Question: A 48 year-old male, sudden chest tightness, heart palpitations, difficulty breathing, blood pressure 80/40 mmHg, respiratory rate 26 / min, ECG heart rate monitor display as shown below, that one of the following disposal more appropriate?

Answer: Administered percutaneously cardiac pacemaker (Transcutaneous pacing)

Choices:
A. Administered percutaneously cardiac pacemaker (Transcutaneous pacing)
B. Lidocaine administered to prevent the occurrence of ventricular tachycardia (VT)
C. Given amiodarone ventricular tachycardia (VT) in order to avoid
D. Give dobutamine increased cardiac contractility


Question: Mr. A, 65-year-old male with a history of hypertension for many years, after eating breakfast in the morning, suddenly dizzy, unsteady gait, are sent to the emergency room, physical neurological examination, found that oral unclear speech, difficulty swallowing, the right side of gag reflex disappeared, the left side of pain sensation, its focus is most likely related to the following piece of blood vessel blockage?

Answer: After the right inferior cerebellar artery

Choices:
A. After the right inferior cerebellar artery
B. After left inferior cerebellar artery
C. Right front cerebellar artery
D. Front left cerebellar artery


Question: Barrett esophagus is what change means the esophagus happen?

Answer: Columnar epithelial squamous metaplasia

Choices:
A. Columnar epithelial squamous metaplasia
B. Columnar metaplasia of transitional epithelium
C. Columnar epithelial squamous metaplasia
D. Squamous metaplasia of transitional epithelium


Question: 20-year-old woman, lesions appear as shown in the chest, following which it does not help check diagnosis?

Answer: Direct immunofluorescence examination appears lupus band

Choices:
A. Wood's light can help de-pigmentation of the show
B. KOH microscopy exclude discoloration rosea
C. Skin biopsies DOPA staining cells decreased
D. Direct immunofluorescence examination appears lupus band


Question: A rare genetic disease medium-chain acyl-CoA dehydrogenase gene mutations can cause fatty liver, low blood sugar, octanoic acid accumulation in the blood, lethargy, vomiting and coma. The following functions are related to the enzyme of the narrative, what's right?

Answer: The role of the enzyme fatty acid is gradually converted to acetyl-CoA 43 following amino acids can not lead to that kind of methylmalonic acidemia (methylmalonic acidemia) metabolic?

Choices:
A. Action The enzyme of the fatty acid is transported into mitochondria
B. The enzyme acts on ω-oxidation
C. The role of the enzyme fatty acid is gradually converted into pyruvate
D. The role of the enzyme fatty acid is gradually converted to acetyl-CoA 43 following amino acids can not lead to that kind of methylmalonic acidemia (methylmalonic acidemia) metabolic?


Question: The following statements about the muscarinic cholinergic receptors, whichever is correct?

Answer: Is a G-protein-coupled receptors

Choices:
A. Is a G-protein-coupled receptors
B. At a high density in the skeletal muscle end plate (end plate)
C. Upon binding acetylcholine can allow sodium and potassium ions
D. At a high density on the sympathetic and parasympathetic postganglionic nerve cell bodies (SOMA) dendritic (dendrites)


Question: The following account of the diaphragm, whichever is correct?

Answer: Thoracic aorta and abdominal aortic artery branches have their own direct supply of diaphragmatic

Choices:
A. Is the main expiratory muscles
B. Thoracic aorta and abdominal aortic artery branches have their own direct supply of diaphragmatic
C. Phrenic nerve from cervical C2, C3 and C4
D. Phrenic nerve as the only sensory and motor nerve of the diaphragm


Question: Which of the following drugs for the central nervous system to reduce sympathetic activity, primarily for the treatment of high blood pressure during pregnancy?

Answer: methyldopa

Choices:
A. carbidopa
B. dobutamine
C. fenoldopam
D. methyldopa


Question: Which of the following cell antigen receptor (antigen receptor) will conduct somatic hypermutation (somatic hypermutation)?

Answer: B cells

Choices:
A. T cells
B. B cells
C. Macrophages
D. Natural killer cells


Question: If the vocal cord paralysis in patients with lung cancer, the most likely impact to that a nerve?

Answer: Recurrent laryngeal nerve (recurrent laryngeal nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Recurrent laryngeal nerve (recurrent laryngeal nerve)
C. Sympathetic trunk (sympathetic trunk)
D. Intercostal nerve (intercostal nerve)


Question: In human cells, every chromosome has several origin of replication (replication origin)?

Answer: >3

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


Question: Early births occurred arterial insufficiency, which can use these drugs to make it close?

Answer: ibuprofen

Choices:
A. diclofenac
B. ibuprofen
C. rofecoxib
D. sulindac


Question: That layer of tissue in the uterus following will shed during menstruation?

Answer: Endometrial functional layer (stratum functionale)

Choices:
A. Myometrium (myometrium)
B. Endometrial base layer (stratum basale)
C. Endometrial functional layer (stratum functionale)
D. Perimetrium (perimetrium)


Question: Because of the defect on chromosome 22 (22q11.2) caused by DiGeorge syndrome, which of the following does not belong to its common symptoms?

Answer: Thyroid hypoplasia

Choices:
A. Thyroid hypoplasia
B. Thymic hypoplasia
C. Congenital heart disease
D. Facial abnormalities


Question: The following fractures in adult patients, the most commonly used as a plaster bandage exact treatment is:

Answer: Distal radial fracture (fracture of Colles s)

Choices:
A. Distal radial fracture (fracture of Colles s)
B. Radius and ulna fractures forearm
C. Humeral head fractures
D. Olecranon fracture


Question: Bearing the title, following what most inappropriate disposal of items?

Answer: Given haloperidol

Choices:
A. Intravenous infusion (fluid hydration)
B. Given benzodiazepines
C. Lower the temperature
D. Given haloperidol


Question: The following statements about the cervical spine, what's wrong?

Answer: The end of the seventh cervical spinous process was a significant branch

Choices:
A. Vertebral artery (vertebral artery) does not pass through seventh cervical transverse foramen
B. The first cervical vertebrae with no spine
C. Dens second cervical vertebrae (DENS) from a first cervical vertebral
D. The end of the seventh cervical spinous process was a significant branch


Question: A 20-year-old man found to have testicular cancer, whichever of the following blood tests are not needed?

Answer: prostate specific antigen

Choices:
A. prostate specific antigen
B. a-fetoprotein
C. β-human chorionic gonadotropin
D. lactate dehydrogenase


Question: The following information about breast reconstruction (breast reconstruction) of the narrative, what's wrong?

Answer: Deep abdominal artery branch through the flap need not intramuscular (deep inferior epigastric artery perforator flaps) release (intramuscular dissection)

Choices:
A. Transverse pedicle flap rectus formula (pedicled transverse rectus abdominis myocutaneous, TRAM flaps) than the free TRAM flap horizontal Formula (free TRAM flaps) more likely to have weak abdominal fat necrosis and
B. Superficial abdominal artery flap (superficial inferior epigastric artery flaps) can not sacrifice the rectus abdominis
C. Deep abdominal artery branch through the flap need not intramuscular (deep inferior epigastric artery perforator flaps) release (intramuscular dissection)
D. The free flap recipient vessels can be connected to the harness generally arteriovenous (thoracodorsal artery and vein) or internal mammary artery and vein (internal mammary artery and vein)


Question: 67 according to the American Psychiatric Association's "Diagnostic and Statistical Manual of mental disorders fourth edition of" antisocial personality disorder (antisocial personality disorder) belongs to a group of personality disorders which of the following?

Answer: Group B (Cluster B)

Choices:
A. A group (Cluster A)
B. Group B (Cluster B)
C. C group (cluster C)
D. D group (cluster D)


Question: Those 28. The following drugs may aggravate reflux esophagitis (reflux esophagitis)? ① hypolipidemic agent (HMG-CoA reductase inhibitor) ② hypertension drug (calcium channel blocker) ③ asthma drugs (theophylline) ④ allergy drug (antihistamine)

Answer: Only ②③

Choices:
A. ①②③
B. Only ②③
C. ③④
D. ①②④


Question: Sperm (spermatozoa) before ejaculation is not stored in the form:

Answer: 副睪（epididymis）

Choices:
A. Seminiferous tubules (seminiferous tubules)
B. Seminal vesicle (seminal vesicle)
C. 副睪（epididymis）
D. Cowper glands (bulbourethral gland)


Question: When an emergency situation, adrenaline (epinephrine) secretion, regulation of carbohydrate metabolism in the liver and skeletal muscle to improve blood glucose and muscle movement, related the following statements is wrong?

Answer: Increased hepatic glycolysis (Glycolysis)

Choices:
A. Increase in skeletal muscle glycogen decomposition (glycogenolysis)
B. Skeletal muscle increased glycolysis (Glycolysis)
C. Increased hepatic glycolysis (Glycolysis)
D. Increased hepatic gluconeogenesis action (gluconeogenesis)


Question: Located in a birth mother 28 weeks of pregnancy, the phenomenon has obvious respiratory distress after birth, presented chest X-ray as shown, this baby the most appropriate treatment is:

Answer: The surface tension element (Surfactant)

Choices:
A. Inhaled nitric oxide therapy (nitric oxide inhalation)
B. The surface tension element (Surfactant)
C. Broad-spectrum antibiotics (broad spectrum antibiotics)
D. Steroids (steroids)


Question: On the role of the abuse of marijuana (cannabis), and Which statement is correct?

Answer: Poisoning their poor motor coordination (impaired motor coordination)

Choices:
A. It relies mainly physiological dependence (physical dependence) and less psychological dependence
B. Poisoning their poor motor coordination (impaired motor coordination)
C. Will produce drowsiness and increased appetite symptoms of withdrawal
D. Common physiological responses including significantly slow heartbeat (with bradycardia) and miosis


Question: When skeletal muscle fibers do isotonic contraction, the following statements, whichever is correct?

Answer: Sarcomere shortens and bright with shortening

Choices:
A. Sarcomere shortens and dark bands shorten
B. Sarcomere shortens and bright with shortening
C. Bright and dark bands shortened with shortening
D. Sarcomere shortening, shortening and bright with a dark band shortened


Question: In accordance with relevant laws and regulations of the following statements is wrong?

Answer: Under civil law, minors under 12 years of age incapacitated

Choices:
A. Child and Youth Welfare Act, children under 12 years of age
B. Child and Youth Welfare Act, more than 12 years younger than 18-year-old teenager who is
C. Under civil law, minors under 12 years of age incapacitated
D. Under civil law, at least 20 years old (and were not declared guardianship) who have full capacity


Question: A 49-year-old female patient in his right neck 5 × 4 cm lumps, undergoing total thyroidectomy. Pathological examination confirmed papillary thyroid cancer, and cervical lymph node metastasis after surgery, patients are most suitable for the disposal of why?

Answer: After taking radioactive iodine 131I after surgery, and then taking thyroxine

Choices:
A. As long as thyroxine
B. Chemotherapy and taking hormone
C. External beam radiation therapy and thyroxine
D. After taking radioactive iodine 131I after surgery, and then taking thyroxine


Question: Which of the following is formed by kidney mesoderm (metanephric mesoderm)?

Answer: 近曲小管（proximal convoluted tubule）

Choices:
A. Ureter (ureter)
B. Collecting duct (collecting duct)
C. 近曲小管（proximal convoluted tubule）
D. Small calyx (minor calyx)


Question: Which of the following drugs used to treat migraines, but has a role in uterine contractions, so pregnant women should not use, because easily lead to abortion?

Answer: Ergot alkaloids

Choices:
A. Indomethacin
B. Aspirin
C. Ergot alkaloids
D. Celecoxib


Question: Skin diseases account of zinc deficiency (zinc deficiency) caused, which of the following error?

