Question: The following issues related to swallowing in patients with brain injury and what was wrong?

Answer: Swallowing reflex brain injury patients will not be compromised, so inhalation (aspiration) pneumonia less prone to problems

Choices:
A. Brain injuries occur in patients with swallowing problems are common
B. (Dysphagia) and cognitive (cognition) and motion control difficulties (motor control difficulties) in patients with brain injury has a lot to swallow bad
C. Problems occur in patients with brain injury drooling (drooling) to be available for medical or surgical treatment
D. Swallowing reflex brain injury patients will not be compromised, so inhalation (aspiration) pneumonia less prone to problems


Question: A 25-year-old female patient because of chest tightness occurred last week while seeking treatment, irrespective of the onset of chest tightness and activities; audible mid-systolic clicks (mid-systolic click) on the lower left edge of the sternum beside the body, and a second examination of the end-systolic murmur (late systolic murmur), following what item is the best diagnostic tool to confirm the diagnosis?

Answer: Echocardiography

Choices:
A. Standard 12- lead ECG
B. Chest X- ray
C. Computer tomography
D. Echocardiography


Question: There are a newborn after birth, vomiting, abdominal X-ray in the drawings, the most likely diagnosis is:

Answer: Duodenal atresia

Choices:
A. Pyloric stenosis
B. Duodenal atresia
C. Jejunal atresia
D. Malrotation of midgut


Question: The following diagnostic markers, whichever is the earliest possible detection of acute human immunodeficiency virus (HIV) infection?

Answer: HIV viral load

Choices:
A. p24 antigen
B. HIV viral load
C. HIV antibody
D. Western blot


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

Answer: Usually after production may be as conventionally used to promote uterine contraction methylergonovine

Choices:
A. Over the past normotensive women, systolic blood pressure after 20 weeks of pregnancy is higher than 140 mmHg or diastolic blood pressure higher than 90 mmHg and associated with proteinuria, can be diagnosed as preeclampsia
B. preeclampsia increases cerebral hemorrhage (cerebral hemorrhage), pulmonary edema (pulmonary edema) and coagulopathy
C. magnesium sulfate used to prevent the occurrence of seizure in general anesthesia using a non-depolarizing muscle relaxants (such as: rocuronium) should
D. Usually after production may be as conventionally used to promote uterine contraction methylergonovine


Question: Cause of congenital polycystic kidney disease (Congenital polycystic kidney) might be:

Answer: Proximal tubular dysplasia

Choices:
A. Ureteric bud degradation
B. Collection tube lockout
C. Ureter oppression
D. Proximal tubular dysplasia


Question: 42-year-old female patient mitomycin-C chemotherapy due to gastric cancer surgery. Three months after the occurrence of acute renal failure, high blood pressure and edema, real room data show microangiopathic hemolytic anemia. The following description whichever is most likely to represent her glomerular pathological changes inside?

Answer: Vascular endothelial cell swelling and deposition of fibrin thrombi small

Choices:
A. Vascular endothelial cell swelling and deposition of fibrin thrombi small
B. A large number of immune complex deposition
C. Half-moon cell proliferation and necrosis
D. Cell proliferation and infiltration of neutrophils


Question: One pair of middle-aged couple had just returned to settle in the past six months the gradual emergence of skin pigmentation, gastrointestinal discomfort, liver and kidney dysfunction, systemic sensory and motor dysfunction, baldness, the taste of garlic breath, before they could be following what toxins Pollution?

Answer: Arsenic (arsenic)

Choices:
A. Hg (mercury)
B. Pb (lead)
C. Arsenic (arsenic)
D. Mn (manganese)


Question: Which of the following clinical conditions and hereditary spherocytosis red blood cell disease (hereditary spherocytosis) most irrelevant?

Answer: Kidney failure (renal failure)

Choices:
A. Neonatal jaundice (neonatal hyperbilirubinemia)
B. Gallstones (gallstone)
C. Enlarged spleen (splenomegaly)
D. Kidney failure (renal failure)


Question: Physicians in the face of medical malpractice, which of the following best practices unsuitable?

Answer: Or seek assistance Medical Association Medical Association

Choices:
A. Collect relevant literature and jurisprudence in order to respond
B. Do not private settlement alone
C. Or seek assistance Medical Association Medical Association
D. Immediately held a press conference to refute patient complaints


Question: Erythropoietin (erythropoietin; EPO) the mechanism involves the JAK-STAT (Janus kinase-signal transducers and activators of transcription) system. The following statements is true?

Answer: After the EPO receptor, the receptor proteins are phosphorylated JAK

Choices:
A. JAK protein is EPO receptor
B. After the EPO receptor, the receptor proteins are phosphorylated JAK
C. After the EPO receptor, the receptor proteins are phosphorylated STAT
D. will complex with the EPO receptor into the nucleus formation, regulation of expression of a particular gene


Question: About laryngeal mask airway (Laryngeal mask airway), the following statements is wrong?

Answer: When the heart stops beating, intubation must never be used laryngeal mask airway

Choices:
A. When the heart stops beating, intubation must never be used laryngeal mask airway
B. Intubation (Endotracheal intubation) fails and using Bag-valve-mask device can not vent, may be used laryngeal mask airway
C. Use of the laryngeal mask airway tighter than reliable Face mask
D. Patients with laryngeal mask airway can be used in the C-spine injury


Question: 2865-year-old female patient hospitalized because of massive ascites, ascites examination results are as follows: color: white; albumin 3.0 g / dL; 5 g / dL. Which of the following is the most likely diagnosis?

Answer: neoplasm

Choices:
A. cirrhosis
B. neoplasm
C. pyogenic peritonitis
D. nephrosis


Question: For complete high cervical spinal cord injury patients, the disease progress in a few weeks with respiratory function Which of the following are most relevant?

Answer: Thoracic spasms (Spasticity)

Choices:
A. Thoracic spasms (Spasticity)
B. Cough reflex
C. Restoration of spinal cord function
D. Phrenic nerve (Phrenic nerve) re-domination


Question: Absolute indications for surgery of benign prostatic hypertrophy why?

Answer: Due to bladder outlet obstruction due to bilateral renal edema

Choices:
A. Night nocturia seven times, seriously affecting the quality of life
B. Acute urinary retention
C. Due to bladder outlet obstruction due to bilateral renal edema
D. Urinary tract infections


Question: 1952 year-old man complained of difficulty swallowing gradually the past two months, the esophagogastroduodenoscopy examination revealed a tumor blocking the entire esophagus at 23 cm in diameter at its lower incisors distance. Pathological diagnosis was confirmed squamous cell carcinoma of the esophagus. Computed tomography and endoscopic ultra-sonic examination, the tumor was found to have violated the surrounding organs, but found no local lymph nodes, its clinical stage Why?

Answer: Ⅲ

Choices:
A. Ⅰ
B. Ⅱa
C. Ⅱb
D. Ⅲ


Question: Which of the following non-patent ductus arteriosus (patent ductus arteriosus) diagnostic requirements?

Answer: Right ventricular hypertrophy

Choices:
A. Continuity heart murmur (continuous murmur)
B. Right ventricular hypertrophy
C. Chest X-ray shadow increased pulmonary
D. Chest X-ray showed increased pulmonary blood flow


Question: Following an analytical method that can be used to study the interaction of the protein?

Answer: Two-hybrid analysis

Choices:
A. DNA microarray analysis
B. Northern blotting
C. Southern blotting
D. Two-hybrid analysis


Question: Bearing on the question, Which of the following is the most likely diagnosis?

Answer: ventriculomegaly

Choices:
A. acrania
B. ventriculomegaly
C. choroid plexus cyst
D. Down syndrome


Question: Bearing on the problem, the emergency by the emergency Children with oxygen administration, drip and appropriate examination, found that a more stable respiratory status, wheezing (stridor) is small, the right side than the left lung auscultation of breath sounds small, chest X-ray showed the right lower lung collapse, depending on your clinical judgment, what's the most likely diagnosis why?

Answer: Croup (croup)

Choices:
A. Croup (croup)
B. Bronchial pneumonia (right bronchopneumonia)
C. Right bronchus (right bronchus foreign body)
D. Spontaneous pneumothorax (spontaneous pneumothorax)


Question: Principles of coronary heart disease anesthesia treatment, which of the following error?

Answer: Increased heart rate increases cardiac oxygen consumption

Choices:
A. Increase in systolic blood pressure increases the cardiac oxygen consumption
B. Increased heart rate increases cardiac oxygen consumption
C. Coronary blood perfusion is the best time diastolic
D. Increased left ventricular end-diastolic wall stress, help to increase coronary blood flow


Question: Pelvic inlet (pelvic inlet) Which of the following fracture of the easiest to hurt?

Answer: Pubic hair (pecten pubis)

Choices:
A. Iliac crest (iliac crest)
B. Pubic hair (pecten pubis)
C. The anterior superior iliac spine (anterior inferior iliac spine)
D. Ischial spine (ischial spine)


Question: A 26-year-old female teacher the past two months to complain about general weakness, but they are nothing but regular hospital checks. She could not stay in bed all day in class or doing housework, and what things are uninterested. She became depressed mood, thinking also relatively slow, often hesitant, often wake up at night and can not get back to sleep. She felt hopeless life, it is better to die forget. The following information about this patient's statements is wrong?

Answer: When the weakness of the symptoms improved, it also will reduce the risk of suicide

Choices:
A. Patients with brain neurotransmitter abnormalities, primarily norepinephrine and serotonin
B. The earlier the age of onset of the disease and have a family history, the more likely a bipolar temperament emotional disorders later
C. When the weakness of the symptoms improved, it also will reduce the risk of suicide
D. Course of the disease is often chronic and tends to recur


Question: Therapeutic hypothermia therapy can improve the prognosis of patients with cardiac arrest, the currently recommended treatment at a low temperature range Why?

Answer: 32-34°C

Choices:
A. 35-36°C
B. 32-34°C
C. 26-28°C
D. 22-25°C


Question: Leukotriene receptor antagonists related (leukotriene receptor antagonist) of the narrative, Which statement is correct?

Answer: Oral medication, the usual dose once a day for the use

Choices:
A. In asthma control, the effect is better than inhaled steroids
B. In the control of asthma, inhaled long-acting effect than the ethylene type sympathetic stimulants (inhaled long-acting β2-agonist) preferably
C. Adult asthma control drugs of first choice
D. Oral medication, the usual dose once a day for the use


Question: Have liver disease caused by a variety of viruses, and that one of the following statements apply to these four characteristics common virus HAV, HCV, HDV and HEV's?

Answer: Containing a single strand (single-stranded) RNA genome

Choices:
A. Containing a single strand (single-stranded) RNA genome
B. Fecal - port (fecal-oral route) channel
C. Cause fulminant hepatitis
D. In chronic infection could easily lead to a host Gene Sequence


Question: Newborns at birth found no crying poor muscle tone, the insulation, dry, clear the nose and mouth secretions and re-placement, no spontaneous breathing and heart rate is still 40 times per minute. Then dispose of what the most appropriate?

Answer: To do positive pressure ventilation wake ball

Choices:
A. Give free flow of oxygen
B. To do positive pressure ventilation wake ball
C. Start chest compressions heart
D. First assess the Apgar score and then decide the next move


Question: 18-year-old woman, left neck swelling and reddening of the skin, accompanied by fever, the most common diagnosis following what?

Answer: There congenital pyriform sinus fistula (pyriform sinus fistula)

Choices:
A. Subacute thyroiditis
B. There congenital pyriform sinus fistula (pyriform sinus fistula)
C. Congenital thyroid tongue cyst (thyroglossal duct cyst)
D. Anaplastic thyroid carcinoma


Question: According to the classification by the US Food and Drug Administration (FDA), and drug use in pregnancy proved harmless to animals, but then there is no adequate studies of humans, these drugs should be classified as:

Answer: Category B

Choices:
A. Category A
B. Category B
C. Category C
D. Category D


Question: The following account of dengue fever (dengue fever), and what's wrong?

