Question: Statements about muscle (suprahyoid muscles) on the hyoid bone, which of the following correct?

Answer: After two ventral abdominal muscles (posterior belly of digastric muscle) is dominated by the facial nerve (facial nerve)

Choices:
A. After two ventral abdominal muscles (posterior belly of digastric muscle) is dominated by the facial nerve (facial nerve)
B. Anterior belly of the digastric (anterior belly of digastric muscle) is dominated by the hypoglossal nerve (hypoglossal nerve)
C. Mylohyoid muscles (mylohyoid muscle) dominated by the hypoglossal nerve (hypoglossal nerve)
D. Stylohyoid muscle (stylohyoid muscle) dominated by the mandibular nerve (mandibular nerve)


Question: Which of the following is the main cause construction anteversion (anteflexion) of?

Answer: Uterine round ligament (round ligament of the uterus)

Choices:
A. Broad ligament (broad ligament)
B. Main ligaments (cardinal ligament)
C. Uterine round ligament (round ligament of the uterus)
D. Recommended uterus ligament (uterosacral ligament)


Question: 43 year old man, suddenly the left limb weakness, MRI image below, the diagnosis is:

Answer: Acute infarction (Acute infarction)

Choices:
A. Encephalitis (Encephalitis)
B. Acute infarction (Acute infarction)
C. Acute intracerebral hemorrhage (Acute intracerebral hemorrhage)
D. Meningitis (Meningitis)


Question: About sex steroid hormones on the endometrial submenus for Use of narrative, which of the following error?

Answer: Submenu progesterone inhibits the endometrial ⾎ tube (blood vessels) and glands (glands) increase ⽣

Choices:
A. Submenu estrogen stimulates endometrial stromal cells (stroma cells) increase ⽣
B. Submenu progesterone inhibits endometrial stromal cells (stroma cells) increase ⽣
C. Estrogen stimulates endometrial submenus in ⾎ tubes (blood vessels) and glands (glands) increase ⽣
D. Submenu progesterone inhibits the endometrial ⾎ tube (blood vessels) and glands (glands) increase ⽣


Question: To the emergency room of a young woman sent by ambulance, accompanied by women officers stated that due to emotional factors, swallowed an hour before the home through music (containing sodium hydroxide, ammonia and other alkali), following emergency treatment of what is appropriate ?

Answer: Intravenous fluids and nasogastric tube feeding

Choices:
A. Oral mucosal injury case if slight, it is not necessary to arrange examination of the esophagus
B. Should be given immediately emetic or gastric lavage acid acceptor and
C. Intravenous fluids and nasogastric tube feeding
D. Should immediately arrange for endoscopy scope and extent of damage


Question:
2 a 7-day-old boy, because abdominal distension and jaundice treatment. Birth weight of 2,550 grams, was born a few weeks to 38 weeks. Physical examination show poor fatigue, vigor, liver palpable two fingers. Check blood leukocytes 8,280 / μL, where segment accounts for 15%, band form accounts for 22%, lymphocyte accounted for 30%, monocyte accounted for 1%, eosinophil 1.2%. Heme 15 g / dL, platelets 220,000 / μL.
 U / L, AST 72 U / L. Abdominal X-ray, abdominal skin and faeces below, which of the following is the most likely clinical diagnosis?

Answer: intestinal obstruction

Choices:
A. intestinal obstruction
B. acute gastroenteritis
C. milk allergy
D. congenital megacolon


Question: Which of the following is the main sites of metastases of liver cancer?

Answer: Abdominal lymph nodes and lung

Choices:
A. Stomach and intestines
B. Stomach and pancreas
C. Abdominal lymph nodes and lung
D. Abdominal lymph nodes and renal


Question: A 30-year-old woman came for treatment because of irregular menstruation, the patient complained after menarche to irregular menstruation, physical examination revealed lower abdominal midline fine hairs, legs also increased. Of the following statements do not match this disease?

Answer: Patients FSH / LH ratio higher than normal

Choices:
A. Patients often have insulin resistance
B. High androgen patient
C. Patients FSH / LH ratio higher than normal
D. Ovary increases patient


Question: Which of the following after taking anti-cancer drugs can cause side effects in acute hemorrhagic cystitis?

Answer: cyclophosphamide

Choices:
A. doxorubicin
B. fluorouracil
C. vincristine
D. cyclophosphamide


Question: 67.21-year-old Wang ⼩ sister, have complained of wheezing during exercise and shortness of breath phenomenon. To prevent induced asthma in this case, that ⼀ the following drugs is the best choice?

Answer: Inhaled short-acting sympathomimetic agent ⼄ ⼆ type (β2-agonist)

Choices:
A. Inhaled short-acting sympathomimetic agent ⼄ ⼆ type (β2-agonist)
B. ⼝服aminophylline
C. Inhaled anticholinergic agents (anticholinergics)
D. Inhaled sodium cromoglycate (cromolyn)


Question: One 60-year-old male patient was found to have a litter of 4 cm lump on the right side only clavicle, Which of the following is the most likely primary lesion?

Answer: Prostate Cancer

Choices:
A. Nasopharyngeal
B. Oral Cancer
C. Prostate Cancer
D. Sinus cancer


Question: Which of the following did not pass the cubital fossa (cubital fossa)?

Answer: Ulnar nerve (ulnar nerve)

Choices:
A. Brachial artery (brachial artery)
B. Biceps tendon (tendon of biceps brachii)
C. The median nerve (median nerve)
D. Ulnar nerve (ulnar nerve)


Question: 44.24-year-old man nausea and discomfort around the navel and then I felt right lower abdominal pain and to the emergency room for treatment, as shown in Figure abdominal X-ray, which of the following is the more likely diagnosis?

Answer: Acute appendicitis

Choices:
A. Acute cholecystitis
B. Acute appendicitis
C. Sigmoid diverticulitis
D. Peptic ulcer


Question: 12 patients simple pulmonary valve stenosis (pulmonary atresia with intact ventricular septum), if the right ventricular infundibulum (infundibulum) defect, while coronary artery and right ventricular cavity have in common, the first phase of surgery to that one of the most suitable?

Answer: Blalock-Taussig shunt

Choices:
A. Pulmonary valve incision
B. Blalock-Taussig shunt
C. Pulmonary valve incision combined Blalock-Taussig shunt
D. Under cardiopulmonary bypass, do cloth over the massive pulmonary valve ring portion (transannular patching) 13 gamekeepers thumb (gamekeeper's thumb) of the disease, because there is a thumb fracture?


Question: For immunomodulatory agents (immunomodulators) mechanism of action, which is not an inhibitor of TNF-α?

Answer: abatacept

Choices:
A. infliximab
B. abatacept
C. etanercept
D. adalimumab


Question: There is a child born after abdominal distension phenomenon, often alternating constipation and diarrhea, the situation appears to have the appearance of malnutrition. Physical examination found that the anus is tight, but the appearance is normal. Which of the following in the diagnosis of little help?

Answer: Anoscopy (Anoscopy)

Choices:
A. Anoscopy (Anoscopy)
B. Barium enema (Barium enema)
C. Anorectal manometry test (Anorectal manometry)
D. Rectal slice (Rectal biopsy)


Question: A left-handed man of 28 years old, due to neck pain, to accept the printing of chiropractic, chiropractic procedure after 20 minutes, worsening neck pain and numbness noted that the left cheek, and the emergence of left limbs clumsy (clumsiness), that the following the term is most likely diagnosis?

Answer: Peeling vertebral artery (Vertebral artery dissection)

Choices:
A. Basilar artery embolization (Basilar artery thrombosis)
B. Neck disc (Cervical disc protrusion)
C. Carotid artery stenosis (Carotid stenosis)
D. Peeling vertebral artery (Vertebral artery dissection)


Question: Account of generalized anxiety disorder (generalized anxiety disorder), and Which statement is correct?

Answer: Onset usually begins in early adulthood

Choices:
A. While cases with severe depression accounted for a very small number
B. Onset usually begins in early adulthood
C. More than ninety percent of the patients had experienced a panic attack
D. Ratio of men and women suffering from the disease roughly equal


Question: About the male reproductive system, the following statements is this bad?

Answer: Sertoli cells secrete the hormone release inhibition (Inhibin) may facilitate stimulation anterior pituitary luteinizing hormone (LH) of

Choices:
A. Vas deferens (ductus deferens) is a pseudo-epithelium columnar epithelium (pseudostratified columnar epithelium)
B. Luteinizing stimulating hormone (LH) stimulates the Leydig cells (Leydig cell) androgenic hormone (Testosterone)
C. Vas deferens (ductus deferens) has an inner vertical-travel, take the middle ring, take the three outer longitudinal smooth muscle wall
D. Sertoli cells secrete the hormone release inhibition (Inhibin) may facilitate stimulation anterior pituitary luteinizing hormone (LH) of


Question: 65. If urinary tract obstruction caused by Bowman's capsule clean water pressure (hydrostatic pressure of the Bowman's capsule) increased glomerular filtration rate (glomerular filtration rate) is most likely to produce the following therefore what changes?

Answer: cut back

Choices:
A. Reflex increase
B. Rapid increase and become stable
C. cut back
D. Unaffected


Question: 55 year old man right facial palsy 2 to 3 weeks by examination, otoscopic examination revealed otorrhea right ear while the ear mastoid tenderness. Patients with a history of past asked that the case of repeated ear otorrhea, hard of hearing and the right side, the most likely diagnosis Why?

Answer: The complications caused by cholesteatoma

Choices:
A. Bell's facial palsy
B. Ear herpes zoster
C. The complications caused by cholesteatoma
D. Facial nerve sheath tumors (facial nerve schwannoma)


Question: Which of the following will first through the greater sciatic hole, then through the greater sciatic hole?

Answer: Pudendal nerve

Choices:
A. Margin on muscle
B. Piriformis
C. Obturator muscle
D. Pudendal nerve


Question: About neonatal pneumonia chlamydia (Chlamydia trachomatis), the following statements is wrong?

Answer: Auscultation often hear wheezing

Choices:
A. Often eosinophilic leukocytosis (eosinophilia) phenomenon
B. Auscultation often hear wheezing
C. Usually not fever
D. Can (erythromycin) treatment with erythromycin


Question: Which of the following amino acid for the synthesis of nitric oxide (NO) precursor?

Answer: Arginine

Choices:
A. Arginine
B. Tryptophan
C. Lysine
D. Methionine


Question: That is equal to one of the following amino acids at pH 11 with a net negative charge?

Answer: Silk amino acid (serine)

Choices:
A. Jing amino acid (Arginine)
B. Asparagine amino acid (aspartic acid)
C. Bran amino acid (glutamic acid)
D. Silk amino acid (serine)


Question: Which of the following atelectasis (atelectasis) is usually irreversible of changes?

Answer: Systolic pulmonary atelectasis (contraction atelectasis)

Choices:
A. The absorbent atelectasis (resorption atelectasis)
B. Obstructive pulmonary atelectasis (obstruction atelectasis)
C. Oppressive atelectasis (compression atelectasis)
D. Systolic pulmonary atelectasis (contraction atelectasis)


Question: For total parenteral nutrition in patients with liver failure given principle, the following items what is wrong?

Answer: Energy should be administered> 35 Kcal / kg / day

Choices:
A. Selection of the branched amino acids (branched chain amino acids)
B. Energy should be administered> 35 Kcal / kg / day
C. Selection medium-chain fatty acids (MCT fat)
D. If the high index jaundice, should be changed using the formula given cycle (cyclic TPN)


Question: Male psychogenic erection (psychogenic erection) control bit nervous tissue where?

Answer: Sympathetic to the tenth thoracic spinal cord of the second waist

Choices:
A. To the tenth thoracic spinal cord nerve of the second waist
B. Sympathetic to the tenth thoracic spinal cord of the second waist
C. Recommended in the second to fourth lumbar nerve
D. The second to fourth lumbar recommended parasympathetic


Question: A person living alone in Taiwan Zhao accepted due to change in bowel habits colonoscopy, was found in the sigmoid colon tumor growth ring, and is about to complete obstruction of the intestine. When doctors told her she had to undergo surgery flatly refused, and told her husband and only son of a physician due to injury, surgery has caused complications and death. Next, the physician most expedient way to deal with what?

