Question: Which of the following does not cause flaccid neuropathic bladder?

Answer: Cervical spine injuries (cervical spine injury) and has quadriplegia

Choices:
A. S2-S4 spinal cord injury
B. Cervical spine injuries (cervical spine injury) and has quadriplegia
C. Myelodysplasia cause anterior horn cell can not develop properly
D. Poliovirus infection and destruction of anterior horn cell of spinal cord


Question: The following description of gout (gout) and acute gouty arthritis (acute gouty arthritis), and what's wrong?

Answer: Hyperuricemia (hyperuricemia) is the main cause of gout, and therefore the measured value of blood uric acid acute gouty arthritis onset of disease

Choices:
A. The probability of acute gouty arthritis lower limbs than upper limb
B. Gout occurs in the probability of men than women
C. Hyperuricemia (hyperuricemia) is the main cause of gout, and therefore the measured value of blood uric acid acute gouty arthritis onset of disease
D. Joint fluid examination acute gouty arthritis may increase white blood cells found in the case of synovial fluid leukocyte count from thousands to tens of thousands


Question: 25.60-year-old woman with acute abdominal pain, fever to the emergency room, blood test results bilirubin (total / direct): 3.5 / 2.0 mg / dL, AST: 100 U / L, ALT: Figure 75 U / L, abdominal computed tomography results the most likely diagnosis is:

Answer: Acute cholangitis

Choices:
A. Acute hepatitis
B. Acute appendicitis
C. Acute cholangitis
D. Acute gastroenteritis


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

Answer: Do first slice confirm the diagnosis before treatment

Choices:
A. To germ cell tumor, accounting for about 90 to 95% of primary testicular tumor
B. Cryptorchidism ipsilateral common of testicular cancer is seminoma cancer (seminoma)
C. Do first slice confirm the diagnosis before treatment
D. Most testicular tumor metastasis through the lymphatic and collection to the lymph nodes near the renal hilum


Question: Liver failure associated with small, soft, Yu blood and liver capsule wrinkles, can be found in the circumstances:

Answer: Chunk necrosis (massive necrosis)

Choices:
A. Chunk necrosis (massive necrosis)
B. Cirrhosis (liver cirrhosis)
C. Acute fatty liver of pregnancy (acute fatty liver of pregnancy)
D. Chronic active hepatitis (chronic active hepatitis)


Question: Kegel exercises (Kegel exercises) main purpose is to:

Answer: Enhanced bladder and proximal urethra muscle strength

Choices:
A. Strengthen abdominal muscles after production
B. Enhanced bladder and proximal urethra muscle strength
C. Pelvic muscles after nerve injury prevention production
D. Aging reduces muscle atrophy arising


Question: Which of the following most absorbable sutures can be sustained?

Answer: PDS

Choices:
A. catgut
B. Coated vicryl
C. Dexon
D. PDS


Question: The following narrative about carbon monoxide poisoning, what's wrong?

Answer: Symptoms of carbon monoxide poisoning are headache, nausea, lack of oxygen and therefore stimulate chemoreceptors (chemoreceptor) breathing accelerate deepened

Choices:
A. Symptoms of carbon monoxide poisoning are headache, nausea, lack of oxygen and therefore stimulate chemoreceptors (chemoreceptor) breathing accelerate deepened
B. Carbon monoxide poisoning can be a patient's skin was cherry red
C. When carbon monoxide poisoning, if the body 70-80% of heme into a "carbon monoxide hemoglobin (COHb)" with the potentially fatal
D. Carbon monoxide poisoning treatment by a high concentration of oxygen or hyperbaric oxygen


Question: Which of the following enzymes are not directly involved in the E. coli methyl-directed mismatch repair?

Answer: DNA glycosylase

Choices:
A. DNA glycosylase
B. DNA helicaseⅡ
C. DNA ligase
D. DNA polymeraseⅢ


Question: 5-year-old boy determined to murmur, MRA (Magnetic resonance angiography) As shown, the most correct diagnosis should be:

Answer: Aortic arch narrowing (coarctation of aorta)

Choices:
A. Aortic arch narrowing (coarctation of aorta)
B. Aortic stenosis (aortic stenosis)
C. Aortic insufficiency (aortic regurgitation)
D. Dissection of the aorta (aortic dissection)


Question: 70 prostate cancer radical surgery can cause erectile dysfunction, so the surgery urologists will pay attention to retain that part of the organization, to maintain the patient's sexual function?

Answer: Erection-related nerve

Choices:
A. Cavernous artery
B. Cavernous vein
C. Erection-related nerve
D. Cavernous tissue


Question: The following items physical examination results are not what once characteristic of essential hypertension?

Answer: A second region of the aortic systolic murmur heard

Choices:
A. Moon face (Moon face)
B. Much better than lower extremity limb development
C. The abdomen near the navel continuous audible sound turbulence (bruits)
D. A second region of the aortic systolic murmur heard


Question: One day you find radiography department because of wrong patient and wrong took a chest X-ray. Patients do not know about it, there is no harm in the process, then you should report the error it up? why?

Answer: It should be informed, because of an error on the surface of a single event, but also may hide systematic error, regardless of the severity of the wrong size, shall be notified only to error management

Choices:
A. Without notification, because it was an innocent mistake, but did not cause any harm
B. Without notification, because it is impossible to avoid mistakes, we can not bring any changes in institutional
C. It should be informed, made a mistake because the patient is very serious mistake, technicians should be duly punished
D. It should be informed, because of an error on the surface of a single event, but also may hide systematic error, regardless of the severity of the wrong size, shall be notified only to error management


Question: Polycyclic aromatic hydrocarbons (PAH) is a common contaminant in air, usually following that substance as criteria pollutants?

Answer: benzo[a]pyrene（BaP）

Choices:
A. benz[a]anthracene（BaA）
B. benzo[a]pyrene（BaP）
C. benzo[k]fluoranthene（BkF）
D. benzo[ghi]perylene（BghiP）


Question: Mr Chan 21 years old, meet the stars Saturday night with his girlfriend, his girlfriend for a long time to the right side of the upper arm on the pillow, was found the next morning right wrist and fingers can not stretch sagging, two months before slowly recovering. Mr Chan most likely diagnosis Why?

Answer: Radial nerve injury

Choices:
A. Median nerve injury
B. Radial nerve injury
C. Ulnar nerve injury
D. Musculocutaneous nerve injury


Question: Which of the following are fat-soluble electronic transmitters?

Answer: coenzyme Q

Choices:
A. cytochrome c
B. NADH
C. FADH2
D. coenzyme Q


Question: There are a variety of kidney stones, the most common is the kind?

Answer: Calcium stone (calcium stones)

Choices:
A. cystine stones
B. Calcium stone (calcium stones)
C. struvite stones
D. Uric acid stones (uric acid stones)


Question: Cerebral arteriovenous vascular anomalies (arteriovenous malformation) clinical manifestations, less which of the following?

Answer: Ataxia (unstable gait)

Choices:
A. Intracranial hemorrhage (intracranial hemorrhage)
B. Epilepsy (seizure)
C. Headache (headache)
D. Ataxia (unstable gait)


Question: Adults infected with hepatitis A virus, the incubation period (incubation period) is approximately how many weeks?

Answer: 2-6

Choices:
A. 1-2
B. 2-6
C. 6-10
D. 10-16


Question: 97 If the average plasma aldosterone white children (plasma-aldosterone) was 400 pmol / L, a standard deviation of 200 pmol / L, plasma aldosterone to assume a normal distribution, the percentage of white kids plasma aldosterone ≤300 pmol / L? (Pr (Z≥0.5)) = 0.3085

Answer: 30.85

Choices:
A. 30.85
B. 19.15
C. 69.15
D. 38.3


Question: 20. According to the US Center Weighted dirty Association (American Heart Association) and the US Center Weighted dirty Institute (American College of Cardiology) guidelines for coronary artery bypass surgery of the watch, the watch undergoing coronary bypass surgery following what the situation, life ⽽ The language of the extension ⻑ is not the first frame level recommendations (class I recommendation)?

Answer: Article only simple ⼀ serious obstruction (below approximately 75%) and fat ⽣ (LAD proximal) region of the proximal left anterior descending coronary artery

Choices:
A. Article only simple ⼀ serious obstruction (below approximately 75%) and fat ⽣ (LAD proximal) region of the proximal left anterior descending coronary artery
B. Left main coronary artery (left main) serious obstruction (below approximately 60%)
C. Three ⾎ duct obstruction associated with the proximal left anterior descending coronary artery (LAD proximal) serious obstruction (below approximately 75%)
D. Article ⾎ ⼆ duct obstruction comprises a proximal left anterior descending coronary artery (LAD proximal) serious obstruction (below approximately 75%)


Question: Statements about the pregnancy period, Which statement is correct?

Answer: Month ⾎ EMPTY when the total amount increased by 40%

Choices:
A. ⾎ discolored (hemoglobin) prime rise
B. Month ⾎ EMPTY when the total amount increased by 40%
C. Red ball ⾎ volume (red cell volume) ⼀ until after 20 weeks of pregnancy began to rise
D. ⾎ increase over volume is due to increased volume and more red ⾎ ball too ⾎ plasma volume caused ⽽


Question: A nine month-old boy with fever, vomiting, diarrhea three days, with bloodshot eyes and mucous stool, made to emergency abdominal X-rays as shown, then one of the following disposal the most inappropriate?

Answer: Lower gastrointestinal barium photographic examination

Choices:
A. Lower gastrointestinal barium photographic examination
B. Abdominal sonography
C. Fecal bacterial culture
D. Can give ceftriaxone, metronidazole, amikacin antibiotics such


Question: Which of the following, we will make the pulmonary artery catheter (pulmonary artery catheter) measurement of pulmonary capillary wedge pressure (PCWP: pulmonary capillary wedge pressure) overestimated left ventricular diastolic pressure (LVEDP: left ventricular end-diastolic pressure)?

Answer: ①③④

Choices:
A. ①③④
B. ①②④
C. ②③④
D. ①②③


Question: In the Central Standing Committee illusion cancer screening occur survival prolonged, by the Department of deviation caused by what?

Answer: Lead time bias (Lead-time bias)

Choices:
A. Information bias (Information bias)
B. Sample deviation (Selection bias)
C. Overdiagnosis bias (Overdiagnosis bias)
D. Lead time bias (Lead-time bias)


Question: Ms. Wang, 47 years old, receive breast cancer screening and was told that the left breast abnormalities, accepting biopsy examination confirmed the lesion with breast cancer, she and her physician to discuss follow-up surgical treatment options, the following statements is wrong?

Answer: Mastectomy breast reconstruction surgery is best to accept the two-year intervals, because immediate reconstruction surgery (immediate reconstruction) will reduce the increase in local recurrence and survival

Choices:
A. Select the whole breast surgery or breast-conserving surgery merger adjuvant therapy, both in survival and there is not much difference
B. Breast conserving surgery respect to the total resection, ipsilateral breast in a higher rate of local recurrence
C. Edge breast-conserving surgery as long as clean and free of fear (clear margins), whether with atypical hyperplasia or lobular carcinoma in situ
D. Mastectomy breast reconstruction surgery is best to accept the two-year intervals, because immediate reconstruction surgery (immediate reconstruction) will reduce the increase in local recurrence and survival


Question: Account of the X-linked hypophosphatemic rickets, which of the following error?

Answer: Hypocalcemia

Choices:
A. Mostly because PHEX gene mutation
B. Hypocalcemia
C. Serum 1,25-dihydroxyvitamin D concentration in normal
D. Need while giving phosphate and calcitriol treatment


Question: Convulsive status epilepticus (convulsive status epilepticus) may cause an increase in the patient's blood chemicals which caused arrhythmia?