Answer: Four serotypes of the dengue virus, a type of infection which may be life-long immunity against all four serotypes of virus

Choices:
A. Dengue virus is the major media - the Aedes aegypti mosquito (Aedes aegypti) distributed close to home, and bite humans during the day
B. Four serotypes of the dengue virus, a type of infection which may be life-long immunity against all four serotypes of virus
C. If you have previously been infected with a dengue virus, and later re-infected with another dengue virus, the dengue hemorrhagic fever or dengue shock syndrome may occur
D. Typical symptoms of dengue fever include fever, headache, retro-orbital pain, back pain, severe muscle pain and rash


Question: Among the currently known human genes, and autoimmune diseases have significant relevance, was the human leukocyte antigen (Human Leukocyte Antigen, HLA) genes. Certain human leukocyte antigen (HLA) genes in patients with certain autoimmune diseases have increased the phenomenon is more, there is high "compared to the risk of value" (relative risk) caused by pathogenic auto-immunity. The following description of the disease and that a genetic relationship is correct?

Answer: DR3 / DR4 for type 1 diabetes (type I diabetes mellitus)

Choices:
A. For DR3 ankylosing spondylitis (Ankylosing spondylitis)
B. For ankylosing spondylitis DR4
C. DR3 / DR4 for type 1 diabetes (type I diabetes mellitus)
D. For ankylosing spondylitis DR5


Question: Which of the following nutrients lacking is the most common cause of anemia in patients with wine?

Answer: folic acid

Choices:
A. folic acid
B. vitamin B12
C. iron
D. zinc


Question: Which of the following is not a diagnostic criterion of systemic inflammatory response syndrome (systemic inflammatory response syndrome) is?

Answer: Blood culture bacteria

Choices:
A. Fever (oral temperature exceeds 38 ℃) or hypothermia (less than 36 deg.] C)
B. Respiratory rate more than 24 times per minute
C. More than 90 times the number of heartbeats per minute
D. Blood culture bacteria


Question: From the previous question, the current clinical diagnosis, which of the following error?

Answer: The original central nervous system disorders is not a risk factor for the occurrence of this diagnostic

Choices:
A. Is one characterization of poor prognosis, the possibility could be to extend the number of days of hospitalization or increased mortality
B. Side effects caused must be taken into account
C. The original central nervous system disorders is not a risk factor for the occurrence of this diagnostic
D. The elderly are themselves risk factors for diagnosis


Question: 76 A 65-year-old woman because of fever and dry cough to emergency medical treatment. Since cough began five days ago, accompanied by a slight breathing difficulties. Fever, chills symptoms began to appear the day before, but there is no sense of nausea and abdominal pain. Patients with a history of hypertension, live with their families, not been abroad in the last three months. Physical checkups have found the right lower lung auscultation (rales) song with a slight wheeze (wheezing). Blood tests found that white blood cells to 3 mg / dL. Chest X-ray showed the right lower lobe infiltrates (infiltration), suspected pneumonia. Are you ready to receive hospital treatment this patient, which of the following is the most appropriate initial antibiotic selection?

Answer: Augmentin（amoxicillin with clavulanic acid）＋macrolide

Choices:
A. clindamycin＋metronidazole
B. cefazolin＋macrolide
C. ciprofloxacin＋aminoglycoside
D. Augmentin（amoxicillin with clavulanic acid）＋macrolide


Question: Which of the following cell cycle G1 phase into the S phase of regulatory relations (modulation) minimum?

Answer: cyclin B/cdk 1

Choices:
A. cyclin D/cdk 4
B. cyclin E/cdk 2
C. RB phosphorylation
D. cyclin B/cdk 1


Question: Which of the following is NOT a dry eye screening methods?

Answer: Light microscopic mirror (specular microscope)

Choices:
A. Schirmer test
B. Corneal, conjunctival fluorescent dye (fluorescein stain)
C. Light microscopic mirror (specular microscope)
D. Lysis time tear layer (tear film break-up time)


Question: A nine month-old boy, does not currently stand, not sit, people would laugh, no Moro reflex and grasp reflex, there are parachute reflex, the following statements is wrong?

Answer: This baby has not normal reflex action of performance

Choices:
A. If the number of weeks of birth was 28 weeks there may still be in the normal range of development
B. Physical examination found that the likelihood of spinal muscular atrophy of muscle tension that should be excluded low
C. This baby has not normal reflex action of performance
D. To make regular growth track


Question: 30-year-old Xiao Ming because of a bad mood, drank two paraquat (Paraquat) pesticides, the following statements is wrong?

Answer: Often unconscious within minutes

Choices:
A. Often unconscious within minutes
B. Pulmonary fibrosis (pulmonary fibrosis) is usually the main cause of death
C. Paraquat can be absorbed through the skin, it should remove contaminated clothing
D. Reusable activated carbon or clay (Fuller's earth), can reduce the absorption of Paraquat


Question: Combined with the following information about the drug to plasma proteins narrative, what's wrong?

Answer: Plasma protein bound drugs, pharmacodynamics time is reduced

Choices:
A. Most of the drugs in combination with albumin
B. Basic drug will bind to the alpha1-acid glycoprotein
C. Plasma protein bound drugs, pharmacodynamics time is reduced
D. Plasma protein binding of the drug temporarily lose pharmacological activity


Question: In the process of community-oriented primary health care implementation, which of the following is to Gonggongweisheng view the increase in the project?

Answer: Community members

Choices:
A. Confirm community health problems
B. Community members
C. Demand-driven community health care plan
D. Track and assess the effectiveness of the implementation of the plan


Question: A full-term newborns, born two days before and no unusual form, has also started regular breast-feeding. But the phenomenon of adverse eating and lethargy in the first 3 days, after blood tests of suspected urea cycle disorders. You feel that the following set of diagnostic laboratory data, most allow you to make the above diagnosis?

Answer: Glucose 60 mg/dL, pH 7.45, NH3：800 μmol/L, Lactic acid 2.5 mmol/L

Choices:
A. Glucose 60 mg/dL, pH 7.45, NH3：800 μmol/L, Lactic acid 2.5 mmol/L
B. Glucose 50 mg/dL, pH 7.10, NH3：120 μmol/L, Lactic acid 4.0 mmol/L
C. Glucose 50 mg/dL, pH 7.40, NH3：50 μmol/L, Lactic acid 2.5 mmol/L
D. Glucose 10 mg/dL, pH 7.30, NH3：50 μmol/L, Lactic acid 12 mmol/L


Question: Fas gene knockout mice (gene knockout mice) which autoimmune disorders occur?

Answer: Lymphocyte proliferative disease (lymphoproliferative disease)

Choices:
A. Inflammatory bowel disease (inflammatory bowel disease)
B. Lymphocyte proliferative disease (lymphoproliferative disease)
C. Rheumatoid arthritis (rheumatoid arthritis)
D. Demyelinating lesions (demyelinating disease)


Question: Which of the following craniosynostosis (craniosynostosis) the most common?

Answer: Sagittal suture suture early closure (isolated sagittal synostosis)

Choices:
A. Human-like early-closure seam joints (lambdoid synostosis)
B. Early closure of the coronal suture sutures (coronal synostosis)
C. Sagittal suture suture early closure (isolated sagittal synostosis)
D. Frontal suture early closure (metopic synostosis)


Question: Which of the following is not a common kind of intradural extramedullary spinal tumor is?

Answer: anaplastic astrocytoma

Choices:
A. meningioma
B. schwannoma
C. neurofibroma
D. anaplastic astrocytoma


Question: Which of the following is least likely to flow through more than half secretions Month hiatus (hiatus semilunaris)?

Answer: Sphenoid (sphenoid sinus)

Choices:
A. Frontal sinus (frontal sinus)
B. Anterior ethmoid sinus (anterior ethmoidal sinus)
C. Maxillary sinus (maxillary sinus)
D. Sphenoid (sphenoid sinus)


Question: The following statements about the optic disc (optic disc), and what's wrong?

Answer: Enriched optic disc photoreceptor (photoreceptor)

Choices:
A. Macula and optic disc (macula densa) are two different configuration on the retina (Retina)
B. Enriched optic disc photoreceptor (photoreceptor)
C. Optic disc optic nerve (optic nerve) gathered at
D. Results in a blind spot optic disc (blind spot) on the visual field (visual field)


Question: Scatchard analysis which can provide the following information?

Answer: Ligand receptor interaction (receptor-ligand interactions)

Choices:
A. Enzyme amplification function (enzyme cascades)
B. Enzyme catalyzed reaction (catalytic reaction) process
C. Phosphorylation of proteins (protein phosphorylation)
D. Ligand receptor interaction (receptor-ligand interactions)


Question: 18 A 45 year old woman with acute abdominal pain, was sent to the emergency room and found that pain will spread behind, laboratory examination revealed Amylase U / L; Lipase 4860 U / L, for dealing with this woman, the following statements The most appropriate?

Answer: Abdominal ultrasound can help diagnose

Choices:
A. Endoscopic diagnosis of abdominal pain on them is necessary
B. Abdominal ultrasound can help diagnose
C. Should be given morphine analgesia
D. To be immediately arrange ERCP diagnosis and treatment


Question: 50. With regard to lung cancer patients, which of the following have relatively high epidermal growth factor receptor gene mutation (epidermal growth factor receptor mutation)? ① woman ② adenocarcinoma (adenocarcinoma) ③ ④ smoke Asians ⑤ small cell carcinoma (small cell carcinoma)

Answer: ①②④

Choices:
A. ①②③
B. ③④⑤
C. ①②④
D. ①②⑤


Question: A 50-year-old male, when moving a weight of about 10 kilograms of goods, caused by sudden severe back pain, and the pain would make him unable to sleep. X-rays of the spine show highly reduced in the tenth thoracic vertebrae, left vertebral stem (pedicle) image blur, but endplate (endplate) and complete the disc. In accordance with the medical history and the results of X-rays to determine, which of the following is the most appropriate diagnosis?

Answer: Tumor metastasis

Choices:
A. Bacterial infections
B. Degenerative disease
C. Tumor metastasis
D. Osteoporotic compression fractures


Question: Dermatitis caused by hair dyes (hair dye dermatitis) is the most common allergens:

Answer: Phenol views of diamine (para-phenylenediamine, PPD)

Choices:
A. Perfume (fragrance mix)
B. Ni (nickel)
C. Phenol views of diamine (para-phenylenediamine, PPD)
D. Chromate (chromate)


Question: A 30-year-old man recently easy to breathe, and a history of hypertension, physical examination, can be heard in the left second intercostal systolic heart murmur, left ventricular hypertrophy ECG, chest X-ray showed a rib dent (rib notching). The most likely diagnosis Why?

Answer: Aortic stenosis (coarctation of the aorta)

Choices:
A. Atrial septal defect (atrial septal defect)
B. Ventricular septal defect (ventricular septal defect)
C. Patent ductus arteriosus (patent ductus arteriosus)
D. Aortic stenosis (coarctation of the aorta)


Question: A 48-man end of the year of kidney failure patients on dialysis (dialysis) treatment registration kidney transplant, patients have a problem with this aspect of the urinary system (kidney stones and hematuria), following which checks should be avoided?

Answer: Accept the use of gadolinium for magnetic resonance angiography

Choices:
A. Accept the use of gadolinium for magnetic resonance angiography
B. Receiving intravenous developer to do computer tomography
C. Arrangements for kidney and bladder ultrasonography
D. Arrangements or cystoscopy retrograde ureteral photography


Question: Which of the following is NOT a characteristic of patients with severe intestinal virus seventy-one type?

