Question: The following description of the related parasite, what's wrong?

Answer: Wild boar is Wei's lung fluke (Paragonimus westermani) reservoir host (reservoir host)

Choices:
A. In addition schistosomes (schistosomes), the other eggs of parasitic trematodes have human egg cover (operculum)
B. Wild boar is Wei's lung fluke (Paragonimus westermani) reservoir host (reservoir host)
C. US imports of fresh raw crayfish (crayfish) may be infected with Klinefelter lung fluke (Paragonimus kellicotti)
D. Egypt schistosome (Schistosoma haematobium) in patients with chronic infection, the higher the chances of suffering from bladder cancer


Question: The following narrative about the angiotensin converting enzyme inhibitors of what's right?

Answer: Can treat diabetic nephropathy (diabetic nephropathy)

Choices:
A. Can inhibit the production of bradykinin by substance P and the blood pressure fall from the sky
B. Cause reflex tachycardia, it does not apply for the treatment of heart failure
C. Can treat diabetic nephropathy (diabetic nephropathy)
D. And left and treated with potassium-sparing diuretics can prevent the occurrence of hyperkalemia


Question: Is generally believed that Alzheimer's disease is mainly due to what neurotransmitter (neurotransmitter) due to the reduction?

Answer: acetylcholine

Choices:
A. dopamine
B. serotonin
C. acetylcholine
D. norepinephrine


Question: Treatment of chest rehabilitation, the main purpose Which of the following is not intended to exclude sputum?

Answer: Diaphragmatic breathing (diaphragmatic breathing)

Choices:
A. Back percussion (chest percussion)
B. Effective cough (effective cough)
C. Postural drainage (postural drainage)
D. Diaphragmatic breathing (diaphragmatic breathing)


Question: Assess the adequacy of hemodialysis dose, the most commonly used indicators are:

Answer: KT / V

Choices:
A. Recirculation rate (recirculation rate)
B. KT / V
C. Blood flow (blood flow rate)
D. Dialysate flow rate (dialysate flow rate) 26 narrative about peritoneal dialysis, which of the following error?


Question: Praia's patches (Peyer's patches) are mainly distributed in the following Where?

Answer: Ileum (ileum)

Choices:
A. Rectum (rectum)
B. Jejunum (jejunum)
C. Ileum (ileum)
D. Duodenum (duodenum)


Question: Charcot ⾺ Lee disease (Charcot-Marie-Tooth disease) are ⽣ peripheral neuropathy production, likely to cause deformation of the lower extremities, where it ⼀ Neuro most likely to be violated?

Answer: Peroneal nerve (peroneal nerve)

Choices:
A. Peroneal nerve (peroneal nerve)
B. Tibial nerve (tibial nerve)
C. Femoral nerve (femoral nerve)
D. The saphenous nerve (saphenous nerve)


Question: A 1-year-old boy was found after birth ie determined after crying noise and lips cyanosis (cyanosis) phenomenon. In addition to the lips and extremities cyanosis phenomenon, but to the left of the chest can be heard 2-3 systolic heart murmur. Chest X-ray which is shown below. Which of the following is the most likely diagnosis?

Answer: Method Rockwell Snap disease (tetralogy of Fallot)

Choices:
A. Great vessels (transposition of great arteries)
B. Method Rockwell Snap disease (tetralogy of Fallot)
C. The total abnormal pulmonary venous return (total anomalous pulmonary venous return)
D. Remaining truncus arteriosus (persistent truncus arteriosus)


Question: Spinal muscular atrophy nerve (spinal muscular atrophy) can cause muscle atrophy in patients with widespread, but what muscle groups will not be affected?

Answer: Outside eye movement muscles

Choices:
A. Outside eye movement muscles
B. Respiratory muscle movement
C. Facial muscles
D. Sucking swallowing muscles


Question: From the previous question, if you want to stereotactic brain surgery, then Which of the following is the best choice?

Answer: Deep brain stimulation surgery (Deep brain stimulation) have a curative effect, and there is evidence of treatment (Evidence) of the method

Choices:
A. Deep brain stimulation surgery (Deep brain stimulation) have a curative effect, and there is evidence of treatment (Evidence) of the method
B. When the drug is difficult to control the trembling affect Richangshenghuo quality, this time to treat with surgery, the effect is still not good
C. Deep brain stimulation surgery, most patients are no longer taking the drug after surgery
D. Deep brain stimulation treatment machine rotation is to enhance the stimulation sites neurological


Question: From the previous question, Xiu Xiu and later hospitalized miscarriage, miscarriage following description of the drug and what was wrong?

Answer: Ritodrine inhibit uterine contractions, but will make the heart beat faster when the mother is too high a dose, decreased blood sugar

Choices:
A. There are signs of pregnancy is recommended in preterm between 24-34 weeks, to betamethasone 12 mg q24h × 2 doses, to promote fetal lung maturation and reduce the complications of premature children
B. Ritodrine inhibit uterine contractions, but will make the heart beat faster when the mother is too high a dose, decreased blood sugar
C. Using MgSO4 antagonism of calcium ions and magnesium ions to inhibit uterine contraction, if too high a dose of magnesium ions easily lead poisoning, the optimum therapeutic range of 4 ~ 7 mEq / L
D. Nifedipine is a calcium channel blocker (calcium channel blockers), and MgSO4 and be careful with severe hypotension


Question: Xiaojuan is 14-year-old high school students bit country, because this semester academic significantly regressed, become quiet, Tichongzengjia growing belly bulge and was found to have abnormal mother brought clinic. Physicians at the beginning to see the doctor, to be how to deal with the most appropriate?

Answer: The consent of the mother and Xiaojuan agree with part-time talks alone with Xiaojuan

Choices:
A. Must immediately undergo a physical checkups, and even explore the causes of pelvic examination
B. Girls often due to shy unwilling to cooperate with the inspection, and therefore can not agree with the consent of the girl, the first urine test for pregnancy
C. Only for clinical examinations for mothers concerns
D. The consent of the mother and Xiaojuan agree with part-time talks alone with Xiaojuan


Question: Back, right shoulder blade and the spine of the inner edge of the spinous processes (spinous process of vertebra) for traumatic hemorrhage, most likely a direct hurt branched Which of the following?

Answer: Carotid artery cross (transverse cervical artery)

Choices:
A. Scapular artery (suprascapular artery)
B. Subscapularis artery (subscapular artery)
C. Deep cervical artery (deep cervical artery)
D. Carotid artery cross (transverse cervical artery)


Question: Account of gestational diabetes (gestational diabetes), and which of the following error?

Answer: The impact on the fetus, including gestational diabetes than Rongyifasheng giant baby and neonatal hyperglycemia

Choices:
A. In addition to insulin (insulin), oral hypoglycemic drugs glyburide and metformin can also be used in pregnancy
B. The impact on the mother's gestational diabetes include hypertension and easier high caesarean section rate
C. The impact on the fetus, including gestational diabetes than Rongyifasheng giant baby and neonatal hyperglycemia
D. For gestational diabetes in high-risk groups (such as obesity, family history of diabetes, etc.), should first check-in will be screened for gestational diabetes


Question: Kidney volume increases mainly because of the increase due to the length of which of the following?

Answer: Bending the proximal tubule (proximal convoluted tubule)

Choices:
A. Curved distal tubule (distal convoluted tubule)
B. Collecting duct (collecting duct)
C. Bending the proximal tubule (proximal convoluted tubule)
D. Ureter (ureter)


Question: The following statements about true plethora (polycythemia vera), and what's right?

Answer: For most patients, bleeding was the most appropriate treatment

Choices:
A. Plasma erythropoietin (erythropoietin) increased
B. Rongyifasheng artery embolization patients, but there is little vein thrombosis
C. Platelet function were normal, so there is little bleeding symptoms
D. For most patients, bleeding was the most appropriate treatment


Question: A Puna Teng (acetaminophen) poisoning patients appear yellowing of the skin on the third day, dark brown urine, which is most likely due to toxic effects?

Answer: Liver toxicity (hepatotoxicity)

Choices:
A. Liver toxicity (hepatotoxicity)
B. Cardiac toxicity (cardiotoxicity)
C. Nerve toxicity (neurotoxicity)
D. Kidney toxicity (nephrotoxicity)


Question: The drawing shows a partial testicular tumor of a 40-year-old patient, following the relevant narrative, whichever is most inappropriate?

Answer: This tumor epidermal cysts

Choices:
A. Clinical manifestations often vicious
B. Often associated with other malignant germ cell tumors
C. Tumor markers AFP and β-HCG in the blood may rise
D. This tumor epidermal cysts


Question: The following cases involving the relationship between drug companies and doctors, what can be accepted on ethics?

Answer: Certain drug manufacturers have a meeting at the foreign drug development, drug dealers funded by the hospital physician assigned to participate

Choices:
A. The director of a hospital grade family physician to travel abroad, drug dealers responsible for transfers to the airport and return home
B. A medical center Gastroenterologists have symptoms of acid reflux, provides free drugs inhibit gastric acid secretion by the long-term drug dealers
C. A specialist in a hospital in the morning meeting, a long-serving breakfast by the drug dealers
D. Certain drug manufacturers have a meeting at the foreign drug development, drug dealers funded by the hospital physician assigned to participate


Question: 85.10-year-old child has a jaw tumor. Figure biopsy, a small tumor cells, nuclear regardless of leaf, common cell division. Then the following statements is an error?

Answer: This belongs to the tumor cell-derived T-

Choices:
A. There EB virus infection
B. The disease occurs in African children
C. This belongs to the tumor cell-derived T-
D. Although the fast growth of the tumor, but rare leukemic transformation


Question: 47. Mr. Lee, 75 years old, has repeatedly stroke and high blood pressure, history of diabetes, when neurological examination, no significant muscle weakness, but presented slurred speech, swallowing disorders, emotional incontinence (emotional incontinence) and both sides of the deep tendon reflection enhancement (hyperreflexia), Which of the following most correct?

Answer: May be pseudo bulbar palsy (pseudobulbar palsy)

Choices:
A. May be pseudo bulbar palsy (pseudobulbar palsy)
B. May be diabetic neuropathy, regardless of stroke
C. May be acute left cerebral hemisphere infarction (left hemisphere infarction), regardless of the past history of stroke
D. In addition to stroke, no other diseases can cause this symptom


Question: Head trauma caused by diffuse axonal injury (DAI), the following statements is wrong?

Answer: If the patient died, anatomy of the brain has obviously not normal appearance

Choices:
A. Patients usually do not have the Ching Ming period (lucid interval)
B. May not be obvious lesions on computed tomography (brain CT), but actually was a coma patient
C. If the patient died, anatomy of the brain has obviously not normal appearance
D. Visible hemorrhagic necrosis lesions in the corpus callosum (corpus callosum)


Question: The following groups of amino acids that directly involved in biosynthesis of creatine (creatine) of?

Answer: glycine, arginine, methionine

Choices:
A. tyrosine, glycine, glutamine
B. glutamate, cysteine, glycine
C. glycine, arginine, methionine
D. aspartate, glycine, cysteine


Question: Right above the clinical significance nystagmus diagram represents, the most likely diagnosis is:

Answer: Left cerebellopontine angle tumors (cerebello-pontine angle tumor)

Choices:
A. Right Meniere's disease (Ménière's disease)
B. Left Meniere's disease (Ménière's disease)
C. Right cerebellopontine angle tumors (cerebello-pontine angle tumor)
D. Left cerebellopontine angle tumors (cerebello-pontine angle tumor)


Question: After 72.71 year old man fell accidentally, abnormal neck pain, upper extremity tingling feeling associated with; T2-weighted magnetic resonance imaging scan lateral figures. The most likely diagnosis Why?

Answer: Ossification of the posterior longitudinal ligament row

Choices:
A. Ossification of the posterior longitudinal ligament row
B. Fascia and muscle pain
C. After generating spur
D. Disc


Question: The following statements about spinocerebellar ataxia (spinocerebellar ataxia), and what's right?

