Question: 50-year-old man complained of chest pain and coughing, chest imaging figure, the most likely diagnosis is which of the following?

Answer: Lung cancer

Choices:
A. Lung cancer
B. Limitations of pleural effusion
C. Mesenchymal effusion (interlobar effusion)
D. Pulmonary embolism (pulmonary embolism)


Question: It is one of the following to increase the anion gap metabolic acidosis (high anion gap metabolic acidosis)?

Answer: Starvation (starvation)

Choices:
A. Diarrhea (diarrhea)
B. Starvation (starvation)
C. Vomit (vomitting)
D. Ureteral - B-shaped colostomy surgery (ureterosigmoidostomy)


Question: Statements about the cervical disc herniation, Which statement is correct?

Answer: Intermediate (Central) of disc herniation of the spinal cord resulting in easier

Choices:
A. Pain cervical disc herniation that it does not spread to the chest
B. Intermediate (Central) of disc herniation of the spinal cord resulting in easier
C. Fifth, between the lateral cervical Six (lateral) disc herniation easier compression of the nerve roots C5
D. If the suspected nerve root compression as soon as possible (within one week) arranged EMG


Question: Which of the following is not responsible for ⾎ fluid supply of the breast?

Answer: Artery ribs (subcostal artery)

Choices:
A. Intercostal artery (intercostal artery)
B. Internal thoracic artery (internal thoracic artery)
C. Thoracic artery outer (lateral thoracic artery)
D. Artery ribs (subcostal artery)


Question: About thyroid (thyroid gland) and parathyroid (parathyroid gland), the following statements is this bad?

Answer: Aerobic cells (oxyphil cell) secretes parathyroid hormone (parathyroid hormone)

Choices:
A. Aerobic cells (oxyphil cell) secretes parathyroid hormone (parathyroid hormone)
B. Parathyroid hormone (parathyroid hormone) can promote intestinal absorption of calcium
C. Thyroglobulin (Thyroglobulin) synthesized in the follicle cells (follicle cells) roughness of the endoplasmic reticulum (rER,)
D. Thyroid follicular cells secrete next calcitonin (Calcitonin)


Question: A 53-year-old man used to smoke every day 20 to 30, a 20-year history. Has been 2 years without a physical examination, examination requirements to the clinic, following an examination of the most desirable recommend that the US Preventive Health Working Group (USPSTF) preventive health care?

Answer: Measurement of blood pressure, in order to understand the risk of cardiovascular disease

Choices:
A. Pulmonary function tests at screening chronic lung disease
B. Chest X-ray screening to lung
C. Measurement of blood pressure, in order to understand the risk of cardiovascular disease
D. IOP in glaucoma screening


Question: Due to atherosclerosis caused by abdominal aortic aneurysm (abdominal aneurysm) Rongyifasheng reasons for rupture?

Answer: High stress vessel wall (wall stress)

Choices:
A. High stress vessel wall (wall stress)
B. High blood flow velocity
C. High vascular resistance
D. High vascular compliance (compliance)


Question: Children account of persistent hyperinsulinism clinical characterization (hyperinsulinism) is, which of the following error?

Answer: Blood ketone (ketone body) high concentration

Choices:
A. Low blood serum insulin concentration greater than 10 μU / mL (normal 5-10 μU / mL)
B. Blood ketone (ketone body) high concentration
C. High serum C-peptide values
D. Implementation of glucagon stimulation test at the time of hypoglycemia (glucagon test), so that it can increase blood glucose levels 40 mg / dL over 17 girls under the age of 10 large low-energy thyroid disease, the most common reasons are:


Question: Epiphyseal plate (epiphyseal plate), the chondrocyte Which of the following will undergo apoptosis (apoptosis)?

Answer: Calcified cartilage zone (zone of calcified cartilage)

Choices:
A. Calcified cartilage zone (zone of calcified cartilage)
B. Hypertrophic cartilage zone (zone of hypertrophy)
C. Hypertrophic cartilage zone (zone of proliferation)
D. Cartilage reserve zone (zone of reserve cartilage)


Question: Which of the following does not belong to greenhouse gas (green house gases)?

Answer: NH3

Choices:
A. N2O
B. CO2
C. CH4
D. NH3


Question: What persistence of cytokines seventeenth type helper T cells (TH17) need to be able to maintain its function?

Answer: IL-23

Choices:
A. IL-12
B. IL-23
C. IL-10
D. IFNs-c


Question: Mitochondrial oxidative phosphorylation produced by the process · O2- radical, an enzyme that is removed by the following?

Answer: Superoxide dismutase 31 animals breathing oxygen (O2) into the cell oxidative phosphorylation, O2 will eventually be transformed into what substance?

Choices:
A. NADH dehydrogenase
B. Glutathione peroxidase
C. Glutathione reductase
D. Superoxide dismutase 31 animals breathing oxygen (O2) into the cell oxidative phosphorylation, O2 will eventually be transformed into what substance?


Question: There is a 6-week-old boy, have vomiting after feeding in recent days, no bloating, abdominal palpable but the olive-shaped lumps, what do you think he might be a disease?

Answer: Hypertrophic pyloric obstruction (hypertrophic pyloric stenosis)

Choices:
A. Hypertrophic pyloric obstruction (hypertrophic pyloric stenosis)
B. Duodenum closure (duodenal atresia)
C. GERD (gastroesophageal reflux)
D. Intussusception (intussusception)


Question: Account of acute appendicitis (acute appendicitis) the clinical diagnosis and treatment, which of the following inappropriate?

Answer: CT has high sensitivity (sensitivity) (90%) and specificity (specificity) (85%), and because they can reduce the negative appendectomy rate (negative appendectomy), an essential tool for the diagnosis of appendicitis

Choices:
A. Abdominal ultrasound advantages of high sensitivity (sensitivity) and specificity (specificity), the disadvantage is its reliance on the correctness of the perpetrators of experience (operator-dependent)
B. CT has high sensitivity (sensitivity) (90%) and specificity (specificity) (85%), and because they can reduce the negative appendectomy rate (negative appendectomy), an essential tool for the diagnosis of appendicitis
C. The most frequently isolated bacteria Escherichia coli and Bacteroides
D. Laparoscopic appendectomy (laparoscopic appendectomy) may provide a shorter recovery time after surgery and wound appearance, and may break for the appendicitis, after careful assessment may try to use


Question: For the following refeeding syndrome (refeeding syndrome) narrative, what's wrong?

Answer: refeeding syndrome, also known as magnesium steal syndrome

Choices:
A. refeeding syndrome, also known as magnesium steal syndrome
B. To avoid refeeding syndrome, macronutrients when administered to add Mg (magnesium), potassium
C. The best way to avoid refeeding syndrome is always adjust TPN (total parenteral nutrition) and the amount of electrolyte
D. When a large number of vomiting in patients to add potassium (potassium)


Question: Which of the following payment system most likely to reduce patient medical Proximity may (accessibility)?

Answer: Capitation

Choices:
A. In case payment
B. On the amount of capitation
C. On the quality of capitation
D. Capitation


Question: Which of the following is a form of the receptor tyrosine kinase?

Answer: Insulin

Choices:
A. Norepinephrine
B. NEXT
C. Dopamine
D. Insulin


Question: About the episode of mania (manic episode) narrative of drug treatment, which of the following error?

Answer: Treatment episode of mania may be used alone as antidepressants (of Sect.)

Choices:
A. Lithium salt (Lithium) to treat manic episodes
B. Can be combined using benzodiazepine
C. Antipsychotic portion (antipsychotics) olanzapine, such as manic therapeutic effect
D. Treatment episode of mania may be used alone as antidepressants (of Sect.)


Question: What is the origin of these structures in the neural crest (neural crest)?

Answer: Astrocytes cells (that astrocyte)

Choices:
A. Oligodendrocyte glia (oligodendrocyte)
B. Spinal motor neurons (spinal motor neuron)
C. Astrocytes cells (that astrocyte)
D. Dorsal root ganglion neurons (neurons of dorsal root ganglion)


Question: Lumbar to sacral (sacrum) spine bow not healed in developmental stages, which will cause the following defects?

Answer: Spina bifida (Spina bifida occulta)

Choices:
A. Spina bifida (Spina bifida occulta)
B. Hydrocephalus (Hydranencephaly)
C. Arnold-Chiari Mr. deformity (Arnold-Chiari malformation)
D. Cleft cranial deformities (Cranium bifidum)


Question: A two-month-old baby to the clinic for vaccination, the baby's head was found in the physical examination, look to the right and Wang Zuoce tilt, left neck obviously palpable lump, further diagnosed with torticollis. This narrative about the baby, what's wrong?

Answer: May cause the left and the left occipital region of the flat face of the flat

Choices:
A. Tongshifasheng may be congenital dislocation of the hip (congenital dysplasia of the hip)
B. Often due to the left sternocleidomastoid (sternocleidomastoid muscle) of abnormality
C. May cause the left and the left occipital region of the flat face of the flat
D. Thorough treatment before the age of three, can improve facial deformity large


Question: Medial arcuate ligament (medial arcuate ligament) is between the fiber structure following what?

Answer: Diaphragm and psoas muscle (psoas major)

Choices:
A. Left and right diaphragmatic foot (crura)
B. Diaphragm and psoas muscle (psoas major)
C. Diaphragm and back side muscle (quadratus lumborum)
D. Diaphragmatic and the iliac muscle (iliacus)


Question: In the human ovarian follicle (follicle) maturation, cumulus oophorus appeared in what stage?

Answer: mature follicle

Choices:
A. primary follicle
B. mature follicle
C. preantral follicle
D. early antral follicle


Question: Which of the following most drugs will not reduce the contraceptive effect of hormonal contraceptives?

Answer: Anti-clotting drugs

Choices:
A. Anti-TB drugs
B. Anti-clotting drugs
C. Antiepileptic drugs
D. Anti-fungal drugs


Question: Bearing on the question, the next most do not need to check what arrangements?

Answer: Magnetic resonance spectrum (MRS)

Choices:
A. Nerve conduction (NCV)
B. X light (X-ray)
C. Magnetic resonance angiography (MRI)
D. Magnetic resonance spectrum (MRS)


Question: A 33-year-old female G4P3, since bleeding to the emergency room for treatment, patients complain according to the menstrual cycle, the current 12 weeks of pregnancy, after checking the blood pressure 110/70 mmHg, the heart rate 88 / min, hemoglobin: 9.6 g / dL, β -hCG: 35,000 mIU / mL. Ultrasound found no fetus in utero but there vesicle-like, the best treatment is:

Answer: Expanding uterus curettage (dilation & curettage)

Choices:
A. Hysterectomy (hysterectomy)
B. Expanding uterus curettage (dilation & curettage)
C. Chemotherapy
D. Radiation therapy


Question: There is a drowning child rescued from the water, not breathing, this time most of improper disposal are:

Answer: Press the abdomen to make water out of the stomach

Choices:
A. Immediately be Rengonghuxi
B. Press the abdomen to make water out of the stomach
C. Note that the maintenance of body temperature
D. Attention to the protection of the cervical spine


Question: The following related HCC (hepatocellular carcinoma) of the narrative, what's wrong?

Answer: About 10% of hepatocellular carcinoma with tumor syndrome occur (paraneoplastic syndrome), such as high blood calcium, low blood sugar and red blood cell hyperplasia

Choices:
A. Hepatocellular carcinoma is the most common primary malignant liver tumors, occur in East Asia and Africa
B. Hepatocellular carcinoma occurs in men, male to female ratio of about 2: 1 to 8: 1
C. About 10% of hepatocellular carcinoma with tumor syndrome occur (paraneoplastic syndrome), such as high blood calcium, low blood sugar and red blood cell hyperplasia
D. The currently known treatment include surgery at least, radiofrequency ablation (radiofrequency ablation), alcohol injection, embolization and treatment target


Question: A 69-year-old men with a history of myocardial infarction patients, general anesthesia do hypertrophy of the prostate transurethral resection of the prostate (TURP), surgery 90 minutes went smoothly. When the patients were sent to the recovery room, endotracheal tube has been removed, conscious. However, after 20 minutes the patient presented restless, shivering, blood pressure 80/50 mm Hg, respiration 40 / min, heart rate 140 beats / min, the concentration of oxygen saturation of 92%. Will the following diagnostic whichever is least likely?

