Question: Samsung of 23 large full-term baby girl this week began vomiting repeatedly to the emergency room for treatment. Birth weight 2400 gm, current weight down to 2100 gm, blood tests arterial blood gas: pH = 7.58, PaCO2 = 56 mmHg, HCO3- = 51.8 mmol / L, BE = 25.6 mmol / L, [Na +] = 114 mmol / L, [K +] = 1.7 mmol / L, [Cl-] = 68 mmol / L, blood pressure 68/40 mmHg, BUN / Creatinine = 5 mg / dL; whichever is least likely cause of these?

Answer: Congenital adrenal hyperplasia (congenital adrenal hyperplasia)

Choices:
A. Vomiting caused by intestinal barrier
B. Dehydration caused by acute renal failure
C. Pyloric stenosis (pyloric stenosis) and pseudo-Bartter's syndrome
D. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)


Question: When embryonic age in the third week, the highest oxygen content of which of the following?

Answer: Umbilical vein (umbilical v.)

Choices:
A. Yolk vein (vitelline v.)
B. Total mainline (common cardinal v.)
C. Umbilical vein (umbilical v.)
D. Before the main vein (anterior cardinal v.)


Question: 80-year-old women, who have a history of high blood pressure and atrial fibrillation, sudden left side of the face and left limb weakness, left upper limb muscle strength of 1 minute, 3 minutes left lower limb muscle strength, his eyes looking toward the right, and no significant visual field defect ignored . Where the lesion is most likely?

Answer: The right frontal lobe (frontal lobe)

Choices:
A. The right frontal lobe (frontal lobe)
B. Right parietal lobe (parietal lobe)
C. Right inner capsule with the shell (internal capsule and putamen)
D. Right pons (pons)


Question: Cases of lung cancer patients not suitable for surgery, which of the following error?

Answer: Local invasion diaphragm lung cancer

Choices:
A. Recurrent laryngeal nerve paralysis
B. Superior vena cava syndrome (superior vena cava syndrome) occurs
C. Local invasion diaphragm lung cancer
D. There liver metastases


Question: The following correct classification for the diagnosis of epilepsy whichever?

Answer: Muscle spasms seizures (myoclonic seizures) in a quick and brief muscle contraction and vibrant as the main performance

Choices:
A. Absence seizures (absence seizures) often have aura (aura), and the time is often more than 5 minutes
B. Muscle spasms seizures (myoclonic seizures) in a quick and brief muscle contraction and vibrant as the main performance
C. Muscle spasms seizures (myoclonic seizures) mainly affects the limbs (limbs), and does not affect the torso (trunk)
D. Atonic seizures (atonic seizures) often tonic - clonic seizure occurs (tonic-clonic seizure) after


Question: Which of the following cell reaction does not occur in the bone marrow (bone marrow) in?

Answer: Identify foreign antigens (recognition of foreign antigens)

Choices:
A. Cell division (cell proliferation)
B. Cell differentiation (cell differentiation)
C. Cells and cell interaction (cellular interaction)
D. Identify foreign antigens (recognition of foreign antigens)


Question: Paroxysmal ventricular tachycardia in patients, such as hypotension and conditions associated with heart failure, the priority should be given to use what items the following disposal?

Answer: Rectification heart shock (electrical cardioversion)

Choices:
A. Intravenous injection of digoxin
B. Intravenous verapamil
C. Rectification heart shock (electrical cardioversion)
D. Exercise vagal maneuver


Question: Accidentally discovered when a 25-year-old man after a health check mediastinal tumor, CT scan showed that the tumor is a dumbbell-shaped, complete tumor edge, part of the tumor extending into the spine, and that a diagnosis of the following is most likely?

Answer: neurogenic tumor

Choices:
A. lymphoma
B. thymoma
C. neurogenic tumor
D. germ cell tumor


Question: E. coli DNA polymerase I zoomed in this does not have the chest upwards following what activity?

Answer: Containing DNA gyrase activity

Choices:
A. Containing (Exonuclease) activity of 3 '→ 5' exonuclease enzyme
B. Containing DNA gyrase activity
C. Containing 5 '→ 3'DNA polymerizing enzyme (Polymerase) activity
D. Having 5 '→ 3' exonuclease enzyme (Exonuclease) activity


Question: Various cells and the body's immune response is related to the differentiation of cells from which of the following?

Answer: Stem cells (stem cells)

Choices:
A. Brain cells (brain cells)
B. Stem cells (stem cells)
C. Macrophages (macrophages)
D. T lymphocyte cells (lymphocytes) 79 has a pre-T cell receptor (pre-T cell receptor) that it will be one of the following work?


Question: 1 by a 49 year old woman patient epigastric pain and left upper region and about 2-3 days for treatment, test results show ER Hb 10.4 g / dL, WBC classification N / L 79.9% / 14.5%, glucose 115 mg / dL, BUN 13 mg / dL, creatinine 0.9 mg / dL, CRP 8 mg / L, lipase 173 U / L, amylase 67 U / L, triglyceride 1634 mg / dL. He checked the following items to determine the most likely diagnosis?

Answer: Abdominal computed tomography (abdominal CT scan)

Choices:
A. Upper digestive tract endoscopy (UGI endoscopy)
B. Abdominal computed tomography (abdominal CT scan)
C. Colonoscopy (colonoscopy)
D. Check the tumor marker (tumor markers)


Question: 51.85 years old lady body has always been in good health, freedom of movement, his daughter came back from the United States, and the woman were sleeping. Middle of the night, the old lady woke up, the bed and asked people: who u are? Live family said the past few months, the old lady often can not find where to put items. To the jolly, often bought a refrigerator full stack has the same ingredients. The old lady had most likely what disease?

Answer: Alzheimer disease

Choices:
A. Alzheimer disease
B. dementia with Lewy bodies
C. Parkinson disease with dementia
D. vascular dementia


Question: The following account of adipose tissue (adipose tissue), and what's right?

Answer: Discolored brown adipose tissue (brown adipose tissue) and more in the new ⽣ children content and widely distributed, as will gradually reduce to ⻑

Choices:
A. Between white adipose tissue (white adipose tissue) is mainly produced ⽣ heat, discolored brown adipose tissue (brown adipose tissue) is mainly stored energy
B. ⼩ adipocytes fat droplets (lipid droplet) is wrapped by a serous membrane (plasma membrane)
C. That a white fat cell (white adipocyte) ⼩ there are many pieces of fat droplets ⼩ (lipid droplet), ⼀ was discolored in brown adipocytes ⽽
D. Discolored brown adipose tissue (brown adipose tissue) and more in the new ⽣ children content and widely distributed, as will gradually reduce to ⻑


Question: Laser peripheral iris and puncture (peripheral laser iridotomy) which is mainly used to treat glaucoma Use (glaucoma)?

Answer: Corner of corner closure glaucoma (angle closure glaucoma)

Choices:
A. Corner corner of openness glaucoma (open angle glaucoma)
B. Corner of corner closure glaucoma (angle closure glaucoma)
C. Normal-tension glaucoma (normal tension glaucoma)
D. ⾎ ⽣ tube by glaucoma (neovascular glaucoma)


Question: The following account of Toxoplasmosis (Toxoplasma gondii) in, what's wrong?

Answer: Who is the definitive host, while the cat is an intermediate host

Choices:
A. Who is the definitive host, while the cat is an intermediate host
B. In AIDS patients may lead to Toxoplasmosis encephalitis (Toxoplasma encephalitis)
C. Literature, spiramycin as one of the pregnant women get acute toxoplasmosis (toxoplasmosis), drug prevention within its womb fetal infection
D. Toxoplasmosis is a fourth category of notifiable infectious diseases in Taiwan


Question: The following nephrotic syndrome of childhood illnesses related to physiological narrative, what's wrong?

Answer: Sick Children will occur due to renal tubular reabsorption of sodium ions reduce hyponatremia (Hyponatremia)

Choices:
A. Sick children of intravascular volume (intravascular volume) decreases
B. Sick Children in blood hemoglobin (hemoglobin) value will rise
C. Antidiuretic hormone (antidiuretic hormone) secretion may increase for Sick Children
D. Sick Children will occur due to renal tubular reabsorption of sodium ions reduce hyponatremia (Hyponatremia)


Question: Which of the following virus, most will not contagious through sexual contact?

Answer: Hepatitis A virus (Hepatitis A virus, HAV)

Choices:
A. The first type Human T-lymphotropic virus (Human T-cell lymphotropic virus-1, HTLV-1)
B. Cytomegalovirus (Cytomegalovirus, CMV)
C. Hepatitis A virus (Hepatitis A virus, HAV)
D. Hepatitis C virus (Hepatitis C virus, HCV)


Question: Children with leukemia, if the number of white blood cells than thousands, the tumor is a medical emergency and can be complicated by a variety of problems, following what most items do not appear?

Answer: Diarrhea (Diarrhea)

Choices:
A. Hyperuricemia (Hyperuricemia)
B. Thrombosis (Thrombosis)
C. Diarrhea (Diarrhea)
D. Hypoxia (Hypoxia)


Question: Skeletal muscle contraction calcium ions play an important role. Patients suffering from malignant syndrome High body temperature (malignant hyperthermia) due to sustained excessive muscle cells release calcium ions, resulting in muscle stiffness (rigidity), accelerated heartbeat, high body temperature, hyperventilation and other symptoms. Related to the regulation of calcium, which of the following error?

Answer: Muscle action potential by passing muscle cell membrane, prompting the T-tubule release of calcium ions

Choices:
A. Muscle action potential by passing muscle cell membrane, prompting the T-tubule release of calcium ions
B. troponin calcium ions on the thin filament (thin filament) in combination
C. Calcium resorption is an important factor in muscle relaxation (muscle relaxation) of
D. ATP (adenosine triphosphate) is to make thick filaments (thick filament) and the bond between the thin filament junction releasably important factor


Question: From the previous question, what you will give priority to recommend Wang examination or treatment to accept?

Answer: Use antacid to avoid aggravating the symptoms

Choices:
A. Direct laryngoscopy and sliced possible to rule out malignancy
B. Microsurgical resection of the lesion, in order to avoid recurrence or worsening
C. Use antacid to avoid aggravating the symptoms
D. Giving of sound therapy, the effect is generally available in a few days


Question: Assess whether vaginal natural production to be successful, the most appropriate method Why?

Answer: Assess the progress of labor, including the decline in cervical dilation and fetal head

Choices:
A. Pelvic X-ray photographic measurement of mother pelvic size
B. Ultrasonography estimated fetal weight
C. Mother's height
D. Assess the progress of labor, including the decline in cervical dilation and fetal head


Question: 78-year-old female patients with pancreatic cancer, yesterday accepted pancreaticoduodenectomy surgery, fever to 38.4 ℃ afternoon, shallow breathing, abdominal drainage (drainage) is 80 c.c. blood (serosanguineous discharge), blood pressure of 130/86 mmHg. Will Which of the following is the priority disposal?

Answer: Please patients in sputum and deep breathing, pulmonary considered as X-ray

Choices:
A. Anxious to do abdominal computed tomography
B. Emergency Contact operating room to re-laparotomy to stop bleeding
C. Please patients in sputum and deep breathing, pulmonary considered as X-ray
D. Immediately given steroid fever, infection and consultation physician replace antibiotics


Question: 35-year-old healthy woman, get up in the morning, suddenly aphasia and right limb weakness, have a brain MRI scan results as shown below, the most likely diagnosis Why?

Answer: moyamoya disease

Choices:
A. Fabry disease
B. Reversible rear side leukoencephalopathy syndrome (reversible posterior leukoencephalopathy syndrome)
C. Mitochondrial disease
D. moyamoya disease


Question: When a state of shock, one of the following physiological changes that minimize the impact of the deterioration of tissue hypoxia?

