Question: The following description related to hyponatremia (hyponatremia), and what's right?

Answer: Heart failure may result in the extracellular fluid (extracellular fluid) and hyponatremia increase

Choices:
A. If plasma osmolality (osmolality) is low, you should consider whether it is high blood sugar
B. Heart failure may result in the extracellular fluid (extracellular fluid) and hyponatremia increase
C. Hyponatremia and extracellular fluids of patients decrease, if the sodium ion concentration in the urine is less than 10 mmol / L, Na + wasting nephropathy representatives
D. Inappropriate secretion of antidiuretic hormone (SIADH) patients is generally normal plasma osmolality, but reduced the extracellular fluid


Question: The following related (nitric oxide) narrative of nitric oxide, whichever is correct?

Answer: Formed from L-arginine and molecular oxygen effect

Choices:
A. Is a chemical transmitter substance (chemical messenger) can activate adenylate cyclase
B. Formed from L-arginine and molecular oxygen effect
C. Can lead to shrinkage of the vessel wall (constriction of blood vessels)
D. The gas molecules are very stable


Question: Narrative of ischemic heart disease on women, which of the following error?

Answer: Women of statin and other drug treatment, prognosis improved income (benefits of improved outcome) than men poor

Choices:
A. The incidence of premenopausal women than in men of low
B. After menopause the incidence gradually increased, and the same men approaching
C. Fewer women than men underwent cardiac catheterization, also less undergoing coronary artery reconstruction (coronary revascularization) surgery
D. Women of statin and other drug treatment, prognosis improved income (benefits of improved outcome) than men poor


Question: A 30-year-old woman accepted because of abdominal pain lower abdominal CT examination abnormal ovarian presented below, the following statements is most accurate?

Answer: Teratoma

Choices:
A. Teratoma
B. Uterine fibroids
C. Chocolate cyst
D. Tubo-ovarian abscess


Question: A patient suffering from chronic obstructive pulmonary disease (COPD), in order to ease his symptoms of respiratory distress, what items should like to suggest the following breathing exercise movement?

Answer: Diaphragm lip breathing respiratory motion and circle motion (pursed-lip breathing)

Choices:
A. Diaphragm respiratory movement (diaphragmatic breathing) + glossopharyngeal respiratory movement (glossopharyngeal breathing)
B. Diaphragm lip breathing respiratory motion and circle motion (pursed-lip breathing)
C. Breathing pattern (breathing patterns) to adjust the respiratory motion glossopharyngeal +
D. Circular lip breathing respiratory motion glossopharyngeal motion +


Question: 5-year-old boy due to severe brain trauma after one year treatment, pediatricians found severely stunted, and biochemical tests found significant growth hormone (growth hormone) secretion, and therefore administration of growth hormone therapy. Found that in the treatment of stage of growth hormone in their blood concentration has reached normal, but the situation has not improved growth retardation, which of the following may be used to explain the reasons for growth hormone replacement therapy ineffective?

Answer: It may be secondary to hypothyroidism (secondary hypothyroidism) occurs

Choices:
A. Which may be system prime (Somatostatin) excessive secretion
B. Insufficient amount of growth hormone receptor expression may
C. It may be secondary to hypothyroidism (secondary hypothyroidism) occurs
D. It may be excessive growth hormone in the body's metabolic rate


Question: Following that form of fetal position more suited to try vaginal delivery?

Answer: frank breech

Choices:
A. complete breech
B. frank breech
C. footling breech
D. transverse lie


Question: After the birth of a newborn found in many oral secretion, X-rays to see the stomach is up, but do not put a nasogastric tube into the stomach, the most likely diagnosis is:

Answer: Esophageal atresia tracheal esophageal fistula (esophageal atresia with tracheoesophageal fistula)

Choices:
A. Hypertrophic pyloric obstruction (hyertrophic pyloric stenosis)
B. Esophageal atresia tracheal esophageal fistula (esophageal atresia with tracheoesophageal fistula)
C. Choanal obstruction (choanal atresia)
D. Vocal cord paralysis (vocal cord paralysis)


Question: The following conditions may result in higher milk promote hyperinsulinemia, except:

Answer: High-energy primary thyroid disease

Choices:
A. Use methyldopa
B. The use of metoclopramide
C. Empty sella syndrome (empty sella syndrome)
D. High-energy primary thyroid disease


Question: In the following three lymphoma, whichever is closely related to the Epstein-Barr virus?

Answer: Only ①③

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


Question: When the antibody fixing a film (membrane-bound) type into secretory (secreted) type, which works as follows:

Answer: RNA splicing (splicing)

Choices:
A. DNA recombination (recombination)
B. RNA splicing (splicing)
C. Protein cleavage (degradation)
D. The new gene expression (expression of a new gene)


Question: Abdominal oblique fascia (aponeurosis) wrapped in following the rectus abdominis where?

Answer: Foregut bone between the spine and the pubis

Choices:
A. Above the level of the edge ribs
B. Ribs between the front edge of the iliac spine
C. Foregut bone between the spine and the pubis
D. Pubic height


Question: A 50-year-old woman, in the past had cervical cancer received pelvic radiation therapy, the last three years have urinary frequency, urinary urgency when the symptoms of pain and swelling urinary bladder, but can reduce painful urination. Urine leukocytes or red blood cells has not increased, and no patient urine leakage phenomenon, about 100 milliliters urine output, no residual urine. Will she most likely diagnosis is:

Answer: Radiation cystitis

Choices:
A. Interstitial cystitis
B. Radiation cystitis
C. Overactive bladder
D. Bacterial cystitis


Question: A newly born full-term newborns were found to have a number of systemic bleeding dots (petechiae) and purpura (purpura). Laboratory tests found that leukocytes 11,000 / uL, hemoglobin 14 gm / dL, platelets 8,000 / uL, sick children receiving unit 6 1 hour post platelet concentrate transfusion of platelets retest value remains low as 9,000 / uL, but in after infusion of washed platelet concentrate from the mother, platelet values increased to 90,000 / uL, bleeding conditions improved, Which of the following is the correct interpretation?

Answer: Sick children may often find blood platelet antibodies from the mother against the platelet PLA-1 antigen

Choices:
A. Sick children may often find blood platelet antibodies from the mother against the platelet PLA-1 antigen
B. Mother patient may be unknown reason thrombocytopenia purpura (idiopathic thrombocytopenic purpura) of
C. A mother may have platelet PLA-1 antigen
D. Patients should be combined low platelet mother of systemic lupus erythematosus


Question: Full-term pregnant women to be produced in the receiving pelvic examination, found that this shape of the pelvis of pregnant women oval, and the pelvic inlet (pelvic inlet) pelvic cavity longitudinal width at the radial diameter is more than about, while fetal cephalic presentation pillow after orientation (occipital posterior), which pregnant women pelvic might be that kind?

Answer: Gynecoid pelvis

Choices:
A. Gynecoid pelvis
B. Android pelvis
C. Platypelloid pelvis
D. Anthropoid pelvis


Question: Fungus asexual spores (asexual spores) that can be divided into two categories?

Answer: Spores (conidia) and ascospores (sporangiospores)

Choices:
A. Spores (conidia) and ascospores (sporangiospores)
B. Bottle spores (phialides) and section spores (arthrospores)
C. Thick spores (chlamydospores) and section spores (arthrospores)
D. Arthrospores (arthrospores) and blastospores (blastospores)


Question: 5-year-old boy suffering from nephrotic syndrome (nephrotic syndrome), biopsy under an optical microscope can be seen a few glomerular sclerosis have a local silk ball, fluorescent staining seen precipitation IgM and C3 complement, an electron microscope to see the foot-like projections fusion (foot process fusion). For a description of the following clinical whichever correct?

Answer: Often associated with hematuria clinic

Choices:
A. Often associated with hematuria clinic
B. More than fifty percent effective steroid treatment
C. Clinical prognosis is good, most of them can achieve remission within a year
D. Laboratory tests often seen complement (C3, C4) decreased


Question: If the patient's Wo Ni's area (Wernicke's area) is damaged, what language barriers often appear?

Answer: Impaired auditory comprehension

Choices:
A. Impaired auditory comprehension
B. Fluency of language impairment
C. There will telegraphic language (telegraphic speech)
D. It repeats the other's words (echolalia)


Question: Which of the following is not a way to slow the progression of chronic kidney disease treatment?

Answer: Non-steroidal anti-inflammatory drugs

Choices:
A. Low-protein diet
B. Control blood pressure
C. Non-steroidal anti-inflammatory drugs
D. Angiotensin blockers (angiotensin receptor blocker)


Question: The following narrative about the urinary system trauma, whichever is correct?

Answer: The penile fracture repair need emergency surgery white membrane (tunica albuginea)

Choices:
A. Catheter placed as soon as possible urethral injury is suspected
B. The penile fracture repair need emergency surgery white membrane (tunica albuginea)
C. Once they have microscopic hematuria urgent need to do abdominal computed tomography (CT scan)
D. Hematuria renal trauma to the extent and degree of positive correlation


Question: Thirty months of the child can not speak, differential diagnosis does not include:

Answer: Selective mutism

Choices:
A. Selective mutism
B. Autism
C. Hearing Impaired
D. low intellegence


Question: Skeletal muscle during the relaxation, mainly by calcium ions Which of the following will be sent back to the sarcoplasmic reticulum (Sarcoplasmic reticulum)?

Answer: Calcium ion-ATPase

Choices:
A. Calsequestrin
B. Triadin
C. Calcium ion-ATPase
D. Calcineurin


Question: The following does not belong to that kind of fungus Basidiomycetes (Basidiomycetes)?

Answer: Aspergillus

Choices:
A. Cryptococcus
B. Trichosporon
C. Aspergillus
D. Malassezia


Question: A 54-year-old man was hospitalized because of pleural effusion examination. Check the blood of patients as a result LDH (lactate dehydrogenase) = 350 U / L, the content of protein = 7.1 g / dL, pleural effusion and display LDH = 190 U / L, the content of protein = 2.9 g / dL. The following related pleural effusion of the statements is wrong?

Answer: Exudate (exudate)

Choices:
A. Exudate (exudate)
B. Transudate (transudate)
C. Cytological test must be carried out
D. Must bacterial culture


Question: Which of the following forms of hypoxia (hypoxia) that arterial oxygen pressure will drop?

Answer: Hypoxic hypoxia

Choices:
A. Hypoxic hypoxia
B. Anemic hypoxia
C. Stagnant or ischemic hypoxia
D. Histotoxic hypoxia


Question: Related to bisphosphonate treatment for osteoporosis of the narrative, which of the following error?

Answer: Do not need to merge the use of calcium and vitamin D

Choices:
A. The main bone in combination with hydroxyapatite (Hydroxyapatite)
B. Has been shown to be effective in increasing bone density
C. Do not need to merge the use of calcium and vitamin D
D. There again the effectiveness of the prevention of fractures


Question: Which of the following is not a right ventricular failure of the clinical manifestations?

Answer: Orthopnea (orthopnea)

Choices:
A. Orthopnea (orthopnea)
B. Anger jugular vein swelling (engorgement)
C. Lower extremity edema
D. Enlargement of the liver


Question: Mr. Zhang was climbing snakebite, after injection of anti-venom serum to gain control of symptoms and recovery. If the next time he was bitten by a snake, the venom accepted antiserum treatment, the need to pay attention to serum sickness (serum sickness) adverse reactions. The following account of serum sickness, and what's right?

Answer: Because the antigen-antibody complex is produced by bulk

Choices:
A. Because serum serpent wound into the patient via a disease caused by
B. Because the antigen-antibody complex is produced by bulk
C. Is to produce tissue damage due to the venom with specific T cell accumulation in the serum
D. The virus weakens the immune serum ability to produce disease


Question: About hirsutism (hirsutism) describes the treatment, which of the following error?

Answer: Use medroxyprogesterone acetate treatment

Choices:
A. Use medroxyprogesterone acetate treatment
B. Treatment using flutamide
C. The use of spironolactone therapy
D. The use of cyproterone acetate treatment


Question: Which of the following is not accompanied by aging pathophysiological changes?

