Question: When patients come ⾨ clinic for treatment, the right found the watch fourth, fingers can not be fully extended, check your watch when open, ⼩ ⿂ muscle (hypothenar muscle) have atrophy, was diagnosed with talons your watch (claw hand), is that ⼀ bar following nerve damage?

Answer: Ulnar nerve (ulnar nerve)

Choices:
A. Ulnar nerve (ulnar nerve)
B. Radial nerve (radial nerve)
C. The median nerve (median nerve)
D. ⽪ muscle nerves (musculocutaneous nerve)


Question: A 24-year-old woman, palpable breast lumps are advised to check with the following what?

Answer: Breast ultrasound

Choices:
A. Excisional biopsy
B. Breast ultrasound
C. Breast thermography
D. Breast X-ray photography


Question: Lee and no history of hypertension who normally measured blood pressure values of about 120/70 mmHg. The return to clinic blood pressure is 140/92 mmHg. American Diabetes Association recommendations for blood pressure control standard value of 130/80 mmHg or less, which of the following is the best way to deal with Mr. Li's blood pressure problems?

Answer: Please Mr. Lee several times a large number of blood pressure at home

Choices:
A. Please Mr. Lee several times a large number of blood pressure at home
B. Please Lee reduce salt intake
C. Please Mr. Lee first increase in exercise period
D. Lee administering angiotensin converting enzyme inhibitors (angiotensin-converting enzyme inhibitor) or angiotensin II receptor blockers (angiotensin II receptor blocker) Drug


Question: A 45 year old women receiving screening mammography (screening mammography), found that aggregate fine calcification (clustered microcalcification) is a BI-RADS Ⅳ, breast palpation found no lumps, following the disposal of what's not?

Answer: Three to six months after tracking mammography

Choices:
A. Arrangement slice positioning operation (wire-localized surgical excision)
B. Stereotactic core needle arrangement (stereotactic core needle biopsy)
C. Three to six months after tracking mammography
D. Arrangements breast ultrasound examination to confirm the presence or absence of breast cancer


Question: The following account of intracapsular femoral neck fracture (intracapsular femoral neck fracture) of, what's the most correct?

Answer: Young people of femoral neck fracture is common in high-energy trauma (high-energy trauma)

Choices:
A. Garden type II metal displaced fracture of femoral neck fracture (displaced fracture)
B. Young people of femoral neck fracture is common in high-energy trauma (high-energy trauma)
C. Treatment principles of femoral neck fracture is displaced open reduction and internal fixation (open reduction and internal fixation)
D. Avascular necrosis (osteonecrosis) is the most common complication of


Question: When a child suffers from asthma, when the attack, to use inhaled medications to relieve or control, which is not generally recommended to use these drugs, so as not to affect their growth?

Answer: corticosteroids

Choices:
A. β2-agonists
B. corticosteroids
C. leukotrienes antagonists
D. antimuscarinic agents


Question: Pterygoid canal nerve (nerve of pterygoid canal) does not comprise:

Answer: Nerve fibers from the nerve small rocks (lesser petrosal nerve) of

Choices:
A. The sympathetic postganglionic fibers
B. The parasympathetic preganglionic fibers
C. Nerve fibers from the nerve small rocks (lesser petrosal nerve) of
D. Nerve fibers from nerve deep in rock (deep petrosal nerve) of


Question: Aldosterone (aldosterone) mainly secreted from the adrenal where?

Answer: Skein with (zona glomerulosa)

Choices:
A. Skein with (zona glomerulosa)
B. Cystic band (zona fasciculata)
C. Reticularis (zona reticularis)
D. Medulla (medulla)


Question: About narrative plexus Myenteric plexus (Auerbach's plexus) of the digestive tract wall, Which statement is correct?

Answer: Vagus nerve (Vagus nerve) as the main irritant message provider

Choices:
A. Located in the submucosa of the digestive tract
B. Vagus nerve (Vagus nerve) as the main irritant message provider
C. In addition to accepting the sympathetic and parasympathetic innervation, the function itself can not operate on its own
D. The main function is the local secretion of the digestive tract, absorption and blood supply


Question: Effectiveness of screening children with developmental delay screening tool, that has nothing to do with the following factors?

Answer: The incidence of delayed development of children (incidence)

Choices:
A. Screening tool sensitivity (sensitivity)
B. Specificity (specificity) screening tool
C. Regular screening frequency
D. The incidence of delayed development of children (incidence)


Question: A 55 year old male in good health because of the supraclavicular fossa lymph nodes doctor, following inspection by what most do not need?

Answer: Head and neck magnetic resonance imaging

Choices:
A. Head and neck physical examination
B. Needle aspiration biopsy lymph glands
C. Head and neck magnetic resonance imaging
D. Chest computed tomography


Question: From the previous question, the infusion should be:

Answer: Lactate Ringer

Choices:
A. 5% Glucose water
B. Lactate Ringer
C. 3% Normal saline
D. plasma


Question: A 27-year-old woman was sent to the emergency room unconscious, perceived there was a strong smell of bitter almonds its breath, the differential diagnosis should consider is what most poisoning?

Answer: cyanide

Choices:
A. ethylene glycol
B. carbon monoxide
C. carbon tetrachloride
D. cyanide


Question: 68 Epstein-Barr virus (EBV) infection in the human body and the immune system interaction can cause a variety of diseases. Which of the following does not belong to the manifestation of the disease caused by EBV infection after?

Answer: B-cell acute lymphocytic leukemias

Choices:
A. Infection of monocytes histiocytosis
B. B-cell acute lymphocytic leukemias
C. Nasopharyngeal
D. Producing a plurality of autoantibody


Question: Which is not an internal iliac artery (internal iliac artery) branches?

Answer: Middle recommended artery (median sacral)

Choices:
A. Umbilical artery (umbilical artery)
B. Middle recommended artery (median sacral)
C. Superior gluteal artery (superior gluteal artery)
D. Pudendal artery (pudenal artery)


Question: Heart disease blood cholesterol (cholesterol) is too high will accelerate atherosclerosis, and therefore should be taking cholesterol-lowering drugs statin. Which of the following is the most important mechanism of action of statin?

Answer: Statin inhibition of HMG-CoA reductase

Choices:
A. Statin inhibition of intestinal cholesterol transporter gene expression
B. Statin inhibition of HMG-CoA reductase
C. Statin inhibition of low-density lipoprotein receptor gene expression
D. Statin inhibits the synthesis of bile in liver


Question: A 52 year-old man complained of nearly two months to gradually swallowing difficulties, the esophagogastroduodenoscopy examination revealed a tumor blocking the entire esophagus at 23 cm in diameter at its lower incisors distance. Pathological diagnosis was confirmed squamous cell carcinoma of the esophagus. This tumor is most likely to infringe out that organ?

Answer: trachea

Choices:
A. trachea
B. Diaphragm
C. Pericardium
D. Pulmonary vein


Question: Law Rockwell Snap disease (tetralogy of Fallot) abnormal heart murmur is caused by what?

Answer: Pulmonary stenosis funnel body (infundibular stenosis)

Choices:
A. Pulmonary stenosis funnel body (infundibular stenosis)
B. Ventricular septal defect (ventricular septal defect)
C. Right ventricular hypertrophy (hypertrophic right ventricle)
D. Cross-aortic (overriding of aorta)


Question: About Angiostrongylus cantonensis (Angiostrongylus cantonensis) infection with the human narrative, what's wrong?

Answer: Adult parasites in the pulmonary artery between

Choices:
A. Adult parasites in the pulmonary artery between
B. Can be carried out by cerebrospinal fluid examination
C. Larvae develop in the brain parenchyma tissue
D. With raw food can become infected snail meat


Question: 67 A 35-year-old man because two weeks to have fatigue, dark urine, yellowing of the skin from the clinic to see the doctor, he had a month ago to travel to mainland China, in order to diagnose whether he was suffering from acute hepatitis A, it should do the following entry test?

Answer: anti-HAV IgM

Choices:
A. anti-HAV IgM
B. anti-HAV IgG
C. IgA anti-HAV
D. IgE anti-HAV


Question: At present, because of advances in immunosuppression, kidney transplant recipients in one year survival rate of more than 90% within five years also reached 70%, but did not have a significant breakthrough in the long-term survival. Long-term changes related to kidney transplantation following description that a mistake?

Answer: Since the antibodies in the recipient prior to transplantation already exists attack transplanted kidney endothelial cells, causing small vessel occlusion

Choices:
A. Display transplanted kidney arteriosclerosis, kidney glomerular and tubular atrophy and fibrosis
B. Macrophages and vascular invasion of transplanted kidney tissues, causing chronic inflammation
C. Long-term use of hormone cyclosporine (cyclosporin A), resulting in a change cyclosporine toxicity prime kidney tissues
D. Since the antibodies in the recipient prior to transplantation already exists attack transplanted kidney endothelial cells, causing small vessel occlusion


Question: D-glucose is a sugar (reducing sugar), which anomeric carbon may be oxidized, the oxidation product for which of the following?

Answer: D-gluconic acid

Choices:
A. dextrose
B. D-sorbitol
C. D-gluconic acid
D. D-glucuronic acid


Question: An important feature of AIDS (AIDS) of severe depressed state of immunity, mainly to reduce the performance of which of the following or loss?

Answer: CD4 + T lymphocytes

Choices:
A. CD4 + T lymphocytes
B. CD8 + T lymphocytes
C. Macrophages
D. B lymphocyte


Question: Renal failure (kidney failure) in patients whose kidney medulla cells produced what ingredients would be reduced, thereby reducing the number of red blood cells in circulation?

Answer: Erythropoietin

Choices:
A. Renin
B. GM-CSF
C. G-CSF
D. Erythropoietin


Question: The main basic amino acids the human body structure:

Answer: L-a form

Choices:
A. L-a form
B. L-form b
C. D-α form
D. D-β form


Question: A 40 year old female breast cancer patients, side effects of chemotherapy after 6 include 5-fluorouracil, methotrexate and cyclophosphamide, this long-term patients are most likely to occur after surgery Why?

Answer: Early menopause

Choices:
A. Cardiotoxicity
B. leukemia
C. Early menopause
D. Neurotoxicity


Question: When the Government to promote a new vaccine, in the face of some people hold on vaccine safety concerns. That one does not meet the following requirements diffusion of innovation success?

Answer: Harmfulness

Choices:
A. compatibility
B. The relative benefits
C. Harmfulness
D. Cost-effectiveness


Question: In the skin (epidermis), the most abundant cells are:

Answer: Skin cells (keratinocytes)

Choices:
A. Melanin cells (melanocytes)
B. Skin cells (keratinocytes)
C. Gram cells (Langerhans cells)
D. Mo's cells (Merkel cells)


Question: Following an oral hypoglycemic drugs that may cause congestive heart failure?

Answer: Rosiglitazone

Choices:
A. Metformin
B. Acarbose
C. Rosiglitazone
D. Glibenclamide


Question: Microbial pathogens (microorganisms) invade the lower respiratory tract caused by pneumonia, the most common approach is to invade the lower respiratory tract via:

Answer: Inhalation (aspiration)

Choices:
A. Inhalation (aspiration)
B. Hematogenous metastasis (hematogeneous spread)
C. Lymph node metastasis (lymphatic spread)
D. Pleura invasion (pleural extension)


Question: Mrs. weeks 17 weeks pregnant at the time of acceptance of amniocentesis (amniocentesis), test results found that the fetus has Down syndrome (Down syndrome), when the family was still suffering wife Zhou decided to keep the fetus. To 23 weeks, ultrasound examination revealed too little amniotic fluid, the fetus has congenital heart disease "Tetralogy of Fallot (tetralogy of Fallot)", and both kidneys is small. After a family discussion two weeks, the woman asks for an abortion, late abortion because I am afraid that led to "child destruction" controversy, gynecologist refused to perform. The following commentary on this event off, whichever is most appropriate?