Answer: Arterial oxygen partial pressure of 100 mmHg reduced to 70 mmHg

Choices:
A. Arterial mean pressure drop of 70 mmHg 50 mmHg
B. Hemoglobin from the 15 g / dL down to 10 g / dL
C. Arterial oxygen partial pressure of 100 mmHg reduced to 70 mmHg
D. Arterial oxygen saturation from 100% to 70%


Question: Tuberculosis is a common disease in the world, for the side effects of anti-TB drugs, whichever is least likely?

Answer: Rifampin can cause auditory nerve disorder

Choices:
A. Rifampin can cause auditory nerve disorder
B. Isoniazid can cause liver toxicity or peripheral neuritis
C. Ethambutol causes optic neuritis
D. Pyrazinamide with liver toxicity


Question: About narrative abscess (retropharyngeal abscess) of the pharynx, Which statement is correct?

Answer: Abscess spread more easily than children with mediastinal chest to the throat in adults

Choices:
A. Abscess spread more easily than children with mediastinal chest to the throat in adults
B. Clinical symptoms, adult wheezing (stridor) and neck edema prone than children
C. Standard diagnostic tool neck X-ray photography
D. Most patients, after treatment with antibiotics can cure


Question: From the previous question, this patient in the emergency treatment of the signs of life stable, you must first check what arrangements?

Answer: Esophagogastroduodenoscopy (esophagogastroscopy) Check

Choices:
A. Abdominal ultrasound (abdominal ultrasonography) inspection
B. Abdominal computed tomography (abdominal CT) scan
C. Esophagogastroduodenoscopy (esophagogastroscopy) Check
D. Liver function tests (liver function test)


Question: Following on the first type of human immunodeficiency virus infection of the narrative (HIV-1), what is wrong?

Answer: Clinically asymptomatic period there is no blood in the HIV-1 virus

Choices:
A. HIV-1 co-receptor CCR5 gene defect who can resist HIV-1 infection
B. Clinically asymptomatic period there is no blood in the HIV-1 virus
C. Drug-free treatment under, most infections caught will produce the onset of AIDS (AIDS)
D. There are very few long-term infection without disease


Question: One child under 13 years of severe edema, average daily urinary protein excretion was 5.6 grams, low serum albumin, blood cholesterol, kidney slices in its optical microscope, it seems the most common change why?

Answer: And almost the same as normal glomerular

Choices:
A. Glomerular stromal cell proliferation
B. And almost the same as normal glomerular
C. There are a lot of quality glomerular immune complex deposits
D. Glomerular basement membrane thickening


Question: Which is not an acute renal failure patients undergoing hemodialysis treatment indications emergency?

Answer: BUN 120 mg/dL，creatinine 2.5 mg/dL

Choices:
A. BUN 120 mg/dL，creatinine 2.5 mg/dL
B. Serum potassium greater than 7 mEq / L, and poor Kayexalate (sodium polystyrene sulfonate) treatment
C. Pericardium water
D. Pulmonary Edema


Question: Normal bone marrow microenvironment (microenvironment) for hematopoietic stem cell transplantation into the crucial Which of the following is not listed?

Answer: mesenchymal stem cell

Choices:
A. endothelial cell
B. mesenchymal stem cell
C. fibroblast
D. adipose cell


Question: A 29-year-old female middle of the night to the emergency room with complaints of sudden abdominal pain began 20 minutes before, along with a small amount of vaginal bleeding (vaginal spotting). Usually patients complain of menstrual irregularities. Physical examination found that the blood pressure of 95/50 mmHg, heart rate was 110 / min, the temperature was 36.5 ℃, right lower abdominal tenderness (Tenderness) and rebound pain (rebounding pain). Do you think what is the best next step needs to be done to check?

Answer: Check urine β- hCG

Choices:
A. C-reactive protein（CRP）
B. Check urine β- hCG
C. Computer tomography
D. Abdominal X-ray (KUB)


Question: Wound healing on the part of the thickness of the (Partial thickness wounds), the following statements is wrong?

Answer: There are many collagen

Choices:
A. Healing by reepithelialization mainly
B. There are many collagen
C. In dermal appendages (e.g., hair follicles and sebaceous glands) epithelial cell replication to cover the exposed dermis
D. There wound contraction


Question: Which of the following shipping methods require energy?

Answer: secondary active transport

Choices:
A. simple diffusion
B. facilitated diffusion
C. osmosis
D. secondary active transport


Question: In order to deal with the SARS epidemic, epidemic prevention unit for suspected cases and in contact with the case, to take centralized quarantine control measures, saying isolation was concentrated control will get sick does not mean that this is because the definition of suspected cases of the disease have Which of the following characteristics?

Answer: High sensitivity

Choices:
A. Low false positive
B. Low false negative
C. High sensitivity
D. High specificity


Question: A 12-year-old woman, complained of right lower quadrant pain two days, accompanied by nausea and vomiting, physical checkups presented right lower quadrant pain and a rebound pain (rebounding pain), blood data: white blood cells (WBC) 16500 / μL, segment 88%, lymphocyte 6%, abdominal computed tomography in the following figure, then what to do next?

Answer: Appendectomy

Choices:
A. Extracorporeal shock wave lithotripsy
B. Ureteroscopy lithotripsy
C. Appendectomy
D. Drink plenty of water and antibiotics


Question: A 47-year-old man drove passing through downtown Taipei, coincides with rush hour commuter traffic, sudden chest tightness, wheezing, choking feeling, and the feeling on the verge of death. Their own car to the nearest hospital emergency department. Tests showed no abnormalities were found in the emergency room, science laboratory and this patient (including an electrocardiogram). The clinical diagnosis of patients most likely Which of the following?

Answer: Panic disorder (panic disorder)

Choices:
A. Hypochondriasis (hypochondriasis)
B. OCD (obsessive-compulsive disorder)
C. Depression (depressive disorder)
D. Panic disorder (panic disorder)


Question: 65 years old man and 40-year smoking habit, about two packages each week, about three months before the start of chronic cough, hemoptysis silk began a week ago, a chest X-ray satellites have been about 10 cm in size in the left hilar tumors. I ask what kind of cancer the following material has the closest relationship?

Answer: Nitrosamines

Choices:
A. nicotine
B. Carbon monoxide
C. Nitrosamines
D. Nitrous oxide compounds


Question: An 8-day-old baby boy due to jaundice and feeding reduction and medical treatment, when asked about the history that this is the mother's first child, pure breastfeeding, the mother is blood type A, type B baby, baby two days more and more yellow color and extreme sleepiness, difficult to wake him up breast-feeding, to help find the baby diapers are dry when changing diapers. The following clinical disposal, whichever is most appropriate for this baby?

Answer: Arrange blood tests in hospital and given intravenous fluids to supplement the water injection

Choices:
A. After giving breastfeeding mothers how health education, by one week after outpatient track
B. Arrangements hospitalized immediately and ready to type B blood, exchange transfusion therapy
C. Arrange blood tests in hospital and given intravenous fluids to supplement the water injection
D. As soon as possible to arrange hospitalized for spinal puncture, CSF take antibiotics immediately after check-ups


Question:
14. A liver biopsy is the diagnosis of liver fibrosis yellow ⾦ standard, but there are restrictions on their clinical interpretation difficulties and to apply it. Non-invasive liver fibrosis testing is an alternative ⽅ can perform while the case before the destination time on it and has been clinically gradually widely recorded using. The following description of the various non-invasive detection methods for the camera fibrosis, whichever
 error?

Answer: Markers ⾎ clear ⽣ was detected (e.g. FibroTest) for the various causes of liver disease can be accurately determined for each level of liver fibrosis

Choices:
A. Lee comprises two main detecting zoomed Use ⾎ was clear ⽣ Markers Using hardness testing instrument and facilitate detection of the liver
B. Markers ⾎ clear ⽣ was detected (e.g. FibroTest) for the various causes of liver disease can be accurately determined for each level of liver fibrosis
C. transient elastography (eg FibroScan) for quick and easy hardness detection of the liver, but for patients with abdominal obesity and the measured water resistant care has been taken can be reduced
D. magnetic resonance elastography (MRE) determine the degree of liver fibrosis in each grade can care has better than transient elastography


Question: Statements about Vice acute bacterial inflammation of the testicles, which of the following error?

Answer: Sub orchitis and pain occur repeatedly, and may be considered sub testicular testis resection, not only the removal of the sub testicular

Choices:
A. If the results show that bacterial culture and sexually transmitted diseases related to their sexual partners have the best treatment in order to avoid repeated infections (re-infection)
B. Sub orchitis and pain occur repeatedly, and may be considered sub testicular testis resection, not only the removal of the sub testicular
C. When the acute phase of the urine and blood of white blood cells often rise
D. Unless it is obvious systemic symptoms (constitutional symptoms) occurs, such as fever, chills, or hyperlipidemia, in general, sufficient oral antibiotics


Question: 1 a 50 year-old man bleeding and fever to seek treatment, physical examination found: anemia, enlarged spleen and lower extremity bleeding point. Laboratory test results: Hb: 7.0 gm / dL, WBC: 1500 / cumm, 60% of lymphocytes, platelets 75000 / cumm, cellular biochemical-resistant acid phosphatase stain to Tartrate positive. I ask: Why diagnosis?

Answer: Hair samples leukemia (hairy cell leukemia)

Choices:
A. Chronic lymphocytic leukemia (CLL)
B. Hair samples leukemia (hairy cell leukemia)
C. Of adult T- cell leukemia (adult T-cell leukemia)
D. Acute lymphocytic leukemia (ALL)


Question: About adenovirus (adenovirus) narrative, Which statement is correct?

Answer: Infected epithelial cells, the formation of inclusion bodies in the nucleus (inclusion body)

Choices:
A. Viral proteins E6 and E7 inhibit the action of p53
B. Infected epithelial cells, the formation of inclusion bodies in the nucleus (inclusion body)
C. A linear double-stranded DNA, and containing the outer membrane (Envelope)
D. Resulting in lytic infection in the lymphoid tissues (lytic infection)


Question: A 70-year-old woman at the time of finishing their own gardens accidentally buried in the fine thorns on the branches of the tie to the earth, at that time did not mind, but the situation speak, swallowing, breathing difficulties after one week and have chest pain, two and days after the occurrence of a stiff neck and respiratory failure, rushed to a medical center, physician immediately her into the intensive care unit tracheotomy and connected to Rengonghuxi device. The patient was diagnosed with tetanus (tetanus), which of the following is the most important basis for the diagnosis of the disease?

Answer: Clinical symptoms

Choices:
A. Clinical symptoms
B. Isolated from the blood of tetanus toxoid
C. Tetanus toxin detected in the blood
D. In the sample obtained by the microscope to a wound to tetanus toxoid


Question: 43 a 23-year-old male patient, height 183 cm, weight 70 kg, suffered from mumps (mumps) high school, marriage to a medical clinic for medical treatment. No patients describe sexual impulses, academic medium, not enlisted military service. Physical examination, the appearance of fair complexion, beard obvious. Penis length of 5 cm, and sparse pubic hair. Endocrine examination, Testosterone: 1.0 ng / mL (normal: 2.41-8.27 ng / mL); LH: 0.5 mIU / mL (normal: 1.0-12.0 mIU / mL); FSH: 0.2 mIU / mL (normal: 2.0 -12.0 mIU / mL). Which of the following is the most likely diagnosis?

Answer: Sexual dysfunction secondary generalization (Secondary hypogonadism)

Choices:
A. Primary dysfunction (Primary hypogonadism)
B. Sexual dysfunction secondary generalization (Secondary hypogonadism)
C. Sequelae of mumps
D. 克莱恩费特's disease (Klinefelter's syndrome)


Question: A 28-year-old woman suffering from type 1 diabetes for about 10 years, HbA1c 6.5%, blood pressure of 140/90 mmHg, testing of urinary albumin (Albumin) and the concentration of creatinine ratio was 26.5 μg / mg, whichever is most appropriate disposal following ?

