Question: Patients after heart transplantation, in a short time after strenuous exercise, one of the following parameters that change less obvious?

Answer: Heart rate (heart rate)

Choices:
A. Heart rate (heart rate)
B. Cardiac output (cardiac output)
C. Cardiac output (stroke volume)
D. Oxygen consumption (O2 consumption)


Question: Plymouth sub disease protein (Prion protein) infection in humans is caused by:

Answer: CJD (Creutzfeldt-Jakob disease)

Choices:
A. 狂牛症（Bovine spongiform encephalopathy）
B. Scratch disease of sheep (Scrapie)
C. CJD (Creutzfeldt-Jakob disease)
D. Ezihaimo disease (Alzheimer's disease)


Question: Mental State Examination related impulse (impulsivity) assessment, which of the following error?

Answer: Personality disorders do not have poor impulse control symptoms

Choices:
A. Impulse assessment included the sexual impulse, the impulse to attack, and other impulse control
B. Personality disorders do not have poor impulse control symptoms
C. Impulsive assessment must confirm that the patient has social relevance of behavior (socially approriate behavior) the ability to perceive
D. Impulse is to assess the potential danger to themselves and others assess the patient caused


Question: And testicles Seminoma same pathological forms of ovarian tumors known as:

Answer: Dysgerminoma

Choices:
A. Sertoli-Leydig cell tumor
B. Brenner tumor
C. Yolk sac tumor
D. Dysgerminoma


Question: The main cause of death in end stage renal disease receiving long-term dialysis treatment the patient is which of the following?

Answer: Cardiovascular diseases

Choices:
A. Malignancies
B. Cardiovascular diseases
C. Central nervous system diseases
D. infection


Question: Account of physiological and psychological social model (biopsychosocial models), and Which statement is correct?

Answer: Physical level include environmental factors affect the physiological function of

Choices:
A. Physical level include environmental factors affect the physiological function of
B. Psychological contain genes and disease history
C. Emotional and social level will contain
D. The social dimension includes personality traits and coping styles (coping style)


Question: Smooth muscle of the following statements about, what's wrong?

Answer: dense body present in the nucleus

Choices:
A. Has the ability to split the life
B. thin actin-containing filament participate systolic function
C. By sliding filament mechanism involved in systolic function
D. dense body present in the nucleus


Question: 41 treated patients with fever, should generally cause a fever (infection, immune diseases, etc.) remedy, should not only be given fever treatment. But in the following which patients with fever, fever disposal is helpful?

Answer: \ All of the above

Choices:
A. Children with a history of febrile seizure
B. Pregnant women pregnant within 3 months
C. Heart, lungs or central nervous system dysfunction
D. \ All of the above


Question: Department of Health to strengthen chronic disease screening, to promote the "three high plan" does not include which of the following?

Answer: Uric acid

Choices:
A. blood pressure
B. blood sugar
C. cholesterol
D. Uric acid


Question: 50-year-old woman, two years ago, but had to accept the right of mastectomy for breast cancer, thoracic surgery scar on the right edge of the recently presented more than pieces of small tumors, following which deal with the most appropriate?

Answer: Tumor biopsy

Choices:
A. Radiotherapy
B. Chemotherapy
C. Tumor biopsy
D. Tumor ultrasonography


Question: Mr. Wang, 62 years old, bloody stool and to the emergency room for treatment, the hospital when lying on the bed heartbeat is 110 beats per minute, blood pressure of 120/60 mmHg, DRE examination revealed a blood-like red. After initial assessment and disposal, Mr. Wang accepted nasogastric tube insertion, rinse, but no abnormalities were found. In this process, a large number of Wang and defecation of blood will, by infusion of 1500 ml of physiological saline intravenous infusion, but the heart rate is 130 per minute, the blood pressure of 90/60 mmHg. At this point Mr. Wang priority given to accepting Which of the following inspection or disposal?

Answer: Abdominal angiography examination

Choices:
A. gastroscopy
B. Abdominal computed tomography
C. Nuclear Medicine Technetium-99m RBC scan
D. Abdominal angiography examination


Question: Which of the following physiological monitoring instruments can not measure cardiac output or ejection fraction?

Answer: ECG（electrocardiography）

Choices:
A. pulse-induced contour cardiac output（PiCCO）
B. transesophageal echocardiogram（TEE）
C. pulmonary artery catheter
D. ECG（electrocardiography）


Question: The following related thyroglossal duct cyst (thyroglossal duct cyst) of the narrative, what's wrong?

Answer: Papillary carcinoma does not occur

Choices:
A. In the central neck growth
B. Papillary carcinoma does not occur
C. Sometimes bacterial infection
D. To the central hyoid bone resection surgery


Question: Dysmenorrhea women's menstrual blood, which of the following more content?

Answer: Prostaglandin (prostaglandin)

Choices:
A. Prostaglandin (prostaglandin)
B. Progesterone (progesterone)
C. Vasopressin (vasopressin was)
D. Estrogen (estrogen)


Question: The inner edge of the shoulder blades back turned, not close to the chest wall, this phenomenon is most likely prompted by the damage which of the following?

Answer: Serratus anterior muscle (serratus anterior)

Choices:
A. Serratus anterior muscle (serratus anterior)
B. Hasukatahada (trapezius)
C. Big rhomboid muscle (rhomboid major)
D. Levator scapulae (levator scapulae)


Question: Vancomycin is a methicillin-resistant staphylococcal infection (MRSI) of the drug of choice, and bacteriostatic machine rotation about which of the following, thereby inhibiting the generation of the bacterial cell wall?

Answer: And bacterial cell wall components dextran peptide chain on a combination of (peptidoglycan) D-alanin-D-alanin (D-Ala-D-Ala)

Choices:
A. Inhibition of bacterial transpeptidase
B. And bacterial cell wall components dextran peptide chain on a combination of (peptidoglycan) D-alanin-D-alanin (D-Ala-D-Ala)
C. Generating material required to inhibit cell wall synthesis of D-Ala
D. Inhibition of dephosphorylation of the plasma membrane lipid soluble carrier bactoprenol


Question: Which of the following is not a characteristic of botulism food poisoning it?

Answer: Is a Gram-negative

Choices:
A. There may be heat Bacillus
B. Invasion of the nervous system
C. Death rate of 55-75%
D. Is a Gram-negative


Question: A 70-year-old male patient, suffering from high blood pressure five years, and continued outpatient treatment. Physician administered drugs furosemide 20 mg per day, and enalapril 10 mg per day. Since the patient was feeling dizziness, weakness, palpitations, signed by outpatient hospital care of you. After seeing the electrocardiogram clinics (such as photos), the next step you most need to arrange inspection, examination or treatment is that one?

Answer: Check electrolytes including potassium and magnesium

Choices:
A. Check electrolytes including potassium and magnesium
B. Arrange Holter monitoring
C. I.V. furosemide
D. Arrange coronary angiogram


Question: A 26-year-old patient was diagnosed with acute lymphoblastic leukemia, which is the Philadelphia chromosome-positive. After induction (induction) chemotherapy to achieve complete remission. At this time, the best approach for treatment:

Answer: Looking for consistency of donor HLA, and ready to do allogeneic hematopoietic stem cell transplantation

Choices:
A. Looking for consistency of donor HLA, and ready to do allogeneic hematopoietic stem cell transplantation
B. Continue to consolidate and strengthen the chemical treatment, followed by further maintenance chemotherapy
C. Can switch to oral tyrosine kinase inhibitor imatinib do maintenance treatment
D. To stop treatment, but need to continue tracking


Question: Which is not an osteoporosis (osteoporosis) risk factors?

Answer: BMI (body mass index) is between 22 and 24 kg / m ^

Choices:
A. Excessive alcohol drinking
B. Smoke
C. BMI (body mass index) is between 22 and 24 kg / m ^
D. Parents have a history of hip fracture


Question: A six-month boy with large by their parents to out-patient clinics have complained at birth from atopic dermatitis, easy nosebleeds, laboratory examination revealed a low platelet count, which of the following error?

Answer: Peripheral blood smear visible larger platelets

Choices:
A. Peripheral blood smear visible larger platelets
B. Is a sex-linked recessive inheritance (X-linked recessive)
C. Sick children often have repeated infections of the skin, the lungs or the middle ear
D. Humoral immune response of the patient (humoral immune response) is defective, and the common low IgM IgA, IgE increased


Question: Erb's palsy (Erb's palsy) in the newborn, upper limb posture which often presents?

Answer: Elbow straight (extension), forearm pronation (pronation), wrist flexion (flexion)

Choices:
A. Elbow straight (extension), forearm supination (supination), wrist flexion (flexion)
B. Elbow flexion (flexion), forearm supination (supination), wrist dorsiflexion (extension)
C. Elbow straight (extension), forearm pronation (pronation), wrist flexion (flexion)
D. Elbow flexion (flexion), forearm pronation (pronation), wrist dorsiflexion (extension)


Question: Which of the following is located within skeletal muscle, the main function is to store calcium ions to control muscle contraction?

Answer: Sarcoplasmic reticulum (sarcoplasmic reticulum)

Choices:
A. Sarcoplasmic reticulum (sarcoplasmic reticulum)
B. Rough endoplasmic reticulum (rough endoplasmic reticulum) -
C. High substrate's body (Golgi apparatus)
D. Lysosomes (lysosome)


Question: Care long emergency room received a phone call orthopedic physician on duty, said that because no orthopedic inpatient beds, and this evening as long as the fracture patients do not want them to register, call themselves directly to another hospital for treatment, care long uncertain whether this is correct, it is critical to ask if patients do? The physician replied that it is for him to go quickly, so the argument, right?

Answer: Not, in accordance with Article 73 Medical Act, emergency patients be thoroughly appropriate first aid, before they can be referred

Choices:
A. Yes, in accordance with the provisions of health care law, patients have not registered will not be considered
B. Yes, because there is no way disposal after registration, can help patients save money
C. Not, in accordance with Article 73 Medical Act, emergency patients be thoroughly appropriate first aid, before they can be referred
D. No, according to the provisions of Article 73 medical law, can not be critical patient referral


Question: 35 young women, outside the left breast, the areola from 3 centimeters, tumor size 1 cm × 1 cm, preoperative Cuzhen sections (core biopsy) pathologically confirmed invasive duct adenocarcinomas, armpit lymph nodes of non-touch, then which of the following surgical method is the most appropriate?

Answer: Breast partial resection (partial mastectomy) + surgery sentinel lymph node (sentinel node biopsy)

Choices:
A. Eradication improved breast resection (modified radical mastectomy)
B. Breast-conserving surgery (breast conserving surgery)
C. Breast partial resection (partial mastectomy)
D. Breast partial resection (partial mastectomy) + surgery sentinel lymph node (sentinel node biopsy)


Question: The following viral DNA which may be present in Kaposi's sarcoma (Kaposi's sarcoma) in the tumor tissue, and displays the generated the related sarcoma?

Answer: human herpesvirus 8（Kaposi's sarcoma-associated herpesvirus）

Choices:
A. cytomegalovirus
B. human papilloma virus
C. human immunodeficiency virus
D. human herpesvirus 8（Kaposi's sarcoma-associated herpesvirus）


Question: For screening measures common endocrine diseases, what's wrong?

Answer: Multivesicular ovary syndrome - measured estradiol, progesterone

Choices:
A. Low energy thyroid disease - measuring TSH
B. Multivesicular ovary syndrome - measured estradiol, progesterone
C. Erectile disability - measured promote milk hormone, testosterone
D. Geleiruifu's disease - test Free T4, TSH


Question: Between those two hormones secreted following are positive feedback regulation?

Answer: Preovulatory estrogen (Estrogen) and luteinizing hormone (LH)

Choices:
A. Parathyroid hormone and calcitonin
B. Preovulatory estrogen (Estrogen) and luteinizing hormone (LH)
C. Progesterone (progesterone) and follicle stimulating hormone (FSH)
D. Cortisol (Cortisol) and adrenocorticotropic hormone (ACTH)


Question: Childbirth, which of the following derived from umbilical cord blood outflow slit connecting an end of the placenta?

