Question: About patient informed consent narrative, which of the following error?

Answer: Regardless of the Department of invasive or non-invasive medical practices, the consent of the patient are to be made in writing

Choices:
A. The physician shall the patient can learn ways to provide relevant information
B. Patients have the right not bound by physiological, psychological threats and inappropriate handling of information, the freedom to make decisions
C. Regardless of the Department of invasive or non-invasive medical practices, the consent of the patient are to be made in writing
D. Patients should have the ability to understand the relevant information and determine the reasonably foreseeable consequences


Question: The following description of the similarities and differences related to skeletal and smooth muscle, whichever is correct?

Answer: Skeletal muscle cell actin fixed Z lines, whereas smooth muscle cells in dense bodies are secured

Choices:
A. Skeletal muscle cell actin fixed Z lines, whereas smooth muscle cells in dense bodies are secured
B. Skeletal muscle cells have more actin, and smooth muscle cells have more myosin
C. Skeletal muscle cells and smooth muscle cells are having troponin C
D. Skeletal muscle cells and smooth muscle cells tropomyosin having no


Question: Which of the following is the vagus nerve organ dominated?

Answer: Ovary

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


Question: Zhiling after each wearing a necklace or earrings containing nickel show a few days will have a place in Prurigo contact. Dermatologists believe is an allergic inflammation of the skin immune reaction. These nickel-containing immune cells recognize antigens are produced where sensitization (sensitization), the implementation of immune function (effector function) Where?

Answer: Sensitization: lymph nodes, executive function: skin

Choices:
A. Sensitization: Skin, executive function: the lymph nodes
B. Sensitization: lymph nodes, executive function: skin
C. Sensitization and executive function in the skin
D. Sensitization and executive function in the lymph nodes


Question: That one of the following amino acids at pH 7.0 electrophoresis (electrophoresis) process, the fastest rate of movement towards the anode?

Answer: Aspartate (aspartic acid)

Choices:
A. Alanine (alanine)
B. Lysine (lysine)
C. Amine Amides bran (Glutamine)
D. Aspartate (aspartic acid)


Question: Laparoscopic cholecystectomy absolute contraindication to surgery Why?

Answer: Peritonitis

Choices:
A. Morbid obesity
B. Acute cholecystitis
C. Peritonitis
D. Women previously treated caesarean section


Question: 7255-year-old Mr. Huang has no past history of a particular disease, more recently because of fatigue, and asking his wife to the clinic when accompanied by requirements for examination. Which of the following is the best approach?

Answer: After the main discussion with Mr. Huang communicate, understand the motivations of inspection, and then decide on further disposal

Choices:
A. In accordance with the relevant provisions of national health insurance, opening Wong want to check for the project
B. According to evidence-based medicine guidelines, the examination of the opening project needs Wong
C. After the main discussion with Mr. Huang communicate, understand the motivations of inspection, and then decide on further disposal
D. After focuses on communication and Mrs. Huang, understand the motivations of inspection, and then decide on further disposal


Question: Hereditary non-polyposis colorectal colorectal cancer (hereditary nonpolyposis colon cancer, HNPCC) patients in what is a deletion of DNA repair function?

Answer: Nucleic acid mismatched repair (mismatch repair)

Choices:
A. Nucleotide excision repair (nucleotide excision repair)
B. Base excision repair (base excision repair)
C. Recombination repair (recombinational repair)
D. Nucleic acid mismatched repair (mismatch repair)


Question: Following on graft-versus-host disease (graft-versus-host disease, GVHD) the statements is wrong?

Answer: Morbidity of patients with autologous (autologous) bone marrow transplantation patients is much higher than allogeneic (allogeneic) transplantation

Choices:
A. Can be divided into acute and chronic two different patterns
B. In addition to the clinical skin lesions, often associated with diarrhea and abnormal liver function of performance
C. Often seen in patients undergoing bone marrow transplantation (bone marrow transplantation) of
D. Morbidity of patients with autologous (autologous) bone marrow transplantation patients is much higher than allogeneic (allogeneic) transplantation


Question: Which of the following most common affective disorder with light therapy (light therapy) treatment?

Answer: Seasonal affective disorder

Choices:
A. Rapid cycling of bipolar disorder
B. Seasonal affective disorder
C. postpartum depression
D. Psychotic depression


Question: Under normal circumstances, the human daily into the cecum about how much liquid from the ileum?

Answer: 1000 ~ 1500 ml

Choices:
A. 500 to 1000 ml
B. 1000 ~ 1500 ml
C. 1500 to 2000 ml
D. 2000 to 3000 ml


Question: The main difference why both Taq polymerase and E. coli DNA replication (DNA replication) polymerase chain reaction (PCR) used in the DNA polymerase is used?

Answer: Thermal stability (thermal stability)

Choices:
A. Thermal stability (thermal stability)
B. Polymerase activity
C. 3 'exonuclease (3'exonuclease) activity
D. During the reaction, the demand for a divalent metal ion


Question: According to the vascular anatomy of the muscle (vascular anatomy) classification, the following non-muscle whichever is the fourth vessel-dominated (type IV vascular pattern)?

Answer: Gracilis muscle (gracilis)

Choices:
A. Toe long extensor (extensor digitorum longus; EDL)
B. Grew up toe extensors (extensor hallucis longus; EHL)
C. Gracilis muscle (gracilis)
D. Tibialis anterior muscle (tibialis anterior)


Question: The most common primary malignant tumor in the trachea:

Answer: squamous cell carcinoma

Choices:
A. adenocarcinoma
B. squamous cell carcinoma
C. small cell carcinoma
D. carcinoid tumor


Question: Which of the following drugs via the liver (cytochrome p450 3A) will irreversibly metabolized by (irreversibly) inhibited the platelet P2Y receptor?

Answer: Clopidogrel

Choices:
A. Dipyridamole
B. Clopidogrel
C. Heparin
D. Eptifibatide


Question: The following account of progressive multifocal leukoencephalopathy (PML), and what's wrong?

Answer: Caused by the BK virus

Choices:
A. Often occurs in patients with immunodeficiency
B. Caused by the BK virus
C. Is a demyelination (demyelination) disease
D. Most patients die within 2 years 57 Which of the following will result in multiple cell membrane fusion (syncytia), the formation of multinucleated cells?


Question: Which of the following number of muscle dominated minimum?

Answer: Superficial peroneal nerve (superficial fibular nerve)

Choices:
A. Superficial peroneal nerve (superficial fibular nerve)
B. Deep peroneal nerve (deep fibular nerve)
C. Musculocutaneous nerve (musculocutaneous nerve)
D. Radial nerve (radial nerve)


Question: A 45 year old female, hyperthyroidism receiving propylthiouracil therapy for six months, at the same time due to allergy to prednisolone (5 mg) per day two, patients receiving thyroid right lobe and the left lobe resection subtotal. The next day the patient body temperature of 38.3 ℃, general weakness, low blood pressure, following examination in the diagnosis of what's most helpful?

Answer: Blood cortisol (Cortisol) and ACTH

Choices:
A. Blood T3
B. Blood T4
C. Blood TSH
D. Blood cortisol (Cortisol) and ACTH


Question: After 3 months of pregnancy, removal of the ovaries usually does not cause abortion, why not?

Answer: Placenta sufficient estrogen (Estrogen) and progestin (progesterone) to maintain endometrial thickness

Choices:
A. The mother's body is still enough luteinizing stimulating hormone (LH)
B. The mother's body is still enough follicle stimulating hormone (FSH)
C. Placenta sufficient estrogen (Estrogen) and progestin (progesterone) to maintain endometrial thickness
D. Placenta sufficient estrogen and androgen (androgen) to maintain endometrial thickness


Question: On the edge of the heart (superior border) Which of the following is mainly formed?

Answer: The roots of large vessels

Choices:
A. The roots of large vessels
B. Right atrium
C. Left ventricular
D. Right ventricle


Question: Which of the following atrial septal defect (atrial septal defect) often associated with localized pulmonary venous return abnormalities (abnormal pulmonary venous drainage)?

Answer: Venous sinus (sinus venous defect)

Choices:
A. The second type (secundum defect)
B. The first type (primum defect)
C. Coronary sinus type (coronary sinus defect)
D. Venous sinus (sinus venous defect)


Question: The prurigo (ground itch) is a parasitic infection caused by the human Which of the following?

Answer: American hookworm (Necator americanus)

Choices:
A. Schistosoma japonicum (Schistosoma japonicum)
B. American hookworm (Necator americanus)
C. Bancroft filamentous worms (Wuchereria bancrofti)
D. Angiostrongylus cantonensis (Angiostrongylus cantonensis)


Question: Nephrotic syndrome (Nephrotic Syndrome) Which of the following cancers and most relevant?

Answer: Hodgkin's lymphoma

Choices:
A. Renal cell carcinoma
B. Hodgkin's lymphoma
C. Colorectal Cancer
D. Lung cancer


Question: A 15 big month-old boy because of fever, drooling and refused to drink milk for medical treatment. In the past in good health, his family did not get sick. This baby mental irritability but slightly appease, Temp 38.9 ℃, HR 140 / min. There are some small palms and soles and shallow water , buttocks appear reddish rash, throat and sublingual appear after several water , lips, no water . The most likely diagnosis is:

Answer: HFMD (hand-foot-mouth disease)

Choices:
A. Chickenpox (varicella)
B. Measles (measles)
C. HFMD (hand-foot-mouth disease)
D. Scarlet fever (scarlet fever)


Question: Conductive hearing disorder otosclerosis (Otosclerosis) cause of, which of the following is the main focus of otosclerosis have been violated?

Answer: Stapes

Choices:
A. eardrum
B. Malleus
C. Anvil
D. Stapes


Question: Which of the following is not a neonatal meconium aspiration syndrome (meconium aspiration syndrome) the clinical manifestations?

Answer: anemia

Choices:
A. Shortness of breath
B. anemia
C. pneumothorax
D. Blue-violet color


Question: Differential diagnosis of hyponatremia, following that one of the most inappropriate?

Answer: Heart failure caused by the high volume type hyponatremia (hypervolemic hyponatremia) concentration of sodium in the urine is generally greater than 20 mM

Choices:
A. Hypothyroidism can cause the same volume type hyponatremia (euvolemic hyponatremia)
B. Low volume (hypovolemia) will make the blood vasopressin (vasopressin) increase
C. Heart failure caused by the high volume type hyponatremia (hypervolemic hyponatremia) concentration of sodium in the urine is generally greater than 20 mM
D. Burns cause urine sodium concentration less than 20 mM low volume type hyponatremia


Question: 29 a three-month-old baby boy of diarrhea and fever for about 5 days. History revealed solvable meconium delay, and since then has constipation that is when it is born. Physical examination found that poor boy dynamic, high fever and abdominal distension and other symptoms. This baby boy Which of the following is most likely to have the disease?

Answer: Toxic megacolon (toxic megacolon)

Choices:
A. Toxic megacolon (toxic megacolon)
B. Pyloric stenosis (pyloric stenosis)
C. Turn twisted intestine (volvulus)
D. Intussusception (intussusception)


Question: For comparison of the sleep characteristics of the elderly and the young, what's right?

Answer: Want to sleep during the day than

Choices:
A. More sleeping period
B. Want to sleep during the day than
C. Followed by less REM (Rapid eye movement, REM)
D. Less frequent sleep disorders and respiratory related to the


Question: The following antibiotics, bacterial cell wall synthesis whichever does not inhibit?

Answer: Vancomycin (vancomycin)

Choices:
A. Tetracycline (tetracycline)
B. Vancomycin (vancomycin)
C. Subtilisin (bacitracin)
D. Cephalosporins (cephalosporin)


Question: Driving Miss Zhang occurred a month before the accident, although only a flesh wound, but a continuous one week are unlikely to sleep with, often dreamed of the accident scene during the day is also very vulnerable to a sudden shock horn, the situation of the accident was not recall , did not dare to drive on the highway, so resting at home, two weeks, one week before another completely back to normal, what Miss Zhang most likely diagnosis?