Answer: increased body water

Choices:
A. increased body fat
B. increased body water
C. lens opacification
D. impaired glucose homeostasis


Question: When women in the follicular phase of the menstrual cycle (follicular phase), hormone X increase in the negative feedback inhibition of FSH secretion; sustained high concentrations of hormone Y can be induced LH surge; hormone Z cause primary oocyte into secondary oocyte. The following statements is true?

Answer: Hormone X that is hormone Y

Choices:
A. Hormone X that is hormone Y
B. Hormone Y that is hormone Z
C. Hormone X that is hormone Z
D. Hormone X is the inhibin-A


Question: Which of the following drugs is not suitable for the treatment of patients with congestive heart failure is?

Answer: Aldosterone

Choices:
A. Losartan
B. Eplerenone
C. Milrinone
D. Aldosterone


Question: Glioblastoma multiforme (GBM) belongs to WHO classification system of glioma in:

Answer: Grade Ⅳ

Choices:
A. Grade Ⅰ
B. Grade Ⅱ
C. Grade Ⅲ
D. Grade Ⅳ


Question: Infection Candida albicans (Candida albicans) that can cause does not include one of the following?

Answer: Toxigenic infection

Choices:
A. Mucous membrane infections
B. Skin infections
C. Toxigenic infection
D. Organ infection


Question: The following statements about malaria and what was right?

Answer: West African blacks and their descendants, mostly Duffy-negative blood type, among not infected with vivax malaria

Choices:
A. West African blacks and their descendants, mostly Duffy-negative blood type, among not infected with vivax malaria
B. Plasmodium ovale trophozoites identifying characteristics on the blood smear, to see whether there is a strip-type trophozoites (band form trophozoites)
C. P. malariae than happy invasion network weaving red blood cells (reticulocytes) in proliferation
D. Falciparum malaria around the world have appeared chloroquine-resistance


Question: A 85-year-old Mr. Wang, 66, suffers from high blood pressure, diabetes for many years. 5 years ago had a stroke, but can walk gait disturbance. He did not know the current medication, often due to cold, dizziness and other uncomfortable symptoms to clinics, chronic diseases will disable itself had taken the drugs. One day get up at night to urinate, causing the right femur fracture due to a fall in hospital, the following statements is true?

Answer: This case older than 80 years old, can not be changed fall risk factors

Choices:
A. This case older than 80 years old, can not be changed fall risk factors
B. This case falls solely for gait disturbance caused
C. This case polypharmacy does not increase the risk of falls
D. This case does not need to consider other issues iatrogenic


Question: Account of tubercle bacillus (Mycobacterium tuberculosis), the Which statement is correct?

Answer: This bacterium difficult to dye, but once the contracted, i.e., using an acid solution is not easily decolorized

Choices:
A. Rodents (rodents) disseminator of bacteria for this purpose
B. This bacterium difficult to dye, but once the contracted, i.e., using an acid solution is not easily decolorized
C. This bacterium has the mobility and the formation of spores (endospores)
D. This strain can produce exotoxin (exotoxin) to prevent ingestion of the phagocytic cells


Question: 68. a thesis by searching Cochrane Library, MEDLINE, and achieved a number of similar studies, and combined analysis results are as follows: Long-term use of randomized trial of antiplatelet drugs than on placebo, there are 1965 patients, the use of a daily dose of 75 mg to 325 mg of aspirin, the average track

Answer: This type of analysis cohort studies, case-control study (case control study) than (cohort study)

Choices:
A. I) 0.51 to 0.97). Based on the principles of evidence-based medicine, Which statement is correct?
B. This is a study (prognostic study) is a prognostic
C. This type of analysis cohort studies, case-control study (case control study) than (cohort study)
D. Cipian research paper is a comprehensive analysis (meta-analysis) belong


Question: One patient examination revealed blood platelet count was 520,000 / μL. Which of the following do not need to be included in the differential diagnosis?

Answer: Ascariasis

Choices:
A. Iron deficiency anemia
B. Massive hemorrhage
C. Postoperation of ruptured appendicitis
D. Ascariasis


Question: Of mothers who received surgery during pregnancy, the fetus is the biggest risk is:

Answer: Premature birth

Choices:
A. infection
B. Premature birth
C. Congenital malformations
D. Intrauterine death


Question: Which of the following drugs is the best solution when agents of acetaminophen poisoning?

Answer: Acetylcysteine

Choices:
A. Atropine
B. Acetylcysteine
C. Physostigmine
D. Pralidoxime


Question: Which of the following post-traumatic stress disorder is the most infrequently used psychological defense mechanisms turn?

Answer: Rationalization effect

Choices:
A. Rationalization effect
B. Denies role
C. Projection effect
D. Dissociation action


Question: The first feeding newborn baby boy that is vomiting, followed by several feeding and vomiting, and vomit bile. Abdominal examination revealed acceptable baby slightly concave, with no bowel sounds, abdominal X-ray radiographing the proximal end of the small intestine digestive intestinal gas but rarely the intestinal gas. Clinical manifestations caused by the baby vomiting, the most likely cause is:

Answer: Turn intestinal strangulation (volvulus)

Choices:
A. Diaphragm antrum (antral web)
B. Bile duct cyst
C. 巨腸 disease
D. Turn intestinal strangulation (volvulus)


Question: About the narrative of prostate cancer, which of the following error?

Answer: Common large number of tumor cells in mitosis

Choices:
A. Glandular structure formed by the tumor cells, is generally smaller than normal glands
B. Glandular tumor cells may be constructed of a single layer
C. Common large number of tumor cells in mitosis
D. Shift position often appear in the pelvic lymph nodes and spine


Question: Tetracycline (tetracyclines) inhibition mechanism bacteria are:

Answer: The 30S ribosome binding, inhibition of protein synthesis

Choices:
A. Inhibiting transpeptidase, can not synthesize cell walls
B. The 30S ribosome binding, inhibition of protein synthesis
C. The cell membrane permeability changes
D. Inhibition of RNA synthesis


Question: Description of Neurogenic tumor, and what's wrong?

Answer: The majority of adults with cancer, the majority of children with benign tumors

Choices:
A. Children are the most common mediastinal tumor
B. Occur in the mediastinum
C. The majority of adults with cancer, the majority of children with benign tumors
D. The treatment of benign surgical excision


Question: The following statements about carbohydrate metabolism of red blood cells, whichever is correct?

Answer: ATP generated by glycolysis (Glycolysis) is the main energy source of red blood cells

Choices:
A. ATP generated by glycolysis (Glycolysis) is the main energy source of red blood cells
B. Red blood cells glycolysis (Glycolysis) except for power generation there is no other function
C. Krebs cycle (TCA cycle) will consume a small portion of the red blood cells carry oxygen
D. Red blood cells pentose phosphate pathway (pentose phosphate pathway) based in the mitochondria


Question: Efficacy has nothing to do with whichever of the following pharmacological effects of misoprostol?

Answer: vasoconstriction

Choices:
A. Reduce gastric acid secretion
B. Promote the secretion of gastric mucus
C. To promote uterine contractions
D. vasoconstriction


Question: The reason congenital nasolacrimal duct obstruction is a blockage occurs in that location?

Answer: Hasner's valve

Choices:
A. Canalicular
B. Lacrimal sac
C. Rosenmuller's valve
D. Hasner's valve


Question: About graft-versus-host disease (graft-versus-host disease, GVHD), which of the following error?

Answer: Because the recipient's T cells caused by excessive

Choices:
A. Antigen-presenting cells in the recipient's needs (antigen presenting cells) start
B. Application can be mixed lymphocyte reaction (mixed lymphocyte reaction) detection
C. Because the recipient's T cells caused by excessive
D. T cell transplant may be removed while slow reaction


Question: For the lipid rafts of the cell membrane (lipid raft), the following statements is true?

Answer: A higher amount of glycosylation acyl phosphatidyl inositol (glycosylated derivative of phosphatidylinositol; GPI) protein binding

Choices:
A. A lower amount of cholesterol (cholesterol)
B. A lower amount of sphingolipids (sphingolipid)
C. The beaker containing no membrane vesicle protein (of caveolin)
D. A higher amount of glycosylation acyl phosphatidyl inositol (glycosylated derivative of phosphatidylinositol; GPI) protein binding


Question: The following narrative about Lyme disease ticks media zoonotic (Lyme disease), the what's wrong?

Answer: Early diagnosis of human infection with a blood smear microscopy-based

Choices:
A. Highly endemic areas often co-infection (co-infection) Barbados's protozoa (Babesia spp.)
B. Original pathogenic Borrelia burgdorferi (Borrelia burgdorferi)
C. Early infection with erythema migrans (erythema migrans) as the main condition
D. Early diagnosis of human infection with a blood smear microscopy-based


Question: A 16-year-old woman complained of chronic cough with sputum associated with body temperature micro-burning, weight loss over a month. Physical examination results were as follows: 38.7 ear thermometer deg.] C, the respiratory rate per minute 15, 80 beats per minute, the right lung field have found chest auscultation auscultation, chest X-rays, as shown below, is the patient most likely diagnosis for:

Answer: Tuberculosis (pulmonary tuberculosis)

Choices:
A. Pneumococcal pneumonia (pneumococcal pneumonia)
B. Cryptococcal pneumonia (cryptococcal pneumonia)
C. Tuberculosis (pulmonary tuberculosis)
D. Pneumonia Legionnaires' disease (Legionella pneumonia)


Question: Children with neural tube defects (neural tube defect), and that most often affect the spine following a site?

Answer: Lumbo-sacral (lumbar-sacral level)

Choices:
A. Cervical spine (cervical level)
B. Thoracic (thoracic level)
C. Thoracolumbar spine (thoracic-lumbar level)
D. Lumbo-sacral (lumbar-sacral level)


Question: Autoimmune Insulin - pathogenesis dependent diabetes (Autoimmune insulin-dependent diabetes mellitus) is:

Answer: Destruction of pancreatic beta-cells are T-cells (T cell-mediated damage of pancreatic beta cells)

Choices:
A. IgG immune complexes (to beta cells IgG immune complex deposition) deposition of beta-cells
B. Anti-snRNP, scRNP (ribosomal protein) autoantibodies (autoantibodies to snRNP, scRNP (ribonuclear proteins))
C. Pancreas stromal cell autoantibodies (autoantibodies to extracellar matrix in pancreas)
D. Destruction of pancreatic beta-cells are T-cells (T cell-mediated damage of pancreatic beta cells)


Question: Glomerular filtration rate can be controlled by independent (autoregulation) when changes in blood pressure, can maintain a stable of glomerular filtration rate, following the relevant glomerular filtration rate independent control of the narrative, what's right?

Answer: Inhibition of renal produce adenosine (adenosine), can cause afferent arterioles (afferent arteriole) of expansion

Choices:
A. (Myogenic) reflected efferent arterioles (efferent arteriole) from the autonomous control myogenic
B. Tubular glomerular feedback (tubuloglomerular feedback), will affect the shrinkage efferent arterioles (efferent arteriole) and the diastolic
C. Juxtaglomerular (juxtaglomerular apparatus) release of renin (renin), initiate afferent arterioles (afferent arteriole) of contraction
D. Inhibition of renal produce adenosine (adenosine), can cause afferent arterioles (afferent arteriole) of expansion


Question: Account of metabolic syndrome (metabolic syndrome), the error which of the following?

Answer: ⾎ smaller and middle ⽽ white dense low-density lipoproteins (small, dense LDL) concentration will be reduced

Choices:
A. Impedance (insulin resistance) and insulin for the Use of relevant
B. ⾎ smaller and middle ⽽ white dense low-density lipoproteins (small, dense LDL) concentration will be reduced
C. Center Weighted ⾎ increases the risk of vascular disease
D. ⾎ very low density lipoprotein white (VLDL) will increase the concentration of


Question: Filter paper strips placed on the outer third of the conjunctival fornix, measuring the amount of tear secretion patient. What this check is called?