Answer: Fetal arterial and venous blood

Choices:
A. Fetal arterial and venous blood
B. Maternal and fetal arterial venous blood
C. Maternal fetal arterial and venous blood
D. Fetal and maternal arterial and venous blood


Question: Mr. Gao's wife observed Mr. Gao middle of the night out of the door, open the refrigerator and even access to food, family cries failed to wake the next morning Mr. Gao can not remember these things, this happens at that stage of sleep ?

Answer: Non rapid eye movement third, four (non-REM, stages III & IV)

Choices:
A. Non-rapid eye movement phase of the first (non-REM, stage I)
B. Non-rapid eye movement in a second phase (non-REM, stage II)
C. Non rapid eye movement third, four (non-REM, stages III & IV)
D. Rapid eye movement (REM)


Question: Which of the following has nothing to do with acute head trauma (traumatic brain injury) the prognosis?

Answer: BMI (body mass index, BMI)

Choices:
A. Age (age)
B. Duration of coma (duration of coma)
C. Amnesia the length of time (duration of posttraumatic amnesia)
D. BMI (body mass index, BMI)


Question: Account of colorectal puncture wounds (penetrating colorectal injury) is, which of the following error?

Answer: All patients accompanied in the mesenteric vascular injury repair can be carried out directly (primary repair)

Choices:
A. Mechanisms of injury treatment of colorectal puncture wounds must be considered, the time delay between surgery after the injury, the patient's peritoneal cavity of infected extent
B. Direct repair (primary repair) applies only puncture wounds and injuries and vital signs stable patients with a lesser degree of infection
C. All patients accompanied in the mesenteric vascular injury repair can be carried out directly (primary repair)
D. Rectal direct puncture wound repair (primary repair) than puncture wounds difficult to repair large intestine, rectum and most of puncture wounds are accompanied by a considerable degree of infection, and therefore often need artificial anus to help cure


Question: 8017-year-old Xiao Ru because of intermittent fever, cough a few weeks, weight loss, easy fatigue, and live to the hospital for a series of checks, and finally confirmed Xiao Ru suffering from malignant lymphoma. Xiao Ru's parents asked doctors not to let her know this diagnosis, telling her suffering from pneumonia. The following describes what the most appropriate?

Answer: Still need to ascertain the ability and willingness of the attending physician Xiao Ru, and carried out in conjunction with social workers association, family

Choices:
A. Xiao Ru physicians should understand their parents pains to help conceal Xiao Ru illness
B. Xiao Ru minor, it can not participate in the discussion of her treatment plan
C. Still need to ascertain the ability and willingness of the attending physician Xiao Ru, and carried out in conjunction with social workers association, family
D. Physicians should not deceive patients can ask her means of referral, the physician informed parental consent Xiao Ru Xiao Ru her condition


Question: For pancreatic cancer the following description, what's not appropriate?

Answer: Pancreas pancreatic cancer occurs in the body portion, followed by the head and back at the groove (uncinate process) or pancreatic tail; prognosis and tumor stage at diagnosis most relevant

Choices:
A. Pancreas pancreatic cancer occurs in the body portion, followed by the head and back at the groove (uncinate process) or pancreatic tail; prognosis and tumor stage at diagnosis most relevant
B. Multi-layered thin slice CT is a diagnostic tool best meets-effective, can help diagnose whether there is metastasis and whether surgery
C. And other malignant tumors compared to surrounding ampulla, pancreatic cancer prognosis is generally poor compared with the same period as other malignancies
D. Diagnostic laparoscopy can help determine whether a malignant ascites or peritoneal metastasis, can be removed for sure whether the patient is recommended


Question: When the DNA of prokaryotes by a large number of DNA damage repair, production must repair (repair) related to the protein, this time following what proteins are broken down in order to start the repair protein gene transcription?

Answer: LexA

Choices:
A. RecA
B. LexA
C. Uwra
D. Lac repressor


Question: A 67-year-old retired farmer the past five years, gradually feel difficulty in breathing during exercise, the high-resolution computed tomography (HRCT) examination, diagnosis of interstitial pulmonary fibrosis (interstitial lung fibrosis). The following statements is wrong?

Answer: DLCO (CO diffusing capacity, DLCO) usually reduce, but DLCO / VA (alveolar ventilation) is normal

Choices:
A. Autoimmune disease probability or sarcoidosis (sarcoidosis) caused less
B. Lung function abnormalities include: FVC, FEV1 decreased, FEV1 / FVC near normal, and decreased TLC
C. Motion changes in lung function as prognostic
D. DLCO (CO diffusing capacity, DLCO) usually reduce, but DLCO / VA (alveolar ventilation) is normal


Question: Pharmacological characteristics of the non-depolarized muscle relaxants (Non-depolarizing muscle relaxants), He erroneously?

Answer: Patients combined use of inhaled anesthetics will increase demand dose of the drug

Choices:
A. Low body temperature (Hypothermia) to extend its duration of action
B. Respiratory acidosis (Respiratory acidosis) which blocks the effect of strengthening
C. Hypocalcemia (hypocalcemia) which blocks the effect of strengthening
D. Patients combined use of inhaled anesthetics will increase demand dose of the drug


Question: An obese 13-year-old boy, nearly two months to feel left lower limb weakness and limp after exercise, physical education after the long jump, left groin occurred this morning intense pain, unable to stand and walk, what kind of disease he is most likely to occur?

Answer: slipped capital femoral epiphysis

Choices:
A. femoral neck fracture
B. transient synovitis
C. septic hip
D. slipped capital femoral epiphysis


Question: A 48-year-old man, before there is no obvious high blood pressure, he has a long-term drinking habits, difficulty breathing recently sat his gradual emergence of symptoms and breathing, physical examination blood pressure 118/72 mmHg, regular heartbeat 114 / min, the jugular vein expanding the base of the lungs can hear rales, heart can be heard S3, chest X-ray showed a moderate expansion of the shadow of heart, lungs mild hydrocephalus, ECG low potential and left atrial enlargement, the most likely diagnosis is:

Answer: Dilated cardiomyopathy

Choices:
A. Coronary heart disease
B. Water pericardial sac disease
C. Dilated cardiomyopathy
D. Hypertrophic cardiomyopathy


Question: Which of the following elements nerve conduction disorders, generally considered to be Azihaimo disease (Alzheimer's disease) the main cause?

Answer: Acetylcholine (acetylcholine)

Choices:
A. Dopamine (dopamine)
B. Acetylcholine (acetylcholine)
C. Serotonin (serotonin)
D. Substance P (substance P)


Question: A 30-year-old woman who two weeks with fever, lower abdominal pain and vaginal secretions and other medical symptoms, pelvic examination revealed the presence of a lump at the right ovary, laparoscopic examination revealed the right ovary and fallopian tube to form a 6 cm thick red inflammatory mass. Which of the following most associated with this disease?

Answer: Chlamydia trachomatis

Choices:
A. Candida albicans
B. Chlamydia trachomatis
C. Herpes simplex virus
D. Trichomonas vaginalis


Question: Main steroidogenic acute regulatory protein function (steroidogenic acute regulatory protein) to promote:

Answer: Cholesterol into the mitochondria membrane in vivo

Choices:
A. Cholesterol into the mitochondria membrane in vivo
B. Cholesterol into the adrenal medulla
C. Cholesterol and low-density lipoprotein (LDL) in conjunction with
D. Generation of cholesterol in the liver


Question: Which is not an anti-Clinical Use of metronidazole way ⽣ vegetarian?

Answer: Trichomonas vaginalis (T. vaginalis) cause of infection

Choices:
A. Intraperitoneal anaerobic infections, for example:
B. difficile infection
C. Trichomonas vaginalis (T. vaginalis) cause of infection
D. Gonorrhea meningitidis (N. gonorrhoeae) infections caused


Question: 32-year-old woman nearly two months menstrual cycle disorders, cramps twice a month but by the blood rarely, Tizhongzengjia 3 kg, an increase in the face of hair found under ultrasound ovarian cystic follicles there are many on both sides. About this disease, the following statements is wrong?

Answer: Histological examination of the main phenomenological stromal hyperthecosis

Choices:
A. History Leier Shi, also known as syndrome (Stein-Leventhal syndrome)
B. Histological examination of the main phenomenological stromal hyperthecosis
C. Secrete excess androgen
D. And as type II diabetes associated with insulin resistance


Question: Whichever of the following drugs at the same time inhibit Cholesterol side-chain-cleaving enzyme capacity and Aromatase of?

Answer: Aminoglutethimide

Choices:
A. Aminoglutethimide
B. Raloxifene
C. Clomiphene
D. Mifepristone 71 about the side effects of lipid-lowering drugs statins may be incurred in clinical use, which of the following error?


Question: The tap water disinfection by-product, together with the chlorine produced mainly with the following materials is what kind of action?

Answer: Organics

Choices:
A. Organics
B. arsenic
C. lead
D. Nitrate


Question: Heart disease and poor left ventricular function in patients with the movement of the train, which of the following most inappropriate?

Answer: Motion resistance (resistance exercise)

Choices:
A. Lower limb rhythmic movement
B. Motion resistance (resistance exercise)
C. Aerobic exercise
D. Movement of large muscle groups


Question: A 20-year-old woman on the Internet to buy a bottle of exfoliating lotion, claiming that daily spread on the face can make skin smooth and whitening effect, the following description of the stratum corneum, what's wrong?

Answer: Cuticle has been non-functional, can beautify the skin, remove horny

Choices:
A. Located in the outermost layer of the stratum corneum of the skin, normal skin has a natural mechanism of shedding
B. Stratum corneum cells lack a nucleus
C. Cuticle has been non-functional, can beautify the skin, remove horny
D. The stratum corneum extracellular space containing moisturizing ingredients


Question: If patients with overactive bladder (overactive bladder), following which treatment should be the first to be adopted?

Answer: Behavioral therapy (behavioral modification)

Choices:
A. Anticholinergic drugs (anticholinergic medications)
B. Behavioral therapy (behavioral modification)
C. a-agonist medications
D. Transvaginal electrical stimulation (electric stimulation)


Question: 6 A 50-year-old woman was found to have abnormal blood relative, which heme is 13 gm / dL, white blood cell count was 25,500 / μL, classified as follows: blast 5%, myelocyte 4%, metamyelocyte 7.5%, band 17%, segmented neutrophil 54.5%, monocyte 2.5%, lymphocyte 8%, basophil 2.5%, eosinophil 1.5%, platelet count of 445,000 / μL; points leukocyte alkaline phosphatase (LAP score) 12. This patient is most likely to get the disease are:

Answer: Chronic myeloid leukemia

Choices:
A. Metastatic carcinoma
B. Systemic infection
C. Chronic myeloid leukemia
D. Acute myeloid leukemia


Question: After piercing the skin lesions appear gradually grow up as shown in the earlobe, Which of the following is the most likely diagnosis?

Answer: Keloid (keloid)

Choices:
A. Pyogenic granuloma (pyogenic granuloma)
B. Keloid (keloid)
C. Epithelial cysts (epidermal inclusion cyst)
D. Skin fibroma (dermatofibroma)


Question: Estradiol adolescent girls (estradiol), mainly from:

Answer: Ovary

Choices:
A. Ovary
B. fat
C. liver
D. Adrenal


Question: About the description of the clinical application of echocardiography following, what's wrong?

Answer: Cardiac ultrasonography is not easy to detect pericardial water

Choices:
A. Cardiac ultrasonography is not easy to detect pericardial water
B. M-mode ultrasound is often used to measure the size of the left ventricle
C. Two-dimensional ultrasound used to examine the various facets of cardiac anomalies
D. Doppler ultrasound Commonly used to check blood flow changes


Question: He could not help ureter following arterial supply?

