Question: Account of the incidence of cleft lip and palate, and what is non?

Answer: 67% of patients have a family history

Choices:
A. Twice the rate of whites Asians occur
B. Left: right: Bilateral = 6: 3: 1
C. 86% of patients with bilateral cleft lip and palate
D. 67% of patients have a family history


Question: Eating pesticides, causing breathing difficulties, lung elasticity (low compliance), X ray showed diffuse pulmonary shadow. The diagnosis is most likely:

Answer: Adult respiratory distress syndrome (ARDS)

Choices:
A. Adult respiratory distress syndrome (ARDS)
B. Emphysema (pulmonary emphysema)
C. Acute bronchitis (acute bronchitis)
D. Wegener's granulomatous disease (Wegener's granulomatosis)


Question: Bearing on the question, for the disposal of this patient, of the following is not correct?

Answer: Do not give analgesics (analgesic)

Choices:
A. Give respirator use
B. Administration of penicillin G
C. Initial treatment given tetanus immune protein (tetanus immune globulin, TIG) 500-10000 Unit
D. Do not give analgesics (analgesic)


Question: A 68-year-old male patient, suddenly left side of weakness in limbs, speech is unclear, but conscious and was taken to the emergency room and found blood pressure was 160/95 mmHg, no bleeding of the brain computed tomography phenomenon. He's following the disposal of the most inappropriate?

Answer: Administration of blood pressure lowering drugs

Choices:
A. Give aspirin
B. Patient bed rest
C. Administration of blood pressure lowering drugs
D. ECG


Question: The following related sedative - hypnotic (sedative-hypnotic) drug use while gradually increasing doses, it produces a sequence of central nervous system, what's right?

Answer: Sedation (sedation) → hypnosis (hypnosis) → anesthesia (anesthesia) → coma (coma) 65 on the role of the following antiepileptic drugs carbamazepine and oxcarbazepine comparison, what's wrong?

Choices:
A. Sedation (sedation) → anesthesia (anesthesia) → hypnosis (hypnosis) → coma (coma)
B. Hypnosis (hypnosis) → sedation (sedation) → anesthesia (anesthesia) → coma (coma)
C. Hypnosis (hypnosis) → anesthesia (anesthesia) → sedation (sedation) → coma (coma)
D. Sedation (sedation) → hypnosis (hypnosis) → anesthesia (anesthesia) → coma (coma) 65 on the role of the following antiepileptic drugs carbamazepine and oxcarbazepine comparison, what's wrong?


Question: The following statements about isoflurane may cause the patient immobile (immobility) pharmacological mechanism of, what's wrong?

Answer: Primarily through acting on GABA receptors to the role of immobility

Choices:
A. The main role of the spinal cord (spinal cord), not in the brain
B. Require cause loss of consciousness than the higher concentration of isoflurane can lead to immobility
C. Primarily through acting on GABA receptors to the role of immobility
D. And isoflurane inhibition nocifensive withdrawal reflex arc about


Question: Acute coronary syndrome pathological machine on the turn, which of the following error?

Answer: Platelet-rich aggregates (platelet aggregate) and fibrin strands (fibrin strand) of thrombosis, obstruction culprit coronary artery will occur

Choices:
A. Slowly progressive, high-grade stenosis of atherosclerotic lesions, usually results in ascending ST segment acute myocardial infarction (STEMI)
B. Lipid-rich core and a thin fibrous cap of coronary plaque rupture Rongyifasheng
C. ADP and collagen like agonist will enhance platelet glycoprotein IIb / IIIa fibrinogen receptor affinity (fibrinogen) of
D. Platelet-rich aggregates (platelet aggregate) and fibrin strands (fibrin strand) of thrombosis, obstruction culprit coronary artery will occur


Question: The following E. coli that one enzyme, its human homologue (homologous) gene is a tumor suppressor gene belongs to?

Answer: Repair enzyme Mut S

Choices:
A. DNA polymerase Ⅲ
B. Repair enzyme Mut S
C. RNA polymerase
D. Helicase (helicase)


Question: Anterior interosseous nerve of the forearm (anterior interosseous nerve) Which of the following is a branch?

Answer: The median nerve (median nerve)

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


Question: 60 defined system inflammatory response syndrome (systemic inflammatory response syndrome) that include the following items? ① temperature <36 ℃ ②WBC> 12000 / mm3 ③PaCO2 <40 mmHg ④ heartbeat> 100 bpm

Answer: ①②

Choices:
A. ①②
B. ①④
C. ②③
D. ②④


Question: A 36-year-old woman who recently often feel a headache. It is measured blood pressure 180/110 mmHg. But the rest of the body found no obvious abnormalities. Abdominal CT scan of her right adrenal gland was found to have a 2 cm tumor. The blood found K + abnormally low. Which of the following may be too high?

Answer: aldosterone

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


Question: 66 human major histocompatibility antigen (HLA) phenotype is A1, A3, B7, B27, DR1, DR3 who produced toxic T cells (Cytotoxic T cell) can kill virus-infected cells, the infected cells which of the following is most likely to show the molecule?

Answer: A3

Choices:
A. A3
B. B8
C. DR1
D. CD8


Question: A 50-year-old male, has no use of any drug, recently accepted fecal occult blood tests after the implementation of the National Health Insurance Bureau quantitative immunoassay, received notice to inform their fecal occult blood showed positive reaction, the following various scenarios of what's recommended correct?

Answer: Only ④

Choices:
A. ①②③④
B. Only ①③④
C. Only ①②
D. Only ④


Question: Which of the following is not the pudendal nerve (pudendal nerve) dominated?

Answer: bladder

Choices:
A. bladder
B. Urethra
C. vaginal
D. rectum


Question: Which of the following is the most common malignant skin tumor?

Answer: Basal cell carcinomas (basal cell carcinoma)

Choices:
A. Basal cell carcinomas (basal cell carcinoma)
B. Cell carcinoma (squamous cell carcinoma)
C. Melanoma (melanoma)
D. Merkel's cell carcinoma (Merkel cell carcinoma)


Question: By visual observation of morphology of gastric four. The following statements is wrong?

Answer: Taiwan to type II more

Choices:
A. type II, appearance of ulcer which raised edge surrounding the mucosal clear boundary
B. type III, ulcer appearance of their marginal uplift clear boundaries with the surrounding mucosa
C. type IV, had no stomach diffuse infiltration of bumps or ulcers
D. Taiwan to type II more


Question: S patients with chronic schizophrenia, Gerenweisheng poor, interference by auditory hallucinations, irritability, often middle of the night screaming, but S does not think they are suffering from mental illness, and it is believed antipsychotics have side effects, refused medical treatment; the S the mother could not bear to see the deterioration of S, at their own expense had requested advice to the specialist psychiatric S D to open the oral antipsychotics drops, by the parent of S S secretly join the diet, D-intentioned drops open, S after taking in the case without the knowledge of, the condition does have improved, but often complain tremor, muscle stiffness and urinary ring true. This case involves primarily those ethical principles of the conflict?

Answer: Respect for the principle of autonomy, do no harm principles and the principle of beneficence

Choices:
A. Respect for the principle of autonomy, do no harm principles and the principles of justice
B. Respect for the principle of autonomy, do no harm principles and the principle of beneficence
C. Respecting the autonomy principle, the principle of beneficence and the principle of justice
D. Do no harm principles, principles of justice and the principle of beneficence


Question: Bearing on the question, which of the following inspection method can be the fastest and accurate diagnosis of patients with the above pathogens?

Answer: The urine antigen test

Choices:
A. Serum antibodies
B. Sputum cell culture
C. The urine antigen test
D. Detection of PCR throat wiping


Question: When the group of death than the standard occupation (standardized mortality ratio, SMR) of the study, the SMR often found less than 1.0, the most common reasons are:

Answer: Healthy worker effect

Choices:
A. Occupational groups tracked incomplete
B. Other factors not fully exposed by considerations
C. Occupational exposure error of classification
D. Healthy worker effect


Question: A 50-year-old Lee, past long-term smoking, alcohol abuse, a history of hypertension and diabetes, complained in recent months climbed to the second floor to breathe, and there is the phenomenon of lower extremity edema. To give the patient an amount of blood pressure 118/82 mmHg, pulse 108 / min and irregular, X-ray showed cardiomegaly, by the above preliminary medical history, whichever is less likely to Lee differential diagnosis of cardiac enlargement?

Answer: Hypertensive heart disease and severe aortic insufficiency (severe aortic regurgitation)

Choices:
A. Dilated cardiomyopathy (dilated cardiomyopathy)
B. Alcoholic cardiomyopathy (alcoholic cardiomyopathy)
C. Ischemic heart disease (ischemic heart disease)
D. Hypertensive heart disease and severe aortic insufficiency (severe aortic regurgitation)


Question: There are a cirrhotic patients, inadvertently at the beach bar to the fishbone, after about 12 hours, wounds and blisters and cellulitis nearby skin necrosis, and spread rapidly. Which of the following is the most likely pathogens?

Answer: Vibrio vulnificus (Vibrio vulnificus)

Choices:
A. Vibrio vulnificus (Vibrio vulnificus)
B. Group A Streptococcus (Group A streptococcus)
C. Pseudomonas aeruginosa (Pseudomonas aeruginosa)
D. Staphylococcus aureus (Staphylococcus aureus) 15 pulmonary embolism (pulmonary embolism) of patients causing hypoxemia turn is the main machine:


Question: Children forearm fracture compared with radial and ulnar shaft, radial and ulnar shaft fractures in adults:

Answer: More displaced fracture Rongyifasheng

Choices:
A. More often plaster dressing Treatment
B. Faster rate of healing
C. More displaced fracture Rongyifasheng
D. relatively stable


Question: A 15-year-old girl, because brachiopods spasm (carpopedal spasm) and treatment, physical examination showed Height 142 cm (less than 3rd percentile), weighing 48 kg (50th percentile), a round face, short fingers. X-ray as shown in FIG. That does not meet one of the following results are compared with this patient's condition?

Answer: Serum parathyroid hormone (parathyroid hormone) concentration low

Choices:
A. Low serum calcium concentrations (hypocalcemia)
B. Above normal serum phosphorous concentration (manage hyperphosphatemia)
C. Serum parathyroid hormone (parathyroid hormone) concentration low
D. Serum Magnesium (Magnesium) normal concentration


Question: Which is not the main cause traction retinal detachment (tractional retinal detachment) of?

Answer: Retinal degeneration lattice shape (lattice retinal degeneration)

Choices:
A. Proliferative diabetic retinopathy (proliferative diabetic retinopathy)
B. Sickle cell retinopathy (sickle cell retinopathy)
C. Retinopathy of premature children (retinopathy of prematurity)
D. Retinal degeneration lattice shape (lattice retinal degeneration)


Question: Nasopharyngeal carcinoma patients during the clinical diagnosis of view to characterize what most persons?

Answer: And Neck Cancer

Choices:
A. Nosebleeds
B. Nasal congestion
C. Middle ear water
D. And Neck Cancer


Question: About ankylosing spondylitis (ankylosing spondylitis), the following statements is true?

Answer: Ankylosing Spondylitis Patients are mostly positive for HLA-B27

Choices:
A. HLA-B27 negative ankylosing spondylitis is not
B. Conjunctivitis is ankylosing spondylitis common eye performance
C. Ankylosing Spondylitis Patients are mostly positive for HLA-B27
D. Ankylosing spondylitis patients are more women


Question: The definition of double-stranded DNA melting temperature, the temperature at which the percentage of DNA molecules denaturation (denaturation)?

Answer: 50%

Choices:
A. 25%
B. 50%
C. 75%
D. 100%


Question: 35-year-old male with a history of drug addiction and HIV positive, complained of chest pain and fever, CT as shown, the most correct diagnosis should be:

Answer: Mediastinal abscess (mediastinal abscess)

Choices:
A. Thymoma (thymoma)
B. Thymic cysts (thymic cyst)
C. Lung cancer (lung cancer)
D. Mediastinal abscess (mediastinal abscess)


Question: C5 ~ C6 for a complete spinal cord injury resulting in ataxia patients outside the detrusor urethral sphincter (detrusor sphincter dyssynergia, DSD), the following improper disposal of what?

