Question: TB control measures currently Taiwan's most important is that one of the following?

Answer: Discover new patients, and support the implementation of all treatment (DOTS) program

Choices:
A. Full sputum screening to identify new patients
B. Identify the most common of resistant strains
C. Discover new patients, and support the implementation of all treatment (DOTS) program
D. Budget increase, expansion of hospital


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

Answer: Most of the dorsal pancreatic bud (dorsal pancreatic bud) derived from

Choices:
A. From the foregut (foregut) and the intestinal (midgut) derived from common
B. Most of the dorsal pancreatic bud (dorsal pancreatic bud) derived from
C. Ventral pancreatic bud (ventral pancreatic bud) than the dorsal pancreatic bud early development
D. Go ventral and dorsal pancreatic bud ventral pancreatic bud healing


Question: 55 year old woman because the eye is easy to feel fatigue, feeling hot appear to come for treatment. In addition there will be patients complain Heat sensation in the mouth, have difficulty chewing and swallowing dry food. Physical examination revealed swollen glands, but will not feel pain at both sides of the ear. Blood serum examination showed anti-SS-A and SS-B antibodies anti increased. This narrative about the diseases, which of the following correct?

Answer: Such patients often have rheumatoid factor (rheumatoid factor) increases phenomenon

Choices:
A. Salivary glands have many lymphocytes (lymphocyte) infiltration, mainly CD8-positive T lymphocytes
B. Renal biopsy should be performed immediately to assess the severity of the disease
C. Such patients often have rheumatoid factor (rheumatoid factor) increases phenomenon
D. Such patients often have anti-chromosome Festival antibody (anti-centromere antibody) increases phenomenon


Question: Which of the following is the most common cervical cancer human papillomavirus type?

Answer: 1618

Choices:
A. 1618
B. 611
C. 4556
D. 3133


Question: 79. In accordance with the provisions of eugenics care law, pregnant women diagnosed or prove the following circumstances, may in its voluntary implementation of abortion. Which statement is correct? ① impede or his spouse suffering from hereditary eugenics, infectious disease or mental illness ② have medical reasons, sufficient to establish pregnancy or childbirth lead to life-threatening or harmful physical or mental health ③ who have medical reasons, sufficient to establish there is a likelihood of fetal development ④ deformities because of pregnancy or childbirth will affect their mental health or family life by

Answer: ①②③④

Choices:
A. Only ①②③
B. Only ①③
C. Only ②④
D. ①②③④


Question: A disease first year survival rate is 0.5, the second year survival rate is 0.4, the third year survival rate is 0.3. Will the three-year survival rate of this disease Why?

Answer: 0.06

Choices:
A. 0.3
B. 0.2
C. 0.09
D. 0.06


Question: Mother holding a month-old baby came to visit, the baby's right ear pinna dysplasia much smaller than normal, and no external auditory canal. The appearance of the left ear and eardrum are normal, then the next disposal, whichever is most appropriate?

Answer: Brainstem auditory evoked potential hearing assessment

Choices:
A. Ear high-resolution computer tomography
B. The outer ear and ear canal plastic surgery
C. Optional bone conduction hearing aid
D. Brainstem auditory evoked potential hearing assessment


Question: 30. The following information about Angiostrongylus cantonensis (Angiostrongylus cantonensis) infection with the human narrative, several narrative is correct? ① people from ingestion of undercooked snail parasite infection ② the human body as the definitive host (final host) ③ worms only violations of human cerebrospinal ④ caused a significant increase in eosinophils

Choices:
A. 1
B. 2
C. 3
D. 4


Question: Combined with its pathological features of these diseases and what was right?

Answer: Leydig cell tumor (Leydig cell tumor) and Reinke crystalloids

Choices:
A. Herpes (herpes) virus infection and empty cells (koilocyte)
B. Hydatidiform mole (hydatidiform mole) and Call-Exner bodies
C. Yolk sac tumor (yolk sac tumor) and Birbeck granules
D. Leydig cell tumor (Leydig cell tumor) and Reinke crystalloids


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

Answer: Hydrogen sulfate

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


Question: A 67-year-old woman taking steroid-containing treatment of back pain medicine for many years, has Cushing's disease (Cushing's syndrome) appearance, the family has been advised after stopping a month. Is due to urinary tract infections caused by hypotension, confusion was sent to the emergency room. In addition to the use of antibiotics, fluids, vasopressors treatment, which should be disposed of immediately giving?

Answer: Blood Cortisol sent immediately, without waiting for the outcome of the report can be immediately injected glucocorticoids (glucocorticoid) treatment

Choices:
A. Blood Cortisol sent immediately, without waiting for the outcome of the report can be immediately injected glucocorticoids (glucocorticoid) treatment
B. Blood immediately sent cortisol, and other reports shall be recognized as an outcome of lack of adrenal function, in order to give glucocorticoids (glucocorticoid) treatment
C. After sending blood cortisol 8:00 and 16:00, the immediate injection of glucocorticoids (glucocorticoid) treatment
D. Pro-adrenergic stimulation test performed immediately (ACTH stimulation test), measured immediately completed injection glucocorticoids (glucocorticoid) treatment


Question: The following describes the chemical treatment of osteosarcoma related to validity?

Answer: Can reduce lung metastasis and improve survival

Choices:
A. Good results, surgery may be substituted
B. Can reduce lung metastasis and improve survival
C. Plus the best radiation therapy
D. Plus amputation is currently the main treatment


Question:
69
 Hypertensive patients with a history of asthma, what should not use these drugs?

Answer: Propranolol

Choices:
A. Diltiazem
B. Furosemide
C. Propranolol
D. Captopril


Question: Okazaki's fragments (Okazaki fragments) Which of the following will appear in the biological processes?

Answer: DNA replication (DNA Replication)

Choices:
A. Transcription (transcription)
B. The role of translation (translation)
C. Recombinant DNA (DNA recombination)
D. DNA replication (DNA Replication)


Question: From the previous question, this patient the best therapeutic drugs Why?

Answer: Steroid

Choices:
A. Broad-acting antibiotic
B. Anti-fungal drugs
C. Steroid
D. anti-viral drug


Question: A 31-year-old male, sudden vomiting and cramps because of the morning, after a coma to the hospital emergency room, told his family history of epilepsy, poor memory and doctors have told cerebrovascular problems. By emergency intubation, check blood pressure: 178/96 mmHg, pulse rate: 100 / min, on both sides of the pupil 5.5 mm, the light non-reflective, hands and feet response to pain, such as the right brain computer tomography imaging, the following He found the wrong person?

Answer: Intraventricular choroid plexus has expanded curved

Choices:
A. Intraventricular hemorrhage
B. Intraventricular have expanded tortuous vessel
C. Intraventricular choroid plexus has expanded curved
D. Ventricular dilatation


Question: A 4-year-old sister in the evening was in a coma after his father wounded, was taken to hospital after an ambulance immediately endotracheal intubation, checking pupil left 4 mm, the right 7 mm, no light reflection, hands and feet respond to pain, coma index a bit?

Answer: 7

Choices:
A. 3
B. 5
C. 7
D. 9


Question: A 62-year-old woman, menopause five years, nearly two years because of pain during intercourse, repeated urinary tract infections, topical hormone replacement, the result of vaginal bleeding for treatment, the film thickness of 0.8 cm within the next ultrasound. The following check what is preferred?

Answer: Endometrial sliced

Choices:
A. Abdominal CT
B. Endometrial sliced
C. Dose hormone deficiency, should be changed to oral dosage forms
D. Dose hormone deficiency, should increase the frequency of use


Question: In the treatment of nicotine addiction, the following treatment shutter mode that best results?

Answer: Using the cessation of drug therapy and body Use

Choices:
A. Face Your Own illness care has been taken by the will to quit
B. Face to quit your physician recommended disease
C. Using the nicotine patch or gum-connector
D. Using the cessation of drug therapy and body Use


Question: That project following a clinical examination, as is routine in order to assess the main indicators of high-performance cocktail treatment of AIDS (AIDS) effect?

Answer: Determination of the amount of virus in plasma of human immunodeficiency virus (HIV)

Choices:
A. Determination of p24 antigen (Antigen) of
B. Determination of CD8 T-cell ratio: CD4
C. Determination of the amount of virus in plasma of human immunodeficiency virus (HIV)
D. HIV antigen / antibody (antigen / antibody) test combinations (combo test)


Question: When COPD patients at rest, arterial hypoxia phenomenon has occurred, the patient is less likely that one of the following disorders due to COPD and respiratory physiology appear?

Answer: Shunt (shunt) increase

Choices:
A. FEV1 first second (FEV1) below 50% of the expected value
B. Shunt (shunt) increase
C. Ventilation / perfusion imbalance (ventilation / perfusion mismatching)
D. FEV1 first second (FEV1) below 25% of the expected value, may be accompanied by increased arterial carbon dioxide (PaCO2)


Question: Mr. Wang to be discharged when doctors told Zhuyuanyishi Yang expressed the hope that the whole photocopies of medical records for future reference. Young physician replied that no, he can only give medical record, do you think medical doctors of law Yang answer correctly?

Answer: Is not correct, the patient can obtain complete medical records copies

Choices:
A. Correctly, the patient can only get medical summary
B. Is not correct, the patient can obtain complete medical records copies
C. Is not correct, the patient can get a complete medical history had
D. Correctly, the patient can not require any medical records


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

Answer: Sudan while the distribution of Rhodesia Trypanosoma (Trypanosoma brucei rhodesiense) and gambiense (T. b. Gambiense) of

Choices:
A. Sudan while the distribution of Rhodesia Trypanosoma (Trypanosoma brucei rhodesiense) and gambiense (T. b. Gambiense) of
B. Some leishmaniasis (kala-azar) in patients if not treated properly, in one or two years the same insect pathogen may produce lesions in the skin
C. The United States also had local dry west of Trypanosoma cruzi (Trypanosoma cruzi) cases of human infection
D. Europeans and Americans to travel in East Africa Wildlife Sanctuary, had thus infected Rhodesia Trypanosoma (Trypanosoma brucei rhodesiense) cases occurred


Question: A 4-year-old boy was found to have peeling fingers at the end change to come for treatment, two weeks ago the boy had a fever five days, body rashes, other symptoms unknown, did not receive treatment. That one of the following without the necessity to check the most?

Answer: rickettsia antibody

Choices:
A. echocardiogram
B. throat bacteria culture
C. anti-streptolysin O titer
D. rickettsia antibody


Question: 70-year-old male, over the past 40 years, one day smoke a pack of cigarettes, the last three months of weight loss 6 kg, with a little blood stained sputum. Physical examination patient seems thin, clubbing (clubbing finger), before and after the longer diameter of the chest, chest auscultation both lung fields scattered wheezing (wheezing), weak heart sounds distant sounds. Chest X-rays have left hilar lymphadenopathy, flattened diaphragm. Sputum cytology display deep eosinophilic (eosinophilic staining) of irregular size and cytoplasm, deeply stained (hyperchromatic) nucleus. This patient most likely diagnosis Why?

Answer: Non-small cell lung cancer (non-small cell lung cancer)

Choices:
A. TB (tuberculosis)
B. Small cell lung cancer (small cell lung cancer)
C. Bronchiectasis (bronchiectasis)
D. Non-small cell lung cancer (non-small cell lung cancer)


Question: 61-year-old man, suffering from transient cerebral ischemia (TIA) symptoms, carotid ultrasound examination revealed ipsilateral carotid stenosis more than 90%, should do what treatment to prevent recurrence of the most effective?