Answer: Zhao committed to working with fuller communication

Choices:
A. Zhao decided not to directly listen to the scheduled surgery
B. To deceive the way for Ms. Zhao scheduled surgery
C. Shelve decisions when the situation changes and then decide
D. Zhao committed to working with fuller communication


Question: Clinical characterization Neural tube defect that does not contain one of the following?

Answer: dermoid sinus common in cranial encephalocele

Choices:
A. spina bifida occulta often no obvious neurological symptoms
B. myelomenigocele is a manifestation of the most serious, surgery is necessary and the earlier the better
C. dermoid sinus common in cranial encephalocele
D. hydrocephalus is a common complication in the myelomenigocele


Question: When the aqueous humor (aqueous humor) drainage path abnormal, can lead to elevated intraocular pressure, if not treated can damage the optic nerve and cause blindness, of this common eye disease are:

Answer: Glaucoma (glaucoma)

Choices:
A. Glaucoma (glaucoma)
B. Cataract (cataract)
C. Depending papillary edema (papilledema)
D. Retinal detachment (retinal detachment)


Question: 9. When a car accident a lot of blood, at one hour after the incident, the body will by those mechanisms to maintain a constant blood pressure? ① pressure sensitive reflector (baroreflex) ② kidney - Pressure regulation of blood volume (renal-blood volume pressure control) ③ renin - angiotensin - vasoconstriction (renin-angiotensinvasoconstriction) ④ fluid recovered microvascular (capillary fluid shift)

Answer: ①③④

Choices:
A. ①②④
B. ①②③
C. ①③④
D. ②③④


Question: The following clinical manifestations, whichever does not appear in the periphery of the lung embolism?

Answer: Syncope

Choices:
A. Hemoptysis
B. Respiratory distress
C. Pleural chest pain
D. Syncope


Question: Which of the following drugs do not inhibit the metabolism of warfarin?

Answer: aspirin

Choices:
A. amiodarone
B. aspirin
C. trimethoprim
D. disulfiram


Question: About surgery, the use of transesophageal ultrasound (Transesophageal echocardiography, TEE) for the monitoring of the narrative, which of the following error?

Answer: MI (Myocardial infarction) occurs surgery, it is not easily detected by TEE

Choices:
A. TEE be used to assess left ventricular function, including whether the ejection fraction (Ejection fraction), systolic dysfunction, etc.
B. As the surgery TEE monitoring whether a gas embolism (Air embolism) is a very sensitive
C. MI (Myocardial infarction) occurs surgery, it is not easily detected by TEE
D. TEE can also be used to assess abnormal valve morphology and function of the heart valve


Question: 89. ⼀ bit first frame type diabetes (type 1 diabetes mellitus) patients after injection of insulin (insulin), not eating to ⾄ low ⾎ sugar coma, following whichever is the most important factor causing low ⾎ sugar?

Answer: The fourth type of insulin increases glucose transport egg white (GLUT4) in extrahepatic tissues for Use

Choices:
A. Insulin increases in liver tissue of the first frame-type glucose transport egg white (GLUT1) for Use of
B. The fourth type of insulin increases glucose transport egg white (GLUT4) in extrahepatic tissues for Use
C. Insulin increases the activity of hepatic hexokinase
D. Insulin increases the activity of hexokinase extrahepatic tissues


Question: When inpatient acute renal failure, which is not an incentive?

Answer: Recently taking lipid-lowering drugs

Choices:
A. Recently accepted the developer injection
B. Recently used antibiotics
C. Recently hypotension
D. Recently taking lipid-lowering drugs


Question: Binding of the antibody to the antigen is not dependent:

Answer: Covalent bonds (covalent bonds)

Choices:
A. Covalent bonds (covalent bonds)
B. Electrostatic interactions (electrostatic interactions)
C. Hydrogen bonds (hydrogen bonds)
D. Van de Waal forces (van der Waals forces)


Question: Between the ring wire within the sphere related to kidney cells (mesangial cells), the following statements is wrong?

Answer: The embryo, cells derived from the mononuclear phagocytic this system (mononuclear phagocytotic system) pioneer cells

Choices:
A. The embryo, cells derived from the mononuclear phagocytic this system (mononuclear phagocytotic system) pioneer cells
B. When glomerular injury, the cells may secrete interstitial leukocyte between -1 (interleukin-1)
C. This capability phagocytic cells (phagocytosis) to remove after the glomerular filtration of residue
D. This podocyte cell can provide structural support (podocyte)


Question: Brazilian Vice coccidioidomycosis fungus (Paracoccidioides brasiliensis) in the cell wall of yeast cells, following what kind of content and composition of the virulence of the most relevant?

Answer: 1,3-α- glucan (1,3-α-glucan)

Choices:
A. 1,3-α- glucan (1,3-α-glucan)
B. 1,3-β- glucan (1,3-β-glucan)
C. Galactomannan (Galactomannan)
D. Chitin (Chitin)


Question: 46 Mr. Wang, 45 years old, shortness of breath after abdominal surgery. Blood pressure, pulse, ECG were normal, lung auscultation, and chest X-ray examination revealed many lung secretions can not be coughed up. Arterial oxygen partial pressure of 88 mmHg, the carbon dioxide partial pressure of 40 mmHg. Which of the following best rehabilitation training on Mr. Wang did not help?

Answer: Glossopharyngeal breathing (glossopharyngeal breathing)

Choices:
A. Relaxation and breathing exercises (relaxation and breathing exercise)
B. Posture drainage and take sputum (posture drainage)
C. Assisted cough training (assistive cough)
D. Glossopharyngeal breathing (glossopharyngeal breathing)


Question: Which of the following can the eggs with the blood circulation to the brain or spinal cord, the formation of granulomas, cause seizures, neurological deficits?

Answer: Shaped flukes (Heterophyes heterophyes)

Choices:
A. Echinostoma (Echinostoma spp.)
B. Shaped flukes (Heterophyes heterophyes)
C. Cattle and sheep liver fluke (Fasciola hepatica)
D. 薑片 蟲 (F. buski)


Question: After the baby is delivered, the placenta can not be delivered on their own, and uterine bleeding situation, it should give priority to one of the following disposal?

Answer: Massaging the uterus and placenta manually peeled

Choices:
A. With gauze packing of the uterus and vagina
B. Waiting for the release of placental self uterus
C. Massaging the uterus and placenta manually peeled
D. To remove the clip placenta uteroplacental


Question: Prevalence (prevalence) in Taiwan women infected with cervical human papillomavirus (HPV) is about how much?

Answer: 15%

Choices:
A. 15%
B. 35%
C. 50%
D. 75%


Question: 46 A 60-year-old woman was hospitalized for fatigue and confusion, patients with long-term diabetes taking metformin, was diagnosed with small cell lung cancer is still the treatment of last year. Body checkups: blood pressure 136/80 mmHg, pulse rate 76 per minute, 14 times per minute, respiratory, jugular vein flat, no abnormal chest and abdomen, extremities edema, neurological examination, no motor deficits, reduced symmetry CD deep tendon reflexes. Laboratory tests: sodium 108 mmol / L, potassium 3.8 mmol / L, HCO3- 24 mEq / L, urea nitrogen 5 mg / dL, creatinine 0.5 mg / dL, serum osmolality 220 mOsmol / kg H2O, urine osmolality 400 mOsmol / kg H2O. If this is too fast to correct the patient's electrolyte abnormalities, following what most worried about complications?

Answer: Permeability of brain demyelinating syndrome (osmotic cerebral demyelination)

Choices:
A. Rebound hyperglycemia (rebound hyperglycemia)
B. Permeability of brain demyelinating syndrome (osmotic cerebral demyelination)
C. Pulmonary edema (pulmonary edema)
D. Cerebral edema (brain edema)


Question: One diabetic ketoacidosis (diabetic ketoacidosis) of sick children in hospital the other day, because theosophy have not replied and go to the hospital. Sick Children in the emergency room suddenly cramp (seizure), examination revealed both pupil sizes. At this point it is best for quick disposal of giving:

Answer: l 10 mL/kg 20% mannitol

Choices:
A. 20 mL / kg of 0.9% NaCl
B. regular insulin 0.1 U/kg
C. 1：10000 epinephrine 0.1 cc/kg
D. l 10 mL/kg 20% mannitol


Question:
11. One 47-year-old woman, the last three years with mild thirst, hair, fingers winter will be white and purple. Further, in the palm and back of a micro significant vasodilation (telangiectasis). Nearly half have dysphagia. By blood examination revealed ANA 1: 160 centromere pattern, C3
 108 mg / dL, C4 23.5 mg / dL, anti-Scl-70 85 AU / mL (normal <120 AU / mL), anti-centromere protein 218 AU / mL (normal <120 AU / mL), anti-SSA 128 AU / mL (normal <120 AU / mL), anti-dsDNA 108 IU / mL
 (Normal <120IU / mL), anti-Sm / anti-RNP were normal. The most likely diagnosis Why?

Answer: CREST syndrome

Choices:
A. polymyositis
B. CREST syndrome
C. Sjögren's syndrome
D. systemic lupus erythematosus


Question: Vascular layer of the eye (vascular tunica) which does not include the following structure?

Answer: Crystalline lens (lens)

Choices:
A. Iris (iris)
B. Crystalline lens (lens)
C. Ciliary body (ciliary body)
D. Choroid layer (choroid)


Question: Which of the following properties Rickettsia bacteria (Rickettsiae) with the same virus?

Answer: Within the cell to survive

Choices:
A. While DNA and RNA
B. Within the cell to survive
C. Line breeding dichotomy
D. Can be killed by antibiotics


Question: 79. One 45-year-old middle-aged men, career as a long-distance bus driver, recently often suffer from dizziness, severe dizzy unable to stand. This vertigo has occurred several times in his car, causing danger. When coincides with the company to hold annual physical examination, a physician diagnosis of inner ear disease, can not be completely cured in the short term, to be a good rest. Only the patient as breadwinner, to refuse treatment, and requires the physician to the company's confidential. Whether the physician should inform the employer of this patient?

Answer: Yes. At this time, the safety of the passengers and the public interest is more important than privacy

Choices:
A. Yes. At this time, the safety of the passengers and the public interest is more important than privacy
B. no. The principle of confidentiality does not allow physicians to violate the rights of any
C. no. Physicians should be referred to other physicians
D. Yes. Employers know that employees' privacy life


Question: A 40-year-old female, infertility due to polycystic ovary years, irregular menstruation, blood analysis for the first three days of menstruation FSH: 8 mIU / mL, LH: 30 mIU / mL, testosterone: 75 ng / dL, ultrasound under shows bilateral polycystic ovaries, endometrial thickness of 2.5 cm, before the start of ovulation induction, the following examination is what priority needs?

Answer: Endometrial sliced

Choices:
A. Breast examination
B. Laparoscopy
C. Endometrial sliced
D. Blood cholesterol and triglyceride


Question: Staphylococcus aureus (Staphylococcus aureus) is divided into 11 serotypes (serotypes) component of its cell in accordance with the kind of the region?

Answer: Capsular polysaccharides (capsular polysaccharide)

Choices:
A. Wins peptidoglycan (peptidoglycan)
B. Protein A (Protein A)
C. Peeling toxin (Exfoliative toxins)
D. Capsular polysaccharides (capsular polysaccharide)


Question: About pancreatic cancer, which of the following error?

Answer: By staging American Joint Committee on Cancer (AJCC) made for pancreatic cancer, T3N0M0 T2N1M0 are all part of the stage IIB

Choices:
A. The most common pathological diagnosis of ductal adenocarcinoma
B. Risk factors for pancreatic cancer include the age, family history, smoking, chronic pancreas Yandeng
C. By staging American Joint Committee on Cancer (AJCC) made for pancreatic cancer, T3N0M0 T2N1M0 are all part of the stage IIB
D. Head of pancreas cancer may be considered to be excised pancreaticoduodenectomy


Question: Magnetic Resonance Imaging (MRI) in clinical use, for approaching the cerebral cortex (cortical) or ventricles (ventricle) next to the brain infarction, which of the following sequences (sequences) provides the highest sensitivity will focus stand out?