Answer: When the leak pressure was measured at 20 cmH2O, the external urethral sphincter may be incision (sphincterotomy) to protect the kidney

Choices:
A. Timing of intermittent catheterization to empty the bladder
B. Oral anticholinergic drugs to lower intravesical pressure
C. When the leak pressure was measured at 20 cmH2O, the external urethral sphincter may be incision (sphincterotomy) to protect the kidney
D. Urethral stent placement (urethral stent) to facilitate emptying the bladder


Question: Laparoscopic surgery is currently more suitable for use in that type of cancer surgery?

Answer: Endometrial cancer

Choices:
A. Ovarian cancer
B. Endometrial cancer
C. Fallopian tube cancer
D. Vulvar cancer


Question: Obstructive pulmonary disease and is associated with bronchiectasis who used to take antibiotics, which is the most common bacterial sputum culture is:

Answer: Pseudomonas aeruginosa

Choices:
A. Staphylococcus aureus
B. Haemophilus influenzae
C. Pseudomonas aeruginosa
D. Klebsiella pneumoniae


Question: The following account of the role of steroid hormone receptors (steroid hormone receptor), and what's wrong?

Answer: Heat shock protein (heat shock protein) binds to the receptor binding region of a steroid, inhibit receptor activity

Choices:
A. Heat shock protein (heat shock protein) binds to the receptor binding region of a steroid, inhibit receptor activity
B. Steroid hormone receptor does not belong to cell membrane receptors
C. After the configuration change binding steroid ligands (steroidal ligand), and the dissociation of heat shock protein activation
D. After binding to the receptor activation will DNA hormone response elements (HREs), to help gene expression


Question: Which of the following can not accelerate the uptake of anesthesia (uptake)?

Answer: Increased patient temperature

Choices:
A. Use fat-soluble high inhaled anesthetics
B. Patients with increased cardiac output
C. Increased alveolar inhaled and intravenous anesthetic partial pressure difference
D. Increased patient temperature


Question: Which of the following is the most important causes of adult mechanical intestinal obstruction (mechanical obstruction)?

Answer: Adhesions after surgery

Choices:
A. hernia
B. cancer
C. Adhesions after surgery
D. Volvulus (malrotation)


Question: A physician random pumping 50 people in hospital data, each patient measurement "Age" and "endure the pain of the" age of recording method as follows: 20-25 years old, 26-45 years old 2, 3 is 46-65 years old , 4 to 66 years old. Places endure pain of 0-10 minutes, where 0 is the least pain, pain most 10. If want to see the relationship between the "Age" and "degree of pain to endure," following what statistical methods are most appropriate?

Answer: Spearman相關（Spearman's correlation）

Choices:
A. Chi-square test (Chi-square test)
B. Spearman相關（Spearman's correlation）
C. Independent t-test (Two-sample t test)
D. Wilcoxon sign rank test (Wilcoxon signed-rank test)


Question: A 56-year-old woman complained of pain in the knee and finger joints on both sides have been three months, and dry eyes, thirsty to drink water often, most recently two weeks and right parotid gland swelling suddenly, that one of the following check most positive result will not appear ?

Answer: anticardiolipin IgG and IgM

Choices:
A. rheumatoid factors
B. antinuclear antibodies
C. anti-SS-A (Ro) / SS-B (La) antibodies
D. anticardiolipin IgG and IgM


Question: Male urethral ball gland (bulbourethral gland) infection inflammation, which of the following is most likely to be due to the positional relationship between infection?

Answer: External urethral sphincter (external urethral sphincter muscle)

Choices:
A. Superficial transverse perineal muscles (superficial transverse perineal muscle)
B. Bulbospongiosus (bulbospongiosus muscle)
C. External urethral sphincter (external urethral sphincter muscle)
D. Ischiocavernosus (ischiocavernosus muscle)


Question: The infertility treatment may be injected gonadotropin-releasing hormone (GnRH), to promote ovulation. The following related GnRH receptor of statements is wrong?

Answer: After receiving GnRH receptor ligand, activates protein kinase A

Choices:
A. GnRH receptor 是 membrane receptor
B. GnRH receptor via G protein is passed post
C. After receiving GnRH receptor ligand, activates protein kinase A
D. After receiving GnRH receptor ligand stimulation, Ca2 + concentration in the cytoplasm rise


Question: Aerobic training (aerobic training) for normal function of the heart, were the least likely to increase as follows:

Answer: Estimated maximum heart rate (estimated maximum heart rate)

Choices:
A. The maximum stroke volume (maximal stroke volume)
B. Rest stroke volume (resting stroke volume)
C. Estimated maximum heart rate (estimated maximum heart rate)
D. Maximum cardiac output (maximal cardiac output)


Question: A 36-year-old Taiwanese man, working for three years in mainland China, having sexual intercourse with sex workers in the mainland had, and to the requirements of outpatient AIDS screening, enzyme immunoassay (EIA) is positive, the next step should be to dispose of what items The most appropriate?

Answer: Implementation of the recommendations western blot (Western blot) test to determine whether HIV infection

Choices:
A. Inform patients already suffering from AIDS (AIDS)
B. Inform new confirmed cases of HIV
C. Implementation of the recommendations western blot (Western blot) test to determine whether HIV infection
D. Vote immediately and anti-HIV drugs


Question: The following is a more specific cystitis, whichever is larger in the large accumulation of foamy macrophages and Michaelis-Gutmann bodies is characterized pathologically?

Answer: 軟 斑 (malacoplakia)

Choices:
A. Interstitial cystitis (interstitial cystitis)
B. Cystic cystitis (cystitis cystica)
C. Glandular cystitis (cystitis glandularis)
D. 軟 斑 (malacoplakia)


Question: Compared to red muscle, white muscle related to the narrative, Which statement is correct?

Answer: Fewer mitochondria content

Choices:
A. Contracted at a slower rate
B. Slower fatigue
C. Muscle fiber diameter is small
D. Fewer mitochondria content


Question: What kind of button hole 61. The following aids most often used to correct rheumatoid arthritis (rheumatoid arthritis) patients deformation (boutonnière deformities)?

Answer: Aids annular (ring orthosis)

Choices:
A. Vertical wrist splint (cock-up splint)
B. Aids annular (ring orthosis)
C. Drag bit Aids (resting orthosis)
D. C-shaped (C-bar) clamp


Question: Which of the following drugs, the war on drugs are used to prevent organophosphorus chemical weapons irreversible binding to cholinesterase?

Answer: pyridostigmine

Choices:
A. atropine
B. pralidoxime
C. pyridostigmine
D. trospium


Question: For when patients with breast cancer, medical history and do a physical examination to evaluate to determine whether high-risk patients, following what items need not be taken into account?

Answer: Had a history of thyroid disease

Choices:
A. Menopause after age 55
B. Nulliparous (nulliparity)
C. Had a history of thyroid disease
D. Menarche than 12 years


Question: Which of the following drugs may be increased immunomodulatory granulomatous disease in vivo phagocytosis macrophages?

Answer: Interferon-c

Choices:
A. Prednisone
B. Interferon-c
C. Transtuzumab
D. Aldesleukin


Question: BRCA1 and BRCA2 gene mutations are those most associated with the following cancer genetic syndrome (inherited cancer syndrome)?

Answer: Ovarian cancer

Choices:
A. Renal cell carcinoma
B. Lung cancer
C. Colorectal Cancer
D. Ovarian cancer


Question: A 75-year-old male patient with abdominal aortic aneurysms underwent surgery, implantation of Gortex graft. The patient's symptoms in the past no gastrointestinal problems, 40 hours after surgery, patients in the intensive care ward, the sudden appearance of a large number of brown diarrhea many times, patients still rely on the endotracheal tube (endotracheal tube) and Rengonghuxi is breathing, not quite sober awareness and unable to speak, physical examination no abdominal tenderness or rebound tenderness, body temperature 37 ℃, white blood cell count was 10,000 / μL. What this point the most likely diagnosis?

Answer: ischemic colitis

Choices:
A. antibiotic-associated colitis
B. aorto-colic fistula
C. ischemic colitis
D. ulcerative colitis


Question: Account of the spread of cortical inhibition (cortical spreading depression), and Which statement is correct?

Answer: Follow-up blood flow would reduce the phenomenon

Choices:
A. Transmitted from the occipital lobe of the brain frontal direction
B. Conduction velocity of 2 to 3 cm per minute
C. Follow-up blood flow would reduce the phenomenon
D. Conducting region and a position associated vascularity


Question: When AIDS infected people have been following what to Trimethoprim and Sulfamethoxazole used in combination therapy to be effective?

Answer: Toxic slurry protozoosis (Toxoplasmosis)

Choices:
A. TB (Tuberculosis)
B. Cryptococcal meningitis (Cryptococcal meningitis)
C. Oral candidiasis (Oral candidiasis)
D. Toxic slurry protozoosis (Toxoplasmosis)


Question: Osmotic (. Overall refrigerating) and secretory diarrhea (secretory) diarrhea difference is:

Answer: The former after fasting, diarrhea stops, but the latter no

Choices:
A. The pH value of the former is slightly basic stool
B. The former high ion concentration of the sodium in feces
C. The former after fasting, diarrhea stops, but the latter no
D. Detection of the former sugar feces were negative


Question: 13. A 65-year-old man complained of fatigue, weakness, tingling in the hands and feet. Physical examination revealed pale, slight jaundice, smooth tongue surface, taste buds atrophy; neurological examination revealed to feel the vibration (vibration) deteriorated. Hemoglobin blood tests show 2 gm / dL, mean corpuscular volume of 110 fL, 1.1% reticulocytes, leukocytes 2780 / μL, classification of normal platelets 98000 / μL; full bilirubin (bilirubin) 2.3 mg / dL, 0.5 direct mg / dL, AST 52 U / L (normal 0 ~ 37), ALT 38 U / L (normal 0 ~ 41), LDH 780 IU / L (normal 140 to 271). The patient most likely diagnosis is?

Answer: pernicious anemia

Choices:
A. aplastic anemia
B. iron deficiency anemia
C. pernicious anemia
D. hemolytic anemia


Question: Under these kinds of conditions that ⼀ give ⼀ Center Weighted congenital heart disease a new ⽣ children Use of prostaglandin E1 (Prostaglandin E1) to maintain an open ductus arteriosus (Ductus arteriosus) does not help most of the disease?

Answer: Center Weighted type all the dirty abnormal pulmonary venous return with obstructive (Supracardiac type total anomalous pulmonary venous return with

Choices:
A. Center Weighted type all the dirty abnormal pulmonary venous return with obstructive (Supracardiac type total anomalous pulmonary venous return with
B. Active ⼸ severe constriction (Coarctation of the aorta)
C. Pulmonary atresia without Center Weighted chamber septal defect (Pulmonary atresia with intact ventricular septum)
D. Left Center Weighted hypoplasia syndrome (Hypoplastic left heart syndrome)


Question: When dendritic cells are important professional antigen presenting cells, which is organized by the move to the surrounding lymph nodes, cell surface molecules changes, the following related statements is true?

Answer: Dendritic cells in the periphery after ingestion of pathogens, will migrate to nearby lymph nodes because dendritic cells will show CCR7 molecule

Choices:
A. Has a strong phagocytic ability immature dendritic cells in the periphery, because the performance of high amounts of CD11c molecules
B. Dendritic cells in the periphery after ingestion of pathogens, will migrate to nearby lymph nodes because dendritic cells will show CCR7 molecule
C. Pathogens will stimulate immature dendritic cells into mature form, and mature dendritic cells will exhibit a large number of MHC class II molecules with a small amount of B7 molecules to help activate T cells
D. When mature dendritic cells activated T cells, secrete IL-10 may be help to the first type of T cell differentiation into helper T cells (TH1


Question: Transfusion cause of acute hepatitis C patients with acute end of special medical treatment after discharge six months to return to hospital back to the clinic, no obvious symptoms of hepatitis, ALT normal, but anti-HCV (+), this case represents a patient of hepatitis C:

Answer: May remain infectious

Choices:
A. Existing immunity, not contagious
B. May remain infectious
C. Still active treatment for 3 months
D. Still active treatment for 6 months


Question: Which of the following molecules in the absence of tumor cells, NK cells have a better ability to kill tumor cells?