Answer: There are more than ninety percent of deaths viral myocarditis

Choices:
A. Easy to violations of the brain stem
B. There are more than ninety percent of deaths viral myocarditis
C. Most of the performance of foot and mouth disease
D. Often fatal cases pulmonary edema


Question: With the increase of the elderly population, dementia (dementia) of patients has been increasing, describes the following information about prognosis and treatment of dementia of, what's right?

Answer: With dementia before the onset of higher education and intelligence, it is less able to compensate for mental defect caused the dementia

Choices:
A. Compared with earlier episodes of Azihaimo disease, late onset of the course of disease worsening faster Ezihaimo
B. Brain trauma and cardiac arrest caused by the dementia, its course is progressive deterioration
C. With dementia before the onset of higher education and intelligence, it is less able to compensate for mental defect caused the dementia
D. For vascular dementia blood pressure control, the control typically lower than the normal range, so as not cerebrovascular disease continues to deteriorate


Question: Exploration for a pediatric psychiatrist children during hospitalization, whether in the hospital to take care of parents, children and the degree of correlation between psychological anxiety. This study used a standardized psychiatric assessment scales to assess the children's anxiety. This seminar researchers in a report on its findings as "not whether parents have to take care of children in hospital, their anxiety significant at the 5% level, did not reach statistically significant." Conclusions of this study are:

Answer: p value of this assay is greater than 0.05

Choices:
A. This test has enough force seized
B. This test p-value less than 0.05
C. The observed difference between the two groups of children can not because errors caused by random sampling
D. p value of this assay is greater than 0.05


Question: Narrative about scarlet fever, which of the following error?

Answer: Treatment drug of choice is erythromycin

Choices:
A. Cause for the pyrogenic exotoxins
B. The case will appear after infection peeling is caused by group A streptococcus
C. Treatment drug of choice is erythromycin
D. Will show strawberry tongue, red skin


Question: Help ⾏ device (ambulation aids) are often ⾒ the harness, which of the following description of an error relating to help ⾏'s?

Answer: ⾏ aid is only available care has ⽀ amount of support, unable to provide sensory feedback

Choices:
A. Using the filter aid ⾏ destination time include improving energy balance by Use care has redistributed lower limb weight bearing areas and reduce the pain of lower limbs
B. ⾏ aid is only available care has ⽀ amount of support, unable to provide sensory feedback
C. To select Using that kind of help ⼀ ⾏ is decided by those who need to Using balance can help load-bearing and care has been taken
D. Can help ⾏ as an upper extremity extending


Question: The following description of what's wrong randomized (randomization) of?

Answer: The purpose is to make cohort study of subjects exposed group and non-exposed groups have the same background

Choices:
A. Subjects may be grouped through the random number table
B. The purpose is to make cohort study of subjects exposed group and non-exposed groups have the same background
C. To avoid interference, in principle, allow the study, data collection knows grouping situations
D. A case-control study method can not be randomly assigned


Question: A research and design department at the mother before pregnancy, smoking a year that is its collection work, and then until at birth, birth weight measurements to understand the correlation between maternal smoking and low birth weight babies, this study was designed to :

Answer: Prospective generations follow-up study (Prospective Cohort Study)

Choices:
A. Prospective generations follow-up study (Prospective Cohort Study)
B. Generation retrospective follow-up study (Retrospective Cohort Study)
C. A case-control study (Case-control Study)
D. Dating study (Cross-sectional Study)


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

Answer: Since rare eye disease caused by autoimmune reaction

Choices:
A. Because sympathetic neuritis (sympathetic neuritis) due to eye disease
B. Eyes loss of coordination
C. Since rare eye disease caused by autoimmune reaction
D. Inflammatory outer eyes supinator


Question:
14 A 60-year-old woman had a history of goiter several years, began to have heart palpitations the first three months, the right lobe of the thyroid gland has a 3 cm touch solid nodules, ECG showed atrial fibrillation, blood tests found free T4 1.9 ng / dL (normal range 0.8-1.8 ng / dL), T3 190 ng / dL
 (Normal range 80-180 ng / dL), TSH <0.2 μIU / mL (normal range 0.25-4.0 μIU / mL), TSH receptor antibody (TSH) negative. The next step should do tests to diagnose the cause of thyroid dysfunction?

Answer: I-131 thyroid scan

Choices:
A. Thyroid ultrasound
B. I-131 thyroid scan
C. A releasing hormone stimulation test (TRH stimulation test)
D. 18FDG positron tomography (18FDG-PET / CT)


Question: Account of chronic kidney disease (chronic kidney disease), the following best not correct?

Answer: Use captopril delay speed chronic kidney failure, renal wires may be increased mainly ball internal pressure, increase the glomerular filtration rate

Choices:
A. According to the current stage of international-recognized, a 70-year-old 72 kg male patient, his serum creatinine was 2.5 mg / dL, should be the fourth
B. Use captopril delay speed chronic kidney failure, renal wires may be increased mainly ball internal pressure, increase the glomerular filtration rate
C. The most studied and kidney failure-related genes are angiotensin-converting enzyme. Were homozygous (DD) has a deletion (D), which is more likely to progress to kidney failure
D. Chronic kidney patients with proteinuria, blood pressure control target is 125/75 mmHg


Question: In idiopathic membranous nephropathy (primary membranous nephropathy) is deposited in the glomeruli immunoglobulin is the most important:

Answer: IgG4

Choices:
A. IgG1
B. IgG2
C. IgG3
D. IgG4


Question: After tongue cancer patients undergoing total resection of the tongue, when swallowing mouth likely to have insufficient food evacuation function, which of the following methods most appropriate for him?

Answer: His chin (chin-up) when eating

Choices:
A. When eating, swallowing technique performed Mengde Sen (Mendelsohn maneuver)
B. Usually performed Shaker movement (Shaker Exercise)
C. His chin (chin-up) when eating
D. Usually for movement Masako (Masako Exercise)


Question: Legionnaires' disease (Legionnaire's disease) the most common infectious agent:

Answer: Contaminated aerosol

Choices:
A. Healthy carrier
B. The incidence of patient
C. Contaminated aerosol
D. Infected poultry


Question: Galantamine belongs to the cholinesterase inhibitors (cholinesterase inhibitors), which is best suited for the treatment of these diseases?

Answer: Ezihaimo disease (Alzheimer's disease)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Parkinson's disease (Parkinson's disease)
C. Glaucoma (glaucoma)
D. Ezihaimo disease (Alzheimer's disease)


Question: Thyroid storm (thyroid storm) what treatment should not be given?

Answer: amiodarone

Choices:
A. inhibitor beta (beta blockers)
B. amiodarone
C. Cortisone (corticosteroids)
D. propylthiouracil


Question: About the distal splenorenal shunt (distal splenorenal shunt) of the narrative, which of the following error?

Answer: Patients with liver cirrhosis with esophageal varices of receiving the distal splenorenal shunt, no longer suitable for receiving a liver transplant

Choices:
A. Distal splenorenal shunt is distal to the left renal vein and splenic vein anastomosis, and to maintain the blood flow of the portal, to selectively bypass one kind of surgery
B. Distal splenorenal shunt may increase the severity of ascites, it is not suitable for the treatment of patients with esophageal varices ascites
C. The portal caval shunt (portacaval shunt) and distal splenorenal shunt similar rate of rebleeding (rebleeding rate)
D. Patients with liver cirrhosis with esophageal varices of receiving the distal splenorenal shunt, no longer suitable for receiving a liver transplant


Question: Purposes related to microsurgery, the following statements is wrong?

Answer: Microsurgery typically used to repair small areas of tissue defects

Choices:
A. To transfer distant tissue (distant tissue) to the site to do the reconstruction of tissue defects
B. To repair a blood vessel injury or defect (vascular injury or vascular defects)
C. Can be repaired peripheral nerves (peripheral nerves)
D. Microsurgery typically used to repair small areas of tissue defects


Question: Which of the following is aspergillus (Aspergillus spp.) Of the type feature?

Answer: With the bottle (flask-shaped) spores stems (phialides)

Choices:
A. With rhizoids (rhizoid)
B. With thick-walled spores (chlamydospores)
C. Mycelium (hyphae) without dividing
D. With the bottle (flask-shaped) spores stems (phialides)


Question: For a description of the local cell membrane potential (local potential), which of the following error?

Answer: Only nerve cell that has the potential partial

Choices:
A. Composition of the membrane potential and the local relevant
B. Only nerve cell that has the potential partial
C. Local potential action potential determined (action potential) occurs (Initiation) and the transmission (propagation) of properties
D. The reaction of all the local potential (refractory period)


Question: Under the following circumstances in which, antigen presenting cells can be activated CD8 + T cells directly?

Answer: When dendritic cells show high levels of B7 and when 4-1BBL

Choices:
A. When the antigen presenting cells showed high levels of MHC class I
B. When dendritic cells show high levels of B7 and when 4-1BBL
C. When the antigen presenting cells secrete high amounts of IFN-γ
D. When the virus can not infect antigen-presenting cells


Question: Which of the following drug treatment of rheumatoid arthritis, the more easily lead to TB infection or relapse?

Answer: tumor necrosis factor inhibitors

Choices:
A. tumor necrosis factor inhibitors
B. methotrexate
C. sulfasalazine
D. leflunomide


Question: Compared to encephalitis caused by other causes, EV71 encephalitis particularly prone to following what kind of symptoms?

Answer: Myoclonus (myoclonus)

Choices:
A. Cerebral hemorrhage (brain hemorrhage)
B. Encephalitis temporal lobe (temporal lobe encephalitis)
C. Extrapyramidal symptoms (extrapyramidal syndrome)
D. Myoclonus (myoclonus)


Question: The following information about the facial nerve (facial nerve) responsible for passing narrative branch of two-thirds of the taste of the Tongue, whichever is correct?

Answer: The cell body is in geniculate ganglion (geniculate ganglion)

Choices:
A. 穿過 莖乳 foramen (stylomastoid foramen)
B. Through the tympanum for tympanic nerve (tympanic nerve)
C. Through the pterygoid canal (pterygoid canal)
D. The cell body is in geniculate ganglion (geniculate ganglion)


Question: 42 year old man with bilateral pulmonary emphysema (emphysema) lead to respiratory distress and admission, chest computed tomography show that there is a huge right upper lobe of the bubble (bullae), and compression of the mediastinum mediastinal deviation of the emergence of the phenomenon. Ruoyu implementation of lung volume reduction surgery patients for this purpose, in order to avoid postoperative respiratory failure in patients following check what's not helpful?

Answer: ECG

Choices:
A. Arterial oxygen (ABG)
B. ventilation and perfusion scan of the lungs
C. Pulmonary function tests
D. ECG


Question: The combined epilepsy mental retardation is common in patients with neurological what muscle?

Answer: Fukuyama congenital muscular dystrophy (Fukuyama congenital muscular dystrophy)

Choices:
A. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
B. Spinal muscular atrophy (spinal muscular atrophy)
C. Fukuyama congenital muscular dystrophy (Fukuyama congenital muscular dystrophy)
D. Congenital myopathy (congenital myopathy)


Question: A finger numbness lymphoma patients after receiving chemotherapy CHOP (cyclophosphamide, adriamycin, vincristine and prednisolone), this symptom is most likely side effects of the medicine?

Answer: vincristine

Choices:
A. cyclophosphamide
B. adriamycin
C. vincristine
D. prednisolone


Question: Pancreatic cancer is the most common:

Answer: Pancreatic cancer (ductal carcinoma)

Choices:
A. Acinar cell carcinoma (acinar cell carcinoma)
B. Pancreatic cancer (ductal carcinoma)
C. Solid and cystic tumor
D. Islet cell tumor


Question: 86. The bacterial DNA mismatch mismatch repair (mismatch repair) primarily benefit Use the following modification reaction to what the DNA to determine that ⼀ shares shares as a template (template strand)?