Answer: fluid-attenuated inversion recovery（FLAIR）imaging

Choices:
A. T1-weighted imaging
B. T2-weighted imaging
C. fluid-attenuated inversion recovery（FLAIR）imaging
D. susceptibility-weighted imaging（SWI）


Question: The following account of the treatment of asthma (bronchial asthma), and what's right?

Answer: Use of inhaled long-acting with the ethylene-type synergist sympathetic inhaled steroids combined formulation, can effectively control persistent asthma (persistent asthma)

Choices:
A. Ethylene type conventionally used should be fast-acting sympathetic synergist (rapid acting β-agonist) to control the symptoms
B. Use dose inhaled steroids while ineffective, priority should be given to increase the dose of steroids to control inflammation
C. Use of inhaled long-acting with the ethylene-type synergist sympathetic inhaled steroids combined formulation, can effectively control persistent asthma (persistent asthma)
D. And white acid antagonists (leukotriene antagonist) suitable for severe persistent asthma (severe persistent asthma)


Question: Which of the following conditions does not increase the risk of acute tubular necrosis induced by the developer?

Answer: Hyperkalemia

Choices:
A. Multiple myeloma (multiple myeloma)
B. diabetes
C. Humoral deficiency (hypovolemia)
D. Hyperkalemia


Question: When a newborn Which of the following diseases must avoid BCG is administered to play?

Answer: Mixed severe immune function defect

Choices:
A. Immunoglobulin hypothyroidism
B. Mixed severe immune function defect
C. Family history of tuberculosis
D. Cytomegalovirus infection in the fetus


Question: Connected sympathetic chain (sympathetic chain) with the L4 spinal nerve is:

Answer: Gray communicating branches, containing postganglionic sympathetic nerve fibers

Choices:
A. White rami (white communicating ramus), containing preganglionic sympathetic nerve fibers
B. White communicating branch, containing postganglionic sympathetic nerve fibers
C. Gray communicating branches (gray communicating ramus), containing preganglionic sympathetic nerve fibers
D. Gray communicating branches, containing postganglionic sympathetic nerve fibers


Question: Which of the following is not acute heart failure and pulmonary edema are the main drug?

Answer: Beta-sympatholytic agents preferably used (β-blocker)

Choices:
A. Intravenous dopamine or dobutamine
B. Intravenous nitroglycerin
C. Intravenous diuretics
D. Beta-sympatholytic agents preferably used (β-blocker)


Question: The following diseases fetoprotein (α-fetoprotein, AFP) is most unlikely elevated diseases:

Answer: Liver adenoma (Hepatic adenoma)

Choices:
A. HCC (Hepatocellular carcinoma)
B. Liver adenoma (Hepatic adenoma)
C. Testicular teratocarcinoma cell carcinoma (teratocarcinoma)
D. Severe viral hepatitis (Severe viral hepatitis)


Question: Account of the first type of bipolar disorder (bipolar I disorder), and which of the following error?

Answer: Only a very small number of cases of mania, hallucinations or delusions will produce

Choices:
A. Most cases first made as a depression rather than manic
B. Only a very small number of cases of mania, hallucinations or delusions will produce
C. The main therapeutic drugs for mood stabilizers
D. Men often associated with substance abuse case


Question: Mr. Wong, 51 years old, over the past year memory was impaired, ataxia, middle of the night to the toilet often fall. Physical examination (physical examination) found Mr. Huang feet weakness, lower limb tendon reflexes (tendon reflex) decline, appear Babinski sign; the feet of the tuning fork vibration sense disappeared, but tingling is normal. Mr. Huang is not in contact with any chemical solvents, nor taking the medicine, but five years ago underwent gastric surgery. That one of the following in the diagnosis of the most helpful?

Answer: Vitamin B12 concentration in blood examination

Choices:
A. EEG examination
B. Vitamin B12 concentration in blood examination
C. Brain angiography (CT or MRI)
D. Cerebrospinal fluid examination


Question: A construction site worker at work fell to the ground from the second floor of the pelvis, was rushed to hospital. Patients with stable blood pressure, rapid heartbeat, abdominal pain and urinary retention, which of the following error?

Answer: When straddle injury (straddle injury), membranous urethra (membranous urethra) vulnerable

Choices:
A. When the patient's urethra opening with blood, we must rule out the possibility of urethral injury
B. Pelvic fracture and often have a membranous urethra (membranous urethra) injuries
C. Membranous urethra (membranous urethra) after the injury, DRE, prostate might shift
D. When straddle injury (straddle injury), membranous urethra (membranous urethra) vulnerable


Question: Which of the following is a fungal disease known subcutaneous (subcutaneous mycosis) having two types of (dimorphic) of the pathogen?

Answer: Schenck Sporothrix (Sporothrix schenckii)

Choices:
A. Verrucous Trichophyton (Trichopyton verrucosum)
B. Schenck Sporothrix (Sporothrix schenckii)
C. Deputy crown ear fungus (Conidiobolus coronatus)
D. Frog dung mold (Basidiobolus ranarum)


Question: Suffering from mental diseases housewife D, due to acute abdominal pain for several days, the families are taken to emergency assistance, the surgeon's diagnosis of acute appendicitis complicated by acute peritonitis. D surgeons perfect their families informed about his condition D, the recommended emergency surgery, but D convinced sinner himself is the cause of world catastrophe, should be atoning death, refused to accept any explanation and persuasion, has also refused to sign the consent form and anesthesia consent. Surgeons note psychiatrists P, P should be or what treatment is recommended, more appropriate?

Answer: D medical decision-making capacity of the affected mental diseases, divorced from reality, without the ability to grant or deny mean surgery, P should be recommended by their family members to sign on behalf of surgery and anesthesia consent form book agree

Choices:
A. D surgeons recommend to respect the decision not to accept self-surgery
B. P should be based on techniques of psychotherapy, D advised to undergo surgery
C. D medical decision-making capacity of the affected mental diseases, divorced from reality, without the ability to grant or deny mean surgery, P should be recommended by their family members to sign on behalf of surgery and anesthesia consent form book agree
D. After the surgeon recommendations given antipsychotic D, D be the digestion delusions, then persuade them to undergo surgery


Question: Which of the following is not obturator nerve (obturator nerve) domination?

Answer: Obturator muscle (obturator internus)

Choices:
A. Short adductor muscles (adductor brevis)
B. Gracilis muscle (gracilis)
C. Obturator muscle (obturator internus)
D. Adductor longus (adductor longus)


Question: Which of the following is not Taiwan currently has a newborn screening test project?

Answer: Beta thalassemia

Choices:
A. Congenital low thyroid function disorders
B. Phenylketonuria
C. Beta thalassemia
D. Methylmalonic acidemia (methylmalonic acidemia)


Question: As shown in the figure below is a 65-year-old male hypertensive patients with aortic disease, left aortic cross-section (low power), and the right is the aortic wall lesions (high power). Which of the following most appropriate diagnosis for this disease?

Answer: aortic dissection

Choices:
A. mycotic aneurysm
B. atherosclerotic aneurysm
C. aortic dissection
D. luetic aneurysm


Question: Which of the following is causing injury-connector contracture (wound contracture) primary cells?

Answer: ⺟ muscle fiber cells (myofibroblast)

Choices:
A. T- lymphocytes (T-lymphocyte)
B. B- lymphocytes (B-lymphocyte)
C. Macrophages (macrophage)
D. ⺟ muscle fiber cells (myofibroblast)


Question: 50-year-old male, the occurrence of left ventricular infarction, pulmonary congestion and pleural cavity water appeared two weeks later, a large number of cells brown heart failure (heart failure cells) in the lungs, which of the following is the source of such brown cells?

Answer: Macrophages

Choices:
A. Cardiomyocytes
B. Endocardial cells
C. Macrophages
D. Fibroblasts


Question: The following statements about laparoscopic surgery of the watch, what's wrong?

Answer: Outside the watch abdominal endoscopic surgery (extraperitoneal endosurgery) the watch do surgery space with a smaller size, and will increase the chance of intestinal adhesions

Choices:
A. In laparoscopic surgery the watch into the whole chest upwards ⿇ drunk preferably ⾏
B. After the peritoneal cavity or organ needs (extraperitoneal space) into the abdominal cavity from outside the peritoneum, and sometimes require surgery Using distraction balloon (balloon dissection) to open the first shot hole
C. Outside the watch abdominal endoscopic surgery (extraperitoneal endosurgery) the watch do surgery space with a smaller size, and will increase the chance of intestinal adhesions
D. The watch to the watch-assisted laparoscopic surgery (hand-assisted laparoscopic surgery) is believed to be reduced to convert the laparoscopic surgeon learning curve, to also reduce the chance the watch traditional surgery


Question: Anal rectal ⾨ position junction (anorectal junction), the entry will be observed where the following configurations?

Answer: Rectal (. Colon Rectum) ⽪ many goblet cells (goblet cells)

Choices:
A. Rectal (. Colon Rectum) ⽪ many goblet cells (goblet cells)
B. ⽪ the rectum (. Colon Rectum) stratified on a flat ⽪ (stratified squamous epithelium)
C. Anal ⾨ (anus) have Peyer's patch
D. Anal ⾨ (anus) longitudinal muscle layer ⾛ muscle ⾁ (longitudinal layer of muscularis externa) has a significant thickening of the internal sphincter


Question: 6-year-old Xiao Ming head injury because of an accident, emergency back after dependent respirator in the ICU after one week of treatment, and now the situation worse, dilated pupils and the emergence of the phenomenon of diabetes insipidus, boost blood pressure by agents remained at around 100/54 mmHg may have been brain dead, grief-stricken family members still in the stage. If you are a ICU physician, which of the following improper disposal?

Answer: Track line to remove the respirator and transferred ICUs

Choices:
A. Note neurologist assessment of brain death
B. If unstable blood pressure, doctors can not arbitrarily stop vasopressors
C. The families of organ donation wishes to consult
D. Track line to remove the respirator and transferred ICUs


Question: To reduce scarring, when the incision should:

Answer: Parallel to the "minimum tension" (minimal tension) line

Choices:
A. Parallel to the "minimum tension" (minimal tension) line
B. Perpendicular to the "Langer" Line (Langer's lines)
C. Parallel to the subcutaneous muscle
D. Perpendicular to the skin wrinkles


Question: A 1-year-old girl for six months to seek treatment because of growth retardation. Physical examination found her height and weight were less than the third percentile. Blood analysis showed that sodium [Na +] 139 mmol / L; potassium [K +] 3.2 mmol / L; blood chloride [Cl-] 109 mmol / L, in blood of bicarbonate [HCO3-] 19 mmol / L. Please calculate the anion gap?

Answer: 11 mmol/L

Choices:
A. 14.2 mmol/L
B. 11 mmol/L
C. 18 mmol/L
D. Not enough data to calculate


Question: Norway Wacker (Norwalk) virus infection causes diarrhea, vomiting and other symptoms, the virus genome is:

Answer: Positive (+) stranded RNA

Choices:
A. Double-stranded RNA
B. Double-stranded DNA
C. Positive (+) stranded RNA
D. Negative (-) stranded RNA


Question: The following information about abdominal aortic aneurysm (abdominal aortic aneurysm) describes the indications for surgery, what's wrong?

Answer: Ruptured abdominal aortic aneurysm, high mortality, do not recommend immediate surgery

Choices:
A. The maximum diameter of> 5.5 cm, should surgery
B. The maximum diameter between 4.0 ~ 5.0 cm and 1 cm increases every year, should surgery
C. Associated with abdominal pain, back pain caused by thrombosis or peripheral arterial blockage, immediately surgery
D. Ruptured abdominal aortic aneurysm, high mortality, do not recommend immediate surgery


Question: 37-year-old men, BMI was 38 kg / m2, had complained of chest pain phenomenon sleep at night for about six months, the pain confined to the chest, often accompanied by a burning sensation and acid spill sense, as a basis for diagnosis, which of the following do not need to check ?