Answer: Carotid endarterectomy (Carotid endarterectomy)

Choices:
A. Oral Aspirin
B. Oral Warfarin
C. Carotid endarterectomy (Carotid endarterectomy)
D. The external carotid artery - internal carotid artery bypass surgery (Extracranial-intracranial bypass)


Question: Cerebellum haptic edge fiber (climbing fibers) diameter main line to which of the following?

Answer: Olive cerebellar diameter (olivocerebellar tract)

Choices:
A. Spinocerebellar diameter front (anterior spinocerebellar tract)
B. Spinal cerebellar diameter (posterior spinocerebellar tract)
C. Nuclear wedge cerebellum diameter (cuneocerebellar tract)
D. Olive cerebellar diameter (olivocerebellar tract)


Question: Excessive intake of vitamin A during pregnancy and fetal abnormalities that may be related to the following?

Answer: Blindness (blindness)

Choices:
A. Blindness (blindness)
B. Congenital heart abnormalities (congenital heart block)
C. Abnormal limb (limb malformations)
D. Epilepsy (seizures)


Question:
31. The first ⽣ so addicted to love gourmet food ⽽ Use soaked in wine ⽑ crab (crab) for many years, the date ago unexplained fever, cough, chest pain and zoomed with the amount ⾎ wire sputum (blood-tinged sputum) ⽽ medical treatment, after many hospital found discolored dark brown eggs and Kage ⾥ crystal board (CharcotLeyden crystals) within sputum, chest X-rays have displayed infiltration and patchy nodular balloon shadows, and pleural product water resistant (pleural effusion) and eosinophilic
 White ⾎ ball increase (eosinophilia) phenomenon. Based on the above description, in the first ⽣ most likely to be infected send ⽣ what insect?

Answer: Wei ⽒ lung fluke (Paragonimus westermani)

Choices:
A. Shaped flukes (Heterophyes heterophyes)
B. This date ⾎ flukes (Schistosoma japonicum)
C. 薑片 蟲 (F. buski)
D. Wei ⽒ lung fluke (Paragonimus westermani)


Question: Social Readjustment based on evaluation forms (social readjustment rating scale), pressure Which of the following life events caused the greatest strength?

Answer: Death of a spouse

Choices:
A. Death of a spouse
B. divorce
C. jail
D. Child death


Question: 64-year-old male patient, lower extremity pain, tingling and weakness, accepted MRI examination, the picture shows the sagittal image T2, T1 image below shows the cross-section; lesions within the meaning of the white arrows, whichever is most correct?

Answer: herniated disc fragment

Choices:
A. neurogenic tumor
B. epidural hematoma
C. degenerative osteophyte
D. herniated disc fragment


Question: A 25-year-old female patient was diagnosed with systemic lupus erythematosus (systemic lupus erythematosus, SLE), RBC in urine of a recent 50 ~ 75 / HPF (high power field), 3.2 grams of protein per day in urine, blood in the muscle anhydride (creatinine) within 3 months, increased from 1.2 mg / dL to 2.4 mg / dL, the error of the following statements?

Answer: Anti-DNA level of physical values can not be anti-double-stranded when the index of lupus nephritis activity

Choices:
A. Kidney disease management sections most likely diffuse proliferative glomerulonephritis (diffuse proliferative glomerulonephritis)
B. Intravenous steroid pulse therapy (pulse steroid therapy)
C. Administration of cytotoxic drugs such as cyclophosphamide, the drug can also be administered by pulse treatment
D. Anti-DNA level of physical values can not be anti-double-stranded when the index of lupus nephritis activity


Question: Statements about multiple myeloma (multiple myeloma), and which of the following error?

Answer: Available bone scintigraphy (bone scan) to diagnose whether a single or multiple bones violations

Choices:
A. Under pathological tissue can be found in malignant plasma cells (plasma cell)
B. X-rays can be found in the skull and pelvis multiple punctured like (punched out) destruction of bone lesions
C. Available bone scintigraphy (bone scan) to diagnose whether a single or multiple bones violations
D. Existing stem cell transplantation in patients successfully treated cases


Question: Which of the following situations characterized by severe intestinal virus does not belong?

Answer: The incidence of more than 7 days

Choices:
A. The incidence of more than 7 days
B. Systemic limbs twitching with similar appearance frightened fast heartbeat or high blood pressure
C. Younger than 5 years old
D. Persistent vomiting


Question: Female infertility, uterine tubal photographic examination appear as shown in the following statements is most accurate?

Answer: Bilateral salpingo-smooth

Choices:
A. Cervical stenosis
B. Bilateral salpingo-smooth
C. Congenital double uterus
D. Intrauterine adhesions


Question: The most common cause of viral gastroenteritis baby RNA virus:

Answer: A rotavirus (Rotavirus A)

Choices:
A. Adenovirus (Adenoviruses) type 40 and 41
B. A rotavirus (Rotavirus A)
C. EB virus (Epstein-Barr Virus)
D. Rhinovirus (Rhinovirus)


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

Answer: The timing of surgery after the school-age

Choices:
A. May be associated with inguinal hernia
B. Testicular surgery to fixation (orchidopexy) based
C. There are future without cryptorchidism patient treatment may cause infertility
D. The timing of surgery after the school-age


Question: He constructed the following is not located in the midbrain (midbrain)?

Answer: Medial geniculate body (medial geniculate body)

Choices:
A. Superior cerebellar peduncle Cross (superior cerebellar peduncle decussation)
B. 黑 質 (substantia nigra)
C. Medial geniculate body (medial geniculate body)
D. Inferior colliculus (inferior colliculus)


Question: Determinants of health, the following was one of the most influential?

Answer: Environment and lifestyle

Choices:
A. Biogen
B. Healthcare
C. Socio-economic status
D. Environment and lifestyle


Question: Combination therewith pathological features of the tumor following the reproductive system, what is correct?

Answer: sarcoma botryoides 與 cambium layer

Choices:
A. granulosa cell tumor 與 Schiller-Duval bodies
B. sarcoma botryoides 與 cambium layer
C. yolk sac tumor 與 Call-Exner bodies
D. clear cell adenocarcinoma 與 Reinke crystal


Question: Under fixed conditions, the following inhaled anesthetics, whichever suction can alveolar concentration concentration ratio (FA / FI) fastest rising?

Answer: desflurane

Choices:
A. isoflurane
B. desflurane
C. halothane
D. sevoflurane


Question: Prolonged, the cervix is not fully open, bulges referred to as fetal scalp edema:

Answer: Chapter succedaneous

Choices:
A. Molding
B. Chapter succedaneous
C. Subdural hematoma
D. Erythema nodosum


Question: Narrative allergic rhinitis (allergic rhinitis), and which of the following error?

Answer: The severe patients with allergic rhinitis and nasal congestion often affect the quality of life, treatment needs to anti-histamine (anti-histamine agent) were combined and rinsed with topical nasal decongestants (intranasal decongestant) two to four weeks treatment, to improve the quality of life

Choices:
A. The highest prevalence of children with chronic allergic diseases
B. The risk of future risk of asthma patients, is non-allergic rhinitis were three times higher
C. Often associated with allergic conjunctivitis, sinusitis and otitis media and relatively Rongyifasheng
D. The severe patients with allergic rhinitis and nasal congestion often affect the quality of life, treatment needs to anti-histamine (anti-histamine agent) were combined and rinsed with topical nasal decongestants (intranasal decongestant) two to four weeks treatment, to improve the quality of life


Question: oncogenic ras gene transfer machine are:

Answer: Point mutation (point mutation)

Choices:
A. Shift adapter (translocation)
B. Point mutation (point mutation)
C. Increase (amplification)
D. Excessive expression (overexpression)


Question: Which of the following patients may explain persistent heart failure (persisting heart failure) is the main cause leg or foot edema?

Answer: Increased venous pressure

Choices:
A. Increased venous pressure
B. Increased plasma protein concentration
C. Lymph flow increase
D. Reduce microvascular permeability


Question: 4-year-old boy due to binocular vision slowly deteriorated, checked that both sides fundus tumor after surgery, pathological diagnosis of cancer, what is the probability of patients developed second cancers related to which of the following maximum?

Answer: osteogenic sarcoma

Choices:
A. hepatoblastoma
B. neuroblastoma
C. Wilms' tumor
D. osteogenic sarcoma


Question: Which of the following mutations cause the translation (translation) during the early termination of protein synthesis?

Answer: nonsense mutation

Choices:
A. silent mutation
B. missense mutation
C. suppressor mutation
D. nonsense mutation


Question: 49-year-old male, usually have high blood pressure, sudden right limb weakness, according to this urgent CT, the diagnosis is:

Answer: Hypothalamus hemorrhagic stroke (Thalamic hemorrhage)

Choices:
A. Hypothalamus hemorrhagic stroke (Thalamic hemorrhage)
B. The shell hemorrhagic stroke (Putaminal hemorrhage)
C. Pontine hemorrhage stroke (Pontine hemorrhage)
D. Hemorrhagic stroke internal capsule (Internal capsular hemorrhage)


Question: One serving in the military in its 18-year-old young girl has suffered severe meningitis, after the two emergency hospital treatment, although his girlfriend healed himself died young. Before treatment, the bacteria found in abundant intracellular polymorphonuclear leukocyte (polymorphonuclear leukocytes) from the cerebrospinal fluid (cerebrospinal fluid) of the two acquired. The isolated from the cerebrospinal fluid to the bacterial species, they suffer from meningococcal meningitis is determined. The following narrative about this pathogen, what's wrong?

Answer: This bacteria living widespread in the environment

Choices:
A. This bacterium infects humans via the respiratory tract
B. This bacteria living widespread in the environment
C. This bacterium is a gram-negative cocci
D. Humans are the only natural hosts of this fungus


Question: Which of the following is 5-fluorouracil anticancer mechanism of action?

Answer: Metabolites which inhibit the thymidylate synthase and kill cells

Choices:
A. And inhibition of DNA replication and DNA binding functions
B. Dihydrofolic acid reducing enzyme inhibition
C. Metabolites which inhibit the thymidylate synthase and kill cells
D. Selective inhibition of DNA polymerase


Question:
12
 I
 - 52.2
 8.6 girls
 9
 9.5 50.7 neonatal height of men and women assume that the parent distribution was a normal distribution, and have the same variance, using the above information can test whether there is enough statistical evidence to support the men and women newborn neonatal height above the height of the argument. About this test, statistical methods should be selected Why?

Answer: The two-tail paired t-test

Choices:
A. The one-tail paired t-test
B. The two-tail paired t-test
C. The one-tail Student's t-test
D. The two-tail Student's t-test


Question: 32. Due to the rapid growth of the embryo, thus resulting in the final position of the diaphragm back (dorsal part of diaphragm), the equivalent of a high degree below that vertebra?

Answer: L1

Choices:
A. T8
B. T10
C. L1
D. L3


Question: 40-year-old male patient was upper abdominal pain one day in hospital by the emergency. Hospitalization blood pressure 140/80 mmHg, pulse rate 92 per minute. Check blood leukocytes 15,900 / μL, hemoglobin of 16.6 g / dL, platelets 198,000 / μL, AST 30 IU / L, ALT 24 IU / L, bilirubin 0.1 mg / dL, amylase 559 IU / L, fat enzyme 2935 IU / L. Which of the following best diagnosis of the patient for this purpose?

Answer: Acute pancreatitis

Choices:
A. Acute myocardial infarction
B. Acute pancreatitis
C. Acute cholecystitis
D. Duodenal ulcer


Question: A 60-year-old's long-term dialysis patients, with fever, too many white blood cells hospitalized, chest X-ray showed a multi-leaf pneumonia and Legionella pneumophila bacteria of the urine antigen test is positive, will use the most appropriate antibiotic Which of the following ?