Answer: Schirmer test

Choices:
A. Lysis time tear layer (tear film break-up time)
B. Sjögren test
C. Schirmer test
D. Amsler grid


Question: A 43-year-old woman, but production had not been pregnant once, due to the height of the lesions found (high-grade lesion) in Pap in so colposcopy, see the full squamocolumnar junction (squamocolumnar Junction); histopathology, curettage (endocervical curettage) is normal endocervical, cervical biopsy however, shows violations of 1 mm, further processing whichever optimum?

Answer: Extrafascial hysterectomy

Choices:
A. Hysterectomy
B. Extrafascial hysterectomy
C. Cone resection
D. Radiation treatment


Question: Trigger finger (trigger finger) is oppressive flexor tendon tenosynovitis, is the impact that a tendon sheath pulley (pulley)?

Answer: A2

Choices:
A. A1
B. A2
C. A3
D. A4


Question: 43 A 60-year-old woman genital itching to treatment, diagnosis discover pelvic cavity genital skin atrophy, thinning, and white. Which of the following is the most likely diagnosis?

Answer: Lichen sclerosus (lichen sclerosis)

Choices:
A. Vulvar cancer (vulvar carcinoma)
B. Vulvar intraepithelial neoplasia (vulvar intraepithelial neoplasia, VIN)
C. Atrophic vulvitis
D. Lichen sclerosus (lichen sclerosis)


Question: The following statements about ESWL (extracorporeal shock wave lithotripsy), and what's right?

Answer: Processing both large urinary tract stones, the catheter should be actively positioned hook supplemented lithotripsy, to prevent both urinary obstruction Tongshifasheng

Choices:
A. Using ECG P-wave starting to reduce the incidence of cardiac arrhythmias
B. Stones shock wave can cause disintegration of the tissue damage is very small, so it is not necessarily limited number of seismic
C. The effect of the treatment can be accurately evaluated by X-ray
D. Processing both large urinary tract stones, the catheter should be actively positioned hook supplemented lithotripsy, to prevent both urinary obstruction Tongshifasheng


Question: A 24-year-old man emergency medical treatment, complained of chest pain and shortness of breath, chest X-rays, the most likely diagnosis such as drawings as follows:

Answer: Tension pneumothorax

Choices:
A. Lung resection
B. Tension pneumothorax
C. Right lung cancer
D. Mediastinal tumors


Question: surgical indications Peptic ulcers, the incidence was significantly lower what?

Answer: intractability

Choices:
A. intractability
B. hemorrhage
C. perforation
D. obstruction


Question: A young student injured in car accidents, resulting in fibular neck (neck of fibula) fracture, leading to nerve after injury here, following that features most likely to be affected?

Answer: Condyle dorsiflexion (dorsiflexion of ankle)

Choices:
A. Knee extension (extension of knee)
B. Knee flexion (flexion of knee)
C. Condyle flexion (plantarflexion of ankle)
D. Condyle dorsiflexion (dorsiflexion of ankle)


Question: The following diseases and what was not the cause of congestive heart failure (congestive heart failure) occurs in infants and young children?

Answer: Endocarditis (endocarditis)

Choices:
A. Left and right heart to heart shunt (left-to-right cardiac shunts)
B. Supraventricular tachycardia (supraventricular tachycardia)
C. Myocarditis (myocarditis)
D. Endocarditis (endocarditis)


Question: 53. ⼀ bit 52 year old man suddenly ⽣ the right of the watch dysmetria (dysmetria), head CT examination revealed the left side of the brain is in the red nucleus (red nucleus) ⼩ near the ⾎. Month few, this does not automatically patients throat of the main operation, examination revealed soft palate occurs rhythmic contraction of 2 ~ 5Hz upward movement. Head magnetic resonance angiography is most likely found:

Answer: The left olive (inferior olivary nucleus) fat zoomed

Choices:
A. Left dentate nuclei (dentate nucleus) fat zoomed
B. The right side of the dentate nuclei (dentate nucleus) zoomed fat
C. The left olive (inferior olivary nucleus) fat zoomed
D. Olive lower right (inferior olivary nucleus) fat zoomed


Question: The following information about typhoid fever (typhoid fever) and its narrative pathogens, what's wrong?

Answer: Patient stool sample often has positive culture results in the first week of bacterial pathogenesis

Choices:
A. Salmonella typhi (Salmonella typhi) and can multiply in the body's phagocytes memory alive
B. Patient stool sample often has positive culture results in the first week of bacterial pathogenesis
C. Asymptomatic carrier of typhoid fever, the bacteria lurking in the gallbladder and more
D. The Vi capsular cell body (Vi capsular polysaccharides) can be used as a vaccine


Question: The following method of treatment of hyperkalemia, whichever can increase the excretion of potassium ions?

Answer: Cation exchange resin (cation-exchange resin)

Choices:
A. Calcium gluconate (calcium gluconate)
B. Cation exchange resin (cation-exchange resin)
C. Insulin (insulin)
D. Alkali treatment (alkali therapy)


Question: DNA virus proteins which can be adjusted with the p105 RB protein cell cycle effects:

Answer: Human papillomavirus type XVI (of HPV16) E7 protein of

Choices:
A. Human papillomavirus type XVI (of HPV16) E6 protein of
B. Human papillomavirus type XVI (of HPV16) E7 protein of
C. The adenovirus E1B protein
D. EB virus latent membrane protein of a first type (LMPl)


Question: 21 year old woman, menstruation after two weeks, a sudden abdominal pain, Which of the following is the most likely cause?

Answer: ovulation

Choices:
A. Endometriosis
B. Ectopic pregnancy
C. appendicitis
D. ovulation


Question: About Di Buka hydrochloride count (Dibucaine number) of the narrative, Which statement is correct?

Answer: Can be used to assess the length of the muscle relaxant depolarized (Depolarizing neuromuscular blocking agents) duration of action

Choices:
A. Di Buka hydrochloride (dibucaine) is a local anesthetic (Local anesthetics), inhibit cholinesterase normal
B. Is the ratio of cholinesterase (Cholinesterase) and false cholinesterase (Pseudocholinesterase) of
C. Can be used to assess the length of the muscle relaxant depolarized (Depolarizing neuromuscular blocking agents) duration of action
D. Count the number of dibucaine hydrochloride (Dibucaine number) and false cholinesterase (Pseudocholinesterase) is proportional to the 59 patients with a brain-dead organ donation, according to the American Society of Anesthesia specialist (ASA) physical status classification are:


Question: 64 an emergency room patients had jaundice (jaundice), fever, chills and hepatomegaly phenomenon. The patient was inoculated over a year ago, hepatitis B virus (HBV) vaccine, hepatitis A virus non-vaccinated (HAV) vaccine; by blood tests results are as follows: HAV IgM-negative, HAV IgG-positive; HBsAg-negative, HBsAb-positive, HBcAb-negative; HCV Ab-positive. What could the following correct?

Answer: Now infected with HCV, in the past have been infected with HAV, not infected with HBV

Choices:
A. Now infected with HAV, not infected with HBV, in the past have been infected with hepatitis C virus (HCV)
B. Now infected with HAV, HBV and HCV infection in the past
C. Now infected with HBV, and HCV in the past have been infected with HAV
D. Now infected with HCV, in the past have been infected with HAV, not infected with HBV


Question: Statements about severe mitral countercurrent (severe mitral regurgitation), the error which of the following?

Answer: Surgical treatment of chronic severe mitral primary counter-current (primary mitral regurgitation), the long-term prognosis, it is superior to valve replacement

Choices:
A. In severe acute mitral valve when countercurrent and heart failure, underwent surgery should be considered early
B. Primary symptoms of the chronic severe mitral countercurrent (primary mitral regurgitation) of the patient, drug therapy can improve symptoms,
C. Surgical treatment of chronic severe mitral primary counter-current (primary mitral regurgitation), the long-term prognosis, it is superior to valve replacement
D. For severe functional mitral countercurrent (functional mitral regurgitation), belonging to left ventricular function due to problems, even after receiving a surgical valve surgery, the prognosis is still worse than the mitral valve backflow of primary surgery results


Question: For the case-control study of secondhand smoke in emphysema, the main purpose of the control group is selected:

Answer: Estimate the proportion of ethnic background (source population) of exposure

Choices:
A. Estimate the proportion of ethnic background (source population) of exposure
B. An estimated incidence of ethnic background (source population) diseases
C. Removal of consolation (placebo effect)
D. Increase the efficiency of sampling


Question: A 70-year-old man complained of perineal itchiness, microscopic examination revealed the following figure, which is what kind of infection?

Answer: Scabies

Choices:
A. Pubic lice
B. Body lice
C. Scabies
D. dust mite


Question: A 38-year-old woman to do two years ago because colorectal cancer resection, after regular follow-up on an outpatient basis. Recently chest radiography FIG 1 and FIG 2, the patient without recurrence of the original site of surgery, in addition to other parts shown no abnormalities. Please choose the most appropriate action would most likely diagnosis:

Answer: Surgery to remove

Choices:
A. Chemotherapy
B. Radiation treatment
C. Surgery to remove
D. Photon knife treatment


Question: From the previous question, Mr. Lee yet to receive radiation after surgery, radiation therapy (radiotherapy), which of the following is most likely to encounter a problem Lee?

Answer: Oral mucositis (mucositis)

Choices:
A. Radiation osteonecrosis (osteoradionecrosis)
B. Deficiency of white blood cells (leucopenia)
C. Deep neck infections (deep neck infection)
D. Oral mucositis (mucositis)


Question: Mr. Zhang, 65-year-old obese recent phenomenon often left chest pain. A particular Sunday morning, after Mr. Zhang woke up, all of a sudden there is intense left chest pain, and pain have transferred to the phenomenon of the left arm and shortness of breath, the breath situation. Blood test to detect why Mr. Chang most in need?

Answer: Muscle Protein Structure - I (troponin-I)

Choices:
A. LDH (lactate dehydrogenase)
B. Phosphorus creatine kinase - MM (creatine kinase-MM)
C. Muscle Protein Structure - I (troponin-I)
D. Myoglobin (myoglobin)


Question: Generally do not have the signs of peritonitis in peritoneal dialysis patients developed?

Answer: Peritoneal dialysis dehydration increased

Choices:
A. Cloudy dialysate
B. stomach ache
C. White blood cell count peritoneal dialysis effluent of> 100 per microliter
D. Peritoneal dialysis dehydration increased


Question: Which of the following is not recommended disposal to reduce intracranial pressure (intracranial pressure)?

Answer: Hyperventilation (of hyperventilation on) partial pressure of carbon dioxide (PaCO2) is reduced to 20 mmHg

Choices:
A. Head elevated 30 degrees
B. Hyperventilation (of hyperventilation on) partial pressure of carbon dioxide (PaCO2) is reduced to 20 mmHg
C. Low temperature (hypothermia) treatment
D. Drainage of cerebrospinal fluid ventricles (ventricular CSF drainage)


Question: 195-year-old boy with no history of diabetes, occurs repeatedly over the past year and sent a clear consciousness and convulsions emergency, each measured blood glucose levels are less than mg / dL. Inquiry found his father's friend had a history of giving oral hypoglycemic agents before each boy disease. The most appropriate diagnostic why?

Answer: Proxy Munchausen Syndrome (Munchausen syndrome by proxy)

Choices:
A. Physical abuse (physical abuse)
B. Sexual abuse (sexual abuse)
C. Proxy Munchausen Syndrome (Munchausen syndrome by proxy)
D. Psychological abuse (psychologic abuse)


Question: In mammals, the use of choline (choline) during the synthesis of phospholipids acyl serine (phosphatidylserine), the need for which of the following?

Answer: CTP

Choices:
A. GTP
B. CTP
C. AMP
D. UMP


Question: Statements about brain glioma (glioma), the error which of the following?