Answer: Some are autosomal dominant inheritance, and some are recessive inheritance, while others are sporadic

Choices:
A. Some are autosomal dominant inheritance, and some are recessive inheritance, while others are sporadic
B. Cause spinocerebellar ataxia (spinocerebellar ataxia) gene mutations in only three nucleotides repeats (trinucleotide repeat) extended type
C. Repeat three nucleotides (trinucleotide repeat) only in the extended position of the position encoder (coding region)
D. Parkinson's syndrome is mainly caused due to abnormal hypothalamus, will not have the phenomenon of cerebellar ataxia


Question: Using both screening tool to screen diseases (e.g.: X-ray photography using a breast and breast ultrasound examination for breast cancer screening), as long as any one of a positive reaction, it is necessary to arrange for further examination, known as a parallel assay (tests in parallel), which aims to increase:

Answer: The sensitivity (sensitivity)

Choices:
A. The sensitivity (sensitivity)
B. Specificity (specificity)
C. The incidence (incidence)
D. Prevalence (prevalence)


Question: Prenatal care should begin sooner the better know after pregnancy, at the first prenatal visit (about 8 to 12 weeks of pregnancy) project, that does not include one of the following?

Answer: Gestational diabetes screening

Choices:
A. Blood type, Rh factor and urine routine examination
B. Blood routine examination, including thalassemia screening (mean corpuscular volume MCV)
C. Gestational diabetes screening
D. Syphilis screening


Question: For children under five, which is the narrowest part of the airway Why?

Answer: cricoid cartilage

Choices:
A. tongue base
B. vocal cords
C. cricoid cartilage
D. thyroid cartilage


Question: 50 Barrett's esophagus to esophageal resection shall be carried out when?  who have Barrett's esophagus are to be removed  Low grade dysplasia who  High grade dysplasia who  Cancer


Question: The following statements about the prognosis of schizophrenia, what's wrong?

Answer: Emotional symptoms and poor prognosis

Choices:
A. Young men, educated, good premorbid function who have more prone to suicide risk
B. The earlier the onset of recession and there are autistic behavior worse the prognosis
C. Emotional symptoms and poor prognosis
D. Negative symptoms than those who have a poor prognosis positive symptoms


Question: Can be used for differential diagnosis of lower activity levels delirium (delirium) and best checking why depression?

Answer: Brainwave

Choices:
A. Spinal tap spinal fluid examination
B. Brainwave
C. Brain tomography
D. Biochemical tests


Question: Lysosomal storage disease is due to a particular lysosomal enzyme hydrolysis of the resulting lack, such as Gaucher's disease, Pompe disease, mucopolysaccharidosis, and psychosis. Currently there is a new treatment, the use of the plant cells to produce lysosomal enzymes, a method of playing back and then intravenous injection the patient. On this enzyme replacement therapy, a narrative that error?

Answer: These protein molecules easily enter the brain, relieve symptoms of nerve

Choices:
A. Enzymes into the patient, after being taken up by cells to the lysosomal fulfill its function in
B. These protein molecules injected into the patient, it may be recognized as foreign by the body to produce antibodies
C. These protein molecules easily enter the brain, relieve symptoms of nerve
D. Mucopolysaccharidosis caused bone lesions, treatment often is not easy to recover


Question: Which of the following is not a disease hyperemesis gravidarum (hyperemesis gravidarum) is a typical example?

Answer: stomach ache

Choices:
A. stomach ache
B. Weight loss
C. 酮血 disease (ketonemia)
D. Hypokalemia


Question: On clinical symptoms and diagnosis of mediastinal tumors, the following statements is wrong?

Answer: More than two thirds of patients have symptoms found

Choices:
A. Clinical symptoms depends on the tumor location, size and degree of malignancy
B. There may be Horner's syndrome (Horner syndrome) occurs
C. Thymoma may have symptoms of myasthenia gravis
D. More than two thirds of patients have symptoms found


Question: Which of the following do not bronchiectasis simple lobectomy indications?

Answer: Bilateral severe bronchiectasis

Choices:
A. The combined loss of patient medical treatment repeated pneumonia
B. Repeated coughing up blood affect the normal life
C. Bilateral severe bronchiectasis
D. Localized single lobe bronchiectasis


Question: Lin young girl suffering from leukemia, because after a long time with traditional cancer treatment drugs, reduced immunity, in order to avoid oral candidiasis of opportunistic infections, commonly Which of the following drugs to prevent?

Answer: Nystatin

Choices:
A. Griseofulvin
B. Miconazole
C. Terbinafine
D. Nystatin


Question: The role of antibiotics machine turn and side effects, the following statements is true?

Answer: Rapid injection of vancomycin (vancomycin), the most common side effects Reds syndrome (red man syndrome), mainly caused by the release of histamine into the machine (histamine) of

Choices:
A. Rapid injection of vancomycin (vancomycin), the most common side effects Reds syndrome (red man syndrome), mainly caused by the release of histamine into the machine (histamine) of
B. Head cyclosporine (cephalosporin) of inhibitory effect, a major role in inhibition of protein synthesis
C. Quinolones machine into a major role in the inhibition of cell wall synthesis
D. The main mechanism of action of erythromycin Switch inhibition of DNA synthesis


Question: What kind of sprays following drugs are the first line treatment of acute asthma emergency room?

Answer: β2-agonists

Choices:
A. chromones
B. glucocorticoids
C. β2-agonists
D. leukotriene modulators


Question: The following related liver fatty infiltration locality (fatty infiltration) description of the image, what's wrong?

Answer: CT showed liver damage or passage of vessels

Choices:
A. Liver CT showed low density (low density) region
B. CT showed liver damage or passage of vessels
C. MRI images of T1 spin echo difficult to clearly show localized lesions
D. Ultrasound scans can exhibit high echo region


Question: The following information about REM sleep disorder is discolored special ⾏ (REM sleep behavior disorder), and what's right?

Answer: Usually appears in late at night

Choices:
A. Usually appears in late at night
B. Each hair ⽣ usually fixed mode operation
C. After the date is likely to become Azihaimo ⽒ disease
D. Most dreams are pleasant


Question: Lee received 30 years ago because of gastric ulcer surgery to remove part of the stomach, since the recent month, began to appear on a pre-dinner abdomen dull pain, reduced food intake and meal belch gas and so on, while the weight is also reduced from sixty kilograms fifty-two kg. Lee most likely diagnosis Why?

Answer: Stomach cancer

Choices:
A. Recurrent ulcer
B. Duodenal ulcer and gastric outlet stenosis
C. Stomach cancer
D. Gastric disorders


Question: A 55 year old female patient, no past history of kidney, urine output due to decreasing Tichongzengjia last week and was hospitalized. Physical examination: blood pressure 180/110 mmHg, pulse 72 / min, respiratory rate 16 / min, breath sounds normal rhythm rules no noise, no flat abdominal tenderness, lower extremity edema significant sag. Blood tests: hemoglobin 10 gm / dL, leukocyte 10500 / μL, albumin 2.5 g / dL, BUN 35 mg / dL, creatinine 3.0 mg / dL; Urine: protein (3+), red blood cells 20 to 25 particles / high power field, and can see the red blood cells cylinder. After this patient underwent kidney biopsy, the most appropriate approach for treatment?

Answer: Immunosuppressants (immunosuppressive therapy)

Choices:
A. Broad-spectrum antibiotics (broad-spectrum antibiotics)
B. Immunosuppressants (immunosuppressive therapy)
C. Emergency hemodialysis (emergent hemodialysis)
D. Added albumin (albumin infusion)


Question: An older woman fall, resulting in femoral neck fracture (fracture of femoral neck) and when hurt neighboring structure, Which of the following most likely to occur?

Answer: Femoral nerve (femoral nerve) fracture

Choices:
A. Thigh extreme abduction (abduction)
B. Femoral nerve (femoral nerve) fracture
C. The femoral artery (medial circumflex femoral artery) Fracture
D. Femoral ligament (ligament of head of femur) Fracture


Question: Description degenerative dementia (Alzheimer's disease) is about, what's wrong?

Answer: You can use acetylcholinesterase (Acetylcholinesterase) inhibitor clinically to relieve abnormal cognitive symptoms, but often there will be side effects of high blood pressure patients

Choices:
A. Cholinergic degenerative dementia patients before their brain (basal forebrain) of (cholinergic) neurons degradation
B. Degenerative cerebral cortex of patients with Alzheimer's disease (cerebral cortex) and hippocampus (Hippocampus) regions often found to occur amyloid plaques (amyloid plaques) of
C. You can use acetylcholinesterase (Acetylcholinesterase) inhibitor clinically to relieve abnormal cognitive symptoms, but often there will be side effects of high blood pressure patients
D. Memantine as a N-methyl-D-aspartate receptor antagonist, for patients with degenerative dementia also has the effect of treatment


Question: 52.25 Miss Ho-year-old to the hospital diagnosed, height 156 cm, weight 75 Kg, BMI = 30.8, a lot of acne on his face, before too long and 2 times more than the amount of bleeding had occurred, the last period was three months ago, this 3 months, both before and after the 15th of each month, a 1-day micro-bleeding, which of the following non-necessary checks?

Answer: Chromosome

Choices:
A. Determination of blood concentration of estradiol (E2), FSH and LH of
B. Urine pregnancy test
C. Chromosome
D. Obstetrics and gynecology ultrasound examination


Question: The following nutrients whichever is unable to provide energy directly?

Answer: Vitamins

Choices:
A. Carbohydrate
B. protein
C. Vitamins
D. fat


Question: Related to chronic obstructive pulmonary disease (COPD) patients, the results of lung function tests, which of the following is most correct?

Answer: Lung volume (total lung capacity) increased

Choices:
A. Vital capacity (vital capacity) increase
B. Lung volume (total lung capacity) increased
C. Lung margin (residual volume) decreased
D. Maximum autonomy ventilation (maximal voluntary ventilation) increase


Question: 75 a 37-year-old male patient with back pain for many years, its pelvic X-rays as shown, the most likely diagnosis is:

Answer: ankylosing spondylitis

Choices:
A. rheumatoid arthritis
B. osteoarthritis
C. gouty arthritis
D. ankylosing spondylitis


Question: Statements about typical angina (angina pectoris), the following best inappropriate?

Answer: Angina often projected trapezius (trapezius muscle)

Choices:
A. Typically chest pain lasting for about 2-5 minutes, which can be projected discomfort to the shoulder or upper
B. Chest pain may also be projected to the back, the lower jaw (Jaw) and neck
C. Angina often projected trapezius (trapezius muscle)
D. Angina rarely occurs in the lower region of the navel


Question: 25.15-year-old female patient with familial and easy bleeding, she is easy to nosebleeds, menstrual volume, anemia. The results showed that the blood sample: bleeding time more than 30 minutes, PT 10 seconds (control 11 seconds), aPTT 48 seconds (control 30 seconds), Hb 5.0g / dL, platelet count 480 × 103 / mm3. The most likely diagnosis is:

Answer: von Willebrand disease

Choices:
A. hemophilia A
B. hemophilia B
C. von Willebrand disease
D. Bernard-Soulier syndrome


Question: Heroin addiction cases usually easy to incorporate that kind of diagnosis compared with the second shaft?