Answer: Acute stress disorder (acute stress disorder)

Choices:
A. Post-traumatic stress disorder (posttraumatic stress disorder)
B. Acute stress disorder (acute stress disorder)
C. Panic disorder (panic disorder)
D. Fear (phobic disorder)


Question: The following clinical signs that one is not the time adrenal insufficiency (secondary adrenal insufficiency) is?

Answer: Low blood calcium (hypocalcemia)

Choices:
A. Low blood pressure (hypotension)
B. Low blood sugar (hypoglycemia)
C. Low blood sodium (hyponatremia)
D. Low blood calcium (hypocalcemia)


Question: A 25-year-old woman complained of amenorrhea 3 months, 2 kg weight gain, nausea, under ultrasound no special exception, given medroxyprogesterone acetate 10 mg 5 days, two days after withdrawal vaginal bleeding. The following diagnostic whichever is most appropriate?

Answer: Anovulation

Choices:
A. pregnancy
B. Anovulation
C. Lack of endogenous estrogen
D. Endometrial adhesions


Question: 38 A 45 year old male, 7 years ago, found a lymphoma, remission after treatment has been no recurrence, and no other abnormalities. The most recent blood test results are as follows: Hb 12.1 g / dL, the number of erythrocytes 5.41 × 106 / mm3, MCV 69.5 fL, white blood cell count 4,640 / mm3, normal classification, platelet count 174,000 / mm3; hemosiderin (ferritin) 277 ng / mL, hemoglobin electrophoresis display HbA2 2.1% (normal <3.5%), HbF 1.1% (normal <2.0%). The man most likely have which of the following diseases?

Answer: a-Thalassemia

Choices:
A. a-Thalassemia
B. b-Thalassemia
C. anemia of chronic disease
D. Sideroblastic anemia


Question: A 41-year-old man driving a car accident at the crossroads, complained of chest subjected to impact, suspected occurrence of cardiac tamponade (cardiac tamponade), physical examination found Kussmaul's sign, which will have the following performance?

Answer: Inspiratory venous pressure (venous pressure) rises

Choices:
A. Inspiratory venous pressure (venous pressure) decreased
B. Inspiratory venous pressure (venous pressure) rises
C. Exhale venous pressure (venous pressure) decreased
D. Venous pressure (venous pressure) rises expiratory


Question: FIG tired aqueous Analysis (hydropathy plot) generally can be used:

Answer: The predicted amino acid sequence is known to contain the protein across a membrane area (membrane-spanning segment)

Choices:
A. Estimating quaternary structure of membrane proteins
B. Protein (native protein) the natural water content measured
C. Estimating actual molecular weight membrane protein
D. The predicted amino acid sequence is known to contain the protein across a membrane area (membrane-spanning segment)


Question: A 6-year-old boy was at school often in a daze, so that the difference between poor and learning lessons look at attending. Physical examination (physical examination) was unremarkable, but suddenly a daze at the time of inspection, his eyes glazed look, the body stops action, and verbal instructions to the outside world does not respond, about a minute suddenly restored action and consciousness. When the onset of brain wave examination revealed extensive three cycles per second spike and wave. Which of the following is the first line antiepileptic drugs for medication?

Answer: ethosuximide

Choices:
A. carbamazepine
B. phenobarbital
C. ethosuximide
D. phenytoin


Question: About thyroglossal cyst (thyroglossal duct cyst) of the narrative, which of the following error?

Answer: Malignant conversion rate is very low, the most common form of malignant cell type is squamous cell carcinoma (squamous cell carcinoma)

Choices:
A. Usually occurs in the midline of the neck, is the most common congenital neck mass
B. Malignant conversion rate is very low, the most common form of malignant cell type is squamous cell carcinoma (squamous cell carcinoma)
C. Standard treatment is surgery Sistrunk
D. Cyst infection had occurred previously, easier to relapse after surgery


Question: Proteins p53 by DNA virus proteins of the cell cycle may be adjusted as follows:

Answer: Human papillomavirus type XVI (of HPV16) E6 protein of

Choices:
A. Human papillomavirus type XVI (of HPV16) E6 protein of
B. Human papillomavirus type XVI (of HPV16) E7 protein of
C. Adenovirus (Adenovirus) of the E1A protein
D. EB virus (Epstein-Barr virus) latent membrane protein of the first type (LMPl)


Question: 68-year-old male heavy smoker, complained of dry cough for two months, no sputum, no fever, just the past six months suddenly do not want to smoke. Physical examination right lower lung reduce breathing, chest X-ray in the drawing, the following diagnostic whichever most likely?

Answer: Lung cancer

Choices:
A. Pneumonia with water
B. Empyema
C. Lung cancer
D. Heart failure with pleural effusion


Question: Emergency treatment of neonatal pneumothorax (pneumothorax), can be inserted into the chest wall that position vertical drainage acupuncture?

Answer: The fourth intercostal space

Choices:
A. A first intercostal space (intercostal space)
B. The second intercostal space
C. The third intercostal space
D. The fourth intercostal space


Question: Sepsis (sepsis) occurs, then one of the following cell hormone (cytokine) is the main cause septic shock (septic shock) it?

Answer: TNF-a

Choices:
A. interferon-a
B. G-CSF
C. IL-2
D. TNF-a


Question: Patients suffering from Alzheimer's disease, when after the death of brain anatomy you best performance?

Answer: Brain weight 1010 g

Choices:
A. Brain weight 1010 g
B. Ventricle narrow
C. Wide, flat gyrus
D. Sulci narrows


Question: 53. The 23-year-old Xiao Qing, from ⼩ body care has relatively poor, climb stairs easily asthma, colds are more likely to ⽣ disease, but does not affect the date often ⽣ live. 1 Month ago Your Own pregnancy test out there, most recently a month on, often feel dizziness, nausea Center Weighted, vomiting, and sometimes feel chest tightness and Center Weighted throbbing, so ⾄ obstetrics and gynecology check-ups. Hiu Ching chest upwards ADVANCED 158 cm, weight 42 well ⽄, ⾎ pressure 112/76 mmHg, at 92 per minute Center Weighted hop rate, check to see Submenu wave ultra Rec intrauterine ⼀ normal embryo sacs can be seen head embryos ⼀ hip ⻑ (CRL) to 2.1 cm. Hiu Ching's case on, which of the following error?

Answer: Crown-rump based embryos to determine ⻑ 2.1 cm, cellular cytokine destination time before pregnancy (fetal) weeks about 9 weeks

Choices:
A. Crown-rump based embryos to determine ⻑ 2.1 cm, cellular cytokine destination time before pregnancy (fetal) weeks about 9 weeks
B. When only one as normal pregnancy, at 8 weeks prior to pregnancy, Center Weighted ⾎ ⽣ tube will start producing significant changes in the output Center Weighted amount (cardiac output) will rise, care has peripheral ⾎ pipe resistance (systemic vascular resistance) decreases, Center Weighted jumping (heart rate) will speed up
C. Normal pregnancy from conception to the postpartum period, Center Weighted output is largest at the side lying in the rest period of 28 32 weeks gestational ⾄ Room
D. Shoots as usual after 20 weeks of pregnancy, pregnant women lie down, Center Weighted output and Center Weighted dirty play amount of volume (stroke volume) than sitting ADVANCED, but every minute Center Weighted


Question: From the previous question, the disorder, the emergency room physician first to do dispose why?

Answer: Computer tomography head (head CT scan)

Choices:
A. Cerebro-spinal fluid (CSF examination)
B. Hyperbaric oxygen therapy (hyperbaric oxygen therapy)
C. Computer tomography head (head CT scan)
D. Drug, hypotensive priority (antihypertensive therapy)


Question: Which of the following glomerular lesions and hepatitis B virus infection has nothing to do?

Answer: Anti-glomerular basement membrane disease

Choices:
A. Membranous glomerulopathy
B. IgA Nephropathy
C. Anti-glomerular basement membrane disease
D. Polyarteritis nodosa


Question: Which of the following is the most effective treatment of multidrug-resistant strains of M. tuberculosis resistant to streptomycin drug of choice?

Answer: Amikacin

Choices:
A. Amikacin
B. Spectinomycin
C. Gentamicin
D. Clarithromycin


Question: The following information represents the six days of hospitalization hip replacement surgery patients (days): 4, 3, 3, 5, 4, and 20, that a central tendency statistic that best describes this information?

Answer: Median

Choices:
A. average value
B. Full Distance
C. The mode
D. Median


Question: From the previous question, a few weeks after the patient is discharged, the clinic again. Physical examination found to have been formed anus  tube, may I ask what's the most correct disposal of the following?

Answer: The Goodsall rule, surgery should be in the mouth of the dentate line  tube after the anus

Choices:
A. At this time, the treatment may be used antibiotic ointment and warm water bath, 90% cure rate
B. At this time, the only surgical treatment a way, the mouth of the outer tube  for open surgical debridement
C. The Goodsall rule, surgery should be in the mouth of the dentate line  tube after the anus
D. The (i.e. left anus) Goodsall rule, surgery should be in the mouth of the tube  dentate line corresponding to the direction of its


Question: Which of the following is a group B Streptococcus (Group B Streptococci)?

Answer: Streptococcus agalactiae (Streptococcus agalactiae)

Choices:
A. Streptococcus pyogenes (Streptococcus pyogenes)
B. Viridans (viridans streptococci)
C. Streptococcus agalactiae (Streptococcus agalactiae)
D. Transglycosylation Streptococcus (Streptococcus mutans)


Question: About HCC (hepatocellular carcinoma), which of the following error?

Answer: The most common to multiple nodules

Choices:
A. Is divided into multiple nodules, nodular separate mass type and infiltrating
B. The most common to multiple nodules
C. Not suitable for surgical treatment of liver cancer, may be by other methods, such as hepatic arterial embolization (TAE) therapy
D. In patients receiving hepatic arterial embolization (TAE) of treatment, liver function should not be too bad, and the best blood flow its portal


Question: The reason most often caused by spontaneous subarachnoid hemorrhage are:

Answer: Intracranial aneurysm rupture

Choices:
A. hypertension
B. Tumor hemorrhage
C. Intracranial aneurysm rupture
D. Intracranial arteriovenous malformation


Question: The following fungi most vulnerable to violations of brain tissue is:

Answer: Cryptococcus neoformans (Cryptococcus neoformans)

Choices:
A. SaruKatsu Mr. 孢絲 bacteria (Sporothrix schenckii)
B. Trichophyton rubrum (Trichophyton rubrum)
C. Pneumocystis carinii (Pneumocystis carinii)
D. Cryptococcus neoformans (Cryptococcus neoformans)


Question: T cell receptors (T cell receptor, TCR) mainly depends on what kind of message across to these molecules within the cell?

Answer: CD3

Choices:
A. TCR
B. MHC
C. CD2
D. CD3


Question: In deciding to take a method ptosis surgery, following that the most important factor?

Answer: The function of the upper eyelid levator

Choices:
A. gender
B. age
C. Unilateral or bilateral ptosis
D. The function of the upper eyelid levator


Question: A 15-year-old girl brought by his mother to see the clinic, because most of the past six months, often paroxysmal sleepiness, sleeping at the wrong time (such as class, eating, chatting with people, etc.) fell asleep, about a few minutes will wake up to an hour, and emotion (such as anger or laughter when) suddenly general weakness, limp down, but after a few seconds to recover. Not when the attack neurological examination was normal. The disease is most likely to:

Answer: 猝睡 disease (narcolepsy)

Choices:
A. 猝睡 disease (narcolepsy)
B. Brain tumors (brain tumor)
C. Low thyroid function (hypothyroidism)
D. Depression (depression)


Question: A large 10 month-old girl was brutally father thrown into a pot of hot water, 90% less neck burns, because the girl's mother could not bear to see the baby received an electric shock, so I want to give up the signing of CPR consent, in accordance with the provisions of palliative care Ordinance (amended 1991 December 11), the following statements is wrong?