Answer: Hypotonic duodenography

Choices:
A. UGI endoscopic examination
B. 24hr esophageal pH monitor
C. Esophageal manometer examination
D. Hypotonic duodenography


Question: Account of high prolactin hyperlipidemia (hyperprolactinemia) and prolactin adenoma (prolactin adenoma), the error which of the following?

Answer: Taking bromocriptine and cabergoline, can not effectively shrink the tumor

Choices:
A. bromocriptine is short-acting dopamine-like drugs, must be taken daily
B. cabergoline is long-acting dopamine-like drugs, taken twice a week
C. Taking bromocriptine and cabergoline, can not effectively shrink the tumor
D. Taking bromocriptine and cabergoline, if blood prolactin (prolactin) in the concentration falls within the normal range for more than 2 years, may consider withdrawal tracking


Question: Which of the following neurotransmitters (neurotransmitter) plays the most important role in the reward system of the mammalian central nervous system?

Answer: Dopamine

Choices:
A. Dopamine
B. Epinephrine
C. Glycine
D. Acetylcholine


Question: 42 below those for the fat-soluble vitamins? Vitamin A   vitamin B  vitamin C  Vitamin E Vitamin D 


Question: When humans biotin deficiency, the following biochemical reactions can not be affected?

Answer: Carboxylation reaction (carboxylation)

Choices:
A. Transamination reaction (the transamination)
B. Phosphorylation reaction (phosphorylation were)
C. Carboxylation reaction (carboxylation)
D. Methylation reaction (by methylation)


Question: Male infertility patients, the total number of active sperm semen less than 1 million to assist the implementation of artificial reproduction technology, where the most effective disposal of these items?

Answer: Single sperm quality in ovo injection technique (intracytoplasmic sperm injection)

Choices:
A. Transparent and puncture area (zona drilling)
B. Single sperm quality in ovo injection technique (intracytoplasmic sperm injection)
C. The transparent region sperm injection (subzonal sperm injection)
D. Transparent region thinning surgery (assisted hatching)


Question: Which of the following form  tail with teratoma (sacrococcygeal teratoma) about?

Answer: Original Article (primitive streak) remaining

Choices:
A. Notochord (notochord) of retention
B. Original Article (primitive streak) remaining
C. Notochord front plate (prechordal plate) development
D. Hyperplasia extraembryonic mesoderm


Question: From the previous question, the disposal of the patient, which of the following more appropriate?

Answer: Add water, and diuretics

Choices:
A. Immediately given intravenous injection of 50% glucose
B. Add water, and diuretics
C. Calcium Injection
D. US forces give good powder (Kalimate)


Question: The reason hypothermia Which of the following is least likely?

Answer: Vice hypothyroidism

Choices:
A. Gland under the brain hypofunction
B. Vice hypothyroidism
C. Low adrenal (Addison's disease)
D. Stroke


Question: A 55-year-old female, found by chance a dip in blood on the toilet paper, and go to hospital for a colonoscopy when wiping the anus after a bowel movement, and found that there is a 2 cm in size joints rectum and sigmoid colon polyps have stems. After removal of polyps, a pathology report and the adenoma polyp near the stem of the polyp neck merge local invasion of cancer (Focal invasive cancer), if the patient's general condition are fairly healthy, then how to deal with the most it is good?

Answer: For rectal anterior resection

Choices:
A. Then make a base for polyp wider local endoscopic mucosal resection
B. Through the anus for removal of a broader base polyp
C. Tracking can be observed
D. For rectal anterior resection


Answer: Special Tony's disease (Behçet's disease)

Choices:
A. Pemphigus scarring (cicatricial pemphigoid)
B. Erythema multiforme (erythema multiforme)
C. Pemphigus vulgaris (pemphigus vulgaris)
D. Special Tony's disease (Behçet's disease)


Question: About generalized anxiety disorder (generalized anxiety disorder) the treatment of the following statements is wrong?

Answer: Benzodiazepine (benzodiazepine; BZD) is the drug of choice for newly diagnosed quickly control the disease

Choices:
A. Benzodiazepine (benzodiazepine; BZD) is the drug of choice for newly diagnosed quickly control the disease
B. Buspirone hydrochloride (buspirone) need to take 2 to 3 weeks appear efficacy, cognition (Cognitive) effective than physical symptoms (Somatic) SYMPTOMS
C. The most effective treatment is to merge psychotherapy, drug therapy and supportive care
D. Studies have shown that cognitive behavioral therapy (cognitive-behavioral technique) has short-term and long-term efficacy of


Question: Which of the following X-ray is the most suitable for the detection of acute maxillary sinusitis?

Answer: Submental vertical view

Choices:
A. Skull lateral view
B. Waters view
C. Caldwell view
D. Submental vertical view


Question: Dendritic cells secrete cytokines affect the differentiation of CD4 + T cells, that these cytokines stimulate a seventeenth type helper T cells (the TH17) of differentiation?

Answer: TGF-β and IL-6

Choices:
A. TGF-β, IL-6, IL-10 及
B. TGF-β and IL-10
C. IL-10 IL-6 及
D. TGF-β and IL-6


Question: The computer shown in FIG lung tomography, arrows indicate which of the following?

Answer: Upper lobe of the lung (upper lobe) the previous section 支氣 tube (anterior segment)

Choices:
A. Lung middle (middle lobe) bronchial outer section (lateral segment)
B. Lung middle (middle lobe) Section bronchial inner (medial segment)
C. Upper lobe of the lung (upper lobe) the previous section 支氣 tube (anterior segment)
D. Lung upper lobe (upper lobe) bronchial side section (lateral segment)


Question: 57. Those following meningitis, if not treated early, Rongyifasheng severe exudative inflammation of the meninges skull base changes (basilar meningeal exduate), resulting in sub-onset cerebral infarction (cerebral infarction)? ① meningitis, mumps virus (mumps) ② meningitis cytomegalovirus (CMV) ③ ④ cryptococcal meningitis, tuberculosis meningitis

Answer: ③④

Choices:
A. ①②
B. ②③
C. ①④
D. ③④


Question: The following antidepressant drugs, which belong to monoamine oxidase inhibitors?

Answer: selegiline

Choices:
A. selegiline
B. paroxetine
C. imipramine
D. bupropion


Question: For the description of osteoporosis (Osteoporosis), the Which statement is correct?

Answer: Osteoporosis is divided into two types, the first type are mainly caused by the post-menopausal osteoporosis, the second type is due to aging or caused by insufficient calcium absorption, the ratio of the occurrence of this type two are female than male high

Choices:
A. Osteoporosis is divided into two types, the first type are mainly caused by the post-menopausal osteoporosis, the second type is due to aging or caused by insufficient calcium absorption, the ratio of the occurrence of this type two are female than male high
B. Caused by the aging of osteoporosis refers to the patient over 70 years old, male female ratio from about 2: 1, the major cause vertebral compression fractures (Compression fracture), hip fracture (Hip fracture), proximal radius fractures (Proximal radius fracture)
C. The current World Health Organization (WHO) defines T-score between -1 and -2.5 Osteoporosis is called
D. Check BMD (Bone mineral density), the current SEXA (Single energy X-ray absorptiometry) than DEXA


Question: To investigate the effects of three brands of milk and season of birth weight in infants, a statistical method that is more suitable?

Answer: A two-way analysis of variance (two-way ANOVA)

Choices:
A. One ANOVA (one-way ANOVA)
B. A two-way analysis of variance (two-way ANOVA)
C. Three-way analysis of variance (three-way ANOVA)
D. Repeated measures analysis of variance (repeated measurement ANOVA)


Question: T follicular helper (TFH) cells are very important for the humoral immune response (humoral immune response), TFH description about what's wrong?

Answer: Using mouse B cell cultured in vitro with LPS, IL-2, and IL-21, can replace TFH cell functions to stimulate antibody production IgG1

Choices:
A. TFH cells located in the germinal center light zone (light zone)
B. TFH cell differentiation requires the transcription factor Bcl-6
C. TFH cells may secrete IL-21 and other cytokines, IL-21 promote plasma cell differentiation
D. Using mouse B cell cultured in vitro with LPS, IL-2, and IL-21, can replace TFH cell functions to stimulate antibody production IgG1


Question: Which of the following circumstances, can not serve as clues to potential bioterrorist attacks epidemiology?

Answer: Mild disease severity than the average disease

Choices:
A. More than produce similar symptoms when patients have designated bulletin
B. Mild disease severity than the average disease
C. Unusual geographic distribution of the disease or seasons (especially when the lack of appropriate media)
D. Simultaneous or sequential disease outbreak


Question: Statements about scarlet fever (Scarlet fever), and which of the following error?

Answer: Endotoxin (Endotoxin) transfer machine and scarlet fever pathogenic group A streptococci (Group A streptococcus) generated about

Choices:
A. Clinical need and measles virus, Kawasaki disease (Kawasaki disease) or Staphylococcus aureus difference
B. Scarlet fever rash feels rough feeling
C. Typical symptoms also include strawberry tongue, systemic diffuse rash, pale around the lips, skin desquamation few days
D. Endotoxin (Endotoxin) transfer machine and scarlet fever pathogenic group A streptococci (Group A streptococcus) generated about


Question: 26 a 58-year-old male, non-invasive medical history, complained two months have cases of cough, purulent sputum, fever. Recently began to have pain in the right chest. Found right lower lung auscultation decreased breath sounds, percussion local voiced (Dullness). Chest X-ray showed right lower lung field white. By ultrasound and pleural pumping arrangement (thoracentesis), extracts only 5 mL of yellow-white turbid liquid, following results were obtained for laboratory examination:

Answer: Choutan tube to the respirator or inserted into the trachea

Choices:
A. Arrange sputum bacterial culture and antibiotic treatment
B. Right chest drainage chest tube placement
C. Choutan tube to the respirator or inserted into the trachea
D. Arrange hospitalization


Question: That one of the following antibiotic used to treat pneumonia for L. pneumophila Legionnaires bacteria (Legionella pneumophila) caused?

Answer: Azithromycin (azithromycin)

Choices:
A. Clindamycin (clindamycin)
B. Azithromycin (azithromycin)
C. Ampicillin (ampicillin)
D. Amphotericin B (amphotericin B)


Question: The following phases of the cell cycle, DNA replication is controlled:

Choices:
A. G1
B. S
C. G2
D. M


Question: If patients had peripheral facial nerve (facial palsy of peripheral type) damage, and the first two-thirds of the tongue ipsilateral loss of taste, which is the site of injury in the most unlikely:

Answer: Facial nerve through the parotid gland (parotid gland) at

Choices:
A. Geniculate ganglion (geniculate ganglion) nearby
B. Chamber eardrum (tympanic cavity)
C. Internal auditory canal (internal acoustic meatus) nearby
D. Facial nerve through the parotid gland (parotid gland) at


Question: Disc-related cause (intervertebral disc herniation induced) of radiculopathy (radiculopathy), the following statements is wrong?

Answer: Thoracic predilection sites

Choices:
A. Occur in 30 to 60 years old
B. May lead to local muscle atrophy
C. Thoracic predilection sites
D. Tendon hyporeflexia


Question: A 68-year-old man fell sent emergency, state of consciousness fuzzy, eyes will open to painful stimuli, and the left hand will sweep aside the pain stimulus, but will not say anything, and head CT as shown below, which of the following correct?

Answer: Subdural hemorrhage located

Choices:
A. Subdural hemorrhage located
B. Most of the source of bleeding is caused by a skull fracture from meningeal artery rupture
C. The best treatment for a large number of intracranial pressure-lowering drugs, to avoid compression of the brainstem blood clots
D. The patient is currently GCS of 10 points


Question: Mitral stenosis patients need to be addressed with surgical procedures, following a way that now use less?