Answer: Simple postoperative wound pain

Choices:
A. Persistent postoperative bleeding
B. TURP syndrome
C. Myocardial infarction or ischemia
D. Simple postoperative wound pain


Question: The following statements about the teeth, what's right?

Answer: Enamel (Enamel) are derived from ectoderm (ectoderm) from

Choices:
A. Star network (stellate reticulum) are mesenchymal (mesenchyme) derived from
B. Enamel (Enamel) are derived from ectoderm (ectoderm) from
C. The tooth (Dentine) is the hardest body configuration
D. After the formation of the first enamel, dentine is formed and then


Question: Statements about obese women following, whichever is correct?

Answer: Sex hormone binding globulin (sex hormone binding globulin) decreased

Choices:
A. Reduced risk of endometrial cancer
B. Sex hormone binding globulin (sex hormone binding globulin) decreased
C. Free androgen reduced
D. Estrone (estrone) decreased


Question: Due to the pressure caused by brain tumor can not see the inside of the left eye image and the outside of the right-eye view of the field of vision. The patient was brain tumor oppressed position Which of the following is most likely?

Answer: Path of the left optic nerve (optic tract)

Choices:
A. Right optic nerve (optic nerve)
B. Chiasm (optic chiasm)
C. Path of the left optic nerve (optic tract)
D. The right optic path (optic tract)


Question: On the use of echocardiography used to evaluate acute ST segment increased myocardial infarction (STEMI) patients, following statements is wrong?

Answer: Ventricular wall motion abnormalities (ventricular wall motion abnormality) can be used to distinguish acute STEMI myocardial scar and the old

Choices:
A. Ventricular wall motion abnormalities (ventricular wall motion abnormality) can be used to distinguish acute STEMI myocardial scar and the old
B. Left ventricular ejection fraction may be estimated as an evaluation of the prognosis
C. Help to find the right ventricular infarction
D. Du Bole echocardiography can be used to detect the ventricular septal defect and mitral regurgitation and other serious complications


Question: A 10-year-old girl, X-ray photography at 3 months after injury at right, the figure on the right humerus showing which of the following situation?

Answer: union fracture

Choices:
A. union fracture
B. fracture nonunion
C. osteomyelitis
D. none of above


Question: Which of the following most common sand-like tumor bodies (psammoma bodies) appear?

Answer: Papillary thyroid carcinoma

Choices:
A. Adrenocortical tumor
B. Parathyroid tumors
C. Papillary thyroid carcinoma
D. Pancreatic adenocarcinoma


Question: Lead particles in the air into the alveolar regions of the body, into the blood circulation, and finally most of the lead can accumulate in any organ or tissue?

Answer: skeleton

Choices:
A. liver
B. kidney
C. skeleton
D. fat


Question: Past history of liver disease-free group of college students who wished to travel to undeveloped areas, parents are worried that they will be infected with hepatitis, asked for vaccination ahead. The following are the most incorrect vaccination are:

Answer: HBV DNA（hepatitis B virus DNA）

Choices:
A. Serum immunoglobulin (immune serum globulin)
B. Hepatitis A Vaccine
C. Hepatitis B vaccine
D. HBV DNA（hepatitis B virus DNA）


Question: For chronic pancreatitis and malabsorption due to treatment of diarrhea, where the following items is wrong?

Answer: Low-carb diets

Choices:
A. Acid-inhibiting agents
B. Low-fat diet
C. Lipase oral formulation
D. Low-carb diets


Question: Suddenly a female patient with fever, abdominal pain, rapid heartbeat, nausea and jaundice. Patients may be palpable spleen spleen tip. The number of normal peripheral blood leukocytes; but slightly anemic patients, and no red blood cells is small pale center area, and has significant reticulocyte proliferation (reticulocytosis). The reason for this crisis may trigger a condition as:

Answer: Parvovirus infection

Choices:
A. Quinacrine taking drugs
B. Parvovirus infection
C. Reduce blood oxygen
D. Exposure to a cold environment


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

Answer: Hydrochloride can be synthesized in the cytoplasm (HCl)

Choices:
A. Have intracellular tubule system (intracellular canaliculi) and microvilli (microvilli)
B. Does not exist in the cardia (cardiac region)
C. Hydrochloride can be synthesized in the cytoplasm (HCl)
D. Can secrete hydrochloric acid (HCl) and intrinsic factors (intrinsic factor), to help absorb vitamin B12


Question: The following configurations are where the endodermal cells derived from?

Answer: Epithelial lining of the respiratory tract

Choices:
A. Dorsal root ganglion
B. Adrenal medulla
C. The tooth enamel
D. Epithelial lining of the respiratory tract


Question: About narrative of isoniazid, Which statement is correct?

Answer: Mainly by the liver N-acetyltransferase Metabolism

Choices:
A. Suppress the generation of the plasma membrane of M. tuberculosis
B. Can only intravenously to treat tuberculosis
C. Mainly by the liver N-acetyltransferase Metabolism
D. Easy to produce optic neuropathy side effects


Question: A 25-year-old young men, nearly two weeks complained of fever, sore throat, cough with yellow sputum, to medical diagnosis and treatment, including antibiotics, fever, analgesics and cough drugs, the above condition after treatment gradually better; unfortunately, recently 4 to 5 days in the diet will feel chest pain, difficulty swallowing and a little; I ask symptoms occurred last 4 to 5 days the most likely reasons?

Answer: Ulceration of the esophagus caused by drugs

Choices:
A. heart disease
B. Esophageal cancer
C. Reflux esophagitis
D. Ulceration of the esophagus caused by drugs


Question: If you are making for the chest surgeon lung surgery, the following observations whichever correct?

Answer: A length shorter than the right main bronchus of the left main bronchus

Choices:
A. A length shorter than the right main bronchus of the left main bronchus
B. There clover left lung, right lung has two leaves
C. Foreign body more easily into the left bronchus
D. Adult pipe length of about 25 cm


Question: Type E. coli DNA polymerase I (DNA polymerase I) of enzyme activity which will be involved in the implementation nick translation?

Answer: Polymerase with 5 'exonuclease (polymerase and 5' → 3'exonuclease)

Choices:
A. Polymerase with 5 'exonuclease (polymerase and 5' → 3'exonuclease)
B. Polymerase with 3 'exonuclease (polymerase and 3' → 5'exonuclease)
C. 5 'and 3' exonuclease (5 '→ 3' and 3 '→ 5'exonuclease)
D. Polymerase 5 'to 3' exonuclease (polymerase, 5 '→ 3' and 3 '→ 5'exonuclease)


Question: On cardiac enzymes in the diagnosis of acute coronary syndrome, the following statements is wrong?

Answer: CK-MB in the clinical course of patients with acute coronary syndrome in, can not be used to detect reinfarction (reinfarction)

Choices:
A. Cardiac troponin for the diagnosis of myocardial infarction occurred recently
B. CK-MB peak value appears helps detect myocardial reperfusion time of occurrence
C. CK-MB in the clinical course of patients with acute coronary syndrome in, can not be used to detect reinfarction (reinfarction)
D. The risk of acute coronary syndrome may help the Cardiac troponin grade


Question: In general, when taken laparoscopic choledochotomy to the removal of common bile duct stone, bile duct diameter is preferably not less than how many mm?

Answer: 6

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


Question: 94 about the narrative of the Chinese liver fluke, Which statement is correct? (1) mainly popular in Taiwan to Taiwan Dongshan area (2) Notwithstanding the sashimi of sea water or fresh water are likely to contain infectious agents (3) mild infection, liver function tests may be normal (4) The exact laboratory examination of a specimen duodenal fluid and fecal

Answer: (3)(4)

Choices:
A. (1)(2)
B. (1)(3)
C. (2)(3)
D. (3)(4)


Question: Vertebrates, responsible for the synthesis of 18S and 28S rRNA by the following kind of enzyme?

Answer: RNA polymerase I

Choices:
A. RNA polymerase I
B. RNA polymerase II
C. RNA polymerase III
D. Ribosomal RNase


Question: Toll-like receptors (TLRs) to perform message passing, following that kind can be present in endosomes (endosome), the double-stranded RNA can identify viruses (dsRNA)?

Answer: TLR-3

Choices:
A. TLR-3
B. TLR-4
C. TLR-5
D. TLR-7


Question: Premenopausal women 38 years of age, which is invasive breast pathology of the breast duct carcinoma, tumor size was 3.5 cm, female hormone receptor (Estrogen Receptor) negative, progesterone receptor (Progesterone Receptor) negative, type II epithelial growth factor receptor (HER2 / NEU) is negative, then how to deal with it after the surgery?

Answer: Adjuvant chemotherapy (Chemotherapy)

Choices:
A. Without adjuvant therapy
B. Adjuvant chemotherapy (Chemotherapy)
C. Adjuvant treatment target (Target therapy)
D. Auxiliary anti-hormone therapy (Anti-estrogen therapy)


Question: Which of the following is not a regulatory function of the cerebral cortex?

Answer: Respiration, circulation & digestion

Choices:
A. Language comprehension
B. Respiration, circulation & digestion
C. Final sensory perception
D. Voluntary movement


Question: The picture shows the cross section of the lower left of T2-weighted MRI, T1-weighted MRI lower right picture shows the cross section of the intravenous injection of Gd-DTPA, the arrow for this disease characteristics, the most probable diagnosis Which of the following?

Answer: Meningioma (Meningioma)

Choices:
A. Meningioma (Meningioma)
B. 骨瘤（Osteoma）
C. Non-ossifying fibroma (Non-ossifying fibroma)
D. Astrocytoma (Astrocytoma)


Question: Where third of vascular lesions of syphilis most commonly violated?

Answer: Ascending aorta

Choices:
A. Ascending aorta
B. Abdominal aorta
C. The superior vena cava
D. The inferior vena cava


Question: Which of the following children glomerulonephritis generally third serum complement (C3) does not decrease?

Answer: Allergic purpura nephritis (anaphylactoid purpura nephritis)

Choices:
A. Allergic purpura nephritis (anaphylactoid purpura nephritis)
B. Lupus nephritis (lupus nephritis)
C. Membranous proliferative glomerulonephritis (membranoproliferative glomerulonephritis)
D. Bacterial endocarditis (bacterial endocarditis) caused by glomerulonephritis


Question: In any of the following drugs can be administered intravenously, but most often for the treatment of postoperative pain?

Answer: ketorolac

Choices:
A. ketorolac
B. meloxicam
C. sumatriptan
D. dextromethorphan


Question:
27
 Which of the following most diseases are not suitable for breastfeeding?

Answer: AIDS

Choices:
A. Hepatitis B
B. Cytomegalovirus infection
C. AIDS
D. Genital herpes


Question: In the ionizing radiation of different substances, ionizing radiation, there is a release of pollutants to indoor rock or soil. That type of cancer most associated with this substance?

Answer: Lung cancer

Choices:
A. Colorectal Cancer
B. Lung cancer
C. Breast cancer
D. Leukemia


Question: Patients 60 years of age, was a heavy smoker. To diagnose whether chronic obstructive pulmonary disease (chronic obstructive pulmonary disease), which of the following is the most important diagnosis?

