Question: Account of hallucinogen-related disorders (hallucinogen-related disorders), the error which of the following?

Answer: Hallucinogen use is common in young population, among women than men and more

Choices:
A. Compared with other substance abuse disorders, hallucinogen less frequent complications (comorbidity) and death (mortality)
B. Symptoms of poisoning include hallucinogens perception changes, such as distorted sense of reality, hallucinations and so on; and physical symptoms include pupil larger, rapid heartbeat, take
C. Hallucinogen use is common in young population, among women than men and more
D. D- lysergic diethylamine (lysergic acid diethylamide, LSD) is the main influence serotonergic system


Question: Related breathing difficulties (dyspnea) of the narrative, which of the following error?

Answer: Anxiety does not cause difficulty breathing

Choices:
A. Anxiety does not cause difficulty breathing
B. Dyspnea is a subjective feeling of shortness of breath
C. The reason dyspnea many, including heart failure or respiratory obstruction
D. The patient's breathing difficulty, and accompanied by paroxysmal nocturnal dyspnea (paroxysmal nocturnal dyspnea), the reason may be due to heart failure


Question: That is one of the following diseases caused by the delayed type hypersensitivity (delayed-type hypersensitivity)?

Answer: Contact hypersensitivity (contact hypersensitivity)

Choices:
A. Atopic dermatitis (atopic dermatitis)
B. Contact hypersensitivity (contact hypersensitivity)
C. Seasonal rhinitis (perennial rhinitis)
D. Main Characteristics of transfusion reactions (transfusion reaction) 88 chronic transplant rejection (chronic rejection) as:


Question: 76-year-old male patient, bedridden because of a stroke, no solution will be sent to the emergency room two days bloating, X-rays in the following figure, the diagnosis Why?

Answer: Sigmoid kink

Choices:
A. Ascending colon kink
B. Transverse colon kink
C. Sigmoid kink
D. Duodenum 扭結


Question: 9. One 27-year-old man came to the hospital because of bleeding gums, blood tests found that hemoglobin was 8.2 gm / dL, leukocytes 1250 / μL, which promyelocyte 18%, segmented neutrophil 2%, monocytes 8%, lymphocytes 72%, thrombocytopenia 21000 / μL. Bone marrow biopsy proved acute promyelocytic leukemia. The following options, whichever is necessary to treat this patient? ①platelet transfusion ②chemotherapy ③all-trans retinoic acid

Answer: ①②③

Choices:
A. ①②
B. ②③
C. ①③
D. ①②③


Question: 48.50-year-old male, weighs 60 kilograms. The combined result of burns receiving acute respiratory distress syndrome respirator treatment, after three days of arterial blood gas analysis: pH = 7.50; PaCO2 = 22 mmHg; PaO2 = 78 mmHg. Which setting of inspired oxygen respirator (FiO2) = 0.5, the number of breaths = 14 times / min, tidal volume (tidal volume) = 660 mL, the value of the end expiratory pressure (PEEP) = 10 cmH2O, the maximum intake air flow rate (peak inspiratory flow) = 60 L / min. You should adjust the parameter values most appropriate?

Answer: Reduce the tidal volume (tidal volume)

Choices:
A. Increasing the inspired oxygen concentration (Fi02)
B. PEEP value increased breathing (PEEP)
C. Reduce the tidal volume (tidal volume)
D. Increase the maximum inspiratory flow (peak inspiratory flow)


Question: Which of the following quality and egg white protein G White (Protein G) message irrespective of transmission path?

Answer: Steroid receptors (steroid receptors)

Choices:
A. Steroid receptors (steroid receptors)
B. Adenylate cyclase (adenylyl cyclase)
C. Phospholipase C (phospholipase C)
D. Ras egg white


Question: Optic foramen (Foramen optica) are located on any of the orbital bones?

Answer: Sphenoid (Os sphenoidale)

Choices:
A. Frontal bone (Os frontale)
B. Sphenoid (Os sphenoidale)
C. Ethmoid bone (Os ethmoidale)
D. 腭 骨 (palatine bone)


Question: The following relevant influenza virus (Influenza virus) of the narrative, what's wrong?

Answer: This virus NA cells can receptors (receptor), i.e. sialic acid (sialic acid) binding

Choices:
A. There are two viral gene product on which the mantle, i.e., hemagglutinin (hemagglutinin, HA) and neuraminidase  (neuraminidase,
B. HA and NA can determine the antigenicity of influenza virus
C. HA can cause hemagglutination
D. This virus NA cells can receptors (receptor), i.e. sialic acid (sialic acid) binding


Question: In human cells, DNA replication (DNA replication) in what substances primer (primer)?

Answer: RNA

Choices:
A. GOUT
B. RNA
C. protein
D. Without primer


Question: A healthy circulation of arterial blood pH value decreased to 7.3 from 7.4 the moment, after a few minutes will produce Which of the following conditions?

Answer: Reducing the carbon dioxide partial pressure of alveolar

Choices:
A. Decreased pulmonary ventilation (ventilation)
B. Increasing carbon dioxide partial pressure of the cerebrospinal fluid
C. PH of arterial blood circulation unchanged
D. Reducing the carbon dioxide partial pressure of alveolar


Question: 65 a 34-year-old woman right upper quadrant pain a month for treatment, she had no nausea, vomiting, weight loss or a change in bowel habits. There is no particular history of the past, only long-term eating multivitamin and contraceptives. Finally, computer tomography and magnetic resonance angiography to see the right lobe of the liver tumor two centimeters, height displayed as liver adenoma (hepatocellular adenoma), Next to Which of the following do you think most appropriate?

Answer: Stop the pill

Choices:
A. As long observation, without having to change
B. Stop the pill
C. Surgery
D. Tumor sections for liver puncture guided CT or ultrasound, for pathological diagnosis


Question: Using these antibodies to treat cancer, whichever belong checkpoint blockade therapy?

Answer: Pembrolizumab（anti-PD-1 antibody）

Choices:
A. Avastin（anti-VEGF antibody）
B. Pembrolizumab（anti-PD-1 antibody）
C. Rituximab（anti-CD20 antibody）
D. Trastuzumab（anti-HER2/neu antibody）


Question: That one of the following substances in the presence of Gram-negative bacteria, without the presence of Gram-positive bacteria?

Answer: Lipid A (lipid A)

Choices:
A. Peptide glycans (peptidoglycan)
B. Lipid A (lipid A)
C. Capsular (capsule)
D. Flagellum (flagella)


Question: 8 year-old boy complained since a red and brown urinary 1 week ago. Two weeks ago he had a slight upper respiratory tract infection, but in the past two weeks as he did not have a fever, cough, abdominal pain or low back pain symptoms. Laboratory tests found that he had mild anemia (hemoglobin value of 10.5 g / dL). Urine examination showed strong positive Occult blood (4 +); Protein> 300 mg / dL; WBC 50-100 / HPF; RBC 100-150 / HPF. Blood decreased complement C3, C4 normal. Which of the following is the most likely diagnosis?

Answer: Streptococcal infection of acute nephritis (poststreptococcal glomerulonephritis)

Choices:
A. Hepatitis B-related variants of membranous nephropathy (hepatitis B associated membranous nephropathy)
B. IgA nephritis (IgA called nephropathy,)
C. Urinary tract infection (urinary tract infection)
D. Streptococcal infection of acute nephritis (poststreptococcal glomerulonephritis)


Question: The following action potential of prolonged anti-arrhythmia drugs, whichever induced ventricular arrhythmias Torsade de Pointes the minimum probability?

Answer: Amiodarone

Choices:
A. Procainamide
B. Quinidine
C. Ibutilide
D. Amiodarone


Question: You want to make a new bone scaffold material human trials, in theory, this material should be of great benefit, no side effects, but no other reports of support. Your best response Why?

Answer: In accordance with the provisions of the Act, proposed test plan book, after IRB by obtaining patient informed consent

Choices:
A. Take single-blind experimental design, in which patients were randomized to receive the new material, do not let the patient know
B. In accordance with the provisions of the Act, proposed test plan book, after IRB by obtaining patient informed consent
C. Not only for use in patients with severe incapacitated
D. Clearly tell the patient, and obtain their consent, it can be


Question: Which of the following blood, and not returned to the internal jugular vein (internal jugular vein)?

Answer: Inferior thyroid vein (inferior thyroid vein)

Choices:
A. Under Rock sinus (inferior petrosal sinus)
B. Facial vein (facial vein)
C. Pharyngeal vein (pharyngeal vein)
D. Inferior thyroid vein (inferior thyroid vein)


Question: Account of low blood sugar (hypoglycemia), the error which of the following?

Answer: Dipeptidyl peptidase IV (DPP-4) inhibitor, Glucagon-like peptide-1 (GLP-1) stimulates insulin secretion via and suppresses glucagon secretion, is most likely caused by hypoglycemia hypoglycemic agents

Choices:
A. Hypoglycemic diabetic patients receiving drug therapy is the most common cause of low blood sugar
B. Dipeptidyl peptidase IV (DPP-4) inhibitor, Glucagon-like peptide-1 (GLP-1) stimulates insulin secretion via and suppresses glucagon secretion, is most likely caused by hypoglycemia hypoglycemic agents
C. Biguanide (biguanide) of metformin is less likely to cause hypoglycemia hypoglycemic agents
D. And when α-glucosidase inhibitor with hypoglycemia, orally or by injection directly to glucose alone should eat food polysaccharides


Question: Each of the 96 therapy vivax malaria (Plasmodium vivax), in order to avoid recurrence (relapse), following which drug should be used in combination to eradicate hidden sleep body disease of human liver (hypnozoites)?

Answer: Primaquine

Choices:
A. Quinine
B. Primaquine
C. Proguanil
D. Mefloquine


Question: Which of the following cardiac rehabilitation is a high risk factor?

Answer: Recent ventricular tachycardia (ventricular tachycardia)

Choices:
A. Congestive heart failure patients take medicine to control a stable condition
B. Systolic blood pressure increased 20 mmHg during exercise
C. Injection rate of left ventricular systolic (ejection fraction)> 50%
D. Recent ventricular tachycardia (ventricular tachycardia)


Question: Right gastric artery (right gastric artery) issued by the Which of the following?

Answer: Hepatic artery (common hepatic artery)

Choices:
A. Hepatic artery (common hepatic artery)
B. Abdominal aorta (abdominal aorta)
C. Splenic artery (splenic artery)
D. Superior mesenteric artery (superior mesenteric artery)


Question: Compared with the general balanced diet of pregnant women, pregnant women vegan (strict vegetarians), the following is most likely a lack of what vitamin?

Answer: Vitamin B12

Choices:
A. Vitamin A
B. Vitamin B12
C. Vitamin C
D. Vitamin K


Question: Currently early detection of cerebral infarction, the most sensitive imaging tests are:

Answer: diffusion-weighted magnetic resonance image

Choices:
A. diffusion-weighted magnetic resonance image
B. T2-weighted magnetic resonance image
C. computed tomography
D. T1-weighted magnetic resonance image


Question: Region osteoclasts (osteoclast) is more commonly found:

Answer: Epiphyseal plate ossification zone (osteogenic zone)

Choices:
A. Epiphyseal plate proliferation zone (zone of cell proliferation)
B. Epiphyseal plate cartilage cell hypertrophy and calcification (zone of hypertrophy and calcification)
C. Epiphyseal plate storage area (zone of reserve cartilage)
D. Epiphyseal plate ossification zone (osteogenic zone)


Question: A patient's blood ascites albumin (albumin) was 3.0 g / dL, ascites albumin was 1.2 g / dL, where the following items are less likely diagnosis?

Answer: Nephrotic syndrome (nephrotic syndrome)

Choices:
A. Cirrhosis (liver cirrhosis)
B. Congestive heart failure (congestive heart failure)
C. Nephrotic syndrome (nephrotic syndrome)
D. Budd-Chiari syndrome (Budd-Chiari syndrome)


Question: Lisfranc amputation stump will not leave these patients that a bone?