Answer: Antisocial personality disorder (antisocial personality disorder)

Choices:
A. Paranoid personality disorder (paranoid personality disorder)
B. Antisocial personality disorder (antisocial personality disorder)
C. Narcissistic personality disorder (narcissistic personality disorder)
D. Dependent personality disorder (dependent personality disorder)


Question: The large 30 20 month-old boy for three consecutive days due to diarrhea and vomiting hospitalized. Physical examination showed that the patient does not respond to stimuli, upper arms and legs occasionally twitching (twitching) phenomenon. Assess the degree of dehydration of 10%, serum electrolytes test results Na +: 114 mEq / L; Cl-: 82 mEq / L; HCO3-: 15 mEq / L, BUN 43 mg / dL. Urine examination showed randomly select a specific gravity of 1.021, Na +: 12 mEq / L. This patient the best immediate disposal should be:

Answer: Intravenous injection of 3% saline serum sodium concentration was increased 1-2 mEq / hour rate, 8 hours

Choices:
A. Diuretics furosemide 2 mg / kg to increase the extracellular osmotic pressure drain
B. Intravenous 0.45% saline in glucose 12 consecutive hours
C. Intravenous injection of 3% saline serum sodium concentration was increased 1-2 mEq / hour rate, 8 hours
D. Intravenous phenobarbital to control seizures, and then 0.6% NaCl intravenous


Question: A 22-year-old women were infertile egg retrieval operation 6 days ago, 20 eggs were taken after 2 days implantation of three embryos. Today I come to the emergency, complained of breathing difficulties, abdominal distension, nausea, urine reduced. Ultrasound detection of ovarian swelling of about 6 cm sides, a large number of ascites. That one of the following is not suitable for disposal?

Answer: Playing diuretics Lasix

Choices:
A. Playing diuretics Lasix
B. Blood test CBC, electrolytes, GPT (ALT), BUN, creatinine
C. Pumping ascites
D. Give a lot of normal saline


Question: Gastric (gastric gland) in the ECL (enterochromaffin-like) cells to secrete:

Answer: histamine

Choices:
A. pepsin
B. somatostatin
C. gastrin
D. histamine


Question: When asthma patient using a spray formulation can be made bronchiectasis, and this effect is not inhibited by the β-blocker, in addition, this drug is generally not of the central nervous, Bioavailability less than 40% when administered orally, the drug product that?

Answer: Ipratropium 57 following which the drug is part of short-acting cholinesterase inhibitor, for diagnosing myasthenia gravis?

Choices:
A. Atropine
B. Scopolamine
C. Glucocorticoid
D. Ipratropium 57 following which the drug is part of short-acting cholinesterase inhibitor, for diagnosing myasthenia gravis?


Question: The following kind of bacteria grown on a medium migration (Swarming) features, and generates and kidney stones (renal stones) most relevant?

Answer: Proteus mirabilis (Proteus mirabilis)

Choices:
A. Proteus mirabilis (Proteus mirabilis)
B. Clayey marcescens (Serratia marcescens)
C. Enterobacter aerogenes (Enterobacter aerogenes)
D. Klebsiella pneumoniae (Klebsiella pneumoniae)


Question: 38 year old woman uremia undergoing dialysis for eight years, after a kidney transplant in good condition for more than a year ago and found blood intact parathyroid hormone (iPTH) concentration of 205 pg / mL during routine examination, blood calcium was 12 mg / dL, this time can be diagnosed as:

Answer: Three rounds of hyperparathyroidism (tertiary hyperparathyroidism)

Choices:
A. Primary hyperparathyroidism (primary hyperparathyroidism)
B. Secondary hyperparathyroidism (secondary hyperparathyroidism)
C. Three rounds of hyperparathyroidism (tertiary hyperparathyroidism)
D. Recurrent hyperparathyroidism (recurrent hyperparathyroidism)


Question: When 70-year-old female patient received sub-total gastrectomy (subtotal gastrectomy), the following statements is wrong?

Answer: Does not require the use of prophylactic antibiotics

Choices:
A. Does not require the use of prophylactic antibiotics
B. Have a good hemostatic
C. Do not leave foreign objects in surgical site
D. Maintain normal body temperature of the patient


Question: 78-year-old people live in nursing homes long stroke, since the last three weeks in the body and limbs, multiple skin rash, KOH check as shown. The most likely diagnosis Why?

Answer: Scabies mites infection

Choices:
A. Fungal infections
B. Scabies mites infection
C. Molluscum
D. Body lice infection


Question: Car accident caused the middle ulna fracture and injuries to the ulnar artery (ulnar artery), the following is the most appropriate location where direct pressure to stop bleeding?

Answer: Cubital fossa (cubital fossa)

Choices:
A. Armpit (axilla)
B. Upper arm in the middle (mid arm)
C. Cubital fossa (cubital fossa)
D. Snuff area (snuff box)


Question:
12 five years old male patient, B hepatitis with the original three decades, was taken to the emergency, complained this morning began to vomit blood, cold sweats. Physical examination, blood pressure 92/54 mmHg, heart rate 131 times / min, pale, slightly yellow skin, abdominal swelling and there beat blunt tone shifting (shifting dullness) phenomenon, laboratory blood test Hb 7.5 gm / dL, platelet 80000 / 1, albumin 2.5 mg / dL, globulin
 6 mg / dL, total bilirubin 2.3 mg / dL, PT 16.3 / 11.8 sec, PTT 32.5 / 32.0 sec. This patient most likely diagnosis is:

Answer: Esophageal gastric varices hemorrhage (bleeding esophagogastric varices)

Choices:
A. Esophageal gastric varices hemorrhage (bleeding esophagogastric varices)
B. Peptic ulcer bleeding (bleeding peptic ulcer)
C. Acute gastric mucosal lesion (acute gastric mucosa lesion)
D. Mallory-Weiss syndrome (Mallory-Weiss syndrome)


Question: 84 year old man massive bleeding ulcer, systolic blood pressure dropped to 60 mmHg, a history of failure determined that the blood pressure boosting agent barely maintained at about 90/65 mmHg, blood urea nitrogen (BUN) was raised to 145 mg / dL, muscle anhydride (creatinine) 11.5 mg / dL, the total amount of urine each day only 75 cc, heme is 7 g / dL, blood transfusion and infusion therapy a lot about 2,500-3,500 mL / day, following which dialysis therapy for him is most appropriate?

Answer: Continuous venovenous hemodialysis (continuous veno-venous hemodialysis; CVVH / D)

Choices:
A. Continuous venovenous hemodialysis (continuous veno-venous hemodialysis; CVVH / D)
B. Continuously movable peritoneal dialysis (continuous ambulatory peritoneal dialysis; CAPD)
C. Intermittent hemodialysis (intermittent hemodialysis; IH / D)
D. Blood perfusion (hemoperfusion; HP)


Question: The following aggregation of what drugs are not ⾎ ⼩ board antagonist?

Answer: heparin

Choices:
A. dipyridamole
B. aspirin
C. heparin
D. ticlopidine


Question: Gestational trophoblastic disease (Gestational trophoblastic disease) if no transfer, the most common treatment method:

Answer: methotrexate 或 actinomycin-D

Choices:
A. Hysterectomy
B. Pelvic radiation therapy
C. methotrexate 或 actinomycin-D
D. cisplatin or taxol


Question: According to the US treatment guidelines for children with effusion earphones inflammation (otitis media with effusion), and in uncomplicated cases, effusion in the earphones Face inflammation disease should be closely observed how long after diagnosis, before doing step into ⼀ listen care has been taken to test or manual treatment?

Answer: 3 Month

Choices:
A. 1 Month
B. 2 Month
C. 3 Month
D. 6 Month


Question: Statements about times-onset hypertension, whichever is correct?

Answer: Renal artery fibromuscular dysplasia (Fibromuscular dysplasia) or atherosclerotic plaque formation, causing vascular stenosis, resulting in high blood pressure

Choices:
A. Blood pressure and renal artery stenosis is the most common cause of high all times essential hypertension inside
B. Renal artery fibromuscular dysplasia (Fibromuscular dysplasia) or atherosclerotic plaque formation, causing vascular stenosis, resulting in high blood pressure
C. Aldosterone adrenal tumors producing too much time is the cause of essential hypertension, often performance: sodium accumulation, renin hypertension, hyperkalemia, low blood (Renin) activity
D. Pheochromocytoma (Pheochromocytoma) 80% chance of hereditary from belonging autosomal dominant (Autosomal dominant) Genetic


Question: About the scleritis (episcleritis), the following statements is wrong?

Answer: Use of 10% phenylephrine eye, the sclera congestion will not let white blood vessels, and thus can scleritis (scleritis) for identification

Choices:
A. Occur in the 20-50 year-old patient
B. Use of 10% phenylephrine eye, the sclera congestion will not let white blood vessels, and thus can scleritis (scleritis) for identification
C. Comparative scleritis, belong to the more benign, and most can be automatically relieve
D. May relapse


Question: For the description of neuroendocrine tumors (neuroendocrine tumor), the following best right?

Answer: May be associated with pituitary tumor or parathyroid tumors

Choices:
A. Benign tumors
B. Only occurs in the gastrointestinal tract and pancreas
C. Injection compstatin analogs (somatostatin analogue), the most effective treatment
D. May be associated with pituitary tumor or parathyroid tumors


Question: Which of the following drugs can enhance nerve GABA online worms and arthropods - The role of muscle at the junction?

Answer: Ivermectin

Choices:
A. Glutamic acid
B. Picrotoxin
C. Pyrimethamine
D. Ivermectin


Question: In the respiratory chain (respiratory chain), the following enzyme complex which contains copper ions in its electron transfer?

Answer: cytochrome c oxidase

Choices:
A. NADH-Q oxidoreductase
B. succinate-Q reductase
C. Q-cytochrome c oxidoreductase
D. cytochrome c oxidase


Question: Stapedius (stapedius muscle) and how these same muscles innervated by cranial?

Answer: After the belly of the digastric (posterior belly of digastric muscle)

Choices:
A. After the belly of the digastric (posterior belly of digastric muscle)
B. Wing muscle (medial pterygoid muscle)
C. Superior rectus (superior rectus muscle)
D. Stylopharyngeus (stylopharyngeal muscle)


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

Answer: Most of the child's lymphoma lymphoblastic lymphoma (lymphoblastic lymphoma) and follicular lymphoma (follicular lymphoma)

Choices:
A. Nasal NK / T cell lymphoma and EB virus has a very strong association
B. Broadly speaking, T cell lymphoma, B-cell lymphoma course more serious, poor prognosis
C. CD20-positive B cells, and CD3 positive T cells
D. Most of the child's lymphoma lymphoblastic lymphoma (lymphoblastic lymphoma) and follicular lymphoma (follicular lymphoma)


Question: mRNA precursor must be spliced out what its intron via the following items?

Answer: Performed by the spliceosome

Choices:
A. They do not rely on their own splicing other factors
B. Performed by the spliceosome
C. Controlled by RNA polymerase
D. Controlled by the RNA helicase


Question: The following account of clavicle fracture (midshaft clavicular fracture) and distal clavicle fracture (distal clavicular fracture) of, what's wrong?

Answer: Distal clavicle fracture (distal clavicular fracture) common than mid-clavicular fracture (midshaft clavicular fracture)

Choices:
A. Distal clavicle fracture (distal clavicular fracture) common than mid-clavicular fracture (midshaft clavicular fracture)
B. Distal clavicle fractures (distal clavicular fracture) treated conservatively nonunion rate (nonunion rate) than the clavicle fracture (midshaft clavicular fracture) High
C. Most of the clavicle fracture (midshaft clavicular fracture) use conservative treatment, obtain a good healing rate (union rate)
D. The Neer's classification, the second distal clavicle fractures (type II distal clavicular fracture), the coracoclavicular ligament (coracoclavicular ligament) may be peeled from the proximal end of the bone segment


Question: When infants and young children because trauma was brought to the emergency, caregivers following statements is most reasonable?

Answer: 1 year and 2 months of age caught tablecloth dining table, hot soup on the table so that the next turn burns of the face

Choices:
A. 2 month-old baby stand up fell into bed himself hit head
B. Big four month old baby foot card to the bed rails, so that the thigh fracture during the break of their own
C. Iron own hit 5-month baby crawling and hot hand
D. 1 year and 2 months of age caught tablecloth dining table, hot soup on the table so that the next turn burns of the face


Question: A 3-year-old girl from infancy start how symptoms drink urine. Urine detection permeability found in the urine (urinary osmolality) values below 150 mOsm / kg, the sodium ion concentration in urine of Diyuzhengchang urine permeability of the child can not be administered to restrict water or vasopressin increase the value of the mode, the following whichever is the most likely diagnosis?