Answer: No matter that no one can give up the purposes for minors CPR

Choices:
A. Do not perform CPR, should be identified as two physician-diagnosed terminally ill patients
B. Minors do not perform CPR signed letter of intent, should obtaining consent of legal representative
C. When the conscious or unconscious patients can not clearly express their will, by their next of kin issued without performing cardiopulmonary resuscitation consent in place of
D. No matter that no one can give up the purposes for minors CPR


Question: Coronary artery bypass surgery, used a catheter (Conduit) There are many kinds, after long-term follow best patency rate is:

Answer: Internal mammary artery

Choices:
A. Internal mammary artery
B. Saphenous vein
C. Radial artery (radial artery)
D. Right stomach retinal artery (right gastroepiploic artery)


Question: 46 is a housewife Mrs. Liu, now 55 years old. The last three years is very serious shaking hands, the right hand is almost impossible to scoop soup with a spoon or chopsticks and take their food, can not write, can not be left to take the bowl, but she can still grow vegetables with a hoe soil preparation. By history, shaking hands for nearly 30 years, beginning from the right hand, then left hand trembling. Her mother and one sister have similar long-term phenomenon shaking hands, but relatively mild. In addition, no other abnormal body, there is no chronic diseases. The following clinical assume whichever is most likely?

Answer: Essential tremor (essential tremor)

Choices:
A. Generalized dystonia (general dystonia)
B. Spinocerebellar degeneration (spinocerebellar degeneration)
C. Parkinson's disease (Parkinson's disease)
D. Essential tremor (essential tremor)


Question: When the patient standing on one foot with his left foot, the body can maintain balance (Figure 1), but Trendelenburg sign when standing on one foot with the right foot (+) (Figure 2), I ask that the lesions are most likely to be which of the following?

Answer: On the right gluteal muscle weakness

Choices:
A. The left gluteus maximus weakness
B. The left gluteal muscle weakness
C. To the right gluteus maximus weakness
D. On the right gluteal muscle weakness


Question: Which of the following operation is otosclerosis (otosclerosis) of treatment?

Answer: Stapedectomy (stapedectomy) and placed artificial stapes surgery

Choices:
A. Eardrum angioplasty (myringoplasty)
B. Revised official mastoidectomy (modified radical mastoidectomy)
C. Stapedectomy (stapedectomy) and placed artificial stapes surgery
D. Top tympanic drilling technique (atticotomy)


Question: From the previous question, what patients are most likely to accept the item immediately following treatments?

Answer: Thrombectomy (thrombectomy)

Choices:
A. Administration of anticoagulant (anticoagulants)
B. Put the stent (vascular stents)
C. Thrombectomy (thrombectomy)
D. Amputation (amputation)


Question: A 6-year-old boy because parents found his face and pubic hair growth and acne treatment, physical examination indeed show pubic hair development, both sides of the testicles are 2-3 ml, then the patient bone age was 13 years old. Sexual stimulation test releasing hormone (GnRH test) shows its testosterone (Testosterone) base is 5 ng / mL, after sexual stimulation releasing hormone, follicle stimulating hormone (FSH) of the maximum value of 0.5 IU / L, luteinizing stimulating hormone ( LH) of the maximum value of 0.5 IU / L. This sick children most likely cause why?

Answer: Craniopharyngioma tumor (craniopharyngioma)

Choices:
A. Hypothalamic hamartoma (hypothalamic hamartoma)
B. Testicular Leydig cell tumor (Leydig cell tumor of testis)
C. Congenital adrenal hyperplasia (congenital adrenal hyperplasia)
D. Craniopharyngioma tumor (craniopharyngioma)


Question: A 20-year-old man, was sent to the emergency room because of a car accident, can not move to the right hip, the remaining physical examination found no abnormalities except the right hip, X-rays showed the right side of the femoral neck completely displaced fracture, and no deformation of the femoral head or abnormal phenomenon of the acetabulum. Which of the following is the preferred disposal?

Answer: Surgical reduction and internal fixation nails

Choices:
A. Figures plaster hip (hip spica)
B. Surgical reduction and internal fixation nails
C. Semi-artificial hip replacement surgery
D. Total hip replacement surgery


Question: Recombinant Interleukin-2 protein which can be used to treat these diseases?

Answer: Malignant melanoma

Choices:
A. Malignant melanoma
B. Rheumatoid arthritis
C. Bladder Cancer
D. Psoriasis


Question: A 70-year-old male patient was lethargy, pallor, and a slight heartbeat, was sent to the emergency room for treatment. Peripheral blood tests: decreased hemoglobin and hematocrit, mean corpuscular volume (MCV) increases, there is a multi-leaf and giant platelets neutrophils. Clinically, the following factors that lack the most common?

Answer: Internal factors (Intrinsic factor)

Choices:
A. Cobalt addicted protein (Cobalophilin)
B. Pepsin (Pepsin)
C. Internal factors (Intrinsic factor)
D. Transcobalamin (Transcobalamin)


Question: 85 year old man was found to increase the resistance of the left ventricular outflow of blood and concentric left ventricular hypertrophy, aortic valve replacement patients receiving therefore, when the pathological examination was found on many surgical resection valve calcification nodular in structure to the sinus of Valsalva. This patient's aortic valve anatomy did not occur before the disease is most likely:

Answer: three-cuspid valve

Choices:
A. three-cuspid valve
B. two-cuspid valve
C. un-commissural valve
D. fissured valve


Question: During the following lung development, respiratory bronchioles (respiratory bronchiole) when it appears?

Answer: Tubules period (Canalicular stage)

Choices:
A. Pseudo glandular stage (Pseudoglandular stage)
B. Tubules period (Canalicular stage)
C. The end of the capsule (Terminal sac stage)
D. Alveolar period (Alveolar stage)


Question: The following four blood diseases, both diseases that most often the same genetic mutation occurs?

Answer: ①②

Choices:
A. ①②
B. ①③
C. ②③
D. ③④


Question: Calcium chloride solution to give a real rat perfusion real to improve its calcium concentration, Which of the following is the most likely of the expected changes?

Answer: Reducing the activity of bone macrophage cells (osteoclast) of

Choices:
A. Calcitonin (Calcitonin) reduced secretion
B. Bone loss (bone demineralization)
C. Reducing the activity of bone macrophage cells (osteoclast) of
D. Reduce clotting effect (blood coagulation)


Question: Following what kind of cells can not be presented (presenting) peptides (peptide) antigens to T helper cell (helper T cells)?

Answer: Neutropenia (neutrophils)

Choices:
A. B cells
B. Neutropenia (neutrophils)
C. Macrophages (macrophages)
D. Prominent dendritic cells (dendritic cells)


Question: 65 located in front of men who have left ventricular myocardial infarction and the sidewall of the entire layer (Transmural infarct), but the interventricular septum (Ventricular septum) intact. Following coronary artery, whichever is this patient at blocking the most likely to occur?

Answer: Left circumflex artery (Left circumflex branch)

Choices:
A. Anterior descending artery (Anterior descending branch)
B. Left circumflex artery (Left circumflex branch)
C. Right circumflex artery (Right circumflex branch)
D. The left main coronary artery (Left main coronary artery)


Question: Relevant non-typhoid salmonella (nontyphoidal Salmonella) infections, which of the following do not need routine use of antibiotics?

Answer: Greater than three months of big baby

Choices:
A. Greater than three months of big baby
B. Bloating and toxic sickly
C. Merge bacteremia
D. Patients with sickle cell disease


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

Answer: Most of re-absorption in the jejunum (jejunum)

Choices:
A. Lack of access to food intake
B. Synthesized by the liver
C. Most of re-absorption in the jejunum (jejunum)
D. Primary biliary cirrhosis (primary biliary cirrhosis) occurs in patients with bile acid secretion due to problems that may arise steatorrhea, even thus resulting in poor absorption of calcium and vitamin D


Question: Clinically, the most widely used to estimate glomerular filtration rate for children (Estimated GFR) formula or index Why?

Answer: Schwartz formula

Choices:
A. Modification of Diet in Renal Disease（MDRD）公式
B. Schwartz formula
C. Cockcroft-Gault equations
D. Serum creatinine concentration (Creatinine)


Question: Which of the following is the culprit causing hepatitis viruses often travel agent who hepatitis (traveler hepatitis), and pregnant women infected nearly 20% mortality?

Answer: Hepatitis E virus

Choices:
A. Hepatitis A virus
B. Hepatitis B virus
C. Hepatitis D virus
D. Hepatitis E virus


Question: Which of the following is not suitable for weaning?

Answer: Minute ventilation (minute ventilation) of greater than 15 L / min

Choices:
A. Tidal volume (tidal volume) of greater than 5 mL / kg
B. Respiratory rate is less than 30 times / min
C. Minute ventilation (minute ventilation) of greater than 15 L / min
D. Rapid shallow breathing index is less than 80


Question: One 60-year-old menopausal woman, to the hospital for examination lumbar spine bone mineral density, femur, hip bone and collar bone, and found the bones have low bone density phenomenon. Which of the following is most likely due to chronic use, which led to the woman's osteoporosis?

Answer: prednisone

Choices:
A. lovastatin
B. metformin
C. propranolol
D. prednisone


Question: In the dark, statements about the retinal cone cells, which of the following error?

Answer: Guanosine monophosphate (GMP) concentration is increased

Choices:
A. Guanosine monophosphate (GMP) concentration is increased
B. Influx of calcium
C. In depolarized cells (depolarized state)
D. Outer segment contraction membrane calcium channels 7 in an open state in skeletal muscle, Myosin head into what role by following a high energy state (High-energy state)?


Question: 29. The narrative about hookworms (hookworm) infection, whichever of the following error? ① Ancylostoma duodenale (Ancylostoma duodenale) only through the human skin infections and severe infection ② insufficient intake of iron, occurring after the first symptoms often cause infection ③ iron deficiency anemia (iron deficiency anemia) as an increase in eosinophilic leukocyte

Answer: Only ①③

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


Question: A travel agency organizing trips abroad on the 5th, after returning home, there are three children have attended due to bloody diarrhea to the hospital, where a 4-year-olds also complicated by hemolytic uremic syndrome (hemolytic uremic syndrome). The following bacteria that cause most likely causative agent of this event?

Answer: E. coli (Escherichia coli)

Choices:
A. E. coli (Escherichia coli)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
C. Vibrio parahaemolyticus (Vibrio parahaemolyticus)
D. Gastric Helicobacter pylori (Helicobacter pylori)


Question: Case of penile implant surgery (penile prosthesis implantation) the most common postoperative complications need to be surgically removed as follows:

Answer: infection

Choices:
A. Urethral rupture
B. Scrotal hematoma
C. infection
D. Compression voiding dysfunction caused by prostate


Question: 59 head trauma patients administered indications for CT examination of the head, and that more of the following is true? ①GCS <15 points ② loss of consciousness> 5 minutes after traumatic amnesia ③ ④ merger headache and vomiting

Answer: ①②③④

Choices:
A. ①②③④
B. Only ①②③
C. Only ②③④
D. Only ①③④


Question: In the same exercise intensity, heart and lung function before and after exercise bike compared to aerobic exercise training, the following statements is wrong?

Answer: Heart rate (heart rate) unchanged

Choices:
A. Heart rate (heart rate) unchanged
B. Per stroke volume (stroke volume) is increased
C. Oxygen uptake (VO2) roughly unchanged
D. Cardiac output (cardiac output) roughly unchanged or decline


Question: Which of the following antibiotics, inhibit bacterial synthesis of folic acid needed during the enzyme dihydrofolate reductase, and sulfonamides, and it can produce a synergistic effect with?