Answer: Erythromycin (erythromycin)

Choices:
A. Tetracycline (tetracycline)
B. Penicillin (penicillin)
C. Erythromycin (erythromycin)
D. Bacillus head streptozotocin (cephalosporin)


Question: From the previous question, what kind of tests should be performed to confirm the above the most likely pathogen?

Answer: Serum antibody tests

Choices:
A. Blood culture
B. Serum antibody tests
C. Cerebrospinal fluid culture
D. Urine antigen test


Question: Which of the following antiarrhythmic drugs of the mechanism of action has nothing to do with the K (potassium) channel?

Answer: Propafenone

Choices:
A. Quinidine
B. Propafenone
C. Sotalol
D. Amiodarone


Question: When skin necrosis purpura (necrotic purpura) occur within hours of a healthy birth and neonatal purpura fulminans blood clots, most likely that following a genetic disease?

Answer: Protein C deficiency

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


Question: Which is not, the root (superior and inferior roots) branch dominated by the neck loop (ansa cervicalis)?

Answer: Thyroid hyoid muscles (thyrohyoid muscle)

Choices:
A. Sternohyoid (sternohyoid muscle)
B. Supraomohyoid (omohyoid muscle)
C. Sternal thyroid muscle (sternothyroid muscle)
D. Thyroid hyoid muscles (thyrohyoid muscle)


Question: Psoriasis (psoriasis) is a common chronic skin disease, the following statements is true?

Answer: Psoriasis patients will be 10 to 25% complicated with psoriatic arthritis

Choices:
A. The first type psoriasis often occurs before the age of 40, and HLA-related genetic forms, and treatment is often poor
B. Psoriasis patients will be 10 to 25% complicated with psoriatic arthritis
C. Psoriasis lesions antimicrobial proteins secreted by epidermal cells or β-defensin 2 cathelicidin (LL37) is reduced, thus the skin surface to increase the chance of bacterial infections,
D. HIV prevalence of psoriasis in the population is higher than the general population, and a higher severity of


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

Answer: Symptoms include trembling intention (intention tremor), limb rigidity (rigidity) and slow (bradykinesia), etc.

Choices:
A. And substantia nigra (substantia nigra) in dopamine receptors (dopaminergic receptor) reduce the number of related
B. Causes also include infections of the central nervous or brain lesions caused by drug abuse
C. Symptoms include trembling intention (intention tremor), limb rigidity (rigidity) and slow (bradykinesia), etc.
D. Even if drug therapy, neurodegenerative still will continue to progress


Question: The following account of Wilson's disease (Wilson disease) treatment, whichever is correct?

Answer: Patients Ruoyin D-penicillamine side effects and can not be taken instead trientine

Choices:
A. D-penicillamine is the most common side effects occur polyneuropathy (polyneuropathy)
B. Throughout the course of treatment, the diet does not have to be taboo foods high copper
C. All patients will worsen after starting treatment
D. Patients Ruoyin D-penicillamine side effects and can not be taken instead trientine


Question: The boy was born three weeks, feeding often vomiting, and then evolved into vomiting without bile, physical examination revealed a mass in the abdomen, the most likely diagnosis Why?

Answer: Pyloric stenosis (pyloric stenosis)

Choices:
A. Esophagus loss slack disease (achalasia)
B. Pyloric stenosis (pyloric stenosis)
C. Annular pancreas (annular pancreas)
D. Small intestine closure (small intestine atresia)


Question: When the human double-stranded DNA in aqueous solution at neutral pH, temperature heated from 95 deg.] C to 37 [deg.] C, the following statements is wrong?

Answer: N- glycosidic covalent bond (N-glycosidic bond) occur breakage

Choices:
A. UV 260 nm absorbance increase
B. N- glycosidic covalent bond (N-glycosidic bond) occur breakage
C. Unlock the double helix (unwinds)
D. DNA precipitates out of the aqueous solution is not


Question: When the fourth week of embryonic development, the position of the cross septum (septum transversum) which is with respect to these body segments (somite) and altitudes of?

Answer: Neck section

Choices:
A. Pillow Festival
B. Neck section
C. Thoracic segments
D. Lumbar section


Question: The following related hepatic hemangioma (hemangioma) described it, what's wrong?

Answer: More than 2 cm to easily turn into cancer

Choices:
A. Erythrocytes isotope scanning flag (labeled red blood cell nuclide scans) may be specifically checked Tumor Imaging
B. More than 2 cm to easily turn into cancer
C. Is the most common benign tumor of the liver
D. Female patients than male patients


Question: Which of the following as the main vector (vector) zoonotic spread of Lyme disease (Lyme disease) it?

Answer: Ixodes genus (Ixodes spp.)

Choices:
A. Ixodes genus (Ixodes spp.)
B. Cattle tick genus (Boophilus spp.)
C. Leather 蜱屬 (Dermacentor spp.)
D. Is a soft ticks (Ornithodoros spp.)


Question: Comparison of three hormone anticholinergic drugs (Anti-cholinergic drugs): narrative Atropine, Scopolamine, Glycopyrrolate of Which statement is correct?

Answer: In effect faster heart rate (Tachycardia) in order to best Atropine

Choices:
A. The effect of suppressing secretion of saliva (Anti-sialagogue effect) in order to best Atropine
B. In the side-effects caused delirium (Delirium), the strongest to Glycopyrrolate
C. In effect bronchodilation (Bronchodilatation) in order to best Scopolamine
D. In effect faster heart rate (Tachycardia) in order to best Atropine


Question: For family physician interventions planned community dengue fever, according to the order of community-oriented primary care (community-oriented primary care) cycle, Which statement is correct?

Answer: Confirm group → → confirm the problem involved in strategic planning → implementation → evaluation of the effectiveness of

Choices:
A. Identify problems → Confirmation group strategic planning → → → evaluate the effectiveness of intervention implementation
B. Confirm group → → confirm the problem involved in strategic planning → implementation → evaluation of the effectiveness of
C. Identify problems → Confirmation groups involved in the implementation of → → → assess the effectiveness of strategic planning
D. Confirm group → → confirm the problem involved in the implementation of strategic planning → → assess the effectiveness of


Question: Male primordial germ cells about when to begin in cell differentiation (cell differentiation)?

Answer: puberty

Choices:
A. The fifth week of embryonic development
B. The third month of fetal development
C. The first five months of fetal development
D. puberty


Question: A 40-year-old male patient to the emergency room for treatment complained of vomiting blood (hematemesis), he used to be healthy without a history of peptic ulcer disease and chronic liver disease, recent nor taking any medication, and no weight loss phenomenon, vomiting ago dinner drink and socialize with friends, and have severe vomiting, you are faced with this patient first thing to do is:

Answer: The amount of vital signs, marked drip infusion

Choices:
A. Insert a nasogastric tube to see whether the bleeding
B. The amount of vital signs, marked drip infusion
C. Quickly arrange blood hemoglobin check to see whether the anemia
D. Quickly called consultation gastroenterologist


Question: Tetanus toxin (Tetanospasmin) effect on nerve cells as follows:

Answer: Inhibiting the release of neurotransmitters in the synapses of the block

Choices:
A. Decomposition blocking synaptic (Synapse) of the neurotransmitter
B. Conductive substance inhibiting acetylcholine (acetylcholine) release of
C. Promote the synthesis of acetylcholine conductive substance
D. Inhibiting the release of neurotransmitters in the synapses of the block


Question: Fundoplication (fundoplication) is not a disease following that ⼀ the watch surgery ⼀ a surgical?

Answer: ⾎ pipe ring (vascular ring)

Choices:
A. Gas hiatal hernia (hiatal hernia)
B. GERD (gastro-esophageal reflux)
C. ⾎ pipe ring (vascular ring)
D. Ben ⾨ achalasia (achalasia)


Question:
57.42-year-old male, no history of diabetes and chronic organ failure; 15 days ago, have two days of diarrhea, immediately soles of the feet tingling, numbness gradually turned, hemp all the way along the foot to the knee, also found that calf muscles on both sides loose and weakened the power of hands using chopsticks and twist caps of action becomes trapped
 difficult. Following speculation about the patient's diagnosis, whichever is most correct?

Answer: Acute peripheral neuropathy

Choices:
A. The right side of a massive stroke cerebral artery
B. Hereditary motor and sensory neuropathy
C. Old sequelae of spinal cord white matter lesions
D. Acute peripheral neuropathy


Question: Descending thoracic aortic injuries, chest X-ray imaging findings, which of the following rare?

Answer: Tracheal deviation to the left (tracheal shift to the left)

Choices:
A. Aortic fuzzy boundaries (blurring of the aortic contour)
B. Tracheal deviation to the left (tracheal shift to the left)
C. 血胸（hemothorax）
D. Mediastinal increase in width (widening of the mediastinum)


Question: Which of the following will be directly across the ureter?

Answer: Uterine artery

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


Question: 48-year-old Wang, the usual laws of normal menstrual cycles, a week ago touched a lump in the left breast, so she hopes to surgical clinic for further treatment. For the main Wang v. Treatment measures first imposed, the following statements is true?

Answer: When breast health checkups, we should first ask the patient sitting, whether visually symmetrical on both sides of the breast, skin or without changes, depression and other signs of whether the nipple. If the skin erythema (erythema) and swelling (edema) biopsy should be considered

Choices:
A. When breast health checkups, we should first ask the patient sitting, whether visually symmetrical on both sides of the breast, skin or without changes, depression and other signs of whether the nipple. If the skin erythema (erythema) and swelling (edema) biopsy should be considered
B. Palpation of the breast lump is hard and if the line is unknown, will involve the surrounding adjacent tissues move, we should have suspected the possibility of malignancy. Especially when there are symptoms of mass tenderness, for the identification of benign and malignant tumors very helpful
C. For the purposes of outpatient fine needle aspiration (fine-needle aspiration) check, you can be part of the differential diagnosis of invasive cancer or carcinoma in situ, in particular for the identification of tumor is solid tumors (solid) or cystic tumor (cystic) helpful
D. The sensitivity of mammography in younger patients with dense breasts or the poor, we now have become a breast ultrasound imaging screening asymptomatic women for breast cancer choice


Question: When general anesthesia patients receiving blood transfusions, if the blood group incompatibility caused acute hemolysis pairing occurs, the patient does not render Which of the following phenomena?

Answer: Diabetes insipidus

Choices:
A. Hypotension
B. Urine hemolysis
C. Extensive bleeding body
D. Diabetes insipidus


Question: Which of the following drugs is via inhibition of muscarinic receptor and therapeutic effect of irritable bowel syndrome?

Answer: Clidinium

Choices:
A. Bethanechol
B. Pirenzepine
C. Tropicamide
D. Clidinium


Question: A patient receiving a kidney transplant, need long-term use cyclosporine hormone (cyclosporine) against repulsion, the following related description of the drug, whichever is correct?

Answer: Cyclosporine element through Cytochrome P450 (cytochrome P450) metabolism rendered hydrophilic, excretion from the kidneys

Choices:
A. Su no cyclosporine nephrotoxicity renal transplant patients using the most appropriate
B. Cyclosporine element through Cytochrome P450 (cytochrome P450) metabolism rendered hydrophilic, excretion from the kidneys
C. Grapefruit juice (Grapefruit) itself contains flavonoids (Flavonoid), electron transfer can help, and element cyclosporine cyclosporine administration does not affect the hormone concentration in blood with
D. Erythromycin antibiotics (erythromycin) are not metabolized via the cytochrome P450, and thus will not affect the concentration of cyclosporine in the blood prime


Question: From the previous question, the possible reasons why it happen?

