Question:
80 single mothers Ahui Ruiqi youngest son (4 years old) suffering from hereditary cerebral white matter sclerosis (adrenoleukodystrophy, hereinafter referred to as ALD) paralyzed in bed, since a few years ago Ruiqi brother died due to suffering from the same disease, it knows Ahui the disease except bone marrow transplant, there is no other cure therapies, and even if the transplant was successful, previously irreversible lesions can not be restored. Seeing Aiko sinking, Ahui decided to return home with their children, a warm home life with their last journey through life, to control the pain and discomfort caused by the disease, the physician Luo Ruiqi provide a physician pain autonomous control system, teach Ahui use and dose, conversation, Ahui several drugs to help his son confided quick, quiet death of the idea to Luo, MD, a physician so in Luo explained among other quietly revealed lethal narcotic drug the amount of the dose.
 Was discharged a few days later, could not bear to see Ruiqi agonizing scene Ahui, finally chose to fight for his son Shi lethal dose of anesthetic, let Ruiqi forever from torment of ALD.
 In the above case, the Luo physician that can be a violation of ethical principles?

Answer: The principle of beneficence, because he did not Ruiqi referral to specialized hospice staff, and let A Huigu no single decision Yiddish

Choices:
A. The principle of beneficence, because he did not Ruiqi referral to specialized hospice staff, and let A Huigu no single decision Yiddish
B. Respect for the principle of autonomy, because he did not respect the wishes of my Ruiqi
C. The principles of justice, because the behavior of physicians Luo tantamount to indirect murder
D. Do no harm principle, because life is supreme, must not be deprived


Question: To correct diagnosis at the same time as the planned assessment before surgery, following that examination is most needed?

Answer: Artery angiography

Choices:
A. Duplex ultrasonogram
B. Artery angiography
C. Femoral brachial artery pressure ratio (Femoro-brachial pressure ratio)
D. Plethysmography


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

Answer: Nasopharyngeal tube opening (nasopharyngeal tube) on the sidewalls of the

Choices:
A. After the pharyngeal wall of tonsil (pharyngeal tonsil)
B. Nasopharyngeal tube opening (nasopharyngeal tube) on the sidewalls of the
C. After nasal aperture (choana) through the nasal cavity before
D. Pharyngeal muscle contraction (superior pharyngeal constrictor) form a rear wall and side walls


Question: A drug used to treat impotence "Viagra" (Viagra; Sildenafil citrate) can quite selectively inhibit one cGMP phosphodiesterase highly expressed in vascular smooth muscle, causing the blood vessels to dilate, cavernous congestion, cavernous and therefore larger expansion to achieve an erection effect. The following narrative about Viagra's effect, whichever is correct?

Answer: Vascular smooth muscle causes an increase in intracellular cGMP

Choices:
A. Will add a new synthesis of cGMP
B. Inhibits cGMP to 5'-GMP conversion
C. Vascular smooth muscle causes an increase in intracellular cGMP
D. Will increase the release of nitric oxide (NO) is


Question: Statements about Shigella (Shigella), and which of the following error?

Answer: Required amount of bacteria cause infection of more than 108

Choices:
A. Shigellosis (bacillary dysentery) main pathogen
B. Shigella dysentery (Shigella dysenteriae) can produce Shiga toxin
C. With aggressive, invade intestinal cells and spread to neighboring cells
D. Required amount of bacteria cause infection of more than 108


Question: Peripheral nerves (peripheral nerve) is completely cut off the kind of damage belong to Sunderland classification?

Answer: Fifth category

Choices:
A. The second category
B. The third category
C. The fourth category
D. Fifth category


Question: 37 A 20-year-old male was HIV asymptomatic carrier, from a year ago continue to grow in Figure A multiple asymptomatic purple to brown skin nodules, skin biopsies shown in Figure B in the face and torso, shows that many spindle-shaped cells (spindle cell) proliferation, and many similar construction vessel lumen. Polymerase chain reaction (PCR) detection of disease has DNA human herpes virus 8 (HHV-8) a. The most likely diagnosis is:

Answer: Kaposi's sarcoma (Kaposi sarcoma)

Choices:
A. Melanoma (melanoma)
B. Capillary hemangioma (capillary hemangioma)
C. Kaposi's sarcoma (Kaposi sarcoma)
D. Basal cell carcinoma (basal cell carcinoma) 38 a 25-year-old patient, found the lesion as shown in Fig. Why is the most likely diagnosis?


Question: He does not rule out the following drugs via the kidneys?

Answer: Chloramphenicol

Choices:
A. Cephazolin
B. Tobramycin
C. Chloramphenicol
D. Imipenem


Question: When these that a drug with levodopa and use, be careful whether the patient has a history of high blood pressure?

Answer: deprenyl

Choices:
A. amantadine
B. deprenyl
C. carbidopa
D. bromocriptine


Question: The following statements about the febrile seizure, whichever is correct?

Answer: ⼩ older than 6 Month febrile seizure patients, the possibility of infection of the central nervous system must do a lumbar puncture to exclude

Choices:
A. Complex thermal VD Face spasm, future opportunities hair ⽣ epilepsy shoots as usual with the same ethnic group
B. ⼩ older than 6 Month febrile seizure patients, the possibility of infection of the central nervous system must do a lumbar puncture to exclude
C. Therefore especially secondary generalization ⽣ of simple febrile seizure, and more zoomed images shall cause neurological examination to rule out abnormal brain structure
D. Febrile seizure unrelated to the hair gene or family ⽣


Question: In accordance with muscle-grading scale British Medical Research Council, normal strength is:

Answer: Muscle grade 5

Choices:
A. Muscle grade 1
B. Muscle grade 3
C. Muscle grade 5
D. Muscle grade 6 22 description of angioma (hemangioma) and vascular malformations (vascular malformation), and Which statement is correct?


Question: Patients experienced a hypoxic state, such as respiratory failure or shock, alter glucose metabolism and blood tests in patients at this time, which of the following concentrations rise?

Answer: Lactate

Choices:
A. Acetyl-CoA
B. Ethanol
C. Lactate
D. Acetaldehyde


Question: He is married and his wife separated for many years, he was hospitalized because of cryptococcal meningitis, and after being diagnosed with AIDS, Chen repeatedly told the hospital staff, do not tell any of his family, all his medical decisions are made by a committee bit surnamed Wang male friend to call the shots and have set a letter of appointment. Now, he suddenly collapsed, requiring emergency intubation and go to the intensive care unit, doctors want to discuss matters relating to the patient's DNR, whom should I?

Answer: His male friend Wang

Choices:
A. His male friend Wang
B. Mrs. Chen
C. Mr. Chen's parents
D. He is the eldest son of the adult


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

Answer: Water-soluble than bupivacaine small

Choices:
A. Belonging to the class of local anesthetics amide
B. Water-soluble than bupivacaine small
C. Is neurotoxic (neurotoxicity)
D. Having a central inhibition


Question: About ventricular adjust narrative with (moderator band), and what's wrong?

Answer: Located in the left ventricle

Choices:
A. Located in the left ventricle
B. Located in the right ventricle
C. To the front wall from the ventricle septum
D. Containing the atrioventricular bundle branch


Question: IQ intelligence assessment is an important reference to intelligence scale IQ scores Wilcoxon example, Norm average (mean) is approximately equal to 100, standard deviation (standard deviation, SD) is approximately equal to 15, it is determined that mild mental retardation SD range between a few IQ norm averages?

Answer: 2 ~ 3 SD

Choices:
A. 1 ~ 2 SD
B. 2 ~ 3 SD
C. 3 ~ 4 SD
D. 4 ~ 5 SD


Question: 30-year-old Mr. Zhang, intermittent abdominal recently felt uncomfortable, to the hospital clinic to see the physician has no specific effect. One day he felt stomach pain unbearable, the family was sent to the emergency room. After physician examination for him to do CT (CT) examination and found the small intestine is not normal, as shown. Will Mr. Zhang is most likely suffering from what disease?

Answer: Intussusception (Intussusception)

Choices:
A. Intussusception (Intussusception)
B. Intestinal ischemia (Intestinal ischemia)
C. Intestinal bleeding (Intestinal hemorrhage)
D. Neoplasms (Intestinal neoplasm)


Question: The following account of Kegel exercises (Kegel exercises), and what's wrong?

Answer: Kegel according to the original theory, applicable should be limited to pregnant women

Choices:
A. Supplemented by health education leaflets is an effective way of guidance
B. Spot Guidance can increase the effects of health care workers
C. Kegel according to the original theory, applicable should be limited to pregnant women
D. Combined effect of biofeedback equipment (biofeedback devices) may increase the movement


Question: In general, breast-feeding can inhibit ovulation hormone which is mainly due to the impact?

Answer: Prolactin (prolactin)

Choices:
A. Estrogen (estrogen)
B. Progestin (progesterone)
C. Prolactin (prolactin)
D. Sex-releasing hormone (GnRH)


Question: A President for the tenth thoracic spinal cord (T10) in patients with spinal cord injuries and partial paralysis, he Richangshenghuo take a long time to use a wheelchair. What would you recommend he use cushions?

Answer: f /'.- a>! ,,, Dian a stand 4 ( '.a ^'

Choices:
A.  L ^ k: / {: '[/ V /, A Dian
B. ; \J
C. f /'.- a>! ,,, Dian a stand 4 ( '.a ^'
D. High density cushion (high density cushion)


Question: Which of the following can multiply in phagocytic cells (phagocytes)?

Answer: Legionella pneumophila bacteria (Legionella pneumophila)

Choices:
A. Vibrio parahaemolyticus (Vibrio parahaemolyticus)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
C. E. coli (Escherichia coli)
D. Legionella pneumophila bacteria (Legionella pneumophila)


Question: Carbon monoxide diffusing capacity (DLCO), under the following circumstances will increase performance?

Answer: Congestive heart failure

Choices:
A. Congestive heart failure
B. Interstitial lung disease
C. Emphysema
D. Pulmonary hypertension in (pulmonary hypertension)


Question: This year 60-year-old Yang Bobo hospitalized a year ago gastric surgery, has recently been shown to have relapse and metastasis to the lungs, expected survival time left only about six months. After informed of the bad news, Yang Bobo requires physicians do not inform the actual condition of his foreign wife married six months, because Yang Bobo told the truth lied to her own cancer a year ago because of stomach ulcers without surgery, afraid she knew after the meeting not understanding and forsake him. The following is a response to a physician Yang Bobo, where whichever is most appropriate?

Answer: Yang Bobo expressed understanding, but honesty is the correct way to guide some of the communication skills Yang Bobo

Choices:
A. Mrs. Yang pointed out that the right to know the truth, so physicians when asked Mrs. Yang will truly to notice
B. Yang Bobo should inform themselves confess to his wife, but if you have to ask Mrs. Yang then, it will not help conceal
C. Yang Bobo expressed understanding, but honesty is the correct way to guide some of the communication skills Yang Bobo
D. Agreed to hide and to teach how to make and respond to Mrs. Yang


Question: In the case of a small amount of antidiuretic hormone secretion, the minimum period following that renal tubular permeability to water?

Answer: Henry's elbow upstroke

Choices:
A. Proximal renal tubule
B. Cortical collecting pipe
C. Henry's elbow upstroke
D. Medullary collecting duct


Question: Split (hypospadias) of the lower urinary tract related narrative, which of the following error?

Answer: The best technique to correct the watch preschool age of about 6 years old, so as not to be affected child Center Weighted management

Choices:
A. Is based on the position of the urethra open-connector type
B. The best technique to correct the watch preschool age of about 6 years old, so as not to be affected child Center Weighted management
C. Severe hypospadias urethra, many need to do to take ⽪ flap surrounding the urethra reconstruction
D. Often associated with penile curvature (chordee), in particular the urethra open-connector at the proximal end of the type


Question: Statements about anal Bowen's disease (Bowen's disease), the error which of the following?