Answer: Treatment given angiotensin converting enzyme inhibitor

Choices:
A. Renal ultrasound examination arrangements
B. Treatment given angiotensin converting enzyme inhibitor
C. Administering calcium blocker therapy
D. Six months after tracking


Question: The following statements about hereditary immunodeficiency disease (immunodeficiency diseases), and what's wrong?

Answer: Patients with bare lymphocyte syndrome is due not express MHC class II, so although the number of CD4 T cells in vivo surface normal but not

Choices:
A. autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) is caused by defects because of AIRE
B. Patients with bare lymphocyte syndrome is due not express MHC class II, so although the number of CD4 T cells in vivo surface normal but not
C. Omenn syndrome is often because of RAG1 or RAG2 mutations
D. If a disease is caused by congenital defects leukocytes, hematopoietic stem cell transplantation therapy is feasible


Question: 19. The order of the cochlea (scala media) containing lymph (endolymph), an inner cochlear potentials (endocochlear potential) of +80 mV, the following system comes from what configuration?

Answer: Stria vascularis (stria vascularis)

Choices:
A. Stria vascularis (stria vascularis)
B. Wright membrane (Reissner membrane)
C. Basement membrane (basilar membrane)
D. The organ of Corti (organ of Corti)


Question: Treatment of bipolar disorders (bipolar disorder) by lithium and valproic acid of the teratogenicity of:

Answer: lithium and valproic acid are generated fetal malformation

Choices:
A. Only lithium will produce fetal malformation
B. Only valproic acid may produce fetal malformation
C. lithium and valproic acid are generated fetal malformation
D. lithium and valproic acid are no fetal malformation


Question: Which of the following and leading to childhood obesity (obesity) most unrelated?

Answer: Parental education level

Choices:
A. Gene mutation
B. Ethnic differences
C. Differences in the diet
D. Parental education level


Question: Related motion control (motor control), the following statements is true?

Answer: Basal ganglia (basal nuclei) and the cerebellum is responsible for planning and design of arbitrary action (voluntary movement) program conducted

Choices:
A. Only neurons in the motor cortex of the brain from skeletal muscle contraction can be controlled
B. α motor neurons in the cerebral cortex of the body
C. Basal ganglia (basal nuclei) neurons and skeletal muscles of excitatory and inhibitory synaptic connections
D. Basal ganglia (basal nuclei) and the cerebellum is responsible for planning and design of arbitrary action (voluntary movement) program conducted


Question: Carpal tunnel syndrome (Carpal tunnel syndrome) is a nerve compression symptoms of what?

Answer: The median nerve (median nerve)

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


Question: Narrative about the role of exenatide lowering blood sugar, which of the following error?

Answer: Activation of peroxisome proliferator-activated receptor-γ (PPAR-γ) receptor

Choices:
A. Reduce postprandial blood glucose
B. Activation of peroxisome proliferator-activated receptor-γ (PPAR-γ) receptor
C. Reduce appetite
D. The increase in glucose-induced insulin release action


Question: 27 a 10-year-old boy abdominal pain after 3 days due to tachycardia, cold sweat and flow to the emergency room for treatment, physical examination found that normal body temperature for Sick Children, slightly lower extremity edema, abdominal tenderness, weak and rapid pulse, blood pressure 50/30 mmHg , chest X-ray found a small heart, urine tests with severe proteinuria and slightly more white blood cells, low blood albumin (1.8 gm / dL), creatinine normal, high cholesterol (420 mg / dL), serum sodium than low (125 mmol / L). The sick children presenting with blood hemoglobin (Hgb) 19 gm / dL, WBC 11,000 / mm3, platelets

Answer: Low blood capacitive shock (hypovolemic shock)

Choices:
A. Peritonitis and septic shock (septic shock)
B. Low blood capacitive shock (hypovolemic shock)
C. Mesenteric artery embolism and neurogenic shock (neurogenic shock)
D. Cardiogenic shock (cardiogenic shock)


Question: A 23-year-old man into the emergency room with complaints of a large number of blood will start 20 minutes ago. Patient private prosecution has been done before bloody experience, because the symptoms disappear automatically so no medical treatment. This occurs when bowel movements at night, he found a lot of blood along with discharged with feces, blood covered the entire surface of the stool, and the stool itself is yellow, not anal pain, in addition no other symptoms. According to the patient's narrative, following which the highest likelihood of disease?

Answer: Internal hemorrhoid (internal hemorrhoid)

Choices:
A. External hemorrhoids (external hemorrhoid)
B. Internal hemorrhoid (internal hemorrhoid)
C. Colorectal cancer (colon cancer)
D. Upper gastrointestinal bleeding (upper gastrointestinal bleeding)


Question: The following statements about postobstructive diuresis, and what's wrong?

Answer: Place in bilateral or unilateral complete obstruction of the urinary tract, the patient after a successful dredge

Choices:
A. Place in bilateral or unilateral complete obstruction of the urinary tract, the patient after a successful dredge
B. Hypotonic urine containing large amounts of salt can lead to high blood sodium
C. Switch machines of excretion pathogenic in vivo retention urea previously, generates osmotic diuresis (osmotic diuresis)
D. IV Therapy should not supplement> daily amount of urine loss, in order to avoid iatrogenic fluid volume increases


Question: Figure hand splint applied Which of the following diseases?

Answer: Rheumatoid arthritis

Choices:
A. Extensor tendon rupture
B. Flexor tendon rupture
C. Rheumatoid arthritis
D. Median nerve palsy


Question: Male scrotum (scrotum) homologous to the development of female construction is?

Answer: Labia majora (labium majora)

Choices:
A. Labia majora (labium majora)
B. Labia (labium minora)
C. Clit (clitoris)
D. Vestibular ball (bulbs of the vestibule)


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

Answer: The main symptoms of malaria are: fever, anemia, hepatomegaly

Choices:
A. Vivax malaria prevention of relapse (relapse), it is appropriate primaquine
B. Malaria episodes (paroxysm) of the process in order, is: chill (chill), fever (fever), sweating (sweat)
C. The main symptoms of malaria are: fever, anemia, hepatomegaly
D. Malignant peripheral blood of patients with malaria, in general more difficult to find schizont (schizonts)


Question: External geniculate nucleus of nerve fibers projecting Which of the following is not accepted?

Answer: Area 18 visual cortex (visual cortex, area 18)

Choices:
A. The superior colliculus (superior colliculus)
B. The locus coeruleus (locus coeruleus)
C. Dorsal raphe nucleus (dorsal raphe nucleus)
D. Area 18 visual cortex (visual cortex, area 18)


Question: Which of the following has nothing to do with the cells against oxidative damage (oxidative damage) of the mechanism?

Answer: biopterin

Choices:
A. glutathione
B. alpha-tocopherol
C. biopterin
D. catalase


Question: Patients with posterior fossa tumors after one, the surgical patient is sitting posture, the following statements is wrong?

Answer: Gas prone brain (pneumocephalus)

Choices:
A. Recumbent posture more than air embolism resulting in venous (venous air embolism)
B. Pay attention to whether hurt the center of life
C. May cause postural hypotension
D. Gas prone brain (pneumocephalus)


Question: There is a visible fungal hyphae separated and the bottle sporulation device (phialides) and conidia (conidia) arranged in a 'paint brush' under a microscope, which of the following is most likely?

Answer: Penicillium marneffei

Choices:
A. Histoplasma capsulatum
B. Sporothrix schenckii
C. Fusarium solani
D. Penicillium marneffei


Question: 41 When laparoscopic surgery, if prolonged intra-abdominal pressure greater than 20 mmHg, following which there will be complications? ① CO plug (CO2 embolus) ② ③ blood carbon dioxide concentration is too high decrease in venous return blood hypotension

Answer: ①②③

Choices:
A. Only ①③
B. Only ①②
C. Only ③
D. ①②③


Question: Some cancer patients after surgery have been fairly stable, but because paramedics suspected wrong medication, leading to death of the patient, if you are a physician, most of the following measures that should be taken?

Answer: To protect nursing colleagues to help cover up the truth

Choices:
A. Informed the Patient Safety Committee
B. Inform nursing root cause analysis
C. Properly interpret and communicate with the patient's family
D. To protect nursing colleagues to help cover up the truth


Question: Which of the following is not a requirement for clinical gene therapy?

Answer: In vitro detection system is sufficient to assess its effect (efficacy)

Choices:
A. At present no suitable therapy of diseases
B. Determination of mutations in a disease gene
C. Mutations and disease association with disease
D. In vitro detection system is sufficient to assess its effect (efficacy)


Question: Which of the following minimum diagnostic imaging studies for multiple myeloma (multiple myeloma) of aid?

Answer: Nuclear bone scan (bone scan)

Choices:
A. Traditional X-ray film (conventional radiograph)
B. Nuclear bone scan (bone scan)
C. Computer tomography (computerized tomography)
D. Magnetic resonance angiography (magnetic resonance imaging)


Question: 62-year-old women, who have many years of gastrointestinal symptoms, endoscopic examination revealed atrophic gastritis (atrophic gastritis), especially in the body is more serious and serological tests found to have anti-parietal cell antibodies (anti-parietal cell antibody), this patients also have anemia. Her anemia most likely:

Answer: Pernicious anemia (pernicious anemia)

Choices:
A. Pernicious anemia (pernicious anemia)
B. Aplastic anemia (aplastic anemia)
C. Hemolytic anemia (hemolytic anemia)
D. Iron deficiency anemia (iron deficiency anemia)


Question: Induced respiratory measuring instrument (incentive spirometry) after surgery to avoid the use of the main purposes:

Answer: Pulmonary atelectasis

Choices:
A. pneumothorax
B. Pulmonary Edema
C. Pulmonary atelectasis
D. Congestive heart failure


Question: 6-year-old girl because of severe throat pain, pain on swallowing, fever three days, dyspnea to the emergency, after advice to sick children, found that the saliva outflow, howling sound of breathing (stridor), emergency department physicians arrangements neck X-rays showed "thumb sign" and consultation otolaryngologist, may I ask why the most likely diagnosis?

Answer: Acute epiglottitis (acute epiglottitis)

Choices:
A. Croup (croup)
B. Acute epiglottitis (acute epiglottitis)
C. Acute pharyngitis (acute pharyngolaryngitis)
D. Acute bronchitis (acute bronchitis)


Question: The following statements about stomach cancer, what's wrong?

Answer: There can be no early gastric cancer lymph node metastasis

Choices:
A. The causes of stomach cancer, diet is an important factor
B. The so-called early gastric cancer refers only to violations of mucosa and submucosa
C. Phascolosoma shaped stomach (linitis plastica) is used to describe gastric Borrmann type Ⅳ
D. There can be no early gastric cancer lymph node metastasis


Question: Which of the following is TB (Tuberculosis) of the early part of the prevention work?

Answer: Shi beat BCG

Choices:
A. Shi beat BCG
B. Cases do find work
C. Given early diagnosis and proper treatment
D. Registration onset Case Management


Question: The following narrative about the treatment of peptic ulcer drugs of, what's wrong?

Answer: Antacids (antacid) and the second type should histamine antagonists (H2 receptor antagonist) and to increase the efficacy of

Choices:
A. Antacids (antacid) and the second type should histamine antagonists (H2 receptor antagonist) and to increase the efficacy of
B. Long-term use of the second type of histamine antagonists may have impotence, bad gynecomastia, menstrual disorders and other drug reactions
C. Long-term use of proton pump inhibitors (proton pump inhibitor) may increase the chance of osteoporosis and hip fracture of
D. Antacids inhibit tetracycline (tetracycline) absorption in the gastrointestinal tract of


Question: The most important prognostic factor for breast cancer are:

Answer: Axillary lymph metastasis

Choices:
A. Estrogen receptor (estrogen receptor)
B. P53 mutation
C. Tumor histological grade
D. Axillary lymph metastasis


Question: Of the following statements about lung cancer, what's right?