Answer: MHC class I

Choices:
A. MHC class I
B. MHC class II
C. T1
D. HER-2 / neu


Question: Vitamin D may regulate calcium absorption strength and muscle strength, blood check what kind of projects can be measured to know enough vitamin D levels?

Answer: 25 (OH) D

Choices:
A. 25 (OH) D
B. 1,25 (OH)2 D
C. Parathyroid hormone (PTH)
D. The concentration of free calcium in the blood


Question: From the previous questions, the patient before surgery, relevant medical history, physical and neurological examination, a following that may not be correct?

Answer: Foot deep tendon reflexes weakened

Choices:
A. Legs hypokinesia
B. Hands feel numbness
C. Foot deep tendon reflexes weakened
D. Decreased bowel and bladder function


Question: Most likely to cause immunosuppression after transplant diabetes are:

Answer: tacrolimus

Choices:
A. cyclosporine
B. tacrolimus
C. mycophenolate mofetil
D. sirolimus


Question: 100. Bud marrow cell tumors (medulloblastoma, WHO grade IV) occurs in children is a cerebellum, poorly differentiated tumors of the central nervous system. Its cancer molecular classification (molecular subtype), He's the best prognosis?

Answer: the WNT type

Choices:
A. the WNT type
B. the SHH type
C. group 3 medulloblastoma
D. group 4 medulloblastoma


Question: Which of the following is eyelid retraction muscle (eyelid retractor) the function?

Answer: Eyes open

Choices:
A. Eyes closed
B. Eyes open
C. Prevent dust from falling eyes
D. Let the tears distribution to the cornea


Question: Axillary nerve (axillary nerve) damage, muscle weakness following that?

Answer: The deltoid muscle (deltoid muscle)

Choices:
A. The deltoid muscle (deltoid muscle)
B. 喙肱肌（coracobrachialis muscle）
C. Biceps (biceps brachii muscle)
D. Triceps (triceps brachii muscle)


Question: A middle-aged male patient with multiple lips brown with black spots, and there are similarities pigment spots around the anus, whose father and daughter are also similarities lesions. The following statements is wrong?

Answer: If the merger gastrointestinal polyps, more than 80% will be transformed into malignant

Choices:
A. The gastrointestinal tract endoscopic examination is necessary
B. This disease is often associated with patients than gastrointestinal polyps (polyps)
C. If the merger gastrointestinal polyps, more than 80% will be transformed into malignant
D. Pigmented lesions of this disease not easily transformed into malignant tumors lip


Question: Statements about epilepsy (epilepsy), and which of the following non?

Answer: After the acute phase of head trauma seizure (convulsive seizure) can be defined as epilepsy

Choices:
A. After the acute phase of head trauma seizure (convulsive seizure) can be defined as epilepsy
B. In the chronic phase of head injury can be defined as epileptic seizure
C. Patients with epilepsy, the ratio of the partial type seizures (partial seizure) than systemic onset (generalized seizure) high
D. Epilepsy, from about 20 to 25% of adverse drug control (medical refractory), shall consider the implementation of epilepsy surgery


Question: The following relevant "from the relationship between the antibodies and rheumatic disease" combinations, whichever is the most specific?

Answer: anti-CCP antibodies - rheumatoid arthritis

Choices:
A. rheumatoid factors - Sjogren's syndrome
B. anti-Scl 70 antibodies - mixed connective tissue disease
C. anti-histone antibodies - systemic lupus erythematosus
D. anti-CCP antibodies - rheumatoid arthritis


Question: A 63-year-old patient due to the progressive and right abdominal pain, there are six hours long, there is a growing sense of swell, and cold sweats, they were sent to the emergency room. Blood pressure: 70/40 mmHg, the blood test Hgb: 7.0 g / dL, CT find the right retroperitoneal hematoma wide range of deformation of the right kidney is unclear. Emergency room physician diagnosed after abdominal hemorrhagic shock, an emergency blood transfusion to be in the left kidney in patients with CT can also be found to have more fat and soft tissue tumor-like lesions. Patient's nose, the face on both sides of the nose there are many small nodular lesions. Will the following What's the best diagnosis?

Answer: tuberous sclerosis

Choices:
A. syndrome of Hipple-Lindau
B. multiple sclerosis
C. tuberous sclerosis
D. disease Von Recklinghausen's


Question: Which of the following role in membrane-bound guanylate cyclase is?

Answer: atrial natriuretic peptide（ANP）

Choices:
A. atrial natriuretic peptide（ANP）
B. nitric oxide
C. insulin
D. norepinephrine


Question: 34-year-old man, a car accident trauma, severe headache, confusion, CT images can be seen in Figure A swollen left cheek, according to Figure B arrow is:

Answer: traumatic subarachnoid hemorrhage（SAH）

Choices:
A. contusion parenchymal hemorrhage
B. traumatic subarachnoid hemorrhage（SAH）
C. thin layer acute subdural hematoma（SDH）
D. traumatic pneumoencephalus


Question: Which of the following is not an independent risk factor for atherosclerosis?

Answer: obesity

Choices:
A. Low-density lipoprotein (LDL cholesterol) is too high
B. Smoke
C. obesity
D. diabetes


Question: Which of the following constitutes the inside edge of the femoral triangle (femoral triangle) of?

Answer: Adductor longus (adductor longus)

Choices:
A. Adductor longus (adductor longus)
B. Pubic muscle (pectineus)
C. NuiTakumihada (sartorius)
D. Gracilis muscle (gracilis)


Question: Which of the following does not occur in normal cardiac cycle (cardiac cycle) ventricular diastolic (diastole)?

Answer: Semilunar valve (semilunar valves) open

Choices:
A. Semilunar valve (semilunar valves) open
B. Atrioventricular (atrioventricular valves) open
C. Congestive heart ventricle (ventricular filling)
D. Atrial contraction (atrial contraction)


Question: CT images of the following description of the relevant renal cell carcinoma (renal cell carcinoma), what's wrong?

Answer: A very low density of fat within the tumor

Choices:
A. Mostly highly vascular tumor
B. Common tumor necrosis, renal hemorrhage lamp (calyces) damage
C. May be presented renal vein tumor thrombosis (thrombosis)
D. A very low density of fat within the tumor


Question: The following statements about the malaria parasite in and what was right?

Answer: In recent years, Taiwan has Jingwaiyiru P. knowlesi (Plasmodium knowlesi) infection cases

Choices:
A. Human infection of malaria, the geographical distribution of ovale malaria (ovale malaria) is the most widely
B. In recent years, Taiwan has Jingwaiyiru P. knowlesi (Plasmodium knowlesi) infection cases
C. Plasmodium vivax (Plasmodium vivax) hi invasion more mature red blood cells, and red blood cells infected will swell phenomenon
D. Falciparum malaria (malignant tertian malaria) recurrence (Relapse) derived from a dormant liver cells of patients with latent (hypnozoites)


Question: Which of the following is least likely to clinical manifestations of cervical spondylosis with myelopathy of?

Answer: Lower limb muscle atrophy (muscle atrophy)

Choices:
A. Neck pain and stiffness
B. Upper extremity pain
C. Lower extremity weakness stiff (spastic weakness)
D. Lower limb muscle atrophy (muscle atrophy)


Question: A 30-year-old man, almost a year because of the left scrotum and groin pain treatment. Physical examination found that the structure of some of the left scrotum bulging, like a bag of worms signs (a bag of worms); the patients lying down, this phenomenon can be slow, but also alleviate the symptoms, but again when standing. Of the following is the most likely diagnosis?

Answer: Varicocele (varicocele)

Choices:
A. Inguinal hernia (inguinal hernia)
B. Communicating hydrocele of (communicating hydrocele)
C. Spermatocele epididymis (epididymal spermatocele)
D. Varicocele (varicocele)


Question: 41 a 24-year-old woman slight jaundice, blood tests found that Hb 6.8 g / dL, MCV 110 fL, Platelet 54,000 / μL, reticulocyte 8%. Which of the following diseases are less likely?

Answer: B12B vitamin deficiency (vitamin B12 deficiency)

Choices:
A. Ivan's syndrome (Evan's syndrome)
B. B12B vitamin deficiency (vitamin B12 deficiency)
C. Thrombotic thrombocytopenic purpura (thrombotic thrombocytopenic purpura)
D. Systemic lupus erythematosus (systemic lupus erythematosus)


Question: Children seven months that have one of the following clinical signs appear that need referral to early treatment and education center for further assessment?

Answer: Prone head could not lift

Choices:
A. To be leaning to sit steady
B. Not spoon feed themselves
C. There are two esotropia
D. Prone head could not lift


Question: A 45 year old male patient due to psychiatric medical treatment and long-term insomnia, sleep through the inspection, the inspection results to the drawings, after which most likely interpretation of the clinical diagnosis Why?

Answer: Restless leg syndrome (restless leg syndrome)

Choices:
A. Sleep apnea syndrome (obstructive sleep apnea syndrome)
B. Restless leg syndrome (restless leg syndrome)
C. Kleine-Levin 症候群 (Kleine-Levin syndrome)
D. Night jump muscle disease (nocturnal myoclonus)


Question: 54 year old man with severe hypertension and hypokalemia several times to deal with the emergency room, the initial diagnosis of suspected hyperaldosteronism, preoperative localization of lesions (sensitivity) with the highest sensitivity to what the person?

Answer: Computer tomography

Choices:
A. Ultrasound scan
B. Computer tomography
C. Thallium scan (thallium-201 scan)
D. Angiography


Question: Which of the following intravenous anesthetics (intravenous anesthetics) easy open vial stored at room temperature, easy to bacterial growth, and therefore should be used up within six hours after opening?

Answer: Propofol

Choices:
A. Thiopental
B. Pentobarbital
C. Propofol
D. Diazepam


Question: Which of the following lung neuroendocrine cell tumors belong to?

Answer: Small cell carcinoma

Choices:
A. Adenocarcinoma
B. Squamous cell carcinoma
C. Small cell carcinoma
D. Large cell carcinoma


Question: Which of the following is used to determine whether the patient is suffering from the best indicator of thyroid dysfunction (hypothyroidism) of?

Answer: Reducing the concentration of free thyroxine in plasma

Choices:
A. Thyroxine binding globulin (thyroxine-binding globulin) lower plasma concentration
B. Plasma total thyroxine (total plasma T4, T3, RT3) decreased
C. Reducing the concentration of free thyroxine in plasma
D. Plasma thyroid stimulating hormone (thyroid stimulating hormone) to reduce the concentration


Question: The human immune machine revolution, which of the following is a adaptive immunity?

Answer: Antigen-presenting cells

Choices:
A. Antigen-presenting cells
B. Complement system
C. Natural killer cells
D. Granulocyte oxidase activity


Question: The following results in children suffering from portal hypertension (portal hypertension) disease, where the worst prognosis?

Answer: Sclerosing cholangitis (sclerosing cholangitis)

Choices:
A. Extrahepatic portal vein thrombosis (extrahepatic portal vein obstruction)
B. Tube was inserted into the umbilical vein of neonatal (catheterization of umbilical vein)
C. Sclerosing cholangitis (sclerosing cholangitis)
D. Arteriovenous fistula spleen (splenic arteriovenous fistula)


Question: Pain control is the primary terminal cancer patients deal with the symptoms, the following narrative about pain control, what's wrong?

Answer: Morphine-like analgesics for pain, neuropathic pain or visceral effective than if the body

Choices:
A. Poorly controlled pain from a lack of education and training of physicians due to pain control
B. Patients often endure because of fear of pain and morphine addiction, there is no real pain reaction
C. According to the World Health Organization analgesic ladder principle, pain, mild and moderate non-first use of morphine analgesic drugs
D. Morphine-like analgesics for pain, neuropathic pain or visceral effective than if the body


Question: The following narrative about laparoscopic colon rectal surgery, what's wrong?