Answer: It is a little transfer of adenocarcinoma in situ

Choices:
A. It is a little transfer of adenocarcinoma in situ
B. Most patients with mild symptoms or no symptoms
C. Extensive local excision can often achieve cure effect
D. Frozen sections have surgery to help determine the scope of resection


Question: Neuromuscular blockers doxacurium mechanism of action is:

Answer: Blocking the motor end-plate nicotinic receptor

Choices:
A. Blocking the release of acetylcholine
B. Cholinesterase inhibition
C. Blocking the muscarinic receptor
D. Blocking the motor end-plate nicotinic receptor


Question: The following related neuromyelitis (neuromyelitis optica spectrum disorder, NMOSD) narrative, what's right?

Answer: Neuromyelitis range of violations of the spinal cord can often be more than three

Choices:
A. Neuromyelitis range of violations of the spinal cord can often be more than three
B. Typical neuromyelitis optica clinical symptoms include: optic neuritis, acute myelitis attack and peripheral neuropathy
C. Face disease neuromyelitis optica better prognosis than Face disease multiple sclerosis, your eyesight and its case results in lower extremity care has myelitis, may recover more than 80%
D. Because spinal fluid optic Face inflammatory disease of spinal cord, and the quality will not increase during egg white or oligoclonal band of the phenomenon, it is easy and multiple sclerosis (multiple sclerosis) differentiate


Question: Which of the following is not a risk factor for colorectal cancer it?

Answer: HRT (Hormone replacement therapy)

Choices:
A. High animal fat diet
B. Inflammatory bowel disease (Inflammatory bowel disease)
C. Adenomatous polyposis (polyposis coli)
D. HRT (Hormone replacement therapy)


Question: When Tetralogy of Fallot (tetralogy of Fallot) occur sick child cyanotic episodes (hypoxic spells, blue spells), heart murmur will be how to change?

Answer: Whispered change

Choices:
A. Become loud
B. constant
C. Whispered change
D. Will change into a diastolic murmur


Question: 42-year-old man, the last body is very healthy, and there is no systemic disease. This because after suffering influenza A, complicated by bacterial pneumonia. The most likely pathogens why?

Answer: Streptococcus pneumoniae (Streptococcus pneumoniae) or Staphylococcus aureus (Staphylococcus aureus)

Choices:
A. Streptococcus pneumoniae (Streptococcus pneumoniae) or Staphylococcus aureus (Staphylococcus aureus)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa), or Klebsiella coli (Klebsiella pneumoniae)
C. Mycoplasma (Mycoplasma pneumoniae)
D. Anaerobic bacteria


Question: Description of alcohol-related disorders, what's wrong?

Answer: Alcohol withdrawal on slow heartbeat

Choices:
A. Alcohol withdrawal on slow heartbeat
B. Alcohol withdrawal will take time
C. Will hyponatremia during long-term use of alcohol
D. Can induce delirium during alcohol withdrawal, is a high-risk disease


Question: The following related lung abscess (lung abscess) of the narrative, what's wrong?

Answer: Most patients need surgical treatment available to cure

Choices:
A. Staphylococcal bacteremia is often associated with it
B. Often associated with empyema
C. Most patients with medical treatment can
D. Most patients need surgical treatment available to cure


Question: Miss Qiu as lupus erythematosus patients complained of general weakness, poor appetite and cough with sputum has been three weeks, the last four or five days fever, therefore, to outpatient, chest X-ray and computer tomography images as shown most likely the diagnosis:

Answer: Lung abscess (lung abscess)

Choices:
A. Lung cancer
B. Bronchiectasis (bronchiectasis)
C. Lung abscess (lung abscess)
D. Pulmonary fibrosis (lung fibrosis)


Question: A 72-year-old male patient, blood in the stool because four days in hospital, the hospital the same day the solution is still four times red bloody stools. Hospitalization blood pressure 100/74 mmHg, pulse rate 74 per minute. Check blood leukocytes 8,100 / mm3, hemoglobin of 11.6 g / dL, platelets 260,000 / mm3. Which of the following best of the next check after hospitalization for this purpose?

Answer: Colonoscopy

Choices:
A. Abdominal angiography
B. Colon barium X-ray
C. Colonoscopy
D. Radioactive red blood cell scan


Question: The following change ⾎ ⾏ moving care has to learn (hemodynamics) action, and Center Weighted dirty miscellaneous relationship between what's wrong Rec?

Answer: When standing from a sitting, if the room-connector obstructive Center Weighted Center Weighted myopathy (hypertrophic obstructive cardiomyopathy, HOCM), the

Choices:
A. When the grip with both hands (hand grip), mitral regurgitation heteroaryl Rec strength because of increased flow ⾎ increase ⽽
B. When the patient into ⾏ Buddha Sa ⽡ ⽒ care has pressure equalization breathing (Valsalva maneuver), if patients with aortic stenosis ⻑ of strength and heteroaryl Rec
C. When the patient into ⾏ After Buddha Sa ⽡ ⽒ care has pressure equalization breathing (Valsalva maneuver), Center Weighted dirty right heteroaryl Rec restored to its original strength faster than the left Center Weighted heteroaryl Rec
D. When standing from a sitting, if the room-connector obstructive Center Weighted Center Weighted myopathy (hypertrophic obstructive cardiomyopathy, HOCM), the


Question: second messenger cAMP is one (second messenger) in eukaryotic cells (eukaryotic cells) can be directly regulate the function of the protein which of the following?

Answer: Inactivated Protein kinase A

Choices:
A. Adenylate cyclase activation
B. Inactivated Protein kinase A
C. G protein inhibiting
D. Calmodulin inhibition


Question: 12-year-old Xiaoting suffering from type 1 diabetes has been two years since her sharp thin, polyuria, dehydration and breathing out of the hospital intensive care ward for seven times during this period, doctors suspect she did not follow the treatment plan, not-administration of insulin. Although multi-party counseling and persuasion, she still firmly refused to cooperate, family members a NIMBY attitude that all problems will be solved sent to the hospital. Now, she brings a crisis to be sent to the emergency room, following the disposal of what the most appropriate?

Answer: Join professional counseling or psychiatric treatment mental health of the consultative

Choices:
A. Informed the Bureau of Social Affairs and other appropriate authorities
B. Can directly determine Xiaoting no medical decision-making capacity
C. Join professional counseling or psychiatric treatment mental health of the consultative
D. Extended sick children in hospital until the time to solve the problem of refuse treatment


Question: Adhesions (vitreoretinal adhesion) between the most closely following what parts of the retina and vitreous?

Answer: Substrate vitreous (vitreous base) surrounding site

Choices:
A. Retinal perivascular sites
B. Macular (Macula) surrounding site
C. The optic nerve (optic nerve) surrounding site
D. Substrate vitreous (vitreous base) surrounding site


Question: Which of the following virus, can cause testicular, ovarian, and other inflammation of the pancreas gland disorder?

Answer: Mumps virus

Choices:
A. Measles virus
B. Respiratory syncytial virus
C. Parainfluenza virus
D. Mumps virus


Question:  the jugular vein (internal jugular vein)  deep cervical lymph nodes (deep cervical lymph nodes) 29 Which is not formed by the mesenteric back (dorsal mesenteries) development?

Answer: Small omentum (Lesser omentum)

Choices:
A. Jugular vein (internal jugular vein)
B. Deep cervical lymph nodes (deep cervical lymph nodes) 29 Which is not formed by the mesenteric back (dorsal mesenteries) development?
C. Greater omentum (Greater omentum)
D. Small omentum (Lesser omentum)


Question: About the narrative Actinomyces, Which statement is correct?

Answer: Facultative anaerobic or absolute

Choices:
A. Facultative anaerobic or absolute
B. Mitochondrial membrane having a nucleus
C. The main anti-fungal medication
D. A common cause of infection among people


Question: 77 The following is a human tapeworm infection in dogs complex genitalia (Dipylidium caninum) way, those are wrong? ① ② eating dogs eating the eggs of the parasite fleas ③ eating reproductive segments (gravid proglottid)

Answer: Only ①①

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


Question: 50-year-old male, middle of the night because of sudden severe back pain to tear between the two shoulder blades, came to the emergency department, physical examination found under pulse 68 per minute, hands normal blood pressure, mood noise, abdomen soft, no special changes in the electrocardiogram, chest X-ray showed mediastinal widening, pleural effusion-free sides. After hospitalization, sudden chest pain increased, the amount of blood pressure is less than the left, the following statements is least likely?

Answer: If the disease progression, patients may be followed by left-sided paralysis occurs

Choices:
A. Patients may be extended to the left subclavian artery aortic dissection
B. If the disease progression, patients may be followed by left-sided paralysis occurs
C. If the disease progression, patients could then lower body paralyzed
D. If the disease progression, patients may be followed by acute abdominal pain


Question: About Congenital tracheal esophageal fistula (congenital tracheoesophageal fistula), which of the following error?

Answer: Can be divided into five types, the most common of which is ⾒ by "H" shape tracheoesophageal fistula

Choices:
A. Can be divided into five types, the most common of which is ⾒ by "H" shape tracheoesophageal fistula
B. X-ray imaging can distinguish whether or esophageal atresia
C. Blocking, esophagus, may be inserted via the spinning tube confirmed
D. Patients often associated with aspiration pneumonia, or other bones, the digestive tract and other congenital anomalies


Question: CSF (cerebrospinal fluid) secreted generated by whichever?

Answer: Choroid plexus (choroid plexus)

Choices:
A. Cavernous (cavernous sinus)
B. AGs (arachnoid granulations)
C. Choroid plexus (choroid plexus)
D. Choroid (choroid)


Question: Menstrual cycle, adenomyosis (uterine glands) that in the following period will become curly (coiled) and filled with glycogen (glycogen)?

Answer: Secretory phase (secretory phase)

Choices:
A. Proliferative phase (proliferative phase)
B. Period of ischemia (ischemic phase)
C. Secretory phase (secretory phase)
D. Menstrual period (menstrual phase)


Question: The following symptoms of breast whichever is most likely need to consider surgery?

Answer: Single pipe nipple bleeding naturalness

Choices:
A. Breast pain
B. Single pipe nipple bleeding naturalness
C. Multiple white discharge pipe nipple
D. Montgomery gland projection areola


Question: Suffering from visceral larva migrans (visceral larva migrans) patients usually have the following characteristics, except whichever?

Answer: Occurs mostly in adults

Choices:
A. Dog roundworm (Toxocara canis) as the main pathogens
B. Common hepatomegaly
C. Common eosinophilic leukocytosis
D. Occurs mostly in adults


Question: The following account of infective endocarditis, what's wrong?

Answer: The time required antibiotic treatment of valvular endocarditis with two weeks left side

Choices:
A. Fever is the most common clinical symptoms
B. Pathogens in patients infected intravenous drug endocarditis Staphylococcus aureus (Staphylococcus aureus) most common
C. Fever, Roth's spot, and subconjunctival hemorrhage (conjunctival hemorrhage) within the secondary conditions are Duke criteria
D. The time required antibiotic treatment of valvular endocarditis with two weeks left side


Question: There are often acute fever, a farmer in the rice harvest, coughing, difficulty breathing, increased white blood cells and blood, the most likely diagnosis is:

Answer: Hypersensitivity pneumonitis

Choices:
A. Bronchopneumonia
B. Tuberculous pneumonia
C. Hypersensitivity pneumonitis
D. Adult respiratory distress syndrome


Question: Which of the following is not a blood vessel in the leg with the line?

Answer: Superficial peroneal nerve (superficial fibular nerve)

Choices:
A. Sural nerve (sural nerve)
B. Deep peroneal nerve (deep fibular nerve)
C. Superficial peroneal nerve (superficial fibular nerve)
D. Tibial nerve (tibial nerve)


Question: 31 a 27-year-old women to receive 16 weeks of pregnancy amniocentesis examination, test results of fetal chromosome 47, XXY, she decided to terminate the pregnancy. After the year of the women pregnant again, following which deal with the most appropriate?