Answer: This may be because of drug-induced liver metabolic enzyme activity increased, therefore decreasing efficacy in long-term use

Choices:
A. The results of individual differences in sensitivity to this drug arising
B. Because the drug may reduce the number of receptors in vivo, thus decreasing the efficacy of long-term use
C. This may be because of drug-induced liver metabolic enzyme activity increased, therefore decreasing efficacy in long-term use
D. This may be because the drugs inhibit the enzyme activity of the metabolism of the drug in vivo, thus decreasing efficacy in long-term use


Question: The following description of leprosy mycobacteria (Mycobacterium leprae), the what's right?

Answer: Can be found in the skin or mucous membranes comprising smear lepromatous leprosy extract leprosy (lepromatous leprosy) of a patient

Choices:
A. Can be found in the skin or mucous membranes comprising smear lepromatous leprosy extract leprosy (lepromatous leprosy) of a patient
B. Has been successfully cultivated in medium
C. Fast growth, and therefore a short incubation period
D. And atypical acid-resistant bacteria staining


Question: That one of the following characteristics relating to DNA virus is not correct?

Answer: Must be replicated in the nucleus

Choices:
A. Genome can be double-stranded or single-stranded
B. Must be replicated in the nucleus
C. With mantle can
D. Compared to the viral RNA, genome variability less


Question: Which of the following is not the birth of a drug?

Answer: Ritodrine

Choices:
A. Prostaglandin E2
B. Oxytocin
C. Misoprostol
D. Ritodrine


Question: About Huxixitong of tissue lesions, the following statements is wrong?

Answer: Alveolar macrophages (alveolar macrophage) and phagocytosis of decomposition tubercle bacillus (Mycobacterium tuberculosis)

Choices:
A. Cystic fibrosis (cystic fibrosis) is a genetic predilection for children and young people, chronic obstructive respiratory disease
B. Alveolar macrophages (alveolar macrophage) and phagocytosis of decomposition tubercle bacillus (Mycobacterium tuberculosis)
C. After an air gap of bronchial terminal (terminal bronchiole) as a permanent expansion (permanent enlargement) will cause emphysema
D. Chronic bronchitis (chronic bronchitis) or bronchodilatory (bronchiectasis), partially converted to respiratory epithelium stratified squamous epithelium (stratified squamous epithelium)


Question: A 75-year-old woman who was sent to coma and hospitalized, their serum sodium (sodium) was found to be 105 mEq / L. History asks, no one home to take care of, there may be a few days in a coma for a long time, should pay attention to (within 24 hours) during the first days of increase in serum sodium increase serum sodium should not exceed the number?

Answer: 12 mEq/L

Choices:
A. 12 mEq/L
B. 20 mEq/L
C. 24 mEq/L
D. 30 mEq/L


Question: Air pollution index value (PSI) EPA publication, but will give the concentration of pollutants is measured in terms of the sub-index, then whichever which publication?

Answer: All sub-indices of the maximum contaminant

Choices:
A. All sub-indices of the maximum contaminant
B. All sub-criteria pollutants in the minimum
C. The sum of all the sub-indices of the pollutants
D. The average of all sub-indices of the pollutants


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

Answer: Nasal allergies

Choices:
A. hypertension
B. asthma
C. Nasal allergies
D. Nasal vestibulitis


Question: The following statements about the eye ciliary body (ciliary body) functions and what was wrong?

Answer: Adjusting the amount of light entering the eye

Choices:
A. Generating humor fluid (aqueous humor)
B. Support the suspension of the lens (lens)
C. Adjusting the amount of light entering the eye
D. Adjusting the thickness of the lens (Lens) of


Question: Sound by the human ear in the air reached the lymph, according to acoustics, sound detract from a few decibels?

Answer: 30

Choices:
A. 5
B. 10
C. 20
D. 30


Question: Which of the following is an anti-drugs perchlorate hyperthyroidism main mechanism of action?

Answer: Blocking thyroid uptake of iodine ions (thyroidal uptake of iodide) to

Choices:
A. Blocking thyroid uptake of iodine ions (thyroidal uptake of iodide) to
B. Inhibition of thyroid peroxidase catalyzed reaction (thyroid peroxidase-catalytic reaction)
C. Which facilitates the periphery of triiodothyronine (T3) and tetraiodothyronine (T4) acting deprotection iodide (deiodination)
D. Which can inhibit organic iodine (iodine organification) and reduced triiodothyronine (T3) and tetraiodothyronine (T4) released


Question:
17.40-year-old health worker suffered a fire in a confined work in factories, but escape routes blocked debris. This worker over a period of time to move out of the debris was out of the fire. The scene of heavy smoke, he inhaled a lot of smoke; coupled with his face blackened, nose and forehead hair has been burned on both sides of the upper limbs was burnt
 Injury, and thus to the emergency treatment. About his injuries and medical treatment, the following statements is wrong?

Answer: Because this injuries Moyoushengyin husky (hoarseness), asthma (wheezing), or carbon-containing slag sputum (carbonaceous sputum), and no abnormal chest X-rays and therefore should not invasive diagnosis and treatment and the like bronchoscopy or intubation immediately.

Choices:
A. This patient is likely to suffer burns the lungs (inhalation injury)
B. Because this injuries Moyoushengyin husky (hoarseness), asthma (wheezing), or carbon-containing slag sputum (carbonaceous sputum), and no abnormal chest X-rays and therefore should not invasive diagnosis and treatment and the like bronchoscopy or intubation immediately.
C. Clinical studies have shown, the liquid confinement (fluid restriction) will not prevent pulmonary edema caused by inhalation burn
D. In the follow-up treatment, unless there is evidence that lung infection is not recommended to start prophylactic antibiotics


Question: 40-year-old male patient who receives methadone replacement therapy to the psychiatric emergency room for medical treatment, examination revealed that the patient's confusion, vague words, Wufahuida questioning, and their restlessness like a needle in general. Which of the following is most likely for the clinical diagnosis?

Answer: Heroin poisoning

Choices:
A. Amphetamine withdrawal
B. Amphetamine poisoning
C. Heroin Withdrawal
D. Heroin poisoning


Question: That one of the following ophthalmic be used to identify the nodular scleritis (nodular episcleritis) and nodular scleritis (nodular scleritis)?

Answer: Sympathomimetic agents (such as phenylephrine)

Choices:
A. Parasympathetic inhibitors (e.g., tropicamide)
B. Sympathetic B inhibitors (e.g., timolol)
C. Parasympathetic stimulants (such as pilocarpine)
D. Sympathomimetic agents (such as phenylephrine)


Question: Emergency feeding on the poisoning, which of the following error?

Answer: All patients are recommended put a gastric tube lavage (gastric lavage)

Choices:
A. All patients are recommended put a gastric tube lavage (gastric lavage)
B. Not all patients are recommended for activated carbon (activated charcoal)
C. Stable phenomenon of life is the most important task first aid
D. Transit is recommended to lie on the left side (Left decubitus) transported gestures


Question: Corynebacterium diphtheria (Corynebacterium diphtheriae) the risk factors are:

Answer: Exotoxin release, inhibition of protein synthesis

Choices:
A. Exotoxin release, inhibition of protein synthesis
B. Inhibiting phagocytic cells produce granulomas
C. In the release of toxins, causing fever, shock
D. Destruction of epithelial cells, resulting in vasculitis


Question: From the previous question, this does not need to consider that most patients following the diagnosis?

Answer: Bartter syndrome (Bartter's syndrome)

Choices:
A. Primary aldosteronism cortex (primary aldosteronism)
B. Bartter syndrome (Bartter's syndrome)
C. Gelafusi's disease (Graves' disease)
D. Takayasu arteritis (Takayasu's arteritis) 29 and diagnosis of Sjögren's syndrome is the most independent inspection:


Question: Pilocytic astrocytoma belongs to WHO classification system of glioma in:

Answer: Grade 1

Choices:
A. Grade 1
B. Grade 2
C. Grade 3
D. Grade 4


Question: 80-year-old man, usually have constipation, sudden vomiting, frequent urination, weakness, presenting to the emergency room semi-conscious state, and found that blood serum calcium 14.2 mg / dL, the blood phosphorus 2.5 mg / dL, EKG showing PR extension, T wave or ST high shortened. Its disposal order items that the highest priority?

Answer: Forced hydration

Choices:
A. Calcitonin drug use
B. Correct electrolyte imbalance
C. Diuretic use
D. Forced hydration


Question: Which of the following is not a total parenteral nutrition (total parenteral nutrition) the indications?

Answer: Severe head trauma caused by the coma

Choices:
A. Severe head trauma caused by the coma
B. Long-term intestinal paralysis (prolonged ileus)
C. Intestinal - Leather fistula (entero-cutaneous fistula)
D. Short bowel syndrome (short bowel syndrome)


Question: CD4 and CD8 narrative related molecules on T cells, whichever is the most correct?

Answer: These two molecules can (MHC) molecule in combination with MHC tissue

Choices:
A. CD4 structure is constituted by two different peptide chains wins
B. These two molecules can be antigen-binding protein fragments directly
C. These two molecules can (MHC) molecule in combination with MHC tissue
D. CD4 and CD8 molecules are not involved in signal transmission system activated T cells


Question: Which of the following is not bent foot (plantar flexion) role?

Answer: Third peroneal muscles (peroneus tertius)

Choices:
A. Gastrocnemius muscle (gastrocnemius)
B. Third peroneal muscles (peroneus tertius)
C. Peroneal longus (peroneus longus)
D. Posterior tibial muscle (tibialis posterior) 8 Which of the following accompanying dorsal artery (dorsalis pedis artery)?


Question: Lesch-Nyhan syndrome is due to lack of time yellow purine - Bird purine nucleoside phosphorylase transfer enzyme (hypoxanthine-guanine phosphoribosyltransferase), thus following what happens?

Answer: A large number of purine (purine) biosynthesis

Choices:
A. A large number of purine (purine) biosynthesis
B. A large number of dTTP synthesis
C. DCTP in the blood is very low
D. Urine large number of urea (urea)


Question: The following section of the air passage is narrowed HE emphysema (emphysema) is characterized in?

Answer: Bronchioles (bronchioles)

Choices:
A. Windpipe (trachea)
B. Bronchus (bronchus)
C. Bronchioles (bronchioles)
D. Alveolar sacs (alveolar sac)


Question: Unilateral patient suffering from cancer of the urinary tract, bladder cancer later on the opposite side of the urinary tract and the probability of occurrence are:

Answer: 30 to 50% and 2 to 4%

Choices:
A. 5 to 10% and 10 to 15%
B. 20 to 25% and from 5 to 10%
C. 30 to 50% and 2 to 4%
D. 30 to 50% and 20 to 25%


Question: 31 Mr. 32-year-old, 30-year-old wife. The first eight weeks of pregnancy in spontaneous abortion, the second time in 16 weeks of pregnancy the fetus is found no brain child (acrania), thus terminating the pregnancy. Currently preparing to become pregnant, whichever is most appropriate treatment following?

Answer: The couple to accept chromosome, if one of the couple have chromosomal abnormalities, a higher chance chromosomal fetal abnormalities, amniocentesis must accept checks

Choices:
A. After pregnancy to take folic acid and vitamins
B. Folic acid and vitamins before pregnancy, after pregnancy to accept high-level ultrasound examination
C. Checks accepted amniocentesis during pregnancy 16 weeks to rule out the chance of fetal chromosomal abnormalities
D. The couple to accept chromosome, if one of the couple have chromosomal abnormalities, a higher chance chromosomal fetal abnormalities, amniocentesis must accept checks


Question: When head trauma, skull pterion part of a compression fracture, it can easily cause damage to a blood vessel, causing bleeding?

