Question: 60. A 55 year old female with a history of lung cancer. Two days ago a sudden back pain, but steady signs of life, limbs, bowel and bladder function and normal nerve function. Spinal X-ray and magnetic resonance angiography results second lumbar suspected metastatic tumor, but no significant nerve compression. The following statements is wrong?

Answer: If it is determined metastatic tumors, patients should be advised to immediately accept the spinal fixation, nerve decompression laminectomy surgery to treat back pain and preventing its damage to nerve compression

Choices:
A. Can arrange bone scintigraphy (bone scan) to check whether there are other skeletal sites help diagnosis of metastasis
B. Can be arranged guide biopsies Computer tomography (CT-guided biopsy), to help determine whether tumor metastasis
C. If it is determined metastatic tumors, patients should be advised to immediately accept the spinal fixation, nerve decompression laminectomy surgery to treat back pain and preventing its damage to nerve compression
D. Surgical purposes metastatic spinal tumors, mainly to improve pain and quality of life of patients, disease control and survival of their primary tumor and


Question: A 80-year-old Ms Wu 71, without formal education, most recently as easily forgets, was brought to the clinic to assess their families. Physicians make the following evaluation elderly mental status examination, mini-mental state examination (MMSE) score of 18 points (out of 30). A minute later covered chanting "red", "happy", "TV" (three-item recall), only three correct answers a clock drawing test (clock drawing test, CDT), Manos method score 6 points (out of 10 min), the following statements is true?

Answer: According to Mini-Cog test (clock drawing test and three-item recall) interpretation, Ms Wu has dementia

Choices:
A. According to MMSE score interpretation, Ms Wu has dementia
B. Clinically also hard to decipher whether dementia, do need to add computer tomography brain
C. According to Mini-Cog test (clock drawing test and three-item recall) interpretation, Ms Wu has dementia
D. Ms Wu easily forgets, is clinically mild cognitive dysfunction


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

Answer: With morphine and can be used to achieve maximum analgesic effect

Choices:
A. High doses of pentazocine can cause blood pressure to rise
B. With morphine and can be used to achieve maximum analgesic effect
C. Than morphine relatively easy to produce euphoria
D. Orally active


Question: About the staging and treatment of COPD in GOLD guideline, which of the following error?

Answer: For patients with stable COPD FEV1 <30% predicted values, long-term use of low-dose oral steroids to reduce the number of episodes of

Choices:
A. FEV1 / FVC <70% and 50% ≦ FEV1 <80% predicted value for stage II, moderate COPD
B. FEV1 / FVC <70% and 30% ≦ FEV1 <50% predicted value, to stage III, severe COPD
C. Long-term use of inhaled steroids in FEV1 <50% of patients and often acute, the rules may
D. For patients with stable COPD FEV1 <30% predicted values, long-term use of low-dose oral steroids to reduce the number of episodes of


Question: Which of the following drugs commonly used to treat gout in addition to outside, the newborn arterial insufficiency also has the role of promoting it off?

Answer: indomethacin

Choices:
A. indomethacin
B. etodolac
C. ketoprofen
D. naproxen


Question: Which of the following molecule containing hemiketal (hemiketal)?

Answer: Ring D-fructose

Choices:
A. D-ribose ring
B. Ring D-fructose
C. Ring D-glucose
D. 6-phosphogluconolactone


Question: In the study of bacterial DNA replication, 5'-bromouracil used to replace thymidine drugs, the reason why?

Answer: May produce heavy DNA, and easy manner by centrifugation

Choices:
A. Lead to termination of DNA synthesis
B. Cutting position easily generated on the DNA
C. May produce heavy DNA, and easy manner by centrifugation
D. It can be used to stain DNA


Question: 25-year-old female patient due to breathing difficulties and palpitations treatment. Display physical examination blood pressure 110/64 mmHg, pulse 116 / min, the bottom sides of pulmonary moist rales audible. A first heart sound was found to increase cardiac auscultation, an audible edge left clear at the apex and the mitral valve opening snap sternum (opening snap, OS), and rumble noise diastole (diastolic rumbling murmur). The following statements is true?

Answer: When heart failure aggravated diastolic rumbling murmur occur in such patients, low cardiac output, heart murmur strength may weaken or even disappear

Choices:
A. The first heart sound increase, represents less severe mitral stenosis
B. Of the second heart sound to the opening between the valve sound (S2-OS interval) longer represents the more severe mitral stenosis
C. Compensatory machine turn fast heartbeat such as the patient's heart, this time to reduce the heartbeat of the disease is not good, but heavier
D. When heart failure aggravated diastolic rumbling murmur occur in such patients, low cardiac output, heart murmur strength may weaken or even disappear


Question: Require special caution when pregnant women undergo surgery or long-term use of contraceptives, the use of neuromuscular blocking agents Which of the following?

Answer: Succinylcholine

Choices:
A. Relanium
B. Doxacurium
C. Pancuronium
D. Succinylcholine


Question: Which of the following is the human bile produced by the liver, the source of bilirubin (bilirubin) in?

Answer: Hemoglobin (hemoglobin)

Choices:
A. Bile salts (bile salts)
B. Hemoglobin (hemoglobin)
C. Serotonin (serotonin)
D. Cholesterol (cholesterol)


Question: DNA sequence, which of the following is easily methylated?

Answer: CpG site

Choices:
A. TATA box
B. CpG site
C. CAAT box
D. Telomere


Question: Following that kind of X-ray used to detect the optimum sphenoid Is there a problem?

Answer: Skull lateral view

Choices:
A. Waters view
B. Caldwell view
C. Skull lateral view
D. Submental vertical view


Question: The following account of cell adhesion molecule (adhesion molecule), and what's wrong?

Answer: Adhesion molecules on endothelial cells include E-selectin, P-selectin and L-selectin, belongs to the immunoglobulin family

Choices:
A. Adhesion molecules on endothelial cells include E-selectin, P-selectin and L-selectin, belongs to the immunoglobulin family
B. Integration lectin (integrin-) belong adhesion molecules, composed of two non-covalently bound protein chains
C. Select lectin (selectin) bind to a carbohydrate molecule
D. Cytokine (Cytokine) induces expression of adhesion molecules on endothelial cells


Question: Vertebrates, 5S rRNA and tRNA synthetase enzyme that consists of the following?

Answer: RNA polymerase III

Choices:
A. RNA polymerase I
B. RNA polymerase II
C. RNA polymerase III
D. ribosomal RNase


Question: Which of the following is responsible for control of the main motion paths finger muscles to perform fine motor?

Answer: Corticospinal path side (lateral corticospinal tract)

Choices:
A. Corticospinal path side (lateral corticospinal tract)
B. Ventral corticospinal Path (ventral corticospinal tract)
C. Reticulospinal path (reticulospinal tract)
D. RUBROSPINAL path (rubrospinal tract)


Question: When holding back urine, the body with the following main what mechanism?

Answer: Perineal nerve (pudendal nerve) to stimulate contraction of the external urethral sphincter

Choices:
A. Inhibition of renal nerve contraction of the bladder detrusor
B. Sympathetic stimulation of the external urethral sphincter
C. Parasympathetic inhibition of detrusor contraction
D. Perineal nerve (pudendal nerve) to stimulate contraction of the external urethral sphincter


Question: One chromosome 47, XY, +21's 18-year-old stocky youth, accompanied by his mother to the clinic, the youth want to marry and have children, the following circumstances are more in line with recommendations of medical knowledge and ethics?

Answer: But may not be married to have children

Choices:
A. Should not marry and have children based on eugenics care
B. Can marry and have children
C. But may not be married to have children
D. Not intercourse can not have children


Question: Niacin to statin treatment and service hyperlipidemia, Which of the following does not reduce blood fat ingredients?

Answer: HDL-C

Choices:
A. LDL-C
B. Triglyceride
C. Apo B
D. HDL-C


Question: 72 A 63-year-old male patient with lung cancer to short-acting oral morphine 10 mg q4h as a pain treatment medication, but the analgesic effect is still not ideal. Morphine dose adjustment principles on cancer patients, which of the following error?

Answer: Oral morphine dose of this breakthrough pain patient doses for 24 hours substantially 1/12

Choices:
A. The so-called proper dose of morphine means that can ease the pain of cancer patients dose, but no side effects can not be disposed of, so there is no set maximum dose
B. Oral morphine dose of this breakthrough pain patient doses for 24 hours substantially 1/12
C. When the breakthrough pain oral morphine time interval used is 60 to 90 minutes
D. If this burst morphine patient's pain more frequently used, the dose should substantially increase their time of administration


Question: About pregnant women with chronic hypertension complicated by pre-eclampsia (pre-eclampsia), the following statements is wrong?

Answer: Prior to pregnant women with chronic hypertension, blood pressure can be controlled at 130/85 mmHg, if the recent use of blood pressure drugs previously still Bunengkongzhi at 140/90 mmHg or less

Choices:
A. In pregnant women with chronic hypertension, about 20% to 30% of pregnant women, pre-eclampsia occurs
B. Weeks pregnant women with chronic hypertension complicated by preeclampsia, about 50% occurred before 37 weeks
C. Prior to pregnant women with chronic hypertension, blood pressure can be controlled at 130/85 mmHg, if the recent use of blood pressure drugs previously still Bunengkongzhi at 140/90 mmHg or less
D. If pregnant women with chronic hypertension before pregnancy no kidney disease, pregnancy creatinine (creatinine) if greater than 1.1 mg / dL can be diagnosed as preeclampsia


Question: 24 so-called Norwood surgical procedures including the reconstruction of the aortic arch, blocking the blood flow outlet body, while taking advantage of improved Blalock-Taussig shunt to control pulmonary blood flow, this operative is best used for what disease?

Answer: Mitral valve disease (mitral atresia)

Choices:
A. Interrupted Aortic Arch combined ventricular septal defect
B. Coarctation of the aorta Ventricular septal defect herniation
C. Mitral valve disease (mitral atresia)
D. Tricuspid atresia (tricuspid atresia)


Question: About Atopic Dermatitis narrative (atopic dermatitis) transfer of pathogenic machine, which of the following error?

Answer: Pathology of Chronic turn mainly activation of Th2 cells is the primary role, the role of Th1 cells less

Choices:
A. Gene mutations filaggrin FLG reducing manufacturing
B. Physiological function of skin can be observed (including transdermal water loss and water content) Abnormal
C. Skin immune system deficiency patients, and therefore easy to bacterial infection
D. Pathology of Chronic turn mainly activation of Th2 cells is the primary role, the role of Th1 cells less


Question: Corynebacterium jeikeium about the narrative, which of the following error?

Answer: For most commonly used antibiotics with sensitivity

Choices:
A. Often patients are separated by the bacteremia
B. Failure of the immune function in patients susceptible to infection
C. For most commonly used antibiotics with sensitivity
D. Belonging to Corynebacterium between lipophilic (Lipophilic Corynebacteria)


Question: Screening for congenital hypothyroidism, for the consideration of its inspection tool accuracy (accuracy), the following statements is most accurate?

Answer: Considered more important than sensitivity and specificity of consideration

Choices:
A. Considered more important than sensitivity and specificity of consideration
B. Important considerations specificity than sensitivity considerations
C. As an important consideration in the sensitivity and specificity
D. Depending screening ethnic groups, vary


Question: Pathological features of asthma related narrative, what's wrong?

Answer: α1 anti-trypsin (α1-antitrypsin) lack

Choices:
A. Bronchospasm
B. Mucus blockage
C. α1 anti-trypsin (α1-antitrypsin) lack
D. Sputum appears Xialai Barre crystals (Charcot-Leyden crystal)


Question: That these two kinds of immune globulin (immunoglobulin), pathogenic bacteria may provide protection against neonatal force?