Answer: Rash symptoms to performance-based, usually do not have hair loss, diarrhea and lethargy and other symptoms

Choices:
A. Zinc deficiency can cause congenital or acquired reasons
B. Patients in the eyes, lips and around the anus visible acute eczema-like skin lesions
C. Rash symptoms to performance-based, usually do not have hair loss, diarrhea and lethargy and other symptoms
D. Zinc concentration of alkaline phosphatase in blood and help diagnose


Question: The following cephalosporins, He who can be used as a preventive drug of choice for pre-operative infections (such as head and neck, cardiovascular and thoracic, cranial surgery, etc.)?

Answer: cefazolin

Choices:
A. cefazolin
B. cefepime
C. ceftazidime
D. ceftriaxone


Question: 18 weeks pregnant patients 26 years, upper abdominal pain, vomiting, poor appetite, dry mouth about 3 days, the pregnancy of the first child, before regular check are all normal; 37.8 deg.] C ear thermometers, blood pressure 100/60 mmHg , pulse 130 / min, respiration 30 / min, normal lung sounds, slight abdominal tenderness but no rebound pain, body dry skin, then one of the following is most likely diagnosis?

Answer: Diabetic ketoacidosis

Choices:
A. Diabetic ketoacidosis
B. Hyperemesis gravidarum disease (Hyperemesis gravidarum)
C. Acute enteritis and dehydration
D. Acute pelvic inflammatory disease


Question: Esotropia (esotropia) often associated with abnormal refractive Which of the following?

Answer: long sighted

Choices:
A. Myopia
B. long sighted
C. Presbyopia (presbyopia)
D. Astigmatism (astigmatism)


Question: 50-year-old man complained of left ear repeatedly otorrhea and hearing loss of more than 10 years, after local inspection arrangements for the high-resolution computer tomography results are as follows: In the attic there is a soft tissue surrounding the ossicles (as shown below), most likely the diagnosis Why?

Answer: Cholesteatoma

Choices:
A. Otitis media with effusion
B. Mastoiditis
C. Acoustic neuroma
D. Cholesteatoma


Question: A newborn baby boy was found to have a similar umbilical intestinal contents to flow out, the most likely diagnosis is:

Answer: Open umbilical intestine (patent omphalomesenteric duct)

Choices:
A. Open urachal (patent urachus)
B. Umbilical hernia (umbilical hernia)
C. Open umbilical intestine (patent omphalomesenteric duct)
D. Omphalocele (omphalocele)


Question: Imaging on breast cancer include ultra Rec wave, mammography and MRI, the following statements is wrong?

Answer: BI-RADS 5 on behalf of lesions on it and has been confirmed as breast cancer

Choices:
A. breast imaging reporting and data system (BI-RADS) Use to evaluate malignancy, wherein the first frame type BI-RADS, no representative of the lesion
B. BI-RADS 3 lesions on behalf may be benign, the need to track the short-term
C. BI-RADS 5 on behalf of lesions on it and has been confirmed as breast cancer
D. Nuclear Magnetic Resonance (MRI) is useful when axillary lymph metastatic breast cancer, which is the primary lesion of unknown (unknown primary tumor), or Paget's disease ⽒


Question: 63-year-old male HBV asymptomatic carrier. 5 years ago Liangshou small joints, wrist, elbow, knee and ankle joint pain, blood examination revealed RF: 29.7 IU / mL (normal <10 IU / mL), ESR: 18 mm / 1h, CRP: 1.0 mg / dL (normal <0.8 mg / dL), ALT: 62 U / L. Which of the following positive test results for the differential diagnosis of patients with the most helpful?

Answer: anti-cyclic citrullinated peptide antibody

Choices:
A. anti-nuclear antibody
B. anti-SSA / anti-SSB antibody
C. anti-cyclic citrullinated peptide antibody
D. C3 and C4


Question: Mr. Wong 32 years old, no high blood pressure, but often have exertional dyspnea. ECG left ventricular hypertrophy, cardiac ultrasound examination revealed no significant change valve, ventricular septal wall and left ventricular hypertrophy lower, left ventricular chamber (Chamber) but reduced systolic function, abnormal diastolic function, left ventricular ejection channel ( outflow tract) no pressure difference, its diagnosis is:

Answer: Hypertrophic cardiomyopathy (hypertrophic cardiomyopathy)

Choices:
A. Aortic stenosis
B. Aortic insufficiency
C. Hypertrophic cardiomyopathy (hypertrophic cardiomyopathy)
D. Left ventricular hypertrophy apex (apical hypertrophy)


Question: The main site of absorption following substances and what was not in the duodenum and proximal jejunum?

Answer: Bile acid (Bile acid)

Choices:
A. Ca (Calcium)
B. Iron (Iron)
C. Folate (Folic acid)
D. Bile acid (Bile acid)


Question: Bearing on the question, given for this patient nutrition, the most Rongyifasheng of complications:

Answer: Phlebitis

Choices:
A. diarrhea
B. Phlebitis
C. High blood sugar
D. Liver dysfunction


Question: Which of the following anticoagulant is a direct thrombin inhibitor acts on the?

Answer: argatroban

Choices:
A. heparin
B. enoxaparin
C. fondaparinux
D. argatroban


Question: A 10-year-old boy near upper respiratory tract infection and the emergence of Aschoff bodies in the myocardium. The following statements about the cardiac lesions, what's inappropriate?

Answer: Occurs only in the myocardium

Choices:
A. Fibrinoid necrosis and red expanded tropism of collagen Iraq
B. Appears Anitschkow cells (caterpillar-like cells)
C. Multinucleated giant cells formed giant cells Aschoff
D. Occurs only in the myocardium


Question: Hirschsprung's disease the highest reliability (gold standard) the diagnosis is based on what?

Answer: Rectal biopsy (rectal biopsy)

Choices:
A. More than 48 hours unsolved meconium
B. Check the pressure gauge anus (manometry study)
C. Rectal biopsy (rectal biopsy)
D. Lower gastrointestinal barium enema (lower GI barium enema)


Question: 40-year-old Schilling found months menstrual pain, irregular bleeding. The illustrated CT findings. Schilling most likely suffering from what disease?

Answer: Uterine fibroids class (uterine fibroid or leiomyoma)

Choices:
A. Pregnancy (pregnancy)
B. Ovarian dermoid cysts (dermoid cyst)
C. Cervical cancer (uterine cervical cancer)
D. Uterine fibroids class (uterine fibroid or leiomyoma)


Question: In all cases due to trauma and death, organ damage following which accounted for more than 50 percent?

Answer: Traumatic brain injury

Choices:
A. Traumatic pulmonary contusion
B. Traumatic liver lacerations
C. Traumatic brain injury
D. Traumatic cardiac contusion


Question: Mao Bo because the calf injury at work lead to infection, to the nearby pharmacy to buy non-approval of the Department of Health of penicillin ointment for external use, two weeks after the wound did not improve hospitalization, treatment with antibiotics Shique no defensive serious allergic reaction . This drug allergies cause immune Which of the following turn the machine correctly?

Answer: Immune machine turn cause allergic reactions classified as the second type hypersensitivity

Choices:
A. Machine turn cause allergic reactions classified as immune complex of an antigen-antibody reaction
B. Immune machine turn cause allergic reactions classified as the second type hypersensitivity
C. Time of an allergic reaction takes about 48 hours after injection
D. This is because of allergic reactions caused by bacteria resistant to


Question: Pregnant women aged 39.29, 11 weeks of pregnancy, hepatitis B screening asymptomatic carrier results HBsAg (+), HBeAg (+); (HBV) DNA test results 24 weeks of gestation hepatitis B virus 108 copies / mL. 28 weeks gestation in pregnant women taking anti-HBV drugs Tenofovir-connector ⾄ treatment 38 weeks of pregnancy, vaginal delivery the natural coloring baby 3,480 grams. Prevention is the most appropriate disposal of infants infected with hepatitis B are:

Answer: After a new child ⽣ ⽣ immediately administered hepatitis B immune globulin therapy white, and arrange hepatitis B vaccination

Choices:
A. After a new child ⽣ ⽣ immediately administered hepatitis B immune globulin therapy white, and arrange hepatitis B vaccination
B. After the new ⽣ children out ⽣ immediately given hepatitis B immune globulin therapy white, do not have to arrange hepatitis B vaccination
C. New ⽣ children after a ⽣ do not have to give hepatitis B immune globulin therapy white, simply arrange hepatitis B vaccination
D. After the new child ⽣ ⽣ necessarily administered hepatitis B immunoglobulin white therapy, there is no need to arrange the hepatitis B vaccination


Question: On spermatogonial mother cell (spermatogonium) to sperm (sperm) process, in the following order that one of the best?

Answer: Spermatogonium→primary spermatocyte→first meiosis→secondary spermatocyte→second meiosis→ spermatid→sperm

Choices:
A. Spermatogonium→primary spermatocyte→first meiosis→secondary spermatocyte→second meiosis→ spermatid→sperm
B. Spermatogonium→first meiosis→primary spermatocyte→second meiosis→secondary spermatocyte→ spermatid→sperm
C. Spermatogonium→primary spermatocyte→first meiosis→secondary spermatocyte→spermatid→second meiosis→sperm
D. Spermatogonium→primary spermatocyte→secondary spermatocyte→first meiosis→spermatid→second meiosis→sperm


Question: German measles (Rubella) limit collective immunity level is maintained, mainly to ensure that women of childbearing age to avoid rubella infection, and therefore the implementation of German measles vaccination effect is most unsatisfactory that in the following groups?

Answer: Youth man

Choices:
A. Youth man
B. Blue Girl
C. Preschool boys
D. Preschool girls


Question: 3. Since human infection or trauma can lead to a systemic inflammatory response syndrome (systemic inflammatory response syndrome, SIRS), including clinical manifestations: ① temperature> 38 ° C, or ≤ 36 ° C ② heart rate ≥ 90 / min ③ respiratory rate ≥ 20 / min or PaCO2 ≤ 32 mm Hg, or need for mechanical ventilation (mechanical ventilation) ④ leukocytes ≥ 12,000 / microliter ([mu] l), or ≤ 4,000 / microliter ([mu] l), or band forms

Answer: Two kinds

Choices:
A. One kind
B. Two kinds
C. Three kinds
D. Four kinds


Question: About the diagnosis and treatment of patients with severe brain trauma narrative, which of the following error?

Answer: Acute subdural hemorrhage (acute subdural hematoma) meningeal artery often result (middle meningeal artery) due to bleeding branch

Choices:
A. You must evaluate and treat shock injuries may occur, hypoxia, coagulopathy
B. Cerebral contusion bleeding may occur immediately after the impact, but there may become large clot, in particular 12 to 24 hours
C. If the clot or brain contusion greater than 30 c.c., is generally believed to cause a significant effect of the mass (mass effect), causing neurological deterioration of brain damage as well as
D. Acute subdural hemorrhage (acute subdural hematoma) meningeal artery often result (middle meningeal artery) due to bleeding branch


Question: Wrist tunnel syndrome (carpal tunnel syndrome) patients, which of the following functions relatively unaffected?

Answer: Feeling palm thenar area (thenar eminence) of

Choices:
A. Feeling palm thenar area (thenar eminence) of
B. Hand on the palm action
C. Thumb feeling
D. The third refers to the feeling


Question: Which of the following after gynecological surgery, the most common pulmonary complications (pulmonary complications)?

Answer: atelectasis

Choices:
A. pneumothorax
B. atelectasis
C. pulmonary edema
D. bronchopneumonia


Question: 21 a 12-year-old boy because the treatment of short stature, when he was born weighing 3.5 kilograms, the most recent year increased by 4 cm height. His father height 160 cm, 14-year-old started secondary sexual characteristics; mother height 150 cm, menarche age was 13 years old. This boy body checkups display height 131 cm (below the third percentile) and weighing 27.5 kg (tenth percentile), testicles are about 4 ml, no pubic hair development, in addition to physical examination found no other abnormalities. 11 years of bone age test results 6 months, serum IGF-I is 200 ng / mL (normal 140-400 ng / mL). This boy most likely diagnosis is:

Answer: Familial short stature (familial short stature)

Choices:
A. Familial short stature (familial short stature)
B. Low energy pituitary disease (hypopituitarism)
C. Constitutional growth retardation (constitutional growth delay)
D. 22 Which of the following is not McCune-Albright syndrome is a disease characterized by malnutrition (malnutrition)?