Answer: Methylated (by methylation)

Choices:
A. ⼄ acylation (acetylation)
B. Phosphorylation (phosphorylation were)
C. Methylated (by methylation)
D. Glycation (glycation)


Question: A 86-year-old man due to sudden abdominal pain 1 hour before the emergency. Patients with a history of peptic ulcer, rules on out-patient drug treatment. Physical examination found that bowel sounds slower, diffuse tenderness (diffuse tenderness) and rebound pain (rebound tenderness), anal examination slightly Melena (tarry stool). If you want to exclude the possibility of peptic ulcer perforation (perforated peptic ulcer), in addition to the standing of the chest X-ray (upright CXR), Which of the following is the most appropriate and quick check?

Answer: Abdominal X-ray lie on the left side (left decubitus, plain abdomen)

Choices:
A. Gastric lavage (gastric lavage)
B. Gastroscopy (upper gastrointestinal endoscopy)
C. Upper gastrointestinal (upper GI series)
D. Abdominal X-ray lie on the left side (left decubitus, plain abdomen)


Question: Of the following statements about metoclopramide, what's wrong?

Answer: Small intestine can reduce the release of ACh

Choices:
A. Small intestine can reduce the release of ACh
B. Belonging to the dopamine D2 receptor antagonists and 5-HT4 agonist
C. Can act on the central nervous system of the chemoreceptor trigger zone (CTZ)
D. There are side effects of dystonia


Question: A 50-year-old male patient came to the emergency room complaining of chest pain is a continuous two days, and when inspiratory increase in chest pain, chest pain, sit up and slowed down when leaning forward. You carefully ask patients learned that he had flu-like symptoms 10 days ago, the ECG as follows. Chest pain patients most likely cause is:

Answer: acute pericarditis

Choices:
A. GERD（gastroesophageal reflux disorder）
B. AMI（acute myocardial infarction）
C. aortic dissection
D. acute pericarditis


Question: The deltoid tuberosity of the humerus (deltoid tuberosity of humerus) fracture site, most likely direct that hurt a nerve?

Answer: Radial nerve (radial nerve)

Choices:
A. Axillary nerve (axillary nerve)
B. Radial nerve (radial nerve)
C. Ulnar nerve (ulnar nerve)
D. Accessory nerve (accessory nerve)


Question: The following is part of that kind of neurotransmitter inhibitory (inhibitory) of?

Answer: γ-aminobutyric acid（GABA）

Choices:
A. glutamate
B. substance P
C. γ-aminobutyric acid（GABA）
D. aspartate


Question: The following clinical manifestations on serotonin syndrome (serotonin syndrome), and what's wrong?

Answer: constipation

Choices:
A. Body temperature
B. delirium
C. constipation
D. Night sweat


Question: Best for the disposal of Mondor's disease of the breast Why?

Answer: Supportive therapy

Choices:
A. Surgery
B. Radiation therapy
C. Hormone therapy
D. Supportive therapy


Question: Ms. Chen is a 50-year-old breast cancer patients after surgery line modified radical mastectomy, which is staging T2N1M0, after six recommended for 5-FU, Adriamycin and cyclophosphamide. Such chemotherapy that belongs to one of the following?

Answer: Adjuvant chemotherapy (adjuvant C / T)

Choices:
A. Adjuvant chemotherapy (adjuvant C / T)
B. Chemotherapy treatment (therapeutic C / T)
C. Palliative chemotherapy (palliative C / T)
D. Primary chemotherapy (primary C / T)


Question: Those following patients should not use to treat migraine triptans?

Answer: Associated with cardiovascular disease

Choices:
A. Associated with cardiovascular disease
B. Typical visual sign of migraine
C. There are 10 minutes of feeling harbinger of migraine
D. Associated with depression patients


Question: Which of the following describes errors long plantar ligament (long plantar ligament) and short plantar ligaments (short plantar ligament) is?

Answer: Long plantar ligament belonging to the subtalar joint (subtalar joint) ligament

Choices:
A. Long plantar ligament in shallow, short plantar ligaments in the deep
B. Long plantar ligament belonging to the subtalar joint (subtalar joint) ligament
C. Both of which are attached to the back of the calcaneus (calcaneus)
D. Both, attached to the front of the cuboid (Cuboid)


Question: He is 62 years old, in addition to suffering from diabetes for many years, the body has always been healthy. One day after lunch back to the office, I suddenly felt chest discomfort. Chen colleagues admitted to a hospital emergency room, a preliminary judge for acute coronary syndrome (acute coronary syndrome). After one week in hospital in stable condition, normal organ function. Transcatheter inspection, coronary occlusion was found as follows: left main coronary artery (left main coronary artery) 80% stenosis, the left anterior descending coronary artery stenosis and 76% of the proximal end of the middle 70% stenosis, left circumflex artery middle 65% narrow, middle 83% of the right coronary artery stenosis and the distal end 90% stenosis. After the heart surgery team after discussion, recommended follow-up care what Mr. Chen accept the following year survival rate is best?

Answer: Coronary artery bypass surgery (coronary artery bypass grafting)

Choices:
A. Diameter percutaneous coronary angioplasty (percutaneous transluminal coronary angioplasty)
B. Diameter percutaneous coronary angioplasty and coronary stenting (percutaneous transluminal coronary angioplasty
C. Coronary artery bypass surgery (coronary artery bypass grafting)
D. Drug treatment


Question: Which of the following is mentioned epididymis muscle (cremaster muscle) are the main innervating?

Answer: Reproductive femoral nerve

Choices:
A. Femoral nerve
B. Pudendal nerve
C. Reproductive femoral nerve
D. Ilioinguinal nerve


Question: Which of the following is the most common germ cell tumors (germ-cell tumor)?

Answer: Teratoma (mature teratoma)

Choices:
A. Embryonic malignant tumor (dysgerminoma)
B. Choriocarcinoma (choriocarcinoma)
C. Endodermal sinus tumor (endodermal sinus tumor)
D. Teratoma (mature teratoma)


Question: Sjogren's syndrome common skin lesions, which of the following error?

Answer: acquired ichthyosis

Choices:
A. cutaneous vasculitis
B. acquired ichthyosis
C. Raynaud phenomenon
D. erythema multiforme


Question: About the narrative of von Willebrand factor, which of the following error?

Answer: The principal of vascular smooth muscle cells

Choices:
A. The principal of vascular smooth muscle cells
B. When a vessel wall is damaged, platelets, and can be combined
C. Yes directly inactivated platelet
D. Regulatable coagulation factor VIII (factor VIII)


Question: Which of the following is a psychosis disorder (schizophrenia) poor predictors of prognosis?

Answer: Negative symptoms (negative symptoms)

Choices:
A. Induced a significant factor (precipitating factors)
B. Acute attack
C. Emotional symptoms
D. Negative symptoms (negative symptoms)


Question: In the immune disease of scleroderma, the following cytokines which can significantly affect fibroblast produce large amounts of collagen fibers within the organization?

Answer: transforming growth factor-β

Choices:
A. tumor necrosis factor-a
B. transforming growth factor-β
C. interleukin-4
D. interferon-a


Question: Uterine placental circulation (uteroplacental circulation) first appeared in the embryonic development when?

Answer: 11, 12 days

Choices:
A. 6, 7 days
B. 11, 12 days
C. 3rd weekend
D. 5 weekly


Question: 1 a 70-year-old in bed a long time, continuous discharge from the start yesterday, a lot of blood will be at the emergency room when blood pressure 80/40 mmHg, heart beats / min, consciousness is not clear, after first aid, signs of life is becoming normal, under what step should be disposed of?

Answer: Insert a nasogastric tube

Choices:
A. Angiography
B. Proctoscope
C. Anoscope
D. Insert a nasogastric tube


Question: A 6-year-old girl, by the beginning of cramps, most likely why?

Answer: 11-β-Hydroxylase deficiency

Choices:
A. Turner's syndrome
B. Kallmann's syndrome
C. Isolated gonadotropin deficiency
D. 11-β-Hydroxylase deficiency


Question: Current drug treatment of mild to moderate endometriosis, and following that a mistake?

Answer: Dexamethasone

Choices:
A. Progestins
B. Dexamethasone
C. danazol
D. Gonadotropin-releasing hormone（GnRH）agonist


Question: An unmarried 32-year-old male patient, as manager duties. 3 months ago in a statement the meeting, due to inadequate preparation strained, unnatural, blush. When, after speaking in public, there will be sweating, dizziness, palpitation, nausea and other physical discomfort, so the need to avoid any public occasion to speak of. The case most likely diagnosis is:

Answer: Social anxiety disorder (social anxiety disorder)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Panic disorder (panic disorder)
C. Social anxiety disorder (social anxiety disorder)
D. Agoraphobia (agoraphobia)


Question: ⼀ bit 18-year-old girl will have abdominal pain when the Month by cramps symptoms, physicians detailed examination revealed pelvic peritoneal endometriosis lesions submenus. Which of the following is more suitable to be selectively used to treat the disease Face?

Answer: Skin ⾁ injection medroxyprogesterone

Choices:
A. ⼝服 flutamide
B. Skin ⾁ injection medroxyprogesterone
C. Intravenous oxandrolone
D. ⼝服raloxifene


Question: Following that kind of diagnostic imaging technique most commonly used during pregnancy?

Answer: Abdominal ultrasound (abdominal ultrasonography)

Choices:
A. Abdominal ultrasound (abdominal ultrasonography)
B. CT scan (computed tomography)
C. The endoscope (Endoscopy)
D. Magnetic resonance imaging (magnetic resonance imaging)


Question: Bladder cancer is the most common laboratory tests of abnormal items as:

Answer: hematuria

Choices:
A. anemia
B. Urinary tract infections
C. hematuria
D. Azotemia (azotemia)


Question: Which of the following does not cause pigeon-toed gait (in-toeing gait)?

Answer: planovalgus foot

Choices:
A. metatarsal induced
B. planovalgus foot
C. medial tibial torsion
D. hyperanteversion of hip


Question: There are two categories of human dendritic cells (dendritic cell), one for conventional dendritic cell, and the other for plasmacytoid dendritic cell. The following statements about these two types of dendritic cells, what's wrong?

Answer: It features two types of different dendritic cells, and does not regulate each other's function

Choices:
A. Plasmacytoid dendritic cell will show a lot of TLR-7 and TLR-9
B. Encountered the virus, plasmacytoid dendritic cell can secrete large amounts of IFN-α and IFN-β
C. Conventional dendritic cell function is mainly to present antigen and activate T cells
D. It features two types of different dendritic cells, and does not regulate each other's function


Question: Modified breast cancer patients receiving radical after breast surgery (modified radical mastectomy), scapular deformity occurs (winged scapula deformity), indicates which of the following nerve damage?

Answer: Long thoracic nerve (long thoracic nerve)

Choices:
A. Thoracodorsal nerves (thoracodorsal nerve)
B. Long thoracic nerve (long thoracic nerve)
C. Thoracic nerve (medial pectoral nerve)
D. ICBN (intercostal brachial nerve)


Question: Newborn infants were found to have abdominal distension, vomiting after feeding, abdominal X-ray in the following figure, the following is most likely what disease?

Answer: meconium peritonitis

Choices:
A. acute appendicitis
B. meconium peritonitis
C. pneumoperitonium
D. Meckel's diverticulum


Question: Parietal pleura (parietal pleura) epithelial belong to which of the following?

Answer: Simple squamous epithelium (simple squamous epithelium)

Choices:
A. Simple squamous epithelium (simple squamous epithelium)
B. Epithelium (simple columnar epithelium)
C. Simple cuboidal epithelium (simple cuboidal epithelium)
D. Transitional epithelium (transitional epithelium)


Question: 35 year old woman, menstruation irregular two years, eight months recently completely amenorrhea. Physical examination found that breast milk secretion. MRI pituitary gland, pituitary gland found in the anterior lobe has a 1.5 cm diameter tumors. Which of the following is wrong?