Answer: Closed mitral valve incision (closed mitral commissurotomy)

Choices:
A. Mitral incision under direct vision (open mitral commissurotomy)
B. Closed mitral valve incision (closed mitral commissurotomy)
C. Balloon angioplasty (balloon mitral valvuloplasty)
D. Mitral valve replacement (mitral valve replacement)


Question: 35 pregnant women, G2P1, 42 weeks of pregnancy, the birth before receiving examination NST (nonstress test), the results as shown:

Answer: Nonreactive

Choices:
A. Early deceleration
B. Late deceleration
C. Reactive
D. Nonreactive


Question: There is a 32 year old male patient at the right ear pieces 1.5 cm tumor grew slowly, for about six months, after the removal of medical treatment by surgery, biopsy thereof as illustrated. Will diagnostic or following statements is most appropriate?

Answer: Pleomorphic adenoma (pleomorphic adenoma)

Choices:
A. Chondroma (chondroma)
B. Parotid gland inflammation and cartilage metaplasia (sialadenitis with chondroid metaplasia)
C. Adenoid cystic carcinoma (adenoid cystic carcinoma)
D. Pleomorphic adenoma (pleomorphic adenoma)


Question: The basketball court, his right hand holding a stride king of Jordan layup, but was severely Michael Lee built a record large pot, Jordan's right arm was forced back under pressure, only to hear his screams, the right arms like "dead salted fish" hanging in the body, could not lift. Will the King of Jordan sports injuries are most likely to occur Why?

Answer: Dislocated right shoulder anterior glenoid lip rupture merger

Choices:
A. Acromioclavicular joint dislocation
B. Rotator cuff rupture
C. Non-displacement subclavian (Non-displaced) fractures
D. Dislocated right shoulder anterior glenoid lip rupture merger


Question: The following cell walls of any bacteria of the structured protein A, IgG can bind to?

Answer: Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Hemolytic group A streptococci (Group A hemolytic streptococcus)
B. Pneumococcus (Streptococcus pneumoniae)
C. Staphylococcus aureus (Staphylococcus aureus)
D. Gonorrhea (Neisseria gonorrhoeae)


Question: 30-year-old man complained: "the face of sudden onset acne badly the last three days" (Figure 1) "very itchy and have a fever." There are a lot of back and play Prurigo child (Figure 2). The most likely clinical diagnosis:

Answer: Varicella (Chicken pox)

Choices:
A. Acne vulgaris (Acne vulgaris)
B. Varicella (Chicken pox)
C. Single pure herpes (Herpes simplex)
D. Band of shingles (Herpes zoster)


Question: Which of the following is not a hormone by the anterior pituitary gland under the brain (anterior pituitary) manufactured secretion?

Answer: oxytocin

Choices:
A. follicle stimulating hormone
B. prolactin
C. adrenocorticotropic hormone
D. oxytocin


Question: Stroke patients with middle cerebral artery (middle cerebral artery) infarction caused Which of the following most common cause vision disorders?

Answer: Two sides with hemianopia (homonymous hemianopia)

Choices:
A. Temporal hemianopia two sides (bitemporal hemianopia)
B. Two sides with hemianopia (homonymous hemianopia)
C. Center of the field defect (central scotoma)
D. Blindness single (one-eye blindness)


Question: Which of the following has myenteric disk (intercalated disc)?

Answer: Myocardial

Choices:
A. Myocardial
B. Skeletal muscle
C. Vertical hair muscle
D. smooth muscle


Question: Factors that affect health behavior, as personal attributes and personality traits, etc., can not be used to change the characteristics of health education. This is part of:

Answer: Antecedents of Bukegaibian

Choices:
A. Antecedents of Bukegaibian
B. Can change the antecedents
C. Contributing factors
D. Reinforcers


Question: Viral hepatitis D virus is a defective virus and can not exist alone, it must be what hepatitis virus attached to it may form a complete infectious virus it?

Answer: Type B

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


Question: Which of the following is the most appropriate approach?

Answer: Please patients take a deep breath, and to strengthen and take sputum expectoration

Choices:
A. After doing blood culture give broad-acting antibiotic
B. Laparotomy immediately to repair the hole
C. Please patients take a deep breath, and to strengthen and take sputum expectoration
D. The open wound debridement


Question: A cervical cancer patient made a intravenous pyelogram (IVP), the left kidney was found completely developed, this patient is at least FIGO staging of several issues?

Answer: Ⅲb

Choices:
A. a
B. Ⅱb
C. Ⅲb
D. IVb


Question: A Down syndrome (Down syndrome, trisomy 21) baby, by physical checkups found systolic heart murmur (grade II / VI), chest X-ray showed cardiomegaly, presenting two electrocardiogram of QRS ventricular hypertrophy and axially upwardly (superior QRS axis). The most likely congenital heart disease Why?

Answer: AVSD (endocardial cushion defect)

Choices:
A. AVSD (endocardial cushion defect)
B. A second atrial septal defect (secundum atrial septal defect)
C. Aortic dry (truncus arteriosus)
D. Aortic arch narrowing (coarctation of aorta)


Question: A 55 year old male patient with sudden onset of right limb weakness, urinary incontinence, was diagnosed as stroke infarction. After two months, returned to almost normal right arm, right leg but still significant weakness in the diagnosis most likely that an infarction?

Answer: Anterior cerebral artery (anterior cerebral artery)

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


Question: Gas gangrene (gas gangrene) Which of the following is necrosis caused?

Answer: Clostridium (Clostridium) infection

Choices:
A. Fungal infections
B. Emphysema (pulmonary emphysema)
C. Clostridium (Clostridium) infection
D. Gas embolism (gas embolism)


Question: 48-year-old male suffering from high blood pressure for many years, no regular medication. At work, suddenly feeling his right arm, right leg and right cheek numbness (numbness), but no obvious weakness (weakness), the most likely location of lesions (lesion site) Where?

Answer: Left thalamus (left thalamus)

Choices:
A. Right thalamus (right thalamus)
B. Left thalamus (left thalamus)
C. The right front side of the central sulcus gyrus (right precentral gyrus)
D. The left front side of the central sulcus gyrus (left precentral gyrus)


Question: 60-year-old male, complained of exercise-induced shortness of breath, fatigue, lower limb edema has been two months, physical examination found that blood pressure 160/40 mmHg, left sternal border auscultation with third-degree merge systolic and diastolic heart murmur, and palpation of the left display cardiac hypertrophy, liver swelling approximately three fingers width, lower extremity edema, laboratory BUN 30 mg / dL, Cr 1.4 mg / dL, AST 50 IU / L, ALT 60 IU / L, the patient is most likely to have:

Answer: heart failure

Choices:
A. Kidney failure
B. Liver tumor
C. heart failure
D. respiratory failure


Question: The following account of neurosyphilis (neurosyphilis) of, what's wrong?

Answer: The impact on the brain's neurological syphilis mainly temporal lobe, it will produce hallucinations and delusions of schizophrenia patients is similar

Choices:
A. After the disc Ni Xilin (penicillin) invention, neurosyphilis less frequent, but since the emergence of AIDS, neurosyphilis attention of the medical profession again
B. The impact on the brain's neurological syphilis mainly temporal lobe, it will produce hallucinations and delusions of schizophrenia patients is similar
C. Their cerebrospinal fluid have increased lymphocytes (lymphocytosis) and more of the protein
D. After neurosyphilis syphilis spirochete infection usually occurred 10-15


Question: About narrative Pseudomonas aeruginosa keratitis (pseudomonal keratitis), and what's right?

Answer: Mostly caused by infection of the cornea and contact lens wearers about the

Choices:
A. Fairly benign course
B. Mostly caused by infection of the cornea and contact lens wearers about the
C. Slit lamp examination of the common satellite-like lesions (satellite lesions)
D. Pseudomonas aeruginosa itself may be secreted proteolytic enzymes (Protease), prevents corneal melting, cracking


Question: Which of the following has cracked open glottis (rima glottidis) the role?

Answer: Posterior cricoarytenoid muscles (posterior cricoarytenoid muscle)

Choices:
A. Posterior cricoarytenoid muscles (posterior cricoarytenoid muscle)
B. Cricothyroid muscle (cricothyroid muscle)
C. Lateral cricoarytenoid muscle (lateral cricoarytenoid muscle)
D. Thyroid hyoid muscles (thyrohyoid muscle)


Question: 39. a body weight of about 2200 grams of anal atresia (imperforate anus) baby girl, three hours found cyanosis, shortness of breath after birth, the mouth from time to time foamy saliva flowing transparent (as shown below), which is most likely to merge any problems?

Answer: Esophagus closed (esophageal atresia)

Choices:
A. Duodenum closure (duodenal atresia)
B. Hypertrophic pyloric stenosis (hypertrophic pyloric stenosis)
C. Esophagus closed (esophageal atresia)
D. Diaphragmatic hernia (diaphragmatic hernia)


Question: 65-year-old diabetic male patient, prior to oral blisters a few weeks ago, after the trunk, limbs start to appear and many large blisters (Figure A). Skin tissue pathology (Figure B), and why direct immunofluorescence examination (direct immuno-fluorescence test) (Figure C), diagnosis?

Answer: Pemphigus vulgaris (pemphigus vulgaris)

Choices:
A. Delayed cutaneous porphyria (porphyria cutanea tarda)
B. Pemphigus vulgaris (pemphigus vulgaris)
C. Pemphigoid (bullous pemphigoid)
D. Diabetic blisters (diabetic bullae)


Question: 23 year old woman, occasional chest tightness cases, cardiac auscultation found the lower left edge has a systolic heart murmur, the following statements is true?

Answer: If the mitral valve (mitral valve) can not be tightly closed, then there may be a systolic heart murmur

Choices:
A. Before the beginning of ventricular diastole (ventricular filling), atrial contraction will advance to facilitate blood flow into the ventricles
B. In the heart of the contraction and relaxation cycle (cardiac cycle), the systolic (systolic phase) than diastolic (diastolic phase) is more long
C. Diastole, aortic and pulmonary valve was left open
D. If the mitral valve (mitral valve) can not be tightly closed, then there may be a systolic heart murmur


Question: The following definition of non-menstrual syndrome (amenorrhea), and what's right?

Answer: Renewal of existing non-menstrual syndrome refers to a continuous period of cessation of menstruation women more than 6 months

Choices:
A. Primary amenorrhea refers to no 16-year-old still no menses and no secondary sex characteristics
B. Primary amenorrhea refers to no 14-year-old still no menstruation, but with normal secondary sexual characteristics
C. Renewal of existing non-menstrual syndrome refers to women menstruation cessation of menstruation two consecutive months or more
D. Renewal of existing non-menstrual syndrome refers to a continuous period of cessation of menstruation women more than 6 months


Question: The following items assess how best to predict the prognosis of forest students?

Answer: Spetzler-Martin grading system

Choices:
A. Spetzler-Martin grading system
B. Hunt-Hess scale
C. Fischer scale
D. World Federation of Neurosurgical Societies classification


Question: Mr. Wang, 45 years old, suffering from high blood pressure, diabetes, acute left ventricular anterior myocardial infarction hospitalized for 10 days in hospital in case of occasional angina pectoris. If Wang does not have any contraindications to empirical medical point of view, the hospital's medication, which of the following items is the most unnecessary?

Answer: alpha-blocker

Choices:
A. aspirin
B. alpha-blocker
C. beta-blocker
D. angiotensin-converting enzyme inhibitor


Question: When thyroid cancer surgery, to prevent bleeding and tie the throat artery (superior laryngeal a.), The most likely accidental injury at this time which of the following?

Answer: Laryngeal nerve (internal laryngeal nerve)

Choices:
A. Laryngeal nerve outside (external laryngeal nerve)
B. Under laryngeal nerve (inferior laryngeal nerve)
C. Vagus nerve (vagus nerve)
D. Laryngeal nerve (internal laryngeal nerve)


Question: 20 year-old male with mild mental developmental delay, epilepsy since taken to the emergency, physical examination found a small waist off spots, pimples and face, as shown, the most likely diagnosis Why?