Answer: FEV1 / FVC<0.7

Choices:
A. FEV1 / FVC<0.7
B. Chest X-ray pattern showed an increase in both the lung
C. Wheeze
D. PaO2 < 90 mmHg


Question: baby K check-in time was diagnosed with anencephaly. The disease is still incurable, generally can survive for up to a week. Despite this situation, baby K's mother decided to give birth to baby K. When the baby K at birth, immediately intubation and connected to breathing apparatus. The attending physician deems further treatment is not beneficial, it is recommended removal of a respirator, but the baby K's mother opposed. Which of the following is not the correct ethical considerations?

Answer: Baby K refuse treatment will constitute discrimination against severe congenital defects in children, and in violation of the principle of respect for autonomy

Choices:
A. Continue to intubation treatment is cruel and unnecessary for baby K, and in violation of the principle of do no harm
B. Continue to actively treat baby K may not bring any medical benefit, and violates the principle of doing good
C. baby K a day spent in the neonatal intensive care unit is about $ 20,000, paid in full by the national health insurance, no good treatment will continue to violate the principles of justice
D. Baby K refuse treatment will constitute discrimination against severe congenital defects in children, and in violation of the principle of respect for autonomy


Question: Arcuate line between the rectus sheath and the pubic symphysis, which of the following at the rear side of the rectus?

Answer: Transverse fascia

Choices:
A. External oblique fascia
B. Abdominal oblique aponeurosis
C. Transverse abdominis aponeurosis
D. Transverse fascia


Question: Brown hyphae disease (phaeohyphomycosis) of emerging fungal infections, the common feature of this group of fungi why?

Answer: Produce similar melanin (melanin-like) of filamentous fungi or yeasts

Choices:
A. Having two types of (dimorphism) of the yeast
B. Hi filamentous fungal growth of 37 [deg.] C
C. Produce similar melanin (melanin-like) of filamentous fungi or yeasts
D. Bacillus while producing large tip (macroconidia) and small tip spores (microconidia) of the filamentous fungus


Question: Which of the following is the larynx (laryngeal cancer) the most common symptoms?

Answer: Hoarseness (hoarseness)

Choices:
A. Pain on swallowing (odynophagia)
B. Hoarseness (hoarseness)
C. Wheezing (stridor)
D. Difficulty breathing (dyspnea)


Question: A 23-year-old patient alcohol addiction, drinking and stop for 24 hours, following which the situation is unlikely to occur?

Answer: Blood pressure suddenly dropped to 85/55 mmHg

Choices:
A. Respiratory rate increased to 25 beats per minute
B. Hands shaking (tremors)
C. Increased heart rate 90 beats per minute
D. Blood pressure suddenly dropped to 85/55 mmHg


Question: Which of the following does not belong to the so-called particulate pollutants air pollutants?

Answer: Volatile organic compounds (VOCs)

Choices:
A. Black smoke (soot)
B. Mist (acid mist)
C. Fumes (oil smoke)
D. Volatile organic compounds (VOCs)


Question: An acquired immune deficiency syndrome (AIDS) patients, hands and feet numbness weakness and other neurological disease years after the onset of symptoms appear, following which electrical diagnostic method most clinical diagnostic value?

Answer: Nerve conduction studies (nerve conduction study)

Choices:
A. Nerve conduction studies (nerve conduction study)
B. EMG needle (needle electromyography) Check
C. Continuous checking electrical nerve stimulation (repetitive nerve stimulation test)
D. Nerve evoked potential (evoked potential study)


Question: Which of the following can be used to differentiate Salmonella typhi (Salmonella typhi) and E. coli (Escherichia coli)?

Answer: The ability of lactose (lactose) fermentation

Choices:
A. The ability of lactose (lactose) fermentation
B. Mobility (motility)
C. Reducing ability nitrate (nitrate) of
D. Bacillus capacity (spores) generated 65 interferon (interferon) is one of the body's defense system viral infection of the ring, into its mechanism of action:


Question: People who quit smoking nicotine withdrawal symptoms, the following statements is true?

Answer: Slow heartbeat

Choices:
A. Slow heartbeat
B. Loss of appetite
C. Increased blood pressure
D. Withdrawal symptoms peaked within 4-6 hours after quitting


Question: Bridge (bridge of nose) feel on the skin where the nerve conduction by the following?

Answer: Ophthalmic (ophthalmic nerve)

Choices:
A. Ophthalmic (ophthalmic nerve)
B. Maxillary nerve (maxillary nerve)
C. The facial nerve (facial nerve)
D. The optic nerve (optic nerve)


Question: From the point of view of prevention Gonggongweisheng, the government refused to promote smoking campaign is part of a job that stage?

Answer: Health Promotion

Choices:
A. Disabled control
B. Health Promotion
C. Health Maintenance
D. Diagnosis and treatment of disease


Question: Xiaoshan in vaginal delivery of a baby girl two days ago, went smoothly, vaginal laceration second degree, moderate amount of lochia, her freedom of movement and began to try breast-feeding; I did not expect to have to start today intermittent fever case (39 degrees Celsius), Please ward nurses assess your past her situation. The following statements is true?

Answer: In the past, because of prophylactic antibiotics and sterile technique is not generally difficult to maintain, due to puerperal fever reproductive tract infections (genital tract infection) caused by caesarean section in pregnant women is more common than natural birth

Choices:
A. Puerperal fever (puerperal fever) usually occurs within 24 hours of delivery, associated with bronchial collapse (atelectasia) maximum
B. In the past, because of prophylactic antibiotics and sterile technique is not generally difficult to maintain, due to puerperal fever reproductive tract infections (genital tract infection) caused by caesarean section in pregnant women is more common than natural birth
C. Puerperal fever occurrence and race with socio-economic status is not related
D. Puerperal fever endometritis (postpartum metritis) resulting in clinical diagnosis is mainly based on bacterial culture-based, fever only as a reference


Question: 51-year-old male patient, because the past six months, upper right back pain and right arm paralysis and inability to hospital for medical treatment. He accepted these conditions pain medications and surgical treatment of cervical disc surgery in his hospital, but the symptoms did not improve. To the hospital three months ago, he began to blurred vision and drooping right eyelid. He used to smoke a pack a day over three decades. Chest X-rays and to the hospital computer tomography FIG. Repeated sputum microscopy and microbial cultures were negative. Which of the following is the most likely diagnosis?

Answer: pancoast tumor

Choices:
A. pancoast tumor
B. Lung airway allergic aspergillus infection (allergic bronchopulmonary aspergillosis)
C. Lung abscess (lung abscess)
D. Pulmonary arterial venous malformation (arterio-venous malformation of the lung)


Question: Following the digestive tract, mucous membrane portion that is non-keratinized stratified squamous epithelium (nonkeratinized stratified squamous epithelium)?

Answer: esophagus

Choices:
A. duodenum
B. Caecum
C. stomach
D. esophagus


Question: One patient caused by unilateral foot drop (drop foot) after the accident, the clinically most unlikely that caused by the following situation?

Answer: Shares (femoral) nerve injury

Choices:
A. Ischial (sciatic) nerve injury
B. Shares (femoral) nerve injury
C. Fibular (peroneal) nerve injury
D. Between the fourth and fifth lumbar plate projecting (disc herniation)


Question: Vitamin B12 is one of the important elements of hematopoiesis, the following statements is wrong for vitamin B12?

Answer: Fruits and vegetables, foods rich in vitamin B12

Choices:
A. The amount of human daily requirement of vitamin B12 is quite small (about 1 to 3 micrograms)
B. In the situation completely unable to absorb vitamin B12 through diet, if not otherwise supplement, usually takes 3 to 4 years to consume the storage capacity of the body
C. Lactating women if vitamin B12 deficiency is likely to cause infant growth retardation
D. Fruits and vegetables, foods rich in vitamin B12


Question: Manufacturing of raw materials in the human body hormones Why?

Answer: Cholesterol

Choices:
A. Triglyceride
B. Cholesterol
C. Collagen
D. Glycoprotein


Question: Which of the following measuring virus antibody test is necessary when the blood donation project?

Answer: Hepatitis C virus

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


Question: When a 30-year-old man breathing indoor air in general, arterial blood gas analysis PaO2 60 mmHg, PaCO2 48 mmHg, it AaDO2 (alveolar-arterial blood oxygen partial pressure) is how much?

Answer: 30 mmHg

Choices:
A. 0 mmHg
B. 10 mmHg
C. 20 mmHg
D. 30 mmHg


Question: Treatment and prognosis of clinical and pathological factors influence cervical cancer in the following, whichever is less important?

Answer: The extent of cell keratinocytes (keratinization) of

Choices:
A. The extent of cell keratinocytes (keratinization) of
B. Tumor size
C. Cervical adjacent tissues (paracervical tissue) violations
D. The depth of the cervix have been violated


Question: For the description of abdominal compartment syndrome (abdominal compartment syndrome), and which of the following error?

Answer: Placing nasogastric tube main method is an indirect measurement of intra-abdominal pressure

Choices:
A. Abdominal compartment syndrome usually occurs in multiple trauma patients and intensive care units
B. Placing nasogastric tube main method is an indirect measurement of intra-abdominal pressure
C. Normal intra-abdominal pressure of about 5 mmHg, pressure greater than 12 mmHg can cause breathing difficulty, can cause the pressure reaches 25 mmHg inferior vena cava
D. Determine whether factors other than the intra-abdominal surgery in high-pressure, high-pressure related and intra-abdominal organ failure are also important considerations


Question: Which of the following is most likely to cause rupture of subarachnoid hemorrhage?

Answer: Cerebral artery (cerebral artery)

Choices:
A. Middle meningeal artery (middle meningeal artery)
B. Cerebral artery (cerebral artery)
C. Cerebral veins (cerebral vein)
D. Dural venous sinus (dural sinus)


Question: The purpose of rehabilitation of stroke patients to restore the patient's ability to live independently as much as possible themselves, the following statements is wrong?

Answer: Constraint therapy (restraint therapy) means a constraint stroke affected limb, the contralateral limb training to adapt to the general daily activities carried out as soon as possible

Choices:
A. Under the premise of stable disease, the sooner the rehabilitation of the long-term prognosis of the more help
B. Under the premise of stable disease, the use of aids allow patients to get out of bed (mobility training), in order to avoid pressure ulcers, deep vein thrombosis and other complications
C. Even under circumstances in bed, early range of motion exercise (range of motion training), to avoid muscle spasms, joint contractures
D. Constraint therapy (restraint therapy) means a constraint stroke affected limb, the contralateral limb training to adapt to the general daily activities carried out as soon as possible


Question: Of a 58-year-old man suffered misfortune at 9:00 am engaged in electrification 1200 volts electrical burns, at 10:00 am transferred to the Regional Hospital Medical Center emergency room physician diagnosed the face, full circle on the right forearm, chest and on both sides of the thigh three deep second degree burns electrical degrees, together accounted for 45% of total body surface area, patient weight of 65 kg, while the cumulative amount of intravenous infusion of 0.9% physiological saline 500 ml; the use of a Parkland infusion formula (Parkland formula) to infusion therapy, then in theory, should be given to patients injured again how much fluid volume and which intravenous infusion within 24 hours?

Answer: 11200 ml; lactated Ringer

Choices:
A. 11700 ml; 0.9% physiological saline
B. 5850 ml; 5% dextrose in water
C. 11200 ml; lactated Ringer
D. 5800 ml; Ringer


Question: Patients headache intensified, meningitis symptoms, following the disposal of what is the first priority?

Answer: Administration of doxycycline

Choices:
A. Administration of doxycycline
B. Administration of penicillin
C. Administration of glycerol
D. Administered steroid


Question: Which of the following is headache likely autosomal dominant inherited (autosomal dominant)?