Answer: Celiac artery

Choices:
A. Renal artery
B. Testicular or ovarian artery
C. Celiac artery
D. External iliac artery


Question: 52. Which of the following immunosuppressive agents can be used for coating of coronary stents, by means of which to combat the effect of inhibiting cell proliferation of restenosis after coronary artery (restenosis)?

Answer: sirolimus（rapamycin）

Choices:
A. cyclosporine
B. tacrolimus（FK 506）
C. sirolimus（rapamycin）
D. azathioprine


Question: Of the following statements about breast-feeding, what's wrong?

Answer: Breast-feeding should be fed every four hours law

Choices:
A. Breast-feeding a baby's stool softer than the thin
B. Breast-feeding should be fed every four hours law
C. Hepatitis B still breast-feeding mothers with primary
D. Breast-feeding the baby after birth also need to be given a vitamin K1


Question: When we are faced with the pressure of the following is the most buffer pressure (stress-buffering) function?

Answer: social support

Choices:
A. Self-efficacy
B. Model model
C. social support
D. Self-energizing


Question: Anti-epileptic drugs, which of the following mechanism of action and block sodium ions conduit connection having the least resistance?

Answer: levetiracetam

Choices:
A. phenytoin
B. carbamazepine
C. lamotrigine
D. levetiracetam


Question: Most congenital metabolic disorders (inborn errors of metabolism) with autosomal recessive manner inherited (autosomal recessive inheritance), but there are a few exceptions to sex-linked recessive mode (X-linked recessive) genetic, for example?

Answer: Glucose-6-phosphate dehydrogenase (glucose-6-phosphate dehydrogenase) deficiency

Choices:
A. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
B. The first type glycogen storage disease (glycogen storage disease I, von Gierke disease)
C. Mucopolysaccharidosis type I (mucopolysaccharidosis I, Hurler syndrome)
D. Glucose-6-phosphate dehydrogenase (glucose-6-phosphate dehydrogenase) deficiency


Question: A 50-year-old male patient suffering from chronic kidney disease for eight years, one month before serum creatinine (creatinine) was 3.0 mg / dL is due to poor health and treatment, found that blood serum creatinine 6.0 mg / dL, potassium (K ) 7.2 mmol / L, ECG presentation (duration) extended periods of high and pointed T wave and QRS change, the following statements is wrong?

Answer: Oral administration of magnesium oxide

Choices:
A. Oral administration of the potassium ion-exchange resin (potassium exchange resin)
B. Intravenous administration of sodium bicarbonate
C. Oral administration of magnesium oxide
D. Emergency hemodialysis treatment


Question: The following is most likely that a disease?

Answer: Rheumatic heart disease, mitral stenosis

Choices:
A. Rheumatic heart disease, mitral stenosis
B. Rheumatic heart disease, aortic regurgitation
C. Right ventricular myxoma
D. Coronary artery disease, mitral valve regurgitation


Question: From the previous question, the most reasonable intravenous infusion disposal Why?

Answer: Administered intravenously in 0.9% physiological saline (N / S)

Choices:
A. Administered intravenously 0.45% physiological saline (1 / 2S)
B. Intravenously administered 5% dextrose water (5% glucose water)
C. Administered intravenously in 0.9% physiological saline (N / S)
D. Given intravenous physiological saline + 0.45% 5% dextrose in water (D5 1 / 2S)


Question: A large eight-month healthy baby boy, sudden intermittent crying, vomiting, and solving bloody mucus, the most likely diagnosis is:

Answer: Intussusception (intussusception)

Choices:
A. Acute gastroenteritis (acute gastroenteritis)
B. Intestinal torsion insufficiency (malrotation)
C. Intussusception (intussusception)
D. Inguinal hernia (inguinal hernia)


Question: The following drug administration that pregnant women may cause fetal ductus arteriosus (ductus arteriosus) of early atresia?

Answer: indomethacin

Choices:
A. chloramphenicol
B. cimetidine
C. indomethacin
D. ritodrine 52 most common type of ovarian cancer are:


Question: From the previous question, may I ask what's wrong disposal of the following?

Answer: Give more support to treat viral infections

Choices:
A. Possible obstruction of the upper respiratory tract, respiratory tract, such as the need to establish as soon as possible endotracheal intubation
B. This disease can first be given appropriate antibiotic
C. Give more support to treat viral infections
D. Try to make sick children to remain calm and avoid violent crying


Question: Chen ENT physician in a hospital when engaged in clinical research, for convenience, collected surgery the way a patient's blood sample and keep the patient as experimental analysis later use, his patients do not know this situation, when the study submission, journal editor requirements prove Chen, MD, informed consent of the patient, Dr. Chen proposed the delay, I ask Dr. Chen was a violation of the norms of international declarations?

Answer: Helsinki Declaration

Choices:
A. Geneva Declaration
B. Helsinki Declaration
C. Tokyo Declaration
D. Washington Declaration


Question: A 40-year-old woman, complained of the phenomenon of hair loss, scalp examination revealed changes have Figure A, the skin biopsy pathology presented by B, the description of the patient's condition, Which statement is correct?

Answer: After controlling inflammation, hair can not grow back

Choices:
A. After controlling inflammation, hair can not grow back
B. The sun does not worsen the condition
C. Most final illness patients systemic lupus erythematosus
D. Often associated nephropathy


Question: Which of the following minimum seen in Genesis gynecomastia (gynecomastia) it?

Answer: Trauma (trauma)

Choices:
A. Lack of male hormone (androgen deficiency)
B. Endocrine defects (endocrine defects)
C. Drugs (drugs)
D. Trauma (trauma)


Question: Urinary bladder and urethra angiography (voiding cystourethrography) has found that patients backflow from the bladder to the side of the developer pelvis and ureter, renal pelvis and a slight expansion, such as vesicoureteral backflow of urine several times?

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


Question: 65-year-old man, from six months ago in the head, torso, limbs many in Figure A, B, red patches, merge erosion (erosion), scab (crust), scaling, no lesions in the mouth, skin sections C, the direct immunofluorescence examination, found that IgG is deposited in the epidermis Figure D, the patient most likely diagnosis is:

Answer: Deciduous pemphigus (pemphigus foliaceus)

Choices:
A. Herpes-like skin inflammation (dermatitis herpetiformis)
B. Pemphigus vulgaris (pemphigus vulgaris)
C. Pemphigoid (bullous pemphigoid)
D. Deciduous pemphigus (pemphigus foliaceus)


Question: Central nervous system, the cerebrospinal fluid may be generated (cerebrospinal fluid) is:

Answer: Plexus membrane envelope (choroid plexus)

Choices:
A. Plexus membrane envelope (choroid plexus)
B. Stellate glia (astrocytes)
C. Arachnoid granules (arachnoid granulations)
D. Neuropilin (neuropils)


Question: Genotype B lymphocyte antibody variable region (variable region) recombinant (recombination), the process that occurs in these organs?

Answer: marrow

Choices:
A. Thymus
B. marrow
C. spleen
D. Gut-associated lymphoid tissue


Question: Parathyroid adenomas and hyperparathyroidism surgery, preoperative localization in what is the most effective option?

Answer: MIBI scan (sestamibi scan)

Choices:
A. Ultrasound (ultrasound)
B. MIBI scan (sestamibi scan)
C. Positron (PET) scan
D. Nuclear Magnetic Resonance (MRI)


Question: The following rotary cuff (rotator cuff) muscle, whichever is able to internal rotation arm?

Answer: Thorn under the skin (infraspinatus)

Choices:
A. Thorn under the skin (infraspinatus)
B. Thorn on the skin (supraspinatus)
C. Subscapularis muscle (subscapularis)
D. Teres minor (teres minor)


Question: Currently exist to confirm the diagnosis with vigor, but very poor quality of life and prognosis of congenital anomalies of newborn babies, most of the medical community consensus can not agree to give first aid measures, which of the following is not included?

Answer: Trisomy 21

Choices:
A. Trisomy 13
B. Trisomy 18
C. Trisomy 21
D. Anencephaly


Question: 49 year old man with liver cirrhosis large right pleural effusion, already present one week after 32Fr chest tube insertion, the release of 2,200 ml of straw-colored fluid. A few minutes later, the patient becomes dyspnea and anxiety. The most likely reason why?

Answer: Re-expansion pulmonary edema (re-expansion pulmonary edema)

Choices:
A. Pulmonary embolism (pulmonary embolism)
B. Re-expansion pulmonary edema (re-expansion pulmonary edema)
C. Severe wound pain
D. Chest tube inserted into the lung


Question: The following statements about the lymph nodes (lymph node), and what's wrong?

Answer: Stent lymph nodes mainly composed of elastic fibers (elastic fiber)

Choices:
A. Lymph nodes with fibrous capsule is (Capsule)
B. Stent lymph nodes mainly composed of elastic fibers (elastic fiber)
C. Lymph node which convex surface (Convex) lymphatic input (afferent lymph vessels) into the
D. Lymph node parenchyma (parenchyma) is divided into cortex (cortex) and medulla (medulla)


Question: 4. Sonic in the order of conducting human ear, Which statement is correct? ①tympanic membrane ②middle-ear bones ③round window membrane ④basilar membrane ⑤oval window membrane

Answer: ①②⑤④③

Choices:
A. ①②③④⑤
B. ②①④③⑤
C. ①②③⑤④
D. ①②⑤④③


Question: The following related dysphagia (dysphagia) of the narrative, whichever is most incorrect?

Answer: Patients with unilateral stroke side of the oral cavity and pharynx normal, it will not happen dysphagia

Choices:
A. Aspiration pneumonia often occurs in patients with dysphagia
B. Dysphagia stroke patients, their general poor functional activities
C. Patients with unilateral stroke side of the oral cavity and pharynx normal, it will not happen dysphagia
D. Dysphagia patients often occurs in a brain stem stroke (brain-stem stroke) of


Question: 70 year-old male, three months in the trunk, limbs taut A of FIG blisters (tense bullae), combined erosion (erosion) and crust formation (Crust) a. Blisters do physician skin biopsy taken by B, while doing direct immunofluorescence examination (direct immunofluorescence test) was found in the dermal-epidermal junction (dermo-epidermal junction) has linear IgG and C3 deposition C. FIG. The most likely diagnosis is:

Answer: Pemphigoid (bullous pemphigoid)

Choices:
A. Pemphigus vulgaris (pemphigus vulgaris)
B. Herpes-like skin inflammation (dermatitis herpetiformis)
C. Pemphigoid (bullous pemphigoid)
D. Deciduous pemphigus (pemphigus foliaceus)


Question: Using the upper respiratory tract tumors profit transfer color immunohistochemistry, tumor cells were found to exhibit synaptophysin and chromogranin antigen, Which of the following is the most likely diagnosis?

Answer: ⺟ germ cell cancer olfactory nerve (olfactory neuroblastoma)

Choices:
A. ⿐ pharyngeal carcinoma ⽪
B. ⺟ germ cell cancer olfactory nerve (olfactory neuroblastoma)
C. ⽪ the larynx carcinoma
D. NUT midline carcinoma (NUT midline carcinoma)


Question: Mesenteric lymph nodes (superior mesenteric lymph nodes), are least likely to be the self-draining lymph where the following?

Answer: Pancreas and lymph nodes (pancreaticosplenic lymph node)

Choices:
A. Pancreas and lymph nodes (pancreaticosplenic lymph node)
B. Mesenteric lymph nodes (mesenteric lymph node)
C. Colonic intestinal lymph node (middle colic lymph node)
D. Intestinal lymph nodes (juxta-intestinal lymph node)


Question: Which of the following does not belong to keratoconus (keratoconus) clinical signs?

