (spasticity), for the effect of the treatment of brain injuries who best?

Answer: Drug treatment

Choices:
A. Drug treatment
B. Cold therapy
C. Reflection suppressing method
D. Stretch exercise therapy


Question: Mr. Wang, 60 years old, due to acute myocardial infarction admitted to the cardiac intensive care unit (CCU), upon inspection no arrhythmia, congestive heart failure or other complications. The first exercise tolerance test (exercise tolerance test) after myocardial infarction is usually carried out when?

Answer: Training period (training phase)

Choices:
A. Acute phase (acute phase)
B. Recovery (convalescent phase)
C. Training period (training phase)
D. The maintenance period (maintenance phase)


Question: Following that kind of a general anesthetic (general anesthetics) most likely to cause cardiac output and blood pressure?

Answer: halothane

Choices:
A. ketamine
B. halothane
C. nitrous oxide
D. isoflurane 74 account of the caffeine, which of the following error?


Question: 50 year old male patient complained of weakness has two weeks left limb, receiving magnetic resonance angiography, Figure A is a T1-weighted images after injection of the developer, panel B is a diffusion weighted image (diffusion-weighted image), which of the following is most likely the diagnosis?

Answer: Bacterial abscess (pyogenic abscess)

Choices:
A. Polymorphism neural glioblastoma (glioblastoma)
B. Bacterial abscess (pyogenic abscess)
C. Transfer (metastasis)
D. Multiple sclerosis (multiple sclerosis)


Question: Donabedian quality assessment model of medical quality evaluation method most commonly used, which is not an assessment of its main facets?

Answer: Performance (Performance)

Choices:
A. Process (Process)
B. Structure (Structure)
C. The results (Outcome)
D. Performance (Performance)


Question: In the blood pressure monitor blood pressure was 130/90 mm of mercury (mmHg). When measuring, following that situation can hear intermittent sound and percussion (tapping and intermittent sound)?

Answer: 130 mmHg> buckling pressure (cuff pressure)> 90 mmHg

Choices:
A. Buckling pressure (cuff pressure)> 130 mmHg
B. 130 mmHg> buckling pressure (cuff pressure)> 90 mmHg
C. 90 mmHg> buckling pressure (cuff pressure)
D. Measurements can be heard throughout, but different frequencies


Question: 45-year-old male, five years ago to accept the right of the fourth and fifth lumbar disc surgery, the past month, the right side of sciatica recurrence. The initial diagnosis of recurrent disc herniation or epidural nerve sticky. He checked the following items, most of this difference both?

Answer: Plus developer MRI examination (magnetic resonance imaging with gadolinium)

Choices:
A. Developer plus CT examination (computed tomography with contrast enhancement)
B. CT angiography plus disc (computed tomographic discography)
C. Plus spinal CT angiography (computed tomographic myelography)
D. Plus developer MRI examination (magnetic resonance imaging with gadolinium)


Question: Which of the following plans together with the brain's motor cortex and design operation will be a program (planning and programming movements)?

Answer: Cerebellar hemisphere side (lateral part)

Choices:
A. Internal cerebellar hemisphere (medial part)
B. Cerebellar hemisphere side (lateral part)
C. Cerebellar vermis (vermis)
D. Cerebellar lobule (flocculonodular lobe)


Question: When reconstructive surgery, the way of small blood vessels anastomosis (anastomosis) most commonly used are:

Answer: Terminus end anastomosis (end-to-end anastomosis)

Choices:
A. Terminus end anastomosis (end-to-end anastomosis)
B. End side of the anastomosis (end-to-side anastomosis)
C. Fit between the end of vein graft segments (vein graft)
D. End anastomosis between the graft and the artery segment (arterial graft)


Question: 9. A 55 year old man presented to the emergency department for treatment of chest tightness and low blood pressure. About half an hour ago, patients with chest discomfort due to sudden awakened in his sleep. In addition, several patients have dizziness, weakness and vomiting. Vital signs displaying the blood pressure 78/40 mmHg, heart rate 50 times per minute, respiratory rate 20 breaths per minute. Lung auscultation crackles (rales). ECG as shown in FIG. Chest X-rays no mediastinal FIG expand, no case of pulmonary edema. Echocardiography show left ventricular systolic function is normal, but right ventricular enlargement. Immediately dispose of the following is the best?

Answer: Now rapid infusion therapy given normal saline 500 mL

Choices:
A. Immediately placed aortic balloon pump (intra-aortic balloon pump)
B. Give immediate cardiac dobutamine
C. Give immediate intravenous nitroglycerin
D. Now rapid infusion therapy given normal saline 500 mL


Question: In a free society will always be some people engage in risky sexual behavior or unhealthy lifestyle, how to face and take a practical approach to reduce the harm they cause, that harm reduction perspective, the prevention and control of substance abuse, the following was a domestic and foreign government agencies are not planning to implement a harm reduction measure?

Answer: The implementation of anti-drug education advocacy, urine screening and mandatory Drug Rehab

Choices:
A. The implementation of anti-drug education advocacy, urine screening and mandatory Drug Rehab
B. Providing methadone (a synthetic long-acting oral opioids) replacement therapy
C. Decriminalization of illicit drugs (especially marijuana), by a medical professional supervision of drug injection
D. Needle exchange program in order to improve drug users in contact with the pipe and clean needles and injection equipment


Question: Adult brain weight of about 2 to 3% of body weight, need never stop supply of nutrients (about 150 grams of glucose per day and 72 liters of oxygen). Brain oxygen consumption accounted for what percentage of body (%)?

Answer: 20

Choices:
A. 5
B. 10
C. 15
D. 20


Question: ⼀ bit 40 year old man suffering from symptoms of limb fat zoomed, radiological diagnosis found to have pituitary tumors, in addition to surgical removal of the tumor outside the watch surgery. Which of the following can be selectively used to treat such diseases?

Answer: octreotide

Choices:
A. desmopressin
B. octreotide
C. leuprolide
D. somatropin


Question: 40-year-old male patient was upper abdominal pain one day in hospital by the emergency. After the abdominal computed tomography hospital figures. He suffers from diabetes, hyperlipidemia. There are daily drinking habits. Which of the following best diagnosis of the patient for this purpose?

Answer: Acute pancreatitis

Choices:
A. Aortic dissection
B. Acute intestinal ischemia (ischemia)
C. Gastric ulcer perforation
D. Acute pancreatitis


Question: Bearing on the question, which of the following prognosis of the patients after surgery compared with nothing to do?

Answer: Jaundice index before surgery

Choices:
A. Age at surgery
B. Jaundice index before surgery
C. Postoperative jaundice index
D. Postoperative cholangitis (cholangitis)


Question: A head trauma patient's physical examination as follows: by the painful stimulus, the eyes will be opened. And the patient do not speak out loud. By painful stimuli, left arm will not move, stretch right arm will not normal (abnormal extension), it GCS (Glasgow coma scale, GCS) is how much?

Answer: 5

Choices:
A. 3
B. 4
C. 5
D. 6


Question: Movement sprained ankle, the first time how should I do?

Answer: Immediately ice to relieve pain and swelling

Choices:
A. Massage administration
B. Continue to move in order to maintain elastic ligament
C. Now heat to improve blood circulation
D. Immediately ice to relieve pain and swelling


Question: Which of the following through the chest tube through the diaphragm into the chest?