Answer: Catecholamines (catecholamine)

Choices:
A. Acetylcholine (acetylcholine)
B. Catecholamines (catecholamine)
C. Serotonin (serotonin)
D. Glutamic acid (glutamate)


Question: 28-year-old woman complained of abdominal pain and fever, computer tomography presented in Figure, arrows within the meaning of statements is most accurate?

Answer: Tubo-ovarian abscess

Choices:
A. Endometritis
B. Tubo-ovarian abscess
C. Uterine (fallopian) ectopic pregnancy
D. Cervical Cancer


Question: 39 citric acid cycle (citric acid cycle) metabolite (Metabolite) in whichever porphyrin (porphyrins adsorbed) biosynthesis precursor (precursor)?

Answer: succinyl CoA

Choices:
A. oxaloacetate
B. alpha-ketoglutarate
C. citrate
D. succinyl CoA


Question: The most important factor that the following items for all, "financial accountability" lack of implementation of health insurance?

Answer: Failing to adjust the results of the actuarial rate

Choices:
A. Loss of government health care is not subsidized
B. Failing to adjust the results of the actuarial rate
C. Not implement referral system
D. No financial actuarial report


Question: From the previous question, the uterus after arthroscopic surgery, whichever is most appropriate treatment following?

Answer: Patients should be given high-dose estrogen for 2 months

Choices:
A. After giving androgen two months
B. To the adult uterus after catheter placement 2 months
C. Patients should be given high-dose estrogen for 2 months
D. After giving GnRH 2 months


Question: Which of the following combination of features is a pathological diagnosis of Alzheimer's disease?

Answer: Neurofibrillary tangles 與 Senile plaques

Choices:
A. Neurofibrillary tangles 與 Lewy body
B. Senile plaques and Giant cells
C. Neurofibrillary tangles 與 Senile plaques
D. Lewy body 與 Giant cells


Question: From the previous question, the current unilateral cleft lip and palate repair the most commonly used method developed by whom?

Answer: Millard

Choices:
A. Weber
B. Barsky
C. Millard
D. Cutting


Question: The following statements about the peripheral nerve tissue (peripheral nervous tissue), and what's wrong?

Answer: Endoneurium (endoneurium) mostly collagen fibers synthesized by the fibroblasts (fibroblast)

Choices:
A. Endoneurium (endoneurium) mostly collagen fibers synthesized by the fibroblasts (fibroblast)
B. Perineurial (perineurium) is constituted by a flat Perineurial cells (perineurial cell)
C. The close connection between Perineurial cells (perineurial cell) (tight junction) formed blood - nerve barrier (blood-nerve barrier)
D. Nerve membrane (epineurium) typically constituted by dense connective tissue (dense connective tissue)


Question: From the previous question, please patients bending the wrist for 30 seconds, found that increasing paralysis, then she most likely suffering from what disease?

Answer: carpal tunnel syndrome

Choices:
A. cervical radiculopathy
B. cubital tunnel syndrome
C. carpal tunnel syndrome
D. Guyon tunnel syndrome


Question: A newborn abdominal distention phenomenon, was discharged meconium within 30 hours after birth, the most likely diagnosis is:

Answer: Megacolon (Hirschsprung's disease)

Choices:
A. Rectal closure (rectal atresia)
B. Megacolon (Hirschsprung's disease)
C. Intussusception (intussusception)
D. Abnormal intestinal translocation (malrotation)


Question: US Justice Cardozo in the early 20th century clearly revealed: "Every adult of sound mind, has the right to decide how their body should make the disposal." This concept of a guarantee of autonomy of the body, after the 1950s, forming the relationship that an important principle of medical treatment?

Answer: Doctors perform medical practices, should obtain the patient's "informed consent" (or called Informed Consent)

Choices:
A. The necessary mental capacity when they are sick patient lacks decision, so the physician is obliged to make decisions for the patient
B. Doctors perform medical practices, should obtain the patient's "informed consent" (or called Informed Consent)
C. In order to help patients make the best decisions, the physician can case by case basis, as appropriate, inform the patient of their disease
D. To avoid physician professional medical knowledge to increase the burden on the patients, it should be said that the less the better


Question: Diarrhea caused by bacterial toxins with which the following increase of cAMP related?

Answer: Cholera toxin

Choices:
A. Cholera toxin
B. E. Coli heat-stable toxin
C. Botulinum toxin
D. Pertussis toxin


Question: 52 year old male patient after surgery blood tests found that serum sodium concentration (serum sodium ion) of 117 mEq / L. The following statements is true?

Answer: When sodium infusion therapy in asymptomatic patients, the infusion of its injection rate should be increased serum concentrations of sodium ion is not more than 0.5 mEq / L / hr, one day does not exceed 8 ~ 12 mEq / L

Choices:
A. In addition to this patient pain, no other symptoms
B. This patient's hyponatremia (hyponatremia) classified as moderate hyponatremia (moderate hyponatremia)
C. When sodium infusion therapy in asymptomatic patients, the infusion of its injection rate should be increased serum concentrations of sodium ion is not more than 0.5 mEq / L / hr, one day does not exceed 8 ~ 12 mEq / L
D. Their condition can be observed, and no further treatment


Question: Use pimecrolimus or tacrolimus ointment atopic dermatitis, compared with the use of steroid creams, its greatest advantage:

Answer: Does not cause skin atrophy

Choices:
A. Antipruritic effect faster
B. Does not cause folliculitis
C. Does not cause skin atrophy
D. The price is cheaper


Question: 52-year-old male patient, because of fever, right upper quadrant men Tong came to the emergency room, abdominal computed tomography as shown below, which may be why the diagnosis?

Answer: Total inflammation Biliary Duct

Choices:
A. Amebic liver abscess
B. Pyogenic liver abscess
C. Total inflammation Biliary Duct
D. Gallstones and cholecystitis


Question: Health care issues and important features of the elderly:

Answer: Elderly mental health problems often associated with social problems, which mostly show symptoms of nonspecific

Choices:
A. Elderly mental health problems often associated with social problems, which mostly show symptoms of nonspecific
B. When the performance of the general ill elderly typical symptoms majority
C. Function reserve or reserve force (reservoir) is enough of the elderly
D. Deal with health problems of the elderly do not have to consider the long-term care arrangements


Question: Bearing on the question, which of the following is the most appropriate treatment?

Answer: Surgical screw fixation

Choices:
A. Non-steroidal anti-inflammatory drug therapy
B. Arthroscopic articular cavity drainage cleaning
C. Surgical screw fixation
D. Traction bed a month


Question: Which of the following is not directly into the inferior vena cava (inferior vena cava)?

Answer: Left adrenal vein (left suprarenal vein)

Choices:
A. Left renal vein (left renal vein)
B. Left hepatic vein (left hepatic vein)
C. Left adrenal vein (left suprarenal vein)
D. Left third and fourth lumbar veins (left L3, 4 lumbar veins)


Question: About pancreatic tumor following statements is true?

Answer: Ovarian stroma (ovarian stroma) the structure common in mucinous cystadenoma (mucinous cystadenoma)

Choices:
A. Ovarian stroma (ovarian stroma) the structure common in mucinous cystadenoma (mucinous cystadenoma)
B. Pseudopapillary solid tumors (solid-pseudopapillary neoplasm) is a benign tumor, usually occurs in young men
C. Serous cystic neoplasms (serous cystic neoplasm) is more common in men, women about twice
D. The papillary mucinous neoplasms (intraductal papillary mucinous neoplasm) consists of columnar, mucus-containing (Mucin) of epithelial


Question: The gills of congenital fistula occurs most often in the first few pairs of gills crack?

Answer: two

Choices:
A. One
B. two
C. three
D. four


Question: 15 A 65-year-old male, B-type hepatitis asymptomatic carrier, was diagnosed with cirrhosis of the liver due to seek treatment for a thorough understanding of the etiology, hepatitis virus do further checks. Which of the following examination for diagnosis of the cause of cirrhosis is not helpful?

Answer: Anti-HAV

Choices:
A. Anti-HAV
B. Anti-HBV e antigen
C. Anti-HCV
D. Anti-HDV


Question: Following that kind of Staphylococcal enterotoxin most likely to lead to pseudomembranous enterocolitis?

Answer: Enterotoxin B

Choices:
A. Enterotoxin A
B. Enterotoxin B
C. Enterotoxin C
D. Enterotoxin D


Question: Following the end of about dying cancer patient because of unconsciousness, nutrition disposal when no longer eat, what's the most correct?

Answer: Discuss the pros and cons of giving artificial nutrition and moisture families

Choices:
A. Immediately connected to total parenteral nutrition (total parenteral nutrition), to prevent nutritional deficiencies
B. Plug nasogastric tube immediately to prevent nutritional deficiencies
C. Discuss the pros and cons of giving artificial nutrition and moisture families
D. Recommended patients receiving endoscopic gastrostomy (percutaneous endoscopic gastrostomy) Percutaneous


Question: 52 year old man, sore throat, hoarseness nearly a month, according to (as shown below), is the most appropriate diagnostic CT:

Answer: Hypopharyngeal carcinoma

Choices:
A. Nasopharyngeal carcinoma
B. Oropharyngeal carcinoma
C. Hypopharyngeal carcinoma
D. Laryngeal carcinoma


Question: The following account of OCD (obsessive compulsive disorder), and what's right?

Answer: The most common obsessions are fear of contamination content

Choices:
A. Upon completion of compulsive behavior can be completely eliminated anxiety
B. Only a few cases of sudden onset, most cases are unknowingly happen (insidious onset)
C. The most common obsessions are fear of contamination content
D. Most cases feel that their compulsions are reasonable


Question: Gluteal nerve (inferior gluteal nerve) by compression injury, which of the following affected?

Answer: Gluteus maximus

Choices:
A. Gluteus maximus
B. Gluteal muscle
C. Gluteus minimus
D. Tensor fascia lata


Question: Which of the following clinical conditions may comply with AIDS (AIDS) diagnostic criteria?

Answer: HIV antibody positive, and CD4 lymphocyte count was less than 200 cells / mm3

Choices:
A. The occurrence of pneumocystis pneumonia (Pneumocystis pneumonia), but HIV antibody negative
B. HIV antibody positive, and CD4 lymphocyte count was less than 200 cells / mm3
C. HIV antibody-positive, CD4 lymphocyte count greater than 200 cells / mm3, but the virus greater than 100,000 copies / mL
D. Western blot (Western blot) test positive for HIV antibodies


Question: Neck injury patients undergoing neck exploration indications for surgery, which of the following error?

Answer: Faster pulse

Choices:
A. Has been expanding neck hematoma
B. Neck subcutaneous emphysema
C. Wheezing (stridor)
D. Faster pulse


Question: 3.1-year-old eight month old boy with fever, vomiting and lethargy three days to live in the ward and found the body skin examination bleeding and purpura phenomenon as shown, blood examination revealed: hemoglobin is 9.5gm / dL, the blood than volume was 28.5%, white blood cells to 14000 / mm3, with 85% neutrophils, immature white blood cells which have mg / dL; medical history found no one at home does not have the same symptoms and travel history, it is most likely one of the following the diagnosis?

Answer: Meningococcal infection

Choices:
A. Allergic purpura
B. Features 發性 platelet decline purpura disease
C. Meningococcal infection
D. Erythema multiforme


Question: Hypercalcemia crisis (hypercalcemic crisis) the most common reasons are:

Answer: Malignancies

Choices:
A. High-energy primary parathyroid disease
B. Malignancies
C. Vitamin D intoxication
D. Onset times of high energy parathyroid disease


Question: A 25-year-old woman to the emergency medical treatment because of severe diarrhea. By 2 days before symptoms begin, watery diarrhea (watery diarrhea), about 1 day to about 8 times, and intermittent abdominal pain accompanied by chills and fever symptoms (fever and chills) a. Physical examination found accelerate bowel sounds, no tenderness (tenderness) and rebound pain (rebounding pain). Stool examination found high magnification 10-20 pieces of white blood cells. If you suspect that this patient has infectious diarrhea need to use antibiotics, Which of the following is the best option?