Answer: Can be used sulpiride treatment

Choices:
A. Without treatment, long-term can cause osteoporosis
B. Tumor up the oppression cause visual field defects
C. Can be used sulpiride treatment
D. Surgical success rate was negatively correlated with tumor size


Question: The following relevant outside the extraocular muscles (extraocular muscles) of the narrative, what's wrong?

Answer: Oblique upper (superior oblique muscle) on the eye to see the swash inferior oblique (inferior oblique muscle) to the eye to see the swash

Choices:
A. Four rectus (rectus muscles) the starting point (Origins) were orbital tip (orbital apex) of Zinn's ring (Annulus)
B. Both before (Equator) the equatorial portion of the eyeball four rectus termination point (insertions)
C. After two oblique (oblique muscles) are the end point of the eye equator
D. Oblique upper (superior oblique muscle) on the eye to see the swash inferior oblique (inferior oblique muscle) to the eye to see the swash


Question: In patients with stable angina, coronary artery bypass surgery using (CABG) or percutaneous coronary balloon angioplasty (PTCA), the results are quite good, but that in the following groups of patients, CABG PTCA really long-term effect than to well?

Answer: Diabetic patients

Choices:
A. High cholesterol patients
B. Diabetic patients
C. Chronic renal failure patients
D. Patients with liver cirrhosis


Question: Which of the following is not a structure border triangle of Calot's?

Answer: Right portal vein (right portal vein)

Choices:
A. Right liver under 緣
B. Hepatic duct (common hepatic duct)
C. Cystic duct (cystic duct)
D. Right portal vein (right portal vein)


Question: When implemented due to obesity and laparoscopic gastric bypass, gastric pouch mL how much you want to keep?

Answer: 15~20

Choices:
A. 15~20
B. 25~30
C. 35~40
D. 45~50


Question: Which of the following is a cause mutations in Ras proteins (Ras mutant) mainly due to persistent activation (constitutive activation) of?

Answer: Not GTPase-activating proteins (GAP) is adjusted

Choices:
A. Increase the binding affinity of the GDP
B. Not GTPase-activating proteins (GAP) is adjusted
C. Decreased cell membrane receptors and the hormone-binding capacity
D. Increase the binding ability of membrane receptors and G-protein


Question: Which of the following non-placement of a central venous catheter purpose of the surgery?

Answer: Left ventricular end-diastolic pressure

Choices:
A. Fluid resuscitation surgery
B. Monitor right atrial pressure
C. Extracting air embolism (air embolism)
D. Left ventricular end-diastolic pressure


Question: Which of the following is an immunoglobulin (immunoglobulin) recombinant (gene rearrangement) of the initial step?

Answer: Heavy chain (heavy chain) of D, J splice

Choices:
A. Heavy chain (heavy chain) of the V, J splice
B. Heavy chain (heavy chain) of the V, D splice
C. Heavy chain (heavy chain) of D, J splice
D. Light chain (light chain) of the V, J splice


Question: Which of the following is most likely to increase contraction of care has been taken Center Weighted muscle cells (contractility)?

Answer: Inhibition of cell membrane sodium - potassium pump (Na + -K + ATPase) for Use of

Choices:
A. Promote sarcoplasmic reticulum calcium (sarcoplasmic reticulum) on the pump-ion (Ca2 + ATPase) activity
B. Using the inhibitory sarcoplasmic reticulum (sarcoplasmic reticulum) ryanodine receptors of
C. Inhibition of cell membrane sodium - potassium pump (Na + -K + ATPase) for Use of
D. Increased cell membrane sodium - calcium exchange activity of egg white (Na + -Ca2 + exchanger) of


Question: The following statements about Streptococcus pyogenes, and that a mistake?

Answer: Group-specific carbohydrate antigen is also known Lancefield group used to differentiate between toxic and non-toxic classification criteria Group A Streptococcus

Choices:
A. Group-specific carbohydrate antigen is also known Lancefield group used to differentiate between toxic and non-toxic classification criteria Group A Streptococcus
B. M protein antigen is used to distinguish between different kinds of one of Group A Streptococcus
C. M-like surface proteins of different species because of the inconsistent performance
D. Not every one of the different subtype will produce capsular Group A Streptococcus (Capsule)


Question: Male, 14 years old, trauma to the emergency room, head occipital hematoma, pain in the neck. Open-mouth view (Figure) show which of the following correctly?

Answer: Odontoid fracture

Choices:
A. Burst fracture
B. Odontoid fracture
C. Compressive fracture
D. Mandibular arch fracture


Question: Normal young men upright posture, Center Weighted tip (apex) of the surface projection of the location, most likely in:

Answer: Fifth intercostal space inside clavicular line

Choices:
A. The fourth intercostal clavicle midline
B. The left nipple
C. Sixth intercostal outer front axillary line
D. Fifth intercostal space inside clavicular line


Question: A 40 year old white American woman, the last good health, tourism to Thailand third day of diarrhea for two days and merger fever, then she is most likely the pathogen:

Answer: E. coli (Escherichia coli)

Choices:
A. Piroplasma (Giardia)
B. Amoeba (Ameba)
C. Salmonella (Salmonella)
D. E. coli (Escherichia coli)


Question: A 54-year-old woman was found to have a 10 cm tumor in the uterus, then the patient underwent hysterectomy. The red-brown uterine cancer presented at the macroscopic, microscopic see high cell densities spindle tumor cells, nuclei stain is, each of the high power magnification view can be seen from about 10 to 20 mitosis. What is the most likely diagnosis is?

Answer: Leiomyosarcoma (leiomyosarcoma)

Choices:
A. Endometrial polyps (endometrial polyp)
B. Adenomyosis (adenomyosis)
C. Leiomyosarcoma (leiomyosarcoma)
D. Leiomyoma (leiomyoma)


Question: The following items where drugs can be used to treat infertility?

Answer: Clomiphene

Choices:
A. Mifepristone
B. danazol
C. Clomiphene
D. Flutamide


Question: About the seventh day of embryonic development, embryonic leaves (hypoblast) under the inner cell mass (inner cell mass) Which of the following will develop into?

Answer: Primitive endoderm (primary endoderm)

Choices:
A. Notochord (notochord)
B. Primitive endoderm (primary endoderm)
C. Ectoderm (ectoderm)
D. Mesoderm (mesoderm)


Question: Which of the following most common viral cause congenital diseases, and affect the newborn hearing and intellectual development?

Answer: Cytomegalovirus (Cytomegalovirus)

Choices:
A. Measles virus (Measles virus)
B. Herpes simplex virus (Herpes simplex virus)
C. Cytomegalovirus (Cytomegalovirus)
D. Parvovirus B19 (Parvovirus B19)


Question: Which of the following is the most common benign tumor of the lung?

Answer: hamartoma

Choices:
A. lipoma
B. leiomyoma
C. hamartoma
D. papilloma


Question: A 13-year-old girl, because his face more pale to the clinic for treatment. Blood test WBC: 6,100 / mm3, Hb: 7.0 g / dL, MCV: 60 fL, platelets: 220,000 / mm3, ferritin 4 ng / mL, more physician inquiry that each girl menstrual blood, subsequent laboratory examination revealed prolonged bleeding time, activated partial thromboplastin time (aPTT): 72.3 / 29.6 (patient / control) second, that the girl most likely to have one of the following diseases?

Answer: von Willebrand 病

Choices:
A. Hemophilia (hemophilia)
B. Coagulation factor VII deficiency
C. von Willebrand 病
D. Protein C deficiency


Question: The following statements about benign prostatic hypertrophy (BPH), and what's wrong?

Answer: BPH is caused by lower urinary tract obstruction symptoms volume DRE positive correlation magnitude

Choices:
A. BPH is derived from the transition zone of the prostate (TZ)
B. BPH by a microscope system composed of stroma and epithelial cells, smooth muscle of the stroma and by the α-1 is dominated mainly sympathetic
C. BPH size of the volume and free testosterone and estrogen in the blood of a positive correlation
D. BPH is caused by lower urinary tract obstruction symptoms volume DRE positive correlation magnitude


Question: From the previous question, the blood pressure of patients to 130/76 mmHg, no other discomfort in addition to palpitations, which treatment is most appropriate?

Answer: Intravenous adenosine

Choices:
A. Intravenous injection of digoxin
B. Intravenous lidocaine
C. Direct-current cardioversion
D. Intravenous adenosine


Question: Symptoms holes infarction (lacunar infarction) occurs most often of why?

Answer: Pure motor hemiplegia (pure motor hemiparesis)

Choices:
A. Pure motor hemiplegia (pure motor hemiparesis)
B. Sensorimotor syndrome (sensorimotor syndrome)
C. Dysfunctional hemiplegia (ataxic hemiparesis)
D. Pure sensory syndrome (pure sensory syndrome)


Question: Emergency ⾯ ⼀ bit of a fever disease Face, ⾎ pressure 75/40 mmHg, Center Weighted jump 105 / min, Center Weighted function index (cardiac index) dropped, but the central venous pressure care has been taken (central venous pressure) rise, the most likely diagnosis Why?

Answer: Center Weighted due to shock

Choices:
A. Center Weighted due to shock
B. ⾎ shock defeat
C. Low volume shock ⾎
D. Neurogenic shock


Question: Causes of infertility, which of the following occur on a relatively small rate of symptoms of infertility?

Answer: Uterine fibroids

Choices:
A. Ovulation disorders
B. Tubal
C. Uterine fibroids
D. Male factor


Question: A three weeks old baby girl due to edema, decreased urine output and treatment. Experimental examination revealed proteinuria 4 +, 24-hour proteinuria was 10.5 g, serum albumin was 0.88 mg / dL, cholesterol: 498 mg / dL, triglycerides: 248 mg / dL, the following description of what's wrong?

Answer: Prognosis is good, with the steroid treatment, proteinuria and edema can quickly get remission

Choices:
A. Prognosis is good, with the steroid treatment, proteinuria and edema can quickly get remission
B. Diagnosed with congenital nephrotic syndrome
C. Congenital infections such as syphilis or HIV can cause this situation
D. Such patients may lead to bacteremia due to severe infection and death


Question: The following description of Turner's syndrome (Turner syndrome), and what's not correct?

Answer: Growth hormone deficiency is the main reason for their short stature

Choices:
A. The most common chromosomal abnormalities 45, X
B. Short stature is a common clinical characterization
C. Growth hormone deficiency is the main reason for their short stature
D. Growth hormone therapy can improve their adult height


Question: Thymus, what kind of cells can be manifestations tissue antigens (MHC) in order to promote positive selection (positive selection)?

Answer: Epidermal cell cortex (cortical epithelial cell)

Choices:
A. Epidermal cell cortex (cortical epithelial cell)
B. Medullary epithelial cells (medullary epithelial cell)
C. Macrophages (macrophage)
D. Dendritic cells (dendritic cell)


Question: A husband and wife both MCV and MCH values are significantly lower. Hemoglobin electrophoresis examination showed Mr. HbA2 was 5.1%, 4.2% HbA2 wife, because his wife was pregnant 27 weeks only to find that couples with marine anemia (thalassemia) with due who are husband and wife and the fetus a chance to undergo genetic testing. Wife at 37 weeks of pregnancy when the natural production of the next baby, when the baby was born normal appearance and motility, Apgar score 9 → 10, when three months old hemoglobin electrophoresis examination showed that HbF 82%, the newborns are most likely to suffer from:

Answer: b-thalassemia major

Choices:
A. a-thalassemia minor
B. a-thalassemia major
C. b-thalassemia minor
D. b-thalassemia major


Question: Following that a fungus (fungi) generally do not form hyphae (hyphae) structure?

Answer: Candida glabrata (Candida glabrata)

Choices:
A. Candida tropicalis (Candida tropicalis)
B. Candida albicans (Candida albicans)
C. Candida glabrata (Candida glabrata)
D. Candida parapsilosis (Candida parapsilosis)


Question: Which of the following is a coding sub (codon) coding and anti-sub (anticodon) when paired swing hypotheses (wobble hypothesis) best interpretation?