Answer: ⼩ brain ⽑ cell astrocytoma (pilocytic astrocytoma) Remedies for the treatment of major slice after radiation therapy

Choices:
A. ⼩ brain ⽑ cell astrocytoma (pilocytic astrocytoma) Remedies for the treatment of major slice after radiation therapy
B. The main treatment of dendritic oligonucleotides gliomas (oligodendroglioma) shutter mode chemotherapy after resection amount
C. ⺟ pleomorphic glial cell tumor (glioblastoma multiforme) is the most common glioma of ⾒
D. ⺟ multiforme glial cell tumors (glioblastoma multiforme) treatment Remedies for as complete excision and radiation therapy plus


Question: Which of the following drugs can be used in the treatment of male sexual desire is too strong?

Answer: cyproterone

Choices:
A. cyproterone
B. clomiphene
C. danazol
D. goserelin


Question: For brain vesicle associated adult brain region embryonic period (brain vesicle) the origin of development, whichever error?

Answer: Cerebellum (cerebellum) - forebrain (prosencephalon)

Choices:
A. Pons (pons) - hindbrain (rhombencephalon)
B. Cerebellum (cerebellum) - forebrain (prosencephalon)
C. Thalamus (thalamus) - forebrain (prosencephalon)
D. Roof (tectum) - midbrain (mesencephalon)


Question: Which of the following drugs do not have a diuretic effect?

Answer: interleukin-11

Choices:
A. caffeine
B. captopril
C. interleukin-11
D. misoprostol


Question: Which of the following drugs may inhibit the function of the adrenal gland, adrenal dysfunction in the face of the patient, should be especially careful to use?

Answer: etomidate

Choices:
A. thiopental
B. etomidate
C. dexmedetomidine
D. ketamine


Question: Began before the 69-year-old male patient complained of back teeth loose more than two months, after removal, the wound will not heal, the last two weeks have persistent pain on the right cheek, right eye and prominent diplopia phenomenon, and mouth open difficult, the patient's lesions most likely why?

Answer: Sinus cancer

Choices:
A. Nasopharyngeal
B. Sinus cancer
C. Hard palate cancer
D. Nasal cancer


Question: 44.52-year-old male patient, while sitting up, there is a lower hypoxemia (orthodeoxia) and dyspnea (platypnea) than when lying down, this place sick people most likely to suffer Which of the following diseases?

Answer: Cirrhosis and portal hypertension

Choices:
A. Sleep apnea syndrome
B. heart failure
C. Cirrhosis and portal hypertension
D. asthma


Question: Account of intra-aortic balloon pump (intra-aortic balloon pump), the error which of the following?

Answer: Increase in systolic blood pressure (systolic blood pressure)

Choices:
A. Increase in systolic blood pressure (systolic blood pressure)
B. Increase in diastolic blood pressure (diastolic blood pressure)
C. Increase coronary blood flow
D. Increased cardiac output


Question: About restless legs syndrome (restless leg syndrome), which of the following error?

Answer: Alcohol before bed can help relieve the symptoms of restless legs syndrome of

Choices:
A. May occur during pregnancy
B. May be associated with iron deficiency anemia
C. Alcohol before bed can help relieve the symptoms of restless legs syndrome of
D. Ropinirole (Requip) is a dopamine agonist (dopamine agonist), can be used to treat this disease


Question: A 2-year-old girl, a fever two days after treatment and found that the right of acute otitis media, give amoxicillin 90 mg / kg / day after three days of treatment tid, still persistent fever, then a dose of 90 mg amoxicillin / kg / day tid of use amoxicillin-clavulanic acid, then return to normal body temperature. Among the following four bacteria, and that one of the most consistent with the treatment of otitis media reaction to the girls?

Answer: Haemophilus influenzae

Choices:
A. Staphylococcus aureus
B. Streptococcus pneumoniae
C. Haemophilus influenzae
D. Group A streptococcus


Question: For gynecological patients undergoing major surgery, in order to prevent deep vein thrombosis (deep vein thrombosis), which of the following best disposal?

Answer: external pneumatic leg compression

Choices:
A. elastic stocking
B. low-dose heparin
C. standard-dose heparin
D. external pneumatic leg compression


Question: One patient receiving neck dissection surgery (neck dissection), the back to the ward found to have respiratory discomfort, suspected damage to the phrenic nerve. How do effective and quick diagnosis?

Answer: Stand according ray chest PA X

Choices:
A. Pulmonary function test.
B. For a lung ultrasound examination
C. Do lung CT examination
D. Stand according ray chest PA X


Question: Mr. Lai is a 86-year-old retired civil servants, in the left lower extremity peripheral vascular occlusive disease three years ago, the implementation of below-knee amputation to his hospital, to use artificial limbs to walk. The right foot because of the cold, ulcer healing hospital intends to accept the femoral artery bypass surgery. Scheduled surgery date day around four o'clock, paramedics found a suicide note, bilateral wrist neat edges of the wound, heavy bleeding, unconsciousness, systolic blood pressure 40 mmHg, diastolic blood pressure undetectable by elastic bandage to stop bleeding, within the endotracheal tube, first aid infusion, transfer the intensive care unit, blood pressure stabilized, following the disposal of the order of what's most appropriate?

Answer: Bilateral surgical exploration wrist wound suture broken blood vessels, nerves, tendons, psychiatrists note, then the appropriate time assessment of vascular bypass surgery

Choices:
A. Bilateral surgical exploration wrist wound, suture repair broken blood vessels, nerves, tendon, regardless of bypass surgery must be scheduled
B. First note psychiatrists, suicide clarify its intent to cancel all surgery
C. Bilateral surgical exploration wrist wound suture broken blood vessels, nerves, tendons, psychiatrists note, then the appropriate time assessment of vascular bypass surgery
D. As originally planned after vascular bypass surgery right leg of the first, then suture the wound wrist surgery


Question: Split the narrative and what was wrong about the following urethra?

Answer: Open end of the urethra near the bladder's ratio of nearly easily corrected urethra

Choices:
A. Open end of the urethra near the bladder's ratio of nearly easily corrected urethra
B. Administered to male hormone formulation before surgical correction, may help operation is
C. Brief given testosterone before puberty does not affect the future development of the penis
D. 7 to 9% will merge cryptorchidism, 9 to 16% will inguinal hernia or hydrocele


Question:
97.
 A child with a cold while taking aspirin (aspirin), liver and brain lesions ensued. Changes in the liver as shown, his brain lesions most likely to be:

Answer: Cerebral edema (brain edema)

Choices:
A. Kernicterus (kernicterus)
B. Petechial hemorrhages (petechial hemorrhage)
C. Cerebral edema (brain edema)
D. Wilson (lenticular degeneration)


Question: Open fractures (open fracture) is one of orthopedic emergency, the following statements is true?

Answer: For the type I and type II open fractures, when the emergency room may be selected first-generation cephalosporins (first-generation cephalosporins) treatment; typeIII open fracture for inclusion of an additional amino glycoside antibiotics (aminoglycosides)

Choices:
A. According Gustilo-Anderson classification, open wounds less than 1 cm, and no serious injuries were soft tissue, for the type III injury
B. All open fracture patients to an emergency when, after the completion of the preliminary cleaning wounds, orthopedic surgeons should be doing for the first time in the emergency wound exploration, debridement and suturing; even 1
C. Wound irrigation, debridement and antibiotic treatment is prevention of the occurrence of infection of open fractures of the most important principles. If the wound debridement incomplete, rely on the use of antibiotics can completely avoid the occurrence of infections
D. For the type I and type II open fractures, when the emergency room may be selected first-generation cephalosporins (first-generation cephalosporins) treatment; typeIII open fracture for inclusion of an additional amino glycoside antibiotics (aminoglycosides)


Question: Statements about seborrheic dermatitis (Seborrheic dermatitis) is, which of the following error?

Answer: Good site for the extensor limbs and back

Choices:
A. Infant seborrheic dermatitis and atopic dermatitis require differential diagnosis
B. Pathogenic machine turn may be associated with Malassezia
C. Good site for the extensor limbs and back
D. HIV infection may be associated with seborrheic dermatitis


Question: The role of glucose production in human liver cells (gluconeogenesis) related to the following statements is true?

Answer: Some amino acids can be used to convert it to glucose

Choices:
A. Completely catalyzed by the glycolysis (Glycolysis) enzyme to perform the reverse reaction
B. Can help the blood sugar level after a high-sugar diet drop
C. For fatty acid transformed into glucose as needed
D. Some amino acids can be used to convert it to glucose


Question: 50 year old woman, suffering from cervical squamous cell carcinoma, tumors of the cervix to see about 5-6 cm, infringement on the right side with uterine tissue, but there were no clinical pelvic wall. I ask her staging:

Answer: stage IIB

Choices:
A. stage IB1
B. stage IB2
C. stage IIB
D. stage IIIA


Question: Which of the following pancreatic endocrine tumors occur skin erythema (skin rash)?

Answer: glucagonoma

Choices:
A. insulinoma
B. glucagonoma
C. gastrinoma
D. islet cell tumor


Question: Bearing on the question, for the sick children, use one of the following antibiotic treatment that the most appropriate?

Answer: Erythromycin

Choices:
A. Erythromycin
B. Tetracycline
C. Penicillin
D. Trimethoprim-sulfamethoxazole


Question: Lymphocytes (intraepithelial lymphocytes, IELs) epithelial mainly comprising two groups of CD8 + T cells, a group of CD8 α: α T cells, another group of CD8 α: β T cell, the following information about these two populations described cells of, what is correct?

Answer: Using perforin and granzyme two can kill infected epithelial cells

Choices:
A. Using perforin and granzyme two can kill infected epithelial cells
B. Both of these use the T cell receptor and antigen presented in conjunction with MHC class I molecules
C. Both of these primary cell type to naïve T between epithelial cells
D. Of both the T cell receptor variants (TCR diversity) are small


Question: 52-year-old Mr. Zhao no past history of civil servants, because deep neck infections caused by severe hemorrhagic shock, because his throat abscess oppression caused breathing difficulties and was taken to the emergency has been confusion, the physician's judgment and must be carried out immediately tracheotomy neck abscess drainage in order to save lives, following consideration of what's most appropriate?

Answer: Emergency rescue operation should track line

Choices:
A. Patients can not personally sign to arrange surgery, the patient can press the fingerprints alternative
B. Because the patients could not sign, you need to wait for family members to re-invite the families of agents signed
C. Emergency rescue operation should track line
D. To understand whether the patient has signed a DNR decision whether or not surgery again


Question: Lipofuscin pigment is derived from:

Answer: Lipid peroxidation (lipid peroxidation)

Choices:
A. Melanin (melanin)
B. Fe (iron)
C. Bilirubin (bilirubin)
D. Lipid peroxidation (lipid peroxidation)


Question: Bearing on the question, according to the medical history, your mind has been diagnosed Fuan, which of the following diagnostic tools or check is convenient and effective help direct diagnosis?

Answer: Abdominal sonography

Choices:
A. Gastroscopy
B. Abdominal sonography
C. Upper gastrointestinal
D. Positron scan


Question: The following antihypertensive drug, whichever is the α1-receptor inhibition achieved through selective vasodilatory effect?

Answer: doxazosin

Choices:
A. clonidine
B. yohimbine
C. doxazosin
D. ritodrine


Question: Which of the following most ⿇ not cause cerebral paralysis?

Answer: Fetal Center Weighted fast skip (fetal tachycardia)

Choices:
A. Fetal Center Weighted fast skip (fetal tachycardia)
B. New ⽣ children seizures (neonatal seizure)
C. The ⽣ 2,500 grams in weight ⼩
D. ⺟ pro mental retardation


Question: The nucleus of the gene expression of the protein, which of the following do not have to targeting sequence (signal)?

Answer: Cytoplasmic protein

Choices:
A. Secreted proteins
B. Mitochondrial proteins
C. Membrane proteins
D. Cytoplasmic protein


Question: Infections of the following relationship on various vector (vector) and its spread, what's wrong?