Question: 57-year-old female patient had the habit of picky eaters, a few days without a bowel movement, abdominal distention uncomfortable to see a clinic, the doctor said she was acute constipation metabolism caused by the following case less likely to cause acute constipation?

Answer: Hypocalcemia

Choices:
A. Hypothyroidism
B. Hypoadrenalism
C. Hypokalemia
D. Hypocalcemia


Question: The following pair of occupational cancer, what's wrong?

Answer: Dye plants - Thyroid Cancer

Choices:
A. Chimney sweeping - testicular cancer
B. Arsenic - Skin Cancer
C. Benzene - leukemia
D. Dye plants - Thyroid Cancer


Question: From the previous question, cerebrospinal fluid cultures Preliminary results displayed have yeast, following the disposal of what's wrong?

Answer: To echinocandin drugs

Choices:
A. 給amphotericin B＋flucytosine
B. Check the HIV screening test
C. According chest X-ray, pumping ⾎ do fungal culture and antigen detection
D. To echinocandin drugs


Question: The following statements about dietary fiber (dietary fiber) of, what is non?

Answer: Intestinal bacteria only partially fermented foods of leafy plant fiber (Cellulose)

Choices:
A. The water-soluble fiber (e.g. fruit pectins) is used to treat constipation
B. The soluble fiber can be easily intestinal fermentation to produce short chain fatty acids (short-chain fatty acid)
C. The soluble fiber can cause increased stool volume (bulky stool) effect of
D. Intestinal bacteria only partially fermented foods of leafy plant fiber (Cellulose)


Question: 70-year-old man, suffering from diabetes, due to the recent two days gradually unconsciousness and taken to hospital. In addition to physical examination revealed the patient unconsciousness, the inlet temperature of 39.6 deg.] C, blood pressure 90/50 mmHg, pulse 120 / min, respiratory rate 28 / min, sweating body, the bottom of the right lung significantly rales, gallop nor non-cardiac murmur, but no lower limb edema than the cold. Blood biochemical examination showed blood glucose 230 mg / dL, leukocytes 18,000 / μL. Then transferred to the intensive care unit, central venous pressure (CVP) is 11 cm, the cardiac index (cardiac index) of 4.8 L / min / m2. This patient most likely belong to the shock that one of the following?

Answer: Dispensing septic shock (distributive shock)

Choices:
A. Low capacitive shock (hypovolemic shock)
B. Cardiogenic shock (cardiogenic shock)
C. Dispensing septic shock (distributive shock)
D. Outside the heart obstructive shock (extracardiac obstructive shock)


Question: A 26-year-old male, 10 days after head trauma, the gradual emergence of the right eye swelling, proptosis, diplopia. His two injection of iodine developer head CT scan figures. The most appropriate treatment for this patient is:

Answer: interventional radiology with balloon embolization

Choices:
A. interventional radiology with balloon embolization
B. surgery
C. gamma knife
D. radiation


Question: Terfenadine If the merger following which drug to use, easy to produce ventricular arrhythmias (ventricular arrhythmias)?

Answer: Erythromycin

Choices:
A. Carbachol
B. Erythromycin
C. Scopolamine
D. Loratadine


Question: Related to Parkinson's disease (Parkinson's disease) patient rehabilitation treatment in principle, the following statements is wrong?

Answer: Patients because of slow movement and coordination disorders, it is recommended to use walking machine (treadmill) for running training on rehabilitation

Choices:
A. Patients because of slow movement and coordination disorders, it is recommended to use walking machine (treadmill) for running training on rehabilitation
B. When patients have significant slow and coordination disorders, using a wheeled walker (rolling walker) can help maintain their functional activity
C. Patients undergoing resistance exercise (resistance exercise) movement and flexibility (flexibility exercise) may improve physical treatment
D. When patients receive rehabilitation treatment, often requires a variety of audio-visual and tactile and other sensory prompt (cues)


Question: After about narrative of postmenopausal women with osteoporosis (osteoporosis), and which of the following error?

Answer: Osteoporosis is defined as Bone mineral density (BMD) of the T-score between -1 and -2.5

Choices:
A. Moderate calcium and vitamin D supplements can help prevent osteoporosis
B. Quit smoking and drinking can reduce the chances of fractures
C. Osteoporosis is defined as Bone mineral density (BMD) of the T-score between -1 and -2.5
D. Selective estrogen receptor modulators (selective estrogen receptor modulator) such as Raloxifene has been shown to treat osteoporosis


Question: Which of the following products with a conditioning effect (opsonization), can enhance phagocytosis of macrophage, neutrophils are?

Answer: complement

Choices:
A. Interferon
B. IL-1
C. TNF-a
D. complement


Question: Which of the following drugs NSAIDs, most likely to cause side effects thrombosis?

Answer: rofecoxib

Choices:
A. diclofenac
B. ibuprofen
C. rofecoxib
D. sulindac


Question: Fasciola hepatica is common parasites of herbivorous animals, I ask the following statements is true?

Answer: "Halzoun" because eating raw liver infection caused by adult sheep liver fluke

Choices:
A. "Halzoun" because eating raw liver infection caused by adult sheep liver fluke
B. Larvae through the bile duct into the common bile duct upstream parasitic, so it will not damage the liver tissue
C. Cattle and sheep liver fluke disease is the best treatment with oral praziquantel
D. Human bladder was due to ingestion of larvae infected animal livers


Question: The accumulation of plasma cells (plasma cell) large immunoglobulins, the cells formed pink substance called:

Answer: Russell body

Choices:
A. Russell body
B. amyloid
C. Think Mallory body
D. psammoma body


Question: Slowing diabetic nephropathy (diabetic nephropathy) were renal failure, the best antihypertensive drugs is what kind?

Answer: Angiotensin receptor blockers (angiotensin receptor blockers)

Choices:
A. Diuretics (diuretics)
B. α- sympathetic blockers (α-sympathetic blockers)
C. Angiotensin receptor blockers (angiotensin receptor blockers)
D. Calcium duct blocker (calcium channel blockers)


Question: 1 by a 49 year old woman patient epigastric pain and left upper area of about two to three days and for treatment, test results show ER Hb 10.4 g / dL, WBC classification N / L 79.9% / 14.5%, glucose 115 mg / dL, BUN 13 mg / dL, creatinine 0.9 mg / dL, CRP 10.8 mg / L, lipase 173 U / L, amylase 67 U / L, triglyceride 1634 mg / dL. Why is the most likely diagnosis?

Answer: Acute pancreatitis (acute pancreatitis)

Choices:
A. Ectopic pregnancy (ectopic pregnancy)
B. Ovarian cancer (ovarian cancer)
C. Acute pancreatitis (acute pancreatitis)
D. Acute appendicitis (acute appendicitis)


Question: 20 A 60-year-old male patient with chronic hepatitis C related cirrhosis of the liver, in the past there is no other specific diseases. Imaging examination revealed the left hepatic lobe has a 3 cm typical liver lesions, but there is no extrahepatic metastasis phenomenon. Fetal serum protein is 500 ng / mL, Child-Pugh classification is C, and patients with massive ascites case, what you most priority to the following treatment?

Answer: Liver transplant

Choices:
A. Hormone therapy
B. Surgical resection
C. Ethanol injection therapy
D. Liver transplant


Question: The following information about prostate specific antigen (PSA) of the narrative, what's wrong?

Answer: About 10% in combination with serum PSA α1-antichymotrypsin

Choices:
A. If the annual increase when PSA 0.75 ng / mL or more, there may be hidden prostate cancer
B. Benign prostatic hypertrophy per gram tissue concentration of PSA can increase 0.12 ng / mL
C. PSA density exceeds 0.15 ng / mL should sectioning
D. About 10% in combination with serum PSA α1-antichymotrypsin


Question: In patients with acute manic lithium treatment, acute episodes (acute mania) lithium salt concentration in a patient's blood should be maintained within the following range where appropriate?

Answer: 1.0 ~ 1.5 meq/L

Choices:
A. 1.2 ~ 1.8 meq/L
B. 0.6 ~ 1.6 meq/L
C. 1.0 ~ 1.5 meq/L
D. 0.6 ~ 1.0 meq/L


Question: For a description of Tumor markers, Which of the following most unreasonable?

Answer: α-fetoprotein decline in the fetus after birth will gradually rise, fall during pregnancy

Choices:
A. Carbohydrate antigen 19-9 (CA19-9) commonly used when pancreatic cancer tumor marker
B. Used to monitor colorectal cancer, on Carcinoembryonic antigen (CEA) Clinical
C. α-fetoprotein decline in the fetus after birth will gradually rise, fall during pregnancy
D. CA-125 will be increased in patients with cirrhosis and endometriosis


Question: Statements about postcentral gyrus of the following, whichever is correct?

Answer: When damaged, the pain of which corresponds to the position of the body surface is not completely lost

Choices:
A. It is important motor cortex, responsible for issuing a command to start the movement of skeletal muscle contraction
B. And is closely related to personality traits
C. When damaged, the pain of which corresponds to the position of the body surface is not completely lost
D. Responsible for the formation of long-term memory


Question: Two while looking straight on Places where the nerve to do what Use?

Answer: Oculomotor nerve (oculomotor nerve)

Choices:
A. Ophthalmic (ophthalmic nerve)
B. Slide ⾞ nerve (trochlear nerve)
C. Oculomotor nerve (oculomotor nerve)
D. Abducens (abducent nerve)


Question: Which of the following pregnant women infected with hepatitis virus most Rongyifasheng fulminant hepatitis (fulminant hepatitis)?

Answer: E-type

Choices:
A. A type
B. Type B
C. Type D
D. E-type


Question: 48 a 21-year-old student surnamed Zhang, general weakness can not get up, was sent to the emergency room for treatment. He also said yesterday to go hiking pace is brisk, when the students came back and went to a fancy meal also very good spirit. Two weeks ago he had a friend's birthday party the next day is also a general weakness. Physical examination found his body muscle weakness, tendon reflexes (tendon reflexes) disappear, but no case of muscle atrophy or paresthesia. Zhang state of students with the most blood following a relationship that electrolyte?

Answer: Potassium

Choices:
A. Calcium
B. Sodium
C. Potassium
D. Chloride


Question: Statements about shoulder dystocia (shoulder dystocia), and what's not correct?

Answer: Shoulder dystocia occur because medical advances reduced

Choices:
A. Shoulder dystocia giant baby may not occur
B. Shoulder dystocia maternal complications postpartum hemorrhage, birth canal laceration, and postpartum infection
C. Shoulder dystocia fetal complications of brachial plexus injuries, a broken collarbone, and cerebral hypoxia
D. Shoulder dystocia occur because medical advances reduced


Question: Which of the following is seen in normal retinal fundus features?

Answer: Partial optic disc central nose (nasal) side physiologic recess (physiologic cup)

Choices:
A. Optic disc (optic disc) positioned macula (Macula) above
B. Partial optic disc central nose (nasal) side physiologic recess (physiologic cup)
C. Optic disc (optic disc) positioned macula (Macula) below
D. Partial optic disc center ear (temporal) side physiologic recess (physiologic cup)


Question: 37. A 46-year-old male, in the past no special medical history, shortness of breath, abdominal swelling and was sent to the emergency treatment. Physical examination presents conjunctival pallor, splenomegaly and ascites. Data show room solid: leukocyte 8450 / μL, classification blast 2.9%, myelocyte 1%, metamyelocyte 3.8%, band 6.7%, segmented neutrophil 37.1%, lymphocyte 31.4%. Hemoglobin 9.7 g / dL, platelets 55,000 / μL, uric acid 12.1 mg / dL (refer to section 2.6 ~ 7.5), lactate dehydrogenase (LDH) 2342 U / L (refer to sections 140 to 271). Bone marrow cells are shown below in FIG. Chromosome t (2; 8) (p12; q24) of the change. The following about this patient most likely diagnosis and treatment of diseases, what's wrong?