Answer: After hand-assisted technique of recovery is poor

Choices:
A. It indications for surgery and traditional open surgery as
B. Elderly underwent laparoscopic surgery may also benefit
C. After hand-assisted technique of recovery is poor
D. port site recurrence than open surgery and more in the recurrence incision site


Question: Child Pugh score was used to assess liver cirrhosis serious way, the composition of Child Pugh score a total of five projects, five projects are:

Answer: Albumin, bilirubin, prothrombin time, ascites, encephalopathy

Choices:
A. Albumin, bilirubin, prothrombin time, ascites, encephalopathy
B. Albumin, bilirubin, ALT （Alanine Aminotransferase）, ascites, encephalopathy
C. Albumin, bilirubin, ALT （Alanine Aminotransferase）, prothrombin time, ascites
D. Albumin, bilirubin, prothrombin time, ALT （Alanine Aminotransferase）, encephalopathy


Question: Which of the following is not a symptom of the third cranial nerve palsy may be caused?

Answer: Esotropia

Choices:
A. Esotropia
B. Exotropia
C. The pupil larger
D. Ptosis


Question: If you suspect patients with Hashimoto's disease (Hashimoto's thyroiditis) caused by hypothyroidism, check the following antibodies which best evidence?

Answer: anti-thyroglobulin antibody, anti-thyroid peroxidase antibody

Choices:
A. anti-dsDNA antibody
B. anti-IgG4 antibody
C. anti-TSH receptor antibody
D. anti-thyroglobulin antibody, anti-thyroid peroxidase antibody


Question: Acute respiratory distress syndrome (acute respiratory distress syndrome; ARDS) with ventilator support into ⾏ breathing ⽀ treatment, ideal tidal volume (tidal volume) of advice to set how many ml / kg?

Answer: 6

Choices:
A. 6
B. 10
C. 12
D. 15


Question: Account of polio virus (poliovirus), and Which statement is correct?

Answer: Very stable virus particles, can cause infection through contaminated water sewer system

Choices:
A. Gene by double-stranded RNA body composed of
B. Glycoprotein (glycoprotein) is not easy on the viral membrane (Envelope) generating mutant
C. Very stable virus particles, can cause infection through contaminated water sewer system
D. Shaq (Salk) vaccine and attenuated Sabin (Sabin) vaccine poison death, it is often used to prevent diseases caused by


Question: Which of the following patient NA keypad (smaller keyboards)?

Answer: Upper limbs trembling (tremor) were

Choices:
A. Upper limb joint mobility by
B. Upper limbs trembling (tremor) were
C. In pen buccal (mouth stick) by key
D. With one hand key persons


Question: Which is not an assessment of fetal lung maturity test?

Answer: K-B test（Kleihauer-Betke test）

Choices:
A. K-B test（Kleihauer-Betke test）
B. L/S Ratio（Lecithin/Sphingomyelin）
C. PG（Phosphatidylglycerol）
D. Shake test


Question: Arterial ligament (ligamentum arteriosum), located between those two vessels?

Answer: Aorta and pulmonary artery

Choices:
A. Aorta and pulmonary artery
B. Superior vena cava and the pulmonary artery
C. Aorta and vena cava
D. Aorta and the pulmonary vein


Question: Which of the following is most likely to take drugs cause patients have antinuclear antibodies (antinuclear antibody)?

Answer: hydralazine

Choices:
A. captopril
B. hydralazine
C. propranolol
D. prazosin


Question: Bearing on the question, Which of the following error?

Answer: White spots on the trunk effective ruby laser (Ruby laser) treatment

Choices:
A. Tumor face dye laser (Dye laser) a therapeutically effective
B. Tend to have a family dominantly inherited (autosomal dominant) of
C. The need to do further neurological examination
D. White spots on the trunk effective ruby laser (Ruby laser) treatment


Question: The following relative proportions of bile composition of the kind most likely to lead to gallstones?

Answer: 60% of bile salts, lecithin 25%, 15% cholesterol

Choices:
A. 30% of bile salts, lecithin 60%, 10% cholesterol
B. 40% of bile salts, lecithin 55%, 5% cholesterol
C. 80% of bile salts, lecithin 10%, 10% cholesterol
D. 60% of bile salts, lecithin 25%, 15% cholesterol


Question: A 32-year-old truck driver, rear-ended the vehicle in front of the accident on the highway, suspected cardiac injury in the emergency, the following statements is wrong?

Answer: The diagnosis of myocardial contusion is completely determined by the value of electrocardiogram and serum muscle enzymes center

Choices:
A. The diagnosis of myocardial contusion is completely determined by the value of electrocardiogram and serum muscle enzymes center
B. Sustained tachycardia is often an early sign of myocardial contusion
C. Pericardial tamponade may occur on day 4 after car accident
D. Q-wave or continuous ECG changes may indicate transmural injury


Question: About Pneumocystis jirovecii (carinii) of the narrative, Which statement is correct?

Answer: Belong Archiascomycetes

Choices:
A. Currently classified as protozoa
B. Belong Archiascomycetes
C. Slow growth in artificial media
D. Often infected patients TB


Question: Achalasia (esophageal achalasia) of the standard diagnostic tools for esophageal tension tests, diagnostic tests esophageal achalasia on esophageal tension of discovery, which of the following error?

Answer: Esophageal peristaltic pressure is too high

Choices:
A. None of the normal esophageal motility (peristalsis)
B. Lower esophageal sphincter (lower esophageal sphinter, LES) to relax without the normal
C. Esophageal peristaltic pressure is too high
D. Lower esophageal sphincter (lower esophageal sphinter, LES) pressure is too high


Question: Patients with non-small cell lung cancer which is not an asymptomatic stage of the examination must be done?

Answer: CT scan of the brain

Choices:
A. CT scan of the chest and abdomen
B. Bone scintigraphy (bone scan)
C. CT scan of the brain
D. Bronchoscopy


Question: 6-year-old boy by a spasm and treatment, laboratory results showed that the serum calcium concentration of 6 mg / dL (1.5 mmol / L), inorganic phosphorus concentration of 10 mg / dL, a magnesium ion concentration of 2.4 mg / dL (1.0 mmol / L), complete parathyroid hormone (intact parathyroid hormone) concentration of 180 pg / mL, Children with this most likely diagnosis is:

Answer: Low-energy pseudo parathyroid disease (pseudohypoparathyroidism)

Choices:
A. Magnesium deficiency (magnesium deficiency)
B. High energy parathyroid disease (hyperparathyroidism)
C. Low energy parathyroid disease (hypoparathyroidism)
D. Low-energy pseudo parathyroid disease (pseudohypoparathyroidism)


Question: In accordance with the provisions of the Olympic Movement Committee, which of the following for the doping of athletes, not athletes before exercise prescription to use?

Answer: anabolic steroid

Choices:
A. acetaminophen
B. caffeine
C. anabolic steroid
D. creatine


Question: Which of the following is the main Nitrofurantoin side effects?

Answer: nausea

Choices:
A. nausea
B. deaf
C. Renal insufficiency
D. 抽搐 (seizure)


Question: Which of the following is the common characteristic of intestinal bacillus families (Enterobacteriaceae) bacteria?

Answer: Can ferment glucose

Choices:
A. The human body are symbiotic bacteria (normal flora)
B. Each having oxidation  (oxidase)
C. Can ferment glucose
D. Have mobility


Question: Specific genetic disease often fetal ultrasound nuchal translucency (nuchal translucency) thickened with childhood webbed neck (web neck) is characterized by, among whichever is least likely?

Answer: Cornelia de Lange Syndrome

Choices:
A. Cornelia de Lange Syndrome
B. Down syndrome
C. Noonan syndrome
D. Turner syndrome


Question: 45-year-old Wang, because three months have dysphagia, esophageal photographic examination has found that one-third of the phenomenon on the narrow esophagus, followed by implementation of the following check what the most correct?

Answer: Esophagogastroduodenoscopy

Choices:
A. Esophageal motor function measured
B. Chest CT
C. Masako photography
D. Esophagogastroduodenoscopy


Question: Which is not clinical manifestations of dengue hemorrhagic fever?

Answer: Hematocrit fell more than 20%

Choices:
A. fever
B. Spotting, purpura
C. Thrombocytopenia (thrombocytopenia)
D. Hematocrit fell more than 20%


Question: Following that kind of kidney disease and tuberous sclerosis and angiofibroma skin related?

Answer: Renal angiomyolipoma

Choices:
A. Renal oncocytoma
B. Renal angiomyolipoma
C. Renal fibroma
D. Renal cell carcinoma


Question: Which of the following is least likely to induce pulmonary embolism (pulmonary embolism)?

Answer: Hypercholesterolemia

Choices:
A. Patients undergoing knee replacement surgery
B. cancer
C. heart failure
D. Hypercholesterolemia


Question: 51-year-old middle-aged women, two years ago bloating, fatigue, loss of appetite, dark urine and jaundice appears after hospitalization, blood tests show:

Answer: Auto immune hepatitis

Choices:
A. Chronic hepatitis B
B. Chronic hepatitis C
C. Medicinal hepatitis
D. Auto immune hepatitis


Question: 11 a 75-year-old male COPD patients, conscious, due to increased cough, increased sputum yellow fever and breathing difficulties and asthma song emergency room, emergency room examination showed WBC: 15,000 / μL, neutrophil / lymphocyte: 90/8%; arterial blood (room air) to check mmHg, PaCO2 = 60 mmHg, HCO3- = 30 mEq / L, pH = 7.22; vital signs: BP 160/100 mmHg, heart rate 120 / min (regular), respiratory rate 30 / min, temperature: 38 ° C; the following are the most appropriate disposition where?

Answer: Inhaled administration of vasodilators (bronchodilators), antibiotics, oral steroids, oxygen, and non-invasive administration of CPAP

Choices:
A. Inhaled administration of vasodilators (bronchodilators), antibiotics, and oral steroids
B. Inhaled administration of vasodilators (bronchodilators), antibiotics, and oral steroids oxygen
C. Inhaled administration of vasodilators (bronchodilators), antibiotics, oral steroids, oxygen, and non-invasive administration of CPAP
D. Inhaled administration of vasodilators (bronchodilators), antibiotics, oral steroids, sedatives and oxygen, and the interpolation endotracheal tube immediately using invasive respirator (invasive mechanical ventilator) assisted respiration


Question: Live births from about 1 to 2% of chromosomal abnormalities. The following clinical situations that most do not need to do a chromosome?

Answer: Perinatal asphyxia leading to cerebral palsy (Cerebral palsy, perinatal asphyxia induced)

Choices:
A. Perinatal asphyxia leading to cerebral palsy (Cerebral palsy, perinatal asphyxia induced)
B. Multiple malformations (Multiple congenital anomalies)
C. Mental disorders (Intellectual disability)
D. Growth distortion (Growth aberration)


Question: A 45 year old female, as the trunk and limbs appear bull's-eye-like lesion (target lesions), oral erosion, conjunctival redness, perineum erosion. The most likely diagnosis of why?

Answer: Steven - Johnson & Johnson's syndrome (Stevens-Johnson syndrome)

Choices:
A. Pemphigus vulgaris (pemphigus vulgaris)
B. Steven - Johnson & Johnson's syndrome (Stevens-Johnson syndrome)
C. Bassett's disease (Behçet's disease)
D. Herpetic skin inflammation (dermatitis herpetiformis)


Question: Cause of chronic pulmonary hypertension, the most unlikely to be which of the following?

Answer: Tricuspid stenosis

Choices:
A. Pulmonary embolism
B. Chronic obstructive pulmonary disease
C. Left ventricular failure
D. Tricuspid stenosis


Question: 68-year-old male, long-term use of a variety of drugs, recently found a blue-gray pigmentation in the nose, cheek and ear, Which of the following drugs, the symptoms may be related to their skin?

Answer: amiodarone

Choices:
A. amiodarone
B. aspirin
C. omeprazole
D. magnesium oxide


Question: A 25-year-old woman, was found in the right ovary had a tumor the presence of about 10 cm. She received tumor resection surgery. Illustrates changes its ovarian tumors microscope. Which of the following is the most likely diagnosis?