Answer: Kayser-Fleischer ring

Choices:
A. Munson's sign
B. Highly irregular astigmatism
C. Kayser-Fleischer ring
D. Corneal acute hydrocephalus (acute hydrops)


Question: High mother took just over 11 months before the child's point of view cough and runny nose, asking vaccination for the high-brother of high mother, on the advice of the Ministry of Health and Welfare National Health Department, high-brother should have accepted those following vaccination? ① BCG ②B hepatitis ③ diphtheria tetanus pertussis vaccine polio oral vaccine ④ ⑤ ⑥ varicella vaccine measles mumps rubella combined vaccine ⑦ ⑧ Japanese encephalitis vaccine reduction diphtheria-tetanus combined vaccine?

Answer: ①②③④

Choices:
A. ③④⑤⑥⑦
B. ①②③④
C. ①③④⑤⑥
D. ①②⑤⑧


Question:
70
 Histamine H1- histamine receptor antagonist used to treat these diseases, except for whichever?

Answer: Gastric ulcer

Choices:
A. Motion sickness, seasickness
B. Allergic rhinitis
C. Urticaria
D. Gastric ulcer


Question: No patient in Taiwan, liver and gallbladder diseases, such as suffering from primary liver abscess, the most likely pathogens are:

Answer: Klebsiella pneumoniae (Klebsiella pneumoniae)

Choices:
A. Staphylococcus aureus (staphylococcus aureus)
B. Group A streptococci (group A streptococcus)
C. Escherichia coli (E. coli)
D. Klebsiella pneumoniae (Klebsiella pneumoniae)


Question: 40-year-old adults in the following scenarios, do not need to select priority within the large intestine fiber endoscopy?

Answer: Long-term constipation

Choices:
A. Fecal occult blood positive reaction
B. Have a family history of colorectal cancer
C. Long-term constipation
D. There colorectal polyps (polyp) a history of


Question: The following statements about the amoeba, what's wrong?

Answer: Parasitic amoeba class will form the body of the bag body

Choices:
A. Body parasitic amoeba class, most of the non-pathogenic species
B. Parasitic amoeba class will form the body of the bag body
C. Intestinal parasitic amoeba can hematoxylin and trichrome stain to stain
D. Form the nucleus of the amoeba is classified according to one


Question: Occupational cause of Parkinson's disease (Parkinsonism) Which of the following substances with exposure to the most relevant?

Answer: Mn (Manganese)

Choices:
A. Mercury (Mercury)
B. Mn (Manganese)
C. Carbon tetrachloride (Carbon tetrachloride)
D. Organic phosphorus compounds (Organophosphate)


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

Answer: Side cricoarytenoid muscle and posterior cricoarytenoid muscle (lateral and posterior cricoarytenoid muscles) antagonistic to each other, the control vestibular cracking (rima vestibuli) of the switch

Choices:
A. Throat chamber (ventricle) is located between the vestibular folds (vestibular fold) and the vocal folds (vocal fold)
B. Vocal muscle (vocalis muscle) is located within the vocal folds of
C. Side cricoarytenoid muscle and posterior cricoarytenoid muscle (lateral and posterior cricoarytenoid muscles) antagonistic to each other, the control vestibular cracking (rima vestibuli) of the switch
D. Dipper transverse muscle (transverse arytenoid muscle) collapsed about arytenoid cartilage (arytenoid cartilages)


Question: Peripheral noxious stimuli mainly through the A and C afferent nerve fibers in the spinal cord of zone?

Answer: 脊板 (lamina) I / II

Choices:
A. 脊板 (lamina) I / II
B. Rib plates III / IV
C. 脊板 VI
D. Spine board IX / X


Question: In the diagnosis of carpal tunnel syndrome (carpal tunnel syndrome), which of the following electrical diagnostic method most early diagnosis?

Answer: Nerve conduction (nerve conduction) Check

Choices:
A. Nerve conduction (nerve conduction) Check
B. EMG (electromyography) Check
C. Continuous electrical nerve stimulation (repetitive nerve stimulation) Check
D. Somatosensory evoked potentials (somatosensory evoked potential) Check


Question: The researchers wanted to test whether a new drug has the effect of lowering blood pressure, 20 rats were measured blood pressure before and after the feeding of new drugs, blood pressure measurement for comparing the two, the following statistical analysis whichever is most appropriate?

Answer: Paired t-test (Paired t-test)

Choices:
A. Linear Regression (Linear regression)
B. Independent samples t-test (Independent sample t-test)
C. Paired t-test (Paired t-test)
D. Table analysis (Contingency table)


Question: The following narrative and what was wrong?

Answer: Obesity and malnutrition does not increase the chances of wound dehiscence

Choices:
A. Most of pulmonary embolism (pulmonary embolism) originated in deep vein thrombosis (deep venous thrombosis)
B. The elderly often due to malnutrition have a relatively high incidence of complications after surgery
C. Obesity and malnutrition does not increase the chances of wound dehiscence
D. Too much pain, post-surgical infusion volume can lead to hypertension


Question: Among the early stages of pregnancy abortion of human beings, the most important reason is:

Answer: Poor embryo quality

Choices:
A. Environmental factors and drugs
B. Mother's womb factors
C. Mother endocrine factors
D. Poor embryo quality


Question: In accordance with the National Cholesterol Education Program (NCEP ATP III), Which of the following does not belong to one of the indicators of metabolic syndrome risk assessment?

Answer: High uric acid

Choices:
A. hypertension
B. High blood sugar
C. High uric acid
D. High cholesterol


Question: 1-year-old boy, suddenly pale, run cold, the parents described in the past due to slow heartbeat, had to accept some kind of surgery shortly after birth, physical checkups found that only 56 heart beats / min, the following emergency CXR. This little boy is most likely in the past have received what surgery?

Answer: pacemaker implantation

Choices:
A. pacemaker implantation
B. lobectomy
C. peridectomy
D. tracheostomy


Question: 3339-year-old woman because of hematuria from one day to the clinic for medical treatment. Patients with a history of high blood pressure for three years, taking atenolol 50 mg daily. The patient's father and aunt have high blood pressure and kidney disease, 62-year-old father in the long-term due to end stage renal failure receiving dialysis treatment; patients without hypertension or kidney disease brother. Two days after the patient feeling sore right flank, but no fever, was also normal urine. Skin normal physical examination, blood pressure 138/92 mmHg, no anemia, normal heart and chest, waist on both sides faint touch swollen kidney, lower extremity edema. Neurological examination was normal. Urinalysis tests: no proteinuria, red blood cells per high magnification greater than 100, leukocytes 3-5. That following diagnosis is most likely?

Answer: Adult polycystic kidney disease (adult polycystic kidney disease)

Choices:
A. Hypertensive nephropathy (hypertensive nephropathy)
B. Albert Syndrome (Alport's syndrome)
C. Specific hypercalciuria (idiopathic hypercalciuria)
D. Adult polycystic kidney disease (adult polycystic kidney disease)


Question: The following narrative about pain treatment drug, whichever is wrong?

Answer: Neuromuscular blocking agents also have an analgesic effect

Choices:
A. Opioid analgesics and non-analgesics may be used after surgery pain
B. Steroids can be used for the treatment of pain
C. Neuromuscular blocking agents also have an analgesic effect
D. Antiepileptic drugs are available for the treatment of pain


Question: Which of the following is not a cancerous tumor of the kidney accompanied syndrome (paraneoplastic syndromes)?

Answer: Hypocalcemia (hypocalcemia)

Choices:
A. Polycythemia (erythrocytosis)
B. Hypocalcemia (hypocalcemia)
C. hypertension
D. Non-metastatic liver dysfunction (Stauffer's syndrome)


Question: That is a consequence of brain lesions following a hernia off, and often fatal?

Answer: Secondary (Duret) brainstem hemorrhage

Choices:
A. Periventricular leukomalacia (periventricular encephalomalacia)
B. Kernohan Mr. indentation marks (Kernohan's notch)
C. Secondary (Duret) brainstem hemorrhage
D. Diffuse axonal injury (diffuse axonal injury)


Question: Which of the following starting from the fifth cervical nerve root (C5 root), and through the middle scalene muscle in the neck often dominate levator scapula (levator scapulae muscle) (middle scalene muscle) after?

Answer: Dorsal scapular nerve (dorsal scapular nerve)

Choices:
A. Nerve (suprascapular nerve) on the scapula
B. Long thoracic nerve (long thoracic nerve)
C. Dorsal scapular nerve (dorsal scapular nerve)
D. Subclavian muscle nerve (nerve to subclavius)


Question: When the patient normal intracranial pressure hydrocephalus (normal pressure hydrocephalus) to the emergency room for treatment, common clinical features, which of the following infrequently?

Answer: One-sided weakness

Choices:
A. cognitive dysfunction
B. Incontinence
C. One-sided weakness
D. Unsteady gait


Question: 3039-year-old housewife, two years before the hospital often abdominal discomfort or three days before the sudden onset of severe abdominal pain to hospital accompanied by vomiting, back pain outside the hospital injections, blood found Chaoguo ALT 300 U / L and referral hospital. Hepatic blood biochemical examination showed: AST: 1090 U / L, U / L, bilirubin: 3.2 / 1.8 mg / dL, ALP: 286 U / L, amylase, albumin, and PT normal. Blood phase display: WBC: 12500 / cmm, seg: 86%. I ask: Why is the most likely diagnosis?

Answer: Cholelithiasis, and cholangitis

Choices:
A. Acute pancreatitis
B. Acute viral hepatitis
C. Food poisoning
D. Cholelithiasis, and cholangitis


Question: One child under 3 years old, after eating beans due to acute pallor, jaundice, to consultation, and hemoglobin found in urine, the following items at this time that test results can be speculated that this is because children dehydrogenation enzyme glucose-6-phosphate (G-6-PD) deficiency the cause of acute hemolysis?

Answer: See the broken blood smear (fragmented The) as biting of red blood cells (bite cells)

Choices:
A. Hemoglobin F (HbF) increased value
B. See the broken blood smear (fragmented The) as biting of red blood cells (bite cells)
C. Cold hemagglutination (cold hemagglutinin test) were positive
D. HbA1c (glycosylated hemoglobin) increased


Question: 51 year old female patient complained of pain in the right hip for about 3 weeks, the drawings pelvic X-rays, indicated at arrow most likely diagnosis is:

Answer: fibrous dysplasia

Choices:
A. fibrous dysplasia
B. bone metastasis
C. chondrosarcoma
D. osteosarcoma


Question: Bearing the title, following treatment for what works best?

Answer: Haloperidol

Choices:
A. Anticholinergics
B. Haloperidol
C. Levodopa
D. Clonazepam


Question: The following blood coagulation path (hemostatic pathway) factor in the composition, does not have any anticoagulant (of anticoagulation) action?

Answer: tissue factor（TF）

Choices:
A. tissue factor（TF）
B. protein C
C. protein S
D. antithrombin III 28 about the cause of Hodgkin lymphoma, the following are most of what the virus has nothing to do?


Question: Ischemic colitis (ischemic colitis) occurs most often in those parts of the following?

Answer: The splenic flexure and sigmoid

Choices:
A. The splenic flexure and cecum
B. Hepatic flexure and sigmoid
C. The splenic flexure and sigmoid
D. Cecum and sigmoid colon


Question: GOT and GPT general index is an indicator of liver function, these two enzymes have the kind of enzyme activity?

Answer: transaminase

Choices:
A. kinase
B. decarboxylase
C. transaminase
D. methyltransferase


Question: A 43-year-old woman, G2P2,2 times are all caesarean section, due to menstrual abnormalities, examination revealed huge uterine fibroids. Receiving hysterectomy, surgery is not successful, even when the adhesion section, above the trigone superficial peel damage to the uterus 3 cm, immediately repaired with absorbable catgut. Results After 8 weeks the most likely are:

Answer: Normal postoperative conditions

Choices:
A. Obstetric fistula
B. Ureteral obstruction
C. Normal postoperative conditions
D. Intraperitoneal urine accumulation


Question: The following information about the cervical spinal cord lesions (cervical myelopathy) the description of the clinical symptoms, whichever is the most correct?