Answer: Metatarsal (metatarsus)

Choices:
A. Metatarsal (metatarsus)
B. 楔骨（cuneiform）
C. Calcaneus (calcaneus)
D. Talus (talus)


Question: Polycystic ovary syndrome that does not increase the risk of the following diseases?

Answer: Cervical Cancer

Choices:
A. Endometrial cancer
B. Cervical Cancer
C. Infertility
D. diabetes


Question: Which of the following is not a non-immune type water births (hydrops fetalis) reasons?

Answer: Ventricular septal defect

Choices:
A. anemia
B. Ventricular septal defect
C. The first 13 pairs of chromosome abnormalities
D. Cytomegalovirus infection


Question: Which of the following long-term use drugs may cause liver adenoma (adenoma)?

Answer: Oral contraceptives

Choices:
A. Oral contraceptives
B. Steroid
C. Methanol
D. Ethanol


Question: Hydrostatic leg of (hydrostatic pressure) will increase when a person stands. Following a factor that prevents leg edema?

Answer: Increased arterial resistance

Choices:
A. Increased arterial resistance
B. Reduce pulse pressure
C. Increased venous pressure
D. Reduce intravascular osmotic pressure


Question: 68-year-old female patient has menopause, abnormal vaginal complained of a ⾎, magnetic resonance imaging examination in the following figure. The most likely diagnosis Why?

Answer: Submenu cervical cancer (cervical cancer)

Choices:
A. Submenu uterine fibroids (uterine myoma)
B. Submenu endometrial cancer (endometrial cancer)
C. Submenu cervical cancer (cervical cancer)
D. Submenu endometrial information ⾁ (endometrial polyp)


Question: Located gallbladder and round ligament fissure (fissure for ligamentum teres) is between that part of the liver?

Answer: Square leaf (quadrate lobe)

Choices:
A. The left lobe
B. Right lobe
C. Square leaf (quadrate lobe)
D. 尾葉（caudate lobe）


Question: Account of pituitary adenoma prolactin (pituitary prolactin adenoma) track of during pregnancy, which of the following error?

Answer: Adenoma during pregnancy, lactation hormones can check the level in the blood to track

Choices:
A. Adenoma during pregnancy, lactation hormones can check the level in the blood to track
B. Can be assessed using perimetry
C. MRI imaging can be used to assess
D. During pregnancy if symptoms such as headache and visual disturbances, require further careful assessment


Question: Spermatic water (hydrocele of the spermatic cord) Which of the following is due to the insufficiency cause?

Answer: 鞘 突 (vaginalis process)

Choices:
A. White membrane (tunica albuginea)
B. 鞘 突 (vaginalis process)
C. Urogenital sinus (urogenital sinus)
D. Urogenital fold (urogenital fold)


Question: There is a ventral wrist carpal tunnel (Carpal tunnel), there are a nerve that pass?

Answer: The median nerve (Median nerve)

Choices:
A. Radial nerve (Radial nerve)
B. The median nerve (Median nerve)
C. Ulnar nerve (Ulnar nerve)
D. Musculocutaneous nerve (Musculocutaneous nerve)


Question: The most commonly seen in von Hippel-Lindau disease is a brain tumor which of the following?

Answer: Hemangioblastoma (Hemangioblastoma)

Choices:
A. Multiforme glioblastoma (Glioblastoma multiforme)
B. Hemangioblastoma (Hemangioblastoma)
C. Prolactin tumors (Prolactinoma)
D. Astrocytoma (Astrocytoma)


Question: 60-year-old female patient complained of feeling two months left ear, left ear echo when speaking. To lie down and when she felt a sense of earplugs will completely disappear. History, patient last 2 months due to lung cancer in chemotherapy, weight reduction of 5 kg. Otoscopy found her on the left eardrum will vary with breathing vibration of the law. The most likely diagnosis Why?

Answer: Eustachian tube open syndrome (patulous eustachian tube)

Choices:
A. Middle ear myoclonus (middle ear myoclonus)
B. Eustachian tube obstruction (blocked eustachian tube)
C. Meniere's disease (Ménière's disease)
D. Eustachian tube open syndrome (patulous eustachian tube)


Question: Patients with myasthenia gravis (myasthenia gravis) will feel muscle fatigue and muscle weakness and other phenomena, usually due to acetylcholine (acetylcholine) at the neuromuscular junction protein receptors are destroyed by the patient's own antibodies. The following statements is wrong?

Answer: Significantly reduce the release of acetylcholine

Choices:
A. Skeletal muscle movement of the patient end plate (motor end-plate) decrease in the potential
B. Administered acetylcholine esterification enzyme (acetylcholinesterase) inhibitors can improve symptoms
C. Significantly reduce the release of acetylcholine
D. Muscle action potential (muscle action potential) excitation (initiation) is blocked


Question: From the previous question, via biopsy diagnosis, the following phenomena are most likely to occur?

Answer: Interstitial fibrosis, lymphocyte, plasma cell infiltration

Choices:
A. Interstitial fibrosis, lymphocyte, plasma cell infiltration
B. Interstitial fibrosis, eosinophilic infiltration
C. Cheese necrosis and granuloma
D. Neutrophil infiltration and suppurative


Question: When parasitic infections can often be released by various types of antigen (free antigens) to achieve the purpose of inhibiting the host immune attack, such antigens on the following statements is incorrect:

Answer: Typically activated Th1 cells, and promote their release of IL-10

Choices:
A. An antibody can bind, thereby inhibiting the biological function of antibody
B. Can cause depletion of B cells (clonal exhaustion)
C. Can be activated macrophage, and then release prostaglandins
D. Typically activated Th1 cells, and promote their release of IL-10


Question: 5-year-old boy three days because of diarrhea, dehydration phenomenon was sent to the emergency room. Blood examination, serum sodium: 142 mEq / L, potassium ion: 3.6 mEq / L, chloride ion: 115 mEq / L, creatinine (creatinine): 1.1 mg / dL. Arterial blood gas analysis of pH = 7.12, PCO2 = 50 mmHg, HCO3- = 14 mmol / L. Which statement is correct?

Answer: normal anion gap metabolic acidosis with respiratory acidosis

Choices:
A. normal anion gap metabolic acidosis with respiratory acidosis
B. high anion gap metabolic acidosis with respiratory acidosis
C. normal anion gap metabolic acidosis with respiratory compensation
D. normal anion gap metabolic acidosis with respiratory alkalosis


Question: The following neurological disease, what's the most sensory systems are not violated?

Answer: Motor neuron disease (motor neuron disease)

Choices:
A. Diabetic polyneuropathy (diabetic polyneuropathy)
B. Carpal tunnel syndrome (carpal tunnel syndrome)
C. Motor neuron disease (motor neuron disease)
D. Lumbar radiculopathy (lumbar root lesion)


Question: A 5-year-old girl sustained fever for four days with bilateral conjunctivitis, cough, runny nose, throat inflammation of the tonsils, the highest possibility that one of the following pathogens?

Answer: adenovirus

Choices:
A. group A streptococcus
B. Epstein-Barr virus
C. enterovirus
D. adenovirus


Question: The following statements about mast cells (mast cells), and what's wrong?

Answer: Major basic protein and secrete kill parasites

Choices:
A. A few cells in vivo secrete histamine
B. There are receptors on the surface of IgE antibodies
C. Major basic protein and secrete kill parasites
D. Mainly in the mucous membranes and connective tissue


Question: Desired clinical use of children ages Collocation head size, obtained by analyzing a sample of children 2-5 years of age regression equation was Y = 4 + 0.75X, Y head circumference length (in cm units), X is the child's age (in on a monthly basis), the coefficient of determination of 0.70, the following description of what's wrong?

Answer: Each additional 1 year of age, head circumference increased by an average 0.75 centimeters

Choices:
A. The regression equation assumes that children of age and head circumference linear relationship
B. Children under 3 years of age, it should be the average head circumference of 31 cm
C. Each additional 1 year of age, head circumference increased by an average 0.75 centimeters
D. This can be explained by the regression equation sample of children in head circumference 70% of the variance


Question: A 18-year-old girl, height 160 cm, in addition to menstruation has stopped half a year, the body has no special disease, but over the past year to drop weight to 39 kilograms, has Diyuzhengchang weight. Case still too fat and continue to keep your diet or self-induce vomiting after eating, because the body is increasingly weak and was sent to hospital families forced hospitalization. When the check neuroendocrine secretion of the hormone Which of the following will increase?

Answer: GH (growth hormone, GH)

Choices:
A. Luteinizing hormone (luteinizing hormone, LH)
B. Follicle stimulating hormone (follicle-stimulating hormone, FSH)
C. GH (growth hormone, GH)
D. Thyroid stimulating hormone (thyroid-stimulating hormone, TSH)


Question: Renin (renin) mainly produced by cells that following the release?

Answer: Glomerular next cell (juxtaglomerular cells)

Choices:
A. Macula densa cell (macula densa cells)
B. Glomerular cells between the outer ring (extraglomerular mesangial cells)
C. Foot cells (podocytes)
D. Glomerular next cell (juxtaglomerular cells)


Question: Increased osmotic pressure of body fluids, easier to promote the secretion Which of the following is?

Answer: Vasopressin (vasopressin) 23 concerning the role of insulin, the following statements is wrong?

Choices:
A. Progesterone (progesterone)
B. Aldosterone (aldosterone)
C. Cortical hormone (Cortisol)
D. Vasopressin (vasopressin) 23 concerning the role of insulin, the following statements is wrong?


Question: What pharmacological effects of the drug following the machine turn, inhibit the release of acetylcholine cholinergic nerve?

Answer: botulinum toxin

Choices:
A. amphetamine
B. botulinum toxin
C. cocaine
D. tubocurarine


Question: Mr Liu is a 30-year-old teacher in the country, yet two years of marriage to have children and urology clinic, the past two years they have sex once or twice a week, and did not take contraceptive measures, but have never been pregnant wife Liao . Physical examination found on both sides of the vas deferens and Liao normal testicular size, semen found to three ml volume of semen, but did not find any sperm, serum follicle stimulating hormone (FSH) normal, the diagnosis is possible:

Answer: Vas deferens obstruction

Choices:
A. Gonadal hormone deficiency results in inadequate gonadal function (Hypogonadotropic hypogonadism)
B. Klinefelter's syndrome
C. Vas deferens obstruction
D. Retrograde ejaculation


Question: 35-year-old female breast cancer, receiving the pathology report after the improvement of the eradication of breast mastectomy (modified radical mastectomy) as T1N2M0 female hormone receptors (estrogen receptor, ER) negative, progesterone hormone receptor (progesterone receptor, PR) negative, HER-2 / neu-positive, which of the following is the most appropriate treatment?

Answer: Chemotherapy, targeted therapy, radiation therapy require all

Choices:
A. Without treatment
B. Only need radiation therapy
C. Only targeted therapy
D. Chemotherapy, targeted therapy, radiation therapy require all


Question: Found that a 56 year old man whose blood examination PSA (prostatic specific antigen) concentration was 16 ng / mL (normal less than 4 ng / mL), is then referred to a hospital for further examination, digital rectal examination ( digital rectal examination) it was found that the prostate (prostate) a size of 5 × 5 cm, texture rubbery, no induration (no hard nodule), nor tenderness. The following suggestions may I ask what is the better?

Answer: Accepted transrectal ultrasound examination, and prostate (prostate) puncture slice

Choices:
A. Accepted transrectal ultrasound examination, and prostate (prostate) puncture slice
B. Α blockers taking
C. Use 5α- reductase inhibitors
D. Use antibiotic-containing


Question: Keyhole microvascular (fenestrated capillaries) occurs in which of the following?

Answer: gallbladder

Choices:
A. muscle
B. lung
C. gallbladder
D. The cerebral cortex


Question: 58 patients after a brain injury, indifferent to the outside world (indifference), slow response, showing a pseudo depressive symptoms (pseudo-depression), then its most likely location of the lesion why?