Answer: Mature cystic teratoma

Choices:
A. Dysgerminoma
B. Mature cystic teratoma
C. Mucinous cystadenoma
D. Serous cystadenoma


Question: Statements about bipolar disorder (bipolar disorders), and which of the following error?

Answer: Men get sick ratio of major depression (major depressive disorder) identical

Choices:
A. A first bipolar disorders might also delusions
B. Men get sick ratio of major depression (major depressive disorder) identical
C. A second bipolar disorder shall have at least one hypomanic episode with a major depression episode
D. Possible attack in adolescence


Question: Alanine and 2-oxoglutarate in alanine aminotransferase role in the formation of glutamate and whichever?

Answer: pyruvate

Choices:
A. aspartate
B. oxaloacetate
C. ketobutyrate
D. pyruvate


Question: G3P1 pregnant woman 28 years old, had been diagnosed with a first fetal gestational diabetes (gestational diabetes mellitus, GDM), birth weight of 4,280 grams; 12 weeks gestation when seeking treatment, weight 50 kg, height 163 cm. The most appropriate for pregnant pregnancy blood sugar assessments for the disposal of:

Answer: Immediately arrange for gestational diabetes screening

Choices:
A. Equivalent to gestational diabetes, take immediate treatment programs
B. Immediately arrange for gestational diabetes screening
C. Arrangement 24 to 28 weeks of pregnancy routine screening gestational diabetes
D. Immediately arrange for fetal health assessment


Question: From the previous question, Mr. Xie physician judgment with right upper extremity compartment syndrome (compartment syndrome), should be eschar incision surgery (fasciotomy) to save the right upper limb blood flow, but suddenly, Mr. Xie without the presence of family members sign a consent form , as the New physician, how to help deal with follow-up treatment?

Answer: Patients state of consciousness is still clear in their agreement, and quickly make the necessary disposal of invasive

Choices:
A. Reminded the attending physician should not violate the principle of informed consent, the treatment should be suspended
B. Patients state of consciousness is still clear in their agreement, and quickly make the necessary disposal of invasive
C. Contact number, and other family members rushed to the hospital after treatment, first-served other patients
D. Please sign on behalf of the hospital social worker consent


Question: The following statements about febrile non-hemolytic transfusion reaction, what's wrong?

Answer: When blood transfusion, the blood cell component of blood through the leukocyte filter (filter), this can be completely avoided transfusion reactions

Choices:
A. Common blood cell component of blood transfusion is the reaction
B. Often prompted by the recipient (RECIPIENT) antibodies against the body's blood to (Donor) leukocytes
C. When blood transfusion, the blood cell component of blood through the leukocyte filter (filter), this can be completely avoided transfusion reactions
D. Available fever antipyretics, such as acetaminophen treatment or prevention of


Question: 23 year old man with epilepsy taking carbamazepine, after two weeks, the body produces a large area of skin and mucous membrane blisters and broken skin by dermatologists diagnosed with toxic epidermal rhabdomyolysis (toxic epidermal necrolysis), HLA-B genotype of this patient, Which of the following is most likely?

Answer: HLA-B * 1502

Choices:
A. HLA-B * 1502
B. HLA-B * 1301
C. HLA-B * 5802
D. HLA-B * 5801


Question: Drawing back frame, which is best suited for these patients?

Answer: Twelfth thoracic compression fractures

Choices:
A. Scoliosis
B. 10, 11 thoracic fracture and dislocation
C. Twelfth thoracic compression fractures
D. The fourth and fifth lumbar spondylolisthesis


Question: Escherichia coli (E. coli) in DNA replication, (lagging strand) of synthetic shares of delay, the following statements is true?

Answer: Synthesis must first Okazaki fragments (Okazaki fragment)

Choices:
A. By a DNA polymerase is mainly responsible for the catalytic reaction type Ⅰ
B. Is a continuous synthesis reaction
C. Synthesis reaction 'end to the 5' end direction by the 3
D. Synthesis must first Okazaki fragments (Okazaki fragment)


Question: 33. Mr. Chen countryside backpacking to India a few months, came back diarrhea, fever, anemia and other symptoms, and after the liver and spleen enlargement (hepatosplenomegaly) phenomenon, in which the bone marrow puncture macrophages found amastin (amastigotes) , blood and stool examination found no other, he is most likely infected with parasitic diseases are:

Answer: Kala-azar (black fever)

Choices:
A. Blackwater hot (blackwater fever)
B. Kala-azar (black fever)
C. Heartworm disease (filariasis)
D. Chagas disease (Chagas'disease)


Question: A 32-year-old man complained of chest pain last for a week, the increase in chest pain when inhaling, the patient can still be normal activity, blood pressure 130/80 mmHg, heart rate 90 beats per minute, extra heart sounds of systolic and diastolic (extra heart on auscultation sounds), but no significant noise, are presented electrocardiogram ST wave rising in the limb leads and chest guide, normal cardiac enzymes. The most likely diagnosis Why?

Answer: Pericarditis (pericarditis)

Choices:
A. Heart attack (myocardial infarction)
B. Unstable angina (unstable angina)
C. Dissection of the aorta (aortic dissection)
D. Pericarditis (pericarditis)


Question: Organ of Cortis place on the following what kind of structure?

Answer: 蝸孔（helicotrema）

Choices:
A. 蝸孔（helicotrema）
B. Basement membrane (basilar membrane)
C. Vestibular membrane (Reissner's membrane)
D. Film (tectorial membrane) 41 asthma (asthma) the patient's airway wall of the main change which of the following?


Question: The following statements about malignant tumors of the small intestine, what is wrong?

Answer: Adenocarcinoma up to about 50%, higher rates occurred in the jejunum, and occurs more often in young patients

Choices:
A. Adenocarcinoma up to about 50%, higher rates occurred in the jejunum, and occurs more often in young patients
B. Malignant gastrointestinal stromal tumor interstitial (GIST) about 20%, most of greater than five centimeters and has a higher coefficient of cell division, and violations of the lamina propria (Lamina propria)
C. Gastrointestinal malignant lymphoma occurred in one-third of the small intestine, small intestine cancer is common in children, and a higher incidence in the ileum
D. Carcinoid (carcinoid) and more prone to a final appendix ileum


Question: 30-year-old young woman, married 6 years, no birth control program, but never pregnant, sometimes no menstruation, sudden headache, blurred vision let me see a shadow of things, physical examination revealed normal eye movements, but there are two temporal horizons half blind, according to the above found that the most likely diagnosis why?

Answer: Pituitary brain tumor hemorrhage (pituitary apoplexy)

Choices:
A. Craniopharyngioma tumor (craniopharyngioma)
B. Pituitary brain tumor hemorrhage (pituitary apoplexy)
C. Parasagittal meningioma (parasagittal meningioma)
D. Acoustic neuroma (acoustic neuroma)


Question: From the previous title, this time the best way to deal with temporary Why?

Answer: After the diagnosis confirmed by anal and vaginal means to carry out the large intestine stoma

Choices:
A. Can be cured with oral antibiotics
B. After the diagnosis confirmed by anal and vaginal refer directly transvaginal repair
C. Stop using other antibiotics, use of vancomycin treatment
D. After the diagnosis confirmed by anal and vaginal means to carry out the large intestine stoma


Question: The use of fluorine-18 deoxyglucose (18F-2-deoxyglucose) made positron angiography can effectively find the right location in the body of cancer cells, cancer cells based on the characteristics of what this principle-based approach?

Answer: Synthesis of glycogen (glycogen biosynthesis) higher rate than normal cells

Choices:
A. DNA replication rate faster than normal cells
B. Krebs cycle (TCA cycle) higher rate than normal cells
C. Glycolysis (Glycolysis) higher rate than normal cells
D. Synthesis of glycogen (glycogen biosynthesis) higher rate than normal cells


Question: Statements about congenital biliary atresia (biliary atresia), and which of the following error?

Answer: Most patients after receiving Kasai's surgery (Kasai's operation) good prognosis, without liver transplant

Choices:
A. Patients with persistent jaundice
B. Bowel movements are pale (clay color)
C. Most patients after receiving Kasai's surgery (Kasai's operation) good prognosis, without liver transplant
D. You must first rule out the possibility of neonatal hepatitis (neonatal hepatis) at diagnosis


Question: 55 year old male was diagnosed with prostate enlargement and the blood prostate-specific antigen (prostate specific antigen) rises, the lower abdominal MRI showed many enlarged lymph nodes, X-ray irradiation of the pelvis found two osteolytic lesions. Which of the following is more suitable to be used to treat prostate cancer?

Answer: flutamide

Choices:
A. oxandrolone
B. desogestrel
C. anastrozole
D. flutamide


Question: After 58 year-old female patient, after a fall leading to the right distal radius fractures (distal radius fracture), closed-receiving reset (closed reduction) in the emergency room, in the case of X-ray reset. Which is not the distal radius fracture reduction pharmaceutically radiation parameters (radiographic parameters)?

Answer: Ipsilateral dorsal tilt (dorsal tilt) angle is 15 degrees

Choices:
A. Ipsilateral radial length (radial length) and contralateral compared, the difference in less than 2mm
B. Drop difference (intra-articular step-off) is less than 2mm joint ipsilateral
C. Ipsilateral dorsal tilt (dorsal tilt) angle is 15 degrees
D. , Within the ipsilateral radial angle (radial angle) compared with the contralateral and 5 degrees difference in


Question: 1. The following anesthesia-related equipment that can be safely used in general anesthesia photography MRI room? ①blood pressure cuff ②Macintosh laryngoscope ③cardiac defibrillator ④oximeter probe

Answer: Only ①④

Choices:
A. Only ①②③
B. ①②③④
C. Only ①④
D. Only ②③④


Question: Which of the following physiological state, most likely the water clearance (CH2O) becomes negative?

Answer: Blood vasopressin (antidiuretic hormone) increasing the concentration of

Choices:
A. Body too much water
B. Solute clearance (COSM) reduction
C. Glomerular filtration rate (GFR) increase
D. Blood vasopressin (antidiuretic hormone) increasing the concentration of


Question: Normal term mothers during childbirth, diagnosis of prolonged latent period disorder (prolonged latent phase) of the highest priority disposal Why?

Answer: Observation rest

Choices:
A. Caesarean
B. Observation rest
C. Increased abdominal pressure, promote fetal descent
D. High production forceps


Question: Account of psoriasis (psoriasis), and Which statement is correct?

Answer: Some patients have a family history

Choices:
A. Caucasians suffering from psoriasis than the proportion of Chinese low
B. Köebner phenomenon seen only in this disease
C. Some patients have a family history
D. Will not cause the nail and joint disease


Question: 4-year-old child asthma diagnosis, Which of the following is the most important diagnostic modality?

Answer: History taking

Choices:
A. History taking
B. Total IgE blood tests
C. Pulmonary function tests
D. Skin allergy test


Question: Psychosis disorder (schizophrenia) in patients with symptoms can be divided into positive symptoms (positive symptoms) and negative symptoms (negative symptoms), which of the following is the negative symptoms?

Answer: Poor language (alogia)

Choices:
A. Delusions (delusions)
B. Hallucinations (hallucinations)
C. Poor language (alogia)
D. Confusing language (disorganized speech)


Question: Patients with right-handed right half of a sudden can not move the body (hemiplegia), and can not speak clearly, but it can respond to the issues raised left hand gesture of a doctor correct. Was diagnosed as brain vascular occlusive stroke. The following damage can reasonably explain where the patient's symptoms?

Answer: The left hemisphere with Broca's area

Choices:
A. The left hemisphere with Broca's area
B. The left hemisphere with Wernicke's area
C. With right hemisphere Broca's area
D. Right hemisphere with Wernicke's area


Question: A large one month newborn because the urine pink come to check, in addition to no other symptoms or abnormal signs. Its negative urine occult blood, red blood cell count microscopic examination of 2-4 / high power field (HPF), the number of leukocytes was 0-2 / HPF. That one of the following is the most common cause?