Answer: Spastic weakness (spastic weakness of lower limbs)

Choices:
A. Knee tendon reflex (knee jerk) disappear
B. Spastic weakness (spastic weakness of lower limbs)
C. Only unilateral neuropathic pain (unilateral neurogenic pain) appears
D. Proprioception and vibration sense (proprioceptive and vibration) is changed to the first clinical symptoms


Question: Comparison of the Finnish type congenital nephrotic syndrome (congenital nephrotic syndrome of Finnish type) and diffuse renal cell diaphragm sclerosis (diffuse mesangial sclerosis), the following statements is wrong?

Answer: Both Mother blood alpha fetoprotein (α-fetoprotein) were increased, both large and placenta

Choices:
A. Both are mainly autosomal recessive (autosomal recessive) genetic
B. The former mutation in a chromosomal location 19, the latter is the WT1 gene mutations in chromosome 11
C. Both Mother blood alpha fetoprotein (α-fetoprotein) were increased, both large and placenta
D. Both often enter stage renal disease before the age of 2 to 5, kidney transplantation is the only treatment of


Question: The following is part of the alternative pathway of complement activation (alternative pathway) of complement C3 conversion  (C3 convertase)?

Answer: C3bBb

Choices:
A. C3a
B. C3b
C. C3bBb
D. C4b2a


Question: Li Jun was Kinmen military service, recently returned to Taiwan on leave due to fever and headache one week and seek medical attention. Physical examination found that the skin rash and about one centimeter large eschar in the left groin. History, Lee often stated nearly more than a month to service locations trim weeds. Its history and clinical signs, LI most likely suffering from what disease?

Answer: Scrub typhus (scrub typhus)

Choices:
A. Trench fever (trench fever)
B. Endemic typhus (endemic typhus)
C. Scrub typhus (scrub typhus)
D. Epidemic typhus (epidemic typhus)


Question: Most food digestion and absorption occurs in the following Where?

Answer: Small intestine

Choices:
A. stomach
B. Small intestine
C. colon
D. rectum


Question: About the sound-conducting order in the ear, which of the following is most appropriate?

Answer: The eardrum (tympanic membrane) → the malleus (malleus) → incus (incus) → stapes (stapes) → the oval window (oval window) → round window (round window)

Choices:
A. The eardrum (tympanic membrane) → the malleus (malleus) → incus (incus) → stapes (stapes) → round window (round window) → the oval window (oval window)
B. The eardrum (tympanic membrane) → stapes (stapes) → incus (incus) → the malleus (malleus) → Eggs
C. The eardrum (tympanic membrane) → stapes (stapes) → incus (incus) → the malleus (malleus) → round window (round window) → the oval window (oval window)
D. The eardrum (tympanic membrane) → the malleus (malleus) → incus (incus) → stapes (stapes) → the oval window (oval window) → round window (round window)


Question: Statements about waist triangle, which of the following is not correct?

Answer: 髂棘 configuration triangle under 緣

Choices:
A. The latissimus dorsi constitute one of its borders
B. Abdominal oblique constituting the bottom thereof
C. Potential areas of abdominal hernia
D. 髂棘 configuration triangle under 緣


Question: 12-year-old female students often take place at night or unconsciously, a lot of nosebleeds, most should pay attention to that part of hemostasis in the emergency?

Answer: The front of the nasal septum

Choices:
A. The rear end of the inferior turbinate
B. The end of the nasal septum
C. Nasopharyngeal
D. The front of the nasal septum


Question: About brain pressure monitor (ICP monitor) the placement, placed in that part following the most accurate and effective maximum?

Answer: Brain tissue area

Choices:
A. The upper part of the dura
B. The lower part of the dura
C. Brain tissue area
D. Intraventricular


Question: About ovarian hyperstimulation syndrome narrative (ovarian hyperstimulation syndrome), the Which statement is correct?

Answer: To reduce the occurrence of ovarian hyperstimulation syndrome, embryo freezing may be considered

Choices:
A. Injection human chorionic gonadotropin, estrogen concentrations in the blood are higher, the more does not occur ovarian hyperstimulation syndrome
B. To reduce the occurrence of ovarian hyperstimulation syndrome, embryo freezing may be considered
C. Ovarian hyperstimulation syndrome have abdominal distension, dyspnea, ascites and other symptoms, not life-threatening
D. Polycystic ovary women less likely to produce ovarian hyperstimulation syndrome


Question: 22.1-year-old boy was six month on a continuous fever six days ⽽ to treatment, following clinical manifestations that characterize most unlike ⼀ clinical ⽒ Kawasaki disease (Kawasaki disease) is?

Answer: Soft palate and tonsils appear water resistant blister ulcer

Choices:
A. Strawberry tongue and lips swollen split ⿔
B. Soft palate and tonsils appear water resistant blister ulcer
C. Swollen neck lymph nodes zoomed
D. Eyes conjunctival inflammation


Question: For the rupture of the esophagus (esophageal perforation) of the narrative, which of the following error?

Answer: Surgical treatment of esophageal rupture is non-essential

Choices:
A. Rupture of the esophagus are diagnosed more than a day, often more than 50% mortality
B. Often the patient's neck and chest case subcutaneous emphysema (subcutaneous emphysema) of
C. Surgical treatment of esophageal rupture is non-essential
D. Patients often empyema and acute inflammation mediastinum


Question: Diabetes caused symptoms of peripheral neuropathy which can not appear?

Answer: Enhanced tendon reflexes

Choices:
A. Enhanced tendon reflexes
B. Vibration and joint position sense of the disappearance
C. Proximal muscle (proximal muscle) weakness and atrophy
D. Autonomic symptoms


Question: Testicular cancer metastasis, in addition to choriocarcinoma, mostly with fixed route lymphatic metastasis, the following statements is wrong?

Answer: Such as tumor invasion epididymis, spermatic cord, often transferred to the inguinal lymph nodes

Choices:
A. Testicular first proceeds to the right side of the inferior vena cava between the aorta (interaortocaval) lymph
B. The left is next door near the left renal aorta (para-aortic) lymph glands
C. Such as tumor invasion epididymis, spermatic cord, often transferred to the inguinal lymph nodes
D. After the traditional abdominal lymph Clear is the most common complication of surgery can not ejaculate


Question: Why is the patient most likely diagnosis?

Answer: Placenta previa

Choices:
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Premature labor signs


Question: A 58-year-old man appeared tumor of the skull and humerus, etc. as shown below, and abnormal serum protein electrophoresis, the following statements is true?

Answer: Pathological fractures often occur

Choices:
A. Few osteoclasts thoracic lesions merger
B. Pathological fractures often occur
C. Merge often appear hypocalcemia and abnormal liver function
D. The main treatment is surgery and radiation therapy


Question: 63 a 39-year-old female, 6 years ago, the finger will pale in the winter and purple (cyanosis) phenomenon. Almost a year there will be stiff hands, tingling and muscle pain. Nearly two months to have a dry cough occurs. Physical examination found that hardening of the skin and swelling on both sides of the fingers and the back of the hand. Blood examination revealed ANA 1: 640 nucleolar + centromere pattern, IgG 2185 mg / mL, IgA 375 mg / mL, IgM 134 mg / mL, CK 65 U / L, C3 94 mg / dL, C4 21.5 mg / dL, anti-dsDNA <12 IU / mL, anti-RNP <7.0 IU / mL. The patients most likely diagnosis is:

Answer: Systemic sclerosis

Choices:
A. Mixed connective tissue disease
B. Chronic eczema
C. Systemic lupus erythematosus
D. Systemic sclerosis


Question: A national population of 60 million people, the year of new pulmonary tuberculosis patients 5000, a total of 20,000 tuberculosis patients, when the death toll was 60 people, including those who have died because of tuberculosis 500 people. The cause of death in sub-tuberculosis rate is the number?

Answer: 500/60 Wan

Choices:
A. 500/2 Wan
B. 500/60 Wan
C. 500/6000 Wan
D. 500/5000


Question: The emergency by blood testing found that serum HBsAg showing negative reaction, anti-HCV positive presentation, the patient had received a health check last year report showing that anti-HCV negative reaction, the patient's history in terms of who a month ago to a private clinic receiving cartilage-stimulating hormone injections. The following information about the diagnosis and treatment planning further aspect, what item is unreasonable?

Answer: Drug selection, a single long-acting interferon (peginterferon) is useless

Choices:
A. Patients may get acute hepatitis C
B. Hepatitis C patients if jaundice appears, there is a higher chance to heal itself (spontaneous recovery)
C. Observation acute 3-4 months, if the persistence of HCV RNA, may be considered to give an anti-hepatitis C virus drug treatment
D. Drug selection, a single long-acting interferon (peginterferon) is useless


Question: Which of the following is not located in the midgut gland (crypts of Lieberkühn)?

Answer: Parietal cells (parietal cells)

Choices:
A. Stem cell regeneration (regenerative stem cells)
B. Goblet cells (goblet cells)
C. Parietal cells (parietal cells)
D. Paneth cells (Paneth cells)


Question:
77. One 53 year old man, has a long history of hypertension, chest pain and sudden tear transferred to the back and abdomen, blood pressure 210/110 mmHg. He further complained of right lower extremity pain, physical examination found that the intangible right femoral artery pulse, pale and cold right leg, toes can not be active at this time that one of the following
 Set more appropriate?

Answer: Immediately arrange for computer tomography

Choices:
A. Maintain systolic blood pressure above 150 mmHg, the end of the limb to ensure proper circulation
B. Avoid using painkillers, so as not to affect the monitoring and observation of the disease of blood pressure
C. Use of heparin (heparin), in order to avoid more severe arterial occlusion
D. Immediately arrange for computer tomography


Question: Which of the following most unlikely in the plush-like vascular disease (moyamoya disease)?

Answer: Intracranial hemangioblastoma (hemangioblastoma)

Choices:
A. Bilateral intracranial internal carotid artery stenosis
B. Smoke appeared like blood vessels of the brain
C. Intracranial hemangioblastoma (hemangioblastoma)
D. Intracranial aneurysms


Question: Neonatal growth retardation (intrauterine growth retardation) in utero, ultrasound of the brain (brain ultrasonography) inspection found that calcification surrounding the ventricles (periventricular calcification) and ventricular enlargement (ventriculomegaly) abnormalities, hearing screening is also abnormal. This newborn most likely diagnosis is:

Answer: congenital cytomegalovirus infection

Choices:
A. congenital human parvovirus B19 infection
B. congenital rubella syndrome
C. congenital human herpes simplex virus infection
D. congenital cytomegalovirus infection


Question: 73. On the immunotherapy for cancer treatment, the following drugs mainly whichever monoclonal antibody inhibits tumor cell surface PD-L1 and can interfere with T lymphocytes

Answer: atezolizumab

Choices:
A. atezolizumab
B. panitumumab
C. ramucirumab
D. rituximab


Question: Dogs in the non-anesthesia case, when a large amount of liquid by the rapid intravenous infusion Xunhuanjitong, which is the main reason why heart rate increase?

Answer: Bainbridge reflex reflex higher than the pressure sensitive

Choices:
A. Bainbridge reflex reflex higher than the pressure sensitive
B. Sensing pressure above the reflection reflection Bainbridge
C. Chemical central reflex reflex higher than the surrounding chemical
D. Chemical periphery than the central reflex reflection Chemistry


Question: 2-year-old boy in his right upper extremity activity limitation, the parents were brought for treatment, X-ray results right elbow of the drawing, the boy right upper extremity activity limitation Which of the following is the most serious action?

Answer: Forearm supination (forearm supination)

Choices:
A. Forearm supination (forearm supination)
B. External rotation arm (arm external rotation)
C. A curved elbow (elbow flexion)
D. Bending the wrist (wrist flexion)


Question: Community-related complications of bacterial pneumonia in children, Which of the following most infrequently ⾒?