Answer: Frontal lobe (frontal lobe)

Choices:
A. Frontal lobe (frontal lobe)
B. Temporal lobe (temporal lobe)
C. Parietal (parietal lobe)
D. Occipital (occipital lobe)


Question: The machine has passed the message on cell transfer, which of the following error?

Answer: NMDA glutamate receptor屬於GPCR（G-protein coupled receptor）

Choices:
A. Fat-soluble ligand can be directly across the cell membrane, and generates intracellular receptor binding action
B. Some transmembrane receptor itself having enzyme activity, and can be activated by the binding ligand
C. After some transmembrane receptor and ligand binding, activation of protein tyrosine kinase may
D. NMDA glutamate receptor屬於GPCR（G-protein coupled receptor）


Question: Children will use a spoon to eat, will socks off, but will not use chopsticks, do not turn off the tap, will not unlock the buttons, it's most likely age, why?

Answer: 2 years old

Choices:
A. 2 years old
B. 3 and a half years old
C. 4 years and a half
D. 6 years


Question: A 9-year-old boy found in the last month due to nocturia (nocturnal enuresis) to out-patient clinics. After the 3-year-old boy from the night That do not need to pack diapers. Which of the following disposal the most appropriate?

Answer: Need further examination to rule out pathological problem

Choices:
A. Health education for parents and tell them that this is a temporary phenomenon, the future will naturally good
B. Opening vasopressin (DDAVP) to the boys, their symptoms improve
C. Need further examination to rule out pathological problem
D. The limiting moisture uptake bedtime best treatment


Question: Statements about the small bowel tumor, which of the following error?

Answer: If found to have Caesarean into mesenteric metastasis, poor prognosis because, even if there is bleeding or in patients with intestinal obstruction, but also no need to do palliative surgery

Choices:
A. Adenocarcinoma portion of the duodenum and upper jejunum to more distal jejunum or ileum to less
B. If the small intestine occurs in the duodenum outside, correct preoperative diagnosis rate of only 50%
C. Complete surgical resection only are more likely to be cured, chemotherapy and radiation treatment to the current results are not good
D. If found to have Caesarean into mesenteric metastasis, poor prognosis because, even if there is bleeding or in patients with intestinal obstruction, but also no need to do palliative surgery


Question: Mr. Liu, 50 years old, height 170 cm, weight 68 kg, is a trading company boss, occasionally entertaining communication with customers, a small amount of alcohol a day for about 2 packs of cigarettes smoked, no special disease, usually taking no Western medicine, family have a history of diabetes and hypertension. Recently measuring blood pressure at home about 160/90 mmHg, and left half dizziness and paralysis symptoms, after diagnosed as transient ischemic attack. The following statements about cigarettes and stroke, what's wrong?

Answer: Low cholesterol has a protective effect against stroke in smokers

Choices:
A. Smokers high incidence of about 50% of stroke than non-smokers
B. Low cholesterol has a protective effect against stroke in smokers
C. Smokers have 20 times the risk of stroke and hypertension is about normal
D. The risk of stroke is reduced to the same as non-smokers after they quit smoking five years


Question: That one of the following drugs can not and sildenafil (trade name Viagra) and medication use?

Answer: Nitroglycerine

Choices:
A. Nitroglycerine
B. Apresoline
C. Digoxin
D. Aspirin


Answer: Aosigede's disease (Osgood-Schlatter syndrome)

Choices:
A. Osteomyelitis (osteomyelitis)
B. Osteosarcoma (osteosarcoma)
C. Aosigede's disease (Osgood-Schlatter syndrome)
D. Patellar tendon tendinitis (patella tendinitis)


Question: Following a bacterium that is most common in Xanthogranulomatous pyelonephritis?

Answer: Proteus mirabilis

Choices:
A. Staphylococcus aureus
B. Pseudomonas aeruginosa
C. Klebsiella pneumoniae
D. Proteus mirabilis


Question: About esophageal varices (esophageal varices) caused by cirrhosis of the liver, the following statements is true?

Answer: Non-selective beta blocker (nonselective β-blockers), such as propranolol or nadolol, variceal bleeding can be reduced for the first time

Choices:
A. Non-selective beta blocker (nonselective β-blockers), such as propranolol or nadolol, variceal bleeding can be reduced for the first time
B. Endoscopic variceal ligation (endoscopic variceal ligation), for the prevention of first variceal bleeding effect is not good
C. Endoscopic variceal ligation, hepatic portal vein can be reduced due to pressure, can be used to treat varices
D. Patients with variceal bleeding, it is best to maintain hemoglobin in the blood to 10 g / dL or more


Question: An 8-year-old boy, suffering from asthma, doctors recommend drug treatment to rule, what these drugs can not be used alone for long-term treatment of chronic asthma patients?

Answer: Inhaled long-acting β2-agonists

Choices:
A. Inhaled corticosteroids
B. Inhaled long-acting β2-agonists
C. Leukotriene modifiers
D. Theophylline


Question: A 65-year old man routine physical examination fecal occult blood reaction was positive by colonoscopy found polyps in the descending colon has three kind of tumor biopsy as shown, may I ask what's the most appropriate diagnostic following?

Answer: Adenoma merger gluconeogenesis

Choices:
A. Invasive colorectal cancer
B. Adenoma merger gluconeogenesis
C. Carcinoid
D. Hyperplastic polyps


Question: After about following spinal cord lateral sulcus (posterolateral sulcus) narrative, what's right?

Answer: After nerve fibers (posterior root fibers) into the spinal cord at the

Choices:
A. Only on the thoracic (upper thoracic level) above
B. After nerve fibers (posterior root fibers) into the spinal cord at the
C. The rear side of the spinal cord (dorsal spinal cord) into left and right halves
D. After spinal cord angle (posterior horn) and the rake angle (anterior horn) boundaries


Question: 69 A 30-year-old male (5 years ago after suffering from epilepsy, although medication, but still will occasionally attack) was found last week talking to himself and become irritable mood, he complained to his family has someone talking in his ear . The following statements about mental diseases complicated by epilepsy, what's wrong? ① patients with epilepsy is the most common mental problems of depression, and epilepsy-related ② focus this melancholy mood of its temporal lobe seizures more often complicated by mental illness at the time, less in the middle of the two most common concurrent seizures in patients with epilepsy ③ psychotic mental illness hallucinations and paranoia symptoms are more prone to violence ④ temporal lobe epilepsy patients with lesions of the frontal lobe

Answer: ①②

Choices:
A. ①④
B. ①②
C. ②③
D. ③④


Question: Egg generation process, the embryo disintegration (germinal vesicle breakdown, GVBD) phenomenon, that a representative of meiosis stage?

Answer: Restart meiosis I (meiosis I)

Choices:
A. Restart meiosis I (meiosis I)
B. Complete meiosis I (meiosis I)
C. Complete meiosis II (meiosis II)
D. Complete fertilization (fertilization)


Question: That embryonic origin of the following structure and a second pair of pharyngeal arches (pharyngeal arch) has nothing to do?

Answer: Anvil

Choices:
A. Anvil
B. Styloid
C. Stylohyoid ligament
D. Small-angle part Noriyuki hyoid bone


Question: To what substances on the ozone concentration in the stratosphere the maximum?

Answer: CFCs

Choices:
A. Carbonate compounds
B. Sulfate compounds
C. CFCs
D. peroxide


Question: A 21-year-old female, G3P2, pregnancy 33 weeks, night emergency medical treatment, complained of sudden massive vaginal bleeding, feel pain, no surgical history, had Caesarean section twice. Which of the following is the most likely diagnosis?

Answer: Placenta previa

Choices:
A. Placenta previa
B. Placental abruption
C. Uterine rupture
D. Ectopic pregnancy


Question: Hysterosalpingography photography (hysterosalpingography) was used to assess an examination of female infertility, following inspection date whichever is best?

Answer: On day 8 of the menstrual cycle

Choices:
A. Menstrual cycle day 3
B. On day 8 of the menstrual cycle
C. On day 14 of the menstrual cycle
D. On day 21 of the menstrual cycle


Question: A 6-year-old boy with fever 5 days treatment, physical examination revealed swelling of the eyelids, tonsils exudate (exudate), due to the lower right rib 5 cm below the liver, the spleen below the left rib cage due to under 3 cm, and that of the following examination for the diagnosis of the most helpful?

Answer: Heterophile antibody test

Choices:
A. Weil-Felix reaction
B. Heterophile antibody test
C. Throat bacteria culture
D. Throat virus culture


Question: After screening patients rectal injury is serious, can not be completely suture, which is not an appropriate method of treatment?

Answer: Laparotomy and bowel resection for rectal anastomosis

Choices:
A. Hip wound debridement
B. Abdominal intestinal bypass ostomy (stomy)
C. Wound drainage tube placement
D. Laparotomy and bowel resection for rectal anastomosis


Question: 40-year-old patient, because Pap result is a high risk of epithelial cell-like lesions (HSIL), the next step treatment whichever correct?

Answer: Colposcopy and cervical biopsy

Choices:
A. track
B. Colposcopy and cervical biopsy
C. Cervical cone resection
D. Hysterectomy


Question: As a long time caused by improper placement total peroneal nerve (common fibular nerve) compression injuries most commonly occur in the following location where?

Answer: The outside of the knee

Choices:
A. Sciatic
B. The outside of the knee
C. The trailing edge of the lateral malleolus
D. The trailing edge of the medial malleolus


Question: A 30-year-old obese women have a fairly constant daily throbbing headache (throbbing headache) 3-month history of intermittent accompanied by a brief blurred vision (graying out), in addition to bilateral optic nerve examination revealed papillary edema (papilledema), the other are normal. That one of the following is likely diagnosis?

Answer: Pseudo brain tumor disease (pseudotumor cerebri)

Choices:
A. Chronic daily headache (chronic daily headache)
B. Pseudo brain tumor disease (pseudotumor cerebri)
C. Cluster headache (cluster headaches)
D. Migraine (migraine)


Question: Want to investigate osteogenesis imperfecta (glass doll) quality of life of patients, and that one of the following sampling method is most appropriate?

Answer: Snowball sampling

Choices:
A. Simple random sampling
B. Stratified random sampling
C. Snowball sampling
D. Quota sampling


Question: Papillary thyroid cancer following statements about (papillary thyroid carcinoma), and what's wrong?

Answer: Current transfers by blood to the lungs and bones

Choices:
A. Is the most common thyroid cancer
B. Good prognosis, 10-year survival rate is greater than 90%
C. Metastasis to regional lymph nodes based
D. Current transfers by blood to the lungs and bones


Question: Viagra available in the market and the main mechanism of action of steel (sildenafil) to treat impotence turn why?

Answer: Inhibition of phosphodiesterase V

Choices:
A. Increased synthesis of NO
B. Increased release of NO
C. Activating guanylate cyclase
D. Inhibition of phosphodiesterase V


Question: A 2-year-old girl, nearly two months, appeared in the upper left shoulder of skin lesions as shown below, can be hard out of the white contents, what the patient most likely diagnosis?

Answer: Molluscum contagiosum (molluscum contagiosum)

Choices:
A. Plana (flat warts)
B. Milia (milium)
C. Molluscum contagiosum (molluscum contagiosum)
D. Syringoma (syringoma)


Question: Particulate Health package tapeworm (Echinococcus granulosus) in humans infected with the most common violations of the organ?

Answer: liver

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


Question: From the previous question, the most commonly affected area is the disease:

Answer: Rectum and sigmoid colon

Choices:
A. anus
B. Rectum and sigmoid colon
C. Transverse colon
D. All the large intestine


Question: When using an anesthetic desflurane if desflurane when increasing the dose in a short time, in order to deepen the depth of anesthesia, which of the following transient phenomenon most likely to occur?