Answer: precipitated urates

Choices:
A. Myoglobulinemia
B. hemolytic anemia
C. urinary stone
D. precipitated urates


Question: The little boy to treatment, very low, head looks great, short limbs. Diagnostician is dwarfism (achondroplasia). Physician remember that this is an autosomal dominant genetic disease, but Children with parents height is normal. The most suitable to explain why?

Answer: The little boy's illness from novel mutations

Choices:
A. Physicians wrong, should be a recessive genetic dwarfism
B. In fact, the father is not very high, the father may also have dwarfism, but the performance is not entirely
C. Atavistic
D. The little boy's illness from novel mutations


Question: The following information about laparoscopic surgery, described physiological effects and potential clinical outcome due to pneumoperitoneum produced and what was right?

Answer: Decreases renal blood flow caused by the decrease of urine output

Choices:
A. Reduce intracranial pressure caused by the rise of central perfusion pressure
B. Decreases renal blood flow caused by the decrease of urine output
C. The situation will weaken sympathetic response and increase of ileus
D. Will reduce the CVP (central venous pressure) and lower CWP (capillary wedge pressure) and reduced cardiac work


Question: 33 Xiaofang was a large woman 34 weeks premature children, born after the second week produce apnea (apnea), feeding food intake began to deteriorate. Physicians suspected bacteremia (neonatal sepsis), for her to do a blood bacterial culture and antibiotic therapy. Check the blood electrolytes Na + value of 138 mEq / L, K + value of 5.8 mEq / L, glucose and blood pressure were normal. Newborn Screening Center xiaofang full notification made 48 hours after birth of newborn screening blood spots have a 17-OH progesterone is 17 ng / mL (normal neonates is <12 ng / mL). Xiaofang is the appearance of normal genitalia of girls. At this point the most appropriate examination as follows:

Answer: Heel blood collected for a second re-examination

Choices:
A. ACTH stimulation test performed
B. Referral to treatment centers do confirm the diagnosis
C. Heel blood collected for a second re-examination
D. 21-hydoxylase check whether or gene mutation


Question: 3. pathogens tuberculosis patients, can be suppressed within the host cell early autologous antigen-1 (early endosomal autoantigen 1,

Answer: Lysosomal fusion (lysosome) and phagosomes (phagosome) of

Choices:
A. Lysosomal fusion (lysosome) and phagosomes (phagosome) of
B. 巨噬 cells (macrophage) secretion Kaishiroshitsu 11 (interleukin-11)
C. Cyclic adenosine monophosphate (cAMP) within macrophages (macrophage) concentration is increased
D. Hepatitis D leucine (gamma-aminobutyric acid, GABA) release


Question: Patients with long-term residence in noisy industrial area, high audio right ear hearing loss, it may be because the disease:

Answer: Located cochlea base (base) of the damaged organ of Corti

Choices:
A. Located cochlea base (base) of the damaged organ of Corti
B. At the top cochlea (apex) of the damaged organ of Corti
C. On the right primary auditory cortex impaired
D. Completely cut off the right side of the cochlear nerve


Question: The reason the first 12 weeks of early pregnancy abortion, the most common why?

Answer: Chromosomal abnormalities

Choices:
A. Chromosomal abnormalities
B. infection
C. Cervical insufficiency
D. Progesterone deficiency


Question: 6 of a 57-year-old male patient because of general malaise, insomnia, loss of appetite and difficulty breathing while hospitalized, he suffers from high blood pressure, diabetes for many years, being treated with insulin. creatinine value in the past six months to check each month sequentially to 5.2 mg / dL, 6.7 mg / dL, 6.4 mg / dL, 7.0 mg / dL, 7.2 mg / dL. Hospital examination result of Hb 9.2 g / dL, BUN 106 mg / dL, creatinine 9.6 mg / dL, albumin 2 g / dL, spot urine protein 923 mg / dL, chest X-ray presents bilateral pleural effusion. The most preferred disposal Why?

Answer: Hemodialysis (hemodialysis)

Choices:
A. Hemodialysis (hemodialysis)
B. Blood transfusion (blood transfusion)
C. Lose albumin (Albumin)
D. Administration of angiotensin conversion enzyme inhibitors (angiotensin-converting enzyme inhibitors)


Question: Which of the following is not a common form of the Achilles tendon (calcaneal tendon)?

Answer: Popliteal muscle (popliteus)

Choices:
A. Gastrocnemius muscle (gastrocnemius)
B. Soleus muscle (soleus)
C. Popliteal muscle (popliteus)
D. 蹠肌（plantaris）


Question: An inguinal hernia repair in patients receiving, after spinal anesthesia, need to be given sedative - hypnotic drugs to strengthen the role of anesthesia. After drug administration, patient loss of consciousness, opened his eyes, tremor of the eye symptoms, there is a good sedative analgesic effect. May I ask what kind of drugs are administered to a patient?

Answer: ketamine

Choices:
A. thiopental
B. ketamine
C. midazolam
D. flumazenil


Question: All work very well over the last body from chest upwards of 46-year-old healthy male patients Face as fever and cough three days to ⾨ medical clinic, chest X-ray examination of suspected lesions of pneumonia. Which of the following is least likely pathogens?

Answer: Bao ⽒ Acinetobacter (Acinetobacter baumannii)

Choices:
A. Streptococcus pneumoniae (Streptococcus pneumoniae)
B. Mycoplasma (Mycoplasma pneumoniae)
C. Bao ⽒ Acinetobacter (Acinetobacter baumannii)
D. Bacillus addicted ⾎ (Haemophilus influenzae)


Question: Send ⽣ narrative about the insect, what's wrong?

Answer: Plasmodium ovale (Plasmodium ovale) the identification, often depending on whether a smear ⾎ fluid of patients with type trophozoites strip (band form

Choices:
A. Malaria episodes (paroxysm) of the process in order, is: chill (chill), fever (fever), sweating (sweat)
B. Three date Plasmodium (Plasmodium malariae) hi invasive than mature red ⾎ ball proliferation
C. Plasmodium ovale (Plasmodium ovale) the identification, often depending on whether a smear ⾎ fluid of patients with type trophozoites strip (band form
D. In malaria flow ⾏ area, baby six month are less often because protection was made using the self ⺟ antibodies, and rarely suffer from malaria


Question: Narrative urinary tract symptoms caused by prostate enlargement under the relevant (lower urinary tract symptoms), the error which of the following?

Answer: Increased urinary frequency and nocturia, belongs obstructive symptoms

Choices:
A. Patients often complained middle of the night to urinate, urinary particular small and slow
B. Lower urinary tract symptoms, generally can be divided into obstructive (obstructive) type and stimulus (irritative) symptoms of two categories
C. Increased urinary frequency and nocturia, belongs obstructive symptoms
D. Urine is not clean, there are a large number of patients with residual urine, more frequent urination and nocturia will; but the patient urinary frequency and nocturia not necessarily have a lot of residual urine


Question: The following account of Bacillus anthracis infection and what was wrong?

Answer: Through the skin of human infection is the most common mode of transmission

Choices:
A. Through the skin of human infection is the most common mode of transmission
B. In the most common routes of infection herbivorous animals are ingested spores
C. Inhalation infection in animal husbandry practitioners common routes of infection
D. Chemical or biological weapons attack is the most common route of infection inhaled


Question: Which of the following drugs in combination with warfarin, reduces the prothrombin time?

Answer: rifampin

Choices:
A. aspirin
B. cephalosporine
C. metronidazole
D. rifampin


Question: 75-year-old man has taken dihydrotestosterone (DHT) habit, six months have difficulty in urination, nocturia increases and other circumstances, due to cold take some cold medicine, urine solution does not come out the next day, emergency medical treatment by catheterization, patients undergoing prostate gland curettage, pathological examination as shown in FIG. The following diagnostic statements is most appropriate?

Answer: Benign prostate hyperplasia

Choices:
A. Well-differentiated prostate cancer
B. Benign prostate hyperplasia
C. Prostate inflammation and fibrosis
D. Nothing to do with taking cold medicine


Question: Cancer cells often over-breeding division of the phenomenon. Drug treatment of cancer often for this feature. Which of the following drugs can inhibit thymidylate synthase?

Answer: 5-FU (5-fluorouracil)

Choices:
A. methotrexate
B. 5-FU (5-fluorouracil)
C. cyclophosphamide
D. vinca alkaloids（vincristine）


Question: Which of the following does not belong to the hormone replacement therapy contraindications?

Answer: Diabetes (diabetes mellitus)

Choices:
A. Unexplained vaginal bleeding (undiagnosed abnormal vaginal bleeding)
B. Endometrial cancer (endometrial cancer)
C. Pulmonary embolism (pulmonary embolism)
D. Diabetes (diabetes mellitus)


Question: A 42-year-old female, sudden severe abdominal pain. Known to have gallstones for many years. Physical examination revealed abdominal tenderness, especially in the upper abdomen, but also reduce bowel sounds. Abdominal X-ray examination showed a significant tissue edema but no free air. Abdominal CT examination revealed swelling in parts of the pancreas, and there are many small calcification. Gradually recovered after treatment. Which of the following sequelae of the disease most likely to occur?

Answer: Pseudo cysts (pseudocyst)

Choices:
A. Pancreatic cancer (adenocarcinoma)
B. Gastric ulcer (gastric ulcer)
C. Pseudo cysts (pseudocyst)
D. Small intestine infarction (small intestine infarction)


Question: Half of patients with stroke hemiplegia, the affected limb can make hand grip (palmar prehension) action palm, Brown's staging (Brunnstrom's stage) is determined in accordance with, should belong to the first of several period?

Answer: Stage V

Choices:
A. Stage II
B. Stage III
C. forcement IV
D. Stage V


Question: A male patient, from birth, palms and soles of the feet gradually comprehensive keratosis, red edge (as shown), non-itching. His father has the same skin lesions. Dander negative KOH microscopy, the most likely diagnosis is:

Answer: PPK (palmoplantar keratodermas)

Choices:
A. Athlete's foot (tinea pedis)
B. PPK (palmoplantar keratodermas)
C. Khan herpes (pompholyx)
D. Atopic dermatitis (atopic dermatitis)


Question: Obturator nerve (obturator nerve) of the anterior branch and posterior branch were passing through shallow and deep Which of the following is?

Answer: Adductor muscle (adductor magnus)

Choices:
A. Short adductor muscles (adductor brevis)
B. Pubic muscle (pectineus)
C. Adductor longus (adductor longus)
D. Adductor muscle (adductor magnus)


Question:
22.1 years and a half children, last night fever, cough, today to the emergency. Found breathing sounds become apparent to the physician, wheezing sound auscultation bilateral (Wheezing), after the administration of short-acting bronchodilators (Ventolin or Proventil), breathing sound does not change, the following which may be the most diagnostic
 can?

Answer: Bronchiolitis (bronchiolitis)

Choices:
A. Upper respiratory tract infection (Upper respiratory tract infection)
B. Bronchiolitis (bronchiolitis)
C. Asthma (Asthma)
D. Foreign body airway obstruction (Airway foreign body obstruction)


Question: Which of the following does not belong to an abnormal trinucleotide repeats (trinucleotide-repeat disorder)?

Answer: Motor neuron disease (motor neuron disease)

Choices:
A. Huntington's disease (Huntington's chorea)
B. Spinocerebellar ataxia type III (spinocerebellar ataxia type 3)
C. Kennedy disease (Kennedy disease)
D. Motor neuron disease (motor neuron disease)


Question: Cerebral palsy is spastic limbs (spastic quadriparesis), due to considerations of care and motor ability and use of pump (intrathecal baclofen pump) treatment under the dura, on this treatment method, which of the following error?

Answer: Spastic only has a therapeutic effect on dystonia (dystonia) do not have the same effect

Choices:
A. Spastic only has a therapeutic effect on dystonia (dystonia) do not have the same effect
B. Posture can be improved, reducing pain spasm
C. Can effectively reduce energy consumption when walking
D. Caregivers can reduce the inconvenience and reduce the need for surgery


Question: That an abnormal X-ray changes do not appear on this sheet X-rays (such as drawings)?