Answer: Ciprofloxacin

Choices:
A. Trimethoprim/sulfamethexazole
B. Cephalexin
C. Augmentin（amoxicillin with clavulanic acid）
D. Ciprofloxacin


Question: Severe head trauma patients, clinical manifestations typical of hernia hook back off (uncal herniation) happen Why?

Answer: Pupil dilation of the ipsilateral and contralateral limb weakness

Choices:
A. Pupil dilation and ipsilateral ipsilateral limb weakness
B. Pupil dilation of the ipsilateral and contralateral limb weakness
C. Pupil dilation and ipsilateral contralateral limb weakness
D. Pupil dilation and contralateral contralateral limb weakness


Question: The following account of secondary lipase (colipase) of, what's right?

Answer: Avoid lipase (Lipase) affected bile salts and reduce its activity

Choices:
A. Located on the intestinal epithelial cell membrane
B. Responsible for digesting triglycerides (triglycerides)
C. Fat zymogen (prolipase) can be converted to a lipase (Lipase)
D. Avoid lipase (Lipase) affected bile salts and reduce its activity


Question: Which of the following most likely to lead to fecal fat disease (steatorrhea)?

Answer: Pancreatic lipase (Lipase) secretion

Choices:
A. Hypersecretion of gastric lipase (Lipase)
B. Slightly alkaline pH value intraduodenal
C. Pancreatic lipase (Lipase) secretion
D. Gastrectomy (partial gastrectomy) after surgery


Question: A 28-year-old woman because of poor asthma control, long-term use of oral steroids, and produce Tichongzengjia and emotional disorders, if continued, may also cause avascular necrosis (avascular necrosis). Informed about the disease following narrative, whichever is the most correct?

Answer: Inform the disease, the patient decide on their own whether to continue taking steroids

Choices:
A. After informing worry, fear patients will stop taking their medication cause asthma exacerbations, it should not be told
B. To avoid side effects of steroids, asthma control whether or not the patient is recommended to reduce the amount of
C. Inform the disease, the patient decide on their own whether to continue taking steroids
D. No other reasons for referral to the specialist


Question: Anti-fungal infection is the most important natural defense factors:

Answer: Skin and mucous membrane

Choices:
A. Skin and mucous membrane
B. Neutrophils (neutrophil)
C. Macrophages (macrophage)
D. Complement (complement)


Question: Loss of brain function under anterior pituitary (Sheehan syndrome) who can Laicui ovulation with which of the following?

Answer: Human menopausal gonadotropin（hMG）injections

Choices:
A. Low-dose estrogen therapy
B. Human menopausal gonadotropin（hMG）injections
C. Pulsatile GnRH
D. Clomiphene citrate


Question: A 25-year-old woman 22 weeks pregnant, was found sense of family change, when sent to the emergency room, no longer breathing, no pulse, and disposal of the following statements, what's wrong?

Answer: When a pregnant woman first aid, must be on the left lie (to the right booster) to reduce uterine compression of the inferior vena cava (inferior vena cava) of

Choices:
A. When a pregnant woman first aid, must be on the left lie (to the right booster) to reduce uterine compression of the inferior vena cava (inferior vena cava) of
B. Because pregnant uterus will push up the diaphragm, the cardiac massage chest pressure position in the center of the sternum above the bias
C. Such as the use of defibrillators defibrillator (Defibrillation), location and general adult dose is the same as first aid
D. Emergency caesarean section, for 22 weeks the fetus has a chance of survival, but also can enhance the opportunity to save the mother


Question: North Maloney's disease (Peyronie disease) is a middle-aged male penis lumps occur, resulting in:

Answer: Penile curvature

Choices:
A. Voiding dysfunction
B. Penile skin necrosis
C. Penile curvature
D. Penis swelling


Question: Vaginal wall bulge are caused by which of the following?

Answer: rectum

Choices:
A. Ovary
B. bladder
C. Small intestine
D. rectum


Question: Which of the following is not a cause children to liver cancer (hepatocellular carcinoma) is a risk factor?

Answer: Mr. Tang disease (Down syndrome)

Choices:
A. B hepatitis (Hepatitis B) perpendicular infection
B. Mr. Tang disease (Down syndrome)
C. Glycogen storage disease (glycogen storage disease)
D. Biliary cirrhosis (biliary cirrhosis)


Question: The following anti-cancer drugs, the hydrocarbon group may be whichever of binding (alkylating) formed in the DNA of cells?

Answer: busulfan

Choices:
A. methotrexate
B. busulfan
C. fluorouracil
D. vinblastine


Question: If you are responsible for the hospital's marketing strategy, in response to the reform of the national health insurance system, which of the following is an offense strategy?

Answer: Jianshou part of the expense

Choices:
A. Development of national health insurance does not pay Services
B. No registration fee
C. Strengthen community service
D. Jianshou part of the expense


Question: Which of the following do not need drugs to patients with acute coronary artery disease early take?

Answer: hormone replacement therapy 10 following narrative about the jugular pulse (jugular venous pulse) Porto, what's wrong?

Choices:
A. Statin
B. Anti-platelet agent
C. ACE inhibitor
D. hormone replacement therapy 10 following narrative about the jugular pulse (jugular venous pulse) Porto, what's wrong?


Question: Due to ischemia (ischemia) caused by the neuronal (neuron) dysfunction of features does not include:

Answer: Neuronal potassium ion influx

Choices:
A. Neurons release neurotransmitters irritating
B. Neuronal calcium influx
C. Neuronal sodium ion influx
D. Neuronal potassium ion influx


Question: For the treatment of nasopharyngeal angiofibroma (Nasopharyngeal angiofibroma), and Which statement is correct?

Answer: Based on surgery

Choices:
A. To radiation therapy
B. Chemical therapy
C. Chemical plus radiation therapy
D. Based on surgery


Question: 34 in line 4 can be diagnosed according to the classification criteria of 11 systemic lupus erythematosus (SLE) 1982 American College of Rheumatology developed in. Which of the following combinations of the most consistent with a diagnosis of SLE?

Answer: Antinuclear antibodies, increased anti-dsDNA antibodies, proteinuria 1.25 g / day, and the platelet count was 68,000 / μL

Choices:
A. Cheek erythema, fever, joint pain and oral mucosa
B. Antinuclear antibodies, increased anti-dsDNA antibodies, proteinuria 1.25 g / day, and the platelet count was 68,000 / μL
C. Polyarthritis, antinuclear antibodies, white blood cells and increase pleurisy
D. Reduce multiple joint pain, oral ulcers, convulsions and serum complement C3


Question: He characterized most of the following items can be distinguished pericardial tamponade (cardiac tamponade) and restrictive pericarditis (constrictive pericarditis)?

Answer: Kussmaul's sign

Choices:
A. 奇 脈 (pulses paradoxus)
B. Kussmaul's sign
C. The third heart sound (third heart sound)
D. Jugular venous pressure waveform exhibits significant X-wave decreased (prominent x descent)


Question: The following description of the relevant central venous pressure waveform, what's wrong?

Answer: represents a wave atrial diastole

Choices:
A. represents a wave atrial diastole
B. c represents wave tricuspid
C. x represents the ventricular contraction waves
D. wave represents ventricular diastole y


Question: Cervical degenerative arthritis caused by spinal cord lesions, which of the following error?

Answer: Causing difficulty swallowing

Choices:
A. Will produce lower extremity weakness and tight
B. Resulting in voiding difficulties
C. Will produce chest numbness
D. Causing difficulty swallowing


Question: Do chromosome mutation analysis for certain types of lymphoma research, found that there are three common types of lymphoma translocation chromosome mutation: t (8; 14), t (2; 8), t (8; 22), Will Which of the following is the most likely kind of lymphoma?

Answer: Burkitt's lymphoma

Choices:
A. Mantle cell lymphoma
B. Follicular lymphoma
C. Burkitt's lymphoma
D. Diffuse large B cell lymphoma


Question: According to UN relief organization suggested that the supply of water on the affected areas, Which statement is correct?

Answer: Per day per person needs about 15 to 20 liters of water

Choices:
A. The most common cause of death in children over 5 years of age are stricken infectious diarrhea
B. As far from the supply station to the victims home, at least 100 meters away, to prevent water contamination
C. Per day per person needs about 15 to 20 liters of water
D. Largest source of water for urine


Question: The following narrative about the traumatic asphyxia (traumatic asphyxia), and what's wrong?

Answer: Its related injuries, no active treatment

Choices:
A. Because chest (Chest) is compressed due, typical symptoms subconjunctival hemorrhage, head and neck cyanosis
B. Patients suffering from the weight of oppression in the chest often occurs
C. Its related injuries, no active treatment
D. Prompted by a sudden increase in pressure in the superior vena cava


Question: The following thyroid surgery care about before, what's wrong?

Answer: Conventional surgery should be given prophylactic antibiotics

Choices:
A. Graves' disease patients, preoperative administration Lugol's iodine solution
B. hyperthyroidism patients, the first given anti-thyroid drugs
C. Conventional surgery should be given prophylactic antibiotics
D. Hoarseness patients before surgery should be done laryngoscopy


Question: Subarterial type ventricular septal defect, due to the proximity of the aortic annulus portion (Annulus) is often associated with complications that one of the following, so as to cause the aortic valve backflow phenomenon?

Answer: Flap right coronary artery (right coronary cusp) prolapse

Choices:
A. Flap right coronary artery (right coronary cusp) prolapse
B. Left coronary artery flap (left coronary cusp) prolapse
C. Non-coronary valve (non coronary cusp) prolapse
D. Where Salmond's sinus aneurysm (sinus valsalva aneurysm) of occurrence


Question: 72.30-year-old female patient complained of throat swelling (fullness) feel accepted computer tomography, Figure A is the developer of the non-injected image, images after injection, compared with developer B chart, which of the following is the most likely diagnosis?

Answer: Thyroid tongue (lingual thyroid)

Choices:
A. Base of tongue cancer (tongue base cancer)
B. Angioma (hemangioma)
C. Thyroid tongue (lingual thyroid)
D. Transfer (metastasis)


Question: By the third and the plane of the disc between the fourth lumbar vertebra is:

Answer: Umbilical lateral surface (transumbilical plane)

Choices:
A. Pylori lateral surface (transpyloric plane)
B. Umbilical lateral surface (transumbilical plane)
C. Bone nodule surface cross-intestinal (transtubercular plane)
D. Between the iliac crest surfaces (intercristal plane)


Question:
15. A 40-year-old man without any past history, most recently because of extreme fatigue, lethargy, decreased appetite to seek medical treatment. Recall that these symptoms occurred in patients after a severe headache in the previous three months. Examination revealed before meals glucose 90 mg / dL, PR 70 / min, BP 100/60 mmHg, free T4 0.5 ng / dL
 (Normal range 0.8 ~ 1.8 ng / dL), TSH 1.0 μIU / mL (normal range 0.1 ~ 2.0 μIU / mL), early morning cortisol 2.0 μg / dL (normal range 9.0 ~ 15 μg / dL), body hair, beard reduction . Computer tomography found Sella (Sella) portion has a 3 cm heterogeneous mass, compression of the pituitary gland tissue. Why is the most likely diagnosis?

Answer: Pituitary gland pituitary apoplexy stroke

Choices:
A. Prolactin tumor pituitary prolactinoma
B. Pituitary gland pituitary apoplexy stroke
C. Craniopharyngioma craniopharyngioma
D. Empty sella syndrome empty sella syndrome


Question: The following statements about protein kinase A, and what's right?