Answer: Patients blood catecholamine concentration higher than the patients administered isoflurane

Choices:
A. Heart rate unchanged
B. Lower blood pressure
C. Patients blood catecholamine concentration higher than the patients administered isoflurane
D. Cardiac output unchanged


Question: body mass index (BMI) of the ideal value of adult women are:

Answer: 22

Choices:
A. 2
B. 5
C. 12
D. 22


Question: When heart failure patients using digitalis (digitalis) treatment, the following statements is wrong?

Answer: Can reduce hospitalizations and improve long-term survival

Choices:
A. Can reduce hospitalizations and improve long-term survival
B. Be careful of drug interactions question: quinidine, verapamil, amiodarone are likely to significantly increase the blood concentration of digoxin
C. Paying particular attention to the patient's serum potassium ion concentration as hypokalemia (hypokalemia) increases the risk of digoxin poisoning (digitalis intoxication) of
D. Dilantin (phenytoin) is an anti-epileptic drugs, which can be used for the treatment of ventricular arrhythmias induced digoxin poisoning (digitalis- induced ventricular arrhythmia)


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

Answer: In addition to the tumor cell mass to produce osteoblasts (bone matrix), they can also produce quality chondroblasts (cartilage matrix)

Choices:
A. This tumor occurs in young and older people, their incidence is quite
B. In adults, the tumor occurs mainly in the long bones (long bone), the probability of occurrence of half the level of bone (flat bone) about the long bones
C. In addition to the tumor cell mass to produce osteoblasts (bone matrix), they can also produce quality chondroblasts (cartilage matrix)
D. In predilection sites to epiphyseal long bone portion (epiphyseal region)


Question: When abdominal ectopic pregnancy surgery, if the blood vessels supplying the placenta blood flow can not tell what disposition should be made of the following?

Answer: The indwelling intraperitoneal placenta and monitor changes in placenta

Choices:
A. The attachment of the placenta or intestines TME
B. Do immediately arterial embolization
C. The indwelling intraperitoneal placenta and monitor changes in placenta
D. Retained placenta, and intraperitoneal administration of methotrexate


Question: For singly or in combination therapy infection Methicillin-resistant Staphylococcus aureus, the following items that most drugs are not suitable?

Answer: Fluoroquinolones

Choices:
A. Fluoroquinolones
B. Vancomycin
C. Rifampin
D. Linezolid


Question: Which of the following acute kidney injury caused by the disease, which ⾎ test results were minimal hair ⽣ eosinophilia?

Answer: microscopic polyangiitis

Choices:
A. microscopic polyangiitis
B. atheroembolic disease
C. NSAID-induced interstitial nephritis
D. polyarteritis nodosa


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

Answer: Proprioceptive sensory loss to the (proprioceptive) mainly pain and normal tactile

Choices:
A. Symptoms similar central spinal cord syndrome (central cord syndrome)
B. Proprioceptive sensory loss to the (proprioceptive) mainly pain and normal tactile
C. Upper extremity than lower extremity weakness
D. MRI scans (MRI) examination is to select one of


Question: For the following error standard error (standard error) of the statements is?

Answer: A fixed number of samples, when increasing the standard deviation, standard error is reduced

Choices:
A. SEM can be described as the variation between the sample mean case
B. The number of samples increases, the standard error is small
C. Not be greater than the standard error standard deviation
D. A fixed number of samples, when increasing the standard deviation, standard error is reduced


Question: 56-year-old male patient because of multiple joint pain, achieved by a friend of unknown origin drugs, taking four a day, immediately get joint pain relief. Six months later the patient was found limb muscle wasting (e.g., photos), inattention, malaise, nausea, and thus to medical treatment. Which of the following to be most helpful to establish the diagnosis of inspection?

Answer: Blood cortisol and ACTH

Choices:
A. 24 hours urine cortisol
B. Blood renin and aldosterone
C. Blood cortisol and ACTH
D. Blood uric acid, BUN and creatinine


Question: Which of the following is the structure connecting the ovary and uterus?

Answer: Ovarian ligament

Choices:
A. Suspensory ligament
B. Ovarian mesangial
C. Ovarian ligament
D. Round ligament of the uterus


Question: 75 micro filarial hyperlipidemia (microfilaremia) but no clinical symptoms bancrofti (Wuchereria bancrofti) in patients with the following statements those mistakes? ① ② generally high titers of anti-filarial antibody by the antibody inhibits the activity of micro filarial reduce symptoms ③ no symptoms so no drug treatment

Answer: ①②③

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


Question: 35-year-old woman, the following circumstances are more likely to have submenus endometrial cancer?

Answer: Married women how polycystic ovary syndrome and diabetes

Choices:
A. Use of oral contraceptives-connector ⼯ author
B. Married women how polycystic ovary syndrome and diabetes
C. Month by the rules of the sport selected the watch
D. Women submenus containing IUDs


Question: Chicken must be cooked to eat, belongs to the principle of "food safety control system" (HACCP) is?

Answer: Key regulatory decisions

Choices:
A. Hazard Assessment
B. Key regulatory decisions
C. Control settings for focus control procedures and standards
D. Establish control monitoring system


Question: In doing lung rehabilitation exercise training, if that can be considered when patients blood oxygen while giving oxygen to which of the following?

Answer: ≦60 mmHg

Choices:
A. 81～91 mmHg
B. 71～80 mmHg
C. 61～70 mmHg
D. ≦60 mmHg


Question: Which of the following is not directly connected with the hepatic sinusoid (hepatic sinusoids)?

Answer: Leaf vein (sublobular vein)

Choices:
A. Door small veins (portal venule)
B. Central venous (central vein)
C. Leaf vein (sublobular vein)
D. Small hepatic artery (hepatic arteriole)


Question: Immediate hypersensitivity reactions (immediate hypersensitivity), belongs to the first of several allergic immune reaction type?

Answer: The third type

Choices:
A. The first type
B. The second type
C. The third type
D. The fourth type


Question: About fibrous dysplasia (fibrous dysplasia) of the narrative, which of the following error?

Answer: McCune-Albright syndrome refers to the development of fibrous dysplasia (fibrous dysplasia) concomitant hemangioma

Choices:
A. May be a single bone (monostotic) or bone (polyostotic)
B. Occur in the ribs, vertebrae, femur, tibia, humerus
C. McCune-Albright syndrome refers to the development of fibrous dysplasia (fibrous dysplasia) concomitant hemangioma
D. The majority of patients are small lesions, and therefore does not require surgery


Question: 22. A full-fledged atrioventricular septal defect (complete form of atrioventricular septal defect) sick children, often due to intractable heart failure, for an early (within 6 months after birth) surgery, which comprises the following steps of operation those ? The atrioventricular valve stenosis ① ② incision atrial septal defect repair of ventricular septal defect ③ ④ repair of atrioventricular valve repair backflow of

Answer: ②③④

Choices:
A. Only ①②
B. Only ①③
C. ①②③
D. ②③④


Question: Amphetamines has remained the US Food and Drug Administration identified as a therapeutic agent what kind of disease?

Answer: Narcotic sleeping

Choices:
A. Senile depression
B. Head trauma
C. Narcotic sleeping
D. Chronic pain


Question: 29. With regard to esophageal achalasia surgery can not (esophageal achalasia), and Which statement is correct? ① ④ solutions can be fundoplication surgery (fundoplication) under difficult swallowing problems ③ esophageal sphincter muscle incision is the most commonly used most of thoracotomy and laparotomy implementation ② must be implemented esophagus resection and reconstruction via help reduce postoperative gastric countercurrent

Answer: ①③④

Choices:
A. ①②③
B. ①②④
C. ②③④
D. ①③④


Question: Which of the following cell cycle G2 / M transition of regulatory relations (modulation) minimum?

Answer: cyclin D

Choices:
A. cyclin D
B. CDK 1
C. CDK 2
D. cyclin B


Question: A 1 year old baby girl due to shortness of breath to emergency medical treatment, physical examination found the end expiratory wheeze (end-expiratory wheezing), if the issues caused by infection, the following statements is most inappropriate?

Answer: The main infection route of infection is an air (air-borne)

Choices:
A. Seriously ill patients often occurs in 1 year or less
B. The most common virus is RSV (respiratory syncytial virus)
C. The main infection route of infection is an air (air-borne)
D. Always first, upper respiratory symptoms such as runny nose, then the occurrence of wheezing (wheezing)


Question: An upper cervical cord injury patients completely, often complain of nocturnal dreams or wake up, wake up often feel tired or have a headache, or dispose of the following statements whichever wrong?

Answer: The patient's pulmonary function test FEV1 / FVC will be low

Choices:
A. May be due to a low lung ventilation (alveolar hypoventilation)
B. Measure hemoglobin oxygen saturation pulsation night (Sp02) to confirm the diagnosis
C. The patient's pulmonary function test FEV1 / FVC will be low
D. Patient exercise test will show lung dead space (dead space) increase


Question: For women without a family or personal history of breast cancer, which of the following breast cancer screening recommendations more in line with the United States, Canada and Europe?

Answer: Since the 50-year-old to do a mammogram every 2 years (mammography)

Choices:
A. Since the age of 50 every two years to do an MRI (MRI)
B. Since the age of 40 every two years to do a breast ultrasound (sonography)
C. Since the 50-year-old to do a mammogram every 2 years (mammography)
D. Since the age of 35 every two years to do positron photographic examination (PET)


Question: For the treatment of pancreatic cancer, following what treatment to use less?

Answer: immunity

Choices:
A. surgery
B. Chemistry
C. radiation
D. immunity


Question: In the thymus organ, T cell development at that stage, you can leave the thymus reach the surrounding lymphoid organs?

Answer: Presented separately CD4 or CD8

Choices:
A. Performance CD3
B. T-cell receptors gene (T cell receptor genes) successful reorganization
C. While presenting CD4 and CD8
D. Presented separately CD4 or CD8


Question: Which of the following drugs, does not increase the content of cyclic GMP in the cell?

Answer: isoproterenol

Choices:
A. isoproterenol
B. sodium nitroprusside
C. sildenafil
D. atrial natriuretic peptide


Question: Which of the following constitutes the inner sidewall anal ischial fossa (ischioanal fossa) of?

Answer: Levator ani

Choices:
A. Gluteal muscle
B. Levator ani
C. Piriformis
D. Obturator muscle


Question: Aminoglycosides are bactericidal drugs, is effective in the treatment of Gram-negative bacterial infections clinically present, but these drugs can not be used to treat bacteremia caused by the Bacteroides fragilis, the main reason why?

Answer: Bacteroides fragilis anaerobic bacteria

Choices:
A. Bacteroides fragilis is not Gram-negative bacteria
B. aminoglycosides can not bind to the ribosome Bacteroides fragilis
C. Bacteroides fragilis anaerobic bacteria
D. Bacteroides fragilis no cell wall structure


Question: There is a ten months old boy, sustained and intermittent vomiting crying; after the physician has found to have a distension and palpable mass in the right lower quadrant. The most likely diagnosis is:

Answer: Intestinal stack (intussusception)

Choices:
A. Appendicitis rupture forming lumps
B. Volvulus insufficiency (malrotation)
C. Intestinal stack (intussusception)
D. Fecal obstruction (stool impaction)


Question: Persistent gestational trophoblastic tumor (persistent gestational trophoblastic tumor) WHO prognostic scoring system 53 is selected pairs chemotherapy employed, refers to a so-called high-risk score:

Answer: ≧8

Choices:
A. ＜ 2
B. 2～4
C. 5～7
D. ≧8


Question: Mr. Zhang was sent to the emergency room because of heart palpitations, ECG examination revealed a ventricular tachycardia (supraventricular tachycardia), next to the physician in the carotid sinus massage done immediately to alleviate its symptoms, its main mechanism of action Why?

Answer: Activation depressor reflex (baroreflex)

Choices:
A. Reflection suppressing Brainbridge
B. Activation depressor reflex (baroreflex)
C. Chemical activation reflection (chemoreflex)
D. Inhibition of the vagus center (vagal center)


Question: Which of the following by the pudendal nerve (pudendal nerve) or its branches dominated?