Answer: Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)

Choices:
A. Central diabetes insipidus (central diabetes insipidus)
B. Nephrogenic diabetes insipidus (nephrogenic diabetes insipidus)
C. Chronic pyelonephritis (chronic pyelonephritis)
D. Psychogenic diabetes insipidus (psychogenic diabetes insipidus)


Question: Which of the following β-adrenoceptor antagonists of the elimination half-life (elimination half-life) Minimum?

Answer: esmolol

Choices:
A. bisoprolol
B. esmolol
C. nadolol
D. propranolol


Question: 94.45-year-old woman, thyroid nodular, symmetry zoomed swollen, no adhesions with the surrounding tissue. Laboratory examination revealed ⾎ have anti-microsomal antibodies (antimicrosomal antibody). Pathological changes in the microstructure shown in the monitor, Which of the following is the most likely diagnosis?

Answer: ⽒ Hashimoto's thyroiditis (Hashimoto thyroiditis)

Choices:
A. ⽒ Hashimoto's thyroiditis (Hashimoto thyroiditis)
B. Subacute thyroiditis (subacute thyroiditis)
C. Fred ⽒ thyroiditis (Riedel thyroiditis)
D. Chronic fibrous thyroiditis (chronic fibrosing thyroiditis)


Question: 72-year-old Chen old woman, suffering from diabetes has been 10 years, long-term rules taking hypoglycemic drugs, blood sugar before meals about controlled at about 180 mg / dL. Nearly three months, the gradual emergence of palm weakness and inflexible, often at night because burning sensation of the extremities and can not sleep. The following clinical symptoms, it is one of the most unlikely Chen old lady who appeared?

Answer: Babinski sign showing big toe dorsiflexion reaction (dorsiflexion response)

Choices:
A. Tendon hyporeflexia
B. Postural hypotension (orthostatic hypotension)
C. Palm muscular atrophy
D. Babinski sign showing big toe dorsiflexion reaction (dorsiflexion response)


Question: 28 a 14-year-old girl, two weeks ago was found on both sides of the shoulder is not as high, compared with the right shoulder blade raised. She was taken to hospital, is to determine the right thoracic scoliosis primary of adolescence (adolescent idiopathic scoliosis), Cobb's angle 25 °, Risser sign 4. Which of the following is the most appropriate of the treatment?

Answer: Observed

Choices:
A. Observed
B. Wearing a back frame
C. Electrical stimulation
D. Surgical treatment


Question: Which of the following separate sciatic notch (greater sciatic notch) and lesser sciatic notch (lesser sciatic notch)?

Answer: Ischial spine (ischial spine)

Choices:
A. Posterior superior iliac spine (posterior inferior iliac spine)
B. Ischial spine (ischial spine)
C. Ischial tuberosity (ischial tuberosity)
D. Pubic tubercle (pubic tubercle)


Question: Tuberous sclerosis clinical characterization does not include:

Answer: Optic nerve glioma

Choices:
A. Optic nerve glioma
B. Heart rhabdomyoma
C. Retinal hamartoma
D. Brain cortical tuber


Question: The most effective treatment of paralytic intestinal obstruction why?

Answer: Give a lot of hydration, nasogastric drainage, improve sepsis and metabolic or electrolyte abnormalities

Choices:
A. Use Cisapride
B. Use Neostigmine
C. Use Erythromycin
D. Give a lot of hydration, nasogastric drainage, improve sepsis and metabolic or electrolyte abnormalities


Question: When the kidneys blunt trauma, associated with renal vascular damage (Vascular injury) who accounted for what percentage?

Answer: 1%

Choices:
A. 50%
B. 35%
C. 15%
D. 1%


Question: BRIEF is a flow of lipid metabolism, wherein the product which A, B and C each represent?

Answer: 甲：very-low-density lipoprotein、乙：low-density lipoprotein、丙：chylomicron

Choices:
A. 甲：low-density lipoprotein、乙：very-low-density lipoprotein、丙：chylomicron
B. 甲：high-density lipoprotein、乙： low-density lipoprotein、丙：chylomicron
C. 甲：very-low-density lipoprotein、乙：low-density lipoprotein、丙：chylomicron
D. 甲：low-density lipoprotein、乙： high-density lipoprotein、丙：chylomicron


Question: 76. The nomenclature in accordance with the recommendations of the Enzyme Commission (EC) enzyme, catalyzes the reaction "glucose + ATP → glucose-6-phosphate + ADP" Which of the following enzymes should be attributed to the enzyme category?

Answer: transferase

Choices:
A. hydrolase
B. ligase
C. oxidoreductase
D. transferase


Question: The following about the varicella zoster virus (VZV) narrative, what's wrong?

Answer: Belonging to the pox virus family

Choices:
A. Belonging to the pox virus family
B. Can cause recurrent herpes zoster
C. In the children's cause systemic skin blisters
D. Is a DNA virus


Question: Young male anatomy normal upright position, paired surface marker (landmark) and the structure of the body, Which statement is correct?

Answer: Sword chest joint (xiphisternal joint) level: T9 vertebra

Choices:
A. Jugular notch (jugular notch) plane: C7 vertebrae
B. Sternal angle (sternal angle) to the horizontal plane: T2 vertebral
C. Sword chest joint (xiphisternal joint) level: T9 vertebra
D. Male nipples: front 6th intercostal


Question: Statements about bile and gallstones, which of the following error?

Answer: Gallstone pain caused mainly by stones gallbladder wall friction caused by

Choices:
A. Liver bile per day normally from about 500 to 1,000 ml
B. The incidence of gallstones increases with age
C. Gallstone pain caused mainly by stones gallbladder wall friction caused by
D. In general, better gallstones in women


Question: Features About scrapie infectious protein (scrapie-like prion protein, PrPSC) is, which of the following error?

Answer: Is generated by gene mutation

Choices:
A. Is generated by gene mutation
B. Resistant to formalin
C. Resistant to high temperature 80oC
D. UV resistant


Question: Which of the following is not a ligament connection between different bones?

Answer: Coracoacromial ligament (coracoacromial ligament)

Choices:
A. Sternoclavicular ligament (sternoclavicular ligament)
B. Coracoacromial ligament (coracoacromial ligament)
C. Coracoclavicular ligament (coracoclavicular ligament)
D. Coracobrachialis ligament (coracohumeral ligament)


Question: Which of the following forms the outer side wall of the anal ischial fossa (ischioanal fossae) of?

Answer: Obturator muscle

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


Question: The following information about frozen shoulder (frozen shoulder) of rehabilitation treatment, whichever is the most correct description?

Answer: Physical therapy and joint activities with hyperthermia therapy

Choices:
A. Physical therapy and joint activities with hyperthermia therapy
B. Treatment of joint activities to be done under anesthesia
C. Rehabilitation treatment to rely on hospital equipment, components before implementation
D. Rehabilitation therapy can achieve one hundred percent cure effect, it does not send


Question: Which of the following is the most common side effects of sulfonamides?

Answer: Allergic skin reaction

Choices:
A. Neurological symptoms such as headache and lethargy
B. Neonatal jaundice
C. Allergic skin reaction
D. hepatitis


Question: Which of the following most will not affect the hemoglobin (hemoglobin) of oxygen saturation?

Answer: Cytokines

Choices:
A. Partial pressure of oxygen
B. temperature
C. PH
D. Cytokines


Question: The following diagnostic criteria for autism, what's wrong?

Answer: Symptoms usually appear after the age of 10

Choices:
A. Significantly delayed language development
B. There are significant social dysfunction
C. Repetitive or obvious fixing behavior
D. Symptoms usually appear after the age of 10


Question: A 70-year-old man smoked for fifty years, had one day smoke a pack and a half after bladder cancer surgery into about half a pack of cigarettes a day, coronary heart disease, hypertension, chronic obstructive pulmonary disease, doctors advised him to quit smoking. In general, the following statements about quitting, what's wrong?

Answer: Weight loss is a common phenomenon when using nicotine smoking cessation preparations

Choices:
A. Long-term smoker, quit smoking immediately available on the health helpful
B. Quitting smoking can reduce and get a chance to reduce mortality from cancer
C. Nicotine is an important factor in long-term smoking causes addiction
D. Weight loss is a common phenomenon when using nicotine smoking cessation preparations


Question: One mother with her big baby boy six months to a pediatric emergency department, complained of the little baby since birth, has 10 episodes of otitis media and was hospitalized with pneumonia twice in the past medical history, found that babies when physical examination there are multiple bruising (bruises), there are many limbs eczema (eczema), do you think the little boy likely diagnosis is:

Answer: Wiskott-Aldrich syndrome

Choices:
A. Ataxia-telangiectasia
B. Wiskott-Aldrich syndrome
C. X-linked agammaglobulinemia
D. Combined variable immunodeficiency


Question: When forced expiratory (forced expiration), following what the most difficult phenomena occur?

Answer: Pleura internal pressure (intrapleural pressure, Pip) is not higher than atmospheric pressure (atmospheric pressure, Patm)

Choices:
A. Pleura internal pressure (intrapleural pressure, Pip) is not higher than atmospheric pressure (atmospheric pressure, Patm)
B. Intercostal nerve (internal intercostal nerve) excited
C. Inner medulla (medulla oblongata) Some ventral respiratory group of neurons (ventral respiratory group neuron) excited
D. In any case force the gas in the portion of the bronchioles (bronchiole) can not be exhaled


Question: Human acquired immune deficiency occurs virus (HIV) infection the most important period for the mother and child:

Answer: childbirth

Choices:
A. The first and second pregnancy
B. Third pregnancy
C. childbirth
D. breast-feeding


Question: Postganglionic fibers 28 issued by the pterygopalatine ganglion (pterygopalatine ganglion) is not governed:

Answer: Pupillary sphincter (sphincter pupillae)

Choices:
A. Pupillary sphincter (sphincter pupillae)
B. Nasal mucous gland (mucous glands)
C. The soft palate palatine glands (palatine glands)
D. Lacrimal gland (lacrimal gland)


Question: 41-year-old pregnant woman, G4P2AA1, for examination, the results shown below, the name being measured (between Double Ten) Why?

Answer: NT（nuchal translucency）

Choices:
A. BPD（biparietal diameter）
B. CRL（crown-rump length）
C. FL（femur length）
D. NT（nuchal translucency）


Question: Adrenocortical cells contain any of the following configuration items?

Answer: Secretory granules

Choices:
A. Fat drops
B. Secretory granules
C. Mitochondria
D. The smooth endoplasmic reticulum


Question: 3-year-old boy, left pupil whitening (leukocoria), receiving computer tomography, Figure A is an injection developer image, Figure B, compared with images after injection of the developer, which of the following is the most likely diagnosis?

Answer: Retinoblastoma (retinoblastoma)

Choices:
A. Lymphoma (lymphoma)
B. Transfer (metastasis)
C. Angioma (hemangioma)
D. Retinoblastoma (retinoblastoma)


Question: Three meals a normal person before lunch without eating, following that one is the main source of blood sugar?

Answer: Liver glycogen (glycogen)

Choices:
A. protein
B. Liver glycogen (glycogen)
C. Muscle glycogen
D. Adipose tissue glucose (glucose)


Question: When checking in bone marrow and soft tissue mass, check what items the most appropriate?

Answer: Magnetic resonance angiography

Choices:
A. CT scan
B. Magnetic resonance angiography
C. General X-ray
D. Isotope bone scan


Question: He is listed under immune factors and habitual abortion is not really relevant?