Answer: Regulated by cyclic AMP is activated

Choices:
A. Regulated by activation of cyclic GMP
B. AMP activated by regulation
C. Regulated by cyclic AMP is activated
D. Protein kinase A activation can promote the biosynthesis of fatty acids in the cells (fatty acid biosynthesis)


Question: Which of the following will result in hypertensive patients with low renin (renin)?

Answer: Primary cortical aldehyde ketosis (Primary aldosteronism)

Choices:
A. Renal artery hypertension
B. Malignant hypertension
C. Essential hypertension
D. Primary cortical aldehyde ketosis (Primary aldosteronism)


Question: Following acute myocardial infarction rehabilitation plan, shown to improve patient outcomes, the following statements is wrong?

Answer: After the rehabilitation plan should be discharged in stable acute myocardial infarction, sub-referral for cardiac rehabilitation

Choices:
A. After the rehabilitation plan should be discharged in stable acute myocardial infarction, sub-referral for cardiac rehabilitation
B. The ratio of female patients higher participation
C. Currently cardiac rehabilitation program using the rate is still low
D. May improve short-term and long-term mortality


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

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

Choices:
A. Infection may cause fetal hydrocephalus in utero
B. Who is the definitive host, while the cat is an intermediate host
C. Toxoplasmosis can pyrimethamine-trisulfapyrimidines treatment
D. In AIDS patients may cause Toxoplasmosis encephalitis


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

Answer: Hyperopia (hypermetropia)

Choices:
A. Myopia (myopia)
B. Hyperopia (hypermetropia)
C. 老花（presbyopia）
D. Astigmatism (astigmatism)


Question: There are the following account of meperidine, whichever is correct?

Answer: Its main metabolite having CNS toxicity normeperidine

Choices:
A. With higher fat-soluble than sufentanil
B. Its main metabolite having CNS toxicity normeperidine
C. Administered intravenously, its action longer than morphine
D. Its effectiveness is one-tenth of fentanyl


Question: 18 year-old male in the chest as shown in Figure gradual emergence of Dermatology of the change, combined with mild pain and itching; Which of the following is the most inappropriate method of treatment?

Answer: Surgery

Choices:
A. Topical corticosteroid injection
B. Surgery
C. Dye Laser Treatment
D. Local sticking silicone


Question: A 63-year-old male patient to the emergency room for treatment, complained of heart palpitations there are three hours long. ECG follows the correct diagnosis Why?

Answer: Atrial fibrillation (atrial fibrillation)

Choices:
A. Atrial flutter (atrial flutter)
B. Atrial fibrillation (atrial fibrillation)
C. Paroxysmal supraventricular tachycardia (paroxysmal supraventricular tachycardia)
D. Ventricular tachycardia (ventricular tachycardia)


Question: A 60-year-old man after a recent progressive dyspnea and chest tightness situation for several months appears to cardiology outpatient treatment. After a series of checks and found dilated cardiomyopathy with cardiac failure. Which of the following error?

Answer: Drug treatment can not let systolic function improved

Choices:
A. There are many possible causes, including infections, toxins, metabolic disorders or hereditary
B. Echocardiography dilated left ventricular systolic function and reduced
C. If the patient associated with left bundle branch block (left bundle branch block), given cardiac resynchronization pacemaker (cardiac resynchronization pacing) after placement improves systolic function
D. Drug treatment can not let systolic function improved


Question: The purpose of the implementation of universal health insurance, do not include which of the following?

Answer: The incurable illness protection of natural rights

Choices:
A. Enhance people's health
B. Financial risk protection treatment of diseases derived
C. The rich and those who can pay more premiums to help the vulnerable population groups
D. The incurable illness protection of natural rights


Question: The following account of Nuclear taste (gustatory nucleus), and what's wrong?

Answer: The nerve fibers projecting to the contralateral thalamus issued

Choices:
A. Located in isolated nuclei (solitory nucleus) of the rostral
B. The nerve fibers projecting to the contralateral thalamus issued
C. Accept the seventh, ninth, tenth cranial nerve of taste nerve projection
D. Located in the dorsal motor nucleus of the vagus nerve (dorsal nucleus of vagus nerve) of the outer


Question:
9. cardiac tamponade (cardiac tamponade) is that one of the following situations? Central venous arterial pressure cardiac output mixed venous oxygen saturation A ↓ ↓ ↓ ↓ B ↑ ↓ ↓ ↓ C ↑ ↓ ↓ ↑ D ↑ ↑ ↑ ↓
 CVP (central venous pressure), arterial blood pressure (arterial blood pressure), cardiac output (cardiac output), the mixed venous oxygen saturation (mixed venous oxygenation saturation)

Answer: B

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


Question: That two of the following intravenous connection, consisting of portal system and consistent body of Xunhuanxitong (portal-systemic anastomosis)?

Answer: Vice umbilical vein and the abdominal wall superficial vein (paraumbilical veins and superficial epigastric vein)

Choices:
A. Abdominal circumflex iliac vein and the superficial vein (superior epigastric and superficial circumflex iliac vein)
B. Vice umbilical vein and the abdominal wall superficial vein (paraumbilical veins and superficial epigastric vein)
C. Splenic vein and inferior mesenteric vein (splenic vein and inferior mesenteric vein)
D. Right and left gastric retinal vein (right and left gastroepiploic vein)


Question: Medial scapular spine (scapular spine) Which of the following is equivalent to the height of?

Answer: The third thoracic vertebra

Choices:
A. The first thoracic vertebra
B. The third thoracic vertebra
C. The fifth thoracic vertebra
D. Seventh thoracic vertebra


Question: The study of the relationship between alcohol consumption and HCC, if patients choose the same hospital as the control group, considered a risk factor exposure and the chance of medical problems, following the kind of patient is more suitable?

Answer: health examination

Choices:
A. health examination
B. Cirrhosis
C. Oral Cancer
D. Injured in car accident


Question: About temporal arteritis ⾎ tube inflammation (temporal arteritis) narrative Which statement is correct?

Answer: Often associated with polymyalgia rheumatica (polymyalgia rheumatica) ⼀ Rise ⽣

Choices:
A. With smaller ⾎ belongs lymphangitis
B. Often associated with polymyalgia rheumatica (polymyalgia rheumatica) ⼀ Rise ⽣
C. Occur in women aged 20 to 40
D. Generally poor response to steroid therapy


Question: Mr. Zhang is currently 38 years, since the age of 25 was diagnosed with Jingshenfenlie disease, in the past there was a secondary hospital record now also been receiving treatment in a psychiatric clinic track. Recently seems to be no obvious signs of mental illness, and no obvious symptoms of hallucinations or delusions; but the appearance and behavior observed, his bad health habits quite often do not take a bath, untidy, everything can not whistle appeared to be quite lazy, life type day and night reversed, almost no human interaction. Parents and family members of his problem is very distressed, more often criticize his behavior, disputes often cause unpleasant occurrence. Parents do not get up in the morning because he slept, trying to wake him up, and then clash with him, resulting in Mr. Zhang appeared emotional, there is damage to goods as well as acts of violence occur, his family sent him to the emergency requires urgent treatment. Then the following does not deal with what is recommended?

Answer: Immediately give depth analysis of dynamic psychotherapy treatment

Choices:
A. Immediately give depth analysis of dynamic psychotherapy treatment
B. Given case as well as the families of mental health education
C. Case recommendation to participate in community rehabilitation treatment
D. Appropriate to adjust the dose antipsychotic drugs


Question: 36. see ① inner root sheath (internal root sheath) ② outer root sheath (external root sheath) ③ medulla (medulla) hair follicles (hair follicle) ④ transverse plane cortical (cortex) ⑤ glass film (glassy membrane) other configurations, such configurations from the inside in order, is:

Answer: ③→④→①→②→⑤

Choices:
A. ①→②→③→④→⑤
B. ①→③→②→④→⑤
C. ③→①→②→④→⑤
D. ③→④→①→②→⑤


Question:
61.50-year-old man, suffering from diabetes for many years, did not rule taking hypoglycemic drugs, because right eye swelling and pain and fever two days, to emergency medical treatment, diagnosis of endophthalmitis (endophthalmitis), abdominal ultrasound examination revealed liver abscess. At home, the patient is the most appropriate antibiotic treatment
 what?

Answer: ceftriaxone

Choices:
A. ceftriaxone
B. vancomycin
C. cefazolin
D. cefmetazole


Question: 22-year-old woman, G2P1, 15 weeks of gestation, serum, amniotic fluid and fetal serum "fetal influenza proteins" (alpha-fetoprotein, α-AFP) concentration level of sorting, what's right?

Answer: Fetal serum> amniotic fluid> maternal serum

Choices:
A. Maternal serum> amniotic> fetal serum
B. Fetal serum> amniotic fluid> maternal serum
C. Maternal serum> fetal serum> amniotic fluid
D. Amniotic> fetal serum> maternal serum


Question: Transfusion therapy is an important modern medical breakthroughs. When the conventional detection method is not convenient, often due to incompatibility of blood transfusion and serious adverse reactions. Which of the following combinations of red blood cells, blood donors and recipients will produce incompatible reaction?

Answer: Blood donors: AB type, recipient: A type

Choices:
A. Blood donors: AB type, recipient: A type
B. Blood donors: O type, recipient: B-type
C. Blood donor: B-type, recipient type: AB
D. Blood donors: O type, recipient type: AB


Question: For severe asthma can use the MDI of combination therapy, which of the following combination is most appropriate?

Answer: long-acting β-agonist＋corticosteroids

Choices:
A. short-acting β-agonist＋anti-cholinergics
B. long-acting β-agonist＋anti-cholinergics
C. short-acting β-agonist＋corticosteroids
D. long-acting β-agonist＋corticosteroids


Question: Part of Palm acyl coenzyme A (palmitoyl-CoA) through beta-oxidation, generated entirely acetyl-CoA how many water molecules to be added?

Answer: 6

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


Question: The recommendation of the 2013 American College of Obstetricians Medical Association (ACOG) will monitor the fetal heart tones criteria divided into three levels, which of the following is not a third stage of fetal heart tones (category III) according to the severity of abnormal?

Answer: Early-onset cardiac deceleration (early variable deceleration) and RRI variation disappeared (absent baseline fetal heart rate

Choices:
A. Early-onset cardiac deceleration (early variable deceleration) and RRI variation disappeared (absent baseline fetal heart rate
B. Variability repeated cardiac deceleration (recurrent variable deceleration) and the disappearance of variation (absent baseline fetal heart beat Inter
C. Repeated late-onset cardiac deceleration (recurrent late deceleration) and the disappearance of variation (absent baseline fetal heart rate RRI
D. Sinusoidal fetal heart rate (sinusoidal fetal heart rate)


Question: A 6-year-old boy because of fever, cough four days and come to treatment, slight redness of the throat, neck lymph nodes normal, bilateral pulmonary rales fine (fine crackles), no chest depression, vigor normal chest X light as shown in FIG. That one of the following abnormalities most likely outcome?

Answer: cold agglutinin test

Choices:
A. heterophile antibody
B. conjunctival Chlamydia antigen detection
C. Weil-Felix reaction
D. cold agglutinin test


Question: Which of the following is the most common complication of patients with the acute phase of the wind happen?

Answer: pneumonia

Choices:
A. pneumonia
B. decubitus
C. Venous thrombosis
D. Seizures


Question:
82.42 year old woman burst dyspnea, vomiting, pain in the upper jaw portion and extending to the sternum. The last patient into unconsciousness and fainting. Imaging studies found that moderate expansion liter aorta (ascending aorta), intimal tear (tear). Physical examination showed this patient height higher than the same age
 Who is also greater than the height of the horizontal length of the upper limbs. Which of the following best represents their aortic diseases?