Answer: uterus

Choices:
A. Ovary
B. uterus
C. vaginal
D. oviduct


Question: When patients with congenital mitochondrial mutation (e.g., 12S rRNA mutation), in particular that of the following will increase the chance of drug-induced ototoxicity drugs (ototoxicity) of?

Answer: Aminoglycoside antibiotics (aminoglycoside antibiotics)

Choices:
A. Quinine (quinine)
B. Platinum anti-cancer drugs (cisplatin, etc.)
C. Aminoglycoside antibiotics (aminoglycoside antibiotics)
D. Nonsteroidal antiinflammatory drugs (NSAIDs, such as ibuprofen, naproxen, etc.)


Question: Which of the following would promote a more alkaline urine absorbed again?

Answer: amphetamine

Choices:
A. amphetamine
B. cromolyn
C. ethacrynic acid
D. methyldopa


Question: 10. The following factors that can lead to increased abdominal venous pressure (venous pressure) it? ① compliance vein (venous compliance) is projected to increase ② vein sympathetic activity (sympathetic activity) ③ increased inspiratory activity (inspiration movements) ④ systemic blood volume (blood volume) increasing

Answer: ②③④

Choices:
A. ①②③
B. ①②④
C. ②③④
D. ①③④


Question: The following health-related government levied tobacco products donated narrative, that a mistake?

Answer: Because the amount of decline in the use of tobacco products, the Government will reduce the overall tax

Choices:
A. A greater impact on the amount of tobacco product use young people, because young people are more sensitive to the price of cigarettes, resulting in greater reduction of smoking
B. In terms of individual amounts levied overall, tend to lower social class lesson heavier taxes, lower social class because of the larger amount of tobacco product use
C. Overall, the rise in the price of tobacco products, can reduce the amount of use of tobacco products, improve the health status of the people
D. Because the amount of decline in the use of tobacco products, the Government will reduce the overall tax


Question: Detection analysis based on individual data, which of the following acts of exposure, will account for the largest proportion of sources of exposure to benzene?

Answer: smokes

Choices:
A. smokes
B. Travel from the steam locomotive emissions of exposure
C. Atmospheric emissions from motor vehicles of exposure
D. Industrial exposure to the atmosphere from


Question:
12.1-year-old girl because the solution zoomed day green sticky ⾎ wire 2 ⾄ it three times, intermittent temperature rises ⾄ 38 ℃ has been two days, weight from 9.8 down up to 10 km ⽄ public ⽄, to diarrhea medication and diet control. 3 days later we cut wire ⾎ ⾄ 1 per day, the culture will be non-zoomed sand ⾨ ⽒ typhoid bacillus (Nontyphoidal
 Salmonella) infection, when the body temperature 37.5 ℃, weighing 9.7 public ⽄, mental activity and normal care has been taken, following the disposal of what are the most appropriate?

Answer: Should be given an electrolyte solution or porridge-connector clothes and other light diet without taking anti-give-connector element ⽣

Choices:
A. Fluid or electrolyte-connector should be given clothes and other light diet of porridge, open to taking anti-connector ⽣ hormone therapy ⾄ less seven days
B. Should be hospitalized for intravenous drip and fasting, seven days than I could give intravenous anti-hormone therapy ⾄ ⽣
C. Should be given an electrolyte solution or porridge-connector clothes and other light diet without taking anti-give-connector element ⽣
D. It should be hospitalized drips and fast without giving anti-hormone ⽣


Question: 38 A 30-year-old female patient, fever one week recently and lower extremity edema medical treatment. Physical examination: conscious, oral temperature 38.2 ° C, the blood pressure 170/100 mmHg, pulse 76 / min, respiration 16 / min, eyes, lungs, heart, abdomen, and limb joints showed no abnormality, but the lower extremities significant sag resistance edema. Blood tests: blood urea nitrogen 35 mg / dL, creatinine 3.0 mg / dL. Serum anti-neutrophil cytoplasmic antibody (ANCA) negative, anti-nuclear antibody positive urine tests: protein (3+), pieces of red blood cells / high power field, red blood cells cylinder (+), check the following items where help establish the diagnosis?

Answer: Double-stranded deoxyribonucleic acid antibody (anti-double stranded DNA antibody)

Choices:
A. Rheumatoid factor (rheumatoid factor)
B. Hepatitis C antibody (anti-hepatitis C virus antibody)
C. Double-stranded deoxyribonucleic acid antibody (anti-double stranded DNA antibody)
D. Condensation globulin (cryoglobulin)


Question: Which is not an autonomic reflex disorder (autonomic dysreflexia) of the clinical symptoms?

Answer: Heartbeat

Choices:
A. Increased blood pressure
B. Heartbeat
C. Facial flushing
D. Night sweat


Question: Chronic otitis media with effusion can be placed ear airway surgery (myringotomy tube insertion) treatment. Middle ear airway about how long it will naturally discharge?

Answer: 6-12 months

Choices:
A. 1 month
B. 2 months
C. 3 months
D. 6-12 months


Question: 68 about laxatives (laxatives) of the narrative, following that correct?  cellulose is contraindicated in megacolon (megacolon)  bisacodyl patients should avoid milk while taking  mineral oil should be used for sleep

Answer: Only  correct

Choices:
A. Only  correct
B. Only  correct
C. Only  correct
D.  are correct


Question: Xiao Fen 20 years old, a car accident severe intracranial hemorrhage, was admitted to the intensive care unit on a respirator living there for five days, and now is determined brain-dead by the statutory procedures, with their parents have signed consent expressed willingness to donate organs, the hospital found legitimate recipient, you can dispose of what now take?

Answer: Can make subsequent organ transplant operations

Choices:
A. Waiting for cardiac arrest before organ transplant operations
B. Can make subsequent organ transplant operations
C. Expression meaning to the recipient families donated by family members to donate
D. Xiao Fen need evidence of organ donation wishes of my lifetime to work for transplantation


Question: Eighth-type human herpes virus (Human herpesvirus 8) in AIDS patients which may cause lymphoma?

Answer: Body cavity large B cell lymphoma

Choices:
A. Follicular B-cell lymphoma
B. Body cavity large B cell lymphoma
C. Peripheral T-cell lymphoma
D. Adult T-cell lymphoma


Question: We ask for a stroke patient labeling mark (bisection test) at the mid-point of each horizontal line, as shown in the results, the patient suffering from any symptoms?

Answer: Ignore the left

Choices:
A. The left hemianopia
B. Left eye blindness
C. The right of strabismus
D. Ignore the left


Question: In general, the following whichever is most leukocytes in the unit volume of blood quantity?

Answer: Basophil granulocyte

Choices:
A. Eosinophil
B. Basophil granulocyte
C. Lymphocyte
D. Monocytes


Question: Statements about liver spots (melasma, chloasma) is, which of the following error?

Answer: Good laser treatment, and recurrence

Choices:
A. The higher the probability of occurrence of liver spots during pregnancy
B. Patients should minimize UV exposure
C. Good laser treatment, and recurrence
D. Liver spots has nothing to do with abnormal liver function


Question: Nerve skin syndrome (neurocutaneous syndrome) Children with skin has its specific characterization, corresponds to a combination of the following, whichever is least likely?

Answer: Pigment disorder (incontinentia pigmenti) - shark skin plaques (shagreen patch)

Choices:
A. Pigment disorder (incontinentia pigmenti) - shark skin plaques (shagreen patch)
B. Sturge-Weber syndrome- trigeminal nerve distribution wine red spots (port-wine stain)
C. Tuberous sclerosis (tuberous sclerosis complex) - depigmentation (ash leaf hypomelanotic macules)
D. Neurofibromatosis disease (von Recklinghausen syndrome) - cafe au lait spots (café-au-lait spots)


Question: Which of the following main components of the structure is not composed of collagen tissue (collagenous tissues) composed of?

Answer: Pu Jinshi fibers (Purkinje fibers)

Choices:
A. Aortic valve (aortic valves)
B. Medium venous (valves of medium-sized vein)
C. Chordae (chordae tendineae)
D. Pu Jinshi fibers (Purkinje fibers)


Question: An asthma patient, during the day twice a week will feel chest tightness and cough have the case; but displayed normal lung function. Which of the following is least likely to control (controller) for this patient requires daily medication?

Answer: Short-acting β2-agonist

Choices:
A. Low-dose inhaled steroids
B. Theophylline (Theophylline)
C. leukotriene change
D. Short-acting β2-agonist


Question: Which of the following drugs for the treatment of chronic alcoholism?

Answer: Disulfiram

Choices:
A. Dobutamine
B. Carbidopa
C. Reserpine
D. Disulfiram


Question: Children rickets (Rickets) often due to the body caused by abnormal calcium and phosphorus metabolism, following that a pathogenic machine turn caused by rickets and other least the same?

Answer: Hypophosphatemia rickets (Hypophosphatemic rickets)

Choices:
A. Chronic Kidney Disease (Chronic kidney disease)
B. Hypophosphatemia rickets (Hypophosphatemic rickets)
C. Gastrointestinal malabsorption (Malabsorption)
D. Malnutrition caused by vitamin D deficiency (Nutritional vitamin D deficiency)


Question: Invasive lobular carcinoma (invasive lobular carcinoma) major molecular characteristics Why?

Answer: Do not show E-cadherin

Choices:
A. Do not show E-cadherin
B. Her2 gene increase (amplification)
C. BRCA1 gene mutation
D. Epidermal growth factor receptor (epidermal growth factor receptor) overexpression


Question: Which of the following results may be as Defective canalization occurs when the development of the female vagina?

Answer: Vaginal lateral septum

Choices:
A. Longitudinal vaginal septum
B. Vaginal lateral septum
C. Hymen atresia
D. Endometrial septum


Question: Plantar nerve (medial plantar nerve) injured, most will not affect which of the following actions?

Answer: Foot in the toe closed

Choices:
A. Foot in the toe closed
B. Foot toe abduction
C. Foot toe flexion
D. Toe flexion


Question: Production methods shown in the figure, as shoulder dystocia which helper methods?

Answer: McRoberts maneuver

Choices:
A. Rubin maneuver
B. McRoberts maneuver
C. background pressure
D. Woods corkscrew maneuver


Question: 15. Disposal Standards neonatal meconium inhalation (meconium aspiration syndrome), in order to avoid deterioration and even cause persistent pulmonary hypertension (pulmonary hypertension), Which of the following is the most important process?

Answer: Endotracheal suction to clear meconium and treatment of respiratory distress and hypoxia

Choices:
A. Immediately after birth surface tension element
B. Endotracheal suction to clear meconium and treatment of respiratory distress and hypoxia
C. Positive pressure ventilation breathing
D. Extracorporeal membrane oxygenation ECMO (extracorporeal membrane oxygenation)


Question: Compared with young people, elderly people suffering from symptoms related to pneumonia, the following statements is true?

Answer: The proportion of produce mental impairment than the young high

Choices:
A. The proportion of young people than high fever
B. Cough with phlegm higher proportion than the young
C. The proportion of produce mental impairment than the young high
D. Chest pain produced proportions than young high


Question: In the 100-meter sprint, which of the following is a muscle four seconds before the major energy?

Answer: creatine phosphate

Choices:
A. anaerobic metabolism of glucose
B. aerobic metabolism of glucose
C. creatine phosphate
D. ketone bodies


Question: The following about the seminal vesicle (seminal vesicle), what's wrong?

Answer: Cells lining epithelium (simple columnar epithelium)

Choices:
A. Both to the outer longitudinal smooth inner coating (smooth muscle coat)
B. Secretions rich in fructose (fructose)
C. There are many inherent elastic fiber layer (elastic fiber)
D. Cells lining epithelium (simple columnar epithelium)


Question: 12-year-old boy, bloody stool come for treatment. Physical examination found his lips with black spots in the following figure, the disease is most likely to:

Answer: Peutz-Jeghers syndrome

Choices:
A. Peutz-Jeghers syndrome
B. familial polyposis coli
C. Gardner's disease
D. flat villous adenoma


Question: Most of the brainstem glioma (intrinsic brain stem glioma) patients with symptoms as the initial presentation of what?