Answer: Aortic hiatus

Choices:
A. Esophageal hiatus
B. Aortic hiatus
C. Inferior vena cava hiatus
D. The outer arcuate ligament


Question: 12-year-old boy, birth weight, length, and the first year of growth and development are normal, physical examination found that the average height Diyuzhengchang, small bone age than the actual age, blood tests found that growth factor (IGF-1) is lower than the normal value of age However, consistent with the bone age, which of the following correct?

Answer: Physical retardation (constitutional growth delay)

Choices:
A. IGF-1 deficiency (IGF-1 deficiency)
B. Growth hormone deficiency (growth hormone deficiency)
C. Thyroid dysfunction (hypothyroidism)
D. Physical retardation (constitutional growth delay)


Question: About body tissue flap for reconstruction, which of the following error as breast cancer patients surgery?

Answer: Wide relationship back muscle flap (latissimus dorsi) as close to the anatomical location of the most commonly used

Choices:
A. Wide relationship back muscle flap (latissimus dorsi) as close to the anatomical location of the most commonly used
B. The latissimus dorsi flap may merge Breast reconstruction
C. Today's technology is mature surgery, most patients can remove the tumor in surgery, reconstruction surgery immediately
D. Autologous tissue flap because blood relations, may organized necrosis (necrosis) of problem


Question: From the previous question, the most appropriate treatment for this disease Why?

Answer: glucocorticoids

Choices:
A. psychotherapy
B. glucocorticoids
C. local application of corticosteroid ointment
D. anxiolytics


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

Answer: Deterioration of peripheral vascular perfusion

Choices:
A. Hypotension
B. Slow heartbeat
C. Deterioration of peripheral vascular perfusion
D. Α agonist treatment may be used


Question: The following description of the treatment of the drug Carbidopa Parkinson's disease, whichever is correct?

Answer: Reduces the metabolism of levodopa in peripheral systems

Choices:
A. Monoamine oxidase activity will inhibit  (monoamine oxidase) B, thereby reducing the metabolism of dopamine
B. Reduces the metabolism of levodopa in peripheral systems
C. Patients are often used alone to treat Parkinson's disease
D. Will BBB permeability (blood-brain barrier)


Question: Which of the following ⾛ on the inside of the lower extremities?

Answer: Zoomed saphenous vein (great saphenous vein)

Choices:
A. Zoomed saphenous vein (great saphenous vein)
B. ⼩ saphenous vein (small saphenous vein)
C. Popliteal vein (popliteal vein)
D. Femoral vein (femoral vein)


Question: There is a 40-year-old male patient complaining of left lower limb swelling for about 1 week, health checkups found the left foot and leg are than the right side is more swollen, and there is no redness or swelling, but the calf muscle tenderness, as a test, the left foot as bending backwards (dorsiflexion) the action will lead to the calf muscle pain, said he was likely to be the left lower limb DVT (deep vein thrombosis), the name of this test is:

Answer: Homans' test

Choices:
A. Kussmaul test
B. Homans' test
C. Allen's test
D. Babinski's test


Question: Which of the following no skin of the penis (penis) trunk now?

Answer: Fat cell (adipocyte)

Choices:
A. Gland (sweat gland)
B. Sebaceous glands (sebaceous gland)
C. Smooth muscle (smooth muscle)
D. Fat cell (adipocyte)


Question: What mechanisms of Clopidogrel antagonize platelet aggregation through?

Answer: The ADP receptor antagonism

Choices:
A. Enhance platelet c-AMP within the cell
B. The ADP receptor antagonism
C. Fibrinogen receptor (i.e., glycoprotein IIb / IIIa) antagonist of
D. Thromboxane receptor antagonism of


Question: The following description of the relevant heparin and warfarin, what's wrong?

Answer: heparin antagonist is an excess of Factor VIIa

Choices:
A. Using aPTT (activated partial thromboplastin time) to detect anticoagulant activity of heparin
B. To prothrombin time to detect anticoagulant activity of warfarin
C. heparin antagonist is an excess of Factor VIIa
D. The antagonist is an excess of warfarin frozen plasma and Vit. K1


Question: 52. One 52 year old man because of repeated asking the same question was sent to the emergency, the patient has a past history of migraine headaches, there is no recent history of trauma. This medical examination found that patients still have a sense of alertness and orientation of the people, attention, remote memory (remote memory) and language functions are also normal, routine laboratory examination of the real results are normal. After seven hours the patient, symptoms natural ease. The most likely diagnosis is:

Answer: Transient global amnesia brain (transient global amnesia)

Choices:
A. Transient global amnesia brain (transient global amnesia)
B. Substrate migraine (basilar migraine)
C. Dementia (dementia)
D. After the seizure confusion (postictal confusion)


Question: The following account of primary brain tumors (primary brain tumor), and what's wrong?

Answer: ependymoma occurs in the elderly

Choices:
A. glioma, the highest degree of malignancy of glioblastoma multiforme (GBM)
B. ependymoma occurs in the elderly
C. medulloblastoma is the most common type of primary brain tumor children
D. medulloblastoma CSF may be transferred to another position with the central nervous system


Question: The Watson-Crick model of DNA, there is an amount of force nucleotide chain binding off two streams, which of the following non?

Answer: Phosphate ions and the interaction between the bases (ionic interaction)

Choices:
A. Hydrogen bonds (hydrogen bonds between bases) is formed between each base
B. The accumulation of power between bases (Stacking of the bases)
C. Between the base generated by van der Waals interactions (Van der Waals interaction)
D. Phosphate ions and the interaction between the bases (ionic interaction)


Question: Which of the following is the most common cause of fraternal twins (dizygotic twins) is?

Answer: Artificial reproductive technology (assisted reproductive technology)

Choices:
A. Older mothers (advanced maternal age)
B. Artificial reproductive technology (assisted reproductive technology)
C. Productive times for women (high parity)
D. Ethnic (racial predisposition)


Question: There are a variety of tumor cells to evade the immune system detect and destroy, but to continue to grow, but that does not include one of the following?

Answer: Increased anti-IgG antibody (anti-IgG antibody) of the rheumatoid factor (rheumatoid factor) to protect themselves

Choices:
A. Does not show sticky molecule (adhesion molecules) and costimulatory molecules (co-stimulatory molecules)
B. Increased anti-IgG antibody (anti-IgG antibody) of the rheumatoid factor (rheumatoid factor) to protect themselves
C. T cells secrete an inhibitory factor effect
D. Wrap themselves secrete substances formed immunodominant properties (tumor-induced privileged site)


Question: 46 Wang methane gas explosion in the unfortunate event of a bath house, an ambulance to an emergency room by emergency physicians and physical examination, burn range on both sides of the upper limbs, chest and abdomen deep second-degree burns, body weight was measured in the emergency department 60 kg; Will basis "rule of nines" and "Parkland formula" that burns why? How should be given 24 hours prior to infusion?

Answer: 36%; 8640 mL Lactated Ringer's solution (lactated Ringer's solution)

Choices:
A. 36%; 8640 mL Lactated Ringer's solution (lactated Ringer's solution)
B. 45%; 10800 mL lactate Ringer's solution (lactated Ringer's solution)
C. 36%; 8640 mL 5% dextrose solution (D5W)
D. 45%; 10800 mL 5% dextrose solution (D5W)


Question: When a patient serological tests found hepatitis A virus (HAV) IgM antibodies were positive, which of the following is correct?

Answer: May get infected in the last few weeks

Choices:
A. Recent blood transfusion may get infected
B. May get chronic hepatitis (chronic hepatitis)
C. May get liver cancer
D. May get infected in the last few weeks


Question: After the 59-year-old female patient with accidental falls, complained of left shoulder pain, X-rays as shown, the most likely diagnosis Why?