Answer: Refers to anti-encoded sub-base having a first relatively flexible pairing ability

Choices:
A. Refers to each tRNA can only identify a specific sub-coding
B. Refers to certain tRNA can recognize a variety of different amino acids encoded sub
C. Refers to anti-encoded sub-base having a first relatively flexible pairing ability
D. Refers to a base on the anti-third coding sub-Watson-Crick pairing can be of the formula


Question: Which of the following is not a psoriasis (psoriasis) common treatment?

Answer: Oral corticosteroids agents

Choices:
A. Topical vitamin D3 and derivatives thereof
B. Topical corticosteroids agents
C. UV light therapy
D. Oral corticosteroids agents


Question: 69 this year, 55-year-old Lee 5 years ago, a diagnosis of hepatocellular carcinoma, unfortunately, local tumor recurrence after surgery and was transferred to the thoracic spinal cord resulting in paralysis of the lower limbs, severe back pain, to accept palliative care for nearly a year, has four times during the hospitalization, rest time at home recuperating from home care nurses regularly visit to take care of, I ask the following to take care of the disposal of Mr. Lee, whichever is most inappropriate?

Answer: Due to the larger terminal cancer condition changes, difficult to take care of their families, should be the most appropriate long-term hospitalization, so as not to nurse rushing toil

Choices:
A. The use of morphine to control severe pain
B. Respect for their religious beliefs, were arranged to assist teachers to enhance the spiritual realm
C. Even with severe cachexia (cachexia) phenomenon, nor to extend the life of a large number of intravenous nutrition infusion
D. Due to the larger terminal cancer condition changes, difficult to take care of their families, should be the most appropriate long-term hospitalization, so as not to nurse rushing toil


Question: Fat cells is inactive Which of the following enzymes?

Answer: glycerol kinase

Choices:
A. triose phosphate isomerase
B. glycerol phosphate dehydrogenase
C. hexokinase
D. glycerol kinase


Question: In addition to the urinary tract  rectal tube, anal also associated with other congenital urinary tract abnormalities. Which of the following circumstances most likely to merge urinary tract anomalies?

Answer: Cloacal anomalies (Cloacal malformation)

Choices:
A. Low anorectal disease (Low type imperforate anus)
B. Medium-free 肛症 (Intermediate type imperforate anus)
C. High anorectal disorders (High type imperforate anus)
D. Cloacal anomalies (Cloacal malformation)


Question: Which of the following sports do not belong to the movement of open kinetic chain (open kinetic chain exercise)?

Answer: Squat action (minisquat)

Choices:
A. Squat action (minisquat)
B. When lying isometric exercise for quadriceps (quadriceps setting)
C. Straight leg lifting movement (straight leg raising)
D. The knee articulation vacated foot (knee ROM exercise)


Question: After a man began to return home one day from East Asia vomiting, diarrhea, severe watery diarrhea for two days due to hospitalization. The patient was followed dehydration, acidosis and hypokalemia symptoms, stool specimen cultured comma-shaped bend, oxidases (oxidase) - positive bacteria. This patient is most likely to be infected with the bacteria which of the following?

Answer: Vibrio cholera (Vibrio cholerae)

Choices:
A. Vibrio cholera (Vibrio cholerae)
B. Shigella dysentery (Shigella dysenteriae)
C. Helicobacter pylori (Helicobacter pylori)
D. E. coli (Escherichia coli)


Question: Which of the following is not a determinant of muscle tone?

Answer: The shrinkage in each unit of a motion proportion of muscle fibers

Choices:
A. The number of muscle fiber contraction
B. The shrinkage in each unit of a motion proportion of muscle fibers
C. The number of motor units involved in contraction
D. Motor neuron stimulation frequency


Question: Which of the following is the most important mechanisms of self-purification of air pollutants?

Answer: diffusion

Choices:
A. diffusion
B. Gravity settling
C. absorb
D. Rain


Question: The following diseases, whichever is rarely caused by the Chlamydia trachomatis (Chlamydia trachomatis)?

Answer: Meningitis (meningitis)

Choices:
A. Infant pneumonia (infant pneumonia)
B. Meningitis (meningitis)
C. Reproductive tract and urinary tract infections (urogenital infections)
D. Lymphogranuloma venereum (lymphogranuloma venereum)


Question: A 30-year-old man because of a right knee fracture dislocation merger popliteal artery (popliteal artery) fracture, vascular anastomosis and receiving emergency fasciotomy surgery the next day, patients experienced decreased urine output (oligouria), blood tests found GOT 200 mg / dL, myoglobin 5700 ug / L. May I ask what kind of condition the following best explains the current condition?

Answer: Ischemia-reperfusion injury (ischemia-reperfusion injury)

Choices:
A. Popliteal artery occlusion (delayed popliteal artery occlusion) again
B. Compartment syndrome (compartment syndrome)
C. Multiple organ failure (multiple organ failure)
D. Ischemia-reperfusion injury (ischemia-reperfusion injury)


Question: 25 year old woman, the upper outer left breast, the areola from 3 cm, about 1 cm × 1 cm tumor, the slice is a thick needle infiltrating duct carcinoma (infiltrating ductal carcinoma), estrogen receptor (estrogen receptor) positive, progesterone hormone receptor (progesterone receptor) positive, HER-2 / neu-positive, which of the following is the best advice?

Answer: Plus partial resection of the left lateral breast sentinel lymph node dissection

Choices:
A. The whole left breast surgery
B. The outer left breast resection
C. Plus partial resection of the left lateral breast sentinel lymph node dissection
D. Hormone therapy, do not need surgery


Question: Laboratory tests DIC (Disseminated intravascular coagulation) patients, which will not find the following blood test results?

Answer: Fibrin degradation products decrease

Choices:
A. Abnormal PT (Prothrombin time)
B. Abnormal aPTT (Activated partial thromboplastin time)
C. Fibrin degradation products decrease
D. D-dimer increase


Question: Polymyositis (polymyositis) that part of the muscle is usually not affected?

Answer: Eye

Choices:
A. neck
B. Upper arm
C. thigh
D. Eye


Question: From the previous question, methods of surgical treatment of these diseases, which of the following error?

Answer: Ramstedt Mr. Law

Choices:
A. Soave's method
B. Ramstedt Mr. Law
C. Duhamel Mr. Law
D. Swenson's method


Question: From the previous question, after hospitalization, following the disposal, whichever is most inappropriate?

Answer: Chest CT scan examination

Choices:
A. Cardiac catheterization
B. Chest CT scan examination
C. Every 2-3 hours for ECG
D. Hourly cardiac enzyme blood test


Question: Which of the following is completely absorbed through the promotion of diffusion (facilitated diffusion)?

Answer: Fructose (fructose)

Choices:
A. Fructose (fructose)
B. Galactose (galactose)
C. Dextrose (glucose)
D. Lactose (lactose)


Question: Which of the following is not suitable for finger reconnection (replantation)?

Answer: multiple levels cut

Choices:
A. multiple levels cut
B. partial hand cut off
C. complete hand cut off
D. Multi-finger cut


Question: In accordance with the provisions of Article 48 of the National Health Insurance Law, Insurance subject of the following circumstances, the exemption in accordance with the provisions of the National Health Insurance Act own expense, which of the following is not within this range?

Answer: Low-income households

Choices:
A. Major injuries
B. childbirth
C. Low-income households
D. Mountainous areas of medical Islands


Question: One intermittent diarrhea (chronic intermittent diarrhea) patients, body size of about 2.3 mm was found in their faeces, in addition to the mouth, characterized in ventral sucker, sucker third gonopore near, the patient most likely to be infected following what parasites?

Answer: Shaped flukes (Heterophyes heterophyes)

Choices:
A. People dual-port trematode (Gastrodiscoides hominis)
B. Shaped flukes (Heterophyes heterophyes)
C. Gun-like liver fluke (Dicrocoelium dendriticum)
D. 橫川 吸蟲 (Metagonimus yokogawai)


Question: The most common gene mutation in gastrointestinal stromal tumors (gastrointestinal stromal tumor, GIST) are:

Answer: c-KIT

Choices:
A. KRAS
B. c-KIT
C. nice
D. Her2 / Neu


Question: Can not be detected in the serum of hepatitis marked:

Answer: HBcAg

Choices:
A. HBeAg
B. Anti-HBc
C. Anti-HEV
D. HBcAg


Question: Which of the following is not an edge of malignant ovarian tumors (borderline tumors) in the diagnosis of conditions (criteria)?

Answer: Visible matrix infringement (stromal invasion)

Choices:
A. Epithelial cells showed papillary structure (papillary formation) and pseudo multi-layer (pseudostratification)
B. Nuclear abnormalities (atypia)
C. An increase in mitotic cells
D. Visible matrix infringement (stromal invasion)


Question: Bearing the title, description about the treatment of the patient, which of the following error?

Answer: 1 month to prevent the onset of ergotamine

Choices:
A. Keyihuxi acute attack of 100% oxygen 15 minutes
B. From 10 to 14 days steroid therapy
C. 1 month to prevent the onset of ergotamine
D. The use of sumatriptan in acute onset for pain


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

Answer: Elderly woman's fertility is poor has nothing to do with abortion

Choices:
A. infertility refers to couples (or cohabiting men and women) in the absence of contraception and have normal sexual life situation after a year and still not pregnant
B. Women after 30 years of age, the greater the more difficult pregnancy
C. Factors elderly women less likely to become pregnant, the effects of egg quality is greater than the endometrium
D. Elderly woman's fertility is poor has nothing to do with abortion


Question:
50
 Stearic acid (stearic acid) completely oxidized to go through beta-oxidation pathway several times?

Answer: 8

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


Question: Single side of the recurrent laryngeal nerve paralysis occur:

Answer: Hoarseness (Hoarseness)

Choices:
A. Hoarseness (Hoarseness)
B. Difficulty breathing (Dyspnea)
C. Difficulty swallowing (Dysphagia)
D. Salivation (Salivation)


Question: There are statements about JNA (angiofibroma), the Which statement is correct?

Answer: Is the most common benign tumors of the nasopharynx

Choices:
A. Is the most common benign tumors of the nasopharynx
B. The incidence of men and women almost
C. Mostly to middle-aged persons
D. Radiation therapy is the main treatment


Question: Which of the following antibiotics should be used and cilastatin, in order to avoid damage to the kidney dehydropeptidase hydrolysis is?

Answer: imipenem

Choices:
A. imipenem
B. minocycline
C. sulfamethoxazole
D. tobramycin


Question: 13 A 35-year-old man because his right hand numbness to go to a doctor, diagnosed as carpal tunnel syndrome (carpal tunnel syndrome) while physical examination found that the prominent chin and hypertension. Random blood measured hormone (growth hormone) is 10 ng / mL (normal range 0 ~ ng / mL). He should first dispose of?

Answer: Glucose suppression test (glucose suppression test)

Choices:
A. Glucose suppression test (glucose suppression test)
B. Pituitary magnetic resonance imaging (pituitary MRI examination)
C. Pituitary function tests (pituitary function tests including TSH, FSH, ACTH)
D. Insulin hypoglycaemia test (insulin hypoglycemic test)


Question: The following statements about thymoma (thymoma) of Masaoka staging it, what's wrong?

Answer: Stage IVa: extrathoracic metastasis

Choices:
A. Stage IVa: extrathoracic metastasis
B. Stage I: The tumor capsule intact, no capsule invasion
C. Stage II為capsule invasion
D. Masaoka Stage III is macroscopic invasion to surrounding organs, such as the pericardium, lung, or great vessels


Question: 38 molecule acetyl CoA oxidation to carbon dioxide and water molecules is much ATP (GTP including inclusive) produced a total of? [Suppose that a electron into the respiratory chain NADH-Q reductase (Complex I), cytochrome reductase (Complex III), cytochrome oxidase (Complex IV), respectively, may produce a 1,0.5,1 ATP]

Answer: 10

Choices:
A. 8
B. 9
C. 10
D. 12


Question: Holliday intermediate structure which will appear in the following reaction?