Answer: Meningitis (Meningitis)

Choices:
A. Meningitis (Meningitis)
B. Center Weighted package meningitis (Pericarditis)
C. 膿胸（Empyema）
D. Water resistant product pleura (Pleural effusion)


Question: Sputum from patients with pneumonia isolated Which of the following bacteria, the bacteria can be established for the bacteria?

Answer: Mycobacterium tuberculosis (Mycobacterium tuberculosis)

Choices:
A. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
B. Mycobacterium tuberculosis (Mycobacterium tuberculosis)
C. Haemophilus influenza bacillus (Haemophilus influenzae)
D. Viridans (Viridans streptococci)


Question: A 6-year-old girl sustained fever, cough for eight days because of a sudden unconsciousness and sustained 16-minute generalized convulsions hospitalized. Breath sounds have bilateral rales hospitalization fine (fine crackles), the neck and thigh unclear state as shown in FIG red papules a chest X-ray shown in figure II. Peripheral blood white blood cell count 12,100 / mm3 (segment 76%; lymphocyte 15%; monocyte 9%). Cerebral spinal fluid protein 145.2 mg / dL, glucose 82 mg / dL (blood sugar 102 mg / dL), leukocytes 14 / mm3 (mononuclear cell: polymorphonuclear cell = 12: 2), computer tomography brain showed no abnormalities, then the following one pathogenic highest possibility?

Answer: Mycoplasma pneumoniae

Choices:
A. Japanese encephalitis virus
B. Salmonella typhi
C. Streptococcus pneumoniae
D. Mycoplasma pneumoniae


Question: Dimercaprol (also known as the British anti-lewisite, BAL) can be used to treat acute organic or inorganic arsenic poisoning machine turn, not including which of the following:

Answer: Arsenic avoid inhibition sulfhydryl-containing enzymes

Choices:
A. sevoflurane
B. halothane
C. desflurane
D. Arsenic avoid inhibition sulfhydryl-containing enzymes


Question: The following bedridden lack of physiological phenomena related to movement possible, what is wrong?

Answer: Decreased serum calcium concentration

Choices:
A. Joint contractures
B. Decreased muscle strength
C. Decreased serum calcium concentration
D. Attitude hypotension


Question: Which of the following is not originated in the neural crest (neural crest)?

Answer: Oligodendrocytes (oligodendrocyte)

Choices:
A. Melanocytes (melanocyte)
B. Schwann cells (Schwann cell)
C. Oligodendrocytes (oligodendrocyte)
D. Chromaffin cells (chromaffin cell)


Question: Following what kind of mutation in renal cell carcinoma and von Hippel-Lindau gene or lower performance-related?

Answer: Clear cell renal cell carcinoma (clear cell renal cell carcinoma)

Choices:
A. Clear cell renal cell carcinoma (clear cell renal cell carcinoma)
B. Sarcoidosis, renal cell carcinoma (sarcomatoid renal cell carcinoma)
C. Difficult to dye renal cell carcinoma (chromophobe renal cell carcinoma)
D. Papillary renal cell carcinoma (papillary renal cell carcinoma)


Question: Ends 23 and ultrasound for cardiac catheterization, diagnostic determination, when the calculated pulmonary index (Nakada Index) of 70 U / M2, it is the best treatment:

Answer: Bypass surgery

Choices:
A. Full correction
B. Bypass surgery
C. Pulmonary artery banding procedure
D. Drug treatment can


Question: Which of the following design, the most suitable for the study of the causal relationship between asbestos exposure and lung cancer deaths?

Answer: Retrospective cohort study (retrospective cohort study)

Choices:
A. Retrospective cohort study (retrospective cohort study)
B. Clinical trials (clinical trial)
C. Cross - sectional study (cross-sectional study)
D. Community Intervention Research (community intervention)


Question: Statements about hepatic hydatid cyst (Hydatid cyst of liver) of the treatment, which of the following error?

Answer: Of asymptomatic cysts do not need treatment

Choices:
A. Surgical excision or main drainage
B. Albendazole medications such as up to 20-30% efficacy of
C. Some cases percutaneous drainage of the cyst can achieve the purpose of treatment
D. Of asymptomatic cysts do not need treatment


Question: About open fractures (open fracture), the following statements is wrong?

Answer: When a classification based Gustilo-Anderson, greater than 10 cm fracture wounds, concomitant severe soft tissue and vascular damage, are type II, open fractures (type II open fracture)

Choices:
A. When a classification based Gustilo-Anderson, greater than 10 cm fracture wounds, concomitant severe soft tissue and vascular damage, are type II, open fractures (type II open fracture)
B. When open fractures (open fracture) delivered emergency room patients should be administered immediately appropriate antibiotic therapy
C. Cleaning wounds larger open fracture (open fracture) as soon as possible to an operating room and thorough debridement, wound not recommended exploration (exploration of the wounds) in the emergency room
D. The first type I open fractures (type I open fracture) may generally be a primary wound suture (primary closure); open fractures of type III (type III open fracture) should not be a primary wound suture (primary closure)


Question: Related to renal cell carcinoma (renal cell carcinoma) are systemic symptoms, which of the following errors caused?

Answer: Clinical symptoms of paraneoplastic syndrome is most common in hypercalcemia, followed by high blood pressure

Choices:
A. paraneoplastic syndrome occurs in approximately 20% of patients with renal cell carcinoma of the
B. paraneoplastic syndrome the most common manifestation of systemic syndrome is erythrocyte sedimentation rate (ESR) increased
C. Clinical symptoms of paraneoplastic syndrome is most common in hypercalcemia, followed by high blood pressure
D. The incidence of hypercalcemia may be up to 13%, based reasons or paraneoplastic phenomena caused by osteolysis of bone metastases


Question: Statements about coronary heart disease, myocardial ischemia, the Which of the following error?

Answer: Patients with stable angina, chest pain that can last for hours

Choices:
A. Myocardial ischemia (myocardial ischemia) because the oxygen supply to the heart, is insufficient to meet metabolic demand
B. Patients with stable angina, chest pain that can last for hours
C. Unstable angina, which is chest pain episodes there may be at rest
D. Some patients with myocardial ischemia episodes, only the chin, neck, shoulder or arm discomfort, without chest pain


Question: Which of the following is not the lumbar plexus (lumbar plexus) damage influence?

Answer: ⾁ muscle membrane (dartos muscle)

Choices:
A. Transversus abdominis (transversus abdominis muscle)
B. Mention epididymis muscle (cremaster muscle)
C. ⾁ muscle membrane (dartos muscle)
D. Obturator muscle (obturator externus)


Question: Statements about anti-⽣ prime ceftriaxone, the Which statement is correct?

Answer: Gonorrhea meningitidis (N. gonorrhoeae) infection drug therefore especially selected Use

Choices:
A. Gonorrhea meningitidis (N. gonorrhoeae) infection drug therefore especially selected Use
B. Belongs to the fourth generation cephalosporins
C. Use and clavulanate, and often to enhance its antibacterial effect
D. When the renal disease drug own personal use, the dose should be reduced therapeutic dose ⾄ original halfway


Question: About the diagnosis and treatment of neuroendocrine tumors (NETs) of the following statements is wrong?

Answer: Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant disease, a leading cause in the VHL gene defects

Choices:
A. Histopathology often use immunohistochemical staining of chromogranin A, to help diagnose NETs
B. The grading system according NETs proliferative indices (i.e., Ki-67 and mitotic count), is divided into Grade 1, Grade 2, and
C. Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant disease, a leading cause in the VHL gene defects
D. control gastrointestinal carcinoid syndrome resulting NET, can be used somatostatin analogues


Question: 14 year-old girl with a 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) value of 11.6 g / dL; platelet count of 360,000 / mm3; potassium ion concentration in blood of 2.8 mmol / L, a sodium ion concentration of 133 mmol / L, chloride ion concentration in the blood of 104 mmol / L, the blood pH value of 7.2, bicarbonate (HCO3-) ion concentration of 18 mmol / L, pH 6.5 urine. Calculate the anion gap for girls in the blood (anion gap)?

Answer: 11 mmol/L

Choices:
A. 13.8 mmol/L
B. 8.2 mmol/L
C. 11 mmol/L
D. 18 mmol/L


Question: Which of the following drugs is through inhibition of phosphodiesterase III and improving congestive heart failure?

Answer: Milrinone

Choices:
A. Dobutamine
B. Captopril
C. Digoxin
D. Milrinone


Question: The following statements about the peripheral blood red blood cell lesions, what's wrong?

Answer: Having cleaved cell (schistocytes), the patient may have iron deficiency anemia

Choices:
A. Having a target-cell (target cells), the patient may have chronic alcoholism, splenectomy, or the like thalassemia
B. Will have a good red blood cells - long Li's body (Howell-Jolly bodies), the patient may have a history of splenectomy
C. Red blood cells have basophilic spot color (basophilic stippling), the patient's bone marrow may be drugs or toxins damage
D. Having cleaved cell (schistocytes), the patient may have iron deficiency anemia


Question: Which of the following is an immunomodulator affect all activated lymphocytes, and act on all other dividing cells, but not limited to the adaptive immune response (adaptive immune responses) of the regulation and suppression?

Answer: mycophenolate

Choices:
A. mycophenolate
B. cyclosporine A
C. rapamycin（sirolimus）
D. tacrolimus（FK-506）


Question: Which of the following is not suitable analyzed by restriction fragment length polymorphism (RFLP)?

Answer: The establishment of cDNA library

Choices:
A. DNA fingerprinting (DNA fingerprinting)
B. Positioning disease gene
C. Possible genetic defects of prenatal screening
D. The establishment of cDNA library


Question: About Cluster headache (cluster headache), what is the following non?

Answer: Patients were mostly young women

Choices:
A. Patients were mostly young women
B. Occurs, the easy tears and runny nose
C. 100% oxygen can ease headaches
D. The lithium salt can be used to prevent attacks


Question: A 66-year-old male faculty to retire a year later, that lack of exercise, he bought a bike ready to exercise. But for the first time due to travel on to dodge the car and hit a roadside hedges, branches puncture right elbow is about 2-3 cm deep wound, the hospital bandaged after the rest home, inflamed wounds, ulcers, pain and there is pus-like secretion was then given to the doctor for treatment after 7 days of oral Tetracycline but the situation did not improve, replaced after the oral Cephalexin no improvement. About 15 days, with a linear arrangement of multiple ulcer exudate (Oozing ulcers) and nodule (Nodules) occurs right elbow and arm. After culturing the specimen 25 ℃ grow filamentous fungi, hyphae separated (Septate hyphae), spores (conidia) to the top poly born conidiophores are arranged in the shape of a rosette (Rosette-), placed in 37 ℃ of culture is grown yeast colonies. The man infected with a kind of bacteria?

Answer: Sporothrix schenckii

Choices:
A. Conidiobolus crowbar
B. Sporothrix schenckii
C. Mycobacterium marinum
D. Staphylococcus aureus


Question: A 62 year-old male patient underwent cardiovascular bypass surgery 1 week ago, its cardiopulmonary rehabilitation prescription, Which of the following is not the most appropriate?

Answer: At this point can be upper body strength training to improve function Richangshenghuo

Choices:
A. Compared to myocardial infarction (myocardial infarction) patients, usually early cardiopulmonary rehabilitation
B. At this point can be upper body strength training to improve function Richangshenghuo
C. At this point can sit up, shift, walking and other activities
D. 2-3 weeks after surgery can be performed exercise testing


Question: The following statements about the vessel and what was wrong?

Answer: The main distribution of systemic blood volume in the microvascular bed

Choices:
A. Greater than arterial venous compliance (compliance)
B. Aorta and other large arteries of the tube wall can be extended by generating temporary pressure (pressure reservoir) effect
C. Arterioles (arteriole) in the blood flow resistance can be changed
D. The main distribution of systemic blood volume in the microvascular bed


Question: Bearing on the question, for the disposal of acute hyperkalemia, Which of the following effect slowest?