Answer: calcified tendinosis

Choices:
A. calcified tendinosis
B. avulsion fracture of greater tuberosity
C. bone metastasis
D. primary osteoblastic bone tumor


Question: Which of the following drugs compared with no therapeutic value in the treatment of children with acute promyelocytic leukemia (acute promyelocytic leukemia)?

Answer: Alpha interferon (interferon-α)

Choices:
A. All-trans-retinal acid (all-trans retinoic acid)
B. idarubicin
C. Alpha interferon (interferon-α)
D. Arsenic trioxide (arsenic trioxide)


Question: Pathology of non-epithelial ovarian cancer is described as follows: The large round, ovoid, or polygonal cell have abundant, clear, vary-palestaining cytoplasm, large and irregular nuclei, and prominent nucleoli, for that tumor diagnosis?

Answer: Asexual embryonic tumors (dysgerminoma)

Choices:
A. Ovarian Sertoli-Leydig Cell Tumor (Sertoli-Leydig cell tumor)
B. Asexual embryonic tumors (dysgerminoma)
C. Adult ovarian granulosa cell tumors (adult-type granulosa cell tumor)
D. Ovarian endodermal sinus tumor (endodermal sinus tumor)


Question: Which of the following is not a liver encephalopathy (hepatic encephalopathy) predisposing factors?

Answer: Intravenous branched chain amino acids (branch-chained amino acid) solution

Choices:
A. infection
B. High-protein diet
C. Hypokalemia
D. Intravenous branched chain amino acids (branch-chained amino acid) solution


Question: The following statements about the treatment of thyroid storm (thyroid storm) in, what is appropriate?

Answer: Join propranolol treatment

Choices:
A. Prior use of high doses of iodine was added antithyroid drugs
B. Antithyroid drugs of choice carbimazole
C. Avoid the use of glucocorticoids
D. Join propranolol treatment


Question: Which of the following drugs methanol (methanol) the optimal solution when agents of poisoning?

Answer: fomepizole

Choices:
A. hydroxocobalamin
B. fomepizole
C. esmolol
D. pralidoxime


Question: Related eye pterygium (pterygium), the following statements is true?

Answer: Pathogenic machine transfer and long-term exposure to UV the environment

Choices:
A. Infectious
B. It is possible to change the height of malignant tumors
C. Recurrence after surgery
D. Pathogenic machine transfer and long-term exposure to UV the environment


Question: Resulting in Hong Kong in 1997 and bird flu in Southeast Asia in 2004, and there are cases of human death of bird flu virus (Avian flu virus), its antigenicity is:

Answer: H5N1

Choices:
A. H7N7
B. H5N2
C. H5N1
D. H9N2


Question: A 59-year-old men who have brain watershed infarction (watershed infarct), the best of this disease occur in:

Answer: Anterior cerebral artery and the middle cerebral artery junction

Choices:
A. Anterior cerebral artery and the middle cerebral artery junction
B. Cerebral artery junction of the middle cerebral artery
C. When the onset of hypertension
D. When seizures


Question: Male infertility The most common chromosomal genetic diseases Why?

Answer: 47XXY

Choices:
A. 45XO
B. 46XX/46XY
C. 47XXY
D. 47XYY


Question: The following description of the operation of related emphysema, what's wrong?

Answer: Hemothorax (hemothorax) is the most common complication after surgery

Choices:
A. Because of the risk of surgery is not low, it has appeared only on the clinical symptoms of dyspnea in patients before recommending surgery
B. The main surgical resection is large bullae, try to preserve good lung tissue
C. Are closely related to the risk of age and the severity of the patient's disease surgery
D. Hemothorax (hemothorax) is the most common complication after surgery


Question: Ovulation oral drug clomiphene citrate, for certain which of the following is not valid?

Answer: Hypothalamic-pituitary failure

Choices:
A. Hypothalamic-pituitary dysfunction
B. Hypothalamic-pituitary failure
C. Polycystic ovary syndrome
D. Endometriosis


Question: Account of eyelid plasty (blepharoplasty), the error which of the following?

Answer: Caused by the side of the drum may be considered partially cut projection lacrimal

Choices:
A. Because the side lacrimal gland (lacrimal gland) causing the bulge (lateral fullness) accounts for 10-15%
B. Caused by the side of the drum may be considered partially cut projection lacrimal
C. capsulopalpebral fascia is in series with a high position and the septum
D. When removal of fat inside the eye (medial border fat), to be noted that the orbital nerve (superior orbital nerve)


Question: The following pregnancy affect blood pressure and blood action mechanics of narrative, what's wrong?

Answer: During pregnancy, increased peripheral vascular resistance

Choices:
A. During pregnancy, cardiac output increased by about 40%
B. During pregnancy, increased peripheral vascular resistance
C. During pregnancy, rapid heartbeat
D. During pregnancy, the blood pressure measurement (two consecutive, spaced more than 6 hours) than 140/90 mmHg not normal


Question: Which of the following cardiac cause of syncope most difficult?

Answer: sinus tachycardia

Choices:
A. sinus tachycardia
B. sinus bradycardia
C. atrioventricular block
D. ventricular tachycardia


Question: Using the principles of anti-epileptic drugs, which of the following error?

Answer: In principle, two drugs better than single drug, to avoid development of resistance

Choices:
A. Drug selection may be classified in accordance with epilepsy
B. Gradually increase rather than be given the highest dose immediately
C. In principle, two drugs better than single drug, to avoid development of resistance
D. Individual differences in drug metabolism in vivo rate of


Question: The account of chlorpromazine, which of the following error?

Answer: Is highly addictive

Choices:
A. Class can be used to treat mental illness
B. As a dopamine receptor antagonist
C. Is highly addictive
D. Attitude hypotension may occur


Question: Which of the following β1-receptor selectivity high, commonly used in the treatment of patients with acute heart failure?

Answer: Dobutamine

Choices:
A. Dobutamine
B. Terbutaline
C. Epinephrine
D. Dopamine


Question: The following statements about oximetry monitor (pulse oximeter), and what's wrong?

Answer: Can tell the difference carboxyhemoglobin and normal hemoglobin, thus monitoring the patient's carbon monoxide poisoning, very valuable

Choices:
A. The main use of hemoglobin of 660 nm and 940 nm the absorption capacity of the spectrum, to distinguish blood oxygen saturation
B. Can tell the difference carboxyhemoglobin and normal hemoglobin, thus monitoring the patient's carbon monoxide poisoning, very valuable
C. Basic anesthesia patient monitoring equipment
D. In normal hemoglobin and normal atmospheric pressure, when the 90% saturation, arterial oxygen partial pressure of approximately 60 mmHg (PaO2)


Question:
66, a 34-year-old woman, complained of the hands of the proximal interphalangeal joint (proximal interphalangeal joints), metacarpal - phalangeal joint (metacarpophalangeal joints) and wrist joint swelling and pain have 3 years. Laboratory examination revealed ESR 52 mm / 1h, 96 mm / 2h;
 46 mg / dL. X-ray examination of hand as shown in FIG. Which of the following is the most likely diagnosis in this patient?