Answer: White line aegypti (Aedes albopictus) propagation Japanese encephalitis (Japanese encephalitis)

Choices:
A. White line aegypti (Aedes albopictus) propagation Japanese encephalitis (Japanese encephalitis)
B. Aegypti mosquito (Aedes aegypti) the spread of yellow fever (yellow fever)
C. Tropical house mosquito (Culex quinquefasciatus) the spread of schistosomiasis disease (filariasis)
D. Simuliidae (black fly) propagation river blindness (river blindness)


Question: Organ metastasis of breast cancer occurs as a minimum:

Answer: heart

Choices:
A. lung
B. skeleton
C. liver
D. heart


Question: 54-year-old patient, CT Figure A is the left putamen bleeding stroke two years ago, has been doing rehabilitation, CT Figure B is made recently found in brain asymmetry of bilateral cerebral peduncle, which was due to:

Answer: left cerebral peduncle atrophy due to Wallerian degeneration

Choices:
A. left cerebral peduncle atrophy due to Wallerian degeneration
B. left cerebral peduncle atrophy due to previous hematoma compression
C. right cerebral peduncle swelling
D. Brain asymmetry of bilateral cerebral peduncle, is a common normal variants (normal variation)


Question: A 50-year-old male; the last two weeks, the urine becomes dark, gray stools, body itching, skin gradually turn yellow, therefore to the hospital to check. Physical examination found that yellow sclera, no lower extremity edema, visible on the CT images of the pancreas head has about 4 cm tumor with common bile duct and pancreatic duct expand, following the disposal arrangements for this patient whichever is most inappropriate?

Answer: Arrange angiography embolism

Choices:
A. Arrange angiography embolism
B. Measurements CEA, CA19-9
C. For ERCP (endoscopic retrograde cholangiopancreatography) or EUS (endoscopic ultrasonography) slice merge
D. Nuclear magnetic resonance biliopancreatic photography (MRCP)


Question: Ulnar nerve (ulnar nerve) Which of the following is not to dominate?

Answer: Ulnar extensor carpi muscle (extensor carpi ulnaris)

Choices:
A. Ulnar flexor carpi (flexor carpi ulnaris)
B. In the adductor muscle (adductor pollicis)
C. Ulnar extensor carpi muscle (extensor carpi ulnaris)
D. Deep flexor muscle (flexor digitorum profundus)


Question: Indications following statements about the inferior vena cava filter (inferior vena cava filter) is placed, and what's wrong?

Answer: Femoral vein thrombosis could easily lead to pulmonary embolism, or without anticoagulant medications are to be placed

Choices:
A. Femoral vein thrombosis could easily lead to pulmonary embolism, or without anticoagulant medications are to be placed
B. Patients with lower extremity deep vein thrombosis, but not suitable for receiving anticoagulants treatment
C. Chronic pulmonary hypertension in patients with pulmonary embolism merger of
D. After using anticoagulant medication, continued to repeatedly lower extremity deep vein thrombosis


Question: According to the American Psychiatric Association published "Mental Disorders Diagnostic and Statistical Manual, Fourth Edition", the following statements about the second type of bipolar disorder (bipolar II disorder), the what's right?

Answer: A second bipolar disorders (bipolar II disorder) older than the first onset of bipolar disorders (bipolar I disorder) earlier, and have more marital problems

Choices:
A. Including hypomanic episode (hypomanic episode) and dysthymic episodes (minor depressive episode)
B. When depression patients taking antidepressants appear hypomania, diagnosis should be changed to a first bipolar disorder (bipolar I disorder)
C. A second bipolar disorders (bipolar II disorder) older than the first onset of bipolar disorders (bipolar I disorder) earlier, and have more marital problems
D. A second bipolar disorders (bipolar II disorder) attempted suicide and suicide rate than the first bipolar disorders (bipolar I disorder) low


Question: Nasolacrimal duct opening to the nasal cavity located?

Answer: Under the nose (inferior meatus)

Choices:
A. Meatus (superior meatus)
B. Meatus (middle meatus)
C. Under the nose (inferior meatus)
D. Sphenoethmoidal recess (sphenoethmoidal recess)


Question: The most common primary brain tumors are:

Answer: Glioma

Choices:
A. Aneurysm
B. Pituitary gland tumor
C. Glioma
D. Acoustic neuroma


Question: A 25-year-old woman for medical treatment because of right upper quadrant pain. After a series of checks surgery. BRIEF her small bowel resection specimens acceptable appearance. Which of the following is the most important pathological changes shown in the picture?

Answer: Intussusception (intussusception)

Choices:
A. 黏連（adhesion）
B. Off hernia (hernia)
C. Intussusception (intussusception)
D. Volvulus (volvulus)


Question: Transfer causing pain (referred pain) turn the main machine Why?

Answer: Table body organs and lesions painful area with a ganglion of the same dominant

Choices:
A. Brain nerve reforming phenomenon (reorganization)
B. Innervating the damaged limb
C. From hallucinations rather than neuropathic pain
D. Table body organs and lesions painful area with a ganglion of the same dominant


Question: Check the following related nerve conduction velocity humans (nerve conduction study) of the narrative, what's wrong?

Answer: Used to distinguish between acute and chronic neuropathy

Choices:
A. Commonly used to distinguish myopathy and neuropathy
B. Nerve conduction velocity is only half the babies born adults
C. Used to distinguish between acute and chronic neuropathy
D. Nerve conduction velocity was positively correlated with body temperature to


Question: 65 year-old man complained of right upper eyelid and cheek pain of blisters in groups, and that one of the following examination can help diagnose?

Answer: Tzanck smear (Tzanck smear)

Choices:
A. Tzanck smear (Tzanck smear)
B. Wood's light (Wood's light) examination
C. Stickers skin test (patch test)
D. KOH microscopy


Question: 50 a 58-year-old man suddenly appeared vomiting, profuse watery diarrhea, acute renal failure and other symptoms, and subsequent isolation of Vibrio cholera (Vibrio cholerae) in their feces. Which of the following do most to determine a person suffering from cholera (cholera) basis?

Answer: The isolated bacteria can secrete cholera toxin

Choices:
A. Clinical symptoms
B. The isolated bacteria can secrete cholera toxin
C. The isolated bacterial genera serotype O1
D. Cholera toxin detected in the patient's serum


Question: Cholecystectomy common clinical indications, which of the following error?

Answer: Single asymptomatic cholelithiasis> 2 cm

Choices:
A. Gallbladder polyps (polyp)> 10 mm
B. Single asymptomatic cholelithiasis> 2 cm
C. No acute gallstone cholecystitis (acute acalculous cholecystitis)
D. There are symptoms of gallstones (symptomatic cholelithiasis)


Question: Account of the first type of vitamin D-dependent rickets (Vitamin D-dependent rickets type 1), the error which of the following?

Answer: Low concentrations of serum 25-hydroxyvitamin D

Choices:
A. Kidney 1α- hydroxylase (1α-hydroxylase) mutation
B. Often onset before the age of two
C. Low concentrations of serum 25-hydroxyvitamin D
D. Calcitriol therapy may be given long-term


Question: The following symptoms that can not serve as the deterioration of the aortic insufficiency indicators?

Answer: A first sound (S1) Strengthening

Choices:
A. Emergence of Austin-Flint murmur
B. Full early diastole heart murmur (early diastolic blowing murmur) strength increase
C. A first sound (S1) Strengthening
D. Pulse> 1/2 systolic blood pressure


Question: When the cerebral vascular occlusion occurs, brain cells ischemia chain reaction (ischemic cascade) occur; the following reaction sequence what is most correct?

Answer: ②→①→④→③

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


Question: After presenting a birth time of 5 minutes, heart rate 75 beats per minute, irregular breathing slow, systemic cyanosis (Cyanosis), but on a limb bent slightly lower limb soft lie, just a frown on Choutan stimulus response. According to your assessment Apgar score is a bit?

Choices:
A. 2
B. 4
C. 6
D. 8


Question: Which of the following most likely to cause side effects of hearing loss and kidney toxicity?

Answer: Amikacin

Choices:
A. Ethambutol
B. Isoniazid
C. Rifabutin
D. Amikacin


Question: Ascending colon arterial blood mainly from:

Answer: Superior mesenteric artery (superior mesenteric artery)

Choices:
A. Celiac artery (celiac trunk)
B. Superior mesenteric artery (superior mesenteric artery)
C. Mesenteric artery (inferior mesenteric artery)
D. Iliac artery (internal iliac artery)


Question: Photochemical smog in the air region will react with any hydrocarbon-based materials are mainly the following?

Answer: Nitrogen oxides

Choices:
A. Sulfur oxides
B. Nitrogen oxides
C. Carbon monoxide
D. CFCs


Question: In the white blood cell generation process, the specific particles (specific granule) first appeared in which of the following?

Answer: Myeloid cells (myelocytes)

Choices:
A. Myeloid cells (myelocytes)
B. Myeloblasts (myeloblasts)
C. Promyelocytes (promyelocytes)
D. After the marrow cells (metamyelocytes)


Question: 76-year-old Lee with chest pain to the emergency, the initial diagnosis of right ventricular myocardial infarction (right ventricular infarction), blood pressure was 76/44 mmHg, where most inappropriate disposal of these items?

Answer: Administration of nitroglycerin (nitroglycerin)

Choices:
A. Given oxygen
B. Antiplatelet drugs (antiplatelet agents)
C. Administration of thrombolytic drugs (fibrinolytic agents)
D. Administration of nitroglycerin (nitroglycerin)


Question: The following major geographic distribution on viral infectious diseases, what's wrong?

Answer: South America Ebola virus infection

Choices:
A. North America's west nile encephalitis
B. Japanese encephalitis in Southeast Asia
C. dengue fever in Southeast Asia
D. South America Ebola virus infection


Question: Statements about chronic obstructive pulmonary disease (chronic obstructive pulmonary disease), the error which of the following?

Answer: Inflammatory cells were mainly neutrophils (neutrophils) and macrophages (macrophages), no T lymphocytes or eosinophils

Choices:
A. The main factors causing smoke, air pollution caused by genetic defects or
B. Inflammatory cells were mainly neutrophils (neutrophils) and macrophages (macrophages), no T lymphocytes or eosinophils
C. The clinical symptoms of asthma and chronic lung function is sometimes difficult to distinguish
D. Clinical treatment with bronchodilators main part of the particular patient to be inhaled steroids


Question: Which of the following is not a parasite infection symptoms of intestinal malabsorption (malabsorption) of?

Answer: 弓蟲（Toxoplasma gondii）

Choices:
A. Bayesian and other carinii (Isospora belli)
B. Giardia lamblia (Giardia lamblia)
C. 弓蟲（Toxoplasma gondii）
D. ) Nosema (Microsporidia spp.)


Question: Which of the following drugs belong to long-acting inhaled muscarinic antagonist agent can be used for the treatment of chronic obstructive pulmonary (COPD) patients?

Answer: Ipratropium

Choices:
A. Pirenzepine
B. Oxybutynin
C. Ipratropium
D. Pilocarpine


Question: A 36-year-old male worker, unfortunately, is a falling rock hit below the sternum, one hour after being sent to the hospital, patients complain of chest pain, X-ray examination revealed the left eighth rib fractures, after the patient is still pain feel chest discomfort, most patients can not have any harm?

Answer: Large blood vessels rupture

Choices:
A. Lung rupture
B. Tracheal rupture
C. Large blood vessels rupture
D. Diaphragm rupture


Question: 52-year-old woman, a young man wearing high heels, six months ago found that the front side of the palm of the right foot, a painful keratosis appears as shown in Figure nodules, the most likely diagnosis Why?

Answer: Plantar warts (plantar wart)

Choices:
A. Callus (callus)
B. Corn (corn)
C. Plantar warts (plantar wart)
D. Metaplasia osteophytes (exostosis)


Question: Odor receptors (odorant receptors) located mainly in the following Where?