Answer: Osteophyte

Choices:
A. Osteophyte
B. Joint space narrowing
C. Marginal erosion
D. Near-articular osteoporosis


Question: NK cells are early defensive cells which the body against pathogens (pathogen) of?

Answer: Virus (viruses)

Choices:
A. Bacteria (bacteria)
B. Fungi (fungi)
C. Virus (viruses)
D. Protozoa (protozoa)


Question: The following statements about cardiac physiology after the transplant, whichever is the most correct?

Answer: Slower heart rate recovery after exercise before to sports

Choices:
A. Exercise maximum heart rate higher than before surgery
B. Slower heart rate recovery after exercise before to sports
C. Effects of parasympathetic than sympathetic large
D. Thy blood vein (venous return) does not affect the stroke volume (stroke volume)


Question: 35 year old male patient blood cultures for E. coli, blood pressure 82/45 mmHg, 38.8 deg.] C temperature, pulse rate 100 beats / min, decreased urine output. After intravenous infusion therapy, the symptoms improved. This diagnosis should be patient:

Answer: Severe sepsis (severe sepsis)

Choices:
A. Systemic inflammatory response syndrome (systemic inflammatory response syndrome, SIRS)
B. Sepsis (sepsis)
C. Severe sepsis (severe sepsis)
D. Septic shock (septic shock)


Question: Which of the following will show on the clinical condition of abnormal bleeding?

Answer: Factor VIII antibody

Choices:
A. The heparin-induced thrombocytopenia syndrome
B. Antiphospholipid syndrome
C. Protein C deficiency
D. Factor VIII antibody


Question: The advantages related to allergen skin test, it does not contain one of the following?

Answer: The subject used the drugs do not affect the test results

Choices:
A. High sensitivity
B. Can quickly get results
C. Low cost
D. The subject used the drugs do not affect the test results


Question: The following kind of disease is most unlikely odd pulse (pulsus paradoxus)?

Answer: Mitral regurgitation (mitral regurgitation)

Choices:
A. Hypovolemic shock (hypovolemic shock)
B. Mitral regurgitation (mitral regurgitation)
C. Pericardial tamponade (pericardial tamponade)
D. Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease)


Question: Carpal tunnel syndrome (carpal tunnel syndrome) severe cases, can lead to some muscle weakness, but which of the following will not be affected?

Answer: Thumb adductor (adductor pollicis)

Choices:
A. Thumb opposing muscle (opponens pollicis)
B. Short thumb flexion muscles (flexor pollicis brevis)
C. Thumb adductor (adductor pollicis)
D. Thumb abduction brevis muscle (abductor pollicis brevis)


Question: The following related urticaria and matched pathological machine turn, whichever is correct?

Answer: Physical urticaria-IgE-mediated

Choices:
A. Physical urticaria-IgE-mediated
B. Blood product reaction-bradykinin-mediated
C. Food allergy-complement-mediated
D. Cholinergic urticaria-arachidonic acid-mediated


Question: The following defects will not affect how molecules of recombinant lymphocytes, but will mature lymphocytes hindered?

Answer: IL-2 receptor γc chain

Choices:
A. IL-2 receptor γc chain
B. RAG 1
C. RAG 2
D. DNA-dependent protein kinase


Question: Gallbladder (gallbladder) is lined with epithelium belong to which of the following?

Answer: Epithelium (simple columnar epithelium)

Choices:
A. Transitional epithelium (transitional epithelium)
B. Epithelium (simple columnar epithelium)
C. Columnar epithelium (stratified columnar epithelium)
D. Keratinized stratified squamous epithelium (keratinized stratified squamous epithelium)


Question: What common fungal culture medium?

Answer: Sand Paul's (Sabouraud's) medium

Choices:
A. Chocolate Medium
B. Sand Paul's (Sabouraud's) medium
C. Thioglycollate Medium
D. Serum-free medium


Question: Account of the treatment of heart failure, which of the following error?

Answer: Potassium-sparing diuretics (spironolactone) aldosterone (aldosterone) receptors antagonists, for NYHA Functional Class

Choices:
A. There are already a large clinical studies using beta-sympatholytic agents (β-blockers) for NYHA Functional
B. Most of the angiotensin converting enzyme inhibitor (angiotensin converting enzyme inhibitors), which after use can reduce the load (afterload), cardiac output (cardiac output). Help the long-term patient survival rates
C. Potassium-sparing diuretics (spironolactone) aldosterone (aldosterone) receptors antagonists, for NYHA Functional Class
D. Henle diuretics hoof pipe system (loop diuretics) has a direct vasodilating action, the former can reduce the load (preload). But for long-term survival of patients and can not be improved


Question: Which of the following relationships with Type 1 hypersensitivity reactions (Hypersensitivity reaction) is more closely?

Answer: IgE

Choices:
A. Age
B. IgE
C. IgG
D. IgM


Question: Currently the best treatment for pregnancy when the cervix is not hemorrhage:

Answer: Chemotherapy drugs (methotrexate)

Choices:
A. Uterine incision (hysterotomy)
B. Vacuum suction scraping operation (suctional D & C)
C. Chemotherapy drugs (methotrexate)
D. Cervical resection (trachelectomy)


Question: 18. A viscous that the following molecule (adhesion molecules) can be present in the white blood cells, the white cells can be adhered to the vascular endothelium (blood vessel endothelium) on?

Answer: Integrins

Choices:
A. E-selectins
B. iCams
C. Integrins
D. Fibronectin


Question: 38. The following cartilage tissue that may be additional growth (appositional growth)? ① hyaline cartilage (hyaline cartilage) ② Elastic cartilage (elastic cartilage) ③ fibrous cartilage (fibrocartilage)

Answer: ①②

Choices:
A. ①②
B. ①③
C. ②③
D. ①②③


Question: Which of the following is closest to the actual age bone age (chronological age)?

Answer: Familial short stature (genetic short stature)

Choices:
A. Constitutional growth delay (constitutional growth delay)
B. Familial short stature (genetic short stature)
C. Growth hormone deficiency (growth hormone deficiency)
D. Low energy thyroid disease (hypothyroidism)


Question: 5 mg / dL, Amylase: 1,054 U / L, Lipase: 7,000 U / L, CT follows, the possible diagnoses Why?

Answer: Input terminal bowel syndrome (afferent loop syndrome)

Choices:
A. Inflammation of the pancreas (pancreatitis)
B. Ileus (intestinal obstruction)
C. Ischemic bowel necrosis (ischemic bowel)
D. Input terminal bowel syndrome (afferent loop syndrome)


Question: As shown, a vacuum suction assisted vaginal delivery, the most suitable place of the vacuum suction device fetal head position. The following statements is not placed on the advantages of the premises?

Answer: Help head stretch (extension)

Choices:
A. Provided the biggest attraction Road
B. Help head stretch (extension)
C. Make the most of the fetal head through the pelvis trails export
D. When the vacuum suction to reduce auxiliary production, and the opportunity to disengage the fetal head


Question: A 68-year-old man with chest tightness phenomenon in motion, it will significantly improve after the break. Heart Thallium-201 nuclear medicine examination revealed left ventricular anterior wall ischemia (Ischemia). Which of the following blood indicators (Marker) can be used to predict the likelihood of heart attack he happen in the future?

Answer: C-reactive protein

Choices:
A. Troponin T or Troponin I
B. Circulating antibodies against chlamydia pneumoniae
C. MB isomer of creatine kinase（CK-MB）
D. C-reactive protein


Question: From the previous question, the aforementioned patient care, following the disposal of that inappropriate?

Answer: Admitted to the intensive care unit in general wards, the standard adopted protective measures and to contact isolation

Choices:
A. Admitted to the intensive care unit in general wards, the standard adopted protective measures and to contact isolation
B. At least the first day of hospitalization for respiratory isolation must be taken
C. The family live, as soon as possible administration of prophylactic antibiotics rifampin
D. Direct contact with nose and mouth secretions of medical personnel as soon as possible administration of prophylactic antibiotics ciprofloxacin


Question: In gynecological cancer chemotherapy drugs, chemical drugs Which of the following does not belong alkaloids (plant alkaloids)?

Answer: gemcitabine

Choices:
A. vincristine
B. gemcitabine
C. etoposide
D. paclitaxel


Question: Related to cell cycle (cell cycle) of the narrative, Which statement is correct?

Answer: May be subjected to various MAP kinase (mitogen-activated protein kinase) Regulation

Choices:
A. In turn can be divided into M phase, Gl phase, G2 phase, S phase, and then back to the M phase
B. May be subjected to various MAP kinase (mitogen-activated protein kinase) Regulation
C. The growth was inhibited by an outer cytokines (growth factor)
D. As long as cell survival, cell cycle will continue to be


Question: Which of the following is part of the urogenital diaphragm?

Answer: Deep transverse perineal muscle

Choices:
A. Piriformis
B. Levator ani
C. Deep transverse perineal muscle
D. Urethra cavernous muscle


Question: 56 Currently pituitary tumor, that group of patients The most common drugs used to treat:  nonfunctioning tumor   prolactinoma auxin TSH melanoma tumor 


Question: Which of the following error description about social anxiety disorder (social anxiety disorder (social phobia)) of?

Answer: Typically early as in the initial hair ⽣ Face

Choices:
A. The main fear is the case from personal criticism or evaluation of vision
B. Often accompanied escape ⾏ Face group and social occasions for
C. Case for fear that such social excessive or unreasonable
D. Typically early as in the initial hair ⽣ Face


Question: Protein kinase A (Protein kinase A) which has the following characteristics?

Answer: Atopic and cyclic AMP binding enzymes (allosteric site) binding the activated enzyme

Choices:
A. Binding cyclic AMP activated covalent bond
B. And cyclic AMP inhibits covalent bonds
C. Atopic and cyclic AMP binding enzymes (allosteric site) binding the activated enzyme
D. By competitive inhibition of cyclic AMP


Question: Which of the following circumstances, not recurrent parathyroid gland surgery reason?

Answer: Blood aluminum than 2 mg / dL

Choices:
A. Blood aluminum than 2 mg / dL
B. Bone pain, pruritus
C. Calcium> 11 mg / dL, parathyroid hormone exceeds 1000 pg / mL
D. Osteoporosis density check T <-2.5


Question: Which of the following is the nerves that innervate the front side of the scrotum?

Answer: Ilioinguinal nerve

Choices:
A. Femoral nerve
B. Pudendal nerve
C. After femoral cutaneous nerve
D. Ilioinguinal nerve


Question: One worker was sent to the emergency, suspected of accidentally exposed to cyanide poisoning cause (cyanide poisoning). Narrative about the cyanide poisoning of the following, whichever is correct?

Answer: The cyanide with cytochrome C oxidase (cytochrome c oxidase) in the heme a3 (heme a3) of Fe3 + tightly bound, can not cause electron transfer, mitochondrial respiration and thereby stopping power generation, resulting in cell death

Choices:
A. Inhaled cyanide gas poisoning is not easy, because there are a lot of lung detoxification system
B. The cyanide with cytochrome C oxidase (cytochrome c oxidase) in the heme a3 (heme a3) of Fe3 + tightly bound, can not cause electron transfer, mitochondrial respiration and thereby stopping power generation, resulting in cell death
C. Antidotes such as sodium nitrite (sodium nitrite) protein is denatured hemoglobin (methemoglobin) is converted to oxygenated hemoglobin protein (oxyhemoglobin)
D. The nervous system will not be affected


Question: Of severe trauma patients, postoperative need enough nutritional supplements to maintain physiological function and tissue recovery. The adequacy of nutritional supplements, the following can be assessed by various biochemical assays, except for whichever?

Answer: Globulin (globulin)

Choices:
A. Albumin (albumin)
B. Globulin (globulin)
C. Prealbumin (prealbumin)
D. Transferrin (transferrin)


Question: Stimulate the lacrimal gland (lacrimal gland) secreted by postganglionic parasympathetic nerve fibers (parasympathetic postganglionic fibers) to which of the following sources automatically?