Answer: Rheumatoid arthritis

Choices:
A. Septic arthritis
B. Rheumatoid arthritis
C. Osteoarthritis
D. Gouty arthritis


Question: A 28-year-old female patient complained of fatigue and dark urine. Physical examination showed jaundice, abdominal tenderness not obvious. Blood tests show:

Answer: Primary biliary cirrhosis

Choices:
A. Acute hepatitis A
B. Acute hepatitis B
C. Primary biliary cirrhosis
D. Cause of hepatitis drugs


Question: Recently midline cerebellar nuclei are:

Answer: 頂 核 (fastigial nucleus)

Choices:
A. Spherical nucleus (globose nucleus)
B. 頂 核 (fastigial nucleus)
C. Bolt-shaped nucleus (emboliform nucleus)
D. Dentate nuclei (dentate nucleus)


Question: When you want to check the role of trochlear nerve (trochlear nerve), usually to the eye of the subject in that direction to see?

Answer: Within the next

Choices:
A. Within the
B. Within the next
C. Outside at
D. On the outside


Question: 65. A 60-year-old woman due to rapid heartbeat, shortness of breath and chest pain and was sent to the emergency department, the last two days have shortness of breath, diarrhea, and symptoms of anxiety out. Her doctor found two weeks before taking methimazole has no blood in thyroid stimulating hormone (TSH) concentration of less than 0.04 mIU / mL (normal value is 4 mIU / mL ~ 4.0 mIU / mL), thyroid storm confirmed. Which of the following is the best drug treatment of thyroid storm?

Answer: propranolol

Choices:
A. epinephrine
B. propranolol
C. radioactive iodine
D. amiodarone


Question: Anti-hypertension or angina effect Nitroprusside and nitroglycerin were arrived at through Which of the following enzymes resulting in smooth muscle relaxation?

Answer: Cytosolic guanylate cyclase

Choices:
A. Membrane-bound guanylate cyclase
B. Cytosolic guanylate cyclase
C. Phosphodiesterase
D. Protein kinase A


Question: One a large month-old boy was brought in clinic, my mother complained that three days after breastfeeding the baby immediately vomit, vomit without bile, in the past except for the occasional slight thin paste it outside, had not been the case. Which of the following is the most appropriate diagnosis?

Answer: Hypertrophic pyloric stenosis (hypertrophic pyloric stenosis)

Choices:
A. Lactose intolerance (lactose intolerance)
B. Congenital huge colon disease (Hirschsprung disease)
C. Hypertrophic pyloric stenosis (hypertrophic pyloric stenosis)
D. Duodenal atresia (duodenal atresia)


Question: 19 a 10-year-old boy two days ago which happened vomiting, weakness of systemic symptoms, physicians administered to treat the symptoms, but the patient's condition deteriorated, because unconscious and taken to the emergency room. Physical examination found that patients in a coma (Coma) state, body temperature 38.5 ℃, blood pressure 90/40 mmHg, heart rate 160 beats / min, in addition to other oral mucosal dryness not found abnormal, nor signs of neurological local lesions (focal sign). Laboratory tests show glucose level of 50 mg / dL, serum sodium ion concentration of 125 mmol / L, potassium ion concentration of 3.6 mmol / L, chloride ion concentration of mmol / L, the sodium ion concentration in urine 50 mmol / L. This sick children most likely diagnosis Why?

Answer: Adrenal insufficiency (adrenal insufficiency)

Choices:
A. Acute gastroenteritis (acute gastroenteritis)
B. Heart failure (heart failure)
C. Encephalitis (encephalitis)
D. Adrenal insufficiency (adrenal insufficiency)


Question: The following narrative about progressive multifocal leukoencephalopathy (progressive multifocal leukoencephalopathy), and what's right?

Answer: Often occurs in leukemia, malignant lymphoid disease and acquired immune deficiency syndrome patients

Choices:
A. Often occurs in leukemia, malignant lymphoid disease and acquired immune deficiency syndrome patients
B. Lesions more common in the brain stem and spinal cord
C. Star cells (astrocytes) within the lesions were highly contracted in
D. Lesions have significant inflammatory response


Question: As shown in retinal photographs, the patients most likely diagnosis of why?

Answer: Retinal detachment hole type (rhegmatogenous retinal detachment)

Choices:
A. Retinal detachment hole type (rhegmatogenous retinal detachment)
B. Traction retinal detachment (tractional retinal detachment)
C. Hemorrhagic retinal detachment (hemorrhagic retinal detachment)
D. Retinal detachment leakage type (exudative retinal detachment)


Question: Trypsin (Trypsin) which cut in the carboxy-terminal amino acids of the protein?

Answer: Lysine (lysine)

Choices:
A. Phenylalanine (Phenylalanine)
B. Lysine (lysine)
C. Methionine (methionine)
D. Tenfuyu 胺酸 (aspartate)


Question: About the sex chromosomes (sex chromosome) disorders, or dispose of the following statements whichever is most incorrect?

Answer: Karyotype 45, X / 46, XY more than 50% of patients presenting gender difficile (ambiguous genitalia)

Choices:
A. Sex chromosome mosaicism in case more than the number of chromosomal abnormalities disease
B. Such as a multi-sex chromosomes: 47, XXY higher figure, and as a less: 45, X dwarfish
C. Karyotype 45, X / 46, XY more than 50% of patients presenting gender difficile (ambiguous genitalia)
D. Turner's disease (Turner syndrome) If the Y chromosome contains a substance should pay attention to the occurrence of gonadoblastoma


Question: In general, healthy and normal sexual life of young couples trying to conceive, 12 months after the chances of success are about:

Answer: 90%

Choices:
A. 90%
B. 70%
C. 50%
D. 30%


Question: A 25-year-old female, due to sixth grade has been bitten by a dog, so very afraid of dogs, so she did not dare go out alone, there are more afraid of the dog anywhere, the emergence of interpersonal withdrawal, can not go out to seek employment. She learned that these are too afraid overdone, but is struggling to know how to change. The following information about the treatment of this case, what's wrong?

Answer: Drug treatment best

Choices:
A. Drug treatment best
B. Psychotherapy can help understand the causes of fear of cases, while cases encouraged to seek further treatment
C. Hypnosis, supportive therapy and family therapy may also be helpful
D. Such problems with behavioral therapy, the most commonly used method of reducing systemic sensitive method (systematic desensitization) of


Question: The following characteristics of what items found in acute megakaryocytic leukemia (acute megakaryoblastic leukemia)?

Answer: CD41 expression

Choices:
A. peroxidase positive reaction
B. Cytoplasm appears Auer rod
C. Performance Glycophorin A
D. CD41 expression


Question: The following account of the thyroid eye disease, what's wrong?

Answer: Superior rectus (superior rectus muscle) earlier onset of inflammation and fibrosis of the extraocular muscles other than

Choices:
A. Occurs in middle-aged women
B. Superior rectus (superior rectus muscle) earlier onset of inflammation and fibrosis of the extraocular muscles other than
C. Smoke thyroid eye disease risk factor, so the treatment must also ask the patient to quit smoking
D. Is the cause of monocular goggle-eyed adult disease the most common


Question: 17-year-old male patient complained of neck swelling before accepting computer tomography, two figures respectively different section images after injection of the developer, which of the following is the most likely diagnosis?

Answer: Thyroglossal cyst (thyroglossal duct cyst)

Choices:
A. Cystic teratoma (cystic teratoma)
B. Branchial cleft cyst (branchial cleft cyst)
C. Thyroglossal cyst (thyroglossal duct cyst)
D. Lymphangioma (lymphangioma)


Question: Multiple nodular arteritis (Polyarteritis nodosa) of etiology, and often following infection, but what are exceptions?

Answer: Hepatitis A

Choices:
A. Hepatitis B
B. Hepatitis G
C. Hepatitis A
D. Streptococcus


Question: Asplenia (asplenia syndrome also known as right isomerism) is a manifestation of heterotaxy syndrome. With the following statements is not associated with asplenia most?