Answer: antiovarian antibody

Choices:
A. lupus anticoagulant
B. anticardiolipin antibody
C. antinuclear antibody
D. antiovarian antibody


Question: A young woman's face with severe acne (acne, acne), if you want to prescription vitamin A acid (retinoic acid), the following related description and what was right?

Answer: Cause birth defects have to take the risk of pregnancy

Choices:
A. Vitamin A acid is a vitamin K (vitamin K), derivatives
B. Cause birth defects have to take the risk of pregnancy
C. After just stop taking vitamin A acid one to two weeks of pregnancy, there can be no risk of fetal malformations
D. No human nucleus of vitamin A receptor (receptor)


Question: Which of the following unbranched supply adrenal gland?

Answer: Testicular artery

Choices:
A. Under phrenic artery
B. Abdominal aorta
C. Renal artery
D. Testicular artery


Question: If the fresh feces of patients with type containing infected (infective form), health care workers to take care of the patients are more susceptible to the parasite infection are:

Answer: Cryptosporidium (Cryptosporidium parvum)

Choices:
A. Cyclospora (Cyclospora cayetanensis)
B. People Sarcocystis (Sarcocystis hominis)
C. Such as Cryptosporidium (Isospora belli)
D. Cryptosporidium (Cryptosporidium parvum)


Question: In the diagnosis of occupational diseases, often needs the support of epidemiological data, the following evidence of the epidemiological data, the necessity whichever is lower for diagnosis of occupational diseases?

Answer: Most of those who will be exposed to a similar disease onset

Choices:
A. There must be exposed among the population, a disease than the control groups is the fact that high
B. This work should exposure has been shown to cause the disease
C. The onset of the disease or significant deterioration was only occurs after entering the workplace
D. Most of those who will be exposed to a similar disease onset


Question: The following are the main distribution place where post-synaptic dopamine type and a type II receptors (D1 / D2) of?

Answer: 殼核（putamen）

Choices:
A. 殼核（putamen）
B. Subthalamic nucleus (subthalamic nucleus)
C. Globus pallidus (globus pallidus)
D. 黑 質 (substantia nigra)


Question: Ubiquitination with the following statements about what items?

Answer: Protein degradation (degradation)

Choices:
A. Protein degradation (degradation)
B. Amino acid degradation
C. RNA degradation
D. Carbohydrate degradation


Question: Rapid eye movement sleep behavior disorder (REM sleep behavior disorder) that occurs most frequently in these patients?

Answer: Parkinson's disease (Parkinson's disease)

Choices:
A. Parkinson's disease (Parkinson's disease)
B. Ezihaimo disease (Alzheimer's disease)
C. Frontotemporal dementia (frontotemporal dementia)
D. Uremia (uremia)


Question: Which of the following is not a pancreatic cancer (carcinoma of the pancreas) risk factors?

Answer: Older than 70 years old

Choices:
A. Smoking, drinking
B. Older than 70 years old
C. Suffered more than 20 years of chronic pancreatitis
D. Lighter weight, body mass index (BMI) of less than 17


Question: According to "have the right mental health, mental health protection is the responsibility of" the meaning, which of the following error?

Answer: Suffering from mental illness is irresistible

Choices:
A. Suffering from mental illness is irresistible
B. No mental health can not be called healthy
C. We need to have national mental health policies
D. Social, political, economic, medical and other factors will affect the mental health


Question: Can be infected cell is a chromium salt solution:

Answer: Adrenal medulla cells (adrenomedullary cells)

Choices:
A. Adrenocortical cells (adrenocortical cells)
B. Adrenal medulla cells (adrenomedullary cells)
C. Parathyroid chief cells (chief cells of parathyroid gland)
D. Parathyroid eosinophils (oxyphil cells of parathyroid gland) 41 locking luteal (atretic corpus luteum) Which of the following is derived from?


Question: 26-year-old male, height 178 cm, weight 63 kg, good past health. Late one night suddenly right side of the chest pain and breathing difficulties when playing on the computer. Auscultation breath sounds on the left found many obvious than the right. Will Which of the following disposal of the more inappropriate?

Answer: Arrange bronchoscopy if there is to the right bronchus

Choices:
A. Arrange bronchoscopy if there is to the right bronchus
B. Arrangements for chest X-ray photography
C. Given oxygen treatment
D. Preparation of chest tube placement equipment and supplies


Question: Cytochromes that contain metal ions?

Answer: Fe2+

Choices:
A. Fe2+
B. Mg2+
C. Co2+
D. Ni2 +


Question: Which of the following viruses agglutination (hemagglutination) of blood cells?

Answer: Polio virus (Poliovirus)

Choices:
A. EB virus (Epstein-Barr virus)
B. Polio virus (Poliovirus)
C. Small DNA virus (Parvovirus) B19
D. Influenza virus (Influenza virus)


Question: For a description of the physiological functions of the large intestine, which of the following error?

Answer: The released body flatus, atmospheric air intake of the main

Choices:
A. The released body flatus, atmospheric air intake of the main
B. About colorectal cancer occur in the distal colon, there is a saying that because the distal colon than the lack of carbohydrates, the main line of the distal colon bacteria proteins putrefactive process, easy to accumulation of toxins caused by
C. short-chain fatty acids (comprising acetate, propionate and butyrate) for colorectal cell material is important to help the growth of normal cells and cancer cell growth inhibition function
D. Dietary fiber (dietary fiber) in, water-soluble may be decomposed intestinal bacteria produce short-chain fatty acid, water-insoluble can be used to treat constipation


Question:
74.
 51 year old male patient complains of pain in the right hip for several years, X-rays such as hip figures, the most likely diagnosis is:

Answer: avascular necrosis

Choices:
A. subchondral cyst
B. bone metastasis
C. osteomyelitis
D. avascular necrosis


Question: Xiao Ming, 13 years old, tall and fat, after nearly two months long standing, dull pain in the left groin, today gym class, and the pain got worse suddenly unable to stand and walk, X-ray examination in the emergency room the display as shown below, most likely the diagnosis is:

Answer: Left femoral growth plate slippage

Choices:
A. Right hip bursa meningitis
B. Left femoral growth plate slippage
C. Between left intertrochanteric fractures
D. Left avascular necrosis


Question: Account of the spine burst fractures (burst fracture), the Which statement is correct?

Answer: Vertebral body collapse unstable fracture of greater than 50%

Choices:
A. Dryer transfer occurs and Chance's spine fractures same
B. Rongyifasheng osteoporosis patients
C. Vertebral body collapse unstable fracture of greater than 50%
D. Compared with spinal compression fractures (compression fracture), nerve damage occurs less


Question: Which of the following symptoms, not caused by H. pylori (Helicobacter pylori)?

Answer: Esophageal reflux (gastroesophageal reflux)

Choices:
A. Gastritis (gastritis)
B. Gastric lymphoma (MALT lymphoma)
C. Esophageal reflux (gastroesophageal reflux)
D. Stomach cancer (gastric cancer)


Question: 43-year-old woman recently often ill medical treatment, the main symptoms are rapid heartbeat, run, tremor. She felt as if unable to breathe, suffocating feeling, each episode is very short time, received a lot of checks but can not get a definite answer, and I feel a little scared and depressed. Which of the following is the most likely diagnosis?

Answer: Panic attacks (panic attacks)

Choices:
A. Generalized anxiety disorder (generalized anxiety disorder)
B. Hyperventilation (hyperventilation)
C. Functional compulsive disorder (obsessive compulsive disorder)
D. Panic attacks (panic attacks)


Question: From the previous question, about the narrative of this tumor, which of the following error?

Answer: Adult lesions will disappear naturally

Choices:
A. If no change in color and irregular shape, but gradually becomes large, which is not immediately observed to be cut
B. Although the tumor is benign, but still possible after basal cell carcinoma or other skin cancers thereon
C. Adult lesions will disappear naturally
D. In addition to surgery, carbon dioxide laser is also a choice of treatment


Question: Ezetimibe hypolipidemic agents inhibit the intestinal absorption of cholesterol (cholesterol), thereby reducing blood LDL levels. Which of the following subject of the role of drugs for this purpose?

Answer: transport protein NPC1L1

Choices:
A. HMG-CoA reductase
B. apoB-100
C. transport protein NPC1L1
D. microsomal triglyceride transfer protein（MTP）


Question: Following a situation that will reduce the theophylline (theophylline) of clearance (clearance), resulting in elevated blood concentration of theophylline drugs?

Answer: heart failure

Choices:
A. heart failure
B. smokes
C. Use rifampicin
D. The use of phenobarbital


Question: Statements about gestational trophoblastic disease (gestational trophoblastic disease), and Which statement is correct?

Answer: Complete mole (complete mole) was more than double set of chromosomes, all chromosomes are paternal

Choices:
A. Incidence rate per 10,000 in a normal pregnancy occurs
B. beta-hCG value of a patient is typically lower than expected
C. Partial mole (partial mole) mostly three chromosomes, often malignant changes after treatment
D. Complete mole (complete mole) was more than double set of chromosomes, all chromosomes are paternal


Question: When the 30-year-old male patient, due to an unexpected left-sided chest pain, difficulty breathing and to the emergency room for medical treatment, found the lower left lung field tactile tremor (tactile fremitus) reduce palpation (palpation), when the knock diagnosed as hyper-resonant, auscultation reduce breath sounds, which of the following is the most likely diagnosis?

Answer: Left pneumothorax

Choices:
A. Left pleura 腔積 water
B. Left pneumothorax
C. Emphysema
D. The left lower lobe pneumonia


Question: Breast cancer patients sometimes use of Tamoxifen (hormone antagonists) do for adjuvant therapy. The following description of the relevant agents of this, what is correct?

Answer: After entering the cell, binding hormone receptors, changes in gene expression

Choices:
A. Tamoxifen is a male hormone antagonist (antagonist)
B. Hormone receptor negative breast cancer patients better
C. Via specific receptors of the cell surface (receptor) into a cell
D. After entering the cell, binding hormone receptors, changes in gene expression


Question: 11-year-old Lin Xiaodi is the school track and field athlete of the school team. Recently, he found that the left knee at the upper end of the leg side, below the edge of the patella about 4 centimeters swelling up, looks like uplift of the hill; when pressed hard, painful. In particular pain during exercise in running or jumping them, but like the rest. But when the pain will turn into a break these days, especially one in particular, then by the time squatting, sitting to stand up. Lin Xiaodi most likely happened:

Answer: Osgood-Schlatter's disease

Choices:
A. Hopper knee (jumper's knee)
B. Osgood-Schlatter's disease
C. Baker's cyst (Baker's cyst)
D. Prepatellar bursitis (prepatellar bursitis)


Question: He's following nerve branch, including its postganglionic fibers (postganglionic fibers), does not appear in the tympanic (tympanic cavity) in?

Answer: Eighth cranial nerve

Choices:
A. Eighth cranial nerve
B. The seventh cranial nerve
C. Ninth cranial nerve
D. Sympathetic


Question: For the following motor endplate membrane potential (end plate potential) of the description, what is correct?

Answer: Occurs in skeletal muscle cell membrane excitability belonging membrane potential (excitatory membrane potential)

Choices:
A. Occurs in skeletal muscle cell membrane excitability belonging membrane potential (excitatory membrane potential)
B. Occurs on neuronal membrane movement, excitatory belonging membrane potential (excitatory membrane potential)
C. Occurs in skeletal muscle membranes, membrane potential belonging inhibitory (inhibitory membrane potential)
D. Occurs on the movement of the membrane of neurons, are inhibitory membrane potential (inhibitory membrane potential)


Question: 75 she was a 21-year-old woman, with a history of past spina bifida (spina bifida), because the last four days of fever, chills and pain on both sides of the rib ridge angle and sent to the emergency room. She has placed catheter, readme past there have been similar symptoms dozen times. Grew up being told physicians' kidneys and bladder nerve allergies. " Because this problem taking a lot of medication. Physical examination found patient temperature 40 ℃, but some soft abdominal tenderness, on both sides of the rib ridge angle has a significant knock pain, hematuria urine collection bag can be found. Which of the following is the most likely diagnosis in this patient?