Answer: Sensory nerves in the nose ⽪ (olfactory epithelium) on yuan

Choices:
A. The olfactory bulb (olfactory bulb) of ⽑ plexiform cells (tufted cells)
B. The olfactory bulb (olfactory bulb) of mitral cells (mitral cells)
C. Olfactory ⽪ quality (olfactory cortex) on sensory neurons
D. Sensory nerves in the nose ⽪ (olfactory epithelium) on yuan


Question: A 40-year-old middle-aged man, sudden local cerebral seizures, partial seizures spasm then transferred into large fainting from the start of unilateral lower limb, computerized tomography show a clear edge of a brain tumor, showing a clear and uniform of dyeing and after injection developer enhancement, and cerebral angiography of brain tumor vascular supply occurs from the dural arteries. The following four brain tumors, and that a best diagnosis?

Answer: Parasagittal meningioma (parasagittal meningioma)

Choices:
A. Craniopharyngioma tumor (craniopharyngioma)
B. Glioblastoma multiforme tumors (glioblastoma multiforme)
C. Parasagittal meningioma (parasagittal meningioma)
D. Acoustic neuroma (acoustic neuroma)


Question: Acute frontal sinusitis, headache common position on that site?

Answer: Eyeball deep

Choices:
A. Ministry of temporal bone
B. Eyeball deep
C. Above the eye
D. Occipital


Question: 79. ⼀ bit 13-year-old female school ⽣ come to see the doctor of obstetrics and gynecology, requires the physician to open her birth control pills, the women learn ⽣ table has sexual ⾏ is displayed, and is willing to work out automatically, and requires the physician must not Face to tell their family or school, physicians should I do?

Answer: Report ⽗ ⺟ / or social care Face Bureau

Choices:
A. Donating to health education and counseling
B. Report ⽗ ⺟ / or social care Face Bureau
C. School authorities report
D. Respect the privacy disease PORTRAIT not expose


Question: The following items that are currently not considered a factor in female patients with stress urinary incontinence (stress urinary incontinence), and after receiving pubic urethropexy (retropubic urethropexy) loss surgery would be a risk factor?

Answer: High mobility urethra (urethral hypermobility)

Choices:
A. 低Valsalva leak-point pressure
B. 低maximal urethral closure pressure
C. Cystoscopy (cystoscopy) or under fluoroscopy found (fluoroscopy) check open bladder neck (open bladder neck)
D. High mobility urethra (urethral hypermobility)


Question: A 70-year-old male from the age of 40 after a long easily dandruff, itchy scalp, while the last five years, more grown erythema scaling as shown around the scalp, eyebrows and nose. The most likely diagnosis is:

Answer: Seborrheic dermatitis (seborrheic dermatitis)

Choices:
A. Atopic dermatitis (atopic dermatitis)
B. Contact dermatitis (contact dermatitis)
C. Nummular eczema (nummular eczema)
D. Seborrheic dermatitis (seborrheic dermatitis)


Question: Description of Absence seizure of what is right?

Answer: Ethosuximide or valproic acid using substantially the therapeutic agent

Choices:
A. Ethosuximide or valproic acid using substantially the therapeutic agent
B. Only occurs at a young age without the risk in adulthood
C. EEG has a focal spike
D. There will be a period of unconsciousness after the convulsions


Question: 45-year-old woman with diabetes, appeared like blisters cluster (grouped vesicles) merger erythema three days ago to the right side of the forehead, nose ipsilateral also appeared several blisters, Which of the following is most in need of examination?

Answer: Eye exam

Choices:
A. Skin reactions designated pattern (Dermatographism)
B. KOH microscopy
C. Eye exam
D. Wood's light examination (Wood's light examination)


Question: Which of the following was not involved in the pupillary light reflex action of?

Answer: Medial geniculate body

Choices:
A. Iris
B. Parasympathetic nerve
C. Medial geniculate body
D. Ciliary ganglion 3 Unmyelinated C fibers with which of the following main feeling about?


Question: The following information about eye muscle control, what's wrong?

Answer: Tarsal muscle (superior tarsal muscle) is dominated by the oculomotor nerve (oculomotor nerve)

Choices:
A. Tarsal muscle (superior tarsal muscle) is dominated by the oculomotor nerve (oculomotor nerve)
B. The oblique muscle (superior oblique muscle) by the fourth cranial nerve
C. Open palpebral (palpebral fissure) of the main nerves that control the third cranial nerve
D. Bijin palpebral (palpebral fissure) of the main nerves that control for the seventh cranial nerve


Question: 26 A 48-year-old woman complained of chest tightness, dizziness and sometimes have difficulty breathing during exercise, physical examination pulse of 64 beats per minute, normal heart size, there S4 gallop, at the right sternal edge of the second intercostal grade III / VI systolic shot type heart murmur (systolic ejection murmur), diffuse to the neck. Mechanical action as checking the blood (unit of pressure, mmHg): mean right atrial pressure: 6; RV: 43/8; pulmonary: 43/18 (28 mean pressure); pulmonary artery wedge pressure: 22 mean pressure; left 227/33 ; aortic 139/72 (mean pressure 98), then why patients with the diagnosis of heart disease?

Answer: Aortic stenosis (aortic stenosis)

Choices:
A. Mitral valve stenosis (mitral stenosis)
B. Mitral regurgitation (mitral insufficiency or regurgitation)
C. Aortic stenosis (aortic stenosis)
D. Aortic insufficiency (aortic insufficiency or regurgitation)


Question: Which of the following is not a must-surgery monitoring of physiological functions of the project?

Answer: Brainwave

Choices:
A. Brainwave
B. ECG
C. blood pressure
D. Oxygen saturation


Question: Workers' white finger disease is due to these kind of work or exposure arising?

Answer: Vibration work

Choices:
A. Vibration work
B. Benzene
C. Toluene jobs
D. Microwave job


Question:
10.30-year-old women, prenatal seven days of normal blood pressure, blood creatinine 0.6 mg / dL. Day postpartum bleeding, high blood pressure, oliguria, edema. NATURAL check skin or no erythema purpura, blood Hb 8.0 g / dL, platelets 70,000 / mm3, blood smears have fragmented RBCs,
 haptoglobin decreased, BUN 100 mg / dL, creatinine 3.6 mg / dL, in urine osmolality 400 mOsmol / kg H2O, urine Na + 10
 mmol / L, urine erythrocytes 20 ~ 30 / HPF, urine protein trace. The most likely diagnosis is:

Answer: Hemolytic uremic syndrome (hemolytic uremic syndrome)

Choices:
A. Acute tubular necrosis (acute tubular necrosis)
B. Hemolytic uremic syndrome (hemolytic uremic syndrome)
C. Goodpasture's syndrome
D. Cryoglobulinemia (cryoglobulinemia)


Question: Bearing the title, above the baby's physical checkups, the least likely symptoms are:

Answer: Dehydration and metabolic acidosis

Choices:
A. jaundice
B. Dehydration and metabolic acidosis
C. The abdominal mass
D. Abdominal wall peristaltic waves


Question: The following amino acid metabolic abnormalities, the most common cause albinism (Albinism)?

Answer: Tyrosine (tyrosine)

Choices:
A. Lysine (lysine)
B. Arginine (Arginine)
C. Tryptophan (tryptophan)
D. Tyrosine (tyrosine)


Question: 58. Which of the following in atherosclerosis (atherosclerosis) in patients will increase the phenomenon? ① systolic blood pressure (systolic pressure) ② DBP (diastolic pressure) ③ pulse pressure (pulse pressure) ④ arterial compliance (Compliance)

Answer: Only ①③

Choices:
A. Only ①②③
B. Only ①③
C. Only ②③
D. ①②③④


Question: 63-year-old Wang had chest pain was diagnosed as acute myocardial infarction, a physician three weeks ago. A week ago Tujue right hand and right forearm burning sensation and gradually swelling (drawing). And where pain is easy to sweat, patients suffering from gout for 15 years. Why is the most likely diagnosis?

Answer: reflex sympathetic dystrophic syndrome

Choices:
A. necrotizing fasciitis
B. cervical radiculopathy
C. reflex sympathetic dystrophic syndrome
D. myofascial pain


Question: Epinephrine acts which receptor juxtaglomerular apparatus of the kidney and lead to an increase in the release of renin?

Answer: b1

Choices:
A. A'1
B. b1
C. A'2
D. B 2


Question: Which of the following used in combination with penicillin G, is the most effective therapy of enterococcal infections?

Answer: Streptomycin

Choices:
A. Tobramycin
B. Gentamicin
C. Netilmicin
D. Streptomycin


Question: If the patient is female Giant erythrocyte anemia (megaloblastic anemia), and which non-neurological abnormalities (neurological abnormalities) symptoms, in what should be the following drug therapy?

Answer: Folate

Choices:
A. Iron
B. vitamin B12
C. Folate
D. Erythropoietin


Question: What kind of arrhythmia caused due to genetic abnormalities in patients taking mexiletine easy to induce the production of arrhythmia?

Answer: Brugada Syndrome Patients

Choices:
A. LQT-3 病人
B. Brugada Syndrome Patients
C. Familial atrial fibrillation 病人
D. LQT-2 病人


Question: A male chef began two years ago, over and over again to check taps and toilets for leaks, and often stared at the fingers, to see if there is that dirt, for which consumes a lot of time every day. Six months later appeared at the repeated use of the idea of fried hands, so afraid of meeting the pan. Family to persuade them to seek medical treatment, it would not listen. Nearly a month has claimed to hear the opposite building represents a woman love him, but after a few days, also known as the woman scolded him rogue, to call someone to teach him a lesson, for which insecure, sometimes mumbling, so be accompanied by family members treatment. The patients most likely diagnosis is:

Answer: Schizophrenia (schizophrenic disorder)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Bipolar disorders (bipolar disorder)
C. Social anxiety disorder (social anxiety disorder)
D. Schizophrenia (schizophrenic disorder)


Question: Generation of C3 convertase (complement) the complement activation process can be decomposed C3, C3a and producing a large number of C3b. In which the function of C3b Why?

Answer: Form a covalent bond connected to the surface of the pathogen, the pathogen C3b expression are likely to be of phagocytic cells (phagocytes) phagocytosis

Choices:
A. Cause local inflammation and attract macrophages (macrophage), neutrophils (neutrophil) to the site
B. Form a covalent bond connected to the surface of the pathogen, the pathogen C3b expression are likely to be of phagocytic cells (phagocytes) phagocytosis
C. Directly attack the cell membrane of the pathogen
D. C4 C4a and C4b become decomposition


Question: The following figure shows the ultrasound scan of the liver, the most unlikely as indicated at arrow lesions:

Answer: Simple cyst

Choices:
A. Liver abscess
B. HCC
C. Simple cyst
D. Metastatic cancer


Question: 78 The following account of David's lung fluke (Paragonimus westermani), and those right? ① can be found in sputum of patients with non-small eggs eggs ② cover, the patients ciliated larvae (miracidium) ③ long-term infection, tuberculosis clinical symptoms similar to human ④ second intermediate host is

Answer: ①③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④


Question: Conduct pain signals of the nervous system (nociceptive pathways) Which of the following is based on fiber conduction?

Answer: C-fiber + A-delta fiber

Choices:
A. C-fiber + A-beta fiber
B. C-fiber + A-delta fiber
C. C-fiber + A-gamma fiber
D. A-beta fiber + A-delta fiber


Question: Which of the following conditions can cause insulin (insulin) / glucagon (glucagon) in the molar ratio of less than 0.5?

Answer: hunger

Choices:
A. Eating large amounts of carbohydrates
B. Intravenous injection of glucose
C. Eating small amounts of crackers
D. hunger


Question: Feeling the upper eyelid (superior palpebra) passed by the skin of what nerve?

Answer: Ophthalmic (ophthalmic nerve)

Choices:
A. Ophthalmic (ophthalmic nerve)
B. The optic nerve (optic nerve)
C. Oculomotor nerve (oculomotor nerve)
D. The facial nerve (facial nerve)


Question: The following statements is about the medical / hospital classification error?

Answer: Divided into open and lockout hospital hospital physician hired two categories depending on the way

Choices:
A. In accordance with ownership divided into public medical institutions, private medical institutions, medical corporation and corporation attached to medical institutions into four categories
B. Divided into open and lockout hospital hospital physician hired two categories depending on the way
C. Divided according to the services hospitals, clinics and other medical institutions in three categories
D. Depending on whether the function is divided into teaching hospital with teaching and non-teaching hospitals categories


Question: Which of the following is not cyclosporine (cyclosporine) efficacy?