Answer: Easier to get bacterial infections

Choices:
A. Often associated with congenital heart disease
B. Blood smears can see Howell-Jolly body within red blood cells
C. Easier to get bacterial infections
D. Easy biliary abnormalities


Question: 20-year-old otherwise healthy man, began yesterday with fever, chills, malaise, headache, nausea, symptoms persist because of this, and vomiting and seek medical advice. Physical examination found that the skin bleeding and bleeding spots (petechiae and purpuric rash), stiff neck. Cerebrospinal fluid Gram stain found in Gram-negative meningitis (gram-negative diplococci), pathogen:

Answer: Neisseria meningitidis

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


Question: About the senile comprehensive assessment of the following statements is wrong?

Answer: Screening is mainly physical illness

Choices:
A. Is in understanding the problem of the elderly frail, and thus provide an overall plan to serve as a reference treatment and long-term tracking of
B. Execution process includes screening for patients, evaluation, and implementation of recommendations
C. Applicable at all levels of care for the elderly
D. Screening is mainly physical illness


Question: The narrative about Deprenyl Which of the following error?

Answer: Metabolites will promote the release of Dopamine

Choices:
A. Monoamine oxidase B inhibition main Deprenyl
B. Metabolites will promote the release of Dopamine
C. When used with Levodopa and likely at risk for high blood pressure
D. Levodopa when used in combination, can reduce the dose of Levodopa


Question: Pregnant women because of massive bleeding caused by acute respiratory distress syndrome, following the disposal in the greatest increase in the amount of oxygen in the tissue?

Answer: Blood transfusion

Choices:
A. Blood transfusion
B. childbirth
C. Increased arterial oxygen partial pressure to 200 mmHg
D. Pulmonary artery catheter placed


Question: Ingredients stomach gas, the concentration of the highest Why?

Answer: nitrogen

Choices:
A. hydrogen
B. oxygen
C. nitrogen
D. carbon dioxide


Question: Statements about inguinal canal (inguinal canal), and Which statement is correct?

Answer: Transversalis fascia (transversalis fascia) surrounded the outside of the top (deep inguinal ring) deep inguinal ring 1/3

Choices:
A. Male inguinal canal through the spermatic cord (spermatic cord), by female ovarian ligament (ligament of the ovary)
B. During embryogenesis, vaginalis (vaginal process) occurs only in a male individual
C. Occurring in the inner tube hernia, inguinal hernia is called a direct type (direct inguinal hernia)
D. Transversalis fascia (transversalis fascia) surrounded the outside of the top (deep inguinal ring) deep inguinal ring 1/3


Question: Which of the following is attached to the upper limb by the trunk?

Answer: Sternoclavicular joint (sternoclavicular joint)

Choices:
A. Acromioclavicular joint (acromioclavicular joint)
B. Glenohumeral joint (glenohumeral joint)
C. Sternoclavicular joint (sternoclavicular joint)
D. Shank chest joint (manubriosternal joint)


Question: Which of the following neonatal lack of membrane proteins most likely to cause serious diarrhea?

Answer: sodium-dependent glucose transporter 1（SGLT1）

Choices:
A. sodium-dependent glucose transporter 1（SGLT1）
B. cystic fibrosis transmembrane conductance regulator（CFTR）
C. aquaporin
D. sodium-dependent glucose transporter 2（SGLT 2）


Question: Which of the following does not belong to tumor associated syndrome (paraneoplastic syndrome)?

Answer: Subacute merger degeneration (subacute combined degeneration)

Choices:
A. Dermatomyositis (dermatomyositis)
B. Limbic encephalitis (limbic encephalitis)
C. Cerebellar degeneration (cerebellar degeneration)
D. Subacute merger degeneration (subacute combined degeneration)


Question: Based on current evidence, that following a viral or bacterial infection and cancer is not the most relevant?

Answer: Colon cancer (colon cancer)

Choices:
A. NPC (nasopharyngeal cancer)
B. Colon cancer (colon cancer)
C. Stomach cancer (gastric cancer)
D. Cervical cancer (cervical cancer)


Question: Which of the following actions with the muscles of the back of the middle layer about?

Answer: Associated with the respiratory motion

Choices:
A. Associated with the respiratory motion
B. Flexion movement of the upper arm
C. Stretch of the upper arm
D. The operation of a curved spine J


Question: Which of the following will pass sciatic hole?

Answer: Obturator muscle

Choices:
A. Gluteus minimus
B. Piriformis
C. Margin on muscle
D. Obturator muscle


Question: Skin warts (skin warts) may be associated with the generation following what virus?

Answer: HPV (human papillomavirus) type 1 and 2

Choices:
A. Human herpes simplex virus (human herpes simplex virus) types 1 and 2
B. HPV (human papillomavirus) type 1 and 2
C. Human papillomavirus type 16 and 18
D. Adenovirus (Adenovirus) type 40 and 41


Question: Which of the following less likely to lead to hypocalcemia (hypocalcemia)?

Answer: Taking diuretics (thiazide)

Choices:
A. Hypomagnesemia (hypomagnesemia)
B. Parathyroid hypothyroidism (hypoparathyroidism)
C. Taking diuretics (thiazide)
D. Chronic renal failure


Question: Notions of tolerance following autologous (self tolerance) of what's wrong?

Answer: Regulatory T cells (regulatory T cell) can effectively remove tumor cells

Choices:
A. Thymus and bone marrow are vital organs to maintain self-tolerance
B. After maturation of T lymphocytes from thymus, still maintaining its regulatory mechanism in the periphery of tolerance
C. Since differentiation to thymic regulatory T cells (regulatory T cell), can inhibit the activity of autoreactive T cells
D. Regulatory T cells (regulatory T cell) can effectively remove tumor cells


Question: 9 when a 25-year-old woman to the emergency room, left wrist palm radial side about 3 cm transverse incision, neurological examination revealed the palm and fingers can be straightened and refers to, but can not make a fist bend, and ventral finger numbness, then The patient should be the main damage is that following a nerve?

Answer: The median nerve (median nerve)

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


Question: About malignant hypertension and renal pathological lesions (malignant hypertension), and Which of the following most inappropriate?

Answer: Vitreous arteriolosclerosis (hyaline arteriolosclerosis)

Choices:
A. Arteriolar fibrinoid necrosis (fibrinoid necrosis of arterioles)
B. Proliferative fine arteritis (hyperplastic arteriolitis)
C. Changes in glomerular necrosis or thrombosis (necrotic or thrombotic changes in glomeruli)
D. Vitreous arteriolosclerosis (hyaline arteriolosclerosis)


Question: The watch liver surgery, frequently-used pringle maneuver to control and reduce the amount ⾎, the following are not included in any structure where?

Answer: common hepatic artery

Choices:
A. common hepatic artery
B. portal vein
C. common bile duct
D. hepatic artery proper


Question: A 30-year-old woman complained of loose teeth, wound healing and other symptoms, physical examination found that oral swollen gums, gums pan-purple. According to history, the patients most likely to have a vitamin deficiency which of the following?

Answer: Vitamin C

Choices:
A. Vitamin B1
B. Vitamin B12
C. Vitamin C
D. Vitamin A


Question: One patient because of a dislocated elbow caused by a fall, a fixed period of plaster, should be related activity and what was not included?

Answer: Daily electrical stimulation of the deltoid muscle, the muscle atrophy avoid

Choices:
A. Daily sports activities do take the initiative to shoulder, shoulder to avoid contractures
B. Daily electrical stimulation of the deltoid muscle, the muscle atrophy avoid
C. Daily for biceps, triceps isometric muscle contraction
D. Initiative wrist and fingers often do each direction of movement


Question: The following account of the enzyme reaction, what's wrong?