Answer: Capsule membrane denatured and aortic dissection

Choices:
A. Capsule membrane denatured and aortic dissection
B. Severe atherosclerosis and aneurysm
C. Aortitis and lymphocytes and plasma cell infiltration have
D. Atheroma and pyogenic infection


Question: The following 47 cells that secrete these products at the same time? (R) inhibin (inhibin) @ androgen binding protein (androgen binding protein) (r) testicular transferrin (testicular transferrin)

Answer: Sertoli cells (sertoli cell)

Choices:
A. Mother cell spermatogonia (spermatogonia)
B. Fibroblasts (fibroblast)
C. Leddy's cells (leydig cell)
D. Sertoli cells (sertoli cell)


Question: Which of the following do not belong to transmembrane proteins - rhodopsin by Bacterial protein (Bacteriorhodopsin) of?

Answer: It is the use of a single spiral structure across the cell membrane β-

Choices:
A. It is the use of channels 7 α- helical structure is formed across the cell membrane
B. It is the use of a single spiral structure across the cell membrane β-
C. It is accomplished by penetrating the structure and retinal molecule
D. It has a light-driven proton transport (light-driven proton transport) function


Question: Statements about malignant bone tumors, Which of the following most correct?

Answer: The treatment of malignant cartilage tumor (chondrosarcoma) is primarily surgical removal of lesions

Choices:
A. Enneking stage IIB refers to the high degree of malignancy, the same chamber lesions (intra-compartmental lesion)
B. Currently the standard treatment for malignant osteosarcoma (osteosarcoma) is to first remove the tumor, supplemented by postoperative radiotherapy to prevent local recurrence
C. The treatment of malignant cartilage tumor (chondrosarcoma) is primarily surgical removal of lesions
D. Compared with the amputated limb salvage surgery, a higher rate of local recurrence while receiving a lower limb salvage surgery patient survival


Question: Late infection gambiense (Trypanosoma gambiense), the patient's finger pressure ulnar nerve (ulnar nerve) site, the patient will feel slow phenomenon, this sign (sign) known as:

Answer: Kerandel's sign

Choices:
A. Kernig's sign
B. Romagna's sign
C. Winterbottom's sign
D. Kerandel's sign


Question: Which of the following is a child (non-baby) Acute otitis media is the most common disease-causing bacteria?

Answer: Haemophilus influenzae

Choices:
A. Haemophilus influenzae
B. Pseudomonas aeruginosa
C. Klebsiella pneumoniae
D. Candida


Question: Which of the following direct link at the top of the bladder (apex)?

Answer: Median umbilical ligament

Choices:
A. Suspensory ligament
B. Umbilical outer ligament
C. Umbilical ligament
D. Median umbilical ligament


Question:
3
 60,000
 0.05 / 1000 is
 100
 100,000
 1.0 / 1000 total
 103
 160,000
 How: betel nut chewing and oral cancer among those who receive, what percentage is attributable to chew betel this a factor?

Answer: 95

Choices:
A. 95
B. 97
C. 100
D. 103


Question:
42 protein which has the following three characteristics? a. hexamer consisting of six proteins
   b. RNA-DNA with helicase activity 
 Region c. C- enriched sequence can newly synthesized RNA 3'- terminal binding

Answer: [rho] factor - dependent terminator (ρ factor-dependent terminator)

Choices:
A. Ribosomes (ribosome)
B. Antiterminators (anti-terminator)
C. Operon (transcription factor)
D. [rho] factor - dependent terminator (ρ factor-dependent terminator)


Question: There is a 50 year old patient using 15mg of diazepam (valium) during surgery, four hours after the operation transferred to the recovery room, patients but two hours of rest in the recovery room awake yet, so 1.0 mg of flumazenil intravenously, patients immediately wake up and require removal of the endotracheal tube, and after removal of the heart in patients with endotracheal tube, blood pressure, breathing normally, may I ask what these items are not in the recovery room physician subsequent processing project?

Answer: After the patient to explain clearly, consider retained in the recovery room, a night observation

Choices:
A. Was observed after half an hour back to the ward
B. Continuous intravenous administration of flumazenil
C. Must be prepared endotracheal tube placement tool, and continuous monitoring of respiratory disorder and the oxygen concentration
D. After the patient to explain clearly, consider retained in the recovery room, a night observation


Question: The interaction of genetic code (codon) and the anticodon (anticodon) is carried out through that kind of chemical bond?

Answer: Hydrogen bond (hydrogen bond)

Choices:
A. Hydrogen bond (hydrogen bond)
B. Ionic bonds (ionic bond)
C. A peptide bond (peptide bond)
D. Acetal bond (acetal bond)


Question: A 5-year-old girl two weeks to have the upper eyelid edema, lower limb edema. Girls in the past no similar history. Urine examination revealed Protein> 300 mg / dL; WBC 0-2 / HPF; RBC 0-2 / HPF. Serum albumin value of 1.6 g / dL. The following related disposal or narrative, what's wrong?

Answer: Steroid resistance (steroid resistant) refers to the use of the full amount of the steroid after 4 weeks still can not achieve remission (remission)

Choices:
A. Without first section diagnosis can be directly used steroids
B. Diuretics may increase thrombotic complications (thromboemboli complication) possibilities
C. Steroid resistance (steroid resistant) refers to the use of the full amount of the steroid after 4 weeks still can not achieve remission (remission)
D. Steroid dependence (steroid dependent) refers is changed every other day doses of steroids or disabled recurrence within 28 days


Question: The following statements about Merck's diverticulum ileum (ileal diverticulum of Meckel) of, what's wrong?

Answer: Adult back often located in more than 50 centimeters of the colon at the junction of the small intestine

Choices:
A. As umbilical vein (umbilical vein) Period of the remains of the embryo
B. Adult back often located in more than 50 centimeters of the colon at the junction of the small intestine
C. It may contain gastric mucosa, pancreas tissue
D. Ileum diverticulum inflammation, clinical manifestations easily confused with appendicitis or other acute abdomen


Question: Sb arterial blood pH value of 7.48, bicarbonate (HCO3-) of 18.7 mEq / L, the carbon dioxide partial pressure of 26 mmHg, the person most likely to be circumstances in which the following?

Answer: Respiratory alkalosis

Choices:
A. Metabolic acidosis respiratory compensation of
B. Respiratory acidosis
C. Respiratory compensation of metabolic alkalosis
D. Respiratory alkalosis


Question: Which of the following structure cerebellar brain pressure off easily when hernia (herniation), further stem compression?

Answer: Tonsil (tonsil)

Choices:
A. inferior vermis
B. flocculonodular lobe
C. Tonsil (tonsil)
D. Under cerebellar peduncle (inferior cerebellar peduncle)


Question: A 20-year-old man after a flu-like illness, showing mild hematuria and proteinuria but kidney function remained normal. In serum C3 and C4 has not declined. Renal biopsy demonstrated diaphragm glomerular cell proliferation (mesangial cell proliferation) and immune complex deposition in glomeruli diaphragm portion. The following nephropathy whichever is the most likely pathological diagnosis?

Answer: IgA Nephropathy

Choices:
A. Membranous glomerulonephritis
B. Minimal change nephropathy
C. IgA Nephropathy
D. Membranoproliferative glomerulonephritis


Question: Cut trapezius muscle (trapezius) and the first half spinae (semispinalis capitis) is attached at the head, most likely to pass through these muscles that hurt a nerve?

Answer: Occipital nerve (greater occipital nerve)

Choices:
A. Great auricular nerve (great auricular nerve)
B. Ear temporal nerve (auriculotemporal nerve)
C. Occipital nerve (greater occipital nerve)
D. Lesser occipital nerve (lesser occipital nerve)


Question: Mammary lymph inside the main import:

Answer: Next to the chest lymph nodes (Parasternal nodes)

Choices:
A. Subscapular lymph nodes (Subscapular lymph nodes)
B. Chest lymph nodes (Anterior pectoral nodes)
C. Supraclavicular lymph nodes under (Infraclavicular nodes)
D. Next to the chest lymph nodes (Parasternal nodes)


Question: The following account of lumbar disc herniation (HIVD), and what's right?

Answer: Multi occurrence position in the outer disc (posterolateral)

Choices:
A. Multi occurrence position in the outer disc (posterolateral)
B. The most common sites of occurrence of lumbar Section 1-2 (L1-2) discs
C. Section of the lumbar spine 4-5 (L4-5) usually occurs HIVD nerve root L4 is (nerve root)
D. All HIVD are necessarily require surgical treatment


Question: 72. The patient did five days before a right kidney slices complained of hematuria, right renal artery angiography examination presented the figures. The most that one of the following early diagnosis correct?

Answer: pseudoaneurysm and arteriovenous fistula

Choices:
A. ureteral stone
B. pseudoaneurysm and arteriovenous fistula
C. fibromuscular dysplasia
D. post-biopsy pyelonephritis


Question: Following a neurological genetic disorder that is not associated with spine red blood cells (acanthocyte)?

Answer: Wilson disease

Choices:
A. Wilson disease
B. abetalipoproteinemia
C. McLeod syndrome
D. Hallervorden-Spatz disease


Question: He is a 75-year-old with severe arthritis and long-term use of analgesics. Recently, due to discharge melena and admission examination. As a result, have found that gastric ulcer and 3 cm Helicobacter pylori (Helicobacter pylori) infection. He is the main cause of stomach ulcers are more likely to be:

Answer: Gastric mucosal barrier (mucosa barrier) damaged

Choices:
A. Gastric mucosal barrier (mucosa barrier) damaged
B. Gastric emptying (gastric empty) is too slow
C. Direct analgesic stomach erosion
D. Pylori causes pepsin (Pepsin) secretion


Question: 46, XX, chromosome report 5p- representatives Which of the following?

Answer: Girls fifth of the short arm of chromosome less a small cut

Choices:
A. Less an entire fifth of the number of chromosomes girls
B. Less a small cut on the long arm of chromosome girls fifth
C. Girls fifth of the short arm of chromosome less a small cut
D. Girls on the fifth chromosome balanced translocation (balanced translocation)


Question: The following narrative about Mycoplasma pneumoniae causing pneumonia, what's wrong?

Answer: The incubation period is 3 to 5 days

Choices:
A. Occurs in 5 to 20 years of age
B. The incubation period is 3 to 5 days
C. In addition to pulmonary symptoms, sometimes symptoms have erythema multiforme (erythema multiforme), myocarditis, or the nervous system
D. cold agglutinin test can be used as an auxiliary project for laboratory diagnosis


Question: About testicular blood barrier (blood-testis barrier), the following statements is this bad?

Answer: General optical microscope can be used to this barrier

Choices:
A. This barrier will be separated by mitosis (mitosis) of the cell and meiosis (meiosis) cells
B. This barrier will seminiferous tubules (seminiferous tubule) into the base compartment (basal compartment) and the chamber compartment (luminal compartment)
C. General optical microscope can be used to this barrier
D. Functionally, this barrier can not protect the sperm-producing cells by the immune system attacks


Question: Children Urinary tract infection is the most common congenital urinary tract disease are:

Answer: VUR (vesicoureteral reflux)

Choices:
A. Ureteropelvic junction obstruction (ureteropelvic junction obstruction)
B. VUR (vesicoureteral reflux)
C. Huge ureter (megaureter)
D. Ureterocele (ureterocele)


Question: Statements about the use of pseudomembranous colitis (pseudomembranous colitis) caused by the antibiotics, which of the following error?