Answer: Homologous recombination (homologous genetic recombination)

Choices:
A. Transcription (transcription)
B. The role of translation (translation)
C. Effect transposition (transposition)
D. Homologous recombination (homologous genetic recombination)


Question: The 15-year-old HBeAg-positive hepatitis B with original boys, the last half year serum ALT values remained high, and there are more than 2 150 IU / L, are you going to give him as interferon (interferon) therapy. Before starting treatment, the following test results predict what items he may have a better response to treatment?

Answer: Low blood concentration of HBV DNA

Choices:
A. High concentrations of HBV DNA in blood
B. Low blood concentration of HBV DNA
C. Only a very slight liver hepatitis activity
D. Blood IgM anti-HBc negative


Question: 42. A 65-year-old male patient, due to anemia treatment, colonoscopy found to increase colon cancer, sliced pathology report adenocarcinoma, CT examination showed multiple liver metastases, the resection of the right colon, mesenteric lymph nodes found to have violated cancer , unresectable hepatic metastases present, staging T3N2M1, cancer genetic testing: K-ras gene mutation G12D, in addition to surgery plus chemotherapy will suggest what to expect targeted therapies become resectable liver metastases?

Answer: Angiogenesis inhibitors

Choices:
A. EGFR inhibitors
B. Angiogenesis inhibitors
C. Angiogenesis inhibitor, EGFR inhibitor +
D. EGFR inhibitor or angiogenesis inhibitor neither use, both because no effect


Question: Which of the following cytokines, CD8 T cells are not severe toxicity (cytotoxic CD8 T cells) secreted to kill cells Perform function?

Answer: TGF-b

Choices:
A. TNF-a
B. TGF-b
C. LT-α
D. IFNs-c


Question: Unbearable pain when the Sun 65, the right shoulder of the outer turn (external rotation) and abduction (abduction). He can not raise his right arm to shoulder high, causing the roof unable to grip the grip when taking the bus. Doctors found that his pain about the site above the outer shoulder, but if you ask him to hold back the pain, the physician can put his right arm high to passively move forward shoulder to shoulder higher. Mr. Sun is most likely suffering from disease following what?

Answer: Impingement syndrome (impingement syndrome)

Choices:
A. Suprascapular nerve entrapment syndrome (suprascapular nerve entrapment)
B. Frozen shoulder (frozen shoulder)
C. Impingement syndrome (impingement syndrome)
D. Biceps tendon (biceps tendon) fracture


Question: 60 year old man was sent to the emergency room with chest pain cold sweats, the diagnosis of myocardial infarction in emergency room emergency given t-PA (tissue plasminogen activator) drugs, the following statements is wrong?

Answer: t-PA is mainly to inhibit platelet aggregation, hinder the formation of subsequent thrombosis, it is for the treatment of myocardial infarction

Choices:
A. Myocardial nutrients from the blood can not be obtained in the atrial or ventricular, coronary system must rely on extra
B. From cholesterol, abnormal smooth muscle cells and macrophages and other components of atherosclerosis (Atherosclerosis) is a main reason of infarction
C. Administered vasodilators, the peripheral resistance can be reduced due to reduced afterload, heart infarct can reduce the load
D. t-PA is mainly to inhibit platelet aggregation, hinder the formation of subsequent thrombosis, it is for the treatment of myocardial infarction


Question: A 50-year-old female cleaners, long-term lower back pain, lower extremity tingling and intermittent claudication (intermittent claudication). Which of the following can help distinguish patients with neuropathic this (neurogenic) or vascular (vascular) intermittent claudication?

Answer: Cycling

Choices:
A. Fast walking
B. jogging
C. Cycling
D. Sit-ups


Question: A 57-year-old woman because six months off after sex vaginal spotting phenomenon for treatment, production history as the age of menopause G3P2,51, in the past did not use hormones. The attendance two weeks ago at a local clinic Mei examination found abnormal report: atypical squamous cell, I ask doctors how to arrange the next step dispose of more appropriate?

Answer: Colposcopy

Choices:
A. Computer tomography
B. Gynecological ultrasound examination
C. Colposcopy
D. Do it again sweeping movements examination


Question: Botulinum toxin (botulinus toxin) to reduce muscle tension mechanism of why?

Answer: Direct role in the neuromuscular junction (neuromuscular junction)

Choices:
A. Direct role in the brain (brain)
B. Direct effect on motor neurons (motor neuron)
C. Direct role in the neuromuscular junction (neuromuscular junction)
D. Acts directly on the muscle calcium channel (calcium channel of muscle)


Question: In order to avoid serious adverse reactions to vaccines, and children suffering from severe combined immunodeficiency should avoid following inoculation that a vaccine?

Answer: measles vaccine

Choices:
A. Injectable polio vaccine
B. measles vaccine
C. Japanese encephalitis vaccine
D. HPV vaccines


Question: Which of the following is a weight loss drug for Use in the gastrointestinal tract, can reduce the absorption of fat?

Answer: orlistat

Choices:
A. phentermine
B. topiramate
C. orlistat
D. lorcaserin


Question: The following account of ginger insects (Fasciolopsis buski), and what is correct?

Answer: Edema and ascites phenomenon may occur in severe infections

Choices:
A. As parasites in the human liver fluke huge
B. Ingestion of freshwater fish larvae cystic (metacercaria) infection
C. Edema and ascites phenomenon may occur in severe infections
D. You can use "immunodiagnostic" to confirm the diagnosis


Question: 79. In accordance with the provisions of Article 11 of the Law physicians, non-physician personally examination, shall administer treatment, open to the prescription, or delivery certificate. In accordance with this provision, that the following acts are illegal? ① in remote mountainous islands, for chronic diseases of old age inconvenient action, confirmed by telephone inquiry condition has not changed, prescribing to the patient's family to take home with ② for vegetative patients hospitalized in the nursing home, raised by a unified security hospital secretary to collect insurance card, be fixed once a month for patients and prescriptions, so that patients and forth ③ chronic patients travel abroad, on behalf of the family to see the doctor and prescriptions, in order to avoid an emergency medical situation of the patient off medication ④ aircraft, passengers the phone will use a screen pass on the ground, MD, judged by the physician ordered the flight attendant on board has a nursing background to perform first aid

Answer: Only ②③

Choices:
A. ①②④
B. ①②③
C. Only ②③
D. Only ①③


Question: Statements about prostate cancer treatment, which of the following error?

Answer: Early prostate cancer, when the disease Face more than 10 years of life expectancy, the watch can be used for surgical resection, radiation therapy or hormone therapy, treatment and prognosis of three fairly

Choices:
A. Early prostate cancer, when the disease Face more than 10 years of life expectancy, the watch can be used for surgical resection, radiation therapy or hormone therapy, treatment and prognosis of three fairly
B. Metastatic prostate cancer to hormone therapy, wherein the luteinizing hormone releasing hormone (LHRH) agonist in the treatment of
C. Newly diagnosed low-volume (low volume) metastatic prostate cancer Face, there will be no immediate mortal danger, there are still about 3 years average survival
D. The watch shutter mode operation of the prostate, transurethral root curettage (transurethral resection of the prostate) is not prostate cancer


Question: For maternal uterine artery helical (spiral artery), due chorionic outer trophoblast cells (extravillous trophoblast) change violation, uterine and placental blood Xunhuanxitong successfully established, the establishment of this second wave is formed Xunhuanxitong pregnancy period:

Answer: 12 to 16 weeks

Choices:
A. Week 6
B. 7 to 11 weeks
C. 12 to 16 weeks
D. After the first 17 weeks


Question: Often have "little white lies" on medical clinical, white lies violation of Bioethics four principles that principle?

Answer: Respect for the principle of autonomy

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


Question: Deposited on the micro-adrenal nodular hyperplasia (micronodular hyperplasia) is the most important pigment:

Answer: Lipofuscin

Choices:
A. melanin
B. Blood ferrite
C. Hemoglobin
D. Lipofuscin


Question: 25-year-old woman, there are two vaginal births after obstetric history of production, a second child because the giant baby and labor productivity delivered by hysteresis, there are four degrees of perineal laceration repair surgery done immediately but when production has undergone perineal wound infection after surgery Case. Perineal wound infection after improvement, patients often feel like yellow feces through the vagina secretions discharged, and can not control fart, often feel the case of gas discharge from the vagina. When physical examination purposes vaginal Dre, the situation shown in FIG found, the most suitable for this patient based on the illustrated diagnosis of:

Answer: Rectovaginal fistula (rectovaginal fistula)

Choices:
A. Vesico-vaginal fistula (vesicovaginal fistula)
B. Urethra vaginal fistula (urethrovaginal fistula)
C. Rectovaginal fistula (rectovaginal fistula)
D. Uterine bladder fistula (uterovesical fistula)


Question: The following description of the emergency treatment for burns, whichever correct?

Answer: All small area burns can all tap water cooling

Choices:
A. All burns are possible cooling water
B. Chemical burns are all tap water can reduce the damage
C. All small area burns can all tap water cooling
D. All are small burn can be ice cool


Question: Which of the following neurological disease is due to very long chain fatty acid metabolic problems caused?

Answer: adrenoleukodystrophy

Choices:
A. sphingolipidoses
B. metachromatic leukodystrophy
C. adrenoleukodystrophy
D. globoid cell leukodystrophy


Question: Legionnaires bacteria (Legionella) pneumonia if appropriate for sputum Gram stain, what is most difficult to find any of the following?

Answer: Gram-negative bacilli sputum easy to see the slender

Choices:
A. Each of the low magnification field of view of more than 25 WBC
B. Each of the low magnification field of view of less than 10 epithelial cells
C. Very few bacteria in sputum
D. Gram-negative bacilli sputum easy to see the slender


Question: A 30-year old man was found in the medical staff has a slight jaundice, he said that the past 10 years occasionally notice that whites own more yellow, but no discomfort and no dark urine and pale stools. Occasionally eat vitamins and herbs. Liver and spleen enlargement, and no Chronic liver disease. Normal laboratory not only total bilirubin 3 mg / dL (normal 0.3 to 1.0), the remaining items including direct bilirubin 0.2 mg / dL (normal 0.1 ~ 0.3); AST, ALT, alkaline phosphatase, lactate dehydrogenase, hematocrit and so normal following the diagnosis that one of the most likely?

Answer: Gilbert's syndrome

Choices:
A. Drug-induced hemolysis
B. Biliary calculi
C. Dubin-Johnson syndrome
D. Gilbert's syndrome


Question: Antipsychotic drugs, dopamine that one part of the following agents (dopamine partial agonist)?

Answer: Aripiprazole

Choices:
A. Amisulpride
B. Aripiprazole
C. Clozapine
D. Ziprasidone


Question: Which of the following is the most common children's urinary tract infection combined congenital urinary tract anomalies construction?

Answer: VUR (vesicoureteral reflux)

Choices:
A. Ureteric junction stenosis (UPJ stenosis)
B. Vesicoureteral narrow junction (VUJ stenosis)
C. VUR (vesicoureteral reflux)
D. Neurogenic bladder (neurogenic bladder)


Question: The following related intracranial arteriovenous malformations (arteriovenous malformation, AVM) narrative, what's wrong?

Answer: The AVM consists of the arterial perfusion, draining veins, arteriovenous traffic microvascular

Choices:
A. The AVM consists of the arterial perfusion, draining veins, arteriovenous traffic microvascular
B. AVM symptoms often occur include bleeding, epilepsy and ischemia
C. Although CT and MRI can diagnose, but the best diagnostic tool for intracranial four vessels angiography (four -vessels cerebral
D. Probability within the AVM 24 hours before bleeding is lower than aneurysm


Question: For the following pancreatic β-cell insulin secretion main switch machine description, what is correct?