Answer: Medical experts agree that after discussion, may be imposed late abortions

Choices:
A. Medical experts agree that after discussion, may be imposed late abortions
B. Natural birth after birth can not give the baby milk while Ziransiwang
C. Without approval by the court "child destruction" medical act commits an offense
D. Taiwan, China and France has not yet specified the fetus was born, already have the right capacity


Question: The following tumor may still healing in the advanced stage, except for whichever?

Answer: Hepatic carcinoma

Choices:
A. Lymphoma
B. Germ cell tumors
C. Hepatic carcinoma
D. Neuroblastoma (neuroblastoma)


Question: Which of the following is the cause of the elderly cervical spinal cord lesions (cervical myelopathy) the most common?

Answer: Spinal degeneration (spondylosis)

Choices:
A. Spinal tumor (spinal tumor)
B. Myelitis (myelitis)
C. Spinal degeneration (spondylosis)
D. Multiple sclerosis (multiple sclerosis)


Question: If eye movement (oculomotor) nerve, external rotation (abducent) nerve, trochlear (trochlear) nerve and the trigeminal nerve of the optic nerve (ophthalmic nerve) and the maxillary nerve (maxillary nerve) defect patients occur simultaneously, which the lesion site is most likely in the following where?

Answer: Cavernous (cavernous sinus)

Choices:
A. Eye socket (orbital fossa)
B. Split block (superior orbital fissure) on
C. Cavernous (cavernous sinus)
D. Pons (pons)


Question:
45.51-year-old woman, because of sporadic and right back pain (colic pain), to the urology clinic for examination ⾨ renal pelvis and ureter found in the middle ureter ⼀ developer defect (filling defect), resulting in swelling of the right ureter water resistant and water resistant slight kidney swelling. At this hospital radio, ⿎ Li Wei four cancer screening
 Teach, so the woman also received submenus cervical smear tests. But ⼀ weeks later, smear report ⽪ cancer (squamous cell carcinoma) is the squamous. The woman next, priority should be given what steps?

Answer: Submenu cervical biopsy colposcopy to accept direct aid or submenus that cervical biopsies

Choices:
A. Smear may be false positive, you can not care, 3 Month ⼀ times before making a smear or non- human papilloma virus check
B. Cervical cancer early submenus, submenus Palace to accept the full eradication of the watch treatment
C. Submenu advanced cervical cancer, it is recommended to receive chemotherapy radiation oncology radiation therapy synchronized
D. Submenu cervical biopsy colposcopy to accept direct aid or submenus that cervical biopsies


Question: 10-year-old girl brought her mother outpatient, her mother the little girl brought up this statement that is often wet my pants, and after birth from continuing package diapers, but this little girl is very healthy and happy, also performed well in school. This is most likely a little girl suffering from what disease?

Answer: Ectopic ureter (ectopic ureter)

Choices:
A. Stress urinary incontinence (stress incontinence)
B. Urethral diverticulum (urethral diverticula)
C. Vaginal fistula bladder (vesico vaginal fistula)
D. Ectopic ureter (ectopic ureter)


Question: Colorectal cancer receiving total mesorectal excision of the treatment of the following will not have that result?

Answer: The incidence of impotence will increase

Choices:
A. The incidence of impotence will increase
B. Better long-term prognosis of patients
C. Will reduce the local recurrence rate
D. Abnormal bladder function will be reduced


Question: Which of the following is the remnants of the umbilical vein (umbilical vein) of?

Answer: Liver round ligament (ligamentum teres)

Choices:
A. Liver sickle ligament (falciform ligament)
B. Liver round ligament (ligamentum teres)
C. Coronary ligament (coronary ligament)
D. The median umbilical ligament (median umbilical ligament)


Question: Foxglove (digitalis) and thiazides and can not be used because of thiazide will:

Answer: Produce hypokalemia

Choices:
A. Produce hypokalemia
B. Hypoglycaemia
C. Increased accumulation of digitalis
D. Reduce the efficacy of digitalis


Question: Which of the following is part of atherosclerosis occurred first?

Answer: Intima (Intima)

Choices:
A. Intima (Intima)
B. Membrane (Media)
C. Outer membrane (Adventitia)
D. All three (all three layers)


Question: Normal full-term newborns pure breastfeeding, when 2 months old still found jaundice, blood tests bilirubin (direct / total) for the 2.5 / 5.2 mg / dL, Which of the following most correct?

Answer: Bile retention (cholestasis); arrangements should be further examination

Choices:
A. Jaundice is a delay, a breastfeeding baby often symptoms should pay attention to the baby stool color, if a little yellow, you can track
B. High indirect bilirubin hyperlipidemia (unconjugated hyperbilirubinemia)
C. Immediately stopped breast feeding, jaundice typically 3 to 5 days will be refunded, and then after breastfeeding
D. Bile retention (cholestasis); arrangements should be further examination


Question: Aspartate transaminase can be called Glutamate: Which of the following as a cofactor required when oxaloacetate transaminase role?

Answer: pyridoxal phosphate

Choices:
A. pyridoxal phosphate
B. thiamine
C. FAD
D. ATP


Question: A poor neonatal feeding, lethargy, shortness of breath symptoms, blood examination revealed mild respiratory alkalosis (respiratory alkalosis) and high blood ammonia (hyperammonemia). Analysis found to belong to a family history of sex-linked genetic diseases. The following urea cycle (urea cycle) in which the enzyme is most likely to occur dysfunction?

Answer: Ornithine methyl acyl group transfer enzyme (ornithine transcarbamoylase)

Choices:
A. Homogentisic acid oxidase (homogentisate oxygenase)
B. Ornithine methyl acyl group transfer enzyme (ornithine transcarbamoylase)
C. Cystathionine synthase (cystathionine β-synthase)
D. Amino acid enzyme fine (argininosuccinase)


Question: Which of the following is a gustatory cortex?

Answer: Insular cortex (insula)

Choices:
A. Insular cortex (insula)
B. Occipital (occipital lobe)
C. Medial prefrontal cortex (medial frontal lobe)
D. Dorsolateral prefrontal (dorsal lateral frontal lobe)


Question: Following on the first type of human immunodeficiency virus (HIV-1) describes the medications, what's wrong?

Answer: Step  non-nucleoside reverse transcriptase inhibitors (non-nucleoside reverse transcriptase inhibitor) does not inhibit reverse transcription

Choices:
A. One of the main reasons is the failure of monotherapy HIV-1 have a high mutation rate can quickly become resistant
B. Step  non-nucleoside reverse transcriptase inhibitors (non-nucleoside reverse transcriptase inhibitor) does not inhibit reverse transcription
C.  protein inhibitors (protease inhibitor) mainly inhibit formation of virions (morphogenesis)
D. The so-called cocktail therapy is a combination therapy


Question: Which of the following will increase the liver glycogen decomposition (glycogenolysis)?

Answer: 活化phosphorylase b kinase

Choices:
A. 抑制glycogen phosphorylase
B. 活化phosphorylase b kinase
C. 活化phosphorylase a phosphatase
D. 抑制glycogen synthase kinase 3（GSK3）


Question: Navicular head (scaphocephaly) that is due to a congenital premature suture healing resulting?

Answer: sagittal suture

Choices:
A. sagittal suture
B. lambdoid suture
C. coronal suture
D. metopic suture


Question: The following related testosterone DHEA (dehydroepiandrosterone, DHEA) narrative, what's wrong?

Answer: Luteinizing stimulating hormone (luteinizing hormone) is a major adrenal hormonal regulation of manufacturing DHEA

Choices:
A. Manufacturing adrenal androgen (androgen) pioneer species
B. Luteinizing stimulating hormone (luteinizing hormone) is a major adrenal hormonal regulation of manufacturing DHEA
C. Whether men or women will gradually reach its secretion peak of around 20 years old
D. In women, DHEA and excessive secretion of adrenal sex characteristics related to abnormal syndrome (adrenogenital syndrome)


Question: Which of the following anticancer drugs whose main role is to position M phase of the cell cycle?

Answer: Paclitaxel

Choices:
A. Paclitaxel
B. Etoposide
C. Methotrexate
D. Cisplatin


Question: A 35-year-old man accidentally fell from the third floor on the first floor, causing severe bleeding left ear, while facial palsy, the most likely diagnosis for the following items what?

Answer: Temporal bone fracture (petrosal bone fracture)

Choices:
A. Temporal bone fracture (petrosal bone fracture)
B. Temporomandibular joint replacements (T-M joint dislocation)
C. Lymphatic drain (endolymphatic leakage)
D. Cellulitis external auditory meatus (external ear canal cellulitis)


Question: Betz cells (Betz cell) is located in the layer of the cerebral cortex?

Answer: Tapered inner (internal pyramidal layer)

Choices:
A. A tapered outer (external pyramidal layer)
B. An inner layer of particles (internal granular layer)
C. Tapered inner (internal pyramidal layer)
D. Molecular layer (molecular layer)


Question: Dorsal artery pulsation can be measured (dorsalis pedis artery) following that group between tendon?

Answer: Extensor longus  (extensor hallucis longus) and tibialis anterior (tibialis anterior)

Choices:
A. Flexor digitorum longus (flexor digitorum longus) muscle and the long flexor  (flexor hallucis longus)
B. Extensor digitorum longus (extensor digitorum longus) and the extensor digitorum brevis muscle (extensor digitorum brevis)
C. Extensor longus  (extensor hallucis longus) and tibialis anterior (tibialis anterior)
D. Extensor digitorum longus and extensor longus 


Question: Which of the following accelerators and stomach with Cisapride and could easily lead to arrhythmias?

Answer: Ketoconazole

Choices:
A. Ketoconazole
B. Amphotericin B
C. Griseofulvin
D. Nystatin


Question: 33. A 58 year old male of five chronic kidney disease, chest pain one hour to the hospital for treatment, physical examination blood pressure 150/94 mmHg, pulse 80 beats per minute, breathing 18 times per minute, cardiac auscultation significant pericardial fricative, lower extremity slightly swollen, solid sodium inspection chamber 135 mmol / L, potassium 5.3 mmol / L, hemoglobin 8.0 g / dL, extensive ECG ST-segment was increased. The following items are what most basic treatment?

Answer: Dialysis (dialysis)

Choices:
A. Give kayexalate (sodium polystyrene sulfonate) reduces blood potassium
B. Dialysis (dialysis)
C. Blood transfusion (blood transfusion)
D. Percutaneous coronary intervention (percutaneous coronary intervention)


Question: 60 a 70-year male stomach cancer because of the sudden paralysis of the lower body (paraplegia) to emergency medical treatment. Began one month before the onset of lower back pain. X-ray examination revealed lumbar generating a first pathologic fracture (pathological fracture), and generates a spinal cord compression (spinal cord compression). Check the blood alkaline phosphatase 780 U / L, calcium 3.8 mmol / L. The following statements is wrong?

Answer: Hypercalcemia (hypercalcemia) of treatment, comprising limiting moisture uptake, and use of diuretics bisphosphonate drugs

Choices:
A. The spinal cord compression caused by metastatic cancer, use of high-dose steroids and radiation therapy
B. The opportunity to start treatment sooner, the future of neurological symptoms in patients can also improve the greater
C. Hypercalcemia (hypercalcemia) of treatment, comprising limiting moisture uptake, and use of diuretics bisphosphonate drugs
D. Tumor markers such as CEA (carcinoembryonic antigen), PSA (prostate specific antigen) can help the differential diagnosis


Question: Which of the following does not belong to indications of diagnostic hysteroscopy?

Answer: Serous uterine fibroids

Choices:
A. Infertility
B. Habitual abortion
C. Submucosal uterine fibroids
D. Serous uterine fibroids


Question: 53 a 30 year old man, has become the past six months back, it was often said that following him, laid wait for him, suspicious, as if talking to himself and sometimes do not talk to people. The following statements about men, that most items correct?