Answer: Cranial neuropathy (cranial neuropathies)

Choices:
A. Cranial neuropathy (cranial neuropathies)
B. Headache (headache)
C. Hydrocephalus (hydrocephalus)
D. Papilledema (papilledema)


Question: Statements is glucose newborn action (gluconeogenesis) the following information about the right of human cells?

Answer: Protein can be converted into glucose

Choices:
A. Protein can be converted into glucose
B. Glucose, insulin can activate the role of newborn
C. After the intake of high-carbohydrate foods, take advantage of this effect to lower blood sugar
D. Essential fatty acids into glucose the way


Question: Which of the following is disposed a flow-directed pulmonary artery catheter when recording pulmonary artery wedge pressure (wedge pressure), was observed reasons prominent v waves exist? ①tricuspid atresia ②aortic valve stenosis ③aortic regurgitation ④mitral regurgitation

Choices:
A. ①②③
B. ①③
C. ②④
D. ④


Question: Figure hatched parts of the epidermis feeling, it is mainly the responsibility of a spinal nerve root?

Answer: The first thoracic spinal cord

Choices:
A. Sixth cervical spinal cord
B. Seventh cervical spinal cord
C. The first thoracic spinal cord
D. Second thoracic spinal cord


Question: That one of the following antidepressants are less prone to side effects of postural hypotension?

Answer: Fluoxetine

Choices:
A. Desipramine
B. Trazodone
C. Fluoxetine
D. Amitriptyline


Question: Fixed spinal cord dentate ligament (denticulate ligament) is formed from which of the following?

Answer: Pia mater (pia mater)

Choices:
A. Dura periosteal layer (periosteal layer of dural mater)
B. Meningeal layer of the dura (meningeal layer of dural mater)
C. Arachnoid (arachnoid mater)
D. Pia mater (pia mater)


Question: Connective tissue, which of the following manufacture and secretion of matrix (ground substance)?

Answer: Fibroblasts (fibroblast)

Choices:
A. Plasma cells (plasma cell)
B. Mast cells (mast cell)
C. Histiocytes (histiocyte)
D. Fibroblasts (fibroblast)


Question:
8 as a result of patient oral glucose tolerance test (oral glucose tolerance test) as follows: Time (minutes) 0 '30' 60 '90' 120 'blood glucose (mg%) 110 220 190 178 155
 The diagnosis is:

Answer: Impaired glucose tolerance (impaired glucose tolerance)

Choices:
A. normal
B. diabetes
C. Impaired glucose tolerance (impaired glucose tolerance)
D. Not only make a diagnosis


Question: Which of the following rare in opioid overdose (opioid overdose)?

Answer: Body temperature

Choices:
A. Miosis
B. Reaction worse (unresponsiveness)
C. Respiratory depression (respiratory depression)
D. Body temperature


Question: Following the adult's distal radial fracture (Colles's fracture) narrative, what's right?

Answer: Nonunion fractures rarely occur (non-union)

Choices:
A. The most commonly occur in the 40 years of age
B. The incidence of women than men
C. Nonunion fractures rarely occur (non-union)
D. Distal radial ulnar joint (radio-ulnar joint) without dislocation is rare


Question: When pregnant women infected with rubella virus most likely to cause congenital birth defects?

Answer: The initial three months of pregnancy

Choices:
A. The initial three months of pregnancy
B. Mid-pregnancy for three months
C. Three months late pregnancy
D. Perinatal


Question: A 34-year-old male patient to the orthopedic clinic for medical treatment, the patient is professional movers, the last half year that is the phenomenon of lower back pain, and even affect the work; complained in recent weeks to the right leg and buttocks extending to the ipsilateral the first toe severe numbness, severe lameness, coughing and aggravate their symptoms on the toilet hard. Recalling its history, before the emergence of the right lower extremity numbness of the day, there is heavy items waist flash back to the feeling, so we judge that the patient most likely diagnosis is which of the following?

Answer: Disc (HIVD)

Choices:
A. Spinal stenosis (spinal stenosis)
B. Spondylolisthesis (spondylolisthesis)
C. Disc (HIVD)
D. Tumor metastasis


Question: 57 aminoglycoside class (aminoglycoside) is a fungicide drugs, commonly used to treat serious infections caused by Gram-negative bacteria and a small number of gram-positive bacteria, anaerobic bacteria to these drugs but is resistant , the main reason is:

Answer: Such antibiotics can not enter bacterial cells

Choices:
A. Bacterial ribosome binding site mutation, so that antibiotics can not be combined
B. Such antibiotics can not enter bacterial cells
C. Antibiotics structure is secreted bacterial enzymes that break
D. The effectiveness of antibiotics is not enough


Question: A 60 year old man left lung resection for lung cancer (left pneumonectomy), then the total alveolar compliance (total alveolar compliance), pulmonary vascular resistance (pulmonary vascular resistance), conductivity airways (airway conductance) and other physiological indicators and not previously done before lung resection compared to the most likely why change?

Answer: Decreased alveolar total compliance, decreased pulmonary vascular resistance, elevated airway conductivity

Choices:
A. Decreased alveolar total compliance, elevated pulmonary vascular resistance, decrease of airway conductance.
B. Alveolar elevated total compliance, elevated pulmonary vascular resistance, decrease of airway conductance.
C. Alveolar total compliance increased, decreased pulmonary vascular resistance, elevated airway conductivity
D. Decreased alveolar total compliance, decreased pulmonary vascular resistance, elevated airway conductivity


Question: For immunosuppressive drugs may chelate any cellular DNA to inhibit the proliferation of immune cells from the immune response associated with?

Answer: Cyclophosphamide

Choices:
A. Cyclosporine
B. Tacrolimus
C. Cyclophosphamide
D. Muromonab-CD3


Question: Bearing on the question, which of the following syndrome are more likely to Tongshifasheng disease in infants?

Answer: Mikulicz's syndrome

Choices:
A. Down syndrome
B. Peutz-Jeghers syndrome
C. Mikulicz's syndrome
D. Zollinger-Ellison syndrome


Question: Heart patients blood cholesterol (cholesterol) is too high, so taking cholesterol-lowering statin drugs, which of the following is a statin in this situation the most important mechanism of action?

Answer: inhibition of cholesterol synthesis reaction statin HMG-CoA reductase

Choices:
A. statin inhibition of cholesterol absorption by the intestine
B. statin inhibition of cholesterol enterohepatic recycling (enterohepatic recirculation)
C. inhibition of cholesterol synthesis reaction statin HMG-CoA reductase
D. statin suppressing low-density lipoprotein receptor gene expression


Question: The figures are a 50-year-old male patient on the left side of the eardrum found otoscopy, based on observation of this figure, why your diagnosis?

Answer: Otitis media with effusion

Choices:
A. Otitis media with effusion
B. Chronic suppurative otitis media
C. Acute otitis media
D. Cholesteatoma otitis media


Question: The following description of the scrotal dartos fascia, and what's right?

Answer: Associated with abdominal Camper's fascia

Choices:
A. Associated with abdominal Camper's fascia
B. Rich in subcutaneous fat
C. Dartos muscle skeletal muscle configuration containing
D. Muscle extract containing epididymis (cremasteric muscle)


Question: 95.56-year-old female, the labia majora and there is a clear boundary, itching, face redder and will scab lesions. She received a biopsy. Illustrates a variation of the lesions under the microscope. The following information about the disease statements is true?

Answer: PAS staining cytoplasm of diseased cells is positive

Choices:
A. Caused by the human papillomavirus
B. Is derived from a benign tumor of melanocytes
C. Is primary cell carcinoma
D. PAS staining cytoplasm of diseased cells is positive


Question: Central nervous system, the detecting body fluid osmolality, and involved in the regulation of vasopressin (anti-diuretic hormone) secreted by the osmotic device (osmoreceptor) closest to the following distribution where?

Answer: Supraoptic nucleus (supraoptic nucleus)

Choices:
A. Supraoptic nucleus (supraoptic nucleus)
B. Cone cortex (pyramidal cortex)
C. CROSS cone (pyramidal decussation)
D. System hoof-like inner (medial lemniscus system)


Question: The following account of carcinogenicity RNA virus (Oncovirus) of, what is wrong?

Answer: Some itself without oncogenes can cause cancer, such as Rous sarcoma virus (Rous sarcoma virus)

Choices:
A. Belonging to the retrovirus families (retroviridae) classification
B. Also known as RNA tumor virus (RNA tumor virus)
C. Some itself with oncogene (oncogenes)
D. Some itself without oncogenes can cause cancer, such as Rous sarcoma virus (Rous sarcoma virus)


Question: Smoking-related statements about the glue, Which statement is correct?

Answer: The effect produced is similar CNS depressants (CNS depressant), such as alcohol

Choices:
A. The effect produced is similar CNS depressants (CNS depressant), such as alcohol
B. Long-term smokers often prone to withdrawal symptoms
C. Long-term smokers brain tomography, easy to find infarction (infarction) small area
D. Because of its short duration of action of drug, continued smoking during pregnancy, the fetus has little impact


Question: In about a 30 year old woman long-term amenorrhea due to obstetrics and gynecology for treatment, pregnancy test result is negative, there are situations when the milk secretion and referred patients, blood tests and blood prolactin concentration than normal of about 1,000 above the fold, so go to the clinic neurosurgery. The physician Arrangement following the disposal, whichever is most inappropriate?

Answer: Carotid ultrasound

Choices:
A. Brain magnetic resonance imaging (MRI)
B. Perimetry
C. Carotid ultrasound
D. Blood testing GH, ACTH, TSH concentration in blood


Question: Mylohyoid muscle (Mylohyoid muscle) innervated by what?

Answer: The fifth cranial nerve third branch

Choices:
A. The fifth cranial nerve third branch
B. Glossopharyngeal nerve (Glossopharyngeal nerve)
C. The first cervical nerve
D. Hypoglossal nerve (Hypoglossal nerve)


Question: 5626-year-old female patient, intermittent headache for three years, even more Rongyifasheng before menstruation; often the immediate shadow of the phenomenon lasted about 5-10 minutes before the headache, headaches position behind the right eye socket most serious, the pulse of the dance movement, while photophobia phenomenon, usually pain all day, to wake up the next day will be good; outpatient physical examination found no anomalies. This patient most likely suffers from:

Answer: migraine

Choices:
A. After the right eyeball tumor
B. migraine
C. Sinusitis
D. The right side in the carotid stenosis


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

Answer: Parafollicular cells 分泌 thyroglobulin

Choices:
A. T4 adult half-life of about one week
B. Parafollicular cells 分泌 thyroglobulin
C. T3 half-adults of from about 8 to 12 hours
D. Medullary thyroid carcinoma lesions from the parafollicular cells


Question: In the diagnosis and treatment of breast cancer, axillary lymph divided into three regions (Level), wherein the second region (level Ⅱ) is:

Answer: Then located in a small chest (pectoralis minor muscle) Party

Choices:
A. Located thoracodorsal artery (thoracodorsal artery) outside the
B. Positioned inside the artery thoracodorsal
C. Also known as axillary lymph node tip (apical node)
D. Then located in a small chest (pectoralis minor muscle) Party


Question: After the occurrence of athletes ankle sprain, following the disposal of what's wrong?

Answer: To cast immobilization six weeks is a necessary measure

Choices:
A. To cast immobilization six weeks is a necessary measure
B. Basketball and football players can Gaotong to wear shoes (hightop shoes)
C. Taping (taping) therapy on ankle sprain longer valid
D. A treadmill help of endurance training after ankle sprain


Question: Statements about food poisoning staphylococci (Staphylococcus) caused, following that a mistake?