Answer: Calcium ion concentration within the β cells with increased insulin release from the secretory vesicles the role of

Choices:
A. A fourth blood glucose via glucose transporters into the pancreatic β cells stimulated insulin secretion
B. ATP-sensitive potassium channels caused by the outflow opening of potassium ions is an important step to promote the insulin secretion
C. Amino acids via the blood will increase the cAMP concentration in β cells promote secretion of insulin
D. Calcium ion concentration within the β cells with increased insulin release from the secretory vesicles the role of


Question: Urinary stones formed in the fixed particle theory of hypothesis, which is attached to the stone crystals where?

Answer: Tubular

Choices:
A. Glomerular
B. Tubular
C. Calyx
D. Pelvis


Question: The following account of low intracranial pressure headache (low pressure headache) due to lumbar puncture (lumbar puncture) caused, and what's right?

Answer: Patient sitting than lying still pain

Choices:
A. There papilledema
B. Will not have a stiff neck (neck stiffness)
C. No nausea and vomiting phenomenon
D. Patient sitting than lying still pain


Question: Which of the following interleukin (interleukin; IL) can affect the performance of a variety of cells and most typical of endocrine role?

Answer: IL-1

Choices:
A. IL-1
B. IL-2
C. IL-7
D. IL-12


Question: Must not be used (major contraindication) when Beta-adrenergic blocking agents, such as eye drops, 0.5% Timolol maleate, inhibit the production of aqueous humor, the intraocular pressure lowering drug is, but to a disease patients with the following?

Answer: Asthma (asthma)

Choices:
A. Stroke (stroke)
B. Asthma (asthma)
C. High blood pressure (hypertension)
D. Diabetes (diabetes mellitus)


Question: Surgical options for thyroid toxic adenoma (toxic adenoma), and Which of the following best?

Answer: Single ipsilateral lobectomy

Choices:
A. Single ipsilateral lobectomy
B. Ipsilateral subtotal
C. Single ipsilateral and contralateral lobe resection subtotal
D. Bilateral total resection


Question: Septic arthritis is one of acute pediatric patients require rapid diagnosis and treatment. That one of the following diagnosis of arthritis if not quickly treated with antibiotics and drainage, can lead to ischemic bone necrosis (Avascular necrosis)?

Answer: Hip

Choices:
A. Hip
B. Elbow
C. Knee
D. Ankle


Question: That the following symptoms of a disease, most are not suitable for functional electrical stimulation therapy?

Answer: Treatment of Baker's muscular dystrophy (Becker muscular dystrophy) disease muscle atrophy

Choices:
A. Women stress urinary incontinence (stress urine incontinence)
B. Spinal cord injury patients bone loss (bone loss)
C. Of bedridden patients often prevent deep vein thrombosis (deep vein thrombosis)
D. Treatment of Baker's muscular dystrophy (Becker muscular dystrophy) disease muscle atrophy


Question: When measured by suddenly standing from the prone position, due to lower blood pressure and feel dizzy if a subject. At this time, the body will use the following reaction that helps stabilize arterial blood pressure?

Answer: Decreased arterial pressure by sensing reflected (arterial baroreceptors reflex) discharge frequency

Choices:
A. Decreased arterial pressure by sensing reflected (arterial baroreceptors reflex) discharge frequency
B. Slow the heart rate
C. Reducing venous return (venous return)
D. Promote small arteries (arterioles) diastolic


Question: Infant muscular torticollis (torticollis) The most common reasons for the formation of the following piece of muscle fibrosis?

Answer: Sternocleidomastoid (sternocleidomastoid muscle)

Choices:
A. Wide neck muscle (platysma muscle)
B. Supraomohyoid (omohyoid muscle)
C. Sternohyoid (sternohyoid muscle)
D. Sternocleidomastoid (sternocleidomastoid muscle)


Question: The following minimally invasive surgery on the implementation of the large intestine resection of narrative, what's wrong?

Answer: Assisted laparoscopic colectomy colon surgery purposes, must close the surgical defect mesentery (mesenteric defect)

Choices:
A. Laparoscopic-assisted colectomy surgery compared to open surgery, can reduce postoperative pain
B. Assisted laparoscopic surgery to produce a ratio of the large intestine mesentery hernia (mesenteric internal hernia) about only 1%
C. Assisted laparoscopic colectomy colon surgery purposes, must close the surgical defect mesentery (mesenteric defect)
D. The most common location of the hernia mesentery near the junction of the ileum (ileocolic junction)


Question: 54-year-old Chen, hands and feet due to end months of progressive weakness, muscle atrophy and stiff limbs sense, was diagnosed with motor neuron disease, and to the subsequent consultation of outpatient care issues. The following statements is wrong?

Answer: Highly genetic predisposition (> 50% likelihood)

Choices:
A. Highly genetic predisposition (> 50% likelihood)
B. Life of about 2 to 5 years
C. By the end of the breathing apparatus required to sustain life
D. There are drugs can slow the course of disease worsening


Question: A 45-year-old woman, in recent months often feel a burning sensation and gastric countercurrent. Acceptance of endoscopy. Illustrates changes of the lower esophageal tissue section microscope. Which of the following best process can explain such a change?

Answer: Columnar epithelial metaplasia

Choices:
A. Apoptosis of squamous epithelium
B. Atrophy of squamous epithelium
C. Columnar epithelial metaplasia
D. Hyperplasia of columnar epithelium


Question: The following related toxic T cells (cytotoxic T lymphocyte, CTL) and natural killer cells (natural killer cell, NK cell) of the comparison, what's wrong?

Answer: Both of these antigen-specific

Choices:
A. Both of these antigen-specific
B. Both of these will show FasL
C. Both are active with MHC class I-related
D. Do not show MHC class I molecules of tumor cells can escape CTL recognize, but can not escape the track of NK cell


Question: A 52-year-old patient hospitalized with acute pneumonia, the occurrence of the right lower limb proximal deep vein thrombosis bed 7 days after giving heparin and warfarin slight improvement after treatment. The patient was discharged after oral anticoagulant warfarin should be given at least how long?

Answer: 3 months

Choices:
A. 4 weeks
B. 3 months
C. 6 months
D. 12 months


Question: 40-year-old female patient complained of neck pain before the patient two weeks ago have found that the patient's neck before normal skin color upper respiratory tract infection, physical examination, but there is enlargement of the thyroid, hard and tenderness, the patient's blood is not white blood cells increasing phenomenon, the most appropriate treatment for this patient is:

Answer: Steroid

Choices:
A. Antibiotic-containing
B. Surgical removal of the thyroid nodules
C. Antithyroid drugs
D. Steroid


Question: ASA class I to a 2-year-old boy 12 kg implementation of outpatient surgery (Outpatient) hernia repair, if the merger is expected to general anesthesia caudal block technique (Caudal block), which of the following is the best caudal block technique Shi fight drug combination, and the dose?

Answer: 0.25% Bupivacaine 10 ml

Choices:
A. 0.5% Bupivacaine 10 ml
B. 0.25% Bupivacaine 10 ml
C. 0.5% Bupivacaine 6 ml with morphine 2 mg
D. 0.2% Bupivacaine 6 ml with morphine 4 mg


Question: After about reconstruction following mastectomy (Postmastectomy breast reconstruction) of the narrative, what's wrong?

Answer: Will delay the detection of breast cancer recurrence

Choices:
A. Reduce the patient's sense of incomplete
B. Immediate reconstruction reduces the trauma
C. Will delay the detection of breast cancer recurrence
D. Immediate reconstruction will be delayed follow-up of chemotherapy for breast cancer patients later found not suitable


Question: 74. a wine man because of abdominal dull pain and poor appetite to seek treatment, computer tomography presented in Figure, arrows within the meaning of the anomaly is most likely that one of the following diagnosis?

Answer: chronic pancreatitis

Choices:
A. bowel perforation
B. chronic pancreatitis
C. common bile duct stones
D. splenic artery arteriosclerosis


Question: In innocuous (non-noxious) stimulation, will feel pain, known as:

Answer: allodynia

Choices:
A. neuralgia
B. allodynia
C. hyperalgesia
D. hyperesthesia


Question: About different aphasia (aphasia) the prognosis of the patient, what's the worst?

Answer: Speak fluent, but irrelevant answers, and have saved (preservation) phenomenon

Choices:
A. Speak fluent, but irrelevant answers, and have saved (preservation) phenomenon
B. Do not speak fluent, understandable instructions, subject to the effort (effort) to speak
C. Speak fluent understanding of normal, but the name (naming) difficulties
D. Do not speak fluent, comprehensible instructions, Qu has telegraphic language (telegraphic speech)


Question: For patients with arthritic disease damage the watch Face portion often Use sub ⽊ (Splint) to reach the destination time below, but what's wrong?

Answer: Can delay the disease into ⾏

Choices:
A. Deformable portion of the watch can slow
B. Can enhance grip can care has been taken
C. Can help the watch function
D. Can delay the disease into ⾏


Question: AMP-activated protein kinase (AMPK) after activation, it will promote one of the following main reaction pathways?

Answer: glycolysis

Choices:
A. gluconeogenesis
B. lipid biosynthesis
C. glycolysis
D. cholesterol synthesis


Question: 26 by 30-year-old pregnant woman, G1P0, regular period every 28 days, each period for five days, private prosecution: the first day of the final period (LMP) is on February 1, the expected date of childbirth (EDC) is when?

Answer: November 8, 2005

Choices:
A. September 8, 2005
B. October 8, 2005
C. November 8, 2005
D. December 8, 2005


Question: The following narrative about liver spots (chloasma, melasma), and what is non?

Answer: Common abnormal liver function

Choices:
A. Mainly in the facial symmetry of pigmentation spots
B. Common abnormal liver function
C. Oral contraceptives is probably one of the causes
D. Avoid sun exposure during the illness


Question: Xiao Ming is a 28 weeks premature children, birth weight 1200 grams, was born after suffering respiratory distress syndrome. For this disease is currently the most effective of the drugs:

Answer: Alveolar surface tension element

Choices:
A. Steroid
B. Aspirin
C. Alveolar surface tension element
D. Antibiotic-containing


Question: Which of the following is located in the dorsal wrist extensor tendon sixth chamber (extensor compartment)?

Answer: Ulnar extensor carpi muscle (extensor carpi ulnaris)

Choices:
A. The index finger extensor muscles (extensor indicis proprius)
B. Extensor hallucis longus (extensor pollicis longus)
C. Ulnar extensor carpi muscle (extensor carpi ulnaris)
D. Little finger extensor muscles (extensor digiti minimi)


Question:
60. Morakot caused serious flooding low-lying areas in Pingtung, ten days later, in the region there was a 50-year-old male with acute fever 38.5 ° C, headache, muscle aches, peripheral blood leukocytes was 17,000 / μL, platelets 120,000 / μL, GOT: 150 U / L and GPT: 162 U / L, total bilirubin (total bilirubin): 4.1 mg / dL; serum creatinine
 (Serum creatinine): 3.2 mg / dL. Which of the following is the most appropriate antibiotic treatment of choice?

Answer: crystal penicillin G

Choices:
A. amikacin
B. ciprofloxacin
C. crystal penicillin G
D. vancomycin


Question: Intrahepatic cholestasis (intrahepatic cholestasis of pregnancy, ICP) leading to fetal adverse outcomes, the most important factors are:

Answer: Maternal serum bile acid (bile acids)

Choices:
A. Maternal serum bile acid (bile acids)
B. Maternal serum direct bilirubin (direct bilirubin)
C. Maternal serum cholesterol (cholesterol)
D. Maternal serum aspartate aminotransferase (AST)