Answer: Inform recurrent high chance of chromosomal abnormalities, amniocentesis can accept checks

Choices:
A. Inform recurrent high chance of chromosomal abnormalities, amniocentesis can accept checks
B. Inform recurrent chromosomal abnormalities opportunity not walks very high
C. Inform the front tire chromosome 47, XXY is not a serious problem
D. Recommended that the couple receives blood chromosome examination, if the husband and wife normal chromosomes, there would be no problem


Question: Bearing on the question, which of the following is not evidence of the above diagnosis?

Answer: Cerebellum and spinal cord of patients have significant atrophy

Choices:
A. Levodopa drug testing (Levodopa challenge test) progress more than 30%
B. Brain magnetic resonance (MRI) has a slight brain atrophy
C. Positron contrast of 18F-DOPA PET can confirm
D. Cerebellum and spinal cord of patients have significant atrophy


Question: A 70-year-old otherwise healthy patients of diabetes, fever two days, right upper quadrant pain, eye redness (diagnosed as endophthalmitis), Which of the following is the most likely diagnosis?

Answer: Liver abscess

Choices:
A. Duodenal ulcer
B. Acute pancreatitis
C. Angina
D. Liver abscess


Question: The following account of the intrinsic factor (intrinsic factor) of, what's right?

Answer: Molecule is a glycoprotein

Choices:
A. Molecule is a glycoprotein
B. Secreted by the gastric chief cells (chief cell)
C. Promote the absorption of vitamin B12 in the jejunum (jejunum) of
D. Affect white blood cell manufacturing


Question: 22 A 65-year-old man due to coronary artery stenosis, underwent heart bypass vascular surgery, decreased urine output, now only 15 mL per hour, with suspected acute renal failure. To distinguish prerenal or intrinsic renal acute renal failure, urine and blood biochemical inspection physician value, the results of serum creatinine (Cr) of 3 mg / dL, BUN 35 mg / dL, Na was 130 mEq / L, K is 5 mEq / L, the urine of mg / dL, Na was 50 mEq / L, specific gravity = 1.010, FENa is how much?

Answer: 2.90%

Choices:
A. 0.20%
B. 2.90%
C. 10.30%
D. 35%


Question: 34 a 80-year-old male, lower limb itchy scaling lesions as shown, and this skin disease will recur every winter, summer improvement. He used to use very hot winter hot water soak the affected area, the most likely diagnosis is:

Answer: Lack of fat eczema (asteatotic eczema)

Choices:
A. Plaque psoriasis (psoriasis vulgaris)
B. Allergic contact dermatitis (allergic contact dermatitis)
C. Seborrheic dermatitis (seborrheic dermatitis)
D. Lack of fat eczema (asteatotic eczema)


Question: Which of the following test methods most accurately measured glomerular filtration rate (glomerular filtration rate)?

Answer: Inulin clearance rate (inulin clearance rate; ICr)

Choices:
A. Blood urea nitrogen value (blood urea nitrogen; BUN)
B. An acid value of serum creatinine (serum creatinine concentration)
C. Creatinine clearance rate (creatinine clearance rate; CCr)
D. Inulin clearance rate (inulin clearance rate; ICr)


Question: The following narrative about fetal MRI, what's wrong?

Answer: Fetal MRI is not suitable for detecting fetal abnormalities of body

Choices:
A. Fetal MRI NA developer
B. Fetal MRI is not suitable for detecting fetal abnormalities of body
C. 3 months of pregnancy early fetus is not suitable for the purposes of fetal magnetic resonance imaging
D. Currently on the impact of high magnetic field and noise for the fetus still have some concerns


Question: 24-year-old woman, both sides of goiter, ultrasound examination two leaves are showing low echo, cytology to lymphocyte-based, low or no symptoms of hyperthyroidism, which of the following is wrong?

Answer: If arrhythmia occurs, it is best to use amiodarone

Choices:
A. You can use hormone therapy
B. Not eat iodine foods
C. If arrhythmia occurs, it is best to use amiodarone
D. After the production of large goiter may become


Question: 55-year-old Lin, in recent months the feeling of fatigue, anorexia, right upper quadrant also feel some pain. Blood test fetoprotein (alpha- fetoprotein) value is normal, HBsAg positive (HBsAg +), liver Dynamic CT image in FIG , again do angiography examination before the operation shown in FIG . Lin most likely suffering from what disease?

Answer: HCC (hepatocellular carcinoma)

Choices:
A. Liver metastases (liver metastasis)
B. Bile duct cancer (cholangiocarcinoma)
C. HCC (hepatocellular carcinoma)
D. Cavernous hemangioma (cavernous hemangioma)


Question: The following non-drug therapy on depression, what's wrong?

Answer: And eye movement desensitization therapy History Update (eye movement desensitization and reprocessing)

Choices:
A. Light therapy
B. Sleep deprivation
C. Vagus nerve stimulation
D. And eye movement desensitization therapy History Update (eye movement desensitization and reprocessing)


Question: Mrs. Chen to come to treatment because of long-term back pain, she had severe osteoporosis and pelvic cavity remains, the metal IUD, the following is most appropriate that a physical therapy?

Answer: Lower back heat interfering wave (Interferential current)

Choices:
A. Lower back heat (Hot packing) and lumbar traction (Pelvic traction)
B. Lower back heat interfering wave (Interferential current)
C. Lower back short (Shortwave) and lumbar traction
D. Lower back short interfering wave


Question: The most common single skull sutures prematurely (single-suture craniosynostosis) is what?

Answer: Sagittal suture (sagittal)

Choices:
A. The coronal suture (coronal)
B. People seam (lambdoid)
C. Sagittal suture (sagittal)
D. 蝶顳縫（sphenozygomatic）


Question: Multiple sclerosis cerebrospinal fluid often can be seen which of the following situations?

Answer: Immunoglobulin G (IgG) increased

Choices:
A. The amount of glucose in the blood glucose below 20%
B. Reduce protein
C. Per microliter ([mu] L) of more than 100 white blood cells
D. Immunoglobulin G (IgG) increased


Question: For the following inflammatory breast cancer (inflammatory carcinoma) narrative, what's right?

Answer: Often have a multi-pronged treatment, including chemotherapy, radiation therapy and surgery

Choices:
A. Good prognosis
B. Often have a multi-pronged treatment, including chemotherapy, radiation therapy and surgery
C. In breast cancer staging, the TNM system T3 of the genus
D. These patients often do not axillary lymph node metastasis or systemic metastasis to other organs


Question: Which of the following four principles of medical ethics is not the one:

Answer: The principle of efficiency (efficiency)

Choices:
A. Respect for patient autonomy (autonomy)
B. The principle of efficiency (efficiency)
C. No harm principle (nonmaleficence)
D. The principles of fairness and justice (justice)


Question: Following on in the emergency room, acute seizures disposal, whichever is the most correct?

Answer: For the first time have epilepsy and partial onset feature, you need to check if brain imaging blood cell count, blood glucose, electrolytes, and all normal

Choices:
A. Even after a single brief episodes, as long as the patient has not yet awake to be on medication immediately
B. If a history of epilepsy and treatment only on the measured concentration of the drug, without the number of blood cells, blood sugar, electrolyte and the like check
C. If the pre-emergency to continuous seizures, it must be done immediately brain imaging
D. For the first time have epilepsy and partial onset feature, you need to check if brain imaging blood cell count, blood glucose, electrolytes, and all normal


Question: Fire Department sent an ambulance unidentified, unconsciousness patient down the road, after examination revealed intracranial hemorrhage, Wang neurosurgeon judgment requiring emergency surgery, but requires someone must sign the consent form before opening his king the doctor said this is the provision of medical law, if there is no consent, even if the patient does not die immediately surgery, he did not open, Dr. Wang's argument, right?

Answer: No, because although the law prescribed medical procedures require the consent of the book, but the situation is urgent, EXCEPT

Choices:
A. Yes, because doctors want to protect themselves from the accused
B. Yes, because the law provides medical consent form in no event be
C. No, because the law does not provide for medical procedures require consent
D. No, because although the law prescribed medical procedures require the consent of the book, but the situation is urgent, EXCEPT


Question: The following related hilar (hilum of the lung) of the narrative, what's right?

Answer: Located in the top left hilar pulmonary artery

Choices:
A. Located in the top left hilar pulmonary artery
B. Located at the bottom left hilar bronchial
C. Pulmonary vein located at the top right hilar
D. Located right hilar bronchial forefront


Question: Which of the following best nerve regeneration?

Answer: Purely motor nerve

Choices:
A. Purely motor nerve
B. Sensory nerve
C. Mixed nerve (mixed nerve)
D. All parts of the nerve is not necessarily


Question: About Tourette Syndrome (Tourette's disorder), what's wrong?

Answer: Most teens after symptoms become severe

Choices:
A. Most teens after symptoms become severe
B. Often associated with attention deficit / hyperactivity disorder (attention-deficit / hyperactivity disorder)
C. Often associated with obsessive-compulsive disorder
D. Mild symptoms do not need treatment


Question: Patients with severe traumatic brain injury treatment of principles, which of the following error?

Answer: Cryogenic therapy for traumatic brain tissue damage, can effectively reduce the mortality rate has been confirmed

Choices:
A. Currently processing hematoma traumatic brain injury, surgery is still the main treatment
B. Because after traumatic brain injury caused by high intracranial pressure, cranial pressure can reduce mortality
C. Cryogenic therapy for traumatic brain tissue damage, can effectively reduce the mortality rate has been confirmed
D. At present multi-center study shows that in order to steroid treatment of traumatic brain injuries, increases the virulence and mortality


Question: From the previous question, what's the treatment of these diseases than inappropriate?

Answer: Antibiotic-containing treatment

Choices:
A. Antibiotic-containing treatment
B. The large intestine endoscopic hemostasis
C. Angiography and embolization
D. In the case of conservative treatment fails, surgical treatment schedule


Question: 41 a 47-year-old male, the last 10 days intermittent fever about 38 to 39 ℃, accompanied by a red rash with itching not appear in the abdomen, limbs and face, physical examination found that as shown in the left lower limb, the slice through the skin , showing changes in lymphoid tissues ball vasculitis on pathology. Statements about the diagnosis and course of the patients, which of the following error?

Answer: Due to trauma caused by the bacterial infection

Choices:
A. Due to trauma caused by the bacterial infection
B. Pathogens were Gram-negative bacteria
C. Pathogens may be vascular endothelial cells, the leukocytes and phagocytes Reproduction
D. High in the warm humid environment chances of infection


Question: Cytoplasmic anti-neutrophil cytoplasmic antibody (cytoplasmic anti-neutrophil cytoplasmic antibodies, c-ANCA) which is common in the disease?

Answer: Wegener's granulomatosis

Choices:
A. Giant cell arteritis
B. Kawasaki (Kawasaki)'s disease
C. Henoch-Schönlein purpura disease
D. Wegener's granulomatosis


Question: 32 year old woman long-term amenorrhea, recent rib fractures occur due to playing basketball, bone densitometry T-score is -2.8. Patients had at the age of 20, due to primary amenorrhea hospital examination, found poor sense of smell and the uterus is small, and therefore had taken oral contraceptives for 2 years, after the self-withdrawal headache. Check the blood LH <0.8 IU / L, estradiol <20 pg / mL. Cancellous bone disease following treatment of whichever concerning the most appropriate?

Answer: estrogen

Choices:
A. bisphosphonate
B. estrogen
C. Calcium + VIT 500
D. human recombinant PTH


Question: Congenital hypothyroidism low energy syndrome (congenital hypothyroidism) The most common reasons are:

Answer: Thyroid ectopic (ectopia)

Choices:
A. Thyroid hypoplasia (aplasia)
B. Thyroid ectopic (ectopia)
C. Impairment of thyroid peroxidase (thyroid peroxidase defect)
D. Lack of thyroid stimulating hormone (TSH deficiency)


Question: About necrotizing enterocolitis in preterm children (necrotizing enterocolitis), following the disposal what's wrong?