Answer: trimethoprim

Choices:
A. tazobactam
B. teicoplanin
C. tobramycin
D. trimethoprim


Question: 7-year-old Liu Xiaomei button battery ingestion morning, noon after being sent to the parents of the clinic, X-ray examination found that the battery stuck in the upper esophagus, Liu Xiaomei also feel pain without vomiting, may I ask what kind of disposal following the most appropriate?

Answer: Now remove the battery arrangement esophagoscopy

Choices:
A. First observation for 48 hours to see whether the battery will be discharged with defecation
B. To take antibiotics to prevent infection
C. Open to the emetic, so that children spit
D. Now remove the battery arrangement esophagoscopy


Question: Narrative about the toxicity of the following, whichever is wrong?

Answer: Stabbed sea urchin, wound with cold compresses is recommended to alleviate toxicity

Choices:
A. Was stung by a bee, the leading cause of death within minutes anaphylactic shock
B. Being stung by jellyfish, causes of death within minutes anaphylactic shock
C. Stabbed sea urchin, wound with cold compresses is recommended to alleviate toxicity
D. Eat a licensed fugu chefs cooking, may also be fatal


Question: Which of the following disease-like appearance aortic inner bark (tree-barking appearance) occurs most often?

Answer: Syphilitic aortitis

Choices:
A. Atherosclerosis
B. Hypertensive arteriosclerosis
C. Syphilitic aortitis
D. Aortic stenosis


Question: Skin paste Test (patch testing) is a diagnostic contact out skin inflammation (contact dermatitis) having important ⼯ main destination time is:

Answer: Identify contact allergens

Choices:
A. Can be diagnosed as various types of contact out skin inflammation
B. Identify contact allergens
C. Determining the severity of inflammation out skin contact
D. Confirming whether the onset of more than 48 ⼩


Question: Which of the following cholinesterase inhibitors (Cholinesterase inhibitors), not belonging to the four ammonia (Quaternary ammonium group), and has a high lipid solubility, by cerebral disorder screen (Blood-brain-barrier)?

Answer: Physostigmine hormone (Physostigmine)

Choices:
A. Physostigmine hormone (Physostigmine)
B. Edrophonium
C. Acetylcholine enhancers (Pyridostigmine)
D. Neostigmine brother Geming (Neostigmine)


Question: The following statements about acute pancreatitis (acute pancreatitis) etiology (etiology) of, what's wrong?

Answer: Gallstones must be greater than 1 cm

Choices:
A. Heavy drinking
B. Gallstones must be greater than 1 cm
C. Hypertriglyceridemia, triglyceride> 1000 mg / dL
D. When endoscopic retrograde cholangiopancreatography photographic examination (ERCP), a large amount of the developer forcibly injected into the pancreatic duct 17 patients pseudo cysts (pseudocyst) surgery compared to patients regardless of the symptoms:


Question: Narrative about the central retinal vein occlusion (central retinal vein occlusion), and which of the following error?

Answer: Symptoms associated with pain, loss of vision

Choices:
A. Often occurs in the elderly suffering from high blood pressure
B. Symptoms associated with pain, loss of vision
C. Smoking is a risk factor
D. Common retinal vein dilation, retinal hemorrhage and edema


Question: The following pairing-related gastrointestinal polypeptide of their function, what's right?

Answer: Vasoactive intestinal polypeptide (vasoactive intestinal polypeptide): promotion of intestinal epithelial cells secrete electrolyte

Choices:
A. Vasoactive intestinal polypeptide (vasoactive intestinal polypeptide): promotion of intestinal epithelial cells secrete electrolyte
B. Gastric inhibitory peptide (gastric inhibitory peptide): inhibition of the vagus nerve conduction
C. Mobile element (motilin): promote intestinal articulation points
D. Compstatin (somatostatin): increased hepatic secretion of interleukin body (somatomedin)


Question: A 45 year old male from the age of 20 in the face, ears, chest and back appear as shown in a of skin lesions, skin pathology sections as shown in Figure 2, the most suitable patient diagnosed?

Answer: Darier-White disease

Choices:
A. Darier-White disease
B. keratosis pilaris
C. ichthyosis
D. epidermolysis bullosa simplex


Question: Independent verification sample mean, which of the following error?

Answer: If the p-value less than the significance level representative accepted hypothesis nothing

Choices:
A. The average of two independent samples t-test available test
B. Above the average of three independent samples available assay MANOVA
C. Sampling distribution of the sample mean of the need to comply with the assumption of normal distribution
D. If the p-value less than the significance level representative accepted hypothesis nothing


Question: That being the highest likelihood of a bacterial infection?

Answer: Haemophilus influenzae type b

Choices:
A. Haemophilus influenzae type b
B. Streptococcus pneumoniae
C. Moraxella catarrhalis
D. Klebsiella pneumoniae


Question: A 24-year-old woman, G2P1, 42 weeks of pregnancy, fetal heart rate occurs to be produced in "variable deceleration" (variable deceleration), the following diagnosed with what is most likely?

Answer: Umbilical cord oppression

Choices:
A. Fetal oppression
B. Umbilical cord oppression
C. Lack of uterine placental function
D. infant deformity


Question: Wear contact lenses cause of corneal ulcers, which of the following most common pathogens?

Answer: Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Choices:
A. Neisseria gonorrhoeae (gonococci)
B. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
C. Staphylococcus aureus (Staphylococcus aureus)
D. Candidiasis (Candida)


Question: Statements about gastric cancer, which of the following error?

Answer: Diffuse (diffuse type) than intestinal type (intestinal type) is more common in countries with a high incidence of

Choices:
A. Diffuse (diffuse type) common CDH1 gene mutation
B. Diffuse (diffuse type) than intestinal type (intestinal type) is more common in countries with a high incidence of
C. Decreased incidence of gastric cancer in recent years, mainly to reduce intestinal (intestinal type) of
D. Most of familial gastric cancer is diffuse (diffuse type)


Question: Which of the following of angiogenesis umbilical artery and umbilical vein?

Answer: Allantoic (allantois) 33 protein expression as a position identification tissue sections, the most sensitive and specific method is:

Choices:
A. Amniotic membrane (amnion)
B. Chorion (chorion)
C. Yolk sac (yolk sac)
D. Allantoic (allantois) 33 protein expression as a position identification tissue sections, the most sensitive and specific method is:


Question: When aortic stenosis patients, the left ventricle and the ascending aorta difference in the systolic pressure 50 mmHg, while Which of the following symptoms, aortic valve replacement surgery to be considered?

Answer: Angina

Choices:
A. Brain embolism
B. ECG left ventricular hypertrophy phenomenon
C. Angina
D. Premature ventricular contraction


Question: 5-year-old boy, as shown in the soles of the feet symptoms, Which of the following is the most appropriate diagnosis?

Answer: juvenile plantar dermatosis

Choices:
A. tinea pedis
B. juvenile plantar dermatosis
C. ichthyosis
D. asteatotic eczema


Question: In the first 2 years old, hypopigmented macules on the skin, the skin is characterized by the following congenital disease that first appeared?

Answer: tuberous sclerosis

Choices:
A. neurofibromatosis
B. tuberous sclerosis
C. pseudoxanthoma elasticum
D. Albright's syndrome


Question: Vascular closure tip, which is not an sleeve stitching techniques (sleeve technique) shortcomings?

Answer: Not vascular closure (size discrepant vessels) diameter for inconsistencies

Choices:
A. Could easily lead to narrowing (stenosis)
B. Easily cause blood clots (thrombus)
C. Easy to form hemangioma (aneurysm formation)
D. Not vascular closure (size discrepant vessels) diameter for inconsistencies


Question: That part of the adrenal gland (adrenal gland), and only three years after birth identification?

Answer: Reticularis (zona reticularis)

Choices:
A. Pith (medulla)
B. Reticularis (zona reticularis)
C. Zona (zona glomerulosa)
D. Zona (zona fasciculata)


Question: Which of the following is NOT a main cause of secondary vice hyperthyroidism?

Answer: Hyponatremia

Choices:
A. 1,25 (OH) 2 Vit D3 reduces manufacturing
B. Hypocalcemia
C. Hyperphosphatemia
D. Hyponatremia


Question: For TNM Staging System Stage I, 3 cm of early hepatocellular carcinoma, following treatment, whichever is not "possible with curative (curative-intent)" treatment strategy?

Answer: Sorafenib

Choices:
A. Surgical resection
B. Radiofrequency ablation
C. Sorafenib
D. Orthotopic liver transplantation


Question: 79.82-year-old male, recently taking cold medicine, urinary difficulties due to de-urology clinic, with your single catheterization, exported 750 ml of urine of patients suspected to be open to other cold medicine physician relationship, you really find containing anti-parasympathetic (anticholinergic) class of drugs, depending on your professional judgment and was also suspected to be caused by the drug. At this point should be how to inform the patient?

Answer: Honest and tell the patient, try not to use these drugs in the future, at the same time inform the patient to tell the doctor the original disease when to see a doctor in order to avoid unwanted side effects

Choices:
A. Try to help other colleagues to conceal, can not tell the patient to maintain your relationship with peers
B. Tell patients that the drug was never in question in accordance with urinary retention, patients should be special physical
C. With the patient on the same side, an error and negligence of doctors before the accused even inform the patient can appeal to the hospital
D. Honest and tell the patient, try not to use these drugs in the future, at the same time inform the patient to tell the doctor the original disease when to see a doctor in order to avoid unwanted side effects


Question: Bearing on issues such as within 3 hours, urine volume was 80 mL per hour, but it was dark red, which of the following is correct?

Answer: Increase the amount of input infusion

Choices:
A. Increase the amount of input infusion
B. Infusion to maintain constant input
C. Infusion reduced input
D. Infusion replacement type where: Six week old infant vomiting and abdominal X-ray photograph, in the drawings, the first answer questions 35-37.


Question: After removal of the sample sections were Periodic acid-Schiff (PAS) staining of the lung from the patient, found that many of the wide strip purple (Broad, ribbon-like), no hyphae diaphragm (Coenocytic hyphae) through the tissue, the diagnosis is likely to push a fungal disease that is?

Answer: Zygomycosis (Zygomycosis)

Choices:
A. Cryptococcus neoformans disease (Cryptococcosis)
B. 麴菌 disease (Aspergillosis)
C. Sporothrix disorder (Sporotrichosis)
D. Zygomycosis (Zygomycosis)


Question: A child suffering from a rare genetic disease gene defects, "Niemann-Pick disease (Niemann-Pick disease)," normal active when this child was born, difficulty swallowing, eight months later, the degradation of brain function, will eventually become a vegetative state and death . These diseases are mainly the kind of metabolism disorders and accumulate in the tissues caused?

Answer: gangliosides

Choices:
A. triacylglycerol
B. gangliosides
C. vitamin D
D. cholesterol


Question: The following antibiotics that interfere with bacterial RNA synthesis is by the mechanism, and can be used to treat leprosy and tuberculosis mycobacterial infection, but the urine after oral administration will was orange?

Answer: rifampin

Choices:
A. isoniazid
B. ethionamide
C. cycloserine
D. rifampin


Question: About the relevance of hypothyroidism (hypothyroidism) and mental illness, which of the following error?

Answer: For psychiatric symptoms caused by hypothyroidism, should start using high doses of antipsychotic drugs

Choices:
A. For psychiatric symptoms caused by hypothyroidism, should start using high doses of antipsychotic drugs
B. Hypothyroidism can cause cognitive impairment
C. Hypothyroidism may be refractory depression (treatment refractory depression) is one of the reasons
D. Hypothyroidism can cause depressed mood


Question: Which of the following male hormones have the most direct and most important influence on prostate hypertrophy?

Answer: Dihydro testosterone (dihydrotestosterone)

Choices:
A. Type free testosterone (free form testosterone)
B. Dihydro testosterone (dihydrotestosterone)
C. Male-dione (androstenedione)
D. Hormones engagement globulin (sex hormone binding globulin) junction type testosterone


Question: A 30-year-old male patient with multiple measurements of blood pressure, both sides of the upper arm is between 160/50 to 150/40 mmHg, on both sides of the lower limbs is between 170/40 to 160/40 mmHg. Cardiac auscultation third grade diastolic murmur (Gr 3/6 diastolic blowing murmur). Following a disease that is most likely?