Answer: Fecal transplant (fecal transplantation) usually do not have a curative effect

Choices:
A. Often caused by the Clostridium difficile (Clostridium difficile)
B. Disease are all non-exogenous (exogenous) infection
C. Fecal transplant (fecal transplantation) usually do not have a curative effect
D. Metronidazole can be reached yl (Metronidazole that) or vancomycin (Vancomycin) Treatment


Question: 4838-year-old female infertility due to 5 years, laparoscopic surgery, the diagnosis of moderate endometriosis (stageⅢ), after surgery treatment, what is the best disposal?

Answer: Positive pregnant

Choices:
A. danazol
B. cyclic oral contraceptive pills
C. GnRH agonist
D. Positive pregnant


Question: Describes the primary spontaneous pneumothorax (primary spontaneous pneumothorax), and Which of the following most inappropriate?

Answer: Thoracoscopy made pleura adhesion (thoracoscopy with pleural abrasion) pneumothorax recurrence rate of about 25%

Choices:
A. Mostly because of the bubble pleura (pleural blebs) rupture
B. Pneumothorax About half (50%) patients will happen again
C. Initial treatment can consider the simple aspiration (simple aspiration)
D. Thoracoscopy made pleura adhesion (thoracoscopy with pleural abrasion) pneumothorax recurrence rate of about 25%


Question: Early  (primary palate) and secondary  (secondary palate) is what is configured at the junction?

Answer: Door perforations (incisive foramen)

Choices:
A. Door perforations (incisive foramen)
B. Teeth bone (alveolar bone)
C. Front teeth (incisor)
D. Uvula (uvula)


Question: One mother with her big baby boy six months to a pediatric emergency department, complained of the baby boy born since, there have been 10 episodes of otitis media and hospitalized twice because of the past history of pneumonia, when physical examination, found that male infants who have multiple bruising (bruises), there are many limbs eczema (eczema). The baby's diagnosis may be:

Answer: Wiskott-Aldrich syndrome

Choices:
A. Ataxia-telangectasia
B. Wiskott-Aldrich syndrome
C. X-linked agammaglobulinemia
D. Combined variable immunodeficiency


Question: About the breast papilloma (Papilloma) of the narrative, what's right?

Answer: Papilloma often have blood or bloody nipple discharge, and is a unilateral happen

Choices:
A. Single papilloma usually occurs in the milk portion of the periphery of the leaflets (Lobular unit)
B. Single papilloma evolved into impossible breast cancer
C. Papilloma often have blood or bloody nipple discharge, and is a unilateral happen
D. Such tumors can not only observed in epithelial cells (Epithelium) of the connective tissue under the microscope


Question:
11 a 70 years old male patient was admitted to the ICU with pneumonia, endotracheal tube interpolated, after administering oxygen breathing apparatus and ventilation, arterial blood examination (administered FiO2 60%) PaO2 = 60 mmHg, PaCO2 = 32 mmHg, pH = 7.38 , chest X-ray display dipped sides pneumonia
 Run obvious, and dispose of the following statements is correct what were the most?

Answer: Mortality rate of about between 26 to 44%, and most non-death due to lung reasons

Choices:
A. Condition not yet evolved into acute respiratory distress syndrome (acute respiratory distress syndrome, ARDS)
B. Recommended for the initial setting respirator 12 mL / kg predicted body weight, more helpful for patients
C. Was given broad-spectrum antibiotics, most patients can improve in 7 days, and weaning
D. Mortality rate of about between 26 to 44%, and most non-death due to lung reasons


Question: The following abdominal compartment syndrome (abdominal compartment syndrome) related symptoms, what's wrong?

Answer: Normal blood pressure

Choices:
A. A sudden increase in intra-abdominal pressure
B. Reduce the amount of urine
C. Hypoxia (hypoxia)
D. Normal blood pressure


Question: Which of the following is not one of the causes of infant hydrocephalus (Infantile Hydrocephalus) of?

Answer: Congenital anencephaly

Choices:
A. Congenital cerebral aqueduct stenosis
B. Congenital anencephaly
C. Infancy intracerebral hemorrhage
D. Infant brain infection


Question: After a fall left shoulder pain symptoms appeared a month ago 59 year old woman, affecting sleep, shoulder X-rayed in the drawings, the most likely diagnosis Why?

Answer: calcified tendinosis

Choices:
A. avulsion fracture of greater tuberosity
B. calcified tendinosis
C. bone metastasis
D. primary osteoblastic bone tumor


Question: Which of the following drugs cause liver damage hepatocyte necrosis?

Answer: acetaminophen

Choices:
A. amiodarone
B. acetaminophen
C. phenothiazine
D. methotrexate


Question: A 30-year-old man have long complained of chest pain, difficulty swallowing food and counter-current phenomenon, esophageal photographic examination figure, and on display in the digestive tract endoscopy normal esophageal mucosa, which is why the best treatment?

Answer: Laparoscopic myotomy

Choices:
A. Proton pump inhibitor
B. Calcium channel blocker
C. Laparoscopic fundoplication
D. Laparoscopic myotomy


Question: Narrative about human polyomavirus (Human polyomavirus), and which of the following error?

Answer: T antigen can activate p53, promote cell death

Choices:
A. Include BK virus and JC virus
B. Does not have an outer membrane (Envelope)
C. JC virus infection in patients with immune dysfunction, often caused to the myelin sheath (demyelination) lesions
D. T antigen can activate p53, promote cell death


Question: 6-year-old boy due to repeated hematuria clinic to seek treatment, each time after a cold two or three days the situation is more serious hematuria, which of the following is least likely diagnosis?

Answer: Focal sclerosing glomerulosclerosis

Choices:
A. IgA Nephropathy
B. Thin basement membrane disease
C. Alport syndrome
D. Focal sclerosing glomerulosclerosis


Question: From the previous question, the above patient after use morphine, morphine addiction probability of approximately:

Answer: Less than 0.1%

Choices:
A. 10%
B. 5%
C. 3%
D. Less than 0.1%


Question: 78 year old man, recently three weeks a number of large blisters on the trunk and upper and lower limbs. Skin pathology examination revealed cracking under the skin, and there eosinophilic infiltration in the upper dermis. The most likely diagnosis is:

Answer: Pemphigoid (pemphigoid)

Choices:
A. Shingles (herpes zoster)
B. Impetigo (impetigo)
C. Pemphigoid (pemphigoid)
D. Pemphigus (pemphigus)


Question: The following statements about lactose intolerance (lactose intolerance), and what's wrong?

Answer: Belonging secretory diarrhea (secretory) diarrhea, lactose deactivated article may be improved

Choices:
A. Clinically abdominal distension, diarrhea, abdominal pain, flatulence, flatulence and other symptoms
B. Asians have this obsession about 90%, while whites are less than 25%
C. Belonging secretory diarrhea (secretory) diarrhea, lactose deactivated article may be improved
D. Lactase supplement to patients can be improved. The yogurt containing live lactic acid bacteria (Yogurt) may be generated due to lactase, patient acceptable


Question: 2 Wang 78 years old, suffering from high blood pressure for many years, has been poor regulation of drugs, blood pressure clinic today is 170/70 mmHg, heart rate 80 / min, BUN 49.2 mg / dL, Creatinine 4.1 mg / dL, uric acid 7.2 mg / dL, K + 6.1 mEq / L, the following group of drugs that the most appropriate treatment Wang: ①loop diuretics ②angiotensin-converting enzyme inhibitor ③angiotensin receptor blocker ④dihydropyridine calcium channel blocker

Answer: ①④

Choices:
A. ①②
B. ②③
C. ③④
D. ①④


Question: The following local anesthetics (local anesthetics), the one that belongs to esters (esters)?

Answer: Tetracaine

Choices:
A. Tetracaine
B. Bupivacaine
C. Lidocaine
D. Prilocaine


Question: Following which inhalation anesthetics, produced under fixed conditions and the same concentration of the anesthetic effect (potency) weakest?

Answer: desflurane

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


Question: The following oxidant (Oxidant), the standard reduction potential of whichever (standard reduction potential) value of the minimum?

Answer: FAD

Choices:
A. cytochrome b (+3)
B. ubiquinone (oxidized)
C. FAD
D. Fe (+3)


Question: He is 40-year-old company's accounting, smoked about a pack a day, the last three days feel malaise, runny nose and cough, after work to find a nearby doctor familiar with the family physician, physician administered drugs to treat the symptoms after examination, and recommended outpatient smoking cessation. The above-mentioned case that did not involve a primary care characteristics?

Answer: Coordination (coordination)

Choices:
A. Can Proximity (accessibility)
B. Comprehensive sex (comprehensiveness)
C. Continuity (continuity)
D. Coordination (coordination)


Question: Greenhouse gases allow short-wave radiation source by absorbing long-wave radiation, to save the earth's surface temperature, which of the following are greenhouse gases?

Answer: O3

Choices:
A. NO2
B. WHAT
C. O3
D. CFCl3


Question: The host cell by chlamydia (Chlamydia) infections observed inclusions (inclusion body) structure, whose main component is:

Answer: After a large number of bacteria breeding

Choices:
A. After a large number of bacteria breeding
B. Phosphate (phosphate) polymer
C. Sterilizing particulate matter containing
D. The performance of a large number of heat shock (heat shock) proteins


Question: A 35-year-old woman complained of chills, edema, and when there is no menstruation milk secretion. Blood analysis revealed that thyroid hormone value is too low, then the patient of amenorrhea and lactation phenomenon is most likely due to the influence of hormones which of the following?

Answer: A secreted by the hypothalamus releasing hormone (TRH) stimulation of the secretion of pituitary prolactin (Prolactin)

Choices:
A. The secreted hypothalamic dopamine (dopamine) stimulate pituitary secretion of prolactin (Prolactin)
B. Secreted by the hypothalamus of releasing hormone (GnRH) secretion of luteinizing hormone stimulates the pituitary gland (LH)
C. A secreted by the hypothalamus releasing hormone (TRH) stimulation of the secretion of pituitary prolactin (Prolactin)
D. The secreted hypothalamic dopamine (dopamine) stimulate the secretion of pituitary luteinizing hormone (LH)


Question: A 65-year-old female patient because blood will, to the gastroenterology clinic for treatment. After interrogation and physical examination, the doctor recommended a colonoscopy, also told the risks associated with colonoscopy, colonoscopy performed after the consent of the patient. Sigmoid colonoscopy found to have 1.5 cm in size at polyps, mucosa irregular shape, contact bleeding, suspected colorectal cancer. The physician spot large polyp removal, and removal of the metal clips, do prophylactic treatment of bleeding or perforation, the operation smoothly. After the patients go home the next day began to feel abdominal pain, loss of appetite, nausea. To emergency medical treatment, detection of colorectal perforation. The following narrative about the physician if there is relevant medical negligence, whichever is most correct?

Answer: Colonoscopy colorectal polyps resection merger, all the same risk of perforation of the large intestine, but the two are different level of risk, if before colonoscopy, can inform each different risk would be more appropriate, but if there is breach of this obligation, specific cases should review the relevant facts to be identified

Choices:
A. The physician told only the risks associated with colonoscopy, did not inform the risks associated with resection of colorectal polyps, has been in clear violation of the physician's duty of disclosure
B. Colonoscopy and colonoscopy polyp excision merger, there would have been associated risk of perforation of the colon, consistent with both the two types of risk, and therefore do not need to specifically told that the risk of perforation of the large intestine
C. Colonoscopy colorectal polyps resection merger, all the same risk of perforation of the large intestine, but the two are different level of risk, if before colonoscopy, can inform each different risk would be more appropriate, but if there is breach of this obligation, specific cases should review the relevant facts to be identified
D. The resection of colorectal polyps, the Department is conducive to the best interests of patients, can be removed directly, without patient consent


Question: ⼀ bit 65 year old man, which ⾎ solution data is displayed, the white ⾎ ball ADVANCED up to 160,000 / μL, ⾎ red pigment 12.7 g / dL, ⾎ ⼩ plate is 165,000 / μL, white ⾎ ball classification displayed segmented neutrophil 14%, lymphocyte 80.3%, no immature ⾎ ball. ⾎ which was smear of cells is displayed as FIG. These lymphocytes expressing CD19, CD5, dim CD20, CD23, dim kappa light chain restriction. ⽽ CD10 and CD34 were negative. The Face on the disease most likely diagnosis and treatment of diseases, what's wrong?