Answer: After lung cancer morbidity and gradually climbed from 45 years of age, more men than women and higher

Choices:
A. Smoking is the leading cause of lung cancer, the chances of quitting after more than 25 years with cancer that is similar to non-smokers
B. Taiwan is the first leading cause of death of the cancer, the second cause of death of women, the first cause of death of men
C. After lung cancer morbidity and gradually climbed from 45 years of age, more men than women and higher
D. Current treatments for lung cancer are not the way to improve the survival rate, it should be treated conservatively


Question: A 45 year old healthy adult males, were walking car crash, left knee swelling and deformation, to the emergency room after left knee X-ray results as shown below. Such statements about the fracture, which of the following error?

Answer: If more complex fracture patterns, preoperative planning should be further imaging. Now recognized as magnetic resonance imaging (MRI) examination than computerized tomography

Choices:
A. If more complex fracture patterns, preoperative planning should be further imaging. Now recognized as magnetic resonance imaging (MRI) examination than computerized tomography
B. Possible merger collateral ligament (collateral ligaments), menisci (menisci) or ten ligaments (cruciate ligaments) injury
C. May cause acute muscle compartment syndrome (acute compartment syndrome), should be observed, muscular chamber pressure (compartment pressure) and peripheral circulation situation is good
D. Traumatic arthritis (post-traumatic arthritis) is a late complication (late complications) one after surgery, after surgery may lead to the joint surface due to irregularities (joint incongruity)


Question: Bacterial toxin (endotoxin) from:

Answer: Gram-negative bacteria cell wall

Choices:
A. Bacterial metabolites
B. cilia
C. Gram-positive bacteria cell wall
D. Gram-negative bacteria cell wall


Question: Polycystic ovary syndrome (PCOS) Which of the following diseases and has nothing to do most?

Answer: Cervical squamous cell carcinoma

Choices:
A. Cervical squamous cell carcinoma
B. Endometrial cancer
C. Breast cancer
D. Ovarian cancer


Question: Bearing the title, following that one is most suitable for Schilling disposal?

Answer: Administration of insulin therapy

Choices:
A. Nutrition and exercise therapy
B. Administration of Glucophage (an oral antidiabetic drug) therapy
C. Glibenclamide administration (an oral antidiabetic drug) therapy
D. Administration of insulin therapy


Question: Which of the following issued by the dorsal brainstem (brainstem)?

Answer: Trochlear nerve (trochlear nerve)

Choices:
A. Oculomotor nerve (oculomotor nerve)
B. External rotation nerve (abducens nerve)
C. Trochlear nerve (trochlear nerve)
D. Accessory nerve (accessory nerve)


Question: Following on the first type of human immunodeficiency virus (HIV-1) described pathogenic turn the machine, what's wrong?

Answer: B lymphocytes can cause reduced

Choices:
A. Can cause reduced CD4-T lymphocytes
B. B lymphocytes can cause reduced
C. Can cause humoral and cellular immune responses (humoral and cellular immune responses) decreased
D. Can cause macrophages (macrophage) function deteriorates


Question: 59 after the internal capsule (posterior section of internal capsule), brainstem (the brainstem) and spinal cord (spinal cord) of a cone system (pyramidal system) appears magnetic resonance imaging (MRI, T2) symmetry signal-enhancing lesions, the most possible diseases are:

Answer: amyotrophic lateral sclerosis

Choices:
A. Hirayama disease
B. amyotrophic lateral sclerosis
C. spinocerebellar ataxia type III
D. progressive spinal muscular atrophy


Question: 69.72-year-old Ms. Wu no past history of cervical cancer over the past three consecutive years of normal Pap smears are all currently has no sex. Recently accepted to the clinic adult health check, Ms. Wu asked whether physicians should continue to receive Pap smear, and whether you can receive injections of human papilloma virus vaccine. The following statements is true?

Answer: Ms. Wu do not need to accept the Pap smear

Choices:
A. Pap smear screening for the early part of prevention belong Gonggongweisheng
B. Ms. Wu do not need to accept the Pap smear
C. According to the American Cancer Society recommendations, Ms. Wu accepted Pap smear should be no age limit
D. Ms. Wu should be advised to get vaccinated human papilloma virus


Question: The following pair of related spinal nerve distribution of feeling and what was right?

Answer: T10- around the navel

Choices:
A. T4- armpit
B. T6- near the nipple
C. T10- around the navel
D. L5- the outside of the ankle


Question: Mrs. Lee 56 years old, due to acute appendicitis and appendectomy in need of surgery. Mrs. Lee is uremic patients, the past eight years has been receiving hemodialysis treatment. During anesthesia note, with regard to the risks of anesthesia, you especially the situation of paroxysmal heart failure (cardiac episodic failure) to the family, because the merger uremic patients that have a disease?

Answer: anemia

Choices:
A. anemia
B. Hypotension
C. High blood 鉀症
D. Hypercalcemia


Question: 56. The following secreting pituitary adenoma which hormone (hormone-secreting pituitary adenoma), may be considered taking the dopamine agonist (dopamine agonist) therapy?

Answer: Lactation hormone (prolactin)

Choices:
A. TSH (thyroid-stimulating hormone, TSH)
B. ACTH (adrenocorticotropic hormone, ACTH)
C. Lactation hormone (prolactin)
D. GH (growth hormone)


Question: A 52-year-old woman, had been spotted in the emergency serum potassium 7.2 mmol / L, its high ECG T-wave, QRS extended. What processes need to be given the first step?

Answer: Intravenous administration of calcium gluconate

Choices:
A. Intravenous administration of calcium gluconate
B. Administering β2- sympathetic accelerator (β2-adrenergic agonists)
C. Administration of ion exchanger (cation exchange resins)
D. Give insulin plus dextrose intravenous infusion


Question: The most common in premature children's cerebral hemorrhage Why?

Answer: Protoplasm periventricular intraventricular hemorrhage (germinal matrix intraventricular hemorrhage)

Choices:
A. Protoplasm periventricular intraventricular hemorrhage (germinal matrix intraventricular hemorrhage)
B. Parenchymal hemorrhage (parenchymal hemorrhage)
C. Cerebellar hemorrhage (cerebellar hemorrhage)
D. Brainstem hemorrhage (brain stem hemorrhage)


Question: Following that kind of gestational trophoblastic tumor (gestational trophoblastic neoplasia, GTN), response to chemotherapy is the worst?

Answer: At placental trophoblastic tumor (placental-site trophoblastic tumor)

Choices:
A. Villous adenocarcinoma (choriocarcinoma)
B. At placental trophoblastic tumor (placental-site trophoblastic tumor)
C. Aggressive (invasive) GTN
D. Metastatic (metastatic) GTN


Question: About delirium (delirium), the following statements is wrong?

Answer: Antipsychotic long-acting injection is the preferred drug treatment of delirium

Choices:
A. Antipsychotic long-acting injection is the preferred drug treatment of delirium
B. Patients older than 70 years are at high risk of delirium
C. Delirium is a clinical indicator of overall poor prognosis
D. Change the core symptoms of delirium include cognitive disorders and states of consciousness, perception


Question: The following information about the spleen (spleen) described the development of, what this bad?

Answer: From foregut (foregut) endoderm (endoderm)

Choices:
A. First appeared in the stomach based film between the back side (dorsal mesogastrium)
B. From foregut (foregut) endoderm (endoderm)
C. Originally located in the back side of the stomach, and later due to the rotation of the stomach and to the left
D. Who have blood-forming organs


Question: First aid principles of electric shock or lightning strikes, the following statements is wrong?

Answer: Electric shock or cardiac arrest caused by lightning strikes, have to give a lot of water after he returned to prevent kidney failure

Choices:
A. Electric shock or cardiac arrest caused by lightning strikes, have to give a lot of water after he returned to prevent kidney failure
B. If struck by lightning causing a lot of injuries, you should adopt a reverse triage (reverse triage)
C. Whether electric shock or lightning strike cause the heart to stop, before the return of spontaneous circulation, its first aid and general cardiac arrest the same
D. Emergency electric shock to the patient, the primary task is to ensure its own security


Question: DNA replication occurs often have mismatched bases in the newly synthesized stocks, cells have a mechanism to repair mismatched (mismatch repair), and may be removed contain mismatched newly synthesized Unit (newly synthesized DNA strand), which of the following major role for this enzyme?

Answer: Mut H, L, S complex recognition system

Choices:
A. DNA polymerase (polymerase β, γ), DNA ligase (Ligase) proofing systems
B. Rec A, Rec F, Rec O, Rec R, SSB replication system
C. Umu C, Umu D force replication (error-prone replication) system
D. Mut H, L, S complex recognition system


Question: Esophageal sphincter (lower esophageal sphincter) of normally associated narrative, Which statement is correct?

Answer: Where the cavity pressure (intraluminal pressure) is greater than in intragastric pressure

Choices:
A. A longitudinal structure of muscle
B. Where the cavity pressure (intraluminal pressure) is greater than in intragastric pressure
C. Gastroesophageal junction distance of about 5 cm
D. When swallow the food here was contracted state


Question: 32-year-old female, presented in Figure Hysterosalpingography photographic examination, within the meaning of the narrative arrows whichever is most correct?

Answer: Single horn

Choices:
A. Uterine fibroids
B. Single horn
C. Endometriosis
D. Uterine (fallopian) ectopic pregnancy


Question: Statements about perioral stomatitis (perioral dermatitis), the error which of the following?

Answer: Use topical steroid therapy

Choices:
A. Occurs in women
B. Use topical steroid therapy
C. Sometimes needs to be done to rule out bacterial culture of Staphylococcus aureus (S. aureus) infection may
D. If given oral doxycycline treatment, sunscreen should remind the patient to avoid photosensitization (photosensitization)


Question: The impact on cervical secretions Which is not an estrogen?

Answer: Was strong, opaque secretions

Choices:
A. A clear mucous secretions
B. Presented fern under microscope
C. Good ductility
D. Was strong, opaque secretions


Question: Many synthetic drugs but binding molecular biology and synthetic chemistry derived, anti-AIDS drugs 3'-azido-2 ', 3'-dideoxythymidine (AZT) is the one, of the following statements about AZT, whichever error?

Answer: Human T lymphocyte DNA replication enzymes AZT triphosphate high affinity, it will bring many side effects

Choices:
A. AZT is easily absorbed by the HIV virus-infected T lymphocytes and transformed into a root triphosphate AZT (AZT triphosphate)
B. HIV virus reverse transcriptase for AZT triphosphate very high affinity
C. When DNA replication of the HIV virus when the 3 'end of the terminator will be added to the replication reaction AZT triphosphate
D. Human T lymphocyte DNA replication enzymes AZT triphosphate high affinity, it will bring many side effects


Question: The following statements about the development of the stomach, whichever is correct?

Answer: Gastric antrum (greater curvature) to the left

Choices:
A. Forming backside edge lesser curvature (lesser curvature)
B. Gastric antrum (greater curvature) to the left
C. The original of the back side of the left turn
D. Mesangial gastric back (dorsal mesogastrium) form small omentum (lesser omentum)


Question: Which of the following is the most common cause fetal heartbeat presented variant deceleration (variable decelerations) reasons?

Answer: Oppressed cord (cord compression)

Choices:
A. Fetal hypoxia
B. Fetal acidemia
C. Oppressed cord (cord compression)
D. Oppressed fetal head (head compression)


Question: 27-year-old male patient with pain in his right hand caused by a car accident, the hand X-rays such as drawings, most accurate diagnosis?