Answer: Acute pyelonephritis

Choices:
A. Acute hemorrhagic cystitis
B. Acute glomerulonephritis
C. Acute pyelonephritis
D. Berger's disease (IgA nephropathy)


Question: Paroxysmal joint pain began to appear about six months before the 32.38-year-old Xie. Include joint pain patients had a left knee, double wrist, left 2, 3,

Answer: Anti-cyclic citrullinated antibody (anti-cyclic citrullinated peptides antibodies)

Choices:
A. Serum uric acid (serum uric acid)
B. Hands X-ray photography (X-ray of both hands)
C. Anti-cyclic citrullinated antibody (anti-cyclic citrullinated peptides antibodies)
D. Wrist ultrasonography


Question: Placement of central venous catheters (central venous catheter), following the position that most anesthesiologists anesthesia is used during surgery?

Answer: right internal jugular vein

Choices:
A. subclavian vein
B. antecubital vein
C. femoral vein
D. right internal jugular vein


Question: And head and neck cancer narrative about human papilloma virus (human papilloma virus, HPV) correlation, which of the following error?

Answer: Poor response to chemotherapy and radiation therapy, and prognosis of HPV-positive oropharyngeal cancer

Choices:
A. In various parts of the head and neck views with the highest HPV-related oropharyngeal cancer (oropharyngeal cancer)
B. In all HPV subtypes, relationship type 16 with head and neck cancer is most closely
C. HPV E6 protein produced will inhibit function of p53, E7 and pRb proteins will inhibit the function
D. Poor response to chemotherapy and radiation therapy, and prognosis of HPV-positive oropharyngeal cancer


Question: Judgment on lung cancer can not be removed (nonresectability) of the case, that does not include one of the following?

Answer: Pancoast syndrome infringe on the brachial plexus (brachial plexus) support

Choices:
A. Recurrent laryngeal nerve palsy (recurrent laryngeal nerve palsy)
B. Superior vena cava syndrome (superior vena cava syndrome)
C. Violation of the main pulmonary artery (involvement of main pulmonary artery)
D. Pancoast syndrome infringe on the brachial plexus (brachial plexus) support


Question: 19-year-old male patient complained of lower back pain. The picture shows the lumbar spine X-ray photography and computer tomography of this treatment. The most likely lesion why?

Answer: some interarticularis

Choices:
A. Pedicle
B. some interarticularis
C. Facet joint
D. Lamina


Question: Statements about the acute prostatitis, which of the following error?

Answer: In order to obtain bacterial culture of the acute phase, to be prostate massage, then a solution of urine or prostatic fluid bacterial culture.

Choices:
A. Usually bacteria entering the urethra or because of a backflow of urine infection to the prostate tubules (prostatic ducts) caused
B. Adults are more common, but rarely seen in boys before puberty
C. In order to obtain bacterial culture of the acute phase, to be prostate massage, then a solution of urine or prostatic fluid bacterial culture.
D. When the acute phase of the urine and blood of white blood cells often rise


Question: Eating wax bacillus (Bacillus cereus) contaminated food, can cause gastroenteritis, mainly due to the two kinds of the bacteria secrete enterotoxin (enterotoxin) caused by one is not stable to heat, can cause diarrhea, the role of this toxin why turn the machine?

Answer: Ions interfere with the host cell permeability, cell dehydration resulting

Choices:
A. Inhibition of host cell protein synthesis
B. Inhibiting the release of acetylcholine, cholinergic blocking neurotransmission peripheral neurites
C. Ions interfere with the host cell permeability, cell dehydration resulting
D. Decomposition host cell ribosomes, enzyme synthesis block


Question: 81 following tumor invasion (Invasion) of the four stages, and then discharged to the order request from:  tumor cell migration (Migration of tumor cells)  attached to a substrate (Attachment to matrix components)  tumor cells detached from each other (Dettachment of tumor cells from each other)  exploded extracellular parent material (Degradation of extracellular matrix)


Question: Which of the following and deputy thyroid (inferior parathyroid gland) have the same embryonic origin?

Answer: Thymus (thymus)

Choices:
A. Thyroid (thyroid gland)
B. Carotid sinus (cervical sinus)
C. Windpipe (trachea)
D. Thymus (thymus)


Question: The next step is to check what to do?

Answer: Colposcopy biopsy

Choices:
A. Colposcopy biopsy
B. Three months later to do a pap smear
C. Endometrial segmented CURETTAGE
D. Observed


Question: Which of the following is not a typical stress reaction response?

Answer: Miosis

Choices:
A. Rise in blood sugar
B. Increased blood pressure
C. Miosis
D. Sweat gland secretion


Question: The following related carpal tunnel syndrome (carpal tunnel syndrome) description of what's wrong?

Answer: Carpal tunnel through the nerves to the radial nerve (radial nerve)

Choices:
A. Carpal tunnel through the nerves to the radial nerve (radial nerve)
B. Tinel's sign positive
C. If the patient thenar (thenar muscle) on behalf of severe atrophy or weakness of the movement of nerve compression occurs
D. Diagnosis may be determined through the nerve conduction velocity (nerve conduction velocity) Check


Question: Serotonin reuptake inhibitor (SSRI) for the treatment of that disease rarely?

Answer: Schizophrenia

Choices:
A. Depression
B. Schizophrenia
C. Obsessive-compulsive disorder
D. Panic Disorder


Question: Which of the following form associated with liver bare area (bare area) of?

Answer: Diaphragmatic close to here

Choices:
A. Lesions caused
B. Stomach close to here
C. Gallbladder close to here
D. Diaphragmatic close to here


Question: 48 a 21-year-old female patient was seeking treatment early because No, normal height, but breast hypoplasia and no armpit and pubic hair, visible within the clinic vagina and cervix fully developed. In addition, patients also complain abnormal sense of smell, on this patient, the following statements is wrong?

Answer: Blood FSH, LH and E2 are most likely to appear hypergonadotropic hypogonadism

Choices:
A. Blood FSH, LH and E2 are most likely to appear hypergonadotropic hypogonadism
B. May be associated with uterine hypoplasia
C. May be associated with cleft lip and palate and hearing impairment
D. If the patient is no fertility considerations, can supplement estrogen and progesterone


Question: 88 The following information is six long mouse cancer cells, after radiation treatment survival time (months): 1.4, 1.7, 2.3, 2.5, 3.2 and 3.8. 8 This information during recording, was incorrectly recorded as 38, following a narrative that affect the statistic is correct?

Answer: The average increase

Choices:
A. The median increase
B. Increase the number of public
C. The average increase
D. The median and average while increasing


Question: Most patients Azihaimo disease, early in the disease most affected cognitive functions:

Answer: Episodic memory (episodic memory)

Choices:
A. Episodic memory (episodic memory)
B. Recognize a human face (face recognition)
C. The ability to wear clothes (dressing)
D. Personality changes (personality change)


Question: Vulva (vulvar cancer) stage Ia, i.e. micro-invasive carcinoma (microinvasive carcinoma), of less than or equal to 2 cm tumor, depth of invasion of which:

Answer: Less than 1 mm

Choices:
A. Less than 1 mm
B. Less than 2 mm
C. Less than 5 mm
D. Less than 8 mm


Question: A 60-year-old male suffering from lung cancer, must accept the right lung surgery. After the implementation of the single left lungs (one-lung ventilation) period of time during surgery, blood oxygen (PaO2) decreased, the error of the following statements?

Answer: Height ventilation should be used (Hyperventilation), so that the blood concentration of carbon dioxide (PaCO2) is less than 30 mmHg

Choices:
A. Can increase the respiratory rate, minute ventilation to increase lung
B. The oxygen concentration FiO2 may be inhaled into a 100%
C. 5-10 cm H2O using the end-expiratory pressure (PEEP) to the side of the lung ventilation
D. Height ventilation should be used (Hyperventilation), so that the blood concentration of carbon dioxide (PaCO2) is less than 30 mmHg


Question: The following drugs may decrease the activity of renin Ho (renin), thereby reducing the formation of angiotensin II?

Answer: Aliskiren

Choices:
A. Aliskiren
B. Hydrochlorothiazide
C. Losartan
D. Ramipril


Question: An anthropologist would like to investigate the effects of diet on the human body. Research data show before World War II: the average height of Japanese adult males is 64.0 inches, the standard deviation is 2.0 inches; the anthropologist in a recent study randomly selected 25 adult males in Japan, found that this sample the average height of 66.5 inches, a standard deviation of 3.0 inches. Adult males in Japan is assumed height of μ, and 95% confidence interval [mu] = (X, Y), where X = 66.5 - t × SE, Calculate SE =?

Answer: 3.0/5

Choices:
A. 2
B. 3
C. 2.0/5
D. 3.0/5


Question: 59 according to Anderson and D'Alonzo classification, that one of the following odontoid fractures (odontoid fracture) most Rongyifasheng engagement insufficiency (non-union)?

Answer: type II

Choices:
A. type I
B. type II
C. type III
D. type IV


Question: Early childhood meningitis caused by Haemophilus influenzae (Haemophilus influenzae) are mostly following the serotype (serotype)?

Answer: type b

Choices:
A. a type
B. type b
C. c-type
D. d type


Question: Xanthomas (xanthoma) lesions, foamy substance cytoplasmic accumulation of cells, most likely:

Answer: cholesterol

Choices:
A. Calcium phosphate
B. cholesterol
C. Think Mallory body
D. Uric acid


Question: Healthy women the most common vaginal normal flora why?

Answer: Lactobacilli

Choices:
A. Bacteroides
B. Staphylococcus aureus
C. Lactobacilli
D. After Garderella vaginalis 27 menopausal women are the most common pelvic tumors:


Question: 21. One has a 1 year-old boy weighing 7 kg, height 68 cm, the mother said, after the children finished their BCG injection site until now we can not heal. Since the big boys begin two months, there will be repeated diarrhea, pneumonia, general CBC / DC examination, has been lymphopenia 980 / mm3, lymphocyte subsets show CD3 + 2%, CD4 + 1%, CD8 + 1%,

Answer: Active use of therapeutic antibiotics and antibiotic prophylaxis, lifelong rule of IVIG, can have a high quality of life, no need to consider

Choices:
A. g) level displaying IgG 86 mg / dL,
B. Active use of therapeutic antibiotics and antibiotic prophylaxis, lifelong rule of IVIG, can have a high quality of life, no need to consider
C. After treatment control safe, active implementation of stem cell transplantation
D. After determining gene mutation, in order to develop specific treatment plans


Question: The reaction by the enzyme at extremely low mass concentration, the initial reaction rate will be measured by the concentration is proportional to the mass, the reaction rate constant should Which of the following?

Answer: Vmax / Km

Choices:
A. k cat
B. the cat × Km
C. Vmax / Km
D. 1/Km


Question: 31 year old woman, suffering from long-term menstrual pain, suspected endometriosis (endometriosis), which of the following ways to determine the diagnosis?

Answer: Laparoscopic sliced

Choices:
A. The ultrasound image
B. Physical examination (Visits) determination
C. CA-125 in blood test values higher
D. Laparoscopic sliced


Question: Azoles antifungal agents, by the above structure can be divided into two categories Imidazoles and Triazoles. Which of the following belong Imidazoles?

Answer: Ketoconazole

Choices:
A. Fluconazole
B. Ketoconazole
C. Itraconazole
D. Voriconazole


Question: Bearing on the question, with regard to the disposal of the patient, the following statements is wrong?

Answer: If the patient eventually died, mainly due to bacteria violations of the organization, but not with toxin

Choices:
A. CT to determine the scope of the lesion arrangements
B. Sample specimens from the site of infection as quickly as possible, and give appropriate antibiotic
C. Contact surgical debridement
D. If the patient eventually died, mainly due to bacteria violations of the organization, but not with toxin


Question: Which of the following is not the supply of blood at the nasal septum?