Answer: Middle meningeal artery (middle meningeal artery)

Choices:
A. Internal carotid artery (internal carotid artery)
B. Middle cerebral artery (middle cerebral artery)
C. Sigmoid sinus (sigmoid sinus)
D. Middle meningeal artery (middle meningeal artery)


Question: A 46-year old man hospitalized with alcoholic hepatitis, alcohol dependence has been the case for over 20 years, to drink two bottles of sorghum liquor for about a day, was still hospitalized alcohol. The first night in hospital complained about difficulty falling asleep and appeared tremor, sweating, heart palpitations and ill at ease, the following statements is true?

Answer: Vote benzodiazepine, but non-drug to improve sleep as the main subject

Choices:
A. The first line treatment of antipsychotics
B. Vote benzodiazepine, but non-drug to improve sleep as the main subject
C. Cast a non-benzodiazepine sleeping pills to improve sleep
D. Shall not be given anti-epileptic drugs carbamazepine


Question: 73 a 67-year-old man complained of blurred vision, eye doctor check bi-temporal hemianopsia phenomenon. The injection of this two MRI Gd-DTPA is, T1WI, the most likely diagnosis is:

Answer: meningioma

Choices:
A. pituitary adenoma
B. craniopharyngioma
C. meningioma
D. germ cell tumor


Question: A 3-year-old boys from 15 kg, six-story drop sent emergency, vital signs for the next heartbeat 160 / min, blood pressure 70/30 mmHg, 30 next breaths / min, the proper first aid to the infusion method Why?

Answer: Physiological saline (normal saline) a rapid infusion of 300 ml, twice if no response after the administration of transfusion i.e.

Choices:
A. Plasma substitute solution (Gelofusine) a rapid infusion of 300 ml, giving a blood transfusion i.e., after the reaction, if not
B. Fresh frozen plasma (fresh frozen plasma) a rapid infusion of 300 ml, if no response after a given red blood cell transfusion of the concentrate i.e.
C. Ringer's solution (Ringer's solution) a rapid infusion of 150 ml, twice if no response after the administration of transfusion i.e.
D. Physiological saline (normal saline) a rapid infusion of 300 ml, twice if no response after the administration of transfusion i.e.


Question: A 26-year-old male patient incidence of intestinal infection, which of the following circumstances do not need to use antimicrobial agents treatment?

Answer: nontyphoidal salmonellosis

Choices:
A. nontyphoidal salmonellosis
B. giardiasis
C. Fever and bloody stools phenomenon of traveler's diarrhea
D. Patients with fever and a lot of white blood cells in stool


Question: HE following items immunomodulatory drugs, anti-inflammatory and anti-angiogenic effect, which can inhibit the action of TNF-α, reduced phagocytosis of neutrophil?

Answer: thalidomide

Choices:
A. azathioprine
B. thalidomide
C. mycophenolate mofetil
D. cyclosporine


Question: 4 days old boy, shortness of breath, and severe cyanosis hospitalization, chest X-ray as shown in FIG. After administration of renal prostaglandin (PGE 1), which cyanosis and shortness of breath phenomenon did not improve, Which of the following is the most likely of heart problems?

Answer: With obstructive pulmonary venous return anomaly

Choices:
A. With obstructive pulmonary venous return anomaly
B. Great vessels merge ventricular septal defect
C. Law Rockwell Snap herniation with unilateral absence of pulmonary artery
D. Double outlet right ventricle with pulmonary stenosis


Question: 23 a 70-year-old man suddenly left limb weakness, it is the onset of the third day after he made the brain magnetic resonance imaging (MRI), the left is

Answer: Internal carotid artery (internal carotid artery)

Choices:
A. Internal carotid artery (internal carotid artery)
B. Middle cerebral artery (middle cerebral artery)
C. Anterior cerebral artery (anterior cerebral artery)
D. Posterior cerebral artery (posterior cerebral artery)


Question: Diffuse interstitial lung disease (diffuse interstitial lung disease) patient's physical examination, the most unlikely Which of the following occurs?

Answer: Bilateral symmetry of joint swelling (hypertrophic osteoarthropathy)

Choices:
A. Promote forced breathing (tachypnea)
B. Step down on both sides of the lung inspiratory rales (Crackle)
C. Clubbing (clubbing fingers)
D. Bilateral symmetry of joint swelling (hypertrophic osteoarthropathy)


Question: 62 A 36-year-old male skin every 2-3 days there will be a sudden rash of fusion occurs as shown below, and quite itch, there are 2 years. But the rash never happened lips. By taking antihistamines effective, but can not be cured. Blood examination revealed total IgE IU / mL, WBC 5,850 / mm3 with eosinophil 3.2%, ANA 1: 40X . Which of the following is the most likely diagnosis?

Answer: Chronic urticaria

Choices:
A. Angioedema
B. Chronic urticaria
C. Atopic dermatitis
D. Erythema multiforme


Question: 33.15 ⽣-year-old male, middle of the night sleeping suddenly left of testicular pain, pain to face discolored pale white, cold sweats, immediately to the hospital emergency room. In the absence of ultra-imaging Rec waves below, which of the following examination or treatment more in line with current medical shoots as usual ⾏ routine?

Answer: Exploration of the watch testicular surgery

Choices:
A. ⽣ anti-hormone therapy
B. Testicular slices
C. Exploration of the watch testicular surgery
D. Testicle removal surgery your watch


Question: 7. Which of the following constitute the arcuate line (arcuate line) before the lower rectus sheath (rectus sheath anterior to the rectus abdominis)? ①Scarpa's fascia ② obliques (external abdominal oblique muscle) of the fascia (aponeurosis) ③ internal oblique muscle (internal abdominal oblique muscle) ④ transversus abdominis aponeurosis (transversus abdominis) aponeurosis

Answer: ②③④

Choices:
A. ①
B. Only ②
C. Only ②③
D. ②③④


Question: From the previous question, the most likely outcome is that checking which of the following?

Answer: absence of end-diastolic flow velocity

Choices:
A. absence of end-diastolic flow velocity
B. reversed end-diastolic velocity
C. decrease of middle cerebral arterial flow
D. increase of middle cerebral arterial flow


Question: DNA is not in the common 5'-methyl cytosine go after amine (deamination), which appear in the visible mutations copy?

Answer: CG to TA

Choices:
A. CG to TA
B. CG to GC
C. CG to AT
D. G is removed


Question: 4 operating room late at night brought a 27-year-old car accident, the patient must be an emergency craniotomy decompression take hyperventilation anesthesia to reduce intracranial pressure (intracranial pressure), relating to the following description, what is correct? ①hyperventilation cerebrospinal fluid will tend to acidic ② even continued hyperventilation, cerebral blood flow (cerebral blood flow) will slowly return to the original numbers ③ excessive hyperventilation after about 12 hours, such as the PaCO2 lower than 20 mmHg, can also cause injured brain ischemia (ischemia) ④ If the swelling of the brain is very serious, after surgery should be considered temporarily closed skull

Answer: ②③④

Choices:
A. ①②③
B. ②③④
C. Only ①④
D. Only ③④


Question: Which of the following is not a cause of "pseudo - strabismus" (pseudoesotropia) of?

Answer: Preterm children retinopathy caused by macular ectopic (ectopic macula)

Choices:
A. Two pupils distance is too short
B. Explicit inner canthus wrinkles epithelium (epicanthal folds)
C. High myopia associated with negative kappa angle
D. Preterm children retinopathy caused by macular ectopic (ectopic macula)


Question: If the bottom of the levator ani muscle compared to pelvic hammock (hammock), following which plays anatomy ⽊ functions like a cross (the main attachment structure both ends of the hammock) across the hammock?

Answer: tendineus arch levator ani (ATLAS)

Choices:
A. tendineus arch levator ani (ATLAS)
B. arch tendineus fascia pelvis (ATFP)
C. internal obturator muscle
D. endopelvic fasciae


Question: Control of the following reasons related to the low dose of aspirin of myocardial infarction, what's wrong?

Answer: COX inhibition endothelial cells, no effect of regeneration

Choices:
A. Aspirin acts platelet cycloxygenase (COX) irreversibility
B. Primarily inhibit the formation of thromboxane A2 in platelets
C. The endothelial cells would inhibit COX at high doses, while prostacyclin formation will be reduced
D. COX inhibition endothelial cells, no effect of regeneration


Question: For a 70-year-old man undergoing total knee replacement surgery, patients had a history of coronary heart catheterization and received balloon angioplasty, symptoms improved. Still need to take a break when a slight movement, but no chest symptoms. Mining surgery under general anesthesia to thiopental, succinylcholine and halothane anesthesia is performed. When placing the knee, a sudden drop in blood pressure, display the ECG atrial fibrillation, heart rate 105 beats / min. The following statements is most likely?

Answer: May be the production of methylmethacrylate bone caused by mud

Choices:
A. High temperature may occur in patients with malignant
B. Patients with acute myocardial infarction may occur
C. Fat embolism occur, end-tidal carbon dioxide (end-tidal carbon dioxide) will increase to about 60 mmHg
D. May be the production of methylmethacrylate bone caused by mud


Question: Narrative about bacterial liver abscess of the following, what's wrong?

Answer: Early required to undergo a surgical drainage surgery

Choices:
A. Often occurs in patients with diabetes
B. Bacteria occurs via the blood circulation to the liver abscess
C. May be a single or multiple abscess
D. Early required to undergo a surgical drainage surgery


Question: That following malignant tumor of the middle ear to the eardrum red or dark red bumps appear?

Answer: Jugular paraganglioma (glomus jugulare tumor)

Choices:
A. Jugular paraganglioma (glomus jugulare tumor)
B. Middle ear (cholesteatoma)
C. Lipoma (lipoma)
D. 骨瘤（osteoma）


Question: From the previous question, the abovementioned conditions are most likely to organizational changes:

Answer: Diffuse alveolar damage

Choices:
A. Diffuse alveolar damage
B. Alveoli expand
C. Granulomatous vasculitis
D. Neutrophil infiltration


Question: Which of the following is not a neonatal brachial plexus damage (neonatal brachial plexus injuries) risk factors?

Answer: Premature birth (prematurity)

Choices:
A. Premature birth (prematurity)
B. Shoulder dystocia (shoulder dystocia)
C. Multi-maternal (multiparous mothers)
D. High birth weight (greater than 4,500 grams)


Question: Which of the following is not the most commonly used in genetic engineering of bacteria to be conducted?

Answer: DNA gyrase

Choices:
A. DNA gyrase
B. Restriction enzyme
C. DNA ligase
D. Cloning vector


Question: About hemorrhoids (hemorrhoid) narrative, what's wrong?

Answer: All of hemorrhoids need surgery

Choices:
A. Hemorrhoids are anal mucosa under construction which contains artery and vein smooth muscle and other tissues
B. Play an important role in the maintenance of the anal sphincter
C. Hemorrhoids surgery available ineffective conservative treatment of patients
D. All of hemorrhoids need surgery


Question: A student come to treatment because the outer knee pain, in its lateral femur (lateral femoral condyle) and the front lateral collateral ligament (lateral collateral ligament) found to have a significant local tenderness. Found that he had asked about the history of the habit of jogging, but examination revealed no apparent injuries. He most likely diagnosis is:

Answer: Tibial tract friction intestinal syndrome (iliotibial band friction syndrome)

Choices:
A. Outer knee meniscal cartilage (lateral meniscus) cracking
B. Third and fourth lumbar disc herniation (L3 ~ L4 HIVD)
C. Tibial tract friction intestinal syndrome (iliotibial band friction syndrome)
D. Knee lateral collateral ligament (lateral collateral ligament) sprain


Question: Which of the following is not conducting toes feel?