Answer: Enzymes can change the equilibrium constant for the chemical reaction, the rate of rise of the positive reaction

Choices:
A. Enzymes can change the equilibrium constant for the chemical reaction, the rate of rise of the positive reaction
B. Most enzymes are proteins, but a few molecules of ribonucleic acid (RNA) also has the ability to catalyze
C. The general chemical reaction rate will increase with increasing temperature, but the majority of the enzyme reaction rate will decrease significantly when the temperature is too high
D. Enzymes can be distinguished by the different optical properties of quality, stereospecific (stereo-specificity) and therefore the reaction is very high


Question: Following that muscle contraction, can be put on the second rib (second rib)?

Answer: After scalene muscle (posterior scalene muscle)

Choices:
A. Anterior scalene muscle (anterior scalene muscle)
B. Scalene (middle scalene muscle)
C. After scalene muscle (posterior scalene muscle)
D. Subclavian muscle (subclavius muscle)


Question: It has nothing to do with cirrhosis Child-Pugh classification system project:

Answer: ALT values

Choices:
A. albumin
B.  original clotting time
C. ALT values
D. Bile pigments (Bilirubin)


Question: The following items are not characteristics that ⼀ ulcerative colitis (ulcerative colitis) is?

Answer: Patients with ulcerative colitis zoomed portion (> 50%) but also with primary sclerosing cholangitis (primary sclerosing cholangitis)

Choices:
A. Patients with ulcerative colitis zoomed portion (> 50%) but also with primary sclerosing cholangitis (primary sclerosing cholangitis)
B. Can ⾒ pseudopolyps, in severe cases can cause toxic megacolon
C. It usually affects the rectum and extends proximally
D. Inflammation of mucosa and generally limited to superficial submucosa


Question: A middle-aged housewife, when sewing clothes were young children playing beside the collision, causing the needle into the left knee joint, causing septic arthritis (septic arthritis). In this case, what kind of bacterial infection is most likely?

Answer: Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Staphylococcus aureus (Staphylococcus aureus)
B. Streptococcus pneumoniae (Streptococcus pneumoniae)
C. Escherichia coli (E. coli)
D. Beta hemolytic streptococcus (β-hemolytic Streptococcus)


Question: A 6-year-old boy due to bow legs (bow leg) treatment, you determine that he may be suffering from rickets (rickets). Following that a laboratory test results do not support your ideas?

Answer: Normal serum alkaline phosphatase (alkaline phosphatase) value

Choices:
A. Low blood calcium (hypocalcemia)
B. Normal serum calcium level
C. Normal serum alkaline phosphatase (alkaline phosphatase) value
D. 低血磷（hypophosphatemia）


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

Answer: Found primarily in mast cells (mast cells)

Choices:
A. Is a medium for vasoactive (vasoactive mediator)
B. Found primarily in mast cells (mast cells)
C. May be present in neuroendocrine cells of the gastrointestinal tract (neuroendocrine cells)
D. Of blood vessels and histamine (histamine) similar


Question: In spinal cord injury, recovery Which of the following reflex action, the stage on behalf of spinal shock (spinal shock) have been in the past?

Answer: Bulbospongiosus reflex (bulbocavernosus reflex)

Choices:
A. Knee-jerk
B. Ankle reflex
C. Reflection jaw (jaw jerk)
D. Bulbospongiosus reflex (bulbocavernosus reflex)


Question: Wu because of physical discomfort to the hospital, blood circulation numerical display: arterial partial pressure of oxygen (PaO2) to 55 mmHg, arterial carbon dioxide tension (PaCO2) of 61 mmHg, the pH value is 7.16, bicarbonate (HCO3-) of 24.5 mEq / L. This patient most likely diagnosis Why?

Answer: Kidney failure

Choices:
A. Acute airway obstruction
B. Chronic obstructive airways
C. Kidney failure
D. Renal failure with respiratory decompensation


Question: Which of the following is a childhood malignant rhabdomyosarcoma (rhabdomyosarcoma) less well made parts?

Answer: Gastrointestinal tract

Choices:
A. Head and neck
B. Four limbs
C. Gastrointestinal tract
D. Urinary tract system


Question: 7-year-old boy to the emergency room because of abdominal pain, right lower abdominal pain 24 hours ago complained of vomiting and mild fever ensued, the boys completely without appetite, nor diarrhea, abdominal pain extended to the whole abdomen and slightly swollen four hours ago, the boy found the body checkups moderate dehydration, bowel sounds disappear, the entire abdomen Jie rebound pain (rebound tenderness). Diagnostic most priority should be given to which of the following?

Answer: Acute appendicitis (acute appendicitis)

Choices:
A. Acute gastroenteritis (acute gastroenteritis)
B. Acute appendicitis (acute appendicitis)
C. Acute mesenteric lymphadenitis (acute mesenteric lymphadenitis)
D. Acute pyelonephritis (acute pyelonephritis)


Question: For patients with acute pancreatitis early enteral nutrition force-fed the narrative, the following items what is wrong?

Answer: Will increase the chance of infection

Choices:
A. Can reduce bacterial translocation of intestinal
B. Nasal gavage to make use of the small intestine, or jejunum tube-fed
C. Use low-fat diet or elements
D. Will increase the chance of infection


Question: 11 from the left ventricle disability (dysfunction) to chronic heart failure (heart failure), resulting in insufficient systemic perfusion (hypoperfusion), which of the following occurred last?

Answer: Peripheral vasoconstriction

Choices:
A. Peripheral vasoconstriction
B. Nerve hormone activation
C. Retention of sodium salt (sodium retention)
D. The first three Tongshifasheng


Question: Which of the following is a selective cervical suture (elective cerclage placement) indications?

Answer: There are three natural history of abortion in mid-pregnancy (second trimester) combined yield in the absence of pain, or in the case of placental abruption

Choices:
A. A history of spontaneous abortion three times early pregnancy (first trimester) of
B. There are three natural history of abortion in mid-pregnancy (second trimester) combined yield in the absence of pain, or in the case of placental abruption
C. Previously had a cervical cone-shaped sections (loop electrosurgical excision procedure) treatment
D. Zhou Shizai pregnancy cervical length 18 to 35 mm


Question: One has been in the health examination, routine blood examination failed to find abnormal mother (once the result is a Hb: 13.5g / dL, MCV: 85 fL, MCH: 27 pg), but found her 5-year-old daughter was diagnosed with hemoglobin H disease (Hb H disease). A form of hemoglobin gene that is most likely following the mother?

Answer: s / aa

Choices:
A. ß0/A
B. s / s
C. s / aa
D. - - / aa


Question: From the previous question, after referral of patients by 12 days after neurosurgical emergency surgery, still unable to recover and become a deep coma, after the discussion of brain death determination. The following items are not brain dead determine what range?

Answer: Fundus reflection mastoid

Choices:
A. Pupillary light reflex
B. Corneal reflex
C. Vestibular ocular reflex
D. Fundus reflection mastoid


Question: The adults with mild mental retardation equivalent mental age (mental age) How old?

Answer: 9-12 years old

Choices:
A. 12-15 years old
B. 9-12 years old
C. 6-9 years
D. 6 years


Question: About the pressure (stress) caused describes the main reaction of the body, Which statement is correct?