Answer: His chances of first-degree relatives with similar symptoms about 10%

Choices:
A. The first choice is psychoanalytic psychotherapy
B. A first medication therapy is selected tricyclic antidepressants
C. His chances of first-degree relatives with similar symptoms about 10%
D. \ Magnetic resonance scanning (MRI) is a diagnostic examination necessary


Question: 26-year-old Ms. Chen served in a chemical plant in the accounting work, one to three months will go right eyelid droop dusk, watching TV at night, the image becomes obscure, short break will be improved; these two days to drink water often choked, because the situation continued, and to the clinic for help. Why is the most likely diagnosis?

Answer: Myasthenia gravis (myasthenia gravis)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Polymyositis (Polymyositis)
C. Multiple cranial neuropathy
D. Metabolic myopathy


Question: 24 A 30-year-old healthy male scrotum serious car accident trauma, and removal of both sides of the testicles. After removal of testicles on both sides, not being complemented testosterone (testosterone). The occurrence of physiological changes in the patient, which of the following correct?

Answer: Pussy hair will gradually become sparse

Choices:
A. Height becomes higher
B. The sound will be like before puberty children sound like
C. Pussy hair will gradually become sparse
D. Erectile function disappears


Question: A 72-year-old male patient with chest pain symptoms began recently when active, he has high blood pressure and diabetes, long-term drug treatment; physical examination can be heard a second time systolic murmur at the apex, where the following items should not be included diagnostic tools preliminary inspection items?

Answer: 24-hour ECG (Holter monitoring)

Choices:
A. Chest X- ray
B. 24-hour ECG (Holter monitoring)
C. Standard 12- lead ECG
D. Echocardiography


Question:
36. The relevant acute cholecystitis and Murphy sign, the following statements is true? ① acute cholecystitis is often associated with jaundice phenomenon ② acute cholecystitis pathognomonic sign
 ③ When pressing on the abdomen in the right chest deep, deep breathing will suddenly stop in the upper abdomen ④ depth to a still pressing the right chest, will suddenly stop the deep breath
 ⑤ acute cholecystitis zoomed section can be obtained by conservative non-surgical therapy to ease your watch

Answer: ②③⑤

Choices:
A. ①②③
B. ①②④
C. ②③⑤
D. ②④⑤


Question: There are a alcoholic liver disease in adult males, leaving Kara OK store shortly, was found lying in the street, hospital where he died the death, dissection seen as shown. This disease should be:

Answer: Contralateral cerebral contusion

Choices:
A. Contralateral cerebral contusion
B. Hypertensive intracerebral hemorrhage
C. Subdural hemorrhage
D. Cerebral infarction


Question: Attention Deficit Hyperactivity Disorder (attention-deficit / hyperactivity disorder) epidemiological statistics, the sex ratio Why?

Answer: More men than women

Choices:
A. More men than women
B. Women than men
C. Men and women fairly
D. Currently no consistent conclusion


Question: For glucocorticoid - receptor complex (glucocorticoid-receptor complex) describe the influence transcription, which of the following error?

Answer: Mainly in combination with other transcription factors (transcription factor), thereby inhibiting gene expression

Choices:
A. Mainly in combination with other transcription factors (transcription factor), thereby inhibiting gene expression
B. Hormone - receptor complex is formed intracellularly
C. Binding up hormone responsive genes (hormone responsive gene) in the DNA sequence which may be recognized transcription
D. A typical receptor DNA binding domain (DNA-binding domain), in combination with the hormone regions (hormone binding domain) different


Question: Cause facial muscles with your fingers twitching (twitching) when the knock front of the ear, is most likely that an unusual?

Answer: Low blood calcium

Choices:
A. Hyperkalemia
B. Hyponatremia
C. Low blood calcium
D. Low phosphorus


Question: 10-year-old girl because of a high fever fever, severe back pain on the right side hospitalized, computerized tomography imaging after contrast injection as shown in the following were the most likely cause of what?

Answer: Renal artery embolization

Choices:
A. Pyelonephritis
B. Glomerular inflammation
C. Water kidney
D. Renal artery embolization


Question: H. pylori infection does not increase the risk of what items of the following diseases?

Answer: reflux esophagitis

Choices:
A. reflux esophagitis
B. non-cardiac gastric cancer
C. gastric mucosa-associated lymphoid tissue（MALT）lymphoma
D. gastric ulcer


Question: A 35-year-old woman in a car accident to the emergency room, non-open left thigh femoral fractures. Through emergency hospitalization, is expected to perform orthopedic surgery the next day. Morning very anxious patients, fever 38.7 deg.] C, about 110 beat / min, a neck thyroid enlargement about three degrees. At this point the best examination and treatment does not include which of the following?

Answer: Perform orthopedic surgery as soon as possible

Choices:
A. Perform orthopedic surgery as soon as possible
B. Blood tests T3, T4, TSH
C. Ice felt and antipyretics
D. beta blockers, corticosteroid intravenous injection


Question: beta] chain T cell receptor (T cell receptor β-chain, TCRβ) prosequence embryo gene (germline sequence) that may be present in these cells?

Answer: B cells

Choices:
A. Cells CD4 + CD8 + T
B. T helper cell (helper T cell)
C. Toxic T cells (cytotoxic T cell)
D. B cells


Question: The following statements about urothelial carcinoma (urothelial cancer), and what's right?

Answer: Urachal (urachus) grow mostly adenocarcinoma cancer

Choices:
A. Adenocarcinoma (adenocarcinoma) about 90%
B. Chronic inflammation are the most significant causes of cancer
C. Urachal (urachus) grow mostly adenocarcinoma cancer
D. Up to the probability of occurrence of kidney


Question: That is one of the following regulatory arginine vasopressin (AVP) increased secretion of the most important mechanisms?

Answer: Hypothalamus of osmoreceptors experience increased blood osmotic pressure

Choices:
A. Hypothalamus of osmoreceptors experience increased blood osmotic pressure
B. Cardiac baroreceptor (pressure receptors) experience decreased blood volume or blood pressure
C. Nausea or vomiting stimulate the brain marrow emetic center (emetic center in the medulla)
D. Vasopressin (angiotensin) increase


Question: One 6-year-old girl glassy eyes often happens in class, stare so on, by a neurologist to EEG examination revealed that the brain wave waveform spike-wave appears over and over again nature. Initial recognition which is a symptom of epilepsy, drug therapy should be used following what the most appropriate?

Answer: Valproic acid

Choices:
A. Carbamazepine
B. Valproic acid
C. Phenytoin
D. Diazepam


Question: 84 the following information about the health care market characteristics, whichever is most appropriate combination of relationship? ① different from the general market, with demand and supply ② non-market has its own characteristics, and ③ from trading commodities prices are generally determined by the relationship between the demand and supply of ④ medical needs who can not predict prices as the price of recipients ⑤ healthcare providers in the dominant seller of advantages situation

Answer: ①②④⑤

Choices:
A. ①②③④⑤
B. ②③④⑤
C. ①②③④
D. ①②④⑤


Question: 35-year-old female patient is not breast-feeding, blood samples have recently discovered that the left nipple discharge (bloody discharge), palpation found at two o'clock lumps in the areola, the following statements is wrong?

Answer: Measuring blood CEA, CA 15-3 concentrations in order to exclude the possibility of breast cancer

Choices:
A. Should arrange for mammography, breast ultrasound examination
B. Photography can be arranged milk ducts (ductography) inspection
C. Measuring blood CEA, CA 15-3 concentrations in order to exclude the possibility of breast cancer
D. Surgery should be scheduled as soon as possible


Question: Which of the following is the order of appearance of adolescent female representation (after the first →)?

Answer: Breast prominent pubic → → → rapid increase in height at menarche

Choices:
A. Breast prominent pubic → → → rapid increase in height at menarche
B. Rapid increase in breast prominent pubic hair → → → Height menarche
C. Rapid increase in breast prominent pubic hair → → → menarche height
D. Menarche → → rapid increase in breast prominent pubic hair → Height


Question: 17 A 50-year-old woman complained of years of cough, sputum and progressive difficulty in breathing, chest computed tomography following figure shows the change of medical treatment. If this disease is caused by infection, the following what kind of pathogen least likely to be the cause of this condition?

Answer: Mycoplasma pneumoniae

Choices:
A. Staphylococcus aureus
B. Klebsiella pneumoniae
C. Mycoplasma pneumoniae
D. Mycobacterium avium complex


Question: IgD never activation of B cells (naïve B cell) appears on the cell membrane, the mechanism why?

Answer: RNA splicing, immunoglobulin heavy chain (Ig heavy chain RNA splicing)

Choices:
A. Immunoglobulin gene recombination (recombination of Ig variable gene segments)
B. Immunoglobulin gene hypermutation switch recombination (Ig gene hypermutation)
C. RNA splicing, immunoglobulin heavy chain (Ig heavy chain RNA splicing)
D. RNA splicing of immunoglobulin light chain (Ig light chain RNA splicing)


Question: One player to accept long-distance marathon training for two weeks right leg pain occurs, the following statements is wrong?

Answer: Bone scintigraphy is often used to judgments prognosis and fracture healing

Choices:
A. X-rays may be no abnormal findings
B. Bone scintigraphy (bone scan) may have abnormal findings
C. Bone scintigraphy is lower than magnetic resonance imaging (MRI) specificity (specificity)
D. Bone scintigraphy is often used to judgments prognosis and fracture healing


Question: There's a great 9-month child, brought to the clinic by her grandmother athletes to accept the 4th National Health Insurance examination preventive health care services for children, in addition to checking height, weight, head circumference, nutritional status and general medical examination outside inspection it also requires that children develop items checkups?

Answer: Can "¢ Gt ㄚ hair, mo ㄚ sound."

Choices:
A. If you can "get your fingers were"
B. Can "For people smile."
C. Can "¢ Gt ㄚ hair, mo ㄚ sound."
D. If you can "go help."


Question: Eardrum angioplasty (Myringoplasty), also known as the first of several type tympanoplasty (Tympanoplasty)?

Answer: Type 1

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


Question: On the anatomical location, the narrow esophagus has three parts, which of the following error?

Answer: Esophagus and pulmonary vein intersection

Choices:
A. cricopharyngeus muscle at
B. Esophagus and the left main bronchus intersection
C. Esophagus and pulmonary vein intersection
D. Esophagus and diaphragm intersection


Question: Early onset of a mother during childbirth broken water, and the labor up to 30 hours, birth one week found suffering from meningitis, cerebral spinal fluid specimen cultured Gram-positive cocci, catalase (Catalase) negative, the colonies on blood agar plates showing β hemolysis, and CAMP test is positive. This is most likely infected newborns that kind of pathogen?

Answer: Streptococcus agalactiae (Streptococcus agalactiae)

Choices:
A. Streptococcus pyogenes (Streptococcus pyogenes)
B. Staphylococcus aureus (Staphylococcus aureus)
C. Streptococcus agalactiae (Streptococcus agalactiae)
D. Enterococcus faecalis (Enterococcus faecalis)


Question: Patients suffering from major depressive disorder related may appear melancholic features, the following statements is true?

Answer: The main feature is the lack of interest (anhedonia), waking with weight loss, etc.

Choices:
A. In the evening present a more melancholy mood
B. Nothing to do with changes in the autonomic nervous system and the endocrine system
C. Prompted by external pressure event
D. The main feature is the lack of interest (anhedonia), waking with weight loss, etc.


Question: Which is not an American Medical Association recommend surgery anesthesia peripheral nerve damage prevention?