Answer: The saphenous nerve (saphenous nerve)

Choices:
A. Superficial peroneal nerve (superficial fibular nerve)
B. The saphenous nerve (saphenous nerve)
C. Plantar nerve (medial plantar nerve)
D. Deep peroneal nerve (deep fibular nerve)


Question: 72. The patient complained of lower back dull pain on the right side, the number of white blood cells in normal blood, ultrasound examination revealed right kidney tumor, computer tomography, such as drawings, which of the following best diagnosis correct?

Answer: renal angiomyolipoma

Choices:
A. renal cell carcinoma
B. urothelial cell carcinoma
C. renal angiomyolipoma
D. xanthogranulomatous pyelonephritis


Question: When is the implantation of the embryo in the endometrium time?

Answer: 7 to 10 days after ovulation

Choices:
A. 7 to 10 days after ovulation
B. Menstrual cycle of 16 to 18 days
C. 3 to 5 days after ovulation
D. Menstrual cycle of 28 to 30 days


Question: A 30-year-old man with schizophrenia taking antipsychotic drugs, and auditory hallucinations, smiling Jie improved, but is still unable to work and stay at home, thus causing resentment and blame siblings, his mother is very protective and life to help him in everything ready. The following statements about the mood of the show, what's wrong?

Answer: Emotional Expression theory proposed by British scholar Julian Left in the year of 60

Choices:
A. This family of patients are highly emotional show (high expressed emotion)
B. Emotional Expression theory proposed by British scholar Julian Left in the year of 60
C. Mental illness in the family of highly emotional show, and the contact time with the family over 35 hours per week, the relapse rate is high
D. Low emotion expression families will think of a more patient behavior is caused by the disease, rather than his ability to control


Question: Whichever of the following anticancer agent and can be due to vascular endothelial growth factor (VEGF) in combination, to inhibit angiogenesis (angiogenesis), can be used as therapy of metastatic colorectal cancer?

Answer: bevacizumab

Choices:
A. bevacizumab
B. cetuximab
C. gefitinib
D. imatinib


Question: A 80-year-old man because memory has receded two years, accompanied by their families for the first time to see the clinic, your first step is to make:

Answer: Asked in detail about their medical history and neurological examination for Science and

Choices:
A. Asked in detail about their medical history and neurological examination for Science and
B. Brain CT
C. Brainwave
D. Brain magnetic resonance imaging


Question: Rapidly progressive glomerulonephritis (rapidly progressive glomerulonephritis) characteristics of pathological changes Why?

Answer: Forming a crescent (crescent formation)

Choices:
A. Thickening of the basement membrane (basement membrane thickening)
B. Foot cell fusion (podocyte fusion)
C. Forming a crescent (crescent formation)
D. A large number of immune complex deposition (immune complex deposition)


Question: For when the twelfth thoracic vertebra compression fracture (compression fracture) occurs patient prescription aids bracket, Which of the following most appropriate?

Answer: Full back frame (Knight-Taylor brace)

Choices:
A. Full back frame (Knight-Taylor brace)
B. Short back frame (Knight brace)
C. Corset (lumbar corset)
D. Miwa Ji back frame (Milwaukee brace)


Question: Account of sudden infant death syndrome (sudden infant death syndrome, SIDS), and which of the following error?

Answer: The incidence of neonatal month or less reached its peak in the next 2-3 months, large, and very common

Choices:
A. SIDS is defined as the sudden death of infants under one year of age, and after a complete autopsy, the death process and resolve clinical history and other viewers after a detailed investigation, failed to find a cause of death
B. The incidence of neonatal month or less reached its peak in the next 2-3 months, large, and very common
C. Risk factors include fetal exposure to smoking in the womb, premature birth, not breast-feeding, Pashui to sleep with their parents, there are soft crib items
D. Also found that SIDS-related gene variants, for example, sodium potassium channels of the cardiac muscle, autonomic nervous system development, and other respiratory control center of abnormal gene


Question: 79. Vibrio cholerae (Vibrio cholerae) will output cholera toxin (cholera toxin), a catalytic Gs [alpha] (i.e., white stimulatory G protein α subunit) of the ADP-ribosylation, ⽽ GTPase activity so that Gs [alpha] was inhibited, the following about this toxin as Using ⽪ described in the cells of the intestinal disease PORTRAIT what's wrong?

Answer: Gsα cells not activate downstream effectors (effectors)

Choices:
A. Gsα cells not activate downstream effectors (effectors)
B. Gsα cells and white Gs protein βγ subunits bind again (re-association) is inhibited
C. Cell adenylyl cyclase activation duration
D. Cell cAMP increase


Question: 5350-year-old male, 6 years ago, the family discovered he walked, swinging his left hand low, but he does not feel bothered did not take medicine. Two years later, left hand, left foot movements become more stiff and slow, three years ago, also found that patients become more awkward when he did something with his right hand. So he started taking drugs. In the last three years, he also found that eating just left of dopamine (L-dopa), these symptoms will disappear completely, but efficacy can only be maintained for about four hours. Six years, he no circumstances trembling. Will he most likely what ails?

Answer: Parkinson's disease (Parkinson's disease)

Choices:
A. Multiple cerebral degeneration of Parkinson's disease (multiple systemic atrophy-parkinsonian type; MSA-P)
B. Corticobasal degeneration (cortico-basal degeneration, CBD)
C. Parkinson's disease (Parkinson's disease)
D. Multiple sclerosis (multiple sclerosis)


Question: From the previous question, the initial physical examination, the patient was found swollen lymph nodes; on tumor stage (staging), Which of the following does not have the most importance?

Answer: Skin depth of tumor invasion (Clark level of invasion)

Choices:
A. The thickness of the tumor tissue (tumor thickness) measurement
B. Sentinel lymph node biopsy (sentinel lymph node biopsy)
C. Skin depth of tumor invasion (Clark level of invasion)
D. Chest X-ray photography


Question: What age usually appear first symptoms of a panic attack, may be considered to be particularly associated with internal and surgical diseases?

Answer: Over 45 years

Choices:
A. Childhood
B. Adolescence
C. 25 to 35 years old
D. Over 45 years


Question: A 75-year-old male thrombosis occurred in a different vein alternate location. Such a removal of thrombophlebitis (migratory thrombophlebitis) phenomenon (also known as Trousseau sign), most often complicated by following what disease?

Answer: Pancreas, colon or lung cancer

Choices:
A. Pancreas, colon or lung cancer
B. Chronic osteomyelitis
C. Congestive heart failure
D. Stage renal disease


Question: 78 S. haematobium infections (Schistosoma haematobium) of the following statements is that correct? Patients often ① hematuria (hematuria) ② often occur in patients urine eosinophils (eosinophilic leukocyturia) ③ by adult patients with chronic infection may induce bladder irritation

Answer: Only ①①

Choices:
A. Only ①①
B. Only ①①
C. Only ①①
D. ①①①


Question: Because patients with hyperthyroidism caused by arrhythmias, should be avoided Which of the following drugs in order to avoid the deterioration of hyperthyroidism?

Answer: amiodarone

Choices:
A. digoxin
B. amiodarone
C. propranolol
D. diltiazem


Question: Statements about the diabetic polyneuropathy, which of the following error?

Answer: Foot ulcers are rare

Choices:
A. Diabetes is the most common cause of polyneuropathy
B. The most common manifestations of chronic, progressive and symmetrical violations distal lower extremity foot sensory nervous system-based
C. Patients often complained of the foot and lower limb numbness, tingling (tingling)
D. Foot ulcers are rare


Question: ADVANCED immunoglobulin M White syndrome (hyper-IgM syndrome) is a congenital immunodeficiency diseases ⼀, clear ⾎ patient except rare ⾒ other types of IgM, IgG and IgA, for example, significantly lower than the average value, resulting in patients prone to infection. B cell defect in a particular gene can not result in B cell production ⽣ conversion type (class switching), but mutations of T cells can also result in the same disease. The following egg white matter defects that cause T cells help B cells can not be cast?

Answer: CD40 ligand

Choices:
A. AID（activation-induced cytidine deaminase）
B. CD40
C. CD40 ligand
D. NEMO (NF-κB essential modulator, also known as IKK γ)


Question:
65. The incidence of scoliosis (scoliosis) cerebral palsy (cerebral palsy) patients 21 to 76%, if the gross motor function evaluation system (Gross Motor Function Classification System, GMFCS) classified severe cerebral palsy degree, following the kind of severity
 Cerebral palsy patients have a greater chance to generate scoliosis problems?

Answer: GMFCS IV

Choices:
A. GMFCS In
B. GMFCS II
C. GMFCS III
D. GMFCS IV


Question: Shaft flap (axial pattern flap) of blood circulation from:

Answer: Artery and vein skin (cutaneous artery and vein)

Choices:
A. Artery and vein skin (cutaneous artery and vein)
B. Organizations rely on nutrient penetration of its required supply of liquid
C. By muscle of blood vessels (myocutaneous perforators)
D. The dermal microvascular alone (subdermal plexus)


Question: 60 a 58 year old patient with diabetes secondary to injections of insulin daily to control blood sugar, blood sugar values are: 160 mg / dL, before breakfast, after breakfast hours 150 mg / dL, before dinner, 120 mg / dL, bedtime 140 mg / dL. The following is one of the measures that correct?

Answer: Increase NPH insulin dose before dinner

Choices:
A. NPH insulin dose before adding breakfast
B. Regular increases insulin dose before breakfast
C. Increase NPH insulin dose before dinner
D. Regular insulin dose increased before dinner


Question: Statements about sleep apnea (sleep apnea), and which of the following error?

Answer: Occurs by transfer machine can be divided into three types, the majority of mixed type

Choices:
A. Normal adult respiratory airflow during sleep, such as stopping for more than 10 seconds is called significant apnea
B. The severe form is defined as greater than the apnea-hypopnea index (AHI) 30 times / hour
C. Occurs by transfer machine can be divided into three types, the majority of mixed type
D. Patients with central apnea, the air flow is stopped when the nose and mouth, but no chest or other respiratory movement


Question: 450-year-old male patient, to the hospital three days ago because of severe headaches, after CT angiography diagnosed with a cerebral aneurysm (cerebral arterial aneurysm), now surgery. For the induction and maintenance of anesthesia, the following statements is wrong?

Answer: Surgery hyperventilation, carbon dioxide gas resulting in decreased arterial pressure (PaCO2), the increased blood flow to the brain (cerebral blood flow)

Choices:
A. For an arterial catheter (arterial catheter) monitoring of blood pressure
B. Anesthesia was induced sudden increase in blood pressure to be avoided (acute hypertension)
C. Selective surgery hypotension (induced hypotension) often use high concentrations of isoflurane were combined nitroprusside
D. Surgery hyperventilation, carbon dioxide gas resulting in decreased arterial pressure (PaCO2), the increased blood flow to the brain (cerebral blood flow)


Question: When a runner ran fast forward, suddenly encounters an obstacle that must continue to gallop in a right turn, runners can maintain a balance in this process does not fall right turn, what would be an assist in maintaining the homeostasis of the main structure of this?

Answer: Semicircular ducts

Choices:
A. Utricle
B. Saccule
C. Semicircular ducts
D. Basal ganglia


Question: A 30-year-old man complained of a sudden see the flash in the upper left visual field, gradually jagged, after growing, flashing stops after about 15 minutes, but after a few minutes the headache gradually produce for several hours, and accompanied by nausea. This is his third attack last six months. Which of the following is the most likely diagnosis?