Answer: Tuberous sclerosis (tuberous sclerosis)

Choices:
A. Tuberous sclerosis (tuberous sclerosis)
B. Neurofibromatosis type I disease (neurofibromatosis type I)
C. White spots (vitiligo)
D. Han illness (leprosy)


Question: Cerebellar climbing fibers come from where?

Answer: inferior olivary nuclei

Choices:
A. pontine nuclei
B. inferior olivary nuclei
C. cerebral cortex
D. the vestibular nuclei


Question: When gestational trophoblastic tumor (Gestational trophoblastic tumor) Transfer (Metastasis) occurs, is the most common sites of metastases:

Answer: lung

Choices:
A. vaginal
B. Pelvic
C. liver
D. lung


Question: A 70-year-old woman with diabetes, there are red spots (patches) private prosecution under the breasts on both sides, surrounded by smaller satellite lesions (satellite lesions), see a lot of yeast-like microbes (yeast-like organism) of KOH microscopy. The most likely diagnosis is:

Answer: Candida infections

Choices:
A. Candida infections
B. Dermatophyte infection
C. Staphylococcus aureus infection
D. Shingles


Question: Which of the following most unlikely to cause pharmacokinetic interaction with other drugs?

Answer: acetaminophen

Choices:
A. bile acid sequestrants
B. tricyclic antidepressants
C. ketoconazole
D. acetaminophen


Question: Hereditary orotic aciduria disease can cause severe anemia and growth failure, patients can ingest Which of the following substances be treated?

Answer: uridine

Choices:
A. uridine
B. thymine
C. adenosine
D. allopurinol


Question: Which of the following maximum inhalation anesthetics stimulation of the respiratory tract?

Answer: desflurane

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


Question: reflex that kind of newborn babies have disappeared in order to make the development of stand up action is completed?

Answer: Tonic neck reflex

Choices:
A. Moro reflex
B. parachute reflex
C. Rooting reflex
D. Tonic neck reflex


Question: 67-year-old male, large patches of depression (depressed plaque) from two years ago began to appear in the right cheek and a dark area where the merger of many small pieces. Skin biopsies show morphea basal cell carcinoma (morpheaform basal cell carcinoma). The most appropriate treatment is:

Answer: Mohs surgery (Mohs micrographic surgery)

Choices:
A. Laser surgery
B. Cryotherapy (cryosurgery)
C. Coffee surgery (electrosurgery)
D. Mohs surgery (Mohs micrographic surgery)


Question: About aortic valve replacement surgery indications, which of the following error?

Answer: Asymptomatic with aortic valve backflow emitted ventricular rate> 50%, and end-diastolic dimention <70 mm, the need for surgery

Choices:
A. Once symptoms and patients with severe aortic valve reflux, needs surgery
B. Asymptomatic patients with severe left ventricular and aortic valve backflow emission ratio <50%, need for surgery
C. Countercurrent severe aortic valve and the combined three coronary artery disease, the need for surgery
D. Asymptomatic with aortic valve backflow emitted ventricular rate> 50%, and end-diastolic dimention <70 mm, the need for surgery


Question: A 40-year-old male patient was sent to the psychiatric medical family, according to his family describing patients nearly a month depressed mood, anxiety, insomnia, restless. Significant deterioration of its appetite, weight loss 5 kg, always feel tired, have no interest, although can barely work, but has repeatedly mentioned the idea of suicide, often feel helpless, hopeless. The clinical diagnosis of this patient Which of the following is most likely?

Answer: Severe depression disorder (major depressive disorder)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Panic disorder (panic disorder)
C. Severe depression disorder (major depressive disorder)
D. Hypochondriasis (hypochondriasis)


Question: Inguinal ligament (inguinal ligament) is following what muscle fascia (aponeurosis) turn formed?

Answer: External oblique

Choices:
A. Rectus skin
B. External oblique
C. Abdominal oblique
D. Transversus abdominis


Question: Myoepithelial cells (myoepithelial cells) does not appear in the following Where?

Answer: Sebaceous glands (sebaceous gland)

Choices:
A. Sebaceous glands (sebaceous gland)
B. Gland (sweat gland)
C. Breast (mammary gland)
D. Salivary gland (salivary gland)


Question: Which of the following diseases in the jugular vein Porto, presents a huge wave of v?

Answer: Tricuspid regurgitation

Choices:
A. Mitral insufficiency
B. Mitral stenosis
C. Tricuspid stenosis
D. Tricuspid regurgitation


Question: A botulinum toxin (botulinum neurotoxin type A) used to treat spasms (spasticity), what's wrong?

Answer: Injection effect will occur immediately (immediate effect)

Choices:
A. Can be used to treat cerebral palsy (cerebral palsy) spasms of children (spasticity)
B. Therapeutic approach is intramuscular (intramuscular injection)
C. Machine turn is botulinum toxin inhibition neuromuscular junction (neuromuscular junction) of acetylcholine (acetylcholine) release
D. Injection effect will occur immediately (immediate effect)


Question: Adults with chronic lead poisoning, the nervous system most likely to cause the following symptoms or lesions what?

Answer: Peripheral neuropathy (Peripheral neuropathy)

Choices:
A. Dementia (Dementia)
B. Cerebellar atrophy leading to ataxia (Cerebellar ataxia)
C. Parkinson's disease (Parkinsonism)
D. Peripheral neuropathy (Peripheral neuropathy)


Question: If this check results to invasive squamous cell carcinomas (invasive squamous cell carcinoma), matrix invasion depth of 10 mm, urinary tract photography (IVP) with a left renal edema, cystoscopy normal. The patient what treatment is acceptable?

Answer: Radiation therapy consolidation chemotherapy (concurrent chemoradiation)

Choices:
A. Cervical cone sliced
B. Eradicate cervical cancer surgery
C. Chemotherapy
D. Radiation therapy consolidation chemotherapy (concurrent chemoradiation)


Question: One child under 8 years old scalded by hot water arm, swelling and blisters, very painful, he most likely for the first few degrees of burns?

Answer: Second degree

Choices:
A. one time
B. Second degree
C. Three degrees
D. Four degrees


Question: The following narrative and what was wrong?

Answer: Amoeba addicted iodine (Iodamoeba bütschlii) trophozoites having a large bubble glycogen (glycogen vacuole)

Choices:
A. Gingival amoeba (Entamoeba gingivalis) trophozoites (trophozoites) will swallow the red blood cells
B. Amoeba addicted iodine (Iodamoeba bütschlii) trophozoites having a large bubble glycogen (glycogen vacuole)
C. E. ciliates (Balantidium coli) is the largest size of human parasitic protozoa
D. E. ciliates (Balantidium coli) has a large nucleus and small nuclear


Question: Sigmoid colon volvulus is associated factor that does not include one of the following?

Answer: Malrotation

Choices:
A. Aging
B. High fiber and vegetable diet
C. Malrotation
D. Psychotropic medication 4 Which of the following circumstances, can not improve coronary artery bypass surgery?


Question: Cardiac surgery, often performed by ligation of the aorta following what temporary structure?

Answer: Pericardium transverse sinus (transverse pericardial sinus)

Choices:
A. Arterial ligament (ligamentum arteriosum)
B. Pericardium transverse sinus (transverse pericardial sinus)
C. Coronary sinus (coronary sinus)
D. Terminal groove (sulcus terminalis)


Question: The following items are not what USPSTF (US Preventive Services Task Force) are strongly recommended (class A) of cancer screening way?

Answer: For women aged 40 to 49 every two years mammography (mammography)

Choices:
A. For women aged 40 to 49 every two years mammography (mammography)
B. For women aged 21 to 65 every three years to accept the Pap smear (Pap test)
C. For adults aged 50 to 75 to accept fecal occult blood detection (fecal occult blood testing) per year
D. For adults aged 50 to 75 every ten years to accept colonoscopy (colonoscopy)


Question: 79 deliver bad news to patients is one of the many difficult responsibility of the physician, need the human communication process, to help terminally ill patients have the opportunity to autonomously choose the end of medical care in line with the will of individuals. When the patient's family to ask you, do not diagnose the disease terminal cancer patients to inform themselves, how can you do? ① carried out the relevance of evaluation and preparation, understanding the patient's own characteristics and willingness ② and their families to communicate, empathy and emotional support for families, the families do not want to resolve inform mood, and help the families to accept patients may have emotional and behavioral ③ honest but after politely inform the patient ④ inform and support continuous tracking

Answer: ①①①①

Choices:
A. ①①①①
B. Only ①①①
C. Only ①①
D. Only ①①


Question: 28. The narrative about adenoid cystic carcinoma of the lung, Which statement is correct? ① treatment occurs mostly in the lung tissue surrounding the tumor to the majority of local ② tracheal surgery to ③ Most tumors are slow-growing to the local tracheobronchial lesions for the performance ④ tumor will never be the phenomenon of distant metastases

Answer: Only ②③

Choices:
A. ①②
B. ②③④
C. ①③④
D. Only ②③


Question: A fairly healthy 4-year-old girl three weeks ago, recently three weeks every evening fever Chaoguo 39.5 ° C, between two high fever, body temperature returned to normal, unaffected vitality; but there will be girls burnout when a high fever, mood swings morning feeling stiff joints, torso appear reddish rash and hand and knee joint swelling phenomenon, the most likely diagnosis is following what disease?

Answer: Juvenile rheumatoid arthritis (juvenile idiopathic arthritis)

Choices:
A. Juvenile rheumatoid arthritis (juvenile idiopathic arthritis)
B. Rheumatic fever (rheumatic fever)
C. Dengue fever (dengue fever)
D. Systemic lupus erythematosus (systemic lupus erythematosus)


Question: Which of the following symptoms less seen in SARS (severe acute respiratory syndrome) patients infected?

Answer: rhinorrhea, sorethroat

Choices:
A. fever, myalgia
B. rhinorrhea, sorethroat
C. lymphopenia, thrombocytopenia
D. diarrhea


Question: Account of Bacillus cereus (Bacillus cereus), and which of the following error?

Answer: Produce super antigen (superantigen), can cause serious tissue death (necrosis)

Choices:
A. Heat-resistant (heat-stable) toxin can cause vomiting-type food poisoning
B. Most of the bacteria found in the environment
C. Produce super antigen (superantigen), can cause serious tissue death (necrosis)
D. Can cause eye infections, e.g. panophthalmitis type Bacillus (Bacillus panophthalmitis)


Question: Which of the following is the starting point and end point are in the axial skeleton?

Answer: Konokohada (serratus posterior)

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


Question: 79 has a 10-year-old boy mental retardation, can be responsible for their own daily living, patient with a short head (brachycephaly), palpebral fissure steeper, and obvious epicanthus off, and the patient off the palm of the hand palm, chest physical examination is displayed with Grade III / VI of systolic murmur. Such patients almost Which of the following diseases can occur at the age of 40?

Answer: Alzheimer's disease (Alzheimer's disease)

Choices:
A. Acute leukemia
B. Cirrhosis
C. Chronic renal failure
D. Alzheimer's disease (Alzheimer's disease)


Question: The following describes the extension of fatty acids related to vertebrates, what's wrong?

Answer: Malonyl-CoA by using the substance as a

Choices:
A. Synthesis of position within the smooth endoplasmic reticulum
B. Malonyl-CoA by using the substance as a
C. The palmitoyl-CoA after extended into stearoyl-CoA
D. methyl-CoA as its subject matter may


Question: In pathological tissue to points, can be divided into complete hydatidiform mole and partial mole (complete / partial mole) two categories. Which of the following is a partial mole (partial mole) the most likely type of chromosomes (karyotype)?

Answer: 69, XXY

Choices:
A. 45, XO
B. 46, XY
C. 46, XX
D. 69, XXY


Question: From the previous question, if pregnant again in the future, should be how to avoid the same situation from happening again?