Answer: Aortic valve insufficiency (Aortic regurgitation) 10 Which of the following is not acquired long QT syndrome (acquired long QT syndrome) it may treat?

Choices:
A. Aortic pinched (Coarctation of aorta)
B. Renal artery stenosis (Renal artery stenosis)
C. Essential hypertension (Essential hypertension)
D. Aortic valve insufficiency (Aortic regurgitation) 10 Which of the following is not acquired long QT syndrome (acquired long QT syndrome) it may treat?


Question: Which of the following secretion is suppressed in the short period of time after eating?

Answer: Sports hormone (motilin)

Choices:
A. CCK (cholecystokinin)
B. Gastrin (gastrin)
C. Sports hormone (motilin)
D. Secretin (secretin)


Question: A 10-year-old boy after a fever day, cheeks flushing and erythema appear mesh in the limbs, the most likely diagnosis is:

Answer: Fifth Disease (erythema infectiosum)

Choices:
A. Fifth Disease (erythema infectiosum)
B. German measles (rubella)
C. Scarlet fever (scarlet fever)
D. Enterovirus infection (enterovirus infection)


Question: There is a 5-year-old boy would only say "car", "hang out" and other simple vocabulary, yet can not express complete sentences, when people spoke to him he was not a human being often alone game, like playing the same toy, do not like to participate in group activities; the above case, the following statements is most inappropriate?

Answer: Parenting improper because it leads to an abnormal child development

Choices:
A. May have mental retardation
B. Parenting improper because it leads to an abnormal child development
C. The best accepted brain wave inspection
D. Memory or musical ability strong


Question: The following description of the relevant class ⾁ tumor (sarcoidosis), and what's wrong?

Answer: Pathological changes of necrotizing granulomatous ⾁

Choices:
A. Most zoomed show bilateral pulmonary disease Face swollen lymph nodes zoomed ⾨
B. The driving of the CD4-positive T cell immune response
C. Pathological changes of necrotizing granulomatous ⾁
D. Lesions can be found in the lungs, spleen, liver and other organs


Question: Dai recently that intermittent abdominal pain, and shortness of breath phenomenon, blood tests hemoglobin is 7 mg / dL, endoscopic examination revealed a gastric ulcer and tumor biopsy confirmed GIST (gastrointestinal stromal tumor, GIST ). The following statements is true?

Answer: Male than female patients with recurrent high-risk patients

Choices:
A. Surgical resection portion comprises a gastrectomy with local lymphoid Clear
B. The chances of gastrointestinal stromal tumor lymph node metastasis in approximately 20%
C. Postoperative chemotherapy can improve survival rates
D. Male than female patients with recurrent high-risk patients


Question: Found the red flag (Red-flags) when signs of constipation or a history of child physical assessment, should be actively diagnose the presence or absence of organic disease. He does not belong to the following phenomena red flag signs?

Answer: Rectal examination stool (Stool in rectum)

Choices:
A. 48 hours is not discharged meconium (Delayed meconium passage) postnatal
B. Fecal occult blood reaction (Occult blood in stool)
C. Growth retardation (Failure to thrive)
D. Rectal examination stool (Stool in rectum)


Question: With atopic dermatitis and recurrent clinical manifestations of infection and thrombocytopenia associated with immune deficiency syndrome are:

Answer: Wiskott-Aldrich syndrome

Choices:
A. Wiskott-Aldrich syndrome
B. X-linked agammaglobulinemia
C. Hyper IgE syndrome
D. Netherton syndrome


Question: Ka Ho allergic to dust mites, often runny nose, sneezing, itchy eyes and other symptoms at the time of the fall and winter season, when the onset of his normal immune response compared to what is most likely to occur following phenomena?

Answer: Activated mast cells (mast cell) inflammatory release medium

Choices:
A. T cells secrete high amounts of TGF-β cytokines
B. Significantly delayed type hypersensitivity (delayed type hypersensitivity)
C. Appear high amount of IgA specific for dust mites
D. Activated mast cells (mast cell) inflammatory release medium


Question: Description for the treatment of neonatal hypoxic-ischemic encephalopathy (hypoxic-ischemic encephalopathy), and which of the following error?

Answer: Damage to other organs such as the heart does not affect the outcome of treatment

Choices:
A. A feasible treatment for hypothermia to protect the brain and reduce brain injury
B. Phenobarbital intravenous drugs which inhibit the first-line treatment of seizures (seizure) occur
C. Low blood sugar and should pay attention to the occurrence of hypocalcemia
D. Damage to other organs such as the heart does not affect the outcome of treatment


Question: About levetiracetam partial seizures (partial seizure) drugs, the following statements is wrong?

Answer: Primarily via hepatic metabolism

Choices:
A. May be administered via a service-connector
B. Selective binding of egg white foam SV2A Synaptic ⼩
C. Affect neurotransmitters such as glutamate and GABA release
D. Primarily via hepatic metabolism


Question: 22 a 12-year-old boy hospitalized with fever, blood found in serum creatinine (serum creatinine) value of 3.3 mg / dL, 24 hours urine creatinine value of 76 mg / dL, 24 Xiaoshi total of 900 urine mL. Please use creatinine clearance rate of boys (creatinine clearance; CCr) to estimate the boy's glomerular filtration rate (glomerular filtration rate; GFR), and pointed out that a number of the following is closest to the real boy glomerular filtration rate ? (Boy body surface area (body surface area) value of 1.32 m2)

Answer: 10-20 mL / min / 1.73 m2

Choices:
A. 10-20 mL / min / 1.73 m2
B. 20-30 mL / min / 1.73 m2
C. 30-40 mL / min / 1.73 m2
D. 40-50 mL / min / 1.73 m2


Question: 47-year-old women, the uterus is abnormal bleeding, use of hormone therapy for 3 months can not be improved, hysteroscopy results as shown below. The most likely diagnosis is:

Answer: Submucosal uterine fibroids (submucosal myoma)

Choices:
A. Submucosal uterine fibroids (submucosal myoma)
B. Serous uterine fibroids (subserosal myoma)
C. Endometrial polyps (endometrial polyp)
D. Asherman's syndrome


Question:
90
 106.9  105.8  120.8  135.0  257866
 91
 106.9  109.1  121.5  138.7  246758
 92
 107.7  108.9  123.6  139.7  227447
 93
 108.7  109.4  122.6  134.1  217685
 94
 107.7  107.1  122.0  124.3  206465
 95
 107.2  108.5  124.2  126.5  205026
 96
 107.6  109.4  121.9  121.2  203377

Answer: A few years later all the same representation is a natural reaction

Choices:
A. The higher the birth order may be the result of artificial insemination
B. Patriarchal phenomenon still exists
C. Boys than girls high survival
D. A few years later all the same representation is a natural reaction


Question: Which is not an inhalation anesthetic risk factors for liver function damage?

Answer: height

Choices:
A. obesity
B. age
C. height
D. Genetic


Question: Which of the following is the pressure of the patella tendon bearing sleeve (patellar tendon-bearing socket) to withstand the position?

Answer: Tibialis anterior muscle (pretibial muscles)

Choices:
A. Tibialis anterior muscle (pretibial muscles)
B. Fibular head (fibular head)
C. Popliteal paratenon (hamstring tendon)
D. Tibial tubercle (tibial tubercle)


Question: Which of the following is an important structure through the occipital triangle (occipital triangle) of?

Answer: Spinal accessory nerve (spinal accessory nerve)

Choices:
A. Subclavian artery (subclavian artery)
B. Spinal accessory nerve (spinal accessory nerve)
C. Vagus nerve (vagus nerve)
D. Internal jugular vein (internal jugular vein)


Question: Hyperthyroidism patients, should not be compared to what's surgery?

Answer: No good drug reactions and thyroid tumors

Choices:
A. No good drug reactions and thyroid tumors
B. young
C. May be pregnant
D. Hyperthyroidism and convex eye disease


Question: Barbados tick media about people's protozoosis (human babesiosis) of the narrative, which of the following error?

Answer: Patients often appear asymptomatic infection (asymptomatic infection) the height of parasitaemia (heavy parasitemia)

Choices:
A. Barbados's protozoa (Babesia) after infection of the host major parasites in the red blood cells
B. Patients often appear asymptomatic infection (asymptomatic infection) the height of parasitaemia (heavy parasitemia)
C. The cases of fatal infection usually occurs in splenectomy (splenectomized) patients
D. The clinical diagnosis of infection places blood smear with immunofluorescent antibody test (IFA) based


Question: The following diseases, whichever does not have muscle fasciculations (fasciculations)?

Answer: hypokalemic periodic paralysis

Choices:
A. amyotrophic lateral sclerosis
B. progressive spinal muscular atrophy
C. hypokalemic periodic paralysis
D. radiculopathies


Question: 46.24-year-old female patient was sent to the emergency room because of unconsciousness place. When indoor air is sucked in the arterial blood gas analysis showed pH 7.12, PaCO2 mmHg, PaO2 45 mmHg, HCO3- 28 mEq / L, BE (ECF) 0 mEq / L. Its hypoxemia most likely the reason why?

Answer: Sleeping pills poisoning, hypoventilation

Choices:
A. Acute asthma attacks
B. Chronic obstructive pulmonary disease and acute attack
C. Sleeping pills poisoning, hypoventilation
D. Pneumonia and respiratory failure


Question: Which of the following products may affect carbohydrate metabolism and hemoglobin oxygen molecules (hemoglobin) affinity?

Answer: 2,3-bisphosphoglycerate

Choices:
A. 1,3-bisphosphoglycerate
B. 2,3-bisphosphoglycerate
C. fructose 1,6-bisphosphate
D. fructose 2,6-bisphosphate


Question: The following children of various diseases related to the common components of kidney stones, what's wrong?

Answer: Proteus (the Proteus) urinary tract infection: uric acid stones

Choices:
A. Distal renal tubular acidosis (distal renal tubular acidosis): calcium phosphate (calcium phosphate) stones
B. Ulcerative colitis (ulcerative colitis): calcium oxalate (calcium oxalate) stones
C. Ulcerative colitis: urate (uric acid) stones
D. Proteus (the Proteus) urinary tract infection: uric acid stones


Question: A 15-year-old girl complained of has been 3 months diarrhea, abdominal pain, bloating and stool with mucus and bright red blood. Physical examination showed that the patient pale, diffuse abdominal palpation mild abdominal pain. Blood and fecal occult blood visible reaction was strongly positive. The following items in the diagnosis of what most helpful?

Answer: Large intestine endoscopy

Choices:
A. Lower gastrointestinal barium photography
B. Large intestine endoscopy
C. Upper gastrointestinal examination
D. Abdominal computed tomography


Question: After a 52-year-old woman 50 sex vaginal bleeding, to out-patient clinics complained of never done smear, cervical examination found within 12 o'clock there is a wound is bleeding ulcer, Which of the following is the most appropriate disposal?

Answer: Cervical tissue sections

Choices:
A. Do Pap
B. Vaginal hormone creams use
C. Cervical tissue sections
D. Cervical conical excision


Question: Which of the following most infrequently used to assess swallowing function?

Answer: Throat CT scan (CT scan of pharynx)

Choices:
A. Physical examination (physical examination)
B. Dynamic swallowing photography (videofluorographic swallowing study)
C. Throat CT scan (CT scan of pharynx)
D. Endoscopic examination of swallowing the fiber (fiberoptic endoscopic examination of swallowing)


Question: The following statements about amoebic dysentery (Entamoeba histolytica) in and what was right?