Answer: Hemiplegic migraine (hemiplegic migraine)

Choices:
A. No sign of migraine (migraine without aura)
B. Substrate migraine (basilar migraine)
C. Hemiplegic migraine (hemiplegic migraine)
D. Crunch-type headache (tension headache)


Question: 5 In a speech hospital hepatitis prevention and treatment, there is a common reference to the patient's family if the dishes contagious viral hepatitis, will be oral infection (fecal-oral transmission) is that there are several viral hepatitis?

Answer: Hepatitis A or hepatitis E

Choices:
A. Hepatitis A or hepatitis B
B. Hepatitis B or C hepatitis
C. Hepatitis C or hepatitis E
D. Hepatitis A or hepatitis E


Question: A 50-year-old male, no special past history of the disease and work history. In 1995 began working in asbestos exposure in 1998 due to chest pain, hemoptysis was diagnosed with lung cancer. Do you think that the causal relationship between lung cancer and asbestos exposure?

Answer: No, not in line with the principle of timing

Choices:
A. Yes, because asbestos is a carcinogen
B. There, in line with the principle of timing
C. No, not in line with the principle of timing
D. No, not in line with the dose - response relationship


Question: 50-year-old Schilling, was this afternoon abdominal pain and was taken to hospital for treatment. Physician examination revealed abdominal rebound pain, abdominal wall was stiff like. Had an abdominal X-ray photography, the image as shown. Schilling most likely suffering from what disease?

Answer: Gastrointestinal perforation, pneumoperitoneum (pneumoperitoneum)

Choices:
A. Gastrointestinal perforation, pneumoperitoneum (pneumoperitoneum)
B. Gastrointestinal bleeding (gastrointestinal bleeding)
C. Inability to plug intestinal colic (adynamic ileus)
D. Clogging duodenum (duodenal obstruction)


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

Answer: Continuous positive airway pressure device (CPAP) is used to treat central type apnea

Choices:
A. Apnea (apnea) can occur in non-rapid eye movement (NREM) or rapid eye movement (REM) sleep, usually non-rapid eye movement occurs relatively often apnea, occurs in rapid eye movement is more serious
B. Selective serotonin reuptake inhibitor (SSRI) treatment of apnea is reduced by rapid eye movement sleep induced
C. Early thought obstructive (obstructive) apnea more often complain of daytime sleepiness, central type (central) apnea more often complain of insomnia, recent research found that drowsiness or insomnia symptoms can occur in this type of apnea 2
D. Continuous positive airway pressure device (CPAP) is used to treat central type apnea


Question: Chest trauma is common in patients with trauma injuries, in the initial assessment (primary survey), pay attention to whether the immediately life-threatening chest wounds (immediately life-threatening chest injuries), following which there is not immediately life-threatening chest injury?

Answer: Diaphragmatic rupture

Choices:
A. Tension pneumothorax
B. Open pneumothorax
C. Diaphragmatic rupture
D. Hemothorax large (more than 1500 mL)


Question: Usually chromatin that if any DNase hypersensitive sites, represents what sense?

Answer: Transcription of the gene containing the

Choices:
A. Is part of heterochromatin
B. Transcription of the gene containing the
C. Containing DNase binding protein
D. And methylated genes involved


Question: 2 Familial hypercholesterolemia is possible because the LDL receptor gene mutations caused. A couple have a 5-year-old child, who xanthomas (xanthoma) and treatment. After examination revealed a very high blood cholesterol concentrations, is greater than 1000 mg / dL. If the family physician analysis, it is likely that there will be following a discovery?

Answer: Parents are cholesterol concentration between 300 ~ 400 mg / dL between

Choices:
A. Father cholesterol concentrations greater than 1000 mg / dL, normal mother
B. Mother cholesterol concentrations greater than 1000 mg / dL, normal father
C. Parents are cholesterol concentration between 300 ~ 400 mg / dL between
D. Cholesterol levels are normal parents


Question: Following on adult vaccination is recommended and what was wrong?

Answer: Influenza vaccine is a viable vaccine, pregnant women and elderly people with chronic heart and lung diseases should not receive injections

Choices:
A. There are elderly patients with chronic diseases should be vaccinated against influenza vaccine each year
B. Influenza vaccine is a viable vaccine, pregnant women and elderly people with chronic heart and lung diseases should not receive injections
C. Pregnant women and should not be injected immunodeficiency host viable vaccine (such as MMR)
D. Additional adults over 50 years of age every 10 years, a Td (tetanus and diphtheria tetanus diphtheria) adult dosage


Question: Which of the following drugs are not sedatives-hypnotics?

Answer: Morphine

Choices:
A. Diazepam
B. Lorazepam
C. Pentobarbital
D. Morphine


Question: The following account of antipsychotic drugs and what was wrong?

Answer: Sit difficulty (akathisia) caused by antipsychotic drugs, anti-Parkinson's drug treatment best

Choices:
A. Conventional antipsychotics are D2 receptor blockade-based; positive symptoms of schizophrenia are more control help, but the negative symptoms of poor efficacy
B. Traditional antipsychotics likely to cause Parkinson syndrome
C. Sit difficulty (akathisia) caused by antipsychotic drugs, anti-Parkinson's drug treatment best
D. Delayed involuntary movements (tardive dyskinesia) is caused by antipsychotic Parkinson syndrome


Question: Fulminant hepatitis caused by common causes, does not include which of the following?

Answer: stay up late

Choices:
A. drug
B. Hepatitis A
C. Hepatitis B
D. stay up late


Question: Statements about Helicobacter pylori gastritis, which of the following most inappropriate?

Answer: Bacterial intestinal metaplasia in the site easier (intestinal metaplasia) appears

Choices:
A. In severe sinus (antrum) than the body portion (body)
B. Staph infection with CagA gene, more will have stomach cancer
C. Bacterial intestinal metaplasia in the site easier (intestinal metaplasia) appears
D. It is the main cause of gastric lymphoma


Question: After a 18-year-old male patient was unknown chemical liquid splash to the eye, rubbing his eyes and felt a sharp sting and visually impaired, Suizhi emergency treatment. Of the following is the more inappropriate?

Answer: In general, the damage caused by acidic chemicals is more serious than the alkali burns

Choices:
A. Basic principle whether or acidic chemicals, the process is similar to
B. In general, the damage caused by acidic chemicals is more serious than the alkali burns
C. After rinsing in saline 20 to 30 minutes, can be measured pH of eye drops, if pH> 7.4, still continue flushing
D. If superficial corneal injury, a local anesthetic may be used to reduce pain


Question: Related evoked potentials (evoked potentials, EP) is commonly used in surgery narrative of the way neurological monitoring, which of the following error?

Answer: Somatosensory evoked potentials (somatosensory evoked potentials, SSEPs) is not affected by the drug inhaled anesthetics or hypothermia

Choices:
A. EP commonly used in surgery include auditory (auditory), somatosensory (Use of somatosensory) and exercise (Motor), etc.
B. Somatosensory evoked potentials (somatosensory evoked potentials, SSEPs) spinal injury commonly used in surgery, as a way of monitoring nerve conduction
C. AEP (auditory evoked potentials, AEPs) is commonly used in surgery cerebellopontine angle tumors (cerebello-pontine angle tumor)
D. Somatosensory evoked potentials (somatosensory evoked potentials, SSEPs) is not affected by the drug inhaled anesthetics or hypothermia


Question: Photography hysterosalpingography (HSG) is best carried out in the first few days of the menstrual cycle?

Answer: 7 to 11 days

Choices:
A. Any day Jieke
B. 1 to 3 days
C. 7 to 11 days
D. 14 to 20 days


Question: Following on left ventricular diastolic narrative, what's right?

Answer: Before the start of left ventricular diastolic intraventricular pressure has dropped

Choices:
A. Early diastolic left ventricular (protodiastole) for about 0.4 seconds
B. Before the start of left ventricular diastolic intraventricular pressure has dropped
C. After the mitral valve opens, left ventricular diastolic volume and so began (iso-volumetric relaxation)
D. When diastolic intraventricular pressure in the left ventricle such as volume rises gradually


Question: Which of the following is a laparoscopic cholecystectomy (laparoscopic cholecystectomy) of major contraindication?

Answer: Calot's triangle can not be clearly identified

Choices:
A. Pregnant women
B. Calot's triangle can not be clearly identified
C. Abdomen had opened knife
D. Patients with liver cirrhosis


Question: Related to opiate addiction narrative (opioid dependence) Healing and what was wrong?

Answer: Methadone (methadone) withdrawal symptoms are excessive and will not inhibit breathing

Choices:
A. Methadone (methadone) withdrawal symptoms are excessive and will not inhibit breathing
B. Buprenorphine (buprenorphine) can attenuate or block the effects of heroin and morphine, and the take-home self-administration
C. Clinically levomethadyl is no longer used because of the QT interval may cause prolonged and Torsades de pointes
D. Naltrexone can block the euphoria and reduce patients heroin-seeking behavior, but more so the lack of patient willing continuous use of mechanisms


Question: 60.40 year-old man infected with human immunodeficiency virus (HIV), there is depression history, there have been suicidal intent, CD4 + T cell count 50 cells / μL, HIV viral load 10,000 copies / mL, following anti-retroviral drugs, whichever is the least suitable the long-term treatment of patients?

Answer: efavirenz

Choices:
A. raltegravir
B. rilpivirine
C. dolutegravir
D. efavirenz


Question: Which of the following does not inhibit the synthesis of male hormones (testosterone) of (biosynthesis)?

Answer: Flutamide

Choices:
A. Ketoconazole
B. Flutamide
C. Estradiol
D. Leuprolide


Question: Cholesterol (cholesterol) is an important risk factor for cardiovascular disease, the following statements is wrong?

Answer: Cholesterol-lowering drug of the statin cholesterol synthesis inhibitor of HMG-CoA synthase

Choices:
A. Cholesterol is a part of the body through the intestinal absorption
B. Also the synthesis of cholesterol in the body, to acetyl-CoA when raw materials
C. Cholesterol is synthesized in the liver bile acid starting material (bile acid) of
D. Cholesterol-lowering drug of the statin cholesterol synthesis inhibitor of HMG-CoA synthase


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

Answer: Free cell wall lipopolysaccharide, so there is no endotoxin activity

Choices:
A. Their cell walls contain peptidoglycan
B. Propagated via multi-like body lice, fleas or ticks rat infectious insects
C. Free cell wall lipopolysaccharide, so there is no endotoxin activity
D. Within absolute cell parasite


Question: Following a nerve that is affected primarily the main cause of carpal tunnel syndrome?

Answer: Median nerve

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


Question: Which of the following is most likely to close above the bladder after emptying?

Answer: uterus

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


Question: Staphylococcus aureus (Staphylococcus aureus) are least likely to generate the kind of following enzymes?

Answer: Protease C5a (C5a peptidase)

Choices:
A. Hyaluronic acid enzyme (Hyaluronidase)
B. Plasmin (Fibrinolysin)
C. Coagulase (coagulase)
D. Protease C5a (C5a peptidase)


Question: 43 year old man in the head, elbows, knees, trunk and limbs appear as shown in the skin lesions, repeated 10 years. KOH microscopic examination did not find mold, and histopathology shown. In addition to the skin of the patient, the most likely what organs violated?

Answer: joint

Choices:
A. kidney
B. heart
C. joint
D. muscle


Question: 30-year-old breast-feeding women, the right breast areola edge erythematous bump and tenderness, a history of four days, will not recommend which of the following disposal?

Answer: Mammography

Choices:
A. Mammography
B. Sonography
C. Ultrasound guiding aspiration
D. Antibiotic-containing


Question: Number of breaths of normal newborns should be within the following range of what?

Answer: 40 to 60 beats / min

Choices:
A. 10 ~ 20 times / min
B. 20 ~ 30 times / min
C. 40 to 60 beats / min
D. 70 to 80 beats / min


Question: A primipara 35 weeks of pregnancy, lactation hormone found in the blood was 180 ng / mL, the following items that measures the most appropriate?