Answer: IgG gave IgA

Choices:
A. IgA gave IgD
B. IgD and IgE
C. IgE gave IgG
D. IgG gave IgA


Question: The main reason why; polymerase chain reaction (PCR polymerase chain reaction) 100. E. coli DNA replication (DNA replication) of DNA polymerase can not be used?

Answer: Thermal stability (thermal stability) difference

Choices:
A. Thermal stability (thermal stability) difference
B. Selective DNA template (Template) difference
C. It does not have a 3 'exonuclease (3' Exonuclease) activity
D. Lack of accuracy of DNA synthesis


Question: Homogeneous alienation genes (homeotic genes) what role is mainly played in Drosophila embryonic development (developmental stages)?

Answer: Performance late in embryonic development, decision detailed structure of each body section

Choices:
A. When the spawning period gene transcription start for the performance of its mRNA was dormant until after the egg is fertilized start
B. Performance late in embryonic development, decision detailed structure of each body section
C. General term for determining gene wings
D. Determine the general term for eye color gene


Question: Mr. Lee, 53 years old, suffering from diabetes for four years; two weeks ago, his brother (aged 49), his brother with blood glucose meters measure fasting blood glucose was 112 mg / dL, fear of diabetes, so determined to come to the clinic hope Is there diabetes. That one of the following information to determine whether he has diabetes to determine the most helpful?

Answer: Oral glucose tolerance test

Choices:
A. Urinalysis
B. Glycated hemoglobin
C. Fasting plasma glucose
D. Oral glucose tolerance test


Question: 5 A 60-year-old male with acute myocardial infarction attack, after rescue by emergency personnel sent to the emergency room. Blood test showed: pH blood 7.12, 58 mmHg, blood HCO3- to 18 mEq / L, the following statements about his body acid-base balance, whichever is correct?

Answer: Respiratory acidosis with metabolic acidosis

Choices:
A. Respiratory acidosis (respiratory acidosis) merged portions renal decompensation
B. Metabolic acidosis (metabolic acidosis) merger partial respiratory compensation
C. Respiratory acidosis with metabolic acidosis
D. Respiratory alkalosis (respiratory alkalosis) with metabolic alkalosis (metabolic alkalosis)


Question: Account of the tracheal stenosis surgery anesthesia, which of the following error?

Answer: Anesthesia should first plug the endotracheal tube

Choices:
A. Must first dilation tube may be less than 5 mm
B. Anesthesia should first plug the endotracheal tube
C. If possible subglottic stenosis dilation must first, then plug the endotracheal tube
D. Bronchoscopy preferably before making the cut in the


Question: 9 g / dL, Ca ++: 13.5 mg / dL. Of the following is the more inappropriate?

Answer: Hypercalcemia other suitable rehydration contemplates the use of steroids or mithramycin

Choices:
A. Low serum albumin supplement should be actively corrected
B. Suspected morphine overdose leading to unconsciousness naloxone can be used to identify diagnostic
C. Hypercalcemia other suitable rehydration contemplates the use of steroids or mithramycin
D. Leading to the possibility of infection must be ruled out of consciousness


Question: Which is not an ankle and foot bracket (AFO) The most common indications for use?

Answer: Functional flatfoot

Choices:
A. Brain associated injuries calf muscle weakness
B. Functional flatfoot
C. Cerebral palsy with lower limb spasticity
D. Peroneal nerve injury cause the pedal


Question: Wang after breast cancer surgery, the final pathology report axillary lymph node metastasis (there is a removal of 10 lymph node metastasis), the tumor estrogen receptors (estrogen receptor, ER) and progesterone receptor (progesterone receptor, PR) negative and HER-2 immunostaining was negative. Select the meaning and subsequent adjuvant therapy (adjuvant therapy) Ms. Wang wants to understand the pathology report, the following statements is wrong?

Answer: Wang belonging triple negative cancer (triple negative), mostly in genetic testing classified as basal-like breast cancer, and multiple

Choices:
A. Hormone receptor expression in breast cancer cells and whether the performance of the HER-2 gene, is an important prognostic factor
B. Triple-negative breast cancer belongs (triple negative) is generally a poor prognosis
C. Wang belonging triple negative cancer (triple negative), mostly in genetic testing classified as basal-like breast cancer, and multiple
D. Ms. Wang is recommended to accept chemotherapy, hormone therapy without taking tamoxifen


Question: The figure below shows three kinds of waveform 40 weeks fetal umbilical artery blood flow velocity, may I ask the following statements is most appropriate?

Answer: A normal waveform, B, C abnormal waveform

Choices:
A. A normal waveform, B, C abnormal waveform
B. A, B normal waveforms, abnormal waveform propionate
C. A, B, C are normal waveform
D. A, B, C are abnormal waveform


Question: The assessment of the uterus caused by abnormal narrative habitual abortion, Which statement is correct?

Answer: Septum uterus (septate uterus) is the most common and habitual abortion-related congenital Mullerian duct abnormalities

Choices:
A. Septum uterus (septate uterus) is the most common and habitual abortion-related congenital Mullerian duct abnormalities
B. Mullerian duct abnormalities often associated with urinary tract abnormalities, especially women, abnormal uterine septum
C. (Subserous) subserosal uterine fibroids, often associated with recurrent miscarriage
D. Kallmann's syndrome caused by lesions in the uterus, and habitual miscarriage


Question: The following disease or whichever is less common in premature children?

Answer: Congenital rubella (congenital rubella)

Choices:
A. Intracranial hemorrhage (intracranial hemorrhage)
B. Necrotizing enterocolitis (necrotizing enterocolitis)
C. Glass membrane disease (hyaline membrane disease)
D. Congenital rubella (congenital rubella)


Question: The following coenzymes (Coenzyme) can assist transglutaminase (aminotransferase) for group (amino group) of the transport reactor?

Answer: Pyridoxal phosphate (pyridoxal phosphate)

Choices:
A. NAD +
B. FAD
C. Pyridoxal phosphate (pyridoxal phosphate)
D. Thiamine pyrophosphate (thiamine pyrophosphate)


Question: After 131I treatment of hyperthyroidism, mostly long-term tracking results occur:

Answer: Thyroid cancer

Choices:
A. Hypothyroidism
B. Still hyperthyroidism
C. Thyroid lymphoma
D. Thyroid cancer


Question: From a sample of urinary tract infection in a patient, isolated antibody nalidixic acid-resistant bacteria (Nalidixic acid), the main reason for this resistant bacteria produce that?

Answer: Change the structure of DNA gyrase

Choices:
A. Changes in the composition of the cell wall structure
B. Change the structure of DNA gyrase
C. 50S ribosomal structure change
D. 30S ribosomal structure change


Question: 16-year-old high school student in Grade 2 Xie students, all long lunch break to sleep lying on the table, nearly two weeks he felt left forearm and palm hemp, especially left little finger numbness more powerful, these days even have a pen to write that is not flexible, so he went to the clinic for help. Do you think the thank the students, what is the most likely diagnosis?

Answer: Ulnar nerve (ulnar nerve) disease

Choices:
A. Carpal tunnel syndrome (carpal tunnel syndrome)
B. Ulnar nerve (ulnar nerve) disease
C. Radial nerve (radial nerve) disease
D. Arm plexus (brachial plexus) lesions


Question: 29.32-year-old unmarried young women, because ⼀ more than a year to urinary frequency, nocturia, urgency, and after the rise in urine lower abdominal pain plagued ⽽ medical treatment. Physical examination no submenus Palace, the phenomenon of bladder prolapse, sterile urine or urinalysis case of urinary tract infection. Voiding date found the number of white-day voiding more than ⼗ times, nocturia at night (nocturia) situation more than 3 ⾄ 5 times. Urinary bladder moving care has no case studies detrusor instability (detrusor overactivity), the first solution of urine but feel (first desire to void) volume of 86 c.c., is largest bladder volume (maximum bladder capacity) to 180 c.c .. Cystoscopy after receiving intravenous ⿇ drunk at bladder filling 400 cc of salt water resistant in 5 minutes, the salt begins bladder drainage water resistant, the variation of FIG cystoscope presentation (which changes the order of a → b → c → d ), the most suitable for this patient's diagnosis:

Answer: Interstitial cystitis (interstitial cystitis)

Choices:
A. Junction ⽯ bladder (bladder stone)
B. Bladder tumors (bladder tumor)
C. Interstitial cystitis (interstitial cystitis)
D. Bladder diverticulum (bladder diverticulum)


Question: Men in blood testosterone (testosterone) inadequate concentration, than what does not cause symptoms or disease?

Answer: Prostate cancer

Choices:
A. Decreased libido
B. Erectile dysfunction
C. Depression
D. Prostate cancer


Question: Which of the following is the immune response of the lymphatic system (lymphoid system) main functions?

Answer: Adaptive immune response (adaptive immunity)

Choices:
A. Innate immune response (innate immunity)
B. Adaptive immune response (adaptive immunity)
C. Inflammatory response (inflammation)
D. Phagocytosis (phagocytosis)


Question: 14 year-old pupils, obstetrics and gynecology for treatment due to menstrual abnormalities, abdominal ultrasound, see FIG ovarian cyst, a size of 4 × 3 × 3 cm, most appropriate for the disposal of:

Answer: Two months after the tracking ultrasound

Choices:
A. Laparoscopic surgery
B. Chromosome test test
C. Two months after the tracking ultrasound
D. Detection of tumor markers: α-fetoprotein, hCG


Question: Drug adalimumab (Humira) to the treatment of rheumatoid arthritis biologically effective. Its main mechanism of action of these inhibitory effect into that kind of cytokine?

Answer: tumor necrosis factor-a

Choices:
A. tumor necrosis factor-a
B. interferon-a
C. interleukin-2
D. interleukin-1


Question: Which of the following endocrine hormone receptor which is not a nuclear hormone receptor?

Answer: glucagon

Choices:
A. glucocorticoid
B. glucagon
C. thyroid hormone
D. progesterone


Question: The following statements about the common anxiety disorders of the elderly, what is non?

Answer: The elderly are most common anxiety disorders are generalized anxiety disorder

Choices:
A. Old man was suffering from panic disorder rare old
B. The elderly are most common anxiety disorders are generalized anxiety disorder
C. Symptoms of old phobia of light than younger people
D. Elderly people suffering from obsessive-compulsive disorder, often at a young age presents its requirements neat, perfect, punctual and thrifty


Question: Which of the following pulseless electrical activity (pulseless electric activity, PEA) patients receiving sodium bicarbonate (sodium bicarbonate) treatment most effective?

Answer: Hyperkalemia patient presenting ECG 45 per minute and wide QRS waveforms

Choices:
A. Respiratory acidosis of patients with high CO
B. ECG sinus rhythm and hemorrhagic shock patients narrow QRS wave of
C. Hyperkalemia patient presenting ECG 45 per minute and wide QRS waveforms
D. Metabolic acidosis patient's heartbeat stopped breathing


Question: Which of the following is regarded as hematopoietic stem cells (hematopoietic stem cell) the most important feature?

Answer: Self-renewal (self-renewal)

Choices:
A. Self-renewal (self-renewal)
B. Proliferation (proliferation)
C. Differentiation (differentiation)
D. Project apoptosis (programmed death)


Question: A 40-year-old woman, in recent months often feel severe nausea, vomiting and appetite decreased, weight also dropped six kilograms. Upper digestive tract endoscopy found that almost all of the gastric mucosa are presented erythematous pebble-like change. Upper gastrointestinal radiographic examination also found that smaller stomach and shrinkage. If she underwent gastric resection, most Which of the following possible changes?