Answer: Amoeba swollen (ameboma) often misdiagnosed as malignant

Choices:
A. Amebic liver abscess (amebic liver abscess) often occurs in the left lobe of the liver
B. Abscess chance central specimen collection, detection trophozoites (trophozoites) is relatively large
C. Amebic liver abscess (amebic liver abscess) as a first line drug mebendazole
D. Amoeba swollen (ameboma) often misdiagnosed as malignant


Question: 27 a 26-year-old woman, complained of hydrochloric acid drink two hours before treatment attempted suicide, when emergency to stabilize the phenomenon of life, clear consciousness, only to complain about sore throat, following treatment what is non?

Answer: Induce vomiting to avoid the gastrointestinal tract continue to be chemical burns

Choices:
A. Ready for intravenous injection line (set IV line) to supplement its water, electrolytes
B. Pumping arterial blood pH check the
C. Insert a nasal tube
D. Induce vomiting to avoid the gastrointestinal tract continue to be chemical burns


Question: Statements about the skeletal muscles, which of the following error?

Answer: Combined calcium and troponin-C causes troponin-I actin movement protein filaments (actin filament), thereby promoting binding site of myosin is exposed

Choices:
A. Contractile force generated from actin (actin) and myosin (Myosin) Interaction
B. Combined calcium and troponin-C causes troponin-I actin movement protein filaments (actin filament), thereby promoting binding site of myosin is exposed
C. H-band is located in central muscle sarcomere (sarcomere) of
D. The Z-line on both sides of the I-band is mainly composed of actin


Question: Some protein-based composition by a separate plurality polypeptide chains (or protein subunits) formed between the secondary units are arranged in a three dimensional manner is referred to as protein:

Answer: Quaternary structure (quaternary structure)

Choices:
A. Secondary structure (secondary structure)
B. Super-secondary structures (supersecondary structure)
C. Tertiary structure (tertiary structure)
D. Quaternary structure (quaternary structure)


Question: Statements about the recommended newborn tail teratoma (neonatal sacrococcygeal teratoma), and which of the following error?

Answer: The need to retain the tailbone (coccyx) during surgery to prevent postoperative cauda equina syndrome (cauda equina syndrome) occurs

Choices:
A. Is the most common neonatal teratoma
B. The need to retain the tailbone (coccyx) during surgery to prevent postoperative cauda equina syndrome (cauda equina syndrome) occurs
C. Ligation required in the sacral artery (middle sacral artery) in order to reduce blood loss during surgery
D. Most of them are benign


Question: Month-old boy a prior injection of vomiting after feeding, which was discharged without bile. On physical examination, a palpable abdominal mass similar to olive (olive mass), most likely diagnosis is:

Answer: Infantile hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)

Choices:
A. Bile duct cysts (choledochal cyst)
B. Intestinal stack (intussusception)
C. Infantile hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)
D. Huge colon disease (megacolon)


Question: The following narrative about breast-conserving surgery (breast conserving surgery), and what's right?

Answer: If after re-excision is still no access to clean the cut edge shall be considered a full mastectomy

Choices:
A. Radiation therapy after surgery, only depending on the degree of tumor invasion decision
B. If there cutting edge breast cancer cells, may not need further surgery disposal, radiation therapy to kill residual cells
C. If after re-excision is still no access to clean the cut edge shall be considered a full mastectomy
D. More than 4 cm of breast cancer has been proven safe for purposes of breast-conserving surgery treatment


Question: About sinus mucous cyst (mucocele), the following statements is wrong?

Answer: Preferably made in the maxillary sinuses (maxillary sinus)

Choices:
A. Preferably made in the maxillary sinuses (maxillary sinus)
B. Computer tomography contrast agent injection, multiple developing not
C. Can cause lesions sinus dilation (expansion)
D. Can affect the eyes and cause double vision


Question: The main components of Creutzfeldt-Jakob disease (Creutzfeldt-Jakob disease) is the causative agent:

Answer: protein

Choices:
A. protein
B. RNA
C. GOUT
D. fat


Question: Cervical cancer patients after surgery, which is not an acceptable post-operative radiation therapy indications?

Answer: Cervical cancer 2 cm

Choices:
A. Several lymph metastasis
B. Violations cervix adjacent tissues (paracervical tissue)
C. positive surgical margins
D. Cervical cancer 2 cm


Question: When the knee is fully extended by the start of flexion, which of the following actions to start?

Answer: Popliteal muscle (popliteus)

Choices:
A. Biceps femoris muscle (biceps femoris)
B. Popliteal muscle (popliteus)
C. Gastrocnemius muscle (gastrocnemius)
D. 蹠肌（plantaris）


Question: 26 According to the definition of the National Cholesterol Education Program (National Cholesterol Education Program, Adult Treatment Panel III) in 2001, the definition of metabolic syndrome, the following statements is non?

Answer: Fasting blood glucose greater than 110 mg / dL

Choices:
A. Blood pressure higher than 130/85 mmHg
B. Triglyceride levels greater than or equal to 150 mg / dL
C. Female HDL cholesterol less than 50 mg / dL
D. Fasting blood glucose greater than 110 mg / dL


Question: Which of the following frequently through an endoscope to view the ovaries situation?

Answer: Vaginal vault

Choices:
A. uterus
B. bladder
C. rectum
D. Vaginal vault


Question: If the correct folding of protein A (Folding) need help of another protein B, but does not need to help correct folding of the protein B of protein A. B protein belongs to which of the following substances?

Answer: Sub-molecular chaperone (molecular chaperone)

Choices:
A. Ligand (ligand)
B. Sub-molecular chaperone (molecular chaperone)
C. Isozyme of protein A (isoenzyme)
D. Structural motif (structural motif)


Question: The following information about leprosy mycobacteria (Mycobacterium leprae) of the narrative, what's wrong?

Answer: The method of diagnosis based bacterial culture

Choices:
A. The antacid typically is a (acid-fast) bacteria
B. Up not crazy (dapsone) first-line drug for the treatment of infection
C. The method of diagnosis based bacterial culture
D. Characterization of diseases due to a host immune response to infection caused by body


Question: The following narrative about scrotal edema, what's wrong?

Answer: Scrotal edema often need surgical treatment

Choices:
A. The probability of occurrence of baby scrotal edema generally about 1 to 2%
B. Scrotal edema newborn needs to be done with the differential diagnosis of inguinal hernia
C. Boy suffering scrotal edema, testicular torsion future probability of higher than normal baby occurs
D. Scrotal edema often need surgical treatment


Question: Sodium Iodide common transport sub (Na + - I- symporter, NIS) function Why?

Answer: The iodide ion transport into the epithelial cells of the thyroid

Choices:
A. The iodide ion from the iodide single tyrosine (MIT) dissociation
B. The iodide ion in combination with tyrosine
C. Iodine single tyrosine separated thyroglobulin
D. The iodide ion transport into the epithelial cells of the thyroid


Question: One patient with hypertension, blood pressure has been controlled with medication, because of lower extremity fractures to accept non-emergency orthopedic surgery, and given Epidural anesthesia, according to the American Society of Anesthesia specialist (ASA) physical status classification are:

Answer: ASA Class P2

Choices:
A. ASA Class P2
B. ASA Class P3
C. ASA Class P4
D. ASA Class P5


Question: The following conditions will result in decreased secretion of gastric juice?

Answer: Food from the stomach emptying into the duodenum

Choices:
A. increased secretion of intrinsic factor
B. Vagus nerve to release acetylcholine (ACh)
C. Duodenal enterochromaffin cells (enterochromaffin cells) to release serotonin (serotonin)
D. Food from the stomach emptying into the duodenum


Question: He is scheduled next month to 76 West African country Sierra Leone, he was on the CDC website, site-administration of yellow fever vaccine is recommended, using malaria preventive medication. If you are traveling clinicians, which of the following is the best disposal?

Answer: Health education to avoid mosquito bites, and give facilities to fight yellow fever vaccine for malaria prophylaxis

Choices:
A. Just health education without giving any vaccine or drug
B. Just Shi fight yellow fever vaccine
C. - administration and administration of yellow fever vaccine for malaria prophylaxis
D. Health education to avoid mosquito bites, and give facilities to fight yellow fever vaccine for malaria prophylaxis


Question: 50-year-old male business manager, due to fatigue, decrease libido, impotence to consultation. The patient is married and has a son 20 years old, 5 years ago from symptoms worse. Patient admission work competently, good marital relationship. Diagnosis by urology, blood tests: FSH 2 mIU / mL, LH 1 mIU / mL, testosterone 0.4 ng / mL are lower than normal, testosterone injections given symptoms. Of the following is most appropriate?

Answer: Blood should be measured milk pro hormone (Prolactin) concentration

Choices:
A. This is male menopause, testosterone can treat the symptoms
B. Testicles should be small and hard
C. Blood should be measured milk pro hormone (Prolactin) concentration
D. Ultrasonic blood flow to the penis should be measured


Question: 68 A 50-year-old woman to the clinic because of a broken wrist advice. She had taken the pill in the past 20 years, with a history of obesity and hyperthyroidism and other diseases, has two sons, both breastfeeding for six months. According to history, whichever may increase the risk of osteoporosis?

Answer: Hyperthyroidism

Choices:
A. Use of oral contraceptives
B. Adiposity
C. Hyperthyroidism
D. Breastfeeding


Question: About alcohol-related disease, which of the following error?

Answer: Korsakoff syndrome after treatment mostly can be fully restored

Choices:
A. Wernicke syndrome is an acute syndrome
B. Wernicke-Korsakoff syndrome treatment with thiamine
C. Korsakoff syndrome will deteriorate in recent memory
D. Korsakoff syndrome after treatment mostly can be fully restored


Question: A young women because of psychological reasons can not meet the requirements of termination of pregnancy, ultrasound display five weeks pregnant, still can not see the fetal heartbeat, and she does not want to show by surgical termination of pregnancy, Which of the following is the most appropriate way of termination of pregnancy ?

Answer: Mifepristone（RU486）plus Misoprostol

Choices:
A. Mifepristone（RU486）
B. Methotrexate
C. Mifepristone（RU486）plus Misoprostol
D. Oxytocin plus Prostaglandin


Question: One week old baby boy brought by the parents for treatment, complained of prenatal detection of fetal kidney water, requires further examination. Currently boy appearance and physical examination found no abnormalities, nor any symptoms. Which of the following disposal the most appropriate?

Answer: Renal ultrasound to assess the degree of renal water, then consider the next step depending on the result of the disposal

Choices:
A. Most of renal water will go away, so you can go home observation
B. Arrange intravenous pyelography (intravenous pyelography) to check for urinary tract obstruction
C. Renal ultrasound to assess the degree of renal water, then consider the next step depending on the result of the disposal
D. Kidney function blood tests, depending on the results and then consider the next step disposal


Question: Which of the following can be effectively treated Nocardia disease (nocardiosis), and the merger with pyrimethamine used to treat AIDS patients against Pneumocystis jirovecii (old name: Pneumocystis carinii) infection?

Answer: Sulfadiazine

Choices:
A. Clindamycin
B. norfloxacin
C. Trimethoprim
D. Sulfadiazine


Question: Fluoxetine is used to treat depression (Depression), which is the transfer material and following nerve-related?

Answer: Serotonin

Choices:
A. Norepinephrine
B. Dopamine
C. Serotonin
D. Histamine 52 Which of the following is Cephalosporins antibacterial machine turn?


Question: From the previous question, to further confirm the diagnosis, which checks the most appropriate and convenient?

Answer: Du Pule venous ultrasonography

Choices:
A. Du Pule venous ultrasonography
B. Veins photography
C. Computer tomography
D. Nuclear medicine examination


Question: Clostridium (Clostridium) bacteria Which of the following does not produce toxins when survival?

Answer: LPS (endotoxins) 48 diphtheria toxin's role is to:

Choices:
A. Enterotoxin (enterotoxins)
B. Neurotoxin (neurotoxins)
C. Histolyticum toxin (histolytic toxins)
D. LPS (endotoxins) 48 diphtheria toxin's role is to:


Question: The following account of acute myocardial infarction, what's wrong?