Answer: Gastrointestinal give potassium-binding resins

Choices:
A. D50W intravenous injection of 50 mL and 10 units of short-acting insulin (regular insulin), and close monitoring of blood glucose
B. Intravenous 10 mL 10% calcium chloride (calcium chloride), or 10% calcium gluconate 10 mL of (calcium gluconate)
C. Intravenous injection of 50 ~ 100 mEq of sodium hydrogen carbonate (sodium bicarbonate)
D. Gastrointestinal give potassium-binding resins


Question: The right hemiplegia and difficulty swallowing after a stroke the old man, he can drink water but have difficulty swallowing solid or semi-solid food. Which of the following best disposal to improve their swallowing function?

Answer: Cricopharyngeus dilation (cricopharyngeal dilatation)

Choices:
A. The head to the side
B. First breath before swallowing
C. Cricopharyngeus dilation (cricopharyngeal dilatation)
D. Increased liquid smoothies (thicken liquids)


Question: A 54-year-old woman complained of lower limb weakness on both sides, can not stand up from the chair has two months; recently also find some difficulty combing their hair. Meanwhile, the water often choking cough incessantly. Physical examination found that both proximal limb muscles (proximal muscles) to force the third stage (grade Ⅲ), physical examination feeling (Sensation) normal, blood test showed a high value of muscle CK enzyme 5410 units / L, and that one of the following most laboratory tests not diagnostic value?

Answer: Limb nerve conduction velocity

Choices:
A. EMG
B. Measuring Anti-histidyl-transfer-RNA synthetase antibody
C. Muscle biopsy
D. Limb nerve conduction velocity


Question: About the intermediate filaments (intermediate filament) Which of the following narrative correct?

Answer: Is the main component of the cytoskeleton (Cytoskeleton) 40 in the presence of parasitic infections (parasite infection), the following will be a sudden increase whichever blood cell?

Choices:
A. Diameter of about 5nm
B. By the microfilaments (microfilament) formed aggregate
C. The tubulin (tubulin) Composition
D. Is the main component of the cytoskeleton (Cytoskeleton) 40 in the presence of parasitic infections (parasite infection), the following will be a sudden increase whichever blood cell?


Question: Wang was a hypochondriac, long-term use of medication. The recent quarrel with her boyfriend, depression and insomnia is more serious, several times to a friend pledged to commit suicide, and bought a bag of charcoal home. Which of the following is the most appropriate approach?

Answer: Referral mental health institutes hospitalization

Choices:
A. Adjust antidepressants
B. Please pay more attention to the behavior of the patient's family
C. Detailed assessment of the sources of stress
D. Referral mental health institutes hospitalization


Question: Communication skills, the benefits of listening to the patient, except which of the following?

Answer: Compare do not have time to diagnosis

Choices:
A. Contact between the patient and the physician Closer
B. Medical caregiver satisfaction higher
C. May reduce the risk of medical negligence
D. Compare do not have time to diagnosis


Question: In glycolysis (glycolysis), the following enzyme catalyzed reactions that may be generated directly ATP?

Answer: Phosphoglycerate kinase (phosphoglycerate kinase)

Choices:
A. Phosphoglycerate mutase (phosphoglycerate mutase)
B. Phosphoglycerate kinase (phosphoglycerate kinase)
C. Enolase (enolase)
D. Phosphofructokinase (phosphofructokinase)


Question: Basal ganglia (basal ganglia) direct circuits (direct pathway) without following what structure?

Answer: Subthalamic nucleus (subthalamus)

Choices:
A. Thalamus (thalamus)
B. Subthalamic nucleus (subthalamus)
C. Motor cortex (motor cortex)
D. Globus pallidus (globus pallidus)


Question: 60 a 25 weeks pregnant women, over 100 grams oral glucose tolerance test, the glucose values obtained the following: fasting 90 mg / dL, 1 hours mg / dL, 2 hours 170 mg / dL, 3 hours 160 mg / dL, which of the following the correct diagnosis?

Answer: Gestational diabetes

Choices:
A. normal
B. Gestational diabetes
C. Unable to confirm the diagnosis, must repeat inspection
D. Impaired glucose tolerance


Question: 24-year-old pregnant woman, G3P0, 38 weeks of pregnancy, the fetus duplex ultrasonogram accepted, the results shown in Figure, check the name of what?

Answer: Umbilical artery blood flow velocity waveform

Choices:
A. Umbilical artery blood flow velocity waveform
B. Umbilical vein blood flow velocity waveform
C. Fetal middle cerebral artery blood flow velocity waveform
D. Fetal downlink aortic flow velocity waveform


Question: The following spinal nerves and muscles related to the disposal of pairing, what's wrong?

Answer: C6－triceps muscle

Choices:
A. C5－deltoid muscle
B. C6－triceps muscle
C. L3－quadriceps muscle
D. S1－gastronemius muscle


Question: Known HCC (hepatocellular carcinoma, HCC) have different etiologic factors, and these factors contribute to the importance of development of liver cancer are not the same kind occurred in different regions and countries. The following about the "regions or countries: in the region or the country's most important etiologic factor of HCC" combinations, whichever is correct?

Answer: Africa：Aflatoxin B1 and hepatitis B chronic infection

Choices:
A. Europe & US：Hepatitis B chronic infection and Wilson's disease
B. China：Hepatitis C chronic infection and nonalcoholic steatohepatitis
C. Africa：Aflatoxin B1 and hepatitis B chronic infection
D. Taiwan：Ethanol chronic consumption and primary biliary cirrhosis


Question: 3-year-old girl because of abdominal pain to emergency treatment, such as raccoon eyes and bruises eyes (raccoon eyes), parents complained about the recent rapid decline in body weight but has swollen abdomen, computerized tomography As shown, this sick children are most likely to suffer from:

Answer: Neuroblastoma (neuroblastoma)

Choices:
A. Acute leukemia (acute leukemia)
B. Neuroblastoma (neuroblastoma)
C. Hepatoblastoma cell cancer (hepatoblastoma)
D. Wilms' tumor (Wilms tumor)


Question: A 28-year-old woman experienced two times in a row in early pregnancy (<12 weeks) of embryonic death, she had had venous thromboembolism (deep vein thrombosis) of history. Which of the following is necessary to assess the way?

Answer: Measuring the blood protein S, protein C, anti-thrombin III activity

Choices:
A. Measuring platelet function
B. Measuring the blood protein S, protein C, anti-thrombin III activity
C. The measurement value of the blood factor V
D. Measuring blood viscosity (Viscosity)


Question: Transition from vitamin D3 (vitamin D3) to become 25-hydroxy vitamin D3 (25-OH-vitamin D3), occurs mainly in:

Answer: liver

Choices:
A. liver
B. kidney
C. lung
D. Thyroid


Question: The following statements about the central nervous system (CNS) of glial cells (neuroglia), and what's right?

Answer: Oligodendrocyte glia (oligodendrocyte) similar to the peripheral nervous system (PNS) Schwann cells (Schwann cell), is responsible for myelinating

Choices:
A. Oligodendrocyte glia (oligodendrocyte) similar to the peripheral nervous system (PNS) Schwann cells (Schwann cell), is responsible for myelinating
B. Stellate glia (that astrocyte) is of cuboidal cells, located in the central canal of the spinal cord Laid epithelial (central canal) and the ventricle
C. Minute glia (microglia) are the largest number of cells in the gray matter, which may be in contact with the vessel branch
D. Ependymal cells (ependymal cell) there are many branches, and is responsible for phagocytosis involved in immune function


Question: 70. A 30-year-old woman finished production for two months, is currently breastfeeding. Complained of numbness hands, hands that physical examination found that the first finger to third finger fingertip feel more sluggish, Tinel's sign was positive in double wrist, Phalen's test is also positive, the clinical diagnosis of the patient's most likely why?

Answer: Median neuropathy

Choices:
A. Radial neuropathy
B. Ulnar neuropathy
C. Median neuropathy
D. Cervical radiculopathy


Question: The following account of uric acid stones in the urinary tract, whichever is correct?

Answer: Alkaline urine can effectively dissolve stones

Choices:
A. About 30% of all urinary tract stones
B. Often occurs in the elderly, cancer patients and chronic ambulatory therapy
C. Urine pH (pH value) must be between 6.5 to 7.0
D. Alkaline urine can effectively dissolve stones


Question: Utility function of antibody (effector functions) that a decision is composed of the following?

Answer: Heavy chain (heavy chain) constant region (constant region)

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


Question: Domestic adult primary glomerular nephritis (Primary glomerulonephritis), the most common pathological changes in what?

Answer: Influenza nephropathy immunoglobulin (IgA nephropathy)

Choices:
A. Influenza nephropathy immunoglobulin (IgA nephropathy)
B. Minimal change disease (Minimal change disease)
C. Membranous glomerulonephritis (Membranous glomerulonephritis)
D. Membranous proliferative glomerulonephritis (Membranoproliferative glomerulonephritis)


Question: Statements about anthrax (Bacillus anthracis) is, which of the following error?

Answer: In culture dishes containing blood may form large colonies β- hemolytic

Choices:
A. By the capsular peptide (polypeptide) consisting of important virulence factors (virulence factor)
B. For the pathogen woolsorter disease (wool-sorter's disease) of
C. In culture dishes containing blood may form large colonies β- hemolytic
D. Anthrax toxin gene (anthrax toxin) located on the plasmid


Question: Mandibular branch of the trigeminal nerve (mandibular division of trigeminal nerve) damage, which of the following is most likely to affect the contraction of?

Answer: Palate sail tensor (tensor veli palatini)

Choices:
A. Palate sail tensor (tensor veli palatini)
B. Levator muscle (levator veli palatini)
C. 腭咽 skin (palatopharyngeus)
D. 腭舌 skin (palatoglossus)


Question: 3-day-old baby girl, physical examination revealed a mass in the abdominal cavity. Computer tomography right kidney can be seen parts of a plurality of uneven size vesicles (cysts); no left kidney of abnormal (e.g., photos). Kidney nuclear according to shadow completely confirm the right kidney function. Which of the following is most likely to ask for the diagnosis?

Answer: Polycystic kidney agenesis (multicystic dysplastic kidney)

Choices:
A. Many dominant polycystic kidney disease (autosomal dominant polycystic kidney disease)
B. Many variations recessive polycystic kidney disease (autosomal recessive polycystic kidney disease)
C. Polycystic kidney agenesis (multicystic dysplastic kidney)
D. Ureteral junction obstruction (ureteropelvic junction stenosis)


Question: A 39-year-old woman, G1P1, routine ultrasound examination revealed a uterine fibroids 6 × 6 × 5 cm, normal ovary. She did not have any symptoms of urinary frequency, defecation difficulties. What's next most appropriate disposal of that?

Answer: Track six months check again

Choices:
A. Injection of gonadotropin-releasing hormone (GnRH) agonists Therapy
B. Surgical removal of fibroids laparotomy
C. Track six months check again
D. Laparoscopic myomectomy surgery


Question: A 14-year-old boy, more than two hours a day playing basketball, has the feeling of a sore right knee, in the examination room to find his right knee anterior tibial tuberosity have uplift and tenderness, which he most likely suffering from the disease?

Answer: Osgood-Schlatter disease

Choices:
A. Legg-Calve-Perthes disease
B. Osgood-Schlatter disease
C. Freiberg's disease
D. Panner's disease


Question: One immunodeficiency patients, he phagocytic cells of normal cell migration, phagocytosis of bacteria the ability to be good, but can not kill the bacteria and engulf often cause significant tissue inflammation. The following diseases whichever line with this statement?