Answer: After picking gravel posture (lithotomy) pull over leg muscles (hamstring muscle group), increase the risk of femoral nerve damage

Choices:
A. Preoperative confirm whether the patient can tolerate the expected surgery anyway,
B. Patient lying on his side of the chest using a reel (chest rolls) can reduce the risk of nerve damage
C. After picking gravel posture (lithotomy) pull over leg muscles (hamstring muscle group), increase the risk of femoral nerve damage
D. Elbow flexion may increase the risk of damage to the ulnar nerve


Question: Guo, 56, six months before the start of progressive muscle weakness and atrophy, first start from the palm of your hand, and then gradually extended to the upper arm, then both legs have also been violated. Physical examination found that limb muscles atrophy; tendon reflexes but actually strengthened, reflecting the lower jaw (jaw jerk) also enhanced; In addition, muscle occasional small irregular beating, everywhere, even the tongue also. Speak a little nasal, drink occasionally choking. The sensory system is no exception. Guo that are most likely to suffer from one of the following diseases?

Answer: Amyotrophic lateral sclerosis spinal cord (amyotrophic lateral sclerosis)

Choices:
A. Amyotrophic lateral sclerosis spinal cord (amyotrophic lateral sclerosis)
B. Chronic inflammatory demyelinating polyneuropathy (chronic inflammatory demyelinating polyneuropathy)
C. Multiple sclerosis (multiple sclerosis)
D. Syringomyelia (syringomyelia)


Question: Statements about ovarian artery (ovarian artery), and Which statement is correct?

Answer: Ovarian enters via suspensory ligament (suspensory ligament of ovary)

Choices:
A. And the internal iliac artery (internal iliac artery) branches
B. Into the ovary via the ovarian ligament (ovarian ligament)
C. From the rear into the pelvic external iliac artery (external iliac artery) of
D. Ovarian enters via suspensory ligament (suspensory ligament of ovary)


Question: Which of the following maximum tolerated radiation exposure for acute systemic?

Answer: Central nervous system

Choices:
A. Thyroid
B. Hematopoietic system
C. Central nervous system
D. Gastrointestinal


Question: A 30-year-old man because in recent months that there is a sense of falling scrotum at the clinic. Physical examination found that the right side of the left testicle is hard and is three times larger. Ultrasound examination revealed a 5 cm thick solid tumor in the right testicle. Laboratory tests also showed that the serum alpha-fetoprotein (α-fetoprotein) value increases. The following lesions, whichever is most likely to occur in the right side of his testicles?

Answer: Yolk sac tumor (yolk sac tumor)

Choices:
A. Reddy's cell tumor (Leydig cell tumor)
B. Seminoma (seminoma)
C. Teratoma (teratoma)
D. Yolk sac tumor (yolk sac tumor)


Question: When the narrative about the skeletal muscle contraction, Which statement is correct?

Answer: I with shorter, A band unchanged

Choices:
A. With constant I, A becomes shorter with
B. I with shorter, A band unchanged
C. I with shorter, A becomes longer with
D. I with longer, A becomes shorter with


Question: Which of the following diseases not associated with low blood magnesium?

Answer: Hypothyroidism (Hypothyroidism)

Choices:
A. Gitelman's syndrome (Gitelman's syndrome)
B. Claudin 16 or 19 突變（Claudin 16 or 19 mutations）
C. Refeeding syndrome (Refeeding syndrome)
D. Hypothyroidism (Hypothyroidism)


Question: ① frontal nerve (frontal nerve) ② nasal ciliary nerve (nasociliary nerve) ③ oculomotor nerve (oculomotor nerve) ④ nerve tears (lacrimal nerve) ⑤ trochlear nerve (trochlear nerve) ⑥ external rotation nerve (abducent nerve) and other six nerves, out of orbit within a tendon that do not always ring through the (common tendinous ring)?

Answer: ①④⑤

Choices:
A. ①③⑤
B. ②③⑥
C. ②④⑥
D. ①④⑤


Question: The following factors will not make any entries in arterial carbon dioxide (arterial carbon dioxide) and the partial pressure of carbon dioxide exhaled end (end-tidal carbon dioxide) partial pressure gradient of the difference (gradient difference) increases?

Answer: cardiac output increased from 4 L / min to 8 L / min

Choices:
A. fresh gas flow rates increased from 4 L / min to 8 L / min
B. air embolism
C. ventilation/perfusion mismatched
D. cardiac output increased from 4 L / min to 8 L / min


Question: 19. Wang female graduates planning a 23-year-old went to the University of the Philippines capital Manila trading company to work before leaving for two weeks, because there are usually allergic rhinitis and Mr Lee, first to their own house medical clinic near your home medication. When asked about a history of female physicians king mentioned in addition to nasal congestion, runny nose, but also said there will be occasional chest symptoms, but no other discomfort. The physicians in making physical checkups chest auscultation, found grade mid-systolic murmur 1-2, so the physician to the king's daughter referral to a nearby hospital area for further examination. The king's daughter to an area hospital cardiology clinic in the interrogation to determine the history and physical checkups found after referral as described, its disposal is the most appropriate:

Answer: ECG and CXR make arrangements for direct examination, without exception, can not do other tests

Choices:
A. Direct scheduled for cardiac ultrasound examination, and then decide what to do
B. Arrange to do an ECG directly, without exception, can not do other tests
C. Direct arrangements do CXR examination, without exception, do cardiac ultrasound examination before deciding what to do
D. ECG and CXR make arrangements for direct examination, without exception, can not do other tests


Question: 50-year-old woman complained of constant headaches past six months, sometimes pain in the middle of the night awake. Neurological examination revealed patients sane, normal speech, smell obviously deteriorated, extremities normal gait is normal. Patient personality disorder described spouse become more lazy, not positive, but also less concerned about his family. The most likely diagnosis?

Answer: Anterior cranial fossa brain tumor

Choices:
A. Hydrocephalus
B. Anterior cranial fossa brain tumor
C. Stroke
D. Acoustic neuroma


Question: Superficial bladder cancer at diagnosis if the bladder at the same time there are many different sizes of tumors after transurethral resection (transurethral resection), without making intravesical instillation therapy to prevent recurrence, the recurrence rate is about how much?

Answer: 7-8 to

Choices:
A. 1 to 2
B. 3 to 4 to
C. 50 to 60
D. 7-8 to


Question: A 55 year old female patient with no history of hypertension, history of diabetes or cardiovascular disease, suddenly felt dizzy dizzy work half. Upon arrival at the emergency department are body temperature, heart rate, blood pressure, normal consciousness, persistent dizziness and vomiting phenomenon. Patients complain of no recent head trauma, feeling dizzy when the eyes are more open and rapid rotation of the head, but the head does not move toward the front if fixed feel more comfortable. There is also found that patients with tinnitus (tinnitus) and horizontal nystagmus (horizontal nystagmus). Preliminary physical examination, did not show limb weakness or mouth askew. This patient most likely diagnosis Why?

Answer: Benign paroxysmal vertigo (benign paroxysmal positional vertigo)

Choices:
A. Lost neuritis (labyrinthitis)
B. Benign paroxysmal vertigo (benign paroxysmal positional vertigo)
C. Acute stroke (acute stroke)
D. Migraine (migraine)


Question: Statements about maggot disease (myiasis), the error which of the following?

Answer: Face bots (Dermatobia hominis) spread of the disease often send ⽣ fly larvae in Asia

Choices:
A. Face bots (Dermatobia hominis) ⾎ mosquitoes lay their eggs in the suction / abdominal ⽽ actuation of fly larvae bore into the host hatching out skin injury-connector
B. Hospital maggot disease (nosocomial myiasis) often occur ⽣ to ⻑ of bed and there is an open wound-connector patients
C. Maggot disease earphone unit (aural myiasis) larvae climb patients often dynamic, malodorous discharge and heteroaryl Rec
D. Face bots (Dermatobia hominis) spread of the disease often send ⽣ fly larvae in Asia


Question: Which of the following is not a diagnosis of growth hormone deficiency (growth hormone deficiency) of excitation test (provocative test)?

Answer: Oral glucose tolerance test

Choices:
A. Oral glucose tolerance test
B. Arginine test
C. Clondine test
D. Glucagon test


Question: Candida albicans (Candida albicans) which can cause the following diseases?

Answer: thrush

Choices:
A. pneumonia
B. thrush
C. Rash
D. Sore throat


Question: 24 year old woman that three weeks off and diplopia symptoms after the meal for some time will feel unable to chew and swallowing difficulties, must rest for half an hour in order to continue meal today because of dyspnea to the emergency room, following the relevant narrative, whichever is more appropriate?

Answer: In patients treated with drugs, salivation occurs if, wheezing breath sounds (wheezing), available atropine bradycardia therapy (with bradycardia)

Choices:
A. The disease can be more severe in winter
B. Ruoyu rapid diagnosis, the use of pyridostigmine test is better than edrophonium test
C. If the patients suffer from acute pyelonephritis, gentamicin may be administered
D. In patients treated with drugs, salivation occurs if, wheezing breath sounds (wheezing), available atropine bradycardia therapy (with bradycardia)


Question: 52-year-old female patient, six months intermittent Center Weighted palpitations, cold sweats, headache, sudden pressure increase during ⾎ to about 180/100 mmHg case, following what most endocrine disease diagnostic considerations need to be included?

Answer: Pheochromocytoma (pheochromocytoma)

Choices:
A. Pheochromocytoma (pheochromocytoma)
B. Overactive thyroid gland (hyperthyroidism)
C. ⽒ Cushing disease (Cushing's syndrome)
D. ADVANCED had primary aldosteronism disease (primary aldosteronism)


Question: Glycogen synthase (glycogen synthase) which can be activated following direct reaction?

Answer: Phosphoprotein phosphohydrolase first type (Phosphoprotein phosphatase 1) The glycogen synthase molecule to a plurality of positions for phosphating

Choices:
A. Glycogen synthase kinase-3 (Glycogen synthase kinase 3) on a particular amino acid in the glycogen synthase reaction phosphating
B. Casein kinase Ⅱ (Casein kinase Ⅱ) phosphating reaction on a particular amino acid of glycogen synthase
C. Phosphoprotein phosphohydrolase first type (Phosphoprotein phosphatase 1) The glycogen synthase molecule to a plurality of positions for phosphating
D. In the presence of glucagon (glucagon of)


Question: 24. A 40-year-old men with diabetes, regular hypoglycemic (metformin) and blood pressure medications (amlodipine) treatment, which is home to maintain blood pressure 138/86 mmHg, the recent HbA1c was 6.8%, hemoglobin 10.7 g / dL, urine protein 1.5 g / day, estimated GFR 59 mL / min per 1.73

Answer: Plus angiotensin receptors blockers

Choices:
A. Combined with low-dose long-acting insulin
B. The use of erythropoietin slow deterioration of renal function
C. Plus angiotensin receptors blockers
D. Low-protein diet merger amino acid supplements


Question: Which is not a miscarriage drug side effects "magnesium" it?

Answer: High blood sugar (Hyperglycemia)

Choices:
A. Pulmonary edema (Pulmonary edema)
B. Respiratory depression (Respiratory depression)
C. Low blood pressure (Hypotension)
D. High blood sugar (Hyperglycemia)


Question: The following gene transfer vectors related to herpes simplex virus-1 of the narrative, what's right?

Answer: Can carry 20-30 kb of DNA

Choices:
A. It is often integrated into the chromosomes of target cells
B. Can carry 20-30 kb of DNA
C. Can only be used in dividing cells
D. The pre-existence of the host immune response to vector


Question: About cornea structure, which of the following error?

Answer: Avascular cornea itself nor nerve tissue

Choices:
A. Avascular cornea itself nor nerve tissue
B. Corneal endothelial cells are responsible for negative excess interstitial water, in order to maintain the normal moisture content of the cornea
C. The cornea is a transparent structure, is responsible for part of the eye refraction
D. Source of oxygen corneal epithelial cells mainly by tear


Question: Physicians must be aware of the sensitivity of the examination (sensitivity) when interpreting the results of an examination. What is the sensitivity?