Answer: May be due to rupture of the mitral valve (mitral valve) and acute mitral regurgitation (mitral regurgitation), requiring emergency surgery

Choices:
A. May be due to rupture of the mitral valve (mitral valve) and acute mitral regurgitation (mitral regurgitation), requiring emergency surgery
B. If ventricular septal rupture (ventricular septal rupture) occurs in need of emergency surgery
C. If the left ventricular free wall rupture (left ventricular freewall rupture) occurs in need of emergency surgery
D. Intra-aortic balloon pump (intra-aortic balloon pumping) commonly used in acute myocardial infarction complicated by shock


Question: From the previous question, Secondly, we should deal with:

Answer: Check whether there are other injuries

Choices:
A. ABC（airway, breathing, circulation）
B. SeiHajime
C. Wound closure
D. Check whether there are other injuries


Question: Trunk and limbs skin showing café-au-lait spots, which is characteristic of these diseases?

Answer: neurofibromatosis

Choices:
A. neurofibromatosis
B. Addison disease
C. Sturge-Weber disease
D. von Hippel Lindau disease


Question: A year-old child because eating pills to treat diarrhea at the emergency room, he has been vomiting for 24 hours and discharged green stool, is currently in lethargy and skin grayed out. This is most likely to contain the pills Which of the following drugs?

Answer: Chloramphenicol

Choices:
A. Clindamycin
B. Chloramphenicol
C. Doxycyclin
D. Erythromycin


Question: Patients because of hoarseness (hoarseness) and to the ENT doctor, checked that the right side of the vocal cords (vocal cord) can not be outside, and it is most unlikely cause:

Answer: Caused by tumor metastasis in mediastinal (middle mediastinum) lymph nodes

Choices:
A. Collarbone (clavicle) near the puncture wounds
B. Thyroid cancer
C. Caused by tumor metastasis in mediastinal (middle mediastinum) lymph nodes
D. Sequelae of thyroid surgery


Question: Pyruvate dehydrogenase complex (pyruvate dehydrogenase complex) that contains the following coenzyme involved in its catalytic reactions?

Answer: thiamine pyrophosphate (TPP), NAD + and lipoic acid (lipoic acid)

Choices:
A. thiamine pyrophosphate (TPP), NAD + and lipoic acid (lipoic acid)
B. FAD, NAD + and biotin (Biotin)
C. thiamine pyrophosphate (TPP), FAD and coenzyme Q (coenzyme Q)
D. thiamine pyrophosphate (TPP), NAD + and biotin (Biotin)


Question: de Quervain disease is that a back side of the wrist extensor tendon of the chamber narrow tenosynovitis?

Answer: First

Choices:
A. First
B. the second
C. The third
D. the fifth


Question: Which of the following nerve injury for the use of palm splint (opponens splint)?

Answer: Median nerve

Choices:
A. Radial nerve
B. Ulnar nerve
C. Median nerve
D. Axillary nerve


Question: 23 A 40-year-old female patient, five years ago because of severe rheumatic heart disease, mitral stenosis and mitral regurgitation accepted replacement surgery. The past six months, patients gradually lower limb edema, abdominal swelling and hospitalization. Hospital physical examination showed jugular vein serious Guzhang over cmH2O, significant wave V, left lower sternal edge of a full-Gr 3/6 systolic murmur (pansystolic murmur), no diastolic murmur, hepatomegaly and palpable pulse. The following diagnostic whichever is most likely?

Answer: severe tricuspid regurgitation

Choices:
A. severe tricuspid regurgitation
B. severe mitral regurgitation
C. severe mitral stenosis
D. severe aortic stenosis


Question: When measuring blood pressure measured by the proximal successively toward the periphery of the following statements is true?

Answer: Systolic blood pressure, diastolic blood pressure

Choices:
A. Systolic blood pressure, diastolic blood pressure
B. Systolic blood pressure, diastolic blood pressure rise
C. Systolic blood pressure constant, diastolic blood pressure
D. Systolic blood pressure, diastolic blood pressure unchanged


Question: Malformation, whichever of the following is caused by genetic factors due to the number of chromosomal abnormality?

Answer: 克莱恩费尔特's syndrome (Klinefelter syndrome)

Choices:
A. Huntington's disease (Huntington chorea)
B. Achondroplasia (achondroplasia)
C. 克莱恩费尔特's syndrome (Klinefelter syndrome)
D. Hemophilia (hemophilia)


Question: 26-year-old pregnant woman, G5P3A1, 32 weeks of pregnancy, to accept the super-Rec wave examination, the results are displayed in Figure Which of the following is the most likely diagnosis?

Answer: cleft lip

Choices:
A. anencephaly
B. Down syndrome
C. cleft lip
D. duodenal atresia


Question: 22. The patient after undergoing heart surgery, intensive care unit for observation into. At this time, his blood pressure dropped from 140/80 mmHg to postoperative 80/60 mmHg, pulmonary arterial pressure increased from 30/18 mmHg to 56/30 mmHg, pulmonary wedge pressure is 20 mmHg, central venous pressure of 15 mmHg, the heart is 130 / min. Immediately following the disposal, whichever is appropriate? ① administration vascular relaxant, ② low load after administration of antiarrhythmic drugs, extracorporeal membrane means modify the heart (of ECMO) administering overspeed ③ ④ cardiac administration, increased cardiac contractility

Answer: Only ④

Choices:
A. ①②③
B. Only ①③
C. ②④
D. Only ④


Question: The fetal ultrasound head has lemon sign, indicate what fetal malformation?

Answer: Spina bifida (spina bifida)

Choices:
A. Spina bifida (spina bifida)
B. Cerebellar atrophy (cerebellum atrophy)
C. Hydrocephalus (hydrocephalus)
D. Anencephaly (anencephaly)


Question: Amphotericin B belongs Polyenes antifungal directly ergosterol (Ergosterol) in conjunction with the destruction of the fungal cell membrane, but resistance to drugs in the treatment of Cryptococcus neoformans, resistant strains which are most likely to produce changes sterol, substituted sensitivity ergosterol?

Answer: Fecosterol

Choices:
A. Cholesterol
B. Sitosterol
C. Lanosterol
D. Fecosterol


Question: 32 cleft chin mucosa (submucous cleft palate) What percentage of patients produce velopharyngeal insufficiency, need for surgery?

Answer: 15

Choices:
A. 15
B. 35
C. 55
D. 75


Question: Of colorectal cancer (colorectal carcinoma) tumor cells, which of the following changes in the most unlikely?

Answer: Muscle differentiation (muscular differentiation)

Choices:
A. Endocrine differentiation (endocrine differentiation)
B. Glandular differentiation (glandular differentiation)
C. Muscle differentiation (muscular differentiation)
D. Squamous cell differentiation (squamous cell differentiation)


Question: Which of the following is not a patient-controlled analgesia (patient-controlled analgesia) benefits?

Answer: Do not need to be adjusted because of the increased age of drug

Choices:
A. High patient satisfaction
B. Avoid pain caused by the injection of
C. Do not need to be adjusted because of the increased age of drug
D. More in line with the real needs of patients


Question: If psychiatric medication to take during pregnancy, which of the following is the FDA classified as "B" class of drugs?

Answer: fluoxetine

Choices:
A. fluoxetine
B. haloperidol
C. diazepam
D. lorazepam


Question: Cardiogenic shock (cardiogenic shock) is that one of the following situations?

Answer: B

Choices:
A. A
B. B
C. C
D. D


Question: A 28-year-old woman, the last two weeks persistent fever and headache. She had a history of congenital ventricular septal defects. CT brain right brain parietal show about a 3 cm thick annular (ring-like) developing lesions. Which of the following is most likely to be inflammatory cells above the main brain lesions composed of cells?

Answer: Neutrophils (neutrophil)

Choices:
A. Lymphocyte (lymphocyte)
B. Neutrophils (neutrophil)
C. Epithelioid cells (epithelioid cell)
D. Plasma cells (plasma cell)


Question: Statements about stocks hernia (femoral hernia), the Which statement is correct?

Answer: Often accompanied by brief intestinal strangulation (strangulation)

Choices:
A. Usually bilateral
B. Women are the most frequently occurring type of hernia
C. Occur more often on the left
D. Often accompanied by brief intestinal strangulation (strangulation)


Question: 43-year-old Schilling, fatigue, back pain and was taken to hospital and their families. Physicians do spinal MRI and CT of the abdomen as shown for her. Schilling most likely suffering from what disease?

Answer: disease Von Hippel-Lindau

Choices:
A. disease Von Hippel-Lindau
B. Insulinoma with renal and spinal cord metastasis
C. Renal cell carcinoma with metastasis pancreas and spinal cord
D. Peutz-Jeghers syndrome


Question: Silver plating method (silver impregnation) Which of the following fibers can be dyed black?

Answer: Reticular fibers

Choices:
A. Reticular fibers
B. Elastic fibers
C. Skeletal muscle fibers
D. Collagen fibers


Question: For the following in vivo regulation of pain (pain modulation) of the narrative, what's wrong?

Answer: Activation of N-methyl-D-aspartate (NMDA) receptors and inhibitory regulatory mechanisms

Choices:
A. Can occur in tissue nociceptors, spinal cord or supraspinal the
B. There are regulation by inhibitory or excitatory of
C. Activation of N-methyl-D-aspartate (NMDA) receptors and inhibitory regulatory mechanisms
D. NK-1 receptor activation and regulation of excitatory mechanisms


Question: Ovarian cancer patients after debulking surgery, pathology report ascites examination is positive, the surface of the liver, omentum and pelvic lymph nodes metastasis Jie, this patient FIGO (International Federation of Gynecology & Obstetrics) staging Why?

Answer: ⅢC

Choices:
A. ⅢA
B. ⅢB
C. ⅢC
D. Ⅳ


Question: Which of the following causes of ventricular fibrillation (ventricular fibrillation) than unrelated?

Answer: Cardiac hypertrophy (hypertrophy)

Choices:
A. Cardiac hypertrophy (hypertrophy)
B. Myocardial ischemia (ischemia)
C. Hyperkalemia (hyperkalemia)
D. Purkinje system block


Question: A dialysis patient's blood potassium 6.2 mmol / L, ECG will be observed Which of the following phenomena?

Answer: tall T-waves

Choices:
A. tall T-waves
B. depressed T-waves and U-waves
C. ST-T elevation
D. QRS shortening


Question: According to DSM-IV-TR, which of the following is not a bipolar disorder (bipolar disorder) and major depression commonly co-morbidities (comorbid) mental illness?

Answer: Body of disease (somatoform disorder)

Choices:
A. Body of disease (somatoform disorder)
B. Alcohol abuse (alcohol abuse)
C. Panic disorder (panic disorder)
D. OCD (obsessive-compulsive disorder)


Question: The following diagnosis has nothing to do with checking that a growth hormone deficiency (growth hormone deficiency) of?

Answer: Glucose tolerance test (glucose tolerance test)

Choices:
A. Serotype 1 insulin-like growth factors (insulin-like growth factor-1, IGF-I) concentrations
B. Serotype 3 insulin-like growth factor binding protein (insulin-like growth factor binding protein 3, IGF-BP3) concentration
C. Glucagon stimulation test (glucagon stimulation test)
D. Glucose tolerance test (glucose tolerance test)


Question: From the previous question, the most commonly perform the inspection of the number of weeks of pregnancy Why?

Answer: 11 to 14 weeks

Choices:
A. 11 to 14 weeks
B. 26 to 28 weeks
C. 31 to 13 weeks
D. 36 to 38 weeks


Question: Auditory receptors located in the following cell where?

Answer: Inner ear

Choices:
A. Middle ear
B. External auditory canal
C. Tympanic membrane
D. Inner ear


Question: 60-year-old Mr. Shaw after six in the morning got up and found the left side weakness, unconsciousness the next day because the family was sent to the emergency room, in the emergency department right side of the pupil has been enlarged and rendered non-reflective, computer tomography below, where Mr. Shaw and disposal of the following items no help?