Answer: boxer's fracture

Choices:
A. mallet fracture
B. boxer's fracture
C. Bennett fracture
D. Colles fracture


Question: Microscopic changes following what glomerular diseases, silver staining glomerular capillary wall was presented in the form of a double (double contour) or rails (tramtrack) of?

Answer: Membrane proliferative glomerulonephritis (membranoproliferative glomerulonephritis)

Choices:
A. Small changes in kidney disease (minimal change disease)
B. Membranous glomerulonephritis (membranous glomerulonephritis)
C. Bureau to leaves of glomerular sclerosis (focal segmental glomerulosclerosis)
D. Membrane proliferative glomerulonephritis (membranoproliferative glomerulonephritis)


Question: Which of the following has been confirmed is teratogenic drugs?

Answer: warfarin

Choices:
A. natural progesterone
B. warfarin
C. salicylates
D. cephalosporins


Question: In terms of age alone, which of the following highest risk of suicide death?

Answer: Over 65 years

Choices:
A. 18-35 years old
B. 35-50 years old
C. 50-65 years old
D. Over 65 years


Question: 30 a 16-year-old male patient complained of red beans like red pimples appear on both sides of the thigh the following three days, and mild tenderness (as indicated by reference). In addition, symptoms of joint pain and stomach pain. Blood tests found that ESR 31 mm / h, CRP 2.74 mg / L, IgG 1720 mg / dL, mg / dL, IgM 129 mg / dL, urinalysis presentation protein (++). Why is the most likely diagnosis?

Answer: Henoch-Schönlein purpura

Choices:
A. Infectious mononucleosis
B. Henoch-Schönlein purpura
C. Amyloidosis
D. Acute eczema


Question: From the previous question, these patients receiving fine-needle (fine needle aspiration) checking presenting follicular cells, the following statements is non?

Answer: Surgery may be utilized to identify frozen sections diagnosis of benign follicular adenoma (follicular adenoma) with follicular thyroid carcinoma (follicular carcinoma)

Choices:
A. Should be considered for surgery
B. Surgery may be utilized to identify frozen sections diagnosis of benign follicular adenoma (follicular adenoma) with follicular thyroid carcinoma (follicular carcinoma)
C. At least required to undergo a total thyroidectomy ipsilateral lobectomy
D. Follicular thyroid carcinoma easy transfer of the blood to the bone, lung or liver


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

Answer: Hydralazine

Choices:
A. Hydralazine
B. Minoxidil
C. Captopril
D. Sildenafil


Question: Bearing the title, following whichever effective treatment?

Answer: Topical creams imidazole

Choices:
A. Topical mupirocin ointments
B. Topical creams imidazole
C. Topical acyclovir cream
D. Oral oxacillin


Question: Prothrombin time (Prothrombin time, PT) extended, but the activated partial thromboplastin time (activated partial thromboplastin time, aPTT) normal, most often because of the following that factor deficiency caused?

Answer: Factor 7

Choices:
A. Factor 8
B. Factor 9
C. Factor 7
D. Factor 11


Question: About kwashiorkor malnutrition narrative, whichever is most inappropriate?

Answer: Is the result of long-term starvation (starvation-related malnutrition)

Choices:
A. Is the result of long-term starvation (starvation-related malnutrition)
B. Physical examination may find swelling, hair pulled out easily (easy hair pluckability)
C. Check solid chamber may be found low serum albumin (<2.8 g / dL), reducing blood lymphocytes (lymphocytes <1,500 / μL)
D. Body mass index is still in the normal range


Question: Hypoalbuminemia (hypoproteinemia) occurs most often in patients infected with parasites which of the following?

Answer: Philippines Trichinella (Capillaria philippinensis)

Choices:
A. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
B. Philippines Trichinella (Capillaria philippinensis)
C. Trichinella spiralis (Trichinella spiralis)
D. Dog roundworm (Toxocara canis)


Question: The following inter-related GIST (gastrointestinal stromal tumors, GIST) of the narrative, what's right?

Answer: For transfer or gastrointestinal stromal tumor can not be surgically removed, the use of targeted therapy imatinib mesylate good effect

Choices:
A. The highest rates were detected in the large intestine, the ileum secondly, the most rare stomach
B. Between about 80% of gastrointestinal stromal tumor antigen will show k-ras
C. Between about 40% of gastrointestinal stromal tumors at diagnosis have lymph metastasis
D. For transfer or gastrointestinal stromal tumor can not be surgically removed, the use of targeted therapy imatinib mesylate good effect


Question: Photoreceptors of the retina of the narrative about and what was right?

Answer: Optical resolution (resolution), cone cells than rod cells

Choices:
A. rod cells responsible for color vision
B. cone cells and more in number than the rod cells
C. Light sensitivity (sensitivity), cone cells than rod cells
D. Optical resolution (resolution), cone cells than rod cells


Question: Shi Nailun (Snellen) 's E 20/20 eye chart as the subject of body size, relative to the perspective of six meters away eyes (visual angle) is about:

Answer: Fifth corner

Choices:
A. A point angle
B. Fifth corner
C. Twentieth angle
D. Sixtieth angle


Question: About Mycoplasma pneumoniae (Mycoplasma pneumoniae) caused by Which statement is correct?

Answer: This strain has adhesion protein P1 (P1 adhesin), can lead to epithelial cells (ciliated epithelial cells) of ciliated airway damage stricken

Choices:
A. Treatment of patients using antibiotics penicillin (penicillin), Bacillus head element (cephalosporin) or vancomycin (vancomycin -)
B. This strain has adhesion protein P1 (P1 adhesin), can lead to epithelial cells (ciliated epithelial cells) of ciliated airway damage stricken
C. May be sputum Gram staining (Gram stain), microscopic observation whether there Mycobacterium tuberculosis-like slender
D. By inhalation can be dried feces or respiratory secretions of infected birds and get infected


Question: Recombinant human interleukin-11, also known as oprelvekin, this biological agents which are mainly used to relieve symptoms caused by the chemotherapy (chemotherapy)?

Answer: Severe thrombocytopenia

Choices:
A. Vomiting
B. Severe thrombocytopenia
C. Alopecia
D. Diarrhea


Question: For the fourth severe lupus nephritis, the most recommended of the two kinds of cell toxic drugs (cytotoxic drugs) Why?

Answer: cyclophosphamide 或 mycophenolate mofetil

Choices:
A. cyclophosphamide 或 mycophenolate mofetil
B. cyclosporine 或 cyclophosphamide
C. azathioprine 或 methotrexate
D. azathioprine 或 cyclophosphamide


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

Answer: See the third stage (grade 3) chondrocyte morphology of malignant, whether the tumor is first thought Chondroblastoma osteosarcoma

Choices:
A. Most patients at the age of 20s
B. Rare tumor calcification
C. The first stage transfer probability (grade 1) from about 10% tumor
D. See the third stage (grade 3) chondrocyte morphology of malignant, whether the tumor is first thought Chondroblastoma osteosarcoma


Question: Which of the following requirements refused first aid, should not be accepted on ethics?

Answer: Terminal cancer patients due to a car accident bleeding surgical treatment are required, the family asked not to surgical repair

Choices:
A. Terminal cancer patients due to a car accident bleeding surgical treatment are required, the family asked not to surgical repair
B. For a terminally ill patient has signed a letter of intent DNR does not administer CPR
C. Jehovah's Witnesses refuse blood transfusions to be believers, not blood transfusion
D. Terminal cancer patient at his request, upon which its removal of nasogastric tube feeding


Question: Which of the following non-auto immune disease?

Answer: chronic allergic rhinitis

Choices:
A. systemic lupus erythematosus
B. Hashimoto's thyroiditis
C. type I diabetes mellitus
D. chronic allergic rhinitis


Question: The following antihypertensive drug, whichever vasodilation machine turn flows mainly inhibition of smooth muscle cells in calcium?

Answer: felodipine

Choices:
A. aliskiren
B. carvedilol
C. doxazosin
D. felodipine


Question: Hypoglycemic drugs acarbose main mechanism of action Why?

Answer: Inhibiting intestinal α- glucosidase activity (α-glucosidases), the slow down carbohydrate digestion and carbohydrate absorption rate disturbance

Choices:
A. Reduce insulin metabolism in the liver is broken down
B. Inhibiting intestinal α- glucosidase activity (α-glucosidases), the slow down carbohydrate digestion and carbohydrate absorption rate disturbance
C. Promoting pancreatic insulin secretion
D. Increasing the biosynthesis of glycogen (glycogen synthesis)


Question: He has brain tissue following sand (brain sand)?

Answer: Pineal gland

Choices:
A. Adrenal
B. thyroid
C. pituitary gland
D. Pineal gland


Question: Malignant tracheal tumor tissue type, Which of the following most common?

Answer: squamous cell carcinoma

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


Question: Xiaoying currently 26 weeks pregnant, there is no family history of the disease or critical illness, weight 90 kg, height 150 cm, was found during a routine check-ups 50 g sugar test (oral glucose challenge test) was 151 mg / dL, has been under the doctor suggested made a three-hour 100 g sugar tolerance test (oral glucose tolerance test), the results are on an empty stomach 105 mg / dL, 1 hours 195 mg / dL, 2 hours 170 mg / dL, 3 hours 145 mg / dL. So to answer the following three questions: the following statements is wrong?

Answer: Both test (50g GCT and 100g OGTT) are fasting does not need to be performed

Choices:
A. According to the standard 5th World Conference Workshop (fifth international workshop conference), the caregiver has been consistent with the diagnosis of gestational diabetes
B. Both test (50g GCT and 100g OGTT) are fasting does not need to be performed
C. Maternal gestational diabetes at 20 years after the production of more than half of women may develop diabetes (overt DM)
D. Gestational diabetes, maternal weight or obese fetal stillbirth rate (unexplained stillbirth rate) are higher than the average pregnant women


Question: According to the accompanying X-ray changes, the most likely diagnosis Why?

Answer: Psoriatic arthritis

Choices:
A. Rheumatoid arthritis
B. Gouty arthritis
C. Bacterial arthritis
D. Psoriatic arthritis


Question:
80 following those parasites larvae can enter the body through the skin and cause infection? ① unicellular tapeworms (Echinococcus granulosus) ② Manson Diphyllobothrium tapeworm (Spirometra mansonoides) ③ Schistosoma japonicum (Schistosoma japonicum) ④ Yokokawa sinensis
 (Metagonimus yokogawai)

Answer: ②③

Choices:
A. ①②
B. ①④
C. ②③
D. ③④


Question:
79. Mr. Jane is a 30-year-old male guards have done, but there is a free industry. 3 years ago due to ischemic colitis accepted a large number of small bowel resection, postoperative installed Hickman's catheter as short bowel syndrome receiving long-term total parenteral nutrition. Day after day care for working catheter connected to drip and unable to eat properly for many years to feel very tired. This time because of fever, catheter-related bloodstream infections in hospital patients in recent days has repeatedly told to take care of his physician, after thinking for a long time, and he did not want to live any more, he wants to stop the current treatment and refused to continue receiving total parenteral nutrition. He said that if not properly fed by mouth
 Food, life patients would not make any sense, and he has discussed the matter with his family, his family, although harsh, but it seems to have
 Accepted and agreed to his ideas; Which of the following best practices inappropriate?

Answer: To avoid patient death, regardless of the need to continue treatment

Choices:
A. Respect the wishes of Mr. Jane, do not continue to be given total parenteral nutrition
B. Psychiatric consultation to assess the patient's mental and explore the reasons
C. To avoid patient death, regardless of the need to continue treatment
D. And patients discuss the various treatment options, the respect his choice


Question: External carotid artery branches (external carotid artery) does not supply blood to:

Answer: eyeball

Choices:
A. Dura
B. Nasal mucosa
C. The upper and lower alveolar
D. eyeball


Question: To understand the patient's daily fluid balance (fluid balance), one of the following best measure that?