Answer: Signet-ring cell carcinoma (signet-ring cell adenocarcinoma)

Choices:
A. Along with early gastric ulcer (gastric ulcer with early gastric carcinoma)
B. Signet-ring cell carcinoma (signet-ring cell adenocarcinoma)
C. Diffuse large cell lymphoma (diffuse large B cell lymphoma)
D. Chronic atrophic gastritis (chronic atrophic gastritis)


Question: 17 year-old male, head trauma, emergency do a CT imaging Basal skull fracture (as indicated at arrow A), in FIG. B, the arrow intracranial:

Answer: Traumatic pneumocephalus

Choices:
A. CSF leakage
B. Traumatic pneumocephalus
C. Fat embolism
D. Traumatic subarachnoid hemorrhage（SAH）


Question: Fetal small for gestational age (SGA) of the definition of what?

Answer: Weight less than 10th percentile

Choices:
A. Weight less than 10th percentile
B. Weight less than 20th percentile
C. Weight less than 30th percentile
D. Weight less than 40th percentile


Question: The following description about the elderly incontinence, whichever is correct?

Answer: Over 80 years the most common types of urinary incontinence in women is a "hybrid" incontinence

Choices:
A. Over 80 years the most common types of urinary incontinence in women is a "hybrid" incontinence
B. Use of diuretics class of antihypertensive drugs do not increase the chance of urinary incontinence
C. The opportunity to use hypnotic sedative drug does not increase urinary incontinence
D. First line of treatment of urinary incontinence is the use of drugs


Question: Meningitis substrate (basilar meningitis) is formed in a thick layer of fibrous stick even in cerebral exudates, the differential diagnosis is the first to consider which of the following conditions?

Answer: Tuberculous meningitis

Choices:
A. Tuberculous meningitis
B. Meningeal vascular syphilis
C. Aseptic meningitis
D. Eosinophilic meningitis


Question: One 60-year-old male patient used to have 30 years of smoking history, chest X-ray examination revealed emphysema patients a walk that is a little shortness of breath phenomenon, despite bronchodilator therapy, but the condition is still deteriorating, transit lung volume reduction surgery for dielectric (lung volume reduction surgery), it is judged which of the following test results are not suitable for such surgery?

Answer: Analysis of arterial blood oxygen PaCO2 is 65 mmHg

Choices:
A. 30 mmHg mean pulmonary artery pressure
B. Chest CT examination revealed lesions in the lungs of emphysema leaves more serious
C. Respiratory function tests FEV1.0 was 30% of the predicted value
D. Analysis of arterial blood oxygen PaCO2 is 65 mmHg


Question: Parinaud's syndrome patient with a brain tumor, its lesions often appear in where?

Answer: Pineal portion (pineal region)

Choices:
A. Butterfly unit (sellar region)
B. Cerebellum, thalamus angle (cerebellopontine angle)
C. Sagittal sinuses (parasagittal region)
D. Pineal portion (pineal region)


Question: 16-year-old Yanjun suffering from malignant lymphoma, accept the second chemotherapy, ineffective and too complicated by sepsis, a full head of hair left. Recent examination showed cancer recurrence required to undergo chemotherapy again, Yanjun to her parents' grave expressed his unwillingness to accept any treatment, and the parents insist on continuing the treatment. Yanjun physician the most appropriate approach to that of the following?

Answer: Provide advice to help parents and Yanjun views to reach consensus before the subsequent processing

Choices:
A. Parents are good for the children, should be done according to the views of parents Yanjun
B. According to the principle of respecting the autonomy request consent Yanjun, not giving any treatment
C. Provide advice to help parents and Yanjun views to reach consensus before the subsequent processing
D. Filed for court ruling


Question: 44-year-old woman with liquor habit, sudden spoken unclear after staying up late to drink a day, difficulty swallowing, so it is sent to the emergency room for treatment; patients without contrast injection computer tomography figure, the most likely diagnosis Why?

Answer: Brainstem hemorrhage

Choices:
A. Cerebellar Infarction
B. Cerebellar hemorrhage
C. Brainstem infarction
D. Brainstem hemorrhage


Question: Following a drug that will reduce the levodopa decarboxylase is metabolized in the peripheral systems?

Answer: carbidopa

Choices:
A. amantadine
B. deprenyl
C. carbidopa
D. bromocriptine


Question: 27 following four cancer in children under 4 years the incidence per million population (annual incidence rate per million children) order to validity by the high and low? ① leukemia (leukemia) ② lymphoma (lymphoma) ③ brain (brain tumor) ④ neuroblastoma (neuroblastoma)

Answer: ①③④②

Choices:
A. ①②③④
B. ①③②④
C. ①③④②
D. ①②④③


Question: Tuberous sclerosis (tuberous sclerosis) the diagnosis is based, does not include which of the following?

Answer: meningioma

Choices:
A. cardiac rhabdomyoma
B. renal angiomyolipomas
C. pulmonary lymphangioleiomyomatosis
D. meningioma


Question: Calcium ion (calcium ion) is an important intracellular delivery of messages by two, following which the substance may affect intracellular calcium ion concentration?

Answer: phosphatidylinositol+phospholipase C

Choices:
A. phosphatidylcholine+phospholipase A
B. phosphatidylcholine+phospholipase C
C. phosphatidylinositol+phospholipase A
D. phosphatidylinositol+phospholipase C


Question: The following account of the appendix (appendix) of, what this bad?

Answer: Mucous layer lining (mucosa layer) of epithelium stratified squamous epithelium (stratified squamous epithelium)

Choices:
A. Starting from the cecum small blind end of the tubular diverticula (diverticulum)
B. Mucous layer lining (mucosa layer) of epithelium stratified squamous epithelium (stratified squamous epithelium)
C. There are a considerable number of lymph tissue in the submucosa (submucosa layer)
D. The muscularis externa (muscularis externa) has two rings to go away and the vertical


Question: Gastrointestinal secretions, containing bicarbonate ion (HCO3-) is the highest:

Answer: pancreatic juice

Choices:
A. Juice
B. Small intestine
C. pancreatic juice
D. bile


Question: 35 a 51 year old man in the evening two days ago that the right big toe pain, to the site of the occurrence of pain (eg Figure 1) night, the family sent him to the emergency room to emergency treatment. Joint fluid extraction examination revealed crystalline (e.g. FIG. 2). Which of the following is most appropriate treatment for this patient? Figure 1 Figure 2

Answer: Administration of anti-inflammatory painkillers

Choices:
A. Administration of anti-inflammatory painkillers
B. Intravenous injection of a large amount of steroids
C. A lot of added water
D. Administration of uric acid lowering drugs


Question: The kind of following type of headache often with Horner's syndrome symptoms (such as red eyes, tearing, nasal congestion ⋯ etc.)?

Answer: migraine headache

Choices:
A. tension headache
B. migraine headache
C. cluster headache
D. temporal arteritis


Question: Functionally independent assessment (Functional Independence Measure) comparison of the contents of both the Barthel Index (Barthel Index) with the following statements is wrong?

Answer: Barthel Index score is the highest individual score 7 points

Choices:
A. Both are with higher scores indicating greater functional independence
B. Functionally independent assessment includes communication skills and social cognitive assessment
C. Barthel Index score is the highest individual score 7 points
D. Functionally separate individual assessment in 5 minutes (inclusive) indicates that the function needs assistance


Question: 53 Lee, 65, a year ago memory was impaired, ataxia, often at night fall. Lee found the body checkups feet weakness, lower limb tendon reflexes decrease, appear Babinski sign; feet proprioception and sense of tuning fork vibration disappeared, but tingling is normal. Lee's home and no other member has symptoms like him, have no contact with any chemical solvents, never taking medicine, years ago, had undergone total gastrectomy surgery. That one of the following in the diagnosis of the most helpful?

Answer: Vitamin B12 concentration in blood examination

Choices:
A. EEG (EEG)
B. Vitamin B12 concentration in blood examination
C. Brain angiography (CT or MRI)
D. Cerebrospinal fluid examination


Question: Under normal circumstances renal tubular secretion of hydrogen ions, most of its final approach Why?

Answer: Bicarbonate reabsorption manner (HCO3-) recovered

Choices:
A. Bicarbonate reabsorption manner (HCO3-) recovered
B. Is discharged in the form of ammonium ions (NH4 +) in
C. Is discharged in the form of free hydrogen ions
D. Discharged as titratable acidity (titratable acid) of


Question: Which of the following drugs is not available for the treatment of infections vancomycin-resistant Enterococcus faecium it?

Answer: teicoplanin

Choices:
A. linezolid
B. tigecycline
C. quinupristin-dalfopristin
D. teicoplanin


Question: Which of the following describes error on perception (perception) assessment?

Answer: Hallucinations situation is not important in the assessment of perception among

Choices:
A. The clinical manifestations of abnormal perception may be an illusion (hallucination) or illusion (illusion)
B. Perception often associated with abnormal sensory systems-related, such as vision, hearing, smell, touch, etc.
C. Hallucinations situation is not important in the assessment of perception among
D. The use of cocaine (cocaine) can cause worm or ant crawling under the skin hallucinations (formication)


Question: As the patient also complained of back pain, an X-ray according to the lumbar spine, osteoarthritis found degraded, there may be spinal stenosis (Spinal stenosis) phenomenon, since the symptoms of spinal stenosis can also cause lower limb pain, both of which how are?

Answer: Spinal stenosis caused by lower back pain and posture change, whereas the pain caused by clogged arteries of the No

Choices:
A. Artery occlusion causing pain of spinal stenosis greater than the pain intensity
B. Pain caused by spinal stenosis greater than the intensity of the pain caused by blocked arteries
C. The pain caused by spinal stenosis often occurs after a long walk, and arterial obstruction caused by the NO
D. Spinal stenosis caused by lower back pain and posture change, whereas the pain caused by clogged arteries of the No


Question: Whether the pregnancy will affect the mid-luteal critical points of disagreement endometrial changes (Critical branch point), and about which of the following?

Answer: Transformation growth factor β (TGF β)

Choices:
A. Tumor necrosis factor α (TNF α)
B. Transformation growth factor β (TGF β)
C. Room interleukin -1 (IL-1)
D. Prostaglandin E2 (PGE2)


Question: After lung cancer, the most common cause of death is:

Answer: Pneumonia 併 hyperlipidemia (pneumonia with sepsis)

Choices:
A. Pneumonia 併 hyperlipidemia (pneumonia with sepsis)
B. Heart failure (heart failure)
C. Kidney failure (renal failure)
D. Liver failure (hepatic failure)


Question: The following Parkinson's disease (Parkinson's disease) clinical characterization, whichever is the least common?

Answer: l intellectual disability (mental disturbance)

Choices:
A. Trembling (tremor)
B. l stiffness (rigidity)
C. Slow movement (bradykinesia)
D. l intellectual disability (mental disturbance)


Question: About the narrative of pediatric anesthesia, whichever is the most correct?

Answer: Children must be four years old fasting eight hours after eating burgers in order to receive non-emergency surgical anesthesia

Choices:
A. After fasting drink milk as long as three hours to accept non-emergency surgical anesthesia
B. Allergic rhinitis runny nose merger control must be 4-6 weeks before receiving non-emergency surgical anesthesia
C. Children must be four years old fasting eight hours after eating burgers in order to receive non-emergency surgical anesthesia
D. A slight fever merger expectoration, still acceptable non-emergency surgical anesthesia


Question: 22-year-old college students to participate in college sports, evaluated before the game. In the lower left sternal edge of cardiac auscultation has a systolic cardiac murmur frequency (harsh systolic murmur). If you want to further analyze whether there is hypertrophic cardiomyopathy (hypertrophic cardiomyopathy), perform one of the following actions that will strengthen hear the systolic murmur?

Answer: Valsalva maneuver

Choices:
A. Sit and lean forward
B. Valsalva maneuver
C. squatting position
D. The left side lying


Question: Which of the following RNA viruses can cause congenital malformations and fetal infection serious?