Answer: Clinical observation on track

Choices:
A. Thyroid releasing hormone (TRH) test
B. Chest X-ray
C. Check the estrogen in the blood
D. Clinical observation on track


Question: The following statements about organic nitrates, whichever is correct?

Answer: nitroglycerin by the intravenous injection may last a few hours of resistance (tolerance)

Choices:
A. After oral administration of nitroglycerin bio-availability (oral bioavailability) up to 70%
B. efficacy of sublingual nitroglycerin can be up to three hours
C. nitroglycerin by the intravenous injection may last a few hours of resistance (tolerance)
D. Effect the first time (hepatic first-pass effect) after administration of higher amyl nitrite inhalation


Question: Feature on the type of Cryptococcus neoformans (Cryptococcus neoformans) Why?

Answer: Spherical capsule with generous yeast

Choices:
A. No capsule (without capsule) of two types of (dimorphic) spherical yeast
B. Yeast cigar (cigar-shaped yeast), two types of non-
C. The split type (dimorphic) having a thin oval yeast two types of capsule
D. Spherical capsule with generous yeast


Question: Some can not get medical treatment under the sick into ⾏ Face consent, except for whichever?

Answer: Don ⽒ disease patients require hospitalization

Choices:
A. In urgent cases, the delay will result in the treatment of patients with death
B. Psychosis disease patients have a case of the self-injury or injury Face, require hospitalization
C. Suspected Ebola virus infection, the need for isolation and treatment
D. Don ⽒ disease patients require hospitalization


Question: ⼀ female thyroid patients the right side of the lower neck and the right painless swelling of the lymph glands submenus zoomed, its right thyroid grayscale and color discolored Le Du ⼘ ultra Rec wave inspection figure, the most likely diagnosis Why?

Answer: Papillary thyroid cancer (papillary carcinoma)

Choices:
A. Thyroiditis (thyroiditis)
B. Papillary thyroid cancer (papillary carcinoma)
C. Thyroid tumor (adenoma)
D. Benign multiple nodules (nodular goiter)


Question: From the previous question, if the emergency room, which of the following items is the most do not need to check?

Answer: Emergency arrangements bone scan (bone scan)

Choices:
A. Lumbar puncture (lumbar puncture)
B. EMG and nerve conduction
C. Emergency arrangements bone scan (bone scan)
D. Monitoring the concentration of oxygen and vital capacity (vital capacity)


Question: And some gynecological tumors would serum tumor markers and biochemical or immunostaining (tumor markers) has been associated with the following statements is true?

Answer: can adenocarcinoma marker CA-125 serum

Choices:
A. The tag identification of tissue sarcoma S-100
B. Representative vimentin is non-mesenchymal tissue
C. can adenocarcinoma marker CA-125 serum
D. LDH is stromal tumor marker of ovarian


Question: 72-year-old man, coughing, chest tightness and fatigue last six months, chest X-ray and CT figure, the most correct diagnosis should be:

Answer: Lung (Lung cancer)

Choices:
A. Lung (Lung cancer)
B. Left chronic pulmonary embolism (Chronic Lt. pulmonary artery embolism)
C. Lobe atelectasis (Lt. upper lobe atelectasis) on the left lung
D. Mediastinal tumors (Mediastinal tumor)


Question: The following related pinworm (Enterobius vermicularis) described infection, what's wrong?

Answer: The best way to check for the correct diagnosis of patients with fecal egg

Choices:
A. Human eggs can spread the infection by air
B. After the infection is easy to interfere with nighttime sleep
C. Women may cause pelvic peritonitis (chronic pelvic peritonitis) after infection
D. The best way to check for the correct diagnosis of patients with fecal egg


Question: 52-year-old male patient with no previous heart disease or high blood pressure, breathing difficulties during the past six months the movement has gradually worsened and lower extremity edema. After examination of liver and kidney function was normal, given diuretic therapy, there are still significant expansion of the jugular vein. Outpatient chest X-ray showed the heart was not enlarged body examination careless murmur, slightly enlarged liver, ascites and bilateral lower extremity edema. Cardiac catheterization is the mean right atrial pressure 15mmHg (normal <8 mmHg), right atrial pressure curve Y showed significant decrease wave. Also in this patient following what kind of symptoms (sign) may occur?

Answer: When there will be a small number of cases of pericardial auscultation percussion sounds (pericardial knock), there will be some "odd pulse" (paradoxical pulse)

Choices:
A. Increased blood pressure and pulse pressure widened
B. During exhalation, the carotid distending shape may be more significant
C. When there will be a small number of cases of pericardial auscultation percussion sounds (pericardial knock), there will be some "odd pulse" (paradoxical pulse)
D. Chest X-ray presents pulmonary blood pooling (lung congestion) Phenomenon


Question: A 60-year-old patient with chest pain occurs at rest for about 30 minutes, nitroglycerin sublingual tablets containing invalid, normal ECG, chest X-ray of the heart is normal, and cardiac enzymes did not rise, his diagnosis is most likely:

Answer: Unstable Angina

Choices:
A. Decubitus angina
B. Labor angina
C. Acute myocardial infarction
D. Unstable Angina


Question: Which of the following contains the least amount of matrix (ground substance)?

Answer: Rules of dense connective tissue (dense regular connective tissue)

Choices:
A. Mesenchymal tissues (mesenchyme)
B. Mucous connective tissue (mucous connective tissue) -
C. Rules of dense connective tissue (dense regular connective tissue)
D. Irregular dense connective tissue (dense irregular connective tissue)


Question: The following narrative about the regeneration of anemia bad sex, what's wrong?

Answer: Peripheral lymphocyte count reduction's sake, patients likely to have a bacterial infection

Choices:
A. Is a dry cell disease
B. The reaction may be lymphocytes and related T-
C. Peripheral lymphocyte count reduction's sake, patients likely to have a bacterial infection
D. Peripheral blood platelets, easy bleeding tendency


Question: Among liver cancer, a tumor that occurs most often following hepatic veins (hepatic vein) or hepatic portal vein (portal vein) of tumor invasion or violation?

Answer: hepatocellular carcinoma

Choices:
A. hepatocellular carcinoma
B. hepatoblastoma
C. cholangiocarcinoma
D. metastasis from colon cancer


Question: And (hereditary nonpolyposis colorectal cancer) form of HNPCC syndrome is related to that of the following?

Answer: MMR（mismatch-repair）gene mutations

Choices:
A. APC gene
B. MMR（mismatch-repair）gene mutations
C. p53 mutation
D. RAS mutation


Question: The statements about IgA nephropathy, which of the following error?

Answer: Because it will relapse, after entering stage renal disease is not recommended for kidney transplant

Choices:
A. There may be a cluster of family (familial clustering)
B. Some sick children in the 15 to 20 years after onset may progress to chronic kidney disease or kidney failure
C. Because it will relapse, after entering stage renal disease is not recommended for kidney transplant
D. Blood IgA values and no diagnostic value, because only part of the increase will be for Sick Children


Question: A 55 year old male patient with chronic hepatitis B asymptomatic carrier, recent abdominal computed tomography and angiography find the right lobe has a 2 cm tumor size, highly suspected liver cancer, fetal serum protein is 420 ng / mL, Child-Pugh classified as A, other imaging did not have tumor metastasis situation, you do not consider which of the following best treatment?

Answer: Systemic chemotherapy

Choices:
A. Surgical resection
B. Ethanol injection therapy
C. Radiofrequency ablation
D. Systemic chemotherapy


Question: The following types of viral hepatitis, what can not be prevented through vaccination?

Answer: Type C

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


Question: When the male is ready to ejaculate, following what will not happen?

Answer: External urethral sphincter (external urethral sphincter) shrink

Choices:
A. External urethral sphincter (external urethral sphincter) shrink
B. Prostate (prostate gland) shrink
C. Vas deferens (ductus deferens) shrink
D. Ball urethral glands (bulbourethral gland) shrink


Question: Which of the following is located outside of the fallopian tubes?

Answer: Suspensory ligament

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


Question: Account of light α-thalassemia (α-thalssemia minor or trait) of, which of the following error?

Answer: Do routine blood examination (CBC), the vast majority of patients with red blood cell volume (MCV) and hemoglobin content

Choices:
A. Patients do not need treatment, probably never question the emergence of cardiac decompensation
B. Report hemoglobin electrophoresis (hemoglobin electropheresis) in the normal range
C. There will be serious without extramedullary hematopoiesis patient care
D. Do routine blood examination (CBC), the vast majority of patients with red blood cell volume (MCV) and hemoglobin content


Question: Related biliary cyst, the following statements is wrong?

Answer: Depending on the patient whether or not surgery end symptomatic, asymptomatic without surgery

Choices:
A. Todani classified according to type altogether divided into five large cyst
B. The typical patient three symptoms are abdominal pain, jaundice and right upper quadrant palpable mass
C. Depending on the patient whether or not surgery end symptomatic, asymptomatic without surgery
D. If the surgery is done cyst excision with Roux-en-Y hepatic duct jejunostomy


Question: Which of the following is not a World Health Organization (WHO) classification type of stomach cancer (adenocarcinoma) of?

Answer: Follicular type

Choices:
A. Signet ring
B. Tubular type
C. Follicular type
D. Mucinous type


Question: 10. With regard to the type of patient the figure below, the following statements is correct that? ① about 5000 live births may occur ② a possible 14% of the patients accompanied by other congenital malformations ③ patients need follow-up care multidisciplinary professional cooperation including orthopedics, otolaryngology, pediatrics, dentistry, oral surgery, language, dieticians, psychiatrists, social workers, etc. ④ generally recommended three months to repair the lips, palate repair ⑤ 12 months if accompanied by microtia or missing ears around the age of seven recommendations reconstruction

Answer: ②③④⑤

Choices:
A. ①②③④
B. ②③④⑤
C. ①③⑤
D. ①④⑤


Question: The total national health insurance payments related to the following description of the system, whichever is most incorrect?

Answer: All hospitals will push each patient

Choices:
A. Medical pie continues to increase
B. All hospitals will push each patient
C. Branch has a total budget
D. Can improve the professional autonomy


Question: The following statements about the physical properties of light waves, what's wrong?

Answer: + 1D (diopters, diopter) of the lens focal length (focal length) is set at a meter, the + 2D focal length of the lens is two meters

Choices:
A. The light waves of different wavelengths of each color in vacuo velocity is the same
B. The speed of the color light of different wavelengths in the medium are typically not the same
C. The relative refractive index of light in a general medium (refractive index) greater than 1
D. + 1D (diopters, diopter) of the lens focal length (focal length) is set at a meter, the + 2D focal length of the lens is two meters


Question: Plagued by a 18-year-old female student, as long as a stage or contact with strangers immediately obvious anxiety, sweating, rapid heartbeat, and worried about their embarrassing that she deliberately avoid contact with the crowd and came to power, like this is a more than a year, but also for interpersonal relationships and school performance cases cause significant obstacles. Clinical questions about this case, which of the following error?

Answer: Lifetime prevalence of these diseases at 25%

Choices:
A. Such diseases, more women than men
B. Such diseases occur in late childhood and early adolescence
C. Lifetime prevalence of these diseases at 25%
D. Psychotherapy efficacy of combined therapy is superior to either treatment used alone


Question: 40.66-year-old male, Auto v. Good past health. 2 Month found front sides of the neck, axillary and inguinal lymph nodes swelling zoomed, lymph node biopsy was diagnosed as left angioimmunoblastic T cell lymphoma (AITL), undergoing total chemotherapeutic chest upwards, at the dose of ⽅ standard CHOP (cyclophosphamide , adriamycin, vincristine and prednisolone). Face Back ⾨ disease diagnosed in 2 weeks after chemotherapy, complained of abdominal distention, constipation, and the watch fingertips ⿇ ⽊, the physician may have occurred suspected ileus. Using this side effect is most likely caused by following what kind of drugs?