Answer: Chronic granulomatous disease (chronic granulomatous disease)

Choices:
A. Leukocyte adhesion defect (leukocyte adhesion deficiency)
B. Chronic granulomatous disease (chronic granulomatous disease)
C. Wiskott-Aldrich syndrome
D. DiGeorge syndrome


Question: When the check-Molly 20 weeks, found twin A weighing 532 g and estimated Polyhydramnios, twin B 417 g and no amniotic fluid, twin B umbilical artery diastolic Dupu Le waveform measurements prior case countercurrent (reverse end-diastolic flow) , Molly and Mr. hoping to save two positive fetus, the severity of the current literature for early TTTS, following that kind of treatment better?

Answer: Laser treatment done using fetoscope (laser ablation of vascular anastomoses)

Choices:
A. Laser treatment done using fetoscope (laser ablation of vascular anastomoses)
B. The excess amniotic fluid drainage (amnioreduction of the recipient)
C. The amniotic membrane between the two fetuses get through (septostomy)
D. Irrigation to no fetal amniotic fluid (amnio infusion of the donor)


Question: When patients have Which of the following clinical symptoms, induction of anesthesia given thiopental does not have to decrement?

Answer: Blood alkalosis (by alkalosis)

Choices:
A. Hypovolemic shock (hypovolemic shock)
B. Serum (serum albumin) albumin concentration decreased
C. Acidosis blood (acidosis)
D. Blood alkalosis (by alkalosis)


Question: 15 days old baby real value display Free T4 0.32 ng / dL (normal: 0.8 ~ 2 ng / dL), T4 2.2 μg / dL (normal: 4.5 ~ 12.5 μg / dL), TSH 102 mIU / L (normal value: 1.0 ~ 15.0 mIU / L), of the following is the most correct?

Answer: Possible adverse development related and congenital hypothyroidism

Choices:
A. Case of hyperthyroidism
B. These diseases cause more than autologous recessive inheritance
C. Possible adverse development related and congenital hypothyroidism
D. Physical examination can be found before the baby fontanelle has healed


Question: The following description of the Ras protein related to eukaryotic cells, what's wrong?

Answer: Ras protein with its binding to the N-terminal amino farnesyl (farnesyl) of the functional group

Choices:
A. After mutations are carcinogenic
B. After Ras protein binds to the cell membrane on the modified
C. Ras protein with its binding to the N-terminal amino farnesyl (farnesyl) of the functional group
D. Ras farnesyl cholesterol synthesis and modification of proteins (farnesyl) of the functional group (Cholesterol) using the same synthetic precursor


Question: 61 bearing on the question, the patient two weeks after appropriate antibiotic therapy, fever persisted, tricuspid heart ultrasonography revealed a 1.2 × 1.4 cm neoplasm (the vegetation), systolic blood pressure 100 mmHg, diastolic blood pressure 60 mmHg, inotropic agent required (dobutamine) to maintain blood pressure, when most needed and the most appropriate treatment is:

Answer: Note Consider cardiac surgery heart valve replacement surgery

Choices:
A. Continue to use the original antibiotic, and consider adding vancomycin combination therapy
B. Anticoagulants heparin and avoid the deterioration of pulmonary embolism, to improve cardiac thrombosis
C. Note Consider cardiac surgery heart valve replacement surgery
D. Together with the increase in cardiac digoxin intravenous infusion (saline) to increase cardiac output capability


Question: Which of the following secondary active transport mode to absorb into the intestinal epithelial cells?

Answer: Amino acids

Choices:
A. Amino acids
B. cholesterol
C. calcium
D. fructose


Question: 3-year-old girl two days of fever, sore throat, drooling, loss of appetite, no abnormal oral front portion, the posterior pharyngeal wall ulcers, palms and soles associated with a rash. The most likely diagnosis is:

Answer: Hand, foot and mouth disease (Hand-foot-and-mouth disease)

Choices:
A. Herpetic gingival stomatitis (Herpetic gingivostomatitis)
B. Hand, foot and mouth disease (Hand-foot-and-mouth disease)
C. German measles (Rubella)
D. Varicella (Chickenpox)


Question: About head and neck cancer following statements is wrong?

Answer: HPV head and neck cancer, head and neck cancer is not associated with human papilloma virus associated with relatively poor prognosis

Choices:
A. In Western countries, the incidence of HPV (human papilloma virus) and oropharynx (oropharynx) related to an increase in head and neck cancer
B. HPV head and neck cancer, head and neck cancer is not associated with human papilloma virus associated with relatively poor prognosis
C. Early head and neck cancer treatment, it is possible in other parts of the head and neck, lung, esophagus occurs second primary (second primary) cancer
D. With advanced head and neck cancer effective drug treatment, including chemotherapy, targeted therapy


Question: Which of the following is not a major symptom of Kasabach-Merritt Syndrome?

Answer: immune mediated hemolytic anemia

Choices:
A. Kaposiform hemangioendothelioma
B. thrombocytopenia
C. immune mediated hemolytic anemia
D. acute or chronic consumptional coagulopathy


Question: Middle-aged women kidney disease for many years, after the death of anatomy, small kidneys, and there are numerous 1-3 mm of the surface of the depression, it is one of the following changes in its organization?

Answer: Scar scar fibrosis

Choices:
A. Edema
B. abscess
C. Scar scar fibrosis
D. Neutrophil infiltration


Question: The following narrative about cephalosporin used to treat bacterial infections, whichever is correct?

Answer: The third-generation cephalosporin to treat Klebsiella (Klebsiella) meningitis

Choices:
A. The first-generation cephalosporin to treat Salmonella (Salmonella) infections
B. The second generation cephalosporin to treat enterococci (Enterococcus) infection
C. The third-generation cephalosporin to treat Klebsiella (Klebsiella) meningitis
D. The third-generation cephalosporin to treat Li Side bacteria (Listeria) meningitis


Question: 65 year old man dysphagia and weight loss hospital examination, the patient weighing 40 kg, serum protein (serum albumin) value of 2.5 g / dL, an endoscopic examination showed lower esophageal tumors causing obstruction, sliced pathology report of the esophagus squamous cell carcinoma, chest CT examination results of mediastinal or no significant liver metastases, bone scan results not significantly distant metastasis. Thoracic surgeon can assess the surgery, which of the following do you think dispose of more appropriate?

Answer: Generally glucose infusion supplement 7 days after surgery

Choices:
A. Immediately arrange surgical removal of the esophagus and reconstruction in order to avoid the spread of cancer
B. Generally glucose infusion supplement 7 days after surgery
C. Total parenteral nutrition (total parenteral nutrition) to add one day, immediate surgery
D. Total parenteral nutrition supplements 7 days after surgery


Question: When a 20-year-old woman attempted suicide was sent to the emergency room, left wrist palm radial side about 3 cm transverse incision, neurological examination revealed the palm and fingers can be straightened and refers to, but can not make a fist bend, and fingers numb ventral sense, this patient most likely that impaired following a nerve?

Answer: The median nerve (median nerve)

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


Question: A worker thigh deep vein thrombosis are taking warfarin, before thrombin time (prothrombin time) INR (international normalization ratio) stability control around 2. Recent checks at the factory also identified the body had tuberculosis, has started taking rifampin. For good control and prevent venous thrombosis complicated by bleeding, the most appropriate way to deal with what?

Answer: Increasing the dose of warfarin

Choices:
A. Reduce the dose of warfarin
B. To maintain the original dose warfarin
C. Increasing the dose of warfarin
D. Stop warfarin, aspirin use


Question: 53.75-year-old Mr. Zhang as memory and deteriorating ability to find their way through physician-diagnosed neurology specialist, had Ezihaimo disease (Alzheimer disease), in accordance with the clinical severity scale (CDR) grading 1.0. These days, Mr. Zhang and his wife to see the newspaper delivery person talk for a few big temper, Mrs. Zhang was not allowed to answer the phone, this may be what the symptoms?

Answer: delusion of jealousy

Choices:
A. delusion of persecution
B. delusion of stealing（theft）
C. delusion of jealousy
D. delusion of not my home


Question: The following genetic or chromosomal disorders related to their predilection combination of congenital heart disease, whichever is least likely?

Answer: Williams syndrome - aortic root dilatation/regurgitation

Choices:
A. Down syndrome - endocardial cushion defect
B. Turner syndrome - bicuspid aortic valve
C. DiGeorge syndrome -interrupted aortic arch
D. Williams syndrome - aortic root dilatation/regurgitation


Question: About the narrative of Henoch-Schönlein purpura, Which statement is correct?

Answer: Normal or increased number of platelets

Choices:
A. Purpura prone in the trunk
B. IgM antibody is mainly caused by the deposition of vasculitis
C. Antinuclear antibodies (antinuclear antibody) positive
D. Normal or increased number of platelets


Question: And emotional memory brain areas most relevant to you is:

Answer: Amygdala (amygdaloid nucleus)

Choices:
A. Amygdala (amygdaloid nucleus)
B. Hippocampus (hippocampus)
C. Striatum (corpus striatum)
D. Cerebellum (cerebellum)


Question: The following statements about the human immunodeficiency virus (referred to as HIV) infection of diagnosis, whichever is correct?

Answer: 20 year old man suffering from cryptococcal meningitis (cryptococcal meningitis), HIV-1 ELISA positive, HIV-1 western blot was also positive, should be diagnosed AIDS, infectious diseases and inform the legal within 24 hours

Choices:
A. Intravenous drug addicts and AIDS patients co-needle accepted HIV-1 / HIV-2 ELISA screening, the result was negative, you can exclude the diagnosis of HIV infection
B. Otherwise healthy blood donors, screening for HIV-1 / HIV-2 ELISA result is positive, should diagnosis of HIV infection, and to inform legal infectious diseases in 7 days
C. Previously healthy homosexual acceptance of HIV-1 / HIV-2 ELISA screening result is positive and HIV-1 western blot (Western blot) was also positive, should diagnosis of HIV infection, and to inform the statutory infectious diseases within seven days
D. 20 year old man suffering from cryptococcal meningitis (cryptococcal meningitis), HIV-1 ELISA positive, HIV-1 western blot was also positive, should be diagnosed AIDS, infectious diseases and inform the legal within 24 hours


Question: 5161-year-old male. The past two years to get up every morning headache, often sleepy during the day, at night snoring loudly. Recently, more high blood pressure and breathing difficulties and other symptoms. Three years to increase the weight of 10 kg. Number of sleep examination revealed that the patient 15 to 20 times per hour obstructive respiratory suspension, accompanied by decreased oxygen saturation, the minimum value of 72%. Which of the following is the most appropriate and effective disposal?

Answer: Formula positive pressure respirator nasal mask (nasal CPAP) is currently the most long-lasting effect of treatment

Choices:
A. Day given oxygen therapy by nasal cannula during sleep
B. Surgery (plastic surgery of the soft palate uvula) have long-term effects
C. Formula positive pressure respirator nasal mask (nasal CPAP) is currently the most long-lasting effect of treatment
D. Given sleeping pills


Question: Of the following statements about omeprazole, what's wrong?

Answer: With H +, K + -ATPase which fall reversible binding

Choices:
A. proton pump inhibitors
B. Lasting inhibition of gastric acid secretion of the
C. Gastrin lead to the improvement of GERD (gastro-esophageal reflux)
D. With H +, K + -ATPase which fall reversible binding


Question: The following children's causes urinary tract infections (urinary tract infection) bacteria, whichever is the most rare?

Answer: Streptococcus spp.

Choices:
A. Streptococcus spp.
B. Escherichia coli
C. Klebsiella spp.
D. Proteus spp.


Question: A 36-year-old woman who recently often feel headache, measure their blood pressure was 180/110 mmHg, but the rest of the body found no obvious abnormalities, abdominal computed tomography scan revealed she had a 2 cm right adrenal gland tumors, and blood K + found abnormally low. Which of the following concentrations in their blood is most likely too high?

Answer: aldosterone

Choices:
A. ACTH
B. aldosterone
C. renin
D. catecholamine