Answer: All patients are required to undergo surgery

Choices:
A. And the row immediately fasted orogastric tube (orogastric tube) under reduced pressure
B. Need to use broad-spectrum antibiotics
C. All patients are required to undergo surgery
D. The need to add water and electrolytes


Question: About LPS (lipopolysaccharides) endotoxin (endotoxin) killed the patient narrative, which of the following error?

Answer: Methicillin-resistant Staphylococcus aureus (Methicillin-Resistant Staphylococcus aureus) generated in the toxin is likely culprit

Choices:
A. Methicillin-resistant Staphylococcus aureus (Methicillin-Resistant Staphylococcus aureus) generated in the toxin is likely culprit
B. A wide intravascular coagulation (disseminated intravascular coagulation), may be one cause of death
C. The patient may die from low blood pressure (hypotension)
D. Can cause fever and shock, leading to death


Question: Luo physician participation in a human trials of new drugs to control pain, patients with fractures targeted double-blind study found that drug effect is quite good. Experiment still in progress, a number of patients suffering from rheumatoid arthritis Luo attending physician, though not eligible to participate in the experiment, then its long-suffering chronic pain of old drugs coupled with poor analgesic effect, doctors decided to Romania such is still in the experimental stage, the Ministry of health and welfare has not yet formally approved a new drug, but after obtaining the patient's informed consent, this new drug application in the patients body. Luo physician so what behavior may be based on ethical principles?

Answer: The principle of beneficence

Choices:
A. Respect for the principle of autonomy
B. The principle of beneficence
C. Do no harm principle
D. The principles of justice


Question: Which of the following administered alone antihypertensive drugs, can lead to reflex tachycardia and the release of renin?

Answer: Diazoxide

Choices:
A. Propranolol
B. Diazoxide
C. Enalapril
D. Clonidine


Question: He's following the drug half-life (half-life) longest?

Answer: digitoxin

Choices:
A. digoxin
B. digitoxin
C. ouabain
D. verapamil


Question: Which is not vaginal cancer (vaginal cancer) common characteristics?

Answer: Often associated with vaginal pain

Choices:
A. Often occurs in the vaginal wall
B. Common in the upper part of the vagina
C. Often associated with vaginal pain
D. Vaginal intraepithelial neoplasia (vaginal intraepithelial neoplasia) the possibility of progression to invasive vaginal cancer (invasive vaginal cancer) of


Question: 16 girls burst weakness to the emergency. Blood pressure 100/60 mmHg, blood examination revealed: creatinine 0.6 mg / dL, a sodium ion concentration of 136 mmol / L, potassium ion concentration of 2.2 mmol / L, osmolality 293 mOsmol / kgH2O. Urine examination revealed: creatinine 98.5 mg / dL, a sodium ion concentration of 30 mmol / L, potassium ion concentration of 37 mmol / L, osmolality 370 mOsmol / kgH2O, girls Trans-tubular potassium gradient (TTKG) value that?

Answer: 13.3

Choices:
A. 0.075
B. 13.3
C. 9.76
D. 0.1024


Question: Smooth muscle cells, a filament (thin filaments) and intermediate filaments (intermediate filaments) will be fixed in which of the following?

Answer: Dense bodies (dense body)

Choices:
A. Pinocytotic vesicles (pinocytotic vesicles)
B. Transverse tubule (T-tubules)
C. Cell membrane pits (caveolae)
D. Dense bodies (dense body)


Question: Which of the following does not cause unilateral rhinorrhea (unilateral nasal discharge)?

Answer: Allergic rhinitis

Choices:
A. foreign matter
B. Malignancies
C. Cerebrospinal fluid rhinorrhea
D. Allergic rhinitis


Question: Restenosis (restenosis) of the following statements about coronary interventional (intervention) caused by treatment, whichever is wrong?

Answer: Stent treatment can prevent the outer vessel wall contraction, can also reduce the proliferation of vascular smooth muscle restenosis of the machine turn

Choices:
A. An outer vessel wall treatment site contraction (adventitial constriction) vessel lumen (Lumen) narrowing
B. Vascular smooth muscle proliferation wall treatment site, so that intimal thickening (neointimal hyperplasia)
C. Longer disease and diabetes more likely to have restenosis produce
D. Stent treatment can prevent the outer vessel wall contraction, can also reduce the proliferation of vascular smooth muscle restenosis of the machine turn


Question: Which of the following, and myocardial cells do not have the characteristics of tonic contractions (tetanic contraction) of the most relevant?

Answer: L-type calcium channels (Ca2 + channel)

Choices:
A. L-type calcium channels (Ca2 + channel)
B. ATP-sensitive potassium channels (K + channel)
C. dihydropyridine receptor
D. ryanodine receptor


Question: In the electron transport chain, which of the following substances will they carry electronic transfer directly to oxygen molecules (O2)?

Answer: Cytochrome C

Choices:
A. NADH
B. FADH2
C. Coenzyme Q
D. Cytochrome C


Question: Hemoglobin (Hemoglobin) which configuration change from T to R is one due to a combination of the following materials as those caused by?

Answer: Oxygen (O2)

Choices:
A. Oxygen (O2)
B. Ferric (Fe3 +)
C. Binding (subunit association) subunits of
D. Subunit of solution from (subunit dissociation) 36 eye retina (Retina) cells will cause absorption of light:


Question: Patients with ascites cirrhosis of the 1952-year-old man with abdominal dull pain and fever two days in hospital by the emergency. Patients had no cough. After admission, blood tests leukocytes 7,200 / μL, where neutrophils strip (band) 3%, sub-section (segment) 90%, lymphocytes (lymphocyte) 6%, mononuclear white blood cells (monocyte) 1%, hemoglobin 8.2 g / dL, platelets 73,000 / μL. AST (aspartate aminotransferase) 52 U / L, ALT (alanine aminotransferase) 28 U / L, whole bilirubin (total bilirubin) was 3.4 mg / dL. Urine test results for the red blood cells 0-3 / HP, white blood cells 0-2 / HP. Ascites ascites yellow turbidity check result, leukocytes 7,735 / μL, where the neutrophils segment 86%, lymphocytes (lymphocyte) 0%, mononuclear white blood cells (monocyte) 14%. Patients who were treated with antibiotics after 1 day of fever and abdominal pain greatly improved. Which of the following best clinical diagnosis of patients for this purpose?

Answer: Spontaneous bacterial peritonitis

Choices:
A. Duodenal ulcer perforation
B. Spontaneous bacterial peritonitis
C. Tuberculous peritonitis
D. Urinary tract infections


Question: When when only one side complete ureteral obstruction become extremely compensatory phenomenon of narrative, which of the following error?

Answer: The side ⼩ ball kidney filtration rate rise when the acute phase

Choices:
A. The lateral flow increases kidney ⾎ acute phase
B. The side ⼩ ball kidney filtration rate rise when the acute phase
C. Felsen 2003 years of research in experimental animals administered L-arginine can increase kidney and ureter ⾎ flow pressure care has been taken
D. When the blockage is released, there may be polyuria phenomenon


Question: Vitiligo (vitiligo) of the skin epithelium is:

Answer: Partial or total loss of melanocytes

Choices:
A. Partial or total loss of melanocytes
B. There are still melanoma cells, but the lack of melanin
C. Is replaced by scar tissue
D. Shedding


Question: Hopper knee pain (jumper's knee) mainly refers to which of the following disease?

Answer: Patellar tendinitis (patellar tendinitis)

Choices:
A. Chondromalacia patellae (chondromallacia patellae)
B. Patellar tendinitis (patellar tendinitis)
C. Tear the anterior cruciate ligament (anterior cruciate ligament tear)
D. Semilunar cartilage rupture (meniscus rupture)


Question: About narrative Trisomy18 (Edwards syndrome) is, which of the following error?

Answer: Occipital flat (flat occiput)

Choices:
A. The second means to the third means overlaps, the fifth finger to the fourth finger overlap
B. Short sternum (short sternum)
C. Rocking chair foot (rocker-bottom feet)
D. Occipital flat (flat occiput)


Question: A 63-year-old woman with diabetes, hypertension and dyslipidemia history, she also has the habit of smoking. The following treatment goals and what was most inappropriate?

Answer: Control blood LDL-cholesterol <130 mg / dL

Choices:
A. Control blood HbA1c (HbA1C) <7.0%
B. Control blood LDL-cholesterol <130 mg / dL
C. Control blood pressure <130/80 mmHg
D. Advise patients to quit smoking


Question: If fetal gastroschisis (gastroschisis) of congenital malformations, chromosomal why?

Answer: Few merger chromosomal abnormalities

Choices:
A. Down syndrome most often merge
B. The most commonly merger trisomy 18
C. The most commonly merger trisomy 13
D. Few merger chromosomal abnormalities


Question: Which of the following from the brain stem nerves cross to the opposite after the issuance of the?

Answer: Fourth Nerve

Choices:
A. oculomotor nerve
B. Fourth Nerve
C. Hypoglossal nerve
D. Facial nerve


Question: A 32-year-old man, was sent by drugs overdose emergency friend, then unconsciousness (drowsiness), poor response to stimuli, respiratory rate less than 10 beats per minute, temperature 35.6 degrees Celsius, blood pressure 68/32 mmHg, heartbeat 46 times per minute, this patient most likely be following what is being poisoned?

Answer: By opioid (opioids)

Choices:
A. Amphetamines (amphetamine)
B. K Ketamine (ketamine)
C. Hallucinogens (LSD)
D. By opioid (opioids)


Question: Case-control study in order to investigate the role of risk factors for disease alone, the case group should select the kind of patient?

Answer: New onset

Choices:
A. New onset
B. Chronic illness healed
C. Recurrence
D. After changing the actors disease


Question: A 66-year-old man, poor exercise tolerance has been two days, so to seek treatment. Judgment in accordance with the electrocardiogram shown below, which of the following is the most appropriate disposal?

Answer: Temporary pacemaker implantation (Temporary pacemaker)

Choices:
A. Administration of digitalis (Digitalization)
B. And subjected to emergency coronary angioplasty Tomography (Emergent coronary angiography and angioplasty)
C. Administration of beta blockers (Beta-receptor blocker)
D. Temporary pacemaker implantation (Temporary pacemaker)


Question: 37. Which of the following pancreatic cystic lesions (pancreatic cystic lesion) occurs in women? ① adenoma serous capsule (serous cystadenoma) ② intraductal papillary mucinous neoplasms (intraductal papillary mucinous tumor) ③ solid pseudo papillary tumors (solid-pseudopapillary tumor) ④ mucinous cystic adenomas (mucinous cystic neoplasm) ⑤ pseudocyst (pseudocyst)

Answer: ①③④

Choices:
A. ①②④
B. ①③④
C. ①④⑤
D. ②③⑤


Question: The five-year survival rate of nasopharyngeal carcinoma, following which the pathological type is the lowest?

Answer: keratinizing carcinoma

Choices:
A. keratinizing carcinoma
B. non-keratinizing carcinoma
C. undifferentiated carcinoma
D. adenoid cystic carcinoma 21 Which of the following does not belong to the structure of the hypopharynx (hypopharynx)?


Question: Eight years old child, left armpit regional lymphadenitis (regional lymphadenitis), tenderness, has been going on for three weeks left forearm erythema also see a linear arrangement of the two weeks ago, a month before the start of feeding the family cat, then following what diseases most likely?

Answer: Bartonella spp infection

Choices:
A. Bartonella spp infection
B. A Streptococcus (Group A Streptococcus) infection
C. Pneumococcus (Streptococcus pneumoniae) infection
D. Haemophilus influenza type B (Hemophilus influenzae, type B) infection


Question: Campylobacter coli-like about the song (Campylobacter jejuni) gastroenteritis caused by the narrative, what's wrong?