Answer: vincristine

Choices:
A. cyclophosphamide
B. adriamycin
C. prednisolone
D. vincristine


Question: The maternal mortality rate is about how many people?

Answer: 7/100,000

Choices:
A. 7/1,000
B. 7/10,000
C. 7/100,000
D. 7/1,000,000


Question: Which of the following is not a cause of preterm labor?

Answer: Children without brain (anencephaly)

Choices:
A. Placenta (placenta previa) or placentae (abruption)
B. Amniotic fluid infection
C. Uterine malformations
D. Children without brain (anencephaly)


Question: Surgical excision (surgical resection) is currently the best treatment for liver cancer, which of the following was found after the surgery and long-term prognosis is poor (poor prognosis) than a relationship?

Answer: multifocal tumors

Choices:
A. large tumor size
B. liver cirrhosis
C. age
D. multifocal tumors


Question: According to the definition of World Health Organization (WHO), diagnosis on tuberculosis (pulmonary tuberculosis) cases, the following statements is wrong?

Answer: Failure then rule (treatment after failure) refers to four months after treatment has been, acid sputum (acid-fast) smear remains positive

Choices:
A. Had not received a complete anti-TB treatment, and acid-resistant clinical specimen (acid-fast) smear-positive persons belonging to the two new cases (new case)
B. TB treatment but had received less than two weeks, and the definition of clinical specimen positive TB culture is still new cases (new case) of
C. Failure then rule (treatment after failure) refers to four months after treatment has been, acid sputum (acid-fast) smear remains positive
D. Lost re-treatment (treatment after default) refers to treatment interruption of more than two months Case


Question: Which of the following heart murmur (cardiac murmur) will not increase strength and inspiration?

Answer: Aortic insufficiency (aortic regurgitation)

Choices:
A. Aortic insufficiency (aortic regurgitation)
B. Pulmonary insufficiency (pulmonic regurgitation)
C. Tricuspid stenosis (tricuspid stenosis)
D. Tricuspid regurgitation (tricuspid regurgitation)


Question: After the 25-year-old male patient with head trauma, to the emergency room when GCS (Glasgow Coma Scale, GCS) 3 points, CPR and placed endotracheal tube, this time using end-tidal carbon dioxide detector (End-tidal CO2 detector) The following statements is most inappropriate?

Answer: End-tidal carbon dioxide value of 12.5 mmHg representative of low blood flow into the esophagus and endotracheal tube was placed

Choices:
A. End-tidal carbon dioxide detector can be used to monitor the quality of CPR
B. End-tidal carbon dioxide detector can be used to confirm the position of the endotracheal tube
C. End-tidal carbon dioxide value of 12.5 mmHg representative of low blood flow into the esophagus and endotracheal tube was placed
D. When the projecting end-tidal carbon dioxide value increased to 40 mmHg, on behalf of the patient easier spontaneous recovery cycle (return of


Question: A 45 year old female patient at medical examination found that abdominal CT with a diameter of 3 cm right adrenal tumor, how to deal with the most appropriate?

Answer: Test adrenal cortex, medulla functions

Choices:
A. Referral patients receiving surgery
B. Test adrenal cortex, medulla functions
C. For fine needle aspiration cytology
D. Do a second CT to six months after


Question: Statements about pituitary tumors (pituitary adenoma), and which of the following error?

Answer: Pituitary tumor patients often have diabetes insipidus (diabetes insipidus) symptoms

Choices:
A. When pituitary tumors greater than 1 cm, although often jugular venous sinus invasion (cavernous sinus invasion), but rarely see the third to sixth cranial nerve defects
B. Pituitary tumor patients often have diabetes insipidus (diabetes insipidus) symptoms
C. Lactation hormone (prolactin) slight rise, not necessarily prolactin tumor (prolactinoma) caused, and may be due to pituitary stalk is caused by large adenomas oppression
D. Oral dopamine agonist such as bromocriptine, prolactin can 80% tumor (prolactinoma) reduction


Question: 55-year-old male patient due to liver cancer were upper abdominal laparotomy, the following statements relating to such acute pain of surgery, what's wrong?

Answer: Acute surgical pain itself does not cause gastrointestinal stress response

Choices:
A. Acute surgical pain itself does not cause gastrointestinal stress response
B. Abdominal laparotomy belongs to moderately severe pain
C. Acute surgical pain can cause heart and lung dysfunction
D. Acute surgical pain can cause white blood cells to rise


Question: Which of the following is not a skeletal muscle?

Answer: Dartos (dartos muscle)

Choices:
A. Dartos (dartos muscle)
B. Piriformis (piriformis)
C. Mention epididymis muscle (cremasteric muscle)
D. The external urethral sphincter (external urethral sphincter)


Question: Thoracic scoliosis in Section VI above, use the following correction back frame what?

Answer: Chinese rice backing frame (Milwaukee brace)

Choices:
A. Boston back frame (Boston brace)
B. Chinese rice backing frame (Milwaukee brace)
C. Taylor back frame (Taylor brace)
D. Knight back frame (Knight brace)


Question: G0P0 19-year-old woman, underwent laparoscopic surgery for acute appendicitis, surgery accidentally discovered abnormal uterine (as shown below). The following statements is true?

Answer: Guide due to müllerian ducts caused by dysplasia

Choices:
A. Guide due to müllerian ducts caused by dysplasia
B. At the same time need surgery to repair abnormal uterine
C. Easy fetal abnormalities during pregnancy
D. Pain likely to have intercourse


Question: There are a diabetic patient of hypertension for two years, mostly in between 160-170 / 90-100 mmHg, find your treatment now, your treatment goals should be in that range?

Answer: ≤ 130/80 mmHg

Choices:
A. ≤ 160/95 mmHg
B. ≤ 140/90 mmHg
C. ≤ 130/80 mmHg
D. ≤ 110/70 mmHg


Question: Laryngomalacia (laryngomalacia) of symptoms usually occurs when?

Answer: Few weeks after birth

Choices:
A. Birth place immediately
B. Few weeks after birth
C. Six months after birth
D. Year after birth


Question: The following class of molecules that bind to and activate through peroxisome proliferator-activated recepter alpha (PPARα), to regulate the production of ketone (ketogenesis) related gene expression?

Answer: fatty acids

Choices:
A. purine
B. fatty acids
C. glucose
D. pyrimidine


Question: Mr. cop another CT scan in the drawing, in addition to fractures, as well as:

Answer: Left cerebellar hemorrhage

Choices:
A. Left cerebellar hemorrhage
B. Right cerebellar hemorrhage
C. Left cerebral fossa subdural hemorrhage on
D. Right cerebral fossa subdural hemorrhage


Question: The following statements about vascular malformations (Vascular malformation), and what's wrong?

Answer: Cause and similar hemangioma

Choices:
A. Abnormal embryonic vascular structures due to take place
B. Cause and similar hemangioma
C. Body organs can happen
D. High-flow vascular malformations sequelae more, are more difficult to treat


Question: 72-year-old retired teacher Hung occurrence of sudden dizziness (vertigo), unsteady gait (ataxia), difficulty swallowing, loss of sensation in the right side of the limb, the left miosis ptosis merger but no facial palsy, to the emergency room for treatment, most possibly is:

Answer: Brainstem infarction (Brainstem infarct)

Choices:
A. Frontal lobe infarction (Frontal lobe infarct)
B. Temporal infarct (Temporal lobe infarct)
C. Parietal lobe infarction (Parietal lobe infarct)
D. Brainstem infarction (Brainstem infarct)


Question: 66 a 26-year-old woman, the past six months my mind over and over again to repeat some of the ideas, fearing the house door and shut the gas switch is not checked it over and over again, over and over again so worried about their hands dirty hands, knowing that this is not required but still repeated do, each time consume her for an hour, thus seriously affect her work time and personal relationships. The women most likely to suffer psychiatric disease have Which of the following?

Answer: OCD (obsessive compulsive disorder)

Choices:
A. Depression disorders (dysthymic disorder)
B. OCD (obsessive compulsive disorder)
C. Bipolar disorders (bipolar disorder)
D. Post-traumatic stress disorder (posttraumatic stress disorder)


Question: Left and right iliac crest (iliac crest) the highest point of the spinous process by which of the following levels of connection (spinous process)?

Answer: L4

Choices:
A. L2
B. L3
C. L4
D. L5


Question: About eukaryotic gene promoter (promoter) of the characteristics of the following statements is wrong?

Answer: Some promoters containing Pribnow box

Choices:
A. Some promoters in the vicinity of the start of transcription containing initiator element
B. Some promoters containing GC box
C. Some promoters containing Pribnow box
D. Some promoters containing TATA box


Question: From the previous question, condition rapidly worsened after the previous patient medical treatment, emergency intubation emergency transfer the intensive care unit. Those following the disposal is necessary?


Question: A 22-year-old male patient complained of right knee swelling and pain has been more than a month. The past six months often sleep after midnight due to lower back pain and wake up. Last week, a sudden eye pain, blurred vision, eye doctor was diagnosed with uveitis (uveitis). Will that one of the following examination in the diagnosis of the most helpful?

Answer: Pelvic X-rays

Choices:
A. Pelvic X-rays
B. Right knee X-rays
C. Blood tests RF and ANA
D. Check the solution right knee


Question: 77. One 25-year-old woman, began this morning, gradually increasing abdominal pain and vaginal bleeding situation there, when to emergency treatment, vital signs are as follows: blood pressure mmHg, pulse 130 beats / min, breathing 22 times / minute, temperature 36.5 ℃ . No special past history, the last normal menstrual about seven weeks ago, following the disposal of what are the more inappropriate?

Answer: ECG monitor display sinus tachycardia (sinus tachycardia), low blood pressure patients in shock phenomenon, may be considered for the synchronization shock 100 Joules

Choices:
A. Arrangements pregnancy tests
B. The patient can clearly express discomfort, in accordance with the principles of first aid, given O2, IV, Monitor
C. Low blood capacitive shock may be given a lot of fluids, and considered for transfusion
D. ECG monitor display sinus tachycardia (sinus tachycardia), low blood pressure patients in shock phenomenon, may be considered for the synchronization shock 100 Joules


Question: The following narrative about the glucocorticoid affect the metabolism of fat, what's wrong?

Answer: Increased fat distribution to the limbs

Choices:
A. Β type promote fat decomposition of sympathomimetic agent
B. Promote redistribution of body fat
C. Increased fat distribution to the face
D. Increased fat distribution to the limbs


Question: 75 year old female patient, back pain for years, intensified the last 3 months, in addition to imaging by significant aortic calcification, the lumbar vertebrae, and also changed; FIG. A lumbar side X-ray photography, panel B is a cross-computerized tomography of section. The patients most likely diagnosis Why?

Answer: Compression fracture of osteoporosis

Choices:
A. Infectious spondylitis
B. Cancer of bone metastases and pathological compression fractures
C. Compression fracture of osteoporosis
D. Traumatic compression fractures


Question: 54. Which of the following activation of the motor endplate is located (motor end plate) on the receiving device, may initiate action potentials in skeletal muscle cells (action potential)?

Answer: nicotinic receptor

Choices:
A. nicotinic receptor
B. muscarinic receptor
C. dihydropyridine receptor
D. ryanodine receptor


Question: Carpal tunnel (Carpal tunnel), the structure does not include which of the following?