Answer: At 12 to 16 weeks of pregnancy, a cervical cerclage

Choices:
A. Yet before pregnancy, to have cervical cerclage
B. At 12 to 16 weeks of pregnancy, a cervical cerclage
C. Without any disposal, since the above situation is infrequent events will not happen again
D. Pregnancy, getting enough rest can be, do not need any miscarriage treatment


Question: 43-year-old Mrs. Chang recently often feel frequent urination, lower abdominal bloating and to some obstetrics and gynecology for treatment. Her physician abdominal ultrasound examination revealed ovarian tumors, and further make a computer tomography (as shown). She is most likely suffering from what disease?

Answer: Ovarian cancer (ovarian cancer)

Choices:
A. Ovarian cysts (ovarian cyst)
B. Ectopic pregnancy (ectopic pregnancy)
C. Ovarian cancer (ovarian cancer)
D. Ovarian teratoma (ovarian teratoma)


Question: A 16 year-old female, bleeding after tooth extraction, complete blood examination showed no abnormal red blood cells and white blood cells, platelets 185,000 / μL, 11 minutes bleeding time, prothrombin time (the PT) 11 seconds, and partial thromboplastin time (PTT) 63 seconds. The girls most likely What is the problem?

Answer: von Willebrand's disease

Choices:
A. Glanzmann's thrombasthenia
B. von Willebrand's disease
C. chronic renal failure
D. Aspirin uptake


Question: 56-year-old Tainan County, North Gate man, 10 years ago, emerging in the chest and back multiple sizes, non-itchy patches of red in Figure A, skin tissue pathology in Figure B. Following the disposal, what's inappropriate?

Answer: Topical steroid topical application

Choices:
A. Laser removal
B. Liquid nitrogen cryotherapy
C. 5-fluorouracil ointment for external topical application
D. Topical steroid topical application


Question: Following that kind of peptides that absorb light of wavelength 280 nm?

Answer: Alanine - alanine - tryptophan (Ala-Ala-Trp)

Choices:
A. Alanine - lysine - lysine Organization (Ala-Lys-His)
B. Alanine - alanine - tryptophan (Ala-Ala-Trp)
C. Serine - glycine - aspartic Amides (Ser-Gly-Asn)
D. Valine - proline - leucine (Val-Pro-Leu)


Question: 97 a 10-year-old child, since that is several times the infant pneumonia complicated by meningitis and bacteremia. Children are not defective liver and spleen enlargement, or the appearance of the body. The anemia, platelet and white blood cell count was slightly higher. Hemoglobin electrophoresis results Hb A2 1%, Hb F 7% and Hb S 92%. Patients prone to frequent infections of the reasons why?

Answer: Spleen due to repeated ischemic necrosis, resulting in loss of function

Choices:
A. Adhesion between endothelial cells and red blood cells (adhesion) reduction
B. Reduce manufacturing immunoglobulin
C. Reduced neutrophil function
D. Spleen due to repeated ischemic necrosis, resulting in loss of function


Question: The following description of the relevant inspection force (power), and what's right?

Answer: If the hypothetical average opposition, further away from the average than the null hypothesis anticipated, the test specimen will increase the force

Choices:
A. Significantly reduced level, for example, from 0.05 becomes 0.01, becomes subject to large forces
B. If the hypothetical average opposition, further away from the average than the null hypothesis anticipated, the test specimen will increase the force
C. If the observed standard deviation value is increased, the force increases the subject
D. If the number of samples is reduced, then seized power increase


Question: About neuromuscular synapse narrative diseases, which of the following error?

Answer: Myocardial violations are often the main cause of fatal disease myasthenia gravis

Choices:
A. Botox poisoning before the neuromuscular synapse disorders
B. Myasthenia gravis is a neuromuscular synapse disorders
C. Dyspnea is often the main cause of fatal poisoning of Botox
D. Myocardial violations are often the main cause of fatal disease myasthenia gravis


Question: Following a narcotic gas that has a relatively large minimum alveolar concentration (Minimal alveolar concentration)?

Answer: Nitric oxide

Choices:
A. Halothane
B. Enflurane
C. Nitric oxide
D. Ether


Question: When the neck lymph nodes dissection, when opening the carotid sheath (carotid sheath), the following should be without any configuration?

Answer: Sympathetic trunk

Choices:
A. Internal jugular vein
B. Carotid artery
C. Sympathetic trunk
D. Vagus nerve


Question: Neonatal torticollis (Torticollis) often accompanied by abnormal following the kind of joint?

Answer: hip joint

Choices:
A. Shoulder
B. Elbow
C. hip joint
D. Knee


Question: 70-year-old female, have high blood pressure, a history of atrial fibrillation, when to get up in the morning, transient right limbs sudden weakness, about 5 minutes later fully recovered, to out-patient clinics, after the brain CT examination was normal, which of the following disposal less suitable?

Answer: Should be long-term use of antiplatelet drugs

Choices:
A. Should be long-term use of antiplatelet drugs
B. Treatment should be long-term use of anticoagulants
C. Should be long-term use of antihypertensive drugs
D. Arrangements neck vascular ultrasonography


Question: E-B virus (Epstein-Barr virus) caused by acute infection monocytes histiocytosis (infectious mononucleosis), following which the latest serum antibodies appear?

Answer: anti-EBNA Ab

Choices:
A. anti-VCA IgG
B. anti-VCA IgM
C. anti-EBNA Ab
D. anti-EA Ab


Question: Prescription drugs, the physician can not be replaced if not stated, pharmacists (pharmacists) to be the same price or lower than the original price of prescription drug ingredient, the same dosage, the same dose of other brands of alternative medicines prescribed, from:

Answer: National Health Insurance medical approach

Choices:
A. National Health Insurance medical approach
B. National Health Insurance Law
C. National Health Insurance special pharmacy special points
D. Pharmacist Law


Question: Which of the following examination, the diagnosis of athlete's foot (tinea pedis) sensitive and fast way?

Answer: Dander microscopic examination of KOH

Choices:
A. Dander microscopic examination of KOH
B. Culture mold
C. Wood's light examination
D. Skin biopsy pathology


Question: 1-year-old child because no eye iris (aniridia), outpatient regular abdominal ultrasound examination, one year after the discovery of abdominal tumor, following which the tumor is most likely?

Answer: Wilms' tumor (Wilms tumor)

Choices:
A. Wilms' tumor (Wilms tumor)
B. Neuroblastoma (neuroblastoma)
C. Germ cell tumors (germ cell tumor)
D. Rhabdomyosarcoma (rhadomyosarcoma)


Question: 10. A 65-year old man fell, resulting in the right lower extremity fractures hospital, X-ray examination revealed both sides of the lower extremity long bone and collarbone otherwise many of osteoclasts (osteolytic) phenomenon. Tumor markers, including PSA, CEA, SCC, AFP are in the normal range. The following examination what is necessary for the diagnosis and staging? ① ② blood routine blood immune globulin electrophoresis analysis ③ ④ renal bone marrow examination

Answer: ①②③④

Choices:
A. Only ①③
B. Only ②③④
C. Only ①②④
D. ①②③④


Question: Leg fracture caused by ankle dorsiflexion can not (dorsiflexion), Which of the following is most likely to be injured?

Answer: Peroneal nerve

Choices:
A. Femoral nerve
B. Peroneal nerve
C. Tibial nerve
D. Sciatic nerve


Question: Cardiac rehabilitation, the energy consumed when the rest lie flat as 1 MET, an adult weighing 70 kilograms per minute of oxygen consumption at this time why?

Answer: 245 mL

Choices:
A. 70 mL
B. 210 mL
C. 245 mL
D. 280 mL


Question: 52.35 years old habitual abortion women G3P0SA3, because menstrual abnormalities in infertile women to out-patient clinics, day 3 of the menstrual cycle hormones index follicle stimulating hormone (FSH) 5.4 IU / L, luteinizing hormone (LH) 3.0 IU / L, thyroid stimulating hormone (TSH) 5.87 mIU / L, and prolactin (PRL) 15 ng / mL, including other tests antithyroid antibodies and normal free T4 thyroid hormone. Which of the following is the first recommended treatment?

Answer: Thyroxine levothyroxine treatment

Choices:
A. Artificial insemination (IUI)
B. Before IVF (IVF) were combined identification preimplantation embryos
C. Thyroxine levothyroxine treatment
D. Bromocriptine reduce lactation hormone synthesis


Question: Related to delirium (delirium) of the narrative, what's wrong?

Answer: Memory impairment delirium usually occurs mainly in long-term memory, there are fewer obstacles to the recent memory, and immediate memory of

Choices:
A. Delirium as acute exacerbation of hair
B. Memory impairment delirium usually occurs mainly in long-term memory, there are fewer obstacles to the recent memory, and immediate memory of
C. Delirium of attention will change the volatility of
D. Delirium in alertness (alertness) that there would be hypervigilance or less alert


Question: The following effect in that any anticancer agent on cell cycle, while the use of anticancer agent treatment regimen of ABVD and MOPP?

Answer: Plant alkaloids

Choices:
A. Antibiotics
B. Antimetabolites
C. Alkylating agents
D. Plant alkaloids


Question: 37-year-old man alcoholism for many years, the last 3 years often nausea and vomiting. One night finished drinking began vomiting, vomiting blood due to a large number sent to the emergency room. When arrived at the hospital increased pulse, blood pressure, doctors found his heart sounds inspection rules, heart and lungs are no noise, no abdominal tenderness or bloating, fecal occult blood check there is no reaction. Which of the following is most consistent with the diagnosis?

Answer: Mallory-Weiss syndrome

Choices:
A. Barrett esophagus
B. Squamous cell carcinoma of the esophagus
C. Mallory-Weiss syndrome
D. Esophageal stricture


Question: Head trauma patients prior transient loss of consciousness, then there is a period of sober Ching Ming period (lucid interval), then into a deep coma, clinical manifestations such as what kind of bleeding most likely state of typical performance?

Answer: Bleeding (epidural hemorrhage) epidural

Choices:
A. Bleeding (epidural hemorrhage) epidural
B. Subdural hemorrhage (subdural hemorrhage)
C. Subarachnoid hemorrhage (subarachnoid hemorrhage)
D. Falx (cerebral falx) bleeding


Question: If the patient has severe pain in the abdominal cavity cancer, more suitable to adopt the following ways to treat?

Answer: Hypogastric plexus block

Choices:
A. Celiac plexus block
B. Stellate ganglion block
C. Lumbar sympathetic block
D. Hypogastric plexus block


Question: Miss Lin breast cancer mastectomy subject to side, she wanted while receiving breast reconstruction surgery, then following a flap that most are not suitable for use as a breast reconstruction?

Answer: Abdominal omental flap (omental flap)

Choices:
A. Wide dorsal muscle flap (latissimus dorsi muscle flap)
B. Transversus abdominis flap (transverse rectus abdominis myocutaneous flap)
C. Brachial artery branch through flap (superior gluteal artery perforator flap)
D. Abdominal omental flap (omental flap)


Question: Infective endocarditis diagnosis, Duke criteria is a comprehensive clinical data, laboratory findings and cardiac ultrasound diagnostic criteria, which of the following as the main condition (major criteria)?

Answer: Two separate blood cultures yielded viridans streptococci

Choices:
A. Fever over 38.0 ℃
B. Two separate blood cultures yielded viridans streptococci
C. Arterial embolism
D. Infective endocarditis prone to heart disease


Question: Which of the following violations glycoprotein variation and muscle type of bladder cancer is most closely related?

Answer: p53

Choices:
A. p21
B. p53
C. p16
D. p26


Question: In breathing exercise, the circular lip breathing (purse-lip), which can achieve the following effect?

Answer: Prevent the collapse of small bronchi

Choices:
A. Rule out accumulating sputum
B. Increased exercise tolerance
C. Prevent the collapse of small bronchi
D. Increased respiratory muscle strength


Question: Which of the following does not belong to the "Diagnostic and Statistical Manual of mental disorders fourth edition of" American Psychiatric Association requirements related to Tourette's syndrome (Tourette's disorder) diagnostic standards?

Answer: Disease before the age of 15 need

Choices:
A. Sports convulsions (motor tics)
B. Voice convulsions (vocal tics)
C. The frequency of seizures several times a day
D. Disease before the age of 15 need


Question: Maxillary nerve (maxillary nerve) and its branches does not dominate these Where?