Answer: Pterygopalatine ganglion (pterygopalatine ganglion)

Choices:
A. Ciliary ganglion (ciliary ganglion)
B. Knee ganglion (geniculate ganglion)
C. Pterygopalatine ganglion (pterygopalatine ganglion)
D. Earphones ganglion (otic ganglion)


Question: 36-year-old painter Lin, the body has always been healthy, 10 days ago suffering from a slight cold, and progressive weakness 5 days to appear, somewhat numb extremities, shortness of breath Shaojue, but sane, and no dysphagia or not articulate clear the situation, and therefore to the clinic for help. Lin Which of the following is most likely to suffer from the disease?

Answer: Acute inflammatory demyelinating polyneuropathy syndrome (Guillain-Barré syndrome)

Choices:
A. Myasthenia gravis (myasthenia gravis)
B. Polymyositis (Polymyositis)
C. Acute inflammatory demyelinating polyneuropathy syndrome (Guillain-Barré syndrome)
D. Brainstem stroke


Question: About narrative of stomach cancer, which of the following error?

Answer: Diffuse (diffuse-type) in a high gastric cancer incidence than the intestinal region (intestinal-type) multi gastric cancer, poor prognosis

Choices:
A. Borrmann type III gastric cancer (Borrmann type 3) means a gastric ulcer stomach merger violated (ulcerating lesions with
B. Intestinal (intestinal type) well differentiated gastric gastric cancer is more often (well differentiated), and transferred to the blood transfer mode more often
C. Diffuse (diffuse-type) in a high gastric cancer incidence than the intestinal region (intestinal-type) multi gastric cancer, poor prognosis
D. APC (adenomatous polyposis coli) gene mutation (mutations) occur more frequently in the intestinal type (intestinal type) Gastric


Question: Which of the following is the most common breast cancer (thymic carcinoma)?

Answer: Cell carcinoma (squamous cell carcinoma)

Choices:
A. Adenocarcinoma (adenocarcinoma)
B. Lymphoid-like carcinoma (lymphoepithelioma-like carcinoma)
C. Neuroendocrine carcinoma (neuroendocrine carcinoma)
D. Cell carcinoma (squamous cell carcinoma)


Question: 18 a 49-year-old male patient, last month to feel general malaise and fatigue, biochemical examination revealed: total protein 5.9 g / dL, albumin 8 g / dL, ALT 105 U / L, AST 350 U / L, alkaline phosphatase 250 U / L (normal value <100 U / L), γ-glutamyl transpeptidase 292 U / L (normal <60 U / L), total bilirubin 6.8 mg / dL, direct bilirubin 4.1 mg / dL. Which of the following is the most likely diagnosis?

Answer: Alcoholic hepatitis

Choices:
A. Viral Hepatitis
B. Hemolysis
C. Gilbert's syndrome
D. Alcoholic hepatitis


Question: Which of the following does not show white blood cells to MHC class I tumor cells with inhibition effect?

Answer: NK cells

Choices:
A. CD4 T cells
B. NK cells
C. Plasma cells
D. CD8 T cells


Question: 56 year old man, after long-term use of topical steroids, appeared realm distinct red shift to the left side of the face and neck skin lesion above can be seen scattered in small red papules, with slight itching (Figure). Why is the most likely diagnosis?

Answer: Rosacea-like dermatitis (rosacea-like dermatitis)

Choices:
A. Red wine nevus (port-wine stain)
B. Lavender erythema (heliotrope erythema)
C. Rosacea-like dermatitis (rosacea-like dermatitis)
D. Cellulitis (cellulitis)


Question: When what headache, so that patients inhale 100% oxygen 15 minutes is an effective treatment?

Answer: Cluster headache (Cluster headache)

Choices:
A. Harbinger of migraine (Migraine with aura)
B. No sign of migraine (Migraine without aura)
C. Tension-type headache (Tension-type headache)
D. Cluster headache (Cluster headache)


Question: The assessment of nutritional status described below, whichever is wrong?

Answer: serum total iron binding capacity (TIBC)> 500 μg / dL underrepresented protein intake, might kwashiorkor (kwashiorkor)

Choices:
A. blood urea nitrogen (BUN) if less than 8 mg / dL, protein intake may be insufficient representatives
B. If serum creatinine less than 0.6 mg / dL, on behalf due to lack of long-term energy intake and loss of muscle (muscle wasting)
C. prothrombin time prolonged, may indicate vitamin K deficiency
D. serum total iron binding capacity (TIBC)> 500 μg / dL underrepresented protein intake, might kwashiorkor (kwashiorkor)


Question: After a 56-year-old truck driver accident, sometimes to the emergency room sweating phenomenon, private prosecution chest pain, blood pressure 64/40 mmHg, respiratory rate 40 beats / min, heart rate 110 beats / min. Following statements best distinguish cardiac tamponade (cardiac tamponade) tension pneumothorax (tension pneumothorax)?

Answer: Breath sounds (breath sounds)

Choices:
A. Tachycardia (tachycardia)
B. Pulse pressure (pulse pressure)
C. Jugular venous pressure (jugular venous pressure)
D. Breath sounds (breath sounds)


Question: After a baby was born seven days, after feeding the phenomenon of vomiting bile and vomit; upper gastrointestinal series as shown below, which of the following is the most likely diagnosis?

Answer: Abnormal intestinal torsion (abnormal intestinal rotation)

Choices:
A. Small intestine closure (intestinal atresia)
B. Duodenum closure (duodenal atresia)
C. Abnormal intestinal torsion (abnormal intestinal rotation)
D. Infantile hypertrophic pyloric stenosis (infantile hypertrophic pyloric stenosis)


Question: Happened "shoulder dystocia" (shown below) when the child delivery, which should be used to lift method?

Answer: Woods method (Woods)

Choices:
A. 马克罗伯斯 method (Mc Roberts)
B. Woods method (Woods)
C. Sapporo Where Donnelly Act (Zavanelli)
D. Tone method (Ritgen)


Question: 35 year old woman, G2P2, 40 weeks of pregnancy production had heavy bleeding, postpartum six months found no milk, no menstruation, hair loss, what the most likely diagnosis is:

Answer: Sheehan syndrome (Sheehan's syndrome)

Choices:
A. Cushing syndrome (Cushing's syndrome)
B. Sheehan syndrome (Sheehan's syndrome)
C. Johnson syndrome (Johnson syndrome)
D. Tracy syndrome (Meige's syndrome)


Question: Which of the following participate in exogenous coagulation factor activation path?

Answer: Factor 7

Choices:
A. Factor 7
B. Factor 5
C. 12 factor
D. 11 factor


Question: Statements about muscle tissue, Which statement is correct?

Answer: Lack of smooth muscle T-tubule, but by a small recess (of caveolae) and vesicles (vesicle) Calcium Transport

Choices:
A. A filament (thin filaments) and intermediate filaments (intermediate filaments) in the myocardium would be attached to a dense body (dense body)
B. Lack of smooth muscle T-tubule, but by a small recess (of caveolae) and vesicles (vesicle) Calcium Transport
C. T-tubule is located in the skeletal muscle sarcomere (sarcomere) of M-line
D. Skeletal muscle cells will form the indirect bonding tray intercalated (intercalated discs)


Question: Maxillary sinus opening (opening of maxillary sinus) the nasal cavity where the side wall?

Answer: Half split (semilunar hiatus)

Choices:
A. Bulla (ethmoidal bulla)
B. Half split (semilunar hiatus)
C. Under the nose (inferior nasal meatus)
D. Meatus (superior nasal meatus)


Question: 30. Which of the following congenital heart disease (congenital heart disease), at least seen in the birth week of severe cyanosis (severe cyanosis) phenomenon which happened?

Answer: Of simple aortic coarctation (simple coarctation of the aorta)

Choices:
A. Transposition of great arteries (transposition of the great arteries)
B. Of simple aortic coarctation (simple coarctation of the aorta)
C. Hypoplastic left heart syndrome (hypoplastic left heart syndrome)
D. Full consolidation abnormal pulmonary venous return backflow blocking (total anomalous pulmonary venous return with obstruction)


Question: That one of the following autoimmune disease is most common in type 1 diabetes (type 1 diabetes mellitus) sick children?

Answer: Chronic lymphocytic thyroiditis

Choices:
A. Chronic lymphocytic thyroiditis
B. Celiac disease
C. Atrophic gastritis
D. Addison disease


Question: The following is the kind of panic disorder common psychological defense mechanisms turn?

Answer: Substitution effect (Displacement)

Choices:
A. Rationalization effect (Rationalization)
B. Substitution effect (Displacement)
C. Dissociation action (Dissociation)
D. Repression (Suppression)


Question: Adults of nephrotic syndrome (nephrotic syndrome), if the kidney pathological changes of minimal-change nephropathy (minimal change disease), the first-line drugs that special treatment should be that of one of the following?

Answer: prednisolone

Choices:
A. cyclophosphamide
B. cyclosporine
C. chlorambucil
D. prednisolone


Question: A 35-year-old male truck driver, has always been in good health, which should be open in two years because of long-distance night train and taking amphetamines, the last two weeks of significant auditory hallucinations and paranoia, easy agitation (agitation) and irritability and wounded colleague, Which of the following error?

Answer: If depressive symptoms, mood stabilizers may be administered, such as carbamazepine

Choices:
A. Should stop using amphetamines
B. For short-term use of antipsychotics, such as haloperidol
C. If it is difficult to take care, physical restraint can be the first to reduce the risk of wounding self-injury, and then should be closely observed
D. If depressive symptoms, mood stabilizers may be administered, such as carbamazepine


Question: Mother and baby masculine cause during pregnancy, the most common reason why?

Answer: Luteoma

Choices:
A. Dermoid cyst
B. Luteoma
C. Brenner tumor
D. Yolk sac tumor


Question: Leydig cell related (Leydig cell), the following statements is this bad?

Answer: Roughness having a large number of endoplasmic reticulum (the RER)

Choices:
A. Located in the seminiferous tubules (seminiferous tubule) between interstitial (interstitial tissue)
B. Roughness having a large number of endoplasmic reticulum (the RER)
C. Reinke's cytoplasm containing crystalline
D. The tubular  containing cytoplasmic mitochondria (tubular cristae mitochondria)


Question: Account of the distal humerus fractures (distal humeral fracture), the error which of the following?

Answer: If using a posterior approach (posterior approach) surgery without routinely identify and protect the ulnar nerve (ulnar nerve)

Choices:
A. Fractures (displaced distal humeral intra-articular fracture) displaced intraarticular distal humerus healthy adults conservative treatment, functional outcome (functional outcome) is poor, it is now recommended multi-surgery
B. If using a posterior approach (posterior approach) surgery without routinely identify and protect the ulnar nerve (ulnar nerve)
C. For more complex fractures, except that X-rays outside the three-dimensional reconstruction may be supplemented by computer tomography (computerized tomography with three-dimensional reconstruction) to assist the interpretation of the fracture type
D. For the poor health situation of the elderly, if the functional requirements for the elbow is not high, regardless of the type of fracture of the distal humerus why, can be treated conservatively


Question: Of patients with bacterial meningitis obtain cerebrospinal fluid by lumbar puncture, and then observed a number of Gram-negative meningitis, the patient most likely been through what bacterial infections Gram stain examination under the microscope?

Answer: Neisseria meningitidis

Choices:
A. Neisseria meningitidis
B. Staphylococcus aureus
C. Pneumococcal
D. Enterococcus


Question: From the previous question, what is the most accurate diagnostic check this disease?

Answer: Traditional angiography (conventional angiography)

Choices:
A. CT angiography (computed tomography angiography)
B. Traditional angiography (conventional angiography)
C. Blood lactic acid (lactate)
D. Color Doppler ultrasound (color Doppler sonography)


Question: Which of the following is the nerve fibers pass through the lingual nerve (lingual nerve) in its own right?

Answer: Tongue general feeling part of a two-thirds

Choices:
A. Tongue general feeling part of a two-thirds
B. The inner tongue muscle control
C. Taste Tongue part of the two-thirds
D. Sublingual gland secretion of