Answer: Face zoomed majority of disease in need of ADVANCED-dose chemotherapy and allogeneic stem cell transplantation made ⾎ to obtain a survival period of ⻑

Choices:
A. Typical liquid ⾎ peripheral smear or basket cells often appear smudge cells
B. Face zoomed majority of disease in need of ADVANCED-dose chemotherapy and allogeneic stem cell transplantation made ⾎ to obtain a survival period of ⻑
C. Face will merge some patients have autoimmune thrombocytopenia or autoimmune hemolytic anemia
D. When such patients Face ⼀ start is usually no obvious symptoms associated with the disease, ⽽ chance ⾎ pumping test data ⾎ ball found the disease


Question: What is the role of the following neuromuscular blocking agents of the shortest duration, because it is easily decomposed pseudocholinesterase?

Answer: Succinylcholine

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


Question: Cyclosporine suppress allogeneic organ rejection (graft rejection) of the mechanism of why?

Answer: Inhibition of T-helper lymphocyte activation

Choices:
A. T lymphocytes produce antibodies selectively promote
B. Inhibition of T-helper lymphocyte activation
C. Inhibition of cell proliferation transplant
D. Reduce the primary immune (innate immune) reactions


Question: Principles of myocardial infarction (myocardial infarction) patients with the acute phase (first phase) rehabilitation that does not contain one of the following?

Answer: The movement need to monitor blood pressure rise or fall not exceed 20mmHg

Choices:
A. Activities as early as possible (early mobilization)
B. Under the second floor stairs can
C. Engage in physical activity less than 2 ~ 3 METS movement
D. The movement need to monitor blood pressure rise or fall not exceed 20mmHg


Question:
70
 Non-smoker
 130,000
 26

Answer: 5

Choices:
A. 2.2
B. 2.7
C. 4.8
D. 5


Question: 68-year-old woman, hospitalized when serum sodium is 140 meq / L, because the next day ready to accept colonoscopy oral laxatives and enemas, in the early morning sudden unconsciousness and seizures, serological examination revealed serum sodium 117 meq / L, then the following statements is true?

Answer: Should be quickly given the high penetration of salt water (hypertonic saline), until neurologic symptoms improve

Choices:
A. Salt tablets should be given and limited water treatment
B. Should be closely monitored serum sodium ion concentration, concentration rises less than an hour 0.5 ~ 1.0 meq / L, to avoid osmotic demyelinating syndrome (osmotic demyelination syndrome)
C. Should be quickly given the high penetration of salt water (hypertonic saline), until neurologic symptoms improve
D. Water and salt intake should be limited


Question: When the candidates are focusing on national examination papers, the frontal lobe of the brain waves measured Which of the following is most likely?

Answer: beta rhythm

Choices:
A. alpha rhythm
B. beta rhythm
C. theta rhythm
D. delta rhythm


Question: Statements about submenus of endometriosis, which of the following error?

Answer: US ⽣ colonization Medical Association (ASRM) will submenus that endometriosis is divided into the first frame to the fourth according to the severity of pain

Choices:
A. May cause pelvic pain or infertility
B. The diagnosis by tissue slices, slice If you do not find submenus endometriosis tissue, can not be ruled submenus Endometriosis
C. US ⽣ colonization Medical Association (ASRM) will submenus that endometriosis is divided into the first frame to the fourth according to the severity of pain
D. Submenu endometriosis and ovarian cancer-related


Question: When a complete electron transport chain is blocked mitochondrial cyanide (cyanide), which of the following is true?

Answer: ATP synthesis of all the stops

Choices:
A. Electrons from NADH are transferred will be blocked, but the oxygen consumption may be continued
B. Electronic succinic acid (succinate) delivered will be blocked, but the oxygen consumption may be continued
C. ATP synthesis will continue, but the P / O values will decline
D. ATP synthesis of all the stops


Question: The following figure shows a full-term newborn baby girl, examination revealed that recommended coccyx has a huge tumor, the following statements is wrong?

Answer: To principle of surgery is complete resection of the tumor, process to avoid damage to the surrounding normal structures of the rectum and anus, and coccyx reserved

Choices:
A. The most likely diagnosis is recommended caudal teratoma (sacrococcygeal teratoma)
B. Regardless of the course of pregnancy or after the baby is born, should closely observe whether the baby steal phenomenon as this huge mass produced (tumor-
C. Still further arrangements required range imaging, such as CT or MRI and the like, except for the outside range seen, extends inwardly of the pelvic how
D. To principle of surgery is complete resection of the tumor, process to avoid damage to the surrounding normal structures of the rectum and anus, and coccyx reserved


Question: 67.78 year old man unable to move due to stroke, live in long term care facilities, has recently been discovered that a rear left heel erythema of about 1 cm and bruises. The following statements about dealing with this pressure sores (pressure ulcer) of what's most appropriate?

Answer: Foam-padded protection to the heel, to avoid further harm

Choices:
A. Full thickness skin graft (full-thickness skin graft)
B. For debridement (debridement) and washed in betadine
C. Foam-padded protection to the heel, to avoid further harm
D. The left foot elevated 30 degrees


Question: From the previous question, what kind of treatment she needs to accept the following?

Answer: The combined radiation and chemotherapy

Choices:
A. Radiation treatment
B. Radical surgery
C. Chemotherapy
D. The combined radiation and chemotherapy


Question: Just out of the kind occurred 34 weeks zoomed baby, mouth corner of ⼀ DC-connector water resistant and smoke bubble, the physician on duty will not be smooth tube into ⿐. After an hour display ⽣ 12 KUB found no intestinal gas, the following diagnosis is most likely?

Answer: Esophageal atresia with the upper esophageal tracheal fistula

Choices:
A. Esophageal tracheal fistula alone
B. Esophageal atresia with the upper esophageal tracheal fistula
C. Esophageal atresia with lower esophageal tracheal fistula
D. Esophageal atresia with upper and lower esophageal tracheal fistula


Question: A 45 year old male with type B hepatitis original person, day yesterday to the hospital for health checks, as shown in the liver ultrasound scan and CT scan images shown. Mr. Zhang is most likely to suffer from:

Answer: Cyst (hepatic cyst)

Choices:
A. Cyst (hepatic cyst)
B. Liver cirrhosis with necrosis (liver cirrhosis with necrosis)
C. Cavernous hemangioma (cavernous hemangioma)
D. HCC (hepatocellular carcinoma)


Question: From the previous question, found tuberculin test was negative, but anti-nuclear antibody to 1 the inspection: 2560 positive. From these preliminary findings, which also need to make checks to confirm the diagnosis?

Answer: Anti-double-stranded DNA antibodies

Choices:
A. Acid fast stain of sputum (acid-fast stain) Check
B. Lung slice
C. Fungal culture lungs
D. Anti-double-stranded DNA antibodies


Question: A 67-year-old woman because of both lower extremities tingling sensation (tingling sensation) to diagnosis, physical examination: double toe sense of spatial location (positional sensation) and lower extremity vibration sensation (vibratory sensation) lower, she was most likely that the lack of these vitamins ?

Answer: B12

Choices:
A. A
B. B12
C. C
D. IS


Question: About obese patients (BMI> 30) and physiological changes evaluated before surgery narrative, which of the following error?

Answer: Respiratory rate and minute ventilation obese patients unchanged

Choices:
A. Obese patients to increase blood circulation, increased cardiac output, oxygen consumption also increased, ischemic heart Yi
B. Respiratory rate and minute ventilation obese patients unchanged
C. In terms of the gastrointestinal tract, obese patients tend to have GERD
D. Higher chance of obese patients is usually difficult intubation


Question: 75 a 43-year-old male clerk because of work pressure is too great, the solution these days are black, his black stools due in part because of what the substance hemoglobin (hemoglobin) is decomposed into hemoglobin (hematin)?

Answer: Gastric acid

Choices:
A. Small intestine
B. 胰腋
C. bile
D. Gastric acid


Question: Asthma is a chronic inflammatory reaction, the reaction is over-sensitive trachea. The following causes narrowing of the trachea diameter description of asthma, what's wrong?

Answer: Epidermal cell proliferation, increasing the wall thickness and airway obstruction

Choices:
A. Small wrap bronchial smooth muscle contraction, bronchoconstriction the
B. Eosinophilic cells (eosinophil), neutropenia (neutrophil) and other inflammatory cell aggregates stuffed trachea
C. Epidermal cell proliferation, increasing the wall thickness and airway obstruction
D. Increased mucus secretion and airway tissue edema and airway obstruction


Question: The following narrative and what was wrong?

Answer: Most of septic shock (septic shock) patients with low blood pressure and vasoconstriction phenomenon (vasoconstriction), and a small part of the arterial vasodilation (arterial vasodilatation) phenomenon

Choices:
A. Most of septic shock (septic shock) patients with low blood pressure and vasoconstriction phenomenon (vasoconstriction), and a small part of the arterial vasodilation (arterial vasodilatation) phenomenon
B. When patients with septic shock relaxation of vascular phenomenon, cardiac output (cardiac output) higher than normal
C. When septic shock, capillary membrane permeability increases, needs to be equal weight of 10% crystalline infusion (crystalloid fluid) to recover the CVP (central venous pressure)
D. Septic shock patients after receiving adequate infusion, if still low blood pressure, dopamine or norepinephrine may be given


Question: Norwood surgical narrative and application of relevant, which of the following error?

Answer: The main pulmonary artery banding (Pulmonary artery banding), to reduce pulmonary artery

Choices:
A. The lower edge of the main pulmonary artery and the aortic arch anastomosis to the right ventricle for the systemic circulation support
B. The atrial septal defect expanded to facilitate the mixing of blood of two atrial
C. Use Modified Blalock-Taussig shunt, is connected to the right pulmonary artery innominate artery
D. The main pulmonary artery banding (Pulmonary artery banding), to reduce pulmonary artery


Question: 48 A 28-year-old woman experienced the second consecutive early pregnancy (<12 weeks) of embryonic death, blood chromosome examination revealed herself with the Robertsons's translocation (Robertsonian translocation) between the thirteenth and 14th chromosome , karyotype was 45, XX, der (13; 14) weeks, following which the most appropriate treatment?

Answer: Fetal chromosomal abnormalities opportunity to inform higher, shall be subject to inspection amniocentesis

Choices:
A. Recommend termination of pregnancy
B. Fetal chromosomal abnormalities opportunity to inform higher, shall be subject to inspection amniocentesis
C. Recommended acceptance of a detailed ultrasound examination, ultrasound examination if there is a problem, accept amniocentesis to check
D. Recommends acceptance of the maternal blood screening to determine whether further inspection to accept the amniocentesis


Question: 12 Lee to the hospital for the measurement of lung volume, total lung capacity measurements showed (total lung capacity) was 5800 ml, the volume I (residual volume) to 1000 ml, more than pulmonary functional capacity (functional residual capacity) to 1800 ml , tidal volume (tidal volume) of 500 ml. Lee's reserve expiratory volume (expiratory reserve volume) is how many milliliters?

Answer: 800

Choices:
A. 800
B. 1300
C. 1500
D. 2300


Question: The effectiveness of the role of antibody (effector functions) by a part of the molecule that decision?

Answer: Heavy chain constant region (constant region)

Choices:
A. Heavy chain (heavy chain) of the variable region (variable region)
B. Heavy chain constant region (constant region)
C. Light chain (light chain) variable region of
D. The light chain constant region


Question: Account of the anti-Parkinson's disease drugs (antiparkinson's drug), and Which statement is correct?