Answer: German measles virus (rubella virus)

Choices:
A. Cytomegalovirus (CMV)
B. German measles virus (rubella virus)
C. Human parvovirus (parvovirus) B19
D. Varicella - zoster virus (VZV)


Question: Relevance of hyperthyroidism and thyroid-related mental illness, which of the following error?

Answer: Hyperthyroidism does not cause cognitive impairment

Choices:
A. Hyperthyroidism may be endless talk
B. Hyperthyroidism does not cause cognitive impairment
C. Hyperthyroidism may have visual hallucinations, delirium and murdered ideas
D. Although hyperthyroidism and manic different causes, but it may be similar clinical manifestations


Question: The following two figures is shown during that stretch a muscle movement?

Answer: Left iliac psoas muscle (iliopsoas muscle)

Choices:
A. Left iliac psoas muscle (iliopsoas muscle)
B. Right quadriceps muscle (quadriceps muscle)
C. After the right thigh muscle (hamstring muscle)
D. Both gastrocnemius muscle (gastrocnemius muscle)


Question: For a description of congenital glaucoma, the following statements is wrong?

Answer: Drug controlled easily with good results, it needs to trabeculotomy (trabeculotomy) surgical treatment

Choices:
A. Early symptoms of photophobia, lacrimation
B. Corneal edema is due to the Bowman's membrane rupture caused by
C. Disease, the cornea becomes large 2 years ago
D. Drug controlled easily with good results, it needs to trabeculotomy (trabeculotomy) surgical treatment


Question: Rehabilitation goals with a disability does not include which of the following?

Answer: Disabled cure

Choices:
A. The patients with functional training to a maximum limit
B. The use of aids to help solve difficult Richangshenghuo
C. Disabled cure
D. Help patients re-play its due role in society


Question: Have diabetes to insulin resistance due to a problem at the same time the need for improved treatment of edema, diuretics should not be used following what?

Answer: chlorothiazide

Choices:
A. chlorothiazide
B. acetazolamide
C. furosemide
D. spironolactone


Question: Chen, 25, two years ago began to be involuntary swinging left hand, then the right hand, face, and feet occurs involuntary movements (such as a wink, shrug, grimace, fingertips or leg raise, etc.), and finally in various parts of the body have emerged, and more and more frequent. A year ago she felt reduce memory, often wrong. Her mother also appeared similar symptoms at the age of 48, committed suicide at the age of 55. Chen's body physical examination is normal, but its intelligence and reduce irritability. She most likely diagnosis is:

Answer: Huntington's disease (Huntington chorea)

Choices:
A. Huntington's disease (Huntington chorea)
B. Xideng Han's disease (Sydenham chorea)
C. High Hyperthyroidism chorea
D. Stroke of half chorea


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

Answer: Human papillomavirus infection (HPV infection)

Choices:
A. diabetes
B. Delayed menopause
C. obesity
D. Human papillomavirus infection (HPV infection)


Question: Which of the following major fungal infection route is not inhalation infection?

Answer: Candida glabrata

Choices:
A. Coccidioides immitis
B. Candida glabrata
C. Histoplasma capsulatum
D. Blastomyces dermatitidis


Question: Mechanisms of action are useful for treating pulmonary hypertension (pulmonary hypertension) drug transfer, not including which of the following?

Answer: calcitonin gene-related peptide（CGRP）antagonist

Choices:
A. endothelin antagonist
B. phosphodiesterase E5 inhibitor
C. soluble guanylyl cyclase activator
D. calcitonin gene-related peptide（CGRP）antagonist


Question: Cytological examination of a patient conjunctiva, found basophilic inclusion bodies (basophilic inclusion bodies) within the cytoplasm of cells scraped the conjunctiva, the patient most likely suffers from what disease?

Answer: Trachoma (Trachoma)

Choices:
A. Trachoma (Trachoma)
B. Gonococcal conjunctivitis (Gonococcal conjunctivitis)
C. Vernal keratoconjunctivitis (Vernal keratoconjunctivitis)
D. Huge papillary conjunctivitis (Giant papillary conjunctivitis)


Question: 77 A 60-year-old woman with acute abdominal pain to the emergency medical treatment. Complained of intermittent abdominal pain since four days before the start, will increase after eating, there was a slight sense of nausea, no change in bowel habits. Abdominal pain intensified and sustained the day before, accompanied by a slight fever, body temperature of 37.9 ℃. Physical examination and found the right upper quadrant abdominal (epigastric) tenderness, no rebound pain (rebounding pain). Blood examination revealed leukocytes to 18000 / mm3, hemoglobin of 13.4 g / dL, AST to 55 U / L, ALT was 60 U / L, Total bilirubin of 6.5 mg / dL, Amylase was 256 U / L, C-reactive protein ( CRP) was 5.8 mg / dL. Which of the following do you think can best help further the differential diagnosis?

Answer: Ultrasound (sonography)

Choices:
A. Physical examination whether Murphy's sign
B. Direct bilirubin (Direct bilirubin)
C. Abdominal X-ray (KUB)
D. Ultrasound (sonography)


Question: Ptosis patients (ptosis), which of the following is most likely due to the damage caused?

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. External rotation nerve (abducent nerve)
B. Trochlear nerve (trochlear nerve)
C. The optic nerve (optic nerve)
D. Oculomotor nerve (oculomotor nerve)


Question: is an antibiotic puromycin (Antibiotics), the bacteria can inhibit protein synthesis, since it can:

Answer: Occupy the position of the start codon of the mRNA

Choices:
A. Inhibition of the bacterial ribosome binding to the mRNA
B. Occupy the position of the start codon of the mRNA
C. Promote the decomposition of the ribosome
D. A site binding of ribosome, peptide bond destruction of raw synthesis


Question: 9417-year-old male diagnosed with left ventricular myocardial thickening, abnormal diastolic filling (diastolic filling) and left ventricular outflow obstruction intermittent (intermittent outflow obstruction), this patient most likely heart disease are:

Answer: Hypertrophic cardiomyopathy (Hypertrophic cardiomyopathy)

Choices:
A. Amyloid disease (Amyloidosis)
B. Hypertrophic cardiomyopathy (Hypertrophic cardiomyopathy)
C. Dilated cardiomyopathy (Dilated cardiomyopathy)
D. Loeffler's heart panniculus cardiomyopathies (Loeffler's endomyocardial disease)


Question: Mainly vertical linear acceleration sensed by whichever?

Answer: Balloon (saccule)

Choices:
A. Horizontal semicircular canal
B. Semicircular canal
C. Utricle (utricle)
D. Balloon (saccule)


Question: Description of risk factors related to breast cancer, which of the following error?

Answer: Personal or family history of cervical disease Shi Youzai who suffer from a higher risk

Choices:
A. Mother or sister who suffered from breast cancer, the risk of suffering from high
B. Personal or family history of cervical disease Shi Youzai who suffer from a higher risk
C. Have a family history or personal history of ovarian cancer who suffer from a higher risk
D. Higher risk by the early morning or late menopause who suffer


Question: Account of amyloid deposition disease (amyloidosis), and Which statement is correct?

Answer: Amyloid deposition medullary thyroid carcinomas (medullary thyroid cancer) caused mainly due to associate the resulting cancer calcitonin (Calcitonin) induced

Choices:
A. Azihaimo disease (Alzheimer disease) deposition of amyloid, mainly genus AA (amyloid-associated) type amyloid white
B. Amyloid deposition medullary thyroid carcinomas (medullary thyroid cancer) caused mainly due to associate the resulting cancer calcitonin (Calcitonin) induced
C. Congo Red (Congo red) Use only suitable transfer color to diagnose the associated light chain egg white amyloid deposition disease, can not detect amyloid deposition in a non-primary
D. [Alpha] CROSS fold (crossed α-pleated) structure is the reason for Congo red positive transfer color


Question: Child with a virus causes fever reactions, fever drugs of choice should be which of the following?

Answer: acetaminophen

Choices:
A. aspirin
B. acetaminophen
C. etodolac
D. celecoxib


Question: 40 year old female patient complained of gradually decreased visual acuity months, receiving magnetic resonance angiography, and after picture shows the injection of the developer fat suppressed T1-weighted image processing, indicated by arrows in FIG lesions are most likely to:

Answer: Optic nerve sheath (optic nerve sheath meningioma)

Choices:
A. Optic nerve glioma (optic nerve glioma)
B. Optic nerve sheath (optic nerve sheath meningioma)
C. Optic neuritis (optic neuritis)
D. Orbital pseudotumor (orbital pseudotumor)


Question: Which of the following line with international trends in health insurance?

Answer: Emphasis on primary care and health promotion

Choices:
A. Limited to avoid illness and poor
B. Toward commercialization and capitalization
C. Mitigate the rising cost of control
D. Emphasis on primary care and health promotion


Question: The following items can not know what a simple semen (semen analysis)?

Answer: Sperm penetration (sperm penetration)

Choices:
A. Sperm motility (sperm motility)
B. Sperm concentration (sperm concentration)
C. Normal appearance ratio sperm (sperm morphology)
D. Sperm penetration (sperm penetration)


Question: That the following description does not apply to most of the carcinogen risk assessment?

Answer: Suppose there exists a threshold dose response

Choices:
A. Suppose there exists a threshold dose response
B. Uncertainty analysis conducted
C. Consider the status of long-term exposure
D. Using the slope factor calculated risk of cancer


Question: The following statements about Paget disease of the breast, what's wrong?

Answer: Original lesion in the areola

Choices:
A. The method of generating a breast cancer (intraductal carcinoma) within the breast duct
B. Original lesion in the areola
C. Areola and nipple skin was eczema (eczematous eruption) or bovine rash (psoriatic rash)
D. Require biopsies to identify the diagnosis of skin lesions


Question: A hypochondriac M, due to recent investment losses, deterioration, resulting in psychotic symptoms, hospitalization. At discharge to improve the condition, M hopes to benefit by the disabled to improve their economic situation, thus requiring the attending physician for their conduct when P disability identification, write serious the situation a little. In this case, P is the two encounter a conflict of ethical principles?

Answer: The principles of justice and the principle of beneficence

Choices:
A. Respect for the principle of autonomy and the principle of do no harm
B. The principles of justice and the principle of do no harm
C. The principles of justice and the principle of beneficence
D. Respect for the principle of autonomy and the principle of beneficence


Question: The following account of the simple type heat cramps (simple febrile seizure) of, what's wrong?

Answer: Even normal neurological physical examination, normal still significantly increased mortality

Choices:
A. To the hair before the age of easy recurrence
B. Whether mental retardation nothing to do with the future
C. Whether there is abnormal behavior has nothing to do with the future
D. Even normal neurological physical examination, normal still significantly increased mortality


Question: The following pigmented lesions whichever occurs often in middle age?

Answer: nevus of Hori（bilateral nevus of Ota-like macules）

Choices:
A. nevus of Ota（nevus fuscocaeruleus ophthalmomaxillaris）
B. ephelides（freckle）
C. mongolian spot
D. nevus of Hori（bilateral nevus of Ota-like macules）


Question: When a child suffering from a headache, which of the following situations occur, need to do most neuroimaging?

Answer: There are local abnormal neurological signs (Focal neurological sign)

Choices:
A. Headache lasting more than one hour
B. Fever
C. There are local abnormal neurological signs (Focal neurological sign)
D. Migraine (Migraine) family history


Question: On small hepatocellular carcinoma (small hepatocellular carcinoma) in patients with blood check, which of the following correct?

Answer: About one-third of patients AFP (alpha fetoprotein, alfa-fetoprotein) normal

Choices:
A. AFP (alpha fetal protein, alfa-fetoprotein) must be greater than 320 ng / mL
B. About one-third of patients AFP (alpha fetoprotein, alfa-fetoprotein) normal
C. Liver inflammation index (AST, ALT) certain normal
D. AFP (alpha fetoprotein, alfa-fetoprotein) certain normal


Question: Vasodilation, edema, fibrin (fibrin) appears, is characterized by the following terms of what?