Answer: Maxillary sinus (maxillary sinus) mucosa

Choices:
A. Cogging (superior alveolus)
B. Palatal mucosa
C. Maxillary sinus (maxillary sinus) mucosa
D. Nasion (nasion) skin


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

Answer: In recent years, because of medical advances, the incidence rate of cerebral palsy reduced to very low, become less common diseases

Choices:
A. In recent years, because of medical advances, the incidence rate of cerebral palsy reduced to very low, become less common diseases
B. Due to the increased survival of premature children, such that cerebral palsy in premature children percentage relative increase
C. Classification of cerebral palsy, Xu acting ratio decreased significantly in recent years
D. Preterm children most often combined cerebral palsy type of paralysis on both sides (diplegia)


Question: A 56-year-old female patient with colorectal cancer, after surgery, smooth recovery. After regular outpatient track also shows everything is normal. In the 6 months after outpatient colonoscopy, sigmoidoscopy has found only a short stem polyps 1 centimeter and a half-size, others are normal. After the successful removal of polyps, the patient did not feel any discomfort, then let the patient go home, clinic and arrange to return after one week. For patients in the first 2 days have been checked and are also good after polypectomy, but it suddenly occurred on the third day of abdominal pain, the family returned to the hospital emergency room, physical examination, mild fever (38 ℃), abdominal tenderness and rebound tenderness, increased white blood cell count but also to 15,000, abdominal X-rays appear obvious free air of the peritoneal cavity. The most likely diagnosis is:

Answer: colon perforation at polypectomy site

Choices:
A. diverticulitis of colon
B. peptic ulcer perforation
C. colon perforation at polypectomy site
D. perforated appendicitis


Question: Which of the following is organ-specific autoimmune diseases?

Answer: Multiple sclerosis (multiple sclerosis)

Choices:
A. Systemic lupus erythematosus (systemic lupus erythematosus)
B. Rheumatoid arthritis (rheumatoid arthritis)
C. Multiple sclerosis (multiple sclerosis)
D. Sclerosis (scleroderma)


Question: Which of the following most infections will not cause peripheral neuropathy (peripheral neuropathy)?

Answer: B hepatitis (Hepatitis B)

Choices:
A. B hepatitis (Hepatitis B)
B. AIDS (AIDS)
C. Leprosy (leprosy)
D. Diphtheria (diphtheria)


Question: The following is a vaccine that can prevent the occurrence of congenital fetal infection (congenital infection)?

Answer: German measles (Rubella vaccine)

Choices:
A. Measles vaccine (Measles vaccine)
B. Mumps vaccine (Mumps vaccine)
C. German measles (Rubella vaccine)
D. Polio vaccine (Polio vaccine)


Question: Forty-five male patients with normal lung function, lung tumor in his right lung is expected to accept the surgery, anesthesia evaluation and consideration of the narrative related Which statement is correct?

Answer: As expected after FEV1 greater than 40% of the original, the removal of the endotracheal tube should be in the operating room

Choices:
A. Postoperative FEV1 (forced expiratory volume in first second) most is the right middle lobe
B. As expected after FEV1 greater than 40% of the original, the removal of the endotracheal tube should be in the operating room
C. Intraoperative or postoperative arrhythmias rare phenomenon
D. Use larger tidal volume (tidal volume) single lungs (one lung ventilation), and can increase blood oxygen reduced respiratory damage


Question: Statements about O antigen (O antigen) Section of intestinal bacilli (Enterobacteriaceae), Which statement is correct?

Answer: Body portion of the bacterial cell wall lipopolysaccharide (lipopolysaccharide) of

Choices:
A. The material is out of the control channel of bacteria
B. Has flagellin (flagellin)
C. Body portion of the bacterial cell wall lipopolysaccharide (lipopolysaccharide) of
D. Containing peptide glycan (peptidoglycan), can be used to maintain the morphology of the bacterial cell wall


Question: Bacterial pediatric orbital cellulitis (bacterial orbital cellulitis) most often secondary to infection of the sinuses that at the following?

Answer: Ethmoid sinuses (ethmoid sinus)

Choices:
A. Frontal sinus (frontal sinus)
B. Ethmoid sinuses (ethmoid sinus)
C. Sphenoid (sphenoid sinus)
D. Maxillary sinus (maxillary sinus)


Question: A 32-year-old patient with fever, asthma, mild cough has 10 days to emergency attendance, 39.4 deg.] C temperature, heart rate 108 beats / min, respiration 26 / min, leukocytes 26000 / mm3, chest X-ray reveals multiple irregular nodular pulmonary infiltrates, their fingers at the end and sole visible dark red spots, this time to check what should be best to establish the diagnosis?

Answer: Two-dimensional (2-D) echocardiography

Choices:
A. Two-dimensional (2-D) echocardiography
B. Chest computed tomography
C. Abdominal ultrasound
D. Artery angiography


Question: A 17-year-old woman suffering from urticaria have been two years ago. Often have no warning of systemic itching, redness and streaks (erythema and wheal) appears. By taking an antihistamine (anti-histamine) effective, but can not be eradicated. It is following an inspection of tracing the cause of the disease is most help?

Answer: Anti-allergen IgE antibody titer (allergen-specific IgE titer)

Choices:
A. Value of serum complement (serum complement level)
B. The total number of eosinophilic leukocytes (total eosinophil count)
C. Anti-allergen IgE antibody titer (allergen-specific IgE titer)
D. Condensing the presence of serum globulin (presence of serum cryoglobulin)


Question: After the E. coli cAMP receptor protein and the lac operon (operon) DNA binding, which can produce the following effects?

Answer: Help RNA polymerase and lac promoter (promoter) combined effect

Choices:
A. Help RNA polymerase and lac promoter (promoter) combined effect
B. Can inhibit the activity of lac operon
C. Suppressor can be avoided (repressor) and the lac operator gene (operator) binding
D. Before they can bind to the lac operator in the presence of glucose


Question: 72 year old man, A figure shows the left thalamus hemorrhage intraventricular hemorrhage (arrow), stable started three weeks rehabilitation treatment, and then once a week after a CT scan track (B in FIG.), Found clot becomes hypodense (arrow ), which was due to:

Answer: The original clot naturally evolve into a subacute subacute hematoma, showing hypodense

Choices:
A. The original clot naturally evolve into a subacute subacute hematoma, showing hypodense
B. The same area another acute infarction happen again
C. The same area of the original a astrocytoma
D. The same region merging encephalitis


Question: A 70-year-old male patient, because when there is movement difficulty breathing phenomenon over the years, come to the hospital. No fever during treatment, physical examination found that his hands clubbing and can be heard on both sides of the lower lung fields with fine rales (fine crackles) auscultation, following which the disease is most likely?

Answer: Diffuse pulmonary fibrosis

Choices:
A. pneumonia
B. Diffuse pulmonary fibrosis
C. Lung cancer
D. tuberculosis


Question: Which of the following is most unlikely of neonatal total parenteral nutrition complications?

Answer: Renal dysfunction

Choices:
A. Line infection
B. Cholestasis (cholestasis)
C. Liver function abnormalities
D. Renal dysfunction


Question: Which of the following drugs, the most suitable for the treatment of eating because the genus Inocybe mushroom poisoning of?

Answer: Atropine

Choices:
A. Atropine
B. Homatropine
C. Ipratropium
D. Pralidoxime


Question: The following ⽪ neoplasia within the submenus related to cervical / upper squamous ⽪ narrative focus (cervical intraepithelial neoplasia / squamous intraepithelial lesions), and whichever is less correct?

Answer: Low-grade squamous lesions zoomed part in ⽪ (low-grade squamous intraepithelial lesion, LSIL) will continue to exist ⽽ not reply

Choices:
A. Low-grade squamous lesions zoomed part in ⽪ (low-grade squamous intraepithelial lesion, LSIL) will continue to exist ⽽ not reply
B. About 10% of low-grade squamous lesions within ⽪ (low-grade squamous intraepithelial lesion, LSIL) will progress (progress) to
C. Within a few ⽪ grade squamous lesions ADVANCED on (high-grade squamous intraepithelial lesion, HSIL) will return (regress)
D. ADVANCED zoomed portion of squamous lesions (high-grade squamous intraepithelial lesion, HSIL) within ⽪ persist (the persist)


Question: Stroke patients and have a right hemiparesis with dysphagia, food inspection found accumulate (pooling) on the right side of the throat area, the following which treatment most appropriate?

Answer: Head tilted to the left (tilting of head to left side)

Choices:
A. Supraglottic swallowing techniques (supraglottic swallow)
B. Head tilted to the left (tilting of head to left side)
C. Within his chin (chin tuck)
D. Mengde Sen swallowing technique (Mendelsohn's maneuver)


Question: 74. The patient complained of acute abdominal pain, nausea, vomiting, abdominal computed tomography presented in Figure that one of the following diagnostic most correct?

Answer: acute pancreatitis

Choices:
A. acute gastritis
B. ischemic bowel disease
C. acute duodenitis
D. acute pancreatitis


Question: A 5-year-old child, often flushed even to cough vomiting, and accompanied by headache, fever and sore throat and other symptoms and treatment. By auscultation, found lung noise, lower lobe section appears patchy "interstitial pneumonia" shadow, therefore suspected to be mycoplasma (Mycoplasma) infection X-ray is displayed. Which of the following can be treated with drugs?

Answer: Tetracycline (tetracycline)

Choices:
A. Vancomycin (vancomycin)
B. Penicillin (penicillin)
C. Tetracycline (tetracycline)
D. Subtilisin (bacitracin)


Question: In doing neck ultrasound examination of blood vessels, found that some people in the carotid artery is completely blocked, but the wind and mild symptoms or no symptoms of stroke, the most likely cause is:

Answer: Cerebrovascular patients generate sufficient collateral circulation

Choices:
A. The patient's arrhythmia well under control
B. Patients with high blood pressure well under control
C. Cerebrovascular patients generate sufficient collateral circulation
D. Patients with long-term use of anti-platelet aggregation drugs


Question: Which of the following is acute myocardial infarction, sudden death (Sudden death) the most common cause?

Answer: Ventricular fibrillation

Choices:
A. Cardiac rupture
B. Acute pulmonary infection
C. Ventricular fibrillation
D. Acute pulmonary hemorrhage


Question: Which is not an oropharyngeal primary-like epithelial cancer risk factors?

Answer: Epstein-Barr virus infection

Choices:
A. Smoke
B. drink
C. Epstein-Barr virus infection
D. Human papillomavirus infection (HPV)


Question: Following that kind of lack of cell hormone (cytokine) easily lead to Th2 T cells can not differentiate into form?

Answer: IL-4

Choices:
A. IL-2
B. IL-4
C. IL-8
D. TGF-b


Question: A 4-month-old baby girl had suffered four times the skin abscess (abscess), because of this ass (buttock) There abscess hospitalization. Take care of her baby girl grandmother said this evening three weeks before the umbilical cord off than the other grandchildren, and umbilical cord infection, which of the following do you think best test confirmed the disease?

Answer: CD11/CD18 expression on flow cytometry

Choices:
A. IgG subclass
B. Lymphocyte subsets
C. Mitogen response test
D. CD11/CD18 expression on flow cytometry


Question: Sandflies (sandfly) Which of the following media can parasitic infection?

Answer: Leishmaniasis (kala-azar)

Choices:
A. Blackwater hot (blackwater fever)
B. Broken bones heat (break-bone fever)
C. Leishmaniasis (kala-azar)
D. Black Death (black death)


Question: 53.52-year-old woman, discovered on a health check blood CEA (carcinoembryonic antigen) increased, but colonoscopy and chest computed tomography examination were normal. Physical examination revealed a thyroid nodule swollen, fine needle aspiration cytology see the type of spindle cells and large oval cells, blue cytoplasm (Liu staining). The blood Which of the following can help confirm the diagnosis?

Answer: calcitonin

Choices:
A. thyroglobulin
B. calcitonin
C. CA-199
D. CA-125