Answer: In general, the poor treatment of the disease, the current treatment of long-term survival rate of less than 3 percent

Choices:
A. Disease turn the machine contains the deregulation c-myc
B. The disease course is quite fast, must be treated as soon as possible
C. Treatment of the disease must include examination of brain and spinal fluid of intrathecal chemotherapy
D. In general, the poor treatment of the disease, the current treatment of long-term survival rate of less than 3 percent


Question: Extensive destruction of the adrenal cortex, which of the following may occur?

Answer: Skin hyperpigmentation

Choices:
A. Moony
B. Skin hyperpigmentation
C. hypertension
D. Hairy


Question: The following does not cause the disease most conjunctival fibrosis?

Answer: Straw hot conjunctivitis (hay fever conjunctivitis)

Choices:
A. Straw hot conjunctivitis (hay fever conjunctivitis)
B. Steve - Johnson syndrome (Stevens-Johnson syndrome)
C. Crusted blisters (cicatricial trachoma)
D. Pemphigoid (cicatricial pemphigoid)


Question: The following related omphalocele (omphalocele) compared with gastroschisis (gastroschisis), and what's right?

Answer: Omphalocele membrane-covered, and more opportunities associated with other abnormalities

Choices:
A. Omphalocele membrane-covered, and fewer opportunities associated with other abnormalities
B. Omphalocele membrane-covered, and more opportunities associated with other abnormalities
C. Omphalocele no film coverage, and fewer opportunities associated with other abnormalities
D. Omphalocele no film coverage, and more opportunities associated with other abnormalities


Question: Oculomotor nerve (oculomotor nerve) does not dominate the following piece of muscle?

Answer: Lateral rectus muscle (lateral rectus)

Choices:
A. Rectus muscle (medial rectus)
B. Lateral rectus muscle (lateral rectus)
C. Superior rectus (superior rectus)
D. Inferior rectus (inferior rectus)


Question: Which of the following anti-IgE monoclonal antibody belongs (monoclonal antibody), may be used to treat allergic asthma?

Answer: Omalizumab

Choices:
A. Basiliximab
B. Omalizumab
C. Abatacept
D. Efalizumab


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

Answer: High-voltage electrical injury and burns very similar in general, less penetration into the deep tissue damage

Choices:
A. Current into the body, it will go in the body tissues of the lowest part of the resistance, usually the nerves, blood vessels and muscles
B. The skin is a relatively high resistance of the organ, usually less affected
C. High-voltage electrical injury and burns very similar in general, less penetration into the deep tissue damage
D. Muscle injury may cause rhabdomyolysis, resulting in the release of myoglobin obstructive nephropathy


Question: Wrist unable to stretch phenomenon, that following a nerve injury patients are most likely to occur after an upper arm fracture?

Answer: Radial nerve

Choices:
A. Median nerve
B. Axillary nerve
C. Ulnar nerve
D. Radial nerve


Question: A 5-year-old boy, short stature, a long face, thick lips (as indicated by reference), and aortic stenosis. The most likely diagnosis is:

Answer: William's disease (Williams syndrome)

Choices:
A. William's disease (Williams syndrome)
B. Noonan's disease (Noonan syndrome)
C. Turner's syndrome (Turner syndrome)
D. Mr. Tang disease (Down syndrome)


Question: The following relevant parameters (parameter) confidence interval estimate of statements is true?

Answer: 95% CI simple linear regression coefficients contains no explanation variables representing the 0 and the reaction variables have significant linear

Choices:
A. 95% confidence interval and a one-tailed two-tailed 95% confidence interval is substantially different from the level α
B. 95% CI simple linear regression coefficients contains no explanation variables representing the 0 and the reaction variables have significant linear
C. Odds ratio (Odds Ratio) 95% CI not including 0 variables representing the interpretation associated with the reaction variables
D. Students test whether the proportion of myopia with the same 10 years ago, for examination and test hypotheses with CI Law Z-test different conclusions


Question: ADVANCED following statements about the cause of myopia retinopathy, what's wrong?

Answer: Retinal pigment ⽪ discolored hypertrophy (hypertrophy of the retinal pigment epithelium)

Choices:
A. Retinal pole section cracks paint (lacquer cracks)
B. Staphylomas retinal pole portion (staphyloma)
C. Submenu peripheral retinal cell degeneration (lattice degeneration)
D. Retinal pigment ⽪ discolored hypertrophy (hypertrophy of the retinal pigment epithelium)


Question: A study was to investigate lead paint exposure and children's intellectual development retardation of the degree of correlation between the variables involved in this Institute include ethnicity (black or white), age (years old), as well as exposure of the paint (according to the level of concentration is divided into four) , that one of the following options in sequence variables as nominal, ordinal, and ratio scale?

Answer: Race, paint the exposed, age

Choices:
A. The degree of exposure of the paint, race, age
B. The degree of exposure of the age, race, paint
C. Race, paint the exposed, age
D. The degree of exposure of the paint, age, race


Question: The following link those muscles and ribs and respiratory-related?

Answer: After serratus (serratus posterior superior), after sawing muscle (serratus posterior inferior)

Choices:
A. Hasukatahada (trapezius), 闊背 skin (latissimus dorsi)
B. Big rhomboid muscle (rhomboideus major), levator scapulae (levator scapulae)
C. After serratus (serratus posterior superior), after sawing muscle (serratus posterior inferior)
D. Capitis (splenius capitis), neck splenius (splenius cervicis)


Question: What is the situation within the duodenum following the easiest to suppress gastric emptying (gastric empty)?

Answer: Fat chyme

Choices:
A. Hypotonic (hypotonicity)
B. high pH
C. Fat chyme
D. Low protein chyme


Question: Before carrying out the following information about conventional (elective) colorectal surgery, preoperative preparation of new ideas and perspectives, what's wrong?

Answer: If considering mechanical bowel cleansing clinic for patients with poor kidney function, select the type of sodium phosphate enemas, relative polyethylene glycol solution, less severe electrolyte imbalance happens

Choices:
A. When bowel preparation, some patients will receive antibiotics to reduce the amount of intestinal bacteria; the most common bacteria in the large intestine is anaerobic
B. There is evidence that administration of preoperative antibiotics play, play must be applied in the first 30 minutes of the cutting; if the operation time is too long, it is necessary to fix every 4 hours antibiotic agent
C. If considering mechanical bowel cleansing clinic for patients with poor kidney function, select the type of sodium phosphate enemas, relative polyethylene glycol solution, less severe electrolyte imbalance happens
D. In recent years, research on the fast track surgery found that routine preoperative fasting for a long time so that patients, for patients with normal gastrointestinal emptying, intestinal mucosal atrophy but there will thus increasing the chance of infection


Question: 44 A 60-year-old patient with abdominal pain, mild paralysis was sent to the emergency, urine examination showed red wine, genetic analysis found: missense mutation (missense mutation) enzymes involved in heme (heme) synthesis occurs. Which of the following is the most likely diagnosis?

Answer: MurasakiTadashisho (porphyria)

Choices:
A. PKU (phenylketonuria)
B. Maple syrup urine disease (maple syrup urine disease)
C. 黑尿 disease (alkaptonuria)
D. MurasakiTadashisho (porphyria)


Question: Organ transplantation is the Face class Surgeons ⼀ major breakthrough, the following statements is wrong?

Answer: Center Weighted dirty transplant a liver transplant earlier than complete

Choices:
A. The history of the earliest completion of organ transplants for kidney transplant
B. Center Weighted dirty transplant a liver transplant earlier than complete
C. Most zoomed pancreas transplant often merge into a kidney transplant from ⼀ ⾏
D. When hyperacute rejection of the transplanted hair ⽣ to work very well to count the number lower, and because ⾎ type Face-associated antigen or antibody attack on the body of the recipient organ donation


Question: Which of the following and promoting the cellular uptake of cholesterol in the blood related?

Answer: Apo B-100

Choices:
A. Apo B-100
B. Apo C-I
C. Apo C-II
D. lipoprotein lipase


Question: Normal newborns, TSH (thyroid-stimulating hormone, TSH) of the narrative, which of the following error?

Answer: Born full-term newborns within 30 minutes, TSH can reach up to 20 mIU / L

Choices:
A. Born full-term newborns within 30 minutes, TSH can reach up to 20 mIU / L
B. TSH rapid reduction in the 24 hours after birth
C. TSH presented five days after birth <10 mIU / L
D. After the neonatal period (neonatal period), TSH <6 mIU / L


Question: Women appear male hormone hyperparathyroidism and multiple illnesses, the most common reasons are:

Answer: Polycystic ovary syndrome

Choices:
A. Polycystic ovary syndrome
B. Adrenal tumors
C. Ovarian Cancer
D. Taking male hormone


Question: Which of the following drugs, primarily for the treatment of copper (copper) poisoning?

Answer: penicillamine

Choices:
A. dimercaprol
B. penicillamine
C. melarsoprol
D. deferoxamine


Question: 40-year-old female, found a left adrenal tumor. ACTH test data value is not abnormal serum, but serum renin (renin) and the potassium ion decreased. Pathological examination revealed the tumor was bright yellow, lipids containing a large quantity of tumor cells under a microscope. Adrenal cortex near the tumor and the contralateral adrenal cortical atrophy is not. The following adrenal tumors, whichever is most consistent with the clinical and pathological features of this patient?

Answer: aldosterone-producing adenoma

Choices:
A. metastatic renal cell carcinoma
B. aldosterone-producing adenoma
C. cortisol-producing adenoma
D. pheochromocytoma


Question: Which of the following best drugs for the Early scleroderma interstitial lung disease (interstitial lung disease)?

Answer: cyclophosphamide

Choices:
A. corticosteroid
B. hydroxychloroquine
C. D-penicillamine
D. cyclophosphamide


Question: Breast cancer after surgical removal or radiation therapy, is the most likely sarcoma:

Answer: Angiosarcoma

Choices:
A. Angiosarcoma
B. Rhabdomyosarcoma
C. Liposarcoma
D. Leiomyosarcoma


Question: The following diseases, what's with the Epstein-Barr virus infection has nothing to do most?

Answer: Chronic myelogenous leukemia (chronic myelogenous leukemia)

Choices:
A. NPC (nasopharyngeal carcinoma)
B. Chronic myelogenous leukemia (chronic myelogenous leukemia)
C. Hodgkin's disease (Hodgkin's disease)
D. Butch's lymphoma (Burkitt's lymphoma)


Question: 29. Which of the following coenzymes (Coenzyme) does not participate in α-ketoglutarate is converted into succinyl-CoA oxidative decarboxylation reaction of (oxidative decarboxylation)?

Answer: Tetrahydrofolate

Choices:
A. Thiamine pyrophosphate
B. Tetrahydrofolate
C. FAD
D. Coenzyme A


Question: A 20-year-old man in the face three days before the emergence of clusters of small water . The small water  Tzanck smear as shown in FIG. What is the most likely diagnosis?

Answer: Simple  rash (herpes simplex)

Choices:
A. Contact dermatitis (contact dermatitis)
B. Staphylinidae dermatitis (paederus dermatitis)
C. Delayed cutaneous porphyria (porphyria cutanea tarda)
D. Simple  rash (herpes simplex)


Question: 22. A mature CD4 T cells after activation, can differentiate into different effector T cells, CD4 T cells which secrete IL-17 main functions are:

Answer: Clear extracellular bacterial infection

Choices:
A. Clear intracellular pathogen infection
B. Clear extracellular bacterial infection
C. Kill extracellular parasites outside
D. Over-inhibition of T cell inflammatory response


Question: Patellar reflex (knee jerk reflex), mainly to test which of the following reaction?

Answer: Femoral nerve (femoral nerve)

Choices:
A. Femoral nerve (femoral nerve)
B. Obturator nerve (obturator nerve)
C. Sciatic nerve (sciatic nerve)
D. Tibial nerve (tibial nerve)


Question: From the previous question, the person infected with pathogenic bacteria following that in most similar physiological characteristics and pathogenicity?