Answer: Acute inflammation

Choices:
A. Acute inflammation
B. Chronic inflammation
C. Dry gangrene
D. Granulomatous inflammation


Question: 13. concerning the diagnosis and treatment of autoimmune hepatitis (autoimmune hepatitis, AIH), according to scores of recommendations International Autoimmune Hepatitis Group, Which of the following error?

Answer: Genetic background, the occurrence of AIH with HLA-A2 and related DR6

Choices:
A. Autologous need to exclude the diagnosis of common liver disease before autoimmune hepatitis, including viral hepatitis
B. The effect of immunosuppressive therapy in patients is one of scores of projects diagnosis of autoimmune hepatitis
C. antinuclear antibody (ANA) is the most important common immunological parameters
D. Genetic background, the occurrence of AIH with HLA-A2 and related DR6


Question: 40.24 year-old female, blood examination data to the employees health check as follows (in parentheses are the normal reference values): RBC 4.08 M / μL (3.78 ~ 4.99), Hb 0 g / dL (10.8 ~ 14.9), Hct 37.2% (35.6 ~ 45.4), MCV 91.2 fL (80 ~ 100), MCH 29.4 pg (26 ~ 34), MCHC 32.3 g / dL (31 ~ 37), PLT 606 k / μL (150 ~ 361), WBC 171.25 k / μL (3.54 ~ 9.06), blood cell classification:

Answer: Peripheral blood cell immunophenotyping check (immunophenotyping)

Choices:
A. Chromosome analysis of bone marrow cells
B. Peripheral blood BCR / ABL1 gene qualitative assay
C. Leukocyte LAP score
D. Peripheral blood cell immunophenotyping check (immunophenotyping)


Question: A 35-year-old woman, complained that long-term pelvic pain, infertility attendances three years of marriage, photography hysterosalpingography (HSG) see bilateral tubal obstruction. The following statements is most accurate?

Answer: Over the past number of pelvic inflammatory disease and may be related to the severity of bone

Choices:
A. Over the past number of pelvic inflammatory disease and may be related to the severity of bone
B. A more detailed examination of the uterus HSG
C. Chlamydia antibodies in the serum of patients will not increase
D. This patient should be considered within the uterine cavity insemination (IUI)


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

Answer: statin drugs cause similar performance polymyositis

Choices:
A. statin drugs cause similar performance polymyositis
B. In the zoomed to 50-year-old muscle ⾁ inflammatory lesions (inflammatory myopathies) patients, polymyositis are the most common diagnosis ⾒
C. Arthrogryposis (joint contractures) often occur in polymyositis ⽣
D. ⽪ the calcification (subcutaneous calcifications) often occur in polymyositis ⽣


Question: ⼀ 72-year-old male with a prolapsed hemorrhoids repeated nature of (hemorrhoid prolapse), but refused to accept the watch for the treatment, the surgeon then referral psychiatric Center Weighted Chilean state assessment to note psychiatry point of view, psychiatrists and talks focused on the patient, which of the following should not be included?

Answer: Inform your watch necessity and the success rate of surgery

Choices:
A. Postoperative evaluation of patients or their families can care has been taken care of
B. Chilean state for evaluation of patients with Center Weighted pros and cons of surgery and the watch to understand the extent of sequelae
C. Inform your watch necessity and the success rate of surgery
D. Case refused to understand the whole story of the watch surgery


Question: Sjögren's syndrome patients with a tumor that is most likely to occur?

Answer: non-Hodgkin's lymphoma

Choices:
A. thymoma
B. small cell carcinoma of lung
C. renal cell carcinoma
D. non-Hodgkin's lymphoma


Question: The following statements is true?

Answer: Absorption rate of the drug affected by the pH value and the pKa value of a drug absorption site

Choices:
A. Drugs need ionic dissociation patterns more easily absorbed through the cell membrane
B. Drug dissociated soluble in lipid and protein binding
C. The use of acidic drugs NaHCO3 alkaline urine, will promote the drug in the renal tubular re-absorption
D. Absorption rate of the drug affected by the pH value and the pKa value of a drug absorption site


Question: The following statements is about the enzyme receptor (receptor enzyme) is correct?

Answer: Having enzyme activity by mass (Substrate) cytoplasmic

Choices:
A. Usually not membrane protein
B. Having enzyme activity by mass (Substrate) cytoplasmic
C. Having enzyme activity of extracellular ligand (ligand)
D. By having a mass (Substrate) binding site in the extracellular


Question: Which of the following does not constitute an edge arm quadrangular space (quadrangular space) of?

Answer: Small rhomboid muscle (rhomboid minor)

Choices:
A. Small rhomboid muscle (rhomboid minor)
B. Humerus (humerus)
C. Teres major (teres major)
D. Long head of the triceps (long head of triceps brachii)


Question: One of the children aged two months on suspicion of developmental delay have been brought for treatment. When physical examination if one of the following reflection that there is still considered to be a normal reflex?

Answer: Lando reflection (Landau reflex)

Choices:
A. Startle reflex (Moro reflex)
B. Lando reflection (Landau reflex)
C. Zhang force reflector neck (tonic neck reflex)
D. The reaction palm grip (palmar grasp)


Question:
79.30-year-old male patient, diagnosed with intracranial hemorrhage after treatment of patients is still confusion, the condition is not optimistic, considering the families of orthodox Western medicine efficacy stagnant, so there is the opportunity to find other ways to improve the condition. Because patients are devout folk religion, the gods after referrals to health care requirements
 Fushui gavage, in this case, following the disposal of what are the most appropriate?

Answer: Family health care workers may require affidavit executed, allowing self-fed family

Choices:
A. Health care workers should be unconditional assistance force-fed
B. Health care workers should be prohibited force-feeding their families on their own
C. Staff guidance on how family members should take the initiative force-fed
D. Family health care workers may require affidavit executed, allowing self-fed family


Question: For a description of purpura nephritis (Henoch-Schönlein purpura nephritis), and which of the following error?

Answer: Sick children allergic purpura (ITP) in most of them will become chronic nephritis

Choices:
A. Sick children allergic purpura (ITP) in some patients appear hematuria, proteinuria
B. Sick children allergic purpura (ITP) in most of them will become chronic nephritis
C. Purpura nephritis most often occurs in the pathogenesis of allergic purpura 3 months
D. In terms of pure purpura nephritis microscopic hematuria (isolated microscopic hematuria) performers, best prognosis


Question: About infantile hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis), the following statements is this bad?

Answer: An average disease in two weeks after birth

Choices:
A. An average disease in two weeks after birth
B. Little or no vomit bile bile
C. Surgical treatment for pyloric sphincter incision (pyloromyotomy)
D. Good prognosis


Question: Statements about the role of the intravenous anesthetic thiopental, which of the following error?

Answer: Adult dose administered 2.5 mg / kg with a good analgesic effect

Choices:
A. Low-dose effect is sedation, hypnosis up to the role of high-dose
B. Adult dose administered 2.5 mg / kg with a good analgesic effect
C. For patients with traumatic brain injury, intracranial pressure may be reduced, having a neuroprotective
D. Alkaline formulation, to be isotonic sodium chloride, Ringer's lactate formulations do not use


Question: Which of the following food intake of the human body, caused by the respiratory quotient (respiratory quotient) the highest?

Answer: Containing only carbohydrates food

Choices:
A. Containing only carbohydrates food
B. The only food containing fat
C. The only food containing protein
D. Mixed foods containing carbohydrates, fat, protein of


Question: Laser puncture the iris (laser iridotomy) that apply to the following types of glaucoma?

Answer: Blocking the pupil (pupillary block) of the angle-closure glaucoma

Choices:
A. Blocking the pupil (pupillary block) of the angle-closure glaucoma
B. Open corner glaucoma
C. Use of steroids led to the renewal of glaucoma
D. Any type of glaucoma apply


Question: 74 a 98-year-old woman, suffering from degenerative arthritis and lame in the past three years, sleep patterns change, often day and night reversed. The most recent year memory loss, beginning not remember names. Reduce appetite and weight loss phenomenon, recently more severe, then also become less, not express belly hungry or going to the toilet, and compare sleepiness, less urine and the color is dark yellow. That one of the following disposal more appropriate for this patient?

Answer: Comprehensive assessment of elderly

Choices:
A. Comprehensive assessment of elderly
B. EEG examination
C. Check the cancer tumor markers
D. Upper gastrointestinal


Question: 73. One 38 year-old man for treatment of sexual dysfunction, blood test results, testosterone concentration was 1.5 ng / mL (normal is 3 ~ 8 ng / mL), prolactin concentration of 150 ng / mL (normal adult male <20 ng / mL). Which of the following is least likely to cause cause of this sexual dysfunction?

Answer: Cryptorchidism (cryptorchidism)

Choices:
A. Inhibition of dopamine secretion of drugs administered
B. Gland in the brain (pituitary gland) a tumor
C. Hypothalamus (hypothalamus) near the Commissioner glandular (pituitary gland) at brain tumor
D. Cryptorchidism (cryptorchidism)


Question: Following what kind of health insurance payment system, physicians are less likely to induce mild screening patients?

Answer: On the amount of capitation

Choices:
A. On the quality of capitation
B. On the amount of capitation
C. Capitation
D. In case payment


Question: The following related adrenal gland (adrenal gland) arterial supply, whichever is correct?

Answer: By the kidney artery (renal artery), the abdominal aorta (abdominal aorta) and inferior phrenic artery (inferior phrenic artery) of the three branches of supply

Choices:
A. Entirely supplied by a branch of the renal artery (renal artery) of
B. Entirely supplied by branches of the abdominal aorta (abdominal aorta) of
C. Branch supplied entirely by renal artery (renal artery) and abdominal aorta (abdominal aorta) of
D. By the kidney artery (renal artery), the abdominal aorta (abdominal aorta) and inferior phrenic artery (inferior phrenic artery) of the three branches of supply


Question: A 7-day-old newborn has cyanosis, physical examination hear the first heart sound split second heart sound, the left sternal line appears the third time systolic heart murmur. Chest X-ray display case with an enlarged heart, the ECG display partial enlarged mandrel and the right atrium and right. This diagnosis of newborns are more likely to be:

Answer: Yibositan abnormalities (Ebstein anomaly)

Choices:
A. Coarctation of the aorta (Coarctation of aorta)
B. Hypoplastic left heart syndrome (Hypoplastic left heart syndrome)
C. Tetralogy of Fallot (Tetralogy of Fallot)
D. Yibositan abnormalities (Ebstein anomaly)


Question: The following narrative about acute liver failure patients with severe care of the disposal, what's wrong?

Answer: Hypernatremia (> 150 mmol / L) as a liver of Tabu

Choices:
A. European countries most common cause of liver toxicity caused by acetaminophen
B. Antibiotic prophylaxis has been shown to be effective in reducing infection rates
C. Cerebral edema and increased intracranial pressure, is an indicator of poor prognosis
D. Hypernatremia (> 150 mmol / L) as a liver of Tabu


Question: The following is how to construct a shallow concave perineum (superficial perineal pouch) upper bound?

Answer: Film perineum (perineal membrane)

Choices:
A. Levator ani fascia (fascia of the levator ani muscle)
B. Film perineum (perineal membrane)
C. Superficial perineal fascia (superficial perineal fascia)
D. Bulbospongiosus fascia (fascia of the ischiocavernosus muscle)


Question: Female lung cancer the most common type of organization to which of the following?