Answer: Harbinger of migraine

Choices:
A. epilepsy
B. Harbinger of migraine
C. Transient ischemic
D. glaucoma


Question: 14-year-old girl, two years ago right knee swelling, pain medication invalid, X ray showed right leg distal femur tumor infiltration, surgery, biopsy confirmed osteosarcoma. But the poor response received multiple chemotherapy, tumor resection done and installed an artificial joint. Recurrence after resection done right leg; lung metastasis surgical resection. Hospitalized for a month before the bottom of the sternum, above the navel is often paroxysmal like electrical contact-like pain, clinically suspected spinal metastases. The following disposal plan what's more appropriate?

Answer: Recommend patients and their families receiving palliative care and pain control do

Choices:
A. After the nuclear medicine bone scan confirmed that note neurosurgeon surgery
B. Continue to give further chemical treatment
C. Recommended that anesthesiologists do note intervertebral injection pain
D. Recommend patients and their families receiving palliative care and pain control do


Question: Statements about Oxytocin (Oxytocin), and which of the following error?

Answer: The most common side effects of oxytocin is uterine rupture, especially in the uterus occurs no scar of maternal

Choices:
A. When using certain birth oxytocin starting dose and rate of increase
B. Oxytocin dose should not exceed the maximum (42 mU / min)
C. The most common side effects of oxytocin is uterine rupture, especially in the uterus occurs no scar of maternal
D. Side effects of oxytocin water intoxication (Water intoxication), can cause convulsions, coma, and death


Question: Following on the development of the tonsils, where entries are correct?

Answer: Palatine tonsils from the second pharyngeal pouch

Choices:
A. Palatine tonsils from the second pharyngeal pouch
B. Pharyngeal tonsils from the oropharyngeal lymphoid nodules
C. Lingual tonsil lymphoid nodules fall from the nasopharynx gathered together
D. Lymphoid nodule tongue tube from the tonsils


Question: Decided to chronic severe mitral regurgitation whether (severe mitral regurgitation) patients should undergo surgery, Which of the following is the highest priority considerations?

Answer: Are there symptoms

Choices:
A. Left ventricular systolic function
B. Left ventricular end-systolic diameter
C. Are there symptoms
D. Suitability for mitral valve repair


Question: Risk factors for active TB that does not include one of the following?

Answer: Preschool

Choices:
A. AIDS
B. Chronic renal failure
C. Use of steroids and other immunosuppressive drugs
D. Preschool


Question: Which of the following does not belong to a local flap flap (local flap)?

Answer: Toe to finger transplant (toe to hand transfer)

Choices:
A. Advancement flap (advanced flap)
B. Toe to finger transplant (toe to hand transfer)
C. Island vascular stem flap (island-pedicled flap)
D. Gluteus maximus musculocutaneous V-Y advancement flap (gluteal maximal V-Y musculocutaneous advanced flap)


Question: Which of the following does not belong to the systemic inflammatory response syndrome (systemic inflammatory response syndrome, SIRS)?

Answer: Arterial carbon dioxide tension (PaCO2)> 32 mmHg

Choices:
A. Core temperature <36 ℃
B. Heart rate> 90 / min
C. Arterial carbon dioxide tension (PaCO2)> 32 mmHg
D. Leukocyte <4000 cells / mm3


Question: Who lived in the village of General Tainan 48 year old man recently found off of painless hematuria, blood clots and a sheet-like appearance. Patients not taking aspirin, but the history of stones, there are also long-term smoking, drinking of habit. For more illness in whichever 'diagnosis of the cause "no significant value?

Answer: Patients have the habit of drinking

Choices:
A. Patients living in rural General
B. Hematuria form
C. No patients using aspirin
D. Patients have the habit of drinking


Question: 50-year-old male with a history of liver cancer. In about two days, severe back pain suddenly occurs and unable to walk, magnetic resonance imaging (MRI) examination showed metastasis occurred in the twelfth thoracic vertebra, and severe nerve compression situation. There was also a physician to inform patients cauda equina syndrome (cauda equina syndrome). Which of the following is not a typical symptom of cauda equina syndrome?

Answer: Lower limb deep tendon reflexes (deep tendon reflex) enhanced

Choices:
A. Incontinence or retention
B. Lower limb deep tendon reflexes (deep tendon reflex) enhanced
C. Numbness around the anus
D. Leg weakness


Question: One male patient, long granite work digging work, complained of dry cough and breathing difficulties. Chest X-rays showed nodules dispersed and there is peripheral calcification, the diagnosis is most likely:

Answer: Silicon deposition disease

Choices:
A. Carbon deposition disease
B. Beryllium deposition disease
C. Silicon deposition disease
D. Asbestos deposition disease


Question: There are two urea nitrogen atoms. If the first ammonia from nitrogen atom, the second nitrogen atom which of the following come from?

Answer: aspartate

Choices:
A. aspartate
B. histidine
C. arginine
D. ornithine


Question: When the following conditions are metabolic alkalosis, check urine chloride concentration may occur, which of the following conditions different from the other three?

Answer: Patients using nasogastric tube drainage

Choices:
A. Primary cortical aldehyde ketoacidosis (primary aldosteronism)
B. Patients using nasogastric tube drainage
C. Gitelman's syndrome
D. Use of diuretics


Question: 18-year-old male student in class because of the occurrence of headache, confusion, weak legs and incontinence was sent to the emergency room. Two weeks ago, he had a few days of respiratory infections, fever, after treatment, when the symptoms had complete remission. According to history, the most likely diagnosis is:

Answer: Acute diffuse encephalomyelitis (acute disseminated encephalomyelitis)

Choices:
A. Multiple sclerosis (multiple sclerosis)
B. Acute inflammatory demyelinating polyneuropathy syndrome (Guillain-Barré syndrome)
C. Viral meningitis (viral meningoencephalitis)
D. Acute diffuse encephalomyelitis (acute disseminated encephalomyelitis)


Question: Patients with anemia related to chronic kidney statements is true?

Answer: If the patient is tubulointerstitial nephritis, anemia usually appear earlier than patients glomerular lesions

Choices:
A. The main causes of anemia is the shortened life of red blood cells
B. If the patient is tubulointerstitial nephritis, anemia usually appear earlier than patients glomerular lesions
C. Most of these patients anemia is hypochromic anemia of small ball (hypochromic microcytic anemia)
D. When corrected, the hematocrit of the patient (hematocrit) should be controlled at 36-38%


Question: The following related auscultation, palpation and stethoscope (stethoscope) describes the use of, what's wrong?

Answer: The second heart sound (second heart sound) on and off of the mitral and tricuspid related

Choices:
A. stethoscope diaphragm surface is adapted to listen to the high frequency heart murmurs, bell surface is adapted to listen to the heart sounds and murmurs low
B. The second heart sound (second heart sound) on and off of the mitral and tricuspid related
C. Thrill expressed palpable intensity exceeds III / VI stage heart murmur
D. Normal second heart sound may be slightly apart (splitting second sound) when breathing significantly grow about 23 children and infants of slow (Failure to thrive) during inspiration than the narrative, which of the following error?


Question: 65-year-old vegetarian woman to the clinic complaining of progressive ataxia six months, blood tests found that vitamin B12 (Vitamin B12) is low, the neurological examination revealed ankle and knee jerk reflex enhancement, positive Babinsiji's sign (positive Babinski sign), lower limb vibration and position sense impaired nerve conduction studies appear peripheral neuropathy, the diagnosis is most likely why?

Answer: Subacute combined degeneration (subacute combined degeneration)

Choices:
A. Prefrontal stroke
B. In stroke
C. Syphilis spinal cord disease
D. Subacute combined degeneration (subacute combined degeneration)


Question: Pseudomonas aeruginosa (Pseudomonas aeruginosa) produced exotoxin A (exotoxin A) Which of the following mechanism of the toxic effect on cells similar?

Answer: Diphtheria toxin (Diphtheria toxin)

Choices:
A. Cholera toxin (Cholera toxin)
B. Diphtheria toxin (Diphtheria toxin)
C. Tetanus toxin (Tetanospasmin)
D. Streptococcal exotoxin source (Pyrogenic exotoxin)


Question: The following statements about the fetal blood circulation, what this bad?

Answer: Aortic artery catheter may be introduced into the pulmonary blood circulation

Choices:
A. The oxygenated blood from the umbilical vein carrying the placenta to the fetus
B. Save the umbilical artery blood oxygen from the placenta to the fetus carried
C. Into the right atrium and right ventricle through the blood may reach the left atrium
D. Aortic artery catheter may be introduced into the pulmonary blood circulation


Question: 30-year-old young men because of acute diarrhea dozens of times to emergency medical treatment, stool examination revealed white blood cells, may I ask what kind of bacteria the least likely?

Answer: Vibrio cholerae

Choices:
A. Salmonella species
B. Shigella species
C. Vibrio cholerae
D. Vibrio parahaemolyticus


Question: Common features of atherosclerotic plaque (atheromatous plaques) are:

Answer: Endometrial (tunica intima) has many smooth muscle cell proliferation

Choices:
A. Endometrial (tunica intima) has many smooth muscle cell proliferation
B. Membrane (tunica media) Many elastic plate (elastic lamellae) occurs
C. Adventitia (tunica adventitia) significantly thicker
D. Three-layer structure were significantly smooth muscle cell proliferation, lipids (Lipid) accumulation and collagen (Collagen) large scale synthesis


Question: 62-year-old female patient complained over the years on both sides of the hand and foot joint pain. The picture shows the X-ray photography both ankle joint of this treatment. Why is the most likely diagnosis?

Answer: Rheumatoid arthritis

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


Question: Which of the following will make feeding stool routine examination when peroxide enzyme (peroxidase test) Determination of occult blood, occurrence of false negative reaction?

Answer: Vitamin C

Choices:
A. Liver
B. Lean meat
C. Potato
D. Vitamin C


Question: The watch-connector cavity cancer-related surgery received adjuvant radiotherapy and chemotherapy narrative (chemoradiation) of, which of the following error?

Answer: The best adjuvant chemotherapy after more than six weeks before the start, to avoid affecting the healing wound-connector

Choices:
A. The best adjuvant chemotherapy after more than six weeks before the start, to avoid affecting the healing wound-connector
B. There diffusion of extranodal disease Face film is adjuvant chemotherapy indications
C. Margin (section margin) tumor cells, adjuvant chemotherapy still contribute to disease control
D. Phase IV disease surgery Face the watch even if complete resection, also recommended for adjuvant chemotherapy


Question: Rehabilitation physical therapy equipment, the following does not belong to that deep hyperthermia?

Answer: Vector wave interference

Choices:
A. shortwave
B. microwave
C. Vector wave interference
D. Ultrasound


Question: In the causally related, because we must appear before the fruit, that is the causative agent of the disease should occur before the invasion to the study, and from invasion by the time interval between the onset must be compared with the induction phase of the disease or a long incubation period. The above description of a condition that belongs to determine causality?

Answer: Related to the timing of

Choices:
A. Of biological agree
B. Related consistency
C. Related strength
D. Related to the timing of


Question: Forearm tendon patients, Which of the following is most likely damaged at the same time?

Answer: Ulnar flexor carpi (Flexor carpi ulnaris muscle) tendon

Choices:
A. Radial wrist flexor muscle (Flexor carpi radialis muscle) tendon
B. Ulnar flexor carpi (Flexor carpi ulnaris muscle) tendon
C. Flexor hallucis longus muscle (Flexor pollicis longus) tendon
D. Shallow index finger flexor muscle (Flexor digitorum superficialis) tendon


Question: Which of the following virus infection can cause monocytogenes, heterophile antibodies (heterophile antibody) and negative symptoms of hepatitis?