Answer: Lower lip artery

Choices:
A. Former ethmoid artery
B. Facial artery branch
C. Sphenopalatine artery
D. Lower lip artery


Question: Essential tremor (essential tremor) to which of the following main goals of the surgery?

Answer: Thalamus (thalamus)

Choices:
A. Thalamus (thalamus)
B. Hypothalamus (subthalamus)
C. Globus pallidus (globus pallidus)
D. Cerebral cortex (cerebral cortex)


Question: Illustrated two different atherosclerotic lesions (arteriosclerosis), relating to the following description, what is correct?

Answer: Left atherosclerotic disease is more likely to lead to lesions at right blocked artery stenosis

Choices:
A. The left artery atherosclerotic lesions are starting from the middle (media layer)
B. The right arteriosclerotic lesion was started by the arterial intima (intima layer)
C. Left lesions occurred only in the medium-sized muscular artery (medium-sized muscular artery)
D. Left atherosclerotic disease is more likely to lead to lesions at right blocked artery stenosis


Question: Which of the following non-allergic rhinitis as long-term maintenance therapy?

Answer: Nasal congestion to sprays (decongestants)

Choices:
A. Intranasal steroid sprays (corticosteroids)
B. Nasal congestion to sprays (decongestants)
C. Cromolyn sodium nasal spray (cromolyn sodium)
D. Antihistamine nasal sprays (antihistamines)


Question: Drinking water disinfection with chlorine, which can not effectively remove water vector-borne diseases following the original?

Answer: Giardia lamblia

Choices:
A. Vibrio cholerae
B. Salmonella
C. Giardia lamblia
D. Hepatitis A virus


Question: If you Neike Jia in the intensive care unit on duty, 65-year-old heart attack patients a sudden loss of vital signs, ECG showed ventricular fibrillation (ventricular fibrillation). At this point you have at hand a monophasic defibrillator (monophasic defibrillator), how to do next?

Answer: The shock is tuned to 360 joules, after the first shock did CPR immediately

Choices:
A. The defibrillator adjusted to 200 Joules (Joules), no post-shock reaction is continued up as 300 joules or 360 joules adjusted again shock
B. Do CPR immediately after the shock is tuned to 200 joules, shock three times in a row
C. The shock is tuned to 360 joules, after the first shock did CPR immediately
D. The shock is tuned to 200 joules, after the first shock did CPR immediately


Question: About Keshakefu's syndrome (Korsakoff's syndrome), symptoms occur is that at least one of the following?

Answer: Degenerative amnesia (retrograde amnesia)

Choices:
A. Recent memory disorders (recent memory impairment)
B. Forward amnesia (anterograde amnesia)
C. Degenerative amnesia (retrograde amnesia)
D. 虛 談 (confabulation)


Question: A 45 year old female, abnormal liver sonography, angiography images such as drawings, Which of the following is the most likely diagnosis?

Answer: Hepatic hemangioma (hepatic hemangioma)

Choices:
A. HCC (hepatocellular carcinoma)
B. Liver abscess (hepatic abscess)
C. Partial liver nodular hyperplasia (focal nodular hyperplasia; FNH)
D. Hepatic hemangioma (hepatic hemangioma)


Question: Which of the following conditions or medications, most unlikely ECG QT prolongation phenomenon?

Answer: Hyperthyroidism (hyperthyroidism)

Choices:
A. Bleeding (subarachnoid hemorrhage) under the arachnoid
B. Hypocalcemia (hypocalcemia)
C. Hyperthyroidism (hyperthyroidism)
D. amiodarone


Question:
44 a 68-year-old man suffering from chronic obstructive pulmonary disease for many years, recently exacerbated by coughing and breathing difficulties go to emergency room for medical treatment. Physical checkups patients found clear consciousness, shortness of breath, wheezing and chest auscultation call song. Chest X-ray is not the phenomenon pneumonia, arterial blood gas analysis while breathing air which pH 7.274, PaCO2 78 mmHg, PaO2 40 mmHg, HCO3- 36 mEq / L, BE +9 mEq / L.
 After giving oxygen, Which of the following is the most appropriate priority and the disposal?

Answer: Bronchodilator inhalation administration, and consider the use of non-invasive treatment of a respirator

Choices:
A. The speedy granting of an endotracheal tube and a respirator to improve acute respiratory failure
B. Administering an infusion of sodium bicarbonate to improve acidemia
C. Bronchodilator inhalation administration, and consider the use of non-invasive treatment of a respirator
D. Given oral steroids


Question: Decided ovarian cancer do not rely mainly on:

Answer: Ultrasonography

Choices:
A. The value of the level of tumor marker CA125
B. Clinical symptoms
C. Ultrasonography
D. The results of pathology


Question: From the previous question, patients can achieve long-term stable condition drug of choice for treating Why?

Answer: Serotonin reuptake inhibitor (SSRI)

Choices:
A. Benzodiazepines class (benzodiazepines.)
B. Mood stabilizers (mood stabilizers)
C. Serotonin reuptake inhibitor (SSRI)
D. Antipsychotics (antipsychotics)


Question: That one of the following check most sensitive in the detection of lung nodules (pulmonary nodule)?

Answer: Computer tomography

Choices:
A. Magnetic Resonance Imaging
B. Computer tomography
C. Ultrasound scan
D. Common X-ray Tablets


Question: Ms. Wang is a chronic type of residual schizophrenia (residual type), currently undergo regular drug treatment and mental rehabilitation in the psychiatric day ward, the patients than that following clinical signs can not appear?

Answer: Irritable and aggressive behavior

Choices:
A. Lack of social motivation
B. Few words
C. Indifferent mood
D. Irritable and aggressive behavior


Question: Account of Streptococcus pneumoniae (Streptococcus pneumoniae), and which of the following error?

Answer: Multivalent vaccine (polyvalent vaccine) is a surface protein (surface proteins) from a common serotype strains produced prepared

Choices:
A. Capsule (Capsule) generated resistant to phagocytosis (phagocytosis)
B. This fungus in the alveolar space (alveolar spaces) a lot of growth, can cause pneumonia (pneumonia)
C. Through proscenium acid (teichoic acid) and peptide glycan (peptidoglycan) fragments, can induce complement activation of alternative paths (alternative complement pathway)
D. Multivalent vaccine (polyvalent vaccine) is a surface protein (surface proteins) from a common serotype strains produced prepared


Question: He does not include the following structure thigh adductor canal (adductor canal)?

Answer: Femoral artery (femoral artery)

Choices:
A. Femoral artery (femoral artery)
B. Femoral vein (femoral vein)
C. Femoral nerve (femoral nerve)
D. The saphenous nerve (saphenous nerve)


Question: Which of the following is a competitive antagonist of benzodiazepine?

Answer: flumazenil

Choices:
A. pralidoxime
B. guanethidine
C. flumazenil
D. paraldehyde


Question: Europe and America about breast cancer mortality attributed the reasons for the decline, which of the following error?

Answer: breast self examination

Choices:
A. breast self examination
B. mammography screening
C. adjuvant hormonal therapy
D. adjuvant chemotherapy


Question: Which of the following is found that the most common cause of unilateral maxillary sinusitis clinically?

Answer: trauma

Choices:
A. infection
B. Nasal polyps
C. Tumor
D. trauma


Question: A 6-year-old mother took the children to the clinic for treatment, complained of fatigue merger abdominal pain, lower extremity physical checkups found the purple rash, edema of the eyelids and scrotum. The following statements is wrong?

Answer: Common thrombocytopenia and elevated IgA

Choices:
A. The rash may last for several days to several weeks
B. Sick children will be part of the merger, joint pain, knee and ankle joint to the most common
C. About 25-50% of sick children have hematuria or proteinuria, need regular follow-up urine test
D. Common thrombocytopenia and elevated IgA


Question: When gastric vagal afferent fibers (vagal afferent fibers) block, the following statements is true?

Answer: Reducing gastric acid secretion due to expansion (distension) caused by

Choices:
A. Increased gastric acid secretion by histamine (Histamine) stimulated
B. Secretion compstatin (Somatostatin) is reduced
C. Reducing gastric acid secretion due to expansion (distension) caused by
D. Due to reduced stomach gastrin stimulation caused by food protein (Gastrin) secretion


Question: About airway management, the following statements is wrong?

Answer: When using the laryngoscope (Laryngoscope), those for a left-handed, left-handed application of the endotracheal tube, the position spotted glottis (vocal cord) and put it into the endotracheal

Choices:
A. For patients with severe head and neck trauma and confusion, the push-pull technique should be used to maintain the airway of mandibular (jaw thrust
B. Patients with skull base fractures (Basal skull fracture) should not be used nasopharyngeal airway (Nasopharyngeal airway)
C. Adult female patients receiving endotracheal intubation, a rescuer can select an inner diameter of 7 mm endotracheal tube
D. When using the laryngoscope (Laryngoscope), those for a left-handed, left-handed application of the endotracheal tube, the position spotted glottis (vocal cord) and put it into the endotracheal


Question: Elderly patients receiving anesthesia following about comparing Rongyifasheng postoperative delirium (post-operative delirium) described phenomena, what's wrong?

Answer: A higher incidence of women

Choices:
A. Original visual or hearing impairment occurs higher proportion
B. Orthopedic or major surgery by accepting a higher incidence
C. With poor pain control higher incidence
D. A higher incidence of women


Question:
6.15-year-old boy due to acute renal failure and the need for emergency dialysis treatment. Urine examination revealed the boy had severe hematuria and proteinuria (24-hour urine protein value of 7.6 g / 24 hr). The blood serum albumin is 3.2 g / dL, serum complement C3, C4 were normal. Kidney sections found in Bowman's
 Has an inner capsule half cell hyperplasia (epithelial cell crescent formation), as shown in FIG, fluorescent staining of immune complex deposition. Which of the following most appropriate diagnosis?

Answer: IgA nephritis (IgA called nephropathy,) with acute renal failure

Choices:
A. After the acute streptococcal glomerulonephritis (poststreptococcal glomerulonephritis) with acute renal failure
B. IgA nephritis (IgA called nephropathy,) with acute renal failure
C. WHO classification of class IV lupus nephritis (WHO class IV lupus nephritis) with acute renal failure
D. ANCA-mediated glomerulonephritis (ANCA-mediated glomerulonephritis) with acute renal failure


Question: 43-year-old female patient, when the health check found elevated CA-199, to accept the abdominal imaging, the picture shows the cross-section of the pelvis ultrasound, CT below shows the most likely diagnosis Why?

Answer: Ovarian teratoma (ovarian teratoma)

Choices:
A. Ovarian cancer (ovarian cancer)
B. Ovarian teratoma (ovarian teratoma)
C. Endometriosis (superficial evils)
D. Ovarian follicular cysts (ovarian follicular cyst)


Question: Treatment on hyperkalemia (hyperkalemia) is, which of the following description of the error?

Answer: When intravenous injection of insulin improve hyperkalemia, can not simultaneously with glucose drip

Choices:
A. Supplementation all potassium ions
B. When the potassium concentration is higher than 6.5 mEq / L, the ECG may appear to peak T waves, further prolonged PR interval may occur
C. When intravenous injection of insulin improve hyperkalemia, can not simultaneously with glucose drip
D. If hyperkalemia bad reaction to medication, dialysis should be considered


Question: Notch (suprascapular notch) on the scapular scapular nerve (suprascapular nerve) injured, two muscle ⾁ that will be directly affected?

Answer: Spine muscles (supraspinatus) and the lower ratchet muscles (infraspinatus)

Choices:
A. The spine muscles (infraspinatus) and ⼩ teres (teres minor)
B. Three corner of muscle (deltoid muscle) and ⼩ teres (teres minor)
C. Spine muscles (supraspinatus) and the lower ratchet muscles (infraspinatus)
D. Spine muscles (supraspinatus) and subscapularis muscle (subscapularis)


Question: Account of deciduous pemphigus (pemphigus foliaceus), and which of the following error?