Answer: Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Choices:
A. Hib (Haemophilus influenzae)
B. 白喉桿菌（Corynebacterium diphtheriae）
C. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
D. L. pneumophila Legionella (Legionella pneumophila)


Question: Related acute inflammation following treatment in the earphones, what's wrong?

Answer: Treatment into the watch Face Acute inflammation often need earphones

Choices:
A. amoxicillin remains therefore especially selected from the group of anti-hormone ⽣
B. Use amoxicillin invalid if treatment 72 lower, and may be considered into the treatment cefuroxime or amoxicillin-clavulanate
C. If the product water resistant earphone may consider Using prednisolone
D. Treatment into the watch Face Acute inflammation often need earphones


Question: Spontaneous rupture of the esophagus about (Boerhaave's syndrome), Which statement is correct?

Answer: Vomiting often occurs after intense

Choices:
A. Often associated with trauma related
B. Vomiting often occurs after intense
C. Rupture often occurs in the neck of the esophagus
D. Usually given antibiotics can solve the problem of the patient, if the infection can not be controlled then consider surgery


Question: Which of the following is not a characteristic of TB?

Answer: About 2 hours once split

Choices:
A. Acid-fast staining was positive
B. About 2 hours once split
C. Antituberculous drugs prone to intermittent resistance
D. May be more resistant to anti-TB drugs


Question: 75 Joe Smith, 74 years old, itchy skin, yellowing of the skin, loss of appetite for about 1 week or so, to the hospital, imaging as shown below. Zhang three most likely suffering from what disease?

Answer: Cholangiocarcinoma (Hilar type cholangiocarcinoma)

Choices:
A. Cholangiocarcinoma (Hilar type cholangiocarcinoma)
B. Acute suppurative cholangitis (Acute suppurative cholangitis)
C. Pancreatic adenocarcinoma head (Pancreatic head adenocarcinoma)
D. HCC (Hepatocellular carcinoma)


Question: A 35-year-old woman was diagnosed with kidney angiomyolipoma (AML), the following statements is wrong?

Answer: If patients suffering from AML tuberous sclerosis, which AML pathological tissue morphology, and non-tuberous sclerosis patients suffering from

Choices:
A. Using ultrasound or CT diagnosis of this disease by angiography accurate than the method
B. If as tuberous sclerosis patients suffering from AML, AML is often bilateral and multiple
C. After approximately 25% of AML may lead to spontaneous rupture of abdominal bleeding
D. If patients suffering from AML tuberous sclerosis, which AML pathological tissue morphology, and non-tuberous sclerosis patients suffering from


Question: About the right-eye view right hand (that is, outside the field of view) the message of the narrative, what's right?

Answer: transmitted via the right optic nerve, optic chiasm the cross, and then transmitted to the left thalamus tract via the left optic

Choices:
A. transmitted via the right optic nerve, optic chiasm the cross, and then transmitted to the left thalamus tract via the left optic
B. transmitted via the right optic nerve, do not cross the optic chiasm, and then transmitted via the right optic tract right thalamus
C. right optic tract transmitted via the optic chiasm cross, and then transmitted via the left optic radiation left thalamus
D. transmitted via the right optic tract, do not cross the optic chiasm, and then transmitted via the right optic radiation right thalamus


Question: For the following comparative serotonin reuptake inhibitor fluoxetine and the tricyclic antidepressant amitriptyline effect of the drug, whichever error?

Answer: The former is less suitable for patients with prostatic hypertrophy

Choices:
A. The former is less suitable for patients with prostatic hypertrophy
B. The former is less likely to produce sedation (sedative action)
C. The former is less likely to cause side effects of orthostatic hypotension (orthostatic hypotension) is
D. The former blurred vision and less likely to produce side effects such as dry mouth


Question: Which of the following is the correct description of the election colonization plastid (cloning plasmids) of?

Answer: Requires specific restriction site (unique restriction enzyme site) for cloning foreign DNA only

Choices:
A. When E. coli DNA replication (replication), an annular mass body (circular plasmids) does not require replication origin (origin of
B. Cloning can be used to base of about 50 Kb of foreign DNA (kilo-base pairs) of
C. Normally not antibiotic resistance gene (antibiotic resistant gene)
D. Requires specific restriction site (unique restriction enzyme site) for cloning foreign DNA only


Question: Ms. Cheng is a 47-year-old career woman, accompanied by Mr. came to the clinic. In addition to complaints of insomnia also merge chest tightness, headache, loss of appetite, weight loss, reduced vitality, decreased memory and attention, and a lot of things to lose interest. Ms. Cheng repeatedly the past six months for treatment in different medical institutions, but did not significantly improve symptoms, but also several checks (blood, imaging) and can not clarify the cause, and therefore feel more depressed, and was diagnosed with depression. The following clinical treatment and what was wrong?

Answer: Short-term one to two weeks of antidepressants, ie there will be a substantial improvement in symptoms

Choices:
A. Treatment of insomnia problems
B. Adjustment for long-term pressure to provide behavioral therapy
C. Short-term one to two weeks of antidepressants, ie there will be a substantial improvement in symptoms
D. Psychiatric referral immediately when suicidal intent


Question: A 75-year-old female weighing 60 Kg, serum creatinine 3 mg / dL, her estimated GFR how many ml / min?

Answer: 15

Choices:
A. 45
B. 35
C. 25
D. 15


Question: 6 that one of the following events occur, there is the highest probability representation flu mutation has occurred, there may be new drugs worldwide pandemic (pandemic virus)?

Answer: Admitted to a hospital in an influenza-like illnesses, the death of the patient, then there are 18 health care workers after another disease, influenza H2N3 virus were cultured virus type A subtype

Choices:
A. A chicken farm fowl plague appeared mortality rate of 80%, cultivate H5N2 subtype of avian influenza virus, farm five staff have a fever symptoms
B. Indonesia has two brothers were killed and two patients who its home raised chickens were cultured avian influenza virus subtype H5N1
C. A hospital informed the two no geopolitical relations of patients with severe influenza, encephalitis and two are both trained H1N1 subtype of influenza A virus
D. Admitted to a hospital in an influenza-like illnesses, the death of the patient, then there are 18 health care workers after another disease, influenza H2N3 virus were cultured virus type A subtype


Question: Emergency treatment to a 35-year-old woman complained of sudden headache, blurred vision and seeing out of the shadows, tracing her medical history, patients without a history of major illness or major surgery, have been married for five years, no history of pregnancy, often due to the menstrual cycle irregular treatment, physical examination revealed normal eye movements, but there are two temporal horizons half-blind, found that the most likely diagnosis is based on the above:

Answer: Pituitary brain tumor hemorrhage (pituitary apoplexy)

Choices:
A. Hypertensive intracerebral hematoma (hypertensive intracranial hematoma)
B. Arteriovenous malformation bleeding (arteriovenous malformation rupture and bleeding)
C. Pineal tumor hemorrhage (pineal region tumor bleeding)
D. Pituitary brain tumor hemorrhage (pituitary apoplexy)


Question: Boy, 5 years old, suffering from cranial nerve palsy, hip general X-ray photography figure, most likely diagnosis is:

Answer: Congenital dislocation of hips

Choices:
A. Congenital dislocation of hips
B. Perthes' disease
C. Pyogenic arthritis
D. Femoral neck fracture


Question: 6 months big baby teeth yet, since the birth of breastfeeding are in plain, normal weight, the best advice for the care of this baby, the mother should:

Answer: Continue breastfeeding, but should begin to add non-staple food

Choices:
A. Continue breastfeeding, but should begin to add non-staple food
B. Continue breastfeeding, but should add calcium to the baby
C. Start off breast milk to formula feeding change and add non-staple food
D. Try to change rice, mainly fed purée, milk supplement


Question: 33 year old female patient, hospitalized for many years due to hypertension, blood pressure during the hospital stay between 150 ~ 162/90 ~ 98 mmHg, electrolytes: Na + 145 mmol / L (normal 135 ~ 147), Cl- 107 mmol / L ( normal 98 ~ 107), K + 2.4 mmol / L (normal 3.4 to 4.7). Abdominal ultrasound examination revealed right adrenal gland tumor size of 1 cm. Do you think that one of the following in the diagnosis of the most helpful?

Answer: Blood aldosterone

Choices:
A. Blood cortisol
B. Blood aldosterone
C. Urinary catecholamine and VMA
D. Blood and androgen DHEA


Question: After menopause, the reason why the most unlikely of osteoporosis?

Answer: Progesterone increase

Choices:
A. Reduce estrogen
B. Reduce calcium
C. Parathyroid hormone secretion is not normal
D. Progesterone increase


Question: Concerning unilateral or bilateral vocal cord paralysis (vocal fold paralysis) of the narrative, Which statement is correct?

Answer: Unilateral vocal cord paralysis is more common to the left

Choices:
A. Because the main cause of vocal cord paralysis laryngeal nerve (superior laryngeal nerve) damage
B. Difficulty in breathing are more common in unilateral vocal cord paralysis
C. Unilateral vocal cord paralysis is more common to the left
D. Dysphonia are more common in bilateral vocal cord paralysis


Question: Statements about prenatal health assessment of bio-physiological scoring method (biophysical profile) of, which of the following error?

Answer: Fetal biophysical indicators maximum score of 12 points

Choices:
A. Fetal biophysical indicators maximum score of 12 points
B. Fetal biophysical indicators if it is 0, representative of significant fetal acidemia (fetal acidosis)
C. If the score from the original 2 or 4 becomes 0, the result can be expressed more accurately predict abnormal
D. Score 10 points does not necessarily indicate a normal fetal blood pH


Question: The following statements about fraternal twins, what's right?

Answer: Regardless of whether same sex twins, the twins will double and double chorionic amnion (diamniotic) twins

Choices:
A. Only the same sex twins, the twins will double chorionic (dichorionic) and monoamniotic (monoamniotic) twins
B. Regardless of whether same sex twins, the twins will double and single chorionic amniotic twins
C. If twins conjoined twins, this is monochorionic twins (monochorionic) twins and monoamniotic
D. Regardless of whether same sex twins, the twins will double and double chorionic amnion (diamniotic) twins


Question: The following enzymes involved in the conversion of inorganic nitrogen (Inorganic nitrogen) is an organic molecule (Organic molecule), what is the non?

Answer: Arginase

Choices:
A. Arginase
B. Glutamate dehydrogenase
C. Glutamine synthetase
D. Nitrogenase


Question: Which of the following is lowered, increase lymph flow rate?

Answer: Plasma colloid osmotic pressure (colloid osmotic pressure)

Choices:
A. Capillary hydrostatic pressure (hydrostatic pressure)
B. Microvascular permeability (permeability)
C. Plasma colloid osmotic pressure (colloid osmotic pressure)
D. Interstitial fluid colloid osmotic pressure (colloid osmotic pressure)


Question: 40 year old man, in the armpits, groin and sides of neck skin over and over again painful superficial ulcers, three generations of family members of people with the same symptoms, summer will worsen, as shown in skin pathology slice and lesions characteristic figure. Diagnostic why?

Answer: Benign familial chronic pemphigus (Hailey-Hailey disease)

Choices:
A. Pemphigus (pemphigus)
B. Pemphigoid (bullous pemphigoid)
C. Benign familial chronic pemphigus (Hailey-Hailey disease)
D. Intertrigo (intertrigo)


Question: Fetal head during labor pause, prone to that of one of the following situations?

Answer: Pelvis and fetal head asymmetry

Choices:
A. Toxemia
B. diabetes
C. Polyhydramnios
D. Pelvis and fetal head asymmetry


Question: The following bacteria, whichever is most often caused by burns caused by hyperlipidemia?

Answer: Pseudomonas aeruginosa

Choices:
A. Pseudomonas aeruginosa
B. E. coli
C. Proteus mirabilis
D. Klebsiella pneumoniae


Question: After Mao Bo riding a motorcycle abrasions, wounds more than a year do not heal and evolve into osteomyelitis, bacterial cultures yielded atypical mycobacteria. Retroactive past medical history, he will start from the juvenile vulnerable to salmonella infection and other long-term, he is most likely to develop that type of primary immunodeficiency?