Answer: Cytomegalovirus

Choices:
A. Epstein-Barr virus
B. Human herpesvirus-6
C. Human T-cell lymphotropic virus type 1
D. Cytomegalovirus


Question: B cells were bound to antigen activation of T cells did not get help because of genetic disorders: hyper-IgM syndrome (hyper-IgM syndrome), often because of a genetic defect that caused?

Answer: CD40 ligand（CD40L）

Choices:
A. DNA helicase
B. Bruton's tyrosine kinase（Btk）
C. CD40 ligand（CD40L）
D. Recombination-activating gene（RAG）


Question: 21 year old woman, complained: palpitations, chest tightness, and the symptoms and has nothing to do with sports, its heart ultrasound chart below, the following statements is true?

Answer: Low doses of beta blockers (beta-blocker) may help to improve the patient's symptoms

Choices:
A. Common arthritis and a history of prolonged fever
B. Applicable digitalis and diuretics
C. Recommend limiting patients daily volume of activity
D. Low doses of beta blockers (beta-blocker) may help to improve the patient's symptoms


Answer: Radial nerve (radial nerve)

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


Question: The following describes what is used disadvantage mast cell stabilizers (mast cell stabilizer) eye drops for treating allergic conjunctivitis?

Answer: Must begin to use before the onset completely

Choices:
A. Must begin to use before the onset completely
B. Points once per hour
C. Easily lead to asthma attacks
D. Easily lead to glaucoma attack


Question: At the time of organ transplantation, anti-cortisol is also frequently used one rejection drugs, which of the following is the most commonly used cortisol?

Answer: Prednisolone

Choices:
A. Beclomethasone
B. Prednisolone
C. Dexamethasone
D. Triamcinolone


Question: Statements about diverticular disease of the small intestine (diverticular disease), the error which of the following?

Answer: About duodenal diverticular disease, mainly occur in the first portion of the position

Choices:
A. About predilection position diverticular disease of the intestine, small intestine, large intestine is ranked second only to
B. Difference between true diverticulum and false diverticulum lies in false diverticulum lack of muscle layer
C. Patients diagnosed with intestinal diverticular disease, and very few patients older than 40 years old
D. About duodenal diverticular disease, mainly occur in the first portion of the position


Question: Priority treatment of gestational trophoblastic diseases (gestational trophoblastic disease) was transferred to the treatment of the brain, in the case of no bleeding and compression symptoms, which of the following is NETDC (New England Trophoblastic Disease Center [Dana-Farber Cancer Institute]) suggested ?

Answer: Combined with chemotherapy and radiation therapy (combination of chemotherapy and brain irradiation)

Choices:
A. Whole brain radiation therapy (whole-brain radiation)
B. Stereotactic radiosurgery treating (stereotactic radiosurgery)
C. Craniotomy surgery (craniotomy)
D. Combined with chemotherapy and radiation therapy (combination of chemotherapy and brain irradiation)


Question: 75 year old man right nephrectomy renal cell carcinoma, non-illustrated diseased kidney tissue tumor renal artery tube. Which of the following best meets shown lesions?

Answer: systemic hypertension

Choices:
A. polyarteritis nodosa
B. Wegener granulomatoses
C. microscopic polyangiitis
D. systemic hypertension


Question: Irrespective of cartilage cells (chondrocyte) differentiation with which of the following?

Answer: Fibroblasts (fibroblast)

Choices:
A. Fibroblasts (fibroblast)
B. Chondrogenic (chondrogenic cell)
C. Chondroblasts (chondroblast)
D. Mesenchymal cells (mesenchymal cell)


Question: Patients because of hoarseness and cough and treatment, no previous history inquiry by major surgery or surgical disease, no significant local check impalpable tumor, laryngeal endoscopic examination revealed left vocal cord inactive, which shall take place subsequent the most appropriate?

Answer: X-ray photography neck

Choices:
A. #VALUE!
B. 67890ooooooo
C. #VALUE!
D. X-ray photography neck


Question: Statements about shaking a baby syndrome (shaken baby syndrome), the error which of the following?

Answer: It is easy to find abnormal appearance

Choices:
A. Often with child abuse (child abuse) related to social work intervention is sometimes necessary
B. Clinically do Fundus examination showed retinal bleeding (retinal hemorrhage)
C. CT scan, hematoma (acute subdural hematoma) acute subdural
D. It is easy to find abnormal appearance


Question: From the previous question, since patients with parapneumonic effusion, thoracentesis do so under ultrasound guidance, the following numerical fluid analysis of pleural, whichever is most do not need to put a chest tube?

Answer: glucose > 40 mg/dL

Choices:
A. flank pus
B. glucose > 40 mg/dL
C. pH < 7.2
D. LDH> 1,000 U / L


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

Answer: The occurrence of the disease and taking salicylate (salicylate) has nothing to do

Choices:
A. Disturbance of consciousness after the disease is mostly severe vomiting
B. Pathological changes of the liver, the brain cells of a fine fat particles deposited
C. Blood group transfer enzyme values (GOT, GPT), and ammonia values will rise
D. The occurrence of the disease and taking salicylate (salicylate) has nothing to do


Question: 6051-year-old Chen, nearly a month have found the right side of the scalp partial hair loss, scalp itching, peeling and generation block pain, the hospital's physician before giving antibiotics and anti-inflammatory prednisone does not improve the situation. So before physicians know the detailed inquiry: a very cute stray dogs picked up Chen three months ago, named Bobby. Bobby appealing very lively, and often close to Chen, then the physician to Wood's light (Wood's light) test is positive, the affected area take further culture dander; results raise white hairy colonies, septate hyphae presented microscope (septate hyphae), produce numerous number of spindle-shaped, thick-walled, large surface roughness spores (macrospores). The infection is most likely pathogen which of the following?

Answer: Microsporum canis

Choices:
A. Epidermophyton floccosum
B. Microsporum canis
C. Microsporum gypseum
D. Trichophyton schoenleinii


Question: Which of the following is not a low frequency heart sounds?

Answer: Aortic insufficiency (Aortic regurgitation) diastolic murmur cause of

Choices:
A. The third heart sound
B. The fourth heart sound
C. Mitral stenosis (Mitral stenosis) led to the diastolic murmur
D. Aortic insufficiency (Aortic regurgitation) diastolic murmur cause of


Question: If analysis of a body of experimental gene found in an organism, adenine nucleic acid content is about 20%, guanine content in the body of this gene why?

Answer: 30%

Choices:
A. 10%
B. 20%
C. 30%
D. 40%


Question: To target drugs (tyrosine power inhibitor, tyrosine kinase inhibitor) treatment of non-small cell lung cancer, the effect is the most important determinant of treatment Why?

Answer: Epidermal growth factor receptor (epidermal growth factor receptor) gene mutation specific

Choices:
A. Cell sorting - lung adenocarcinoma
B. Gender - Women
C. Smoking history - a non-smoker
D. Epidermal growth factor receptor (epidermal growth factor receptor) gene mutation specific


Question: Human leukocyte antigen (human leucocyte antigens, HLA) are:

Answer: Major histocompatibility complex molecules (major histocompatibility complex molecules)

Choices:
A. Adhesion molecule (adhesion molecules)
B. Go home receptors (homing receptors)
C. Major histocompatibility complex molecules (major histocompatibility complex molecules)
D. Tissue-specific antigen (tissue specific antigens)


Question: What these malignancies are rare lymph node metastasis Day?

Answer: Sarcomas (sarcomas)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Sarcomas (sarcomas)
C. Melanoma (melanoma)
D. Germ cell tumors (germ cell tumor)


Question: Whichever of the following medicines via inhibition of Leukotriene receptor's role, as an oral treatment for asthma medication?

Answer: Zafirlukast

Choices:
A. Zafirlukast
B. Albuterol
C. Theophylline
D. Tiopropium


Question: Pregnancy, maternal serum "alpha fetoprotein (AFP)" is too high, which of the following should be suspected disease?

Answer: Fetal neural tube defect or defects in the skin

Choices:
A. Chromosomal abnormalities, especially Down syndrome
B. Fetal neural tube defect or defects in the skin
C. Thalassemia
D. Gestational trophoblastic disease


Question: General assessment of the environmental quality of major air pollutants, including those of the following substances?

Answer: Ozone, carbon monoxide, suspended particles, sulfur dioxide, nitrogen dioxide

Choices:
A. Ozone, carbon monoxide, suspended particles, sulfur dioxide, nitrogen dioxide
B. Polycyclic aromatic hydrocarbons, ozone, carbon monoxide, lead, benzene
C. Formaldehyde, hydrogen sulfate, asbestos, benzene, odorous substances
D. Toluene, sulfur dioxide, propylene, carbon monoxide, nitrogen dioxide


Question: About defecation and exhaust anorectal sensory receptor that is located in the rectum of a layer structure?

Answer: Muscle layer

Choices:
A. Mucosa
B. Submucosa
C. Muscle layer
D. Serosa


Question: The inside of the lower limbs swing femoral artery (medial circumflex femoral artery) circumflex femoral artery and the outside (lateral circumflex femoral artery) Which of the following is a direct sub ⽀?

Answer: Deep femoral artery (deep femoral artery)

Choices:
A. Femoral artery (femoral artery)
B. Deep femoral artery (deep femoral artery)
C. The former is the femoral artery (femoral artery), which is the deep femoral artery (deep femoral artery)
D. The former is a deep femoral artery (deep femoral artery), which is the femoral artery (femoral artery)


Question: After initial treatment, until Mr. Wang in stable condition, arrangements should be further examined to determine what items following the lesion location?

Answer: Movies brain CT angiography (computed tomography angiography)

Choices:
A. Check nerve conduction velocity (nerve conduction velocity testing)
B. Lumbar puncture (lumbar puncture)
C. Movies brain CT angiography (computed tomography angiography)
D. Electroencephalogram (EEG)


Question: A child left eye was hit by a baseball, eyes swollen parts immediately, subconjunctival hemorrhage, left eye can not move up, the following statements is wrong?

Answer: Left eye can not move up because the rectus card at the bottom of orbital fracture

Choices:
A. Children may have a lower edge orbital fractures (infra-orbital rim fracture)
B. Children may have the bottom of orbital fracture (orbital floor fracture)
C. Left eye can not move up because the rectus card at the bottom of orbital fracture
D. Children need to accept orbital CT examination (orbital CT)


Question: A 75-year-old female patient, slipped and fell, the occurrence of back pain, according to X-ray examination revealed the first lumbar vertebra and the third lumbar compression fracture occurs, blood tests and blood counts were normal, what items the following statements is correct?

Answer: Generally do not need surgery performed under reduced pressure

Choices:
A. The most suitable location for the lumbar spine bone mineral density examination
B. Currently the best bone density test to check bone density ultrasound
C. Generally do not need surgery performed under reduced pressure
D. Bisphosphonate therapy can promote osteoblasts synthesize bone, calcium supplementation is not required


Question: Face disease spinal cord injury recoverable shutter mode assist Using electrodes made of sperm in semen, where the electrodes to be placed?

Answer: rectum

Choices:
A. abdomen
B. perineum
C. rectum
D. Penis


Question: Ninety percent of varicoceles occur on the left side of the scrotum in men is because the left testicular venous return to:

Answer: The left renal vein (Renal vein)

Choices:
A. Inferior vena cava (Inferior vena cava)
B. The left renal vein (Renal vein)
C. Left iliac vein (Iliac vein)
D. The left femoral vein (Femoral vein)


Question: Middle-aged men in a car accident injuries complained of abdominal pain, blood pressure show steady state. Computer tomography figures. Blue arrow anomaly is most likely that following an early diagnosis?

Answer: pancreas laceration

Choices:
A. liver laceration
B. colon laceration
C. pancreas laceration
D. mesentery laceration