Answer: Histopathological examination of the lesion visible blisters epidermis

Choices:
A. Make good sites include the head, face and upper half of the torso
B. Often erythema, erosion and crusting lesions appear
C. Histopathological examination of the lesion visible blisters epidermis
D. Lesions direct immunofluorescence examination showed IgG deposited between epidermis keratinocytes


Question: Which of the following is not a mitral stenosis physical examination findings:

Answer: systolic murmur

Choices:
A. S1 accentuation
B. pre-systolic murmur
C. systolic murmur
D. opening snap


Question: The following statements about the vestibular system (vestibular system), the what's wrong?

Answer: Three and a half feeling regulation of the inflated receptacle located ampulla (ampulla), the called spot (Macula); sensory utricle and the receptacle of the balloon ridges (Crista)

Choices:
A. Vestibular labyrinth membrane (membranous labyrinth) comprises three semicircular canals (semicircular ducts), utricle (utricle) and a balloon (saccule)
B. Three and a half feeling regulation of the inflated receptacle located ampulla (ampulla), the called spot (Macula); sensory utricle and the receptacle of the balloon ridges (Crista)
C. Crest responsible for sensing angular acceleration (angular acceleration), plaques responsible for sensing linear acceleration (linear acceleration)
D. Left and right half of the pair is formed on the regulatory function of, when one side of the head movement causes excitement receptacle, the receptacle will be inhibited contralateral


Question: Which of the following is not a surgical indications for coronary artery disease combined with left ventricular aneurysm?

Answer: Infective endocarditis

Choices:
A. Congestive heart failure
B. Infective endocarditis
C. Angina
D. Ventricular arrhythmias


Question: Semen (Semen) contain secretory products of which of the following?

Answer: Penis (corpus cavernosum)

Choices:
A. Prostate (prostate gland)
B. Penis (corpus cavernosum)
C. Urethral glands (bulbourethral gland)
D. Seminal vesicle (seminal vesicle)


Question: Single thyroid nodule, diagnosis of benign or malignant, the most accurate method is:

Answer: Fine needle aspiration through cell

Choices:
A. Thyroid ultrasound
B. Nuclear medicine imaging scan
C. CT
D. Fine needle aspiration through cell


Question: 71.35-year-old Wang, a restaurant waiter, had complained of sore knees for three months. Her body mass index (BMI) was 32 Kg / m2, and recently she knows knee pain related to body weight, think now is the time to lose weight, ready to take action within a month. According across the theoretical model (transtheoretical model), Wang is a change in behavior that stage?

Answer: Preparation phase (preparation)

Choices:
A. No consideration phase (precontemplation)
B. Consider stages (contemplation)
C. Preparation phase (preparation)
D. Action stage (action)


Question: The following mechanisms of action of bacterial toxins that inhibit protein synthesis?

Answer: Shiga toxin (shiga toxin)

Choices:
A. Shiga toxin (shiga toxin)
B. Cholera toxin (cholera toxin)
C. Tetanus toxin (tetanospasmin)
D. Botox (botulinum toxin) 47 features on Staphylococcus aureus, and which of the following error?


Question: Which of the following options relative to other than lung cancer often have mutated epidermal growth factor receptor (epidermal growth factor receptor) gene?

Answer: Adenocarcinoma

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


Question: 45-year-old female chef, a red swelling around the right nail three months ago, and later the nail root turbidity and color distortion. KOH microscopy method as shown, what is the most likely diagnosis?

Answer: Candidiasis (candidiasis)

Choices:
A. 手 癬 (tinea hands)
B. Candidiasis (candidiasis)
C. Versicolor (tinea versicolor)
D. Sporotrichosis (sporotrichosis)


Question: Spleen, which of the following has a central artery (central artery)?

Answer: Periarterial lymphatic sheath (periarterial lymphatic sheath)

Choices:
A. Periarterial lymphatic sheath (periarterial lymphatic sheath)
B. Red pulp (red pulp)
C. Cortical
D. Cable spleen (splenic cord)


Question:
74.
 Patient complained of fever and right lower back pain, computer tomography presented in Figure that one of the following diagnosis about the right kidney of the most correct?

Answer: acute pyelonephritis

Choices:
A. acute pyelonephritis
B. renal cell carcinoma
C. angiomyolipoma
D. hydronephrosis


Question: The following is not the kind of immune cells most common in normal human blood?

Answer: Mast cells (mast cell)

Choices:
A. Eosinophil (eosinophil)
B. Lymphocyte (lymphocyte)
C. Monocytes (monocyte)
D. Mast cells (mast cell)


Question: For the treatment of male erectile penis (erection) obstacles Which of the following is least likely to adopt strategies or methods?

Answer: Promoting activity of phosphodiesterase

Choices:
A. Increase nitric oxide (NO) in the synthesis of
B. Activation of guanylyl cyclase activity
C. Promoting activity of phosphodiesterase
D. Prolonged presence of cyclic GMP (cGMP)


Question: The cause is not easy to amphetamine psychosis and psychosis disorder (schizophrenia) distinction, which is not an amphetamine psychosis caused by the characteristics?

Answer: Cut the emotional discomfort

Choices:
A. Cut the emotional discomfort
B. Visual hallucinations
C. Increased activity
D. Increased libido


Question: Found a 1-year-old boy for three months due to a high fever 3 days and the face of the rash for treatment, physical examination when his left index finger swelling blisters merge as shown, that one of the following is the most likely diagnosis?

Answer: Herpes simplex virus infection

Choices:
A. Hand, foot and mouth disease
B. chicken pox
C. Herpes simplex virus infection
D. Impetigo


Question: Pituitary prolactin tumor (prolactinoma) 1.8 cm and visual field defects, the following statements is most accurate?

Answer: Postoperative to regularly track

Choices:
A. ⼀ given effective drug treatment
B. After excision does not send the watch
C. Postoperative to regularly track
D. The watch surgery sequelae diabetes mellitus


Question: The following information about the recurrent laryngeal nerve (recurrent laryngeal nerve) injury can cause the symptoms, what's wrong?

Answer: The throat glottis (supraglottic larynx) sense of paralysis

Choices:
A. Hoarseness
B. Choke (choking)
C. Vocal cord paralysis, in the midline (paramedian) position or abduction (abducted) position
D. The throat glottis (supraglottic larynx) sense of paralysis


Question: Neurotransmitter release process with the following ions about what?

Answer: calcium

Choices:
A. magnesium
B. calcium
C. sodium
D. Potassium


Question: Which of the following best describes the definition of epidemiology (epidemiology) of?

Answer: Factors (determinants) of the population disease frequency distribution (distribution) and its decision

Choices:
A. Through the establishment of an animal model (animal model) to study the causes and treatment of diseases
B. Factors (determinants) of the population disease frequency distribution (distribution) and its decision
C. Theoretical statistical studies (variation random) to explore the characteristics of random variation
D. Study of the epidemic (epidemic), non-contagious disease that is not part of the object of epidemiological studies


Question: Serum iron in a 58-year-old female patient of (iron) and full iron-binding capacity (total iron-binding capacity, TIBC) values of both are low, but the iron-containing protein (ferritin) high. Which of the following is a possible cause?

Answer: Cause of the anemia of chronic disease

Choices:
A. Cause of the anemia of chronic disease
B. Autoimmune hemolytic anemia
C. Vitamin B12 deficiency
D. Iron deficiency anemia


Question: Narrative about peptic ulcers (peptic ulcer) secretion of, what's wrong?

Answer: Ulcer patients more common abnormal secretion (secretory abnormalities) have decreased secretion of bicarbonate (decreased bicarbonate secretion), nocturnal gastric acid secretion (increased nocturnal acid secretion) and day increased acid secretion (increased daytime acid secretion)

Choices:
A. Pathogenesis (pathogenesis) including H. pylori infection (Helicobacter pylori infection), non-steroidal anti-inflammatory drugs (nonsteroidal antiinflammatory drugs, NSAID) and acid (gastric acid)
B. 90% of duodenal ulcer (duodenal ulcer), and 75% of gastric ulcers (gastric ulcer) is and H. pylori infection (Helicobacter pylori infection) related
C. Ulcer patients more common abnormal secretion (secretory abnormalities) have decreased secretion of bicarbonate (decreased bicarbonate secretion), nocturnal gastric acid secretion (increased nocturnal acid secretion) and day increased acid secretion (increased daytime acid secretion)
D. In type II patients with gastric ulcer and gastric acid hypersecretion type III (gastric acid hypersecretion) is more common than gastric ulcer in patients of type I and type IV


Question: A 50-year-old housewife, accompanied by their daughter and son-treatment, complained of paroxysmal headache for ten years, the past year often complain of palpitations, insomnia, dizziness and general weakness, four medical treatment did not improve. The past week her husband drunk driving car accident hospitalized, and headache symptoms become more apparent. Treatment for headaches, and that most of the following information helpful?

Answer: Pedigree

Choices:
A. Head X-ray photography
B. Tonometry
C. EEG
D. Pedigree


Question: A patient has been diagnosed with neurofibromatosis type I (NF-1), one other pro-family members were diagnosed with the other elements of the same disease, does not include which of the following?

Answer: Both sides of acoustic neuroma (acoustic neuroma)

Choices:
A. Adult skin more than 6 (greater than 15 mm each) of coffee spots (café-au-lait spots)
B. Both sides of acoustic neuroma (acoustic neuroma)
C. Who has more than 2 neurofibromatosis (neurofibroma)
D. Optic nerve glioma (optic glioma)


Question: About surgical treatment of coronary artery disease, which of the following effects of the worst?

Answer: By laser myocardial revascularization (transmyocardial laser revascularization)

Choices:
A. In the heart after cardioplegia static, then the coronary artery bypass surgery (cardioplegic arrest coronary artery bypass
B. Beating coronary artery bypass surgery (off pump coronary artery bypass grafting)
C. By laser myocardial revascularization (transmyocardial laser revascularization)
D. Minimally invasive direct coronary artery bypass surgery (minimally invasive direct coronary artery bypass grafting)


Question: 64-year-old Schilling, and hematuria due to the hospital. Physicians for her examination revealed the left flank seems to tenderness, the urine red blood cells. Further do her abdominal CT, nephropathy image display as illustrated. Schilling most likely suffering from what disease?

Answer: Renal cell carcinoma (renal cell carcinoma)

Choices:
A. Renal cell carcinoma (renal cell carcinoma)
B. Transitional cell carcinoma of the renal pelvis (transitional cell carcinoma of renal pelvis)
C. Renal abscess (renal abscess)
D. Clot filling the renal pelvis (blood clot in renal pelvis)


Question: Changes such as drawings appear on a patient's arm, then whichever of the following is the most likely reason?

Answer: idiopathic thrombocytopenic purpura

Choices:
A. hemophilia A
B. anticardiolipin antibody syndrome
C. antithrombin III deficiency
D. idiopathic thrombocytopenic purpura


Question: When analyzing a kidney cancer tumors and found that fumaric acid enzyme (fumarase) gene mutation, the following statements is true?

Answer: Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) stimulates more glycolytic enzymes (glycolytic enzymes) to produce

Choices:
A. Fumarate (fumarate) and thus will be substantially reduced in tumor tissue
B. Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) will decrease with
C. Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) stimulates more glycolytic enzymes (glycolytic enzymes) to produce
D. Hypoxia inducible transcription factor (hypoxia inducible transcription factor-1, HIF-1) inhibits angiogenesis (angiogenesis)


Question: Which of the following is not a palliative care are commonly used sedative or analgesic drugs?

Answer: Demerol（pethidine, meperidine）

Choices:
A. Morphine
B. Demerol（pethidine, meperidine）
C. Dormicum（midazolam）
D. Valium（diazepam）