Answer: IL-12-IFNγ axial defects

Choices:
A. CD8 + cell function impairment
B. IL-12-IFNγ axial defects
C. NK cell function impairment
D. TH2-type immune response defect


Question: The following description of Chylothorax (chylothorax), and what's right?

Answer: The pleural lymph chylothorax, containing high concentrations of triglyceride (triglycerides)

Choices:
A. Chylothorax pleural cavity means or purulent inflammation, the color looks similar to milk
B. White blood cells within the chylous fluid to neutrophils (neutrophils) based
C. Chylothorax patients need to cure a chest tube ligation
D. The pleural lymph chylothorax, containing high concentrations of triglyceride (triglycerides)


Question: When the patient has suspected dry eye, that the following check to detect the most commonly used lower lacrimal secretory function?

Answer: Schirmer's test

Choices:
A. Rose Bengal score
B. slit lamp examination
C. Schirmer's test
D. lacrimal gland biopsy


Question: Nucleus in the midbrain containing dopaminergic (dopamine) neurons were as follows:

Answer: Substantia nigra pars compacta (substantia nigra, pars compacta)

Choices:
A. Red nucleus (red nucleus)
B. Substantia nigra pars compacta (substantia nigra, pars compacta)
C. After the raphe nuclei (posterior raphe nucleus)
D. The superior colliculus (superior colliculus)


Question: Which of the following are common to occur late in AIDS patients, especially the patient's CD4 + T lymphocyte number less than 10 cells / mycobacteria (Mycobacterium) when mm3 infection?

Answer: M. avium complex

Choices:
A. M. leprae
B. M. avium complex
C. M. bovis
D. M. kansasii


Question: Fluoxetine and MAOI and with no Which of the following side effects?

Answer: constipation

Choices:
A. tremor
B. sexual dysfunction
C. insomnia
D. constipation


Question: A newly diagnosed patients with Behçet's disease (Behçet's disease), and referrals to ophthalmology because of blurred vision, expected to be a common eye disease uveitis (uveitis), and which of the following?

Answer: Retinal vasculitis (retinal vasculitis)

Choices:
A. Cataract (cataract)
B. Retinal vasculitis (retinal vasculitis)
C. Corneal opacity (corneal opacity)
D. Ulcer eyelid (eyelid ulcer)


Question: 64. a 50 year old man complained of lower back pain, X-ray examination showed L2-L4 compression fractures (compression fracture). Biochemical inspection results were as follows: albumin 3.0 g / dL (3.7 ~ 5.3); total protein 4.2 g / dL (6.4 ~ 8.4); calcium 10.4 mg / dL (8.4 ~ 10.6); creatinine 2.5 mg / dL (0.7 ~ 1.5) ; IgG 498 mg / dL (751 ~ 1560); IgA 55 mg / dL (82 ~ 453); IgM 27 mg / dL (46 ~ 304); bone marrow aspirate cytology show: normocellularity with fair maturation of erythroid and myeloid series , but 15% plasma cells, the following statements is wrong?

Answer: Urine dipstick test can detect proteinuria

Choices:
A. Peripheral blood smear may not rouleaux formation
B. Peripheral blood smear plasma cells are rare
C. Urine dipstick test can detect proteinuria
D. Urine specimen should be measured monoclonal light chain


Question: The combined have attention deficit hyperactivity disorder (attention-deficit / hyperactivity disorder) of children grow up easily merge Which of the following diseases?

Answer: Antisocial personality disorder (antisocial personality disorder)

Choices:
A. Depression (depressive disorder)
B. Bipolar disorders (bipolar disorder)
C. Antisocial personality disorder (antisocial personality disorder)
D. Anxiety (anxiety disorder)


Question: When applied ⾏ Center Weighted capsule puncture (pericardiocentesis), made it ⼀ position under the needle, can reduce the chance of puncturing the pleural cavity (pleural cavity) it?

Answer: Sternal xiphoid (sternal xiphoid process) and the left costal margin at the intersection point

Choices:
A. The sixth intercostal space on the right side of the sternum
B. The left sternal third intercostal
C. Sternal xiphoid (sternal xiphoid process) and the left costal margin at the intersection point
D. The fourth intercostal space on the right sternal


Question: The following related head trauma emergency treatment of a patient, what's wrong?

Answer: Use of steroid drugs may reduce intracranial pressure and protect the brain tissue

Choices:
A. Do not use hypotonic solution
B. Patients Do not use barbiturates (barbiturates) of the drug if hypotension occurs
C. Use of steroid drugs may reduce intracranial pressure and protect the brain tissue
D. Mannitol is the dose of 1 g / Kg


Question: 32-year-old male patient afflicted with active hepatitis C virus has been for several years. In recent weeks, two lower limbs skin tenderness of many small rash. Numbness and pain. Examination revealed mild proteinuria. Following an examination that the most positive diagnostic value?

Answer: Condensation globulin (cryoglobulin)

Choices:
A. Rheumatoid factor (RF)
B. Antinuclear antibody (ANA)
C. Condensation globulin (cryoglobulin)
D. The amount of Hepatitis C virus (viral load)


Question: Following where the disease is not easy to detect because most sonography need to use magnetic resonance imaging (MRI) examination clinic?

Answer: Labrum of the shoulder (labrum)

Choices:
A. Ridge muscles (supraspinatus) tendon
B. Under spinal muscles (infraspinatus) tendon
C. The deltoid muscle decline sac (subdeltoid bursa)
D. Labrum of the shoulder (labrum)


Question: Helicobacter pylori (Helicobacter pylori) are known to be the causative agent of the disease in the digestive tract, which of the following exception?

Answer: GERD (reflux esophagitis)

Choices:
A. GERD (reflux esophagitis)
B. Atrophic gastritis (atrophic gastritis)
C. B-cell gastric lymphoma (B cell gastric lymphoma)
D. Duodenal ulcer (duodenal ulcer)


Question: Statements about skin melanoma cell cancer (cutaneous melanoma), and Which statement is correct?

Answer: Superficial diffusion melanoma cell carcinoma (superficial spreading melanoma) occur in the upper back and lower extremity females'confusion

Choices:
A. In the most common subtype of Caucasians in Europe and America is nodular melanoma cell carcinoma (nodular melanoma)
B. Acral type mole melanoma cell carcinoma (acral lentiginous melanoma) does not occur in the fingernails
C. Malignant melanoma mole type cell carcinoma (lentigo maligna melanoma) is common in young people under the age of 40
D. Superficial diffusion melanoma cell carcinoma (superficial spreading melanoma) occur in the upper back and lower extremity females'confusion


Question: Which of the following most common dwelling (colonize) before human nasopharynx (anterior nasopharynx)?

Answer: Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Tetanus (Clostridium tetani)
B. Crispy Bacteroides (Bacteroides fragilis)
C. Staphylococcus aureus (Staphylococcus aureus)
D. Helicobacter pylori (Helicobacter pylori)


Question: Which of the following does not cause respiratory virus infection?

Answer: Hepatitis D virus

Choices:
A. Hepatitis D virus
B. Influenza virus
C. Respiratory syncytial virus
D. Adenovirus


Question: Account of trachoma (trachoma) is, which of the following error?

Answer: There eosinophilic inclusion bodies (eosinophilic inclusion bodies) in the nucleus conjunctival cells

Choices:
A. Pathogens chlamydia (Chlamydia)
B. Trachoma scarring (cicatricial trachoma) visible Arlt line touched upon in the conjunctiva (superior palpebral conjunctiva)
C. There eosinophilic inclusion bodies (eosinophilic inclusion bodies) in the nucleus conjunctival cells
D. Drug therapy can be administered orally tetracycline and topical tetracycline treatment is one option to merge


Question: The following description for fear of social disorder (social phobia) of, what is non?

Answer: Men's high prevalence

Choices:
A. Occur in young people
B. Men's high prevalence
C. And individual low self-esteem, fear of being criticized about
D. In the differential diagnosis of obsessive-compulsive disorder may exclude the first and agoraphobia


Question: Related gastric Helicobacter pylori (Helicobacter pylori) the characteristics, which of the following error?

Answer: Produces oxidase (oxidase) to prevent cell damage by stomach acid

Choices:
A. Gram-negative bacteria
B. For the micro-aerobic (microaerophilic) bacteria
C. Produces oxidase (oxidase) to prevent cell damage by stomach acid
D. Available isotope identification breathing urea (urea breath test) differential diagnosis


Question: 56-year-old male with a history of hepatitis B for many years and cirrhosis, liver coma occurred two months ago, improved after treatment, his family found him a bit strange in recent days, there is a change in behavior, and speech becomes slower, there is also the phenomenon of sleepiness (drowsiness), this scenario is liver encephalopathy (hepatic encephalopathy) in the first few?

Answer: the second term

Choices:
A. The first phase
B. the second term
C. Phase III
D. Phase IV


Question: As shown, squeeze the glans can cause anal sphincter contraction, which is what reflection?

Answer: Bulbospongiosus (bulbocavernosus) reflection

Choices:
A. Anus (anal) reflection
B. Bulbospongiosus (bulbocavernosus) reflection
C. Mention epididymis muscle (cremasteric) reflection
D. Perineum (pudendal) reflection


Question: Which of the following as agonists (agonist) GABAB receptors, mainly on the central nervous system, for the treatment of muscle pain and cramps?

Answer: baclofen

Choices:
A. dantrolene
B. baclofen
C. rocuronium
D. tizanidine


Question:
16. One 58-year-old worker nose long-term work in the sun there was not a lump of pain, physical examination as a skin surface does not move 8mm projections mass, the surface is shiny, waxy, and see the table shallow peripheral vasodilator phenomenon, and a small lump at the projection ulcers, slice by
 Proved to skin cancer, which of the following is most likely?

Answer: Basal cell carcinomas (basal cell carcinoma)

Choices:
A. Basal cell carcinomas (basal cell carcinoma)
B. Cell carcinoma (squamous cell carcinoma)
C. Of melanoma (malignant melanoma)
D. Merkel cell carcinoma (Merkel cell carcinoma)


Question: Chen is pushed to the emergency room, eyes closed to the right lie down, push the bed pushed some distance, she began to vomit a while. Please She opened her eyes and saw eye kept right tremor, then she closed his eyes. Which of the following is the most correct answers Chen symptoms?

Answer: Dizziness (vertigo)

Choices:
A. Dizziness (dizziness)
B. Dizziness (vertigo)
C. Gastrointestinal disorders
D. Eye disease


Question: Which of the following when damaged, can affect the forward (protract) shoulder blade (scapula) function?

Answer: Serratus anterior muscle (serratus anterior)

Choices:
A. Pectoralis major muscle (pectoralis major)
B. Pectoralis minor muscle (pectoralis minor)
C. Subclavian muscle (subclavius)
D. Serratus anterior muscle (serratus anterior)


Question: Which of the following is malignant hyperthermia caused by anesthetic gases (malignant hyperthermia) leading drugs?

Answer: dantrolene

Choices:
A. propranolol
B. dantrolene
C. doxazosin
D. nifedipine


Question: Persistent gestational trophoblastic disease (persistent gestational trophoblastic disease) after chemotherapy, if pregnant, how often?

Answer: Normal reproductive function

Choices:
A. Fetal malformation rate increased
B. Increased incidence of miscarriage
C. Normal reproductive function
D. Premature birth increase


Question: The following nose and paranasal sinus cancer-related statements is true?

Answer: Hard wood (hardwood dust) and ethmoid adenocarcinoma occurrence of particular relevance

Choices:
A. The occurrence of male and female sex ratio of about 1: 1
B. Hard wood (hardwood dust) and ethmoid adenocarcinoma occurrence of particular relevance
C. The most common occurrence position in the ethmoid, maxillary sinus followed
D. Undifferentiated carcinoma majority


Question: 64. In the situation does not secrete saliva, those still following nutrients are digested in the body in the Face? Sugar ① ② ③ fat egg white quality

Answer: ①②③

Choices:
A. Only ①②
B. Only ②③
C. Only ①③
D. ①②③


Question: About pancreaticoduodenectomy (pancreaticoduodenectomy) of the narrative, what's wrong?