Answer: Of transmission nothing to do with drinking water

Choices:
A. Usually watery diarrhea, bloody stools, but may also occur
B. No treatment, 20% will relapse
C. Some patients with Guillain-Barre syndrome may occur
D. Of transmission nothing to do with drinking water


Question: Noise-induced hearing loss, how much early in hertz (Hz) at the most obvious, and form a recess (dip) phenomenon on the audiogram?

Answer: 4000

Choices:
A. 2000
B. 4000
C. 6000
D. 8000


Question: A 7-year-old girl for 10 months because mothers found breast development and treatment. Father height 163 cm, 154 cm tall and mother. This girl last 6 months, 3 cm long, 127 cm tall and physical examination show (75th percentile), weighing 30 kg (97th percentile), as breast Tanner stage Ⅱ, no pubic hair and armpit hair growth. Which bone age was 10 years, after the gonads releasing hormone (GnRH) stimulation, the maximum value of serum follicle stimulating hormone (FSH) of 10 IU / L, the highest pro-luteinizing hormone (LH) value of 6 U / L. At this point most inappropriate for the patient's mother that following a recommendation?

Answer: Now gonadal hormone release administered homogeneous composition (GnRH analogue) Treatment

Choices:
A. Arrangement pelvic ultrasonography (pelvic sonography)
B. Arrange Sella magnetic resonance Photography (MRI of sella)
C. Now gonadal hormone release administered homogeneous composition (GnRH analogue) Treatment
D. Outpatient be thoroughly track the progress of their puberty


Question: Which of the following patients receive acute myelogenous leukemia chances of not higher than the average person?

Answer: Rheumatoid arthritis (rheumatoid arthritis)

Choices:
A. Mr. Tang disease (Down syndrome)
B. Rheumatoid arthritis (rheumatoid arthritis)
C. Long-term exposure to benzene (benzene)
D. Used in the past etoposide (VP-16)


Question: 60 year-old male patient receiving the upper edge of the mass of the needle on the right side of the neck extracted cytology showed metastatic squamous cell carcinoma-like (metastatic squamous cell carcinoma). The next priority for the examination of patients is most appropriate:

Answer: Local examination ENT

Choices:
A. Local examination ENT
B. Gastroscopy
C. Chest CT examination
D. Abdominal sonography


Question: 6610-year-old boy four days from start to sleep at night often cough woke up. These days it is a little hard to breathe and cough non-stop, breathing fine when there is no song asthma rales, body temperature normal. Which of the following is the X-ray of his chest expected to be found?

Answer: Emphysema change

Choices:
A. Lobar pneumonia
B. Ground glass lung parenchyma changes
C. Emphysema change
D. Hilar lymphadenopathy


Question: Statements about the drug-resistant bacteria, which of the following error?

Answer: Typically drugs with anaerobic susceptibility to aminoglycoside class (aminoglycosides)

Choices:
A. Extensively drug-resistant tuberculosis (XDR-TB) than the multi-drug resistant tuberculosis (MDR-TB) drugs more anti
B. Typically drugs with anaerobic susceptibility to aminoglycoside class (aminoglycosides)
C. With New Delhi ⾥ ⾦ genus β- lactamase (the NDM) of bacteria resistant to the amide (β-lactams) the zoomed plurality β-
D. Penicillin-binding proteins of bacterial white substance (penicillin-binding protein) can cause changes of penicillin (PENICILLIN) resistance yield ⽣


Question: Apgar score of about narrative, Which statement is correct?

Answer: Breathing is an important indicator of infant Apgar score

Choices:
A. Apgar score, the lower the score the more healthy babies representation
B. Breathing is an important indicator of infant Apgar score
C. When the babies were born one minute Apgar score and prognosis more than 5 minutes Apgar score
D. Mother and baby magnesium not affect Apgar score


Question: About ulcerative colitis (ulcerative colitis) disease and Crohn's disease (Crohn's disease) Comparison narrative, which of the following error?

Answer: Crohn's disease symptoms did not show pseudo polyps

Choices:
A. Inflammation of ulcerative colitis is limited to the intestinal mucosa and submucosa
B. Crohn's disease inflammatory disease of the reaction, affect the full thickness of the intestinal wall
C. Ulcerative colitis can have a pseudo-polyps (pseudopolyp) of performance
D. Crohn's disease symptoms did not show pseudo polyps


Question: Whichever of the following is not a feature of Gitelman's syndrome is?

Answer: Hypercalciuria

Choices:
A. Hypokalemia
B. Metabolic alkalosis
C. Hypomagnesemia
D. Hypercalciuria


Question: To identify feces tapeworm hook and no hook tapeworm the exact method is:

Answer: Film festival unilateral uterus number of branches over 15 who are no hook tapeworm

Choices:
A. Film festival unilateral uterus number of branches over 15 who are no hook tapeworm
B. Film festival unilateral uterus number of branches over 15 who are hooked tapeworm
C. Eggs using the method set, identify the characteristics of the eggs in the feces
D. The use of staining, to identify the characteristics of the eggs in the feces


Question: Unmyelinated C fibers with the following main feeling about what?

Answer: temperature

Choices:
A. pressure
B. smell
C. touch
D. temperature


Question: After the diagnosis of school-age children attention deficit hyperactivity disorder, in the use of methylphenidate treatment, the most should pay attention to the side effects?

Answer: Loss of appetite

Choices:
A. Loss of appetite
B. Particle-free ball hyperlipidemia (agranulocytosis)
C. The outer diameter of the cone syndrome (extrapyramidal tract syndrome)
D. Convulsions (seizures)


Question: The following statements about the rash of chickenpox and ribbon  Healing, what's wrong?

Answer: Children chickenpox can be administered aspirin to alleviate discomfort

Choices:
A. Children chickenpox can be administered aspirin to alleviate discomfort
B. Immunodeficiency patients must use acyclovir treatment of chicken pox
C. Immunodeficiency patients ribbon  rash must use acyclovir treatment
D. Neuralgia strip  rash caused, and in the case of antiviral drugs with steroids may be considered to relieve


Question: Thiazolidinediones class of hypoglycemic agents main mechanism of action Why?

Answer: Reducing insulin resistance (insulin resistance) of

Choices:
A. Reducing insulin resistance (insulin resistance) of
B. Promote secretion of insulin
C. Inhibition of insulin metabolism in the liver is broken
D. Inhibition (PPAR-γ) receptor activity of peroxisome proliferator-activated receptor-gamma


Question: Endometrial adenocarcinoma patients seeking treatment, height 160 cm, weight 82 kg, after detailed track their medical history and found that early age was 10 years old, the age of menopause is 55 years, but had not want to get married early childbearing, who have taken oral contraceptives 3 to 5 years after smear abnormality was diagnosed as cervical intraepithelial neoplasia 2 (CIN 2), who received topical treatment. High risk factors of endometrial cancer in patients, which of the following is not included?

Answer: Use of oral contraceptives

Choices:
A. obesity
B. Early menarche
C. Late menopause
D. Use of oral contraceptives


Question: When there is suspicion of meningitis, which of the following inspection methods are most important to establish the diagnosis?

Answer: Cerebrospinal fluid examination

Choices:
A. Brain magnetic resonance imaging
B. Cerebrospinal fluid examination
C. EEG examination
D. Computer tomography


Question: Delirium (delirium) but a kind of syndrome, rather than one kind of disease. The main symptoms of which belong to the following disorders?

Answer: Disturbance of consciousness

Choices:
A. Disturbance of consciousness
B. Perceived barriers
C. Behavioral disorders
D. The Obstacles


Question: A 32-year-old woman, married for many years not pregnant, no complaints of any systemic disease, uterine tubal photography in the following figure. Bilateral tubal edema greater than 4 cm, following the disposal, whichever is higher chance of pregnancy?

Answer: After accepting Salpingectomy do IVF (in vitro fertilization)

Choices:
A. Accept the fallopian tube repair surgery
B. After accepting Salpingectomy do IVF (in vitro fertilization)
C. Direct the implementation of IVF (in vitro fertilization)
D. Immediate execution IUI (intrauterine insemination)


Question: Long-term high blood pressure, diabetes, smoking etc. will damage the vessel wall, thereby causing vascular atherosclerosis (atherosclerosis). This process, vascular smooth muscle cells (smooth muscle cells) play an important role. The following related statements is wrong?

Answer: Chemotactic substance by smooth muscle cells (chemotactic factors) and promoting cell division stimulating substance (to mitogens) generated structural changes, more rich in type and amount of crude protein in muscle fibers of fine (thick and thin filaments)

Choices:
A. Mononuclear cells (Monocytes) and platelets (Platelets) like blood cells will be damaged intima of cell aggregation
B. Chemotactic substance by smooth muscle cells (chemotactic factors) and promoting cell division stimulating substance (to mitogens) generated structural changes, more rich in type and amount of crude protein in muscle fibers of fine (thick and thin filaments)
C. Abnormal smooth muscle cells will migrate into the intimal layer (Intima) and proliferation
D. Of the normal vessel wall smooth muscle arranged in a ring (arranged circumferentially)


Question: Narrative about influenza (influenza) is, Which of the following most inappropriate?

Answer: Influenza pathogen is a DNA virus

Choices:
A. Influenza pathogen is a DNA virus
B. Causing global panic H5N1 avian influenza virus type one of A
C. oseltamivir can be used to treat type A and type B influenza virus
D. After the possible renewal of influenza bacterial pneumonia, which is pathogenic bacteria Streptococcus pneumoniae, Staphylococcus aureus and Haemophilus influenzae is the most common


Question: Bearing the title, the name of the patient admitted to the hospital emergency room, which of the following drugs should not be used in this patient?

Answer: Antidepressant

Choices:
A. Lithium salt (Lithium)
B. Valproate
C. Antidepressant
D. Antipsychotics


Question: A 65-year-old male patient with acute esophageal variceal bleeding (variceal bleeding), following which treatment is not considered?

Answer: Cross esophagus resection

Choices:
A. Drug somatostatin or octreotide therapy
B. Endoscopic ligation
C. Endoscopic sclerotherapy
D. Cross esophagus resection


Question: For the main blood supply of the esophagus, which of the following error?

Answer: Superior thyroid artery

Choices:
A. Superior thyroid artery
B. Inferior thyroid artery
C. Thoracic aorta
D. Left gastric artery


Question: Related to wound healing narrative, which of the following error?

Answer: Wound healing three steps in sequence of: inflammatory, maturational, proliferative

Choices:
A. secondary healing scars evident than primary healing
B. Wound healing three steps in sequence of: inflammatory, maturational, proliferative
C. Neovascularization (angiogenesis) is a step belonging to the proliferative phase
D. macrophages and neutrophils in the inflammatory phase plays a very important role


Question: Which of the following having a 5 'end to the 3' end of the exonuclease (Exonuclease) activity?

Answer: Ⅰ type DNA polymerase (DNA polymeraseⅠ)

Choices:
A. primase
B. Ⅰ type DNA polymerase (DNA polymeraseⅠ)
C. Ⅲ type DNA polymerase (DNA polymeraseⅢ)
D. DNA gyrase (DNA Gyrase)


Question: 28 year old woman and neck tumors as shown, you best describe this tumor characteristics?

Answer: The main lymphatic metastasis

Choices:
A. Thyroid follicular carcinoma
B. Short survival and poor prognosis
C. Hypercalcemia
D. The main lymphatic metastasis


Question: Related to intracranial venous sinus (venous sinuses) of the narrative, what's wrong?

Answer: The sagittal sinus (inferior sagittal sinus) within the blood flows directly petrosal sinus (superior petrosal sinus)

Choices:
A. Superior sagittal sinus (superior sagittal sinus) within the blood flow to the sinus sink (confluence of sinuses)
B. Sigmoid sinus (sigmoid sinus) directly receiving the transverse sinus (transverse sinus) over the blood stream
C. Blood within petrosal sinus (inferior petrosal sinus) flows directly retrosigmoid
D. The sagittal sinus (inferior sagittal sinus) within the blood flows directly petrosal sinus (superior petrosal sinus)


Question: The following statements about paederus of, what's wrong?