Answer: Inhibition of interstitial fibrosis (interstitial fibrosis)

Choices:
A. Inhibition of interleukin -2 (interleukin-2)
B. Inhibition of interstitial fibrosis (interstitial fibrosis)
C. Inhibition of T cell proliferation (Proliferation)
D. Immune cells within the binding immunophilins


Question: 50 year old woman reports of abnormal cervical smear results, for further cervical biopsies, found gluconeogenesis cell substitutes for whole layer of the original uterine epithelial cells, in situ hybridization (in situ hybridization) found in these different students cells have HPV (human papillomavirus) 16 type of DNA, the Which of the following is the most likely diagnosis?

Answer: Neoplastic third stage (cervical intraepithelial neoplasia III) Cervical intraepithelial

Choices:
A. Pointed warts (condyloma acuminatum)
B. Chronic cervicitis cell metaplasia and the like (chronic cervicitis with squamous metaplasia)
C. Neoplastic third stage (cervical intraepithelial neoplasia III) Cervical intraepithelial
D. Cervical polyps (cervical polyp)


Question: If intracranial ruptured cerebral aneurysm, the following treatment what should be avoided?

Answer: Height sedation

Choices:
A. Strict bed rest
B. Calcium blockers: Nimodipine
C. Blood pressure control
D. Height sedation


Question: Urine protein is one of the major clinical manifestations Which of the following blood cancer?

Answer: Multiple myeloma (multiple myeloma)

Choices:
A. Mantle cell lymphoma (mantle cell lymphoma)
B. Follicular lymphoma (follicular lymphoma)
C. Multiple myeloma (multiple myeloma)
D. Nodular sclerosis Hodgkin's lymphoma (nodular sclerosis Hodgkin lymphoma)


Question: A woman tired because the clinics open, physical examination show his face yellow, whites jaundice, blood tests show full of bilirubin (total bilirubin) was 4.2 mg / dL, direct bilirubin 0.8 mg / dL, AST (GOT) 105 U / L (normal <31), ALT (GPT) 30 U / L (normal <31), urine examination showed a yellow color, bilirubin negative. What the following items for further examination diagnosis Least Helpful?

Answer: Hepatitis B antigen (HBsAg)

Choices:
A. Hepatitis B antigen (HBsAg)
B. Lactic acid dehydroepiandrosterone  (LDH)
C. Complete blood count (CBC)
D. Reticulocytes (reticulocyte)


Question: Echinocandins (echinocandins) is a relatively new class of antifungal (Antifungal) drugs, one of caspofungin (Caspofungin) has passed the test for human clinical use. Which inhibit fungal turn the machine Why?

Answer: Inhibit the synthesis of fungal glucan 1,3-β- (1,3-β-glucans) of

Choices:
A. Inhibit the synthesis of fungal DNA
B. Inhibiting the synthesis of fungal ergosterol (ergosterol) of
C. Inhibit the synthesis of fungal glucan 1,3-β- (1,3-β-glucans) of
D. Inhibition of fungal chitin (chitin) Synthesis of


Question: There is a long history of smoking and 60-year-old patient suffering from COPD, the admission of pneumonia a month ago, the diagnosis and treatment of chest physicians, is now in stable condition improved, consultation rehabilitation department, the speculum, the patient has a barrel chest, mouth suction gas and abdominal muscles at the same time force, there productive cough and have dyspnea. The following breathing patterns that can best improve the situation of patients with emphysema?

Answer: Circular lip breathing (pursed-lip expiration)

Choices:
A. Circular lip breathing (pursed-lip expiration)
B. Glossopharyngeal breathing (glossopharyngeal breathing)
C. Xiongshihuxi
D. The shallow and rapid breathing


Question: That an antibody concentration in the human body increases, prone to Type 1 hypersensitivity reactions?

Answer: IgE

Choices:
A. Age
B. IgE
C. IgG
D. IgM


Question: About Ringer's lactate solution (lactated Ringer's solution) components, Which statement is correct?

Answer: Sodium 130 mEq / L

Choices:
A. Sodium 130 mEq / L
B. Potassium 3 mEq / L
C. Calcium 4 mEq / L
D. Lactate 24 mEq / L


Question: A 50-year-old man had a history of chronic renal failure, two days complained of breathing difficulties, physical examination found: heart rate of 120 beats per minute, blood pressure 80/52 mmHg, jugular vein engorgement, heart sounds weak, both sides are not breathing lung Hello sound, electrocardiogram showed sinus tachycardia, can not feel the pulse of deep breathing, will most likely diagnosis is:

Answer: Pericardial tamponade (pericardial tamponade)

Choices:
A. Pericardial tamponade (pericardial tamponade)
B. Acute coronary syndrome (acute coronary syndrome)
C. Pulmonary hypertension (pulmonary hypertesion)
D. Congestive heart failure (congestive heart failure)


Question: Concerning the classification and diagnosis of diabetes and the cause, the following statements is most accurate?

Answer: Type 2 diabetes and obesity and family heredity, is the most common clinical diabetes type ⾒

Choices:
A. Type 1 diabetes occurs in more than 30 years of age, and Auto-immune related
B. Fasting ⾎ sugar exceeds 100 mg / dL or HbA1c i.e. more than 6% of diagnostic criteria for diabetes
C. Type 2 diabetes and obesity and family heredity, is the most common clinical diabetes type ⾒
D. Gestational diabetes occurs in pregnant women before 3 Month, and related insulin resistance


Question: The following narrative about mitral valve prolapse, what's wrong?

Answer: Occurs in 15 to 30 year-old male

Choices:
A. Common pathological changes of the valve showing myxomatous change, occur in the posterior lobe of the valve
B. Occur in patients with Marfan syndrome
C. Occurs in 15 to 30 year-old male
D. No clinical symptoms of most patients, no special treatment


Question: The following common malignant disease that is not a teenager?

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Osteosarcoma (osteosarcoma)
B. ASAT's sarcoma (Ewing sarcoma)
C. Acute leukemia (acute leukemia)
D. Neuroblastoma (neuroblastoma)


Question: About the narrative T lymphocytes (T lymphocytes), and Which statement is correct?

Answer: Host against TB infection, CD4 + T lymphocytes (CD4 + T lymphocytes) activation and proliferation are the most important

Choices:
A. Activated CD8 + T lymphocytes (CD8 + T lymphocytes) secreting cells can differentiate into TH1 or TH2 cell hormone (cytokine-
B. Host against TB infection, CD4 + T lymphocytes (CD4 + T lymphocytes) activation and proliferation are the most important
C. TH1 cells (TH1 cells) principal cytokine is an interferon (IFN-γ) and white matter dielectric 4 and 5 (interleukin-4 and interleukin-5)
D. TH2 cells (TH2 cells) The principal matter as interleukin 2, 10 and 13 (interleukin-2, interleukin-10 and interleukin-13)


Question: A 64-year-old woman, long-term loss of appetite, clear consciousness but general weakness, to the hospital biochemical tests found that [Na +] = 110 meq / L, give 3% NaCl intravenous continuous infusion of 12 hours, [Na +] = 132 meq / L, patients at this time what behavior may occur?

Answer: Coma and quadriplegia

Choices:
A. Acute pulmonary edema
B. Acute renal failure
C. Fatal arrhythmia
D. Coma and quadriplegia


Question: A pregnant woman suffering from myasthenia gravis (myasthenia gravis), and just under 3100 grams of Ping An Property & baby girl, but then found a small girl shallow breathing, limb strength is also poor, so rapid is sent to the neonatal intensive care unit treatment . Cause baby girl why?

Answer: Her mother passed anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) pathogenic

Choices:
A. Her mother passed anti-acetylcholine receptor antibody (anti-acetylcholine receptor antibody) pathogenic
B. Mother of TR1 cells (TR1 cells) caused by the immune response
C. Mother TH3 cell (TH3 cells) caused by the immune response
D. Her mother passed anti-Ro antibodies (anti-Ro antibody) and anti-La antibodies (anti-La antibody) are pathogenic


Question: Lee 78 years, due to aspiration pneumonia and acute respiratory distress syndrome, a respirator in the intensive care ward for treatment, using a pressure control mode, the third night in hospital, Mr. Li suddenly urgent breathing, and low tidal volume respirator sounded a warning, respiratory therapy Available division artificial airway and breathing apparatus functions properly, the Which of the following is the correct treatment?

Answer: Detailed chest auscultation

Choices:
A. Detailed chest auscultation
B. Emergency chest X-ray photography
C. Drawn arterial blood gas analysis
D. Perfusion lung scanning arrangement Nuclear Medicine


Question: Which of the following is not converted into the fetal circulation loop neonatal physiological processes occur?

Answer: Foramen ovale becomes a shunt from right to left

Choices:
A. From left to right shunt into the arterial catheter
B. Close venous catheter
C. Foramen ovale becomes a shunt from right to left
D. Umbilical artery atrophy closed


Question: Rectosigmoid junction (rectosigmoid junction) is located in the following segments?

Answer: Sacral third (S3)

Choices:
A. A first sacral (S1)
B. The second sacral (S2)
C. Sacral third (S3)
D. The fourth sacral (S4)


Question: TCR T cells are primarily recognized as a foreign antigen molecule, the TCR but not sufficient in itself to perform messaging functions. TCR must CD3 complex is combined with the TCR complex to achieve specific antigen recognition and messaging role. What's wrong for the following reasons?

Answer: CD3 complex membrane protein molecule having immunoreceptor tyrosine-based inhibition motifs (ITIMs), it can promote the intracellular post

Choices:
A. The TCR α-chain and β-chain of the cytoplasmic domain is short, signal transduction can not be
B. TCR showed binding to CD3 complex on the cell surface
C. CD3 complex membrane protein molecule having immunoreceptor tyrosine-based activation motifs (ITAMs), it can promote intracellular News
D. CD3 complex membrane protein molecule having immunoreceptor tyrosine-based inhibition motifs (ITIMs), it can promote the intracellular post


Question: 32-year-old male patient, do not take medicine in recent years, usually weighing 60 kg, blood pressure 120/80 mmHg, blood creatinine 1.0 mg / dL. Began edema, oliguria and coughing up blood three weeks ago. Current weight 65 kg, the blood pressure 140/100 mmHg, hemoglobin 8.0 g / dL, blood creatinine 2.0 mg / dL, in urine erythrocytes 20 ~ 30 / HPF, cylinder erythrocyte (RBC cast) +, protein trace, with a chest X-ray both alveolar infiltrates (alveolar infiltrates). Least likely diagnosis is:

Answer: Acute tubular necrosis

Choices:
A. Rapidly progressive glomerulonephritis
B. Goodpasture's syndrome
C. Acute tubular necrosis
D. Lupus nephritis


Question: 70-year-old man found the right areola what items lumps, pain, most do not need to check the following?

Answer: Chest X-ray

Choices:
A. Chest X-ray
B. Breast ultrasound
C. Male hormone seized
D. Needle extraction cytology


Question: Human infection with scrub typhus (scrub typhus) Which of the following is mainly through the bite of infected?

Answer: Infective larval mites (mite)

Choices:
A. Infectious adult ticks (tick)
B. Infective larval ticks (tick)
C. Infectious mite (MITE)
D. Infective larval mites (mite)


Question: Statements about a suspected lumbar disc herniation (disc herniation) of 40-year-old male patient, which of the following error?

Answer: Lumbar MRI is the best imaging examination items, plain radiographs no diagnostic value

Choices:
A. Be conservative medical treatment for 2 weeks, but it should be noted sphincter abnormalities and signs of limb weakness
B. Said main lower back pain may be combined hip, thigh and lower leg pain, physical examination showed obvious Lasègue's sign
C. Lumbar disc (disc herniation) 90% occurred in the L5-S1 or L4-5 level
D. Lumbar MRI is the best imaging examination items, plain radiographs no diagnostic value


Question: Hypothyroidism which does not occur?