Answer: rasagiline is a monoamine oxidase type B (monoamine oxidase B) inhibitors

Choices:
A. carbidopa is a dopamine precursor drugs
B. rasagiline is a monoamine oxidase type B (monoamine oxidase B) inhibitors
C. pramipexole dopamine receptor inhibition
D. benztropine promote the release of dopamine nerve endings


Question: Statements about grade IV astrocytoma (glioblastoma), and what's wrong?

Answer: O6-methylguanine-DNA methyltransferase (MGMT) expressive of cancer, for the treatment of temozolomide than curative

Choices:
A. This disease prognosis is poor, with an average survival period of 2 years ⼩
B. Therefore especially surgery treatments with the watch, follow and Using chemotherapy (temozolomide) and radiation therapy as the main treatment shutter mode
C. O6-methylguanine-DNA methyltransferase (MGMT) expressive of cancer, for the treatment of temozolomide than curative
D. Use to be Face bevacizumab after disease recurrence, the drug can reduce the swollen water resistant tumor periphery, may be extended ⻑ progression-free survival


Question: Want to become pregnant, which of the following is the best way to calculate the time intercourse?

Answer: Urine test LH (luteinizing hormone)

Choices:
A. BBT temperature change time
B. Urine test LH (luteinizing hormone)
C. Serum progesterone concentration
D. Cervical secretions increases, when thinning


Question: Clinically, dental treatment when the next row of molars, local anesthesia inferior alveolar nerve (inferior alveolar nerve) where more by the injection of local anesthetic agents?

Answer: Mental foramen (mental foramen)

Choices:
A. Mental foramen (mental foramen)
B. Zygomatic arch (zygomatic arch) the lower edge
C. Condyle (condylar process) the leading edge
D. Mandible hole (mandibular foramen)


Question: Neck injuries in a car accident, resulting in loss of sensation in his right thumb, and the remaining four fingers normal, most likely on the right side of the neck that a spinal nerve damage?

Answer: C6

Choices:
A. C5
B. C6
C. C7
D. C8


Question: Supply vessels in the nose, it is not caused by a blood vessel supplying the external carotid artery?

Answer: Former ethmoid artery (anterior ethmoidal artery)

Choices:
A. Former ethmoid artery (anterior ethmoidal artery)
B. Upper lip artery (superior labial artery)
C. Large palatal artery (greater palatine artery)
D. Sphenopalatine artery (sphenopalatine artery)


Answer: KOH microscopy (KOH examination)

Choices:
A. Bacterial culture (bacteria culture)
B. KOH microscopy (KOH examination)
C. Stickers skin test (patch test)
D. Skin biopsy (skin biopsy)


Question: Nest the following statements about brain infarction (lacunar infarcts), and what's wrong?

Answer: Department of disseminated intravascular coagulation (DIC) Results

Choices:
A. Occurs most frequently in hypertension
B. Most often in the basal ganglia
C. Not more than 15 mm
D. Department of disseminated intravascular coagulation (DIC) Results


Question: The following related adenine nucleotide translocation enzyme (adenine nucleotide translocase) of the narrative, what is true?

Answer: ADP and ATP main medium through the mitochondrial membrane interchange reactions in vivo

Choices:
A. Located in the outer membrane of mitochondria
B. ADP and ATP main medium through the mitochondrial membrane interchange reactions in vivo
C. Between the main medium of the mitochondrial ATP sinotrans to the film mass (Matrix)
D. The main medium of stromal ADP through mitochondrial membrane transport in vivo to the inter-membrane gap (intermembrane space)


Question: The following account of steroid hormone response element (HRE), and what's right?

Answer: Is a length DNA sequence, can be combined with 50 NADH dehydrogenation  hormone-receptor complex (NADH dehydrogenase) as secondary :

Choices:
A. Is a plasma membrane protein, can be combined with hormone
B. Is a nuclear protein, can bind to hormone
C. Is a length intron sequence, may be combined with activated hormone receptor
D. Is a length DNA sequence, can be combined with 50 NADH dehydrogenation  hormone-receptor complex (NADH dehydrogenase) as secondary :


Question: A 81-year-old male, late lung cancer with multiple metastases patients, due to pain and breathing difficulties admitted to hospice, terminally ill patients of cancer-related pain control, the following statements is true?

Answer: For pain and burning sensation caused by nerve damage, the tricyclic antidepressants may be within or outside of antiepileptic drugs plus morphine analgesia (e.g.

Choices:
A. For patients with terminal cancer pain should only be administered in order to avoid drug addiction
B. For treatment of pain in terminal cancer patients given morphine to minimize the dose to avoid breathing rate slows
C. For pain and burning sensation caused by nerve damage, the tricyclic antidepressants may be within or outside of antiepileptic drugs plus morphine analgesia (e.g.
D. If the patient has shown a stupor (stupor) or coma, should immediately stop giving the drug to prevent all morphine morphine poisoning


Question: The following clinical significance nystagmus diagram represents, the most likely diagnosis is:

Answer: Benign paroxysmal postural vertigo (benign paroxysmal positional vertigo)

Choices:
A. Benign paroxysmal postural vertigo (benign paroxysmal positional vertigo)
B. Vestibular neuritis (vestibular neuritis)
C. Cerebellopontine angle tumors (cerebellopontine angle tumor)
D. US Niyi's disease (Meniere's disease)


Question: A 30-year-old man, because surgery pituitary tumor (Pituitary adenoma) results in a reduction of the anterior lobe function. The following narrative about hormone therapy, whichever is correct?

Answer: When in compression (Stress) situation, the need to add extra adrenocorticotropic hormone (Cortisol)

Choices:
A. Supplementary androgen (Androgen) restore fertility of patients
B. Do not need to add thyroxine
C. The need to add antidiuretic hormone (ADH) to prevent diabetes insipidus
D. When in compression (Stress) situation, the need to add extra adrenocorticotropic hormone (Cortisol)


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

Answer: Currently surgery, cut-and-sew Cox-Maze III procedure after only about half of the patients may jump back to normal sinus rhythm

Choices:
A. In addition to drug therapy to control heart rate, shall include anticoagulant therapy to reduce thrombosis produce
B. Indications for surgery include medical therapy merger of atrial fibrillation caused by cardiomyopathy, can not accept antiarrhythmic drugs or anti-clotting drug therapy
C. Currently ablation procedures include cryotherapy (cryoablation), microwave ablation (microwave), laser ablation (laser), etc.
D. Currently surgery, cut-and-sew Cox-Maze III procedure after only about half of the patients may jump back to normal sinus rhythm


Question: A 30-year-old woman with a history of urinary tract inflammation of the past, and now complained of urinary frequency, voiding symptoms of pain and lower limb pain, which of the following pathogenic strains most likely to cause these symptoms?

Answer: Escherichia coli

Choices:
A. Staphylococcus saprophyticus
B. Escherichia coli
C. Klebsiella pneumoniae
D. Proteus mirabilis


Question: The use of aminoglycosides in patients with edema for infection treatment, you should not use diuretics to treat edema following what?

Answer: furosemide

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


Question: About narrative agonist (hormone) hormone (agonist) and an inhibitor (antagonist), the error which of the following?

Answer: Tamoxifen is an estrogen inhibitor (antagonist), inhibit the growth of the endometrium

Choices:
A. Agonists (agonist) with the inhibitor (antagonist) are must first bind to the receptor, to activate the subsequent action
B. After binding inhibitor receptor (antagonist), message transfer will block receptor
C. Clomiphene estrogen inhibitor (antagonist), inhibit the growth of the endometrium
D. Tamoxifen is an estrogen inhibitor (antagonist), inhibit the growth of the endometrium


Question: Which is not an obesity (obesity) Rongyifasheng pregnant women during pregnancy maternal-fetal complications (complications)?

Answer: Early rupture of membranes (preterm rupture of membranes)

Choices:
A. Gestational diabetes mellitus (gestational diabetes mellitus)
B. Pre-eclampsia (preeclampsia)
C. Prolonged pregnancy (postterm pregnancy)
D. Early rupture of membranes (preterm rupture of membranes)


Question: 5. One patient came for medical treatment due to diarrhea. He since three days before the start of diarrhea, mostly watery waste, at least ten times a day, occasionally accompanied by abdominal pain, and hair 6oC, acetaminophen can be a little fever, but will burn again. He did not nausea, vomiting, and diarrhea but fear not eating and drinking. The following narrative, what's wrong?

Answer: In addition to replenish moisture, should be immediately given strong antidiarrheal drugs to curb diarrhea

Choices:
A. He may have infectious diarrhea (infectious diarrhea), should quickly check their etiology
B. Their stool should be inspected, including pus cells and parasites ova, or even bacterial and viral culture
C. In addition to replenish moisture, should be immediately given strong antidiarrheal drugs to curb diarrhea
D. If the stool examination revealed pus cells, the pathogen has not been determined before the formal trial of antibiotics (such as quinolone or metronidazole) is comely


Question: A 76-year-old man living alone with a history of cardiac arrhythmias, usually taking digoxin (Digoxin) control. This time because of dizziness, nausea, and chest tightness, and neighbors were found to bring the emergency room. By history taking, the patient will be in a bad mood because represent half of all copies of digitalis eat, when to the hospital conscious, normal body temperature, breathing 22 times / min, heart rate 42 beats / min, blood pressure 96 / 60mmHg, He disposed of the following items is not the most appropriate?

Answer: Administration of nitroglycerin (nitroglycerin)

Choices:
A. Blood testing digoxin concentration (digoxin level)
B. Administration of nitroglycerin (nitroglycerin)
C. Give percutaneous cardiac pacemaker (transcutaneous pacemaker, TCP)
D. Intravenous injection of atropine 0.5mg


Question: The following diseases and their pathogens combination, whichever correct?

Answer: Cat scratch fever (cat-scratch disease): Bartonella henselae

Choices:
A. Lyme disease (lyme disease): Leptospira interrogans
B. Whooping cough (pertussis): Borrelia burgdorferi
C. Cat scratch fever (cat-scratch disease): Bartonella henselae
D. Scrub typhus (scrub typhus): Coxiella burnetii


Question: Further testing, the detection and assumptions that direction is unreasonable?

Answer: Acute hepatitis B is one of the possible diagnosis, it is recommended to detect HBsAg and IgG anti-HBc

Choices:
A. Acute hepatitis B is one of the possible diagnosis, it is recommended to detect HBsAg and IgG anti-HBc
B. Taiwan is hepatitis B-endemic countries, acute exacerbation of chronic hepatitis B is quite common, to be included in the differential diagnosis, coming after PT INR returned to normal, liver biopsy can help determine
C. Acute hepatitis C is probably one of the diagnosis, it is recommended to detect anti-HCV, if presented positive reaction, can further detect HCV RNA
D. ALP values within the normal range in patients, the opportunity due to acute hepatitis caused by biliary obstruction is not large


Question: Ludwig's angina of infection and that a muscle than those without relationship?

Answer: digastric muscle

Choices:
A. genioglossus muscle
B. geniohyoid muscle
C. mylohyoid muscle
D. digastric muscle


Question: From the previous question, and the family in the case after an emotional state stability, but also accept the recommendations of the cases sent to community rehabilitation center for rehabilitation treatment; in the process of rehabilitation, the functions of the teachers found that Mr. Zhang had severe learning disabilities, learning a variety of skills the effect is far from ideal, while he neuropsychological examination arrangements. The following results for neuropsychological examination, what is the least likely to find?

Answer: Long-term memory impairment

Choices:
A. Short-term memory impairment
B. Attention disorders
C. Long-term memory impairment
D. Ability to execute and abstract thinking disorders