Answer: Radial wrist flexor muscles (flexor carpi radialis)

Choices:
A. Shallow index finger flexor muscle (2nd flexor digitorum superficialis)
B. Radial wrist flexor muscles (flexor carpi radialis)
C. The median nerve (median nerve)
D. Little finger deep flexor muscle (5th flexor digitorum profundus)


Question: After hip replacement surgery within 3 months should avoid actions do not include which of the following?

Answer: Abduction (Abduction)

Choices:
A. Buckling (Flexion) 90 degrees
B. Abduction (Abduction)
C. Adduction (adduction)
D. The inner rotor (internal rotation)


Question: A 75-year-old man with mild dementia, a progressive occurred a year ago and the gradual deterioration of cognitive disorders, slow in the past six months is easy to fall, confusion and hallucinations often awareness of the phenomenon. Neurological examination stiff torso, limbs trembling slightly. CT scan showed generalized brain atrophy. Which of the following is most likely to patients suffering from the disease?

Answer: Lewy body dementia (dementia with Lewy bodies)

Choices:
A. Lewy body dementia (dementia with Lewy bodies)
B. Ezihaimo disease (Alzheimer disease)
C. Normal pressure hydrocephalus (normal-pressure hydrocephalus)
D. CJD (Creutzfeldt-Jakob disease)


Question: Which of the following can be used as glucose newborn action (gluconeogenesis) precursor (precursor)?

Answer: glycerol

Choices:
A. glycerol
B. leucine
C. palmitic acid
D. glycine


Question: Stroke caused by upper limb flexion synergy (flexor synergy) Which of the following does not include the action?

Answer: Forearm pronation (forearm pronation)

Choices:
A. Shoulder abduction (shoulder abduction)
B. Elbow flexion (elbow flexion)
C. Forearm pronation (forearm pronation)
D. Arm bent (wrist flexion)


Question: Parietal pleura (costal parietal pleura) ribs at the disposal of which of the following?

Answer: Intercostal nerve (intercostal nerve)

Choices:
A. Phrenic nerve (phrenic nerve)
B. Intercostal nerve (intercostal nerve)
C. Vagus nerve (vagus nerve)
D. Sympathetic trunk (sympathetic trunk)


Question: A young women because of psychological reasons can not meet the requirements of termination of pregnancy, ultrasound display 10 weeks of pregnancy, fetal heartbeat is normal, and indicates that she may want to terminate the pregnancy by drugs, Which of the following is the most appropriate way to terminate her pregnancy?

Answer: dilatation and curettage

Choices:
A. mifepristone（RU 486）+ misoprostol
B. methotrexate + misoprostol
C. oxytocin + prostaglandin
D. dilatation and curettage


Question: About benign breast tumors, the following statements is true?

Answer: Bodkin section pathology atypical ductal hyperplasia (atypical ductal hyperplasia) should be removed

Choices:
A. Should be removed to avoid conversion into malignant
B. I.e., more than two centimeters tumors should be removed
C. A fiber core needle section pathology cystic changes (fibrocystic change) should be removed
D. Bodkin section pathology atypical ductal hyperplasia (atypical ductal hyperplasia) should be removed


Question: Nerve conduction following message about the taste of the narrative, what's right?

Answer: Taste messages from the throat (pharynx) via the vagus nerve (vagus nerve) spread medulla

Choices:
A. Taste Tongue message from two-thirds through the glossopharyngeal nerve (glossopharyngeal nerve) spread medulla
B. One-third of the tongue from the palate message via hypoglossal nerve (hypoglossal nerve) spread medulla
C. Taste messages from the throat (pharynx) via the vagus nerve (vagus nerve) spread medulla
D. All messages taste neurons transmitted to the medulla, the signal coming directly projected to the cerebral cortex, the middle is no longer docked in any brain area


Question: Rib edge of normal adults (costal margin) is composed of the following first of several ribs (rib)?

Answer: 7～10

Choices:
A. 3～4
B. 5～6
C. 7～10
D. 11～12


Question: The following statements about HIV (Human immunodeficiency virus), and what's wrong?

Answer: One of M-tropic viruses can use CXCR4 as its cell receptors

Choices:
A. One of M-tropic viruses can use CXCR4 as its cell receptors
B. T-tropic virus usually over the course of the patient's progress and to increase
C. Kaposi's sarcoma is a cancer common in AIDS patients
D. CD4 T cell numbers dropped to 200 / μL or less, prone to opportunistic infections


Question: About gastric lymphoma following treatment, whichever is incorrect?

Answer: radiotherapy quite effective, regardless of tumor size can be considered

Choices:
A. For patients in the early stage, Surgery, radiation therapy, or chemotherapy combined chemotherapy three kinds of treatment, the disease free survival rate which are similar
B. Ruoyi violation of regional lymph node, compared with stage II E
C. radiotherapy quite effective, regardless of tumor size can be considered
D. gastric lymphoma of good prognosis than gastric adenocarcinoma


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

Answer: Subthalamic nucleus is located in the midbrain

Choices:
A. Participation in indirect loop basal ganglia circuit
B. Subthalamic nucleus damage may lead to involuntary movements (involuntary movement)
C. Subthalamic nucleus is located in the midbrain
D. Subthalamic nucleus neurons using excitatory neurotransmitter


Question: The following figure shows the check fetal position in the European Pu (Leopold) test method. May I ask which is the first of several style?

Answer: The second type

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


Question: Will enhance its ability to infect 53. Which of the following viral coat protein has a double (double-layered capsid), need to digest ISVP (intermediate / infectious subviral particle) trypsinized?

Answer: Rotavirus (Rotavirus)

Choices:
A. Norovirus (Norovirus)
B. Rotavirus (Rotavirus)
C. Parainfluenza virus (Parainfluenza virus)
D. Measles virus (Measles virus)


Question: 58. If the pressure-sensitive receptors (baroreceptor) discharge frequency (firing rate) increase in the carotid sinus (carotid sinus) and aortic arch (aortic arch), which of the following is correct?

Answer: Its role will cause blood vessels to dilate (vasodilation), reduce heartbeat

Choices:
A. Its signal via the vagus (vagus) nerve transmission, suspension in the thalamus (thalamus)
B. Its role will be sympathetic excitement, the blood vessels (vasoconstriction)
C. Which inhibits parasympathetic effect, reduced cardiac output
D. Its role will cause blood vessels to dilate (vasodilation), reduce heartbeat


Question: Which of the following process takes most involved in the lungs?

Answer: The angiotensin I (angiotension I) into angiotensin II (angiotension II)

Choices:
A. Release serotonin (serotonin) into the blood
B. Activation of bradykinin (Bradykinin)
C. The fibrinogen (fibrinogen) into fibrin (fibrin were)
D. The angiotensin I (angiotension I) into angiotensin II (angiotension II)


Question: A 28-year-old man found a lot of epidermal cysts, further examination revealed a bone tumors (osteoma) in the mandible on the skin, while there are numerous gland polyps (adenomatous polyps) in the large intestine. Which of the following is the most likely diagnosis?

Answer: Gardner syndrome

Choices:
A. Familial adenomatous polyposis (Familial adenomatous polyposis)
B. Gardner syndrome
C. Peutz-Jeghers syndrome
D. Turcot syndrome


Question: Clinical manifestations include a patient's slow movement (bradykinesia), split step, resting tremor (resting tremor), etc., which is the most common degenerative disease of the central nervous system where happen?

Answer: 黑 質 (substantia nigra)

Choices:
A. 黑 質 (substantia nigra)
B. White matter (white matter)
C. Caudate nucleus (caudate nucleus)
D. Red nucleus (red nucleus) 2 relating to the following lumbar puncture (lumbar spinal puncture) of the statements is wrong?


Question: RNA polymerase is different from the DNA polymerase, because:

Answer: In the synthesis of RNA, RNA primer need not

Choices:
A. With correction
B. Nucleoside monophosphates can use synthetic nucleic acid
C. In the synthesis of RNA, RNA primer need not
D. Synthesis, from 5 'to 3'


Question: About the natural history of hepatitis C, which of the following error?

Answer: Women, wine, and over 30 years of infection is an important factor in the rapid progression of chronic hepatitis C

Choices:
A. Chronic hepatitis C after 20 to 30 years, about 20 to 25% of the asymptomatic carrier will develop cirrhosis of the liver
B. Cirrhotic patients with hepatocellular carcinoma suffering from 1 to 4% per year
C. Chronic hepatitis C is one of the most important indications for liver transplantation in Western countries
D. Women, wine, and over 30 years of infection is an important factor in the rapid progression of chronic hepatitis C


Question: Acid-fast stain is used to observe what kind of following the original method of dyeing infection?

Answer: Mycobacterium tuberculosis

Choices:
A. Listeria monocytogenes
B. Treponema pallidum
C. Mycobacterium tuberculosis
D. Chlamydia trachomatis


Question: 25-year-old female college student, complained of six months without menstruation, the patient complained of academic pressure, the appearance of the capillary body, yellowish skin, height 162 cm, weight 35 kg, with regard to this patient, the following statements is wrong?

Answer: The use of clomiphene citrate restore menstruation

Choices:
A. Serum FSH and E2 visible hypogonadotropic hypogonadism
B. If necessary, note psychiatric
C. The use of clomiphene citrate restore menstruation
D. Weight gain for the resumption of menses have help


Question: The production of those hormones can directly affect the uterine muscle contraction?

Answer: Prostate prostaglandins and oxytocin (oxytocin)

Choices:
A. Cortisol (cortisol) and thyroid hormone (thyroxine)
B. Thyroid and prostate prostaglandin (prostaglandin)
C. Prostate prostaglandins and oxytocin (oxytocin)
D. Oxytocin and cortisol


Question: In urea cycle disorders (urea cycle defects) disease, the following statements is wrong?

Answer: In addition to citrulline hyperlipidemia (citrullinemia) is other than sex-linked genetic, other diseases are autosomal recessive inheritance (autosomal recessive) disease

Choices:
A. In addition to citrulline hyperlipidemia (citrullinemia) is other than sex-linked genetic, other diseases are autosomal recessive inheritance (autosomal recessive) disease
B. Infants with urea cycle disorders, early symptoms are often poor feeding, vomiting, lethargy, irritability and shortness of breath
C. Principles of maintenance treatment is a low-protein diet, supplements essential amino acids and ammonia discharge of establishing an alternative path
D. Removal of acute hyperammonemia is very important


Question: Definition of repeated abortion (recurrent pregnancy loss) is greater than or equal several more consecutive spontaneous abortion?

Answer: 3 times

Choices:
A. 2 times
B. 3 times
C. 4 times
D. 5 times


Question: After a 60-year-old male patient with liver cirrhosis with ascites due to low-salt diet (<2 g / day) for several weeks and diuretics (spironolactone 400 mg / day and furosemide 120 mg / day) treatment, ascites still develop into a large number of ascites, the following what is most inappropriate treatment?

Answer: Patients are encouraged to eat high protein

Choices:
A. Can be considered a liver transplant
B. Patients are encouraged to eat high protein
C. Massive ascites tapping surgery plus intravenous albumin
D. transjugular intrahepatic portosystemic shunt only selectively applied in appropriate patients


Question: When influenza virus (influenza virus) infection, the following antigens which induced the more protective antibody:

Answer: haemagglutinin

Choices:
A. M protein
B. non-structural protein
C. haemagglutinin
D. nucleocapsid 83 of the following statements about X-linked hyper-IgM Syndrome, He who is wrong?


Question: A 18-year-old girl to wear earrings in the upper part of the ear, causing ear purulent Perichondritis (perichondritis of auricle), Which of the following is the most likely disease-causing bacteria?

Answer: Pseudomonas aeruginosa

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


Question: Because of stroke caused by locked-in syndrome (locked-in syndrome), Which of the following is the most common cause?