Answer: Patients have the disease, the probability of positive test results for the

Choices:
A. Patient test results were positive, the probability that the disease does have
B. Patient test results were negative, the chances that the disease does not
C. Patients have the disease, the probability of positive test results for the
D. The patient does not have the disease, the test results were negative probability


Question: For interpretation of test results to learn syphilis (of treponemal) non-treponemal (nontreponemal) and Treponema, the following statements is wrong?

Answer: When the patient's genital ulcers, if not Treponema test result is negative, you can rule out the possibility of syphilis

Choices:
A. Some lupus erythematosus (SLE) patients will be prolonged non-treponemal test false positive reaction
B. When AIDS (AIDS) patients with Treponema test negative reaction, still can not rule out the possibility of infection Treponema pallidum (Treponema pallidum) of
C. When the patient's genital ulcers, if not Treponema test result is negative, you can rule out the possibility of syphilis
D. Process monitoring the treatment of syphilis, Treponema again relative to the non-treponemal test less susceptible to treatment


Question: In comparison, local flaps (local flaps) has the following limitations and microstructure flap (microvascular free flaps), what's wrong?

Answer: As reliable local flap Local flap (local flaps) of the elderly and younger patients

Choices:
A. Local flap (local flaps) coverage is limited
B. Local flap (local flaps) of the distal end of the blood circulation may be bad
C. Local flap (local flaps) may be injured in the case of injuries, may not be reliable
D. As reliable local flap Local flap (local flaps) of the elderly and younger patients


Question: The following is what kind of cells derived from the mesoderm?

Answer: Blood island cells (blood island)

Choices:
A. Primordial germ cells (primordial germ cell)
B. Blood island cells (blood island)
C. Epithelial cells lining the trachea
D. Neural crest cells (neural crest cell)


Question: The following normal healthy adults sleep about the structure and what was right?

Answer: Nightly experience three to five sleep cycles

Choices:
A. Each sleep cycle about 60 minutes
B. Non-REM sleep accounts for about a third of the sleep time by 50%
C. Sleep usually less than 5 minutes
D. Nightly experience three to five sleep cycles


Question: Bearing on the question, why choose the best treatment?

Answer: Ruby Laser (Q-switched ruby laser)

Choices:
A. Using decolorizing agent (depigmenting agents)
B. Plastic surgery (plastic surgery)
C. Carbon dioxide laser (carbon dioxide laser)
D. Ruby Laser (Q-switched ruby laser)


Question: Which of the following would be the first virus thymidine kinase phosphorylation interfere with viral replication, and therefore selective for the infected cells, mainly for the treatment of herpes virus infection (herpes viruses) are?

Answer: acyclovir

Choices:
A. abacavir
B. acyclovir
C. amantadine
D. azidothymidine


Question: The following description about the pharmacological effects of central nervous system stimulants, what's wrong?

Answer: Cocaine inhibit monoamine oxidase (monoamine oxidase) metabolic role of dopamine

Choices:
A. Differences in their effect on the dopamine system recycling difference between the maximum and Amphetamine Cocaine mode of action
B. Nicotine is a kind of central nervous system stimulants
C. Cocaine inhibit monoamine oxidase (monoamine oxidase) metabolic role of dopamine
D. Caffeine belongs to a central nervous system stimulant


Question: 70 injured following statements about bladder (bladder injury), the what's right? ① pelvic injury (pelvic injury) about 5 to about 10% among patients with bladder injuries ② pelvic injury bladder injury mostly combined type intraperitoneally (intraperitoneal type) ③ bladder injury about 10 to about 29% urethral injury (urethral injury) ④ urine (hematuria) is an important sign after pelvic injury suspected bladder injury, do photography bladder (cystography)

Answer: Only ①③④

Choices:
A. Only ①②③
B. Only ①②④
C. Only ①③④
D. Only ②③④


Question: General surgery Zhuren recent study of patients with a particular genetic liver cancer, in order to collect the healthy control group, invited to participate in the next two months to voluntary general surgical internship and study Zhuyuanyishi This study provides 10 cc of blood specimen. On research ethics point of view, the following items are what most controversial subjects included in this way?

Answer: Moderator test may have undue influence on the willingness of subjects participating in a clinical trial

Choices:
A. Moderator test may have undue influence on the willingness of subjects participating in a clinical trial
B. Moderator test but did not consider physician groups and special effects of validity
C. Moderator test findings difficult to interpret the significance of objectively
D. Moderator test subjects ignored the time spent with due compensation


Question: Which is not an internal carotid artery ligation (Internal carotid artery ligation) contraindications (contraindication)?

Answer: Traumatic aneurysm release petrous bone of the carotid artery (Traumatic dissecting aneurysm of the petrous carotid artery)

Choices:
A. Severe low blood volume syndrome (Severe hypovolemia)
B. Recently Subarachnoid hemorrhage (Evidence of recent SAH)
C. Cerebral angiography cerebrovascular spasm signs (Evidence of cerebral vasospasm on the arteriogram)
D. Traumatic aneurysm release petrous bone of the carotid artery (Traumatic dissecting aneurysm of the petrous carotid artery)


Question: For a pressure difference of 60 mmHg pulmonary valve stenosis patients, treatment is most appropriate:

Answer: Purposes balloon pulmonary valvuloplasty (balloon pulmonary valvuloplasty)

Choices:
A. Continued to observe
B. Long-term oral digitalis
C. Purposes balloon pulmonary valvuloplasty (balloon pulmonary valvuloplasty)
D. A pulmonary artery valve replacement surgery (pulmonary valvular replacement)


Question: Which of the following does not belong to the white matter of the joint fiber (association fiber)?

Answer: The corpus callosum (corpus callosum)

Choices:
A. Beam arcuate (arcuate fasciculus)
B. Strap (cingulum)
C. The corpus callosum (corpus callosum)
D. Hook beam (uncinate fasciculus)


Question: In addition to colostrum, following on breast milk (Breast milk) and infant formula (Infant formula) describe and compare what's the most correct?

Answer: Lower protein concentration in breast milk contained higher concentrations of protein contained in infant formula

Choices:
A. Lower protein concentration in breast milk contained higher concentrations of protein contained in infant formula
B. Low fat concentration in breast milk contained high concentrations of fat contained in infant formula
C. Breast milk does not contain vitamin A, the vitamin A in infant formula
D. Breast milk does not contain vitamin D, the infant formula contains vitamin D


Question: 14 a 11-year-old girl, due to short stature and treatment, according to its last annual patient described his father did not grow taller, but a rapid increase in body weight, physical examination showed Height 124 cm (less than 3rd percentile), 38 weight kg (75th percentile), the appearance as shown in FIG. Following a diagnosis for this patient that the minimum useful?

Answer: Insulin hypoglycaemia test (Insulin hypoglycemia test)

Choices:
A. 23:00 serum cortisol (Cortisol) value
B. Plasma promoting adrenocorticotropic hormone (ACTH) value
C. Dexamethasone suppression test (Dexamethasone suppression test)
D. Insulin hypoglycaemia test (Insulin hypoglycemia test)


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

Answer: Liquid nitrogen freezing can not be used for the treatment of keloid

Choices:
A. Ear piercing is also likely to produce keloid
B. If the surgical site or in the joints of the chest, resulting in the probability of keloid, compared to a high of facial or abdominal
C. Keloid often merge itching or pain
D. Liquid nitrogen freezing can not be used for the treatment of keloid


Question: 55-year-old female computer typist to the clinic for medical treatment, complained of the thumb, forefinger and middle finger fingertips will hemp (numbness), view their hand, found thenar (thenar muscles) atrophy, may I ask patients are most likely to be complicated by the hand Which of the following Loss of function?

Answer: Thumb to finger (opposition) difficulties

Choices:
A. Thumb bent difficult
B. Difficulty bending the index finger
C. Thumb to finger (opposition) difficulties
D. Difficulty bending the wrist


Question: Mr. Lee, 60 years old, right knee pain due to the impact of action, especially in particularly severe up and down stairs or slopes, right knee X-rays in the following figure, Lee disorder is the most likely diagnosis:

Answer: Osteoarthritis

Choices:
A. Rheumatoid arthritis
B. Osteoarthritis
C. fracture
D. Knee dislocation (dislocation)


Question: The following statements about colorectal colorectal cancer (colorectal cancer, CRC), and what's wrong?

Answer: 90% of CRC occur at the splenic flexure (splenic flexure) or less, the available sigmoidoscopy (sigmoidoscopy) examination revealed

Choices:
A. CRC risk factors include age, over 50 years old, first-degree relatives have a family history of CRC, suffered from inflammatory bowel disease
B. 90% of CRC occur at the splenic flexure (splenic flexure) or less, the available sigmoidoscopy (sigmoidoscopy) examination revealed
C. CRC on the right side of the colon, often suffered from anemia
D. CRC left side of the colon, there will be change in bowel habits or blood in stool


Question: The following about the original hairstyle spontaneous pneumothorax (primary spontaneous pneumothorax) of treatment whichever wrong?

Answer: The second time pneumothorax episodes, and for the first time if the ipsilateral pneumothorax should undergo surgery, but if the different sides, you should not surgery

Choices:
A. The first attack, if pneumothorax <20%, may be considered to observe, not to be placed chest tube
B. The second time pneumothorax episodes, and for the first time if the ipsilateral pneumothorax should undergo surgery, but if the different sides, you should not surgery
C. Pneumothorax surgery, in addition to removal of the bubbles, the operation should be performed pleurodesis (pleurodesis), in order to reduce the probability of future recurrence
D. When the pneumothorax chest tube placement 72 hours to accept there are still persistent air leak, you should consider surgery


Question: About a thin layer of fiber type hepatocellular carcinoma (fibrolamellar carcinoma), the following statements is wrong?

Answer: Background usually have severe liver fibrosis or cirrhosis

Choices:
A. In young Face
B. Background usually have severe liver fibrosis or cirrhosis
C. Many tumor cells contain granules oncocytes body line, separated by dense fiber ribbon
D. Generally good prognosis


Question: In local anesthetic (local anesthetics), add the role of vasoconstrictor (vasoconstrictors) and mechanism, which of the following error?

Answer: Accelerate the onset of action of local anesthetics (onset) of time

Choices:
A. Accelerate the onset of action of local anesthetics (onset) of time
B. Rate to slow the absorption of the local anesthetic
C. Enhance the quality of local anesthetic analgesic agent
D. Local anesthetics to reduce toxic side effects


Question: When using an intravenous cyclophosphamide for the treatment of systemic lupus erythematosus (systemic lupus erythematosus) patients with the severity of nephritis (lupus nephritis), that the following is NOT a common complication that?

Answer: Bacterial cystitis

Choices:
A. Bone marrow suppression occurs
B. Bacterial cystitis
C. Occur infertility
D. Hair loss


Question: The following spinal cord injury patients about the use of high-dose corticosteroids (corticosteroid) narrative, what's wrong?

Answer: This high doses of corticosteroids have considerable side effects

Choices:
A. Recommended within 8 hours after injury
B. After the bolus dose of 30 mg / kg one hour intravenous infusion administered 5.4 mg / kg / hour infusion 23 hours
C. Drug use is methylprednisolone
D. This high doses of corticosteroids have considerable side effects


Question: The following description concerns have noise, what's wrong?

Answer: Patients with patent ductus arteriosus main hear diastolic murmur (diastolic murmur)

Choices:
A. late systolic murmur after mid-systolic click often occurs in patients with mitral valve prolapse (mitral valve prolapse) of
B. Mitral regurgitation (mitral regurgitation), mostly holosystolic murmur
C. Aortic stenosis (aortic stenosis) is a mid-systolic ejection murmur, and spread to the neck
D. Patients with patent ductus arteriosus main hear diastolic murmur (diastolic murmur)


Question: About Ozone narrative, which of the following error?