Answer: Cholesterol (cholesterol) ↓

Choices:
A. T3↓
B. Cholesterol (cholesterol) ↓
C. TSH↑
D. Myxoedema (myxedema)


Question: The following description diseases related to blood flow in the lungs, whichever is correct?

Answer: Embolus (embolus) pulmonary embolism (embolism) are mainly from the veins of the legs

Choices:
A. Blood clots within the pulmonary trunk is mostly thrombosis (Thrombosis)
B. Embolus (embolus) pulmonary embolism (embolism) are mainly from the veins of the legs
C. Pulmonary embolism can cause acute left ventricular failure, lead to death
D. Most of pulmonary embolism can cause pulmonary infarction (infarct)


Question: In contrast, the following factors that have a greater cardiac oxygen consumption?

Answer: Aortic stenosis

Choices:
A. Aortic stenosis
B. Aortic insufficiency
C. Left ventricular enlargement
D. Left ventricular failure


Question: The following information about spinal cord injury patients with autonomic dysreflexia (autonomic dysreflxia) narrative, whichever is the most correct?

Answer: When the onset of headache, sweating, elevated blood pressure

Choices:
A. In just the first three months of injury, the most prone to symptoms
B. Thoracic spinal cord injury patients with the highest probability
C. When the onset of headache, sweating, elevated blood pressure
D. The most common reason is evoked emotional, tense


Question: Surgery, accidentally cut off the oculomotor nerve (oculomotor n.) Trunk, which of the following circumstances are least likely?

Answer: Decreased tear secretion

Choices:
A. Upper eyelid drooping
B. Dilated pupils
C. Decreased tear secretion
D. Ciliary muscle (ciliary m.) Paralysis


Question: That one of the following leukemia as the most effective treatment for Glivec stimulated tyrosine inhibitors (enzyme tyrosine kinase inhibitor)?

Answer: Chronic myeloid leukemia, Philadelphia chromosome positive

Choices:
A. Acute myelogenous leukemia, Type 3
B. Chronic myeloid leukemia, Philadelphia chromosome positive
C. Chronic lymphatic leukemia, ZAP-70 positive
D. \ Poor differentiation of bone marrow syndrome, chromosome 7 Defect


Question: 46-year-old female patient with chronic renal failure, hemodialysis six-year rule, a year ago began to feel itchy skin and bone pain, and upon inspection calcium 11.0 mg / dL (8.5-10.5), phosphorus 5.7 mg / dL (2.7- after 4.5), iPTH 1045 pg / mL (12-65), after administration of vitamin D3 treatment dephosphorization agents, calcium reduced to 9.0 mg / dL, phosphorus down to 4.2 mg / dL, iPTH 750 pg / mL, symptoms, However, after 2 months, bone pain and symptoms such as itchy skin onset again, after inspection iPTH 1650 pg / mL, calcium 11.5 mg / dL, and parathyroid nuclear medicine scan showed a large sub-vertical sides of goiter, which of the following is the best treatment?

Answer: Vice thyroidectomy

Choices:
A. Oral Vitamin D3 0.5 mg / QD
B. Oral steroids
C. oral capsule hydroxy aluminum 3 Ke / QD
D. Vice thyroidectomy


Question: Patients suffering from high blood pressure is easier to postural hypotension (postural hypotension), which is the reason why?

Answer: Reduced sensitivity of the pressure sensitive reflection

Choices:
A. Sensing pressure reflectance (baroreflex) sensitivity (Sensitivity) increased
B. Reduced sensitivity of the pressure sensitive reflection
C. Atrial stretch reflex compensatory increase capacity
D. Atrial stretch reflex compensatory ability to reduce


Question: Vagus nerve into the abdominal cavity by the following Where?

Answer: Esophageal hiatus (esophageal hiatus)

Choices:
A. Esophageal hiatus (esophageal hiatus)
B. Aortic hole (aortic hiatus)
C. Vena cava hole (caval opening)
D. Under the middle arcuate ligament (medial arcuate ligament)


Question: Which of the following can not delay microalbuminuria becomes evident nephropathy?

Answer: High-protein diet

Choices:
A. Close to the normal glycemic control
B. Strict control of blood pressure
C. Angiotensin converting enzyme (ACE) inhibitors
D. High-protein diet


Question: Which of the following is the most commonly used clinical measure of lung gas diffusion rate (diffusion rate) of gas?

Answer: Carbon monoxide

Choices:
A. Carbon dioxide
B. Carbon monoxide
C. Helium
D. Nitrogen


Question: A 67-year-old woman, three months ago was found outside the upper left breast has a lump, no tenderness, but there is the phenomenon of growing up, she had no family history of breast cancer, no trauma in the past, the situation of breast pain and nipple discharge. Physical examination found above the outer left breast a significant irregular lumps, a diameter of about 1.5 cm, no skin depressions, in the case of edema or nipple contraction, lumps is movable and not fixed to the chest wall, while, axillary, supraclavicular vertical lymph nodes no enlargement situation. The current breast cancer screening with one of the following image-based check that?

Answer: Mammography

Choices:
A. Ultrasound
B. Mammography
C. CT scan
D. According Movies magnon


Question: Statements about the muscular system and soft tissue tumors, Which of the following most correct?

Answer: Synovial sarcoma membrane (synovial sarcoma) can be found in the partially calcified X-ray photography

Choices:
A. Malignant Rhabdomyosarcoma (rhabdomyosarcoma) is generally a low degree of malignancy and tumor occurs in adults
B. Malignant liposarcoma (liposarcoma) is a highly malignant tumor and occur in young people
C. Synovial sarcoma membrane (synovial sarcoma) can be found in the partially calcified X-ray photography
D. Epithelioid sarcoma (epithelioid sarcoma) is common in the deep pelvic or thigh muscle tissue


Question: 59 A 45 year old woman long-term medial ankle pain, walking painful toe pads, palmar flexion (plantar flexion) in the case of perishable feet turn (inversion) muscle testing will be pain. This display following a tendon that is most likely to have been injured?

Answer: Posterior tibial tendon (posterior tibialis tendon)

Choices:
A. Posterior tibial tendon (posterior tibialis tendon)
B. Flexor digitorum longus tendon (flexor digitorum longus tendon)
C. Flexor foot hallucis longus tendon (flexor hallucis longus tendon)
D. Peroneus longus tendon (peroneus longus tendon)


Question: Aortic insufficiency patients, although clinical symptoms and no heart failure, but if what these phenomena, represents the beginning of the deterioration of left ventricular function, as soon as possible surgery?

Answer: Width of left ventricular end systolic (LVESD) greater than 50 mm

Choices:
A. Width of left ventricular end systolic (LVESD) greater than 50 mm
B. Shu left ventricular end width (LVEDD) greater than 50 mm
C. Left atrial maximum width greater than 50 mm
D. Aortic ring portion is larger than a maximum width of 30 mm


Question: That one of the following urinary incontinence in women are most common?

Answer: Stress urinary incontinence (stress urinary incontinence)

Choices:
A. Urge incontinence (urge urinary incontinence)
B. Stress urinary incontinence (stress urinary incontinence)
C. Mixed urinary incontinence (mixed incontinence)
D. Overflow incontinence (overflow incontinence)


Question: megaloblastic anemia of vitamin B12 deficiency in patients with prior untreated, the results of laboratory tests following the kind least likely?

Answer: Reticulocyte increase

Choices:
A. Reticulocyte increase
B. Lactate dehydrogenase (LDH) increased
C. Unconjugated bilirubin increase
D. Thrombocytopenia


Question: Muscles (infrahyoid muscles) infrahyoid 1 of 4 muscle composition, in addition to thyroid hyoid muscles (thyrohyoid muscle), the rest is governed by Article muscles which of the following?

Answer: The first three cervical nerves of the abdomen collateral (ventral rami)

Choices:
A. Accessory nerve (accessory nerve)
B. Hypoglossal nerve (hypoglossal nerve)
C. The first three cervical nerves of the abdomen collateral (ventral rami)
D. Saturday's belly fourth cervical nerve collateral


Question: The following relevant inhibitory postsynaptic potentials (IPSPs) of the narrative, what's right?

Answer: Is graded hyperpolarization signal

Choices:
A. For the all-or-none signal
B. May be passed a long distance in the nerve cells, the size of the signal transfer process will not change
C. The main transmitter in the central nervous system caused by glutamate is IPSPs
D. Is graded hyperpolarization signal


Question: Which of the following is M. tuberculosis resistant to isoniazid main machine turn?

Answer: Reduce performance katG gene

Choices:
A. N-acetyltransferase activity is reduced
B. Reduce performance katG gene
C. Reducing the concentration of isoniazid cells
D. Inh A gene mutation causing


Question: Pseudo-muscle hypertrophy (pseudohypertrophy) Which of the following most common in the disease?

Answer: Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)

Choices:
A. Motor neuron disease (motor neuron disease)
B. After the polio syndrome (post-polio syndrome)
C. Qiuxin Shi muscular dystrophy (Duchenne muscular dystrophy)
D. Congenital muscular rigidity disease (myotonia congenita)


Question: 40 year old man, with fever, sore throat, difficulty swallowing, shortness of breath and other symptoms to the emergency department, otolaryngology consultation carried out within the throat endoscopy below, the following statements is true?

Answer: The patient may occur in acute airway obstruction

Choices:
A. Arrows indicate the thyroid cartilage (thyroid cartilage) swelling and inflammation
B. The pathogen is a common viral infection
C. The patient may occur in acute airway obstruction
D. X-ray visible side of the neck minaret signs (steeple sign)


Question: In the fetal period, the foramen ovale (oval foramen) can communicate Which of the following?

Answer: Right and left Center Weighted Center Weighted room room

Choices:
A. Aorta and pulmonary artery
B. Right and Right Center Weighted Center Weighted room room
C. Right and left Center Weighted Center Weighted room room
D. Right and left Center Weighted Center Weighted room room


Question: Severe drooping eyelids (ptosis) that should be taken following a surgical approach is more suitable?

Answer: Fascia suspension (fascial sling)

Choices:
A. Fascia suspension (fascial sling)
B. Mentioned eyelid muscle resection (levator resection)
C. Mention eyelid muscle suspension (levator plication)
D. Put forward eyelid muscle (levator advancement)


Question: From the previous question, following the four most likely clinical significance of why?

Answer: cord compression

Choices:
A. cord compression
B. head compression
C. utero-placental insufficiency
D. respiration


Question: Stroke is the most common type in what?

Answer: Ischemic Stroke

Choices:
A. Cerebral hemorrhage
B. Subarachnoid hemorrhage
C. Arteriovenous malformation rupture
D. Ischemic Stroke


Question: Ethanol (alcohol) and with which of the following would cause with acetaldehyde (acetaldehyde) accumulation, leading to discomfort reactions, nausea, vomiting and low blood pressure and so on?

Answer: disulfiram

Choices:
A. disulfiram
B. acamprosate
C. naltrexone
D. baclofen


Question: Mr. Chen, 65 years old, fell to the floor leading to the right femoral neck (femoral neck) fracture, rear accepted shares intervention (posterior approach) of the artificial hip joint replacement surgery, 6 weeks after hip anyway, which of the following should be avoided ?

Answer: In the exhibition (adduction)

Choices:
A. Abduction (Abduction)
B. 外旋（external rotation）
C. In the exhibition (adduction)
D. Extension (Extension)


Question: Which of the following is not involved in pupillary light reflex?

Answer: Geniculate body outer (lateral geniculate body)

Choices:
A. pretectal area
B. Geniculate body outer (lateral geniculate body)
C. Ciliary ganglion (ciliary ganglion)
D. Short eyelashes nerve (short ciliary nerve)


Question: Which of the following is endosomes (inclusion) instead of organelles (organelle)?

Answer: Phagosome (endosomes)

Choices:
A. Phagosome (endosomes)
B. Glycogen (glycogen)
C. Polysome (polyribosomes)
D. Microtubules (microtubule)