Answer: Adenocarcinoma

Choices:
A. Adenocarcinoma
B. Like squamous cell carcinoma
C. Small cell carcinoma
D. Large cell carcinoma


Question: 10-day-old neonatal irritability, loss of appetite and fever phenomenon. Lumbar puncture found that many polymorphonuclear leukocytes, cerebrospinal fluid, most likely cultivate E. coli or which of the following?

Answer: group B Streptococcus

Choices:
A. Listeria monocytogenes
B. group B Streptococcus
C. Haemophilus influenzae
D. Neisseria meningitidis


Question: About the narrative of the succimer, Which statement is correct?

Answer: Blood can be used for the treatment of high lead concentration in children

Choices:
A. 又名 DMPS（dimercaptopropanesulfornic acid）
B. To intramuscular injection
C. Blood can be used for the treatment of high lead concentration in children
D. There will be side effects of high blood pressure


Question: Digestive tract, which of the following has the strongest cytoplasmic eosinophilic (eosinophilic)?

Answer: Cell wall (parietal cell)

Choices:
A. Enteroendocrine cells (enteroendocrine cell)
B. Cervical mucus cells (mucous neck cell)
C. Primary cells (chief cell)
D. Cell wall (parietal cell)


Question: Astigmatic lenses described + 2.0D sph with cyl -3.0D ax 90 ° is equivalent to which of the following?

Answer: -1.0D sph with cyl + 3.0D ax 180°

Choices:
A. -2.0D sph with cyl + 3.0D ax 180°
B. -2.0D sph with cyl - 3.0D ax 90°
C. -1.0D sph with cyl + 3.0D ax 180°
D. -1.0D sph with cyl - 3.0D ax 90°


Question: Which of the following parasite infection can cause cutaneous larva migrans (cutaneous larva migrans)?

Answer: 犬鉤蟲（Ancylostoma caninum）

Choices:
A. Canine heartworm (Dirofilaria immitis)
B. 犬鉤蟲（Ancylostoma caninum）
C. Dog roundworm (Toxocara canis)
D. C. hepatica (Capillaria hepatica)


Question: 14 year-old girl and treatment of short stature, physical examination showed Height 132 cm (below the third percentile), the appearance shown in FIG. That one of the following examination to establish the diagnosis of most did not help?

Answer: Growth hormone stimulation test (Growth hormone stimulation test)

Choices:
A. Chromosome
B. Follicle stimulating hormone (FSH), luteinizing stimulating hormone (LH), estradiol (estradiol)
C. Hone齡 (Bone age)
D. Growth hormone stimulation test (Growth hormone stimulation test)


Question: A middle-aged man after many years engaged in physical labor, complained of back pain and lower limb muscle weakness on one side. Following that loss of muscle function, can confirm that the first recommended injured nerve (S1 spinal nerve), rather than the sciatic nerve injury?

Answer: Gluteus maximus

Choices:
A. Biceps femoris
B. Gastrocnemius
C. Gluteus maximus
D. Tibialis anterior muscle


Question: Which of the following factors may be secreted to reduce acid production?

Answer: somatostatin

Choices:
A. acetylcholine
B. somatostatin
C. gastrin
D. histamine


Question: Which of the following minimal effect on platelet function?

Answer: heparin

Choices:
A. heparin
B. aspirin
C. uremia
D. von Willebrand disease


Question: Laparoscopic cholecystectomy (laparoscopic cholecystectomy) is performed, in order to prevent bile duct injury (bile duct injury), that one of the following will not turn into a laparoscopic surgery to open surgery (convert to open) the main factors?

Answer: Gangrenous gallbladder (gallbladder gangrene)

Choices:
A. Progression-free surgical procedure (operation is not progressing)
B. Unclear anatomy (anatomy in doubt)
C. Biliary photography can not clearly show the anatomy (cholangiogram does not clearly define anatomy)
D. Gangrenous gallbladder (gallbladder gangrene)


Question: When the sky off hernia (tentorial herniation), which structure most likely to fall into the sky notch (tentorial notch)?

Answer: Temporal lobe (temporal lobe)

Choices:
A. 間腦（diencephalon）
B. Temporal lobe (temporal lobe)
C. Olfactory bulb (olfactory bulb)
D. Pituitary gland (pituitary gland)


Question: Face 75-year-old male disease, because over the years when there is movement difficulty breathing phenomenon, to come to the hospital. Treatment when no fever, chest upwards body checkups found with both hands clubbing (clubbing fingers), can be heard at both lung fields with fine La Rec (fine crackles) and auscultation time, following which the disease is the most likely diagnosis ?

Answer: Pulmonary fibrosis

Choices:
A. Pulmonary fibrosis
B. Water resistant pulmonary edema
C. pneumonia
D. Lung cancer


Question: Sperm capacitation to the role (decapacitation) in where?

Answer: Epididymis tube (epididymis)

Choices:
A. Seminiferous tubule (seminiferous tubule)
B. Epididymis tube (epididymis)
C. Fallopian tube (oviduct)
D. Vas deferens (ductus deferens)


Question: A child, due to chronic diarrhea, flatulence, fatty stools, malabsorption and other symptoms seek medical treatment, nutrition has detected two nuclei in their feces, the parasite infection is he most likely to:

Answer: Giardia lamblia (Giardia lamblia)

Choices:
A. Dual-core amoeba (Dientamoeba fragilis)
B. Giardia lamblia (Giardia lamblia)
C. E. ciliates (Balantiduim coli)
D. People trichomoniasis (Trichomonas hominis)


Question: The reason the nerve cells called neurons red (red neurons) because:

Answer: In acute injury caused by ischemia and hypoxia

Choices:
A. Blood ferrite
B. Containing pigment consumption
C. In acute injury caused by ischemia and hypoxia
D. Necrosis after calcium deposits


Question: Account of primary pneumothorax (primary pneumothorax), and what's wrong?

Answer: Insert a chest tube is absolutely necessary

Choices:
A. Diagnosis by medical history, physical examination and X-ray determination
B. CT routine does not need
C. Pneumothorax chronic obstructive pulmonary disease (COPD) is caused by the renewal of (Secondary) pneumothorax
D. Insert a chest tube is absolutely necessary


Question: In anesthesia, which of the following approaches to sustainable and effective sensing whether a patient hypoxia?

Answer: Pulse oximeter (pulse oxymetry)

Choices:
A. Monitoring of inspired oxygen concentration
B. Observation of the patient's skin color
C. Pulse oximeter (pulse oxymetry)
D. Arterial blood oxygen analysis


Question: Functional rehabilitation field of medical evaluation, the following best irrelevant?

Answer: Patients with liver and kidney function

Choices:
A. Life of the patient self-care functions
B. Patients with liver and kidney function
C. Before the onset of walking ability
D. Torso and limbs of muscle strength


Question: Dysfunctional uterine bleeding (dysfunctional uterine bleeding) The most common machine transfer Why?

Answer: Anovulatory cycle (anovulatory cycle)

Choices:
A. Follicular phase is too short (short follicular phase)
B. Luteal phase (inadequate luteal phase)
C. Anovulatory cycle (anovulatory cycle)
D. Exogenous progesterone (exogenous progesterone)


Question: A 72-year-old male, in recent days complained of headaches, dizziness, ataxia, limb weakness on the left side, according to CT findings (arrow indicates where the lesion), its diagnosis is:

Answer: Chronic subdural hematoma (chronic subdural hematoma)

Choices:
A. Chronic subdural hematoma (chronic subdural hematoma)
B. Hemorrhagic stroke
C. Infarct stroke
D. Meningioma (meningioma)


Question: 30 a 21 year old man years to polyuria and nocturia clinic, blood examination revealed: sodium 158 mmol / L, potassium 3.7 mmol / L, chloride 124 mmol / L, urine examination revealed sodium 12 mmol / L, K 6 mmol / L, creatinine 32 mg / dL, permeability of 60 mosm / kg H2O, desmopressin (DDAVP) tested was found to increase urine osmolality 500 mosm / kg H2O, the following statements is true?

Answer: Patients of central diabetes insipidus

Choices:
A. Patients as primary polydipsia
B. Patients with nephrogenic diabetes insipidus
C. Patients of central diabetes insipidus
D. Disease patients to osmotic diuresis (osmotic diuresis)


Question: A 3-year-old girl vomiting, unconsciousness and convulsions and other symptoms of acute cerebrovascular disease (acute encephalopathy) is sent to the emergency room, examination revealed metabolic acidosis (metabolic acidosis) merger hypoglycemia, abnormal liver function and blood ammonia high values (about three times the normal maximum value), taking her medical history is unknown, the following diseases or conditions whichever is least likely?

Answer: Acyl ornithine carbamoyl transferase deficiency (ornithine transcarbamylase deficiency)

Choices:
A. Taking aspirin and cold
B. Medium-chain fatty acid oxidation abnormality (medium-chain fatty acid oxidation defect)
C. Acyl ornithine carbamoyl transferase deficiency (ornithine transcarbamylase deficiency)
D. Primary systemic carnitine deficiency (primary systemic carnitine deficiency)


Question: Use of oral contraceptives absolute contraindications are:

Answer: Thrombophlebitis

Choices:
A. Pelvic inflammation
B. Thrombophlebitis
C. Drinking habit
D. Menstrual cycle were not allowed


Question: A 70-year-old male patient complained of difficulty swallowing, his teeth locked (trismus), physical examination, neck stiffness, after hospitalization, appears straight spasms (orthotonos), opisthotonus (opisthotonos), generalized convulsions (generalized convulsions), the most appropriate initial examination why?

Answer: Check the body or limbs, there is no wound

Choices:
A. Measured alcohol concentration
B. Urine drug test reaction
C. Check the body or limbs, there is no wound
D. 測 VDRL


Question: Currently modern mental health, following which treatment is administered to patients with schizophrenia least?

Answer: Frontal cut open surgery (Frontal lobotomy)

Choices:
A. Dopamine receptor antagonist (Dopamine receptor antagonist)
B. Frontal cut open surgery (Frontal lobotomy)
C. Group Psychotherapy (Group psychotherapy)
D. Occupational Therapy (Vocational therapy)


Question: 59. According to history, answer the following two questions

Answer: CJD (Creutzfeldt-Jakob disease)

Choices:
A. Pick's disease (Pick disease)
B. Lewy body disease (dementia with Lewy bodies)
C. Ezihaimo disease (Alzheimer disease)
D. CJD (Creutzfeldt-Jakob disease)


Question: Congestive heart failure (congestive heart failure) patients associated with pulmonary edema (pulmonary edema), the following statements is wrong?

Answer: After lying down can alleviate the symptoms

Choices:
A. Pulmonary capillary pressure increases
B. Jugular venous pressure increased
C. After lying down can alleviate the symptoms
D. Will affect the alveolar gas exchange in severe


Question: From the previous question, if you are diagnosed with enteric fever, then the following statements is true?

Answer: In addition to blood culture, this time should be considered in the bone marrow and stool culture

Choices:
A. Widal test this with good sensitivity and specificity
B. Mr. Gu Although the incidence of nearly three weeks, but because of the above clinical symptoms, blood culture positive rate is still 90%
C. In addition to blood culture, this time should be considered in the bone marrow and stool culture
D. Most disease is self-limited, over ninety percent of patients can be cured without drugs


Question: Surgical hysteroscope is not available for treatment of the following symptoms are what?

Answer: Repeated IVF failures

Choices:
A. Submucosal uterine fibroids
B. Repeated IVF failures
C. Uterine septum
D. Women approaching menopause, the normal uterus but menorrhagia


Question: Statements about the colorectal cancer screening methods, Which statement is correct?