Answer: Stimulates glucocorticoids (glucocorticoid hormone) secretion

Choices:
A. Stimulates the sympathetic nervous system secrete norepinephrine, epinephrine but does not affect the adrenal glands
B. Secretion of glucocorticoids (glucocorticoid hormone) is faster than norepinephrine
C. Stimulates glucocorticoids (glucocorticoid hormone) secretion
D. A lot will stimulate insulin secretion


Question:
14 A middle-aged woman working in a restaurant, accidentally cut off his left index finger together when cut chicken, then to the emergency room. Examination revealed incision neat, at a position one-half the transverse nail, but less nail germinal layer (germinal matrix) combined phalanx exposed, according fingertip
 amputation of classification Allen's classification, what type should belong to this situation?

Answer: Type II

Choices:
A. Type I
B. Type II
C. Type III
D. Type IV


Question: The following statements about protein structure, whichever is correct?

Answer: Some proteins may be present in one or more quaternary structure

Choices:
A. mRNA alternative splicing (alternative splicing) does not affect the protein structure
B. Point mutation (point mutation) does not result in a change in protein secondary structure
C. flaps β- (β-sheet) and α- helix (α-helix) belonging to the tertiary structure of the protein structure classification on
D. Some proteins may be present in one or more quaternary structure


Question: When the purposes of the pudendal nerve block (pudendal nerve block) in the ischial spine (ischial spine) at the following where the feeling most likely to be affected?

Answer: Vaginal vestibule (vestibule of vagina)

Choices:
A. Upper vagina (upper vagina)
B. Mons pubis (mons pubis)
C. Vaginal vestibule (vestibule of vagina)
D. Womb (uterus)


Question: About kidney inflammation (acute poststreptococcal glomerulonephritis) after treatment in children with acute streptococcal infection, the following statements is true?

Answer: Treating hypertension comprising administering calcium antagonist (calcium channel antagonists) or diuretics (diuretics)

Choices:
A. Since the infection caused by Streptococcus, and therefore provides the appropriate antibiotic treatment may shorten the course
B. Treating hypertension comprising administering calcium antagonist (calcium channel antagonists) or diuretics (diuretics)
C. Limit sodium intake, primarily for the prevention of chronic kidney disease
D. Steroid drugs for the treatment of choice


Question: Anti-phospholipid antibody syndrome (antiphospholipid antibody syndrome) abnormalities are most associated with which of the following?

Answer: thrombocytopenia

Choices:
A. thrombocytopenia
B. proteinuria
C. photosensitivity
D. arthritis


Question: 5.7-day-old baby boy, found to have respiratory distress, cyanosis and heart murmur. 60 breaths per minute combined severe chest recess (Subcostal retraction) phenomena, positioned at the right edge of the liver was 4 cm rib, the right blood pressure 90/50 mmHg, and the left lower limb blood pressure was about 60/45 mmHg. The following statements is wrong?

Answer: Often associated with high blood calcium (hypercalcemia)

Choices:
A. Need to give prostaglandins (Prostaglandin E1)
B. Often associated with thymic hypoplasia (Thymic hypoplasia)
C. Facial abnormalities and often associated with cleft palate (Cleft palate)
D. Often associated with high blood calcium (hypercalcemia)


Question: The following related myosin light-chain phosphatase function of narrative, what's right?

Answer: Myosin light-chain caused dephosphorylation, inhibiting cross-bridge cycling for

Choices:
A. Resulting in myosin light-chain phosphorylation, promote cross-bridge cycling were
B. Myosin light-chain caused dephosphorylation, inhibiting cross-bridge cycling for
C. Ca2 + binding and to promote cross-bridge cycling for
D. Inhibition of Ca2 + release into the cytoplasm, for suppressing cross-bridge cycling


Question: About the identification of paranoid psychosis disorder (paranoid schizophrenia) and clinical features of amphetamine psychosis, Which statement is correct?

Answer: Paranoid psychosis disorders are more affective flattening (affective flattening)

Choices:
A. Amphetamine psychosis often have loose coupling (loosening of association)
B. Amphetamine psychosis rare visual hallucinations
C. Paranoid psychosis disorders are more affective flattening (affective flattening)
D. Amphetamine psychosis than sexual activity will decrease (hypo-sexuality)


Question: Illustrated as a 25-year-old intravenous drug addiction in patients with tricuspid valve disease, Which of the following is the most likely disease-causing bacteria?

Answer: Staphylococcus aureus

Choices:
A. β-hemolytic streptococcus, group A
B. α-hemolytic Streptococcus viridans
C. Staphylococcus aureus
D. Staphylococcus epidermidis


Question: Liver left leaves distinguish roughly to Cantlie's line as a dividing line, which of the following approximate boundary surface here?

Answer: Middle hepatic vein

Choices:
A. Left portal vein
B. Middle hepatic vein
C. Umbilical fissure
D. Right hepatic vein


Question: Lin 32 years old, has just completed a doctorate in the country, because he was a student of geology, it is necessary to collect geological specimens everywhere. Two months ago he had the opportunity to be close to the Mexican border in California desert for a whole month investigation in the area, and even some caves. After returning home, Mr. Lin began to have a fever, chills, night sweats, dry cough for four weeks, during this period, Mr. Lin thought it was a cold, doctors also opened antibiotic treatment, but her condition continued to not improve. Systemic test results of about 3 cm in addition to the right chest, hard lumps, the armpits and in the groin have from about 1 cm smaller swollen lymph, blood samples incubated 25 ℃, filamentous fungi have found arthrospores (Arthrospores), the arthrospores breaking presentation barrel (Barrel-shaped). Histology is showing parasitic spherules, containing within spores (endospores). Mr. Lin was most likely infected with pathogenic bacteria?

Answer: Coccidioides immitis

Choices:
A. Histoplasma capsulatum
B. Blastomyces dermatitidis
C. Paracoccidioides brasiliensis
D. Coccidioides immitis


Question: A description of renal tubular function, which of the following error?

Answer: Via ultrafiltration (Ultrafiltration) action, a tubular material may be recovered from the glomerular filtrate

Choices:
A. Via secretion (secretion) effects of a substance may be added to the tubular glomerular filtrate
B. Via ultrafiltration (Ultrafiltration) action, a tubular material may be recovered from the glomerular filtrate
C. Not because of renal tubular inulin (inulin) secreted or recycled, so the inulin clearance rate (clearance) will be equal to the glomerular filtration rate
D. For active tubular transport of material has its upper limit is the maximum amount of transport (transport maximum)


Question: Which of the following belong comment instrumental Richangshenghuo Scale (instrumental activities of daily living, IADL) the amount of items:

Answer: Telephone

Choices:
A. use computer
B. Telephone
C. Read
D. Eating


Question: Check the Cryptococcus neoformans (Cryptococcus neoformans) infections commonly used method of dyeing what?

Answer: Description biological characteristics of ink staining (india ink staining) 72 following related Cryptococcus neoformans (Cryptococcus neoformans), what's wrong?

Choices:
A. Gram staining (Gram staining)
B. Acid-fast staining (acid-fast staining)
C. Silver plated staining (silver staining)
D. Description biological characteristics of ink staining (india ink staining) 72 following related Cryptococcus neoformans (Cryptococcus neoformans), what's wrong?


Question: Which of the following diseases continuous noise (continuous murmur) does not appear?

Answer: atrial septal defect

Choices:
A. patent ductus arteriosus
B. coronary AV fistulas
C. atrial septal defect
D. ruptured sinus of Valsalva aneurysm 23 the following information about WPW (Wolff-Parkinson-White) syndrome patient's electrocardiogram narrative, what's wrong?