Answer: It is caused by heat-labile enterotoxin

Choices:
A. It is caused by heat-labile enterotoxin
B. Fast produce symptoms, occurs within about 4 hours
C. Symptoms disappear quickly, about 24 hours will disappear
D. Some of Staphylococcus aureus bacteria can lead to pseudomembranous enterocolitis


Question:
A serum-old boy 37 for 3 months, there are higher concentrations of both compounds, including phenylalanine (Phenylalanine) and phenylketonuria (phenylpyruvate), suspected phenylketonuria (phenylketonuria), but the test was measured the phenylalanine hydroxylase (Phenylalanine
 hydroxylase) activity was normal. If following the project abnormal enzyme test, you can still support your phenylketonuria diagnosis?

Answer: Hydrochlorothiazide pteridine reduction enzyme (dihydrobiopterin reductase)

Choices:
A. Tyrosinase (Tyrosinase)
B. Hydrochlorothiazide pteridine reduction enzyme (dihydrobiopterin reductase)
C. Black urate oxidase (homogentisic acid oxidase)
D. Dopamine hydroxylase (dopamine hydroxylase)


Question: The following information about adoptive T-cell transfer immunotherapy used to describe a tumor, that a mistake?

Answer: From healthy human purified T cells in vivo hit back after in vitro stimulation therapy for cancer patients

Choices:
A. From healthy human purified T cells in vivo hit back after in vitro stimulation therapy for cancer patients
B. T cell activation requires IL-2 in vitro cytokine stimulation
C. T cells can activate antigen presenting cells via (antigen presenting cells)
D. T cell activation still retains memory (Memory)


Question: The following statements about the inhaled anesthetic gases and what was wrong?

Answer: Drug metabolism mainly carried out through the kidneys

Choices:
A. Inhibit ischemic pulmonary vasoconstriction (hypoxic pulmonary vasoconstriction)
B. Tidal volume (tidal volume) will be reduced when patients breathe
C. Will reduce the contractile force of the heart (myocardial contractility)
D. Drug metabolism mainly carried out through the kidneys


Question: N2 can be converted to nitrogen via ammonia solidification (nitrogen fixation), they are used for the two enzymes:

Answer: nitrogenase, nitrogenase reductase

Choices:
A. nitrate reductase, nitrite reductase
B. glutamate synthase, glutamate dehydrogenase
C. dihydrofolate reductase, methione synthase
D. nitrogenase, nitrogenase reductase


Question: Massive blood loss, the body through many machines turn causes increased thirst and water intake, Which is a reasonable machine turn?

Answer: Angiotensin II increases blood concentrations, and applied to the subfornical organ (located diencephalon), and finally through the signal initiator hypothalamic thirst

Choices:
A. Hypothalamus of osmoreceptor thirst caused the osmolarity of body fluids change, activation
B. Blood pressure, heart and baroreceptor activation located in the vessel wall, the last signal is triggered via the hypothalamus thirst
C. Increase the release of renin, renin lead to action on the hypothalamic thirst
D. Angiotensin II increases blood concentrations, and applied to the subfornical organ (located diencephalon), and finally through the signal initiator hypothalamic thirst


Question: Neonatal Intensive Care Unit nurse received claiming to be patient Xiu Xiu aunt's phone, asking breathing Xiu Xiu's better not. At this point the nurse practice what more appropriate?

Answer: Tactfully explain the phone can not tell the condition

Choices:
A. Phone to confirm whether she was the aunt of Xiu Xiu
B. Xiu Xiu parents asked if she got authorization
C. She told the inquiry of the matter, and told her not to call again next time
D. Tactfully explain the phone can not tell the condition


Question: Which of the following non-laparoscopic cholecystectomy the contraindications?

Answer: Previously treated with abdominal surgery

Choices:
A. Coagulation dysfunction beyond the control of
B. The serious obstructive pulmonary disease
C. The severe heart failure
D. Previously treated with abdominal surgery


Question: The following statements about multiple sclerosis (multiple sclerosis), and what's wrong?

Answer: Is a disease of the peripheral nervous system

Choices:
A. Is a disease of the peripheral nervous system
B. Cerebrospinal fluid within the TNF (Tumor Necrosis Factor, TNF) associated with disease activity
C. Interferon treatment is curative
D. The virus is related to EBV and HHV6


Question: 60 year old man, because of an accident caused by a ruptured spleen blood loss, clinical manifestations of dry skin, no urine, blood pressure, by surgery, blood transfusion and rehydration, the symptoms improve, change in the course of the organ caused Which of the following most likely to occur?

Answer: Acute tubular necrosis

Choices:
A. Extensive liver necrosis
B. Acute tubular necrosis
C. Diffuse alveolar necrosis
D. Adrenocortical cells in fat accumulation


Question: Human discharged through the anus "gas" (Flatus), approximately what percentage is fermented by the bacteria in the large intestine (Fermentation) generated?

Answer: Seventy-five percent

Choices:
A. Twenty-five percent
B. Fifty percent
C. Seventy-five percent
D. hundred percent


Question: The narrative about cerebral palsy, which of the following error?

Answer: The most serious type is hemiplegia

Choices:
A. cerebral palsy patients will not necessarily merge with intellectual disabilities
B. The most serious type is hemiplegia
C. To diagnose cerebral palsy is subject to the prior rule out the possibility of other progressive brain disease
D. cerebral palsy treatment requires complex medical professionals and psychologists help of


Question: The following account of cryptosporidiosis (Cryptosporidium parvum), and what's wrong?

Answer: Patients with fresh fecal oocysts (oocyst) not contagious

Choices:
A. Parasitic in the intestinal epithelial cells
B. Once the water because the water is contaminated and cause a pandemic
C. Patients with fresh fecal oocysts (oocyst) not contagious
D. Usually self-healing (self-limiting) disease, but AIDS patients may cause chronic diarrhea


Question: 56 25-year-old nurse in a hospital nursery, the home appear runny nose, mild cough and slight fever phenomenon, this situation continues for a few days, the cough becomes more severe, and issued a "bark" sound, when there will be excitement asthma song. In addition, the nurse seems no abnormalities, in addition to have been coughing, X-ray examination revealed significant narrowing of the glottis at the neck. This symptom is caused by a viral infection which of the following?

Answer: Parainfluenza virus (Parainfluenza virus)

Choices:
A. Parainfluenza virus (Parainfluenza virus)
B. Influenza virus (Influenza virus)
C. Respiratory syncytial virus cells (Respiratory syncytial virus)
D. Rhinovirus (Rhinovirus)


Question: A 6-year-old girls' primary complaint in the past two months have intermittent anal solved by the small amount of bright red blood in stool, but no abdominal pain. Physical examination no fissure, but Dre, referring put blood, causing rectal bleeding this sick children most likely cause is:

Answer: Youth polyps

Choices:
A. intussusception
B. Youth polyps
C. Meckel's diverticulum
D. Ulcerative colitis


Question: Which of the following through the diaphragm central tendon (central tendon of diaphragm)?

Answer: The inferior vena cava

Choices:
A. Aortic
B. The inferior vena cava
C. esophagus
D. Hepatic vein ⾨


Question: Mr. Xu has liver cirrhosis with ascites, hepatic encephalopathy there. Was recently found to have day and night lethargy, confusion phenomenon, blood tests found that NH3 = 110 μg / dL (normal range: 19 ~ 60), Which is not such a common condition predisposing factor?

Answer: Hyperkalemia

Choices:
A. constipation
B. Hyperkalemia
C. Gastrointestinal bleeding
D. infection


Question: About conjunctiva papilloma (papilloma), the following statements is true?

Answer: Pathogenic ultraviolet irradiation related transfer machine

Choices:
A. Not contagious
B. Very easily transformed into malignant tumors
C. Pathogenic ultraviolet irradiation related transfer machine
D. Pathogenic infection with the human papillomavirus machine turn about


Question: A 3-year-old boy repeated occurrence of pyogenic bacterial infections, but he antibody response after vaccination normal, and he contracted chicken pox and measles normal after recovery. He is most likely the following functional defects that one cell?

Answer: Neutrophil (Neutrophils)

Choices:
A. Neutrophil (Neutrophils)
B. Phagocytes (Macrophages)
C. B lymphocytes (B lymphocytes)
D. T lymphocytes (T lymphocytes)


Question: Large 3-year-old child, outpatient physical examination for Sick Children found that this small head circumference, wearing a hearing aid, can only say simple words, short sentences and can not say, other physical examination is normal. Its history was born full-term natural productivity and merge jaundice and thrombocytopenia. The CT examination revealed periventricular calcification. Based on the above information the following is most likely that a congenital infection?

Answer: Cytomegalovirus Infection (Cytomegalovirus infection)

Choices:
A. Syphilis (Syphilis)
B. Toxoplasmosis (Toxoplasmosis)
C. Herpes virus (Herpes simplex virus infection)
D. Cytomegalovirus Infection (Cytomegalovirus infection)


Question: A 40-year-old man, whose height 178 cm, weight 70 kg, when it is not taking any medication affect heart rate, if at the time recommended maximum heart rate of 60 to 70% of the exercise intensity to engage in sports, then wrist pulse every ten seconds, beating several recommendations that best meet this sport?

Answer: 19

Choices:
A. 15
B. 17
C. 19
D. 22


Question: The most common type of stomach tissue primary cancers are:

Answer: Adenocarcinoma (adenocarcinoma)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Squamous cell carcinoma (squamous cell carcinoma)
C. Lymphoma (lymphoma)
D. Leiomyosarcoma (leiomyosarcoma)


Question: Pathological changes related to Vice-onset times caused by hyperthyroidism, which of the following error?

Answer: Fat cells increase in parathyroid

Choices:
A. Within the parathyroid chief cells (chief cells) proliferation are the main
B. Causing osteitis fibrosa cystica (osteitis fibrosa cystica)
C. Fat cells increase in parathyroid
D. Visible metastatic calcification (metastatic calcification) in multiple tissues and organs


Question: Deoxyribonucleic acid (DNA) double helix (double helix) structure is one of the greatest discoveries of the twentieth century. Stability of double-stranded helical structure, mainly from which of the following?

Answer: Between the different DNA strands purine (purine) with a pyrimidine (pyrimidine) hydrogen

Choices:
A. Between the neighboring purine (purine) hydrogen bonds
B. Between the adjacent pyrimidine (pyrimidine) hydrogen
C. Double helix structure itself
D. Between the different DNA strands purine (purine) with a pyrimidine (pyrimidine) hydrogen


Question: The following three types of virus, where cases can cause lesions as shown in the arrow in the nervous system?

Answer: ①②③

Choices:
A. Only ①
B. Only ②
C. Only ①②
D. ①②③


Question: GnRH agonists narrative about the drugs, Which of the following most correct?

Answer: Treat endometriosis

Choices:
A. Shorter half-life than endogenous GnRH
B. 3 weeks after administration, can stimulate FSH
C. Treat endometriosis
D. Can be used orally


Question: Bearing on issues such as the above checks can not rule out biliary atresia, the next step dispose why?

Answer: operative cholecystocholangiography

Choices:
A. Computed tomography or magnetic resonance imaging
B. Laparoscopic
C. Retrograde biliary duct Photography (ERCP)
D. operative cholecystocholangiography


Question: Following on standardized mortality ratio (standardized mortality ratio, SMR) of the narrative, what's wrong?

Answer: Two groups different SMR, must be due to different mortality stratified

Choices:
A. Case-control method also calculate SMR
B. SMR can not be directly compared two
C. Is a standardized way of an indirect method
D. Two groups different SMR, must be due to different mortality stratified


Question: The following is not a molecule that glycolysis (glycolysis) and gluconeogenesis (gluconeogenesis) common intermediate product?