Answer: Less than 10% of colorectal cancer can be touched by Dre

Choices:
A. Fecal occult blood reaction specificity of up to about 80-90%
B. Less than 10% of colorectal cancer can be touched by Dre
C. Sigmoidoscopy (a sigmoidoscope) found over 90% of colorectal cancer
D. Colonoscopy (colonoscope) to find small polyps sensitivity of up to 95%


Question: One 85-year-old diabetic patient, too cerebral vascular accident (cerebral vascular accident, CVA) occurs, and recently coronary artery disease (coronary artery disease) and is often angina (angina pectoris), he uremia (uremia) require long-term dialysis, One method that is safest for him?

Answer: Continuously movable peritoneal dialysis (continuous ambulatory peritoneal dialysis)

Choices:
A. Hemodialysis (Hemodialysis)
B. Continuously movable peritoneal dialysis (continuous ambulatory peritoneal dialysis)
C. Blood perfusion (hemoperfusion)
D. Continuous arteriovenous hemofiltration method (continuous arterio-venous hemofiltration)


Question: Although some lymphocytes with low affinity molecules can be recognized self-antigen or autoantigen very similar, but it is possible to escape from the immune system tolerance machine body (self-tolerance) in turn can exist. What is the nature of these lymphocytes?

Answer: Generally does not produce an autoimmune reaction, only in special circumstances, such as will be activated when severe infection

Choices:
A. Generally does not produce an autoimmune reaction, only in special circumstances, such as will be activated when severe infection
B. Usually recycled to the thymus is removed, and therefore does not cause autoimmune disease
C. Biasing action will accept cytokines (cytokine deviation) disappear from in vivo
D. Regulation by AIRE (autoimmune regulator) gene caused the destruction of pancreatic islet cells (islet cells) of


Question: When two Hyperthyroidism caused to right, severe diplopia, two parallel image; the left as viewed, no diplopia. Which of the following most likely to be violated?

Answer: Right lateral rectus

Choices:
A. Right medial rectus
B. Right lateral rectus
C. Upper right rectus
D. Lower right rectus


Question: A 28-year-old women were infertile egg retrieval operation 6 days ago, 20 eggs were taken after 2 days implantation of three embryos. Today I come to the emergency, complained of breathing difficulties, nausea and bloating. Ultrasound detection of ovarian swelling of about 6 cm sides, a large number of ascites. That one of the following disposal are less suitable?

Answer: Blood test CA125, CEA, CA199

Choices:
A. Blood test CA125, CEA, CA199
B. Blood test CBC, electrolytes, GPT
C. LT), BUN, Creatinine
D. Pumping ascites


Question: Surgery related to cervical degenerative disease of the narrative, which of the following error?

Answer: The elderly to accept the rear side of the arch resection, in the future it is easy to produce deformed spine kyphosis

Choices:
A. Cervical spinal cord lesions (cervical myelopathy) produce symptoms that required surgery
B. Acute nerve root compression can be the first conservative treatment
C. The elderly to accept the rear side of the arch resection, in the future it is easy to produce deformed spine kyphosis
D. Cervical before surgery may hurt the recurrent laryngeal nerve


Question: Which of the following derivatives ⽣ Auto notochord (notochord)?

Answer: Nucleus (nucleus pulposus)

Choices:
A. Vertebral body (body of vertebra)
B. Nucleus (nucleus pulposus)
C. Fibrous ring (anulus fibrosus)
D. Vertebral ⼸ (vertebral arch)


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

Answer: After activation reaction can produce oxygen metabolites (reactive oxygen intermediates) and nitric oxide (NO)

Choices:
A. After activation reaction can produce oxygen metabolites (reactive oxygen intermediates) and nitric oxide (NO)
B. After activation can cause specific for toxic effects on pathogen (specific) of
C. Endogenous antigen presenting mainly compatible antigen (MHC class II) in the second type main cause tissue T cell activation
D. After activation produces cytokines, such as IL-4, etc.


Question: Baby in a large serum for 3 months, the higher the concentration of phenylalanine (Phenylalanine) and phenylketonuria (phenylpyruvate) a. If PKU (phenylketonuria), most likely to re-emerge following the inspection data?

Answer: Phenylalanine hydroxylase (Phenylalanine hydroxylase) activity is decreased

Choices:
A. Phenylalanine hydroxylase (Phenylalanine hydroxylase) activity is decreased
B. Black serum uric acid (Homogentisic acid) high concentrations
C. Vitamin B12 concentrations in serum low
D. Vitamin B6 concentration in serum low


Question: 21 A 50-year-old man complained of weight loss, laboratory tests found lower serum albumin, and on endoscopic examination revealed gastric body folds (folds) thicker, it is most suitable for the diagnosis:

Answer: Ménétrier's disease

Choices:
A. Eosinophilic gastritis (eosinophilic gastritis)
B. Ménétrier's disease
C. Stomach cancer (gastric cancer)
D. Zollinger-Ellison syndrome


Question: He is 80 years old, suffering from high blood pressure, diabetes, prostate hypertrophy many years, the rules in the hospital, taking a total of six drugs of different frequencies. Often due to a cold, dizziness, fatigue or edema and other uncomfortable symptoms to clinics, and self-disabling chronic medication had to take it. Principles concerning the elderly medication following, whichever is correct?

Answer: This and other cases of dizziness, fatigue or edema symptoms may be related to long-term use of drugs

Choices:
A. This case had chronic disabling of taking drugs is correct, because it is easy drug interactions
B. This case taking time, the number of times without integration
C. This case no multiple drug problem
D. This and other cases of dizziness, fatigue or edema symptoms may be related to long-term use of drugs


Question: Pituitary tumor compression of the optic chiasm (optic chiasma), which most of the following symptoms may occur?

Answer: Hemianopia temporal binocular field of view (bitemporal hemianopia)

Choices:
A. Monocular vision blind
B. Hemianopia temporal binocular field of view (bitemporal hemianopia)
C. Hemianopia contra eyes (homonymous hemianopia)
D. Hemianopia contra eyes, but the field of view macular retention (homonymous hemianopia with macula sparing)


Question: First women 27 years old, 35 weeks of pregnancy, the delivery room to the doctor complaining of vaginal bleeding and abdominal pain, blood pressure 96/58 mmHg, urine protein-free reaction, abdominal ultrasound unremarkable, because fetal heart monitor (tococardiography) exhibits delayed fetal heart rate deceleration (late deceleration) phenomenon, administered emergency Caesarean section, laparotomy, the uterus blue surface changes (Couvelaire uterus), concomitant poor uterine contraction and postpartum hemorrhage, what kind of obstetric emergencies?

Answer: Placental abruption (placental abruption)

Choices:
A. Placental abruption (placental abruption)
B. Placenta (placenta accreta)
C. Rupture of the uterus (uterine rupture)
D. Unexplained coagulopathy (idiopathic coagulation disorder)


Question: A healthy 20-year-old restless motorcycle riders, unfortunately injured in a car accident, causing left femur fracture, namely hospitalization. The next day the patient breathe faster, confusion, PaO2 was 55 mmHg, temperature 38 ℃, blotchy skin bleeding, he most likely diagnosis is:

Answer: Fat embolism syndrome (Fat embolism syndrome)

Choices:
A. Fat embolism syndrome (Fat embolism syndrome)
B. Compartment syndrome (Compartment syndrome)
C. Can not be identified head injuries (Unrecognized head trauma)
D. pneumonia


Question: One 35-year-old athlete in the health check, we found the edge of the area have a right kidney 3.5 cm protruding solid tumors (fat-free), which of the following disposal more appropriate?

Answer: Perform partial nephrectomy

Choices:
A. The implementation of radical nephrectomy
B. Fine needle aspiration for diagnosis purposes sliced
C. Perform partial nephrectomy
D. Oral targeted drug therapy


Question: Cardiac auscultation examination, found to have abnormal noise in the fifth intercostal clavicle at the middle line, which of the following most lesions may occur?

Answer: Mitral valve (mitral valve)

Choices:
A. Mitral valve (mitral valve)
B. Aortic valve (aortic valve)
C. Tricuspid valve (tricuspid valve)
D. Pulmonary artery valve (pulmonary valve)


Question: Which of the following does not include the promotion of the Program of Action five in the Ottawa Declaration of Health Health Promotion in 1986?

Answer: Media advocacy

Choices:
A. Health Policy
B. Healthy Environment
C. Community participation
D. Media advocacy


Question: 37 a couple to the clinic for infertility examination, 30-year-old wife, the normal menstrual cycle, cycle day 3 FSH 7.2 IU / L, bilateral tubal patency, Mr. sperm count was 200,000 / mL, 10% motility, Mr. chromosome 46XY, no Y chromosome microdeletion. Would you recommend them for what treatment?

Answer: Intracellular sperm microinjection (intracytoplasmic sperm injection; ICSI)

Choices:
A. Artificial insemination (intrauterine insemination; IUI)
B. Traditional IVF (in vitro fertilization; IVF)
C. Intracellular sperm microinjection (intracytoplasmic sperm injection; ICSI)
D. Baby gift (gamete intrafallopian transfer; GIFT)


Question: 71 Dr. Wang found that some physicians use cortisone treatment of symptoms of respiratory tract infection, he was very skeptical whether this treatment really works, he decided to EBM way to answer his questions. The one most suitable for the following questions to explore evidence-based medicine?

Answer: Cortisol comparison with the general treatment of the symptoms of respiratory tract infection symptoms on adult assessment

Choices:
A. Cortisol on evidence-based medicine respiratory symptoms on mitigation assessment
B. Cortisol comparison with the general treatment of the symptoms of respiratory tract infection symptoms on mitigation assessment
C. Cortisol before and after the use of a comparative assessment of the ease of use of respiratory symptoms
D. Cortisol comparison with the general treatment of the symptoms of respiratory tract infection symptoms on adult assessment


Question: The narrative about methadone, which of the following error?

Answer: Analgesic effect than morphine poor

Choices:
A. Analgesic effect than morphine poor
B. The role of long half-life than morphine
C. Orally active
D. Withdrawal effect than morphine produced slight


Question: Congenital cystic adenomatous abnormal (Congenital cystic adenomatoid malformation) can be divided into three types depending on the size of the cyst, what items the following statements is most accurate?

Answer: Type III poor prognosis

Choices:
A. Type I with poor prognosis
B. Type II with poor prognosis
C. Type III poor prognosis
D. Has nothing to do with the kind of prognosis


Question: Currently used to treat endometriosis way, and that does not include one of the following?

Answer: Given dexamethasone

Choices:
A. Given progestin
B. Given danazol
C. Laparoscopic surgery
D. Given dexamethasone


Question: The following narrative about the relationship between the ion current in ventricular myocytes of the action potential, what's wrong?

Answer: Fourth, the ion current is the main calcium influx

Choices:
A. Zeroth depolarization, the main flow of the ion current is sodium
B. The second phase (plateau), the main current of the ion is calcium ion flow
C. Third repolarization, the main flow of the ion current is potassium
D. Fourth, the ion current is the main calcium influx


Question: A 34-year-old healthy woman, since the beginning of G1P1,13-year-old was a regular menstrual cycle, complained of no menstruation began a year and a half ago. The results showed that blood: β-hCG <1.0 mIU / mL; estradiol <20 pg / mL, FSH> 100 mIU / mL, prolactin <20 ng / mL. In addition she has hot flashes (hot flash) and pain during intercourse (dyspareunia) problem has affected her life. The following statements is wrong?

Answer: This patient is a typical postmenopausal women (typical menopausal woman)

Choices:
A. This patient is a typical postmenopausal women (typical menopausal woman)
B. Compared with women of the same age have menstrual this patient, there is a higher risk of fractures and bone loss
C. This patient is premature ovarian failure (premature ovarian failure), should receive hormone replacement therapy (hormone replacement therapy)
D. Vaginal estrogen preparations (vaginal estrogens) can help improve pain during intercourse problems


Question: Schilling, 56 years, height 159 cm, weight 60 kg, due to the recent dizzy often, so a hospital fasting blood glucose was 290 mg / dL, 9.9% glycated hemoglobin, creatinine (creatinine) 1.9 mg / dL, potassium 5.2 meq / L, urinalysis: urine protein ++ ++ urine. That one of the following information to understand Schilling's condition most helpful?