Answer: PPPD usually cut off at the gastric antrum

Choices:
A. Commonly used to treat the patients with pancreatic cancer
B. Delayed gastric emptying Pylorus-preserving pancreaticoduodenectomy (PPPD) postoperative easily than standard Whipple operation (delayed gastric emptying)
C. PPPD usually cut off at the gastric antrum
D. Pancreatic neck (neck of the pancreas) needs to be cut


Question: Which of the following bladder blood supply?

Answer: Vaginal artery

Choices:
A. Ovarian artery
B. Vaginal artery
C. Rectal artery
D. Internal pudendal artery


Question: Which of the following cytokines (cytokine) not belong proinflammatory cytokine?

Answer: IL-10

Choices:
A. TNF-a
B. IL-1
C. IL-8
D. IL-10


Question: A 4-day-old baby boy found the body after birth have blueberry muffin spot, this is most unlikely for Sick Children:

Answer: Leukemia (acute leukemia)

Choices:
A. Leukemia (acute leukemia)
B. Idiopathic thrombocytopenia purpura (idiopathic thrombocytopenic purpura)
C. Langerhans' cell histiocytosis
D. Congenital infection (congenital infection)


Question: On the road down about 60-year-old female patient, unconsciousness when taken to the emergency room, unable to ask to take a history, based on CT images (as shown), the most appropriate diagnosis is:

Answer: Hypertensive hemorrhage with extension into the ventricle

Choices:
A. Hypertensive hemorrhage with extension into the ventricle
B. Contusion hemorrhage and traumatic intraventricular hemorrhage（IVH）
C. Ruptured aneurysm with intracerebral hemorrhage and IVH
D. Ruptured AVM（arteriovenous malformation）with intracerebral hemorrhage and IVH


Question: Blackwater hot (blackwater fever) which is usually associated with infection of the parasite?

Answer: Plasmodium falciparum (Plasmodium falciparum)

Choices:
A. Schistosoma japonicum (Schistosoma japonicum)
B. Leishmania parasite (Leishmania donovani)
C. Bancrofti (Wuchereria bancrofti)
D. Plasmodium falciparum (Plasmodium falciparum)


Question: 79.78-year-old Mr. even when accepting colonoscopy, was diagnosed with colorectal cancer, should belong to a preliminary assessment earlier. When the attending physician Wu would like to inform the results of the pathological examination even the old man, even the families of Mr. Wu requires physicians to conceal the truth, and help even the old man decided to refuse further examination and treatment. How Wu physicians should deal with more appropriate?

Answer: First ask if the old man even want to know their condition, even if the old man wanted to know their status, even though doctors told his family against illness, should still inform the relevant illness to even the old man

Choices:
A. First ask if the old man even want to know their condition, even if the old man wanted to know their status, even though doctors told his family against illness, should still inform the relevant illness to even the old man
B. Do you want to ask the old man even know his condition, even if the old man does not want to understand their condition, would not have administered any examination or treatment
C. Even family members of the man's already clear that not to inform the relevant condition even the old man, and therefore do not have to even ask the old man's wishes, but should conceal the truth at the request of their families, but not to administer any examination or treatment
D. Even family members of the man's already clear that not even the old man would inform the relevant condition, and should therefore be at the request of their families and to conceal the truth. However, his family made medical decisions is not conducive to the best interests of even the old man, so physicians should follow conventional medical help even continue with the old man


Question: Associate the resulting mucosal secretory IgA (secretary IgA) zoomed part:

Answer: ⼆ mer (dimer)

Choices:
A. Monomer (monomer)
B. ⼆ mer (dimer)
C. Trimers (trimer)
D. Pentamer (Pentamer)


Question: Relatives of executives of a hospital suffering from breast cancer, was greeted personally surgical director of surgery, and the use of better equipment and medical material at the time of surgery. When postoperative rounds often take precedence and special care to deal with this patient. The chief physician of that to do so is contrary to the ethical principles of the following?

Answer: The principles of fairness and justice (Justice)

Choices:
A. The principles of fairness and justice (Justice)
B. The principle of beneficence (Beneficence)
C. Do no harm principle (Non-maleficence)
D. The principle of patient autonomy (Autonomy)


Question: Little new is a large 5-month-old boy, the natural production of 35 weeks, weighing 2500 grams, smooth production process, and the development of indicators of normal growth curve, but the last two months my mother found a small new milk will be crying and strange breathing, if prone to rest when the sound will disappear, to the outpatient medical examination found that an intake of breath song, what he is most likely to be following that diagnosis?

Answer: 軟喉 disease (laryngomalacia)

Choices:
A. Subglottic stenosis (subglottic stenosis)
B. 軟喉 disease (laryngomalacia)
C. Vocal cord paralysis on both sides (bilateral vocal palsy)
D. Tracheal osteomalacia (tracheomalacia)


Question: Pupillary light after irradiation, the reaction miosis (light reflex) generated, which path does not contain neurotransmission Which of the following?

Answer: The optic nerve (optic nerve)

Choices:
A. Quadrigeminal region (pretectal area)
B. EW 核 (Edinger-Westphal nucleus)
C. LGN (lateral geniculate body)
D. The optic nerve (optic nerve)


Question: Following that a disease caused by low-energy gonadal disorders (hypogonadism) pathogenic machine turn different from the other three?

Answer: Hypopituitarism

Choices:
A. Kallmann syndrome
B. Hypopituitarism
C. X-linked congenital adrenal hypoplasia
D. Klinefelter syndrome


Question: Pairing each of the following chromosomal abnormalities associated with the disease, what's wrong?

Answer: t(8;21)：Burkitt's lymphoma

Choices:
A. t(8;21)：Burkitt's lymphoma
B. t(9;22)：chronic myeloid leukemia
C. t(15;17)：acute promyelocytic leukemia
D. t(4;11)：acute lymphoblastic leukemia


Question: The end of the adult spinal cord corresponding to the spine at what period?

Answer: Among the first to the second lumbar vertebra

Choices:
A. Ninth to tenth thoracic Room
B. Among the first to the second lumbar vertebra
C. The first recommendation to the fifth lumbar intervertebral
D. The second room to the second sacral caudal


Question: The following account of the non-competitive inhibitor (uncompetitive inhibitor), and what's right?

Answer: Non-competitive enzyme may alter the structure of the Huoxingzhongxin enzyme inhibitor binding, blocking the reaction proceeds

Choices:
A. Non-competitive inhibitors bind to the enzyme-based Huoxingzhongxin, so can not be combined by mass
B. Non-competitive enzyme may alter the structure of the Huoxingzhongxin enzyme inhibitor binding, blocking the reaction proceeds
C. Presence of non-competitive inhibitor of the enzyme will rise Km
D. Vmax of the enzyme reaction from the non-competitive inhibitor effect


Question: A 56-year-old female patient, cerebral angiography found that there is a traffic artery aneurysms (posterior communicating artery aneurysm), which come into contact with brain aneurysm temporal lobe (temporal lobe), the patients most likely symptom is that kind of ?

Answer: The third cranial nerve palsy (3rd cranial nerve palsy)

Choices:
A. Loss of consciousness (loss of consciousness)
B. The third cranial nerve palsy (3rd cranial nerve palsy)
C. Cerebral angiography before and after images can be seen in the internal carotid artery aneurysm inner projection (projection of the aneurysm medial to the
D. Epilepsy (seizure)


Question: 33. Chen because of the beauty and wear contact lenses for many years, a few days ago due to eye irritation, redness and turn to an ophthalmologist, was diagnosed with severe keratitis (keratitis), and found that angle smear microscopy in corneal scrapings shaped double-walled balloon. Based on the above results, Chen most likely what parasite infection?

Answer: Acanthamoeba (Acanthamoeba spp.)

Choices:
A. Colon amoeba (Entamoeba coli)
B. Entamoeba histolytica (Entamoeba histolytica)
C. Freund's Negri amoeba (Naegleria fowleri)
D. Acanthamoeba (Acanthamoeba spp.)


Question: From the previous questions, physical examination, the patient no spider spot (spider angioma), liver spots palms (palmar erythema), hepatosplenomegaly (hepato-splenomegaly) and the phenomenon of ascites, abdominal ultrasound in hepatobiliary and pancreatic spleen no abnormal findings, this patient most the diagnosis may be as follows:

Answer: Mallory-Weiss syndrome

Choices:
A. Bleeding esophageal varices
B. Gastric bleeding
C. Mallory-Weiss syndrome
D. Duodenal ulcer bleeding


Question: Human consumption of pork undercooked or raw parasite, the least likely to suffer from parasitic diseases which of the following?

Answer: Lung fluke disease (paragonimiasis)

Choices:
A. Trichinella disease (trichinellosis)
B. Cysticercosis disease (cysticercosis)
C. Lung fluke disease (paragonimiasis)
D. Hydatid disease (hydatid disease)


Question: Statements about interstitial cystitis (interstitial cystitis), the error which of the following?

Answer: Usually the patient's urine routine examination appears hematuria and pyuria

Choices:
A. Usually occurs in women over 40 years old
B. Usually the patient's urine routine examination appears hematuria and pyuria
C. Common symptoms of urinary frequency, nocturia, urinary urgency, and suprapubic pain
D. Symptoms usually caused when the urine bladder inflation, thus diminishing the volume of the bladder, the patient becomes considerably pollakiuria


Question: 4 year-old girl, because the emergence of dozens of oral ulcers and medical treatment, if the girls have one of the following features that you may not enterovirus infection?

Answer: Swollen gums bleeding

Choices:
A. After half ulcers in the mouth more
B. Fever more than 3 days
C. Palms and soles of the feet blisters
D. Swollen gums bleeding


Question: From the previous question, concerning the following description of this bacteria and what was right?

Answer: This bacteria are widely present in the environment

Choices:
A. This anaerobic bacteria as a (anaerobe)
B. This bacteria are widely present in the environment
C. This rare fungus infection by the human body wound
D. Vaccination can be administered to prevent infection of the bacteria


Question: A 25-year-old, sexually active women come to the clinic for treatment, complained of vaginal discharge, Pap found that there are many cervical squamous cells, inclusion bodies (intranuclear inclusions) in the nucleus of these cells. Why is the most likely diagnosis?

Answer: Single pure herpes virus infections (Herpes simplex virus infection)

Choices:
A. Candidiasis (Candida infection)
B. Single pure herpes virus infections (Herpes simplex virus infection)
C. Trichomonas infection (Trichomonas infection)
D. Gonococcal infections (Gonococcal infection)


Question: Which of the following antipsychotics, overweight and less likely to cause hyperglycemia or hyperlipidemia?

Answer: ziprasidone

Choices:
A. quetiapine
B. olanzapine
C. clozapine
D. ziprasidone


Question: The therapeutic index (therapeutic index) assessment methods, following that kind of sedative - hypnotic (sedative-hypnotic) drugs with the highest security?

Answer: Diazepam

Choices:
A. Morphine
B. Chloropromazine
C. Phenobarbital
D. Diazepam


Question: 17 baby boy born with skin lesions in the figure below, the following statements is true? ①80% are single lesions, multiple lesions is 20% ② usually born into the proliferative phase (proliferating phase) ③ about 50% of the patients into the recovery period after 5 years of age (involuted phase) ④ systemic corticosteroid therapy 2 months later may be able to prevent ⑤ larger lesion diagnosis of the disease is vascular malformation

Answer: ①①①①

Choices:
A. ①①①①
B. ①①①②
C. ①①②
D. Only ①①①


Question: From the previous question, you estimated the amount of blood loss account for how much his body's blood?

Answer: 10-20%

Choices:
A. <5%
B. 5-10%
C. 10-20%
D. >40%


Question: According to the US Centers for Disease Control and Classification Department of the human immunodeficiency virus (HIV) infection-related opportunistic infections and tumors, which of the following is not a cancer-related disease acquired immune deficiency syndrome (AIDS-defining conditions)?