Answer: Oxaloacetic acid (oxaloacetate)

Choices:
A. PEP (phosphoenolpyruvate)
B. Oxaloacetic acid (oxaloacetate)
C. 1,3-diphosphoglycerate (1,3-bisphosphoglycerate)
D. Glucose 6-phosphate (glucose 6-phosphate)


Question: 56.14-year-old boy complained to the tumor gradually grew up about a year and right thighs. Local history inquiry found that there is pain, especially after long standing pain was diagnosed as intramuscular hemangioma (intramuscular hemangioma). Narrative about the diagnosis, prognosis and disposal, the following best right?

Answer: The more deep tumors more difficult to diagnose, easily mistaken for cancer

Choices:
A. Most tumors will continue to increase resulting in limb deformity
B. Often require surgery to resolve the pain
C. Distant metastases may occur
D. The more deep tumors more difficult to diagnose, easily mistaken for cancer


Question: Which of the following would happen cyanosis (cyanosis)?

Answer: Arterial blood hemoglobin oxygen content greater than 5 g / dL

Choices:
A. Arterial blood hemoglobin oxygen content greater than 5 g / dL
B. poisoned by carbon monoxide
C. Hypoxic tissue toxicity
D. Severe anemia hypoxia


Question: Taiwan has entered the aging society, the elderly about the following common benign prostate hypertrophy performed transurethral resection of the prostate (TURP) consideration of anesthesia, what's wrong?

Answer: Transurethral prostatectomy syndrome (TURP syndrome), because too much fluid genus, a certain decrease in blood pressure

Choices:
A. Frame foot (lithotomy) posture affects lung FRC (functional residual capacity)
B. Typically implemented bust anesthesia, but the preoperative assessment of cardiopulmonary function is still necessary
C. When intraoperative change awareness, blood tests should be oxygen and blood concentration of sodium ions
D. Transurethral prostatectomy syndrome (TURP syndrome), because too much fluid genus, a certain decrease in blood pressure


Question: Related to ovarian hyperstimulation syndrome (OHSS), Which of the following most correct?

Answer: Ascites caused by oppression or dyspnea, to be deprived of ascites

Choices:
A. Regardless of the number and incidence of oocyte retrieval
B. Early-onset OHSS and exogenous hCG has nothing to do
C. Found few urine, quickly diuretics
D. Ascites caused by oppression or dyspnea, to be deprived of ascites


Question: Trisomy (trisomy) formed mainly of chromosomes during cell division to the progeny not evenly distributed in cells. The following statements about the causes Down's syndrome, that kind of highest probability?

Answer: Egg formation, the first time in meiosis uneven distribution

Choices:
A. Egg formation, the first time in meiosis uneven distribution
B. Sperm formation, the first time in meiosis uneven distribution
C. Distribution of chromosomes when the fertilized egg formation, in the previous mitotic uneven
D. Two sperm and egg together to form a zygote


Question: The seventh cranial nerve parasympathetic preganglionic fibers through what's contained in the ganglion, but not with the nerve synapse within the ganglion yuan?

Answer: Geniculate ganglion (Geniculate ganglion)

Choices:
A. Pterygopalatine ganglion (Pterygopalatine ganglion)
B. Mandibular ganglion (Submandibular ganglion)
C. Ear ganglion (Otic ganglion)
D. Geniculate ganglion (Geniculate ganglion)


Question: Suppose a DNA fragment of 900 pairs of nucleotides (base pairs) consisting of, free of non-translated portion (untranslated region). How many multi-peptide (polypeptide) of its corresponding translation of mRNA produced by the molecular weight of about?

Answer: 30,000

Choices:
A. 900
B. 5,000
C. 30,000
D. 100,000


Question: Benign paroxysmal postural vertigo (benign paroxysmal positional vertigo, BPPV) is a balloon or utricle otolith (Otolith) fall, fall into the semicircular canal, otolith fall off is the most common:

Answer: Posterior semicircular canal (posterior semicircular canal)

Choices:
A. Side of the semicircular canal (lateral semicircular canal)
B. Posterior semicircular canal (posterior semicircular canal)
C. Semicircular canal (superior semicircular canal)
D. Horizontal semicircular canal (horizontal semicircular canal)


Question: Surgical options well-differentiated thyroid cancer, related to total thyroidectomy, the following statements is wrong?

Answer: Can reduce parathyroid dysfunction and recurrent laryngeal nerve injury and other complications

Choices:
A. Can reduce parathyroid dysfunction and recurrent laryngeal nerve injury and other complications
B. After the surgery can be used as markers to track thyroglobulin
C. Increase iodine -131 (iodine-131) treatment after surgery
D. Need lifelong thyroxine


Question: For the following description, "atrial natriuretic peptide (atrial natriuretic peptide)", the what's right?

Answer: The main function of lowering blood pressure regulation and electrolyte

Choices:
A. Mainly by the ventricular myocardial cells secrete
B. Mainly by endothelial cells
C. The main function is to increase blood pressure
D. The main function of lowering blood pressure regulation and electrolyte


Question: Chronic viral hepatitis patients if long-term excessive drinking, to Which of the following most likely caused by cirrhosis of the liver?

Answer: Type C

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


Question: Under Mr. Chen a few days ago suddenly appear back pain and leg pain and numbness associated with sweaty, lumbar MRI scans (MRI) appears fourth lumbar vertebrae, intervertebral disc between the fifth. Which of the following rehabilitation treatment best suited?

Answer: Lower back traction pelvic with hot (pelvic traction)

Choices:
A. Lower back traction pelvic with hot (pelvic traction)
B. Electrical stimulation (electric stimulation)
C. Ultrasound (ultrasound)
D. Spa (hydrotherapy)


Question: A 40-year-old male, smoking up to two years, recent physical examination found on the right side of the lung lobe 2 cm nodule by positron photography and brain and chest CT examination found that only ipsilateral hilar lymph node involvement, by the slice confirmed non-small cell lung cancer, what treatment patients should receive the most appropriate?

Answer: Surgical resection and postoperative adjuvant chemotherapy

Choices:
A. Surgery, postoperative can
B. Surgical resection and postoperative adjuvant chemotherapy
C. Radiation treatment
D. Use Gefitinib


Question: Which of the following diseases most often associated with potentially cancer (occult cancer)?

Answer: Dermatomyositis (dermatomyositis)

Choices:
A. Rheumatoid arthritis (rheumatoid arthritis)
B. Muscular dystrophy (muscular dystrophy)
C. Sports neurons disease (motor neuron diseases)
D. Dermatomyositis (dermatomyositis)


Question: Stomach feeling of satiety is mainly carried by which of the following?

Answer: Vagus nerve (vagus nerve)

Choices:
A. Splanchnic nerve (greater splanchnic nerve)
B. Small visceral nerve (lesser splanchnic nerve)
C. Splanchnic nerve (least splanchnic nerve)
D. Vagus nerve (vagus nerve)


Question: When hysteroscopic surgery, the occurrence of hypotonic (hypotonic) uterine inflation fluid (distension media) excessive absorption (overload) clinical manifestations of, in addition to brown urine or hematuria, the merger may not include which of the following symptoms?

Answer: Continued heavy bleeding

Choices:
A. Shortness of breath and sputum foam (frothy sputum)
B. Changes in consciousness (conscious change) or delirium (delirium)
C. Few of urine (oliguria)
D. Continued heavy bleeding


Question: The following statements about the causes of epilepsy, what's right?

Answer: Infants and Junior (greater than 1 month, less than 12 years old) with genetic abnormalities or primary (idiopathic) based

Choices:
A. Less than a month to newborns the most common brain tumor
B. Infants and Junior (greater than 1 month, less than 12 years old) with genetic abnormalities or primary (idiopathic) based
C. Adolescents (12-18 years old) with cerebral vascular disease based
D. Youth and adults (18-35 years old) to neurodegenerative diseases based


Question: About herpes zoster ophthalmia (herpes zoster ophthalmicus) of the narrative, which of the following error?

Answer: Oral steroids is an absolute contraindication

Choices:
A. Occur more frequently in the elderly or patients with immunodeficiency
B. Skin lesions occur in the range of the trigeminal nerve (trigeminal nerve) dominated the
C. Early administration of antiviral drugs (such as acyclovir) reduces the potential for the occurrence of post-herpetic neuralgia (post-herpetic neuralgia) of
D. Oral steroids is an absolute contraindication


Question: 47.60-year-old male with a history of hypertension and diabetes, neurological symptoms due to acute medical treatment, according to shadow the brain magnetic resonance examination revealed acute lacunar (lacunar infarction), those following a lacunar stroke common typical symptoms: ① limb disorder (dysmetria) ② aphasia (aphasia) ③ dysarthria (dysarthria) ④ ignored (neglect The)

Answer: ①③

Choices:
A. ①③
B. ②④
C. ①④
D. ②③


Question: Abdominal compartment syndrome (abdominal compartment syndrome) is a bleeding organ or abdominal cavity pulp tissue edema, resulting in intra-abdominal pressure (intra-abdominal pressure) rises sharply, leading to difficulty in breathing, blood pressure, kidney failure when, what should be used immediately following better ways to deal with?

Answer: Now using the disposal or surgical decompression (decompressive procedures or operation)

Choices:
A. Inserted endotracheal tube
B. A supercharger agents (vasopressor in)
C. Shi play diuretics (diuretic agents)
D. Now using the disposal or surgical decompression (decompressive procedures or operation)


Question: Tensor tympani muscle (tensor tympani) dominated by what nerve?

Answer: The fifth cranial nerve third branch

Choices:
A. The fifth cranial nerve third branch
B. Accessory nerve (accessory nerve) of the cranial root (cranial root), turning the vagus nerve (vagus nerve)
C. Eighth cranial nerve
D. The seventh cranial nerve


Question: Are breast-feeding postpartum two weeks of 30-year-old woman, because of fever and pain in the right breast to the emergency room for medical treatment, physical examination found the right breast swelling and tenderness of the case, the body temperature is 38 ℃, other vital signs and physical examination is no exception, following statements is wrong?

Answer: Should be a full cessation of breastfeeding

Choices:
A. Highly suspected mastitis (puerperal mastitis) postpartum
B. The most common pathogen was Staphylococcus aureus
C. Should be a full cessation of breastfeeding
D. Oral antibiotics


Question: 94 assume that 10 years ago, 25% of the incidence of myocardial infarction patients died within 24 hours, this ratio is called the case fatality rate (case fatality), researchers want to know there was a 10-year case fatality rate of myocardial infarction patients if there are significant changes in 15 patients with myocardial infarction his new collection, within five 24 hours of death, what should researchers use statistical methods to answer this research question him?

Answer: Two single sample proportion test

Choices:
A. A single sample z test
B. A single sample t-test
C. Two single sample proportion test
D. Two samples of two proportions test


Question: The following narrative and what was wrong?

Answer: Volume of distribution (Vd), the actual volume of distribution for drug

Choices:
A. Volume of distribution (Vd), the actual volume of distribution for drug
B. Liver, kidney function is important for the impact of drug clearance (CL)
C. After administration, the plasma drug concentration reduced the time required for half of the original called half-life (t1 / 2)
D. The living body administered intravenously (IV) availability (Bioavailability) 100%


Question: Injured blood vessel, adjacent to the endothelial cells release a substance to prevent the proliferation following which platelet aggregation state?

Answer: Nitric oxide (nitric oxide) and prostacyclin (PGI2)

Choices:
A. Vitamin K and plasminogen (plasmin)
B. Lipid coagulation factors A2 (thromboxane A2)
C. Fibrinogen (fibrinogen) and calcium ions
D. Nitric oxide (nitric oxide) and prostacyclin (PGI2)


Question: Clinical and pathological lesions of the skin 40. As shown in FIG discovery, chest X-ray found bilateral hilar lymph nodes, skin Which of the following as the most likely disease?

Answer: Class granuloma (sarcoidosis)

Choices:
A. Class granuloma (sarcoidosis)
B. TB (tuberculosis)
C. Cutaneous T-cell lymphoma (cutaneous T cell lymphoma)
D. Kaposi's sarcoma (Kaposi's sarcoma)