Answer: The amount of body weight per day

Choices:
A. Daily urine excretion
B. Estimation out daily fluid balance (intake-output balance) value
C. The amount of body weight per day
D. Measuring the concentration of sodium per day (serum Na)


Question: 2. The following are those American Medical Association published clinical guidelines anesthesia outside the operating room anesthesia (Guidelines for non-operating room anesthetizing locations) in 1994.? ① adequate anesthesia care space ② ③ reliable supply of oxygen equipment for physiological monitoring instruments ④ Needless to prepare defibrillator (defibrillator)

Answer: Only ①②③

Choices:
A. Only ①②③
B. ①②③④
C. Only ①④
D. Only ②③④


Question: The following narrative about the abdominal organs, what's wrong?

Answer: Dominate the front of the stomach before the vagus nerve from the right vagus nerve

Choices:
A. Right gastric vein (right gastric vein) to import the hepatic portal vein (portal vein)
B. Mesenteric vein (inferior mesenteric vein) Import splenic vein
C. Dominate the front of the stomach before the vagus nerve from the right vagus nerve
D. Short gastric artery (short gastric arteries) feeding to the bottom of the stomach (fundus)


Question: Function of the sperm head tip body (acrosome) is:

Answer: Release enzymes to penetrate the egg's membrane

Choices:
A. Swing forward
B. Produce energy substance ATP
C. DNA carries the genetic material
D. Release enzymes to penetrate the egg's membrane


Question: Which of the following disposal of the treatment of acute systemic anaphylaxis (Systemic anaphylaxis) most helpful?

Answer: Epinephrine is injected subcutaneously

Choices:
A. Intravenous steroids
B. β-blocker is administered
C. intramuscular injection of muscle relaxant
D. Epinephrine is injected subcutaneously


Question: 15-year-old patient, the body began to appear as shown in the scaling from early childhood, the most likely diagnosis Why?

Answer: Fish ringworm (ichthyosis)

Choices:
A. Psoriasis (psoriasis)
B. 體 癬 (the worm body)
C. Fish ringworm (ichthyosis)
D. Bullous epidermolysis bullosa (epidermolysis bullosa)


Question: 59. In terms of approach rear (posterior approach) way to perform total hip arthroplasty (total hip replacement), then following what muscles must be cut off?

Answer: The margin muscles (superior gemellus muscle)

Choices:
A. Gluteal muscles (gluteus medius muscle)
B. Gluteus minimus muscle (gluteus minimus muscle)
C. The margin muscles (superior gemellus muscle)
D. Shares muscle (vastus lateralis muscle)


Question: The combined hypokalemia (hypokalemia) and high blood pressure clinical endocrine tumors, commonly occur in where?

Answer: Adrenal zona glomerulosa (zona glomerulosa)

Choices:
A. Adrenal medulla (adrenal medulla)
B. Adrenal zona glomerulosa (zona glomerulosa)
C. Adrenal zona fasciculata (zona fasciculata)
D. Adrenal cortex zona reticularis (zona reticularis)


Question: Reason postmenopausal women abnormal uterine bleeding, the most common are:

Answer: Hormonal imbalance caused by hormones or supplements

Choices:
A. Hormonal imbalance caused by hormones or supplements
B. Endometrial cancer
C. Cervical Cancer
D. Uterine polyps


Question: The following quality classes on by phosphorylation (substrate-level phosphorylation) and human intracellular oxidative phosphorylation sites for the (oxidative phosphorylation) biochemical (compartments) distribution, what is correct?

Answer: Quality class by phosphorylation of cytoplasm and were in mitochondrial oxidative phosphorylation in mitochondria in

Choices:
A. Quality class by phosphorylation only in the mitochondrial oxidative phosphorylation in the cytoplasm
B. Quality class by phosphorylation in the cytoplasm only, in the oxidative phosphorylation in mitochondria
C. Quality class by phosphorylation of cytoplasm and were in mitochondrial oxidative phosphorylation in mitochondria in
D. By mass hierarchical oxidative phosphorylation and phosphorylation are the only mitochondria in


Question: The following Auto-immune diseases, where violators not for still ⼀ at the organization, are systemic disease?

Answer: Rheumatoid arthritis (rheumatoid arthritis)

Choices:
A. Auto body of lean solvent ⾎ ⾎ (autoimmune hemolytic anemia)
B. Auto autoimmune Addison disease (autoimmune Addison's disease)
C. Hashimoto's thyroiditis
D. Rheumatoid arthritis (rheumatoid arthritis)


Question: Account of acute epiglottitis (acute epiglottitis), the Which of the following error?

Answer: Neck X-ray showing "steeple sign"

Choices:
A. The most common pathogen of type B Haemophilus (H. influenzae B)
B. Neck X-ray showing "steeple sign"
C. May cause upper airway obstruction
D. The first re-establish the treatment of respiratory tract


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

Answer: Cytomegalovirus（CMV）infection

Choices:
A. Early age at first intercourse
B. Multiple sexual partners
C. Cigarette smoking
D. Cytomegalovirus（CMV）infection


Question: The following can cause muscle wasting disease, it will also have a tendon reflexes rising phenomenon?

Answer: amyotrophic lateral sclerosis

Choices:
A. amyotrophic lateral sclerosis
B. myotonic dystrophy
C. porphyric neuropathy
D. polymyositis


Question: 69.77 years old stroke patients, prolonged bed rest and the use of indwelling catheters. Stank of urine found its care for three days and cloudy, like patients with stable vital signs, urine examination showed WBC> 100 / HPF, urinary culture as candidiasis (Candida albicans), where most inappropriate disposal of these items?

Answer: Intravenous administration of amphotericin-B

Choices:
A. Give oral fluconazole
B. Removing the catheter, into regular daily cleaning intermittent catheterization (intermittent clean catheterization)
C. Continuous administration of amphotericin-B bladder irrigation
D. Intravenous administration of amphotericin-B


Question: 26 Which of the following test results more in line with a case of arterial blood gas analysis and serum electrolytes listed? pH 7.32, PaO2 110 mmHg, PaCO2 30 mmHg, HCO3- 18 mEq / L; Na + 138, K + 3.5, Cl- 97 (electrolyte unit is mmol / L)

Answer: 20-year-old patients with type 1 diabetes history of 5 years, poor glycemic control, with the recent reduction in the number of injections of insulin final exam

Choices:
A. 70-year-old patient due to severe constipation, diarrhea taking magnesium sulfate led to several days
B. 28-year-old patient diagnosed with Sjogren's syndrome (Sjögren's syndrome), accidentally discovered renal calcification (nephrocalcinosis), urine pH value of 6.5; after administration of NH4Cl (0.1 g / kg body weight), urine pH value of 6.0
C. 20-year-old patients with type 1 diabetes history of 5 years, poor glycemic control, with the recent reduction in the number of injections of insulin final exam
D. 60-year-old patient was placed biliary obstruction of bile drainage tube drainage


Question: International Research on Cancer (IARC) will be insufficient epidemiologic data and limited animal data of possible carcinogens, as that class?

Answer: 2B

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


Question: Mrs. Lee, 83 years old, complained last night after using the bathroom, which has a mass in the right groin, then stomach swelling, vomiting ago, a doctor, and last night, has no exhaust situation. Found that the right side of the lower edge of the inguinal ligament has a 2 cm projection, abdomen KUB below, considering its age, palpation, gender and clinical, the diagnosis is most likely why?

Answer: The right femoral hernias (femoral hernia) and chronic intestinal obstruction

Choices:
A. Acute appendicitis (acute appendicitis) merger rupture
B. Pelvic inflammatory disease (pelvic inflammatory disease)
C. The right femoral hernias (femoral hernia) and chronic intestinal obstruction
D. L colon (ascending colon cancer)


Question: Human pinworm (Enterobius vermicularis) infection most commonly used diagnostic method Why?

Answer: Anal glass tape around wiping method (Cellophane tape perianal swabs method)

Choices:
A. Direct painting method (Direct wet film method)
B. Anal glass tape around wiping method (Cellophane tape perianal swabs method)
C. Formalin - ether concentration method (Formol-ether concentration technique)
D. Saturated brine flotation method (Saturated sodium chloride solution floating method)


Question: Bearing the title, following what neurotransmitters are most relevant?

Answer: Dopamine (dopamine)

Choices:
A. Epinephrine (Adrenaline)
B. Serotonin (serotonin)
C. Dopamine (dopamine)
D. Acetylcholine (acetylcholine)


Question: Which of the following for use of the polymerase chain reaction (polymerase chain reaction) analysis of changes in gene as a diagnostic method with length?

Answer: Off fragile X chromosome syndrome (fragile-X syndrome)

Choices:
A. Colin Buffett's syndrome (Klinefelter syndrome)
B. Off fragile X chromosome syndrome (fragile-X syndrome)
C. Marfan syndrome (Marfan syndrome)
D. Pompe disease (Pompe disease)


Question: If A and B both age-specific mortality rates for all ages are identical, the following statements is most accurate?

Answer: The age-standardized mortality rates of both A and B must be the same

Choices:
A. Crude death rate of both A and B must be the same
B. The age-standardized mortality rates of both A and B must be the same
C. A ratio of B to the aging population, the crude mortality rate of megestrol acetate will be less than
D. Standardization and B between the two age difference of mortality does not vary with the age composition of the population while the standard variation


Question: Which of the following is Mycoplasma (Mycoplasma) are unique and must be added ingredients in the medium to facilitate its growth by animal serum?

Answer: 脂醇（sterols）

Choices:
A. 脂醇（sterols）
B. Albumin (albumin)
C. Glycoprotein (glycoproteins)
D. Sugar lipids (glycolipids) 45 following narrative about syphilis (syphilis), and what's the most correct?


Question: Under the screen for infectious diseases, infectious diseases Taiwan whichever is informed of the first frame class in the hierarchy (must be notified immediately)?

Answer: Mad ⽝ disease

Choices:
A. Mad ⽝ disease
B. Date encephalitis
C. malaria
D. syphilis


Question: Differentiation of dendritic cells can induce regulatory T cells, the following molecules not directly associated with the function?

Answer: IL-6

Choices:
A. IL-10
B. TGF-b
C. Indoleamine 2, 3 dioxygenase（IDO）
D. IL-6


Question: 75 in Taiwan, tiger frog (Rana rugulosa) and gold frog (Rana plancyi) Which of the following is the protection of human parasite larvae host (paratenic host)?

Answer: Angiostrongylus cantonensis (Angiostrongylus cantonensis)

Choices:
A. Angiostrongylus cantonensis (Angiostrongylus cantonensis)
B. Philippines Trichinella (Capillaria philippinensis)
C. Wide section of crack head tapeworm (Diphyllobothrium latum)
D. Wei's lung fluke (Paragonimus westermani)


Question: Ladd's procedure is a surgical procedure which of the following diseases?

Answer: Small intestinal volvulus insufficiency (malrotation)

Choices:
A. Small intestine closure (intestinal atresia)
B. Anorectal disease (imperforate anus)
C. Copy deformity small intestine (intestinal duplication)
D. Small intestinal volvulus insufficiency (malrotation)


Question: A 43-year-old recently divorced due to domestic violence and women, for a month's time, there is depressed mood, lack of motivation and interest, fatigue, loss of appetite, insomnia, weight loss, negative thinking and other symptoms. This clinical diagnosis of patients most likely to have which of the following?

Answer: Severe depression disorder (major depressive disorder)

Choices:
A. Premenstrual dysphoric disorder (premenstrual dysphoric disorder)
B. OCD (obsessive compulsive disorder)
C. Severe depression disorder (major depressive disorder)
D. Panic disorder (panic disorder)


Question: An 8-year-old boy with fever, sore throat for three days on the eyelids puffiness, redness nor the eye does not discharge, as shown in Figure throat. Administration of amoxicillin 40 mg / kg / day after q8h, 3've been waiting fever, the body appears to many needle grain size of the red papules. That one of the following is the most likely diagnosis?