Answer: Intravenous thrombolytic agent-administration (intravenous tissue plasminogen activator)

Choices:
A. Given mannitol
B. Intravenous thrombolytic agent-administration (intravenous tissue plasminogen activator)
C. Endotracheal intubation and administration of hyperventilation (of hyperventilation on)
D. Implementation craniectomy (craniectomy)


Question: A 32-year-old unemployed woman has the habit of abusing sedatives more than five years, the average daily use of more than 16 mg of flunitrazepam (known as FM-2), if this case intends to get rid of the drug, which of the following correct?

Answer: Available carbamazepine treatment flunitrazepam withdrawal symptoms

Choices:
A. flunitrazepam elimination half-life (elimination half-life) is long, it will soon withdrawal symptoms
B. Available carbamazepine treatment flunitrazepam withdrawal symptoms
C. Any stop immediately benzodiazepines (benzodiazepine), or only in a short-acting cast (short-acting) principle
D. Delirium is the most common symptom of withdrawal flunitrazepam


Question: About pairing antipsychotics (antipsychotics) and its main side effect of the drug transfer machine, Which statement is correct?

Answer: Postural hypotension (orthostatic hypotension): alpha-adrenergic receptor (α adrenergic receptors) blocking effect

Choices:
A. Dry mouth: serotonin (serotonin) recycling the blocking effect
B. Postural hypotension (orthostatic hypotension): alpha-adrenergic receptor (α adrenergic receptors) blocking effect
C. Extrapyramidal symptoms (extrapyramidal syndrome): DA (dopamine) recycling the blocking effect
D. Urinary retention: Alpha adrenergic receptor (α adrenergic receptors) blocking effect


Question: 58-year-old male, smoking history of 20 years, over and over again for many years cough and hemoptysis, and purulent sputum, surgically resected specimen as shown. "P" is at the lesions. The most likely diagnosis is:

Answer: Bronchiectasis

Choices:
A. Lung abscess
B. Lobar pneumonia
C. Bronchiectasis
D. tuberculosis


Question: Severe Acute Respiratory Syndrome (SARS) is an infection caused by a coronavirus (Coronavirus), its genome is:

Answer: Positive (+) stranded RNA

Choices:
A. Double-stranded RNA
B. Double-stranded DNA
C. Positive (+) stranded RNA
D. Negative (-) stranded RNA


Question: A 3-year-old boy, usually developed normally, the last three months to react to sound bad, parents suspect that the child has a hearing impairment from medical treatment. Showed type B tympanogram ears, and at right audiogram, the lesion may cases this is:

Answer: Middle ear

Choices:
A. Middle ear
B. Cochlear outer hair cells
C. Auditory nerve
D. Brainstem


Question: Which of the following tapeworm eggs has egg cover (operculum)?

Answer: Wide section of crack head tapeworm (Diphyllobothrium latum)

Choices:
A. Aeromonas tapeworm (Echinococcus granulosus)
B. Beef tapeworm (Taenia saginata)
C. Wide section of crack head tapeworm (Diphyllobothrium latum)
D. Short envelope tapeworm (Hymenolepis nana)


Question: Methotrexate can be used as chemotherapy turn of the biochemical machine Why?

Answer: 抑制 dihydrofolate reductase

Choices:
A. As analogues of pyridoxal phosphate, inhibition of enzyme activity
B. 抑制 dihydrofolate reductase
C. Competitive inhibition of EPSP synthase
D. Direct inhibition of lipolysis sugar (Glycolysis)


Question: Statements about elderly Face Auto kill what's wrong?

Answer: Elderly Face Auto kill less intense mining using the watch segment

Choices:
A. Depression is the most common comorbid mental disorders ⾒
B. Elderly Face Auto kill less intense mining using the watch segment
C. Auto kill the dead, more men than women
D. Lost or chest upwards often because the body of disease induction automatically kill ⾏


Question: Diabetic foot disease is the leading cause of lower limb amputations, the following statements is wrong?

Answer: Foot ulcers are often accompanied by bacterial infection, due to poor glycemic control, the most common species as Klebsiella pneumoniae (Klebsiella pneumoniae)

Choices:
A. Lower extremity neuropathy can lead to deformation of the foot
B. Lower extremity arterial blood supply shortage can cause intermittent claudication (intermittent claudication)
C. Foot ulcers are often accompanied by bacterial infection, due to poor glycemic control, the most common species as Klebsiella pneumoniae (Klebsiella pneumoniae)
D. If the infection is not properly controlled, can cause inflammation of the bone marrow


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

Answer: Most patients with tumor occurs, usually Tongshifasheng lung asbestosis fibrosis (asbestosis fibrosis)

Choices:
A. Parietal pleura may occur or the visceral pleura
B. Visible or sarcoma epithelioid-like patterns of tumor cells
C. Tumor cells often exhibit Calretinin
D. Most patients with tumor occurs, usually Tongshifasheng lung asbestosis fibrosis (asbestosis fibrosis)


Question: Statements about the nicotinic cholinoceptor Which of the following error?

Answer: The receptor is a G-protein coupled

Choices:
A. The receptor is a G-protein coupled
B. Acetylcholine can be activated
C. Located on sympathetic nerve cell bodies after losing
D. After activation of skeletal muscle contraction can


Question: A 50-year-old man near the front of the left ear above the mandible, there is a well-defined, not painful lumps. 2 years ago he had found the lump presence, he felt lumps gradually become larger, there are about 3 cm thick and medical treatment. In addition, he did not have other symptoms. This patient's tumor is most likely:

Answer: Pleomorphic adenoma (Pleomorphic adenoma)

Choices:
A. Adenoid cystic carcinoma (Adenoid cystic carcinoma)
B. Malignant lymphoma (Malignant lymphoma)
C. Pleomorphic adenoma (Pleomorphic adenoma)
D. SCC (Squamous cell carcinoma)


Question: The following description of the patient about the pernicious anemia (pernicious anemia), what's wrong?

Answer: Due to lack of Vit B12 intake cause

Choices:
A. Due to lack of Vit B12 intake cause
B. Reticulocyte lower
C. Indirect bilirubin (indirect bilirubin) increased
D. There may be neurological symptoms


Question: When Lidocaine added epinephrine, described the anesthetic effects generated when the following about the infiltration surrounding the brachial plexus, what's wrong?

Answer: epinephrine acting on the α2-adrenergic receptor, has a direct analgesic effect

Choices:
A. Extend the duration of action epinephrine anesthetic lidocaine
B. epinephrine can enhance the effect of lidocaine nerve block
C. epinephrine may reduce the systemic absorption of the drug lidocaine
D. epinephrine acting on the α2-adrenergic receptor, has a direct analgesic effect


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

Answer: B type often cause a pandemic worldwide

Choices:
A. Multi-gene-containing recombinant therefore widespread occurrence
B. It is divided into A, B, C III
C. B type often cause a pandemic worldwide
D. After virus infection, bacterial infection renewal (secondary bacterial infection), a common cause of pneumonia


Question: 6 American Joint Committee on Cancer (AJCC) published by the Cancer Staging Manual (2002, 6th ed.), Statements about the staging of colorectal cancer, and what is non?

Answer: When there is distant metastasis (stage Ⅳ) five-year survival rate is approximately 15%

Choices:
A. When stageⅠ, and no lymph node metastasis
B. When stageⅡ, and no lymph node metastasis
C. StageⅡ colorectal cancer after surgery, five-year survival rate is about 75%
D. When there is distant metastasis (stage Ⅳ) five-year survival rate is approximately 15%


Question: The following statements about the screening for colorectal cancer, what's right?

Answer: General risk groups, every 1-2 years to immunoassay fecal occult blood test screening is a good way of screening

Choices:
A. Once the diagnosis of inflammatory bowel disease (inflammatory bowel disease), we must perform a colonoscopy every 1-3 years
B. General risk groups, every 1-2 years to immunoassay fecal occult blood test screening is a good way of screening
C. Once the diagnosis of adenomatous polyps after resection and should be tracked colonoscopy every year
D. There are first-degree family history of colorectal cancer, 50-year-old should start doing colonoscopy every 5 years


Question: About extracranial carotid artery peel (carotid dissection), which of the following error?

Answer: Do endarterectomy (carotid endartectomy) Surgical Treatment Remedies

Choices:
A. Most prone ⽣ extracranial internal carotid artery in the neck (cervical part), ⽽ non carotid artery at points ⽀ (carotid bifurcation)
B. Do endarterectomy (carotid endartectomy) Surgical Treatment Remedies
C. Magnetic resonance angiography (MRI) signal can be seen swollen arterial wall ⾎
D. Drug treatment may be considered invalid ⽀ shelf placement surgery (carotid stenting) treatment


Question: About cornea donation, one of the following narrative that does not meet the norms of medical ethics?

Answer: Doctors can let the death of the removal of the eye cornea

Choices:
A. Hepatitis B, AIDS and other deceased is not suitable for donation
B. Doctors can let the death of the removal of the eye cornea
C. Donated corneal tissue, which belongs donations
D. Due to brain lesions of patients with unexplained death, not suitable for donation


Question: When combined with the Gentamicin Which of the following antibiotic use, most likely to produce toxic effects addition of (potentiation) of the kidneys?

Answer: amphotericin B

Choices:
A. amphotericin B
B. ceftriaxone
C. doxycyclin
D. nafcillin


Question: A 70 year old male bladder cancer, receiving transurethral resection of bladder tumor (TUR-BT), intraoperative findings only an approximately 1 cm of tumor biopsy are transitional cell carcinomas (transitional cell carcinoma) grade I, of not is Ta, after surgery following the disposal of what's right?

Answer: Not need to accept any chemicals or bladder infusion BCG adjuvant therapy

Choices:
A. Need to receive intravesical Bacillus Calmette-Guerin (BCG) perfusion adjuvant therapy
B. Need to receive intravesical infusion adjuvant treatment chemicals
C. Not need to accept any chemicals or bladder infusion BCG adjuvant therapy
D. Need to receive radiation therapy aid


Question: A 46-year-old female patient was found to family night sweats, confusion and convulsions and taken to the emergency office. No high blood pressure or a history of head trauma patients, and no history of convulsions or coma, physical examination and no abnormal local or unilateral nervous system. Biochemical tests related to the emergency room, the most important must include:

Answer: Blood sugar level

Choices:
A. Ammonia
B. GOOD
C. Calcium concentration
D. Blood sugar level


Question: Which of the following does not pass through the greater sciatic hole?

Answer: Pudendal nerve

Choices:
A. Piriformis
B. Sciatic nerve
C. Pudendal nerve
D. Obturator muscle


Question: Following that type of ventricular septal defect (ventricular septal defect), common in the East race, and relatively easy to cause aortic valve counter-current (aortic valve regurgitation)?

Answer: Pulmonary artery type (subpulmonic type)

Choices:
A. Aorta type (subaortic type)
B. Pulmonary artery type (subpulmonic type)
C. Muscular (muscular type)
D. Ji-down type (infracristal type)


Question: A 45 year old housewife, had no history of injury, complained of pain in the past three months are often left shoulder. The left arm abduction (Abduction) will increase the pain, compression pain during sleep is difficult to sleep. Physical checkups found: left shoulder abductor decline, but flexion (anterior flexion) passive range of motion is normal. X-ray examination: the left shoulder has a diameter of about 1 cm of the white patches. This patient most likely diagnosis is which of the following?

Answer: Calcific tendonitis muscle (calcified supraspinatus tendinitis) spine

Choices:
A. Capsulitis adhesion (adhesive capsulitis)
B. Rotator cuff tendon lacerations (rotator cuff tear)
C. Calcific tendonitis muscle (calcified supraspinatus tendinitis) spine
D. Biceps tendinitis (bicipital tendinitis)