Answer: Paederus poisoning is caused by the parasite sting bite humans

Choices:
A. Taiwan is the most common poisonous brown paederus (Paederus fusca)
B. Paederus poisoning is caused by the parasite sting bite humans
C. Paederus hormone (pederin) produces erythema necrotizing slow healing skin after adhesion
D. After the lesions heal, if no further contact paederus hormone, generally do not have to worry about recurrence


Question: A full-term newborns were fed breast milk at 7-day-old back to the clinic, because of jaundice, examination of serum bilirubin 13 mg / dL, their birth weight of 3,200 grams, 3,250 grams now, good vitality. That one of the following to handle the most appropriate?

Answer: keep an eye on

Choices:
A. Illuminated treatment
B. Stop breastfeeding
C. keep an eye on
D. Hospital inspection


Question: 1 A 50-year-old woman in the past been found to have gallstones. Suddenly last night on the abdomen (epigastric region) began to pain, accompanied by nausea, vomiting and abdominal distension and other symptoms; exacerbate her pain when lying down, bend knees when compared with abdominal pain will ease. When physical examination, can not hear bowel sounds, mild abdominal tenderness, but no rebound pain (rebound pain), found a green-brown skin area on the left side of the waist. The following narrative, what's wrong?

Answer: Surgical treatment of these patients with primary choice

Choices:
A. The patient's condition may be related to gallstones
B. Blood tests are likely to find amylase (amylase) markedly abnormal rise
C. This and other patients, it is noted that within 24 hours after admission Ranson's criteria and APACHE II score and the like, which determines the severity
D. Surgical treatment of these patients with primary choice


Question: 85-year-old female patient complained of left shoulder pain over six months, local tenderness, no muscle atrophy, Pictured left shoulder ultrasound examination, the picture shows the rotating ring with a long axis view, short axis view below shows, the most likely diagnostic why?

Answer: Spine tendon (supraspinatus tendon tear)

Choices:
A. Rheumatoid arthritis (rheumatoid arthritis)
B. Spine tendon (supraspinatus tendon tear)
C. Septic arthritis (pyogenic arthritis)
D. Torn deltoid shoulder (deltoid muscle tear)


Question: Vain babblings (confabulation) on behalf of the following might be what most cases of mental disorders?

Answer: Memory (memory) disorders

Choices:
A. Think (thought) disorders
B. Emotions (emotion) disorder
C. Memory (memory) disorders
D. Language (language) barriers


Question: He belongs to the following conditions were less stringent "futile medical care" defined?

Answer: Valuable therapeutic target can not be reached

Choices:
A. Pathophysiological basis of lack of treatment
B. Still under the maximum therapeutic cardiac arrest patients
C. In the patients who have failed treatment
D. Valuable therapeutic target can not be reached


Question: Biologic treatment of rheumatoid arthritis such as anti-TNF [alpha] antibody (anti-TNF-α antibodies) and human tumor necrosis factor receptor protein molecule (recombinant human TNF receptor, etanercept), significant effect, but which suffer from the following increase the chances of the disease?

Answer: TB (tuberculosis)

Choices:
A. Human immunodeficiency virus infection (human immunodeficiency virus infection)
B. TB (tuberculosis)
C. Multiple sclerosis (multiple sclerosis)
D. The implant versus host disease (graft-versus-host disease)


Question: A 7-week-old baby's hemoglobin was 9.5 g / dL, the breast-feeding infant, in addition to no other health problems, and it is full-term children, no complications, its hemoglobin values and physical condition, this baby is most likely there was a situation?

Answer: Physiological anemia (physiologic anemia)

Choices:
A. Iron deficiency anemia (iron deficiency anemia)
B. Congenital hemoglobin disease (congenital hemoglobinopathy)
C. Lead poisoning (lead poisoning)
D. Physiological anemia (physiologic anemia)


Question: Which of the following is not a structure choroid plexus (choroid plexus) formations?

Answer: Smooth muscle layer (smooth muscle layer)

Choices:
A. Smooth muscle layer (smooth muscle layer)
B. Base film layer (basement membrane)
C. Intraventricular ependymal cell layer (ependymal cells of ventricle)
D. Microvascular endothelial cell layer (endothelium of capillary)


Question: Advanced or metastatic renal cell carcinoma commonly used in monotherapy, may be proved valid, does not cover what kind of drugs?

Answer: steroids

Choices:
A. interferon-alpha
B. steroids
C. sunitinib
D. sorafenib


Question: Which of the following injuries, most likely to affect muscle contraction?

Answer: The saphenous nerve (saphenous nerve)

Choices:
A. Deep peroneal nerve (deep peroneal nerve)
B. Superficial peroneal nerve (superficial peroneal nerve)
C. Obturator nerve (obturator nerve)
D. The saphenous nerve (saphenous nerve)


Question: 86 newborn's birth and severe cyanosis (cyanosis) and was found to have a ventricular septal defect (ventricular septal defect). The following congenital heart disease who do not comply with what is so clinical and pathological manifestations?

Answer: atrioventricular septal defect

Choices:
A. tetralogy of Fallot
B. tricuspid atresia with hypoplasia of right ventricle
C. atrioventricular septal defect
D. truncus arteriosus


Question: There was a slight year-old mentally retarded boy's, was diagnosed with autism tendencies, physical examination showed bilateral testicular age children are relatively large, but the appearance of normal ears than children the same age, language development is also impaired. This child is most likely to be following what disease?

Answer: Fragile X Chromosome Syndrome (Fragile X syndrome)

Choices:
A. Mr. Tang disease (Down syndrome)
B. Toruosame Mr. diseases (Turner syndrome)
C. Fragile X Chromosome Syndrome (Fragile X syndrome)
D. Benzene acid aciduria (phenylketonuria)


Question: 70 year old woman, vaginal bleeding after menopause due to out-patient clinics, the most common reason why?

Answer: Atrophic endometrium

Choices:
A. Endometrial cancer
B. Endometrial hyperplasia
C. Uterine fibroids
D. Atrophic endometrium


Question: A 32-year-old woman sought medical treatment for three months since complained fatigue, fever, and night sweats. Patients and has no right carotid painful lumps. Physical examination: body temperature 37.5 ℃, a right cervical lymph nodes. BRIEF lymph node high magnification image slice. The diagnosis should be why?

Answer: Hodgkin's lymphoma (Hodgkin lymphoma)

Choices:
A. Infection of monocytes histiocytosis (infectious mononucleosis)
B. Sarcoidosis (sarcoidosis)
C. Hodgkin's lymphoma (Hodgkin lymphoma)
D. CMV (cytomegalovirus) infection


Question: The following types of cancer formation related genes, what's not a transcription factor (transcription factor) gene?

Answer: bcl-2

Choices:
A. c-myc
B. p53
C. bcl-2
D. Above are all transcription factor gene


Question: When metabolic acidosis (metabolic acidosis), which of the following changes Huxijitong may occur?

Answer: Increased respiratory rate (enhanced respiratory frequency)

Choices:
A. Increased respiratory rate (enhanced respiratory frequency)
B. Respiratory syndrome termination (apnea syndrome)
C. Cheyne-Stokes respiration (Cheyne-Stokes respiration)
D. Reverse breathing (paradoxical respiration)


Question: 4485-year-old man because his family noticed fatigue, without a word, memory loss about two weeks, this morning, fever, unconsciousness, shortness of breath to diagnosis, past history of chronic lung disease, prostate hypertrophy and urinary tract infection, the body examination revealed temperature 40 ℃, pulse 140 / min, cut off the feet regulation, blood pressure 138/56 mmHg, the right lung auscultation crackles, heart size, heart sounds were normal, no swelling leg, abdomen and is not particularly neurological examination found that blood check leukocyte 16290 / μL, Hb 10.6 g / dL, platelets 180,000 / μL, albumin 3.4 g / dL, BUN mg / dL, Cr 1.0 mg / dL, Na 141 meq / L, K 4.6 meq / L, Ca 2.1 meq / L, glucose 108 mg / dL, urinalysis glucose 0.25 g / dL, WBC 2 ~ 5 / HPF, RBC 60 ~ 80 / HPF, chest X- ray exhibit both increased slightly lower lung infiltration. The following measures what's inappropriate?

Answer: Give digitalis therapy

Choices:
A. Given appropriate infusion therapy
B. Given tentative antibiotics
C. Give digitalis therapy
D. Do brain MRI


Question: 72-year-old male, cognitive impairment and attention is not focused volatility (fluctuating cognitive and attention disturbances), and there are visual hallucinations (visual hallucination). The past six months, in addition to increasing the above mentioned conditions, the patient developed memory loss, limb rigidity, gait slow, and easy to fall. The most likely diagnosis Why?

Answer: Lewy body dementia (dementia with Lewy bodies)

Choices:
A. Ezihaimo disease (Alzheimer disease)
B. Lewy body dementia (dementia with Lewy bodies)
C. Parkinson's dementia (Parkinson disease dementia)
D. Progressive supranuclear palsy (progressive supranuclear palsy) supranuclear


Question: 15-year-old boy is a member of the school swim team, swimming training at least two hours a day, because of intolerable pain left ear and to the ENT doctor, physician examination revealed inflammation of the outer ear. Microbial culture was identified as β-hemolytic bacteria of glucose non fermentation. Most likely to be infected by bacteria Which of the following?

Answer: Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Choices:
A. Grass Green Group A Streptococcus (Viridans streptococci)
B. Staphylococcus epidermidis (Staphylococcus epidermidis)
C. Streptococcus pneumoniae (Streptococcus pneumoniae)
D. Pseudomonas aeruginosa (Pseudomonas aeruginosa)


Question: The following statements about chronic anal fissure, what is true?

Answer: Both men and women, begin at 6 o'clock happen to those who most common

Choices:
A. Only male talent disease to 6 o'clock (right behind) who was the most common
B. Female patients to occur in the 12 o'clock (front) who was the most common
C. Both men and women, begin at 6 o'clock happen to those who most common
D. Opportunity occurred in 6 o'clock or 12 o'clock of the same


Question: 53 following about sand-like virus (Arenavirus) of the narrative, what's right?

Answer: Rodents mediated RNA viruses

Choices:
A. In the medium of propagation of arthropods
B. Gastrointestinal infections
C. Rodents mediated RNA viruses
D. Dogs as a medium to spread it -


Question: Following that one belongs to proliferative diabetic retinopathy?

Answer: vitreal hemorrhage

Choices:
A. cotton-wool spots
B. hard exudates
C. vitreal hemorrhage
D. microaneurysms


Question: The best hair in the brain of the child which of the following?

Answer: Medulloblastoma (medulloblastoma)

Choices:
A. Medulloblastoma (medulloblastoma)
B. Ependymoma (ependymoma)
C. Astrocytoma (astrocytoma)
D. Meningioma (meningioma)


Question: A gestational age 40 weeks, birth weight of 3,500 grams of newborns, weight change after its birth, Which of the following most unusual?

Answer: 3 days full weight is 3,100 grams

Choices:
A. 24 hours full weight of 3,400 grams
B. 48 hours full weight is 3,400 grams
C. 3 days full weight is 3,100 grams
D. Full five days weight is 3,200 grams


Question: The outside of the wrist flexor support band (flexor retinaculum) attached to where?

Answer: Navicular bones (scaphoid) and trapezium (TRAPEZIUM)

Choices:
A. Navicular bone (scaphoid) and lunate (lunate)
B. Trapezium bone (trapezium) and the trapezoid bone (trapezoid)
C. Navicular bones (scaphoid) and trapezium (TRAPEZIUM)
D. Radial 莖突 (radial styloid process)


Question: A 78-year-old man to get up early in the morning one day Tujue right shoulder pain swelling, according to X-ray found that linear calcification in the cartilage part of the shoulder joint. Blood uric acid value 6.8 mg / dL, CRP 4.78 mg / L, most likely clinical diagnosis Why?

Answer: Pseudogout

Choices:
A. Acute gouty arthritis
B. Osteoarthritis
C. Adhesive capsulitis
D. Pseudogout


Question: The following immunosuppressive cytokine that?