Answer: blood pressure

Choices:
A. waistline
B. GOOD
C. blood pressure
D. Uric acid


Question: Patient complained of acute abdominal pain and poor appetite. Chest X- ray presented figures. That one of the following early diagnosis most correct?

Answer: pneumonia

Choices:
A. acute gastritis
B. perforated peptic ulcer
C. pneumonia
D. acute hepatitis


Question: The following account of chronic obstructive lung disease (chronic obstructive pulmonary disease, COPD), and what's wrong?

Answer: Not positive for the bronchial provocation test (bronchial provocation test)

Choices:
A. Smoking is the main risk factor
B. "Amount of one second (FEV1)" pulmonary function test is the best single indicator to assess the severity of
C. Not positive for the bronchial provocation test (bronchial provocation test)
D. By the "amount of one second (FEV1)" after the bronchodilator test (bronchodilator test) of less than 0.7


Question: 7441-year-old male workers at the site wrestling, X-ray showed bone open fractures in the tibia, after cast immobilization go home and rest, I feel more and more pain in his right foot while sleeping at night, after he ate painkillers, slightly ease the symptoms, but still persistent pain following a medical procedure whichever most correct?

Answer: The need to cut gypsum

Choices:
A. Increase the dose of painkillers can improve the condition
B. In other third-generation antibiotics can improve
C. The need to cut gypsum
D. To re-inflamed wound dressing


Question: Mr. Wang, 23 years old, height 185 cm, weight 60 kg, due to the student health clinic chest X-ray report suspected emphysema and thus medical treatment, there is no chest discomfort, there is no smoking in the past, and had no family history of congenital lung disease , which is scheduled for the following examination is most appropriate?

Answer: Pulmonary function tests: FVC, FEV, FEV1 and DLCO (carbon monoxide diffusion test)

Choices:
A. Lung computer tomography
B. Pulmonary function provocation test
C. Pulmonary function tests: FVC, FEV, FEV1 and DLCO (carbon monoxide diffusion test)
D. Arterial blood gas analysis


Question: Which of the following is not a sponge when complicated by sinusitis sinus thrombosis, can produce symptoms?

Answer: Facial palsy

Choices:
A. Trigeminal nerve symptoms
B. Photophobia
C. Diplopia
D. Facial palsy


Question: About shoulder dislocation and instability (shoulder dislocation and instability), the following statements is wrong?

Answer: Forward dislocation (anterior dislocation), a nerve injury may be complicated should be noted, of which the radial nerve (radial nerve) is the most common injury

Choices:
A. Forward dislocation (anterior dislocation) common than backward dislocation (posterior dislocation)
B. Forward dislocation (anterior dislocation), a nerve injury may be complicated should be noted, of which the radial nerve (radial nerve) is the most common injury
C. If the first occurrence of dislocation younger than 20 years old, the future have a higher chance of recurrent dislocation (recurrent dislocation)
D. If multi-directional shoulder instability (multidirectional instability), are usually not caused by trauma, treatment preference for the physical therapy


Question: Once reduce blood sugar, which of the following can be restored to normal blood sugar values?

Answer: Decreased insulin, glucagon increases

Choices:
A. Insulin (insulin) increases, glucagon (glucagon of) reduction
B. Decreased insulin, glucagon increases
C. Insulin increases, increased glucagon
D. Decreased insulin, glucagon reduced


Question: Which of the following is least likely supplied by the right coronary artery?

Answer: Atrioventricular bundle

Choices:
A. Right atrium
B. Atrioventricular node
C. Restraint belt (moderator band)
D. Atrioventricular bundle


Question: Regulation of enzyme activity following the way, what is irreversible (irreversible)?

Answer: Proteolytic zymogen (a zymogen) cleavage (proteolytic clevage)

Choices:
A. Ectopic adjustment (allosteric regulation)
B. Covalent modification (covalent modification)
C. Proteolytic zymogen (a zymogen) cleavage (proteolytic clevage)
D. Non-competitive inhibitors of binding (uncompetitive inhibitor) of


Question: Which of the following carries the sensory innervation of the pericardium (pericardium) of?

Answer: Phrenic nerve (phrenic nerve)

Choices:
A. Intercostal nerve (intercostal nerve)
B. Phrenic nerve (phrenic nerve)
C. Vagus nerve (vagus nerve)
D. Sympathetic trunk (sympathetic trunk) that section 14 of the stomach protrudes above it at the entrance of the esophagus?


Question: After a number of weeks of pregnancy to 26 weeks premature children discharged after birth to your clinic track examination during seven months. He will issue a ㄨ ㄧ sound, but still no da ba tone. Head will turn to the source. Prone chest and head can be lifted, but still will not turn over. Toys will give him the grip, but still will not take the initiative to reach out and grab. Your assessment of him is:

Answer: The overall development of normal

Choices:
A. Gross motor developmental delay
B. Fine motor development delay
C. Delayed language development
D. The overall development of normal


Question: Which of the following drugs for nausea caused by chemotherapy agents, vomiting, have a good preventive effect?

Answer: ondansetron

Choices:
A. buspirone
B. ketanserin
C. tegaserod
D. ondansetron


Question: Description of the pharmacological effects following alcohol-related, what's wrong?

Answer: When administered via intravenous way with the same dose of alcohol, the alcohol concentration in the blood plasma of women higher than men

Choices:
A. Alcohol can be completely absorbed from the gastrointestinal tract
B. When administered via intravenous way with the same dose of alcohol, the alcohol concentration in the blood plasma of women higher than men
C. Metabolism of alcohol zero order reaction (zero-order kinetics)
D. Acetaldehyde is the primary product of alcohol metabolism


Question: 44. The following diseases that occur on the left side? ① varicocele (varicocele) ② gastroschisis (gastroschisis) ③ cryptorchidism (undescended testis) ④ Bochdalek congenital diaphragmatic hernia (Congential diaphragmatic hernia, Bochdalek type)

Answer: ①④

Choices:
A. ①②
B. ①③
C. ②④
D. ①④


Question: Which of the following with Crystal ectopic (ectopia lentis) has nothing to do?

Answer: Down Syndrome (Down syndrome)

Choices:
A. Marfan syndrome (Marfan syndrome)
B. Weill-Marchesani 症候群 (Weill-Marchesani syndrome)
C. Homocysteine metabolism (homocystinuria)
D. Down Syndrome (Down syndrome)


Question: Description of the clinical characterization of children with infective endocarditis (Infective endocarditis) relating to which of the following error?

Answer: Real sick children often have room to check low white blood cell (Leukopenia) or proteinuria (Proteinuria) phenomenon

Choices:
A. Sick children congenital heart disease may be a patient or patients with a central venous catheter (Central venous catheter) is placed
B. Sick children with respiratory asthma, Pirates night, weight loss symptoms
C. Sick Children physical examination enlarged spleen, or appear Roth spots such as embolic phenomena (Embolic phenomena)
D. Real sick children often have room to check low white blood cell (Leukopenia) or proteinuria (Proteinuria) phenomenon


Question: For suspected hyperlipidemia associated with hypotension adult emergency procedure (protocol for resuscitation of adult hypotensive patients with suspected sepsis), which of the following inappropriate?

Answer: Central venous or pulmonary artery catheters placed, holding CVP / PAWP level <8 mmHg

Choices:
A. Do culture fluids, including blood
B. Central venous or pulmonary artery catheters placed, holding CVP / PAWP level <8 mmHg
C. Min recovery target set at the mean blood pressure or pulse rate greater than 65 mmHg less than 120 beats /
D. Monitoring venous oxygen concentration and urine volume


Question: Amyloidosis (amyloidosis) are a class of protein misfolding diseases caused by, what kind of protein secondary structure (secondary structure) leads to the relationship between these disorders and the most closely related?

Answer: flaps β- (β-sheet)

Choices:
A. α- helix (α-helix)
B. flaps β- (β-sheet)
C. beta- 回轉 (b-turn)
D. Random coil (random coil)


Question: The following inguinal hernia related (inguinal hernia) and water resistant ⼩ children scrotal swelling (hydrocele) of the narrative, what's wrong?

Answer: Inguinal hernia scrotum ⼩ children and swelling of the water resistant, and the reasons for its formation process is completely different, so the shutter mode is not treated like ⼀

Choices:
A. ⼩ child groin hernia zoomed mostly indirect inguinal hernia. Hernia sac formed is not closed because the fetal period vaginalis (processus vaginalis) caused ⽽
B. The watch hernia treatment can position the inner ring (internal ring) to do the hernia sac ADVANCED bit ligation (high ligation)
C. Inguinal hernia scrotum ⼩ children and swelling of the water resistant, and the reasons for its formation process is completely different, so the shutter mode is not treated like ⼀
D. When scrotal swelling ⼀ a water resistant water resistant had no scrotum swollen ⼩ male ⽣ suddenly appeared, to carefully distinguish whether the testicular tumor, trauma, or reverse the inflammation epididymis


Question: A 85-year-old female patient bedridden stroke two years ago, have appeared on the nasogastric tube and catheter, two years, there have been three times due to aspiration pneumonia admitted to the intensive care unit, describes the following information about the home visit services, whichever is the least appropriate?

Answer: If you develop fever immediately taken to the hospital, so as not to worsen pneumonia

Choices:
A. When discussing the situation concerning the end of the process to be made
B. Help patients to replace the nasogastric tube and catheter
C. Assess the ability to take care of their families
D. If you develop fever immediately taken to the hospital, so as not to worsen pneumonia


Question: The following narrative about sleep apnea syndrome (sleep apnea syndrome), and what's wrong?

Answer: Diagnosis of obstructive sleep apnea syndrome is (polysomnography) inspection found a number of physiological basis of sleep, breath the air flow and lung, abdominal breathing action while suspended

Choices:
A. Obstructive sleep apnea syndrome (obstructive sleep apnea), often at night snoring, daytime headache history
B. Diagnosis of obstructive sleep apnea syndrome is (polysomnography) inspection found a number of physiological basis of sleep, breath the air flow and lung, abdominal breathing action while suspended
C. Obstructive sleep apnea syndrome in obese than Rongyifasheng and short chin person
D. Sleep apnea syndrome may increase cardiovascular disease


Question: A stroke patient from swallowing disorders after stroke onset, he currently only slowly swallow semi-solid food, drink plenty of water or fruit juice when it is very easy to choke. This dysphagia patient of what should occur in the following stage?

Answer: Stage throat (pharyngeal phase)

Choices:
A. Oral Stage (oral phase)
B. Stage throat (pharyngeal phase)
C. Stage esophagus (esophageal phase)
D. Nasal phase (nasal phase)


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

Answer: 喙肱 skin (coracobrachialis)

Choices:
A. 喙肱 skin (coracobrachialis)
B. Brachial muscle (brachialis)
C. Elbow 橈肌 (brachioradialis)
D. Palm longus (palmaris longus)


Question: 7-day-old baby's natural production of, vomiting and difficulty eating symptoms, physical examination found opisthotonus (opisthotonos), there is real room to check the phenomenon of low blood sugar, urine examination was normal, the water has a strange taste, patients with metabolic acidosis. The most likely diagnosis is:

Answer: Maple syrup urine disease (maple syrup urine disease)

Choices:
A. Renal tubular acidosis (renal tubular acidosis)
B. Maple syrup urine disease (maple syrup urine disease)
C. Arnold-Chiari Mr. Kikei (Arnold-Chiari malformation)
D. Congenital hypothyroidism (congenital hypothyroidism)