Answer: Basilar artery occlusion (basilar artery occlusion)

Choices:
A. Internal carotid artery occlusion (internal carotid artery occlusion)
B. Basilar artery occlusion (basilar artery occlusion)
C. Small infarction (small-vessel infarction)
D. Atrial fibrillation causes the heart due to thrombosis (cardiac emboli)


Question: How long the treatment of chronic otitis media with effusion is invalid, and hearing loss greater than 15 dB can consider the implementation of the middle ear airway placement surgery?

Answer: 3 months

Choices:
A. Two weeks
B. 1 month
C. 6 weeks
D. 3 months


Question: How much pericardial fluid of normal pericardial cavity there?

Answer: 5-30 c.c.

Choices:
A. < 5 c.c.
B. 5-30 c.c.
C. 30-70 c.c.
D. 70-120 c.c.


Question: About testicular sperm cell tumor (seminoma) of the narrative, which of the following error?

Answer: Often occurs in infants

Choices:
A. Similar tumor may also occur in the ovary or central nervous system
B. Often occurs in infants
C. Is sensitive tumors to radiation therapy
D. Tumor cells typically do not contain α-fetoprotein


Question: Currently 17 type hearing loss in elderly (age related hearing loss) in pathological changes in the inner ear, mainly based Gacek and Schuknecht in human temporal bone anatomy studies, this study showed that aging of the inner ear related hearing degeneration is the most important kind of cells?

Answer: Vascular cell lines (striae vascularis cells)

Choices:
A. Inner hair cells (inner hair cells)
B. Spiral ganglion cells (spiral ganglion cells)
C. Vascular cell lines (striae vascularis cells)
D. Outer hair cells (outer hair cells)


Question: 35-year-old Wang, 1 week ago touched a lump in the left breast, after a preliminary examination received tissue biopsy of the tumor, pathology laboratory report as ductal carcinoma in situ (DCIS). After you informed of its results in the clinic, Wang further discuss issues related to the treatment plan with you. The following statements is wrong?

Answer: DCIS cancer cells also express no violations of the organization within the basement membrane, grouped into several classes on the type of organization. In which the process belongs to the papillary (papillary type) into invasive cancer by rapid progression, malignant high, if they are acne-type (comedo type) who is transformed into a relatively slow process of cancer invasion

Choices:
A. Wang mammography examination revealed the left breast extensive cluster of microcalcifications (clustered microcalcification), surgical removal of tumor tissue may be difficult to clean, with no fear of the edge (clear margin), treatment may need to do a breast resection
B. Wang addition of DCIS, also may be associated with invasive cancer (invasive carcinoma), the sentinel lymph node surgery can opt (sentinel node) excisional biopsy
C. DCIS cancer cells also express no violations of the organization within the basement membrane, grouped into several classes on the type of organization. In which the process belongs to the papillary (papillary type) into invasive cancer by rapid progression, malignant high, if they are acne-type (comedo type) who is transformed into a relatively slow process of cancer invasion
D. Results DCIS patients after treatment with tamoxifen, currently in clinical trials (e.g. NSABPB-24 trial), the risk of contralateral breast for breast cancer can be significantly reduced


Question: Angel, 28, G4P0AA3, before she got married too early because they do not want to have children were three times abortion (Dilatation and curettage), currently 18 weeks pregnant, until no symptoms, it felt this morning, watery vaginal secretion was increased, so come between clinic for treatment, test results have found that amniotic sac bulging into the vagina, Angel denies any two days of abdominal pain or discomfort, which of the following best meets Angel diagnostic symptoms?

Answer: Cervical insufficiency (Cervical incompetence)

Choices:
A. Cervical insufficiency (Cervical incompetence)
B. Coercive abortion (Threatened abortion)
C. Preterm birth (Preterm labor)
D. Incomplete abortion (Incomplete abortion)


Question: About the abscess around the tonsils (peritonsillar abscess) narrative, which of the following error?

Answer: Emergency tonsillectomy, treatment is often used

Choices:
A. Infection is one of the most common diseases of the head and neck deep
B. Patients treated with antibiotics, will take place around the tonsil abscess
C. May be utilized needle aspiration (needle aspiration) for drainage of
D. Emergency tonsillectomy, treatment is often used


Question: What parts of the brain stem of the aforementioned patient the right side of the oppressed and the cause limb weakness?

Answer: Cerebral peduncle (cerebral peduncle)

Choices:
A. The superior colliculus (superior colliculus)
B. Medulla (medulla oblongata)
C. Cerebral peduncle (cerebral peduncle)
D. Pons (pons)


Question: 52-year-old female, general malaise, loss of appetite, blood creatinine (creatinine) 11.2 mg / dL, decided to accept the kidney replacement therapy, which is currently following the worst treatment of 5-year survival rate?

Answer: Hemodialysis

Choices:
A. HLA match kidney transplant
B. HLA incompatible kidney transplant
C. ABO-incompatible kidney transplant
D. Hemodialysis


Question: Young male prostate, which is the largest proportion:

Answer: Surrounding area (peripheral zone)

Choices:
A. Transition zone (transition zone)
B. Surrounding area (peripheral zone)
C. Central District (central zone)
D. Verumontanum and vas deferens (verumontanum and ejaculatory duct)


Question:
14.
 Mr. Wu to the hospital because of physical discomfort, blood circulation body numerical display: arterial oxygen tension
 (Paco 2)
 mmHg, arterial carbon dioxide partial pressure of 61 is mmHg, pH value 7.16, bicarbonate
 5 mEq / L. This patient most likely diagnosis Why?

Answer: Acute airway obstruction

Choices:
A. Acute airway obstruction
B. Chronic obstructive airways
C. Kidney failure
D. Renal failure with respiratory decompensation


Question: A 34-year-old woman (G0P0), due to tubal infertility undergoing hysterectomies photography (Hysterosalpingogram, HSG), its image as shown in FIG. The most likely diagnosis of why?

Answer: Uterine cavity adhesion syndrome (Asherman syndrome)

Choices:
A. Ovarian endometrial tumors (Endometrioma of ovary)
B. Endometrial polyps (Endometrial polyp)
C. Serous uterine fibroids (Subserosal myoma)
D. Uterine cavity adhesion syndrome (Asherman syndrome)


Question: Center Weighted dirty valve surgery related to the watch, clothes Using ⾎ anticoagulant agents (warfarin) Which of the following error?

Answer: After mechanical valves (mechanical valve) replacement, adjust the dose of the international normalized ratio (international normalized ratio,

Choices:
A. After the mechanical valve (mechanical valve) replacement, it is recommended to be served ⻑ Use of anticoagulant agent ⾎
B. Use as in waterfall-like coagulation pathway ⾎ (coagulation cascade factor II, VII, IX, X)
C. Can use the dose was ⾎ zymogen coagulation time (prothrombin time), or the International Normalized Ratio (international normalized ratio, INR) monitoring, tracking adjustment
D. After mechanical valves (mechanical valve) replacement, adjust the dose of the international normalized ratio (international normalized ratio,


Question: When blood adrenaline (epinephrine) to increase the concentration, the main cause which of the following phenomena?

Answer: Activating protein kinase A (protein kinase A)

Choices:
A. Reduce cAMP production
B. Activating protein kinase A (protein kinase A)
C. Reduce the decomposition of glycogen in liver cells
D. Suppression carbohydrates Shinsei (gluconeogenesis)


Question: Which of the following Schistosoma japonicum (Schistosoma japonicum) or unrelated disease caused by the patient?

Answer: Bag Young (metacercariae)

Choices:
A. The baby was (cercariae)
B. Bag Young (metacercariae)
C. Granuloma (granulomas)
D. Katayama fever (Katayama fever)


Question: Traumatic brain injury patients in the rehabilitation process, epilepsy (seizure) may occur, the following statements is wrong?

Answer: To prevent seizures and administration is essential for life

Choices:
A. Predilection period of about 2 years after injury
B. To prevent seizures and administration is essential for life
C. Carbamazepine less influence cognitive function
D. The incidence and severity of brain injury and related parts


Question: What most cells in normal healthy human peripheral blood (peripheral blood) in it?

Answer: T lymphocytes

Choices:
A. T lymphocytes
B. B lymphocytes
C. Plasma cells (plasma cell)
D. Natural killer cells


Question: Copy the procedures for E. coli (E. coli) DNA, the following statements is wrong?

Answer: GC rich region and the DnaA protein binding position oriC

Choices:
A. Helicase (helicase) on the replication fork (replication fork) is responsible unwinds the double-stranded DNA
B. DNA ligase (Ligase) catalyze the formation of an ester bond bis (phosphodiester bond) in phosphate delay Unit (lagging strand)
C. Type DNA polymerase I (DNA polymeraseⅠ) of Okazaki fragments (Okazaki fragment) of the 5 'end of the RNA hydrolysis
D. GC rich region and the DnaA protein binding position oriC


Question: 30-year-old Lee looks lanky, balding forehead, cheeks thin, always open mouth, sticks out like a goose neck and neck forward, like, and suffering from cataracts. Weak hands for many years, and gradually increased. Jie Li extremities of muscle atrophy, decreased tendon reflexes, but percussion hammer knock the muscles, the muscles to contract about 10 seconds, Lee knees need to be able to hand chair. Lee most likely to suffer from:

Answer: myotonic dystrophy

Choices:
A. myotonic dystrophy
B. Klinefelter syndrome
C. Duchenne muscular dystrophy
D. hereditary motor-sensory neuropathy, type I


Question: 30-year-old married woman, because of male factor infertility undergoing IVF treatment (in vitro fertilization). Receiving ultrasound guided egg retrieval surgery the next day, because nausea, abdominal distension, asthma and other respiratory discomfort back to the hospital, the diagnosis is ovarian hyperstimulation syndrome (ovarian hyperstimulation syndrome). He practices the following items can reduce the incidence of this disease?

Answer: Selected GnRH agonist to induce ovulation (ovulation trigger) then frozen embryos (cryopreservation) in the next implant

Choices:
A. Increase in gonadotropin dose treatment
B. Selected GnRH agonist to induce ovulation (ovulation trigger) then frozen embryos (cryopreservation) in the next implant
C. Selection of a long GnRH agonist treatment (long protocol)
D. To support the luteal phase (luteal support) after oocyte retrieval in applying fight human chorionic gonadotropin (hCG)


Question: Which of the following is not a gastric bypass weight loss surgery (Roux-en-Y gastric bypass) surgery is a common complication of long-term?

Answer: Esophagitis retrograde bile (bile reflux esophagitis)

Choices:
A. Ulcer edge (marginal ulcer)
B. Malabsorption of iron (iron deficiency)
C. Esophagitis retrograde bile (bile reflux esophagitis)
D. Intraperitoneal intestinal hernia (internal hernia)


Question: 54 A 65-year-old male patient, because of confusion at 0900 was sent to the emergency room. He bronchial asthma because long-term outside the hospital for treatment, but because of the recent move more irregular medication. Physical examination showed that the patient has a moon face, buffalo shoulder, showing a bruise on the skin. The patient's blood pressure, low blood sodium, his blood tests that kind of change is most likely to occur? (Reference ACTH 10 ~ 65 pg / mL; cortisol AM 5 ~ 24 μg / dL, PM 2.5 ~ 12.5 μg / dL)

Answer: ACTH <5 pg / mL, cortisol <5 mg / dL

Choices:
A. ACTH <5 pg / mL, cortisol <5 mg / dL
B. ACTH 75 pg / mL, cortisol <5 mg / dL
C. ACTH 75 pg / mL, 30 mg cortisol / dL
D. ACTH <5 pg / mL, 30 mg cortisol / dL


Question: The most common type of cervical cancer tissue Why?

Answer: squamous cell carcinoma

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


Question: It appears most unlikely following an organ in the body by the cross-sectional images of the stomach?

Answer: jejunum

Choices:
A. liver
B. spleen
C. kidney
D. jejunum