Answer: TGF-b

Choices:
A. IL-2
B. TNF-a
C. TGF-b
D. MCP-1


Question: Following a diuretic that is most suitable for patients with acute pulmonary edema?

Answer: ethacrynic acid

Choices:
A. thiazide
B. ethacrynic acid
C. acetazolamide
D. spironolactone


Question: From the previous questions, then check one of the following best diagnosis?

Answer: Computer tomography

Choices:
A. Computer tomography
B. Bartonella henselae antibody test
C. IgG, IgA, IgM test
D. Pharyngeal bacterial culture


Question: Those following can be used for the treatment of inflammatory bowel disease (IBD)?

Answer: Only  correct

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


Question: When the sympathetic nerve 17, may result in:  increase in airway resistance (airway resistance)   reduce airway resistance increase anatomical dead space (anatomic dead space)  reduce anatomical dead space


Question: MRI diagram showing Wallenberg syndrome, is a common type of vascular lesions in the brain stem, which is mainly those vessels violated?

Answer: posterior inferior cerebellar artery, vertebral artery

Choices:
A. posterior inferior cerebellar artery, vertebral artery
B. anterior inferior cerebellar artery, superior cerebellar artery
C. superior cerebellar artery, posterior cerebral artery
D. posterior cerebral artery, anterior inferior cerebellar artery


Question: After the question bearing on the patients received modified radical mastectomy (MRM) surgery, pathology report follows: ductal carcinoma, lymph gland had positive rate of 2/20, hormone receptor ER (-), PR (-), Her -2 / neu-positive, the postoperative patients should accept what treatment?

Answer: Adjuvant chemotherapy

Choices:
A. Tamoxifen treatment
B. Adjuvant chemotherapy
C. J radiotherapy
D. Without considering adjuvant therapy


Question: Which of the following can atlas occipital joint (atlanto-occipital joint) bent?

Answer: 頭 長 肌 (long head)

Choices:
A. 頭 長 肌 (long head)
B. Rectus capitis posterior major muscle (rectus capitis posterior major)
C. Head oblique (obliquus capitis superior)
D. Capitis (splenius capitis)


Question: 60 the case when patients have difficulty breathing motion years, pulmonary function tests show FVC: 3.0 L (70% predicted), FEV1: 1.3 L (40% predicted), FEV1 / FVC: 43%, TLC: 5.6 L (125% predicted), DLCO: 54% predicted. This patient most likely diagnosis of which of the following?

Answer: Emphysema

Choices:
A. Asthma symptoms
B. Emphysema
C. Diffuse pulmonary fibrosis
D. Congestive heart failure disease


Question: At present, Taiwan is a "aging, low birth rate" of society, this narrative reflects what the population following the gold tower?

Answer: Reducing type

Choices:
A. Urban
B. Rural type
C. Static
D. Reducing type


Question: Diabetic glomerular disease (diabetic glomerulopathy) process, which of the following does not include a change of?

Answer: Enough to increase the number of cells

Choices:
A. Enough to increase the number of cells
B. Foot process effacement (foot process effacement)
C. Glomerular basement membrane (glomerular basement membrane) structural damage
D. Glomeruli interstitial cells (mesangial cells) morphological changes


Question: The following pelvic floor muscles, the muscles that do not belong to the levator ani (levator ani muscle)?

Answer: coccygeus muscle

Choices:
A. pubococcygeus muscle
B. iliococcygeus muscle
C. coccygeus muscle
D. puborectalis muscle


Question: Abdominal aorta (abdominal aorta) branches around the total iliac artery (common iliac artery), the body that is equivalent to the following position?

Answer: Umbilicus

Choices:
A. The upper edge of the pubic symphysis
B. Suprapubic midpoint of the edge of the umbilical connection
C. Umbilicus
D. Pylori lateral surface (transpyloric plane)


Question: About Hepatitis A, which of the following error?

Answer: Genomics is a single-stranded RNA, classified as a small RNA virus family (Picornaviridae), and as Enterovirus 71

Choices:
A. Hepatitis A during World War II called "infectious hepatitis"
B. Genomics is a single-stranded RNA, classified as a small RNA virus family (Picornaviridae), and as Enterovirus 71
C. Hepatitis A virus is mainly through oral transmission, incubation period of 2-6 weeks. Adults are infected with the hepatitis A virus symptoms were significantly younger
D. A vaccination against hepatitis available


Question: Which of the following conditions have liver cancer patients not suitable for surgery?

Answer: Ascites can not control the use of diuretics

Choices:
A. Cirrhosis of the liver
B. Tumors greater than 10 cm
C. Ascites can not control the use of diuretics
D. There are peripheral portal vein thrombosis


Question: 70 following an immunosuppressant that the mechanism of action is to inhibit inosine monophosphate dehydrogenase and further reduce the T and B lymphocyte proliferation?

Answer: Mycophenolate mofetil

Choices:
A. Azathioprine
B. Cyclosporine
C. Mycophenolate mofetil
D. Tacrolimus


Question: 8 year-old girl, with a cerebellar cystic tumors (cystic tumor), tumor cells (gliofibrillary acidic protein, GFAP) collagen hairy stellate cells, cells arranged in two-phase form of the positive type (biphasic pattern), the following statements is true?

Answer: Common to Rosen tournament fiber (Rosenthal fibers)

Choices:
A. Rapid tumor growth
B. Similar brain tumors also common in the elderly
C. Common to Rosen tournament fiber (Rosenthal fibers)
D. Extensive infiltration of tumor cells in the surrounding brain tissue


Question: 60 stroke patients a cerebellar infarction occurs, there is movement disorders (ataxia) phenomenon, in its gait training, following what the most appropriate mobility aids?

Answer: Walkers (Walker)

Choices:
A. Cane (cane)
B. Axillary crutches (axillary crutch)
C. Tetrapod cane (quardricane)
D. Walkers (Walker)


Question: 30 a 16-year-old girl, a year to the gradual emergence of redness on both cheeks over and over again, the sun will worsen, swollen lymph glands, joint pain, dancing will suddenly fall, leg weakness, physical examination: blood pressure, heart rate, respiration, body temperature were normal, hands and skin bright and compact, Raynaud's phenomenon (Raynaud phenomenon), the blood phase check result is: WBC: 3000 / L, Hb: 11.0 g / dL, platelets 22,000 / L, serum chemistry tests were normal; C3: 56 mg / dL, C4: 9.6 mg / dL, antinuclear antibody: 1: 2560 (+), diffuse; 24-hour urine protein: 2.06 gm. Which of the following antinuclear antibodies for the diagnosis of your most helpful?

Answer: anti-nRNP antibody

Choices:
A. anti-nRNP antibody
B. anti-ENA antibody
C. \ Anti-Histon antibody
D. \ Anti-cardiolipin antibodies


Question: 76. A 28-year-old young man, suffered gunshot caused chest hemothorax (hemothorax) with shock after chest tube drainage of 800 ml of blood, blood pressure returned to mmHg, heartbeat 96 / min, blood pressure dropped to 86/68 after a few minutes mmHg, heart rate at 136 / min, following the disposal of what is preferred?

Answer: Re-evaluate the patient

Choices:
A. Intubated immediately
B. Emergency thoracotomy
C. Blood transfusion immediately
D. Re-evaluate the patient


Question: A 25-year-old man, two years ago, occurs once blurred vision and difficulty walking phenomenon, but a good recovery. Dysphagia occur this year, both sides of the lower extremity weakness and urinary incontinence phenomenon, which of the following is the most likely diagnosis?

Answer: Multiple sclerosis (multiple sclerosis)

Choices:
A. Neurosyphilis (neurosyphilis)
B. Multiple sclerosis (multiple sclerosis)
C. Syringomyelia (syringomyelia)
D. Myelitis (myelitis)


Question: Feature about Malta brucellosis (Brucella melitensis) is, which of the following error?

Answer: Facultative anaerobes (facultative anaerobic)

Choices:
A. Facultative anaerobes (facultative anaerobic)
B. Is heat waves (undulant fever) pathogens
C. Gram-negative bacilli
D. Can grow in macrophages (macrophages)


Question: Using G-CSF treatment of multiple myeloma (multiple myeloma) on the clinical course may be hematopoietic stem cells and serving plerixafor stabilizing drugs, in order to achieve a better effect. How this stability mechanism of action of drugs Why?

Answer: Inhibition of CXC chemokine receptor 4 (CXCR4)

Choices:
A. Strengthen the JAK / STAT activation message
B. Promote the release of G-CSF
C. Inhibition of CXC chemokine receptor 4 (CXCR4)
D. Increase the binding of G-CSF receptor of efficiency


Question: Listening to patients three key skills are "the initiative to listen to," "reflective listening" and "listen to the same reason", the following are four patients and their physicians dialogue, what does not belong to the "reflective listening"?

Answer: Patient: "I have been smoking for nearly 30 years, recently often cough, the doctor advised me to have to quit smoking, but quit less than three days on the stand ⋯⋯."

Choices:
A. Patient: "I feel nausea are one hour after taking occurred, ⋯⋯." MD: "I understand, nausea occurred in about one hour after the medication."
B. Patient: "I have chest pain like a knife stab in the same, ⋯⋯." MD: "When most feel that knife in your chest?"
C. Patient: "My headaches occur at night, but ⋯⋯." MD: "nature of the pain is sharp or dull pain?"
D. Patient: "I have been smoking for nearly 30 years, recently often cough, the doctor advised me to have to quit smoking, but quit less than three days on the stand ⋯⋯."


Question: The following account of ulcerative colitis (ulcerative colitis), the what's wrong?

Answer: Good occurred in people

Choices:
A. Patients normal resolution bloody stools
B. Often violated the rectum
C. The main focus in the intestinal mucosa (mucosa)
D. Good occurred in people


Question: About prescription limb harness (upper limb orthotics), Which of the following is not a common purpose?

Answer: Provide strength training caused muscle weakness due to illness (strengthen for weak or absent muscles)

Choices:
A. Provide strength training caused muscle weakness due to illness (strengthen for weak or absent muscles)
B. By limiting the activity or force to protect the injured segment (protect damaged or diseased segments by limiting load or motion)
C. Or avoid distortion correction contracture (prevention of deformity or correction of contracture)
D. Other aids may be connected to the auxiliary function Richangshenghuo


Question: A 58-year-old woman, a touch on the right side of the neck gradually become larger lumps and treatment. Size 3 cm, CT examination revealed the carotid artery at the bifurcation of a well-defined solid tumors. Visible tumor cells pink granular cytoplasm under an optical microscope, lumps are arranged. Electron microscopy revealed the cytoplasm of tumor cells neurosecretory granules (neurosecretory granules) present. Which of the following is likely diagnosis?

Answer: Paraganglioma (paraganglioma)

Choices:
A. Metastatic squamous cell carcinoma (metastatic squamous cell carcinoma)
B. Metastatic thyroid follicular cancer (metastatic thyroid follicular carcinoma)
C. Paraganglioma (paraganglioma)
D. Warthin tumor


Question: Which of the following does not pass the message to the hypothalamus in the brain before the projection?

Answer: Nose

Choices:
A. Nose
B. Visual
C. Auditory sense
D. Sense of touch


Question: For women with epilepsy patients receiving anti-epileptic medications, which may suggest the following vitamin supplement before and after the fertile (periconceptional period), to reduce fetal abnormalities (eg: cleft lip and palate, neural tube defects, congenital heart defects, etc. ) chance of happen?

Answer: Folate (folic acid)

Choices:
A. Vitamin B6
B. Vitamin C
C. Folate (folic acid)
D. Vitamin B1


Question: Which of the following does not include swallowing?