Answer: Mostly directly from a source emissions of pollutants

Choices:
A. Mostly directly from a source emissions of pollutants
B. Summer afternoon ozone concentration in the air is higher than other times, especially in the industrial areas and metropolitan areas is more obvious
C. Stratospheric ozone concentration is too low, increase UV exposure
D. Can be used to improve the quality of indoor air


Question: 21 had a normal and no special past history of 3-year-old boy after five minutes ago because of sudden convulsions emergency to an emergency, when the temperature is 39 ℃, heart rate was 120 / min and blood pressure normal, but there are obvious black lips , loss of consciousness, eyes and limbs hanging stiff. The first and important priority in the emergency medical procedures are:

Answer: Maintain the airway after waking breath to Lisu

Choices:
A. 施打 anticonvulsant
B. Intubated, connected to a respirator improve hypoxia
C. Neuropharmacological embodiment comprehensive examination
D. Maintain the airway after waking breath to Lisu


Question: Statements about metabolic bone diseases (metabolic bone diseases), and Which statement is correct?

Answer: Long-term dialysis patients because of renal insufficiency Plenary lead to renal bone hypoplasia (renal osteodystrophy), which may increase PTH

Choices:
A. Hyperparathyroidism (hyperparathyroidism) a large number of patients frequently secrete parathyroid hormone (parathyroid hormone,
B. Long-term dialysis patients because of renal insufficiency Plenary lead to renal bone hypoplasia (renal osteodystrophy), which may increase PTH
C. Patients with Paget's disease (Paget's disease) occurs mainly at the age of 40, women outnumber men, is a kind of bone remodeling (remodeling) of the disease, not transformed into malignant tumors
D. Petrochemical bone disease (osteopetrosis), also known as marble bone disease (marble bone disease), mainly due to osteoblasts (osteoblast) caused by overactive


Question: A 18-year-old man complained of intense chest pain emergency medical treatment, after injection of contrast medium CT images such as drawings, the most likely diagnosis is which of the following?

Answer: Marfan syndrome associated with ascending aortic dissection

Choices:
A. Pericarditis with pericardial effusion merger
B. Pulmonary hypertension
C. Marfan syndrome associated with ascending aortic dissection
D. Supravalvular aortic stenosis


Question: Which of the following after taking antihypertensive drugs, easy to produce sedative side effects?

Answer: clonidine

Choices:
A. nifedipine
B. clonidine
C. hydralazine
D. losartan


Question: Statements about dihydroxypyridine receptacle (dihydropyridine receptor, DHPR), and which of the following error?

Answer: Influx of calcium ions from the sarcoplasmic reticulum into the cytoplasm of the receptacle must be

Choices:
A. The membrane protein receptors belong to the skeletal muscle fibers
B. Influx of calcium ions from the sarcoplasmic reticulum into the cytoplasm of the receptacle must be
C. DHPR adjustable voltage-gated calcium channel (voltage-gated calcium ion channel)
D. Open ryanodine receptor (ryanodine receptor) by DHPR mainly in the structure a conformational change (conformational change)


Question: Fetal facial position, the first exposed parts (presenting part) means:

Answer: Chin (mentum)

Choices:
A. 前 頂 (Sinciput)
B. Zygomatic portion (Malar eminence)
C. Chin (mentum)
D. After the head (Occiput)


Question: Which of the following human parasites can be transmitted to the baby by breast-feeding mothers way?

Answer: Fecal nematode (Strongyloides stercoralis)

Choices:
A. East Trichinella (Trichostrongylus orientalis)
B. Liver Trichinella (Capillaria hepatica)
C. Fecal nematode (Strongyloides stercoralis)
D. Trichinella spiralis (Trichinella spiralis)


Question: Following that kind of antidepressant side effects caused by dysfunction of the greatest?

Answer: Fluoxetine

Choices:
A. Fluoxetine
B. Trazodone
C. Bupropion
D. Moclobemide


Question: Which of the following is the most common vision change optic neuritis (optic neuritis)?

Answer: Center for blind spots (central scotoma)

Choices:
A. Blind spot (blind spot) increases
B. Center for blind spots (central scotoma)
C. Bitemporal semi-blind (bitemporal hemianopsia)
D. Then into blind spots (junctional scotoma)


Question: 45. vivo phenylalanine hydroxylase (phenylalanine hydroxylase) activity leads to deletion of phenylketonuria

Answer: Patients unable to synthesize sufficient self-tyrosine (tyrosine)

Choices:
A. Patients unable to synthesize sufficient self-tyrosine (tyrosine)
B. The urine of patients will be a lot of tryptophan (tryptophan)
C. Patients would phenylalanine (phenylalanine) allergy
D. Patients intestine can not absorb enough of phenylalanine (phenylalanine)


Question: Which of the following is not secreted by the kidneys?

Answer: Aldosterone (aldosterone)

Choices:
A. Erythropoietin (erythropoietin)
B. Renin (renin)
C. Calcitriol (calcitriol)
D. Aldosterone (aldosterone)


Question: Which of the following no later than in the early embryonic development?

Answer: Original Article (primitive streak)

Choices:
A. Amniotic membrane (amnion)
B. Yolk sac (yolk sac)
C. Primary villi (primary chorionic villus)
D. Original Article (primitive streak)


Question: Children's Liver tumors such as no distant metastasis, tumor rupture surgery, but can be completely removed, which is staging the first of several on?

Choices:
A. Ⅰ
B. Ⅱ
C. Ⅲ
D. Ⅳ


Question:
79.69-year-old male patient no special medical history, lethargy two days because of confusion with her daughter to the emergency room, checked that the accumulation of carbon dioxide with heart failure and circumstances. His family (two daughters) said they did not want to give intubation, electric shock, chest pressure and other invasive treatment of patients with increased pain, and on the spot to sign a "safe choice
 Ning palliative care consent form ", expressed the hope that giving patients at the hospital hospice palliative care. The following statements is most accurate?

Answer: Physicians should consider the best interests of the patient first, first aid say

Choices:
A. This patient is terminally ill, so families signed "select palliative care consent" is legal
B. Physicians should consider the best interests of the patient first, first aid say
C. Patient unconsciousness, physicians should consider the wishes of the families of the first
D. Ask the Medical Ethics Committee to decide


Question: Which of the following heart sounds are less likely to occur in the atrial septal defect (Atrial septal defect, ASD) patients?

Answer: Huge and split first heart sound (Loud and splitting of first heart sound)

Choices:
A. Wide and fixed split second heart sound (Wide and fixed splitting of second heart sound)
B. Left second intercostal space of ejection systolic heart murmur (Ejection systolic murmur)
C. The lower left edge of the sternum occur mid-diastolic heart murmur (Mid-diastolic murmur)
D. Huge and split first heart sound (Loud and splitting of first heart sound)


Question: Sinus infection most commonly caused by cavernous sinus thrombosis following that vein via diffusion (cavernous thrombosis)?

Answer: Intravenous angle (angular vein)

Choices:
A. Intravenous angle (angular vein)
B. After the facial vein (posterior facial vein)
C. Sigmoid sinus (sigmoid sinus)
D. Superficial temporal vein (superficial temporal vein)


Question: Describes the following items about West Nile virus infection (West Nile virus infection), the most whichever inappropriate?

Answer: Birds are the main vector (vector)

Choices:
A. Birds are the main vector (vector)
B. Most of those infected are asymptomatic infection
C. Its serious neurological complications of encephalitis and meningitis invasive disease manifestations
D. Even merged serious fatal hepatitis


Question: A 50-year-old male patient with persistent chest pain two days left and come to treatment, which left deep inspiration in patients with chest pain and more pain, patients are most likely to suffer Which of the following diseases?

Answer: Tuberculous pleurisy

Choices:
A. Tuberculous pleurisy
B. Myocardial infarction
C. Tearing aortic aneurysm
D. Interstitial lung disease


Question: Statements about the limitations of pericarditis (constrictive pericarditis), and what's not correct?

Answer: Pulmonary edema

Choices:
A. Ascites
B. Lower extremity edema
C. Pulmonary edema
D. Pleural cavity water


Question: When statistical hypothesis test (statistical hypothesis testing), what type of an error (type I error)?

Answer: In fact no difference in the two groups, the analysis results to overthrow the nothingness hypothesis (null hypothesis)

Choices:
A. In fact no difference in the two groups, the analysis results to overthrow the nothingness hypothesis (null hypothesis)
B. In fact no difference in the two groups, the results support the hypothesis that nothingness (null hypothesis)
C. In fact the two groups are different, the results overthrow nothingness hypothesis (null hypothesis)
D. In fact the two groups are different, the results support the hypothesis that nothingness (null hypothesis)


Question: Which of the following does not belong to hormonal contraceptives contraindications?

Answer: Gastric ulcer

Choices:
A. A history of blood clots or thrombosis currently
B. No good control of blood pressure (severe hypertension)
C. Breast cancer
D. Gastric ulcer


Question: 44. statements about anorectal disease (imperforate anus), the Which statement is correct? ① low anorectal disease, shoots as usual is done directly ⾨ anal rectal surgery ② forming the watch-bit ADVANCED anorectal disorders are zoomed do first Enterostomal-connector, Month, and several before making a ⾨ anal rectal surgery ③ forming the watch easily combined congenital including spinal abnormalities, Center Weighted dirty, esophagus and urinary system ④ ADVANCED anorectal disease most often combined bit rectovesical fistula ⑤ after the snapshot to the sides of the cage ⽣ abdominal X-ray to determine the type

Answer: Only ①②③

Choices:
A. ①②③④⑤
B. Only ①②④⑤
C. Only ①③④⑤
D. Only ①②③


Question: Which of the following mental disorders and suicide are most relevant?

Answer: Affective disorders

Choices:
A. Schizophrenia
B. Dementia
C. Affective disorders
D. Obsessive-compulsive disorder


Question: When following a gene mutation that damage, it will not produce B and T cells?

Answer: RAG1 / RAG2 recombinase (RAG1 / RAG2 recombinase)

Choices:
A. Deoxy terminal deoxynucleotidyl transferase (terminal deoxynucleotidyl transferase, TdT)
B. ZAP-70
C. AID（activation-induced cytidine deaminase）
D. RAG1 / RAG2 recombinase (RAG1 / RAG2 recombinase)


Question: Use of antihypertensive drugs whichever is most correct?

Answer: Long-term sustainability of medication

Choices:
A. Long-term sustainability of medication
B. Once blood pressure control can be discontinued
C. Intermittent taken to reduce side effects
D. As long as improve the eating habits of life to avoid taking anti-hypertensive drugs


Question: Wild polio virus strains have been nearly extinct, Dr. Chen suspected case, which of the following experimental method is best able to determine which is the wild-type strain or Sabin oral polio vaccine strain?

Answer: Gene sequencing

Choices:
A. Erythrocyte agglutination test
B. Plaques experiment
C. Gene sequencing
D. Monoclonal antibodies and the reaction


Question: Differences concerning public health ethics and traditional medical ethics, the following statements is wrong?

Answer: Ethics in public health, public welfare absolute priority to personal interests; traditional medical ethics, the rights of the individual absolute priority to public

Choices:
A. Public health ethics usually involves a trade-off public welfare and human rights; traditional medical ethics ethical obligations of physicians generally specification of individual patients
B. More emphasis on public health ethics Equitable allocation of population health and health resources; traditional medical ethics more emphasis on respect for patient autonomy
C. Ethics in public health, public welfare absolute priority to personal interests; traditional medical ethics, the rights of the individual absolute priority to public
D. Public health ethics generally regulate the relationship between the state and individuals; traditional medical ethics generally regulate individual doctor-patient relationship


Question: From the previous question, this occurs autoimmune diseases, the body is due to the emergence of autoantibodies (autoantibody) against the following ingredients that caused?