Answer: infectious mononucleosis

Choices:
A. Kawasaki disease
B. scarlet fever
C. pharyngoconjunctival fever
D. infectious mononucleosis


Question: A 24-year-old woman appeared lower extremity weakness and numbness within 7 days ago, three days after becoming completely unable to walk simultaneous urinary retention phenomenon. In terms of past medical history, the patient had left five years ago, sudden loss of vision, ophthalmologist diagnosed with optic neuritis, and almost completely restored vision in 2-3 months later. In addition, also diplopia and right hemiplegia phenomenon in patients 2 years ago, and this symptom is also two months almost completely restored. According to the above description, Which of the following is the most likely diagnosis of this patient?

Answer: Multiple sclerosis (multiple sclerosis)

Choices:
A. Multiple sclerosis (multiple sclerosis)
B. Chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyneuropathy)
C. Neurosyphilis (neurosyphilis)
D. Lack of vitamin B12 neurological complications


Question: 57 This is a 68-year-old right-handed male brain computerized tomography (developer did not play), his language barrier is most likely:

Answer: Speak fluently, but can not understand the words of others

Choices:
A. Understand the words of others, but can not express
B. Speak fluently, but can not understand the words of others
C. Can not understand the words of others, can not be expressed
D. Can not repeat the words of others, but other speech function properly


Question: Face the following about the old narrative ⿇ drunk, what's wrong?

Answer: Face of drug intoxication ⿇ old white eggs decreased binding, so care has reduced efficacy ⿇ drunk

Choices:
A. Preoperative evaluation should be comprehensive consideration of risk because many submenus, if only considering the age of this chest upwards, without considering other risk prediction because of submenus, the age of the minor because ⼀ submenus
B. Face of drug intoxication ⿇ old white eggs decreased binding, so care has reduced efficacy ⿇ drunk
C. There is no evidence of complications destination time before displayed in manual operation period (perioperative), chest upwards ⿇ old Face embodiment drunk hair than a full chest upwards ⿇ kind occurred less drunk
D. Postoperative cognitive dysfunction (postoperative cognitive dysfunction) made ⽣ rate than in the old PORTRAIT ADVANCED


Question: Inattention ADHD (attention-deficit / hyperactivity disorder; ADHD) diagnosis of typical conditions, does not include which of the following?

Answer: Mental retardation (mental retardation)

Choices:
A. Attention deficit (inattention)
B. 過動（hyperactivity）
C. Impulses (impulsivity)
D. Mental retardation (mental retardation)


Question: A 30-year-old healthy male, ventricular end-systolic left ventricular still leave about 42 c.c. blood; ventricular end-diastolic left ventricular also leave approximately 140 c.c. blood. Their left ventricular ejection fraction (ejection fraction) Why?

Answer: 70%

Choices:
A. 60%
B. 65%
C. 70%
D. 75%


Question: In the development of the central nervous system, which of the following is derived from the substrate neuroblastoma cells (neuroblasts of basal plates):

Answer: Red nucleus (red nucleus)

Choices:
A. Dorsal horn (dorsal horn)
B. Inferior colliculus (inferior colliculus)
C. Thin core (gracile nucleus)
D. Red nucleus (red nucleus)


Question: About myotonic dystrophy (myotonic dystrophy), the following statements is wrong?

Answer: With proximal weakness mainly common diplopia

Choices:
A. Autosomal dominant genetic
B. With proximal weakness mainly common diplopia
C. Often complicated by multiple diseases, such as cataracts, diabetes, arrhythmia, etc.
D. Muscle enzymes in the blood is usually normal or slightly increased


Question: After the disposal of sick children fever for two days, reduce cough, but suddenly began to have a fever to 39.1 ℃, cough, phlegm sound. At this time, the diagnosis of which of the following?

Answer: Concurrent bacterial bronchopneumonia

Choices:
A. Allergic asthma attack
B. Treatment of side effects of drugs
C. Once again suffering from upper respiratory tract infection
D. Concurrent bacterial bronchopneumonia


Question: About enalapril for the treatment of heart failure patients the role of narrative, what's wrong?

Answer: Use of digoxin treatment of chronic heart failure patients may be substituted enalapril

Choices:
A. A first line treatment of chronic heart failure therapy
B. Use of digoxin treatment of chronic heart failure patients may be substituted enalapril
C. Can be used with diuretics and
D. Renal artery stenosis should be avoided


Question: The following patients, whichever is not appropriate to be the recipient of a heart transplant?

Answer: 55 year old man suffering from heart failure and emphysema late pulmonary hypertension (pulmonary vascular resistance> 5 Wood units)

Choices:
A. 63 year old man suffering from severe coronary artery disease, all medical therapies and surgical therapies are unable to improve myocardial blood perfusion
B. 50-year-old male suffering from hypertrophic cardiomyopathy, cardiac surgery remains after the end of heart failure
C. 55 year old man suffering from heart failure and emphysema late pulmonary hypertension (pulmonary vascular resistance> 5 Wood units)
D. 22 year old woman suffering from benign heart tumor with repeated sexual ventricular tachycardia, can not be surgically resected


Question: Chemical penetration theory related to the respiratory chain (chemiosmotic theory), the following statements is true?

Answer: ATP synthesis with the moving force protons (proton-motive force) For

Choices:
A. Oxidative phosphorylation in the mitochondria outer membrane
B. The same concentration within the outer mitochondrial membrane in vivo protons (protons) of
C. ATP synthase no importance in chemiosmotic theory
D. ATP synthesis with the moving force protons (proton-motive force) For


Question: Movement starting instant phenomenon will lack oxygen (oxygen deficit) occurs, the first 10 seconds of muscle contraction energy mainly from:

Answer: Creatine phosphate (phosphocreatine)

Choices:
A. Free fatty acid (free fatty acid)
B. Creatine phosphate (phosphocreatine)
C. Glycogen (glycogen)
D. Lactic acid (lactate)


Question: Correspondence relating to construction and opening of the diaphragm, Which statement is correct?

Answer: Azygos vein - aortic hiatus

Choices:
A. Chest tube - the esophagus hiatus
B. Azygos vein - aortic hiatus
C. Vagus nerve - the inferior vena cava hiatus
D. Sympathetic trunk - aortic hiatus


Question: That one of the following organ most Rongyifasheng liquefaction necrosis (Liquefactive necrosis)?

Answer: brain

Choices:
A. lung
B. kidney
C. intestinal
D. brain


Question: Mrs. Liu, 38, her husband Mr. Liu, 52, to accept the artificial reproduction IVF and smooth pregnancy. Mrs. Liu worry about older mothers, the pregnancy of her narrative, which of the following error?

Answer: If IVF when accepting sperm injection (intracytoplasmic sperm injection, ICSI), does not increase the risk of fetal chromosomal abnormalities

Choices:
A. If IVF when accepting sperm injection (intracytoplasmic sperm injection, ICSI), does not increase the risk of fetal chromosomal abnormalities
B. Elderly father did not increase the risk of fetal Down syndrome
C. About 50% of the embryos cause of death is due to chromosomal abnormalities
D. Down's syndrome occurs because separation often occurs when the egg during meiosis incomplete (nondisjunction) resulting


Question: The following statements is wrong?

Answer: Patients with Freund's Negri amoeba (Naegleria fowleri) typically frail elderly, have a swim before the onset of one week

Choices:
A. Patients with Freund's Negri amoeba (Naegleria fowleri) typically frail elderly, have a swim before the onset of one week
B. Primary amoebic meningoencephalitis (primary amebic meningoencephalitis) patients, if not timely diagnosis and treatment, death usually 3-6 days after onset of symptoms
C. As the patient's tissue sections were also found trophozoites (trophozoites) and bladder (cysts), patients are most likely to be infected with Acanthamoeba (Acanthamoeba spp.)
D. Acanthamoeba (Acanthamoeba spp.) May also cause skin ulcers and keratitis


Question: 45 a 62-year-old male, weighing 60 kg, at two o'clock to the emergency, the main complaint of bloody stool began early this morning. Patients face slightly pale, dizziness when standing consciously, general weakness, when measuring the heartbeat hospital lying in bed is 110 beats per minute, blood pressure of 120/60 mmHg. It does not require one of the following is the most immediately dispose of?

Answer: Abdominal X-ray photography

Choices:
A. Medical history and symptoms, physical examination
B. Given oxygen, transfusion, blood tests
C. Placement of a nasogastric tube, and rinse with water stomach
D. Abdominal X-ray photography


Question: During pregnancy, uterine smooth muscle cells affected due to endocrine stimulation, the cells change as follows:

Answer: Hyperplasia and hypertrophy

Choices:
A. Hyperplasia, hypertrophy
B. Hypertrophy, not hyperplasia
C. Hyperplasia and hypertrophy
D. Not hyperplasia, hypertrophy


Question: Tuberculosis lesions of tissue necrosis which belong to the following types?

Answer: Cheese (caseous)

Choices:
A. Liquid (liquefactive)
B. -Hardened (coagulative)
C. Cheese (caseous)
D. Fat (fat)


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

Answer: Cervical cancer

Choices:
A. Early menarche or late menopause
B. 30-year-old young man never birth or first child
C. Mother or sister had suffered from breast cancer
D. Cervical cancer


Question: RAS-MAPK message signal transmission path at the same time the regulation of cell death and survival, RAS activation requires that one of the following molecules?

Answer: GTP

Choices:
A. ATP
B. GTP
C. NADH
D. Ca2+


Question: A 36-year-old man in climbing the road, was accidentally hit by a falling rock on the abdomen near the xiphoid place, complained of chest pains and was taken to hospital, examination showed left lower breathing, no rib fractures, left after the first chest tube insertion outflow of blood, then there are some of the granular stream out, the patient still feels quite painful, what next step to check the schedule to confirm the diagnosis?

Answer: Esophagoscopy or esophageal Photography

Choices:
A. Chest X-ray
B. Lymphatic photography
C. Angiography
D. Esophagoscopy or esophageal Photography


Question: Maternal varicella before and after childbirth, may cause severe chickenpox infants. Among them, when a rash of babies whose mothers most dangerous?

Answer: Prenatal five days until two days after childbirth

Choices:
A. Prenatal two weeks ago
B. Prenatal one to two weeks
C. Prenatal five days until two days after childbirth
D. Postpartum two days to a week


Question: The use of inhaled anticholinergic drugs (anti-cholinergics) of the side effects, which of the following most rare?

Answer: Shaking hands

Choices:
A. Shaking hands
B. Dry mouth
C. Solution difficulty in urination
D. Cause glaucoma attack


Question: The following items are not that of a pregnancy (first trimester) ultrasound examination must check the project?

Answer: Fetal presentation

Choices:
A. Fetal presentation
B. Gestational sac location
C. Crown-rump length
D. Fetal heart motion


Question: A 35-year-old male patient, the left side of the main symptoms of nasal congestion with nasal secretions and blood, the physical examination show left nasal polyps have more than a fleshy, in addition to no other relevant medical history, their CT shown below, less possible diagnoses why?

Answer: Mucocele

Choices:
A. Fungal sinusitis
B. Nasal cancer
C. Mucocele
D. Chronic sinusitis


Question: A 27-year-old male worker weighing 79 kg, accidentally fall, causing hemorrhagic shock at the site, sent to the hospital emergency room physicians to give 2000 mL isotonic infusion (isotonic solution), the signs of life have improved temporarily, but soon they fall in blood pressure, heartbeat rose again, may I ask this patient about how much blood loss?