Question: 65 Young students riding a motorcycle accident led to severe brain injury, is still consciousness disorders, memory loss, often restless phenomenon. Pursuant to Rancho Los Amigos Scale score, should belong to the first few levels?

Answer: IV

Choices:
A. III
B. IV
C. V
D. WE


Question: Which of the following amino acids, via metabolic programming, can be a methyl providers (methyl donor)?

Answer: methionine

Choices:
A. valine
B. threonine
C. methionine
D. glutamine


Question: Following a disease that the distal interphalangeal joint (distal interphalangeal joint) inflammation or lesions occur most often?

Answer: Psoriatic arthritis (psoriatic arthritis)

Choices:
A. Bleeding in hemophilia arthropathy (hemoarthropathy)
B. Psoriatic arthritis (psoriatic arthritis)
C. Rheumatoid arthritis (rheumatoid arthritis)
D. Rheumatoid arthritis (rheumatic arthritis)


Question: 61. The diagnostic criteria based on DSM-IV-TR, the following regarding manic episodes (manic episode) and light manic episode (hypomanic episode) narrative, what's right?

Answer: Episode of mania severity of hospital standards, and then a short time can also be treated as an episode of mania (manic episode)

Choices:
A. Do not worry palm clean and wash their hands over and over again is one of the diagnostic criteria for mild manic episodes
B. Only light manic episodes will have confidence in expansion (inflated self-esteem)
C. Episode of mania severity of hospital standards, and then a short time can also be treated as an episode of mania (manic episode)
D. And light manic episodes of manic diagnostic criteria such as patient must have occupational or social function was defect


Question: Which of the following does not have a transitional epithelium (transitional epithelium)?

Answer: Penile urethra (penile urethra)

Choices:
A. Ureter (ureter)
B. Bladder (urinary bladder)
C. Prostatic urethra (prostatic urethra)
D. Penile urethra (penile urethra)


Question: The following related primary central nervous system lymphoma narrative, what's wrong?

Answer: Organizations outside the central nervous system is also frequently violated

Choices:
A. This immunosuppressed patients the most common central nervous system tumor immune
B. Organizations outside the central nervous system is also frequently violated
C. The vast majority of B cell lymphoma tumors, and most of the cells will exhibit BCL-6
D. Intravascular lymphoma (intravascular lymphoma) usually show a wide range of small infarcts, rather than mass performance


Question: A 45 year old male with athlete's foot, but no history of other systemic diseases, no history of exposure to sea water, three days ago right leg began to produce redness, swelling, pain, and fever, chills and was sent to the emergency room, what most the common etiology?

Answer: Streptococcus

Choices:
A. staphylococcus
B. Vibrio vulnificus
C. Streptococcus
D. Gas sp


Question: Which of the following starting point (origin) is not the humerus?

Answer: Biceps (biceps brachii)

Choices:
A. 旋後 skin (supinator)
B. Pronator teres (pronator teres)
C. Brachial muscle (brachialis)
D. Biceps (biceps brachii)


Question: 45 year old man, two years gradually formed in the dorsal skin rash itching, as shown, the most appropriate diagnosis Why?

Answer: Chronic eczema (chronic eczema)

Choices:
A. Acute eczema (acute eczema)
B. Chronic eczema (chronic eczema)
C. Plaque psoriasis (psoriasis vulgaris)
D. Amyloid disease lichen (lichen amyloidosis)


Question: A 60-year-old man was admitted due to acute myocardial infarction, cardiac intensive care unit (CCU), upon inspection no arrhythmia, congestive heart failure or other complications. Its cardiac rehabilitation therapy on when to start the best?

Answer: Day 1 CCU admitted to the

Choices:
A. Day 1 CCU admitted to the
B. After one week in bed
C. Bed 4 to 6 weeks
D. After stable condition, go to the general ward


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

Answer: Indirect loop (indirect pathway) from the substantia nigra (substantia nigra) regulation

Choices:
A. Nigra (substantia nigra) projecting into the housing portion (putamen)
B. Ventral anterior nucleus (ventral anterior nucleus of thalamus) can participate directly (Direct) and indirect circuit (indirect pathway)
C. Nigra (substantia nigra) excited direct circuits (direct pathway)
D. Indirect loop (indirect pathway) from the substantia nigra (substantia nigra) regulation


Question: The following statements about Lyme arthritis, and what's right?

Answer: caused by Borrelia burgdorferi infection

Choices:
A. Steroid drugs for the treatment of choice
B. Generally ineffective for treatment of oral doxycycline
C. caused by Borrelia burgdorferi infection
D. Small joints, fingers or toes of the main violations


Question: A 32-year-old female patient 3 months of pregnancy, blood pressure is between 156/96 to 170/105 mmHg, which of the following antihypertensive drugs is absolutely contraindicated (absolute contraindication)?

Answer: Angiotensin converting enzyme inhibitor（ACEI）

Choices:
A. Angiotensin converting enzyme inhibitor（ACEI）
B. Hydralazine
C. Methyldopa
D. Calcium blockers (Calcium antagonist)


Question: Mrs. Chang, 70 years old, married for 45 years, since Mr. died suddenly of a heart attack more than three months ago, which appeared sleep, could not eat, lost 5,6 kg. Lethargy, trance, sat quietly all day on a high-backed chair in the living room, and sometimes can not help but began to cry, saying wanted to die quickly, earlier met with Mr. heaven, but no obvious signs of suicide. 3-year-old granddaughter came looking for her, she was able to coax a smile out little granddaughter play it. Mrs. Zhang diagnosis is most likely that one of the following?

Answer: Mourning bereavement reaction normal (normal bereavement)

Choices:
A. Adjustment disorder merger melancholy mood (adjustment disorder with depressed mood)
B. Mourning bereavement reaction normal (normal bereavement)
C. Severe depression disorder (major depressive disorder)
D. Melancholy temperament (melancholia)


Question: The following information about the relationship between energy intake and thyroid and what was right?

Answer: Adipose tissue-derived leptin (Leptin) A releasing hormone promotes (thyrotropin releasing hormone) secretion

Choices:
A. Excessive intake of carbohydrates can inhibit thyroid hormone secretion (Thyroxine) of
B. Adipose tissue-derived leptin (Leptin) A releasing hormone promotes (thyrotropin releasing hormone) secretion
C. Leptin inhibits the secretion of thyroid hormone
D. Inhibit excessive hormone leptin secretion


Question: Following that kind of lung tissue for our most common?

Answer: adenocarcinoma

Choices:
A. adenocarcinoma
B. squamous cell carcinoma
C. large cell carcinoma
D. small cell carcinoma


Question: Which is not an internal iliac artery (internal iliac artery) branches?

Answer: Rectal artery

Choices:
A. Obturator artery
B. Rectal artery
C. Rectal artery
D. Internal pudendal artery


Question: Autoantigens and pathogenic microorganisms similar cross reactivity of the antigens can cause disease, but which of the following is not true?

Answer: Grave's disease (Graves' disease)

Choices:
A. Mycoplasma infection after the anemia (anemia after mycoplasma infection)
B. After the kidney infection streptococcal glomerulonephritis (post-streptococcal glomerulonephritis)
C. Grave's disease (Graves' disease)
D. Rheumatic fever (rheumatic fever)


Question: A 70-year-old woman had a history of peptic ulcer, after recently taking some kind of medication, because the solution to the emergency melena three days, as gastroscopy. This most patients can not take what items the following drugs?

Answer: acetaminophen

Choices:
A. acetaminophen
B. clopidogrel
C. celecoxib
D. meloxicam