Answer: desmoglein I

Choices:
A. BP180
B. desmoglein I
C. desmoglein III
D. keratin 5


Question: After taking the drug captopril What are the most common side effects are?

Answer: dry cough

Choices:
A. Sedation
B. dry cough
C. Hypotension
D. Palpitations


Question: Right hilum (hilum) directly behind the groove (or notch) is caused by what structure?

Answer: esophagus

Choices:
A. esophagus
B. Arch of aorta
C. Azygos
D. The superior vena cava


Question: Which of the following is not a developer (contrast media) cause acute renal failure risk factors?

Answer: Adiposity

Choices:
A. Dehydration
B. Diabetic nephropathy
C. High-dose developer
D. Adiposity


Question: ⼀ that there are two kinds of these single-stranded RNA virus genome, which is the double meaning of Article ⼀ (ambisense) RNA?

Answer: Lhasa viruses (Lassa virus)

Choices:
A. Lhasa viruses (Lassa virus)
B. Gordon ⾰ virus (Dengue virus)
C. Middle East respiratory syndrome coronavirus (MERS-CoV)
D. G ⾥ Mia - ⾎ of Congo fever virus (Crimean-Congo hemorrhagic fever virus)


Question: Acetyl coenzyme A (acetyl coenzyme A) in the molecule, acetyl groups and the bond became coenzyme A:

Answer: thioester

Choices:
A. amide
B. Schiff 's base
C. acid anhydride
D. thioester


Question: Sick children with spastic cerebral palsy occurs most often subluxation or dislocation is that following a joint?

Answer: Hip

Choices:
A. Hip
B. knee
C. shoulder
D. elbow


Question: A 75-year-old male patient due to nausea and acute poisoning was sent to the emergency room. Patients and the emergence of rapidly worsening kidney function and sanity change. Died in hospital two days later. Anatomical death was found to display oxalate crystals deposited (oxalate crystal) in the kidney and brain. Which of the following is the most likely cause of this poisoning of the substance?

Answer: ethylene glycol

Choices:
A. carbon tetrachloride
B. mercuric chloride
C. ethylene glycol
D. paraquat


Question: 5 there is a 14 year-old boy growth retardation (growth failure), blood tests show the number of leukocytes in the blood is 9,600 / mm3, 45% neutrophils, 48% lymphocytes, monocytes 7%; hemoglobin (Hemoglobin) is 11.6 g / dL; platelet count of 360,000 / mm3; serum potassium ion concentration of 2.1 mmol / L, a sodium ion concentration of 135 mmol / L, in blood chloride concentration of 101 mmol / L, blood pH 7.41, carbonate (HCO3-) ion concentration of 33.2 mmol / L, the magnesium ion concentration in normal blood. Which of the following is most likely to ask the diagnosis?

Answer: Bartter's syndrome (Bartter syndrome)

Choices:
A. Bartter's syndrome (Bartter syndrome)
B. Gitelman's syndrome (Gitelman syndrome)
C. Fanconi syndrome (Fanconi syndrome)
D. Abel's syndrome (Alport syndrome)


Question: The process of brain development, which of the following is not derived from the wings (alar plate)?

Answer: Red nucleus (red nucleus)

Choices:
A. Olive pits (olivary nucleus)
B. 楔核（cuneate nucleus）
C. Red nucleus (red nucleus)
D. Inferior colliculus (inferior colliculus)


Question: Big months of 4610 healthy baby boy, suddenly intermittent abdominal pain, vomiting, and solving contain bloody mucus, right abdominal palpable sausage-like mass (sausage mass) should be preferred to arrange check to make sure what the diagnosis?

Answer: Abdominal ultrasound (abdominal sonography)

Choices:
A. Abdominal ultrasound (abdominal sonography)
B. Upper gastrointestinal barium examination (upper GI study)
C. Gastroscopy (endoscopy)
D. Abdominal nuclear medicine examination (Tc-99m pertechnetate scintigraphy)


Question: Which of the following is common in sub-cortical areas of lymph nodes (paracortex)?

Answer: The high endothelial venules (high endothelial venule)

Choices:
A. The high endothelial venules (high endothelial venule)
B. Lymphoid nodules (lymphatic nodule)
C. Plasma cells (plasma cell)
D. B lymphocytes (B-lymphocyte)


Question: The following related Ezihaimo disease (Alzheimer's disease) of the narrative, what's wrong?

Answer: There are 19 pairs of chromosomes ApoE2 disease gene are more likely to get Azihaimo

Choices:
A. Is the most common dementia
B. In the past there have been suffering from brain injury is the future of Ezihaimo disease risk factors
C. Women are more likely to suffer from disease Ezihaimo
D. There are 19 pairs of chromosomes ApoE2 disease gene are more likely to get Azihaimo


Question: When the narrative of the humerus neck fractures occur year-old female, whichever is correct?

Answer: Nonunion (Nonunion) very rare

Choices:
A. Osteoporosis patients are rare
B. The proximal end of the distal fragment embedded in the case of rare Block
C. Nonunion (Nonunion) very rare
D. Shoulder stiffness very rare circumstances


Question: The following account of nephrotic syndrome (nephrotic syndrome, NS), and what's wrong?

Answer: One high-protein diet for the treatment of NS necessary way

Choices:
A. NS is characterized by severe proteinuria, hypoalbuminemia, hyperlipidemia and edema
B. NS patients whose plasma osmolarity decreased lipoprotein synthesis can stimulate the liver caused by hyperlipidemia, which increases low-density lipoprotein cholesterol is the most common and
C. Some glomerular lesions, such as films nephropathy (membranous nephropathy), membrane proliferative glomerulonephritis
D. One high-protein diet for the treatment of NS necessary way


Question: Which of the following cytokines have both inflammatory and anti-inflammatory effect?

Answer: Matter as interleukin -6 (IL-6)

Choices:
A. Tumor necrosis factor -α (TNF-α)
B. Matter as interleukin -1 (IL-1)
C. Matter as interleukin -6 (IL-6)
D. Matter as interleukin -8 (IL-8)


Question: A 7-year-old boy right neck was swollen and there is a fever, according to one of the following characteristics that may determine whether the swelling of the neck lymphadenopathy rather than parotid gland enlargement?

Answer: Swelling position located entirely below the mandible

Choices:
A. Swelling position located entirely below the mandible
B. Swelling of the parts there was tenderness
C. Bilateral swelling
D. When the contact pressure of the swelling portion, an outlet tube can be seen in the saliva pus out


Question: A 45 year old female genital itching symptoms, diagnosis found inside the labia majora there is a red line clear as geographic distribution of lesions, can touch a submucosal tumor, the biopsy found some large tumor cells in the epidermis , having a fine granular cytoplasmic to Alcian blue stained positive results, there is a clear halo of light between these peripheral tumor cells and normal epithelial cells. Which of the following is the most likely diagnosis?

Answer: Pan Jide's disease outside the breast (extramammary Paget disease)

Choices:
A. The vulva intraepithelial neoplasia (vulvar intraepithelial neoplasm)
B. Pan Jide's disease outside the breast (extramammary Paget disease)
C. Malignant melanoma (malignant melanoma)
D. Lichen sclerosus (lichen sclerosus)


Question: Barbiturates, such as thiopental, which is why the main mechanism of action, so that it can produce good sedation?

Answer: Strengthening the role of γ-aminobutyric acid receptor

Choices:
A. Block sodium ion channels (sodium channel blocker)
B. Strengthening the role of γ-aminobutyric acid receptor
C. Inhibition of N-methyl-D-aspartate receptor action
D. Strengthen the role of α2 adrenergic receptor


Question: Mr. Chang has become clear this morning because of sanity was brought outpatient family. In addition to the 70-year-old man with hypertension body has always been tough. Family narrative had a fall due to slippery road to the park early in the morning when the exercise routine about three months ago. At that time the head of a slight abrasions, because consciousness is no problem, immediately got up to walk home on their own. Two months ago, Mr. Chang woke up with a slight headaches in the morning, walking slow down. Nearly a month, Mr. Chang to walk more slowly, sometimes wet his pants. These days often called the wrong name of his wife and children, and sometimes sanity becomes unclear. The most likely diagnosis is:

Answer: Epidural hematoma (subdural hematoma)

Choices:
A. Epidural hematoma (subdural hematoma)
B. Ezihaimo disease (Alzheimer's disease)
C. Concussion (brain concussion)
D. Elderly depression (Depression)


Question: For the "vertical hair muscle (arrector pili muscles)." Narrative Which statement is correct?

Answer: When this muscle contraction, will cause "goose bumps" phenomenon

Choices:
A. Muscle consists of bundled
B. Extending from the epidermis to the hair follicles (hair follicle)
C. When this muscle contraction, will cause "goose bumps" phenomenon
D. Myoepithelial cells (myoepithelial cell) constituted of bundled


Question: From the previous title, this time the diagnosis of patients most likely to:

Answer: Acute cholecystitis

Choices:
A. Duodenal ulcer perforation
B. Intra-abdominal abscess
C. Acute cholecystitis
D. Intestinal obstruction


Question: A king under the guidance of Professor Lin, spent six months writing a paper on children's urinary tract infection, the first contributor to a magazine after the rejection, on the grounds that urine is collected with a standard diagnosis of urinary tract infection in error Professor Lin Jun instructions to a criteria based on reviewers, and fraud data after rewriting papers invested in another well-known magazine, which of the following best practices?

Answer: Declined fraud, A Professor Lin Jun and other magazines try to vote

Choices:
A. If Lin did Corresponding author (person in charge), part of the case of fraud of his responsibility
B. This paper there are other values, some fake harmless
C. Declined fraud, A Professor Lin Jun and other magazines try to vote
D. Personal exit authors of the paper to Professor Lin sole discretion


Question: Narrative about the child foreskin, Which statement is correct?

Answer: At the age of 3, about 90% of children did not receive circumcision natural foreskin can have the opportunity to step down

Choices:
A. In order to prevent cancer, reduce urinary tract infections, it is best for each child are implemented circumcision
B. At the age of 3, about 90% of children did not receive circumcision natural foreskin can have the opportunity to step down
C. Circumcision simple and safe, it will not cause any complications
D. Topical steroids wipe, not effective to circumcision loosened naturally withdrew


Question: In humans, the pig bladder worms (Cysticercus cellulosae) where the most common violations of the following?

Answer: brain

Choices:
A. eye
B. brain
C. Small intestine
D. liver


Question: 11 Which of the following most cases does not result in airway resistance (airway resistance) increase?

Answer: Suction achieve total lung capacity (total lung capacity)

Choices:
A. Suction achieve total lung capacity (total lung capacity)
B. Parasympathetic nervous excitement
C. Reduce lung volume
D. Forced expiratory (forced expiration)


Question: The following description about the alienation of the adrenal white matter disease (Adrenoleukodystrophy), and what's wrong?

Answer: The disease is a kind of autosomal dominant genetic disease (autosomal dominant)

Choices:
A. The disease is a kind of autosomal dominant genetic disease (autosomal dominant)
B. Lauren left oil (Lorenz's oil) can increase blood excessive amount normalize abnormal fatty hexacosanoic acid
C. Lauren left oil (Lorenz's oil) can not make more than six years has produced clinical symptoms of the disease disappear
D. In men asymptomatic carrier gene (gene carrier) symptoms of a bone marrow transplant is not recommended


Question: Which is not an assessment of body dysfunction Richangshenghuo activities (activities of daily living, ADLs) project?

Answer: Preparing food and phone calls

Choices:
A. Bathing and dressing
B. Preparing food and phone calls
C. Move around the room
D. Eating


Question: Which of the following non-pathogenic diseases by arthropods for the media?