Answer: 喉期（laryngeal phase）

Choices:
A. Oral stage (oral phase)
B. 咽期（pharyngeal phase）
C. 喉期（laryngeal phase）
D. Of the esophagus (esophageal phase)


Question: The figure is a 19 bedridden patients, found a wound in the sacral and taste with effusion, some muscle necrosis rot but did not see the bone joints, the following statements is true? ① This is a sacral pressure ulcers stage II, every two hours, turning frequently, sleep air bed can prevent deterioration occurred ② good nutritional status, to take care of the wound beneficial ③ appropriate debridement and the use of VAC (vaccum assisted closure) equipment is to one method of granulation tissue growth ④ more than about 80 mmHg pressure to generate possible cause of bedsores

Answer: ②③

Choices:
A. ①③
B. ①④
C. ②③
D. ②④


Question: Physical medicine, physiological effects Which is not cold therapy (cryotherapy) is?

Answer: Increase ligament strength

Choices:
A. Can reduce pain
B. Can induce vasoconstriction
C. Can slow down the speed of muscle contraction
D. Increase ligament strength


Question: Which of the following is the most common fungal infection of the external auditory canal pathogenic species?

Answer: Blastomycosis

Choices:
A. Aspergillus 及 Candida
B. Mucormycosis
C. Actinomycosis
D. Blastomycosis


Question: After bearing the title, accept this surgery, the most common complication why?

Answer: Delayed gastric emptying (delayed gastric emptying)

Choices:
A. Diabetes mellitus (DM)
B. Delayed gastric emptying (delayed gastric emptying)
C. Coherency marginal ulcer (marginal ulcer)
D. Wound infection (wound infection)


Question: Cerebellar hemangioblastoma (hemangioblastoma) is part of the following is most likely that a disease or syndrome?

Answer: von Hippel-Lindau 病

Choices:
A. The first type I neurofibromatosis (neurofibromatosis type 1)
B. Of neurofibromatosis type II (neurofibromatosis type 2)
C. von Hippel-Lindau 病
D. Tuberous sclerosis (tuberous sclerosis)


Question: Days-14 year-olds, after last year puberty, body weight and obesity also increased sharply, the initial year, after gym class, are feeling sore left groin and inner thighs, but take a break, there will be a good two days later . In April this year to participate in physical education in the long jump test, days suddenly felt a strong pain in the left groin, and could not stand to walk, and was carried into the emergency room and receive X-rays. By the following image, day-most likely suffering from what disease?

Answer: Left femur epiphyseal plate spondylolisthesis (slipped capital femoral epiphysis)

Choices:
A. Left hip septic arthritis (septic arthritis)
B. Traumatic dislocation of the left hip joint (traumatic dislocation)
C. Left femur epiphyseal plate spondylolisthesis (slipped capital femoral epiphysis)
D. Left femoral head avascular necrosis (Legg-Calvĕ-Perthes disease)


Question: Neostigmine which will enhance the role of the following neuromuscular blocking agent?

Answer: Succinylcholine

Choices:
A. Succinylcholine
B. Pancuronium
C. d-Tubocurarine
D. My prom


Question: A full-term baby born after crying loudly, good limbs motility, general ruddy complexion, heart rate about 140 / min, 40 breaths / min, suction will stimulate sneezing reaction, his Apgar Score is a bit?

Answer: 10

Choices:
A. 4
B. 6
C. 8
D. 10


Question: The use of erythropoietin (erythropoietin) treatment of renal anemia, it should be noted that the full complement of an element?

Answer: iron

Choices:
A. Potassium
B. magnesium
C. iron
D. copper


Question: One patient after heart valve surgery because long-term use of anticoagulant warfarin. Taking the following drugs that are most likely to lead to a reduction warfarin metabolism, and it increases the role, even toxic?

Answer: phenytoin

Choices:
A. cimetidine
B. phenytoin
C. rifampin
D. Salicylate (salicylates)


Question: A 34-year-old patients with systemic lupus erythematosus, one day suddenly abnormal behavior, nonsense, follow-up brain CT examination found no bleeding or cerebral vascular occlusion situation. The occurrence of such abnormalities may be associated with the following serum antibody what?

Answer: Anti-ribosomal P antibody

Choices:
A. Anti-phospholipid antibody
B. Anti-ribonucleoprotein antibody
C. Anti-Ro (SS-A) & anti-La (SS-B) antibody
D. Anti-ribosomal P antibody


Question: Functional health status assessment, the basic function of Richangshenghuo activities (activities of daily living, referred ADL) does not include what the following items?

Answer: Take medicine

Choices:
A. Eating
B. Toileting
C. dressing
D. Take medicine


Question: Which of the following is a mechanical valve (mechanical prosthesis) and semi-biological valve (bioprosthesis) compared to the maximum advantage of the former?

Answer: High durability (durability)

Choices:
A. To be long-term use of anticoagulants
B. High durability (durability)
C. Strong resistance to bacterial infection
D. Less likely to produce hemolysis


Question: Principles of early childhood scrotal edema Why?

Answer: In one year old without surgery, observed after one year of age, it must not disappear surgery

Choices:
A. Surgery as soon as possible, in order to avoid adverse testicular development
B. Early surgery should be merged because the probability is high hernia
C. In one year old without surgery, observed after one year of age, it must not disappear surgery
D. A needle before the age of pumping pressure is released after the age will be required to surgery


Question: As an adult patient first aid, electrocardiogram as shown. When considering whether to use Sodium Bicarbonate treatment, following indications whichever is most inappropriate?

Answer: Conventional treatment for cardiac arrest patients

Choices:
A. Potassium ion concentration of 5.5 mEq / L
B. Patients with diabetes ketoacidosis
C. Patients with tricyclic antidepressant overdose
D. Conventional treatment for cardiac arrest patients


Question: A 55 year old patient due to tumor and scheduled to be injected with a contrast (contrast medium) Computer tomography (CT scan), the following statements is wrong?

Answer: The developer rarely nephropathy urine fractional excretion of sodium (FeNa) <1%

Choices:
A. The reason developer nephropathy produced include tubular obstruction or mechanical changes in renal blood action
B. The developer rarely nephropathy urine fractional excretion of sodium (FeNa) <1%
C. Diabetes is one of the developer to produce a risk factor for nephropathy
D. When the high-risk patient check-containing developer must be done, the liquid may be added to moderate (Hydration)


Question: Which of the following is most likely to hurt the surgery cut ovarian artery?

Answer: Suspensory ligament (suspensory ligament)

Choices:
A. Suspensory ligament (suspensory ligament)
B. Recommended ligament (sacrospinous ligament)
C. Main ligaments (cardinal ligament)
D. Ovarian round ligament (ovarian ligament)


Question: The following information about hypothermia (hypothermia) will cause constant changes in the surgical patient's body dangerous narrative occurs, whichever is wrong?

Answer: Reducing hemoglobin affinity for oxygen

Choices:
A. Increased fibrinolytic activity
B. Thrombocytopenia
C. Reduce platelet aggregation function
D. Reducing hemoglobin affinity for oxygen


Question: Vector mosquito can transmit many infectious diseases, some even fatal, may I ask which of the following is not an infectious disease spread by the vector mosquito?

Answer: Relapsing fever (relapsing fever)

Choices:
A. Yellow fever (yellow fever)
B. Relapsing fever (relapsing fever)
C. Dengue fever (dengue fever)
D. Japanese encephalitis (Japanese encephalitis)


Question: Account of testicular torsion (Testicular torsion) is, which of the following error?

Answer: Mainly because of blocked arteries supplying the testicles

Choices:
A. Mainly because of blocked arteries supplying the testicles
B. Infantile no abnormalities related to anatomy
C. Adult-onset also to prevent the other side of testicular torsion, testicular surgery will be required to impose a fixed
D. Required emergency surgery, prime time within 6 hours after occurrence


Question: Which of the following best not to reduce systemic administration errors (medication error)?

Answer: Enter a dedicated staff prescription

Choices:
A. Medical doctors make direct use of computers for input
B. Using an electronic bar code (bar-coding) for scanning input Drugs
C. Enter a dedicated staff prescription
D. With pharmacists in the ICU care team


Question: Which of the following is not a human primary (primary) lymphoid organs?

Answer: Lymph nodes (lymph nodes)

Choices:
A. Thymus (thymus)
B. Bone marrow (bone marrow)
C. Fetal liver (fetal liver)
D. Lymph nodes (lymph nodes)


Question: 40-year-old man appeared about a week ago to multiple lower limbs elevated purpura (palpable purpura), accompanied by pain and burning, following which check the diagnosis?

Answer: diascopy

Choices:
A. diascopy
B. Nikolsky sign
C. Tzanck smear
D. Darier's sign


Question: Pap smear report describes have koilocytosis, represents what is most likely to infect?

Answer: Human papillomavirus (HPV)

Choices:
A. Chlamydia (Chlamydia)
B. Trichomonas vaginalis (Trichomonas)
C. Human papillomavirus (HPV)
D. Neisseria gonorrhoeae (gonococcus)


Question: Viagra (Viagra) message may be transmitted through the enhanced effect of nitric oxide (NO) downstream of cGMP, to achieve its pharmacological effect. NO is a metabolite of the amino acid that kind?

Answer: arginine

Choices:
A. arginine
B. aspartate
C. lysine
D. tryptophan


Question: Which of the following is a characteristic of the material transported through the cell membrane of the diffusion of the promotion (facilitated diffusion) of?

Answer: Driven by the concentration gradient of solute

Choices:
A. Driven by the concentration gradient of solute
B. The need to drive ATP
C. Usually a reaction energy absorption (endergonic)
D. Is generally an irreversible reaction


Question: A 25-year-old male patient was recently the week beginning significant auditory hallucinations and paranoia and was sent to the emergency, doctors do to help their general physical examination and biochemical tests, as usual, he never had a history of drug and alcohol abuse, have never had significantly the history of brain injury. Its history began at 20 years of age of paroxysmal tonic - clonic seizures (tonic-clonic seizures), symptoms improved after taking the drug. Last week due to a cold without clothes antiepileptics, in the week were found to have times of tonic - clonic seizures. The following statements is true?

Answer: Position compared with other brain, causing lesions of the temporal lobe epilepsy, easier to produce psychotic symptoms

Choices:
A. Seizures cause of mental illness, most often occurs after each seizure (postictal psychosis)
B. Position compared with other brain, causing lesions of the temporal lobe epilepsy, easier to produce psychotic symptoms
C. Compared with women with epilepsy, male patients with epilepsy are more prone to mental illness
D. Psychosis seizures cause of schizophrenia and similar, also have obvious symptoms of loose association of


Question: Which of the following best suited to the human virus grows in 33-35 degrees Celsius, it usually affects the upper respiratory tract. However, the animal origin of such a virus was able to grow at 37 degrees Celsius, it can cause systemic infection?

Answer: Coronavirus (Coronavirus)

Choices:
A. Interstitial pneumonia virus (Metapneumovirus)
B. Adenovirus (Adenovirus)
C. Respiratory syncytial virus cells (Respiratory syncytial virus)
D. Coronavirus (Coronavirus)


Question: Meningioma recurrence (Recurrence of meningiomas) The most important factor is that one?

Answer: Residual tumor (Postoperative tumor residual) after surgery

Choices:
A. Patients Age (Age of the patient)
B. Bone infringement (Bone invasion)
C. Benign meningioma histological classification (Histological type of benign meningioma)
D. Residual tumor (Postoperative tumor residual) after surgery


Question: Which of the following drugs do not cause hirsutism (hirsutism)?

Answer: methimazole

Choices:
A. androgens
B. minoxidil
C. phenytoin
D. methimazole


Question: Feeding a newborn for the first time on choking and mouth secretions lot. Drawings for the baby of the X-rays, the most likely diagnosis Why?

Answer: esophageal atresia with tracheoesophageal fistula between distal segment of esophagus and trachea

Choices:
A. esophageal atresia without associated fistula
B. esophageal atresia with tracheoesophageal fistula between proximal segment of esophagus and trachea
C. esophageal atresia with tracheoesophageal fistula between distal segment of esophagus and trachea
D. esophageal atresia with tracheoesophageal fistula between both proximal and distal segment of esophagus and trachea