Answer: 1500~2000 mL

Choices:
A. ＜550 mL
B. 550~1100 mL
C. 1500~2000 mL
D. 2500~3000 mL


Question: The following statements about the nervous system lesions, what's wrong?

Answer: Porphyria (porphyria) nothing to do with drug use

Choices:
A. Pb (lead) can damage peripheral nerves
B. Hg (Mercury) may cause the central and peripheral nerve injury
C. Arsenic (arsenic) poisoning symptoms may occur in the digestive and nervous system
D. Porphyria (porphyria) nothing to do with drug use


Question: A hospital surgical treatment of a disease, sampling 100 patients with 80 treatment success, 95% confidence interval success rate (95% Confidence Interval) to (0.72, 0.88). If the general treatment of this patient the national average success rate of 90%, we want to use this information to do hypothesis test, test A hospital to treat the disease success rate is lower than the 90% significant level is set to α = 0.05, Which statement is correct?

Answer: The overthrow of nothingness hypothesis and concluded that the treatment success rate is lower than A hospital 90%

Choices:
A. Unable to overthrow the hypothesis of nothingness, concluded that the treatment success rate of 90% A hospital with the same
B. The overthrow of nothingness hypothesis and concluded that the treatment success rate is lower than A hospital 90%
C. Unable to overthrow the hypothesis of nothingness, concluded that the treatment success rate is lower than A hospital 90%
D. The overthrow of nothingness hypothesis and concluded that the treatment success rate of 90% A hospital with the same


Question: A 50 year old man after a few days to find a bowel movement, there anus on toilet paper to wipe the blood, but no other symptoms, no family cases of colorectal cancer, it is to the clinic for examination. Hb15 g / dL, stool OB (+), anoscopy found hemorrhoids but no bleeding, examination arrangements colonoscopy and found sigmoid about a 1.2 cm mobility semisessile polyps, the surface portion is not flat, the how to deal with?

Answer: First for endoscopic polypectomy Reconsideration

Choices:
A. Only then observed for slicing enough
B. Can be observed
C. Arranged directly laparotomy
D. First for endoscopic polypectomy Reconsideration


Question: Histidine (histidine) has three acid dissociation constant (having a pKa) values, respectively, 1.82, 6.0, 9.17. Wherein the pKa of the functional groups is 1.82?

Answer: Carboxyl (-COOH)

Choices:
A. Amine groups (-NH3 +)
B. Carboxyl (-COOH)
C. Isopropyl side chain pyrazolyl (side-chain imidazole group)
D. [alpha] carbon atom (α carbon) hydrogen atom


Question: About the pelvis (pelvis) and pelvic fractures related to the narrative, Which statement is correct?

Answer: Turn on the machine and injury epidemiology perspective, pelvic fracture is the most common cause of fractures outside oppressive injury (lateral compression)

Choices:
A. When sitting, the upper main gravity (hip joint) is borne by the hip
B. Pelvic x-ray examination of the pelvic outlet projection transfected or transformed judgment outer half of the pelvis (hemipelvis) is useful to help the
C. Turn on the machine and injury epidemiology perspective, pelvic fracture is the most common cause of fractures outside oppressive injury (lateral compression)
D. Fracture, if the pubic symphysis separation than 1 cm, for the surgical treatment of indications


Question: Male infertility "testicles sliced" checks for execution under what circumstances?

Answer: Azoospermia FSH concentration in blood and normal

Choices:
A. All semen analysis is less refined person
B. Azoospermia merger acid negative (fructose-negative)
C. Azoospermia and high blood concentration of FSH by
D. Azoospermia FSH concentration in blood and normal


Question: The following statements about the treatment of tuberculosis, whichever is correct?

Answer: Had received anti-TB drugs and medication were irregular, the development of resistance machine is high

Choices:
A. The use of one week two to three times higher dose therapy, can shorten the course of treatment, reducing drug resistance
B. Had received anti-TB drugs and medication were irregular, the development of resistance machine is high
C. Once suffering from multi-drug resistance, combination therapy can still use the standard drugs, within six months Kanji
D. Taiwan because of past abuse of antibiotics, resulting in a lot of super resistant tuberculosis (XDRTB), every year about 1% of new TB cases has become a serious public health problem


Question: 65 year old man seeking treatment lumbar pain, by imaging studies and slices, remove the stained tissue lumbar thyroglobulin (thyroglobulin) were positive, further should be how to deal with the most appropriate?

Answer: Do total thyroidectomy

Choices:
A. Do radioiodine therapy
B. Do outside of electrotherapy lumbar
C. Do total thyroidectomy
D. Do globulin measurement of blood thyroid


Question:
15
 Which of the following is the external urethral sphincter (external urethral sphincter) located at?

Answer: Membranous urethra

Choices:
A. Bladder neck
B. Membranous urethra
C. Prostatic urethra
D. Penile urethra


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

Answer: Clinical treatment to surgical removal of lesions based

Choices:
A. Pathological changes of the alveolar surfactant protein filled (Surfactant)
B. Most patients acquired type (acquired type)
C. Anti-GM-CSF antibody is likely to cause the
D. Clinical treatment to surgical removal of lesions based


Question: Genetic classification for congenital scoliosis (congenital scoliosis), the curvature Which of the following increases of the fastest, the worst prognosis?

Answer: Unilateral unsegmented ridge section plus half contralateral vertebral malformation (unilateral and unsegmented bar with contralateral hemivertebra)

Choices:
A. Semi vertebral malformation fully disengaged (free hemivertebra)
B. Semi-embedded spinal deformity (incarcerated hemivertebra)
C. Unilateral unsegmented ridge section (unilateral unsegmented bar)
D. Unilateral unsegmented ridge section plus half contralateral vertebral malformation (unilateral and unsegmented bar with contralateral hemivertebra)


Question: Following what diseases associated with calcium channel disease?

Answer: Episodic ataxia

Choices:
A. Periodic paralysis
B. Paramyotonia congenita
C. myotonia congenita
D. Episodic ataxia


Question: 40 year old woman eye pain, fatigue, weight loss, his hands trembling and other symptoms, thyroid function test results is too high, and thyroid stimulating hormone receptor (TSH receptor) antibody Ge Ruifu's disease (Graves' disease) occurs. The causes of disease Why?

Answer: Autoimmune diseases generated by autoantibody

Choices:
A. Infection destroy thyroid gland, causing excessive function
B. Autoimmune diseases generated by autoantibody
C. Excessive intake of iodine, causing thyroid function is too high
D. Electrolyte metabolism disorders, caused by excessive thyroid function


Question: The following statements about cervical cancer and what was right?

Answer: Current mining stage cervical cancer clinical stage, treatment varies depending on the other have different options

Choices:
A. Current mining stage cervical cancer surgical staging, surgery is the main treatment
B. Current mining stage cervical cancer clinical stage, treatment varies depending on the other have different options
C. Eradication hysterectomy (Radical hysterectomy) is the only method for treating cervical cancer
D. Cervical cancer radiation therapy response to the difference, it is not considered the radiotherapy


Question: From the previous question, other diagnostic methods for this bacterial infection, such as blowing method, enzyme detection method is to detect this kind of enzymes produced by bacteria?

Answer: Urease (Urease)

Choices:
A. Protease (Protease)
B. Urease (Urease)
C. Nuclease (Nuclease)
D. Thrombin (coagulase)


Question: 3. who lives in Kaohsiung 10-year-old boy developed fever, muscle aches and joint pain, disease occurs in about 4 days rash as shown, and then start with hands and feet began to spread to the trunk, the patient palms, soles mild swelling palm sense of tension, itching palms, some tingling; blood examination revealed: hemoglobin is 9.5gm / dL, hematocrit 28.5% of white blood cells was 4,000 / mm3, which accounts for about 65% of the lymphocyte-based, and 16% atypical lymphocytes, platelets U / L, GPT: 59 U / L, the following statements is true?

Answer: Sick children as dengue fever, belong to the second category of notifiable infectious diseases, to be notified within 24 hours of blood tests and Control Board to the disease

Choices:
A. The infection is caused by sick children EB virus infectious mononucleosis ball histiocytosis, if the rash becomes severe should consider the use of steroids
B. Sick Children infected with scarlet fever is caused by the group A streptococcus, must be quickly treated with antibiotics for 10 days, in order to avoid rheumatism
C. Sick children as dengue fever, belong to the second category of notifiable infectious diseases, to be notified within 24 hours of blood tests and Control Board to the disease
D. Sick Children contagious parvovirus B19 infection is caused by the erythema, should be closely track changes in blood cells as well as early detection whether hemophagocytic syndrome appears


Question: The assessment results submenus that stocks of eggs (ovarian reserve) declining Which statement is correct?

Answer: Muller ⽒ anti-hormone (antimüllerian hormone, AMH) decline

Choices:
A. Follicle stimulating hormone (follicle stimulating hormone, FSH) basic value decrease
B. Female eggs submenus stocks regardless of age
C. Muller ⽒ anti-hormone (antimüllerian hormone, AMH) decline
D. The number of antral follicles super Rec wave measuring meter (antral follicle count, AFC) increased


Question: Pancreatic pseudocysts (pseudocyst), the most common reasons are:

Answer: Pancreatitis

Choices:
A. Parasites
B. Pancreatic tumors
C. Pancreatitis
D. surgery


Question: Crohn's disease can lead to long-term small intestine and large intestine malignant lesions, in what the majority of malignant tumors?

Answer: Adenocarcinoma (adenocarcinoma)

Choices:
A. Carcinoid (carcinoid)
B. Lymphoma (lymphoma)
C. Adenocarcinoma (adenocarcinoma)
D. Interstitial cancer (stromal tumor)


Question: 29 a large 3-month baby boy from birth after there is slow growth phenomenon, physical examination found to have symptoms of muscle weakness. Blood examination revealed lactic acid (lactate), pyruvic acid (pyruvate), alanine (alanine) rises, and metabolic acidosis (metabolic acidosis)

Answer: Thiamine (thiamine)

Choices:
A. Vitamin B6 (pyridoxine)
B. Nicotinic acid (niacin)
C. Riboflavin (riboflavin)
D. Thiamine (thiamine)


Question: Symptoms of high prolactin hyperlipidemia (hyperprolactinemia) arise, which of the following correlation between the minimum?

Answer: feel sick and vomit

Choices:
A. Milk secretion
B. Menstrual abnormalities
C. feel sick and vomit
D. Headache and visual disturbances


Question: One child under 5 years old, occurred Ventricular fibrillation, defibrillation doses of use Why?

Answer: The third defibrillation dose of 4J / kg

Choices:
A. First defibrillation dose of 4J / kg
B. Again defibrillation dose of 6J / kg
C. Again defibrillation dose of 8J / kg
D. The third defibrillation dose of 4J / kg


Question: A 2-year-old boy with fever two days after treatment, found on both sides of acute otitis media, give amoxicillin 40 mg / kg / day after three days of treatment, the fever persists, then switch amoxicillin 90 mg / kg / day, body temperature immediately reply normal. Among the following four bacteria, and that one of the most consistent with the treatment of otitis media reaction to the boy?

Answer: Streptococcus pneumoniae

Choices:
A. Staphylococcus aureus
B. Streptococcus pneumoniae
C. Haemophilus influenzae
D. Moraxella catarrhalis


Question: 27. The single ventricle with pulmonary stenosis (Single ventricle with pulmonary stenosis) of the 8-month-old sick child, found its vitality is not good, and there is severe cyanosis in the ward. Physical examination found that the heart rate every 40 minutes, the oxygen concentration of 40%. Which of the following is not disposed of properly?

Answer: Epinephrine given first aid treatment

Choices:
A. The patient maintained Knee-chest position, and give the oxygen
B. If severe acidosis, give Bicarbonate treatment
C. Epinephrine given first aid treatment
D. Consultation pediatric cardiac surgeons to assess the timing of surgery intervention