Answer: Syphilis (Syphilis)

Choices:
A. Lyme disease (Lyme disease)
B. Syphilis (Syphilis)
C. Rocky Mountain spotted fever (Rocky mountain spotted fever)
D. Typhus (Murine endemic typhus)


Question: 64.54-year-old male with a history of diabetes for many years, travel to Thailand a month, three days before returning to Taiwan, because of fever and cough with sputum two days to the emergency department. Chest X-rays found the right upper lung parenchyma infiltrates large (consolidation), abdominal computed tomography found splenic abscesses, sputum and abscess was discovered by Gram stain spleen drainage are intracellular gram-negative bacilli, which of the following is the patients most likely pathogens?

Answer: Burkholderia pseudomallei

Choices:
A. Pseudomonas aeruginosa
B. Haemophilus influenzae
C. Burkholderia pseudomallei
D. Escherichia coli


Question: The following statements about the disulfide bonds (disulfide bond), and what's wrong?

Answer: Methionine (methionine) side chain sulfur atom may be involved in the formation of disulfide bonds

Choices:
A. Methionine (methionine) side chain sulfur atom may be involved in the formation of disulfide bonds
B. Proteins disulfide bond breakage occurs under the action of a strong reducing agent
C. Disulfide bond in proteins increase the thermal stability of the structure
D. Disulfide bond isomerase (disulfide isomerase) can assist protein folding


Question: Hand about the knuckle fracture end, if there is no displacement (displace), you can use plywood (splint) is fixed, the most appropriate fixed for a few weeks?

Answer: 7-8 weeks

Choices:
A. 1-2 weeks
B. 3-4 weeks
C. 7-8 weeks
D. 9-10 weeks


Question: The following bone remodeling (bone remodeling) of the associated narrative, what's wrong?

Answer: Macrophage bone cells (osteoclast) is derived from differentiated fibroblasts (fibroblast), with multi-core and phagocytosis

Choices:
A. Regulation of extracellular calcium phosphate important balancing machine revolutions
B. Macrophage bone cells (osteoclast) is derived from differentiated fibroblasts (fibroblast), with multi-core and phagocytosis
C. Osteoblasts (osteoblast) for producing a first secrete collagen type
D. Bone remodeling would be the blood concentration of the parathyroid regulated


Question: 37 pregnant women, G1P0, 36 weeks of pregnancy, the blood pressure 180/110 mmHg, receiving ultrasound examination of the following, as shown in FIG. The check is:

Answer: Umbilical artery blood flow velocity waveform

Choices:
A. Umbilical artery blood flow velocity waveform
B. Umbilical vein blood flow velocity waveform
C. Fetal heart tones of the test pressure
D. Check the fetal movement


Question: Which of the following passing between the first neural stem recommended lumbosacral nerve, then through the sciatic foramen to the hips?

Answer: Superior gluteal artery (superior gluteal artery)

Choices:
A. Iliolumbar artery (iliolumbar artery)
B. Superior gluteal artery (superior gluteal artery)
C. Gluteal artery (inferior gluteal artery)
D. Internal pudendal artery (internal pudendal artery)


Question: The following statements about deep vein thrombosis (DVT), and what's wrong?

Answer: Generally occur more frequently in the upper extremity venous

Choices:
A. Suspected DVT, should confirm the diagnosis as soon as possible, as soon as possible to start using anticoagulant therapy
B. DVT patients with D-dimer examination were positive
C. compression ultrasound with Doppler examination can be used as basis for the diagnosis
D. Generally occur more frequently in the upper extremity venous


Question: The following assessment of renal function before and after surgery, whichever is the most sensitive and specific best?

Answer: Creatinine clearance rate (creatinine clearance rate)

Choices:
A. Creatinine clearance rate (creatinine clearance rate)
B. BUN (blood urea nitrogen, BUN)
C. Serum creatinine (creatinine)
D. Forming amount of urine (urine formation)


Question: Dysgerminoma of the following statements about ovarian and what was wrong?

Answer: Occurs in postmenopausal women

Choices:
A. The most common malignant germ cell tumors (malignant germ cell tumor)
B. Occurs in postmenopausal women
C. Than other malignant germ cell tumors are more common on both sides of sexual assault
D. Very sensitive to radiation therapy (radiation therapy)


Question: Which is not a selective serotonin reuptake inhibitors side effects (SSRI) of?

Answer: Rapid rise in blood sugar

Choices:
A. Rapid rise in blood sugar
B. nausea
C. Sexual Dysfunction
D. sleep disorder


Question: Which of the following does not cause low serum ion gap (low anion gap)?

Answer: Hyperphosphatemia (Hyperphosphatemia)

Choices:
A. Lithium salt poisoning (Lithium intoxication)
B. Nephrotic syndrome (Nephrotic syndrome)
C. Hyperphosphatemia (Hyperphosphatemia)
D. High cholesterol (Hyperlipidemia)


Question: A 62-year-old patient, come to the clinic because of lower back pain, found the patient stretched back posture will obviously cause back pain, lower limb weakness on both sides, stamping gait (steppage gait), Which of the following is the most likely to suffer from diseases ?

Answer: Lumbar degenerative arthritis (lumbar spondylosis)

Choices:
C. Twelfth thoracic vertebra compression fractures (compression fracture of T12 spine)
D. Lumbar degenerative arthritis (lumbar spondylosis)


Question: Parkinson's disease were taking levodopa (levodopa) who will agonist (dopamine agonist) Which of the following side effects are likely to occur than those taking dopamine?

Answer: Changes disease (dyskinesia)

Choices:
A. Changes disease (dyskinesia)
B. Limb edema
C. Hallucination (hallucination)
D. Impulse control disorders (impulse control disorder)


Question: Which of the following tapeworm, which length is less than 1 cm in adult parasites:

Answer: Health package tapeworm

Choices:
A. Narrow envelope tapeworm
B. Short envelope tapeworm
C. Health package tapeworm
D. Dog tapeworm complex genitalia


Question: If this check results to invasive squamous cell carcinomas (invasive squamous cell carcinoma), matrix invasion depth of 5 mm, urinary tract photography (IVP) normal and cystoscopy. The patient asked whether to retain fertility, then your answer is:

Answer: Yes, but no lymph nodes or lymphatic vessels to be transferred, feasible to eradicate cervical vaginal surgery (radical vaginal trachealectomy), uterus

Choices:
A. Not, regardless of whether the lymph nodes or lymphatic vessels transferred, subject to the eradication of cervical cancer surgery
B. Not, regardless of whether the lymph nodes or lymphatic vessels transferred shall be subject to radiation therapy
C. Yes, but no lymph nodes or lymphatic vessels to be transferred, feasible to eradicate cervical vaginal surgery (radical vaginal trachealectomy), uterus
D. May be, but should have no vascular or lymphatic metastasis lymph, cervix feasible conical sections, uterus


Question: A 2-year-old boy because congenital CMV (cytomegalovirus) infection has been tracking the boy deafness, and developmental delays situation. The mother was pregnant, worried about the risk of pregnancy the fetus will suffer cytomegalovirus infection. The following statements is wrong?

Answer: This must be isolated from the fetus after birth and their 2-year-old brother

Choices:
A. Mother has cytomegalovirus antibody
B. Mother of cytomegalovirus infection may still be activated
C. This is the chance of fetal infection caused by cytomegalovirus and their 2-year-old brother is not the same clinical symptoms
D. This must be isolated from the fetus after birth and their 2-year-old brother


Question: Surgical intensive care unit after surgery patient, try from the ventilator (weaning) The next morning, the following indicators value, whichever is the least consideration for extubation?

Answer: Rapid shallow breathing index (rapid shallow breathing index)> 105

Choices:
A. Tidal volume (tidal volume)> 5 mL / kg, vital capacity (vital capacity)> 10 mL / kg
B. Rapid shallow breathing index (rapid shallow breathing index)> 105
C. Maximum inspiratory pressure (maximal inspiratory pressure) <- 25 cmH2O
D. Administered FiO2 40 ~ 50% and end expiratory pressure (positive end expiratory pressure) <When 5 cmH2O, measured arterial oxygen saturation (SaO2)> 90%


Question: The most appropriate treatment of upper respiratory tract infection (common cold) Why?

Answer: Symptoms Treatment

Choices:
A. Antiviral drugs
B. Antibacterials (antibiotics)
C. Steroid
D. Symptoms Treatment


Question: A two month-old baby because of the large pyloric stenosis and have repeated vomiting (vomiting), will cause any clinical phenomenon?

Answer: Metabolic alkalosis (metabolic alkalosis)

Choices:
A. Metabolic acidosis (metabolic acidosis)
B. Metabolic alkalosis (metabolic alkalosis)
C. Respiratory acidosis (respiratory acidosis)
D. Respiratory alkalosis (respiratory alkalosis)


Question: Characteristics of Zollinger-Ellison Syndrome Why?

Answer: Gastrin (Gastrin) increases

Choices:
A. Generating pancreatitis
B. Produce gallstones
C. Serotonin secretion (serotonin) increased
D. Gastrin (Gastrin) increases


Question: The following statements is true?

Answer: Leishmania in macrophages of the host to amastigotes (amastigotes) proliferation

Choices:
A. Morphological species usually can identify parasites on the body of Leishmania
B. Allogeneic vaccinated animal diagnostics (xenodiagnosis) used to diagnose a disorder Trichomonas vaginalis
C. Leishmania in macrophages of the host to amastigotes (amastigotes) proliferation
D. 巴西利什曼 protozoan disease of chronic infection, often easily lead to defects in the ear, that the mining rubber workers Ulcer (chiclero ulcer)


Question: A 65-year-old male reason to seek treatment is nearly five or six months, found his own voice becomes hoarse, skin becomes dry, hair is rough, face and swollen eyelids, people get tired very easily, sleep time extension, poor appetite and constipation phenomenon, when his physical examination, blood pressure was 150/100 mmHg, respiratory rate 16 / min, temperature 36 ℃, no beat noise, both normal lung breath sounds, abdominal examination liver no enlargement of the spleen, bowel slower, lower extremity edema, anterior tibial (pretibial edema). When the interrogation and physical examination of patients, which of the following is less likely to occur?

Answer: weight loss

Choices:
A. The patient looks older than his age
B. Memory loss, inability to concentrate less likely to
C. Pulse: 60 min
D. weight loss


Question: When medical personnel blood was stabbed needle, if the patient has less what disease, and the medical staff themselves former No protective antibodies, its blood-borne diseases is the highest probability?

Answer: B hepatitis (Hepatitis B)

Choices:
A. B hepatitis (Hepatitis B)
B. C hepatitis (Hepatitis C)
C. Human immunodeficiency virus (HIV) causes of Zheng Houqun
D. Syphilis (syphilis)


Question: The following information about leukemia and myeloid dysplasia syndrome (myelodysplastic syndrome) of the narrative, what's wrong?

Answer: Marrow dysplasia syndrome is a former leukemia, will develop into leukemia

Choices:
A. The vast majority of chronic myelogenous leukemia (chronic myeloid leukemia, CML) can detect the Philadelphia chromosome (Philadelphia
B. Acute leukemias (acute leukemia) is a simple change in the meristem plant because the outer stem cell proliferation, the differentiation disorder involving multiple
C. CML is one kind of plant proliferation of myeloid stem cells
D. Marrow dysplasia syndrome is a former leukemia, will develop into leukemia


Question: 28-year-old Mr. Zhang car accidentally crashed, resulting in the left leg tibia fractures accepted cast immobilization in the hospital, home, left lower limb pain and paresthesia, he returned to the emergency room for medical treatment, following what kind of treatment the first to be executed?

Answer: Cut plaster

Choices:
A. Fixation surgery
B. Fasciotomy
C. Cut plaster
D. Ice relieve pain