Answer: Hodgkin's lymphoma

Choices:
A. Hodgkin's lymphoma
B. Kaposi's sarcoma
C. Burkitt's lymphoma
D. invasive cervical carcinoma


Question: Account of Corynebacterium diphtheria (Corynebacterium diphtheriae), the Which statement is correct?

Answer: The main virulence factors as a toxin A-B

Choices:
A. Gram-negative bacilli
B. The main virulence factors as a toxin A-B
C. Cats, dogs and other animals as the main source of infection
D. The main food-borne


Question: A 15-year-old girl because of obesity and short stature to the hospital. Physical checkups found that patients with limbs are small, tapering fingers. According to family members said, the patient is difficult to control the desire to eat, often find their own food to eat, poor school performance, but the jigsaw puzzle are strong. Mild mental retardation, was not at the beginning. The patient is most likely to be following what disease?

Answer: Prader - Willi syndrome (Prader-Willi syndrome)

Choices:
A. Toruosame Mr. diseases (Turner syndrome)
B. Chromosome fragile X syndrome (fragile X syndrome)
C. Prader - Willi syndrome (Prader-Willi syndrome)
D. Williams Syndrome (Williams syndrome)


Question: A 65-year-old woman 10 years ago to get the first phase of menopause after breast cancer, only to surgical treatment. Recently discovered bones with osteolytic lesions, confirmed metastatic breast cancer ER +, HER2-negative, in addition no other organ metastasis, Which of the following is the most appropriate treatment?

Answer: Aromatic ring-converting enzyme inhibitors bisphosphonate +

Choices:
A. Aromatic ring-converting enzyme inhibitors bisphosphonate +
B. More chemotherapeutic agents bisphosphonate +
C. capecitabine + bisphosphonate
D. Single-agent chemotherapy + strontium-89


Question: Patients with a blood test for hepatitis B virus (hepatitis B virus) infection index, which when antibodies are present, on behalf of the subjects who already have immunity against this virus?

Answer: IgG anti-HBs antibody

Choices:
A. IgG anti-HBs antibody
B. IgG anti-HBe antibody
C. IgM anti-HBc antibody
D. IgG anti-HBc antibody


Question: From the previous question, the patient underwent surgery the next day morning the fever to 38.2 ℃, Which of the following is the most likely reason?

Answer: Pulmonary atelectasis (Atelectasis)

Choices:
A. Wound infection (Wound infection)
B. Intraperitoneal abscess (Intrabdominal abscess)
C. Pulmonary atelectasis (Atelectasis)
D. Suture leakage (Anastomotic leakage)


Question: The following figure shows a 37-year-old woman auscultation of the PCG, which may be diagnosed as:

Answer: Mitral valve prolapse

Choices:
A. Patent ductus arteriosus
B. Mitral valve stenosis
C. Pulmonary stenosis
D. Mitral valve prolapse


Question: About modifying ADP- ribosylation (ADP-ribosylation) to adjust the narrative of their messaging, Which statement is correct?

Answer: The Gs alpha subunit (α subunit), modified by the cholera toxin (cholera toxin) of

Choices:
A. The Gs alpha subunit (α subunit), modified by the cholera toxin (cholera toxin) of
B. The Gs alpha subunit (α subunit), pertussin toxin is modified by
C. Cell membrane receptors, pertussin toxin is modified by
D. Phospholipase (phospholipase) modified by cholera toxin (cholera toxin) of


Question: 58 The results of brain fluid examination of the spinal cord, and that a combination of the following diagnosis of multiple sclerosis (multiple sclerosis) most helpful? ① oligonucleotides strains with protein electrophoresis (oligoclonal bands) ② ③ protein decreased glucose level to decrease the number of white blood lymphocyte composite index based ④ increase in ⑤IgG (IgG synthesis index) appears to increase

Answer: ①⑤

Choices:
A. ①②
B. ②④
C. ①⑤
D. ③⑤


Question: A 15-year-old woman in the last two months, often with multiple joint pain and muscle aches, and  on oral and buccal mucosa ulceration repeatability. In addition the patient's family also noticed facial erythema. In the suspected "lupus" at risk, following which serology most helpful in the diagnosis of this disease?

Answer: anti-dsDNA antibodies

Choices:
A. serum electrophoresis
B. serum complement C3 and C4
C. anti-dsDNA antibodies
D. Coombs' test


Question: A 75-year-old male patient. The past six months the right of nasal congestion, runny nose occasionally, two months before the start of persistent pain in the right cheek, nose and occasionally bloodshot recently, the right upper molars also feel loose and pain, blurred vision also slightly now, occasional diplopia. The most likely diagnosis of why?

Answer: Right maxillary sinus tumor

Choices:
A. Right ethmoid sinus mucous cyst
B. Right palate cancer
C. Right ethmoid sinus tumor
D. Right maxillary sinus tumor


Question: Gonorrhea (Gonorrhea) can repeatedly infect the same host of reasons why?

Answer: Stimulate the immune force (immunogenicity) Low

Choices:
A. Stimulate the immune force (immunogenicity) Low
B. High immunity energizing force
C. Toxicity (virulence) Low
D. Highly toxic


Question: When severe trauma patients in emergency treatment, the most common fatal died because of severe traumatic brain injury and hemorrhagic shock. Body, following the body cavity (body cavity) easy to plot blood and cause early death, with the exception of whichever?

Answer: Retroperitoneal (retroperitoneal cavity)

Choices:
A. Chest (thoracic cavity)
B. Abdominal cavity (abdominal cavity)
C. Pelvic (pelvic cavity)
D. Retroperitoneal (retroperitoneal cavity)


Question: ⼯ Face ⻑ of exposure to organic solvent environment, become extremely many hazards, ⻑ of exposure to benzene, most likely will send ⽣ kind of cancer?

Answer: ⾎ cancer

Choices:
A. ⾎ cancer
B. Hepatic carcinoma
C. Kidney cancer
D. Out skin cancer


Question: The following drugs that can cause blood vessels to dilate (vasodilation)?

Answer: endothelin antagonists

Choices:
A. endothelin antagonists
B. kinin antagonists
C. neurotensin antagonists
D. vasopressin agonists


Question: Very rapid growth of malignant bone tumor, often:

Answer: Cause pathological fracture

Choices:
A. Lead to the formation of a large number of reactive periosteal bone
B. Bone marrow cavity of the bone hyperplasia
C. Cause pathological fracture
D. Shall give effect to amputation


Question: When 81 year old woman hospitalized patients with fever of abdominal computed tomography figures. She suffers from diabetes, hypertension and heart disease. Which of the following best diagnosis of the patient for this purpose?

Answer: Liver abscess

Choices:
A. Liver abscess
B. Acute cholecystitis
C. Acute pancreatitis
D. Hepatic carcinoma


Question: A 5-year-old cerebral palsy patient, showing tiptoe feet (tip toes walking) and scissors footsteps state (scissor gait) when walking, which of the following items to help improve their treatment had no gait?

Answer: TENS (transcutaneous electrical nerve stimulation)

Choices:
A. Stretch (stretch exercise)
B. Vice wear ankle-foot wooden stand (ankle-foot orthoses)
C. Injecting a toxin (botox)
D. TENS (transcutaneous electrical nerve stimulation)


Question: What these patients are not suitable for a heart transplant?

Answer: Complex congenital heart disease, who may be a conventional surgical correction

Choices:
A. Repeated and severe heart failure symptoms, and the emitted rate of the left ventricle (ejection fraction, LVEF) <20%
B. Severe myocardial ischemia unable to traditional coronary artery bypass surgery treatment
C. Heart failure has been the use of extracorporeal membrane (ECMO) and other heart assist devices, and can not break away from the person
D. Complex congenital heart disease, who may be a conventional surgical correction


Question: 76-year-old man complained of chest tightness, and shortness of breath, after injection of contrast agent imaging such as CT figures, the most likely diagnosis is which of the following?

Answer: Pulmonary embolism

Choices:
A. Pulmonary aortic aneurysm
B. Pulmonary embolism
C. Uplink aortic aneurysm
D. Vena cava stenosis


Question: 77.8-year-old boy presented with fever, sore throat symptoms, physical examination revealed bilateral cervical lymph nodes, tonsils and throat irritation. Blood routine examination revealed increased number of leukocytes, 70% lymphocytes, 30% of lymphocytes among the atypical lymphocytes. IgM serum heterophile antibodies (IgM heterophil antibody) and the anti-virus Epstein -Barr IgM antibody positive. This atypical lymphocytes Which of the following is most likely to be cell?

Answer: CD8-positive T lymphocytes

Choices:
A. CD4-positive T lymphocytes
B. CD8-positive T lymphocytes
C. NK-T cells
D. B lymphocytes


Question: About neck sympathetic trunk (sympathetic trunk) of the narrative, Which statement is correct?

Answer: The cervical ganglia and first thoracic ganglia (first thoracic ganglion) often merged stellate ganglion (stellate ganglion)

Choices:
A. Cervical sympathetic dry ash-free transportation branch (gray rami communicantes)
B. The cervical ganglia and first thoracic ganglia (first thoracic ganglion) often merged stellate ganglion (stellate ganglion)
C. Cervical ganglion will be issued on gray communicating branches (gray rami communicantes) to the fifth and sixth cervical spinal nerve (cervical spinal nerves)
D. In cervical ganglion nerve not to issue the heart (cardiac nerves)


Question: Which of the following test commonly used to predict the hyperacute rejection (hyperacute graft rejection) it happen or not?

Answer: Existing antibody (preexisting antibody) detection test

Choices:
A. Mixed lymphocyte reaction (mixed lymphocyte reaction)
B. Immune globulin (immunoglobulin) Quantitative analysis
C. Lymphocyte surface markers (lymphocyte surface marker) Analysis
D. Existing antibody (preexisting antibody) detection test


Question: One patient due to exercise-induced shortness of breath, fatigue and hospitalization, physical examination revealed jugular vein swelling, lung and heart examination was normal, liver enlargement three fingers width and lower extremity edema, pulse and strange veins (paradoxical pulse); chest X-ray examination revealed normal heart, lung fields clear, the most likely diagnosis is:

Answer: Narrowing pericardial capsulitis (constrictive pericarditis)

Choices:
A. Liver tumors
B. Kidney failure
C. Narrowing pericardial capsulitis (constrictive pericarditis)
D. Low serum albumin (hypoalbuminemia)


Question: One 40-year-old woman suffering from psychosis disorder, required to undergo appendectomy surgery, the surgeon explained the content of her surgery, psychiatrists assess the patient can fully understand, and therefore to sign the consent form, Which statement is correct?

Answer: This ability of patients to sign consent forms there, so the patient can sign their own

Choices:
A. This patient does not have the ability to sign consent, and therefore need to ask a friend to sign on behalf of
B. This patient does not have the ability to sign consent, and therefore need to ask family members to sign on behalf
C. This patient does not have the ability to sign consent, and therefore need to ask the psychiatrist sign on behalf of
D. This ability of patients to sign consent forms there, so the patient can sign their own


Question: Which is a cerebral venous sinus thrombosis (cerebral venous sinus thrombosis) is the most common clinical manifestations ⾒?

Answer: headache

Choices:
A. Diplopia
B. headache
C. No care has been taken unilateral limb
D. Disturbance of consciousness


Question: From the previous question, the second day of hospitalization, abdominal cramps slowed. On the third day, the patient is still no exhaust and stool, and spit out a lot of manure-like, and bowel sounds. Abdominal X-ray showed the small intestine more turbid. Why assume it?

Answer: The deterioration of intestinal obstruction, intestinal clamp it (downhill of ileus, strangulation of intestine highly suspected) may occur

Choices:
A. Intestinal obstruction significant improvement (improvement of ileus)
B. The deterioration of intestinal obstruction, intestinal clamp it (downhill of ileus, strangulation of intestine highly suspected) may occur
C. Pyloric stenosis (pyloric stenosis)
D. Intestinal obstruction maintain the status quo (stable condition)